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2098 Quartz LaneCITY OF EAGAN ? Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #4 Lot 19 Blk 5 Parcel 10 16703 19.0 I15 Owner DC1il. E.j V. ` li(Iv lQi1P, UinAk'reet 2098 QudY'tz Lane State Eagan• M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK • • CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5848 PFIONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Volue Dote , 19 Site Address Erect ? Occupancy Lot ? Block ?? Sec/Sub. (/'? ?' Alter ? Zoning Parcel # oe Name 3thZ'y?1 PeBCOC' W - Z Address *1g3T1, o Nome haGundersor, Const L:c o'J Address u§ rv... SVl?; o?..,..e -??+ ?ll{ Name _ Address I hereby acknowledge thot I have read this appfication and sYate that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Repair ? Fire Zone Enlarge ? Type of Const. Move ? .# Stories Demolish ? Front ft. Grade ? Depth ft. Approvafs Fees Assessment Water & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge - Plan check _ SAC Water Conn. Water Meter Road Unit _. Total - Signature of Permittee I A Buitding Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Official Pe?mtt # Dah laued Permittoe Plumbing Mechanicol INSPECTIONS DATE INSP. Rough-I n Fi nol FOOtingS Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechonical Final - Remarks: EAGAN '1'OV1/NS H I P BUILDIIVC PERNIIT Owne: ---!?-.At?!t... . ................................. ...... --•-- ? Address (present) _._........ . --- -•••--•------ ? Builder --------- i2-e-ly - ------------•-------------•----••-•--•••-•--•-••-----••-•--••--• --- ! Address ---- ------------------------- --------- -------------------•---•-•----------•---•••----------••• DESCRIPTION N° 865 Eagan Township Town Hall Date ---1.__-1?-?- ?-•--•---•-------- 5tories To Be Used For Front Depth Heighf Est. Cosi Permit Fee Remarks i / LOCATION Sfreet, Road or other Descripfion of Location I Lo3 I Block ? AddiYion or Tract / 9 1 ?- I 'te- / This permit does not authorize the use of sireels, roads, alleys or sidewalks nor does it give the owner or his agent the right fo create any siiuafion which is a nuisance or which presenfs a hazard to the health, safefy, convenience and general welfare fo anyone in the community. THIS PERMIT MUST BE KEPT THE PREMISE WHILE THE WORK IS IN PROGRESS. This is 3o certify, that... I ------ Jt---------- .-------------- has permission to erect a............... ............. _ ........... upon !he above described rremise subject to the provisions of the Building Ordinance for Eag Townsl?3 adopfed April 11, 1955. ? ------- ...... ........... - -• - - ---- -----:-°--•--•.. Per ------------------- ` ------- -e.....------....- ------??C---- Chairman of Tnwn Board Building Inspe?for ' " l ? ?• EAGAN TOV1iN S,H I P o N. BUILDING PERMIT Owne: ------------------- Eagan Township Address (Presen2) ............ -........ -• ....................••---•--••-•--........._..._...--- Town Hall Buiider ---••--------------------------- ---- -- -----...--- -..._.._.......-•-••--•--- -•• - Address ---- _ - ------------•--•----------- •-= --------------------------------------- -....... DESCRIPTION 806 7 - ` z" Date ................................. " --- 52ories To Be Used For - -- _ _-- -- -- Fron2 - Depth Height ------ EsY. Cosf - Permi! Fee Remarks - • - 7 LOCATION Streei, Road or othe= Descripiion of Locafion.. Lot Block Addifion or Tract ? 17- This permii does not . authoriae. the use of streets, roads, alleps or sidewalks nor d.oes it give the owner or his ageni the righ# !o crea2e ang.si3uatiori .which is a, nuisance' or which presents a hazard to the healYh, safety, convenience and general welfare to anyone in the communily. , THIS PERMIT MUST BE KEPT ONTHE PREMISE WHILE THE WORK IS IN PROGRESS. : This is, fo certify. lhat._- &"A-- ?_.:A -------------- haspermission to erect a...i---- ----L!------ -----------y`. .----------- .----- .upon the above describecL:gremis subjeci the provisions of the Building Ordinance for Eagan Township a" dop#ed April 11, 1955: ? / , ???tf'r ' /? ?f•?`' ??.?.. /D ??r? C:.?'? .--------••• -y. ...-•-•.•--' ....:......... ....?.... •-..__. ....._... Per .... .. .-----------S:??A <•- • ------•- -•-••pr•-•-•--••------ ----._..... - Chairman of nwn Board / Building Ins ector . -.? CITY OF EAGAN _ 3795 Pilot Knob Road Eagon, MN 55122 N2 5848 PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt ' To be uaed ior Refoof/Patio Doo:est. Value 2000.00 Date 5/30/$0 19 Site Address 209$ Ouarts Lane Erect ? Occupancy Lot? Block ?e Sec/Sub. C'4fal' ? Alter ? Zoning Parcel .# ?n `Z C)? t Q8 G? Repoir ? Fire Zone W Nume Kathryn Peacock z 209$ Quarts Lane Address ° Eagan, MN o?--- 451+ 523/+ Nome Rick Gunderson Const Inc oo l Address 3341 Harmony Cir u? Ci Burnsville phone $94 21?.6 Name Address I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with oll opplicable State of Minnesota Statutes ^ ?ty agan Ordinances. . ? Signature of Permittee ? Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Pianner Council Bldg. Off. 5/301$0 APC Permit 9.00 Surcharge 1.00 Plan. check SAC Water Conn. Water Meter Rood Unit Totul 10 . 00 A Building Permit is issued to: on the express condition that all work shall be in a or0nte i oll applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officicl CITY OF EAGAN BUILDiNG.PE.RNiIT APPLICATION To Be Used For??? Valuation ? Slt2 AddreSS : aQ / g Lot ? Block j-? _ Sec./Sub. $''. ' ? Parcel #: _- Owner : Acidress: aO City/Zip Code: ?z ?.z r, L Include 2 sets of plans, l.site plan w/el.evations & l set of energy calculations. Date OFFIGE USE ONLY Erect OccupancY Alter Zoning . Repair Fire Zone Enlarge Z'ype of Const. Nkove # Stories Demolish Front ft. Grade Depth ft. Phone # : -515 1f 15 -R 8 y APPROVALS r rlr'--> Assessments Permit 9.? Contractor: <-. -? Address• Wa?r/S?r Surcharg? .? • Polioe Plan Check City/Zip Code:,Z!?7.???? ?,f'1? 5t?337 Fire SAC ?hone # : ? • Water Conn. _ planner Water Meter Arch./Eng.: Council ad Unit Bldg Off.,j'?- ' Address: APC City/Zip Code: - Phone # : ---- TOTAL ,' Minnesota State Board of Electricity ,1954-lJsiiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ? RE?UEST FOR ELECTRICAL INSPECTION CHECK B5I.OW WORK COVERED BY THIS REQUEST ? - 26813 Type wf Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dr Electric Heating ? Commercial Bldg. ? ? ? Fu Silo Unloader ? Industrial Bldg. ? ? ? A' ondi Bulk Milk Tank ? Fazm ? ? ? Li p rs? ei List hers? O Offier ? ? ? H e He COMPUTE INSPECTIO N FEE B ELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs S ecial Inspection Minimum fee Remarks TOTAL EE JD'. I, the Electiical Inspector, hereby certify that the above inspection has been ri ad?.-'-- (Rough-in) Date Of. (Final). Date This request void 18 months from ' v?- ? ? This request void 18 months from 26813 Date of this Request - 1,2s v Licensed Elec ? al Contractor 0 Owner, do hereby request inspection of the above electri- cal winng installed at: Street Address or Route No. 6wE) 7A?,-?/,??? Section Township ,efl Range County Which is occupied by ?? (Name of Occupant) Is a roughin inspection required on this job? No)q Yes ? Ready Now fk Will Call ? Power Supplier Address Electrical Contractor Contractor's Lice??No?? ompany Name) Mailing Address 41 ( 454 .Y-I Electrical Con ctor or wn r Making This InstallaHon) ? Authorized Signature loew hone No.? ( le trical Contractor o wner M ng This Installation) ?? E D COPY This inspection requestwill not be accepted by the State Board unless proper inspection fee is enclosed. ? REQUEST FOR ELECTRICAL INSPECTION Q'? ?r 5 Minnesota State Board of Electricity - 1821 University Ave., Rm. S-128, St. Paul, MN 55104 ?.,. ?::? ?2-0800 .?. . Home Duplex Apt. Bldg. Other: New Addn Commercia) Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. -:7-r.t C.- " G Lt -.0- 0 '.-T Calculafe Inspecfion Fee - 1 his Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheet Ltg./Traffic Sig. Above 200 Am ove 100 Amps Transformer/Generator INSPECTOR'S USE TOTA? r Sign/Outline Ltg. Xfmr. ? ? 4 Alarm/Remote Control Swimming Pool th f t t d i l i f ll fi d ib d h d I h b i h h Irrigation Boom n on ectr ns a a on escr e ere cert t a t ca RougMn a es s a e e Dafe Speciallnspection Investigative Fee Final Dafe/? ? r(? THIS INSTALLATION MAY BE ORD SCONNECTED IF NOTr PLETED WITHIN 18 M NTH . OFFICE USE ONLY This request void 18 monfhs from wlid n cloteprigted in this box. CL -?,/ C? I IIII Ii?? II IIi II III II III II III II III II III II III I IOII ???' ?5?? ?°? ?? ?eo * 0 4 4 0 17 5 8 ?K PLEASE PRINT OR TYPE Rea est Daffi ??f - V? * Rou h-in ins on r uired? g pecti eq ? Yes No (`/ou must cail the inspecfor when ready) Inspection Other T'nan RougMn: Ready Now ? Wili Call Dafe Ready: I, N licensed conhoctor ? owner hereby request inspection of the above elecirical work at: Job Address (Street, Box, or Roufe No.) x D Ic? Ciy - Zip Code $eclion No. Township Name or No. Range No. Fire No. Couny Occupant / 7 phone No. Power Supplier Address Elecfrical Conhacior (Company Name) Confractor License tvo. Master Lic. No. (Planf Elecf. Only) Mailing Addreu (Conhactor or Owner Performifg Installafion) I 2-? _?r -;-9 i3 4- Authori?ture (Conkacfor or er Performin sMllafion) Phone No. 6 F*'-6q7"1 EB-00001 A-1 l. 819(tf/ STATE BOARD COPY - SEE INSTRliCl70NS ON BACK OF YELLOW COPY RESIDENTIAL BUILDING Permit Application ? City Of Eagan `- 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodei/Repair Reouirements Office Use Onlv 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roo(ed areas 2 copies of plan Cert of Suroey Recd (20% maximum lot coverage ailowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan show+ng beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicafe if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date lot, / 03 Construction Cost 4coo ' ob Site Address ' C' zr7z? Unit/Ste # Amoy Description of Work Q-O^ se_0 1.3c_?. Multi-Family Bldg _ Yovw' N Fireplace(s) ?_ 1 _ 2 Owner ? Pro ert Telephone # ( rp5) y p Contractor ? 7 * Address City State Zip Telephone # ( ) ?i?•Z? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateQOrY 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy C^de Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # { Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a ,,a review and pertnit; that the work will be in accordance with the approved plan in the case of w???equire's approval of plans. Applicant's Printed Na Applicant's Signature OP'FICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dweliing ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 03 01 of ` p(ex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg,_Y or _ N ? 25 Misceilaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" 0 43 Reroof ? 46 Windows/Doors ? 34 ReplaCemertt *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr, of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) . _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy Zoning Stories Sq. Ft. Length W idth MC/ES System City Water 8ooster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. ` Plumbing HVAC ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone ? Windows (new/replacement) _ Retaining Wall Approved By , Building Inspector 8ase Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITY USE ONLY LOT q BL RECEIPT #: ?115/ SUBD. CJ/.Oa/t RECEIPT DATE: 15/e?Ul?'+ 1997 MECHANICAL PERMIT (RESIDENTIAL) . CITY OF EAGAN , .' ? , • : : 3830'PILOT`I{I?tOB RD ?. „ . . EAGAN MN 55122 (612):6814675 Date: Complete this section only if vou are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 0 Gas outlets ( minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: - Complete this section only if you are remodeling, addine, to, or repairing e%isting single familv dwellinEs,. townhomes, or condos. _...--- - .- - - - ' X Add-on furnace Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences- -$ 20.00 State S•archazge _ - 0 Total: $. 20.5 _siTE ADDREss: a 098 Q?ar f z Lh . _ O WNER NAME: (21a h1D S Wkf d-eZ ' PHONE #: ? g?? a? a 3 - INSTALLER NAME: Vv4 I-e 4?5 SDU+i',S IAf, ftq ?_W lY)GpHONE #: ? k-7 D cl q . ... ... . STREET ADDRESS: PtX1 nbCIL ? • CITY: km1-& STATE: ZIP: SS L;-+ . R SIGNATURE OF PEtMITTE ; CiTY USE ONLY L BL SUBD. • RECEIPT#: RECEIPT DATE: 1997 MECHANICAL; .PERMIT (COMMERCIAL) ClTlf OF EAGAN . 3830 PILOT KNOB RD EAGAN, MN 55122 . . . . (612) 681-4675 Please complete for. ? all commerciaUindustrial buildings. ? multi-family buildings when separate permits are not required for each dwelling unit. DATE: WORK TYPE: CONTRACT PRICE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater. ? -- Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of rmi fee due on all permits. TOTAL SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ,5 -7 ?L? ! PLLTMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit -95-n• .>n Date 01 113 / 0. 3 Site Address anCA)?j Lc ?,.e _Fa a-? n k) 5 1 Unit # ? Property Owner ?°Scl' ? s.? ? 6?? /---e - Telephone # ( Ca Contractor .? ? ? ?[ a' - Address 'n?.yp2 -? City 5tate U v[j/? Zip ? Telephone #( ) The Applicant is --r-/Owner Contractor Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Egisting Dwelling Unit, Including ` $ 50.00 ? Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener Water heater - - $ 15.00 _ replacement ? additional State Surcharge $ .50 `Sb" Sa Total $ I hereby apply for a Residential Plumbing Pernut and aclaiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a perxnit, and work is not to start without a perxnit; that the work will be in accardance with the approved lan in the case of wo which requires a review and approval af plans. ) Applicant's Printed Name Applicant's Signature 5 91q o RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 weo- ! (Z'{ ID3 i't "'","? New Construction Reauirements RemodellReoair Requirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date 01 l 1 J l 03 Construction Cost i; Site Address a(j ci 7) t A e,,r -t-Z ?KAN) 5,51 Unit/Ste # Description of Work D'a Wi/ d,0•t (? ? Multi-Family Bldg _ Y_ N 14 Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ((o S( Y "0 Contractor Ga 2a A-Z Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING /? Minnesota Rules 7670 Cate?orv 1 Minnesota Rules 7672 Energy Co?:Gat?gory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet -?1-s'G6mission type)`.... Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractoc ie # I hereby apply for a Residential Building Permit and acknowledge that the -in tion is comMete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eag-a-n-zand the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. 's cl q.a5 Telephone # ( -?---- C Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N V 25 Miscellaneous Work Types ?l ? 31 New in 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof PD 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQ UIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) A FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof Ice & Water F inal Pool Ftgs Air/Gas Tests _ Final ? Framing Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final ? Windows (new/replacement) ?Q Insulation _ Retaining Wall ------------------------------------- ---------------- ---------------- Approved By?`'?// Building Inspector -------------------------------------------------------------------------------------------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 07? 2006 RESIDENTIAL BUILDING rExMiT aprLlcaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodeURepair Reauirements 2 copies of plan showing footings, beams, joists 1 set of Energy Cafculations for heated additions 1 site survey for additions 8 decks Add'rfion - indicate if on-site sepfic system ??-- ? ? (3?ce i3se?dniv CaoPSunreyRecd ? `Y N T?ee'Pres Plan Recd ? :Y ?h( Tree Pres Required:?? ? N n-site Sept?c 5ystem _ `? _ N 0 Date 1s / 06 Construction Cost Site Address ` ?? t Unit/Ste # Description of Work o7C? r ?` ?e ?t 42 Multi-Family Bldg _ Y Fireplace s) _ 0 _ 1 _ 2 Property Owner Sa 04 Telephone # ( ? S I 7J ? 77 ? C - / Contractor ?s a ? -?•rza.-? l ,- - Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? , Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances-and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. - -"=? ? ?g0 .- ?n 2,;? 1?2 ?- Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF 0 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 0 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES Systern Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. FinaUNo C.O. HVAC Other _ Pool Ftgs _ Siding _ Stucco Lath _ Windows _ Retaining Wall Building Inspector Air/Gas Tests Final _ Stone Lath Brick 440°' City of Eagan DECasp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit #: - / 1(-7 Permit Fee: Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Date: g`\2. C /�C, 1 Site Address: ac) 1 z L 1 J Tenant: ScQ \ -fir \ck a Suite #: RESIDENT / OWNER bei d Name: -XO, (C U Phone( 01 D -3Lo6-616 7 Address / City / Zip:.09 B at t -fl CONTRACTOR Name: BURKSVILLEHEATING &.AJC, INC License #L(lMI(Z � )1 Address: 3451 W. Burnsville Parkway Suite 120 City: Burnsville, MN 55337 State: Zip: ? PhoneW 3 Contact Person: ( ch TYPE OF WORK New ) Replacement Additional Alteration Demolition Description Of work; h.d+z PERMIT TYPE RESIDENTIAL COMMERCIAL New Construction Interior Improvement Furnace X Install Piping Processed Air Conditioner Air Exchanger Gas Exterior HVAC Unit Heat Pump Other Under / Above ground Tank ( Install / Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ - TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan--- cain the case of work which requires, a�reevviiew and approval of plans. Applicant's Printed Name Applicant's Signature RESIDENT OWNER Name: J r 5 t...= ..j (-ie. Phone: Address City Zip: a. CD t/ h" CONTRACTOR Name: -p f r, (2a., S License 0 L, ct Si Pell J Address: 31 re., d�_ r. 'D1. City: 61, a 4 r. i z State: 04 C Zip: 3 I Phone: (0 3 Contact Person: i3tt 'ua al.w9 TYPE OF WORK New j Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: it.) Tenant: X d "t�iy;,� Applicant's Printed Name Applicant's Signature For Office Use Permit °2‘ Permit Fee: Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: j r Z Use BLUE or BLACK Ink Suite CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X /l. r ?l)C,. Required Inspections: Under Ground Reviewed By: Date: Rough -In Test Gas Test Final ñ þ ûû ÿþýþü ÿÿ þýðý üþþÿÿúä ãî ëîþ ä åæ íë ÿø û ú ùõ ã î ú ù ðùþ ù î îïùþ âý ûáþ ø ÿ ìôæþæþå ôþù üôö ììí þ øèèçç ÷ü û æþ èçëçìë àþþç öíôõ øóò ùùþ î ûþ þ ìôæþæþåìëÛþ óþ ôþù ôöÿþýþôöìì êìéìí æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CE1vED FEB CI 12011 Use BLUE or BLACK ink i EMMEMICTI Permit #: C 0241 l 3 Permit Fes: L0-0— Date Received: Z-) - (2 - Staff. 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:_ Site Address: (q p a V GL(t _ A. OM 5 -STD -Z. Tenant 'I RESIDENT 1 OWNER r CONTRACTOR TYPE OF WORK Name:, 5e k &Y'/ i—d Suite if: J Address / City /Zip: Nettie: MILBERT COMPANY INC.dba CULLIG' ' ATER Address: 1801 50Th ST EAST State: • MN Zip: 55.077. Phone: Phone: /AD — Nff Contact . Email: g City . INVER GROVE fIGTS 65.1 .::45r-2241 _ New Replacement Repair Rebuild _ Modify Space Work In.RO.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Lawn irrigation L RPZ /PVB) • Septic System New _Abandonment ' Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater mut Softener (Includes $5.00 State Surcharge) • $35.00 Lawn Irrigation (inciddes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* JIncludes $5.00 State Surcharge) 'Water Tumaround (add 3166.00 if a 5/8" meter is required) $105.00 Septic System Nait ($10.00 per as built) (Includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) f� TOTAL FEES $ (L!Ll tOO CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.• www,000herstateonecall.org I hereby acknowledge that this Inf,rmatoon Is complete and accurate; that the work will be In conformanca with the ordinances and codes of the City of Eagan: that I understand this is riot a permit. but only an application for permit, and work Is i without a permit that the work will be in accords th the approved plat In the case of work which requires a review and approval • pia 1,l/ AppU • • nature x VV(1kin m # - Applican $ rinted Name: x r .. City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use (� Permit#: 1 I (.�t I Permit Fee: 1 V' Date Received: 9/ti 1 5 Staff: C7 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9 -it fr ?O i ? Site Address: 206-75- Quc ,-' jZ 63 ez. 4-7 14`frlUnit #: Resident/ Owner Name: 4.7)/,' i j i o, -1. n �°t ) Phone: b / Z O / - t 6 1 —7 . J / ��- 9 G -P/ i S r1 ?_ Address / City / Zip: 76 9g- �Y''V c`1/-- T 11.1 c Cr, / Applicant is: Owner Contractor J Type of Work Description of work: ' (.E c> ^ c1► z v' G Al, , t Construction Cost: 1 , G [ 0 Multi -Family Building: (Yes / No / ) Contractor Company: 111 P f(2 ` (c,l S j--1-ticv I— ((' v-1 Contact: /1.9.,//4.4‘) Address: 7 Do kiwi ood 4/ ( City: fl1 /J �^ , R( cy j -t,, tfGI State: /1 Zip: 5--c---J / ` -_:2_,q1 Z Phone: --?-1IO J _(2____L License #: .9C L30 7 8 `` Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. - /rd 7-,App//4 ant's Printed Name Appl ant s St Page 1 of 3