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1281 Raspberry LaneDate: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: RESIDENT /r OWNER Name: (A a < Pcfcc Phone: r...-.43 2-? I r Cy 1--.nt Address / City / Zip: � Applicant is: Owner )( Contractor TYPE OF WORK Description of work: D Cck Construction Cost: LMLO Multi -Family Building: (Yes / No ) CONTRACTOR Company: Def ak OS. P,i+`1 Contact: 6S h ycwf,-. Address: I17 e z- Sa-< (f►- C.,"" City: t v'A State: `Mw Zip:- S-6'1 t( Phone: C j 2 - _Sa C- 4( q '' License #: -C3 (14' C C,SZ Lead Certificate* Does this project require Lead Remediation? ❑ Yes ,No (see Page 3 for additional information) If no, please explain: 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 maybe 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 appr. _ : ns. x _z" -ask Lot - Applicant's Printed Name A. icant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) WORK TYPES New Interior Improvement Addition Move Building Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final XFraming Fireplace: Rough In Insulation Sheathing Sheetrock Reviewed By: Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Siding: Stucco Lath Stone Lath Windows Retaining Wall: Footings Radon Control Erosion Control , Building Inspector Final Brick Backfill Final I, :lr-KAA.c RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 CERTIFICATE OF SURVEY y5uk2-, NNN 83-8 /„.2S- (1),,f7c:, , L)C--,12,12 Cl/ L.J'7, Vs, ( '0 41 85 vSo F 84 • 0 . 4) 1?1? 84-0 85-5 a te vat i on s sh ..eewn are exist- ing .r!l!,dor, and are assumed dat U7 1 h.erePy certify that this is a correct reoresentaticn of a survey of: 7,(3t, 2C, 7,1°CDakota County, Minnesta, aoctrdi the elat thereof on file and of reccre, and that I am a duly registereC land arveyDr under' the laws e the State of Minn. Dated this 2Cth day of Sept., ene L. Jacobson, ... Peg. No. 7734 DR. BY GLJ SCALE — 40' 0 DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM Prepared for: Affwv41( nap am Dpn J2ndr,-In 7,unsh Su7p or, 1:_,17 1E7th St. 2.& GENE L. JACOBSON LAND SURVEYORS LAKEVILLE, MINN. 55044 PHONE 469 —4328 CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 20 e1k 6 Parcel owner!,l.:a>:'r Cc,O.ici,,cc, L: street-1231 Raspberry Lane State Eagan, MW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. l' 1203.05 STREET RESTOR. GRADING SAN SEW TRUNK 1973 172.14 8.61 20 ,t SEWER LATERAL 1980 3179.85 317.99 0 2861.87 WATERMAIN * WATER LATERAL ? 1980 * WATER AREA * * STORM SEW TRK 980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 514 2 5 SAC - PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ; „ f r: r''.t i:s d:1?Y ?t .t i 1 1 111# f !., iA r r: :, PERMIT SUBTYPE: , p:i 1 1 1 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ?, o I? I APPLICANT: 1 ANf: ro 4 ri c:E wy i TYPE OF WORK: W?iI i,iNis 0!, ?23 1 4 1{ F i' ik 1 k11. 10 ':; t: R 1 F' 1 I I) N ('; 'I t i 1 FJ [; ) INSPECTION .A • .A ? Permit No. Permit Holder Date Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing 7 Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector-Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ? ?.--..?.-,?....-•r++..?:.?.r_--..,--?^-?; . . . . _ . : ; . . . . . . . , . . .. ?+?rs?^ ... CITY OF EAGAN 2 0 ,? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? tri ? PHONE: 681-4675 BUILDING PE ?ESIDEN'tIAL Receipt # To be used for ggMQp$], Est. Value $1,700.00 Date HAR 4 Site Address 1281 RASpBBBRY LN Lot 20 Block 6 Sec/Sub. HILI,TOi' E5'TATES Parcel No. Name ?u ARAMB R w Address 1281 itASPnRRAY LN ? citv E?GAN MN zP m 0 f- Name A1.L.6p CMT Address 04% PEN1IM iiAY ? Cfty EACAN Mt1 Zp 55122 Phone 688-8100 8 ucense # 0001062 I hereby acknowlege that I have read this applicati on and state that the intormation is correct and agcee to comply with a IF applicable State of Minnesota Statutes and City f Eagan Ordinances. Signatureof Permitee -?"?- A Building Permit is is6ued to: ALUN CM gT on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY FEES Occupancy - 39 00 Zoning _ Bkig. PertnR . (Actuaq Const - Surcharge 1.O?I (Allowable) _ Otan Review # of Stories - License 5.00 Length - bepth - SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ H/ater Conn On Site Well - Water Meter MWCC System - Acct. Deposit City Water _ PRV Required - S/W Permit Booster Pump - SNV Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Off. _ Copies 45•00 Variance - TOTAL . Permit No. Permit Holder Date Telephone # S/W PLUMBING 331-3911 HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing ? ' Roofing Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final --?" 3 Dedc Ftg. Dedc Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED AMOUNT ? " & DOLLARS too ? CASH ? CHECK ?• FOR FUND CODE ? Ab10UNT --'r------ - -- _ ----- ? 7L / ,. ? Thank You , ,. ' v BY White-Payers Copy Yellow-Posting Copy Pink-File Copy -? r CITIf OF EAGAN ,Y ' •. 8795 Pilot Knob Road Eagan, MN 55122 N2 5425 ' PHONE: 454-8100 BU1LDING PERMIT Receipt To be used for Est. Vnlue Dote , 19 Site Address 14A Erect ? Occupancy ? Lot Blxk J?Sdc/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories 3 Address Demolish ? Front ft. ° Ci Phone Grode ? Depth ft. °C N Approvals Fees ame o? Address i ? V Vi_ ?e'.. . . Name _ Address Assessment - Water & Sew. Police Fire Eng. Pianner Council Permit _ Surcharge Plan check SAC Water Conn. Water Meter I hereby acknowiedge that I have read this application and state thot Bldg. Off. the informotion is correct and agree to comply with all applicable ApC Total State of Minnesota Statutes ond City of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: on the expreu condition that all work shall be done in accordance with oll applicobfe Stote of Minnesoto Stotutes and City of Eagan Ordinances. Building Official r A ,v a Permit # Daf* laued Psnnitfoe Plumbin9 1,-5-10 // "?-7 r'7 Mechanical Q 1 1 - (. - `1 ? 11 -a G, - -7 9 ? INSPECTtONS DATE INSP. Rough-In Final Footings Foundation 9 p? ?? Plumbing Date Insp. Date Insp. Frame/ins. Mechonical Fina! ? ?1 /1'• ?9 Remarks: -A-r- `°'a ? ? CITY ?F EAGAN SEWER SERVICE PERMIT 9745 Pilot Knob Rood PERMIT NO.: - '?agan, MN 55122 DATE: oning: 1 No. of Units: ner: ddress: ite Address: ??`t'_L'T 3.?_ r+ I11't0;. L.Gti9L: lumber: . .--- l. 00 agree to eomply with the City of Eagan Connection Charge: _' s-(}0 rdinunaes. Account Deposit: Permit Fee: ?.r' Surcharge: - g1 Misc. Charges: Date of Insp.: Totai: Insp.: Dote Paid: CITY '?F EACiAN WATER SEltVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: E7gan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: - Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: - I agree to tomply with the City of Eagan Surcharge: Ordinances. Misc. Charges Total: By Date Paid: Date of Insp.: Insp.: ; ' CITY OF EAGAN • ' 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 Date: PLUMBLWI PERMIT ? 1 2-79 No 1510 Site Address: 1280 Fawpberry Couat Lot 190 Block 6 Sub/Sec.??? ?Bt.-,y'm _ SL7Il8h].IIC.'. Ccrstl"L]G'1:f a['1 Name _ - 10I7 EaSt 157th Strr-et 3 Address ° R'vi1Le 55337 City - Phone: Nome LSt. ? i ?'• P Address .2, C u 55;144 -? lD ?-?Jl City Phone: This Permit is issued on the express condition that oll work shall be Minnesota Statutes and City of Eagon Ordinonces. Receipt No.: 16206 Single I ? Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee c ?\ Surcharge Toral done in accordance with all applicable State of Building Officiol , CITY OF EAGAN 3795 Pilot Knob Road ' Eagan, Minnesota 55122 Phone: 454-8100 HOx= PERMIT Date: Uy4-79 Site Address: 1281 Lot 71) Block 6 Sub/Sec. _HillbDp ESt8tt8 Name ? ?mtxuatim e Address 1017 FaSt ?7?I ft. 3 0 City H E'ville 55337 Phone: 435-6535 Nome qbe Heatim Cmpanv . "0i62 - ?,r)Oth sr.. Address e 0 City " Phone: This Permit is issued on the express condition that oll work shall be Minnesota Statutes and City of Eagan Ordinances. O(?R'IQ?1 AIR F? No. Z6 113P Receipt No.: 16534 Single Residential ? Multi Res., Comm./Ind. I New /Alter./ Repair Cost of Installation ?C.fl4 Permit Fee - Surcharge ? Tota I done in accordance with oll applicable State of Building Otficiol CITY OF EAGAN 3830 Pilot Knob Road, p P.O. Box 21-199, Eagan, MN 55121 NO'2 Q 186, ? PHONE:681-4675 Ca?/.??3? BUILDING PERMIT ' Receipt # , RESIDENTIAL -- To be used for RRir([lT1Ri. Est. Value i1 , 7QQ Date MAR 4 1992 Site Address 1281 RASPBERRY LN . Lot 20 Block 6 Sec/Sub. HILLTOP ESTATES OFFICE USE ONLY FEES PBfC@I NO. Occupancy - 39 .00 Bldg. Permft Zoning _ NaI'pe DALE BRANCH (qctuaq Const - Suroharge 1.00 Z 1281 RASPBERRY LN Address (Allowabie) - Plan Review ? .7jp 55123 ' EAG9N MN (`,?{ # oi Stories th L - License 5.00 . ? eng _ Phone 454-7246 Deptn - SAC, ciry ? Name AT.T.F.N CONST S.F. Total - SAC, MCWCC S.F. Footprints ? Address 4649 :16 PF.NKWF. WAY e On Site Sewa Water Conn g _ C,fty EAGAN MN Zlp 55122 On Site Well Water Meter ? Pholle 688-8100 MwCC system = Acci. Deposit O Water City _ v License # 0001062 PRV Required _ S/W Permit I hereby acknowlege that I have read this appli io state that the Booster Pump - S/W Surcharge information is correct and ag to comply WRtY al a licable State of Minnesota Statutes and City Ea an Ordi ces. Treatment PI Signature of Permitee - A N =r- - -- APPROVALS Road Unit l A LEN ONST A Building Permit is i ued to: Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building Official Variance 45.00 TOTAL Minnesota State Board of Electricity , 1954 University Ave., St. Paul, Minn. 55104-Phone 645-77 03 , IkEQUEST FOR ELECTRlCAL INSPECTION ? : 5ELOW WORK COVERED BY THIS REQUEST S ?? Type of Building New Add. Rep. Check Appliance? "'ired Fo: Check Equipment ' For Home ? ? Range Li Temporary Wiring Duplex ??? Water Heater ? Lighting Fixtures t_.. Apt. Bldg. ? ? ? Dryer ? Electric Heating ? . Commercial Bldg. ??? Furnace ? Silo Unloader ? Industrial Bldg. ??? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? ?ehers? Rehers ? COMPUTE INSPECTIO N FEE B ELOW Service Entrance Size: # Fee FeedersBcSubfeedets: # Fee Circuits: # Fee 0 ta? 100 Am s. 0 A eres 0 to 30 Am eres lOl to 200 Amps. 3 0 0 er 31 to 100,Am eres Above 200 Amps. 1 Above 100 Amps. Transformers R ote ntr Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks ? J??? '"'''?''' • TOTAL FEE I, the Electrical Inspector,iereby certify that the above insp,ection has been de.? ?d?'J (Rough-in) (Final) ate J ^ 7 t' This request void 18 months from This request void 18 months from Date of this Request LtL I, a-s'g Licensed Electrical Cont ctor 0 Owner; do hereby request inspection of the above electri- cal wiring installed at: ? City Street Address or Routq Nq. 2KO?1 ? WA kar ? Section Township ? I?C an *County Whic}i is occupied byIL&ac? L;-(.'T)'1,?k (Name of Occupant) Is a rpughin ins ection required on this job? No ? Yes ? Ready Now ? Will Call ? . Power Supplie ? Address Electrical Contractor KENDR TC`K ?l R?''?IG (????? License No. 14540 1'FI?`?a?l?mLANE API'LE VALLEY Mailing Address Authorized Signature 4,12 g T ?tpllation; ' ?lio?ne No. (Electrical Contractor or Owner Making This Installatlon) ?ulaTE ??? ? ?? ? This inspection request will not be accepted by the :p. State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOI2K COVERED BY THIS REQUEST S A /-C' e d 0 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring Duplex ? ? ? Water Heater ? Lighting Fixtures L1d Apt. Bldg. ? ? ? Dryer / ? Electric Heating ? Commercial Bldg. ? ? ? Fumace - L1d" Silo Unloader ? Ind'ustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Heiers? ?eLers? COMYUTE 1NSYECTIO N FEE BELOW Seivice Entrance Size: # Fee Feeders8c Subfeeders: -# Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am ereg'? ' 0 to 30 Am eres 101 to 200 Amps. 31 to 100 ¢ erev, 31 to 100 Am eres IT 20 Above 200 Amps. , 00. = ' a?p;c: ? Above 100 Amps. Transformers R eCo fr 'r'c. Partial or other fee Signs Sp ' Ins "" tion inimum fee $5.00 Remarks s TOTAL FEE , ? (Final) This request void 18 months from /0U-? Alo-a (?'o /i/l-'-:2-/ 7 I has been made. Date d 0-" gate This request void 18 months from AO ge'ej _ ' • n ?? ,, ? Date VLiic s Reque st 2 ? / ol? _q Zf ZA ,? I, as ensed Electncal Contractor 0 Owner, o hereby request inspection of the above electri- cal winng installed at: q?6 Street Address or Route No. Section Township _ Which is occupied by Is a rougt?ir? inspection required on this job? No ? Yes ? Ready Now O Will Call ? Power Supplier Address , Electrical Contractor • 1K?bMV1?K ELL-Gt?trrac 4 e No. ' Com an ame Mailing Address 14540 ?E??Tt)?K LANE APPg,E VALL]EY ( i I nt c?:fqi d:RTM9 41 Zs%aVrJ6 Authorized Signature Phone No. (Electrical Contractor or Owner Making This Instaliation) This inspection request will not be accepted by the ????E MORN COP'Y State Board unless proper inspection fee is enclosed. CITY OF EAGAN C? Include 2 sets of plans, y Q 1 site plan w/el.evations & 1 BUILDING PERMI'r APPLICAION 1 set of eriergy calculations. /, Od 'Ib Be Used For ?'(.s?.u.- '?o-•?- - - Valuation °? y"?`; o a" - Date Site Pddress: Lot P o Block ? Sec. /Sub. Parcel #: ?D .33000 0?00 o b Owner : Address: a City/Zip C.ode: Phone # : FO Contractor: L--? Address : / 0 i "7 - 51 ?? T City/Zip Code: . 1' Phone #: Y 3 S-- .C 5 3 s'' ??.? ?Arch. /Eng. : Address : City/Zlp Code: Phone #: OFFICE USE Oti/ Erect ? Occupancy i?3 Alter Zoninq / Repair Fire Zorie 13 Enlarge Type of Const. Nbve # Stories Demolish Front ft. Grade Depth ft. APPROVALS FEES Assessments % Permit l Xvf' -"2 2 Water/Sewer Surcharge -? -7 Police Plan Check Fire SAC ` 2.5` --- Enq, Water Conn. Planner Water Meter 4/'o ? Council Road Unit 7s- ? Bldg. Off. APC -- Tar? I D-3 0 •? CITY OF EAGAN . 8795 Pilot Knob Road Eagan, MN 55122 I 4PHOH#: 4548100 BUILDING PERMIT APPLICATION $74,000. Receipt # Est. Volue Date September 26 79 Site Address 11`*?t xaspberry Ln Lor 20 Block 6 Sec/Sub. Hilltop Estates Parcel # 10 33000 20U U6 ? Name Bob d. Connie Green W 3 Address o ,,.. Burnsvi 11 e .,, 0? Nome Sunshine Const.. z? 1017- E 157st o Addre ?urnsvi e p?^^e 433-6-535 Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and ogree to comply with all applicable State of Minnesota Statytev-aqd City of ftan Y)rdinances. Signature of Permittee ? A Building Permit is issued to: oli work shall be done in acco Building Official ? Erect ? X Occupancy It 3 Alter p Zoning Rl Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish 0 Front 46 ft. Grode ? Depth 43 ft. Aparovals Fees Assessment Permit 175.50 Water & Sew. Surcharge 37.00 Police Plan check 87.75. Fire SAC 525.00 Eng. Water Conn. 270.00 Planner Water Meter 60.00 Councii Rd Unit 75.00 Bidg. Off. APC Total 1230.25 SL. on the express condition thct State of Minnesota Statutes and City of Eagan Ordinances. N2 5425 16040 2007 RESIDENTIAL PLUMBING PERnniT APPLicATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside lumbing on tne same application; separate applications ana pekmits are requirea. Date 2D / ? Site Street Address ?2?I eu.5 ?WN t an el Unit # ! Property Owner MarG Wper Telephone # (0;51) 9W ! •UV% Contractor • ' 2 Telephone # (q ) uW• 49V J Address CityStatelM_ ZipC6:1" The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbinq repairs are made to a building. Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on/v a water softener and/or water heater, do not complete th' ionr move to the next section and place a checkmark next to the appliance( LOEC '? ? insta lling. ? '' ??? 4 ?C Septic System Abandonment ?7 Water Tumaround (add $136.00 if a 5/8" meter is required) Other: V Water Softener Water Heater $ 15.00 _ new Zreplacement _ Lawn Irrigation _RPZ _PVB lnew _repair _rebuild $ 30.00 State Surcharge I $ .50 Total " $ M•? I herebv applv for a Residential Plumbin4 Permit and acknowfedqe that the information is comp ete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan and the piumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ,. x lanaL 11111MV oF eagan PAT GEAGAN Mayoc PEGGY CARLSON CYNDEE FIELDS MIKE MAGUIRE MEG TILLEY Council Members THOMAS HEDGES Ciry Administrator Municipal Center: 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.675.5000 Fax: 651.675.5012 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.675.5300 Fax: 651.675.5360 TDD: 651.454.8535 www.cityofeagan.com THE LONE OAK TREE The symbol of strengch and growth in our communiry August 26, 2004 MOUA VANG 1281 RASPBERRY LANE EAGAN MN 55123 RE: BUII.,DING PERMIT #65760 Dear Moua: Regarding the installation of egress windows in the two rooms in your lower level, the City is just making you aware that the code requirement may require that the furnace area be walled off. If you have any questions, please feel free to contact me at 651-675-5697. f Sincerely, lkwza-- , Tom Miklya Building Inspector TM/ld cc: Dale Schoeppner, Chief Building Off'icial . 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 a -7 (), 0 ? New Construction Reauirements RemodeVRepair Reauirements 3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan ? (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ; 2 copies of pian showing beam & window sizes; poured foUnd design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site sep6c system 3 copies of Tree Preservation Pian ff lot platted after 7/1l93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Site Address ? Z V RAs P9? Construction Cost Z ?owoi ` PY lA/ Unit/Ste # Description of Work ( V zV**b&w Multi-Family Bldg _ YXN Wri s c,v T (Eq sT) S /Q E ? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner *VA ?qN (.r Telephone #(?'? ) 3w - S 70-3 Contractor !i!?M 6STeI* i Address 17M & A lR AVt State A/y City ST. ?/7VL Zip Sf 10 41 Telephone #(&V ) Z6? 9S/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - 1vlinnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted . Energy Envelope Calcuiations Submitted Have you previously construcfed a buiiding in gc fee applies. ZO? Licensed Plumber Mechanical Contractor Sewer/Water Contractor n with a similar plan? _ Y _ N If so, 25% plan review Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and*&owledge 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 pernvt, 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 wor which requires a review and approval of plans. 00,0 Osrfe 1, 6k?E+/ ? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types MCES System City Water Booster Pump PRV Fire Sprinklered ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ?, 02 SF Dwelling ? 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.) ex 33 Ext. Ait - 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 ? 25 Miscellaneous. Work Types 2- _ rz,?? 5 0 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation 1000 Census Code ti-54 SAC llnits # of Units # of Bldgs Type of Const c/0h,Q 0&X Int Improvement ? 38 Demolish Interior ? 44 Move Building ? 42 Demolish Foundation ? 45 Demolish Building* ? 43 Reroof /11? 46 *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length Width _ Footings (new bldg) ! Footings (deck) _ Footings (addition) Foundation Drain Tile ! Roof Ice & Water Final Framing ^ Fireplace R.I. Air Test Final ? Insulation F Siding Fire Repair Windows/Doors ? REQUIRED INSPECTIONS Final/C.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ Air/Gas Tests Final Siding _ Stucco _ Stone ^ Brick ?C Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Clty SAC Utility Connection Charge S&W Permit & Surchacge Treatment Plant License Search Copies Other Total 6ktr's-e' , ??-? ODL r $'70 CERTIFICATE OF SURVEY ? ?. \ 6 S g? S?o , S4F96F ? \?.3, ,94 2 et/O eO %. ,o ?,j oo0 90 2 <004T SFO l? ? ? 94-2 41 ov?sFO 30_/ KV :,IQva+1Cr3S:'1-o'T;3 &T'0 eX3St° ed i ng ?°r ?r c ;? a na a.r e as g :m d 9.t yan . O ? ? 4/? 2 ? J 85 4r S99 2S? ? ag .0 /Q 83•8 /8 7 0 s ? / 84 •0 9. 1S, V ?o' ?'8S O ?qSp .69 ' 3 8c g 6 t R <q,V 46, ?Q y 84•0 85-5 71+?rfi.','v CF3I't? l"rvJ Lh`at t}'?'; S 1S fl ^JPT'@C'L T'r"'Jl't'SL'7'_tat?.vn O.i &:iL:T'Vey !J:r : Lo4 20, B1::;ck ^??i tt-,T '?Q?:*:+??_ rra'?c? ?? Count?a?. P,iinx?eqota, a.?c:3rdin?; w? tliF3 T7Iaw' i:hF3T'Hrif 7: f].lC.' aA'-': O,f' !'S^vC`.;'C. 5.21d th-?..} I A^1 a d:1ly T'eog:15`5°3i,?a la21d StirVeyoi Und8:' t11B 13wS Qi thP, Staue 7f A;t123T3• i Date,? uhiV 2C?';h dav: ox' ?out., I979 ".Tane L. Jacobson, '.??P?;O. 7734 DR. 6Y GL.1 SCALE - I"= 40' O DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM Prepar r,d f'ur s ? GENE L. JACOBSON ?YI?V? U Ji" J?1'1Ti -3''tr LAND SURVEYORS '?? . AKEVfLL.E, N11NN. 55044 3L?rsk?i:-?W vo.-z-??.???.???: , L45 1U 17 r _?..r?._s?-A ??s 3PHONE 469 -4328 ? , ,-- .. ? _ ? ,> _ r ICATE OF SURVEY ? • CERTIF . ? ?. 9 6 S S?o F . S? , 9 46 F °j / \\ a 1410" / 9 4 2 Q?? ?0, 4pQ l 9 4-2 ? o?? ?B / AR 6 ? 90 ? 40 04I' FO l47 i pti F \ / \ 0 Q c4,Q ? _ ? S 87 ' ^levati.'irs srow^i are e.xist - / °7 : ,? in,; :-r.u?Jti _,,r arQ ass ?mod 2 ? h 85 ? 1 6 , -N.. tie.tu*'•. S49 S /Q o ? ? 88.0 o 0 Ss2 ? . ? \ Q2 ? ?- 4 83•8 / /a 7 o J41 ? ? 8 4• 0 'Q = c'89 S ? q 69 ' Sp 3 6 8 8 5 - 5 N . F ? 84•0 I ?..eroby cort§.fy th?tt th±.s as a ez4°root ranresentat3.cn of a„urvoy af: T.ot 20A ;?lrok Ja?c7,a couxrtye P::i.-ine:otL?a a^c:r-li;?r t? tho Dlat tt1E3B'eOf or. -rila ancl, af Pocord. and th:d Tr;Lm a dtaly z°o;istorr.d lAnd saraeyor under the Ia•rrs af +.he: St-:.tF, of ^?;.n•i. Dat-od thiII 20Yr.h dtLy of Ca'ot., 1973 GeXl6 L. olacohcar., i: •^"". 77:34 DR. BY GLJ SCALE - 1"= 40' O DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM P-t3,rar{?d f pr. = Afrmso( B?' ???? GENE L. JACOBSON ?YI?V?' ??,?,?? ????v? n LAND SURVEYORS ,t,I :? ? ?1? :;.:::.: ?•at:r; .?:- , LAKEV f LLE , MINN. 55044 . i. r 4 . .. . , s - ?,` ,.. ..'"y' .;..I"? . . . . . ?, y;?•• PHONE 469 - 4328 i.;.__--:?+.? .....-'r..._.:1 .. ,_.__.-? _`` - --- •-- --_. _.__.... __.. ? ----? - LrC :;.:: 10:; ,? . •? ? 1 ? ' ------ ? c a. ± ! T 1 t-3 e t?EAi L055 I i ? C __ ? + , -- :. ~ T L -•- -- i ? ' `! r ? c?_?__.., ? 1LtQ ? r,7? iz)Q , 1 c?? •?• j _ _ . = .-. ! } :,• i..? :J ; - -, z jj) ' - a 11I:?::?:;? r?:? ?CJ:_S i'.,?•`. '(?O ??Ci l;o. f; : i.7 I C_'.?:. t 3xc"d,.. iC?0 i\-I 10 ?:: ??: ???.L ? ?ag ? i? - l.l_i.s s ? D?o 1 14 V\Sl`..?.,? }ti..?•I' I.i1t L ' `C! 1 CF_iLI,::C ;-r r11 ? ??- - - ? ?,I. ....•is ••;D S;'Sl MAL=U'l ?,?iNw9.; 5\4- x3? _ , - q ???? zu • c ? ' ? Le 3 1 S( ._._.?.? C ? ? L : ' : C S.L:_."- -1 F-7.? ? Qja"Mk-b `tb-t t? L. ? I?Y (x 'D ? . Z;'.:S ? _ --------- ?. _ , ?; '?. .., .._.;,: .,. _,_.,.__.?. ????__---.,.__.___.___.?_..____ ? '^ • Q _'?.?`' • :, n,',J Y_t J ;:'_ v t • .?? . T.f)CATI0:1 __._..- ? -- -- ------__ __._.---- _._. ???./?lL ?'I:<CC::S :?;? G1:.'"5 ??'?`•?"-?pl'»?C?uC? ?TI__ , ,.? .. ?` ? :'? • ?:?0?: i . , .,. ' .? d ? 5-----.:.._ jC2.-,CK SF7., *: G + ., i J f "'" ? - • + ZN=ZL • ' (YI:o S;:.I.L Ca t?? r * •J ?( 1?:? - .rs s I I ?! ?,?,1 c:.Ass - I ab I L/???! . ?, ?+? . ' :iET ?ir..I.?. -?-a!? '?C?r _T T ? . . ? . ? CLII.I;:C? C='ILT 'G F1.??? aG? ?` ? .r ? ??i • :'? coR ? H=AT L^SS + -:.Z. : .. ? Rr Ai L0S5 • t.rz;;LO'.,s !-*;D 7.,.., X;D ?cJ::s [FIT Z? 1I? S-Z= C? ? i ci ?TL S 3 Wr.T t T ?- ET ? ? ; ? t ? ? ? ; ?ir_I::c ? ? 1? ?? ? ?.f'?_± ? c??_::::c ? r _,?(&o • ; ? . FLO.'?,3 I I I ?., ?:ii i.? :J j _ .. - . . ! ? t:..i:. L l_J ? •?7 - - .' I ? tC: I aS?a--? ' `? ,. ... . •; I? ., ,.___.?; ??•.• t? ? s ?1?:::;??s ??;? :_?:s ?-???: ?F,fl?3 i• ??,:: . ;' - ?? 0. ?ox? ,:.r. ? .: It?iZL . 1.':1LL C; 1 % ;ss i t ? 4 ?1JJ I ? cr_ t?F ?::,,y? ?oa o •?_: TL ? ? C: E 1 I_ I:; c- c ?UO - : ? . . F:17 LCSS CS S j L=. }'- • . ? • _ }'. = '•. i ? i . ' . • r • . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # D DATE: ?? .: ::::: : ::: : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & .. ............. .. .. ..... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ----- WORK DESCRIPTION ------------------------- --------------------------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTA NEW CONST ADD-ON MINIMUM 15.00 /.S ? ADD ON SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 BATH TUB 3.00 9 & LAVATORY 3.00 OWNER NAME: 1L KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: ?e6- _ HOT TiJB/SPA 3.00 WATER HEATER 3.00 LOT: ? BLOCK C? SUBD.? _ FLOOR DRAIN 3.00 ? GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRES S: P op ?j OTHER 10 5?zll 3 WATER SOFTENER 5.00 CITY: 7 ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: ? ? SUBTOTAL $ ? ? ST. SURCHARGE .50 S GNATURE OF PERMITTEE TOTAL : S IS, Sv ?t?M1?E?;CTA??'iT!II?1]?TR?AL«: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND :.....:............ MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTR.ACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) FOR: CITY OF EAGAN 2.014 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested onc-e ermit is issued. Date Val uati on of work Site Location:___ 1,7 /?1•?a STREET STE # Tenant Name• LOT BLOCK SUBD. P.I.D. # Descri tion of work: `Q a. The appl i cant i s: 13 Owner ajontractor O Other (Describe) Name Phone - Property LAST F1RST Owner F_ pddress L7 6 1 STREET STE # Ci ty State Zi p Company -? Phone /W-=ffdd' ContraCtor Address IxL A ? License # /DIvZ ? p? City tate Z i p ?S'/?? • Company ` Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been roved. I hereby acknowledge that I have read this appli ti and state that the information is carrect and agree to comply le e of Minnesota Statutes and City of all appli Eagan Ordinances. ? Signature of Applicant: O OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 02 Single Family ? 07 Fireplace ? 12 Comm./Ind. New ? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 04 Multi-fam. T.H. 1:1 09 Basement Finish ? 14 Comm./Ind. Rem. 1:1 05 Apt. Bldg. 0 10 Swim Pool ? 15 Public Fac. WORK TYPE 0 90 New O 91 Addition ? 92 Alterations ? 93 Remodel 0.94 Repai r 11 95 Tenant Finish GENERAL INFORMATION 0 96 Move 0 97 Demolish O 99 Undefined ?.:? . 0 16 Agricultural 0 17 Building Move ? 18 Demolition p 20 Miscellaneous Occupancy Basement sq. ft. MWCC System Zoning lst F1. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage ? SAC Code APPROVALS Planning Building 3-3-9 Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard O Footing 11 Final O Framing ? Draintile ? Insulation ? Fireplace ! 7 v ? Permi t Fee 3 9 , L-z vaiuat;«n: $ Surcharge 1, o 0 Plan Review License 5 , o0 MWCC SAC . City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: euzLorNG 023695 05i2s/9a SITE ADDRESS: L 0 T: 20 B L 0 C K: 12$1 RASPBERRY LAIVE HILLTOP ESTATES PERMIT SUBTYPE: sF (Mzse. ) 6 APPLICANT: SPtNDAU CONST CO INC (612) 447-8001 TYPE OF WORK: f2EPAIR DESCRTPI'ION (SIDING) INSPECTION .. . D• FRAMING RQUGH TN PLBG ROUGH IN HTG FINAL e v e e a , ? , ? ? ? . , .s ?a,.._?_...,? m '_ .. w.. .. _ _ . . . _ ? CITY 01: EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: g?ILpING Permit Number: 023695 Date Issued: 05/23/9q SITE ADDRESS: •?? ? TM? oROv-R dV' P.I.N.: 10-33000-200-06 PERMIT c? 2Zz1.5 1281 RASPBERf2Y LANE LATa 20 BLOCKs 6 HILITOP ESTATES DESCRIPTION: ( S I D I N G) 51Ald1ri0k--P'ermit Type SF (MISC. ) w3.I`d"i r?gWbrk? Type REPAIR ? ? b ? e < x ? . Aw" 4?. ? a e ?:- ? REMARKS: FEE SUMMARY VALUATZON Base Fee 5urcharge Tntal Fee $90.00 ,$3.50 $93.50 +$ I p 0YJ PJ CONTRACTOR: - A p p.1 i c a n t - 5 T. LI C. OWNER: SANpAU CONST CO ING 14478001 0007251 BRANCH DAI.E 6885 BAUDIN ST 12$1 RASPBERRY LANE PRIQR LRKE MN 55372 EAGAN MN (612) 447-8001 (612)454-7246 ?f hereackni?wledge that ?have' iread tFtis a?P{?116at.iah °aanc3;' st-ate that the xn,ta„rma;tio36 ;?i.s ,:correct and agree' ta ?ampl:y w'itt?` a?pplioaka,1t 5'tatc =?s?F` ??1n%ta ?,ut s and ?Gi?G afi Eag.a n .qrd?r?ances ` /? ?laujn A-Pi?. I rr? - SUED BY SI AT E?I ? (5 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $ ? 1.10 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Val uati on of work c' a (f r) Site Address: /A?? STREET SUITE # Tenant Name: (commercial only) LOT ? BLOCK ?. SUBD.,#Jjj P.I.D. # Descri tion of work: The appl i cant i s: ? Owner [K Contractor ? Other (Describe) Name 'Ory-,,,cti 'P ra-\e u ?p1s, Phone 4154.1- 7 zY? Property LAST FIRST Owner Address t??/ ?cILC Q STREET STE # City L-? Ct? u--, State Zip Company Cu, . ? N c _ Phone c-! `l -7- Contractor Address 65<S5- 7Y?o acQ5? Li cense # 7.2 5?' / Exp. City Pr?o,- (I el k? State m 4---, Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I hav read this application and state that the information is correct and agree to comply wit all ap cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: oi 73 i 7c)- 2oos RESIDENTIAL PLUMBING PERnniT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. v G> ZZ Lf Date I 1 Site Street Address Unit # M Property Owner WV c- l Telephone #( ) H.P. PIPEWO Ka Contractor 3670 DODD ROAD EAGAN MN Telephone #( ) 6655123 City Address State Zip The Applicant is: _ Owner VI-Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water soffener anc!/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment W rE, _ D _Water Turnaround (add $130.00 if a 5/8" meter is required) other: O1 2006 Water Softener ? Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 L S Sb Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start withq+t-apermit and work will be in a`ccordance withth6approved plan in the event a plan is reqyi,?to be ry ve AwI -"-?nd apprpJ^ed\." pplicanYs Printed Narrie ?WcanYs Signa? r<5- S0f?D r City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /0 CO 4/ Permit Fee: 1 7 °" • %° 1 Date Received: `- Z41 r Staff: IC'^i n 2013 RESIDENTIAL BUILDING-�PERMIT APPLICATION Zq Date: I' -7-01S Site Address: S Z_ I i\�� Unit #: Resident/ Owner Type of Work Name: Marc � Phone: (.c) 1 2.- 2-6Z - C't1'c50 MN SS 123 Address / City / Zip: 2-Y,1t Applicant is: 0 Owner Contractor Description of work: I -i-%t' Z ' I SLYV c,c4..QJ Construction Cost: Multi -Family Building: (Yes / No ) Company: Ih(Ac3i.3V\ \-1uAJ•&5 Contact: N Address: Li 1-4 to i, hA �Jj r City: 3k. All lI t\,)Zip: l 3�C License #: 1 -761-7 { Phone: (5I-- 2Lfi1 "' 1 Li Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) We S L f i9-11 -� (SVAlkint COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: 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 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.00pherstateonecall.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. x I V l ch() I aS TS 1 kokrSt,tA. Applicant's Printed Name x Ao Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition 1 7-- 3t Fireplace Garage Deck Lower Level IR be icy L Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Siding Move Building Reroof Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% v ) Census Code # of Units # of Buildings Type of Construction rr gsxv Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 ?� Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 4_ Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector 15-04s eto°/47 Final Brick Final Page 2 of 3 City of Eaftau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: (D9 0-7 `1 Date Received: ' 1.6'- 13 Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: co"' Site Address: Tenant: RA5f , y Leo P{ Pi Phone: Suite #: Address / City / Zip: Contractor Name: kuru fc-4gx Address: t. 13 License* 5 LLr 6 _ 4) IN city: VOL -LQ State: f) Zip: S 5] a 4- Phone: '/ 7 0 I Q) Contact: Co (\PE (} L\--C,S Email: Type of Work Permit Type New Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / T Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ C i) - CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 c4e-A(-4.6- Applicant's pplicant's Printed Name x Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough -In _Air Test Gas Test _,_,Final Use BLUE or BLACK Ink r----------------"--. I For Office Use Permit j City of EnRu I Permit Fee: 3830 Pilot Knob Road I a I Eagan MN 55122 Date Received: 3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 3 Site Address:- Unit Name: ~Pa--L C Gt rY Phone: Resident/ Owner Address / City / Zip: ~i2z_ Applicant is: Owner X_ Contractor Description of work: Type of Work - Construction Cost: Multi-Family Building: (Yes / No t Company: Contact: Contractor Address:0~3 124A City: cl~ii'~°~- State:f-- Zip: 5_~ Phone: Z r / License b 3 93 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 E conclude that they are trade secrets. i x - e z 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.org 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 compl thin 180 days of permit issuance. x A lic nt's Printed Name Applicant's Sig ture Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174621 Date Issued:02/08/2022 Permit Category:ePermit Site Address: 1281 Raspberry Lane Lot:20 Block: 6 Addition: Hilltop Estates PID:10-33000-06-200 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Hannah Berkebile 1281 Raspberry Ln Eagan MN 55123 (651) 373-6436 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature