1432 Rebecca Lane*.
City of Eaau
s
3830 Pilot Knob Road � `C`�/ %DSL( 1444414, R fjtr�dA,
Eagan MN 55122 CCAS Cq tCE"�� � � . �
Phone: (651) 675-5675�
Fax: (651) 675-5694 / I& bEIZ
/41
V.7Q IIIK
For:Office:Use
Permit #:
Permit Fee:
Date Received:
Staff:
q 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / ' 7-70 Site Address: IL/ 3,q le_Q4 f (N,r1z
J
Tenant: Suite #:
RESIDENT / OWNER
Name: C43 -/-t Oil' Phone: ((S' . 4/9 - 84160
n 3.---5-,-,,o
Address / City / Zip: / 4/ A /6 e (q L,'J EOq ✓
Y ,
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work:ct2'P ezd J GGC 't>( 1)
Construction Cost: 4 (D 9''7• cro Multi -Family Building: (Yes / NoX )
CONTRACTOR
Name: et/0;67n /16492201% ' 41 e. License #: / 7V1
Address: A/?tj (21766 /1(3 (, City: GX- i' /L//�
State: / r / Zip: 55-0/V Phone: 657 - 7c-cY `46 V(,
Contact: uL1' y i(la 'yi7) Email:
COMPLETE
In the last 12 months, has
_Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 tobe 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.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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
1<r -i( 1.../ Ti
Applicant's Printed Name
G22/ At
Apphc n�gnature
Page 1 of 2
CITY OF EAGAN Remarks
Addition HIL=F= ADDITION Lot 7 Bik i Parcel 10-32975-070-01
Owner Street 1432 RBBECCA LAN$ 01' state EAGAN M 55122
dA6d QTrHSAn i_ANP
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 5 f5 49003 55
a-
STREET RESTOR. -
GRADING
SAN SEW TRUNK 1975 183.08 12.21 15
:PSEWER LATERAL 1955 43 1 ?O
WATERMAIN
*MIATER LATERAL 19H?
WATER AREA (o igBZ 2? /
*Services 1985
STORM SEW TRK 1984 804.56 ' 160.91 5 a•? i
*STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
?.• , ?; ,?.,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
it1 I L A I itht;
PERMIT SUBTYPE:
TYPE OF WORK:
I11''i:RIP1 lf?N
?.?. ?
°
. ,
`
?
?? ?
?
?
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r?? ,?• .
?#??
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x' . ? .+_.?
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?,,.9?. ._?R=
? - - ----------- - _..__--.
PermR No. Permit Hoider Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspactlon Dete Inap. Comments
FOOTINGS
FOUND
FRAMING
RDOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. PERMIT # ? ? yO
PLUMBING PERMIT RECEIPT # ? L)
' CtTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PRICE PHONE: 454-8100
Site Address L7 2-L I
Lot r Block
m`
?a
?
c
? Name
3 Address 1 JJ .
p Ciry Phone
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMITTEE
TYPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
70. FIXTURES TOTAL
Water Cioset - $3.00
/ ? J ?: J
J J
Bath Tubs - $3.00
- .,
? Lavatory - $3.00 1,00
Shower - $3.00
1 Kitchen Sink - $3.00 i JJ
Urinal/Bidet - $3.00
?
U
Laundry Tray - $3.00 ? U
-
Floor Drains - $1.50 '
J
? Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 '
FEE
STATE S/C:
GRAND TOTAL:
ev
FOR CITY OF EAGAN
CITY OF EAGAN . t .
3830 PIW Knob Road, P.O. Box 21-199, Eagan, MN 55121 11570
• -" r' PHONE: 454-8100
BUILDING PERMIT Receipt N
To be used for 5 F' DYsG/liAli Est Value - $ 7U, U00 Date `•Lki?:Ci i4 .19 86
Site Address 1432 R EhECCA L: i Erect ['? Occupancy '' ji
Lot7 Biock I_Secisub. ci3LLCREST Remodel ? Zoning =21
Parcel No. Repair ? Type of Const V
Addw?"on? No. Stories
W Name ici`i t1UTTNER CU[vS2 Mov? Length ??
Z Dema? ? O Depth 4 ?
ii: p Address ORD D1Z ??1 Int Impr. Sq. Ft
City r; y?9?€?0 Wi??TERi'AZ`??hone '?? ? 2-30S? ? Install ?
, o Name SAME Approvals Fees _
=U
$ ¢
Address
Assessment
city Pnone Water & Sew.
? Q Police
? = Name Fire
? a Address Eng.
z
i W
City Phone
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatifie B
3/4/86
O
in/ormation is correct and agree to comply with all applleable State of ?dg.
ff.
Minnesota Statutes and City of Eagan Ordinancac.- ?-- APC
' Var. Date
Signature of Permittee T r? --- •
wb+ MF]'TTNBR CONS'r
Permit
.GO
Surcharge J.7 • v v
Plan Review 1$3.5U
sAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Copies
Total $2.174.00
A Building Permit is issued to: on the express conditfon that
all work shall be done in accordance with all applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Building Official `"
' Permk No. PsrmN Mddor Oate Tdephona k
Plumbin9 Q„e?t-cti,J 4?'? V
H.V.A.C. . • 3 as
IEIO'ctrlc
?
Soltsna
Inspeetion Date Insp. Commenb
Footings I
Footlnys 11
FoundaNon
Framiny
Rooflnp
Rouph Plbp•
RouyA Htq.
Insul.
Firoplace LG(?
FMaI Hfy.
Final Plbp.
Bldg- Finai
C?n. Occ.
Deck Ftp.
Dack Frmy.
We11
Pr. Disp.
'
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8700
Site Address ''e, L- BLDG. TYPE WORK DESCRIPTION
Lot ? Block Sec/Sub
R
? N
?
? Name ! ew
es.
t Add
m
_
„ -on
Mul
m Address L?``? i
C
R
omm.
r
epa
c City Phone h
O
er
t
Name ? ? r7 ;;E=1. • i ` '?'Yl./i:' / ;/!? FEES
?
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciry?=-? "?%" ? Phone? ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU
? COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond
M BTU STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM
i
? BEYOND $1,000.00)
Gas P
ping Outtets #
Other
FEE
l SIGNATURE OF PERMITTEE
S/C:
TOTAL•
FOR CITY OF EAGAN
CITY OF
3830 Pilot Knob Rosd
P. O. Bux ..1199 PERMIT NO.: _
Eagan, MN 55121 DATE:
Zoninp: No. of Units: -
Owrwr
Address: -
?1. S.ilcLP<.r
Site Address:
I pIN M O/Q/ly wbb !V aly of EiMm
"MnCM.
By
Date of Insp.:
COfIMC"OfI alOrof:
ACCDUr1t Dlposit: _
00.
PeR11K Fil:
Si!!'Ch0f'Qo: ; t
Misc. Cha?pes:
Totol:
Insp.: Doh PaW:
CITY OF EAGAN WATER SERVICE P6tMIT
3830 Pilot Knob Rosd pERMIT NO.:
P. O. Box . 1199
Eegsn, MN 55121 DATE:
Zonirq: -' No. of Units: i
Owner
/lddross:
.
Sih /lddress: 14
`? t
Plumber.
Meftr No.:
51u:
Reodsr tVo.. -
1oew N wil! wi& lIN Ca1r of dws
OalMwaw.
ey
Oote of Insp.:
Connectfon G+aroe: '?'•? . O( To? ;
AccouM peposit: 15. -1ond
Pem+ir Fee: 1,, . C?,?
SurcFwroec . 5 il?d
Misc. Choroas: 15 ^• 0C d
Torat: ?,? _;?p•? TlI4tF±r?
Dote Pbid:
Insp.:
WATER SERVICE PERMiT
,..?
PERMIT NO.:
^ ^F
D/1TE: ' - -
No. of Units:
t?ut tner Coiist .
LI'Addrom 1432 Rebecc: ?i_llcrest
MMEM
Plumber, ;? ?a i? 1. u ???u uL ?
wurt
Metsr No.: 3 70 8 7
].S.OOvd
t?oac Sfu: 10 . 00 d
a?. Na.:
.SCpd
1 Niw ee wNA Nw ?E n I? I 56 . ttOp't TF
???, L?4ti
/ Total: 511r,d meter
BY dC?/ Do" Pofd:
? te of nsD.: _ Insp.:
= /9
REQUEST FOR ELECTRIGLL INSPECTION Ee'00001-04
, See iretrectiona (ar coopbtinp 2his torm on back of Vellow ?WV.
B 1,9uU-6 "X*' Below Wwk Covered by This Request ?
Adtl Rep. Lype ot Builtliiq AODliamm OirM EQUipmem Wirad
Home Range Temporary Service ?
DuPlex Water Heater Lighting Fiatures
Apt. Building Dryer Electric Heati?
Commercial Bldg Fumace Silo Unloader
Industnal Bldg. Air Corditioner BWk Milk Tnnk
Fdfm Other pen Iher ISUCCiIV)
t r SVi,ci y ehcr Othe,
ComOUte lnspectron Fee Below
k Fae ServiceEnVameSize k fea Feaders/5u4teede. b Fea Circui[s
!a„ud U to O A s 0 to 30 A 1• 0 6 0 io 30 Am
Above 200 Ampr- 31 m 100 Amps / -- 37 to 122AMPS
Swimming Pool Ahove lOD_Am{s Above 100_Am '
Transformers Irtigation Booms Partial.'Other Fee
Signs I I 15pecial Inspec!ion !S dIy3_0
I, the EteetrTca1
Irispector, hereby
certifY that [he aEOVe
irepaction has been
.de.
TNS request voM
This request void
B?9h1``?6 ? 7, R?
/
G aaSp
w,?... . ??.."..
mred7 ?qeady Now?'fll Nouty Inspec-
Yes ?NO tor When Ready
RLicensed Eleclrical Contractor 1 hqrepv request ipspeetion af above
Owner electriral wor4 imtelled at
Street Adtlress. Box or Poute Na.
? City
y3 z beae ?? OtU
ecUOn o. Township Name ar No. 11aotte No. County /
1-244-4 /?
Ocncuuant ( INT)
tI Phone Na.
'? {
Ai Z
Poyrer Sup / _
J Atltl?
? ? ft..
lectri I on actar (COnWa?ny Nam?e) Cont ctVr 5 License No.
Ma inB .4tldress (COntracto r ewner Makinp 1 lati ?
Aut 'zed Signature IContrac[or/Owmer Mlabng Irebllation) PM1OOe NumEer
I 7 / `
????1 6?
MINNESOTA STATE BOARD OF ElECT1iICIT' THIS INSPECTION REQUEST WILI NOT
GriH9s-Midwey Bldy. - Room N-191 0E ACCEPTED 0Y THE STATE eppRD
1821 University Ave., St. Paul, MN 5510! UNLESS PROPER INSPECTION iEE 1S
Phom 16121 297.2111 ENCLOSED.
CITY OF EAGAN
Np
115
70
3T0 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
- ,
PHONE:454-8100 ?? 7 ?
•BUILDING PERMIT Rece;ptu `
o) _
Ta be used for SF DWG/GAR Est Value $78,000 Date Mp'RCH 4 i 9 8 6
SiteAddress 1432 REBECCA LN Erea L? Occupancy R3
Lot 7 Block 1 Sec/Sub. HILLCREST Remodel ? 2oning R
Parcel No Repair ? Type of ConsL V
. Addition ? No. Stories
a WM HUTTNER CONST Move ? Length 62
Name 960 WATERFORD DR W Demolish ? Depth d?
3
° Address
EAGAN 452-3088 Int. impr. ?
C
? Sq. Ft
iry Phone Install
o Name SAME Approvals Feee
i?
?°, a
Address
Assessment
Permit . 0
UO
J9
? City Phone Water & Sew . Surcharge .
50
183
V
` Police Plan Review .
,
_ i
Name
Fire
SAC 575.00
?i Address Eng. WaterConn. 500.00
a W ciry phone Planner Water Meter 63 . 50
Council
Iherebyacknowledgethatlhavereadthisappiicationandstatethatthe gldg.Off. 3 4 6
information is correct and agree to mply with I a d able State of
Minnesota Statutes and City of Ordinan APC
Signature of Permittee :4K Val'. Date
A Building Permit is issued to: WM HUTTNER CC
all work shall be done in accordance witha7l-eDOGsable State
Road Unit 290.00
Tr. PI. 156.00
Copies
Total $2,174.00
on the express condition that
StaWtes and City of Eagan Ordinances.
Building
-?23 ?y ?'3o.So
2006 RESIDENTIAL MECHANICAL rERMiT arrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit - Date
Site Address ?•y ?J? ?
-? e!x-GCO` /...17. Unit # '
sCo
O ?
/ ( M P A (2 Telephone # (6?`r/
Property
wner I .
Contractor &ui l A
Street Address o7 G (0 J
P i`1'1 O Y)
City
/?/l?V
St
t Zi Telephone# (tp5/ ) I
e
a p
Bond #: Expires:
The Applicant is Owner J( Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace ,Additional 4- Replacement _ New
air exchanger
air conditioner
heat pump
other ?
I
State Surcharge $ .50
?
$
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 approvai-ofTlaus,,
??nv?nJ &ve_r50v) IMAC 00oy-dr?>aoV'
Applic t's Printed Nam Appl a1t lgi ature
2006 COMMERCIAL MECHANICAL rEUMiT arrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephane # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when separate permiu are not required for each dweliing unit
Date
Site Street Address Unit l{
Tenant Name (itapplica6le) A
Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State _ Zip Telephone # ( ) _
Bond #: Expires:
T'Le Applicank is _ Owner _ Contractor _ Other
Wark Type
New Construction ? Underground Tank _ Install _Remove *`see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*"`When insta!ling/removing underground tank, caU for inspection by Fire Marshal and Plumbing lnspector
Permit Fees: $70.50 Underground tank installation/removal
550.50 Minimum (includes State Suroharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
If pe rmit fee is less. than $1,000, add $.50
If pecmit fee is more than $1,000, surchuge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 accoidance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector
Required Inspections: - U.G. _ A.I. _ Air Test - Gas Service Test - Infloor Heat - Final
66 za??
Telephone # (
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCdonReauirements RemodebReoairReauirements 4??t?t3nr .
3 registered site surveys showing sq. f4 of lot, sq. ft of house; and all roofed areas 2 copies of plan 0010MI-0,1f ? .N
(20% rrerzimum lot coverage al?) 1 set of Energy Calculations for heated addi6ons ?2 copies o( pian showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks *? tr^..,?= ??.Nx
lsetofEnargyCalculations Addifion - indicafeif on-sifesepticsystem {'YPS
3 copies of Tree Preservation PWn if lot platted after 7l1193
Rim Joist Detail Optiore setedbn sheet (bidgs with 3 or less untls
q I '13 I cl q
Date Construction Cost ? 3
_
Site Address 2e h e(?,u !
L.DL6a p UniUSte #
Description of Work ?'-" -Fc"ILA ? 1-1.7/X ? (O Q?OG l^
Ge-,GLYedk /.IJfG'IG? PGU S
?
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner J O%T l' f P c i' " y Telephone #(6'Sj' ) ySd'L 3?(6 C)
Contractor Yt c- 46 r& r5
Address N FiACrvi !au City K?15eU!
State !A Zip 73113 Telephone # (?'?57) bf!?;
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for
that the work will
Telephone #(
Telephone # (
7'eq,no
N If so, 25% plan review
a Residential Building Permit and aclmowledge that the information is complete and accurate;
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.
S7?,tre e?ar /so ki
Applicant's Printed Name
ApplicanYs Signature
? 7a• Uv
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - MutN
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demol Idon (Entire Bldg) - Give PCA handout to applicant
Valuation' Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo6ngs(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings(addirion) _ Plumbing
Foundarion HVAC
Drain Tile Othet
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Srone _ $rick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
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
Building Inspector
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
41910 cirr oF eacari 3830 PILOT KiN08 RD • 55122 651-881-4875
CI2 137887
> 3 reylshred sifa wrveys uwwlny sq. ft of bf, aq. H. o( housa 9- Z6- 00 ?
1 sel m enagy calalaMOna 1w heated admtlau
antl gj? rooted areas t20% nwxlmum lat coveraae oltowetll
> 2 copleE of plans (ehow beam & window slzea; poured hxl. daggn; etcJ 1 site wrvay for B#eAor addlMona R tJec W
> 1 sef ol6nergY cdcWWlons
> 3 coWea of hee preservaHOn plan H lol plaMed alter 7/1/93 6-0
pqTE: q' Z S- 0--'b CONSTRUGTION COST: A^" "-` on?
DESCRIPf10N OF WORK:
STREETADDRESS: /`f (?? IU_
LOT: I BLOCK: I SUBD./P.I.D. M:
Name: M6-f Phone #: qS z 00
PROPERSY tast Frst
OWNER C/? Q
Sheet Address:
CHy State: Zip:
. Company. SELe pOOFINQ 8 REMODELINQ. ING phane g; co l Z "ipz 3-'R6
4100 EXCELSIOR BLVD. (area code)
COMRACTOR ST. LOUIS PARK, MN 55416
Sheet Address: ID #0001050 ucense # ld S o Exp. 3-3(- d
h
City
State:
ARCHITECT/
ENGINEER Comparry: Name:
Telephone 9: ( )
Sheet Address: Regishutlon t:
Clty ' 5tafe:
Sewedwater liCensed plu?ber !if insiallina sewer/watarl:
Phone #:
Zip:
Lp:
I hereby acknowledge that I have read this applicatbn, state thaf ihe infortna?ton is cortact, and agree to eomply with all app8cable Stafe
of Minnesota Statufes and Ciy of Eagan Ordinancea , / ^ , , 9
Signature of
Certificates of Survey Received _
Tree Preservetion Plan Received _
OFFICE USE ONLY
Yes _ No
Yes - No - Npt Required
? SEP 2 5 2000
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-pleu
? 02 SF Dwelling ? QS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-piex
? 05 03-plex ? 11 10-piex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
? 17 Garage ?
? 18 Deck ?
? 19 Lower Level ?
Pfbg Y or _ N ?
O 20 Pool ?
21 PorCh (3-sea.)
22 Porch/Addn.(4-sea.)
23 Porch (screened)
24 Stortn Damage
25 Miscelianeous
30 Accessory Bldg.
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bidg)" ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) 0 46 Windows/Doors
• Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupency
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traits Ded.
Other
Copies
Totat:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
?
?
O
?
31 Ext. fUt - Mufti
33 Ext. Att - SF
36 MuRi
SAC Units
% SAC
1985 BUZLDING PERNIT APPLICATION - CIiY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN
COl41ERCIAL
SINGLE FANILY DbIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS '
$2,000 LANDSCAPE BOND -7& 0?
To Be Used For: Valuation: 7= 1 Date:
Site Address t -/ 32- OFFZCE USE ONLY
Lot 7 Block ?
Parcel/Sub t`tt ?IC w St
Owner
Address
City/Zip Code
Erect ? Occupancy
Remodel Zoning
Repair ? Type of Const
Addition
? 0 of Stories
Move Length
Demolish ' Depth
Int.2mpr. ? Sq Ft
Install
Phone
Contractor 21 !:? #,6e-r- C,Byt
Address /?v ?4ei+oCd U(', 0,
City/Zip Code ?IIWAL ?-S/2 Z
Phone ?4SL -30?p
Arch./Engr,
Address
City/2ip Code
APPROVALS FEES
Assessments Permit
Water/Sewer
'- Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off ?y/t(Qy Treatment Pl
APC T7r- Parks
Variance Copies
TOT6L ?
3
Phone U
Z4- x 40 ' 9(ao x ss> = 55?,80
1Z ?c zi = Z5Z X s& = 14co i co 11
.
- '528 x lz
2-2- x Z4 "
1 zo x 6
l2xia'
,
-7159Z
Huttner Construction Company Bk: 80/15
. 960 Waterford Drive West
Eagan, Minnesota 55122
DELMAR H. SCHWANZ
tnND SUPVEVORF iNC
RPO,fIPrM l1nOPj L!W( OI TFP GIPtP o1 MinnPeOIR
14750 SOUTM NOBENT TRAIL ROSEMOUNT. MINNESOTA 55088 VMONE 812 41Y3-1789/L,l
i?
SURVEYOR'S CERTIFICATE ? E
1Ult N ?_.,.
EP'ECGA
b
oO? ?
o01I
Ne
0?5'2 O / ?. ?? ?
. ? ? .?
, 1013
`
,
roposed IZ x Garage
House k ..;?• '+? co bZ \ C?.
\ . \ ?' G
A
rainage and \
Utility EasemenV '
.. \o`
I' ? ? ' M!0
0
o / 11
Scale: 1 inch = 30 feet Z 0 , ? ry?
CF Denotes iron monument
1° .
p Denotes setbbck monument (spike) ,h%
/O,b.L Denotes exietinq elevation
O Denotes proposed elevatiOn ?
I hereby certify that this is a true and correct representation of Lot 7,
Block 1, HILLCR$ST, accordinq to, the recordedplat thereof, Dakota County,
Minnesota.
. Also showinq the location of a propased house as staked thereon.
Dated: February 27, 1986.
F ?
r . ,
(Forn Dcvcloped by che Statc of Ninnesota iuilu:ng Codc ))icision)
. • TA EE SlJ34ITIED NITfI BUILAIt7C PERMIT AI'PLICATIO?1
EXiEP.IOR ENVF.LOPE AVERAGE "U" C0:-IPUTATION'
Oi,'9ER:
S2SE ADDRESS: I _3-Z L vk-
. CONTRACfOR: DATE: P}IONE: TsZ ?orY?
Determine working square footage of eac!?
1. Total exposed xa12 area......... sq.ft. z o' ' I%.
?2, Total roof/ceiling sq.ft. s
?3.• Total exposed vall area ealculations: . . .
Total exposed wall area abwe floor a. Total wall vindow'area ........... ...........
.......?
?.: . .
b;• Total a00r 8LC8........................ , .............
e. Total slidfng glassdoor area..:....................
d. Total firep2ace vall area ........................... -"
.' Q. Total wall framing area-(average 107i) .r.....?????,??• . „
fa Total aet vall area ahove flaor ......................=r??? :
??????????• .
g.- Total r3cijoist area.....................
? '. • Total exposed foundatlon area + 135
h. Total foctndatioa vindov area ........ ............... ..' ,3, i: Total net foundation area above grada...............I ?
Determine "U" value of each wall segment
- '. .
' a. /2.3 % "ril. ? ? • ? ?`'?
b. 38 X ,,;,,,
. • . c. O V- - x
d. X nun
x
X $$Vse
• I?? R „u,.
. g,
- h. 3 g uU??
. 1. ? 3-3 X nUu
3. • TOTAI. . . •,. '7 ] , y3 •
Ii iiem 03 is tfie sama as, or less thsn itcm 01. you hnve met the ineent of
?•? 4'. Total ex,osed roof/eclling calculationa:
Total exposed roof/ceiling area - 1212-
j.-Ta[al skylight area ...........................:.......
k. Total roof/ceiling framing area (averap,e lOx).........
1. Tqtal net fnsulated roof/ceiling area ..... .......:..::i?
Determine "II" value for each roof/ceiling segaent
J. , ?-•-!- . . X o0n . . ` . ? . .
k. ' ? Z".lI x oVu • ; ?'? ? ' ?? L . '.
( p
g rruu
ti
'TOTAL • ?'t ? Z- C(
If total of 04 is ihe same as, or•less than 02. you have net the intent
of SSC'6006(c)1.. ' Altesaate Building Envelope Design.
"•t:%. ..: . . : . • • '
To utilize the total envelope system method, the valuea establfslied by -?
the sum of items 43 and 04 shall not be greater than the sum of items 91
aad C2. ' .
+ 2. ?
3. + 4,; . ` .
C E R T I F I C A T I O N
I bereby certify that I have calculated the "U" factors and R valueg .
herein and that tha building hera deseribed meete oi exceeds the State bf
• Hinnesota Energy Conservation Act. •
? (Sigsiature)
. (Date) '
1.
:
FRT.t:E t+11I.L
Construcrion
L L
1. t ior air film R-Value
a? .
0.60
2? ]
3, i iincT:es soft honfl
",- ? t "" ?,a, .I • ? , o!?
5.
6. Exterior air film ? 0.19
Total 13.7_`t
\IZ ' a :?
1. InCcrior air filb 0.68'.
2
. ?2T"f ?l ?tvi.1! 10
3
. '3? INSvL
` I3,00
9. Z
2 ?Ir, 'F? t•U(.?
5. 1 o1? (I 1 . ?5
6. _
ExCe.rior air filw 01.
Total 11-?
v= . o'?- . .
l. •I terior ai.r film ? 0.63
2. ? " 3A"-T-T . . 1 1,00
3. ' 11 _la, dod I,.?
4. 1? ??/3 L S.4f,41N 'to!?
s. ?.r kJr?(? I,D 5
6. Exterior air film 0.17
Total Z:l, 3:i
' ?
>'?
u
•
1. Interior air film 0.68
2. 5O
' 3.
, 4.
5. '
• G. Exterior air film 0.17
rota? ?. u 3
r) ? ' O
.,
SIA8 O;d GRAll?:
Fic. @3
`.. ? p
. o ?
. • a . ' r?. •
. •- ` ? • :
. - ' r -- . . ` •
. -(Jr ??r ?? :? • ,, ' ;? ? ` , .
.r? „ . ,? , •
/(/ ? . . •
V ? 1/13-1Fic. #a NOTBt Tndicatr. L-yna, "r•' valun, darth and
. placenent oE insulation. .
• IY/11.L 1? ? 7.?I:.:y
1;,7_C; Use 70':. of ol-oquc wvll arci for
+ Sr.amc,co6::truction
', • 3t0'Ol°/CEILIIIG
• VE1TT
.?.?,
?
?'ente3 S
1 Iteat flos; vp
. . .. '. F G_UG -.
Lca[ ilou
up FIG. 95 ?
Constr.uction
1. Interior ai.r
2. ?Df?Y !.,Ht?
a. Iz" ;)-iffL-N IrJ
4. Txtcrior air
R-Va 1 lie
film 0.61
• , 9
? 1L, rJ
film (flt:ill) ?•?
- Total
I
• F?, Fiy.?_
1. Intcrior nir film O.E1
2.
s. 3?n?• c,QrlLvap • S_
4. Er.tcriur air film sti l ?•
s'ota i= q2 ? G Z
l. Incidc air film 0.61
2.
3.
4. '
5. Outsic3e air film .0.17
Total
140tes •U:%c additional e:hects if mora sFar.e i
needed for details mid calculation..
. • •f
. vented,
.
• ' I
??? • • ilCQy • • u
• ? flov up ?
k.T.R. 07
?
CITY OF E.AGAN
CASHI.F..R: S TCfiNiSNAI._ N0: 771.
UFll'Ca 02/1.3/9E3 TIMFa 14:3Er44
ID.
KIAMC: ALL..IETi f"IRESTriE tiNC
320 9001 W2 REE+FCCA i_N 50.00
2155 3001 032 F'tEBECCA t..M 0.50
A
Tei',a7. ItE>ceipt Amoun+,: 50.50
CFi08F,36 i
USF_'ft :CD: NANCt'
? CITY OF EAGAN
, 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMITTYPE: BuiLoiNG
Permit Number: 031459
Date Issued: 0 2/ 13 / 9 8
SITE ADDRESS:
1432 REBECCA LANE
LOT: 7 BLOCK: 1
HILLCREST
P.I.N.: 10-32975-070-01
DESCRIPTION:
z;"Cen-sUS Cade ,
F:
? J :..
a1 t
, ..
,,?, GAS INSERT
Building'?.'Permit Type
,Suilding Wo.rk Type
FIREPIACE
NEW
434 A'LT. RESIDENTIAL
Q_r
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: -
F?RESIDE CORNER•INC
2 00 N FAIRVIEW
ROSEVILLE MN
(512) 633-2561
Applicant - ST. LIC
16332561 2009091
AVE
55113-0847
OWNER:
MERKELY SCO7T
1432 REBECCA LANE
EAGAN MN 55122
(612)452-3460
G
I hereby ecknowledge that I have read this
informatxon is correot a»il agree to comply
SteCutes amd City af Eagan Ordinances.
L
APPLIGANT/PERMITEE SIGNATURE
?
application -and state that the
with a11 applice#la State o'F Mn.
?
IS DBY?SIGNATURE
r ,? ?
????
CITY OF EAGAN
3830 PIIAT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
681-4675
2., 13-,??
DESCRIPTION OF WORK:
JOB ADDRESS: 14-3
50 ?
PERNIIT FEE: $50.50
_ Alterations to existing
_ Install eas line onlv
IiE
LOT: ? BLOCK: SUBDMSIO .I.D. #:'f4 i ? ?c reg-
APPLICANT (circle one only): OWNER CONTRACTOR
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.
Name: M E IZ1< `-f L90o'!7 f A/ P ? Phone 114-S-?Z- 3 9 E, 0
PROPERTY Lazt First
OWNER
Sveet Aadress: / 93
L,v &l.--
City ?A cl-/Q N State: fl2 N l Zip: 5-1-12. Z
S? ?33 -Z.a`-V
Phone #:B 0-o7.Sb'
FIREPLACE
INSTALLER
Street Address:3 s.?-D-W - L? ?-0 l3 License a Z o a l' o q
City?JIZrJ 5 V (<.?- 'C State: 14'? Zip: .6:5^-3 3
Construct oew fireplace
K Install Ess insert onlv
Other
OFFICE USE ONLY
SUILDING PERNII7'TYPE
? 14 Fireplace
WORK TYPE
? 31 New O 33 Alterations
? 32 Addition ? 34 Repa'v
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
?i
-+.....?.+.... ?. ?+,.?; I .
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*lOTS: PAYMENfC OF FF.E AT TZM pg
arrLIcATIoN noFS Nar CONSTITUTe
APPROVAL OF PERNIIT.
nisPncriaa oF MM Arm/ox MM
INSLAr.ramroNS WII,L NDT HE ScHgD- ?
L)IS•D U[dFII. PERMIT HAS BEFS7 ?
APPROVID. ;
1) PROPERTY ADDRESS: ? •-
LEGAL DESCRIPTION: iCoCf- ?? / ` "'"
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRCCIURE, DATE OF ORZGINAL BL?ILDING PERMIT ISSCANCE:
, .
hbn Year)
, PR£SENf 7ANING/PROPOSID CSE:
Q CAMME2CIAL/RETAII,/OFFICE
? ZDIDCSTRIAL
? INSTI2L'TIONAL/GOVERNMENT
2) PIANIE:
ADDRESS:
CITY, STATE, 2IP:
PFIONE:
R-1 SINGLE FAMILY
? R-2 DLPLEX (T4,o C?nits)
? R-3 1UWNFIO(JSE (Three + Units) ( L?nits)
Q R-4 APARTMENT/CODIDOMINICTM ( Units)
3) u r?• ?ME. ? For Cit [,Y se
c? Plimibers License:
ADDRESS: li% ? r Active
? Y?cpired
? CITY, STATE, ZIP: Not recorded
PHONE: ? I MAS I,ICINSE#
g"ta Inityal
4) •?• • • i?-
NAIvE:
ADnRFss: ,
CITY, STATE, ZIP:
PAONE: .
•rj? 1:1 V• ' I I M' • ?1' C?i • 7? ?' 7i
CONNECi`ION TO CITSC SfiWII2 ? ION 10 CITY WATII2 ? 02YIEIt ' •
63 ? •' • r ? PLFIISE HOLD APPROVF9 PERMIT FY)R PICK-IIP BY ONE OF ABOVE --` _
PI,F.?1SE MAIL PROVID PERMIT TO 1, 2? 3, 4, ABOVE
(Carcle one)
7) r?• u• - ?L. 75 / r.s.r..-.Pw
FOR CITY USE ONLY F
PERMIT # ISSL'ED
?a?? ? z-
Pd w/Bldg. Permit FEES:
$ $ /2- SZ: SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /G' ' S-b WATER PERMIT (INCLUDE SURCHARGE) ..
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /? • 0-V
ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ J OO Ci'L+ $ WAC
$ $ SAC
$ $ TRL'NK WATER ASSESSMENT -
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ e1-O TOTAL
- ?G? 3c 5 lv/D?D
RECEIPT RECEIPT
DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC
Q
NO ROADWAY" MOST BE
DIVISION
S ISSUED BY THE E[VGINEERIIVG
. LI
T AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG CO[VDITIONS:
TITLE:
DATE : .??Z /t&
2007 RESIDENTtAL PLUMBING PERrwiT aPPLIcaTtoN
CITY OF EAGAN
3830 P1LOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please comnlete for modifications to existina residentiaf dwellinos.
Date_?_/?1 ? ( I'
site street Address ? ?l3 ? ?e{eeCG?. (,?ll unit #
Property Owner SG,4 t'V_Telephone # (?o?1 ?d-3?1'?J
Contractor. 1 'a -? u m b ; ? ?? T_ At- : Telephone # ( 6sl ) 43 ' 7C 11
Addreu 6 /o 5- t % City 1-? [ ?c hI1-d -l StateALLJ_ 2ip 575?0a
The Applicant is: _ Owner 8 Occupant ' Licensed Plumbing Contractor
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) I $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level 9ower level. This fee includes
i
installation of a water softener and/or water heater at the same time. !f you are
installing onlv a water sofrener and/or water heater, do not complete this section; i
move to the next section and place a checkmark next to the appliance(s) you are
?
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 51$" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
1 here6y apply for a Residential Piumbing Permit and acknowledge that the informatian is compiete 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 applicalion for a permit, work is not to start without a permit and work wilt be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
./ M Cl 9 tl `\{. v, 4f ?G'. 1k !' 7
ApplicaraYs Printed Name Applicant's Signature
qo. 6r6
AfihL_
'T"o Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675•5675
Fax: (651) 675-5694
? I
? Permil#:-???-
I Permit Fee:
I ?
I
? Date ReceivediAN 16 2009 ?
I
j scan: i
? ___________J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /'/ Z7 /? / SiteAddress:?'7`?? .0? .
Tenant: Suite #:
RESIDENT/OWNER Name: 2' Phone: 3_x2 '3q4,0
Address / City / Zip:,/443a 2?CCGCr??r . c.-rAC?-,ti.:?r? n. ss?a a
Applicant is: _ Owner NZ, Contractor
TYPE OF WORK Description of work:
Construction Cost: Sco-db Multi-Family Building: (Yes No
CONTRACTOR Name: License #:
Address:
CiN: !l? State: ?n • Zip: S?Q1!?l
Phone:?,? Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
Category submined sunmined
(J submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has the Clty of Eagan issued a permit tor a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
I hereby acknowledga that this IMormation is camplete and accurate; that the work will be in coMOrmance wllh ihe ordinances and codes of the CITy of
Eagan; that I understand this is not a permit, but only an application for a permit, and vrork is not to sfart without a p rmit that Ihework will be in
accordance with ihe approved plan in the case of work which requires a review and appro f plans.
x 11l. ." , q I, x 7! --d -1
ApplicanYs Printed me Applican Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124000
Date Issued:06/18/2014
Permit Category:ePermit
Site Address: 1432 Rebecca Lane
Lot:7 Block: 1 Addition: Hillcrest
PID:10-32975-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Scott M Merkley
1432 Rebecca Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
4.
f9 4
OI
CAC ,
/�
For Office Use1.1
i :::::e7c 'L
E A e:
Date Received: 3-
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 M A Staff:
buildinginspections(a�cityofeagan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION IJ
Date: '3 I I 2-1 (8 Site Address: \LA L 12,600 CCCc� Lc. ,ne, Unit#:
Name: Ey i,, gam Z Phone:b 1 IS- i532_
Resident!
Owner Address/City/Zip:\4 32 **Cc L.our\Q,, eciesto
Mt\J ES 12.2-
Applicant is: Owner X Contractor
Description of work: LI t� rva ,( ,( Q�
Type of Work l Y
Construction Cost: "1®I OOQ. Multi-Family Building: (Yes I No X)
Company: 5CX f2 1N Ide LW\5 LLL, Contact: 1 ►f c1Crle StkcjAa.
Contractor Address:1k 13st Sfi .Vv City: SaVCt
1-V cid,�e( SerrJ
State:Mi\I�Ziip: fl f�i Phone:�Z 1(,�)U(ji- maii: 1f(� es `( ,(,
License#: tJ 4,)9 151 Lead Certificate#:(L I 3 Q/�� — I Z" b
If the project is exempt from lead certification, please explain why:
\les- - Uig 149
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:
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
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.
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
hhyythe approved plan in the case of work which requires a review and approval of plans.
Fred d i e 5e.froka. x
Applicant's Printed Name ant's Signature
. .1, /11,33 8e , e c( L.._. 1-Ark-e_ 1 zis..., (_.6
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New
— Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
9/ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION //
Valuation 7'X Occupancy 226 -/ MCES System
Plan Review / Code Edition o" 5 SAC Units —
(25%_100%I/ ) Zoning City Water
Census Code 11/V-I Stories -- Booster Pump ..--
#
#of Units / Square Feet -- PRY —
#of Buildings 1 Length -- Fire Suppression Required �..--
Type of Construction 76 Width --
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice$.-Water Final Pool: Footings _Air/Gas Tests _Final
Framing V 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS
4, Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,Building Inspector
RESIDENTIAL FEES iv a „A0- /i0 3i.to 4
Base Fee /O 3 j
Surcharge
Plan Review G2 -1!MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149423
Date Issued:05/21/2018
Permit Category:ePermit
Site Address: 1432 Rebecca Lane
Lot:7 Block: 1 Addition: Hillcrest
PID:10-32975-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Emily C Gomez
1432 Rebecca Lane
Eagan MN 55122
(612) 743-8532
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
k
iY\
For Office Use
Permit#:
#: /5r. Permit Fee: /
EcEll
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 ivEDate Received: 69
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 JUN 0 7 2019 Staff:
buildinainspections@citvofeagan.com
BY:
2019 RESIDENTIALBUfILI�IN ' IT APPLICATION
Date: 5 i n Site Address: -jI 32. 1�'1j (/.. Lane. Unit#:
Name: IZ0Clir and. I Iq 601111e2- Phone: 612 15
��
RU
OwnerAddress/City Zip: 1�Z I cfo L Enoan m `i
Applicant is: Owner X Contractor (-/ 1-`-1l -�
Type of Work Description of work: �a..'hifv- X)Oc p Faj
Construction Cost 1 /14,53 D.00 Multi-Family Building:(Yes /No X )
Company: ( ci d4 r`.c-+t OCU tinLid(' Contact: free .moo' La
Address- I J I -V V C : 5av a
Contractor ��/I�3 // '�' "'�/ ,,, "
State: M�ip: 5S3i 8 Phone:COL-2.171'email: to eekre�G�rernoc�e.Gtr,Leri
License#: C (O?)C I SI Lead Certificate#:/ J 3()37U �/0
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression 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 Ciiy to conclude Oat they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
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.
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.aopherstateonecall.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 approvedplan in the case ofworkwhich requires a review and approval of plans
v
Applicant's Pr ted ame "� • • • icant's Signature
/f3 � 06-CC 4
lr)' / 5-6/4
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
40 Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION "�
Valuation 910 /v Occupancy 11,1/.1 ,, MCES System
Plan Review Code Edition ^ A ? SAC Units
(25%_100%1 ) Zoning (/ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) �( Final/No C.O. Required
Foundation Foundation Before Backfill / HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
x Framing 30 Minutes 1 Hour Drain Tile
1 Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Footings Sheathing Retaining Wall:_ oot gs Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan ti
Other:
—
Reviewed By: , , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge (L6AINNeV)11‘t:
Plan Review
MCES SAC
City SAC (1 0 o V
Utility Connection Charge (2(.; it
S&W Permit&Surcharge
Treatment Plant '1
Radio Meter Read "
12\i
Copies
TOTAL
Page 2 of 3
r For Office Use Q
;f Permit#: �S(o30 /E AG N
`� •��� Permit Fee: - f
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCa).citvofeagan.com
(p ^2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: •Z i'• Site Address: 114L2- Re feP y-a I-0 tftsr'C) I.\ 5c (27
Tenant: Suite#:
R@$1t1$f1O�Y11@i' Name: 1?(-)1)‘'S s tl)1:��� Phone:
Address/City/Zip:
�f
Name: C0 i(,Q, m License#: M ()C Q Boc�J v
pn 1
Contractor Address: p'1Z �G�f t \ City: Cj -t%
State: I .41' Zip: S16 Phone: 5 -. 451 . 0400
Contact: Email:
New Work in R. .W.
Type of Work — —Replacement —Repair —Rebuild —Modify Space — o R.O.W.
of work:
Water Heater
L wn Irrigation( RPZ/—PVB)
Water Softener
Description Add Plumbing Fixtures( Main/ V Lower Level)
Septic System � (l
Description: ROJP- _ 4a.-to -MC
New
Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges /
TOTAL FEES $ �J
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.00nherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeastan.com/subscribe.
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 n_?„ • 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•y
x
Applica s Printe ame/ %"Signature
Page 1 of 2
2420 r For Office Use v D
i� �� ::: '
EAGAN1,,'1I/�YYv//ee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 FAX(651)675-5694 Staff:
buildinoinsoections@citvofeagan.com
�
2020� RESIDENTI ‘"A'.31
L ` B^UILDINGp PERMIT APPLICATION
Date:5-22- ( O Site Address: `A?J L t��+C& ` 1ye Unit#:
Name: I2ci(•r S Civilly l/onke Z Phone: X 2-1 I 4 '32
OwnerResident/
Address/City/Zip: I46i frbCCCA Ln EaSct n M kJ 5j2-3
Applicant is: _Owner X Contractor
T Description of work: t 1(/LS1 ✓__15 Q
lilirtysivi
wat of WorkConstruction Cost 30 e W Multi-Family Building:(Yes_/No )( )
.. . . . . . ..... . .. . ... ..... Company: C t knelo(111.in Contac: f(1C litt Srith
ConAddress: l WI I2) (A� A/0 City: lVuCk
tractor
State:MO Zip: 5531 11 Phone/Pi-2101'-'82•Lt Email fYtddl(Q. x d&.V IVO 14-t4r 'y I
License#: W 49 51 6 1 /ti �� �✓�`�� / Z�
Lead Certificate#:
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and suppong documents that you submit ane'considered to be public fes. Portions of the Infommllon may be
classified as non-publicf.you provide specilic reasons that would peintit the City to conclude that thsY are bride setts.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.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.
plicanYsPrintn�NSme�� x• icant s Signature
jq3 - RCC4 L n _ ��s.-
DO NOT WRITE BELOW THIS LINE
SUB TYPES,
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New +'Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
— Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 9 000 Occupancy /2 4 MCES System
Plan Review Code Edition / 1 1 2 47 2 t, SAC Units
(25% 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet 1 t) t PRV
#of Buildings Length Fire Suppression Required
Type of Construction 6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) " Final/No C.O.Required
Foundation Foundation Before Backfill I HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final
07 Framing N-30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
K Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
:( Shower Pan / p Other:
Reviewed By: A 1 ,Building Inspector
RESIDENTIAL FEES / moo = * a 6 Cc
Base Fee /6 Q s% PT x
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinoinspectionsOcitvofeaoan. com
Date:
JUL 05 2020
BY:
r For Office Use
Permit* 162.242
Permit Fee:
Date Received: 1' C' 2a 217
Staff:
0' 1
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
4.2.70 Site Address: 1432 Vaberca, L
Tenant:
Suite #:
ontractor
Name:
Phone:
Address / City / Zip:
Name:1-ZT chotu. WM
Address:
State: Zip:
Contact �SL. I,I _ 00
Phone:
License #:
M°GS° ft2
City:
Email:
Type of Work
New _ Replacement _ Repair _ Rebuild A. Modify Space
Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater
Water Softener
Septic System
New Abandonment
Lawn Irrigation L RPZ / _ PVB)
'/ Add Plumbing Fixtures (_✓Main /_ Lower Level)
Description: g0111et 4U , C ttf t p
Li I.. rut- loujAto‘u SiAiL
Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$116.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $200 for Radio Read = $550
*Sewer & Water Permit also required for connection charges
TOTAL FEES $ 60 ao
CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www,oitvofeaaan.com/subscribe.
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 • 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
11111
Appll is Printed Name
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176856
Date Issued:06/03/2022
Permit Category:ePermit
Site Address: 1432 Rebecca Lane
Lot:7 Block: 1 Addition: Hillcrest
PID:10-32975-01-070
Use:
Description:
Sub Type:Water Softener
Work Type:New
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Emily C & Roger G Gomez
1432 Rebecca Ln
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature