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1828 Red Fox RdCity of aaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK In Permit. Fee: Date Received: Staff: IIV,0,1i\ 2010 MEWeiNiCAP PgRMIT.APPIAATION Date: 2)OID Site Address: %� „�G� 04 Tenant: Suite #: CG RESIDENT / OWNER Name: iliv 4. # Orl Phone: 9t0 s 666 d Address / City / Zip: i r / / W c/ / &A CONTRACTOR Name: 01(O nraie Pi.i�.it ioii�t1 £ Hetth';�'i t � cense#: Na 1 , 5tH 1 Address: 19 0 V ev 1.1 I i v 51-Aty: ''1 St) ti S State: (1 tZip: }rab33 Phone: t riS') ` 431- 4 (1 Contact bean/lei Email: ciediir&, pl1)11540ort ehoilrt,ito, cow TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: Li,,/ i 07— CL,C,•Q— ` U S"r f -'. t uv,x �v� �'°�°$8 � • °° fu�hr Pp •' t c4 :i.-�E ,,.14.,e §�, '1,° PERMITTYPERESIDENTIAL X Furnace New Construction COMMERCIAL Tank Ins Improvement Processed Exterior HVAC Unit install / _ Remove) call for inspection by Fire Air Conditioner Install Piping —Interior Air Exchanger „Gas Under / Above ground Heat Pump (._ tank(s), ector Other '` When installing/removing Marshal and Plumbing RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) W TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR Contract Value $ State Surcharge) surcharge is $.50. _ $ increases by $.50 for each = $ Permit Fee requires a $1.00 surcharge). _ $ x 1% Permit Fee - If Permit Eee is less than $1,000, Surcharge - If permit E is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damag before you intend to dig to receive locates of underground utilities. www.popherstateonecalf.oro I hereby acknowledge that this inforrnatl.n Is complete and accurate; that the work will be conformance wi Eagan; that I understand this s not a pe it, but only an application for a permit, and war, is .t to start without ri with e approved plan i ase of . ich requires a review and approval of plans Call 48 hours e ordinances - nd codes of the City of mit; that the ork will be in accordance x Ap Z00/Z00 J TE98LEtTe9 %Vd ZO:ZT afLL OTOZ/tZ/80 RESIDENTIAL , . ? ?y g03 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 657-687-4675 New Construction Reauirements • 3 registered site surveys showing sq. R. of lot sq. ft of house; and all roofed areas (ZO% manimum lot croverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • i se[ of Energy Calculauons • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Optlons selec6on sheet (bldgs wiN 3 or less units) DATE JOB SITE t 7O.oo RemodellReoairReuuirement5 C(+(I? ?1 • 2 copies of pian . 1 set of Energy CalculaGons for heated addi6ons . t site survey for eztenor addidons & decks r' . ?' ?l (EXCLUDING LAND) 7?. r IF MULTI-FAMILY BUILDING?, HOW MANY UNITS? PROPERTY OWNER//_.1D///t TYPE OF WORK FIREPLACE(5) v0 _1 _2 _3 APPLICANT /?crrYt-e PHONE #Q.5522 R'S'?{-! /0 1?1 ADDRESS g6-0°( A-t v-? 'at, r? Ioov??.? ZIP CODE PAGER # CELL PHONE # 6(a-?(a•a•?{°??-I FAX #'?gq -C/Cn S Z- NE1V RESIDENTIAL BUtLDING ONLY - F1LL OUT COMPlETELY Energy Code Category _ MIVNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RiJLES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing Sys[cm Includcs: Mechanical Contractor: Vlcchsmical System Includes: Sewer/Water Contractor: _ Water Sottener _ Watcr Heatcr No. oF I3atlts Air Canditionine HcaC Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the all appticable State of Minnesota Statutes and City of Eagan Ordinai Slgnafure of Certificates of Survey Received _ Tree Preservation Phone #: I.awn Sprinkler No. oF R.I. Batlis Phone # Fce: $90.00 ree: Phone # _ Not Required _ ?. " _ $70.00 with Updated 1/01 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dweliing ? 48 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 .02-plex :. 13 10 OS-plex 01 18 Deck ? 23 Porch (screened) ? DS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Btdg ? 31 ExL Alt - Multi ? 33 Ext. Alt - SF ? 36 MWti 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding b 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement 'Demolition (Entire Bldg nnly) - Give PCA handout to appticant Valuation ? ???2- Occupancy rQ-3 MC/ES System Census Code ? Zoning ,e- / City Water SAC Units Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width Footings (new hldg) )0 Footings (deck) T Footings(addition) Foundation Drain Tile Roof Ice & Warer Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED 1NSPECTIONS FinaUC.O. ? Fina]/:Vo C.O. _ Plumbing HVAC Other _ Pool Ftgs AirlGas Tests _ Final _ Siding Stucco Stone _ Windows (newheplacement) . Approved By 64J , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total INSPECTION RECORD ' CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: APPLICANT: ?. I i i• i TYPE OF WORK: INSPECTION D. . D. ? I lil ri II -tri 1 i;l !';?? ? ? +. I! 1?111 I'i iii. l fiF MFikK 5 s 1'R1i .& 4 d P! Nlt - M A T { HF W[1AWI E t. S Pl ttt; ? J rAo Permit No. Per mit Holder Date Telephone! ELECTRIC ?rl 7r7 - L a-y/?? //o ?° PLUM IN o?/ (p 3- ??? HVAC Inspection Date Insp. Commenta FOOTINGS ? FWND / FRAMING ROOFING ? ' ?? T7 ? '? Zr 96 ROUGH PLUMBING - y? /Ff PLBG AIR TEST 'ge ?C ROUGH HEATING GAS SVC TEST Ir /? INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FINALHTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ? ? . • . . a Wertificate nf ccc"aiicv (W4 of (Ragan . ze0arfiaeut a f 13x?? ?noccrisx This CeKificate issued pursuant to the rrquirements of the Uniform Building Code certifying that at tiu time of issuance this st?-wcture was in compliance with the various ordinances of the Cety mgulatueg building co?astructiore or use. For the following: u=c,.=&,w,w SF DWG swg. eftmN rb. 2051 ooo,p-r iype R3/tJ 1 zo,;u8 n;rn;a R I Type const. VN o.mw ocswans PM'= S[DR.S IINC Aammu P.O. BCK 218, LAKE= e.,aing Aam. 1828 RPD FCK !?lAD Lw;h, L28, B2. SAMMWWM i ,.. , B.adivg owww POST IN A COFtSPICl10US PLACE Address _ lszs ur.n Fn3t uciAn ' Zip 5512 2 Lot• - gst Blk 2 Sub HraMMir FURE-Sr THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: (p 4Gf(p Yes No Inspector: Final grade (6" from siding) LI . Perrnanent steps (gazage) V/ Permanent steps (main entry) t-/ Permanent driveway tl/,? Permanent gas Sod/Seeded grass TraiUwrb damage. ? Porch Basement finish i? Deck ? Please verify wi[h the builder [he removal of roof test caps from the plumbing system and [he shuboff of water supply to the outside lawn fauce[ before freeie potential exists. Contact engineering division at 651-4645 before working in right-of-way or imtalling underground sprinkler system. - White - Cily Copy I Yellow - Resident Copy Pink - Conlractor Copy ? 09 196 10:53 TO 612 681 4612 FROM PROBE ENGIhEERING 7-849 P.02 `OB! CONfUl?INO ?N61NNOS3nev@voSs I N ? PLIIN !NS and lll pqp?CT NO. 7ZO'4:0 iaINEEaina ?K 237 COMPANYI INC• PAGE 54 . 1000 EA6T 148M 87REET, BURNS1/1LLE, MINNESOTR .6Sl37 . PH 432,- 3000000 CERTIFICATE OF SURVEY ? Legal Descrtption: ? M!1 R?D ? scaLE : r e nd RQAp ..-_ ..._? ($jj?2E). DENOTES EXISTiNG ELEVAT{ON ( 8i4-.4 DENOTES PROPOSED ELEVATION -..----' IND{CATES DIRECTION OF SURFACE DRAINAGE d29:71 = FINISHED, OARAGE FLOOR ELEVATION 8/b.33 = BASEMENT FLOOR ELEVATION 825,104 TDP OF FOUNDATION EIEVAl'ION ?? Ac?,QESS': /828 RBD Fox RaAP ae+nv njrr.ee : mw Rr zvr z9, evMxa, Fid+/• = 8L8.55 . ? i ?2s s?,, c-• ? ?..??`y' ?8??"+••. ,?? ?\8ts.''? . 29 Fr FAWr KLhNe . a /A.9•821.18 0I1.60 OQ??? ?L'13, ? ? 9 . ? ?o Qi?9 ?' •. !$G3_•_2: N 35e? O uRAN??? TIV SEWr r., W D ?+•se`w ?• ??? ? ,. ? ?y? ? ? 00, E h G ,'l N, ? / ?? "?+? I? 1 ,• ;?,? ` eh . .. :> E Y I E ??,r f: ? aY _._?? . ... : .. .... .. -. ,a117 f ?$ ?3 ?10 ?'8aa. I-) s ? 56r8/ ?il n i ': ..o f: ii r W \ >yB ? A2 N 6q°93 3on -od > _ '> > . ? . im , ... .. . ._ . . . ' ? ? K . . ?Y : .. ?. ' " d ??. ' )M \ ^ ,s•s42s.,'is? ' ? ?aEnGn1?I I i1GL-_ `? IZINGAEPT. ?J 6 41- T hereby certify that thie. is akrue and correct representation of a traot v land as ehown and desaribed hereon. As praparad by me this 4-7# day o J?1NUARY ,' 19 %. , .. . • ?•?S? ?-9a6; AYYCV S?W F 6?wo+ fG'-?9t- gWb?T,,,,6 ,Y,, u,.cs Minn. Reg. No. 23663 SiaE A•n dl1qC 6*0"A"'5' r Y"Ra95% 612 432 3723 01-09-96 10:48AM P002 #16 " CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: PERMIT Cwo 5 t`t I k" BUILDING 026951 01/11/96 SITE ADDRESS: 1828 RED FOX RD LOT: 28 BLOCK: 2 BLACKHAWK FOREST P.I.N.: 10-14325-280-02 DESCRIPTION: REMARKS: PRV SF DWG NEW R-3 U-1 V-N R-1 70 53 2 3,284 101 1 - FAM. DETACH ? r i ?j ' . i . . ? . . . . P . . ' f ._. .. ' - . . ? . ? . . _ .. ._ .__ 8`uilding Permit Type Building Wor.k Type ; UBC Occupancy'?. Constructipn Tybe Zoning Building Length Building Width 6u11ding stories " " 5qitare FeeC , Census.Cod'e S& W PLBR - MATTHEW DANIElS PLBG FEE SUMMARY: VALUATIQN Base Fee Plan Review 3urcharge SFlC SAC % SAC Units Subtotal $1,622.25 $811.13 $123.50 $850.00 100 1 $3,406.88 $247,000 MISCEILANEOUS $1.923.50 Total Fee $5,330.38 CONTRACTOR: - Applicant - ST. Lzc OWNER: PIETSCH BLpRS INC 14693044 0002358 PIETSCH BLDRS INC 9543 BIRCH LN P 0 BOX 218 LAKEVILLE MN 55044 LAKEVILLE MN 55044 (612) 469-3044 (612)969-3044 I I hereby acknowledge that I have read this applicatian and state that the information is correct and agree to comply with a11 applicable State bf Mn. Statutes and City of Eagan Ordinances. ? A LI A NT/P RRE- ISSUED S GNA E?' ? I J ? ' New ConsWction Reauiremenls ? ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodallRaoair Reauirements s ?"m o,A C/jVur1-l-I o 3 re9glered site surveys 2 copies of plans (inGuda beam & window sizes; poured fnd. design; etc.) 1 energy calculetions 3 eopiea o1 tree preservatfon p3en H lot platled eRer 7/1193 required: _ Yes L No DATE: l?i4N S /?l?? ? . DESCRIPTION OF WORK: STREET ADDRESS: LOT 98 BLOCK ? 2 eopies of plan ? 2 sde surveys (exterior addftions & decks) ? 1 energy ealculations tor healed addilions CONSTRUCTION COST: ff.??? Al'-,) rvX .ed, SUBD./P.I.D. #: /?IA--D?/c4 PROPERTY Name: Phone OWNER Street Address, City: State: Zip: CoN7rtAC7oB . Company: /30111105n? Phone #: Street Address: ?6. /?DY o2/d License #: City: '?VXMU///? State: /Olk Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #- Street Address• City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appifcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplicanY. --I / ?r OFFICE USE ONLY Yes ----------- Certiflcates of Survey Received 9661 ???v r Tree Preservation Pian Received _ Yes No (M ?A33W BUILDING PERMIT TYPE ? Basement sq. ft. z- Z ? 5 MCNVS System ? liz-? F/ Main levei sq. ft. Z, z?-7 City Water ? -3 C?- zLO sq. ft. i, 12. z Fire Sprinklered PRV sq. ft. sq. ft. Booster Pump ?v9.G7 sq. ft. Census Code. /D/ Footprint sq. ft. za SAC Code ? e Census Bidg / ensus Unit ? _ Buildmg Engineenng Variance 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ,W-02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ?31 New ? 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Permit Fee 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Pertnit S1W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units OFFICE USE ONLY Valuation: $ /Y19l// 2 X yy. 33 = 9/` 23,C69.d, 7 ,fr?•rk1•s' - (o r ° SS?Z 7 ? 2- y7, oo v ? ????--L 2" f < z?rs.?,-) =/, /7 } Clr743>?<7 l ? ?/--2 ? Z? Z y IT? /z2 `/-- 129.s.JS67 - 375- 5'x zu,r = i ? 5? 00 f;,v = Z? z?5 _ sro G=/? 655 x zr= (I K 2S2?i ' Stss ro.s y? r 9Ks ?XSZ(az ' ?oo / S.L'? 1 zeFis- - o , ' L 9n..s4£ - '??? L6x J1 Z yi?/• qyL?ib = ?r O?z " JRN'09 '% 10:53 TO 612 681 4612 FROM PROBE ENGIhEERING T-849 P.02 CONtUI INp ?NO?NElllf piF?z'e.N 60/ !??.._S ?OBE' PIRN?Nf and LANO ?tlRVtYO?L PROJECTNO. 7ZQ+ Nlbh, 'ENQ?fNEEAING BOOK 237 COMPANY, INC. PGE 54 1000 EAOT NBM 8TREET, bURNSYIILE, 41NNEEOTA .60337 . PN 43R?l00p CERTIFICATE OF SURVEY Legat Descriptfon: ? MN FOX BCALE : 1' a A0? R(A? ? tS' / ? i2s ?_ c?J` 3 \? ?F 14 M? ????8\"•' . ?LroVE?v ;.?M1\? ?u•°" S97ZWX /n?s•9cs.re ? ? `? s ?u.bf I C?'. ? ?oQ"" p .' .i? )AIJ " .e?°'?'° I` 3?% Arr 5I ? . 35b j ? 1'oO'l?? aar141 '?sEna?vr h ° ?\n S E /"e t3 AN oh R f V I E MI E D ?v? i-; :? jY \ 196, )ArE ? F 9` , ?w?a°cRbD ? ???,.??( -;^?,•_.\. _ ... ..-- ?????? A25 ???s???•r? o1J LL? ? a !? .,_ ? ,9> > ' . . . V ? \ ti s?sss ' . ? °2- . Z-11 ? h eby certiEy that thie is .. .- .IR?? aW? DEP'T. I Br and correct repreaentation of a traol. o land as ahown and deacribed hereon. As prepared by me this d.7m day o tJ?NIVARY r ' 19 6 • ? , . - ; I?,,,? ia'°b; 'aw? s?w• F Minn. Reg. No,-&9fiL- . y71¢u.TweS aa s,?ES N'Me^? . SIr6 A&u WML 612 432 3723 01-09-96 10:48AM P002 #16 (:j5io pENpTES EXISTING ELEVATION ( 8i4.4 DE110TES PROhOSED ELEVATION -.._._-- MIDICATES hIRECTION OF SUpFACE DRAINAGE 87A:71 = F.IFNSHED. C3ARAGE FLOOR ELEVATION 8/ .33 = BASEMENT fLOOR ELEVATION 25 0 = TOP OF FOUNDATION ELEVATION Acn9¢eSS: Ia28 Re?v r-px 944a `,`?Ti gs+rY1 MI,tK : TnY! AT !.o'rY9, B?+rB. ?qC:aoqr?TM"1 _. 6? = 8Y8.55 „ LOT SURVEY CHECKUST FOR RESIOENTIAL BUILDING PERMIT APPLICATlON N PRaPERTY IEGAL: m -' DATE OF SURVEY: / T LATEST RE1/ISION: 40CUMENTSTANDARDS U"' D ? • Registered land Surveyor sipnature and company W- 'C3 0 • Building PermitAppllcant D"*"O ? • Legal descdptlon Q/O O • Address • R'? ? O • North arrow and scale ? o • House type (rembler, walkout, ap11t w/o, splR entry, lookout, etc.) O 0 • Dlrectlonal drainepe arrowa wilh slopa/Qradlent 9i • ProposadleAstlng sewer and water seMces 8lnvart elevetlon ? o • . Street name ? ? ? ' Oriveway ELEVATIONS 0,"-13 O • Existlna Sewerservice . 47"?0 Cl • Property comers 4? a ? • Top of curb at the driveway ??+?' o • Elevatlons of any ebstlng adJacant homes Proposed &-'0 0 • Garage 11oor W'o a • Frstnoor ? 0 • Lowest exposed alevatlon (walkouW+indow) ? • Properly comers ? a O • Front and rear o/ home at the toundatlon O • PONDING AREA Qf aoolicahlel Easement Me ' • • 19? O G e NWL . . ?O 0 • NWL -P?J7 C • Pond ik desipnaflon ? o o • Emergency Overtlow Elevetlon B-' O O • DIMENSIONS Lot IfneslBearlnps 3 dlmansions V p O .• Right-of-way and sVeetwldth (to badc o/CUrb) • G O • Proposed homa dlmenalons Includinp any proposod dacks, overhanps preaterthan 7, / porches, etc. p.e. all sWctures requirinp pertnanent footlnps) 17? O • Show all easements of record and ar?y City Wlltles Wwfin those easemenb Q O 9? • Setbacks of proposed structure and sidaysrd setback of adJaeenn aidstlng structurea o O • Retaining wall requlrements if any ' Reviewed: ? Juy t806 . . . . .1,.9f'-, GATE VALVE ? 25'DRA INAGE ? AND UTILITY ESMT 29 wYE s-o+7o a.eos.za / 5-2+10 ? EL809.95 ' / ? ? MH 1 i ? ?TA 8? 26 / / 27 PROPERTY LINE _ 20, ..,.. EASE EflT .` 10' ? r +70 EL.809.79 1. ? IX. MH 8 ABANDON EXISTING SANITARY SEWER , - ,-. ' : • .' C:;° ? ..• .. . - .I ??ll ?.:. THIiJ ?rt Lr?: lil yi9 PURrOSES O?;L" HiJU JuING IT SHQULD ':!?F.? Y THE ? :;:.°n E f0-N0N TH E 51TE STORM c- ........:.:..............:...I.?..:.........:........ ' ........:...... :..... : . ao .......:.........? .......:..7 ? ? ..:.........? ? ? : . .., ........ .................. ,. .. ................. ?I .......... 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' t2i nr? - ' . ................ ..... + I ........ ....... ? i_?._ . .._:. ?.?.:;.\?:'• I I ??r,?JJi ;, - : . ? _ . . ii.. . . I I I:?r_.....i ?....li?????i"?.1•i;??G. . . . I . . . . •I I • ? I . . . . . . ................................ . . ...... .......... ..... . .....: . 780.38 . .....:... . . . • . . • . ...,......:..I ......................... .?I.. .....:..+I 7+00 8+00 9+00 10+00 & uensnN_ IN OWNER/DEVELOPER 78.0 \ ce 14 SANiTARY SEWER D 2dDRAINAGE 9UTILITY ESMT ? 'ce ia ? . gTA B+ 29 / 'Sd ORA-IRAB6. UTILITY EASEM NT `> ¢ ? Cp lo? A; 28 ? i .+ ? . % ssm" s ? • ? <1 .? ORAINAGE a UTI --"v ? EASEMEN ? ? ?. ? SAt COrI3TRUCT 3? 24 ? RCP STORh (VERIFY PRIOR 0.,t>?., ?. qe:?in?'.??//i?? ?_. . . I ' - . . _ . ?I ( ?i=. 4..r't:: f?'?!i i l.+i' U I _i.l...r .'.?.:. ?:... _. . I-LEV,n ON-0. 11;k;) Al iti i'UHruoi=a t . • IT SHOULij f1F-G.&hwTIO(V OfV THE SITE. . .. . ....... ?.. i ......... ? W'12"kCP ' 2 66°!e ' . • . ' ?. 1. . ??? I : . • ; : a?lc? . • ' ....... ???.... ................... ...................:.u?F:.....;.........:. . . . • ? • . ; : ; . : . Y. 79e.00 :..........?' ..... :........ :... . ............. ......... :. ? ....... .........;. ? ?yMH e ' SSMH 7 CB lA ?f..... . 7 O. : m . . ; • olV . . . . . . . . ? . . . ' . • . . y)?C? . . . . . . . . . . . rn . H . . ? ...:..... , ................................. .......:.........:. ?......:.........:...... ? '................ : ' i ? : . : .?• K?'?`P/ 230_ I800.O0 I 7g},55I NEENnH-16a2-TYPE B LID 230 t? GRI4G? . . . . . . . . . : . .I . . . . . . . : . . . . . . . . . .? .....v r....... ' . 40-12?0CIP61.0% ' . ................... INV918.93 : .... 81Q.53 • . ........ I . I ' ; . ?.,vrvn • . . . - . . . . .: . . . . . . . .: .24'-l2aRCP.. . . ... . TOPHo 003:88 EXISTINO GRApE : . . . . . . : . . INV •801.0 . . . . . . . . . : . . . . . . : . . : . . . . . . . . . : . . . . . . . . . ' . . . . . . . . 1eAPROfr. . IMV !!0: . . . . . . . ?nee e09-00. : . ?A;Cc.oL-:s Pri-l <« I.^; u, ;Acv oF: u i if rrv 'Lc;cni io; -i _ .4 ......:.........:. .:•?'?`.,'^;i• ??:L•E?'pe7?O?LS:.7'b?!S.f?; ;?....?`: ?::Q:3 • : -? : o : 0:?. PU9'aOS?S . ?,,,,? ..: .. .. .. ...: ... . . . . .a.?. . . . . ...,c: ?i... . . ..: 7 IT =S-I0:11 •- -- - - : ; ? ?: . . , ? I ! C?? T ;i" ?'f'i U F V F ... r-. 4 ? .... , , ? ... ' • 55-IZ?? : • : ? . • . . . . . . . . . . . : . . . . . . RG P O 2,67 % . • ? : tLASS III . . : ? . : • , , .. ? .....I ? '•• ..: ?/ • ? R( r PLUG FND (NV. 830A ? _.,..,?.. . , .?. . _ .: .. _ .?., . _.?. .T. . . , ? ? dbCADD " : ' ? IW 612-551-1103 .. , . 4Ip12 .. -26-1995 . . 'YG, ?• 000:13PM ? p?1/2, ... . _, ;_ . . r . _1... ..___, ,. __ . ; . ??,. . , _.. ._.... . .... . , . . :....... . . ._..._. ?_:. ? . . . 612-544-8032 COC ACRES RCCTG 643'P91 . EXTE71I01 ENVEL4PE AVERA4E "l!" COiiF'UTATIQ1' ? ?'?• . ? ' ` uy - awrci aI • - ? ?h ? Sl'iE AnDRE SS: ' CBNTRACtOR: _ pAT E• _ PMbNE: ?.;. _ PETERH1qE H6RKlNG SQUARE FOOTAGE OF EACHS h. 1. 1'DTAL ElfPaSED UALL AREA........ 3766 s ft x"Ull y . ? q .11 9,. TO7AL ROpFICE1LlHG AREA........ 22? s ft x"U" 026 _ q ?.. + 3. TOTAL EXPOSED NALL AREA CALCULATIONS: , •-. Total axposed wall area abave fleor....... . 3476 ' ?q ft a! Total wall-window.area::- 3/8° LOW E d i 331 0.39 ..i 129.09 g aze ??.... tq ft x nUll v ?. giazed...... sq ft x "V'l • .4?. b) Total door area 76 sQ ft x "U" 0.0 ? 5.32+ t) Total slidinp glass doar area. s, 3/8" LOW E 77 ' 0 39 30 03 qlazed..... sq tt x diufl . ? . ?-? gleted...... s4 ft x r?U" . ,._? dj Total flrcplace weil area sq ft x "U" . oS Total wall framtng'area {Average 15X}.....'....., 458 sp ft x ,? „U 0.093 ? 42.59 - --- , - - } ? ?-: , f) Total net wall area ebove fi oor (Insulated) ....... 2108 sq ft x "V" 0.041 - 8643 ; 0 ' Total rIm jaTst area .. 216 s ft x . "U" 0.041 ... ..?,...._ ? •,, ? 8.86;' = 1;` . ... q ? Total foundatt on area (Fxposadj.......... 202 sq ft h) Yotal foundatlon ' "• "'?? ?rTndow erea ............. s4 ft x nSlif , ?a Total nct Poundatfon. b 202 0 041 8 28? area a ove qrade........ r sq Ft x „U„ . . ? 310 60 T {)TAL a) Chru I} . . ,. . >. .? tf Item 1$ ic the same a$, or less 2 t7CAR 1:1606$ A d tban It¢m pll yo u hev C met ;hp 1nteFlt of an 0. . _ . ,. :.......:. .. - ; ?? • t,, 612-544-6i# COL RCRES ACCTG • 643 P02 ? 4. T07A: EXPpSED ROOF/CEILIqG CAI,tLLATIDt15: + : . .... ........ . . ? • . , ._.,at. . TAtal expnsed 2235. ,?.:.. roafJeelllnp area:....... sa ts • _ _ : : , • .. ;. • . ._ , ; _ _... . _ ?.. ?) 7eta1 skyllpht irsa...,...?,?.aq ft x "v" ??? ;. •, , , : ir,: ;.. ? k) Total Ibof/celilnq framing ._..,..... 223 626' 028 5 0 ^ ? .. .. . ? . U eres (,avdnoe 1nlt)...... _ sq ft x+ ,. . ..., _._ . ,. . ,.. . ,.. 1) 'TetaT net insulated ' 44:25 0 022 2011 5 . ? . sq ft x ?oof/tet 1 ing afea. -... , . Ta7AL I} thru 11 r ,. If tota] of 04 is Lhe seme as, or less than FZ, yau fiavs mst the inlent of 1 ;....._ . ., 2 MCAA 1.16008 A and o_ + ;. ._.,.,_._ • . ;.. :. .. .:',;^' AL7EfVIATE BUtL01RG ENYELOPE DESIGiV ;. To utttfze the Lotal envelopa system metbod, tfie valuss establlshsd by the sum ;.. ? of items A3 end 94 shall not be flrealer than the sum ot itamb 01 and 92. ? . r 472.39 i 26 58.11 414 z ? ' ? ? . ' ; . . ? - ; 3 310.60 * 4. 50.51 ., 361.11 ;....._. ? . . _. .,. . - . . :..__ , . . _ ., .., , . .: . •?,, ::. _...,. _. . CERTIFICATInN I hareby earslfy that ! fiava uTtulated the "U" faetors and "R!' _ ' _..;.. .... velues Aerein and thac the 6uildinR here descrlbed meets ar e%C!!d5 Lh! StitO ; . ;..__ ? ' of Nlanesota Eneroy ConserraNan Act. . ;.. _.....:._._.. . . .. ,, A.. : ? . TfFq-n • ? ?. (Dsta? _...._..... Pa8e ;....._. , ? z . , ? /?i?/ CITY USE ONLY l L o'-0 BL ? RECEIPT#:? ? f SUB0. L?fI?:Q.C.Ie.(?IGLcc?-?P ?25.t DATE: *S` 1^G 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace _Lz _ zldd-on air condiiioning Rdd-on air excnanger, i.e. Janee system, eic. Date: c-; '/O? _/ 4f FEES ca'-' ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 - Additional 50 M BTU 6.00 ? Gas Outiets (minimum of 1 required @ $3.00 each) 0 - ? State Surcharge .50 TOTAL 49, , S-D SITE OWNER NAME: INSTALLER STREETADDRESS: L_?)(X`l t -?-? CITY: /) S??Q1A dl? PHONE #: (w PHONE #:- °d STATE: ZIP: CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 7995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUindustrial buildings. ? muRi-family buildings when separate permits are = required for each dwelling unit. n e rE: vA I WORK TYPE: vONT v^vT fRivl: _ NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: P $25.00 minimum fee gt 1% of contract price, whichever is greater. • Processed piping - $25.00 • State suroharge of $.50 per $1,000 of gmmjt fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL 31 1 L f1?L!RGJJ. OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CITY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR LC??./ BL ? CITY USE ONLY RECEIPT #: -5-3/00 d SUBD. h.s?l?C1.?.RYJ? l7? DATE: a/kP 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACti ?.4. TOTAL Shower 3.00 x ad Water Claset 3.00 x Bath Tub 3.00 x A= _ .ao Lavatory 3.00 x 5- = J.5" d6 Kitchen Sink 3.00 x _?.aa Laundry Tray 3.00 :c Hot Tub/Spa 3.00 :c = Water Heater 3.00 ;c Floor Drain 3.00 x I _ .3.00 Gas Piping Outlet ' minimum - 1 3.00 ;c = Rough Openings 1.50 x 13 Water Softener 5.00 x Private Disposal ` Dakota Cty. iicense 65.00 = (new and refurbished systems) U.G. Sprinkler' nome under eonst. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL J? O0 SITE ADDRESS: 1826 Red Fox Road OWNER NAME: pietsch Builders INSTALLER NAME: Matthew Daniels, Inc. STREET ADDRESS: 15230 Carousel way CITY: xosemount STATE: MN ZIP: 55068 PHONE #: ( 612) 423-3730 ? t7MISIAkU OFFICE USE ONLY l BL RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . all commerciai/industrial bufldings. . mulH-family buildings when separate permits are IIQt required for each dweliing unft. DATE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD UN kEPAIR IS WATER METER REQUIRED? _ YES _ NO. 1F SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF 50, YOU MUST APPLY FOR A 5EPARATE U.G. SPRINY:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whicherer is greater. State surcharge of $.50 per $1,000 of Ren@it fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: ciTV: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STE. # STATE: ZIP: APPLICANT _ INSPECTOR: 73 g 41 2006 RESIDENTIAL MECHANICAL rExMiT aPrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & rownhomes/condos when permits are required for each unit 430.50 Date/v/ ? /O/o Add Si /O 51-2711nit # MIU FaQQ h ress te AC1 i ert Pro Owner J J Ugidd / , ? ! I Telephone # (6 ?l y p , _ Contractor 10'? 0/1 4DV eS D ne &ar k.h!L Street Address ??Y? 1 j City /Y"5T ( f S State ,a/V Zip Telephone # (46 I)!7`? ! ? ? ? / I Bond p: K L I () S 8 t4 `1to 2 Expires: t o S OIo The Applicant is _ Owner X- Contractor _ Other Add-o? or alteration to existing dwelling unit $ 30.00 ? fumace _Additional _Replacement _ New air exchanger ? air conditioner _ heat pump ather ? - State Surcharge $ .50 $ Total I hereby apply for a Residential Mechanical Pemiit and acknowledge that the information is complete and accurate; that [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand [his is not a permit, but only an application for a permit, and work is not to start withou[ a emiit; that the work will be in accardance with the a!ppro?ved plan in the case of work which requires a review and approval of pla f?ri vtCk AVlC1eP',,so rl v Applicant's Printed Name Appl' ant's Sigiature 2 C n???? ? JL OFF1C USE NLY This raqvsst wid 18 monihs fram wlidation dore pnnled in this boa. ???9?? ?J7 7 ep / ? PLEASE PRINT OR TYPE Requml Dote ? Rough.in inspectian required2 ?Yo ? No ?You mmi mll 1Le inspxbr whan rwdy) I Inspetllon Olher Than Roughln7 0 2aady Now J2( Will Coll ?..? Dote Rmdr: I, 29 li<ensad contracfor ? owner hereby request inspection of the above elecfrical work at: b6 Address (Sheet, 9aa, or Route No.) ?2-P Ciry Zip Code 5«ton No. Township Nam<or No. Rarrge No. Firc No. Counry ^ 4- OauP y ro-c Plax No. PoxerSupplier o? ?I?:¢I'lL 4 Addrees ??.?/??sL ?a".. ^ ElecMml Commcror (Compoery Name) ?!/ ?/y- L? ?/?,n "? Cl G x./ !.'C.. CL. Confinetor License N?,o. ??yp C/-I-O t+[Y (J Ma.rer Lic. No. (Plam Eleci. Onl?) Moili?g Pddress (CoMroctor or O,me, Performiig Inswllafion) AWhorized Si nalure (CoMmcror or Owner P rfarminp Imlallation) Phoro No. EB-OOOOlA-10 6/95 STATEBOARDCOVY-BEEINSTNUCfION30NBACKOFYELLOWCOVY II I II I I I? ?I REQUEST FOR ELECTRICAL INSPECTION Jr Minnesota State Board of Electricity i ? 1821 University Ave., Rm. S- 6, . Paul, MN 55104 TV 2 5 27 1 7 414111 * Phone (siz) sa2-oeoo e'2y?? ome up Apf. BI ew Addn Commercial Indushiol Farm Remod Re oir Air Cond. Hfg. Equip. Wafer Hta Load Mgmt. Other. D er Ran e Elec. Heat Tem . Service "X" above the work covered 6y this request. Enter remarks in this spoce and on fhe back of the whife copy only. Calculote InspecFion Fee - This Inspettion Request will not be accepted without ihe <omecf fee: Olher Fee # Service Erdmnce Sae fee # Grcvih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps p.oa py 0 to 100 Amps S}reet L}g./Traffic Sig. Above 200 Amps . Above 100 Amps Transformer/Generafor INSPECTOR'SUSEDNLY.' TOTAL $ign/OWline Ltg. X{mr. . 's.' . j? itlU //0 Alartn/Remote Conhol II Swimming Pool i hem ?.ni fim i im tho deadcoi ? nano her " an the doks smkd Irri9tlfip1 Boort? Rough-In ? S ecial Ins edion p p Invertigafive Fee Fi.1 ? ? THIS INSTALLATION MAY BE ORDERED DISCONNECTE T C M ETED WITHIN 18 MONTHS. I IIIIIIII II` II II IIIII IIIIII IIII BP1 ? Univ sState ity Ave., Rm? SR A.IPauP MNTSSO104 * 4 2 5 8 3 * Phone_(612) 642-OB00 ?Bj)?(? ?• ? Home Duplex Apt. Bidg. Ofher: New Addn Commercial Indushial Farm Remod Re air Air Cond. H}g. Equip. Wafer Hfr. Lood Mgmt. Other: D er Ran e Elec. Heat Tem $ervice "X" above the work covered 6y fhis request. Enter remarks in ihis space and on }he back of the white copy only. Calculaie Inspedion Fee - This Inspx(ron Requesl will not be accepted withaut the correct fee: Olher Fee 31` $ervice Enimnce Sae Fee it Grcuils/Feeders Fee Mo6ile Home Purk Smll 0 ro 200 Amps p? - 0 to 100 Amps ? Sireet Ltg./fmffic Sig. Above 200 Amps OO?Amps Transformer/Genemfor INSPECTOP'SUSEONLV OTA LC ?Q_ $ign/Ooflina Ltg. X{mr. z? ? y O ?J Alarm/Remote ConNol $wimming Pool I hHe oem thai i inspeded fhe e I insbllafi de he.ain on the dota: mned Irtigation Boom 2ough-ln D.I. . ? $ ecial Ins edion p p Invesfigotive Fae Finol ? THIS INSTALLATION MAY BE ORDERED DISCONNECTE C 18 MONTHS. 2?? L A/? -C7O O ? J OFflC USE QNLV This requasl roid 78 months (mm volidafion dare pnnted in Mis bo:. aa? PLEASE PpINT OR TYPE R ms1 DoM 9 ? Roogh-in Inspecrion reqoired2 Ye? ? No ll h h d Inspaclion Olhar Thon Rough-Im ? Ready Naw WII Cali R d D - 0 ?Vou mu. m t e inspecmr w en rm y) am eo y: I,)<licensed contmdar ? owner hereby request inspecfion of ihe above eledriml work at: Joblddr?.y?51ru1,? or 0.ouk N.& ? O O Ciry ? Ip Cade Secnon Na. Tovmshtp Nama or Na. Range Nn Fire Na. Caunly pcwpa D 8 Phone No. Po..er5 ier Pddrass ,paxtl Conhacror (Compa^Y mel Con r Licenae No. Masbr Gc No. (Plmt EIM. Only) MailinBAdd s(ConkaWrorO.muPeAoiminglskl 'on) 7l0 .5- / ? AuMonzed Si na (Cankudor or Owrrer PeAormirg Inabll ' ? PhangJJO?? ??? , u (J EB-00OOlA-10 6/95 SfATEBOA1iD -SEEIN5711UCTIDNSONBIICKOFYELLOWCOPV 441°5T377 ,,- 0/ ?%9 7 FS HEQUEST FOR ELECTRICAL INSPECTION Minnesotq State Board M Elec[ricity 7821 University Ave., Rm. S-728, St. Paul, MN 55104 - Phone (612) 642-0800 Home Duplex A t. Bld . Z Olher: New Addn Commerciol Indusfrial . Remod Re ir Air Cond. Hfg. E uip. Water Htr. Load mt plher. D er Range Elec. Heof Temp. Service "X" above the work covered by fhis requesf. Enfer remarks in this space and on the back of the wAife copy only. 3 tS CalculoFe Inspection Fee - This Inspecfion Request will nof be accepted without fhe correcl fee: Other Fee # Service Entrance Size Fee # Circuits/Feedea Fee Mobile Home Park Stall 0 to 200 Am s 0 to 100 Am s Sheet Ltg./TmHic Sig. Above 200_Amps - Above 100_Amps Transformer/Generaror INSPECTOR'S USE ONLY TOT L $ign/Oudine Llg. Xfmr. ? ? Alarm/Remote Conhol / b Swimmin8 Pool ?' I hereb certi i t e 'nsmlia?ion dasnibed herein m fie dmes sbkd Irtig ation Boom 5 ecial Inspedion Invesfigafive Fee THIS INSTALLATION MAV BE ORDEREd ONNECTED IF NOT COMPLETED WITHIN 8 MONTHS. o? /J 3 /p7 OFFlCE USE ONLY This requasf void 18 mon,hs Fam validofion dete printed in this box. co 7 X?' IIIIIIINIIIIIIII?illi?lllllllllllllllll IIII'/???? - * 0 4 4 5 3 7 7$%? PLEASE PRINT OR TYPE Requ st Dab ? No RougMn inspaction raqviredi 5z Inspa-tion OiMr Thon Roughln: ? Nmdy Now?Will Call ?? ?? ?Vou must call ?he inspecror wh ) Dah Ready: I, 25licensed conhactor El owner hereby request inspection of fhe above electrical work at: Job Pd(d?ress (Srceef, Boz, or Route No.) Ciy 2ifp?-Cro-de Secrion No. Towmhip Name or No. Ronge No. Fire No. Camry Occupvnl Phwe P°` ?Supplie. fJ ? Addrass IC242i?1 c ? L Elechi Conkacror (Compvny Name) ??c e Conbacwr Licensa No. y Mashr lic. No. ?Planl EIecL OnFy) - t Moili Address ?Conkotlor w Owner pehaming Insroliarion) ?O f? A?ollwriz7e/d fsi9naNre (con or Owne, P 'ig In:mllanon) ?" L. . ? Poone No. EBOOOOIAI 1 8/96 ' STATE BOMD COW - SEE INSTNUCiIONS ON BACK OF YELLOW COPY Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use Permit ~T City of EaRd Permit Fee: ! 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: _ I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: iGl Q C A A Phone: (/V~ lJ 0A) Resident) Owner Address /City /Zip: Applicant is: Owner Contractor 417 Type of Work Description of work: / e la~~' 64'1'1 {Cl ~'C~/y~l Construction Cost: ejx 490 Multi-Family Building: (Yes / No,,L< , Company: Contact: Contractor Address: 03zh 2%/, City: State: Zip: Phone: CJ12 -1~ License #Z6Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 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 I- conclude that the 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.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 Cod must be completed within 180 days offppeerrmit issuance. ~j/y x G^(~l ~tlL 14&m /I~ p x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136775 Date Issued:05/31/2016 Permit Category:ePermit Site Address: 1828 Red Fox Rd Lot:28 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Ryan Haddorff 1828 Red Fox Rd Eagan MN 55122 (612) 743-1080 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136775 Date Issued:05/31/2016 Permit Category:ePermit Site Address: 1828 Red Fox Rd Lot:28 Block: 2 Addition: Blackhawk Forest PID:10-14325-02-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Ryan Haddorff 1828 Red Fox Rd Eagan MN 55122 (612) 743-1080 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature