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3886 Princeton Tr441b° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 c_44-3119 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Re Staff: 2011 RESIDENTIAL�BUILDING PERMIT APPLICATION Date: �2g ( Site Address: Qt� ©(O Pe ``"� � L ° Unit #: RESIDENT / OWNER Name: DDA) t S fie u-- Phone: Address / City / Zip: 3 (DPCJN 4..-1 7"72l ' Applicant is: Owner 7Contractor TYPE OF WORK Description of work: Jil¢e Construction Cost: `�`r C/� )( 6C-' Multi -Family Building: (Yes / No X) CONTRACTOR Company: flA/— %ill r (0.4/5 r/2 en 1n/ Contact: it,/ S7 -?.a v6 City: J6/c AR Address: V32- 5- S1/4.17Tv-J L,4 6c..A State: ✓" Zip: 3S2- Phone: c.. 2- %%z- - 3 d C, License #: 20Co 3g 23 O Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _YesNo Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submrt are considered to be public information Pardons of the `information may beilclassifwed as non-public rf you provide specific reasons that wo ld permit the Git t to `-conclude: brat they are trade secrets:,] CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aobherstateonecall.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 approv . i f plans. A• • cant's Signat e x G ghm �D✓1� Applicant's Printed Name Page 1 of 3 t 'O k 0 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: \ •\ a-7110 55 0° RECEIVED DEC 2 9 2010 Use BLUE or BLACK Ink Permit #: 7 T7 Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: S__.49 T( Tenant: Suite #: RESIDENT / OWNER Name: Qi(1k S� Phone: Address / City / Zip: J i$l pc i J L C e_* L CONTRACTOR Name:. C)A ?\\i3 1z\ License #: Address: U L (cam 0-1J/2._. City: pou.A TYPE OF WORK State: VY Zip: -c-S— l® Phone: CPS -1 Contact: \ -L V 3 Email: C O.X'r 'Y O�Vv Coo -N New Replacement Additional Alteration Demolition Description of work: GLY\C e (t - PERMIT - PERMIT TYPE RESIDENTIAL V FFurnace ✓ Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping COMMERCIAL Interior Improvement Processed Gas _ Exterior HVAC Unit Under / Above ground Tank (_Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) 56-. D O TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Pemri(, Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) $ TOTAL FEE 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. wwwsropherstateonecall.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 Gans. x��c�,,rt-�1+ Applicant's Printed Name Ap licant's Signature •-' CITY OF EAGAN Q 9j 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121 PHONE: 454-8100 BUILDING PERMIT Reuipr # SiteAddress 3836 ?11:1 i'C.ETON TR Erect W Occupancy Lot ' }' SC'il??.P?•. LE Block ?c/Sub - < Remodel ? Zoning , Parcel Na. . Repair ? Addftion ? Type of Const. n No. Stories ? Name '1'+.,`,i '.C)l?,= Move ? Demolish ? Length ' D h ; Addres s X _' 8- ML I ? ept t), b ..... r 7f:11-l N 4: mpc . . .. Sq. Ft. ? Name ?? Address f Citv Phnne Name Asussment - Woter & Sew. Police Fin Adciress Eng, City Phone planner Fermit ? j:i ,1 . 0 4 Su?che?qe • a 0 Plan Review . 00 snc 00 Water Conn ' `' v • 00 water Meter ?' -' • J d Road Unlt ?- ? 1• 0 d I hercby acknowledps thot I hove reod fhis opplicotion ond stote thot 81dg. Off. Tr, pl, the informotion Is correct and agree to comply with all oppticobla A? Stcte of Minnesoto Stotutes and City of Eaqan Ordinonus. Parka Var. Date Copies 5iflnotun of Permittce Ilvi: Total . A Buildiny Permit Is issued to: on the exprcss tonditbn thai oll work shall be done in atoordante with oll a,ppficable State of Minnesota Statutes ond City o4 Eayon Ordinances. Buildirp Offldol JKV.,v.C. I(„ ) 14 I--V 0,, , it'lfo (x-?- I6-K,)It?G I I liupWion Dste I Insp. 0 Other I Footings 11 Hto. . Dlsp. Receipt ?/? :%.? ? PLUMBING PERMIT Permit No. ^ CITY OF EAGAN -- Fee ._ • ? , , , Fill in numbered spaces _. S/C , i Type or Print /egibly . Tot . Date 1 Installation Cost 2 . 3. Job Address- •? ? t?- . < .? ? Lot " Blk. Tract ' - 4. Owner 5. Contractor Phone • 6. Address ? 7. City State ZiP ! 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add O Aiter O Repair ? 10. Describe 11. No, ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank ' Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and, codes governing this type of work. Signed : ? • for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reaipt MECHANICAL PERMIT CITY OF EAGAN ? fJll in numbened Wacet Type or Prtnr /egibly , t. Date ( L) -? S'? ? 2. Installation Cost _ 3. Job Addres: •'Lot BI Permit No. FN ? S/C Tot Tract 4. Owner ,?2}J' i Lr l ti ? ? ?- • • ? l `? 5` , ? ??? ,PhOflB . Contractor l I s. Addreu, 7. City ? i l.?-1 ? ?Ic.t ? tt ''y State - 2ip ! 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New?& Add ? Alter O Repair O 10. Describe `...r??l r r • +'? Fuel Type 11. t r % No• I Fauipment 9TU - M. Ea. Forced Air?-t+ No. Equipment CFM Air Handling: Mfg. Boilers E Mfg. Mech. xhaust Unit Heater Mf9• Other Air Cond. Mfy. Gas, P"iping Outlets 12. I hereby certify that the ahove information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for ` Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 INSPECTION RECORD CITY OF EAGAN PERNIIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . . ; i'fI iC)N S#i ;II11 NI 9 {! r t td?, ! I?PI .iltl;li'i i r. i. ' ? r,t:! ti3r,•) i Hf MIAi7K`., 4••`3k'-AS0N f•ORtH 4F; PARATF. PERMFl:;- RC'UIIi HE(1 FOR E lit'!'l l? 1(Ai. Qi2 1}I uMR 1 N+t 4J?WF J PERMIT SUBTYPE: TYPE OF WORK: 4t,w 14 F ?. 0 ',-, 10"F 5E: 1 tsAr' i: Permft No. Pormit Noitlor Date Telephone tk ELECTRIC PLUMBINC., HVAC Inspectian Date Insp. Comments ' FOOTINGS FOUND FRAMING -2? ROOFING ROUGH PLUMBING PLBG AIR 7EST ROUGH HEATING GAS SVC TEST iNsuL p- 0 44r3 GYP BOARD FIREPLACE / FIREPLACE AIR TEST ' FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DEGIC FTG DECK FINAL l t.c.c c/ CITY OF EAGAN Remarks Addition LEXII3GTON SQUARE Lot 3 sik S Parcel 10 45075 030 0 Owner Street 3886 Princetnn Trai 1 State FaQoan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 254.53 254.53 C009768 10-12-84 SEWERLATERAL ben tT 1986 173.65 11.58 15 173.65 C010113 1-28-85 WATERMAIN Lvsvr ;zap 1986 68.3 4.56 15 68.33 C010113 1-28-85 WATER LATERAI WATEfiAREA 1986 286.4 19.10 15 286.43 C010113 1-28-85 STORMSEW TRK 1986 501.29 33.42 15 501.29 C010113 1-28-85 STORMSEWLAT 1986 513.81 34.25 15 513.81 C010113 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Road Un1.t 280.00 55221 9 9 85 WATER CONN. 500.00 ? 9UILDING PER. 10914 SAC 52500 PARK .. ^ <` . •-Th? c.' " . •.R..,.? i . wx?L' _ I.y.. . . ,..^??xi.. .. ? _ . ....- , -,,.¢.?. , . .. CITY QF EAGAN ? 18249 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P HO N E: 454-8100 BUILDING PERMIT Receipt #-t??t , To be used for DECK Est. Value $1,000 Date AIJG 10 , 199Q Site Address 3886 PRINCE'TWQ ?R Lot 3 Block S Sec/Sub. IX7I1'K.'T'0!i SOI? Parcet No. +d+xK= &vlLx W Name ec ? Address 3886 PRINCBTQl1 1R ° City EAGAN Phone 881-4552 ,o Name SAME zr ?d Address ? City Phone WW Name ? Address a W City I hereby acknowlege that I have read information is cortect and agree to a Minnesota Statutes and City ot Eagan ( AI on Building Official Phone )plication and state that the with all applicable State of ices. shall be done in accordance with all s and City of Eagan Ordmances. Occupancy Zoning (Actual) Const (Allowable) # ot Slories Length Depth S,F. Total S.F. FOOtprints On Site Sewage on site wen MWCC System City Water PFV Required Booster Pump APPROVALS Planner Council Bldg. Otl. Variance ib• -no Bldg. Permil SurCharge Plan Review SAG City SAC, MCWCC Waler Conn Water Meter Acct. Deposil S1W Permit SrW Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEFS 25.00 .SO 2 nft av•.Fv Parmit No. Permit Holder Date Telephone # W?TER SEWER PIUMBING H.V.A.C. ELECTRIC Inspeciion Dete Insp. Comments Footings 1 Foundation Framing Roofmg Rough Plbg. Rough ktg. Isul. Fireplace Fin2i1 Htg. Final Plbg. Consl. Metet Plbg. Inspeclor - Notily Plumber ErgrJPlan Bldg. Final oeck Ft9. Deck Final ?- ? p S Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Rwd SEWS sERVKX PERMR P. O. Box 21199 PERMIT NO.: Eagan, NIN 55121 pATE: Zoniri0: - No of Units: Ownar, - . /lddrcss: SIM Addross:11-:r, P- i •;r - k Plumber, ,?. I . .%.'.? ? 1 Mm to mib w1l6 !IN Ciyr of [ow. ConrNdion Chonge: ? "MmOM. AccouM ?pasW. PermR FN: ? t Su?cFarys: BY Miac. Choroex ? Date of Insp.: Total: ? -InsP•: Dob Paid: CITY UF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Esgan, RAN 55121 Zonirg: _ ?,??: _Oi.fir11Z1C1 CO.I r' Addrem stee Addmss: %8fib Pri.ncetcn -T Plumber. ?.?ke'? ;;Or. ?' a; -?' Nbter No.. Size: Reode? No.: i qrN to ao?ptl? wi1h !Iw CiI of EyaA OrAeemoM. By Date of Insp.: WATBt SERVICE PERMfT PERMIT NO.: DATE: ' _ No. of Units: ? _ Cornectian C+arye: _ AaourN Deposit: _ Permtt Fee: Su?chorge: Misc. Charpes: ' '';: • '? i ?? Total: ' s> LPr _ Dote Paid: _ In.p.: ? CITY OF EAGAfd WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ' Eagan MN 55121 DATE , Zoninp: _ 13, : No. of Unit;: ? Owner, fiottZtund AM1083: 1 '_L. L- 3886 Princelr ri 5its Mdross: ? 1? v vv cc , . plurrber. Nickelson P ' A I M hAeter No.: 345 1366 L3 O Connection Charpe: Sixe• A«ounr Depostr: 15. 00pu' ReadWNo.: . L? ?o I17 4/ 02.0 9 5- Permct Fee. 101 • OG Ud I.gh. te oowqy w1l6 ifi. Ci1r .i E.y.¦ Surd,arge: . 50T,d ' Or+liMnaL Mlsc. CharQes: •_' i;pd 23 ? Total: =, 3,!?'?'??3 'neter gy ` '?•••?-. ?t•?'? r ? Dote Paid: Date of I nap.. (nsp,; '-7i0 "!?, ? , t -' CITY OF EAGAN N° 10 914 _ 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454•8100 BUILDING PERMIT Receipt Te 6a wad for SF DWG/GAR Est. Value $66,10 0 Date_ SEPTEMBER 9 1 q 85 SiteAddress 3886 PRINCETON TR Erect $1 occupancy R3 Lot 3 Block 5 cedSub. LEX SQUARE Remodel ? Zoning Rl Parcel No Repair ? Typa of Const. Vn . Addition ? No. Stories m nlame ROTTLUNO COMPANY INC Move ? Length 44 = BOX 383 P O Demoliah ? Depth 48 . . ? Address ?ntlmoc ? S'' Ft' OSSEO 780-1848 City Phone Install ? O Name SAME Approvois Fees Su Address Assessmenr Permlt $ 334.00 1- City Phane WoterBSew. Surcharg¢ 33.50 Police Plan Revlew 167-00 GW Name flre SAC 525.00 ?? Address Eno. WaterConn. 500.00 ?W City Phone Planner WaterMetar 63.00 Council Road Unit 280.00 1 hereby ocknowledge thot h vapplication ond state thal Bldg. Off. 9$$ 5 Tr. PI. 132.00 the inbtmGtion IS [ofre and ply with oll opplicobie AP? Sfate of Minnesota $tat te aOrnces. Parks Var. Date popies SiBnature of Perm Total $2.034.50 A Building Permlt Is issued ro: LLTND COMPANY I NC on the express condition tha, oll work sholl be done in occordonce wifh all lapp icable $to%ef-A4inneso? Stawtea nnd Cfry of Ea9an OrdirwMes. ? ? ? Buildinp Officiol ? - CITY OF EAGAN Np ? 8249 _ 3830 Pilot Kno6 Road, P.O. Box 27-199, Eagan, MN 55121 PHONE:454- B100 9 ']5 BUILDING PERMIT Receipt # ?3 To be used for DECK Est. Value $1, 000 Date AUG 10 , i g 90 Site Address 3886 PRINCETON TR LOf _3 BIOCk _5_ SeC/Sub.LHX_ N('zTON SQ AR . OFFICE USE ONLY Pareel No. ocapancy - Fees Zoning W Name LARRY REUTER (ACiuai) Const _ Bldg. Permil 25.0 0 z 3: Address - 3886 PRINCETON TR (Allowa6le) - 50 ° Surchar e 9 . City EAGAN Phone 681-9552 8 o151ories - 0 4 161 Plan Review -9 8 Length F Name SAME pepth ? SAC City = ?? Address S.F.Toiai , _ SAC,MCWCC '- City Phone S.F. Footprin[s - Water Conn On Site 5ewage Name On Site Well W t M t Fti Address MWCCSystem a er e er City Phone cnywaier qcct.Deposit - S PRV Required /4V Permit _ I here6y acknowlege ihat I have read IrR application and state that the ? Booster Pump - S/W Surcharge inlormation is correct and agree 1 ?rbply withca l e ?a Ie of MinnesOta Stalutes and City ot E rde Treatmenl PI Signature ol Permitee +Q-??- APPROVALS Road Unit LARRY REUTER A Building Permil is issued to: Planner - Park Ded. on the eXpress condition ihat all work Shall be dOne In acCOrdanCe with all Council -- 1 00 2pplica6le Slate of Minnesota StaNtes and City of Eagan Ordinances. / Bldg' Ofl. _ Copies . BuildinqOHicial_TLN14 RP,I ??11 Variance - TOTAL 26.50 ?7 _G 7 J REQUEST FOR ELECTRICAL INSPECTION „ ee-ooooi_oa <<? ?) ( See instructions for completing this torm on back ot vellow copy. / '"X*' Below Work Co.vered by This Request Ney, _ dtl HeO. Tyoe of 9uilding , ? Ap0liancea Wsred Enuiument Wired Home Range . Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric He2tin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm +ner oocify o+nerlSnac?H1 e e. Sueci y O[her Oiher Compute Inspectron Fee Below M Fea ServiceEMranceSixe R Fee Fexders/Subleeders k Fee Circuits U to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 q 5 Swimming Pool Above 100_Amps Above 100_Am{r' Transtormers Irngation Booms Partial- OthenFee Signs Special Inspection S<l -\ TOTAL FEE Pe?rks .?) %J ( z l , // _ irl Aouen-in ? Aillar, o??e , -, ?i• ??f' (' I, the Elecbica?l ?L?-/? ?nsoector, hereby cgliity that the abpva Final %A?J /(/ ? nspection has been ?. ? mBde. Thln reauesl volA 18 montlre fram r e months 1rom'tl 5(0( 3 y Request Date ' /? '"?(?' -" - Fire No. R u8 in Insuac i n R q redT ? ?Reatly Now ill Nntify InsPec- ??, Wh R (1 ( Q Yes ? No en eatly licensed Elec[rical Contractor l I hareby re0uest ins0ection ot above ? Owner electrical work instelled at: Streat Atldress, Baz or Nyute / LO . Ciry ecLOn o. Townshlp Name or No. Rdnge o. Covnty Occupam IPR ? Phuna No. - Puwer5u0Vli r?-' AddreSs Electri a ontractor ICOmpanv Na e?rt ConVacmr"s License No. 7d- ailin0 AdJress (Con[ractor or w M?akin?B Ins?talla/t/jif Aut orized SiBn e(COnvacmr/Ow r MakinO tallation) Phone Number MINNESOTA gWE BOA0.0 OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GriB9s•Midwqy'BItlB. - poom N-791 BE ACCEPTED BY THE STATE BOARD 1827 UniversityAva., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 297.2771 ENCLOSED. RESIDENTIAL 5 ?J? .r)Z BUILDING PERMIT APPLICATION ' j CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWction ReauiremeMs • 3 regislered site surveys showirig sq. fl. ot bt, sq. ft. of house; and a0 roofed areas (20°k maximum lot coverage allowed) • 2 copies of plan shaxing beam 8 window saes; paured found desgn, etc.) • 1 set of Energy Calculatlons • 3 copies of Tiee Preservation Plan if bt platted after 711193 • Rim Joist Delail Options selection sheet (Wdgs with 3 or less uniGS) DATE ?_4:? z0'2- SITEADDRESS 30OG TYPE OF WO APPLICANT AUG 0 6 2002 STREETADDRESS --Jrssf 1//?- CITY.e?/T^' STE TELEPHONE # ? CELL PHONE # FAX #_ PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY I (4 submission lype) • Residentlal Ventllation Calegory 1 Worksheet Submitted • Energy Envelope Calwlations SubmiUed Piumbing Coniractor: __ Plumbing system includes: Mechanical Contractor. Mechanical system includcs: Sewer/Water Conhacfor: Air Conditioning Heat Rccovcry Systcm Phone # /I 3 - 7!s? .s",!"/? _? Pee: $70.00 ---°-------------------------------------------------°------°------°----°----------------------°--°---------------- I hereby acknowledge that I have read this application, state that the inform correct, and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin c. Slgnature of Applicant OFFICE USE ONLY _ Water Softener _ _ Water Heater No. of Baths VALUATION % 370' ? ? MULTI-FAMILY BLDG _Y lkN FIREPLACE(S) _ 0 Z1 _ 2 RemodellRewit Reaulrements . 2 copies of plan • 7 set of Eneryy Calculations kr heated addi6ons • 1 site survey for exterior additions & decks . Indicate if home served by sepUc system for addiUons Phone # Lawn Sprinkler E No. of R.I. Baths Phone # Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 FoundaUon ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement CI 38 Demalish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Akeration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Damolition (Entfre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ plumbing _ Fomdation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Tatal CITY OF EAGAN CASHIFR; S TERMINAL NQ: 87 DATFe 05/21/37 TIMF: 13:44:34 I[Ie NAME: DENISE l fiEUTER 3210 3001 3886 FRTNCETON 174.75 3422 9001 3886 FkINCETON 113.59 2155 9001 3886 FfiTNCETUN 5.50 ? Total fieceipt Amoilnt; 233.84 CF20741.E,3 USEk SG: NANCY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: guxLoxNG Permit Number: 029920 Date Issued: 0 5/ 21 / 9 7 SITE ADDRESS: 3886 PRTIVCETON TR LOT: 3 BLOCK: 5 LEXINGTQfJ SQURRE p.T.N.e 10-45075-030-85 DESCRIPTION: NEEDS 10 ermit T,ype q:4,k rY P e ? SETSRCK SF PORCH NEW 434 RLT. RESIpENTIAL iG `q ?'':sk ?`..?0`2 ? ?g ?5 ?- ;a. ?" REMARKS: 4-SEA50N POt?CN SEPRRATE AERMITS REQUIRED FOR ELECTRICAL fJR PIUMBING WORK - FEE SUMMARY: VALURTION $11,000 6ase Fee $174,75 Plan Review $113.59 Surcharge $5.50 Total FPS $293.84 CONTRACTOR: OWNER: - Applicant -- REUTER LAWftENCE ? 3886 FRSNCETON TR EAGAN h1N i (612)681-0544 , .. _ . .3. , _. .. . ?€a;rem 'l4r .ans? S??zt? that tl4? kfj.1 ,ajp?la:?a,??a 5.ta.te° of Mptrc ?f 0`a qa n ?r'o 1997 BUILDING PERMIT APPLICATION (REStDENTIAL) CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 681-4676 ? 3 registered site surveys • 2 copies of pWna (indude beem & window aaes; poure0 fid. tlesipn; etc.) ? t energy calwlations ? 3 copies W tree preservation plan if bt plalted aRer 7/7/83 re7ulred: _ Yes _ No DATE: ?l''dB- 97 DESCRIPTION OF WORK: STREET ADDRESS: / LOT BLOCK PROPERTY OWNER CONTRACTOR ? 2 copies M plen • 2 site surveys (exterior etlCiGOns 8 dedts) ? 1 energy eekulations for heated addklons CONSTRUCTION COST: 41CRa??-,Px &z'`"`'"_. / ? Name: Phone #: Street Address City: _ Z`iL,.<e.v State: ? Zip: SS/,? 3 Company: .Zi?- Phone #: Street Address: License #: City: State: Zip: ARCHITECTf Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construc6on ony): . Penalty applies when address change \ and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this appiication and state fhat the information is agree to mply wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature af Applicant: Tree Preservation Plan Received _ Yes _ No _ Not Require-s SUBD./P.I.D.#: ?•FjG^(N4TeN 'El",wr,f OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No APR 2 1997 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 02 SF Dwelling ? 03 SF Addition 04 SF Porch 9rO ` 05 WOK SF Misc. T/;IY?PE 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 07 4-piex ? 12 Muiti Repair/Rem. 0 17 Swim Pool ? 08 8-plex ? 13 GaragelAccessory n 20 Public Facility ? 09 12-plex o 14 Fireplace n 21 Miscelianeous ? 10 _-plex o 15 Oeck ? 31 New o 33 Alterations ?1- 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 0 36 Move ? 37 Demolition _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building FM Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ 11,190a,0A 3(pC M?:: ?- ? 4bruNuwrAw woINeSwIwo '¦ -:IMC. _ Ma,nOtl?¢ -SIlU06c 4d75 110-q N. Gh N E Mi•imeyolis, M1Lnnewm 554dl t'u114.UwnPolknp?v.m, - .?mllr uml . La.dR?ri ? ? l.un<fle.,?,?1 I I ,i?w . n?euna tlu nle Mn SSJ]I ? ? Certiticate oi eurvey tor l? LUN? ?OTT CD. Bearings Shown are Assumed. o Denotes Iron Fbnument. PROP65gG ELEVATIONS o penotes 10NFoundation Top of Floor 896.0 o Corner Stake. Cowest Floor ;;;, Surface Dralnage. Garage Floor q$''"?5 '-- DirecLion Elevation. Denotes i t iYG°/5" 00'E -)J.OO I ' I ? i ' , . 15 4 1 . 41.0 I4.01 ? . pRqOSEp v ? J'_S ?? i H NOUSC N i ^ y 4• L <n ? ' ' M GaancE'? I ' N N i I ci I ? ?I M'?---- ?----t-?- -lm 4 _?? I 75. oo 18. N ?EQQ M CE TON TWA/G V ? r : e - - ----- - - SY DATE '?-7 BUILDING INS ECTIONS DEPT. LOT 3$106k 5 L EXING7"ON SQUAAE !)AKDTA C OUNTY, M lIVNE SD Ti4. 1 Av66y sMN/y 1he1 Ihb h a 1ro• and iarreil npr.1snlarlan ef u?erv?y of IM bs?edu.iu el 1h• ebew 4.?arl6od lond, 9nd a/ 1ho laeallon M 011/1,u11dlnits,.1Mrpen, und all .1s161• •nc.ooahm?n??? i) any, pom o, an sald lond. As surwyed 6y m. ehls4?-2Y.y d 1(A.D.'19 JUJIUIL&AN. tr+aiNtu!?±a, INc. Ineineen , fyrroyors ISJI SJ'?J3107 (C) 6y l., r.r%., t 1985 BUILDING PERHIT APPLZCATION - CI17 OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED HITH THE CITY OF EAGAN COl41ERCIAL SINGLE FAMILY DifELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: ?j,e? Valuation: ? Date: 9- Y ?s,?.??.? I.? Site Address ?8? il OFFICE USE ONLY i,ot Block ,$ Parcel/Sub JE* S? ?lC(r'? ? Owner Address City/Zip Code ?5 ? E n CK Au, SS -A Phone 780 - I 8 `l ? Contractor 'S?? ? Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 0 Erect ?Y Occupancy Remodel Zoning Repair ? Type of Const Addition ? U of Stories Move Length Demolish ? Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit ' Bldg Off ? Treatment P1 APC Parks Variance Copies TOTAL AGltl R wED Vp'iE ? V Main01Nce 571 6066 ? YIURmAN .-MOtNtS1l1MO ???eaoohha, m,nna.oro55n31 (lW i Mu.unycl En1w1rme IRw1 Tnun, ? Lan1 Rmi?pmf ??? P4wrune II Bumwmr. Mmnmia 553]] Certiticate oi 8urvey for 1?0TTZU/V40 CO. Bearings Shown are Assumed. o penotes Iron Munument. ? Denotes 10Voundation o Corner Stake. Denotes Direction Eof ySurface Drainage. ? PRpRBSEU ELEVpTIONS Top of Floor $9G.0 Cowest Floor Garage Floor q5.3 ., ? - „? 10 ? /Y G ° /S , OO ?5.00 % t?) ----------------? ? D?c'/1/?1'AGE ,f UT/C/i y EJMT? .PEc'ORD DLi¢T i I ' i i I ? i ? i i 4 i CARQ? ' ; j-0--- I ? ?,?----'?----} ?- -i Oti.? s n? N) o? ? ? ,/a'?? v' NC° o0'Zf" E IOAP/NCE TON TZAi4 ?r ? LOT 3$COCk 5 L EX/N&TON SQUA?E DAkOTA COUNTy, MINNESD rA. 1 AenW evtlly /MI Ibln Is e Irw W aernct repepnfa110n ef e surrer al Iho heunclorfef e/ 1M a6aw bwihed Ianqi, an1 N/M leutbn of ?II/YuIIdIrWtMr e, aad oll r1slYle •nsroasMinenta, i/ my, /rom ar on mld bwl. 4 Wrrhrwd by me rMla_? `dfyy A.D., 19-95? fUWtBAM "OINEERINO, II,?IC. IntieMn ., ? 3yireyars `-;-----`T- lSS/ S35364 (C) .? ' Not Yubliflletl: qll Rpf11s RMlrvsO' , , Gt?z v?`wz•r-? LLZ EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS " - • =`- = ` CONTRACTOR DATE PHONE('Y1 Y`S5 Determine wo'rking square footage of each. 1. Total exposed wall area ...... 2 1(7 ? sq. ft. x b, 4 2. Total roof/ceiling area ..... sq. ft. x ?026 Total exposed wall area above floor = \ o! a. Total wall window area ............................... r! b. Total door area .................... ......... ....... c. Total sliding glass door area ...................... ...... d. Total fireplace wall area ............................ v' e. Total wall framing area (average 10%)...,............ 17? f. Total net wall area above floor ..................... /$'t/'? g. Total rim joist area ............................... Total exposed foundation area = -71. h. Total foundation window area ............... i. Total net foundation area above grade .,.............. 1 Determine "U" value of each wall segment. a. X "U" b. 3 ? x ]lu" c . `! U X 'FUll d . r/ X "U" e. Z 7e2 g 'lUll f. X,,U„ g. X flUll h. 6,?" X "U" i. 72. X "U" f n 6) -'/ C; _ 15i y -2 3 ......................................Total - Ih le `y S If item I/ 3 is the same as, or less than item (11, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = Total gross roof/ceiling area = J. Total skylight area .................. ...... (- k. Total roof/ceiling framing area ...... ...... "'!I 1. Total net insulated roof/ceiling area ...... 1\? Determine "U" value for each roof/ceiling segment. 3 to x Ilu,l 217 k. -7 ( x"Ull 0O( 2 i. / 1\ ?1 xflU" Z 5? = 2?, ?'c Ss' 4 ..................................... Total = If total of 114 is the same as, or less than 112, you have met the intent of SSC 6006(01. To utilize the total envelope system method, the values established by the sum af items !/3 and 114 ehall nat be gteater Chan the eum of iteme #1 and 1i2. 1. ? '-J 0, Ll. + z. 3, ?q 7r7S + 4. 27 3 ?D6C? = 2 ROOP/CEILTNG • ;? i Heat fLow , uP FIG. #5 . i . ? i' . , ConstrucL•ion ? 12-Value 1.TnEerior azr film 2. 5Z H 'C?Y T? '?3 ?O , o S8 3. BLUw.v i.v,5v? ?rc5,00 9. Exterior air film (still 0.61 '-' Total g0. • ' ? ' V = oU?J ' , ,. . •• . . ? , . 1 Y.ecr f1oFJ vp • .•venCed • ' i ' ? ? .. ' . . • ' :i••"...• • • . _--?- -?-? . , . . .. . 3 4 • , .I ?,?,?„?° ' ?' t Rnl 45?? ? C_--G-:'•• • nn/_A?.L??-'.^J' ' a?ti.?i:: ?.?:.• ?; _? --?; : ?? t ?i? , • . ?I '•,'.? .K' • :••' . ' N07-?PPI'P.D . .. . i' . ? '.. . . ?Hent ? ' • , ? ?Elow up ? - . • '' . . . • . .. • ??-?•`_f- ' ' . 1. Interior air film 0.61 2. 6-1 Y1_ 5-8 3. /.AlSvL ovC-iL rizU55 ' 3y 'q 7' A., Erterior aii film sti 1 . I ' • , Toi-aL 3 . . ?? ?. . • . . , ' . 1. Tnsi.de ai.r L-ilm 0.61 . 2. 3. ' . . n. j 5. OuL-side air, film 0.17 , Tota1 ? ?' ' • . ' . NoCe: Use addztioi7al slseets if more 5pace l? ? needed for details and cdlculaCians. . • I .' ', Ma,n0lLCe 5116068 GUSUI?WAM 6B)5 Hqnway No. 65 N E ?NOINtt1?IN0 Minneapoin, Minrcau 55432 IMG ' SaumGliia 8906510 1'nr/ k MuNnpl .S £nt?vmn? ?W Tr,nM r.. ??nG cvve.rm? ? ,e rw.., Mmneno 55777 ,,¦ eu,mr?ue. Certiticate oi 9urvey for ?OTTL(/ND CO. Bearings Shown are Assumed, o penotes Iron Mbnument. o penotes 1*FoundaYton Corner Stake. Denotes Existing Elevation. ? Denotes Directian of Surface Drainage. ras 30' ?L 6 -4:07.St.-Sc-.;7 .._- - --- ._ O? COG+S.= 2 ?3 ? f ,? ? N ' o ^ m ? N I ?' PROPBSEU ElE4AT10NS Top of Floor Cowest Floor Garage Floor _ 7fEST Vy00?7:SL' _ ?? v NG°/S'OO" E ?5.00 y i 0,?9?NqGE ,r UT/[/Ty EJMT ? ? I?l?E.e .PEc'D,eD 1-)L.47- r ? i ' ? ? i 4' ? . No Ni?lcc?rf I - ?- 4 Z OJ i / 9 ' - C12 N I T ; I 122? K "i ? 00 P ? Io f+] L -------- - --1 ?S• ? t? RPiN(E roAv j T?Aic LOT 3BCDUk 5 LEX/N&TON SQUARE flAKOTA C DUNTY, M141/YES0Ti4?. ? 1 hveby <ertlly thal IMIs {t a Irw aM amrvst nprogeelatlen e/ a survey e/ 1h• beunderio ef IM e6ew lowd, snd sl fM I0901{en No11 4uildfnp, Iborwn, eeA all wIdble •ntroaehmenf" II any, from w ew wid lawd. b furwyal ?y me IAH_day ?1 11.0. 10_ fUBURBAN ENOIN[tRINO,INC. Inylnern Survorsn 55? SLs.S??v¢ `C? 6r - No?( WWh?atl: Atl qi pnb HpOrwC ? ? c,?,.., ',..,- . . Mem O?ime 571 6068 USURMAN 6B>5 Hy?wey No 65 N( ' ,??NOIMtt1?INp . M?nnea?oiis.Mrnnemu554]] ', INC SawnGlb'r 8906510 fnM i Mwuryol Entwrme - Sw! TmW . /nnd cvwymt 0 Vnd Plomun! Mmnewu 55331 Bm?rvtlle, ,N Certificate oi 8urvey for /?oTrLUND C19. Bearin9; o penotes ? Denotes ,o°' Denotes t? Denotes s Shown are Assumed.. Iron hbnument. 10(S?FoundaCion Corner Stake. Existing Elevation. Direction of Surface Drainage. PROP6SEU ELEVATIDNS Top of Floor Lowest Floor Garage Floor --- -G13.es T vW oo'p _ ir- ? 30 ? iY 0° /5 "00 "E ?5".00 o.eaiaa6E ? uriZiry E.rMr. ' ' e .PEc'ORU .?LAT l?E ?L D?_-4 ?F_St. -? -13,] i , ? Z IDE_YA$TZ_ ? i ? t-? o ^ O\ ? 4 Z 9 oJ ?' ? N ? i GAti,_ ry i I 1 f?l ---1 i--------- Ib 25. 4 ? I P PX/il/CE 7"ON 7-44/? -- LOT 3$400 5 L EX/N&TON SQUARE DAKDTA C DUNTY, /1AJNNESO r4. I berebr <olily tha1 thls Is a Irue and <arre<t rePnsenlaHen el esu.vey ei 1ho beundarfn a/ 1he abeve dou4bad bwd, and sl Me 1a<e/tsn of a11 ?ulldlep, thveew, and all rlsible •nvaeahmenls, I/ vny, /ram w an sald land. •s surwyd ?y 1ne IAb?doy d A.D. 11- fUBUR{AN [NdINEtRINO,INC. , Iqin?rrs Surwyers 4 Not PoblisMd: All Riphb RmrwA ? Y1YI?r?N ??NOIMtt1?INO : . INC , fnd L Mwunpl EnpN..w? 45oJ Ta,uy . Lund cunrymt 0 und Plamun? ?re Certiiicate oi Hurvey Bearings Shown are Assumed. o penotes Iron Mbnument. ? Denotes 10NFoundaYion a Corner Stake. Denotes Existing Elevation. ? Denotes Direction of Surfece Drainage. ? 30' _Top o?_$?0?:+5. 89t? 0= ?.L O? 4 o F. St -?13,`J .TO -- L 04 }5= DF_ =Y'Ah I . i i ? - J ? ?--------- -----? 7S. P,P/NfE 700N? !I.?TZA_1C ? i LOT 3 aLOGk 5 L EX/NGTOit/ Main 016ce 5716066 6815 Hgnway Na. 65 N E ' M?nneapai?s, Afinriemu SSU] SoumGfime B90690 Burmmlle, Mmnewu 55337 `?TD'_51DE??i?RD ? SQ UAAE DA KD TA C OUNT y, MJNNE SO Ti4 . I Mreby evNly r6et Mh b r t.w and aene<I represenlsllen of a surrey e/ rh• 6oundaNU el th• ebere Iu<•16ed bnd, aM e1 tFo (acsllen Na11 bulldlngy 1Mruw, and all rldbb •n<reaehmenn, I/ anr, Irem er on uld land. M Wrveyal by Te thls_dq A.O. 70 fUMURBAN iNdIN[lRIN(i, INC. , Irqlween Suweyon F/LE lSS/ S95 36 4(C PROP6SEU ELEVATIONS Top of floor Lowest Floor Garage Floor tor /?OTTLUNO CD. =?0.8 ...------ ? woop =ar--- , '.r iv ?° is'oo "E ?J,DD ? ? D,t'.9/NAGE x UT/G/T y EJMr ? ?pE,e ?PEt'0eU .ULAT i ? ? i ? ? I 99? i i i i ? ? No ?niAU<GV? I 'i ? HoUS? N N ^K'? N 03 - ?? ? a ZZ oJ Q' C- ? ? ? 9 = Gr AEi- ' N ?N i Z Z' N Not VublisMd: Ail RlpAtt Flnsrnd 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHi) 1) PP.OPER'1"! ACDRFSS: r craI. li43t/Hlock/SL:civisicn or ITLK? azce I.D. .Tr '= v S7-7 =„*:2E. Oal 0F CiZT.GuAL `uiIIJZ`:G :'.r;•S: ISs?::•\C.: P°E..L" :..^.;Ld:/?-'Ci'Osqa) CS: .1• - , ? R-1 S?. GL: ?'P'?SLY ? R-2 DUP== (TtiO L':]ITS) _ . : ? R-3 TC;,.CtTSE (??HD. + LITS) { =^c) ? R-4 Aci-+.^-:ITa?iT/CC:.1?,Ci•m,2;,-ti1 ( I1NZ_5) ? CCi"!nfE.oCZAI,/RE.•*'?I?Cr:'ICE Q INMliSTRIAL Q LVSTI:L 2) AaPLI= IPLEASE Pdlt?i? Nr'1i•?: ?Cj?G.e ? .L? /Y/C ?E'/lO?t/ ACL`.'2ESS : A O:l CIi"l. S'l:?'r. ZZP: SCfJ Y . ?9 /?i^? Sf073 3) PL[,: mER CITY, STATE, ZIP: PfiONE: n?i?r. LIIMBER LICENSE N FOR CITY I1SE pVLY PLUHBERS LICEtiSE•? Att' ? spire fiot Recnrd 4) OCCL'PPNi,?: Z71 (PL/EA?SE PRINf) /Ai? `n ADDRESS: 4-gar CI7"l, STnTZ, ZIP: CSSG''v ?'It l n?? S'?S ? c• / PhGNE: 'Jg,-11 ' /g # S? ?? uvuitl??'t; :VHICH PERt•lIT IS BEID.'G REQUPSTID: El GL'`:12`IECPIOV TU CITY SMEEt ? COiIIv'E=I01 'i17 CITY ATATER - ? Oi'I'FR (PI.P11.,?' DESCRIBE) ? P*..: aSE F?OID ApPRWFD pg2,+1TT FOR PICIC-UP BY ONE OF AHG1IE . ? PIF"SE 2V'IL APPE2C7c1m PFR.%LIT T'J 1 2j 3, 4 A£OVE (Cirdle one) 7) SI?.?TL'RE• . . - - - ?rs?a?t+.--: --- --- - - DATE: ?! ?! Cia<awfl??w! Yr et t???u f.t ? r.+t?:asra a.? s?.t s?a:a:?s ??a?tJlra?ya s r tlstsar FOR C I TY US E ON:,Y PER'4IT °- ISSUED Frrs : $ ??) ?'U $ /0 SU $ ?3w S $ / ?-c.v : $- z S- ca _ _ $ S?G. ?'cJ $ S $ $ $ $ C?, . $ S S°i'iLR nT''_$MT_T (ZNCL'JLL JV°CH?'?'''.JG) WATE? PER*tT': (Ii:CL'uDE SliRCHARGc.) WATER METER/COPP°BHORN/OUTSIDE READZR WATER TAP (INCLUDE CORPORATIQN STOP) S::JER TAP ACCOliNT DEPOSIT - PIATER wac SPC TRUNK WATER ASSESS:?E::T TRliivY SEWER ASSESS:•1E`IT LA„E.^'AL SE:vcFIT/TRU`IK Sc:vER LATERrIL BENEFIT/TRUNK IQATER WA-TER TREATMENT PLANT SURCHARGE OTHER: TOTAL $ AMOL`NT PAID/RECEIPT 4 Szc3y DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGiiT OF WAY? [-7 YES IF YES, THEN n"PERb7IT FOR `AORX WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DZV:SION. LIST AS A CONDI- TION, SUEJECT TO THE FOLLOS9ING CONDITIONS: APPROVED BY: TI:LE: DATr: ?a aJ? wf? .? ? i? y ?c? ra !w ws? rf ? w sia ?ll? ?l.a ?t? w ? i? ws? Ra +.F ? ?a si? R+? !t ? ?a si? ? ? . ?_: w.+? ?:.?._., . .?- . . ... ., . _ . ... . _ I . 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN ? 1SZ SINGLE FAMILY DWELLINGS MULTIPLE DLI COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS i SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER P$RMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ??lC Site Address at-? Lot _$ Block r Valuation:Date: ?? / d Parcel/Sub y-.D.?L,IR1d7t ,L)!a Owner Z4?w Address Gity/Zip Code ?..c? ST-/-23 Phone (p?I" 9S.?2-1777' 00,41g, Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit 111S - Allowable Surcharge ? # of stories Plan Review Length (b' SAC, City Depth 11? SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies rOo SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. Variance , usuw&Aw ,¦MOtNttR1M0 / IIiC s Shown are 14ssunied. Iron FbnUnent. 10 %Founda t i on Corner Stake. fxisting Elevation. Direttion of Surface Drainage. t'yN L Mmue.pl fqnv.nn? ?.SOY Trvruy ? yenC 5?.,.e.u? ?(?wI P4wn1 . II 8o,nvnie, rn,nneaola 55]]7 Certificate ot Survey i?r,1OTTLUND Co. Ben ri ng: a Oenotes ? Derrotes lG?' Oenotes k? Denotes ? ? "-- 30 ' 4 ! ? - ? W ? o ? ? ? ? 7 Z' v , _I ? 1s'oo °E -).'x 0 0 PROP05Eb ELEYpT(ONS 7op of Floor $96.0 Lowest Floor 6arage Floor _ q-$ y 3 - h i D,PA/N,qLE ,r UT/C/i"y? EJMT ? ? .PE('o,eo L)Lg 7- ; i i ? i ? i o-$ qo.o i4o ? ' o i ?ROVOSED ? . M. ? H?.' NOUSE ? N I ? / I I ? ? ?-? s i I I / AQQ w ' K ---- ----?-?-I--1 ? I Q I 75.00 ? NG° 00'Zf" E RAV/NCE TON TX414 59ti 17 "9 ?\ N \ pj C-7 jq1.•°1 M..nOihtt 916Ofi6 6875 Mqnway No 65 N E MinneaooLy, MmMnu 55aM ?r LOT 3$LOUk 5 L EXINW-ON SJQUARE flA KO TA C DUNTY, MJNNE SD r?4 . I M.e?y <e.NIy tMr rA7s 1s a I.re aw1 ee.rear •yres.nrotlen of osmrv*r o1 rA• Yevnilmi*% NtAe eser* dna.Ked IeM, on/ N fAe Inelbw NoII bulldiMp,e6e• n, and ell v1s1b1e •ni.oeaAmeeta, Ii enr, lrem r w wid Iowd. •s survye1 ?y ww Mis $r o! ' •.O.'H?j?. ?AN Ef1pINEERINO, INC. 1 lw?i???n ! , fyi"r?n I F/LE lSS/ 5S5364 (C Not Pu6lished'. All Rphts RWrvM City of EaaaIl JUN 1 6 2009 -------- ? i ? ' lv I Pertnit #: 3170 ? ? I ? Pertnit Fee: 3(0 _ 5? I I ?Date Received: I I Stafl: I ------ ---------- ` 20U9 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? Ia D-1 SiteAddress:?Oc..? ??'{??? ???,i,1'I Tenant: Suite RESIDENT / OWNER Name: k 1Y.n.lse, t 4"r Phone: Address / City / Zip: 0_S O,06V2d CONTRACTOR r n ''?"? ?? Name: ?__? Y( Wi'YUW I?IA License #j ,/?` ?p ? Address: Z5 S SJ,P T7uY 1 ? l?Q, L7 Ll??%t - City: U State: r m) Zip: ?52.7` a Phone: ko aOQ JA)o(,)- Contact Person: ? Q!?? TYPE OF WORK Y, New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. ^ 1 ? I aitlW Descri tion of work: PERMIT TYPE RESIDENTlAL I Water Heater Water Softener I Lawn Irrigati Add Plumbing Fi#ures ? ? RPZ / PVB) ? Main _ Lower Level) Septic System Water Turnaround I New A6andonment AESlDENTIAL FEES: $50.50 Minimum Water Heater, Water $oftener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) I $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Tumaround (add $165.00 if a 5/6" meter is required) $700.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned oui appliances, duchvork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ i nereny acKnowieage tnat tms mtortnation Is compiete and accura[e; thaz the work will be in wnformance witB the ordinances and codes of the Gity of Eagan; that I understand this is no[ a permit, bul only an application for a pertnit, and work is rrot to start without a permit; Ihat ihe work will be in accordance with the approved plan in the case ot work which requires a review and approval lans. ? ,--- `? x .?GLfc.? ?o?(.ti x ??^^ ApplicanPs Printed Name , lic Ys Signature 'LY