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1471 Richards Ct
2011 City of Eaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: \a_ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: i/94.'/r Site Address: Pt 1/ C 7, Tenant: Suite #: RESIDENT / OWNER Name: 40014 itt AA1 r'%% /4 Sh t( Phone: ,O.�r2._ t9c,)-- 0 7/. :_ S-5 C Address / City / Zip: / 3 ,4 I„ 74,11...- . '/ /- 'e 41 -Ce &0+1A. 7— Al /1"/• CONTRACTOR `Iv" Name: l/Z- 121:,:.., .1:A.- " License #: e1 Address: ; Sll>/� e 1/ T/...___. . 4 City: i(.0 .e/11 (Val Val wr: State: /Y/ 6 Zip: ‘-,,i /I ( Phone: i'",/� `3�`c �7i7Ci Contact /44A/ Email: /i: i /% , : - � Aar 1114 r I' = c..c44-t TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ — Descri • tion of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Lower Level) Lawn Irrigation ( RPZ 1, PVB) Water Turnaround Septic System Neweandonment "� ;jLuvhe ' - I A.A/ Ot5(I' , t'wria o:.c7' RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater �„_nd, Softener (includes $5.00 State Surcharge) (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (indudes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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 1,00' of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this information is comp* . 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, bat 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 cr%M t—,4,tore, C Applicant's Printed Name nt's Sire FOR OFFICE USE Reviewed By: ©e•e•r•iYr.et /ww 11. ••• .4.110.11111.• I: IMniwr F ,.. ... 1 Do. reek I. Air •T ..4 (—.- Twe.4 C.we l 681 CASH RECEIPT . • s.r, ,? `?,.• . .-' CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNE50TA 55121 DATE 19 Recetivao FROM ' AMOUNT $ I & DOLLARS too ?D CASH ? CI-IECK 1 FOR ef 7 J-"' FUNO CODE AIAOUNT ? Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road P 0 Box 21•199 Eagan MN 55121 eiG1ILDING PERMIT W_ &_ .Y? .__ SF 993.'. PHONE:4548100 I ? Recefot # DWG/GAR $56,000 S ite Addresa 1.471 r'2 I C HAR D' S CTR Lot Block ? Se'JSub. WALk'LN }l;'S i.. rsan a? i? t. Parcel No. 1sT ? W Z 9 Phone Erect t-JV Occupancy - Remodel ? Zoning Repair ? Type of Const. `J Enlarge ? No. Storiea Move ? l.ength ? Demolish ? Depth 42 Grade ? Sq. Ft. 3 Name ? Add Assessment ? ress Water a Sew. City Phone Palite Name i Fin =Z Address ; 2 0(' Eng. , , W r. ?•T 8f:c -3029 City i, Phone Pla,ner 1 hereby ocknowledge thot I hove reod this opplicatan and stote tFwt Council gld9, pff, 3/2 0/8 S tM inlormation is torrect ond agree to comply with all applitoble APC State of Minnesota Statutes ond City of Eogan Ordinonus. Var. Date Permit "-U? • '? ?? SIJrCfWfgO Plan Review sAC Wuter Conn. Woter Meter Road Unit •? =? ? --! ?? Tocal - - ? -' G Sipnoturo of Permittea ? A Building Permit {s isswd fo: on tF+e expness conditlon thot nll work shall be dorw in accordonce with oll applicoble State of AAinnesota Srotutes and Gty of Eopan Ordinonus. Buildinp Offtciol - Pwmit No. Pwmk Holdw DM TNephons X Plumbinp r ? ? r j` y' C H.vr?.c- 93 -G5 EMctric , Soitomr InWection DaM Insp. OthK Footingg ? tlo ?. rcc@atl Foundation rf ? ti Fnminp Roofing (,v /3 RouYh Plbp. . O- Rouah HVAC ,36 L?S Inwlation Finsl Plbp. Final HVAC Final cw-t,occ. Water Describt Location: YVell UvNr P?. Obp. Receipt -- MECHANICAL PERMIT Parmit No. . CITY OF EAGAN Fee Fill in numbered spaces S1C Type or Print legib/y Tot, 1. Date ?-2 6-?r 2. Installation Cost 3. Job Address' -"'?-J?{!?4 _Blk. ? Tract -? ? 4. Owner ?L!/" 5. Contractor U?G/?E?I/ '//T ?, Phone 6. Address`JC9 90 7. City ?UrN ?ir'HiiR?,? State r?N Zip J5 jely 8. Building Type: Residential 0" Commercial ? Instftutional ? 9. Work Description: New Add O Alter O Repair ? 10. Describe Fuel Type /VfjT 6A5 11. No. ? Eauioment BTU - M. Ea. Forced Air No. Equiament CFM Handli Ai Mfg. r ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ? Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above informatian is true and correct, and I agree to oomply with pII ordinances and codes governing this type of work. Signed : 1 f( for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Roosipt ' PLUMBING PERMIT .? Pimnit Nw•'-' CITY OF EAGAN FN 'r fill in numbered spacea S/C Type or Prlnt legiblY Tot c - 1. Date ? 2. Installation Cost ? . 3, Job Addreu Lot ; Bik: Tract r -? 5. Contractor Phone > L ? -?- ? 6. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New,FC 10. Describe 11. Commercial ? Institutional ? Add O Alter O Repair ? No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield ? Bath tubs p Septic Tank Lavatory Softner Shower Well ; Kitchen Sink Urinal/Bidet Other ; Laundry Tray ? Floor Drains Drinking Ftn. 1 Slop Sink Gas Piping Outlets 12. 1 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. Sign°d ' for Rouqh F insl Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? PERMIT # 3/? S 18 ]-?PLUM8ING PERMIT RECEIPT # ' - CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Lot. m m N c Name _ Address Clry _ _ Name „G CD Address o -City ? Phone " FEES COMM/IND FEE - 19'o OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $,50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) n - /to OF PERMITTEE OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on /' r [Xk r, ,i Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 S Bath Tubs - $3.00 _Llavatory - $3.00 _4--Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - S3.00 ____r__Laundry Tray - S3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - $3 00 Gas Piping Outlets - $1.50 ' (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - S10.00 Private Disp. - $10.00 Rough Openings - $1.50 /!/! . FEE: STATE S/C: GRAND 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: APPLICANT: ?-I c ki 11. FIf1M{lJ' :. ? ? t ?li f?! ? I :• M)fil!tt ( 10 i'il'Ar!'r tjr, I M 0 ?It 1 f,1l 1::; ?• i: i ??'. ? :i3!?; PERMIT SUBTYPE: TYPE OF VIfORK: r?t4J $: : -? PerrhR No. Permit Holder Date Tetephone k ELECTRIC PLUMBING HVAC Inspectlon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST I ROUGH HEATING GAS SVC TES7 I INSUL GYP BOARD . I I FIREPLACE I FIREPLACE AIR TEST FINAL PLBG FINAL HTG ' ORSAT TEST BLDG FiNAt BSMT R_I. I BSMT FINAL DECK FTG f DECK FINAL ;? - CITY OF EAGAN Remarks p'JV ?'/0/`.,w Addition N1AI.DEN IGEfTS 1ST ADD Lot 1 Rik i Parcel 10-83300-010-01 Owner street 1471 RICHARD ?S COURT state EAGAIY MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ' ' ? STREET RESTOR. GRADING SAN SEW TRUNK 51.21 A014911 12-3-84 SEWER LATERAL ? ? ` WATERMAIN WATER LATERAL WATER AREA '77:' ZrL 123.94 A014 11 12-3-84 STORM SEW TRK ; lfgi 673.75 134.75 5 -414. 25 A014911 12-3-84 STORM SEW LAT ` CURB & GUTTER SIDEWALK STREET LIGHT Road Ill WATER CONN. son-oo BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Rwd ' P. O. Box 21199 Eagan, MN 55121 Zonlnp: ^ T SEWER SERVICE PERMIT NO.: 7?04 DATE: '" ? No. of Unlts: I OM41ff: $,mS1jZQ ('pnafr>>rt inn _ AddrESS: SitE AddI Plumber: Is,m te ?enMllr wuh IM py ei Mge¦ OeJi.osus. By Dote of I rap.: CITY OF EACs. .+ 3830 Pilot Knob Road P. O. Bwc 21199 Esgan, MN 55121 Zoninp: - 1'T Ownsr. ?;«n ct-i np f'onat Mdrcss: 5lh /ddres,; 1471 Pichards Plumber. `>??nshine far St Metar No.: Siu: Rsoder No.. 1 Nrse M ao.oly wo tlw Cihr ef 4Ww Ordiwonar. Conrnctton Chor?ps: 4 2`? . t?0 pd Aooount Depostf: 15.00 Ponrht FM: Surcharpe: S,. . Misc. G+orgst Total: , WATER SERVICE PERMR PERMIT NO.: DATE: _ No. of Units: I uct ion 'ourt 1.1 ? 1 t'a1 a?n 7:1te I r ? . , . _ Connectian Char9e: 500•00 pd /1oDOUnt Deposit: 1 5,0, n p? Permir Fee: Surdharoe: r Mlx. Chorpes: 63.00 p:'. r.?etpr TotnL• 121•00 Pd s/c By Dats Pald: Date of Insp.: Irnp.: ..I. r .?t _ . ,Aid 3830 Pilot Knob Road P. O. Box 21199 Eriyan, MN 55121 Zoninp.. ' Owrrtr: '" - /1ddr?ss: ? Address: ,?lurnber: ??IAsbr No.: . F Lt `j vZ 5. Size: - ,. 0'& .%1- Reodsr No.: 0 <7 /- a ? W AI!'eR SIEw stsCb PERMIT PERAAIT NO.: DATE: . No. of Units: Cpnnection Cha?pe: Permit Fae: 1„c? laet e? Misc ? a?i Ctaryes: Total: y ? R / r Doft PoId: 1 pm te pwoil wilh !w Cihr of bwo OribNaaN. ey Dote of 1 . - ? ` i CITY OF EAGAN N 0- 9982 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # SoL,? I for SF DWG/GAR $56,000 a SiteAddress 1471 RICHARD'S CT La 1 Block 1 SeclSuh. WALDEN HTS L Percel No. 1ST ADDITION Name SUNSHINE CONST Address 5985 125TH ST city APPLE VAL phony 431-2200 t? I Name SAME o? Addreas 1- Citv Phone ?W I Name JAMES R FIILL x? Address 8200 HUMBOLDT ib City BLMTN phone 884-3029 I hereby acknowledge thot I hove reod this application and state fhat fhe inlormofion is correcf and ogree to wmply with all applicable SMfa of Minnewta Stututes ad.City of Eagan Ordinances. $ipnafure of Permittee q '""'-? - A Buudinp Permir is issued ro: SUNSHINE CONST a11 work shall be done in accordance with nll oqpticabl te of M Buildlny Official Erect Ck Ottupancy R3 Remadel ? Zoning RI Repeir ? Type of Conrt. V Enlarge ? No. Stories _ _ Move ? Length ? Demolish ? Depth 42 Grade ? Sq. Ft. Install ? Approvob Fea. Assessment Water 8 Sew. Police Fire Erp. Vlonner Council eide. on. 3 2 0/8 5 APC Var. Date pemit a 3U1.UU Surchorpe .2$.00 Plan Fieview 150 _ 50 gqC 525_00 woce. cann. .210-0- 0 o ware, Merar (;-I - n 0 Rood Unit 9Rl1 n0 T.P. 132.00 raai $1,979.50 on fhe express conditlon Ihm Statutea and Ciry af Eayan Ordinonces. ?7/87 REQUEST FOR ELECTRICAL INSPECTION ' ee•o>coi oa ? See in3l?actions for comolating this form on beck ol Vellow coov- yA 7/?' '? ? r d L"zn 9 - '"X' Below Work Covered by 7his Request Ma'^IHddI paP.I TVPe ot BuiltlinB I AOOliontm Wiretl I EquiVment Wired ? Fi CommerCial 81dg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank [s.,., Ner pen v th?, ISneutvl W # Fee SarviceEntrepceSiza p Fea Fenders/Svbieetlers k Faa Circults (1 to 200 qmps 0 to 30 Am s 0 tn 30 Am s Ahove 200 qmps 31 to 700 Amps 31 to 100 Am s Swinxning Pool Above 700_Amps Above 100_.Qm?s Transiormers Irngation lboms Pbrtial.'Other Pee signs ?spec_' ai Inspection ?S?I/0 I70TA FEE ?. nou9mm v(?I ••vi "' ? ••? ua{e i' 'he ET- I.. I • Insoectoq hereby ? ? ?? carti(y that the nbove Finel ?e ins0eetion has been .ae. mis reQueel voitl This requesl void 18 months trom C 4 4 3 0 2,t? i`;r? 7/G o2 ;;7- 0ao. o0 Requast Date reQn I'Y?(? i"1 n 7 N? Fite K• Requh-id.?insvection ?Reatly Nuw Will Notifv. InsOer ?orWh H . , 0 es ?Na en eatly 0 Ccensod ElectriCal ConlrectoF . 1 hareby repuest inspection ol ebova ri?15wner elec[ricel work instellad at: Street-Address, Box or Roure No. Citv -11 ; 6ards 6. - -Ea a r) ecUOn o. Township Name or No. Nange No. Count L Occupam IPFiINT) Phane No. r Suzahrit, 45 a-9 a9 ? Power SupuIier Atldress Electrical Contractor ICompany Namel ConVactor's License No. k?? ?lec-{?-?e? aM i?q AdJress IConVaclor or Owner MakinB lnstailniionl Author ' ed Signamre IC^ontractor/Owner Making Installationl Phone Number &? Q MWNESOT STATE BOAND OF ELECTRICITY THIS INSPECTION flEQUEST WIIL NOT Grigea-Midway Bltl9. - Noom N•197 BE ACCEPTED BY THE STATE BOARD 1821 l)niversity Are., St. Veul, MN 56704 UNLESS PNOPEN INSPECTION FEE IS Db.... 18121 297.2111 E NC lOSEO. REQUEST FOR ELECTRICAL INSPECTION Ift Ee-°°°m'°' San in5trueiions for completing this Tmm on bnck of yeliwr copy. (! i-2-K91 X" Below Work Gbvered by This Request ? FAd Nep. TVOe of euilaina AYOlianees Nirad Equipmem WireA Home Range Temporary Service Duplex Water Heaffir Ligh[iny fixtures Apt. Building Dryer Elecvic Healrn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fann Otner pecr other ISaer.ifyl ? .r Sueclfy Other Olher ompuie lnspection Fee Below k Fee Service Entrance Size # Fee Feeders/Svbfaedera H Fee Circui[s 0 to 200 Am - 0 to 30 qm 3 ?- 0 to 30 Am s Above 200 qmIs 37 to 100 Amps s- 37 to 100 qm Swimming Pool Above 00-Arnpsi Above 700_Am • Transiormers Irtigation Boorrs Partial.'Othu_FCe_ I_ L I Signs ' I ?Special Inspection TOTRL FEE -U Nertarks IS5D Nough-in Date ? Q .e E tr.iral y` ' Dactoq hereby --.--tr i?retana anova Final Dnale ?ypection has been L ?? ' mede. 1No leQUesl void 18 monlRa trom (l?8't/ REQUEST FOH ELECTRICAL INSPECTION ee-oouoi-oa r ? N ' See insiructions for completine this torm on back ol vellow cooY. I? O? "'R" 8elow Work Covered by 7his Request T FAtl Rep. Type of Builtling 4 ncna WireA Equipmenl Wired Home n Temporary Service Duplex W HQat Lightiny Fixtures Apt. BuilAing fj r / Electric Heatin Commercial Bldg. ,i na Silo Unloader Industrial Bldg. A r o i oner Bulk Milk Tank Farm ? rnerlsooeifyl t er Vecily O?ni;? Compuie lnspectian Fee 8elow M Fee ServiceEntrenceSiza p Fee Fextlers/Suhfexders rt Foe Circui[s u U to 200 Am s- 0 to 30 qm s 0 to 30 Am s Ahove 200 qrnpsi 31 to 100 Amps 31 to lU0 q s Swimming Pool A6ove 100_Am s 4 E?- Above 100_.4m s Transtormer5 Irrigation Booms ? Partial.'Other Fee $igns SUeciallnspection j] T Remarks (J. ? T L FEE ? ?? Nouph-in Data 1, c ricel Inspector, hereby Final ( Dane certity thai the abova ns0ection has been 1?'l a de. TMBrepueaivad7BmonOpftam vC.- "-' Tnis re9uest voie -g ? 18 months irom A 2S-9J3 L 1. B "P/ ? ' Lc30.va-40, MS. 4010 ? Re Te5't Dattl ?-+ Fire No. RouAh- in I nspection R n rted? ?Ready Now ill Notify Inspeo ?j 1'es ?NO , mr When Ready Kliwnsetl ElecVical Contractor I hereby raquest insPection ot ebove ? Owner elei work installed aL Sireet Addrass, Box or Route No. ' l" -? CicY ? . I R ?h ,r ,(S ? 4 a ?• ecUOn o. Townshi0 ame or No. RanBe No. Counf ? Occ(?'g rtt (PRINT) Phone No. V LQ .Y Power uppliet Address Electti Convactor IComDaRY Name) a Comractor's License No. C? ' .UUt.r/n- 7 - 3- Mailing Ad r s IContracmr or Owne aking?taila ? Authorized Signature lCon[racmr Owner Making In tallation) Phone N ¢r MINNESOTA STqTE BOARD OF EIECTiiICITY Grie9s-Midwey Bldg. - Room N-197 1827 University Ave.. St. Paul. MN 65104 vn..nn 16121 291-2111 THIS INSPECTION NEQUEST WILL NOT BE ACCEPTEO BV THE STATE BOARD UNLESS PROPEF INSPECTION FEE IS ENCLOSED. rnis wid 5(15f 'W A qIaslgS t Lwensetl tlec[rical Conlractoa I hereby rapuast inspection of above Owner alachical work imtalled at Street AJAdr?ess, Boz or Bo e No. ? p Ci?v ecimn o. Township Name or No. HAnee o. CountV nt (?iINT) ? t) ! m ? ??s?- • ?o No. ?131-? Power SupDlier Address EI .Uical Contractor ICompany Name) _ -I &c??--`T -lC -G C ntracmr's License No. ? Mailing Adress Cm[r?cto`r 1or^O?wner Maki^?1 In tailatio ? 1' lY? 1 V`l?? Li V 'ior?Va r wner M.Yking Instalc IJ a=) .e Numb¢,r O ? MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPEGTION REQUEST WILL NpT Gripgs-Yidway BItl9. -Rom N-191 BE ACCEPIED BY THE STATE eOAHD 1821 University Ave.. St. Paul, MN 65104 UNIESS PROPER INSPECTION FEE IS Phnnw I6121 297-2111 ENCLOSED. ------------------ ? FoC'Office Us r I ? Pertnit I I i Permit Fee: ? ? Date Received: j I I I Statf: I I 2008 RESIDENTIAL Date: %'?? Site Address: N') ) Tenant: Suite #: RESIDENT/OWNER Name: ?? ')5 `C Phone: IS? <tA?-) Address/City lZip: 1???? ?A VY1`'-, I.jDA ??? I>?i¢Il-,pJ? M14 Applicant is: _ Owner ?y Contractor TYPE OF WORK Description of work: m6c Construction Cost: W Multi-Family Building: (Yes Nd-) CONTRACTOR Name: \Kl ovJ plb?rt'.J1i License#: ? Address: 1??1 S) d,-1 J 1L l7 l City: Nf44 +"(b(i?J2 State: Zip: ?bc77 . Phone: bIa !?? ?J? ContaclPerson: rpv?. COMPLETE THIS AREA ONLY IF CONSTR!lCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Enef9Y COdC . ResideMial Venfitation Category 1 Worksheet • New Energy Code Worksheet CetBgOfy Submitled Submitted (4 submission type) • Energy Envelope Calculalions Submitted In the last 12 months, has the City af Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: MechanicalContractor: Phone: Sewer & Water Contractor: Phone: NOTE; Plans 8nd supporting documerrMS 4h8t you su6mit are considered to be public informalion. Portions of the intormatlon may be classlfied as non-publlc if you provlde specific reasans fhat would permit the Ciry to " sonclude that the are trade secrets. I hereby acknowledge that Ihis information is complete and accurate; that the work will be i contormance with the ordinances and codes of the City of Eagan; Nat 1 understand Ihis is not a permit, bul only an application for a permiL and vror is not to start withoul a permit; thal the work will he in accordance with the approved plan in Ihe case oi work which requires a review and approval of ns. x ??:11" ??R?? x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 BU/ILDING PERMITi APPLICATION O??c?o??? Cauc?f t , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P_I.N.: 10-83300-010-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Datelssued: 1471 RICWARD'S C7 LOT: 1 BLOCK: 1 WALDEN HETGMTS op Permit Type pECK neWork Type NEW G434 AL7. RESIDENTSAL ? W P'l ew? 4R3` 'ty? { ,+N c BUILDING 028257 m7/i9/9a REMARKS: FEE SUMMARY: Base Fee $45.60 Surcharge $•50 Total Fee $45.50 CONTRACTOR: - Hpplicanti - Za i. ?iL.?wNFp. THE DECK & IJOOR COMPANY 14513192 0 095457 ?VFSRS- MARK 11632 AKRQN AVE E 1471 RIGHARO'S CT INVER GROVE MTS MN 55075 EAGAN MN (612) 451-3192 (612)452-9091 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) 681-4675 RemedaURepair Reauirements ??) so ? 3 registered aite surveys ? 2 eopiea ot plan 2 oopiea of plans (indude beam R wMdow sixea; poured fid. deaipn; etcJ ? 2 sNe aurveys (exterior addfions 8 decks) ? 1 energy Celculalions ? 1 energy calculadons for lieated additions ? 3 copbs M hee preeenaHon plen H bt pletted afler 7/1l93 mpuired: _ Yes _ No DATE: -7- 9?d CONSTRUCTION C05T: DESCRIPTION OF WORK: 19166k' ? 1;11>1 STREET ADDRESS: -7 ? iz ?%- LOT BLOCK SUBD./P.I.D. #: PROPERTY Name: ?- nIs iV/1114?e Sv ZY Phone #: OWNER `", StreetAddress• /6/7/ 21clfdd-'1 511 C?111icT City: 1' f4-(-a n-/ State: Zip: SS /? 2- CONTRACTOR Company: T,6?& J),i e,e d-1,7ooh Ca . 1NG Phone #: Z- Street Address: //6 3 Z .N ~ . r• License #• , City: //,/d:ztl?' 6'I2044i State: iw1/ Zip•-5L5--07'j- ARCHITECT/ Company: Phone # ENGINEER Name: Registration #- Street Address, City: State: Zip: Sewer 8 water licensed plumber 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 alt applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applipnt: A4 v OFFICE USE ONLY Certifiptes of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No L- appiies when address change and lot Penalty ? ? OFFICE USE ONLY BUILDING PERMIT TYPE , . . 0 01 Foundation o 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish 0 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 5F Addition o QS 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. a 10 _-plex ,4 -15 Deck WORK TYPE )"1 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main Ievei sq. ft. City Water UBC Oxupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. .?y Depth Footprint sq. ft. SAC Code Census Bidg Census Unit d APPROVALS Planning Building Engineering Variance Permit Fee Vaiuation: $ Surcharge Pian Review ? License ? MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S1VN Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total % SAC SAC Units .: 'O" 301•+ 28• + 150•5+ 725• -F 500 • + 63• + 280 • + 132 ° + 1 r979•5* 12oow ? .? 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUSi BE LICENSED ifITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: uPa.J lCe514. Valuation: ?g Date: Site Address; /? ?' /?}71 / k?.,?( s. Ct- a S?1 OCJP? . OFFICE ? USE ONLY Lot: ? Block ? Sect/Sub Wa Parcel 11 Owner Sk ti_??. ?M e on,? Address City/Zip Code A +---- Contractor Address City/Zip Code Phone 0 2.2,.0 O Arch./Engr , 14:2 wnts lQ ?jl? (1 Address 42-0D Phone # 0E`'? ?-( - 3 0 2,9 Erect ? Occupancy 9-3 Remodel Zoning R-I Repair _ Type oF Const $j Enlarge 0 of Stories Move Length Demolish _ Depth 2 Grade _ Sq Ft APPROVALS Assessments Permit 301.?? Water/Sewer Surcharge Zg.°- Police Plan Review ( So. So Fire SAC 525 °° Engr Water Conn , 5oO. = Planner Water Meter &3.°° Council Road Unit 2R.°° Bldg Off-? a Bf-l?a-rks APC Treatment Pl T3Z.°l Variance q p SOiAL I 4x 3?'a = 532 x 54 = 2t?72g , 9` -?, L?Y.2L - 12(n x5¢ 12 X 22 ` 2624 xq-( ' IDSZ¢ 6 ,? (E) _ I o& x4c = 4 4z? 2oxz2- 4qo xir ' q?qo S?s 24 ,? One or Two Family CITY OF BUILDING DEPARTNIENT EXTERIOR ENVII,OPE AVERAGE l'Uti COMPUTATION (To be submitted with building permit application) Dwelling Owner All Other Contractor /f/410e, &19 O8f- 153 LINEAL FEET OF E'1Q'OSED 4'dALL Site Address Date Pho ne ft, above grade = z2zaDO Z? TOTAL n}C'OSED WALL ARF.A SQ. FT. 0?AQUE 6V11L COP:STRUCITIOPi: "Ull Vatue x Area ?etail gAmE "U" •0,1?3 x S2. FT. 7 , D? ?n•O(p(U)(A) re: erence 60,ljl'' , 'lU" -?qg x Sq. FT, 101.94 = q,993 (U) (A) from "U" • 11;14-0 x SQ. FT. ZCo. (U) (A) attacned Q. sheets ??Un x S FT. - (U)(A) nUn x SQ. FT. - (U)(A) 7JIIdDO'NS: "U?t Value x Area iiake & TYPe JA?it7G• ?aj@` ' ? npti x SQ. FT. )32./0 =& (U)(A) n u T nUn x SQ. FT. - (U)(A) n n nUn x SQ. FT. - (U)(A) n n uU n x SQ. FT. - _ (U)(A) DOORS: "Ull Value x Area i•iF:te & Type ?TL• I?savG. Ifult . f¢ X SQ. FT. 49.0 (U) (A) it u f:4T1rJ °pn • (07 x SR. FT. 2.0 ??(u) (A) n u uUn x SQ. FT. - kU)kA) u n _ nUu x SQ. FT. - (U)(A) TOTAI,S 2 22,p,ob SQ, r'T. 192. 1 3 (U)(A) AVERA6E "Ul l TOTAL (U)(A) VAI,UES ? O8? DIVIDED BY TOTAL 4'JkLL kREA Z2Z0.00 AVERAGE "Ut? r less for 1&2 family dwellinga ROOF/CEILIN(3 : TOTAL AR S ? I EA: Os Detail reference liUlt OZ3 x SQ. FT. 03 = U)(p) from flUit x SQ. FT, : (U) (A) attached sheets. ifUlt x SQ. FT. _ (U)(A) Describe onenings ,,Uft x SQ. FT. - (U)(A) in roof. liUn x SQ. F?P. - (U)(A) TOTAL {U) (A) VALUES DIVIDED BY Z3,87 _ Torl?LS ???8 ?,? Z3•?j7 CU??> TOiAL R00:'/ "G I.RBA fO39.C? AVERAG ' 11 .025 r ventileted roofa. '-' 110otK ?fIr T il ?? ?_ D c)AU.. 9 5Ox C 3st38f3gt3$? 5•Op X ( 38t Z4t24) $.oo X 38 3.00 X (,7 t7) = /44-4. c? = 43o.c? = 3?4. o0 = 4z •oo Co?1 e. Z, ZZO. oa? Wx ( ?8t3st?St?a? _ ?0?.84-? P4n, ?,sT .83X ?38t38r3y+38?= /ZIv.J(? ?- (.vlA?oL..) S. I?xSz= 7. ! x I= 7.1 Z4 x 3(c> = l?.o x Z= L4. o -- 2?X 48 ? / 3. 3 X 2= 'g(O. 65, Zoz 4S = lo.la x 4; z(v.4 Z4X48 _e2R?. ?° 5TL• YO•L. = 28•oo zg sT?• sE55p- = Zl-do (?° PATto = 4z.oo 9?•? ? IJE]' Evk.?eD WAG[, Ge=vAikS ?' RoSS w/4LL. ?i Z ZO.00 Zo X 3g = ? X Z= GESS Co?ve . lol. g4 O I I z x J(o Z=. ,? wpw5 /3Z•/t? ?? Da?,?.' } 9!•00 l, 768-yo? ZX Z ? 7(p0 7z !9Z '?Oj?$•co ?E- n? --WALL SECTIOB-- Determdning l'U" values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING 1.) Interior Air r'ilm 2.) 5/811 ayp. sa. 3.) Insulation 4.1 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 40. o0 .61 "pll = tIR= .OLiOTAL (R)= 1l 79 s WALL 6.) Interior Air Film 7.1 i" GYp. Bd. 8.) Insulation 9•) %z" pwLT-RmE 10.) Masonite Sidino 11.) Exterior Air Film (R) VAI,UE 0.68 .45 l4.ao z•b- .17 IiUIi = 7/R= TOTAL (R)=23.01 ? RIM 12.) Interior kir r'ilm 13.) Insulation 14.) 211 Fir Rim Joist 15.) ??fl R,rE 160 Masonite Siding 170 Exterior Air Film (R) VALUE 0.68 19100 1.88 Z• o$ .67 .77 riUst = 1/R= gfo TOTAL (R)= ?¢?L! 7T FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 19.) 20.) 21.) 12" Coacrete Block 7.28 zz.) r1tJC? 800 23.) Exterior Air Film .17 nUll - 1/R= .Q9$ TOTAL M= IO.I ?i t I? jIlk = :t 2/3?i LL ; ?•% ; _ CITY OI' EAGAN 11 APP LICATION FOR PEFLMIT SEWER AND/OR WATER CONNECTIODI (eLEASE PRINT) 1) P:?CP =, ADDRFSS: 67I r.Fr=,L DE..?..."'2?PTIC:I: " L o fi ( 13 (o c r? ( WC, !¢ r-. /?7?s (Lot/Block/Subdivision or Ta< Parcel I.D. Nizrberj i: E';I:='?:i, STRti'CPT:RE , D??T' G?'' ORIGiidAL, ;iiILDIT;G P?_,ST ISS????;C°_.: ( P°,=5=.1 ::.^,`j?7:1PPC)°CSED USE: a'R-1 SI:?iGZE c^PKS:.Y ? R-2 DUPLEX (T?%D LNITS) ? R-3 TGWIVHG`iJSE (THI2E" + LPNITS) ( tNImc) ? R-4 ApAR`II'TM'`:T/COLIDCI%LLVI[,ryl ( G?IIT?i ? ca-9-1ERcIAL„'RErazr,/or-FZCE ? u\DUSTRZAL, ? INSTITUTIONAL/GOV'ERZ,= 2) t1p=LIC'-?T (PLEASE PRI4T) . M%ME: / ?la.??S(.?twE ?6?'IC??G?/Oh ADDRESS: .C2 CITY, STA'?'E, ZIP: L?. ? ' /i!h S/2 PHOE: -Z zEj 3} pu,mER NAME• <:3't^ EASE PRIHi) ?a• FOR CITY USE ONLY ADDRESS: p lb4no d S `rp PLU!!9?R5 IICEtiSE: 7 ' ie ,A [ ? Attive CITY, STATE, ZIP; ?iPB/N'1lNTON ?/yM ???/2d ? Expir=d PHOVE: ?.! MAbicr. pLUMBER L I C E N S E N3 j?9? ' Q Not oi Pecord a r r initia 4) OCCL'PANT/CT•7LNIE-2 tNLcast PHinr) NAME: C n ,..y?a ? ADDF2ES5: -t? _? - CITY. STATE, ZIP: PHO:IE: 5) ZNDICF.'I'E W[-lICI3 PEP41iT IS BEING REQUESTGD; ES CO.?+TIECPION 'Ib CITY SETr]ER 12 CO:INFCTICV 'Ib CITY WATER ? CJI'HER (PLLASE DESCF2IBE) ? E'LG15G EIOLD APPR(7Vfl] PERAIT FOR PICI+-UP BY ONE OF 71B0','E 19 PL&'aSE ;+AIL APPPER%uT 'IO 1_ 2 3 4 ABOVc (Circle one) 7) S?G,-=w: >ftc 7\ &11? DaTE: .. ? a? f! E?:lalf? a? r rts-?a:a.? A a1 ? r:s?:a:r? ??t r?.kL?:rr!f?:f? ? a t???SaaG e F O R C I T Y U S E 0 N L Y • P°PJ1IT = ISSUED F°ES: $ Sr;.:Eo noo%iTi (IlIC:..'D: SURC?-??.?.GE) $ /p, j"'rJ WATER PERP1IT (INCLUDE SURCHARGE) $ WATER METEP,/COPPERHORN/OUTSID ; RE`r.GcR $ WATL? TAP (INCLUDv- CORPORATICV STCP) $ SE:•iEB TP.P $ ACCOUNT DEPOSIT - SEi•7ER $ ACCOUNT DEPOSIT - WATE4 $ v s-t . •--o WAC $ sac $ TRUNK NATER ASSE55.1E:IT $ TRliNK SEtqER ASSESSMENT $ LATE°.AL BENEFIT/TRUNK SES4ER $ LATERAL BE:dEFIT/TRUNK WATER $ OTHER f $ TOTAL $ A;10UNT PAID/RECEIPT # '?»'"-d `?` DOc.S UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION_. LIST AS A CONDI- TION. SUBJECT TO TFIE FOLLC:-IIDIG CO:IDITIONS: APPROVED BY: ? er-e TZTLE: _?.ef D\T°: -Z-7 '-?z - .P'_s- .? s? w? ?a ? s? ?rw ?c ??a sw w:? w? w?.? w w wa ?c? ra ? w?s? w:?r +t ? se s? wa ?rt ? w w:r ?? < LLI Z ? Q 0 ? I ' `JEYOR'S CERTIFICATE ' ':u;•:ifi_?,r_ co?ISTRUi,TIO!'I G0110tii?Y C.S.A.H. N0. 32 ;LIFF ROAD ) I 30 tl . u 30 725.7 I " PROJECT NO. FILE NO, FOLDER , f? wFSr - ? 80.00 x92dbo FY --- ? LOT ? W + w ti ti , I 5 m Tll?'z I 93l,z I ,- L_ ll 1 ?. l 3 I '' 3 I N I 4? 04 N O ? N ? ,/l M N O r ? N? 0 I 0- oO O ? N ---1928??? N s0.00 -- ------ - --- X ? g?g,Z 40.0 ? PRO 0 ED I I \ m m \\ r? M EXIS7 m m ? M I ? N ?\\ 1`? ? ni NOUSE p\ 11 r ? OUS 9 a I \0 17.67 I N °* I ? ' 9Z4.Z. ? -- •22.33 c o (928•y) - ; ?- - -- 30.00 -'// P2B.7 x 10.00 i N , ? {' 3C FEET io _1 °? . ?,;'.. M° O ???:5?? ' O 1 ' 2$.8 'a- O s 80.00 X9Z7,o 925 -¢ N89°57?58??E 9z?.o o , 9z5.8 . . ... . . p . M m - -? - - RrcHaRDs couRr Sheet 2 of 2 sheets BOOK / PAGE JAMES R. HILL, INC. 109? Planners / Engineers / Surveyors 7 8200 Humboldt Avonu& 6oufh Bbomington„ Mn. 65431 612-884=3029 j ,? ,- SURVEYOR'S CERTIFICATE '? ? sUNSHINE COPISTRUCTION COMPAhY . .. . , , . .. ' --------• - .... _ .._. . . .. ... . . ... ? ? --*--- DENOTES PROPOSED SURFACE DRAINAGE O. DENOTES IRON MONUMENT SET -3CALE: 1 INCH = 37 FEET • DEPIOTES IRON MONUM11ENT FOUND •PROPOSED GARAGE FLOOR = 828,$ FEET X000.0 =-DENOTES EXISTING ELEVATIOPa PROPOSED LOWEST FLOOR = 816.0 FEET (000.0), DEPlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = t292 FEET I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS I5 A TRUE AND CORRECT, REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot- i, Block 1, l•JALDEi•i HEiGHTS F;P,ST AqCITiOi;, ac:.ordir,; to th-e recordtc+ plaC ihereof, Dakota Countv, !iinne;cta AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS I4rH DAY OF MARC H 1985. SIGNED: JAMP;N. p1ILL, INC. n Sheet 1 of _2 shee*s PROJECT N0. BOOK / PAGE 8549 i /09 FILE NO. /7 FOLDER BY: "'AXM/{d 0, U&? HAROLD C. PETERSON, LAND SURVEYOR MINPIESOTA LICENSE tJO. 12294 JAMES R. HILL, INC. Planners / Engineers % Surveyors 8200 Humboldt Avenue South: . Bbomington, MrL 55431 812-884-3029 - o. • . , .. SURVEYOR'S CERTIFICATE co?'STRUCTI0M c0j10AidY C. S. Xl. H. N0. 32 ;LIFF ROAD ) ao u LJLJ Z q -j Q ? ?I 30 Z>.> I PAOJECT NO. FILE NO. FOLDER ? ? ? WEST _ 80.00 - - zs, 7- 9 zaeo 0 ? Io ?? - 5 1 I I ?W ? y w ¢ 931. Z W I ? ? ? ? ? 3 I "'~ ?a _ Qa z N i ow o ? N I? C) ? 0 ? 2 ? ? ? N ' 1928?? fil 30.00 4 3 N O 104 N O pO 0 Z r ,- L_ l/ 1 „ ? L -- I --92d2 40.0 \ PROPOSED I m I m \\ ?_ I M EXIST `N ` cv HOUSE M a? OUS a `T '\ L,\33 ?o c9zs.5) ' ? ?' 9Ze.z I ' 0 Io io 0 m o 9zs.¢ ^N ? ? 17.6 I J 918 7 X io.oo -?j ?? <tr,: I I a J5 0 o r 0 10.00 - - X9uo °57'58 °E ==-30.-00? 159z?.q p . 9z5.S ., . ._. .. . o m rq 92b. Z RICHARDS COURT Sheet 2 of ?_ sheets BOOK / P'AGE JAMES R. HILL, INC. i09? Planners / Engineers / Surveyors 7 8200 Humboldt Avenu* South Bbomington. Ma 55431 812-884-3024 i°=3c FEEr Use BLUE or BLACK Ink For Office Use (� /� �, � ' Permit � / ��Co° ��'r"� City of Eaall m-•5. Permit Fee: /� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Ni c vAe cA i"C Phone: 65" 81-1 _ (260C Resident/ Owner Address/City/Zip: I / g Lvice P4 ca,/- /- Applicant is: Owner /Contractor Type of Work Description of work: .nc9.au.)5 { 1'0 ACC-ills Construction Cost: . Multi-Family Building:(Yes /No 5C ) Company: k. COO . Contact: Contractor Address: 139 (a);For ec, City: ,S S i j)c c.f I/Ui A) State: MA)Zip: Mo( Phone: GS(412116 Email: ,MjCi t,jpI S�-4j'L4c/ele License#: Lead Certificate#�ifi t : 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? V 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 andsupporting documents that you submit areconsidered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. Exterior work authorized bya building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x `s✓ 1 ftcAeF C/eS x /.� o Applicant's Printed Name Appflican 's Slignature /l/ Page 1 of 3