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842 Cliff Rd7 ---------- - INSPECTIUN RECORD 7Control "°.- 7? o CITY OF EAGAN PERMIT TYPE: OU I! qIMB 3830 Pilot Knob Road Permit Number: ?oA??• Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t o rs i Mo Crc :I APPLICANT: 842 CLYFF Rp BER&MI.D ROOfIMA Cb .tMC SECti4M 35 (812) 771-7411 PERFVTt???VftFi'L 1 TY TYPE OF WORK: AtTERpTIOM uEbr.axPtxop RE-sOoFINa ;?r???, ?r?. ? .ai^? r_, : :1 ,.•.a.? /f :,1:' _ .?ss s¦ F ? ~ . ..- '. --'?- - --'- ' y? . , - I ? ! .- -. ..' .?-* ? ¦ PsrmN No. ihrmk Hofder Wb Tsbphone# SlW PLUMBING HVAC ELECTRIC ELECTRIG mspenlon o.ae Mwp. comnsets Foolvrgs I Foundation Frerntrlg Roofing Rough Plbg. Rough Fltg. l9ul. Fit+eptace FhaI Htg. Oteat Test Firtal Plbg. Plbg. Inepector - Noti1y Plumber Const. Meter EngrJPlen &dg. FWal Dadc flg. DeCk Fna1 weu Pr. Disp. CITY OF EAGAN Remarks Improvement Date Amount ? Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING PROPERTY RE-ADDRESSED 860 CLIFF RD SAN 5EW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL ? ? WATER AREA ?(?JVC? ?C!t??IYVl1W W w ? ? S ? 2 o ? STORM SEW TFiK , ( STORM SEW LAT i In I 1 CURB & GUTTER staO CG4 9/ti ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ` CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 f SITE ADDRESS: f ??S'?'L F ?? ? r ???? ' PERMIT SUBTYPE: M ! I I I I ',i.jl ?,If , f PF MAkR 1. ; 1)(10 ? F f F 4N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ti?i,•; ?a?-,? ?:sNi TYPE OF WORK: f1i.•,I ftll`fitiN l+if I ?I,I ff„ 9 t+r Mnf t 1,y 1 i':.t 14411 rJ t nKF_ PAKt. ? j ?? Permit No. Permit Holder Date Telephona # ELECTRIC PLUMBING HVAC Inspectlon Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG I DFCK FINAL 1 I. I__ _ beiMO ? 121 2?144, L-----L -- ? -?--- r CITY OF EAGAN ? 3795 Pqof Knob Roed Eepon, MN 5512= ' • PHONE:IS4-a100 BUILDING PERMIT Te be wed Fo. C1: LLTLEst. Value $? Site /lddross ' l i E f Poac; ?) LOt BIOC SQC/SUb. S r_ C ti iO C: 3 Parcel # 1." -;:"'S10•-O1J-Ol ac Nome ? Addm! ?g Nome y .... ?1 /lddress 256 f' C'i,v 1- . P 3u1 Nome _ Address th St. Eest ( hereby ocknowledge that 1 heve reod this opplicotion and state Hhe informotion is correct and ogree to tomply with oll oppl14 State of Minnesota Stotutes and Ciry of Eagan Ordinances. Sipnoture of Permiftee c... ??. _ . onstructio A Building Permlt ls issued to: all work sholl be done in accordonte with ell applicobW State o 8uildlnp Offlciol Receipt # ' Erect '(3 Occuponcy /11ter 0 Zonin9 r^',nr`' raTks Repoir ? Fire Zone Enlor9e p Type of Const. '• -L3211rY Move O # Stories Demolish ? Length 12'"'?ntry 56-i;each Water & Sew, Firo Enp. Planner Council Bldg. Off. APC Permit 3'R4 . _ j Surcharge 4 3 • Ptan check 1=' 7 ()n SAC 52 5 . ? -` Wofer Conn. ' ? f, Woter Meter': % Road Unit 7 Totol C. on the express condlt{on thni soto Stotutes and City of Ea9on Ordinances. Permit No. Permit Holder Misc. Parmit No. Holder 1/l,C/?u(??? !V tJ laI _02 ( 0 a? 7j?L S.? kEi' '? , I ? 7, S(oo'1'l (,f ??. ?'11?r- JD'?-$3 3s?'? ?I r ?-13-?y l?, Irnpaction Date Insp. Othar Footingt ? Foundetion Framinp Rouph Plbp. p,1O ? . /- ?S Rouph HVAC Insulation Final Plbp, Final HVAC Final ? . Wetar Dewibe Location: 7 YYell 7 ? s 5ewer Pr. Disp. - cirr oF EAcaN 9795 Pilet KnyS Raad Feqan, MN 55122 PHONE: 454-8100 BUILDING PERMIT ENTRANCE & Te be used fo. BEACH BUILDINGS Site Lot 010 Block 01 See/Sub. Section 35 Porcel # 10-03500-010-01 rc IN.m. Dakota County Parks 9 z Address $500 127th St. East r:..,Hastines 550330h..... 437-6608 o iName C.K.C. Construction, Enc. i? Address 2565 Dellwood Avenue r- .-:.St. Paul 55113 633-051 Nome Bonestroo. Anderlik Rosene Address I hereby acknowledge that I hove read this opDlicotion ond sfote that the information is correcf ond agree Jp comply with all opplicoble State ot Minnewta Statutes and Cit4?of EmSAfy,Ordirwaces. Sipnotum of Permittee ? A Building Permit Is issued to: ? oll work sholl be done in otcordance N° 8482 Recelpl # ?" '1? Erect 11 Occupancy B-Z Alrer ? Zoning County Parks Repair ? Fire Zone NA Enlorge ? Type of Const. . V Masonry Move ? # Stories Demolish ? Length 12-Entry 56-Beach Grode ? Depth LO Sq. Ft. 41 Avvra•ab Fees Asseesmenr Permit 394.00 Water 8 Sew. Surchorpe 43.50 Police Plan check 197.00 Fire SAC 525.00 Eng. Water Conn. NA Plonner Water Meter 7`1A Council Road Unit 750•00 Bldg. Off. APC Total 1909.50 , Inc. m ryhe exDress condiHon thnl OLnnemto Statutes and City of Eagan Ordinonces. Building Officlel ?.? CITY- OF EAGAN &A , BUILDING PERMIT APPLICATION To Be Used For °} .9?0.0k $( cI0- . Valu4ation ? p? ? d od Site Pddre?c- ?6Cl( ?F- ? a Loot e)f v sloCx 6( sec. /sub. 5F0- ?3 S Pazcel #: /b l) sSC70 01D 01 oaner: I Pddress: City/Zip Code: N.As-)-I'0i5 SSo33 Phone # : y 37 -66ed' Contsactor: C.:,L!C'. Address a ,25? s City/Zip Code: Sr, A.,, / !?'J Ss7/3 Phone #: 6 .3 -3 -o s 38 Arch./EY1g.:4nws-'-i,r'Coso?? Pddress: City/Zip Code: ?7- PP,. / /?H ssiiz Phone # = (o -3? _ yd'oo Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date l -ZC? $ Z OFFICE USE ONLY Erect ? OccupancY __--- ?- c? Alter Zoning PeL rlL Repair Fire Zone Enlarge Type of Const. _ asav?r NKove # Stories Deimlish Front E,kArj ?sid ?+z a??l.Bld ?slo ft. Grade Depth ? ft. APPROVAI,S FEES Assessrents Water/Seaer Police Fire F1ng. Planner Council Bldg. Off. APC Surcharge (4 ?, 50 Plan Check ( 4`i , 0 6 SAC (I) 525 ?d6 Water Conn. Water Meter ? Road Unit CI c 7 S(7 ? o 'IbTAL + t v ` Pezmit 39cr ,o0 PERMIT -? CIT?Y OF EAGAN R3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Datelssued: SITE ADDRESS: ?Z J8*f cLxFF Ro LOT: 1 BLOCK: 1 SECTION 35 C2DSG 79 V BUILDSN6 027556 05j15/96 DESCRIPTION: (SCHULT2 LAKE PARK) ? ermit Type MISCELLANEOUS oj-k Type DEMOLISH 649 DEMO OTHER ?w! ?? <?-;-?," . ?ei? % r?? 08M "a? ,iO"s ??rz $t &Net ?"ym a. g q ? ?t wm are re?_ ?c as- .'?i?M ??? "mi°:L 'w w` ars ik?? ?uJ t?m -•?i " ? 9f"ai^m ? n? u REMARKS: DOG KENNEL FEE SUMMARY: Base Fee $25.00 Surcharge $.50 7ota1 Fee $25.59 CONTRACTOR: - ppplicant - OWNER: KflMISH & SONS, A 24511381 DAKOTA COUNTY PRRKS 6010 E CQNCORD 8500 127TM ST E INVER GRQVE H75 MN 55075 HASTIN6S MN 55033 (612) 451-1381 (612)438-4660 T hereby ime?s'Y3????tkt??, ??i?,?; ? ?faswe d;this ipp?,?caC#Et?I? ?gcdje t#"!qts+?P?-y?,wityr ?a?,? ataC0 ?.df Dlm .?t. ° StatU?es °dxr?§??t?+ ?s? E;aic,??a? tTrdin?rt'eL j te? i zv +F e R'= 3C 91' . P i"Yd Y&c. e..e F:.. ? APPLICANT/PERMITEE SIGNATURE 7SSUED,Mt. SIG P TURE' ? 11CITY ???? OF EAGAN q? 7996 BUILDING PERMIT APPLICATIAN (COMMERCIAL) '? )4:1.?0 681-4675 The foilowing are required with appropriate certification for ell p= wnsWCtion: . 2 each: architedural plans; mech. & elec. plans; fire sprinkler plans; strudural plans; site plans; WMscaping plans; greding/dreinage/erosion control plan; utility plan ? 1 each: set of specifications; set of energy celculations; eledrical power & lighting krtn; Special Inspections & Teating Schedule ? letter from MCANS (phone 01222-8423) indicating SAC detertnination ? Code analysis indiwting: Codes used; oceupanq classfications; setbadcs; mauimum allowable area es per Building and Cky Codes along with sq. ft. per floor; type of construcUon (synopsis of consWdion components) & any oocupanry or area separetion walls; occupancy loads; exR synopsis with a diagram indicating exiting loads from each room or area, travel paths 8 all reted wrridors; plumbing fixtures; and parking. Q¢.+...?'rro,.+ DATE: Yv) V4w /y 199e_ WORK TYPE: ? DESCRIPTION OF WORK: 02-W, n acd Dou I41V?. CONSTRUCTION COST: SITE ADDRESS: TENANT NAME: ry bA)v LOT ?_ BLOCK SUBD? IL 3Z P.I.D. # M. PROPERTY Name: ?.,aKvra- ?o,,,T„ P?.ks. Phone #: `/3?- YsS a OWNER ""' 'J?' BSOO »2j4 5-1 T S • 5treet Address• City: /??s?L State: Y" w• Zip: 5 S O'?'i CONTRACTOR Company: r1•?h?s?? Sa?s 1+-? Phone#: 3J1? StreetAddress, City: ?;7,,"&' Zip: :sSO?7 ARCHITECTI Company: Phone #: ENGINEER Name: Registration #• Street Address• City: State: Zip: Sewer 8 water licensed plumber: I hereby acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' ?.,a PERMIT CITY CiF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (672) 681-4675 auiLnirac 000990 06/3@/92 SITE ADDRESS: 842 CLIFF RD L07: L BLOCK: 1 SECTION 35 DESCRIPTION: Base Fee Plan Review Surcharge Totel Fee RE-ROOFING -su3'Itl'ing Permiti Type P.UBLIC FACILITY , Building,Work Type ALTERATION._.. L •, a ? REMARKS: L o IqG`?`f FEE SUMMARY PERMIT TYPE: Permit Number Date Issued: lf•a ? $26,000 VALUATION $256.50 $166.03 $13.00 $439.53 CONTRACTOR: - APPliCent - OWNER: BERWALO ROOFING Cp ZNC 27777411 DAKOTA COUNTY BOpRO OF COM 2440 N CHARLES ST 1560 W HWY 55 N 3T PAUL MN 55109 HASTIMGS t41tl 65033 (612) 717-7411 I hereby acknouledge that Z have read CMia applicgCion and sCate that the information is •correet and a•gree to comply with all applicable Stete af 14n. Statutes and City o'F Eegan OM•dinances. ? ? ? APPLICANT/ ERMITEE SIGNAT RE ISSUED B' . SIGN E Control No. 0730 PERMIT N REi1CTIliATE _ gqo CITY OF EAGAN 1992 BUILDING PERMIT 681-0675 APPLICATION ?, ?!P" ? ; RfCd . 4 '431.=3 C4,y;.( G __ '? D SINGLE S MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Oate Valuation of work ??S 73a. ' Site A ess: ?8?oa/ ?A1C? (?rf??l?z QwEL.iJi?J? '10- kC? a ? ? STREET SUITE M Tenant Name: (commercial only) L i.ox ai.ocx -? suan. ??,?A ?? P.I.D. ? Descri tion of work: '(ZERco rnt q?- S The applicant is: ? Owner Cd/Contractor ? Other (Describe) Name TOO- Q,qycorA- CocaN-q 13o9M1Q a?CoAr! Phone Property LAST F,RST Owner qddress l-{ +C-#w R-;! Ss STREET STE / City //#S Y ???-S State ,Q /Il Zip 613.3 Company =$oeF-(ZwFtLa {2W?tivQ 0a - ix/'e, Phone 777-7ylG Contractor Address '-?tf?r) N• S7-, license # Exp. City /1fe - sT. p, At.6L- State AU/N Zip 'SSI09/ Company SOnlSouec-G Phone --7 cP1 :2_? Architect/ Engineer Name ?G1?"Af l4• 0 4F4-'-4G.r,_ Registration # ld3 2g Address City /up" • State ni1N Zip Sewer 6 water licensed plumber Processing time for sewer 8 water permits is two days once area as been approved. 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. Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE O 31 New ? 32 Addition OFFICE USE ONLY , .. I , ? 06 Duplex ? 07 4-plex ? 08 8-Plex ? .09 12-Plex ? 10 Multi. Add'1 0 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning ?1 of Stories Length Depth APPROVALS Planning Engineering REOUIRED INSPECTIONS ? 11 Apt./Lodging 't] 160 Basement Finish ? 12 Multi. Misc. O 17 Swim Pool ? 13 Garage/Accessory ? 18 tomm./Ind. ? 14 Fireplace 0 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public facility -? O 21 Miscellaneous Raofclce_k rem orQelI V. ? 35 Tenant Finish ? 37 Demolish O 36 Move Basement sq, ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? Site ? Footing ? liallboard ? Final ? Framing O Draintile MWCC System City Water PRV Required Booster Pump Fire 3prinkler Census Code SAC Code Assessments `/3 7 ? Insulatian ? Fireplace Permit Fee ZSsz,_so I v.iuatim: Surcharge 13 Plan Review 03 License - MWCC SAC City SAC kater Conn. Nater Meter , Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: g ?? coG SAC % SAC Units For Office Use Permit City of Eayn : 3830 Pilot Knob Road Permit Fee ~ J Eagan MN 55122 Date Received: Phone: (651) 675-5675 I/ Fax: (651) 675-5694 Staff-------------- 2009 MECHANICAL PERMIT APPLICATION Dat CMG e: 3 23 ~ Site Address: - ~S A84Z 1,i V--)?F L ~¢NON l~7I/t-L J G/c, I.1- - Suite B v/L,A16 RESIDENT/OWNER Name: Z>9/C07W GwUN7-Y j /ZI.'~ Phone: 6S/-'707-a Address / City / Zip: .4L..4) ' ~41/E /DfLe ,/V 33-12-y- CONTRACTOR Name: 2f Po/24T ~'IEG 14 4'Gff"L- License Address: S7/4' N/8'2 o ,4V4 . /%002P,)2-7 y City: A& fV 1A State:-MA/ Zip: Phone: (p -AOC1- 70 ~ Contact Person: ~L,e Pa / TYPE OF WORK New Replacement Additional Alteration Demolition E'2 > 3 4 V /N G ~eP/4 f t D t9 c~' Fort?. Description of work: 2 -S.E~ 4 d41 - 1/N ocG v/P/.E.") /'10D~ NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL -X ItCvosk A " COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner _ Install Piping Processed _ Air Exchanger Gas ` Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ P1 000 x 1% $50.50 Minimum (includes State Surcharge) $ 5 60 Permit Fee 6441 'v - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ • State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEEL, 1 iti 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; tha 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 w' e in accordance with the approved plan in the case of work which requires a review and approval of plans. X- P p /GK O77Z& x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date:.,. Required Inspections: Under Ground Rough In _Air Test Gas Service Test -In-floor Heat YFinal Exterior HVAC Screening Inspection PERMIT Permit Type: Buildiug 3830 PILOT KNOB RD 4110po Permit Number: EA058182 EAGAN, MN 55122 City of EaRan (651) 675-5675 Date Issued: 03/03/2003 Site Address: 842 Cliff Rd Lot: 1 Block: 1 Addinon: Section 35 PID: 10-03500-010-01 Use. Description: Sub Typc: Single Fam Work Typc: Move Building Description: Census Code: 9999 Occupancy: Construction Type. Zoning: Square Feet Remarks' Call for fnal inspcction. ? Scparate permi[ required for septic abandonment. (ld) Fee Summary: BL - Base Fee 75.00 9001.4085 Surcharge - Tixed Pmancial Guaran[ee 2,000.00 9001 2257 Total Fees: 0.50 90012195 $2,075.50 Contractor: - Applican[ - UWner: Omng House Movers St. Lic.: COUNTY OP DAKOTA 11640 275th St C/O PARKS DEPT Lakeville, MN 55044 (952)461-3265 1590 HWY 55 HASTINGS, MN 55033 651-438-4672 I hereby aclaiowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApphcanUPermitee: Signature Issued By: Signamre RESIDENTIAL BUILDING 'Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWCtion Reauirements RemodellReoair Reauirements Offce Use Onlv 3 registered sile surveys showing sq. ft of lot sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20 % maximum lot wverage allowed) t set of Energy Calculatlons for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calcula6ons Addition -indicate ifon-sAe sepfic sysfem _ On-site Sep6c System 3 copies ot Tree Preservation Plan if bt platted after 7A193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date,2-/ 2b l 03 Construction Cost 7 Sitc Address !i p C?o Unit/Ste # Description of Work ?? ( / " lT? Midti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ I _ 2 ?7 G O P Telephone # (?( - wner roperty r Contractor Address l( (/ ?? Stale r! Zip ? r City Telephone #(?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category , Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # FCC 2 8 2003 I hereby apply for a Residential Building Yermit and acknowledge that the infiorm ?fion is complete and Mcurnr. ihat the work will bc in conformance with the ordinances and codes of the City yF_agtin_and- ?i' %'l N Statutes; i understand this is not a permit, but only an application for a permit, anPwo`rFis not to start wiihoiit :i permit; that tlle work will be in accordance with the approved plan in the case ol'work whicli requires a reN ic\\- ;inil approval of plans. 171--L.,c r ?Ie` C.?_ VV ivj ApplicanY's Printed Na Applicant's SignaYure OWNER'S PERMIT APPLICATION (FOR BUILDING MOVE) 0 Date of Application: 3 0 Address & legal descri I"1 q2 " ZZ9?1- 0 Address & ? 0 Huilding owner's name: addreas: phone i: 0 Landowner's name: address: phone #: ? If landoxner is dlfferent from building owner, provide approval from landowner to operate on the property. 0 Indicate if structure is conaected to: _ City sewer City water v Septic ?iiell _ Electric service _ Gas service _ Other (list) 0 Indicate party responsible Por utilities disconnect: Owner ? Mover Other OFFICE OSE ONLY Real estate tazes/assessments on building Real estate taxes/assessments on land Otillty diaconnects Electrie Gas Sewer/vater Landosmer approval of building being moved: ro of proposed destination: l FA _ M09ER`S PERMIT APPLICATION (FOA BQILDING MOVE) 0 Date of lpplication: %._(/'/t^ 2K 1? 0 Address dr legal deacription oP Duilding beiag moved: 0 iddress 6 legal description of propoaed destination: 0 Weck situatian that spplies: ? Huilding presently located in Eagan - to be moved out of Eagan Building preseatly located in Eagan - to be rslxated in Eagan (Requires Council approval) Huilding located outside of Eagan - to be relxated in Eagan (Requires Council approval) Building located outside of Eagan - to be moved through Eagaa to another Citp. 0 Mover's Name: Addreas Phone 0 Mn. Mov 0 Highlight origin, route, & deatination on ourrent City map. If Countq or State roads are uaed, provide copy oP those permits. 0 Proposed date & time of move (aotifq Eagan Police Department). aOTEt Eagan Polioe xill not aooampaay aove imtil time ooordinatioa has bsa? mde rith aeigtboring aunieipa2lty. 0 Sise i veight of etrueture OFFICS IISS OHLI , !lover's permit fee , Permit i . Ouarantee to repair 3 PLIIMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Kuob Road, Eagan Mn 55122 Q Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when peruuts are required for each unit Da[e 3 / g '1' / O? Site Address ? Unit # ? Property Owner Telephone # ( ) Contractur ???X ?? ?s! ?rxo _ AdaCeSS city State Zip Telephone # The Applicant is _ Owner X Con4actor _ Other Septic System New Refurbished Submit 2 sets oS plans and MPC license $ 100.00 Indudes County fee. Additional consultant fees may apply. Altera[ions To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions , excluding water softener and waier heater ? Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.OD) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional .50 State Surcharge u Total I hereby apply for a Residential Plumbing Permit and aclaiowledge that the mFormat that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemvt, but only an application For a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wor which requires a review and approval of pl ns. G1, ll, ,? ?, ?p ??/??? Applicant s Printed Name Applicant Signa e 2000 SLTII.DING PERMLT APPLICATION (COMMERCIAL) CITY OF EAGAN )-41- ('1 651-681-4675 Re uirements C;V,-* ia? 7 7 ?, ?- a-0 C) Foundation Onl New Construction Interior Im rovement • SWCtu21 Plans (2 sets) • ArchitecWral Plans (2 sefs) • Architectural Plans (2 sefs) • Cwil Plans (2 sets) • Struclural Plans (2 sets) • Coda Malysis (1) ° • Certifipte of Survey (1) • Cfvil Plans (2 sefs) • Pmject Specs (1 set) • Code Analysis (1) " • Landscaping Plans (2 sets) • Key Plan (7) • Projact Specs (1) • Code Malysis (1) " • Master Exit Plan (1) . Spec. Insp. 8 Testlng Schedule " • Certificate of Survey (7) • Energy Calwlations (7) not always" 1 • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lightlng Form (1) not always" 1 • ProjectSPea (1) d I 1 • EnergyCalculations (7) " l I 1 • Electric Power 8 Ughtlng Fortn (1) " 1 .' 1 • Master Exit Plan (1) 1 ' j . Fire Protection Plan (1) " 1 1 l 1 • MGES SAC determination letter • MGES SAC delermination letter • MClES SAC detertninaUOn letter call 657-602-1000 call 851-802-1000 call 651-602•1000 " Contact Building Inspections for sample Food & beverage or bdging facilities: Plan must 6e submitted to Minnesota Department of Health - call 651-2150700 for details. DATE: '!?" WORK TYPE: _X NEW _ REMODEL CONSTRUCTION COS-4-52. 7 v DESCRIPTION OF WORK: TENANT NAME: SUITE: fC7 - 6- FORMER TENANT NAME: S,¢rM-z- SITE ADDRESS:LOT --L BLOCK -j- SUBD ?f' C/`? ' U N 35 Name: ?2Xr T ??s? f? ?'A?hJS Phone#: (,(?,5 PROPERTY Last First OWNER Street Address: ?SQCl T's'+ -,l City /6;T.z!?3 5 State: ///1ii. Zip: Company: ? w:22Z le _ Phone #: ( ) -<S,99/Y/ 2 ? CONTRACTOR Street Add City _ ARCHITECl'/ ENGINEER Compaoy: Name: Sueet Adi City _ State: Zip: Phonc #: Registrarion #: _ State: Zip: Sewer/water licensed plumber (if instaliina sewat/water): Phone #: I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: -??-Z?4? OFFICE USE ONLY BUILDING PERMIT SUB7YPE ? 01 Foundation *26 Public Facility 8?'30 AccessoryBldg. ? 14 Apartments ? 27 CommerciaUlndustrial O 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous O 29 Antennae ? 35 Ext Alt - PF WORK TYPE ?31 New ? 34 Repair 0 37 Demolish Bidg. ? 43 Reroof ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair ? 46 Windows/Doors GENERAL INFORMATION Census Code SAC Code ? No. of Units No. of Bldgs. ? Const. (Actual) (Allowable) S, rl UBC Occupancy FAf-V-- Zoning # of Stories Length Width Basement sq. ft. First Floar sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ISJ Permit Fee ? 3 • ?-? ? Insulation Engineering VALUATION:$ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies % SAC SAC Units Meter Size sq.ft. sq. ft. sq.ft. sq.ft. MC/ES System City Water Fire Sprinklered ? Plumbing ? Stucco/Stone Variance /l> ?? • Total S`4 - --1 `1