Loading...
3821 Heather DrCity of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 .ie ,36c/C3 Permit #: Permit Fee: Date Received: Staff: J 2009 MECHANICAL PERMIT APPLICATION Date: ///30/09 Site Address: 33, / /7 °! 1 Tenant: Suite #: RESIDENT / OWNER Name:4 /S /11(../.6e0/ Phone: ��/—(22—oZ/29 Address / City / Zip: 38g..//aft i j,e. CONTRACTOR Name: WritiG�--: /t<c-,f'i7,/,‘ Ott/ Address: /yJS/. / 4 /-40/ City: License #: State: Zip: Phone: ‘5/ ` Sqz/ ._ % ? Contact Person: /. /001/1-04, TYPE OF WORK PERMIT TYPE New /replacement Additional Alteration Demolition Description of work: N of' mount by City Code. Tanners for in RESIDENTIAL Fumace iOA it Conditioner _ Air Exchanger Heat Pump Other Bund rr Scor New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed 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: $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 $50.50 Minimum (includes State Surcharge) - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge) Contract Value $ x 1% $ Permit Fee _ $ State Surcharge $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will b I understand this is not a permit, but only an application for a permit, and work is not to plan in the case of work which requires a review and approval of plans. x i�. i6iff Applicant's Printed Name FOR OFFICE USE Required Inspections e in conformance with the ordinances and codes of the City of Eagan; that start without a permit; that the work will be in accordance with the approved Applicant's Signature r City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #:L1'D 3 q 2 Permit Fee: Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I°bA; I Site Address: ctl eec,' 'L i c �. Tenant: Suite #: RESIDENT / OWNER Name: 1f `' o" l Vie✓) Phone: 6 i -6 6e '' 9 Address / City / Zip: 3t3a 1 14,044f- l ( CONTRACTOR Name: %';-Ini iS€ Sys Phi4 1\^-j License #: 6 6 3 6'7? - Pry Address: as 9a 3 352f6- Ga/ NC City: 11fs -.bfi dSE State: in!/ Zip: IC4G) Phone:C 763. 3 e -4:3`11L-/ e• -,41 --Contact Person: -- 144--C-re-/4/1-1- TYPE OF WORK New D4Replacement Repair _ Rebuild Modify Space _ Work in R.O.W. _ Description of work: PERMIT TYPE RESIDENTIAL V- Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / ^ PVB) ( Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 plaps. 4-1t- s -se, Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground _Rough -1 X¥ - Applicant's Signature Air Test Gas ictal: 4*" City of kali Date:, Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r 1€r Of(irr. Permit #: 'qc2 L/46" Permit Fee: L.30 - pD Date Received: Staff: J2 2009 RESIDENTIAL BUILDING PERMIT APPLICATION milt cl 0-- Site Address: 61 7/ Suite #: RESIDENT / OWNER Name: a/ /%;m7 Address / City / Zip: ....7( / / A 2)-- �2& Applicant is: Owner ( Contractor Phone: 6-5/ 6d e -W/W/7 TYPE OF WORK Description of work: ( //f94/./:-; scin4YaA Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Name: V f eldrlA✓ /> nCC" ki. License #: 0 T -)7r / Address: M 41/7-611/ City:. Gd,'!//% (✓Nv %r J State; Zip: P , . Phone: / / 5Y� eV V Contact Person: /26,rse ig&iri.reht COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you sub►inrt are considered to be public arnfannation. Portions io ;the information maybe classified as non public if you provide specific reasons that would permit the C:ty 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans: Applicant's Printed Name I DK DEC 2 Applicant's Signature Ye- SUB TYPES Foundation Single Family Multi ry Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code #of Units # of Buildings Type of Construction k:DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck ower Level Interior Improvement Move Building Fire Repair Repair 3000 Porch (3 -Season) Porch (4 -Season) Porch (Screen/GazebolPergola) Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In _Air Test Final Insulation Meter Size: Reviewed By: Siding Reroof Windows Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings ^Air/Gas Tests Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: — Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /Jo A/�9 Page 2 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: 2,No52010 Use BLUE or BLACK Ink FP* Permit*: 22 t) Permit Fee: Date Received: / J Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: czBa ( ilecrI �Q r lLJ� \al J Suite #: RESIDENT / OWNER `/AJ Name: Val C tfa act (f\ Phone: \. Address City / Zip: L)(.p i - 01) a -ba. (.-.—) CONTRACTOR hh \\ Name: , .O f Ult-er License #: (tinIUd' Ula C ' ,L Address:q /CO W13S1.J S uU t c e Dr, - City: g to t �.�� 1v St te: In Zip: `-�7C y Phone: 73 a a-- 7-2l tO Contact Person: 11,Q S TYPE OF WORK New Replacement• . • •ify Space Work in - • Description of work: TYPE RESIDENTIAL Water Heater X Water Softener Lawn Irrigation Add Plumbing Fixtures (_ RPZ / PVB) (_ Main _ Lower Level) _ Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 'Q IS -V CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci 1 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 thee approved�plan in the case of work which requires a review and approva4of plans. x L-. Lca �LJer`� -' ' CA'Y1 Applicants Printed -blame Applicant's Signature FOR OFFICE U Requir City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink eUse Permit Fee: .4 7) Date Received: / 7 Staff: Permit #: J 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I "" % [ I (� Site Address: 3 Fa 1 f61 et 4 r - Tenant: Suite #: RESIDENT / OWNER Name: V c.&. 1 17ex /( f7 re ell Phone: 66-1 - 61 '- -2-(ZY Address / City / Zip: 3$ 2- / 7/ 'l"-- 1 yr . CONTRACTOR Name: f ,'�OC 12 -ti ki' �I V,M6 - License #: y20:-- Address: / 09 " /1,Y '5,, ;_ A` I/0 City: Z.O. O/) k %6 �i- -. State: �✓V Zip: -44 3�VVVV]� Phone: )/2 . 1- F/O 5� Contact: ill Email: TYPE OF WORK )< New Replacement Repair _ Modify Space _ Work in R.O.W. _ _ _Rebuild Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation )Add Plumbin_9 Fixtures ( RPZ / PVB) ( Main 3 Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t out a r - •; t; that the work will be in accordance 'th9the aapro plan in the case of work which requires a review and approval of pla aLJ/ /©' a. t Applica is Printe Name Applicant's Signature FOR OFFICE USE Reviewed B Required Inspections: _Under Ground Rough-ln as Test 11/04/2011 07:51 6128616267 ii�3 C!tyofEa�ali 3330 Pilot Knob Road Eagan MN 55122 Phone: (661) 6755675 Fax: (661) 675.5694 acid IV &heck. BEI EXTERIOR MAINT Ca // t,i t/ Gusio.1)7t wilt' br�rn d 0444 a Ty PAGE 03 Use BLUE or BLACK Ink For Ogee Use /019E3 (9/;-w Permit* Permit Fee: Date Racal ve /7— 7 Stat.. 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ///3/// Tenant: Site Address: 3317, 31/?. 3B2, 38,23 // i -se - Died 416" Suite #: RESIDENT 1 OWNER Name: Sc As sae., Arlon/ /riNANLii#L. /n wri r Address / City / Zip: Toa. .f. Fig v tA,rte- 4¢1.74 Applicant is: Owner g- Contractor Phone: 963-v99- 3 ra 7 e77.4 Pee 6.021:1 TYPE OF WORK Description of work: g -ue:w 4wD /7-7pupcE gLao r Construction Cost: * //4 cpo Multi -Family Building: (Yes / No ) CONTRACTOR Name: 8Ei eltra`,¢wQ. /714ot/r eaokA Address: Os W 60 0- State: Mir Zip: V/ Contact )w.✓i0 License #: .I?06190.67/ City" /%%.w.ve711004as Phone: ‘12- F (- ay3 Email: /ilk, rt be/ 7c in•COM COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber, • Phone: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and supposing documents that you submit ate considered 10 be public inkrmntion. Portions of Me information may be classiltiei as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALF,_ 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.aopherstate necallorr I hereby acknowledge met this Information Is complete and accurate: that the work will be to conromtance with the ordinance% and codes of the city or Eagan; that I understand this is nota permit, but only an application for a permit, and wort Is not to start without a permit that the work will be In accordance wftn the approved plan in th case of work which requires a review and approval o x CW,c.. s A.vef liC App ants Printed Name �" Applicant's Signature Page 1 of 2 'CO* 014.AGAN 37 ,3 knob Reed N 55122 PTV WATER SERVICE PERMIT PERMIT NO • 4'07,2 DATE:. .1-27—P7 No. of Units. 1 unit 4--piex )+r r' Tn11wf' nn B if1$era Address: Address: 3$21 Reit•heSDC .Lll Bi Diiarhill 4th Plumber: Genz Ryan Meter No.: Connection charge- 420. oq pd . Size:` Account Depo3it• 10.00 Pd Reader No.: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Permit Fee: Surcharge: .50 pe Misc. Charges: Total. Dote Paid - Inv . 60.00 pd meter airy -of MOAN 3795 _100ist Knob Read Rogan, MN 55122 Zoning: ' V Owner: T 1 Address: Site Address: Plumber: Cenz Ryan • SEWER SERVICE IT PERMIT NO.: No. of Units: 1 ilnit 4— lex 1d0 1111111111111111 R� 11/24/82 33223 .1 ogee to comply wlehe City of Eagon Ordinances. 3' ,i By Dote of Insp.: Connection Choiyje}" Account Deposit: Permit Fee: if s Surcharge: • -)LiP Misc. Charges: Total: Dote Paid: 3830 Pilot Knob Road Eagan UN 55122 Phone: (661) 6754676 Fac (651) 6754684 Use BWE or BLACK Ink Parma us* Perms a Penni! Fes:2�, Date Reooi ed: Stet 2013 RESIDENTIAL BUILDING PERMIT APPLICATION SitoAddress: 3f/7, 3gf9, 3g2 )•, -3$,13 1-,e4r/eiZ biz, unit S: Name: 4 A Cr /yl r4 wl4 6 m t r .X C phone: 763 -5'93 -g'7 7,�,�,, Address / City / Zip: VS) is6 '>'—u Q Ar/ N 7 to Aasree7 Applicant is: Owner ,2C Contractor Desaipbon of work: -rt,+2 oF-- a. Qt. (esaOF 1. CiOnSInIc0oncost 1l 9 �- cO Multi -Family Suiting: s XL/ (Ye / No Companyr. i £',. ti-eit. o .e contact ..t) v Z." 2252 r s 9os W bt S1.. city: mPG s . stabs: /r9I! Z : 41."41/ 9 Phone: lo•x - /- 4.a 41.3 License* ' _ S/i_ 3 / Land Corticate #: if the project is exempt from lead certification. please explain why: (see Page 3 for additional information) k R`a(PS i S.2,E. Q01dr Post- 19, r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Int 12 nye has the City of Eagan issued a permit for a Unita, plan used on a master plan? Yes ._,,,No If yes, date and address of mestar plan: Licensed Plumber: Phone: Mechanical Contactor: Phone: Sewer & Misr Contractor: „ Phone: - il .. CAS 5YOU O1(, Cali Gopher State Ono CSW at (061) 484.e002 tr protection against undetgrw,M utility damage. Cal 48 hoursbeton you to dig to reosive toed= of underground rd6 a. `emicoakeroelpatama oq 1 h eby armder a that thdiariot b scants: that the work wit be in conformance with the canon= and codes of the oval secorde set writ, ego mamma awe in ale .� but w are 00.00v application for a psm and work is not to !dart witlfol3 a wet a the work we be (n days Fedor work aulberteed bye builds g permit issue in accongehce with the Amu* Stets BoUdi Code oust be completed artgm61180 aofpe maleauenoe. F Applicant's Printed Marne t'O/Z0 39Cd AVOuoanfa Signature gy Pape 1 ofs INI*W IX3 I3S L9Z9I98Zt9 SE:TT ETOZ/LZ/TT *CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax: (651) 6754694 Use BLUE or BLACK Ink For office Use Permlt:C: 1 aq c Permit Feil: 1 1 ( Date Received: .1 1'34111 Staff - 2013 RESIDENTIAL BUILDING PERMIT I APPLICATION Date: 3 ' � - / L/ Site Address: 3 7'/ 7, 3 F / S, 3 8,21, .S/7 X3 r/ t i47-,/ n 2. Unit*: Resident/ Owner Name: ek rbc`% P/4,..1 4 6C /rtE.u—' Jw C, Phone: 7/3 - S S3— 9770 Address / City / Zip: 8So pECuI-ro2 civ, ,), . A 604.( Er.. 141.2.2Y /VA) XS" 6/A7 Applicant is: Owner Contractor Typeot;Work, Description of work: 1£,ft-o v £. a. ftz PC, A -e -L. J' d' a 6 o Fes(, 4 M E 7-4 L" Construction Cost / y 4/ tIO • CTO Multi -Family Building: (Yes / No Coetiractor Company: ECA/ 0 2 ),—i-.. Co RA_ Contact 6411, /2 Q, S Address: VP -r W 4,58- Jr - State: /..)/) Zip: 5S'4" 5 City: MPLS Phone: g4/-4.2'/.3 License #: - 24//i 7 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1.04(1,S_ Pos7' /S7� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor. Phone: NO7E; the infi ematIon nwTbs cffi9 da9' CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. ww .grO hat$tateonecall.ora 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 Fagan: that I understand this la not a permit, but only an application for a permit, and work is not to start without a permit; that the wort( will be In accordance with the approved plan in the cane of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State BulldlnLCode must be completed within 180 days of permit issuance. x t4✓0 %ltd a.2.,S Applicant's Printed Name 90/T0 39 d Applicants Signature g`/ Page 1 of 3 1NItlW 1X3 I3S L9Z9T98ZT9 SS:TT PtOZ/VZ/80