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646 Rita Ct CITY OF EAGAN Remarks Addition HARVEY ADDITION ~1 Lot ~ Blk 1 Parcel l~ 3'2~~0 ~~4Q ~0 Ownerl~ ~V~j ~ ~1' ~'1 ~ r0(~ street ~ ~ta C~tu't scate '~a~+ ~ 551n G Qr--F Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 1~}U OO ~.O STREET RESTOR. ° GRADING SAN SEW TRUNK 19 O 12 .OO- ~OO Z * SEWERLATERAL ~ 1 2 2 OO 11 • ZO WATERMAIN WATER LATERAL 1 2 2O WATER AREA STORM SEW TRK 1984 $fi 1. ~ 3~ . 4~ 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260~00 ~F-~.~- 1 BUILDING PER. SAC 2OO OO PARK 11~1 ~Y~(.;'1'lUl~l KLl~UK1~ CITY OF EAGAN PERMIT TYPE: ' ' ' ' ` ` ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ; r i y : . • 4_, ~ c, ~ • SITE ADDRESS: r~ ~ E~,, t APPLICANT: , i ~ : 2 . ; i . ' ~ i! . ~ , , ~ ~ , , ~ , ~ PERMIT SUBTYPE: TYPE OF WORK: ~ . ~ , . ~ , ~ , , . . . ~ ~ ~ - Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND I FRAMING i ROOFING ~~~~/Q~ AOUGH PLUMBI NG PLBG AIR TEST ROUGH HEATING GAS SVC TEST - INSUL GYP BOARD I FIREPLACE I - - FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~ EAGAf~I TO~IV'N S H I P No ss7 ` BLBILDIiVG PERMI'r Ownex' ~ __.~~~!!.~z- _ ~ .~!~~~-~l~!~.....-- Eagan Township Address (Preseni) - . Town Hall Builder . Dafe '_~-._Y-.--........_!=.?./----- Address DESCRIPTION Siories To Be Used For Fron1 Depih Heighi Esl. Cos! Pesmif Fee Remarks ,vY`~~ _ ~ Y ODI~~ ~ LOCATION SireeY, Road oiher Descripfion of Locaiion I Loi Elock Addikioa or Trac! t~Fxl ~1~c~1~ I ~ ~ This permii does noi auYhoriz use of s3xeels, roads, alleys'or sidewalks aor doe~3 give !he owaer or his agen! !he righi !o areale any siYuation which is a nuisanae os whiah presenfs a hazard !o ihe healYh, safety, convenience aad general welfaxe io anpone in the communiiy. THIS PERMIT MUST EPT ON T P E~M/y~ E WHILE THE WORK IS IN PROG/pi' ~S~.~//~ ~ This is to cerfify. !ha - - - --~.-CiftlCP..d~.has permission !o erecf a..-!`.~~l.~F.~C ------..-.-.'--------'-------upon She above dESCribed premise s ecf fo the provisions of !he Building Ordinanee for Eagan hip adopled April II, 1955. Per Chairman of Town Board 8uilding Inspeclor CAL INSPECTION Ee-ooooi-0a Sae irrstructims tor completi~g tAis ipm on back of yellow copy. ,~J 9 ~3 ] 3 ""X'" 8e/ow Woik Cav"esedwy This Request vr 5~~5 eP. ''TVPa of Bviltlin9 APDlian[es Wirad Eauipmen[ W~r¢d Home Range Temporary Service Duplex Water Heatet - Lightiny Fixtures Apt. Building Dryer Electnc Heatin Commercial Bldg. Furnace Silo UnloaAer ~ ~rdustrial Bldg. Air Conditioner Buik Milk Tank Farm Iner oec~ v thcr Ispecity) 1 VecifY t er Other ompute lnspection Fee Be%w N Fea ServiceEntmneSize # ~e Faeders~Subteede~s # Fge Gircuias ~ ta 200 Am 0 to 30 qm s 0 tn 30 Am Above 200 qmps 31 to 100 qrnps 37 tn 700 q Swimming Pool Above 100_AmPs Above 100_Amps TransTOrmers Imgation Boorr,s Partfal-'Ott~er Fee Nemarks S'~5 SUecial Inspec!ion~ 5 ~2 •SO TOTAL Rough-in /~~1 I oate 1, the Ele~i Irrapector, here4y Final nifr ~het the abuve ~ Date inspectipn Ips heen • 7 made. (hla reqwat volE 18 monMa irom This repues~ voitl ~~3 ~ 3 ~~G /GC' ~~~h~f L ~ ~a~ o~ Hequ ate Fire No. up~- n Ins im ~ ~ ` I(~(~1 ~ H tl7 ~FeadY Now .ill NatiSy Inspec- V a or When RenUy icensed EIeCVical CoMractor 1 herebv repuest insOeaHOn oi above Owner elactrical work installed ar. St et AAdres Bo or XoulR {10. Ci 1 v ecuo~ o. Township Name or No. Hange No. C un Oc p nt IRiINTI Phone No. Po er upPlie~ r s O~C~ - ~ w„ I Con[ra r(Co n 1 un[raclor"s License Nq. '1 J / ~y ~Cl•~ Mailinq ~~d'/ress ( ontracmr or ~f aking Irts i a ianl I l ~ ~ Au rized Si a u e Cont ladOwner kin0 Iretallation~ Pho e Number ` ~a~-~~ad M~NNESOIA STATE BOARD OP ELECIRICITY THIS INSPECTION flEUUEST AILL NOT Griggs•Midway Bldg. - Room N•197 BE ACCEPiED eY TNE STATE BOARD 1821 University Ave., St. Paul. YN 5510C UNLESS PNOPEN INSPEGTON FEE IS PMno 1612129]11tt ENCLOSED. RESIDENTIAL BUILDING PERMIT APPUCATION r ~ CITY OF EAGAN f I 3830 PILOT KNOB RD, EAGAN MN 55122 ~ 651-681-4675 New Conavuctlon Beau~rements RemodeVRenalr ReguiremeMa • 3 repistered s~e suneys showing sq. tt. oi bt, sq, iL of house; antl ~II rooted areas • 2 copies of plan (20°~ maximum bt coverage elbwed) • 1 setof Energy Cakulalbnsfor heatatl additions . 2 coples of plan showing beam 8 wintlow slzes; poured fouM design, etc.) • 7 s~e survey for etlerbr addilhns & decks • 7 set of Energy Cakulatqns • Indkate tl Oome served by septic system for edd'Aqns • 3 wpies ol Trea Preservatbn Plan N bt planed atter 7/1/93 . Rim Jolsl Deteil Optbns selettbn ~aet (bl0gs w8h 3 or less units) DATE ~-I V~~2' VALUATION ~ SITE ADDRESS ~`riC~ P~ l-UL~.i`~ MULTI-FAMILY BLDG _ Y ~ N NPE OF WORK ~QIAf'' l~ ~(b oZ`~SL~ FIREPLACE(S) ~0 _ 1_ 2 APPLICANT Z~~G • STREET ADDRESS I`~LZ~~I I~IIC(7l I~ F~~ CITY~STATE~ Z~IP~I~~ TELEPHONE #~-~I-~~'I CELL PHONE # FAX ~Z'~`~CJ PROPERTYOWNER i"'~'1~11 TELEPHONE#vol-~Z-~(~l~' COMPLETE THIS SECTION FOR °NEW~~ RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhacfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanlcal Contractor: Phone # Mechanical system includes: _ Air Condirioning Fee: $70.00 _ Heat Recovery System D~~~ n M~ LI U ~ Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this appllcaTion, state that the Information is eci and agree to co ply with all applicable State of Minnesota Statutes and City of Eagan Or ances. Signature of Appticant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY , ? 01 Foundation ? 07 OSplex ~ 13 1Splex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Mufti ? 03 Ot of _ plex O 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 0&plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? O5 03-plex O 11 laplex ? 19 LowerLevel ? 24 StortnDamage ? 08 04-plex 0 12 12-plex Pibg_Yor_N ? 25 Miscellaneous O 31 New O 35 Inl Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 WindowslDoors ? 34 Replacement 'Demolition (Entlre Bldg only) - Give PCA handout to applicant Valuatlon 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 Wfdth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco _ Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector W Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total _ , , FERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: g u z G Eagan, Minnesota 55122-1897 Permit Number: 0 3 315 9 (612) 681-4675 Date Issued: 0 9 J 0 4/ 9 S SITE ADDRESS: 646 RI7A CT LOT: 4 BLOCKa - HARV~Y P.I.N.: 10-320@0-040-00 DESCRIPTION: REROQF/S70RM DAMAGE Bs~1~N`~:~Perma~ Type STORM ~AMAGE ~'U€Id3.l~g GTa~r~k 7ype REPAIR ~Cc~Ct-&t~9 C4d~~ 434 flLT. RESIDENTIAL ;e`~- ~~`„~s ~ . ~ - s ~ ~ 3`.r,'-w+~ ~n,. ~ ~ ~'~'s F ^?;4 w, n7., ~ °~~x . ~ ~a~M~~ g ` ~r :3~ s, ~ ea y~ ~.a~r # ,~y~~' '~;"`t 3 ~~'i'" ~ v.' F ~ a~~ek.,- %i i' Y~,~ vKSU d~ . "':a."~.SY AS~tl Z*-.~§k tud rc~,;,a 3;5 ~ ~..;'~s"rv.~~r~i±'"u ~ a.F' REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - 50RENSEN KEVTN ' 6A6 RITA CT EAGAN MN 55121 (651)681-8656 ~ Z ha.er`e4~ ~e~ntawlesiq~ tYtOt I krave r,ked ~h3.~ appl~ca~ian ar~d state £hat ~h~ ~~;rhft~rrnati.~n fs c~arre~C ar~~1- agr~~ to cvmp~,y ~ai~h a11,-~P~rl~c~~le S~~~e a~ Mn. °~t~~~~~_s ~ncf ~~~y o#'~~ga~a~ Qr.di.n~~ncsx.~~ ~ ~ „ e . . ~ , ` ' , ~ ..~.en t, ~ ~_P ~ ~ ~ . . APPLICANT/PERMITEE SIGNATURE I S ED HY: SIGNATURE ~ ~ ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 G'( ~ l S 9 68 ~.~~5 New Construction Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGuOe Deam 3 window sizes: pourad fid. tlesign; etc.) ? Z site surveys (exterior adddions 8 deeks) 7 energy Calculations • 7 energy wlwlationa for heated addkions 3 copies of tree preservatio~ plan H lot platted after 7/t/93 required: _ Yes _ No DATE: -`1 `Z~ CONSTRUCTION COST; y, ZCX~ ~ DESC TIQN OF WORK: ~ roo~ d.:,s_ -~a S~n~r-. c~}w.~_ STREET ADDRE5S: ~ ~I ~ IZ~ ~ G'~' _ LOT: ~ BLOCK: SU6D.lP.I.D. ~-k~V ~(-2 Name: 'I~p,.~ Phone tl: ~4`c3 ~ - ~c ~S~ PROPERTY Lu~ Firs~ OWNER r~ SkeM Address: ~ ~st ~ ~ ~ ~ - City o.V-~ State: UI~vJ Zip: ~j ~ 2 ~ Company: Phone CONTRACTOR Street Address: License # Ciry State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this appiication and state that the infortnation is correct and agree to comply with all applica6l State of Minnesota Statutes and City of Eagan Ordinances. ~ - Signature of Applicant: ~ OFFICE USE ONLY D~~~~ v~ Certiflcates of Survey Received _ Yes _ No SE~ Q Tree Preservation Plan Received _ Yes _ No _ Not Requi ~ I ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? ~1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? D4 SF Porch ? 09 12-plex ? 14 Fireplace 21 Miscellaneous ? 05 SF Misc. ? 10 = plex O 15 Deck WORK TYPE O 31 New ? 33 Alterations ? 36 Move D 32 Addition ~4 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuatian: $ y ZO° ~ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ WELL PERMIT DAKOTA COUNTY Permit No. ENVIRONMENTAL MANAGEMENT DEPARTMENT WATERANDLANDMANAGEMENTSECTION 94-9187 - 14955 Galaxie Avenue, Appie Vailey, MN 55124 Unique # H2914 S - (612) 891-7011 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DEA: Drillco ISSUED T0: 27264 ADDRESS: 8790 Highway 12 REVIEWED BY:Farr Delano, MN 55328 has submitted a permit application, has paid the sum of $111.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to seal the Well described herein: An abandoned well with a casing diameter of 3 inches, depth of 140 feet, and completed in unconsolidated sediments, will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet helow grade. THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 646 Rita Court Mike Bass Mike Bass 646 Rita Court 646 Rita Court Eagan, MN 55121 Eagan, MN 55121 NOW, THEREFORE, Drillco is hereby permitted and authorized to seal the well described and located above for a period of one year from the date of this permit. Sealing of this well is subject to all provisions of Dakota County Ordinance 114, the Minnesota Wells and Borings Code and any conditions attached on the reverse side of this permit. Given under my hand Tuesday, July 26, 1994 ~ ~~i ~~~r~~ ATTES Enviromnental Supervisor Environm tal Management Director WELL PERMIT ~ ~ DAKOTA COUNTY Permit No. ENVIRONMENTAL MANAGEMENT DEPAR7MENT WATERANDLANDMANAGEMENTSECTION 94-9187 14955 Galaucie Avenue, Apple Valley, MN 55124 Unique # H29148 - (612) 891-7011 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Drillco ISSUED TO: 27264 ADDRESS: 8790 Highway 12 REVIEWED BY:Farr Delano, NIDI 55328 has submitted a permit application, has paid the sum of $111.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to seal the Well described herein: An abandoned well with a casing diameter of 3 inches, depth of 140 feet, and completed in unconsolidated sediments, will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLliOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 646 Rita Court Mike Bass Mike Bass 646 Rita Court 646 Rita Court Eagan, MN 55121 Eagan, MN 55121 NOW, THEREFORE, Drillco is hereby permitted and authorized to seal the well described and located above for a period of one year from the date of this permit. Sealing of this well is subject to all provisions of Dakota County Ordinance 114, the Minnesota Wells and Borings Code and any conditions attached on the reverse side of this permit. Given under my hand Tuesday, July 26, 1994 ~ - " ,j ....._~a-J ATTES Enviro ental Supervisor Environm tal Management Director EAGAN TOWNSHIP 3795 P11ot Knob Road St, Paul, Minnesota 55111 Telephoae 454-5242 PERNIIT FOR WATER S~RVICE CONNECTION Date: Aoril 14. 1971 Number: 570 ~7 - T/~~ ~ Biiling Name• Douglas M, Schaaf Site Address: 646 Eita Court, Eagan 55121 Owrter: same Billing Address same Plumber• same_ _ Location of Connection Meter Size5 8 Connection Chg. 260..00 od 4/14/71 account deposit 15,00 pd 4/14/71 Meter Nob732712 Permit Fee 10.00 pd 4/14/71 Meter Readi lnpi~ 1000 Meter Dep. Meter Sealed: Yea Add'1 Chg. NO Total Chg. Inspected by Date Buildiag is a: Remarks; Residence xx Multiple xo, vnita g~5,Q0 ~E-IiISPCC~fDIV FE~ F'~I~ commercial ppE~LY. iNSTALIE~ P?IE.TF.I~S<, Industrial By: Other Chief IaspecCOr In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work ia accordance with the rules aud regulations of Eagan Township, Dakota County, Mianesota. By: Douglas M. Schaaf PLease notify the above office when ready for inspection and connection. EAGE~N TOtidNSHIP 3795 Filot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION np~; April 14, 1971 p,~ggg 730 ~ ° F` ~ OWNEA•Douglas M. Schaaf Address 646 Rita Court~ Eagan 55121 PLUMBER same TYPE OE PIPE cast iron DESCRIPTION OF BUIIAING Industrial Commercial Residential Multiple Dwelling No, of unfts ~ooc Location of Connectione; Conaectioa Charge 200.00 ~pd 4/14/71 Account deposit 15.D0 pd 4/14/71 Permit Fee in nn r~[~/71 SCreet Repairs Total Snspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the propased work in accordance with the rules and regulatioas of Sagan Toc•~nship, Dakota County~ Minneaota By Douglas M. Schaaf 646 Rita Court, Eagan 55122 Please notify when readq for.inapectfon and connection and before anp portion of the work ia covered. f[# [OOd ~tl~5:80 >6-LZ-LO iEOL[68Z[9 %SB-8 j,a~~: RECENED .~a<< 2 7 1994 s ,_.~...z MUNICIPAL NOTICE OF WELL $ERMI'I' APPLICATION AAFCOTA COUNTY ENVIRONMSNTAL MANAGEMENT D&pARTMENT WATER AND LANA MANAGEMENT SECTION 1A955 Galaxie Avenue WesC, Apple Valley, NIlV 55124 Tel (612) 891-7011 Fax i612) 891-7031 DATE: JuTy 26, 94 '1'O: Tom Colbert/Wayne Schwanz Fax (61~1 681-4612 FROM: Water and Land Management REi Well Pex~mi.t tks 94-9187 Well Type: 3ealing MunicipaliCy : Eagan Reviewer : Farr NATICG: The Water and Land Management Seetion oE tha nakota Counky ~avironmental Management I~epartment has received the Eollowing permit application Eor Che well de9Cxibed. If you require futher review af the appliCation or if you have any questions or concerns about it, contact the SnvironmenCal 5pecialist listed abova or our oEEic~ at (612) 891-7011. If there is no res~a~se trom your ofPice within 24 HOURS (excluding weekand~ and hola.days), we will assuma that you have no objections to the iasuance oE the permit. Please note that permiC issuance is always conditioned on the permit applicant~g observance of and com~liance with all applicable laws and codes. A copy of the well permit will be forwarded to your offiae when completed. WELL CONTI2ACTOA INFORMATI~IQ: DYi11C0 Rpplication Received: 07J26/94 Anticipated Drilling/Sealing Date iE known: 07/26/94 Time: 15:00 LOCATION OF WELL; PLS Coordinates ~IE NE SW NE Seo 12, Town 27 , Range 23 Well Locativn 64& Rita Court Property Owner Mike Bass Well Owner Mike Bas9 EID Number - - - WELL IPiFORMATTOIQ: Diameter 3 Casing deQth 90 Total depth 140 9WL Aquifer unconsolidated sediments CpMMEN'PS : I 3Jtld TEOGTb'8ZT9~Xtl~ ~SP9-0~ ti1~IGQ~QI 90~60 V6. LZ~LO ì ý ï þýüýû ÿþþ ýüû ûúù øýýþþ õýâ ø ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý ï óý ýý ãáùøïýáö ïýá ï þýüýòô ë è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 1-616 'Y 1 7 Use BLUE or BLACK Ink Permit#: q !/76 Permit Fee:4 2? V 1 ` Date Received: Staff: Date: Site Address: Unit #: RESIDENT / OWNER Name: TO r J b vi.i ► Phone: 6,67- na0 49 $y Address / City / Zip: 6447 P i7c.-1- Mi S5"/ a. i Applicant is: X Owner Contractor TYPE OF WORK Description of work: ii/ -e&3 5 A , el Construction Cost: 00021- Multi -Family Building: (Yes / No )( ) CONTRACTOR Company: C)WJ.r' Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes P No 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: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit; are considered to be public information: Portions of the information may be classified as non-public if you provide specific reasons that would permit the Crty: 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a' • ork is not to tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review an.. . =l of plans .Tairct. soi Applicant's Printed Name Applicant's Signature Page 1 of 3 & �� 01- DO NOT WRITE BELOW THIS LINE E- SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES ! ( New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% / ) Census Code # of Units # of Buildings Type of Construction 5 71 0 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Ni( Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final 4. Framing Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant AL1 WI NaLAD MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests - Siding: Stucco Lath _Stone Lath Windows Final Brick Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector AttS4stiKtif ISY/K Cie° Page 2 of 3 • •••• • $ L i•• S • • .. 2. • •• w • alligMY+iM • _ •_._ . • _. A do? 41,en eA1*re crr rv i3e eb !le etCD y7e52,m;-t q9 G 8Je 3~~ Cb Ilec7-e S7 Use BLUE or BLACK Ink r--- 1 I For Office Use 1 I Permit City of Ea Ed~ 1 Permit Fee: Q'_V 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: f Phone: (651) 675-5675 I I Fax: (651) 675-5694 s I Staff: I v 1fj12 _ 2012 RESIDENTIAL BUILDING PERMIT APPLICATION G Date: g Z Site Address: Unit Name: Phone: ' y~(2 95 (o RESIDENT / t,y OWNER Address/ City/Zip: r Applicant is: X Owner Contractor TYPE OF WORK Description of work: Construction Cost: Lh It-"w-Ln., Multi-Family Building: (Yes / No A,) Company: Gv~ yors Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (se Page 3 for addition information) K 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 submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X. x Applicant's Printed Name Applicant's Signature Page 1 of 3 I 4, DO NOT WRITE BELOW THIS LINE /e .7 SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family ~C Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation t7 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%LL ~f ''Zoning City Water Census Code 1 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition)! Final / No C.O. Required Foundation 1 ' HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough in -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review Iv MCES SAC City SACS/ Utility Connection Charge n S&W Permit & Surcharge S~L-j Treatment Plant Copies TOTAL Page 2 of 3 lie r f f • i r f o V tt i a now a. kW#AMIP City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Date Received: 11111 l { fi- Staff: C� 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t //+! I / t Site Address: �� `a%, c LA Unit #: I( Name: 61 ' + �,Y'Phone: (C6 9.‘I29.‘I2) X562 Address / City / Zip: C� `� 17- (4 � -kC& Applicant is: sK Owner \ Contractor Description of work: �°J` �( "'� `W`}CetM ''Y V/ Construction Cost: t-AN.,11-wJw-ti Multi -Family Building: (Yes / No ) ��S Company: T '�� Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 by a building permit issued in accordance with the Minnesota State Buildi g de must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Signature Page 1 of 3 sty 646 6. “7/- loK3i)0 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition lIY.) Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level frD Interior Improvement Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 147610 `71 y Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final 11- Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 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 Meter Size: Final / C.O. Required !( Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test 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 G Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109070 Date Issued:02/06/2013 Permit Category:ePermit Site Address: 646 Rita Ct Lot:4 Block: 0 Addition: Harvey PID:10-32000-00-040 Use: Description: Sub Type:Residential Work Type:New Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:MATTHEW PETRONE 646 RITA CT EAGAN, MN 55121 651-442-1956 Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - MATTHEW V PETRONE 646 Rita Ct Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature ___Use_B_L_UE or BLACK Ink For Offic s I Permit 9 "12f 1 I I City of Ea n 3830 Pilot Knob Road Permit Fee: j Eagan MN 55122 OCT 3 j Date Re eived: " / Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: - - - - - 2013 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commmmer .'a applications. Date: a►$ 1~ Site Address: bLf Lt ant: Kk olT~- I vlSuite # c9b Resident/Owner . Name: kfti !1 ICJ Phon Address / City / Zip: Cr l Name: Rons Mechanical Inc License Address: 12010 Old Brick Yard Road City: Shakopee Contractor State: MN Zip: 5 5 3 7 9 Phone: 952-445-8585 Contact. Linda Email: New Replacement Additional Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector forInformation on permitted screening methods. / RESIDENTIAL COMMERCIAL ✓ Fumace New Construction Interior Improvement Permit Type V Air Conditioner _ Install Piping _ Processed _ Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump Under / Above ground Tank I_ Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ (05.06 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal Contract Value $ x1% $55.00 Minimum Permit Fee *If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge* TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aoi)herstatoonecall.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. X_ LI ndC _,kyyq),Ac~Qv- x Ny"/// Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA165135 Date Issued:10/19/2020 Permit Category:ePermit Site Address: 646 Rita Ct Lot:4 Block: 0 Addition: Harvey PID:10-32000-00-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew Vincent Petrone 646 Rita Ct Eagan MN 55121 (651) 442-1956 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature