Loading...
1674 Riverton Pt BLDG. PERMIT NO. r -? 01 3210 it dg - . em 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge l' ! "< 17-3860 Road Unit 20-2275 SAC C 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 t. DATE 1 9 RKC G V 6D FROM AMOUNT $ I & DOLLARS ? IDO CASH CHECK FOR j BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN Remarks Addition Blackhawk Lake Addition Lot 3 Blk 1 Parcel 10 14385 030 01 Owner street 1674 Riverton Point State Eagan, MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 157.50 10.50 95 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 272.50 18, iz 15 - STORM SEW TRK 1983 1295.91 86.39 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 'r PERMIT # -, -. MECHANICAL PERMIT - RECEIPT # CITY OF EAGAN 3130 PILOT KNOB-ROAD, EAGAN, MN 55122 DATE: l CONTRACT PRICE: PHO E: 454-8100 Site Address t' BLDG. TYPE WORK DESCRIPTION Lot 3 Block f Sec/Sub Res New ~ Mult Add-on Name -$TAN9 9ffiF: RNA = BFiION III Comm. Repair :° Address 410 WFSI . c City IiNNNEAPOLlS,Mti,qXAae4or 5i Other FEES m Name % J ! i - . , ? RES. HVAC 0-100 MBTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone - 2,7 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM PER P ( - 1 ERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForcedAir M BTU APT. BLDGS. - COMM. RATE APPLIES B il TOWNHOUSE & CONDOS - RES. RATE APPLIES o er MBTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. - M BTU MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - 50 Vent. CFM $ . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: % _. -- S/C SIG T : NA URE OF R EE TOTAL: + M FOR: CITY OF EAGAN Y / iYlg p /1i L PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 Site Lot. Name /J??iryyru r/?? /YNv l/ ro Address 37) 01 c City e,A Phone Name ZZzZ ` t1 Hc74 Z5 I Address p City h4? r ?Ef t Phone ,. FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & 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 SIGNATURE OF FOR: CITY OF EAGAN PERMIT # a RECEIPT # J DATE: BLDG. TYPE WORK DESCRIPTION Res. New _ Mull. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $150 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: _ GRAND TOTAL: 5 • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 13309 19 Site Address OFFICE USE ONLY Lot _Block Sec/Sub. A . L,A.t. On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actual) a Name (Allowable) 3 Address {" o City Phone Lengtn Depth S.F. Total p Name Footprint S.F. 0 1 Address APPROVALS FEES P City Phone Assessments Permit F ¢ uW W Name Water/Sewer Police Surcharge Plan Review y? W Address Fire SAC, City U Z iW City Phone Engr. Planner SAC, MWCC Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off., Road Unit that the information is correct and agree to comply with all applicable APC Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone it Plumbing O y l ?Ll 9?ip ?7 H.VAC. Electric Softener Inspection Date Insp. Comments Footings l 6 Footings II Foundation Framing Roofing Rough Plbg. _?- Rough Htg. Isul. 9 fj' Fireplace Final Htg " Final Plbg. 3 Bldg. Final Cert Occ. 47 Z22,1- Temp. . LP Deck Ftg. Deck Frmg. Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Lot. Name - Address c city c Address ?1?1 .. t Q-rn O City r- A.t Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & 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) FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New I/ Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTA Water Closet - $3.00 ath Tubs - $3.00 Lavatory - $3.00 (Shower - $3.00 --- 4-Kitchen Sink - $3.00 UrinalIBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 -1 _Whirlpool - $3.00 I Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 12- FEE: ?-I • CO STATE SIC: U GRAND TOTAL: v : (_) Site Address Lot a A? Name _ Address c City Name _ Address O City PLUMBING PERMIT CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 :E PHONE: 454-8100 PERMIT # O v v C I RECEIPT # DATE: 45? 7 COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & 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) OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.0g 6 $ Bath Tubs - $3.00 X Lavatory - $3.00 7 Shower - $3.00 11 Kitchen Sink - $3.00 / Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 X Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 3 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - 510.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: _ GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE " CONTRACT PRICE: PHONE: 454-8100 Me Add Ts BLDG. TYP WORK DESCRIPTION of 7 Block Sec/Sub Res. New ?t Mult Add-on Z5 Name Comm. Repair Address Other City Phonec l g - 39 3 -) 11 Name - Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Phone FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) vtfoM BTU M BTU M BTU T., -- M BTU CFM FEE- S/C: TOTAL FOR: CITY OF EAGAN r (9rdif iratir of (Orruvonry Citp of (Eagan Frpartmmt of ludbWg JWeriion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.- Use CL,,X= ion S: lix/c; : Bldg. Permit No. 1809 Occupancy Type R3 Zoning District Type C- V Owner of Bmlding IMEhl+yW1 CIE Addm 40 11) R s7mn j j g Am,, 1674 RPL'F", ' ' t :i: • A Lomlity T--I- Al. Dam: 'nUMn Ott . 1 Q8 Building Oft:W i' - "7 POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No. pate: •" 7 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Data; Eagan, MN 55121 Owner. 4alrennan Coast. Site Address_ 16,74 Riverton Pt. L3 B1 Blackhaw>r La"- Conn. Chg: 525.00p Zoning: F1 Acct Dep: 15 • ()Opd No. of Units: 1 Permit Fee: 10.OOpd Surcharge: • 50pd I agree to comply with the City of Eagan Tr. Plant 160.00pd Ordinances. Meter. 57 nnT,i CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: .3 y Size: P.O. Box 21199 Reader No. Date: Eagan, MN 55121 Owner. ;ulrennan Coast. Site Address: 1674 Riverton Pt.--U.01 B1 A(tC},s,L.tr T mo t. Conn. Chg: 525.0;3 d Acct Dep. 15 • It -Ir Permit Fee 111 •')T Surcharge: • 5' Tr. Plant 1 ' r1, A Meter. ',7 nnPo E1 Dft}N N&?Cf• 1 LAW h *ae to comply with the City of Eagan Ordinancea^ WATER SERVICE PERMIT CITY OF EAGAN NO 13 8 0 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 --- 4q 2 BUILDING PERMIT Receipt# _ 1 J Tobeusedfor SF DWG/GAR Est.Value $187,000 Date JUNE 24, ,19 87 Site Address 1674 RIVERTON POINT OFFICE USE ONLY BLACKHAWK LAKE Lot 3 Block 1 Sec/Sub On Site Sewage X Occupancy R3 . MWCC System _ Zoning RI Parcel No. On Site Well _ Type of Const V City Water X (Actual) rc Name MULRENNAN CONST (Allowable) w 3 Address 4010 E 52ND ST., #205 x of Stories Length 86 o City MPLS Phone 722-4029 Depth -52---- S.F. Total p Name SAME Footprint S.F. ou Address APPROVALS FEES rc ? City Phone Assessments Permit $ 764.50 - 30 9 3 Water/Sewer Surcharge . mW Name RUSSELL HOME DESIGN Police Plan Review er-292 95 zz Address 4940 VIKING DR Fire SAC, City _ ue aW City EDINA Phone 835-5970 Engr. Planner SAC, MWCC Water Conn NIA _ 525. 0 Council Water Meter - 67. 0 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit 0 305. thatthe information iscorrectand agreejO comply with all applicable APC _ Treatment Pl ? ?0 State of Minnesota Statu s and City f Eaga O dlnances. Variance Parks Copies Signature of Perm.Bee r TOTAL $2,317 95 A Building Permit is issued to: 14ULRE NAN CONST on the express condition that all work shall be done in accordance with all applicable ate of M innesota/9 tuteg and City of Eagan Ordinances. Building Official f /- -?' / 91V%" _ a 36- 909 REQUEST FOR ELECTRICAL INSPECTION 1 See instructions for completing this form on back of yellow copy./ "X'' Below Work Covered by This Request Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatul Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) 01hgr 15 p?*rifyl t .r Specify Other Other Compute Inspection Fee Below M Fee service Entrance Size H Fee Feeders/Subfeeders d Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 AM OS Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool I F Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial.'Ot e Signs Special Inspection S/ 3 TOTAL E Remarks O ££77 _?rj, I, the Ele cl ricW y I hereb nspector, by certify that the above Final inspection has been made: This request void 18 This request void 18 This months from J` D 8909 c3 <I ?j Required? lpkpady Nuw ? Will Notify Ready x 0/ Yes ?No for When n Ready 'n!.Licensed Electrical Contractor 1 hereby request inspection of above ? Owner / /. /7/-/ electrical work installed et: Street Address. Be. or Route No. / City , 104- - I ? /' J 4) PAJ , ec"On o- Township Name or No. Range No. Count We 4/ Occup t IP INT) / L Phone No. ey 410 2 ? e n/i?e&l 2 2 Power Supplier L A ddress r.?. C d ' Ele icaI Contractor ICompa nY Name Contractor's License No. Mailing Address ICo [ ctor or Owner Maki ng Installationl l 7 - leg 5 I= ti Al Cgoa We il S Authorized J!pslure (Contractor/ caner Making Installation) Phone Num er 75-5-5r6,00 MINNESOTA STATE?ByA RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gritws-Midway 11 Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED- /sro 1987 BUILDING PERMIT PLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 .A _ OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND P 7, ood To Be Used For: j Valuation Site Address /(,-7</ OFFII Lot 3 Block On Site Sewage IMWCC System Parcel/Sub ?acK ?GWG /. f e Qd.E On Site Well City Water Owner Address <F t d.-41 City/Zip Code, Phone UB (& APPROVALS Contractor Address gdjo F t?- saw s anS City/Zip Code aA _ 2'5-5of 17 Phone -), ca - yo a g Arch./Engr. ?Ls-5e/d Uante_)PA:4xi Address 1174to i? wnc ?n: ?L_ City/Zip Code } r. ?S'??5 Phone # pas q 7 0 Date: $ Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES ?•3 2•i S2 tk?sessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off Road Unit APC Treatment Pl Variance Parks Copies TOTAL ?l.r 1 .? ' e.y `mss Alw cC7? Z x d Y 12av ? 26601 1. CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: rYA7y R:%ggryer, CONTRACTOR: MiIren.nn (tngfi've4,*y% QDATE: f4111) / 'L PHONE: jai-L1oa9 Determine working square footage of each: 1. Total exposed wall area .. 34006 sq. ft. x .11 = 4h.7. 18 2. Total roof/ceiling area .. /7A t1 sq. ft..x .026 = S/y 9a Total exposed wall area above floor = 'iSaio a. Total wall window area ............................ b. Total door area ................................... /00 c. Total sliding glass area .......................... ay2 d. Total fireplace wall area ......................... e. Total wall framing area (average 10%) ............: --a`G f. Total net wall area above floor ................... g. Total rim joist area ............................. Total exposed foundation area = Y-4 h. Total foundation window area ....................... i. Total net foundation area above grade .............. ?j Determine 'U' value of each wall segment: a. x b. x c, x d. x e, x f, x g. -qtlo x r h. I x i. !V ' 1A x ,U, 'U' ' U' 'U' 'U' 'U' ' U' 'U' 'U' 3/ = 1,". 9 r '1t/ _ / Ob• $? 3 . ................................................... Total = y0 9 ./? If item 03 is the same as or less than item 01, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 17,4 M Al ZI J. Total skylight area ............................... , k. Total roof/ceiling framing area (average 10%) ..... J 1. Total net insulated roof/ceiling area .............. /.Se/7, i OVER Determine 'U' value for each roof/ceiling segment: j. J/.y x 'U' fog = T.A-C k. . 471 . Al x ' U? . 404 A/ = 41.13 1. 151/7. L. x 'U' . j 2z- = 30. •f j1 4 . ...................................................... Total = 3 8.! If total of 04 is the same as or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and #4 shall not be greater than the sum of Items U1 and 112. 1. _e61. Pi$ +2. 7?Pia = "7V7 2 f Eagle Testing 3956 200th street Farmington, Mn. 55024 ?li SOT Soto -:Eps'T Dear Mrs. Hamilton. S ..? 3 - 97 3 61 tx mck L O'jic c ??a _4-_r. ao5 Tmt,0- ki The following is a report of this companies findings on the soil of lot 3g blk. i Rlackhawk Est. for the purpose of an on site waste water treatment system. I have found that the soil on this lot consists of mostly sand.gravel, loam and very little clay. The top soil is made up of a organic sandy loam. Then it turns brown in color and turns to mostly sand and gravel with just enough clay to bind the sande about 5%. The pert readings were rather fast at 3.77 and 4.82 m.p.i., (minuets per inch), and will need 350 to 400 square feet of trench bottom. This will accommadate a type I, four bedroom home. See work sheet D-8. Thank you for the trust in this companies testing of your lot. This test is subject for approval by the local gov- erning body. If you or the inspecter have any further questions please feel free to give me a call at 463-4868. Sincerely. Eagle Testing C.J. Schneid# Logs of Soil Borings 7 Location or Project ??? 31 044 3 - 3 I.3 Borings made by triz 10. Date 7 Classification System: AASHO USDA-SCS Unified ; other Auger used (check two): Hand, or Power _; Flight ', or Bucket _; other Depth, Boring number 3 5 ors Depth, Boring number Qtl $ E (3er e, feet Surface elevation feet Surface elevation 0 044A iaxp y s a.wd &N,d 1 - Tori bK!) a a,'browti /#x44 z Sao.4 4 orgy w?c rwa.tl e r w/ - 8ra,v?. ? 3 - /tit.eil/y 5ar?d 5rave VG-r4 l;7Yla r'I"• 4 - SAwd 19ra,ve,l Lcla,q jog) 5 - Sd,wg Gar&VeJ- JForL. 15"ze s%, f/ay 6 - sah.d n4•es?ly sa.H. some grave- very 14#la LAtd 61&Y. 8 - S aid 0 Black oryah "a /oa++t. ".,i't'k 1 - z - To,.,,; K9 }c a. brawn. fo saKJ ,f o an a BroZua 1 5 e ln.G Or`9g.nSc, w?,3,.#w. 3- Ynosfly t 1t+te Sa rat/ yW-ave/every clay. 4 - Sa.Kd, 6yowk, gravo C- ta' 5 - saKd ?1? saw 6 - d vex y 1, le C' save grave. 7 - sa d Sd1t? <oaY`sc s - saved O End of boring at feet. Standing water table: Rresent at feet of depth, hours after boring. Not present in boring hole Ili - Mottled soil: Observed at feet of depth. Not present in boring hole ?. Observations and comments: m End of boring at feet. Standing water table: Present at "- feet of depth, hours after boring. Not present in boring hole X . Mottled soil: Observed at feet of depth. Not present in boring hole -7x-. Observations and comments: Logs of Soil Borings / B-27 p Location or Pro ject /L a - Mario ._'I , &r.A 4t14-t. 3 - 13 AeL 1 Borings made by E&.LAAAPAmt Date ? 13 - A? Classification System: AASHO USDA-SCS _>?-; Unified ; other Auger used (check two): Hand -X, or Power _; Flight -4-, or Bucket -; other Depth, Boring number (31 N C Sor in Surface elevation feet 0 - gtac,k sa?.du vrgdk,? W a.#ew 1 - t3row?,. ?-oa,My saKd sc»4u or9a.n.?? .w a.tFar vf??eurel 2 - Depth,) Boring number 8 2 N W f in Surface elevation eet 0 13l2.ck or3e.n;(- ,ccadlFfcr 5AAnr! E Loa M,• 1 - ITUY&%;^!5 +o ,%cs{iy S." 2 - W"'I-k SI-XVC1 Sok++e. 10A.4 3 - 13rowK sa*-d. 60we dlav &oilt 14-41o a/bv-,Lvel 4- Aj*$+jq Sa.n,d a-d yNav?l vsvy Pole cda,y 5- S &wcl AKOS? y sand 6- / ?dH.d w;dk SoA.,C g Y ?.V Q.? avNCJ 7- s4.4t oh/y ?,bouE 8- S aA& O End of boring at 5 J feet. Standing water table: `. Present at feet of depth, hours after boring. Not present in boring hole. Mottled soil: Observed at feet of depth. Not present in boring hole Observations and comments: 3- S &,t d y l oa,wt , 9 r a v e l 4 - SaLwd' /S% c!'a.cr srr.a./f gravel t:pba, size) 5 - 62L+4,d gra,va.I 6- I S SLK,d g ra v e 7 - Sand s - Y aL tJ vGYy 1;Plc dzy eA,6v34 4o b.wd .s&nd Z'boa SR 0 End of boring at $_ feet. Standing water table: Present at feet of depth, --- hours after boring. Not present in boring hole _K . Mottled soil: Observed at feet of depth. Not present in boring hole Observations and comments: B- 35 PERCOLATION TEST DATA SHEET Test hole location 560d Pe r ?o% Hole number. E2 Date test hole was prepared 3 a 3 8 7 , Depth of hole bottom, -34 inches. Diameter of hole, (10_ inches. Soil data from test hole: Depth, inches Soil texture D -fo /R /3lat/< hod s7.r.«f nraac?s+?'a ift /R fo 3G ?/7//oc? f/ t l,i /-AEA cow s I p ,YtZ V g,? Method of scratching sidewall 3 e, Depth of pea-sized gravel in bottom of hole, 01 inches. Date and hour of initial water filling 35- Depth of initial water filling, inches above hole bottom. Method used to maintain at least 12 inches of water depth in hole for at least 4 hours S i®?o,, _¢o( y?t;c_/e ?c.e ?lroe/ oZs ?a on Percolation test readings made by 6,7 7k e A 3 ' a t( , ®7 starting at p p:m: Maximum water depth above hole bottom (date) during test, G inches. Time Time Interval, Minutes Measurement, inches Drop in water level, inches Percolation rate, minutes per inch Remarks :Sly ? O z ,2' o ?r-? A ? . a y.ag' +y.o 42 PR. Percolation rate - _ 3, 212 minutes per inch. B- 35 PERCOLATION TEST DATA SHEET Test hole location N o Y A per t Pe le Hole number r I Date test hole was prepared ,? 23 97 , Depth of hole bottom, 34 inches. Diameter of hole, (_ inches. Soil data from test hole: Depth, inches Soil texture V f-a ly" 131,Uk orgigAic loasg' saan.j lW " fe 3L" I?ln'}?c, brsr??? s8.w fer..a. ara?at Method of scratching sidewall ?Jc Y?YC ,be) yl^ d Depth of pea-sized gravel in bottom of hole, inches. Date and hour of initial water filling 3 A3 • 87 2: 10 Lm Depth of initial water filling, 12 inches above hole bottom. Method used to maintain at least 12 inches of water depth in hole for/at least 4 hours J) , n?,' p?_eg al Me- jA oaf Percolation test readings made by C alt a on 3 - o?11 - f3 7 starting at * qS Maximum water depth above hole bottom (date) during test, inches. Time Time Interval, Minutes Measurement, inches Drop in water level, inches Percolation rate, minutes per inch Remarks G 10,00 /5' z 3 '/m 12 9 10:6 - _ - O; (a / 3 v /51 v ? ,q* W Percolati on rate - -_// g o? minutes per inch. Tam g S `°<' ow IQ 9,4( x t ?w U' -- l?Y IPA a? ?e 78w??cv ? - - d- U 'l ay l3ar- ?'? - - NI- - am - d - ---- - --- `-tom-5?1 Now Construction it, 3 registered stle surveys showing sq. it. of lot, sq. it. Of house and gil rooted areas (211% ma)dmum lot coverage allowed) a 2 copies of plans (show boom & window sizes: poured Ind. design: eta) n 1 set of energy calculations a 3 copies of hoe preservation plan If Tot plaited offer 7/1/93 DATE: /0 ( L." u l > DESCRIPTION OF WORK: STREET ADDRESS: LOT: 3 BLOCK: SUBD./P.I.D. C 2 copies of plan 1 set of energy calculations for heated additions 1 site survey (of exterior additions & decks &0, /an , °a CONSTRUCTION COST: Name: i ! 70 ?? (-at q Phone #: 'C Jco ? S? ? I PROPERTY Last First OWNER _ Sheet City state: Zip: Company: SELA ROOFING & REMODELING. INC. Phone #:& i - '9Z3 9-0 Y(a 4100 ENGEL-EIOR B6VB. (area code) CONTRACTOR ST. LOUIS PARK, MN 5541E Sheet Address: ID #0001050 Ucense # /D Sri Exp.3- V- D City State: ARCHITECT/ ENGINEER Company: Name: Telephone C ( ) Sheet Address: Registration #: City State: Sewerlwater licensed plumber (N installing sewerlwaterl: Phone #: Zip: Zip: 1 hereby acknowledge that I have read this application, slate that the Information Is correct, and agree to comply with aR applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 c? 651-681-4675 » O O --I RemodeVReoalr Reauirements No No - Not Required y f• L.dU L W T OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plea ? 02 SF Dwelling ? 08 06-plea ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg Y or -N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair s ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee 9 "_- `? Surcharge I-ST Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SM/ Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: a 0 a sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Valuation: $ ? 31 Ext. Aft - Multi ? 33 Ext. AN - SF ? 36 Mufti SAC Units % SAC CITY USE ONLY a L BL I RECEIPT#: / SUBD. (3lixyklw k LGt ICP / RECEIPT DATE::Y 11 !C ©? PERMIT# ?1 O 57 I 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 651-661-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # T 30,50 TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System now/refurbished • requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationtrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler Hdwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x 1 = $ C? . o c Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 -> -> -> $ 50 Total -> Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------- ---- ------•------------------appliption, s -------•--tate - •-t hat the ------- informati ------ on a -ll-appli ---cable C -----ity of Eagan ord --------------in-a- --nces.- I hereby acknowledge that I have read this coned, and agree to comply wiM a It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activ?itiiees to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 16 7q A /?c-,41Dti /0 t OWNER NAME:: C Y't'.9 /1111' t 14-6 1-1 TELEPHONE #: Gs/ zFS?'- ? ??1 (AREA CODE) INSTALLER NAME: SST SYM;U14r1 TELEPHONE #: -q 5-Z, `I33 I78d (AREA CODE) STREETADDRESS: 5'2-67 D6111 VJGK op" CITY: /z(A/u TDNkr? STATE: /`1 ?J ZIP: f`S3V '3- SIGNATURE OF PERMITTEE CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION MATE: PAYMFTIS OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SE M AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ------------ (Please Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRU'CIURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon ear) PRESENT ZONING/PROPOSED USE: M COIf4ERCIAL/RETAIL/OFFICE r7 INDUSTRIAL n INSTIILTIONAL/GOVE W= R_R-1 SINGLE FAMILY o R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ADDRESS: CITY, STATE, ZIP: /,tea Pv.a?/ ?- C// PHONE: 3) ra• For City Use .. NAME:-4 t 1wz y e (1/ I N /? Plumbers License- ADDRESS: 3?)-o /Yh©l/ ?/ ?1e' //r. Erireed vCITY, STATE, ZIP: y recorded PHONE: ' ti-C.-7 MASTER LICENSE# Stoma (-Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 'S) a r: •a:• :a • - ?? n CONNECTION TO CITY SEWER dj CONNECTION TO CITY WATER OTHER PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ---- PLEASE MAIL APPROVED PERMIT TO 1, 2 3, 4, ABOVE (C' one) ranum `7 / D FOR :CITY USE ONLY PERMIT # ISSUED Pd'w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?U WATER PERMIT (INCLUDE SURCHARGE) $ 1,97 6o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ?,Q ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ o $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7°Z 6f-6 $ 2 ?G TOTAL tG/ -2 RECEIPT 7,,5-rf Z.? RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST . AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: eL, . n V t TITLE: DATE : 7 L1 A - i r 2005 RESIDENTIAL BUILDING PERMIT APPLICATION . , c t? r y City Of Eagan C k , o4 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Carl of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pries Plan Reod _Y -N. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required _Y _N l set of Energy Calculations Addition-indicate ilon-ae septic system Onsfte Septic System _Y _N 3 copies of Tree Preservation Plan Slot platted after M193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) to / Date ? / F» Construction Cost ?ZoDJ - ? J???? ?' Site Address l (Ll t Unit/Ste # Description of Work L,?l 0 E-04? Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 1 - 2 Property Owner rQN5 Telephone #((;1-7) q)%_S 0 Contractor I? M l.?S lJ (; 1? Z I Address ?y Srl 1-P^j1WwNn) AA City 54AIAQ,f State Illh'J Zip %5?b (?G13 )SZI? Shy Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . ' Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (Jsubmssiontype) Submitted Submitted • Energy Envelope Calculations Submitted ??i •-• 5 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y . _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 pl in the cas f work which requires a review and approval of plan s. Applicant''srinted Name Appl cant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System 100% or 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector L ,.ter . . o~ - ; ~ Ali%' ~ G ~r -^~1 - ~ fin' u ~ ~ ~ Iv ~ ` ~y ~ 5g ; ,1 ~ ~ ~ ~ ~ ter. k =,Z~~ ~ I ~ o i i ' , ~ f IQ , - _ _ ~ _ ..1r~1 t ; . ~ r~ w zy ~ 1~ ~ r c F ~ X44 M' ~ ~ 1 ~ ~ ~ ' . ^3' I i 1 1 .!~,i~bs i N ' '.~J.~~j CS V J '.:f h i ` i F : ! r.' ~ ' 3 i j ' i ~ P~ 1 i 1 i ~ ~ ~ ~ rya. ~ ~ ~ ~ ~ 4 aR! t; , ~J a o ~1 - . f .x t~ 9~3 ~ ~ i ;.aw` asp F~fi _ ' `e ~ ~St3._,,, ~'-dl~}~_.i~~. A ~~~j~~71_ b~!1t ~ ~ ~.i~ r~~l~_~ .:'L_ gk ( 37 7~ 3 `mot. , s ~ ~ ~ I ~ r~ ~ { .r,v ~ 1 ~;r`0, ~ i , , s' (g 4 ~ ~3~,~ !0 ,'I _ ~ h '.~!'1~ 1.17. V i , !n~-1.81 ,/9,z: S '33' ,5,~ ~ - - 1 _ . - j f 1 ~ , a x r , - ~51~ r~ 8:4.c4; _ ~ , ~ t' "x DESIGNED CHECKED SHEET REV. I HEREBY CERTIFY THAT THIS PLAN WA5 .y ;2. REPAR D FOR DRAWN, DATE r FOR CONSULTING ENGINEERS, PREPARED BY ME OR UNDER MY DIRECT _ PIRNNEAS and IAND SURVEYORS suPERwsION AND THAT A 0 LY - 19/87 t~0t3E 1 T R D REG S E E UNDER THE -LAWS Of THE STATE ~ SCALE rr ~ ~ . 30 ENNAN LR MAN MU NGINEEt~ING OF MINN TA. s JOB NQ A 52~ 01 CONSTRUCT[0 C~MPt~N1~ INC• OATS REO.NO. O N0.OATE BY REM RKS f" , 7RUCTION OF / REVISIONS 1000 EAST- f461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120132 Date Issued:01/21/2014 Permit Category:ePermit Site Address: 1674 Riverton Pt Lot:3 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Joseph P Garry 1674 Riverton Pt Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � r-----------------� I For Office Use � � � Permit#: �� � � �lty 0� ����Il � v�s� � � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I! ��I-fl�� SiteAddress: ��,7L/ �.�0e- '�C:� %�s��� Unit#: � .' Name: � 1 U� ��a�r ,� Phone: Z.5 Z—�/6' 6��r' 7 'Residentl � � /� ,. Owner ° n Aadress�ciry�zip: / ,�7 �� /C�"ve--��� �'p ��, ¢ ; Applicant is: Owner n Contractor ` ` Description of work:____��� � Type of Work`; �=:: � �� � �.; Construction Cost: ZJ�6(�U � Multi-Family Building: (Yes /No�� Y , �`�'� � � - � �, ; Company: �C��,f�a � /hU�eS�'�� ��� v d.�'%L�-- �Contact: ��L- ��-�J�c%�-- Contractor . Address: Zo6� � �s� �� c�ty: /��c��,i�� State: /L�'`' Zip: s S��` Phone: �S L 2 Z�l���7 Email: S�G'L- � �c'�.-aiz�-�-�po• �c � ' License#: J� 1�L17�/N� Lead Certificate#: If the project is exempt from lead certification, please expfain 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 X No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans a'nd support�ng documents;thaf you submit are'considereal fo be public informafion..Portions of :the information may be class�fied as non public�f you pro�ide specific reasons that woultl Permit the City to � ' '. conclude 'that they are,#rade secrets< „ a_ , 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.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 Building Code must be completed within 180 days of permit issuance. X .���L, ���s{�. X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 Use BLUE or BLACK Ink � r—————————————————+ I For Office Use � �' � Permit#: � ��Cli 7 �i' ��,/ �Ir� Ol L���11 I Perrnit Fee: �' �� I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 i Staff: I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��2�" ��j Site Address: � b?`'� t��-�v��-t�, ��`' Unit#: ` ��� �.-_.. , � �� Name: ��a-c_. �.�i--n� Phone: ` u ���" � : Address/City/Zip: � �`7 `j �C :v�e-.�-�"�^ �F` �� � �� . � �� r'�`� , �°� z ���`� Applicant is: Owner �Contractor w s� `�\ � / . . . � �` `` � �,�� Description ofwork: :--�-,- 6+� � � /d ����E3 fl'��i ,y���,� �����' � ` Construction Cost: l L�'�sU�v Multi-Family Building: (Yes /No '� ��� ,�.�.:. � � k - �i������ ,/� � . � ���°��'� �� Company: �����/ ���-�c_ l���A—, Contact: '�"2— /'a�-�1�"�,..�-.�_ j ti�9 @ �E r�� � � . � � � . �� � : � � � � ��� Address: 2 v t4�'! � l�4��� C� City: ��2���� � ������� � �� ��a vY`�� i`��v�� ; State:NtN Zip: SS-�-'�l LC Phone: �S 2�2 L�P ��EmaiL � :=. ���� � l� ���, ��; License#: D�-- 6�7 Lf�2- Lead Certificate#: 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? Yes �``�No Ifyes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer�Water Contractor: Phone: Fire Suppression Contractor: Phone: � ���ra �r ` �d���r ���� �r � �fr� a `�iz���� � ' '� � " �. ���� � �" � � �� �r ��f1�i� .� � �� ��{������ �� , � �.�... ������ �. � � r,, y �. " ` .,�' a x� �. �;� i w `� �c �s- � �, �� -_ .,� .�. -�,�� s r � ; ��,r ,3 :w� � '�;;� g �9�,." r � . .., n�„�_i. . . �.. ,..l.„"��,,,,� � ..,c....���: .�. ._..,.�..._.. .:. ��,�, ..�., "�`�a�.,c,�i,.m��`���..� ad ,4;".'qa7: ,.�.: 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.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 Building Code must be completed within 180 days of permit issuance. X � �� ���o�. X --�-�` Applicant's Printed Name Applicant's Signature Page 1 of 3 _ _ _. ., .,. ,»�rr, .�, .t �,.,,-, :`3 w.k .,,'-°�.�� z'Fk' ;�`""3 Y'�'.�, � �S�����4!����`.r��TI�C . . . .� *.���......._�._�_T.— —� � . ��� � ��� � � � eF�`I��{C��SB : � � � s ' . � �._ � , � f, * � F'Birrrit#: I ��� �������. � -� .. � 1 ; i Perra[t F�: � ,/ �. �;.-��' � � � 38��tot'l�tits�Raad � p�te E�eceiv�sci: �. �agan M1w!55122 � �r���,�:�ss����r�-��� �'������",� 1��� � i s��; ,� ��c:�ss��s���s� �,���� i _ _.� }, x ��15 R�S�DECdT1AL BU��.D1N� PEf�MIT APPL1CATlOf� �t� �s�e,�a��• ��?� �����'' �a�r�� u�,�� � � �� � _ �a�,�. • Narr�e: V�r �� �h�rtte• Reside��I � �.�►��-1 _,.���E�''�ri �t�:n�"_ �'�___-_'`�71� $"��u��� �� � Address J C�J�'�p�� F � � � � � /�l�IC�A��$:� ���{Nfi�C; �UI��t�C'�fl� i' ��� ' ��- L��n�na� {.�� � T�e Of W+�ci( � Descripti�sn ot wark~ .-�---- � Gonstruct�csn Cost., �r�CX�.� Multi-Fam#Iy�iuildir�g:(�"�s !Nt�_, ,} � Corr�p�any. t.�� W"'►�1'l'J�'�1"� _��!iG^� Con#�et: G� �C''r''�►�,1"� r /� � Add�ess:,�'�4� '1��� l7'�� Git�l: -���-.3�t..--_ �antr�:.ttsr �{� :� � ,�� � . � � , � � ���' Pha�e: "'�O'�?'��mail:_�n+r�}�ar'�CC„1 ��?t�'fe�.� ; S#afe: Z'ip:�._.,.�... License#; t����f,`���— Lead Ce�ti#�r.a�e�#: ;fr 1#the pr�ec�is e�rnpt frt�rn lead certi�cation, please expl�in wtiy:.` Ct�MF�#�ET�TMIS AREA C�I+tLY lf CC3NSTRUCTING A,NE�tN:,rBtltLt�[P1G tn the Iast 1�mdrt#tts,has th�Gity t�f�gan➢sst�d��aerret€#'Fc�r$sitnil�r�t�n b�sed cus a�t8r'pl�tt7 Yes �io if yes,date arrd adcir�ss c�f m2ster p1an: t�LcensCd Plumber: Pht�n+�. �. ' Mechanit,al Contractar. Ph�ne:< Sewer 8 Water Cantractar: Phot�e: f�r�Snppressi�rn Con#ractor: � -, � � ��"�� ' � ��`NflTE.Pl�rn�aru!��P�r��g dncurs�+�r►ts tf►�t yau submit at?��o►�sit�let`sd.ta b�P��irrt'�pm�t��►n. .�� ���f.. � : fhe i�nf�srrr�at3�san.rrray.t�cl�ssl#led as r�►n-public if�rou provit�e�P+ec��c,rea�r�r�s ttiat�vc�c��pem��t�i�Ci�t�a +c�nc(�de;i�f t�� ar+�trad�see�� �AI.L B£FQFZE YQ11 D1G= Calt Gopher Sfate Oc�e Gali at{fi51j 45�t-(l00�for pi�ote�tion against unde�'o�nd u#al�damage. Cat�48 ht�`s }�"i#C1fQ�tsl,i(Ct�Bitt���.Y t�lf�iC}C+Ct�IYI:��Cdte�S t5�llTtd�tg�OLLRt3 Ut111#!@S. iNWihf�kOFi�'19t5t8#U'Uri��� � : : �, � � �.� .. t {herstay ae�icnc�wled�ft,at�hs�irsfcxr��ation is camplal�:snc!a�cu�te;Chat the woric wit4�ae�n�onfarmanca with the ordin�nc.c�es and�of t�i�e Gtty of c Eagan; ;"�at 1 unders#�nci#hIs�s rro#�permtt; �u�oniy at� ap�ilicatiaan for a pecros�, and wvtk is not to start wi#t►o p�mait;thr�#ttse+u�ark wiN be irr � acr�rrdance�arith the ap�src�ved p(an in the�se c�f wt�rk u+ttich r�Ruir�s a review snt�appr�val of plafits. E�cter"►ur wc�rlc aasltharizec!by a bu�lding perm{t fssuerl in accar�n�e with#he�Ai�tn�sata StaTe ' g mu�t be ca�pl�ec!.wtthen i80 days o#p�ertr�it ia�suattce. ' X ��"� � �Rlicant"�Prinrte�t� �1��►� a#ur� � ' f'e�e 1 0�3 _ . � . �, _, ,. ,. ��.a �� ..y _� . _� .os�� ..._� . _ ,.v ._ >.� �. � . �_ �`����f�����j� ��� DO NOT WRITE BELOW THIS LINE ' � ��� I " SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building I — — — — — 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 �7G1�� Occupancy �� MCES System — Plan Review � Code Edition O! SAC Units "'� (25%_100% Zoning �--1 City Water — Census Code ��� Stories �—" Booster Pump --` #of Units / Square Feet '" PRV — #of Buildings l Length -- Fire Suppression Required ` Type of Construction � Width -- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) Final I No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing � Retaining Wall: �(c Footings�Backfill�Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee /D 3 �—' Surcharge Plan Review G�] ri MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies f '� �j'"" Q'�.ZS� TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176928 Date Issued:06/07/2022 Permit Category:ePermit Site Address: 1674 Riverton Pt Lot:3 Block: 1 Addition: Blackhawk Lake PID:10-14385-01-030 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Joseph P Garry 1674 Riverton Pt Eagan MN 55122 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature