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1489 Rocky LaneCity of Ea�all Use BLUE or BLACK Ink For Permit*: Permit Fee: 3830 Pilot Knob Road Cr �1 v tief Eagan MN 55122 �� ‘-)e-Date Received: �`� Phone: (651) 675-5675 �(�� 011 staff: 41-- Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Oa) Date: (0 Z ( Site Address: 1 F-C7C' 1--4•1 Unit #: RESIDENT / OWNER Name: IA A-13il 7O1.--747 Phone: 11A I —S(05-10331 6.7 S-1 —4413 --41110 5 Address / City / Zip: 1 kiSq 1 I C4 i Applicant is: X Owner Contractor TYPE OF WORK Description of work: RE k Ac £- �7 '_ 4 A l 0 ST`AL� �Tfr1 �5 A IL; A 6 1 Construction Cost: < A 1000'_ Multi -Family Building: (Yes / No X ) CONTRACTOR Company: } Contact: Address:\vi 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 No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a pennit 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 maybe 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.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 pla x MINK Applicants Printed Name x Applicants Signature Page 1 of 3 4N/A1?-0&'? L DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace beirkfikkVA Retaining Wall — Fireplace _ Garage akDeck Lower Level DESCRIPTION Valuation Plan Review (25%_ 100% �( ) Census Code 8" # of Units # of Buildings Type of Construction _ Porch (3 -Season) — _ Porch (4 -Season) _ — Porch (Screen/Gazebo/Pergola) — Pool « t sky Interior Improvement Move Building Fire Repair Repair 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 _ Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 99`7 kno }i=f e/ 5 — 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 4.7 RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL iy-kric4 PfiAt' 9 2 Page 2 of 3 HOUSE HEATING TEST RECORD // QQ (.j ? ?CrV 1 i? , ADDRESS " -APT. _FLOOR CITY SUBURB - OCCUPANT ?`?? C11^, I ?? OWNER 1CvP HEAT LOSS DATE/HTG. I ST. SOLD BY J2 ?( BY ?Oh- OILQ __ - -INSTALLED Electrical Work By ?10 Gas Line By 1- TYPE OF HEAT GA - FA _ ., HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN - CONVERSION MAKE ? MAKE OF BURNER Model--T-t, t) 140 i?)i C Model _ Swial ?? r' r' Max. BTU Rating INPUT MAKE OF FURNACE --- Model 6 , CONTROLS ?J /D THERM STAT WI T Heat Plop _ ? ?j Vent Size _ e IZE -NONE ------ - Va lre ,f - / J KIND OF LINER S l d I IO R Limit aqu ator Draft Hoo Limit Setting Filters Sise ?MumMr Fan Setting Chimney Location _,tnsids Outside Pilot Type SG Chimney Construction P'rlot-Moka OJ`?'? W Pilot Model ? iring Smoke Bern (y? Q - 6 ', J4/L' • Pilot Ti mi nq r ?"? Test Tap Draft ` -- 1 y .. L.W. Cut Off Lighting Inst. Door Pressure _ Pressure ? Pernnt CO ? Data Tested , Input CFH ? Percent 02 -? JF' iY Company Testing O - Slack Tamp. /JA?? Percent CO 0.0 ( C1f?C ) , Name of Tester / lG Form 235 r' IF V CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA'M . Poi I9 3??`% Sri 30 -I9. IW! MU js( In. ?I?? 7 ?.UUr71Y kS i rAcr FUND OBJECT Thank You BY c?. 14169 5 5 t '-d'4 AMOUNT " '? cam Y ,, SEWER 4LAV LTER PERMIT CITY OF EAGAN ' 3830 Pgot W_ Rd. Eagan, MN 55122-1897 DATE June 19 , 1991 SITE ADDRESS 1489 Rocky L n METER # CHIP # METER SIZE ISSUE DATE USE ONLY PERMIT DATE (027/9 1 PERMIT # 12143 B.P. RECEIPT # - 141b9 B.P. RECEIPT DATE '- h 20 /b 1 PRV -BOOSTER PUMP LOT 12 BLOCK 3 SEC/SUB Sherwood Downs APPLICANT,?OVAP. 'd. KILLER Ctl"ST ADDRESS: 18 13 3 Cedar AV Sp CITY, STATEFarmino. tor. , Mlu ZIP , ` 1 PHONE: 431-2001. PLUMBER: Cenz-Ry+an ADDRESS: 14745 S . Robert Tr CITY,STATE Roaemetunr Mn zip 5'1('68 PHONE: 421 -1 14 4 OWNER: - ADDRESS:_ CITY, STATE PHONE: ZIP PERMIT REQUESTED _x SEWER ? WATER - TAPS COMMAND RESIDENTIAL x NEW _ EXISTING I AGREE TO COMPLY WITH CITY O EAGAN ORDINANCES Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit.WILL NOT be given for Deduct Meters. SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. ' Eagan, MN 55122-1897 Q14TE OFFICE USE ONLY METER # Yc/ l Y %Q AE 97 PERMIT DATE 06 / 27 i 91 CHIP # PERMIT # 12103 A METER SIZE B.P. RECEIPT # G 14169 If ISSUE DATE 2-/47 B.P. RECEIPT DATE 06/26/91 _ PRV - BOOSTER PUMP SITE ADDRESS 1489 Rocky - n BLOCK 3 SEC/SUB `, a rwo o own s LOT 12 `' APPLICANVI)ITIR M2. MILLER CONST ADDRESS: 19133 Cedar Av S2 CITY, STATLF a r ra i n g t o n, Mn ZIP PHONE: 4 3 1- 2 0 01 PLUMBER: "enz-Ryan ADDRESS: 14745 S. Robert Tr CITY, STATE R n n e m n rn n t. ':f n ZIP 5 5 0 5 8 PHONE: 4 2 3 -1 14 4 PERMIT REQUESTED SEWER X WATER - TAPS COMM/IND_. RESIDENTIAL NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit ILL NOT be given for Deduct Meters. f ~1 J rz _ A / tiI 1. Lam' . TO COMPLY WITH CITY OWNER: cr+aa • vnvw. w ADDRESS: ? CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Tune 19,1991 ?...r?-..?.r-?.-' r'- ?. -? .. _....-... +-vc..r- --. - ..vim .I _ .. .. ?.Aqc•-.?. .. ,_ rrr.-..r--r.-* ?r------^• r Y CITY OF EAGAN t? 111332 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SP d1ir;/"R Est. Value $131.000 Date JU NK 26 tg Site Address 1489 ROCKY LANE Lot _II Block 1- Sec/Sub. SHIRM000 DOMl18 OFFIC E USE ONLY Parcel No. Occupancy R?3. N-1 FEES Name "SIPS N MILLER OON;T zornng (Actual) Const k--j- Bld Permit $ 748.00 ur g. 3 Address 15133 CEDAR AIR 50 (Allowable) _ 6S SO Surcharge • City TARNINGWNPhone 431-2001 # of Stories Plan Revie w Length p Name SALE Depth 32 SAC Cit 100000 Z 00 OK Address S.F. Total - - y , 650.00 SAC , MCWCC city Phone S.F. Footprints C W 6 00 F Site Sewage On ater onn . V¢ Name On Site Well 95 00 ? z u5' Address MWCC System Water Meter . c W C Acct. Depose •00 ity Phone City Water ]0 00 PRV Required S/W Permit . 1 hereby acknowtege that I have read this application and state that the information is correct and agree to compl with all a licable St t f Booster Pump - S/W Surcharge 050 y - pp a e o Minnesota Statutes and City of Eagan Ordinan6es. Treatment PI 276.00 Signature of Permitee r APPROVALS Road Unit 370.00 A Building Permit is issued to: QOM N HILLER Planner Park Ded. on the-express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Cit of E di Council - i C y agan Or nances. Bldg. Off. op es Building Official -- C.G '• Variance TOTAL • 11.00 .. Permit No. Permit Holder Date Telephone WATER . 21 '7191 SEWF,R . PLUMBING oJ3- ELECTRIC / Q Inspection Date Insp. Comments Footings I 1- 2 • ?? Foundation Framing Rooting Rough Plbg. q I-/ I / 9I dn.????/ G Rough Htg. Isul. 8 7 ? l Fireplace ` t F" 7 / ?s Final Htg. Orstal Test Final Pibg. Plbg_ Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final 9/ 3 9 Deck Fig. Deck Final Well Pr. Disp. • -w &r#ifiratr of (Orrupaury Citp of (eagan ]9pVMtn ltd of Nodding 3nwpdhm 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 wish the various ordinances of the City regukdng building construction or uSe. For the following. ura.wHickeoe SF DWG/GAR Sick, Fa Nm 19332 O-wa--y .ha R3 z0oiag D4m9a RI tya com Vn ow= GtswiVg JOSEPH MILLER CONS&, 18133 CEDAR AVE SO., FARMINGTON 1489 ROCKY LANE _ . L12. B3. SHERWOOD DOWNS . 'AL4-t?r ??• _ SEPTEMBER 13, 1991 POST W A CONSPICUOUS PLACE DATE: JUN 27, 1991 1489 ROCKY LN (JOSEPH M MILLER CONSTRUCTION) R Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY-LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 1489 ROCKY LN Lot 12 Blk 3 Sec/Sub SHERWOOD DOWNS These items were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) l/ Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. aua"on"n White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN ' ND 19332 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-8100 C I L/ J L q BUILDING PERMIT Receipt # o To be used for SF DWG/GAR Est. Value $131,000 Date JUNE 26 19 91 Site Address 1489 ROCKY LANE Lot 12 Block 3 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY Parcel No. Occupancy R=3, M-1 FE ES R 1 M Name JOSEPH M MILLER CONST Zoning (Actual) Const = Vn Bldg. Permit $ 748.00 3 Address 18133 CEDAR AVE SO (Allowable) Vn- 65 50 ° City FARMINGTONphone 431-2001 M of Stories 64 Surcharge Plan Review . 486.00 Length o Name SAME Depth 59 SAC cit 100.00 i $< Address S.F.Total , y 650.00 SAC, MCWCC City Phone S.F. Footprints - Wat r Conn 660.00 On Site Sewage e Sw Name on Site Well t w M 95 00 ?i er a eter _ ° Address MWCC System XX Acct Deposit 30.00 a W City Phone City Water XX . 30 00 PRV Required SAW Permit . I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge .50 information is correct and agree to comply Il+applicable State of Minnesota Statutes and "y of Eagan Ordina Treatment PI 276.00 Signature of Permitee !i APPROVALS Road Unit 370.00 A Building Permit is issued to: OSEPH M MILLER Planner Park Ded. on the express condition that all wo shall be done in accordance with all Council applicable State of Minnes Statutes and City f,Eagan,pr = ances. g Bldg, Off, Copies / f 3,511. Building Official - /L-! ?) Variance TOTAL 611 / 3` 17 /A, A 76 Request Date 7-30-91 Fine No. Rough-in Inspection Required 0 Ready Now NoIt Inspector No "an Ready? I Z d4eensecl contractor ? owner hereby request inspection of above electrical work at: Job Acdresj(4 gy(. Yddkr NNE 4t5`1 Qty EAGAN Section No. TOwnsM1iD Name or No. Range No, county DAKOTA Occupant 1381f) MILLER CONSTRUCITON Phone No. 612-431-2001 PDwersd'MOTA ELECTRIC ASSO Address FARMINGTON, MN Eledncal Contractor (Company Name) Contractors License No. MIDLAND ELECTRIC, INC. 041610 Mailing Address (contractor or Owner Making Installalion) 630 145TH STREE T WEST, APPLE VALLEY, MN 55 124 a g nS AUt dneed s Ph 4 1 MINNESprA STATE 801 OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S1]3, !/// BE ACCEPTED BY THE STATE BOARD. 1821 University Ave.. St. Paul. 11i UNLESS PROPER INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? e'. ( See instructions for completing this loam on back of yellow copy. z L-4.,. / 7 / ?? 31767 "X" Below Work Covered by This Request k' ?`? / 6 `8 `e ewl Add i Rep. Type of Building Appliances Wired Equipment Wired Home ange Temporary Service 1 Duplex Water Heater Electric Heating Apt. Building rye, (bqg Other (Specify) Comm./Industrial urnace Farm r Conditioner Other (specify) Compute Inspection Fee Below: Contractors Remarks' # Other Fee # Servi e ance Size Fee c Entr # Circuits/Feeders Fee S wimming Pool 0 to 200 Amp /1'$ s 7 0 to 100 Amps V Transformers Above 200 Amps Abov 0 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms ?dj 6 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE 0 NNECTED IF NOT Other Fee COMPLETED WITHIN-111"W I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final Data ! OFFICE USE ONLY Thls request void 18 months from '- -?r- City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------------- Em7ttice.lJS'e I j Permit #: I I Permit Fce I Date Received: ?$ I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C1 ` 3 © - 0 ?8 Site Address: I LI C J?o ( ?_i L IV Tenant: /r r rl? Q e ? 2ol d Suite fr RESIDENT / OWNER Phone: 6 S1 - 3 ?'h 3 -2 5 Name: 141a (, k 5 e'T 7()t A , y` ?n S.S I Address /City 1 Zip: LI g 6 R gC-4. _ - Applicant is: Owner Contractor TYPE OF WORK Description of work: 1e o)a i n r ?O r r ' r' n a C u9S Construction Cost: 9 J Multi-Family Building: (Yes No L.?,' CONTRACTOR Name: eir License #: ai ?b a 6 "t-? a CAL ?_ Address: ' 16-© o Te q-a(, e R Pyl - ?5?13? City: 2`(; n e_. State:A / Zip: t Phone: bs-I - 41 a - a66 Contact Person:.) P\ V o) 1-PC?- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Cade . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 inforination. `. Portions of the information maybe classified as, non public if you prpvide specific ieasons:thai would permit the City to °; conclude =that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ord+names 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 pernfl; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xSu`-?l n s. Ven+ KC \ ? Applicant's Printed Name ?At3 ant's Signs a ?- (/ Page f of 3 CITY OF EAGAN 3830 PILOT KNOB ROAD e' EAGAN, MN 55122 PHONE: (612) 454-8100 MEXROMM ImmFOR CITY USE ONLY PERMIT # RECEIPT # 0?5? DATE: oP 9 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE.' FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR FACE UNIT. WORK DESCRIPTION NEW CONST _Pf ADD ON _ REPAIR OWNER NAME: JOE MILLER CONSTRUCTION CO. INC. SITE ADDRESS: IvpI LOTBLOCK . SUBD. ® tru(Y\fl INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount, MN ZIP: 55068 F<:ONE (612) 423-1144 PERMITTEE DWELLINGS COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 ` LAVATORY 3.00 3 ?u KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ +,OT T UB/SPA 3.00 ER HEATER 3.00 7.7 OR DRAIN 3.00 GAS PIPING OUT. 1 (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 _ OTHER _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.1000` SUBTOTAL $ l0 ST. SURCHARGE .50 TOTAL: ,OpMNjEItC „•., bS PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -_-_--__ -------------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF FAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # Q ? 3 PHONE: (612) 454-8100 RECEIPT # !P.9 1{Fe.G?IA ?'?"?: ?Eam DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR OWNER NAME : ?T6 C? l Y \ 1, L`? o (M S SITE ADDRESS: _? 1 ??fO+CK? ?C?ffY1 e? LOT: I BLOCKS SUBD. INSTALLER: f?za 1( O Vl_ A' lam} l d?? l ADDRESS : P. U . (ss??) -I 3c t7V_A CITY: `- L-N ZIP: PHONE #: /4 oO C)Cx;l_ FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ Z 17' ao STATE SURCHARGE: .50 TOTAL: $ G 7 50 c SI URE OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: new home Valuation: - Date: Site Address 1489 Rocky Ln L911 12 Block 3 Parcel/Sub Sherwood Downs Owner Address City/Zip Code Phone Contractor Joseph M. M411-r Cyst Address 18133 Cedar Av So City/Zip Code Farmington, Mn 55024 Phone 431-2001 Arch./Engr. Address City/Zip Code 6/19/91 13II000? Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY R3 M-1 ?N V-N On site sewage_ On site well MWCC System ? City water ? PRV _ Booster Pump APPROVALS Planner Council Bldg. Off. =1- Variance FEES Bldg. Permit n I ,00 Surcharge - -O Plan Review 6,6 . $6r00 SAC, City 00100 SAC, MWCC 6VtW Water Conn. ((0 0,00 Water Meter ci 5"00 Acct. Deposit 3v,00 S/w Permit 0.00 S/W Surcharge S-D Treatment Pl. 2 00 Road Unit 490,011 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Phone # agrees that all work shall be done in accordance with sSignature of Contrac o ) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1991 BUILDIN(7?PERMTOU ATI?? ' CITY OF EAGAN b R , ., lOhs ..l u f_ x is= 12U? Byrn = y X 2 y = Sib yI Sb(?? t "zxq ? I ? 1 7? g = 9 13?J u 53= `?I??y 312- 13 oLf 06 0?4z, 13? 000 ? V` F i on?er Ene i r-reer- i n3 6i 1'9485 F'. Fly ? y * PI. OONNEE * eng * eer 1 1: l) I (612) 681-1914 Certificate of Survey for:vOSEPN M. MULErl . CONST CO. r ' .. edoarw OAAS? ,.. AA. r7 S ? 7/ R= r?.i 2g Q NM o 1.6 2422 Enterprise Drive Mendota Heights. RAN 55120 0 L? °J a K j 0 oY a ?r a e7 tl x, r a ? ? ti5 1a ai EAGAN.t 14C4IP4E K 900.00 Denotes £xisfinj Elevations P9WV5FD 110WE ELELArfoNs ++ 00.00 Denotes proposed Elevations lowest /•/oor Elevation 9M, s z 7 - - -z penoies I7raIna e trlX ilif £oseMMI Top onelock 8tvalion 8 ao,zf Dtnafes Drains e Flow ; rrows 6wrale S/ab Elevation s79.q _ o Dtnoleg Monu ent Bearifjs shown are oswmacl o Denotes of sel lluh LOT 12 , BL OCU 3 , 914NWOOD DOWNS o.4koT4 cv(1N7}Yr M1A(At50TA •n subject to easements of' record 1 hereby certify thot this survey. plan or report was pr red by me or ender my direct supervision and that 1 am duly Registered t-end surveyor' under the ism of the State of Minnesota. Dated thls,.LBC ay of A.D. 19 L- Scale : 1 `, : 40Ae? ` 9D2°6-57 06ERT B. SIKICH 1.5. REG. No. 4991 0 Rso o c1?t woM: Mere. Zs' SerSAA" )OEX Vjrw 46MMM aF d- ZI -YO u t MINNESOTA STATE ENERGY CODE CALCULATIONS DASED ON CHAPTER 5 OF THE } ! I L MODEL ENERGY CODE - 1983 EDITION Adoption Effective 1%I/ ?- N121/4 Owner Phone Date Site Address LCT IZ ` tube Contractor Phone Building Classification: Type Al (Single Family 6 Duplex)`-Type, A2(Res IdentIa1) 0 storles of less NOTE Complete pages 3 and 11 first. (Other). (Ove r 3 stories) GENERAL INFORMATION 1. Building Perlmetere? 2. Wall height (ground to eave) y' ft.. ' 9 2 3. 1. x 2. (above) gross wall area Z3 S,8 Ift. 4. Building dimensions (L) ^- X (W) -- 2 B ft.2 roof 5 floor area' uare foot area of S or joist size (2 x rim joist - Fl '?? ) 1 Z, ? ? 2' 5, q o i rea t i 3 + j f,t I m X Perimeter ° R a jo s i2 159,5 •.. i1?•1 6. Doors - Area 1 C2 Thickness Type of Construction Manufacturer 7. Total door's perimeter ft. , 8. Windows: Manufacturer ?p14 U L Gf1c? MT State approved U factor TYPE SIZE AREA (Ft,2) EACH f ?y1nF'- Total ft.? Glass z?P7+ 10, Fireplace area: Width X height ° X i 11. Exposed foundation: llelght X. Perimeter (0 X. , AJOR COMPLETION OF THIS FORM IS REQUIRED FOR ALL AEW N- R CT ON' MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. In. U factor a Perimeter NUTABER OF UNITS. ft. TOTAL FEET 2 Ft.2 IO(O a I Ft.2 7 3.2 NG AND B ILDINGS' BE REMODE Framing area = 10% of gross wall area. Z?? l3 ft.2 12 13 Gross wall area 2 Cp U x A ? = ?,S window area A ft. 2 a J U windows A o O? U x Jam, ?' Rim joist area ?j ) A >> t ft . U rim joist 2 = U 'x A oor area A ft. ?? 2 U door area *T lv L(- , .ireplate area ch U ft. A U f?i rel2Xaep x A IZ- F? osed founda Ex tion A ft•2 r U foundation = 010 U x'A = ' d p 2 yU.x A area =• )VI i f vL ?. n ?Zi Framing area A f7?0( ft. ? ?•`? ng ram U • 5 ?S ? n ft ?? U x A U wall = n i 0 = ' Net wall area A . ?' (13B) U x TOTAL . . . . . . . . . = - 14. Gross wall area'R 0.11 (A-1 single family 3 duplex = allowable u x A/Code (13. above) x'0.23 (A-2 other residential). x .23 (other buildings) x .2B (Over 3 stories) BTUH Must be larger than A z3?}5, j x UCode. .c_?l = Z?P3'S -°F• 13B above,.' C. or the. same as) 15. Ceiling framing area (Af) equals 10% of ceiling area z I x (N) - - 1ft'. 15A. Gross ceiling area = (L) I ft. 156 Joist area (Af) = 10% ceiling area = 1 q ? ft.2 15C. Net ceiling area (Ac) (15A - 15B) I Z I' Z-I 2 U ceiling x A c= x--L U framing x A f= U7i?7 x_ 3 D 60 15D. TOTAL' U x A 16. Ceiling area (15A) x 0.026 (A-1 single family 3 duplex - code allowable U x A x 0.033 (R-2 other residential)- x 0.06 (other) UII liust be larger than-15D (above) 3?J x 107-(0 (D F (or the sam A (1 5A) e as NOTE: Use U and A values obtained from CERTIFICATION: I hereby certify that I herein and that the buliding here descr Energy Conservation Act. to ode - pages 1,•3 and 4.' lave calculated the "U" factors and "R" values Cd meets or exceeds the State of.'Minnesota gnature 2. WALL SECTION STUD SECTION 2ND WALL' SECTION.. RIM JOIST U VALUE UALLULAI INS r1'71lLUE U VALUE Inside air film, .68 i Interior wall (Wall) U - - Insulation Sheathing Z OCP -? Siding Outalde•;01r film .17 R TOTAL 2 3 , InsIde.air film .68 . Interior wall ` 4a stud R= 4.38 (Fr amIng)U - R' - Sheathing Z. 06, O?S S ld ing C07; Outside air film .17 R TOTAL, lo, 53. Inside alr'film R- .68 ; Interior wall Insulation (Wall zU R • ?/ Sheathing' '. Exterior wall cover ing Exterior air film, R -.17 R TOTAL Interior air.film R- .68 Insulation 11.0 .1 '1!t inch soft, wood R=1.88 (Rim U ° Joist) _ ?I Sheathing Exterior hall cove ring ,Eo'7 - Exterior air film N R- .17 t _ R TOTAL . ?? Interior air film R= .68 Insulation )?,0 Foundation I.zl3 (Fdn.) U F1 ' . E:jterlor air film R' .17 k R TOTAL Exposed Block •' Grade UiL1116 U1 III VUHLO Al I iL ,,%Lr IwuvL R '1l1LlJE R VrIUE FRAMING CEILING 0.61 ' 3Cv, o FLAT ROOF OR CATHEDRAL CEILING R Ga ue R VALUE FRAMING CEILING 0.61 0.17 Inside air film. 0.61 Ceiling Joist (Stu Insulation Air space Roof decking Insulation. Built-up roof outside air film 0.17 Total R ------------ Rz0 •lindow infiltration 5 cfm/lineal foot of crack, Wsldential door Infiltration 0.5 cfm/square foot or door and minlmuwn code requirement ,ion-residential door infiltration 11.0 cfm/lineal foot of crack Jb 12" concrete block no insulation = .47 R 2.1 Jb 12" concrete. block insulated cores = .26 R 3.8 Jb 12" lightweight block = .32 R 3.1 Jb 12" lightweight block insulate& cores = .12 R 8.3 J single glass = 1.13; with storm window .54, J double glass = .55 .J triple glass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). vapor barrier must be on the inside (heateod side) of wall. lapor barriers of the polyet'helene thih film have no. R, value. . ,I Air Film 0.61 Insulation, ?? c7 Joist Ceiling 0.61 Air Film 0.61 Z ?(P Total R 4 7?7 1 , o ZZ _ .OZ3 U = R 4. ?X%cv?Xc>z?kW Y,caR?;u%crk%%%?MM%;;`•%:%c*%i }X %c v?%og%c%c%;%?Y,c;::k.%z %c%; CITY OF EAGAN CASHII'R: S PERMINAI_ NO: 768 DATE: 0909/99 TIME: 10:36:26 ID. NAME;; DRAD FOSSUM CONST 300 9001 1489 ROCKY I...N 153.25 8155 9001. 1489 ROCKY L.N 4.00 Total Receipt Amount"; 1.5`x.25 CR:I, 1.'5628 LMER ID: NANCY Y,t7:cXtvFVFyF%c%t:$v%vF%crk%;?X%i%c%c%k>kfi.%c:;i;;c::'ak k>K'«>'F%8M%i ti:X{?n>R%;;k 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ` 3830 PIL651-68OF EAGAN KNOB RD - 1 675 55122 I LS `7 _ D5-' New Construction Reaulrements Remodel/Reoair Reaulrements ? 3 registered site surveys showing sq. lt. of lot, sq. H. of house and all roofed areas (20% maximum lot coverage allowed) ? 2 copies of plans (show beam R window sizes; poured fnd. design; etc.) D 1 set of energy calculations D 3 copies of free preservation plan I lot pkded after 7/1/93 DATE: 1 9 ( , DESCRIPTION OF WORK: STREET ADDRESS: U C LOT: t\ BLOCK: -2- SUBD./P.I.D. #: Name: / ! 1 ye- -g 51- ( / Phone #: La First PROPERTY OWNER City sA?J State: Zip: Street Company*, Z2 P ?JUd?- LDN>t Phone #: (area code) CONTRACTOR ? WC /? apf72 33/_00 Street Address: 7 h 1 D e License # City y? 5y NE State: Zip: 3 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Street Address: Registration #: City Sewer 3 water licensed plumber (required for new construction only : 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks °rV CONSTRUCTION COST: State: ,Penalty applies when address change and lot change is requested once permit is Issued. Zip: I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. All, Signature of Applicant: -2- - OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No - Not Required i,` AUG 1 81999 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stone Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool .0 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Building Permit Feed Surcharge 4. U C? Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 14z? `? . a-J?- Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft, sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered - Engineering Variance Valuation: $ SAC Units % SAC PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 1 s / 0L7 BETZOLD, MARK Site Address 1489 ROCKY LANE Unit # EAGAN, MN 55122 (651) 365-6379 Property Owner Telephone # ( ) NORBLOM PLUMBING CO . Contractor Address 2905 GARFIELD AWE. CO. City State MINNEAPOLIS. MN 5540$ip Telephone# ( ) The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including - Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00 - Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 - Lawn irrigation system Water softener Y` Water heater $ 15 00 yy replacement _ additional ty- n (? n 1n';n? ?rC, n l . J IS ?J '? I t?. l? Fn? . St S h 11 ?? JAN 2 3 2003 u I $ .50 ate urc arge I Total By/? $ 15--so I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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. Jed- 1?O C `ID\uw" Applicant's Printed Name ,pprLednt's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121624 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 1489 Rocky Lane Lot:12 Block: 3 Addition: Sherwood Downs PID:10-67670-03-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Kelly Meyer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Homar Jr Ramirez 1489 Rocky Lane Eagan MN 55122 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA124114 Date Issued:06/23/2014 Permit Category:ePermit Site Address: 1489 Rocky Lane Lot:12 Block: 3 Addition: Sherwood Downs PID:10-67670-03-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Homar Jr Ramirez 1489 Rocky Lane Eagan MN 55122 (612) 462-4802 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � � For Office Use 1 i, � � �1�� U�����ll � Permit#: I �37.�7� � I 3830 Pilot Knob Road RECEIV�D j Permit Fee:�� . c�C`� i Ea an MN 55122 1 [�� g Date Received:-I 'cZ _ - I� � Phone:(651)675-5675 � � Fax: (651)675-5694 SEP 181015 I S ta ff:sl� j �------------------' 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: [JI� I"�J Site Address: � V� Tenant: Suite#: ��5fd4�1��W#t�l"", Name: Phone: l lYl� '/�rC D� �v�� i. Address/City/Zip: C � Nar�►e: � License#: r�, ���� •�,�, ��l�'���� Address:,. C�ty��/IG�u�rt,7(�( ►-�t `'' /� /� q ��-,� s State: Zip: Phone: � �� U/�J��U� 1 � Contact: Email: �C` New Replacement �Additional Alteration Demolition '�`�.�'�� x " Description of work: ,,,.. - � � �i�f� �rnc��������[r��i� x ' �,���i�����������`��t �, � : �� ��d�.;�1��e�ni���I�h�i��p+�i�r�`���t+���r��"�#���c��k��i�h� , , , �., , . ,.,,.,�.�„ . . �. e.. .:.,:. y ....,, .�. � � .� ti t �.r �,. ,. � _. .. � RESIDENTIAL COMMERCIAL _Furnace New Construction Interior Improvement �,�,����� _� _Air Conditioner Install Piping � Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (�Install!_Remove) Other I RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $700.00 Residential New,includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee Surcharge=Contract Value x$0.0005 -$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and c�des 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 x Applicant's Printed Name Applicant's Signature , ������ � r:� �. ����1n��ctit�u�; , _ �+���r� t ,� , � , , �� �' � �� #��rEe �,�.. t1r��r��ri�+�,. �s' t���,r���� = �,r.���t ���'tt��� � �r��'��� �t� `���k�� � tlse Bt�ll�vr RLACK Ir�k �-- --- -- f For+Cfffl�e Use � f # ��'� � ' j Rermit#: �J�Jd�D l ( � � ����� � [ # Permit Fee 3�3(t F�iltst Knt3b Rca�tf f .� � RECEIVED � � �agan M!�55'E22 � Llate Recetived: �` _ i F�hone;{65't)S"F5-5�a75 ��X:�s���s�r�-�ss� SEP 181015 i s#����U i � � � . . . . �..�..... .... . ��.�.�J�.� . .fe��� �������■1[� ■ ��� ���4r���-�� ����� { �! ����Ti■:..•�ti [}a#e. + 5it��C�tlreSs: � � �` tfr�it#: � � � � � �iame:� ; � .� - F'Fiona:� -� "' � � R��Ider��l ` • � � � C�tV11�*�` ' Address l Gityr!Zip: � ,� � �Applicant 3s C3wner �Gt�ntract+�r � �� t�escrrptiQr�af wark. ,��..w �� � M'� d ������� ,�a�!�����;�t� �� �i 1�� ;Ty�?t?;Df'�1/�3rk � F �, � �onstructian Cast: �'� /�� Multi-Farrtil�Build`rng: {Y�s !Nca���} � - ,.��.,.���.�..� � �c�m n �_.���a.. � � � � �:.,�. k� �. P� Y• � L .. Cc�nta�t: � � t � � � ` �' � ' ,� 9 � � ��T�t�CB�tt�t' � �,ddress:��_ ��+� ���� City: � � r._.,j �,,." x � State: Zip: . ..Jd�� t'hone:����7 -� E�mail:�,� ' ��� �� ���� � � /,, � � Lices�se#:��� �� Lead Certfificate#: �`�� ��Lr��,��� � � � �.m�m��,���,�.�,�.�.»�.,�.,. � �� ��.A� .� ��� �.n. � $ If the proj�ct is exempf fram I�ad cet-ti#€+�atic��, p(�as€:explain whY- � r �` 1�.,� �_ .,� k.�:m�„�.....�,,.��.��� - �.��._.. ��xmw�.��a,�.,�.�...., m��,�,�.� � Ct�IU��"�..ETE TH1S�4REA+C}N�'Y�� C�I�ST�:UCT['N!G A[�lEVit BUtLDEN4a � �. fr�tf��last��months, has the Gity�f Eac�an issued�p�rrnif fs�r a simil�r plan based r,n a mas#er�tlan? 3 �' � Yes Nn If yes,da#e and address af master plar�; � � � � Licensed Ptumber., Fhone; � � � M�char�ica�i Ccsntrac#or: Phone� z � Sewer�V1tat�r Ccrntractor: Fhr�r�e: � � Fire 5uppressies�Cc�r�tractcsr; Phone: � �� N+�7�`� Pt���and se�ppc�rt��c�d+�c�trz�!er►t� #ha�you��hrr�i�;are c�n�ic��r_e.d��be p�a�iti�inf�rm��fon. f'c►�'t'ivr�s c�f� ti�e in�rri���`�on�nay be cla�sF���:a�rtar�-pua����r'�`}rr�t+r prc�u�i+�e s�ci�r�r+aasra�rr�fh�f�rv�t�#c!p�et';n�it f#�e �ity tc�' ? ��,,�, �, ��ncl�de-�at�ta�► �rr��i�a�t�secret�. �N � CALL�E�C�RE Yf)l1[31Cy. Call Gopher�ta�e#�ne Call at(B51)4�4-t�€�02 fc�r p�at�ction against ur�d�rground utility d�mage: Catl 4$hc�urs trefore y4u intend to dig to receive#o�at�s of'underground€�kilities. ww�r.gtinhe�stateon�call.�,r� t hereY�y acknowledge that ihis infarrnafi�pn is complete and acGurate,that the work wi�l be irr es�nfc�rrnartce+rvi#h the c�rdinances arrd cod�s of the'Gity of Eagan; thet i urrdersYand this is not a permit, but anly an applicafion far a permit, and wark is not fo sfart wi#hc�ut a perftyi�; th�t Yhe wc�rk wiil be in a�cordance with the approved ptan in the cas�crf work whic�h requires a review antl approval of plans. Exteriorwork a�tt�orized by a buifding pernsi�iss�ed iM accardance with th+e iVlinncsoYa S#ate Bui#ding Code must b$compie#ed wittsfrr 180 days raf pertnit issuarece. X � w>� �,��� ����� A �cant's Pr�nt Name � A can#'s Sign�tcare Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA141701 Date Issued:03/27/2017 Permit Category:ePermit Site Address: 1489 Rocky Lane Lot:12 Block: 3 Addition: Sherwood Downs PID:10-67670-03-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Juliann M Bane 1489 Rocky Lane Eagan MN 55122 St Paul Plumbing & Heating 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature For Office Use ; Permit#: E AG N Permit Fee: /e)..5.-- Date (d �-Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst7a citvofeagan.cam L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: �`1 G , f3e,/ c.sO h Phone: ,5/-35° - a'6 C Resident/ j y gc7 /t N 5S 12 Owneri Address/City/Zip: ®��y ��C� � �+- Applicant is: Owner X Contractor Type of Work Description of work:� � r,c7 0 Construction Cost: 3 �� ® a 6 Multi-Family Building: (Yes /Nom ) Company: 0.- dj 42i 1 aie.-05 Contact: /11; y v Contractor Address: d S i !` ��� /V, City:Cit : 6�o R 3 State: / Zip: , 'f22 Phone:Cj5 2 .9.23-477(171/ail: fN"^ w, �" .,/efe License#: (3C CC 4W Z 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 fora 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as nen..ublic if ou .rovide ®ecific reasons that would®ermit the Cr to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comisubscribe. 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. 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. x J ley`G^ a�a Applicant's Printed Name Applicants Signature For Office Use Permit#: EAGANPermit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections at7.citvofeagan.com L' 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: l�c GI�Gi s'ol rJ 5D/1 Phone: 657"'3 Jed'—' 4/) zS Resident! /�gq Owner Address/City/Zip: © Applicant is: Owner f" Contractor Type of Wank Description of work: 1/t. "/"1-1(21, A/cc Construction Cost:tL13 ©00 Multi-Family Building: (Yes /No ) Company: (C � (a�C�i'S 9.Contact: 0"' /a 92! M%t‘c,,. cwt A Contractor Address: /yc2S / /ac />f. A 5 2110City: 6 State:AAJ Zip: 55-97z Phone: 6424°° 06.1Email: WWr'< c0 f4fe et.;A S'-vi<'CO' License#: S 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 If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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-. •lic if ou rovide s=ecific reasons that would .ermit the Cit to conclude that the are trade secrets. You maysubscribe to receive an electronic notificationfrom the City of proposed ordinances by signing up for an email 1 update on the City's website at www.citvofeaoan.com/subscribe. 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. 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.000herstateonecall.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 approv of plans. x CbQ{ x �' Applicant's Printed Name Appli nt's Signature