Loading...
4262 Rosemary CtCity of Evil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use /1 Permit #: /()67/' � Permit Fee: n Date Received: Staff: J 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: !'/l i // , Site Address: � tj a/+ gn5r' Tenant: 51(4- d- Ly X1;1 f 1C -("E. /)F> > Suite#: RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: Phone: Address / City / Zip: 4 Name: 4 o,-/ - ' i r/ N ee") Address: / ' ��il 574/, /r- .4' / License fr c is 3e- mi City: %f /1A/ State: L `% Zip: 5 1 O q Phone: -- 7 i 7-- 7 Contact t4 E/// , .1, E-' Email: _ New _ Replacement Repair — Rebuild 1 Modify Space _ Work in R.O.W. Description of work: / iOtk-/y X;1574,'",e) /1l 7 -/ RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener 1/ Add Plumbing Fixtures ( Y Main I Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) • $60.00 Lawn Irrigation (includes $5.00 State Surcharge) . $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround' (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 6 0. n C CALL BEFORE YOU DIG. Call Gopher State One Cali at (6511454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvw.gor herstateonecaliorq I hereby acknowledge that this information is complete and accurate; that the work wilt be in conformance with the ordinances and codes of the City of Eagan; that 1 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 77�LL7ee/7 Applicant's Printed Name X! Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground ' Rough -In __Air Test __Gas Test Final .d £ I. CL-OLL-1.99 leoiuegoaL A_tngpooM e66 60 Z6 £i. 6nV " . - .....-..~'~w - 4AW cIrr oF EAcAN 3795 Nlof Knob Rosd Eogae, MN SSl'l= PNONtE: 454-8100 BUILDING PERMIT Receipt # To 6e wed for Est. Value Dote 19 Site Address ErecT ? Octuponq Lot Blotk Sec/Sub. Alter ~ 2oning Parcel # Repolr Q Flre Zone Enlorge ? Type of Const. W Nome Move ? * Stories ~ Address Demolish ? Length Grode ? Depth Sq. Ft. ~ Approrob Fees Name 3 ~ Assessment Permit Address ~ G Phone ' Water & Sew. Surchorpe ~ PoHce Plan check ~ Nume ~ i Firo SAC L Address Enp. Water Conn. Ci phone Planner WoterMeter Countil Rood Unit I hereby ocknowledge thot I hnve reod this npplication and stote that gldg. Off. the informotion is correct and ugree to wmply with oll applicoble APC Totol Stote of Minnesoto Stotutes and City of Eogen Ordinances. Sipnofure of Permittee A Building Pertnit is issued ta on the express condition tt+or ell work shall be done in xoordance with oll oppliwble State of Minnesote Statutes ond City of Eapan Ordinances. Buildinp Official K Permit No. Permit Holder Misc. Permit No. Hoider Piumbing H.V.A.C. ' Well Weter Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Freming Rouqh Plby. Rouph HVAG Insulation Final Plbg. Final HVAC Final V _ Water Deseribe Location: YYell Sawer Pr. Diap. . . ~..,"rr{~°'._"'s'~:[~c~~?-st:Twrss~+AR~'~a:~-rv?f,-*s~'-_*.-,e.•.r.'^r~'^~v^.r`c'.. t .'.t. ~ MECHANICAL PERMIT For Cfty Use Onty C1TY OF EAGAN PERMIT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ~~gs DATE 4-a (o~L-- ~at, HONE 454-8100 DATE: SRe AddfesS 8LDG• NPE WORK DESCRIPTION Lot Blodc /gu Re5• ~ New Const. Mult. Add-on ~ Name Comm. Repair r 1 ~ ~ Address -t'' ~ aher l4 fia ~ 9- c City~l~pi.i 1L111iLJ Phone FEES RES. HVAC 0-100 M BTU - $24.00 Name ADDITIONAL 50 M BTU - 6.00 ! (RES. HVAC INCLUDES A!C ON NEW ~ ~ Address Lo I~ CONSrRUCnoN) p City J Phone S- xTOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENT1Al. FEE - ALL ADD-ON & TYPE OF WORK REMODELS (INCLUDES GAS PIPING) 12_00 Forced i4ir ~ ZO- M BTi1 $ NEW C NST.)(MINIMUM - 1 PER PERMIT- _ 1.50 EA. Boiler M BTU $ COMMANQ FEE -1%OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) = Gas Piping Outlets # $ f Other $ / - f, ~ I ``~'`'f ~ ~ $ ~ CommJlnd. Contract PNce x 1% STGRA t PERMIT FEE: ' S/C: R: CITY O AGA TOTAL: - 3_ 2 Z q~ c~ y~ ~ CITY OF EAGAN Remarks 4( ' Addition Auditor's Subdivision #42 Loc aik Parcel 10 03900 OZd 08 owner f. d k:. r r., - • i' r screec scace Eagan, r1N 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac PARK ?"p` . . . . . . . . ' . . ,^,,"~,~g.e-..t,s.r--*ti--??s"a"7F-P•c,e'.ti'~f--t.~-r,wr;_~y^Y'x~-'". ;,.:-'~t:,:~t*w'-, _ . . , , .,.~.~,,,n.s. CITY OF EAGAN 16099 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PEt&j 6 Receipt # ~ To be used for 3-SEJISOH PORCH Est. value =9+000 Date AUC 29 , 19 89 Site Address a(. d Lot 2 Block $ Sec/Sub. AUDITOR•S SUBD ~ OFFICE USE ONLY PdfCel No. Occupancy - FEES ¢ GLENIZ SCHEDIN Zoning - 108.00 Name (Actual) C.onst - Bidg. Permit o Address 61Q DIFFLEY RD (Allowable) - Surcharga 4•~ City Phone 454-7358 # oi stories ~ PATIO $NCLOS[7RES IHC Lengtn pa ~ ~4 Plan Review Zo Name • depth SAC, City OU 1-39 Address RIDGE ST S.F. Tolal Do*~ snc. nncwcc ~ City UIS 1'K Phone 4 ~s S.F. Footprints - On Site 5ewage Water Conn ~ - yVj W Name On 5i1e Well - Water Me1er H Address MWCC System _ cc z Acct. Deposit <W City Phone cirywater - PRV Required _ SNV Permit . I hereby acknowiege that I have read this application and state thaf the Booster Pump - SNJ Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPRQVAIS Road Unit A Buitding Permit is issued to: pATIO 8AICIASURES, INC Planner - park Ded. on the express condition that al! work shall be done in accordance with all Council ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building ONicial Variance - TOTAL 112. ~C1 Permit No. Permit Molder Oate Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp_ Comments Footings I /,F, Foundation Framing Roo(ing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrJPlan 81dg. Finai Deck Ftg. Deck Final Well Pr. Disp. 16 03 96v oz~ ' dz VILLAGE ON' r'.AG?iN 3795 Pilot Knob N.oad , Eagan, IvIinnesota 55122 . PEM4IP V0. 301 The Village of Eagan hereby grants to H nOn_KjeyAn pi „n inQIN, of 11352 Nieot?et Ave.o~jg3se 59109 a~Pe~ £cr: (Owner) R~hed{nen Nnm~ {A~tiam 4O f1MtAe) ~ at 6+e o. PA, #w , pursuant to application dated 1/8/73 Fee Paid: ~Oa dated this tt},h day of jOMU= , 19 -33._.._ ° .50 s/o ~ Building Inspector Niachanical Permits: Bid Total: /6 ~39ao ~z~ ~ TOWN OF EAGAN 3795 Pilot Knob P.oad St, Paul, Minn. 55111 PEFMTT PIO. 39 The Board of Supervisors hereby grants to Genz gy8n P1g. & Htg. Co. of Raeemotant, Mism. 55068 a fu1ELL Permit for: (Owner) Ted Wathtet - Hocpe Job 8t 4a , pursuant to application dated S/19/71 Fee Paid: $10.00 , Dated this 21at day of May , 197 1. Building Inspector /d d'3yov dzv ~ ToWmr oF EAcarr 3795 Pilot :Cnob Road St. Paul, Minn. 55111 PERMIT N0. tn4 The Board of Supervisors hereby grants to Vie„a pm,t,3ng BQgt3ag oE 1955 Shnwnee Rgge, St Paul 55122 $ PLUMBYNG Permit for: (Owner) ppnata Hoppa_ at ~ z 6 Z c-1, , pur'suant to application dated 4/l.2/71 Fee Paid: $20,00 Dated this 1Zth day of Anril , 197j_• Building Znspector /c-) 0 3 9CSD ozC) o F( TOWN OF EAGAN 3795 Pilot ;Znob Road ' St. Paul, Aiinn. 55111 PERMIT im. 99 The Board of Supervisors hereby grants to C.gnz•Ryan Plumbin~ Co. -g Roemmont.- Minn, 55068 a HF.eT7At(: Permit for: (Owner) Dpneld Hoape at 610 o.++ y Road 30 , pursuant to application dated ' Aptfl 6g 1971 Fee Paid: $20.00 i Dated this 9th day of April 197 1-, Building Inspector I CITY OF EAGAN N° 7118 3795 Pilef Roob Rwd Eogan, MN 55122 - PHONEt 454B100 BUILDING PERMIT Receipt Te 6e wad for REPAIR & ADDITI04st. Value $13,004 Date lbrdl 10 19 82 Slte Addreu Erect Oecuponcy R 3 Lot 2 Block $ Set/Sub. A11d• S17b• 42 Alter ? Zoning A Purcel # 10 03900 020 08 Repoir M Fire Zone G~.2T1 $~1e~l.n Enlorge ~ Type of Consf. ~ W Name Move ? . Srories z nddress 610 Diffley Road De,,,oi;sh ? Lenyrh_ c; Fagan P,a,x 454-7358 Grode ? Depth sq. Ft.- ~ Name AT471C~San Blv'1dPSS , IS1C. Approrala Fees Ou Addreu 12907 Hialeah Path, Assessmenf Permit ' DUI, V~ Cit Phone L454-7301 Wufer & Sew. Surchorge 6.50 Police Plan check 49.Z.5 bw Name Fire SAC Addreu Enp• Water Conn. <W Ci Phone Plonner WaterMeter Council Road Unit I hereby acknowledge thot I have read this application and store that gldg. Off. the inlormotion is correct and ogrqg to comply witholl opplicable APC Totol ~ 4 5 State of Minnesoto Srotule -ity of Eog ? Ordirwnces. $ipnofure of Pertnittea ~ A Building Permit Is issued to: cil B111dPS TI1C on tha exDmss condition thar all work shall be done in occordnnce wieh oll 0 p ble Smn..~"f M-~innew't~a St~acutes ond City of Eapon Ordirwnces. Bufldirp Officiol REQUEST FOR ELECTRICAL INSPECTION x.~ EB-00001-03 ~ F 7'~.~ 7 ~~5 ~ Seo instmctions for completing this form on beck of yellow copy. `f ')!'`Belnw Work Covered by This Request Ne Add eo. ~Type ai Building Appliances Wiretl Equipment Wired Home Range Temporary Service DuPlex Water Hcater Lightiny Fixtures Apt. 8uilding Dryer Electric Heatin Commercizl Bldq. Fumace Silo Unluader Industrial 81Ag. Air Conditioner Bulk Milk Tank farm ome. sp'!cJ v o~ne, Isunc~tvl ~hnr SVecily Other 01hi,~r Compute lnspection Fee Below q Fee ServiceEntrenceSize # Fee feeders/5abteeders 4Fee Circuits 0 to 100 qm s 0 to 30 Amps • 0 tn 30 Am s 701 to 200 Amps 31 to 700 Amps 31 to 100 Am Above 200 Amps qbove 100-Am s Above 100_Amps Transro rs Remote Control Circ. Partial, 'Othe " Sign Special Inspection 5 4~ ~ TOTAL F y Rnnurks G Q(J flouPh-in n~ge~ 1. [he Eleevical nsvector, ha,eby C certify thel tha ibuve Fina L inspection has been made. This rep~~ ~,-t wIA IB months from This request void _Ju,~' q.~ ~ y7 .~8 mu,7h9,9,5 6 a Rennjest Dam Fire No. Rmipll-in Insunr,tion Peq reA? ~RCatlY Nnw~ill Notily.lnspec- S ` y~; ?N. br Whrn NeaAy RLicr.nsed Elecirical Cantrnr.tor I hereb re - y puest insDeclion of above ? Owner electrical work installed aL Sireet Address, Box ar Raute No. ~ f.i[Y & Z). &&A-t-J er.uon o. Township Name or No. qanAe. No. CounW , M~V 1'Y OCCUGJnt(PftINT)/~ 1•I.~,'/~/~T/f~. r1.~j~~~gOV Ph4iie N0Y.~/Yyf ~\~pf ~Y,iv.~.~~~ J T L 1 . tlaw,~- 0 1QQa,r., ~ 4 - Powor Sapplier ` Adtlress ,Dl+Ir. 1JU6iT60 Eiecvical ConVamr. (Cumuany Nam I . . . Comracmr's Lir.ense No. ' ~A-K fc k4 ~1C, 039SS3 Malling AdJress IContro tm or Owner Making Ins[aila[ionl l I 3 Lo 44-El & r-ti --Sua.~s L Au[horized Signamre ICwVactodOwner Making Installation) I Phone Number g°co -3 I lS MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT Grie9s-Midwey Blde. - Room N-191 gE ACCEPTED eY THE STATE BOARD 1821 University Ave., St Paul, MN55104 UNLESS PRpPEfl INSPECTION FEE IS ow....., 1a111 oavmiii ENCLOSED. . ~ EAGAN TOWNSHtP BUILDING PERMIT N~: 2900 . Owner Eagan Township _ Address (preseni) Town Hall Il Suilder ........CIL1...............w.------- Date __~_;,l_.- Addresa " DESCRIPTION 5lories To Be Used For Fron! Depth Heigh2 Est. Cos! Permit Fee Remazks I LOCATION Sfreel, Road or ofher Deseripfion of LocaYion I Loi 1_.BJack Addition or Traa! 4~63 &j(,- 0g4 O~ sansb):> 25? This permit does aot aulhorize the use oi streefs, roads, alleps or sidewalks noz doea it give the owner oi his agenf the zighi !o creale any sikualion which is a auisanca or whieh presenfa a hasard !o the healfh, safeip, convenieaee and ganeral welfare !o anpone in the eommunifp. THIS PERMIT MUST BE,cI,[ EPT O THE PREMISE WHILE THE WORK IS IN PROGRESS. / This is !o ceriify, thal..,.N...::....:. hespesmissioa !o erect a----ja....... ./..~.:...B~......_upoa the above described premise subjec! !o ffie pronisiona of the Buildiag Ordinance fos Eagan Towpship adopted Aprll 11, 1955. 2i`"'. ,c~-.~e.~ (~.o.._~ . Per ----......._._.....................9......P...........................""-- ~ Chnysmaa oLT^•~^ Suildin Ina aoty~r v6 CITY OF EAGAN Np 16999 . 3830 Pilot Knob Road, P.O. Box 11,199, Eagan, MN 55127 BUILDING PERMIT PHONEi 454-8100 Receipt 0,4611 # DECK & To be used for 3-SEASON PORCH Est. Value $9, 000 Date AUG 29 , lg g2 Site Address 61n nrFr ~ Lot 2 Block $ SeGSub. AUDITOR' S SUSD ~ OFFICE USE ONLY Parcel No. 42 Occupancy _ FEES Zoning _ a Name GLENN S H DTN w (ACtuapCOnst _ BIdg.Permit 108.00 0 Address 610 DIFF . Y RT) (Allowable) - Surcharge 4.50 City EA~_AN phone 454-735R roisiodes _ Length PoICh 17v14 Plan Review o Name PATIO ENCLOSURES,- INC Depih 001 Address 6319 CAMBRIDGE ST S.F. rotai Deck 207 snG cny SAC,MCWCC ~ City ST LOUIS PKphone 9 0-1 75 S.F.FOOlprints _ On Sile Sewaga 'Nater Conn w Name F W On Site Well - Water Meter ~03 AddfBSS MWCCSyslem _ ¢z City Phone City Water _ Accl. Deposit PRV Required - S/VJ Permit I hereby acknowlege that I have read ihis application and state that the Booster Pump - SM/ Surcharge information is crorrwt and agree to comply with all applicable State of Minnesota Slatules and Ciry of Eagan ~rdin~ances, ~ Treatment PI Signalure of Permilee~ ~//'C'--=----~ _ APPROVALS Road Unit ~ A TIO ENCLOSURES. INC Planner Building Permit is issUed to: P - Park Ded. on ihe express condition thal all work shall be done in accordance with all Councii applicable State of M(in~n,e,~sota Statutes a-nydy,Cyit(y of Eagan Ordinancas. Bldg. Ofl. Copies BuildingOflicial ~uN1la' I IIt1Y Vanance - TOTAL 112.50 ~ ~ o ; ~ ~ COUNTY STATE AID HIGH WAY ~ ~ N0.30 (DIFFLEY ROAD) w 0 . i~ 1 1~' _ 05!' 338.66 3=5789.58 C = _ 338.61 I C. BRG.= S88043`23"E~ ~ - --••338.50-•-- , I LTI I 1~ i ` ~ i O ' I I A w N I I ~ OD ~ r ~ i' p I " 00 \ ~ Q1 rys~os2 v~3 ~ I r o ~ ~ ` ~ \ p ( 0 0 W L~e~'q. D ~l, pPO \Cq~ C'~'~ d=264e 99 \4 i9., I % ~V o O O d, g I 19 ~ ~ `s iS (N87°16'24"E \Op@~ i-- S m 33.72 p --to 0 ; ol; ~0 0 ~ oIcu ~ OlY 6.5 ~ b'fU ~ 0IU)v~~ ; ~ ~a1~ 0 ZP -0 I - LO ~ I NB~~~`~43 W~ in ra ~Qmp ~ o I m ~j~ gio ~pseS ~ o O p0~ ~ tt7 1 V (D I- oA I w ni U! I v~ 01 p'. I RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 U' New ConsWCtion Reauiremenfs RemadelRteoair Reauiremen6 4(fice Uu Onlv 3 fegistered sile surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies ot plan _ CeA of Survey Reod (20% maximum bt coverage allowed) 1 set of Energy Calalafbns (or heated additlons Tree Pres Plan Recd 2 copies ot plan shaxing beam 8 window sius; poured found design, etc. 1 site wrvey for additions & decks _ Tree Pres Not Reqd lselofEnergyCalculatlons Add'rtion-iMicateilarsAesep6csystem _On•siteSeptlcSystem 3 copies af Tree Preservation Plan 4 1ot pletted aker 111/93 Rim Joist Oefail Options selectlon shcet (bldgs with 3 or less unils & O? Date Construction Cost 1)00 Site Address UniUSte # DescriptionotWork fIPiV110JPr 19/1 Mu1H-Family Bidg _ YL/ N Fireplace(s) _ 0 V 1 _ 2 Property Owner Sip,(0,~ Me~-~ gSs Telephone #(6cS( ) ~Sc2 Contractor rr{~q ?liG~ C&776tTtZn ffll T- Address I3 slt - ~t ~f~ ev - City 14 L1 State /V • Zip c55039 Telephone #(d$'p 'Y13 -a.6 ao COMPLETE THIS AREA ONLY IF CONSTRUCTIIWW BUILDING Minuesota Rules 7670 Cateeorv 1 n• ota Rules 7672 Energy Code Category • - (J submission rype) Suhmitted Residential VentllaFlon Category 1 W A ~ ~eeF 2063 ~ m,n~ y Code worksheet • Energy Envelope Calculations Submi Licensed Plumber tijol-, ~_Telep ) Mechanical Contractor Telephone ) Sewer/WaterContractor 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 plan in the case of work which requires a review and approval of plans. C'rrii~' S. ~Ice Applicant's Printed Name Applicant' Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg t 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y w_ N ? 25 Miscellaneous WorkTYPes ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 fire Repair JR 33 Alteration ? 37 Demolish (Bldg)' ? 43 Remof ? 46 WindowslDoors ? 34 RBp18Cerltent •Demolitlon (Entlre Bidg) - Give PCA handout to appliwnt Valuation 3 Doo.~ ~ Occupancy MC/ES System Census Code L?q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V ~ 1 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) p FinaUNo C.O. x) Footings (addition) ~ Plumbing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final ni Framing _ Siding Stucw Stone o Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ~ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge l z~ 34D x s y, Plan Review MC/ES SAC City SAC Z~ tt K S~{' o 0 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total S`8 zz ~ f S--o -sa 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 Faroily Dwellings Townhomes and Condos when permits aze required for each unit ~ Date 13 / ,j Site Address 412 ~ z J2 o s e ma ~ y L' Uo,t # Property Owner R', Ce~ Telep6one ) J Contractor 14CLd' 50 fN Address 30~ S f 6?nJ J /U 7 City h4 d~'L.r State ` t' ~ Sd J~~ Zip SS 0 Telephone # (`I63) q '72 - e) i~o ? (0 The Applicant is _ Owner ~ Coatractor 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 $ 50.00 ~ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) _ Other: ~ _ RPZ _ new installation _ repair ~ rebuild $ 30.00 i~'' ~ r-- - _ Lawn irrigation syetem 1 IY1Ht? _ Water softener _ water heater , $ 15.00 _ replacemant _ additional g, Sta[e Surcharge $ .50 Total $ ~ ~"S-Z) I heraby apply for a Residenrial Plwnbing Permit and acknowledge that the information is complete an accurate; that the work will ' be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes hat I understand tlns is not a pemut, but only an application for a pernut, and work is not to start without a t that the wor will be in accordance with the appmved plan in the case of work which requues a review and approval of plan~ / / A j -11 I~ 6 I1, i ne) ApplicanYs Printed Name Appiicant's Signature RESIDENTIAL ~ - BUILDIPIC PERMIT APPLICATlON CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851 •681-4675 O Naw Conatructlon NeaufremeMS HemodeVpeoalr Heaulrementa . 3 regislered site surveys showirg sq. fl. of bt sq. tt. of house; and $II ruofed areas • 2 copies of plan . (200% ma)tlmumbtcove2geallowed) • 15atofEnergyCakuletionsforheatetladdAbns . 2 coples of plen showing beam 8 window sizes; poured found eesign, etc.) • 7 sfle survey for eMeriaradditions & decks • 1 set of EnergyCalculatans • IndMate il home servetl by septic system forad0ilion5 • 3 copies ot Tree Preservatbn Plan M lot platted after 7/1199 • Rlm,bist Detail Options selectbn sheet (bltlgs wM 3 or less unfts) D DATE VALUATION 4~4~"~62_- ~ SITE ADr~DRyES~S ~o~D y1_/l.(,si'/ MULTI-FAMILY BLDG _ Y,/'~ N TYPE OFlIVO~ 4& /1019-p LEtPSOS. FIREPLACE(S) _ 0_ 1_ 2 v APPUCANT STREET ADDRESS 12,7~ I1-4 ca~r ~LPtA1P. --S " CiTY ft' STATOW 21P 7,r~ TELEPHONE #%Z 2U_7 CELL PHONE # FAX # RS2= C~0(8`NkD PROPERNOWNER S? f7p~ rlh leere11e5'!~ TELEPHONE COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 MLNNFSOTq RULFS 7672 (4 submission lype) • Residential Ven6lation Category 1 Workaheet Submitted • New Energy Code WoAcsheet Submitted . Energy Envelope Calculations Submitted Plumbing Conhactor: _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee:. $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning ' _ Heat Recovery System ~ Sewer/WaterContractor: Phone MAY 212002 I hereby acknowledge ihat I have read this applicatlon, state that the informatlon i , omply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signalure of Appllcant ............._.r..._........_....____ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex [3 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Mufti O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) E] 33 Ext. Alt - SF 13 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O OS 03-plex i] 'I'I 'ID-piex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolkion (EMire Bldg only) - Give PCA handout !o applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS ~ Footings (new bldg) _ FviaVC.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 _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wal] Approved By , Building Inspector W_________ _ _ Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total I,ot ~ Block ~ PID # Sewer /water permit # C4 '-C ~ Plat ~~t(~AO ~-e~St Date q/11 I'1;5 Receipt#W4.u!Ci<-# S~C7 °k'd "1'a CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAICABILITY CHARGES EXISTING RESIDENTIAL ROPERTY S r Connectlon & Availability Cfl es W. Connectlon & Availabili Cha es Trunk @ $860/ ection $895/ 'on SAC 1,100.00 & storage (W 807.00 Lateral bene 21.30/ff $ ;Plumbing bene $21.50/ff $ Date paid paid Receipt # ipt # Account depo " 15.00 nt plant 444.00 Sewer t& surcharge 50.50 eter "]nspecf s req'd pri 111.00 o issuing g p~2 t depo ' 15.00 ' & surchazge 0.50 Z Plumbingpermit & surchazge .SO ! Totatg permit & swcharge 20.50 Total $ Sewer and Wa6er Connectlon 8 Availability Charges Lateral Benefit Qa $21.30 and/or $21.50/ff $ Z~ Trunk @ $860 and/or $899connection O SAC 1,100.00 Date paid Receipt # Supply & storage (WAC) 807.00 Date paid Receipt # Treadnentplant 444.00 Water metor *+Inspections req'd prior to issuing 111.00 Account deposit 30.00 Sewer and water permit & surcharge 100.50 subtotai $ . ,S °l a--~ (J Plumbing permit & surchazge 20.50 Total g 2 ~ 3. U c~ . - OPFICE USE ONLY ~W Propercy owner Si E Vf- d- L'(NN M E R E NE S S PRV req,,;rea ~1 -e. AddresS R os F Mig ,e y cov xr R-O.w Perroit: Ciri CtY Phone number 0), - ! ~ ~ (o Availability $ (D Pluxnber City financed Lot Block PID # Sewer /water perntit # Plat Date Receipt # cinr oF EAcaN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY Sewer Connection 8 Availability Charges Water Connection 8 Availability Charges LBteral benefit @ 2130/ff $ Lateral benefit @$27.15/ff $ Trunk @ $1,790/acre Tnmlc @ $1,875/acre SAC @ $I,100lunit Supply & storage (WAC) Q $2,955/acre Date paid Treatment plant @$444/SAC unit Receipt # Water pemut & surcharge 50.50 Sewer permit 8t surcharge 50.50 Subtotat $ Subtotal $ Plumbnrg permit 8c surcharge 25.50 Plumbing pecmit & surcharge 25.50 Total S ' Total $ Sewer and Water Connection & Availability Charges Lateral Benefit @ $21.30 and/or $27.151ff $ Trunk @ $1,790 and/ar $1,875/acre SAC @ $1,1001unit Date paid Receipt # Snpply & storage (WAC) @ $2,955/acre Treatment plant @ $444/SAC unit Sewer and water pennit & surcharge 100.50 Subtotal $ Plumbing permit & surcharge 25:50 Total S The mrmber ofSAC uniu is determined by 1he Merropolrtan Councll Wastewarer Servlces (601-1000). _ _ _ _ _w _ ._._M___----------_____ OFFICE USE ONLY Properly owner PRV required Address R-O-W Permit: City Cty. Phone number Availabiliry $ Plumber City Snanced Lo[ ff Biock I PID #A'"~a17O - 0SQ- QV Scwcr /watcr pcnnit N Plat ~Lf2W'ff4J/Yin.E ('J"Al Date Rcccipt k ~ CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Se) er Connection & Availabilit Char es Water Connection 8 Availability Charges Lateral ben ft ~ 21.30/ff $ >n5 nefit @$21.50/ff Trunk @ $86 nnection 5/connection SAC 1,100.00 sto e(WAC) 807.00 Date paid paid Receipt # ipt # Account deposit 15.00 nt plant 444.00 Sewer permit & s ge 50.50eter 111.00 deposit 15.00 Subtotal $ rnvt surcharge ~0.~0 Plu mg permit & surcharge ?A.50 $ otal $ g permit & surcharge 20.50 Total S Sewer and Water Connection & Availability Charges Lateral Benefit @ $21.30 and/or $21.50/ff Tnmk @ $860 and/or $895/connection SAC 1,100.00 Date paid Receipt # Supply & storage (WAC) 807.00 Date paid Receipt # Treatment plant 444.00 Water meter 111.00 Accourn deposit 30.00 Sewer and water permit & surcharge 100.50 Subtotal Plumbing permit & surcharge 20.50 Total $ ci? /•3-00 OFFICE USE ONLY Properry owner PRV required y'-S Address c+7~pa3 Number of taps L? Phone number Availability $ Plumber \ City 6nanced ~/L(r'7~ C[,,P.&J Loi Block PID M Scwcr /watcr pernut q plat Datc Receipt # CITY OF EAGAN , ' - 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY Sewer Connection 8 Availability Charges Water Connection & Availability Charges Lateral benefit @ 2130/ff $ Lateral benefit @$27.15/ff $ Tivnk @ $1,790/acre Trunk @ $1,875/acre SAC @ $1,100/unit Supply & storage (WAC) @ $2,955/acre Date paid Treaknent plant @$444/SAC unit Receipt # Water pemvt & surcharge 50.50 Sewer permit & surcharge 50.50 Subtotal $ Subtotal S Plumbing permit & surcharge 20.50 Plumbing permit & surcharge 20.50 Total $ Total $ Sewer and Water Connection & Availability Charges Lateral Benefit @ $21.30 and/or $27.15/ff $ Trunk @ $1,790 and/or $1,875/acre SAC @ $1,100/unit Date paid Receipt # Supply & storage (WAC) @ $2,955/acre Treatment plant Q $444/SAC unit Sewer and water permit & surcharge 100.50 Subtotal $ Plumbing permit & surcharge 20.50 Total $ The number of SAC units is derermined by the Merropolitan Counci! Wastewater Services (602-1000). OFFICE USE ONLY Property owner PRV required Address Number of taps Phone number Availability $ Plumber " Ciry financed . 1989 BUILD111G PERMIT APPLICAYION CITY OF EAGAH SINGLE FAMILY Diff.I.LENGS tlOLTIP(.E DiiELLINGS COTSSERCIAL 'ETS OF Pl.afiS 2 3ETS OF PLINS 2 3ESS OF laCHTfECTUAAI. .~<GISTEAED SITE SURVEYS BEGISiSAED SITE 3QRVEI3 - 6 STROCTQRAL PLINS d.40T OF ENERCI CILCS. (LOC;Y YI7'H BLDfi DI4. ) 1 SET OF SPECIFICSTIONS 1 gET flg B1E9tiI CLI,CS. 1 SEY OF ENERt3I CALC3. MULTIPLE DiiELLINGS BENTAL IIliIT3 FOB SALE UIITi'S /.OF UNITS £IOTEs ADDAFSSFS F06 CDRNER LO?5 - COPiRlCfOR/H0lMOWNEA !lDSY D&4IGNATE YHICH iDDAF55 IS DESIAED. AO CAiNGES iTILL BE ILLDiiED ONCE BUILDIN6 PERMIT IS 2SSUED.. 3Ei1ER 8 iIATER FEIMIIT YfiES JLliD lCCOONT DEPOSIT lW i1ILL Hfi IACLQDED fiTfH TSE BpILDINO PERMIT FEE. PAOCESSING TIME FOR SE4iEH EIiD i1ATEA PERMIiS IS TWO DAYS ONCE ! PEAMIT H1S BEEN CDMPLETED IBDICATIAG A LICENSED PLMffiER. PENALT'Y APPLIFS WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS RECUESTED. LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISS[1ED. Ce4U6 2 lyay fer ft Used For:Valuation: ~ Date: Site Addres:lock ~ OFFICE DS6 ONLT Lot z 0 Occupancy FEES - p , Zoning Fa+^no,.1Sub l.~nAD~Tvl4.r. 54x8 Aetual Const Bldg. Permit 08,00 Aliowable Surcharge U, a ,.:r ~/o,•v~/ ScLie~.i~/ _ i of atories Plan Reviev Length PoTZc+j 174 X) L/' 3AC, City lddress .lo/O Depth SAC, HWCC S.F. Total Water Conn City/Zip Code f,+~,hy Footprint S.F. Water Meter DECrY--- = ZoT s,F. Aect. Deposit Phone L/S~ ;73Sd° On aite eexage S/1i Permit On aite xell 3/W Sureharge "catractor~~,~~%?~~/s~tes !lKGG System _ lreaffient Pl. City vaCer Road Onit Address PRY required _ Park Ded. Haostter pmp _ Copies City/Zip Cole • ~/G'' SUBTOTAL AFPADVAI.S Penaltq Phone Planner _ TOTAI. II9•60 Council Erch./Engr. Bldg. OTf. t5 Qarianee Addreas City/Zip Code Phone # ~72 ~O . . r%- Or< 17DU t-) rkl- , ' nZFFI-Ey _ N u s' /f q1y lSRI" s'1. r F/u` 3~ /+b°'ec ga,~w+z6 /o d' • 86' ' I ~ i ~ ii ( I i i A p~pa.d~ fo.Q•' .~'vLENi?~~odly Scs/ed,'i? dy/: P.oTo EHG~L'SU.Ctf £/VG 6/G Q.•FF/e~/ i!t/• l0319 C.rm ,di+•'olj e a 9ao-~s~s WAIVER OF HEARING NO. 580 SPECIAL ASSESSMENT AUTHORIZATION FOR CONNECTION CHARGES I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: Lot 8. Block 1. Hawthorne Woods West for the following connection and availability charge(s): ITEM QUANTITY RATE AMOUNT Permit Charges 1 $2,613.00 $2,613.00 TOTAL: $2,613.00 to be spread for a term of 5 years at an annual interest rate of 6.5% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31 s` of the current year. The undersigned, for themsefves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these connection charges, and further, hereby waive notice of any and al( hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated: F O er /V~- ~ Fee C@Vner N RC ft + ~ CA'CD re..Cc !vi't MY t=..u:sioa cs:;ru ,-...CU BY' ..+...+v... v.+ Its: \ ] i ~ f ~ ~ \ I I \ ~ C> L U I ~ - - - ! A i ~ 9- ~ S7~ 0 ~ SrcR,~ 1~ MASTER CARD LOCATION OWNER STRUCTURE AND 2s..X~~. t t~l LAND USED AS Izsued To Fermit No. Issued Contracfor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL - HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Approved - ITems (Initial) Date Remarks Distance From Well FOOTING 23 $EPTIC FOl1NDATiON ~ 7 CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTFICAL DEPTH HEATING OP WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD , PLUMBING WELL SANITARY SEWER Violations Noted on Back i COMMENTS: ~ / COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. a ACCEPTABLE SU&STITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILI BE DELAYE? BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOIIT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REqUIRED DA7E OF REINSPECT70N REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inapected the above in which I have no interest present or praspective, and that I have reported herein all significant conditions ob:erved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? AlL IMPROVEMENTS ACCEPTABIY COMPLETED BUILDING INSPECTOR DATE COMMENTS: MASTER CARD c{a ~ a. Rar~.~rn-•-~ ~ LOCATION ~ • • r,~ ' OWNER r~ AS 6 m 0'r~ ~7 STRUCTURE AND LAND USED AS ~~J •f GA n Issued To Permit No. i Issued Contractor ~ Owner BUILDING ~_~7~ S~L PLUMBING ~J I _ t~F-~ CESSPOOL - SEPTIC TANK WELL ELECTRICAI HEATING GAS INSTALLING SANITARI' SEWER OTHER I OTHER i Approved Items (Initial) Date Remarks Disiance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. RNAL ELECTRICAL -7 HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING 1 i WELL 40 SANITARY SEWER ~ ~A << Violations Noted on 8ack COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USFD ONIY IN EVENT OF OBSERVED VIOLATIONS . PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. a ACCEPTABLE SU85717Ui1ON5 OR ? DEVIATIONS COMPLETION OF CERTAIN IMPROVEMENiS . WILL BE DELAYFD BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. I7EMIZEO AND DESCRIBED AS FOLLOWS: ? REINSPECTION REqUIRED DATE OF REINSPECTION ~ REINSPECTION REVEALED - CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-s'rie improvements retatmg to the propeny Snspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR pATE COMMENT5: 23 Q~ CITY USE ONLY l.~GV'e 1~ U V L ~ BL RECEIPT#: /SUB RECEIPT DATE: 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, A41 55122 d ~~8 Please complete for: ? single family dwellings (612) 681-6675 ct t\q . D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener for existing dwelling 20.00 x = U.G. Sprinkl8r ' for dweliing under const. 3.00 U.G. Sprinkler ' farexisting dwelling 20.00 = AltefatloflS ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 c.~ TOTAL :qn ` S b I hereby acknowledge that I have read this applieation, state that the information is eortect, and agree to wmply wkh all eppliwble City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no Iiability tor any damages eaused by the City during Rs normal operetional and maintenance adivities to the facilRies construc[ed under this pertnit within City propertylright-of-way/easement. ' SITE ADDRESS: 4262 Roemary Ct. OWNER NAME: Steve Mereness INSTALLERNAME: Dakota Plumbing & Heating, INc. TELEPHONE#454-6645 STREET ADDRESS: 3650 Kennebec Drive CITY: Eagan STATE: MN ZIP: 55122 SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 ~ arne Minnesota Pollution Control Agency (MPCA) ~ Inspectton Form [or Exiating Septic Systertes DATEOFINCp .(.77pNe~z •>d- 9fs ~ rMe:~Ad_ W6nTHER CON01TlONS:CI«~.^ ~$']'$pERMITN ~M6 .R~ BEASON_ FORINSFCT10N 1120-171FICATION ' ( ) eearoom or bowroom odaiuonPropcrty Owner(s) G(. e.y j A/ Telephone ( p~~ -7 ~>var;once _ SlteAddress ` e or CltyE w.it/ ' (1Compldnt ZipCode~S/'L 2. . Co nty~A-/t'ni'~ PO.openy Tnuurer Pire No, ownship Name O Other . G ayrlert/ opened upT Y(Z Full Portial s,a N -p ! P C ~ lla~'lta~nk(x) averbeanpumpxdi Q N YwrSysiemDuill: /97I - 1( Yea, hpw o(ten7 For whpt reosan: p rauelnely O byement be<kup0 olu«ISh plumbinS0 olhef Nny repNr dona on rystemT 7Y,~ N Whel When qy whom Vupe:Ootheres(ublish ~mpdwelllngO mmomJOother Waterueingappllontq;~lothuwmhefODbhwyhtrQpprpo edl' enl? hlrl No.B<dropml No, o(xeupenu Surfecew•ier~ ~,LD R fromwhlehi ~ ~'0 1+~1 pIAOWWOfCOndlllOnlng uAllO4eIIKItpMlnthYTId1~M{APwneqN@8Fa51 ype otsurfaca waier O riveiD Ink A vrea' vlher (Cheak approprfete sewer sysiem eomponent and indica(e location on site sketch on back of form). T°nk (sl: Tenk(s) Mnterfal• $oll Treatmmt Sy=ie...; ' Othera - 4 Stplie lank ,A Fibergla5a _ rock trench _ allemative system (identi(y rype) _ Aero6ic lank _ plas;ic _ grevelless trench _ ezperimental system (Idenilfy lype) _ Pump tank _ Metal _ chamber trench _ other (identify rype) Holding iank _ Concrete _ seepage bed Other mound /4- M' ? _ ebgrade J~ eN o'N~ p.. N~ T tiS fia 47~1 0 ri. ' Tonk(s) Sim: ~ gnis Soll trotment aree sl:e(s): d o. N". _ . - . .q.n.. oas~ COMPLIAN IN P ["'rrnN. - • . , . , , - . . ' Is there er hns thereev 6e ri a vid nr e( Atsyanse' ~i - - , , ,Anthargo % _ of ivwsge to tha ground ivrlacel Discharge olsewage to a surPoce waterT YES A seepage pit, drywell, cesspool or leachmg pit? VE (~QJ Less than three leet ot vcrtical separation between the soil treaemenl system S NO boaom and sawraied soil or bedrock7 YES ry$, ? Sewage beckup inlo dweliing or oiher establishmentT YES Situations with the poteniial to Immcdlaiely and adveraely impace or threaten pubiic health or safocy7 YES ~ • if YES was answered for en of the above uestions, the s stem is failin accordin to Minn. R. ch.7pBQ,0060. STATU$ Q?"Tr-R' cvrrrM + a IIased on the eompllance inspection condvcted above lhe / r system stalus Is !/lG~ 6his document Is a / L (Chooae: in c oiftiionce OR fe!limy ~ (Cbawat Ceqificaie of Compiimce QR No~ice o Noncompliane2 ) CERTIFICATiON I hereby canify as a state of Minnosom licensed Inspector, Designec 1 or Qualil'wd Employte ihai my o6ttrva4fans rssorded on th!R !or*r. ±-,e accurate as of the date at che top of this rorm for tlm siie staied above, No determination of fuwro hydraulis performonce un be made due to unknown conditions during system construction, future woter usage over the life of lhe sysiem, abese 9f ihs system , and/ps snvelryua,e maintenance all ot whlch will adversely affset the life o( the sysiem. e~l~f ~37- y3 inspector's nam PhanaNv. . (f~lease prinil . _ Inapcctor's 5ignaW~~!~ ~ I~- /i r G - i ~ . e ~ City of EaQaII Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 9/12/2009 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 1 -6 j�`i -1 7 -0 Site Address: 4262 Rosemary Court RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: Steve Lynn Mereness Phone: 651.452.9716 Address /City /Zip: 4262 Rosemary Ct., Eagan, 55123 Applicant is: X Owner Contractor Description of work: Replacing a 4 Season Room Deck Construction Cost: $25,000.00 Multi Family Building: (Yes No X Name: Address: City: State: Phone: Contact Person: License Zip: 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: -Plans and upp dacu tform #ranmay be classrfie a yo pu bs, tudaith 1 submit are` c nsidered to be public r f you provide p c if ic. reasons thaw e a G x ec ts. tio/ Portions a rm�t,t City t 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 Ljn n M 1 t �-'&ss Applicnrs Printed Name p wnh SEP 1 4 2009 If Applic (jts Signature Permit Fee: 7/.az s l 1 Permit Date Received: Staff: Use BLUE or BLACK Ink Suite Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New 4 Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 100 Census Code of Units of Buildings Type of Construction Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies Fireplace Garage Deck Lower Level REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice Water _Final Framing Fireplace: _Rough In Insulation Meter Size: i /7&aLf C f Interior Improvement Move Building Fire Repair Repair TOTAL DO NOT WRITE BELOW THIS LINE Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Porch (3- Season) Storm Damage 4 Porch (4- Season) Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) Pool Miscellaneous Siding Reroof Windows Egress Window *Demolition of entire building give PCA handout to applicant Sheetrock Final C.O. Required 7C, Final No C.O. Required yC HVAC Other: Pool: _Footings _Air /Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Radon Control Erosion Control Building Inspector Demolish Building* Demolish Interior Demolish Foundation Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers 9lig 76( y (K"2-49402(5 )c.,q1ot Page 2 of 3 7)) C-1-- 6- 56•L 1 SITE PLAN/ 03 ELECTRICAL MERENESS RESIDENCE 4 SEASON PORCH 4262 ROSEMARY COURT EAG,hN, NM 551.23,. Richard G. Clark 1226 Hazlecrest Pr. Hudson, WI 54016 651 248 8232 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4262 Rosemary Ct Lot: 8 Block: 1 Addition: Hawthorne Woods West PID:10- 32170 - 080 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Metro Heating & Cooling 255 Roselawn Ave E Suite 43 St. Paul MN 55117 (651) 294-7798 Quesetions regarding electrical permit 952- 445 -2840 David Reiland 255 Roselawn Avenue E Ste 43 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec $50.50 Owner: Steven Mereness 4262 Rosemary Ct Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 Issued By: Signature Mechanical EA091266 09/23/2009 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Ea�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 1 t: i Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: f 7 Date Received: Staff: St 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 1» Date: 7.2.12 Site Address: 4262 Rosemary Court Unit#: J Name: Steve & Lynn Mereness Phone: 651.452.9716 Address/City/Zip: 4262 Rosemary Court, Eagan, MN 55123 Applicant is: Owner X Contractor Description of work: Master Suite Remodel Construction Cost $40,000.00 Company: Purcell Quality, Inc. Multi -Family Building: (Yes / No X ) Address: 2115 County Road D East Contact: Tim Purcell Jr. State: MN Zip: 55109 Phone: City: Maplewood 651.748.1304 License #: CR6 3 6 4 8 9 Lead Certificate #: NAT -67802-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional informati?r,) Working ONLY in an addition that was constructed in 1983. cii-- r 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: N©TE Plans- and supporting documents the information maybe classified as no ;iubmitare co. ;r. i`u provide' a► trade Bred to`& c reason 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.gooherstateonecall.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 7344 R tc//T.Z. Applicant's Printed Name z - Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition 1.Alteration Replace DO NOT WRITE BELOW THIS LINE -127?-. Gia/ic/ /r - Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Retaining Wall DESCRIPTION - Valuation Plan Review (25%_ 100%.) Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair v) REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation 1i Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 7L 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 Final Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control /V)/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL T LI, Page2of3 N� Use BLUE or BLACK Ink r I For Office Use ; Permit City of Eap I a~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: fU b 3 ; Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: I I I - - - - - - - - - - - - - - - n 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date;,/ Site Address: I~ 4f T Unit Name: ~p V C----=C h ej-~l Phone: Resident/ Owner Address / City / Zip: 2 6 V/"::~ Applicant is: Owner Contractor Type of Work Description of work: P Construction Cost: Multi-Family Building: (Yes / No Lam-) 47 Company: in ejIff7 cr- jV6y,,a Contact: gl Contractor Address:-J-2 7 6 R2 City: J~""~ c1-'Sc~ State: t4-47 Zip:: -r/42.-J' Phone: License Ca3~~7 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: 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.gooherstateonecall.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 PERMIT City of Eagan Permit Type:Building Permit Number:EA152015 Date Issued:09/24/2018 Permit Category:ePermit Site Address: 4262 Rosemary Ct Lot:8 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-080 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Steven Mereness 4262 Rosemary Ct Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature For Office Use c„.„-sive as > # 4 x a ri Permit#: J ` Permit Fee: Date Received: ./C -42 /� 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675- MAY 2 8 2019 Staff: buildinginspections( icityofeagan.com i. 2019 RESIDENTIAL B _ :MMIT APPLICATION Date: 5/Z�C5 /1 9 Site Address: LA2.(a Z 2.USU(Y\Oc CA- Unit#: Name:S-E,•..12 V\escr—y-ye.SS Phone: QA a' c5C4•, • g �Z Resident/ Owner Address/City/Zip: 1-4 Z Co 2 'Rc%eref-Nct. Cf.,, act. cL,i'` i' t L)S512-4 Applicant is: Owner Contractor '1 NIA Of r� remrs 4r-Y-c„pt44-C,,,2 t o u se..s c t- ya"c111/4c. _ Type of Work Description of work:c o u- CA„C o r cx e-1 € C r-c.)c.A.rr\ W f C. C3,ri Q P y to-Chi' Construction Cost:IP'50Z C • 0 0 Multi-Family Building: (Yes /No J' Company: r cA-t) P(. 4 C frtfex4 {AUC*C-teS Contact .,(Q TvuwA,C9l4 Address: 24o12-2- City: s 1,( ,p e U oaktti Contractor State:MO Zip: 2..4 Phone:a".t•2• SZci2-Email: kicit_'ChirAoe+,0..0C&Si"nf1•Lct,k License#: .153 ') ( Lead Certificate#: f-/ 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 no .ublic if »u•rovide .eche reasons that would .= it the C 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.citvofeauan.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.oopherslateonecall.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. Applicant's Printed Name Applrxtriw gnature 3e-- A( PIP DO N9T WRITE BELOW THIS LINE 1�� 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 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 Wail *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ?Ij______O Occupancy -94„,./ MCES System Plan Review Code Edition Ii J -VI `SAC Units (25% 100%Y ) Zoning 'l. City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V eb- Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) / Final I No C.O.Required Foundation Foundation Before Backfill ! HVAC_Service Test Gas Line Air Test_Hood Roof: Ice&Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings Backfill Final Sheetrock Radon Control — Fire Walls Fire Suppression: Rough In Final Braced Wails Erosion Control Shower PanOther: Reviewed By: j ' ,Building Inspector RESIDENTIAL FEES Base Fee 6 tivivi N61Surcharge Plan Review MCES SAC af)4111 City SAC Utility Connection Charge SSW Permit&Surcharge O 0f 9 Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA173081 Date Issued:10/27/2021 Permit Category:ePermit Site Address: 4262 Rosemary Ct Lot:8 Block: 1 Addition: Hawthorne Woods West PID:10-32170-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Steven & Lynn Mereness 4262 Rosemary Ct Saint Paul MN 55123--304 (651) 452-9716 Builders & Remodelers Inc 5301 East River Road Suite 110 Fridley MN 55421 (612) 827-5481 Applicant/Permitee: Signature Issued By: Signature