No preview available

The URL can be used to link to this page

1889 Ruby Ct NCity of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694. MAY Permit #: Permit Fee: S5.00 Date Re Ieived: S - I/ Sta L__ 2009 RESIDENTIAL PLUMBING PERMIT APPLI Date: 5/3/ ( ( Site Address: Tenant: Teri Hewitt 1889 Ruby Court North 1 TION Suite #: RESIDENT I OWNER -asaii, w11,1 7J1LL Name: 6519831214 , Address / City / Zip: CONTRACTOR Name: NORBLOM PLUMBING CO. License #: O&2(52..4 poi Address: (612) 3274033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408A Ytj Phone: Contact Person: TYPE OF WORK New X Replacement Rebuild Modify Space _ Work in R.O.W. Repair�a _ _ _ — Description of work: 19(.4 Ci i V V heater PERMIT TYPE RESIDENTIAL 1 Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) — _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ • ..-... 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 Ja orbt om' Applicant's Printe Name A .„' icant's Signa ure CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I r P I1'SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: BI 01i.. , APPLICANT: TYPE OF WORK: I !IN NFW H !IN I 1 INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. ' G 740 )/61h ;--q) 4/-j ? 18`??1 rFlys ? . •,I .fly :,! ,? G<J7S d °b !??`!5/ c , l,?l l•I,l?.l ' ?s 1893 /g o ,$ss 5? G ?. 90/) 1"A5 * 00 ` g03 &,5 RIFMARP ',?&W i:iiNIRACTOR VAt t F V 1'I.IIMVIN6 i N l }. I I I? 1 I A ?i l t ff rl i, i wm . I- Fi -L) I, 1o- :.: 1 .?? Ili. , ? ! hl 1 L. J Permit No. Permit Holder Date Telephone # SAN PLUMBING o 3 9 SW/ HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings l ?U Foundation Framing fill" Roofing RouO Plbg. 0-12? 44' 1 / //-/,? ?7 1 Rough Htg. /I / 3 U l t 8i - ! 9d 3 Isui. Fireplace Final Htg. ?/? ?l ? ! c4 ti c Orsal Test ?f f ' r /t Final Plbg. PIb . Inspector - Notify Plumber Const. Meter EngdPlan Bldg. Final s Deck Ftg. Deck Final Well Pr. Disp. f4-* 4 l SITE ADDRESS Unit # Permit 'S L B Sect/Sub. INSPECTION DATE INSPECTOR OTHER FRAMING ROOBH PLEB. ?gtl -o ROUGH NTG. L(-o BY-6 INSUL FIREPLACE L??/ f - ?1 63 -mil FINAL HTG. FINAL PLBG. UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS ,{ ?l ?J r0? J1,2 IA.IYCJL 19 7?- 1-90 ZZO 3 i9? 51 J.90 3 Al- f //l Add ri v -/3- FY e. ?: ,. . - 4AC L 41-Ir- 94( /fir ??? l7 l ?/ !d Qwi ,Lfk *??• tb Wertificate of cccujoattcq WU4 of Wagan zoarN cut of 13Kilbiag 3"Oection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: 8-El" Bldg. Permit No. 92,415 Occupancy Type 81/141 Zoning Disai PD/R4 Type Const. V 1 HR Owner of Buildins U E FDrl fiID 00 IWC Address 5201 F. RXM RD, FRAY Building Address 1884 RM OM'W' 1M . locality T.S. R1- DM O MM 9M ALSO Il S: 1841, 93, q5, q7, 44, I4O1 lI 1 3 R?A{Y PWKI MRIH Doc: J .., ? Building Official POST IN A CONSPICUOUS PLACE U.1??' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued; (612) 681-4675 SITE ADDRESS: I -FT ITT. `. I I ; 'I" lit I++ It. . o-My c l N N1FFL.E:Y Ct)f+IMUNF, :'00 PERMIT SUBTYPE: fill I i. I1 i N(11 4lfi1 1-10 APPLICANT: .11 ! till' I ; r ;,, [ ?, 1 t ,.., 1 I I TYPE OF WORK: I; I! t t f l iiI •.? I i?•+ +r+C•+ t+tN1.? !. flti{f`R I.tAMAti1 INSPECTION .h f Hi DATE INSPTR. • TYPE „i DATE INSPTR. Pt,NARP"-.o: 1141.1I)OF.ti: 1a91. ?3. U"?. 97. 99 AND 1901, 1903 RIJH' C7 N 1050 051-1. Nh'0,170 01-14 ar>IN 0 Sh Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 1889, 91, 93, 95, 97, 99, 1901 & 1903 RUBY COM NORTH . Zip 5512 2 Lbt' S Blk I Sub DU01a amm 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. i Date: S y Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas V 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. Contact engineering division at 6514645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy Serial #' V'90 9 7 7 a g Chip # 0 3 8 /! / S 9 Permit # as 6 Address: / 8 8 S- 903 ?Sc?G?v Gf AA 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES ` Signature: M 5 5 64 Request Date ?„ Fr ough-in Inspection RequiteV? Yes U No NOTICE: You Must Call Electrical Inspector If A Rough In Inspection Is Required. !?K licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, P???{?ccuuts NNoo.)/ ? ? ///J? City Section No. Township Name or No. Ra No. Occupant (PRINT) ikelizA-u t, r,4 L?1? Phone No. Power Supplier Address Electrical Contractor (Company Name) 1 ContraCOrS License No. Mailing Addr l0 Inlfn) NTH ST. w., FGTN., 8 0 CAOMI MN 6SM4 , Authorized S r,U weer Making t Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S?173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. - / T REQUEST FOR ELECTRICAL INSPECTION ??AA / 0, See instructions for completing this form on back of yellow copy. M- 5 5 4 6 4 X" Below Work Covered by This Request EfF900001-08 ew ad 1 . ep. Type of Building ` AppliarrtesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial - Furnace; Other (Specify) Farm Air Conditioner Other (specify) CaritraWOr§ Remaiks: - - Compute Inspection Fee Below: - - # Other Fee # Service Entrance Size Fee # .. Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps Signs Inspectors, use only: T07p'. Irrigation Booms +G Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M I, the Electrical Inspector, hereby if Rough-in Date cert y that the above inspection has been made. Final Date. ?? OFFICE USE ONLY This request mid 18 months from //6' 6 M 4 Request Date 3 Fr gTgction eqc. Yes ? No NOTICE: You Must Cell Electrical Inspector II A Rough-in Inspection Is Required. I'glicensed contractor ? owner hereby request inspection of above electrical work at: ,-.b Address Mt-' '-v or Route NNO? J6 ??/J ? / It ?L City Section . r owns ifi p Name or No. Ra No. Coun Occ ant (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractors License No. Mailing Addres rI .aWnt ? MN .X10 463-3810 Authorized Si ac Iallalion) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL IN !TION pA ? See instmctions for wmpleting this Inn en Y ow copy. M .64751 X" Below Work G' y This Request /EEBB-00001-08 dOO?/ ew Ad Rep: - Type of Building Appliao. sWmed Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Convectors RemaBS: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circufs/Feeders Swimming Pool 0 to 200 Amps / 0 to 100 Amps Transformers Above 200 Amps G Above 100 _ Amps Signs Inspector§ Use Only: TOTA , Irrigation Booms , Special Inspection J Alarm/Communication THIS INSTALLATION MAY B DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rouyn-in Finel ? oat Date OFFICE USE ONLY This request void 18 months from A 64757 S Request Date Fire Rough-in Inspection Re ulr NOTICE: You Must Call Electrical Inspector If A R h I I t q oug - n I R i d nspec ion [I No s equ re I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Sheet, Box or Route No.) City S 3 Section No. Township Na a or No. Ran o. County Ocoup (PRINT) Phone No. G Powe uppli Address y [J Electrical Contractor (Company Name) Contractors License No. Mailing Add in of. Viii. , 463-3810 Authored Si ra stallationj Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instmctions for completing this form on back of yellow copy. M 6 4 7 5 7 "X" Below pYork Covered by This Request E WWI-08 `80 77 e ep. Type of Building AppliancesWiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Oilier (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders e Swimming Pool 0 to 200 Amps 5 O 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only / I TOTAL Irrigation Booms f . Q ?j Special Inspection ?C? Y Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby Rough-in oat _Z certify that the above inspection has been made. Finai t Dates ? OFFICE USE ONLY This request void 18 months from M?64758 s o ®$/ 50_0? Request Date Fi ugh-in Inspection agmr _ es ? No NOTICE: You Must Call Electrical inspector If A Rough-In Inspection Is Required. I icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Ro Is No.) y Sg5 City Section No. Township Name or No. R e No. County Occu (PRINT) 57 - - Phone No. FloAr Supplier Eleattlcal Contractor (Company Name) Contra tr License No. Mailing Adore r NTH ST. t Fi ., MN 55021 3810 Authorized Sig ra stellation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 Universtty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Rho. (612) 642-0600 ENCLOSED. 9 - Fit/ REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. M 6 4 7 5 8 X" Below work covered by This Request +' E9p-000011-08 /O Q 77 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industnal Furnace Other (Specify) Farm Air Conditioner Other (specify) Contracmrs Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps 0 _ Amps Signs Inspectors Use Only: T L Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, hereby if h Rough-in oat w? cert y t at the above inspection has been made. Final oate..? J v2o OFFICE USE ONLY This request void 18 months from M 647 96 ? ego -77 Request Date Fire No. o - Inspection R ? Yes 71 No NOTICE: You Must Call Electrical Inspector It A Rough-In Inspection Is Required. I licensed Contractor ? owner hereby request inspection of above electrical work at: Jab Address (Street, Box or Route No.) ? City S ! Section No. Township Name or No. ange No. Coun Cu Oc(PRINT) Phone No. Power SUPPII r Atldress Elechical Contractor (Company Name) Contractors License No. Mailing Adore sy{?ygt{ylpr gLQ?yp§[jyt ka_inq latall 0w) iST. o nY -,?•w1M1 ' p a `t•[•f M tr w-MM' N 11sIkA Authorized Sign ( r ttto n aking t CConnt a err Phone Number MINNESOTA STATE-BOARD OF ELECTRICITY - -- THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Boom S-173 BE ACCEPTED BY THE STATE BOARD 1031 university Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 663-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. M 64759 X" Below Work Covered-by This Request ;- E8-00001-08 id 708 l wed Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuiWFeeders Swimming Pool 0 to 200 Amps 5 10 0 to 100 Amps • Transformers Above 200 Amps Above 100 _ Amps Signs Inspectors Use Only: TffiAL Irrigation Booms (61,e O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Ra,h-io l ost certify that the above inspection has been made. gnat oat ^ r- -7 r OFFICE USE ONLY This request wid 18 months from /?0 77 rM 64 60 4- :y&65 cAo Request Date , Fir Rough-in Inspection Requited? ., NOTICE: You Must Call Electrical Inspector If A Rough-In Inspection 3 L es ? No Is Required. ll;Mensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range 1416. County , Occup PRINT) Phone No. L-?I p e.5 Power pplier -L IL44 Address Eleolrical Comforter (Company Name) Contraclor5 License No. Mailing Address (Contractor or Owner Making Installation) GTIES ELECTRIC . INC. CAO Authorized Signal (Contractor r Mek -M N7f`( 4 sEVWIN, Phone Number X63-3810 MINNESOTA STATE BOARD OF ELECTRIC • THIS INSPECTION REOUEST WILL NOT ONggs-Mldway Bldg. - Roam S-173 - --- BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 56186 UNLESS PROPER INSPECTION FEE IS Phone (612) 862-0808 ENCLOSED. ???! REQUEST FOR ELECTRICAL INSPECTION Ii See instructions for completing this form on back of yellow copy 6 4 7 6 0 "X" Below Work Covered by This Request gE&ONO 1-OB 0 ,?" I -7,1-) New Rd Z Flep: _ Type of Building Appift,cas:yired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: r1fri # Other Fee # Service Entrance Size Fee # Circuits/Feeders ee Swimming Pool 0 to 200 Amps s 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector9 Use Only: TOTAL D Irrigation Booms m ? ? S C Special Inspection // ncc cl Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rough-in Qa& Date Y%/ cert y that the above inspection has been made. Final Date .. J • ???? OFFICE USE ONLY This request void 18 months from M. 64761. fibs Request Date - p r1 ` ?I Fr ough-in Inspection flequi es ? No NOTICE: You Must Call Electrical Inspector II A Rough-In Inspection Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Rome No.) 6 l ?l City Section No. Township Name or No. Range No. County Occu t(PRINT) Q Phone No. Power Supplier Atltlress ElecMcal Contractor (Company Name) Contractoris License No. Mailing Address (Contractor or Owner Making Installation) CITIES ELECTRIC. INC. CA00381 a N SSM im 9"9 Authorized =03 q ¢r Idg In i_31„10 Phone Number MINNESOTSTATE BOAR; OF ELECTR ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. -? - / REQUEST FOR ELECTRICAL INSPECTION pe ? See instructions for completing this form on back of yellow copy. M - 647.61' J ' Below Work Covered by This Request f cEBB-COWIrr-0??8 7 k ?F4 47 ew ' ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) contractor! Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # j Circuits/Feeders ee Swimming Pool 0 to 200 Amps .> 6 0 to 100 Amps • Transformers Above 200 _ Amps Above 100 Amps Signs Inspector! Use Only: TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR RE ONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby th r if i h Rough-in Date g ce t y at the above nspection as been made. Final Date y.?F OFFICE USE ONLY This request void 18 months from ? 62 M 64T 15a? Request Date ` F' Rough-in lnspsbilon NOTICE: You Must Call Electrical Inspector p q ?? Requi 7 If A Rough-In Inspection i1 z1 [ - [ s ? Na Required. I W "tensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Poma No) City /903 AXw Section No. Township Name or No. flange County Occupy P RI N T) Phone No. RI - N ? ?q /? AS6 U? ?-?""?tiC/ Power upplier Address Electrical Contractor (Company Name) Contractors License No. MaicgAddress e LE T ? ) E ? ? ? C n C RIC, INC. CAao381 Authorized Sign r ( C on trabloor her Making Instal`@toor 7 it Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 - BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN %104 UNLESS PROPER INSPECTION FEE IS PhoAe(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy M-, 6410 X° Below Work Covered by This Request EB-00001-08 l8a 7? Add Rep. Type of Building AppliancesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comn-Andustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders e Swimming Pool 0 to 200 Amps p 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTA Irrigation Booms fpJ '$ • Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dl?_,, ? certify that the above inspection has been made. Final Date d OFFICE USE ONLY This?equest void 18 months from f 0? n! I 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?V City Of Eagan V 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date. ? l OCy pC, Sit Add ! 3 O it # U e ress J n Property Owner S Telephone # (? ?) LIIO Cl - k)'D -7 Contractor BURNSVILLE HEATING & A/C INC. W. Burnsville Parkway Street Address Suite 120 City Burnsville, MN 55337 State Te Zi le hone# (f <?) p p , Bond #: 545/,D? ` / / Expires: 7/av /07 The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit 30.00 furnace -Additional / Z Replacement Replacement - New air exchanger air conditioner heat pump other State Surcharge $ .SOF l T $ W' ota I hereby apply for a Residential Mechanical 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 Mechanical 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 approvefl plan in the case of work which requires a review and approval of plans. LiZN, n 2? /Z -It-- Applicant's Printed Name Applicant's Signature * * PION@EQ * erng Weer Ploneer Ensineerins Certificate of Survey fox: t ttE R( 7831883 P.02 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914•Fox 581- 525 Highway 10 Northeast Blaine, MN, 55434 (812) 783-1880-Fox '783- 1 CAMPANV Ti Scale: 1 inch = 30 feet . 118.92 r- 32.39 - 28.08 T 24.08 -~U 5 878 , 87 g 0.37 10.37 ' 1687 _ a sf d 88.87 8 ? 8 Q 07 a gi 11x4 A B I B A o;oi g PROP SED BUIL ING FOUND T10N UNITS: 9 - 56 8 bay A B I B A A 087 7 8 0733 6 8.7s 75 $ & set 1687 r7 8 13 8'8 7.33 887 8,07 010.3 10.3 78.87 cl IQ ' 8 ?e$. 0 $t 1 L 3238 _ 1 19.a8 se.oa S89-59'41"W L 32.30 ? 143.95 u6az 5 1 238' I --1 1w+1`3 G ? 1 'YY,I." • if07E e S M mteder au" r,,.. ,down ere the - 4?. l twnlelinw or tM 1 mtfi at epors 8ecenge shown are assumed . mo Denotes'£xlsting Elevation _(IIEW Denotes Proposed Elevation Denotes, Drainage dr utility Easement Denotes Drainage Flow Direction uA -o- Denotes Monument Ni -a Denotes Offset Hub N `! tj1 We 1 1 ` ? 1 I, 2?s I 4230 L=226 3.63 D m 04'20 52' S85-18.47E a4? ?` S f, R = X02.58 0 OQ LOT 5 BLOCK 1 DAKOTA CWMrr, WNNEWTA 1 hereby certify that this sumo. pqn ar fepsrt ,wes P bV ro?e° ?ui under the gave of the Btete of Minnne". pared thb?of --E St^alP? 1tmR(1? ' \N? g" 1 Elm= WM Y ffigI rdLw Garage now Mob Efevatkn:1302-20 DIFFLEY COMMONS 2ND ADDITION `. er?'Y difeG tupervbbn a slut I aRl duly Registered i.ead $WVf W gig. A.o.19 7 I CITY Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT 1889 RUBY LOT: 5 BLOCK: DIFFLEY COMMONS DESCRIPTION: Fjr-? 8 UNITS B?uf2dirfg Permit Type BUl'iding W)Rrk Type -BBC,' Oceupanc-y\ Construction Type Zonjing- Building Length Buirlding Width SgU,r tr .Feet PERMIT TYPE: Permit Number: Date Issued: 1 8-PLEX NEW R-1 M-1 V 1 HR PD R-4 117 68 11,700 CT N 2ND to i5? >o??? L5 BUILDING 022335 10/27/93 REMARKS: S&W CONTRACTOR - VALLEY PLUMBING J INCLUDES: 1891, 1893, 1895, 1897, 1899, 191, & 1903 RUBY CT N FEE SUMMARY- VALUATION $224,000 Base Fee $1,073.50 CITY SAC $800.00 Plan Review $697.78 WATER CONN $5,560.00 Surcharge $112.00 S&W PERMIT $100.00 SAC $6,000.00 SURCHARGE $.50 SAC % 100 TREATMENT PL $2,592.00 SAC Units 8 ROAD UNIT $3,120.00 Subtotal $7,883.28 Total Fee $20,055.78 CONTRACTOR: - ROTTLUND CO INC, THE 5201 E RIVER RD FRIDLEY MN (612) 571-0304 Applicant - ST. LIC. OWNER: 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 55421 FRIDLEY MN 55421 (612)571-0304 I hereby acknowledge that I have read this information it correct and agree to comply Statutes and Cityjof Eagan Ordinances. ?i APPLICA /PERMITEE SIGNATURE 301 application and state that the with all a,pp,licable State of Mr. ' ISSUED B SIGNATURE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: L 0 T 1889 RUDY CT N DIFFLEY COMMONS 2ND PERMIT SUBTYPE: B-PLEX 5 BLOCKi 1 APPLICANT- ROTTLUND CO INC (612) 571-0304 TYPE OF WORK: DESCRIPTION BUILDING 022335 10/27/93 THE NEW 8 UNITS INSPECTION TYPE FOOTINGS ,DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S&W CONTRACTOR - VALLEY PLUMBING INCLUDES: 1891, 1893, 1895, 1897, 1899, 1091, & 1903 RUBY CT N i' t a ? INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: REACTIVATE PERMIT,, d ?oVt?O ? RECENED OCT 2 0 1993 CITY OF EAGAN 7'1r'4tN 4°"^v--ar-5 ?>'A &-QIeK 1993 BUILDING PERMIT APPLICATION 681-467 V01 ( / 0/;Z (0 0, D 5 s, ? rl SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Io / 13 / 93 Valuation of work 223 Iles fur}- I38cj /CIC14C3 ite Address: I83Efk 150ig Mlor4k L?4 ' - 1 ? STREET SU t'TE M > ? Tenant Name: (commercial only) - Ake- EQ?uKA C10.?yIG LOT s BLACK SUBD. ` P.I.D. S Cpww.ch5 D? Description of work: j ?? Pa- 12 The applicant is: Owner fA Contractor ? Other (Describe) Name -Me. e0•HNu? CO. $Yle• Phone 5071-o304 Property LAST FIRST Owner Address 5Zo( E lZiVQr P-4:1• STREET STE # City Fria, !u State MN Zip 1542.1 Company SavAe Phone Contractor Address License # 1335 Exp 3-31-2 State Zip City 1 Company WW'4eo, AbSoet4i°5 Phone g33-32.5L Architect/ Engineer Name =K Wk%4411!w Registration # R036 1 Address '+151 N&'Aer1'41rrt. PIQCe- City Ade"IICIvK'keA_ State zip 155,545 Sewer & water licensed plumber ea1IN A ViMIOiN A Processing time for sewer & water permits is two days once a ea has been approved. 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. ' Signature of Applicant: r-SN( / . i'? OFFICE USE ONLY BUILDING PERMIT TYPE ` ., ? 11 ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition P9. 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE IR 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V-,I HK_ Basement sq. ft. MWCC System YE3 (Allowable) y- Ikp 1st F1. sq. ft. City Water y C5 UBC Occupancy -1 r'A-I 2nd F1. sq. ft. PRY Required Zoning Pti 4,1 Sq. Ft. total 11 0o Booster Pump # of Stories Footprint sq. ft. gz)o Fire Sprinkler Length On-site well Census Code )b s Depth On-site sewage SAC Code o A,PPROVALS G sks wY??l B =Tanning Building Assessments ngineering Variance REQUIRED IN SPECTIONS - ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee 10. '73,5-D valuation: $ ZZS/, 000 -- Surcharge Z, 0"0 Plan Review I License MWCC SAC o,vu City SAC tJW,oo Water Conn. S S6 o,ou Water Meter Acct. Deposit S/W Permit /00,00 S/W Surcharge so Treatment P1. 2 6,g2,60 Road Unit 3tzo,ou Park Ded. Trails Ded. Copies Other Total: SAC % (W SAC Units _8 OWNER EXTERIOR ENVELOPE AVERAGE "U11 COMPUTATION -rH FVTif,L)40 co 1 , 1\I1 ? ?? P(-?? ? I?/l LLf? . SITE ADDRESS CONTRACTOR PHONE , Determine working square footage of each. 1. Total exposed vall area . . I? sq. ft. x 0, H = 5r???'? 2 2. Total roof/ceiling area sq. ft. x 0,,02(a = C `4? 3. Total floor/--m . area?L? ?J sq. ft. x _ t Total exposed wall area above floor ?1, ?] r a. Tot a1 wall window area . . . . . . . . b. Total door area . . . . . . . . . . ? 1 C. Total sliding glass door area . . . ' d. Total fireplace wall area . . . . . . e. Total wall framing area (average 10%). S y f. Total net wall area above floor g. Total rim foist area . . . . . . . . . 07 Total exposed foundation area = h. Total foundation window area . . . . . i. Total net foundation area above grade. - Determine "U11 value of each wall segment. ?lull b. 3a.11 .x 1111 d. x 11U., e. x Lq '71 g. ate- x 1,U„ n,o4 i -81 h. x 'lull = i. x i,U" _ Su33TOTAL - _ ( 3 7. ls, TOTAL, ,L? r 5 If item A is the same as, or less than item W!, 'you have met the intent of SBc 6006 (c) 2. fti?"? (l`G{"l ?1 UNi 1 Total exposed roof/ceiling area "T 42 J. Total skylight area . . . . . . . . . . . . . k. Total flat roof/ceiling framing area . . . . 1. Total net insulated flat roof/ceiling area M. Total vault roof/ceiling framing area . . . . n. Total net insulated vault roof/ceiling area . . 4. 47. • r Determine "U" value for each roof/ceiling segment ?• U lull 1. x „U„ m. 'lull x "u" _ n. '- 5 . . . . . . . . . . . . . . . . . . . Total= Zf.ll9k if total of K5 is the same as, or less than n2, you have met the intent of SSC 6oo6(c)1. T t 1 posed floor/-e=n'. area 0 a 6. . Total= -7,77 If total of R6 is the same as, or less than n3, you have met the intent of SBC 6oo6(c)3. ALTZiNA.^E BUILDING ENVELOPE DESIG`I o a e-r - Total fla??u - framinrs, (average Total net insulated t? l`r mar=== area 10%) ( 7 Determine "U" value for each floor/cant. segment 24 x „U„ O,QGR = /,? 3 o . - p. Zlb . 7, x d.Q 2 'I 4. 13 -? . I l 5. 1. 191, IZ 2. ?'el-, 4I To utilize the total envelope system method, the values established by the s•.= of items K4, ff5, and r96 shall not be greater than the sum of items nl, r'.2, and #3• ZI.I1 6. 7 -7.0? - 228.LS ZK4 ?adr? U?'i?a s r (3` UN I EXTERIOR EIVIELOPE AVERAGE "U"-COMPUTATION OWNER `T-k4ete L{Jl6Y? [?7 SITE ADDRESS CONTRACTOR DATE `\ PHONE Determine vorcing square footage of each. 1. Total exposed wall area . 12 ' sc. ft. x 2. Total roof/ceiling area . sq. £t. x 3. Total floor/z{??a're?a? l7 rCj • sq. ft. x - Total exposed wall are= above floor = 1 p7 4-a a. Total wall vindov area . . . . . . . . b. Total door area . . . . . . . . . . . 7 7 r C. Total sliding glass door area l d. Total fireplace wall area . . . e. Total wall framing area (average 10%). _ 1`rle. ((P f. Total net vall area above floor Total rim / • ZO. ?(O 8• Joist area (G j Total exposed foundatic area = h. Total foundation vindcu area i.. Total net foundation area above grade. . Determine "U" value of each wall segment. a. 4Z, G 7 - x ?u" O.GLj b. / . -7 r .x null ?, ?J O ° ?• 3? c . x "Tj" d. _ -? x IIU I e. / r-J v x (lull ?. G ?! _ / f. _ /BZJ, ?Ci x llu" G, r;a-;, _ -7? ? , h ?- Z, hull _ - hull j. SV•7TOTAL - 4 TOT.",.?, l 2 7. 7 `„ J -117 ti x.51 G Z 1 If item 014 is the same as, or less than item ;fl, you have met the intent of sac 6oo6 (c) 2. r, ,,,. Total exposed roof/ceiling are=a VI IC.f?I- 1)Z j . Total skylight area . . . . . . . . . . . . . . k. Total flat roof/ceiling framing area . . . . . 1. Total net insulated flat rcef/ceiling area . . r. Total Vault, roof /ce3lin; fra-ing area . . . . . n. Total- net insulated vault roof/ceiling area . . ?r Z Determine "U" value for each roof/ceiling segment J • x IrUii k. x irLi, 027 = I . °I Z U:: E 1 x M. x it Un _ n. x "U, - _ - 5. . . . . . . . . . . . . . . . . . . . . . .Total= ? C:..0 4 If total of r"5 is the se-me as, cr less than n2, you have net the intent o 6oo6(c)1. - Total ex.zosedt? are / ?J 0. Total - fr" -- (?rerage .10:) I G{ P. Total net insulated area l Determine "U" value for eac :1cor/cant. segment o..? x „U,. o. 1 3>J. x "U" 6 . . . . . . . .Total= If total of 16 is the same as, cr less than 023, you have met the intent of S=c 6oo6(c)3. ALT=--4.n T_ __=LDIi:G F.VJELOFE DESIGN To utilize the total e Velope _ ,, __ method, the values established b.. t:,e of lte-s cL, 5, and 1'6s.^.a! greater thaw the sum of 1te:7,s n1, C, r. 1. IQi. ??. l?. Sf ls. I Z ",-75 5. (c,,a l 3. y,Z = 2? ?_a 6. L ?.L ,r CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 1889 RUBY CT N LOT: 49 BLOCK: 4 DIFFLEY COMMONS 2ND P.I.N.: 10-20451-049-04 PERMIT TYPE: BUILDING Permit Number: 028310 Date Issued: 07/19/96 DESCRIPTION: WIND & WATER DAMAGE ermit Type STORM DAMAGE irk Type REPAIR e 434 ALT. RESIDENTIAL - V' g 11 '? l t ea x $ REMARKS: INCLUDES: 1891, 93, 95, 97, 99 AND 1901, 1903 RUBY CT N 1-050 051 052 053 054 055 056 FEE SUMMARY- CONTRACTOR: - Applicant - ST. LIC.OWNER: OU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS 636 39TH AVE NE 1889 RUBY CT N COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 APPLICANT/PERMITEE SIGNATURE _ CITY OF EAGAN 3830 PILOT KNOB RD - 65122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 31 Q 681-4675 New Construetion eauirements Remodel/Reoair Requirements ? 3 registered site surveys ? 2 copies of plan t 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 . required: Yes q No DATE: ?70 S f 1 CONSTRUCTION COST: r S1 T .. 1? A ? ..i n DESCRIPTION OF WORK: STREET ADDRESS: (g' LOT BLOCK PROPERTY OWNER 93 95 97 99 t- Igo I n3 J S a. I S 31 S y, SS, S'ip SUBD./P.I.D. #: Name: QL LC""1n 1 - 44 aatw Phone #: UgT FIRST Street Address: City: State: Zip: /J CONTRACTOR, Company: N v11,ppin- ° `? Phone Street Address: /??License #: 5/79 City:!!1 State: I ??'L Zip-55421 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit its issued. Penalty applies when address change and lot 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No No jut 12 1996 Tree Preservation Plan Received Yes OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ -- • -i 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units u CITY USE ONLY LOT 51 h B//Lyy r, J PERMIT #: 4 (n '1 g^= SUBD. dlii ky CftmonS 2nd RECEIPT #: I {?? 'I olo6 RECEIPT DATE: 7 - (DO 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 'll -- 651-681-4675 Date: a w Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to. or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other Furnace Air conditioning Air exchanger Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections / SITE ADDRESS: _1,fr9,3 /? / /lam J PHONE #:. ZS-/ OWNER NAME: 7/ -'a n If --?? (AREA CODE) INSTALLER NAME ? SGL Pc, -/ //vs2.r' 7i ?// %P PHONE #: 7r_ {7 fC ODO,S /.2 ??/ (AREA CODE) STREET ADDRESS:, '-`-dam STATE: h ZIP: 70 CITY: S NATURE OF PERMITTEE .lUL 2 6 /o j,$' L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT IP RECEIPT* RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: O!VNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE Cities Digital ? Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ,?! ? c? i j ?Y <??,u ? , , f ??.? ? ;;=e,?? n? Lf .r A ? qk 'y? R`iV,? a p ?. A ?" ? w??? 4 .4 a Ck ''? ,?x ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM I @ 53.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE FEES $ 24.00 6.00 logcrl. = $ 15.00 m5? .50 ago ?S? OWNER NAME: Cam. TELEPHONE #: INSTALLER: CITY: ???e? a STATE:' ? ZIP CODE: TELEPHONE #:\2 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCLUA NDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRACT FEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 CONTRACT PRICE: $ STATE SURCHARGE $.50 FOR EACH $1,000 OFP FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INST. ADDRESS: CITY TELEPHONE # STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTLTRES EACH TOTAL SHOWER 3.00 l (, WATER CLOSET 3.00 1-j y - BATH TUB 3.00 ;)Vi - LAVATORY 3.00 `iff- KITCHEN SINK 3.00 6.y- _ LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 av - _ FLOOR DRAIN 3.00 - y GAS PIPING OUTLET • minimum - t 3.00 ate{ _ ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DewCty. iic. 15.00 U.G. SPRINKLER • home under cunt. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: -A I ' `' SITE ADDRESS: «??- L?D? N R t?.i L OWNER NAME: ?o f INST ADDRESS: (010 C P-c e r- c - CITY: J o t 8 9,-) STATE: ZIP CODE: 3 PHONE #: ( ) q ?) - a SIGNA RE O ERMITTEE vv v 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN T. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF PERM,n FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PELOT KNOB RD EAGAN MN 55122 (612) 681-4675 `-73 (,, o,5- 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. I set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after VIM Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodeVReoair Reouirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate If on-sde septic system W-?, ? ce'liS'e"bit % cart P,-,, ecd ! M, . IT ran-sde.SeRG'c,Syste r `LXUN Date O G Construction Cost - d d 0, a d Site Address 1994 - t?°II Ig`f3-( 895 iR9? ]S?9 I?Gi (a03 Unit/Ste# Description of Work ?Z?il a ' r 0? P n !?l ru r? lidp? y tn? k?w c. ?ae rr i C r Multi-Family Bldg _ Y _ N Fireplace(s) - 0 - 1 _ 2 Property Owner Telephone # ( ) Contractor 1 ??? n .,wo twl .- `lk l 2?o r (y ?r? Address _ ?(lv,,r- w Iv ae? City l?Jati7 State MN zip S-011 Telephone # (Ct S LCV -0 (6 f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • 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? - y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building. Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ( y-ft4o'I ?, C l'P- (? S Al?plicafiN ted Name ppli t' pifnahiie- DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 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 Ef 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Work Types Fefdtl.K /Jyf/nll??a Y-rr ic 0.01 S ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition El 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: WaterDamage_ Yes Valuation 60, - S? 7 Occupancy Imo. -J MCES System Plan Review 100% or _ 25% Census Code 43 5( Zoning PD City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ -%p Final/No C.O. - Foundation HVAC - Drain Tile _ Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final Framing _ _ _ _ - Siding _ Stucco Lath Stone Lath Brick Fireplace _ R.I. _ Air _ Test _ Final Windows - Insulation _ _ Retaining Wall Approved By: I , uilding Inspector ` Base Fee Surcharge Plan Review A° MC/ES SAC City SAC * Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search ,Copies Other Total SRN-24-2008 15:17 GRS5EN _ 4000 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax, (651)675-5694 9529222004 P.17 ----------------- I I Permit #: $ I o r v I I ? Permit Fee: I ? Dale Received: Z n n ? Stan: ---------------- 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: D ??i 42 ec Tenant Name: Sill jej:166?4, (Tenant Is:_ New / ^ Existing) Suite #: _ PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: -Owner xcordractor TYPE OF WORK Description of work: Ate, ?aA4.. [ ALek w-,% C'?w?cs Construction Cost: I LVO CONTRACTOR Name: 6;55e edns02..cI license #: l? Address: 77 7S ?i? z >i' /c td. City: State:AVIl Zip: ?S5F39 Plane: Contact Person: ARCHITECT / Name: Registration #: ENGINEER Address: 'City: State: Zip: Phone: Contact Person: Licensed plumber installing n$w sewer/water service: Phone #: 1,10 Will 1:1 :11:06 1 !1 IMSEEM-Miffim 11 %tomm M. 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 star 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 4Ll L??r?rr x - Appli nt's Printed Name ' Applicant's St r' Page 1 of 3 _t DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of ^ Plex ? 07-plex - ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex )z) 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior C Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation J)+`B•tac> a Occupancy -Trz,-,7 -3 MCES System Plan Review Code Edition 2cx? -7 SAC Units (25%_ 100% 1?e Zoning PP City Water Census Code Stories Booster Pump # of Units Square Feet _ PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) - Final/N o C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water - Final Pool: -Footings -Air/Gas Tests -Final Framing -61-10 Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _R.I. _Ai rTest -Final Windows Insulation Retaini ng Wall Reviewed By. ------ Building Inspector ----- -------------------- -- -------------------------------------- - - - - --------------------------- RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Ch arge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ I Fot.Office Use Permi4#: I Permit Fee: _l , vJv CCi ? Date Received: I I 1 I Staff: I `-----------------I 2008 MECHANICAL PERMIT APPLICATION Date: L" Site Address: _?' Tenant: (1 U? aV-\ Vt1gp I e,p v.G Suite M RESIDENT / OWNER Phone: ?) Name: ?:c ,n U00.rl (a %aLk-q ?r v ? 7. ? C l Address / City /Zip: CONTRACTOR / j Name: R jk rMPrJne c4? SXSteHJi License#: Address: (-fa d U,°_ N ?06 : te: ed S St tft/ Zi ' 1 p a J Utgv City: j (j2J r k ?y Phone: Contact Person: V+?' ^ ?N ° eSe ?+ TYPE OF WORK _ New Replacement _ Additional _ Alteration _ Demolition 2 vv 1 l' C4"C( ? cC? 'x c yv. f r C Description of work: \ l NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods- . RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace _ Air Conditioner _ Install Piping _ Processed Exterior HVAC Unit Gas Air Exchanger _ HVAC units must be screened _ Heat Pump _ Under / Above ground Tank (_ Install! _ Remove) Other " When installinglremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ x1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). . $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit 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 p at t ' I be i wrdance with the approved plan in the case of work which requires a review and approval of plans. x keo 1l v. ?y tG YI x Applicant's Printed Name A plicanfs Signature FOR OFFICE USE Reviewed By Date: - Riequired Inspections, '':-Under Gro)7nd ' Rough In _Alr Test ' Gas Service Test _In-floor Heat ,-Final For Office Use of Permit W c/ City Eaftall V ( _ Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: t,. « Site Address: Tenant: Suite RESIDENT /OWNER Name: _7` T- t Phone: Q Address / City / Zip:~t . A % u_ C - ~ I ~ n. _ CONTRACTOR Name:, C~J1 C'~~G R r_ nse Address:Jl IT City: C-~ State. Zip: 9(0 Phone : ~ Q O IC)~ Contact Person:` _\L fl TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) ( Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ~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 s. huu 112 Applicant's Printed Name Applica is Sig re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final t?m5 ' ~~1 I 1~ O' Use BLUE or BLACK Ink 'R." N - - - - - - - - - - - - - - - - ; ' I For Office Use ` Permit 15q City of Ea a~ I Permit Fee: O 3830 Pilot Knob Road I I Eagan MN 55122 I t Zk I 1-;~ Phone: (651) 675-5675 i Date Received: 0 Fax: (651) 675-5694 j Staff:. I t-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: '1 d~7 ~3 Site Address: --1 Tenant Name: pmky, Ccx t\ ~ _i \\&S es4,I (Pa,dt4 kortS(Tenant is: New / > Existing) Suite Former Tenant: QQ Name:D ~t Gonv\pnS .l \j%kk&S wnl choar k4,~ IrwrwS Phone: _ l ob- y 3 a' 8~7 9 Property Owner Address/ City/ Zip: v ~ t JrJ~Ob$ - Y.h elk 5 ROSet~o~►n Applicant is: Owner Contractor Description of work I Gcoc- O ~c- ~Ac- Govt' AK ~ K nor. 5 . ^h Ct O w. C` Type of Work Construction Cost: O r 0'"1~ $S Name: O ~ Cph . (_1 1 i o License \J ~a2 1 t a1 Contractor Address: ~kojv\At 'C' a`uC- City: IO~jL i"`ea~~1 ~ State: Zip: '750(61? Phone: G Jr I - 21.1- `I 9 Go Ur Contact: Email: ~~~t ~d ~e~ftC~ od'S. C~or1 -Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone 11 11 11 NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will b\e-in accordance with the approved plan in the case of work which requires a review and approval of plans. x Lces)_ I O 'T x ~6L Applicant's Printed N We Applicants Signature Page 1 of 3