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1952 Ruby Ct S3rd INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: I 1 111 Nr, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 N I 1 `; `' APPLICANT: SITE ADDRESS: { ` f4 101 ,t; f:i iir p J I f, IIHY f 1 111hF1.rY I: k"00M's 2ME? tt?! 1 flsti 941! PERMIT SUBTYPE: TYPE OF WORK: leVPA 114 ti! r r J I' I J SIN lJ 11411 b WA I f k DAMAGE INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ! Irl_Ifi{1 I N fl I r, I i NA I r• Iilli I %?{I? REMARKS; IHC I UDIFS 1964 a 66. $A RI111Y C f is 1918. 40. 42. 44 `,At'i1lRi_ PI 1O91`6 094 693 0q?' 091 890 flaq J Permit No. Permit Holder Date Telephone #I 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 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: . f1 f tt t t l l t `? t. foml.IoNl. Slcll PERMIT SUBTYPE: I rtI rj1 ? I APPLICANT: TYPE OF WORK: INSPECTiON TYPE .DATE INSPTR. INSPECTiON TYPE DATE INSPTA. 4 4/5 $765°0 rl rl,, /938 5,4 II Nt 11+ .?11 r• I ! ?,, /y?3S S? 5(rS?7 S I I ! 1 1 ,,. ; 735s?3 5 °° x35 sG5 'J35 !; ti! t'1 I:i R?4 I I tJr?l Irf MARK', .- i Nt t. 1101-.. I ,1 + i9li.' 1944 >>!1F'PHlkf Y4 1'1F?,' . + t 1 f!N6 14sti RIIFIY Cl 5 5 & W Pi htf - VAI 11' Y PI HO 7 i Permit No. Permit Holder Date Telephone N SAN PLUMBING HVAC 9 - ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I ? Foundation Framing LL bl?v?Gr "?' TV/-0 N , Roofin g F•4?... Rough Plbg. -G- Rough Htg Isui. Fireplace Final Htg. Orsat Test Final Plbg. 7-22-2`L )6# Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 7, d J Deck Ftg. Deck Final Well Pr. Disp. e s wertiftcate of cccupattc? %W" of CR agan 206rtmtnt of 13*0i»g J*6#cction 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: uY clauirr?;o?-?(8 iINiTS) Bldg. Pennic No. 23 10B occupancy Type RIM zoning Disbrkt PDLR4 Type cmms V- I HR owner of BuildlnaD E 1?(IRTLi1NID 00 M Address 5201 E IRIVER M, FRIDLEY Building Addrrss IA38 SAMMIE POINT LmwigL I. B1. DIFFLEY OAS 3RD i :;: f)arc: Building Official AIM I1CUMES: 1940, 42, P44 OST ISA RURE, PO NT ICUOUS PL2A'CE , 56, 58 FM COM 9= SITE ADDRESS ?O 0 Unit # Permit # L B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS rs a - y-u i e h rr w-,7e/ 1 ?Ugr (1 0 rr U+?? !f rr if it rf iAsa-? T ? p Q ; qsy - ,?=16 9 y0- y? -y U -T' . Gv?.verl?o?D ,dr2 4 !I re !r ,. cc rr INSPECTION INSPECTOR DATE COMMENTS / Ohl JAW AI 'l? - '?7?' •- &AX -2 JJ Z to u? Address 1938, 40, 42, 44 SAPPHM POINT 6 1952, 54, 56, 58 RUBY C,OM SWM Zip 5512_2 Lbt- - I Blk I Sub DIFFLEY C MONS 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 16' 9 Yes No Inspector: Final grade (6 from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish ?. Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 3546 /1Q Request Care Fire N R u -in alion R 4 NOTICE: You Must C11 Electrical Inspector II A Rough-In Inspection 7 Yes ? No Is Required. 6ro icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route CBy g CA / , ) Section No. Township Name or No. Range No. County r? Occu RINT) Phone No. Power plier /-- r ?? C• Address Electrical Contractor (Company Name) Contractor's License No. Mailing Addro tractor or Owner Malting installation) ELECTRIC Will Authored Sig re (Contra or "5 It) MN Phone Number 463-3810 MINNESOTA STATE BOARD OF ELECTty R THIS INSPECTION REQUEST WILL NOT Griggs-6lidway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., SL Paul, MN 55104 -+ UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FORELECTRICAr NSPECTION EB00001-oe O 05 i M ' Ir 54 6 See instructions for ompleting this loan • rck of yellow copg 1 Ora J X" Below Work Cov by This Request e dd 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) Contractors Remarks'. 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 Above 700 Amps Signs Inspectors use Only: TOT{1L :ZD Irrigation Booms CI >? ??' Special Inspection '" ` Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 8 MO I, the Electrical Inspector, hereby Rough-in oat certify that the above inspection has been made. Final L/ C? Date OFFICE USE ONLY This request mid 18 months from ? M 3545 Request Ctie Fi oug n Ins n NOTICE: You Must Call Electrical Inspector ??equ:r o It A Rough-In Inspection Is Required. I censed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route N . ` City /? E , Iy' Q Section N-.- I Township Name or No. Range No. County Ocrxrpan PRINT) Phone No. Power S liar ? ^ Address Electrical Contractor (Company Name) Contractors License No. Mailing Addr o ;. twe.n) CACIMI 8T W . . .FGTN 56M Authorized nirac Owner Making 1 j0 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 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0606 ENCLOSED. ,? ?'' 9? REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. M 7.354 5 X" Below Work Covered by This Request .::.. , EB-00001 08 as ? New d Rep. Type of Building Applianceavired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial Furnace Other (Specify) Farm Air Conditioner Other (spody) comracfors Remarks: 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 Above 100 _ Amps Signs Inspectors Use Only: T A L Irrigation Booms // Ct? / ' r5 Special Inspection L(?J Alarm/Communication THIS INSTALLATION MA" E OR CONNECTED IF NOT Other Fee COMPLETED WITHIN NT I, the Electrical Inspector, hereby Rough-in ? Date F certify that the above inspection has been made. Final oats OFFICE USE ONLY This request void 18 months from ' 413544 Request Owe Fir ough-in action NOTICE: You Must Call Electrical Inspector 3_/? 7 qui es ? No f A Rough-In Inspection Is Required. I censed Contractor ? owner hereby request inspection of above electrical work at Job Address (Street, Box or Rou No.) City Yd V"W77 A46 410 Section No. Township Name r No. Range No. ry Coon ^/ ry t / / r ?. Occ (PRINT) / / / Phone No. Ill"Llso iX •iF IV_1 m Poowwg/?/E)p'pliar Y Fs`i?• Electrical Contractor (Company Name) ConUactor§ License No. Meiling Address r ?tal $T W F nne? CA0O381 • .. GTN„ MN 85M Authorized $I om"irc ei Insta 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) 842.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this farm on bads of yellow copy. M,/73544 X" Below Wolk Cove?bd by This Request EB-00001-08 ?- dao5y e dd Rep. Type of Building Appliances Wired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Conn dor's Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee Swimming Pool 0 to 2(10 Amps 0 to 100 Amps 8 Transformers Above 200 Amps Ab0 0 Amps Signs Inspedor? Use Only: GJ TOTAL ./0 ? Irrigation Booms ] 'a ! • Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Fee COMPLETED WI a M I, the Electrical Inspector, hereby Rough-in F Data 6? certify that the above inspection has been made. Float oet? OFFICE USE ONLY This request void 18 months from V os9 543 k, ? 3(.17Y1.O ?p Request Date Fir ;/? `f Rough -in Inspection nqP? NOTICE: You Must Call Electrical inspector If A Rough-In Inspection ` ? L L ee ? No Is Requiretl. Icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route .) CM tio ' Section No. Township Name or o. Range No. County PRINT) P hone No. fi plier Address // d i Zl _l . Electrical Contractor (Company Name) Contractor's License No. Mailing AronJ A?B1 TN. MN 55M AuthorMyting Installation) 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 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this farm m back of yellow copy. M 354 3 X" Below W y 'Covered by This Request '- EB-00001-08 ` ` .: o2a05 5 Nell ad .R • Typeot 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§ Ferrante: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps Q 0 to 100 Amps Transformers Above 200 Amps too Amps Signs IreWdor8 Use Only: 430TAIL, S0 Irrigation Booms ` _ ?J (o/ S r `I Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHI ON I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final , Date OFFICE USE ONLY _ This request void 18 mor from y d N 73542k/,/3/, 3c? ov Request Date Fire Ogh-Iw Inspection squired? NOTICE: You Must Call Electrical Inspector I 1 mss, ? No A Rough-In Inspection s Required. I GWensed contractor ? owner hereby request inspection of above electrical work at: Job Mdame (Street, Box oule No.). City Q? Section No. Township Name or No. Range No. Counttyu n Occu (PRINT) Phone No. PowerS piier Address I L'- c M ff - Electrical Contmaor (Company Name) CoMrador§ License No. Meiling Add ftcff 85Yner Making Installation) CLL . I NC. CAOMI Authonzetl re (QOfltrB downer Making IlaLtn O 0i Phone Number I MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mideal Bldg. - Room 5-193 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0808 ENCLOSED. Y REQUEST FOR ELECTRICAL INSPECTION Y ? See instructions for completing this form on back of yellow copy. M , .3542 "x" Below Work Covered by This Request ` EB-00001-D Inn aao?s New tl Rep: - 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) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 05' 0 o to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspedor5 Use only: OTAL 10 Irrigation Booms GiV Special Inspection Alarm/Communication THIS INSTALLATION MAY EiDISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. r I, the Electrical Inspector, hereby Rough-in slat certify that the above inspection has been made. FInal Gate OFFICE USE ONLY This request void 18 months from qMk17?5474i &, 3? ?aao5w9 Request Dale 3 _ s ^ Fire VI/ .Jn cfion ryo NOTICE: You Must Call Electrical Inspector II A Rough-In Inspection Is Requited. licensed contractor ? owner hereby request inspection of above electrical work at: JoAddress (Street, Box or a No? ?r city Section No. Township Name or No. Range No. Counly Occupa (PRINT) 67,*- Phone NO. Power lie,?/ I ,cy.+ Address Electrical Contactor (Company Name) Contractors License No. Mailing Addre ?r ftMMelioodristjWiyil ^ ' NTH ST. W FGTN. V Authorized Si traclo wner Malting In j0 Phone Number MINNESOTA STATE BOARD OF ELECTRIC" -- ? THIS INSPECTION REQUEST WILL NOT Gdggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy M 3 5 4 7 X" Below Work` ered by This Request ?"? Fe-oooot-oe a?o59 ?u ew ^ Rep. • Type of Building n es Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Loatl Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuit sealers Fee Swimming Pool 0 to 200 Amps Q 0 to 11b Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: \ TTMAL Irrigation Booms / f0 bS Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O ONNECTED IF NOT Other Fee COMPLETED WITHI MON I, the Electrical Inspector, hereby Rough-in , t Date certify that the above inspection has been made. Flnel Data OFFICE USE ONLY This request wid 18 months from -I'ey1cl .2058 M 3548 1 ,{? 3 a Request Date _ Fire ugh-in Inspe - NOTICE: You Must Call Electrical Inspector adir s ? No It A Rough In Inspection Is Requircal I [Vwfnsed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or R 1 e No.) (T City 7 AE4? 4 19 3 J544 o . T , .10 Section No. Township Name or No. Range No. County CAkm7.4 Occup t(PRINT) oirL444140 240 C- 5 Phone No. P Supplier 1 Address Q, /7 ?i• ? Electrical Contractor (Company Name) Contractors License No. Mailing Atltlre o InslWlet ri) VV ry9 ?rs 8T ; M 81 . w. F G T N., N ANhorizetl S' mm / ner Making JU Phone Number MINNESOTA STATE BOARD OF ELECTRII -J THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. J//8/ F REQUEST FOR ELECTRICAL INSPECTION 7 3 4 g see instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request M "-: EB-00001-08 aao59 e dd Rep. Typeot 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 # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Q 0 to 100 Amps .60 Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TAL Irrigation Booms C (\ ) I / G145 Special Inspection n . Alarm/Communication THIS INSTALLATION MAY BE 0 ERED H CONNECTED IF NOT Other Fee COMPLETED WIT 18 M I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Fine, Dakif > Dale !r OFFICE USE ONLY Thls request void 18 months from 98016. 1 ---------------- I ForQtfi_ceU_se City of Eapn j Permit #tl 75 I I I I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 7 2009 RESIDENTIAL BUILDING PERMIT APPLICATIONCA I Date: -7-09 Site Address: /93 r1'r[.-1'rCc.lso 19y17. /g N2 /eN4 -0 l Tenant: I? rH-??v ?'(Jrna? err S 1952 KKI ? Cf • S, -also /yj'Y__/GS[. /4r?) Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: Construction Cost: sC? ??y a ?/ Multi-Family Building: (Yes L / No CONTRACTOR Name: Cl,n147 e G. c. J /.tS/¢ LLC License M Address: .S' 3 Ce . ?? ?-?•1{ '#?uG // te: Zip: S r/(J/c City: St a Phone: ?S'/'23S-?Yf7 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted .In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the .are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the 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. ?v x ?Ptil7/:CT Q Sam x Applicant's Printed Name Applicant's Signature Page 1 of 3 Pioneer Ensineerins 7831883 P.02 2422 Enterprise Drive -K Mendota Heights, MN' 99120 PIONSFOW Lino 9URYEYOR3 • awl ENMERR (612) 681-1914•Fp i 881-9488 no rtx "M • urmxue urauizers Ong n??r ng u 625 Highway 10 Nortlteost * Blaine, MN 55434 * (812) 783-1880•17a? 783-1883 Certificate of Survey for: The Rottlund Company, Inc. ; 12 UNIT VILLA DETAIL -? Denotes Drainage Now Direction -o- Denotes Monument --E- Denotes Offset Hub . Bearings shown are assumed LOT 1 BLOCK 1 DIFFLEY COMMONS DAKOTA COUNTY, MINNESOTA RD -ADDITIOR 1 hereby mitity that this tumov, plan or t4part yet Disputed by me or undor my direct suao lsian and that 1 em duly neylitered Land Surveyor under the taws of the Stott of MMnHots, acted this JPJA _day f Fetelnodrq_ A,o. 19 .q-LL-. R":Sed 3.1-94 AcWs.t7 5-if-till F. ?lCtAlM1t'yf'4, i 20s?5 Scale: 1"r -60f?t ® 14043 COO R-95% 0 7831883 03-14-94 07i29AM P0? 2 I ft05 A9 -4l. ZOT SURVEY CHECKLIST FOR RESIDENTIAL bUILDPERMIT PLICATION PROPERTY LEGALS Date of survey= a/fir 9T_ ?W 5li9? DOCUMENT STAND R B / @rD' D Registered land Surveyor signature and company DAD D building Permit Applicant VD 0 Legal description 0' D 0 Address Er D D North arrow and ,bar scale D 0 House type (rambler, walkout, split v/o, split entry, lookout, etc.) W*13 0 Directional drainage arrows with slope/gradient =. D' D D Proposed/existing sewer and water services D' D 0 Street name D? D 0 Driveway ELEVATIONS Existing 9""D 0 Sewer service 0'.D 0 Lot corners 6,? Top of curb at the driveway 6 D Elevations of any existing adjacent homes Proposed 0?0 0 Garage floor DAD D First floor D 0Y D Lowest exposed elevation (walkout/window) DAD D Property corners D DAD Front and rear of home at the foundation PONDING AREAS (if applicablel G Easement line D C) HWL 0 /0 Pond t designation D V0 Emergency Overflow Elevation DIMENSIONS M"I D Lot lines D Right-of-way and street width (to back of curb) D D Proposed home dimensions including any proposed -decks, overhangs greater than 20, porches, etc. (i.e. all structures requiring permanent footings) 0?D D Show all easements of record and any City utilities within - those easements 2"'13 0 - Setbacks of proposed structure and setback of adjacent existing homes , D 0--__13 Retaining wa re rements, if any October 1992 1 N E? RAY t t .T_ Y ! g' Ex AS LOCATED Uas+00 , AIH ` CONNECT0. iOWNECT TO WYE =0 ? ? 1N ,:- `, ??« ?} M ? r???? yam- .+ 7//. S. "rr'. LV .?. ism ?w `a??-1312. t j- WYE x+85 INV 892.0 4- INV=891,2 2 ' ?- TYPE::K SERMCE; CURB1Sit 1 O Tl MH STA. 1+50 <<_ ?:, gC 1 ', $°1] 1/4 BEND 1 ± YDRAN7 1WYE 0 isv J+ 8ax 8` TEE y '??.^t INV 893 - ;7 -6 DIP. 'CL 52 ; li D IGND. EL: .898. WYE K: 'INV=891. 4* V . , SQ + D = MH STA 2+40 2 a 8°?f# ? til'/ 9.3 RT. 45 - IXI,X ? r i I N Izl 2_ ?`P?_ - 3 l r ^_ ? t _J7F1E'ITY QF A fV DOES r -1 8 ; Ann/dn ELE1lAn0 R IIW?ORNIATION BURP PERSONS 1J^'!yG CR ?':' rr 3 1 INFOFtMATfO V m`s ,` 77 -- Q?TIJ x 1 r. r 1 - __ E}.S:PUaRE. -899 ` 1 F RAISE R.E. TO PVC SAN Ave y - a Y ?4 .. ------<< :18-RCP .S SWR 1 CO. Rpgp r ::? 30 ??`[? Cities Digital Quality 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. s . . . . . . . . . . . • . . . . . . . . . • . EX. "RE 897:97 '- , MH t :. ?Tr .. PROPOSED ; • t• A V :?Y ` 2 r ss 39 L ? i J? • -. f Poi, rr? ?.?. V i f C. r:TO: EXIST: ATEEZ' MAlN n. _..?: . I It t ,:? b 7 ar ? 1 N? l y ? 1Li ? >Y „? . ?. VERiF 7? : = . 't ISD' W'Mtj r,n. 41 4 Y ie FZ '? (/_. :fit ?y ?.. p{.? Y. ? ,'yam r } ?p'1'IY??Iy.?YW M'7L,Y?QI ?Yi? ?N"?01.1 supe v- bn and •ttiq 1, am +Q duy yre rtha lairs of the StCfe of=Alkmesotd, 'r. e's -ir P ' w.4 ?• •S I OITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDIN? 023108 03/21/94 SITE ADDRESS: 1938 SAPPHIRE PT LOT: 1 BLOCK: 1 DIFFLEY COMMONS 3RD DESCRIPTION: Building?.Permit Type 8-P LEX Building Wtrrk Type NEW %UBC Occupancy\ R-1 M-1 i Construction Type V-1 HR Zoning PO R-4 / Building Length ) 117 Building Width 68 Building stories 2 / -REMARKS: INCLUDES 1940 1942 1944 SAPPHIRE PT S & W PLBR - VALLEY PLBG 1952 1954 1956 1958 RUBY CT S FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal $1,073.50 $697.78 $112.00 $6,400.00 100 8 $8,283.28 $224,000 CITY SAC WATER CONNECTION S & W PERMIT S & W SURCHARGE TREATMENT PLANT ROAD UNIT Total Fee $21,047.78 CONTRACTOR: ROTTLUND CO INC, THE 5201 E RIVER RD FRIDLEY MN (612) 571-0304 Applicant - ST. LTC 15710304 0001335 55421 OWNER: THE ROTTLUND CO INC 5201 E RIVER RD FRIDLEY MN 55421 (612)571-0304 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L APPLICANT/ ERMITE SIGNATURE application and state that the with all applicable State of Mn. nlB c! - ISSUED N 6 : I ATUR $800.00 $5,800.00 $100.00 $.50 $2,784.00 $3.280.00 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 1 APPLICANT: 1938 SAPPHIRE PT ROTTLUND CO INC, THE DIFFLEY COMMONS 3RD (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: 8-PLEX NEW BUILDING 023108 03/21/94 INSPECTION FOOTINGS DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: INCLUDES 1940 1942 1944 SAPPHIRE PT 1952 1954 1956 1958 RUBY CT S S & W PLBR - VALLEY PLBG I_ J iCTIVATE _ ERMIT'#° ? g 1994 CITY OF EAGAN Imo, In{ ow,w.o..5 3rd Ad& 1998-BUILDING PERMIT APPLICATION r- q4 681-4675 V?'IIcL F r, -N - X26, 0g4.9j SINGLE & MULTI-FAMI-LY_?_ 2=sets of plans, 3 registered site surveys, 1 copy of energy Cal CS. 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 / / Valuation of work 223?? ?tS Site Address: i4 , la 'Az, 144 jr#00 'i` Pf/ '<'4 A -KF?QxI OT- J STREET T? / SUITE Tenant Name: (commercial only) -71Ae- tx4-9QKA C-O•?yIC- LOT BLACK SUBD. 3r(v ?.I. D. 1]i.(P-1'^J COVA. ov'S Descri tion of work: AAJI ?? &- tex The applicant is: Owner( Contractor ? Other (Describe) Name •Tlne. ?0+-?Auy'j Co. -rV1G. Phone 4571 -o 304 Property LAST FIRST Owner Address 5ZOl E R. Ver kd • STREET STE # City F='Jd P/ State MAA Zip 1542.1 Company Saw?e Phone Contractor Address License # 1335 Exp 3-31-9 State Zip City 1 Company A14e Assce- cCk s Phone g33- 32-SL Architect/ Engineer Name TiK WkI 4y? Registration # 'r Address * r;1 NeQ4er4or& Place- City Mom 0(?a- State byt, Zip 6534,5 Sewer & water licensed plumber 011 N rlyyhblA q Processing time for sewer & water permits is two days once a4 ea has been pproved. 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:/ / v1 1 1V1. W%7" VI\LI BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE JO 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move t 16 Basement Finish o- Swtm Pool ? 18 Comm./Ind. ? 19 Comm,/Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) __V. /#,,, Basement sq. ft. MWCC System (Allowable) 1st F1, sq. ft. City Water UBC Occupancy -j 2nd Fl. sq. ft. PRY Required Zoning Py W-y Sq. Ft. total / oo Booster Pump 4 of Stories 2 Footprint Sq. ft. ; Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code "PPROVALS 'lanning ngineering REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Building Variance ,® Footing 0 Final /ow '.i0 v.lutio,: //2 Go 9 ?. 78 lO?/rd 2?.r ? POD 46dX8 s,POO '72s,,f -?8 3 `/Sk8 S c eU Y/L?k? q Framing ? Draintile s-2 zy,ao6 Assessments k os $ Insulation ? Fireplace SAC % /pok SAC Units __T- EXTERIOR "ENVELOPE AVERAGE "U" COMPUTATION -rHz ?OT`?cJN? c-D SITE ADDRESS CONTRACTOR DATE PONE Determine working square footage of each. 1. Total exposed wall area . . sq. ft. x 0, t = 1??' 12 2. Total roof/ceiling area sq. ft. x 0, ?O 2f, = z ?? 3. Total floor/e- .. area G , ?J sp. ft. x Total exposed wall area above floor . ?1,-7 a. Total wall window area . . . . . . . . b. Total door area . . . . . . . . . . .) . - c. Total sliding glass door area ?s? d. Total fireplace wall area . . . . . - e. Total wall framing area (average 10%)• 5 .( y f. Total net wall area above floor . . . g. Total rim Joist area . . . . . . . . . Q ? Total exposed foundation area = h. Total foundation window area . . . . . '- i. Total net foundation area above grade. - Determine "U" value of each wall segment b. 3b.1 I x , U, d. x e. x 'lull C - -7, -7 r. 138 • G4 x "U" ??, n ? - ?R. 6, x "v" n,o?l = x•81 h. _ x ..U., _ i. x .,U.. SUBTOTAL = l 7?5 -7. 4. TOTAL, If item A is the same as, or less than item #l, 'you have met the intent of sBc 6006 (c) 2. Ire"`-'' 41 I ? I °• 1 UNI 'T 42 Total exposed roof/ceiling area ?. 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 . • Determine "U" value for each roof/ceiling segment ?. x tIuIt = x 'lull .77 1, .f x "U't d. r. ZL= x "U" _ $full n. 5 .Tot a1= If total of r5 is the sa=e as, or less than r2, you have net the intent of S3C 60o6(c)i. . GA'R-, GLC?. ??? Total exposed floorfee=.=. area G z?- 3 A R' C-L-0 -- r ° ami.. -_ (average .10%) . 0. Total f1..?--?=*i-- ` r2 I • -7 M. Total net insulated area . . . . . . Determine "U" value for each floor/cant. segment o. 2c.3 x "U" x lull p - Z4 -7, 6 . .Total= / • 1 7 If total of #6 is "he seine as, or less than r3, You have net the intent of SDC 6006(c)3• Al.^ 'riATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the s•,=.. 6 shal not be greater than the sum of items rl, r2, and of items-, r5, Wild 2 r3• G = 22g.Ls I q7, lZ 2. Z4:'I-•43. 1.6; 1. -7 6 /(PLOT >n, E: Z 1. l6\ Cities i2ital ity 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. M W &I I'1a:W l ihi; Load 27,527 BTU. W SC i:5; I„ kY Prepared For: Prepared 5y: Tna, RaMund Company Randy Flare Ug. A (TOl.in:'.cu,ssW XATM1'?f•TT.?ir?T/f :lr Y•:1-:R T•1: •?'li •? Ti..iiT-.:KTTr T:F:{.:i:r.?C.".?TTT:?A: :w ... .w .. l-?r•n. i. '•Y.:e .? t:}.w .. • Tf-TT^Yn:A ^.wnf,t?Y K.K i WOO." Wily Range 22 Latitude MV, Daily Ewinq V 4>`!:a i. 11 Ulf [3 :1t:T:x?'M#'KR:fitii%(:KXMx?k:i•?C?i}:fir0:i/.j:::?x?'k:0.4T..F?.?,?.:}.TT:::?"?(.e,r.S+4i:n.::l'?:6.".w.T:?:Y-n:f:, ..ii::Y'l.:t::.f t., 107C,li, Making :"i rl.\l'.:. C'.'.I _i:f: ....:li C-.M- - 17 Entry] 't 157 Living RQWM 4! 21 Lifting h'Nocia G,:J 1Z ._:: r'') ULIOLY I t:! 47 macst_er Bedroom 260 Lott :., w 2 432 v _ Bedroom < . - - - - - - - - - - - - - - HEA NG DELTA T 65.:-: G;:ti1._ INS DELTA NUTEa vam l.:a LICLIi._; ed Airilaw 1= i aaed M"" 1000 .-_ quircuren . meiecteu ='q=apment requir',:;,mn1.-• M DETAILED REPORT FOR ENTIRE HOUSE Prepared For,. pre tired Gry: -T hl; Rn4'cil.:nd Go:ap?rrrr Rmnd'v Job Nom.; Unit r.l . ?.,?,rte;?:k?c?':X%X?::kM'k;.T?"Trx*:.i'rr+?;.TiT;:;t.?;#,k;?'R?'kM*?*x7;t;k##s'nx?;X**X?Xttxcx;??ktr*>r?v*x*x GLASS ? NORTH NI /M „ ...._.-- _- --._ - _.. E":M SI:FLI-IH SE /ASV WEST HORZ. TOTAL . . . AREA 1 ..--.-..-'----- •-- -----..,......, ---- .r - -ATI --c ------------ ------- -------------- ------ -------- 6 J22 ----------- - - ----- W.-V.I_S P!'i.7RM MEMO PART SUAT1. E /Aw I•JL]:W ._..raCE TOTAL . 6 i s Ia _..- , Q .:'/ r . _. _.....y `. f.._ .I ?:911 0! 01 25: C. i t..:.r 1Z, .%? e_a: rl ATIM , 1,"'-`%x.1 ------------------------ a! -- ---- 01 -._. -------------- U; ------ 4 .9:_:'-i'; ------- Q ,Say) ---------------- DOORS NORTH NE/ NW EA31 SOUTH W SW WEST TOTAL f1Fa"i-iPd•'.i I Di =1 Ali ii; ?:I, .c•"_ ,?•;•;: W,-UUC. i'+RZA ------- -- ---- -- - COULti,G - - - MATING --- - --- - - - -- ---- 1^.27 ------------------------ ------- ------- --------- -- - 7/3 -------------- ----- ------ ----- -1, '37 -------- -- ---- - ----- ----------------- f ill ING nl'!'A t'nf,7f_:i.l3 - - --- -- ::E_ATIM'ii ---- ---------------- ------------------------ t.: _ ------- ---------- - - - - - = M.... _.._LL. 'u NEOV:1 COOLING LOGO:.-; Sensible Load r ...y?_ -. Latent L vEt is c??'- t.i.-llts R Appl. Load 1 ,IP.. ,.,=14_,:•rl;_ 20401 ,, •. tot E? c;. went rain Infiltr<atim Lmmi 227 snnsii_,le Safety Utah I . _ .. , l Ma.. ;:LPYJ i2L'-_ LOAD _ i l Mi=L. LATENT T..-NT L. H.. - Air Changes/How- 0.14 rdmp. Swing; mutt. %W* Total _..c,_I:g i..u_.d o... 20H Q. .-.. Tuns .d * I"IML` MEOM I-EATIM LbAvS iltr•at.in Lmat inf _...n?--- -.-...__ --V antil a.mn Load nuct. Heat Lass 4 smi ty eto,D! ._ `"^^ G? Y 3?? ??kirl Uiifas , r' UNr ? EXTERIOR Eh'lELOPE AVERAGE "U"..COMPUTATION OWNEi i l M-n Co- SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each. 1. Tote- exposed wall area . . 'eV 4k-k ' sq. ft. x 2. Total roof/ceiling area . -1 (Z sq. ft. x 0,0/iL = 3. Total floor/e-e_•iaaY? ?47 sq. ft. x ? - Total exposed wall area above floor = , j li4 a. Total wall window area . . . . . . . . b. Total door area . . . . . . . . . 1 -j , c. Total sliding glass dcor area . d. Total fireplace wall area . . . - e. Total wall framing area (average 10%). J 7(r f. Total net wall area above `"cor / Z42,8C, g. Total rim foist area . . . . . . . . . / ?j Total exposed foundaticn area = h. Total foundation vi,dcw e-ea . . . . . i. Total net foundation area above grade. . Determine "U" value of each wall segment. a. q Z, 6, 7 x ..u.. 0. GV 4 2. (0 2 b. S1. I .x "U" 07f = e5. 34 c. x "uO = d. y x h. x .u = - i 'lull 4 SU=TOTAL = _9TAIL _ / 2 7. 7 5 1117 ? x.51 If item ,94 is the s&-e as, cr less than item iyl, you have met the intent of sHc 6006 (c) 2. Vic.?r- i1=? • (? Vt?l? c- Total exposed roof/ceiling, area J. Total skylight area - k. Total- flat roo_°/ceilin., frcZi ng area ! . 2 _ 1. Total net insulated fl=at roof/ceiling area . . . Ii m. Total vault roof/ceilini frz=ing area . . . . . . n. Totz-1 net insulated va•_ t roof/ceiling area . . . Determine "U" value for each roof/ceiling segment x irLir k.- x it. U V, -7 1 Z_ M. _ x rU,r _ r.. x uLn _ _ _ 5. . . . . . . . . . . . . . . . . . . . . .Total= C .? If total of °5 is the same as, cr less than n2, yota have net the intent cf _ `-- 6oo6(c)l. c-r Total erosed •? ...,_----=?,a-.. are. 0. Total ee? fr - ^: -e_ (a:erzge .ZO°.) I G.o55 p. Total net insulated area . . . . . . ! 7 p, Determine "U" value for _c_.. floor/cant . segment / . x rr L•r n? Q _ ?,? r4 IT 6. .Tot Z?- ppr If total of 9"6 is the sz-.e as, cr less than XV3, You hare met the intent ^° .=C 6oo6(c)3. ?i ._. =UILDIi+O E: PIELOFE DFS'_OV To L`tilize the total method, the values esta0lis e_ .. s... of ite-s L , .fir 5, Z^.d X6+5^al I ___ __ ire a:er than the sum Ci It ers "3• 4. -7 5. 6. L Aug--- 4-yg WED 1 1 :01 FL oRE "TG- & r - C_ F• _ J2 14 O uA%1+5, T?) t'irY_t. t and I-c:rq:_:nS sandy C EQg ?- `l:ars :i+_q.& A W ;r?:k:a3.#?T;X:{f:¢:dot#:?N¥:#:it:=#$Yc:kM##?C#Mtt ii:tl;?*'#?::k?t:Y:t ?tYMt'YX?I'#?tXYit.',tX$?%F Y[XM:k*kX:h :l: ?t ?c$?Y'Y :??:fi OXF OL1JF'ti_ MO€'!'TH H EAST W:--':5-f Nc:/Nw '_i_/ SW hGPZ. TOTAL !9' !Si 157; COOLING q : 8271 Co ! 16 1 1'1 ? 0 i 71 1?5 40 1 t-EArSNG G ; 7.2421 0; '•2U1; :+; 0 Q 6.44._ 1 WAL L%:; P,,F F-A C'C OL [ r113 . HES41-1 NG UQUR: COCL_ING 1 t+cA I' 1 NO -l_OUk AELOW Nt7RTH ECIUTHI EAST rlE T NEiMSJ '.=E:/SW ?A A1rc 717TAL i); 547i 19??? 4.18 Q tl. Ct; >>; SSH1 1751 79 [:. 0: 27?I Dl 1."576; 7771 .657; ?; O; ?.e10i NQ;T-1 SOUTH CAST WE ST NE/NW Si_i BW rOTAL 01 4621 01 0 of 0t 482: O1 U; Q Ot t 32.0181 CE 1LIN;v A ? ---------------- 1 _ 0_t l i ---------- COOLING ---------- HEAT%NE ------------------ Sb ! .17b -EATING.?__ _ --`--`._------._.__--.----- MIIKZEL!_Al EOL'a I:DOI-1MG L 1l,D: People Sensible Load Latc'rn` txaid "Cy Liaht.s & Appl. LuaO t, i95 t...Atent. Saiety ; i"toh Ventilation Load M) Duct Heat t^a<._r, 764 1n4i1 :ration !...clad ^^i3 Gens,ole Safety 'trt' 43 TcrAL SENEE°LG LOAD 12,701:1 TOTAi- I-ATE:NT Summer ACH ..:`6 7rnp. 1.60 $X% Total L;oWing LOW 1°:.741 0f .. ; tr t.i.on LOW 2.20,' Onc:; L' Heat. Las's _ . _.i9 win tor ACH 0.1 *xc Total Heating "UH Or 101 Tuns lot Lcad 22.x!41 Hl"1!'•; =M:kX .I E:'repured F?ar: ;iii, Rrltyland Company CnGd[ Mr, COI::00 r-'reImar d r':: liandv job Name; VLIia 11r , A I#+#:h:k,%%%'X'X'#* ,kM:u#:k?X*.;• :a x:X;B'k*A:9 :%'.k:%m#iF.u:B*1:1%Yt**.9 19 ;k3 X1-9'%'X#xa:k*AA*?l X**I I*IiA4c CES:%5M CE:I1VDIl'iilNS for Blocrnln3ton SuMI'•Sl_r% WINrFR Dry B"'Ob W,z't'. C'illl `r 1 ?,ITJ (ni-c; e31.1MIER W f til E'R 771 67 oaliy RAngp Latituda 44. il'y SVJLgl? .., . d:x2",ntiVn 2.7.2 t W L:3 .t._.o .z F.ae'tar t7.? .. *'X*Xx#**Y#YI:X:$.X:# :%fiX:1::%%:'#;t*:%S* *:%Y.{.%:VN1c'Xx;k#:k#:kik'k :k#v'X:k:ie rns15? I; He, ata.r.c: oorr, CrM :U' rc _ ........... - 771 77 13 Jr7CE'r 1.???a1 o..::a'? Di i -._..-3 7."r FIE':filiNG DELTA ,:uui,.im; DEL'rA '7 1'1.0 rdlkr_ : *:9* =31 a1:a"2c 4}J.Y{1aw bil sil UOUl'l !pzjd rc?f1lER'?a- `.J*r1.f`: t.1:a!: pair"P1U'vJ =_lf-?_iLaisF.?d is r:ivr.::=a.ib'ts 'H :. to salect::b @'Quipmen'-- ne--ulreln?n ts . :k# A( - 1 I , 21.-El, F::-PORT FADS: FMI'i::;E Ht.i!-.' i r _a,nrc:d For. P'rcoar-_e cy: lhce+ Rattlund -ompam. Rzir',r:y Flare Hta;.c< (V- _ E.agatr. Mr, Oat, Name !I Vi;.l., Lin:- _ •ICR:ItK'#:k'kY•kI?I:Ff7k 1L:X%f#?Y 71SN?4:II4*941*#'1 :p#7 #I K;K*:x**.*;03*z:K*3x x:X* ;[#x #z:?>CtT F:F *a* x.#:f :k3K li'. ;i rPlYlauprE L,LA!,S NORTH fiOU (?i EAS i WES T ME.AI' iW SC, =-W r.OF: Z . TO' AL 1t7, iI ii: 1)! 107; CL1L)t_ING ! ); 0', ti}I <C.,3^4. n; }; '.E 4; HEATING 1 q. c•. 0 i 4l1 0: ?J 4.a92 i E?_Ci4J WALL.'.3 NORTH zCUTFi EAST WEST IEiM1IW _..: Q'W _RADL Ti.l'AL AREPt 1 ry t 297 l! COOLING 1 511 1471 1:)1 `1'701 i}I V: 0; 4671; HEAT ING i 222 E 642 i V ; 1 . 1'ac ; 0; _..__.... _._._ _._ .. _. ,...... _- - - _. _ _ _. _......_ DOORS NORTH SCUTI- EA9l ---- .. ------ ......,. ..... _ WEST NElNW 35; _.f -- TOTAL - -- - -------- - ---- -- •- Ar'EA ; G; : 1 tii: :ic7! it ! ?. HlF1'rING C`: %I U. ^,' 1 ...c>13: Fl_OCn._.._._...._._.._--- f;Fi'c:!4 CIJCiI_T.Nr_.._._.._...__ __.__....._ __•- _.---.____.__..._-- _-_ __.._ ....... sz =._ i:ElL.1M-1 r'iREA CC}Cl_:SNZ. TI'•i_ .^z- }tlSLct.L.:P.;Eta? COOL-.ING LOAIJc L.: ght5 I, A'ppl L-cad .1y5.1 L...-ttc-,.qt Soi-Tty 1!'• V c-i-,tilation Load In4iltration Lcad 176 Sensible Sa+e4 y Htuh 4_S TOTAL. SENSIBLE LOAD 21),?4s 70-f A _ t.,?, i F,.?JT _ahn -', 18E, !mme;r ACi- 0,06 Tamp., Sw.ilc! Stu: N1t:K Tc.:... Cot:-i _ _i:iid i4.1:5 M1LICEL LAINEOUS In fi [ t.raticn I_,oad 1 liitc t:. Hue.- L,'=-Z 3. u1?`; W.i.ntar r°iCH ?## Total FtcaC4,)c! HE'.AllNU LOADS -mad 22 .144 BT UE- Y. V ,t .;UMMAR•I Fi?.PcFt.> repar-Pd F,?r: hE? Rattlund Company agars , INn pr3par(Rd Hy: i;andy Flare i-itg-& A/C: :i(_b Naimf?: i/illii J:17.'t r #x#1*####x*M*#'N#*ar?C#?klxxic4## N:KK#kx:k#:K#:%6:Kt?k:d'K'YMx#### Y?WxE?xx7c# K#*#X'K###xX:k? co r- Flcsaming:cn ry Fault •-t Eulb UIhMER M 1"JTc 172 -24 J -ally Rar.g-m L.at_itud4L- 14 Ni)OOR 7 ?f1 6- 2" )).+ily Swing a•t;) 44 S: 41 2 i„atent; #:N###X##Kxx#x".?#ic#*##;NXiR#'k:xa*X:s####:5k'KN:$xxl;`X't##M#:3?cNMfXA'NN?r#xt##N;%:S1{9f :N:/7:o:> :ocm lame t+-•.=ti nc 'TUF! reaati.n^y F, r ?c al 11c gTCN C.giii'ia laz^ Level 4pper LNVEi X 1 5 1 !, t l l,) 4, _w r.' I C, _7 (EATING DELTA T 875.`JJ {7CGL1NG ZHL'rd+ i- is.o NOTC: #:Kx fvAlCUlat--t :,ir•Flr,w .i" bas;rs r;..rpcn luz,n 1'-cP-t l;r amrr,t-.. Veri=y r.r;i't ..,.. "Ftrw ?:a:?.caiLa,csrd is rompati:,le. ?•lE?t_? __j.?i,i:ieR-:1•?t r:_,r.llr'?m;;??ts, xKx PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028316 (612) 681-4675 Date Issued: 07/19/96 SITE ADDRESS: 1952 - RUBY CT S LOT: 96 BLOCK: 4 DIFFLEY COMMONS 2ND P.I.N.: 10-20451-096-04 DESCRIPTION: , WIND & WATER DAMAGE ermit Type STORM DAMAGE k Type REPAIR sm 434 ALT. RESIDENTIAL f 6m, 2 r! . 1' -_Z REMARKS: INCLUDES: FEE SUMMARY: 1954, 56, 58 RUBY CT S & 1938, 40, 42, 44 SAPHIRE PT L095 094 093 092 091 090 089 CONTRACTOR: - Applicant - ST. LIC.OWNER: OU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS 636 39TH AVE NE 1952 RUBY CT S COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New construction Reouirem Remodel/Reoalr Reouirementa ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? / energy calculations ? 3 copies of tree preservation plan If lot platted after 7/1/93 required: Yes _/ No DATE: -7 09 CC DESCRIPTION OF ST EET ADDRESS: ?y?'?•YUYL+* LOT - BLOCK Name:A& i6MAt9W-?? &UtA? Phone #: PP. i7 W1 MST PROPERTY OWNER CONTRACTOR Street Address, City: COST: t SUBD./P.I.D. #: State: Zip: Phone #: Street Address: (?J?'39UI ,VE License #:--- 3/7('? City:, State: zip. 5 2 Company: ARCHITECTI Company: ENGINEER Name: Phone #' Registration #' Street Address, City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the infonfo atimec and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECENED It 1, Certificates of Survey Received _ Yes No J U i L 1896 Tree Preservation Plan Received - Yes No --------------- - ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION ConsL (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Z/ p v I I.?n. ?r ° n ? i QnN l?Ji. ., CITY OF EAGAN CASHIER: DM Y'ERMINAI_ N0: 108 DATE. 01'26/94 TIME: ±5:43:2' ID: NAME: VALI...E`,' E'LUMBING 371f-, 9220 :I. :!. t2'ciao METER 350.00 Total Receipt Amount,: 350.00 CRO2989' USER, ID: DENICE L -7 -7 04 ?-26 y Serial #/?'?y Chip # ??/G Z D SY? Permit #? j y 3 Address: e t ?f /ry 0 1 AGREE Yo- COMPLY W ?tt S ORDINANCES CITI( OF EAGAN 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. 1 NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL $ 24.00?a ? 6.00 $ 20.00 .50 % 5 SITE ADDRESS `z?3% OWNER NAME: TELEPHONE INST CITY: STATE: ZIP CODE' TELEPHONE OF PLEASE COMPLETE FOR ALL COMMERCIAI/INDUSTRIAL 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: CONTRACT PRICE: FEES 1% OF I FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF REP FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (immowmEms oNLY) INST. ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 1994 PLUMBING PERMIT (RESIDENTIAL , A CITY OF FAGAN ;. " . 3830 PILOT KNOB RD FAGAN MN 55122 fr (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGSr ALSO;4F% CONDOS WHEN PERMFFS ARE REQUIRED FOR EACH UNIT , s ? l NO. FIXTURES EACH TO?Ir _' SHOWER 3 OG ,_ 1 j, WATER CLOSET 3 QO' _ BATH TUB ? 3 QO jam` t 1 1• LAVATORY 3 00 v KITCHEN SINK 3 00 g LAUNDRY TRAY 3'00 HOT TUB/SPA k ?L WATER HEATER 3 00 FLOOR DRAIN tom. 3,10 0 ' GAS PIPING OUTLET • minimum • 1 . S ROUGH OPENINGS 1:50 " WATER SOFTENER 5'00 PRIVATE DISP. • Dak:Cty. lic. b20 00 U.G. SPRINKLER • (tome under cont. . ALTERATIONS • to existing 2&0,0 WATER TURN AROUND 20;0.0 STATE SURCHARGE 3 z TOTAL: - Q t ?° SITE ADDRESS: f AI OWNER NAME: N L D _c INSTALLER: V A c. r C c? 1 ADDRESS: lp IU CQ« CITY: -TO PCIA STATE: PHONE#:(&Ia- ,) 150 ` :tea D Y k 9 ._ r zs` s C , R-1 y: k f (y - off, v . t;. 1 _ ti. y? PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS.:, ALSOO'FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF P FEE. !*I•ITITIU11i FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE TOTAL $ SITE ADDRESS: TENANT NAME,: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE #: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT K'NOB RD EAGAN M1, 5512,2 (612) 68146-15 RESIDENTIALBUILDINCYN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot sq. K of house; and all roofed antis (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan ti bt platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) N innegasco mechanical ventilation form RemodeNReoair Reouiements 2 copies of plan shmi g footings, beams, )oisis t set of Energy Calculations for heated additions t site survey for additions & decks Addition • indicate Hon-sMe septic system $99. z5 Office Use OnN Cenof Survey Recd _Y _N Tree Pres Plan Recd.. _Y_N, Tree Pres Required _Y _N on-site Septic System _Y _ N uction Cost t C Date /24 / 6 ons r Site AddressM"' ?c1(Cl !?k4' S ( ?. wrY Unit/Ste # 1 ?l ?Sg- 19 (0 7- 9 `{ Description of Work y u r kt f o ko ??t v S f k o?? 1 (1(n[ S - J? zt ?r' `? dv gt - t S ?? t Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner Telephone # ( ) I Contractor y? r xJ w l C? city W a L -til v Address ?vw w ?r Zip 53`1 1 Telephone # (q$2) 7 k{ S -0 (C C State COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateeoTY 1 _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet •I'filee y Code Worksheet 0 submission type) Submitted IUf(ff`?u 1q Energy Envelope Calculations Submitted g /Rt In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a mastery PS4 4 ?Q?& /(/U?/?/? Y _ N It yes, date and address of master plan: Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor 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. Applicaht?s ted Name p ignature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 'CP?36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plea ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damace Y es Z Valuation Occupancy MCES System Plan Review 100% or 25% Census Code L- Zoning P City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length T Fire Sprinklered Type of Const y (3 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water Final Air/Gas Tests _ Final Pool Figs _ Framing _ _ _ _ _ Siding _ Stucco Lath _ Stone Lath -Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall ti Approved By: IJW Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION Ji5 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 I 651-675-5675 J K ?Y? 7 V Please complete for modifications to existing residential dwellings. nF9 6?, ?s(1MFE f1 Date gl/"?-/ 1 4 2006 SEP If Site Street Address 161 Unit # (, Property Owner mean l e, c 11 eck ) Telephone # 0,61 Contractor } 1) 1t1P,Lof-VCS Telephone# (bsp ,365-(-0t7 Address _-z4'r1n ]'lQd d city QX-N State Zip G519-3 The Applicant is: _ Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: ater Heater Water Softener $ 15.00 _ _ _- new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 rr I "J 1b Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required ''too/ beer?reviewed and approved. Applicant's Printed Name Applicant's Signature HD JAN-24-2008 15:15 GASSEN City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 9529222004 P.13 1------ ----------t 1 Permit#: T I S lJ i t I I Permit Fee: I I Data Received:. I i l I Starr. n. ? ---------------- 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Si a Address: ?T i Tenant Name: 5 4#cc L (Tenant Is:_ New / _ E)isting) Suite #: PROPERTY OWNER Name: Phone: Address / City I Zip: Applicant Is: _ Owner _X Contractor TYPE OF WORK / Description of work: ?(aL4ir" /bclr dlrL.,avSCS Construction. Cost: l 2A:* CONTRACTOR Name: Gcc55e° -7 CG License #: ?? 9#{9#f Address: 27-5- e ?? ?d Ts 5.39 City: Ea:: State:: ,004-j Zip: Phone:. d2?Z 3rO?0 Contact Person: /Yi?dk - -75St' ARCHITECT / Name: Registrallon #: ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing now sewer/water service: Phone M! I i 111:111 No , ,. I hereby acknowledge that this information is complete and accurate; that the work will be in confomhanoe with the ordinances and codes of the City of Eagan; that I understand this is not a parmk. 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 lf/c k dege, ? Applicant's Printed Name X Applict^s 'hgn5 at 4C 1. Page 1 of 3 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 r 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ABIR"ex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Bui lding ? Reroof ? Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation /,, 00 -Oa Occupanc y :i-? 4 -3 MCES System Plan Review Code Editi on SAC Units (25%_ 100% Zoning - 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/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final ,o Framing Siding: -Stucco Lath -Stone Lath -Brick -E Fireplace:-R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By, yo, Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total 5'z?? Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108586 Date Issued:12/18/2012 Permit Category:ePermit Site Address: 1952 Ruby Ct S Lot:096 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-096 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John L Hole 1952 Ruby Ct S Eagan MN 55122--216 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature I°t38, la~o, 1842. l°l4 Use BLUE or BLACK Ink Wt re q,S i For Office Use City of nano n Permit ~j' \ S I Permit Fee: • Coc) i 3830 Pilot Knob Road l 'S Qx I Eagan MN 55122 I l Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 j Staff: j L-----------------I~ 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: ~ 27 Site Address: Tenant Name: tS at'1 comow5 a1 ~ ~v .i►1~u5 ol ~ar srl ~lor+t,S(Tenant is: -New/ Existing) Suite Former Tenant: F - cf 7 Name: LoC1~10wS V~~~aS ^4 %0,rt <4, "s Phone: 95a1' 4 3.A- 81 7 7 Property Owner ~ M&I 5,6-0 (0 t ;Address /City /Zip: RO.SGh Ok J oJr~ Applicant is: Owner Contractor g Description of work l Gore O ~c- - Cc~y~ GK C1~rar 5 ,*a • ^h C- Type of Work t 1 Construction Cost: 7 $ . 5 a Name: O (_0VX ~ ('JAi o License \J 1 t of Contractor Address: City: I State: Mk Zip: '750(69 Phone: `c s ` ;Z I;L ` `1 9 5 Contact: L J I Email: ~G✓t ~d "1'e~~-`Ci o~'s. C~-c~r1 Name: Registration i Architect/Engineer Address: City: i g State. Zip: Phone: t t Contact Person: Email: Licensed plumber installing new sewer/water service:, Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L,~, I g*!!N\_ x - r}r~ Applicant's Printed N e Applicant's Signature Page 1 of 3