4184 Running Brook Rd
INSPECTION REC4RD
` CITY OF EAGAN PERMiT TYPE:
3£60 Pilot'Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SlTE ADDRESS: APPLICANT:
PERMIT SUBTYPE: ' TYPE dF WORK: ~
INSPECTION .
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Permit No. Pennit Holder Date Telephone # ~
ELECTRIC
. PLUMBING 9 9~ ~o!
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Inspection e insp. Comments'
FOOTINGS 9
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FRAMING
ROOFING
ROUGii
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS
TEST VC yOiGGT~ ~~l/f
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AfR TEST y~~ wv
FINAL PLBG ~ L Gt ~~~~/a ~•f•~ 5
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BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. SITE AflORESS /94 K
• Unit # Permit # 9~
L B Sect./Sub.
INSPECTION INSPECTOR COMMENTS
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INSPECTIUN INSPECTOR DATE COMMENTS
. StTE AflDRESS Unit # Permit ~ S~/ 7 SO~
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTQR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE CDMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR OATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS I 9 &n~ 1~c r4ck d• Unit # permit L B Sect./Sub.
INSPECTiON INSPECTOR DATE COMMEMTS
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INSPECTION INSPECTOR DATE COMMENTS
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SITE ADDRESS u nn in!~ , Dok 0(• Unit # Permit ~ ~ ..7-
L B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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SITE ADDRESS 00 Q• Unit # Permit #3~/9 5.-
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INSPECTION INSPECTOR DATE COMMEHTS
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INSPECTION INSPECTOR DATE COMMENTS
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_ 411,
(
WertifiCQte Df CCGlipQ1tCV
%it~ af Wagan
Zepartracut of s8ni[bi»g 3uapection
This Certificate issued pursuant to the requirements of the Uniform Buildrng Code
certifying that at the tiine of issuance this stnucture was in compliance witir the various
ordinances of the City regulating building construction or use. For the fo(lowing:
use clmirk*son: a- P LE X siag. ftnn;t No. 31952
' p-P-Y Tf'Pe R-1 U- I zon;og Dmoul PD rya cormt. VN
e.iiai., TOWN & CdUNTRi H0~ ] 147] VALLEi V1EW RD., EDEN PRAIRIE-,
4184 RUNNING BRdOK M L10. B1, EAGAN HTS T.H. 2ND MN
sty
~~~~~JDF.S ~ + 0/ 1 /419
4 ~4196/419
- - ~
~ ekmildingarad - - -
POST IN A CONSPICUOUS PLACE •
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f So~z~z #
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~
i ~o~drrce~us~ i
Clty of Eap ~ Permit# 0~~25 V ;
I Permit Fee:. e . 12 J I
3830 Pilot Knob Road i i
Eagdn MN 55122 ~ Date Received: ~
Phone: (651) 675-5675
i I
Faz: (651) 675-5694 I Staff: I
I 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: y rJuNAI>Alf gG~JK /~rJ
Tenant:
Suite
RESIUENTI OWNER Name: 1 DZJIeAAIG ~ Assoc-~ArE3 Phone: 651- l1S/J- 2300
Address / City I Zip: ZZ ZG2AND aVE VJ so. ST-- CAU L. M r.l 5S07S
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description ofwork: 26M0VE qNL' /2EpLFFLF S/Oir!/~
. Construction Cost: OOp w/ Multi-Family Building: (Yes No_~ .
CONTRACTOR Name: 3EI FXrERlOK Mfl1NT_. CG(2f License#: 202el//31
Address: q05- Vil- 6D-"n S'IWEET
cicy: 411VA/r4PJL15 State: N ~l! ziP: ,>.S"~/~9
Phone: 6 / 2' 94 6 Z43 Contad Person: sTEVc ~y'f1L1 ~
7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet ~ • New Energy Code Worksheet
Category Submitted Su6mitted
(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: Plairs and, supporting tlocuments tliat you su6mit are considered to be public information.: Portiods of
','the'infortnation,may be classified asnoo-public If you proVide'specific rea`soris ihaf ivould permiffhe City;to
coiiclude thaY the aie trade`secrets < %
I hereby acknowledge that this inlarmation is canplete and accurete; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand Ihis is not a pertnif, but only an application for a pertnit, and work is not to start witAout a permR; 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 erf2/S ANOE~so~? c9 ~~~~~d~~~ 41
ApplicanYs Printed Name pplieanYs Signature
.
Page 1 of 3
2006 RESIDENTIAL BUILDING PERMIT APPL1CA170N
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVucl on Reouirements ReanodeUReoair Reauiremenis OlFice Use OnN
1 registered site surveys shaxing sq. ft. of lot, sq. tt. W housa; antl all roofea areas 2 copies of plan showiog fooGngs, heams, joists Cert oPSurvey Recd _Y _N
(2D'Y maximum bt coverage allowetl) i 5H d Fnergy Calcula6ons (w heate0 atltlilions 7ree Pres Plan Recd ._Y _ N.
2 copies of plan showiny 6r.am 8 window sizes; poured fourbdesign, etC. 1 sile wrvey foraddiliois 8 decNs Tree.PresRequired _Y _N
iselofEnergyCalculations Addifim - ildiceleilon-sifeseplicsystem On-siteSepticSystem _Y_N
3 copies W Tree Pre:ervaGon Plan if lo[ plattetl at[er 711h3
RimJOislDetailOptionsselectiansheet (6uiltlingsw(iN3otlessunils) ,
Miunegasco mcchanical venlilartiun fomt
r 1
D~tc ~ Construetion Cost Sitc Address Nl t v/ 9(o R u,aAt i..5 ~.~2cnIL f1 UniUSte
~aCt;'l?~ ,Q~ ,~~„eRFi~bG,F.- -
Descripfiono(Work ~E';-.o?L a PcPcwCL ~jtL,i.A4a a Ra~L S
Multi-Family Iildg X Y _ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwncr c% _1)ufZi9,.1b ~Rol~£277£S Telephone#(/c5~/) 00
.1'0M'.'• 0425, wi 6
Contractor ~41f I C~~ : t.2i rr2 171ryr..i7-e
Address 1/6 -"7, CJ c, City /N PL 5
Slalc /y/ AJ Zip SSTelephone#(6 /X)
COMPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Ruies 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residenlial Ventilation Calegory 1 Worksheel . New Energy Code Worksheet
(d suDmission lype) Submitte0 Submitted
. Energy Envelope Calculatlons Su6milted
in ihe 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 Telephone J
Mechanical Contractor Telephone # ( ~
Sewer/Water Coniractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that che work will be in conYormance with the ordinances and codes of the City of Eagan and the State of MN
SUitutes; I undcrstand this is not a permit, but only an application for a permit, and work is not to start without a
permit [hat fhe work will be in accordance with the approved lan in the ase of work which requires a review and
approval of plans.
N u! ~s 'r,, 22 ~ S
ApplicanYs Printed Name Applicant's Signature
DO NOT WRTI'E BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 05-p1ex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext AIL Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex p 10 08-plex ? 18 Oedc ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 StormDamage
? 06 04-pfex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int ImprovemeM ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alterativn ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
, ? 34 Replacement `Uemolkion (Entire Bltlg) -Give PCA haadaut to applican[
DBSC1'IptiOf1: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review _100% or, 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# af Bldgs Length Fire Sprinklered
Type af Const Width
_ footings(newbldg) REQiJR;LEDINSPECTIONS
Footings (deck) _ Sheetrock ,
_ Foocings (addition) Final/C.O.
FinalMo C.O.
_ ~ounda[ion HVAC
Drain Tile Olher
Roof _ lce & Water _ Final Pool Ptgs Air/Gas Tests !'inal
_ Framing Siding _ Stucco Lath Stone Lath Brick
_ P'ireplace _ R.I. _qirTes[ Final Windows
_ Insulation _ Re[aining Watl
Approved By: , Building Inspector
-
Fee
Base
Surcharge
Plan Review
MCfES SAC
City SAC
Utility Connection Charge
5&W Pertnit & Surcharge
Treatment Plant
License Search
Capies
Other
Total
C.[TY p!:r FAf;i`thJ
CA`'?F1IC1'ie `.'.i TC.Ki9).INAi.. i.O" Eir'i
PA7'!:-c (]5/20; 9e3 '1 ; t•`E. 150009
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9001 ,.,F~F; C:'Il .
:k~.:1:1. F?1.1N d:g~'~~~:1..33
P256
YC7'i1a7. 'ic3C8'i.PtF1mouni;s 49;492.66
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_ ~
PERMIT
~ T I Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u z Lo z N s
Permit Number: 031952
Eagan, Minnesota 55122-1897
(612) 681-4675 Date Issued: 0 5/ 2 0 J 9 8
SITEADDRESS: 4184 RUNNING BROOK RD
LOT: 10 BLOCK: 1
EAGAN HEIGMTS 70WNHOMES 2N0
P.I.N.: 10-22426-100-01
DESCRIPTION:
(8-PLEX)
Permit 7ype 8-PLEX ~L13d~ng'Wg rk Type NEW
~ti3C Crca~k~ar~ R.-1 U-1
ZA, ~#nk`ticaifft ' e V-N Tgz rF ~ PD
149
y1~~4I'~A~ y~'y" ~ ssff~`g~ 64
. .
~ . @I~ 'O V`CJ~~E3 9 f~4,.JwF 2
rr 105 5 OR MORE FAMILY
a
erq~ a ~ ;a~"~ .
~
ij ' .
.
REMW§UDES 4186, 4188, 4190, 4192, 4194, 4196, 4198 RUNNING BFiOqK RD
S& W PLBR - VALLEY PLBG
PIAN REVIEWED BY JOE VOELS
FEESUMMARY: vALuArroN $689,000
Base Fee $3,350.50 CITY SAC $800.00
Plan Review $2,177.83 WATER CONNECTION $6,456.00
5uroharge $384.50 S & W PERMIT $190.00
SAC $8,000.00 S & W SURCHARGE $.50
5AC % 100 TREATMEN7 PLANT $3,552.00
SAC Units 8 Total Fee $24,741.33
5ubtotal $13,832.83
TIIW'N'&'qTUN7RY HOMES PP 19443455 0009137 TUWTR' COUNTRY HOMES INC
114j1 VALLEY VIEW RD 11471 VALLEY VIEW RD
EDEN PRAIRIE MN 55344 EDEN PRAIRIE MN 55344
(61:,2) 944-3455 (612)944-3455
&P
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ketf 6Yisf~l~~~s~fi fs 0r~rr~7
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APPIICANTlPERMITEE SIGNATURE ^°~ISSUED BY: SIGt7ATURE
-lf ay7-41
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' 33
CITY OF EAGAN J/ ~J
J 3830 PII.OT KNOB RD - 65122
681-4675 ~
New Construction Reauirements RemodeVReoair Reauire
ments
? S registered site surveya ? 2 coPies of plan
? 2 copies af plana (inGUde beam 8 window aaes; poured tnd. tlesign; etc.) ? 2 afte surveys (exterior adddions 8 dedcs)
• 1 energy calculetions ? 7 energy calwletions for heated addRions
? 3 copies of tree preservadon plan fi lot platted aRer 7l1/93
required: _ Yes _ No
DATE: 4/28/98 CONSTRUCTION COST; $422,640.00
DESCRIPTION OF WORK: Complete construction of townhome living units.
4184, 4186, 4188, 4190, 4192, 4194, 4196, 4198 00-
STREETADDRESS: BunninQ Rrook Road. Eaean. MN 55122
LOT: yo BLOCK: SUBD./P.I.D. Ejj-o~ T'
NeR18: Tnwn & Cotmtr;z Hnmec. Tnc. PhOne#: 944-3455
PROPERTY 1mt First
OWNER
StreetAddress: 11471 Va11ey View Rd.
Ciry ndPn prairie Sta[e: MN Zip: 55344
Company: Town & Country Homes, Inc. Phone#: 944-3455
CONTRACTOR
StreetAddress: 11471 Valley View Road License# 9137
City Rrion PrairiA Stste: MN Zip: 55344
ARCHITECT/
ENGINEER COtllp8fl}': 7.}7R F„;.,PP,-;.,g & aroh;rarrG Phone#: 338_2029
Name: Jerry Putnam Registration 19343
StreetAddress: 250 Third Avenue No, #450
Cm, Mpls. . State: MN Zip: 55401
Sewer & water licensed piumber (new construction ony): jrni i o;z pi,.m,,; „g . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortnation is ect and to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant z$ R~
OFFICE USE ONLY I E c R ow ~
Certificates af Survey Received _ Yes _ No r'1{ 2 9 10
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Mutti RepaidRem. ? 17 5wim Pooi
0 03 SF Addition $ 08 8-plex ? 73 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~ New 13 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION W/~~y
Const. (Actual) Vf~Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. 9 5 City Water U8C Occupancy Zsq. ft. S`~~Y Fire Sprinklered Zoning sq. ft. PRV
# of Stories _7- 4,w4. sq, ft, 2`/d Booster Pump
Length 11(/5 sq. ft. Census Code. /DS
Depth /v% Footprint sq. ft. SAC Code I
Census Bidg /
APPROVALS Census Unit
Planning Building
Engineering Variance
2
Permit Fee Valuation: $ /~af,~ ~
Surcharge
Plan Review / s?
License
MCNVS SAC ~
City sAC y QSS~ x5-/ Zlo .51./0 ~
Water Conn.
Water Meter
Acct. Deposit ~
S/VN Permit ~ " ~ 1 1
S/W Surcharge 3-2G V
Treatment Pi. ~
Park Ded.
Trails Ded.
aher
Copies
, a~-•t ~(~a K
Tctal:
% sAC
SAC Units
.
V
os1osis7
ENCLAVE AT RIVER RIDGE TOWNHOMES AREA CALCUTATIONS
4-PLEX BUIIDINGS (without basements - 4A and with basements - 48 buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 4 2742 2742 2894 1492
5-PLEX BUILDINGS (without 6asements - SA and with basements - 58 buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 1 635 635 730 291
36 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 01325 276
TOTALS 5 3278 3213 3489 1760
6-PLEX BUILDINGS (without 6asements - 6A and with basements - 68 buildings)
EACH UNIT Sl1BTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage
2 635 635 730 291 4 2540 2540 2920 1164
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 6 4012 4012 4354 2074
6-PLEX BUILDINGS (without basements - 6C buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage .
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 6 3913 3848 4219 2051
6-PLEX BUILDINGS (without basements - 6D and with basements - 6E buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566
36 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 2 0 0 2650 552
TOTALS 6 3814 3684 4084 2028
7-PLEX BUILDINGS (without basements - 7A and with basements - 7B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1108 - 283 1 1171 1106 0 283
2 635 635 730 291 3 1905 1905 2190 873
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 7 4548 4483 4949 2342
8-PLEX BUILDINGS (without basements - SA and with basements - 88 buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1 st 2nd Garage X# of Units 8smt 1 st 2ntl Garage
2 635 635 730 291 6 3810 3810 4380 1746
34 736 736 717 455 2 1472 1472 1434 910
T TALS 8 5282 5282 5814 2656
8-PLEX BUILDINGS (withouf 6asements - 8C o )
EACH UNIT SUBTOTALS
Unit Bsmt ist 2nd Garage X# of Units s tst 2nd Garege
.1 1171 1706 - 283 2 2212 0 566
2 635 635 730 291 2 1 0 1270 1460 582
3b 736 736 717 455 2 1 72 1472 1434 910
4 - - 1325 276 2 0 0 2650 552
TOTALS S 4~4$54~5544 261
-
CITY USE ONLY 9
~ g ~ ' ~ RECEIPT
SUBD. ..ti, T~@~d ~OUT~I/~'OSycQ4 a RECEIPT DATE 9
APPROVED BY: ,INSPECTOR
199$ PLUM$1Nfi PEiiMIT (CONIMEiCllkL)
CITY OF EAHAN
3830 PILOT KNdB {tD
E1k6AN, MN 551 E8
(612) 661-4675
Please complete for: atl commerciaVindustrial buildings
multi-family baildings when separate building pertnits are not required for each dwelling unit
backflow preven[er to be installed in commercial arzac or residential boulevards
Date: Z2ON~ Work Type: ~ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ
Description of Work:
To ioquire if Pressure Reduciog Valve is required on new service, ca11681-4646.
P$ES
1% of conhact price or $25.00 minimum Contract Price: $ Q~~ x 1°a = $ 2 V v
COMPLETE THIS AREA ONLY IF INSTALLING IINDERGRDIIND SPRINKLEIt SYSTEM
Service: Existing (if coming off domestic line) OR 2~ New
Backflower Preventer Permit Fee»»»»»»»»»»»»»>>>>>>>>>>>>>>>>> $ 25.00
Water Flow GPM
WaterMeterl" @ $189.00 or 2"Turbo @ $871.00 $
Ij "new servrce" add Water Permit $ 50.00 = $
State Surchazge $ .50 = ~
WAC $ 807.00 = $
Water Treatment $ 444.00 = $
Permit Eee $ • ~n
State surcharge is $.50 per $1,000 of ep rmit fee or minimum of $.50 per permit State Surcharge $ ~
Total Fee $ 2^'DC) ' ~
I hereby acknowledge that [ have read this application, state that the information is correct, and agree to comply with all applicable Ciry
of Eagan ordinances. It is the applicanYs responsibility to notify the properry owner that the Ciry of Eagan assumes no liability for any
damages caused by the City during its nortnal operational and maintenance acdvities to the facilities constructed under this permit within
Ciry property/right-of-way/easement.
5I7'E ADDRE55:
TENANTNAME: dGf~~~~~Z
INSTALLERNAME: TELEPHONE#: ~~~-o?1e~I
STREETADDRESS:
CITY: C Y.~~~~•'~° STA ~OA/ ZIP:
~~L
SIGNATURE OF PERMITTEE
,
CITY USE ONLY
COMMERCIAL PLUMBING PERMIT -1998
METER SIZE PRV _ Yes _ No
Domestic
Irrigation
UTILITY CONNECTIOIV (APPLIES TO NEW SERVICE ONLY)
$
To determine meter s'ize
' See if it is indicated on back of Building Inspections card
' Enter address in PIMS Screen 301 to obtain S&W permit #
' Check PIMS Screens 110 (Remazks)
• If gallons per minute are less than 25, a 1" meter will he required. If gallons per minute aze more than 25, a 2" turbo with strainer
will be required. This information is to be supplied by the designer of the system. Consult with Plum6ing Inspector if Licensed
Plumber does not know GPMs. '
Before selline meter
' Check PIMS Screen 320 for aporoval oF inspecrion resuUs. No meter will be sold before ali sewer and water inspections are complete
on a new service. [f new service lines are not required, one check may be written for meter and permit cosu. Write meter type and
size on receipt, code ta 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk.
* Enter meter size, type, receipt date & amount paid on P[MS Screen 110. Copy of receigt should be given to Utility Billing Clerk.
Miscellaneous Information
•'[he installer is to contact Building Inspections at 681-4675 for inspecHon of the inside water line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water tum-on.
• [f ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over Ihere.
CD/Permit forms/plbg permit (comm) 1998
~
CITY USE ONLY
L BL q~ RECEIPT#: f
SUBD. ,~~JQ.oc~..~. I-0- ~ o` J RECEIPT DATE:
APPROVED BY: INSPECTOR
199$ MECHI4NICl4L P£RMIT (CO1HM£RCIAL)
CiTY OF Ek&tkN
S$SO P1LOT KNO$ BD
ERcHAN, biN 55122
(61£) 6$1-4675
Please complete for. all commercial/industrial buildings
multi-tamily buildings when separate permits are not required for each dwelling unit
~
DATE: CONTR.ACT PRICE: Q'11v !
WORK TYPE: V-."NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: ~A~Aaw ~lj1, 6N41a - LS - C~~T%1~77d/U
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
~
CONTRACT PRICE x 1% a ig.
PROCESSED PIPING '
PERMIT FEE 4geLd
STATE SURCHARGE ~sd ($.50 per $1,000 of oeratit fee due on all permiu.)
Aao.
TOTAL
Al,t)&• ;?A u~ola u~oi flA1n1IAG 1J~~
si~ .~DxESS: ..d yl8g' y! 96 4] 9l 419y 419G- 4?4f! R
OWNERNAME: '16'f/t,I /1* ( PHONE#: /'-.3~r7q
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLEI2: 1141N I~) YVLJLYL Tl t L &
a,DDREss: 1ll~31 0.141er{t-,U IJ'Lr PHONE ~7i S-G~7
CITY: ~l STATE: ZIP: Ssya 7
SIGNATURE OF PERMITT E
CITY USE ONLY
LOT BL RECEIPT
SUBD. RECEIPT DATE:
1996 MECHAIVICAL P£fiMIT (ftESID£NT1AW
C11'Y OF £hfit4N
S$SO PILOT KNOB itD
EAcHkN allV 55122
~j~G,~// (612) 681-4675
Da[e: /'6'`51j
Complete th.is sectian onb! if you are installinG HVAC in sing!e fami:y, Lovmho.:ies or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not re uired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fumace Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
TataL ~ 20.50
~se.?~t~. ~
SITE ADD S: 9~o n
~ 1 1
I
OWNERN O q
INSTALL R E:
i
STREET A
CITY: ~ 11 , T
~ SIGNATLl OF PERMITT
1S/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L _L BL III RECEIPT#:/DI VOO
SUBD.40 ~ /AGi9x~~ ~ RECEIPTDATE: ~
1999 PL[1M$INC PEfiMIT (RESWX17AL) ~
CITY OF E4fiAN
8$30 Pll.OT KNOB RD
EA1fiAN, lfN 55122
(651)6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
- + Y ~
FIXTURES EACH ~ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under mnstruction 5.00 X =
Water Softener ' for existlng dwelling 30.00 x
U.G.Sprinkler ' for dwelling under const. 3.00 =
U.G.Sprinkler ' forexistingdwelling 30.00 =
AlteratiOnS ' to existing resieence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' nbandonment 30.00 =
RPZ (new installationlrepair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 667 -46T5 for inspections of water heaters,
water softeners, alterations, etc.
, TOTAL 3~LO
• • -
1 hereby acknowledge that' " - ~ - ' " ' " ' ° is cortect, and agree to oomply with all applicable Cily of Eagan ordinances.
It is the appliranYS respon LpMBERTZ, HEIDIlfONY n assumes no liability for any damages nused by Ne Ciry during its normal
ope2tional and maintenai 4190 RUNNING BROOK ROAD trmit within City property/right-of-way/easement.
SITE ADDRESS: EAGAN, MN 55123
- (651) 892-8478
OWNER NAME:
INSTALLER NAME: NOIQ,01-UWI ~4..i~iUl ~I /JG~ TELEPHONE
STREETADDRESS:
CITY: STATE: ~j ZIP: S 08
SIG4446 OF PERMITTEE
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
2422 Enterprise Orive
MenUOto Mcights. MN 55120
P10r406R ~u+o wavcYoR: - UNL [NGINCCIIS (612) 881-1914 FAX: 681-9488
* enp n~~r n~ L4Np PlIJ1NER5• LANpSCME aCHI1EC75 6 25 Highway 10 N.E.
Bloine, MN 55434
~ ~c * * (612) 783-1880 FAX:793-1883
Certificate of SUrvey for: TOWN & COUNTRY HOMES
SCALE : 1 INCH = 30 FEET BENCH MaRK
6ENGH MARK 145.67
TOP Or PiPE 0 ~ ~---J~?---'-~----' 70P OF PIPE
CI.FV.=884.01 i 23.00 i 34.33 I 17.17 1 17.17 i 34.33 i 23.00 i ELEV.=883.32
~ I"
i 16 ~
1 I
19i ~N p ~ 1~ I o~ ~
I r .67 Pi 2400 Z.67
i W
7.00 i o 21.60 i w
$ I~ ~ N ~ v I a ~ ~ , ~ >
W I°d I N N I i I ~
NO IS I 1.7 v°i i ~.79 hi ~vN
5~ J i `~0 ~ Q ~n
vW oi .70 I v 1.70 ~J `se m p
w B FFO 0 9 Z2 IWICTH p E F'70 x
aw A I BUILDI8D B~AY WINDOW OPTION i N
~ ON U~11TS A!AND F
~
~
O ,(G - i
jo " lo / ~ O~ or f/ 67 7 ~ ~ p~
~o lo D~S6~ 1$ ol oi ~ ` gl OI
BENCN MARK 1O ~a io oi di oi oi gENCH MARK
TOP OF PIPE
TOP OF PlPE i~ 73.00 1~ 34.33 i i7.17~i 17.17~1 34.33 1 23.00 i
~-----e -----------e ELEV.=88221
ELEV.=885.14 0 1 4-9.00
PROPO5ED HOUSE,FIFVATION FOR UNITS A B. C k D PROPOSED HOuSF FLEVATION fOR UNITS E& F
LOWEST FLOOR ELEVATION: LoWEb i ~6...1, -wc+ATIONt
TOP Of BLOCK EIEVATION: TOP OF BLOCK ELEVaTiON:
GARAt3e~L8~*TiON; GnRAGE SLA6 ELEVAnON:
L~ W
~ _ .
BY I r 883.7 's _ ~ - - -
/•s °sV27 w 142.12
UILDI ~G INSPEC,~~ pROPOSF~I~ DRIVEWAY-
I C~~`ry`'~' ,1 < a, ~ ` f1C~~5~~'.ic~..!: : r, ,
84. sa.
i
~ 2g'6W'
I N00°O8"33 7.77~- ' j
I ~ M0
F
A I B , C~ D, E L
to~ I y ~
i J16 8~-111 -ttt III 111- 11- ~
I i ~ 50 -/6---• - ' IIliI--i--• M ---es.so /
589O°5l'27"W~ 160.40 ~8'33'•E
NOtE CONTRACTOR MUST VEAIFY DRIVEWAY UlSIGN
NpTE: BEARINGS SHOWN ARE BASEO ON AN ASSUMEO DANM
NOTE: PROPOSED CRADES SNOhN PER GRhwnG PuN BY: PiONEEn eNUnEERING
` LOCATION
NOTE: ~I~~UG~RES 1 0NL~~~~Rp7iiCNR~RfZnNS L FOAND R eIAING ~N~
X ppp.p0 DENOTES CX157iNG ELCVATION
( 000.00 ) OENOTES OROPOSED ELEVAlION FWHOAnON DIMENSIONS.
DENOTE$ OadINACE PND UTILJTY EASEMENT NOTE: NO SPECIFIC SOILS INVESTIGA1i0N XAS BEEN COMPlE7E0 ON iM15 LOT BY ~E
DENOTES DRNN{GC ROW DIRfCTON SUROf'K1R. THE $VITABILITY OF SMLS TO SuPPORT T11E SPEpFIC HOUSE
---r- OENOTES MONUAIENT PROPOSEO I$ NOT THC RCSPONSIBIUTY OF THE SURVEYOR.
-9- DENOTf3 OFFSET MUB NOTE: THIS CERTIFICA7f DOES NO7 PURpORT TO SHOW EASfMENTS OMCR THAN
THOSE SHOwN ON THE RECORDED PLAT.
WE HEREBY CER7IFY TO TOWN & COUNTRY HOMES S}iAT 7HIS IS A iRUE AND CORRECT RSPRESENTATiON OF A
SURVEY OF THE BOUNDARIES OF: .
LOT 10, BLOCK 1, EAGAN HEIGHTS TOWNHOMES 2Nb ADDITION
DAK07A COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENGROACMMEN75, EXCEPT AS SHOWN, ns SuftvEYED eY ME OR
UNOER MY DIRECT SUPERVISION THIS 27TH DAY OF APRIG, 1998.
S NEO• PIONEER GINE RING. P.a.
SCALE : 1 INCH = 60 FEET ,
~
1448 97231.13 PJH John 0. Lorson, ~•5. Reg. No. 1982B
ze.,d
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICA ON
~ PROPERTY LEGAL: 6 -2
~ DATE OF SURVEY: ~
> LATEST REVISION:
~ S t; DOCUMENTSTANDARDS
s z
0-~'o ? • Registered Land Surveyor signature and company
Ca~C ? • Building Permit Applicant
[3~'(] ? • Legal description
? 0~' ? • Address
C~9 ? • North arrow and scale
o~ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
EY'~-o ? • Directional drainage aROws with slope/gradient %
o~ ? • Proposed/exdsting sewer and water services 8 inveR eleva8on
?-'o ? • Street name
0--'0 ? • Driveway
ELEVATIONS
Ustln
? • Sewer service (or Proposed)
2"~0 ? • Property comers
El~ ? • Top of curb at the driveway
? (3 • Elevations of any ebsting adjacent homes
ro ed
[a~ ? O • Garage floor
.0- ? ? • First floor
0--~? ? • Lowest exposed elevation (walkouUwindow)
? 0, o • Property comers
O--~ 0 O • Front and rear of home at The foundatlon
PONDING AREA fA aoolicable)
? O'~ o • Easementline
? iFy-, ? • NWL
? tY? • HWL
O 15,0 • Pond # designation
? L~o • Emergency Overflow Elevation
DIMENSIONS
~I ? • Lot IinesBearings 8 dimenslons
? • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all sVuctures requiring permanent footings)
~o ? • Show all easements of record and any Cily utilitles within those easemenls
• Setbacks of proposed strudure and sideyard setback of adjacent existing structures
? ? • Retaining wall requirements, if any
Reviewed:
N me / Da e
January 1996
CRA1G199BIBlOGPRMIT.FM
h
HOUSE HEATING TEST REGORD
ADDRESS F-r'' APT._FLOOR CITY~SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Eloctricol Werk By Ges Line By
TYPE OF MEAT GA _ FA x HW -STEAM _SPAGE MTR. -UNIT H .-OTHER
D CONVERSION
MAKE K~S IGN MAKE OF BURNER
Model _T G . Abdel 4637 s.,;,i M2.~ SL F l Z~ icago ve. So.
Max. BTU Rating inneaPo is, MN 55407-3592
INPUT ~uV MAKE OF FURNACE
Modsl 825-6867
CONTROLS ~N
THERMOSTAT ~ Haat Pfuq Vene Si:e
Volvs W'R KIND OF LINER SIZE NONE
Limil !:7:k ,"i Dra(t Hood Ropulaior
LimitSeMinp {35 Filtan Size Number - -
Fan Sstlinp Chimney locotbn Inaide Outside
Pilot Type k Ss CJhimnsy Conatrudion 13'?G-A,K
Pilot Make '
Pilof Model $moke Bomb Wirin9 -
Pilot Timinq 7 t~ DraFt Teat Tap
L.W. Cut 0(f Door Praasurs Lightinp Inst.
Pressure Percent COZ Dote Testsd ~ q
InPutCFHPercenf 02 ~ o CompanyTasting s.[B
Stock Temp. Perpne CO Name of Tseln ~JM _
Fwm 235
i -
HOUSE HEATING TEST RECORD
ADDRESS ~~~'Z ^~?i~4wc K-r[xJk- V-8 pp7,_FLOOR CITY~SUBURB
OCCUPAN7'/UZS/- P- !L<.kw...~ OWNER
HEAT LOSS DATE HTG. I 5T.
SOLD BY INSTALLED BY
Ebdrical Werk Br Goa Line By ~
TYPE OF MEAT GA _ FA )C HW _STEAM -SPACE HTR. -UNIT H ._OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
M,d.i p o c93C 13(3 M,doi RA N. WELTER HEATING CO.
s«~ai 5 S`l% v Ma:. sru Rer;no 4637 Chicaqo Ave So
INPUT '01VU0 MAKE OF FURNACE Minneapolis, MN 55407-3592
wa.i ~g 6867
CONTROLS
THERMOSTAT Heaf Pluq Vent Si:a
Volrs AJ"~ ~ K1ND OF LINER SIZE NONE
Limil I e-~ Droft Mood Requloror
Limit $eMinq Filron Si:e NumMr
Fan Settinp TCmt-cf Ghimnsy Locatbn Inside Outside
Pilot Type ~'SZ Chimney Conatruction
Pilot Mak•
Pilot Mam Smoka Bomb Wiring -
Pilm Timinq 75c~ Draft Test Tap
L.W. Cut OI( Dow Prassure ~ Liqheinp Insf.
Prsssure 3~ J^~G Percent C02 e/ Data Tostsd 2' I-
InputCFH 6y"0 P*re~nt O 7l Testing
Stock Tomp. y~ P~rc~nt CO2 dr~ NameoF Testor ~vy"'
Fwm 235
~ .
HOUSE HEATING TEST RECORD
L /
ADDRESS ~V1I11vLY ENc~lC ~/1 AP7,_FLOOR CITY~_SUBURB
pCCUPANT ~A~.~ Gc~~ ~ OWNER
HEAT LOSS DATE NTG. I 5T. F~
SOLD BY INSTALLED BY A
Eleclrical Wark By Gas Lim 8y-
TYPE OF HEAT GA _ FA _A,-HW _STEAM -SPACE HTR. -UNIT HTR. OTHER
G 5 DESIGl1 CONYERSION
MAKE C~ Q MAKE OF BURNER
Mod~~ -Tb J ~ 36L Modsl RAY N WELTFR HEATINCa B9
s«iai Maa. BTU Roeinp 4637 Chieage #~ve. 8a.
INPUT G0.002 MAKE OF FURNACE
Model
~j CONTROLS
THERMOSTAT Heot Plup Vmt Sixa ~
Valve W' R KIND OF L1NER SIZE NONE
Limit ~l gYC-A y~ r Dmfl Maod Reyularor
Limif SeMiny q*waw Filhra Siz* N~mbsr
Fan Ssttinq ~d Uiimney Location Inside Oufsid.
Pilot Type Qiimney Consfrudion
Pilot Mok•
Pilot Modal Smeke Bomb wirin9 -
Piloe Timinp 7_aeS-'- Droft Tese Tap
L,W, Cut 0(f Door Prassura Li9htinp Inst.
Pressuro~~y uL Pvcm1C0 A /0 Da1eTeitad 1°2'1' S
Input CFH !~;"L,000 Parwnf 0Compony Toiting
2 M
Stack Temp. ~2S • Pnonf CO ~v~ Name of Tsafer ~h ~ -
Fwm 235
J n Qa L.~ O PLIIMBING (RESIDENTIAL)
Permit Application 415'-S-z)
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
Date
Site Address Uo,t #
Property Owner Telephone #~!S I) rl U a 1'~ J
Contractor . l ~ ~iy 1 Ww~~~io
~0.:~t AL
Address ~f Q:)V-e- `W CiTy W 1
State Zip ILO Telephone Q "11[) ~ 0 /
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consuitant fees may appiy.
Alterations To Eaisting Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installaUon _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Y' Water softener _ Water heater $ 15.00
P replacement _ additional
r
i
State Surc6arge $ .50
Tatal `t _ ~
I hereby apply for a Residential Plumbing Permit and aclaiowledge that the informauon is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wi[h the
approved plan in fli9e case of work wtuch requires a reuiew and approval of plans.
<
p icant's Printed Name ApplicanYs Signature
10l0312008 11:26 6128616267 SEI EXTERIOR MAINT PAGE 18
~ $Gr ZfZ
I
I
VA~~ O~ ~LLLLiI j Pertnit#: ~'7~ j
I PerR+kFew
i
3830 Pllot Knob Road l
Eagan MN 55122 i n~ R~l'~: / O~~ I
phone: (651) 6755675
Fax: (651) 675-5694 i Staff: I
~
2008 RESIDENTIAL BUll,l]1NG PERMIT APPLICATION
oate: fD131 08 SiteAddiess: /IltNlv/N!r aZoU.0~ ROAO
Tc~; y/SG 5~/88 H/ro y19~, yr9y."/i94 /s~? suieete:
-~--~----i~ ,
ftESIDEM /OWNER Name:70 DUQAIV b s~SSdGrf/7tS Phone: 651 ' 4~CV- 7300
?.S
Address / City ! Zip: , 222 ~PRND dVE df/ J`~O- $7. pfl(IL M!(l
Applicantis _Owner Contraetor TYPE OF WORK Description of work: &0}ile AN/) /QE'~i G~L.r QDl~F
Construction Cost: t .23 -1CY> M, MuHLFamily Building: (Yes No~
CONTRACTOR Plame: EEr QCTERIO A4tkM: C.6 p License 2002- 133 z 31A-f 105
Address: 4D'S G1/ 6D ~ S1Rtzr -
city- Af AlflE07 LIS _ State: AlIv_ zip: 45W-19
Phone: lo/2- 81i/- Z2113 Contact Person: ~9T,~7/_ /f9•
CppqPLETE THIS AREA ONLY FF CONSTRUGtING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Ru(es 7672
Energy Code T. Residential Vartilatian Catagory 7 WorkGheet New Enargy Coda WoAcsheet
CatBgpry Submltted SuhmHted
(4 Supmfsslon type) • EnercJy Envebpe Calwlations Submitted
In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan based on a master pian?
_Yes ,_„_No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical ContracSor. Phone:
Sewer 8 Water Contractor, " phone:
NOiE p/ahs antl suppbrhnq'doaumeh!`s thatyeii S0Mttato cioutsi',1J'ex*I1o He pbblicJnfornratfon PorSorrs of•
d~e mfoi»tatrorr may 6e ct8ss~~ as ndr~ py~ubfi~~ Jf ypOV pro~h~"~yu.1s~L'i'ci6 Cre~8br1~ ~at wou?d p~rmrt the: Cily to `
I fiereDy edcnm•nedge tht+t thls (rAortnatian is oomptete and accurata: Mat tne wodc wm be In oonformanca wkh the ordlnaneo: and wdeB of the City af
Eagan; that I understand this is not a permlt, bul only an eppfcelion for a yermk, sntl wprc iy no! !o steR without 9 permk; that the work will be In
accordence wilfi the appraved Qlen in th¢ case W work whiCh requires a revlew and epptOV21 of plarw.
x CIl~P_rs IQa~¢sd~? x L;~•u•s"
ApplicanCs Printed Nama QlicanCs Signature
Page 1 of 3
7/ ~
i %i ~
I.~
~
~
~
f n1
I Permit I .l
Clty of ~~~a~ 2009 1
~
~ Permil Fee: ~7rn v
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received: lY ' S
Phone: (651) 675-5675 ~
' Fax: (651) 675-5694 I statt: I•, . I,
I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: Ay)4Q~~
41,79
Tenant: Suite#: , ,i•I ,
RESIDENT / OWNER Name: Phone: Address / City! Zip:
CONTRACTOR Name: License _42 ~?1-t
Address: .i ~
3870 Opdd R4. 0100 City: St e: Zip:
Phone: Contact Person: ~ LJ
i'
TYPE OF WORK _ New ?Replacement Repair _ Re6uiid Modity Space _ Work in R.O.W. I y.
Descri tion of work: L~26U-kr
PERMITTYPE RESIDENTIAL ; ?Water Heater Water Softener
~
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) . Main _ Lower Leveq f ~
Sep[ic System _ Water Turnaround
New
Abandonment .
RESIDEfYTIAL 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 $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as huilq (includes County fee and $.50 State Surcharge) :
$90.50 Fire Repair (replace burned out appliances, duclwork, 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 ihe City of ~
Eagan; that I undersland this is nol a permit, but only an application for a permit, and work is not ro slart withoul a permit thal the work will be In ~
accordance with the appwved plan in the case of work which requires a review and approval oi plans. ~
Appl c t's Pri3R nted Namb APPlicant`s nat~ .
TirF
eU U ir~sp~ct+Oris ~ z Und2rGcound Rptlt h In ~irT~~'~ .~~~s T~H ~s Fiha~ ~ ; '
t 5i~
I 4}~.
~
41 VA r 91 &6 ,,4 Vb& A V10 Use 3LIalE or BLACK Ink
41cl21 'Im4i .4 ~UlV1V11 i
I For Office Use
I I
" I Permit , I LS Oi
I I
- Coly of Eap
I Pug I
I Permit Fee: ~ Pug • ~ ~ ~ /
3830 Pilot Knob Road I I
Eagan VIN 55122 j Date Received: 5
Phone: (651) 675-5675 I I oZ !
c~ I
Fax: (651) 675-5694 j Staff: U~~ I
t-----------------I
013 COMMERCIAL BUILDING PERMIT LI i H
Date: Site address:t qb I
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
E
Name: Phone:
Property Owner Address / City / Zip:
Applicant is: Owner Contractor
i~ g-
Type of OL Description of work: Re-
Construction Cost:
Name: License
;tor Address: -=-City: --'C.
State: Phone:
Contact: Email:
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
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
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude thEt~ they are trade secrets.
BALL 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.gol)herstateonecall.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 rewires a xeview and approval of plans.
Applicant's Printed Name Ap t cant's SicU. nature
Page 1 of 3
cQ n5pecP;013 q10
4,11' City of aau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
dor Of b Use
Permit #:
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: c2" 111 Site Address: / ki.4.47 / t% 7 roQ1(
Tenant: 1 ea o t/51/7
Suite #:
RESIDENT / OWNER
Name: De -i t'/5
Address / City / Zip: I /7 Ru.rl✓l lel?
Applicant is: Owner )( Contractor
TYPE OF WORK
Description of work:
Construction Cost: Multi -Family Building: (Yes / No _i
Phone: 6/$'6'Z —? '5/
0rii2Amom" Pze. Re-Prif/-7erif
CONTRACTOR
Name:
Gre $ f License #: Zc.3` 2o5"2 -
Address: G-2-392_ d ipp -r7 diq/e
City: Fa -Oiling 4 e? State: /71/1/ Zip: `454
ff !! ' Sc �tl /1 e5/ 960 1/S
Phone: lP�� "' 1aC� Co/ �� Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
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 documentsFthat 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 thattthey 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
:+ccordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148186
Date Issued:03/13/2018
Permit Category:ePermit
Site Address: 4184 Running Brook Rd
Lot:301 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID:10-22426-04-301
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean L Olson
4184 Running Brook Rd
Eagan MN 55122
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177580
Date Issued:07/08/2022
Permit Category:ePermit
Site Address: 4184 Running Brook Rd
Lot:301 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID:10-22426-04-301
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean L & Mitzu Olson
4184 Running Brook Rd
Eagan MN 55122--194
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature