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4954 Rusten Rd INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: ' ~ ~ + ~ + r~ ~ , 3830 Pilot Kn~b Road Permit Number. 3 4 7 ~ ~n, Minnesota 55122-1897 Date Issued: ' - ~9 ~ (612)681-4675 SITE ADDRESS: ' " ~ ~ ~ ~ ~ ~ ~ " APPUCANT: ~ r, r~ ~ !i 1 t~ i!. ~ N Ril i~~~ s~!;,~~~t~t, . , , PERMIT SUBTYPE: TYPE OF WORK: , . ; r i ~j . . , ~ ~ ~ , E ~ ~ . ~ , , ~ • , , , i , ~ _ _ r , . ~ . ~ ~ ~ J Permit Holder Date Telephone k PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FQUND 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS coN~ucnvm TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG ~ p~ a DECK FINAL ~ ~ INSPECTI4N RECORD CaTY OF EAGAN PERMIT TYPE: - ~ ' ' ` ' ~ ` . 383~ Pilot Knob Road Permit Number: y µ , Ea an, Minnesota 55122-1897 ' ~ ' ' 9 Date Issued: (612) 681-4675 ~ , SITE ADDRESS: , , ; APPLICANT: ~ i~~:7f?~ ftfr . ~ , i . • . ~ PERIIAIT SUBTYPE: TYPE OF WORK: ~ ~ . . s. i r~~~ ; ~ • r ~~I 1 I•~~ t I ltt 1(~,~ ~ i~ i,~ hflllf~~~ I!d 1' ~ < I + { i i { t { i'~ A'~i11.h . . . .l ~ ` I,I I ` ) ~ , ~ - 4 ~ ~ ~ - . . . ~ . ~ ~ . - ~ ..s' . . . . ~ Permlt No. Pe?mlt Holder Date Telsphone • I ELECTRIC ~~g~ a i ,S 9~ y~ PLUMBING ~ S~/5~97 ~~3-//~l HVAC y~s q~ ~~3 Inapectlon I p. Commsnts FOOTINGS Y~~/Cl ~ ! FOl1ND yl~,/q~ ~ , FRAMMG •I(. `5/.~/~i7 oriC ,Zt~»oc+ ROOFING ROUGH ~ y PLUMBING , (jb~ PLBG ~ ~ AIR TEST ROUGH HEATING GAS SVC ~ ~ ~ TEST INSUL ~ S/~3/y~1 w~ GYPBOARD FIREPLACE zIC~ FIREPIACE AIR TEST FINAI PLBG ~ /O FINALHTG le !r ORSAT TEST BLDG FINAL ~ ~f f~ti BSMTR.I. S'~(~~~ ~8 BSMT FINAL DECK FTG DECK FINAL . . _ _ _ . ~ • ~ ~ is.. , . ~ ~ . ~ ? . r C~;ertc~CCate v~ ~ccu.~anc~ ~i#~j af ~agan ~epartmeut of $xilbiatg ~a~~ection This Cerrificate issued pursuant to the requirenoents oj t r~`e*.Uniform Building Code cenifying that at the trme of issuance tlris strrecrurn was in compliance wirh the various ordinances of the City regulating building consrrvcrion or use. For rhe followir+g: Use Clusifintion: ~ Bldg. Permit No. oaa,P,,,~r Type R3/U 1 Zm;og oisond R 1 rypt canl. VN o.~ or e~~lm~ RYf1~D I;I"ES wm~ ~q00 E 74'II~i ST~ MFiS e,~~w~~ ~ae~ 4qY+ RUSffi~i ~QAD t,o~~~y L 17, B2. r'..F~IAR EiEI(~S ~ ~ ~ , ~ ~ ew~ o~r~ POST IN A CONSPICUOUS PLACE - i ~ ' T~~. l - ~ . . f . _4r .~1L ;M. b ~ ~e~ . . . . - - - . . ~ . . . ~ , . , . . ..~n ...._s-..l~--'d .....~iv._~~iSL:=~_ ~.i.w...:~~.'_~i~E1`Ki Address 49s4 ?tlJSrar ~onn Zip 5512 2 I.o[ 17 Blk 2 Sub !~nau r~.TCarrs THESE ITEMS WERE / WERE NOT COMPLET'E AT THE TIME THE FINAL INSPECTION. ~ate: ~ g ~j'7 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Petmanent steps (main entry) Pecmanent driveway Petmanent gas Sod/Seeded gtass TraiVcurb damage Porch ~ Basement finish rno.y, s ~;..~yL. Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply w the outside lawn faucet before freeze potential exists. Cantect engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Conuactor Copy ~ _ ' OFFICE USE ONLV This reqeesl wid 18 mon~s from validafion dola prinled in this box. IIIIIIIIIIIII~I~IIIIIIIIIIIIIIIIIIIII~~ ~~--u~l~,~ (~~~7 ~59 ~ s 0 4 1 8 6 0 L L*~`/~g7 ~~EpgE9 RINT OR TYPE ~~~J`~ ~ Request Wie ~ poughin inspecnon requirad? es ? No Inspecrim Olhx Than Rwghln: ? Ready Naw i Coll ~You must mll ihe inspador whm readyJ D Reody: I, icensed conhacfor ? owner hereby request inspection of the a6ove elech' I work a~ l06 Addrm ~Srcce~, eox, or.Rw~e ~ Ci y 5~ ~ ~ Se tion No. Twmshtp Name a Na. Ranga No. Firo No. Cw ' ~ , ~~~'t,~,~ P~-~ ~0 3 C~ Povrer ier ~ ^ Ad~r€S Y ~ y ecm I C ciw (Com ~ry Nome"~~ ~ Conhado licenx No. / Moxhr lic. No. ~Phm HecL Only~ ~t- 7 ! b in ress (Conh«t« « Owner P mi Inslallorio ~ ; ~ ' ~ Au rized i hr~p /o~nfr~ocroror nsmllorionj No \ ' V Cl E 1 I/96 STATE HOGR~ COPY - S iROGT10N5 ON BACK OF YELLOW COPY 5/~J 9`J SiEQUEST FOR ELECTRICAL INSPECTION ,O~ p 11 ~1 [3 fl, ~I ~ Menn Univers ry A ea Rm. Se128,15t. Paul, MN 55104 - ~f10 V1 P~ ' (Fiz~ sa2-osoo i~?-. - ome Duplex Apt. Bldg. Olher: Nev/ Addn Commerciol Indushial Farm Remod Re ir Air Cond. Htg. Equip. Water Hh. Load Mgmt. Other. D er Ran e Elx. Heaf Tem . Service "X" above fhe work covered by fhis reques[ Enfer remarks in ~his space and on the back of the whire copy onfy. z-z= ~~a ~ r~ 2~,~ - i~ z~`~~,L% Calculafe Inspec/ion Fee - This inspecfion Requesi wif! nof be occepfed withaW the wrrect fee: Other Fee # Service En[rence Size Fee # Circuifs/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps Sheel Lfg./Tmffic Sig. Abave 200_ Amps 100_ " s Tmnsformer/Generator INSPECTOR'S USE ONLY ~ ~ C ~ Sign/OWline Lfg. Xfmr. /~p~S~ ~ / Alorm/Remote Control / l ` 7~ Swimming Pool ~ ~ ~ I he.eb cem ~hor s n Ih' ~ i an ihe dares smn.d ~ Irtigation Boom Ro~g'Mn Dale +f Speciallnspeclion _ ~ fma~ Da~/'. Investigative Fee (p THIS INSTALLATION MAY BE ORD ISCONNECTED IF ~ T COMP - WI HIN 18 MO TH . ,4 PERMIT ~ ~ ~ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u z ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 9 7 (612) 681-4675 Date Issued: 0 7/ 01 / 9 8 SITE ADDRESS: 4954 RUSTEN RD LOT: 17 BLOCK: 2 CEDAR MEIGHTS P.I.N.: 10-16725-170-02 DESCRIPTION: ~ Bw'~lding".Permit Type pECK ~uil~iin~~ Wtzrk Type NEW ~°~en5us Code~~'~' R3A ALT. RESIDENTTAL l.. j e. L t~) / ~ r~. 3Y1~: 't. . ~~e'Y~ ' ~ 1, ~e ~ . . °~w\ ~ ~ f ' ~ . k ~ a~ .s. _ _ _ l.. ~"r.F_-=? ~ ~ REMARKS: PLAN REVIEWEIJ BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $5~.50 ~ CONTRACTOR: - Applicant - ST. ~2C. OWNER: FARO, DWAYNE 1q633997 20093308 WAYNE MICKEY 3260 232N0 ST E 4954 RUSTEN RD HpMPTON MN 55031 EA6AN MN 55122 ~612) 463-3997 (612)894-2728 i here6y acknouledge that I have read thi:s ~pplicatian and state tha~ the informat3on is correct and agree to comply with ali applicable State ofi Mn. ' Statute~ an;:d CfCy ot Eagart Ordinance-~. L ~ CANT/PER E SIGNAT RE 5 B. SI U - ~;kr..~:YCyc~c:~,...,.~k~c:~BY,:~k:~:;;:M~':~k~~'~!:X>~~WY;~X~w,~::%:"ar~xk~v<Xc ,A CT7Y l?F L='A(,AN ^A84:::c;C: S T!-RT'i~'N~L N!]r DAT~:p (l~; /(7t;J38 'T'7M'-a ~1.S:t2';t,.i. r~i. t~'A'f'~ ~ ?p; p^pr~g e, y;;4 fi4Jf,T~ R RD ~0 yi.,,ti 9tl(]i. 4'3,°i4 IiU57kN iD 0, ~0 x• 'T'crt ~'L C,,ceipf, , mo.rnt e .~i0.:5p r~•n9~.~,:1 c ~,t~~-q T~~. ~'~I~C~/ Y,S$(W,.~:n~'..y_ ~'!SYE)#:;iY,;wY.•~Y....,a;ri;$•'~PFiF;X%iOF'k>;..`~t~KX,(kk:;YM>:::kXUk 998 ~UILDTI.YC= ~'~~~3"~ .~s:#'pLICA2ION QRESIDENTIAL) ~ ~ ~ ;.',TY C)]F EAGAN ~ ~ i rt ~ 3830 PII.OT KNOB RD - Sb122 ~~~ii~ "~V`~ 681-4675 ~ ~~a ~ ~ ~J' ~7 New Construction Reauirements ~~l ~'1 ~ ~J a?~ S RemodeUReoair Reauirements ~~~i 'y^~ G~!~ J~ ? 3 registered stte surveys ? 2 copies oi plan ? 2 copies of plans (inGude beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior addkions & dedcs) ? 1 energy plculations • 7 energy calalatlons for heated add'Rions ? 3 wpies ot tree preservation plan If lot pWtted eRer 7/1/93 requited: _ Yes _ No DATE: l~ G~ '-r CONSTRUCTION_ COST; c~ ~ O V DESCRIPTION OF WORK: STREETADDRESS: !.S ' BLOCK: SUBD./P.I.D. ~ E' ~ Name: ~9 ~l VI (~4! ~UI~ Phone ~ % ~ o,~ ( PROPERTY ~.ast eust OWNER Street Address:_ ~~`~~~j ~S ~~O , s ~ City State: Zip; ~l Company: J~ Phone ~ J 7~~ CONTRACTOR Street Address: ~ License tl b~ ~ ~'S Cih' ~(-o ~ State: 7 2~, ZiP: •'Z)"c7.2 ~ ARCHI7'ECT/ ENGINEER Comp P6one#: Name: egistra!ion Street Address: City State: Zip: Sewer & water licensed plumber (new construcdon ony): . Penally applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wfth a applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certficates of Survey Received _ Yes _ No Tree Preservation Pfan Received _ Yes _ No _ Not Required r„ OFFICE USE ONLY ~ BUILDING PERMIT TYPE ? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace , 0 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 Const. (Actual) Basement sq. ft. MC/WS 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 _L Census Unit O APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ Surcharge pian Rev~ew License ~ MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other • Copies 2 s ToWI: °k SAC SAC Units - ~-114 8 i ~ FOR RYLAND HOMES pLOT PLAN KURIN SURVEYlNG, lNC. ~ ' TN1S IS NO7 A BO(AVDARY SURV£Y ' 1007 JEFFERSCN ST. N.E. - i~~r ~rrirr nwT 1His ocm ri.iN wz va~eqm ¢r rE COLIABfA NEIf}(TS. IN. A42~ - anvoeiwoixarsservisiw, nulTMnr~wavasitr pROPOSED 3~ZS ~97 i5~1i 7ea-9~ee FAl( iei7i ~Ba-7ao~ sws nE ruca~a+r aF A wreogn euiioirc a ne ~vo DA7E eet~ ptywiem rw nNT i w n iea~s~ GRADES o- I RON AtOMJMENT o~~A~ BEARINGS ARE PER PLAT 0 34 ou+noe s~ne • :OZ°i,7 • • SPIKE SET = EXfSTWG ELEVATION ~ 111NNESOTA L I C 0. ~ L~~ 3 r~ OF BLOCIC - ~d PROPOSED E~EV . . 102Z.0 E- = DRAINAOE ARROM ScALE iN F'EET BAS6IENT FLOOR ~~~v~s~o 3 +z~ l4, . : ~ ~ ~ ~ RA~S~~ CaRAPG~ 0.5• . ; ~1 ; BY ` / o% !y,`; , L~o~i ~ DATE 3-z -q _ ~ : BUILDING I ONS ~FPT. ~4~'p¢' ~o ^ " ~ ; ~ ~ ~ c~/ ~ ~ s3.; ~ i~ ~(1 , N ~ ~ : M t~~~/ 11• A5~ o,/ ` 0 ' 3 0~ , / ~ v tiy~ ~'T~ S~`~". / ~l e~ I~ Y , r o i o -3 a ~ r- • ~~,~1( , ,ir 3 Y ~ e , ` 1;u e_____ 1~ ti ~~r! p ? 3 v~- ~j . , --T / g._/~J ~ p m s o r ~ F ~ J J 2 ~o / ' 'f d x'/~r, i .-~.-;~.:;r. ,~t _ ~J " 9 ~ ~ Z .r._.~ };i..~,~.,..~..~:y.:~e~.r~. ~a ~r~ ~ ~ ,n ~ . . OL ~ d } ~ r~ o i O ~ \ ~a i I Q e t~ c, ~ O. d- u1 3 l~ , ~ CL v's„~. ~ ; ~y y,~ .`7 ` ~ v , ; ~ , .o . y ~ Q ~ . . ~ ADDRE55:y95~1 R~s-reN1Zc~,~ 2~ ~ Q ~ ~ ~ a. r~) r~ O OC 3 ~ i~0 i.Llo'/ ` i A~C~ O`r OR1JL SNo~JN' ~~~5~ ~ . c~y , k ~r: ~ ~ s o ~ Y„ •°a ~ A1C~A 4F Sop ~No~i'. 4850~~Nr, '~~~c+e ~~.1 0~-~3~ ~tj~ d ~n ~ ~ w/ o ~ ~ C~' ~ . y p a, ~ 01 W°o^ `~t 1 J~ i / \ ~e~.0 , uv ~o _ i^fi ~}b`'~ ` ~~q~ I LOT 1 7 , BLOCK 2 . `J~~.e.~'~ V ~ ` ~ ~ 1 \ ~P : 'EDAR HE I GHTS . ~ ~''~s~~~•„ r ioLq~s~ ~ 5 : KOTA CO . , MN . ~QA~ ~~0~93~ ' Tc~~~.~~~w~.i . . . ~ ~ \QARj h ~~i~ ~ ~ e.X"'s4;::'k'~ ~.i~3#d:Xt%~"~RM R~~k~"t.",::a:W;~~~EYAESC>k3~~%C~3Y~,-Wkt ~ ~=T_T~l L~!= ~:'!3GFi'.i ~::fr'I.{'c3c S TcftM.i~'P,'... Aya ;a3 i,~+•,rCYc-:fCD'' T:'iyr;. :'.~i;:33'•:.`.i. !?"!..FSNr ~ _,c,,.~., ,.~,.~...a. 4~,~i~• .:!t+'"f-^J FC"J ~r,~ t' ~ - . .a~.>„ _ i~ o-i ` • , ~1. . ~ .F . . ' _ - . - e~y , ~f:.".~;.~.~~~'_.' r' ~:4L~..'YY':C ~ : ~~.F;~le^ii ISk3'~?'~'.}.'. _~~..~.~..._~._,s.~._' ~,a~_~m...c~.y~~_ _-..,-.-.z-«, _~<_=.-,.<~ .w..t"t>;JS -.5~k{;?'~sXY~, : • .•:':Y,~1t ~8~'~.x;:2r .:~.atn :rY,<%X , PERMIT ~-'CITY i~F EAGAN PERMIT TYPE: B u z t~ o z N c 3830 Pilot Knob Road Eagan, Minnesota 55122-7 897 Permit Number: 0 2 9 6 5 8 (612) 681-4675 Date Issued: 0 4 J 0 2/ 9 7 SITE ADDRESS: 4954 RUS7EN RD LOT: 17 BLOCK: 2 CEDAR HEIGHTS P.I.N.: 10-16725-170-02 DESCRIPTION: r~>.._ ~ ~ui~~ing Permit Type SP DWG ' ~~uiSd~:c~,g Work Type NEW ~3 UBC Occu~ncy R-3 U-1 Cons~YUaCia}a Type V-N ~nn~3.CtJ ~t -y R-1 Buildin-g Lengtti 48 ~ ~ Builds~ng Wid'thf~...~ 47 ~Beailtl'ing starie's 2 !x,~ ~l, ~,-~Squar~' 1,506 ~,``~'~~~i~g`"Code 101 1 - FAM. DETACH ~t ~ l tJ ~4` ~t i~ ' ` ) % yi j~ FS ~ ( ~ r; ~ ~ t ~ t Y~ . ~ ~ i.. ~ - ~ ' r ;.tJ S ~x"`F~:. , ~ REMARKS: S& W PL6R - STAR PLBG FEE SUMMARY: VALUATION $166,000 Base Fee $1,217.25 MISCELLANEOUS ~1,539.50 Plan Review $791.21 Total Fee $4,5$0.56 Surcharge $83.00 SAC $950.00 SAC 8 100 SAC Units 1 Subtotal $3,041.46 CONTRACTOR: - Applicant - 5r. pNNNER: RYLAND HOMES 18546363 200 5443 RYLAND HOMES 900 E 79TH ST 101 900 E 79TH ST 1 ~ BLOOMINGTON MN 55420 MINNEAPOLIS MN 55420 (612) 854-6363 (612)854-6363 I reby ackrtQwledge ~hat Z have read thas applzcation ahd state that bhe rmati n is cor`rect and agre~ tn aamply with all applica;ble 5tiata nfi Mr at te5 d Gity of Eagan fYrdinan:ees. L _ ~ _ _ _ _ ~ ~ r rn,~ P IC TlPERM EE SIGNATURE ISSUED BY: IGN dURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) .~p ~~S~Q, ~ CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55722 r,Q/,~,/ _I 681-4675 G`"^""'~ ~ New Construction Reauirements RemodeUReoeir Reouircments ? 3 registered sfte surveys ? 2 copies M plan ? 2 copies of plans (inGude beam 8 window s¢es; poured fiE. tlesign; etc.) ? 2 ske surveys (exlenor edtldions & Eedcs) ? 1 energy calwlatbns ? t eneigy calculatlons for heatetl addkions ? 3 copies of trec preservation plan H lot pletted efter 7/1193 ~ required: _ Ves _ No ' DATE: ~ a~„ G~ CONSTRUCTION COST: _Ibd, 000 DESCRIPTION OF WORK: ~ I STREET ADDRESS: ~ ~ t EQ LOT ~ BLOCK ~ SUBD./P.I.D. CQ~C1l' ~e1 Q/l~S PROPERTY Name: 9'11~'(1~fY~ C~70f~ Phone ~~5~' OWNER Q -~n g* Street Address J~ E. 1"1 ~'rl S~ • ~D~ City: ~1.~~• State: 1.~ Zip: ~~`7a6 CONTRACTOR Compeny: ~ ~P ~ lx,~PJV~ Phone StreetAddress: License#: a'~~~~y3 City: State: Zip: ARCHITECT! Company: Y~.Y ~ 1,~,0U~/ Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construcction only): ~ n . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is rrect and agree to comply wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appticant: ~ OFFICE USE ONLY / RECEIVED Certificates of Survey Received ~Yes _ No VIAR 2 1997 Tree Preservation Plan Received _ Yes _ No Not Required $Y: ~ OFFICE USE ONLY BUILDING PERMIT TYPE , 4~ ~~~v ~ 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish r~ 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE e~31 New o 33 Afterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) vnr Basement sq. ft. ~ i b MC/WS System ~ (Aliowable) v,~ Main level sq. ft. ~ i City Water ~ UBC Occupancy 3 ~-i 2~~ sq. ft. ~z Fire Sprinkiered Zoning R-~ sq, ft. i.v3 PRV # of 5tories 2 sq. ft. Booster Pump Length 4~ ~ sq. ft. Census Code. rv i Depth ti~' Footprint sq. ft. r o~ SAC Code o~ Census Bldg ~ Census Unit ~ APPROVALS Pianning Buitding nM3 Engineering Variance Permit Fee Valuation: $ i ~ onv. ~ Surcharge 3as~.~-~-.~F- Plan Review License 38 X zs c~ob MC/WS SAC z~, s x ~s ~~y City SAC w,~ g 3 ~ Water Conn. y,~ , 3 5 z Water Meter c-3 ~h ~ is = , uuS. - Acct. Deposit ~ 5,+ S/W Permit ~ S/W Surcharge 5`~- ,~U3 sv= ~2, 4°z• ~ Treatment PI. Road Unit Park Ded. 3 g x 3~. ~ r i zo~, Trails Ded. ~ 8.~S Y y ~S Other iz osx y s~ Copies ~Z ~ 3 ZT 3~ TotaL• ~37r.5 O~ s~: '!~l, o~i. - ~ °kSAC ~ox w. 3y zo3.c/ ~~.5 gt~z. SAC Units Za „ Z ~ ~-/o ~v3. v rb ~ i~ _ zqd. d. zvo. ~-«4B ~ lCURTH SURVEYING. INC. 0 FOR RYLAND HOMES pLOT PLAN ~ ' TNI S I S NOT A BOLNDARY SURVfY ' 4002 JEFFERSCN S7. N. E_ a i~~r mrtir-r tx~r txis xm p~w wa v~~ er ~ / / COLU.6fA HEIGtiTS. IN. 5541i a at croei ~r oixar s~visiw . nuT nns v~u~ caaanr ynvs ne Puca+err aF n pr~agn euuniw w ne vw PROPOSED pATE 3 2 5 `y7 ~ st 21 788-9788 FN( iei 7 i t88-7802 ~i~ ~p TMT i~ ~ i~ GRADES o- I RON MONUMENT q~~A~ °F ~ BEAR I NGS ARE PER PLAT O 3 Q onanc~ s~ne • :029,7 • • SPIKE SET = IXISTING EIEVATION ~ 111NNESOTA LIC 0. ~c. 3 r°P oF e~°~K - pR0?OSED E~EV. SC~LE iN F'EEf BAS6IENT FLOOR • ~~Z • O E- = DRA I NAOE ARRON Z~,v «0 3 ( zc. ~4 ~ Z _ R?~5~~ (aR1sDG~ o•y' . > ~ ~ ~ o~~ a 7 BY / L; o~ i ~ QATE 3-z -9 ~ ~ BUILDI~G I O~S ~EPT. , ~ ~i~ ,~s~.°° ~ o~r~'° ~ 1 ~ . NP ~ - 5, ,o - Y p / 4 ~ \ 0 ~ (r q~ ~ ~ ~Z1 0~~ ` ~ ~`i g o~ / t~_ ~ 5~~~• ~ ti ~ r ~V o~iti 33 r-^ \Y r d Aa • J/L 7 / 4 9 71~ . ~ p . ~r ~ d ~ n ~ ~ ~~a • t _ ~ ~ ~AGAN EI+TGIIVEF2?Lv G DE~"". - ~ ~ f ~ ~ \ ~ ` i ~L ~ d> D~ i ~ $ L ~ ~ i 0 a ~ ~ o ~ _ ~ ~ 3 I N d "~v.,• a.~. ty v3~ ~ ` m , ,e~ . Y Q m ADDRE55'~95~1 R~s-~N1Znc.fl Z ~ d ~ a~ Y~) ~ r v~ o c a .t-~~~. ~ : , ~,,o , ti~, , ~ A~CbOF~R~JLSNo~w~: '~[COs~ YN {,o ~ ~ ~ ~ ~o/ ~~~~o ~ y^ ~4 AK.~.A 4F SoD ~No~...~s'. 4sson~ '~~a ~~~o , ~g:1 0~0.3 i~,.tij a ~ r~ ~ ° d o a~ ~o~a~ ~ ~ l~ ~ m ~ ie r~ ~4 ~~e1A~ ' ;no 1T . ~ . ` s ~ a,>, ~r~ ~ ~ ~~a ~ 1 ~ ~ LOT 1 7 , BLOCK 2 . ~`;ti'~ ~ , , ~ P ~ -4 CEDaR HE f GHTS . ~''46"~!-w ,5,. - m , DAKOTA CO . . MN . ',QA~.' ~ }0~9 ~ " h~-` 3r?.~cKWa : Tuu ) Z' ~ 1 Locy~`O RR ~tV . ~ oi.~ .9'1 :d~`~ { ~ , LOT SURVEY CHECKLIST FOR RESIDENTIAL ~ BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: ~ 2 ~ ~ ~ LATEST REVISION: ~ ~ DOCUMENTSTANDARDS F ~ 6 z ? • Reg~tered Land Surveyor signature and company 4?0 0 • Building PermitAppifcarrt ~ • Legal descriptlon ? • Address ~ ? ? • North arrow and scale ~o ? • House iype (rembler, walkout, spiit w/o, split entry, lookout, etc.) 8'` ~ ~ • Direcdonal drainage arrows with slope/gredient % G?a ? • Proposed/e~dsdng sewer and water services & imrert elevation ~o ? • Street name ~O ? • Driveway ELEVATIONS Existlna ~ ? ? • Sewer service (or Proposed) ~ ? ? • Properly comers ~ • Top of curb at the driveway ~0 ? • Elevations of any e~asstlng adjaceM homes Prooosed ? • Garegefloor ~ ? ? • First floor C'~/ ? ? • Lowest exposed elevation (walkouUwindow) t7 ? ? • Property comers ~ • Front and rear of home at the foundat3on PONDING AREA Cf aoolicablel ? ~ ? • Easement line O [Y ? • NWL ? ~ ? • HWL ? d ? • Pond#designation ? ~ ? • Emergency Overfiow Elevation DIMENSIONS ~ ? ? • Lot Iines/Bearings 8 dimensio~ ? • Right-of-way and street width (to back of curb) P~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permane~t foodngs) C~ O ? • Show all easements of record and any Cily ufilities within those easemerds ? • Setbacks of proposad sUucture and sideyard setback of adjacent e~dsUng structures ? ~o • Retaining wail requirements, if any Reviewed: ~ ~ N e / Date January 7996 CRNGIBB&BLOGPRMf.FM i . , * CABO MEC 93 COMPLIANC& * Builder Ryland Hom~s Suhmit[ed Sy R.H. Tracey Model Hanover C Page 1 of 2 Uptions All OpCione Date 0$-14-1996 TYP° Single Family Deg.Days 8000 Minneapoll Filename HANOVpOA Uo Totals I ProPOSed ~ Required Comppnent Area Uo Total UO Total walls 2958 .117 346 .110 325 - C°iling5 1375 .022 30 .026 36 Floors 268 .047 8 .040 7 Bamt Walls 1227 .080 ~6 .086 460 Thie Does NOT Qualify with Total Total ~ ~ ~ 449 U-Value Calculations - Specifications Uo Calculations - Walls Size O,C. Insul. Sheat. Com onent A Frame 5.5 16 1g p ~ea ~ U-Va1 Total 8 Frame 1.37 Frame Wall A 2074 .054 113.9I 5.5 16 19 1.37 Erame Wall B C Frame-Gar. 5.5 16 19 .45 Frame-Gar.C D Masonry 8 N/a il N/A htasonry D 189 I.OSB 11.O~I E Basement e N/A 11 N/A Ring Joist 9.25_ 16 - 19 1.37 Ring Joist 245 .046 11.27~ I---------------- window A Doors Panel Glass S.C Window B 405 .49 198.a A Metal I.19 .62 .8g Windaw C B Wood .46 I,62 .86 Door A-Pa~1e1 39 C Other booY A-Glass '19 ~•41 - 6 .62 3.72 Ceilinga I O.C. znsul. Sheat. Door~B-Glass A W/Attic + 24 44 N/A Door C-Panel H No Attic I 16 44 .63 Door C-Glaas ~ C Other I I T otals 2958 345.BI I Uo=(IIC/At) Floors O.C. Insu1. Cover .117 i A Non Cond. 16 19 1.23 Cei2in A ~ ~ ~ ~ B overhang 16 3p g 1375 ,p2z~ 3p.qi C slab Ceiling B N/A 5 1.23 Ceiling C i Windows Skyight A ~ U-Val S.C. Skylight B I A IVinyl ~ .a9 .gg SkylighC C ~ B Totals 1375 _ Uo-Ut/At 30.4 - .022 Skylights U-Val S.C. A Standard ,62 .88 B High Perf. I NOTICE: Users of this software are responsible I C Other for t:~e epecifications and dimensional data used to generate this repor~. The developers of HVRC Equip Rating Che aoftware are in no way reepor~sible for the Gas AFUE .78 misrepesentation of any building due to errors, I HP xSPF I 6.8 omisaions, or xny other misuse of the sof[ware. AC; HP SEER 10 I ~ A;iilder Ryland Homco $ubcail.ted By R.H, TraCBy Page 2 r~f 2 Dtodel Hanover C Optipns All Options Date 08-19-1996 Type Single Family ~e9.Days 8000 Minneapoli Filename HANOVOOA n=~oa~~~eemcmvave~o==ao " ~e=aiea~vaeeva~aca~~eva~o=aeme~~=_a~~=a=° Dimensions " Wa12s ~ FTame A ~ FYame B ' I ~Gar.Com.C~ Mason.D~ Maeon.E~ I Basement ' Bemt. i1sC Floor 1197 lst Floor Zp~ I 8smt. I 1248 2nd F1oor 1288 Bsmt. 3rd Floor `~isc. IMi3C. Ring Area 245 ' I I I------- ' ~ *r~-ndows - Ivinyl I 384 I--------- I---------l-------- ~ I I z~ ~ I~oors (G=Glass Area - 0=0paque Area) I IMetal G 6 0 zl 1B IWood G O uther G ------o-------- - Ceilings I With Attic I No Attic I Other Sasement Wall A- ~ 1375 Depth Below Grade - 6 " " " Insulation Depth - g sCd.Skyliteal I I Baeement Wall B- FiP Skylitea De th Helow GYdde - Uther Insulation Depth - 9 i Floors I Non Cond. I Overhan I slab ----------------168----- - Win~owslQty. Description Qty. Description fQty. Description I 42 IMisc.(Enter Area) 8 32fi0 ~ 7 3250 2 304D I Z 2040 1 6068 OLASS DOOR 4 2820 I I I Doors IQty. DescriptiOn Qty.) De5cription Qty, Deecriptiott I 1 a GAR. wAi,L DOOR I I ~ENTRY W/i FT SIDLT ~ I I - -'-_°~`--==~_aa=~_=aa°c-ne>vcareecca==~_~a=v'==smvn°~v ~ ~ ~ CITY USE ONLY ~i L BL ~ RECEIPT /A~ J"~ SUBD. ~ RECEIPTDATE:~S 7 199T MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~675 Please complete for. ? singie famiy dwellings ? townhomes and condos when permits are ?equired for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ~ q / FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) CP• d~ ? State Surcharge .50 TOTAL ~-t~• ~ SITE ADDRESS: n ~-15~L~ ~'J` OWNER NAME: .Ysf~~~~ PHONE#. ' ~ INSTALLERNAME: GENL-RYAN HEA~!ING PHONE#: 423-1144 STREET ADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MN ZIP: 55068 N / ~~l~~~V GNAT OF PERMITTEE CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPTDATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 ~612)681-4675 Please complete for. ? all commerciaUndustrial buildings. . multldamily buildings when separate pertnits are ~t required for each dwelling unit. nn-rc. : vi<TnAC i ~r~[ivc: ~+r. ~ WORK NPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: •$25.00 minlmum fee Qr 1% of conVact price, whichever is greater. . Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 af p~j~ fee due on all permits. CONTRACT PRICE x 1% ~ PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (iMPROVennEnrrs oN~v~ INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE , , ' SIGNATURE: SIGNATURE OF PERMITTEE C1TY 1NSPECTOR ~ ~~r/ cirr usE oNiv ~ ' 1- ~ r 6L ~ RECEIPT#: '7o~.~~S, - SUBD. ~GAI~I.~.. RE~IPT DATE N ~I-S , 1997 PLUMBING PERMIT (RE~SIDENTIAL), . ~ cinr oF eacnN ~ ` 3830 PILOT KNOB,RQ':_ ° ' EAGAN„MN 55722 ' V.~' ,t•. (612) 667~675 Pleasecomplete for' single;family dweitings ~ tawnRomes and condos when permits are,required~tor~each und ~ backflow preventer'for underground sprinkler systern„ w ' FIXTURES EACF a ° TA - Sh3v~er 3.e~ x ~ _ Water Closet 3.00. , x 2 Bath Tub 3:00 ~z ~ E Lavatory 3:00 : x y~~ ~ 7 Kitcben Sink 3.00 x ~ t Y Laundry Tray 3.b0~., x , ~.%s' Hot Tub/Spa 3 0Q , x- ' Water Heatee 3 OQ~: x , Floor Drain 3.00° x ' ~ Gas':Piping Outlet ' minimum-1 3:00 x Rough Openings 1.50 x . -'~~.,,Y UVater Softener • ror dweilinqs under conatruction S:OD x- Water Softener ~ for~exi'sting dwelhng 20.OQ x ' ' U,G. Sprinkler ' f?dwe~~ing under consC. 3.OD = ' U:G. Sprinkie~ ' forexisting dwelling 20.QQ z+ Alfe[2tlons " D`o existing residence 20;00 1Nate~ Turn Around 20.OQ P~ivate Disposal System ' bae cry nc. 65.Oq f.~'~ ~ ~ ~ (new and refurbished systems)~ . ~ , ~ , r: Private Disposal Systems' amandonment 20.OQ ' ' STATE SURCHpRGE ` .50 TOTAL , r. - ~ I heretiy adcnowledge that I heve~ read this applieation, state~.that the-infortnaLOn ia coneUl,and agree to compl"y ~dh all~apphcable,C,iry . ' of Eagan ordinances k is theepplicaM's responsibilrty to~~~notity the property owner thet the CRy~of,~Eagan as"sumes no liabtliry~for any ~ ~ tlamages caused by the City Gurirg ka rwrmal.operahonal.and maintenance adrvNieS~;W'the.faalfies?eon'atructed. underNis;pa.nnft xritA{n City propertylrighf-oi-weylea5ement.. - ~ ~ ~ . ~ - . . - ° . ~ SITE ADDRESS: ~ OWNER NAME: ~~ICC/7Q~ //!~9'~°~'7 ~ INSTALLER NAME: GENZ-RYAN PLUNIBING TELEPHONE #?423-~1'144' . STREETADDRESS: 14745 So Robert Trl ' CI7Y: . Rosemount STRTE: M~ _ ; ZIP _ 5z5068 ' ' "i ~ ~ ~ ~NATU : E`OFSP,ER'MITTEE'~~ ~ •i ~ ~ K., ~T ~ ~ ~ - ~ OFFICEU$EONLY ~ ~ i+ ~ ~ ~ . . . ~ Y . . I.~ B ~ SUBD ( ~ I,~ ~ - NEW RECEIPT # ~99 RECEIPT DATE ~~~'~1~J DATE ~ ~S~ TO ? ~`eG~e,~ ~/TSS~. v JOS ~G/ 5 ~ ~Gr J~en /C Gl oWN~z_~y ~o"r~~~ ~ ~ .rr ~=S PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABdVE ELECTRICAI, INSTALLATION IN THE AMOUNT ~F $ Z5 REMARAS Z- Z 0- 30 AMP CIRCUITS = I~~ 31 - 100 AMP CIRCUITS = 0 - 100 At~ S~RVICE _ ~ 101 - 200 AMP SERVICE = 2~ To~raL ~ nv~ _ / 3 ~ - LESS E'EE REC~IVED / O JY '~'C:~'.°SL FEE SEOYiTAv,:. B'~ _ ? ~ PERMIT # 6~ / ORiG RSCEIPT # ~3 RSCSIPT DATE ~ ~ PLEA3E RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. TBANR YOU ' ~~995 v:-s~.o«; a.olese~onai Se~a<es. inc. i • ' \ ~ \ T~ , ~ ~ i \ • ,Cau +B Hp..s Dehre U ~ CONNECi i0 E%. MH BY-~ ~ n ~ r ' PAiCMiNG C~ 51PEE1 99'^9~ i \ ~ ~ CORE DRILL CONCRELE S~W /'~A b / µ0 Ex. UMnFV~r GOPHER STA7E ONE CAII ~ ~qL1 / \ ~I~:y~. k ADJUST PoN i0 NA(Cfl E%. INCNENLAL ID~~1ER C ~/DE. yr.~N COrvSIWCtMH bin Gty .treo s5a-pppp ' ~ ~ ~ ~ fpP. ~SERNCE TIE$ ~ ~r/j' ~ IpIELO YEPIfY IOCA?ON 4~ \ ~'I ' un ToY Fee ~_gpp-~q~-li6o J ~~~yyy k3 ~ ~ / BLOCKT~. ' '~j ~ S ELEVAiIQV) ' . `Rl.YY09c ?~~-9D 9EN~ Q A~. " r ~J ~ " ~ ~ ~n _ ii' k ariuQ . '.6' lEE R. ? / ~ ~ k COrcdEtl i0 Ex 6 DiP 51,PZE in~_ ~ , ,7 / , ~ ~ ~ ~ i " \ r% = ~ 1 ~ - ~V ~ ~ t, x :""_~p ` M5'E=1+d6 / / ~ ~ 8~ CATE VAIYE ~ l~~_ RENO~E PLUG k COHNEGT ~ ~ S- " _'~^~~TO E . 6' qv ./6'- ~ ~ ~ % ) \ 962.5 ~c, ~ \53I.9 \a•W, ~ ~ ' % 11 1 4° 9EN0 q / . : Q 6 ' ! ' J \ / ~ 1I I / 1' COPPER ERHCERTYPE NTM(TYP. `n \ G wYE.0~95 , ~T? - ~ ~ B ? f cr WYE.Of52 CCM~v~CPON EfiORiS iNSiDE ~ `-/15' ESUT. { \ (n W rti eo~~ ~ zo ~ 6'-27 f/2° BEN I 1, ~ 968.5 ` ~ ~ ~J rM0 ME~S 5':KL NEET S~+ECS ~ 9 z ~ / n p - GLLE~ GOF ON~ER SiREEfi r..J ~ L ~ .7 U ? ~ C9~58.3 5' EWT. WTE.2tW o ~Y` ~l v (95; SL~NpARO PROCidt) \ ~ G ~ r" ~ \ sr N14~1f33 "l' ~ 1015.~ M~E~1+7J y;~(.Oi}Z x1E-1~'11 L~' ~016.5 J O O 0 WYE~la3l O O ~ \ ?~1 .,,C ~ ~r wre-i.sa sr wrc-o.so ~ ~ i• i ~ `L ~ x ar ~ ~ma.~ er imz.o 4r 'O O m O 1 O aa saa.9 ss~ ~ . i Osr - M~E.Z+90 1 A ~ ~ W I t008J ~Q, 999.5 ~ ~ [ 1 ` \ \ I 992.0 ~ ~ ~N„ l 98J.9 i\ so4 \ ~ 1 i ~ I \ \ i Y ~ V ~e~,:= ' . ~ ~ . i ~ i / ~ i ~ ' ~i \ ~ ~ ~ 60'~R.OWG ; i j ~ ~ puH-a ~ ~ wre.aoe e'-n 1/4° BEND ~ iT 1 / ~ 1 i ? ~ 1 i 8 A h i 1 \ \ ~ I ? / 1d ~ O t~ ~ ~ ~ ~ ~ , , ~ ~ ~ , . , ~ ~ ~ ' 28 J? 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CAOV~TO _ ec~. asa.u.. . suir r~w now 9 ~ ~ ~ ~ : ! i x~ ~ ~ ~ V ~ ~ 1-. . I j _ -_"T.. . -_1"_ _ _ . . - - PC~IE - . - ~ - - ; : , . I ' _ ! . . . ~ r~ ,+za: - ~ . s4e • ' ' . . - I I I ~ _i i - I ~ - IEW. 02 RE.~ Y7S]9 L. : ~ i i I j _ f--_ I I I-_'~_-_ - .-___F_'__' - ~ . _'1lEW_B~ROF1~IEk_"845 1-._ I i I ' ~ ~ ' I ~ ~ 9 I . ~ ' ~ I ~ i m•- - oir a s i o E%~ . 936.2°s° 9 z0 ~ - - g - g 2 r' ~G55 W~S a~ OO~ "vm~ ~w~~~~ me ~ dw .n ~ssro q ixtt[SYU~!1 _ 7~~ SEVI.'~Y . [w.m • ti~p~ ~~r~. iie~..r u~..~.s ~s~ DY.J q~~ DE`.EIOFEP su~rr~er sewen OPR i,;,,,;;,,; a~- ~„°;~-~-M G ARCON DEVELOPMENT CO. veros . ~pPD Rnw,NLS ~ ~ I n~.~~.~ w~~ ~T_TT tr.c ~rcroo w..~c ~rA~rz ~6z5 u[mo evw. suei[ ~a~ ~DAR HEI3NTS 8 WATCR YAIN ~ m~,,. . . EAGAN, NN. CONSTRUCTION SMEE7          ÿî ÿ þ þýý   üûüúú     ùýý î  ý âõ ö   ßââ  þýö  ýüûúùø  Ý öïõ öüúùø  ÷öúùø Ý ø  öø ü Üãö õ  ü õ ôôüøù ó  ýòüö ñ  ï ö   øö  ø øööïþ ööîü î   ø öÞ öïûöë  ý üö ö  øû  üï ø  ë õöûîí   ö ö ö òüö ûù   ïîù î ë  ñ èôçèëëô õù  ýüö èëæëæ éüôþë  ô óú  ö òñ øø  ùÝ öõ÷ù å ù ßõùÝþ ôæôÝü  Ý åø ãöð åáßæÿ åá ìâßêôâßß  ö ûù    ð ö   øø    ïöî öö  ö îøù øøû ý  ïå ýü õùïÿ ö ë øøÞ öî ý üö  ü ùý üö Cityofaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fnx: (651) 675-5694 Use BLUE or BLACK Ink L For Office Use (1I VI Permit #: Permit Fee: LOO U° Date Received: [ 1A3 Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: .]/t a M Site Address: q 15q F -CAT e -N &c• Name: SOY\ 'UV, Phone: b51 $ Oi O 4-d J Address / City / Zip: Name: e t l tA,Y & (Ao\ono De c ,g icense #: Y" 1 00 V h 1 Address: ‘10 830 S1 • �City: State: M 14 Zip: '?'+3 9 Phone: /0 t1 3d8-111 Contact: 60 -1 Email: New ` f Replacement Additional Alteration Demolition Description of work: -ctim at_Q ti ®0, obo b- coo Lt. toh Y&,t1 dl t foss, RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ x 1% = $ Permit Fee = $ 5.00 Surcharge* = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against undergroun you intend to dig to receive locates of underground utilities. www.gopherstateonecaliorq I hereby acknowledge that this information is complete and accurate; that the work will b Eagan; that I understand this is not a permit, but only an application for a permit, and wo with the app.oved plan in the case of work which requires a review and approval of pla AV - Applicant's Applicant's Printed Name ilitdamage. Call 48 hours before ance ith the ordinances and codes of the City of ith ' ut a per it; that the work will be in accordance