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1306 St Andrew Blvd PLUMBING PERMIT CITY OF EAGAN PERMIT # RECEIPT # 7? 9 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTR A_CT PRICE: PHONE: 454-8100 Name Address yj $4 C city Phone Name 3 Address p City Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE LIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PE IT - 50 (ADD $.50 S/C IF PERMIT ICE GOES FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Z? Mutt. Add-on-- Comm. Rep ONLY - Bat ubs - $3.00 vatory - $3.00 Shower - $3.00 itchen Sink - $3.00 al/Bidet - $100 ?Z Laun Tray - $3.00 -,LFloor Dr ' s - $1.50 Water Heate $1.50 ES THE jJ c J j (MINIMUM - 1 PER RMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -_.Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL•/?? OW0RSJ LM UMUai FOR-aDMRE TG VALLEY NATIONAL BANK 2/89 -7300 W. 147TH Sr., A.V. 55124 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date_ Site Address Lot Block Sec/Sub. Parcel No. Name W 3 Address o City Phone Q S 5 ?? ?f Name O 00 Address 1.7 City Phone Name _ Address City I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with allapplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ,19 On Site Sewage _ Occupancy MWCC System - Zoning On Site Well Type of Const City Water (Actual) (Allowable) * of Stories Length ------ Depth - S.F. Total Footprint S_F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment P1 Variance Parks Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone 7t FFumbing - ', ;? ,•?= .f ; ?? Uri:, ?, ;?? ,,??, .!? II.v.A.C. Electric .7 Softener Inspection Gate Insp. Comments Footings I 6g Footings II Foundation Framing Roofing Rough Plbg. ^_ Rough Htg. [Sul. j Fireplace Final Mg. S jw- ¢?? S erx- o42 Final Plbg. Bldg. Final Sj`p p /G ?' Cert.Occ. -TC Temp. LP `t a .. Deck Ftg. SAW Deck Frmg. Well ?. ?. ,.. Pr. Disp. r •,? s 1 ? rt?fir t? of COrrupaury ?itp of Cogan Mrparfm t of 1WdbtM J Prf vn This Certificate issued pursuant to the requirements of Section 306 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. Lse CImilikBdon SF I1WGIGAR Bldg. Bmit No. 13722 OeeuWncy Tyre Zoo* Dmuwl R1 'type Const V OwnerofBuilding VALLEY NATTY BAWC Add,., 7300 W. 1471H ST., A.M. Buildi,WAddres 1306 ST. ANMW BLVD- LoaliL5• $3. FAMW RH S i ?Date: MAliM.", 1989 Building Official-7A POST IN A CONSPICUOUS PLACE MECHANICAL PERMIT PERMIT # C CITY OF EAGAN EIPT # RE 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address DG WORK DE CRIPTION BL . TYPE S Lot Block Sec/Sub Res. New Name Mult Add-on Address ?? ",; „q rr V G Comm. Repair City s t _ - Phone Other FEES Name r ' '• RES. HVAC 0-100 M BTU -$24-00 a Address ADDITIONAL 50 M BTU - 6.00 p City Phone .(RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 TYPE OF WORK . . COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE r SIGNATURE OF PERMITTEE SIC: TOTAL FOR: CITY OF EAGAN - PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address/' --'e G S ` s , s , ` / BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. X New J` m Name Mult Add-on Address Comm. Repair c City =" Phone 0 1' Other TOTAL NO. FIXTURES Name J Water Closet - $3 00 $ ' C Address . Bath Tubs - $3.00 - p City Phone - .? Lavatory - $3.00 / Shower - $3.00 =Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM RESIDENTIAL FEE _$10 00 -` -7-sundry Tray - 00 - . 1. Floor Drains - 0 MINIMUM - COMM/IND FEE _ 20.00 $ $11.50 . -Z-Water Heater STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3. .00 (ADD $.50 S/C IF PERMIT PRICE GOES LGas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 - - Private Disp. - $10.00 L r 11 1, i ' ? Rough Openings - $1.50 SIGNATURE OF PERMIT-TEE FEE: STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL `?? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ,:;1 . DATE - 19 RECEIVED FROM !_ 4 \ V_ AMOUNT $ - AV & DOLLARS loo CASH Q CHECK ? / fl i BY i1" White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. PERMIT NO. 01-3210 Bldg.. Permit 01-3422 Plan Check -? AO 01-3445 Surch./Adm. 01-3446 SAC/Adm. ,01-2155 Surcharge [ 17-3860 Road Unit 20-2275 SAC ?. 20-3865 Water Conn. 20-3868 Water Trmt. j 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. D c) o TOTAL BUILDING PERMIT To be used for DR= . ,-....CITY OF.EAGAN . 3830 Pilot Knob Road,-P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value sl'000 rata Site Address 1306 ST. ANDREW Lot 5 Block 3 Sec/Sub. F Parcel No. BLVD AIRWAY RILLS W Name TIN SAM o Address 1306 ST. A11f11lOIi Y ZLVD City RAW Phone 452-9266 c Name RANDY THOMPSON Oa Address 1 235 GLEIIHURST AVZNU9 City SAVAGR Phone 8 7 S Name Address I hereby acknowlege that I have information is correct and agree Minnesota Statutes and City oI Signature of Permitee A Building Permit is issued to: on the express condition that all w applicable State of Minnesota Stal Building Official Phone this application and state that the Imply with all,?pplicable State of )rdin?c?,, All VY THOMMN hall be done in accordance with all and City of Eagan Ordinances. OFFICE USE ONLY FEES 26 00 Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance 12x20 Lho WL17 A 16846 r4 r JULY 2S 19 69 Bldg. Permit • 050 Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit SNY Permit SM! Surcharge Treatment PI Road Unit Park Ded. Copies 3.50 TOTAL 30.00 Permit No. Permit Holder Date Telephone # WATEP SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. [Sul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. I 44e Deck Final Z Well Pr. Disp. 7w- -. - . CITY OF EAGAN Permit No:_ 3830 Pilot Knob Rdad Meter No. - p.O. Box 211V Reader No- . L Eagan, MN 91 Date: 9-1-"7 Size: Date: ite Aoaress. ; .-c e r dumber- c 1 52 5.00 d Zoning: 1 ',onn. Chg: I5 , 00 _ No. of Units: Acct. Dep: 10 with the City of Eagan d 1 agree to comply Permit Fee: ?-- .5() Surcharge. 18c?.0? d Ordinances. Tr. Plant Meter. By 3830 Pilot Knob Read P.O. Box21`199 Eagan, MN 65121 WATER i SEWER SERVICE PERMIT CITY OF EAGAN ` 3830 Pilot Knob 131--ld PERMIT NO.: g _ } 7 P.O. Box 21199 DATE: 1 Eagan, MN 55121: No. of Units: Zoning: n Pes i n Y.ms . ?laasic Hill i Owner L5 n 3 -air Address: ct Andrew blvd . 1306?• lOn ??, Site Address: rtcL'exmott Plu^hin' '• Plumber 6_4 - ? ; . ul1 Eagan Connection Charge 1 agree to comply with the City Ordinances- Insp•: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: _ pate Paid: WATER SERVICE PERMIT • CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNES 5122 DATE 19 S IOC/ AMOUNT Is b OOLLARS 00 ? CASH CHECK , FOR /2O PUN. Co.. AMOUNT Ot. 5 1 ?U r Y ? ? 1 U acs Thank You ?T 76965 BY 1, ?. White-Payers Copy Yellow-Posting Copy Pink-File Copy This request void /}?j?? 1S months from - C 61_1.16 I Repuest Oate Fire No, ppoug hh-in Inspection Repolredt ?ReadyNow?WillNOtify.lnspec- co- ? Yes ?NO for When Reedy ® Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Sox or Route No. City 5 D Fw e t n No. ownship ame or No. ange NO. County Occupant (PRINT) Phone No. /V ?r (D C) try f -/-Y Power Supplier Address Not r,-e- F r1? E7O Electrical Contractor (Company Name) _ I Contractors License No. J+ E c.. /Y1 6 C C- C. Mailing Address IContractor or Owner Making Installation) 2 5 Y 6 U?1? o/v Ur L 61 / 5-5 oV Auth orized Signature (l'orttraclOr Owner Making Installation) Ph n o e Number dQ --TA 71 1 , J s ?i 1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION BEQUEST WILL NOT BOARD Grippe-Midway Bldg. - Room N-181 UNLESS PROPER RV INSPECTION FEE IS UNLESS 1821 eity Ave.. St. Paul. MN 66106 Ph... 16121 662-0800 ENCLOSED. 7?,2/IE 7 REQUEST FOR ELECTRICAL INSPECTION 10 E8-00001-05 II, See instructions for completing this form on back of yellow copy. 75 777 r cz ut-1 a "x" Below Work Covered by This Request RIwtlAddl Rep.l Tvoe of Buildina 1 Aoolienges Wired 1 Equipment Wired 1 ex Ce oner e Fee Service Entrance Size a Fee Feeders/Subleeders a Fee Circuits 00 0 to 200 Amps 0 to 30 Am s 1 36.00 0 to 30 Am Above 2 _Amlxs 31 to 100 Amps . o O 31 to 100 Amps Swirn Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms x570 Partial"Other Fee Signs Special Inspection s TOTAL/,. FFF,,, Remarks 1 fy S Y 4 t( t47 IIf, 77N 6 70 "?W OMfZ 1• the Electrical Inspector. hereby , ify that the above certify , .? S r a 1 "do. ion has been meas. This request void 18 ??sa 9 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date _&__f q n Site Street Address n sr /-l-lydrecy ,6 c v V Unit # 2 ((???) (ogg?? 3 `? Property Owner C7eoc a L(.rCJ ej Telephone # ( ) Contractor Telephone # Address City State Zip The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: $ 50.00 _ Water Softener Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 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 to be reviewed and approv d. L 6? ,Iy. l=. Aur,6ia /CO- Applicant's /Printed Name A plicant's i nature (o +3 -7 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 / a- / D Site Street Address 60,11,14 e I Unit # Property Owner f @. Telephone # Contractor Address LL Telephone # f4 ity W el/kIte State YZlp The Applicant is: _ Owner _ Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener - replacement _ Water Heater additional $ 15.00 X?awn Irrigation System RPZ4 new - repair -rebuild $ 30.00 State Surcharge $ .50 [Total ?y $ ? , v 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 to be reviewed and approved. n n Applicant's D ted Name Applicant's Signaf re SL. -l SZ_?) RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and pll roofed areas (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 ri lot platted after 7/193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE (57"_23_0d SITE ADDRESS TYPE OF r e e eoa r eaurre • 2 copies of plan • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate "rf home served by septic system for additions R mod UR . R ' ments VALUATION CD,' ?GT• MULTI-FAMILY BLDG _YN FIREPLACE(S) _ 0 - 1 _ 2 APPLICANT #r Ae r_ /LSL? STREET ADDRESS O Bo CITY sj. SSTATEIVAI ZIP.CSJ32 TELEPHONE # j3 42-4V CELL PHONE # FAX # 62Q) 5147- 71JI PROPERTYOWNER 6120Cfe 6[.7VI-cif a TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Air Conditioning Fee: $70.00 Heat Recovery System _ Phone # I hereby acknowledge that I have read this application, state that the information isr6Tect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagaces. - Signature of Applicant =ee --- - ------------------------ - ---- - - - ---------------- - - - -------------- - ---------------------- - - - - ------- - - ------- - - - ---------------- - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4102 Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone _ Fireplace - R.I. - Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector jr . , S-Y 3 ? ) RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681.4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of (rouse; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found desyn, etc.) • i set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE //30/Qa Phone # SITE ADDRESS )30(b 54. A ,drP .J 131,j MULTI-FAMILY BLDG - Y _?_h TYPE OF WORK R-oo h- ad lt'?tr?? j - 4f%?OW FIREPLACE(S) )C'O _ 1 _ 2 APPLICANT 5 STATE }ti IZIP S53V STREETADDRESS ?SI°I AJ• Fat'r P? CITY o 'r TELEPHONE # %Kl CELL PHONE # FAX # 0152- -993 - I&IR PROPERTYOWNER a-eow^?a F Kar-OrN FS x/' bye- TELEPHONE# 5)7(49'2331 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 T [ fp, ? 1 S 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted 2Aer Gb ksheet Submitted • Energy Envelope Calculations Submitted JUL 3 0 2002 Plumbing Contractor: _ Phot _ Plumbing system includes: _ Water Softener _ Lawn Sp r Fee $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Meclianical system includes: Sewer/Water Contractor: Air Conditioning Heat Recover' System --------------------------------------°--------------- --------- I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant OFFICE USE ONLY VALUATION $,Tf z90, 00 Remodel/Repair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions Phone # cc? t" ?(t?I Fee: 570.00 ---------------------------------------------- 6rrt3etion is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-ptex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ;K 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Parch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ', 32 Addition ? 33 Alteration ? 34 Replacement Valuation I,00 0 Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const - Footings (new bldg) _ Footings (deck) }( Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water Framing _ Fireplace - R.I. Insulation jr. + 1 ? 30 AccessoryBldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy )Q 3 ,(._ MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinkiered Width REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Final - Pool _ Figs _ Air/Gas Tests - Final Siding _ Stucco _ Stone _ Air Test _ Final _ Windows (new/replacement) - Retaining Wall Approved By 1 Z , Building Inspector Base Fee Surcharge S2? Plan Review 5 ?5? ?U7J MC/ES SAC City SAC ccc??? Water Supply & Storage 1 Z I/ .J S&W Permit & Surcharge oa r V p? Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 12 3 .y 0 r ROBE C,?95,5/C GESi6iUc(7 ENGiNE?ViNG COHSULTEAS HfAS, /?amE /uc. PLAHHERS and nd L AHD SURVEYORS 44d Zn i, J i COMPANY, INC. K100 E1_T I469, S7REET, BURHSVILL E, UINHE_OTA 5SZ.7 PH 432-3000 C'4°-7w ZZ54LaZ C[3j!e C 4SZtL?',Z/'e l? cZ .Ue.!cr?Pciert: `, 0c LO T 5, BLOv< 3 DLiI<j :=i COU?/T? ?l `IOL?, So s R, s ? J Q. So ?Cp2 p S R a i s/ ? 0 7 ?a c v ? C ?sF ,•, o, rn3' /i • rc? SLR. i o? „ MIA' V?2 SCALE : /° = 30, F zo?9.5. L°L9. '30' F?WJV7 BUrL /l' SE 1 SAGO i_ //\:'_ DEI,JGTc` PROPDSEC ELEVAT c. 'Li 19 s9, o o / tiu IIVDICAT E3 vIRE. -T !0,1,I n= a SURFACE ORAIn/Ae"E ^j \ /034.83 = FINISHED GAR cH FLCCi? ELEVATIO&I (L°zz. Z- I hereby certify that this is a true and correct representation of a tract of land as aho+m'and described hereon.. As prepared by me on this day of 1° 87. Hine. Res. No /GOBS 4. ` `. "_ . ' CITY OF EAGAN N_ 13722 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt x / y?f 9 7,7J To be used for SF DWG/GAR Est. Value $88,000 Date JUNE 4 19 87 Site Address 1306 ST ANDREW BLVD Lot 5 Block 3 Sec/Sub. FAIRWAY HILLS Parcel No, a Name CLASSIC DESIGNED HOMES INC = Address 7808 GRINNELL WAY c City LAKEVILLE Phone 431-1240 c Name SAME H Address a ?- City Phone uw w w Name iE5 Address em City Phone OFFICE USE ONLY On Site Sewage Occupancy MWCC System X Zoning On Site Well _ Type of Const City Water X (Actuat) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that I have read this application and state Bldg. Off. that the information is correct anda re ocomplywith all applicable I APC - State of Minnesota Statutes an of Ea n Or nces. Variance Signature of Pori ittee ? FEES Permit Surcharge Plan Review SAC. City SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks Copies TOTAL R3 RT- 11 V 62 46 $ 461.50 44_n0 910.75 inn n0 595 nn0 X67.00 305.00 1Rn_(10 TT+3S? 5 A Building Permit is Issued to: CLASSIC DESIGNED HOMES INC on the express condition that all work shall be done in accordance with all applicatAe State of Mirr)pesota Statutes and City of Eagan Ordinances Building Official LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) _ -. ?xxx*#xxx-rxxxxx*xxxxx*xxxxxxxxxxx# (P ease Print) 1) PROPERTY ADDRESS: IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PRCPOSED USE: C0,%2dEI2CIAL/RETAIL/OFFICE jK R-1 SINGLE FAMILY 0 .INDUSTRIAL R-2 DUPLEX (Two Units) ? INSTITUTIONAL/GOVERNMENT R-3 TOMNHOUSE (Three + Units) ( Units) R-4 APART11ENT/CONDOMINILTTMi ( Units) MCYP":, PAYKFNT OF FEE AT TIME C APPLICATION DOES NOT CONSPI= APPROVAL OF PERMIT. INSPECTION OF SMM AND/CR FAZE= INSTALLATIONS WILL NOT BE SCHEC- Ul. UNTIL PERMIT HAS SEEN -. APPROVED.• 2) A v NAME:I_,ge4e_ Z? ADDRESS: CITY, STATE, ZIP:_F}ylq-tZ Z e)W _ .$ -?Z PHONE: Q j -7 OF f d 00 3) a cis; NAME ADDRESS: /.Z 6 D CITY, STATE, zip: ,r PHONE: Q?j p ?L MASTER LICENSE,'', CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION Plunbers License: Active Expired Not recorded Staff Initial 4) o.au• . , e . i?. NAME: PHONE: 5} i n id• u' i:? as • : :::o iao o?i": ?y'r1 CONNECTION TO CITY SEWER CONNECTICN TO CITY WATER Q OTHER 6) r r•?' • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -" tLEASE MAIL APPROVED PERMIT TO 1, 2,1 4, ABOVE O Wrc e one) ADDRESS: CITY, STATE, ZIP: 7) Y r u ?/r? - fib,? -? 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 ? ?/ /K7 . ROBE ? N?NGiNE?i3iNG [OHSllLT1H6 EH61HEfA1, omES /uC, PtAHHERS and IAHD SIIA41267°{ COMPANY, INC. f000 FAST 146A STRE_T, BURNSVILLE. UIHHUCTA 5S337 PH 432'5000 CerZz z crz7e Su?-Ye cam. Z a??'cCj -JC7"?82!*C z: LOT -, BLOCK 3, 04 k1 A COUA/7Y, L, 0Z-- A s J \?o so a, s sso //?\\Q S3 R,, / S3 00-' 0? „ FAIRWAY /41LLS, MINN?-?%A SCALE : /° = 30' L?z9, s) o -or "b o 7 3a (joi9. s \ \ \, s9 90 \ . •30' FR.oN7 BUILOlil16 9E78AC,< LINE C1o29 D DE}JOTC`?-z Exis-1 1 G ELEV.ATiOli tio?.s) DEMO i ES PROPOSEE; ELEVAT101 INDICATE,-, DIRECTfbN OF SURFACE DRAINA6E /D3o = FINISHED 6ARAC- FLOOR ELEVATIOM 0 ``?? \ `?? •? DRi41MA6E AAJP i UTILITY EASEMEJJT U-DZZ, 7) I hertby certify that this is a true and correct representation of a tract of land As shown'and described hereon.. As prepared by the on this day of MAY , 19 67. Minn. Res. No. /Go?S 'I is OWNER SITE A EXTERIOR SNVELOPE AV9RAOE "U" COMPUTATION CONTRACTOR S A S DATE F J1 PHONE 43 2 O Determine working squ&rq rootage or each,,; 1, Total exposed wall"area .?•? aq.,rt. 2. Total roor/ceiling area Total exposed wall'Area above floor • a. Total wail window &rea,? ...................• b, Total door area ............................. c• Total sliding glass door area ............... d. Total fireplace wall area ................... e. Total wall framing area (average lQx).,.•,,, f. Total net wall area above floor ............. g. Total r4m joist area•,.•..•..•.....?........, Total exposed foundation area +».. h. Total foundation window area...* ..... ........ i, Total net roundation area above Determine "U" value or each wall segment,`'""' b. 22,-2- X npn w w 5? X "U" d. 4 X "U" e• t?? X "U" . DCe ?3 5 X "u" g, X "U" .... -?-.- . .._..z- X "Up i, X "U" D??? l?.?b If item 03 is the same as, or leoa than item Nlj you, have mat thq intent or SBC 6006 (c)2. r , Total exposed poor/ceiling area J, Total skylight area. • ..•.. .. : „ .. . ..........,.... _....,.. k. Total root/ceiling framing area (average 30x) b 1. Total net Insulated roof/ceiling area........ Determine "U" V414e for each roor/ceiling segment..- X "Up k. lS 7 X ."fin... , DZ? ¦ ?,.?,?. X "up i C?Z Z- w 3D. Ir total of N4 is the same as, or less than 02, you have.meC the intent or sac 6006(0)19 ... Alternate Building Envelope Design} -? To utilize the total envelope system method, the values established by the sum or items N3 and A4 shall not be greater than the sum of I' items 01 and N2. it ? 1., }..2• i 3. t,4, w i 131 2? 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ?Valuat Site Address lit Lot Block Parcel/Sub aa Owner Address 7?u?i?'A? -GJ?,g City/Zip Code .f?eQ '?s7f SS'o4?5c r?$g,Lhb0 Date: S -/J -?7 OFFICE USE ONLY On Site Sewage_ MWCC System ? On Site Well _ City Water ? Phone / 1- SC3/- / 2- SAO I APPROVALS Z n - Address City/Zip Code Phone 3/^/Z 0-6 Arch./Engr. 04w'--e- Address City/Zip Code 11 Phone # /1 Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) 0 of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment PI Parks Copies TOTAL ?• I coZ 4 Co So- 'q-4-- vs &3o . J°°_ S2 S . S?-S. 7, 3Gu 12,o. °??aS Z ?) 2 x 4 4 = 2252 Iox 24 22x 22 r X57 x (2- S8 os 5qr 3e, BUILDING PERMIT To be used for DECK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Est. Value $1,000 nata Site Address 1306 ST. ANDREW BLVD Lot 5 Block 3 Sec/Sub. FAIRWAY HILLS Parcel No. X Name TIM SALZL Address 1306 ST. ANTHONY BLVD 0 City EAGAN Phone 452-9286 o Name RANDY THOMPSON ;a Address 13235 GLENHURST AVENUE City SAVAGE Phone 894-7135 8. Name Address a W City Phone 1 hereby acknowlege that I have read this application and state that the information is correct and agree to?yomply with all pplicable State of Minnesota Statutes and City o a§at`i Ordinanc s Signature of Permitee A Building Permit is issued to Y THOMPSON on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official N2 16846 J114- JULY 25 19 89 Occupancy Zoning (Actual) Const (Allowable) # of stones Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Rooster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY 12x20 15x6 14x17 FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit SAN Permit SAW Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 26.00 .50 • Y SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN /6 Y V(O MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. COMMERCIAL 2 SETS OF ARCHITECTURAL Q STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS t OF UNITS NOTEt ADDRESSES FOB CORNER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER i WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Site Address Valuation: I Q?U Date. / 2 K? Z, Lot Block Parcel/Sub Owner _Z? Address City/Zip Code FA Phone Contractor /&.4 ;r,D"df _ Address l lY . J l ?/61!/f J -,-riv ore City/Zip Code ?/ Phone/ Arch./Engr. Address City/Zip Code Phone E Occupancy Zoning Actual Const Allowable l of stories 12T Z7 Length IS)( 6, Depth IN A 1'1 S.F. Total Footprint S.F. On site sewage On site well MWCC System _ City water _ PRV required Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit CU Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL CLASS /c ENGINEERING CONSULTING EH61HEfAS, f?omES /uc, PLRNNERS and LAND SURVEYORS # ? 7•al COMPANY, INC. 1000 EA-'-, I48L9 STREET, OURH=VILLE, YIHHE=OTA 5ET37 PH 122-3000 Cert?zii cczze k!Ld zr-e? Za` al -Q"Crr4p2fcn: LOT 5, BLOCK 3, DAlU)TA COUNTY, ?ozB.?J n r (? V rh \v tie \VL 5 r l` ?s G s Sse o 'r3 Ri. 00•- w r-C Ic \ c_ 11 01 -- s9°9O o \ ?, 0 ell / 28 •. ?o 30, FRANT BU1LD1k1,4 ° f-567-16qciC L INE / Cfm DE?`10 f c? EXI57IAIE ELE'?.?;10A r m?.?an r- ? J v /O3o s) DENOTES PP-OP06ED ELEVA T iOI INDICATE;, DIRECTION 0= SURFACE DRAINAGE Io3a•83 FINISHED CA946E FLOOR ELEVATION DRAINAGE ANp U71117Y 6ASEMEN7 (L°ZZ. Z) I hereby certify that this is a true and correct representation of a tract of land as ahoxn•and described hereon.. As prepared by me on this /`2 H _ day of ^A' X , 19 87. - O? FAIRWAY HILLS, 10YAJA1630 'A SCALE : / = 30' L°t9, s) /fi - - ,G•..,f Minn. Res. No. IGo?S yOes ?°C ? "?sF. ?M CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT T.AKF.CTDF. PT.TiMRT Nf: ti HF.A TTN(: ADDRESS 12469 ZINRAN AVENUE SAVAGE, MN 55378 Location 1306 ST. ANDREW BLVD Receipt No./Date- T.5 R3 FAIRWAY Hai T S 75429-7/ln/87 Reason for Refund BID AWARDED TO ANOTHER PLUMBER Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ 45.00 Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account'Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ $ TOTAL $ 45.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. 7/15/87 Signature Date of 3830 PILOT KNOB ROAD, P.O. BOX 21199 MC ELLISON EAGAN. MINNESOTA 55121 Mo PHONE: (612) 454-8100 THOMAS EGAN DAVID K. GUSTAFSON PAMELA MCCREA THEODORE WACHTER County Members THOMAS HEDGES - City Administrator EUGENE VAN OVERBEKE City Clerk August 5, 1988 To Whom It May Concern: Attached please find a revised Special Assessment Search from the City of Eagan. The pending assessment for Project 466, Pilot Knob Road, has been reduced. If you have any questions, please call. Sincerely, (-- / Deanna Kivi Special Assessment Clerk dk THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY of 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 Special Assessment Search Date: November 30, 1987 Requested by: Re: 10-25600-050-03 L5 B3 Fairway Hills Chicago Title BEA BLOMQUIST Mayor THOMAS EGAN JAMES A. SMITH MC ELLISON THEODORE WACHTER Council Members THOMAS HEDGES CityMMni or EUGENE VAN OVERBEKE CRY Cie* On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. .. The City's policy is to levy assessments based upon the current zoning or existing use of the parcel (whichever is higher) as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, a condition of development approval will require that this parcel assume any additional assessment obligations that have not been previously paid for existing public improvements. The City Engineering Division can provide further clarification of this policy if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, 2 SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY TRANSACTION IQ 8768 SPECIAL ASSESSMENTS SPECIAL ASSESSMENTS SEARCH SU MMARY P'ROPER'TY I.D. TO DAYS DATE; 1 1/27/.:37 _--SPECIAL FLAGS---- 1-2-3-4-5- 6-7-9-9-to 10-25600-05 r, S.A.;# ASSESSMENT DE=SCR.. YR YRS RATE TOTAL Ah1M.PR;£M. PAYOFF COMMENT 101350 SAM SEW TRK 87 5 9.00% 366.48 73.30 293.18 , 101.351. WAT TRR H7 5 9.00"/ 352.36 70.40 281.90 101352 STORM 9 IRK. 137 5 9.00% 5186.96 117.39 469.57 1013:++3 I_.A'1 EaN UJA"TE: T. ;d'?' 5 9.00% 178.56 35.71 1 1" . c(-; 101354 STREET 87 5 9.00% 195.56 39.11 156.45 101355 TRAIL 87 5 9.00% 273.69 54.74 21.8.95 1OP'466 PILOT KNOB RD UO i .00f 436.01 436.01 436.01 PEP.D .*a SUMMARY OF ACTIVE- 1953.63 390.73 1562.90 CT.]M,'l : w * t THIS YEAR'S TOT P&I St) ;Fi kiEik'k SUMMARY OF PENDING 436.• 01 436.01. TRANSACTION ID: R76i3 SPECIAL ASSESSMENTS EiE'Ii C TAL ASSESSMENTS SEARCH SUMMARY PROPFi:RTV 1.0. -TODA'YS DATE: OB/08/68 ---SPECIAL FLAGS---- 1-2-3-4-5-6-7-8-9-10 i0--2560 1-050-..0. S. A. 0 ASSESSMENT DE SCR. YR YRS RAi-k: TOTAL mNN.PRIN. PAYOFF COMMENT 101150 SAN SEW TRl< 101351 WAT TRk:: 101352 S DRM S TRIG: 101=53 LAT BN WATER 101154 STR_L-.'I 101355 TRAIL. 1OP466 PILOT KNOB RD pw* SUMMARY OF ACTIVE THIS YEAR'S TOT P&I SUMMARY OF PENDING, 87 5 9.00Z 366.48 .00 .00 PREPAY 87 `. 9.00% 352.38 .00 .00 I'Firi:PAY R7 5 9.00% 586.96 .00 .00 PREPAY B7 5 9.00% 176.56 .00 .00 PREPAY @7 5 9.00% 19:5.56 .00 .00 PREPAY 87 9.00% 273.69 .00 .00 PREPAY 00 0 .00% 87.01 87.00 87.00 PEND .00 .00 .00 COMM 683. SO 87. 07,00 Pr-r-+yss EP•JTIE_I=f (CC;inap't.i3) , F1 or F'.._ (Header form) or I"=7 (Fies;tart I-:768 ! i For Office Use ; Permit City of Ean~cdln Permit Fee: / l 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I 1 Staff: Fax: (651) 675-5694 of ` - - I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 13o,7 SL t# /3({i d Tenant: Suite RESIDENT / OWNER Name: Phone: rr" 32 Address / City / Zip: 13 C S1 . A,46fheW 6(v G-. Applicant is: Owner Contractor TYPE OF WORK Description of work- f ` c . - / p sl/ JCPmacQe / Construction Cost / d i3d ° Multi-Family Building: (Yes No C~ ) CONTRACTOR Name: 4:111 aTH 52V CJ vice License Q 0~ 1 o G, 1 Address: /~~3~2 6 ~Gt Gc H C~ UG~p City: I1; 41Ou (tll` State: Zip:. j~ 6-s' Phone: 7'/- f z k 7163 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 (I 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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. Applicant's Printed Name ~D) I j 1 i pplicant's Signature N Page 1 of 3 AUG 0 5 2009 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck Porch (ScreenlGazebolPergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool _ Miscellaneous Accessory Building s w. WORK TYPES New Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation _ Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION c Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%---) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water Final Pool: -Footings Air/Gas Tests Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City sac Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page2of3 ForOf6ec#1se L/ 41 D ° o 4 2009 Permit C~~T Permit Fee: City of E ~v 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651)'675-5675 G Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: I (Q - 1 'l (ic/ 1 Y,C,l) V Tenant: Suite RESIDENT / OWNER Name: ~ /fit L-1U &AI,) L L.. Phone: Address / City / Zip: I _oIO . 1.Q ~r,J l d w 0~- CONTRACTOR Name: L k.6 P ((A4,- jlf~ License 052A5-7 PM Address: City: 11 State Zip: _55 _ 42- Phone: 2--Contact Person: I a I ~~7lp~~D TYPE OF WORK _New L Replacement _Repair -Rebuild - Modify Space _Work in R.O.W. Description of work: S PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 appr val of plans. x x Appli is Printed Name Appli 's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Air Test _Gas Test _._Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1306 St Andrew Blvd Lot: 5 Block: 3 Addition: Fairway Hills PID:10- 25600- 050 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 PERMIT City of Eaan A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: George E Burbie 1306 St Andrew Blvd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA081302 11/30/2007 ePermit 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. Issued By: Signature Date: r of EvanCity 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: ?" 30- 1z_ Staff: Z— Staff: 2012 RESIDENTIAL BUILDING PERMITAPPLICATION 3 v r 201 Z Site Address: 1304 Sa+.r4' 14,.Rt.+,s aL/ \ Unit #: RESIDENTI x' :OWNER .Khx Name: Laeorcl�, t k4/,tin 34-,,61 e, Phone: V ' AA // Address / City / Zip: /3 O 6 -sq/i4 41—„,/^ etJs /siv� Applicant is: Owner X Contractor TYP; E OFWORK Description of work: rav � , = 0. , 4is �,�`; `--/ J—, -L► ck-. CpapNr e4Tri) Construction Cost G1 , dz) Multi -Family Building: (Yes / No ) CONTRACTOR ;Address: L e t1�-11 -1--C Ca , a de- Company: -cr a ns r� ion Contact: o� 6 �3 (� S6vc% �. C, City: %` Oa% C--G'rc..e. State: NA Zip: S 5 3 Z Phone: 9,55 Z— `/Y) 3 0 'O License #: sc.. d / ea g 7 Lead Certificate #: 6/41- 4"- t612. 50- If the project is exempt — gx•L / from lead certification, please explain why: (see Page 3 for additional information) ,i, 190 In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans anddsupporting documents that you submit are considered to be public information Portions of the information maybe classified as non.; public rf you provide specific reasons that would permit the City: to °conclude`that they are'trade secrets.."z #' _ v 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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days • • it issuance. Applicant's 1'+nted Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION — Valuation Plan Review o_ Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous /3vc S-( /rrCI Storm Damage Exterior Alteration (Single Family) Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation VWater Damage *Demolition of entire building - give PCA handout to applicant Fol.) IJ DA�noWA're 'T DO Ft ki L @ ektSTI (o/OQO. ort) Occupancy LEL. I MCES System 0.6 de Code Edition 74b7,MSBG SAC Units Zoning City Water REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests - Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill _ Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 132 . 'T S 3•6-0 Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109848 Date Issued:04/09/2013 Permit Category:ePermit Site Address: 1306 St Andrew Blvd Lot:5 Block: 3 Addition: Fairway Hills PID:10-25600-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N 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 - George E Burbie 1306 St Andrew Blvd Eagan MN 55123 (651) 688-2338 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature � • r Use BLUE or BLACK Ink r----------------� I For Office Use � � � � Permit#: /� �� � Clty of ����� ., ,� ,�,� I Permit Fee: � ��� -/ � ����'�i�°t�� � I 3830 Pilot Knob Road I Eagan MN 55122 ��� � � � Date Received: / �"��`� I Phone: (651)675-5675 7��� I � I Fax: (651)675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ' �`�j ( - � � Date: «"t� Site Address: «� S�f�� �i�!'D� � Unit#: ` �� z�;:�- Name: Phone: � Res�den�f ; Qyyp�� �-', Address/City/Zip: � ;r �'! Applicant is: Owner Contractor � Description ofwork: �`� �.� 1Cf'11,L (j� �j�G► %L-�� T.ype of Work r Construction Cost: � �52.-. c� Multi-Family Building: (Yes /No� Company: ����-- GF �Il'�P�N ���"`'/ Contact: �-�-`I J� Address:�'t�0� S�5 � City: _�j,����tGLt� Cantr�actor � : �l 2_ �i � • n �� � State:�Zip: '���� Phone:�D?i -��bY EmaiL �T�S (+��G�-.. �^ � �; r w.a�-:'�� ''� License#:�'r(p�(�9 (� Lead Certificate#:�d�aZt2-c�3d If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �-1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: ' Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:..Plans and st�pporting a�oCUments that you submit are considered to be publiG;information. Portions of the information may;be classified as non-public if you provid�specific reasans thaf wauld permit the City to conclutle fhat the 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ---�,,, x �' """l 1�S x -_. ApplicanYs Printed Name Applican ' Sign ture Page 1 of 3 �30 � S-� ��� 6��1 • • � .� DO NOT WRITE BELOW THIS LINE � ���� � SU'�3 TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage � Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family) _ Multi � Deck Porch (Screen/GazebolPergola) _ E�cterior Alteration (Multij _ 01 of_Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ RetBining Wall `Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �e�Q.� Occupancy 1'12-c 2- MCES System Plan Review Code Edition Zvo� t�5r3C SAC Units (25%_ 100%� Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction ���� Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation �� HVAC Drain Tile Other: Roof:_Ice &Water _Final Pool: _Footings �Air/Gas Tests Final � Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace:_Rough In _Air Test _Final Windows Insulation Retaining Wall:_ Footings_ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Zc�` X lZ\ „ 2�...�d Surcharge Plan Review C9 x � � �-- �� � MCES SAC —7 J �1 _ 2 � City SAC �� � Utility Connection Charge 3-� � � t� � � S&W Permit 8� Surcharge ���l� Treatment Plant Copies �_ TOTAL Page 2 of 2 �s . �+ ��a`fO �A • � � ^ ����. L'LASS/C �516itl��7 CONStJl71Hr3 EHt3IHE#AS, . �o�ES J�1C, `���;�����x� PLAHNE4S cnd IAND StIAVEYOKS �6f 267�/ , COMi�(�N�r IHt. tova Ex:i t��ri s�R�,T. auxxrv�LLE, uir�r�E�o�x ��_37 P� i_2-�o00 +C�e�-z�z�'Z C�z�e � -�"�� . � � Z�R�� .�J�,�'� CZCrt: ZOT 5, B[..00K 3, FA1K✓t%�Y� NlLL�, � - DAlG�'?''A C��/�LITY, N?IIVIV�.�:�;"� p� o� ry��� ��`2�o� ��- ��� �� �tozs:3� s� ` �!°Z.8''� Sc �G 0 �'� ��� � �L � �3 a�,' / 9�� . S � a / ! � / �• ��g��� . �� i�e � / '�? �8. � ._ � � � a�.. V�� / �(o��� /� o i98/'' Q � �, . 5CAc� . /"' = 30' f,, / 09 �� ``��,,,, � ` •1n � a `o. . '���ga� Go� �qs� �' .�(.o29�5r ,/ � r, � n�� �� t/ b �° `8 s�, �%� � i 5 �°29�� �/ a Q' Sp �h' Q a� ��, !p � �vr �p� �T� P� ,a,�� `'� ti°-a,e�qao q° °`� 30' F�O/l!T BUILDI�I,'� Oj f \,,� �S+p`�•So� ! ����� �o.oo . SE7'BAC� L li'VE /�2� �\ '? ti� � / ���y���-w`�'� � � r �" O `q• �° // �r�9.� �E��_i G.'. •����T��C �LG✓."�1!101� o � � / .S"' / ,,,-'� � '�'�%�o � � �E� ..� �� �ro3o.$) DE�.I�TES PRoPo�cu E�£VATioI S/ , 'r ,�� �� .� #'`�-' �-'"'f 1NDICATE� DIRECTioN 0= � C!�/ �,, �� �� \rq��a D� SURFACE 11R�i�NA6c I \o �\�,.� � tl. ,� �i�.� c i / `U r- '` jO�O•8'� = F1N1$HED 6ARRG� FLOQR , �a,9,�a `�\ ~� � �; ELEVA7"loN _ � � ., s 9 ```�. ��� <� . s9°p°a // �`l.".'i`�. 2� ��/ '' �-- �° AR.41NA6E' AAIl� �'..;r, � UT/L/7Y EASEMEN7' `'� L'�z:�� . (LozZ,z I h+er:by eartify ttiat thi� ia a t:u� and rarr�ct r�p�sentzt3on of a tssc� af land a: sho+rt�' snd dea�:iht$ her+�on.• �►a prQPa.r�d by ma on thfs /�_� day of /J�AY , 19 87,. - -° . ����=•�,� Hinn. ltss, No. !� City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: J`,S>" 1 Permit Fee: Date Received: Staff: L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3" ` Cf /6 Site Address: 13O 51. 1`)lcl -t.-t-/-5 Tenant: Suite #: Resident/Owne Contractor Type of.Work'. Permit Type Name: /o/ 7/ e. Phone: Address / City / Zip: Name: /,iJ /904-4 Ci J License #: Address: /Z3( rGj/.4J,P 4 E, t City: glsS 'rYiPGins State: /(1 /iv Zip:�5 d� Phone: � /2/2 ' 72 V Contact: 6(a e" .S Email: f ( rw) 4,1,71 %-7 ,A„,,,,, <'� i ✓i New keplacement _ Repair T Rebuild Modify Space _ Work in R.O.W. Description of work: -,Z :'6 //S � / U� L- c a� d RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / _ PVB) Septic System Add Plumbing Fixtures ( Main / _ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 3Z 2 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. licantt-sem ra ��--- Applican ' Pri d Name x gee, Applica s Signature FOR OFFICE USE Reviewed By Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: t r Use BLUE or BLACK Ink � ----------------- I For Office Use i •tt f Wan Ol �, "�4 I Permit Fee: � ��• � 1 I 3830 Pilot Knob Road I I Eagan MN 55122 MAR 201 I Date Received: "r 1 o' I Phone:(651)675-5675 I - Fax:(651)6755694 I Staff. I \1` 2016 RESIDENTIAL BUILDING PERMIT APPLICATION `� d � Pi Date: I 0 1 Site Address: t9� '�` n I'�cr� ���►/ —Unit#: Name: Lew be-o%=---lr6rlr—a Phone: r pdtan�l •r Address/City/Zip: l3,v& Sf. A4-ar ,w-s j�,�T S`rt a 3 Applicant Is: Owner Contractor ¢I © Description of work: Ooh Reoj f,411- 5& "5,4e &A " -S Construction Cost, 0.0 Multi-Family Building!(Yes/4 1 No Company: 6i. e� o e' Contact: ( 1Z/� , 0 Address: 6 yie J`/✓p City: glak LI&Ile"I SLOW Zip: S`I q Phone: Ise-9V-^j Email: L��[�°�C-��ws�/J�„vrc►.�-t�/�'i License#: O t'o t7K1 J.7 Lead Certificate#: - c;L If the project Is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan; Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor; Phone: Fire Suppression Contractor: Phone: NOTE:Plana and supiport/n�dOGYr)i®i7t3 tlt�t yeti ifubmlt'af a co�slder®d fo 4®Publla lrlhorrri®po�r., Poi�lorlrs:,q� iholtifOrM60011 may.be;11Assillid as rton-publfc'If you provide s p eciflc-:tweito s thilt-W0V1d p.#Mdt°the:. ."d:? "ar::.: ,'It•...v`I•! '••`• `a ...P.., '.''....> 4anq N`4, i E�.:i+••. i'rv+� •'K : .. e$r�hf+:6:�6�':��u N°•�o•� p•��' +•tl4 ;.^1,M .:,'.: ,,;•..,..,,,>:,conclud that<t.a nary;°tfa'ds,�ebiets• ° � cow` �` M � : •eti':o•,.ey,r?m d.F�':&:'SM.x�a..u'uQk:di !t�}1 ,vtF'1';e.?i,.; .a .ra.a .re•' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www gooherstateonecall.oro 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 1 undorstend this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 160 days of permit Issuance, z V1 lu Appllcant's Printed Name Applicanr5wature Page 1 of 3 t7/T,d t769SSL9ZS9:01 OS2t7T682S6 00SM-19:W08d ZZ:60 9Z02-0Z-8t1W ­J DO NOT WRITE BELOW THIS LINE l �' SUB TYPES Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) 9ingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _... Miscellaneous — 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demollah Interior XAlteration Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall •Demolldon of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy zkoG,-j MCES System Plan Review Code Edition J'Aw SAC Units (25%_100 0/6L) Zoning R`- City Water Census Code 3AY Stories Booster Pump g of Units _� Square Feet "'" PRV ' #of Buildings J Length Fire Suppression Required Type of Construction Width REGUIRED_INSPEC_T_IONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O.Required Foundation NVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests Final Framing Drain Tile Fireplace:_Rough in _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_,Final Braced Wails Erosion Control Shower Pan ''' Other: Reviewed By: , Building Inspector RESIDENTIAL FEES r 13 40 Base Fee 73► 7r (L Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 t7/2,d b69SSL9TS9:01 0s2t7T682% 03SM19:W08J 2T:60 9T02-0T-81JW 04/08/2016 08:31 9524403081 4/1111 C!tyofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Site Address: Unit #: DELLERT CONSTRUCTION PAGE 02/03 Use BLUE or BLACK Ink For Office Use Permit #: � Permit Fee: l 73 Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION April 8, 2016 1306 Saint Andrew Blvd, Eagan, MN 55123 N/A Name: George and Karen Burbie Address / City / Zip: Phone: 1306 Saint Andrew Blvd / Eagan, MN / 55123 651-688-2338 Applicant is: Owner V Contractor Description of work: Construction Cost: Repair framing & fire block, adjacent to basement shower $ 4,000 Mufti -Family Building: (Yes / No V ) Dellert Construction Company Brian Dellert Company: Contact: 6867 Boudin St NE Prior Lake City: 952.440.308C dellertconstruction@gmail.com Phone: Email: Address: MN 55372 State: Zip: License #: BC001687 Lead Certificate #: If the project is exempt from lead certification, please explain why: Home built after 1978. NAT -98250-1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Fire Suppression Contractor: Phone: w .:"• : � � 99iJi/�1G�•ri/L�,►lsfiaeiiii►tr'Is�.:i:.:�:..t •:..::le��ai:_ �'� __•:: �: .. •.,4....• .. -.... ; •.;__._. .. Sewer 8 Water Contractor: i f f OitionS, Of prl'it th,:Citp to CALL BEFORE YOU DIG. Call Gopher State One Cali 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.Qopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x Brian Dellert Applicant's Printed Name Page 1 of 3 04/08/2016 0$ 31 / 34. /--,alctrL 952440 SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review �^ (25%_ 100% r/) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck ILower Level DELLERT CONSTRUCTION NOT WRITE BELOW THIS LINE — Interior Improvement _ Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) PAGE 03/03 — Exterior Alteration (Single Family) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing Fireplace: ,Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: — Siding Reroof Windows Egress Window Miscellaneous Accessory Building Demolish Building' _ Demolish Interior Demolish Foundation Water Damage `Demolition of entire building - give PCA handout to applicant Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Vest Pool: Footings _Air/Gas Tests Final. Drain Tile Siding: Stucco Lath _Stone Lath Brick– Windows rickWindows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: Building Inspector RESIDENTIAL FEES (/ Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /03 Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148179 Date Issued:03/12/2018 Permit Category:ePermit Site Address: 1306 St Andrew Blvd Lot:5 Block: 3 Addition: Fairway Hills PID:10-25600-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - George E Burbie 1306 St Andrew Blvd Eagan MN 55123 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature For Office Use Permit#: EAGAPermit Fee:_410 0-C) Date Received: 3- 30 --rU 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAR 3 0 LE/its (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a?cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3/28/2018Site Address: 1306 ST ANDREWS BLVD Tenant: Suite#: �k1 f1±�r Name: BURBIEPhone: 651-688-2338 Address/City/Zip: 7. Name: MECHANICAL PLUS INC License#: PC725588 406 PIERCE STREET SHAKOPEE co � Address: City: a��td 'd state: MN zip: 55379 Phone: 952-594-5326 ,401rOr JILLp greatlakes atrick@ g mail.com Contact Email: New Replacement Repair —Rebuild —Modify Space Work in R.O.W. Description of work: replacing tub/shower, vanity &toilet RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/� _PVB) �it Type �� ^ „ Septic System Add Plumbing Fixtures( Main/—Lower Level) Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$60.00 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 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be nn conformann with the o •nances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wo k is not tolsiart without permit; that the work will be in accordance with the approved plan in the case of work which requires a review and .'. •'. o plans. n X PATRICK KELLEY % Applicants Printed Name A••licant's Signature "ir ' d' �f a�.OFFICE � 4nl} v �71P�, '"a.h� _ u-0���19 �� a C-x r l� �'�`' "'r • a' � ;�. 9 li n,V `.r ;*i` i Required4iSpectleesrr ixh :A04Y-nd "' AirTes Test oNf. ,,,i Meter.Rel . .:.e O 100," 0,16e= t r tatr d 1 ® a %40# AGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 buildinginspections(c-cityofeagan.com Date: ----------------- I For Office Use I l 70 I I Permit #: I I Permit Fee: I I I Date Received: I I I Staff: I L----------------- 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: IY6 Unit #: Name: 6_(,qC7 2 AZ_ �Ur �� �� Phone: Resident/ 1 3 O.6 13/ x' Owner Address / City / Zip: fT v Type of Work Applicant is: Owner Contractor _ Description of work: � �` C) Construction Cost: Multi -Family Building: (Yes / No Company: l" Contact: Contractor Address: J` v �v�t�c� ! "'� City: � State: kA Zip: L / / Phone: G l S Email: License #: i3C 66 356�/ Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE.•yPlans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non ublic if you provides ecific reasons that would ermit the Ci to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 plans. b�� S1��) X _ x Applicant's Printed NameApplicant's Signature