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1314 St Andrew BlvdCity of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #:✓ Permit Fee: / - oO Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 13/q A yi d ketA, 1.-1 3 Tenant: Suite #: RESIDENT / OWNER Name: Do, v\ (.Jc, I an, -,c; I -e v1 Phone: r.,/ . 1-/O(¢. ct 33> Address/City/Zip: ( 3 14"( 51 4vjt_ W 13(nJtl. Applicant is: Owner \( Contractor TYPE OF WORK Description of work: Pee ErE' vireo, 4, cuti.rit-Cot,-5 , tea' Construction Cost: 974iSN, Multi -Family Building: (Yes / No ) r CONTRACTOR Name: 141 -Pct'\ Ex{er:U-> License #: a_0 3a-'7''1 Address: S G G1c,ctesk, r ,p C' -P\ City: TT^vty' e912x4,-0 State: 'W Zip: S -CI -76 Phone: Gil ' O air, 4 3`° Contact: TOY) SO t 1-e Email: SOV p Y e k ekef',,Ct_.Se (Uh., COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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=pubiic rnformatrori Portiions of the information may be classified ~as non-public if you'provide specific reasons that would permit he ity'to conclude that they are trade,secrets CALL BEFORE YOU DIG. Call Gopher State One CaII 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 apprc%ied plan in the case of work which requires a review and approval of plans. x Apgifcant's Printed Name x "Ti; ncASO' \.c. Applicant's Signature Page 1 of 2 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: 61 55 o ./ Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /j9/2ot2 Site Address: .3) ® ' i 4-ck `y Tenant: 6C3.Yl L 1p 9)— c -i,r,e 0- l Suite #: RESIDENT / OWNER Name: tavi•C\ a' CaA c r; r� ` t�� Phone: 6 Si- ib—?337 Address / City / Zip: \3121 `JT , %fvtc C. -CLAD e.VS /,3q Vl SS 1 Z3 / Applicant is: i Owner Contractor I TYPE OF WORK Description of work: ?O 1 ka. ,. CY k A VCE ' AA. et4.4 Construction Cost: 00 Multi -Family Building: (Yes / No)( ) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans anal supporting;d90:00.411 styou submit are cons dered to be public rr format on Portions of theinformations maybe classified as n -public if you:provide specific reasons that would permit the Cr y rt . .t coon nclude that.they are trade. secrets ; ,. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.copherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. WQl r►��c x j/171 Applicant's Printed Name Applicant's Signature Page 1 of 2 (,?,> F 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 1 L3 • Date 19 Site Address J " 1 R'.'AY 1, 1 On Site Sewage Lot Block Sec/Sub. MWCC System Parcel No. On Site Well City Water a Name S '33 W = Address 0 3 77 City Phone Name o o t Address City Phone Ua W W W Name F, a Address W City Phone I hereby acknowledge that I have read this application and state that the information is correct end agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Occupancy Zoning Type of Const X (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES T 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 Pt Variance Parks Co les P Signature of Permittee 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 Plumbing / HN.A.C. 7J? ?/ ?/ Jr7 Electric Q Y?L' /F' .?lO o Softener Inspection Date Insp. Comments Footings l `/ ??' Footings II Foundation lL?,•b Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace iv& Final Htg. Final Plbg. Bldg. Final Cert. Occ. t Temp. LP Deck Ftg• Deck Frmg. Well Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # 'A LC -14 CITY OF EAGAN ,??// 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 4S _e')nn PHONE: 454-8100 Site Address Lot r Name Addres c City Name c Addres 3 O city BLDG. TYPE WORK D S 1PTION Sec/Sub 12 k1i C% Res. >- New Mult. Add-on Comm. Repair Other Phone Phone RES. PLBG. ONLY - COMPLETE THE N FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 JV-Lavatory - $3.00 -14Shower - $3.00 -)-Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 -A-Floor Drains - $1.50 ___WAter Heater - $1.50 1 Whirlnnnl nn T TAIL COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) _ PERMITTEE FOR: CITY OF EAGAN --g-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 R h0 -in s-$150 Jo oug pg FEE: 'J STATE S/C: GRAND TOTAL: ' y _ J PERMIT - . . , MECHANICAL PERMIT 7 / /J RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: P NE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res (?- New Pep t Name D 4_% ' -?Mult Add-on ID Address r r .1 Comm. Repair c City Phone me ` L Name FEES RES. HVAC 0-100 M BTU -$24.00 Address C ADDITIONAL 50 M BTU - 6.00 p city _ L Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUT ETS MI M L ( NI UM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORI4___ . t? COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ?i r r j'M BTU APT BLDGS. - COMM. RATE APPLIES Boil TOWNHOUSE & CONDOS - RES. RATE APPLIES er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT - 20.00 - .50 Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # Z BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN Tertifiratr of Mrruvanry citp of (Eagan arprtmm of mg 3wertwu This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following..- Use C1ssifiauon ST 11iG/GAR Bldg. Permit No. 1372'_' 00-fancy Type R3 zoning DOMM 1 ` 1 Type CMM y Oww of Rumng *cnaw D CQ19IRilC W Add m 1212 S1 MI LL HAY RD, B' VIIIE BuMng Address 1314 ST 9MV BLVD ,,,.,ty L3, B3, FAIRWAY HIDES Dar. ITEM 19, 1988 Beading Oficw POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 i RECEIVED FROM _ .f AMOUNT I & -DOLLARS Boa CASH CHECK FOR ` ?? ! K.. L I1 L I I L I' White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY ?'- BLDG: PERMIT NO. / ?'' / P '? 01-3210 r mi B dg. 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road U nit 20-2?75 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Perini 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 R<Ct1YED FROM DATE 19 AMOUNT I$ A DOLLARS goo CASH Q CHECK FUND CODE AMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy _ Gate: 8-26-87 CI OF EAGaN Permit No: 8998 3830 Pilot Knob Road Meter No: 3 TT15Z-' Size: rf O P.O. Box 21199 Reader Nail •-5')2 ???0 9 Date: 40 Eagan, MN 55121 Owner. McDonald Const. Site Address:_ 1 114 qt'- Andral, Mud _ T.1 R3 vaixway Hills Plumber Ihirr P1 umhing Conn. Chg: Acct Dep:_ Permit Fee: -LU. UUpa Zoning: Rl No. of Units: 1 Surcharge: . 50pd I agree to comply with the City of Eagan Tr. Plant 180.00pd Ordinances. Meter. 67, oppd Misc.: By WATER SERVICE P IT 3830 Pilot Knob Road - - P.O. BoX-2t19% • "' PERMIT NO.: 10148 Eagan, MN 55121 DATE: S-26--87 Zoning: P1 No. of Units: Owner. McDonald Const. Address: Site Address: 1314 St. Andrew Blvd. L3 B3 Fairway Trills Plumber. !,%rr Plumbing 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21 -199 Eagan, MN 55121 100.00Pd Connection Charge: 59 % _ nQP3 Account Deposit: LS ?QP? Permit Fee: 1 !1=!1?- Surcharge: `1?• t Misc. Charges: Total: Permit No: Date: 8-26-87 Meter No: Size: Reader No: Date: Owner. XXDoaald Const. Site Address: 1314 sr _ ndra R1 u.t Plumber ?•furr Plurthira Conn. Chg: 525.00 d Acct. Dep:- 15.00pd Permit Fee: 10.00pd Surcharge: • J0pd Tr. Plant 180.00pd Meter. 67.00na Zoning: R1 No. of Units: 1 I agree to comply with the City of Eagan Ordinances. NI ID(:.. oy WATER SERVICE PERMIT This request void/ 18 months from D 1. &N2 0 75?87? Re nest Date s Fire No. ppo gh-in Inspection Re gmretl? ?Reatly Now ? Will Notify Inspec- ?Yes ?NO kn When Reatly icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: St eetldd res , Box or ou a No Cil lyep e t n o. 3 Township Name or N 6 ounty ?Y i, Oc p' nt (PRIN ouo ? /v Phu N ? _ 7 S(af Power 'er Address KELNDRICK ELgaC TRI? ^n,rar.,or•s License No. N1.0illg/A?I 1.o.C (?LNN r i tailation) i+l\111 AR i On m r A to l lationl Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bid,. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1521 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121642.0800 ENCLOSED. 0/_?2 c;,!/87 REQUEST FOR ELECTRICAL INSPECTION BB-00001-06 If Sea instructions for completing this form on beck o1 yellow copy -166'20 "X'' Below Work Covered by This Request New A Rep Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater ighti ny Fixtwes Apt. Building Or r Electric Heatin Commercial Bldg, urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer poci v Other ISnncityl _UM T', pedty Other Other Compute Inspection Fee Below is Fee Service Entrance Sire a Fee Feeders/SUbfeeders M Fee circuits U to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 9 1 LA -4 1 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial.'Other Fee Signs Special Inspection TOTA Remarks L Rough-in to?'1 I, the El. trital c .r nspectoq hereby Final ?e'? v vv certify that the above inspection has been ` roach. This request void 18 months from `? /s7 ?s, -7 2005 RESIDENTIAL BUILDING PERMIT APPLICATION p b0 D 697 / City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 3 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N I set of Energy Calculations Addition - Indkete if onsde septic system Onatte Septic System _ Y _ N 3 copies of Tree Preservation Plan Blot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 4- l .4 Site Address l a %- Construction Cost dam`-' 3 / ?T- ana>re l lVwa Unit/Ste # Description of Work yEC__f1-(r SG11TFy) Ta-C - Multi-Family Bldg Fireplace(s) - 0 - 1 - 2 _ Y /N / Property Owner Co(,tiv X 4%n ?il?CUM5??\G Telephone # ( ) Contractor Address Jl3G 1 State 3rrGLrLO?o (n/ c yAriz. Va City S ST w? i lYIN Zip Telephone # (?Sy) 5 9`1` `?d g?- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _Y _N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature APR 2 7 2005 1 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck A 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_y or_ N ? 25 Miscellaneous Work Types f' ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding (1k 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation oLr o Occupancy MCES System Census Code q Sid Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const VIS - Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/NO C.O. 6 Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & W ater _ F inal - Pool _ Ftgs _ Air/Gas Tests _ Final ?y Framing - Siding _ Stucco _ Stone - Brick Fireplace _ R.I. - Air Test - Final _ Windows Insulation _ . Retaining Wall Z Approved By: -------------------------------- -,Bu ------- ilding Inspector Base Fee ------ ----------------------------- --------------------------------- ------------------ ------------------- Surcharge C r Plan Review 9 = ?75 C? ? MC/ES SAC Pr?' ! / City SAC Utility Connection Charge it & S h S&W P (? ?_? ?t?( P ? L urc erm arge ? IL Treatment Plant L' License Searc h '-'" -"?- Copies Q ?( D Other Total RESIDENTIAL `4 //'r R o BUILDING PERMIT APPLICATION CITY OF EAGAN 1 0' I 3830 PILOT KNOB RD, EAGAN MN 55122 / lD ?J s 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Planf lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) RemodelfReoair Reouiremen • 2 copies of plan 1 set of Energy Calculations for heated additions 014 • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions DATE ?? f 7?D Z VALUATION )'+6J a00 SITE ADDRESS \ alb t 1 . Ate? -MULTI-FAMILY BLDG _Y N TYPE OF WORK GAP 9'Oo+'[,? a6 A\ -govt FIREPLACE(S) X 0 _ 1 _ 2 APPLICANT STREET ADDRESS \Lk S nCQ,?rb Q\`rol CITY ? 5 no _ STATE?LNZIP SS IZ? TELEPHONE # nSI-1{p(e-q_33:jCELL PHONE # &%Z-C1`73 -Z'907 FAX # (aS 1-40 (9 -d 353 PROPERTYOWNER?avt? ° L `6'Ly.}y er?nP ?4.L?TELEPHONE# &5 I_gb&-g33 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler D f? (? J?eo PA)Eh _ Water Heater _ No. of R.I. Baths No. of Baths .)UI 19 2002 Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning BY Heat Recovery System Sewer/Water Contractor: Phone # - ------- ----° -------------------------------------------------------------------- ---------° I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 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 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex )<17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex ? 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_Yor_ N 25 Miscellaneous 121f 04 PoL4r D?/0t `7/ / "' "L!! (? ? 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 r, 10, dV Occupancy 12 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const -? Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. _ Footings (deck) Y Final/No C.O. Footings (addition) _ plumbing ?C Foundation _ HVAC Drain Tile Other Roof _ Ice & Water Final Air/Gas Tests Pool Ftgs Final Framing _ _ _ _ _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test - Final _ Windows (new/replacement) _ Insulation _ Retaining Wall 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 Approved By _[_Z Building Inspector r /IPa r. TrOA - S-Xe? = 3?? W(h p ()ttT or F/Ltwr- PuyL-64- ?7(2v ?? ?( o ?40S 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all 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 if lot platted after 711/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Remodel/Repair Requirements 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate it on-site septic system 90 010 046-Use on Catofsurveyggcd .Y, .;.Y _t tea _Y N Tree Pres Required . TY _N On-site :Septic System _ _Y. _N, Date O Construction Cost /U .0 00 Site Address 1 ?? /? d? fdq J`t?° ?o \ vel UnitlSte # 0.h ? S Z? Description of Work -,S V, f ?rwe ki- _ - Multi-Family Bldg - Y &N Fireplace(s) L\ o - t - 2 Property Owner Telephone # (6,51 7 ) $O 4 \ rrot Contractor ?5.a m? 4 Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor with a similar plan? Telephone #( ?n? Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and ackiNKledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Qmvv-,C1 Wa)v\ns ley Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration - ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 34 Replacement /? 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation 4 Occupancy MCES System Census Code ? ?J ST Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ lee & Water _ Final Framing _ Fireplace _ R.I. -Air Test -Final Insulation REQUIRED INSPECTIONS _ Final/C.O. FinaVNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 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 - / 0 1 / 1 I o ` 1, Site Street Address 3 1-1 S4, f/? Ila't-ew ?l? 6s? w ? N Jrs? Z 3 Unit # t Property Owner Ye" C l QA? lp Telephone # (651) 4a (p -9 337 Ce\\ 1'Z'a1'18-2807 Contractor Telephone # ( ) Address city State Zip The Applicant is: Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 XAdd fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnarourjci (add $121.00 if a 5/8" `meter is required) Other. Z `^ ac ?44xwa- ?T Water Softener Water Heater $ 15.00 - replacement _ additional Lawn Irrigation System RPZ_ new _ repair d $ 30.00 State Surcharge ?Qr2 0? $ .50 Total 00 $ 5D,,60 tLil I hereby apply for a Residential Plumbing Permit and acknowledge tha?6fe 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. Applicant's Printed Name Applicant's Signature .. k s -7 aq? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 i7/ ? la'3 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE Z S -7 710 - RemodelMegair Requirement • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks Indicate 9 hone served by septic system for additions VALUATIONh° °-jS6 SITE ADDRESS TYPE OF WORK rE C- ^?" ?n APPLICANT A w% FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS V ) ILA 7-4 , AA,iA-) B\ CITY q 9a y\? STATE YVVA)ZIP ? TELEPHONE # L5? 06 -9 Q7 CELL PHONE # 61 Z-` (7 ?- Z Y07 FAX # PROPERTY TELEPHONE# lo1Z-S-r -Z?e 6 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • NewEn?grksheeE Submitted • Energy Envelope Calculations Submitted - ,. L Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system include- S.-Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Fee: 570.00 Phone # I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican?H// OFFICE USE ONLY MULTI-FAMILY BLDG _ Y ?(- N Phone # 3 Fee: $90.0 ley -?-_- Water Softener _ Lawn Sprir Water Heater _ No. of R.I. No. of Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex X02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex ? 31 New ? 35 ? 32 Addition ? 36 x 33 Alteration ? 37 ? 34 Replacements Valuation 400 Census Code y i SAC Units Nbr. of Units Nbr. of Bldgs Type of Const V l+? ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N 25 Miscellaneous Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy AF -4 -Gay MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 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 Final Ftgs Air/Gas Tests Pool ,/ _ X Framing _ _ _ _ - Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test -Final - Windows (new/replacement) Insulation - Retaining Wall 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 Approved By?? Building Inspector -------------- -------- - ---- owmsvaw? 2s'? Ica -- 111, V/ ?_p Job Site Address: 4CZ°?J r ) ` V PLACE YOUR CITY LOGO HERE Provided for your use - courtesy of the "CATEGORY I" ALTERNATE FOR CiTyoflnverGroveHeights ONE & TWO FAMILY DWELLINGS i 651-450-25550 INSTRUCTIONS: This alternative may be used for one- and two-family dwellings built to meet the Category 1 requirements of Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Code summary sheets available from the Minnesota Department of Commerce. Part A. BUILDING ENVELOPE ? ? "Cookbook" (complete worksheet below) ? MnCheck method (attach report) i ? Performance (attach U-value calculations) ? Systems Analysis method (attach analysis) "Cookbook" Worksheet INSTRUCTIONS Step 1. Check item(s) that design meets on Minimum Requirements list to the right. Must meet all items to use "Cookbook" option. Step 2. Indicate proposed wall type on table below. Step 3. Indicate Window U-value and source. Step 4. Verify total window (including area of all foundation windows) and door area is equal or less than allowable percentage. ' MINIMUM REQUIREMENTS ? _f 1 1 p ^:°r c(Poi."Cboktiaok"optionoRlS') Ceiling Insulation: Minimum R-38 with 7%:" energy heel; or Minimum R-44 with low truss heel; or Minimum R-38 with R-5 sheathing when no attic. ? Entry Doors: Max. U-value of 0.30 or 13/I' solid wood with storm ? Rim Joist Insulation: Minimum R-19 ? Floors over unconditioned spaces: Minimum R-24 ? Foundation Insulation: Minimum R-10 ? Foundation windows: Yz' insulated ass, wood or vinyl frame .. ,r.? . • . - .._'. `", , ,k . TABLEFORDETERMININ IvlaxutturiPA]lowebleT° 'Window;2iid;Door"At`aa°, - .. 'aPeroenta"e%ofEx sed'Wall-? G:MAXIMUM WINDOW AND DOUR AREA '+ +;;, 3 :` . 14% '• 44/ ._.. 3 SIN 26°k' 1, . l ..,rte 2$% k ' WaO'f -e`': tandard Fraioin .. '777 Maidinin n A ` . Window U-"valuo c "f•I'oundation dJindo -, ws : ?'" ;:? _ .-. ,`F. :t3 ? 2x4, R-13 insulation, R-7 sheathin 4 0.55 •', '0.47 ,- '. 0.41 ` 036' I ;0.33 ,, -0:30 027 ` '0.25 i, 013 } ? 2x4, R-15 insulation, R-5 sheathin •'?*0:52' -,',0.45,-,, ,,'0!39 - "'60.3i f 2x6 R-19 insulation, < R-5 sheathing ' 0.41 ,x ... 036 0.32 0.29. 026 -' 0.24: . 0.22 '•-. . 021 `-'? ? 2x6, R-19 insulation, R-5 sheathing f 0.5fi?'? I?18 ` -+• Ik42' ; 'Q 3720- w?17i34: 03.1-` „ 0.28_:+'.a 26 " `. ?&24 ? 2x6 R 21 insulation, <R-5 sheathing . ,0.51 ' 0.43 6.38 0.34 - ,=0.30 `. 0:,28 - 0.25 `023 ' 022 ? 2x6, R-21 insulation, R-5 sheathing 0.5$='`" x.50, G '' 00+44 a `0 34^ - -<^0.35 '- 0322=. z-- 0.3?? .} ., 60.27:- - :425,x! .: Wally' a "Advanced,Pmmin ` ;- ..."' .. ?',-Maximur ? 2x6, R-19 insulation, <R-5sheathing f'0.52 ? 2x6, R-19 insulation, R-5 sheathin -,;„0.58; wAvemo -:Window U-vatue. exc "0 '0.50 -_; , QA4 -, _ 0.39, t.fmndatiou windo 0:3_ :f18't ' .,-Oc3S -0.321 ws : ""0.".C`024r:22`s*1 0.29'' ` 027 025 •;; ? 2x6 R-21 insulation, <R-5sheathing W0-A7v`, ` ;.1 J036! ` =rl).33 . v 030": °`0.29 '.. 1,025 = aSa3 1 ? 20, R-21 insulation, R-5 sheathing t ,0.6G, ' '4.52-,-, j _ 0.46- r , 0.41 0.36 _ 033 . 0.30. 0.28 " 0.26 `; ..> Smnce_ ? NFRC ? ASHRAE 1993 Handbook MINNESOTA ENERGY CODE - WHICH RULES MAY I USE ? TYPE OF:RESIDENTfALBUILDING APPLICABLE RULES "' ? t -, r ,.« ` Dets'cfied R 3'occupa`ucy"_44ntl 4am y.dw"?ao0r`nga'i `' +>Gb?Ner 7672:'..or: ¢ v.,`r ,.: ' , ,ti. ` t",?. `.';"•? ?- .',.waf 1 r- r >, „ t: , s'" ' f J .. - les. •'smgk: amr , iwin'hommtS; dupkiies wnh'statutory ressurization and ventilation ... 7670 "Category-Y um enients -, -. "%>rldtached;"Ii.-3fgcen0ney dwCWngs: >?` 3,....'_ ,t'a* ` ' 4?ap 767ta.*°?", &.+: " "r a. W :ia.. ' i ?- i =•rt. ' ' ` ? .?;? _$xmm les. tr+ lexaownh ooses and row.houses lvith either"Cat Thaptir 7670 2 visio3s -. . e 1 or •° I occ'gpanc?y-builditigs-oi3'stories o lcss 4 " `' , Chap 7674„ or " ' ' ? ' --con doiuimutne'oi Srhnnetits` 'les: "` '767Uwi0t kt0t slos "' ?: R'I oeep-"pso?ec?'?6w7ngs aver 3 ?toriesLtgh u,-r . ?`` n' ` ' ? aChapt? 767. - .? g. `i ''- ?'Y a ? : artmenis lii naeco dos'ar es. , ° w_ . i - . ?va iJ CITY USE ONLY PERMIT #: RECEIPT DATE: 2008 RUIDENTIAL MECHANICAL PERMIT APPLICATION c1TY of EA&AN S$SO PILOT KNOB RD EAGAN MN 5518E 651-661-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: I yI`1 O A ? \Md OWNER NAME: t1 ?l?i LI MS` TELEPHONE #: (-DSI - LICE p - l 33--? INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the permit work type J? r 31002 D ][ Add-on, modification or alteration to existing dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: 1_1_ ? I r n ,fl u - n t , 1.)/ CA tl ? C? ?O GCS, 1?51Ll 170CO-AQ.:('S?1 V /kC??ta i?fl?J\cLC? a IC, CU y-%C._r %C , 3tc,-, me law: 1 I -CE 3t.o . State Surcharge $ .50 Total $ ?? . 46i,'Lt ,4_7?_ ct')Cf.? SIGNATURE OF PERMITTEE Wohlers Southside Mg. & Air, Inc. 6950 W. 146s St., #106 Apple Valley, MN 55124 (952) 431-7099 t/o2 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF EA6AN 3830 PILOT KNOB RD EA6AN, MN 55188 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE #: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank - Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: I% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL SIGNATURE OF PERMITTEE Updated 1/02 PERMIT RECEIPT DATE: 8008 RnIDENTIAL PLUM$INU PERMN APPLICATION CITY Of EAGAN 8830 PILOT KNOB KD EABAN, UN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: STATE: Y ?`? ZIP: SS)Z3 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and wate r heaters. $ 50.00 Abandonment of septic system. Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) k Other: ®y .?-Ii Cx5 t v, ?n C 1 . _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system IUI 1 9 2002 Replacement/additional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 $ So<5 0 Total I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/e me SIGNATURE OF PERMITTEE 1102 CITY OF EAGAN N_ 13 7 2 3 3830 Pilot Kuob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE:1454.8100 it Il?? Receipt# K'?I To be used for SF DWG/GAR Est.Value $123,000 Date JUNE 4 lg 87 Site Address 1314 Lot 3 Block Parcel No ST ANDREW BLVD 3 Sec/Sub. FAIRWAY HILLS a Name MCDONALD CONSTRUCTION i Address 1212 BLUEBILL BAY RD o City B'VILLE Phone 431-7567 c Name SAME OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCC System X Zoning R1 On Site Well Type of Const V City Water ,$_ (Actual) (Allowable) 11 # of Stories Length 52 Depth 38 S.F. Total Footprint S.F. ob Address APPROVALS FEES P City Phone Assessments Permit $ 57250 0 u6 Water/Sewer Surcharge w m Name Police Plan Review ?? 5 ?i s- Address Fire SAC, City iee:e0 crs Engr, SAC, MWCC aw City Phone Planner Water Conn. 525. ?0 Council Water Meter 67. 0 1 hereby acknowledge that I have read this application and state Bldg. Off. Road Unit ?0 305. thatthe Information is correct and agree to comply with all applicable APC Treatment Pt 8e.?0 i State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Signature of Permittee /y? Copies TOTAL c25 A Building Permit is issued to. MCDONALD CONSTRUCTION ? the express condition that a? all work shall be done in accordance with all appl e State of Min? ic 9 8o ta Statutes City of Eagan Ordinances / li / Building Official y ? ? L 3 /,3 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 (? 5 To Be Used For: 1?CU_ Valuation: Date: ?Z ? Site Address D [ l Lot 3 Block 3 Parcel/Sub f11L DCi11Ct?? ??S?fucFc eve Owner ??.r-h e ?G of c? c \? 1 Address 12-12 .mob; n Bx' Pa City/Zip Code -ju'e 7(Vw? 55337 Phone 14 J 1- 7 5 (e / Contractor IJ A m 6- Address City/Zip Code Phone Arch./Engr. - Address City/Zip Code Phone # On Site Sewage_ Occupancy MWCC System ? Zoning 1 On Site Well Type of Const City Water ? (Actual) (Allowable) # of Stories Length SZ Depth 3 S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit se Water/Sewer Surcharge Police Plan Review 2 b G. S Fire SAC, City I C"D Engr SAC, MWCC 525 Planner Water Conn 51-S, Council Water Meter co 7. Bldg Off Road Unit 30 S APC Treatment Pl (50. Variance Parks Copies TOTAL 7) 75. (`- 4a x S = di-F-5 -T ?2ntz.? ?? = g 4o x- 4¢ = 3?? mac) x = 1.2 -Z I ZZ0 (G [LOBE EoNSULTIHO EH OIHEEAS DONALP ENGINEERING PLIIN14EAS and LAND ?UACON ST. n N4!Z-B 1 COMPANY, INC. 1000 GIST 146th STREET, BURNSVILLE, MINNE!0TA 5530 Cep`j4tzCCxzc `-y 19_ ? e (y ?e4'cl ?7e?crKOZicn; LOT. 3, BLOCK 3, FAIRWAY HILLS, DAKOTA COUNTY, MINNESoTil DENOT['? EXIS7-ING ELrEVATION DENOTES PRoPoSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 1026.83=FINISHED GARAGE FLOOR ELEVA7ION I ? o I ?° 5 89°48'109"E 10,061 4 oR °07 11022.5; 0022.5) I-1 I /02? s- 1 I 1 1 ?J p /Gq,pq?E CPO HOUSE D \ O I? 1 --.v ?/O'9Or 1 x v? O \ i 5'1 ' Qa,z-?i L- / (7on.9) J 18.83 ° S 86° 04'/4'E 3i. S6g,92 / F ??65. `?61 SCALE : 1 "=30/ 30/ BUILDING SETSACk LINO DRAINAGE AND UTILITY EASCMI_NT ??1 11/1 / I hereby certify that this is a true and correct representation of a tract of land as eho+m'and described hereon.. As prepared by me on this 2z .,)D day of /11A'1 , 19 ff?. lfinn. }Rea. Ho. /Gafff 3 N 9U ? m? 0 V) O?"Q? r OITI OF BUILDI110 DEPARTI•IE11 - C? W? ? EX1'Ellloll E_' ll(~ oPB AVERAOE aU n C0IIPUTATIOD (To be submitted with buildin • g permit applioatio.ll) One or Two Family Dwelling Owner ?Ji;t:1? [?j? .tn1t? All other Site Address I/?? L }? Contractor 1„~ LCD&), ,I" e,,A -rg-' pate Phone EXPO EDFVIALLOF tEG NW U - ? I ??7 i t. above grade ? •? ?, (lJ . Z?{- TOTAL EXPOSEDD WALL A11FR Sq. FT. OPAgUE WALL COPSTRUCTIONI uUn Value x Area D t l 1'NE aUI1 3 e a l VJW . x Sq. reference I,D„ y" x - Sq. from nUn a n x SQ. attached _ nUn x Sq. slieots aUw x S V1114 Do Ws I uUa Flnlce & Type n a a n ?? n Value x Aroa lit/_SUL, Cdr uU?? , (? ?t 8Q. ' upn nUn x Sq. npu x Sq. D001181 q u x Sq. U Value x Area Hake & Type 00 _?nUa x S . Q o ?? nUn X SQ. n _ n nUn x eQ. x Sq. TOTALS ??I?(0, 24 sq. TOTAL (U)(A) VALUES AVE11AUB nUn DIVIDED SY TOTAL WALL AREA "???,?lZ¢ i '?-? AVE11AOE t1U n r :115 br lase for 1&2 family dwelliligs Ii00F/CEILItl0t``I I ?O TOTAL APEA1 FT.25IXof{ . 0117b(U)(A) FT. n L c (U)(A) FT.. IZCn? (A - JU) (A) FT. U)(R) FT.' (U)(n?. FT. = (U)(A). FT.,T1- I Z10?(U)(A) FT. _ (U)(n) FT. = (U)(n) FT. = (U)(A) FT.Affmlu_(U)(A) FT. (U)(A) - (U)(A) FT.` 10E, ? (D (U) (A) Detail reference from 'full w oO2,I. x Sq• FT. f I(G? (01, 2`f? = )( ) J A attached slleets. nUn x SQ. FT. (U)(A) Describe opeuiugs nUn x Sq. FT. _ (U)(A) in roof. uUn x Sq. FT. (U)(A) TOTAL (U) (A) VALUES DIVIDED ' ' x 13Y 7J? ? Sq. PIT. ---'?-(U)(A) 7?r?L?j ?f 5q? ?`t???pC? V TO TAL HOOF/CEI? AllEA I I ?? AVEIiAOE 11U?';0 or ventilated roofs. ?Z nUn q' x Sq. II?YYb?? r/1t?N 1(1 aY?SS ? 'Pap 54 X (4g t45+ 28+ 2 0) = I go, ?8 v3x (fig+1??t2.S+y8?= ('3?z dc? ?wt c 4e p (?? X I Sz = lolr84 m , ?3X Isz- IZ(o,lw ?- INn,s?"A)s 20x,4 0(,1" = .- X ?4x?a = II ?25X ? = 33,?? zoX3c? .? ? x i = -? fo 4-ZoX = 4-XI = 44,v Z - zok?c = ?? X } = } 4 D ?;)-zox4?2 = 27X I = 2?fo Z-7-0 X(VC = ZZ ?I Z?fO ZoX(pD = }I ?Z=- 'ZZfo tkk'-L. 3/7&13 L? A\Awp )alis4 L ?zcp,?e ` J H ??p 13 7? f ? Cllr 1 I/ C ,mo-" (y b lA-rl? I ?Yv? fi?1z, ?2 03?C) IIvo ?.(4' P? -WALL SECTION-- Determining '„un valuea at Roof, Wall, Rim, and Conb. Block ROOF/CEILIIJG 1.) Interior Air Film 2.) 5/81, Gyp. Bd. 3.) Insulation 4.) 5.) Exterior Air Film (STILL) uun = 1/R= ,0-2 I 'T'OTAL (R)=46,75 rs w WALL 6.) Interior Air Film 7.) 1° GYP. Bd. 80 Insulation 9.) ?10Ivr-PIIB 10.) Masonite Siding 11.) Exterior Air Film SR) VALUE 0.61 56 qy, 0 0 .61 R VALUE o.68 .45 /y, 2,04- .67 .17 nun = 1/R= 0 TOTAL (R)= Z ?,0 0 RIM (R) VALUE 12.) Interior Air Film 0.68 13.) Insulation 01410 14.) 211 Fir Rim Joist 1.88 15.) 13UIL7 F-1-f57 Z, n4- 16.) Masonite Siding .67 170) Exterior Air Film 017 nun = 1/R= , CjD TOTAL (R)= Z+.4- FOUNDATION R VALUE 18.) Interior Air Film 0.68 19.) 20.) I? ?l?kf? 1q? bD 22.) V2.11 pLY Z?o4- 23.) Exterior Air Film .17 null = 1/R= a CrI?7 TOTAL (R) = 21.69 ???? ?CJbo'P COLD COPY PERMIT RELEASE FORM PERMIT # ADDRESS /? //t £ f7Q Q? PICKED UP BY CITY OF -EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PA)WRT OF FFE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/CR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ------------------- J (? P/ ease Print / 1) PROPERTY ADDRESS: x 1y r1a.; LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: COMMCIAL/RETAIL/OFFICE rl INDUSTRIAL n INSTITLITIONAWCOVE RNMENT 2) NAME: / / V C ADDRESS: OC CITY, STATE, ZIP: 1,11r-h el, PHONE: rlryy <-- R-1 SINGLE FAMILY Q R-? DUPLEX (Tao Units) R-3 TOWNHOUSE (Three + Units) R-4 APARTMENT/Ca-mCMINIUM 3) m: NAME: SG( Fh ADDRESS: CITY, STATE, 'ZIP: PHONE: MASTER LICENSE# ( Units) ( Units) Active Expired Not recorded to Initial NAME: ADDRESS: CITY, STATE, ZIP: PHONE: '5) a •: :a o? ?? CONNECTION TO CITY SEWER XCONNECTION TO CITY WATER El OTHER 6) • i PLEASE HOLD APPROVED PERMIT MR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,? 3, 4, ABOVE (Circle one) 7) r T ._ FOR CITY USE ONLY ' PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /0-,5-0 SEWER PERMIT (INCLUDE SURCHARGE) $ /y $ /('), S-D WATER PERMIT (INCLUDE SURCHARGE) $ (t /1.0 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ IS-'n ACCOUNT DEPOSIT - WATER $// $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER 1 p $ 1 A 6 ' C) C? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ T 7, a 0 TOTAL ?Uy 7 _ -7? RECEIPT. RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: /)? ^ ,,) AL,of TITLE: DATE: (? ??? Boundary Survey For. Dan Walmsley 1314 St. Andreas Boulevard Eagan, M 55123 DELMAR F. QCHWA14Z LAND SUDVEYORS. INC. Rp4tx d Und Le" ar T?. bleb of W-n a 14750 SOUTH ROBERT TRAIL F;OSEMOUNT• MINNESOTA ;5099 SURVEYOR'S CERTIFICATE S89e48'09t'E 10.06 09 r, 5 SS B01075 651,'423-1769 ST --- AN?AFW 80\Ev ARD ,?L=98.57 413ge0?, Lr) i E NG OAAAOF 00 Cr7 ?0 d VV] 1 t r''L N Cu , 0 1 LOT 3 f?? BLOCK ;3 tip/ rn° 51 _ ?`/ oe 18.83 s S86e54'14"E 31 S68.92 02 X21 ? Property Description: Lot 3, Block 3, ('AIRWAY HILLS, according to the recorded plat thereof, Dakota County, Minnesota. r? 9. I hereby certify that this survey, plan. or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Mirylesots. Dated August lq, 2001 It. ? t I DELN,!A; ,? H. 1 ''N:'ir„rI!aan+`t`•?- Minnesota Registration No. 9625 SCALE: 1 INCH = 30 FEET 0 = Iron pipe monument a3 ?tia 40 0 4 "T Z Boundary Survey For: Dan Waltnsley 1314 St. Andrews Boulevard Eagan, M 55123 DELMAR N..QCHWANZ LAND SLMWYORS, INC. RpMar d UWM LM M T•: Wall 01 MlmNad a 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA ,:5088 1301075 651,'423".1769 SURVEYOR'S CERTIFICATE S89'48'09"E 10.06 ST. __ ANDREA B _? \FVgRD L=98.57 a-34e0;?, \ Og rT ?? 5 X165 ^° SCALE: 1 INCH = 30 FEET I o S v ?° 3 0 = Iron pipe monument 3 I /? ? ; exIS7lae 00 fxIg7IN6 ` SARggE nn Cr) I SSE N 3 6 Cd) I ''^^t r ??y / 4J0 I Cu (U LOT 3 y-w a BLOCK 3c? T -Z- 118 .83 ° s z S865414"Es'-ky 02.21\, Property Description: Lot 3, Block 3, FAIRWAY HILLS, according to the recorded plat thereof, Dakota County, Minnesota. 1 hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that 1 am a duly Registered Land Surveyor under the laws of the State of Mirgresota. Doled August 19, 2001 DELh AR 4a. SCH'A''ANZ -8625- Delmar H. Schwartz - '- Minnesota Registration No. 8625 Use BLUE or BLACK Ink For Office Use I ~ I ) -/-I City of Eaja I Permit I I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: 1, ' Phone: (651) 675-5675 1 I Staff: Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~jl?-- Site Address: Vd Tenant: Suite Resident/Owner Name: !/V yML 1 W am k~4 Phone: (,61 AR- 072r3"I Address / City / Zip: Name: Wenzel-Plymouth Plumbing, LLC License#: 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work -New _Replacement -Repair _Rebuild _ Modify Space - Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Lawn Irrigation RPZ / _ PVB) Softener Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A 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.gopherstatbonecall.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 worts will be in accordance with the approved plan in the case of work which requires a review and approval of pl 14~ x Carl Michels x Applicant's Printed Name A icant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BL For Office Use Permit* 10 E or BLACK Ink Permit Fee: Date Received: Staff: 5.a5 2013 RESIDENTIALjj BUILDING PERMIT APPLICATIO Date: S 2--( 1 3 Site Address: 1 3 I ,, `7 s I' 4� r� �� g\ V Un' #: Resident/ \ Owner Address / City / Zip: t 3 l L{ 31 r ANA rel 6c-zy- v-, / 7 Name: �ctivN• � 1 „NA L`' Phone: 66 1 337 Type of Work Contractor Applicant is: X Owner Contractor Description of work: +zC p) 4 c_ , v v-5 Re3o vv(,r,yi,1 o c,J ( 3 Construction Cost) Multi -Family Building: (Yes / N Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional informat on) 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: NOTE: Plans and supporting documents that you submit are considered to be public informat •n. Portions of the information may be classified as non-public if you provide specific reasons that would pe mit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility dam- se. 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 nd 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; hat 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 co pleted within 180 days of permit issuance. Sewer & Water Contractor: Vv t C.t L VLA l c� I y X Applicant's -Printed -Name O / Applicant`s Signature C Page 1 of 3 Oct 20 14 08:56a 41,I/` City of Evan All Around Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CS 3 K 18004198422 p.1 Use BLUE or BLACK Ink For Office Use Permit #: /r3 79423 Penni) Fee: /05-25 /, Date Received: J(//�� y GJ 70 -,,V8 " G 3 Y Staff: (r 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Resident/ Owner Site Address: t jLt Ste,; i- AkAtkrrG3 1It.-1/4A- cagc-nMtn; S5I?Smit#: Name: 0 - Address /City / Zip: 131 Ly CJc Ls Phone: (e t - (2 17 Y �C>7 Applicant is: X Owner Contractor (Lk � ��, pt4v: S 5 Ia 3 Type of Work Description of work: [Z Construction Cost: Contractor Multi -Family Building: (Yes / No X ) Company: A 11 .AmctnCt Address: 701 Occit,r kt, R; *,?(N. State: MVO Zip:.5,S4..7 Contact: A- Kms' K I tc4 City: GGi L l9cJ(_ 1 iLl _55-q4)/ Phone: 7%3 - 2k -i :324Email: (�,`� tC.TeL:.LJ. Co.' License #: e L(.0 3 5 (o(r.S Lead Certificate #: MAT— 79.216 -1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. 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 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 Akc I KIE'R i41 Applicant's Printed Name Ap, ' ant's Signature Page 1 of 3 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 V FEB 9'101 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1 aD',.Le Date Received: ?"i ' I (A Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2/29/2016 Site Address: 1314 Saint Andrew Blvd Unit #: Resider Owner Type of Work Contractor Name: Daniel WalmSley 1u (\ Cc Ao Address /City / Zip:1314 St. Andrew Blvd Applicant is: Y Owner Contractor Phone: 651-406-9337 Ceik 61 z-9- _ 7.307 Description of work: Remodel Master Bathroom Construction Cost: $10,000 Multi -Family Building: (Yes / No 1 ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classed as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. CaII 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.gopherstateonecai?.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. (vv\S =2 Cl V� `r°_ l �Cc ` x� i27d Appiccan 's Printed Name Applicant's Signature 9 Page 1 of 3 .5Ii1 :{ 11--'d‘31v61, DO NOT WRITE BELOW THIS LINE 1.35322 SUB TYPES Foundation Single Family Multi 01 of _ Piex Fireplace Garage Deck Lower Level WORK TYPES _ New _ Interior improvement Addition Move Building !' Alteration ' Fire Repair Replace _ Repair Retaining Wail DESCRIPTION Valuation Plan Review (25%_ 100%y ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: ice & Water Final Framing Fireplace: Rough In _,Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Editionvt�� Zoning Stories Square Feet Length Width Siding Reroof Windows — Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Budding* _ Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PGA handout to applicant Final MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required )G: Final /No C.O. Required X HVAC r Gas Service Test Gas Line Air Test Pool: Footings Arc/Gas Tests _Final Drain Tile Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings Backfill T 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 SSW Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 4,11F Gid of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ;i_CI`E. FEB 292016 Use BLUE or BLACK Ink L. For Office Use Permit #: Perrnit Fee: Date Received: a --Del- Staff: -Del-Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2/29/2016 Site Address: 1314 Saint Andrew Blvd Tenant: J Suite #: Resi tee Com actor Name: Daniel Walmsley Address / City / Zip: 1314 St. Andrew Blvd Phone: 651-406-9337 Name: License #: Address: City: State: Zip: Phone: Contact: Email: Type of Work Permit Type _ New Replacement Repair ✓ Rebuild Modify Space _ Work in R.O.W. Description of work: J\c�. 3 r -1A AA- P -C Pvv&c, 6 RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener ✓ Add Plumbing Fixtures (✓ Main / e. Lower Level) Water Turnaround 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 $ 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the worts 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 worts is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x App tcant's Printed Name Q V1 i. ems\ W0.1MSk- FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Man eter Staff: 3830 Pilot Knob Road 1 Eagan MN 55122 Phone: (651) 675-5675 1 buildinginspections@cityofeagan.com Use BLUE or BLACK Ink For Office Use') , r LP Permit #: L(► Permit Fee: Date Received: L Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. /3/4/ Date: /(1-3/-1? Site Address: Tenant: Suite #: Phone: i/2 -/ 7 n Address / City / Zip: /..j/`7r S/ Name: A, � 3 �o, 411 j?O - /,re� //� Address: l/. a [ /" City: uo' 47 State:.;) Zip: , / Phone: d,52 '10,25'- 9':5-70 7o Contact: 4/34) Email: 'S4 1 .a�Gr3i i` , ,r�ovii New X Replacement License #: 9reeda-5,S-02 Additional Alteration Demolition Description of work: NOTE: Roof;mo -_-- Code. Please con condi. hart' RESIDENTIAL Furnace Air Conditioner Air Exchanger _ Heat Pump Other nted mechanical equip. Inspector for informat required tO n on permitted scr COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ =$ Permit Fee Surcharge TOTAL FEE 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.citvofeaaan.com/subscribe. 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- ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 60.4/411 Applicant's Printed Name x Ap ant's Signature FOR OFFICE USE:"; Required Inspe Underrground,