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1331 St Andrew Blvdt , 3830 Pilot Knob BUILDING PERMIT To be used for BASEMENT FINISH Site Allrress Lot 11 Block Sec/Sub. Parcel No. P.O. Box 21-199, Eagan, MN 55121 W Name BILL RUDI o Address S? ANDREW BLV D City EAGAN Phone IS Name DIMENSION BUILDERS uQ. Address 10363 UPPER 178TH ST W LA Y KEVILLE Phone 435-8040 Name Address Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: DIMENSION BUILDERS 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 tr Receipt # . -- Date FEB i2 18690 i f 19 41 Occupancy 'FEES Zoning 35.00 (Actual) Const Bldg. Permit able) Allo 1.00 ( w Surcharge S of Stories - Length Plan Review Depth SAC, City S.F. Total SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System Acct. Deposit `'• City Water - PRV Required SIW Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit 1 Planner il C Park Ded. ounc Bldg. Off. Copies 36.00 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC l 80? S 9 Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg• ISUI. Fireplace Final Htg. Final Plbg. Cont. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final 1 Well Pr. Disp. CITY QJF EAGAN 3830 Pilot Knob Road, P.O. Box 2 1-199, Eagan, M N 55121 PHONE: 454.8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address O FFICE USE ONLY it -•i' On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name city water (Allowable) W 3 Address PRV Required # of Stories o City Phone Booster Pump Length Depth o Name S.F. Total o,s Address 5 5L FootprintS.F. City Phone APPROVALS FEES c ai Name Engr./Assess. Permit _= W Address Planner Surcharge a Council Plan Review t W City Phone Bldg. Off. SAC. City 1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. - -- Building Official TOTAL Permit No. Permit Molder Date Telephone ft Plumbing n H.VAC. z Electric LLx: ! ( / ?i' ,? ? Cc. h Softener Inspection Date Insp. Comments Footings 1 Footings II Foundation Framing ?,.10-ff? 14,) Roofing Rough Plbg. Rough Htg. Isul. olo- Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP r Deck Ftg. Deck Final Well Pr. Disp. r- I TPrtifiratr of (Orrupaury Citp of Cagan 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. u. CW fiatioa SF DWjCAit Bldg. Nrmit No. 142'" Oocapaacy Type R3 Z ing D&rict rya C'M S' (I?IF?viCd] rj' (X7' Owaao[Buildirg w!tT'rynt¢F LL: Arc„ 7 -5 BuMag Addmu L,,wy T;2. L'NLi? AY f FM.,T `' - D,,,,: ISMIA Y E', IS Building Official POST IN A CONSPICUOUS PLACE 30 Pilot Knob Roa lit S OE ..^CAN . Box 21199 gan, MN 55121 wner. e Address: 133 Permit No. d Meter No: Reader No: Conn. Chg: Acct DeP:_ Permit Fee: Surcharge: Tr. Plant_ Meter. - WATER Dates c -.2 5 - ;' 7 Size: Date. [.10 " 2 1 a Lrway ''ill 1 g: P1 , GAS Etc. y with the City of Eagan PERMIT n f? Q7 ?' Permit No: ' - Date: v.. i u, - GAN• Date: 7b R? 3030 PUot Kpob Road B/P No: P.O. Bbz 21199 Eagan, MN 55121 L10 212 Fai Site Address: Lake S e ; Plumber: r 1i Zoning MWCC: ? No. of Units: City Chg: : C Cin of Eagan r I agree to comply with the City Acct. DeP Permit Fee: Ordinances. Surcharge: By Misc.: SEWER SERVICE PERMIT RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 NewCamtructlon Requirements RemodegReoalr Reauiremems • 3 registered site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calcula5ons • Indicate d home served by septic system for additions 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 CL40 JOB SITE ADDRESS /331 S I $ 7? 00 VALUATION 1 Pt?s ?G va IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER (3' ll ii?ltdiie TYPE OF WORK _Tea,-_ 0 -P APPLICANT 10A? L t? l (9YVLt<_ ¢ ADDRESS W, 9`9 E, SV k 1, PAGER # CELL PHONE # NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the I form do is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordl ync t Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 Water Softener - Water Heater _ No. of Baths FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# 99- W-90" S ZIP CODE SS ? O -0/? Yq_FAX# 19-981-3/C _ Phone #: Lawn Sprinkler No. of R.I. Baths 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-piex ? 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_Yor- N ? 25 Miscellaneous 0 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) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water _ Final Other Framing Fireplace - R.I. -Air Test - Final Insulation FinaUC.O. _ Final/No C.O. _ Plumbing FFVAC Pool _ Ftgs _ Air/Gas Tests _ Siding _ Stucco _ Stone Windows (new/replacement) 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 ? y r 2 97 1IL9 p 04 1 J ? 1 Request a Fire N0. Rough -In sp oiion Rretlc ? Ready Now 111 Notify Inspector wh ' d ? - Yes No en . aa y I -, licensed contractor ? owner hereby request inspection of above electrical work at: Jai Adtlress (Street Box or Po to No. 13 / .57" XAre v-1s City Section No. Townsmp Name or No. Range No. County r Occupant PINT . Phone No Power Supplier Address Ele total Contractor lGpmpany Namel GOnlmctor5 License No. ? oi? (?cT/ if CffDcv Mailing Address l Conlr foror ner Making lnstallelin) // Autnpri Ig nawo ontrac r?Owner Making IIslallaUon) Phon nWtr `O MINNE A STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigg Midway "" - Room S-173 W hL BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ?Q ENCLOSED. `// Q p REQUEST FOR ELECTRICAL INSPECTION 't ee-oaoo,:og? '7 7d" ? Sae -ompleting thlc loan on back of yellow copy. 9 -,'X V " Below Work Covered by This Request 7 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other apesny) Contractor's Remarks-. IR . , ; r Al/ p OT _51h? II / Compute Inspection Fee Below.: # Other Fee # I Service Entrance Size Fee # CircuiWFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs inspector's Use Only TOTAI, Irrigation Booms _ ?? • 06 Special Inspection Alarm/Communication THIS INSTALLATION MAY RDE SCPNNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final Date t r<?? OFFICE USE ONLY This request void 18 months from 1991 BUI!E910PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS Date: 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. r To Be Used For: Valuation: Site Address / 3 3/ .5-7, C../ / /&n Lot 10 Block Parcel/Sub Afilnli}fill 'Njfy Owner Address / 3 D,/ S C-/ A?a-v tt(613 City/Zip Code L A-r, sc-- Phone Contractor ?, px ! X S i ors ?I-Lk. Address A>--S6 3 Gt,A^fr /!1?5 T- lt,i ep v, Ll? 51? y City/Zip Code Phone 43 ?; - ? o `"d Arch./Engr. Address City/Zip Code USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well _ MWCC System City water PRV _ Booster Pump APPROVALS Planner Council Bldg. Off. f?-z 1 9/ Variance FEB 0 COMMERCIAL FEES Bldg. Permit 35, Cc' Surcharge /.c o Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 3I U. !) Q Phone # `7" agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan ordinances. ?t BUILDING PERMIT Tn hw uswd fnr BASEMENT FINISH Fst. Vahiw $1,500 Receipt # N°_ 18690 1991 Site Address 1331 ST ANDREW BLVD Lot 10 Block 2 Sec/Sub. FAIRWAY HILLS OFFICE USE ONLY Parcel No. Occupancy FEES i Z on ng M Name BILL RUDI (Actual) Const Bldg. Permit 35.00 w 3 Address 1331 ST ANDREW BLVD (Allowable) Surcharge 1.00 o City EAGAN Phone # of Stories _ h Plan Review Lengt e Name DIMENSION BUILDERS Depth SAC, City .o ?u u Address 10363 UPPER 178TH ST W S.F. Total O MCWCC < T.AKRULT.F. Phone 435-8040 City S.F. Footprints SA , S Water Conn ewage On Site Name On Site Well Water Meter i r l Address MWCCSystem Acct. Deposit a . City Phone City Water i am Permit PRV Requ red I hereby acknowlege that I have read this application and state that the Booster Pump SM! Surcharge information is correct and a ree to comply with all applicable Slate of Minnesota Statutes and City ? Eaay Drdinan r7 Treatment Pl ),, Signature of Permitee X ?""" r? APPROVALS Road Unit A Building Permit is issued to: IMENSION BUILDERS Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes an d City of Eagan Ordinances. Bldg. Off. Copies - y? Building Official ?11N0 .' I Variance TOTAL 36' 00 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 [_, I I of CITY OF EAGAN N_ 1 4 2 0 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 ?y, y /y r7 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $133,000 Date SEPTEMBER 23 19 87 Site Address 1331 ST ANDREW BLVD Lot 10 Block 2 Sec/Sub. FAIRWAY HILLS Parcel No. _ a Name WHITEHORSE DEVEL CORP z Address 11473 GOLDENROD ST City COON RAPIDS Phone 527-8629 (PAGER) ¢IName SAME 452-2906 0 u Address City Phone OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System X Zoning On Site Well (Actual) Const City Water X (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. R3 R1 V V 66 32 .s uW Name_ FW _z Address v <W City- a hereby acknowledge tha e t s application and state that the information is correct and a on ply with all applicable State of Minnesota Statutes and Ci f Ea dinance 1 Signature of Permiltee A Building Permit is issued to: EHORSE DEVEL CORP on the express condition that a orks allbedone in accordance with all applicable State of Minnesota Statut anq-Glty qt, Eagan Ordinances. Building Official APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance _ FEES Permit Surcharge Plan Review SAC, City SAC, M WCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 602.50 66.50 301.25 100.00 525.00 525.00 67.00 305-00 180.00 -Vl-,6T2 = 2 5 I , 10 /A,4ARp Pa "J SAr+1? Af .fxa4' RINLRrr?/? ?dt / ? ?lv?-t-o?( MODEL 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, $2,000 LANDSCAPE BOND 133, C©cl . To Be Used For: Single Family Valuation: )60;9@6 6fi- Date: 9/22/87 Site Address 1331 St. Andrew Blvd. Lot 10 Block 2 Parcel/Sub Fairway Hills owner Whitehorse Development Corp. Address 11473 Goldenrod St. Mn. City/Zip Code Coon Rapids, Mn. 55433 Phone 452-2906 S a7 - ?21 Contractor same Address City/Zip Code Phone Arch./Engr. Russell Plan Design Address 4940 Viking Drive City/Zip Code Edina, Mn. Phone # 835-5970 On Site Sewage Occupancy 3 MWCC System ? Zoning (Z-I On Site Well Type of Const City Water ? (Actual) ?L (Allowable) SL # of Stories Length (oho Depth 3Z S.F. Total Footprint S..F. APPROVALS FEES Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off-5Er?72Z APC Variance Permit c'OvL . ` Surcharge (o( so Plan Review 301 SAC, City iQ?O 52S SAC, MWCC . Water Conn SZSS Water Meter lol . Road Unit 305". Treatment P1 p. Parks Copies TOTAL 2(?) ?, ? 2- _, 2b ?<- ??2- x_ f2 q?g? ?3204-F-D WH/7?/IA?iE I?EYEL/?l°M/3?T tE BBI.O/ r r E aQBE `°H NGINECaING SU4fiS and LAND PlANH6A5 and LARD iUAVEYOfSS ,0..,.NY, INC. 1000 LAST 1461h STREET, BURNSVILLE, IIIHHESOTA 55337 PH 4323000 C4CJP-Zz?z ecz?e o ?Su?-y e c? al ?C.lcrP?i0rz • LOT /0, BLOCK 2, FAIRWAY DAK07.4 CovN7Y, MINNESOTA (M 93-0) DENOT65 EX/STING ELEVAT/ON (/w-6'- o) DEIJOTES PROP05E0 ELEVA770AI ??? INDICATES D/RE"CT/ON OF 5'UR,=ACE DR41A11BE /025.33 = FIrVI$HED 6Ak4GF FLOOR ELEVATION gaC5 -41 o? A/ 89° 49' 07" W __ 203.00 aao,o) L? L_ LOT /D 71 DIPAIA146E ANG UT/L/Ty E \-14- 3K.S ASEMPSS6 JAD' \ ? hzlpO 1°25.33 °ti 30' '90AIT 6WLDIN6 SETBACK LIAJ6 ?J . 1 ? V n? R) /? R= yg• „ 30 C/o23.9? /lD2 5 •? ? 1 hereby certify that this is a true and correct rep"sentation of a tract of land as shown' and described hereon.. As prepared by me on this Z/'T 'day of ..' in1mB&e , 19 0 7 . Ninn. Est. Ho. Go r r ,, Use BLUE or BLACK Ink + r—_———__— ___—_— , I For Office Use�r'"' � i ' �� � Permit#: ������ � �' Clty of �a��� � / °� � � � � Permit Fee: l�OC. �� I 3830 Pilot Knob Road � � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5i694 � Staff: _ � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �� � Name: ,��� ��(�(�� Phone: �� • a3f , �/�3 Residentl 133� S� n�n � �� `OWngr ` Address/City/Zip: /� ►�2w Applicant is: � Owner Contractor a Description of work: `"�ti� . �� ��t� `� 'S�'��"�� "'�4 J'�" Type of Work , '` Construction Cost: � Multi-Family Buiiding: (Yes /No� ` Company: �,�1��/"�"� �O�PlII��V"' Contact: �"�.-�`1�'��� L� Adriress: _�� �'�City=--� Contractor - State: �''�" Zip: P��e:"t�����1 �� 11 Ema . �11LU1?^'lS�A Q�N'�I�� (,QM License#: � Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �vi�.T i�r �? �-�(� COMPLETE THIS AREA ONLY IF CONSTRUCTWG A NEW BUILDING In the last 12 months, h;as 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 swpporting documents that you submit are considered#o be public information. Portions of #he information may be classified as non-public if you provide specific reasons thaf would permit the City to conclude that the are#rade secrefs.' 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 re�eive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that tllis 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 thi's 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 approve'tl plan in the case of work which requires a review and approval of plans. �I Exterior work authorized by a building permit issued in accordance with the Minnesot State Building Code must be completed within 180 days of permit issuance. , I, X����c ��w 4� x , I'!� Applicant's Printed Name ApplicanYs Signature I ', Page 1 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION L? l CITY OF EAGAN 5165S 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements 3 registered site surveys showing sq. ft, of lot, sq. fL of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • l set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (Ndgs with 3 or less units) DATE JOB SITE ADDRESSIJn 7C • M (lC V-E IF MULTI-FAMILY BUILDING, - HOW MANY UNITS? PROPERTY OWNER ?;I TYPE OF WORK `f'Ct-A O CF t C-C'jbd APPLICANT ADDRESS jt? PAGER # CELL PHONE # Remodel/Repair Requirements • 2 copies of plan • 7 set of Energy Calculations for healed additions • 1 site survey for exterior additions & decks Indicate if home served by septic system for additions d? O VALUATION S, 0FIREPLACE(S) _ 0 _ 1 _ 2 FAX #` -A NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Workshe a d f? - Energy Envelope Calculations Submitted rT'uN IS MINNESOTA RULES 7672 1 1 2002 New Energy Code Worksheet Submitted _,_VV Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. 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. (n\?1^ 1 Signature of Applicant?? Oi A ?, e^ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Air Conditioning Heat Recovery System Updated 2002 ��1 s�f ����� ��� � .� DO NOT WRITE BELOW THIS LINE `�✓ �����" SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single 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 _ 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 Valuation � Occupancy 1 C-� MCES System "� Plan Review Code Edition ,'�,Q97 SAC Units ''� (25%_ 100%� Zoning � City Water —. Census Code �J Stories —"''� Booster Pump #of Units 1 Square Feet CG PRV � #of Buildings / Length Y Fire Sprinklers �"' Type of Construction � Width /(, �(�'� REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water Fin.al 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 Erosion Control Braced Walls Other: Reviewed By: , Buitding Inspector RESIDENTIAL FEES Base Fee '73 �,�- Surcharge Plan Review 41 MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ' , �fV 7 F��". � . - I�YH��� 1�E,�ccw�T `� � � �681.ol �� �� Kt]NSUiTiNC3 EHOIHEEf�S - • ���;� ����� G PLAt{NEAS ond LANQ �UAVEYOQS �OMPf�HY� INC. �� .10Q4 f.J•ST {46M STHE�T� BU�iNSV1LLE , utNNE�O?Jl '5�337 PH �l.`•Z-300Q �L°�°"�Z�Z �C LZ�� '�s�.5�_ ���=� � � . , ���I .{�..?�r~��i a rt • . 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E herwby caz►�t�fy th�t fihi� ia a� t:ue and correct rnprceent=tion of a tract ot ��nd �s shotim' �nd 'dcacribcd her�on.� �►� prnparad by mn on this �' day of .��e�,e ., 1 s 8 7 . . � ' ; Ninrt. lt+��. No, �.o PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA125075 Date Issued:07/17/2014 Permit Category:ePermit Site Address: 1331 St Andrew Blvd Lot:10 Block: 2 Addition: Fairway Hills PID:10-25600-02-100 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. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Maguire 1331 St Andrew Blvd Eagan MN 55123--215 (651) 231-1794 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature