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1374 St Andrew Blvd ' CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 551 21 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 'y • O;'( Date ,19 Site Address OFFICE USE ONLY Lot Bl k S S b On Site Sewage Occupancy . ec/ u oc MWCC System Zoning - _t Parcel No. On Site Well (Actual) Const s Name ' ?' • City Water (Allowable) = Address t `TD+ PRV Required 4 of Stories = p 2--5355 City Phone Booster Pump " Length Depth ' S o Name S.F. Total 0 a Address Footprint S.F. P City Phone APPROVALS FEES LOU W Name Engr./Assess. Permit z - Address Planner Surcharge Q W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ?f 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: fir?, Treatment Pi 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 Holder Date Telephone it Plumbing W V 9 ? Inspection ate Insp. Comments Footings 1 2 Footings II Foundation ' Framing Roofing Rough Plbg. Rough Htg. [Sul. Fireplace 2 VU e?V 6? p f ('O- k :S $ Final Htg. e CA 7,f Final Plbg. Bldg. Final Cc ecf. U s _ S t'e ii6 ?.'c t Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. 1 !r 0.a.?R'• O Ter#ifirat.e of (Orruvaury Citp of Of agan airparbMt of 1w trtbm 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 Cwsi6aflon SF TWGw" Bldg. FErmic No. 15463 O-uPea7 Type R3/] Toning Disvia RI TAX ra.. VN Owna d Building SM QQ+ISTIIU( CN 00' Am. 1311 ST. ANDREW BLVD., EAGAN B.Iding Address 1374 Sr. MDF,?VW BLVD. [reality L J5, B4, GAlWff HILLS 1ST D„,: AI]m 23, 1969 Building Offlad" POST IN A CONSPICUOUS PLACE CONTRACT PRICE Site Address 1374 Andrew Blvd. Lot - Block . - 1.1m lrig Name ? Address ` BB et ve y 14 t City } - r 6 Phone - Name , ons Cone TL1C OA Address t. Andrew Blvj. p 45 2--47TT- City F-gan Phone FEES 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) 7a:/ SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # h y - CITY OF EAGAN L? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /F8, PHONE: 454-8100 B w Vd . BLDG. TYPE WORK DESCRIPTION Sec/Sub. Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 Bath Tubs - 53.00 J Lavatory - $3.00 e3 Shower - $3.00 " Kitchen Sink - $3.00 _3. Urinal/Bidet - $3.00 1 Laundry Tray - $3.00 -3 ' Floor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - 510.00 Private Disp. - $10.00 3 Rough Openings - $1.50 FEE: STATE S/C: J ?' GRAND TOTAL CO Site Lot PERMIT # -2' 20 MECHANICAL PERMIT RECEIPT # e_1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Block Name ?a Addr c CityJ? L Name -?7-()1 C Address 3 O City/ Le, TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ' G P S BLD . TY E .. WORK DE CRIPTI ON Sec/Sub Res. l/ New Mult Add-on V Comm. Repair Phone Other y ivs FEES HVAC 0-100 M BTU RES -$24 00 . . ADDITIONAL 50 M BTU - 6.00 ? Phone j (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION ) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA . . '7 / M BTU U? COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - 12.00 M BTU CFM MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 20.00 - .50 rSZ% FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at 1-12 5/ S1 e ? I have this day inspected this structure and these premises and have found the following violations of city codes governing same; _-, /.) C,-,4 'n Z H S'i. a h & A(.OL f / f " e - f b i. R c r a c ow When corrections have been made, please call 454-8100 for inspection. Date I lz ?? Inspector City of Eagan DO NOT REMOVE THIS TAG ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, A W? ?+?? 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for W VII(M Est. Value $1,500 Date Jin 12 , 1991- Site Address 1374 ST ANNIM SLYD Lot ?- Block Sec/Sub. 1AL=AY HILLS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name MIME DUKM (Actual) Const nn Bldg. Permit 35.00 o Address 1174 ST ANDREW BLVD (Allowable) _ 1 fDC? - Surcharge City KAGAN Phone 638-6197 # of Stories I Plan Reviews Length i_ o Name _ MORRLUM CONMWTION Depth SAC City = . 0 Address 12643 EVELM PATH S.F. Total ( SAC, MCWCC r City APPLE ULM Phone 431-3239 S.F. Footprints - Water Conn On Site Sewage T- lu Name On Site Well Water Met r W e s3 Address MWCC System - M Z <W City Phone City Water Acct. Deposit - S/W P i PRV Required erm t I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee {? r i 1 L!'? :' . !(Lc ? APPROVALS Road Unit A Building Permit is issued to: i$ON C01NTM=10N Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oh. Copies Building Official 1 _f _? Variance TOTAL 36.00 Permit No. Permit Holder Date Telephone #f WATER SEWER PLUMBING HYAC. ELECTRIC ??9?0 i!0 !O 9/ °'? Inspection Date Insp. Comments Footings I Foundation K Rh lbg. S/ Z O ALJ N Z?e C d Rough Htg. ` Isul. Fireplace Final Htg. Orstat Test Final Plbg. i PI bg. Inspeclor -Notify Plumber ConsL Meter t?. EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. 2,5- e,- e v e L ?-efl' p v A, 0 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 4y 19 RECEIVED A ( , - FROM AMOUNT $ J ( / & DOLLARS im ? CASH ;CHECK FORsf??L, i White-Payers Copy Yellow-Posting Copy Pink-file Copy Thank Yk BLDG. PER IT NO. 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC r 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. 0 TOTAL CITY OF EAGAN . .. ,? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 j PH ON E: 454-8100 BUILDING PERMIT Receipt# 1 f To be used for SF IW('IGAR Est. Value $126,000 Date A',-;LIST 1`? Site Address 1374 ST. ANDRT7W t;i,Vn. OFFICE USE ONLY 15 4 rAlRWAY 111 U.S 1ST Lot Block SeC/Sub. On Site Sewage Occupancy R-3/"-1 MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const SONS CONSTRUCTION CO. Name City Water X (Allowable) ? _ ' 1 ? 11 S?. ANDREW ALVD. Address PRV Required # of Stories 3 O IEQG IN 452-3355 City Phone Booster Pump ? Length SO Depth 35_ % a Name SAME S.F. Total o i Address Footprint S.F. I-E City Phone APPROVALS FEES ? m Engr./Assess. Permit b-58-00 W Name 00 63 ?y - Planner Surcharge . X5 U Address Council Plan Review 329.00 `W City Phone Bldg. Off. SAC, City 100.00 e that I have read this application and state that the acknowled I hereb Variance SAC, MWCC 550.00 y g 1%formation Is correct and agree to comply with all applicable State of Water Conn. 550100 Minnesota Statutes and City of Eagan Ordinances. Water Meter 67.00 Signature of Permittee Road Unit 325.00 A Building Permit is issued to: '10145 CONSTRUCT10M CO. Treatment P1 204_00 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. TOTAL 00 $2 146 Building Official ! CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?? `r7y nvn DATE 19 RECEIVED FR01A /AMOUNT 0 0 El CASH v- 6u XCHECK FUND OBJECT AMOUNT c 7/ 3 n ?n V-3 Thank You r BY -? 8 DOLLARS IUD { White-Payers Copy Yelk w--•Posting Copy Pink-File Copy CITY bF EACAN Permit No: Date: 383 0 ?Not Kn b R q4 3 l d M b : acN Si , o oa eter No: ! ze Pn.. Box 21199 Reader No: Date: Eagan, MN 55121 W Owner. Sons ('roust. 1374 St. Site Address: L1 i a' i- ay _• _.. s Plumber. Johnson F-c/R C Plumbing 550.00pd ] Conn. Chg: a Mo Zoning: up Acct Dep: No. of Units: Permit Fee: 1U C P Surcharge: I agree to comply with the City of Eagan Tr.' Plant p Ordin es. Meter. Misc.: v ft, By WATER SERV ICE PERM IT CITY OF EAGA54 3830 PNot Knob Road P.O. Box 21199 Eagan, MN 55121 3 1 Permit No: 8 Meter No: _ Reader No: Date: Size: Date: Conn. Chg: Acct. Dep: _ P Permit Fee: ' A_' . r Surcharge. Tr. Plant Meter. Misc.: CITI OF EAGAK 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Owner. Zoning: Rl No. of Units: J. I agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT Permit No: = B/P No: Date:, _ ?. Date: 1 ' Site Address: 1174 Sr _ Andres R? YA 1 i Plummer. Johason 2Xc/r C Plumbing MWCC: 5n , On..: Zoning- City Chg: ' on Qppd No. of Units: Acct. Dep: 15 - Clon-, I agree to comply with the City of Eagan Permit Fee: 1C • QQPA Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT 8?S/?? ci-.350 ?f 21.282 Request Date Fire No. Rough-i Dion 8-3 - $ 9 Requi o Ready New ? Will yImpeder ' ? Yes ? No . When Ready ;licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) city 13,74 St. Andrews Boulevard Eagan Section No. Township Name or No. Range No. County I I Dakota Occupant (PRINT) Phone No. Sons Construction 452-5355 Power Supplier Addmss n/a Electrical Contractor (Company Name) Contractors License No. Midland Electric Inc. 041610 Mailing Address (Contactor or Owner Making Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Author' (Contractor/Owner Making In tali Plwne Number Z 611, 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY ` THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE HOARD 1921 University Ave., St. Psol, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (912) 912-0900 ENCLOSED. g/9 /?9 V 21282 REQUEST FOR ELECTRICAL INSPECTION ? Se MMrucfions for completing Nis form on back of yellow copy. X" Below Work Covered by This Request % E"13001-0] ew w Add Rep. Typeof Building Appliances Wired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Fanm Air Conditioner Other (specity) Cont dory Remarks: LOCK -5bX Sar Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Only: TOTAL Irrigation Booms 1jf ,S. S? Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Plough-in Final <? p i , Date Date ?,Q, OFFICE USE ONLY This request vold 18 months from ??? This request void /111,519T E 278971 A4 Request Date // ?' ?? Fire No. Rough-- Requ' I spection ? [:]Rmdy Nuw ill Notify Inspec- for When R d es No C] ea y lL icensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address. B x or Route No. WJI ea) City Section N6. I' Township Name or No. Range o. County Occupant IPRINTI p?S C? ?r? ef? ?h Phone No. SZ-S3Sa Power Supplier TA Address yard /t-/ Electrical Contractor ICompany Name) Contractors License No. C j -? y cti ? c? ? ?l e a -? f I'? ?? 6 Mailing Ad ress(?Contractor or Owner Making Installation) RJ? W 1 ?Ol \ Auth riz ignature racto IQ at Making Installation) Phone tuber ?t- i MINNESOTA STATE OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. o._..., mtm ex? ..no REQUEST FOR ELECTRICAL INSPECTION EB-00001-os See instructions for completing this form on back of yellow copy. OK/ 6V E 21897 X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank ' Farm Other (Specify) -the, lS pe ni fyl 1 e peclfy O1 cr Other Compute Inspection Fee Below x Fee Service Entrance Size n pas FeedersrSubfeeders a Fee circuits dd 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps pp 31 to 100 Am Swimming Pool Above 100-Amps Above 100-Am . TranstormeB Irrigation Boort?s D Partial."Other Fee Signs Special Inspection 3 TOT FEE Remarks „r! '(Kt' T Rough-in 6 0, Date (p`1 t-1 the Inspector, hereby certify that the above Final r O' a 'napeetion has been made. This request Vold 16 months from v - - - - • - - v -can I:;li(P/9/ J Aiiiiiiiiiiiii- a nAQ1 n / ,j ?l */7 0., .A _ Request Date Fire No. Rough in sp Ilion Required? ? Ready Nowell Notify inspector f s r No When Ready? Lensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No.l City Section No ITOWnship Name or Ne. Range No. Count A ??orv? Occupant lPRINT) Phone No. EKE ue4TZ 88- Glq') P.., Sup Address Elaetucal Co (Company Name) Contractor's License No. A 4- c- to Z (5(1,Z946" 9 _ Mailing Address ICOntraclor or ner Makmg Insellarom) Z t 18b? o tnG hMnA-n 5SIZZ h. Aufionzetl S w rentraA orrO along Installation) C4 one umber O.7 J? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5473 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)662-0800 ENCLOSED. (P/a?/?/ b. REO 1" CTRICAL INSPECTION See ins .ions far ssmpletmy this loon on back of yellow copy ?., - 'Q 10 "X., Below Work Covered by This Request Ee 00o001"0e o New Add ep. Type of Building Appliances Wired Equipment Wired Home Range ! Temporary Service = sty Duplex Water Heater _ Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (Specify) Contractor's Remarks: Compute Inspection Fee Below: t4rnji-)( Rex>n'\ S t ni BFDF J Fln.154 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ove O -Amps Signs Inspector's Use Only: ^ q 6 TOTAL Irrigation Booms , S v _ a - Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH . I, the Electrical inspector, hereby Rougmin '. _ ` Date - 1 certify that the above inspection has been made. Final , 146, , it Date , OFFICE USE ONLY This request void 18 months from i? &'?o6y 2005 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. VIS. Sa Date fOq ! OS ? Site Street Address 13-7 ? Y-? ? ? IJ (J l/ Unit # M?la Z Property Owner Telephone # ( ) Contractor Telephone # 65) 715 Address/5 / City,p,dy? , y - StatV2.7 ZipS> C, The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water eats- e?r?»le?e?ne section if installing these appliances). `. ?, LS I lil T MAR 0 4 2005 D Septic System Abandonment -Water Turnaround (add $125.00 if a 518" meter is required) E3 Y Other: p? A V Water Softener Water H at r $ 15 00 e - e . Aeo? new _ replacement Lawn Irrigation _RPZ _PVB - new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 6. 50 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 ' accor with the approved plan in the ev t a plan ' 'squired to be reviewed and appr pplicant's Printed Name icant's Ign ure 67w4 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 1 jo,so Date AL- -Site Address 1-374 S _ 4-r, "' A N 014tw 1 Lea Unit # Property Owner 7 U KA ' Z Telephone # ( ) Contractor d4 &7-- A4 Street Address (, ZG F/-t?'? 5.4 N '1 5-19 City 4-oo v?/ State V74 Al Zip S-3 'fZ-?-) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger _ air conditioner -New -Replacement ?`--rZAA?6 C- YYooO other . State Surcharge $ .50 Total U' C G ! ?f U I? $ ??, I JAN 1 9 2005 I hereby apply for a Residential Mechanical Permit and acknowledge that the inf ation is complete and ac. rate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with t nrcatf titles; at 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/ 17 1) ? N Applicant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _Install -Remove **see below Interior Improvement - Install Piping - Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installationlremoval 550.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 en rmit fee $ Total Fee 1 hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that 1 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 Approved By: , Inspector 2005 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 RemodetRteoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated 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 Pros Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) 1r Date 1 / / O l Dj Site Address ?3'_741 ST, ATJOR-6?VJ Construction Cost fjLfY, Unit/Ste # Description of Work 1 f?a? ?`R I r Multi-Family Bldg _ Y X N Fireplace(s) _ 0 - I - 2 Property Owner ?J1LNT'Z I 1M?>LU5 _j `J r? ( Telephone # ( ) Contractor 1 t?? ('J? ?p 1 \u Qt?IZS Address 3y1 `1 -41 A 4e 5 state "I-\? City n/t 19! 5 Zip ??f cS Telephone # (&) 2? !!7a4 a'j j' - . 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 Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y _ N If so, 25% plan review Telephone #( 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 Narf4 Applicant's S'gnature 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-piex ? 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) - Give PCA handout to applicant Valuation ZId? i Occupancy it MCES System Census Code Zoning le - City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ FinaUC.O. - Footings (deck) _ FinaUNO C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof Ice & Water Final Air/Gas Tests _ Final Ftgs Pool _ Woe Framing _ _ _ _ _ Siding _ Stucco _ Stone - Brick Fireplace R.I. A ir Test Final Windows _ ? Insulation - _ _ 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 . RESIDENTIAL BUILDING PERMIT APPLICATION 1 1 CITY OF EAGAN l L 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 New Conatruction Reaulrements • 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 saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan If lot platted after M/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE (? ' S D 2? RemodebReoair Raoulremeras • 2 copies of plan • l set of Energy Calculations for heated additions • Iads survey for exterior addaawns&decks • Indicate I tome served by septic system for additions VALUATION 9 Z(" `' SITE ADDRESS 3 7 S l j+r) drew OlLya MULTI-FAMILY BLDG _ Y ( TYPE OF WORK 6e_ rao?- FIREPLACE(S) _ 0 _ 1 -2 APPLICANT T I o r5 STREET ADDRESS 7'x6 (o (P??sGwi»y v\ hv-4? -? cm&_:?Jam d9r! rrreSTATEmN ZIP ` S TELEPHONE # 1sz'P11 -h-1-2- CELL PHONE # FAX # PROPERTYOWNER I r t 1 ke- Chu ?c fZ TELEPHONE# -----------------------------------------------------------------------m----------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (,I 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 Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 n 1f. n -. ?d2 U Ulll J? -----------------------------------°°----------------------°-------- I hereby acknowledge that I have read this appllcation, state that with all applicable State of Minnesota Statutes and City of Eagayr Signature OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Is grid agree to comply 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 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 PIbg_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 Windows7Doors ? 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 - lee & Water _ Final _ Pool _ Figs _ 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 CITY OF EAGAN CASHIER: JS TERMINAL NO: 996 DATE: 04/05/00 TIME: 10:13:55 ID: NAME: MICHAEL OR JUDITH DUKATZ 3210 9001 1374 ST ANDRW B 2155 9001 1374 ST ANDRW B 181.25 5.00 Total Receipt Amount: 186.25 CR125600 USER ID: JAN *************************************** 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 LI 651-681-4675 S I s- New Condmilonl Reaufremenh Remodel/Reoalr ReaulrementS > 3 registered site surveys showing sq. IL of lot, sq. R. of house 2 copies of plan C. 3 •?j, _UC) and Stlt roofed areas (20% maximum lot coverage allowed) I set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes: poured fnd. design, etc.) 1 site survey for exterior additions & decks > 1 set of energy calculallorn > 3 copies of hee preservation plan ft lot platted after 7/1/93 DATE: za? 47C)C O CONSTRUCTION COST: Sc OoO DESCRIPTION OF WORK: ,/ ?t? 2Cl N /? A ?I? /T/,6 ?i/ ? [k L STREET ADDRESS: 13 77 % ti (! f cJ EL IO '' II II LOT: BLOCK: _ SUBD./P.I.D. #: ?C t ? 1 L} ce rn l - ?? I? /?/1 /' 0- ? Sl 3 i 0 - '9 a Name: 1 ,(n Il ?TZ 1 r I l C HAE L Phone #: to / 7 PROPERTY Last First OWNER ,/ ? 1 Street Address: / ?3 7Y T liu'm F- c/ city E-AG A/y State: l?dl Zip: 3 CONTRACTOR ARCHITECT/ ENGINEER City Phone #: (area code) Ucense # Exp. State: Zip: Company: Name: Telephone #: ( Street city State: Sewer/water licensed plumber (if installing sewertwaterl7 Phone #: Zip: 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 id-',!{ 3 U Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required Registration #: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ?31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to appl icant for demolition permit GENERAL INFORMATION SAC Code a No. of Units Q No. of Buildings I Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SfW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total I6Y sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building U. Engineering Variance Valuation: $ o0a Q ED 1,7c) C) ? 31 Ext. Aft - Multi ? 33 Ext. Aft - SF ? 36 Multi 14sy SAC Units % SAC I SCNS ?cn/s .. ROSE COHS .71140 E!1GiHEE?.S. ENGINC ERING PLRtiHESS and LARD SuRVE`IOeS COMPRtivy INC. L 1000 E1=T, 146M STRES7. SLRH:YIL:_, y1HHEZ-071 S_!27, PH 4_2'!CCC j?ccl_, •cr c?cr 715, ELOCK 4, FAIPINA( HILLS. CAK07A COUNTY, MINNE-20TA &zi,°) E A G A N U ' REVl?£,WnEO T c / w \ J "i DATE ?.. . :• ^ / a g CIV c ? ?/° 3;' S[ / \033\ -S??,S? osED l / S ?ry is 1 4 DRAINAGE ANC EASEMEN7 LM L:Tf 'BOOSTER PUI1 REQUIRED 1 ` SCALM:l =3a 03 1 <'? 3p' FRONT PULDING SEM4CrC UNE C/D39 $ ) CENcTES. PROPO EC ELEdA-nON 1NDICA URM7ION OF SURFACE DRgINAC-c c? ^s0 ???5, /039 83 = R"SHED &P.4C-E FLOOR .BE`/ATION I her:by certify that this in a true and correct representation of a traet of .. _ land a: shown-and described heraen. As prepared by me on this -day of AUA?iST ? .19 98 . _=- .? DENOTn$ EX1S i If'JC ELE'/ATICti / llinn. leg' HO.l!Iff CITY OF EAGAN o 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 N- 1546 3 ~ PHONE: 454.8100 / ?9 BUILDING PERMIT Receipt Q 0# D To be used for SF DWG/GAR Est. Value $126,000 Date AUGUST 18 ,19_88-- Site Address 1374 Lot 15 Block 4 Parcel No. . ANDREW BLVD. Sec/Sub.FAIRWAY HILLS 1ST a Name SONS -CONSTRUCTION CO. = Address 1311 ST. ANDREW BLVD. 0 city EAGAN Phone 452-5355 o Name SAME o a Address i- City Phone Ua W W W Name ? Address U ew City Phone 1 hereby acknowledge that I have read this application and state that the information is correct and a ee to ply with I applicable State of Minnesota Statutes and Cit f Ea r Signature of Permittee A Building Permit is issued to:- SONS C0NSTRUaTIQN_-G0.- ontheexpress condition that allwork shall bed ne in accordancewith all applicable State of Minnesot a[utes an C' of Eaga Ordinances. Building Official- _ _ -- OFFICE USE ONLY On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 On Site Well (Actual) Const VN City Water X (Allowable) VN PRV Required # of Stories Booster Pump X Length - 50 Depth 35_ S.F. Total Footprint S.F. - APPROVALS FEES Engr./Assess. Permit 1658.00 Planner Surcharge 6300 Council _ Plan Review ._32-9.00 Bldg. Off. _ SAC, City __1Q4100 Variance SAC, MWCC _--55C 00 Water Conn. ---550--00 Water Meter -K7-jDo Road Unit --32-5-00 Treatment PI ---204-00 Parks _ TOTAL -12-84-0--00 „a 1988 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 RENTAL UNITS FOR SALE UNITS # OF 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 ?z ? o a o RECD AUG 12'1998 To Be Used For: Single family Valuation: Date: 8-10-88 Site Address 1374 St.Andrew Blvd. Lot 15 Block 4 Parcel/Sub Fairway Hills !st. Addn Owner Sons Const. Co. Address City/Zip Code Eagan Mn. 55123 Phone 452-5355 Contractor Sons Const. Co. Address 1311 St. Andrew Blvd. City/Zip Code Eagan Mn. 55123 Phone 452-5355 Arch./Engr.Brian Austing(draftsman) Address 1311 st. Andrew Blvd. City/Zip Code Eagan Mn.55123 Phone # 452-5355 On site sewage- Occupancy 9-3' 9_/ MWCC system i! Zoning l On site well Actual Const City water ! Allowable PRV required # of stories Booster Pump Length y9.S Depth 33' S.F. Total Footprint S.F. 4xk Engr/Assess Planner Council Bldg. Off. Variance Permit Sd Surcharge (03 Plan Review 3 2 SAC, City /OD SAC, MWCC 5S"0 Water Conn SSD Water Meter (o_) Road Unit 3 zf Treatment P 1 2oy Parks Copies TOTAL tT V` T0,00 13 X ?l?4 s. = ?. ?? s ? 3 ,?- ? os = 3 96, S /GYM ,i. Y9 = $/303 ?x -2 -1 v ?o ys ? k lv = ???ia ? k3os= l?3 l/ y3.6 5-c,jVc. v z7.5 y 2r?_ ?6 33 CITY OF EAGAN N2 19235 P 3830 ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454- 8100 [•y l /I ry / BUILDING PERMIT I ? Receipt # To be used for BASEMENT FINISH Est. Value $1,500 Date JUN 12 -19-91- Site Address 1374 ST ANDREW BLVD Lot 15 Block 4 Sec/Sub. FAIRWAY HILLS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name MIKE DUKATZ (Actual) Const Bldg. Permit 35.00 e Address 1374 ST ANDREW BLVD (Allowable) 1 00 . Surcharge City EAGAN Phone 688-6197 # of Stories - Plan Review Length o Name MORRISON CONSTRUCTION Depth City SAC ga Address 12643 EVELETH PATH S.F. Total - , City APPLE VALLEY Phone 431-3239 S.F. Footprints SAC, MCWCC Water Conn Sewage On Site Name On Site Well W ter M ter a e N Address System MWCC Acct. Deposit City Phone City Water it SAN P PRV Required erm I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all applicable Stale of Minnesota Statutes and Ci ty f Oro m o Eagan nces. aa Treatment PI n ? / J / /y ) / Signature of Permitee l N.?C.C/l / / L?r rrlN?Yt? APPROVALS Road Unit A Building Permit is issued to! MORRI SON CONSTRUCTION Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies 3vilding Official utl Variance TOTAL 36. UU ? A lk 14 1991 BUILDING VAOLICATION CITY OF KAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (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. To Be Used For: BSn?. },'nisti' Valuation: Site Address /.37y 5F. &A A/?4 11 Lot 16 Block Parcel/Sub ;A1?kDJ ?j ?fl L Owner n/?? 7 Address y. &zffjl21 City/Zip Code L§o5:'eiq //3 Phone Contractor Iyu4W7? a/ Address 210y3 City/Zip Code SS ?? 7 -3Z3Ic Phone Y31 Arch./Engr. G6hSf Address /a oy3 EU., (Gf? 0 City/Zip Code SS / Z y Phone # y31 -3 z 37 ----, _ Date : ,(,/?//9/ OFFICE 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. Variance FEES Bldg. Permit 3S 4? Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Dn &A Al agrees that all work shall be done in accordance with (Signature of contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ?? p' FOR CITY USE ONLY PERMIT # RECEIPT # ILA I D DATE: cloz-VI / PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ?smt' ADD ON A',k, S a - REPAIR A-f-tfle cl- OWNER NAME : /u 1 lC,5 f) ul,,AT2- SITE ADDRESS: /3Tl-/ STlf?'uO EWS &VP LOT: BLOCK __ SUBD. r4fi'r6y4? 14"11-r INSTALLER: 9U0(,or7_ Ff*P'¢1?c ADDRESS: I /gf7O ?CAZlE2 rove CITY: 7dit-g //ALL€Y ZIP: .S-S-/Zl/ r ? PHONE #: d f_1-S? a y COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 _ BATH TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 cn SUBTOTAL S IS ST. SURCHARGE .50 SIGNATURE OF PEP14YTEE TOTAL: S 1,5--30 OOMe4ERCIALjINDTjRTRIALs PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: ----- --------°°--------------------------------- SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION of ecagan 1) PROPERTY ADDRESS: LEGAL DESCRIPTION; roc / ................................................. + *NOTE: PAYMENT OF FEE AT TIME OF . f APPLICATION DOES NOT CON- 9MUTE APPROVAL OF PERMT. r w INSPECTION OF SEWER AND/OR WATER r $. t INSTALLATIONS WILL NOT BE SCEDULED x*. UNTIL PERMIT HAS BEEN APPROVED. i r:rx:xxxx+xxxx++rxxwwrrrxx+x+xrr+xwrrr IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q COMIfRCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2)NAME: ADDRESS: CITY, STATE, ZIP: ?7.rV r 6-7^ove-- PHONE: Vim/ --69 xy 3) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE # 7,S'-" uumDerS License: Active Expired Not recorded. St Initi 4)a?bi7l?a7L?e NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) : a •? ao- i ?? ,? CON D TION TO CITY SEWER CONNECTION TO CITY WATER [I OTHER 6) L ')--2 - f/ * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. ; x* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TIM CITY WILL CONTACT YOU IF THERE x * ARE ANY PROBLEMS. + IZ,R-1 SINGLE FAMILY El ? R-2 DUPLEX (Two Units) El R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 1-.A FOR CITY USE ONLY PERMIT # ISSUED pp Pd w/Bldg. Permit FEES: $ $ $ $ 4 -2 C'f $ $ $ c $ $ ?5 ' fin) $ 'Er C` $ $ $ T L Z? $ $ /d 71.6' SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL S& 2 c/ I /Q 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: 6<- J TITLE: DATE: ??? ?/ f - i SONS Con E 4rio 6e NGINCERING COMPANY1 LOCO EAZT 146M COMULTIHG EHGIHE£?.S, pLAHHESS and LAHU SIIAVE90li-1 INC. rnE_7? BUJIN VILLE. IIIHHESGTI 5Z',37 P9 4_2-!OCG t cr?ie cz .?"Zr e.r? s? cI _scr' p>ricr: OE-j--j-5,ELOCK 4, . FAfRI.NAY . 1 IIL"S, EAKO TA COUNTY, MINNE°OTA C / r r \ \ / r°26 s?= . r. L33_O? - r ' .Si?? osEo 8 ST? v 6o,?s o _ x`03-, rp??? 4?,. L ?3a(/o 33.5) DENOMSS E)aSlING E_E`!A•TICN (/039 S ) DENOTES PROMS EC E..E64T10N `qRp 0 ?? fNCica-jZ-z D?RECnoN OF SURFACE DPAtNAGE. °3? ?O /034 83 _ FINISHED G4RAG-E FLOOR ELEVAMON I hereby cartify that this is a t:ue and correct representation Of AL tract of land as shexri and described herson.- As prepared by me on this _¢ -day of f?i?xrST * .14 $ S . - - ' ?o EAGAN REVIEWED BY (6z 3. I NE? DPAINAGE AND UTIL' Y EASEIAEN i PUMO-U EQURE®_ SCALE--'l ---30 s ? 30' FRONT L'UfLDiNG 5UBACK UNE /?""" Hinn. Iec. Ho. /6085 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION e• OWNER: at4 nIAA?J TE ADDRESS: I 1 & CY 4 am"Ay )-}1w5 )5`r Appr oo "JNTRACTOR: _ S C??1STPaJCTlnr l DATE: P?-Lp-Ejn, PHONE: 45Z-5355 DETERMINE WORKING SO•UARE,FOOTAGE OF EACH: TOTAL EXPOSED WALL AREA, , , , , , , . /L3(0 I sq ft x "U" .11 111, 259 ,71 TOTAL RODF/CEILING AREA,,,,,,,, ILo SQ sq ft x "U" .026 1. TOTAL Total EXPOSED expos WALL exposed wall AREA CALCULATIONS: area above floor,,,,,,,, sq ft a) Total wall window area: glazed,,,,,, sq ft x "U" ,'?6 • 2s glazed,,,,,, sq ft x "U" b) Total door area ,,,,,,,,, 140, 2-s sq ft x "U" _,?(y - ?• 31? 'c) Total sliding glass door area: glazed...... glazed...,.. d) Total fireplace wall area e) Total wall framing area (Ave rave 1091,),,,,,,,,,, f) Total net wall area above _ I Zl.s. sq ft x "u" sq ft x "U" sq ft x "u" o i l 2,9, 2 23cv sq ft x .,u„ . la - 23.x, floor (Insulated)....... ^ sq ft x "U" g) Total rim Joist area...... 2140 L, sq ft x "U" 10 .4b Total foundation area (Exposed).......... 12CD sq ft h) Total foundation window area........,.. O sq ft x "U" I) Total net foundation area above grade........ ) 2(.p sq ft x "U" S TOTAL a) thru f) 2.39 If item p3 Is the same as',' or less than Item 01, you have met the Intent of :SCAR 1.16008 A and 0. Page 1 4. TOTAL EXPOSED ROOF/CEILING. CALCULATIONS: Total exposed roof/calling area..,..... Ito 50 sq ft J) Total skylight area....... 0 sq ft x "U" k) Total roof/cellinq framing area (Average In%)...... Ito 5• sq ft x "U" .02 3.3 1) Total net Insulated roof/cellinq area....... 48>5 sq ft x "U" - 02 2°1.7 4. TOTAL J) thru 1) 33.0 If total of 64 Is the same as, or less than p2, you have met the intent of 2 MCA% 1.16008 A and 0. I ALTERNATE BUILDING ENVELOPE nESIGN To utilize the total envelope system method, the values established by the sum of Items p3 and N4 shall not be greater than the sum of Items ql and #2. 1. ZE9i -)1 3. 2-44-39 + 2. x}2.9 3o2.c? I + 4. 33•o _ 277. C E R T I F I C A T I O N 1 hereby certify that I have calculated the "U" factors and "R" values herein and that the buildlnq here described meets or exceeds the State of Minnesota Energy Conservation Act. S gnature (Date) Page 2 SLAB ON GRADE b"M Unheated Slabs: Minimum R - 6.2 NSTRUCTION AMING SECTION: WALL SECTION (INSULATED) R VALUE --{1 Interior air film n.6R {2 ?I2_" D2YWA?.I S --43 _inISVL. U 00 {4 _S.-1E ?zTN i rl G.? 2 04 {5 D Ir.IG 6 -? Enlor alr film ?,? n,17 TOTAL R U - 1/R .O? RIM JOIST SECTION: ---(1 Interior 5 FOUNDATION INSULATION REQUIRED: Min. R-5 on entire wall OR Min. R-10 down to frost depth U - i/R - .04• rr P: FOUNDATION SECTION: 1 Interior ai.r film ft .,fig •P • IF ZNS:,1? 12 4S 3 2, a.•A•, 4 Exterior &I r film A .V7 TOTAL R 1 1. U- 1/R- ,01 °.-d`.?. U - 1/R W .10 CONSTRUCT40N, R VALUC- CEILING SECTION (INSULATED): 1 Interior air film 0.61 AIR 2 - We pyy A_ 5(0 CHUTE 3 4 Extertor.al.r..111m still 41,61 TOTAL R ¦ 41,-) B U ¦ 1/R ¦ .02. CEILING FRAMING SECTION: 1 Interior air film 0.61 2 --%L" DI?(WaI.L .56 3 1"5 L) LET 0 40--0 4 Exterior air film fistlll 0. 1 5 3%I-j- inches soft wood 4 a ft, TOTAL R ¦ qu.lln U I/R ¦ •_ per' CEILING SECTION (INSULATED): 1' Interior air film 0.61 2 3 4 F.xterlor air film still n. V TOTAL R ¦ U ¦ 1/R VENTED CEILING FRAMING SECTION: I• Interior air film 0.61 3 4 Exterior air lm still n. T-1 5 Inches soft wood TOTAL R ¦ U¦ I/R- H 1 Inslide ial;ir .(l l:m 41.61 2 3 4 5 Outside air film n,17 TOTAL R ¦ U 1/R¦__ Page 4 GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS AIR FILMS i (R) SHEATHING 21 Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sh eathing 0.94 Exterior Air Film Int i Ai F l (Walls) 0.17 1/2" Plywood Sheathing 0.62 er or r i m (Vented Ceiling) 0.61 1/2" Partic* Bbird 0.66 Exterior Air Film (Vented CeiIt!ng`) 0.61 Gypsum or Ptaster Board 3/8" 0.32 Interior Air Film (Non Vented;) 0:61 Gypsum or PUaster'Board 1/2" 0.45 Exterior Air Film (Non Vented-) 0.17 Gypsum or P+lat's.ter Board 5/8" 0.56 Plywood 3/8" 0.47 Plywood 112" 0.62 BLOWING WOOLS Plywood-3/4" 0.93 Approx. 3" A 9 00 Sheathing, Reg. Density 112" 1.32 pprox. 4 1/2" 13 00 Sheathing,,Reg. Density 25/32" 2.06 Approx. 6 1/4" . 19 00 Nail-.Base Sheathing 1•/2" 1.14 App ox. 7 1/4" 24.00 Approx. 14" 30.00 ROOFS Approx. 18" 40.00 Built-up Roofs 0.33 All other insulation materials must Asbestos-Cement Shingles 0.21 be verified (R Factor) Asphalt Roll Roofing 0.13 Asphalt Shingles 0.44 INSULATION Insulation: 2-2 3/4" Fiberglass 7.00 SIDING Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61 Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1 82 Insulation: 3 5/8" Fiberglass 13.00 Aluminum with Backer R Foiled . 2.96 Insulation: 9" Fiberglass 30.00 112 x 8 Lap Siding (Wood) 0.81 Insulation: 12" Fiberglass " 38.00 7/16 x 12 Hardboard Siding 0.67 Insulation: 8 Cellulose " 29.00 Asbestos Sidings 1/4 Lapped 0.21 Insulation: 10 Cellulose " 37.00 Stucco (Brown and Finish Coat) ---- Insulation: 12 Cellulose 44.00 insulation: 1 1/2" Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS Lql .40ODS 1 3/4" Solid Core Door .46 -- w/Storm, Wood .31 Fir, Pine & Similar Soft Woods w/Storm, Metal - .26 1 1/2" 1,89 Pease Steel Door Insl/N/GL 7.45R .13 2 1/2" 3,12 Sliding Glass Door, Wood .65 3 1/2" 4.35 Metal .72 6 1,12" 6.87 CONCRETE BLOCK WINDOWS 8" Concrete Block (S & G Reg.) 1,11 All Windows (Filled with Vermiculite) 1,93 (w/Storms 1" to 4" Space) .56 12" Concrete Block (S & G Reg.) 1,28 Removal Double Glazing (ROG) .55 (Filled with Vermiculite) 3.15 Thermo or Welded 3/16" Air Space .69 b" Light Weight 2,18 1/4" Air Space .65 (Filled with Vermiculite) 5,03 1/2" Air Space .58 12" Light Weight 2,48 (Other windows specifically tested (Filled with Vermiculite) 5,82 can use better ratings) Page 5 ;,. î þ ý þýý üû û ú ùýýúñüùò ë ðí ôö ù ßð ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ÷öÚôûô ùü ã þû Ø ë ðüô öë ù ûãóððþ ãó ÝßÜðð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô Use BLUE or BLACK Ink ----------------1 1 For Office Use z I City ~~non I Permit#: I I I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: 22-7,13 Phone: (651) 675-5675 i7 Staff: Fax: (651) 675-5694 I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: ` -7 yc)4 Atid{,,( tIN V Tenant: Suite Resident/Owner Name: Mf &hotL0 12(d K614Z Phone: [l 951f s 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 Softener Lawn Irrigation RPZ PVB) 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.gopherstateonecall.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 o start ' out 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 pl x Carl Michels x Applicant's Printed Name App ant's gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink r • For Office Use lOn Permit#: 1 1 i/ 7 I f l *. City 0f taaaIl Permit Fee: /f/ 3830 Pilot Knob Road RECEIVED Eagan MN 55122 Date Received: r - Phone: (651)675-5675 I Fax: (651)675-5694 FEB 2 2 2017 Staff: _ I I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION DateDate:C;—eig / Site Address: ..7 cg. ,4��pv .CJ(Lz/ Unit#: i Name: "/'Ira64 . z2a/Cw Phone: C/�/CVL5---- Resident/ 4OLWner Address/City/Zip: /' /c • 7•�,�L(!�� /moi z71 .,, i 1 Applicant is: Owner /` Contractor 1 Type of Work .i Description of work: 4S1/710‘,41yPd1 ) IConstruction Cost: ./8a ) Multi Family Building (Yes I No ) 1 Company: %J7Q*/747 , ei 7 e,64- Contact: ,, f/,,i`e ✓� Address: (5S-7‘./.. 1.64/ �/!�G'.� � City: ��/��1 - : ContractorI 1 i State/1j Zip: i5:75"797-1P hone:6/i�Si/1ili mail:A/'1leereh /e/'11G(J'P 4(1741? Cali' /'I / /f/ I I License#: �„ i 5f; U j 7j i07 Lead Certificate#: ✓'o� ............ 1 If the project is e empt from lead certification, please explain why: A . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 3 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? l 1 Yes No If yes, date and address of master plan: Licensed Plumber: Phone: f j Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I I Fire Suppression Contractor: - ' Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 3 the information may be classified as non-public if you provide specific reasons that would permit the City to 1 conclude that they are trade secrets, i 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.qopherstateonecall.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 Buildin Co ust be completed within 180 day¼4c mit issuance. xy /06auctiIV :,,,,a."2„................„..._ Applicant's Printed Name Appl ani: S Signature Page 1 of 3 /? r( /Ll/J 77 J_� �� ,,�-F, /tt�tC� �'b� 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 2/7c -/ MCES System ^ Plan Review / Code Edition o,OW' SAC Units (25%_ 100%_) Zoning R - 1 City Water Census Code 1-1 3 4 Stories Booster Pump #of Units 1 Square Feet –" PRV #of Buildings 1 Length Fire Suppression Required Type of Construction a Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ,,� Final/ No C.O. Required Foundation Foundation Before Backfill .33- HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final iV.- Framing 1/30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS Ai Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control 31- Shower Pan Other: Reviewed By: /1. _/ , Building Inspector !r RESIDENTIAL FEES 1 I Q0 & toota -� Base Fee 7 3 „i Surcharge Plan Review 117 !- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 GityERRaIIof 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 #: Permit Fee: C/ a Date Received: Staff: 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3 / r Site Address: 6 6 / - 2 Tenant: .,// "ke ResidetittOwner Conteotor Type of Work Pero* Type Suite #: / dJ%295 1/ Name: 7/re' 1�/1)(. �� Phone: ✓ 27L Address / City /Zip; /3 ` / - -571: f` Pyo' 'e +k17 8t u +if `1ri� l OhI C /0 w() /27/f5. 3�,- /6(0 City: i if2.1 Name: Address: State:../1/2-4/ Zip: f..75-5.4 3 3 Phone: l / 2- 57.- r/7 License #: ]r(� Contact: I rA J Email: New ` Replacement _ Repair _ Rebuild Modify Space Work in R.O.W. Description of work: llGl,i f� Q � L 7 f f vv6-3 712a6.—�c` i3 1� f o�C /trc_ RESIDENTIAL ...� �. e _.... Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) Septic System Add Plumbing Fixtures ( Main / Lower Level) t I 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) lNater 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 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi h 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 • itho permit; that tt rk will be in accordance ,'th the approved plan in the case of work which requires a review and approval of pia �� x r Alba x `s✓ Applicant's Printed Name Applicant's Signature FOR OFFEcEUSE Required Inspections: Under:erolind Meter d #ftfrifS4 Metet:Size Radio Read • I anmeter• •.::motif Rigviewad By Da .Raugt114n . Air Test Gat Test Flit PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149753 Date Issued:06/07/2018 Permit Category:ePermit Site Address: 1374 St Andrew Blvd Lot:15 Block: 4 Addition: Fairway Hills PID:10-25600-04-150 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Tste E Dukatz 1374 St Andrew Blvd Eagan MN 55123 (651) 295-4276 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature e `c Dir For Office Use / II I •� �r Permit#: /54i c1' E AGA N •• -•• RECET.7.' Permit Fee: ill 7' C� 3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 APR 01 2U19 Date Received: —1— (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections a(..citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2' ' 5426✓i Site Address: / 3 7 V S,'4VP,Z -a/S oa'/.Unit#: Name: /w6' D c'i-4 Te Phone: 2Cf ' 7 z7 Resident/ T Owner Address/City/Zip: / 3 7 4[ -�-- , ,f S/. ,/�,vA,,. ogz p Applicant is: Owner Contractor Type of Work Description of work: R -r--/4- Construction Cost: ens Multi-Family Building:(Yes /No X ) Company: ll z 131-11 4 D6fl• A r-RQ/4d ontact: 1/(4,,goilpiii G/t • Contractor Address: 7 )/�0+�/��/k'4A'/.� (-6 /eke City:ad//_/6!/ State:111A/Zip:J3!r y; Phone: 9,�O�J(p y o/L�mail: Y`O'/�}/IG7el// 6 Q dd oc 4?V License#: Bev Lead Certificate#: /✓4T / 240 G 3 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 classified as nonpublic if you provide specific reasons that would permit the City to conclude that they 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conf• -n 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 oft s -rt with•4 a permit; that the work will be in accordance with the approved plan in the case of wo which requires a review and approval of p;= L4'I 4 R/molt I x / Applicant's Printed Name Applicant's Sig :u DO NOT WRITE BELOW THIS LINE / -7 -/ S�• �5c act_ /S y-7� i SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi ec 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 LO Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall. . `Demolition Qf entire building-give PCA handout to applicant DESCRIPTION �/ Valuation �K 7(off Occupancy ES L'-1 MCES System Plan Review Code Edition VA v"i vi ' SAC Writs (25%_100%A ) Zoning ( City Water Census Code Stories Booster Pump #of Units Square Feet , PRV #of Buildings Length Fire Suppression Required Type of Construction 1) Width ' REQUIRED INSPECTIONS • Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) , Final/No C.O.Required • Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test r Hood • Roof:__Ice&Water _,_Final ' Pool:__Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: I l/. 1M ("f A- , Building Inspector RESIDENTIAL FEES /,- � � �� Base Fee ( Surcharge Plan Review e S /5 D MCES SAC 2 �� PCI� ^ 5iA ' 2 _ o_.' ,,j217TZ3u I City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3