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3635 St Francis Way*. City of Eaftau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: lq 65 -DU i 2011 MECHANICAL PERMIT APPLICATION Date: a' 10- 1 I Site Address: 3 ((3(3 I F (ritflcAs Way (J. Suite #: Tenant: ekAkk LJee YlIIi RESIDENT / OWNER Name: Phone: G 5a- t 84- q /q6 - Address / City / Zip: CONTRACTOR Name: j, 0119 Li -C, License #: 9?IJe1g/1 l I& City: sti-- LOWS ic, State: —Zip: 5511( Phone: (6,3)aa 0697 Address: Contact: Email: TYPE OF WORK PERMIT TYPE New Replacement Additional Alteration Demolition Description of work: NOTE: Ro_ Code. Please dont /Furnace t/ Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Exterior HVAC Unit Gas Under / Above ground Tank ( Install / _ Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE $55,00 AL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecau.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 pl KOx i ! W1I�JlJ1J Applicant's Printed Name 4.� 01 Lip App' 'ant's Signature FOR OFFICE U Required InsRe+ rior HVAC pl CITY OF EAGAN Remarks 0?2/ Addition ST FRANCIS WOOD 4TH Lot 2 Blk 1 Parcel 10 5903 ? 01 Owner Street 3? St. Francis Way State Fagan, MN 55123 Improvement Date Amount Annual Years Payment Receip Date STREET SURF. 19$2 23, 1-64-72' 5 STREET RESTOR. O 1 Q86 134.17 1 GRADING SAN SEW TRUNK v? -1985 463.25 30• SEWER LATERAL 0 110-75 7.38 * sew & wat lats ,:. 1 115.00 29.00 5 WATERMAIN WATER LATERAB E N 1013 1986 6 1 2. 2.52 WATER AREA 1 25 , .1 STORM SEW TRK 1985 '01. 95 72.8b 15 STORM SEW LAT r CURB & GUTTER SIDEWALK STREET LIGHT ,f Poo Unit WATER CONN. BUILDING PER. -1009 SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: N t x1111 PERMIT SUBTYPE: ,,:. INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: 1 4 / 0 TYPE OF WORK: 11 I- I kf MAl?1,Si % 11A14AIV I I f iR)(.AI PFVMI 1 ItUQ1)1ht O ' Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRI ELECTRIC Inspection Date Insp. Comments Footings I r ,1-21-93 D-5 Foundation Framing G ?3 ?J P Gc t!S /? /1 / Roofing d a-?i 2 ? C..4 /LS 5 Rough Plbg. y `; ` ALL Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final t? o Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: "1}C PHONE: 454-8100 Lot m rvame••-_ Address C City _ Name -' t 3 Address p City Phone 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 SIC IF PERMIT PRICE GOES SIGNATURE OF FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: ' - BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other _ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRANDTOTAL: ?'' wwwm PERMIT # MECHANICAL PERMIT - RECEIPT # / CITY OF EAGAN -'+ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: l CONTRACT PRICE: '-)00. Gv PHONE: 454-8100 Site Address - t BLDG. TYPE WORK DESCRIPTION Lot Block / Sec/Sup Res. New Mult Add-on Name ( t Comm. Repetir 10 Address f; 9 I-- W ? Other ; 1. . 15 City O AAC, Phone - Name (f FEES RES. HVAC 0-100 M BTU -$24-00 3 Address `? ?' k ( < < ADDITIONAL 50 M BTU - 6.00 p City I? Phone (RES. HVAC UDES A/C ON NEW ONSTRUCTION C GAS OUTLETS MINIM M 1 PER P RMIT 5 ( - U E ) - 1. 0 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12-00----, Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) - - Other FEE: i ? SIC: 5 ? GN E P R ITTEE S TOTAL: I ? G ? FOR: CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT # ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 Site Address a BLDG. TYPE WORK DESCRIPTION Lot Block a / -? ". Sec/Sub // ? Res. x New ?- ' ( Mult Add-on Name k(.. C. • ?o l dress '_ %? ?? A ?? i ('t omm. RepairT- Other c City . t C u ; , c L Phone ? FEES Name RES HVAC 0-100 M BT-It1 -$24 00 C Address . . ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION - ) - GAS OUTLETS - 1 MINIMUM 1 PER PERMIT 50 EA - ( ) . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8. Unit Heater M BTU REMODELS - 12.00 Cond. Air M BTU M B $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent (ADD $50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other_ FEE: S/C: SIG / TOTAL: FOR: CITY OF EAGAN BUILDING PERMIT To be used far Site Address Lot Block Parcel No. W Name Address Phone Name Address ?- City Phone CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan,1NN 55121 PHONE: 4548100 LU FRAIICIF WAY Receipt # $65 r'- Name Address 3 ?City Phone 1 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. Signature of Pennittes A Building Permit Is Issued to: all work shall be done in accordance with all applicable Stop of Mil Building Off Idol Erect U Occupancy Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Assessment Water i1 Sew. Police Fire Eng. Planner Council r. Bldg. Off. APC. Var. Date Surcharge Plan Review. SAC Water Conn. Water Meter Road Unit Total on the express conditlon that Statutes and City of Eagan Ordinances. Permit No. Permit Holder Data Telephone 0 Plgmbinq H.VA.C. Electric Sottamr Inspection Date 1n* Other Footings o j ti S ?7 e 3 )- 3 e' M 3171 3 r Foundation 4 Framing OLZ Roofing Rough Plbg. Rough HVAC Insulation Final Plbg. o S /? Final HVAC 4/-4417 L Final s G s • ?i. 6s F--. ? ?r Water Describe Location: ' YYall ? u'? Sewer Pr. DIM. _ a f ?` y (Urtiftrate of (Orrupaury aCitp of Cagan lrpartutpttt of lv lbWg JWectimt 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: LW Claeif ,n. ! OF 7 37t? EMS. Funtit No. 1'093 O-Fancy Type R3 Toning Douiu ' Type Caw V OwaerdBWking Tom' a.AMk P.G. XW 4l'-- M -AMC Add. Building Ad&w 3635G S'ERFT2t?AX IS ;W, terry 12, B l, S i _ "J-- : S 'L I; .ta: Dau:' 7? i5c? Building OfcLal - POST IN A CONSPICUOUS PLACE Receipt C PLUMBING PERMIT Permit No.? CITY OF EAGAN Fee ?l ` .? Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost V / ! 3. Job Address i? Lot BIM. Tract 4. Owner 1 "? 1l1 b; l .t t 5. Contractor Phone / . 6. Address C+ 7 ?J 7. City State Zip 8. Building Type: Residential EJ Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe r 11. No, Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other _L Laundry Tray - Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes g?verning this type of work. Signed : r for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee v-(9'. Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date 2. Installation Cost 0 F r r ts', U, (-y fit-,,- 6,, wc,,,/ 3. Job Address _ `t r Lot C2- Blk. Tract ? r7 4. Owner •??1 u< <? I t V ?? t lil V S 5. Contractor Phone tG' 6. Address r ` ?' l 4 (tl,L li 1 / t I? Q 7. City A" ")State Zip 8. Building Type: Residential 1"- Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? r1 10. Describe t Fuel Type (! ?j 11. I No. E lui{Zment BTU - M. Ea. II No. I Equipment CFM Forced Air Mfg. Boilers Mfg. Le-KNO X Unit Heater r? baG78a- Mfg. Air Cond. ?21?eC, Mfg. Gas, Piping Outlets Ipr??er Air Handling: Mech. Exhaust Other 12. 1 hereby certify that the above information is true and correct, and I agree to comply with ?I ordinances an codes governing this type of work. Signed : ?-/ c for hough Final Inspections: Date _Y_ Insp. _ Date _ Insp. _ This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 7 d J ?LPi?u? 7,? 3830 Plot Knob Road, P.O. Box 21-199, Eapn, MN 55121 n BUILDING PERMIT To be used far PHONE. 454810 Receipt # Est. Value Date 19 Erect ? Occupancy Site Addrao Remodel 1:1 Zoning Lot Bieck Sec/Sub. Repair ? Type of Const. Parcel No. Enlarge ? No. Stories Name Move h ? ? Length h Demolis Dept Address Grade ? Sq. Ft. City Phone Install D 0 Name Address 9i Assessment Water i3 Sew. City Phone li P o ce ?uW Name Fire 13 Address Eng. U W City Phone - Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable s and Cit of Ea an Ordinances t t f Mi t St S t APC y g nneso a u e ta e o a Var. Date lees Permit Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Total , Signature of Per nittee I A Building Permit Is Issued to: an the express condition thou all work shall be den in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pernik No. Pwmk Holder Dab Tels hone jlumbinq a y- , H.VA.C. li4 /S EhmMe L''I` - f Softener Inspection Date Insp. Other Footings 5 c P IaU Foundation Framing - Roofing -7-1 Rough Plbq, 7 Rough HVA Insulation Final Plbg. Final HVAC / Final Cart/00c. Water Describe Location: Well Savor Pr. Disp. •- , g:• J e - Ta if iratt of Orrupanry Citp of eagan Istpa imMt of suatto , rrtim This CerttfJicate 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., UK Classification OF 7 MY' Bldg. llmnit No. { ?2 Oocupaacr Type R3 Zoning Diutia Type Cong_ Owner of Building Adds, 4 124, t 3 ! _. Building Addtean yd:.? 5T. ?? r 1 Laeality \ '- B?,f. -,; Date: 3 Budding 06icid POST IN A CONSPICUOUS PUCE Hece+pt,l'f' 1 MECHANICAL PERMIT Permit No.L-56r7 CITY OF EAGAN 5lt5195 Fee Fill in numbered spaces S/C Type or Print legibly _ Tot. 1. Date ?I 2. Installation Costj eQ, ! 3. ©-D - t . f= rrc U LL"'y 3. Job Address t t 1'' r Lot Blk. 1 T`raEt 4. Owner 5. Contractor Phone l 7 6, Address (,t` l' f 4'tcLvy,, A 7, City State Zip 8, Building Type: Residential >- Commercial ? Institutional ? 9. Work Description: New *X Add ? Alter ? Repair ? r 10, Describe ..r i+?i f Fuel Type 11, No. Equipment BTU - M. Ea. No. E ui ment CFM Forced Air Air Handlin : g Mfg. Boilers Mfg. _ Mech. Exhaust Unit Heater Mfg. MIAL e? Air Cond. Other Mfg. Gas, Piping Outlets 4 Or ycr I 12. 1 hereby certify that the above information is true and correct, and I agree to comply wit II ordinances and codes governing this type of work. Signed: for Rousih Final Inspections: Date _-__ Insp._ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.5100 Receipt PLUMBING PERMIT i CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job 4. Owner 5. Contractor Lot Bilk. Permit No. Fee S/C Tot. It 1 tract Phone 6. Address / 7. City State Zip i 8. Building Type: Residential ? 9. Work Description: New C? Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield 1 Bath tubs p Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 10 0 111 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # Ta sr -.a i.. ) _ Fa VnL u ; ` ? t?nr. - J ? - 19 Erect ? Occupan cy Site Address `" °I7'.Remodel k ? Bl b S ? Zoning oc u . Lot / Repair ? Type of Const. Parcel No . Enlarge ? No. Stories Move ? Length Name Demolish ? Depth Address Grade ? Sq Ft . . City Phone Install ? r)!v) Appre vels Fees Name ZZ Assessmen t Permit u? Address Water b Sew. Surcharge City Phone Police Plan Review GW Name Fin SAC W Y3 Address `gym Eng. Water Conn. <W City Phone Plonnar Water Meter Council Road Unit 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances Var. Date Signature of Pennittee I A Building Permit Is issued to: an the express condition than all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pertnit No. Permit Holder Date Tell hone A Plumbing 5)33 fl; Ig n.V.A.C. 5 s `? C t Electric C ,-,j /C) S? Softener Inspection Date Insp. Other Footings 5 c c f I V Foundation Framing Rooting Rough Plbg. Rough HVAC S Insulation G Final Plbg Final HVAC 6 Final Cart/00C. Water Describe Location: 1Nsll Sewer Pr. Disp. y Fieu:ipt-D >` MECHANICAL PERMIT Permit No.5? 1. 3. 4. CITY OF EAGAN Fee? ,l/) ? 15 J?? ? ?' L Fill in numbered spaces S/C Type or Print legibly Tot. Date 2. Installation Cost $ q'9 --;sic Job Address t r E it Lot3_Blk. 1 Tract 6' t)eoc? ? Owner 1"D) c l l1 I V k? F U I I d t 5. Contractor 6. Address r? ?C C C. ( "(eLV`VI `1 7. City ! " ?j ? State ? r zip 8. Building Type: Residential. Commercial ? Institutional ? 9. Work Description: New Add El Alter ? Repair ? 10. Describe L H?? _t Fuel Type G- a S 1 11 No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mt g. L'e k -- Mech. Exhaust T I ylYlO Unit Heater &1 ), Mfg. J v? Air Cond. y?j Other _ I? Mfg. Gas, Piping Outlets - 12. 1 hereby certify that the above information is true and correct, and I agree to comply wit all ordinances and codes governing this type of work. Signed 69, _ for Rough Final Inspections: Date Insp. _ Date _ Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 PLUMBING PERMIT CITY OF EAGAN I l l r J Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk 4. Owner 5. Contractor T 6. Address Permit No. Fee S/C Tot. ^l Tract ) ?I Phone 7. City ?f State !' r Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield _L Bath tubs p Septic Tank Lavatory ft S Shower o ner W ll Kitchen Sink e Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ?J • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.198, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # x,1:3 i ., .. `'? Erect El Occupancy Site Address Bl k ? /Sub L Remodel ? Zoning ?4 . oc ot Repair ? Type of Const. Parcel No. Enlarge ? No. Stories • ?;. ;OI\'ti'1..?fY Move ? Length ?_... Name Demolish ? Depth Address Grade ? Sq. Ft. City Phone Install ? 1 Name _ Uu Address u e- City - Assessment Water b Sew. Police Fire Eng. Planner Council Bldg. Off.'1 / $3 •" 5 APC Ver. Date Permit Surcharge Plan Review 7 SAC " I o Water Conn. ' v Water Meter Road Unit Total - r I ' U Phone Name \ t ? \ :fit Address City } Phone Y 1 hereby acknowledge that I have rood 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 Permittee A Building Permit Is issued to: all work shall be done in accordance with all applicable State of Min Building Official an the express conditlon shot Statutes and City of Eagan Ordinances. Permit No. Permit Holder Dow ToN hon* s Plumbing 5 S c a H.V.A.C. Electric : /!i??? .i7f C O Sotunw Inspection Date Insp. Other Footings B ? o u` 3 5 e c Foundation Framing S s 4 HVA (rJr Insulation Final P lbg O Final HVAC Final COWOoe. Water Desaibe Location: Wall Sewer Pr. Disp. 1. . T 10 T ertifiratae of (Orrupaury Citp of (tagan atFirt ltm of wu"hT 3werumc This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Cade 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. Qassifialion 1 OF 7 R M e1dg. flnnit No. 1011-1) Oewpaocy Type R? Zoning Dnu%3 Type Ccm51 V PLYC G ! ? : ?IIC ' ?t?? Owner of euaairig ' -111EIM - DIPAVY Address P,(), &WduwAddreffi ; dy 1.2. Bt. S'_ } W-11-' 1.1 Date: MAC 25, I ,i7 Wding Official POST IN A CONSPICUOUS PLACE )Ile ?q /7 Receipt MECHANICAL PERMIT _ o4 q CITY OF EAGAN Permit No. V `'' ?- ``ter F Fill in numbered spaces Fee vim" S/C Type or Print legibly t. 1. Date S S 2. Installation Cost 3 ? ? t f r h'r,(' lS ?trn 3. Job Address ?f tr Lot 131k.1 ? --? `Tract i 1 `, 7 4. Owner ._)1 L J o :/7 5. Contractor 1 if 1' .1 II `r 0 4' • Phone 6. Address k Q wi A y e 7. City State Zip 8. Building Type: Residential >- Commercial ? Institutional ? 9. Work Description: New '10*/1 Add ? Alter ? Repair ? 10. Describe J? I! 0'ei - t A Fuel Type Ga 5 11 No. EQuij ment STU - M. Ea. No. E ui ment CFM Forced Air Air Handling: Mfg. Boilers Mfg Mech. Exhaust Unit Heater Mfg. Air Cond. p -p-011 •Q-+ 1 J Other - _ Mfg. - -- - - -- Gas, Pipiing O letsy? V Y\ l 61 r?1 ---- - - -- 4 ?!X 12. 1 hereby certify that the above information i?, true and correct, and I agree to comply with or?dinlainc ve nine this type of wurk. Signed : for Hough Final Inspections: Date __ Insp.- - Date _ ___ Insp. This is your permit when numbered and approved. Approved __? _ CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee f ` Fill in numbered spaces S/C Type or Print legibly Tot. - --r?- 1. Date C 1-2. Installation Cost 3. Job Address Lot - BIk.1 ltract l 4. Owner Y 5. Contractor Phone 6. Address 7. City State Zip l 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New f?. Add ? Alter ? Repair ? 10. Describe 11. No. f Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other _L Laundry Tray Floor Drains Drinking Ftn. / Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 BUILDING PERMIT r_ L- ..... s.. . , ?LEX Receipt # $53, C-(' , Tinto r h 1 1 Site Address Erect V Occupancy yf f, ! i+ Remodel ? Zoning Lot Block Sec/Sub. Repair ? Type of Const. Parcel No. Enlarge ? No. Stories me N Move ? ? Length h ! I a Add Demolish d ? Dept ress Gra e Sq. Ft. w`-- .4 4 - §__._ij n (1.d, Appreven gg Name Address Assessment City Phone Water b Saw. Police Ga Name Fin ?W 13 Address Erg. W City Phone Planner Council I hereby acknowledge that 1 have road this application and state that Bldg. Off. the information Is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Pennittee A Building Permit Is issued to: all work shall be done in accordance with all applicable State of MI Building Official V. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 Permit Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Total on the express condition rhos and City of Eagan Ordinances. Permit No. Permit Holder Do" Tola hone Plumbing 4U 1 Y/ 137- ado H.VA.C. .5:?5 t l - s l? , ??ti Electric _ ?; /; c, r/) `,^l C' _, 7 ??• Softener Inspection Date Insp. Other Footings rj F 1 V U` 3 Foundation Framing Roofing A,f Rough Plbg. Rough HVA ' S 0 Z Insu tion /? ?,? Final Mg. Final HVAC ?. y_4? 7 L Final 5 _ F ?. COVOcc. y. ?I C. . Water Describe Location: Wall sourer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. ' CITY OF EAGAN r Fee fill in numbered spaces S/C Type or Print legibly ft7V 6 -Tow 1. Date 2. Installation Cost 3. Job Address C+ Lot_?Blk, Trac lI 4. Owner , ?•?71 tLt?1 ?i •? L y' S 5. Contractor `I k' • Phone 6. Address (l tLVVI A Jt > > _ State Zip 7. City 8. Building Type: Residential >_ Commercial ? Institutional ? 9. Work Description: New 12?1 Add ? Alter ? Repair ? Fuel Type u__0 10. Describe 1`??L?/_ _ t A 11. I No. I Euuioment BTU . M. Ea. II No. Forced Air Mfg. Boilers Mfg. L.R N K ? Unit Heater(??? Mfg.teaM Air Cond. 0,AM(jZg3- Mfg. Gas, Piping Outlets Varcl ICI " r 4 gr?er Other 12. 1 hereby certify that the above information i. true and correct, and I agree to comply with I ordinancqK es governing this type of work. Signed : __-^- for Rough Final Inspections: Date Insp. _ Date ____ Insp. E ui >ment CFM Air Handling: I Mech. Exhaust This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. .y CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date ??C? 2. Installation Cost 3. Job Address Lot ! Blk. Traci _ -, q 4. Owner i 5. Contractor E Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9, Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. 42 Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other / Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # F.9 VA. (' I Erect U Occupancy Site Address Lot B lock /Sub. - Remodel ? Zoning Repair 11 Type of Const. Parcel Na ? . Enlarge No. Stories i Move ? Length Name Demolish ? Depth I Address Grade ? Sq. Ft. ritu H OPKINS Phone 553-1494 Install ? Name SAME (DON MUN80M 1 Address City Phone G? Name ARVID ELNESS_ I ge that I have road this application and state that correct and ogre* to comply with all applicable Statutes and City of Eagan Ordinances. Approvals Fees Assessment Permit Water & Saw. Surcharge - Police Plan Review_ Fin SAC Eng. Water Conn. Planner Water Meter Council Road Unit _ Bldg. Off. 4/8/8 T'f. APC Total 11 Var. Date Sipnotun of Permittee I A Building Permit Is issued to: TI14B8RTON C014P71iigZ an the express condition that all work shod be done in accordance with all applicable State of Minnesota Statutes and City of Eogan Ordinances. Building Offidal Permit No. Pwmit Holder pate Telephone s Plumbing o2 AY' H.VA.C. 5 `l L U t -? S-_ ode Electric 8oftenw Inspection Date Insp. Other Footings > t, B Q i u u i Foundation Framing Roofing Rough Pibg. Rough HVA ?! 3 Insulation Final Plbg. Final HVAC 9 t. Final r• /f Cart/00c. Describe Location: ki dx...,?r -4b, (lertifirafp of (Orruvaury Citp of Cagan Irprartm t of ludbing JWrrtimc 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. Cteesifi..oa I OF 7 Ate` Bldg. Permit No. 0-4-Y Type R3 Toning Dania I Type Coml. OwwrofBuilding 711 iy, Add. P-0- ba WTV'rN'I Bnit M Addrwa f arality II B ! s 5 is .. Date: Building OfrwW POST IN A CONSPICUOUS PLACE Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C -MM Type or Print legibly Tot. 1. Date 2. Installation Cost• d D 3. Job Address ! " `r _ Lot?_Blk. Tract/ G? 4. Owner 61 c1 'V I C Y l? k ( ? ll L y' s 0 0 5. Contractor `I N 4 `f 61 Phone 6. Address L^ l ' f Ir" ([x VYI J ?? P 7. City State Zip 1 a ?' 8. Building Type: Residential >?- Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe ! =Fuel Type -- GO 5 11. No. Eauiumcnt_ BTU . M. Ea. No. Ec ui ment CFM l Forced Air Mfg. Boilers Mfg, tl Unit Heater 3•S57 Mtg. Air Cond. IZACC.p143 Mfg. Gas, Piping Outlets Vf^ J 64k+44 P-" f or Y4* Air Handling: Mech. Exhaust Other 12. 1 hereby certify that the above info, mation is true and correct, and I agree comply with a ordinance ng this type of work. Signed: ? ??c governi -- -- - - - -- for Rou.yti Final Inspections: Date ___ Insp.___- Date_ Insp_ _ This is your permit when numbered and approved. Apwi'v'', CITY OF EAGAN 454-81G Receipt j PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot_ ? _Blk.- 4. Owner r ?- 5. Contractor Phone 6. Address 7. City r State zip l I .? 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New © Add ? Alter ? Repair ? 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory Softne r Shower Well i Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Permit No. Fee S/C Tot. ?? C J CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # - A-C ST Lot Parcel No. Name Address City Phone Name uU Address City Phone City 09994 Erect U Occupancy _ s Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Stories - Move ? Length Demolish ? Depth Grade ? Sq. Ft. Install ? Assessment Water b Sew. Police Fin Eno. Planner Council Bldg. Off. 3/ 2 5 8 5 APC Var. Date Permit Surcharge Plan Review. SAC Water Conn. Water Meter Road Unit Parks Total 1 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. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of Mir Building Official on the express condition that and City of Eagan Ordinances. Permit No. Permit Holder Data Telephone # Plumbing H.VA.C. Electric Softener Inspection Dm Insp. Other Footings .7L BS ?) 6 L 3<? ? ??c,ols 3 -?1 b??esmC'3 Z9 ?Yc '?rNaf-,,Jb,?F, , Foundation Framing Roofing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final Cart/00c. Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To ha and far Fat Vnl,m ?nrw 19 $ 5 Site Address Erect ? Occupancy Lot Block Sec/Sub. "?: Remodel ? Zoning Repair ? Type of Const. Parcel No. Enlarge ? Na. Stories Move ? Length w Name Demolish ? Depth Address Grade ? Sq. Ft. City Phone Install ? ?u uI (DON MUNSON ) ApproraH Name ... Assessment Permit Name Water & Sew. Surcharge Police Plan Review Fire SAC Eng. Water Conn. Planner Water Meter Council Rood Unit Bldg. Off. ` T.P. APC Total \ Var. Date I hereby acknowledge that 1 have read this application and state that the information Is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Pennittee A Building Permit is issued to: on the express condition that all work shall be done In accordance with all applicable State of Minnesoto Statutes and Oty of Eagan Ordinances. Building Official Permit No. Permit Holder Dab Tel hono d ,%V mbing s - 0 S H.VA.C. C (1 11 II V U t_ I Electric Softener Inspection Date Insp. Other Footings 5 e P / U t Foundation Framing Roofing Rough Plbg. ?_ Rough HVA ( S? Insulation Final Plbg. Final HVAC Final Cert/OCC. Water Describe Location: Wall Sewer Pr. Disp. Terfifiratt of (Orrupaury Citp of Cagan MrFwbn nt of In lbing jwtrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure mw in compliance with the various ordinances of the City regulating building construction or use. For the following.. U,e elf= ian i OF 7 FM slag. Pumn No. 10087 oeeapaacy rya F3 Zoning DialM Type came Owna of BwUr4 . CME'AN ASP.(}. = 1URCM BWd*Adams '?' 15A. ST f?A'?f?•, ' _^.1' 1aa6ty I cR!, S1 ;.,=7X'.1S WO(ll5 4'I?°±S1 ;.,=7X.1S WO(y.5 4T4 Date: Building OlGcW POST IN A CONSPICUOUS PLACE CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at s 6 a I have this day inspected this structure and these premises and have found the following violations of city codes governing same: -I) a- L/ e"4 C- I-, 4,e gx&L A A /H.r,c,? e-w '/j - rc -t.A ,.. kY PK... l .1?.? 4 tcG r ? G- Ga•wSe d.•i c .jmr 7. 6=ccers *4/ldY4., When corrections have been made, please call 454-8100 for inspection. Date t- A1,e Inspector City of Eagan DO NOT REMOVE THIS TAG Receipt ' i / (J l PLUMBING PERMIT Permit No. CITY OF EAGAN Fee r G " ~? Fill in numbered spaces S/C Type or Print legibly Tot. 4 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 1 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New ? Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe ! 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank / Lavatory Softner Shower Well -L Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner IJ kA I 5. Contractor Phone 6. Address 7. City _ 8. Building Type: Residential ? 9. Work Description: New ?. State Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boilers ' Mfg. Unit Heater Mech. Exhaust Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : Rough Inspections: Date Insp. for Final Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. 6,. Box 2'1"199 PERMIT NO.: Eags'h, MN 55121 _ s - DATE- , n, Zoning: - No, of Units: Owner: n Address: Site /Address Plumber. 2 • f 8. ?7 Meter No.: R 3 . - connection charge: . 1 Ya ?? v size: Account Deposit: Reader No.: 40 ;gym Permit Fee: I efsee to semply wkb Ke City of 1"ps Surcharge: `i .nd Osrineeoea. Misc. Charges: . Total: E . By Date Fbid: Date of I Insp.: CITY OF 9AGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O.. Box 21.199 PERMIT NO.: Eagiin, MN 55121 DATE: Zoning . . > No. of Units: ' -,p Owner: I-ioi) rton CO. Address: Site Addresis Plumber Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 com to sower whir 60 Chty of Epew Surcharge: Ortairreeeea. Misc. Charges: I'P Total: d ' „Lte: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box 2-1199 PERMIT NO.: EaOn, MN 55121 DATE: Zoning: No. of Units: Owner. Address: Site Add Plumber. 1 "p" to -mob wuh the City of hgaa Ordiaeaces. By Dote of Insp.: Cornsction C hope: 2 , "7 S. 00y)d Account Deposit: Permit Fee: Surdwrpe: Misc. C horpew Total: _ Dots Paid: CASH RECEIPT 0 CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 , ,DATE IBC RECIUVE) PROM _ l.i :/,l ? ?\- ?! . / AMOUNT $ -71 I GZJ , &DOLLARS goo E) CASH r-l C,y ECK ROR /? '/ , ?,/•y FUND COOE AMOUNT ' ; 7?.i ?l? NN Thank You BY J, White-Payers Copy Yellow-Posting Copy Pink-File Copy PERMIT# RECEIPT DATE: I?7.. 8008 RMIDENTIAL PLUMBING PERMIT APPLICATION CITY Of EAGAN 3830 PILOT KNOB ED EAGAN, MN 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:: 0 (Ad \T Mw T ( ne f t TEL PHONE #: (AREA ?? L)(di - U J INSTALLER NAME: TELEPHONE #: q(5z _ `? T9- (AREA CODE) STREET ADDVRESS: 1 L n \j I in l / CITY: I?IC u d lK STATE: M I \j ZIP: ?C7S-)Q(4( 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 water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system `(' water softener I ater eater Replacement/additional: $ 15.00 _ 3 State Surcharge $ .50 $ 116 ' JD 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 assurty? o liability for any da ges?caused lay t City ing its normal f !e ement. operational and maintenance activities to the facilities constructed under this per it h City p p r /' t- SIGNA RE OF PERMI EE r 1/02 PLUMBING (RESIDENTIAL) 0 j Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 2 / ('69 / 0-* Site Address D CJ ' G St. T-Yan c? 5 U V Unit # Property Owner ?a Lt e I C M-1 r)ci Telephone # (&!!Il ) N 2- Z 3 7 q - ` Contractor Doi V) ?111 1j M L ? n Vl P1 1 ? Address ? vll b 2} ?U q a v t ez 4 city ?_a_ y? ? y?. ( y ?r State 11I I I fl $ I (ll Zip ?lJq Telephone # ) TI ( ' )r2-L/LDr1 ?2qC/q The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. , Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system _ Water turnaround (+ 5/8" meter 'If needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system r -. d ?n _ Water s Water heater /UI F?e L 2 10 p3 I? l $ 15.00 _ additional Qy 7epla t $ .50 State Surcharge Total $ X5.50 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 with the Plumbing Codes; 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 accordan a with the approved plan in the case of work which equines a review and approval of plans. ntoj8 a zw;,a Applicant's Printed Name Applicant's Sign re RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and 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!1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE to 02 SITE ADDRESS `5405 5 1A. ?r a n? TYPE OF WORKS?-,-v- 6PP / ,r ee' APPLICANT MULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 - 2 1. STREET ADDRESS (o-T Dr_ CITY S?vz?%A, STATE Vh tZIP 55-4 TELEPHONE # 447- R4.-ctB CELL PHONE # FAX # PROPERTYOWNER5d Frarv_'.? TELEPHONE# 8"1!% 4!'72 PMy t?,? k.b 9. o SV7? 31yD 1?- rn-N 5SI-3-7 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 GITEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: NIcchanicsd SN'stcnt includes: Sewer/Water Contractor: Phone # Fee: 570.00 I hereby acknowledge that I have read this application, state that the information is correct, a d 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 Water Softener Water Heater No. of Baths _ Fn f 7 r n Lawrf --'?TFee: S90.00 66RI. BadW 201)'2 NoLE3 ? P hone # Air Conditioning Hcat Recovery System -tS RemgdelfReoair Requirements • 2 copies of plan • 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION % `d r Ce -S S-' 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-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) _ FinalfNo C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & 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 Building Inspector 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 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. R 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 0lot platted after 711/93 • Rh Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 9- 1 B -(92 SITE ADDRESS 3635' , TYPE OF WORK APPLICANT STREET ADDRESS J r' TE PH NE imf KB (sV68 8 7 PROPERTYOWNER ? FIREPLACE(S) m6lP 5 ?2-2> TELEPHONE 6e? 6 737 / COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning - Heat Recovery System Phone # Fee: $90.00 l roiu:c (F F? f7 t- ?P? SAP 2 0 2002 Phone #1 V __- I hereby acknowledge that I have read this application, state that the information is correc , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. yl Signature of Applicant uF OFFICE USE ONLY Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths RemodeVReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 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-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidgr ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation or BJO Occupancy 12'3 MC/ES System Census Code q3 I Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R-I. -Air Test - Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Building Inspector 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 • Zr . IN ®RO'SC CONSULTIHO lHo NI/AS eCNGIN?EAING PLANN(AS and AND iuAvlYOAs COMPANY, INC. ,q00 EAST 1461h STREET, CMNSVILLE, UIHNESOTA 36]]7 CerY-W x PH 472-3000 ,4Qat 7rj!z I PaKon q0 \ LoT Z, 13%-oLK I ST, FP4NU5 Lnoco qTH 9 90 AmmoN? DAKOTA COUNTY] ? M\NNt 5o7A vo . S ?t\ 010 \ A 1D t• NO? S e-'ALC 1 N 30 ?1n1 , iii : i ?q p0 Np on / D / 16.00 N 10 Od x / S o y, -a 1110 $ NA v O, N? 1033 b7,- ?6. 10 cp • '? a o N 1 ? 9 33 -10 . ?p LOT ,. T% 6 O ` o 11r)0 0 ? o . q,po 11,00 1 ?' p V `; 933 / .? 2.u x / i Ito 4 2. 00 E / / ??3• DD 9°y ElC- U E 5 Pro Po$L- A t . yp DR1A1a/A66 AMD N U'rILIW EASEMENT` `? 4 ---? DEkOrlL DireCtADN 1 GP SOU/Fq•G2. hereby certify that this is it true and correct representation of A tract of and as shovn* and described hereon. As prepared by ins on this ?a-S' day of Mo.r c, AL ?,Qa-.-.??? ltinn? 1tet? Noy COrinNNeni ?anNO:,unv?VOnS PNGINCERING = COMPANY, INC. 1000 EAST 146E STnEET, EUftNSVILLE, MINNESOTA SS33T PH 432-3000 LOT Z, QLOCK I ST, FPANCIS worn 4 9 ° 90 ADDIM014, DAKOTA COUN-TY,I 1AW14t 5oTA O3 01 NO TM. ti \? ?? 3 "` pp os \ D` b x q.3 bq • o. SCALE I"- A o. ' 6.00 / +? I$ e `D 3'a .p 1ti W 6_ ? O ON 0 6 ?? ! 1 CA ` c? o 9 ? o- C/Q O ? \ a 6 00 "". . . ti•p x' ? / _i 3. 00 ojoy DENaT?s E,t- u• Pro posaA J ORXIVAG6 AuD ON UTILITY, EASEMENT I heraby,certify\ that this is a true land as shown' and described hersons. e Su?F°.ce - ?to.?IVAGG^ and correct representation of a tract of As prepared by me on this z-5 day of Asti. Xot'3410o. PERMIT #: 1--f i(_o0 CITY USE ONLY RECEIPT DATE: 2008 RESWENTIAL MECHANICAL PERMIT APPLICATION CITY OF EALGAN 3830 PILOT KNOB RD U EAGMMN 55122 051-6$1-4675 FR8, IL ? (l? ?l M APR 12 7nm Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: A g ED I oa SITE ADDRESS: OWNER NAME: 5 t6- -w) (e-,oto /r? \m , TELEPHONE M qsz r qQ INSTALLERNAME: -milOA ?7?YY?CJVZ' TELEPHONE#: 16 v ` 3?>S3 STREET ADDRESS: I,o1+C`i010J V IlL t J? y?? , l C, I CITY: r l'?-t??r 1„\ ?' STATE: I r 11 ZIP: ?v 1y Place a check mark next to the permit work type _ Add-on, modificati Iteration to existing dwelling unit furnace repla $ 30.00 • air exc anger • air conditioner • other P t t? d f? r.D U t1?tJ Nature of work: Tl-) r, ?s N? ???r2N ACE State Surcharge $ .50 T t l 20 $ o a s (9)1? ip? SIGNAT-ERMITTEE 1/02 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: INSPECTOR 2002 COMMERCIAL MECHANICAL PERMIT APPLICATION CITY of EAem 3$30 PILOT KNOB RD KAeM, MN 55188 651-6$1-4675 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 M 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 Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x l%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 PERMIT# V971 5 RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY Of RAGAN £Ae", MN 551 E2 3$30 PILOT KNOB RD Fcchhunit, asl s 8l asps 8 2002 Please complete for: single family dwellings, townhomes and condos when permits are required for S? backflow preventer for irrigation system ?? SITEADDRESS: ?ila?S -ok , Vcnrwk(' W" \?,:? ? OWNER NAME:: s\(?Qf c 2Y\ S?C.C (??? TELEPHONE #: n-S\_ `Fr) -qSV?1 (AREA CODE) ? 31 ^ 9(-) SO INSTALLER NAME: McGIVRE & SONS TELEPHONE #: W CODE) STREET ADDRESS: 605 12tt1 Avenut SOLO (AREA op n . Will VQQIQ CITY: STATE: ZIP: _ 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 water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: _ water softener water heater $ 15.00 o ?c State Surcharge QOy? $ 50 $ ED S"O Total all applicable City of Eagan ordinances. It I hereby acknowledge that I have read this application, state that the information is correct, an gree Zara its normal is the applicant's responsibility to notify the property owner that the City of Eagan assumes o liabili used bythe ity during operational and maintenance activities to the facilities constructed under this permit withi City eay/e cement. _/ / zf/0z SIGNATUREWPERMITTEE 1/02 { (;iAWNHOUSE) CITY OF EAGAN NO 1 0 0 8 7 13830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # 1 OF 7 PLEX $31,000 Dot, SiteAddress 3635A ST FRANCIS WAY Erect 6(7 occupancy R3 ST FRANCIS Lot 2 stock 1 SeclSub WOODRemodel 11 Zoning R4 . 4TH Repair ? Yype of Conn. V Parcel No. Enlarge ? No. Stories rat Name TIMBERTON CO Address P . O . BOX 12 City HOPKINS Phone 553-1494 ZZ Name SAME (DON MUN SON ) u Address City Phone Name ARVID ELNESS Address 200 BUTLER NO. City MPLS Phone 339-5508 Move ? Length 122 Demolish ? Depth 77 Grade ? Sq. Ft. Install ? Approvals Fees Assessment _ Water b Sew. Council Permit b? i7 r . Dt Police Fire Eng. Plonner Surcharge 15.5( Plan Review 98..7' SAC 525.0( Water Conn. 500,0( Water Meter 63.0( Road Unit 280-0( T.P 132.0( Total $1.811.7 1 hereby acknowledge that I have read this application and state that Bldg. Off. 4/8/85 the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee I A Building Permit Is issued to: TIMBERTON COMPANY on the express condition that all work shall be done in accordance with all opyliFable Stn{te-oft Minnesoto Statutes and City of Eagan Ordinances. Building Official 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ID??M ?1 rF??? INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY of ' FLEX 1 SET OF ENERGY CALCULATIONS 3 1, F00. - To Be Used For: 1F41^"` M .Valuation: Date: ?j gs 3(035 A . '2T F P-AW u s WAY Site Address: :940 -c "' "' "' ' A I/ OFFICE USE ONLY ew.f - US VMzm Lot: 2 Block 1 Sect/Sub` Erect X Occupancy -3 Remodel Zoning 2- 4 Parcel it Repair Type of Const Enlarge # of Stories Owner TI M15E1?Jl:>O Ca. Move _ Length 22 Demolish Depth Address F-0. Rox 412(1 Grade Sq Ft City/Zip Code HEw-I JSi MN• 55!;,g5 ---------------- ------------- ------ Phone &1"22 -55 sj- ?c49q (00 4/ APPROVALS mvrvsoN? Contractor -r1M1? E12Tbtil CO. sseA ssment3 Permit I.`O ' 1 4 Water/Sewer Surcharge 15 G Address 01 1 Police Plan Review jg Fire SAC S2S•? City/Zip Code Engr Water Conn .°° Soo Planner Water Meter (o °= Phone Council Road Unit Lbo. Bldg Off tf.9 A5 Parks Arch./Engr. Nzy1o ELIJESS APC Treatment Pl 132.= ZC70 r! WTI-E1z- Nbft-T" Variance Ti Address SI(7 a-lebr AYE. 14. TOTAL 1811City/Zip Code h?1?11,?1°r?DL15 55`103 Phone # 339 - 6 508 (TOWNHOUSE) CITY OF EAGAN No 1 0 0 8 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # C) ?0 G To be ased for 1 OF 7 PLEX Eft, Value $31,000 Date APRIL 15 . Iq 85 Site Address 3635B ST FRANCIS WAY Ereat Z;I Occupancy R3 Lot 2 Block 1 Sec/Sub. ST FRAN WOOD 4Tffemodel ? Zoning R4 Repair ? Type of Conn. V Parcel No. Enlarge ? No. Stories B Name TIMBERTON COMPANY Mow ? Length 122 Demolish ? Depth 77 = Address P.O. BOX 4124 Grade ? Sq. Ft. City HOPKINS Phone 553-1494 Install ? U r- Name SAME (DON MUNSON ) City Phone tW Name ARVID ELNESS P. M 0 BUTLER NO Address x0 city MPLS Phone 339-5508 I hereby acknowledge that 1 haw 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 Permill A Building Permit Is issued to. TII all work shall be dorm in accordance with Assessment Water d Sew. Police Fire Eng. Planner Council Sidg.off. 4/8/85 APC Var. Date Permit $ 197.50 Surcharge 15.50 Plan Review 98-75 SAC 525.00 Water Conn. 500 _ 00 Water Meter f; - n 0 Road Unit 7Rn n0 T.P. 132.00 Total S1 r R1 1_ 7 5 an the express condition that Statutes and City of Eagan Ordinances. Building Official c 1 r 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 1 f3ED?LODN1 Cz"?FtooR) INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULAT ONS To Be Used For: I OF 1? EX Valuation: 31,000 I - = Date: Site Address: 3(D35 f5 ')-r FQArJ(-15l JAy OFFICE USE ONLY Lot: 2 Bloc ST FRS WOOD k Sect/Sub 4-21 Erect X Occupancy {Z-3 Remodel Zoning 12-4 Parcel 0 Repair Type of Const Enlarge # of Stories Owner Move Length 122 Demolish Depth -1'1 Address Grade Sq Ft City/Zip Code --------- ------------------------- Phone APPROVALS Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Assessments Permit 11-7 ? _ Water/Sewer Surcharge 15 s° Police Plan Review 96 7s Fire SAC 525.S.0 Engr Water Conn 50o. Planner Water Meter l03 Council Road Unit 280.T Bldg Off9 p AS Parks APC Treatment P1 Variance ?5 TOTAL SI I . L ROBE n cONsULTINO tHO LA INtND3> PLANN[AS nd tA URY[YOAS rE NGIN6El?ING COMPANY, INC. ,1000 CAST 14611 STREET, BURNSVILLE, MINNESOTA 5533T PH 432'3000 - Cer-?z?` ccc,? _ ,j?aat ':Da>1crL o ? LvT 2, 13LDcy- 1 sT. FRRMUs weep ATH ADDITICNI tiAKCTA CWNT(j ' M?yNt 5o7A yy. ob.? NoxTH DO SCALE !` m 30 N1e x q 3 Lq' o 1 l / \ir 1 Z o ??. ' ?N S O 6 0 LoT Z 0 s? -n P a% ?oe N\Y X72 u p U N O 3 -1A 1D 3 ? 0o D1 o c' o tiq o 1 11.0 Jr E i tP 4 . no ?D i pro pcsga O DRA1NA66 AND - j'?[. A(6T£ i D 1 r e Cf? oN O" ' VT1e.1Ty EAsF.MENT.? V ' '-"--'l ?urFv.c?. ?(jrat'/1/A6L I hereby certify that this is a true and correct representation of a tract of land as shorn' and described heraon.. As prepared by fie on this `.sue day of YY1ar c ? ? 1! ?,?,? . hQ? .- eaDt,? )1innt ,Rats woo (TOWNHOUSE) CITY OF EAGAN No 1 O O 8 9 t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receipt # J y SO & BUILDING PERMIT ?r'' To be wad far 1 OF 7 PLEX Est, Value $53,000 Data APRIL 15 _ iq 85 Site Address 3635C ST FRANCIS WAY Erect M Occupancy R3 Lot 2 Block 1 Sec/Sub. ST FRAN WOODS 4Remodsl ? Zoning R4 Repair ? Type of Const. ^r Parcel No. Enlarge ? No. Stories TIMBERTON COMPANY Move ? Length 122 w Name Demolish ? Depth 77 Address P.O. BOX 412 4 Grade ? Sq. Ft. City HOPKINS phone 553-1494 Install O SAME (DON MUNSON) Aemereh lees Name $u Address City Phone GW ARVID ELNESS Name _? Address 200 BUTLER NO <r City MPLS Phone 339-5508 Assessment _ Water 3 Sew. Police Fire PPla nor _ Council I hereby acknowledge that I hove rood this application and state that Bldg. Off. 4 A /A S the inlormotion is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinonus. Var. Date Permit 4 4?c.u' Surcharge 26.51 Plan Review 146.01 SAC 595.01 Water Conn. 900-01 Water Meter AI 01 Road Unit ---28.0- 01 T.P112-0 Total $1 c) A A S i Signature of Permutes I A Building Permit Is issued to: TIMBERTON COMPANY _ on the express condition Thor all work shall be done in accordance with all opplicabi ate of Min ea and City of Eagan Ordinances. Building Official 16? ?? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN Z (3EDRooM INC LUDE 2 SETS OF PLANS 3 CE RTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: of -7 PLEY Valua tion: 53,000. ? Date: Site Address: 3(o35 C 6)T, Ez wU 5 WAY OFFICE USE ONLY Lot: Z Block ST Fem. Sect/Sub 4rH Wcop Erect X Occupancy R-3 Remodel Zoning (Z-4 Parcel A Repair Type of Const Enlarge # of Stories Owner Move _ Length 22 Demolish Depth -1-1 Address Grade Sq Ft City/Zip Code -------------- --------------------- Phone APPROVALS Contractor Assessments Permit ?-012. Water/Sewer Surcharge Zco•? Address Police Plan Review 14(,-°° Fire SAC 525. City/Zip Code Engr Water Conn 500.22 Planner Water Meter Phone Council Road Unit 28o. m Bldg Offy_y_8S Parks Arch./Engr. APC Treatment P1 32.E Variance o 5 Address TOTAL ?? ?? • City/Zip Code Phone it (TOWNHOUSE) CITY OF EAGAN No- 1 0 0 9 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # SQ ?00 To be ased fen 1 OF 7 PLEX Est. Value $56,000 Data APRIL 15 , 98L Site Address 3635D ST FRANCIS WAY Erect Ek Occupancy R3 2 Lot 1 ST FRAN WOODS 4 Remodel Black Sec/Sub ? Zoning R4 . Repair ? Type of Const. 17 Parcel No . Enlarge ? No. Stories TIMBERTON COMPANY Move ? Length 122 R Netne h D li ? D h z P.O. 4124 OX emo s ept 7 7 Addres s Grade ? Sq. Ft. City HOPKINS 553-1494 Phone Install ? Z Name _ $? Address City _ DON MUNSON) Neme ARVID ELNESS Address 200 BUTLER NO city MPLS Phone 339-5508 Assessment _ Water d Sew. Police Fire Erg. Planner Council _ Fees Permit Y J V 1. V V Surcharge 28.00 Plan Review 150.50 SAC 525.00 Water Conn. 500, 0 0 Water Meter 63.00 Rory Unit ?go-no T.P. 132.00 Total $1,979-5 1 hereby ocknoMedge that I have road this application and state that Bldg. Off. 4/8/85 the iniorrnatiort is correct and agree to comply with oll applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permitted A Building Permit Is issued to: TIMBERTON COMPANY all work shall be done in accordance with all applicable State of?MhV an the express condition that Statutes and City of Eagan Ordinances. Building Official BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN Z BEDeooM INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SE T OF ENERGY CALCULATIONS To Be Used For: I or PLl°_X Valuation: 5,000 ." Date: Site Address: '7035 Q ?Jr. FiAwUS WA-,-( OFFI CE USE ONLY 2 5T. FQN-4c6 WOOD Lot: Block Sect/Sub 4 Erect X Occupancy Remodel Zoning Q- 4 Parcel # Repair Type of Const 79 Enlarge # of Stories Owner Move Length Demolish Depth Address Grade Sq Ft City/Zip Code Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone 11 APPROVALS Assessments Permit 01 Water/Sewer Surcharge ILS Police Plan Review I So. SO Fire SAC 525. =9 Engr Water Conn C; . ° Planner Water Meter h3, =° Council Road Unit 2$D Bldg Off 4-p.A5- Parks APC Treatment P1 152. Variance 5 0 TOTAL 1911 . - TOWNHOUSE) BUILDING PERMIT CITY OF EAGAN N? 1009 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 v C",7,j 1 OF 7 PLEX Receipt * $56,000 Data APRIL 15 I985 Site Address 3635E ST FRANCIS WAY Erect ® Occupency NJ Lot 2 Black 1 lac/Sub. ST FRAN WOOD 4THemodel ? Zoning R4 Repair ? Type of Const. V Parcel No. Enlarge ? No. Stories Move ? Length 122 I Name TIMBERTON COMPANY z P 0. BOX 4124 Address . City HOPKINS Phone 553- 494 Name SAME I Address City Phone (DON MUNSON) Cw Name ARVID ELNESS 1E Address 200 BUTLER NO is City MPLS Phone 339-5508 Demolish ? Depth 77 Grade ? Sq. Ft. Install ? Approvals Fees Assessment - Water 8 Sew. Police _ Fire PPlo ner Council _ Permit v 3U1. Ut Surcharge 28.0( Plan Review 150-5( SAC 5 9 `t- 0 ( Water Conn. 500.0( Water Meter 63.0( Road Unit 280-0( T.p. 132.0( Total $1,979. 5 ( I hereby acknowledge that I have mad this application and state that Bldg. Off, 4/8/85 the information Is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee I A Building Permit Is issued to: TIMBERTON COMPANY on the expreo condition that all work shall be done in accordance with all o??(dL,tc.,a(bl?e St(pr??(of? Mlnrrcsota Statutes and City of Eagan Ordinances. Building Official '° - " =J ?/00 9/ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN Z ?D RooM INC LUDE 2 SETS OF PLANS 3 CE RTIFICATES OF S URVEY 1 SET OF ENERGY CALCULA TIONS To Be Used For: I of 1 PLEX Valuation: S(PQ90. Date: Site Address: Jto3S I / 6T- F?C-j5 Ay OFFICE USE ONLY 5T. F2Fw. WOW Lot: Z Block { Sect/Sub 4-L14 Erect X Occupancy Remodel Zoning 2-4 Parcel # _ Repair Type of Const Enlarge # of Stories Owner Move Length 122 Demolish Depth Address Grade Sq Ft City/Zip Code -------------- --------------- ------ Phone APPROVALS Contractor Assessments Permit Water/Sewer Surcharge zg.= Address Police Plan Review 150.50 Fire SAC 525.ep City/Zip Code Engr Water Conn . Planner Water Meter Phone Council Road Unit 250.= Bldg Off.4 D_95 Parks - Arch./Engr. APC Treatment P1 z i! 7 Variance 50 1911 Address TOTAL . City/Zip Code Phone # (TAWNHOUSE) CITY OF EAGAN N0 1 0 0 9 2 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 ` iyO BUILDING PERMIT Receipt # Jam'/ To M aced as 1 OF 7 PLEX Est. Va1ue__$53,000 Date APRIL 15 Iq 85 3635F ST FRANCIS WAY Erect K) occupancy R3 Site Address Remodel ? Zoning R4 Lot 2 Black 1 Sec/Sub. ST FRAN WOOD 4TH RaPair ? Type of Const.: V Parcel No. El ? No Stories W 9 S? r n arge a. or as_ Name TIMBERTON COMPANY Move ? Length Demolish ? Depth 77 Address P.O. BOX 4124 Grade ? Sq. Ft. -? City HOPKINS Phone 553-1494 install ? SAME k DON MUNSON) Approvals fees Name Address City Phone PP.. Name ARVID ELNESS TE Address 200 BUTLER NO iW city MPLS Phone 339-5508 I hereby acknowledge that I have road this application and state that the inlormption is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittes w Building Permit Is issued to: TIMBERTON COMPANY all work shall be done in accordance with all copli a Stour orUn Building Official i00 Assessment Water 8 Sew. Police Fire Eno. Planner Council Bldg. Off. 4/8/85 APC Var. Dam Permit v ' ` ..... Surcharge 26.5C Plan Review 14 6 . 0 C SAC 525.OC Water Conn. 5 0. 0 0 Water Meter 63.0( Road Unit2 8 () - 0C T.P.. 132.0[ Total ,S1 964 5C on the express condition than and City of Eagan Ordinances. 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 2 ?D?`t c7M INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: I OF I PLEx Valuation: 53,000. 60 Date: I O Site Address: 3(935 C' '7T. CAI-415 WAy OFFICE USE ONLY ST- Fkf'U kk:oD Lot: Z Block v Sect/Sub Q ! Erect Occupancy e-3 Remodel Zoning R-4 Parcel # _ Repair Type of Const Q Enlarge # of Stories Owner Move Length ?ZZ Demolish Depth 1 Address Grade Sq Ft City/Zip Code ---------------- ------------- ------ Phone APPROVALS Contractor Assessments Permit Water/Sewer Surcharge Address Police Plan Review 14G.° Fire SAC G25,1?0- City/Zip Code Engr Water Conn 5oo.` Planner Water Meter - O2.-Phone Council Road Unit Bldg Off -f-gf Parks Arch./Engr. APC Treatment Pl 132.°° Variance Address TOTAL City/Zip Code Phone # (TOWNHOUSE) i CITY OF EAGAN N2 10 0 9 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ? BUILDING PERMIT Receipt g 1 OF 7 PLEX . $65, 000 APRIL 15 85 To be and far Ear Value Date 19 Site Address 363513 ST FRANCIS WAY Erect 6c1 ocwpency R3 Lot 2 Block l Sa ST FRAN WOODS 4 Ramada] ? c/Sub Zoning R4 -- ------ . Repair ? Type of Coast. V Parcel No. Enlarge ? No. Stories TIMBERTON COMPANY Mow ? Length 12 Name Demolish ? Depth 77 Address P.O. BOX 4124 Grade ? Sq. Ft. City H OPKINS phone 553-1494 Install ? u? Name SAME (DON MUNSON ) City Phone Name ARVID ELNESS 201) BUTLER NO Address City MPLS Phone 339-5508 Assessment Water a Sew. Police Fire Erg. Planner Council I hereby acknowledge that 1 haw rood this application and state that Bldg. off. 4/8/85 the information is correct and agree to comply with oil applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Permit 328.0( Surcharge 32.5( Plan Review 164.0( SAC 525.0( Water Conn. _ 500.0( Water Meter 63 0( Road Unit 280 - 0( T.P. 132.0( Total 52.024.5( Signature of Fermin" I A Building Permit is issued to: TIMBERTON COMPANY on the express cordition that all work "if be done in oeoordonce with all a ,Qplimble Stat/raNrllnnewto Stotuta and City of Eagan Ordironces. Building Official 1. 1 */" ??3 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ?j 6ED(ZpoM INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: I OF ? PLEX Valuation: (oJ,?. Date: So- Site Address: 3(a35 G Sr. F&44g5 kq OFFICE USE ONLY ST•FRAN. WD60 Lot: Z Block Sect/Sub 4-1? Erect Remodel Parcel # Repair Enlarge Owner Move Demolish Address Grade City/Zip Code Phone Contractor - Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone it APPROVALS K Occupancy V:3 Zoning Q-4-¢ Type of Const _ # of Stories _ Length 122 Depth -17 Sq Ft Assessments Permit _ Water/Sewer Surcharge 32.50 Police Plan Review I(04• Fire SAC 5Z5 °° Engr Water Conn Soo, Planner Water Meter Council Road Unit Bldg Off 4-1>-p1 Parks APC Treatment Pl Variance ?' TOTAL Zo24. s BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 Receipt ?j - To be and for FOUNDATION Est. Value Date MARCH 25 19_$5 3635 A-G ST FRANCIS WAY Erect 21 Occupancy Site Address ST FRAN WOODS ---!- 2 4 Remodel 11 Zoning Sec/Sub. Block Lot Repair ? Type of Conat. Parcel No ? . Enlarge No. Stories TIMBERTON CO Move ? Length c Name Demolish ? Depth Z 4124 Address - X Grade ? Sq. Ft. City HOPKINS Phone 553-1494 Install ? Anerevels Fees O Ot t- Name SAME Address City Phone Name _ Address City Phone Assessment Water 8 Sew. Police Fire Erg. Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. 3/2 5/8 5 the information is correct and ogree to comply with all applicable APC Scare of Minnesota Statutes and City of Eo4j s• Var. Date Signature of Permitt s8'; A Building Permit Is Issued to: TfMTFRTON CO all work shall be done in accordance with all opPble State ol^nnesal Permit t?tj. vv Surcharge Plan Review SAC Water Conn. Water Meter Road Unit- Parks Total S15.00 on the express condition that Statutes and City of Eagan Ordinances. N_ 09994 5-030, Building Official ti ?7-)A- ?' 75?? ?/ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: F0UN0,4,.TIO?-I Valuation: APPROVALS Site Address: 2j?35 A-6 ST, FJ?A.Ic15 PAJ OFFICE USE ONLY Z ST FP?.I?le»O Lot: Block Sect/Sub 4 Erect Remodel Parcel # Repair O C Enlarge wner T M 5al2TOi (D- J Move Address P-0, 5 k 4424 Demolish Grade City/Zip Code 0 0IP N'2 55543 -------- Phone 553 149 ¢ Contractor 4 ?ME Address City/Zip Code Phone Arch./Engr. {\rzvlo F-LtC55 'Lrxj 13UTLEQ Q(). Address X10 II tT A, /qE- Q() City/Zip Code PL-S. 556103 Phone # / I - S508 Date: Occupancy _ Zoning _ Type of Const # of Stories Length Depth Sq Ft Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Mater Meter Council Road Unit Bldg Off S Parks APC Treatment P1 Variance TOTAL 15, o0 ,CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 3635 ST FRANCIS WAY UNIT G LOT: 2 BLOCK: 1 ST FRANCIS WOODS 4TH PERMIT BUILDIN 020968 05/20/93 SITE ADDRESS: P.I.N.: 10-65903-020-04 DESCRIPTION: ulldirg ermit Type SF PORCH uilding WRrk Type NEW 4 a u o Mugu REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY VALUATION (-e0v PERMIT TYPE: Permit Number. Date Issued: $7,000 Base Fee $90.00 Surcharge $3.50 Lic. Search Fee $5.00 Total Fee $98.50 CONTRACTOR: - Applicant - ST. LIC OWNER: CONSTRUCTION DETAILS CORP 14709829 0007164 MCCONNEL PAT 5045 SHADY ISLAND RD 3635 ST FRANCIS WAY MOUND MN 55364 EAGAN MN (612) 470-9829 (612)687-9852 G I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L ??-?/PERMI7EE SIGNA7U ? > application and state that the with all applicable State of Mn. - - J r? oz? ISSU BY:S NATUR INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 0 9 6 8 Eagan, Minnesota 55123 Date Issued: 05120/93 (612) 681-4675 SITE ADDRESS: LOT: 2 BLOCK: 1 APPLICANT: 3635 ST FRANCIS WAY G CONSTRUCTION DETAILS CORP ST FRANCIS WOODS 4TH (612) 470-9829 PERMIT SUBTYPE: SF PORCH TYPE OF WORK: NEW INSPECTION TYPE .DATE INSPTFI. INSPECTION DATE INSPTR. FOOTING FRAMING FINAL REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED ITY OF EAGAN ACTIVATE _7 (C91??VsY19 LDING PERMIT APPLICATION Fr,OEPMIT # 3 BUI MAY 1 1 199681-46755 L SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 5 / ( / 079 3 Valuation of work 13?i'er? Site Address: 3f4936!t Sr' 64"f 1 C45 WAy i M"I STREET SUITE M Tenant Name: (commercial only) a` ? 6T 6T BLACK SIIBD. P.I.D. N Description of work: The applicant is: ? Owner 14 Contractor ? Other (Describe) ppc? 19 f SJ?2 Ph - one Name Property LAST FIRST Owner Address "' ?T 4T->?IS Wes-r STREET STE N City fl?9 State Mid Zip 6?5is3 Company 6?49kn W&T-Jd-1 rWrfA k-S ( Phone +10 _qay1 Contractor Address 5Q4:5: ZAAO-f QL-. 120 - License # loo Exp.Ak g¢ City me) %3 ".P State Zip - Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. AA Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-P1ex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 9 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE Id31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair. ? 36 Move GENERAL INFORMATION ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd FT-sq. fto " PRV Required Zoning Sq. Ft. total Booster;Pump S of Stories Footprint Sq..ftl, Fire Sprinkler Length On-site well Census Coded Depth On-site sewage MC Code APPROVALS. Cr3,45 ycl Planning Building ti Assessments Engineering Variance REQUIRED INSPECTIONS 3 5Es?sorJ ? Site Footing ?itFraming ? Insulation ? Wallboard R Final ? Draintile ? Fireplace 0 Permit Fee - ?, d valu.tiam -- Surcharge S Plan Review nPLi, /6g XLl . 7,!;-6 C License MWCC SAC City SAC y q 6 C6 Water Conn. Water Meter "-.--- Acct. Deposit (P S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units IN?EflING `PLAHNIASS and°jAND"1juAMOIL3 CIOMPANY, INC, x,1000 [A37 list 37AEET, tUlMlIVILLE, MINNESOTA 5333T PH 432-3000 cer-?zf?a?eu.?-may r Ltgl Vcgcr 4,,aUon LaT 2, R\-DCK I 5?. FYANcaS U10Cp AODIT,ON, DAKOTA cc,04Ty M%NN6507A A4 ?y o NORTH \U SCALE 1"= 30 Nb ? / x q•'? yq 01 / `.00 ?N 10 1 ? ,0 3 `?J 9 ?V J J $ 4,y •n ? CA - A LoTZ r A Akelca'-1lgn e..v o S b ,- lv? '\ $60 \ 9J$ ii 00 ?a 'o0 0 6 A• 1 $ 0,00 0 o 11 6 00 ' l 0 ILI.0 / 3 „ . b4' . po F xx rt N / I3. OD oy DENari<s ? r?? el.c-u• Y DRAINA66 AND , pC' ; UTW TY EASEMENT (hereby certily that this is a true Land as shown'and described hereon.. 17?a.rc? ? 1??5. . a Pro Posh A -v f i .--?j DL-A/DTE.i birCC'fEON rCIOI r FA Co 5 and correct representati0-n of tract of As prepared by me on this `t day of ?,9,,... OhG - Minn. 1st$ Mot13400 -M IRY-07-'93 FRI 09:36 ID:DATR COMM SUPPORT TEL NO:612-727-6112 #127 P01 i4IINUTES OF THE BOARD OF DIRECTORS !Vi,0ZT YG April 29, 1993 The meeting was called to order by Bill Pfeiffer at 7:05 p.m. The following Board members were present: Bill Pfeiffer, Irene Tlach, Karen Parson, and Doris Tanke. Billy Jean Kammerer was excused. Deborah Hci-Beckstrom, project manager from r,I:i also attended. The minutes from the February 11, 1993 Board meeting were read and approved. Deborah reviewed the financial reports for February and Parch with the Board. Unit 3629 is now paid up to date. Leborah will also release the lien on unit 3664-A. The owner of Unit 362'?-G will be contacted re- garding his outstanding paint bill. The Board moved to accept the financial reports. Doris reported on behalf of the recreation/grounds committee. She presented bids from Seaberry Landscape, Inc. The Board felt that the Association should not spend any money on the entrance sign and the circle at this time because the land was being sold and the area in question does not belong to the Association. Regarding the annual beds, the screening shrubs for the park, also the vines for the pagoda; the Board said we should contact Seaberry again and see what they can do within our budget. She Board also suggested that Deborah get bids from MPS. The Board would like Billy Jean. to present the final bids at the annual meeting in June. OLD BUSII ESa The road and curbing which was torn up during the recent water leak is in the process of being repaired by the city of Eagan. The Board voted to spray the perimeter of buildings for ants as necessary this summer. "Nslii Blisiii2ss The Board gave Pat ,KcConnell, Unit 3635-G permission to construct a three season porch onto her unit, with the stipulation that the contractor will restorea y ndsRaping that is ruined during the b-,.ilding process. loris Tanke received permission to put a window in her garage. Deborah will be sending a letter to all new homeowners adjacent to the ponds and ask them to pay part of the cost for pond maintenance. The Board voted to have Midwest Aqua treat the ponds for $e718.00. The Board discussed the ice/drainage problem in Unit 3664. The cost to rebuild the drain system is prohibitive, but the association will use ice-melt and if necessary a mai=enance._man-wi 1 l MAY-07-'93 FRI 08:38 ID:DATA COMM SUPPORT TEL NO:612-727-6112 #127 P02 y Board Minutes ...Apiil 290 1993 meeting ... page -Two The Board discussed the lawns that have low spots. The Board said almost every yard around the five buildings have areas where the ground has sunk and there is no money in the budget for 1993 to remove the cod and fill in the low spots. This will be discussed again at the budget meeting for 1994. The annual meeting of the Association will be held on Wednesday, June 16, 1993. The meeting place will be announced later. PLEASE NOT.;: If any homeowner has any question or problem they wish to pat on the agenda for the annual meeting, please contact Bill or Deborah. There will not be an election this annual meeting as there are no Board seats open until 1994. The association is looking for a homeowner to be a Block Captain for the Crime Watch program. Please contact Bill Pfeiffer if you're interested. The June meeting of the Board will b e held one hour before the annual meeting on Jane 16, 1993. The meeting adjourned at 9:30 p.m. Respectfully submitted, Doris Tanke, Secretary ? S c!o MLH MANAGEMENT, INC. 7400 METRO BOULEVARD EDINA, MINNESOTA 55439 AD)DENDUM TO AP PLI(I' PLI(I'ATIO!"' FOR, CHANGE i hereby agree to replace and or restore any landscaping which may, be damaged during the course of constructing my porch area at 36,35 G St. Francis 'bay. Signed 011 ?rj Date ob ?-1 3 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 3 J a?' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 t 651.681.4675 N Construction Reauhemenh Remodel/Reoatr Reaulremerrls D 3 registered site surveys showing sq. k. of lot sq. H. of house and gp roofed areas (20% maximum lot coverage allowed) D 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) D 1 set of energy calculations > 3 copies of tree preservation plan it lot platted after 7/1/93 DATE: ?7- Z W-9 5 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior addtfions b decks CONSTRUCTION COST: 4 19 , ScDO' `0 DESCRIPTION OF WORK: STREET ADDRESS: S b LOT: 0 a I BLOCK: / SUBD./P.I.D. #: Name: ?7fa„c:. W C G 01 S Phone #: PROPERTY Last First OWNER Street Address: Saw-P City State: Zip: Company: L4- L Cc),,Ira,LrS Phone #: (05) G0?- (area code) CONTRACTOR Sheet Address: 15' I S; k/ti/ Q., /?d 7 License # a 3 s 3 Tf Exp. 3--s (- y0 City ?llecj State: i41 Al Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Sheet Address: Registration City State: Zip: Sewer L water licensed plumber (required tar new construction only Ppnatiy applies when address change and lot change Is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of Applicant. OFFICE USE ONLY Certificates of Survey Received - Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY _ s BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE •? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance i SAC Units % SAC L CLAIM VOUCHER - REFUND REQUEST ^?r CITY OF EAGAN MAKE CHECK PAYABLE TO: L & L Contractors ADDRESS: 151 Silver Lake Road #7 New Brighton, MN 55112 LOCATION: 3635 St. Francis Way P.I.DJLEGAL: Lt 2, 81 1 St. Francis Wood 4th RECEIPT #/DATE: 110527/64-99 VALUATION: 520,000.00 REASON FOR REFUND: Overpayment on permit PERMIT #: 36073 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 S Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 S SAC (Admen) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 S Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refimd 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 S Other 2250-9001 S 14.50 TOTAL $ 14.50 1 declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. _CJL?' 4 Ism IA k0199 SIGNATM I- DATE MINNESOTA: Minneapolis, Hibbing, St. Cloud, Rochester, St. Paul Affiliated Olli= NORTH DAKOTA Bismarck, Williston; MONTANA: Billings April 1, 1985 Bradley Building Corp. Attn: Mr. Don Munson P.O. Box 4124 Minnetonka, MN 55343 BMUnT' ENGINEERING TESTING Services Since 1957 JS. BRAUN, P.E. G.D. KLUEMPKE PE P.H. ANDERSON DALE R. ALLEN, P.E. C.G. KRUSE, RE JAMES J. CRAIG. Jr., P.E. O.R. HAUSLER P,E. Reply To: P.O. Box 35108 Mpls., MN 55435 (612) 941-5600 RE: 84-584 DURABILITY OF MASONRY BLOCKS AND FOOTINGS St. Franicis Townhouses Eagan, MN Mr. Munson: In response to your request, we have recently contacted the City of Eagan inspection department with regard to the City's concern about the long-term durability of the masonry block and foun- dations for the above referenced townhouses. The primary concern was the high groundwater affecting the masonry block and concrete footings. BACKGROUND It has been indicated to us that some townhouses in this sub- division will be situated close to existing ponds where the lowest floor slabs will come within 3 feet of the pond's water elevation. The exterior footings for a portion of these townhouses will extend approximately 2 1/2 to 3 feet below water. ANALYSIS It is our engineering opinion that the masonry block and concrete footings will not be affected by the groundwater due to being submerged. There are hundreds of structures in the Twin Cities area that have footings that do extend below the high groundwater table and are not adversely affected. However, since the on-site CONSULTING ENGINEERS / SOILS AND MATERIALS Affiliated Company for Chemical & Environmental Testing and Consulting - Braun Environmental Laboratories, Inc. 84-584 Bradley Building Corp. -2- April 1, 1985 soils are frost susceptible silty we have some concern about frost that insulation board be placed footings to act as a separator block. It is our opinion that w they have a tendency to adhere t the foundation. With the insula the soils, the potential for heav opinion that when the insulation exterior masonry block that the h clayey sands a heave. It is our on the outside between the soi hen soils freeze o the exterior tion between the ing is reduced. is placed on the eat loss from th nd silty sands, recommendation of the exterior is and masonry and heave that block and heave foundation and It is also our outside of the e house will be retained in the foundation and further reduce the possibility of the foundations from heaving. GENERAL REMARKS Services performed by the geotechnical engineers for this project have been conducted in a manner consistent with that level of care and skill ordinarily exercised by members of the profession currently practicing in this area under similar budget and time restraints. No other warranty, expressed or implied, is made. If you have any questions regarding this letter, please contact us at your convenience. Very truly yours, BRAUN ENGINEERING TESTING, INC. R?V cA. Huber, P.E. Project Engineer RAH:gec cc: City of Eagan Attn: Mr. Doug Reid Inspection Dept. The content al this report and supporting documents are for the exclusive use of the addressee. In the absence of our prior written approval we make no represemation and assume no responsibility to any other parties regarding such content. ewqun z/a4 CITY OF EAGAN 7F ,7 2 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PPOPrRTY ACDR-SS:(1?3 IMAL DE,'??PTICV: I ??Zehc?c Uv L! ?? Mcv?lock/Su ciivisicn or Tax Parcei I.D. N=zer) r Tr .;IJ .:v ST`-Z r-:' DATE OF CRT-GZAL `;rmr:G ISSN .SC P°SSL ivC /??OPO? 10M: ? R-1 Si:=- zr"%%?T Y - -- - ? R-2 CUP': (TS;O T--?1I_S) R-3 TC:`. Z=CUSE (T-H-r= + L? I:S) ( ? U I c) R-1 ti 1 =R./Cw`Z;'T`i2*}I ( UN=S) ? ?C c '?'ff . C C _3 i./Rx'?^'•.:I?C = IG S . ? ?• . -? ? } ' ? 1WL.-11 Ley (PLEASE-PRINF) rr?•?:?pIPE?' ?L?? /qlc C=, s rl?, zIpl /hP? S /yli?!y 5? S?/7 PhCN7 L? 3) PLL.-=- (PLEASE r"RINI) NP?TO: FOR CITY USE ONLY PD wSS: r ?An n 67 PUJMSERS L 1 Active CITY, STATE, ZIP: LOY Q Eapir • ?? - PHONE: !?227-a,yD7 PLUMBER LICENSE N ??JS h/cS [? f Rec rd ' F :ntta (PLEASE PRINT) 4) O=,;Rk?j•^/C!;i.?ER MME: ADDRESS- CITY, STATE, ZIP: PHaTE: 5) INDICAia WHICH PEF IT IS BEING REQUESTED: CC.`SIE .ICN TO CITY SMER CC--'N 1ON TO CITY WATER ? CMMR (PURSE DESCRIBE) 6) II D_Tm : C:Z: ? ?M"SE HOLD APPROVED PERMIT FOR PICK-UP BY CNE OF ABOVE ((?? ---%SE :-7LM APM?MED PE MIT M 1 ?2; 3 4 MOVE (C=L le one) 7) SIG:;„'IL?E: -_71 L j??? ,?? nxr?•- c, c n ? ???'D.5 ?1RO1ilM?JO 1?iOlia?si •.t . 1'? O Eii i i ! ?tiii:? a ! YR 1f1??f? f1 i !! tit!!aa J F O R C I T Y U S E O N L Y Pf=MIT y ISSUED FEES: $ /G S a SE?ER nER%?rT (I`I^--•-,g or _•. _,. `S /U'SU WATER PER-MIT (I`+C?UDE SURCHARGE) u $ °?S ? v WA ? • ^ j TER METER /COPPERIOR`/OUTSIDE READER/ $ WATER TAP,(INCLUDE CORPORATION STOP) $ SL'.'.'ER TAP $ ACCOUNT DE.PC'SIT $ 3!;wV fhl WnC $ 375 vo SAC $ TRU?3X WATER ASSESS:: ':T $ TRUNX SE?':LR 'SSZSS::=N;T $ LniE :?L BENEFIT/TRUNK S=_::?= $ LATE R_=+L BENEFIT/TRUNX :'inTE7 $ ?l (?pO o - WATER TREATMENT PLAXT SURCHARGE $ OTHER: $ TOTAL $ _ ?-7/?U AMCU`:T PAID/R°C.:.I: _ ' ??7nSG' R DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF ?JAY? YES IF YES, THEN A "PERMIT FOR NORK WITHIN PUBLIC ROADWAY" MUST BE ISSU=C BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITION'S: APPROVED BY: TITLE: DATE: on MSm HOUSE HEATING TEST RECORD ADDRESS OCCUPANT HEAT LO DATE HTG. INST. SOLD BY '? : tmi n • INSTALLED BY Electrical Work By Gas Line By _ Vent Size _ KIND OF LI Draft Hood . TYPE OF HEAT GA _ FA _?&__HW -STEAM -SPACE HTR. -UNIT HTR. GAS DESIGN 1': MAKE W.;?_ MAKE OF BURNER Model - - Model RI Serial i?cv. Max. BTU Rating INPUT MAKE OF FURNACE ?- Model 9 L1 CONTROLS THER TAB L4j Heat Plug Valve ? - s Limit 0 Limit Setting ?7GS? Fan Setting 0 ! O Pilot Type Pilot Make Pilot Model ry? Smoke Bom Wiring ? Pilot Timing J Raft Test Tap il? L.W. Cut Off y_ Door Pressure Lighting Inst.Lff Pressure 3 ' Percent CO2 a Date Tested 0 - \ Input CFH Percent 02 Company Tasting Stock Temp. I,1 Percent CO $ No" of Tester - Form 235 .d 31.5.3 Regulator D Filters Size bomber Chimney Location ?Insids ? Outside Chimney Construction ??? HOUSE HEATING TEST RECORD 3-75-3 ** ?? ? ic! - (y„U ADDRESS `?`•? APT. LOCI • SUBURB OCCUPANT OWNER 1t 7 HEAT LO DATE HT INST. SOLD BY M INSTALLED BY c%_" Electrical Work By Gas Line By A--w•• TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. ' -UNIT HTR.-rOFHE?T? r ll]] 1 rH GAS DESIGN V W µ ? CONVEER E D R E t MAKE MAKE OF BURNER Model - Model Serial Max. BTU Rating INPUT ?sH MAKE OF FURNACE Model CONTROLS THER TAT S3 u! Heat Plu Vent Size g Valve ..Q_A -+ KIND OF LINER SIZE NONE Limit Draft Hood ? Regulator Limit Setting Filters Sixe -JJumbsr Fan Setting Chimney Location ids t/ ``Outside Pilot Type Chimney Construction ill--n 'Z"+tJ Pilot Make Pilot Modal Smoke Bomb Wiring Pilot Timing S??c Draft ? Test Tag L.W. Cut Off Door Pressure Lighting Inst. qqqq ••••••••???? y Pressure Percent C0 -k Date Tested - g n 2 Input CFH - Percent OZ --X- Company Tesr'?g t Rix z Stack Temp. (10, Percent CO - Name of Tes N• 0 7a RA - - - ? Form 235 HOUSE HEATING TEST RECORD* 751-53 S 1 A { ) ADDRE S ..1 a&& o '--4 APT. FL00 CI SUBURB OCCUPANT OWNER 4 ' ?1 E.a HEAT LOSS DATE HTG. aN ST. \ SOLD BY ?t1..a..p ? ("m "m . y - INSTALLED BY NAJ^ - ` Electrical Work By y - Gas Line By - TYPE OF HEAT GA HW _ FA XL -STEAM -SPACE HTR. -UNIT HTR. L-L-OTHE w E D GAS DESIGN CONVER?ION MAKE MAKE OF BURNER Modal _ - Model Serial Mas. BTU Rating BY INPUT MAKE OF FURNACE Model DATE ValreLY] Limit- Limit Setting Fan Setting _ Pilot Type _ Pilot Make _ CONTROLS tJ li ? Heat Plug Vent Slze '^^ KIND OF LINER SIZE NONE Draft Hood ? Regulator Filters Size Number Chimney Location Inslds Outside Ty.? Chimney Construction?f,lzs - - Pilot Model Smoke Bomb - Pilot Timing -E l J1_3-z- Draft V L.W. Cut Off Door Pressure- Wiring Test ' v Lighting Inst. Pressure _ Percent C02 Dote Tested t .) Input CFN Percent 02 Company Tesr?g Q?? t Stock Temp. Percent CO Name of Test = = ' ?_` Farm 235 ADDRESS 31Lpte'i ?--. wti++ APT. OCCUPANT OWNER HEAT LO DATE HT INST. SOLD BY Jam. INSTALLED BY Electrical Work By Gas Line By SUBURB TYPE OF HEAT GA _FA HW -STEAM -SPACE HTR. - UNIT HTR. - OTHkR, GAS DESIGN //++ C[t1kR c4 ' MAKE MAKE OF BURNER Zvi Modal - - Model Sarial Maz. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS 'r ? THERMOVT Heat Plug Vent Size Valve ?J KIND OF LIVE SIZE NONE Limit Ta Limit Setting Fan Setting _ Pilot Type - Pilot Make - HOUSE HEATING TEST RECORD 3-I Draft Hood Regulator Filters Size lumber Chimney Location side Outside Chimney Construction Pilot Model Smoke Bomb Pilot Timing 12 L Draft L.W. Cut OFf Dow Pressure- Pressure 5 Percent C02 Cats Tasted _% Input CFH Cz Percent 02 Company Testing Stack Temp. Percent CO Nams of Tester _ Form 235 Wiring Test Tag L! Lighting Inst. c HOUSE HEATING TEST RECORD 3-751 ADDRESS ?-?--??"APT. OORC1I UBURB OCCUPANT OWNER f•?°,?-'S'`??.'T \ f R HEAT LOSS E HT I T. SOLD BY c3ch S& NSTALLED BY C? Electrical Work By s Line By °` ' -- TYPE OF HEAT GA _ FA HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER - GAS DESIGN CONVE_RSLONA MAKE MAKE OF BURNER L • - Model - Model Serial r Max. BTU Rating - INPUT M MAKE OF FURNAC ,i CONTROLS THERM AT 1'4 Heat Plug Va Iva Limit Model Vent Size KIND OF LINE Draft Hood Limit Setting Filters Size umber Fan Setting el 4 ' 13 a Chimney Location side Outside Pilot Type Chimney Construction I • { Pilot Make Pilot Model Smoke Bomb Wiring t/ Pilot Timing -? AEG Draft Test Tap L.W. Cut "Off Door Pressure - Lighting Inst. Pressure Percent C02 Date Tested Input CFH Percent 02 Company Tes' Stack Tamp. s8 Percent CO Name of Test e Q--- , Farm 235 1_75? HOUSE HEATING TEST RECORD r ADDRESS •?`0 5 ? 0_t .N-i,. AP OOR CI %-.SU BURB OCCUPANT OWNER HEAT LOSS; ` rTUNST. SOLD BY -INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW OTHER SPACE HTR UNIT HTR STEAM _ . - - - . - GAS DESIG CONVERSION MAKE MAKE OF BURNER A f\S 6 A Model - Model `- ? Smial Max. BTU Rating W INPUT MAKE OF FURNACE Model CONTROLS ER TAT l 4 'T ? V S 8Y ( I. 5 n TH M Heat Plug e ent ix Volre KIND OF LINER ATE NONE Limit Draft Hood Regulator LimitSeHing Filters Size ? ,Numbar Fan Settin g Location nside Chimne r Outside g y Pilot Type Chimney Construction r Pilot Make Pilot Model Smoke Bomb Wiring t/ Pilot Timing Draft 60? Test Tag L.W. Cut Off Dom Pressure Lighting Inst L/ Pressure Percent CO ] Date Tested , 8. r t CFHPeresnt O I Com Tastin an npu ? g p y Stack Tem Percent CO Name of Tester p. Farm 235 I / RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 at 510. -1s New Construction Reouirements Remodel/Repair Requirements Office Use OnN 3 registered site surveys shaving sq. R of lot sq. tL 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 heated additions Tree Pies Plan Red -Y _ N 2 copies of plan showing beam 8 window saes; poured found design, etc. 1 site survey for additions 8 detlcs Tree Pres Reqd -Y _ N 1 set of Energy Calculations Addition - Indkate donsife seplk system On-site Septic System -Y _ N 3 copies of Tree Presentation Plan if lot platted after 71153 Rim Joist Detail Options selection sheet (bldgs with 3 or less units 0? D? / J Date / / / i Construction Cost / Site Address ?G35; Unit/Ste # Description of Work X Multi-Family Bldg /` Y - N Fireplace(s) - 0 - I - 2 Property Owner ,5E ?( ra U n/ Uy d CA-,i6t e ?/dD BZ • Telephone # ( ) Contractor 14' f k' C Opt S ?' t Address 9SS s J h , ems- ?? City State . M Zip SS ?3 / Telephone # (gs? $FS£r /.J ?? 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 submisslon type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building.in.Eagen.m fee applies. R T P Licensed Plumber SEP 0 2 2003 similar plan? _ Y _ N If so, 25% plan review 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 app/royal of plans 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 Storrs 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - 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 I NSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ FinaVNo C.O. Footings (addition) _ Plumbing _ Foundation HVAC _ brain Tile _ Other Roof _ Ice & 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 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION +e 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 Date (fir ` Site Address (O/ ? (AILC / -Unit # G Property Owner Telephone#((o,Sl) 77c/ 13a4 / Contractor ? /Y? / [, n i Street Address C ty State )22/) Zip Telephone# (?01) y?/-??_ 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 other State Surcharge $ .50 T l $ x/ ? ota - I hereby apply for a Residential 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 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 ben•accdrdance with the approved plan in the case of work which requires a review and approval of pla Applicant's Printed Name A [cant's Signature JJLr1) 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 nQl required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address C' State Zip _E] Te phone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank - Install -Remove "see below - Interior Improvement _ Inst 1 Piping - Processed -Gas Nature of Work: ( "When installing/removing underground t nk all for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installatio/moval $50.50 Minimum (includes State S mharge) or Contract Value $ x 1% _ $ Permit Fee • If oe rmit fee is $1,000 or less, a $.50 => $ State Surcharge If ep rmit fee is over $1,000, ad $.50 for every $1,000 permit fee $ Total Fee I 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// rdinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an appliZion 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 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 Date: `1 LIO U Site Address: r Tenant: RESIDENT / OWNER Name: Phone: Address / City/ Zip: CONTRACTOR Name: License #: Address: COMMERS CONDITIONED WATER City: 9100 W 35W SERVICE State: Zip: NE AAtid 0048 Ph -A r - one: Contact Person: P ?, TYPE OF WORK New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work. PERMIT TYPE RESIDENTIAL 6)Water - Water Heater Softener _ Lawn Irrigation -Add Plumbing Fixtures (_ RPZ PVB) Main _ Lower Level) _ Septic System _ Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (Includes $.50 State Surcharge) $36.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $136.00'd a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; at I understand this is not a permit but only an application for a permit, and wok Is nol to start without a permit that the work will be In accord n e with the cup Ned plan in the case of work which requires a review and app ova f plans. x c i n Lja 7X-6 A ica 's Printed Name c is Signature FOR OFFICE USE Reviewed By Date: Required Inspections: , Under Ground . Rougti-In. Air Test : Gas Test Final I For Office lJse?? I I ? Permit #: I I I Penult Fee: I I ? Date Received: I I Brad: L - - - - - - - - - - - - - - - - - I RESIDENTIAL PLUMBING PERMIT, APPLICATION Use BLUE or BLACK Ink r----------------._, I For Office Use � ' � Permit#: � `�..J / �� I�C Cit� of ����� � �%�� �� � � Permit Fee: 3830 Pilot Knob Road � /�,�, / � � Eagan MN 55122 � Date ReceivedCr' ��`� ��,� � Phone: (651)675-5675 I I Fax: (651)675-5694 �uN Z � Z��S i sta�f� i -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ���� f • ����C �, �� Unit#: '-' � � ti Name: ��.li�`'� �`^��c,r-c..,�— . �cnh�ti�,� Phone: � S� — Ll ��"� b �� � ����� �� � �t `�c� ( �( S �- � �- � S 51-2 � ��� Address/City/Zip: ` Applicant is: Owner � Contractor � Description of work�-e�� �� !�+-t� �L�6U� ������ � �;� � � Construction Cost: ����"� Multi-Family Building: (Yes�/No� f - C `� Company: �`�� �-O'`5�.1�" �"'� Contact: �� ��U`��7' r ' ' . Address: ���� ��v J�-.d•tC"- ��J-� City: \"�0 $C�h��-t-- �����"��� �`Sc���i � �1-2�2- ��� ��,�; � � �-����-' � State: ��Zip: Phone: Email: � �O S •Lo � ,; 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: I ���E �����t�����`�}��1��Lr���',�t s��i��'�ctrr����'�r��a1�C�;��p���»�1��'�r #�rtir��s c�f : �e::�`'�rr���r��a r�r�r�t��Ja�si�i�l�r��;�p�b��'�:�`'�t��jitar��d�s�ec't�reas�tlt�#wa����#t�re C�� �� z ;.:��cl�d�t�t f�e �re�de�cr€ts ; 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. wuvw.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 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 780 days of permit issuance. ''''� X X r Applicant's Printed Name ApplicanYs Signature Page 1 of 3