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2139 Sapphire Lane For Office Use non Permit City of Ea V Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: 71-N Phone: (651) 675-5675 I / Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: a 130/ p,O)i + c j 6, ,nt Tenant: J C Suite RESIDENT / OWNER Name: LO (y~ J J ~rm'~ ' Phone:it` ` Address/ City/ Zip: CONTRACTOR Name: / Q f1 K Q 4 Ika+j06 License 334445e7q Address: 5(_(2 to o 1 ? lX. m 6l~l yl t' kue City: jj,,, 1 ` WU/ V\ State: ffl Zip: S5O9 Phone:(U5!`"L/3 - °7 / O Contact Person: _ Sh J l TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work:_ Ul.Sf L (t w unnu k) (M C1 NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. X RESIDENTIAL COMMERCIAL PERMIT TYPE _ Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit * HVAC units must be screened Heat Pump Under / Above ground Tank (i Install / _ Remove). Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $~f TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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. x r1 ~ ? ) Ue r ( x 0", Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In Air Test Gas Service Test In-floor Heat Final ` P? PERMIT # 7 MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE : 454-8100 Site Address an}?;,.<< <?nc' BLDG TYPE WORK DESCRIPTION Lot Block I Sec/Sub . R N L Name •1 ew es. M t ' -on ul A Address 3D Beau D Rue ur. £Wvk -_7777 Comm S City ::a`'aIl Phone . Ot her Name parr. f<<it rr a FEES c Address 13j :a i:ire r•:, RES. HVAC 0-100 M BTU -$24.00 p City Phone -= ' ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU 6.00 TYPE OF WORK = GAS OUTLETS 1.50 EA. Forced Air 1?)U ?l0 + M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other C ©?G FEE ?////"'?^^?___ • '`? SIGNATURE OF PERMITTEE S/C: TOTAL- FOR: CITY OF EAGAN FOR: INSFEUTION KLUORD CITY OF EAGAN PERMIT TYPE: r t 11 r+?? 3830 Pilot Knob Road Permit Number: f Eagan. Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I tl 10 1 ' , •' ,, 0,10 01 APPLICANT: 1111. el kl(1IK- I'll INI I AW lifil•;:.r.l;.' r! r 111)N i t ri?t1; '.r:lr'.f1 k I f t. PERMIT SUBTYPE: TYPE OF WORK: iii '•1 i f ! aril 1a ?:ilill J Wt PI ARt• . RF k001- 1.111E 1 ti '. 1 1IRM I!AMARF . Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST - - - - - ROUGH HEATING -- --- GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. • BSMT FINAL DECK FTG DECK FINAL ` CITY OF EAGAN 87" POO Knob Read Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be wed for Est. Value Date 19 Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories Addres s Demolish ? Length b Citv Phone Grade ? Depth Sq. Ft. ?? Name r to Address ?- r is.. DL.- Name _ Address Assessment Water & Sew. Police Fire Eng. Planner Council Permit Surcharge - Plan check _ SAC Water Conn. Water Meter Rood Unit _ 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances Signature of Permittee A Building Permit Is issued to: on the express condition hurt all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 0 2 d z O E Z CL ? o J O E c d 2 p 1 a u o_ a 3 0 $ = o I ; W c 8 ? I?L c IL C d IL I IL IL 3 CITY OF EAGAN •S Remarks -:.:__ CEDAR GROVE #1 Owner Street 2139 Sapphire Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. AE6 1985 1266.95 84.46 15 1266.95 0009267 8-27-84 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1,304.00 52.16 Paid WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I e I For Df6Ce;Us' -------_- Permit #: C.JJ j I Permit Fee: I I Date Received: I I Staff: I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ?213y 5`?9p?rnc in. Tenant: Suite #: RESIDENT/OWNER Name: Lzv-nfi S,tiU,-?inan Phone: 1,('I- Address / City /Zip: 111 j / - Applicant is: ,Owner -Contractor TYPE OF WORK Description ofwo : 4 - of ildi / N 40 ? l i F il B Y o Construction Co t Mu t - am y u ng: ( es _ CONTRACTOR JJ Name: aoY -arj' ay License #: X 1QggL1e6 ??e JI.?IwadC Dr?`vim Address: '2 n n ?/ State: I / L/" Zip: City: / / Ids ? W*oCt ? Phone: ?JI?Z?1 3y4? Contact Person: Ldvd Sohaccn- GSI.17y•644? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting documents4hat you submit are conside[ed to' be public information.-:;Portions pf - v the information maybe class led as non public ff you provide spec tlc reasons that would permit fhe City to " `? i ..`r i ... .. concludethat the are trade secrets . I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x JG/Y` lit /I Applicant's Printed Name xlS?+.- Applicant's Sigriature Page 1 of 3 RESIDENTIAL 7r r BUILDING PERMIT APPLICATION CITY OF EAGAN 55122 ?? O } / 3830 PILOT KNOB RD . 651-681-4675 New Construction Requirements RemodellRegair Requirements ?J 3 registered site surveys showing sq. ft of lot sq. R of house; and all roofed area 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • i site survey for exterior additions d decks • 1 set of Energy Calculations • Indicate 0 hone served by septic system for additions • 3 copies of Tree Preservation Plan g lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE JOB SITE VALUATION IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ,t1 -- TYPE OF WORK FIREPLACE(S) _ 0 r 2 APPLICANT OM 7i--, OL- PHONE# -6022 ADDRESSL?fa fo<J A-,,,Lr ZIPCODE . teat' PAGER # CELL PHONE # FAX # -/ G - 667C, NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY---. ^l p (r 1117 r r? Energy Code Category _ MINNESOTA RULES 7670 CATEGQI;Vn 1 (check one) Residential Ventilation Category 1 Workshdet•SaI&t`ie2Q02 i Energy Envelope Calculations Submitted U I _ MINNESOTA RULES 7672 -- - _ I - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical System Includes: Sewer,/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord' nc s.? Signature of Applicant T <* Certificates of Survey Received Tree Preservation Plan Received - Not Required _ Updated 2002 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 Mufti ? 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 ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests - Final Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) 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 FinaVC.O. _ Final/No C.O. _ Plumbing HVAC yJ? /? A CITY USE ONLY ?j PERMIT #: ' ? 7 RECEIPT DATE: V ??I ^DI EESIDENnAL MECH"CAcL PERAM APPLICAiTION crrYof Emm 5$30 PILOT KNOB RD Eke" ME $5182 651$914675 Please complete for: D single family dwellings l / townhomes and condos when permits are required for each unit Date: l' ` S 0 SITE ADDRESS: OWNER NAME: /?[/Y+s Shct??nien V TELEPHONE #: ?(AREA CODE) INSTALLER NAME: STANDARD HEATING & AIR Cr;,,,i[i(T'L'i iNhi W. TELEPHONE M 410 WEST LAKE STREET (AREA CODE) MINNEAPOLIS, MN 55408-2998 STREET ADDRESS: RIP_QOe_94,,rca CITY: STATE: ZIP: Place a check mark next to the permit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 X, Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surcharge $ .50 56 'S-D Total $ Reminder: Califor inspections. CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECH"CAL PERMIT APPLICATION CITY OF EALem 3$30 PILOT KNOB RD EAGM, MN 55122 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: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ xl%=$ State surcharge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/01 EAGAN TOWNSHIP BU LI PERMIT Own .. - ......... - - .. ??ii?? /// ----- CC"w Address IvreseniK?crlgl....... --- .. -.: Builder Address DESCRIPTION N° 531 Eagan Township Town Hall Date ?'-.-A.:_-"v'------------------ Stories To Be Ussed For Front Depth Height Est. Cost Permit Fee Remarks l 10411A4 a LOCATION or This p does not authorise the use of streets, roads, alleys or sid s or the ri ! to cxeafe any situation which is a nuisance or which presents a hasard to general welfare to anyone in the community. THIS PERMIT MUST B T O HE PR SEE THE WORK IS IN PRO This is to certify, iha! -- s permission to exact a--- the above described premise subjec to the provisions of the Building t!= .!7 1955. Chairman of Town Board does it give the owner or his agent the health, safety, convenience and April 11, t EAGAN TOWNSHIP BUILDING PERMIT Owner Fj - -%1r1-- .......'..-------------------------------- Address (Present) a13-9-----....-- ' Builder ----- . --..'-------------"-,'------_-....°........ .'.'.-------."------ ?. Address ...... /.L.L..-...e; ......... ..F.?lrzt?d'--??R...? N9 ..755 Eagan Township Town Hall Date ...... .._?S./1..6I Stories To Be Used For Fro t Depth Height Est. Cost Pe it Fee rmm Remarks n 5 ? / U or LOCATION Lot Flock Addition or Tract This permit does not authorize The use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, ihaS.. ..s.. -- ...................................has permission to erect a--------- .------ .-- upon the above described pretnis ubjeei to ih ovisions of the Building Ordinance for Eagan owns hip dopted April 11, I955- ov. . . ----------- -- -- -----h-----".._---------.. ....................... Per ..................--............ ----- ..... Chairman of Tnwn Board wilding Inspector `? CITY of EAGAN BUILDING PERMIT ............... Owner ........................ .............. senl) ••••-•. 2/ 3..f----••? ?.=`'`•_`'-....?! :-x.-:?? Address (pro Builder ................................................................................................ Address .............................................................................................. DESCRIPTION le N2 3618 3785 Pilot Knob Road Eagan, Minnesota 55122 454.8100 Date ...-j??..'............................ stories To Be Used For Front Depth Height Est. Cost Permit Fsa ? Remarks LOCATION 6-.5-r, Street, Road or other Description of Location L ot Bloek Addition or Tract ? / - C-&-qq/ This permit does not authorise the use of streets, roads, alleys or sidewalks nor does It give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BEEPTpON THE PREMISE WHILE THE WORK IS IN PROGRES ........-........>> .has permission to erect a............ ...... "' ............."---...."--..... ........ .... .................. _upon the above described premise subject to the provisions of all applicable Ordinances for the y of aga This is to certify, that.....(, ............................. P ....... a?... ". °"••..°".......... Per .............---.....-........... O .... / .........fcAZT.c??--.. ....................... Mayo...... j Building Inspgctor ' CITY OF EAGAN 5795 Pilot Knob Road Eagan, MN $5122 ° PHONE: 454-$100 BUILDING PERMIT To be need for MASONRY CHDOWEst. Value $800 Site Address 2139 Sapphire Lane Lot 4 Block 1 Sec/Sub. Cedar Grove lot Parcel # 10 16700 040 Ol Name Larry G. Sinderman z Address 2139 Sapphire Lane W---- czlnf /cl_1La4 g Name Paul Fors «- ?? Address Name _ Address 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. N? 6870 Receipt * & 7 Erect jY Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? * Storie£ Demolish ? Length )_ nehes Grade ? Depth Sq. Ft.- Approvals Feet Assessment - Water & Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit - Surcharge _ Pion check _ SAC Water Conn. Water Meter Road Unit _ Total $5.50 Signature of Pernittee I A Building Permit is issued to: PAM FOrB on the express condition that all work shall be done in accordance with all applicable Stat f Minnesota ,Siptutes and City of Eagan Ordinances. Building Official T?°?"` QTY OF EAGAN Include 2 sets of plans, U 1 site plan w/elevations & BUILDING PERMLT APPLICATION 1 set of energy calculations. n .c?so n r c? To Be Used For - Val -On b B Date Site Address Lot Block Sec /Sub. 6-7'. G, Erect Parcel #: to (l¢-L?vd U 14O C )A Alter Repair owner: ' h Enlarge - Move Address: Demolish _ City/Zip Code: Grade Phone #: 4/'' Contractor: - Address: City/Zip Code: Phone #: Arch./Eng.. Address: OFFICE USE ONLY Occupancy Zoning /r Fire Zone Type of Const. # Stories Front i v? ft. Depth ft. APPROVALS FEES Assessments Permit S [4ter/SewPx Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. AFC City/Zip Code: Phone #: TINAL '?. ;. MASTER CARD Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING 3 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL H HEATING DEPT OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: LAND USED ASV F, yt dwr-,d COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. 7 REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CE RTI FI CATION -1 certify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with orginances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE a. PERMIT CF.--Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: BUILDING 032762 08/04/98 2139 SAPPHIRE LANE LOT: 4 BLOCK: 1 CEDAR GROVE #1 P.I.N.: 10--16700-040-01 DESCRIPTION: --,E?„ REROOF Jidn'Permit Type ilding Ubj k Type STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL ?:. 44, s v a +?w ° E u? °"'jwx rvt ... ;. zv37 '? vF REMARKS: REROOF DUE TO STORM DAMAGE. FEE SUMMARY- CONTRACTOR: - Applicant - 5T. LIC5. OWNERER:MAN LARRY HAMANN CONSTRUCTION 14972820 2009177 SIND 304 SOUTH MAIN ST 2139 SAPPHIRE LANE ST. MICHAEL MN 55376 EAGAN MN 55122 (612) 497-2820 (651)454-1687 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) - CITY OF EAGAN / j O ?j 3830 PMOT KNOB' RD - 55122 K'?t /O New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/83 required: _ Yes _ No DATE: jam, /) n ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST; DESCRIPTION OF WORK: d c?? vt ?yorM ? mq?(f_ STREETADDRESS: LOT: ?Z BLOCK: l.? SUBD./P.I.D. #: ESL Qv? b ?? 1I 2 I Name.-5111)/?,EK Iy "g A" ZJ`i'gx ? Phone #: ?`S 6cY / PROPERTY Last First / OWNER ? 3 % / cZg- Street Address: e / ,, / City u 79 /V State: &zA Zip: Company.&/)) WAV& Phone#: CONTRACTOR a00?' 7 7S Street Address3e License' City///o -Z - State: f Zip: ARCHITECT/ ENGINEER Company: Phone Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. p 1 ?J? Signature of Applicant: ,,? ?/??/aL j?> ? I hi OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required State: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC-- --- SAC Units PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122135 Date Issued:04/28/2014 Permit Category:ePermit Site Address: 2139 Sapphire Lane Lot:4 Block: 1 Addition: Cedar Grove 1st PID:10-16700-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lawrence Sinderman 2139 Sapphire Lane Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature