Loading...
1710 Sartell Ave411,11 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 Permit #: Permit Fee: Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: 171054r/dt %& 4ndvew 646 Tenant: Suite #: CCS RESIDENT I OWNER Name: 4fl4'etjJ IeYd3 Phone: 52.-33V 6,V Z3 L', Address / City / Zip: /7/® sat tat iliieapyt� fr i1�®� 55/Z Z. CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) X. Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: 1 f2/q' ('t' ! f e'%We 5( di ,5U!'!'1!%�f.(1yf� // altSdu e pips LOA r/g/1 piely FEES $55.00 I Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 4,dre& Kris Applicant's Printed Name App cant's Signature CITY OF EAGAN Remarks Wtr con, pd. on 8-7-72 Addition Cedar Grove #8 Lot 23 Bik 10 Parcel 10 16707 230 10 Owner ?l(ill D?1 h??1i Street 1710 Sartel. Ave. State - Eagan.MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 12, oi5- 1970 125-00 5.00 2 Paid SEWER LATERAL 7Z 1 74 1539.1 0 307.82 51 Paid WATERMAIN WATER LATERAL 197 WATER AREA STORM SEW TRK 19711 STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 100,00 6209 _ BUILDING PER. SAC 260,00 209 -72 PARK RESIDENTIAL BUILDING PERMIT APPLICATION ?t CITY of EAGAN 38,36 PILOT KNOB RD 551112' - - 3_t?ik?.s?v?ys.?howi?FiBv;?.of:lUt,s9 A.ofl?alad;a?a?t?ea.areas • 2copiea??lpn: __ _ ? ntamum'lotco?erege t 01002-0 • t s1[es?awyerta?8. `: - .; ; : , - - _ onpies?pi?r+gi?a+?dog beam d??t?ndowsl? P?oined to+gid tl?Igti. ?c;) - 4 set of ?e?? • 8 hoine9eersd' fxjr 6e)? ays?mtar?artdltloes; `` ?. = ' 3.applesQl Tree-PmswaW Plan 'ft'platted W 7/1183 hilm•Jciel D?gil'fJ?dnns eelec?-sheaf ?lil? wAh 3 orlass un8s) _ - )ATE 1ALIlA1I09 Lon I,' - - j F7. MIME ADDRESSAIlD r a Avve, FMUVIrFAMIIY 'ItOPERTY QYVt+ i TPE Of WORK .I - kPPUCANT III ADDItES? %G.Eltl CELL PHONE # N `RESIDENTIAL BUILDING ONLY -; FILL 'ow c€ I '' - €nergy Codetategory _ MuwESOTA RULES 7670'C, 7 Y 1 (check;one) R"dentiotvenoiaoon'Category`'I.iNofth" Submiibed Energy Envelope Calcul8 n9AubMitted' M INNEWrA RULES 7672 Now Energy Code Workst Sutimittect Plumbing Cot*cdor Phone - "' - P`lnmbing System Includes. Waiter Softener _ LAtyr Spndlzle>i N'4atlcr Her _ .No. QfkL Baru No. of Baths - mechcmiceca Glontrwor. mochanks S $Wrn a duacs: _ fir Conditioning _. Heat Recovery System Seowerlwahw Oor*ocfdr: Phone:# - = - -- - Tee? - ;,M?t'1 _ Phone # A above-lnforma6an trust ba submMed prior to prog"aln ' of applir„suort.. hereby caclmewledge that l havereact this:applieafion.stotethdf the rnlorrn fii?n r 1e N?? ri#Y? tl applicable Mate ofU nnesotA to ufes.and` ItjF of Edgar Ord. irr©no - r ` 319hafvro of AppOcant: "ectif atee of SurVey Recelv6d _ Tree Presenratton Plan Reoelved' _ t R •- I MY OFFICE USE ONLY 3 01 f=oundation 3 02 SF Dwelling, 3 0.3- 01 of ,_ piex 4 04 02.plex 7 05 :03-plea 1.06 04-plcx Q 07 05pfd$ ? 13 '1&piex 111,08 Mplex d '16: F(replace ? 09 0:7-plex ? 17 Garage 0 10 03_plex ? 18 :09f* ?. 1`1 10-piex_ 13 10 'Lower Leven 0 12 12-plea Plbg_,Y or ,_,'N a 20 Pool D 21 Porch 13-sea.) ? 22 Pornh/J4ddn. (4-sea.) ? 23 Porch (sdrew*d) ? 24 Storm DarnagO O ?5 Miscellaneous ? 30. Acc"Sory Bldg ? 31 E)tL -Alt' -, MUltil ? 33: EA. AN - SF b ae multi 31 New a 33- tilt improvement 0 38 Demolish (Interjor) Q 44 Siding 3 32 Addition d 36 Move Bldg. 0 42 Demolish (Foundatlon)' 13 40 Fire Repair, 3 33, Alteraticin ? 37 D0MG1 sh, (Bldgr ? 43 Reroof 'D 46 MndowstDoors. 3' 34 Replacement Ternalition (Entire Bldg only) Give PCA handout to applicant faluation <ensus.Code SAC Units 4br. of Units. dbr. of fags -ype of Const Footings (new bldg) Footings (dock-) Footings (addition) _ Foundation Drain Tile Roof Ice & Wl'Mr T Final Framing,. Fireplace R.I. ! Air Test - Final h sulation Occupancy Zoning Stories S4. Ft. Len& Width REQUIRED INSPECTIONS FinaVC.Q. FinalNo C O; Plumbing, HVAC MWES. Systertn city water Booster Purnp PRV Fire Sprinkleried Other Pool Ftg$ _ AirfGgas Teas " Final. Siding _ Stucco _ Stone Windows:(i ew/replacernant) Approved By_ 3ese Fee 3urchargo ?Ian Review AC'{ES ;SAC ,ity Sac dater Supply. &• Storage: AW Permit & Surt;har9e -reatment Plant plumbing: Permit Aiachanicai Permit .Jane Search 'opies 3thet rotali Buiidinp lhepector 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan -1 3830 Pilot Knob Road, Eagan NIN 55122 O C) Telephone # 651-675-5675 FAX # 651-675-5694 VVl??A m- New Construction Requirements RemodekReoair Requirements Office 10se OnN j 3 registered site surveys showing sq. K of lot sq. ft of house; and all roofed areas 2 copies of plan Geed of ShNeyEleal (20% maximum lot coverage allowed) 1 set of Energy calculators for heated additions Trce Pres.PlamRecd 'Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Prest2eiiditetl " " =Y 544 On?de Septid: stem Y:..N 1 set of Energy calculations Addition - indicate if on-sffe septic system Sy 3 copies of Tree Preservation Plan 'd lot platted after 7/1193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date oy- / 0-7 / 04 Site Address 1-710 SA r +e (( Ave 69 Construction Cost 'rp,100,00 9, , M/v ?75 1 Z2 Unit/Ste # J? Description of Work 1 y X 20 oe ck !NZ t 2 X) Z Ldnc1 'n 9 Multi-Family Bldg _ Y w N Fireplace(s) k 0 _ 1 - 2 Property Owner Clqv?oyl -To( r? 5DVi Telephone # (W) 3(o5- q%3 Contractor 5awrre Franelc - G 201ra9y8S/ a/3/ Frane k CoNsfrwc?,'on .c.? rrx Address State W A/ / 550 Hgrsgd 4ile Zip S-SD y( . city Lon6dt? Telephone # (? q5l) 2°12-7?9 5- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone # ( Telephone # ( Telephone #( oS I hereby apply for a Residential Building Permit and acknowledge that the information e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Tan17e R, Icrane k Applicant's Printed Name Ap cant's Signature OFFICE USE ONLY Sub Types r ? ? 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 A1 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding k 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy R-3 MCES System Census Code Zoning A ^ ( City Water SAC Units Stories Booster Pump # of Units Sq. Ft. L, PRV # of Bldgs Length /4 Fire Sprinklered Type of Const _ Width 302 REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) -fit j FinaVNO C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof Ice & W ater Pool _ Ftgs _ Air/Gas Tests Final _ Final _ Framing _ _ - Siding _ Stucco _ Stone _ Brick Fireplace - R.I. - Air Test - Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee V Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ! , Building Inspector PLAT DRAWING 'File No. 3-49167 Insp. Date: 7117/03 Insp. By: PCTa r.?.• ter. PrdpeyFq`Address : 1710 SARTELL AVENUE, EAGAN4 B er. JOHNSON N Legal: LOT 23, BLOCK 10, CEDAR GROVE NO. 8 This Plat Drawing Is not intended to be used as a survey and should not be relied upon as such. - The lot dimensions are taken from the recorded plat or the county records and are assumed to be accurate. The location of the,_ improvements shown on this drawing are approximate and are based upon a visual inspection of the premises., A licensed - -- surveyor should be contacted if an Pecurats survey is desired. This plat drawing _ does not constitute c ;;ability of the company and is intendeu for use by the company only. f a z `rzrwe .x-. • a 2 SAR:TELL AVENUE 90.40 0 0 v; M w' - DOUBLE SPLIT GARAGE LEVEL_ FRAME I ,2 MI 71?Sodd}? 6' 6- 90.40 0 0 Ln r7 .+i t k L}?. :."5 4 .14$.`LL Xo -4,4- v rx r r ;r o,.maae and utlety EaraMonts t CITY USE ONLY LOT ad BL SUBD. l? RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 /0 _ y (612) 681-4675 Date: Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling. adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace Add-on air exchanger, i.e. Vanee system, etc. Add on air conditioning Other 1S/?'?z Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: `l?j?Dy'/ ? ?CJ?? (?/? OWNER NAME: `T I IAi,Ty1 ?/? Q^?,G?(_ a PHONE #: INSTALLER NAME: 7i7Zl?GK ,mss &l!e 'V" Fl n/ D?,?.c?n PHONE* SV STREETADDRESS: ?DJ - U / a trn pa.?? ?lu? CITY: STATE: 1441 ZIP: S17713 7 &"? SIGNATURE OF PERMI E EAGAN TOWNSHIP /? y7 BUILDING PERMIT N° 2793 Owner -! :?-`.......?f..`..'.,.."'i^.- ..................... Eagan Township Address (present) .. .....pN,... :::.. ?.•r.._????!-?...... Town Hall Builder ..........-.-. ..-...'Y"......./... .... ........... !'p:'... .................... Date .... - 9-7? ........................................ Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cos! 112ornut Fee Remarks /4,0 '20 0' ramie LOCATION Street, Road or other Description of Location I Lo! Block 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 KEPT ON TH PREMISE WHILE THE WORK IS IN PROGRESS. This is to terrify, that.... ..... sw-,t ................... permission to erect a---- : ........---4 ..! ................. _upon the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11, 1955. /Q??, .........................._ ......Q ---......"----. Per .............................`....` .............`...........J........................ Chairman of Tnwn Board Building Inspector Li MASTER CARD OWNER CL?iL(;,e? Ij AMR f./AAf STRUCTURE AND LAND USED AS u?Y ?p Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER /OB3 ' OTHER yJ?r 9?l OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING J y TILE FIELD FT. FINAL ELECTRICAL HEATING GAS INSTALLATION DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER r Ao/ Violations Noted on Back COMMENTS: PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESCRIBED AS FOLLOWS: REINSPECTION REQUIRED REVEALED DATE OF REINSPECTION CERTI FI CATION -I certify that I 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 ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE C93-/D -K i , % EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION NUMBER U& 1083 n /0 PIPE DESCRIPTION OF BUIIDING Industrial Commercial Residential Location of Connections: Multiple Dwelling No. of units Connection Charge 260.00 pd 8/14/72 Permit Fee 10.00 pd 8/14/72 0./4/'1i2 .50 Pd Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County Minnesota BY -- Please notify when ready for inspection and connection and before any portion of the work is covered. a3-1o -g EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: ((O1 Number: Billing Name. Site Address Meter No. Permit Fee 10.00 pd 8/4/72 8/4/72 s/c .5U 7 Meter Reading Meter Dep. Owner:?, Ulr-s)-` 1 Billing Addres 114. Plumber: ; ,r?A 814/72 Meter Sealed: Yes_ jAdd'1 Chg. 921 NO Total Chg. Building is a: Residence xx Multiple No. Commercial Industrial Other inspected by Date Remarks: By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesot . By: _ Please notify the above office when ready for inspection and connection. . 1. 1. BEA SLOMOUIST MAYOR THOMASEGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER COUNCIL MEMBERS DATE: JUNE 1, 1982 CITY OF EAGAN • ]"S PILOT KNOB ROAD P.O. Box 211" EAGAN, MINNESOTA " SS122 PHONE 454-8100 4?•? UNIVERSAL TITLE INS CO'' 301 W. BURNSVILLE PARKWAY! BURNSVILLE, MN 55337£s SPECIAL ASSESSMENT SEARCH Lot 23_Blo.ck_10_Cedar Grove #8D • RE: A14-01564 1710 SARTELL AVE THOMASHEDGES CITY AOMINISTRAIOR EUGENE VAN OVERBEKE CITY CLERK Enclosed herein is the search which you requested made on the above described property. Kind of Imnrnvamanr D....- .,__ NONE 0 I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process of planning or completion. -: NONE 0 WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above in- formation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City or its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Treasurer at Hastings, NN. 55033 Very truly yours, NANCY M. OH14 THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY, ORDER NUMBER A14-01564 DATE RECEIVED 5-20-82 universal title insurance comoanu CUSTOMER Banco Mortgage Company 3400 N. 66th St. Edina, MN 55435 Attn: Lori LEGAL Lot 23, Block 10, Cedar Gwve No. 8 BUYER Pascoe/jnhnsan PROPERTY ADDRESS PLAT PARCEL PROPERTY I.D. SPECIAL ASSESSMENTS NOW PAYABLE AS FOLLOWS LEVY NO. TYPE OF IMPROVEMENT BEGINNING YR. NO. OF YRS. NO REMAINING YRS. ANNUAL BALANCE PENDING ASSESSMENTS ARE AS FOLLOWS: PROJECT CURRENTSTATUS APPROXIMATE COMPLETION DATE FOR PENDING ASSESSMENT IS ESTIMATED COST AUTHORIZED SIGNATURE TOWN OF EAGAN 3795 Pilot Knob toad Eagan, Tlinnesota 55121 PEMIT NO. 246 The Board of Supervisors hereby grants to Cedar Orove Canetrnotian Co. of 7343 Conacrd Blvd. E., so .t Paul MN 5075 a PIAlID- Permit for: (Owner) Cedar OroveCOnstraoti(m Co. at 3 391fWaLAMM10-4iiw- 1710 & kPimr sartell 10- ??,,.fl CVyWuant to. application dated 7/91 /'f2 Fee Paid: $80.00 Dated this 7th day of _ AAguat . S 0 Building Inspector G Cv . TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55121 PERMIT NO. _AK _22g_ The Board of Supervisors hereby grants to Pod= Own 0=@U%9" cc, of 73113 Camoerd Blvd, S. s se. ah, P,en,s a HBATIIB} Permit for. (Owner) 91mm meant" G. atmomem 00. P ads WfiV, _ 1710 & 1721 Owto l & 30 atRivwbaa. 7-7, 113--f&, 5-8.12-8 06 #8 , pursuant to application dated 7/31/72 Fee Paid: $80.00 Dated this 7th_ day of Ang"e , 1942. 2.00 ac Building Inspector RESIDENTIAL BUILDING Permit Application City Of Eagan (? I 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft of lot, sq. it of house; and Pll roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd 1 set of Energy calculations Addition - indicate if on-sde septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date / / ( / Site Address 11 /10 o,3 Siir7t /??y?? Construction Cost ?1&6) Unit/Ste # Description of Work Multi-Family Bldg - Y _ N Fireplace(s) _ 0 - 1 _ 2 Property Owner o (6?`i) 3?? x/963 Telephone # Contractor C + T'? iyr `/7 /7,7?G 2 ) dh 5 Address X63 3 State ?/ /yoam 6ild7" Xi- / Sri. Zip/ ,pp / City zlj"A Telephone # (/?3Z) i'6'0?/?/ I?._TS 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 (4 submission type) Submitted Submitted Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of workwhich:requires,a; revigw and approval of plans. Applicant's Printed Name A ant's Sign re I 2007 RESIDENTIAL BUILDIN PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft, of lot sq. ft of house; and all roofed areas (20%ma)dmum lot coverage allowed) 1 Soils Report ff proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan it lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Nnnegasco mechanical ventilation form Remode[Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Adddion - ind'cafe ff on-site seps'c system Office Use OnN Gen of Survey Reed ..• _Y _N Soils Report _Y _N Tree -PresPlan Recd .. - _Y . _N Tree Pres Requited . - _Y _ N On-site, $eptic System _. _Y-__ ..N Date l ?+l/ l o n Construction Cost (Pty Site Address col I\ • Unit/Ste # r ? /a a Description of Work K 4,11" -- ?? ll l,A?'' (M,t . - ?.-VJL.O..tti , Multi-Family Bldg - Y )L N T? Fireplace(s) _ 0 _ I _ 2 Property Owner Telephone # (106'1 ) IO f 8 r0 Contractor Address State Zip 6?;b)4 L city 01.4 Telephone # (/pq ) ?91/ ,A& 4to COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I - Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an a"t'sSign lication for a permit, and work is not to start wi hour a permit; that the work will be in accordance with the appof work whit tfit? "e'i? approval of plans. FEB 0 1 2008 LLAA, Applicant's Pri ed Name R? DO NOT WRITE BELOW THIS LINE 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/gazebolpergola) ? 36 Multi Misc. ? 05 .03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant Description: Water Damage Yes ` Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. - Air Test - Final _ Windows _ Insulation _ Retaining Wall _ Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total -,:-:, . °' *w„ EAGAN TOWNSHIP 3795 Pilot Knob Road SC. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date s � .• Number: 921 Bill Name a' Site Address; _ z .. Owner: S'�^. �.142 M' Billing Addrea$ylC,.?' ) Plumber: ► tit. J Connection Chg. -100.00 pa. 8/4/72 Location of Connection. Meter Size Meter No. _ Permit Fee 10.00 r'd 8/4/72 •yu pd 8/4/72 Meter Reading Meter Dep. c....., meter Sealed: Yea_ Add '1 Chg. s 37' , NO Total Chg. Inspected by ` Date lac.-- 9' ;/ — 7w Buildiag to a: Remarks: Residence _• Multiple_ No Unita Conmercial IndustriaY By: Chief Inspector Oth er - __,,,_„_ In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota C ( u ty, \Miane$O ~ By: 0 t. Q.. (i`t � 1 x ,. 11, ' ��l ` j QCt:ttitw Please notify the above office when ready for inspection and connection. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112009 Date Issued:07/23/2013 Permit Category:ePermit Site Address: 1710 Sartell Ave Lot:23 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-230 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Andrew P Krebs 1710 Sartell Ave Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 41,16* City of Eap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1 a (/3q Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING /et l BUILDINGPER IT APPLICATION Site Address: / 7/V//itvirUnit #: Name: Ac y 7j ` Address / City / Zip: / 0 a;`/4 -1/Q, Applicant is: Owner Contractor //Miley Phon(61 ) 33 —64, Multi -Family Building: (Yes / No= ) Company - Address: %/67 /,(—L43 / d State: /?ll Zip: City: Phone: ( \) "rap _ c7 License #:, - 63, G Ry Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions the information may be classified as non-public if you provide specific reasons that; would permit the„City i conclude that they are trade secrets:' CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 180 days of permit issuance. x / jC/ &// Applicant's Printed Name applicant's Signature „7„,/ Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114627 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 1710 Sartell Ave Lot:23 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-230 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Brendan Chlebeck Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Andrew P Krebs 1710 Sartell Ave Eagan MN 55122 Redstone Builders Llc 4084 Oakbrooke Alcove Eagan MN 55122 (612) 236-8888 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116424 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 1710 Sartell Ave Lot:23 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-230 Use: Description: Sub Type:Garage Work Type:Overhead Garage Door Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Andrew P Krebs 1710 Sartell Ave Eagan MN 55122 Redstone Builders Llc 4084 Oakbrooke Alcove Eagan MN 55122 (612) 236-8888 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office �Is (\ olq Permit #: `' Permit Fee: I P a (111 ,. Date Received: 1 /S. /j(f Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Name: r yea Soleil ,4 - &drew Krebs Address / City / Zip: 17 /0 Sarkll Applicant is: Owner Contractor Description of work: Unit #: Phone: 952 6 Y93 /`'U% 5372 Z Construction Cost: ___1/2,00-o Multi -Family Building: (Yes / No Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) L lfr Ba/kr /.J 7A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ,. _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: • NOTE: Plans and supporting documentsthat you submit are cons dered to be publicinformation.,;Portions of the information may be classified as non-public if you provide specific reasons that wou!dl ermit the Ctfy to conclude that they' are, trade secrets.; CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x JV�dal.) evek x Applicant's Printed Name Applicant's Signature Page 1 of 3 -7/o Jo rt/ ?-v? DO NOT WRITE BELOW THIS LINE /19`x/ SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% J/ ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level ie Interior Improvement Move Building Fire Repair Repair vbr 3y Porch (3 -Season) Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) Miscellaneous Pool Accessory Building Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation .Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test Final Y. Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath - Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Gas Line Air Test Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL y�f Page 2 of 3