980 Savannah Rd CITY OF EAGAN a' 3 g
3830 Pllot Knob Road, P.O. Box 21-199, Eagen, MN 55121
PHONE:454-8100 `
BUILDING PERMIT Rece~pt . ~ ~
To be used for ~ Est. Value g 1 ` Date ~L?~ I i~;iBFR 9 ~ 9
Site Address ' OFFICE USE ONLY
Lot Block ' SeCfSub. Lk::~1~iGTt):i SC~I'~~RE OnSiteSewege ~ccupancy
TF; ADU MWCC 5yatem ~ Zoning
ParCel No. On Site Well ` Type o} Const
City Water (Actuaq
a Name ' ~ '~?"~TLI:tdD Ci) INC: (Allowable)
Z . ~~c, j.,~ ~ ~ of Stories
; Address Length
° City Phone ~ 7 l-~.~ 3 U4 Depth
S.F. Totel
, p Name Footprint S.F.
~ i Address APPROVALS FEES
ta- City Phone Assessments _ Permit
Water/Sewer _ Surcharge
F W Name Pa~~e - Plan Review
U~ Address Fire = SAC, City
Engr. SAC, MWCC
Q Z City Phone Planner Water Conn.
t W -
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallapplicable A~ - TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee 70T~~ _
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
=a . . . . . - . . . _ . . . . . . . ..leri.:~'~ . w N rr;..t.
' ~ • • . . PERMIT # ~ c ~
PLUMBING PERMIT RECEIPT # ~ ~ ~ ~ ~
CITY OF EAGAN S/~,/~ 7
3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE:
CONTRACT PRICE PHONE: ~54-8100
Site Address ~ •t BL~G. TYPE WORK DESCRIPTION
Lot ? Biock ~ Sec~Sub Res. ~ New X
Mult. Add-on
y Name ~ h Comm. Repair
~ Address ' ~ Other
c Ciry Phone ~ ~ ~RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name E ~ : ~ - ' -~Water Closet - $3.00 S ' '
c Address ~ ' ~Bath Tubs - $3.00
3 Lavatory - $3.00 ~
p City Phone ~ ~ ~ ~ ' Shower - $3.00 `
~ Ki!chen Sink - $3.00
FEES UrinallBidet - 53.00
COMM/INO FEE - 19~6 OF CONTRACT FEE ~ Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater .50
MINIMUM - RESIDENTIAL FEE - $12.00 Whlrlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 _L-Gas Piping Outlets - $1.50 '
STATE SUFICHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.04
~ ~ ~ ~ ~ ~Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: ~ • ~
STATE S/C: '
FOR: CITY OF EAGAN GRAND TOTAL•
_ . _-~~~7^Tr. '4;T.
. . . PERMI7 #
,
MECHANICAL PERMIT RECEIPT # ~ ~1 ~
r• CITY OF EAGAN
~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7~ ~
CONTRACT PRICE ~)~'J~-' PHONE: 454-8100 j
Site Address BLDG. TYPE WORK DESCRIPTION
Lot_..~_ Block Sec/Sub R~ k New ~'~I
~ Name ' ` ~ s" ~r Mult Add-on
Comm. Repair
Address ~ ' ' - ~ '
~
c City ~~~f: ' r Phone ' ~ Other
~ FEES
Name • RES. HVAC 0-100 M BTU -$24.00
c Address ' ADDITIONAL 50 M BTU - 6.00
p Ciry Phone /-U' (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PEli PERMI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air G ~V 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
Air Cond. M BTU g MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATESURCHARGE PER PERMIT - .50
Gas Piping Outlets # ` BEY ND $1 00) P~RMIT PRICE GOES
. _~v
Other R
FEE: ~ ' ~~U 1 '
r I J ~ ..~.1 'I ~ l ,
J -
S/C: ' SIGNATURE OF PERMITTEE
TOTAL• ~ ~r ~
FOR: CITY OF EAGAN
INSPECTIUN RECURD
CITY OF EAGAN PERMIT TYPE: "~f~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ' ~ ~ ` '
(612) 681-4675
SITEADDRESS: , ~ „i ; APPUCANT:
~ nr!iin14 Ft[) c,,. ~ , ~
. ~ li., l i~; .~~I:~, ~ ~ f i~ i, ~ ~ ~i.'c.~.;
PERMIT SUBTYPE: TYPE OF WORK:
~ ~v~,~
. .
~ . , t~;,,i
~ ~
~ ~
P~rmit No. Permft Holder Date Tsbphone A
S/1N
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Inspectlon Dats Insp. CommeMs
Footings I
FoundaNOn
Framing
Roofing "
R°"gr' ~bg. S.' sE•t. ~ Z ~
~e?~ y~3
a _ , ~
~5~~.
Fireplace
Fnal Htg. _ - -
OBat Test
Final Plbg. Plbg. Irtspector - Notiiy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Decp Final _
NA/L "
weu u~ R~l v~ ."'''~~s - roz.~ To A~~v n~a S
Pr. Disp.
CITY OF EAGAN Permit No: 5`~ ~ Date: 1 '
3830 PAot Knob'Road Meter No: .3 a Jr.3S 07 Size: ~
P.O. B~~ 9 Reader No: ~ S{ ~ 77tf ~ Date: ~Z~'
Eagan,'1VIN 55121
Owner. "c t r 1 u~~ Cor~paity
S1teAddress: ~avannah T'_o~~: :,l ' - - 4t',:
Plumber. ~'alley P1uMbii~c~
Conn. Chg: 525. t)t)Pl f~~~`'4~'~~'
`'~tb~h'~~`g;
Acct Dep: 1S• Q~t~.~T,~i,.~ rlircerinrt r~~l~~(l~l~~
Permit Fee: l~~ TRIC • GAS Etc,
Surcharge: 1 a r~ t ty with the City of Eagan
Tr. Plent 1 c:i1 •'~~1~ ~~Q~n
Meter. F,7 i'~,~-
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: 3r Date: 1 ~ ~
3830 PNot Knob~ Road Meter No: Size:
P.O. Box Z119~ Reader No: Date:
Eagari, MN 55121
Owner. r~ttlund Cor~any
Site Address: °G ~ Sava.~:zsh F.r~a~1 ~1 T. s ;c; _
Plumber. E'alleq i'luctbl~f;
525.[~Onc rl
Conn. Chg: ~ Zoning:
Acct Dep: 1 r~ •~,~a No. of Units: ~ -
Permit Fee: ' ~ • ~~~~r"j
Surcharge: • 5`}p`1 I agrae to comply with the Ctty of Eagan
Tr. Plant ~ • ~'~~d Ordinances.
Meter. ~ 7 . ~'~d
Misc.: By
WATER SERVICE PERMIT
CIT1f OF EAGAN SEWER SERYICE PERMIT
3830 Pitot Knob Road 1~ 1~ ~
P.O. Bqx 21 ~ PERMIT NO.:
Eagal`r, MN S 121 DATE:
Zoning: '`1 No. of Units: 1
Owner. `~ttlund Companq
Address:
SiteAddress: j~~~ Savaanah P.oad LI E3 Le~;in: to;~ Sq Ifr
Plumber. ~a11eq Plw-;bing
9-11wR7 77^~~ Z~~n,;'JS~~i
I aqree to compF~ with the Citp of Eayan Connection Charge: 525. OOpd
Ordinances. Account Deposit: 15 - d~P~
Permit Fee: 1C~.OOFd
Surcharge: . S4pct
By Miac. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
._w +~r-7•- •-rywr. . . , :
~h• CASH RECEIPT
.
. ~ ~ ' CITY C~F EAGAN `
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE `/J 19 ~
! ; '
RECtFIRV~ I~'t~ l~~+~'l.L-i.~t-:L'J iGv i~r r
AMOUNT " ~ I
$ ~ C.
6 DOL6AR5
~ae
~ CASH CHECK
~
row 'ti.~ ~.CL 4(.. ~~n<' : r ! ~ ~ ~r ZJ
~ ' , ~ f j - .
, ; . - ~ ~ ~ e ~ ~ r~~- _ L
w~„
, ~ ' ,
'1 l~i ' l - "~f
~ FUr/o .CODi AMOUNT
Thank You
BY ~---1" ~
r'"P ~ r`~ ~l ~ White-Payert Copy
• ~ ~ f ' Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT N0. I ff I
1 ~ ~ j
. , _
01-3210• Bldg. Permit - = ~
01-3422 Plan Check ~
01-3445 Surch./Adm.
01-3446 SAC/Adm. ~
01-2155 Surcharge U
11-3860 Road Unit - 1,
~ ~
20-2275 SAC /
2~38~i5 Water Conn. ' ~
20-3868 Water Trmt.
20-3716 Water Meter ~ ~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. u`'
11-3855 Park Ded.
TOTAL ~ 7
This reques~ void ~~~/~I>
18 months from T
D 425~1~i ~ ~ • ~
Heque:*i UAte Fi' No. Rough~in 'suer.~ion
H qwred~. ~Ready Now ill Nolify. Inspec-
O'~ I - ~es ?No cor When fleadY
~ Licensed ElecVical Conl~nctor I are6y repuest inspection of ahove
? Owner electrical work instelled ar.
S e tlress, 8 or Rou~e No. Cf
ectmn o. Township ame or No. Fange No. Co
Occ ~ntIPqIN ~ Phone No.
Power $uppl~er Atldress
' L`
ElecVical Cootractor ICompany Name . Con[rnr, s l.iwnse
~
Mai i g Jress ICOn[ ctor or wner akinp Insta'la~ionl ~
Au rized Si nawre 1 tractor~Ownar Making Installation Phone Number_~
MINNESOTq ST E BOAXD OF ELECTqICITY THIS INSPECTION NE~UEST W~~L NOT
ariaes•Midwey Bltlg. - Noom N-191 BE ACCEPTED BY THE STATE BOAN~
MN 65104 UNLESS PROPER INSPECTION FEE IS
1821 University Ava.. St. Vaul, ENCLOSED.
Phone (61~) 642-0800
/p/~~/8~ REQUEST FOR ELECTNICAL INSPECTION Ee-ooooi-os
~ See instr~etions lor comple~in9 this form on beck of vellow coOV~
~ ~8 7
D~ 2521 ~~X~ Be~oW Work Cove~ed by 7his Request
Ad~ NeD. TVCe ot Boiltling Apa~~ancee WireE Equiumen~ Wired
Home Range Temporary Service
Duplex Water Heater Liqhtiny Fixttues
ApL BuilAine~ Dryer Electnc He:~nn
Commercial Bldg. Furnace Silo Unloeder
Industrial 81dg. Air Conditioner Bulk Milk Tenk
Farm omr, pPC~ v oinm isucctfyl
t er 5ucu v Other Otni;r
ompute Inspection Fee Below
p F e SarviceEnlmnee5ixa H Fee Fextlars~5ubleeders N Fn Circuits
U to 200 qm s 0 to 30 qm ~s 0 tn 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 700 Am s
Swimming Pool Above 100_Am s Above 100_A~nVs
Tran5lormers Irrigation Boorc~s Pdrtial.'Other Fee
Signs Special Inspection 5~/~~
nemarks ~.t~ TOTA E~
y"
flooeh-in Da~e
r G I. the Ele ricnl
l6 ~tl ? Inspecbq here6y
c~y thet the aEOVe
Final iP s ction hes ~ean
. r a.
~018 repueal vo1G 16 monitm Irom
CITY OF EAGAN (~J? 1413 9
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 557 21
' ` PHONE:454-8100
BUILDING PERMIT Receipt# 7~7~-~ ~
To be used for SF DWG/GAR Est. Value $100, 000 Date SEPTEMBER 9 i g 87
Site Address 98a SAVANNAH RD OFFICE USE ONLY
R3
Lot 1 Block 3 SeGSub. LEXINGTON SQUARE On Site Sewage Occupancy
TH ADD MwCC Syatem X zoning
Parc6lNo. OnSiteWell TypeofConst v~_
City Water X (qctual)
a Name THE ROTTLliND CO INC (Alloweble)
w :k of Stories
= Address P•0. BOX 383 ~ength 4R
o ~~ty OSSEO phone 571-0304 Deptn ~
S.F. Total
, p Name SAME Footprint S.F.
~a Address APPROVALS FEES ~
~ Ciry Phone Assesaments _ Permit 503.50
Water/Sewer Surcharge Sfl _ (1Q
w W Name Police _ Plan Review ~ S1 _ 75
Fire _ SAC, CITy 1(1!1 n~
x- Address
~t7 Engr. _ SAQMWCC c~9a
n~
Q W City Phone Planner _ WaterConn. c~os
np
Council _ WeterMeter ~o~
I hereby acknowledge that I have read this application and state B~d& Off. _ Roatl Unit z_~et
n~
thattheinformationisco~e nda9~etocom lyw{thallapplicable APC _ TreatmentPt ~9P.9~
State of Minnesota Statute nd Cit ot Eag O~dinances Variance _ Parks
' CoDies
Signature of Permittee ~ TOTa~ ~~5a.7~5
A Building Permit is issued to: THE ROTTLliND CO INC on the express condition that
all work shall be done in accordance with all applica e State of Mi en!a~ sofa Statutes and City of Eagan Ordinances.
Building Ofiicial /~Q-<.~Q J
~
• CASH RECEIPT •
. ~ ~ ~ CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNE TA~551~ G`
/ ~
DATE 19
wecnveo ~l~.G_ ~ ~
PRqA
AMOUNT $ / U
U ~c. I
~ !o OOLLARS
? CASH ~ C ECK 1
.o >x,C' .ctin~
Cc> .~Z,, ~e/' •
~~V w'
iYNO COOE AMOUNT
~ / . ' ~U
t ~
~3 ~
c.7 c3 a U
7 lCi a
O _J
Thank You
BV ~ ~
N~ 77126 White-PayersCopy
• vellow-PO:tine ~ov
Pink-File Copy
~ ~ ~ 7 6 RESIDENTIAL ~ ~S~
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4673
Naw Conatructbn HeauiremeMe NemodeVReoah peauhememe
. 3 regktered sfle surveys shaxing sq. N. of bt, sq. N. of house; antl gll raoted areas • 2 coples ot plan
(20% mazlmum lot coversge allaxed) • 1 sel ol Energy Ca~uletions lor heated atldAbns
• 2 copies of plan show4~g beem 8 window sizes; pourea founC design, e~.) • 1 sile survey tor e~erbr adtl~ions & decks
• 1 set of Energy Ce~uletions • IrMkate H home servetl by septlc system for a00iuorn
• 3 copies of Tree Preservatbn Plen M bt pletled atter ~l7/93
• Ran Joist Detall Optbns selecfion sheet (bklgs wilh 3 or less un~s)
DATE ~ ~ VALUATION / / " " "
SITE ADDRESS "~/~S~~v~~~ ~2 ~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK S/J)/~7 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT , l /U/ 3 /y~ !/"i~ ~ ~ ~
STREET ADDRESS ~~~~5 /Z ~~l/~-- CIN STATE m ZIP
TEl.EPHONE #~l~Z -~a~S'~/Q~ CELL PHONE # FAX #
PROPERTYOWNER " ~fJ- TELEPHONE#
COMPLETE THIS SECTION FOR ~•NEW~ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submittad • 9ubmitted
s ~l~~~l
• Energy Envelope Calculations Submftted D ~ C
MAY 2 0 [UOL~ ~
Plumbing Coniractor: Phone # ~ ~
Plumbing system includes: _ Water Softener _ Lawn Sprinkler By Fee: $90.O~D
Water Heater No. of R.I. Bath
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Confractor. Phone #
I hereby acknowledge that I have read this application, staTe that fhe information is correct and agree to comply
wlth all applicable State of Minnesota Statutes and City of Eagan Ordlnan~
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
i
OFFICE USE ONLY
O 01 Foundation ? 07 OSplex ? 13 16-plex ~ 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01of_plex ? 09 07-plex O 17 Garege O 22 PorchlAddn.(4sea.) ? 33 Ext.Alt-SF
0 04 02-plax ? 10 08-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? 05 0&plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plhg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
O 33 Atteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement *DemoNtion (E~Ire Bldg only) - Give PCA handout to applican4
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (eddition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ F~~S _ 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 Searoh
Copies
Other
Total
. ~ . / ~3~ _ , _
1987 BIIILDING PERMIT LICATION - CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
I~CLODE 2 SETS OF P[.A~S, 3 CERTIFICAT6S OF SDRVEY, 1 SET OF ENERGY C9LCQLARIOHS
NOTE: ADDRESSES FOR CORNEH LOYS - CONTR9CTOR/HOI'lEOBNEB HDST DESIGAASB HHICfl ADDRESS
IS DESIRED. NO CHANGSS WILL BE ALLOWED ONCS BQILDING PSRMIT IS ISSOED.
M[TLTIP[,E DTdE[.LINGS - RffiIDENTIAL RESITAL QHTfS FOR S9LE QBISS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOBVEY - CHECg WiTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COI~RSBRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS~
$2~000 LANDSCAPE BOND
To Be Used For: j}„~ ~„r Valuation: Date: ~
Site Address ~]~.5{~t/r~Ay1JAt1 ~D ~OO~OOO°= ~~ICE OSE ONLY
Lot ~ Block On Site Sewage_ Occupancy
MWCC System ~ Zoning ? D
Parcel/Sub ~,~j~j~7 ~y,~,)fyQE On Site Well Type of Const
City Water ? (Actual) ~-fl~
Owner '~{-~F ~D'~-(..,~~ (rn. I~C . ~ ~Allowable) ~
IF of Stories
Address p0, ~p~ 3$~ Length G/~f,00
Depth 3 `~1• 33
City/Zip Code p~$ S.F. Total
Footprint S.F.
Phone s°~~ " ~3~7~/ 9PPROVALS FSES
Contractor ~~jyY)~ Assessments Permit 603.So
Water/Sewer Sureharge 50,00
Address Police Plan Review Z5 75
Fire SAC, City 100 ~ o 0
City/Zip Code Engr SAC, MWCC SZS',oo
Planner Water Conn 52 ,
Phone Couneil Water Meter 6'7.00
Bldg Off ~ q g Road Unit 305.~
Arch./Engr. ~ ~/!7 - APC Treatment P1 _~g0,oo
Variance Parks
Address Copies
TOTAL ~ S-
City/Zip Code
Phone Il
Laea~ ` ~ ' r~ * ~
zz,c zzy2=`y95`x i2= Syyn • ,
House
f2X~/G = 5SZ
14Xz~= 36y
xib~= 93~/3z
~9'3~2
~~~COI11~L7/IIeS 6875 iligliway 65 N.E. P.Q Obx 32308 MinneapoB~, ~IN 55932 fGl'll .'~7I~(d~G6
If.l'l.l N')0 (~:~~tl
12203 N~collel Aue. So. Ou~roultlt, MN 55337
SU6UABAN ENGINEER/NG. INC. _
~ Cw4 Mu~pel R Enw~mm.nml Eny~~e.rmp ~~~e.wwvm~ • w~.e vk~ma • sou mn~9
Com an
Csrtifiosts oi 9urveq ior Rott l und P ~
Bearinga Shown ~re Aaeumed ~ . ~ .
~ p Denotea Iron Honument ' pg~p~gEp p,~yATIONS ~
o Denotee Foandetlon Corner OfEeet Steke.
= Denotea Exietin9 Elevetlon ~ Top oE Hlet~C 8~7•~
Q Denotee Propoeed Ble~etion - ~ Loveet Fleor
~ Uenotea Direetion of Surfece Dreinege Gerage Flobr {~l
Denotea Dreinege and Utilit~ Easement , u
\ ~~E
/ x
N b
\ ~ p~•
~
' ~ ' Scab: 1 Inch ~ 30 teel
dBS~.s
y J saJ-
\h,~~h ~oh i ~
y • oy ~ ~7
. p
'SO~.F ~ ~r° i
o PP~1~~ •Q ~~rj,ri
G,
' ~o ~ryV1 2?Si4 n~ '
- ~ R.O~jb{~a 00 ~5,2- ~
~~O ~ ~ \ ~ ' ~o"s 'lOd
p ~ ~ ~ ~
~r~ ?v/ ~s ~ 5 OO O
t 4Jy1'" ~le~°t~d y~ to. n
~ 1 / r~~
,oo ~O ~p4St.yq ~4J/ ~^5`'1_~.
` n ~tY ~r
O`~ / \ 1 . Y/ ~ \
9e
O~ , C~ I ~ - \
d~?d ~
j ` S8`
~ .
s ~SP~aq,y~ j ' [ . .
O
„ _ ,y h
. a .s Ph~ GX~ ~ O
N7,~3~, z~` ~ S
,8,~-,6z~~ o ~
~ ~ ~
~
r ~
~
LOT 1 ,BL4CK 3
L~XItVGT~tV ~C~IJ~?F~~ ~th ADl~11'IO1V
~ub'ect to ea~me~t~ of record
1
Dakota County, tV~innesota
I hereb7 certif) thet thia evire~, plen ot report wes prepaced 67 me or under m7 direct
superviaion ond that I am s du1J Lieensed Land Sur~e7or under the levs of the State oE
Minnesota. i./~ A.D., 198~• ' = ,
~ Signed this ~
da~ oE ,
~Ccmpanfes.
SI18U B/1N ENGfNEE NG, 1HC.
Not uDliahed: R11 righte,resar.ed
y Ilien, Ye[~ No. 11915
CeDT~tehe 1997 SE Conpenlee, Suburben 8n81neerint. t~~. YoEett B. BtceeeY~,
B~Y~L ~cca
. _
. . ~ .
• , ~ ' RosE (ExECU-r~vE)
EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION
i
` : ~
OWNER T~1 F Q p'r'T'ZU,v/J C IJ /~ti L
SITE ADDRESS ~p~ "~~U'A/Ji()F~S'~~'' ?lO~
CONTRACTOR SA'ly1E DATE ~ PHONE S7/^D~~
Determine working square footage of each. ,
1. Total exposed wall area ~c~l ~ sq. ft. x^~//~ = 29 ~f. 7
2. Total roof/ceiling area ~OdU sq. Pt. x r~z(~ = 26.~
Total exposed wall area above floor = Z 32~f
a. Total wall window area / 7~
b. Total door area ~
c. Total sliding glass door area 3~
d. Total fireplace wall area
e. Total wall framing area (average•10%)... 20
f. Total net wall area above floor /~7S
g. Total rtm ~oist area . 29 /
Total exposed foundation area = 7 Z
h. Total foundation window area "7 "
i. Total net foundation area above grade
Determine "U" value of each wall aegment.
' 8. ~ X ,~U~~_ ~ , c/ 7 = ~ F~~s ~ /
b. 3~ X~~~~~ ~ 0 7 = 2. 6~
~ 3.~ x ,~U,~ _ ~ ~7 = . ~,g z
~ • ~ ~ X 11~1~ ~ 6 . . ^R~. .
e. ZO~ g vU~~ .OSt 7 = ~ F~o f~ ;1
,
f. X.nU° ~ -7~~~~5 ~
g, ~Z .~'7 / X . S`O = /
h. 7 X~~U~~ ' S-Z e 3. 6~/
~ S X„U;, .076 _ ~/.g y
3 .......Total 2 I-f 0 2
:
If item ~i 3 is the same as, or less Chan, item 1~1, you have met the intent
, of SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area = %~d U
3. Total skylight area , i
k. Total roof/ceiling framing area•........... 6 a
1. Total net insulated roof/ceiling area 17
Determine "U" value for each roof/ceiling segment.
j X ~~U~~ -
k. b x „U~~ ,bZ7 = j,62
i. g~f7> x~~v~~ aOZS = 23oSd
4 . Total = ~ S./~
If total of 1F4 is the same as, or less than 1i2, you have met the intent of
58C 6006(c) L
To utilize the total envelope system method, the values eatablished by the
aum of items 1!3 and l14 shall not be greater than the sum of itema lil and 112.
./s_~-~ .
I. .~-701~ Z. 2 b~e~ 32~a~V
3. ~e~Z + 4. Z~i/Z = 2~/.Z.~y.
~ ,
, .
. .
, , r • _ - -
~ W~sLL
S~~u ~ ' . - ~ ~ - ~ . raye 3 of 9
WUTC:'USe 10~ of• opague wall area for ~
frama construction ~ ' •
, ~ Construction ~
, , ~ . R-Value
~ l. Interior air~`~ilm 0.68
. . ~ ~ . 2. '~IL~~C7Y P 13 R 17 o y 5- ~
3 ' . 3 . .2 x ~ s-rrio S • . (o o $ 8" .
. :i 4.~ . 4. 2SI32 SNrCr 2„O(o.'
enszc
SVALI, ' . A~~ ' . ' 5 . ~/GY~fifs UV E1L FELr ~ / a 2 ~o
. 6: Exterior air film 0.17 •
Total
/7i S'
FIG. tll TOPVIEf4 OF • v~ eO~~
' : • FRI~tS~ 1~7TLL ~ ~ . ~ ' ' ~ ~
. 1. Interior aiz £ilm 0.68
. . . ~ • : , . 2. ~L" U.Y. I~ f3 oZ`D . .
. . . . o y
I• _----0 3. FU~L ~Gf/f~~4'/~LSGG / 9, bU V
~,ic. Nz ~~.1 •r a. z s/3a' sryr~ 2 0~ ~
. IL~ , ' ' 'S. ~/CY~(iG ow~,e F~~~ ~ az 6 .
c
~ ~I ~ 6. ESCterior air film 0.17
: . Total 2 3~ 6 Z..
• ~ ~~~7~
~ ~r a -V ' . . ~ . - ~ v~ ed~ 2
».--~-.,~;~,~T , , . . .
~ ~i i I~-~...~.~w . . ,
~•I/ I U ' 1, Interior.air Eilm D.GB'
I. l scr, t:.r~ I;I_ i~ "^-.--..°-t~
?5 ~all .IJ ~1 J 2. %.ii~v~ . . /~ooo
~ ~ _ ~ ~ 2 t .r'/( .
I I.~'t`C~r..\,a,. L.• `•-~-------Q 3. X_' ~e ~Sg
~r~~=~'~~~~.<< ~ 4..25~3'2 SNrCo- 2 OCd'
t~ p m
~ s.~ siai.~v vv~rz~r-~z.~- ~6~z
~ I.~l~'.'• • • • . ; -
r~ ' ~O. ~ , 6~ Exterior air film 0.17
~1TI0 i~i~=-;•~ Total 2S.OS
~I. , ~.~ll-'~. . . .
4. U O Y- U
II:r" . „ ~ J. . . . . . -
•1:' ' p ~ . • ~ \
:J t 1. Interior film
,6 ; air 0.68
~ ~.,i` ' • " , . ~ ~ 2 • ~-l/ ..,~.vSVC: ~
i. l . . . ~ Fu221NC~ U~
3. ~
4. /2 +~COwC r LOC FS i
~ 5. . .
. 6. Exterior air film 0.17
. ,
~ • Total / 0 3
y' ' . . •O•7 (o
. ~ . • i ~ • ~ ~ , r- . ~ (
' y ~ ~l~ - . ..~r__r,,'ns--~k , ` , ~ ,
, _ r__ ~r~ ~ I ~ ~ ~
r ~
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r . • . V . ~
~ ! l+~~' j~r , • . ~ ' ' ~ ~ ~ ' ~ , ~ t,
~ . ~ ~ ~ ~ ^ . . b • ~ ~ ~
~ . . ~
. . :
. ~~3 ' • ' ' k'ICi. ~f~] ` . . ~ ~ ' .
~ y , r. . . . ir~ k . . Q ~~r.
I?~~~, ~ . \ • . • ' II ! "
~ . • • . f . .
• ~
v • 4 . ~ . ' . , , ~
~ ROOP/C~ILING
~ .
. , • , ; ' ;
. . „ i, ,
i r .
. ~~j~ , i : Const•ruc~ion ' lt_Vnliio
~ ~t . 1.~ Interior air film , : O.GI.
, 3 2. " 5/~i" GYT~ T3 RD o S8
/I~~I{ 3. cow~v iiv5v< 3£~',00 ?
~~~III ,'I~ ~ ~ . q, Exterior air film (STOCaI O
~ 3~ego,
. ' \Y \J ~ y . ' ' . . . ~ . • ' , . • ~ V - sU~S ' '
' ~ ' , ' . • : . i '
Venced fleaC £1ow•' • i , • ' ' , , . ,
. i
• ~ up . i,.~ ~ ;
~ . ~
, I ~ , ~ . : i, t . ~ ; i
FTG. #5~' ' ~ . . I
i '
i ' , ' : . : , , .
• ~ ~ • ' 1. Interior air film O.G1 i
,.,,,~~v,~..,.,_fi•uls+~..~"_'GL~'~-.,,~q"G~oa,;~ 2. S_ C~Y1~ 13RD eS8
=-'--r-----p7 ! 3. /,v5r/L ovE2 rrrus5 ' 3y ~q t
i 4.,, Exterior air film sti . ~
' , . . ToYal~ . '7 i
3(er ~ '
. . . v ` .o~~ ~ ~
~~r~~ . . . ~ ~
/~I~~~~l ~ II ~ ~ I? 1U!l~, . ' • • ~ .
• ^1
) I J A • ' • • • ' ' a, ' ~ , ~
V ~ . • ' , _ . . . . ' . ~ ~ • ' ~
I ' i I
Y.ecc flos~ up • ~ , .•vented ' • , ~ . • ,
• • i • , , ' • ' • I.
• . . ,FIG. #6.,..~ . r~ . , ~ ~ . ~ . . , • ~ . . ~ I
" . . • - . ~ - . . . ~ . . . , , . ,
i~ • I V u
3 1. Tnside ai.r,film 0.G1
~ a1~S=~~'F • ~
' ~q .,a~ .r.1° , 3. • • . .
9nI.M:ai ~ t~' . i. . Y•
(.1 i •
•I~.~•'~~:.:~:.'• . . .
~ 5. Outside air. £ilm 0.17
f ..I
~ j ; Total
I r
' 1 ' ~ j " Z ,C . ~ . . , . , ~ ~ ~ . . • . .
. • . / . .
~
• NOi7-~,'TP.U' . ' No~e: Use additioiial sheets •if mora cpaco is ~
' needed for details and calculat•ions.
, . • :'HC[lL ' ..~i. . . ' . . . ~
. . , . .~~.~~.t.': ~
. . ' ~floa up - ' " . Y . -
~ • . : . .
' A2r._ ~A7 ~ : . , • ~r' • . , ~ . . . ' . . '
. ~**********4**********!****#**t*#**#
~ ~ C ITY O F E A G A i~ * ~A~ °F ~ ~ ~ *
. ~ ~ ~ o~-~~ *
' * ~Pxov~w oF p~T. *
~
APPLICATION FOR PERMIT
. . * INSPF7CPION OF SE,S~t AfID/OI2 T~TII2
* T7.ATTONS WII.L NO~P BE SC.FIED-
SEWER AND/OR WATER CONNECTION P~T ~
. * APPROVID. ' ~
,i, r
. * ~
+r
~ . . . - *****+r****,+*x**rr***,?*************:+
P ease Print
~ 1) PROPERTY ADDRESS: °~yU S4-..__.h n~
LEGAL DESCRIPTION: ~ Z Lcr 5< 4Z-4
(LOt~Block Subdivis on or Tax Parcel ID )
IF E7QSTING STRCY,'1LR2E, DATE OF ORIGINAL Bi!IIS)IIVG PERMIT ISSL'ANCE: "
_ (Mon ear .
PRFSfiNf ZONING/pROPOSID L'SE:
Q CO1+P'~CIAL/REi`AIL/OFFICE ~ R-1 SINGLE FAMILY '
Q I~IDC~STRIAL Q R-2 DL~PLEX (~t„n Uni ts )
~ INSTITL~TIONAL/GOVERt~p ~ R-3 T~W[~IOL~SE (Three + Units) ( Cfiits)
, R-4 APARZMENT/CODIDOMIDIILfi1 ( Units)
2, ~ .
VG11~~ P~b~ C~
ADDRESS: ~al u C fQ cc lC L ~ ^
CITY, STAT`E. `LIP: jv~2~1~_~ S53i a
Pxot+~: y 5 a- a i~~
3) ~ u For City Use
~ME° Pltmibers License:
ADDRESS: ~ Active
-~E~ E ~ E~cpired
i CITY, STATE. ZIP: Not recorded
PHOI~: MASTER LIC~[~7SE# /1- ~ T Sta~Initial
4) r• ~ i~• .
~:__"'.t~C ~ ~f°CAL~I..~_r~ CJ . . . . , .
_ ~D~.SrJ: IJU'A Z (c 1 ~ ~ ~ . . .
CI~~ a~A~' ~ ~i~:- ? S l~ n ~ . . .
` PfiONE: S1l~ne~~i~ •
•5) ir a: • : a - o~ -
' ~ CONNECI'ION 7CJ' CITY SEWER ~ CONNDLTION Zl7 CITY WATIIt ~ OTEIFI2 ,
6) • • r ~ PLF.ASE HOLD APPROVID PERhffT FC)R PICK-L'P BY ONE OF ABOVE
~ PLEASE MAIL APPROVFD PERMIT SO 1~ 2, 3~ 4, ABOVE
~ (Circle one)
~ ) ~ ,..,.r~l~ Q- ~~I ~ /k
:J . Y• . ~iu. T~~~
~ _ _ ' ' ~ • _ ' ` ~ I" ] 1~ \ I? h/ Y~1 JI ~I • .7• ~ ~
• I .ti 1' M.h'.(1J~ 1/1 91' 0•~~ p• ~ .
, . ~ .
.~~OR CITY USE ~NLY ` ,
PERMIT # ISSUED
~D ~ ~
Pd w/Bldg. Permit FEES: ~
$ $ ~ ~ SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ ~G ' WATER PERMIT ( INCLUDE SC'RCHARGE )
$ ~~.D D S WATER METER/COPPERHORN/OOTSIDE READER
~ $ ~ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~S ACCOUNT DEPOSIT - SEWER
S S ~~3^'~° Z.' ACCOLNT DEPOSIT - WATER
$ J~Z .5 'QZ $ WAC
S ~-O Z S'G'Z' $ SAC
S $ TRLNK WATER ASSESSMENT
$ S TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL~NK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ / OG ~ G Z~ $ WATER TREATMENT PLANT SURCHARGE
$ _ S ; OTHER:
$ $ ~7 I~ c L ' TOTAL
7"7Z 3U 77/ 2
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
I i
APPROVED BY: ~~J~_~.a~,~ r ~ ~~C'Z~_ry~~
TITLE:
DATE : I~/ l J
PERMIT
~ ~ITI( OF EAGAN
3830PilotKnobRoad PERMITTYPE: Buz~orNs
Eagan, Minnesota 55123 Permit Number: 022326
(612) 681-4675 Date Issued: 1 e/ 2 5/ 9 3
SITE ADDRESS:
980 SAVANNAH RD
LOT: 1 BIOCK: 3
LEXINGTON SQUARE 4TH
P:I.N.: 10-A5078-010-03
DESCRIPTION:
Building, Permit Type DECK
Building Wqrk Type NEW
=UBC Occupanc`}~~ R-3
~ Building LengtM- 18
Building Width ~ ~ 16
i ~
%
\ i
, _ /
'~~,ii., r~., -
~ `
~
r ~
' ~ ~i~~ ~~~`~J~~~~~
r Y ~
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $1.50
5urcharge ~.50 Total Fee $27.00
Subtotal $25.50
CONTRACTOR: - aPPlicant - sT. ~IC OWNER:
NEVILLE CONST, ROD 14560260 0005424 BERREMAN TOM
3607 3UNWOOD TR 988 SAVANNAH RO '
EAGAN MN 55123 EAGAN MN
(612) 456-0260
I hereby acknowledge that 2 have read this application and stete that the
information is correct and agree to comply with all applicable State of Mn.
Statutes end City of Eagan ordinances.
~ J
,
. ~
~-e~"' ~in ~u~.I
APPLIC T/PERMI7EE SIGN URE ~ IS ED e'~S NATU E
INSPECTION RE~CORD
CITYOFEAGAN PERMITTYPE: Buz~ozH~
3830 Pilot Knob Road Permit Number: @ 2 2 3 2 6
Eagan, Minnesota 55123 Date Issued: 1@/ 2 5/ 9 3
(612)681-4675
51TEADDRESS: ~oT: a. BLOCK: 3 APPLICANT:
980 SAVANNAH RD NEVILLE CONST, R00
LEXINGTpN SqUARE 4TH (612) 456-0260
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. .
F007INGS FINAI
~ ~
~ - - - - =
REACTIYATE CITY OF EAGAN
PERMIT 1' . 1993 BUILDING PERMIT APPLICATlON
a 681-0675
SIN6LE 6 MUL of plans, 3 registered site surveys, 1 copy uf energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 thange is requested once permit
is issued. •
Date UG¢ ( ~ ! ~ Yaluation of ~ork ~ ~ ~ ~
Site Address: / G~n S~`~~"-~~~ w-'^
STREEi fU~TE ~
enant Name: (commercial only)
LOT ~ BIACK / SUBD~A/ . C~,~ P.I.D. N "
._,_r
Descri tion of work:
7he applicant is: O Owner ? Contractor ? Other (Deaeribe)
Name Phone
Property ~•ST FIRST
Owner Address ~ Sa-{-`s-~^-~-~ ~ -
STREET fiE Y
City State /f~~t~ _ 2ip
Company Phone 56 ' d~2 6 O_
~u--rtiu3_,~r~.Q ~/i. License #~`j~`~a Exp.~~3~
CO~tf8Ct0~ Address ~~D ~
City ~-~'»x:-~- State ~ Zip l 3
Company Phone
Archttect! Registration 1'
Engineer Name
Address ~
City State ZiP
Sewer 6 water licensed plumber . Processing time for
sewer & water permits is two days ~nce area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and a9ree to comply with all applicabl State ~f Minnesota Statutes and City of
Eagan Ordinances. ~Z~
Signature of Applicant: ~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ~ ~ ~ '
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging `--~'Y'~-6asement Finish
? 02 SF Dwg. O 07 0-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
? 04 Sf Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ~ 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
C~ 31 New ? 33 Alterations O 35 Tenant finish ? 37 Demolish
~ 32 Addition ~ 34 Repair ?_36 Move
GENERAL INFORMATION
Canst. (Actual) Basement sq. ft. NWCL System
(A1lowablej ]st F1. sq. ft. City Water
UBC Occupancy ~ 2nd F1. sq. ft. PRY Required
2oning Sq. Ft. total Booster Pump
i" of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ Dn-site well Census Code c~
Depth ~r, On-site sewage SAC Code
T
APPROVALS °
Planning Building Assessments
fngineering Variance
RE(~UIRED INSPECTIONS '
? Site 'C~ Footing ? Framing ? lnsulation
? waliboard L9~Fina1 O Draintile ? Fireplace
1
Permit Fee .2 ~ ~ Y~lmtim: $
Surcharge ~
Plan Review
License
MNCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Vark Ded.
Trails Ded.
Copies
Other
Total:
SAC X
SAC Units
9wtib
.
r • r
~ ~ ~
~ CD1QI,~1dflICS 6875 Highwoy 65 N.E. P.Q Ooa 32308• Fllnneapolu, FW 559J2 IGI'll 571~G11fif
; SUBURBAN ENGINEERING. 1NC. ~2203 Mculk~ Aue. Se. Ourroullle. MN 65337 ~~~~f~ H"~ ~'~i10
~ C7rR Nw~bd ~ Ew~enmmid E~g~e.~Y ~ t.nd ~vwrM ~ L~nd iNnrwM ~ SeM h~nM
Cert111aats oi Aurvey ior Rott ~und ComPanW
Bearinga Shovn Are Aseumad .
v Denotee Iron Monument pR~ppgp,p pyyryA7I0NS
o Denotae Fovndetion Corner OfEaet Steke. ~
: Denotea Ealetin6 Ele~stion Toy of Bldt~C8
5.7~.1 .
Qz Denoeee Propoaed Ela•eeion ~ Loveet Fleor M 7 Y.~
Denotee Direetlon o[ Surfeee Urelnege ~~s e Flobr
Denotee Drsimea end Ucilit7 Eeaemant 4 , N
\ ~~f
/ ~
N ~
\ ~
T ~ O
~ ~ ~ Sceb: 1 AuM1 ~ 30 leel
ddS'.a , s,
b~ ~ ~o ~y
~~b~~' ti ~ aJr?~ L.
'so .9~• r^P, i ~..TO '7
. o R'A~1~J ~t~,Q'`i
G~~
~ ~4~1 2?S~ ~ '
@~' x.o(~sfe9° roo ~ Ys+B,Z ~Q
:~o ~ ~ ~ ) ~ 'D
, ' ~ ' \`~r ~ \ / ? / `f O
S ~ie/
y \v~~ ~s ~ / 5 O p Y
s / ^P
O ~ ~ ~o/sstd G~.~o ~ .
~ ~ O~ v ~'O ~04s~ tiM rbro ~Q f~~•
/ \
e ~ S y
a,• / ~ b I~
O~ ~ \2~ 4 \
v
~ ~,9e
~ ~fP d7~ 't .
e?~ .s ~iPh~ G~'r / , oo~!
\ y ~h
N~,~3~, ~ „ J
- 8.~..6z o
.
~ a°~~ °
A
~
' , / Ql N \
\
~ I..~!~' ~ ,~~.~C~C 3
L~XINGTON SQUARE 4th ADDITION
~ub'ect to easments of record ~
1
Dakota County, Minnesota
I hereb7 eertif~ that thi~ eurre~, plen or report ree prepered b7 me or under m7 direct
svper~ision and that I em s dul~ LSceneed Lend Svrre7or nnder Che lev~ of the Stete of
Minnesote. ~f Nl = •
~ Slgned this /~da) oE ~ A.D., 1987•
~-=[ompanles,
SUBU BAN fNGINEE NG. fNL
_~~4
Not Ou61LeAed: All'tighte.reaer•ed po6ett 6. 1tr~e~Y siee. Yet. Mo. 11915
_ " ' _ ' c..a...1~.. Pn~ineedn~. Ine.
~ C~U ~ PLiJMBING (RESIDENTIAL) l ~ ~ ~
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please wmplete for: Single Family Dwellings
Townhomes and Condos when pemrits aze required for each unit
Date~/~~/~
Site Address a~j` 1 ~~a,va.nna..~ 2~ Unit #
Property Owner '/~,U~ C~Q,~ Telephone #((~i 51 ) qL) rJ' ~ g 7J~ S
o~
Contractor ~r~i n~m I~I u m~ i~a
Address '~Il'iW p~~P City ~(-~V11 ~
State ~Inn~~i~"~ Zip F~~ Telephone# ~5z~ ~I1~9-(0~199
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Co~nty!ee. Additional consultant fees may apply.
Alterations To Existing Dwelling Uniy Including $ 50.00
_ Adding fiutures 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
_ Water softener ~Water heater D i~ ~ $ 15.00
~ replacement _ additional ' ~ ~ I,~1
F~i i 2 'JOna
State Surcharge Bv ~ $ 50
Tot~ ~ l5 ~
I hereby apply for a Residendal Plumbing Pernut and acla~owledge that the informarion is wmplete 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 tlils is not a
permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in acwrdance with the
approved plan in the case of work wlrich requires a review and approval of plans.
~IP~I~ Zr~iP FP~ (/~~UY~~~~e~L.~1-./
Applicant's Printed Name Applic t's Signa
~ zoo~ RESIDENTIAL BUILDING r~nrrrica~uoiv ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauirements RemodeVReoair Reauirements Oifice~~.USe'~-0nlv
3 registered site surveys showing sq, ft. o( lot, sq. ft. oi house; and all roof~d areas 2 apies of plan shmving footirgs, beams, joists Cert of SurveyRecd Y. _ N
(20% maximum bt coverage albwed) 1 set of Er~eqy Cakulafions for heated add'Nons Soils Repod Y_ N
1 Soils Repod if proposed building is to be placed on disturbed soil 1 si[e survey for additions & decks Tree Pres Plan~~. Recd _ Y.~_ N.
2capiesotplanshowingbeam&windowsizes;pouredfounddesign,etc. Addition-indicateAoo-stteseptlcsystem TreePres~Requirad -:_Y _N
isetofEne~gyCalalatlons On-site.SeptiqSystem --_Y ~_N
3 copies of Tree Preservation Plan if lol platled a8er 711/93 . ~
Rim Joist Defail Options seledion sheef (buiWings wiM 3 or less un0s) ~
Minnegasco mechanipl ventilation form ~
Plans are considered ublic information uniess ou state the are trade secret and the reason.
Date / ~ / V ~ Construction Cost ~
Site Address S G.'t) ~ L~ P UL Unit/Ste tF
~ C~ ` co Yh ~S / Z .
-p.~~ r ~
Description of Work IYJ~ t / h e
MuIH-Family Bldg _ Y ~N Fireplace(s) _ 0~ 1 _ 2
Property Owner ~~~Y~ ~ * ~ r~y n ~t~ Y ~ Telephone f! (6'S~ ) ~7g y ' SJ3~~ .
~rT
Contractor ~O~Yh ~b~ ~L~ ~~~YS'
Address ~Z,3b~ QeJi y, Q e j l~ City L~n.2!
State m 1~ Zip 6~S ~ Telephone # (~j ) ~r37 - ~ ~~1~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Suhmitted - 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 planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( ~
Sewer/Water Contractor . 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 pernut, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
n ~
-1 i w~ S~-~~~)
Applicant's Printed Name Ap icanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 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-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscelianeous
Work Tvpes
? 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 ? 4fi WindowslDoors
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to appliwnt
DesC~iption: Water~amage_Yes
Valuation Occupancy MCES System
Pian Review 100% or 25°/a Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
_ Footings(deck) _ FinaUC.O.
_ Footings (addirion) _ FinaUNo C.O.
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tesu 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
5~979/
_ _ _
" . JUN ~ 9 2009
, 200~ RESIDENTIAL MECHAIVICAL PEZ~;vzzT ArP~,icaTiorr S~
; City Of Eagan ~ s
3830 Pilot Knob Road, Eagan MN SS122 4°
. Teleplione # 651-675-5675
,
...Pleasecomplctefor..singlefamily,dwellings.&townhomes/condoswhen.pcmiits.are.required(orcach~unit....~.
. . . . . . . , . . . .
Date.-.~j__/ / ~ ~ ~ . - - ~ .
Site Address 97r7~~/ ~~Q,t )Q?~(1 Q/ t~ Unit # ~ ~
I Propcrty Owncr ~k ~(~Q[7 'Celepl~one # ( 1 ) ~4
TF'~E SN~LLIN6 CQNFANY, INC.
Coutractor r
ST. P,1UL, MN 55104
~ Sfreet Address E°'-60.6 %~81 ~ City ~
State ~ Zip 'Lelephoiie # ( ) ~
Bond ~~i - I q I `-t~I .~j ~apires:
'i'he Applicant is _ Owner ~ Contractor _ OtUer - ~
7'ire repair (replace bm'ned out appliances, duch+~mic, etc.) ` $ 90.00 .
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteralion to cxisting chvelling unit $ 50.00 ~
. fumace _Additional _Replacement _ New
air exchanger
~ air conditioner
heat pump
_ other I
$ .50
Statc Surchou•gc
Total ~ ~
I hereby a~ply foc a Residentia] Mechanic~l Pennit and aciu~owledge diat tlte inforinafion is complete and accut~a[e; Pliat tlie work will
be in conformance witli tl~e ordinances ai~d codes of tl~e City of Eagan and widt the Mechauical Codes; that I uuderstand this is not a
pernut, but o~ily an applicatiou for a permit, and ~vork is not ro start without a_._. ~at_the work will Ue in accordance ~vith tlie
appi'oved plan in the case of work which requires a review and approval of pla : ~ ~
P~~;u~- . _~f~.~'
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139697
Date Issued:11/04/2016
Permit Category:ePermit
Site Address: 980 Savannah Rd
Lot:1 Block: 3 Addition: Lexington Square 4th
PID:10-45078-03-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Chad Mcdermott
980 Savannah Rd
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PV
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For Office Use -ri'i
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AE
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RECIDate Received:
3830 PILOT KNOB ROAD EVED
EAGAN, MN 55122-1810 r�• C
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspectionsCa)citvofeagan.com JUN Q 1 2018 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Cl UtJlt Ui tl l`� y� h Unit#:
Name: lkk,J PV\V.l bP01617Ve IV't, ' � l Phone: (o1)--1)-6 . (0)- /
Resident/
Owner Address/City/Zip: t ��t SAA I' PI �,�t t' SFJ S� 1V')
Applicant is: Owner Contractor
Type of Work Description of work: f kNic3/)-S�M'<i/"\
•
Construction Cost: "0 1 o� Multi-Family Building: (Yes /No �4 )
Company: --Le to L�M1 I 1.L.C- Contact: At- (�1.'" 1-, Q.'3'5
Contractor Address: ILD i f- q'E//c t31%V J City: 51 f NAI
State: h^/ Zip: �1° Phone:(A-11°1-'0Th Email: (i-Ai-miS w 1S (P-N KSMR NI .U \
License#: 20LL1)1 LIL'h-- 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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-•ublic if ou •rovide s.ecific reasons that would 'ermit the Ci: to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in onformance 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 w:' 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 aper•,, . plans.
x kl Jl\VARA-Pk x
00'
Applicant's Printed Name Appl Signature
DO NOT WRITE BELOW THIS LINE / g.0 91/R/V/id-A deft /Clq 7.5-
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck —
Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex 1 ' Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
/ Alteration _ Fire Repair _ Windows _ Demolish Foundation
/_ Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation ill 6t-0 Occupancy 41,, CI MCES System
Plan Review Code Edition 44, \eti SAC Units
(25%_ 100% V) Zoning 9 City Water
Census Code ((``�� Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction
` Width
REQUIRED INSPECTIONS ,,0
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) X Final I No C.O. Required
Foundation Foundation Before Backfill $ HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water Final Pool: Footings _Air/Gas Tests _Final
7 Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation )c. Windows i=.
Sheathing Retaining Wall: _Footings_Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan ° } Other:
Reviewed By: 1 I., , Building Inspector
RESIDENTIAL FEES "�
Base Fee r i,` °N 0
Surcharge14
P . �, "
Plan Review , ' ' i, c
MCES SAC f
Cityer P ( 44,
Utility Connection Charge ''
S&W Permit&Surcharge )( 7'.-O ,. / 1 S/6°
Treatment Plant
Copies
TOTAL
Page 2 of 3
1
For Office Use CC
GAN% 1 i,
%. **4. ..,,,Oi.,0 E
:
&(9 . 0. )
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinqinspectionscityofeaqan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
g
Date: C. /-3 '/ V' Site Address: ! 8O JOl VGA Pt 1/1 ei1 A p((
Tenant: Suite#:
Name: Cid Resdent/Owner
/ 1 DX�///t/1.f�-� Phone:
Address/City/Zip:
Name: �,�N 1/ �/ '�/( � lift 4/1/t li(C' License*:
O 6 7 47/
Contractor I Address: 10 6 0 / /6 6 71b S !�v City: t!a k. V/ f t €
State: M✓v Zip: .c..7 O q Cr Phone: g527 39'3
Contact: Email A A 'L o V S G g Gvtzte /. C,t9
— x — — — —Work
Type of work ' New Replacement Repair Rebuild Modify Space in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
1 Lawn Irrigation( RPZ/—PVB) Water Softener
Permit Type X Add Plumbing Fixtures( Main/—Lower Level)
Septic System /
New Water Turnaround
—
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
1 $60.00 Lawn Irrigation (includes State Surcharge)
_ $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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 fora permit, and work is not to s art ithout a permit; that the work will be in
accordance with the -•. o -d • .n in me case
�off work which requires a review and approval of pla n
lliii-
x 1A �L 11 E--y x
Applifr Printed Name A•• s ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
For Office Use
11&.
#01 Permit#: II
%Iii -1}
1 1 E AG N
1 U
Permit Fee:
.fir. Date Received: -eqf/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECD '
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinuinspections(acitvofeagan.com
JUN 4 2018 L J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: GitLli}6 Site Address: "1 7C 61 �C1 Unit#:
Name: 1-ALI>t?r v o'# Phone:
It�e�ldent/
1t'1efi if, Address/City/Zip: 4i Q saoc h to h 'RGA E2 ' 1r� N' ) , g•s- I Z3
Applicant is: Owner VContractor
TO* Description of work: fi;.� y� Sal 1nv�acL�
TO of fork
tvzr
Construction Cost: s/000.00 Multi-Family Building:(Yes /No )
Company: c-}001 ci1iS Contact: I�d11)11 'LL6/ owe-
contractor Address: 6a pcc '1Luct . City: 5'— - 18L'
State: Zip:Zip: ,S/O7 Phone: 6-5I—lot0335 Email: rg1 SW{ fStIG; 4,-vvitpki vi4
License#: 5.c.-63744 .Z 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:
NOTE:Plane nd supporting documents that you suibmit areconsidered to be public information :Portions of the information maybe
classified as nonpublic If you provide specific reasonsy hat d permit the'C city to"<conclude that they are trade is
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.nopherstateonecall.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 o
x vl C 1 dj 4- 2
Applicant's Printed Name Applicants
DO NOT WRITE BELOW THIS LINE goo 4U/1/14/ Il /2c(. /. t �
SUB TYPES
Foundation — Fireplace — Porch(3-Season) Exterior Alteration(Single Family)
444 Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex _ Lower Level — Pool — Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
4., Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace — Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ,'
Valuation ,,-f , Occupancy , ', MCES System
Plan Review Code Edition , i_t_riaAatlif KSAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ° Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) /` Final/No C.O. Required
Foundation Foundation Before Backfill Xi HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: _Footings Air/Gas Tests Final
X` Framing 30 Minutes 1 Hour Drain Tile
l Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Ile , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
t
Plan Review (11 (It'll ,,
MCES SAC
Al 011
City SAC r‘6v.
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
ill )Copies ,
TOTAL "
if
' Page 2 of 3
For Office Use
Permit#:
0208
EAGANPermit Fee:
Date Received: )--Z1/1213/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoections@cityofeagan.com
2020 RESIDENTIAL) BUILDING PERMIT APPLICATION
Date: 21'1 - L� !Site Address: U c � vt n Rg Unit#:
Name: ('U c..�� /(4 rn�.e tf Phone:
Resident/ � a
Owner. Address/City/Zip: 7 Cc SA /u v�cc L K--n& Eeco AA- 5- r 2-Z.._V
Applicant is: Owner Contractor
Description of work: '1 t yr cXv,,e; e4 �-` Z<_)
Type of Work
Construction Cost: 6; t Multi-Family Building: (Yes /No V)
Company: $c--0,-kC rG�nJL � Contact: Rnr Y Ul �LCSC
Contractor Address: 1-1.(e-7 -- T f ,4 kNeti.36 'PO City: tic.letL1
Stater/ Zip: ,S:-1Z7 Phone: (tel ail: r e 4c4c �A-k.(ovifkq- 7
Gu y
-meq/
License#: o �UIOZ 263/14} Lead Certificate#: �'f4-7 - �14 1
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be:
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in 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 i not to start ho a rmit; that the work will be in
accord ith t/ oved plan in t cas of work which requires a review and approval • •lans.
x
f
x /
A,t lic T s Printed N me Ap.lic-r;'s Sign ur
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175949
Date Issued:04/22/2022
Permit Category:ePermit
Site Address: 980 Savannah Rd
Lot:1 Block: 3 Addition: Lexington Square 4th
PID:10-45078-03-010
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Chad & Danette Mcdermott
980 Savannah Rd
Eagan MN 55123
(612) 268-8135
Dean's Home Services
6701 Parkway Circle Suite 600
Brooklyn Center MN 55430
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature