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2018 Shale LaneCITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199. Espn, MN 55121 PHONE: 4548100 BUILDING PERMIT To be wed fer Rj-.GE $2,200 Site Address 2018 S:iALL f,%' Lot Block 1s ib. C.r',i ;I<<JV L Parcel No. Name Address City Phone Name ';AME Address I- City Phone G°L Name W 13 Address trz. City Phone I hereby acknowledge that I have rood this app the information is correct and agree to comp State of Minnesota Statutes and City of Eagc Signature of Pernittee A Building Permit is issued to: BRT'(. all work shall be done in accordance with all c Building Offidol and state that all applicable Receipt Date - Erect ? Occupancy Remodel ? Zoning Repair ? Type of Const. Enlarge ® No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Install ? Assessment Water & Saw. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date State of Minna Surcharge i Plan Review SAC Water Conn. Water Meter Road Unit Parks Total ' an the express condition that Statutes and City of Eagan Ordlrwnces. Permit No. Permit Holder Dow Tole hone it Plumbing H.VA.C. Electric Softener Inspection Date Insp. Other Footings 6 w Foundation Framing Roofing Rough Plbg. Rough HVAC Insulation Final Pibg. Final HVAC Final Cwt/Ooc. Water Describe Location: Welt Sewer Pr. Disp. CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE Lot 2 Blk 2 Parcel l0 16703 020 02 Owner 1 L/ r) Street 2018 Shale Lane State Eagan, MN 55122 . v Improvement ._.. Date . . 1 1 , 1 Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1 304.00 52.16 25 Paid WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK r- r 1N SFEU ION REUORll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: lilt APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: 10 MARK 'is Pr ki)O F 011F '110 `i I (IPM 0AMA$I .r.4fi Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7-. ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLDG 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 EAGAN TOWNSHIP BUILDING PERMIT Owner ...... ....... .. ..... ................ . Address (present)=?....0.1 ............... ...... Builder ......-•- ....... ........................................... Address .................................................................... DESCRIPTION N° 1197 Eagan Township Town Hall Date Stories To Be Used For Front Depth Height Est. Cost ermit Fee Remarks l/ v LOCATION Street, Road or other Description of Location Lot Block Addition or T raact i ? 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 B?XEPT ON THE PRE SE WHILE THE WORK IS IN PROGRESS. This is to certify, that .. ..................................................has permission to erect a............ ------.......... ,................upon the above described premise subject to the provisions of the Building Ordinance for E Town ip adopted-- April 11, 1955. \ ................. ........ Per ... ?. ............. hairman of Tnwn Board Building nspector , e.6 EAGAN TOWNSHIP No 977 BUILDING PERMIT Owner -=... DD ..._ ray..---:..C?dDw..o.. ??`.j ?.?....._ - Eagan Township Address (present) ... i0..+_- - -..../.C!.S+T.Z Town Hall Builder ....... ....... - ... ?/7 10.3 .. Date ....... - Address DESCRIPTION Stories To Be Used For Front Depth _Height gEsstt..r Cost Pergmit Fee Remark, ,5- /r i1 i, jV 3 afsfLOCATION Street, Road or -other Description of Location Lot Block Addition or Tract r 3='F= ¢-" -- -- -- --- 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 BE KEPT O%THE PREMISE 3VHILE THE WORK IS IN PROGRESS. j This is to certify, that...11 '. ?_40k! ....------ ..(.......has permission to erect a._.L4i_.._a...L.L..."u°`.. /..."?........_.__upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. .............._....................._...-................_.. Per ....... _......_._...__. --.-' `!--`'^'^?`Z' Chairman of Tnwn Board / Building Inspector Q. 'B. ?' - CITY of EAGAN BUILDING PERMIT Owner ...1..:.......::?.:`........ ?.?......:? ............ Address (Present) -`°.?..C? ........? G . Address ... ........ J......... ............................. DESCRIPTION N9 3527 3795 Pilo! Knob Road Eagan, Minnesota 55122 454.8100 Date ... ...7-5-- ........................... 8iories To Be Used For Fton! Depth Heigh! Est. Cost l Permi! Fee l Remarks LOCATION 1% L/• O- 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, safely, 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 certify. .............has permission to erect a_.^..'.? .........'.'::`.::._.._upon the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan. n ........................L?.' __...'"`"'?' `.L....---..............._..... Per ----.....-... _............. ........................ .......................................... Mayo r ? Building Impactor Is N`_' I.- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.198, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt # ?5- / !{ T. 6. and I. GARAGE ADDITIgpvalue $2,200 Date MAY 20 , 19 85 Site Address 2018 SHALE LN Lot 2 Black 2 ?ec/Sub. CEDAR GROVE Parcel No. W Name BRUCE HOCKENSMITH Address SAME City Phone 454-2847 Name SAME ? s Address City Phone G Name z; Address .C. City Phone I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Erect ? Occupancy Remodel ? Zoning Repair ? Type of Const. Enlarge M No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Install ? Approvals Fees Assessment Water a Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit Y J V. J V Surcharge 1.50 Plan Review SAC Water Conn. Water Meter Road Unit Parks Total - Signature of Permittee I A Building Permit is issued to: BRUCE HOCKENSMITH on the express condition that oil work shall be done in accordance with a?Jgpplipoble of mprttaota Statutes and City of Eagan Ordinances. Building Official ?/~(? _QP qty of Satan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 6755694 Date: (0 Tenant: 2008 RESIDENTIAL BUILDING F- ---------- j Permit #: Permit Fee: Date Received: I Staff: I ----------------- APPLICATION Suite #: RESIDENT iOWNER Name:. -?? u P Address / City / Zip: 7w l U eS? Phone: I Applicant is: -Owner ?Contractor TYPE OF WORK Description of work: ' ecvo Construction Cost: Multi-Family Building: (Yes _ / No CONTRACTOR Name: S License #: 9? 0 z_4 I 1 Addre Z - W City: (kO (A) A/L Phone: ?'(rz G? - 5 _ Contact Person! State: Z?ipp::J'9V2! ?.F? " COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Res dential Ventilation Category 1 Worksheet Category Submitted New Energy Code Worksheet submitted 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: Plans and supporting documents that you submit are considered to be public information. portions of NOTE: . the infonnation may be ciassiSed as non-pubho if you provide specific masons that would permit the city to conclude that the are bade 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 applicalion 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 rase of work which requires a review and approval of p x D c x Applicant's PNm Name me Ap icant's Signet re Page 1 of 3 qakuL 500, 6-0 4ene RESIDENTIAL BUILDING PERMIT APPLICATION CITY of LOAM p UN MW Koo Rol O"M INN 35122 661.681.4476 3 till, e?edekeew+as 68aaaataal?anouse ra roaMaas saaWeaawm (poxm +wmbteawtaotekeedl 1setaEne?pyCekadedanfaM?daddMOra smpasapmano.i?goamawYaowwe?round+a?ntlohq? ekJ • tskaneytrwWorandidonsadedn 1addenergyCOWAMM . k*A%fhanaemedbye9*%4WfV4ddk a 9eAplasaihePftW0 OaP0rrefpWM4ftMM FftMD"oPWM t, "N' V"0t*WM30r1MWft DAZE V'R b SITE ADDRESS TYPE OF WORK MULTI-FAMILY BLD,Q _ Y _ N J FIREPLACE(S) _ 0 _ 1 _ Z APPLICANT ra.?ll C/! 57C11t)e5?I6H STREET ADDRESS _s2 01-? j;:LZXJ t k' V J' s qry <1 / TATE 43-? =IP Lt 9 - 3?? TELEPHONE # CELL PHONE # FAX #. 9S- L PROPERTYOWNER TELEPHONE#?` ^ COMPLETE THIS SECTION FOR eeM(ee RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA R US 7670 CATEGORY 1 _ (4 vAaft an aPe) • Paslft ekl Vadladon Cateymy 1 Wewksfant Submmd • Energy DwaWm Qdmftdorw SuWnftd . 1 1 murnbiv CoriftWor: Phbne # Plumbing system includes: _ Water Softener _ Lawn Sprinkler _ Water Heater No. of R.I. Baths No, of Baths Mechanical Contractor _ Mechanical system includes: "wet/water Contractor: _. Air Conditioning Heat Recovery System Phone # Fee: $70.00 R" # .1-------------- ---r------- -------------- -------- -.......... --.... --.. --------------- ..--------------- -------- - ------ I hereby acknowledge that I have read this opplica im state that the information Is correct and agree corr4* vftih all applicable State of Minnesota Statutes and City of Eagan Orc7fl ) y/? SlgrrahaaeuAppticanf CAL OFFICE USE ONLY VALUATION -4, cro Cerllficatea of Survey Received Tree Preservation Plan Received _ Not Required _ updated arcs Fee: $90.00 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg g 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. Aft - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair x 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation ?-7 Occupancy 9-3 MC/ES System Census Code 43 Zoning 2 City Water SAC Units 6 Stories Booster Pump Nbr. of Units o Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaVNo C.O. Footings (addition) Plumbing Foundation _ HVAC _ Drain Tile _ Other W ?N? w Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final Windows (new/replacement) - Insulation _ Retaining Wall 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 Approved By Building Inspector Total PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 6 3 2 (612) 681-4675 Date Issued: 07/22/98 SITE ADDRESS: P.I.N.: 10-16703-020-02 2018 SHALE LANE LOT: 2 BLOCK: 2 CEDAR GROVE #4 DESCRIPTION: STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL ;1 It , t REROOF 4,uildir€g_Permit Type Building Work Type ,'Census Code I ? REMARKS: REROOF DUE TO STORM DAMAGE. FEE SUMMARY. CONTRACTOR: OWNER: - Rppiicanc - SINGH CARLTON 2018 SHALE LANE EAGAN MN 55122 (651)456-9255 I 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) a (? 3 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 Q New Construction Requirements Remodel/Reoair Requirements D / • 3 registered site surveys 4 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: 7- DESCRIPTION OF WORK: AX STREET ADDRESS: a- LOT: BLOCK: PROPERTY OWNER CONTRACTOR CONSTRUCTION COST; 7,1 / CO -S?-o YVV1 &&v? SUBD./P.I.D. M Name: SEN(a I- C14 P- L T7) 1?4 Phone#: (/2) L/5G-92555 Last First Street Address: Z0 ! 5L74, Z ?2 rl f City State: H/? Zip: o?VZ7i Company: Phone #: Street City License # Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: '---- Registration #: Street Address: City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information State of Minnesota Statutes and City of Eagan Ordinances. / / , Signature of Applicant: 12-P OFFICE USE ONLY Certificates of Survey Received _ Yes No State: Zip: Penalty applies when address chang to comply with all applicabl IG% Tree Preservation Plan Received Yes No Not l OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex R 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 rAJrT•r1,fflV Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. _ Footprint sq. ft. Building Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units MASTER CARD LOCATION C;i?a r? . •yC O /? - C, ' OWNER YCP SM. L l STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING 7 3S2 * PLUMBING 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 HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER i Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? 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. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REVEALED CERTIFICATION -I certify that I have carefully inspected the above in which 1 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 z? /40 41; 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN To Be Used For: d24rg$ 0401710. Valuation: ,2?00 DO Date: 5 e 8g- INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Site Address: ?%o/r S.4ais "#jg, OFFICE USE ONLY Lot: 2- Block 2 Sect/Sub Erect Remodel Parcel # Repair Enlarge Owner ?sRUCrr ??ocNrin? ?// Move Demolish Address r,42Ig L,6,?&r Grade City/Zip Code c?¢e?,9N /9 ~^j d-S'1,2 2 Phone ZIrlyr z/7 Contractor vS? LMT Address City/Zip Code Phone NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN Arch./Engr. Address City/Zip Code Phone 11 APPanvet c Occupancy Zoning Type of Const 11 of Stories _ Length _ Depth Sq Ft Assessments Permit ?.? Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Parks APC Treatment P1 Variance TOTAL qD. Q' 24 O - f a -La 'Ir 23 J' - ! : •_tl L L4- T ,t- 44 21 20 i 19 17 16 15 _ L 14 _ 3 r 12 10 = __. B 7 - 6 5 4 ~ 3 2 :a 7 1 2 3 4 5 6 7 6 9 10 11 13 14 15 16 17 16 CITY USE ONLY PERMIT #: 7 D 159 RECEIPT DATE: I I-+ S "O RESWENTIAL MECHANICAL PERMIT APPLICATION crrYor EmAN 3$30 PILOT KNOB §W KAfi" MN 551 EE 651-661-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: /(-?Q-_O\ SITE ADDRESS: OWNER NAME: l tt W? TELEPHONE M ? _ EA4_ " p (AREA CODE) ?/ INSTALLER NAME; TELEPHONE #:: zi X 1 ? // ?l (AREA CODE) STREET ADDRESS: G-7 A l ,r -Nf_6L d A CITY: ,:tYT pCZr . Q STATE: ZIP Place a check mark next to the nermit work tune New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 r. furnace replacement • air exchanger ? r n i5 r air conditioner ? . • other ?i? o o Nature of work: ab L, cony _ State Surcharge $ .50 Total $q)?R_ Reminder: Call for inspecdons. S? r 4OF P Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECEMICAL PERMIT APPLICATION crrY OF Emm 3$30 PILOT KNOB RD EAEL EN, MN 551 EE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE] TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: (AREA CODE) STATE: ZIP: WORK TYPE: New construction Install U.G. Tank - Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing linspector. Fees: 1 % of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ xl%=$ (Base Fee) State surcharge calculate at $.SO for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 S/ f O l )J 16 RESIDENTIAL BUILDING ty{, U Permit Application o City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 New Construction Recuiremenb Remodel/Repair Reouiremenls office Use Only 3 registered she surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan - Can of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Red 2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate donsile 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 ?L U y? )t l l C ?-t ?i Construction Cost " ) J q alb Unit/Ste # Description of Work -'e to iq e-e M etUt Yy % Ndo KI Multi-Family Bldg - Y _ N Fireplace(s) - 0 _ 1 _ 2 Property Owner --J050llf E led h e r Gl C?LV/ Telephone #('I* ,'.) / ?? / - ?/ ? Contractor u1 Address • rr SJ St d iPf lP- State Ullm e 0 fa- C Zip ?J?? 5 S City U!L Telephone # ( (,954 y 5U - 04F/N 16 7S 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 (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor MAY 0 9 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 ordinance) and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wb' requires a review and approval of plans. Jan,ellc 0,.,360 , Applicant's Printed Name /is Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidgp ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. _ Footings (addition) _ _ Plumbing - Foundation IIVAC _ Drain Tile _ Other Roof - Ice & Water _ Final - Pool _ Ftgs Air/Gas Tests Final _ Framing - _ Siding Stucco Stone _ _ Fireplace - R.I. -Air Test - Final - _ _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search" Copies Other Total in It, Building Inspector 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. <1 15.C?b Date eQ -V l ?0 l 6 y V Site Street Address ,;7z2 Unit # (1) 3?LJ v2?r?r7 Property Owner Telephone # Contractor W go ?0? 1 e--oMJ Telephone #V. 6 h 346 -h? 4R {o Address _??L?D kq, -? 9e,4, city G State 9W4 Zip.J 3 The Applicant is: _ Owner t! Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Water Softener YWater Heater $ 15.00 11/ replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ Jlr &0 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ) S h J/d 4FPAct, P Applicant's Printed Name y¢ we_ab.? Applicant's Signature FRM4y 14 2004 ?? Use BLUE or BLACK Ink For 41 1 Office Use ~O~Q 1 Permit b l Cloy of Eq, I Permit Fee: 5 ads 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: all 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: >O(g Qse// Unit Name: 640el ' /yG Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor ZOA~J ap~~-de Type of Work Description of work: Construction Cost: llra 7:-~ / Multi-Family Building: (Yes / No i Company: ontact: Contractor Address: - City: .1 t7 State: ,~VZip: J / Phone: - s License de- (el 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of E the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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 Bui ding Code must be completed within 180 days of it issuance. x~ e~ x Applicant's Pr nted Name Applicant's Signature Page 1 of 3