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2041 Shale Lane* 'f". Q"' ' J 41095 PERMIT # 3/139 0 O? MECHANICAL PERMIT RECEIPT # • 01 50-9 CITY OF EAGAN , 3630 PILOT KNOB ROAD, EAGAN, MN SS122 DATE CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub New Res . Name Mutt Add-on d Address Comm. Repair c Cit Ph Other y one FEES Name HVAC 0-100 M BTU -$24 RES 00 . . c Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 TYPE OF WORK . . COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: _ SIGNATURE OF PERMITTEE S/C: TOTAL FOR: CITY OF EAGAN ?n 1 V) CITY OF EAGAN Remarks * Cs squisit4on Addition.. CEDAR GROVE #4 Lot 1 alk 1 Parcel 10 16703 010 01 Owner = L' ?j Street 2041 Shale Lane State Eagan, MN 55122 11 ( 1 Improvement Date 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 Request Date l t0 Y Fire No. Rough-in Inspection Required? ? Ves No Ready Now ? Will Notify Inspector When Ready? k icensed contractor ? owner hereby request inspection of above electrical work at: Uoh Address (Street. Bi or Route Nc.l 14 Q0 I Ln City Ea J Section No. Township Name or No. Range No, Co I Oca m IP ? Phone No. Power Supplier Address Elecva tractor lGO pany Namt6? Co [recp for§UOe Isi N? Mailing Adore ss ^ontrador or ne too r Making lln,milri ion) I- ,(FKfl1-i 'ts Aut d Sign lure IConv qner Making In m sh.n) ?? a Phon umper 355 MINNESOTA STATE B R 'OF LE RICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlwey BId R in -1T3 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. S el. M 100 UNLESS PROPER INSPECTION FEE IS Phone(612)662-0800 ENCLOSED. DTQ94 REQUEST FOR ELECTRICAL INSPECTION ? See instructions f,, completing this form on back of yellow copy. "X" Below Work Covered by This Request ?25A E-00001.08 ° An :?`S5'J New Add Rep. Typeof Building AppliancesWiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner I Other (specify) Contractors Re arks. I ?ns-?c?-Q- -•e.w I {ch on P /G Compute Inspection Fee Below.: # Other Fee # Service Entrance Size Fee # Circuits/Feeders _Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspactor5 Use Only: TOT L Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final 115, a o ?, OFFICE USE ONLY ? / This request v kl 18 months from 4 9 0 9 5 Request ete 3 1 , k Fire No. Rough-in Inepedion Required? \' ?O Reetly Now ? Will Notify Inspector , ` I - , 0 ?Yea No When Ready? .licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range Nc. County Occupant (PRINT) ' J? A?' t? r Iae? ) Phone No. V S ,?- -S 1 V ] C Y e 7Slj c?jC. Power Supplier Address Electrical Contractor (Company Name) Conkactorb License No. Ie r I Mailing Address(Core mctoror O.ner Making Installa?n) yrS' ?? /? "" m rv > i c YY \ { • a r Ct I a t ] , \ , l l J 1 ? v Authorized Signature (Comractor/Q,voer Making I a8aiion) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gdgg"Idemy Bldg. - Roorn 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peal, MN SWU UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENCLOSED. S v REQUEST FOR%LECTRICAL INSPECTION ll Sae instructions for completing this form on back of yelbw copy. P.- 4 9 0 9 5 "X" Below Work Covered by This Request ?^- r U ew d Rep. Type of Building Appliances Wired EquipmentWlreit Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner other (specify) Comractcr9 numerics: Compute Inspection Fee Below., # Other Fee # Serv ice Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps - 0 to 100 Amps Transformers Above 200 _t Amps Above _ Amps Signs Impectort Use Only: ? 0 TOTAL Irrigation Booms II '' d t,?• Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in "- 01!7 007 Date certify that the above inspection has been made. Mow OFRCE USE ONLY - This request wid 18 months fmm 111i8191 1i-78 H 31929 ? 0 Request Date Fire No. ough-i;.tspeeti0n Aequmid, eatly Now ? Will Notify InsPactor ? yes ? No When Ready? I ? jicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No. City ZV Section No. Township Name or No. Range No. coumv- C/ Occupan?INT] Phone No. Power Supplier Electrical Contractor Complain Name) Contractors Lcense No. o a/f ?d fL?C , D od 9 Mailing Atltlress (Contractor or Owner Making Installation) o a f1 Author Signa 1 aotorl Wrier Making in aJulian) Phone Number xr/ MINNESOTAOSTAT ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Orlgge-MlOway BI g. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED. M 31929 REQUEST FOR ELECTRICAL INSPECTION ji? See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request ?mF?'h E6-00001 08 New Add Rep. • Type of Building Rppliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Cont971- marks'. v?Ka /y? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feedars Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Signs Inspeaor5 use Only: L TOTA Irrigation Booms ?p Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final oat9 OFFICE USE ONLY This request void 18 months from EAGAN TOWNSHIP BUILDING PERMIT Owner ......1..L..?X!c ...............?//?iy/?... ? ..?-'-----------' Address (Present)..... ..-..ly..1,2.,R4 .,,f..-----...--.-.. Builder ....... Address ..... ------------- DESCRIPTION M 1062 Eagan Township Town Hall Date ...A.ah/io?.?.............. ........ Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks 6? V 01 ?-t91 .. o °? LOCATION Sire Road or her Description of Location Lo! Block Addition or Tract 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 BEeEP O THE P.#iEMISE WHILE THE WORK IS IN PROGRESS. This is to certify, lhat._.4:.:...... ...'..?..p-_h----..._------._has permission to erect a... .r ......... .... ........ ` ......upon the above described premise subject to the provisions of the Building Ordinance for Eagan Towns ado ted April 11, 1955. p/// .......................... a tN---1-: ........ Per ....---".... .c1 tt -- i-.e7!- ------ _ Chairman of Town Board ` Sutldin Ins actor 6 t08, 6?S-0S` 2005 RESIDENTIAL BUILDING 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% maximum lot coverage allowed) 2 copies of plan sing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) ,? 70 Remode[ Reoak Requirements Office Use Only 2 copies of plan Can of Survey Recd _ Y _ N 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y - _ N 1 site survey for additions & decks Tree Pres Required'_Y _N Addtion - Indicate ifon-site septic system On-site Septic System _Y _N Date _(0 / Site Address CRb of 5hxr(Q Li, Construction Cost Unit/Ste # Description of Work Ka - Qeo? Multi-Family Bldg _ Y N Fireplace(s) Y 0 - 1 _ 2 Property Owner 74FY Floy<k^ Telephone # (K/) V_S_.;Z - Contractor &/dsYY. u?ho T G Address Ate W. Cb, /k? c?L State Al/l/ q ??? . Po 3 City < r/ 641? Zip S5%l 77- Telephone # (SOS-1 ?$ Z - :90 72 COMPLETE THIS AREA ONLY IF Minnesota Rules 7670 Category I Energy Code Category . Residential Ventilation Category 1 Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 2Q6-/1 `IL" P A UA Applicant's Printed Name Applr Signature A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted 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 EM. 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 (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 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 MCES System 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) _ Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco - Stone - 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 ?zc:???c?>kazr?????<?a???a?zc???caz?mm>rmm??ca?ucmau??cwc?: CITY 01:' EAGAN CASHIER. JS TERMINAL. NO, 943 DA'TF, 07/30/99 TIME, 12 :5O ID, NAME, SUTTER BROTHERS CONSTRUCTION 3210 9001 2041 SHALE L.N 111..25 21.55 9001. 2041 SHALE,: LN 2.50 I Total Receipt Amount, 113.75 CR1.14663 USER ID, JAN ?FitX? ?%?%kakYb a?>CC>g>R# #X??%xcaK *4Ck??kakak ?M>g sXaX ?X?%a"•?aK?a?aX%,ak 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) (? CITY OF EAGAN B RD - ?i 3830 PILOT KNOB RD 55122 651-681.4675 New Construction Requirement ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and gll roofed areas (2W. maximum lot coverage allowed) 2 copies of plans (show beam a window sizes; poured fnd. design; etc.) ? 1 set of energy calculations D 3 copies of tree preservation plan N lot platted after 7/l/93 DATE: _711e k 9 DESCRIPTION OF WORK: STREET ADDRESS: C>4 V `Z/-N, 4?6LC_ BLOCK: SUED./P.I.D. #: Remodel/Repair Reauirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions 3 decks CONSTRUCTION COST: Ot ?i 061?•oD PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: C e 1 1 V1 UI Phone #: Last kris Street Address: !?)? r 14A, it I _L City L " J Zip: vc? Company: ?rlTzF? AQoS . l?gr(??T_ Phone #: b 9 7-307 p / (area code) Street Address:-, >s- D wES rD.uf L .y • License # JC Exp. 11ZA9 City ?AC?1n/ State: m? Zip: l? Telephone #: area code ( ) Name: Street Address: Registration #: City State: Sewer 8 water licensed plumber (required for new construction only): Pen4lty applies when address change and lot change Is requested once permit is Issued. Zip: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabic Start.? of Minnesota Statutes and City of Eagan Ordinances. 1 Signature of Applicant / OFFICE USE ONLY C Certificates of Survey Received Yes No { it 6 i y Tree Preservation Plan Received Yes No Not Required \\l\1I i r OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC yCne 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan Blot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system -40 , `?O Office Use only Cert of Survey Rood _Y ._N Tree Pres Plan Recd - _Y _ N. Tree Pres Required _Y. _N On-site Septic System _Y _N 11510,p- ca.t. e Date ` L1 Site Address a0?? / 06 S?t?? Construction Cost ? .7000.00 ?he Unit/Ste # Description of Work ?yvtDt7t2, \\ kc-sA cV\C' V\ ? 01-,5 \-C, C > osc--- Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 _ 2 Property Owner M ` 'ur? u? `4 r^ E rkw-,Ck o, Telephone # (6S t) 4 $ a - ?? O ?S Contractor Sett Address State City Zip Telephone # ( ) 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 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 whi? yy; to ,V4? approval of plans. If11 l? I? Ark ? r-CAyVtenVnv\ IIJ;?tj JAN 0 4 2006 Applicant's Printed Name Applicant's Signature o t , 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/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair g 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 O©D Occupancy /T-3 MCES System Plan Review ./54-- 100% or _ 25% _ Census Code 4 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 Final Air/Gas Tests -Final Pool Ftgs _ _ Framing _ _ _ _ Siding _ Stucco Lath - Stone Lath -Brick Fireplace R.I. Air Test Final Windows _ _ _ Insulation _ _ _ Retaining Wall Approved By: _ Base Fee U Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Four! No. !-M - WARRANTY DEED Individualts) to Individual(s) DEED TAX DUE:' Date: December 9, 2005 FOR VALUABLE CONSIDERATION, Mary Floeder and David J. Haslund II, wife and husband, Grantor, hereby conveys and warrants to Tanya S. Erdmann, Grantee, real property in Dakota County, Minnesota, described as follows: Lot 1, Block 1, Cedar Grove No. 4, Files of the Registrar of Titles, County of Dakota State of Minnesota. together with allhereditaments and appurtenances belonging thereto, subject to the following exceptions: easements, covenants and restrictions of record. Check box if applicable: ? The Seller certifies that the seller does not know of any wells on the described real property. ? A well disclosure certificate accompanies this document. ? 1 am familiar with the property described in this instrument and I certify that the status and number of wells on the described real property have not changed since the last previously filed well disclosure certificate. Mary Floeder M. 10dorl Attorney in Fact Affix Deed Tax Stamp Here in Fact STATE OF MINNESOTA COUNTY OF HENNEPIN This instrument was acknowledged before me on } 55. December II and Mai by M. in HOLLY M. PELMER Notary Public-Minnesota ConYtlWlon EK res.Mn 31. YUW -------------- THIS INSTRUMENT WA5 DRAFTED BY (NAME AND ADDRESS): Edina Realty Title 6800 France Ave. South Edina, MN 55435 Grantor. Check hereY part df all of the land is Registered (Torrens) O Tax Statements for the real property described in this instrument should be sent to (include name and address of Granteel: Tanya S. Erdmann 2041 Shale Lane Eagan, Minnesota 55122 -I l?l?q 2006 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. Date I 4 1 06 Site Street Address Unit # Property Owner NUv??- +-?rA`^yCA 1PY1`V'1-cnVVV\ Telephone# (1St) 45c)',1?70? Contractor Telephone # ( ) Address City State Zip The Applicant is: 1?Owner _ Contractor -Other Refurbished Submit 2 sets of plans and MPC license Septic System - New Includes County fee - $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 If a 518" meter is required) Other: Water Softener Water Heater $ 15.00 - new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 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 be reviewed and approved E VEwl7E D (?.rk k ru? w« n r - Sad7` &e?1?---- V Applicant's Printed Name Applicant's Signature 1AN 0 4 2006 7?03? 2007 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. Do not combine inside and outside plumbing on the same application; separate applications and permits are required. Date / 12 / ?00-1 Site Street Address DZ41i &b,0e_ Lne Unit # Property Owner ?cnrk E.?M^wtny? , I av' y G-:4%W `Yr '\ Telephone # (()1).) 363-7-13)- ( ) Contractor Telephone # Address City State Zip / The Applicant is: v Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a builrlin . Alterations to existing dwelling $ 50.00 Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same, time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $136.00 if a 5/8" meter is required) Other: - V Water Softener _ Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 15,50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and 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. Applicant's Printed Name Alfplicant's Signature qqolj& 36,50 2ow RESIDENTIAL PLUMBING PERMIT APPLICATION ?J-zwi CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 66122 661476-6676 Please complete for modifications to existing residential dwellings. Do not combine inside and outside Plumbinq on the same application; separate applications and permits are required. Date -7 / )-7 / )?7 Site Street Address 21-ON k SYtule Lx ,e Unit # Property Owner Telephone # &2-) Contractor Telephone # ( j City State Zip Address / The Applicant is: v Owner & Occupant _ Licensed Plumbing Contractor Septic System _ Now Refurbished Submit 2 sets of plans and MPC license Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing r airs are made to a building. Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. H you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. -Septic System Abandonment Water Turnaround (add $136.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 - new _ replacement ebuild i v L I i ti RPZ "s 00 $ 30 r -r aw n rr ga on _ _ -new repa . State Surcharge $ .50 T t l $ 3o sO o a 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. A _ - ?+^? ?vrlw?r? ill Vw Applicants Printed Name Applicants Signature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan CSSACI? 3830 Pilot Knob Road, Eagan NIN 55122 114 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 (2g% maximum lot coverage allowed) 1 Soils Report it proposed building is to be placed m disturbed soil . 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservatian Plan if lot plaited after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Unnegasco mechanical ventilation form RemodelrReoe r Reouiremenls 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks AddtYon -indicate don-site septic system Office Use Only Cert of Survey Read _Y. _N Soils Report . _Y --N Tree Pres Plan Recd Y 'N, Tree Pres Replied `. Y -.N On-site Septic System _Y _N Plans are ronsirlered nublic information unless you state thev are trade secret and the reason. Date 10 / l1 / Site Address a.CSy` S)nu`21?h2 Construction Cost 3r0to't o Unit/Ste # Description of Work ' -A& WCA11s 11 11 \\ \ 1 Multi-Family Bldg - Y e-N Fireplace(s) ? 0 1 _ 2 Property Owner 7Cxv? .JCA, ?r Mky'\?- E '^ Telephone #(65li Contractor no1)p- Address State city Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cawzorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d 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 A A:7 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 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. I 10.rk. ?yc?yr0.tN^ Applicant's Printed Name " - Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvaes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck eA 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage-Yes Valuation Z)30-00 Plan Review 100% or 25% Census Code ??JT SAC Units # of Units # of Bldgs Type of Const Occupancy ?G MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width - Footings (new bldg) - Footings (deck) - Footings (addition) Foundation _ Drain Tile Roof Ice & Water Final p Framing Fireplace _ R.I. - Air Test - Final Insulation REQUIRED INSPECTIONS Sheetrock Final/C.O. Final/No C.O. HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Brick Windows Retaining Wall Approved By:. I , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex øîø ïñ û ú þýý üòü ûýýïûîð ï ò êî ý þ ü þýø ùø÷öõôø ó öõß õôø àø õ ë ìø ëø÷ â úù û õ ú ý ãîîÿî ïø öâ þâ á âû ëôñáõ ëðåéÿéîÿÿ ÷û ùø ôçåéãéã öñõ øôó õõ ù ÷ øë÷Þ Ýèï ö ùû ë þâ á îù öëøâßîî û âß ñ ýþðî þý ÷ö ê õõ ë ëõö õõ ÷ù â ù ø ïö û é õõ è ëù ø øöù ø A Mark Erdmann 2041 Shale Lane Eagan, MN 55122 (651) 452-2708 SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK. Upgrade to 200 Amp Electrical panel Demo existing kitchen cabinets Remove old gas appliances and run new gas line to furnace - Remove existing kitchen soffits -- Cut full height wall at stairwell down to half wall and remove door — Remove sheetrock & insulation as needed for plumbing, heating and electrical rough in's - Remove old plumbing and electrical not need in new Kitchen -- Remove old heat registers from walls Rough in Electrical for kitchen Rough in Plumbing for kitchen - Rough in Heating for kitchen -Insulate and poly in areas previously removed —Hang and Tape sheetrock Remove old flooring A VAPOR BARRIER MUST BE Install ceramic flooring in kitchen and entry INSTALLED ON THE WARM SIDE OF Install cabinets and trim kitchen ALL WALLS AND ATTIC CEILING. Install Electrical devices and lights Install Plumbing fixtures Install grilles and registers Ci Cap Kitchen Remodel Scope of Work Master Closet Scope of Work Remove old Plumbing fixtures Remove and/or cap old plumbing pipes Remove old bath fan Remove old flooring Rewire for ceiling light `Hang and Tape sheetrock Install Electrical devices Trim Carpet E DETECTORS"r' REQUIRED ON LEVELS AND IN ALL MEOWS ROOM& CONTAINING SIEEMIIS ALAS. LOCATE SMOKE DETECTORS IN OF THE HOUSE ON LEVELS CENTRALLY HALLWAYS. APPROVED PL.AM� Mti,r r F EMAIJ'J ON J03EGAN S : REVIEINE DATE BUILDING INSPECTIONS D MON -71998 "ON SUMS OP tat MORE RISE%, A GRIPAlLE IW Aft, EQUIVALENT TO 1-1/2" TO 2" DIAMETER AND MOUNTED [ r':1EEN 34" TO 38" ABOVE TREE 1 11Y3 IS REQUIRED ON AT SIuE OF THE STAIRS. -11998 FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES 24" 51" 12" 36" 30" 554-" 24" 30" V 24" 36" 37 ;" 18" 4 :,.---znS11--Na'f--i-:---'1.';':":--IVASUZIWAVVi41-';';',PigsfAttil-VrizMeAglg:''P-'n-,MZ1*1--g'R'M1V11t4ZWr - , I -z.. ildVi23/ - \ OL _,I _,..1 I --11,:-' -.- •--• • to 7 .4- 1 1-- '----,- ._ /to r— to I -- ,,,_________; . , IL i I 1 1 ' . , W2430 j W3612 t 33R.RF1-DD If 1 %It P-4 `rr c 1 12- 424" 33 r 24" 24" 11 i 184-- 11 111" 1 All dimensions _size designations given are I -object to verification on job site and adjustment to fit job conditions. This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 1/2106 Printed: 1;2/06 B270e69e.kit Fp 1 Drawing #: 1 �I9 X / MOU/L / I TI^s )3# Th 466 N4Iv l= I+�tUh�af 1 19 9g