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1561 Sherwood WayCity o(6akau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 2 9 2 Use BLUE or BLACK Ink Ems=52 Permit Fee: %/S51.- Permit /S Permit #: Date Received: -Staff: 2011 RESIDENTIAL PLUMBIN63 PERMIT APPLICATION -Z.TeDate: 11141 (1 Site Address: I Eel ro 2-2- Tenant: nant: J Suite #: RESIDENT / OWNER Name: Ct �� v ( 2411 J phone: t '—rZ —O ", Address / City / Zip: --aILS / CONTRACTOR Name: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50Th ST EAST City:INVER GROVE HGTS. State: MN Zip: 55077 Phone: 651 .451-2241 Contact: BILL.MILBERT.; Email: TYPE OF WORK _ New replacement _ Repair _ Rebuild _ Modify Space _ Work in.R.O.W. Description of ork: PERMIT TYPE RESIDENTIAL Water Heater Lawn Irrigation [ RPZ / _ PVB) Septic System New Abandonment later Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System NaLov ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $�� CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities.- www.aooherstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x i IYL I Applicant's -Printed Name x I Applicant' Signature SEWER SERVICE PERMIT CITY of EAGAN 3630 Pils;t Knob Road pER MIT NO.: 7-3-83 P. O. Box 21199 DATE: 1 Eagan, MN 551T1 R No. of Units: Zor1n0 ToIiefSOn 3lclxs Owner. Address: c I15G1 Shert+o 3rd Lll B3 Britten Site Address: Ganz R an 100.00 pd Plumber. 4 StRx? Y?-16-i3 ?' ASS Q') ,xl, ,?c 1.9res to son"* w0 dw CRY Of 90"a Carmdlon Charge: Ar=ount Deposit; 1 00 Ordine Permit Fee: . Surcharge: Misc. Charges: By Total: Dote of Insp.: D.% Paid: Insp.: WATER SERVICE P 41tT PERMIT NO.: 7 - 2 9 - 3 DATE: Site Address: ?1 Z [? n Plumber pAter No.: Size: Rood it No.: wok fbe CWI Of save 1 go"* t'0 Go"* oraa.eess. BY Date of Insp.: Connection AcCOunt DevOslt- 10 Permit Fee: . SO Surdwrir: b , Misc. Charges: Total: Dots Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCCEIVED FrRom AMOUNT s DOLLARS loo ? GASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You C- B Y _ _ _ _. ,s-F•-,:,sue ., ?,r . . ,em??rw?p-re.?? :-Tr CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 r- BUILDING PERMIT Receipt # L- I `~-, Est. Site Address 1561 SBEiZLri1Ae WAY Lot I I Block _A Sec/Sub. ?4I1LlOL3lD Parcel No. W Name DANIEL MA WEI-1- 3 Address 1561 SE11111111000 WAY City EAGAM Phone 4116-5420 o Name HAIMLL MMMU1CTION OUQ Address 602 E WARREN City LUVERNE Phone (50I) RI_4645 Name Address Phone hereby acknowlege 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. Signature of Permitee , L--• e A Building Permit is issued to: MAMLL CONSTRUCTION on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official f ? iy j -l Occupancy Zoning (Actual) Const (Allowable) * of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY S2! W FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Accl. Deposit S/W Permit S/W Surcharge Treatment Pt Road Unit Park Ded. TOTAL 1.00 26.SO Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments FootingsI Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Ptbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. T l7 QyGt^ f CG Deck Final 9 z (»+a;n 00r; Well Pr. Disp. Receipt = MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address-' 4. Owner 5. Contractor Permit No. . Fee S/C - Tot. -"-"lEo-t-_'?' Wk. -? Tract G 6. Address Phone 7. City. State Zip B. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New-0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM H Ai dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY 13F EAGAN* .? - Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Add'fess Lot Blk. Tract 4. Owner 5. Contractor ),!_i Phone 6. Address (_ f 7. City r ; State / Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. ' Fixtures Water Closet No. Fixtures ool/Drainfield Cess Bath tubs p Septic Tank Lavatory Softner - Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray - r ' Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Q.knfifiraft of (Orrupaury Citp of (Eagan igppartmmt of Builbing 3mipprtion This Certificate issued pursuant to the requirtments of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the follouing: uu CwNifinuoo SF DWG/GAR end` lmmic No 8023 R3 V NA Rl Owner Date: September 16, 1983 IMMIT IM A C ICUOUe 1 Cg . r. t CITY OF EAGAN 8795 Piet Knob Road Eeyen, MH SS122 : W PHOHEz 454-8100 BUILDING PERMIT Receipt To be used for SF DWG/GAR ' Est_ Value $94,000 I]nte May 16 83 Site. Address &av.L 04&6LwVVU ,.6y Erect ? Occupancy R-3 Lot 11 Block 3 Sec/Sub. Brittany 3rd Alter ? Zoning R_1 Parcel # 10 15302 110 03 Repair p Fire Zone NA Enlarge [3 Type of Const. V a Name Tollefson Builders, Inc. bi 16 55 Norwood Drive Move 0 Stories # . Address D Demolish ? 44 Length city Eagan 55122 Phone 454-6873 Grade ? Depth 43 Sq. Ft. r w.- n r • ---- --- ?- - oc Name 0 ~ OU Addree rie,. Nome _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Signature of Pennines sonBui ers, nc. A Building Permit is issued to: o e all work shall be done in accordance with all applicable State f inneso Building Official '- Permit yJ.-P - Vv Surcharge 47.00 Plan check 207.50 SAC 525.00 Water Conn4.50. 00 Water Meter 60.00 Rood Unit 250.00 Total $1954 . 'J0 on the express condition than f of Eagan Ordinances. Permit No. Permit Holder Mice. Permit No. Holder Plumbin g l nZ - h 7-Z7_n H.V.A.C. 3g??p GFN2- n $'3 Well Water Disp. Sewer Electric W4 t 3 6 Ea (E. ?lEc+ 4-14,8'3 Inspection Date Insp. Other Footings ?? 3 erz• ` ?? Foundation Framing Rough Plbg. -? Rough HVAC Insulation _ Final Plbg. Final HVAC Wq Final J / Water Describe Location: Well Sewer I Pr. D6. CITY OF EAGAN Remarks Addition 8rittan, 3rd Addition Lot 71 Blk 9 Parcel #10 150n.2 110 03 Owner Street 1561 Sherwood Way State Eagan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. C? 9 8 2 2 1 3 402.61 5 1207.83 A012901 10-11-83 STREET RESTOR. GRADING 1982 596.22 119.24 5 357.74 A012901 10-11-83 SAN SEW TRUNK d 19 Z6 43. 11 9.54 5 66.79 A012901 16-11-83 *SEWER LATERAL - 1982 -3830.10 T66.02 5 2298.06 't t' WATERMAIN *WATER LATERAL 1982 5 WATER AREA 0627 1982 296.92 59.38 5 178.16 A012901 10-11-83 * Services 1982 5 STORM SEW TRK 1982 628.22 125.64 5 376.94 A012901 10-11-83 *STORM SEW LAT 1928 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 35839 5-16-83 WATER CONN. 450.00 n BUILDING PER. 8023 SAC 525,00 ?t fl PARK This r.coast void G -?Q 18 months from 0 l w093660 LI(IS31 B1,t'44MA3''a 3$os -7 coq, so Request-Deee.. • Fire Ne. R.mo ,--eidn,lnspectiun ?Reatly Now II[I all Notify Inspec- Yes ?NO 'C'r tnr When Beady Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City action o. Township Name or No. Binge County Occupant (PRINT)) Phone No. Power Supplier _ Address Electrical Contractor (Company Namel Contractor's Liceno. 041t-D37 Mailin ddress (Contractor or Owner Making Installation) Authorized Signature )Contractor Owner Maki nInstF+llunl hone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS a?_.._ iwtol 9gT-nttt ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See D93660 instructions for completing this form on back of yellow copy. X' Be7ow Work Covered by This Request lgigN ER-00001.04 3305 -7 Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther Isperi tyl l or Specify UIULSh )LA Olher Compute Inspection Fee Below ' - # Fee Service Entrance Size # Fee Feeders rSubfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 15 0 to 30 Amts Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 10 Amps Above 100-Amps Transformers Irrigation Booms Partial,'Other Fee Signs Special Inspection 5 D TOT Remarks ? C /yC Fyt 1 IRouph-in / Date _ 1 /{7 .fir I he Electrical ?pector, hereby certify that the above Final Mattee1,. y/? pection has been de. This request void 18 months from CITY OF EAGAN Ng . 19596 .. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 OCh C BUILDING PERMIT Receipt # J 0 To be used for DECK Est. Value Date AUG 23 .19-91- Site Address 1561 SHERWOOD WAY Lot 11 Block 3 Sec/Sub. BRITTANY 3RD OFFICE USE ONLY Parcel NO. occupancy FEES Zoning - W Name DANIEL MAXWELL (Actual)Consl Bldg. Permit 25.00 o Address 1561 SHERWOOD WAY (Allowable) - s h 50 arge urc City EAGAN Phone 456-5420 x of Stories 52' Plan Review Length o Name MAXWELL CONSTRUCTION Depth 18' SAC City Q Address 602 E WARREN S.F.Total , SAC,MCWCC City LUVERNE Phone (507) 283-4645 S.F.Footprints Water Conn On Site Sewage w W Name On Site Well Water Meter w zi Address MWCC System u? aW City Phone City Water Acct. Deposit - SAW P it PRV Required erm I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of E gan Or "antes. Treatment PI Signature of Permitee r'41s APPROVALS Road Unit MAXWELL CONSTRUC ION A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- 1.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off, Copies Building Official Ll XI om, itfl' 1 III.,CI Variance TOTAL 26.50 t CITY OF EAGAN ?T N? 8023 5795 Pilot Knob Read Eagan, MN 55122 PHONEt 454-810 BUILDING PERMIT Receipt 0 ?! 5 ?3 To be need fen SF DWG/GAR Est Value $94,000 Date May 16 19 83 Site Address 1561 Sherwood Way Erect R-3 Occupancy Lot 11 Block 3 Sec/Sub. Brittany 3rd Alter ? R-1 Zoning oning Parcel * 10 15002 110 03 Repair ? Fire Zone NA E V nlarge ? Type of Const. W Name Tollefson Builders, Inc. Move p # Stories 1655 Norwood Drive Address Demolish ? Length 44 Ci Eagan 55122 Phone 454-6873 Grade ? Depth 43 Sg. Ft.- Owner Approvals Fees Nome - U Address Name Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment - Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit 91J.t/u Surcharge 47.00 Plan check 207.50 SAC 525.00 Water Conn450.00 Water Meter 60.00 Rood Unit 250.00 Total $1954.50 Signature of Permittee A Building Permit is issued to: Tollefson Builders, Inc. all work sholl be done in accordance with all applicable State,of tinneso Building Official on the express condition that f of Eagan Ordinances. RESIDENTIAL BUILDING Permit Application City Of Eagan W /H 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 # 3?q,75 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. R of tot, sq. ft of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (2(1% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions - Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations AddNon - indicate i/onsde septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 - Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date /C/ Co S' dress on ost Unit/Ste # Descri ion of Wo lt? 017 Multi-Family Bldg _ Y _ N Fireplace(s) - 0 _ 1 _ 2 Property Owner fig/W Telephone # qW) Contractor X W Address f VI /19 b02-74, State Zip /Z ? city ?j w - a&MIZZ L2 elephone # ( R (/ ?' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( b 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 apppro?al of plans. Applicant's Printed Name ppltcant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 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 ? 32 Addition ? Alteration 34 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs _ Type of Const _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Figs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) 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 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Building Inspector RESIDENTIAL J5?8 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reouirements • 3 registered site surveys showing sq. ft. of lot, sq. ff. 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 flan if lot platted after 7!1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE g J N I o RemodellReoair Requirements I C1 2 copies of plan • 1 set of Energy Calculations for healed additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions d C7 VALUATION 4,000 SITE ADDRESS `b I 6V erW fJJCd? MULTI-FAMILY BLDG _Y _ h TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDR TELEPHONE # `t i16- i CELL PHONE # FAX # ZIP J ?I PROPERTY OWNER M'LLe. C Qr tQ?S TELEPHONE # q'C1V _Q COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNEsl RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical S%stcm inCludcs: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state thaIthe ormation iihreP cif C" t I mply with all applicable State of Minnesota Statutes and City of Eaga Signature of Applicant --------- -------------------- ------------------ -- -- -- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 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 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) - Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water - F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace - R.I. - A r 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 Search Copies Other Total 1991 BUII.IIIK94LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: I l L{, Valuation: Site Address 15-61 J`+ r4'oOU LtAy Lot 11 Block 3 Parcel/Sub'SR17 A'Aj 1 3R0 A'yt"?/ Owner / Address lS ?° f7?a'°GO? ??` l? City/Zip C/od'e I!2417 f`f`! 2 2 Phone 7' S'6 "sy2G Contractor lftx& r4l ?O? ftr4c/ •'h Address G CL E WN ry '? City/Zip Code ??v??y^ ?N 5713 Phone j'67 Z F3 YS Arch./Engr. .?/'sX?vt (1/ L"an? /1 Address 6G Z ?C City/Zip Code . v.V-J-e r-'. Phone # ?° 7 2 cQ Y6 Y)- Date OFFICE USE Z -7 ` ( FEES Occupancy Bldg. Permit Zoning Surcharge Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length 152 Water Conn. Depth /G ` Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage- Treatment Pl. On site well Road Unit MWCC System Park Ded. City water Trail Ded. PRV Copies 10o Booster Pump SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. Variance Sewer/Water ice ed Contr. ?y°V / agrees that all uwrk shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. TolLsfson.Bullders Inc. JACKSON - SURVEYORS Or. 11359-1 183-76A Y/ Y REGISTERED UNDER LAMB OF STATE OF YI TA r 3616 EAST 55th STREET,MINNEAPOL IS, MN 55417 7273464 .1 Ouft por'Is 6rrtfficatt x ? Scale: 1'x40' a = Iron j / { 000.0 =Existing Elev. Drainage Drainage 6 Utility Easement , eN ?k ,? ?^ Proposed Garage Floor Elev. RCI:fl Y Proposed First Floor Elev. 101.8 Proposed Basement Floor Elev. 92.8 L P? 1 1 l . 1 I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT NAT OF A SURVEY OF S- 3 I 46 ' . 0 3J s ? 2 S'YbRY y I A, . !{OUSC u - If. \ Lot 11,Block 3,Brittany 3rd. Addition, I GMA" a /3 a?. 1 Dakota County,Minnesota. ?O J?4e O' As SURVEYED BY ME THIS 28th. -DAY OF April ,.D. 1983 7 SIGN[ T MT10M. NO. 3500 F. C. JACKSON. MINNESOTA 9011 y ? ?p CITY 'OOEAGeiN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For Va uation nJ Yi6fia Date aL3 1j33 Site Address i Lot Block Z_ Sec./Sub. Parcel #: I C> 1 Sob ?? b 6 Owner: P) bejMAf Address: City/Zip Code: Phone #: Contractor ?j Vfa0 LI,U HW6 Address: 1(75?i 1J0Y1A10f`k'1 IVPi City/Zip Code:-C1_ Phone #: Arch. /n-ig . . Address: City/Zip Code: Phone #: OFFICE USE ONLY Erect _dtOccupancy Alter zoning Repair Fire Zone 9114 - Enlarge _ Type of Const. iJ hove # Stories De oust' _ Front -ql ft. Grade Depth - `/3 ft. APPROVALS FEES Assessments Permit Water/Sewer Surcharge ?,/7 ? Police Plan Check 2 0 y?2 Fire ? - SAC 4o S Eng- ? - water cam. Planner Water Meter /oO Council Road Unit DSO Bldg. Off. APC TOTAL lQ`? Tallefaon Builders Inc. Or. 11369-1 183-ibA JACKSON - SURVEYORS v REGISTERED UNDER LAWS OF STATE OF Idll(Nl SOYA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 i $arbtp6r'a Cert{Htatt ,a r A i Scale: 1'.40' X I 0 )C /I it e = Iron / i 000.0--Existing Elev. I _y = urainage Jrainage n Utility Easement " & Proposed Garage Floor Elev. 10149 Proposed First Floor Elev. 101.3 Pr3pased Basement Floor Elev. '12.3 `r as IM ? JV V Pj I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF -- - 7 0 ? E a STORY I. Ho>>E Is Lot 11,Block 3,Brittany 3rd. 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J e t ?t? (f1717 ' ?? ftr . ? 1 ?'• Y a Y•.•1 y ..E illlst 'o Fa 71 1 1 444 , 4 , h r { CILA T;.-? ?INSUL?r TS kA1?S F? { f h k . t ~ ,' , 1 r i , Y r 1 yy 1. y r '? ia1 I 1 tti. 1 it Wo 00 T'? y' `rr Y?.. 1 ': F'N '{; II' ?' y? A" ii ?e t?? vs at •??a ?' TZQ t i ? - ? a1 yF a+Y^n qr? r - + ?. T .:i 1 .. ?' `• 1?`? v F Y ? a'r?l 1r ?, ? f- , t•+ S6.1r .?e.:i: ?.?1_:..?y r•??'r'?. ? : J .h t??.,`iy 1 w??-? f1 ?.+ir vl e4.,?? :, `..="I+ti:3Y=Yvy ?:?4 :i d? a `?? If PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit S --2,0 Date h` l /7 l Site Address /!! 61p Q W 4Y Unit# / y?yjyZ7/?W n Property Owner /k j ? C/rc ??ys Telephone # ( ) .n M Art- 7/ y01 / Contractor Q/t- {? / Address e 4 `t 6 QC.t_.C,., L City State / p LQnU ;? go u e, Zip ?N Telephone # Z//O/ - 41112 y The Applicant is Owner V "Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and IvIPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures 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 $ 15.00 replacement _ additional nn? . State Surcharge a III $ .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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start witho a permit; that the w will be in accordance with the approved plan in the case of work which requires a review and approval of p be11gis PjpeJA?Q.r- Applicant's Printed Name Applicant's Signature 4? sz:) 41? City of Eap ? j T w V JUN 1 1 2009 -r ----------- Permit #: U j? O 16'1 7? I I. Permit Fee: w ?lJ I I I j . Date Received: I I I Staff: j - - - - - - - - - - - - ---- - --- 2008 MECHANICAL PERMIT APPLICATION Date:s Site Address: 1561 511geweow i Tenant: Suite #: RESIDENT / OWNER Name: HI t E CfeN 0,* 6 CGS Phone: 6S/- D/I L/ #E" C,04 W A Address/ City/ Zip: J&l J '' II "' CONTRACTOR RLZ-SB3 31f62- Name:/'OUG7 /-7Cc>A 17?cs4TfN?? At f- Lft; ? /O y (? tf I L L/ dl S? Address: // /' City: ?f145-r,,45 State:JLAJ Zip: SS033r - Phone: ?SI y?? yy7? Contact Person: ;v- ?fsvY?r4-Z'- TYPE OF WORK -' New .V-Replacement -Additional Alteration _ Demolition Description. of work: f ke c iH C ?r`? t5/ Y ee m n t ? r e s rte IND, r e q a?? .1191- c t o ? a r h ry a ? e 4 ESIDENTIAL h a s p h „ ? d R COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit ' HVAC units must be screened -Heat Pump Under / Above ground Tank (_ Install / Remove) Other " When installing/removing tank(s), call for inspection by Fife Marshal and Plumbin Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) . 00 50 $ - TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50.. If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate:. that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X !f ?n1119t4G ?-.. - eoy6F /411 ell` H?afT'>????. x Applicant's Printed Name Applicant's Signature