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3080 Shields Dr
SEWER SERVICE PERMR CITY OF EAGAN 3g30 Pilot Knob Road PERMIT W : P. O. Box 21199 DATE: Eagan, !VIN 55121 e No. of Units: Zoning: _ --- Owner: Address: Pr { 1 v ; _ Site Address: i' . Plumber: 100 t?Upd .. , . 01.' rt3 n to fit' wtlh do III of I "a" of Insp.: CAnnaotion C3"Jme• Permit Fes: Surahor0a: it v- 0110rgas: Total: Dote Paid: CITY OF EAGAN 3830 Pilot Krt_) Road P.O. Bor.. 21 Igo WATER SERVICE PERMIT Eagan, MN 55121 PERMIT NO.: - Zoning; _ DATE: Owner. o ZnC No. of Units: Address: SiteAddess: 84 hielda Drive f] 07 I-A 3.2-. Le% Lk T Plumber . S Meter No.: Size. Connection Charge: 5(?rl nn..a Reader No.: Account Deposit: 1 S nn_=? agree to comply with the C of ity Eagan Permit Fee: t f1 nOn d ' Ordinances. Surcharge. qD a Misc. Charges: By Total: i Date of Insp.: Date Paid: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3630 Pilot Knob Road P .O. Bf PERMIT NO.: $1&_5 Eagan, N..y 55121 DATE 31 4.__A6 Zoning: No. of Units: Owner. Eno Inc Address: (,n Site Addess: 3080 Shieidg Drive Y Lfi- B2 LeYa Lk Hills Plumber v p Meter No.: jFk? r C??r ?t I,a SQO A0PA Size: S R'' IQo c f ItF` ].? QCIP13 7b7 I-TI e 0(?1??F 1Q QQ?d Reader No.:4 I agree to comply with the CItj%* an Ordinances. ?QUMI Charges: 156 nod TI! c Total: 63.511 inutur By a? Date Paid: Date of Insp.: Insp.: a-/7-87 TY OF EAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gon, WIN 55121 DATE: Wing: No. of Units: mer. Addi to of I CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: "i P.O. BRx 21499 DATE: 11 4 -8 Eagan, MN 5:- 111 Zoning: No. of Units: Owner. Address: t ti A 111 s ° nr i z' i< 1 ft S 1 r 2a - Site Addess A0.. 0 --- Id Plumber. Meter No.: Connection Charge: 1 S nll?r? Size: Account Deposit: Permit Fee: 14'_?Q'nsz Reader No.: 1 agree to comply with the City of Eagan Surcharge: 5 n ,1 L, Ordinances. Misc. Charges: -? Total: p vs ter By - Date of Zoning: ?-- Owner. Ram Address: Site Addess. 10811- Plumber jV7a?/17 Meter No.: rr / Size: Date WATER SERVICE PERMIT 1 '2'1 .11 PERMIT NO. DATE: _ No. of Units: I agree to comply with 11116 City of Eag?nt t `>? ; G n n..,a TP Ordinan R? V Misc. Charges: Total: p a Date Paid: By Date of Insp.: Insp. g7 CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Bnx 211--9 PERMIT NO.: 1 Eagan, MN 55121 DATE: Zoning: No. of Units: Owner. Address: Site Addi Plumber: 1 egns to eepllr W16 Ms CRY of Iowa Connection Charge: ' 7 `i . l%Ctx; annonoom Account Deposit: ' • Odn Permit Fee: 1M. p, I Surcharge: Y .. By Misc. Charges: Deft of I rap.: Total: Insp.: Dote Paid: - CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Kno:- Road O 7 PERMIT NO.: t 1 G A i P.O. Box 2,"'99 DATE: Eagan, MN 55121 No. of Units: Zoning: Owner. Address: x r Site Addess: Plumber. Connection Charge: Meter No.: Account Deposit: Size: Permit Fee: Reader No.: 1th the City of Eagan 1 agree to comply yy Surcharge: Misc. Charges: Ordinances. Total: By -- Date of Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 PNot Kn& Road NO.: R t F,L• .O. Bo.: 21199 P.O. 11 96 4 Eagan, MN 55121 _ _ DATE _ Zoning: ---93 No. of Units Owner. Rswypo Address: Site Addess: Plumber. 3 7 "3 94/ ?Qnrrooa e: p4- R nom: I agree to comply with the C* of lm `' sc. Charges: -n?-?C ? Ofdina R- ? Total: Date Paid: Date of Insp.: Insp.' CITY OF EAGAN 3830 Pilpt Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: Address: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Site Address: Plumber: _ 160M to ==* who tw CNp of so". Ordi.osro s. By Doh of Insp.: inn,w' Connection Charge: - 4 7 .l Account Deposit: Pomit Fee- Surcharge: Misc. Chorges: Total: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: }:=k Owner. - Address: - Site Addess: WATER SERVICE PERMIT PERMIT NO.: >1 f,r, DATE: 11? - r_ r.--?( - No. of Units: Alegi Plumber. Val!" lQ•."Lne Meter No.: Connection Charge: ;pp Size: Account Deposit: Reader No.: Permit Fee: k8 nA--a I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: So rd mst4w By Date Paid: Date of Insp.: Insp.: CITY OF Road MN 55121 Site Addess: Plumber. _ Meter No Size. Reader No--4 WATER SERVICE PERMIT PERMIT NO.: ; 15 F DATE t 1 o No. of Units: - ??leac le: -j9A, 04p 15 QQ 4 I agree to comply with thean riblig OrdMa as ?G ?u1 I Eli sc. Charges: r? A? f o [.? Total: By Date Paid: Date of Insp.: ,,,,,,, a- /7-,?7 CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, G,N 55121 Zoning: Owner InC . 'Address: 'Site Address: !: 1 + Plumber: I asroe to a mph W" on City of Eela¦ BY -_ Date of Insp.: 3830 PIb EAGAN 199. Road PO• E;os 21 Eagan, MN 55121 Zoning; n Z Owner. 4Z r7p Address. Inc. S' 1? . 00pd - Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. chorus= Total: Dote Poid: WATER SERVICE PERMIT PERMIT NO.. ;;1 50 DATE: _ No. of Units: +tegddess: 3U8r,) le2ds j, Plumber: v rive r=- MeterNo.: alle•r PIUbin. i i 7 n? eF? Size: aY Lk II Reader No... Connection Charge: 00p'd I agre8 to c°mp1Y with the Account Deposit: Z 5. (; Opd Ordinances. Permit Fee; City Fagan 'Surcharge: 10' 170p 13y Misc. Char -pd Total: ges: 155,1-11Pd Z,?, Date of Insp..- 53, Date Paid: ?f)r"? Insp.- CITY OF EAGAN 3830 Pilo; Knob Road P.O. 40 21195 Eagan, MN 55121 Zoning: ?t3 Owner. . Address: nIs WATER SERVICE PERMIT PERMIT NO.: 8159 DATE 11_ -86 No. Of Units: 8- Iex Site Addess: Plumber e 101 Lis- B2- LeMa Lk Hills Meter Nn .. 3 7/_ i I agree to con I? P Ordinances. With the city of a'--/T.- F7 SEWER SERVICE PEMW PERMIT NO.: DATE. No. of Units: r ;sex CITY OF EAGAN SEWER SRVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. Brix 21199 DATE: Eagan, MN 55121 Zoning: No. Of Units: --- Owner. 5. Address: Site Address: Plumber. 1.•in. ?'?? Connection Charge: r 'r r Qz .1 - 1 yree to eewoly wiNr the ? of GIMM Account Deposit: ?m Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Date Paid: ..Insp.: clTr of EAGAN A ,WATER SERVICE PERMIT 3830 Prot Knob Road ? PERMIT NO : 1 y{ c P.O. Box 21199 DATE: -plex Eagan, MN 5512,1 Zoning: No. of Units: Address: - Site Addess: Plumber: - Meter No.: Size: Reader No.: ' 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: 3830 Prio*Knob Road P.O. Box 21199 Eagan, MN 55121 Zoning: P3 WATER SERVICE PERMIT PERMIT NO.: 8161 DATE: 11-4-86 No. of Units: 8-plex Owner. Rayoo Inc. Address: SL i Site Addess: 3080 Shiel-_'s Drive #JjU9k& E--_? Lc.: Lk Itilla Plumber: - Meter No.: y"" 500.00pd 1 0 ize: L o U U u.s 030 &7 15, QQpd eader No.: } ?t? sgtoo to comply with the C Eag l %h g 50= d rdinances. I)Eciu%K% Charges: 1 56 _ M)PA TP Total: 63 Qpd f.et__ By Date Paid: Date of Insp.: Insp.: Connection Charge: Account Deposit: Permit Fee. - 10 Surcharge: - - Misc. Charges: Total: Date Paid: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Site Address: 10--`Q t, , ,• , -, t7ria -- fl 7 Plumber, 7 . + r r? t M? M 00=ply W" on Cit of 1 a o y 6960 Connection Charge: ff hnnes& Account Deposit: Permit Fee: By Surchorge: Date of Insp.: Misc. chorges: Insp.: Total: Dot6 Paid: CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN x,;121 Zoning:? Owner, a ,.. , Address: Site Addess: Plumber. s Meter No... ' Size: Reader No.: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CIT" OF U. QAN 3830 pilot Knob Road P.O.,sox 21199 Eagan, MN 55121 Zoning: ner: Address: -Site Addess:9 plumber. Meter NO.: ? I agree to comply with sxnw WATER SERVICE PERMIT PERMIT NO.: _ DATE: No. Of Units: 1.. -- - Total: Paid: WATER SERVICE PERMIT PERMIT NO.: n j 6 n DATE: 13 Ai -A(, - No. of Units: 2- P ;-x BY Date of Insp.: g CITY OF EAGAN 3830 Pilot, Knob Road P. O. 5o` . ,199 Eagan, MN 55121 Zoning: Owner: /Address: Site Address: Plumber: _ galley SEWER SERVICE POW PERMIT NO.: DATE: No. of Units: I or" to semoly Whit the chy of Iowa Ordinances. By Date of Insp.: Connection Charge: Account Deposit: ` Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 8162) P.O. Box 21199 PERMIT NO.: _ Eagan, MN 55121 DATE: Zoning: P3 No. of Units: 3--plex P.aypo Inc. Owner . Address: J? 1 3080 Shields Drive i`104 L-6 B-2- LeM.av Lk Hills SiteAddess: Plumber. Valley Plumbing 5', -9? a r" l ion Char e o.: -3 Z(9 6 500.00pd Size: Size: 15.00pd Reader No.2 4 7 N? ?,7@te &a6vig 10.00pd ?E -rc%ar 1 agree to comply with the pf ??-- _ ., . 50 d t CA nn-1 rv By Date of Insp.: P.O. Box c1199 Eagan, MN 55121 Zoning: Owner. F-nypo Inc. Address: -308 0 Shi de L'ril Site Addess: Valley Plumbing Plumber: Meter No.: Size: Reader No.: I agree to comply with the City of Eagan Ordinances. f; 3 1n mPtcr Date ;? --) 7 f X-7 WATER SERVICE PERMIT c?lf? PERMIT NO.: DATE: plex No. of Units: Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: -- Total: BY Date of Insp. RECEIVED CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 U DOLLARS ? CASH (? Ck1CCK FOB FUND CODE AMOUNT Thank You 66079 BY White-Payers Copy Yellow-Posting Copy Pink-File Coov BLDG. PERMIT N0. 01-3210 Bldg Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 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. 11-3855 Park Ded. TOTAL CASH RECEIPT ' CITY OF EAGAN 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT ,I DOLLARS ? CASH ? CHECK FUND CODE AMOUNT c ^.J Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy 'S CITY OF EAGAN T RENTAL OWNHODUN I' N2 12536 i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-8100 4(o c, 7 BUILDING PERMIT Receipt # To be used for 8 UNIT M.D. Estyalue $487,000 Date AUGUST 28 1986 3080 SHIELDS DR Erect Site Address 29 Occupancy R1 5 Block -21 Sec/Sub. LEMAY LAKE HILIF;Smodel Lot ? Zoning PT) rr 1 0 Repair P ? Type of Const VFj arc2 Addition ? No. Stories cc ALBERT C KEMPF Move N m El Length 160 = a e 7101 FRANCE AVE S . Demolish 1:1 Depths 4- 3o Address Int Impr. EDINA 920-8831 ? Sq. Ft Phone City Install ? a pU U¢ Name -- REYPO CONST V%pplul Address SAME Assessment Phone Ua F W Name x j3 Address z W City Phone I hereby acknowledge that I have read this application and statethatthe information is correct and agree to comply with all applicabje, State of Minnesota Statutes and City of ?,e??rf fJrdigeng9§ ?? Signature of Water & Sew. Police Fire _ Planner Council Bldg.Off. 8/12/86 Var. Date Fees Permit $ 1,400.50 Surcharge 243.50 Plan Review 725.25 SAC 4,600.00 Water Conn 4, 000.00 Water Meter N A Road Unit 2,320.00 Tr. PI. 1,248-00 Copies Total $14,537.25 A Building Permit is issued to: KZlk'U ULHN b_XNU%__X.LU1N on the express condition that all work shall be done in accordance with all applica S of Minnesota tatutes n City of Eagan Ordinances. Building Official 4 `20VTNHOOSE _ CITY OF EAGAN ? ?? 12536 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 - BUILDING PERMIT PHONE: 454-8100 R # ece ipt To be used for % 't T • L} • Est. Value $467,000 Date AUGUST 2 $ 19 d6 Site Address " :? I : i l:•T_{U Erect Occupancy Al Lot Block -2- 1 Sec/Sub. LEVI AY LAKE It 1LB6model ? Zoning Ply s Parcel f?? '' lrr S Repair T ?'?h ? Type of Const. Vn . Addition ? No. Stories :, LBERT C KEi :±7i' Move ? Length 160 s Name 7101 ri " ' Z Demolish t 13 Depth 54 3 Address 920_8 1. ED AA ° Int. Impr. 3' , ? Sq. Ft City Phone Install ? =o Name :'EYYO CONST u Q Address I- r.h, ?ir U W W W ?z UU Qz W Name Phone Ihereby acknowledge that Ihave rea information is correct and agree to c Minnesota Statutes and City of Eaga Signature of Permittee A Building Permit is issued to: '"L, z rV all work shall be done in accordance with all Building Official Council ation and state that the Bldg. 01 all applicable State of Address Eng. City Phone Planner Assessment _ Water & Sew. Police Fire Var. Permit $ 1, 400.50 Surcharge 243.50 Plan Review 725.251 SAC 4,600.00 Water Conn.4 , 000.00 I Water Meter N/A Road Unit 2.320.001 Tr. PI. 1,248.001 Parks i Copies Total $14,537.25 +"" on the express condition that Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Data Telephone N Plug 17'7 ?19 4 / o h H.V.A.C. iieeYic Softener z t Y C? c?? - r Q .? Inspection Dab Insp. Commenta FooWW I y B Footings 11 9 L!1 Foundation Framing Rooling Rough Plbg. nn/ ebb , Rough Hill. Insul. IFIreplace Final Htg• &-c nrb Final Plbg. b. 1'i Bldg. Final Cod. Occ. f ? Deck Fig. t1, J DecLc Fang. ? WON Pr. asp. 1?_ _ Al?sr'7M ?AY7l II i ?? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 CT PRICE PHONE: 454-8100 Site Address Lot Block m Name Addre c Ciiy_ Name 3 Addre p City _ Sec/Sub FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 4 SIGNATURE OF FOR: CITY OF EAGAN PERMIT # 07 69 'WWI RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL -. Y Water Closet - $3.00 $ Bath Tubs - $3.00 Qg`L_Lavatory - $3.00 Shower - $3.00 ?Kitchen Sink - $3.00 Urinal/Bidet - $3.00 T-Laundry Tray - $3.00 Floor Drains - $1.50 =Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL -x-1:1 i.,l.l ?.iV/11 4 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN Q _ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 4S4-8100 Site Address ` L12 BLDG. TYPE WORK DESCRIPTION Lot Block T. Sec/Sub /. R N Name es. ew M lt 1L ?S Add u -on Address mm C R , . o epair c city Phone Oth er Name FEES c Address f L'e RES. HVAC 0-100 M BTU -$24.00 p city Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 JYPF OF WORK off' GAS OUTLETS - 1.50 EA Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Afr Cond M BTU M B STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES .VanL___.____ CFM BEYOND $1,000.00) Gas Plping Outlets #. Other FEE L SIGNATURE OF PERMITTEE S/C: t? TOTAL- ' FOR- FOR: CITY OF EAGAN 't .. fgrrttftratr of (Orrapaury Citp of (tagan apv rnf of swatag 3wrrum This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: U.Ck.jfinaon -1 M.D. B4 Permit 12536 `'. O-UP-7 TYve ? Zoning Dim TYM Co". OwnerO(Bumps =;S C. 1??.1J'. Ada,as Bum AWrtm :?'•, :Nm' l)6 ;:7- ry TrI`4AY Lonli, s''• c.ly'Cp Dwz: Building Official POST IN A CONSPICUOUS PUKE SITE ADDRESS • 3080 SHIELDS DR Unit # 102 Permit # T. F _ R 7 r. t'MTV r Avt 12536 TYPE PERMIT# PERM C DATE TELEPHONE PLUMBING H.V.A.C. ELECTRIC L7???l0 ?la c? ? 1/7/57 S?CJ.Gl7 INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. i- , Io --2 J-G l`{ • G-{ -G ROUGH HTG. A INSUL FIREPLACE FINAL HTG FINAL PLBG S7 UNIT FINAL IjEj 2"1 Lm- b(2044( A10-1 CERVOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3080 SHIELDS DR Unit # 101 Permit # T. r _ R '? _ T.TPMAV T.AVV Ta TT.T.C 12536 TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC ?r r(I#Ab vd(,Z?c-&, ? 71Y DO INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. j 6 d7 /0-7 f D -G ROUGH HTG. / .2 - S'7 INSUL ! le 9-22-$ S4 FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3080 SHIELDS DR Unit# 103 Permit# 12536 TYPE PE I IT C N ACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC r//l7 l.f-, t ?su /71f7 INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. -,?2/-?? - 6- ROUGH HTG. INSUL Ad FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL IAIAI CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITEADDRESS '3080 SHIELDS DR Unit#104 Penit# 12536 T c u r.FnnnV T.AKF. HILLS TYPE PERMIT PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC ?7/ll f?Gc ?.y /?,?87 SIO. n c; INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. 1W N ROUGH HTG. I ` --)d -?7 W ? /- a • SJ A . . INSUL -2_9' FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS '3080 SHIELDS DR Up??t qq 105 Permit # T- F - A I _ T.F.MAV T.AT{F. H4L-L? 12536 TYPE PERMIT PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC C'711l 9 pp 1/71,j 97 - no INSPECTION DATE INSPECTOR OTHER FRAMING ,/5- 7 I i?jO ROUGH PLBG. -?5-97 C 7-?L ?• L1-6 ROUGH HTG. 7 INSUL _ 9- V- 7 A FIREPLACE FINAL HTG FINAL PLBG S/-8 UNIT FINAL CERT/OCC (2 f/ INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3080 SHIELDS DR Unit# 106 Permit# . T G n 9 _ T.A1A1nv T.nKR RTT.T.R 12536 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC // 1.7 ?fIDOU INSPECTION DATE INSP CTOR OTHER FRAMING S ROUGH PLBG. -lf-g -7 /G- -;7©• N ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 3080 SHIELDS DR LD 107 Permit# 12536 F ?. u ?. L& LAKE A?? - TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC 1/7417 ?O. DD INSPECTION DATE INSPECTOR OTHER FRAMING - ov- ROUGH PLBG. ROUGH HTG. J-9 7 INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR "COMMENTS SITE ADDRESS '3080 SHIELDS DR Un 108 Permit# T. -r-: R -91% LEMAY LAKE AE IT= 12536 TYPE PERMIT-#4'P PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC (71/2 71 Go INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. 41Z-C"7 A , k1, .-52 ROUGH HTG. INSUL FIREPLACE FINAL HTG ?p? FINAL PLBG UNIT FINAL !-414 CERT/OCC v r INSPECTION DATE INSPECTOR COMMENTS 020/87 REQUEST FOR ELECTRICAL INSPECTION S-EES-00000011-05 Z, ,See inBlruCtipnb for tampletlpy this form on back pt Vellgw copy. C 7 1 1 5 3 "X" Below Work Covered by This Request Add ?p-: ._,TVpe of 801dimg Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm t e peu v = ter (Specify) t .r peal y Other Other Compute Inspection Fee Below N Fee Service Entrance Size q Fe ers/Subleeders p Fee Circuits 1 12,0 0 to 200 Am s 30 AMPS 9.00 0 to 30 Amos Above 200-Amps 100 Amps 31 to 100 A Swimming Pool e 100Am JA Above 100-Am s Transformers tion Booms 0 PartialOther Fee Signs al Inspection 8 r TOTA Bemerks Service on Garaqe _1ti33q s _ 2150 L[ - Ol h-in / j L' OC.'p..to )! y? ! the nepectm hereby Final !•' Date e crtif that the above i spection has been on do, This request vold 18 months from is request void ..l?j/ref months from 71153 6 quest-Date 7-Y 7-1:r y ?r --1/ 0,0 ion Ready Now ?Will Notify Inspec-I [or When Ready Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City Eagan eciiOn o. Township ame or No. Range No. County Dakota Occupant (PRINT) Phone No. Ra o Inc. Power Supplier Address Dakota Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) n'; Authorized Signature (Contractor/Owner Making Installation) Phone Number Timothy Phill i s 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grins-Midway Bldg. ^ Room N-191 BE ACCEPTED BY THE STATE BOARD 1871 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 16121642-0600 ENCLOSED. This request void ???/0 7 j' 18 months from C 471115,0 , cc quest Date Re Fire No., RRouB h-inInspection equired7 Ready Nuw Will Notify. Inspec- ? 1/6/87 ® Yes ED No [or When Ready (9 Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3080 Shields Drive # 101 Eagan action No. Township Name or No. County 7 777 Dakota Occupant (PRINT) Phone No. Raypo Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Cnntractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Authpki Sie (?onYractojyOwner Making Installation) Y Phone Number Tim Phillips 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 7811 University Ave.. 8t. Paul. MN 55104 pr. ....e tweet net-nrxnn ENCLOSED. /l71ff/7 REQUEST FOR ELECTRICAL INSPECTION EB--00001-05 0 See instructions for compfetirq ihis,form on beck of yellow copy. J 7 S ??C -7111 5 X'' Below Work Covered by This Request reyg Add Rep Type of Building ApPI!a,hae Wired Equipment Wired ' I I T I Industrial Bide. I I Air Conditioner 1 1 Bulk Milk Tank 1 If Fee Service Entrance size ft Fes Feeders/Subieeders a Fee Circuits 0 fo 200 Amps 0 to 30 Amps 10 30.0 0 to 30 Am Above 200 Amps 1 5. 00 31 to 100 Amps 1 5. 0 31 to 100 A - Swimming Pool Above 100_Amps Above 100_Am Transformers Irrigation Booms Partial-'Other Fee Signs I (Special Inspection ?s TOTAL E emerks 16LA 40.5 r00 Rough-in Date I, the lectric Inspect eby certify that the above Final DQ ?? r spection has been This request void ?1711F7 18 months from O C 71,116 gyn. l?.7 2 QU//lam kn / U`?1' & 9 7J!.s I Request 0 ' Fire No. ?-] Rough-in Inspec Hon Regmredt ?Reatly Now ?f. Will Notiiv. Ingoec- 116187 ®Yes ?NO for When Ready ® Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3080 Shields Drive # 102 Eagan ecuon O. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo, Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan AuNteryze(1 Sige Contractor Owner Maki ng Installation) Phone Number ?/ Tim Phillips 452-1565 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARS OF E CTRIC ITV 821 Bldg. Roam RE PTEO BY THE STATE SOARS 1 1817 University Ave.. . St. Paul. MN MN 66104 UNLESS LESS PROPER INSPECTION FEE IS Phone (6121 642-0800 ENCLOSED. 117?I8'7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 j4M .? See instructions for completing this, form on beck of vellow copy. 4/.e1 C '"X'" Below Work Covered by This Request Noi Add Rep. Type of Building - Apptiances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighti ny Fixtures X Apt. Building Dryer Electric Heating -Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then (Specify) Iher (Sperify) 7-7 Other pacify) Other Other Compute Inspection Fee Below g Fee Service Entrance Size a Fee Feeders/Subtesders a Fee Circuits 0 to 200 Amps 0 to 30 Amps 1 30.0 0 to 30 Am s Above 2150 Amps 5.01) 31 to 100 Amps 31 to 100 q Swimming Pool Above 100_An1 s Above 100_Am s Transformers Irrigation Booms Partial."Other Fee Signs Special Inspection S T Remarks 16339 40.50 OTAL F ??, I, the EI trice Inspector, eby , certify that the above jte inspection has been mode. +ths from ?? (; ' ",;_ ?:> ?, :• -, . _ , ._ This request void // 18 months from & 917--f ?d?a 00 Request'Data Fire No. Rough-in Inspection Ra g w retl7 []Ready Now ? Will Notify ?.Spec- 1/6/87 ? t pv Yea ?NO for When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3080 Shields Drive # 103 Eagan a hip Name or No. Range No. County = Dakota Occupant (PRINT) Phone No. Raypo, Inc. Power Supplier Address Dakota Electric Farmingt6n Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Aut rizprd Signatyrs onvactor Owner Making Installation) ? J t Phone Number Tim Phillips -'f / 452-1565 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.. $t. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 16121642-OROD ENCLOSED. //-7/$7 REQUEST FOR ELECTRICAL INSPECTION EB-[0?0001-05 _ see instructions for comlpletinB this form on beck of yellow copy. ([. y 7j ..? C_ 711-17.I X"" Below Work Covered by This Request Add RBp. Tvna Building -AOplte ncas Wired Equipment Wired I Wewiel1 10 Ik Tank 0 Fee Service Entrance size p Fee Feeders/Subfeeders a Fee Circuits 0 t0 200 Amps 0 to 30 Amos 10 In - (0) 0 t0 30 Amos Above 200 Amps 31 to 100 Amps 1 5.0 31 to 100 A Swinvnin Pool Above 100_Am s Above 100_Am Transtormers Irrigation Booms Partial.'Other Fee I ?Si gns I (Special Inspection 19 emerks 16 ggq 40.5 TOTAL E 1. the Ell lric 1 speclor, eby certify that the above inspection has been made. This request void 1171Y7 18 months from 71118 6 /7-i.-;c . oo Pequesitr!W -- Fire No.V RequlieC?I ns Pact ion ?Ready Now ® Will Notify. InsPec- 1/6/87 ®yes ?NO for When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City 3080 Shields Drive if 104 Eagan ecbon No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo, Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Cpntractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive, Eagan Authorized Signatu (Contractor Owner Making Installation) Phone Number r Tim Phillips 452-1565 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone(6121642-0800 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION JJEB-00001-05 //?/? I10 See instructions for conipletlnp this form on beck of yellow copy. t0 7?.3 Q "X" Be/ow Work Covered by This Request NeMAddl Rep.] Tyoe of auildino I -.•Aoalinncts Wired I Equipment Wired I Heater al p Fee Service Entrance Size a Fee Feeders/Subteedera q Fee Circuits 0 ,to 200 Am s 0 Am s 0 to 30 Am 1 Above 200 nn ps 1 5.0 100 Amps V-0 1 5.00 31 to 100 A s Swinvnin Pool Above 100_An1 s Above 100_Am s Transformers Irrigation Booms .50 Partial-Other Fee L J Signs I Special Inspection ?S TOTAL F? Remarks7b' tF?.rJ? 5A• Final 1. the ElsA L,,4' Inspector, hereby - certify that the abov inspection has been This request void 18 This request ?j7/C 7 void 18 months request from m O C 711-19??. &9 7.?7 C? Request Date Fire No. / Nequ ed7 nspection ?Ready Now [&Will Notif y, Inspec- t 6 8] [2Yes ?No R for When eady Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or Route No. City 3080 Shields Drive # 105 Eagan acv on No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo, Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Aut ized Signs I ontraetor Owner Making Installation] Phone Number e Tim Phillips 452-1565 MINNESOTA STATE BOARD OF ELE16TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg, - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 89100 UNLESS PROPER INSPECTION FEE IS Ph.,..e IAt91 RA9-mnn ENCLOSED. 1 7 YI7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 $ee inetructiane for completing thig form on back of yellow copy. AMMT IF [r 10 "X" Below Wbrk Covered by This Request Navel Addl Reu.l Type o1 Buildino 1 Appliances Wired 1 Equipment Wired I Water Electric ial g Fee Service Entrance Size a Fee F90dersrSubfeeders N Fee Circuits U o2 00 Am s 0 to 30 Am s 0 3 .00 0 to 30 An, Above 200 Am s 00 31 to 100 Amps 1 5,001 31 to 100 Amps Swimming Pool Above 100-Am s Above 100_Am Transformers Irrigation Booms Partial,'Other_Eep Signs I Special Inspection 1. 40.50 TOTAL F Z. jig emarks °' ns sector, hereby . A certify that the above Final Date seer ion has been i .. S7 -/Y>g da. Thisrequestyold This request void This request void //7/dry monthsfrom O [ 71120 ,? 6,9 7 .E ?h!ci•Go equmetl? [:)ReatlyNow$]Wi1lNotify, lnsDec- 1 /Fi/R7 Myes nNo for When Read, ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Boa or Route No. City 3080 Shields Drive # 106 Eagan ectlon NO. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo, Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Auty¢riz PLd Sign§L(re o,traclor/Owner Making Installation) ) Phone Number Y ?IJJ T im Phillips 452-1565 MINNESOTA STATE BOARD OF ELEITRICITY THIS INSPECTION REQUEST WILL NOT Origoe-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1831 University Ave.. Bt. Paul, MN 65104 P.- r At it 1 a69.n9nn ENCLOSED. 1171Y7 REQUEST FOR ELECTRICAL INSPECTION 3a-ouw. IF Sae inatructiops for eofipletim this form an back of yellow cope 97.573 ir - ' r" °) n. "X" Below Work Covered by This Request RIeel Add? li Tvpe of Suildine I Avollances Wired I Equipment Wired I p Foe Service Entrance Size a Fee Feeders/Subfeeders p Fee Circuits 0 to 200 Am s 0 to 30 Amps 30.00 0 to 30 Am Above 20 -Amps 1 5.00 31 to 100 Amps 1 5.00 31 to 100 Amps Swimming Pool Above 100- An Above 100-Amps Transformers irrigation Booms Partial-'Other Fee Signs I I (Special Inspection S 40.50 TOTAL f ^O°e"""' Eleclncaa /??`/ Inspectoq hegb 1 certify that the have Final /? 'T?D?ale? inspection has been /7 / r - I -Ar made. '10 7 97 j! ....._. ?...., Repuies ?Reatly Now ®Will Notify. InsPac- 1/6187 was nNO ror When Ready ® Licensed Electrical Contractor I hereby vaguest inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3080 Shields Drive # 107 Eagan ecU On No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Raypo, Inc. Power Supplier Address Dakota Electric Farmingto n Electrical Contractor (Company Name) Contractor's License No. Hilite Electric 040445 Mailing Address (Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan AuthyLiz ed Signatu Contractor Owner Making Installation) Phone Number ?/) Tim Phillips 452-1565 MINNESOTA STATE BOARD OF ELECTIICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bid,. - Room N-191 BE ACCEPTED By THE STATE BOARD 1831 University Ave.. Bt. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Ph- 1R191 aA9_mtnn ENCLOSED. 7/x'7 REQUEST FOR ELECTRICAL INSPECTION E/S-00001-05 Ilr See instructiois for corhptetim this form on back of yellow copy. cL 7...? d 71-191 "X- 8elow Work Covered by This Request IVev4Addi Rep.1 Type of Building I Apotiancae Wired I Equipment Wired I M Fee Service Entrance Size k Fe Subfeedars a Fee circuits 20 m s 0 1 Amps 0 30.0 0 to 30 An! s % Abe 2 0 Amps Amps E 1 5.0 31 to 100 Amps Swimming Pool 0_Am Above Above 100_Am s Transtormers Booms Partial.'Other_Lft Signs Speci al Inspection B enmrks This request void //,7/Op7 10 months from J C 71122 4 S 73.3 .- l g e .f R@? urred? ?Ready Now ]Will Notify InsPec- 1/6/87 {]Yes ?No or When en Ready g] Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 3080 Shields Drive # 108 Eagan action o. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Ra a Inc. Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractor's License No. Hilita F.lertrir 4 Mailing Address 1Contractor or Owner Making Installation) 3600 Kennebec Drive Eagan Si gnatu C tractor Owner making Installation) Authotiz etl r / ) Phone Number ' Y Tim Phillips 452-1565 MINNESOTA STATE BOARD OF ELECAICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 e a sn Ave.. St. Paul. MN 56106 ow ....... t aeo.nvnn ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION 0 See instructions for completing this form on beck of vellow copy. G- "X" Below Work Covered by This Request EB-00001-05 Co 99733 Adr Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Ot ar peu IV) Other (Soeity) t .r pec? y Other Other Compute Inspection Fee Below N Fee Service Entrance Size a Fee Feeders/Subfeeders M Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 _ 30.00 - - 0 to 30 Am 1 2$.00 Above 2 m n 1 5. 00 31 to 100 Amps F T DU 31 to 1 DO Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irn tton Booms Partial-'Other Fee Signs Special Inspection 50 5 $ TOTAL Remarks 16139 65 . ) Rough-in Data I, the .1t1 'k Inspeetor, siby _ cart 1" that the above Final ^ ( t ^` ?,%?? inspection hen bean made. This request void 18 months from CASH RECEIPT /I_, CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r DATE- IBS wCe6wee ?_ hhh ? FROM AMOUNT Is L?? L) I 0,/)l &_DOLLARS sae E] CASH HECK wow ?2" ? ,_ FUND cod AMOUNT `o 7 h 3 ? Thank You Byx N_ 7 3 2 7 3 White-Peyers Copy Yellow-Porting Copy Pink-File Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN $,O OO b 3?0 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Requirements RemodeUReoairReauiremems • 3 registered site surveys showing sq. It of lot. sq. it of house; anCH mofed areas • 2 copies of plan (20% maximum lot coverage abwed) • 1 set of Energy calculations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 she survey for exterior additions & decks • 1 set of Energy Calculations • Indicate If home served by septic system for additions • 3 copies of Tree Preservation Plan it lot platted after 711193 . Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE 7-25- VALUXION 17? JOB SITE ADDRESS ? ?RflS Ott ?k IOR EA& A *3 L&O 55 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? & PROPERTY OWNER ',$ e- 4 N? QaoceI TYPE OF WORK EaC'l'EE1,?1siOI3 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT <Z?t? F- - PHONE# (02-k 1,915-101[40 ADDRESS min ADS DZ-4- (OS E)h-? Mq ZIP CODE "5:1517I PAGER # (AZ 3](0 SODA CELL PHONE # FAX # (05k 116-7 014-1 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) _ MINNESOTA RULES 7670 CATEGORY I - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor. Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. - Air Conditioning - Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informatioi4?, agree=COmply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _ Updated 1/01 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of 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. Aft - SF ? 04 02-plex ? 10 08-plex 0 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 ez .219 ?iy Occupancy MC/ES System Census Code Zoning A-(0' City Water SAC Units 11? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs -( Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) ?p Final/C.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing _ Foundation _ Drain Tile Roof - Ice & Water Final Framing - Fireplace _ R.I. -Air Test -Final Insulation HVAC _ Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Approved By t4e , 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 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN tS ?? $ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Site Street Address 30S C) 5h&05 Uf. • Unit # Property Owner Ja mc,5 ) Jevv(c ometr Telephone # ((o51) (og / - Of qQ Contractor iP R JJ Oc? S Telephone # om) N05-- BLR) Address ?I? dd led _ city &j aiN State Zip 5'5Q3 The Applicant is: _ Owner _ Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: $ 50.00 _ Water Softener Water Heater 41 replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge .50 $ Total C $ ?J 5U 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 app(oved `'plain in r the event a plan is required to be reviewed and approv LO(ep ? ' ?;ny 1 2014 ?l ? Oren Applican's Printed Name Applicant's Signature 11556 2004 RESIDENTIAL BUILDING PERMIT APPLICATION " (j, City Of Eagan 16 _ t " 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _ Q1XV New Construction Requirements Remodel/Repair Requirements office Use On - 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ?11 roofed areas 2 copies of plan Cert of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing bear n& window si zes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N l set of Energy Calculations Addition- indicate ifonsife septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units rG Date `,- / __ Construction Cost Site Address "5[?szy ? Aln J?ICw 5 j^ ? Unit/Ste # p-? Description of Work / )ffClC Zhh )T Z?A Multi-Family Bldg Y - N Fireplace(s) _ 0 1 _ 2 ? ?j Property Owner / f7Lit / ? J A10V5,i1/ Telephone # (6' 6 >? l 72- ? !n? -W r'l - o!a Contractor AIsZI / j ?vy?7 ?L'Q ? fL/NG (aJ? Address City State Zip Telephone # ( ) COMPLETE.THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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 which requires a review and approval of plans. 7__A plicant's Printed Name 7X$0-cant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwel ling ? 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 r=P 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 P 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 16c>n p-o Occupancy IMCES System Census Code t Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fine Sprinklered Type of Const Width _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing - Fireplace _ R.I. _ Air Test -Final Insulation 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 REQUMED INSPECTIONS _ Final/C.O. 4o Final/No C.O. Plumbing _ I-IVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector 10 LEMAY TOWNHOME ASSOCIATION ARCHITECTURAL CONTROL FORM C/O New Concepts Management 5707 Excelsior Boulevard Phone: 952-922-2500 Fax: 952-922-5400 DATE: /?PRI L ,?, ?1-5ze)O L( NAME LA!5 .4, ,6 (lit-1 / 7/)qld 1/S?k ADDRESS 3??0 -506U.s 46 4/67 DESCRIPTION OF ADDITION or ALTERATION ce v I c1( O ous? MATERIAL TO BE APPROXIMATE COST 77 <7 bU DIAGRAM YOUR CHANGES IN THE SPACE BELOW (INCLUDE DIMENSIONS- ATTACH ADDITIONAL PAGES AS NEEDED) 1-??&VOC,5LY ?eP/?llaL. AAA Please submit your application to the address above before any work is started. The board will review and respond to the application. DO NOT WRITE IN THIS SPACE DATE REC'D ?o ®ATE APPRVD t -a APPROVED BY 6 'd IEEI 'ON NVIISV93S $1x383 Wd8E:l W0 ,06 ,edb Scale: I" =40' o Denotes Iron Mon. ' 55"C Sanitary Sewer Invert Elev. = 884.5 f Lowes-k 1. . X Denotes Proposed Elevation 886.7 Top of Basement Floor LEGAL DESCRIPTION Lit 6, Block 2 LEMAY LAKE HILLS Dakota County, Minnesota 170.00 N07-+-q co r. 1 hereby certify that this is a true and correct representation of a survey of the boundariesof the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 27 T? day of /t&6 J , 19J! B`? / ?./r ?:?44 Minn. Reg. No./ZZS MERILA & ASSOCIATES, INC. ENGINEERS, SURVEYORS, SITE PLANNERS 1601 - 67th Avenue North - Brooklyn Center, Minnesota 55430 Telephone: (612) 560-2660 Job No. g . Book - Page CERTIFICATE OF SURVEY FOR LEISURE LANE w 1 of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units - do 8-ywu l?la'?5 ME Date 49 / -1 / (___- Q Site Address -](-) PDU Description of Work Multi-Family Bldg - Y _ N Remodel(Reoaif Requirements 2 copies of plan 1 set of Energy calculations for heated additions 1 site survey for additions & decks Addition - indicate ff onsite septic system construction Cost (Lt oaa- T 1 Um j Un VSte # l Fireplace(s) _ 0 - 1 Property Owner Telephone #O Contractor _ RENEWAL BY ANDERSEN Address _ 1920 COUNTY RD. "Crr W. State ROSEVILLE, MN 55113 651-264-4777 r rrGNCE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672 • Residential ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type Submitted 5ubmltted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor City Telephone # ( Y _ N If so, 25%, plan review Telephone # ( Telephone #( Telephone #( 13 tuu 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 1 in the case of work which requires a review and approval of plans. 1CC?R'R ?N?tJ Applicant's Printed Name App 'cant's Signature d II 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ` I City Of Eagan 1 3830 Pilot Knob Road, Eagan MN 55122 -1-1-- - -- - - -Telephone# 651-675-5675----FAX # 651-675 5694--- OFFICE USE ONLY A Sub Types ? 01 Foundation - ?- 07 05-Alex -- - ?.-13- 16-plex `- - - - ?' -20-Pooh- ----- - - ?- 30 Accessory Bldg - ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03. 01of_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 t ? 31 New ? 35 Int Improvement. ? . 38 • Demolish-Interior ? 44 Siding ? 32.Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33. Alteration ' p 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement' - '.Demolition (Entire Bldg) - Give PCA handout to a6plicant 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 & W ater F inal _ Pool Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone _ Bri ck Fireplace _ R.I. - Air Test _ Windows Final Insulation - _ _ Retaining Wall' Approved By: Bu ilding 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 -•.. ..e. m?vy iuv R6.JV ctf4 !OJ Oft a$a.a LCI:f(t:IYht, ?SX'dIVUtSityLiPE h re sanet 2001 33 36 P I Uob Road Eagan. MN 55122 To Whom ft may Concern: :x Eider Jones is authorized to pM building permits forRene wal by Andmsan- Please allow Bider tones to pivvitie this Seri m for us in EaM. 'Brie date beyond 06101. until a anewal by 9udr0ri2a6on is valid for any to the City. Andersen m=gr OVreWy revokes it to wiidng Wiest this au@ioazatioa be accepted-expeditiously Ple as to not delay in the Prot cssirig contacted at 763-502-470& ase can me if thcto u O nny queactona:. I can be Your immediate attention to dais matter is ati?larm • ' SinCaiclyh ymondR,'Rau ustalIation Manager Renewal by Anderson Corporation Cm Kara-Yaderjonea oN a ?? ? ?eY rout Received Tiae Jun. 1. 1'07PM 5`7 / _ n RESIDENTIAL BUILDING cir lL K Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq, ft, of house; and all rooted areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after V1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units t70- 6v Doi 03 Office Use _ can of Surrey Recd _ Tree Pres Plan Recd _ Tree Pres Not Recd _ On-site Septic System Date / o OCf Q?r Construction Cost /goo r / 1 Site Address _3 q h .,eJC[S Or. .3t' /06 Unittste Dip / LP M iv {( oLia P Description of Work 'a Ape k Multi-Family Bldg Y - N Fireplace(s) - 0 _ 1 - 2 Property Owner Phu P Telephone # ( ) Contractor , t! (? ?07/ Address City ; d State 4 , Zip , j C N 3 Telephone # (& b 43 299 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category , dential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) itted- Submitted gy'EnvelopeCalculations Submitted /6:11 Licensed Plumber 1YTelephone #( Mechanical Contractor Telephone #( Sewer/Water Contractor \- Telephone #( r n 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. 1) way n e L. -?Ovw Applicant's Printed Name Applicant's Si ture 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 PO 18 Deck ? 23 Porch(screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PlIag_Y or_ N ? 25 Miscellaneous Work Types C 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Z. ?' .2 Z) Occuoancv 124-3 MC/ES Svstam ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered I Type of Const V Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) _ Y1 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 Fireplace _ R.I. -Air Test -Final _ _ - - Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC C ity SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total f GG 1 F 1 ? CERTIFICATE OF SURVEY FOR LEISURE LANE; ,a 121.92 nl b 91042V WE 1:. r " .NY O I - A .ten5 ??rE" S 7 r i 3 ' Scale: 1" 040 ,? = f 1, ? He, L v.* o Denotes Iron Vion. ti C ?• '?, . r Q 1'o it° rr _ ^F) T 4b }w 4. u { !% V F fir,: K T Ag t '71•'1 "y - \? j1? - 1 yd V l 879.0 ?i l MOM @0?1Vwtwg-i FIR 77 a v,? 7 Vh `O \ \ ' X880 a eo 3¢ Sanitary Sewer °? SFO a Invert Elev. = 884.5 944. ?? ??? Gq Tee ?' ?tatwest 1av.? f - yo ?o rs= y'' 8y `?Fy B I eat EAQAN z ... a _ E1lI _ BY 010 I \ 3i°e. 4v \ ?r ± y o a \glss oe„ "'4r 4V \ I v %NATE c. I'n S F' Q I .? .\° der \ 9re, / f - a Z a 10 \ rI? o y I fi 4, is L4p/? \ \ " ' x Denotes Proposed Elevation 4 x N 1} L6 p >n 3.ae \ 3 8&.7Top of Basement floor ?? ?L - - - - - - - - - - z° : LEGAL DESCRIPTION =`} `w ®9flOx fir.. 17000 N89°44'28"E xe9o.o - Let 6, Block 2 LEMAY LAKE HILLS Dakota County, Minnesota ` }z ,Y x , ' y I hereby certify that this Is a true and correct representation of a survey of " {+c the boundaries of the above described land and of the location of all buildings, + ;q,={ `` MERILA &.ASSOCIATES, INC, if any, thereon, and all, visible encroachments. if any, from or on said land. s'ENGINEERS; SURVEYORS, SITE`PIANNERS T x; As s_urve?y? by this 7 day of G1GtlJT 19Z a f `", 1801 67th Avenue North Brooklyn Center, Minnesota 56430 u-f a? Minn. Rap No ZZ S 5h " Telephone 16121680.2680 y ire y cr", % f't„ Job No.'?13 rat Book .Page og<?.y.1 4 4-4 AMP 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS ? FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COMMERCIAL OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND UNITS 101,ioz, io'3,104 ,10S,1ow? lo-j,loa 7 To Be Used For: ?k' Valuation: ? Site Address 3 nQ,b c??,? ?S fir. Lot Block 1 Parcel/Sub L EML4Z I?iL! 5 Owner ?h? e Y ?C C kerY * Address I (? I ru.r\GG A Ve (S - City/Zip Code "r G Ct,{? S i35 Phone a.0 - cp p / Contractor Address ' rr? t 1 City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # ao -?'`s31 Erect Remodel Repair _ Addition Move Demolish Int.Impr., Install APPROVALS Date: Occupancy 1CL Zoning Type of Const # of Stories Length /60 Depth 54 Sq Ft Assessments Permit /4G? f° Water/Sewer Surcharge 2413 3-0 Police Plan Review 725 ZS Fire SAC Engr Water Conn !,/6&0 Planner Water Meter Council Road Unit 2320 Bldg Off Treatment P1 124 APC Parks Variance Copies TOTAL J NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PEMM IS ISSUED. CERTIFICATE OF SURVEY FOR LEISURE LANE 121.92 N89° 3'35"E i N COT 6 Scale: 1" = 40' o Denotes Iron Mon. ro Q 0 V1 N A ,o 879.0 z 41 mss •;? ,r??,, t8e62 \ ? 0? S \ 1 QfA No, ° pogo 3g \\ / x8ao Sanitary Sewer ,r 894. se40 e e Invert Elev. = 884.5 QA 1fv.11 o b<S 6 P X41 n ?a I n ?, a F<E- ?rOL.r \ ? 6s L, R, S \' I 994- m yo ..? \o tl , 33 ` 89Q E 33'9 BB6\ N 1.30 \ `\p 0 ? I i o .3 1 \ 0O N?3e ?i.,r n m'9 9 a 0 0 \ 00. J N 93.5 00.. ftO a tog s ,e I Z I Denotes Proposed Elevation a pie • 15, z5 37.25 'o 0 8x6.7 Top of Basement Floor ? 1 11 ar - v p Oro a? Ivd 1 0 L - - - - - _ - - - - - - 2 ; LEGAL DESCRIPTION a WA M 170.00 N89°44'28"E X890.0 Lit 6, Block 2 LEMAY LAKE HILLS Dakota County, Minnesota OF I hereby certify that this is a true and correct representation of a survey of the boundariesof the above described land and of the location of all buildings, MERILA & ASSOCIATES, INC. if any, thereon, and all visible encroachments, if any, from or on said land. ENGINEERS, SURVEYORS, SITE PLANNERS As surveyed by me this 7j12 7 day of J _, 19! ?OW r, 1601 - 67th Avenue North - Brooklyn Center, Minnesota 55430 Minn. Reg. No./ ZZS Telephone: (612) 560-2660 Job No. k3 Book - Page 0 RESIDENTIAL BUILDING 1 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 %) (e 14 6_ New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. it of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd l set of Energy Calculations Addition - indicate if on-site 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 00 Date in q Construction Cost z o - / Site Address 300 it'/ 4 $' D r- 44 / Z) I Unit/Ste # / (7 Q Mg La kto 7-cLan USe"S Description of Work 7 )C ?a ^ c k Multi-Family Bldg X Y _ N Fireplace(s) _ 0 _ 1 - 2 n Property Owner l Telephone # ( ) Contractor r 903,7 207Y Address city State f , Zip _S! Y1_ / Telephone # ((r r) THIS AREA ONLY IF Energy Code Category Residential Ventilation Category 1 Worksheet (J submission type) Runmitted?/ • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted 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. ?? ?ord D(A aV h P- Applicant's P 'nted Name Applicant's Si ature € 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 W 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 'I. 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 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 Bidgs Length Fire Sprinklered _ Type of Const Width _ Footings (new bldg) ?p Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof - Ice & Water _ Final - Framing - Fireplace - R.I. _ Air Test _ Final Insulation t ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco _ Stone Windows (new/replacement) 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 4 Scale. I" = 40' o Denotes Iron Non. :.t I 3 lu N In 1 2 0 L W 3 ca I? ca Ud Ca LU -? 00 J Sanitary Sewer Invert Elev. = 884.5 Gl 0 %4; 1..v.) x Denotes Proposed Elevation 816.7 Top of Basement Floor CERTIFICATE OF SURVEY FOR LEISURE LANE 121.92. W8-J°.63'35"6 170.00 . W 69-44-ZO 1 K890.0 LEGAL DESCRIPTION Lat 6, Block 2 LEMAY LAKE HILLS Dakota County, Minnesota MERILA & ASSOCIATES, INC- ENGINEERS, SURVEYORS, SITE PLANNERS 1601 • 67th Avenue North - Brooklyn Center, Minnesota 55430 Telephone: (6121560-2660 I hereby certify that this Is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 7)?T/?'?,?, day of?4044eJ7 , 19.x. ?4 Minn. Reg. No.?ZZS Job No. E7 C-/-_ Book Page ?{'' - ? I n ? ap ? ?' . o7ntu?t:7• . t-Yl? LAKE EASEMENT- n 20 dY. ?' '? a _ Y ELEVATION 8T8.00 ?•?/ ?I1• \ / '? _ +I I 'AS PER FIELD LOCATION A' alU. `a ? ti } 40 czy- ,- `. l IY_?_ t-f..'InC? r?I- IaM` \ 'G „ J \ T, 7 rn C I 7 1 e1 a r I r- L ? n~i 1 ,11 \?.` ? I ?/ `+ / ? ?{'J c4µ ?>/ ?/{`?(Fl? ? _'r•.'(_?? ? Irk A ., I MUT 11--•-----j? _yevL VFm.6r ?170N+J'& Ile 'fp 6 1 use L,3 b3 s,+t' z ---- i::? b 1 .- m - •?• ( ? d.' P,IlSr TIER -1.7. z ur ? Il ? / wv?s - 1-•,0 ? ? -I'- ? .'? 'b`t, 3 b3 ;, wnr u izs ..•J/ \ V3 _ 1 cl a i I• ?1 P rt „ b r a 3 er ro j{11t 10 q 1. lu A H i! p y q • '! •s?/l / '? _/ N 6 3 !,3 ` y - n: K H l`• / / ? /' / ? 1 •, Y I ,l N IL ? W Il le ' •e ? y 1. fe ? x ?3 " !1 nl, it + a r.Ji li I ,_ - E.rnr• ray-EF fotu. rif• i Eplvr.IE per}.Jr••+•:rat PILOT KNOB ROAD LEMAY TOWNHOME ASSOCIATION ARCHITECTURAL CONTROL FORM C/O New Concepts Management 4915 West 350'Street;_St. Louis-Park, MN 55416 Phone: 952-922-2500 Fax. 952-922-5400 PLEASE PROVIDE TWO COPIES NAME N I.)? ADDRESS ?ogr, C-i0? # Itf3 ?.? VAZ 55 \zl DATE: "(-'Z4-01 DESCRIPTION OF ADDmoN or ALTERATION Esdia. 2Erg4 MATERIAL TO BE USED -i P.?s?TE?D 4gaNW APPRO)aMATE COST CONTRACTORBUII.DER DIAGRAM YOUR CHANGES IN THE SPACE BELOW (INCLUDE DMIENSIONS- ATTACH ADDITIONAL PAGES ASNEEDED) Please submit your application to the address above before any work is started. The-board will review and respond to the application. DO NOT WRITE DATE REC'D APPROVED LEMAY TOWNHOME ASSOCIATION ARCHITECTURAL CONTROL POLICY In order to maintain the architectural continuity, the safe operation of the Association, and to insure that the proper city codes are met, the Association will ask that all homeowners wishing to make any change to the exterior of their home follow these procedures. These procedures apply if the homeowner will be doing the work themselves or using a contractor. Please read, sign and attach this agreement to the request you submit. 1. Requests must be made in writing to the Board of Directors for all changes, modifications, repairs or additions to any building. , 2. The homeowner's dues account must be current before a request is considered. 3. Pertinent drawings, plans or product pictures must be included with the request. 4. The name, address, and proof of insurance for any and all contractors used, or for the homeowner, if doing the work themselves, must be provided to the Board of Directors before starting any work. 5. The contractor or homeowner must provide proof that all proper permits have been acquired. 6. All of the items above must be included in the written request before it will be considered by the Board of Directors. 7. The homeowner is solely responsible for any damages resulting during, or after work is done, to their own or any other unit. 8. No vehicles may drive on the turf. 9. A homeowner who alters the exterior of the building without prior approval of the Board of Directors will be assessed a $100.00 fine per occurrence. The Board may require the work to be re-done or removed or may have it re-done or removed by a contractor at the cost of the homeowner. 10. The Board reserves the right to inspect a project before, during and/or after completion before signing a waiver that the work is approved. page 1 of 2 Architectural Control Agreement Lemay Townhomes page 2 of 2 In order to make sound and wise decisions, the Board will always discuss the request at a regularly scheduled Board Meeting: The homeowner is encouraged to attend the meeting, though it is not required. All decisions will be sent in writing to the homeowner within 10 days of the meeting. A decision may be tabled for further consideration and discussion in which case the homeowner will be notified of this occurrence within 10 days. UWE THE HOMEOWNER/S AT (address) :Fr , SOS I- *to4, FULLY UNDERSTAND AND ACCEPT THESE CONDITIONS. si ature/s --TIHS REQUEST WAS APPROVED BY THE BOARD AT THE BOARD MEETING ON: DATE: SIGNED: RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel Repsu Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calmlations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan ti lot Platted after 711/93 Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units CIP ( a x((0(03 Office Use Only _ Carl of Survey Recd -Tree Pres Plan Reod -Tree Pres Not Reqd _ On-aite Septic System Date Construction Cost A m Site Address 30 go /? (JI ' A( _10-7 Unit/Ste # e r7 Description of Work G Multi-Family Bldg Y_ N Fireplace(s) _ 0 - 1 _ 2 Property Owner (? (Inn p(? Le S ke Telephone # (l) , 3 99 3 ad ,3 Contractor D way /l , 4?dJ D.3' 9 OW Address l 3 . ? City t`TLJ r!/ T ,q Y7 State Zip S' 031 Telephone # ((o.Sl/ Sale. .'?297 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet (J submission type) Subm • Energ Envelope Cal ulations Submitt _ Licensed Plumber JUiV ) 5 '. 7! n; III Mechanical Contractor Sewer/Water Contractor _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted 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. 10 U14V he 41, -FOV4 Applicaned Name r Applicant's gnature 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 RP 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 VO 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Z I 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 _ Footings (new bldg) ?4 Footings (deck) - Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final - Framing - Fireplace - R.I. -Air Test -Final Insulation ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Final/C.O. ?Q Final/NVo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Siding _ Stucco _ Stone Windows (new/replacement) 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 a i ea fk.`i: ? u CERTIFICATE OF SURVEY 3. W FOR LEISURE LANE, 121.92 N 8 ° 3' 35"6 '? 1:7t?° / )j ? n; F = rtj- t ,?yfi c: , 1? Y s r v ? ?',I1 yub} : r tor Mr Ca7?1M'#--+ ?p tiv' t t cale: 17- } N S 40' r ; x ` o Denotes Iron Non ` i Xk. 4 kt. O. \\ aryr4. aj r Z6 879.0 X, Ice f ' Lt / 2 ?S0Oa \\ {f r {/ 2 40 \ `?;x r F .. W h.YFt,i'J :) _ .,.F a A}s t? .rya { 1 1,777 ? T >, „t, M a 3 \ A U% 1*0,,o 3g re80 Sanitary Sewer 894.' Invert Elev. a 884.5 ry '9 T a/ (t°wesi Inv. 4?N v 6. a. r -' t - yp \?o ? ?;• .rtes 1 sl \`\?aO N?3o ?\ ?\ // r /?JM1 gory 1 ??a ?? I oe eo Oaf \ \ \ `vs n ^Ol ???gqq T ?t N 3 *tjJ O D /y° .°ar x.99, I _ r. I 0 .\ \ Vrnt \ /9 . / ?'sa 910 04 yti ^ x Denotes Proposed Elevation ' 1? zs u w•2e ae6.7Top of Basement Floor _ boa 7. ' <?c IL - - - _ - - _ - - _ - z : LEGAL DESCRIPTION 8 170-00.,;,:W89 *4 ZS'E xevoro Lat 6, Block 2 LEMAY LAKE HILLS Dakota County; Minnesota ?t I hereby certify that this Is a true and correct representation of a survey of s the boundaries of the above described land and of the location of all buildings, "? , i MERILA &.,ASSOCIATES, INC: if any, thereon, and all visible enaoechmenu, if any, from or on acid land. }s g? ENGINEERS,:SURVEYORS SITE PLANNERS As survey by methis 7 T? efl day of &?J7' 19$(n 4 4 G 1601 67th. Avenue North - Brooklyn Center, Minnesota 56430 r x // 3 # t {I O?srbG. `Minn. Reg. No. Z2 Telephone r?+ (612)560.2660 ..Job No. Page. ?3a?17 2000 FIREPLACE PERMIT APPLICATION bo.50 CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: //- a7-OD Description of Work: _X Construct new fireplace -Gas -Masonry Alterations to existing Install :eas insert only Other Install gas line only Job address: _3,f>8"0 ? ic es ?/ ?iia /?! Lot: SRR Block: 0 Subdivision/P.I.D. 6, " Applicant (circle one only): Owner ontracto Permit Fee. $60.50 Name: Phone#: PROPERTY Last 'First OWNER Street Address: City State: Zip: Company: Phone #: (area code) FIREPLACE INSTALLER Street Address: Allied Fireside a ireside Come City License #200H911 State: Zip: - Z/UU IL R K 0 AWL Rosedle. MN 55W Company: 851/633 2561 Phone #: (area code) GAS LINE INSTALLER Street Address: City State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. III NOV 3 0 ?000 L CITY-OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *lOTS: PAYM6'NT OF FEE AT TIME OF APPLICATION DOES NOT cDNSiZ um APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print _ 1) PROPERTY ADDRESS: ?pCj 4 ??? / ?S ?rlr?/ LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRLY-MIRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) MMMERCIAL/RETAIL/OFFICE n R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (Two Units) C1 INSTITUTIONAL/GOVERkz= R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) w NAME: ni??e?!` GD Sin ADDRESS: CITY, STATE, ZIP:_ oq?, /yln S5`.S^ 7 PHONE: & 3) u c 7• _- ADDRESS: CITY, STATE, ZIP: PHONE:&$Pa MASTER LICENSE# Plumbers License: Active Expired Not recorded Staff Initial 4) •«« • is NAME: /??V l1O ??LL? ADDRESS: ?l??! /iJG S E 2i s ?C CITY, STATE, ZIP:- PHONE:- .5) _ CONNECTION TO CITY SEWER 5a CONNECTION TO CITY WATER Q OTHER_ 6) a . r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,?M 4, ABOVE (Circle one) TOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ 6-7'X?SEWER PERMIT (INCLUDE SURCHARGE) S $ $ /O,SO WATER PERMIT (INCLUDE SURCHARGE) $ $ ?,?+JD WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 7S b? ACCOUNT DEPOSIT - SEWER $ $ /5• D ACCOUNT DEPOSIT - WATER $_- $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: /V_,. TITLE: DATE: CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *• *AYPK.?: PAYMENT OF FEE AT TIME OF * APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WAIER 111b AT.TATTONS WILL NOT BE SCBED- ULED UNTIL PERMIT HAS BON APPROVED. _________--°..--- - - - - -- P ease Print 1) PROPERTY ADDRESS;??'n LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Mon Year) PRESENT ZONING/PROPOSED USE: Q M"ZJERCLAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVERNMENT 2) R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) ? R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTTMNT/CONDOMINIUM ( Units) ADDRESS: CITY, STATE, ZIP: PHONE: Aep _> 3) u c 7• NAME: i ADDRESS: CITY, STATE, ZIP: PHONE: Lf9? MASTER LICENSE# /J/ /n ?lumbers License: Active Expired Not recorded Sta Initial 4) 1m6_qL'k1w;1u7 ?Lf NAME: c ADDRESS:- Jj0/ /?Jt°S 7/t? CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) • r Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,a) 4, ABOVE (Circle one) FOR CITY USE ONLY PERMIT # ISSUED , Pd w/Bldg. Permit FEES: $ $?O-SLR ??IgISEWER PERMIT (INCLUDE SURCHARGE) . 00 $ $ /O. So WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ IS h? ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ lSVL?, O? $ WAC $ J ?S d Z? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 4?3 OZ? $ ?I , SD TOTAL - d? i ?0 8b?3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 7 y?,J TITLE: / DATE. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *IOTR: PAYMENT" OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. P ease Print) l) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: ~ (Month/Year) PRESENT ZONING/PROPOSED USE: [I COMMERCIAL/RETAIL/OFFICE r7 INDUSTRIAL o INSTITUTIONAL/GOVERIZJENTT E3 R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) a ADDRESS: CITY, STATE, ZIP: PHONE: 3) u :s• For City Use ME Plumbers License: ADDRESS: ` IBS 0 Active CITY, STATE, ZIP. Expired Not recorded I 3 .. PHONE: 1?/y? MASTER LICENSE# -01,0-7 Sta 7sutial 4) ••• • ?- NAME: ADDRESS: 7/p/ L. Gf,'yL ?% 5 CITY, STATE, ZIP: _??/?,t) PHONE: - •5) • v ? t a: • ?• • ai • a• gay?a? CONNECTION TO CITY SEWER CONNECTION TO CITY WATER 0nun 6) • • PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2,e!j 4, ABOVE ?] _ ^ (Circle one) _. r TOR CITY USE ONLY i PERMIT # ISSUED , Pd w/Bldg. Permit FEES: $ $ /b, SO R(p?ig? SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ f? 5U WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ?j co ACCOUNT DEPOSIT - WATER $ sD D • 6D $ WAC $ 5?5-: ?d $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?? •?? $ WATER TREATMENT PLANT SURCHARGE $ $ ' OTHER: $ n $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS . A CONDITION. SUBJECT TO THE FOLLOWING cbNDITIONS: APPROVED BY: TITLE: DATE. CITY-OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 1,107137: PAYMF M OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. ------------------ (Please Print) 1) PROPERTY ADDRESS:. LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: Nbn Year) COMFRCIALAMAIL/OFFICE Q IMUSTRIAL (l INSTITUTIONAL/GOVMU24ENP R-1 SINGLE FAMILY Q R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) 75 v,?i?q N ADDRESS: CITY, STATE, ZIP: 9- loy PHONE: /-/!i 2 3) a :r For City Use NAME: ?? ` !'. Zen Plumbers License: ADDRESS: Active A Expired i CITY, STATE, ZIP: R Not recorded PHONE: L/9? - J./ MASTER LICENSE# &P7,5{jc? 7 St?tial 4) NAME: Xi?1?'G7I) ?i7 17 ADDRESS.-- Z 6e s 7/S CITY, STATE, ZIP: /y/sV PHONE: CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER OTHER 6) PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE "' - PLEASE MAIL APPROVED PERMIT TO 1, 2, &?) 4, ABOVE (Circle one) 7) r u' /Jss Q!? /iti.?eJ ffu-?m FOR CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit s s $ s $ $_ 575 o a $ , $ A 5z r FEES: $ /o,. ??fgf $ ?3-S50 $ $ /Soo $ /5. ov $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $ /,' >. da $ %j, 50 TOTAL ??0_29 (?, 8b73 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxxxxxxxxxxxxxxxxxxxxfxxxxxxxxxxxx, NOTS: PAYME T'OF FEE AT TIME OF x• APPLICATION DOES NOT CONSTlR = APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN r APPROVED. r • r Please Print l) PROPERTY ADDRESS: !?e go LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Mon ear) ? COMMERCIAL/ MAIL/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVERN E'NT ? R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ADDRESS: CITY, STATE, ZIP: PHONE: -'2z=gz/ NAME: ADDRESS: CITY, STATE, ZIP: PHONE: <Kq., _ MASTER LICENSE# . ,&' 7 Active Expired Not recorded Staff Initial 4) •• • is /? NAME: 1S_Rcl Da _T?r/i ADDRESS: 7/h/ L?CS57C 7/5? CITY, STATE, ZIP: PHONE: •5) n 11w- 'jj? tiv a, CONNECTION To CITY SEWER q? CONNECTION TO CITY WATER OTHER 6) n w u- • r ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - Jm- PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circe one) TOR CITY USE ONLY PERMIT # ISSUED / Pd w/Bldg. Permit FEES: II ' $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?O• SQ?°2/ ?? WATER PERMIT (INCLUDE SURCHARGE) $ $ -SD WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ 1-5', 0-0 ACCOUNT DEPOSIT - SEWER $ $_ ACCOUNT DEPOSIT - WATER $ jQT 0 C? $ WAC $ SAS- U $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ??. O D $ ??, SQ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: TITLE: DATE: !{ (z S S? o CITY OF EAGAN .APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTE: PAYMENT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WAM INSTALLATIONS WILL NOT BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. Please Print 1) PROPERTY ADDRESS: --0 I?j?P? t 17= e _jn LEGAL DESCRIPTION: Z? (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year ) - PRESENT ZONING/PROPOSED USE: M"P1RCIAL/RETAIL/OFFICE 1-7 INDUSTRIAL n INSTITUTIONAL/GOVE1Wmu R-1 SINGLE FAMILY Q R-2 DUPLEX (Tto Units) C( R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONIDOMINIT-M ( Units) 2) NAME: ADDRESS: CITY, STATE, zip: PHONE: _6/92 ??/?•/ 3) u c i NAME: .QLL? ADDRESS: CITY, STATE, ZIP: PHONE:_6Za -_42/,sz/ MASTER LICENSE# yf/ ?n3 riupoerb i,icense: Active Expired Not recorded St?7nitial 4) •?. • ?. NAME: ADDRESS:-7__/8/ CITY, STATE, ZIP:// PHONE: .5) 1 i1 w• t p: •71' •:1 5•ya•Y4pt CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) n w • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE "- PLEASE MAIL APPROVED PERMIT TO 1, 2,? 4, ABOVE (Circle one) 7) a may.' ??. -^?/,7 rre-,.. c FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit c .., FEES: ?1 $ /D• /P7 SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) $ Ic? J/O WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /j D ACCOUNT DEPOSIT - SEWER $ 15, 0z0 ACCOUNT DEPOSIT - WATER $ WAC $ SAS, O ?> $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER // $ /JD• DU $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT R CE E IPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS . A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: a2 Lam) f i? ? t? TITLE: DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION * mm: PAYMENT OF FEE AT TIME OF *F APPLICATION DOES NOr CONSTITUTE * APPROVAL OF PERMIT. ± INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL NOT BE SCHED•- ULM UNTIL PERMIT HAS BEEN APPROVED. (Please Print 1) PROPERTY ADDRESS: D5'O ?7i LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year) 0 MMMERCIAL/RETAIL/OFFICE r7 R-1 SINGLE FAMILY Q INDUSTRIAL 0 R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ADDRESS: CITY, STATE, ZIP: PHONE: 3) u c:- NAME: ADDRESS: CITY, STATE, ZIP: PHONE:j/q_j _A/ MASTER LICENSE# 4) NAME: kA t/ 4'n =Q17 A ADDRESS: 7 / p / CITY, STATE, ZIP:j n? PHONE: Active Expired Not recorded Staff IniEral CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER_ 6) , v , r r E3 PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ® PLEASE MAIL APPROVED PERMIT TO 1, 2,/ D 4, ABOVE (circlle one) r-TIT?1 TOR CITY USE ONLY PERMIT # ISSUED , Pd w/Bldg. Permit FEES: $ $ ?U•Sv 1o718? SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?D•SU a%?? WATER PERMIT (INCLUDE SURCHARGE) $ $ (j WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?J?•?O ACCOUNT DEPOSIT - SEWER $ $ ?S•? ACCOUNT DEPOSIT - WATER $ "5,06, Liz) $ WAC $ 5?S Cho $ S C A $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ Ov $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ??/' $ ?? J U TO • TAL 07 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC NO Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ?? eo- 4:?, CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTS: PAYMFTLT OF FEE AT TIME OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. INSPECTION OF SEWER AND/OR WATER INSTALLATIONS WILL Wr BE SCHED- ULED UNTIL PERMIT HAS BEEN APPROVED. (Please Print) 1) PROPERTY ADDRESS: 1o S?isrL-?C J?tI eft ''?/Ol LEGAL DESCRIPTION: Lot Block Sub .ivision or Tax Parce ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (bb=77-ear) PRESENT ZONItn/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE Q INDUSTRIAL INSTITUTIONAL/GOVERNMENT 2) R-1 SINGLE FAMILY R-2 DUPLEX (Two Units) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) ux - NAME: ADDRESS: CITY, STATE, ZIP: PHONE: &Xg- gl,21 MASTER LICENSE# /W Q/,o •7 Active Expired Not recorded Sta initial 41 L_!?-4f1:\.`1i7? i X71• NAME: _??p T i91? / ADDRESS: CITY, STATE, ZIP: PHONE: 5) r :r r r r . ?. r :r sry :tiy:r CONNECTION TO CITY SEWER fa CONNECTION TO CITY WATER OTHER 6) r r r r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ® PLEASE MAIL APPROVED PERMIT TO 1, 2,6? 4, ABOVE ?? ". - ? (Circle one) FOR CITY USE ONLY PERMIT # ISSUED Pd W/Bldg. Permit FEES: si $ $ /U.50 R p SEWER PERMIT (INCLUDE SURCHARGE) $ $ /O,SO ??•BC? S WATER PERMIT (INCLUDE SURCHARGE) .. $ $ 13,S O WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?S b ACCOUNT DEPOSIT - SEWER $ $ ?? Q LJ ACCOUNT DEPOSIT - WATER ?O C? .U $ J $ WAC / r $ 7 I7 © $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?? d D $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ???• GU $ TOTAL p67,-3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: f DATE: // mabb COMMERCIAL BUILDING Permit Application City Of Eagan x p 3830 Pilot Knob Road, Eagan Mn 55122 1 j I Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) . Civil Plans (2) . Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) . Key Plan (1) • Project Specs (1) • Code Analysis (1) " . Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " . Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • Project Specs (1) l • Energy Calculations (1) l • Electric Power & Lighting Forth (1) 1 • Master Exit Plan (1) 1 l • Emergency Response Site Plan (1) 1 l • Soils Report (1) 1 • SAC determination -call 651-602-1 000 • SAC determination - call 651-602-1 000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required when it states "not always". *** Permit for new building or addition will not be processed without Emergency Response Site Plan. t I a!5 I C D t i ZJ2i'-' 4 Z5 e a Construct Site Address 306b Shtelds Or on Cost i Unit/Ste # Tenant Name LeM ' DDO" lflM el r SSX DnFormer Tenant Name Description of Work Property Owner V".4 { I MJI Ihl7 ?L?U ?i Telephone # % ? ? Contractor 1'Ct w c- I 'y? ?? ` L +f ' Address iC?l l N IGI??' plitc, ?(J(t t r t ?7 City ykryls1lre? 4 (( ?? State M Zip 55 37 / Telephone # FL 24 70 7 tfll Arch/Engr Registration # Address City r State Zip Telephone # Licensed plumber installing new sewer/water service: I Phone #: v r -?1 I hereby apply for a Commercial 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. r pick. cSaxt( 4eK '_?;,a% Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 01 Foundation 14 Apartments C 15 Lodging 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 26 Public Facility ? 30 Accessory Bldg. C 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 28 Greenhouse L 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon ? 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 only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final - Framing Fireplace _ R.I. - Air Test _ Final Insulation _ Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total Building Inspector MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan / O 2r 3830 Pilot Knob Road, Eagan Mn 55122 3 d . ?o Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 0 Co / Z? / 0,2) Site Address ??J-Ejy Unit # r`) 55(2 1 - 1 Property Owner Telephone # ( (0'5 -G _ Contractor Street Address 7 ( e ( u ? 5 ? S4-- ?) • , r C. , ? (K 4(55 City II State fy-4 -i Zip ? d4?jr Telephone # ( (061) 322 92A o The Applicant is - Owner Y Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement _ air exchanger air conditioner other State Surcharge $ .50 Total it $ G-SG L-;y I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete=andlaccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. ?i CQ A-?Bfm H a\:? t N- -- Applicant's Printed Name Applicant's Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is Owner Contractor Other Work Type _ New construction Underground Tank -Install -Remove Interior Improvement Cali for inspection du ring installation/removal of tank Processed Piping Nature of Work: Permit Fee $5050 Minimum Fee (includes State Surcharge) Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee 1 hereby apply for a Commercial Mechanical 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 Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: ?_________________ I`o-'03ficellse I- I Permit 4 •?V I Permit Fee ` 7fJ : I I I Date Received: I I ? I I Staff: l 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Tenant: Suite #: RESIDENT I OWNER Name: C gjey2, l? ZaI G' Phone: / Zip: ci /C ao ?oo rye. Address / City CONTRACTOR y7 Name: ?jL°C/:5/Ort/ PIl(i/IJX1174 -Ztr- License#: O&Z327,10M Address: ??L ?/L/???GHZ/C Cr City: ST f t l (CG Stage: ?/zj Zip: -51r376,? Phone: G?7 3?9 ?/G Contact Person: zWl TYPE OF WORK _ New replacement Repair _ Rebuild _ Modify Space _Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater I Water Softener _ Lawn Irrigation -Add Plumbing Fixtures C- RPZ / _ PVB) Main _ Lower Level) _ Septic System _ Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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&&z 4x Applicant's Printed Name Ap ant's Signature Site Address: 308o S6/Q/G's 2?e_ FOR OFFICE USE Reviewed By: Date: Required Inspections:- -Under Ground =Rough-In -Air Test -Gas Test -Final JAN 2 , 2009 oj.23.0C7 OCCUL cl-j -----------i - FoT10 8802 I Permit #: I I Permit Fee: Date Received: I Cc _ I I Staff: C-? I ------------- 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i ?. 2_I . D r Site Address: 3 0 O y S q i e&D s O P, " u t 1 I? i o? Tenant: Suite #: RESIDENT 1 OWNER Phone: Name: ? 3 D g Q S u l LQ? Q` ` Address / City / Zip: Applicant is: - Owner Contractor TYPE OF WORK Description of work: L PC.A C-6- Df.Y 6JAa FLol7 AlG L H?ly/??CS Construction Cost: ? bat) Multi-Family Building: (Yes / No ? CONTRACTOR Name: M A Uf R i GK. CD AJ;T (6, License* 4S I ? Zn L ??? (?? C Address: ` f City: 1 l (U O () r State: V VW-) SC 3 -f o r--C-'763 ? ?II p L a 22Y O -1'40I C t t P Ph on?f? (2?????? on ac e Sr one: 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J 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: 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 the are trade 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 application for a permit, and work is not to star 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 LA Rte`/ ofRL?f X `?j DAAk,% Applicant's Printed Name Applicant's !Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of-Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext.Alt.-SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior I mprovement ? Siding ? Demolish Building` ? Addition ? Move Bui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window Jz Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: ? j Valuation T> r ` Occupancy MCES System Plan Review - Code Edition SAC Units (25%100% 1 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Roof: -Ice & Water -Final _Z( Framing Fireplace:-R.I. _AirTest -Final 1 Insulation c71?wrYw Sheetrock Meter Size: Final/C.O. Final/No C.O. HVAC Other: Pool: -Footings -Air/Gas Tests -Final Siding: -Stucco Lath -Stone Lath -Brick Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ? 4105t &6v 1 f 4;1;01L.9 C) Page 2 of 3 ----------- 9a I Permit #: 5b. ?? I Permit Fee: I Date Received: I I Staff: ---------------- 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: J - J 7 O "I Site Address: 3 010' is fff l L ?p S U /? ? E-- "4l ?q /" I °V/ 1'La-I Tenant: Suite #: RESIDENT / OWNER Name: (r-' Phone: 2-7a ` Id I Address / City / Zip: ?0?p .? / E /0e l -4? ?V- vJ j c9-1 CONTRACTOR Name: j C ?r License #: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK -New ,?q Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation _ Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) _ Septic System Water Turnaround New - Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance witn the orainances and codes or the Gay or 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. n e aturi Applicant's Printed Name Applicant's Si n FOR OFFICE USE ; I Reviewed By - Date: .<. i g i)l n* 1 ? a i yrg a` J RegmredInspections: _llriderGround _RougInto AirTe6t GasTest Flnal >, - ----------, j Permit #: I ? Permit Fee: I Date Received: ? I I Staff: ----------------- 2009 MECHANICAL PERMIT APPLICATION Date: J' Site Address: 3ceo l?j?/'Q fd& 'Dr, -M-A: ?4 Tenant: Tet oAn SlzidALr Suite #: 10 RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: Pf Q k ?`? tl- h /-1 License #: J ?,r -1 Address:'/!' 1 A o Or : SI C; ie /J StaterN Zi Cit 1 e" 0 p 2 y: _ Phone: 9601 - co- a 1.> Contact Person: TYPE OF WORK New Replacement Additional Alteration _ Demolition ?escrlp!l4h,of:w?k;r /? ?C?° „;NOTE Bofh;ronf mounted and gr¢und mounted meehanlcatequfpmcof !s reyulred to ode. Pl 4e screenez?4y City ease cont$cf the Mechanicatlnspector ar ose of the , - , _ ,., w risers. or4•ItUOI n( ilon o ` rmitted tree me s. P? .__?( RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed -Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) c, e $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X11% $50.50 Minimum (includes State Surcharge) =$ 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 me ordinances ano woes or me city or Cagan; mat 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. xe- om O l?rc t° x C ? Applicant's Printed Name Applicant's Signature +FOR OFF E US ReV?t/?I BJFi`-h4 '?'? a Date. i ?' S 1 . 6 g r i. e .+ f' ,_.r 'RequirerFinspectitins: '_Under Ground Rough in Air TA Gas Service Test It4oor Heat. _Ftnal kr ' ;,• ?;ExteriorllVAC Scieaning Inspection a m 4 :s - City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: !I)Lptt5 D Permit Fee: X06' Date Received: Staff: 2011 RESIDENTIAL PLUMBING % PERMIT APPLICATION Date: f! - iZ Site Address: ?o) -S/- (dam• F� (r . $ 101 '-Y- &' 5c 121 Tenant: Suite #: RESIDENT I OWNER Name: , i r S-140 4 -Me7-1-- Phone: 7S/ 76'C 7O Address / City / Zip: IJ S 5 / 2- 1 CONTRACTOR Name: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50TM ST EAST City INVER GROVE HGTS State: MN Zip: 55077 Phone: 651 .451•-2241 Contact: BILL.MILBERT Email: TYPE OF WORK_ Nev eplacement Repair Rebuild Modify Space _ Work in,R.O.W. _ _ _ Description o work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / _ Lower Level) Lawn Irrigation ( RPZ / PVB) Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $500 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 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.aooherstateonecall.orq 41 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 approv of p1- s x i// in1l'llti i°-4 x App i ant s Printed Na e Applicant's Signa ure FO,- SOF ,rCEUSE Required Inspect o s ��U derrGro ,• a •Rough, p _A PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108278 Date Issued:11/28/2012 Permit Category:ePermit Site Address: 3080 Shields Dr 102 Lot:550 Block: 01 Addition: Lemay Lake Hills Townhomes PID:10-44651-01-550 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ramesh Mannamkunnath 3080 Shields Dr 102 Eagan MN 55121 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature � � � Use BLUE or BLACK Ink y � r----------------� I For Office Use � � � Permit#:����� � City of �a�a� ; . . 22� � 3830 Pilot Knob Road RECEIVED � Permit Fee. � � I Eagan MN 55122 �AY 2 e 201� j Date Received: � Phone: (651)675-5675 � � � Fax: (651)675-5694 � Staff: j I I -----------------� . 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � '�'� �-�����y Date: Site Address: Unit#: � Name: f�sc��.� �-°-- -' �'.�...�1��2�''' Phone: Resident/ k .. ,-. . Owner address�city i z�P: =� ��� 5��.�-t`'� '��- Applicant is: Owner /�� Contractor � Type Of WOrk Description of work: �-��'-�- -- � ,,PJ�.t���'�.�,C� Construction Cost: `'S`�C>.��"' Multi-Family Building:(Yes�/No ) Company: �ar�3 Ca�s=�-�-..:.:.-h��, ���z.�.,<'�- Contact: ��c2...,.1 �/`--.,.�.✓S Address: :,� \�i y �r��,�r,..-,,�..,� ,�-� City: _�►����r�� Contractor = State: V�v�,: Zip:�3 J `i Phone: r-"� '3==�`i ���k�Email: r'"`ye.;.i c�.�..�„�..,r-;�,��.-� C� �',n-��..��, ���- O/3� License#: �-�3,c� / '�t� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t 6� 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: I 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 specifrc reasons that would permit the City to conclude#hat they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecali.orp I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. �� ��1G����,� �/1.-1��� �— X � x Applicant's Printed Name Applicant's Signature Page 1 of 3 ���� �S�����c�- � . . �° . DO NOT WRiTE BELOW THIS LINE j� 3 5��� SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) � Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 lex Lower Level Pool Accessory Building ORK YPES 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 � Occupancy � MCES System '—"' Plan Review / Code Edition � SAC Units -- (25%_100%r/ ) Zoning �n City Water �. Census Code lt$N Stories � Booster Pump �-- #of Units / Square Feet _�� PRV -- #of Buildings / Length �r_ Fire Sprinklers ✓ Type of Construction _ '/�3 Width �_ REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) � � Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 73 75 Surcharge Plan Review � ') 9 MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 j 23��� CERTIFICATE �F SURVEY � FOR LEISURE LANE 12!.92 n1 �9° 3' 3'�"E' , i . f t N �� T � Scale: l" = 40' � �� � o Denates Ircn s'�n. EA . > 1- ^ ,�, RE`�` ^��D '`������ '��N� v, ;-,.�� �� �� r�aj,, Q:� BY =; ....�7 � �,�� D�TE; � . . � t.,z-��`�f j��" . . ��f�LG��9`�� g. � �{-�-3�`?�3� �4�f!/`►'���`.' - . ;;"�- � .,, '�< \ .y.+' � _ e � �� � . b �• �\ �a'6e!!� m'l � \ �'s,�J�lrq fi .�o�p .S lya,¢aQ S !'�,�2. �,� t �/,✓�1' /0� 879.o X ,' \ w \��•.�`` � \ � \ �`��� F � ~ � '�'sa. `~�� N � `�`��� `\ �' �p�. � � � ��q \ � `' � o ,� n���'�. / jy' � � � X� � ���, 8 \ � G�✓�X'�, S�`'���IS` � Q�;� �6z � �h / :�2='',.� v�R> . � � 3` i ��' / � � � �gs-� �� - �4,�oA �� �,� . /s' x8$o . Sanita!-y Sewer � � " �s�s 1 Invert Elev. = 884.5 � �O•3' a � b � ! f g94.�� �,n �2,6� �"i �. `�+��/ �Q `Lowes� tirv.j ``u'!I � �� �ii `4 \ � �� � � ��� \ s � ��� �'�"OL � � ,� ( m L� ;�o e , L, /2 33 �' � ��` `3¢�, ��% ! K 694 �2a� � �`� ti �3.9Q� �.s�b Bg6 2 � ` 1 ' r`� � � a a `� � ,�v ti��.� �'° -' ry�' m� � � a°�` ' �� � ' � �� \�n d,� `��1'1'\� ` ` fO' ry� �2 j3 0� � � d' \ �° N�,3e � � ��s h "' �� � 'J � � ap� ¢tt � ` � a. � �� I 3.3" 4�.. ��'� � � „s �� ry ' '� � M f �' '� �r,,, � � � , C ��%b ��+te \ �`4p I � � � � '� ` �'�t � g � f Z � 0 OC � i�� , �• _+o � i / R o � � ��o � tzwF a� �.�, ,^ J.o�M�a � � � 9zX � ! � Denotes Proposed Elevation � w •�s�zs"� �O� ~' -� .° Q 8�.7 Top of Basement Floor � . 3�.a� / � � o � � o! � � �p� fl �o �� �L _ � _ � _ _ _ _ � ,_,.. ._ ( ? ; LEGAL DESCRIPTIQIV 8 98.O�c + � 17D.00 N $9°44`28 "E' ' xs�a�� L�t 6, B1oCk 2 � LfMAY LAKE HILLS Dakota Count,y, Minnesota 1 hereby certify that this is a true and correct representation of a wrvey of the boundariesof the above described la�d and af the loqtion of all buildings, 1�1ER�'LA & ASS�CIATES, I�C, if any, theteon, and all visihte encroachments, if any, from or on sa'sd iand. ENGINEERS, SURVEYORS, SlTE PLANNERS As surveyed by me this�7 �� day af l' �� � , 19� 1601 - 67th Avenue North� Brooklyn Center,Minnesota 55430 `-� / i5/ �, Minn. Reg. No.�Zz''� . Telephone: {g12) 560-266� � Job No. g 5�,� Book - Page S For Office Use I 4 114.105-7 ,..: ,i,,, , E AGA N Permit ft: too' Permff Fee-. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-56751 TDO(651)454-8535 i FAX: (651)675-5694 Email:buildincinspectionsAcityofeadan.com IStaff Commercial Plan Submittal:eplansfacitvofeagan corn 2018 MECHANICAL PERMIT APPLICATION LII Please submit two(2) sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email, CO or flash drive Date:C44-12.2‘A Site Address: ,..)U:) ‘1f.t.c.-‘ ri Tenant; Sotrirtit: IP Resident/Owner Name: Phone: , Address/City I Zip: lic-A.,1 , Name. Nik•- ,,,- 4 Alk wo AAA taff 4 , License#‘ , Contractor Address:rri 12) ( eiv a\c., Ave city: 111 . .00:4.. .? A . 0' i ak State: IltiAlt Zip: atom w Phone. 3„0 \..-.)--n. /tio. 1, E. ..• --. t " , . , ,,,/4 „,,, 44— Contact \ 1 1 1 4,444.UIN 1 Email: km14 114,4 a 40.41 e:s i 414.11 shA ,k1t,, °* fr4ACK-e. 01,• C-14.0.. i New j KReplacement Additional Alteration Demolition duets j R ? th../ luic...11--r erikkiCa \IPPAk Type of Work Description of work: cs: TACe . . rt- .„.. .tua NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City I Code,. Please contact the Mechanical Inspector for information on permitted screening methods. .......----- ....--,......„ RESIDENTIAL ' 1------- Co4lietERCIAC Furnace I New Construction interior improvement i .. 4 _Air Conditioner I Install Piping Processed Permit Type i Air Exchanger i Gas Exterior HVAC Unit 1. ' Heat Pump I i Under/Above ground Tank ( Install! Remove) I, i 1, Other I g RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge i $100.00 Residential New includes State Surcharge =$ ,0. 04" TOTAL FEE i 1 COMMERCIAL FEES Contract Value$ x.01 I $60.00 Permit Fee Minimum $7500 Underground tank installation/removal, includes State Surcharge = $ Permit Fee ,.,$ Surcharge 1 Surcharge= Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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.cityofeacian.comisubscribe. I hereby acknowledge that this information is complete and accurate: that the work will be n 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 wit be in accordance with the approved plan in the case of work which requires a review and approval of plans. k ‘ ,,„ ---..... .40e X Nit,/1 C,,,e n-f". S .,.‘ i Coe'A....0. X „........—m- Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required inspections: Reviewed By: Date; Underground Rough In Air Test Gas Service Test in-floor Heat Final HVAC Screening