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4830 Sky View CtNov 16 2011 10:41PM HP LASERJET FAXBRUCKMUELL 6516882160 page 2 411' CllyofIag1all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 P. Permit #: Penni! Fee: 'CO Use BLUE or BLACK Ink6/, Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION 17- Plumbing / Sewer & Water Date: _ 1 1 - L1-1 I Stte Address: ticlaCo k‘/(//ew tin6 it il-1( Tenant: Suite 1: RESIDENT/OWNER Name: i(2t,Cih i- AOnnh H64-`nnd Phone: 1c5 27/— 1307 Address / City / Zip: 1-1T3D D Sktpl/ P_t,) OfUrr /( Chan 55/aa ) CONTRACTOR Name: arLACk, Ma eller Ale. License* 0 /? / 96-i-Prr) /tfpPia•m&79 Address: 39q.d Penn Sy ()lei Ake.- • City: -agar) State: /7N Zip: 55J? Phone: 661- ?L' - ex 6 960 Contact: 61•16 d r i1 Email: b/`GC ckrn a gdt r` f iu /rtig R g, Com TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) ✓Sump Pump Repair Repair Other. Other: DESCRIPTION Description of work: 81-419 <Lf ny pump 6311 SGA a✓r .e. /'lam up -M Code. FEES $55.00 / Each (includes 65.00 State Surcharge) • TOTAL FEE $ 5.S.0 ? * "Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1A repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaoan.comlinflow, or City Hall at 3830 Pilot Knob Rd. 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.aooherstateonecaliorg 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. 7 We- l3rl tckmLte—ler- Applicant's Printed Name Applicants Signature a~.I(!~ REQUEST FOR ELECTRICAL INSPECTION ~ , See instructions for completing this torm on beck of yellow copy. Q O ~ 2 r~ 9 ""X" Below Work Covered by This Request A Nep. TyDe of Builtling Appliance~ Y1ireE Eqvioment Wi~ed ~ - Home Range Temporary Service ^ Duplex Water Heater ~c~hiiny fixtures Apt. Buildinc7 Dry Electric HeaLn ~ Commercial Bldg. mace Siio Unloader Industrial Bldg. Air Condi[ioner Bulk Milk Tenk Farm ther Oeu y O~her ISpcr.itvl t er ueci y iher Oth~.~ ompute Inspection Fee Below # Fee Service EnVanceSize~ q fae Feeders~Subfeeden N Fee Circuits Oto200Ams Oto30Ams O• Oto30Am~ ~ Above 200 qmps, 37 to 100 qmps 31 to 100 Am s Q Swinuning Pool Above 100_Am s Above 100_Amps Transformer5 ~rrigation Booms Partial%Other Fee Signs Sueciallnspection S " TOTAL F emarks Rouph-in ~ ~ ~ ~1fe I, the E ctrical ,?,7b ~~sae~,o ~ certi}y that the above Final ~ "~e/~ 'nspection has bean Y. ~7~ v ~da. T~brepuestvoitll8monihsirom 'Y CITY OF EAGAN Remarks~::~2-` ~ h~ Additio~p~Safa~i ?nd Additio~ ~ot ~.A Rik ~ Parcel ~.g ~s~± ~~4# Owner Street 483D Sk~view CnurY State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ~e~~' r~'C a ~/~.l ~ STREET RESTOR. ~ - t f GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit .0 90 WATER CONN. SOO. BUILDING PER. sac 525.00 PARK ~ ~ CITY OF EAGAN " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 • ~ ~ ~ BUILDING PERMIT Receipt # %f'~' To be used for '~~C~ Est. Vaiue ~ 1 Date ~'~Y ~ , 19$~- Site Address ~3Q SKY VI~ i.T Lot 1~ Block 1 Sec/Sub. abt T 2Ni? OFFICE USE ONLY P3fC81 N0. Occupar+cy - FEES Zoning - W Name ~+~%:1:~~~ ~~~1'~IE 1~E?LA?1+PD (Actuai> Const - B~dg. Permit 26. il4 ; Address '~?a3(1 Su.:Y~'T_~d CT lal~owable) - 0 Surcharge • ~ City Phone ~~-~L71 # or stories - Length _ Plan Review , o Name ~ oepu, - sac, ci~y o~ Addr@SS S.F. Total - u< SAC, MCWCC ¢ Clty PhO~e S.F. Footpnnts - On Site Sewage _ Water Conn U¢ W w Name On Site Well - Water Meter i i- Address Mwcc Sys~em - ~ ~ Acct. Deposit a W City PhO~e City Water - PRV Required _ S•NV Permit 1 hereby acknowlege that I have re~d this application and state that the Booster Pump - S~W Surcharge infortnation is correct and agree to comply with all appiicable State oi Minnesota Statutes and City ol Eagan Ordinances. Treatment PI Signature of Permitee ~ APPROVALS Road Unit A Building Permit is issued to: ~IC~A ~T~~ P~anner - parlc Ded. on the express condition that all work shall be done in accordance with all Council - 1~ applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Bldg. Off. - ~Op~~ ~ Building Official Variance - TOTAL 27 f?ermn No. We~„n F+oia.~ aece Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I 7~~ Foundatlon Framing Roofing Rough Plbg. Rough Htg. ~I. Freplace Fnal Hlg. Fnal Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan 81dg. Final Dedc Ftg. ~3 ~ / Deck Final ~ 8 Weil Pr. Disp. . ~ • . . 1c.~ ~ - , ~j~~ , - . PERMIT ~k ~ CITY OF EAGAN FEE y J ~ J lp MECHANICAL PERMIT siC ~ RECEIPT# 7 454-8100 t ; MINIMUM RESIDENTIAL FEE - 510.00 + S•50 TOTAL DATE MINIMUM COMMERCIAL FEE - 520.0~ + 5.50 1. Bldg. Type: Res ~ Comm Inst 2. New ~ Add Alter Repair 3. Total Bid Price G'~LC 4. Job Address ~'f P~ 0 f y 1~1 F 1~ Cr` `r Lot / r Block ~ Sec S~ 1 5. Owner ~b ~ 4 i~ k' i(~-•- ~'V ~ 6. Contractor I ~ r"~ ~ L ~ i, -a- ~ 1" 1''y ?L y U J ~ C : ? i . ~ 5 ~ ; ~ ; ~ . _ , ~ (Name) , ~ ~ (Streery (City1 (ZiP) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 8TU's or iraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS - 57.50 TANKS: L.P. UNDERGROUND OTHER . COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS s.50 STATE SURCHARGE FOR EACH 51,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. , . . . . , _ _ _ _ _ _ . ,~rw y j~,~ f~,~ ~{f+'~,wc.,! ~.c3l~f[ee~c:wl'a~-4aRr~`~e~f~issli'~~lFA^+- a=~i . PERMIT # ` ~ ~ CITY OF E/IGAN FEE ` ` ' ~ ~ 4_ PLUMBING PERMIT ~ RECEIPT # 454-8100 siC ~ 3_ p~ MINIMUM RESIDENTIAL FEE - 510.00 + 5.50 TOTAL ' DATE 6 MINIMUM COMMERCIAL FEE -~20.00 + 5.50 1. Bldg. Type: Res ~ Comm Inst 2. New ~ Add Alter Repair 3. Total Bid Price r~d~~ 4. Job Address 7~'3 C S~~ y V~ E w Lot Block / Sec S ~ 5. Owner ~ ~ ~ ~ ~ n $ N~ •6. Contractor 7 Z I J T Tv C. ~ l,~ r i ~,f b' ~'t ; {Name) ~ ~ ~ - 3 a y ~ {Streety fC~Y) R~P) 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FiXTURE3 ' ~Water Closet - $3.00 ~ Laundry Tray - $3.00 -Well - $10.00 ~ Bath Tubs - $3.00 ~Floor Drains - $1.50 Private Disp Syst - $10.00 ~Lavatory - $3.00 ~.Water Heater - $1.50 ~Rough Openings w/o Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50 7Kitchen Sink -$3.00 ~ Gas Piping Outlets -$1.50 -Urinal/Bidet - ~3.00 -Softener - $5.00 COMM./IND. RATE - 196 OF TOTAL BID PRICE PLUS;.50 STATE SURCHARGE FOR EACH:I,OQO OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. . . -.~~.,~.F.. 1 CITY OF EAGAN ' ~ ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 ~ BUILDING PERMIT Receipt # To be used for Est. Value a f%-% , i' Date ~S , 19 Site Address ' ` ~ ' " 1 Erect Occupancy Lot Biock Sec/Sub. ~ ~~~r= ~ ! ~ ~ ~ ~ Remodel ? Zoning Parcei No. Repair ? Type of Const Addition ? No. Stories ¢ Name ~ i. i i~' , Move ? Length z ' ' .L t i't . - :;~'~l' Demolish ? Depth ~ ~ 3 Address - Int. Impr. ? Sq. Ft 0 City } Phone 4-~ ~ ~ t' ~ Install ? a Approvals Fees = o Name ~ i Address ~ Assessment Permit ~ Ciiy Phone Water & Sew. Surcharge F ~ Police Plan Review ~ ' " ~ F Z Name Fire SAC ' Address Eng. Water Conn. ~ W Ciry Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the gld . Off. 1 f~~ f ~ Tr. PI. intormation is correct and agree to comply with all applicable State of g Minnesota Statutes and City af Eagan Ordinances. , APC PerkS , Var. Date Copie Signature of Permittee - ' - Total . 4_s'.~: A Building Permit is issued to: on the exprass condition that all work shall be done in accordance with all applicable State of Minne~ta Statutes and City of Eagan Ordinances. Building Official ~ Permft No. PsrmR Hotdx D~te Tel~phone # Plumbiaa L ~ } ~y ~ ~ G H.v.a.c. ~ ~ .3 ~ L ~3-' 3d L E~e~~ ~a.,~ ; ~-~,C, ~"~L ~ ~ . ~d s~e. ~ In~pection Date Insp. Commenfs Footing~ I - Footinye 11 FoundsUon Framin9 ~y/ - Rootiny ~%5~ Rough Plby. _ s ~ Rouyh Htq. , ? ~ ~ ' ~ ~ In~ul. ~~r ~ ' L1J8 Flreplace Final Htp. Final Plbg• / /I~ ~4 ~ Bldy. Final Cert. Oca ) . ~ L'K e ~-Z ~ 3 Deck Fig. Dxk F?my. Well Pr. Dbp. CITY OF EAGAN SEWDt SERVICE PERMIT 3630 Pilot Knab Rafd ~ ~ ~ P. Q. Box 21199 PER/VIIT NO.: ERgan, MN 55121 D~?TE: ' f'-~ Zoninp: No. of Units: ~ ~YYrN?~ r i C']~ . "li - - A~I~QSS: ~ L. '.~Y ±.2Y9 U'~ . L . t i r ; :i ~ i Z : Site Address: Plumber. - 'n~- ' ~ ~~''•,1^ ~ ~ ~ r• ~~T~ 1 y~w to ea~l~? whU !M p!f ~f i~l~~ Conrnttian Cl+a~pe: 1. Or11M~. /loeou~t Dspo4it: ' ` ~~~n~ P~m~if FN: i. ~ tl ~ pd Surchorpr. By Mf.c. Cho~s: Date of I~sp.: Totol: ~~p,; Dot+ Poid: ~ ~ ~ . . _ CITY OF EAGAN WATER SERVICE PERMIT ' 3830 Pilot C~nob Road 3 P. O. Box 21199 PERMIT NO.: ~ Ea~aan, MN 55121 DATE: ~ ~ Zoninp: - No. of Units: ' Owntr: - ~ SI~ A~IlSt: ~j . J r~ V'V iL~~ i?~ i:~ i.~. r~: _ i Mumber. ~~r r~r;,^`.L':, ~ AAat~r No.: Connectfan Chorye: l~ps? ,I SIu: Aoooimt Deposit: ~ ' i Reader No.: Pertnit Fee: z Q. Ol'p ~ . 5!` r' 1 r~r~w !o ao~n~ip wMl~ tM pry ~f lp~~ Sundwrfle: i Onil~weM. Misc. Choross: l'^.~ lOr~ '1'i Tocol: ` ~ . ~!1 ~c? ^lc: i~. . ' BY DaN Poid: Dota of Insp.: Irup.: ~ i CI7Y OF EAGAN WA~ SERVICE PERMR ~ 3830 Pilot KnaG Rosd - P. O. 8ox 21199 PERMIT NO.: ~ i Eagan, MN 55121 pA~: ' _ ~ Zoninp: _ - No. of U~its: I . p,,,~„~~; ` ie'•rich, Inc. Mdron: ~ Sit~ Addreu• • 5 yview .t . tr a. ar ZI ~ er.-e _ renc ~ i:~;= ~ Met~r No.: D p 1 Size: ~ t: . . . ~ I Reoder(' No ~ , ` ~ • ~ ~ 1 ~/M.~o~ ~p~~ ~ ~i • . "'r REC~UIt2~D B~,~I~ ~ ~ - p Totol: . pd ,:c`r,,- BY Dat~ Paid: I Dote af Ir?sp. irop.; I ' :3-~ S- S6 CITY OF EAGAN N~ 16741 ~ . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454$100 /J !J~ BUILDING PERMIT Receipt # ~ o To be used for DECK Est. Value ~1, 000 pate .IULY 5 , 7g 9~ Site AddreSS 4830 SKY VIEW CT OFFICE USE ONLY Lot 1D Block 1 SeGSub. SAFARI 2ND Pareel No. occupancy - Fees Zoning - w NBme RICHARD & BONNIE HETLAND ~qcmaqConst - BIdg.Permit 26.00 o Address 4830 SKYVIEW CT IAl~axab~e~ - Surcharge .50 Ciry EAGAN Phone 454-6871 aorsmdas - Lengih _ Plan Review . o Name Depth - SAC, Cily S.P. Total sa Address - snc,MCwcc ~ City Phone S.P. Faotprints - On Si~e Sewage _ Nlaler Conn r ¢ Name on Site weil ww - Water Meter ¢z AddfB55 MWCC Syslem - qccl. Deposit aW City Phone caywa~e~ - PRV Required _ 5/W Permit 1 hereby acknowlege Ihat I ve r d ihis ap licati n nd sfate thaf ~the Booster Pump S/W Surcharge iMOrmation is correct and gr o compl `ith pplic ble State oF Minnesota Stelutes and agan nces. TrealmentPl Signature of Permitee APPROVALS qoad Unit A Building Permit is issued to: RICHARD HETLAND Planner - park Ded on ihe express condition that all work shall 6e done in accordance with all Council - 1.00 applica6le State of M.(i,n,n,e,s~o.ta Stamres and Ciry {o~f Eagan Ortlinances. g~d9, pg Copies Building Official ~~iA~ Variance - TOTAL 2~ • 50 1 ` CITY OF EAGAN A' ` ~ MN55121 Iv~ 11422 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, PHONE: 454-8100 BUILDING PERMIT receipts 7o6eusedior SF DWG/GAR Est.Value ~69~000 pa~ JANUARY 8 ~g 86 SiteAddress 4830 ggy VIEW CT Erect C~ Occupancy R3 10 1 SAFARI 2ND Remode~ ? Zoning R Lot Biock Sec/Sub. Repair ? Type of Const Y Parcel No. Additian ? No.Stories DIEDRICH INC Move ? ~ength w Name 46 = Demalish ? 'Depth 3 Address Int Im r? Sq. Ft ° ~i~, A.V• phone 432-2292 InstallP ? o Name SAME Approvale Feas Address Assessmsnt Permit 340.00 ~ Ciry Phone Water & Sew. Surcharge 34 . 50 ~ Police Pian Review 170. OD t= Name Fire SAC 575.00 ¢i Address , ~ Eng. WaterConn. 500.00 a W Ciry Phone Planner Water Meter 63 . 50 Council Road Unit 280. 00 ~ Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 1~8~86 Tr. PI. 132.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and C~iry/of Eagan Ordinances. APC Parks Signature of Permitlee ~"6~~~ Var. Date Copies Total $z.095.00 DIEDRICH C A Building Permit is issued to: on the express condition that all work shall be done in accordance ~ al pplic,/able St te of i •Statutes and City ot Eagan Ordinances. Buildiog Official~~'rL_/L This es!,yoid ~ ~ ~ ~ ~ ~ ~ s f~oiti ~ 095229 ,~.a~~~~ s~~~~ ~ RPq/est Oa~ O' / Fire No. pe~qu'h'r/ed7 nspection ~qeady Now ~,N~*f~'ntity, Inspec- / ~+es ?No lor When qeatly ~Licensed ElecVical CqnVac[or 1 hereby request insoection oi ebove . ? Owner . elecvical work installed at . Slre r or flou N ~ ~ City ~ ecbon o. Township ame or Range o. Count~ Occ ~ nt IPRI T) ~ ' Phon¢ Nn. r e,~l ~ ~-z~~~ Pow Su lier Address Electrical Cmvactor (COmpany Name) tr;art r's License No. ~ Mail'qg~Qd~i~yy ICbnt~a mr r Makinp Ins[ai~ationl ~~~,+_yi i~ J.:,L LANE . Au h' ' t onVac or ~~i~~~ ns i I latinnl Phone Numbpr VALLEY, MINNESOTA STATE 80AXD OF ELECTRICITY , TMIS INSPECTION HEQVEST WIIL NOT Griggs-Mitlwav Bldp- - Room N•191 gE ACGEPTED BY TME STATE BOARD UN~ESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 65104. Phone Ifi12) 297-21t1 - ENCLOSED. RESIDENTIAL 7 S BUILDING PERMIT APPLICATION ~ l 1~ l CITY OF EAGAN ~S - 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 New Constructlon HeaulremeMe BemodeVNeoah HeauhemeMe • 3 registeretl sile surveys showv~g sq. ri of bt, sq. fl. of house; and ~II roofed areas • 2 coples of plan (20%maximumbtcaveragealbwea) • lsatolEnergyCakuietionsforheatedadditbns . 2 coplas of plan shaxing beam & wineow sizes; pouretl tound design, ek.) • 1 site survay for etlerbr addRions & decks • 1 set of Energy Ca~ulatbns • Ind'~cete tl hane servetl by septic system tor addflbns • 3 wples of Tree Preservatbn Plan H lot platled afler 7/1/93 • Rim Joist Defeil Optbns seleclbn sheet (hklgs wMh 3 or less unils) DATE ~ Z VALUATION O` OS~ SITE ADDRESS ~ a~ U Sk~ ~r ~ Gf MULTI-FAMILY BLDG _ Y~N NPE OF WORK ~ rd°~ FIREPLACE(S) _ 0_ i_ 2 APPLICANT ~~'t- ~t.~.'" I~~ L X f'2 Tt ° ~S STREET ADDRESS ~~5~ ~5~~ ~ S arv L-~ler/ ~iGirieSTATE ~?~ZIP TELEPHONE #~S2' ~ ~'~'~23ZCELL PHONE q FAX # PROPERTYOWNER ~t ~~f~u ~ ~ TELEPHONE# ~~~~3 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MP.VNESOTA RULFS 7672 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Coda Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contracror: Phone # ~ _ Plumbing system includes: Water Softener _ Iawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contracfor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor: Phone # - I hereby acknowledge that I have read this application, state ' on I ~ mply with all applicable State of Minnesota STatutes and City of gan Ordin ces. ~ N 002 SignalureofApp K - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ~ 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ~ 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 0&plex ? 18 Deck ? 23 Porch (screened) O 36 MuRi ? OS 03-plex O 11 10-plex ? 79 Lower Level 0 24 Stortn Damage O 06 04-plex O 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New 0 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 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bld~ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation ~pC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucca Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Suroharge 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 S35"s^Z RESIDENTIAL BUILDING PERMIT APPLICATION GTY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~~f'~ ~ 651-68'I-4675 Naw Construction Raauireme~ta RemodeVReoair Reauiremants • 3 registered site surveys showing sq. R of lot, sq. R. of house; and all ropfed areas • 2 copies of plan (20%maximum lat coverage alloxed) . 1 set of Eneyy Cafculationslor heated atldNOns • 2 copies o( plan sfwwing 6eam 8 vrindow sizes; pourad Found desgn, etc.) . 1 site survey lor e~erior additions & decks • 1 sel o( Energy Calculatia~s . Indirate if home served hy septic system far add'Aions • 3 wpies of Tree Presenation Plan'rf IM platted after 771/93 . Rim Joist Oelail Options selectlan sheet (bldgs wiN 3 or less units) DATE ~ VALUATION SITE ADDRESS tF~ ` /e ~7J C~/ r. MULTI-FAMILY BLDG _Y ~ TYPE Of WORK U~/~/~L / ~s~ FIREPLACE(S) 1_ 2 APPLICANT C//FJ1S ~L°,~~ CO~/~UN.~ ~~~W/"~ STREET ADDRESS ~/"~UE~~ ~CITY /'~tiS(,~ TATE~ZIP 5.53~7 TELEPHONE ~J~-'~ CELL PHONE # FAX # S'?7~ PROPERTYOWNER f7(~~ ~C f~1~~_ TELEPHONE#~~L~~ COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RULES 7G72 (d submission lype) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ _ Plumbing system includes: _ Water Softener _ Lawn Sprinkler Pee: $90.00 _ Water Heater _ No. of R.I. Ba[hs _ No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Condiboning ~70,0~ _ Heat Recovery System D ~ ~j ~ ~ ~ ~ Sewer/WaterContractor. Ph #lUl 2 2 Z002 ~ ---------P Y I hereby acknowledge that I have read this application, state that the inform z~nis coR , to com I with all applicable State of Minnesota Statutes and City of Eagan Ordina Slgnature of Applicant;_~~°_~~ ._~.__.....r-------°•_____~_----_._...._-°- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot FoundaGon ? 07 OS-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 1D 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Muiti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 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 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg onl» - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Canst Width REQUIRED INSPECTIONS _ Footings (new b(dg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Foorings (addition) _ Plumbing _ Foundafion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framiog _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . ~ ~ 1985 SUILDINC PERIiIT APPLZCATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAC6N C0147ERCI9L SINGLE FANILY DifELLZNGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFI'CATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND ~ ,ooo To Be Used For: S~~ULF,~aw+~sr Valuation: ~ Date: f~-~~- ~ / / D W~Ulitt. r~T ~.~~Site Address v~t., ~i 2.a S ~.~t OFFICE USE ONLY r~ ~J Lot ~ Block ~A Erect ~ Occupancy ~3 ~ ~ Remodel Zoning Parcel/Sub ~~E S~'`~~ ~ ~J~ Repair ~ Type of Const Addition ~ S of Stories Owner %'jLc~,Q/cLf liv~- Move , Length Demolish Uepth Address ~ 75~ /3v'"`f _57"~ Int.Impr. , Sq Ft Install City/2ip Code i~i ~ Y~~-~ /1-'~/ sSJzY Phone ~J~ ?-`fz APPROVALS FEES Contractor ~J~1~/~~ ~u« c~~'f //U c_- Assessments Permf t Water/Sewer ^ Surcharge ,6° Address ~~Sd /35~'~N.S'~. Police ~ Plan Review t'lc~, Fire SAC 5'l5. City/Zip Code y~'~•!~ vr~c~y~ ir~? Engr Watet Conn Sc~a. ~"r~'y Planner Water Meter 63,~-0 Phone Z-~-~-3v Council Road Unit 200. Bldg Offf Treatment P1 ~~z. Arch./Engr. ~c~9~,, M- APC Parks Variance Copies Address TOTAL ~ oU City/Zip Code Phone U l c9 ~ 3 S~` 5~O x,S~ = 3 2q-t~u ~ , , ~ 2 x 20 ~ 24 0~~- ( 3~ 2ro , , . z2 ~ 1~ co x 44" ~ I"7 42 4~ ?~~20 - ~ x-t2 ` 4~"~ (~~~2¢ , Ce~t~.: ~.cate for: Diedriah, Znc, 8856 134th Street ~ hpple Valley, Mn. 55124 - { DELMAR H. SCHWANZ 9~=7 L11N0SUNVEVORS INC } HW~tIMPE U~OI~ lTW£ M 1nP C1~1P M Mi11I1fSCIA ~ 1G750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55088 PHONE 812 4YJ•1789 ¢7~ ~ SURVE BTIFICATE 938,n ~~j ~ 9s1~, , 3~ ~ ~J ~ Gou~ o ~ 9da~~y .i r'~~- ~ ~9~~; C~l L~ , r't ~a r ~6. S9- 3 ~ o y`~ ' , 9~ ~ ~ao: 3 e ~ h~ w ~1 a ~ ~ ~ ~o ~ _ ` ~ ~ ~ m : ~1 ~ i ~ q ~ ~ ~ ~ ~ 1 '~.d I~.1~~. ~ a ~,1 T , ~ ' h.~q 6 ~t3 , ~ o ~ i `~'~I ~L ~ 9"" ~ u' ~ 30• 1 V ~ p. ~.e { GA~' ~ ui ~ , ~ ~ r~• 1 ;.s ~ a 'CR a 1~ 0 0~ Q~~~o~~ J 1 b 1 ~ ~ ~ H. ~lo?Sg ~ ~ i~ m 1h h ~ ~ ~o~ ~ ,R~ f 59 ' - y~.D ~ /O ~ i .S 6 I ~ o: ~ ~`-Ga T- ~y' ~ a o + ~ r ~y6rrf' ` y 0 `,~y~j ~?~c= ~ef~~i 94a1 . ~ s N~6~ Propoaed garage floor elev. 943•0 ~ ~ ~ao•°° Qbsno'tea proposed elevation I hereby certify that thie is a true and correct representation of I,ot 10, Block 1, TfiE SAFARI S~COND ADDITION, according to the recorded plat thereoP, Dakota County, Minnesota. Also ghowing the location of a propoeed houae ae staked thereon. Dated: January 6, 1986 ' / ~ . MINNESOTA R GISTRA IpN NO. Afi?5 ~ C/ I ( w EXTERIOR ENVELOPE AUERAGE "U" COMPUTATION OWNCR: L~D~t~~~<.,H Y~15~~~Ef~.S SiTE ADDRE55: , ;_~NTRACTOR: DATE: PHONE: DETERMINE HORKING SQUARE FOOTAGE OF EACH: Y~:AcH U~JIT TOTAL EXPOSED WALL AREA,,,,,,,, S4qL9 sq ft x"U" .11 = 1~3.9~ TATAL ROOF/CEILING AREA,,,,,,,, q¢ 9 sq f[ x"U" .026 = 24•Gi i. TOTAL EXPOSEU WALL ARE.4 CALCULATIONS: Total exposed wall area above floor,,,,,,,, sq ft a) Total wall window area: , qlazed,,,,,, ~c~-G sq ft x"U" •4~ . lDZ,"IPj glazed_,,,,, sq ft x "U" _ b) Total door area 4 ~ sq ft x"U" • Z 3 = ~1,2 ~ c) Total slidtng glass door area: qlazed...... 4~ sq ft x"ll" • 5a = 23,L6 9lazed...... sq ft x "U" _ d) To[al ftreplace wali area sq ft x"U" _ e) Total wall framing area (Averaqe lOg)........... 1( 4 sq ft x"tJ" - I O = I I, 40 f) To[al net wall area above floor (Insulated)....... ( o Z'1 Sq ft x"U" • 0~1- = 41 ,~8 g) Total rim Joist area...... l 2 3 sq ft x"U" • o 4~ _ ~,9 Z Total foundation area (Exposed).......... sq ft h) Total foundatlon wfndow area sq ft x"U" _ 1) Total net foundation area above grade........ sq ft x"U" _ i 9' q o _ 152,58 5• TOTAL a) thru I) - If i[em N3 Is [he same as, nr less than item N1, you have met the intent of ' ,.1c:AR 1..76008 A nnd cl. I'age l ~ , " , TOTAL EXPOSED RQOF/CEIUNf, CALCl1LAT10~15: . Total exposed roof/ceiltng area........ 4-`I sq ft j) Total skylfaht area....... sq ft x"U" ° k) Total roof/ceilinq framinq Z ~ Z l a area (Averave If19,) • • • • • • ~ sq ft x "U" ~ p2 1) Total net tasulated ,024 a 2.o.5o roof/ceilinq area....... ~ S ¢ sq ft x U TOTAL j) thru i) "L 3,1 2 4. If total of Nq (s the same as, or less than N2, you have met the intent of 2 MCAR 1.16Q08 A and O: ALTERNATE BUIIDINf ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items H3 and N4 shall not be 9reater tha~ the sum of items N1 and #2. 1. + 2. 3. + 4. C E R 7 1 F I C A T 1 0 N I here6y certify that I have calculated the "U" factors and "R" values herein and that the huildinq here descrihed meets or exceeds the State of Minnesota Enerpy Conservation Act. _l ~~.!~~w...~ ~'.~~~~--c'. Slqnature - (Date) Page 2 . ' C0~lSTRUf.TION R VALUE WALL FRAMING SECTION: 1 Interior atr f11m 0,6R - ~2 v2„ Qe.Y wa~ ~ ~ 45 ~ 3 S~/2 tnc es.so t wood Co, 12 4 SNe.aTHi~,4 2.oG • 5 ~~v~u~ , ~ 6 Exterior air m n. 7 TOTAL R=_ ~ o~ t 5 U = 1/R ~ . I o wALL SECTION (INSULATED) -il Interior air ftlm p.(,q -~2 _~/2" t~zvwo~ 4 •45 . 3 _cJ~~2'~ IAI~UI.~ _O v0 B ~ _~E~ti.ATHIUG 2,0le 5 Sic~uG .6"f h Exterlor air film p,~7 TOTAL R = "L , o'~ U @ 1/R = .oy- RIM J015T SECTION: 1 Interior air fTlm O,6R 2 Iwsu~ . 2~ o0 C 3 J~~z" wo~D I$8 tF :~H~..vYNiNG l.o~ 5 -:.ioitiiG ,~7 6 Exterior air film (1,~7 ~ - TOTAL R= 2 S• 4G FOUNDATION INSULATIOP~ REQUIRED: Min. R-5 on entire wall OR U= 1/R = ,a 4 A p-:•,4 Min. R-10 down to frost d'eptfi .i : D s:.~~ A: FOUNDATION SECTION: 1 Interior air film ~,F,R ' P 2 a : 3 ~:d:~:°.;~ G 4 Exterior air film ~q . 4 i~,: ~ (F _ TOTAL R = U= 1/R= SLAR ON GRADE Q `u •Q`a . ~ •4• ~i :~Q .~•••.4•. '4 uQi' ' ~ ' Fi + . ~ 4• \~4,~ ~d 4. ~a~ A q d•S~ . ' . ~,r u 4 ' . ' . • 4~ .4~ . E ~ Heated Slabs_ . ' p~ ~ ` , ^4'~.,'Q, Minimum R 8.5 ;q~ , ~ ~ " . 4 . ,,A, ti.-4,- Unheated Slabs: : Q,•,• Q' •~9 ~ 4,'.~ Minimum R 6.2 . Q; ; G.~p - ~'0` d~• . • ~ p1~b ~~4`J q~ l Page 3 ` ` CONSTRUCTION R VALUC CEILINC SECTION (INSULATED): I I~terior air film ~.61 . f~ AIR 2 SIA~~ :~41'F_.EYY1~Gk.~ ~ S!o CHUTE 3 I I.1 7 U L a 3 4 4 Exterior air film still} ~.R1 TOTAL R= 4 t~'1 d !I V a 1/R a ~ ~ 24 ~ I 2 5 CEILINf FRAMINC SECTION: 1 Intertor alr ftim 0.61 2 6~A 51-IEVT~ec1c, .SG AIR VENTED 3~ Ns~i-- ao.oo FLOW 4 Interior air film still 0. 1 5 3'~z inches soft wood ~{,3~ TOTAL R a 3G.Ilo U~ I/ R R . O'Ll !o CEILING SEf,TION (IFlSOLATED): ~q~~r~gfg~a:~~e~.nLAs; r 1' I~terior air film 0.(.) 7. 4 Fxterior air ilm still D. 1 70TAL R = G ~ _ ~ ~ Um 1/R°- ~ 2 3 4 5 ~EILING FRAMIPlG SECTION: 1 Interior air film A.61 VENTED 2 3 4 Exterlor air film stili 1 5 inches soft wood ~ TOTAL R = U= t/R= 3 4 5 ~ . _ ,''.c`. 1 Inside air film n.Gl _ l~ 2 3 4 S Outsi~le alr film ~•17 ~ 2 TOTAL R = _ i U= 1/R~_ Page 4 . ~ ~ , U•~ 26~0~+ ' 0 • 50+ J`.t~c.'-:G: . 1•OU+ 27•SU~, . 1969 BSJILDIBG PERMTT APPLICATION CITY OF EAGiN ~ ~ [~un a s ~as SINGLE FiMILY DWELLIAGS MOLTIPI.E DYELLINGS WI~IERCI9L 2 SETS OF PLANS 2 36TS OF PLlN3 2 SSTS OF lACH13ECTURAL 3 HEGISTERED 3ITE SORVBYS BEGIST6RED SITE 3DRYEY3 - 8 STHDCfQ1tAL PLJlN3 1 SET OF EI9ERGY CALCS. (CHEC$ itlTH $LDG DIV.} 1 SST OF $PECIFICATIONS 1 SET OF ENESGY CILCS. 1 3ET OF FdiERGT CAI.CS. MULTIPLfi DllELLINGS AENTAL ONTTS FOA S~I.E DNITS ~ OF 09ITS ;~t 1DDAESSES POH CORNER LOT3 - CONT'RACfOR/HOMEOIiNEA lIOST ~3IGAATE iiHICH iDDAESS IS DESIRED. NO C&9tiGES SiE.L BE ALLOiIED ONCE HOILDING PERMIT IS ISSOED.~ SEAER 8 ii9TER PERMIT FEES lND ICCbURT DEP03IT ~fiES iiYLL BE TIQCLCDED 6iITH THE ~OILDIN(3 PERMIT FEE. PAOCESSIAG TIME FOR SEWEA llAD fi9TER PERFIITS IS TSiO DAYS ONCE A PERMIT 6A3 HEEB COI~LETED INDICATIAG A LICEN3ED YLU[~EA. ' PENALTY APPLIFS WfiENs PERMIT IS NOT PAID FOR IN 39ME MOH'fH IT I3 REQOESTED. LOT CBANGE I3 REQUESTED ACE PERMIT IS ISSOED. To Be Used For: ~2~ "~~~"~J Valuation Date: ` sitie naaregs =~~3(~ SK~s~ C~• OFFICE D36 ON[.T Lot ~ Block ( Occupancy FEES / Zoning Parcel/Sub ,~1r~~ ~ Actual Const Bldg. Permit Z L• os,n,er ~7~h~a~~~~nt~ 1-oe~~~,r~ Allowa6le Sureharge • SO A of stories Plan Review Ifn Length SAC, Citp Address `t~_ ~D SK~1/"I(I~FJ~ C_~ - Depth SAC, MWCC S.F. Total Water Conn City/21p Code MY~ ._~,r-~~~~. Footprint S.F. Aater Meter Phone ~-~o~~~ On site aewage 3/WtPermitgit r On site rrell S/N 3urcharge Coatractor ~f,]t~ MWCC System _ Treatment P1. C1ty vater _ Aoad Unit Address PRV required _ Park Ded. Booster P~p _ Copies I,QO City/Zip Code 3~TOT~ lYPROVALS Penaltq Phone Planner _ TOTAL ~ Couneil lreh./Engr. Bldg. Off. ~b~3o Yeriance 9ddress City/Zip Code Phone A ' , . Qert3.: !.cate for : . T,iedrich, Inc, 8856 134th Street Apple Valley, Mn. 55124 - 1 DELMAR H. SCHWANZ 9Gt7 ~AN05l~qVE~ORS INC PYq~§IAfA UnOP~ LdKR(~1 TI~P Gl.ll! l11 MI~IIIPS(~IA ~ 1A750 SOUTH ROBER7 TRAIL ROSEMOUNT. MINNESOTA 55088 PNONE 812 ~73-1789 I~~ ~ SURVE RTIFICATE 998,p I ~ ~ 9a1 1: , . 3 ~ G D~ o ~ ; . _ ~~c~ . , ; ~ 6~- 9 8 . ~ ; 9.ld,9 y ~ a T~ ~ 3~' ~~.nw y, r 9~ + 4 ~ M~---`"" r~b~ s'' ~ a ~ ~ ~ t . ~ l°O`3 v ..r-- ~ ~ °n ~ oo ~C1 ~ 9.~ ~ ~ ~f1•~ ? ' ~ ` ~ M ~ yc ( ~1. ~ ~ ~9 ~ a n~ ~ ~ .a ~ ~s r~9a 1 1 ~ ~5~~.• ~ 9t~ ~ ~ I`~~ y~ g~4• ~ =1 ~ So. ~ ; ~ E~ ~i. ~ o~ ~pP~- N W ~ ~ ~ 1 • 1 3.s , d C , ' ~ 1~ E~ ~ iw ~ E ~ 1 ~ b , o ~ ~ ~ ~ ~laus 9~' ~ ~ ~h ~n ' ~~3~' ~ ~k3 f j s.9 y°'D - ic , N'~' 6 4_ , , ~ ~ C ~ - ~ 1 ~oa y,~C. / o. ~ ~ D ~ ` D i~-/~L/,~/~i? ~ y f~" ~ 3 ~ ~ p,GO/~,p~'~ ~e ~ .9~ ~ s f N~b ~ ~y Propossd garage floor elev. 943• o ~vo•°° Qbenotea propoaed elevation f$.G Z hereby certify that thi~ ia a true and correct representation of Lot 10, Hlock 1, THE SAFARI S~COND ADDIT20N, according to the recorded plat thereoP, Dakota County, Mlnnesota. Also ehovring the location of a propoeed houae aa ataked thereon. Dated: January 6, 1986 ' ~ ; MINNESOTA R pI57~A ION NO. ftfi?5 1 ~ C~~`- ~i 2/84 ~ ~ ~ CITY Or EAGAN ~ ~ ~r~~ / APPLICATZON FOR PERi~'IIT SESdER A.]D/OR WATER CONNECTIODT (PLEASE PPINi) 1) PP.OP~ ADDRSS: ~`~Gi ~C/~.1 C%7` r.Fr~r. ~~~rTcv: f~ l~ L~ Sd~F a~~ ,4Do (Lot/Block/Su;aivisicn or Ta~ Parcel I.D. Ntisr~2r) ~ ir W~:I~~_:G S?":CC^ :v°, U.~i~ OF C~ZTGuAL LvIi.~L:G _~_~Si ISJ~.?~:C.: ~ ~ ~i':=: PP~SL:P ,,.^`TI~F:/'P~OPQS~ L'•S: ~R-1 SL;GL~ .?NSLY L] R-2 DLTPL._."{ (T:a LTII:S) ? ~Z-3 'IC7:~~i7F.C{Jcr ~mr-_c.^ L':7ITS) ! V',II^_S) . Q r~A,~"_T*F'^:T/CC:3JC?.LrVI',?d ~ L~Il_JI ? CCi~nIE~?CL~L/RE.^_'AII?OE'FIC:: Q ~l'DL'ST.'~Ir1L ? L\'STI:LTIOJ]AL/Cx~^VE~2:~n1E~.~:'r 2) A~PISG..~71 T ^ IPLEAS~ PRi~if) !!/E/?!C-~ C6,~.^~ ~ PDD.4ESS: cri^t, sza~, zr~: . ' PF.G~: 3j p~~,~~ ~PLEdSE PRiNi) FOR CITY USE O4LY ru4~tE: ~t1lFir ~ ~L~TR ir-c~.i~~„~G r- Eh'C l's PL~JY.BERS CENSE: , p.~D~~s: ~'r~ ~ L,f'~ ~n A~t~~~ CITY, STATE. ZIP: ~'l}~A,N 5-/a 3 0 Expire~ - PHQVE: Recor °~S' f 3G~6 PLUMBER LICENSE N ~~~y-r'dr y ~r; nicia 4) p~,~pp~yT/Cr.~T~ (PLEASE PAIN!) NAME: ~Y~~'~f~_~C~LL' .4 ~.T P.IJDRESS : CITY, STATE, ZZP: PFiO`IE: 5) INDICl".TE W[(ICH PERi•IIT IS BEIitiG ADQCTESTfID: CC... y 'IC~ CITY S~S^IER CONNE~PIC~I 'Ib CITY S4ATER ? UiI'FR (PLI'.'~5~ DF_SCRIBE) ~ 6) P1:DiG~.:: C.ac.: • . ~T~W ~L E?OID rlPPP,CNED PER'~LIT FOR PICi:-L'r BY ONE OF e'\F~GVE . ?°I.EtiSE :~?~TL APP?~S}t1ID PFR~IIT 'PJ 1, 2. 3, 4 ABOVE (Circle one) si~azz.,-~: D~z`: /,y-.F~' ~~l a+la~l~s~s i~' ee E~:a~ea a ~ nro saa ~ s s ss~a:~ a s r~ra~r~ r ~ s~ iwd~a~ . FOR C ITY U S E ON;,Y ' P=?~!IT ISSUED rr..S' i, ' S_ IG ~V SE:':LR ?~~3~1TT ~I~IC~I.'.:i~ .]T.IAC::~~GLJ `S ~v ~ U , WATEc2 PERI~4ZT a u {IrICL'uD~ Su. C..A~Gi) S ~'3 Su WATER METER/COPPERHORN/OUTSiD~ REnDE? S WAT~R TAP (INCLUDE CORPORATIO?I STOP) 5 SE:~iEF TA? $ ~S~vo ~r~Ci::i.T ..?r,SI: - a_..=3 $ _ ~SO~ ACCOUNT DFPOSIT - I^JATER $ ~`c%r._~ o wAC ~ S~S:u~, SP.C $ TRWK 6VATER ASSESS:?E2iT $ TRli:1?C SE~dER ~,SSESS~~iE~iT $ LATE:2aL BE:IEFIT/TRUiIK SE:•i: = $ LATERrIL SENEFIT/TRU:~'K ~'7AT_°B $ ~ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOT~L : S G~ Ah10U:v'T PAID/~EC°I2T n S j~ DC:S UTSLITY CONNECiION REQUIRE EXCAVATION .IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TY.E C~ ~`1a ENGINEERING DIVISION. LIST AS A CONDI- TION. SU2JEC: TO THE FOLLOS4ING CONDITIONS: • AP?ROVcD BY: ~ TI:LE: • DATr: - ( /S~/G~ A ai~ ~F.~ w s i~ ~c ~ rl !w ~FJ~ ! ~ w ~if ~FS~ ~k~ ~k~ l! ~i~ ~t ~~t~ wE ~ l~ ~i~ wa w~ ie si~ ~ ~ ~ ~ ~~~~a~ - S Z5 zoo~ RESIDENTIAL MECHANICAL rERMiT nrrLicaTlorr City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-56~5 Please complete for. single family dwellings & to~mhomeslcondos when permits are required for each unit Date ~ ~ ~ Site Address 17:J~ ~ ~ ~ i~°~~ $ I , ~ ~,,`_~,~,,p lo~J~ '~`J1~1~ ~ I' ':~n~;crtv'~~v't~r ,~-lS,.l~y~f~~~~~ Tclenhone~~ l~- - - , . t , ,.,,r-:,,.:;,~ ~~--l_S-_~1~~-~~ ~'N`~--~-~r'C~------ ~~,~~>~:_a~~,:,, y~8~0 51~Vu-¢.W Ls~ ~;fi, c~.~- - State r~'~ Zin ~ ~ZL Teleuhone~ 1~~3 1~~'~ I ~I ? nd=- ,~.:nires: - - ~~e ~.ar ]un~.:. :s ~c ~ r ~ '~;'~r.~c:c; ~ - . ~ . ~..r.• .y,~ . _;ia~ ~ :~eu ;uc ~.~p}~uani ~R~er •tc.i ' - nis _e :opiias ne axce ;sive m;.~~ .~ai rzp -irs ar~ e :c : .;idim.. ~ :a~~e _ ~.:i~c . : 'umace Additicnal ~ ~epiac°ment _ yew _ I air exchanger I air conditioner heat pump other $ .50 State Surcharge • ~ $ Cv'Q.~ Total l hereby appiy for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in coofortnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a perrrtit, and work is not to s[art without a permi[; that the work wil] be in co~ ~~j~~ ~ D approved plan in the case of work which requires a review and approval of plans. ` ~ ~~`nc~e. ~~e,V~e.~D~v~ , oo~ Applicant's Printed Name Applicant's Signature f - ~ ~ CASH RECEIPT ~ ' ~ CITY OF EAGAN - P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 wcccivw FROM AMOUNT $ I !k DOLLARS ~oo ? CASH ? CHECK IOR FUND COOE A~AOUNT Thank You SY White-PByers Copy l~ellow-Postinp Copy Pink-File CoPY PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141250 Date Issued:03/02/2017 Permit Category:ePermit Site Address: 4830 Sky View Ct Lot:10 Block: 1 Addition: The Safari 2nd PID:10-75851-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kari M Lahtinen 4830 Sky View Ct Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature