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2900 Skyline Dr
PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169879 Date Issued:06/14/2021 Permit Category:ePermit Site Address: 2900 Skyline Dr Lot:2 Block: 1 Addition: Oldre PID:10-54100-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Michael J & Rekha Mcguire 2900 Skyline Dr Eagan MN 55121 (734) 945-2016 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature *MAC* AIRPORT NOISE MITIGATION PROJECT City ofEaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 C 1'! ? 21111 Use BLUE or BLACK Ink For Office Us Permit #. Permit Fee: Date Received: Staff: 2011 MECHANICALnPERMIT APPLICATION Date: 3 - I 1 - 11 Site Address: a `"! Od 5k y 111e 1U to Tenant: Suite #: J RESIDENT / OWNER Name: , r ,G i- %E'c.) Ger( e S Phone: 10(a `9 6,`f ' 003 Address / City / Zip: Dig 00 Sky IinC bt[.ive. GIM • roto SSRI CONTRACTOR Name: CENTERPOINT ENERGY License #: Address: 9320 EVERGREEN BLVD NW SUITE B City: COON RAPIDS State: MN Zip: 55433 Phone: 763-757-6202 Contact: JOANN ZINKEN Email: joaa.zinken@CenterPointEnergy.com TYPE OF WORK W. -New Replacement Additional Alteration Demolition i v%s atk Y1e.w 9.4 r'f:A:8,,a bei and. Description of work: re -v evv4 42)Ci3't1".5 'tk-r'1'10.04e. NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Fumace COMMERCIAL New Construction _Interior Improvement VAir Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ — —Under / Above ground Tank ( Install / Remove) Other * * When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) ...,:r $5.00 State Surcharge) $ `J' 0� TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no ,• start without a permit; that the wo, k will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x JOANN 7INKFN Applicant's Printed Name FOR OFFICE USE x Appli•/ is Signature Reviewed By: Date: Required inspections: Under Ground _ Rough In _Air Test _Gas Service Test In -floor Heat Final Exterior HVAC Screening Inspection C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED r Use BLUE or BLACK Ink Permit #:\'2.4A Permit Fee: Date Re Staff: 2010 RESIDENTIAL MI ING PERMIT APPLICATION Date: 10701.2010 Site Address: 70 c:=6k /l/7 e Tenant: Suite #: RESIDENT / OWNER Name: /2?c £47 e S Phone: & S/- ?.?"102 3 q Address / City / Zip: (.7 9D 0 .sky 4 //7 e. Or" Applicant is: Owner Y Contractor TYPE OF WORK Description of work: e h a n c r 1 if 'IP /Pd o f _TA .5 D // 02 f�//n�CvC �7 / AAD 1.P° sr r=ao 11-'4 ConstructionConstruction Cost: 6`.i 0 o e► . 0 C) Multi -Family Building: (Yes / No ) CONTRACTOR Name: J4<.0n 1 7 / Cu,,,, --C4// 4 ,Z-na License #: 2c9 Ail yS£s' / Address: 733 &//F/ Ilb/f G7L City: IAA / -e r -774./00 ,B State: glr) • Zip:,51/.) 7- 7/71 Phone: GS/^q ©`%— /S 7 / t,' Contact: Pon Sant nn.r4 Email: ton 0 64044J0;cask m 4 m . e°0hi COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: 3 L2 1,1,20og Al of e 398' Licensed Plumber: Al ) b Phone: Mechanical Contractor: tv 111- Phone: Sewer & Water Contractor: /v) )} 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 Gity �; ,, conclude_that they are trade'secrets. �, CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 KDd! Q/l girt/ Applicant's Printed Name Applicant' gnature Page 1 of 2 ` SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building DO NOT WRITE BELOW THIS LINE WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% // ) Census Code # of Units # of Buildings Type of Construction �sy REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof:* Ice & Water ` Final Framing Fireplace: _Rough In Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant .00 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Air Test Final f Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 4/3`I Page 2 of 2 CITY OF EAGAN PERMIT TYPE: "' 1 3830 Pilot Knob Road Permit Number: 1 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; ,. f . L 1 rat Li F; •!r „ ,s:. , ?! PERMIT SUBTYPE: RI`NUOF fi RFPtAY•f NIJOW 1`1111 If.) STO TYPE OF WORK: III' `.;1.V!1)11, ,: IIANntiF -11 Ii I Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL EAGAN TOWNSHIP NO. 57 BUILDING PERMIT Owner L1.2...... /`' Address (present) ._-....... ... / Builder -----`------ ..??..-. 'r.".'.":.`.Y.....------ ...---- ------........----------.... Address nESCRIPTTON Eagan Township Town Hall Date,; "' '--/71?_..... Stories To Be U sedd For Froni Depth Height Est. Cost Permit Fee Remarks ` se This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE jfsEPT Jf1Ni?HE?RFi;vIISE WHILE THE WORK IS IN PROG?E This is to certify, ?/-..?.(.j-(-e..(.-.0..'.+. bS......_.-..-.-...-has permission to erect a_a ................. ........"?Cr.........-.upon the abo e d scri remise subject to the provisions of the Building Or ance fer) Eagan Township adopted April 11. 195 .- ....(.. .../..... -------------------------------.... Per .... .----. _. ..--- --..... ... - -'------- .... Cha of Town Board Building Inspect, '4101ity of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----ce ------------- ? F9r?fl.?l?Qe" U? I j Permit k: Permit Fee: I CJ I r _15 y Date Received: I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U3ldVaag Site Address: a ,(?rive Tenant: GrateS l kP-'bCM6ver ) Suite ii: RESIDENT / OWNER Name:- a /esq GO d& Phone: 6/d. 96y 003a Address/ City/ Zip: 019W 5`(X/7(. - 'Or j5?90A, 53'1 a I Applicant is: I\- Owner Contractor TYPE OF WORK Description of work: Pe/rLrje/iA, r t Construction Cost: T13I7 Multi-Family Building: (Yes/ Nq?cj CONTRACTOR Name: License u: Address: City: State: Zip: Phone: Contact Person: 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 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 licant's Signature Page 1 of 3 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 0 2/ 0 5 1 0 7 Site Street Address 2900 SKYLINE DRIVE Unit # Property Owner MATT GATES Telephone # (612) qu-nm2 Contractor GENZ-RYAN Telephone# (952 ) 767-1000 Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 The Applicant is: - Owner & Occupant X Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. F (C?o\V/ -Septic System Abandonment R -Water Turnaround (add $136.00 if a 518" meter is required) FEB 0 7 2007 Other. _ Water Softener X Water Heater $ 15.00 - new X replacement Lawn Irrigation _RPZ _PVB -new -repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 15.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to b revie so d approved. KIM RENVILLE Applicant's Printed Name ica is Signatu e -049 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN R$q? -qi 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. '6ns 9?) Date / 5 / c-5 Site Street Address RE t c) o r Unit # Property Owner V6 n lOI(i E ( ) Telephone # Contractor R-)'p ?\/ Telephone # (?3) 7 53 L1'3 `(3 Address Z? &(o 1?,3 »• city C-C24av State Zip'S?il J The Applicant is: _ Owner contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water soften er and/or water heater at the same time. if you are installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. Septic System Abandonment ! Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 - new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. foi k-e C-)ardt h 11,111,41 z1a ` Applicant's Printed Name App icant's ignat Permit #: tPq LD Receipt Date: U J ?CO f " / ???? CITY OF EAGAN 2005 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address acl 6 6 S Property Owner (`30?n°ilgS Telephone # S ?e 0 - 02 I Go Plumber Date of Inquiry (O "`-:-) (D - 0 Contact Name Sewer 4" Sewer Service Lateral charge @ $26. Trunk @ $1,085/connec City SAC MCES SAC Receipt # Septic abandonment Permit Fee / State Surcharge OFFICE USE ONLY _/yo PRV required kD City N)K County R-O-W Permit Water ' 651.00 1" Water Service Lateral charge @ $2 . 5/ff Trunk @ $1,130/connecion 100.00 Water supply & storage 1,450.00 Receipt # Date \ 50.00 Treatment plant Permit Fee 50.00 State Surcharge _ .50 Plumbing permit req tired - water meter to be acquired with plbg permit Total $ I Total Sewer and Water 4" Sewer Service V Water Service Sewer lateral charge @ $26.70/ff Water lateral charge @ $26.95/ff Sewer trunk @ $1,085/connection Water trunk @ $1,130/connection City SAC MCES SAC Receipt # Date _ Water supply & storage Receipt # , Date _ Treatment plant Septic abandonment Permit Fee State Surcharge Total Plumbing permit required Water meter to be acquired with plbg permit $ 1.00 a?-7-90 fY 100.00 1,450.00 1,009.00 612.00 50.00 100.00 .50 $ 727.00 1.009.00 612.00 50.00 .50 $ cc: Carolyn Krecb, Finance Department Permit #: Receipt Date: CITY OF EAGAN 2003 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address 9 l0 ? 4?) i" v4 C. ??t- % V Q_ PropertyOwner Go p.1 a (N Q) `ore . Telephone # G %-zyo?o Plumber Date of Inquiry 7 `? 3 Contact Name Sewer 4" Sewer Service Lateral charge @ $24.00/ff Trunk @ $975/connection City SAC MC/ES SAC Receipt # , Date Septic abandonment Permit Fee State Surcharge OFFICE USE ONLY Yes PRV required Tlo PO City NA County R-O-W Permit Water $ 585.00 1" Water Service Lateral charge @ $24.25/ff Trunk @ $1,015/connection 100.00 Water supply & storage 1,275.00 Receipt # , Date _ 50.00 Treatment plant Permit Fee 50.00 State Surcharge .50 Plumbing permit required - water meter to be acquired with plbg permit Total $ I Total Sewer and Water 4" Sewer Service 1" Water Service Sewer lateral charge @ $24.00/ff Water lateral charge @ $24.25/ff Sewer trunk @ $975/connection Water trunk @ $1.015/connection City SAC MC/ES SAC Receipt # , Date _ Water supply & storage Receipt # Date _ Treatment plant Septic abandonment Permit Fee State Surcharge $ 650.00 905.00 564.00 50.00 .50 S ?d ?Y ac c?..t o.? ?- 1a n ? ? ? ? 100.00 1,275.00 905.00 564.00 50.00 100.00 .50 Total Plumbing permit required Water meter to be acquired with plbg pernut(a J ?l A? cc: Carolyn Krech, Finance Department Lot Plat charge (SAC) paid CITY OF EAGAN 1995 SEWER & WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTY Blk PID # 10-00400-012-7Z_ Sewertwater permit # Sewer connection Sewer Availability Date previously Receipt # \ Account deposit Sewer permit and Subtotal Tap .Total Date Subtotal .? , Tap Total Receipt $1,302.50 r Sewer & water connection charges Sewer availability charge (SAC) Date previously paid Receipt # Water availability charge (WAC) Date previously paid Receipt # Account deposit Sewer & water permit and surcharge Water meter Treatment plant Subtotal Tap(s) Total $ 950.00 750.00 30.00 100.50 115.00 372.00 $2,317.50 $2,317.50 A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to the homeowner if he is actually doing the worts. Property owner GORLYN OLDRE Address 2900 SKYLINE DR Phone no. 457-4000 Plumber DS / Water connection charges 1' ,,$1-950.00 Water availability charge (WAC) $-750.00 Date previously paid Receipt #'- 15.00 Account deposit 15.00 50.50 Water permit & surcharges 50.50 Water meter 115.00 $ 1,015.50 Treatment plant 1 ,N 372.00 OFFICE USE ONLY PRV ,L? No. of taps Assessments Waiver ////? ??r'`? SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 02/01/1995 PROPERTY ID: 10-00400-012-77 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE 100040 SAN SW TRK 1967 30 6.0000 101508 TRXFR WAT W205 1987 10 9.0000 101509 TRXFR SEWTRK W205 1987 10 9.0000 102191 SL543 1991 15 8.5000 102193 WL543 1991 15 8.5000 102194 WSSVC543 1991 15 8.5000 102196 ST543A 1991 15 8.5000 102197 ST543F 1991 15 8.5000 ------ SUMMARY OF LEVIED ****** 1995 P&I CERTIFIED ------ SUMMARY OF DEFERRED ------ SUMMARY OF PENDING ------ SUMMARY OF CLOSED SEE COMMENTS TOTAL ANN.PRIN. 140.45 0.00 1253.75 0.00 2315.62 0.00 2340.05 156.00 1365.10 91.00 989.10 65.94 3352.41 223.49 3304.80 220.32 11351.46 756.75 1528.64 0.00 0.00 0.00 0.00 3709.82 PAYOF 0. 0.C 0.0? 1716.05 1001.10 725.34 2458.45 2423.52 8324.46 0.00 0.00 Press ENTER; or F1, F4, F5, F7, F8 PERMIT' UTYbF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-00400-012-77 2900 SKYLINE DR LOT: 12 BLOCK: 77 SECTION 4 PERMIT TYPE: Permit Number: Date Issued: B U I L 03293c 08/17/9 DESCRIPTION: REROOF/WINDOWS 8q-Id t ft APermit Type STORM DAMAGE B 'i;Icllri '. 4&w k Type REPAIR rxs?s:_Go.de"'? 434 ALT. RESIDENTIAL x _ a? . a s =a a i 8iSI^g 'a'. ?R q?g xM a As„war a» .?„w arc' a{ a??csx s 3r REM:F & REPLACE WINDOWS DUE TO STORM DAMAGE. FEE SUMMARY: a CONTRACTOR: 1 h.e.rebyy ac;k"wledge' that"I b y read. `Infrrmatibn -is ror_,r`eat,ar+d?agr'ee_,to_cz statute°s and,-..City. of V. ,ga_n .4:rd-l0araces. APPLICANT/PERMITEE SIGNATURE OWNER: - Applicant - OLDRE GORLYN 2900 SKYLINE DR EAGAN MN 55121 (651)688-2906 hie -ap piac.at-loo- °a;nd` slats: that. the. . ply. ;tM..ail-`?a( plIda?bl, = 8t,?t6 1041 Mn.`_ ISSUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?J QI 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reouirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 711193 required, Yes _ Nog ?J DATE: -: /l Z1 l D" OF WORK: STREET ADDRESS: A / ed- LOT: 01 -)-- BLOCK: ?-1 SUBD./P.I.D. #: t g 11 "? Remodel/Repair Requirements e 2 copies of plan ? 2 site surveys (exterior additions & decks) ? t energy calculations for heated additions ?'3000 CONSTRUCTION COST; ? Name: (?I'/ "` C' GQ '?-/y N PROPERTY Last First OWNER Street Address: , City Comp CONTRACTOR Street city state. Zip: S ?S ' 12 e #: License # ARCHITECT/ ENGINEER Company:, Phone #: v " Phone #: Name: Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not State: BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units ?t 110UJ ?? ?wU Sheet 1 of 2 sheets 6/?2 -77 WAIVER OF HEARING 00205 Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: T60 00400-010-77 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT Water Trunk Area 1.003 Acres $1,250.00/Acre $1,253.75 14A Storm Sewer Trunk Area 43,691 sq.ft. $ 0.953/sq.ft. 2,315.62 302 TOTAL $3,569.37 to be spread over 10 years at an annual interest rate-of 9 a against any remaining.:unpaid balances. The undersigned, for themselves, their heirs, executors,. administrators successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made.. pursuant to this agreement. Dated: Llzt?12?7_, ` Fred .-i5eL'o'sTi - M xine T. DeLosh v STATE OF 11111 I I ll SS „?„ llb. \) Q 1) 0?' COUNTY OF:&ELLFtS , \ on this /9-qday of ?C7o e _,/987, before me a Notar Public i+ithid and for said CountY, appeared personally aNE ?ELOS me y 1 personally known to be the person escnbed in and who executed ? the iorrko>ng instrument and acknowledged that executed t e same as _ free att.;d deed:?' This-Document Drafted By: Hauge, Smith, Eide f, Keller, P.A. 3908 Sibley Memorial Highway Eagan, Minnesota 55122 (612) 454-4224 NOTARY PUBLIC STATE OF FLORIDA NY COMMISSION Ex P. MAR 10 1991 BN TTHRU GENERAL INS. UMD. f n'A ?G L p>recto r WaiganV:rPCubTl1'FWork9 Revised: 8-30-82 a _ Sheet 1 of 2 sheets WAIVER OF HEARING 00205 i' Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned by me/us: 10-00400-010-77 for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT PROJECT Water Trunk Area Storm Sewer Trunk Area 1.003 Acres 43,691 sq.ft $1,250.00/Acre $1,253.75 14A $ 0.953/sq.ft. 2,315.62 302 TOTAL $3,569.37 to be spread over 10 years at an annual interest rate of 9% against any remaining.:unpaid balances. `-- The undersigned, for themselves, their heirs, executors,. administrators successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments•made, pursuant to this agreement. Dated: __Z kred U. dLosh Maxine T. DeLosh STATE OF _Z O ) SS COUNTY OF- Q?reanE ) on this -/,3TA day of aJ6pr- _, , before me a Notary Public within and for said County, personally appeared Fred (f Ole/ass to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that 7jP executed the same as ^ free act and deed. ELIZABETH A. WIT r. t :t` NOTAFFlV PUOLIC - MINNESOT DAKOTA COUNTY Not ry ublic This Document Dr ?Commiaalon E:piraa Feb. tl, 19 Y1 3908 Sibley Memorial Highway Eagan, Minnesota 55122 (612) 454-4224 'A4'MOVED: ?an Pu lic-Works i-rector Revised: 8-30-82 t Surveyors Cerfi(foofe WAIVER OF PLAT i FOR : MR. a MRS. FRED DELOSH AL.L. .:'i .iE'F'E:.. E.e.x . MN W I t w x W 70• oogAe..sr\ ?. / /1 L I SIBLEY NIL LS /T.... :../ r`='r°•.? DRIVE I• I a .cra F O. I W [ \ ,?I _ •LEf •iEY! r•L.-LFL:_.1 YL:i _ IOI T • S . •. • xn sa'st n. n .- I =10-0000-0/0-77.-?J 1 A R CE LryJ A'\?`? \?- g`yj?p. __pp \ I ? \ \ \ 4? ............. .. >. w,.•.... r a., •.. n \\.? o ? ACRE., np I I >^ I -N- j I I Y SIGMA ar SURVEYING SERVICEB ro... rt.a.aa amr /° 772 SO -17D-00-S 11 ... s..4s'261 a..u - 11A SHEET 2 V f 2 a H Ef>s K TRUNK AREA WATER MAIN AND TRUNK AREA STORM SEWER ASSESSMENT AREA a222k2 EAGAN RELEASE OF CERTIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS THIS RELEASE is dated, made and entered into this 2lsM ay of December 19_L; by and between the City of Eagan (hereinafter "City"), and Gortyn & Doris Oldre (hereinafter "Owner"); WHEREAS, on the 12th day of July , 1984 , a Certified Listing of Postponed Special Assessments, dated the 27tb day of June I 19 8y was recorded by the City as Document # 65973 , with the Dakota County Recorder in accordance with Minnesota Statute, Section 429.061, Subd. 2, against the following property: Legal Description: Section 4 Twn 27 Range 23 (See attached) Dakota County Identification No.: 10 00400 012 77 WHEREAS, the postponed special assessment under City Project # 14A is as follows: Water area assessment NOW THEREFORE, the City has levied the Water area special assessments, as set forth in the Certified Listing of Postponed Special Assessments, against the Owner's above described property, such postponed special assessments are and hereby shall be released. Dated: _.4 ?1 - 3 0 - 81 CITY OF EAGAN By An STATE OF MINNESOTA) ) ss. COUNTY OF QKo ) On this 30rI4 day of VQcs,,,6Q? , 19$' , before me a Notary Public within and for said County, personally appeared BEATTA BLOMQUIST and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the CITY OF EAGAN, the municipality named in the foregoing instrument, and that the seal affixed to said instrument was signed and sealed in behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. /J (S E A L) J/ /??1dLLGfyL•?/?l/???+ THIS DOCUMENT DRAFTED BY: HAUGE, EIDE b KELLER, P.A. MARILYN L WUCNERPEENNIG @MY NOTARY PUBLIC - MINNESOTA Attorneys at Law DAKOTA COUNTY 3908 Sibley Memorial Highway Commission Exp Feb 8. 199? Eagan, MN 55122 (612) 454-4224 EXEMPT FROM STATE DEED TAX 'YH ,PI`;AM1:_lNe R721 ._{GAL DEWRIPT ION P'fUa('7dR Y J., D., -' -- -" L w C i i' P T 1 = W -- -- -- c PT OF GOVY LOT b COM NE CnR LOT 17 S - ,,• . WSJ VT W 3Q.51 F! TO B03 a22M2 OFFICE OF THE COUNTY RECORDER-DAKOTA COUNTY, MN. CERTIFIED THAT THE WITHIN INSTRUMENT WAS FILED FOR RECORD IN THIS OFFICE ON AND AT Jan 6 3 39 PH '08 DOC. NO @222AZ2 JAMES N. LAN, COUNTY RECORDER DEPUTY FEE _ 10' CASH ? CHECK D CHARGE -§i CHARGE WHOM E>ai !d A/ REFUND DO NOT REMOVE 419 u 6 E? E-x-rz q n ?LGE? sue. fl.. 1 i}I\:e F(:L;;,- I. F, fY 't .. t.}.. d`ik:, r.,i•dli s;i:?'DI:'h.:;t; Y{'1:: d.it>>: ?.:,i.ii'I_. •???.; 6?1 -. ??(.u,' 1 ` ;'1..!7F;.r, i_?1 C i I •.1 I'd h={l':.{il-_I-(1. I: 1'. {; .. !•li *: L!':! ,. ..-.I l;Si4hl ??:i ..?.y.i. i_.,_.;.i 1'•.I G5 e 34 C I T Y O F E A G A N CERTIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS LEGAL DESCRIPTION: Section 4 Twn 27 Range 23 N 165 Ft of S 495 Ft of Govt Lot 6 in NW; of SE ; Ex E 800 Ft COUNTY IDENTIFICATION NUMBER: 10 00400 010 76 POSTPONED SPECIAL ASSESSMENT: Water Area Assessment Pursuant to M.S.A. 429.061, Subd. 2, as amended by the 1980 Session Laws, Chapter 560, Section 5, I hereby certify that the City of Eagan has approved the postponement of the special assessments as set forth above on the property described. Dated this 9? T F day of V k h4L- 1984 FROM STATE DEED TAX STAMPS This Document Drafted By: City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 from State Deed Tax Dakota County Treasurer ?r/&L- (?a L rtl L E-.4 I anoverbeke Cit Clerk/Finance Director Certificate I, cE:SsA;`a7anpveibeke, City Clerk of the City f Eagan, Hereby certify" :tfia,. the =foregoing is a true c rreFt? copy = U aAl % ,,: • .... .J. Overbeke, City Clerk STATE OF MINNESOTA jin County of Dakota Office of Ccu ;iy Recorder This is to certify that the witfo! rcco:this off!ca, gson thy at ciodc_ -- 1., d '.hat the same v;ss uiy 'cc=' uad in Dakota County R xords. JAMES N. DOLAN Cour' Reccrrr BY Deputy C I T Y O F E A G A N CERTIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS LEGAL DESCRIPTION: Section 4 Twn 27 Range 23 PT GOVT LOT 6 LY S OF VALLEY VIEW PLATEAU & VALLEY VIEW PLATEAU #2 EX COM NE COR LOT 17 TREFFLE ACRS N 60 FT S 89D45M26S W 10 FT TO BEG N 55D1M31S W 104.04 FT N OD14M34S W 200 FT S 63D36M25S E 220.16 FT S 21D4M9S E 112 FT S 15D55H34S E 58.81 FT W 167.51 FT TO BEG ALSO S 2 RDS GOVT LOT 7 EX ST COUNTY IDENTIFICATION NUMBER: 10 00400 Olt 77 POSTPONED SPECIAL ASSESSMENT: VC 2 a Water area assessment ?' \ D Pursuant to M.S.A. 429.061, Subd. 2, as amended by the 1980 Session Laws, Chapter 560, Section 5, I hereby certify that the City of Eagan has approved the postponement of the special assessments as set forth above on the property described. Dated this 3C) T N day of 1980 EXEMPT FROM STATE DEED TAX STAMPS This Document Drafted By: City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 E.J VanOverbeke A AA City Clerk/Finance Director Certificate I, E.J. VanOverbeke, City Clerk of the City of Eagan, do Hereby certify that the foregoing is a true and correct copy. E. . VanOverbeke, City Clerk îý û ÿþþý üíüû úýýþþûðúïÿ ì ò ô ì ÿþ ÿþýüûúÿ áøöàùþüûú øüûúÿ áøöà úâþáó ùþùéòþúû Þ ÿïþç øî èããð ðèä ðíååýîþýèëú þ þðäðþðèåùããúãå ðúèðîîðïþðýðå ã ööú ããð çæÜæ éìåôê åêô ÷ú ÿþî ÝþæÜæéå åì ô Ýþ å öõô õ óò úú õîöÿó ìÿû õ÷ôô ì îýûö î îèîúúîîãð ðúûöîúúýÿ ãõÿþùûã òå úúà þûÿ þ Use BLUE or BLACK Ink For Office Use City of EaQall Permit#: Permit Fee: j2(� �/ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651) 675-5694 � 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6v6 lS 72°411 Site Address: 2900 'K"?L•1'^1E- Tenant: Suite#: Resident/Owner Name: Phone: Address/City/Zip: Name: 'NtC . N E P� r VCA �1 E, License#: Contractor Address: Z2-2.) 6-Tr% ST. N,e , City: C PLS State: CANz Zip: 't ea Phone: 6 I 2 ^-7 bb 9 7 Contact: ‘Cr1 Email: Type Of Work —New k Replacement —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: Ret''yk-*° 2- la1,-THrLcYO1 Rr'd 14-11-Clrt 'sv RESIDENTIAL Water Heater Lawn Irrigation(_RPZ/—PVB) Water Softener Permit TypeAdd Plumbing Fixtures(—Main/—Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in onformance with the ordinances nd codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and w• 's not to tart without a permit' hat the work will be in accordance with the approved plan in the case of work which requires a review and .•prov. s. x N 'ME M bit1 x Applicant's Printed Name Applica'T ignature FOR OFFICE USE Reviewed By: Date: Required Inspections; _Under Ground` Rou.gh=in Air Test _Gas Test Final Meter Related Items: Meter Size Radio'Reade .Manometer Staff .'. , PERMIT City of Eagan Permit Type:Building Permit Number:EA145351 Date Issued:09/06/2017 Permit Category:ePermit Site Address: 2900 Skyline Dr Lot:2 Block: 1 Addition: Oldre PID:10-54100-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Bloomington 9321 Llc 9321 Penn Ave S Bloomington MN 55431 (612) 840-7912 The Fireplace Guys LLC 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink d r For Office Use4* Permit#: /t1(0/. --- j City of�a�a� Permit Fee: :6 670.,t)C1 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: L 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. ,� '�f Date: 0/71/ /7 Site Address: 2930 cf9//(M�,e ,:_771-- .f— /1/2 7t Tenant: v Suite#: Name.,., ��. C��� ' ''a.� . ��,� ...M. .�...�. Phone: 6 412D 77 /Z Resident/Owner E Address/City/Zip: / i �.�. _•._ ,. .. a Name. eci �,�j e1 � c�� �� /i'���_.,. 5e/service�.. License#: /113 � &c,Z J Contractor ! Address: cCe—S9 , 1 4 h A.;if9e C.�/t City. P77Gr Z j7rP — State:M7/1 Zip: S 5' 7i 7 2— Phone: g5"--2 S Cl 4 /3 Contact: ,Pel, ® Email: <75'oA a 11r7 a'/i d/ 01/61 76(,30 r✓0,h ) New Replacement Additional 'Alteration Demolition Type of Work Description of work Qa3/0tve 041 rt,r ZeReP/ae e fit/, f, 4/e item/ ' f NOTE. Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. 1 RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement t Permit Type / Air Conditioner Install Piping Processed { ' Air Exchanger g Gas Exterior HVAC Unit i _Heat Pump I _Under/Above ground Tank ( Install/__Remove) i Other RESIDENTIAL FEES I $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE l COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. K 'PryO/ /h e Gj 0,i'i 0 f? x e<•r //j Applicant's Printed Name Applicant'. Sig, ure FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In ^T_Air Test Gas:Service Test In floor Heat Final t-IVAC Screening 74,dd 7 q 1� c e,, a' Sof f///a,4 !' �vfl /flee �. ) Use BLUE or BLACK Ink r For Office Use qj '.II' City of Eaaall Permit# Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 '" " '�}r Date Received: g g ���� �,�.,3 a c:rJ Phone: (651)675-5675 buildinginspections(a cityofeagan.com AUU 12017 Staff: I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 7 ci5 L(4.-d / Unit# Name: �C„ C M. Phone. 2 ,,•_ g``1 u ^`r Z Resident( I Owner I Address/City/Zip: 2.ls" / u r./ Applicant is: Owner Contractor i I Description•of work: ``l'6 VZ- K ( 7'c t' Type of Work Construction Cost 7 r �� `� Multi Family Building: (Yes /No ) // '4 mpany: ^� `(' C .A-10CContact: '' L L Ai I c� ,� E Contractor Address: 4 ') N-i f,,9-_ei' c .i P-- 57 7 City: cis "47%4--C I State Zip: cr(a( Phone: 0 Fir6 iii.5y Email: 6( c y C) (CC1 (C ori P tof,-, License# 1) C ,10 7 Lead Certificate#: NI fiT fi 17904-11-1 If proje t rt•s e m from lead c fication, please explain why: ,4 – , — 2 £ ,.? ; .,:.,-- ' ( fr1/6- Al 1"- 1 0/6f/(0/4..c si. Ci/ , .•,-,tiw- . - 601,1 is, ' v f • 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?� ��—OVO Yes No If yes, date and address of master plan: 97,?N{ ff F Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: F Fire Suppression Contractor: Phone: I NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Is information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan'; that 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 Page 1 of 3 f C(),D _ .4_7„�,`i2 6 L),-/._ DO NOT WRITE BELOW THIS LINE /(---(7.700 l . SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) *--Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES 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 50 OW Occupancy I✓'t G —/ MCES System — _ Plan ReviewCode Edition A,0/6" SAC Units — (25%_ 100%V Zoning R_/ City Water - .. Census Code l't 3/j/ Stories -- Booster Pump -- #of Units / Square Feet PRV #of Buildings I Length Fire Suppression Required ,-- Type of Construction Width _.., REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required —t Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 5 afl Roof: Ice &Water _Fin Pool: Footings _Air/Gas Tests Final M/'z./e Framing 30 Minutes 1,1 Hour Drain Tile PitMniT" Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows — G/?f )JL 0004,S Sheathing Retaining Wall: — Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ifila , Building Inspector 1/ / RESIDENTIAL FEES .to If / icLik @ .44° /111 1601. Base Fee G g/ ..7i--- Surcharge Surcharge "Jd ivfi row 111,t6 ht, ��� a- Plan Review 41 6,3 $2.4740,1* kery , 1 0 3') ✓ MCES SAC City SAC G A4till k?' Utility Connection Charge S&W Permit& Surcharge 1- 9 ;L l>0 to,,,,, Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154107 Date Issued:02/19/2019 Permit Category:ePermit Site Address: 2900 Skyline Dr Lot:2 Block: 1 Addition: Oldre PID:10-54100-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Mcguire 2900 Skyline Dr Eagan MN 55121 Bws Plumbing Heating & A/c 7251 Washington Ave S Minneapolis MN 55439 (952) 681-2615 Applicant/Permitee: Signature Issued By: Signature r For Office Use • 4 0 , , ::::e: /i7 62"" -s Date Received: / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst citvofeagan.com MAY 0 2 2019 2019 RESIDENTIAL BUILING-PE-11PAIT APPLICATION Date: Site� Address: Unit#: q Name: I-�f� �� ,�1� C, t tA . Phone: 719- 3.16 1 lriC Resident! Owner = Address/City/Zip: e'AGU V[.,/( 35 w�. Applicant is: Owner 5C Contractor • Description of work: D(,J$C. ILA/1 6 (dkc /`c(t� (�/ oil Type;of Work; / I Construction Cost: Lei G 6.5.�a Multi-Family Building: (Yes /No )c ) � W Company: U `t‘ d( Contact: Etik A 4t. r 1 ` Contractor Address: r?4::k 'J r tebi City: � ..6.4 /VIP State: Zip: 5$0' 3 Phone:LS l-)f 4lS1 Email: GPIke' oodopes4 br. ;t014to5.ec,.1 License#: (air-2o 6 Lead Certificate#: 1.P swats., If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and Supporting documents that you submit oreconsideredto be public information, Portions of the Information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.cityofeagan.com/subscribe. 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. 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 theitapproved plan in the case of work which requires a review and approval of plans. x Erik- ✓d1A x Applicant's Printed Name App nt's Signature f ado© S Vii' 7ss" 32..)-- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi }� Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES 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 . JT yPD•— Occupancy -IZL H MCES System Plan Review Code Edition Mil 2.0 1C SAC Units (25%_ 100%)° ) Zoning 12- `1 City Water Census Code Stories Booster Pump #of Units _ Square Feet PRV #of Buildings Length / 0' Fire Suppression Required Type of Construction V.t Width 7-.-"° REQUIRED INSPECTIONS Footings (New Building) Meter Size: lQ Footings (Deck) Final/C.O. Required Footings (Addition) V Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final 7° Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pant // Other: Reviewed By: i--4M4 flit 1`- i (Y� , Building Inspector RESIDENTIAL FEES Base Fee 2 20 5s. ft- Decic-,L,,»-D,,,5) 57 ,2 Surcharge gil i5- f2 5i.. f Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3