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1587 Skyline PathCITY OF EAGAN " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 19 9 PHONE: 681-4675 , BUILDING PERMIT Receipt # To be used for $P M/GAR Est. Value $160.000 Date C 9 19_91- Block w Address 1564 W City ST PAU Phone 646-65 Name Address my _ Phone _ read on Building Official H1rIGHTS OFFICE USE ONLY FEES Occupancy R-3 KA 85 Z i 116-1 Bldg. Permit 0.00 on ng (Actual) Const Surcharge 80.00. (Allowable) 111 Plan Fteview 552.00 Zlp 55104 Length f tories License Depth 3?. SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints 660 00 On Sit Sewa e Water Conn . Zip g e On Site Well Water Meter 95.00 MWCC System X j(}, 00 X-- Acct. Deposit City Water 3000 PRV R i d X S/W Permit equ re and state that the Booster Pump - S/W Surcharge • 50 pplicable State of 276.00 Treatment PI APPROVALS Road Unit I 370.00 l onS Planner Park Ded. t ;l accordance with all n Ordinances. Council Bldg. Off. Copies .50 Variance TOTAL i 9?694.00 Permit No. Permit Holder Date Telephone # I%W v PLUMBING WAC /Y E:LECTRI ELECTRIC Inspection Date Insp. Comments Footings I lali t cJ,r? Foundation Framing x Z Rooting Rough Plbg. Rough Htg. ?I16" I9.4 aI4 Isul. Fireplace N f ?? Z Final Htg. Z-Z wpz Orsat Test 7' Final Plbg. -z7-7 Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final .?X9 ? Deck Ftg. Deck Final Well Pr. Disp. } .r b f (gertifiro#ae of (Orrupau ry C{tp of Cagan i9epwdutmt of Wwlbittg Awrrtimt This C.trkfrcate 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 bugding conmuci on or use. For the following: U%-asl&=tiw SF DWG/GAR BW&PmnicNm 19950 o -yTya R-3 M-1 n« R-1 rya c.. V-N O%ZWGfB,.'W BRENTWOOD HOMES Am. 1564 W UNIVERSITY BuUdim Addma 1567 SKYLINE PATH [ncarq L15, B1, PRETTYMAN HEIGHTS rx,h ei:'l ! 'l _ p„c MARCH 9, 1992 POST IN A CONSPICUOUS PLACE ++? CASH RECEIPT . CITY OF EAGAN `%w 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE r V 19 / REC&AD rnoM AMOUNT DOLLARS Sao 0 CASH CHECK C 016554 ate--p Cam, rq y Yelbw--Posting Cop?r Pink--File Copy - Y Thank You BY - SEWER & WAT .R PERMIT CITY OF WA 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE DEC 9. 1991 L, OFFICE USE ONLY METER # Y'? 'V/O z7 PERMIT DATE 12/20/91 CHIP # O -S/ ( l Q °Z PERMIT # -12' 57 _ I METER SIZE B.P. RECEIPT # ISSUE DATE o2 - 9 a B.P. RECEIPT DATE 12/18/91 _XL PRV -BOOSTER PUMP SITE'ADDRESS 1587 SKYLINE PATH LOT 15 BLOCK 1 SEC/SUB PRETTYMAN HEIGHTS APPLICANT: ADDRESS:- CITY. STATE PHONE: ZIP PERMIT REQUESTED X SEWER X WATER _ TAPS { COMM/IND _Z_ RESIDENTIAL _XL NEW EXISTING PLUMBER: THOMPSON PLUMBING CORP ADDRESS: 15001 MINNETONKA INDUSTRIAL RD CITY, STATE MINNETONKA MN ZIP 55345 PHONE: 933-7717 OWNER: BRENTWOOD HOMES ADDRESS: 1564 W UNIVERSITY CITY, STATE _ ST PAUL MN ZIP 55104 PHCZNE: 646-6529 PUAS6ALLOW'iiNO W(J KIING DAYiIeORf PROCESSING CALL SEWER PERMITS, CONTACT ENGINEERING DEPT. Lawn Sprinkler Meters are to be Installed Aheao.)of Domestic Meters on Water Line. Credit WILL NOT be4*en for Deduct Meters. CITY OF WHEN METER ISSUE[ 4545220 FOR INSPECTIONS. FOR STORM ,L'i SEWER & WATER PERMIT CITY op.ft& 3830 Pilot Knob Rd. Eagan, MN 56122-1897 DATE DEC 9, 1991 METER # OFFICE USE ONLY CHIP # __._ METER SIZE ISSUE DATE PERMITDATE 12/20/91 PERMIT # i B.P. RECEIPT # - Y B.P.RECEIPTDATE 11/18/91 X PRV -.BOOSTER PUMP SITE ADDRESS 1587 SKYLINE PATH LOT 15 BLOCK 1 SEC/SUB PRETTYMAN HEIGHTS APPLICANT: ADDRESS:- CITY, STATE PHONE: PLUMBER: THOMPSON PLUMBING CORP ADDRESS: 15001 MINNETONRA INDUSTRIAL RD CITY, STATE MINNETONKA MN ZIP 55345 PHONE: 933-7717 OWNER: BRENTWOOD HOMES ADDRESS: 1564 W UNIVERSITY CITY, STATE ST PAUL HN ZIP 55104 PHONE: 646-6529 PERMIT REQUESTED X SEWER X WATER -. TAPS COMM/IND _X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahea?of Domestic Meters on Water Line. Credit WILL NOT baaiuen for Deduct Meters. ORDINANCES WITH CITY OF SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 SEWER PERMITS, CONTACT ENGINEERING DEPT. ZIP FOR INSPECTIONS. FOR STORM Address: 1587 SKYLINE PATH Lot 15 Blk 1 Sec/Sub PRETTYMAN HEIGHTS These items were/were not complete at the time of the final inspection. Date; MARCH 9 1992 Yes No ((l Tnspertor, Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas ? Sod/seeded grass Trail/curb damage ? Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. .art?EO nxn White - City copy Yellow - Resident copy Pink - Contractor copy ?„ s DATE: DEC 20 RE: 1587 SKYLINE PATH (BRENTWOOD HOMES) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. * CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 No 19950 BUILDING PERMIT PHONE: 681-4675 Receipt # LO I &!2 `/ ? I To be used for SF DWG/GAR Est. Value $160,000 Date DEC 9 , 19 91 Site Address 1587 SKYLINE PATH Lot 15 Block 1 Sec/SubPRETTYMAN HEIGHT: Parcel No. Narne BRENTWOOD HOMES Lu Address 1564 W UNIVERSITY City ST PAUL MN Zip 55104 Phnna 646-6529 cc Name SAME Address City Zip Phone 8 Ucense # I hereby acknowlege that I have read this appli ation and state that the information is correct and a e to comply w' al a licable State of Minnesota Statutes and City f ag Ordm Signature of Permitee 1 11, A Building Permit is issued t BRENTWOOD HOMES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY FEES Occupancy R-3 M1 Zoning B_I Bldg. Permit 850.00 (Actual) Const V-N Surcharge 80.00 (Allowable) Y.?1 Plan Review 552.00 8 of Stones Length f18 License Depth is, SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S F Footprints 660 00 On Site Sewage Water Conn . On Site Well Water Meter 95.00 MWCC System X 30 00 City Water X Acct Deposit . PRV Required X S/W Permit 30.00 Booster Pump SM Surcharge • 50 Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner Park Detl Council -- Bldg. Off. Copies .50 Budding Official Variance TOTAL Request Date ? Fire No ough-in Inspection eq it ? R9edy Now XJ<l Nobly Inspector / 9 es _No When Ready? I licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street Box or Route No ? 4& G cE?tJ G rG??C C / ?. Section No Township Name or No Range No Cou W' t (PRINT) Occ Phone No ) Power Suplier Atltlress Eli Contractor (Company Name) yy//'?JJ y? 5 contractor's icense No. ® g -2? Mailing Acdress (Contractor or Owner Making Installation) /_? /? r / '?? / ,Gt ? (/?/ Authmi etl Signature (Contractor/Owner Making Ins1 11 1 ) Phone Number MIN EN SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MlEway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone 1612) 602-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION °s" ee oooot-0e J 11 19 ? See insvuaipre for aompleong this form on hack of yellow copy " J a . ?? i ' X Below Work Covered by This Request ., » •+ ew Add Rep Typeol Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Budding Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks Compute Inspection Fee Below # Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only TOTAL 5? 0 Irrigation Booms 7d •? Q Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hereby tif th th b i Rough-in Date d cer y at e a ove nspection has been made. Final Date OFFICE USE ONLY This request wild 18 months from s ? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 C New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys shoving sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cad of Survey Reod _ 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 beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition. indicate Non-sh septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or tens unks) Date N / 11 / bs Site Address 15$*7 !514Y ir.JE ?N-rtk Construction Cost C;0oo. Unit/Ste # STrIiRS ?cp ?NJ t"UCt 0i?12t Description of Work t7F1.1L LANoi rjo w l Multi-Family Bldg - Y N Fireplace(s) _ 0 _ I _. 2 Property Owner SCt'-rv'e CAT04 ??11 t?.tPvr'L Telephone#(Ip51) Contractor SIUAJ.yfA'rC ?pnNd?TS Ir?Z Address X1005 SFkDaEt tn) DE, State City 5PP^16 PAR t< ) 6®3'99/3 Zip 65354 Telephone#((5) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeoa I • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the a d Pr 1 the?work which requires a review and approval of plans. f-- . h,l mAa? H Applicant! s Printed Name Signature A NEW BUILDING Minnesota Rules 7672 New Energy Code Worksheet Submitted ? ------L?("[??Tr ?F T 2005 11 OFFICE USE ONLY Sub Types • . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck -K 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 '§9 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 5-, ac7 Occupancy 1-41-3 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 Y Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Air/Gas Tests Final Pool Ftgs _ _ FramingScA&e'AX0C)®S0IZV _ _ _ _ Siding _Stucco -Stone _ _Brick _ Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: uilding 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 IZ')<IZ'1c15-, ate ?I?o,oo S?ReenncloS?R? DeGf+ I/9111>11C r I/4T ??C Zn00. 0,95 SIGMA SURVEYING) SERVICES INC. 3730 Not Knob Road Eagan, Minnewla 65122 Phone: (612) 452.3077 DRAINAGE AND UTILITY EASEMENTS ANE SHOWN THUS: g54.? ?\ ram-//\ O Scale : 1"=30' E e ?-E e SUN` S T[[T IN W IDTH, UNLESS OTHERWISE WOICA TED,AMDADd01NIN0 LOT LINES AND 10 FEET IN WIDTH AND ADJOIMIND STREET LINES, AS SHOWN ON THE PLAY. J? -LEGEND- - Denotes Iron Monument 1 -- tD T a Denotes Wood Hub Set x849.z Denotes Existing Spot Elevation { 811.01 Denotes Proposed Spot Elevation - Denotes Drainage Direction -PROPERTY DESCRIPTION- Lot 15, Block 1, PRETTYMAN HEIGHTS, according to the recorded plat,'thereof, Dakota County, Minnesota. M .r ?4!_ 7 BRENTWOOD HOMES, A INC. ;j j Gj PROPOSED GARAGE FLOOR ELEVATION= S 51.0 . PROPOSED TOP OF BLOCK ELEVATION= 8513 PROPOSED DBBASEMENT _FLOOR ELEVATION= _ 6 tt3.3 *NOlI`: RtrVy, a91°dg: Dimensions and Floor Heights with Final House Plans. -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. CDr "A K.o Date: R/3 Wayne If. Cordes, Minn. Reg. No. 14675 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan a? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 't ?o,o6 New construction Requirements RemodellReoair Requirements 3 registered site surveys showing sq. it of lot, sq. ft of house; and all roofed areas 2 copies of plan WE (2o%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 onsrte septic system 3 copies of Tree Preservation Plan it lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Site Address 15-V ST /irrE. 9?aP ? G Constructio Cost h aca v?y / Vt t ' Unit/Ste # Description of Work ?? rod I Multi-Family Bldg _ Y jk-N Fireplace(s) ?C 0 _ 1 _ 2 Property Owner S? e v G C J Ca Telephone # (61 Z) 470. Contractor 2401 o • s F Address 7874 State Gr/O u r City u re Zip 55728 Telephone # ((OS ?) SO? `x COMPLETE THIS AREA ONLY 1 Energy Code Category Minnesota Rules 7670 Cateeory 1 • Residential Ventilation Category 1 Worksheet (d submission type) Submitted . Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? -Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the i that the work will be in conformance with the ordinances and codes of the nekwJIMd accurate; 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 plgn in the casework which requires a review and aXa ofp`s Ze4. FiioS. Ca.•s/ 1 Applicant's Printed Name N If so, 25% plan review OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ - Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof Ice & W ater - - Final - Pool Ftgs - Air/Gas Tests _ Final - Framing _ Siding _ Stucco _ Stone - Brick - Fireplace - R.I. - Air Test - Final _ Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector SIGMA SURVEYING SERVICES INC. 3730 P" Knob Road E&W, M9Me als 55122 Phan: (512) 452.3077 DRAINAGE AND UTILITY EASEMENTS ARE SNDWN TW24 esq.Dx O Scale-1 I "=30' -LEGEND- 1 ? - lJ 4 BRENTWOOD HOMES, - INC. ?n 1 Wito o Denotes Iron Monument PROPOSED GARAGE FLOOR ELEVATION= 8 51.0 o Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= 8513 . 84g.2_ Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= -61f3,3 {x$rr.ul Denotes Proposed Spot Elevation ` ° go)U9 ED --- '- Denotes Drainage Direction *N0I9:o y,ail' dg, Dimensions and Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- Lot 15, Block 1, PRETTYMAN HEIGHTS, according to the recorded plat; thereof.., Dakota County, Minnesota., ; S J {EN16 S YIDK IATEO, (ETANDINADJDWIDTHN1UNlLOT(S!LINOTNtl1WISEANO 0 ES 10FICTIRAN WIDTH S AD.IOININ{!TR((i I IYfi 1l lunru wu .u. u .. -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly .Registered Land Surveyor under the laws of the State of Minnesota. IZ Date.. Wayne If. Cordes, Minn. Reg. No. 14675 1991 BUILDIN P tLIGATIDN CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PE'. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE PERMIT MUST SHOW A LICENSED PLUMBER. rI 6Dc?aa? To Be Used For: ?(?(L/Valuation: Site Address ICJ Jr-1 Lot 15 Block Parcel/Sub Owner ?V ieV?{j?i `. ,(,l t-17 LKA` -r--6 Address ?j V ?OO? AO1 City/Zip Code 7:i Phone 46u -0) Contractor ! ? II I Wcap I-Tum Address 150!1 0 ur\&?S r r Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage On site well MWCC System City water PRV Booster Pump OFFICE USE ONLY R V-N V-N J? V City/Zip Code ?:51 . Y P1T 1, / APPROVALS Phone ?4?e Planner Council Arch./Engr. Bldg. Off. 17 9ZL5 Variance Address City/Zip Code MR FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL B5-01-00 SO,oO ®o l 08. po (o?.oa ?fo0.o0 S, o 0 30,ua 30,00 R76, a u 3 70,a® So Phone # agrees that all work shall be done in accordance with ?;L4? ( gnature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 14V VAL. A; 'emu GI A iZA6E I2 x2 ?ay> 3Z X Z2 `)ay Gg Is= /o Zoa 9sm T. 28 x3L=loos /'q x ?z = a I '7 1 X 11 % /Z36 X 14:: ??3ocl I ST FwaP, U&?T_ I z 3 4 x 53 = 65 S`© s Z ,v o F&ook Z?x 3?% = Ib?4S 1x?3= i3 , EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION OWNER y C Fi c. n4\7 1 if^ILtiIL SITE ADDRESS CONTRACTOR'S ?? ?DATE/PHONE 67*-I( Determine working square footage of each. 1. Total exposed wall area ...... q. ft. X?_ - ?? 2. Total roof/ceiling area ..... 1 so. ft. X? - "? S A. Total wall window area .......................... B. Total door area.' ............................... C. Total sliding glass door area ................... D. Total fireplace wall area ....................... - E. Total wall framing area (average 108)_......... 2-1 P. Total Rim joist area. ........................... G. Total Net wall area above floor ............ Total exposed foundation area H. Total foundation window area .................... ' ?3'p I. Total net foundation area above grade...........: ' Determine "U" value of each wall segment. a. ';0(0 ZA x ..U.. b. 57, 51 x "u" c.40 X "U" d. I X "U" Sb = z?, e. X ..U.. f. X "v" g• 2133 1 x "U" h. 1tt7. CX7 x "u" _ i GG j _ X ..U.. 3 ...................................Total = If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. , Total exposed roof/ceiling area = . ) ?.? j. Total skylight area ................................. k. Total roof/ceiling framing area (average 10%) ...... 1. Total net insulated roof/ceiling area .............. Determine "U" value for each roof/ceiling segment. j, . X ..II.. -? k. l X .. U.. CZ?, If total of #4 is the same as, or less than #2, you ha the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. SEVERSON, WILCOX & SHELDON, P.A. LARRY S. SEVERSON* JAMES F. SHELDON J. PATRICK WILCOX* TERENCE P. DURKIN MICHAEL G. DOUGHERTY MICHAEL E. MOLENDA- 'ALSO LICENSED IN IOWA ''ALSO LICENSED IN WISCONSIN ...ALSO LICENSED IN NEBRASKA October 10, 1989 Mr. Gene VanOverbeke Eagan City Clerk 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 A PROFESSIONAL ASSOCIATION ATTORNEYS AT LAW 7300 WEST 147TH STREET P.O. BOX 24329 APPLE VALLEY, MINNESOTA 55124 TELEFAX NUMBER 432-3780 (612) 432-3136 RE: Pressure Reducing Valve Agreement and Access Easement Agreement Prettyman Heights Addition Our File No.: 206-7108 (OOE) Dear Gene: PAUL J. STIER KENNETH R. HALL ."SCOTT D. JOHNSTON JOSEPH P. EARLEY MARY L GOLIKE LOREN M SOLFEST OFOOUNSEL JOHN E VUKELICH In connection with the above matter, I enclose original recorded Pressure Reducing Valve Agreement - Document Number 905746 and Access Easement Agreemen?- Document Number 905747 for the official City records. To vkta. If you should have a question, please feel free to contact me. Thank you for your consideration and cooperation in this matter. yours, , WILCOX & SHELDON, P.A. Roxann Duffy Legal Assistant RSD/djk Enclosure i PRETTYMAN HEIGHTS PRESSURE REDUCING VALVE T S,AGREEMENT, made and entered into the in?day of 1984, by and between the CITY OF EAGAN, a Munici alit of the State of Minnesota, (hereinafter called the CITY, and the Owner and the Developer identified herein. The terms "Developer" and 'Owner" as used herein refer to SKYLINE HEIGHTS PARTNERSHIP whose address is 1480 Skyline Drive, Eagan, Minnesota 55121. WHEREAS, the Developer has applied to the City for approval of the plat or subdivision known as PRETTYMAN HEIGHTS, located within the City; and WHEREAS, the Owner and Developer agree to notify potential buyers of all lots within PRETTYMAN HEIGHTS that all lots (Lots 1 through 18, Block 1, Lots 1 through 4, Block 2 and Lots 1 through 4, Block 3) are in a high water pressure zone and a pressure reducing valve shall be installed in each home below the elevation of 875 feet. All costs shall be the responsibility of the Owner and Developer and shall be installed to prevent damage due to high water pressure. NOW, THEREFORE, the City, Owner and Developer agree as follows: 1. Recording. This agreement shall be recorded with the Dakota County Recorder so as to provide notice to the owners of all lots within PRETTYMAN HEIGHTS (Lots 1 through 18, Block 1, Lots 1 through 4, Block 2, and Lots 1 through 4, Block 3). The owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to all owners and future owners of property in PRETTYMAN HEIGHTS that all lots (Lots 1 through 18, Block 1, Lots 1 through 4, Block 2, and Lots 1 through 41 Block 3) are in a high water pressure zone and that a pressure reducing valve shall be installed in each home below the elevation of 875 feet. All costs shall be the responsibility of the Owner and Developer and shall be installed to prevent damage due to high water pressure. 3. Validity. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this .ontract. 4. Binding Agreement. The parties mutually recognize and agree that all terms and conditions of this recordable agreement shall run with the land herein described and shall be binding upon the heirs, successors, administrators and assigns of the owners and developers referenced in this Contract. IN WITNESS WHEREOF, we have hereunto set our hands. CITY OF E GAN o vn OWNER AND DEVELOPER: (Date: • ?o SKYLINE HEIGHTS PARTNERSHIP ` l By: Its Mayor Attest: Its erk STATE OF MINNESOTA) By. ,) s s . COUNTY OF ? ?'?'GL?"L ''? ) On this day of 1989, before me a Notary Public within and for said Count pe sonally appeared VICTOR L. ELLISON and E. J. VanOVERBEKE to me pars ally 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 on 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. 41/ ; 00000 .?s.. * ?. MAR?-Y4 L WL1rV7r1t1X !G ?. ?ND", APY PUDLIC - A1::;NcS1 t. DAKOTA COUNTY My Cmn L'-i,, Exo f:D B !x13 Z -Z- c1 STATE OF =SOTA)) COUNTY 0 ) SIB. On this day of , 1989, before me a otar Pub;.ic w t }p nd for said ounty, personally appeared t2ELC L- 1. 7? U7 and- to me personally known, who, being cac4- by me duly sworn to bebpartner of the Partnership named in the foregoing instrument, affix p _tn a-ir3 ina?ri ent-i-9 P--Be3?-e -Said .?Lri'nornhi p and that/ said instrument was si n d and sealed on behalf of said Partnership by said FZ f'b? J I ?tl dk= tnT - and-and he ,4 acknowledged said instrument to be the free act and deed of the Partnership. DENISE J KOENCK Nmun rjkx oww cv my. AM W Con...en Uw FM • IM y Public APPROVED AS TO FORM: fy Attorn?y' te: -?> APPROVED A5 TO Public Works Department Date: THIS INSTRUMENT WAS DRAFTED BY: MCMENOMY & SEVERSON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGD -3- V of eagan 71476 MUNICIPAL CENTER MAINTENANCE FACILITY 3830 PILOT KNOB ROAD 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 E$fpftIj1J11lES]QVgVAWkent Search PHONE: (612) 681-4600 PHONE: (612) 681.4300 FAX: (612) 681-4612 FAX: (612) 681-4360 Date: January 16, 1992 Requested By: National Title Resources THOMAS EGAN Mayor PATRICIA AWADA PAMELA McCREA TIM PAWLENTY THEODORE WACHTER COUM11 Members R0'-Prettyman Heights` THOMAS HEDGES Lo.t 15 Block T City Admininstrator EUGENE VAN OVERBEKE City Clerk On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assess^ent obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer AS OF: 01/16/1992 PROPERTY ID: 10-58800-150-01 SEE COMMENTS S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100040 SAN SW TRK 1967 30 6.0000 33.31 0.00 0.00 CL 100070 SW WAT LAT 1969 20 6.0000 92.88 0.00 0.00 CL 100139 WATER LAT 1971 20 8.0000 46.15 0.00 0.00 CL 100332 WATER AREA 1976 15 8.0000 6.15 0.00 0.00 CL 100339 WATER AREA 1976 15 8.0000 42.45 0.00 0.00 CL 101937 STK W296 1989 05 9.0000 484.13 96.82 193.67 101938 WTK W296 1989 05 9.0000 487.83 97.56 195.15 101939 SSTK W296 1989 05 9.0000 1034.42 206.88 413.78 101940 ST W296 1989 05 9.0000 172.48 34.49 69.01 102196 ST543A 1991 15 8.5000 1054.75 70.31 984.44 102197 ST543F 1991 15 8.5000 568.07 37.87 530.20 102229 DELIN UTIL 1991 01 0.0000 6.95 6.95 0.00 LY ------ SUMMARY OF LEVIED 3808.63 550.88 2386.25 ****** 1992 P&I CERTIFIED 863.96 ------ SUMMARY OF DEFERRED 0.00 0.00 0.00 ------ SUMMARY OF PENDING 0.00 0.00 0.00 Press ENTER; or F1, F4, F5, F7, F8 SPECI AL ASSESSMENT SEARCH SUMMARY AS OF: 01/16/1 992 PROPERTY ID: 10-5 8800-150-01 SEE COMMENTS S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD ------ SUMMARY OF CLOSED 220.94 CITY OF EAGAN j 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 I:m FOR CITY USE ONLY PERMIT # RECEIPT # / DATE: / /O 9 I s 1kL2 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME' t P X'?od ?e? SITE ADDRESS: S 8 S c f / LOT: BL OCK SUBD v - h `` (1 INSTALLER: C bMj S> ? ADDRESS ASoo \ M\m t5br,k a 7S:rL Y CITY: ?-kN fv\r__Eaf-Ancti ZIP: c ss L PHONE #: I'J :b - -],-In SIGNATURE OF PERMITTEE COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3ILLQ WATER CLOSET 3.00 R,or'? BATH TUB 3.00 to .00 LAVATORY 3.00 12, KITCHEN SINK 3.00 3.00 1 LAUNDRY TRAY 3.00 3.00 HOT TUB/SPA 3.00 T_ WATER HEATER 3.00 OC, FLOOR DRAIN 3.00 3:C?h GAS PIPING OUT. (MINIMUM - 1) 3.00 W ROUGH OPENINGS 1.50 'A OTHER 11 Oo WATER SOFTENER 5.00 S,C?b PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL G? ST. SURCHARGE .50 TOTAL: S to k oo OOMMERG3Li€fi DUSTRIAL;: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUED. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN a " 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 C1SCi17?'i'?3T'? FOR CITY USE ONLY PERMIT # RECEIPT # /b DATE: STDENTIALi PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST j° ADD ON _ REPAIR OWNER NAME : / "1? o ]e) rrc ?A e? SITE ADDRESS: LOT: BLOCK SUBD. v INSTALLER: GENZ-RYAN PLUMBING & HEATING COMPANY ADDRESS: 14745 South Robert Trail CITY: Rosemount ZIP: 55068 PHONE #: 423-1144 FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24 ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM 0 OF 1 PER PERMIT SUBTOTAL: $ 33 aD STATE SURCHARGE: .50 d TOTAL: $ 33 SIGNATURE OF ERMI TEE COMMERCIAL/IND'USTP' A1.:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN F RESIDENTIAL BUILDING r+. 5?7Lo? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 of S C?d,Ipit d w l+f1a3 New Construction Requirements RemodebReoair Requirements Office Use Oniv 3 registered site surveys shgmng sq ft of lot, sq. R. of house, and all roofed areas 2 copies of plan _ Can 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 wpm of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date q / I 'I ? / 2(oa? Site Address (5 FJ7 5 k Yt- f ae- /? ac Construction Cost 2Z00 0 PAT t-I Unit/Ste # Description of Work DE (k A D DR I&V Multi-Family Bldg - Y - N Fireplace(s) - 0 - 1 - 2 Property Owner S-16 vF C N A VC 2 Telephone # ( C.5 l ) "f0 5- l fl! 7 Contractor _rH E 9F (k Aw9 '_ .( J[ Co, Address y6'1S 9'SeAYrvC State MN Avr City LA4AW Zip SA2K Telephone #(G51 ) 322-4'i 6?t Ib COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Cade Category sidenfial Venulation,categ Worksheet New Energy Code Worksheet (J submission type) ubmiBed ? (1"i Submitted Licensed Plumber APR 1 4 7003 Ll Telephone # ( Mechanical Contractor Sewer/Water Contractor 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. MtCHAI L 12V0'1 e Applicant's Printed Name Applicant's Signature ?- OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 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 x 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 x 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) - Give PCA handout to applicant Valuation d? a Occupancy MCIES 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) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final - Framing - Fireplace - R.I. -Air Test -Final Insulation Approved By 1 2 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Gity SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. 7" FinaUNO C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall dam,' t e Certifi .11® 85ge% I\ Q DRAINAGE LMO MUTT 9A3[YLMT5 •a( !MOWN T,M,f: a +) a L- at Scale 1 1 "=30' SIGMA SURVEYING SERVICES INC. 3730 PRO Knob Road Eagan, Mtrmasoia 55122 Phone: (512)452.3077 7, I $ utiI , ?LLe C4 'o BRENTWOOD HOMES, INC. 4 90 a -LEGEND- * Denotes Iron Monument o Denotes Wood Hub Set 84q.z Denotes Existing Spot Elevation (x811-0) Denotes Proposed Spot Elevation ------ Denotes Drainage Direction -PROPERTY DESCRIPTION- Lot 15, Block 1, PRETTYMAN HEIGHTS, according to the recorded plat thereof, Dakota County, Minnesota. F- / PROPOSED GARAGE FLOOR ELEVATION= 8 51.0 PROPOSED TOP OF BLOCK ELEVATION= 851.3 . PROPOSED BASEMENT FLOOR ELEVATION= _6Lf33 *NOIir ri^fy aFl Fidg. Dimensions and Floor Heights with Final House Plans. -SURVEYORS CERTIFICATION- I hereby c:rtify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of th/e? State of Minnesota. ?l 4^ y.n 06. Date: R/3 Wayne Cordes, Minn. Reg. No. 14675 -- 2005 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. ????ri??IIII IN Or1 2 z, 200 ,I Date /0/ ,8( / ? 05 IBy__ _ Site Street Address 1 SK n£., i? y? Unit # Property Owner S4eve cfwwr-Ze, Telephone # ( ) Contractor rl-e J/t§.1 6uhd Son C. Tit IIjz h,ri g) Telephone # (763)7st -?`?6? Address as N 'AA f. MLA City C?p aFhdS State ILLAJ• Zip The Applicant is: _ Owner contractor -Other Alterations to existing dwelling Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: $ 50.00 _ Water Softener water Heater - new V "'replacement $ 15.00 Irz- Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ /5-1.- 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. u ( ??-U.fIE L I - Applicant's Printed Name Applicant's Signature ü û ú þýý üûúûøú ÷ýýúüù÷ìí ÷ê ñ ü þþ ýü þýõ ôóüòüðü ø÷ö ôø÷öôóüòüÞóòßö ê üöñ ü ðü í ö ÷ ï êöìêüê üêü ùêüèë óóö üú ëë ê ý üöèð ëë üö ëü è ð ùêü ù÷ óü ë ê÷êüè üîåäåþþè þèþ ô÷ üæ åè âèãâ æ úè óñ õðï öö ßó ü ìøð ìÛ âãð þÿ ÷ ßüìáÞ û áÞ ã é çãÿÿÿ ù÷ ó ì ü öö ü ëê ü êö÷ó öö ù ëáü ü ð÷ëû í üè öö òê üü ÷