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1432 Skyline RdReceipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk.` r, Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential E1 9. Work Description: New ? 10. Describe 11. Alter ? Repair ? -Fuel Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Rough Inspections: Date Insp. Commercial ? Institutional ? Add .6 for Final Date:K_ Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition Treffle Acres Lot Pts. of 6 Blk Parcel 10 77250 063 00 Owner J Street 11432 Skyline Dr. State Eagan,MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1/0 1968 100.00 .3 30 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 160.00 6 15 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK HEAT LOSS ESTIMATE 1 City /j/r village FORM 17-690?y ADDRESS NAM ?loor / oatd 26wner Phone ?Contractor Heating bill t be paid by Asr NAME Make of GWA Mkt GHW FHW S V UH SPACE Firepot Plant ? ?J? ? ? ? ? ? ? Size Boiler No. Installed Radiation Types of Domestic Gas Equipment: -P) Gas Ranges -05W. Htrs. Remarks: in i- Date Recd Checked By Plates Heat Loss i5 a I'VOV Input -L y Cert. No. Equipment to be r Y L) On Installed t + Main Size Off Installs OK Sold by H- 1 Service Renew NORTHERN STATES POWER CO. wan Ff-0A"- CONSTRUCTION Ceiling L i,-f Floor I,-Y'RAO-*-- 3..W WEATHERSTRIPS INSULATION THICK- NESS TYPE ATTIC Win ows Doors wall a r< !? Vented yes o y -No Ceiling 1644 1 a No FL &V Room Length Width Height Fl, Room Length Width Height FL Room Length Width Height W INDOWS A ND DOOR S-CRACK AGE AND AREA No. Width of pane Height of pane No. of lights Area sq. ft. Lineal t. of crack IL -1 34 x L - 8'7 / t d tf ifs :3 C & 13 L 2 b tjY C/V T a ! 17 f Coef 8t- Infiltrationoor no ?K0 Infiltration Window ?? Gross Wall lyox?- fl a d - Glass a31 Tw Ne Ex . Wall n 9 d'Od 7 Cor floor O 0 ?? Ceih (Q10 133- 1'' D Fireplace DII d n Total Bfi? oU 4c??S ?(95, a ?? ?rJ PERMIT APPLICATION CITY OF EAGAN 3795 Pilot Knob Road Q???``a(? ?Jyl Eagan, MN 55122 Application Structure _ Plumbing 1 or 2 Family Heating/Air Cond. _ Other Other Improvement Value: _ New Remodel Site Address: 1(f,3,2 Jkjr,¢, ?C (x Owner: Trc?rk wood Address: )43a 5ky1ne. J?e Licensed Contractor:-flu S th- Address:jVCU ylcl?z{«l,., -?-- Date: //- /6 - 8.;L- Type of Heating Natural Gas _ Electric Other Lots Block: Sub/Par: Telephone No.: 4f5z/ VJ-a-r Telephone No.: &C/6-73U (Heat loss calculations required for HVAC--Cert. Eng. Plans required for Comm/Ind/ Mult. Family.) Applicants Sign ' _ EAGAN TOWNSHIP BUILDING PERMIT Owner ...___LLLL".= '!--- - _.....---....---------------- Address (present) ...._l.T..3.., ......--- -- .,.... Builder .../ ------------------------- --- Address ------------------------------------ ._.......... ----------- ................... DESCRIPTION N° 902 Eagan Township Town Hall Date _ ?---------------- Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks Z7 7o I /I LOCATION Street, Road or other Description of Location Lo! Block Addition or Tract 'S 06 -rA-le? dzlt? This permit does not authorise 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 KEPT ON THE PRE ISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.... __11 ..-_ . -__ .................. _has permission to erect a ... .. ................ upon the above describ r se su c3 to provisions of the Building Ordinance for E an Towndopie, April 11, 1955. ? ry ice .............. .....--•---......--'°-'- -. . ..................................... Per ............. - C`ti-- -........_..... - Chairman of Tnwn Board Buildin Inspector EAC3AN TOWNSHIP M 95 BUILDING PERMIT Owner - - - ----------------------- . -,-(...-----------'---- Address pre ent) L.-/.?. Builder --------------------- J-I(.9.4.._----------.___-------------------------`---- Address ...... DESCRIPTION Eagan Township Town Hall Date.. la- ,Z; Stories To Be Used For Front Depth He i gh! I Est. Cost ' Permit Fee Remarks ei ? U , ?OL4?O ?? Do LOCATION Street, Road L( other Description of Location Lot Block Addition or Tract e 111vo"0cd Ob rF?? ?C?S This permit does not duthorize the use of streets, roads. alleys or sidewalks the right to create any situation which is a nuisance or which presents a hazard general welfare to anyone in the community. THIS PERMIT MUST KE T ON THE PREMISE WHILE THE WORK IS IN This is to certify, Thai->j.0..VB..5r-0W- ------------------_.... has permission to erec the above describe 5l-pr ise subj !o he provisions of the Building Ordinanc 1955. J?? ...°-°---- -=r4. ----°---------- - .....------ ---.... Per .--... ---------------- Chairman of T n oard nor does if give the owner or his agent to the health, safety, convenience and PROGRESS. / i a.-A-0-1fXlle.? .......................................upon e for Eagan Ownship adopted April 11, Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Owner -'----'-`-- Address resent) ..?...._... _.. __. ...... , Builder Address ..... DESCRIPTION N0 120 Eagan Township Town Hall Dale Stories To Be Used For Front Depth efgh! H Est. Cost Permit Fee Remarks _ _ LOCATION Street, Road or other Description of Location I Lot I Block I Addition or Tract U3! 00 I This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ------------------------------------ _ ........ .......----------- has permission to erect a----------------------------------------------- .._........... upon the above describe premise suhja? he provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. .............. --- .---....?- ---'°--- - "- ------...._.... Per Chairman of Town Board Building Inspector PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date & l 2 6 I 03 /y3a Skylrnc Site Address Unit# p Property Owner L S e /g Telephone # (6rl ) 76;Z-;7S'-0 Dra r Uf./,kor Lnc- Contractor Cci i Address '2 3p? La.bot, S'- City 6J 1t,p- ,eca' l? State /n?v zip S??O Telephone # (,0l) 7 L ? aS ° ° The Applicant is Owner _fo?Contractor - Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system L_,-?Watertumaround {.+ . Other: (Y? ti O o d W ` V'v,, _ - RPZ _ new installation _ repair _ rebuild $ 30.00 - Lawn irrigation system _ Water softener _ Water heater I (1 Il i it I $ 15.00 y IS l ? II replacement _ additional r-? ?' J? I $ .50 State Surcharge S SO Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work win be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start 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 gnature Receipt Date: CITY OF EAGAN 2003 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address k 3 a St AKA, / K. o 3-,.o OFFICE USE ONLY Property Owner ?a A . J i ?I a -- Telephone # Lo t - ???S ?] - 1? (I + `a-- Plumber Date of Inquiry Contact Name no PRV required No City 4 County R-O-W Permit Sewer X I Water 4" Sewer Service 585.00 1" Water Service $ 650.00 Lateral charge @ $24.00/ff Lateral charge @ $24.25/ff Trunk @ $975/connection Trunk @ $1,015/connection City SAC 100.00 Water supply & storage 905.00 MC/ES SAC 1,275.00 Receipt # Da Receipt # ate Treatment plant 564.00 Septic abandonme 50.00 Permit Fee 50.00 Permit Fee 50.00 State Sure .50 State Surch ge .50 Plumbin rmit required - water meter be acquired with plbg permit Total $ I Total $ Sewer and Water 4" Sewer Service $ --"too- V Water Service -65T00- Sewer lateral charge @ $24.00/ff P? Gfa rr ^L" 3 Water lateral charge - 0 Sewer trunk @ $975/connection f -4 I(0 Water trunk @ $1.015/connection City SAC 100.00 MC/ES SAC 1.275.00 Receipt # Date Water supply & storage 905.00 Receipt # Date Treatment plant 564.00 Septic abandonment 50.00 Permit Fee 100.00 State Surcharge .50 Total Plumbing permit required == S? 1 I a t O Water meter to be acquired with plbg permit l2l°O ?? 'i 1 S ?? cc: Carolyn Krech, Finance Department Permit #: Receipt Date: CITY OF EAGAN 2003 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address s 7 k--L4 (17 Property Owner e?c? Telephone # U tS 1- 9 (pV L Plumber 0ja--Q t ? ? `. Date of Inquiry Ln \\3 ? Q3 Contact Name 1 ' ?&UL - (_l S (- (Q Sewer OFFICE USE ONLY - PRV required City _ County R-O-W Permit Water 4" Sewer Service $ 585.00 1" Water Service 650.00 Lateral charge @ $24.00/ff Lateral charge @ $24.25/ff Trunk @ $975/connection Trunk @ $1,015/connection City SAC 100.00 Water supply & storage 905.00 MC/ES SAC 1,275.00 Receipt # ate Receipt # Date Treatment plant 564.00 Septic abando ent 50.00 Permit Fee 50.00 Permit Fee 50.00 State Surch e .50 State S ge .50 Ptumbm ermit required- water mete o be acquired with plbg permit $ I Total $ Sewer and Water 4" Sewer Service $ 585.00 1" Water Service 650.00 Sewer lateral charge @ $24.00/ff Water lateral charge @ $24.25/ff Sewer trunk @ $975/connection Water trunk @ $1.015/connection City SAC 100.00 MC/ES SAC 1,275.00 Receipt # Date Water supply & storage 905.00 Receipt # , Date Treatment plant 564.00 Septic abandonment 50.00 Permit Fee 100.00 State Surcharge .50 Total $ Plumbing permit required Water meter to be acquired with plbg permit cc: Carolyn Krech, Finance Department TOWN OF EAGAN X'oo 3795 PILOT KNOB ROAD 1150 Sd-- ST. PAUL, MINNESOTA 55111 RECEIPT NO. s 2 j 50 DEPARTMENT OF INSPECTION AND ZONING PERMIT NO. Total Fee Collected APPLICATION -Check If Double Fee / (/ \ y p c Date of Appllcatlon I/-/(d - Q 7-' Estimated Cost of Work r7`?/ J 7 dU Name of Owner rreyul L16'--XJ Name of Licensed Contractor Sl{QQ.?/([nq (Q > Address /7J..2 Skyline. a-' Address Work to be done Number 3a Street 5616v, DVI v`e Side Connecting Streets on Premises at: Ward Lot Block Addition or Tract Structure: New Old Brick Stnne Fram Brick Veneer Stucco C.M. Block Metal Work to be Done Build Instal Add Alter Repair Move Wreck Hang : Stories Front Depth Height Built of To be used for Building 1 Masonry or Fin Cement Blacktop Sign Plaster-Stucco Wall Elevator Fence Driveway Roofing Nature of Work: Air Cond. 1 Refrigeration Plumbing Ventilation Sheet Metal Gasf fitting Gas Burn arm Air Ht. Steamfitting Other (Name) PLASTER-STUCCO-DRY WALL SIGNS and BILLBOARDS GAS BURNER N.S.P. Permit No. Date Erect New Sin Number of Burners to be: Installed / Repaired No. Yds: Int. Repair Old Sign Altered Converted Ilium. Trade Name Ext. Non-Ilium. JJ Gas Unit ILHeO Size No. _y,+,01B.T.U. Input C Roof Gas Supply Piping to be Installed: Ft. Projecting Type of Heating Plant: Steam Warm Air Ll? PLUMBING Horizontal Hot Water Vapor No. Vertical Connected Load B.T.U. _ Water Closet Combined Horiz. & Vert. Proposed Vent Flue Size (Diam. in Inches) Bathtub f C t io T U in l Other . ype o Ons Chimney Flue: Dimens ns r a Remarks: Shower Lavatory Kitch. Sink Slop Sink nk MECHANICAL STEAMFITTING Special Applications Bar Sink Dishwash Warm Air Heating Plants: No. Item er Laundry Tr. Pipe- Pipeless Steam Boiler DrZ Fnth, Fan System ? Hot W ter Boiler a Misc. Fix, Press re S stem Gas Stove u y High Pressure Boiler Gas Opn. Motorized Unit Heater Garb. Cis- No . Unit Ventilator A.C. Unit Gas Dry Trade Name Size No Steam Hot Water Heater . Incin. . Manufacturer Steam Radiator Gas Wat. Heater Diam. of Grate Inches B T U Hot Water Radiator Misc. Gas . . . Input; -Heat Los Floor Dr Oil Input Gal. Per Hour . Gar. Fir. Dr. War Ai H ti G i Cch. Bas. Con. ng: m r ea rav ty i Forced Ai Rat ng Sop Tank Cesspao House Sew Ventilation Duct Work Sq. Ft. Cap of H W Radiator . Ref. Drn RefrigMatlon Duct Work Sq. Ft. Ca of Steam Rediat. Rn. Wat. _ Gene al Sheet Metal Leaders No. r Miscellanaous The undersigned hereby makes application for a Permit to do Work as herein specified, agree' g to tlo all wgrk in strict accordance with all ordinances and codes of the ordinances and, es of t Town of Approved: 4?,.1??/r_'/__rbL,SJ_LI• Inspector Applicant BUI LDI NG PERMIT IS VOID if no work Is done above the foundation for a period of six (a) months Date: from the date of issuance. as ALL PERMITS VOID unless work is completed and final inspection made within one (1) year of issuance. úüî ÿþ þýý üûûú ùýý ÿîúùè âðú éé âð þýö ýüûúùø÷ö õ üúùø ÷ ÷ö õ ôöõóøò ñü ü ðìüøù ïÿ ýîü òø ëò ò îü ò û ò êé ÿööøÿ þé é òÿ ý øêé é øé ê ûòè îü ûùö ÿéòùò ê íæðåæääêäêä õù ýü æêãêã çüðþê ôó öòñ øø óö ü ãüùó÷ ðýùó ó ë ôð ÿ ô àâßâ ûùöÿë øø é ò ÿ òøùöøøûý é ýü ùé ÿì ê øøõ òýÿü üùýÿü PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153622 Date Issued:01/08/2019 Permit Category:ePermit Site Address: 1432 Skyline Rd Lot:063 Block: 0 Addition: Treffle Acres PID:10-77250-00-063 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Paulette Bosela 1432 Skyline Rd Eagan MN 55121 Metro Heating & Cooling 1220 Cope Ave E St. Paul MN 55109 (651) 294-7798 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153623 Date Issued:01/08/2019 Permit Category:ePermit Site Address: 1432 Skyline Rd Lot:063 Block: 0 Addition: Treffle Acres PID:10-77250-00-063 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Paulette Bosela 1432 Skyline Rd Eagan MN 55121 Metro Heating & Cooling 1220 Cope Ave E St. Paul MN 55109 (651) 294-7798 Applicant/Permitee: Signature Issued By: Signature