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1686 Skywood LanePERMIT City of Eagan Permit Type:Building Permit Number:EA128095 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 1686 Skywood Lane Lot:9 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Daniel L Utz 1686 Skywood Lane Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature 59-)-)V 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 Dated/ Sit Add e ress Unit # Property Owner Telephone # (?yf L Contractor Address City State ?-kz Zip S ? Telephone # ((p??_ s ? ?/[? S ?? O The Applicant is wner Contractor Other Septic System _I.IQew _ 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 - Water turnaround (+ 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 °/' N? _ Lawn irrigation system V? Water softener Water heater _ Ge B tional _ replacement _ di 15 .00 U $ .50 State Surcharge g? Total $ i 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 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 Signature 1--n =1 -I a c? r 4 j P 5? ?+3 RESIDENTIAL BUILDING i ' Permit Application n City Of Eagan (P 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Requirements RemodepReoair Reouirements 3 registered site surveys showing sq. It. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate ton-ste septic system 3 copies of Tree Preservation Plan I lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Q ?- 3 ?l-? 13.U3 -lo.? yo .r:?D 'iC) --I y.63 C-OaLdl a-- ( Oll Use On of Survey Recd Tree Prey Plan Recd Tr Pres Not Reqd n-site Septic System Date C )j Site Address 6&v tr•8b , ?. . Li, ,, Construction Cost //e o UniUSte # Description of Work /IFS w S n w? e Property Owner y', Ile Telephone # ( ) Contractor 7 A gle S Address > T CY h%o' t ( ,?, f State KID •'k v zip Q'VV City 12 f Telephone # (t>'r) YS z 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 / Minnesota Rules 7672 Energy Code Category • Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # (i i L) 41 J Z 2-17-1 Mechanical Contractor Tarr-) (? 1?h F Telephone #(04) 01 01"5' Sewer/Water Contract or kl'?> Telephone #(763) mike 052&t- 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 c4se of work which requires a review and approval of plans. -R (CJ ?L ?-. il V, Applicant's Printed Name e FED 1 4 2003 ?) OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation 49 -0 Census Code _ SAC Units Nbr. of Units Nbr. of Bldgs I Type of Const V0 ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy ?2- UOp . MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. ?:400 PRV Length ('0 C Fire Sprinklered Width X Footings (new bldg) - Footings (deck) _ Footings (addition) ?C Foundation Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test -Final ?c Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS x Final/C.O. _ Final/NO C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone _ Windows (new/replacement) Retaining Wall Approved By T 7 , Building Inspector ------------------------------------------------------------------------------------------ 11 ? r-W Lam-' ! C( 0 CJ (1,0'ro'K V Lit ??L? y 7s? ?Qv K« -- /,vyO v OL) / OG-6 Llo MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 6-7-2000 DATE OF PLANS: 3/28/00 TITLE: CRYSTAL WALKOUT ELEVATION COMPLIANCE: PASSES Permit # Checked by/Date Required UA = 447 Your Home = 351 21.5% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value --------------------------------------------------------------------------- 1705 44.0 0.0 CEILINGS WALLS: Wood Frame, 16" O.C. 2206 19.0 2.0 1 WALLS: Wood Frame, 16" O.C. 196 10.0 2.0 BSMT: Conc. 9.01 ht/8.3' bg/9.0' insul 141 11.0 0.0 BSMT: Conc. 3.5' ht%3.1' bg/3.5' insul 20 10.0 0.0 0.350 1 GLAZING: Windows or Doors, Above Grade 405 0.350 DOORS 38 HVAC EQUIPMENT: Furnace, 92.0 AFUE ---------------------------------------- COMPLIANCE ------ COMPLIANCE STATEMENT: he {proposed u lding design described here is consistent with the u' dig pl n s ecifications, and other calculations submitted with the er t ppli do L. The proposed building has been, designed to meet r ui em s o the Minnesota Energy Code. r Builder/Designer Date ?/ LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: g j L Gi ) J K z o oC L? { ?(6l i {ra DATE OF SURVEY: LATEST REVISION: Gf c m r U O z Q DOCUMENT STANDARDS ? ? • Registered Land Surveyor signature and company U?? ? ? • Building Permit Applicant t ? ? • Legal description 62??] ? • Address [g/? ? • North arrow and scale 5Y ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ?? ? • Directional drainage arrows with slopelgradient % P l i ? ? • roposedlexisting sewer and water services & invert e evat on ? ? ? ? . Street name D i • veway r 61? ? ? ? • Lot Square Footage J ? ? • Lot Coverage ELEVATIONS Existing 1 . ? • Sewer service (or Proposed) C? ? ? • Property comers 141 ? ? • Top of curb at the driveway and property line extensions ? 9"' ? . Elevations of any existing adjacent homes ? [ate/? • Adequate footing depth of structures due to adjacent utility trenches ? tp' ? • Waterways (pond, stream, etc.) Proposed Id ? ? • Garage floor ? ? • Basement floor V ? ? • Lowest exposed elevation (walkout/window) U,? ? • Property corners V ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? ? • Easement line ? ? • NWL ? L21 ? • HWL ? V ? • Pond # designation ? I/ ? • Emergency Overflow Elevation ? EVIIJ • Pond/Wetland buffer delineation M /'El ? e? ? B/? ? Rani ? rsl/? ? DIMENSIONS • Lot lines/Bearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures • Retaining wall requirements, Reviewed: G:lFORMS/Building Permit Application ' Surveyor's Certificate SURVEY FOR : PULTE HOMES DESCRIBED AS :Lot 9, Block 1, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving easements of record. # 17944 PROPOSED ELEVATIONS Top of Foundation = 951.5 Garage Floor = 950.4 Basement Floor = 942.5 Aprox. Sewer Service = 939.0 Proposed Elev. = 0 Existing Elev. _ Drainage Directions = Denotes Offset Stake = i r n lp vacant 10, F 90 00 ,. '* 941.4 ,I ono 'Po BENCHMARK, z=1?'?l1? --- 4 ;7 Y)17 SQ. FOO TA GE SQ. F00 TA GE CO SERA GE = &I p4awnajm 01 Retaining Wall WiS Se Required L4.M ONS (1r'T. MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- SCALE: 1 Inch - 30 feet JOB NO: HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 03R-063 OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE: PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. 2005 Pin Oak Drive Eagan, MN 55122 DATE 1y?/?.3 CAD FILE: Phone: (651) 405-6600 E Fft D. LINO EN, LAND URVEYOR Fax: (651) 405-6606 NN OTA LICENSE NUMBER 14376 Oakbrooke 5 - = 3,608 = 2,04 7 571"o7 9V 2-10_03 EAIC- A N Address: 1686 Skywood Lane Zip: 55122 Lot: 9 Block: 1 Subdivision: Oakbrooke 6th n/ l TOE F'OLLOW'ING 11 EMS WERE/WERE NOT coMPLI rE AT FINAL INSPECTION ON C Yes No Comments Final grade - 6" from siding permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/Seeded lawn Trail/curb damage Porch Lower level finish Deck Fireplace X Verify with your builder that roof test caps from the plumbing system have been removed. Turn off water supply to the outside lawn faucets before freeze potential exists. Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing irrigation system. BUILDING INSPECTOR - `, cd/hldginslillnrms/2002/final inspection checklist Site address: (P8b 5 ac-1 CAN E Lot -?tdl Block '2?L Subd. 6J IL' hr!LZ On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. s structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater j x (1 I oSa YSja Furnace reC - Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen I Bathrooml iN IOa = Unit v.Cr5 Q Bathroom 2 , r ( ??, i)? f ® tJ Bathroom 3 ?a F)rvo Y- (a? g? Bathroom4 << tr ??- Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS 16 ,400' ,2- ,ODD I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. 6LD? /,j Sign Date C pany' ame This form is the responsibility of the General Contractor. Site address: (lg?lo C ?ttr Z Aea.T? Lot Block- Subd. 6- On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 Lj `;4 I_ I' 1, OR I I This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 II t ?? L; APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater r , V\A Gero? Furnace L?fJN? C ?3?a? FC-f O) 7>?i r Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen Bathroom 1 Bathroom2 << CL FV-Os-va u?D Bathroom 3 cZr^ ? O Bathroom 4 c l u t S Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS 1 T_ ? MAKE-UP AIR MODEL TYPE CFM's I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. Signatur Date Comp ny Name This form is the responsibility of the General Contractor. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1686 Skywood Lane Lot: 9 Block: 1 Addition: Oakbrooke 6th PID:10- 53765- 090 -01 Use: Description: Sub Type: Work Type: Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 e- Fireplace Gas Fireplace (new) Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 633 -2561 Improvements to the home may requ concealing. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to Carbon monoxide detectors are required by law in ALL single family homes. Owner: Daniel L Utz 1686 Skywood Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA091937 11/09/2009 ePermit PERMIT Permit Type: Building City of Eagan Permit Number: EA105972 Date Issued: 08/06/2012 Permit Category: ePermit Site Address: 1686 Skywood Lane Lot: 9 Block: 1 Addition: Oakbrooke 6th PID: 10-53765-01-090 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Krech Exteriors Inc Daniel L Utz 5866 Blackshire Path 1686 Skywood Lane Inver Grove Heights MN 55076 Eagan MN 55122 (651) 688-6368 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125470 Date Issued:07/24/2014 Permit Category:ePermit Site Address: 1686 Skywood Lane Lot:9 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-090 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Daniel L Utz 1686 Skywood Lane Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature .i . Use SLUE or BtACK Ink � r--_..--_.�—_._..__.,..�___..� ; For Office tJse {/ _ I �U � �� 1 L��ii j Aermii#: � � Q j J��✓4 � Permit�ee: �•� J� 3$30 Pilot Knob Road ! t Eagan NIN 55122 EIVED Phane:(654j 675-5G75 EC j �ate Re�eived: t - ��.��5 J Fax:(659j67S-5694 � NOV 12 2015 ' S�� --------- ------' 2o�s REStDEN'T1AL BUiI.DiNG PERnn[T�PP��caT�orv ^ / h� QB�: � �l/ / j ,, r �} .� . Slt@ 14dL�te&S: ' tU � � ��J,p� A,�t'�J �t � �.-"`"..' �......---r-- -...�.w,,,r.�.,.,... ,.,� _,.._ ... , 1y tiqit#: � ' . _ ' . ' x Name:_��1�1 -I'". �}/��!}v I� Vt E �. " --.��"._.I-`?� R�sii!@t1#1` _ ..� � Phone:��r��-��—O ii�C.--� QVif��.'. . .. Address/Gity t Zip: � �-- � � �� . � �� f :� _ .. � ��.� ;: - . � aP�i��t;s: � .„,,,�,,,,��,,,,;, �� Owner �Contractor •� ' ` � Descriptton of work: .,j.._..�,�_._..,_.._...,y.m._..�.,.� .:/._..w._. .�.,.�...,_. � F��=:T��:' ; , C� �� •;_ �� Construc�ion Cos#: ��(J(�� Mutfi-Family Build�ng:(Yes /No }�', �.._,..... ....m...�:..,�..;, .._...�.,„,,,_..,, ..,._ -`�._,v. �' . - . ..:. � Comparty: ..n, �� Confacf: � .• � �,.� • � •�Ot�t'TC�{SC �.�Address: .� Cify: .. , Stafe: � Zip: Phone• Email: ' �� -� � License#: 1_ead Certificate#: if the praject is exempt€rom leacf cerkifiaat�on, piease explain why: f COMPlETE THIS AREA ONLY 1� CONSTRUGTING A N�W BUIl.D1NG �� In the last 12 manths,has the Cfty of Eagan Fssued a perm�t for a simflar pian based on a master plan? � . Yes Na (#yes,dafe ar�address of master ptan: � � Licer�sed Piumber. P� . one• Mechanica!Cantractor. Phone: Sewer&Wate�Contractor: Phon$: Fire 5uppression Contractor, Phone: _�I.OT��-P1.8�t��7id svpportltlg docUt�aet�ts tfiat you��rbRr}if a�t±e�corosidsred�o be pe�bl�E Fi�i�ar�#ioi�:-Por#o�rs� . = ��t�e�Ir�s�rn�on'r�ay be ctessf#lea��s�n�pri�tfc if yau pro�lde spec�'ic p�as�ns�haf wvr�d'perrr�t�Cl�r to:�. . - - -- - � .,�.�._...,�,,..�. cor�cic�af�i�at they ars.twade secref�s. . � � � � --.• - .....,..-„�.. - CALL BEFORE YOU DIG. Catl Oapher State Qne Ca!!at(651)454-0002 for protection against underground uti['ity damage. CaU 48 hours before you itttettd to dlg to receive iocafes of underground utilities. www.nooherstateonecalLora t hereby aeknowiedge that thls tMormation ts complete and accurate;that the work wilf be in contorrnance with trie ordinances and codss gf the Gity of Eagan;tnat t understand this is nof a permit, but 6nty an application for a perrnit, and work is nat to start w8hout a permtt;that the work wii!be in accordance with the apprvved plan in the case of work which requlres a revlew and approval of pfans. Exter�or work authorTzect by a bullding permit Issued in accordance wiit�the Mi�nesota State 8uilding Cocis must be completed withfn 180 days of permit issuance. X ��.f/l./G' �' �-t X � App cant's Printed Name AppiieanYs Sig�ature /� ��=-'�•`"`� ;� - / {T� Page t of 3 -�. (.1�.� - �j�� f� �`� L� ��`�� DO NOT WRITE BELOW THIS LIN � � d` - E y � 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 k Lower Level _ Pool _ Accessory Building �,_.. WORK TYPES _ New _ lnterior improvement Sidin 9 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 buildin ive PCA handout to applicant 9-g� DESCRIPTION Valuation J �Q� Occupancy �� MCES System Plan Review Code Edition ��j��p{` SAC Units (25%_ 100%� `-`� Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests Final � Framing Drain Tile � Fireplace:�Rough In �Air Test �Final Sidin Stucco Lath _Stone Lath _Brick Insulation g� — Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: / i Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge . � Plan Review �/�� V MCES SAC City SAC �' �/ � Utility Connection Charge � "'' . 0 7�' � S� (� S&W Perm�t& Surcharge � Treatment Plant Copies TOTAL Page 2 of 3 . , .,� � ,,. �„� aa�..�..»�.� .....„�.,,�,�.,.�„ �...�.,.� ,ww,..�.�o.� �.m�.u._Mx ., ..:,,., v,,,,,..�,,m�...,..�,M,,..�..�.,,.,,,,�.��,r�,.�a Use BLUE or BLACK Ink r----------------- I For Office Use � � . I � � Permit#: � � ` � � � Clty of ��Da� � . _ �� b Permit Fee: 11�� 3830 Pilot Knob Road � � Eagan MN 55122 j Date Received: � Phone: (651) 675-5675 � � Fau: (651) 675-5694 I Staff: � �-----------------� 2015 RESIDEIVTIAL PLUMBING PERMIT APPLICATION Date• � I ,"' �,� Site Address: �`°��'�-'' � �� "—' 14 Tenant: Suite#: . �� r�� Residet�#l10w�tet Name: Y��1 Y� �� Phone: � Address/City/Zip: ! �� '� 'W��_ � � Name: �i�V�� \`�-"�. `�� License#: V�D / T� � 1'� � r �/�`�- \ �t�..__, Contrac#or Address�'�J J��''M��`�'�° ��. �City: �Z`^�'�.. State: ��r Zip: ��/� i Phone: C��/ � ! �� Contact: �"j�� (�� Email: T�/j3e O�1N+DYk —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O,W. Description of work: �i'�`�h�5��"�� \�� RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) P�r��Q Add 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 Svstem Abandonment, Water Turnaround*(includes State Surcharge) "`Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 SeptiC SVstem New(includes County fee and State Surcharge) TOTAL FEES$ 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.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 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 ��-�.�. �. t��,�� X �� - �--�.. Applicant's Printed Name Applica 's Signature �OR OF1=10E USE Reviewsd By: Date; Requihed lnspections: Under Ground Rough-ln ,4ir Tes# Gas Test �inal Meter Relatec� Items: Meter Size Radio Read Manometer 5taff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166179 Date Issued:12/17/2020 Permit Category:ePermit Site Address: 1686 Skywood Lane Lot:9 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Daniel Lee & Christine Swanson Utz 1686 Skywood Ln Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature