Loading...
4808 Slater Cti0 41`. City a[Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Sta 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ' Date: t© -QS — t O Site Address: -"[. S 0 s I Q-te c CA- • Tenant: Suite #: RESIDENT / OWNER Name: AAckc IL 4 - --Ce SS i CO . r\--\--5,1 Phone: 651 5-(;5-(;( L)13 u � 6-67 Address/City/Zip: ISO? St44-e' CA- 5-0.QOli. NIA/ac Applicant is: Owner Contractor J TYPE OF WORK Description of work: re p` a C—Q WI t O w S 1 IA e-ic T S+1 Yro o fle r i ruCj a � Construction Cost: Q 3 Multi -Family Building: (Yes / No ) 16 CONTRACTOR Name: W\YNA.b W CO ri O--e�� O�. S License #: ®I s L / J (�l 9 0 Lone, Oale gd, %`ia°1City: Ea5ct 11 Address: ^ /-� State: /" `I N1" Zip: 6 6 1 g I Phone: Cow5 1 906 0106 Contact: 1\) 0-Y\ C\1 ---S ® Email: COMPLETE In the last 12 months, has 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: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 / (a' Pi G GA YYi i {'-S Applicant's Printefd Name App icant's Signa u r CITY OF EAGAN $~y~~ s~[VICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.; Eagan, MN 55121 p^-~. ~i~' ~ No. of Untta; Ownar: ~ ~ ~ a;.- LitC . /lddrcu: - ~ Site Aefdre~: ' `=i~T.~~ _r ,j_:;~~r~:,: ~~~:,•?g - Plurr+be+r: _ ~ ~ ' r --C....~ / ~C: ~ . . • V ~U ~ pr.~ to eew~lp will~ ib R~ ef /.~o¦ Connactran Cha~e: S.~~ O~dlM~eN, - /locount Deposit; . - P~rmk Fes: B Surdwrps; Y Misc. Choroes; - -Dcte of Irup.: Totah 1nap.: Dahe Roid: CITY OF EAGAN WA~R SERVICE PERMR ~ 3830 Pitot Knob Road P. O. Box 27199 " PERMIT NO.: Eagsn, MN 55121 p^~: ~ Zanirg: _ No. of Units: . Owner: - ~ :_e. ~ . '•yr Addness: - - Sits Addreas: - _ l,~ _ Pfumber. lMater No.: Connection CharQe: Size: A«ount Deposit: Reader No.: Per?nit Fee: 1~n~ to ee~l~ ~vilh N» Cihr of b~~ Surd~?arge; A'~ieewer. Mist. Chor~es: j ~ ' YOtO~: ~ tl~:,}~~r: ti3r~~ By DaM Paid: Dote cf Ir~sp.: CITY OF EAGAN Wp~R SERVICE PERMIT 3830 +~ilot Kno6 Roasf I P. O. Box 21199 - PERMIT NQ.: ' Eagsn, M~I 55121 DATE: ~ _ _ Zonir~: - ~ No. of Units: i ~wr1Qr: ~ i `:a r i ~ r t NdilTess: Site I~ddrcss: f- ' . . Plumber. / r r~. `i - ~Sf NO.: ~1P ~S7 ~ ~y U ~ ~ ~A~#~I1 d10fgl: ~ , ' ' Size: oG •-Y: "~~Deposit: . Rsoder No.: N S Fas~~ C~#j~i~l ~.~n.. ro eo~nPy, vrieG !6. c.irr .i ~w- EL F~~e"-~Si~ , c _ o.~i~. PED'~~cn~'~' . . , EQU~ 1 T ~d lAr m~,4~,r BY Dote Paid: I Date of Insp•: Intp.: $6 : - I ~ 1~ ~ 0 3~'3 3~0%',~ i Receipt ~ 1l MECHANICAL PERMIT armit No. _ . ~ ; CITY OF EAGAN - , - Fee - fill in numbered spaces S/C Type or Print leyib/y - Tot i Q 1. Date • ' ~ 2. Installation Cost ~ i , 3. Job Address ~ ` ~ ~ > ~ Lot ; Blk, Tract . _ r` , 4. Owner c ~ ; ~ j ~ ~ 5. Contractor fr~ ~ . Phone - i B. Address _ _ `1 , i ~;l:i f ~ 7. City ~ i; _ I J~ State ~i Zip 8. Building Type: Residential B~ Commercial ? Institutional ? 9. Work Description: New Q~ Add O Alter ? Repair ? 10. Describe ~`;N::~ l~-~ j Fuel Type f~~,~ ~ ~ 11. No. Eauioment BTU - M. Ea. No. EQUipment CFM Forced Air Q ir Handling: Mfg' / 1~s l~ V A ~ Boilers ~ ~ ' Mech. Exhaust Mfg. tP T!?( 'S „ ~ Unit Heater~ Mfg. ~ J Other Air Cond. Mfg. r' Gas, Piping Outlets r i 12. I hereby certify that the above information is true and correct, and I agree to wmply with all ordinances and codes governing this type of work. Signed : - ~ for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4b4-8100 r~ w~ ~ CITY OF EAGAN ~ i 1~ ` 3830 Pilot Knob Road, P.O. Box 21-199, Eags~, MN 55121 - PHONE: 4548100 QUILDING rERMIT Rece+pt ~t T~ M w~ fer Est. Voiue ~ Bote ' 19 SiteAddreas Erect 0' Occupancy Fiemodel ? Zoning Rxcel No. B'~k S°c/Sub. qepair ? Type of Conat, ~r Addftion ? No. Stories Move ? Length W Name Demolish ? Depth . ; Address " Int Impr. ? 5q. Ft. ~ City Phone Install ? ~ Name AvV•ovols f.•s u~ q~~s Assessment Permit City Phone Wofer 8~ Sew. Surcherye Police Plan Revlew ~Z Name Fin SAC Address Eny, WeterConn. ~W City Phone P?an~er WeterMeter Coundl Road Unit I hereby ackrwwltdye thot I hava reod this opplication and stote that g~d9, p{{. ~ y, b!.~ Tr. PL - the iniormotion is correct ond oqree to comply with oll opplicoble APC • Stat~ of Minnesoto $totutes and City of Eagan Ordinances. Pa~ Var. Date Copies . Sipnoturc of Permittae i Total h Bu{Iding Permit is issued to: on the ~~rest co~ditlon Iha+ oll work sholl be dorw i~ aooordance with oll opplicoble Stote of Minnesoto Statutes and City of Enqon Ordinonces. Buildinp Oflitiol , P~rmk No. Parmit Holda~ D~ Telsphona PlumbinY YJ o~- ~ U ~ H.VA.C. ~ ~ ~p ~ ~'~,rt,,c~ 3 ~K lP e~m~ /3 ri ~ 3 0 ~'6 ~ ~ ~ soTC«~.r Irqpsclion Data Insp. Other Footings 1 ~ ~ Footlnye II Foundatlon /'~"-~b ' Framing 6 ~ ' ' Rooflnp 1~ ~ Rough Plb~. _ • ~ ~G ~ , ~ ~ Rough Ht~. Insul. Finplau y Flnal Hty. ~ 4~ Final Plbp. ~ ~~L Final ~j~ . C~~t/O~x. z 9~~~ ~!J ~ Watar D~scrii» Loution: WNI S~we? ~ Pr. Disp. Receipt PLUMBING PERMIT Permit No, u, r,,._,~ CITY OF EAGAN Fee - 1 Fill in numbered spaces S/C ' Type or Print legibly Tot. 1. Date (~i 2. Installation Cost 3. Job Address ~ Lot ~ Blk. ~ Tract - i ~t 4. Owner ~ ~ _ ~ , ~ 5. Contractor r Phone ' ~ - I 6. Address 7. City 8tate Zip ,_7~ 8. Building Type: Residentiat,~l Commercial ? Institutional O 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures - Water Closet Cesspool/Drainfield Bath tubs Septic Tank t Lavatory Softner ~ Shower Well ~ Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping ~utlets 12. I 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 : . for Rough Final Inspections: pate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks ~ ~ 'y Addition Whispering woods ~oc 6 Blk 1 Parcel 10-83950-060-01 ~ owne~ st,eet4808; Slaters Court stace Eagan, MN 55122 Improvement Date Amount Annual Years Payment fleceipt Date STREET SURF. STREET FESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATEFlAL WATER AREA STORM SEW TRK STORM SEW LAT CURE3 & GUTTER SIDEWALK STREET LIGHT WATER CONN, 6UILDING PER. SAC Z PARK This reduest witl ~j~ ~ L ~ `]~~p~ ~ nffis bom ~ a ~ ~ ~ ° ~~03~0 ~ ~i ,t~ / ~ Re'~uest Da Fve No. Rough-in Inspeciwn . ~ Pe uved~ ~Featly Now~W~ll NnUty InsPeo- es ?No ~or When Reatly Lwensetl Elecincal ConVnctor I hereby requast insDection of ebove Owner electrical work ms~alled at:• Sireet Add~ess, Bo. or Ra~ o. ~ Cit~ ~ ~)~VDB ~ fK. ~iA l~ ecuon o. Tpwnship Name or No. nnge No. Count Occupdn~ ( INT) ~ Phone No. Power Su001ier Atldress ~ Electncal Con to~ ICompany me) Contractor~s License No. ~ ~ c. D~/~~s8 Mailinp AAdre Co actor or Owner Making InstailaLOn) Z~ rcu ~~o ~tI ~ s/~I~- ss.~.~z Authonz $~gn ture IC ntrac o~/ wner Makmd Installationl Phone Number c>~ z9 MINNESOTA STqTE BOANO OF ELECTPICITY TH~S INSPECTION REDUEST WILL NOT GriB9s•Midwey eltlg. - Hoom N-191 BE ACCEPTED BV THE STATE BOARD 1821 Univers~ty Ave., St. Paul, MN 5510A UNLESS PflOPEN INSPECTION FEE IS • Phone (6t2) 297-21'I1 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E6-00001-Oq See instructions tor completinB ~h~s form on back of yellow capy. ~ 3-/D-SL ~b33 °p - '"X'" 8elow Work Covered by This Request AAd NeD~ TYpe oi BuilEine APP~~BnCes Wi~eA Equ~Vmenf Wired Home Range Temporary Service Duplax Water Heater Lightiny Fixtures Apt. Bwldinc7 ~ryer Electnc Heat~n Commercial Bldy. Fumace Silo Unloader Industnal Bldg. Air Conditioner Bulk M~Ik Tdnk Farm Othnr Deci y ther (Sneufy) t er pec~fY the:r Oth¢r ompuie lnspect~on Fee Below ~ k Fee ServiceEntrence5ize d Fee feetlers/Subfieeders N fen Circur[s [1 to 200 qm s 0 to 30 Am s ~ 0 to 30 Am s Above 200 q~nps 31 to 100 Amps o 31 to 100 A s Swimming Pool Above 100_Amps Above 100_AmUS Transtormers IrrigaLOn Boorc~s Partial.'0 ee Signs Special Inspection S TOT FF~E Pemarks `O flough-in ~ I, the Elecnical Inspec[or, hereby certdy thet the nbove Fnal gpeetion has bean j ade. TUIe repuea[ voitl 18 moniM irom CASH RECEIPT ~ GTY OF EAGAN • P. 0. BOX 21•199 EAGAN, MINNESp~ 5512y') DATE 19 RECErvB /L~ ~ ~ ~ ' FH L AMOUNT $ ~jI~U i& OOLLPRS +oo ~ CASN CHECK • ~ e . ~~Ci~'97c~ / ~~~E'i ~ c~ , U~=` ~ ~ i F~no cooe arnouur U ~ i ~ ~ G /S ~ / ~ U /li C > ~ ~ ' !J '~~PJ ~ Thank You ti~ N_ 57362 ~ White-Payers Copy Vellow-POSting Copy Pink-File Copy CITY OF EAGAN N°_ 1 12 0 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ ~ PHONE:454-8100 ~6''J' ~ BUILDING PERMIT rteceipt # Te M wad h~ SF DWG/GAR yalue $113 ~ 000 pOte NOVEMBER 5 19 85 SiteAddreu 48D8 SLATER COURT Erea ~ occupency R3 Lot~-Block 1 SeclSub. ~"7HISPERING WOODSRemode~ ? Zoniny Rl Percel No. Repair ? Type of Conat. V Addifion ? No. Stories ~ Name HOME ESTATES INC Move ? ~enqth 59 Z 2004 W BURNSVILLE PKWY Demolish ? Depth 36 ~ Address Int Impr. ? Sq. Ft. citv BURNSVILLE pnone 435-6556 ~nsta~~ ? g Name SAN1E ' APWa~a~~ Faes Address Assessmen~ Permit S 465.50 Clty Phone Wafer 8 Sew, Surcharge 56 . 50 Police Planqevlew 232.75 ~ Name fw Fire SAC 525 _ 00 4Z Address ~j0~.~~ ~t~ Enq. waterconn. ~W City phone Plan~er WaterMeter 63.00 Council RoadUnit 284-QQ I hereby acknowledge thut I have read this application ond stote thof gldg. Off. 4 85 Tr. PI. ~ 3 Z. ~ ~ the informafion is carrecf and ogree fo comply with oll oppliccb~e AP~ Parks State of Minrcewto Stotutes and City of E gqqq~~~ Ordinonces. ~ Var. Date Copies ~ Sipnoture of PermiHee TWaI 52.254.75 h Building Permit Is iszued ro: HO $ TATES IN(.' on ths axpress tondiHOn Ihai oll work sholl be done in occordance with oll li bla Sfate of Inne te Se ufes ond City of Eogan Ordinonces. ' Buildiny Officiul 1 ~ -1~" 'I C'{ - . , z/aa ; i`l j CITY OF EAGAN ~ ~ APPLICATI^uN FOR PERLtiIIT SES•lER AND/OR WATER CONNECTIODT (PIEASE PRINiJ 1) PROPERT`! ACDRESS: ~C~~luG2~ L"BZG~ T.FGai. n~sc~rprzcv: _ ~ n , ~ .6~~~ / ~~12.z`~r~~, l-U ~ (Lot/Block/Si.:,cu.visicn or Tac Parcel I.D t~n~er) Tr ~:I~':'=:G STp,[;'~'P„T~, D.~T? 0~' 02;GL^.AL uIT..P.L`:G =~_•ST ISS~r~C.: P.D~SLT .~.~:~]I:~';/P?OPQS~ L'•S: ~ R-1 Si:GL~ FP'~SLY ' ? i2-2 ?L"'iT~.'`C ('I',ti~ U^II:S) ? cZ-3 'ICC7~~~Ct?GE (2'I'?.^ + L~7ITS) { LNI':'S) ? A2A.~~nrc~:T/CC:~Ci,ir~7l~~,f ~ I7.i2_S) ? CCT~TMf~CL~L,/F2F,^.'AIL?OF:'IC:.' Q ~1~L'ST:2Z.3L Q L`iSTP ~TIO~L/GGVEa~n~T 2) APPISG `vT / ( lP~ a~E PR1t~t) NA:"•IE: ! nA'ffx' ~ -'/~/'ai ~r ~4!zt~i ~=CJ ~ i / ~ P,DDRESS: ~t~. ~ yo CTT'_'. ST~'?:.'. ZIP: ~ ~~.f'~~~/in ~i~ ' ~C , i. ? , 1 PHO~: c~~ J- 3'~ ~ 3) PL.I~~IE~ IPL~h~9c,PRINi) r ~1.~,~, _ / fOR CITY I15E 04LY • LC m% f-l~.~ ~j % PIIIMBERS LIL:4SE; PDD3ESS: - ~ ~ (/fi ~ ~%AC t i . i ~ CZi1', ST?.'I'E, ZIP: L/i 'J J1'JC~~ E ired G " t af Retord PHOVE: 0 ~a PlUHBER LICE;lSE N,_~ C~(~/ f?-2 r~. ' ar- :nl[la 4) ~J?P.~~]T/GT.vi•:EF2 ~y (PL~E-ASE PRIt ) NahIE: / r~~ ~"-'4 ~a~(!-~ 7 [ i ADDRESS: ~ ( Q ~ L CLGt~a ~ / . CITY, STAT'E, ZIP: ~jG~-yd.~..~.~~ ~~2/ PFiO`IE: ~ T L/.~S -~S.-S-~ 5} ~pl~,~ ;~ICH PERi•SIT IS BEIt~.C Rf~',,UESTLIJ: ~ CC~.i~]F,CTiO:I 'ID CITY SEZ•iER CC:~'.IF~fIC:V 'IO CITY WP.TER dif'~R (PI.Fs'1SE DFSCItIBE) ` 6) L`1DIQ~ ~ C::r.c' • n ~ '~yti,G v~ PT..T:~SE f?OLD r1PPRWED PER.'~"ST fYJR PZCiC-G"~i BY OiVE OF ~1BWE ~ '~„1.,~ V ~ ~ ? °T.E-+SE :~*',,~LL APPRWE~ P~`LLT 2YJ 1. 2. 3, 4 AEWE ~ f~ ' ~ (Circle one) ~ 7) SIG~'IL'RE: ~~2-L,~~p~_ r J ~ 2~~~~~~~, DATE: !~l q+L~IA?~v 1~ i sa O.fc~ al s/k t~ a.ra M I~ s~~s.~:a a~t ~t ~t~.~ ~~f~ a~ r{~ i.~saa~ , F 0 R C I T Y U S E O N L Y ' FE~`tIT ISSiJED F~~S: $ ~C-" S S~::En 9°3>=T_':' (I`;C:...~~ SLRC..,:-';,LJ $ L4.•~.T°:2 ?~ER^lT_:` (I~:Ci.u^ur~.. ji;~C.°..'v~Gc~ $ ~ c.U W~.T~R METER/COPFERHORN/CC;TS_D~ RE;-,B~R $ WAT°R TAP (INCLCDE CORPOi2ATIQ~I SiOP) $ S ::~;cR T~? 'S ~ ~ur: r_~~'i..._ ~~~i_ - a_..=3 $ _ / l:r~t~ AC^OliJIT DEPC'SIT ' j`iA'~'~R S ~ o. ~,-t~ wac S ~ S .u U SAC ~ TRliViC i'7'~T°R ASS~SS:::::T +S TRu:]K S%::F.R nSS~S :::=~iT $ L~-,TE?,;,L BE:vEr^IT/T~U`Ih 5~,...' $ L.`-,'~ER~+L SEVc,s IT/T?2IJ.1K :~lr~':'r:? S ~C' :dATER TREAT?SE1~TT PLA.~v'T SIIRCHARGE $ OTHER: +S TGT.-"~L $ 7/ S~' ~.~~~ou~T Paz~;a~•~~~: _ n_S ~3~~-_ D0~5 UTI:,ITY CO~;:IECTION REQUIP.E EXC~,VATION IN PUBLIC RIGHT OF ~4AY? L YES ZF YES, TH :.1 n"PER~SIT FOR :QOR:~ WIT.°.I21 PUBLZC ROADWAY" MUST P~ SSSL'ED BY THE [ ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TION, StiBJECT TO THE FOLLOWI~IG CONDITIONS: • i / APPROVED BY: irz~s''~ TITLE: • DAT_°: ~j - ~ ~ aw ~e ~ s~ ~rw .t~ ~e ~w wis~ w ~ w wr~ ~t+ ~t~ r4 ~i~ ss~ ~c~a. ~ ~ la ~i~ ~.e~ ~c~ ia ai+ ~ ~ . r - 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED ifITH THE CITY OF EAGAH COlV~ERCIAL SINGLE FAMILY ~fdELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF ~ CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND ~~~j pOp n~ o~- To Be Used For: KQSi~LV~i9- Valuation: fi*~t~- Date: ~0~.30%$`~ Site Address ~/$dg ~t.F}I~,~'~ Ce4 ~ OFFICE USE ONLY Lot ~ Block ~ Erect Oecupancy ~3 Remodel Zoning I Parcel/Sub W 4.~~p2Q4 w~ ~oe,~s_ Repair ~ Type of Const t Addition U of Stories Owner Move ~ Length 5q Demolish ' Depth 6 Address Int.Impr. Sq Ft Install ~ City/Zip Code Phone ApPROVALS FEES Contractor L- 'aML~ ~~~~~.L•.~Q Assessments Permit 5.S , I D/ Water/Sewer T Surcharge Address ~6Qy Q:~{2.,~_4 U i( l~ S I~ Police ' Plan Review 23Z ~ I Fire SAC 525, City/Zip Code ~~,R~~~ lQ~~ "V Engr Water Conn 1,3 ~ ~ Planner Water Meter b3. Phone Council Road Unit Bldg Off~~ - Treatment P1 3, Arch./Engr. ->iR.rn ~ ~ ~ APC Parks Variance Copies Address TOTAL ~,02 . ~,j- City/Zip Code Phone U Y ~ . ~ ~~~c, 2~ x~~- G11v x s8 = 52~80 ~ , 2 l nl°'I 4` - Z~14 X 4~- ~ I'ZR . 24-x23 " 55Z ~(2 - ~~2¢ 2fo X 3S ~ c( (o X~~ 9' ` ~~O4o 1 l2 `3~~ F •l 1 . ' / ~ , / ~ ~ . , ~ ~ ~ ~l~i j ~ ~ ~ . C.~'~ ~ S~ a-~ ~ ~ tt ~ ~ . G! p ¢~e~ . ~ ~4i - ~ ~ ~ ; ; ~,ti• , , ~ 't,` w: ~'g.b" v,~_ ,-a~..yG~•t~ ~ , y.•o ~`J1 977.0 •5 ~ 6x~ST 474,Z d ~ Gi.1 9"TT.Q- i" n ~o ~S . r ~1 ~ . O p / ~i~' 3 \ I ~ 2 ~ ~'S~ ~.R~/ e''ryygl ~ \ ~ ~ ~ ~ 3G ~ ` . ~,«`.o ~ ~ N~ ~ ~ ,.,,f- m 4AlLq~,E ~ , ; y j8 ` 7S c-x, i ~ ~ ~'h~'~ i r~ S / r F~.~ r9 ~7~e ~I' l9S2;j ° >>•o ~ ~ / ~f,o 98/~ S n~ ~ /'~os ~oe. „ . / 'r^' : 6.S ~ 4 , % . /°Fr s'6• ~ ' ~ ~ Qd' +L r r . ~ M y Qpy~4~ ' v p v~ ~ (.*~b.Drj } ~ ~~~`~.d 5 F,~' ~ g~o ~ u ~ 4f d~12't5~35~~ ~''~~r. \ 8¢3 zs. ~~v 0~ H 2s ae ~6':r ti~ ~ / S S~'ti, 2~ %o"~~' ~ N i / ~ y7gy&,~ 1N I ~sie~3 \ ~ ~hM ~~go ~ ti ~ s~/,a ~ : . ~~,<T 9~S'~P 93ro D ~L.RiPT 1 aN - LoT ri gl.. oc.~c. 1 ~ ~ - :_=.::==:WHKPEOaNC, -woops~, - - oa~d-ra ~ova-r-i, _ . . - - . - M ~ ~vwt~idTA t~4eaR`r _ - . _ Sc.p.t E"-", t~~ ~ 30' - . . , - - - - - :p.~-.-SreA~.11NtS "I?~Kt1M~D - __.eD&/,toT~f - tRoN. MoWUklE1tT. _ _ - - Z hereby certify that this survey was prepared by me or ~ under iqy direct supervision and that I am a duly Registered ~ Land Surveyor under the laws of the State of Minnesota, Date: ~~~o{~. 30 ~4 % ~ ~ /~'.Ci~~ Le~y H. Bohlen . Registered Land Surveyor No. 107g5 ~ ~ EXTL:RIOR ENVELOPE AVERAGE "U" COMPUTATSON ' ~ (TO be suhmitted with building permit application) I 1 One or two family dwelling ~ Owner All other I " . Site Address y80g ~c,q:,t',Q~Q Co(,~(~',T contractor `~a~veG C.S~1-.~~ ,~'.,rL ~ate %e/a9/B~ Phone ~/3S (oS5(e. ~ Ia2NEAL FT, OF ~ EXPOSED wALL + + + + + + + + above grade = lin. ft. ~ TOTAL E7~OSED WALL AREA . OPAQUE WALL CON~PRUCTION: "U" value x area a37-A~ Sa,~ r~l~r- ~9 x sq. ft. Y~,'~. ~ l- 33 (n) Sf~ rW~tlt, "U" .BY x sq. ft. ~S4S.83= Sr~.S~L l~) ~A) , Detail reference "U" x Sq. ft. _ (U) IA) from ~h, JnTSC f~R6k •~U~~ ,D~2 x aq. ft. o~~S:`/2~= ~(.5'b (U) (A) attached sheets (~yc~D5E.0 QCcc~C "U".q~9x sq. ft. .b~ = T .3J (U) (A) F'rR¢Pu~ee ~~U~~,v`I x sq. ft. 1~~to n ,2~'1 (U) (A) ' "U~~ x sq. ft. ~ = (O) (A) ,WINDOWS: "U" value x area - ~ Make & type C^ ac u "U" . j$'x sq. Pt. ~35.6 ~===i1~~ (U1 (A) " S;d~ L:ec_. ~~u" .sS x sq. ft. b.l = 3 3b (U) (n) " ~ntte D~a25 _ •SS z sq. ft. 4c.iD = e72~11 (U) (A) , n ~~U~~ x sq. ft. ~ (U) (A) DOORS: "U" value x area ' Make & type ~.rTa~aa~ ~~U~~,~/~ x sq. ft. ' '4, ~ ° ~~,.~4G~.a--~-., (U) (A) " " "U" x sq. ft. ~ (U} (A) " " "U" x sq, ft. ¢ " (U) (A) „ TUTALS ,~~3S.S,6 sq.:~t. a~o,a2 (v) (n) TOTAL (o) (r,) vai.vES a~35'-s~= ~p ~ ~ . . DIVIDED HY TOTAL WALL AREA ~ ~3b.62 O/ AVG. "U" ' ~ „ .17 Avg. "U" Value, State OodB + ROOF/CESLING: ' . . TOTAL AREA: j O~ ~ O sq. ft. w (U1 (A) Detail reference "U" x sq. ft, , from ~a~~_"U" ,CdSx sq. !t. !S" ~U) (AI attached sheets. "U" • c'~,¢x sq. Et. ' Y$ ~,~y~,~ IA) Describe openings "U" x sq. ft. m~_ (U) (Aa in roof "U" x sq. ft. (n) (A~ TOTAL~~ d. ~ ~ S4.y.~t..7~~ ~~(U ~A}'. TOTAL (U) (A) VALUES 3c.r-I~ _ ~ ~ ~ ~ DIVIDED BY TOTAL ROOF/ ~ ~ l~a,~ 11VG, "U„ ' , CEILING AREA . .05 Avg. "0" Value~ StdtO COde~ Vented - . r: .10 Avg. "0~~ Value, State Code, Unvent~yl ,,;,,y ; . ~ MINNESOTA ENERGY CODE MAXIMUM THIS BUILDING ESTIMA',~ED ~ BTU LOSS THIS BUILDING BTU LOSS ~ `p2~3S~ S~ SQ. FT. OPAQUE WALL = iJf T~' 20 ' . /02( J SQ. FT. CEILING ~ _ SQ. FT. UNVENT CLG_ _ TOTAL BTU LOSS/HR./SQ. FT.J ` ' ~ ~ DEGREE OF TEMP DIFFERENTIAL = ~o ' . WALL SECTIONS "U" = R 2 NOTE: Use 10$ of opaque wall area for frame construction Conatruction R-Value R-Value ~ 1. Interior air film 0.68 0.68 - z. i, ~+~~p eo . ~S . 3. S'/i~inches_ soft wood 6. S'~ 4• '/L" L3a1nz'~ /.22 ~ 5• i~ikSs~7r SzQT~NE . 82.. NE AASIC 6. Exterior air film 0.17 0.17 W.ALL ~ Total /D<l+S - 6 ~~U~~ 3 1 _.:.r' „U„ _ 1 ~ 10.~5" ' ~ ~ FIG. #1 T PYrIEVY OF 1. Interior air film . ` 0.68 ' 0.66 FR~1~d~; PtALL 2 /.L " y: LiD .~K 3. 'ZKSwt_ : S! ~ i9,ao - 4. t " 13,1}-Tl:~ ! • zL / 5. MAso~rzr~ ' ~ FIG. # 2 6. Exterior air f'lm 0.17 0.17 ~1 227~ : ~ ~~U~~ _ 1 ~ ~I~N, S'., ~1 ~ • ~a.7~' n 1. Interior air;film 0.68_ 0.68; _ E-v 2. J.~r T'n Su,L A-TIo , .On ( 3. S~n~ ~~ZST _ /.9Y aill sesler 2 4. %/2 ~~tt2:t~. /-22 ' ~ Peripheral _ 5. M~WtT~ ` .!~'L ~ Floor 'Yall ~ 6. Exterior air filin . 0.17 0.17.' , ~ '~,'al e73, 77 ~ o ~ , i~';;, ~ ~-W , ~ :O . ~ n~n _ _~i~x ' , ~ • ;t3o')'! : : o ~ • 1, interior air film, 0.68 '~'.e u. ~ ^ ,2~ ~ v_, „a ~ ' _ - ~ .r \i(/ - . ~ ; ,~-!'!'~',7~r!!'• r•~~,~nir~n~riuN a. ~ ~~,..~r,,, ` UTALL 0 4. VC f pl.~ p'• • DE 5. :,xti?` , ,r. ~3.. , . ...~e ' 6. Exterior air~'fi].m', , .17 ~ -,e o =111~--=-~ ` , ~y,~3,.,~ ~~U~~ a 1 =.~7 IIUII„~:. a,'; ' ~'Ss ' `~~~R.. 3LAB ON GRADE ~ -'S j _ ' `.;~k4 ~ . , _ ~y~, a:r; ' irl~ ' .e. ~ . ry• ' - ~i : . . ~ , • ~ w: (s(~ _~I p • o.. , _ s'. 'o • R - ~ ~ , • : - . ~ e o : _ . o . . E ' ~3 ~ , ~ ~ . II~ ~p ' , o u U`L b il~ I . o ~ , ~ ~ ~ ~ - ' ~ . 'r ";:`""i'~, • ~ p ~ , ' ~ . ~ ,1'. ' L ~s%';'n ~ . - . . ' , < ~i FIG. # j - y . v .d - ~ moTE: Indicate type, "R" value, depth and o ° . . o' . ~ . ~ placement of insulation. ' ' e . . o . ' O I .='.1. _ _ . . . . '__"""_______~.L . n ' , needed for details and calnulac.ions. ss~ a 1 RESIDENTIAL BUILDING PERMIT APPLlCATlON CITY OF EAGAN 3830 P1LOT KNOB RD, EAGAN MN 55'122 651-b81•4675 /"l ~ ~ 7 ~ ( New Canstruction Reauiremenh RemodeVReoair Reuuirements • 7 reg~stered sile surveys s~owing sq. R of bt, sq N. of house, and all roofea areas • 2 cop~es of plan (20% rnaximum ~ot coverage aliowed) • 1 set of Energy Calculations for healed a4Uihons • 2 copies of plan showmg heam 8 wintlow;¢es, poured found aesgn, e[c.) • 7 site survey for extenor adddrons 8 decks • 1 se[ of Eneryy Caiculanons . Indicate if home served by septic system `or addihons • J aop~es of Tree Preservabon Plan d lot platted aRer 7l1193 • Rim Joist De[ad Options selechon sheet (tldgs with 3 or less unAS) 9-s-o " ~ATE VALUATION ~ ys~ SITEADDRE55 ~ISd$ SIS'F~.K ~ ~ MULTI-FAMILYBLDG _Y _N TYPE OF WORK J O• ~!~'F FIREPLACE(S) _ 0_ 1_ 2 APPLICAN7 ~t~e5'IY~I'n Rc79ro~'~'t~ STREET ADORESS ~I~t'~ /3 ,~~r ~ CITY ~ ru'1~ STATE "fe/ ZIP ~Yf~/ TELEPHONE #7~3-SYr •°3 o`I CELL PHONE # FAX # PROPERTY OWNER ~~e- ~ae<< TELEPHONE# ~ ~ s~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category ~([A\FSU"C.A RGLES 7670 CATL•'GORY l ~fI~NI:S '~..113ULFS-Z67.~ (J submission type) • Residential Ventila6on Category 1 Worksheet Submitted • ~~I~g~y'~qde Wot~,Ah~gt ubmyyyitted • Energy Envelope Calculations Submitted U ~~I! SEP 0 5 2002 Plumbing Conhaetoe Phonc # ~ ~ Plumbing system includes: Wa[er SoFtener _ I..uvn Spnnkler BY _ Water Heater ~ No. of R.I. Baths No. of Badis Mechanical Contractor: Phone # ~Icch,uiic.il s}'slcm includc;: :\ir Condilioning Pce: ~570.00 Hcal Rcco~cry' SysLCm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplfcant I`'~Sa - . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF ~welling ? 08 06-plex ~ 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt • SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIU ? 05 Q3-plex ? 11 10-plex ? 19 Lower Le~el ? 24 Storm Damage ? O6 04-plex ? 12 72-p~ex Pibg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Wfndows/Doors ? 34 Replacement 'Demolition {Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MClES 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 REQUIRED INSPECTIONS _ Foorings{new bldg) _ FinallC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Bulding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit ~icense Search Copies Other Total G6_^S0+ ~ ~ ~ 232°?~ + 25^00+ ~~~^C0+ 63°~0+ 28„=70+ 132°.:0+ ~ 2 ~4 ^ 75 ~ ~ ~ n'1 i ~H ":!~~~e i C~~~ O~ LLL~LL~ j Permit # D~~/~~~ ~ I PermitFee~ a V I 3830 Pilot Knob Road i I Eagan Mlq 55122 ~ ~ate Received: ~ 5 ~ Phone: (651) 675-5675 I i Fax: (651) 675-5694 I Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ 1C ~ P1 Site Address: ~-1 ~ ~ T__~ Tenant: Suite 2J: RESIDENT 1 OWNER Name:i~/k~ •(`'~C Z~` ~~~~tC' t-. `A.-~`~P o~: '~UU~ ~-~1~-;v~ Address ! City / Zip: ~c `'f~~ ~C~_~,~~~' C~ > % ~ Applicant is: _ Owner , ontractor TYPE OF WORK Description of work: ~ 6G~' . . , Y Construction Cost: ~ ~ Mul mily Building: (Y _ / Nr~ ~ CONTRACTOR Name: ^ icense ~ ~ Address: ~I ~~!J7' y~ ,/~-~W°`c~ ~~y City: ~t State:~ Zip: Phone~ ~ ontact Person: `.J~i~~/2 "P i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EnO~gy COdC . Residenhal Ventilation Category i Worksheet • New Energy Code Worksheet Category Submitted Sudmitted 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? _Y'es _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: ~ Phone: Sewer & Water Contractor: Phone: =NQ~E"Plans and sapparfrta~"~documents~that y~rrsr{bmi#eaCS=~onsii7Blezi to-bepubfic.rnfor~natron'~~'or#iorr~~ot-_°=__' ~-7~~7~~ ~ e ~ s a~a~ . > x- . 3. the ~nforrrtatiop may be Gass~fred~s~n4~f Rvb?r~ rf~on pravrqfe 5pec~i~C reasoas that waq~d ~~r~ti-the Ctfj~7~o - ~ ;th~ r_ ._n ~ ~..r_.:. ~ _d ~ ~ ~ ~ s~~cdlti~Jtrds,~liaf~ffr4 _ are=iraale se ets ~ ' ~..k'i',m`„ .ri = Yv.. I hereby acknowledge that this information is comple[e and accurate, that the work will be in wnformance wrth Ihe ordinances and codes of the City of Eagan, that I understand this is not a permit, but only an application @~r a permR, and work is not lo start without a permR; that the werk will be in accordance with the approved plan in the case of work which requves a review and approval of plans. X ~ / t~'rT i /1 ~ 1~ _ f~ ~/1 z ~D`~ .,~YI ~ ApplicanYs Printed Name ~ ~pp'~nt's Signa u~re Page 1 of 3 ~ i Fa'f~rr~~~~se~^' i . City of E~~a~ j Permit # I`~ ~ I LP 7~ 3$30 Pilot Knob Rnad ~ Permi~ Fee. v I Eagam MN 55122 ~ Date Received: ~ Phone:(651)675-5675 ~ FaX: (651) 675-5694 I Staff: j 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: \ gl Site Address: v o~ ~ Tenant: Suite RESIDENT/OWNER Name:{(~/\q"('i~,~i ~~~c L,~ ,~~~hone:(o~i~o~c6-~o~~ Address / City / Zip: (~j r~ lS ~Cl.~'t'~~- ~ \ Applicant is: _ Owner ~f C:ontractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / N CONTRACTOR Name: ~JD7 ~ense # Address: ~-!C 7 ~ ~~e ~ ~Y City: State:~Zip: Phone: <k~~ ~r>~ Contact Person: ~_~t~' I~l V~ P COMPLETE THIS AREA ONLY EF CONSTRUCTING A PIEW BUILDING _ Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category i Worksheet . New Energy Code Worksheet Category Submitted Submitted 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? _Y'es _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Co~tractor: Phone: - NC~ ~~:Plans~r'~d;su~' ~'rtin`ry~iio,cum'e'nfs`=thaf~' ou.suFimif`a~e'icpnsi'tl"e`7ed~'tv~ yp~e;'utilic"Fnforin,atio?if=:P`9`'o sfo~=:: ~~W skr F-~t x a~p~3 °1~;v. 7 3e ¢ 4i vmt ~+rc : ~J' vip,.a i ~A ^9i~ T-e"ti+w1 ~ ~ ~ , ;;;~th~iii ormatron m~"a~ be classrfred a~fnoi~'u}rl~~if~ou, prefr~ ~pecffia r_aasdhs t~i~at~woul~permrthhe~G~ty~,~o~~ ~ +r5 zs* t '~+T` ~.y3 _p..~.j q.y x ' ;di ~ t ~ es-,.... _ F - i":~'~'-fJ.,.~,.+-° ~N"'~~s~ .-..~'d-, ~k coric/u,cYe fhat:#tre ~ ar,eifraals=secrefs , "'~s F- , ~s- - i I hereby acknowled9e that this mfprmation is complete and accurate; ihat the work will be in wnformance wrth the ordinances and codes of the City of Eagan; that I understand ihis is not a permiC but only an application fc~r a permd, 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`(1~`~ ~ X ~ ApplicanPs Printed Name Ap ~c iPs Signature Page 1 of 3      õëõ     ü þ ý ü þýý  üûúûúûü     ùýý  ÿÿù   ÷ÿý  äñ  ÿ þýõ  ûúùø÷ÿÿû ÿÞòÿ ùø÷ÿáÿô ÿ ÷û ÿÞòÿ Ûûÿ  ÿý ýÿÿ ÷ÿíÿïûÿíÿ  ûúÿÿÿã ÿ ü ÿþÿ  ÷ÿüõ ó  ý  ä ãþÿíÿÿõßÿ÷ ÿíÿ óæ äëää ôù  û ýÿèÿæ ë  óïïò õ ñð ÷÷  ýÿÿã ÿ  ää ÿò û ìÿãá þ ý ãá ññ õ óà   ÿÿúø ôÿýÿ  ìÿÿ    ÷÷    ÿ  ÿéí  ÿ  ýÿÿí÷øô   ÷÷ úÿ ÿ éãÿ   ûÿ  òøéþ ý î ÿ ë ÷÷ êÿíÿÿý ûÿ ûÿøý ûÿ 411,1/ City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use J��/ Permit #: V 2 ` Permit Fee: Date Received: lk Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: Pla- ig- l C Z Address / City / Zip: vbe78 L,. Applicant is: Owner Contractor Phone: Zit 5 —6 (63 Description of work: le 616 "reff 341, -€44 -14 -- Construction 4tConstruction Cost: `7, Out), `� Multi -Family Building: (Yes /No ) Company( /v Address: 32340 144-K4.444. i L. Contact: 1 City: (J""s L tcy"' i State:it-lits/ Zip: SS- 1/ 0 Phone: fp 57 23 -81- License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of . •. suance. x App icant's Printed Name x Applicant's Signature Page 1 of 3      ñ  þ    úõõ  ÿ þ ÿÿ þ ýý     ûþþÿÿ üððû  ìøï ù ÷ÿø íâì   ÿø  ýüûú ù  øô è÷  ÷üú ù  ø÷ú ù ñ ù   ÷ù  ü   íàüù   Ýÿ ýÜü ÷ ë  ð ü÷÷  ÿ ââ à ñ ý å  ÿ þóõ ìâ  ë ææåå ÷û  ýü÷ï ÷ÿ  Û ü ææåâåâ Û ü å  öüôí ø óò ùù  øô  ù óõó ÷  ââ à ñØý  ÷   ÿ óõ ÿ óõíí êìçâ ï ÷ û  ô ÿ ï ï á ÷ ï  ùù     ï ï ÷  ÷÷   ÿ÷  ù ôï  ùù û ý   ó  ý ü     ÿ à÷  å ùù è ÷  ü  ýÿ ü÷ PERMIT City of Eagan Permit Type:Building Permit Number:EA110978 Date Issued:06/06/2013 Permit Category:ePermit Site Address: 4808 Slater Ct Lot:006 Block: 001 Addition: Whispering Woods PID:10-83950-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Mark D Bents 4808 Slater Ct Eagan MN 55122--332 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink C'®'•5~~ ~ For Oftlce Use Permit 7 City of Earn I 1 I LID, RECEIVED Permit Fee: 3830 Pilot Knob Road Eagan MN 65122 j Date Received: • C7 j Phone: (661) 675-5675 APR n " I I Fax; (651) 6755694 1 Staff; 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address; Unlit II:: Name: .Ci~~J L~f~JY/ 7S Phone: ,&j~~~ la Resldo'n>ti.. dwner. Address i city zip: V ,S lo r C~ ; ~Q.e ar r( S S12 Z Applicant is: Owner x Contractor Description of work: >J 1 I ow- `Typ'e of,lNork d~tsu/n SeQ~p Construction Cost; Multi~Family Building (Y s ( No Company: dW_ ( ac4Q S Olin Min rWA(314 Contact; /I Address; d7~ ~fJ ,5 City: `Cantra'Ctd.r State: /tf zip':p Phone: ~ Ole) License Lead Certificate a-3 71~= If the project is exempt from lead certification, please explain why, (see Page 3 for additional information) IN'? 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: NO'TEc. Plaft .a'nd supporting dacOnriants that you sgb1nIt.Are Consid6r@d: f 6 b6 publid, inf rma Ian: ' Pi~rtions of: ; th6.-ihf0?*&1dh ,r►ray bie classified as•ft- ~npublic:if you. pro' v/d® spiai:i* re'ason's at trt+6u1d ,pry' wff thh cify ttd~ e lyitahe `.elie f%ehls.siit;rots. ncltrd CAh BEFORE YOU DIG, Call Gopher State One Call at (661) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aoaherstateoneCalLotQ. 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. Exterior work authorizad by a building permit Issued In accordance with the Mlnnaso S a ilding Co must be completed within 180 days of permit issuance. r x Ap Iicanirs Printed Name P110fintIVIS15-hature Page 1 of 3 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 "Dernoiition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy T12G / MCES System Plan Review` Code Edition a~? SAC Units (25%_ 100%i.) Zoning City Water _ Census Code 111311 Stories Booster Pump # of Units i Square Feet PRV # of Buildings i Length _ Fire Sprinklers Type of Construction ~D Width RE - RED INS CTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Geis Line Air Test Roof: -Ice & Water Final Pool: -„Footings Air/Gas Tests Final A Framing Drain Tile Fireplace: Rough in Air Test -Final Siding: -Stucco Lath Stone Lath Brick Insulation Windows Sheathing Retaining Wall: Footings Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee 4Y& Surcharge Plan Review MCI~S SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r————————————————� ���. I For Office Use � � "� I • I Permit#: ' U V � Clty of �a��� ' , ��✓ � � Permit Fee: � � � 3830 Pilot Knob Road � � Date Received: � Eagan MN 55122 � i II Phone: (651) 675-5675 � Fax: (651) 675-5694 L Staff: --------------i 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION � Date: ��-�t,°�� \`� Site Address: �`��`� � � �;,kcr C�`�,•f� Tenant: Suite#: Resident/Owner Name: ���sr�T'S Phone: __?b'3 S'c� ���� Address/City/Zip: `����`� ����c,, ��-- .pC ����+t � Name: �bA Z� �+5�:�, .�� • =�� c.-• License#: �n-� O 6 c�';;� � ���-COt1t1'1CtOY '� . " ��� Address:_���i�j� �%` �`� �` � City: �-•Q�5 ' State: "�� Zip:__�;S`4v t� Phone: t� �2 �s7°Z, o°Z,u i Contact: C:�w U.� t�o 1-c.� EmaiL �^2 • ��-`�- °- r,.. Type Of WOt'k —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. Description of work: ' RESIDENTIAL � Water Heater Water Softener ' Lawn Irrigation�RPZ/_PVB) PePmlt Type _�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�5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) *Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 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.orp 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 approy I�ans. ,-'" .( ,r 1�'� \ X �/��0��..� cl ' �U ��7 G�c'C.�' X ,-�__ Applicant's Print d Name ApplicanYs Sign tur FOR OFFICE USE Reviewed`By: Date: Required Inspec#ions: ` Under Ground Rough Jn : Air Test Gas Tesf ' Finaf Meter Related Items: Meter Size : Radio Read Sta�f: d . .. v Use BLUE or BLACK Ink �------------------- � For Office Use � � j Permit#: �� [� j Cl�� of �a�a� ; pertnit Fee: ��/� � � RECEIVED 3830 Pilot Knob Road � � � / � Eagan MN 55122 �UN n � 201� � Date Rece;ved: � Phone:(651)675-56�5 I t Fax:(651)675-5694 I Staff: I I I V������ �������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � �l Date: S1te Address: ���� L�� �!�/c�� Unit#: Name: ��'� 1�e�� Phone: l0�� ���'� !r.3 Residentl p. / Owner aaaress i c�ry i zip: y�68' S/a�f' Ce����a g a� �5��2 �1J �{��i_.��1 C� "`j � � ^ � �� Applicant is: � Owner Contractor Type of Work Description ofwork: r'�GM iay^r t i^�S�i�5 ���e��fi i�keri�+- E�r.-1/s Construction Cost: �5�� , Multi-Fami{y Buiiding:(Yes /No�) � �� �� � � � Company� � Contact: COIltY1C�01' Address: City: State: Zip: Phone: Emaii: License#: �ead Certificate#: If the project is exempt from lead certification, please explain why; (see Page 3 for additional information) t�o�32 �wr('� a�i'°r 1�7�'• I "I b� �,' � 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 a�idress of master plan: Licensed Plumber: Phone; ;. Mechanical Cantractor: Phone: Sewer&Water Contractor. Phone: NOTE:P/ans and supportin�dacuments#hat you submit are consider�ed to be pu6lic inforrnatian. Partior�s of the infornration may be c/ass"�t"red as non publie if you provfde speci�c reasons that woutd permit the City to concludc that the are trade secrets. CALL BEFORE YOl! DIG. Call aopher State Qne CaU at(651)454-0002 fo�protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of ur►derground utilities. www.aooherstateonecall.ora I hereby acknowledge that this information is complete artd accurate;that the work will be in confortnance with the ordinanr,es 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;tha#the work will be in accordance with#he approveci plan in the case o#work which requires a review and approval of ptans. 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. ��.-- � X I iG��� ��fl`� x � � a Applicant's Printed Name ApplicanYs Signature Page 1 of 3 , , , , Cf�� �l'c�c-� C�- /����r� DO NOT WRITE BELOW THIS LINE SUB TYPES � Foundation � Firepiace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage T Porch(4-Season) � Exterior Atteration(Multi) _ Multi Deck � Porch(ScreenlGazeboJPergola) _ Miscellaneous � 01 of_Plex �Lower l.evel � Pool . _ Accessory Buiiding WORK TYPES � New � Interior Improvement ^ Siding � Demolish Building" T Addition � Move Building _ Reroof _ Demolish interior �Iteration _ Fire Repair _ Windows T Demolish Foundation _ Replace _ Repair _ Egress Window � Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPl'ION Valuatio� � Occupancy �P� MCES System Plan Review Code Edition �t SAC Units (25%_100%� 2oning City Water Census Code Stories Soost�sr Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction __��� Width REQUIRED INSPECTIONS Footings(New Buiiding) 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 _Finai � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath �Stone Lath �Brick � Insulation Windows Sheathing Retaining WatL•,_Footings_Backfili_,,,Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: Building inspector RESIDENTIAL FEES Base Fee Surcharge Ptan Review MCES SAC City SAC � �� +� Utility Connection Charge � � j � �'� , � S&W Permit�Surcharge � Treatment Plant Copies TOtAL Page 2 of 3 Use BLUE or BLACK Ink , �-----------------, � For Office Use I � I � Permit#: /�� I C1�� o������ ���r�� � / � � 3 8 3 0 P i l o t K n o b R o a d � Permit Fee: G? �_ � � Eagan MN 55122 AU� � � I f� �� I Phone: (651)675-5675 2�14 � Date Received: O� � J � Fax: (651)675-5694 � � �� I �y:� � Staff: � ----_�.�__. _________________J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: U 0 � SiteAddress: 7 O D� ��4 �R C�' Tenant: Suite#: � � <� � �� l'��S!{��11�Q1i��E�� � Name: �.J t'S.r/�cr /I��� Phone: �.��'�i ��^ ���.3 � Address/City/Zip: ���� �j4T� 2 �� ---� , �, Name: c,.e// � /2P, `1�r c , License#: , � .:` �� Address: ��� S� � y: �`-'�+�1 S'�,� �-e ��:�rl11��'�C�t?t � f�/(piF'' �_ �• Cit �r � � State: /�/�./ Zip: S�'3 3 7 Phone: 9�L - �J�G ' S �� `� ' �� ': ; Contact: Email: �r2 ��G� 2C,.- � Qn /�a.�t.¢._ �r�-. a... '` ' New Replacement Additional Alteration Demolition T`�pe �f Wprl� ; Description of work: �.er ~�'� � r / �� �-� � .. ti ; ' ��T�.�+��f mou�tec��i�tf g��ar��!m�ur�t��mech�iti����q���a�er�t�s req�i�red'k�'��t'+��e�l tiy�Et� ` '; ;. Gade�.:���ase cc�nt�ct the l�echanicai lns��ctcrfi�r��n���#�+�n cn perm%#t�����r��Sr���ne�h�rds , ;� > : : . ,.,: �.�.,��.H:� �„ �. �:� � : RES/DENTIAL COMMERCIAL � �: �Furnace New Construction Interior Improvement y Air Conditioner Install Piping Processed y �..���'1'1���`��!� — � Air Exchanger Gas Exterior HVAC Unit �R Heat Pump Under/Above ground Tank (_Install/_Remove) � �Other U.�.c���-/�— �.: RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ �v � TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 * **If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 -$ Surcharge � "**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. X `�f}`� �f t/vC��*-► a.�-� X ,�----� � Applicant's Printed Name Applicant's ignature ��������"'I'"����5� h.F - ;: . ...: � .� . R�quir�d tnspe�#��ns:, �� �; �R Rev��w��#����,,, �� ��.. fl�t+��.��,.; : � , � � t �. . ti��ler�t`�u�ti , ' �°C��uc��,1n, ,..<��r��st �...�as���itir��T'�5t ` Irt f��rNe�� , .°_,��nra�[ ��..��i��#�,��riirtc� .,��....,