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3727 South Hills WaynF EAGAN Pilot Knob Rood MN 55122 No.: to comply with the City of Eagan WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: ¦ Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: ? plot EAGAN 8795 P SEER SERVICE PERMIT Knob ob Rood Eagan, MN 55122 PERMIT NO.: _ Zoning: DATE; Owner, No. of Units: Address: Site Address: Plumber: -- 1 agree to comply, with the city of E . . Ordinances, g°n Connection Char ge: Account Deposit: Permit Fee: BY - - Surcharge: Dote of tnsp.: Misc. Cha rges: Insp.:_ - Total: Date Paid: CAVAN Remarks M OY)" UC I?L WeA U)Ml d r1,?2ybl Addition SOUTH BILLS 1st Lot 13 Blk 1 Parcel 10 Owner ? (Lf7 ..! i ', . Street 3727 So. Hills Way State Eagan, PA1 141) rr xrf l<? of hk,! Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK fs( 1Q71 146.46 2 2 * SEWER LATERAL 1975 2 295-31 153-02 15 , WATERMAIN * WATER LATERAL lQ7c7i 19 WATER AREA 1---2 97 239.22 11-96 20 STORM SEW TRK * STORM SEW LAT 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 12509 11-28-78 BUILDING PER. SAC PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I & _DOLLARS 'oe ? CASH ? CHECK By White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You • , o , CITY OF EAGAN 8795 Pilot Knob Robd Eo9oe, MH 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date - N2 5066 Site Address Erect ? Occupancy Lot Block Sec/Sub. 3 ? i Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories Address Demolish ? Front ft. - -- -2727. Grade ? Depth ft. z 0 Zu u? Name Address Name _ Address I hereby acknowledge that I have read this ap the information is correct and agree to com State of Minnesota Statutes and City of Eal Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all and state that all applicable Assessment Permit Water & Sew. Surcharge Police Plan check Fire SAC Eng Water Conn. . Planner Water Meter Council Bldg Off . . APC Total on the express condition that applicable State of Minnesota Statutes and City of Eagan Ordinances. Approvals Fees Building Official 0 . r BlE-6 , to os4Ipi ? 7-4-0-3 ??E f'i4 ? I?E? C Pem* # oaf. Iwood - Pan?iffaa Plumbing 2 3 02 O Mechanical INSPECTIONS DATE INSP. RoW"n Find Footings - Z? - Date Insp. Date Insp. Foundation _ Plumbing f ?1J4 tome ins. -IS-t Mechanical Final Remarks: r r Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly 20. Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner ' T b. Contractor Phone 6, Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets E 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. r Signed : for Rough Final Inspections. Date Insp. Date Insp. PTbis is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5113 PHONEt 454-8100 N2 5066 Receipt BUILDING PERMIT APPLICATION r. i,.....A 4..517 DwIR & Garage Fst_ vnlue 8x125.000. Site Address Lot 13 Parcel # - Name Carl 0 Vofght 3 Address 3707 South Hills Dr. o A Eagan Dk--- 454-2727 o Name Timberline Builders, Inc. Address 707 South Hills Dr. F r,... Eagan pi,.. 454-5918 Name _ Address 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 Minnesoto Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issu all work shall be Building Official done Block 1 Sec/Su00. Hills 1st Addn Erect 1[] Occupancy I Alter ? Zoning PD Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories 2 Demolish ? Front 100 ft Grade ? Depth 34 ft. Approvals Fees Assessment Water & Sew. Police Fire Permit 240.50 _ Surcharge 62.50 Plan check SAC 500.00 Eng. Water Conn250.00 Planner Council Water Meter 60.00 Park Ded. 120.00 Bld Off . g. APC Tota11.233.00 on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. IS This request void y I' S ntumbs from W059611 sol44k ?f'Ils la-? Go op R MI D to Fire No. Rough-in'Inspection ^/? /? 93 Raqujr6tl? ?No ?ReadY Now ill Notify InVpec- f/Jl 4 ?'as for When Read caused lectrical Contractor I hereby request inspection of above ] Owner electrical work installed at: Street Address. Box 7a 7 Route N .? ICJ CrI Section No. Township Name or No. Range NO. Cow Occup nt (PRINT) aN a.' Gi Ph ne Np, Sa -G 8 Power Supplier Address El c rical Contractor gmpa ny me}// , ? ,I C / oo nntractor's License No 3yj Mailing ddress IC, actor r Ow er Making Insta.lac ionI Q, - _ "^??? Q. ,/ `5 1 Authb 'zed Signa re lContr ctor Ownyt Making Inst Ilationl Pb unyer I MINK OTA STATE BOABO OF E4E CTRICITY THIS INSPECTION REQUEST WILL NOT Gri s-Midway BIdB. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ava., St. Paul. MN 55104 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' See instructions for completing this form on back of yellow copy. T R'" Below Work overed by This Request 7S S Aid Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater . Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel y Cher IS ,ifyl ) ter pecify 01er Omar Compute Inspection Fee Below I # Fee Service Entrance Size k Fee FeadererSubfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps r 0 to 30 Amos Above 200 Amps 3 [a 100 Amps 1 to 100 Amps Swimming Pool T Above 100_Am s Above 100_Am s Transformers Irrigation Booms Partial -'Other F e Signs Special Inspection $ T Remarks r-A 0. , i/91 An_ OT L PEE n rir Rough-in Date a the ' ?ff• " ? - s pa[or, hereby C rtif th h Final D ce y at t e above ' nspection has been made. This reeuest void 18 months from Minnesota State Board of Electricity 1954,Uruversity Ave. O , St. Paul, Minn. 55104-Phone u' a QI1 I - CHECK/BELOW WORK COVERED BYI THIS REQUEST -48078 ON Type gf Building New 64&. -Rep. Check Appliances Wired For Check Equipment Wind For Home - ? ? Range ? Temporary Witing ? ub plex ? ? ? Wa er ? Lighting Fixtures ? Apt. Bldg. ? ? ? f ! Electric Heating ? Commercial Bldg. ? ? ? Silo Unloader ? Industrial Bldg. Farm Other ? ? ? 0 ? ? 1:1 ? er d l List )} Hthers? Bulk Milk Tank List Heiers ? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps- 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above IOQ_Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Ins ection Minimum f Rfmarks ?? 4 u t C Y' ?)n 6z TOTAL EE loc?-10 1, the Electrical Inspector, hereby thatJ? oy inspection has been maw (Rough-in) // (J 4 r .? Date (Final) r Date - 7~ This request void 18 months from ThAquest void 18 months from-L) 3 Date oft ' equest ! t? § 48078 I, as tcensed Elec cal Co tractor Owner, do hereby request inspection of the above electri- cal wiring installed at: A Street Address or Route No. S Section Which is occupied by Is a roughin insl Power Supplier. Electrical Contr; Mailing Address Authorized Sign on this job? No M" Yes ? Ready Nov 5 Will Call ? C ? Address?t - Contractor's ?icense No:?_9_737 or Phone l6 Jn7 r ical Contractor or Owner 8Wng TMS Installation) SV & VE o no C(opy / This inspection request will not be accepted by the /,`!,] State Board unless proper inspection fee is enclosed. 'This request void 18 months from lRe4> a pe?Hils R 1383 Date of this Request ?? f 7g `- I, as X Licensed Electrical Contract r ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 37, City Section Township Range County Which is occupied by,, o l/LI ?o (Name of Occupant) Is a roughen inspectireaired on this job? No Yes ? Ready Now 19 Will Call ? Power Supplier Address ? ity Electrical Contracto Contractor's License No36238, pany Na Wm,! Mailing Address j 53 EI tricaI c ntractor or Owne Making This Installation) Authorized Signature Phone No.y3.v-/-7 (E rical contractor or O er Making This Installation) {?1' {? 57F? u OARD C op%, This inspection request will not be accepted by the tt+?'JJ [11f dnl ?f LC C jf State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST /o7.? do r ? R 1383 Ty a of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? uplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. 13 El El Fuma Silo Unloader ? Industrial Bldg. ? ? ? Air Co ione Bulk Milk Tank ? Farm. ? ? ? List Hehers List rs? Oe Other ? ? ? re COMPUTE INSPECTION FEE BELOW ServiceEntrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee O to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fe Remar k%{ Q TOTAL E?''V? 6,,5e 1, the lectrical nspector, hereby certify tat th above (Final) This request void 18 months from has been made. Date Date ' Al A DATE A n V, D- D ( i I BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations. To be used fore Valuation Site Address: 97,Z7 .Sou 11 /1+r-i-S tu4 Lot Block Sec./Sub. Parcel Number Owner (d /4k L I CJ t Telephone / J ' - ? ? ?z_ Address 376-7 JCL rH /q/LLS Dre. Contractor E/2L.rnJE Ft_) r[_(7Lks tA)C,Telephone Address "?/? % ,JOVt?f H ! L-L J Df, , - Arch/Eng. .Telephone Address / OFFICE USE ONLY Erect I1? Occupancy Alter Zoning Repair Fire Zone J Enlarge Type of Const. Move # of Stories Demolish Front ?Bd Grade Depth Date of Approval and Initial Fees / J L Assessment z1>5 Permit Water/Sewer Surcharge ? Police Plan Check Fire SAC -rep Engineer Water Connection ? ?rO'? -off Planner Water Meter 146 Council X/ An Bldg. Off. A.P.C. TOTAL z 3 1W l I ' d EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNrR _GH?I? o. E ?oSEMAKI6 Vo1G IT _?,_. _.___ SITE ADDRESS 3727 CONTRACTOR -Cimf _I.AE Bui?D6?s, IrIc,DATI 11-19-v8 PHONE H5'F-5916_ Determine working square footage of each. 1. Total exposed wall area ...... Mo9s_____ ? sq. ft. x :17 = 696.83 2. Total roof/ceiling area ...... 1571 _ sq. ft. x _05_? = 78•b5_ Total exposed wall area above floor = onI.3 _ a. Total wall window area ........................... it+1.35 b. Total door area v3-od c. Total sliding glass door area ................... _3-21.80 d. Total fireplace wall area ........................ 7,5.06 e. Total wall framing area (average 10%)............ _ 3 01._*9 _ f. Total net wall area above floor ................. 1- g. Total rim joist area x.13. 53 Total exposed foundation area = 47axo h. Total Foundation window a.rea ..................... 6- i. Toa.i net foundation area above grade 98.©0 Determine "U" value of each wall segment. a, zg1.35 X "U" 37 = 89.39 C rR Pte) b. iz5.oo X 'lull C. 321 X °D" d. a5.cb X ' u' e. 307.49 X 'U" ose = 17.zo f. 294 1.s7 _ X "u" 037` _ (03. 7- 2 (aX? plus ?rWoFoF M, 9. 2'3,33 X nu" 03, = 7.59 _ h. X "u" -0-._ 1. =jg,oo X Hull .7-9 - _ 2866 3 .....................................Total = H?ol.9 If item fi3 is the same as, or less than item #1, you have met the intent of.-SBC 6006(c)2. " Total exposed -roof/ceilinVarea = 1597.0o t= Loo rR j. Total sFr ar :;:i ............................. zSG.oo k. Total roof/ceiling framing area (average 10%)... i3 z, to 1. Total net insulated roof/ceiling area ........... i188',-1 Determine "U" value for each roof/ceiling segment. j.- z5?.oo X liU,l 027 = 0.53 k. l3Z.ro _ X "U" ovg = 3_75 1. !188.90--- X '1U° _ ozF = go. 61 _--- ( Ifj 4 ...................................Total If total of #4 is the same: as, or less than #2, you have met the intent of SBC 6C06(c)1. 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 greaser than the sum of items #1 and 7#2. + 2._?8.d .__.. = 775, 6'g 3. +?I.? + 4. N1.19 - = 03.14- LTF q,/ MIN-JE50TA VALLEY =a?SOTA pq? SURVEYORS & ENGINEERS CORP. << I f?N 1 _ ? 'nk 3 - ^ _ c •rr G, w IliFq E.IliM AVENUE SOUTH tUNNSY1llf. NIMNFSOt151J11 y4?•. ?l? 1 9L? ;S: i. .G\2'" rw":. m7TS0 Fy RS•ENG\2 I ?kS-EN - Certificate of Survey for: Qy C'USTAFSON //SGb . a N I w •o I m ?(II t - 1 Q? N ? t SOUTH o;4111LLS io' Utr'i;ry Ear=me?i 9952 . ; AY Lot 13, Block 1, South Hills First Addition 1 b.r.by C..lify that thl+u a'ruc end ......t repr.+enta'ion Nl innegota valley Surveyors E t:ioee-r-s, Corp of o Purvey of the bounde.:e+ of the ob.V. d.... ibad Iend, and of the lo.otion el all bailding+,'"ree", end all wit'Me by `+ ?_ p' /i_-+' •J•.: R L S eno oa.hment+, it ony, bom r on .id lend. 9^9J A, .a.w.y.a by /-`7d.y el:?EP A.o. Iv/4. At nn. Reg. No. '-r ? % -7 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 rl 'j i L'? f ? 2 2C05 Please complete for modifications to existing residential dwellings. Date ?- Site Street Address c7u INaV Unit # ? ? Ownerl? ?/ Telephone # (w) a 1 P t roper y Telephone # tJJL.) 440-12)1 -7 01 Contract ogo F?- M I f/ Address Ivl i City Y t.-/-ALf T Statelda- Zip. The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 - 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: _ Water Softener _ Water Heater $ 15.00 new _ replacement PQ=Lawn Irrigation _RPZ _PVB 4new -repair -rebuild $ 30.00 State Surcharge $ .50 l $90? Tota 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 t ?evreent of/ppllan is required to be reviewed and ap r ed. I ?Y It?lUl ? - V Y UI > I / - Applicant's Printed Name cant's Sign lure RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered she surveys showing sq. g. of lot, sq. ft. of house; and fill roofed areas (2055 maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan h lot platted after 711193 • Rim Joist Detail Option selection sheet (blogs with 3 or less units) DATE _61 z y / o z RemodelfReaalr Reauiremems • 2 copies of plan • l set of Energy Calculations for heated additions • l she survey for exterior additions & decks • Indicate it home served by septic system for additions VALUATION ! 27 r / 00 SITE ADDRESS 3 -7 14 k Lt s f A MULTI-FAMILY BLDG _ Y TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 9`.:ltirhrtiK CJ?-tearrbrs STREET ADDRESS 7 y ? Lo ?)a ?yyt / TELEPHONE # ?`?Z"fr81 "F 23 Z CELL PHONE # FAX # ZIP PROPERTY OWNER 1 +'Vj 141LC, TELEPHONE# 61Z-S5g-377 COMPLETE THIS SECTION FOR •%NEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: x(7$70. ----------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the Information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete For: single family dwellings & townhomesicondos when permits are required for each unit X30. so Date Site Address 72- , 5 //^ `` L0 Unit # Property Owner -7-)W ?CtLL Telephone#((p/z) 95q-3_7_M, Contractor O 3.? z) m 6l e Street Address City ?OUr? State zip 5_ ( ) .Z? Telephone # Bond #: Expires: The Applicant is Owner 4- Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ New _ air exchanger air conditioner heat pump other State Surcharge M D LI J D $ .50 Total $ I hereby apply for a Residential Mechanical 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 Mechanical Codes; that 1 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. Sz n,? a o r` '-F Applicant's Printed Name App ' is S ature 14 441,06 City of Eap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /i✓hh Permit Fee: 34. 3 Date Received: /,- Staff: IBUILDINGAPPLICATION_�fi ri- 2012 RES RESIDENTIAL PERMIT�5��� S � 7 4-'� Site Address: r 14: (Is W'y �► Unit #: RESIDENT / OWNER Name:014; (4Phone: �'l �3 #//`� Address / City / Zip: • ! 1' _ IV _ d Applicant is:wner Description of work: Construction Cost: Company: Address: State: License #: Contractor JO Con ) Multi -Family Buil g: (Yes / No City: Zip: Phone: 6416 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Pag D 9 1 tt i f 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered fo be pug__ the information may be classified as non-public if you provide specific reasons tha conclude that the are trade secrets. ormation. Portions of uld permit the City to CALL BEFORE YOU DIG. Cali 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.ora 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without - 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 Buil days of permit issuance. x Applicant's Printed Nam 4, If; I, I x ust be completed within 180 pplic Page 1 of 3 372-7 O It111 RITE B ELOW THIS LINE /6 ,g/ SUB TYPES _ Foundation _ Fireplace Single Family _ Garage _ Multi _ Deck 01 of _ Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% y Census Code # of Units # of Buildings Type of Construction _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 14 r71 --(i'' 1,fiC,1Y1 va-.[, 4' ow l'vuto _ Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) 1( Footings ( 't))40 cAory,At1 Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width ront Final _ Siding Reroof Windows _ Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System } SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC — Gas Service Test Other: Pool: _Footings Air/Gas Tests _Final Siding: __Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings T Backfill _ Final Radon Control Erosion Control , Building Inspector Gas Line Air Test RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL )6) q,%0 /0/ 9 3 4/11. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: /'96 9g1rc Permit Fee: !� 66 Date Received: Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1- i - /2 Tenant: Site Address: /til -3727 Suite #: r,. / OWNER Name: / 1.4 4-4—... 24_7( Phone: L 1.2 " 25776RESIDENT Address / City / Zip: 4372.Y 4,1:161. LA -� CONTRACTOR .,. • Name: .. - _ _ _ _ . _ _.. _ 1 _.. I : icense #: 6L3 tA9 * Address: . Z 4.<. t. City: r-6-41 State: . Zip: 4112fiap7 T Phone: eo St - 7.-7-,',�r''!L"57,- Contact: Email: �2,..4_,A..44 ,.. ALedied TYPE OF WORK --J New Replacement Repair Rebuild Modify Space Work in .O.W. — Description of work: 5�+�L., (rem._ PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation (— RPZ / PVB) Add Plumbing Fixtures (— Main / Lower Level) Septic System — Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. Applicant's Printed Name Applicant's Signature FOR .OFFICE USE Required Inspections:Under Ground ``= Rough-ln . . Air Test Gas Test. Final' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120119 Date Issued:01/17/2014 Permit Category:ePermit Site Address: 3727 South Hills Way Lot:13 Block: 1 Addition: South Hills 1st PID:10-70790-01-130 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. Jenn Sondrall 6108 Olson Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Timothy A Hill 3727 South Hills Way Eagan MN 55123 (612) 859-3776 Ductworks Heating & Air Conditioning Llc 6108 Olson Memorial Hwy Golden Valley MN 55422 (763) 521-0070 Applicant/Permitee: Signature Issued By: Signature Use BWE or BLACK Ink � For Office Use-- —� . . � )1����� � Permit#: v � Clt� of Ea�aIl � ��� � � � � Permit Fee: f � 3830 Pilot Knob Road � /��,,���S I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 �, I I Fax:(651)675-5694 I Staff: I , ; � ` I ------ —i 1 ��' . ,�,,.. �-------- 2015 RESIDENTIAL BUILDING 'PERIMIT APPLICATION ,���- � � Date � �Q /� Site Address: 37Z� ��f��t� �I�l Unit#: � ���� �;�,� r��;�'�' f,�� �_.—_. �'�!�/�� r„� �,��,,� �����, �� ��2•gS� •3���6 �- ,�, � , � ��'!�r�'�`J%����"�?'`�l���r, ( �� �--� � �� � ,� Name: Phone: �'�,��,'` ,'��f{���,� ,�; � � � ���r r.����,,���F� 3727 �� f�i�s i� � � ,, rr�������'�;',� AddreSs/Clty/Zip: f,�4 l f��'�� l{ ���'� ! f fi r f�i���,.�;/��,��rr'{�� �t �, ;i' 'r`��i����'r�f App�IC81lt IS: �Wf18Y +� COt1tf8CtOf � �r,r��.�.',F�.�F-,,,:r'��� .������ �. ����i�'�;i F Ff�''f��i�� 1+'� u .,���,.,�r „%`� ��fA ;��,�,��;, ����''�r����, ��ff ��HF JL��rP.A�it �oe�ifi a '�L.E AI�D �l'l��,�.�td 2 ,���,�,������1,� Description of work: i '�i%%„��/�'�"�,�,�'� r f,^ ��`��,,;';,f��,,�'�,,�,,�,�'�'�,� Construction Cost:�8/�� Multi-Family Building: (Yes /No � ) �����`�f��x'`��'��«��`�%����'� ' >- /-. n� - �� �'s`,,;.�``�'�`���� �j97� /VG C�13Tb f'�;rfr/� �'{iff�'�'' Com an . ���/A''l7'QI�JS � Contact: �-+/r'►...�p�,� f�`,�,���t���� � P Y� — � �,, i'���, ��,�f�,��� `'����1'�,,���,�,��r'''i��s��.r,s�,j 3� �� V1� `V,F� I ,��,,� ���,r-,� ; �r� Address: �City: ��/��E��1� � �� f �` ,�;f����,s�,�� � f � .�'� p �s�� ���/ � ) �� � ��s���������� .��' ��J-T� 1 .���`�7i�'7�.�LlfnaiL�/'►��c�I'�i[A�l�ls . � ����ft,� �� � ����,���,,����,e State• ip: Phone• 4h � ���f�f f���� �,����„% � � f r� ��� ���,�,�r�``��%i'�;,r���,��,;� License#:���QbS�O Lead Certificate#: � r`F� f�f/r '„ ,ir'F l If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f��sf� �.+�-s 3vi�c.�T �� l9 S/ � COMPLETE THIS AREA ONLY IF CONSTRUCTIING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan E�ased on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: ������ �'!; ;' � r� ,+ !,.'i ,� �� ... s ! r ,/ : � ,F.' � �,Jf ./� ' ,f . F. ��r- !.,.. . . �i,� ''� y�� ��r�ftl'�� .i ��ry"�� r � '�/1.+' 1 !� �' f� `. % f �[��r+��' � �. �7G��� � ��'' � y�'�',�f` ��F:' 1�',: ff,�' l/' !`�11F��`ff :! ,�� ,,% r iF ' , % � �'�f,� , ��?t�'�;r r� f�^ F ,'�'r ''�,.,�'�.�,?,.�' �;�'�'i.,%=' �� '% ,'�'f`'..�,s";�� 'J,�'r"r.'�F'..:,g.�,f,��s!. ��. �..' � ; � f';,y; li r '�� �r` r'$` ,�'� �'r ���' �'f.`,:' i r .",�`� � ,% i i' � �/ i'��v ,� .,, r � '/t,� �.�3 r,�r `'.jrrr�r�j�f`.'� ,f� �� �;:���%,��:� ,%f�:�' f ! � s'';r•..rrr,r�, .�'�,��'ty o., , .r�, ✓.,.a. f�- ,,.,F'�I��`� %i`�fF�'S'�''�r',F,�'` ,�� �`.''`'."�``f�"':.i� �' f Gf CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.popherstateonecall.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 S1�ate Building Code must be completed within 180 days of permit issuance. /� x C�er3,-o �T'�VP-oLC X �;�.�'�.�� Applicant's Printed Name Applicant"s Signature Page 1 of 3 DO NOT WRITE BELOW THIS L.INE `����'�C� suB TVPEs `���""� ��o��� �-����s ��.�'�=� Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) �`,Singie Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) � Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior �,' Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair ' '_ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION . Valuation � � Occupancy MCES System � Plan Review Code Edition �'� SAC Units (25%_ 100%� Zoning City Water Census Code Storie' Booster�Pump { #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Vl�idth � ' � � 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: _F��otings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final � Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining VVall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control � Other: � �S � Reviewed By: �� , Building Inspector RESIDENTIAL FEES A k � �5 Base Fee ��'�„���"' ��' �,.,;��� Surchar e � � � � � g �` ,, � �� ��� �` �, Pfan Review � ,��� MCES SAC � � ����. City SAC ,�, � �"��,.� Utility Connection Charge ��� S&W Permit&Surcharge �t ��,.��'r� � Treatment Plant ���.�'��° ��'��� � Copies . �����Yz �� ,,�,'"'� TOTAL ` � . � �� � � �<� � `���: � °"��'`�' P"�$te 2 of 3 � r � � �,_ ��