Loading...
965 Stanwix Rd y ' ' ' c....~, ~"1,~,~`~~~'°[ y ~ H-.: . C~TY OF EAGAN Permit No: ~ ~ 38: 0 Pllot Knob Road Date: ° n P.O, Box 211 gg Meter No: Size: d Eagan, MN 55121 Reader No: p$t~, Owner. ~~trc ~ustor.; 'to^~es SiteAddress: Stan~.~ix Road L27 ?33 Lc~'~;t1,-~~„ it,_ Plumber Tresh~ r ^-~c,l~}Z rerh C'.onst. Conn. Chg: 55i` . i ,I . . Acct Dep: 15. N)t~l~_ ~ ~~oning: i~~l Permit Fee: 1 ~o, Qf U rts: 1_ t•., fi „ ,~~TIP,~ Surcharge; ; ~ , Tr. Plant ? n, a ag~'~'~omply w City of Eagan T`' ~,Qr ! Meter. y ~ ~ Misc.: ~ By Vh~ re/iWATER SERVI PERMI - - '1 ~ " ; Date: _ _ _ j CITY OF EAGAN Permit Na 3830 P~loti(nob Road B/P No: Date: ~f P.O. Box ~ 199 I Eagan~MN 55121 ~ . ~ ~ . '~~:r~„~~s~":;CQi11 ~+OT^_E'S ' Owner. ` ~ t73ASi .OII~ - - - C.X Ilfr,tC.-^. ~ ~ Site Address: nreshez ?~c !r`1-?ierk. C~nst . Plumber. ~ : ~ 5 S Q. 04pct Zoning~ , i MWCC: ~ No. of Units: ` City Chg: ~ 1 S . t}'~r,,': ~ Acct Dep: , 1 agree to comply with the G1Y of Ea9an . 7,~ t ~,nr, i Permit Fee: ' Ordinances. ~ ~ Surcharge: ~ ~ ` Misc.: By ~ SEWER SERVICE PERMIT ~ i :~~,.-~.r,~. r. , _ _ ~----,~~-.;3r ^>.,.~,s~^c~'~'.:~'- ~ ' . ' 7? .QF' C1TY OF EAGAN Permit Na ' Date: 3830 Pfl@t Knob Road Meter No: Size: P.Q. Box 21 ! 99 Reader No: Date: Eagan, MN 55121 ~ Owner. :~~tr~ ':usto~ ;iomes ' Site Address: ~55 Sta*~svix Road L~7 p3 I,eai~nF-tan ^r, 7t1+ ` Plumber. ~-resher °~c/P!~ ?'er~ Const, Conn. Chg: ~~0. ~'t~"~ Zoning: ~ ~ ~ 15 . ~1 No. of Units: ~ Acct Dep: Permit Fee: 2 Surcharge: ~ 5'3~' ~ 1 agree to comply with the City of Eagao Tr. Plant • ~~~P''• Ordlnances. , Meter. '~'~~a i Misc.: By WATER SERVICE PERMIT ~ - - . CASH RECEIPT , . ~ C-ITY.Or ~EAGAN ~ ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ~-i r . J ~g ~ ~ 7 , ; ~ ~ ~ LC..~ E. ~GL.L l~f7f ? ~ 1.,L;L AMOUNT $ ~r ,c;-. ) ~ G, ii / 8 DOLLARS ioo ~ CASH ~CHECK I l~~ ~.G i j ~ ' ~ , , .~L~ L 4L -i_. ~ 1~ o~~~` ~ ' , ~r-, rl`,~ . ' FUND OB,IECT AMOUNT Thank You _ t BY __y-- .~T ~ , ,nm~a--Pe,,~ co~,, •s • ~ ~ l.7 w1 ' ~1 Ye ~oe~ CaPY P . "BLDG. PERMIT N0. " . ^ •~R~r1.~~~~~k " ~ ~ l ~ ~ "j ~j~ ' 1 ~__~J/~.G~ ~ ~ , ~ , ~ q,~/ V OY"-3210 Bldg. Permit /7 01-3422 Plan Check ~-'i~)`" / CG 01-3445 Surch./Adm. ~`L' ~ 01-3446 SAC/Adm. ~ ~ ~ ~ • 01-2155 Surcharge - ~ . ~ ~ 3860 Road Unit ~ U C 20-2275 SAC ~7"'7 ~ ~ 20-3665 Water Conn. ~0 20-3868 Water Trmt. -J~~'~ G~Lr` 20-3716 Water Meter t~~~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. C.~!~' ~ ~ 3855 Park Ded. 1-%`~``- !i"~` TOTAL ~ ~ CITY OF EAGAN ~ ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH QN E: 454-8100 BUILDING PERMIT Receipt# ~ ~ ~ To be used for Sp Est. Value s~'~ Date 3 ,19aa Site Address ~~S ~TA1~t~12X i~dAA OFFICE USE ONLY Lot Z~ Block 3 Sec/Sub. ~I~~x 44U~~' On Slte Sewage Occupancy MWCCSystem X Zoninp Parcel No. On 51te Well (Actual)Const ~0 GU3Y'Q~! T11C Ciry Water X (Aliowable) a Name z Address r"0. ll0~ 104~ PRV Required # of Stories ~ City ~~~L~ Phone 454--~3a3 BoosterPump ~ength Depth ~ , p N~,me S.F. Total Footprint S.F. ~ Q Address ~ Cit~ Phone APPROVALS FEES ~ s Engr./Assess. Permit ~ 4~~~ ~ W Name ~ = Planner Surcharge Address 47~~ Q W City Phone Council Pla~ Review ~ 81dg. Off. SAC, Ciry 1QQ• I hereby acknowledge that I have read this app~ication and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. S~Q•00 Minnesota Statutes and City of Eagan Ordinances. WaterMeter 47~QQ Sigpa~ure of Permittee Road Unit ~ZS-~ I~l.'TRO CU~TOM l~AM~S A Building Permit is issued to: Treatment P1 ~O4•~ on the expres,s condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks ~ i TOTAL Building Official ~ - ~ ~ . 19 CITY OF EAGAN ~ ~j 3830 Pflot Knob Road, tP.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# ~+;n ~ R~n~~~~r ~ah4;rk ~ To be used for Est Value Date ,19 Site Address ~ OFFICE USE ONLY Lot ~ Black ^ SeC/Sub. ' ~ "~'~~t~ ~ On Slte Sewage Occupancy Parcel No. ~'H MWCC System Zoning On Site Well ry (Actual) Const ~:'f ~ il'~M HOME~ Il1t.' City Water X (Alloweble) ~ ~ Name W a ^i- ^ PRV Required ~ of Stories z Address • • , . ~7 ~ City R t`' I LL~ phOne ~ Booster Pump Length Depth 4~ o S S.F. Total Name ~ 4 Address Footprint S.F. ~ City Phone ApPROVALS FEES ~ r+94.~ ~ W Engr./Assess. Permit W ~y Name 4~J.G0 ~ = Planner Surcharge U~ Address Councii PlanReview ~41.{'a ¢ W City Phone a Bldg. Off. SAC, City ti1~~~' Variance SAC, M WCC g~~ I hereby acknowledge that I have read this application and state that the ; i,.~ inlormation is correct and agree to comply with all appiicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter ~ Signature of Permtttee Road Unit . C. ~ _ A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. r~s--~ Building Official TOTAL Psrmit No. Psrmlt Holder Date Telephons #f Plumbing - yL~ ~ ';1. ~ ~ H.V.AC. ya Electric ~ ~ ~ ~ f',5' ~ /Y.GC_ , / .J,'F C~• '~~f~~~ '~~c~ Softener tnspection Date Insp. COmments Footings I 3 ~I~ Footings II Foundation Framing Roofing Rough Plbg. .~9~ ' _ Rough Htg. ~ Isul. ~ Fireplace ~ Final Htg. '~y ~ S' Final Plbg. ,(j~' Bldg. Final ~/S S Cert Occ. /S Q f cCrS' Temp. LP Q ~,lN . Q .p Deck Ftg. Deck Final Well Pr. Disp. , 9~~~ i • PERMIT # • • ~ MECHANICAL PERMIT ~l;. /1 ~ , CITY OF EAGAN RECEIPT # 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: C~NTRACT PRICE: PHONE: 454-8100 Site Address BLDG. PE WORK DESCRIPTION Lot B ock Sec/Sub ~ ~ ~ yf, Res. New Name ' ~ ~ Mult ~ Add-on m ~ Comm. Repair ~a Address ~ ,f'~~, ~r 1~1! t l~ Phone ~ ~her c Ciry - FEES ~ Name RES. HVAC 0-100 M BTU -~24.00 c Rddress ADDITIONAL 50 M BTU - 6.00 p City ~ Phone '4 ~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air _~M BTU APT. BLDGS. - COMM. RATE APPLIES TQWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Meatet _ - - - - M BTU REMODEL,S _ - 1200 Air Cond. M BTU MINI(VIUM COINMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # L% BEYOND $1,000) Other . FEE: ; ' ~ ~ . : , ~~I ~ S/C: SIGNATURE OF PERMITTEE TOTAL: ~ ` FOR: CITY OF EAGAN ; . . . . . ~ ~ • ' PERMIT # ~ ~ PlUMB4NG PERMIT RECEIPT # - 1 GITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - CONTFiACT PRICE: PHQNE: 454-5100 Site Address ' r~ • j ' --L' BLDG. TYPE WORK DESCRIPTION Lot BI ck ? r Sec~Sub Res. New - ~ Muit. Add-on ~ Name ~ ~ Comm. Repair ~ Address ~ r" : - r'f Other c City + ; Phone 2' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES TOTAL ~ Water Closet - $3.00 t 6 Name • . , _ -~Bath Tubs - $3.00 ` c Address • ' ` 3 -~La~atory - $3.00 ~ _ p City 1'~~~[~j~~. - Phone " ! = ~Shower - $3A~ -~Kitchen Sink - $3.00 FEES UrinalfBidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -LLaundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 ~ TOWNHOUSE & CONDO - RES. RASE APPLIES -~Water Neater -$t.50 J MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 .~_Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $i0.00 , Private Disp. - $10.00 - f ' Rough Openings - $1.50 .r~~~ c~ ~ .-r ,r" . SIGNATURE OF PERMITTEE FEE: ` STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: __r . ~ h . ~~rftf tx~#~ nf (~rru~~nr~ ~itp of ~agan ~r~rartm~ ~f ~u~td'mg ,~ns,pPd~nYc This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time ojtssuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.~ -i.:,:it'.t`% °c;: Use Cla~si6capon ~ Bidg. Rrmit No. O~cupaocy Type Zouing District t~' Type Cooat. J!' OwoeratBuildiaB '-t~ ~~~'s i _ - _'i`v.' ~d~~ . . i:~~• l~f,~f~~~,'l±: Bw7dingAddress -,"'*.4 ~ r~, ~y~~~y ~~%i ~ i_ _:i''_.~k~~ SL~~r1Y:' Dats: Building O~icial POST IN A CONSPICUOUS PLACE This`re9ue~;, void ~ ~ / ~O ~~'JG~ 18monthslrom~ D ~F' i ~ g ~ ~ ~ / ~ a-v Rdquest~ aie Fire N, qouPh-i nsnec[ion fr~~ Ae~~u re. ~Reatly Now~il~ Notity InsOec- U ~es ?No ~ r When HeadY ~ ensed Elecirical Convacmr 1 hareb re Y q~est inspec~ion of abo~e ? ~wner elactrical work instelled at: Sveee Address, Box or Raut No. Cily e~~~ TawnshiP~ ar No. an9~ No. Lou~ ~f Occupant (PRINT) Phone No, d ~G ( PowerSupplier omE .54~- 9'3~3 ~ Atldress - ~ ss~ a Eleclrical Co tryacmr ICom~any Na~ I Conirar,tor's License No. ~s~a'~~l~i ~ L B Mai ing AdJres ~Contractor or~wner Making ~pstailationl ~ S^GO - L~_ ~j . N S 3 Au orizetl Signature Cootracto~~Owne~ MakinB ~~~stallation) one Number -r~-~-.--L r~~v- °~G NESOT STATE BOApO OF ELECTflICITY 7H15 INSPECTION REQUEST W~~~ NOT riggs•Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STqTE BOARD 1821 Univaraitv Ave.. St. Peul, MN 5fi104 UNLESS PpOPEN INSPECTION FEE IS PhOne (612) 642-0800 ENCLOSEO, ~~,7/~ REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os c ~ See instr~ctions lor completirg this torm on back nt yellow copy. L~ (~/-~~1 ~ ,~o ~7 7 6 "X" 8elow Work Cove~ed by 7his Request Add Rep. Typa ol Bailding Aoa~~a~tae Wired Equipmen~ WireA Home Range Teniporary Service Duplex Water Heater ightiny Fixtures Apt. BuilAint~ Dryer EleCtri~ HeaLn Commerclal Bldg- Furnace Sib Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm Omer Peci v ther Isne Jfvl t er pocify O~her O~~~ar ompu[e fnspection fee Beluw p Fea ServiceEm~enceSixe R Fae Faeders~5ubfaeders N Fee Circuits O 0 ro 200 qm s 0 to 30 Am s 0 to 30 An+~s Above 200 qmps 31 to 100 Ainps 31 to 100 A s Swimming Pool Above 100-Amps Abave 100_Am s Transformers Irngation Boort~~s , Partial~'Other Fee Signs SUecial Inspection S~~'~ pem3rks TOT EE .a Noueh-in Onte I, tne lacb- Inspecbr, heraby cerlilV thel tha above Final G L insoection has been ] ! mede. • (nie requast vold 18 moMna from 59077 ~oa~~a 9 5'~,L o?~.Pj,3 `~~p Fepu= t D e ~ ~ Fire No. Raug Inspeclbn ~ qgy ? ? Ready Nav p Will NoGry Inspector ~ ~yg ~ ~ ~ When Ready? I~yficensed contractor p owner hereby request inspecdon of above electrical work at: Job Atle s Sveei. w ar t No.~ Ciry Section No. Towrehip Name or No. Range No. Counry Occupa 1 MT~ Pho No. ~ Power Suppliar Mtlress EI v al Contract r ~COmpeny Name~ rnct S Lkense pp. ~ U Ma in tltlr ss CoMratlor Owner Making Ins1a11 tion~ Aut~ rize0 Signa~ re IGO~tra or,Owne Makinq Installati ~ ~ I~ P~~ m r_ MINNE OTA TATE 80ARD OF ELECTRICIT THIS INSPECTION REOUEST WILL NOT Grlggo-Mltlway BIEB. - Room S1]3 BE ACCEPTE~ BV THE STATE BOARD 18I1 Universily Ava.. SL Peul. MN 5510C UNLESS PFOPEF INSPECTION FEE IS PMne (612) 69ZA800 ENCLOSED. /~j f~~- RE~UEST FQR EE£6TRICAL INSPECTION 4F~~2 es-ooom-oe ~ ~ ~ O~~~ See ins~mtlions lor comqeting this Imm on back of yellav cnpy. ,~y~ ./0~~~' . "X" Below Work Covered by This Request x"~`.~" p~jy Atld Rep. TypeoiBuilding AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Ap1. Building Dryer Olher.(Specity) Comm.llndusirial Furnace Farm Air Conditioner Otner(syecity~ Comracpr'S Remar~ , 5 ~ ~~.A A ~~1.~ 1 Campute /nspection Fee Below: S Other Fee # ServiceEntranceSize Fee # Circuils/Feeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors use Onry: L r. OL_i ~ Irrigation Booms ~,G(~ Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough~in ~e+~~~ cerlifythattheaboveinspectionhas p~~a~ oa~ been made. ~ ~p l OFFlCE USE DNLY T~is request voi0 1B monihs iram T~is reQuest void G/~n ~ ~8 mon~hs (mm ~ O O ~r~(~. D ~4473 ~ ~ Ne •=st D irt^ Fire o. Fouph'in 1 sucr.tinn ~ J~ Requir tl? ~Neatly Ni~w ~J4~i11'NOtify Inspeo es ~No [or When ~eady ~L,censed Elecirical Contrac[or I hereby request inspection ol ebove ? Owner electrical work installetl aC Sv i ddre s, ox o Houte No. • ~ c i a. Towns ip ame or o. RanBa N County 3 , ~ ~~`~~PflI~j ~ Pho No. yr /L 4- MES ~s ~ Pow upplier Address V~tiFS~~~~~~PF~~~WWl~~/'Y Can~raet e's Lir,ensa No. 1~ 1V i1 !',t_. i., Mailing ~ v M ~ila[ionl Au i d ~e~ature onvacto wner Makine ~~stallationl Phone Number M.~NESRTASTATE BQpPQUF.EIECTRIC4iY. ~ . . THIS INSPECTION REQUEST WILL NOT uGriggs-Midway81d9~ - Aoom N-191 ` BE ACCEPTED 6Y THE STqTE BOAHD . 1821 Univnrsitv'qve.. SL~Peul, MN 55104 UNLE55 PflOPEH INSPECTION FEE IS PhOna (612) 642-08W ENCLOSED. I REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ? 9 ~a"'l'G~ ~ Sea inshaclio~s for completin this torm on back ot vellow co p 9 4 4 7 3 ~~X~ ~ Be~oW Work Covered by 7his Request AAtl Rep: TYOe oi Buildin¢ ApO~~a~cee Wired Equiumem Wired Home Range Temporary Service Duplex Water Heater ightiny Fixtures Apt. Building ryer ' Etectric HeaUn Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tdnk Ferrtl rner peu y ~har ISn~:cityl ~ r. Suecify Other Oiher ompute Inspection Fee Be/ow M Fee ServiceEnneneeSize M Fea Feede~s~5ubteaders a Fee Circults U to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 q~p ~y 37 to 700 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 700_AmPS Transrormers Irrigation Booms Pdrtial,~Other Fee Signs Speciallnspection S OTAL EE perturks ~~a Hough-in D ~e f ~ the cal .:"f.~. .i InsPector.~ereOY CBfll~y I~IPl 1118 9~lOVB Final t ~ inspection hes been mode. thie requeat vo1018 monthn imm CITY OF EAGAN (~J~ 14 6 5 9 ~ 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 • PHONE:454-8100 Q/6-~O BUILDING PERMIT qeceipt# p To be used for SF DWG/GAR Est. Value $80~000 Date ~CH 3 ,1988 Sife Address 965 STANWIX ROAD OFFICE USE ONLY 27 3 LEXINGTON S UARE On Site Sewage Occupency R3 Lot Block Sec/Sub. Q pp 7TH ADD. MWCCSystem X Zoning Parcel No. Vn On Site Well (Actual) Const City Water X (Allowable) Vn a Name METRO CUSTOM HOMES INC - i P.O. BOX 1049 PRV Requlred _ # of Stories Address ° City B~VIL~ Phone 454-9383 BoosterPump _ Length 46 Depth , p Name SAME S.F.TOtal ~a Address FootprintS.F. ~ City Phone ppPROVALS FEES Engc/ASSess.__ Permit ~ 494.00 °w Name ~z ~ Planner _ Surcharge ____~._00 i- Address Cit phOne ~ Council Plan Review 24~~_00 aw Y Bldg. OH. SAQ City t nn.00 I hereby acknowledge that I have read this application antl sta[e that the Variance SAC, MWCC r2Q.D0 inlormation is correct and a9ree to comply with all applica6le State of Water Conn. __1r r20~9~ Minnesota Statutes and City ol Eagan Ordinances. Water Meter -fi7 DO Signature of Permittee Road Unit __325_..00 METRO CUSTOM HOMES A Builtling Permit is issuetl to: - Treatmenf P1 .Dp on the express condition that all work shall be done in accordance with all applicable State of Minnesot [a}utes antl Ci f Eaqan O dinances. Parks TOTAL ~2._5~~.00 Building Official__ _ ~ . - 5'~ g~i3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 I,a~- ,a~ 651-681-4675 Naw Construaion Reauiremenh RemodeUReoair Reauiremenb • 3 regislered sile surveys showing sq. ft. of lol, sq. ft af house; and ~II mofed amas • 2 copies of plan (20% maximum lot coverage allowed) • i set af Ene~gy Calculalioris far heated additlons • 2 copies of plan showing beam 8 wiMow sizes; poured found desipn, elc.) • t sile wrvey lor exterior additians & detks • 7 set of Eneqy Calculations • Indicate if home served by sepGc syslem for additiore • 3 copies of Tree PreservaUon Plan if lot platted after 711193 • Rim Joist DeWJ Options seledion sheet (bldgs with 3 or less unib) DATE U/o~~/O VALUATION ~~oJG-~~ ~an•~ \ SITE ADDRESS 9~ ~o0.C+, MULTI-fAMILY BLDG _ Y _ N TYPE OF WORK ~2GYC)'~f av~~. ~ COU~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT M i C~VJ'2C~ ~1cn~e ro a~ STREET ADDRESS a~~se~ ~~C~o.o {~1v CITY ms ' STATE~ ZIP~ TELEPHONE # g-~ `~~/6-d7?~ CELL PHONE # G~~`°~SO' 95`~Cy FAX # 1~~'~y~- G~~ PROPERTYOWNER 1"1~• ~a`~`R~~:S~ TELEPHONE# ~51`ySy'I76z COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNPSOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission rype) • Residential Ventilatlon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy E~velope Calculations Submitted Plumbing Contracfor: _ Phone # _ _ Plumbing system includex _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Confractor. Phone # Mcchanical sys[em includes: Air Conditioning I D n~ HeaC Recovery System Ll Sewer/Water Conhactor. Phone AUG 2 8 Zpp2 II I'. ~ I hereby acknowledge that I have read this application, state ihat the information is correcf, an~c agree-to mply with all applicable State of Minnesota Statutes and City of Eaga inances. Signature of Appllcanf r.._ OFFICE USE ONLY_Y~.~._____. Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation O 07 OSplex ? 13 1&plex ? 20 Pool O 30 AccessoryBldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace O 27 Porch (3-sea.) O 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? O6 04plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 Windaws/Doors ? 34 Replacement 'Demolition (Entire Bldg onl~ - Give PCA handout to applicant Valuatlon Occupancy MC/ES 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 W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final - F~~B _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By . Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License 5earch Copies Other Total ' , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ~ ~ ~ ~ ~ INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 7 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MfIST DESIGNATE WHICA ADDRESS IS DESIRED. NO CAANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL [JNITS FOR SALE UNITS ~f OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT „ 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS To Be Used For: Single P'amily Valuation: Date: 2/24/88 Site Address 9~5 Stanwix Road OFFICE USE ONLY g0~ Ono - Lot ~7 Block 3 On site sewage Occupancy {Z-3 MWCC system Zoning P~. I Parcel/Sub Lexington Square-7th Addition On site well Actual Const V-N City water Allowable ~/-N Owner Metro Custom Homes, Inc. PRV required , l6 of stories Booater Pump Length Address P•0. Box 1049 Depth ~{(e' S.F. Total City/Zip Code Burnsville, NIIV 55337 Footprint S.F. Phone 45~+-9383 APPROVALS FEES Contractor r4etro Custom Homes, Inc, Engr/Assess Permit t{~/y•°-° Planner Surcharge p,Q° Address P.O. Box 104g Council Plan Review , o0 Bldg. Off. SAC, City O O a9 City/Zip Code Burnsville, M1V 55337 Variance SAC, MWCC S S~ ~ Water Conn 00 Phone k5~+-9383 RoadrUniter ..p Areh./Engr. Metro Custom Homes, Inc. Treatment P1 D ~ Parks Address P.O. Box 101+9 Copies I TOTAL - , City/Zip Code Burnsville, NLN 55337 ~ 0~~7? Phone l~ ~?5~+-9383 ~z L, bL ~~ss =~r~X ~s~ll ~ G1~ =h~`/~Z hr =z,~~xz ZS r I = .s'~`~ ~S»0 ~Lbhl = x I Ch~) = ~ x h Zi ~ _ ~z rc zl h~~ _ ~ ~ x hr -1~`1~~3~a1ed °1~9~ =~+/X h~~ __l C~ ~ f ~ h ~/I Z /~Rh =-zz~-zZ ~ . ' ' N o i1V' Yl ~ 'd~1 E - - - ` ME,"RO aOBE CUSTOM ~ PLANN AS nnd6lAND S~UAVE90QS ~~f~~_ ENGINEE~ING ~~~F,,~~ . COMPANY, INC. L yOa? EaST 146N STREE7. ~URHSVILL£, YIHNESOia '5=337 PK ~3Z-~OOU CZ°T~Z~ZCLZ~e ~fl~t T1~r+~r~~zcrt: LOT 27 BLOCK 3.LEXIN6-01~I S~UAR~ 7TF' ADCITiON, DAKO r. Cou;~-^r , r~n;r~; ( SB_~_o ) DENOI"E: IXI~TlNr tL~bA'~oN ~ 88B.o ~ DENQrC° =ROFO~~~. EE=?ATD~~f (es>. i) INCIC~;~c~ ~'~E~"OP; OF SUFF~~~ L~i=lfiL•~`= i ~ ~ 888,33 = FINI~I~EC 3ARAG;= F! ~O~ ~'-='/~^~~N a \h~~ / \ Dc ^h' ~ - _ ~ ~ / • ~ / ~ ~ - ~ / V , ~ ~ v5l'e /p / O ' " ' ~ \ pp O / " \ / \ /6n ~ (a', ~ ~ / ~ (OBB.o)~ ~F ~I h \ : ~626,3) „9 ~ • \ ! '+!7 ~~1`(~ P•UI~JIi~~;~ ; ~ R _ ~ \ ~ ~-?6, ~ ~E: cAC:C LlNE , ~ ~ ~ ~ j ~ ~8S0.o) ~bPoQ~`v ~ ~~c,~~.33 I ~ ~ (8ae 91< ~p~' ~ " PQp ti~ j \ R `J6~ ri~ i ti , 8~•0l h~b.~) \ \ \ pb ry ~~O ~S I ! "Y ~6 \ , 0? oA~ ~ 88.6.8, ~ / ~ ~ i` q/ ~ ~~~os'~ \ V-- ~~O ~ ~ ~ i 4.10 ~ (sa-r.i) / ~ O G'~ Bg-6^u3~ ~ ~ ,888• / O ~O~ ~ . ) i << \ / / ~ry~~ h~~o ~ DRAINAG~ /aN0 Ur1UT'f ~ EASEUIFJJT (8e=a> / ~ SCALE:I~~=JC . _ J~ ~er32, ~ _ . and co ct z'~P~s~ntation of a traet o! I her~by cartify that thin ie a t:u6 ~a prapared by Mn on this ~ d~y °f land as ahoxn'and g~eacribed hereon.• ~~gz~.rey/ ~ 19_, . ~'I ~ -~.d ?rt.,n. E~SS• 1f°•~a ~ ` PERtvl1T 4 ~ ~~"1 ~ ~ECEIPT DATE: - O I ~ ~~l ~0~3 ~SID~NTI~kL ~LUMBINfi ~tM1T ~~P~11ClkTION crrY o~ ~ne~tx s8so eu.oT ~cxos Rn £AfiAN, MN 551 EE ss~~8i-as~s Please complete for: : single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigadon system SITE ADDRESS: ~b~ ~ W 04NNER NAME: : ~"Q~- M~~W u(~~ TELEPHONE ~'Sj `'~'S~~ I~J~ (AREA CODE) INSTALLER NAME: MCrI11RF ~ SgN~, TELEPHONE ~3~ ~6'I(~ 60512th Avenue South (AREA CODE) STREETADDRESS: ~o.,,.~ ,n~ ~$~s - CITY: STATE: ZIP: Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ~ ~ I~ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MrC license State Surcharge AUG 2 O Z~01 ~ 50 Total $ ~ Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this applicalion, stale that fhe informaGOn is wrrect, and agree to comply wilh all applicable City of Eagan ortlinances. It is the applicanPs responsibility to notity the property owner that the City of Eagan assumes no liabiliry Por any damages caused by the City during its normal operational and maintenance activities to lhe facilities constructed under this permit within Ciry propertylri9h - bway/easement. SIGNAT RE F PERMI ~ Updated 7107 , . , . . APFLICATION FOR PERMIT i~~= PA~'Tr OF FEE AT TIME OF ; ; ner~.xcaTTaa ~s ~uo~r crorr ; ~ ~ ' ; s~rncn~e arexcaw, oF rr.anuT. ; irsesriaa oe sr.~a nrn/ox wn~ . ~ SEWER AND/OR WATER CONNECTION : S ' ; xrsraia,nx~oris caQa. r~ar ae s~n.m ; . . i', [~NCIL PERPffT HAS Hffid APPROVm. j .NCI . f~Rxw.t~t:s+~+~r~it+titt+:«i+:~r.r:+t~* S. , Clt~ OF CCBC~C8P1 (PLEASE PRINT i ~ ~oP~a~r ~wDxFSS: . . R.L :s: . . S w x ~ o ~ TFf;AT n~azrrioN:..~. . I5t 3... L~~•. 5~:.'~`=... . . Lot B ock S ivision or Tax Parcel ID IF EXISTING STRL'CT[IRE, DATE OF ORIGINAL BUILDING PERMIT ISSUADICE: Nbnt Year PRESENT ZONING/PROPOSID LSE: Q COTM9ERCIAL/RF.'TAIL/OFFICE ~ R-1 SINGLE FAMILY Q INDLSTRIAL ~ R-2 DOPLEX (3tvo L'nits) a:INSTI'IVTIONAL/GOVERIa1ENT Q R-3 7C~II~OUSE (Three +',Lpits) ( Lnits) Q R-4 APARTMEPPf/COI~IDOMINIUM ( L'nits ) . 2) ~ti°'~' 'D2ESFfF,'~ ~xC - t~DxESS: 1AoS3 ~~a~j-.,~ ~ ' cz~, ~A~, ZIP: FI PP L E E r ..r~si-~ s~ PHONE: ~5,2 ^ PI ~ ~ For City Lse 3) '~3 r~c NAME: - a E2 G C on~ri • Pl risnTe s License: ADDRESS: ~`f ~ o. . ST C T . I~ Active ~ ~A L/ Expired CITY, STATE, ZIP: (+pc~ ~ ACtE~~ 1~[.~• -~r/2~T Not recorded PHONE: 4' 3 2' IO MASTIIt LICENSE #.364//t? 9 sta In~-ltia~ 4) ~ o NAME: ///.Er2o ~LOQS . ~Dx~ss: ~p Q ox ~b ~ 9 ,yJ CITY, STATE, ZIP: ~ c~ ~,,.rS ~~c- L L~ nr . r Pxor~: ~.c~y- 93 83 5) e a~•~• • a'~e i ae a CONNE'.CTION TD CITY SEWEE2 ~ CONNECTION TO CITY WATER ~ OTfID2 6~ ~ Q~ ~ ~i Q ~ ~ ~ ~ s ~ ~r~ _ * * THE GOLD OOPY OF THE PERMIT WILI, BE SENf DIRDCIY,Y TO PUBLIC WORKS TD FACILITATE ME1~R PICK-L~P. * * PLEASE ALTAW ZWO WORKING DAYS FOR PROCFSSING. SOP7EONE FROM Tf~ CITY WILL CONfACT YOD IF TI~EtE * * * ARE ANY PROBL~EhLS. ~*************,~**~******~*****f***~~***+~*******~******~+************~*~+*******~**:r~~**~*~~*******i ~ : FOR -CITY USE ONLY , ~ ' PERMIT # ISSC~ED ~ ` S~/3 Pd w/Bldg. Permit FEES: $ S S~ SEWER PERMIT (INCLUDE SC~RCHARGE) $ S / WATER PERMIT (INCLUDE SORCHARGE) $ ~ ~ $ WATER METER/COPPERHORN/OCTSIDE READER $ S WATER TAP (INCLL~DE CORPORATION STOP) $ S SEWER TAP $ $ /.S~O Q ACCOLNT DEPOSIT - SEWER $ ~,`7 ~ ~ ACCOONT DEPOSIT - WATER $ ~J~.G)~ $ WAC $ (O S O~ ~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC~NK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ ~ V`o O $ WATER TREATMENT PLANT SLRCHARGE $ ~ OTHER: $ /7 ~/~C~~ d~ ~i'L~O TOTAL 7a fl~l3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PDBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. ~ SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~`~x~ TITLE: DATE: ~/~(p ~~~37 Zoo~ RESIDENTIAL BUILDING rEwKiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~~+New ConshucUOn Reauirements RemodeVReoair Reauirements ON'cee Use Onlv ~~•3 registered sile surveys showing sq. fl. of lol, sq. fl. ot house; and all roofed areas 2 copies of plan showing footings, beams, joisis Cert of Survey Recd Y_ N ~~.(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated adtlitions Solls Report _Y _N ~'..1 $oils.Repoe if proposed building is to be placed on disWrbed soil 1 site survey for additions & decks Tree Pres Plan Rerd Y_ N. :<y 2~copie& 9f plan showing Geam & window sizes; poured found design, etc. Adddion - indicate iI oo-sife sepfic sysfem Tree Pres Required _ Y N ~~ysB~ of E~ergy Ca(culations On-site Sep6c System _ Y_ N ~3 copies ~f Sree Preservalion Pian if lol platted after 7l1193 RIm~Joisf'6etail Options selection sheet (huildings with 3 or less units) Minnegasco mechanical ventilation form Date / b-I Construction Cost ~ 3~ OV d Site Address ~(p ~j S'~a~ w~ X I~~7 L7nit/Ste # DescriptionofWork ~~1YlU~~ 1~~`Q.~.ZVY~Ql'U~ Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner M(~,?C., ~QA.A.1 Y1~1Q.1.1.1 S~" Telephone G~J ~S ~I ' I7 O~ Contractor ~ r~,~Yl,n~,?"~ C.)CT[.1~1 d'~...5 Address rj ~D T-~V?rQ, Ce • City ~S (,L) ( ~ ~ ~ State rn N Zip,~ ~ ~ 3 Telephone )W,~I -IO ~IS".3 (oC~O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submiried SubmiHed • Energy Envelope Calculations Submitted In the lasl 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) C~C~I~[1~;~'I~ Mechanical Contractor G Telephone ~ MaY i s zoo~ ' Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Slatutes; I understand this is not a permit, but on(y an application for a permit, and work is not to start without a permit lhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. U~'.cn ~u~~ 1~G~n~~~~~ 1/ar,Wu~~-~.- Applicant's Printed Name Applicant's Signature - 7 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147505 Date Issued:01/12/2018 Permit Category:ePermit Site Address: 965 Stanwix Rd Lot:27 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marc Malmquist 965 Stanwix Rd Eagan MN 55123 (651) 247-2132 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature