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4275 Stirrup St CITIf OF EAGAN WATER SERVICE PERMIT 3795 Pilof Knob Road PERMIT NO.: :..yen, MN 55122 DATE: Zoning: No, of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Chorge: . Size: Acoount Deposit: Reoder No.: Permit Fee: 1 egna M oomply wiNh the Cify of Fegon 5urcharge: Ordinanees. Misc. Chorges: Total: BY Date Puid: Date of Insp.: Insp.: cin oF E,?caN SEVHER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO.: wgan, MN 55122 DATE: Zoning: No, of Units: Owner. Address: Site Address: Plumber: 1 agree to eon+ply wlth the CFty of Eagan Connection Charge: Ordinonees. Account Deposit: Permit Fee: Surcharge: gy Misc. Charges: Date of Insp.: Totol: Insp.: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesoto 55122 Phone: 454-8100 ING PERMIT No. 9 29 Dote: -'~t!y 13, 3_ ,7-, Receipt No.: (?65f~$ Single Site Addressc~ Stirrup ?ane Residential Lot 81xk subisec. Multi Res., Comm.llnd. I Name New/Alter./Repclr ncl'" . ; Address Cost of Instollation O 0 City phone: Permit Fee 2 Name ~ir Neati~~ic; 1 [v):)l.inc? _ Surchar .5~ . ge ~ g Address - e 0 v City j''a17') Phone: Total 2,% 5,-' T'shP s issued on the express condition that all work sholl be done in occordance with all applicable Stote of Minnesota Statutes ond City of Eogon Ordinances. Building Official INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. y'' s'' I'i Eagan, Minnesota 55122-1897 Date Issued: 0'{ (612) 681-4675 SITE ADDRESS: tl H1 r ; APPLICANT: #;Zls ;t ' , 11+ji~ ti PERIIAIT SUBTYPE: TYPE OF WORK: INSPECTION . I ili, I 1 tai, , I i• /~M ~ rJfr f INAI_ ' FrI MA1'h : !'!i} A i i 3 1 1, Fq 1 1i-; Io!? I f I li t iii- i l f~ I It l t r11 f}1+ i`i 11M131 NO W(lkt I ~ L , ~J Permit No. Permit Holder Dete Telephone A ELECTRIC PLUMBING HVAC Inspectisx? Dats Insp. Comments FOOTINGS FOUND FRAMING , ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG aRSAT TEST BLDG FINAL BSMT R.I. . BSMT FINAL OECK FTG OFCK FINAL OW INSPECTIQN RECORD CITY OF EAGAN PERAAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 4 rit 0„ , APPLICANT: ,i. . f PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • DA i 1 t'J il 1 F J L Permit No. Parmit Holder Date Teiephone N Ii ELECTRIC I I PLUMBWG I I HVAC I Inepeciion Date Insp. Comments { 1 FOOTINGS 1 FOUND ~ I FRAMING ~ ~ ROOFING I I ROUGH I PLUMBING PLBG ' I AIR TEST I ROUGH HEATING GAS SVC TEST INSUL ~ GYPBOARD I FIREPLACE I FIREPLACE I AIR TEST I FlNAL PLBG FINAL HTG ORSAT I TEST BLDO FINAL 7 3O R, ~ I BSMT R.I. ~ ~ BSMT FINAL I DECK Ff0 DECK FINAL ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: fi 14 Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; r kRi?~> r . • . , PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . f!, „ r.!'~i i~ I 1 ~ t k1H 1 1 I. I:I ~ i I~~~i e1:~ i ! I~st9t i~~ ~ .•~'~t {~f11 ~.1O~7~ 1'I AN irt VIfWEU RY M[kl- flARfK L J ...~ri~.. 3 Permft No. Parmlt Holder Date Telephone M ELECTRIC PLUMBING HVAC InspecUon DeU Insp. Commants FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBWG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG OECK FlNAL CITY OF EAGAN Remarks Addition Sa"l Lot 4 Bik 3 Parcel 03' Owner, - C'/Street 6975 4tirriip State Eaean, hIIJ 55123 c ~ Improvement Date :m unt Annual Years Payment Receipt Date STREETSURF.rf,~,I111P, 1951 1944.00 97.20 20 STREETRESTOR. S70 19$1 1210.00 60.50 ZO ~ GRADING SAN SEW TRUNK ,;(,ff 1951 280.00 14.00 20 *SEWER LATERAL S!, 7 19$1 3359.51 167.98 20 WATERMAIN *WATER LATERAL 1981 WATER AREA 19$1 280.00 I4.00 ZO STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. #3791 16011-14-75 SAC PARK g~~S~ ~io _ od 2007 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 " Telephone # 651-675-5675 FAX # 651-675-5694 New Corefiuclion Reauiremenls RemodeNteoa'r Reouiremerds Ofim Use OnW 3 reg"stered sife wrveys showing sq. R of lot sq. R M house; and all rooted areas 2 copias oI plen sMwirig faoliiqs, heams, josls Ced af Survey Recd _Y _ N (10%ma)imumlotcovaragealbwed) 15e1dEneigyCalaletioreforheetetledd&ons ShcsRepat. _Y _N t Soib RepoR H pmposed buJtling's to be DlamE on daWr6ed wil 1 site smvey 1or eEmliore 8doCks Tree Pres Plan Reod _Y _ N, 2copresofplanshowingbeam&wmdaxs¢es;pauredlounddesign,eEC Addltiun-indde0arrsdeupfic system TreePresRequired _Y _N lsetofEneyyCakulations OrtsifeSeqicSystem _Y_N 3 copies M Tm Preservation Plan d lot plalted after 711193 - RimJo'alDaFa00ptionsselemonsheet (budAingswilh3orlessunils) Minregasco medianical veiNtafion form Pians vd= fr ~ .af;cn unlcss you state the are trade secret and the reason. Date Coostraotion Cost Site Address AG / UniUSte # , DescripKon of Work ~ 11- Multl-Famity Bldg _ Y_ N FSreplace(s) _ 0 _ 1 _ 2 Property Ow¢er ,5 ` Il,l Telephunelk(051 )J~~~ cX/ / V Cootrector :ra5UIC.X-T1Qn~`k~1c ~ ~o , Address L~ n ~ 0~ City . State ZrpTelepbone#(~ COMPLETE TMIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minncsota Rulcs 7670 Cateeorv 1 Minnesota Rulce 7672 Energy. Code Category ,12tesidenrtial Ventflatim Category 1 Worksheet • New EDew Cotle Worksheet (^Isubmissionlype) Submitted Submitted • EneryyEnvebpe Calculations Submitted In the lost 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masfer plan3 _ Y _ N IF yes, date and oddress of master plan: Licensed Plumber Telephone # ( ) Mechanical Coniracfor Telephone ) Sewer/WaferConiractor Telephone#( J I hereby apply for a Residenrial Building Permit and acknowledge that the infotmation is complete and accwate; that the work will be in confomiance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for_ peimit, and work is not to start without a permit; that the work will be in accordance with the approved.plan in cas of work which res a review and approval of plans. ~ ~nn~4 L.-WQ& 3fEY) ApplicanYs rinted Name ApplicanYs tgn e - ~ ~ CITY o~ 9AGAN N~° 3791 BUILDINO-PERMIT ,t/~~~ ~a ~ ' ~ 3785 PiloY Kaob Aoad Ownes ...r:.`.'.`:~ Eagan Msnnesola 55122 , Addretc (P=ecea!) 454-6100 Suildes . J/- /,3-7f Dale Addreee DESCAIPTION Bio:iea To Be Uced For Fron! Deplh Hetg6! Eel. Coe! Pe:mS! Fee Remarks Z7 3 a-e ~ S-o !U LOCATION ~J j'„S'YI 32reaS, Road or o2hsr DeseripSion o! LoeeSion I Lo! Bloek ~ Addi2ion or Trae! .;~.~'7 S" ~Y/~.2n_.a.~-yo -~~-2`- `7~ , ~ ,~C-Z.-~t~+-L,? C~-~I . Thia permit does aot auihorize the use oi sfreels, zaads, alleya oY,'sl~}.aavalks nor does it give the ownes or hb agent the righ2to ereate anp silualion whic6 ie a nuisance oz which presenls e haaard !o the health, aafelp, eonvealenes end genesal welfeze fo anqone in the eommunity ; THIS PERMIT MUST BE KEPT.ptQ THE PAEyI+F~,I6$~YILE THE WORK IS IN PROGRESS. ~-s C.r-. ~.,.r This is 3o eeslify, lhai.... .hes permisaioa !o sseat a... <'c ~........:......yl:....................... _upon the above described premise subjecf io the provuapplicable Ordinances fos Yde Cilp of Eagea. , Nz~ . . - - - Per O~-c~ e~uildlnIm ec ~ lor i Mayor ~ ~ czTZ.or, EAGAN F PI lO't ?S7Cb ROdd ~ 3f~~ Ea,;r.-;, i+Ii.^nF•:;cta 55122 r_,r`i1rST NO.: 651 T:,e City of Ea:gan he-^eby gr:=nts to Wenzel Plur.ibing & Heating Inc. ef Eaqan. MN a PLUMIIING . Pe.rmit for:(Gnmer) H. Kirchner Const: at 9275 Stirrup pursuant to appli_c2tion dated 1/20/76 Fee Paid: $20.00 dated this 23 day ei Janvary 19 76 , .50 s/c Euild.i.r.g Irapecto;, Meehar.icaJ. ?'ermi+,s: Bid Totalc ~ ~ f U C `C ~ 1 ~ Q o y~ ~ r I f' / 0 6 ~ - ~-71 / . MASTER CAR,D . LOCATION Zfr r jV,0 7.f OWNER ~/M rY +'t J 767 . . STRUCTURE AND LAND USED AS Issved To Permit No. Issued Contractor Owner BUILDING 37 9 . PLUMBING S ~ t ~~3~'~S 'Lt~,~M,i~~• CESSPOOL - SEPTIC TANK a.yq S StG-)G ~ ~ WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOT W G SEPTIC FOUNDATION CESSPOOL FRAMING -TILE FIELD Ff. FINAL ELECTRICAL DEPTH HEATING ~ OF WELL GAS WSTALLATION SEPTIC TANK CESSPOOL ^p~.~-~ye DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: L COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOGATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ~ ACCEPTABLE SUBSTITUTIONS OR ~ DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. I~I NON-COMPLIANCE. BUILDER WILL COMPLY IJ WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REInSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest presant or prospective, and that I have reported herein all significant conditions otserved to be at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements rela[ing to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR pATE COMMENTS: s ~ 3 PERMIT ~CITY OF EAGAN 3830 PilotKnobRoad PERMITTYPE: Eagan, Minnesota 55122-1897 Permit Number: . (612) 681-4675 Date Issued: 0 6/ 2 6/ 9 6 SITE ADDRESS: 4275 STIRRUP ST LO7: 4 BLOCK: 3 SADpLE WORN P.I.N.: 10-65800-040-03 DESCRIPTION: (SIDING/TRIMJ6UT7ER) i~°r~~permit 7ype SF (MISC.) ~1~t~fld7.ng~*4,ork Type ALTERATION 434 ALT. RESIDENTIAL g~ % 40 „ Xp~ Ji$aRi> gq ` ~ ~ ° . '-fr ~ 4 45 ~ q r ~ ~ ~~scre "D'.s.k rl, REMARKS: , FEE SUMMARY: VALUATION $8,900 Base Pee $137.25 Surcharge $4.60 Tota1 Fee $141.25 CONTRACTOR: - Applicant - OWNER: WES7ERN REMOD£LING 16451411 SEIDSCHLAG DALE 2520 W LARPEN7EUR 4275 STIRRUP 57 ST PAUL MN 55113 EABAN MN (612) 645-1411 h~reia~c~tc~ssa~ le~J~~ ha~e reacl y~ •~Cfiis,,~~p~icatiar~.and etat~ ~hattFre`~znf6rfrratfiv~~ ~s ~or~=gcC an`d `agr-ee', to c~isrnoly w3th a11 aPp1`icable 5tate t~f Mtt-.StetLI,tJ."~ ~d~d~.1~kF'd'~~a3FlC@6z . ~ . . , E m,_ .._,z. . . _ m , ,e_ , , . A~f~ I f IM4 APPLICANTlPERMI7EE SIGNATURE ISSUED 6 SIG'NnruRE k CITY OF EAGAN fl,~ 3830 PILOT KNOB RD - 55122 1 996BUILDING PERMIT APPLICATION (RESiDENTIAL) 606,ti 681 -4675 Nnw GanstruCion Reauirement= . RemvdeVReoair Reauirements ? 3 registered site eurveys ? 2 copias of plan ? 2 eopies of plans (include beam 8 window sizes; poured fid. design; ete.) ? 2 sile surveys (exterior additions & decks) ? 7 energy calculations ? 7 energy calculations for heated addi6ons ? 3 copies of tree preservation plan if lot platted aRer 711193 required: _ Yes _ No ~ DATE: Z° ' CONSTRUCTION COST: DESCRIPTION OF WORK: ~ STREET ADDRESS: dl~ LOT ~ BLOCK SUBDJP.I.D. PROPERTY NameV a Phone OWNER "T ~ Street Address City: State: Zip: coNTRAC7'oR Company: ~ Phone Street Address: ~ License City:State: ~ Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address• Ciry: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and Ici change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable SWte of Minnesoca Statutes and City of Eagan Ordinances. ~ Signature of Applicant: f~ ° OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ix BUILDING PERMIT TYPE " ' - ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main levei sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Pertnit Fee • ' J~' Valuation: $ Surcharge 14, eo Plan Review License MCNVS SAC City SAC Water Conn. ~ Water Meter Acct. Deposit S/W Permit SM/ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC ~ SAC Units k~X>X~~ ~ ~FX~~X~Xc~FX~YF~X~%tNt%~~ X~M~k~k~#X~XCYF~kRC~k%:k~'~FYd#*X~ CTTY OF F_AGAN CA;iH:CERa S TFRMINAL N0: Sh DATFr 00/09/36 TIME; i5a26a24 ID: hlAMEe CTNAY '.37:r.D5rHI...AG 3210 9001. 4279 Sl'ShfiUF' ST 07-25 21:55 9001 4279'.iT:[Rfilll", c'r'f 2.00 To+.al. Rer_eipt A0101.:ni:: 83.25 Cft062791 USFR T.LI: NANCY • • ~ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: , Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 0 8( 0 9/ 9 6 SITE ADDRESS: 4279 STIRRUP ST LOT: 4 BLOCK: 3 SADDLE HORN DESCRIPTION: Btiildin~Permit Type GARAGE/ACCESSORY rBuildir~-g 1:l1ork 7ype NEW Cerisus Code 438 ALT. GARAGE 1! tq. . ~ ~ E REMARKS: SEPARA7E PERMITS REQUIRED FOR ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $9,000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 CONTRACTOR: OWNER: - APPlicant, - SIEDSCHLAG DALE 4279 STIRRUP ST EAGAN MN 55123 (612)452-5711 T hereby acknowledge that I have read this application and state that the intormation is correct and agree to comply with all applicable StaCe of Mn. sCatutes and City oF 6agan Ord'inences." PPLICAM/PERM EE SIGNATJ ISSUE Y: SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 s~~ /J l 1996 BUILDING PEaMIT APPUCATION (RE5IDENTIAL) 681-4675 New Conslruelian Reouirements RemodeVReoatr Reauiremerks ? 9 registerod a@e aurveys ? 2 eopies of plan ? 2 copies of plans (include beam 3 window s@ee; poured fid. deaign; etc.) ? 2 site aurveys (exterlor a0ditions 8 deeks) . ? 7 energy caleulationa ? 1 energy calcufations tor heated add'Aions ? 3 copies of Nee preseneHon plan H bt plaMed aRer 7l7/93 required: _ Yes _ No , DATE: 8- s- 9 s. CONSTRUCTION COST: DESCRIPTION OF WORK: A- e'iA2.RLe e3a c4z ~ 1-0 STREET ADDRESS: (1z 7 s s* 2..~ s-?-,,' ~ P~ . LOT )L BLOCK 3 SUBD./P.I.D. PROPERTY Name: Phone ys ~1 s>./ OWNER '"11 Street Address- ~ s s+ R~ , s r - City: rAState: Zip- .ss~z z coNrw?c7oR Company: -!5P Phone Street Address: License Ciry: State: Zip• ARCHITECTf Company: Phone ENGINEER Name: 5 o Registration Street Address- City: State: Zip' Sewer 8 water licensed piumber: Penalty applies when address change and lot change are requested once pertnit is issued. I hereby acknowiedge that I have read this application and state that the inform tion is corcect agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY (~E[~MED Cert'fiificates of Survey Received _ Yes _ No ~~~G r~ 5996 Tree Presenration Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing o 07 4-piex o'~,2 Multi RepaidRem. ? 17 Swim Pool a 03 5F Addition ? 08 8-plex m~13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 5F Misc. a 10 = plex o 15 Deck WORK TYPE ff"'31 New o 33 Alterations n 36 Move o 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const (ActuaQ Vnl Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. fl. PRV # of 5tories sq. ft. Booster Pump Length sq. ft. Census Code. y 3~! Oepth Footprint sq. ft. SAC Code of Census Bldg r Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ~ License MCNVS SAC CRy SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units G7:1"Y Of' E:AGfaw' CAS!-tIf'Ra :1S TEFtA17:hzn!... N[a, 699 Pa-rr:-. c:~4i2~>.r::a8 r:r.r!-: 1.~..44:4e, ~a,ri!=:r, RA;_F.H !-iAN,Or•1 {]i)Niiir 3-~i..L. t9001 4c.r, ~ , ~f' . . L c_-~~- r << ~T:Ii;I IL c;C , r r-'' c.'S`Si 9001 Q7"5 ST:Cltcil.lP ST 4o00 7(7'i:cll Rr_:i:ii':i.DI; r;f(ICiiltl'I:" ;Itf.. c.5 r:i?rl90234 . IlSiil=:R :I:t: ,1AN KR;i<n!:ri!~~h Y,c)K`.E~>M:k:::56YdX;•.'.:m1~>Yi;~:':~'s:t;:,;1~:~i'i,2:#rF.i'Fk:X:>Xi;;i~:~:;k~ ~ PERMIT ~CIY,Y OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BurLozrvc Eagan, Minnesota 55122-1897 Permit Number: 031830 (612) 681-4675 Date Issued: 0 A/ 2 2/ 9 8 SITE ADDRESS: 4275 STIRRUP ST LOT: 4 BLOCK: 3 SADpLE HORN P.I.N.: 10-65800-040-03 DESCRIPTION: (BATHROOMS) B'63ldi6g,Permit Type SF (MISC.) g',8uia,di;ng W~p.rk Type ALTERATION Census Code ' 434 i4LT. RESIDEN7IAL %ICs~~~"~ REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $8,000 Base Fee $137.25 Surcharge $4.00 ToCal Fee $141.25 ~ CONTRACTOR: - Applicant - S7. I.ZC.QWNER: HANSON CONST, RAIPH 14602467 0003720 SIEpSCHLAG DALE 3392 232N0 ST E 4275 STIRRUP ST HAMPTON MN 55031 EAGAN MN 55123 (612) 460-2467 (612)452-5711 ' I here'by ackrtowledge thaC I have read this a:pplicat3on and state rthai the infor~matztsr5is oorrec~ and agPe2 to eomply with alY app13;cable "StaGe of Mfl.&Catutes andCity ot Ea-gAn Orcliaaqoes.` ' APPLICANTlPERMITEE SIGNATURE ISSUEO B: SI ATU E 165& 98 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ CITY OF EAGAN 3830 PII.OT I{NOB RD - 65122 681-4675 New Conatrudion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (erzterior additions & decks) ? 1 energy pleulations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan 'rf lot platted after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTION COST; d0-06 DESCRIPTION OF WORK: STREETADDRESS: -2~7S Y,-"Lrug S~ LCT: I BLOCK: ~ SUBD./P.I.D. Jadj~ IkLAL , Name:y,4;2S'~Ld4,4= ,c.wc e Phone 7~ ~ PROPERTY Last First ell OWNER Street Address:4~TS City rL@~~ State: 127~ Zip: ?J"~/~_~ 7 ~1a3- Company:Phone#: oKe 7 CONTRACTOR Street Address: ~License ff ~ 7oZ-O City ~7'CJ State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction only): Penaity applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY t Certificates of Survey Received Yes No ;,r;% ~4Tree Preservation Plan Received Yes No Not Requir !''dY~VN' • . r OFFICE USE ONLY ' ~ a µ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish D 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pooi ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous 0(05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 4/3 y Depth Footprint sq. ft. SAC Code Census Bldg / Census Unit o APPROVALS Planning Building nAe Engineering Variance Permit Fee Valuation: $ "--D Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL• % SAC ~ SAC Units _ L BL J? CITY USE ONLY RECEIPT#: ~O ~ SUBD. RECEIPT DATE: 1998 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, tM7 55122 (612) 661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system _-------------~~_~_~~~~---W FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construdion 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G.Spdnkler 'fordwellingunderconst. 3.00 = = U.G.Sprinkler "forexistingdwelling 20.00 Altef2tlOnS ' to existing residence 20.00 Water Tum Around 20.00 = Private Disposal System ` MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE .50 TOTAL O(V•5D - - - - I liereby acJcnowledge that I heve read this applicetion, stete that the inforrnetion is correct, and agree to comply with sll sppliczble City of Eagan ordinances It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liebility for any damages caused by the City during ks nortnal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement. SITEADDRESS: '9k7f 5hrruD f* OWNER NAME: I '5 e I INSTALLER NAME: TELEPHONE STREETADDRESS: CITY: STATE: M ZIP: .ll(1(Gt"J SIGNATU E OF PERMITTEE JSlFORMS BIDGlPLBG PERMIT (RESIDENTIAL) 1998 ~ " CTTY OF EAGAN L~ B MECHAHICAL PERMIT RECEIPT #/a 'P702- SUBD. (612) 6814675 DATE-9 -2~- RESIDie.NTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEI'E FOR TOWNHOMFS/CONDOS WfiEN SEPARATE PERMTTS ARE F:EQUIRED FOR EACH DWELLING UNIT. OWNER: T a~e. `Y n ~ J~¢ sr{~la FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 t~ a 7 J ~ r , CONSTRUCITON ONM <~I HVAC: 0-100 M BTU ('.dA6,f-0 24•00 INSTALLER: ~n, nf a!;n ADD11'1UNAi. 50 Ni BTU ADDRFSS: - l"O- , l._• GAS OUTLECS - MINIMUM 1 Q $3 EA. 3:00 CITY: n i I C n ZIP: v! c~ ~ J 3SURCHARG& $ .50 7K •'S~ SIGNATURE: ` TOTAL: $ i Al-cn C+; r e. A%r L_;,c/, fl AL-- o~ I'/a e.n COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWEI.LING IJNYT. R'ORK DESCRIPTION: i-ONTRACT PRICE: ~S 196 OF CONTRAC7' FEE. ..TTC nIrorvkRrE iw C y,l FlIII . irau $1,000 OF PERMIT FE& a PROCESSED PIPING - $25•00 f ;14liiiMUM FEE • S25•00 OWNER: 'COTAL: $ SI7'E ADDRESS: TENANT: SUI1'E INSTAI.LER: ADDRFSS: C1TY: ZIP: ~ PHONE CITY SIGNATURE: SIGNATURE: AODRESS OCCIjPANT SUBURB H EAT CO SOlO BY . ~ r- El.cxteelWwk'By. ~ h ~n ~s' •p~. " ~I~.i~l!!" ~ TYPE OP HEAT GA wT 4', Nw 'S~'~AM ' SPACEt~'~R UNIT HTR, _-O7HER ~ , . . CAS DESIGN AIAKE CONVERSION INiKE,OF BURNER ` M040I U O . 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