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681 Stonewood Rd CITY OF EAGAN 1NATER SERVICE P~tMIT I' 3830 P;~oi Knob Rosd P. O, 9u.. tt ~89 PERMIT NO.: j Eagan, MN 55121 DA7E: ~ ZO^~^a~ No. of Units: p~, '-~arron Co~~st . Addros~: Sla llddrrss: 1 Sbonewood r'oa~'. '',ltn~'trE-e 6 ~ p~~~r ~~ave l,em~~sey Abt~r No.: 7 c, . Ur Slze: ` . t,L p~, , r~d.. No.: Be ore iggm',E~'~t'Igc~°~li~4lw h ew1~ w+Mi~ w ey~N ' . ONIM QEQU~R~', n7~~`'~ - • ~::r• ~ .eter BY ~(t~z-.~--~-- _ Date Poid: Dote InsP- - 8 (o i~.: CITY OF EAGAN Wp~ SERVICE PERINIT 3830 Pilot Knob Road P. O. Bcr 21199 PERMIT NO.: ~ Es~dn, M,~ 55121 ' D/?TE: Zanirg: ~ ~ " ; Ownsr: . - ~~0:' ~ of Units: I ~ Addrost: SIb Addnns: ~oneut,~_,,: ' ' _ :J~'.ItC~rr•.4.• Plurr~r. - :~~~Fy AMter No.: - - Size: ~rnctton Cho?Qe: - . ° ' ' i~ Reodsr No.: ~0001^t ~QP~t: ~ 5 . ~~~pd 1 M~w te ~yyr rNM !i~ P~?mit Fee: 7. n ~ F~ i ~ ~7 ~ Suroho?fle: ~ AAlsc. Chorpes; "r; B Totol: , . r Y DoM Paid: DoM of Ir?sp.: Irnp.: CITY OF EAGAN SEWEg SERV~CE PERMIT { ~ 3830 Pilot Knob Road i ~ P. O. Bos. 2:199 PERAAIT Np.: , Eajan. MN 55121 ~ ~ Zonirq: No. of Unlh: i ; r. t, . , _ , . I S~~ ~Wm~: T r15' !.iY~'.iVl~ . ~ . . . . ~ p~urnber ~ra,te + ~ n.. _ G_ T - , , t ~ Nn~ N ~+~M~ ~ili !M C~r ~i yM~ Corx~ctlon ~~q: ~ . „ ~IM11CN, ~ aoodt: - , . P~rmk FN: BY Su~dw~; Misc, p~o~ DoM of In~p.: Totoi: Gofs Pald: ~ . _ . . . ~648~ I CITY OF EAGAN ;~:f', 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 . BUILDING PERMIT Receipt # ~ ~ ~ - To be used for i~ASLtiE.iT Est. Value ~ 1 5t : Oate ~~Y i~ , 19 Site Address g~ 1 STUNBid~OD ROAf} Lot ~ Block 1 Sec~Sub. WT NDTB.EB 6T~ OFFICE USE ONLY Parcel No. occu~cy - Fees Zoning W Name ~i~~' ~ ~ ~0&.''~T (Aduat) Const - Bldg. Permit _ ~ ; Address ='T~K~~~ (alowable) - 1.d0 Surcharge ~ City ~=A~~' Phone ~S~-a~48 # or scories - Length _ Plan Review , o Narne i'LBk:}'::' _';`L BUILLyERS Oepth - SAC, City ~4 Address '=~<.~:IET AYENU~ SflUTH S.F.Total - SAC,MCwCC ~ City :=:.:1~-- ~1~•,T~i. Phone a~8-2225 S.F.Footprints - On Site Sewage _ Water Conn W w N8f1'1@ 1' On Site Well - Wa1er Meter w = MWCC 5 stem Address Y - Acct. Deposit a W City Phone c~ry waie~ - PRV Required - S'W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S~'W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrdinanCes. Treatment PI Signature of Permitee ~ APPROVALS Road Unit A Building Permit is issued to: p~~`N`~~p~l' ~I~~~3 P~anner - park Ded. on the express condition that all work shall be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. g~. pry. _ Copies BuildingOftiCial Variance - TOTAL PermH No. Permft Holder Oete Telephone # WATER SEWER PLUMBING L) J 5? ~ a 4_ G°G~ s~~ 4'J 1 H.V.A.C. ELECTRIC ^ 9593 3 , a~ ..1~~ ~3i~f -3C` Inspsction Dete insp. Comments Footings I Foundation Framing ~ Roofing Rough PIb9. / 7l [ ~/a Rough Htg. -7 Isul. FireplaCe Fnai Htg. .-~'J / Final Pibg. ~ ~ Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bidg. Final Z M ~-/L~ ~n.~/WL Declc Ftg. S T~~ r' ~s.e_ l~t~ I E~ //?l r ~ Deck Final Well Pr. Disp. • PERMIT # ~ ; < PLUMBING PERMIT RECEIPT # ~T ~ CITY ~F EAGAN ~ ~y 3830 PIIOT KN~B ROAD, EAGAN, MN 55122 DATE: ~ CONTRACT PRICE: PHONE: 454-8100 ~ Site Ad ress ' o~. $'lve BLDG. TYPE WORK DESCRIPTION Lot ~ Block ~_~ec/Sub Res. X New ~ ~ ~k.-- j Mult. Add-on ^ m Name Comm. Repair ~o Address Olher c City Rl ne~unj n on Phone - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - FIXTURES ~ T~~AL Name ~ 1 Buildtrs InC. ~ water Closet -$3,00 S- c Address ' e ~ u g~ Bath Tubs -$3.00' ; ~ ~Lavatory - $3.00 p ~ity E~looain=ton Phone ~~~~5 ~ Shower -$3.00 3•D Ki!chen Sink - $3.00 FEES UrinaliBidet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE - - $20.00 Gas Piping Outlets - $1-50 _ STATE SURCHARGE PER PERMIT ~ - .50 (MINtMUM - 1 P~R PERMIT} ` (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 P[ivate Disp. - $10.00 , ` ~ f , Rough apenings - $1.50 ~ ~ ~ ~ ! .a. FEE SIGNATURE OF PERMITTEE ~ i,' ~ STATE S/C: ' ~ ~ ~ , ~ ~ 1 FOR: GTY OF EAGAN , GRAND TOTAL• F~ --s ' < CITY OF EAGAN } 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r I Z Q~~ ~ ~ - PHONE: 454-8100 BUILDING PERMIT Receipt~ ~T~ ~ To be used tor 5P DWG/GAR Est Value $133, 000 Date JUNE 11 , ~g $ 6 Site Address 631 STdNEWOOD RD Erect ~ Occupancy R~ Lot Z Block 1 Sec~sub. ~'+TI~~DTREE 6TH Remodel ? Zoning 1~t1 Parcel No. Repair ? Type of Const Addition ? No. Stories ~ GUST~FSON & ASSOC Move O ~ength 68 W Name Demalish ? De th d~+ o Address 0 U .'~9i:TR0 BLVD Int Impr. ? Sq Ft City ~DINA Phone ~~5-1U01 Install ? o Name SAME - ' ' ,~.rcC,~- Provals Fe~a ~ a Address Assessment Permit ~ 515 .1Q' ~ City Phone Water & Sew. Surcharge ~ 6. 5 U Police Plan Review z57. 75 ~ W ?vame Fire SAC 575. OG Address Eng. Water Conn. 500 . 00 i W city Phone Planner Water Meter 63 . 5U ` Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 6~1V~8 Tr.PI. 15b.~Q information is correct and agree to comply with all applicable State of Minnesota Statutes and City of an OrdiAances. APC P8rkS ; ~ ~ Var. Date Copiss 30 Signature of Permittee ~ Ta~~ $2 ~ 424 . 75 A Building Permit is issued to: GUSTAF'SON ~ ASSQCIATES on the express condition that all work shall be done in accordance with all applicable State o} Minnesota Statutes;a~nd- C-ity oi Eagan Ordinances. Building Offlcial , r ~ . ~ ~ ~ P~rmR No. PermN Nold~r Dd~ Tsl~phom N PFumMn9 1 / y - H.vr?.c. 3 ~ ~ ~3 El~chic ` p ' l" '~S ~J- - - .lil., ~ SoManer linp~etlon Dale Insp. CommaMs Footlnya I ~ 1~ lo W~j Footlnys 11 Foundatlon Frsminy a ~ RooBng ~j Rouyh Plbp. Rouqh Mtq. ~ ~ Imul. lU 1 8 4~,~' F~?splac. ~ a . Flnal Nty. s ~ Flnel Piby. &dy. Flnal C~rt. Oec. ~if P !J~ Dack Ftq. D~clc Frmy. DNerib~ Locatlon: WNi Pr. Dlap. . ~ ' . ~ PERMIT 1i ~ " ~ ~ MECHANICAL PERMIT RECEIPT # r CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address ¢LDG. 7YPE WORK DESCRIPTION Lot Block Sec/Sub ~ Y S' ~ Res. ~ New m Name Mult Add-on c~g Addrg~s d Comm. Repair c City F~~/j'/~~~Tdy Phone ~ pther Name K` FEES c Addre Df~/~> ~ l rD .~G/r7E ~ RES. HVAC 0-100 M BTU -~24.00 p City ~ D~ N~ Phone ADDITIOMAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 T1fPE OF WORK ~ GAS OUTLETS - 1.50 EA. Forced Air l D~ M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD 5.50 S/C IF PERMIT PRICE GOES ~ ~ BEYOND $1,000.00) ~ Gas Piping Outlets # Other FEE ~ ?U ' s~C: ,~j a SIGNATURE OF P. ITTE TOTAL• ' ~ FOR: CITY OF EAGAN ~ • ~ PERMIT # ~ ~ ~ ~ ~ • PLUMBIN(i PERMIT RECEIPT # ~ CITY OF EAGAN ~ a 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address -S t BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Su ~ ~ ~ Res. ~ New ~ Name ~ 0 Mult Add-on ~ Address « vE Comm. Repair c City Phone 3' ~ Other FIXTURES T ~ Name ~ ~ ~ ~Water Closet - $3.00 ; Addre O V ~'l yo Bath Tubs -$3.00 p City ~ D ~,v ~ /?N Phone ~ /d4 Lavatory - $3•00 ~ Shower - $3.00 FEES Kitchen Sink - a3.00 COMM/IND FEE - 1% OF CONTRACT FEE ^ Urinal/Bidet -$3.00 + MINIMUM - RESIDENTIAL FEE _$~p,pp ~-~undry Tray -$3.00 y MINIMUM - COMM/IND FEE _ 20,pp Floor Drains -$1.50 STATE SURCHARGE PER PERMIT - .50 ~Water H~ter -$1.50 - Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ~ Gas Piping Outlets -$1.5Q BEYOND $1,000.00) ` SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 ~ -~Rough Openings - $1.50 ~ SIGNATURE OF PERMI EE FEE STATE S/C: ' ~ 0 FOR: CfTY OF EAGAN GRAND TOTAL• ~ This requesl voitl~ t. _ G/ ~ ~5 ~ 18 nwnths from CJ 0 ll ~ 0 ~ ~ 1 t- i i "(c l f{ -(n - Fequ t Oate~' Fire No.~ ftough-in Inspec~ion ~j flequfred7 QReddy Now ill Notity Inspec- +3 es ?NO ~ur When Ready se fe`ctrical Convactor . I hareby request inspec~ion of above ? Own,gr aleetrical work installetl at: Street Address. Box or Route No. Citv ~ ~ e4~on o. Townshi0 Name or No. Ranye No. County OccyQanlIPRINT) Phone No. / ~ ~G ~ . ~ Q ~ - ~J ~O cJ Power SunP~~er Address ~ ' t~~' M-c.~ J.~ ~ E_~ ~ ectrical Contractor ~COmpany Namel Cnntractor's License No. E o~ 3 ~ Mailin Atldress (COntraclor r Owner Mekine ~~stailationl / b r.~ 1n1v~Q I" ~ 6v AuMonzed gnaNr (COntracmr/Owner Mak1 B Ins~allationl Phune Number Q,~u~,---- 7~9 ~ ~'a MINNESOTp STqTE BOAPU OF E~LECTqICITY THIS INSPECTION XEaUEST WILL NOT Grig9s-Midway BIdB. - Room N•191 eE ACCEPTEO' BV THE STATE BOAND 1821 University Ave., St. Paul, MN 56104 UNLESS PPOPEN INSPECTION FEE IS Phone 18121297.2111 ENCLOSED. c~ ~ REQUEST FOR ELECTRICAL INSPECTION ' See insiructiorm for completirg this torm on beck of Yellow cooV. ~ ""X"' Below Work Covered by 7his Reques~ ~ 5~7 Add Aep. e oi BuilCing ~ Aooliantes W~red Equioment Wfred ~ome nge ~ Temporary Service Duplex Water Heater Liyh[iny Fixtures Apt. Buildinc~ tyer Electnc Heatin Commercial Bldg. ace Silo Unloader Industrial BIAg. -onditioner Bulk Milk Tank ? Farm ot er Veci v ~~her Isuecifv) t er SuecilY t er Olh~r ampute /nspection Fee Below M Fea Se~viceEnlrence5ixe A Fee fyetlars/Subfeeders M Fne Cimuits 0 to 200 qm s ` 0 to 30 Am s ~ to 30 Am s G Above 200 qmps 37 to 700 Amps 31 to 100 A Swinuninq Pool Above 100_Amps Above 100_Am 5 Transiormers Irrigation Booms Partial:'Other Fee SignS Speciallnspection S ~ ~ Nemnrks TO l FEE ~ ~O C~ NouBh-in _ Date CJ I, th rical . ~~spac~or, he~eby c ify ihet the above Fine~ ^1e nsoection has baen /c/. / -'f ~'M~i ~~i~l meda. ~his repueat volG 18 monthe irom - I 5~3//89 ~ ' ~ 95933 i ~3i 4 ~ Heques~ Oate Fire No. Fough-in Ir~specfmn 3Q q iretl? ? ReaEy Now ,~'(Will Notity InspeGar p Ves ? No When Raedy? I kQ licensed contractor ? owner hereby request inspection of above electrical work at: .bb Adaress (Strea~ or ut~~ Ciry SeNOn No. Tawnship Neme or No. Hange No. Caunty _ _ ~ ~ Oc[upam (PRI Pho~ No. ~ .l~~•G~E.v~L lr/l~.J l~~ ~a°?-5 Power Supplier Atltlrew Electrical Com~ ny N ContractorB Liwrise No. ~ ~ ~ yGzi Meilin9 ~tlress (COnhacta ot Owrier Making Inslallation . G. ^ S~Y AuLhorizeE Sign e( eGanOwner M' Install ' Phone umber - J~ MINNES A STATE BOAflD OF EIECTHICfiV THIS INSPECTION RE~UEST WILL NOT Grlgga-Mltlway BIEg. - Room S1]3 BE ACCEPTEO BV THE STATE BOARD 1821 UnlveraHy Ave., 51. Paul, NN 55100 UNLESS PflOPEfl INSPECTON FEE IS Phone (fi72) 60]-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooom-m ~ ? See InstmMions for completing ihis form on back ot yellax mpy. y ~~ra a~~ 1 ~ 3 3 X" Below Work Covered 6y This Request ~J ~ j :p. TypeofBUilding AppliancesWired EquipmentWired Home Range , Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm ' Air Conddioner Oiher~speciry) ConhacWr4 Rema~ks: Campute Inspection Fee 8elow: # Oiher Fee # SarviceEnirance5ize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps hansformers Above 200 _ Amps A6ove 700 _ Amps Signs Inspecior9 Use Ony: 7p7p~ Irtigation Booms p •O ~ ,j6 i Special Inspection Alarm/Communication Other Fee 1, the Electrical Inspecror, hereby RO1~""" oara ~ _ certify that the above inspection has F„~ been made. t OFFICE USE ONLV This requasl wiE 18 manths hom • CITY OF EAGAN N~ 164g2 4 i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 /y ~ O q BUILDING PERMIT Receipt # fl( o~_. To be used for BASEMENT Est. Value $1, 500 Date MAY 17 , 7g$~ Site Address 681 STONEWOOD ROAD Lot 1 Block 1 Sec/Sub. WINDTREE 6TH OFFICE USE ONLY Parcel No. occuPa~cy - Fees Zoning - ~ Na~tte DAVE BOBERT ~Actuap Const - eldg. Permit ~ 6_ 00 w o AddreSS 681 STONEWOOD ROAD (Allowa6le) - SurchargB 1.00 City EAGAN Phone 452-0548 a o~ s~odes - Length _ Plan Review o Name PLEKKENPOL BUILDERS p¢pih - SAC, City Addfess 8609 HARRIET AVENUE SOUTH S.F.Total = CISy Ri.00M1NCTON PhOnO ASH-2ZZS S.F. Faotprinis SAQ MCWCC On Sire Sewage - ~Nater Conn r Fw Name SAt~. On Sire Well - Water Meter az Cddress phone CiryWae~stem = q~~y Deposi~ Y PRV Required - ~ Pe~m~~ I hereby acknowlege Ihat I h read this application nd state that the Booster Pump - SNV Surcharge informalion is cortect and e to wmply ~~~yyyith a pp/l~~ahle Slate oi Minnesota Slatmes and C' Eagan Ordi ~s. „ _ 7realment PI J APPROVALS Signature of Permitee ? Road Unit PLEKKENPOL BUILDERS Planner - Park Ded. A Building Permit is issue to: on the express condition that all work shall be done in accordance with all Council - applicable Stale of Minnesota StaWtes and Ciry of Eagan Ordinances. g~dy, pry, _ Copies BuildingOl~iCial I Variance - TOTAL 3~.00 CITY OF EAGAN O = 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 120 74 ~ PHONE: 454-6~00 BUILDING PERMIT lieceiptp ~2~3 ~ To be used for SF DWG~GAR Est. Value $133 ~ 000 Date JUNE 11 1986 SiteAddress 681 STONEWOOD RD Erect ~I Occupancy R3 ~oc 1 eiock 1 Secisub. WINDTREE 6TH Remodel O Zoning R1 Parcel No. Repair ? Type of Const. ~g Addition ? No. Stories a GUSTAFSON & ASSOC anove ? Length 68 W Name ~400 METRO BLVD Demolish ? Depth 4~+ o Address Int. Impr. ? Sq. Ft Ciry EDINA phone 835-1001 Install ? ~ $p~[+jE APProvala Feea o Name ~a Address ASSeSS~llent Permit +S 515.'S~ ~ City Pnone Water&Sew. Surcharge 66.50 Police PlanReview z57.75 Fw Name Fire SAC 575.00 ai nddress Eng. WaterConn. 500.00 a W Ciry Phone Planner Water Meter 63 .50 Council Road Unit Z90.00 Iherebyacknowledqethatlhaveieadthisapplicationandstatethatthe gldg.Ott. 6/10/8 Tr.PI. ISFi.OO information is cor~ect and ree to compY~with all applica6le State of Minnasota Statutes and i o ga r fiances. APC Parks ~~~Y~ Var. Date Copies -50 SignatureofPerminee $2 424.75 Total • A Building Permit is issue to: GUSTAFSON & ASSOCZATES on the express condition that all work shall be done in ccordance with all applicab a f Minnesota tute a d City of Eagan Ordinances. 8uilding OHicial ~ ~~g L~ ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 a' 657-681-4675 ' - New ConaVUCtbn HaauhemeMS BemodeVHeoalr Beaulrements • 3 reg~teretl stle surveys showing sq. fL of bt, sq. tt. of house; and ~II roofetl areas • 2 copies ot plan (20qo menMUm bt Coverage albwed) • 7 setof Energy Cakulatbnsfor heatetl aCd'Abns . 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 sHe surrey lor exterior edaAions & decks • 1 set ot Energy Ca~uletbns • Indicate H home served by septk system tor atldRbns • 3 copies of Tree Preservatbn Plan il bt pleped atter 7/1l93 • Rim Joisl Defail OptiOns selectbn sheet (bldgs wRh 3 or lass unBS) DATE JI VALUATION I D' ~ SITE ADDRESS I/)~I S~nI~I.~XY)d ~X~C..~ MULTI-FAMILY BLDG _Y _ N TYPE OF WORK C I:.~~ 3~ ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT C~D~7 /7 Edp~. . STREET ADDRESS S CITY nrc~ ~ ~ n~ STATE ^'~n Zip ~ 3N 7 TELEPHONE # ~t~3 -a-rna CELL PHONE # FAX # ~ & 3 ~ PROPERTYOWNER ~PX~LI d LX~I,YC~ ~~I"~2. TELEPHONE# ~~'~lY~" a I~l COMPLETE THIS SECTION FOR ~NEW~• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES'1670 CATEGORY 1 MINNESOTA RULES 7672 submission lype) • Residential VeMilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envalope Calculations Submitted Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanlcal Conhactor: Phone Mechanical system includes: _ Air Conditioning 6~~~~e 0 Heat Recovery System I II ~ - .IIII 3 1 2002 U Sewer/Water Conkactor: Phone -----------------------°-------------------------°-----------------------------------~-BY-°-----°~--------------------- I hereby acknowledge That I have read mis application, staTe that the information is correct, and agree to comply wiTh all applicable State of MinnesoTa Statutes and City of Eagan Ordin n~s. n V ~Y li SignatureotApplicant ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 I OFFICE USE ONLY O 01 Foundation ? 07 05-plex O 13 1Crplex ? 20 Pool ~ 30 Accessory8ldg O 02 SF Dwelling ? 09 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Al[- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Att - SF ? 04 02-plex O 10 0&plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lowar Level ? 24 Stortn Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Mova Bldg. ? //////42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)" ~ Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire ~~dg o Give PCA handout to applicant Valuation 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 5prinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee - ------------------__WWM--------------------- Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permlt Mechanical Permit License Search Copies Other Total ~ ~j ! ~ 0 ~ . . ' ,1~ p ~ /~.,."~--i ~C-v~ ~ . 1986 BOILDING PSRMI? APPLICATIOH - CITY OF EAGAN AOTB: ALL C09TRACT08S M[IST BE LIC6ASED iiiTH T~ CITY OF EAGAN SI~IGLE FAlIILY DWELLI~iG3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[1LTIPLS DTdlBi,LINGS - RffiIDSNTIAL RENT9L Q9ITS FOR SALB DNITS - INCLUDE 2 SETS OF PLANS, CSRTIFIC9TE OF S[JRYE4 - CHECg 4TITH BLDG. DEPT., 1 SET OF ENERGY CALCULATZONS C01~4~BCL9t: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2~000 LANDSCAPE BOND /.336~ F ~b To Be Used For: G~ Valuation: -~7'-f- Date: 'L~ ~G Site Address r.~ OFFICE U3S ON4 Lot ~ Block ~ Erect 1S Oecupancy ~ Remodel Zoning ~ Parcel/Sub ti.~~~(~ c.t Repair _ Type oF Const ~ / Addition ~ of Stories Owner L~~-~~ Move Length %~J~~~ / Demol3sh _ Depth ~ Addresa /'yUV i!' «''~r"~'`~l Int.Impr. _ Sq Ft ~ Install City/Zip Code `f ~ Phone ~ J ~ ~ ~ ~ APPROVALS FSES Contractor „_a-~/~~~z_ Assessments Permit SIS ~ Water/Sewer Sureharge , p 9ddress /`7" d u~~. Police Plan Review /J ~ ~ ~ ~ ~ Fire SAG City/Zip Code ~i+=•---~, J~ i~ Engr Water Conn D / Planner Water Meter ~ Phone ~ j) /~~,r'~ Couneil Road Unit 2 O Bldg Off n Treatment P1 ~sl Arch./Engr. APC Parks Varianee Copies ~ Address ~ / ~ City/Zip Code Phone # NOTE: ADDRBSSBS FOR CORNER LOTS - CONTRACTOR/HOMEOi~Nfi@ MQST DSSIGNATfi i1HICH ADDRfiSS IS DBSIRED. NO CHANGS3 iiILL BS ALiAiiED ONCE BQILDING PERMIT IS ISSUED. ! ~ - Z3 ?~..1"~ ~ 2 ~ >o ~ z, 3 3 ~ , ~ ~ ~z = . ~~U ~ , -z~ ~°t5 ~ - 1~ x A~ = 7~/ ~ 5v L'~~~32 F, x 3z° /1Z ~ 5~ ~ ~ ,c 3 ~ = `L..S Z ~ '4~~' ' 11 x c~~` ~~O S~ "y j`~ °3 ~c l~ ~ ~ S = Z~i ~2~1~ ~ /3~lc/ 1~ x ~ ~ = ~Ll ~3,~~.a , SS~ x~ Z z~z~v ~ ~/zz~ ~ ~ 1~= IS~G/ '`~L1= ~3~ 5,~ i~ ~ y~o x~~~ 3r'~ ~ `.~2~7~ . ~ I ~ I,1 F~ON KRUEGER ~ ASSOCIATES, INC. REGIS?ERED LAND SURVEYORS ~ 7382 WASHINGTONAVENUESO. EDEN PRP.IRIE, MINN, 55344 PHONE 012-941-3030 CERTI~ICA'TE OF SURVEY Survey for SARROA[ c."p,l/ST. ~i(,~. Job No. 7~497 Bk. Pa.33 s~ay. 5T0.(lEl~?GYJO ROAD s~aE.. - 908.5 9~~0 . . y~<pcsEo GcuG. G`/FS 909° 0 M (L; Zo7_73 20.00 /02.88 9/2.7 , X9to.4 ~V . . ~ ; O ~ , ,Q~'~ O ¢`V~c -M ~ . y11 \2~L'•- 1` t ~ LJ / . 9132~) , ' ~ 03~ O ; ~ ' ~ _ _ `~3-~ Z~.o N ~ y.o ~gr3%) ~ o , o ~ ~ ~a I ; tV ~ 15~~ /2.o N ` ~1~ V 1~~ 9~0r m 0 24.0 083 1 tl' A~t ~ ~ b J'F.O N lO.~ ~9125~ ~ p 1 w Q\°~y~ ° f 1 ~ ~ W~ d P~O ro lZ~o 9°~fP) " en ~ ~ ~J /O ~ ~'~~o ~ 9og° _ f ~l ~ . _ ,n I' ~.o gFPj 9r4.z ~ ce~~ 1 GoT / 1 ~ 1 EA SE~ ~ 4lfe.2 5~ , ( ur~~~~ , 3~ p~~~~~ /Z+~~~ ` N t 90~'V CQWEST FGOOR • ~ 905 ~ ~ ~ ~ C~AR.14E Fcoa¢ = 9/3 zs ~ ~ ~ 7DP OF FGt~.v0.9TiON = 9/ 3 So , ~ XXX - FJ(/ST EGE?. (XXX~ > PROP. ELE?. 4-- = D/.2EGTiDN OP Su,2Fi4CE L1PA/.t/qC~E I here6y certily lhat this is a true and correct representation oi a survay ol lha bountlaries ol ~i BL~K ~ ~•t~/.UDTi~~E ~TN ~D/770A~~.pi9~7gCOUnty,nninnesota Surveyed by me thte 2~~ day of ~'Qy 79 Bb QE?~560 /~SE ~o<R/oN (o -3-$6 RP.O, l RON KRUEGER A SOCIATES, INC. $TAT~_RE4..N0.143Z4.- • HINt1ESOTA STATE E:IERGY ~:opE r,ALCULATiONS ~ M09ASED ON f.IIAPTcN )~GF T11f ~`~-Ca'~~-7q~ : . ERC.Y ~:pDE . ly ED[TTONTI ~(f/ ~ Adupclun EFEactlva IIII84 • ~ ~ ASPEN RIDGE ASSOCIATES• . . L?~~~~ )svne r Pho ne 835-1001 r~ P ilte Address 681 STONEWOOD RQAD, EAGA~T, MINN, • ;ontractDr GUST~+P'SON & ASSOCIATES . , . . ~r._ _ "rhone 835-looi fu11d1ng Classification: Type A1 (Single Familf S Duplex)_~Type A2 (ResidenNal~ (3 stories ar ess (Other} ~ ~ (Over ] stories). i~NEAAL INFORMATiON I. Building Perlmeter ft. , ~ ~ Wall height (ground to eave)~ ~ ulq~'~t, _ . ~ • 2,.;.. 3. 1. x 2. (above} gross wall p_rgA. ~~j.(t• Bu11d1ng dimensions (L) x(N) •~~Tft.Z roof y floor area 5. Square fcot area of rim ~oist - Floar ~otst s1:e (2 x lDT ' ' • ~G~ x Perimeter • eim o st area + Z~OL~ ft2 • 12 ~Zo . . 5. Doors - ~lrea f `i' / • ' . • ; . . . ' Thic necl-'ss ~~~ctor ~ ~ Type of Construct an . . Perlmeter ~ ft. ~ Hanufacturer '7. Total doar's perimeter ft ' • 8. 4tindows: Manufa turer ~~~jh"1 State approved ~ U factar ,~J 7YPE SIZE AR:A (Ft.2) t1U4@ER Of TOTAi. FE;T z ' ' EACN UNITS , . g, Total ft.2 Glass ~~f ~ • , ~p~ Fireplace area; Width x heiaht ¦ ;i7---7~ ~ ' Ft.2 11, Exposed faund~tion: Helght x Perimeter , 7/ x /(p~ o Ft.2 ;JFiPLET1~N OF TNIS FORM 15 REQUIRED FOR~ALL IIEI~ CO~ISTRUCT10~1. MAJOR REIIODELING ANO BUiLDiNGS BEIP 1 ~Y:J +lNERE EhEHGY, OTNER TfiAY iNE 141NIMAL CODE ALLOt~lAlltE, IS USED. • • - (,lio(L~ ~N~ ~ -7fl5 . . ~ ~ _ - ~ ° ~ ' e e ~ ~ a - a - ~ 0 ~ ` ' . ~ = p7 . 1 C/ ~ .J - t ~ g ' ~ s s ~ i - ~ ~ ~ ~ L ~ ~e ' ie u ' n u - t: u o is 15 1~ I1 Il 11 t1 1! I! 10 ' ~ / IO it D II . 71 !I f/ I7 N tS 1t ~~5~ 2! 7t 77 ~ / p i YL, - : , r 70 71 ' ~ _ ~I ~ 11 77 77 i i 1] N . » i 7S ~s ~ a - I tt . ~t I ~t »i ~e ~e ~ Q wti~.. ~prrt~ rnw~r.v a~ea~ oeun ~m~ wr~ -.12. .F,°~wing area ¦ 10X of gross Hall a ee, ~-Z9S' 13. Gross Hall area ft.~ Nindow area A ~j~ ft.2 U wlndows ~ p x A~~,11 Rim fotst area A_ Z(p lQ ft.2 ' U rim ~o1st 0 U x A¦/p, D Doar a A 2 ~D 3 tt. u door area , U x A•~$?~ area A ~L~-- ft.2 U flreplace ¦ . U x A•~q~Q 2 ~ 1.C~KlI Expased foundatlon~A ft. U foundatlon ¦ U x A¦/7.9(Q framing area A ~ lZOVft.2 U framing area ¦ r~1,y ~ x q~ l3 , ~3 Net wall area A ' ft. ~ U wall ¦ O. U x A= ql 9 3 • (13B) TOTAL . . . . . . . . . . U x A 14. 6ross wall area x 0.11 (A-1 single famlly 3 duplex ¦ allowable U x A/Code ~ (13. a0ove) . x O.Z3 (A-2 other resldentlal) x .23 (Other buildings) . x .28 (Over 3 stories) x U ~j~ BTUH Flust be larger t ' a--.~ ~ G4.44. ~ ~ . ~ 13B abave 15. Ce111ng framing area (Af) equals• lOt of ce111ng area ~ or the same as ~ 15A. Gross ce111ng area ¦~~L) ` x~Y) • ~i ft.2 ISB doist area (Af) ¦ lOx ce111ng area ¦ 2 l7~ ~ tc. 15C. Net ceiling area (A~) (15A - 158) ft.z U ceiling x A ,~Z ~ x .~(p U framing x A f¦ ,flZ x' .~r~' 150. TOTAL U x A Z~ . . - 16. Ceiling area (15A) x 0.026 (A-1 single famlly 8 duplex - code allowaCle U x A . • x 0.033 (A-2 other resldentlal) . • x 0.06 (other) ~ A(15A) I~~ ^ _ BaUH Must be larger than 150 (above X f (or the same as) • ' : NOTE: Use U and A values obtained from nps 1, 3 and 4. _y„~•., --I ~c u rH~ue w~~~u~ni ?un~ ~ ~ She~T~IrJU • "1r~a~uE u va~ue • ~ Inaid• atr f11m .68 {JALL ' t~ Idteeioe vall (57~11) U . ~ . SECTION ~ ~ ~ [nsulatlon ~S Sheathing Z..4(a , •a~3 '1 5lding . Oucs[de alr fllm ,17 . ~ a ror,~c 23,a3 ' Insida air !!lm .68 s~'~ InCacinr wall ~4~" SECTIOH ~ .Y+ acud~6~, R' ~4i~6.+,rjp(gram[ng3U. A¦ ~ _ She~ching ~ Sldtng - - da7 .b~jS Outslde air film .l7 . . 1 ~ • e TO't'AL _ ~ 6 . ~'3 ~ In~tde a1r film R~ .68 2HD SIALL 2ntarior vall • SECTION Insula[!on ~ • - ~ 1 ~ (Na12 ~U. ~ ~ Shu - • ~ Exterior xall ring • ~ Exeertae iir film R ' . R TOTAL ~ •Lneertor a[r film R~ .63 I Lnaula~ion pp 10IST ~ .i~ 1 • l~f tneh aofe wuud fl=1 88 ~Rim . ~ doist) 5heaching 2~~(0 ~.fi+ ~ Extarlor wall eavering .67 ' ~ • Exier~oe air fllm ,17 , ~ ' a rora~ ~4, 4-~ . . . Inte'rtar str film R' .68 ~ . ~ Inaulatton ,'S.Ob . ' ~ Foundatlon I.2$ ~ . '1 (Fdn. ] !1 ~ ~ . Extertor atr fltm R' .17 C , R TOTAI. ~.I'~ ~t~ - ~ • ~ xposed 81uek " ~ . I ' . ~ ~ ~ ~ ~ CEILI~IG aI?H ~/E`lTcD ~T~ tC SPACE ABOVE . ~ii :~+LL'c lUE " FRAt4I ~tG CE Il IN6 ' 0.81 Air Film 0.61 3~~~ Insuiation TI~~ - 3$ ,lotst ,5~ Ceiling . i~o • J ~ ± f . / 4' ~ O.fil Air Film 0.61 42,c~ raut a 4~',~4~ ~ ~r .OZ~i U = A .b~'Z. ~ , F~.4T RCOF OFt CdTHEORAI CEILING ~ Ya ue R 'lAIUE I fRAbtING CEILING 0.61 ~ Inside air fflm 0.61 - . Cei i i nq. - Joist (stud Insulation Air space • Roaf decking • ~ Insulatian ~ ; BuiTt-up roof. 0.17 Ouuide air film 0.17 • Total R . ~ ~ • U R aindow inflltration .5 cfm/11nea1 foot af crack ~ tesidential daor infiltratien 0.5 cfm/squsrz faot or door and minimum co~ie requirement Icn-residential doar infiltratian 11.0 cfm/lineal foat of crack Jb 12" cancrete btock na insulatian ='.:47 R 2.1 tb 12" concrete block insu~ated cores =`.26 R 3.S ~ Jb 12" 1iglitHeiahc block •:32 R 3.1 Jb 12" lignt~veight hlock insulated cores. ~.12 R 8.3 J single glass = 1.13; with storm.trind~x .54 1 double gtass ~ .55 ~ ~ J triple qlass = .41 ~ 1T1 ext2rior wails and ceilings must have a vapar 5arrier (0.10 perm msx.). ' ;apor barrier must be on the inside (heatad sfde) of irall. = ~apor barriers af.the palyethelene thin film hav? no R value. . CITY USE ONLY L ~ BL ~ RECEIPT SUBD. ~,I /~~~/~-t~ DATE:~~ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN ~ 7Z~' 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are tequired for each unit FIXTURES F~E{ jLQ, TOTAL Shower 3.00 x = Water Closet 3.00 x = F3ath Tub 3.00 x = Lavatory 3.U0 x ~ _ ~ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = ~ter He 3.00 x = in 3.00 x Gas Piping Outlet " minimum - ~ 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * ~akota ccy. iicense 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 ' Alterations " to existing 20.00 ~ = 7v~a~ Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 2-~ 5 Q ~ x: BOBERT ~DRVID ~ SITE ADDRESS:~ 681 ~TONEWOOD RDAD ~ i ERGRN , 55123 OWNER NAME: ( H 452-0348 w : ~ INSTALLER NAME~ b?DD Nw ' NORBLOM PLUMBINO CO. (812 827-4033 STREET ADDRESS: ~m dd9~ y80 ~ dARFI~LO AVE. 80UTH CITY: STATE: ZIP: PHONE ( ) OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-d675 Please complete for. . all commerciaVindusVial buildings. ~ multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE; WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR ~ESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: _ , INSTALLER: - v~ N~nt~a• wu o~+M , . ` '2 : ~'NtIEfO VAE' ZOf11N ADDRESS: ~ _ ~ - ~ `~~~f , . r~'~FC-!?3 CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFPICE USE ONLY METER SIZE: DATE: INSPECTOR: . ****#***********#*#f#**4****f#*****t ClTY OF EAGAN * ~~ATT~ ° ~ : . . ' * APPROVAL OF PERhffT. APPLICATION FOR PERMIT * . ~ icvsPncrzor~ oF s~x ~~rm/~ - . ,*t TTLS•PATTATTONS WII.L NOP BE SQIm-~ ; SEWER AND/OR WATER CONNECTION ~~~L P~T ~ . :1~rnxovID- ; * w , ~ ~ . * * * * * ~ + *,t * * ,r ,t * e w ,e * *,r ~ ,r,e t ,~,r * * * *,t,t t * / P ease Print ~ 1) PROPERTY ADDRESS: ~i ~l ~ Td~~ ~J~~ o/ ~2 LEGAL DESCRIPTION: _ l ~ J ~,~~_,ae ~ ° Lot Block Subdivision or Tax Parce ID ) 7.F' EXISTSNG STRCGIL'RE, DATE OF ORIGINAL BIIILDING PII2MIT ISSPANCE: - - i ' Mon Year) PRFSENr ZONING/PROPOSID L'SE: ~ CObP~RCIAL/REPAIL/OFFICE R-1 SINGLE FAMILY . ~ IbIDPSTRZAI, ~ R-2 DL'PLEX (1t~o L~nits) ~ INSTIIL'TIONAL/GOVERDP~4,'NT ~ R-3 ZOWiQHOUSE (Three + Units) ( Units) ~ R-4 APARTTg3VT/CObIDOMiNICT1 ( ' Units ) 2) ~ ' NAP~:~I~i v t tie R-j A' S~e ~ ~ ADDRESS: ~IeCi ~ 1"h l~oY~ ~F ci~r, srAZ~. ziP:_ 5 T P~sti / BVi; K' S! l Z pxor~: l0.3~-~,3L/ • 3) ~ u,; For City Use . ~=_.fli¢uC s~ e I~,P3 f" Pl,un~exs I.icense: ADDRFSS : Active ~ FScpired i CITY, STATE, ZIP: Not recorded PHONE: MASTER LIG'ED1SE# ~ 7 GQ St~ Initlal q) ~a• • • i~+• S~Q~ow ~ aa ST _ ~wD~ss:_ 7 ~F a?~ M ~r '~~o i~/D~ CITY, STATE, ZIP: ~ C~ ~~.~t//9 ~1 i/~! Af PHONE: • ~5) n r: : o - a. - a. ~ CONPIF.CTION TO CITY SEWfIt CONNFJCi'ION Tl7 CITY WATER pTAER ' 6) ~ PLEASE HOLD APPROVFU PERPIIT FDR PICK-OP BY ONE OF ABpVE ~ PLEASE MAIL APPROVF~ PII2MIT 3. 4. ABOVE . ~1e one) / 7) r u•• - , ~1 ~ '7-~'~G~ '•'1" ~ Y' I' M 7 ~ ~ I' a D IJP P Y71• ~ ~ ~ 1 ~ 1. IT. 1•J C;i M:I• •,~yS~ 1 1 1 :A' ~ •F ;A' 11 P y . . ~'OR CITY USE ONLY PERMIT # ISSUED 7 7 5'S'" Pd w/Bldg. Permit FEES: $ S /C~ ~ S d SEWER PERMFT (INCLL~DE SL'RCHARGE) $ S ~~~_5 O WATER PERMIT (INCLODE SCRCHARGE) $ `o S~ S WATER METER/COPPERHORN/OL'TSIDE READER $ S WATER TAP (INCLC'DE CORPORATION STOP) $ ~ SEWER TAP $ $ ~~j ~ p"~1 ACCOLNT DEPOSIT - SEWER $ $ ~S' O~ ACCOC'NT DEPOSIT - WATER $ ~ b ' O d $ WAC $ S~S~O p S SAC $ $ TRL~NK WATER ASSESSMENT $ S TRONK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRL~NK SEWER $ S LATERAL BENEFIT/TRL~NK WATER ~ S~• n~ $ WATER TREATMENT PLANT SLRCHARGE $ S OTHER: $ 9 T ~S~ $ /J O TOTAL `3 . 7 G ~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL~BLZC Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~_~y C_ ~~~a y~~-]to TITLE: DATE: ~/3 / ~ ~ ~ y~ ~_3b~Op+ 1•OU+ 37•OU* . . ~ ~ 19g9 BITILDIAG PEAMIT APPLICAYION CTTY OF l N ~ SINGLE FAMILY DiiELLIAGS lIDLTIPLE DiiELLINGS COrB'~RCIAL 2 SETS OF PL9NS 2 3ETS OF PL9NS 2 SETS OF IRCHIlECTURAL 3~GI3TERED SITE SORYEYS REGIST6RED 3ITE 3IIRVES3 - 8 STRDCTORAL PLAN3 1 SET OF BAERGY CALCS. (CHECS iRTH BLDG DIY.) 1 38T OF SPECIFIC9TIONS 1 3Ef OF S86RGY CALG4. 1 3ET OF EAERGT CALCS. MULTIPL6 DiiELLINGS AENT9L ONIT3 FOB SlLE DBITS * OF DHTTS lIOTEt ADDRES3ES FOH CORNER LOlS - CONTRACTOR/HOMEOSiNEA !lOST DS4IGNATE iiSIC9 ADDRESS IS DESIRED. PO CHlNGES AII.L BE ALLOiiED ONCE HQII.DIHG PERMST IS I530ED.. SENER i 1i9TER PERhIIT FEES APD ACCOONT DEP03IT FEBS RII.L BS INCLODED iiITH THE SUILDIN(1 PERMIT FEE. PROCFSSING TIME FOA SEf~EA AND WATER PEBMITS IS Ti10 DAYS ONCE A PERMIT 6?S HEEN COhIPLETED INDICATING l LICENSED PLO[~ER. PENALTY APPLIES HI~N: PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQUESTED. LOT CAANGE IS REQIIESTED ONCE PERMIT IS ISSIIED. ~o,~~~.~~~ ~~oo To Be (3aed, For:~~E~~~~~ ~~~~~abuaLi,on:. ~ Bate,:. ,S ~d~°`~ Site Address ~j8~ E~c/°o=~ OFFICE OSB ONLY Lot ~ Bloek ~ Oecupancy Zoning ~ ~ Parcel/Sub ,~~),~nrJ,l,Ypk, ~r.~t_ Aetaal Const Hldg. Permit Allowable Surcharge Owner 1~/l/~ ~~~~R T • of stories Plan Aeview Length SAC, City ~ Addreas 6~~-S~'o~„ F'~ °o ~/~/z • Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ~/~GO1i~ SS~ a 3. Footprint S.F. flater Meter Acet. Deposit Phone '~~a - O 5~~' On site sewage S/W Permit ~ ~i e On aite Well S/fl Sureharge Contractor /`~.1~/~~~~"~ b1WCC System _ Treatment P1. City water Road Onit Address 59609 ~~~[~/E~ /r/~/~ PRV required _ Park Ded. Hooster P~p _ Copies Citq/Zip Code ~~Oo/dJii~/67v-?55~ StBTOTAL APPAOYALS PenalLq Phone ~'p g- a aa s planner _ TOl9L _5R.00 Council Areh./Engr. TGF'~,cc-'•vioc ~~~J~S Bldg. Off. 5 I~ Yariance Address ~~O ~ ///~~~'N~' . City/Zip Code ~tiG7~t/ ~~'~a" Phone ~ ~°~g - a a ~ j~ PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108866 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 681 Stonewood Rd Lot:001 Block: 001 Addition: Windtree 6th PID:10-84475-01-010 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Gerald W Mattson 681 Stonewood Rd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature