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705 Stonewood Rd CITY OF ~AGAN WATER SERYICE PERMi4 V 3830 Piiot Knob Rvad ~ P. Q. Sax ;198 PERMIT NO.: ~ Eege~, TNN 55121 D/~l'E: Zoninp: . No. of Units: " Owns~: j Address: • Slte ~ddross: i Plumber: ~ Metar Nod.: p r~~i~ ~ SIZQ: ~l~ r` /7 VG~ Reodsr No.: Q ~ 7 ~ ~ ~ ~ ~e . ~'~.~~~i ' 1~y»~ fa ea~yhr vrill~ tlw Cihr of E~.E~ urchQ,ryQ: . j oe~un GQ~6ti.~ . ~',r~: u R~ Total: _ ' By Date Pa1d: of Insp.: Insp.: ~ a-~~-~~ i CITY OF EAGAN WATER SERVICE P~itMR 3830 Piic Knob Road P. O. Box '99 PERMIT NO.: Eagan, MN 551 ~1 DATE: ~ Zoninp: _ No. of Units: i ; Owner: : ` . Add?ess: C' .JJ ~ ~ s ~ ~1~ /1{~,ia~~ ~ ' . . . / ~ r:~- l ~ . ~ ~1N11blr: ~ - ~f~ NO.: C011flCCt~Of1 ~0/QQ: AooouM Deposit: Reoder No.: Permit Fee: 1 yn~ h aeiuply will~ lIN Cdy of bye~ Surchorge: _ _ - Ordiw~naM. Misc. Chorpes: ~ , Totol: 1 , • t ~ , gY Dote Paid: ~ pate of Irup.: Irqp.: ~ CITY OF EAGAN SEWER SERVlCE PERIMIT ~ 3830 Pilot Knob Road ` P. O. Box 2.'99 PERMIT NO.: ~ Eagan, MN 55171 pq~; Zonlnp: ~ - No. of Unfts: Owner: ` ' ('..,n~• Addrtss: $it0 I~IddrESS: 7~~ GtOit~ddOC' "a ' ' ' ~ f Q,r. ~ Plurnber. '-?zV~ i1~D5e~ , 5~ Zn~_- ~ ~1~ ~ ee~/~f~ wNr !1~ Ghr ~i ~N~ Cwmxtiat O+cry~: ' ' ~ _ ~ : AdiM~oN. Aaount Deposit: _ _ ~ P~mdt Fee: - n. Surclarpa: b-. BY Misc. Chorpss; . Oote oF Insp.: Total: ~ Dob Paid: T""" . CASH RECEIPT j_. CITY ~F EAGAN ~ . . 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , - ~ j, DATE ~ ~ g f ~ , ' i " RECEIVED ~~~j~ ~ /{l,./,~~~'J. ? ' A P ' FROM I~ ~~~L"~ I tii N'1 ~~~~~~L.' AMpU1VT $ & DOLLARS ~oo ~ CASH ~ CHECK FOR ~ .i "y-'l/i~.~Y/~" ..1 /~~/T •~~.~~r. - ~ r ' -7 / r~~.`~3(.~.G*/4~:~ _ +~1 C' : ~ ~ s-6---~'-~ FUND CpDE AMOUNT 1: , , sv ~ ~ o ~ ~ ~ / ~ U J ~i / / ? v J /U ~ v Thank You ' s r 'f T ~ ° White-Payers Copy Yeilow-Posting Copy Pink-File Capy , CITY OF EAGAN t~r - O t~ ' r' ~ 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i~ A . 1~ 31 O PHONE: 454-$100 BUILDING PERMIT Receipt# ~ To be used for SF DWG/GAR Est va~ue $131 ~ 000 pa~ JULY 21 , 705 STONEWOOU RD ~ Occupancy R3 Site Address Erect R1 Lot Block 1 Sec/Sub. ~'~~~~DTREE 6TH Remodel ? Zoning Parcel No. Repair ? Type of Const pO-Yn Addition ? No. Stories W ASPEI+I RIDGE ASSOC Move ? ~ength 46 Name = 7 4 0 4 METRO IILVD Demolish ? Depth o Address Int Impr. ? Sq, F~ Ciry ~=nINAPhone ~35-1041 Install ~ ¢ GJSTAFSON d~ ASSG~ Approvab Fees o Name 5 0 7400 ~TRO BLVA .50 ~ < Address Assessment Permit ~ Ciry ED I'_~IA phone 5-1001 ( J. BARROId yWater & Sew. Surcharge ~ Police Plan Review~~ 2 ~ W Name ~ ~Q ~ W Fire SAC 5Q0. Od ¢ = Address Eng. Water Conn. < W City Phone Planner Water Meter 63 . 5Q Council Road Unit 29~ • I hereby acknowledge that I have read this application and state that the gldg. Off. 5 3 ~ S 6 Tr. p1. 15 6. ~ ~ information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O,Poinances. APC Parks ' ' ' - Va~. Date Copies .00 Slgnature of Permittee Total ~ ~ 75 A euilding Permit is issued to: GUSTAFSOi~d dr AS30C on the express condition that all work shall be done in accordance with all applicable State,~t3( Minnesota Stat~tes and_~ty of Eagan Ordinances. Building Official ` ` ~ P~rmM Na PemYl Mold~r GaN TNaphone k Plupibiny S - ic/r , H.v~?.c. 7 ~a..-~., /c~/a~/ ~ ~^~330 ' ~ ~ 1 a/~ /8~U ~.c~> son«,.? Imp~cdon D~h I~ap. Commsnt~ Footiny~ 1 ~ Food~p~ll Foundatlon Framin9 ~ ~ ~ R~^9 R~"~~• o- yl- 3' Rouyh Hly. InsuL ~ ~ FhsplaC~ . ~ FInM Hty. Fi~a~ w~. - ~!y f~ &dq. Flnd Cal. Oec. D~k Ftp. D~ck Frnty. ~~acrib~ Lowllon: WNI Pr. Dlsp. ~ • • ' ~ . . - . , , PERMIT # ~7 ~ PLUMBING PERMIT RECEIPT # y 7 CITY OF EAGAN 3830 PILOT KNOB iiOAD, EAGAN, MN 55121 DATE: /G~C ~ CONTRACT PRICE PHONE: 454-a100 Site Address 5 £~V ~ BLDG. TYPE WORK DESCRIPTION Lot BlOCk Sec/Sub ~ n ~ ~ Res. ~ New ` ~ Name Mult Add-on ~ Address 4 ~ Comm. Repair c City Phone ~ 1 Other FIXTURES TOTAL ~ Name ~Water Closet - $3.00 • Bath Tubs - $3.00 • c Addre 0 City /~t/~1 Phone Lavatory -$3.00 , Oo ~Shower - $3.00 • _ Kitchen Sink - $3.00 ~ ~ FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~_~undry Tray -$3.00 J` MINIMiJM - RESIDENTIAL FEE Floor Drains -$1.50 ~ J MINIMUM - COMM/INd FEE - 2~•D~ ~}~yater Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 ~vyhirlpool - $3.U0 (ADD $.50 S/C IF PERMIT PRICE GOES _LGas Piping Outlets -$1.50 BEYOND $1,00O.OOy Softener - ~5.00 Well - $10.00 Private Disp. - $10.00 ~Rough Openings - $1.50 - SIGNATURE OF ERMI E F~; ~O• SO STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 4 . _ _ ~'7'7a . • . • ~ PERMIT # r MECHANICAL PERMIT RECEIPT # CIT1( OF EAGAN ~^/G'] ~'p lc ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 5ite Address ~ ~ ~v ~ r g~pG. TYPE ' WORK DESCRIPTION Lot Block ~ Sec/Sub ' ~ ~r t~ ~ l.r~ L~ ~ . Res. ~ • • New m Name Mult Add-on c-~,o Address ~ 3 Comm. Repair c City ~~~~~ra~ Phon ~ pther ~ Name FEES c Address ~U U RES. HVAC 0-100 M BTU -$24.00 p City ~ n,~~v~ Phone q ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK r O~ GAS OUTLETS - 1.50 EA Forced Air / M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.OU Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU ~ STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES ~ BEYOND $1,000.00) Gas Piping Outlcits # - Other r1 , FEE ~ ~ S/C: •-SU GNATURE PERMI EE TOTAL• ~'3~ J FOR: CITY OF EAGAN r r ~ ~ J • ~~rfi#irttt~ uf (~rr~~~nr~ ~Citp of ~agan ~p~lPitY Df ~11~~ ~P1~~Dti This Certifcate issued pursuant ~o the requiremenu of Secrion 306 of the Uniform Building Code certifying that at the time of tssuance this structure w~s in compliance with the various ordinances of the City regulating building construction or us~ For the foUowing.• ux cl~irx.don ~''~;';-r,F mdg. Perm;t t~o. ' L_ if; ~~W~7' TYp~ { Zoniaj Dietrid ` Type Cnn~t Owxr aF Bm7mng 1~~~ .~X.. Addrea; .~J ~L~. ~~.'i-"a BUI~IDj/~mfEU i'~J ~tA~:~'ll.\l1./ i` RU•~ l.OC~~I~.."~.~y ll~~ ~11W1i~•~.:•. '.~i~: QlIC: ~11~~ 2`)s ~70? . ~IY~IflB ~ILIt~ POST IN A CONSPICUOUS PLACE This request void ~~/J7/~~ ~ C/ ~ 18 months from . 4'4~3 0 ~o , 6 i, c~rn~~-~~e ~~~'t'' ~`~~.oo Peques~ Da1e y~ Fire N, RouPh-i Insueation Reqw d? ~Heatly Now ill Notify Insuec V ~ es ~NO ~or When fleady censed EI I~ical o tractor 1 Aereby raques[ inspection ol above ? Owner elacirical wo~k inatelled at: Street Address. Box or Houte No. Ci~~ oS 5fo.,a rJoa~l g„ ~ ecLOn o. Township ame or No. ange No. County ~ ' OccuPam IPNI TI . 1'} Phone No. ~ l~~ ~S ~ ~ i S ~ ! 00 •~1 ~ ~p~ 5 Powar SupP~~er ` Adtlress 1"6+uv C ~J~t/'~~'~. ~~N`~ EI¢ctrical Convactor IComVany Namel~ Cuntractor's License No. ~l'+~:.. ~n~. t O 37 Mailing Address ICOnt Yo. or Owner Makina ~nstallatioN 5L o o .e,;Q~...d1 ~rv ~J. ~FR~' e.J m:~"~ Authorized 5~9^amre ICon[ractor~Owner Making Ins[aUa~ionl Phone Number ~.~4,8--. o Qd.e--- 6 r 5 3'7 ~ 7 c/ MINNESOTq STATE 90ANO OF EIECTqICITY THIS INSPEGTION NEUUEST WILL NpT Griggs-Midwey B~dg. - Room N•191 BE ACCEPTED BY THE STqTE BOARO 1821 Univeisity Ave., S[. Peul, MN 55104 ~NIESS PROFER INSPECTION FEE IS Phorm 16121 297-2717 ENCLOSE~. REQUEST POR ELECTRICAL INSPECTION ~ See inslructions lor compleli~g ~his torm on baek of vallow eoov. 5`~ tE• 4~+ 3 3 ~ "X" Below Work Covered by This Request _ p~~ ReS. TyOe ot BuilEin9 AVO~iancea W~~ad EquiV~~e~~ M9reA ~ Home ange Temporary Service Dup~ex Wate~ Heater Lightiny Fixtures Apt. Building yer Electric Heatin Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk che.r oeci V ~her ISper.itYl Farm t e Veci(Y Other O~h~r ompute lnspection Fee Below p Fee ServiceEnlranceSize n Fee fexdars/SUbfeetle~s C fen Circuits U to 200 Am s 0 to 30 Am s 0 tn 30 An~ s Above 200 qmps~ / c 37 to 100 Ainps 31 to 700 Am s Swimming Pool Above 100-Amps AAove 100-AmVS Transformers Irrigation t3ooms Partial.'Other,Fee~ Signs SUecial Inspection 5 TOTAL FI~~ ~UI flemerks / Pouph-in ~,te ~,1he Eleci ieal/ ` Lnspecto~, hareby - • ` ce.s~H ~ne+ ine eeove ~~}^e ! ' ~ insvection hes bean FinBl f i ~d' ~ee. / ~ ~MnrequestvoiEiemonthslrom ~ , ~ CITY ~OF EAGAN .1 ~1 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 N° 12318 PHONE: 454-8100 i ' BUIL9ING PERMIT Receiptp ~y ~ 7o be used ror SF DWG/GAR Est Value $131. 4 ~ Q Date JULY 21 705 STONEWOOD RD ~ occupancy R3 Site Address Erect 10 1 WINDTREE 6TH Remodel ? Zoning Rl Lot Block Sec/Sub. Parcel No. Repair ~ Type of Const. Qn-v„ Addition ? No. Stories W Name ASPEN RIDGE ASSOC Move ? Length 7400 METRO BLVD oemo~ish ? oepm 4~ o Address Int. Impr. ? Sq. Ft. City EDINA phone 835-1001 ~nstall ? o Name GUSTAFSON & ASSOC APP~~a1e F~ $e ndaress ~4QQ METRQ BLVD Assessment Permit $ 510.50 ~ ciry EDINA phone 835-1001 (J.BARRON) WaterBSew. Surcharge 65.50 ~ Police Plan Review 255.25 Fw Name Fire SAC 575.00 Address Eng. WaterConn. 500.00 s W. Ciry Phone Planner Water Meter 63.50 Council Road Unit z90. 00 IherebyacknowledgethatlhavereadYn45applicationandstatethatthe gldg.Off. 6/30/86 Tr.PI. 156.~~ information Is correct and agree to comply with all applicable State of ~ Minnesota Statutes and o~ Idinances. APC Parks Var. Date Copies 1. 00 ~ SignatureofPermittee Total $z,416.75 A euilding Permit is issu ~ o: GUSTAFSON & ASSOC on the express condiGOn that all work shall be done i ccordance with all applicable Stat f Minnesota at es Ciry of Eaqan Ordinances. Building Official ~ ~ ~'°'~'~g" ~f,lj~ ~ a 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~~g ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Naw ConsWCtion Reauirements Remodelhieoair Reaui2menls ~ se'°f~~ 3 registered site surveys showirg sq. ft o( lot, sq. R of house; and all roofed areas 2 ropies of plan C~t ol~"`~ "Recd ~~Y N (20°k ma~cimum lol coverage albwed) 1 set of Energy Calculatlons for heated additions Pr~~ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sife survey for additions 8 decks Pig'A ~„~J,_ , 1 set of Ene~gy Calculations , Adddion - indkate Honsife sep6'c system t7n5~te:Sepd:wSystel~ ~ r~N 3 mpies of Trce Preservation Plan if lot pmtted after 711/93 RimJoislDetailOptionsselectionsheet(bldgswflh3orlessunits ~ ~~~o~ Date ~ l~L l C~f' Construction Cost ~,e~ Site Address ~Q7 Sfoi£/G !.>DUd~ .E'(~ Unit/Ste # Description nT Work C S~', Multi-Family Bldg _ Y~-N Fireplace(s) _ 0_ 1 g, 2 ProperTy Owner cu r{s p~ ~ k~! S'YPAC. C. p~l~_ Telephone #((o$~ - f~/cJ0 Contractor ~c.'''(,.~ ~ itS S~l/t' J Address /.lJ ~j0 PRQ~C. P.,Q C~tY ~~t 4*~-~ State t~i12' Zip S'~S_ .3~_ Telephone 5~ 7G- ~o / T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • Energy Envelope Calculations 5ubmitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber ~~`7 ~ ~~'l l5 Il Telephone ) Mechanical Contractor I I' ~ViA~ 2004 Telephone ) u 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 Statutes; I understand this is not a permit, but only an application for a pemut, and work is not to start without a permit; that the work wil] be in accordance with the approved plan in the cas of work which requires a review and approval of plans. ( •~CI l ~M //K l r , v Applicant's Printed Name Applicant's Signature OFFICE USE O:VLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidf ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22' Porch/Addn.(4-seaJ ? 33 E~ct.Alt-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm ~amage ? 06 04-plex ? 12 12-plex Plbg_v or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ p(~b~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1.05 1- 2 G~j l ~2 MECHANICAL (RESIDENTIAL) Permit Application ~I City Of Eagan ~ ~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephoue # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Famity Dwellings Townhomes and Condos when permits are required for each unit Date ~ 7 ~ o~_ ~ c~ 3 Site Address U S Cl CYJ nl~ Unit # l Property Owner ,p_A~fv-~ ~ h~ ~J 4~.~ 1~~' Telephone # ( ~ps~ ) ~~~3 ~ 5 ~ Contractor ~c~ Street Address 'Z,~,p(o~ ~~-(-rJ ~h S'{- City ~QS~fY1^~~~~ State I ZipS ~e '0~55Telephone# ((asl ) ,~ZZ'~'7Z1~ The Applicant is _ Owner ~Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 7~ furnace replacement air exchanger air conditioner other State Surcharge $ .50 r~ n r~ U C ~ li Total MAR 1 0 2003 V~ $~~~G I hereby apply for a Residential Mechanical Permi~td~-' ' I ormation is complete and accurate; that the work will be in conforniance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but ouly an applicauon for a pernnt, 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 wluch requires a review and approval of plans. 1-i- L9- ~ . i~ t` ~n ~ ~ s ApplicanYs Printed Name ApplicanYs Signature MECHAlVICAL (COMMERCIAL) Permit Application City Of Eagan 3530 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. commerciaVindustrial buildings multi-family buildings when separate permi[s are not required for each dwelling unit Date / / Site Address Unit # Tenant Name (if applicable) Pre~~ous Tenant Name Property Owner Telephone # ( ) Contractor Street Address C~ty State Zip Telephoue # ( ) The Applicant is Owner Contractor Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: Permit Fee $50.50 Mlnimu~n Fee (includes State Surcharge) Contract Value $ x .Ol% _ $ Pernut Fee • If permit fee is $1,000 or less, add $.50 ~ $ State Surcharge If pernut fee is over $1,000, add $.50 per $1,000 Pemut Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclmowledge that the infocxnation is complete and accurate; that the work will be in conformance v+ith the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dus is not a permit, but only an applicarion for a pernut, 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 requues a review and approval of plans. ApplicanPs Printed Name ApplicanYs Signature PERMIT# I RECEIPTDATE: 2002 #~~SID~EN'~'I.~L f'LUM~INfi f'~iiM~lf ~~'PL1C~F7CI~N CITY O~ £AfiRN S$SO fILOT KNOB RD EflHRN, MN 55t88 65t-s8t-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: ~ OS ~~~11 t,~r~cd Rca. OWNER NAME: : I~I Y~~' I P.Y~ L~no~ TELEPHONE W~ I'~~ O I5O ~ (AREA CODE) INSTALLER NAME: 1 JYO~I Y~~YD~I UYY~~) f K/~ TELEPHONE `'f Ul 1~I `~I STREET ADDRESS: Oll-I I`1 ~ ~],OI~V lP~ U~ U C- (AREA CODE) CITY: ~ P STATE: ~ ZIP: 55DY SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MOUIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ A6andonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter'rf needed -$11 S) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener water heater $ 15.00 n r~ ~ ~1 $ 50 State Surcharge ~,n, r' ~ ~ i-' ~ ~f` 0 2~^z ~5 50 rota~ i~ I hereby acknowledge that I have read this application, statethatthe information is coved, and agree,to~co pN'~'ith ell applicatile Oiryof Eagan oMi ce- It is the applicant's responsibilityto notify the property owner that the City of Eagan assumes ' ility for y dama es caused fH GRy durin ~ norm operational and maintenance activities to the 5cilities constmcted under this permit ' hi k p:- e/ t' / e e. SIGNATUR F PERMITTEE 1/02 RESIDENTIAL BUILDINC PERMIT APPLICATION 3830 PILOT KNOB RD~EAGAN MN 55122 651•881•4675 New Constructkn ReaWremenh RamodeVReoa'v Reauiremanh . 3 registered site surveys showing sq. ft. of lol, sq. R of house; arid all roofed areas • 2 coD~ of plan (20°k mazimum lot coverage allowed) • 1 set of Energy Calculations for hea[ed additbre . 2 copies af plan shovnrg beam & wiridow sizes; poured found design, etc.) . 1 site survey for e~Aenor additions 8 decks . i set o( Energy Calculations • Indicate it home served by septlc system Por additions . 3 copies of Tree Preservation Plan if lot platled aNer 7l1193 . Rim Joist Detail Options selection sheet (hldgs wilh 3 or less uni4s) DATE rI-J`I~ Da. VALUATION $f1S~4~J6 SITE ADDRESS ~ ~ ~ MULTI-fAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 1 ' STREET ADDRE /~J , ~ CITY~~~,,~,y~STAT~ZIP~2 TELEPHONE #~7~-'~d~Q~Uh CELL PHONE # FAx # 9.~sa- S~s- 996~ PROPERTYOWNER L TELEPHONE#C~S/ -~$3- v~SO - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~IINNESOTA RULES 7670 CATGGORY 1 MINNESO'CA RUI.ES 76i`l (J submission t~pe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # _ Plumbing systcm includcs: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Watcr Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # v[echanical syscem includcs: _ Air Conditioning P'ee: ~70.00 Heat Recovery System D ~ ~ ~ ~ ~ ~ Sewer/Water Contractor. Phone # - I hereby acknowledge that I have read this appiication, state that the information is corre~t, an~e~o-c~ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. L-""°~~ Signature of Applicant ~ - ~ - ~ OFPICF. LJSI; ONI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ~bl~` ~7~• ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout ta applicant Valuation Occupancy MC/ES System Census Code Zoning Cily Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings(deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding S[ucco Stone _ Fireplace _ R.L _ 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 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT # ~ ~ ~ ~ RECEIPT DATE: r~ ~ - C~ 8008 fi~5ID~NTI~kL ~LUM$IN6~ ~~M1T ~k~PPLIC~TION crrY og ~?s,~ S$SO fQ.OT KftOB iiD SA18AN, MA 551 E8 651-8$1-a675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: ~~1 ~ Q~ ~~~nQ C,C.JC~1Q~ OWNER NAME: : ~ / r j l C ~,(~Q TELEPHONE (lt5/~ (,~1(1 ~ - ~ ~S~ (A EACODE) INSTALLER NAME: ~ i~ Pro TELEPHONE ~Q~ ` ~'~f' - ~ C STREETADDRESS: ~yI7~ ~/C~/~v/CGC/ f/CJC. ~~EACO~E) CITY: LCX,~~C 1/ / l!Q STATE: / ZIP: ~ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 5D.00 _ Abandonment of septic system. _ Water tumaround - epsting dwelling unit 5!8" meter if needed -$11 S) Other: _ RPZ: new installationlrepair/rebuild $ 30.00 _ lawn ircigation system Replacementladditional: ~water softener _ water heater $ 15.00 State Surcharge $ .50 S TOt81 $ ~ I herebyacknowledge Ihat I have read this application, state thatthe information is correct, and agree to comply with all applica6le Cityof Eagan ordinances. It is Ihe applicant's responsibi~ily to noliTy the property owner that the City ot Eagan assumes no liabili or any damages raused the City during its normal operational and maintenance actlvlties to the fadlities consWcted under this permit within City pr pe y/right-of-way/e seme ~ SIGNATUR F PERMITT il02 ~ ~o 2000 FIREPLACE PERMIT APPLICATION ~ CITY OF EAGAN ~ I' I3'~ 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: ~ I ~ ~ ~V Description of Work: _ Construct new fireplace _Gas _Masonry _ Alterations to existing ~ Install gas insen onlv _ Install gas line on/v Other Job address: ~d ~ ~ (N U/ 1.{~(/LiCXLf Lot: _ Block: Subdivision/P.I.D. ~1 M ~PL ~ Applicant (circle one only): Owner Contractor Permit Fee: $60.50 ' ph~/#: ~83 ~~.~v Natne: PROPERTY Last First OWNER ~D Cj ~(v1V~'l.(~ KJI.(JC.i r~(/v Street Address: ~ City -_(~~rL. State: " C ~ Z~p: ~~a'~ Compan~~/~°-~- c.~C~~ Phone#: k`7~~7~ ~ r (azea code) FIREPLACE / ~ ~ ~ /7,\~ INSTALLER Street Address: v~•' < City L ~ ~SI~[~~D State: Zip: Company: ~ W/ YI~C / Phone#: (area code) GAS LINE ~ INSTALLER Street Address: n Ciry State: Zip: I hereby acknowledge that I have read 's application and stat the information is correct and agree to comply with all applicable State of Mi eso tu s Ci f Ea Ordin s. _G~ ture . OFFICE USE ONLY " BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ? 34 Repair ? 40 Gas InseR GENERAL INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. ~~~m*~~~~~~~m~~~~~~~~~~~~~~~~~ra~~~~~~~~ c rYV r.~r Fn.r.,Fln 'L'ASH:[E:I;: JS TERFfTNAL. ~Or, i:';8 UA'1'E; Oi'/23/3`_~ 1'SML: j.i~Cli':46 IU: NAMEe ALI._IEA FTI(L.STL+ti.p T.1~C. 32J.U 9G(Ji i 05 5TO~EWDOLi R 60.00 27.~i:~ 90~J. iU5 51'ONI=.WUO~J R U.`i0 Tota!L Fiecei~?t Ain~~~ntr, 60~50 CRJ.1~5H0 I U5F_f: SCie JAN ~F~%~C~F~K~F~k~XWX~%~~X#X~Xc#Xc~~~C~k~kh~~k~k~~~%~k~~C~:~k~~kX~ k#4 ~~C) I`.~ ~ ~U:SC~ - 1999 F[REPLACE PERMIT APPLICATION CITY OF EAGAN 3830 P[LOT KNOB ROAD - 55122 651 681-4675 Date: ~ ~n,~~J Description of Work: Construct new fireplace _Gas _Masonry _ Alteratinns to existing ~ Install eas insert onlv _ Install gas line onlv Other Job address: / Q~ ~~ylp w O(L~ ) G~ Lot: Block: Subdivision/P.I.D. ~~~[~1, A 4~ Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: ~d YL (3 V(~~~C 7'EV1 Phone ~.(L~ - CI/~J=O~JQ PROPERTY Last `,J Fust OWNER Street Address: ~ ~ ~~~~L(~~`) ~ City ~ ~ State: ,f, ~ Zip: S? ( ~ ~J - Company:^ l Y° L~a~'no r l ~l~Q !'i YLSu[/`Phone ~~pc ~~/-5 ~ (azea code) FIREPLACE ~ ~ INSTALLER Street Address: / Ciry 1 ~ 1,~~ ~ h S ~ ~ ~ State: J' ~ ~ . Zip: ~~3 ~ Company: Phone (azea code) GAS LINE ~ n INSTALLER Street Address: l`Gr City Stare: Zip: ~ I hereby acknowledge that I have read this application and state that the information is correct and agee to ^ comply,wNhall-applieableiStafe~of Minnesota Statute d City o Eagan Ordinances. i ; =r- , ~ r ^ I, Signature I ( ~;;,y 1'I / I ~u , OFFICE USE ONLY ~UILDING PERMIT TYPE ? 16 Fueplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition ~ 34 Repair ? 40 Gas Inser[ GENERAL INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. , 4 ~ *!*******f#****i******t****#**it*t## C I TY O F E A G A f~ Z'A~r OF FF~E AT TIME OF ~ * APPLICATION DOFS NOT ODIISPINIE * ~ ,*f APPROVAL OF PE~tpffT. * APPLICATION FOR PERMIT oF s~x ~rro/ox y~,~ * r-' . ' * I~pAT7ATTONS WIIS+ NO'P BE SCFgD- * ~ SEWER AND/OR WATER CONNECTION * ~ ~ P~T ~ ~ : . ~ APPItoVID. * . . ~ r w r r r . _ . ~**,?*#:+,ttattrirk***x~'1~*,t***~rt*r****x3x P ease Print) 1) PROPERTY ADDRESS: __'7O 5~ S O~l' ~ rG' e?t Cf LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF E7QSTING STRi:C1L'RE, DATE OF ORIGINAL &JILDING PERMIT ISSL'ANCE: " ' (Nbn Year . PRFSENf ZONING/PROPOSID LTSE: ~ CO~~fEE2CIAL/REPAIL/OFFICB ~ R-1 SINGLE FAMILY ' Q IbIDC'STRZAL R-2 DL'PLEX (1t~o Pnits) ~ INSTITCTIONAL/GOVERI~Nr ~ R-3 'lUW[~iOUSE (Three + Units) ( Pnits). . ~ x-4 ~~zrm~rr/cormorurn[.~ ( onits ) z) ~ :fl~ ~r ADDRESS:_~~ , ~ ~H ,~d„ CITSt, STATE, ZIP: ~~d~ rJ J7~% ~~S ,1.~( ~ j,S~/~ Z- PHONE: Is ~ lv ~ ~:-~G ~ 3~ , i~. For City Ose . ~ME ~ - ,f~ L`~- P1iml~ers License: ADDRESS: ~1~ ~ FScpired CITY. STATE. ZIP: Not recorded PHOI~: MASTER I,I(~ISE# Sta Initial 4) ~.ru•:.i ~,.~,i~; /J ~7 NAt~: f7S ~lie` ~rL>~-6 CIF~-i~~~?.C 7 C_1"l i^J'-s i _ p,nD~ss: j • CZTY, STATE, ZIP'~~'~,-('~.e¢,.~ PHONE:~Z=~S~ Z' .5) ~ u ~ a• • • ~ • y- yw~~ ' ~ CONNEC'PION 7t~ CITY SEWEE2 ~ COI~S]ECTION TO CITY WATER OTHER ' ' 6) ~ r ~ PLEASE HOLD APPROVF~ PERNIIT FY)R PICK-OP BY ONE OF ABOVE ~ PLEbtiSE MAIL APPROVID PERMIT TO 1~~ 3. 4. ABOVE . (Circle one) 7) r . C L ~5 ~ Y: • Y' Y:I: Y ~ ' • ~ • 1' • J I:+~• ~ Y~I• • JI•~ 1 • Y. • 7~ 1• ~ ~ Y L~• ~D. 1 I : S M:I• •,tlD~ 1 1 1 ':n' • 1 Y" l~~ Y . . FOR CITY USE ONLY ~ PERMIT # ISSCED ~ ~ d • Pd w/Bldg. Permit FEES: $ $ ~h - S~ SEWER PERMIT (INCLUDE SURCHARGE) $ ~D ' .S~ WATER PERMIT ( INCLUDE SL~RCHARGE ) $ (G' J' S~ S WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ~ Q p ACCOL~NT DEPOSIT - SEWER $ S_ l S_' ~-7~ ACCOC~NT DEPOSIT - WATER $ ~O•C9v $ WAC ~75~- 6~ S sAc $ $ TR[.'NK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ S WATER TREATMENT PLANT SL~RCHARGE $ $ OTHER: : $ i $ ~Ib ~ O TOTAL ~oS~~v>S~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PLBLIC Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: ` TITLE: DATE : ~ / „~Z~f RESIDENTIALBUILDING ~ Permit Application Zg City Of Eagan /r~ 3830 Pilot Knob Road, Eagan MN 55122 '/03 Telephone 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair Reauiremenls OiFlca Use OnN 3 registered site surveys showing sq. R of l06 sq. fl. of hause; and ~II roofed areas 2 copies of plan Cert of Survey Recd ~ Y_ N (20%maximum lot coverage allowed) t set af Energy Calculations tor heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNons & decks Tree Pres Reqd Y_ N isetofEne~gyCalculations AddiGon-indicatei(an-sitesepficsystem On-sfleSepticSyslem _Y _N 3 copies of T2e Preservation Plan it lot platted after 711l93 Rim Jaist Oetail Options selection sheet (bidgs with 3 arless uniGs Date S l, f"~~_ Construction Cnst /1Jp Sct~~e L,~~ Site Address 70 ~ ,S~pN.Q G~ oo~ _~~~~.v~. Unit/Ste # ~ ~ J Description of Work ~~(bU~,9.. a 5 r ~ ~ ,nc. ~,a~ c_t.c ~z.-~ea ~'s,4,+? ~n .d..esL ~rt ~ p4rc.nJ l~af,~le. Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ Z' Praperty Owner ~ ~ X'S ~ Telephone # ) l0 7f 3 - d/SO Contractor ~h ~ ~ 5°b,~,~.v~._S' ~ t~t~ / Address ~ y`g b ~1~1~~: ~Q City C~LL.1 ~Q $'S state ~i1.~J. Zip ~~S317 Telephone#(4,~~)~/~G~ ~oo/ L° 's c-p _ ~.yo - ~~'~6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventitation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submifted . Energy Envelope Calculations Submitted Have you previo~sly constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Piumber ~ ~ Telephone # ( ) Mechanical ContracTor 7elephone ) Sewer/Water Contractor Telephone ) ._s----"J 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 Statutes; 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. L l1~ l f~/Q-[i~ Zi'~, - CQ.N. I L J~tl~ ~~~r Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plax d 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiScellane0us WorkTypes ~~.L,/ l ~ ~yy_~,! ~rti-1c9F~fTL rd~tiJ 1"1~iTU'~~ Y d.f ? 31 New ? 35 Int Improvement ?..38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O• 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg~ - Give PCA handout to applicant Valuation ~ a Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS Footings(new bldg) FinaUC.O. ~ Footings(deck) ~ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ~C Framing _ Siding Stucco Stone Fueplace _ R.I. _ Aii Test _ Final _ Windows (new/replacement) ~C Insulauon _ Retaining Wall Approved By . , Building Inspector Base Fee ~ Surcharge M ~3,~...~'~ ~v Plan Review M~l MC/ES SAC City SAC % / U~ ~ Utility Connection Charge S&W Permit & Surcharge , , Treatment Plant ~~CL V License Search copies f/ ` D D Other ~~f Total ~1r**#***************ft~***#}***t***# - ~ C I TY O F E A G A i~ *'-~'F° ~AYMR~TC OF FEE AT TII~ pF * * ae~scaTTON ~oES Nom corb-ri~ * APPROVAL OF PERI~ffT. * * C APPLICATION FOR PERMIT * ~ : . ; - ~sencrrort oF sES~t Arro/~t t~,~mt ; ~ ~AT.ramroNS wa.L rror se scl~n- * SEWER AND/OR WATER CONNECTION ~~~L P~T.~ ~ * . ~ APPROVID. ~ , . * * * r ~ " » . ******t*r*~**,r,e*,e***~,ek*x,r**,r***#*+* _ P ease Print) 1) PROPERTY ADDRESS: `70 S~ d(~ ~,An C~ LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID IF' EXISTING STRL'C!L'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: ' 1 (hbn Year) . PRESENf 7ANING/PROPOSID LSE: ~ CO,tiP'IERCIAL/FtETAIL/OFFICE R-1 SINGLE FAMILY ' ~ IAIDC'S7RIAL ~ R-2 DL`PLEX (TWo Units) INSTITL'TIONAL/GOVII2NN4,'l~Tr ~ R-3 1UW[~iOL~SE (Three + Units) ( Onits). . R-4 APAR7Y~NT/COI~IDOMINIL@7 ( Units ) 2) ~ NAt~: `~~g v~' =flc ~ 6 e ~ ADDRESS:~~~7 ~ I h ~~Or crrx, sra~, zx~: ~~d~ l~~ //s ,~-1 ~ -~'S// z-- Pxor~: G 3 ~ ~ / 3) • u For City C~se . - NAN~: ~A-fi~ L° Plumbers License: ADDRFSS: I I ~pired ~ CZTY, STATE, ZIP: Not recOrded PHONE: MASTII2 LIC~[95E# Sta Inltial 4) • ~ ~ ia+• ~:~s ~fv' ~3.~--;~~,~e; r~,~~~- . ~w~~ss: t • CITY, STATE, ZIP•~'~,,;~¢~J PHONE: l~~Z= ~'SI Z ' •5) ~ v~ ~ r: • : ~ • a~ • CONNECTZON TO CITY SESaER ~ COI~II~IF7LTION TO CITy WATII2 ~ pZi~R . T 6 ~ Q PLFIISE HOLD APPROVID PERMLT F'OR PICK-C~P BY ONE OF ABOVE ~ PLFIISE MAIL APPROVID PIItMZT 70 1.~ 3r 4. ABOVE . (Circle one) r U• - ~ ~s'-,s~' ~ . _ -r~ ti- • v ~•r w ~ • ~ ~ ~ a ~ - a ia• u~+• • ~•i ~ • • • a~ • r. • r.. ~ : o- ~•r• •.n~~ ~ ~ i - . • ar a' • ~ an ~ . , . ~OR CITY USE ONLY ~ ' , PERMIT # ISSCED / j) Pd w/Bldg. Permit FEES: $ $ ~h ~ S~ SEWER PERMIT (INCLL'DE SURCHARGE) $ S ~D ' S~ WATER PERMIT (INCLODE SORCHARGE) . $ Cri 3• S~ $ WATER METER/COPPERHORN/OCTSIDE READER $ S WATER TAP (INCLLDE CORPORATION STOP) $ S SEWER TAP $ S ~.5~~ Cj ACCOONT DEPOSIT - SEWER $ S ~S~ ACCOL'NT DEPOSIT - WATER S J~ O~ d c~ S wAc S S 7S~- c~-C7 S sAc $ $ TRC~NK WATER ASSESSMENT $ S TRL'NK SEWER ASSESSMENT $ S ` LATERAL BENEFIT/TRL~NK SEWER $ $ LATERAL BENEFIT/TRC~NK WATER $ S WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ J~-C CI ,S^~ $ O Q TOTAL ~s~F~'~~ ~;S(p%~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL~BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC~BLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LZST AS A CONDITION. SUBSECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : y~ f ~ ~ ~ ~ ~ 1986 BQILDING PERlIIT APPLICATION - CITY OF EAGAA ~DTB: ALL CONTRAGTOES MQST BB LICSRS~ ftITH THE CITY OF EAGAN SIAGLS FAlIILY DiIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SIIRVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DHELLINGS - RESIDSNTIAL RENTAL ONITS FOR SALB DNITS INCLUDE 2 SETS OF PLANS, CfiRTIFICATE OF SORVSY - CHECB WITx BLDG. DEPT., 1 SET OF 6NERGY CALCULATIONS CO1~Il~RCtar: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~ L/ To Be Used Eor: ,,,....-r/~ ~~'~laluation: t~ Date: ~ ~ Site Address ~OS~ OFFICE USE ONLY Lot ~0 Block / Erect ~ Oceupaney Remodel Zoning Parcel/3ub Repair _ Type of Const ~ Addition # of Stories Owner ~ u~'~rr-~ Move _ Length ~ Demolish Depth ~ Address D d ~~iz,_--~yf Int.Impr. _ Sq Ft Install City/Zip Code ~ ~ f5`'f 3)~ Phone _ ~~S /DO/ 9PPEOVAL4 FSES Contraetor ,~u~~ Assessments Permit Sl . S Water/Sewer Surcharge (o'S.5p Address r/ D u Police Plan Review Z~ Fire SAC City/Zip Code ~~l`~~ 3 j Engr Water Conn ~ Planner Water Meter 'Z7 Phone l Council Road Unit Z~1C~ Hldg Offb• Treatment P1 /Y~ Areh./Engr. APC Parks Variance Copies Address TOTAL y~ ° S ' City/Zip Code Phone ~ HOTE: ADDRESSBS FOR CORNEB LOTS - CONTRACTOR/HOMEOBNER MQST DESIGNATE AHICH ADDRESS IS DSSIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIY IS ISSOED. Z..~ ~ZJ-t'' C..~ ~ b 1 1 l.i a`'~; a Z~ ~ I~z Z,C{..O ~ '~j ° ~ ~'1Z.~ ' z.~ x q~ ~e~- 4~72-~ 4~~0~~`~~ z_4~z2~ ~ x v ~ 3Z ~ ~ ~ X ~~u.~`~'~ Z°l~ ~L ~CO~ l~~V~ 4~ a ~~~Z . l~ ~~o~ a O~ ' l~ON KRUEGEq ~ ~4SSOCIATES, ~INC. ~382 WASHINGTONAVENUESO. E DEN PRAIRIE, MINN. 553qqEY0 HONE 812-941-3030 ~ CER`~"IFICATE OF SURVEY Survey tor~E~t/ rS/~E YENTVR,E Job No 7 i2 Bk 436 Pq 36 D ~ D qz~ ~ ' ~ 929% (9a1=~ '`R9; 3o~.os e~ 4 69. !02 ~se - i,,:~ ~ Z o • _ 9~'- S"' LDin/E57 FGOOfZ° 9Z3Ba o m rI. o l ARA4~ FtooR = 93/ ~o ~ ~ w a'{ 1 TOP . DF . FOUn1DAT/OA/= 93/. 63 o j~ ~ o ~ "60} ' 9aa_ ° ~ ~93/°) ~~'f' S.5 XxX ° ~klST' EL~!/. 93~6 -o~ •Q s z%/ ~ CX X x) = PRoP05~ FGE?. _~-------a° ^ 0 ~a.o ~ I~~~ s~ = D/~2ECT/D~t! oF 5(JRFAGE DP,fI/N~E W' o ` ~5 9.5 ~ I C~p~III/ 1~ 1 '{9 ~~~~D~`~~ 29.~3 ~ ~~v) P~~I// p ~Z~P~ ~93i°-J~ . 1 ~ ~ ~ 9P3 ~ ~ 1 rl ~ ~ (qa35) 1 Op N ~ ~ ~1 g1 o~ ~ ' ~ oT ~ / ~5. ~ ~1 / ° 9i2 * 1 / / ~ ~ ~ / _ 1 u° 5~/ 0 1 hereby certffy thal thts ts e lrue and corract representatlon of a survey ol LoT BGaGx / W/NDTR~E CoTN y,2 + ADD/7"/OAI ~ ~i9K0'r.9 County, Minnesota. ~ Surveyed by e t d c~ U'`~E ~ 79 8C-~ ~ ~ RON KR R& A SOCIATES; INC. I ~ , ~ . EXTERIOR E~IVELOPE AVEPAGE "U" CQMPIITATIO~`I • ! Otdfl E ~t : ~~.a'?1 ~ (o- ~.(~t'~II srre n~oPess: ~ ~O~ITRAC70R: A~4~ M1~CS~ L?k Ei,I~y(tE pqTE: b`~~8~ PNOPIE: DETERMINE tiORKRIG SOUA2E FOOTAGE OF EACH: TOTAL EXPOSED tlALL AREA;,,,,... 3C$ O, sq f[ x"U" .II = 2. TOTAL ROOF/CEILI~IG AREA,,.,... I~Cj~~ ' sq ft x"U" .d.ti~p = ~j(o 3. 707A1 EXPOSED NALL AREA CALCULATIOtlS: 7otat exposed wall area above floor,,,,,_„ ~'t5o sq ft . a~ Total wall window area: glazed,,,,.. 30~, sq ft x"U" .J ~ ~5~ . 9lazed...... sq ft x "U" - b) TotaT door area ?~g, sq ft x"U" .-~~j~-= ~2g C) Total sliding giass door area: '~i~Q~R, 0'4l~pe)~ 4laced...... ~~.Q sq ft x~~U~~ ~j _ ll ~ qlazed...... sq ft x "U" _ d) Total fireplaca t•rali area sq ft x"U" .3~p = ~~•~p . 'e) Total wall framing area ~ . (Avera9e 107).......... _ ~'~.a./ sq ft x "l1" ~o~./ = a~~"J~J . f) Tota1 net wall area above •floor (Insula[ed},,.,,,, ~,Qp$.g sq ft x "U" .D 3 = ~ g} Total rim joist area...,.. 3~~ sq ft x"U" ,Q~~ = l~~! Total foundation area (Exposed)......... ~~pl,Q, ~ sq.ft. • ' . h) Total foundation atindoo-r area........... sq ft z"U" - y i}~ Total net founcia[ion , . ~ ~ ~ .1 ' arca above grade:....... ~p~v. Sq ft x"U" •~a? _ ~'1.~ 3• • TOTAL a) thru i) = i-='~-~ If item !~3 is the sane as, or less [han i[en 1~1, you have met the inten[ of S.R.C. $ec[fon (ODF (c) 2, , I . c.tru~c.l NGGF/CcIIIRf. f.AIGl1L~tiTl('iNS: ~ ' • , ~'T~ ~al exo~sed rcoF/ceilin~ area....... ~3~0 sq f~ . j~ To:al skyliah[ area....... " sa ft x"U" ` ~ k) Tctal reof/ceilinq framinq ,DZ • a 3•,3 S area. (.;ver~r.e In•°.)„ , l3 , sn f~ x"u" `f . , 1.) Tctal net insulate~ - rccf/cei 1 inq area....... I`o~~il_ sq ft x"U" ~~a1~ ° s~/ ~ T~)TAC j) thru 11 tocel c` is [!~c s~Re as, cr less Chan °2, you have met t`~e in[ent of ~.C. Secticn f.C~~~ (c} I. ' P.LTcP»IAT"c BUILDI:lG E~IVELOPE OESIGt! ~ utilize t5e tci~l en~elcpe syst_^~ rethod; the values establisFed by the Sun ice^~s =3 a~d R4 sha11 not 6e greater than [~e sun of ite:ns ~I znd =2. 1. + 7. ~ . 3, + L. ~ • C E F T I F I f, p T I ~ tJ . I he.rehy certify that I have calculated the "U'' faccers and "R" _es herein and that the huitr'.inn fere ~escri5ed meets or exceeds Che Siate, . ~i~resota Ener~y C.onsr.rvaticn Act. ' . ~ J,~-, 12ussel~~ (Sinnaturel . ~/xa/~6 . - - - - - - - - - - - - - - - - 5, V j Permit # of Wan 009 ~ 3830 Pilot Knob Road Permit Fee. , . ! Eagan MN 55122 Phone: (651) 675.5675 Date Recei Fax: (651) 675-5694 t Lo 2009 RESIDENTIAL PLUMBING PERMIT AP~PLICATION Date: Sfte Address: 7 V j± Tenant: Suite RESIDENT /OWNER Name: ; Z Phone: c ! ' °7 c7 5~ Address / City / Zip: 3 f (r~; y CONTRACTOR Name: Yet 1 a - - P 1 t vn }`a aa License t: G Co ) Address: 7 S/ t 'v Lai 6 r y , City: State: f ill t_1__ Zip: f 3,.> Phone: 1(),a Contact Person: X 5 7\ TYPE OF WORK 4L New , Replacement _ Repair Rebuild Modify Space Work In R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fatures RPZ / 7X PVB) Main Lower Level) Septic System Water Turnaround -New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater W Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment. Water Tumaround* (Includes $.50 State Surcharge) 'Water Turnaround (add $165.00 If a 5/8* meter Is required) $100,50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this Information is complete and accurate; that the work will be in conform 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 . X x Applicant's Printed Name Icant's SI tune FOR OFFICE USE Reviewed By Date: raarqu yea anspecuons: unaer Ground ouctn-in Air Coat Tact C 30,01, t Use BLUE or BLACK Ink ^----------------- � For Office Use � _ � /a�� n� �n�� Permit#: � �� u u _ � , s � � � n�� Permit Fee: ! ' � 3830 Pilot Knob Road , Q�� ` l _ �� Eagan MN 55122 ,;� j Date Received: Phone:(657)675-5675 } � I /J, I :'��... . . _.__.__ I Staff: Je.lti I Fax:(657)675-5694 I I I...��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: '��(��Ij'�� ,�� Name: �� '��C/�`�� Phone:6��1��5��.� u�Gi ;r ,,Re��denti ��, � �/� �� f�� qri, C)Wt'Eer�,��i�'i'"�� Address/City/Zip:�� a(1y°/7�,t�SG� "� �� 1�C%,� ��2-� �� ,ipi i �i;�''i�'(�' Applicant is: Owner Contractor �i��,'��'y m��/�?� Qf V4IOP�C,p9ili Description of work: �—� i(�'�'��" � ��i�, _ � Construction Cost: Multi-Family Building: (Yes /N ) ai��p�i,��i � �� Company: �;�� Contact: �� I M i r �i�� a Address: City: =��#rac�tt�r_ � � State: Zip: Phone: Email: ,i, � �` i�� :�r: ;��