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975 Stony Point Rd Dat~ 11-25-87 CITY OF EAGAN Permit No: ssl30 PilOt Krrpb Road Meter No: ^ 3 S 3~ Size: ~ P.O. Box 2~199 Reader No: ~ L Date: ~ z ~ 3 7 Eagarti'MN 55121 Owner. ~=%=vL: ~~or e Bldrs. ~75 `'ton POint ~',Aad L~ 4 Lesi~: ~o: Site Address: - ~ Plumber Valle Plumbino Conn. Chg: 525.OOpd ~~~~~s~~~JE`~~g: i Acct. Dep: I5. ~)tiA a a;6~~„s,~ ~~~~1~(~i Permit Fee: 1~ •~~~~n~ ~~~w1r e rn . 5 ~ ~ L•«L~TRla~re~'sA~o cfompfy wFth the Citr of Eayan Surcharge: ° - Tr. Plant 1 ~l ~ • ` ~ ~di~a~~ Meter. ' ~ ~ Misc.: By WATER SERVICE PERMI ---.:.4~F_,.;,.._ . , _ . ~ _ - CITY OF EAGAN Permit No: ' Date: 11-25-87 ' 3830 Pilrit Knoh Road Meter No: Size: P.O. Box 211~9 Reader No: Date: Eagan, MN 55121 Owner. `1~vin Geor~,e Bldre. SiteAddress: ~~5 5tany pflint gnad L~ ti4 Lexi,n~ton S~ 7tt: Plumber. _ `~alley plumbin , Conn. Chg: 525. tl~p:', Zoning: ~1 l~.np Acct Dep: I~• No. of Units: 1 Permit Fee: ; Surcharg~ • S~ 1 agree to comply with the Clfy ot Eagan Tr. Plant 1 ~ • ~P~ Ordinances. Meter. _ _ n ~ Misc.: gy WATER SERVICE PERMIT . ~ ~~;_..,~-T-- - ' E~T1f OF EAGAN Permit Na p~; ! 1-25-87 ; ~63aF~lot Knob Road B/P No: 79349 Date: 1' ~ S-~ 1 ~ P.O. Box 21 ~8 Eagan, MN 55121 r~ , ; Owner.~ ''`'N~ Ceot~e °ldrs. ~ SiteAddress:~~~ ~ n Point Rn:~c'. I,? ?4 T,~xZ?~ ~Car_ Sa 't:~ ~ ~ Plumber. oalley ~2v~bin~ l ; MWCC: 5~ 5 •~pd Zoning• ~l ~ Ciiy Chg: ' No. ot Units: = ; Acct. Dep: ~.S.Odpd ~ Permit Fee: . ~~ra I agree to comply with the City of Eagsn ~ . S 0 O?dinances. Surcharge: P ' Misc.: gy i Y~ SEWER SERVICE PERMIT ~ ~ E:- - - - - ' CASH RECEIPT ~ i ~ ~ CITY ~F EAGAN ~ 3830 PILOT KNOB ROAD . ~ ' EAGAN, MI,~.VNESOTA 55122 , ~ - ,-r DATE ~ ~ ? ; `y 19 ~ i Receiveo / (y ~/).{11J/IyJ G~/ FROM J f;~ I l ]P's~ W`" T{~/ , 1 ~ t't. AMOUNT $ ~ ' 7„ - . ~ ~p I A~ DOLLARL ~ao ~ CASH CHECK t • ~t ~ f~ ~ : . L / " , r~w h~/ / ~ ~ . 'i~ i ' ~ ~ e.l ~ r- J~, ' ` ~L .y, ~~;,k -7--~ i , , f ~ .i E ~ .i . ~ FUND CoDE ~ AMOUNT l ' Thank You _ _ , BY ' s" White-PaYers COPY ' . ~ . : ~ Yellow-Postinp CoPY Pink-File Copy BLDG . PERMIT N0. 7 i~.j ~i~ 97S ~ , / ' '1, ~ - ~ r~~L, / r~. ~~.f, 'r; . . ; , , r'~ t !`i~~ 01-3210 Bldg., Permit 'S~~?•= ~O 01-3422 Plan Check ~~~L~' 01-3445 Surch./Adm. 7 01-3446 SAC/Adm. ~ e ~ . fl1-2155 Surcharge - ~ :7-3860 Road Unit ~ G~~'~ ~-~C~' , ~ ~ 20-2275 SAC ~s / 20-3865 Water Conn. 20-38b8 Water Trmt. = ' v 20-3716 ~:ater Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ' !J 11-3855 Park Ded. TOTAL ' i - CITY OF EAGAN ' ~ ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 ~~~f ~ PHONE:454-8100 _ BUILDING PERMIT Receipt # ~ ~ - To be used for ~ ~ ~t"~ Est. Value ~ 7 Date ~'~V t.~i~~' k 1 S ~ 9 F:7 SiteAddress ~75 ~~~Y ~I~dT kOAi; OFFICEUSEONLY I 4 L~X iivCTf)!~ 5i1~ t~ e~F: On Site Sewage Occupancy Lot Block Sec/Sub. ~ 1 t MWCC 5ystem ~ Zoning Parcel No. On Site Well (Actual)Const ~n MANYIh GiiUf;GE SLl:[tS 1NC CityWater (Allowable) YA o~ Name W Addre 5 PRV Required ~ of Stories ~ Z .~4 ~ Cit ' ~L Phone ~ ~gterPump Length y Depth , o Name 5~"~E 3aa-32o1 S.F.Total ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES v s Engr./Assess. Permit ~ 41 J~~ W y~ W Name 3~.5U r Plan~er Surcharge = Z Address ! i W City , Phone Council Plan Revlew 2l 1.~3U Bldg. Off. SAC, City ! ~ • ~ • Variance SAC, MwCC 5~ g•~ I hereby acknowledge that I have read this application and state that the 52 g~~ information is correct and agree to comply with a~l applicab~e.State of Water Conn. Minnesota Statutes and City of Eagar~ Ordinanc,es. • ~7 ~ Qp / f c Water Meter Signature ofQermittee ^ ' Ll • ~f-~~ - Road Unit 3V5.~ • H~t~VIN (iEOk~~l..~inS 1$C.00 A Building Permit is issuetl to:_ Treatment P1 on tf~e express condition that all work shall be done in accordance with all Pa~s applicable State of Minnesota Statutes and City of Eagan Ordinances. a1~~~ Bui~fing Official ~ ~ TOTAL . . . . , y~ti,.":rr~P ~ ~ ~ ~ ~prti#ir~~~ uf (~rru~~nr~ ~itp of ~agan ~p~l'~1tPit# ~ ~i1~1~ ~PtY~At~ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at rhe time of rssuance this strucrure wus in co~npliance wrth the varroas ordinances of the City regulating buildutg construcdon or use. For the following: "T : ~L Use Qt~fiCalion Bldg. Pl~mil No. `1 ~D~'Y ~YP~ ~~B ~ Type Cooe~. ~t r, r •r OwnerdBwlding : ~ 1i:'' _`~i•Addr~ _`1~`. - :~(_'."`Y' - , , Buildiog Add~s - ' - l.oatity ~ ~ • &1 * j~:~i1~3 .~A:I~.tt~' D~k: - , i POST IN A CONSPICUOUS PLACE . ~ r ~ CITY OF EAGAN ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ F~~ ' . PHON E: 454-8100 . BUILDING PERMIT Receipt ~ ' To be used for ' ' Est. Value ~ Date ~V . ~ ,19 Site Address ~ OFFICE USE ONLY Lot Block Sec/Sub. - On Site Sewa~e Occupancy ' _ MWCC System h Zo~ing ~ ~ Paroel No. On Site Well (Actual) Const ~ . !iC City Water r (Alloweble~ 1' " a Name ' W • PRV Required # of Stories 3 Address ~ City Phone Booster Pump Length Depth ' , o Name S.F. Total Address Footprint S.F. r~ City Phone APPROVALS FEES ~a Engr./Assess. Permit •.`c: ~ W Name ~ W W . :U ~ Planner Surcharge = Z Address ~ ~ . ~z Cit Phone Council PlanReview t W y Bidg. Off. SAC. City ~iV Variance SAC, MWCC ' I hereby acknowledge that 1 have read this application and state that the ~ informetion is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter ~ 'J Signature of Permittee Road Unit 5~ A Building Permtt is issued to: ' ~'r ~ ' ' - Treatment P1 1 ' ` on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 8uilding OHicial Permit No. Permit Holder Dat~ Tel~phona ~ , Plumbing ~ % ~ „ ~ ti , V H.V.AC. ~ ~ ~;:~,(~i7 ,'i~^ +{,-C ~.~C% '~I Electric /d;~'C~ !1 ' ~ 1j ~'.~~-v Softener Inspsction Date Insp. Commants Footings I ~s ,u,~ 9u~ /~x~r~i'~, Footings II Foundation Framing _ L _ Roofing _ V~S. Rough Plbg. _ Rough Htg. ~ ~ _ ~ is~i. ~ - D ~..~c ~ r 3 - Fireplece _ ~ _ ~ _ ^ Q FinalHtg. G~- Final Plbg. , . /-?~'-~'8' z ~ ,v+~ Bldg. Final L . " . Cert. OCC. ~ .L _ ~ Temp. LP ` Deck Ftg. Deck Final Well Pr. Disp. ~a.w r , . . : . . . . . . . " . . . . . . . . ~ . r.. k. . ~ f - ~ . PERMIT # / PLUMBING PEFiMIT p~CEiPT # / ~ a CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: l/- CONTRACT PRICE: ~ PHONE: 454-8100 Site Address r~ r - BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub Res. New ~4 ~ ~ Mult. Add-on ~ Name E + ~ ~ Cam+~. Repair ~o Address ~ ' ~ Other c City ~~I.~~ r Fhone - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL I _~Water Closet - $3.00 ~ c Name r ~ ~ • r ~~Bath Tubs - $3A0 ~ ~ ~ 3 Address ; z c~ c~ ~_Lavatory - $3.00 p City Phone Shower - $3.D0 _~Kitchen Sink - $3.00 ~ ~ FEES Urinal/Bidet - 53.00 COMM/IND FEE - 1~i6 OF CONTRACT FEE yL_Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~,_Floor Drains -~1.50 r ~ TOWNHOUSE & CONDO - RES. RATE APPLIES ~~Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - 53.00 MINIMUM - COMM/IND FEE - $20.00 ~_Gas Piping Outlets - $1.50 ' C~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'n (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 SEYONQ,$1,000.00) Well - ~1~.00 ~T r Private Disp. -$10,00 t_ ~~,~.r . ; Rough Openings - $1.50 ~f. ~ ~ ,~~~c. ~ . r SIGNATURE OF PEFMITTEE FEE: ~ G~~ STATE S/C: + ~ FOR: CITY OF EAGAN GRAND TOTAL: ~ G . I~ [.3+ ~.`~"~"~!~?~~~t c`a : ~ : : o_ , PERMIT # I~" 7 ;:~~2~y.r; ' 7`? s~ ~IAECHANICq~I.P!¢tMIT ~ `j~-; ' CITY OF EAGAN RECEIP7 # j'- ~ 3830 PIL07 KNOB ROAD, EAGAN, MN 55122 DATE: J~ 7 GONTRACT PRICE: ! PHONE: 454-8100 Site Address ~ ° ~r BLDG. TYPE WORK DESCRIPTION Lot _,o Block ~ Sec/Sub ~ ~ a,<~~ r-- y~ Res. New Name ' - ,y Mult Add-on ~ ~ ~ Comm. Repair ~o Address - pther c City l- ~ cl, t7 Phone~ r- Name r : , ^ FEES ~ RES: HVAC 0-100 M BTU -$24.00 ~ Address ADDITIONAL 50 M 8TU - 6.06 p City phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTIQN) GAS OUTLETS (MINIMUM - 1 PER PERMIT} - 1.50 EA. TYPE OF WORK COMM/1ND FEE - 19'a OF CdNTRACT FEE Forced Air ~~S M BTU ? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. ~~M $ {ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ BEYOND $1,000) Other $ FEE: ' . c~ ,,~~v}.`I~ ' ~:;t~~ ~GlJ//~+ $!C: v~ S4GNATllRE OF PERMITTEE ~Yr--~~tJ TOTAL: ~1~' ~~U FOR: CITY OF EAGAN . . . , , ~ . . _ . . . . . ' . . . . . ~ . I ~ / J ~ ~ . i SEDGWICK HEATING & AIR CONQITIO~ING CO. ~ yy _ I.. HOUSE HEATING TEST REC~RD /~'~i ~ r-"' ~ ~ ~ AD~RESS 17-) T>T/~~7 ~ ci{7f /~~a', CITY~ `y`~ OCCUPANT ~ ~ a' V OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ' ' ' . Electrical Work By Gas Line By ' i'" TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN C~NVERSION MAKE ~ . ~ MAKE OF BURNER Model ' ~.i ~v ` ~ Model Serial 7~'~ ' ~ Max. BTU Rating INPUT ~ ~ ~ ~ - MAKE OF FURNACE ~ Model CONTROLS THERMOSTAT ` Heat Plug Vent Size Valve ~ ' Y~ - N'. X` 32 KIND ~F LINER S12E NONE Limit ~ = _ Draft Hood Regulator Limit Setting Filters Size, Number Fan Setting Chimney Location Inside ; Outside Pilot Type Chimney Construction - ' Pilot Il~lake ~ ~ ~0' , t'~' Pilot Model ~ Smoke Bomb Wiring Pilot Timing Y^ Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. ~ - Pressure ' ' Percent COZ ~ Date Tested ~ ~ r' Input CFH Percent 02 ~-'i' Company Testi~g ' r~ f~-i ~v ~ c~ ~ Stack Temp. x ' - Percent CO ~ ~ ~ Name of Tester ' ~ ~ ' ` ' ~ ' ~ Form 235 18is re9~~est void ~~~/o~j _ . rcwn[hs /~om P / ~'Si~G, D 69324 ~ ~ ~I~~~~ ~h~ .•nc! ~ , i~7~iy , triJ Requesr Daie ~ 'S~ ' , ire No. ~popgh-ia lnsper.xiun ~ Z~ ~Ready Nuw Will No~i/Y Inyp~~- ~ ~ ~~~es ? No ~ lor When Ready Licensed Elecvical Contractor 1 hereby raquest inspec[ion of above Owner elactrical work installatl at: SVee[ Atldress, Box or Houte No. City e~~,<,~ o. 5w~s~;STaN, No. r o.9D EAG.P AT~~9e No. CovnlY LOT .Z lp(~ G C_ r1s.. KO OccopaM IPRINT) ~Y Phone Nn. f~/1.evi.~ G dE- /~uicn s 33,~- S~, Power Sup0lier Atldress eP~KV ~ i ~ .vara-n/ ElacGlcal Confrar.tor ~ComDdny N;~me) Cmrtrac~or's Licrose No. _ /h~ST~2 E6f~r»/~ D O ~ 3 Medi^g AtlJress (Camraclor or Owner Makine Ins[aila~ionl Au[hori~tl S enawre 1Cont~acto Owner Makinq Installationl ~P~iune Number S'90 ' '1`J~s 5~ MINNESOTq STATE BOAqD F ELECTqICITV iHIS INSPECTION qEQUEST WILL NO7 G~~99s-Midwey Bitlg. - poom N-191 BE ACCEPTED BY THE STqTE BOAND 1821 Universitv Ave.. St. Peul. MN 56704 - UNLESS PNOPEB INSPECTION FEE IS 'hone (6 7 21 642-08W ENCL f~~~~rJ RE~UEST FOR ELECTRICAL INSPECTION - ~ See inshuctions br comp~elirg ~his /orm on bsck o/ Vellow copy. ~~y(/ -j D' 6 9 3 2 4,~~x~~ Be~oW Work Cave~ed by lhis Request Rdd NeO~ TVOe o1 BvilO~ng ACO~inncee Wi~ed EquiV~~ent WireA Home Range Temporary Service Dupiex Water Heater Li~hitiny Fixnnes Apt. BuilAin~ Dryer Nectnc Heaun Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner 8ulk Milk ienk Farm o~be~ oeci v ~~ber Isimr.ifvl t ,r ueciW O~ner O~h~r ompute Inspection Fee Below p Fee ServiceENrenca5iie k Fee Fexders~5uGlentlers p Fqe Ciwults 0 to 200 qm s 0 to 30 Am ~s ' 0 tn 30 Fan s Above 200 Amps~. 31 to 100 Amps O~ 31 ta 100'qm s Swinttning Pool Above 100_Amps Above 100_Amps Transformers Irrigation Boorc~s , j~ PartiaL'Other Fee Signs Special InsUection S 3 ~p TOTA Nem~rks 3 A flouBh-in Date? I. 1ha ' C • Inspectoqhe~uby certiiy that the abova Final ~ ~ ~ ^=e inspection has been f ~ ~ ~aa. fNerepuestvo1d18montlalrom ~ ~ « CITY OF EAGAN ~ N= rr~ 14 4" ~3 6 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ! 93ry-~.: " PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value ~~7 ~ 000 Date NOVEMBER 19 ~ 8 87 SiteAddress 9~5 STONY POINT ROAD OFFICEUSEONLY 2 4 LEXINGTON S OARE On Site 5awage _ Occupancy R3 Lot Block Sec/Sub. Q R1 ParcelNO. 7TH ADD MwCCSystem Zoning On Site Well _ (ACtuaq Const Vn a Name ~1RVIN GEORGE BLDRS INC Cirywater (Allowable) Vn ~ Address P• 0. BOX 428 PRV Required _ # os Stories 44 o C~ty PRINCETON phone 332-3034 BoosterPump _ Length oeutn 46 , o Name S~ 389-3201 S.F.rmai z~ oQ Address FootprintS.F. U ~ City Phone ppppOVALS FEES W w Name Engr./ASSess. Permit $ 423.00 ~z Planner Surcharge 38.50 x- Address aw C~tY Phone Council PlanReview __Z11.S0 Bldg. Off. SAC, Ciry 100.00 I hereby acknowledge that I have read this application and state tha[ the Variance _ SAC, M WCC SZ 5.0~ information is correct and agree to comDly with appli le a~e ot WaterConn. 52$.00 Minneso~a Statutes antl City f gan Ordinanc . ~ ~ WaterMeter 67.00 Signature of Permittee _ _ - Road Unit 305 _(10 A Building Permit is issue 'ta~1ARYII~_S~EQB LI)$$-__ Treatment Pi 180.00 on the ezp~ess condition that all work shall be done in accordance with all applicable State o( Minnes a Statutes antl City Eagan~Or inances. Parks ~ TOTAL $2~37$.00 Building OHicial__~ / ~-'~-'~-Zl/ _ ~ P~~~ 2006 RESIDENTIAL BUILDING PERMTT APPLICATION O 8~ City Of Eagan ~ ~ ' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdlon Reouirements Remodel rReoair Reauirements Offce Use Onlv 3 registered site surveys showing sq. ft. of IoL sq. R of ~ouse; and all roofed areas 2 copies of plan showing tootings, beams, joists Cert of Survey Recd _ Y_ N (20°/a maximum lot coverage allowed) 7 set ot Energy Calcutations for heated additions 7ree Pres Plan Rerd _ Y_ N. 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree ?res Required _ Y_ N isetofEne~gyCalculations Adddion-indicefeilon-sitesepficsystem On-siteSepticSystem _Y _N 3 wpies of Tree P2servation Plan if lot platled after 7f1/93 Rim Joist Detail Options selection sheet (buildings wAh 3 or less unAS) Minnegasco mechanical ventila[ion form ~ Date ~ / ~ Construction Cost~~n ~CJ Site Address ~ 7_ Unit/Ste # - n SS/~ 3 Description of Work ~i'1 t'~ O~ ~ ~ /1~~~~ ~~"~S Multi-Family Bldg _ Y ? N Fireplace(s) ~ _ 1 _ 2 Property Owner 2 Telephone ) 3 3 O- S r2-r4 Contractor nT~^ ~ C-[. S~ /vi C~ * Address ~~,~~Q ~/YI e-~'LG~ ~1~: C~ty .~,~ii'Ii7~P.'~Tin ~GZ ~ State s~) Zip ,~3 ~3 Telephone # ( 9„5,7~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Calegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (~submissiontype) Submiried Submitted ' . Energy Envelope Calculations Submitted In the lost 12 months, has the City of Eagan issued a permit for a similar plan based on a mosfer plan? _ Y _ N If yes, date and address of master pian: Licensed Plumber S ~elephone # ( ) Mechanical Contractor FF~ ~ n D elephone ) 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.Ihe 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 woik wi1T be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ a ~2I P~ s~~ ' ~ Applicant's Printed Name Applican s Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ' D Ot Foundafion ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory ~ ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mu ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc. ? O5 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 ~4-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/~oors ? 34 ReplaCement `Demolition (Entire Bidg) - Give PCA handout to applicant DeSG~IpYiOn: Water~amage_Yes - Valuation ~ccupancy MCES System Plan Review . 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (nev.~ bldg) Sheetrock _ Footings(deck) FinaUC.O. _ Footings (addition) FinaVNo C.O. _ Foundation HVAC ~ _ Drain Tile Other Roof _ Ice & Water _ Final Poo] Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _AirTest Final Windows _ Insulation _ Retaining Wall Approved By: , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Ofher Total ~ ~ ~ 2006 RESIDENTIAL MECHANICAL rE~iT aPrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone #J 651-675-5675 Plcase complete for. single family dwcllings & rownhomes/condos when permits are required for each unit Date ~ / a0 / ~ ~ ~ Y t -2d . SiteAddress C'~1S ti CSW~ ~ Unit# Property Owner W (_,~(y~(> ~(T ~ ' Telephone # ( ) Contractor _ O'CONNO~ Plumbing, H~ting & Cooling Street Addres! 1904Yermillion St. City Hastings, MN 55033 State Telephone # ( ) Bond Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 X furnace _Additional Replacement _ New _ air exchanger ~ air conditioner l - _ heatpump ~'I ~ ' ~ ~ ~ ~ ~~~.till ~z 7 ~ J otner ,,1 )1?,'!,", I i°'! ~ _`~J - ~ State Surcharge $ ~50 Total $ .'XJ • 50 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 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 pian in the case of work which requires a review and approval of plans. ~-'1~ K~Ap~ ~ .~r~c.~'~ Applicant's Printed Name Applicant' ign ure RESIDENTIAL BUILDING PERMIT APPLICATION ~ ,•r ~ j O'7 ~ 3830 PILOT KNOB RD~EAGAN MN 55122 651-681-4675 I a-~. ~5 New Construction Reauirementa RemodeUReoair Reauirements • 3 reg~stereA site surveys showing sq. fl. of!oL sq. ft. of house; and all roofeC areas • 2 copies of plan ~20°A maYimum lot coverage allowed) . t set of Energy Calculatians for heated atltlltwns • 2 copies of plan shovnng 6eam 8 window ;iies; poured found desgn, etc.) • 7 sile survey for extenor additbns 8 decks • 1 sel uf Energy Calculations . Indicate if home served by septic system ;or additions • 1 copies of Tree Preservation Plan d lot plaped aRer 7l1193 . Rim Joist Detail Oplions sHectian shee[ (hlCgs mth 3 or less units) DATE ~ t~-S Ia'L VALUATION ~5~~~ l Z$~Z-S SITE ADDRESS NI~~ ST~'(W~ ~(Tl~'T I,C(Y MULTI-FAMILY BLDG _Y _N TYPE OF WORK~CPr`~'~' 6~F ~`~e,~0~~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~r'Z ~~br "~'CC.~ ~~(1C'11C)C~a~~1~(1 STREET ADDRESS OI ~V . # CITY~~e,~_STATE rn~ ZIP 5540A TELEPHONE #~qrJ~-~~~S~Z.C~bO CELL PHONE # FAX #<<vI~I..)~~I-7.-- 1DOO PROPERTYOWNER l~iit~Z~"S,Cr TELEPHONE# ~~G' COMPLETE FOR ~NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~[I~ \ k:tiOT.1 RGLES 7670 C:1TlGO12Y l //~~~b[f~NESOT.1 RT~LL S 7G7? (d suhmission type) . Residential Ventilation Category 1 Worksheet Submif et d'~ New EnergyCode Worksheet Submined • Energy Envelope Calwlatlons SubmitteCl ~ \ ~ `N^ ~ J S[ P', a 2~~2 ~J p ~ Plumbing Contractor: `\1,Y Phonc # Plumbing system i~icluctes: Water Softener =~I.awn Spn~ii~eC Fee: $90.00 ~Vater Heater ako of R.I. Baths No. of 13adu Mechanical Contractor: Phone # ~[ccha~iic.d syslcm iiicludcs: rlir Condiuoning Pcc: :~70.00 f-Icat Rccovcr~' Scstcm Sewer/Water Contractor: Phone # I hereby acknowledge thot I have read ihis application, state that the inf rmation is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eaga di nces. Signature of Applicant - - - OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated a~02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 76-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ~ 31 Ext. Alt - Muld ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 PorchlAddn. (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 ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGon p 36 Move Bidg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemoliHan (Entire Bldg only) - 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 Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaWo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulanon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , . ~ ~ . . 1987 BOILDING PERMIT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLtIDE 2 SETS OF PLANS, 3 CERTIFICATBS OF Si1RVEY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR COEHER LOTS - CONTRACTOR/HOMEOSiNER MQST DESIGBiATE WHICH ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOWED ONCE BDILDING PSRMIT IS ISSDED. MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL O~ITS FOR SALE U~TIYS INCLUDE 2 SETS OF PLANS, CERTZFICATS OF SDR9EY - CHfiCK i7ITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COt41ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2~000 LANDSCAPE BOND To Be Used For: cS~'~6~E FiWNrcJ~ Valuation: ~J Date: 7-~~ Site Address 97.5 SIo•?` ,Qry7' OFFICE DSE ONLY "I~~ 000 ~ Lot ~ Block On Site Sewage_ Occupaney R-3 MWCC System ~ Zoning R_ 1 Parcel/Sub 1,E,~je(6To~~(~hJq,GE,.~Ei/f~r'/i/A~'j/J On Site Well Type of Const ~ City Water ? (Actual) V-N Owner ~¢~///n/ ~(y~,~E _~vi~oFRSa~, (Allowable) V-N !1 of Stories Address ~,r ~y~ Length ~/y' Depth 4~.,, City/Zip Code _ ~~3 S.F. Total Footprint S.F. Phone ~ - _ - P2 ~d3 APPROVALS FEFS Contraetor ~s JF Assessments Permit y23.00 Water/Sewer Surcharge 3 B.SD Address ~~/y/~ Police Plan Review Z I I~ 50 C Fire SAC, City ~ 00~ 00 City/Zip Code Ji¢~~ Engr SAC, MWCC 525~00 Planner Water Conn -,DU Phone S.4sl7F Council Water Meter O(7. Bldg Off ~ Road Unit p',pp Arch./Engr. SAy/j~ i/S fX,~y,/~/~ APC Treatment Pl p,Ct~ Variance Parks Address ~//~/G Copies TOTAL ~Qp City/Zip Code ~i¢syl~ Phone # ,=~by//'fF VA LUATION . GARAGE ` , 22x 22= ~f84 ~ ~l~c ?'/a s I!, ~¢'73 xr2 = S~7b ~ ~ `f '-lO = `t'6 D IZX1y= l68 9rZxs= ~6 i2o4 x ry= ~GBs~ H ousE ~sx4o=l~00 11 f4 = 154 9'i2 x ~ = 7 6 i x ~g ~ (ta) I %Z x b = ~1 IZ21 X4y = 53'7 Zy `16,25~- ~ * *~t ~ 2422 Enterp:ae Drive * PIONEER Mendota Heights, MN 55120 ~~~-.•,r,.F *engineering~ (6121681-tsla ~ * * I Certificate of Survey for. MARVJN taEOK~E B~ILDEQS INC. ; ~ ; 5 B9° K' 32" E NORTN I 93./2 ( o ! ~ i ~ ^ 7 p/ ~ ~ 0~ tio~o s/ . ~ ; p' ~ ~ ~ i ~ ~ u~ Ei.g9b.i8 I ~ ~ s o~ ; o~ `~e ~ ~ I v 3 i'h'~~ 9o I \ , ~ pc~' ~ / 9` h ~ ~ o / / OO M~bf~~-993.cL j.':r h~ ~'E V~ N ( \ ~ ^ o T ~JP ' 0 S~ a ` ~f7 1 S~ ~O~ / ` - ` P 0 ~jdT~'il / IIl I OA I f'~ ' .3j O ~ ~ '~F~ 1\~ 3 ~o,~o ~,e ,o~~ y :(vb Ei= 89L33 ~ ~s ~ a ~ o ~ oa ~/a 9Q ,n~ ~o ~ E90.4 I F + . 900.o Denotes exist~n~, E/evation PRiOC~O5E0 NOUSE ELfVATIONS i • soo.o D¢noles Proposed flevafion , Dcnoles Drainol~Q f Uffll y~"asemenf \~°'"~esf F/oor flevafion = ; - DenofesDro~na~e Flow A~row Top o~ Block Elevafion _ ~ ~ Denofes ~nonumenf Gara~e Slab Elevafion ~ s9 4 0 ; ~ear~n s shown p~e assumed - ~ L or z, LOCl~ 4, LEXINGlOIV SQUAQE 7TN ADOITIaN ~ DAKOTq COUNTy~ MJNNf50TA SUBJfCT TO fASFMENTS OF RfCORp I ~ere6y cendy tM~ this i~ e v~r arW cor*ect representetmn o1 a surny ol 1he boundanm ol tht ebov~e~ d(/ep cribed IanQ, and pf ~he locatwn oo-~~ all y~il~i~qc, t~ereon, e~+d o~~ +~vblt l~aoechme~ts, il eny, irom p on o~d ~aM. Af w~veye0 Gv mt this~_day ot ~5~~~~ A.O. 19dL. i ^ ~ / % ~7 i ~ . - ~ ~r-r~ ~ AT h SiK~CH l. RE4 ~.O 1a091 I~ Z~.~~ . k~ aa ~I-~ Nh-k~l`i u a ~~ly3~ . MINNESOTA STATE BUILDING CODE DIVISION , EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER M~ RV y`. ~.S C~ P(~ C~ ~ t~ U~ I 1 P~; ~ SITE ADDRESS 4,Q'f' ~ ~~BG~ y~~~y~TpN SOuARE 7~.4DD~/, CONTRACTORM~R~~-YJ (~pp~~~~~ &~j ~,:l,p~`~, DATE PHONE Determine workinR square footaRe of each: 1. Total exposed wall area..... f~'rj"1 sq. fC. x ~ __1 / 3. 2. Total roof/ceiling area..... r(~ sq. ft. x.Qpl = ~j ~•5.~ Total exposed wall area above floor = /~O ~O ~ ' a. Total waTl window area . . . . . . . . . . . . . . J~~ b. To[al door area . . . . . . . . . . . . . . . . . . c. Total sliding glass door area. . . . . . . . . . . . d. Total fireplace wall area . . . . . . . . . . . . . e. Total vall framing area (average 10~). (o p f. Total net wall area aboee floor. . . . . . . . . : /J(e'o~ g. Total r1m joist area . . . . . . . . . . . . . . . ~Z,` Total exposed foundation area = ~ I h. Total foundation window area . . . . . . . . . . - - i.. To[al ne[ foundation area above.grade. . . . . . . . ~ ~ De[ermine "U" value of each wall seRment: a ) y q X„U„ , 3~ = So. ~O~o b. tia X;,u„ ,a3 - 9~~ t~ ~--1~ x „U„ ,~Ja = 1~,~~1 d X ~,U„ _ ~ e 1!,, f n X U-` _ ~ I• I 1 . ~ . . f. ~ ~ c~a X.,U„_~_ __~~y~ . ~ ~I ~ . p 1~ X r1U11 O s I D ~ A ' e • h • " X 11'*11 ~J . V i. g~~U~~ , b(~~I' a f~ 3 3 . TOTAL . . . . . . . . . . . . . . ~ I ~ / Tf item ti3 is the,same as, or less than item ~tl, you have met the intent of SBC.6006(c)2. Total exposed roof/ceiling area = 7~ j. Total skylight area . . . . . . . . . . . . . . . . ~ k. Total roof/ceiling framing area (Average 10~) 1. Total net insula[ed roof/ceiling area Determine "U" value far each roaf/ceiling segment: j. c.~ X~,U,~ , 3 3 3`a k. 99 X .oa~ _ ~•s~ a9 5 X,.U., ,oa~ a?,&'~1 - 4. TOTAL . . . . . . . . . . . . . . = as ~ $ If total of item IE4 is the same as, or less than item 112, you have met the intent of • SBC 6005(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values estahlished by the sum of items , fi3 and 04 shall not be grea[er than the sum of items 1!1 and 1J2. l g 3. y~ + z. a~.ss = aa~.oy s. ISU.~~ +a. `~`~7.7~r = )~7fo,b5 ~*********************3***~*t*ki***# % * ~ ~ CITY OF EAGAf~ * ~CATT ~ ~ . * APPROVAL OF P~P. ~ APPLICATION FOR PERMIT oF s~ ~o/~ w~,r~ * * rn~rar.ramrONS WII.L NDT BE SCIIID-~ * SEWER AND/OR WATER CONNECTION P~T ~ ~ * AI'PA(1VID- * * ~ * r _ - ***t*****:********a**+:**x**~at#+#r*** P ease Print 'f a~ ~~1) PROPERTY ADDRESS: s.~~~~~o~~.~ 2~ ~ LEGAL DESCRIPTION: ~ .aL ~ ~ ~ ~ o , " Lot B1ockT~division or Ta Parce ID ) IF E~ZSTING 51R[.'CiVRE, D}1TE pF ORIGINAL BL+ILDII~ PII2N1iT ISSOANCE: " ' Nbn Year PRESENf 7ANING/PROPOSID LSE: q CONP~ERCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY ' ~ IDIDIISTRiAL ~ R-~ DL'PLEX (1Wo Units) e:.. ~ INSTIZS,TMf20NAL/GOt7II2I~fENT ~ R-3 '1~WNIIOC~SE (Three + Units) ( Units) . ~ R-4 APARTMEN'P/COI~IDC)MINILTI ( ' Units) 2) ~ NAME:_//.~7LL.e}~DL.v.nbi.no lLD 7'i~~+ ADDRESS: O Gv rclG L~ CITY, STATE, 2IPs~D yz vt 2~ ~ PHOI~: ~G9~. ~/a./ 3) • r.~• N1~1E: ~..~~„r Pliunbers1Lic`ense: ADDRFSS: Active H .Exp~red CITY. STATE, ZIP: ' Not recor~d PHONE: MASTER LIC~ISE# gt"~tial 4) • i~• ~ NI~ME: /7!/A/I v~,G7' ~ ,•~~~a ~ ~v cc/r/~ c . _ ADDRESS: ~vy`2w~S-~o~z ~ CITY~ .SPpll'h'r ZIP: ~ ' PHONE: , .g~ i~ a. . : a • a~ • ~ CONNECTION 7U CITY SEWII2 ~ CONI~CrION 7L7 CITY WATER OTIIER ' 6) • r ~ PI~SE HOLD APPROVID PERMIT FY)R PICK-OP BY OI~ OF AHJVE ~ PI,F1aSE MAIL APPRQVID PERNIIT 3. 4. AB0~1E . . {Circle one) 7) ~ ~ `l / 7_JP7 • ti• • i: ~ ~ ~ r a~ • ~ • a ia~ ~ i~ Ya~• • • • • a~ • ~ ~ r. • ~a_ ~ ::r M:/. •,tlai 1 1 t . ~I' ~ • . , ' . FOR -CITY USE ONLY ~ ~ PERMIT # ISSL~ED ' 5'z S'~` . , Pd w/Bldg. Permit FEES: $ $ /d 'S~ SEWER PERMIT (INCLUDE SC~RCHAAGE) $ S ~~i' `J~ WATER PERMIT (INCLIIDE SIIRCHARGE) $ ~ 7'~ ~ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ S SEWER TAP $ S /'.S ~L~ ACCOUNT DEPOSIT - SEWER $ $ ~J~ ACCODNT DEPOSIT - WATER $ .L1 Z S' Cr7' S WAC ~ Z S~ ' $ ~ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ S LATERAL BENEFIT/TRONK WATER $ IX C~~~~~ $ WATER TREATMENT PLANT SLRCHARGE $ ' $ OTAER: $ $ ~ /-G~D TOTAL . . ~ ~ 7 ~ R CEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PC~BLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING " NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ,~,~-t~_~~/ ' TITLE: DATE: _ ~I 2--~ I~ 7 crrY oF Ea?GEuv L~ B. ~ MECHANICAL PERMIT RECEIPT #~~~O SUBD. (612) 681.4675 DATE r ' SiS~ 93 RESIDENI7AL PLEASE COMPLETE UPPER PORTION ONLY FOR SIIVGLE FAMIIY DWELLING3. AiSO, COMPLEI'E FOR TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRED FOR FACH DWELLING UN1T. ow~vER, Sf eu e. ~~e d do wi ~s SITE AADRFSS: . D O ODEL (EXISTING S~ q~S d,,, rnucizox ortt~ e~n ~r, INSTAId.ER: Uv ~.~z,- R ff C n c AVAG 9-L00 M BTU 24.00 PHONE j~- ~ 09 9 ADDITIONAL 50 M BTU 6.00 ADDYtF.SS: 0 C,,J . GAS OUTLEfS - M[NIIIZUM 1@ S3 EA. crrY: ~.G/.e ~~.~'s/a- suxcsaxc~: a so ~ SIGNATURE: ' TOTAL: $ ~r ~,rp COMMERCIAL ~~is 9'a PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI•FAhIILY BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTI'. WORK DESCRIPTIOP~i: CONTRACf PWCE FEES 1Wn OF CONTRACf FEE. STATE $URCAARGE IS S.SU FOR EACH SL,000 OF PERMTI' FEE. $ PROCESSED PIPING - 525.00 $ 1~IINIMUM FEE • 5~.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTAI,I,ER: ADDItESS: CTfY: ZIP: PHONE CT17' SIGNATURE SIGNATURE: Use BLUE or BLACK Ink For Office Use I j Permit City of Wd Permit Fee. br 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff. 1 I - - - - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ^2 Date: Site Address: rl -1 Gr1I f Unit { Name: Phone: (L) s- 1 - QI 1 Resident/ i Owner Address / City / Zip: Applicant is: Owner. Contractor Type of Work t Description of work: ~lr C4- ~4- Ce k 96 i Construction Cost: I Multi-Family Building: (Yes / No f Company: MuIa. I 1 - r1A ons+ (!i Ar. Contact: I I ck., Contractor Address: City: -r` ~G State: ft) N Zip: Phone: (2)31 " W cf ' -1 _ Q I r j License Lead Certificate N14T -y- I (}s') - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secLets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-ciooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed. within 180 days of permit issuance. x0 1~ C x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use i 7 I s~ Permit#: City of 1 Eap I -3f I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 G 1143 Site Address: ` ~ Unit 3 j Name: (-nccG Phone: rlI --C2~ Resident/ i Owner Address / City / Zip: j Applicant is: Owner Contractor i 1 Type of Work Description of work: i Construction Cost: I 5M. Multi-Family Building: (Yes / No Company:( Cyl+ C4. nr. Contact: T CA-, I t~ t c~~ j Contractor Address: J~~ "1 1 (~,t~~d-i lave, N City: x..77 r` 1 IGx4ej- State: MN Zip: SJ` 0a2j Phone: (.03 ~ 4 29 `-t-3 20 ' License Lead Certificate Nt PT° If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that theV are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed. within 180 days of permit issuance. x 4 i ►'1 C~ f( y1 x 42 Applicant's Printed Name ApplicaWs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148534 Date Issued:04/05/2018 Permit Category:ePermit Site Address: 975 Stony Point Rd Lot:2 Block: 4 Addition: Lexington Square 7th PID:10-45081-04-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Wynne Wellach 975 Stony Point Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature