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976 Stony Point Rd
City otEaQeii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK In For Office U Permit #: Permit Fee: •6--� Date Received: Staff: 2010 MECHANICAL PERMIT APP (CATION D 12 : $' / e: Site Address: ��� � �� � ( Tenant: Suite #: RESIDENT / OWNER Name: 1_11CJ11t Address / City KIIIUi( Phone: _Ca' j(1 - g's Zip: 5.9[ ai4A)1 11J± CONTRACTOR Name: \[1bgL., hG License #: Address: 1 et -Li C4L t) ii.) 7, City: St State: _fri Contact: _ Zip: 9- v 7 Phone: 4i - ''b&4 �'\ Email: TYPE OF WORK __ New ____ eplacement Description of work: 1 A!'t&Z Additional Alteration Demolition ____ 4 x1 TW vg 713 M t )i 8va �t d1 z' )1 /'az NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE_ RESIDENTIAL urnace Air Conditioner ____ Air Exchanger Heat Pump ___ Other COMMERCIAL ____ New Construction _Interior Improvement Install Piping ____ Processed Gas __ Exterior HVAC Unit ____ Under / Above ground Tank (__ Install / ___ Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) 6 burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ _' TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR Contract Value $ • x 1% State Surcharge) _ $ Permit Fee surcharge is $.50. increases by $.50 for each = $ Surcharge Permit Fee requires a $1.00 surcharge). = $ _ TOTAL FEE - If Permit Fee is Tess than $1,000, - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 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.orq 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 Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to st of a permit; that the worly[/ill be in accordani with tapproved plan in the �ccase of work which requires a review and approval of plans. --- Applicant' x Applicant's Printed Name n• u FOR OFFICE USE Required Inspections: __Under Ground Reviewed By: Date: __Gas Service Test In -floor Heat Final CITY OF EA'aAN Permit No: Date: '-i~-~'~ 3830 PI'ot Itnob Road Meter No: -3 78 Size: ^ 'r ~ P.O. ~ox 21199 Reader No: 0~~~~ Date: - O^ Eagan, MN 55121 Zachr an Bros. ~~~5~ Owner. S,~teAddress: 976 ;tony Point P~a:i '-~~~in~ton 7ti P!umber. K & 1~ P1 C~snn. Chg: 525 . . ~ xzl Acct. Dep: 15 ~ • ~~~~~~t+~~ i Permit Fee: 1Q Surcharge: ~ B~gr~~mply with the City of Eagan ~t i4 ~ ~ Ordinances. ' 6 7 rABp~ By - WATER SERVICE PERMIT I . ~ ' CIT'' OF l~A.GAN Permit Na 40` Date: ~-10'S7 38?~0 ~Pilot Knob Road Meter No: ~ 5ize: P.O. Box 21199 Reader No: Date: ~ Eagan, MM 55121 f Owner. ~CYnaan $raa. j SiteAddress: 976 Stou Poiut ~'.aad I~+ ~3 Le~in~ton S 7t}~ ! Plumber. ~ & K Plu~hfn~ ~ 1 Conn. Chg: S25.O~n~: Zoning: T>> i Acct Dep:~,_~Pa No. of Units: 3 - ~ PermitFee: 1Q•u~p~ _ Surcharge: .~Onci _ 1 agree to comply with the City of Eagan Tr. Plant 28t~ t~0od 4rdinas~ce^a. Meter. ~ T.~~~3 - M isc.: BY ~I WATER SERYICE PERMIT k~~ . _ _ cirf oF~~aN SEWER SERVICE PERMIT 38~0 ~lot Knob Road Z n:? u P.O. Box 21199 PERMIT NO.: Eagan, MN 5512n DATE: Zoning: Zactunan Btos. No. of Units: 4 owner. ~ Address: ~ SiteAddress: xony Poiat Foad I,4 B3 I.exin~ton S~ 7t;i _ i Plumber. ~ ~ P uffi g ~ = 0 lf?~.t~Opd >r• 5~5.OQ . I apree fo camply wkh the City of Eagan Connection Charge: Ordlnances. Account ~eposit: IS . QO~~ Permit Fee: 10 .OC1p~_ j 5urcharge: . St~p~ , i By Misc. Charges: I Date of Insp.: Total: ~f Insp.: Date Paid: I „ ~ CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ DATE ~ 19 weeeivao ~ vwau~ ~ AMOUNT ~ I 8 DOLLARS ~ oe ~ CASH CHECK ~ rOR . . , ` . ( ` . r FUND CODE AMOUHT Thank You BY ' t~ ~ ` . White-PaYers CoPY Yellow-Postinp Copy Pink-File Copy BLDG. PERMIT N0. !`-I ~ C~-~ - . _ k_ _ x ~ r,,- ~ ~ i -7-1 ~ ~ . i ~i / T "~Ltrl.~-.,~r- r. i .l I- . ~ ' 0~-3210 Bldg. 'Permit 01-3422 , Plan Check ~ ~ < < L' 01-3445 Surch./Adm, ~ ~ 01-3446 SAC/Adm. ~ ~'i O 1-2155 Surcharge 7 17-3860 Road Uni t U:' 20-2275 SAC ~ ~'-f 20-3865 Water Conn. ~ ~-~L 20-3868 Water Trmt. t~ CXj 20-3716 Water Meter ~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ! ~ 11-3855 Park Ded. _ TOTAL 1 ~ ' ` . ~ CASH RECEIPT . , ~ ; . ~ ' ~ CITY 4F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 i / ! ~ DATE r 19 wiceiv~o ' , FROM . - . . ~ . rr: AMOUNT $ , ' ' I i ~ 4 DOLLARS ~oo ? CASH ~-CFiECK rOR . - ~ ~ ' ~ ' ' ~ , ~~Il Y ~ , ~ J ,r ; ~ ,F - ~ r ~ ~ FUND CODE AMOUNT ' , _ n J . i~ ~ ~ ~ ~ ) r ~ ~5f ~ i ~ ~ ~ .'i i ~ / Thank You ; ~ B,r ' ~ , ; ,r,i ~ ~ . White-Payers CoPY r. Ye?IOW-Posting COPY Pink-File Copy ~ f'rfi~~`£r CITY OF EAGAN ~ ` . , 3830 Pilot Knob Road, P.O. Box 21 •19~, Eagan, MN 55121 PHONE: 454•8100 BUILDING PERMIT Receipt # To be used tor Est. Value r""" Date r ,19 Site Address ' OFFICE USE ONLY Lot Block Sec/Sub. `':•'`la~rGTUra SQ~~A'c.:. OnSiteSewage _ Occupancy T_ , ~ MWCC System _ Zoning Parcel NO. On Site Well Type of Const City Water (Actuaq a Name ' ~ (Alloweble) ~ W 1~ , ~ i. ~ ot Stories 3 Address ' Length ° City Phone ~ 3-~ J Depth S.F. Total , p NBme Footprint S.F. ~ Q Address APPROVALS FEES x ~ City Phone Assessments Permit J ~ a Water/Sewer _ Surcharge ~ . yVj W Name Police _ Plan Review =Z Address Fire _ SAC.City ~-''U v~ E~gr. _ SAC,MWCC Q W City Phone Planner _ Water Conn. Council _ Water Meter - ~ '4 I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl - State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL ~ '~i~`~?'. : ~ . A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Qrdinances. Building Official ! ~M~it Ms. ~~R q~l/~~ 4re '~ii~~ ~ r+wf•r"7/ ~ jJ~1 / . ~i:~i? GT,/ J r I~VJIG 2 / ~ /c? /.3 ~ Electric ' r' 'i = ? ^ /r,~~ G'z% Saftener Insp~criow D~b Iww- CNw~~ Footingsl Foatings 11 FouMation Fram~ ~o-i/• ~ . Rod'np ~ ~ c%:; , Ra~gn Htg ~ ~ Itrl ~ ~°~1•~ 61 Isul ~6e l.l1~~ Fieplace F11H~ ~ /3 Fiml P~ , ? BWg Final Cert Occ I/ / - J~ Temp~, l.P DeCk f1~ Deck Fre~g 1MeY Rr. Di~p~ • PERMIT # ' . ~ ~ ~ r' PLUM8IHG PERMIT rO S~ `f~ f:. CtTY OF EA(iAN RECEIPT # 3630 PILOT KNOB ROAO, EAGAN, MN 55121 DATE: ! CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. ~ New _ - ~ Name Mult Add-on ~ Address Comm. Repair c City ` Phone Other NQ. FIXTURES TOTAL ~ Name Water Closet - $3.00 ~ 3 Address ~ Bath Tubs - $3.00 - p City Phone Z Lavatory -$3.00 ~ Shower - $3.00 ~ Kitchen Sink - $3.00 FEES U~inal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE 1 Laundry Tray - a3.00 MINIMJM - RESIDENTIAL FEE -$10.00 1 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 2~•~ ~ Water Heater -$1.50 STATE SURCHARGE PER PERMIT - Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 ^~Private Disp. - $10.00 Rough Openings - $1.50 51GNATURE OF PEFiMITTEE FEE ~ STATE S/C: FOR CITY OF EAGAN GRAND TOTAL: ~ . PERMIT # S-'~ ~ ~ . . MECHANICAL PERMIT ' ' CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE: 10- 87 CONTRACT PRICE S22a0.00 PHONE: 45~-8100 Site Ad~r,ess - Sto oint R. BLDG. TYPE WORK DESCRIPTION Lot ~ Bl~ck " • Sec/Sub. -T- i t~ Res. ~ New x c~ :v~c~ ~;i , pe Heating and C Mult Add-on ~ Name 2619 Coon Ra~ids Blvd. Comm. Repair ~ Address Other ~ City ~pi~s Phone ~57-5Q40 Zec n Homer FEES ~ Name . W. t St. RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone 9~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkiiAl~ - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air lOf!, 000 M BTU 2~+• 00 APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~ Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (qDD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 1 1.50 BEYOND $1,OQ0) Other t5 . S0 \ I. Installiiig one (1) FEE ` , ~ 1 ~f , , \ ~ , , C.errier 5$G3100-2 S/C: ' S~ SIGNATURE OF PERMITTEE n3tur81 gas tuZnace TOTAL• 26.00 V FOR: CITY OF EAGAN ~ . . ! ' ~ . e} 1 + , f` , ~.er#tfir~tp uf (~rru~~nr~ ~Citp of ~agan ~p~rhttr~tt ~ ~ing ,~tt~rpr~~mt This Certiftcate issued pursuant to the requirements of Secrion 306 of the Urdform Building Code certifying thal at the time of issuance this structure was in compliance wrth the various ardiirances of the Crty regulating building construcrion or use. For the following. ~F nWG/GAR 14104 u~ c~;~~ eie8. ~c~ No, o~~w~r'~Ya~ R 3 ~n R; Trr~ c~G ~ o,,,,,,~of~~ ZACHMAN BROT}~ERS A~ 4650 W 77TH ST. ~ EDINA ~i~~~ 976 STONY POINT Ri~~~ty ~~s, B 3, LEXINGTON SQI;ARE 7 NOVEMBER 13, 1987 e,~e ar~ POST IN A CONSPICUOUS PLACE . t . _ . . . . , . . . . , . . CITY OF EAGAN ~ 383Q Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-$100 BUILDING PERMIT Receipt # To be used for D~+~ Est. Value s i r 0~ Oate , 19 ~9 Site Address ~76 S3'dNY ?OIN'I itD Lot 4 Block 3 Sec/Sub ~i~~ gQ OFFICE USE ONLY Parcel No. occ~Pa~cy - Fees Zoning - W Name KIG~~ ~Y (Actual)Const - BIdg.Permit Zb.00 o Address 976 9T~I+lY POII~'t Ra (Allowable) - CI Phone ~ ~"3 ~2{~ # of Stories Surcharge • ~ ty Length 3~~ Plan Review o Name s~ oep~n Z~C~~7A~• sac, C~ry Addf@SS S.F.7otal V IM SAC, MCWCC ~ City Phone s.F. F°°m~'"~s - On Site Sewage _ ~Nater Conn U¢ W W Name On Site Well - Water Meter W Address MWCC System - Acct. Oeposit a W Cihl PhOn@ Ciry Water - PRV Required _ S!W Permit I hereby acknowlege that I have read this applfcation and state that the Booster Pump - S~W Surcharge information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit R~~~ ~$~j~Y Planner - Park Ded. A Building Permit is issued to: on the express condition that all work shall be done in acco ance with all - 1~~ applicable State ot Minnesota 5tatutes and City of Eagan Ordinances. gi~, ph. _ Cop~es Building Of(iCial Variance - TOTAL 27' ~ Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.VA.C. ELECTRIC Inspsction Date insp. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Fnal Hig. Fnal Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr.lPlan Bldg. Final Deck Ftg. ~ /C Oeck Final f Well Pr. Oisp. CITY OF EAGAN NQ 16586 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ~ 3~~-~ BUILDING PERMIT Receipt # To be used for DECK Est Value $1 ~ 000 Date JUNE 6 , t g 89 Site Address 976 STONY POINT RD Lot 4 Block 3 Sec/Sub.LEXINGTON SQ 7TH OFFICe USE ON~Y PBfCBI NO. Occupancy - FEES Zoning _ w Name RICNARD KEENEY (nctuap Const - B~dg. Permit 26 _ 00 3 Address 9~6 STONY POINT RD (Al~owab~e~ - Surcharge _ 50 ° ~it EAGAN Phone 854-1220 uors~ories Y Lenglh 3? ~ Plan Review , O Name SAME Depih 24 ~ SAQ City o~ Address S.F.TOIaI 670 oa SAC,MGWCC ~ City Phone S.F. Fao~prin~s - On Sire Sewage _ `Nater Conn ~ W w Name on Site well - water Meter ~ MWCCS slem Address Y - q~(. DepoSit <W City Phone CiTyWater - PRV Requirad _ SNJ Permit I here6y acknowlege ~hat I have read this application and sta[e that the Booster Pump - SNJ Surcharge information is correct and a to ompl with a11 ap ~ able State ot Minnaso~a Staluies and Ci o( qq Ord a ~ TreaUnent PI Signature ot Permdee APPROVALS Road Unit A Building Permit is issued to: RICHARD KEENEY Planner - park Ded. on the express condition that all work shall be tlone in accor ance with all Council 1.00 applicable State of Minnesota. /S~tatutes an-tlr~C,it7y~ ot Eagan Ordinances. Bmg. OR. _ Copies Building Official !~~~~1 Ol ~"I ~L,I Variance - TOTAL Z7 - 50 This rnauest void j~~/c~ ~~~(J y 18 nwnths fmm O ~ 5589..7 ~ ~ ° ~ ~ Request ~aie,r Fire Ne. uph-in InsVg~~ion f e urted? ~R<~atly Now~Will Notify. Insp¢c- p~~~ „~r~ ~ves ? No mr When Feadv ~p Licensed Elecuical Convactw ~p I heraby request inspac~~on of above ? Ow^er electrical work insielled et: Sveet Atltlress, Boz or Route No. C~tv ~ ~(r S oi~ !'Aii~ r I~ /GP/FG ectmn o. Townshio Na or No. Fange No. Counry ~n ~'7 GOLK /iJ/'-TL~J C.2.l.S/~JZf 7'" /fK~ ~ OccupantlPRINT) n Phone No. / Z/~ f2 vIQ.O T~£/~~S 9'~ ~ Q ~j .7 Power Supplier Address Ko i ~G ~ c' !c ~fflLrJri.JG7~~ Elecbical Con[ractor ICOmue~Y Namel C~~nhac~or's License No. J/~'/f 3/"G/L ~i d G~~'7c' / G Gl c/~ 7yp - Mailinp AdJress (Convac/t~or or Owner Making Instailation) r%?aa r Avthorized Si ^alure ICmnacmr/Owner Makine ~~~5ta la~ionl Phone Numbcr ~ .~`Io `~s' y MINNESOTp STATE BOAflD F EIECTflICITY THIS INSVECTIDN REOUEST WILL NOT Grigga•Midwey eldg. - Noom N•191 BE ACCEPTED BY THE STATE BOAND l1N~ES5 PROPEN INSPECTION FEE IS 1831 Unive~sitvAve.. SL Peul, MN 551Q< Phone167D 842-OBW ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooopoi-os'/ / See inslructions lor com0~etine ~his lorm on beck ol vellow woV. ~~O ~`f" 8 9+j ""X" Below Work Covered by 7his Request Add Reo. Type of Builtling Apo~iancae WiroA Eqviumant WireA Home Range Temporary Service Duplex Water Meater Lightiny Fixtures Apt. Building Oryer Electric HeaLn CommerCial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Fa~m iM1n~ peo v ~her ISner.ilyl ~ n~ Ucuty Iher Ofiu~ ompute lnspection Fee Be/ow p Fee ServiceEntmnceSize k Fee Fexders~5ubleeJers ~ Fee Circuits ti~ U to 200 qm>5 0 to 30 Am s 2 J- 0 tn 30 An s Above 200 Amps 31 to 100 Amps 31 to 100 A s Swinvning Pool Above 100_Am s Above 1Q0_Am~s Transiormers Irrigation Boorc~s •Sv Partia6~Other Fee Signs Speciailnspection S s~ Remarks TOTAL E~ ( flough-in D~~t: I, tha Ele ~ , InBpector, hB~OCy CBfll~~' 1~IA~ itlB fl~IOVB ~ate Final insoection hes been rh~ ~aa. Riie mQUest void 18 montlm Irom r+o P,^.v REQGIREn CITY OF EAGAN o ,J N_ 14104 ~ , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ ~~^j, I~ BUILDING PERMIT Receipt# ~ Tobeusedfor SF DWG/GAR Est.Value $»>000 Date AUGUST 31 19 87 Site Addrass 976 STONY POINT ROAD OFFICE USE ONLY 4 3 LEXINGTON SQUARE ~nSiteSewage Occupancy R3 Lot Block Sec/SUb. MWCCSystem ~ Zoning Rl Parcel No. 7TH ADD On Site Wetl Type of Const CiryWater X (qctua V n e Name ZACHMAN BROTHERS (nllowabie) 3 Address 4650 W 77TH ST. ,#104 LQ^ Sh ries o EDINA 893-0755 9 Ciry Phone oepth ~g S.F. Total , o Name SAME Footv~in~ s.F. o~ Address APPROVALS FEES ~ City PhOne - Assessments _ Permit $ ~ 423.00 ~ ~ WatedSewer Surcharge ~~50 W W Name lice _ Plan Revlew ~50 z? Address ~ Fire _ SAC,City 100.00 o= Engc-- SAC,MWCC 595_00 aw City Phon Plannei _ WatarCOnn. 595_00 - Coun _ WeterMeter _~~~~7 np I hereby acknowledge that I ave read is pIi tion and sta 9• Oft _ Road UNt zn[ np thattheinformationiscorre enda9re ~ PC _ 7reatmentPl __~~no~,~~ State of Minnesota Statut s and City s~ ~ nan Va e~ _ Parks I Coples SignetulB of P@rmltt80 - TOTAL 0 e A Building Permit is issued to: ERS on the express condition that all work shall be done in accordance with all applicable Stat f Minnesot tatute and City of Eagan Ordinances ~ Building Officifll _ ]r,,}.,~q~ RESIDENTIAL $ , a'~ BUILDING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Raouiremen(a RertwdeilReoair Reuuiremenb . 3 registered sile surveys showing sq. ft. of lot, sq. IL of hoise; and all roofed areas • 2 capies of plan (20%a maximum lot croverage allowed) . 1 set of E~ce~gy CalculaUons for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey kr exteriw additions & decks , • 1 set of Ene~gy Calculations . Indicate if home served by septic system for addNOns . 3 copies of Tree PreservaNan Plan'rf lot platted after 711l93 • Rim Joist Detail Options selection sheet (61dgs with 3 or less uniLS) DATE ~`R ~~Y VALUATION J / U7g ~~~2J SITEADDRESS `,~b`(1V~~0\41~ MULTI-FAMILYBLDG _Y _N TYPE OF WORK 1C-aL-d'.~~ ~/LF~~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT `z~~~~V ~\2Xk- ~pv floYZ~lc7Yl STREET ADDRESS 35a1 I V~Y1C~.IP.-R~Q.S. '~In2 CITY~~n ~ Ib iS STATE~A1~{ ZIP~ TELEPHONE #qFJ2• ~S' 20WCELL PHONE # FAX # 1o~Z' ~L2 - "TOOa PROPERTY OWNER 2'(le r~\ 2~ TELEPHONE # InS~ °~l~J° COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNLSOTA RULFS 7670 CAT'EGORY 1 ` n (J submission t~pe) • Residential Ventilation Category t Warksheet Submitted D ~d i~f[ cs Submitted . Energy Envelope Calculations SubmiHed AUG 1 z Zooz Plumbing Contractor: Phone # Plumbing syscem includes: _ Water Softener _ Iawn Sprinkl By . .00 _ Water Heater _ No. oFR.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mcchanical systcm includes: _ Air Conditioning Pec: ~70.00 Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge ihat I have read ihis application, state that the infor ation is corcect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi f~s es. Signafure of Applicard ~Y-~ OFPIC~ UST ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot 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 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. 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 04plex ? 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 Oemolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire 81dg only) - Give PCA handout to applicant Valuation Occupancy MClES 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 _ Eootings (new bldg) _ FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.1. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall 'Approved By , Building Inspector Base Fee ~ ~ ~ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total < • j ' ~ ~ ~ ~ 1~87 cs1Jlt.ll:f'iG PS':'.i;4TT APPi,7CA3I0N - ITY OF li:1GhN SI'JGLE FAMILY Di-0F.LLINGS I'iCF,tTDE SF.'l5 OF 4LANS~ 3 GF.[1TIFICATES OF SIIRVEY~ 1 SET OF ENERGY CALCIILATIONS ;;pTr^,: ADDRESSES FOR CORNER LOTS - COtaTRACTOft/ROE'1EOANER MIIST DESIGYi1TE F~HICI3 ADDRESS ~5 U~SIRrD. NO CH9P3GES IiILL 3E Af.(p;,!;D E1'r}CE i3UILDIt7G PE&"9IT IS ISSDF.DJ ;':~)~.'ri;LE llY7ELL.INGS - RESIDENTIAL REN`fP~L U;~ITS FOR S3LE U:~ITS I']~LU~E 2 SHTS CF PL.9NS, CERTIFICA'fE uE Si;AVEY - C1iECK ldI'fH B~DG. DEPT., 1 Sr.T C~F E1vEAGY C.ALCULATIONS COct~16RCIAL ~ ~ INCLUDE 2 SF.'PS OF ARCHITECTURAL & STROCIURAL PLANS~ 1 SET OF SPECIFICATIONS AND 7 SET DF ENFiiGY CALCULATZONS~ $2,OC0 LhNDSCAPE BOND To Be Used For: Caluation: Datc-: Site Addr.~ss W -mo OFFICE USE ONLY ~V- - - ~~00~- _ Lot ~ Block ~ ~ On Site Sewage_ Occupancy 3 -y i~1WCC System ~ Zoning Parcel/Sub ~ c' 6n Site iaell Type of Const City SJater 1/ ~Actual) __V~- Owner ~~~r~h Q (Allowable) il/ 0 of Stories Addr2ss ( J~1 7~~ c7~ ~(l~7 Length 50.33 ` Depth ag~OJ City/Zip Code ~.~a. _ ~/1 ._~5 S.F. To~al Footprin+, S.F. Fhone oLZ-=~7S~J "P'r`~tOFALS ciFS Contractor -7/y/~' rY~ ~i,~~~1° 1lssessments Permit ~23,Oo Water/Sewer Surcharge ~ R,SO Address Police Plan Review ~~.So Fire SAC~ City /00~~ City/Zip Code Engr SAC, MWCC $ 25~~hh Planner Water Conn 25.Ob Fhone Council 3/ f5~7 ~ Water Meter 6, O~ Sldg Off Road Unit 305~pU Arch ./Engr. S ~ ~ 7 v~~~~ APC Treatment Pl I$O , Ou Variance Parks Address Copies - SOTAL City/Zip Code Phone !t GA(LAC>E [ zh ~ t . zoxzo=4o~x12= yFfoo s.~ . F ` ~ ' , ~iSrn-i' , _ , ' ~x~~~= ~~l~l Z KiZ= ~ay~ ~`1= R 3! o ~ ST ~r~bb(Z . 3oX 2~= `1$0 , z x ~ Z= (~.v) ZK (~5~) 73SSx44- 32y72 Z ND ~L~,Z z = ~ z Sf tixrz~ C~~) /~`so XYY= Z~ 920 `16~"~z ; ~ , ~ . ~ . : ~ ~ ; ' ft{ 4 '=x . . ; . ~ : , _ _ • ~ c~nc~ir~nc~rin , , ~ . ~ E3 : ;r, i:';~ t~u. * ~ ~ i` i~ : t Certificate of S„~~,~y f~~__~A_CNM~IV _~QOS. _CONS_T. ~ ~ S'TO~~ ~ ~ i ~ NOR i N _ ' 3 _ - .s ~f'f/~` sc,. , _ js, QJ o `~O o~ ~ o~ , , o F~.~~~~, d . ; ? ' ~ t,F;~ ' ~ ~ c. : i" ~ 4:. ~ ~ : a~,~,' f'-. ,g~ ' ~ .R': c -i _ O ~ .J.. 3L; ~ \ ~~o . '~4' , i 0~0 ~ . ~4 t, e.,' ~ ~ f ''y ^ ~S t /VO JFvF?~ i/y • ~i , ^ ..f 1 . C I J . - . 1' ' . " rC . C~.J ~ ~ ' i9 , i I ~ % ~ ~~op' : 8~' ~ `Y ~ ~5` [ ~ ~ ~ f `s 9 - S 'v, ~ ~C ~ ~ N~'~B.S . 5'0. - °o` 3:.-. 900.o Dei~oles exrsfin~; El~v~tro~ Ph'O~~OSED NoUSF_ ELFVATJONS j. yoo.o Denofes P~oposed EIPVaEiort (awes}~Floor Elevafior~ _ ' -------DenotesDrainar~e,iU}iG~~"asemen{ ~ Denofes Draina¢~e Flow Arrow To~ ot B1ocIC Elevulron ~ t Gara~re S~ob Elevation = °."3.25_ o Deno~es .nonumen Pear~n~fs shpwn ore assumeq~ ' ~ o~ ~4 , ~LO~t~ 3 , LE~I~v~~o~ 5~~,~,~F ~r~A~~r~ f~r~ ; D~uorA COUNN~ hlINNESDYA $U(3JFCJ TU EA$FMENTS OF RfCORp ~ I f ~ . .y C "I ~ - . d: 1~ : d - J..• C . ~Ci _ . . C J r ~ . . . L. , e. J f ~h Y'.: `:J a"7 ( ~s ~J 1 ~ i . ~ _ .~s.. . ,~n:: . ~-r. ~ c~ c . . ~ . , a _ . . . . . ~5~' . ~il~.[t'...F , '~L-_. : ~ / ~ '"1 ~ . M ^ ~ ~ % ~ ~ ~ , t(]lfl pP_ .~CC7~P• j---=3C~~ _ _ ~~fi~c•~"-~---~~L^<~:,~'- - _ ~ : : . - . _ _ _ . _ r~ i-- - - , ; • ~ , ~ l~~s ~_v F:,F ~ ~ ~ ~S . • r ' ' . . ; : . - ~r c e Li:9~Cf2]OR E:I'JI.LOP} il`JI~:IZ~~GE ~~Un CC'~'il'UiA1'fO:J 4'~R I3 3ffTrs 4620 ~?est 77 th St. Li3i;:a ~ i~n. ' ,:~:~.R Z°C!"~'_N ttOS= COP:S'xBUG'P10N CO.-------- 17'£ J~C~DP£SS_hO~~--~~~-~~IC/?~~ef!L~q,WdJ~-~-:--•-•--------_-_ . - d ~93 - ~ 55 crr;r~,rroH 74~~'6-N ~05 Co~.STRUCTION Dn~i~ ___rnot.E • pefcrmine 1:o~:king sguare iootage of c~ch. • • -Z O&' '~P/_sq. ft_ X_.11 - c 2`j, 2~i. ~ ~~sed vall arca _ _ . . _ _ _ _ iotal c..~^ : 7~ ~ Sy_ rt: x_oz6 - i_ ~ a.-s=E~f i, Total roof/ccilin9 ~rca _ . /6Y~.S.~ windo-a area._..__._..--'----' A. Total ~+~11 _ . 3 S, ~ D ~ S. Totai door a~ca_----------•-~'--------~----' _ - lass door area_.--'•--'----'-.._. 37•5S C. Total slidia~ g _ D. Total fi'~P~°ce ~ull area_._.-----•----------•-' area (~verzue 1C8)-• _IS &;7 ~ E. 5ota1 ~aail fr-~~ainy - ' - . 1'~i',6=~` - F. ~otal R~m jeist aaea_-•--•---'_' I~c3,~~ I:ct+~all arca a`~ove floor.-""' --i=--- G'. iotal Total exn~seo_foondation area - 2 q . 'ion ki.-:doa area-------------------- 3,3z S g. Total Sctsn~a~ . - ~ - I, Total r~t -`~~n~ation area abo~e gr~c'e_._._______ 70. 96s D~termine "U° value o: each wa7-1 ~S'"~nt_ a. /GOjB__ g .~U4 .~9 _ = 75.~/7 . 3~.» X ..U. .137 = s13o b. - 37,5 ~ x .,~d .55 = z o.67 . b. _ - _ . a ~ X <,-u. ~ e' _i' `C' z ~ - y --os---- - ---!z. - f. i9r.6`/ x ^u~ _ .0~;~~6 _ _ 8.sa_- . 2~,~Z x °u° •Q~~7~ _ ~7 9z g- ~ y - . ~ h. ~32' x -55 = -L 83~. . : . . ~ 3..'.-?~'96S' ~ ..u»;``_•,of~-s'~'~.~ O.S87' . , . - - ~ ; . ~ . ~ ~ . . - : : T~t.;~~ - ~ ~ y~ ~K. 3 . . . . . . . . . . ' . _ , ~ _ - . . ~ • f~~C ~S:~mC.,~z[~~ ~uti~ .lc~:s than itc~a @2 ~•r.u 1~~~•c m t thc ~nicnt nS . . Tf il:m y3 • t.!~C GU~G (c?'_. ~ ' ~ , . • f _ , r ~ ~ k, (-YT.,;t: ~ ~ ~ ~,i_,12, . r . . _ . •~L Owe I ! ~~~~7 t , . - .-,rc~ = --~r~~-- Sotal cr.: oscd svnf/cciling _ _ ' O j. ?olal ~};vli~_ht .rca.-:---••----•••---•-•'--~---••--- 7/,`/___ iot~l ro:~f/ccilirg frar.~i.ng a:ca (aver.gc 10..}...._._~ L 1. iot31 ~~ct ins~}Iatcd roof/cciling arca--------=-'--- 6 1?~6___. g~ter»iue "U° ltie for e.sch roof/ceiling seg:~_nt. . J - - ~ X ~ a 5~-- - ~ ~ y _ , o3z _ _ _ z , z ~y8 . r._ - . i. 6`~2, b x~•~° _.025 I6. a6s_ - - , 8, 3 ~°,rC ________T~tal ' i..._._._..-- _ - if t~tal of ~9 1S f~~ sane as, or less than ~2. You have a.2t ~he in~ent of y9C ~ODS{c)i. _ ),ltcrr,3te 3Lildiny Envelope D°si?n - ,•~tablis?~Pd ' ' ste:a i:~ethod, t?~E ~-aluPS - F ti~e totzl c-r.azlo~,c sum oL ~t~.-5 Fi a:~d ?2_ ~'O U~._iiZ_ _ 1-- ~l~-'1 t~1L' . o j ~^4 s-f 5}~nll IaOL .~0 ~j1C'3~('_r ~u:, of ;[E~ - - + 2_ - - 1. - • } y_ _ 3_ - ~ . ~ - _ • . . _ ; • 1 _ - . ~ . . - ~ . i . . ~ - . . • ~ ~ r~t ~ 9 e ~ t__ E,. ! ~ ( i ,1 f~r r-V,l~~c ,~nt.t, c:r~:r~c_:s - u: ti~ll Crns~:ir~~cl~ic~n . , . . G=.^ 15t i~l c')' 1 ira:r~ cou::irvctic,n o_G3 1. T11~<.._ii~r_ :ir f_iI*e----------?j ~ ~I _ _ _;}~P'--»a_rd _ _ _ - . l_--1 2. Z --7y,T~ " incL•cs ~oft •,n~„~ ~ s. 3Z_ -_b.oo ~tit-~} 4~ ~]4" Tnen-ax Sneathing _~-b7 ~ 3 -]7~~" Fardboard Siding _ • 5. > O. 17 ~~crior. azr film 6. F- i 2. 35 ~ ~ _ - Tc~tal _ _ ~ ' , u=,c8 L • . ~ . - I ~ " 68 1. Intcric~r air fi.lm .4$ . ~ .~PNIEw OF . _ - FIG. 61 . 1„ ~vP• Fs~ard ~J_00 ~r~~,;se r:nLL _ 2. z_- R _ 13 riberglass ~~t-5-- 6,00 ' 4. 3~ herr. ax SheaLhi_"~_ - Ib" F.ardboa~?i'~ 0 6~ . Y--~ 6_ 7~tcrior. air filrr ' ~ ~ 7'otal _ -~__t~ _ ' U = .0477 FIG. $2 ~,r - " 0.65 ~ . ' j, __Y___~ . 1_ Snterior air filn 13_00 t1 R_ i3 Fiberglass atts ~!t`~---~, 2• -~~~-Jst oS ;itc:ood _ 1 38 i ' _L1__~ 3_ - ~ •pt;e ~ Sheatit3ng__ 67 ~~f. ~ 4. 3~+ - sidin ~__VI lf ~ ~ ]b^ F.ar~.~ard g ~~~~-{1 S_ p.ti7 1; r' £r_terior aiY :.il~ ~5.-:~L-~(-'_'` ~i --~J' 7'otal 22_40 ~:>>i7.~ f~l~"~i!J-'{--~~ J u = .0~+6 t~;~ : - ~ ~ ' : - - . ~ • ~ ' ~ ° ' o. c~s .;-.?J~ ' _ Zntcrior air fzlm i- ~ - - _ „l' ~ 2herma~c Sheathing 'lz .OQ 2. ~g' - 1.11 ' • J-1 _ ~ Conc. - - t. d ° ~ v 3- _ - .~SICT~ p • d~- • 9- - 'v`: O_17 y ~1 ' ~i. , r'n~~ . _ G. }]xtcrior zir =ilm ~G 4~ • i Tctal 7.9 15~' r _ ~ ' . , U = - p ~ ZS . . . _ _ . . , t,--~~- ~ . _ tLnn o~a c ~.,oe _ _ - ti = - _ ~ ~ - , , ` : ~ Y . (=t~~~~ 1tr ~c . _ ~ • ~ - - ~ ~ . - . ~ I ~ !l(!, t - u . . ' ~ ~ _ ~ v i ' ° ~l? <R,~* ' ` , i ~ ? 6 . . / ~it ~ i - ~J~ ' ~ ' - ~ ~ ~ , _ . . ~ ~ r`..~ ~ • ; ` = ~1~. . . - . ' ~ !l1 ~ • ~ . . ' r ~ ~<< _ - ~ r rc. ~a~ - 1n } t~~ ~ , ° t ~ / ~ ' ~ ~ ~ - - , . _ _ ~ ' ; . - _ . jr! =-~ir . rn = ns , i_ . j ~ ~ val,n,, 4~:ntli :~i,a y. •~Y . _ 11(ti5'fi: ]~~<1 i c:i t~~~ l)':'c% . ~ S . I • , ~ , ' t~C.~~~s t' I_ ` ~ , • _ f,• . - . • -~z:cr~r/«~ir.~~:c . . . . ' CrnisCru~_1_ion ~ . _ . ~ r G . - (Ucc fur Itc~n ~y ~,-t:~]„~ • ~ 1. Inicrir~r air fiitn ' O.C,~ - ~.~~'.~~~~s , ~ 2. 5~0 CiVP. ~7Y'a 9 . _ ~ ~--r ]_-lr` 1'n'__6~rU~050 iJ~ ~i~ ~ f'~~if If ~~i~~ }`j~j(~ 3. _j0 Z-- C-- - -~on~. -~.00' . ~,~,,I i (Il 4. _t'~.Ccricr .iir_film (r:tili)------0_Gl .~r ,,,;11tI,~~':_:!t~ ,~~j,;111~~ ~ - vL,. ; . ,~~L' ill T~~ 39.0~ ; _ ~ _ _ i . U _ 025 . ~ ~ - - CT,G_F!'Je;•F1izG~IIse for Stcm K) - ~ [ed lIe7E f~oV ' Up 1_ Intcrior Tir fiIm_ 0.G1 . 2. 5~$" GYp. &~ard .69 ~ . 3. Sndics soft ~:ood 3 i^ 4,3$ F7G. a5 • - - 9. Inches insul ~b~ve f:-aminu 6 Z" 2h.98 . 5. Air FiZm 0.61 ~ - - `Y~Jt-~l. 31.27 - ` ~ .~s-"~~ - - II = .o3Z - -=------=--_----,/i - " - - t/rr 1. Snterior air fil~ 0_C,1 - • . 2 , - " . ~n ^ r r-:a; - ~ . ~ ~ii'~? i~~~~~?~~n~1~2~;,~~~~~C, _ 3- - ~ t = l`--~ ~ - 4_ £r.terinr a ir filro _ - - _ - (still) _O.Gl ~ 1 `~J~- ~'J _ Ta~1 ~ _ -i :.t :lov vp ~ - ven[r-d. • ~ - I . - ~ ..~IG_ ~6 . ~ - - _ ~ : - _ _ ^ 1. 7n-iBc air fil~u ~-GlJ_ , t._..t~~::t~~ z. .,,f.es = :-1 _''~-~r~ I~:i1~Gy'" e-"':"~ - J !`.o Q. --::j~:-~:.._.~~4~.~ ' S. Oni_ic3c ~ir fil:n-------~=17- ji~ 1_~ ~ . - •rct:,l v ~ `i~~ 1 ~ / 1 } , , k ` - s. ` \J + . - ; ' l ~ y 4" ° ( . [ . Y' ~ ~ ' i 1 ~ " 1.0:: lr_.TtU i`otc i~_c ~Z.liTioiiz] ~h.^~~CS ii ~n,rae ~i~•_c is . . ~ • ' u~ , . ~ . s:ei•:ic:l fnl ~t.•Lailr: zn:) c:~lcu?:~Ci v:. I~en[~~ . - = - ~ _ . _ flav~up'. ~ . ' . , ` 1989 Hi1II.DIAG PEAHTT APPLICA?ION CITY OF EAGAN ~ l 4 ~ S~ ~ 3IIiGLE FAMILY DiiELLIHGS t~81LTIPLE DflELLINGS COlR~iERCIAL ~j 2 SEfS OF PLiNS 2 3Sf3 OF PL9NS 2 SfiT3 OF SRCHIiECTURAL 3 EEGISTERED STTE SORVEYS BEGIST68ED 3IT8 SQ9YES3 - E STHDCTQAAL PL11NS i SEf OF ERERGY C9LCS. (CHECg TiTfH B4DG DIV.) 1 36T OF SPECIFICATIONS 1 SET OF EIiEHGY CALCS. t SSS OF ENE8G1 CALC3. MULTIPLE DWELLINf1S AENTAL IINTTS FOA S61.fi OHITS t OF OBITS BOTEs IDDRESSES FOH CORNER LOTS - COPTRACTOR/80MEOfi[iEA !lUST DS.4IGNASE iiHICH 1DDRFSS IS DESIAED. AO CHltiGES AILL BE ALLOiiED DPCE HQILDIHG PERHIT I3 ISSOED.. SEWER 6 Y9TER PEl~IIT FSFS AAD ACCOONT DEPOSIT FfiES t+TILL BE INCLIIDED tJTffl THE HOILDINfi PE[~JIT FEE. PROCFSSING TIME FOR SEWEA APD AITEA PERHIT3 IS TWO DAYS OdiCE l PEAMIT 8AS BEER COMPLETED IPDICITIAG A LICENSED PLOl~IDER. PENALTY APPLIFS Wf~Ns PERMIT IS NOT PAID FOR IN SAME MONTH IT IS HEGDESTED. LOT CAANGE IS REGQESTED ONCE PERMIT IS ISSiJED. JUN 0 1 1989 GIX;~,I~~L l To Be Used For: c l~ ~ Yaluation: ~Q~ ~ ~te ~ V~ l~~ Site Address 9 7(, Sfonv Poin~ Roac~ OFFICE OSS ONLY Lot `R" Bloek ~ Oceupancy FEFS I 2oning q~ p ~ Parcel/Sub ~~i'no~on SAUHrf, ~thad0i~'or1 Aetual Const Bldg. Yermit d«~ ~I-' Allowable Sureharge ~ Owner i c~ a r d ~c en e y A of stories Plan Review ~ Length ~ SAC, City Address 97G S~ony Noinf Qoac~ Depth .ty SAC, MWCC S.F. Total ~ flater Conn City/Zip Code E-a~ an , 5 S/~ 3 Footprint S.F. Nater Meter Acet. Deposit Phone S~ `Jr~ ~2 Y'"~~ ~l~y On site sewage S/W Permit / Q~ aite vell S/N Snreharge Contractor SP / ~.mP o V nf f~ MWCC Syatem _ Treatment Pl. --T City vater _ Hoad Unit Addresa PRV required ! Park Ded. Booster P~p _ Copies , o0 Citq/Zip Code s~S~~' 1PPROVAI.3 Penalty ~ Phone Planner TOTAL SP I ~ Covnoil 9rch./Engr. OMPOrr~f( L Bldg. Off. ~6 ' Varianee Address City/Zip Code Phone ~ ~ ~ I~ 1 rI~ 1 t 11~.~'. ..t' r. ' . . ~ ~.1 ~•1 iC~!Ilf'f'.I'Il11'.3 . . . . . . _ . . ~ ..ij'-: (.<.1 i-i~ i . .r ~ ' (~f~rtlfi[ldlO Of ~U!':C)' ~0~: . f ~~..1 ! / • 1;1N !3r~c~s: Co~vs~ ~ ~ s/~l'~' ~ izr?a , S 6 f~/\ . >S, ~ ~ ~ ! 'F ~j~ ,Z ;:F~~''~ f~ . - ~:~4? ~ P. 1, I ~n ' r° ~~D . P r. . . 4 h . ~ c~ ~ f~ . rn^, 1 ` F.... : ` : ~ , ~ . ~ ^ bJ~C~(J Y ' " v ~1 ,j? ~l'G t~ ~ P' ; t ;i • G~ `l~ 0 J• , ~ ~ i ~ ~D ` 1 ti- ~ a, .~9 - ;'s /4- • ~ h.. t. ~JO .=~~Y~BS . . v.. i ~ 900.0 (~er7o~f5 Fxisfin.~i EIFVr7lrpn ~~~'(~~~OSED /~r~USF. FLEVATJONS - ~ . 300.o DFno~es nroposed Flc'va~ioR (~~ucs~ F~loor Elftofion _ _ _ - .__Ocnofes IJrainn~se r U{ili ~ ~~se~rten f ~ .-Denoles[7~-arncveF(ow ~1%roiv 7-0(~ o+ 61ock flev~~lron = o Denofes ~rx~nument ~ara~ Slofi Elevafron = •~5 _ E'ear,~1~fs <ho~~.n oie a;~~irned ~ l~ I'_/~ ~l ~7~'l~- 3 ,1 ~F',~ll1/<~ 101V ~~!j~ J!ll~'F `~T~~ ~l,~C~l ~ l~C~l~l D~1~oTq ceu~~rY~ n~lh~rlr:sor~ SuF~JCCT ~u Fnsrncen~rs oF il~cor<p t ~ , , .a. .ti _ ~ i- . . c ~ . I... : . . . ' ' [ ' . ' ~ , ~ i f . . I . ~ ~ . . . , • , , , . , . . _5 , i~,,, :,,1' . fr1 , , . 1 ,~~ch ~ r>F~ ; . ' ~ 1~~( l~rC~: j___'(~F' ; F!f._r E!f. h•,.:, , - _ _ . . . , . • . . ..__~__w _ _ i ; i _ . w---^~^-,~-~.~•---.. ~ ~j ~ ~ ~ CITY USE ONLY LOT t t' BL ~ PERMIT susD. ~---2 5~~~.2n Q-f ~cE~r a: I~-1 g tS ~ , } qc~ RECEIPT DATE: ~ ~ " ~ t - ( I 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EA~AN 3830 PILOT IINOB RD EAGAN MN 55122 651-681-G675 Date: Complete this section onlv if you are installing HVAC in a single' family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 3D.00 ADDITIONAL SO M BTU 6.00 • Gas outlets (minimum of ona required @$3.00 ea.) State Surcharge .50 Total $ Complete this section onlv if you aze remodeline. addine to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration _ Repair _ Other ~ux~ace-- _ Air conditioning _ A'u exchanger ~ Other (it h ; ~ Po~fY , (h7~,-o ~ Fee $ 30.00 5tate Surchazge .50 Total $ 30.50 Reminder: Call for inspectians ~ SIT'E ADDRESS: ~T ~~Y~~~ p \ OWNER NAME: ~ i~ d~ ~ f r! «Y~ P Y ?HONE r,~ - U/^( I I~ ~ (AREA CODE) INSTALLER NAME; Jr ol, m P PHONE - (AREA CODE) STREET ADDRESS: ~ 7~ ~ crnr: ~a sTa.z~: 1~'1 a? zrn: S r17 3 SIGN URE OF PE 7'I`~E CITY USE ONLY L _ BL _ PERMIT#: SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECAANZCAI, PERMIT (COMb~+RCIAL) CITY OF EAGAN 3830 PILOT KL40B RD EAGAN, bII~i 55122 651-681-4675 Please complete inr: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank _ Interior Impmvement _ Remove U.G. Tank _ Processed Piping When instaUing/removing underground tank, call 651-681-4G75 for inspection by fue marsha! and plumbing inspector. Descripdon of wark: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Undergound tank removaUinstallation = minimum fee Contractprice: $ xl%=$ (BaseFee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE (AREA CADE) TENANT NAME (IMPROVEMENTS ONLl~: WAS Tf~',RE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE rt*****#++*~******t*~*~**t**+*#***##i 1{~ ' ~ k.A 0 ~ C I TY ~ F E A G A i~ Cn~oN oFSFr~a~r , I^ F ~ , . APPROVAL OF PERCffT. ~ , ~^i; +k ~ APPLICATiON FOR PERMIT oF s~ ~n/~ E,~,~x~ , y~, TN.STAT T ATTONS WILL I~r SE SC~IID SEWER AND/OR WATER CONNECTION ~ ~ P~MIT. ~ ~ d' ~ • ~ APPROVID. ~i'•','. . • * y~. ' -~'r, i~ ~ . . . »*****~~-r:t***~**~********:k***,?*ir~tir P ease Print ~ 1~)~ PROPERTY ADDRESS: G~ `Q ~~~~,,,~-(~p~ ~p~ ;I i LEGAL DESCRIPTION: e p~ ~QO~~Ly-~~ .SSj1,~p,,,J2 `7'~'U,pC~~~r.s~-, Lot Block Sub ivisi n or ~ Parcel ID ) ' ~ IF EXISTING STRL'CIL~RE, DATE OF ORIGINAL B[.'ZLDING.PERMIT ISS['ANCE: ' ' ~ ~ (Nbn Year 1 PRFSENr ZONING/PROPOSID L'SE: • . li ' ~ ! Q CONII~RCIFIL/P.ET:`,II./QFFICE ~R-i. SINGLE FANSILY . ~ 0 IPIDL'STRIAL ~ R-2 DL'PLEX (7t,~ L~nits) , ~ SNSTI'IL'TIONAL/GOVFI2I~II~lENT ~ R-3 ~UWDIIIOL~SE (Three + Units) (~Units) , , ~ R-4 APARZT~IENT/COI~IDOMINILfi1 I Units) . . . . . . . . . .+r~!; a~ E~~ ~ ~~J . A~DRE55: ~ ~ ~LQ. Q ~ - . . CITSC, STATE. 2IP: 1~ ~ PHONE: t-/ ~7 - S S QS- ~ ~ ~ ~c •:I 3) ' i: For City Use ~C~ ~~UU~ Pl s License: . A?DRESS: ActlVe F~tPired ~ CITY~ STATE; ZIP: No ~ PHONE: MASTER LICENSE# ~J~(~ / 1 t 7nit~dl : fl) a• • ~ s„i~~~ ~ i3iji•ic: ~(j~f VlQiv1 ~L~"~ O~- ' ADDRESS : (Q Z " ~ ~ ~ ~ . ~ O't ,'~I CITY, STATE, ZIP:~ c, C~ ~jr"' PHOt~: S~13-' Cj7~S- ~ •5) ~ i r• : a ~ s~ - a~ . ' CONNEGTION TC1 CITY SEWEEt ~P`t CONNfK.'PION 1t~ CITY WATER OTfiEEt ' ~ l " " 6) ~ r Q PI,EASE HOLD APPROVED PIItMIT EY)R PICK-UP BY ONE OF AEpVE , PLEPSE MAIL APPROVID PERMIT ~ 1~? 3. 4. AHOVE ~I,! ' (Circle one) f -'i ~~~(~.s~~., ~ o~; ~-8~~ ' Y' ~ Y' I : ~ ' ' { ~ f P • ~ • • ' ? 17 ` • i? . . ~ , . ~ . ~ ~ ~ , ~ <~.II- ~ n M • ~ 1 :'r' M'/. •.tl.~~ 1 11 ]I' • ~A' • ~ } . ' ~ ~ " ~ ~ . ~OR CITY USE ONL~ ' .4'.' PERMIT # ISSDED D Z ~ ."'Pd w/Bldg. Permit FEES: ; ' ~ ; _ . $ ~~7 . 5~~ SEWER PERMIT ( INCLL~DE SURCHARGE) {~y. $ _ ' $ 5~ WATER PERMIT ( INCLODE SORCHARGE.) t . / r.x.._ ` : { 7• C-t` $ WATER METER/COPPERHORN/OL'TSIDE READER ' . $ WATER TAP (INCLL'DE CORPORATION STOP) i ;,i ~?:.I,$ $ ' SEWER TAP i i+:;$ $ /,~•C/`~ ACCOUNT DEPOSIT - SEWER ' , I $ ~S ACCOLNT DEPOSIT - WATER I ~ ~ $ ~ A~~ ' UZ $ WAC ' ~ s G~ z:s'.v ~ s sAC . _ ~<< , ; $ $ TR[)NK WATER ASSESSMENT $ $ TRONH SEWER ASSESSMENT . i~~ , ~j~',-, $ $ • LATERAL BENEFIT/TRL'NK SEWER i 6~},,$ $ LATERAL BENEFIT/TRUNK WATER ~~l , $ ~kfj•(1Z~ $ WATER TREATMENT PLANT SURCHARGE ~ i ~~,1 $ $ OTHER : ~ 4 ~~4 . - ~ _ ~ q ~ ~ ~ l 7'~ ~ $ ~ TOTAL ~ ~ ~ :c~, ~ ~ ~ ~ : ' t ~t? ~ ~ 7 ;t~; . : ~ i RECBTPT kEC~IPT .'DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBI,IC RIGHT OF WAY? ~ f Q°` YES IF YES, THEN' A"PERMIT FOR WORK WITHIN PLBLIC ' ROADWAY" M~ST BE ISSC~ED BY THE ENGINEERING ~ ' . ~ ~ NO DIVISION. LIST AS A CONDITION. ~ SUBJECT TO THE FOLLOWING CONDITIONS: = a 5: ~,.q~ . . . i , ~;~~i :.i. . , ~ ' . ' I ~ . a, APPROVED BY: ,~L~C~-,~,_i ~ TITLE: ~ i 3i~ . . / ~ f, ~a., . , DATE: ~ / I ~ / ~ F ? (lb ~ O~~~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ` D~ City Of Eagan ' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ctan Reauirements RemodeVReoair Reauirements Office Use~Oniv 3 regislered stte surveys showing sq. R oi lot, sq. fl. af house; and all raofed areas 2 copias of plan CeR of Survey Recd ~ _ Y_ N (20%maximum lol coverage allowed) 1 sel of Ene~gy Calcula[ions forheated addiUons T2e Pres PIan~Recd . ~ Y_ N, 2 copies of plan showmg beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y_ N 1setofEnergyCalculations Addition-irMicatelfon,sttesep6'csysfem OnsiteSeptlcSystem _Y _N 3 copies of Tree Preservatbn Plan'rf lot platted aker 7/1193 . Rim Joisl Delail Options selectlon sheet (buldings with 3 or less units) ~7/ ~ Date ~ / ! ~ / ~ S . Construction Cost ~S./o Z` Site Address Q 7 6 ~~=p ~ ~0 i~ ~ UoiUSte # Description of Work V 1 ~ Y 1 ~r c~l~ U Multi-Family Bldg _ Y}CN Fireplace(s) _ 0_ 1 _ 2 Property Owner ~ ~ 1\ G J~ ~~ri Telephone #(1p r~ L" 1~ J~ Contractor (p C jo ~ w ~l`~ ( Address ~ ~7 GL ~ `~~s,~ 7~ ~ City n~ State ~if~ ZipsS`~t3'~~ Telep6ooe#((iJ~'9 7'~~~-~i~'i.~, r~ ~ pvo /l"7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted . In the last 12 months, has the City of Eagan issued a permit for a similar plan bosed on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ~ Sewer/WaterContractor 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 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 plan J ~S an ~ pli ' d Name Applicant's Signature OFFICE USE ONLY Sub Types ' ? 01 Foundation ? D7 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi ? 03 O7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? O6 04-plex ? 12 12-plex a~bg_Y 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 WindowslDoors ? 34 Replacement •Demolitian (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% 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) Final/C.O. _ Footings (deck) Final/No C.O. _ Faotings (addition) _ Plumbing _ Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee 5urcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA109992 Date Issued:04/17/2013 Permit Category:ePermit Site Address: 976 Stony Point Rd Lot:4 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Richard A Keeney 976 Stony Point Rd Eagan MN 55122 (612) 916-6250 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature To: 16516755699 From: 7637108061 _ _ __ _ _5:30-18 2:32pm ..p_. 3 of 3 ' For Office/Usse� �> ~ f II ie r Permit ft: ( `t' Q�i 7 V+PU EAGAN Permit Fee: s IL- ......... . Dale Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(acityofeaoan.com L. 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: + 01,14 Site Address: 1 1) fiM ]� • r Name: V) l Iaf Yl� Phone: bi'd- /l( lU3 o I Resident/ i I 1 Owner s Address I City I Zip: r 7t SS'o j PO 1_.+ RA �aVi 51/ 3 z A f lt ) Applicant is: Owner V Contractor i a • t Type of Work Description of work: rip lace, {,c1'D- 0 Ver jr f td Aso d o - r??+'► Jot ©v R Construction Cost: , o©v Multi-Family Building:(Yes t /No ✓) �.,_..,�. -- I Company: fkj 4 Door Contact Cab 1 v t ei lC l-e--, E Address:5yiJ1 Lt ltd LIQ { /1 i Contractor _ C'�" f `�'" ! State: UI Zip: 54113/GPhone: Email: Cl J (/4(iL�CGrG ,U•1Jt1 t �'!L i J / () ) License#: Lead Certificate#: i�k r (j97 ? If the project is exempt from lead certification, please explain why: 1 1 4��+ S i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I I C Yes No If yes,date and address of master plan: I i t Licensed Plumber: Phone: I Mechanical Contractor: Phone: s i I Sewer&Water Contractor: Phone: I I Fire Suppression Contractor. Phone: i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be i f classified as non-•ublic if you provide specific reasons that would.ermit the Ci to conclude that they are trade secrets. i You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaoan.corn/subscribe. 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. 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.gopherstateonecall.orq 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 approcalof�lans. x , U r� iora-trl NS d-e— x i qwco. ,Q. Applicant's Printed Name plicant's Signature For Office Use ►� i + / Permit#: /502(0 ,, E AGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(acityofeagan.com L 2018 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: 7 i -18 Fee: $65.00 (2,es0,2,44;#0 City Sewer City Water Repair Disconnect Description Of Work: a'.11"G('V,.fa:) e a r re.Sic .4( - - _'Crcat, L - Street Address for Proposed Work 9 76 r"" P RI) tAtt.. . Name: i t' ix‘A - - Phone: f -9/6 -6A50 OwnerInform tion Address/City/Zip: 9 76 P+ Applicant is. Owner ,Contractor Gets M. o j Licensed Pipelayer Master Plumber 4. Property Owner Name: ---NA►i., c.0 N /AMP (J,.,ekt-tc ot,,j &L C Phone: 6.5-/- LJ 93- 37 y c( Address/City/Zip: a J--.4,'r-v aY v i A & .37/ g&St v;lit t/V1tv 53T113 66g9a4 Pipelayer Training Certification Card#: or Master Plumber License#: Pf), o6016�_ I acknowledge that the information is complete and accurate and 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 fora permit, and work is not to start without a permit. )A,.) Applicant(Print Name) Applicant's Signature You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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.gopherstateonecall.orq PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167181 Date Issued:03/01/2021 Permit Category:ePermit Site Address: 976 Stony Point Rd Lot:4 Block: 3 Addition: Lexington Square 7th PID:10-45081-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael S Kane 976 Stony Pt Rd Saint Paul MN 55123--156 (612) 916-6250 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature