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2206 Storland Rd? . r d %erti#cate of cccupauc? aga?c City of Zepartuent ?,>a>??ectiua This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification: SF DWG Bldg. Permit No. 29365 Occupancy Type R310 1 - Zoning District Type Cont. VN Ovn`cr of Building Wn AM HMES Addles 9W F. 79IM ST. MRS Building Addtccs 22t16 C7T1ZItAM FM Locajity j CEW EW-Tr3M Date. / suildin otir w POST IN A CONSPICUOUS PLACE I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55 1 22-1 897 Date Issued: (612) 681-4675 SITE ADDRESS: I !? I . til=t nl,?It tr11 PERMIT SUBTYPE: i 16I?'S- 81 N A t HI.Ofk APPLICANT: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ?;1lt.ItlNCi RF NARKS m 5 A t•I! Pt OR STAR F't NH I ?x Permit No. Permit Holder Dab Telephone A ELECTRIC [f/8(dJt? / /$ Q QO PLUMBING HVAC / 9.7 3- 4 Inspection Dat Ina Comments FOOTINGS idilf FOUND 121' .' /? FRAMING ? / ROOFING ROUGH PLUMBING J (,? PLBG AIR TEST ROUGH HEATING 7 ?. GAS SVC TEST INSUL .7 GYPBOARD FIREPLACE 7 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ii If ORSAT TEST BLDG FINAL 3-11-17 ??nt NI?? Lrd BSMT R.I. BSMT FINAL DECK FTG DECK FINAL rdress 2206 smaar>D ROnn Zip 5512 2 Lot , I Blk 1 Sub ?OaR HEicus THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: :*057 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas V114 Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 0 =448 1? Reques Date Fire No. .ugh-In Inspection Required Inspection Other Tnan Rough-In 6 (You ust call inspector when early) Yes ? No Ready Now Q MIII Notify Inspector Date Reatl I 2$Censed contractor Downer hereby request inspection of above electrical work at: Job Address (Street Box Pont, No.) City B Section No. Township Name or No. Range No. Cou 0 ant(PRI T) Phone No. Po' Sdplr Address E rical Conn for (Company Name ) Contractors license No. [ -' ing Atltlress (Contractor or Owner Making n) r X536 9 A rizetl Signam on ner along Installation) Phone Number L MESOTA E -Room GFE ECT (CITY f THIS INSPECTION REQUEST WILL NOT ' sMidway dg. Room $-128 III II II I II I i I I I I ( I I II BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121642-66W ENCLOSED. d. // REQUEST FOR ELECTRICAL INSPECTION y EB-oo001--09 y 5, T `C ? see instrucl.re; for completing this form on back of yellow copy. ?-?r -? ?R `V Below Work Covered by This Request Net% Add Rep. Type of Building Applianceg Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other Specify) o? Farm Air Conditioner 60 Other (specify) Contractor's Remarks' ,r l Compute Inspection Fee Below: ,?-Z}?O L4UTY # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps _ 0 to 100 Amps Transformers Above 2D0 mps Above 100 Am S Signs Inspector's use ONy: s? TOTAL 0 Irrigation Booms /q o Special Inspection Alarm/Communication THIS INSTA ATION BE O SCONNECTED IF NOT Other Fee COMPLETED 18 MONTHS. I, the Electrical Inspector, hereby Rough-in \ - Data certify that the above inspection has been made. Final \ /// OFFICE USE ONLY /u /.il This request voitl 1e months from IV, X/,?I V rf 7 OFFICE USE ONLY This request wid IB months from ,alidaflon dale prin t s box. VIIIIIIIIIIIIIIIIIIIIIIIN111111111?1111 °'(.,, 9 / _jo 053 /! * r 0 4 1 8 6 7 4 8 *//?S 7' uPL PRINT OR TYPE ?! O J Reque Uak /? .? In Rough Mn inapectbn required? (You must call the inspector wh, as ? No ) Inspection Ocher Th.. RaugMn: early Now t Rao 11 licensed contractor ? owner hereby request inspection o the above elec wl wor 0-0 Jab Address (Street, Box, or Ro No.t o S Ciy Se on No. Township Name or No. Range No. Fire No. Car Occv nt Ptane Ny (? j ^ l Q?j_?/,J_?i power ppli x? ? fires EI iwl n8actor ( ompony Name] _'I" 111, 45 Conk cror lic??en\s\e N . l? Master be. No. (Font Elect. Only( Main dr (Co Ow??er Performing Installation) ?? 5!y xs `` J `??{,',l /I 1 Aulh i e( Mr ror pe Inasl on) o ? ? ? EBC"1R--11 8/96 -.-' STATE BOARD COPY -SEE INSTRUCTIONS ON BACK OF YELLOW COPY X15197 4T,674 - REQUEST FOR ELECTRICAL INSPECTION 6P 1_ Minns ate Board of Electricity 1° Ity'Ave., Rm. S-128, St. Paul, MN 55104 - - 642-0800 Jj Adme Du lez A t. Bldg. Other: New mcin Commercial Industrial Farm Remod Repair Air Cond. Htg. E ui Water Hh. Load mt. Other: Dryer Range Elec. Heat Temp "Xn above the work covered by this request. Enter remarks in this space and on the back of the white copy only. ??? !vt? cy Calculate Inspection Fee -This Inspection Request wd not cepted without the correct fee: Other Fee tl Service Entrance Size Fee R Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200Am s 00_ ps Transformer/Generator INSPECTOR'S USE ONLY T Sign/Outline Ltg. XFmr. Alarm/Remote Control _ Swimming Pool I IKre cnti Ihd ,n in b0alim ihed hrmin on the soled Irrigation Boom xoueh.In o- Special Inspection .cc= " Z T Investigative Fee HIS INSTALLATION M AY BE O al 0 RDERED DIS D I D WITHIN 8 MONTHS. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16725-010-01 PERMIT 2206 STORLAND RD LOT: 1 BLOCK: 1 CEDAR HEIGHTS PERMIT TYPE: BUILDING Permit Number: 0 2 9 3 6 5 Date Issued: 12/27/96 DESCRIPTION: Buildin4,--Permit Type ,r?uil,ding Wor,-k Type UBC Occupancy""`_ J Construction Type Zoning / Building Length Building Width B.,uI1AIi'g atories. Sgiia.r,e Feet .. Censvs+'0o°d,e REMARKS: S & W PLBR - STAR PLBG FEE SUMMARY. VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal SF DWG NEW R-3 U-1 V-N R-1 56 47 2 2,023 101 1 - FAM. DETACH $170,000 MISCELLANEOUS $1,923.50 Total Fee $4,764.38 $1,237.25 $618.63 $85.00 $900.00 100 $2,840.88 CONTRACTOR: - Applicant - ST. LTC OWNER: RYLAND HOMES 18546363 2003544 RYLAND HOMES 900 E 79TH ST 101 900 E 79TH ST 101 BLOOMINGTON MN 55420 MINNEAPOLIS MN 55420 (612) 854-6363 (612)854-6363 I he by a wledge that I have read this application and state that the n o m do i correct and agree to comply with all applicable State of Mn. t ty,o.f Eagan Ordinances,. 11 ICANTIPERMITEE 5 - RE ISSUED BI SIGNATUREF i t CITY OF EAGAN 3830 PILOT KNOB RD 55122 199$ BUILDING NG PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements RemodeVRegaif Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (Include beam & window sizes; poured fnd, design; etc.) ? 2 site surveys (exterior additions & decks) ? t energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan M lot platted after 7/1/93 required: -Yes _ No DATE: IA A. 91,0 CONSTRUCTION COST: 1(20, L4 DESCRIPTION OF WORT STREET ADDRESS: LOT 1 , BLOCK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 1) i m) N01 r-s; f 11W Street Address, E. 79 +h City: State: 01 NJ Phone #: Q'A" (0,? L3 C1., # 1^1 Zip: J) X10 Company: SD-" DS OLLIJUP Phone #: Street Address: City: Company Name: License #: 2 no 1.5 q3 Zip: Phone #: Registration Street Address: City: State: State: Zip: Sewer & water licensed plumber: )ILLY ?I 1 Lrnh 1 LIQ Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the infott?ation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ` Signature of Applicant: G OFFICE USE ONLY Certificates of Survey Received V Yes No Tree Preservation Plan Received Yes No Pft ' =BY; OFFICE USE ONLY BUILDING PERMIT TYPE r ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE x( 31 New ? 33 Alterations ? . 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 36 Move ? 37 Demolition '14 Basement sq. ft. ? Main level sq. ft. 3,.L I Zw) sq. ft. +2- C ? sq. ft, a sq. ft. _ sq. ft. Footprint sq. ft APPROVALS Planning Building M(3 s. ' ' ? 1203 MC/WS System ' ! ''•f.. 1203, City Water 7- 135? 3, Fire Sprinklered aNO PRV Booster Pump Census Code. SAC Code o+ Census Bldg ' Census Unit o Engineering Variance Permit Fee Valuation: $ + ro ooD. r Surcharge s Plan Review License 58><zq•s ?13r MC/WS SAC 7 V zL s Bs.s City SAC ?'S Y?•> 33.7T Water Conn. ir.?svy,r Sz.g y„g 43 8 +S; 14 ovS. Water Meter s? Acct. Deposit S/W Permit Say Q _ S/W Surcharge z =s fh d 59= Lq 9va• Treatment PI. Road Unit r_ Park Ded. 3 x a , 3 ?? Trails Ded. Other Z 3 • x s 39 Copies - 's K N - z?• s IsF2,5 mjf,54 -7 ;ss.? Total: % SAC 20 x az "qo SAC Units 0 e Zc z` ?vo 0.9 /F ° 1+I, 2461, J' m w 17 Q a z z 7 LF) F- N m w m r e m FOR RYLAND HOMES I MRST CEM FT IMT THIS PLOT PLAN WAS Pp®AAEO BT NE PLOT PLAN - THIS IS NOT A S0MDARY SURVEY MINNESOTA LIC S . 3 STORLryD RD. 166' R/Y1 ,) 54..L• r\ K 'o. O AWN DATE 11• l 1 Z (a c • IRON MONUMENT BEARINGS ARE PER PLAT • - SPIKE SET c=1 - EXISTING ELEVATION ( I - PROPOSED ELEV. F - DRAINAGE ARROW y1J. C. Q T ?YSGao.n° N 69 D5'41•E 191.77 3 7o v.a v A P 34 2 N W L__ _ `? co 3 - 4 p XW >_ = 9co? •o O ?? N O Y n 5 r 6i d 3 ?, r yrL r,- r' J? N y ??a 1 SEW-A 1AR1C:'rwµ K• 1„°T 61-( , (3LW-w-Z %EmcAT{ AV 6L cti.evAZ 1 o wi ' 99 t . 0 S 99'05'41•W 93.36' ?s 0). ? la IiuBgaLt?• 14•S w9r-4 .-f 6R. N 3 4s? ? vt.IZ Zzvr ?\iAS , e? s,\ 1.5 :r 0 T \, PIZ.?PpSCD M ' n G J 00 \"?, 0113 C-- 14.4_ i 3 ? l ) \965 ji SOb 1 N'T J I v i EAGA14 1 REMWED I y t2 - rg-fL 26.62 ?6'06 -? S 69.31.32-V 63.00' PROPOSED GRADES OARAOE SLAB - g 68.O? TOP OF BLOCK 968 •3 BASEWe4T FLOOR 60.5 KURTH SURVEYING, INC. 4002 JEFFERSON ST. N.E. C0LMIA F[E1G14TS. 4N. 55421 r6121 746-6769 FAX (912) 766.7602 0 30 SCALE IN FEET ADDRESS : 2.2.0(D S?oRLa??fl ?o AQ.co.oFDct\vG: s?Ww>,.1', 14onsc. A1?cA o ? sofl s>aa???', y-roosC. LOT 1. BLOCK t, CEDAR HEIGHTS: DAKOTA CO.. MN. ? F ? t? ? ? ? rC ? ? E? ? ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL PROPERTY LEGAL: l1•Zd11MA; ll?>t?-?.l??t•?3 • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway ELEVATIONS Existina 0' ? ? ? Sewer service (or Proposed) • Property comers ? 2"? ? ? • Top of curb at the driveway [] Elevations of any existing adjacent homes Proposed ? • Garage floor I? ? ? First floor 2" ? ? • Lowest exposed elevation (walkout/window) 9 r ? • Property comers ? ? Front and rear of home at the foundation ?'??? ? PONDING AREA (iapplicable) Easement line !' ? ? • NWL l' ? ? HWL ? ?7 Pond # designation ? ? Emergency Overflow Elevation DIMENSIONS 13-'0 ? • Lot lines/Bearings & dimensions 0'} ? • Right-of-way and street width (to back of curb) p ? ? ? Proposed home dimensions including any proposed decks, overhangs greater than 7, ? porches, etc. (.e. all structures requiring permanent footings) ? ? • Show all easements of record and any City utilities within those easements G-' ?/ ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures 0 ? • Retaining wall requirements,_tLpny Reviewed: January 1998 CRAIG1999F91.MPRMr.FM LATEST REVISION: 2,0, R- wo r-v . 2 -4 4 H 68 _8MH -434 CBrMH 60v 12. -- kWCUT EX. STREET AND REPAIR THIN ONE WEEK FROM ORIGINAL STURBANCE DATE. lLSO RESTORE SOD IN FRONT YARD.) lip tbd 4 ? CUTIN WYE ON -- EX, SAN. SWR. 10' OF RISER MAY 956.0 BE REOUIRED. . FIELD VERIFY WYE-2+70 (rn'-) 4" PVC SERVICE SDR-26 1" COPPER. SERVICE TYPE I A SERVICE INVERT SHALL BE EXTENDED ?ULATED 0 2.0% rRVIC A CONNECT TO EXISTING WATER MAIN & PLACE BOTH SERVICES IN THE . SAME TRENCH. 66' R.O.W. .J i O? ill . ? -Rm _.___...s.- I 7rLW?j2+54 SERVICES TO EXTEN 15' BEYOI PROPERTY LINE (TYP ) I CURB STOP LOCATED ON P/L (P.) w/ 15' PIG TAIL i 'S L 2 ,,,_ rCY of THIS rn OcjEs U IT v C Consugin2 Enpisws Land SwrcJas E N I N G 2815 worNS 0Nd MimcsooOS, MN 55405 .A T 10 N 1612) 374.4740 ER PHONE NO.227-77731 i• 1 d II Builder Ryla d -- ? • -•G? ?s cVMYL ANCE ? n Homes Model Hanover Submitted By R.H. Tracey Options Page 1 of 2 T ype Sing ----- le Family Date 06-14-1996 Deg-Days 8000 Minneapoli - - -- --- ------ --------- - Filename HANOVOOA - Uo Totals - - Proposed Required Comp onent walls Area -- -- Uo Total Uo --- Total Ceilings 2958 . 1375 112 332 110 022 325 Floors , 168 . 3 047 0 .026 8 040 36 Bsmt walls _________ 1227 , _ -- . 080 76 .086 7 81 ---- -----"- --"'_- '----'---- Total 44 ------ 7 - This House Qualifies With Total 449 U-value Calculations Specifications __________ _ Uo Calculations Walla Frame Size 5.5 O.C. 16 Ineul. 19 shear Component - Area -Val U-Val Total H Frame 5.5 16 19 1.37 1 37 Frame Wall A I 2105 •054 115,6 C Frame-Gar. 5.5 16 19 . Frame Wall B D Masonry 8 N/A 11 •45 N/A Frame-Gar C 189 .058 11.02 a ' E Basement N/A 11 M sonry D ---- Ring Joist -- 9.25 16 19 N/A 1,37 ring joist --------- Doors ------ Panel ------- Glass ------ S C ' 245 0:61 11.27 Window A 374 .4183 2 A Metal B .19 I 62 . . 68 , Window a Window c Wood C Other .46 11 62 .88 Door A-Panel 39 •19 7 41 ---------- ------ ------- ------ . A-Glass 6 Door 6 2 3.72 Ceilings A W/Attic O,C. Insul. - Sheat, Door B-Panel Door B-Glass I B No At tic 1 24 16 44 44 N6 3 Door C-Panel C Othe r Door C-Glass -__------- Totals 2958 332 3 Ploors O.C. lneul. Cover . •112 - Non Cond Overhang l 16 16 19 30 l 1'23 _ --------------- Ceiling A 1375 .022 30 4 C Slab ---------- N/A - 5 1.23 Ceiling B Ceiling C Windows --- U-val _ S.C --- Skyight A Skylight H vinyl .49 .88 Skylight C C I Totals 1375 30 4 I ---------------- 11 ------ - . UO=Ut/At .022 Skylights U-Val S.C. ----------------------------------- A Standard 62 . 88 B High Perf. C Other NOTICE: Users of this software are responsible ------------ -- - ---- for the speci fications and dimensional data HVAC Equip Rating used to the softwarer of i i r a r e r Gas AFUE 78 are n no w y responsible fo the 1 HP HSPF . 6 8 I misrepesentat ion of any building due to errors AC/HP.SEER --------------- . 10 ------ ------ omissions, or , any other misuse of the software. Builder Ryland Homes Submitted By R.H. Tracey Page 2 of 2 Model Hanover Date 08-14-1996 Options Deg.Days 8000 Minneapoli Type Single Family Filename HANOVOOA vv_?®:m_mvrtpmaoCSmms?rvmcm?rcxvgm?mmm-Jrryprvm-aaanemmCrmmprmm=av¢?mmpp?vpr??¢a Dimensions -------------------------------------------- -------------------------------- Walls Frame A I Frame B I joar.Com.cl Mason.Dj Mason.Ej ---------------------------------------------------------- Basement Bsmt. Bsmt. 4 1248-- 1st Floor 1197 1st Floor 207 Bsmt. 2nd Floor 1288 3rd Floor Misc. Misc. Ring Area -245 + ----------- ------------------------------------- ------------------------- windows Vinyl 353 I I I 1 21 ------------------------------- Q -------------------------------- Doors (G=Glass Area - 0= p 0 a ue Areal - - Metal G 6 O 21 18 Wood G O Other G O ---------------------------------------------------------------------------- Ceilins f with Attic No Attic I Other I Basement Wall A- 137.5, Depth Below Grade --------------------------------------------------- Std.Skylites HP Skylites I Other ---------------- ------------- Floors ---- ? --- ^--'- ------- Floors 1 Non Cond. OverhangI Slab ------------ -------------------------------------- windowsfQty. } Description IQty.I Description II 42 I+IMisc,(Enter Area) 7 3260 1 3040 2 2040 4 2820 Insulation Depth Basement Wall B- Depth Below Grade Insulation Depth Qty. Description 7 3250 1 16068 GLASS DOOR Doors IQI IENTRYcW/1tFTnSIDLTIQly IGARDeWALLpDtion OOR IQCy.I Description antes=aaaa__=-c.x====aama_ez._xm=r_xas_-avmcca: rcac=.c-aa=cmmmmemmycxmcmeamscarr TOTAL P.05 TOTAL P.005 L /_ B? SUBD0 - LdQ6jLf= NEW RECEIPT 11 //`746Q? RECEIPT DATE Y 1()1/ 7 TO JO OW PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ -Z z SHORTAGE MUST BE PAID WITHIN 14 DAYS. REMARKS ? C? 0 - 30 AMP CIRCUITS I Do 1 I 31 - 100 AMP CIRCUITS = 0 - 100 AMP SERVICE = l 101 - 200 AMP SERVICE TOTAL FEE DUE = 13 7 LESS FEE RECEIVED IVJ TOTAL FEE SHORTAGE DUE _ lz2i PERMIT $4i?_k27`? ORIG RECEIPT 11 RECEIPT DATE S / PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. ????^ U THANK YOU! CITY USE ONLY /_ O.? p? L _L BL RECEIPT* J:21 SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit New construction Add-on furnace _ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: /'ib:/cP -ter f ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU / 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) (P, ? State Surcharge ?j .50 TOTAL L SITE ADDRESS: OWNER INSTALLER STREET PHONE CITY: STATE: ZIP: PHONE #: (?/?) 4 -/l'f ?66? I- I LL CITY USE ONLY L BL SUBD. RECEIPT M DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. multi-family buildings when separate permits are nW required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee Q[ 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:- CITY: PHONE M SIGNATURE: TELEPHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR L _L BL CITY USE ONLY RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N-% TOTAL Shower 3.00 x _ V'Lat@r OiCSei 3.0 x A _ JE Bath Tub 3.00 x _ Lavatory 3.00 x _ _q_ Kitchen Sink 3.00 x _ Laundry Tray 3.00 ;t _ Hot Tub/Spa 3.00 x = Water Heater 3.00 :c Floor Drain 3.00 x / Gas Piping Outlet " minimum -1 3.00 x t = Rough Openings 1.50 x _ Water Softener 5.00 x = Private Disposal " Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 %'rAI n I ^ I SITE ADDRESS: PY1 OWNER INSTALLI STREET CITY: STATE: 1? W ZIP: PHONE #: (???) OFFICE USE ONLY L BL SUBD. RECEIPT M DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: . all commerciallndustrial buildings. mufti-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS TENANT NAME: OWNER NAME: INSTALLER: . ADDRESS: _ CITY: PHONE #: STE. # SIGNATURE: STATE: ZIP: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: PERMIT # yh597 RECEIPT DATE: 5-? 771 RnIDENTIAL PLUM$IN6PERMIT APPLICATION crrYoFEAam 38301+UM KNOB RD EA GA N, MR 55122 651-681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow, preventer for irrigation system SITEADDRESS: GZD/ ST/rzift/s OWNER NAME:: ?"- IGGIL cS11L1rT:?- TELEPHONE #: jl? S / 7d 7 ?/6 Z (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: Place-a ck mark next to the permit work tvpe STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 -Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work. ?? _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge 1.J: $ .50 I' l AUG 7 NO] Total ? ?' $ ? 1 Reminder. Be sure to schedule inspections of alterations, i.erwater heaters,-water:softeners, etc. 1_4 - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for?ny damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City prop gh of-w ease e SIGNATU E OF PERMITTEE TELEPHONE #: (AREA CODE) Updated 1101 -4Sgly 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 'j? _?-0 , (0 a New Construction Requirements Remodel/Repair Requirements &168 use Only 1 1. 3 registered site surveys showing sq. ft. of IoL sq. R of house; and all roofed areas 2 copes of plan Cart of Survey Recd _Y =N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Ores Plan Recd : _Y _ N 2 coples of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _.N I set of Energy Calculations Addition - Indicate f on-ske septic system On-sde Sepgc System `, `_Yr'_N. 3 copies of Tree Preservation Plan ff lot platted after 711t93 Rim Jolsl Delall Options selection sheet (buildings with 3 or less units) Date"/ 07 l Ow Construction Cost Site Address 2-2 1 wV Ay?? ?y 0(p ?17CJI BUII LJ W • Unit/Ste # mi off - ymf +1m Description of Work IC.. Multi-Family Bldg Y N _ Fireplace(s) ' r ?? p A ? A? ) Ull4e ? Telephone # &51)10 Property Owner I 1 (J Yom. II UI? IT Contractor Address 4100 EXCELSIOR BLVD. (s (r 0 0 Inn 1 City State ST. LOUIS PARK, MN 55416 if) 48 409b Zip L7y- ?y Telepl one # (?S?) q/_?- yv'?? Gf COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted - Have you previously constructed a building in Tagan with a similar plan? _ Y - N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( 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 f lans. ??y J 1 054) Applicant's Printed Name App lcant's Signature ' J OFFICE USE ONLY Sub Types 9 ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work _Types------.___. - ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 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 Bld g) - 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 Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. - Air Test _ Final Insulation Approved By:. Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. Plumbing _ I-IVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone _ Brick Windows Retaining Wall Building Inspector RESIDENTIAL I BUILDING PERMIT APPLICATION ? b? ''i CITY OF EAGAN 7? o0 3830 PILOT KNOB RD - 55122 • 651.681-4675 74 7- Ne wConetnreNon ReautremeMC RemodellReoairReouiremeMs oi • 3 registered site surveys showing sq. 8 of b4 sq. R of house; ancLll roofed areas • 2 copies of plan (20% maximum lot coverage albwed) 1 set of Energy Calculations for heated additions l • 2 copies of plan showing beam & window si7m; poured found design, etc) • 1 site survey for exterior additions & decks k" • 1 set of Energy Calculations hrdicate if home served by septic system for additions • 3 copies of Tree Preservation Plan g lot platted after 71193 • Rim Joist Detail options selection sheet (bklgs with 3 or less units) DATE 7 hq ?Oy VALUNION Z, GPI JOB SITE ADDRESS ZZD 6 STo (/?9riJ)!5 Rd S46421?j. IF MULTI-FAMILY BUILDING, W MANY UNITS? PROPERTY OWNER lG/fif CC- TYPE OF WORK rt APPLICANT 1?1 *L- sHl//?f£- FIREPLACE(S) !0 _ 1 _ 2 PHONE# ADDRESS 7-206 ??vt h " _ , / pq?V ZIPCODE -55-/Z2- PAGER # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor. - Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applicant CELL PHONE # FAX # 65(-'.7-S'?f6 Z Water Softener _ Water Heater _ No. of Baths _ Phone #: Lawn Sprinkler No. of R.I. Baths Fee: $90.00 Phone # Fee: $70.00 Phone # and Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Y 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 11 10-plex 0219 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldgr ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to appli cant Valuation goal) Census Code SAC Units a/ Nbr. of Units -L Nbr. of Bldgs Type of Const ..4 --x Occupancy 1C- 3 MC/ES System Zoning !k/ City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. - Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water - Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By /-,0 , 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 _ Plumbing FIVAC