The URL can be used to link to this page

4160 Strawberry LaneDate: Tenant: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Z(Q 7 -6 -- Permit Fee: / i. 7,53 53 Date Received: 1— l Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 1/a0lU Site Address: (4 40 S4 raw la e, r\( -J LlJ �„.7 F11N x -5J Suite #: RESIDENT / OWNER Name: SG 4- cj r•ek%.*e Address / City / Zip: y!(et) STrciw b rr Applicant is: 04 Owner off. ontractor Phone: 65/- (6-5513 lv j r.1..- /FYI TYPE OF WORK Description of work: Ref CSi c Iry i -e Deet or, 9cygt.� S? 6r Construction Cost: ,V( 6'1 • Multi -Family Building: (Yes / No O'L) CONTRACTOR Name: 5 liolMe i.vt.eraleVC1C1.01,) Er CAA". VQj S Secvcc5 License#: 037/$'9 Address: 324/5- o xo Arm'.\\ P,0, city: Ccw►noi 5 State: PA) Zip: ..53-67, Phone: Gs/_ 75-5-- ??a7 Contact: Email: i fhe.game. ;al, � 7al,Aoea . 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: Plans ena► support nrl iaticii!rrrrdybe clad idered t specific I cludee tht :they are trade secrets c>e public Isrr�s t> a 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 approval of .fans. x j r; (A.v. Applicant's Printed Name x nt's Sig Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation %> Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level — Porch (3 -Season) _ Storm Damage Porch (4 -Season)_ Exterior Alteration (Single Family) _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool _ Miscellaneous _ Interior Improvement Move Building Fire Repair Repair 9/006 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In _Air Test Insulation Meter Size: Reviewed By: ( fit Occupancy Code Edition Zoning Stories Square Feet Length Width Final _ Siding Reroof Windows _ Egress Window _ Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock nal / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: , Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 LOGISMap Output Page Page 1 of 1 http://gis.logis.org/LOGIS_ArcIMS/ims?ServiceName=ea LOGISMap_OVSDE&ClientV... 7/16/2010 CITY OF EAGAN WATER SERVICE PERMIT ' 38:"11• "ilct Knob Road - P. O. Box 21199 PERMIT NO.: 'Eagan, MN_ 55121 DATE: " ' Zonirg: ' No. of Units: Owner. Oaf, Ct:ast Blugs ~ Nddress: Site Addrcss:_ QlbQ Strawber Ln ',14 B5 Hillton Fst. Plumber `eier e irenc_ t rxc Meter No.: Connection Charge: 4 5 0 •~0 nd ~ Siu: Atwunt Deposit: I Reader No.: Pem+it Fee: 10.00 1 pn~ to oo~uPh? ~ tlw Gtp of Erqew Surcharqe: .5c. ~ Ordinonas. Misc. Char9es: pc: I.ic'tcr ~ ' Total: ' gY DoM Poid: , Oate of I nsp.: InsP• : ~ CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilct Knob Rosd P. O. Box 21199 PERMIT NO.: ~ Eagan, MN 55121 DATE: n ~ • Zoning: t`1 No. of Unlts: Owner: Oak C:tase Lldrs ~ Address: sire Addreu: _4160 Strawrerry Ln, Ll -I I'5 Iiilltop Est plumber. .?eferk:e ':renc & =:xc ~ 36019 100.00 pd 1 yr" fo wmolp wilh !M Ciep of Eayoe Connscfilon Charpe: 425-,; ~"d Ordisaneu. Account Depoait: Parmk Fes: ' ~ _ : ~ a Surcharpa: BY Misc. Chorpes: Dote of Insp.: Totol: Insp.. DaM Paid: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 1 9 RtC61VCD FROM AMpUNT $ I Ae DOLLARS too ? CASH ? CHECK FOR FUND CODE AlA0UN1 Thank You BY ~ White-Payen Copy Yellow-Posting Copy Pink-File Copy t Receipt PLUMBING PERMIT Permit No. • • CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2. Instaliation Cost - - / ji/r'!'~ ! ' . ~ 3. Job Address LotBlk.:;-2 Tract ,v 4. Owner 5. ContraCtor,._-! Phone r'i 6. Address i" , ~~'c', 1 ~ 1 , ! 7. CitY State Zip 8. Building Type: Residential ,O- Commercial ? Institutional O 9. Work Description: NeviLGY Add O Alter O Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield i Bath tubs Septic Tank Lavatory Softner / Shower Well / Kitchen Sink Urinal/Bidet Other ' • + Laundry Tray _ / Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ' CITY OF EAGAN 454-6100 Receipt ` MECHANICAL PERMIT Permit No. - CITY OF EAGAN Fea Fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Traci 4. Owner 5. Cantractor Phone 6. Address 7. City State Zip S. Building Type: Residential O Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Enuigment BTU - M. Ea. No. Equiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp, This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN ' • 3795 PiW Knob Road Eoqon, MN 65122 U 7 0 PHONLs 454.8100 BUILDING PERMIT Receipt # i Ta be o..a fo. SP DWG/Cu11t Est. volue $105,000 Date M-ay =4 1 O33 Site Addrcu _ 4160 Strawbezrv Lane Eree Occuponcy R-1 Lot 14_ Block 5_ Sec/Sub. Hilltop Lstates Alter p Zoninq R-1 porcel # 10 11000 140 05 Repoir ? Fire Zone NA Enlorpe ? TYpe of Const. t1 W Na~ Qa . aa B ti 1 d- s- Znc . Mp„e Stories ~ llddress- -4525 oak ChASe Wav Demolish Q Length r,ti Cj L-agan 55123 phone 452-3083 Grode ? Depth 37_Sq. Ft. ig Name 0yn Pt,, Approvals F*es u'j Addfess Assessment Permit u4 5C1 ~ Cit p~~ Water & Sew. Surchcrge 52.50 Police Plan check.222 • 7 5 ~W NOMe Firo SAC 525.00 u~ Address Enp. Water Connl5g.r09 <W Ci plwne Plonner Water Meter 6G _ 0(] Council Road Unit 250 nn I hereby acknowledye that I have reod this opplicotion and state thot Bldfl. Off. the inlormotion is correct ond ogree to wmply with oll opplicoble Totol $2005• 7S Stote of Minnesote Stotutes and City of Eagon Ordinonces. Siqnoture of Pertnittee A Building Permit is issued to: Oak ChaBe Builders, Inc. pn the express Condltion thnt oll work sholl be done in accordonce with oll applicable Stote of AMnnesota Stotutes ond City of Eopan Ordinonces. Buildinp Officiol 9 b 0 2 r 0 z . o i m c~ ~ d E N ~ m ~ ~ w a LI Z ~ ` U C ~ L ~ ~ 15 f' O a = ~ ? ~ ~ $ ~ ~ ~ o $ E ~ 4 w w ~ - O W ~ ~ ~ C C C 6 U. LL LL ~ ~ ~ LL LL LL ; ~ ~ d ~ " .R. n. aI°PiR4Y~ . . - . . K `a~°~ CITY OF EAGAN s, .0 1782' 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 % ~ - BUILDING PERMIT Receipt # To be used for DWK ~Est. Value =1 ,0W % Date RAY 7 , 19 90 Site Add~'flss 4160 g?AAWb~ARV I.!! A Lot 14 BloCk SBC/Sub. OFFICE USE ONLY Parcel No. occupancy - FeEs ` Zoning W Name ~~I~ (Adual) Const _ Bldg. Permit 25.00 ~ Addf@SS (Allowabla) - Surchar9e .50 0 Ciry Big= Phone 452-5485 # ot stories ~ Plan Review , o Name oecm ~ snc, ciry Address S.F. Toiai - snc, Mcwcc ~ City Phone S.F. Footprints - Waler Conn On Site Sewage _ ~y W Name On Site Well - Water Meter x z Address MWCC System - qccl. Deposit ciry <W City Phone water - PRV RequNed _ S/W Permit I hereby acknowlege that I have read this application and state that the 8ooster PumP - SIW Surcharge information is correct and agree to comply with all applicable State o1 Minnesota Statutes and City ot Ea Ordinances. 7reatment PI Signature ot Permitee f( APPROVALS Fload Unit A Building Permit is issued to: PLUK gSTITH Planner - Park Ded. on the express condition that all work shall be done in accordance with all Co+ncil - applicable State of Min , nesota Statutes and Ciry of Eagan Ordinances. gldj, pff, _ Copies ~ Building OfliCial - ~ ' Variance - TOTAL Permk No. Psrmlt Nolder Date Telephane # WATER SEWER PLUMBING H.VA.C. ELECTHIC InapecHon Date Insp. Comments Footings I Foundation Framing Rooling Rou9h PIb9- Rough Htg. Isul. Fireplaoe Fnal Hig. Final Plbg. Const. Meter Plbg. Inspeclor - NoGiy Plumber Engr./Plan Bldg. Final Oedc Ft9. -17--l-w llJ~ Dedc Fnal Wetl Pr. Disp. ;5 :a as o,~ g-zy L l'! I~S, Cs~~-~s ~szo ~ 18 ,~~ms rrom ~ r S~~SO Ren~est dte Fire No. RB~Ahe~~lnspection ~Raady Nu~Will NoIify Insaec- ~ ~ Bs ?Nu ror When Rendy bense Electrical Contr.cmr 1 herebv requnst inspection ot above "Q Owner elechicel work instelled aL Straet Address, Box or Route No. / City ~ (a 0 ~J'7Qr1K.J 13c~~Q ~A+~/~ ecuon o. Township Name ur No. ' Range No. Coun o~ Occupa NT1 Phone N. ~4, o Powe plier Address l / o A' G~YGr / l~F1i J Elrc!rical Con • (C mVany N~m 1 C Iractor's License No. t' r?~A~ ~ Ec9i2~~ Mailin00pq~J e IContmc}~ ' ~ or Owner king Instaila io I' 1r' al 1~ - 73~ ~r~~~ E Ss Z. ¢c Sig^awre ICOnVac er king Installa ionl Phon¢ Nu b~e r MINNESOTp STAiE 130A0.D OF ELECTHICITV ' TNIS INSPECTION HEQUEST WILI NOT Griggs-Midwxy Bldg. - Noom N-191 BE ACCEPTEO BY THE STpTE BOARD 55709 UNLE55 PROPEH INSPECTION FEE IS 1821 University Ave.. St. Peul. MN ENCLOSED. Phona 1672) 297-2111 REQUEST POR ELECTRICAL INSPECTION p E8-00007-03 ' Sae instructions lor complelin9 this form on back of vellow copy. C"~744471 " "X" Wark Covered byThis Request un Aa Heo. 1Ype ot 8uildiny Appfiances Wired Equipment Yiirad Home 4 Ranye Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer - Electric Heatin Commercial Bldg. Furnace $ilo Unloader Industrial Bldg. Air Conditioner 8ulk Milk Tank Fcifm Otber ueci y . Othar (Snrtcify) t rer $peu y OI er Oiher Compute lnspection Fee Below tt Fex ServiceEntrance5iie # Fee Feetlers/Subfeeders # Fex Circuits 0 to100qm 5 0[o30Am sm30Am , 107 to 200 Amps 31 to 100 Amps 31 [0 100 qm Above 200 Amps Above 100_Am s Abave 100_Amp5 Trunsiormers Remote Control Circ. O Partial:'Other Fee Remark5 Signs SpeCialln5pection S O OT F ! Hough-in ~ Dat I, the Elechical Inspector, hereby c M1ty that the nbove Final ection has beon ~ aa. This request void 18 months hom 5~,. S~"~*` 'S~' `.~y mp: .aa„ ::a~~,. ~r'~°'- ,~s • - . ~ ~ ~ ~ -<-4~a~i°~~~-t.--~~ _ v°.-~-s~c~ _.~ue:~a•.~iF~-.;<.~e ~i (g.erfifira#r of Orru ttnr ~ y Citp of (eagan Dr,pttrlmrni of Builhing 3nsprrtimt ~ yTbit Cnti fitate irtutd Qurraant ro tbe requiremtntt of Sertiors 306 0f the Unifarm Building Codr ratif ying that at tlx tinu of ittuanrt thit rtrruture wur in tomPlianrr with tbe varioaf ardinarua o f t& Gty rrgulating bui(ding ronnruaion or ure. For thr foUowrnK: ir I ' ~~bm SF DWG/GAR dds.Pe~mil No. HO7O k~F ~r O-w r'~Yw R3 rrPC-,,,um V FIn7m NA Rl - 0 m aBdft6 Oak Chase Builders Aaa.4525 Oak Chase Wav EaQan mm"Aa~4160 Strawberry La. Lot 14,Block S,Hilltop Est.,~, ~ By ~j August 26, 1983 u.~.: i a ~ I + , A t ` °c -3.'.~,.a~-~~.:aS::u"a.~.m~s~. u.~a.-~ . ..=a~~.~.~-c.v~~~;_•s..za--'Y,i ~ . . ~ : ~ r / r L~~ w,,~~,._-w~ ..~o ~ +na 1'- .a~ f~~.;.~ ~ ~ +°~f u B.A. , CITYOFEAGAN Np ~~82~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~bS / BUILDING PERMIT Receipt u ~ ~ ~d To 6e used for DECK Est. Value $1,000 Date MAY 7 , 19 90 Site Address 4160 STRAWBERRY LN Lot 14 Block 5 Sec/Sub. HILLTOP ESTATES OFFICE USE ONLY Parcel No. occupancy - FeEs zoning - a Name MARK R STITH (ACNaq Consl - Bldg. Permit 25.00 ; Address 4160 STRAWBERRY LN (Allowable) - Surcharga • SO ° Cit EAGAN Phone 452-5485 :ratstories Y Len9th 16' Plan Review , o Name SAME Deplh 6 ~ snc, ary Address S.F. rotai - ~a SAC, MCWCC ~ City Phone S.F. Footprinis - On Sile Sewage _ Water Conn ~w Name On Site Well - Water Mater ~i AddfBSS MWCCSystem - 02 Accl. Deposit a W City Phone ciry water - PFV Required _ S!W Permit I hereby acknowlege that I have read this application and state ihat Iha BDoster Pump - yyy Surcharga informalion is correct and agree lo wmply with all applicable Slate of Minnesota Statutes antl Ciry ot Eagan Ordinance~s. 7reatment PI Signature of Permite° ~L'1st„ Z / z I _ APPROVALS Road Unit n Building Permit is issued to: MARK R STITH Plw"ef - Park Ded. on Ihe ezpress condition ihat all work shall be tlone in accordance wilh all Councii applicable State of Minnesola Statutes and Cily ot Eagan Ordinances. Bldg. Ofl. _ Copies m! Ofl1 m~ Variance - 70TAL 25.50 8uildin9 Otficial ~ CITY OF EAGAN N. ~ gO~O " 3711f Pllet knob Raod Eogan, MN 55122 PHONEs 451-8100 BUILDING PERMIT Receipt # Te ba wad ror SF DWG/GAR Esr. Value $105,000 Dote May 24 1983 Site Address 4160 Strawberry Lane Erect R-3 Occupancy Lot 14 Black 5 See/Sub. Hilltop Estates Alter ? Zoning R-1 parcel # 10 33000 140 OS Repolr ? Fire Zone NA . Enlarge p Type of Const. V m Na,11e Oak Chase Builders, Inc. Move ? # Sto.ies ~ Addrcss 4525 Oak Chase Way pe,nolish p Length 66 ci Eagan 55123 Phone 452-3083 G.ade ? Depth 37 Sq. Ft.- ~ Owner ADDrovals Feea Name o z~ Address Assessment Permit 445..50 - Ci Phone Water 8 Sew. Surchorge 52.50 Palice Plan check.222.75 ~w Nome Fire SAC 525.00 Address Eng. Woter Conn.4 0.0(1 iW Ci Phone Plonner WaterMeter 60.00 Council Road Unit 250.00 I hereby acknowledge thut I have read this apDlication and store that gldg. Off. the in(ormation is wrrect ond ogree to comply with oll npplicable $2005.]$ 51ate of Minnesota Slotutea and City of Eagen Ordirances. APC TMaI Signature of Permittee A Building Permit is issmd to: Oak ChaSe BuildeT ~ Inc. an the expren conditlon thm oll work shall be done in accordonce wlth all appl ble State of~ tA(nnesoto Stmutes ond Ciry of Eayan Ordinonces. Building Offic{ul CP1'Y OF EAGAN Include 2 sets of plans, 1 site plan w/e7.evations S. BUIIDING PERNIIT APPLICATION 1 set of energy ca~lculations'. To Be Used ForSF GA'R Valuation JQ5d60 Date site raaress: I I~ O S-tQAw Q~2y Lftne t/ o~zcE osE o~,r Lot Block ~ Sec.ISub. K. l~ LStn~g Erect x OccupancY Parcel 16) 3-3 0 n o I`t0 0 c''a gQP~~r FirenZOne Oaner: K-CHRsE 2QIU7-u25, 1nC Enlar9e - Z'ype of Const. - Move # Stories Pddress: UsZS pq K CHRst i.JA!i Demlish _ Front Ko (e ft. City/Zip Code: L-F1G9f) Yn h Grade Depth ft. Phone uSZ - 3 otr3 APPRC7VAis r'EEs contractar: C'-1-r-C1-(ASE tnc Assessments Pennit ~~4VI5~ Address: SAn+~ - Water/Sewer Surcharge ~.y Police Plan Check a a City/Zip Code: Fire SAC ~ Phone Eng- Water Conn. '6- 0 Plaiuier Water Meter ~ 66 Arch /Eng : Council Road Unit OV Bldg. Of£. v Address: ~ APC city/ziP code: lnvkr 6rom P' hone O£(67 mOrAL CITY OF EAGAN Remarks Addition HILLTOP ESTATES Lot 14 Blk -r+ Parcel ~U"`3-300OA114-0..~45 Owner sLeeL 4160 Strawberry Lane staTe Eagan, [~II~I 55123- ' improvement Date Amount Annual Vears Payment Receipt Date STREETSURF, STREET RESTOR. GRADING SAN SEW TRUNK 177;j 1973 172.14 8.61 20 77.54 * SEWERLATERAL 37319.38 10 WATERMAIN e WATER LATERAL .111 1980 t WATER AREA igso x 980 rr STORM SEW TRK 1980 • STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Ro 250.00 seoi -aa-s WATEFi CONN. 450.00 11 BUILDING PER. 8070 SAC n n PARK ~(Vo.io :50 -1-D 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date O / o2s / d 41 L. / Site Street Address ~~K0 .s/ /'C,l.J Unit # , Property Owner ao ~ So 1'"enSe-,-7 7elephone# (&7) 686--Sr/3 Contractor~'i~~ ~ _e~- ns' A,101v+ 6i'nc~ Telephone# (763) ~/7S-o2g6 Address 3/5 Tvne-4.,~ Z-a_r,e City P~y; cavState_,~AVX-' Zip The Applicant is: _ Owner c Contractor _Other , Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water h'eater IS IJ _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) AUG 2 7 2004 Other: Water Softener _ Water Heater $ 15.00 _ replacement _ additional ~ Lawn Irrigation System RPZ_ new _ repair _rebuiid $ 30.00 I State Surcharge $ .50 7otal $ 30,,5-0 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name ApplicanYs Signature -04W f" i ".f ~'}t.P .•.12,: . • ~'l1RT' ciai'7'} ` • ' i{n 1: F' a `:c ~ '~1~? .t nRC .1~~~• t :J-~~ % ~J r':j rra, DELMAR H. SCHWANZ LANOSURVEVOA F~ , ~ . {tepiSlinreO Untler Lawf Of The Stal! OI MinnlfOld 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESO7A 55068 PHONE 612 423-1769 SURVEVOR'S CERTIFICATE 0,F Tra-.-J t ? 'N . ~i 1:. F: Pir~7~14~ 9 •fo7 ' 21 jo ,,.~0 ~ i~' ~,F,Y,4 ,ir :rc ci :r . ! . LL1 ~ 3 ~ " ' i 3 6 41 21> il ~ . . ~j ~ > T Q% W O ~ m 'a' ~ Z 4~~ c$ SCGIeti1~~~0 ~ I r'+v 1.`rS (1 g Q 30z5 ' U 1 yo kr'~" 1-'-=- ~ 105.9z T'., roF- 1A. F.+'r RF•1: Top hyclrant betwePn I:)tB I31:) :k 9u. i: I rerehy cf=rtify ;;hat th'.c ts •i !:rar2 ar:? r.)rrf•ct n-,pre3eni.it; :r. ~;f l.vt 1l, Bluck 5, H7Li'C ;F' ySi4"i:,^;, acr: )rr.t::(,, r.n +.in: rec•,rdeir' :.t t.fif_renf. Dakota_ Corn:;/, a. , R7z.o ';t .,1. . ,:rl tnF . ' . , Dated: ;;ctoher 112 , ~ r'79 Approved fbi• Dunn & Curry Fral r.::tat,n :~1;p•11,"r.~~r:t , inc. O 1'ronoscd I,~s~~ent: = r by~ '~r ~t~n..,(..: t,... K Denotes (Jlra,•r+_.-i of !5:rf3_c ir ~ Housc staked Apri? 7, 19!i3. A(wlser r::laac anc lo,- 3'ti.)n on t}.c i' :f t'zy, i"li. ~r?l _ , ~ , , MINNESOTA REGISTFATION NO 8525 j, L' d' fi~r~¢io2 EN~coP6 Av~l2fltoe' iu" PomPur,gnoN a s 9~o-~ 61 m rAc e,K AOscD wo94c AeE4 /~G~• 8 3~.~,i, x. i 9=~3G ~vr,9c ~¢oaC/Ceiu~a ~.e~A /3~~• ~ ~ x . os~= sy ~ TbrRa ~X,c~sEi~ w•qc.c. AOW.9 A~E FGOCLQ =/7e,'g• S mrpZ- w.MIc Wi.vvpev 10926R = /5~9 ~4) rarr4c Doort AacF4 = GG• Y C~) rarjoft SUOvtie. lx.4s5 Daort A.¢E,q = o~•Y iG) TOTh?t Fi2EPu9c,e' W9c.G fl2Ei9 =~8 • 9 T0779C. WfitC. FRA/YlvK.A& .9,02e%A6ww10~= ~7/0•8 ~,'0) 7107.94 .t>a'7' tvi9c4 FI4077 ABDtJd' F2GYJ2 = /~S9? Tbrow- 2/M w/ST R11&w TOT +!t G'X/oOSED r,btlN~¢T/DW f3A2E~9 -~5Y6. Y Lh) lorAc Fow.o(>RTiDN A,,VVDosu i968A /O • 9 (i ) Tor,g~ Nt7 Fsact,vAqrO00 f)oeE19 4600Efo/L9vE= 9 17eTE,¢mi,vE ~&"Usquee OW FafK'sY sw9e4 S&Mm6NT X L/ • x x LI'"/~ y S5' - 3 f~r x v"~~.~ _ .32 ~ ,6 y Ce) ~~t .c iI ~G, g - • i~ = a1. s°.Gt x "u••/.ps~i Cy) SIx '4 - 139 y' _ o y8 = 7 Ch) S~ fl, X•4..~0, ~ . s~~ _.s a (i) s~.,~ x y'%as7 3~- yo. 7-or,4e- - -~2 8a. / tF irem 03 is rNE sA*wE AS, e~,e 4.ess T/,h9oo irem At/~ yoy M9uE mET TNE i,ure,ur oF sBc &006 .2- C3 G . / b!G S13~ C~on~~c, Z ~ _ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ I~~ ;VZ( CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651•681-4675 New Construcfbn Reaulremenit Remodel/Reoalr Reaulremenh ? 3 raginered sRe surveys showing sq. (t. ot lot, sq. fl. of house 2 copies ol plan and Q rooled areas (2096 maximum lof coveraae allowed) 1 sef of energy calculaNoos for healed addlNons ? 2 coples ot plans (show beam 3 window shea; poured Ind. detign; etc.) 1sMe survey for exterlor oddHlona d decks ? 1 set of energy calculatlons > 3 coples of hee preservatlon plan 01of plaHed alfer 7/1/93 w DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ai9K- ci~r /fiF ' trUvF KvL)SF .4(,// Gi4+Lff6 STREETADDRESS: LOT: --M- BLOCK: ~ SUBD./P.I.D. Name: ~~~AJOGAJ 3Gv T7- Phone PROPERTY LOSf First OWNER Street Address: 67XA"`^~~5RL(-~i- LAIt Ciiy e-A MU State: /uu. Zip: Company: / ~tUKUS Cc~,Lt7"aCVCTZQ~/ Phone 6 ('Z (area code) CONTRACTOR pp~ u Sfreet Addreu: TiCrf -4 G& -A-4OLicense # 2aO3711 3 Exp• l City Z5k00k-4-YN _/°.Q6.e, State: /WN• zip: ARCHITECT/ ENGINEER Company: Name: Telephone area eode ( ) Sireet Address: ReglstraHon Cify State: Zip: Sewer & water Iicensed plumber (reautred for new construcHon onN1: PenaNy applles when address change and lot change is requested once permN is issued. I hereby acknowledge fhat I have read Mis applicatlon, sfafe that the 1MormaNon is cortect, and agree to comply wHh all appikabt Stafe of Minnesota Statutes and CNy of Eagan Ordinancea. w Slgnature W AppllcanY. OFFICE USE LY D Certificates of Survey Received _ Yes _ No ~ 5 ~cr!~ ~ _ o Not R _ eQuired Tree Preservation Pian Received _ Yes N OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex 0 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) u 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ' Engineering Variance Permit Fee Valuation: $ Surcharge Plan Fceview License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PL Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAHILY DWELLINGS MULTIPLE DWELLINCS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) L SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: DECK Valuation: Date: 4 MAY 90 HILLTOP ESTATE ddres s wB Y LANE OFFICE USE ONLY W (:Jite ~ Block 5 FEES Occupancy Zoning arcel/Sub Actual Const 81dg. Permit '?S.O o Allowable Surcharge 150 Owner r]pgK R. STITH # of stories Plan Review Length SAC, City Address 4160 STRAWBERRY LANE Depth /k SAC, MWCC S.F. Total Water Conn City/Zip Code EAGAN 55123 Footprint S.F. Water Meter Acct. Deposit Phone 452-5485 On site sewage_ S/W Permit On site well 5/W Surcharge Contractor MWCC System _ Treatment P1. City water _ Road Unit Address PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL 2S15-0 APPROVALS Penalty Phone Planner _ TOTAL h.~ Council Arch./Engr. Bldg. Off. 7 Variance Address City/Zip Code Phone # . t S~C 1.- I ~I ~ 1 ~ \ ~ i i )OA ~ 16` f_. ~ ~ Ib' a ~ I ~ i R 5 ~ ~~.5_ t`7'ri Q`~ 1 ; ( ~ i ~ ~ - + i ! ~ ! 1 ' j J i i ~ ! i v 1I U 1 I a I ~ i' ~ ~ ' _ ' ' . ~ cL r 1 \ I - I J--~-i~~..C~ _ ' 7 ~ ~ ~ I CITY USE ONLY I PERMIT RECEIPT DATE: L EOOE RESIDEPTlAL M$CtIAAIClkI. PERMIT lFPPLICATION cmt or ensm 3830 Paor ttxos en EwsMauv ssi sz 651-681-4676 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit MaR 15 2002 Date: By 7~ SITE ADDRESS: I OWNERNAME: \,.~5(~'~ ~J ///2d_/~'?'1 TELEPHONE#: INSTALLER NAME: Aig C0, TELEPHONE 8910 Wentworth Avenuo Scutn STREET ADDRESS: Minneapolls, MN 55420 (952) 881-8000 CITY: STATE: ZIP: Place a check mark next to the permit work type Add-on, modification or alteration to existina dwelling unit $ 30.00 urnace replacemen , • air exc anger • air conditioner • other Nature of work: ~Y~AG t' ~ ~L t1 -7 07 - M State Surchar e $ .50 7ota1 $~Q SIG ATURE OF PERMI vo2 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 8008 CObIMMCIlkL MECiAAIClkI. PUM1T APP11CATION C!1'Y oF gASi4N 3$30 PILOT KAOB EiD EAs", Mx 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNERNAME: PHONE#: - TENANT NAME (IMPROVEMENTS ONLY): WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPAONE WORK T'YPE: New conshuction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of W ork: When installing/removing underground tank, ca!! 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OX $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 SEDGWICK HEATING & AIR CONDITIONING CO. TESrRECOR~ JOBNO.~l~ I 8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS CITV OCCUPANT f`~ cL S~ OWNER~ GEJUA 5'F-a SOLD BY INSTALLED BY P41 • ft MAKE- MODEL SERIALNO. ( J O ~ 2- L ~ INPUT- 0 ~ a O THERMOSTAT ~X~j~~•y ~ VENTSIZE 10 ~ t VALVE 4- By ~ d'< " t' fS 7VPE OF LINEfl LIMIT x~ ~ LINERSIZE ~ ~ y' LIMI7 SETTING 7Q 0 FILTERS: SIZE L1 Z S NUMBER ~ FAN SETTING 4(,1% WIHING I3v r H J-Vi 14- PILOTTVPE TESTTAG IGNITIDN MOOEL & to~''~ er{~at LIGHTING INST. PILOT TIMING trh f/A'~ / 7 - f 2 ~ C3 Z PRESSURE J c ~ PERCENT COi DATE TESTED INPUT CFH 6 ) C) PERCENT Oi COMPANYTESTING Q v G ~ ~f STACK TEMP. 'j • O PERCENT CO ~ NAME OF TESTER ~ ` V~ Y' ~^'FORM235(REV.11/89) FORMDISTRIBUTION: WHRECAPY-JOBFlLE VELLOWCAPV -CITY For Office Use 'Ir I t My of 1 Permit 1 d 8o Wan 1 I Permit Fee: 60 1 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: I - l' t -I cX I Phone: (651) 675-5675 I Staff: fy\L Fax: (651) 675-5694 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I ( I ~l 17- Site Address: LARK) f3tY0t,>j?;✓►~ L-n Tenant: '50o++ SDYenS Suite Name: SGl Y1~ Q~ ~0l1C Phone: 1 - (PZ (9 Sal S RESIDENT / OWNER -~!5 Address / City / Zip: Name: 3ian ce liis-t'aflee5 Of MN :✓K._ License 5-6V5 S--PM CONTRACTOR Address: 14I0;_ fLLi '!'z✓v5 Sf` k) City: ~TVI 0✓ LOJce- State: A) Zip: 7~ 3~Z Phone: Contact: i1 O-4/` n Email: TYPE OF WORK _ New X Replacement _ Repair _ Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL r Water Heater I Lawn Irrigation RPZ PVB) Water Softener PERMIT TYPE Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $~OZ~ bn 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.gouherstateonecall.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 approval of plans. x ✓CGQ l~-I"7 ✓1 x / Applicant's -Printed Name Applicant's Si nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -,--Final Use BLUE or BLACK Ink I For Office Use I ' j Permit City of EaEdIl [ _as Permit Fee. > 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I 1 1 - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: S ci7 0 S o (RASe/- Phone: (S) - 6 Sti- SS13 Resident/ Owner Address / City / Zip: (0 0 5~ ro•wI,,r„ L /V Applicant is: Owner A Contractor Type of Work Description of work: Rt" ( nnVa4 Construction Cost: a 000 Multi-Family Building: (Yes /No f< ) Company: (ho, in L)d<r6or_,s 5, )2,.,\o v&,4,,^-5 Contact: r5/1"L P%yi, Contractor Address: '~31~ VPIe r-R. _s City: Pr,"vim Cube, State: M N Zip: SS 312 Phone: bl 2- 723-I y D~ License _ IS(, G 4 8 )m Lead Certificate M 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 the 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.ciopherstateonecall.ora 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 E(r^L P x Applicant's Printed Na e A s Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use ~r I Permit f D City of Ea ~a~ I as Permit Fee: ! I 3830 Pilot Knob Road I / / I Eagan MN 55122 Date Received: ! Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ky'lr ~ L~ . Unit Name Phone: Resident/ I Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Al a A - Construction Cost: C) Multi-Family Building: (Yes / No Company: V t ' Contact: i Contractor Address: ZQ U d City: State: 111 r-\ Zip: Phone: 1AP9 License IS~L Lead Certificate 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 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.gopherstateonecall.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 Minneso tate Building Code mu be co pleted within 180 days of permit issuance. Applicant's Printed Name Applicant's Signatur Page 1 of 3 r Ju1, 23, 2014 11 ; 30AM No 7693 P 1 Use BLUE or BLACK Ink �------------------� � For Office U6e � �� o �� Permit�l: 1 City of �a�� ; Permlt Fee: � � �� RE�EIVEQ 3830 Pllot Knob Road j I �agan MN 55122 ��L 2 3 � I Da�e Received: � Phone:(651)675-5675 �� FaX:(B51)875-5684 I Staff: � � _._____------�_..._� � 2014 RESIDENTIAL Bl11LDING PERMIT APPLICATION Date: '`� ' Slte Addrese; �I�� w� ��v Unit#: Name: �C•� �Q' "' �`Z� � Phone��'l��W f J�� Residertt/ I_ Owner Address/City/zip: I!vO �� le- Appllcent Is: Owner �Contractor T e of Work Description of work��5�II a T�D n (�" i✓�I IVL� I� S ��V(, � CvGlr►'I �t..11').� £ ya � �� n5 Consfruction Cosl: ��d • Mulfl-�amily�uilding:(Yes / o ) Company�nO��ve rJa�I��'T s�� _Contact:�-��[.G�.UU►'L n�� COntraCtor Address:�U t,J I�IS�� N� Clty: Stat� A ' /�/� �/� �/��Q ►10 �t5 tal►1 Iv Zip:��OIY✓ Phon��"I ��c 'Ema1�65�LQ,@Ih Yu�1� � I Llcense#: �`f'�� ead Certlflcate#: �-� � �[3�� 1 `� 3�� — If the project is exempt from lead certification, please explain why_ (see Page 3 for addiliohal Information) �1 �� COMpLET� THIS AREA ONLY(� CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan Issued a permit for a slmllar plan based on a mesfer plan? _Yes _No IF yes,date and address oF inaster plan: Llcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:P/ans and suppor�ing documents thaf you submif are consldered to be puhllc lnformaEion. Port/ons of the lnformaHon may be classifled as non-public ii you provlde specific reasons that would permit the C/ty to conclude fhat the are trade secrefs. CALL BEFORE YOU D1G. Call Gopher State One Call a!(651)A54•0002 for protectlon agalnst underground uUllty damage. Call 48 hours before you Intend fo dig lo receive IoCateS of Underground u6lities. vrww.aorfherslateonecall.ofa I hereby acknowledge thal fhls Information is compleCe and accurate;lhat the rvork wlll be In confonnance wilh Ihe ordlnances and codes of Ihe Clty of Eagan; lhal I urtdefstand thls is not a petmil, b�t only an appiication for a permll, and work is nol lo slart wllhOUt a permil; lhaf Ihe WOrk wlll be in accordance wlth lhe approved plan In the case of work which requires a revlew and approval of plans. Exterl r wo uthorlxed by a bullding p it is5ued In accordance wilh lhe Mlnnesota 3tate euilding Code musl be comple d'within 190 days rmlt 16s nce. �_'-Z� � � x x App Icen Printed Nam� Applica t's Slgnature - Page 1 of 3 . . � Jul, 23. 2014 11 : 30AM Lj�� s� No. 7693 P, 2 � w��.r� �A-� DO NOT WRIT� BELOW TH1S LINE !��' �� '` SUB TYPES � Foundatlon _ Flreplace _ Porch(3-Season) _ ExteriorAlteratlon(Single Family) _ Single Famlly � Garage _ Porch(4-Season} _ Exterior Alteration(Multl) _ Multl � Deck _ Porch(ScrsenlGazebolPergola} _ Mlscellaneous 01 of Plex Lower Leve( Pool Accessory Building WORK TYP�S New Inferior Improvernent Slding _ Demollsh Bullding° � Addltlon Move eullding Reroof _ Damollsh Interlor � Alteratlon _ Flre Repalr _ Wlndows � DemoHsh Foundaflon �, Replace � Repalr _ �gress Window _ Water Damage Retalning Wall "Demolitlon of sntlre building—give PCA handout to appucant pESCRIPTION � Valuation " (� 31��• Occupancy 1�•�- � MGES System Plan Review Code�ditlon J /hs�. SAC Units (25%_100%�) Zoning �L—,�.. Clty Water Census Code Storles �ooster Pump #of Units Square Feet PRV #of Bulldings l.ength Fire Sprinklers 7ype of Construction �r� Width REQUIR�U INSPECTIONS Footings(New Bullding) MeterSlze; � �ootings� '�t��f �" Final!C.O. Requ(red Footings (Addition) � Flnal 1 No C.O, Required �owndatlon HVAC Gas Service Test Gas Llne Air Test Roof:_Ice&Water �Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:�Rough In Air Test _Fihal Slding:_Stucco Lath �3tone Lath _Brick Insulatlon Windows Sheathing Ftetalnfng Wall:_�ootings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed �y: , �ullding Inspector RESIdEt�TIAL��ES Base Fee Surc�arge Plan Review MCES SAC Clty SAC Utlllty Connection Charge - S&W Permlt&Surcharge Treatment Plant Copies �y TOTAL Page 2 of 3 41,11°` Gily of Elan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 RE's V E V MAR 17 201% r Use BLUE or BLACK ink For Office Use Permit #: Permit Fee: ) (t LP ‘-3..11.1Lp Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3-1 T- 6/ c Site Address: y 1 G O 5 f rq uJb e r r ) 1.. A A An AN 55/41 Unit #: -3-314 Resident/ Owner Name: SGOT-/- And C ng-hA S at Cdr A Qn. Phone: 655)) C a 55/3 Address / City / Zip: V160 S rMA,/ be -) )ccvfr < A% )6 6 Applicant is: Owner Contractor Type Of Work Description of work: 8015 G ()pot, r% t- F,°, :514 , n� 0;4 11 b Q1 (n ro O tit 6G r e s s 1,./,'„,/,,,,, `1 Construction Cost: y i� J. A- Multi -Family Building: (Yes / NoY ) Contractor Company: et) VI's Grp e 6 D. Id ; n 5-+rui41-0p4 Contact Si M S+4 inl&. t L Address: gig Rp\r v t 4- e2 r . cS'sd City: L on 3 cl c k, State:%1Al Zip: 5509C Phone: kta,R,$-A5 7 Email: rim Oenv;tcsc�-c, iDG.- Ca..r, License #: �,-7-^ 4 3 6 3 R-1 LI- b Lead Certificate #: C kg -79 1-t �,2 J If the project is exempt from lead certification, please explain why: s.� In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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 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.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 approval of plans. / Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Cod must be completed within 180 days of permit issuance. x TAT €Cj �`4 i A'1' Applicant's Printed Name pplicant's Signature Page 1 of 3 SUB TYPES Foundation yr Single Family Multi 01 of Piex WORK TYPES )A New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck 4 Lower Level S Porch (3 -Season) J — Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool a interior Improvement Move Building ` Fire Repair Repair 4, 010 Ug REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final p Framing Fireplace: _Rough In Air Test 77 Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: / O m al ; K 17 4 - RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final _ Siding Reroof Windows la Egress Window *Demolition of entire building - give PCA handout to applicant — Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous _ Accessory Building Demolish Building* Demolish Interior Demolish Foundation _ Water Damage -27ZC1 n 2-c)15- - MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required 'A Final / No C.O. Required )( HVAC — Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings — BackfillFinal Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector LL 9es, sg inam OD =r boo CiIo,eeoi Fog- 01 2--1C *nig`' z -l-7 Page 2 of 3 Use BLUE or BLACK Ink 1-----------------, l For Office Use 1 Permit#: �� / r My of Eajan I Permit Fee: <t 3830 Pilot Knob Road 1 I Eagan MN 55122 1 Date Received: 1 Phone: (651)675-5675 I staff- Fax:(651)676-6694 I --------------- -'J 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: Resident/Owner Name: // Phone: Address/City t Zip: `7� �/ Z-6,-12 Name: /e/I/( License#: ��1 Contractor Address: (� tTAl L,L City: A�z e7� State: lotl -Zip: 7 �� Phone: (Ol� --3 9c� 7 7� L cop? Contact: L1r C AZGl °C Email: ,2 Type of Work — New _Replacement _Repair _Rebuild _Modify Space Work in R.O.W. U Description of work: Z q Y �I/I o RESIDENTIAL Water Heater ter Softener Lawn Irrigation(_RPZ/_PVB) Permit Type W Add Plumbing Fixtures �/ Septic System 9 (_Main/ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.itopherstateonecall.org 1 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 1 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 app ro ed plan in the case of work which requires a review and approval of plans. x )11 X Applicant's Printed Name Applicant's Signatu FOR OFFICE USE Reviewed sy: date; Required Inspections: Linder Ground Rough-In Air Test Gas Test f=inal Off:' Meter Related Items: Meter Size Radio Read Manometer: i r City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: - Ci2 0 Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please ubmit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: Suite #: •Name: d� m e Y �C 1-+ �i�? 'CSS Phone: Address / City / Zip: � xi M r ry<w Name: L->°4 2_, C.....„/ -74.--,k47 License #: y City: C-- 9 i s �t-c ( 42- Address: 8-07 // ,�'rtl -' C")--(",.mac State: 11-1`'Ll Zip:C>V Phone: 6 / 9 0 `.'3 c/!P Contact: Email: } m : ork New r"��/ Replacement Additional Alteration Demolition Description of work: o t � m m oof r wnt 1 ground e a qs e a a t s c it e Sinin• g P # k - 3 RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_ Install / Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum ^� Contract Value $ 7 x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE 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. x 3(k C ti-�— Applicant's Printed Name