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1783 Taconite PtCITY OF EAGAN Remarks Addition CE R GRO E 7 Lot 0LBIk 7 Parcel 11 16600 070 07 Owner rd b?, Street 1783 Taconite Point State Eagan, NN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET R ESTO R. GRADING SAN SEW TRUNK T! 1970 58.18 2.08 28 Paid x SEWER LATERAL 1971 20 WATERMAIN tt WATER LATERAL 'jy_ 1971 5.00 80.75 20 P WATER AREA • STORM SEW TRK 94C 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 1952 11-10-69 BUILDING PER. SAC 200.00 1952 11-10-69 PARK s INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: '' `' " ''' r? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ` ;.1 I I a? I ,,, r APPLICANT: : IACONITE Pt .1 1, kl 144Th E is CEDAR IROW #7 (bl ) 434-1077 PERMIT SUBTYPE: TYPE OF WORK: f, I T 1' RA I'l ON • DATE INSPTR. INSPECTION TYPE DATE INSPTR. ii?l??ti I !. I ?, 1 i•I I Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 71 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL PERMIT # ?h MECHANICAL PERMIT RECEIPT # CITY OF EAGAN K 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address Name _ m Address C City _tc? Phone Name 6 c Address p Citym Phone - y? TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU `4 M BTU CFM 1117187 OA pe, A FEE: S/C: s? TOTAL .5- C' BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # N2 5392 To be wad for k EST. Value Bate 19 Site Address 0 Erect ? Occupancy Lot D Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone l E T e of Const n arge ? yp . Name Move C] # Stories W z I Address Demolish ? Front ft. o -. .-:- e?,.__ , ' ? • Grade 171 Depth ft. ,O a' Assessment uu Address Water & Sew. city Phone Police Name Fire uo Address Eng. Q W Ci Phone Planner Council Fees Permit Surcharge Plan check ?T- SAC Water Conn. Water Meter I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee 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 City of Eagan Ordinances. Building Official Permit # pate Issued POMIHee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final 6 Remarks: > O'elyd EAGAN TOWNSHIP BUILDING PERMIT N° 2152 Owner ; .- ..c/ .....--._.... Eagan Township Address (present) ?. y!?`. :'..........._.... Town Hall Builder -_------- --_...._..------------....__.-..._.....----- - Date ...°- .........6. ... Address .... .--------------------------- --------------- ..._._-------- -------------.- .... - DESCRIPTION Stories Ta Be Used For Front Depth Height Est. Cost Permit Feel Remarks LOCATION Street, Road or other Description ox Location Lax tslocic Add1I10n or -Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BF, KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that....--.-- .. _......? --------------- ------ --has permission to erect a--&....... ..... ! -----?..-.............upon the above described premise subject to the provisions of the Building Ordinance for Eagan _ ship adopted April 11, 1955. /???o!` ...................... Per - Chailn of Tnwn Board Building Inspector e. d CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE. 454-8100 BUILDING PERMIT APPLICA Site Address 17R-% Taennita Pain r Lot -z Block_ Sec/Sub. Parcel # w Name Rir hard LOrensnn Address 1783 Taconite Point b Ea¢an -- - 454-2990 Name Aquarius SwimlRinrz Pool Co. ou Address 16900 Cedar Ave. So. 1- r;.., Rosemount 5 068 432-1130 Name _ Address I hereby acknowledge tha ave read this application and state that the information is corrept an agree %icemply with all applicable State of Minnesota Statutes d City f Eagan Ordinances. Signature of Permittee A Building Permit is issue?..d to: AC all work shall be done in accordance N2 5392 Receipt .# /-'S- 7 / Erect 7p Occupancy P1 After ? Zoning R1 Repair ? Fire Zane Enlarge ? Type of Const. V Move ? * Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 8-31-79 APC Permit 24.00 Surcharge Plan check. SAC Water Conn. Water Meter Total 39.511 COL 1:0. on the express condition that Minnesota Statutes and City of Eagan Ordinances. Building Official To Be Used Site Addres Lot 7 Block 7 Sec./Sub. Parcel #:/?/G?Qp n ?n n Address: II U, City/Zip Code• Phone #:5 Contractor Address: City/Zip Code: Phone #: Arch. /F.hg. Address: Y City/zip Code: Phone #: Include 2 sets of plans, s 1 site plan w/elevations & APPLICATWN 1 set of energy calculations. Date 3141.9 OFFICE USE ONLI Erect Occupancy Alter Zoning Repair Fire Zone Enlarge - Type of Const. Move # Stories Demolish _ Front ft. Grade Depth ft. p FEES es nts Pernit .4-4 60 Water/Sewer Surcharge R Police Plan Check 1:2 ao Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off.3! y p APC TOTAL d? CITY OF EAGAN -C_t3q CITY of EAGAN BUILDING PERMIT Owner Address Builder Address DESCRIPTION ., ,. N2 4068 3795 Pilo! Knob Road Eagan. Minnesota 55122 454.8100 Data... .F......l..?l.. Stories To Be Used For Front Depth Heigh! Est. Cos! P ermit Feel Remarks ?9,0 / LOCATION 4f / I / or This permit does not authorise the use of streets, roads. alleys or sidewalks nor does it give tKe owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST SEg7c?E-P O7,ihi, PREMISE WHILE THE WORK IS IN PROOA . This is to certify, that_ d,/? ?-rll3 .i. .. ............has permission !o erect a........... ..?.........................upon -V- f the above des ribed prQrl?_ su jee! proons of all applic rdinances or !b _able ..'...----°--°---......... Per .......... .. ............... ......... ............................. Building Inspector 18 months frortoid i/ /s7 7a. ? 7 ?.+ C .98776 Request Date Fire No. Rough-in Inspection q' Required? jf?F.atclv Now Q Will Notify, Insper;- i 0Yes o for When geadv 7ffLicensed Electrical Contractor 1 hereby request inspection of above r0 Ownet electrical work installed at: Street Address. Box^,,..te No. 9r3- l e-t-t-e 72 City , Qr? / Section No. Township Name or No. ganBe o. Courn C 'c Occupant (PRINT) Phone No. C ? E Power Supplier Address S Contractor (Company Name Elee.trica Contractor's License-bl% J '5 IC li ailing Address (Contra for or Owner Making lnstaila ti nl /jam C77- j-i / i Authorized Signature_IContractor/Owner Mak' Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grippe-Midway 81da. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION jV1k EB-00001-05 ll? Sea instructions for completing this form on Deek of yellow copy. 7 ?7G Q OO 7 7 C t' Below Work Covered by This Request Appliances Wired Ce I I I 1 Industrial Bldo. Ut!I Air Conditioner 1 I Bulk Milk Tank I N Fee Service Entrance Size N Fee Feeders/Subfeedere At Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Arr? 31 to 100 Amps 31 to 100 Anq? swifir Pool Above 100_Am s Above 100_Am s Transtorrners Irrigation Boorcis -> Partial-'Other Fee si TOTAL _ I - I1. the Electrical Inspector, hereby of I. certify that the above Final D.ntff y, inspection hes been y` z, made. This repuest void 18 months from -t-'Aq 20(16 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot ]Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constrrwlion Rewtrements RemodelfReoair Requirements 3 regstered site surveys sharing suf ft. of lot, Sq. ft. or house; and all roofed areas 2 copies of plan sharing footings, beams, joists (20%muimum lot coverage allowed) 1 sat of Energy Calculations for healed additions 2 copies of plan shoving beam & windowsim; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indexfe if on-site sepec system 3 copies of Tree Preservation Plan l lot platted after 711W Rim Joist Detail Options selection sheet (buildings with 3 a less units) Ivfinnegasco mechanical ventilation form Date ?? /'Ll _ Site Address ? /_y? ?s??? -?Co'n`str1uctionCost ?Z? ??? ? Unit/Ste # Description of Work / R-g-- L(S? )I? ?Y Multi-Family Bldg N _ Y Fireplace(s) _ 0 _ 1 - 2 Property Owner ? / , ?1Ll r/ ?bl.?-k? Telephone #0 ) 3+0 ? ? ??? Contractor cYG x.81"lV?. ?f?l?/ Address State A-j 5 city Sect ? Zip ova Telephone # ((p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cory I _ N intesota Rules 7672 Energy Code Category . Residential Ventilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone At ? , . ?ooo Mechanical Contractor Sewer/Water Contractor TeiephonAp_k 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 fora ermit, and work is not to start without a permit; that the work will be in accordance with the approved plan m th a of work which requires a review and \„r?l approval of plans. 4clq as Office Use Onlr Cart of Survey Rood _Y _N Trae Pres Plan Rood _Y -N. Tree Pres Requi ed _Y _ N On-sde septic System _Y _N 5 Vr - Applicant's Printed Name DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-p1ex ? 05 03-plex ? 06 04-plex Work Types ? 31 New 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-piex ? 16 Fireplace ? 17 Garage 122 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Poroh/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage x 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext Aft - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof X 46 W+ndowsfDoors -Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation '7ct?o Plan Review A 100% or _ 25% Census Code 4/34 SAC Units # of Units # of Bidgs Type of Const _Y2_ Occupancy /C -3 MCES System Zoning City Water Stories - Booster Pump - Sq. Ft. J?O PRV Length 5- Fire Sprinklered - Width Footings (new bldg) l Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ lee & Water Final Framing - Fireplace _ R.I. _ Air Test -Final Insulation. l Approved By: Base Fee V Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plea ? 12 12-plex REQUIRED INSPECTIONS Sheetrock Final/C.O. Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding - Stucco Lath - Stone Lath -Brick Windows Retaining Wall Building Inspector CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: ADDRESS: PERMIT # 73034 RECEIPT #/DATE: REASON FOR REFUND: 106556/4-27-06 Poor soil--could not build Fresh Start Companies 901 6th Ave S Stillwater, MN 55082 Valuation: $4,000 P-1- Site Address: 1783 Taconite TYPE OF REFUND: Buildin Permit Base Fee 0801.4085 $ 97.25 Construction Meter Dep Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Su ression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Plumbing Permit 0801.4087 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surcharge 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Supply & Storage 6101.4680 $ Other (License Search Fee) 0201.4230 $ Total $ 97.25 eclare under the encount, claim, or demand is just and that no part of it has been paid. 05/24/2006 SIGNATURE DATE -?3 3 Mots RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConNrudion Requirements 3 registered she surveys showing sq. ft. of lot st. ft of louse; andall roofed areas (2D%martnum lot coverage mowed) 2 copies of plan showing beam & window saes; poured found design, dc. 1 set of Energy Caoulal " 3 copies of Tree Preservation Ptah "t after 711W Ri n Joist Detail tJptiom se's ions uildngs with 3 or lass units) Minrregasco meclumicel ventilati form Office Use anti Cart of Survey Recd _Y Tree ores Plan Reod _ Y Tree Pres Requied _Y On-she Septic Syrian ?Y Ca-ubrL '{1ta lk gq,a5 N -14. N N 4 ?X 1A / Date Construction C0 Site Address GCCi:. 1 > Unit/ste # Description of Work c) C ,f c tear,, l .? / % Multi-Family Bldg _ Y :L N Fireplace(s) _ I _ 2 O e Property Owner Telephone # ( ) Contractor C t! Address City State MN? Zip "' Z- Telephone#((rj.?l) L11o :!i3L COMPLETE THIS AREA ONLY IF Energy Code Category , Residential Ventii (J submission type} Submitted • Energy Envelops In the last 12 months, has the City of Eagan issued a - Y - N If yes, date and address t Licensed Plumber Mechanical Contractor 1 " Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Subn*W master plan? Telephone Telephone #( Telephone # I hereby apply for a Residential Building ermit and acknowledge that the information is complete and accurate; that the work will be in conformance wilh the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permi( 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. RemoddlReoair Reoutemerds 2 copies of plan stamng footings, beans, joists 1 set of Energy calculations for heated aclci 1 site survey for additions & decks Addition - indicate d amsAe saPfic system submitted for a similar plan based sr plan: tyr?c 06 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03plex ? 06 04plex Work Twee ? 31 New 9 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) X 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext Alt - Multi ? 33 Ext Aft - SF ? 36 Mufti Misc. ? 35 IM Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) • Give PCA handout to applicant Description: Water Damage-Yes Valuation /7 W coo Plan Review N?!9 100%or-25% Census Code X13 `1 SAC Units _ # of Units - # of Bldgs Type of Const _--/7/)- Occupancy R-3 MCES System Zoning City Water Stories Booster Pump Sq. Ft. Igo _ PRV ' Length /a, Fire Sprinklered 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 ? 07 05plex ? 08 06plex ? 09 07plex ? 10 08plex ? 11 10plax ? 12 12plex REQUIRED INSPECTIONS Sheetrock Final/C.O. Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding - Stucco Lath - Stone Lath -Brick Windows Retaining Wall Building Inspector l?-o%0L 30 3G" Q? . a j r a O 1 ? • A ! 1 o rc ¢ fro Al. _ 60.0 ? s? ?? V ?r Rt? 4' F .8 _gUAPUU5 SWIMMING, a OOL CO., !NC. 16900 Cedar Ave. South ROSEMOUNIT. MINNESOTA 55068 X x HousF= i;1?cK GA RAG s' TOLERANCES REVISION S i[ac[rt ws wo?ml NO. DATE BY DECIMAL 4 2 FRACTIONAL 3 _ f ANGULAR A * E (? ( cHPiF,? Lo R,E:N?5c !v 45 1' 83 Tic^N lf E'er NT'rE GR A,QUAl JJ 51S. N?lt t.] Y-A(T1 •'"U.? 11YV. RCS,;7(10;1 mig4y'snTA c=:^c DRAWN By, 9G ALE 11 4 MATERIAL GMwr DATE h/• I AN; NG NO. s ,r r -) '--7 ' -7 b p MASTER CARD LOCATION OWNER STRUCTURE AND t LAND USED AS G ? -Z !'f Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING C: CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION .?? SEPTIC CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER rY-77 Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to beat variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. 11 ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit ??? Date 0q -- Site Address t ? (ti SC d 1 `?T 'Y ? Unit # Property Owner X (I( A Ufln nff(( d Telephone #(V,:D Contractor ur 12481 Rhode Island Ave. S0. City Street Address State Zip Telephone # Q?,SL ) kq Q "-0005 Bond #: Expires: 1 L The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional XReplacement _ air exchanger air conditioner _New Replacement other State Surcharge $ .50 Total $ `? I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p Applicant's Printed Name Applicant's Signattue 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank _ Install -Remove **see below - Interior Improvement - Install Piping - Processed -Gas Nature of Work: **When Installing/removing underground tank, calf for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/mmoval $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If Rani[ fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 pemit fee $ Total Fee ---?,-y -My rur a wmmerciai Mechanical remit 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Applicant's Signature Approved By: , Inspector 490 ??a3? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. it. of house; and all roofed areas (20% maximum lot cmn rage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Ran if lot platted after 7/1193 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE 2)-Z-02, SITE ADDRES TYPE OF WO APPLICANT IULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS 9920 Zilla Street CITY. Coun Rapids, MN 554M TELEPHONE # CELL PHONE # ?11c'j-755-?'??1 STATE ZIP FAX # -AZ ?-55?? 6 PROPERTYOWNER SCZ-?+ r t_ISA-t f TELEPHONE#( COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. - Air Conditioning Heat Recovery System Fee: $90.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that th information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan inances. Signature of Applicant N- IQ2U42? --------- --___.__. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths I g(. LS RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions ??n lye VALUATION *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 879 DATE: 09/29/00 TIME: 11:19:18 ID: NAME: 7-OLLEFSON BROTHERS EXT 3210 9001 1783 TACONITE P 167.25 ^2155 9001 1783 TACONITE P 4.50 Total Receipt Amount: 171.75 CR138000 USER ID: JAN 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?j v y 3830 PILOT KNOB RD - 55122 1 -? 651.681-4675 !L New Construction Recut remenh Remodel/Repair Reaulrementss D 3 registered site surveys stowing sq. R of Wt. sq. it. of house 2 copies of plan and gQ rooted areas (20% maximum lot eoveraae allowed 1 set of energy onieulations for heated additions n 2 copies of plans (show boom R window sixes; poured Ind. design: etc.) 1 site surrey for exterior additions tie decks D 1 set of energy calculations _ U 3 copies of tree preservation plan H Id pbfted abler 7/1/93 g5 G 6 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: S r i ( ?' L 1 STREET ADDRESS: 7 F? T t o N r 7; ?7 n LOT: BLOCK: _ ?- SUBD./P.I.D. #: C z dJ 0.d C? >' U J Name: ?A 5? ??/ Sc o !J Phone #: PROPERTY Last First OWNER Sheet Address: / ? 403 CV /y ; c PT- city JEA? Stater A-1 Zip: SS/ Z Z Company vZL?i 5?? /?j26 S- ?x% 2•ar? 5 (6/2 gel z Z?ji Phone #: (area code) CONTRACTOR C /.2 . Street Address: /0 ,?U ? 1G Lc,? O City J3LGr?i?//roC?:on State: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Zip: Sheet Address: Registration C City State: Sewer/water licensed plumber (H instal lina sewer/water): Phone #: Zip: 5S/ZZ I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant.. OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received - Yes - No - Not Required SEP 2 9 2000 BY: License # 25700W Z Exp. s1o 1 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-piex ? 02 SF Dwelling ? 08 06-piex ? 03 01 of_plex ? 09 07-piex ? 04 02-plex ? 10 08-plex ? 05 03-piex ? 11 10-piex ? 06 04-plex ? 12 12-piex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-piex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screened) ? 19 Lower Level ? 24 Storm Damage Plbg _y or_ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee Surcharge Plan Review 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: 11 ? . l S sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Valuation: $ ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti SAC Units % SAC CITY OF EAGAN CASHIER: S TERMINAL NO: 53 DATE: 05/06/97 TIME: i4:1.7:i4 ID: NAME: MAJESTIC REMODELERS 321.0 9001 1783 TACONITE 87.25 2155 9001 1783 TACONITE 2.00 1 Total Receipt Amount- 89.25 CR073R6i USER ID: NANCY :.. ?- CITY OF EAGAN 3830 Pirot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 i PERMIT TYPE: B U I L D I N G Permit Number: 029915 Date Issued: 05/06197 SITE ADDRESS: 1783 TACONITE PT LOT: 7 BLOCK: 7 CEDAR GROVE #7 P.I.N.: 10-16706-070-07 DESCRIPTION: r a' f` Bu i 1 ding Census God PERMIT SF (MISC.) ALTERATION 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $87.25 $2.00 $89.25 $4,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: MA ESTIC REMODELERS 14321077 0004723 MORRIS JANICE 1 35 HALLMARK PATH 1783 TACONITE PT AF 'LE VALLEY MN 55124 EAGAN MN 55122 (612) 432-1077 (612)432-1077 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 Mn. tatutes and City of Ea,%gari' Ordinances, APPLICANT/PE MITEE SIGNATURE ISSU BY, GNA REROOF Permit Type Work Type ' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ( 9'91 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-1675 New Construction Reauirements Remodel/Repair Recutnements ? 3 registered site surveys s 2 copies of plan • 2 copies of plans (include beam & window sizes; poured fnd. design; eta) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1193 required: _Yes _ No p DATE: CONSTRUCTION COST: Z b DESCRIPTION OF WORK:A ?- STREET ADDRESS: LOT y BLOCK / SUBD./P.I.D. #: PROPERTY Name: Phone #: `7 6 - 9l? OWNER u. ..:. Street Address: 7 8 1 ^7- City: State: 74-1Zip: CONTRACTOR Company: ?7k?- > Phone #: 7z 3 Street Address: P1slcq License City: e: Gil ' Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct anree comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. XA '71 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MCM/S System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee 0 Valuation: Surcharge ?. o"b Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: , oC 5 % SAC SAC Units A . 4 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: November 6, 1969 Billing Name: Cedar Grove Constr. Co. Owner: Cedar Grove Construction Co. Plumber: Stein, Inc. Number: 381 Site Address: 1783 Taconite Point -- 7-7-7 Billing Address 7343 Concord Boulevard East South St Paul, Minn 55075 of Connection Meter Size Connection Chg. 230.00 pd 11-6-69 Meter No. Permit Fee 7.50 Pd 11-6y69 Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Building is a: Residence xx Multiple No. Units Commercial Industrial Other Date Remarks: By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Carol Stock Cedar Grove Construction Company Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: November 6, 1969 NUMBER 523 OWNER: Cedar Grove Construction Co,Address 1783 Taconite Point -- 7-7-7 PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial+ Commerciall Residential Multiple Dwelling No. of units %% Location of Connections: Connection charge 200.00 pd 11-6-69 Permit Fee 7.50 Pd 11-6-69 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By. Carol Stock Cedar Grove Construction Company Please notify when ready for inspection and connection and before any portion of the work is covered. RESIDENTIAL BUILDING l? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $?O,I New Construction Requirements RemodelRtegair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _14 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _Y _14 I set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date ji) l Z''I Construction Cost Site Address 3 K? 'TA Onl / 71= YlD(,IvT Unit/Ste # A') Description of Work //J.5 7/'+T L G?a?L? S%yvv Multi-Family Bldg _ Y - N Fireplace(s) _ 0 _ 2 Property Owner 6A (_00u12A)( A1_-) Telephone#(6151 )34e r174ib Contractor F! 06s5,e Address 39b t,) j7?9 13 City State /%^/ zip 5 373 Telephone # (71h) 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 i ith r fee applies. D ?5 0 Licensed Plumber similar plan? _ Y _N If so, 25% plan review 41 Telephone # ( Mechanical Contractor Sewer/Water Contractor 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 c sRf work which requires a review and approval o plans. .> Applicant's Printed Name A t ant's Signature ----------------- Oao ?. i ? Permit #: I Permit Fee: 1 Date Received:. c Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:?SiteAddress: I7F3 T?C4A+t"{C el- Tenant: Suite M RESIDENT / OWNER Name: Hot its Lle-AOLW'P eRr t Phone: Address / City / Zip: / Z g!2 z eori k + CONTRACTOR Name: C401-W+-,O" 4' UKN?1 4 License#:O5-2 3v`6' PM Address: k2U<.? kvG State: Zip: , s o 3 City: p / Phone: 65-1' 7 7 7! 7 Contact Person: silf'P TYPE OF WORK -New Replacement _Repair Rebuild 4 Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater -Water Softener _ Lawn Irrigation _ Add Plumbing Fixtures C__ RPZ / _ PVB) (_ Main _ Lower Level) _ Septic System _ Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in 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 s in witho a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv ans. -` x Applicant's Printed Name icant' ignature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1783 Taconite Pt Lot: 7 Block: 7 Addition: Cedar Grove 7th PID:10- 16706 - 070 -07 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Holly M Letoumeau 1783 Taconite Pt Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA078658 07/03/2007 ePermit 401* City of No Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 cyjirilac/1 Use BLUE or BLACK Ink Permit #: 97-) 14 Permit Fee: $ 55. 00 Date Received: %-ZS_! I Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION 4,l /�� -25-!� Site Address: /79'3 *Teoh►r e POS Tenant: Le 4- O a r n e c& Suite #: RESIDENT / OWNER Name: t e ®vr n e av Phone: Address / City / Zip: 0 113 Tete : --e Pi, ;'r+ CONTRACTOR Name: i a k ey = ew Ph) .,37 ,5 License #: Address: 7 el" Cooper Lv rn e City: ver Grove 19.05 . State: 44 Zip: 5507 Phone: r? i '- 8O S�- e 270 �/ • Contact: /� ae(7 U S'lej A Email: RCA' 4'✓ r n e msfo ,, eom TYPE OF WORK New x Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ Description of work: PERMIT TYPE RESIDENTIAL Water rSoftener Water Heater IQe�1Asct; 640 Plumbing Fixtures ( Main / Lower Level) _ Lawn Irrigation (_ RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 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.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 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.� .��J��r"""" L ' - S 4-e, x Applicant's Printed Name Applicant's Signature Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Cc, Use BLUE or BLACK Ink J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 41-74111 Site Address: I1 t �% 7I ' 32( �-r- Unit #: RESIDENT / OWNER Name: T1VL 1— l eLet%F' Pcd Address / City / Zip: U7t' ?/ )rae PT Applicant is: Owner )( Contractor Phone: 605-0 24-'S '1 bfO TYPE OF WORK Description of work: 101 3 Limy C,1 UI_'IZ) Construction Cost: ' 1/50 Multi -Family Building: (Yes / No ) CONTRACTOR Company: 4 STRi7 )i E.(a. 2 Address: 'DO I Un- ANI 6 Contact: -r-,(3() State: ' _` i Zip: 5.--cD !/ Phone: City: 'St t — NsO 2_1(0 - '9 License #: 7174-54-C272-- Lead Certificate #: Q' 1 ISS) 4. 09 " c604727 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Rf 1aD (E ZIT 19e141444e0 c6it-TiFrer7 F U ° t4O L€ P0 -063• -Ti 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: 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.ctopherstateonecall.oru 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 • ,,rt 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 • • lens. yr Applicant's Printed Name x Applica Page 1 of 3 443 Lafayette Road N. St. Paul, Minnesota 55155 www.dli.mn.gov 7/31/2012 Judy Letourneau 1783 Taconite Pt EAGAN, MN 55122 RE: RES Site: IR CH J Letourneau 1783 Taconite Pt EAGAN, MN 55122 Dear Sir/Madam: MINNESOTA DEPARTMENT OF' LABOR 84 INDUSTRY IFT (651) 284-5005 1 -800 -DIAL -DLI TTY: (651) 297-4198 APPROVED FOR USE Elevator ID# ELV-1007931 Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manias (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of the Minnesota State Building Code. Failure to maintain and perform the required tests may result in revocation of the annual operating permit. Operation of an elevator related device without a valid operating permit may result in an issuance of a "stop order" from the department and possible penalty of up to $10,000. For more information see our website at: http://www.dli.mn.gov/CCLD/Elevator.asp Sincerely, 1021N C 0ES & LICENSING Patrick F Johnson State Elevator Inspector c: ARROW LIFT ACCESSIBILITY Dale Schoeppner, City of Eagan Building Official ElFormCE2 This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer Use BLUE or BLACK Ink r------------------� I For Office Use � I ,��/�� I C�� 0� Tl��n n � Permit#: � Qll � � �; � 1' � Permit Fee: � 3830 Pilot Knob Road � �� Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��I '"Z �'� SiteAddress: 1�� ec�Y1i�� f�. Unit#: "'. Name: Phone: ReS�Cientl,"'" '! ��j�y��'�'� P. ; Address/City/Zip: � , .° �� la"��'�" � � r �� Applicant is: Owner Contractor �T�t�� Of W01`k � Description of work: �C.�� 'c1L� � Construction Cost��o''- Multi-Family Building: (Yes /No Company: vr��"�ohe Q¢.mc��F c� Q�. �`��nL Contact: �� f� t '�� ` Address:�Z1�3( �Z�T(n S-"� City: �` rr�-l1 Cor�Yractc�r �.s:� ��i�: � ,� � � ��: State: T_Zip: ��F`73Z Phone:��F'5��3"i-32�'S� Email: � � � ,,. ; - �: License#:��SJ�`7 3� 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: N�TE:Pl�r�s anat su;ppc�rtfng,documents fhat�ou submit are;cons�a►�r�d f�be p�rbli�infc�rmatici�. Pvrtic�r�s of '. th��r�fvrmation may b��las�ifie�f as non'-pu�l�c�t yo�°prc�vid�specific reasr�ns!t�at wv�1`d��rm�#��e Gity#a �onc�ud��th�t tt�e° �re fr,,, de:sec�e�. 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.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 �� X r�'�„�, - ApplicanYs Rrinted Name Applicant's Signature �i Page 1 of 3 �vi�� 153� � ��.��- �.� �� Use BLUE or BLACK Ink �----------- --, � � � For Office Use � � � � �� j Permit#: d� � C�ty of��aIl ��_ � � ��.� � � � 3830 Pilot Knob Road � Permit Fee: C7 � Eagan MN 55122 ! � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � I � Staff: � . . _��__��__��J . ... . ...... ..... .......... ... .. . ... ...... ........ . ...... ... .... ... ..... .... ........ . .. ..... . . . .. . ... .........._ .. ... .... . . . ... . _ _. ._ .. .. . . . . .. 2014 MECHANICAL PERMIT APPLICATION ❑ Plea e submit two(2)sets of plans with all commercial applications. Date: ' � � Site Address: � !� ��C�,�j�1,_� �'� Tenant: Suite#: ResidentlOViiner.�..4 Name: Phone: �,Q.'�"7 U 't"�� 5 � �,<��K� � � ��_ _ �'`I�. (� (x�''�. �11�5 'Z Address/City/Zip: � � ' Name: � � d- License#: lX i I � �� .� �� , �� \)C�i��'Y1 I� �i � �1 S�' y: �,��t'�C�� ° Address: ( Cit ��Contracfor - � �F :��.� � � �� j �� i � �-i ��l- ��°l � ` State: �4�Y1i�l Zip: � ��Phone: ��.�'��° � Contact: }�i Email: /1 f� 0 f11.E.i'C-l.Pi" C(.�j`j� �� :� �� ~ E _New �Replacement Additional _Alteration Demolition ��rv�x�d� _°`'�ype of Wo�1� Y � Description of work: � µ . � �a��^�.° �n ��;,�: `NOTE�'Roofi mountea„a�n rgroun�,,_moussn ed me�hanical equi'p`menf is reqwre�to e screene�i t� ��ty.; a � � � � - �,� ��..� ��.� � �.�� .,, ,ti � Cotle ,�ease c4 tiacttheJN�echanical Ins ectQrfo��nformat�on,o�_ ermit�ed sc eenmg�ne ods �� ,G �� - . . �, � ,.�,.�� . _ �.,, ��.�� _ ;,,�.d.�, ��.rvr ��;�,�.r P�_.�.,... � ��,�,. .-��P�, ,,:��:.�,� ,��=;� .�� M�. �w,a �. r ��.�n _ _. `� � � � RESIDENTIAL COMMERCIAL � �� % �Fumace New Construction Interior Improvement �� ,,�> — — Pe�ttllt Type —Air Conditioner _Install Piping _Processed �' °�` ��'� Air Exchanger Gas E�erior HVAC Unit _Heat Pump Under/Above ground Tank (_,Install/_Remove) ��, Other � RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) �v $100.00 Residential New(includes$5.00 State Surcharge) _$ �� ° TOTAL FEE � COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee � *If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge' **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 _ �`*`If the project valuation is over$1 million, please call for 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 Gity 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 �i Vl.��l�, �� x ` W U Applicant s Printed Name App�cant's Signature FOR OFFICE USE ° �� ,�� " � „�;�. � � � �`� � �� _ � Reqwred�nspect�ons ' ".. �' -�� n�� R"iewecJ B�� . �.�.,�. . �.��.��., _ �Date�` ;�z. ... .. fi � � �. � �.,� ��-�a � °_°` a� �a. � i��` ��s Un�erground��` Ro"u��n ' r es�� Gas ervice Tes„��_ = oor ea =��nal�.:.� .R�VAC�cr��9�.:>;��.�