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1768 Talon Tr04/21/2014 12:18 Les Jones Roofing, Inc. 4110/ C!tyofEaaau 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5675 Fax: (651) 675-5694 (FAX)9528817009 P.006/011 Use BLUE or BLACK Ink For Office Use Permit #:_1 ZZD? 7. Permit Fee: 1j0 '� Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 52/9 Date: (74//41/y Slte Addreae: 111oo-17bi-/- /768 T -41/ i tt.. Unit #: Name: co 142-6#072TY Get -P- E; /iNQ , Phone: 1- 531.14-' ?CI `f Address / City / Zip:. PO BQac 1 / 2 s /r/2oiis . 4 6* s till 6-57> 7 Applicant Is: Owner .. Contractor Description of work: D//E. A-A/,p pC4Z e .�r'4V6Z. Construction Cost To 52,5'3 `5- Multi -Family Building: (Yes / No Company:. LEM ToES G23Fih1 1 NIC.. Contact: CHRIS s il3 IZSoi. Address: 941 W Sfl2 E T City: hu.N Al State: MtJ Zip: 5+2.0 Phone: 9S2 -1353/-2-7-4-/ License #: LS1,0 Lead Certificate #: NA -T— 403 72---1 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A J'1EW 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: 4114.4.10.4414. x� �t�l� tx ,i � � ` r�o � �2����X �i� �r�t[��0 tf � �i Il fdA f i r C1firlV N"' *ht. CALL BEFORE YOU DIG. Cell Gopher State One CaII at (861) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. yirww.aoeherstatsonacall,org I hereby acknowledge that thls Information le 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 approved plan In the case of work which requires a review and approval of plane. E_xterlor work authorized by a building permit Wetted In accordance with the Minnesota State Building Code must ba completed within 180 days of permit Issuance. x erngiS f10440e72.S Applicant's Printed Name Ap Iicant'e Signature Page 1 of 3 Address: 1768 Talon Tr Zip: Lot: 5 Block: 4 Subdivision: Greyhawk 2nd 55122 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON -7• 1`2- • [)" Yes No Comments Final grade - 6" from siding ? Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent as Retaining Wall or 3:1 Max Slope Sod/Seeded lawn Trail/curb damage Porch Lower level finish Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the Citv's Engineering Department at 651-675-5646 prior to working in right-of-may or installing irrigation system. 4 BUILDING INSPECTOR: A -A I /Lt 4-4,1.- c-e CONTRACTOR: MW JOHNSON 17645 JUNIPER PATH 4100 LAKEVILLE MN 55044 RESIDENTIAL BUILDING _ ?Z 7?,`1 / 4 -7 D Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 P S$ q0 5b Telephone # 651-675-5675 FAX # 651-675-5694 `f5 • /7 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas 2 copies of plan Cart of Survey Recd _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions k dditi & d 1 i f Tree Pres Plan Recd _ Y N f?IN Tree Pros Re Y d 2 copies of plan showing beam & window sizes; poured found design, etc. ons ec s s te survey or a , q _ I set of Energy Calculations Addition - indicate ifon-sde 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 I G?' 1 8 Site Address ( 7 1 0 3 (O% 1 Ql on?YQ t Construction Cost I 1 0O O Unit/Ste # Description of Work 51ng ? it 4-ZX n1 t I V ?? rn e. Multi-Family Bldg Fireplace(s) X 0 Y N 2 Property Owner I , ` W J -7 -7 ao Telephone # (Q a Contractor U) V O?-l lis©n Address % (oI State M A ?J ?V ?) I Per PC- ` r 1 Zip 5rJ' oa'4' City t_Ck' 14- U t i f' Telephone #(r"% Sig a '717 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted nl s ?'? Ian review Have you previously constructed a building in Eagan tiff a simlcclr ?la7j?? Y _ N If so, 25% p fee applies. C O unn Licensed Plumber _RT P DE 9 Z?Telepwone # (R5? ?Q ?? 78 Mechanical Contractor e 1 iy-o 1 1 (?( g T_ elptSone #((js? A?Q_ t(lJ0a? COL. 1 Telephone#( 14?a 1 j Sewer/Water Contractor /-?f-GKan1 I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. __ra rnm? ?.' Q r eU ~Qiyfyn??i' ?G Applicant's Printed Name -r Applicant's Signature OFFICE USE ONLY Sub Types ' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi A 03 01 of I plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types 31 New ? 35' Int Improvement ? 38 Demolish (Interior) ' ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? . 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 0Oli Occupancy R 13 MC/ES System - Census Code / o ?- Zoning Po City Water SAC Units G/ Stories Booster Pump Nbr. of Units 0/ Sq. Ft. PRV Nbr. of Bldgs 41 Length Y Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. _ Footings (addition) _ _ Plumbing t Foundation HVAC Drain Tile _ Other Roof 4 Ice & Water ? t F i Final Pool _ Ftgs _ Air/Gas Tests _ Final _? ram ng _ Siding Stucco Stone _ Fireplace - R.I. -Air Test -Final _ _ Windows (new/replacement) Insulation _ _ Retaining Wall ----------------------------------------------------- 3 j Base Fee /d ?7 5 Approved By Building Inspector Surcharge Plan Review - MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ( ).763 N MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Multifamily DATE: 5-21-2004 DATE OF PLANS: 01/02/03 PROJECT INFORMATION: 1ry?V Greyhawk End Units Da li Eagan, MN 7 us ?(1 f py? --P-a,LL COMPANY INFORMATION: MW Johnson Construction Inc. 17645 Juniper Path #100 Lakeville, MN 55044 COMPLIANCE: PASSES Required UA = 485 Your Home = 351 27.6% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------------------------- CEILINGS 980 ----------------- 44.0 0.0 ------------ ----- 26 WALLS: Wood Frame, 16" O.C. 2874 19.0 2.0 161 BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 464 10.0 0.0 74 GLAZING: Windows or Doors, Above Grade 139 0.480 67 DOORS 38 0.350 13 FLOORS: Over Unconditioned Space 290 30.0 0.0 10 HVAC EQUIPMENT: Furnace, 80.0 AFUE -------------------------------------------- COMPLIANCE STATEMENT: The proposed building ----------------- design described ------------- here is ----- consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet th it nts of the Minnesota Energy Code. Builder/Designer __ Date O S Y' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: ?Of5 5 to7 (jlOf(? r7i Cr aCe,/ Z-7e ffc?, DATE OF SURVEY: LATEST REVISION: ?Z-22-?? m m c A t U O z Q DOCUMENT STANDARDS ,R' ? ? • Registered Land Surveyor signature and company 'X 0 ? r • Building Permit Applicant tion l d L i ? •Jliie • p ega escr ? ? • Address ? ? • North arrow and scale ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) radient % ( See ?Qnr?ior9? e arrows with slo el a l d i i ti ? ? " 4 • • p g g ona ra n rec D sewer and water services & invert elevation C?°ts osedlexistin Pro 0 . g p 0? ? • Street name % ? ? • Driveway ? g ? • Lot Square Footage ? X ? • Lot Coverage ELEVATIONS Existin t3( ? ? • Sewer service (or Proposed) Z' ? ? • Property comers fir ? ? • Top of curb at the driveway and property line extensions ? & ? • Elevations of any existing adjacent homes X ? ? • Adequate footing depth of structures due to adjacent utility trenches ? ?9 ? • Waterways (pond, stream, etc.) Proposed ? ? • Garage floor IK ? ? • Basement floor ?W' ? ? • Lowest exposed elevation (walko indow 40 ? • Property comers '31( ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? X ? ? g ? DIMENSIONS ? ? ? ? ? ? Xr? 0 ,K ? • Easement line • NWL • HWL • Pond # designation • Emergency Overflow Elevation • Pond/Wetland buffer delineation r+vissi-?? -s44f 4lct77e-") • Lot lines/Bearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and sideyard setback of adjacent existing structures (r'e?j • Retaining wall requirements. 9 any Reviewed: G•IFORMS/Building Permit Application CERTIFICATE OF FOR M.W. JOHNS CONSTRUCT NOTE: ALL BUII.DING DIMENSIONS ARE SHOWN TO OUTSIDE OF FOUNDATION LOT 5 1768 TALON DRIVE LOT AREA- 5980 SQ.FT. SEWER SVC INV. PER PLAN= 923.: LOT 6 1764 TALON DRIVE LOT AREA= 3215 SQ.Fr. SEWER SVC INV. PER PLAN= 923.( LOT 7 1760 TALON DRIVE LOT AREA= 4686 SQ.FP. SEWER SRV INV. PER PLAN= 923.( PROPOSED GARAGE FLOOR ELEV. = 935.2 PROPOSED TOP OF FOUNDATION ,:,..... = 935.5 PROPOSED BASEMENT FLOOR ELEV. = 927.5 DENOTES PROPOSED DRAINAGE 0 DENOTES SERVICE LOCATION PROPERTY DESCRIPTION Q DENOTES WOOD HUB LOT S 5-7, BLOCK 4, GREYHAWK 2ND 000.0 DENOTES EXISTING ELEVATION ADDITION, CITY OF EAGAN, DAKOTA COUNTY, MINNESOTA. 000.0 DENOTES PROPOSED ELEVATION HUB=000.0 DENOTES HUB ELEVATION i--I-? DENOTES EXISTING WATER MAIN Bohlen Surveying & Engineering 31462 Follage Avenue 4735 123rd Street W. Northfield, MN 55057 Suite 200 Savage, MN 55378 Phone: (507) 645-7768 Phone: (952)095-9212 Fax: (507) 645.7799 1":(952)895-9259 I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. DATE: 12-04-03 X K d REVISED: 12-30-03 LE-ROY H. OHLEN, LAND SURVEYOR MINNESOTA LICENSE NO. 10795 M&1150-035 ? 2 l•x?5? /.?7 L t? r /?3G G3i.7/ re 1 rC 2 9C 1 8C 2 WEB C51 2.15 F] ORB 2-&4? ?- 1sa-1 ? r 2 3 4 5 8 7 e 9 10' 11 12 13 5.12 612 300 1,1 3008 W-3-5 5.12 1S3 1.63 3.5 3.6 3.6 6.12 1.5.3 1.5 1.8-0 1 S1 W-J3426 5.10 54Ne1-3 SEE TRUSS ID:CC. JD: 81242 FOR REPAIR INFO. PnN Lagt 1---? Std =256s: .4 45 9JLLL?-' 280 6 6 0 3, 1-9 2" i 1026- 14 75 1617 1156-0 18 - _ r 20 21 HkRY.Bt' Cl;kTINV FNAI'THLS PLAB. $PF TF1CAT109,OR REPORT LVAS PREPARLD By NE OR UNDER JAY DIRECT SUPERVISION . ANPTNA F 1 AMA '1.YR ISTERRD PRO. FESSIONAL ENO E L%. ELAUS OFTR STATE A. DATI: ISFRAT70Y NO-M41 1-600488-3610 CSI "UMEINDUS7RIES, INC. 26 LONEOAK CIRCLE PAUL, MINNESOTA 55121 TRUSPLUS 6.0 VER: T6.4.15 WARNINGRead all Dotes on this Hart,. w.ireawbmro ?.t?amr.rla== nn. N 4wi0mrawrwxMHaamrl?s WmbJfPAONn aiembrM,db amme{auemwa?r a,6Vr WNIt CUa.a woe nmmrt,m.n r.>e,W Hsrcmye.sm memibf btlba,/trazO1N W XdrYONUbK,NH CYmn WNbM IM,d n,1W9 Npee MlHNeyelAarly'a- altmeml•ntllBl m,Ymere CNwou,s W mNa,aNW aHxdmrse.rv W traNNS m WmmvmM6tlw fWMYa?W-:bElmtl 118 W 1. a TI%'17WM%20 A>I. G?b°?rtl per JNN D91M. Report 86iRpN4s eWOP1aw 1oaeANavawptiT aeuwnlpmlu and ohm a copy of It to the EFeM1ng CORW&CR77. . r? ye.nom+naN.a h a =vrau,a0 mamMUa lbimwn?ibe,vmW braamaxW mw.7 otrtnae .nPOn T.tlARa Q,.tmm9mLilN+rM. m.N iNH{aM,br ml>br TMtatnmmalYtlakP<fuN a 1v•N4tw+omNe.lsomW.a.4 umnua.I.v. yJry 61tai l:a WePKNNIIKI m Wr4mur awla W+ez?aw H6Wb.IrrnOY.Ytsu F W'a1111 D? rnv, sm ma, wr,mw. m auto n - O;r.LOAD FC?p1 PPGNDABS --- - LkJTL MVM 100.00 D.o0 100.00 25-60 0.60 BC Vert 10.00 PO 0 10.00 256-0 0.00 r1?1p?ee.. 1bs a.lsc LVrL I " 300.0 9-R.4 0.73 TCVM TC VM 300_0 10.212 0.73 O N 1? N H Sssl: M. IV. Johnson p0: Drim 24435).00005-00001 sent. 825 NLC= 2 Wr: 178a TCLive 40.ODPsf Durfacs L=1.00 P=1.00 TC Dead 10.00 ps1 Rep Mbr Snd 1.00 Rey Mbr Camp 1.00 BC Live 0.00 PSI Rep Mbr Tens 1.00 BC [Mad 500 Ind O.C.Spacing 2.0.0 Design Spec IRC -OTAL 55.00 psi DEFL RATIO: U360 TG L/361 C L D 1 Job Name: Gre hawk #6 3U Truss ID: BB JIM 81242 BRG XLOC REACT SIZE REP[D ' • TC 4e2 SPF C2 IMF 12E BE BC 4e2 SPF C21WFI +++++ era+a+*++++++++++ ®Fr+ROSr appIwhons(n4t maM1 Dab min. e NOTE: THE FOLLOWING REPAIR IS ttPICAL FOR 1.90 1 O? 1-12 1396 330 225.4-4 14093.50' 1.4! . Yrr11 4x2 SPF NI/a2,CAN strml.La3i bndPn?,ncrost Gtdgl'I (ps mrM at o Iii t'"rry l c P N FFP TRUSS ID'S: BB AND CC, JID: 81242. BRG REQUIREAIENIS shown aM baso 014LY .;he tn," nWIwLal at euh bwl•Ig PIT BLN 2.4 SPF 41/42CAN Plating i 'ANSI/TP1 - 1995 OMPOSITE RESULT OF 4 N + - U6*• F i a . . Ribbon blw hat not ben, deal WW on REPAIR?TRUSB MUST BE GANTILEVERE0 0-20 MAX DEFLECTION 17i n).' (L E 6 . E IA 1 M E C IS F1 THIS DESIG MULTIPLE LOAD CASES. support mepoinl bed(s) shown. ON THE RIGHT END. p L/383 III 3pp J r ??3 ?? ..pQ ES 1? R IRC/III[ WSZ PIata values are besatl rn M b EBC 1703 They may be athdlatl with (4)I0d nails. Lmds zt 7bcWSSmdsmuslbea{PRed ALL PLATES UNLESS OTHERWISE NOTED, : FORG GL MflABEA C I TC COMP.(DUR-y IENS.IDUIII CSI y teslir?and ?pprovalffiregmr andrIAVAPl slit are reported in atisabh directly an Ne CioM, MUST BE INTACT AND PRESSED IN THE 1V DPER7 I. 1.2 e M fi 5 17 f _ i 0-69 : nat Panty L" t, CSI Sid.2u 641 2AA wa l l3 2 13 2.14 e-l4 414 535 his 6.17 9:37 9.18 to-to 1-19 11,1 12-19 CSI 2-64 1 2 3 4 5 6 7 a 9 10 11 12 6-12 4-g W=3-6 48 S-12 T 1.sa 1.sa Ess 3s t.sa tas 1.3-3 110 1L 9-12 3-8 34 6.12 &.10 o-i-II ?B1 W=H3125 i-VU-8 N-3-12 B2 13 14 15 to17 16 to 'NfiR EBYCE1It17PVTRAT1RI9 PLAN,SPN- C PICATIO V,OR REPORT WAS PREPARED BV ALE OR UNDER M V' BIRECTSUPERVISIO\ AND THAT 1 AN A I.V STEREO PRO. FESM,XAL ENG L' IIELAWS OTT7 sTAT O TA. ?1RV ISTRAI'IUN X0.8613 CkdW b) Hsmw ana m Phase am am pa.abownaeHSnsda.aa aablP1BAa ge gb.xpemr.. BNA ShIttga PbIa sSidpLlem T Pidl,MabaWl laefie -1. ovarleP wRiinewps.EnxJUINbaaIPU e1 p!1610A CYtlad gemteetewq Nwbs wonee Fiamet*`cr edgrb e7 Y WAMINGReads(InOtes onfhlssheet andgiveacawofttfoLimEreangCorrft'actor. Cus1;M.W-Johnson (PH:$12464O61o m.e.?yilazn•auddwbmlwra,wLSa••wwyae+b°bs•"asd•"'P•°a?zlb"'P?^admbr's `°^P°'°e"ra'1..+? WO: Drive-P-74435_L00D05-100001 FAA61245r8556 wrwtlaaww,rw.wrm,nar@a•aTP1an1KPAa,rplWmda rb?pPaaeDays•rwwwab4mem"a•nlem•fi Plnaarr Nam: 825 NLC= 2 VLT: 11 f8M4B9.361P a•1•a••^wabPW=an°'°s°'a'ulmmnww°'41sw°aa"r M°maemamn m.eiwuea Q mr.mm.uulsww TO Live 40,00 ps! Durflacs L=IOO P=1.00 um.ean naa•yarraw.aaASminrPr•aM•s.bell•Aeraawaaa.c•4a+arrwPwua. rza a.?nmurwwuA aroem,d bbwabw•e•e4r•aealrKaaMbYaaruasealwn meNxhOw•Nr.a^1M•Ntl•laYKrmrlvhl4tWF•Ilcns4. va?•s?.'W TC Dead ]O.OD sl Rap Mbr Hnd 1.15 mme arsvw dnrnPwsw•r.ww•amuv.+?snne.wya,wawunvaMn uaaww .aaPr rab.pwx•m p Rep Mbr Comp 1.00 IDUSTRIES, INC. "N3°wn"atlI"`R'?? a? ??iR? ??? ?PAw,•.,wax,:wa HC Live O.DO psl Rep Mbr Tens 1.00 CCIRCLE rermmawsn.mvmnwwsn m•Am..a?d+a:oA..naomrep.uowwe'...nB...?Anm rnral.•IS+r. IESOTA 55121 wlwm r, wrar-vr arnouu?da+msA?sma aaryaasPw.a wa ausnnooourau?raKVVlKa+runou. BC DPad 5.01) psf O.C.SpS ec IRG leesl wpw4eoa sueux+rsaalsywrunnni. manmaesl.lmmta lmpeurtmasreouema rnw.ammn DL TIO:L/3607C:L 6.0VER:T6.4.15 >mw'a<+53}1A11xA^xa?Faaetlv,G%iaras^6nMLAPPr?lelmlma1La111MelsAMN.SSanGW'?aWlm.pGaa>04 TOTAL 55.00psf DEFEFLRATIOIHC 08126/2014 06:51 Les Jones Roofing,Inc. �AX�528817009 P.006l006 Use BLUE or BLACK ink � Forofilceuse-----�`r—i ' �1 j Permlt#: `�����j C��� O�L���li � S ci j ; Pertnil Fee:�1__._ � 3830 Pllot Knob Road Eagan MN 66122 j Dete Recelved: j Phone:(661)67K-5676 I 1 Fex:(651)675-5684 I StaR: I I I �--------,...._----—� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Dafe: �Y �.7,�/�f s�c�aaaress: l'1 b0- �'''1�o y-I�74�� Tk.�t� 7�-�� Unit#: .��� ,��� ::� �': '� ,,;�;'``�,';`:;:;��� !`��� Name: J�a P,LvPE,�Ty G�i2C Phone: G,SI- 5S�1- �19�f� '`�;�Re`.s�:i��pt1;�,1' � ;" ,,� T .n�f^: . Address I City/Zlp: PO C3l'�k �t zS /NliE� �s�oG� h�£iL�v't75, /�'lN ���� '�;:..:`=:.:;fj ,,:,, ;:. �y!>.;;,�.�<<.;.; `�; � ;' :,��,� ,-, -,. >;,:�,�.:, �� ';,';�; '�"'-;;��'��;;',;`��� Applicant is: Owner X C011t1'BCtQf ,;-�:.�::;;c .;�,;,.,;-:; ., . � 1'tiT�l�7�'t7�Wo�'�( Descrlption of work:�.�1[�...�Al� �cAC.� S�D[91��r—l.�fr SiAE oP E�LQ�"r- �u(�V.��.a_. �: :: �:..i;,-�. .�-G;:�.,;11;;�. "�� � ���•� `'�` `��';;:.�;' Constructlon Cost: ��rQ�77��'� Multi-Family�uilding;(Yes /No�) ��;; -���'� '/ �';; Company;���U�lES ��',��Ill,�a� I NL Contacr CWQ�S f+NOE�So►J ,:<.;;i:;� ;>;. a :. ;.:���:i`,'ii,.�'.iV',;.i��°�,•;,� �;r Q .,, ; .I.^I .�,���.�,,. ,�. ':`,A'".,', , ,;,: ','''�?` Addrese: I� I �D'�9 SME£'r City: �tcUM t NLrTDIJ r'r;'`;,Co,i��ra�`f�`r;- _ �'I:�:.i u. �1:. . .l.:l�: "il�••�' "�.�"''' <<�' ` .,;:`;,::':� scece:,�zip: �` 2� Phone:�I_Sa 7�07-�8J7_ Email: Ghr�gL1. �!Ie�s►nne5 I'ri���. �on� :� �� �'',; yU ')2— ,,, Ucense#: ��.�(00 Lead Certlflcate#; /1/�FT ,� / If the project Is exempt from lead certificatton, pleese explaln why: (see Page 3 for additional information) COMpLE7E THIS AREA ONI.Y IF C�NSTRUCTING A NEW BUIL.DING In the last 12 months�has fhe Clty of Eagan Issued a permlt fo�a slmllar plan based on a master plan? _Yes _No If yes,date and address of master plan: Llcensed plumber; Phone: Mechanfcal Contractor: Phone: Sewer 8 Water Contractor: Phone: '�'`9 :-,.' a ����a" :s �°y(�-{' `� .6 �':ti��� 'aiu'-sut�mi�:a' "-�oi�s'1 -�..�`o'' .e;'•' k. "�iN�'ir/°���► on;,.??b„r' "'. '';.' .�!. ,�. .,��.�.,,,, n� �'p'R�. „�,��... ,,.� ,.:��� ;�.. .�, �° ., ,�?. '�. i9:,._ ��,,,."��►,....,:,.��,< /{<,4��:''.f::,;; �1, •�( Y,� .1.�.<. �T;= 1� - ... :� ,� ...�.::./ ���.•�•';� Y.'ni � .1}� 'y ;� 1.„f 4,1.. :A .I ��., ';1'A!:� �1: F. !�e �i 1 >.: e �a �t 0. � �c�',1'.i..��'�.c.�.�.. 11�. i�:...,. �....�.fi.b`� 4�',.�: �S�. N Y. ��c�;r;�:� �.?l.�' �t�0i1%1i'1 �C►�� '� �':;. Q„ d��i�`:�F��' � � j� �if1�';r+��'sbn Tth.�t� o�ldr e�'iiil.� .,'.,,.1�,.;.�=;., ,�.,�,:�,� �. , �Y�tR, �'��,t�� .,n„!��p �� Y{��{t���V. ���;!'� �;. .!;�.. �, t!fl'7�� � t,:�� •�, Z i.. t� r.t� .rp � sy R C ti�.i.�. �n w .y S_A�l,a,dh��w!•�U �j. Z Y�;�' ,Y i � p �i;n at �.�.. ��, .,, . , , �1, u ♦ rY�. . �,.,, +."•K ,iro....i�:! i,r '�' ��,�M �ck�,�l �I�tE7� re?fi'aale-�s�"oi,;e�.b i,.� 4�. ;�c�,+'� �?�,� � �� .� .i'i, � ..r �9. � �� .G yd', ?Y:...c', CA�.L BE�OR�YOU DIG. Cell Gopher St�te One Call al(861)4640002 for prolectlon agalnat underground utilily damege. Call A8 houro befOro y0u Intend to dlg to recelve locates of undotground utllltlee. 1 hereby acknowledge that lhls Infortnallon Is complete end eCCUr9te;lhal lhe work wlll be In Con(omt9nCe wllh the ordlnenCee end codes of the Clty ot �apfln;t�at I underslend thls Is not a permlt, but only an appllCatlon tor e pertnit, and work le not to start wtthoul a perntlt; Ihdt the work uAll be In eccordence wllh the epproved plan In the ceae ot work whlch requtres a revlaw and approvel of plens. �xtertor work sulhortzad by a bullding pormlt(asuad In accordance wlth tho Mlnnosota State Bullding Gode muet be completod wlthln 180 day9 of permlt Iscuance. x G�.�ls f�iYD�yr:�'O/Y x � AppOcant'a Prinied Name Appllcant's Slgnature Page 1 of 3 Date: City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Once Use Permit: /��� Permit Fee: f,2Q ``CLJ Date Received: Staff t- 2016 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION C I Ile Site Address: i'1 k e TZLi ''V(_ Tenant: Suite 6: Name: U e,a,o O"1' 'r Phone: Address ! City / Zip: I P1 Tat Q TfrAit Name: 0.,r0 -44,C i�t#2J ResidentlOwner Contractor Type of Work Permit Type Address- 3440 N o -e m'it't ve tvtfV 551 License # (12 1-i q q '7 W G city: 1-4-1.0-10104ri State: YY 1 zip: 5Lf(4 to Phone: ri t 5- ? t •-8� 66 7 Contact 3- i M Email: 0,1(114 - - d _ / l" /;' a-th . Yid - New ' Replacement _ Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL - Water Heater - Lawn irrigation ( RPZ / Septic System New Abandonment JAusittil vvcae4 h PVB) 1 Water Softener Add Pkirnbing Fixtures ( Main /_ Lower Level) Water Turnaround 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* (indudes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (indudes County fee and State Surcharge) TOTAL FEES $ !,l 6 CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. CaN 48 hours before you intend to dg to receive lodes of under nd utilities. 1 hereby aclolowleidge that this information is complete and acaaate; that the work wit be kn conformance whin the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a penult, and work is not to start without a per 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 ' M 6C-1406e,R. x ScbeA l Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149167 Date Issued:05/09/2018 Permit Category:ePermit Site Address: 1768 Talon Tr Lot:5 Block: 04 Addition: Greyhawk 2nd PID:10-30976-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Amarjit S Brar 1768 Talon Tr Eagan MN 55122 (651) 410-7476 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature