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4333 Teal Cove CITY aF EAGAN WqTER SERVICE pEMR 3830 Pilot lLriob Road P. O. Box 21199 PFRMIT NO.: , Esgan, MN 55121 DATE: Zonirq: No. of Unih: Z Ownor: . teph-aa !Tome . Addreu: te Add1Y3i: 'i _.ea.l C'.ave rr I : Pfumber ',°~=,-~I ~~k IIT . echar, AMter No.: 3 6 7 SSo S s+~: Ro~~r a,~.g,: sao. o0pa rte:14. r~.: i~v 6 s I ~,ir: 15. 4) on~} ~ ~ wMl~ ~ . 1~' 0Op~f R QUIRED WL9epyM. , SF, so~~ ~ Total: By - Dote Potd: 0'ata of Insp.: tndp" ' CITY OF EAGAN WqJER SERVICE pEMT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagsn, MN 5D121 DATE: ZonrnO. • O} UflirS: ~ vw/RI: Addmw Site ^Wrom plurnber MeMr No.: Size: Conr?ection Chmge; Reod~r No.: ^Oro"^+ ~Pos~t: ' PermiT Fee: I nm to Newpip wm dw city Of O~~eM. yil~m Surs~wrpe' /YUsc. Chorpes; By Tofol: Date of I ~ ~id: ntp.: IMp.: CITY OF EAGAN 3830 Pilot Knob Rosd SWER SERVICE PERMT P. O. Box 21199 PER/NIT NO.: Esgsn. MN 5G721 DATE: Owrer.. No. of Unih: i Addresx Stte Addrese 4333 Plurnbur. .•'ert ~ ~ ~ 'c 4 ~ . - , I 1 ym te amNf N4U tb ph, M yN, ! Orliw~~en. Conr»c.tron Q,orp.: C` ^OODw* Deaoslt: ~ Pormk Fee: } By 5++?d+oroe: ~ Misc. Qqros; Dote of Inup.: Totol: (nsp.: Coh Pold: CITY OF EAGAN i ~ ~ ~ 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , BUILDING PERMIT Receipt # ~ 7o be used far EF U1r'G/Gr3R Est. value ; 1211000 Date r F=Bi'UARY 4 19 Site Adelress 4333 T.F.1'iL ;Z:QVL Erect DY Occupancy R3 Lot4Block Sec/Sub. j~XLLAitLI PK 312L Remodel ? Zoning n I Parcel No. Repair ? Type ot Const v Addition ? No. Stories L'iE.P• A- Move ? Length 46 Name 't-i-t~:~ 1i0: _~:S = 1434U ? ILC~.T i<t10B R~ Demolish 0 Depth d; o Address _ Inl Impr. ? Sq. Ft City • V. Phone Install ? =o Name E, A•F 'li, Approvals Fees vQ Address Assessment Permit Ciry Phone Water & Sew. Surcharge -5( Police Plan Review ~ F W Name Fire ' SAC ~.ij{ Address Eng. Water Conn. .`i ~ W _ City Phone Planner Water Meter ~ Council Road Unit • I hereby acknowledge that I have read this application and state that the Bldg. Off. 1/27/t' S Tr. PI. y-~ ~ iniormation is correct and agree to comply with qll applicable State of Minnesota Statutes and City of fi~gan Ordinances. APC Parks Var. Date Copies Signature of Permittes Total ~ j7 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 OHicial ~ ' - - Pormil No. PO?mit MoMW Oats TNephom # Plumbiny 9 M.V.A.C. 62- I6 a Eleebic SOMMK Inspectfon Dah Insp. Commwts Foouny. I `3c I%k Foptlnys It FoundaUon Framing / A 2 HoaMy Rouyh Plbp. 3 r RoupA Htp. .~l Imul. Firsplaee jl~/ FMN Hty. Flnal Plbp• - Bldq. Final Cort. OCC. Dack Fty. Deck Frmp. Wdl Pr. Disp. , . , PERMIT # ~a y S CITY OF EIkGAN FEE V Sp PLUMBING PERMIT • siC RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL °~s DAT~ ~ MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res X Comm Inst 2. New ~ Add Alter Repair 3. Total jBid Price 4. Job Address '113 -3-~ 7"«/ ~-ve J ~I Lot Block Sec I) - 5. Owner 6. Contractor ~liii; 4, ! //1 ~~:/i 3~ uv /itL.lc• 3..2- (Nam~) (Sueeq (City) R?pl 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES ~ Water Closet - $3.00 ~ Laundry Tray - $3.00 -Well - $10.00 ~Bath Tubs - $3.00 ~ Floor Drains - $1.50 -Private Disp Syst - $10.00 -3 Lavatory - $3.00 ~ Water Heater - $1.50 -Rough Openings w/o ~ Shower - $3.00 -Whirlpool - $3.00 Fixtures - $1.50 ~Kitchen Sink - $3.00 ! Gas Piping Outlets - $1.50 -UrinallBidet - $3.00 -Softener - $5.00 - COMM.IIND. RATE -1% OF TOTAL BID PRICE PLUS $.50 STATE 3URCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. Rfaipt MECHANICAL PERMIT PHmit No. . ' " CITY OF EAGAN . • FN Frll rn numberad r~aces S/C Type or Prrrrt /egib/y ToL • . 1. Date 2. Installation Cost 3. Job Addrsss :"i 3•_~:,1 ,,-.~-<=r Lot Blk. ' Tract 4. Owner 5. Contractor Phone S. Addrau 1075 7. City F~ca~~ raiY. Stata ' _ - Zip 1 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New C3 Add ? Alter ? Repair O 10. Desaibe . Fuet Type 11. No. EQuinment 8TU - M. Ea. No. Equipment CFM Forced Air t y? s'~~~(' . ~ y Air Handling: Mfg. Boilers y Mech. Exhaust Mtg. Y , Unit Hester ' Mfg. Other Air Cond. Mfg, Gas. P'iping Outlets '-12. I hereby certify that the above informatian is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. ~ Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 ~ INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: ~14 3830 Pilot Knob Road Permit Number. :Q 411 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ` ~ M ' ~ ~ • ~ 'l' " " APPLICANT: 1 U i; q!, it! ~Fl k t:. 1! A) f f1V1' ! I;~ 1 r~~; ~ nl~ tJ! i~ 1 N f {~lirl i r.I~~~ ~•;1i:r ~ li i i.~,;_ PERMIT SUBTYPE: TYPE OF WQRK: INSPECTION ON TYPE D• I +~Illil-i I IV • : PJr;I ~ ~ ~ Permit No. Permtt Holder Date Tele{rhone It ELECTRIC PLUMBING HVAC InspecNon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPiACE -0 -f 6 ,/yj~q ' ~a•.Q .yo FIREPLACE /f K AIF TEST FINAL PLBG FINAL HT(3 ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DEClC FTG DECK FINAL This re<ryest void 5% ) "'~rJ~ 18 irunths trom 0 -074166 Renuest ~ate Fire No. Nou~h-inInsper,lion ~ flequ~reA? (:]Ready Nuw CgWill Inspec- 1 1ves ?No mr When REadY [gLicensed Elecvical ConVactor I hereby reauest inspecfion oi above ? Owner eleclrical work installed nt Srteei Atldress, eox or Foute No. . Ciry 41333 7z~/ ectmn o. Township Namr: or No. Rangc No. Coumy Or.cuu~ant IPpWTl Phone No. Power Su Address ~ Ker Ele~y cal Contractor (Co pany Nemel Conuacmr's I.icense No. /"e <,/t.i n•. ~~e c fia: c C~ Q ~ f ` Mailinp Address (Contractor or Owner Making Instailationl 33r ~ A) e 'Ot i ~1~ AuNorized $igna[ure (COnhactor/ wner Making Installation) Phone N mber Z -s% z MINNESOTA STATE BOAPD OF ELECTflICITY THIS INSPECTION HEQIJEST WIIL NOT Gri09s-Midwey Bldg. - Poom N-197 ' BE ACCEPTEO BV THE STATE BOARD 1821 Universitv p.ve., St. Peul. MN 55104 . UNLESS PqOPER INSPECTION FEE IS Phone 1612) 297-2111 ENCIOSED. _X ~ REQUEST FOR EIECTRiCAL INSPECTION ,r- Ee-ooooi.oa u: ' Sae inslructions for com0leting this torm on back of yellow coOY. `.c ~ "X" Below Work Cavered by This Reqirest • 5~~9 G J HAJ e. Type of BuiltlinB APpliancea Wiretl Equipment Wired Home Runge Temporary Service Duplex W2ter Healer Liyhting Fixtures Apt. BuilAing Dryer Electric Heatin Commercial 81dy. Fumace Si!o Unloader Industrial BIAg. Air Conditioner Buik Milk Tank Farm Oth«er paei v n;ncr (suecity) t er Suec,fy Other Other ompute lnspectlan Fee Below N Fee ServiceEntrence5iza p Fee Feeders/SUh(eeders b Fee Circuits 0 to 200 Am s- 0 to 30 qm ps ' D . no 0 tn 30 Am s Above 200 Amps31 to 100 Amps e 31 to 700 Am s Swimming Pool Atwve 100_Am s Above 100_Am s Transtormers Irrigation Booms .`0 Partial-'Other Fee Signs Special Inspection $ -y~ flemarks ~pv~!`. TOiAL F ~ Rovgh-in I,ns the Electncal Ipectoq he~eby certliv thet tha above Final Dale inspection has been ~ae. ,rhia request voiG 18 montha imm ' CASH RECEIPT CITY OF EAGAN ~ ~ P. o. eox 21-199 EAGAN, NNESOTA 55121 D ti~ DA E ~ 19 aecervcn PROM r% I AMOUNT $ ~ ~ h DOLLARS ~ CASH CK , L r Z _)h / POR / ~L3 33 GUND . COOE PIAOUNT 5C G['~ /d ~:I('J D G~ vi ~ Thank You BV / N_ 59522 White-Payers Copy Vellaw-POSting CoPY Pink-File Cqpy cmr oF eaGnN N o 11499 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 ~ BUILDING PERMIT PHONE: 454-8100 S`1572 Receipt N 7obeusedlor SF DWG/GAR Est.Value $121.000 Date FEBRUARY4 19 86 SiteAddress 4333 TEAL COVE Erect C* Occupancy R3 L oc 45 Block 2 Sec/Sub. MALLARD PK 3RD Remodel ? Zoning Rl Parcel No. Repair ? Type oi Const. V Addition ? Na. Stories 46 W Name STEPH-AN HOMES Move ? Length = 14340 PILOT KNOB RD Demolish ? Depth 47 o Address InL Impr. ? Sq. Ft. city A.V. phone 423-3323 Instau ? -x S~yE APProvah Fees . o Name $a address Assessment Permit $ 485.51 m Ciry Phone Water & Sew. Surcharge 60 . 51 ~a Police Plan Review 242 • 7'. ~W Name Fire SAC 575.01 s Address .5~~.~1 ~ u Eng. Water Conn. i W Ciry Phone Planner Water Meter 63.51 Council RoadUnit 290-01 Iherebyacknowledgethj adthisapplicationandstatethatthe gldg.Off. 1/27/86 Tr. PI. 156.01 inlormation is correct anmply ' II applicable State ot , Minnesota Statutes and an rd" c s. APC Pa rkS ~ Signature of PermiHee Q~-------- Val. Date Copies- Total $2,373:2E AaBuilding Permit is issued to: STEPH-A L-Fl MES on the express condition that all work shall be done in accordance with all appli le State of 'nneso Statutes and Ciry of Eagan Ordinances. Builtling OHicial . . . . . . . . . ~55 . . . CITY OF EAGAN Remarks nadicion Mallard Park Third Addition Lot 45 Bik 2 Parcel #10 47252 450 02 owner sveet 4333 Teal Cove State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. IIR . I981 2698.43 539.69 5 STREET RESTOR. GRADING SAN SEW TRUNK 49 *SEWERLATERAL 1981 3412.34 682.47 S 682.50 A014788 10-25-84 WATERMAIN ~ WATER LATERAL 1981 WATER AREA ~1 STORM SEW TRK 1981 467.74 93.55 S 93.58 A014788 10-25-84 STORMSEW LAT 19$1 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 90. WATER CONN. . OO BUILDING PER. 11499 SAC 575.00 PARK ~~~/Cl '30-sD 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 7 ! ;2 -7 / z:~:7 Site Street Address 41333 eo ?,c Unit SF Property Owner 66fG 14 vl e G`? Si' Telephone #(~S/~ ~Sy~l~i ~7 Contractor L4 ~~t P ! ~ u Telephone # ~IA Zip SSyZ6 Address / 7J ^S S/o n X A2 City gl6 n State jm_ The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5!8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional. _X Lawn Irrigation System RPZ_ new _ repair _rebuiid $ 30.00 State 5urcharge $ .50 Totai g 3D, 50 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 pennit, 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. f f-'fl" ~~'i'/ / AA ~ ~T Appiicant's Printed Name Appli n ignature JUL 2 S 2004 ~ By PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERAAIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumber: 028007 (612) 681-4675 Date Issued: 0 6/ 2 0/ 9 6 SITE ADDRESS: 4333 7EAL COVE I.OTa 45 BLdCK: 2 MALLflRD PARK 3RD P.I.N.: 10-47252-450-02 DESCRIPTION: (sfls) ~4i1;0in`Permit Type FSREPLACE U 7.,1dlYt4 Mark 7ype NEW ~ 434 AL7. RESIDEN7IAL ~ ` 4. 2ip yy ~,ry. Y N a~° y i^~' e ~~•~''q:F ~ 'I~ w~ ~ ~ ~-~t 3~ REMARKS: . FEE SUMMARY: Base Fee $25.00 - Swrcharge $.50 Total Fee $25.50 CONTRACTOR: _ appiicent - sr. Lxc.OWNER: FIRESIDE CORNER INC 16331042 0001068 GUSE CHARLES 2700 N FAIRVSEW AVE 4333 TEAL COVE ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)454-1827 X h e rehy nui~l~°dje .,thst 't h'aus rsad tihia" ApAlicatian, aOd statte that °'the ~ti~ct and 'agree to campl'y wi~h a21 apo~,icala1e 5tAte o_~` Mr+., - i~t-attsTps an'd ty ref ~'Ea44n Q~~d3 nancest:, ~ _ .~aun P,iA- PERMITEE SIGNATURE ISSUED BY~IGN URE ~ ~ CITY OF EAGAN if ont 3830 PILOT KNOB RD - 55722 7996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: INSTALL MIb( FIREPLACE: _ WOOD BURNING ~C GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GA5 LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: `,L2'1l STREET ADDRESS: 433 3 T~p L- C pV g- LOT J§ BLOCK ~ SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: ~ us C ~HA /L'Ad(0i2°A) phone 4~~4 Jlg z7 OWNER '^°T fl"T Signature: Street Address-33 Ciry: Q~ GA~ State: Zip: ~sl 2 Z 8po-o7~'8 FIREPLACE Company: A Phone INSTALLER Signature l668 Str ddress:-3gv`^'2~ -W!`~//Y ' /?a License Cityg6ftLI-fs V lt-k-Z- 5tate: ~C N Zip• ~3 GAS LINE Company: Phane INSTALLER ' Name: Signature: milill ~t/t Street Addre City: State: Zip: ~ ~a ° OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE 0 31 New o 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 5AC Code REMARKS: Chimneyfflue must be inspected before conceating. FEES Permit Fee Surcharge Other Copies TotaL• ~ ~ 1985 BUILDING P RHIT A LZCATION - CITY OF EAGAN NOTE: ALL CONIRACTOBS MUSS BE LICENSm UITH THE CITY OF EAG9N INCLUDE 2 SETS OF PLANS_ ~ 3 CERTIFICATES OF SURVEY ' 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation• --~4f~~ Date: Site Address: ~ ~ C4tt-,- (20FF-ICE, U~SE ONLY r.ot: Biook ~ Sect/Sub J,//~/ e S~ Occupancy R•3 Remodel Zoning 1 Parcel U ~ Repair _ Type oP Const Enlarge 0 of Stories Owner Move _ Length 4{ Demolish Depth 4-7 Address Grade _ Sq Ft City/Zip Code Contractor APPROVALS Address Assessments Permit Water/Sewer Surcharge L,o City/Zip Code _,~Gy~cP police Plan Review ~S , Fire SAC Z 2. Phone Engr Water Conn SL-C% Planner Water Meter ~3. $D Arch./Engr Council Road Unit 29c~. Bldg Off~-2o.Gf Parks Address APC .-yTreatment Pl l5(0, Variance Phone $ MTA. a3 7 3'.O.s..' ~ ~ 3o x X Sv - 45Z~c~ 22_ x 2`3 ^Scxo x~ 2 - ~ 01 2. Z~Z4- (20~3Z V' ~ ~a ~o- - - a~~` N ~ S~• A1 sG o 4Z• ~ ' 9 W \ ~ ,Q '28 G. ' 0 tv l v*~ \ 5 'M N I ~ ^D I F' ryJ~O.p .,~v. 3 7 / 30A~ 9go.5 j' og"•a ~~o ~°u °;E / EwST .S3 S l ~ N' S~~y~ '1V~' p^ = \ - .u ~ • ~ 71C LLB ~ 2 O N . - - - ~ , ~ 61j3 ot a=3o~ 0 . °z s.o N - 1-E 4s= o~/r 2-~-26 R 4~ ~ cx~s~ °3,~.s E A t~ R Vi ? a DF~sGRtPTtON ' , LoT 45 j ESLOCK. 2, I~IORTEt MALLARD PARY_ SG41.6 1"= 30' THtR.D A001T1oAI ~ AI_L BEA2l044S A66t1N1Eo CA(.oTA? GoUKTY+ e pENGTES IeoW M01lOMENT Mt " w1ESoTA 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 D?innesota. Date:J1I14tr~ zz,ipd4 Le oy I~f ' Bohlen Registered Land Surveyor No, 10795 1 ~`a- ~ ; ~ ~~b? ~i~i~ . S~s Q'~ ; `~1? , 25.50 N`8: ' V '2~ ro4b tv, V • ~ ~ T~ ryJ ~ ~ s~9 I pi~ I ~ ~ 23• 5E F~ ` A 6wsT,g31 a \ / ? ~ 1 '-T~-;. o ~s ~l ,3o,~ TOP 92 g.o g •~p~G~ \ l,h~q~ / T f 9s~ o~,.~ ~ C . /3 4, N F,.4 93~ , 5 . ~ a T • t y °R DESG~tPTIDN . L.oT 45 i R~iLOC.K. 2, udoR'tH . MAIA.ARC PAW~. SGAt.Q 1= 3a . T411iLD A001TlOtJ ~ ALL BEAtLtNl.f MWMEP OAtLoTA Go:tst?1T`fI e pENpTft Ie" MONLIMENT M1 u w~ESoTA . - 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:J.„v.. zZ i pfG ~~~.-/r,r Z~ IeRoy ~rr Bohlen Registered I,and Surveyor No. 10795 . ~4\ EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ouNER SITE AOORESS CONTRACTOR 57~Aqit/ k{p,ev-r DATE PNONE427 •3?z2. Deteimine working square footage of each. i. Total exposed wa11 area .,...,7Z sq, ft. x .11 Q 272.3~ 2, iota 1 raof/cei 1 i ng area /ftrp_ oD _ sq. ft, z ,w • o A Total ezpoied a;all area above floor •~3:(~,(,y~ a. Total wail window area LZ/.I 7 b. Total door area c, Total siiding ylass door area f~a O4 d. Totat fireplace wall area........................ e, Total watl framiny urea (average 10%),,.,,.,.,.,, z 4 7•i7 f, Total net wall area above floor ts q7 .o4 g. Total rim joist area igiq p Totat esposed foundation a~~a = !o g~ h. ioCai foundation uinciow area i. Toai net foundation area above gi'i?!ap [94:z~ Determine "U" value of each ::01 segment. a..~?_L•~Z__-__-- X " U,t _•3 4' 7J~~4 b. -I X nUu ~t?_ p'-// C._ 000-O 4- ~ X ~~U" . ~ ° Q4.02 d. I XflU l, L- - . e. 247- 5'7 X "U° .09 = "Z2-28 f. ! S19 /7. 6 4 X"U" p1L ' G 3 AR 2_4 0_ X"U° oa 7-Z9 h. X "U° • 53~ = Z-S~ i, I i9q. 29 z"U" 4 '7 • 4 9.0/ 3 z~73 .'"7'L....,.....Total • 2G'L•Zt If item f3 15 the sam2 as, or less than item it, you have met the fntent of SBC 6006(C)2. . . . ~ . f 'otal exposed roof/ceilinq area = t$q$ OU j. Total skyliqht area................•••,•••••,•., k. iotai roof/ceiling framing area (average 10%),.. 1. Total net insulateG roof/ceiling area........... ! 9,u A-oo._ Determine "U" value for each roof/cetling segment. j' - K ,.ul. . k. z "U" • 1. 1 Q~8 Du X„U„ - 2G • 480.48 4 M. S,al;) ......,.,,,Total IF total of 94-is the same as, or less than 12, you have met the intent of SBC 6006(c)l. Alternate Buildin9 Envelope Design To utilize the total envelope system method, tne values established by the sum of items 93 and #4 shall not be qreater than the sum of item5 !1 and 12. a, z7Z•3z 2. a gL>. a~ = 6 3. "LGZ•Zt + a. 74z.70 WEPJA CO. PLAN SERVICE , ED ANDERSON APCHITECTUR4L OESIGNING ANO PLANNING 5397 Upper 147th Street Apple VaIIGy, MinneSOta ReSiCence: Oifice: 423-5658 423-3775 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT 651-~046RD - 55122 ~ , 9 C 1 ~ New ConsWClion Reouiremenls RemodeVReoair Reauirements ? 3 registered site surveys showing sq. ft o)l04 sq. ft o/house ? 2 copies of plan and a11 roofed areas (20% maximum lot coveraae allowed) ? 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes: poured fnd. design; etc.) ? 1 site survey for e#erior additlons 8 decks ? 1 set of energy plalations ? 3 capies of uee preservation plan if lot platted after 717/93 DATE: 7-I CONSTRUCTION COST: bbD DESCRIPTION OF WORK: ~Pny- ltYi' ftYl6 fQ, Y-" - STREET ADDRESS: 3 eG LOT: OCK: SUBD./P.I.D. o""^- Name: 6V ~QJ CrQ. V- ~ ~S____ Phone R: ~ 5q" )!)a~ PROPERTY L~t Fimt OWNER O"~ v Sttee[ Address _O~~ ~ City ~LO`-_ ~o`' State: Zip: '7~ Company:_~ C~,~~' Phone N: ' PtQ ~ Z] COYTRACCOR q n ~ S[reet Address _L~Q~y License # _Cl L3 9 Exp. ~ City State: Zip' ARCHITECT/ ENGINEER . Company:__ Phone Name:---------------------- RegisuaUOn i1: Stree[ Address:-------- City State: Zip: Sewer & water licensed plumber (reauired for new construction oniv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that 1 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: EZIA y OFFICE USE ONLY ~~1,(1 , ~/7 f? Certificates of Survey Received _ Yes _ No D, I ~ Tree Preservation Plan Received Yes No Not Required JJN 16 1999 1 - - - i . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) W 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 03 1 of _ plex ? 08 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex O 14 Apartments ? 19 Lower Level -E;P 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. 0 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ~ 42 Reroof 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 Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SJW Permit SIW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC i 2/84 . II ' . }r • % CITY OP EAGAN APPLICATION FOR PERMIT SEiVER AND/OR WATER CONNECTION Z/.33--,,) (PLEASE PRIHT) 1) PROPERTY ADDRESS : 15~--373 r FrAr• DESCRI°'PION: _`/S z A rA (LAt/Slock/Sulxlivision or Tax Parcel I.D. Nwnber) ir STRL'CPRE, DaTE OF ORIGii1AL 'r_.iiILDL'dG P:;~?.-ST ZSSU'AING°.: u5:: E~ R-1 SINIGLE rPMSLY ? R-2 DUPLEX (TTriO Wi ITS) ? R-3 ZOWI,II-IOiJSE (THRE" + UNITS) ( UNZTS) ? R-n pPnR?nE~*n/CCNE:~,-`^,L~ILn4 ( UNZTSi Q CON!MEE2CIAL/1E7AII,/OFFICE ? LMUSTRSAL II 1NSTITUTIONAL/GOVERNMENT z) AppLSG~N'I+ (PLEASE PRINT) ADDRESS: CITY, STA'PE, ZI2: /~~y2/z ~ii; //'~i .7 PHO'NE: 3) piu,,sER PLEASE PRIHT) FOR CITY USE ONLY ~titE: . ~tE@tha~Pdl6~k6 pLUN8ER5 LICE45E: ADDRE55: ~uNFpEC DRIVE EAGAN, MINN. 55122 = q52•1565 Active CITY, STATE, ZIP: Q Expired t 0 Not of Hecord PHOiVE: PLIIMBER LICENSE /f 001445M2 arr- nitia 4) (PLEASEPRINi) NRME: / ADDRESS: ~Si~riszY: CITY, STATE, ZIP: PEK}:IE: 5) INDICA'Pr- W[-IICH PEP.hLIT IS BEIIVG REQUESTED: P CONi1ECPION 'Ib CITY SET^7EF2 ~ CONNECfION TO CITY WATER ? 0'THEft (PLEASE DESCRIBE) 6) LVDZ= O`E: ? PL,EASE f?OLD APPROVEp pEF2MIT FOR PICiC-UP BY ONE OF ABC7VE ~ PI.E?,SE DfAIL APPROVED PEFL%LIT M 1, 2, 4 P,HC7VE (Circle one) .7) SIC'a'?L''RE: DATE: ~ R~l:a~il~-.ls # ta ~el~:.~:ar.~ ~1 aa /s w:sa=iil~ as aaf ~.~f ir~w~awia ir a i~t uY ~r.aa:~,- f~ a~ af ijys~sssm F O R C I T Y U S E O N L Y PERMIT ' ISSUED Fz~..i`S: $ t" S~ n nEn~irm T`1C:.i:D- SL.~ ~ O- .~70 cp,.E. _(o .CH?R.r,_") $ WATER PERP4IT (IIQCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READEP. $ WATER TAP (INCiUDE CORPORATICN STCP) $ SEWER ':an $ ACCOUNT DEPOSIT - SEWER $ /S " ACCOUNT DEPOSIT - WATER $ O c?-z~ WP.C SAC $ TRUA7K SVATEP. ASSFSSME;IT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE4dER $ /3Z . OZ/Lf 7' LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AP40UNT PAID/RECEIPT # DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" M[lST BE ZSSUED SY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TL'vN_ SUIIJECT TO TIiE FOLLO?9ING CONDITZONS: APP40VED BY: i, -t.°7~-E- ~~d ~•~-e-c~ TITLE: DATE: ~~:s~ rcfr ~a ~ i~ wtl+ it ~ Me 1U?w !R-+ wp wwi! wfo Ra M40 lf m:f+ sJq ala lF wsa wiw V*~" Utm Aa m:i+ s ~ ( I CIP I RESIDENTI Z-BffLDING 92-S3, 7S Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nex ConsWction Reauiremenls RemodeVReoairReauirements Office Use Onlv 3 registered sile surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan CeR o( Suney Recd (20% mazimum lot coverega allowed) 1 set of Eneigy Calculations for heated additions Tree Pres Plan Reoi 2 copies of plan strowing beam & window sizes; poured found design, etc. 1 stte survey for additions & decks 7ree Pres Not Reqd 1 set of Eneqy Calculatbns Add"Aion - indicate if on-sife septic system _ On-sile Septic Syslem 3 copies of Tree Preserva6on Plan if lot platted after 7/1193 Rim Joist Detail Optians selecGon sheet ~bldgs with 3 or less uniGs Date o~9 / AUCA/ "S Construction Cost NI 40s ~ Site Address -C)'7_-S33 -TtG~,`, W I.LIL. UnitlS[e # Description of Work (..l»riY'1•.Q17.iS SNQ, 6nQ~o Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 Property Owner Vr\(M ~'Q.S Telephone #(IaSj) '1s'7 '`'~~)7- RENEWAL BY ANDERSON Contractor 1920 COUNTI' RD, "C" WEST Address ROSEVILLE, MN 55113 _ City State 651-264-4777 elephone # ( ) LIC # 20130483 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy CAde CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ~ I Mechanicai Contractor ~II V$E? 0 42903 I; I Telephone ) u ~ Sewer/Water Contractor I ~ Telephone ~ Y- - - _ 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. 4~G ~n ApplicanYs Printed Name pplicant's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4333 Teal Cove Lot: 45 Block: 2 Addition: Mallard Park 3rd PID:10- 47252- 450 -02 Use: Description: Sub Type: Work Type: Description: e - Water Heater & Water Softener Replace Water Heater & Water Softener Meter Size Meter Type Manufacturer Comments: Fee Summary: Paul Gavic 1424 3rd St N Minneapolis, MN 55411 Contractor: Gavic & Sons Plumbing & Water Special 12725 Nightengale St NW Coon Rapids MN 55448 (763) 755 -6468 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $50.50 Owner: Jason Marshall 4333 Teal Cove Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA085004 08/06/2008 ePermit Line Size I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State r City of kali 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: Date Received: tP `.?-4 �' Z Staff: /2012 RESIDENTIAL BUILDING PERMIT APPLICATION 1 2- Site Address: q3 3 3 Le c` / C 01 (%e-) Date: (9 Name: JGi,3 MCif)f (,//a Address / City / Zip: `7:?--? 3 -74i kce — Applicant is: Owner Contractor Description of work: 1�4� Construction Cost: Unit #: Phone: Multi -Family Building: (Yes Company: / ( a - f j rc /, Gy, Contact: r / Address: ��3 � �� k �V (/V City: / G% State: 44 v Zip: S -3D 2 Phone: S Zai' ZC 6 " 2 X 0 License #: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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 days of per issuan building •ermit issued in accordance with the Minnesota State Building Code must be completed within 180 App ic. "s Printed N Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA131597 Date Issued:06/26/2015 Permit Category:ePermit Site Address: 4333 Teal Cove Lot:45 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-450 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason Marshall 4333 Teal Cove Eagan MN 55122 (952) 250-7242 Capital Siding & Windows 9673 Wynstone Dr Woodbury MN 55125 (651) 578-9205 Applicant/Permitee: Signature Issued By: Signature .� el,' Use BLUE or BLACK Ink I"] E For Office Use �fCit O � �� PermltA: /7o / s 6 Penn Foe: �'�� 1 3830 Pilot Knob Road Eagan MN 65122 Date Received: (y4 —I I( Phone:(661)676-6676 Fax;(651)676-8694 Stan: Y1,(1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/30/2016 Site Address: 4333 Teal Cove Unit#: 1k;�� ,) ,�li t I 1 1� Jason & Kristina Marshall 952-250-7242 (" ,a4,xi,o, vato,,,o\ Name: Phone: tip �u;t1 �a, lt4,Rearidant/ , 4 4333 Teal Cove � Own .P,lk, Address/City l Zip: LIQ 63 T,,, , Applicant is. Owner Contractor ‘04470:77,:,„ ,�,i, ,' ''''' „� Bath Remod/Alt See Site Plan For Details yr � ,r . ,�; Description of work: 'i,'. ps, „Wer d', Jug �11 11l 10 �,t, X ,0\ t � f ma-4,� Construction Cost: 6000 Multi-Family Building:(Yas_/No_) l� T� „ ,h�,`i ;;,; ,,,gl,y, 1 '', ,,„ Great Lakes Window & Siding Derek ��,, 1� ��, ,,,,,, ,N;,.'11 Ccm an , �r,,,1 � �1A \ 1� P J �COnta r1�. ''`� � ��'�'''t't':'��'C'�,.1.;'4,4i 1t,a Address: 14690 Galaxie Ave City: Apple Valley lLcontrapt*„l ” ` ,,1' ''�''' 55123 derek. Iwsco mail.com N, y `�j1 '�a,oW�itl"�k1��;R M N 952-891-3400 �ti\ �,1 i i. ', State: Zip: Phone: Email: g �9 `4 �P" � � 4ti Licenses: BC060427 read Certificate : NgT-23297-2 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NO Plana supporting doum. ants that.lCu'submit are considered to he public' Information, Portibrp Of the information may be classified asneclNc:►eatio$that'would porn*'the City''to ,�acC:,.:a II, r..1 .o,. .,,.,•,°,,;.,.,:.1,... , .. (. :,p .',...r:'•:'•,;,F8:,.;.:r•.' ,,„ 7.,, .,:..,..1,., n N, , i:.�•�.n.•:„!1 � fJ � l7 1 II '.a.� �' 1.a�. '., .' .:.,<..:•:,::�•. Lid, 19 .P�, . ., y,�...,r,,,.,,,,�,,,,.,.�,..,,v,:,,.a.,.v,�„ ...,,� a,,�.;eQ11G'' d „ �,'� yv 1'@1tlA'd®,�Sel^r��..5',A1e�,,t,1,,�,:,>ol„ ,,..,,,iu\;•Is'ii .,.a��,`;�Y,a;;t Z,Akv�4syS��y(;�;,•,�•.�,;: �,::.: .\e,, :\. ,�t�;t\��1$1d�11 1•V•4e1`UP\J1u'Cv\ CALL BEFORE YOU DIG. Call Gopher State One Cell 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 ooaherstateonecall ora I hereby acknowledge that this information is complete end 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 Detrb& a^„..,/t41-- x Applicant's Printed Name Applicant's re Page 1 of 3 b/ti'd 1769SS2.9TS9:01 OS217 T682S6 ODSM19:NOeId Et,.:17T 9TO2-02-11ON J/ f Co/ DO NOT WRITE BELOW THIS LINE /L70`"7L SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) )i Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi — Deck — Porch (Screen/Gazebo/Pergola) Miscellaneous _ 01 of_Plex — Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement — Siding — Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation il 2� Det .' Occupancy „ jz C'-f MCES System Plan Review Code Edition di/I Zetr SAC Units (25%_ 100% X ) Zoning R-I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V,) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) jo Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water Final Pool: Footings Air/Gas Tests _Final )G Framing Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick )0 Insulation Windows Sheathing Retaining Wall: Footings_Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Other: Reviewed By: rv,5,/7/27.74/7.W , Building Inspector RESIDENTIAL FEES Base Feel( x4 p Surcharge Plan Review MCES SAC A' 4; /I,.iA /e e City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140302 Date Issued:12/07/2016 Permit Category:ePermit Site Address: 4333 Teal Cove Lot:45 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-450 Use: Description: Sub Type:Residential Work Type:Alteration Description:Replaced polybutylene water pipes throughout house 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason Marshall 4333 Teal Cove Eagan MN 55122 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use j� Permit# �� City ofEa�a� _ C_....,, 3830 Pilot Knob Road Permit Fee: G Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 i, Staff: 6..... /c-76-/i7i, 29-7 L 20170-... EReIA P UMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 1-ei- /7 Site Address: '/333 it-4, / Cave L.-- �a-, Tenant: Suite#: Property / t Owner a Name: P/A.,jA".// Phone: i i Name: /��1 / 4-',"26 t�sj License#: / e‘g9� I Contractor Address: / 2 SSr Fo/i�( .c.-e City: Xer5C g-> � State: /'`Lip: 5 `dc. I I Phone: ‘,n/-/-4141/2•"--4/J.- Email: /'/'?✓r1vr,b, 4m«co T ype of Work —New replacement —Repair Rebuild —Modify Space —Work in R.O.W. Description of work: /{f/)/cee:/ az d-d ,�i-i NS %2'/i� s 2 &../I/6 £' -c•, t 4 COMMERCIAL New Construction Modify Space Irrigation System(_yes/_no)( RPZ/ PVB) t f . Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) ' t Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Avg GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$_ x.01 I $60.00 Permit Fee Minimum .$ Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) _$ Surcharge I Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 1 Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant t $ Water Supply&Storage 1 $ State Surcharge =$ TOTALFEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ 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 t x C( /�C (4.-,5-e— , Applicant' ri d Name Applicant's+'Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground 'Rough-ln _Air Test Gas Test Final PRV Required:_Yes_No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 Use BLUE or BLACK Ink 2017 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: FOR OFFICE USE ONLY PRV required Property Owner: ,,.City R-O-W Permit Address: Phone Number: County R-O-W Permit Plumber: Contact Name: Plumbing Permit SEWER WATER Sewer Service Water Service Sewer lateral charge I Water lateral charge Sewer trunk Water trunk City SAC @$110/unit I Water supply storage MCES SAC @$2,485/unit Receipt#: , Date: Receipt#: , Date: 1 Treatment Plant @$891.80/unit Permit Fee, including State Surcharge $65.00 Permit Fee, including State Surcharge $65.00 TOTAL: *Plumbing Permit Required—water meter to be acquired with building permit TOTAL: . w .., SEWER &WATER _ Sewer Service Water Service Sewer lateral charge Water lateral charge fi Sewer trunk Water trunk City SAC MCES SAC Receipt# , Date Water supply&storage Receipt# , Date Treatment plant Permit Fee, including State Surcharge $129.00 `Plumbing Permit Required—water meter to be fl acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services(651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units 1,980,50 per SAC unit -1 6-10 SAC units 9,904.90 plus 445.00 per SAC unit over 5 For Office Use 11+SAC units 12,387.30 plus 178.00 per SAC unit over 10 Permit#: Permit Fee: Date Received: Staff: J Cc: City of Eagan Finance Department Page 2 of 3 For Office Use %a Permit#: t„tf „0 EAGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a)cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: r� ' ) �� ' 1e) Site Address: ?3�'� L c.'_-",c Tenant: Suite#: Resident/Owner Name: 2-s/11)4 LI__ Phone: -- 0- ( Address/City I Zip: ,moo3 ..7--" ..4z/ t' //I Ix Name: ,_5�� 7�t✓ �?1ihh'/ j2 License#:j7C{, ( Address: 1. s� � /1`,/1-1 /----" 4(27� City: _5. =' (==''COt1tr>�CtOt' State: Q AC' Zip: 7 Phone: 9 , 7._ Contact: ' of Work New— —Replacement —Repair —Rebuild Modify Space Work in R.O.W. type Description of work: 1 � RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/—PVB) Permit Type Add Plumbing Fixtures( Main/—Lower Level) Septic System 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.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. Applicant's Printed Name - Applicant's Signature FOR OFFICE 'teviewed By r ' tequired"'Inspection Under Ground Rou l < est Tes 'I Meter Related Items: Meter Size Radio Read; Manometer Staff; `,kms' E AG NFor Office Use �� ::::e:' pig it, / c2 '(o(1 14✓" — Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 REQ°-'$ ° T41 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: =/ buildinginspections(c�cityofeacian.com FF6 21 2018 L ____� 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: c 4.S C/// I /.:S1J/1 ../14',6-e5 Ik?LLPhone: Y2- Resident/ ZResident/ Owner Address/City/Zip: L 1)6:: Applicant is: Owner C ontractor ` f Description of work: , //9-5-7-6:�r Type of Woricp Construction Cost./`•2 a v z? Multi-Family Building:(Yes /Ncy1 ) } Company: /�7)f 6-'04-s57-- Contact: C' i ' /17/c.,z.., :1 Contractor ; Address: City: 7c Statexr rim Zip: (----5/?0 Phone: 7.57?eftU•,/LS-rEmail:#/CL. -A is License#: Lead Certific a#: If the project is exempt from lead certification, please explain why: C'-// 6/T _ Z1. / Z ,472f /l7 r oqv 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: Fire Suppression Contractor: Phone: and supporting ucuim;"ents that you submit are considered p m f e e; to be ublic'ri titin ff tist oi` classifiedtas non-public if ybn provide specific reasons that would.. rmit the city tonclude that they are tmt. ... , .t. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. - e/9/P4, Applicant's Printed Name A i• • .ture • DO NOT WRITE BELOW THIS LINE 17---S" - , J )q i Covr= / ` M- �" SUB TYPES _ Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration (Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New L Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage — Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 7- r- Occupancy 2..47-i?C-—1 MCES System Plan Review Code Edition lln n Zot 5- SAC Units (25%_100%r ) Zoning 9— --1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VV 23 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool: _Footings Air/Gas Tests Final //Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS i/vinsulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control -Shower Pan Other: Reviewed By: if 6)&91 ))7;,--/9 , Building Inspector RESIDENTIAL FEES Base Fee /72` 4 i -1-7 '— 04e, , Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170600 Date Issued:07/12/2021 Permit Category:ePermit Site Address: 4333 Teal Cove Lot:45 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-450 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Jason & Kristina Marshall 4333 Teal Cove Eagan MN 55122 Servin Plumbing & Heating Llc 24752 705th Ave Dassel MN 55325 (320) 980-4666 Applicant/Permitee: Signature Issued By: Signature