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596 Thames Cir : ~ _ ~ CITY OF EAGAN 18759 ~ 3~30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ( BUILDIN6`PEF~~, ` Receipt ~ . ' ~ To be u~ed for TIRB PAIB Est. Value oace ~ 4 i 9 91 ' Site Address ~S CI~ LOt 1Q BIOCk SeC/SUb. ~T p~8 OFFICE USE ONLY P3fC@I NO. Oocupancy - FEES Zoning W Name (Actual)Cqnst ~ Bldg. Permit . ~ Address (Allowablel - surcnarge ~ " ° A~ ol sto~ea City Phone - _ Plan Review i a LIDmSZ1l0lt Cl.EANIIIG 6 COMS? _ o Mame A ~m snc, acy S.F. Total - SAC. MCWCC Address ' ~ Ci Phone S.F. Foo~prints - ~ On Site Sewaye _ Water Conn ~ W Name or~ s+ce wen - wacer ti+e~er Address MwCC system - o~ ~ Ci~l PhOne Ciry Waler - PRV RequireG _ 5/1N Permit I hereby adcnowfege thet 1 have read Ihis appliCation and state thal the ~+mP - SryY Surcharge information is correct and re.' to cpmply with all applicable State of Minnesola Statules and Cil o E n.Drdinances. Treatmenl PI APPROVALS Signature ot Permitee Road Unit A Building Pem~it is issued to: IllDS!'S~! CLEANIliG 6 P~anne? - parx Ded. on the express condition that all work sha11 be done in accorda i all Council applicable State af Minnesota Statutes and City of Eagan Ordinances. Bldg. Olt. _ Copies ~ ~ tr- ~ j ; - Variance - TOTAL 11Z ~ ~ ~ Building Official Wr~nk No. PMmit Hold~r O~t~ T~Npho~N #t WATER SEWER , PIUMBING H.V.A.C. ELECTRIC Q~~ p~ o 0 ! Map~eNon D~1~ Y~sp. Coenmsnls Footirgs I Faundation ~9 / ~~9 Ra+Bh Plbp- ~ Ra+Gh FM8• i INI. FireplaCe Fnal hllD. FrW PDg. Conat. Meler P~by h~sPecta - Noti(Y Plumbe~ Erpr•/Plan ~ Bldg. Final ~J~- ~ ~ / ,D~ Dedc Flg. Dsdc Fit~al WW . Pt. Oisp. . . . . ' " ~ CiTY OF EAGAN 18342 I, 3830 Pqot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "~1i ~ PHONE: 4548100 ' ~ ~ y.~ BUILDING PERMIT Fieceipt # r•-~ i~~ YJ J To be used for 5F DWG/GAbt Est. Value ~143~040 Date g~~g~~R 6 t9 90 Site Ad$ress S9b TNAHES ~1RCLE ~ Lot 1 Block Sec/Sub. OFFICE USE ONLY Parcel No. ~u~,,,cy R-3. M-1 FEFS THI: ROSTLUNO CO zoning W Name (Actual) Const Yn Bldg. Permit a Z Address 5201 E R1VER ROAD (Allowable) V~_ 71. SO ~ Surcharge City ~'R1DLBY Phone 571-0304 x oi s~o~~as l~.00 ' Leng~h ~ P~an Review Name 5t1hlE ~„n 3~ sAC. cny 100.00 . Address S.f. Total - SAC, MCWCC 6~~~ ~ City Phone s F Foo1~""'s - 62 S 00 On Slte Sewage ! Water Conn ' ~ W Name On S~~e weu Water Mete~ ~ x Z AddreSS MWCC System ~0.00 i~ City Phone Ciry Water AccL Oeposit PRV Required _ SNV permit 30 I hereby acknowlege lhat I have read this application and state that Ihe Booster Pump - Sryy Surcharge informaUOn is correct and agree to comply with all applicable State of ~~p Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signatureof Permitee 4` APPFOYALS RoadUnit 3SS.~ A Building Permit is issued to: ROTTI.UPlD CA ~a^^K - Park Oed. on the e~cpress condition that all work shall be done in accordance with all Councll applicable State of Minnesota atutes and Ciry o( ~agdn Ordinances. g~. pry, _ Copies c: i-,( Variance - TOTAL ~ Building Olficial ~ y f ~ Permit No, it HoIdK Date Telepho~e x WATER ~ / 'J`~~ SEW2R PLUMBING y" ~ia S/ jC7 . 1 /C/~ O ~ H.~.~.~. o , ~v yv ELECTRIC % s~' ~ 5`~'' Inspectfon Dab Insp. Commenu Foot~ngs ~ ~ / 91~ ~ " Foundation ~ 7 Framing l~2 ~ /n~a ~ Floofing Rouyh Plbg. O`~C ~cl• ~ - 3' D "{0 1~tSU L ao~,9n ~ny. ~%7~90 1P.lV le CGi-z~ff7 t r~,i. 2S• ~0 ' fl5 i' a o e S F~~a~e z o D Final Htg. ' Finai PIb9 ~ i 2 :S' C~ ~ ~ Const. Meter . Inspet,y - tity Plumber Engr./Pian 6Wg. fmal Z- Deck Flg. Dedc Final w~i o~~. I Addrpss : 596 IHAI~.S CIR~E Lot 10 Blk 3 Sec/Sub r,~]IVIIrTl_'~C PASS ~These items were/were not complete at the time of the final inspection. DA~• ~R ~p ~g9p Yes No Final grade (6" from siding) Permanent ateps - garage Permanent steps - main entry Permanent driveway ~ Permanent gas Sod/seeded grass Trail/curb damage Po rch l/ Basement finish Deck ~ Pleasa verify with the builder the removal of roof test caps frota the pluntbing system and tha shut-off of water supply to the outside lawn faucet before fraeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy ~ r • ~ • ~ ~~e~r#ifi~~#e u# (~xr~~r~t~tr~ ~ . . ~ctp of ~a~an ~r~~rtraetcf af ~iuilding ~t~rprtirn~ ?1ds Certificate iu~d peunuant ~o [he r+egrdnnnenls of Sa~iio~ 306 oJ1he unijorin Building Code oa~ifjdng that at the l1n~e of i.rsuairc~e!lt7ss7rucluir x~as tn oomplianoe xdth !he Narious a+dirra~c~rs ol ~~Y n8'~8 buildin8 cbns~~uxton or usa Fvr lhe jollowln,g: w~ a..~e~. ~ nr, fnaR aa~, ra~ e,o. ~s3~12 p~vp~,y 7!'p~ R'3/k~,_T__1 _ Iq~ Diotrkt R~ Tjpe cnort ~ OMav a[ P~ld'~ Add~e~ $ ~ ~j~ ~ p„~q,~,,,,,~ 'IialMrC i'Tii~'IR T.10* A3~ (7XiRAi11Z1T PA4S ~ ~ ~ p~ iF1f~~t (0_ 1990 ~ ~ e~rta~ aeso~' POST fN A OONSPIC170US PLACE . s • PLUMBING PERNHT For Office Us~ Only ~ ' CITY OF EAGAN PERMIT # ~ ~ -S . CONTRACT • p~~OT KNOB ROAD, EAGAN~ MN '.f5122 RECEIPT # 9~~~~' PRlCE PHONE 4548100 DATE: '~v - Site Address S~ L T M'"~ ~ L ~•~L BLDG. TYQE WORK D RIPTION Lot ~0 ~ sec/Sub Res. X New ' nti ~ ~ ti~, Mult. Add-0n ~ Name 4 ~ b Comm. Repair Other ~ Address ~ ° < < < ~ C~y S d w ~ Phone 4 S' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAI ~ Wa~ar Closet - 53.00 ; ~ Name ° N ~ ~ ~ ~ Bath Tubs - s3.00 - ~ Address ~ , _ ~ ~ . . ~ 1 ~ ~ LflVS~Of)/ - 1 J ~ f i' Ct ( t c/ ~ Phone ~ 7l • v ~ v.1 1~ .~101N8f - ~ ~ Y y I KitcFien Sink - 53.00 3 UrinaVBidet - s3.00 FEES Laundry Tray - 53.00 ~ COMM./IND. FEE -1'K OF CONTRACT FEE 1 Floor Drains - 51.50 APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater - s1.50 5~ TOWNHOUSE 8 CONDO - RES. RATE APLLIES ~ Whiiipool - s3.00 MINIMUM - RESIDENTIAL FEE $12.00 L_ Gas Piping Outlets - 51.50 MINIMUM - COMM.IND./FEE 520.00 (MINIMUIuI -1 PER PER~IIIn ~ STATE SURCHARGE PER PERMIT .50 SofDener -;5.00 '(ADD 5.50 S/C PER EACH ~1,000 OF PERMIT FEE) WeH - 310.00 ~ Private Disp. - $10.00 ~ ~ ~ ( l~_ Raugh Openings - $1.50 1 / U. G. Sprinkler System -$12.00 s~GninTURE oF RMffTEE PERAAIT FEE: ~ { STATES SIC: ' S FOR: CITY OF EAGAN GRAND TOTAL: y~" s+" -,.,,e.: For Office Use Only: R ~r .`a r~ ~ j r~ MECHANICAL PERMIT PERMIT ~ ~ ~ CITY OF EAGIAN RECEIPT #E L- 1 C~ I y~ 3~90 PILOT KNOB ROAD, EAGAN, MN SS122 ~ CONTRACT PRICE PHONE: 4b4-6100 DATE: - 3ite Addreaa BLpO. TYPE. WORK DESCRIPTION - Lot &ock . Sec / Sub R~ New ' , Name ' Mult Add-on 0 Addresa f Comm. Repnir c Ciy + ~ ~ Phone^ Other FEES Neme ~ { ' ' , ~ ~ RES. HVAC 0-100 M BTU - 524.00 C A(~df9s3 i y ~ ; ~ • ~ . : AODITIONAL 50 M BTU - 6.00 p Cfty ' Phone 1 • ` (RES. HVAC INCLUDES A/C ON NEW CONSTRt1CT10N) GAS OUTLETS (MINIMUM -1 PER PERMIT) - t.50 EA. ' TYPE OF WORK , COMMIIND FEE -1'X OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. FiATE APPLIES BOller M BTU T0INNHOUSE & CONDOS - RES. RATE APPLIES UnR Heat~ M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON dc REMOOELS - 12.00 Alr Cond. M BTU I~~NIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 C3as Piping Outlels 1i ' (App 5.50 S!C PER EACH $1000.00 OF PERMIT FEE) , Oth@r , , PERMIT FEE: - ' ` ' _ SIGNATURE OF ~ERMITTEE ~ ` TOTAL: FOR: CITY OF EAGAN SEWER & WATER PyEFt~AIT OFFlCE USE ONLY CITY OF E~AGAN ' METER #~'~~„~..~~JPERMIT DATE 09/ ] 2/9C 3830 Pilot Knob Rd. + Eagan, MN 55122-1897 CHIP #QfT~~ PERMIT # 11629 METEg SIZE ~ B.P. RECEIPT a!~ C 9fs72 DATE 5-~-'~ ISSUE DA7E Z..~--~~ B.P. RECEIPT DATE 09 lU i: . _ PRV _ BOOSTER PUMP SITE ADDRESS `T`h m? G C' i e~~ 1 a PERMIT REQUESTED LOT .~_BLOCK _~SEC/SUB ~'oven tr~ n as s , ~ SEWER ~ WATER - TAPS APPLICANT:~'}le rottluric~ Co. Inc. ~ ADDRESS: r'LO1 ^ R'1V@Y' Rd. ~ -COMMIIND ~ RESIDENTIAL CITY, STATE F'ridlev, zl~in. ZtP 21 ~ NEW ~ EXISTING PHONE: ~ 71- 0 3 0 4 Lawn Sprinkler Meters are to be Installed PLUMBER: ~T3,~ le~Tdlum~bina Ahead of Domestic Meters on Water Line. ADpRESS: Credit ILL NOT be given for Deduct Meters_ CITY, STATE Jorr3an , Mn . ZIP " ~ , ~ - _ _ , PHONE: - ~ ' I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDIMANCES ADDRESS: CITY, STATE Fr i ~ 1 p~,* _ Mn ZIP ~ ¢ PHONE: , ! - ~ ~ ; NATURE WHEN METE ISSUED , r~ , ,,.~~7 ` PLEA~EI~AL~.~W TWb Wb~RKING ~DAYS~FOR ~RdCESS1N~CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ SEVI~ER ~ATER PERMIT OFFtCE USE ONLY CITY OF GAN METEH # PERMIT DATE ~~'y~ 1 i./ ~C 3830 Pilot Knop Rd. Eagan, MN 55122-1897 CHIP ~ PERMIT # 11629 • METER SIZE B.P. RECEiPT ~ C 9F ~ ~ DATE 5-~''~ d ~ ~SSUE DATE B.P. RECEIPT DATE 1~~ f - PRV _ BOOSTER PUMP SITEADDRESS S~1b TfiAm.ac C~j,~-]~ PERMITRE~UESTED LOT ~~BLOCK ~-SEC/SUB C~ven~rv Ps s I ~ SEWER X WATER - TAPS APPLICANT~rhe F:ottl~u~d Co. Inc. ADDRESS: ~~a~- R. Fi~,•er Rd. -COMM/IND x RESIDENTIAL ~ CITY, STATE "~'id18y, t~~i~~ . ZIp ~541.1 ~ NEW _ EXISTING 1 PHONE: ~ 0 30 4 Lawn Sprinkler Meters are to be Installed - , PLUMBER: Er~#11BTPla3~fn~ Ahead of Domestic Meters on Water Line. ADQRESS: 61(1 ~'*'a~~ .L2~rie Credit~lNILL NOT be gi~en for Deduct Meters. CITY, STATE Jorc~nri,~ Mn _ Z~p S ~ ~ 5 ~ ' . ~ ~ , - ~ j PHONE: 492-2121 -r 1'~ - -t~,~_ y_ l , I aGREE TO COMPLY WITH CITY OF OWNER: Th~ Rntt lt~ncl Cn _ Inc± _ EAGAN ORDINANCES ADDRESS: 52 d 1 ~iv~r R~_ . - CITY, STATE F]C1.dlss~_~n._ ZIp ~ PHONE: ~ 71- ~ Q SiGNATURE WHEN METER ISSUED I PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR IMSPECTIONS. FOR Sf~RM SEWER PERMITS, CONTACT ENGINEERING DEPT. # ; , SEP 12, 1990 'a.. ~ ` ~ DATE: ~ RE: 59G THAMES CIR (THE ROTTLUND C0, INC) X Your Sewer 8~ Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL ~LIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following - reasons: c Your Sewer & Water Permit for the above properry has been compteted, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by 6ill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. I I Secretary, Building Inspections Dept. ~ •sf.•. . . ~ ' L~.c•...~.~ " . ~ CASH RECEIPT ~ ' CITY 4F EAGAN . 3830 PILOT KNOB ROAD EAGAN, MINMESOTA 55122 . o+~~ / / O 19~ o~ / / /Y J~c1~~~~~ . ' AMOUNT S / U~ a ~s ? CASN CHECK p ~ # la ~ ~ l~am~.v~ ~ C~ 3~s~ ) ~ ~ ~ i$3~3 ~ ~F ? ~I~ FUND CT 2 S l1MOUNT Thank You BY (i 987c . N _ ' ` CITY OF EAGAN NO 18342 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 /L` L BUILDING PEPiMIT ~ Receipt u l~ ~ Tobeusedfor SF DWG/GAR Est.Value $143,000 Date SEPTEMBER 6 19 90 SiteAddress 596 THAMES ::1R::LE 10 3 ::OVENTR'i PASS OFFICE USE ONLV Lot Block Sec/Sub. ParcelNo. occ~Pa~cy R-3, M-1 FEFS Zoning R-1 w Name THE ROTTLUND CO 790.00 ~ACtual) Consl V_II- Bidg Permn o Address 5201 E RIVER ROAD ~Allowable) V_n- 71.50 Su¢harge Ci~y FRIDLE'i Phone 571-0304 xoiSior~es - 514.00 Leng~h 5$_ Plan Reviaw ~o Name SAME Dep~h 34- sac,cny 100.00 g¢ Address S.F.TOtal - SAC,MCWCC 600.00 ~ City Phone S.F. Foo~prinl5 _ On Site Sewage _ waier Conn 62 S. 00 .Q ww Name OnS~teWell Wa~erMeter 90•~~ Address Mwccsys~em XX 30.00 aw City Phone I Cnywaie~ XX Acct.Deposit PRV Requiretl _ S/W Perme 3~• I hereby acknowlege that I have read this application and state that the 9oos~er Pump - SiW Sumharge • 50 information is correct and agree to comply wtlh all applicable State ol 252.00 Mmnesota SIaW[es and Ciry a a~ Or nanc s , Treaimenl PI SgnaWreolPermilee APPR~~A~S RoadUnn 35$.00 A Building Permrt is issued ~o: THE ROTTLIIN~7 "(1 Planner - Park Dad on the express condi~ion Ihat all work shall be done in accordance wi~h all Counctl applicable State of Minnesota alutes and Cny.pf Eag~ Ordinances g~~, p~~, Coo~es !i I/ $3,458.00 Bwldmg Ofhcial f..J~C~/y Variance - TO7AL ~ ai/Y/ 9 /o~~o 09075,~~a ' '1 ~ r ~ s~y'~-' RequeA Dale Fre No. ougM1-in Inspectron I / 3 r i q ~ Reqwre0+ 1 Reatly Now ~y Will N IAy InspecMOr Yas ? No ~ ~ ~ Aeatly? I licensed contractor ? owner hereby request inspection of above elect 'cal work at: Joe Atlarafs Slre~t B or Routa No ~ ~ Qry r~/~1 ~ J°! Seclion No Township Name ar No Range No Gouny Occupam ( RINT Pbone No C 5 Power Supplier AOOress Ele al Gomracmr Company Name Convector' 4cense No L L ~ Mailing Atltlress (COnVacto~ or pwner aking Installation) ~ , N Au~~onzatl S nat (Con~reclorlOwner Making Ins Ilauonl P~one Number S3 - ~ MINNESOTA STATE BOA OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Gdggs-Mldwey BIC9. - poom St]9 9E AGCEPTEO BV THE STATE BOARD 1821 Univeretty Ave., SL Veul, MN 5510C UNLE55 PROPEP INSPECTION FEE IS P~one (6t1) WY-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ~y,1' ~"xz.~a~ eeaoom-oe^ 9/ ? See in5tmcoans la ~ompleung Ihis form on ~eck ol yellow ~opy `1~ /Q/a !sp~ ~ w._ O 9 O~ 5 'X" Below Work Covered by 7'his Request w~~.•~ , ew Atltl Rep: , TypeofBuiltling AppliancesWired EqmpmeniWvetl Home Range Temporary Service Duplex Water Heater Elecinc Heating Apt. Building Dryer Other (Specity) Comm./Industrial 'Furnace Farm Air Conditioner Other (spanty~ Convactor's emarks: • Compute Inspection Fee Below~ vw~~w x Other Fee # ServiceEniranceSrze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps a ~o i00 Amps 7ranslormers Above 200 _ Amps Above 100 _ Amps Slgns ~ Inspecta5 Use Only. TOTAL Irngation Booms ,J ' ~U i Special Mspecuon Alarm/COmmunicahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Rough-m ~a ~~,...iy cerhfy that the above inspection has F,,,ai oa~e been made S„ ~ OFFICE USE ONLY ~ ~ ~ Tnrs reQvest wa 18 moNns irom - ' M~ ~o/i s/sr~ 9 ris~ . ~ ~8407 3 ~ .~il ~~O~no Request Oate Fna No ouq m Inspecbon ~G ¢tl'+ ? Ready Now ~Jill NoLty Inspector ~ !Q ~'es G No When Reatly~ I~censed contractor ? owner hereby request inspection of above elechical work at: JOD A/tldress (ShBp6 BoM a~ FaW NO ~ Q~y V W Section No Township Name or No Range No Coyaty n e..M~c<a OccupaN RINTI Phone No Power S er AtltlRSs {tiil ' - Elecmcal nU ~or(GOmpany Name) Gonirector's Lcense No E'2~ . l.i - 3 Mailing Atltlress (COntractor or Owner Makmg Installation) AutM1Onzetl SgnaWre (Conlraci r wner aking Installatian Phone Numpe~ 4~3 `38~0 MINNESOTA STATE 60AflD OF E ECTqICITY THIS INSPECTION RWUEST WILL NOT Grlggs-Mitlway BIEg. - qoom S~1'!3 BE ACCEPTED BY THE STATE 60Afl0 18f1 Universlry Ave , SL Peul, MN 5510< UNLE55 PROPER INSPECTION FEE IS VMne (61P) 643-0800 ENCLOSED / • REOUEST FOR ELECTRICAL INSPECTION i'~'\ EB~00001-OB ~D /C4 SO 4T:t ~ S,o-, ^p ~$ee inslmc~ions lor mmplelinq Ihis form on ~ack ol yellow copy ,,~,,~F~Yj g~ jJC ~ OV~TO I ~~',S "X" Be/ow Work Covered by This Request "'~R~~9~~ ew'Atld Fep. TypeofBUtlding AppliancesWiretl EquipmentWired Home Range Temporary Serv~ce Duplea Water Heater Electric Heating Apt 8udding Oryer Other (Specdy) Comm./Indusirial 'Fumace Farm Au Conditioner Omar (speay~ Comraaor's Remarks Compute Mspechon Fee Below: # Other Fee A ServiceEntranceSize Fee # Circuits/Feetlers Fea Swimming Pool 0 to 200 Amps 0 to 100 Amps ,O Transformers Above 200 _ Amps A6ove 100 _ Amps SignS Inscecmr5 Use Oniy: TOTAL Irriganon Booms ~6•~ ~6 ~ SpeCial InSpecUOn Alarm/Communicauon THIS INSTALLATION MAY BE ORD CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. ( I, the Electrical Inspector, hereby Roug~-in aca . cerhfy that the above in5pection has Final ( oaie ~ been made. OFFICE USE ONLY ' T~is requesl v0itl 18 monlhs Iram CITY OF EAGAN No ~ 18759 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ I Z 3 1 BUILDING PERMIT Receipt # GARAGE ~g Spp Date ~R 4 , ~991 To 6e Vaed for FIRE REPAIR Est. Value r Site Address 596 THAMES CIR 10 BIOCk ~3 SBC/SUb. COVENTRY PASS OFFICE USE ONLY Lol PBfCEI NO. Occupanry _ FEES Zoning - w Name WALTER HAYES (ACtual) Consl - Bldg. Permrt ~ ~A - ~0 ; Address 596 THAMES CIR ~Allowable) - Surtharge 4- 50 ~ Cd EAGAN phone 454-7815 K o~ stories _ y Length _ Plan Review ,o Name LINDSTROM CLEANING & CONST Oeplh - SAQQry ~a Add~ess 9621 TENTH AVE N S.F.TOIai - SAC,MCWCC ~ Cdy PLYMOUTH phon0 544-8761 $.F.FOOlprint5 - On Ste Sewage _ Water Conn r ww Name OnSneWell - WaterMeler MWCC S slem AddfBSS Y - Accl. Deposit iw Ci~y PhO~B CnyWater - PqV Raqwred _ S~W Permil I hereby acknowlege Ihat I hav ree ihis applicalwn and state that [he Booster Pump - S~W Surcharge inbrmalion is correct antl qre~ ro omply wilh all applicable Slate of Minnesota Statutes and Cil n rdinances. ireatmentPl APPROVALS ~ SignaWre o1 Permitee - . Road Umi A Butlding Permil is issued to' INDSTROM CLEANING & Planner - park ~ed. on Ihe express condihon ihal all work shall be done m accor h all Council apphcable Stata o1 Minnesota SlaWtes and Cyity~, of Eagan Ordmances. Bldg. Olf. _ Copies Buddmq Oihcial I~ ~ananco - TOTAL 112 . 50 RESIDENTIAL ~~9~ BUILDING PERMIT APPLICATION ~a 8, a~ CITY OF EAGAN f~ ~ I 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 New Conetructbn Reaulremama RemotleVReoah Heauiremente • 3 registered sAe surveys showing sq. fi. M bt, sq. k. ol house; and all rooted areas • 2 copies of plan (20%maximumbtcoveragealbwed) • 15etotEnergyCakulatbnstorneatedadd'Aions • 2 copiesof plan showing beam 8 winAax slzes; Doured tound Oesign, etc.) • 1 site survey lor erierqr add'Aions & decks • 1 set of Energy CalCUlatbns • Intlicate B home serve0 by seD~ic system lor add'Abns • 3 coples of Tree PresenatWn Plan B lot platted aNer 7!1l93 . Him,bisl Detail Optbns selectbn sheet (bklqswith 3 ar less units) DATE (o/S/a~ VALUATION ~~0~~ ~ SITE ADDRESS ~~R~o TI'~Ctl~~'~~S Cl r'C~~ MULTI-FAMILY BLDG _ Y _ N NPE OF WORK r~ I~C~U~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT C~ • STREET ADDRESS S~v ~ C' • CITY.~/ ~~Ge~l~r'STATE~NZIP S SQ{~ Z, TELEPHONE # ~%~3aD CELL PHONE # FAX #1 -~S( PROPERN OWNER ~~1~7c l~ ~ S/~-S TELEPHONE # ~-F COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUL,~:S 7670 CATEGORY 1 MI ~I ~~U}~y~~~9~~2 ~ (d submission type) • Residen6al Ventilation Category 1 Worksheet Submitted • Ene~rp7XICoda Worksheet~3ubmitted • Enargy Envelope Calculations Submitted Q s LC;,( I L1I ey ~ Plumbing Conhacfor: Phone H Plumbing system includes: _ Wa[er So&ener Iawzt Sprinl:ler Fee: $90.00 Wa[er Heater No. of R.I. Batlis \o. of Baths Mechanical Coniractor: Phone # Mechanical system includes _ Air Conditioning Fce: $70.00 _ Hea[ Recovery Sys[em Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read ihis applicaTion, state that ihe information is correct, and agree to comply wiTh all applicable State of MinnesoTa STatutes and City of Eagan Ordina s. Signature ot Applicant ~0 e~~U "~,o . _ ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4f02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ~ 08 06p~ex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 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)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg onty) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (ncw bldg) _ FinaUC.O. _ Foo[ings (deck) _ FinaUNo C.O. _ Footings (addi[ion) _ Plumbing Foundation HVAC Drain Tilc Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Srone _ Fireplace _ R.1. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL ' Z~~'~ BUILDING PERMIT APPLICATION CITY OF EAGAN Z~~/ p~"~- 3830 PILOT KNOB RD, EAGAN MN 55122 L g~ "~~j ~P 651-881-4675 New Conswdbn Neoulremente RemodeVHeoair Reauirements • 3 registere0 stte survays showing sq. fl. ot lot, sq. fl. of house; arW all roofetl areas • 2 copies af plan (20% max'unumbtcoverageallowetl) • 1 setolEnergyCalculationsforheatedadditbns • 2 copies ot plan showing beam 8 wineow sizes; pouretl tourW desgn, etc.) • 7 sAe survey for e#erior aUURbns & decks • 1 set ol Energy Ca~ulations • Indirate A home served by seD~ic system lor addtlbns • 3 coples of Tree Preservatbn Plan A bt platletl after 717193 • Rim Joist Detail Optlons seleclion sheet (blUgswitn 3 or less unfls) DATE _ ~3 /flL VALUATION / ~~JO , ~ O SITE ADDRESS Scl IP ~?~'teS d1-~[~. MULTI-fAMILY BLDG _ Y _ N NPE OF WORK 5~~~'`~ G FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~~c~~Y~a~-ac_x~.rr1 ~n~s-~~~~+~4,n STREETADDRESS S~~I-1 CITY :IIW STATE~ZIP ~5~2 TELEPHONE #(051- y33- ~f32o CELL PHONE ri Fnx a~- 35~- za9~ PROPERNOWNER 11.)a ~-e~- ]7a./eS TELEPHONE# ~67- ~-!Sy -7k~/S COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RliLES 7670 C.9TEGORY 1 ~IINNI„SOT~1 RUL1:S 7G72 (J submission ty~e) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Caiculations SuDmitted Plumbing Conhacfor: Phone # Plumbu~g system includes: _ Water Softener _ L,awn Spiinkler Fee: $J0.00 Wa[er Hea[er No. of R.I. Bad~s No. of Baths Mechanical Conhactor: Phone N Mechaziical system includes: ~ Air Conditioiung rce: $70.00 Heat Recovery System Sewer/Water Confractor: Phone M I hereby acknowledge that I have read This application, state ihaT The Information is correct, and agree to comply with all applicable STaTe of Minnesota Statutes and CiTy of Eagan Ordinances. / SignatureotApplicaM ( SG~.I~_~D~/3/OZ - OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelting O 08 OCrplex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvemenl ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (ncw bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Icc & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.L _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , ~ , ~ \ ~ -_~I ~ ~ I 1 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI,ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PER.MIT HAS BEEn COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. SEP 0 5 Reco To Be Used For: Valuation: Date: ~'j-4-'~j~ Site Address -.~~ci~„ -r{~a.wnp~ ~i~r /[~~rD~O~FFICE USE ONLY 'i Lot (O Block ~j FEES Occupancy Q3 M_1 Zoning ~'1 ']~j0,o0 Parcel/Sub ~,~p~~ Pc`4f~ Actual Const V-1J Bldg. Permit Allowable y-/J Surcharge ~O O~aner ~~~~iiy~Ff ~~C, # of stories Plan Review S(y,00 p Length 58' SAC, City ~UO.00 Address ~p/ E'. qZ~V~/ Cqx~. Depth 34' SAC, MWCC bOO,DD S.F. Total Water Conn (~ZS,oD City/Zip Code ~~.~.y (~k~ SS~Z~ Footprint S.F. Water Meter q0,(~ Acct. Deposit 30,Op Phone Cj~ 1-p36~ On site sewage_ S/W Permit 30,1~ On site well S/W Surcharge ~Si~ Contractor G,~/r~ MWCC System ? Treatment Pl. 52,00 City water 7 Road Unit 355~00 Address PRV Park Ded. Booster Pump _ Copies Gity/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL ~ Council Arch./Engr. Bldg. Off. ~9~(0 ~ variance /5~ Address ? City/Zip Code Phone # ~ VALU/~'("' lOt.~ ; ! , G~RaGC' - ~ }c ZZ = N8~1 X» ~ 72Ln ~ 3zx 3 ~ = 11SZ ~ / = C~t) ~ ~~y3 k 1W = 1 Gaa~ 1 sT F~or~ ~~~T P I1 ~ ~ Zx~~IJz=___S I I(~ I~ 51 = 59211 ~N~ F~~d2 ~~r; r r s z 2%L~C U y Z~ ~~~0 ~s I ~ GolK~ 1y265~3 nterP^5e U^Pe . l~2A22 E ~z~qhti, M11~1 55~? ~ r ~ _ ~ 11 n,~entl0t? ~ 1' ~ J _ ~l~ q : 1~~.~~` 16~216~~~~ ,k * . iVltEt+r~IHEt I ~ n•,s.-e==•~~~'~{ * pia~~~~ 4_y~PN9 V LPNDSGI~iE ARfNIT~.~TS I ~ ~r°--~~-LPyO~~PNNEi+S• I * enyi* earin9 • ~ ~ ~ PA?J LNG. Ti~~ ~Zoi~~~nlo G?M ~ Certit~cate oi Sur~eY tor.-~ - - NORrH g y , ~ Bg~~~ ~4,~'>~ ~ ~ ° 864 ~60 S/~~ - Fs . ; ,,c~'t~ 889.~di ~ ay s' .'b~ , y ~2~`~~ ~~Q ~~d. ~ ~~,a~~ / ' ~ .r~'~F bs B~y.yb M1+~ e3s ~ ct~ . ~C . \y~ s\o ~ ~iq~ HD/ ~ 3 \ i ~ s `l ~r . 's ' 2.6 gl. 0 ' / ~ ~ ~ /r ~ B86 5 ~ ~q ~ / y>E' NO`s~~Q ~?r, ` ioBJ< ~o ~ Td~`97°l^4~'~" \ S8Q 36o F M11~ M~ B~v2$`~ R'~~.v~' s / ~ 3 A6~ ~ ax g~89 ~ \ ~U ~ i. s s~\ ~ ~ ~//~~~9 .;\~4 ~%',8~ ~ ~ i 1` ~ &,~,~~j '~1V . 29, F ~ , ~ w` ~d~ ~ ~ `~~~o~~PC~~ ~ ~ ~ I J'',~'~ ~ J` ~y - Date / E„FsG~~ ~iti'~`3i,'"~~fi3n1`3~ ~i ~u 1' = gOU.U Denofes exisfin~ elevafion ~ec7SS~o NotISE F~ V~'i`faN ~ 900.o Denofes proposed e%vation Lowesf Floor ~/evof~on es1, Denofes bra~na e F Uf;Ji~fy Easemenf 7p o~^Blak E(evo~fion a~~. - Uenofes Drain~e Flow Arrows Gara¢e Slab flevafion asy. - ° Denotes /»orlur~~~en f 8earrn~s sf~own are assumed o Denofes ot^^sef Hub Lor ~o ,BLOCK 3, CovEnrTaY PAss DAKOTA covNrr, MINNf50TA Subject !o easemenfs a~~'record ~ nerebvi ce~tify ~Fl~l~ (I~iS 6UlV5y, Dldfl or ~epo+t wes pr p;~red by m r under my direct superois~o.+ a~d thai I sm r,i~lly RNq~9tered Lpnd Surveye~ wd^. the ia~n•s of tho Stete ot Minne;ma. Datsd this~dey ot A.~. 19.~. ~ ~eJ/ 9/Q/JcCQ~I~ ~ ~inch- L~~ieef / , II~ S~IO2 • Z " R06FRT A. nclfr~ l.i PEG. Nq. I~A•)1 F:c1~~r;ion i:rrver,rn~F, nvia;nr,~: ^u° ~uhrru•rn•ri,>;~ /VO,eMAND~ osrv r•.~ ~ . _ S?TE ADDSESS ~O I 1 Bl_UGK ~CVc7.lTI:Y ~~1SS CONTRICTOR ~oTTL UNIJ G r~, nnTe r~+~~r+E Deterain vorkin~; squnre footarc of ench. 1. Total exposed vall area 2S'~ sq. ft. x ~•1'- _~'G~~.2 . • 2. Total roof/ceiling area II~I ~J•~ sq. ft. x 0~0?6 _ 3~ GL • ~ . Total exposed ~ail arca nbovc rloor = 7' S~ Z a. Total vatl vindow area ~~'~7~ 2- , ~ b. Totel door area ~l0.4 2 c. Total sliding glnss door area d. Total fireplece vall area ~ G ' e. Total vall fr2ming area (avera~e lOP) D. ~ 7 f. Total net vall area nbove floor q7, O/ • H• Total rim ~oist area ~ 2 D,~ , Total exposed foundntion arca = ~ ID• - h. Total foundetion vindov aree ~ J~ , i. Total net foundation a^ea ubove grade '(iy ~ . Determine "U" val~e o; each vall .Fgment. . g. I S 4. 2 X,.U„ O, ¢2 = 77 • 3 4 . b. 5,~2 x,.U„ p. r 3S - 7. ~8 . ~ c. X .~U~~ _ d. 2~ x„~„ . c, / = 2,4 ~ e.. 2l0. ~'J x.~.U~~ 0~089 - 18.75 f. l8 97,Dr X„U,. o, a¢3 81.57 ~ . s• 2 Z~ , o X~.,,~~ o, 04 I~_ 9,o S - h. ~~?~7,', X.~U~~ ~rTJ _ ' 7. z~' q~, G3 X„U„ . D, l~}-. _ /3.25 3. ~r~r.~~ = 2/7~ c- If item N3 is the same as, or les^, :.t~:~n .ilen ql, yo~i nave met the intent of SBC 6oo6(c)2. n . p ~ Total exposed rooC/ceilin~ arez = I I~!i ~ , . ' ' ~ • Total gross roof/ceilin~ arc:t = . ' Total skylieht erea _ k. Total roof/ceiling frarning area 7~ 1. Total net insulated roof/ceilinF area ~(o 7 S_ • Determine "U" value for ~ncli ruc,f/cci 1 in~; acF,~mcnt. ~ X ~~U~~ _ , 1I7, 9~ x„U„ G,CZ7 = 3;Ig • ' k: 1, io~~,5~ X„~.. O,c2z = 23..35 ~ L . Toca~ Z G. 5 3 G If total of N4 is the sa.~ne es, or less than,N2, you have met tY~e intent of ssc 6oo6(c)i. . . To utilize the total envelope system method, the values establi:hed by the stmm of iteos Jl3 and M4 shall not be sreater. thKn the swn of iten:s Nl e.~d N2. l, + 2. _ _ - • 3~, ' 4 . _ . , ` , • . • 0 _ . . O f , e . ~ . =~~~T~~ - ~~oti~:~ - ~ -~1~ -aoihT : - ~e~r~ -~v~.u~ I~ 1~.-~~~.-FII.M ~ c _ Q ~~Z~. I til~Ul., ---19 •_o . ~ ~":Ft~? ~IM ~ih . I . Ss - I ~ ~~-H rA'~H I N~a . _ Z, o C, . S 2 O ~DIN(i.----__ - -O, Ca'L 3 ~ ~T-kl~.-~LM. -_-o,?~.... I ~ ' r J ' (v ~~'_t-! I a _ ~=-'24;30: ' i j e I ~r~:~ V ~ -i ~ 2~ ~ °"o~t ; % ~~uND~~oN ~ ~ ~ - - /'D . ~ _ ~ / GaMfbN~N 1~ --~-'~/f;'J1~. I _ . , ~ ~ _ j ~ 3 ~ ~~LM. _-0=.1-1---- I ~ ~ __z . ? ~ l ~ ~ ~ 5~) -_-5.-0- Jo,B~ _ ~ ~ , ' o IZ~LOI~L ~ -~,2 b---- I . C~ 1~4,.~t1~._~II.H1 -~-=C~:a-.__. ' -j,l? (iZ,l3 ~ ~ ~ ~ _ ° • I ~'r ' =o.ov~ /f'~ -~2.~3 -=_u~ :-v~~u~ ~A~?.~T~D~ (~~Nr~. - ~~aM~ W~u• ~ I NhU I.ATIoN LOMF'ON~rl~i . R-~lAI.UE -r•. ~ ~!J' o.1.?T~ G~ AI~ Fi i,M O, I'1 _ ' 2 ~'~-L~ ~a~lh+c.. _ _ o ~2 _ J~ 3 "u ~f~ATHIN~ _ . 2; 04 ~ _ , - -~~t lNSUl.ATlct~{~ f q . o • . , 4 ly~ G~P. t~ 0.45 - ' S ; - : L, [~5ir~~ fv~ ~II,M, o:cob - L _ 23.0( - U= ~ = 0.043 . ~'(c(AL ~ftMG WRU. G ~.~'rUD . . LoMPoNLNTS : - ~-VAI.UL ~ o_u "(~I~E Ai~ f~l.ru. - - - o ,1'1. - - _ ~ 2 ~ - 2 ~1~~hI~INf~. O:C~2:: ti 3 3 hNEA'jl-1 I N 2, o U _ ~j ~ X c: hP.ICJ (F7~µ1~.r4~ - -I p~ . S Q ~2-~~~~ ~D• 0,4~ - • ~ iNSi~ M~ R~M . - 0= ~'fQfa.=--I I. I C~- - pl.l~N• vl~k~. . u=~ ~ p. oa9. ~fAL , -G~-ti1P~. ~~U+=~0,12Xo.o~9~ t~o,SbXo.o43> = O• 0¢7 _ • ~ , 1 I ~ ~_"~1~ _~~N~(~-- i , I Q ' ?~MFGN~N_. - _ 7~ -~'v~.U~E ' ~ ~G~I~(z=Fr.c~ - . _-o, ~'1.--- , ` - C ~t~: -I N -_Zq • ~ , . /L , C ~-Pb'('rGNOt~~: - - -F' a---- ~ bGYT' - .0- ~ I~T-klf?--FILM. ---o,~~_--- 3 4 s I - R= 3S: g 3-- ~ = O, 027 U ~3 ~F~C~ ~ 2 ~i~~l-~ 4 _ =~Lhl-~.lG..--- _ lO ~.-.]tl~_.FIGl~- -O~j7:- - _--44.4 , 1 ~ -I'Z-~-INhu~, - '/i ~ ~ 2'E>YP_<_~:~p._. o.4s _ . ~ l~(=f~~~:F1~M=%._ - .-o•.-~..L----- ' 3 ~4-5:~- 3 - _ ~4-' ~ ' 0.022 ~ 3 r i 1991 BIIILDING PERMIT APPLICATION CITY OF EAGAN, SINGLE FAMILY DWELLINGS TNLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ~ ulr To Be Used For: "~e" ~~Valuation: ~SS~O ~ Date: 3-~I-`tt Site Address ~ l~ (~~~^'tes LJiti OFFICE USE ONLY Lot Block _ FEES Occupancy Bldg. Permit ~ /p Zoning Surcharge - y_ So Parcel/Sub I~VPr~{-~c/ ~/~SS Actual Const Plan Review ,~1 Allowable SAC, City Owner W taLT~~ ~'~A~((;5 # of stories SAC, MWCC 5,~ ~ ~ Length Water Conn. Address ~ ~~~5 Depth Water Meter S.F. Total Acct. Deposit City/Zip Code ~/y,yf~N ~~n, Footprint S.F. S/w Permit i S/W Surcharge Phone S On site sewage_ Treatment P1. On site well Road Unit Contractor _(~i'^ ~ZT~^' l"~Fa^~.~^'7 ~~~^S~ MWCC System _ Park Ded. City water Trail Ded. Address ~(~n2( 10~ (>l1 N• PRV _ Copies `L Booster Pump City/Zip Code ~~woJf~^ S~~f ~ SUBTOTAL APPROVALS Penalty Phone 1- g7~O~ Planner _ Lot Change Council TOTAL I~Q.h n Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Si ature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances.      úùú    þõ  ÿ þ  ÿ þþýûýþ     üÿÿ õíù   äå ù í    ú  ýüûúùø  ÷ü  õúùø ô ó ø÷ü  Úü   ÿ ÿ   ø ï Üü ï   ìüû   ò   þý      ø þ   ííí     ì ò ï÷ èî ø  ï  çæééí ÷ü  ýüì ÿ ÷ö æéé  öõõô ú óò øø  ×  ÿ õ   ù   ìëúì ï ä õûüùòô ÿ òô èëçí ì  ûù ó ÿ ì  ì å  ì  øø     ì ì ðï     ÿ ïøùóì  øø û ý   ðò  ý ü  äùð ÿ ã  é øø á ï ýÿ ü ü ùýÿ ü 06/28/2012 08:35 FAX 5186181668 City of Eaan RaC NED 3830 Pilot Knob Road Eagan MN55122 3042 1011 Phone: (651) 675-5675 Fax: (651) 675-5694 L 002/005 Use BLUE or BLACK Ink han For Office Use g Perrnit It #: J / C�/ / Permit Fee: 9/�0 S—C) Date Received: I ® a-142, Staff: J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4,-2,15# Site Address: 5(3 b ThavYveS <; r c 1 <_.' Unit #: Name: A c -e S Address / City / Zip: G{1 Sp 1)'10.W1 P S Cy( t 'e-• ` T rt C. Lc (t M N 5 3 Company: Sot( kto.AA2 1,Mtlx.) 61.1 Contact:' 1 Joi ¶�cc t ri"1 Address: /o,) -II FIC f ewir /il -Pku City: L) %.4_)00 CI If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A jtl�W BUILDING In the last 12 months, has the City of Eagan Issued a permlt for a similar plan based on a master plan? Yes No If yes, date and address of master plan: ^� / "�' ��-�^-� '� r' �-^-'^ `1h T,"'�}��!.t.J r.l r'._.J�._._i, .� �.�-i- rw� �E.�.`t�f. �✓ .., ✓ ,+-1 �y�.y . S - rICiI, h (11_J i LI , TJ �' 44-- -1, 4„ �n a � i � I ✓i h �rl -v .,,t,�. r �+.�I,y ���- w�M-� .ter � x Nk. , rr � � WF��l ��!�! .� �� ,iNr � • � � �{ '�, u � 0+,1 - CALL i,w CALL BEFORE YQU DIG. CeII Gopher State One Call et (651) 454-0002 for protection against underground utllky damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www,aooherstateonecalL.orq 1 hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a penult, but only en application for a permit, and work le not to start without a permit; (het the work will be In accordance with the approved plan In the cede of work which requires a review end approval of plans. Exterior work authorized by a building permit Issued In acoordence with the Minn Building Code must completed within 140 days of permk Issuance. x bPr-�- 1- • IP y Applicant's Printed Name Applicant's Signature Page 1 of 3 46 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I % Permit #: q t / r /8 Jo< cs Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDINGyPERMIT APPLICATION Date: 1 — o - Site Address: 5 / ! h�rvt �S 1. ; t c (e Resident/ Owner Unit #: J Name: t Phone: Address / City / Zip: S �] L. t Aa hiCS C.', re -1 E a tjkbl 14 SC/ a3 Applicant is: y Owner Contractor Type of Work Description of work: Construction Cost: co crer Gera 1 e Oo° /z. Multi -Family Building: (Yes / No ) Contractor Company: Contact: Address: City: State: Zip: Phone: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must ' : completed within 180 days of permit issuance Applicant's Printed Name ,„ S Applicant's Signature Page 1 of 3 4*° City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651).675-5694 Use BLUE or BLACK Ink For Office Use Permit#: QO14g Permit Fee: / I© U Date Received: Staff: • ) J 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite #: Name: Address r City / Zip: ,5-9. 4 e1 ta-t 'i to Milbert Company Inc dba Cullign Wa Name: r�/ . Phone: tr'd Jr� � 7 /1.S aft Address: 1801 50th Street East e tense #: WC643176 City: Inver Grove Hgts. State: M N Zip: 55077 Phone: 651-451-2241 Contact: William `::R_Milbert New Email: eplacement Repair _ Rebuild _ Modify Space = Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation L_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation, (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ * Oa 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. aopherstateonecall orq 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 % tllr Applicants' Printed Name x f / �✓ �i App scan s Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119837 Date Issued:12/23/2013 Permit Category:ePermit Site Address: 596 Thames Cir Lot:10 Block: 3 Addition: Coventry Pass PID:10-18400-03-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Walter L Hayes 596 Thames Cir Eagan MN 55123 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature -f� � , v Use BLUE or BLACK Ink 1 r----------------� I For Office Use I C' � Permit#: �"° �� I lty of �a��� ���E����o � ;� �� � � Permit Fee: � � 3830 Pilot Knob Road �j I Eagan MN 55122 ��Y ° 9 �a�� ; Date Received: � ` �l� � Phone: (651)675-5675 I ��Z I Fax: (651)675-5694 - I Staff: I ' _ I� ��-3 RESIDENTIAL BUILDING PERMIT APPLICATION � y � L ,�.� � �l Date: /� Site Address: 9 /� �.S Ci ZL��„ Unit#: Name: �f�G�� � ,�.1 T.� /���'!�-� � Phone:_ (�S/_�;j y-7c��� Resident/ Owner Address!City/Zip: S�� �y1.y1 f.J L�r�G.0� Applicant is: Owner v Contractor i / Type of WOr'k Description of work:�o� �/f� L'�,s,,�... ,Q�GG Construction Cost:__ �, �oG�� Multi-Family Building: (Yes /No_) Company: (jUT�U0,2 �O(.-i>Til�vi -�-�t�1G Contact: ��� ���'-�� ContractOr Address: ��Y.3%� v�jr�i'}�2� .,[)Pi u� City: P,e�02 j�4�� State:�Zip: ���72- Phone: �a- �L/!�-��g� � License#: �C ��79�- Lead Certificate#: /11�A-�^/���5f l �M.�.�..o._vw.���.... t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) _� .�/b'� dlJ�.� Zo'�,�c r�G Q .�5�//�i8flj (�.c� �� 2/r� 1" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? � , _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: , � Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City fo � conc/ude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. 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 � %/Yl�� !� l�v�i��. x App ical nYs Printed Name Applic Ys Signa re Page 1 of 3 � ���Y / "f��d'/'�-'� �,�,�" � � DO NOT WRITE BELOW THIS LINE ������ 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 _ 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 � � �/ Occupancy ���� MCES System Plan Review � Code Edition �"� SAC Units (25%_ 100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: }�, Footings (Deck) Final 1 C.O. Required �� Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Siding:_Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test _Final Windows Insulation Retaining Wall: _Footings_ Backfill_Final Sheathing Radon Control Sheetrock /� Erosion Control Reviewed By: � , Building Inspector RESIDENTIAL FEES Base Fee � Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8�W Permit& Surcharge � Treatment Plant f_�~ ��� � ,� � � (� '���� � Copies TOTAL Page 2 of 3 e����� , � � y,--�" • .' �� , ��Sp UIiV2 � -� !4S`�A�22 �nter�s4i�ts.h4�1 55�2� . � • • ' � ` j4 (�1en�10�a�����-r_ �il�� �,� 1��� -^� ° �-r�.r �6�2) � .iVll EI�r�1NE£R����- �`� �� � � ' LF�Q�uq•t£�'9Ri`_ �.� —=r`��—^^—LP�pLANNERS`=�OS���E pRr4i1TTCT5 * PiC3N�� �---�. *e�yi*�e�rsng.. * � � �f� �Zoi I �.U� �.7MPA�1�[�..NG.. Certit+cate of Survey for:� -- �-e� (� `%�inc� � NoRrN �� °��, �.�` ' � . . Bg��'? :; ����38 a� "�,�. ,�. s�,� � -� , B��.�o ��5�' � �� agg.� i , ,, s . .� y�' ��R�� ���a S/��� . , ��. o��� � J1 �j�, • � �� :�p�,�'�s,�b�6 ,� �3 �� � � � � , �,� .�ty; �1�„o n,~�9 °yy ,`� � '�,��,`� � , . - / / S �?o � ���s� ��' 1.� i / sj; /�o�'�vQ � ,� .�dl�5 `/ �j-� ��F `�c N�`�d a�A /?r� `�tof�1�', lo � d"q�e14•�„ / � � ` ( �" $ Z � t�[= ��.� �8 3b�.`;3r A1�n�} S8r 3 .' ~U�1 � � 8 j`� r �� � ���. � / �°J � / , '� � �' �9 ��'� . ' _ ''.�, � > ���; �i. �� �/.�,�� V - � . � � ,�.�. �q � . �. .� Q' ., ,, �i' . �.. '',�' 'S� ' . `� / �, "'� ��' �. ��'� , ,,� - :�'�� , ��(/ ... ��,-'ZC- �2p.. �° '�'`� � ��� E' c9� '� ,` � �d � r 1� a � �1 � / 01� ' � � � � ���� ������ �P . � ,,. '( � � ���� �� � f,� � ,,� , ('-- , � ,, }; `,1 `� � "�.' J '� '--s � � �Y c °� '— •• -- ,,. ,...._.. Da#e /��- --� �,.�. ���k�'� �T��"v"�����5� .�3��1' = 900.p j�ertotes exisfin� �leva�fian � �p��.�SE EL�VA'�"lar�Js < 9ov.o Denotes proposed �levatlort L,oweSf F�aor �revvf�on es� , �,� _ ---�.. Denofes Gra�na e F U�`ili'f�y �as�men f 70� o�81ar1� �leva�ion a��. �� �--�- a�notes Draina e �law �irrows Gdra e 5�o�b Eleva�ron �s�.�,� � Denotes monu en f � 8earrn�s sf�dwr, are crssumed o D�nofes Qt'�',��� Hub �,�� �� i��Q�� � Ca���v�i� PA�� � � � � oa+�orA covNrr, MIrVNESOTA Sub�ec} !o �asArnents c� record t t�eraP,vi certify ►h�t this curvsy,olan or�epor�we�P;��� Ny r under my diraci super�is�on and that I�m du�y Rvq�ste�ed Larid 5ur,reyer u�d°•tf�B 13�M1'S O�th9 St8tB OI IL1i�1t1P.qOta. OdtR�th�7 � day ot q,p, �g�_ Q��; �jf4/mb erc�yT Elc�. �� � r - �C(�'f� . 1 inch - ,�� eef � _ f� � Ii5 89102�2 . �` RO$FRT A, ix�rM L.,.p��.NC1. t�ll9t ' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132393 Date Issued:08/12/2015 Permit Category:ePermit Site Address: 596 Thames Cir Lot:10 Block: 3 Addition: Coventry Pass PID:10-18400-03-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Walter L Hayes 596 Thames Cir Eagan MN 55123 (651) 454-7815 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink sAf E4 ^For Office Use , v ">a i "; Permit#: 111 I s •.�- -••• �a, Permit Fee: , met awls:°1 Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 'AV \A buildinainspectionsCatcitvofeaoan.com 'AV I\ RESIDENTIAL BUILDING PERMIT APPLICATION \i'' p() Date: 0 ac;f•.//, ,. (_,-,1 7 Site Address: .5 Cy 671A i ciii e J C ' r c t - Unit#: Name: 4cL I-"�c, i�" 5 Phone: C�`j/ SIJ`f- 7 3I'3 Reims t(l� i"t Owner` Address t City/Zip: a.I : nu cc i,fri e c,) 1tj��,• r C I r c'_ c ,,- :vlf ill tV 55 ,,, -3 Applicant is: _,A Owner Contractor Ty.tfWWO Description of work: I c; 5 i"2 vt 1 I1 Construction Cost: Multi-Family Building:(Yes /No A.) Company: "‘ CC A `7 t(Li C f a Yr` Contact: ,,, Address: t '. e � - . C0f'1t1'c�l�tiEltt`` ! 1- - � City: �, - „ State:�U 1'1_Zip: ,�� 0. Phone: rI Email: , 1 ',.C. ,ire, ,; ' License#: ( 4L4 Certificate#: 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: Plansa sup rt �r ts t sr �c� d Id fp n f � I i srt blici# ►f ?+ . :ate,.o ld „. to 44ffik+hat,ttfOr r 'r2`v€ a .u. ,,,. . 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.citvofeaoan.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.aoaherstateonecall.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 ape it;that the work will be in accordance with the approved plan in the case of work which requires a review and approvalIans. I x 4: ( I� Ct t� j x / 1'a/ C,z s Applicant's Printed Name 7 Applican s Signature Page 1 of 3 ,. - 9 -C-1-'4",--ps c V III-1 0 DO NOT WRITE BELOW THIS LINE 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 _ Interior Improvement — Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior 7c. 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 \/)kl 0 Occupancy pits.L. MCES System Plan Review Code Edition IAA ly v t) SAC Units (25%_100% ) Zoning44— City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 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 `c, HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests _Final 'y(` Framing 1,30 Minutes 1 Hour Drain Tile / Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick_EFIS xInsulation N Windows ('ti 71+, 05c, 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: 7V1 , Building Inspector RESIDENTIAL FEES Base Fee IV VI' Surcharge , ( ? Plan Review /a , MCES SAC �t'os K) City SAC #D q \1 ' Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use I r � inn :::e: / e -7�1 %., k,4 s9 00 /�%.,„„.... }� 0 a° ` v Date Received: Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675 5694 buildinginspections@cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 i (., `---?OJ? Site Address: j Ci b / A a ko P5 C ; re I �-" Tenant: Suite#: c Name: C c L. 1\or c 5 Phone: is 51 q521-1?16 Residenf/owner- ': T`� ' Address/City/Zip: C t tkr�w,�,; C. ✓-C ( c 19� Name: License#: t� Address: iii ii�a�. 'contrac , City: State: Zip: Phone: 1, s Contact: Email: � �a X New Replacement _Repair —Rebuild —Modify Space Work in R.O.W. ''pu YPeQf1N � k — — �'' le'r G Description of work: //e V , C.t?c' ' F U �°� ti ''r RESIDENTIAL ''�F " - ',7 Water Heater u�� j h� Water Softener oi.��} a�� �����, .4 , _ Lawn Irrigation L—RPZ I—PVB) Permit ype , Septic System Add Plumbing Fixtures(_Main/_Lower Level) ..,,,,,,,„ _ p Y � iti�� � '� —New Water Turnaround t' e 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.citvofeaqan.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. //--3A_t_, / i-- Applicant s Printed Name Applicant's Signature ndh Gir,��,. :� ktigl '� : .�'r -a .� rr IIS`- it uNr i�li� ��.a�-: ���'i� �i� `; EFFICSE �� �ti, Reviewed' }��� ate= +d',} 4}II 4 ' 9�a- s. *h '" '11. of teen 'iU rm, ., e".,.,. Required Inspections: Undei��Ground qi�i� Rough-in,,�' Air Test GasVT t Final Metier Related�Items,.. Meter-Slze', Radia Read'. _ Manometer vx o-;Staff: