The URL can be used to link to this page

4727 West Wind Tr . . _ . , CITY OF EAGAN N~ 9i75 3830 Pilot K~ab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 BUILDING PERMIT Receipt # ° T~ w~~ SF DWG/GAF Value $ 57, G00 pOte .7iJNE 15 19 84 4727 WEST WIND TR Site Addreas Erect ~ Occuponcy Lot Z eloak 3 ~/sub. P~K RIDGE /~Iter ? Zoninp Parcel No. ~'1~-~b750-Q70-Q3 Repoir ? Fire Zone Enlarpe ~ Type of Conat. IVAN BERG W Name 3~01 MINNEHAiiA AVE SO MOV° ~7 # Stories~o ~ Address Demolish ~ Length City ~pj'S Phone 729-~022 Grode ? Depth 47 $q. Ft. RUuCON HOMES INC Approval~ F~es ~ Name o~'i A~~ 1 G 0 U E 14 6TH ST ~ 10 0 Assessment Permit S 3 U 4. 0 U ~,llR~~'SVILL ' 432-1433 Woter b Sew. SurcFar 2i3.5~' r- City FPhone ~ 15 . 0 0 Police Pion check G ::-~R~: NAGEL/PROBE ENGR y~W Name Firo 5AC 5 2 Q 0 !-z 10U0 E. 146TH ~T A~'~ Enp. Water Conn. 4 7 0. 0 G t~ City L'~FtN,SVILLEphone 432-2049 P~a~~~ WaterMeter 63.DC Councll Roqd Unit 2 6~• ~ a 1 hereby acknowledgs thqt I hove read this opplication ond state that g~d~, Off. the intormation is wrred cnd ogree to comply with oll opplicoble ~ , Q State of Minnesota Stotutes and City of Engcn ardinonces. ^PC Totol Sipnoturc of Permittee A Buildi Pem+it Is issued to: 't11SCON HOMES INC ~~e ~ ~ xpress tondition thrn oll worlc sholl be done in occor~donce wclth II~ applicabt~'Stote~of,.~hinnesota Statutes and City of Eapcn Ordinances. 8uildinp pfficiol _ ~ L~- - -f - 1 i P~rmit No. Permit Holdsr Misc. Permit No. Holder Plumbiny 1 tD 0~ ~ 2...2 ~ Cti.. ~ M~ `f H.V.A.C. ~0 p (p 1 ~ ! ~ 1Q ~ w.ii J Water Disp. S~vr~r + E Mctrie g - ~ ~ ~ i ~ ~ a . { ~ Insp~etion Dsts Insp. Other Footina Foundation ~ Fnminq i Rauqh Plbp. a ~ Rou¢~ HVA InwlMtion ~ Final Plbq. Final HVAC _ Fiml W~ i4~ Location: ' , I ~ t ?c 1 r ~Q«,c ~?,e cav~ rw.u /,uw, ,,~,r*.~~q~ t+~"* c~aDQu.Ki • . S~w~r U ~ V Pr. DMP• /"~~~q ~ - ~ T'~4'~F^:~!!,` . . a _ _ , , s,.> ,r... . , C~q!~a~;d{'ta;`.^''~°'dp! , ~ac:.,~..,.y~,_ CITY OF EAGAN ~ 7~~' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' ~ : ~'1,~ 1 _ BUILDING PERMIT Receipt # • To be used for ~~~GE ADDITIOtQ Est. value i3+~ Date s6p 2~ , ~g 89 Site Add gs a~2T WES1' VTl1D Tit OFFICE USE ONLY Lot Block Sec/Sub. P~ RIDCE Parcel No. ~~aa~r y"'1 FEES Zaning pD ¢ Name IVAN BE1tG ~na~aqcons~ V"p BIdg.Permit S'~'•~ 'o Address 2~t ~ ~,~iowaeie~ V"N s~roharge 1• ~ City ~ Phone ~ oi sio~es Length 8 ~ Pian Review t~ Name 8~ oePin ~ snc, c~iy ~K AddreSS 5.F. Tolal _ SAC, MCWCC ~ Clty PhOne S.F. Footprints - F On Site Sewage _ water Conn a Name a, s+ie we~i W W - Waler Meter U~ Address MwCC sys~em _ s W City PhOne City Water _ ~~t PRV Required _ SMI Permit I hereby acknowlege that 1 hav~ read this application and state that Ihe eoos~er Pump - ~yy ~rcharge information is correct and agree to comply with all applicable State of Minnesota Slatutes and City of Eagan Qrdinances. Treatment PI ~ APPROVALS Signature of Permitee Y Road Unit A Building Permit is issued to: IVAN'~R('s Planner - park Ded. on the ezpress condition that ali wor~ done in accordance with all Council _ applicable State ol Minnesota Statutes and ~ty of Eagan Ordinances. g~, pry. _ Copies Building Official ' ~ ~ Variance - TOTAL SS. ~O PermR No. PermR Holder Da1e Telepho~e ~M WATER SEWER ~ PLUM8ING H.VJI.C. ELECTRIC Nupsction Data Msp. Canrtwnb ~ i fo Cv~ Foundation Frartwg D ~ ~/{S,lJ 7~ !j./ ~~^9 Ra+9h PIb9- Fia+9A Hk~. laul. FrlplaCe Fnal H6g. Final PI6g. Const. Meter Plbg. Inspeclw - Notiry Plumber En}~./Plan eag. F~ ~J pedt Ftg. Dedc Final w~a o~. I' CITY OF EAGAN Remarks ~~4ddic~on p~K RIDGE 1ST ADDN ~ot 7 R~k 3 Pa~ce~ ~-56750-OTO-03 I Owner St~eet 4727 1VEST WIND TRAIL Stace EAGAN MN 55122 ~ ° 1 " Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ~ ' ~ STREET RESTOR. GRADING SAN SEW TRUNK 19$Z 147. Z1 9 81 15 SEWER LATEFIAL WATERMAIN WATER LATERAL 6 WATER AREA j HZ 1 7 1 { ~ I.I~. ~S STORM SEW TRK , 3~~.93 C~ 8 S70RMSEWLAT 1~9.5$ C009843 1~-29-8 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK C{TY OF EAGAN N~ 91?5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHONE: 454-8100 BUILDING PERMIT Rece~pt ~jt Te b~ o~ed sw SF DWG/GAR ya~~ $ 5 7~ 0 0 0 pate JUNE 15 ~ 9 $ 4 Site Address 4 7 2 7 WEST WIND TR Erect ~ Occuponcy R Lot 7 Block~ 3 sec/Sub, P~K RIDGE Alter ? Zoninfl Parce~ No. 10-56750-070-03 Repats p Ftse Zo~x Enlarpe O TYpe of Const. IVAN BERG W Name 3201 MINNEHAHA AVE SO MOVe p # Stories ~ Address Qemolish Q Length 40 c~ty ~'LS Phone 729-0022 47 p Depth Sq. Ft. RUSCON HOMES INC APprovols Feer ~ Name Address 10 0 0 E 14 6 TH ST ~ 10 ~ Assessment Permit ~ n 4= n 0 City BURNSVILLEphone 432-1433 Woter 8 Sew. Surchorpe - SO Police Plon check 152 . ~W N~e MARR NAGEL/PROBE ENGR Firo SAC 525.00 i~ Address 1000 E. 146TH ST E~. WcterConn. ~70.00 ~W City BURNSVILLFphone 432-2044 p~a~~r WoterMeter 63.00 Countii Road Unit Z 6 0_ 0 0 I hereby ocknowledge thnt I hove read this applicotion ond stote that g~dy. Off. the i~formation is correct and agree to comply with oll opplicable ~ _ ~ Stote of Minnesota Statutes and City of Eagon Ordinances. APC TMaI Sipncture of Permittea A 8uildinfl Pennit Is issued to: RUSCON HOMES INC on the expmu conditlon tlx~~ oll work shotl be dona in occordo ith opplioobl tat of innesota Statutes and City of Ecpon Ordinances. Buildinp Official 1~ ~i Rsoeipt ~ ~ MECHANICAL PERMIT Permit No. CITY OF EAGAN F~ ,=~r 7 ' , - ~ - 3 j Fil1 in numbered spaces S/C ~ I Type or Prini /egib/y Tot. r'i • 1. Date ~f//~~~ 2. Installation Cost ~J UC~ . ~ ~c _ 3. Job Address ~/~.~7 ~~c~'T_vc..~-?> Lot~_Blk. ~ Tract r~~ 4. Owner i~_~ L ~ ~ cr 5. Contractor,~ ~ Phone = - ~ ..1c / 1 6. Address ~~~C ,c~ 1~.~-,,1 ~1~-_ r c_ L 7. City ~ - ~ < , ~ l State r~. [ Zip % ' ~ 8. Building Type: Residential ~ Commercial O Institutionai O 9. Work Description: New-~~ Add ? Alter ? Repair ? , , , 10. Describe • ' Fuel Type ~ ^ ~ 11. No. FQuipment BTU - M. Ea. No. Equipment CFM I ~ Forced Air r~f ; J` Air Hand~ing: I Mfg. Boilers Mech. Exhaust - ~ Mfg. Unit Heater Mfg. Other Air Cond. ~ Mfg, I Gas, Piping Outlets I 12. I hereby certify that the above information is true and correct, and I agree to comply with all or,dinances and codes~governing this type of work. Signed : - ' I _ for Rou f inal Inspections: Date sp. Date Insp. I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 i ` I / - ~ Receipt C~ ~ t r PLUMBING PERMIT Permit Ma ~r G C ~ I ~ I CITY OF EAGAN ~~-.h:i 1 ~ I ~ ` Fee Fil! in numbered spacea S/C Type or Prinr legibJy Tot. - -_5Y~ 1. Date ~ ~ ~ 2. Installation Cost ~ ~l ~ ~ -T - 3. Job Address ~ ~ 7~~~~~~BIk. ? ,Tractl ~ ~ , .-k~~ ~ 4. Owner ~c ~ r~i~/ 5. Contractor ; r~- ~/~j~,~.~,~/ Phone ~Z ~i y_ T 6. Address ~ ~ , ci • ~ ~ . / ~ /ic . _ ~ ~ ~ s ~ ~ r 7. City c. ~ . i~ r~. [ State Zip c. i 8. Building Type: Residentiaf ~ Commercial ? lnsritutional ? 9. Work Descriptian: New C~'~ Add ? Alter 0 Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatnry Softner Shower Well ' Kitchen Sink Urinal/Bidet Other ~ Laundry Tray _L Floor Drains Drinking Ftn. Slop Sink ; Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing ihis type of work. .~igftBl~ : ~ i, - i fOf ~ -'7 / ~ / ~ I 1~~. L Rough Final - Inspections: Date Insp. Date Insp. This is your permit when num6ered and approved. Approved CITY OF EAGAN 4b4-8100 CITY OF EAGAN ~0 ~ ~ ~ Q ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /l r' BUILDING PERMIT Receipt # ~'~1 7obeusedtor GARAGE ADDITION EstValue $3,000 Date SEP 27 , ~g8~_ Site Address ~ 4727 WEST WIND TR PARK RIDGE OFFICE USE ONLV Lat -~r Block 3 SeGSub. Parcel No. o«~Pa~cy M-1 FEES IVAN BERG Zoning PD R=1 w Name (AClual)Const V-N BIdg.Permit 54.00 ; Address 4~z~ WEST WIND TR (Allowable) v-N 1.50 o Surcharge City EAGAN Phone 452-2544 xo~Stories - Length ~ Plan Rewew o N8RI0 SAMF Deplh 19 ~ SAQ Ctly Address S F iotal - SaC, MCwCC ~ C1~Y Phone S F. Foolprinis - On Sne Sewage Water Conn ~ - W w Name On SRe Well - Watar Melar Addr05S MWCCSystem _ ¢ z Aca. Depost <W City Phone cnywa~er _ PRV Requirad - SN? Permil I hereby acknowlege that I have read Ihi pplication antl state ihat ihe Boosier Pump - SiW Surcnarge information is wrrect and agr e b co y with all applicable State of Minnesota Statutes and Cit .of'.agan inances. 7reatment PI Signature of Permite APPFOVALS qoad Unit A Bmlding Peimit is issuetl to: IVAN ERG Planner - park Ded on the express condition ~hat all work shal b done in accordance with all Council applicable State ol Minneso[a Stawtes antl~' yiry~ 011 Eagan Ortlinances Bltlg. Off. _ CoOies Buiidmg OHiCial ~\D I!~ I I ~ 1~1 Vananca - TOTAL 55. 50 \ ~~1 ~3 ~,E ~o~ P~~c ~1~ HOUSE HEATING TEST RECORD ADDRE55 ~ / ~ ~ ~t~%~~ u~~~~~ ,~v . APT. _FLDOR C~TY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. ~ SOLD BY INSTALLED BY Electrical Work By Gos Lina By TYPEOFHEAT GA-FA~HW STEAM-SPACEHTR.-UNITHTR.-OTHER ~ GAS DESIGN CONVERSION MAKE ~ MAKE OF BURNER - ^ Model . ~ G Model ~ ~ ~ ~ ~ Serial ~O! ~d ~ Maz. BTU Rating `~-r`- ~~tl ~ ~ INPUT~j MAKE OF FURNACE - ~ ~ Model \r ~ ~ ~ ~ CONTROLS ~ ~ THERMOSTAT1 Hea~lug Vent Size / b/ Valve W ~C 3~C.. pc " KIND OF LINER ^P~~, ~ ~SIZE NONE L~m~t ~Of~(UWl Drof1 Hood Requlator Limit SeHing ~jr `7 ~,~Qa U Filfers $izs Num6ar Fan Setting T,Sd - 6 Chimnsy Location Inaids Oufsids Pilot Type - Chimney Construclion Pilot Make~ h C/m_ S/.~n'/ ~ .l/ h T~ Pilot Model / $moke Bomb ~Miring - Pilot Timing 0.aft Tsst Tap ~ L.W. Cut Off y Dow Pressurs ~J Liqhling Inaf. Pressura ~ Parcent CO Date Tsstad InputCFH~Percenf 0~~ Company Testing~ ~rl~~ ~ ~ Sfack Temp. ~d ~ Percent CO ~ Name of Taste ~~i fi" Form~S ~ ~ i s/E , ~ ; 0-~,~17s~ . , . j CITY OF ET~GAN Include 2 sets of plans,. ~ , 1 site plan w/elevations i BUII,DING PEF~LIT APPLICATION ' 1 set of energy 'calculatic ~ ~.F~wv/UaR, - j Zb Be Used For ' i v Valuation ~'S~ ~,~p. Date ~ Site Pddrpss 4~27 West i~ind T~il ' OFFICE USE ONLY i Lot Block 3: Sec./Sub. Park Ridae ~~t p~cupancy ~-~j ~ Paroel ~ ~ -:S ~i 7 S-lJ 7 -O J' Alter Zoninq R- I ~ ~P~' Fire Zone . N ~ Owner: _rvan Ber~ Enlarge _ Type of Const. ' Address: ~ZO1 Minnehaha Ave ;So• _ : # Stories ' Da~olish Front 4O i. City/Zip Cocle: Mpls.. MN 55406 Grade Depth _ q-~ ~ Phone 729-0022 ~ APPFb~VAiS ~g ~ Contractor: Ruacon Homea Inc. Asses9nPnts perrtut -3p 4-~ Address: 1000 E, 146th St. #100 iaater/Sewer Surcharge 28 - Police Plan .Check 1 ~ 2 . CityjZip Coc1e: Hurnsville. Mn. 55337 Pire SAC ~ZS. I Phone 432-1433 Water Conn. 4~0.`° Planner Water Meter Council , Road Unit ~~•/~9•~ Mark Naael/Probe EnaineeririgBldg. Off. 2~6. ~~~5~ 1000 E, 146th St 11I~ City/2ip Cocle: Burnsville.Mn. 55337 Phone _ 432-2044/432-3000 ~'pI, ~ Q . O I 23 x Zc~ = 4~ x~4= ~4 ~40 ~ ~q x 2q-= ~5~x 54= Z4~z4 7,x 5 = 3s x s4= \8`~0 2o x22 - 4-~ x Il -~4-~4° 5~ ( 4 ~~,ooo . j . i ~ For Office Use I ~ J C~ I ~ I City of Ea~~~ I Pertnn# ~ ~ / //1 ~ ~ Permrt Fee' v I 3830 Pilot Knob Road ~ I E8g8n MN 55122 ~ Date Received. ~ Phone: (651) 675-5675 ~ I Fax: (651) 675-5694 ~ s~an. ~ -----------------J 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~ Site Address: 7~2~ ~~CT vvl/ti~ I~/gl L~/4"[q~7~1! ~'16v SS~zZ Tenant: ./7 t ~l•~r~ -Z ./7'1 D Suite RESI~ENT/OWNER Name:~lTl~~l,l'~i'1~ ci('1~~Y~N ~~Phone: ~SI- /-~-~yUS Address ! City ! Zip; _ / ~7 ~ (/1/'CSt W! !'ll,(~ "~JZ14-l L ~~9-6~(-/i~ ~ ~ ~~Z CONTRACTOR Name. License p: Address: Ciry. State Zip: Phone: ContactPerson: TYPE OF WORK _ New _ Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: wC ~ l~ PERMIT TYPE RESIDENTfAL Water Heater _ Water Sokener Lawn Irrigation Add Plumbing Fixtures ~ RPZ PVB) ~ Main _ lower Level) ~ Septic System _ Water Turnaround New Abandonmen[ RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Waler Turnaround (add $136.00 if a 5/8" meter is required) ' $100.50 Septic SystOm New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~ . TOTAL FEES $ I hereby acknowledge ihal t~is inlormalion is complete and accurale; Ihat Ihe work will be in conformance with ihe ordinances and codes of the Cily ol Eaga 1 1 I und~rsta d~ is s not a permit, but only an application tor a permit, and work is nol to stan wilhout a permit; Iha~ Ihe work will be in acco ~a ~e wrth t~ e a o e'plan in Ihe case o1 work which requires a review and approval of plans x x Ap li nt's Pnnted Nam~ Applicant's Signature FOR OFFlCE USE Reviewed By: Date: Required Inspectioris:. ~Under Ground Rough-In AiF T.est Gas Test Final ~r6. 5~ ~----------------i ~ Fo_r`Office Use City of ~a~a~ ~ Permi~ # JLS ~ I Pertnit Fee. ~.5 ~ 3830 Pilot Knob Road ~ ~ Eagan MN 55122 I Date Recewed j Phone: (651) 675-5675 ~ ~ Fax: (651) 675-5694 i StaH: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~~UC7 c~ Site Address: ~I ~ 7~ I'lI,C55`- GIIINb Tf' /f~/L S A~-~ N MN Ss / Z Z Tenant: I~'rPI-CI~Pl~ r~P~F~"E!/ ~Py/Yi0G1 V Suite#: RESIDENTlOWNER Name: ~Z~'h.P!'] 7~ .IP~-~Y2'l -Sc.'4~Phone: ~SI-~/Sa-/~,/O~ Address/City/Zip: y~Z~' Y~/~ST ~/(~%NAlJ?,q~/Lrj~".~~]~n/j~'1f ~~ZZ Applicant is: ~Owner _ Contraclor TYPE OF WORK Description ofwork: ~o /~o~ai~-Lirni~4°c1 /~r~us a{ S'%aGri~i Conslruction Cosl: Multi-Family Building: (Yes No CONTRACTOR Name ~P.~~ License Address: Ciry: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilalion Cateqory 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: P/ans and supporting documents that you submit are considered to be public information. PoRions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude thai the are trade secrets. I hereby ackn wledge that ris' formation is complete and accurate; that the work will be in~conformance wRh the ordinances and codes of the City of Eagan; hat I unders nd t is is ot a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accorda ce ith the ~ppro lar~ in the case of work which requires a review and approval of plans. x X App cant's rinte N e ApplicanYs Signature Page 1 of 3 ~/~S, a'S ~.ec--~ AOB` COHSULTINO tHOIN!lIIS ~ ENGlNEEAING P~RHHEIIS and IAND ~UlIVEYOIIS COMPANY, INC. ~ L 1000 [AST 1461A STRCCT, CUftHSVILLL, 111NHC00TA SSS]T ~H ~~2'3000 ce~-1~z}'~ca~~e o~ ~3`u.~-i.-~ y ~QQI I~e.~cr~!_~~f°n • ~oT 7, BLOGK 3, PqRK RIDI~E DAKOTA CouNTY, MINNE50'Tq. \ Z 5 t\ 30'FRONT 8U/LD/N~ ~i~g j NORTH seraACk L/NE-'~~ SCALE I"=30~ j-~ j0 n ~-1 'P / ~v~ ,~,o ~ ~ ~ o / ~ll,y oJ / v\ N ~ 4.. ~i ~ / (At'~ -_o p `I- o ~Z. ~ i~i ~ p 2 i rn p ~l b~~~~Z ~ / ` 21 N~ ~ \ N ~ ~ r,a~~ ° .~a ~ ~ aT oJ 1 bF" d i U~ ~Z~is~ _~f9~ im~ .o/ \ so ~ ~ ~eY` xy. ~ QfY~'- y) ~S_,o~~ ~ o ~ ~.o.~~~' ~y~ ID °o~ 2 b S'D 1 i v` 9~? ~ 7 \ ~°'0~' ~ tiz~''~ ~ i \ ~ \ ~ \ s?1/ Cq7~•5 0 o' ~ " \N '~Y ~ U a'~ ~ DRAIMAC~E t uT i EASEMENT '~17Y 9/8x j ~ tik ~ C9~9Ra u~~b0.2,'~µ,~~.''E 9a 6 ~J ~ ~ ~1 to9 ` ) ~ _ ~;9X > ~ r ' ~C_+. ~9. ~ r ~ ~ !y - ~ , j ~ ;9zo_o; OENOTES EA'/STi,1~G ELEI~yT/ON ~9tn,o) DENOTES PiPOPOSED ELE~/.9T/OiV 'ti_ /ND/C.9TE5 A/REC7%ON OF SURFFICE" DR,9/~VAG~ f7N/Sf/ED GAR.9GE FLOOR EYEIi/IT/ON= 9L3.$? I r~tvbr c~rtify th~t thi~ i~ a trua and corr~ct r+pre~~ntation ot a tract ot l~nd a~ iho+m'and de~cribed her~on... Ar pr~par~d by m~ on thi~ 2~ dar ot /yl.ay r 19 ~1- . ' ~ ~''.!2(Sd~~ /../z-~T~~ Nf nn. R~i. Nn. /Co85 , ~ - : - ~ . . . . - , • . ~ - ; . . . . . : . ' EXTERIOR ENVELOPE kYERAGE U COMPUTATION ~~~~o ~1~I~': , ~ OWNER . ~ . OO~ 91aI~ S~ - _ , - - - , . . _ . _ • . _ ; . - • ' . , _ :,.,;.c_ - - _ ~:s~, - =:.ti~;~c: . . - . . ; r s::'; SITE ADDRESS- ` . . _ _ '``F ~ " - ':.~t~-ti[ '~:'1 ' . . . ' a.~ . - :i w ~ i.i'~ - "?~"..'.1 . - CON7RACTOR~ ~ u~co~.i.I ~ 41dr.~` DATE~~.~ 3~;;_ PHDNE~~~'13Z= J~i35" . . . - . . , , _ , . . • Determine working square footage of each. ~ 1. Total exposed wall area ~ ~q . OS sq. ft. x.~1 ? 2. Total roof/ceiling area 9101 sq. ft.~~x .aZt, °[~A~9,-]- ? Tatal exposed wall ared abvve floor = ~~Oz a. Total wa11 window area I~1'I b. Total door area • ~ . c. Tatal sliding glass door area .f{~ " d: Total fireplace wall area - . e. Total wall framing area (average 1DA)...:........ 1X0 ~ . f. Total net wall area above floor • g. Total rim joist area IIZ Total exposed foundation area = 13D , h. Total foundation window area - 1. Toal net foundation area above grade 130 - Detenaine "U" value of ea~h wall seg.~:ent. • , a. I`l'I ~„U„ • 33 = 5 n. X .13 = A.~' c. ~S'? g ~ .~S ~ A1,g ~ d. - x ~ , i, e. 18o x~~~,~ . ~o = 18` - ~ . f• ~353 x uUn ~ nQy_ ~ ~ ~ g. I IZ g~~~~~ . 04 ° h. ~ x • - _ _ i. ~3D X~~~" _ O'7 = I ...Total = ? . 3 . . If item R3 is the same as. or less than it~m ~1, you have met the intent of 5BC o0C5(c}2, . _ ~"t.~,:..::3~,.. s,it.:';. .L-~Y~~ ~ ~I:Y.. ."y . ' , , rY'- - ~ - I:~..i ':.l_~~~~~`.. . . ~w ~'(h~7~.::it, :Y~" . . . ' ~ l . . ~l'~~'r.~ _ ~~ry~; ..'t.`~~', ' ' , ';••1f..t~. _ !A_~ ',•S : . . . . . , . 'i.'i; . ~ . , " , ~ , a . .i' . . ~ . f , . , Total exposed roof/ce9ling area = 9ll~~ a. ; ~ ' ~ Total gross roof/ceiling area = ~G ~ . , j. Total skylight area . . ~ k. Total roof/ceiling framing~area ~ _ 1. T~tal net insulated roof/ceiling area....... ~v~\,~ Determine "U" value for each roof/ceiling segment. . ' " :i ' ' x nUu a . , ' . . , k. ' 1 ~ , A OUN OZ~1• ~ 7~ CM~eD~ ~2~32~~IUSV~.OVEi. • r \ . 1. FS4q,q x~~~~,. oZ °~~1,v. '2',sb i~•'e 3.w . . ~ 4............ ..Total a ~ ? , ~ If total of #4 is the same as, or less than #2. you have met the intent of SBC G006(c};. . . . • . • To utiltzed the total envelope system method, the values.estahlished by the sum of items ~3 and ~4 shall not be greater than the sum of itens B1 and ~2. 1. ' + 2. _ 3. + 4. _ MATERIALS Therm. Beaistance "R" ; Exterior Air . (~8 5lding Material . to5 ~Iw 4M?~ 8heathiYig 2•°~ • I~tBUlatiou 54~ . SheetroCk .4S P,, Interiox Air .17 Stude ~p~l Pu 1" ' Rim i ~ 5 Conc. BlkB. 1.2B +~L, ~sat , : . , ~ . CITY USE ONLY PERMIT O`-t U~ RECEIPT DATE: l~-- I~- v ~ ~ i~SID~NTI~L 1~l~C~I~kNIC~kL ~~tMIT ~~~PLiC~kTION crnt oF cnenx S$SO ~ILOT KAOB itD gAflAR bfA SS1EE ss~-sa~-~s~s Please complete for: A single family dwellings townhomes and condos when permits are required for each unit Date: ~2-` i3l ol SITEADDRESS: q~~1 1~~5~ +rl~^~u ZRA~I OWNERNAME: M~~T P"-~`~ TELEPHONE#: GS i 6 1~51 (H~ (AREA CODE) INSTALLERNAME: I`~IAZ~ ~E~~~`- TELEPHONE#: ~5 ~ ~33 S6Z~ ~y.l~ (AREA CODE) STREET ADDRESS: 4"1 z~ sZ t~-1 ~ rl l~ -CRP ~ I CITY: i~v~.4^~ STATE: ~`nN Z~p; SSIt-z Place a check mark next to the ermit work e New residential dwelling unit under constructionand not owner/occupied $ 70.00 X Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ` ~-~"k~'~ ~ ~ °~~Y~~ A- State Surchar e $ .50 Total $ ~ ~ Reminder: Cal! far inspections. ~ SIGNf( O PE ITTEE Updated I/01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMM~CI~4I. M~C~IANICAL ~~M1T ~~'~LIC~ITION CITY OF £A6u4N S$SO P1LOT KAOB ftD £~k6~+kN, b!N 551 EE s5i-s8i-as~5 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing undergraund tank, caU 651-681-4675 for inspection by Fire Marsl~a! and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Connact price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 1999 BUILDING PERMlT APPLICATION (RESIDENTIAL) ' ~ CITY OF EAGAN ~ ~ c~ ~ 3830 PILOT KNOB RD - 55122 ~j~j 651•68'I•4675 y_~ 3-~ g New Consfrucflan Reautremenis ~ Remodel/Repalr Reauiremenls D 3 registered sHe surveys showing sq. fl. of lot, sq. R. of house 2 coples of plan and all rooled areas (209 maximum lof coveraae allowed) 1 set of energy calculaBons for heated addNlons > 2 coples ot plans (show beam 8 window sl=es; poured tnd, design; efc.) 1 sMe survey tor exterior addBlons S decks 1 set of energy calculatlons ? 3 capies of free preservaNon plan H lof ptnffed aRer 7/1/93 DATE: L~~ 3~I CONSTRUCTION COST: 3~a ' DESCRIPTION OF WORK: ~ K~..Q Q~iCV+~ ~~ac~ .SL- ~f~20.^~L S7REET ADDRESS: ~7a7 ~~w T~% I LOT: 1 BLOCK: ~ SUBD./P.I.D. {JG~v ~ ~ t~~~.~ / ~p/ Z Name:_ ~~E~(~ -Jv~r1 Phone#: ~~-~~-~.3-s~ PROPERTY ~an First OWNER Street Address: 7 7~7 GC/E~~~ ~ / City n^-t State: ~4- Zfp: ~ Company: ~~~-~-rru~? ~ d'sn.c. Phone#: lolZ ?53-J7~v9 (area code) CONTRACTOR Sfreef Address: ~~3 ~ 1 ~ `f''~' L~ ~ ~ ticense # ~~7~`~3Exp. Zoros City ,d`1~10~ State: Zip: ~ S 3~/ ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 8 water Iicensed plumber (reauired for new consfruction oniv): Penalty applles when address change and lot change is requested once permlt Is Issued. 'I hereby acknowledge tha} I have read this appllcaflon, sfate that ihe Information Is correct, and agree fo comply wfth all applicable State of Minnesota Statutes and City of Eagan Ordfnances. ~ ~ Sfgnature of ApplicanT: OFFICE USE ON Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ ' BUILDING PERMIT TYPE ~ 01 Foundation ? O6 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) O~e.llina-Q 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea ) ~ 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ~ 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage I 8-piex ? 15 Lodging O 20 Pool ? 25 Miscellaneous Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ~ 40 Gas Insert ? 44 Windows/Doors Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair 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 PermitFee R~ a5 valuation: $ Surcharge ~ -C c Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ~ Total: ~ SAC Units % SAC ~ - i t989 BiIILDZAG PfiRMlTT ~PPLIClTION CISY OF EAGAN ~ ~ SIIiGLE FAMILY DiIELLIBGS M~LTIPLE DWELLINGS COrE'lEACI9L 2 3ETS OF PLkAS 2 SSTS OF PLAHS 2 SETS OF IACHITECfIJHAL :tEGISTEHED STTE SORPEYS flEGISTSRED SITE SDAPES3 - 8 STSOCfURIL PLANS 9 SET OF EFERGS CdLCS. (CHECb iiI'1'H HLDG DIY.} 1 3Lrf ~ SPECIFICATIONS t 88i OF E~8~1 CILCS. 1 3E? II~' S6EHGI CLI.CS. MULTIPL~ DiIELLINGS RENTAL ONIt3 F08 33LH ~I45 i OF DHTfS ¦OTEt IDDAFSSES F08 CORlQEA LOR3 - COFlRlCTOA/HOl~OiiNER !lOST DE4IGNATE YHICH IDDRFSS IS DFSIAED. BO CHANGES WILL HE ILLOtiED ~iCE HOII.DING PEAlfIT I3 ISSU6D.. SEHER i W9TER PERMTf FEFS lPD lCCOIIAT DEPOSIT FEfiS iiII.L BS IACLUDED iPITH !BE HOILDINf3 PERlfTT FEE. PAOCESSING TIIRE FOR SEHER 1ND lidTEF PERtlri'S IS TNO DAYS ONCE l PEAMTT HLS BEEB COhSPLETED IRDICATING A LICENSED PLDl~EA. - PENALTY @PPLIES WFiENs PEEiM2T IS NOT PRID FOA IN SAME MONTH IT IS BEQUESTED. LOT CHiNGE IS AEQUESTED ONCE PERMIT IS ISSUED. SEP 1 I 1989 To Be Used For: C~~t/44F ~~Ci'n,. Valuation: ,~j~a~ ~ Date: ~'l~l Site Address G/~Z7 WC-s~ ~,1~r,u~ Tfa~ ~FFICE DS6 O1PLT Lot ? Blxk ~ Oceupancy ~ FEFS ~ ( Zoning PD R-i Parcel/Sub T ~tjeD~~ Aetual Const U- ni Bldg. Permit ~ Alloxable V-N Sureharge l.so Ormer ~?f1711 Y~~2~, ~ of stories Plan Reviesr Length e ~ SAC, City Address y7Z7 ~'~i=~ ~in1~ ~(-jA ~L Depth 19' SAC, HHCC S.F. Total Water Conn City/Zip Code ~.~Yb~'!l~ ~Sj Z Z Footprint S.F. liater Meter /-I bcet. Deposit Phone -TJf Z"' 25 ~y On aite eevage S/ii Permit On aite well S/H Surcharge Coatraetor ~r1 ~~ot.J:~ !'lHCC Syst~ _ Treatment Pl. ~4t~ vater _ Road Unit Address FH4 required _ Park bed. Sooster Pump _ Copies City/Zip Code SDBTOTAL LPYROYAIS fenalty Phone Planner ` iOidL nn.fi6 Council Arch./Engr. Bldg. Off. 1Z-P Ds. Variance Eddress Citq/Zip Code Phone d 1 ?.4 ~u n~~.J . . ~ X1~ _~SZ X/S- = Zz ~a oi~ 3or~o w w ~ : ~ ~ . ~AOBE - ~ ENGINEEAING C P~RNNEf~Ii ond~lAND f~Ul1Y(YOllf COMPANY~ INC. ~ ~~.1000 CA3T 1461h STIIECT, OURHSVILLC, 111HNE30TA ~0~7T ?M ~J2-~000 Cer1~ }'f ca,~ _s$~~.y-e y ,~Q~I _DC.fC~~{p~ Lor (v~ BL~c.IL'S~ f~ARK RIDGE~ Q4v.prA Cc+~r.~T~( ~ M~~l~l E~t~l• ~,9~` r \ ~ rt~ \ ~ 4. Z~~ L J a hloRnl s/~\° 0,8~9'~ 6GA~.E I~~ ~ ~o o~ / Ji ~ ~ o. o ~:J'i ~ ~ \ / / x ~ ~i ~6 ~ ~i h3 ~ R ` , tih ~(y~r ~ ~ ` '~o '1 ~ \ Po~ J b `"o ~7 l~{ ~ ,~C \ py b~ b C \ rP' , a~'~ j~-J ~ 9~ta o , , ~ ° ° i s N D~tek~N E .y~ ~ Y`" ~3+~ ~ ~~.p s, ,t MJD~ V1l l~ TY EASErnFafi\ \ ~ ~ a rd / / ~ f ~ ~ ~ ) v JJr / ~ u~ ~.i ~ ` \ ~ ~ ~ 1q ~ ~L'S -a O o \ 6 ~ ~ \ fl'~\ / / ~1 21'~, Np ~ \ . o-~ LoT Co ~ S` , ~ °i e b d~, ~ ~ qv~ n J~ / i o~ t'~'u \ bA~ b u~ 'tl q~ / ,p iu~ .al \ aN . i~KeJ q~ii~ N, ~JFA l~p1-13 ,y~ ~~8~0j~ ~ ~T ~ ~,.b~' ~~°1`, O~p ~ J ~ ~ ' ~ o S.e ~~~~1 ~~v. ` 6 ~(~j,,a,,,,e~~ , I ~ ~ ~ 94~L ~ 1 ~ o,o. 'r_ ti,,,5 JI ~ ( ~ ~ i"c~ V~~1b ~I O~ ~ ~ /~7~"/ o L / / o ? \J „y, ~ li l' o ~ .~I^ ~ ~y• _ ~ / / a~ y. ~ DRAiNqvE 4 vriuTY y18x,-~ ~ ~ , EqSEMENT ~i9RO u~`bg~~~~~{F 1~T~by C~ k9os6 r, ~ l09 ~ ` . 1d ~t 1)10 c- ~•BX • ~ ) ARcq ~-'_'-.9'~ , . \ ' %92° ~ DENOt"ES . ~ X~ST/,.V~ EGE 1~NJ ~ \ `r' ~qLO,o) DENOT£S f'ROPOSED ELElG9 /ND/CATES D/RECT/ON Of SURF.9CE DRA/NAGE ~/N/SHED CARAGE FLOOR fLElG9T/G I 1~~r~by c~rtify that thi~ i~ a true and corr~ct rap'ra~~niation ot a lar.d ~t if~o+m' and de~cribed h~r~on.. A~ pr~p+~r~d by m• on thi~ Zisr ~ /~JAy ~ 1 ~ ~1- , , ' ' ~Z~~', /i«c.~ N{nn. R~s. ~ ~ ; ~laa ~i~ ~ CITY OF EAGAN ~ ~ APPLICATIO~I FOR PEIL'4IT SES~ER AND/OR WATER CONNECTIO~i (PlEASE PRINT) 1) PF.OPERT'! ADDRESS: _ ~727 1Jest Wind Trail, Eagan r.FraI. DESG4Z°'PIC:I: r-7. RT -3 Pa rk ~ Ri dgP (Lot/31ock/Subdtivision or Tax Parcel I.D. Niunber) i: :i, ST'~L'CP':2E, DaT' G? ORIGi dAL rai2LDL`IG P~_.sm rcS~:a~;C_°: FP.=S~:: ~^`~7:/~:...~,'gCS~ L~S~: ~ R-1 S~iGLW sPti+SLY • ? R-2 DUPLE}{ ('ISCO [JNITS) ? R-3 ~GSv'(~ICt,'SE (THf2E:" + ~TS) ( Wi ZTS) ? R-? ApAR~~^,"P/C^v~IDQ~].P~II[7,e1 I CNITSi ? CCi'~tCIAL/REI`AII,/OFFICE ? I~i'DUSTRL~L ? INSTITU'I'IONAL/GOV~~Pr 2) ppn~C ~-r (PLEASE PRIHi) NAbIE: Ruscon Homes, Inc. ADDRESS: _1000 Fast ~46th St Suite #100 CTTY, ST~TE, ZI?: Aureaville. MN 55397 ' PHO~: 4'i2-l 4'33 3) pl,G.tgE,q ~LEaSE va1H1) FOR CITY USE OH~Y NAhtE: Star Plumbing , ADDRE55: 1018 Mound Springs Ter. vLUr.sERS LICEVSE: Q Active CITY, STATE, ZIP; Bloomington, MN 5}+20 Expired PHO~~IE: ~ Q Hot of Record 8~1-~L1~F9 PLUHBER IICEHSE p 3329rt arr nitta 4) p~(.'~JPpN'I'/(7~7iI&~ (PLEASE~PN1Nf) NAhfE: Ivan Berg . ADDRFSS: 3201 Minnehaha pve. So. CITY, STATE, 2IP: Mpls., MN $$406 ~ PHC}`IG: 729-0022 5) INpIC~',T'E WHICH PEP1•lIT IS BEII~ ~ CO.~'.CIECi'ION TO CITY SEZ^7ER ~ CO:.^IF7CPI0.1 'IO CITY NfATER ? dl'f'.ER (PLEASE DESCRIBE) 6) ~;pIC,;:: C:~: ? PL;1SE F?OID APPF2(7VED PER,~LIT FOR PICI;-UP BY ONE OF I~BOVE °L.&~SE +r*7IL PROVID PIIZ~uT 'Iq 1, 2,03 4 AP,OVE (Circle one) 7) SI~TT."~E: DaTE: ~ r ~ ..,~,.r ~/lBl:~all~~i~l~~~s~1~1'f~CS . ~lesi~L . . . . . . ~i~iii%~I~:ss:s:~~!lfa~r~-JliOaa~~s .p F 0 R C I T Y U S E O N L Y PERMIT = ISSUED ` p°F;S: S ~Q'.5{j Srt.~E~ D`q\ITy (I'.ICL;;D~ SUP,CH~~~c) S /(~~5~ , WATER PEIL`1IT (INCLUDE SURCHARGE) $ I.`].O~ WATER METER/COPPERHORN/OUTSIDE RE,aDER S WaTE~ TAP (I\CiUDE CORPORATIODI S:OP) $ SE;•]E~ Tao $ /Sd7D ACCOUNT DEPOSIT - SEidER $ IS•On ACCOUNT DEPOSIT - WATER $ ~7~. WAC S ~'L S• c~D SAC , S TBUNK !~ATE.°. ASSFSSi1E:]T 5 TRUNK SES9ER ASSESSMENT S LATEP.AL BENEFZT/TRUNK SES•IER $ LATERAli BENEFIT/TRUNK WATER S • OTHER S TOTAL . $ J~'~J ~J. SO Ai~10UNT PAID/RECEZPT # GIy~ ~ DOES UTILIT! CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG~IT OF L9AY? ~ YES ZF YES, THEN A"'PERMIT FOR WORK WITHZN PUBLIC ROADWAY" MUST BE ZSSUED BY THE I y 1 NO ENGZN$ERING DIVISIQN, LZST AS A CONDI- / \ TION. SUBJECT TO TIIE FOLL0:9ING CONDITIONS: ~ APPROVED BY: In ~,f~,~ TITLE: ~ 9 ~ r~U D~TE : 'CT I ~ J~'li ~ ~ ~~~r~.sw~s~a~~~~af~t~w~w~~wrw.+~wt~w~ii~.f'~~~ ~ . ~E ~ f4 ~JA Ri R ~ R ~J~ ~ ~ ~ 3~ ID 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION S-b City Of Eagan ~ 3 O 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complece for: single family dwellings & townhomes/condos when permus are reqwred for each unit Date ~ / ~ ~ / ~ ~(1^1p~~~~~~ + ~ Site Address °V~~ ' ~ Unit # Property Owner C.>Y2~'t'C~V~-,/~ ~ ~1.0~.~ Telephone # ( ~5 ~ ) T / z - ~~~J Contractor Street Address Bumevllle Heating & AIC, LLC City State Savege, MN 6537&1122L~p Telephone ) Bond ID ~I ~ 0 ~~~1"~ Ezpires: ~ ~ \ ~ ` The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional ~Replacement air exchanger ~AR ~ 2004 ~ air conditioner _New ~Replacement ' other ' - - S[ate Surcharge $ 50 Total $ 2~ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a permir, that the work will be in accordance with the a proved plan in the case of work`which requires a review and approval of plans. . ~va-,lJ J~~ ` ~ Applicant's Printed Name licanYs Si ture 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6oue # 651-675-5675 Please complete for: commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contrector Street Address City State Zip Telephone # ( ) Bond Eapires: The Applicant is _ Owcier _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, call for lnspecUon by Fire Marshal and Plumbing Inspector PB~[t11I F¢eS: 57050 Undcrground tank installation/rertwval SSOSO Minimum (includes State Surcharge) or ConaactValue $ x 1% _ $ PemutFee • [f pemut fee is $1,000 or less, add $.50 ~ $ State Surcharge If nemut Cee is over $1,000, add $.50 for every 51,000 nermit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance wi[h the ordinances and codes of the City of Eagan and with the Mechanical Codes; [hat I understand this is not a permit, but only an application for a permi[, and work is not ro 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 Signahue Approved By: ,Inspec[or Date: ~~~5c~ 1~5 Sv 2oos RESIDENTIAL PLUMBING PERnniT aQPUCaTiotv CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ ~L_ ~ ~Gl~_ ~ Site S[reet Address ~-7T ~ e~ (Ll ~/U~ ~ Unit # Property Owner ~/-f~~~~!~ Telephone # (6~~ " Contractor ~ , -s Telephone # (q~pr'~~~9d Addres City %~s'/phJS/~~~P State~~. Zip?~-"~~ The Applicant is _ Owner ~ Contrec[or _Other Septic System _ New _ Refurbished Submi't 2 sets of plans and MPC license Include$ ~OO.OOfee Per as-built S 10.00 Alterations to existing dwelling ~ 50.00 Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are installing on! a water sofrener and/or-wafer ~ heater, do not complete this section; move to the next section and check the appliance(s) you are installing. n~~~~~~ D I,UI Septic System Abandonment ~ Z ~ - JUL 3 Water Turnaround (add ~130.00 if a 5/8" meier is required) Other: ~ Water Softener ~ Water Heater ~ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ~ 50 State Surcharge 5 !S. SO Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance wiih the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accor ce with the approved plan in the event a plan is required to b eviewed and proved. ~ ~ / ~d ApplicanYs Printed Name Appli ant Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4727 West Wind Tr Lot: 7 Block: 3 Addition: Park Ridge PID:10- 56750- 070 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Hometown Restoration 7308 Aspen Ln N #110 Brooklyn Park MN 55428 (763) 494 -8695 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Jeffrey D Seymour 4727 West Wind Tr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA085189 08/11/2008 ePermit 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 ÷÷ ÿþ ýüü ûúûúþ ùüü ú öüö ßó Þÿ ß ß ó ýüõ ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîïïñüïûïí ëÿééùÿþëëïÿ ü ùíõëëùëí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù Þéâëëýïü õüÞõ÷ôßß÷÷ú Þîåãó ÿåã áàôôßßß ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü *1' City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: f Permit Fee: /-?5Y SSc() Date Received: Staff: L INFLOW4 INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite #: RESIDENT /OWNER Name: 1 by -60104I lel rui- - Phone: &s--1-4.--( a _t �U� Address / City / Zip: 44 -V-7 "V VI' /v-2 \ EA6-AN csc.,Z- CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building Sump Pump Repair Repair envelope) Other: Other: DESCRIPTION Description of work: r.�� - `� 1' C i �t L'% Y ` ( I of, i d6- , / i'ai-c. FEES $55.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 cod: s of the City of E..an; that I un rstand this is not a permit, but only an application for a permit, and work is not to start without a per it; that the w(brll ill be in acc dance with the approved plan in the case of work which requires a review and approval of plans. x Ap licat rinted N x Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In Final I p p ar+ t .µ F '`4 F a S � -. ' - r� �� d � 1 OF . Q� /NA 1)1NOJWU a, i 't PERMIT " CVO.: ,,,, 'tt ; X ' . '124 DATE: t _ $1 No. of Units: , : $'ialiFCt't1 ROmSS ',Address: , ire Address: 42 Vest Wind Trail "L7 43 Park id #i ,,, , ,' Star Plbg u , Meter No.: - Conner on Charge: 4 a c rEa I Pd ., Size: - Account Deposit: 15.+4 pd Permit Fee: 10.40 41)4 ' •, r 1 apes to moat %Otk the Cit, of Eagan Surchorge: 63.00 5d Misc. Charges: Totoi: a hl ) Date Paid: ( r d 5 26 C : . le eru Ff No. of Units:. :../.1,..4.79...__,___ J _i_. 4/21 west r�nae rai L7 ; 83 a ricrtdge, ° : Star rJ bg ifl- ) t � , 6- 4,--84 4412z Ivu.uu Pa f' g 4 to ► 0.• of i t on Ch . 425.00 pd , 4 +. p � ? E uM tie t: 10 . c 1 ti rmtt Fee:. 10 ,. Seachoope: . 50 p et f of'! '' t r r ! Dote Retid.