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824 Yorktown PlCityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1 6 Use BLUE or BLACK ink Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: ( 1 ( Site Address: \EDL ---i L�� 1).3r) D 1..C:o-R Tenant: Suite #: RESIDENT / OWNER Name:________ S1-- cC&JJ VCC Phone: 05 )'CQE b O0e"7 _ Address / City / Zip: • (-11 Lor 1 j -ri lo -Q0 CONTRACTOR ILLE HEATING & A/C, INC. Name: BU NSV License #: L((GS . 1 --) %3 3451 W. Burnsville Parkway Address: Suite 120 City: Burnsville, MN 55337 C r` .-� 4,G ,� ..D State: Zip: Phone: "lam Contact: G•` Email: TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: 9. - --o-_ 1 NOTE g ni meted i ttati+cal equii ent ts.require to be bpi Cif " o 'the A echanii l lnsp PERMIT TYPE RESIDENTIAL )(Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / _ Remove) Other ,Q)�� ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) �/ 1 $5.00 State Surcharge) $ 1 r w TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit _ $ TOTAL FEE CALL BEFORE YOU DIG. Cali 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.00pherstateonecalLorsa 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 withtheapproved plan in the case of work which requires a review and approval of plans. x \-)ks( \OL Applicant's Printed Name x Applicant's Signature CITY OF EqGqN 3830 Pilnt Knob Rosd WATER SERVICF PERINR ~ P. BoxZ1 199 Eagan, MN 55121 °E?sMIT NO.: fum f N O " of Unf ts: ress: Addness: bsr. . 5tar FIb , I14 . 5'` '~1e&<iours AAeftr No.: ~ Size: C, "W .t R°odsr o.: W? Cjv?pq; 47n . 00 d e ,3 S ~url~` l~epdsl} * ' ~ S . 'J0 pd ~ Z cler .i P*rmrr Fee: I p cl ~Mwor. Surdwrge; . 5! p ) Mrac, Cho,~pef; Fi3.00 C~ Tf1(•!' , eY 7°rol: nd horn DaM of Irup.: Doh Pold: CITY OF EAGAN 3830 •Qilot Knob Rwd SEVVER SERVICE PERA~IT P. O. Box 21199 ~ Eegan, MN 55121 PERMiT NO.: fi ~ Zonbp; R.I D/1TE: . ; Owner: OI -F ~s No. of Units: r ~ C011etructi.on Srro Addross: 4Xo rk t ot~u P I a c c,7, , u Plu~++be,; :~0 Me~t 0,We ~ I M asmM1 NK flw coy ~f Conftetbn Choege, I j ' AoOOtant DMPOwt: . r Pe'mtt F.r. 1r1:•, 8Y St'nch°rpe: . S U Dot~e of Inap,: Miu. (~q d rgw i^'p•. rwm: Dc'. P+oM: CITY OF EAGAN 3830 Pilot Knob RoW WATER SERVICE P ' P. O.'Box 21'19g ERMfT Eapan, MN 55121 PERMIT NO.: 5`i 7 Zanlno: DA7'E: j - _ 7J Owner: No. of Unlts: 1 i Add"es": n ' Sih /'?ddress: PIu++ber 5tar P2b _ ,14 BS l~o !KeBdowe Mabr No.: Slu: Camecrton Cho,ga; 470 . C Q d Reode. No.: Akoounc Deposft; 15.4 p 1"" hso.~ Partnit Fes: 10.00 p S,rcharge: pa AMM Cha?o.s: 63.00 d meter ! By Toto1: an d ho rn Dofe of Irqp,; Da+ Pord: Irup,; a , . . . _ . . . . . ~r. ' ' ~ CITY OF EAGAN 9762 . ' • , 3830 Pilot Knob Road, P.O. Box 21-199, Eaqsn, MN 55121 ~ PHONE: 454-8100 SUILDINO PERMIT Receivt T* be wod.#W SF BWG/GAR Est value $56,000 Date DECEMBER 4 19 84 824 YORRTOWN PL R3 Site Add es} Erect ~ Occupency Lot ~ 4 Block Seclsub. NORTHV'EW O%mdel ? Zoning RI Parcel No. Repsir ? Typa of Const. V Enlarge ? No. Stories Name OL-BERG CONST Move O l,ength 4-3 S Deniolish ? pepth ~ City AP7LIM Phone - Grade ? Sq. Ft. p~ SAME AVProvolt E••a ~ O NafTIQ ugt; A~~ Assessment Permit IUI.UU ~ Water b Sew. Surchorpe 26.0 City Phone Polics Pbn check 150,59) ~W Name Fin SAC 525.00 YZ Address Enp. Woter Conn. 470.00 ~ W City Pr,one Plcnrwr Woter Meter 63.00 0 CouncU -~-T7~ Rood Unit 260.0 I hercby acknowledye that I have reod this opplication ond stofe that 81dg. Off- 1`'/ Parks the info(motion is correct ond ogree to comply with oll applicable A~ Total , 197. Stote of Minnesoro Stotutes ~Ir+d City oF Eoflan Ordinonces. Var. Date Sipnoturo of Pert»iftee - J • . ~RG CON T P1 Buildiny Permit Is issued to: on fhe expnss Conditlon thot oll work sholl ba done in ocoordonu wlt¢-afl dppliaobb Stote af Minnesota Stotutes ond Gty of Eopan Ordlnonces. Buildinp Offkiol l.1 / Pamk No. Pwmk Holdw DsN ~undlir,o 5t (Yt - 'ql H.VA.C. s43a- Q~ electric ~ ~zl~ l~ I fi` `Y`P s e,,.r ,a1-C5 37.00 saft.m. IrqpKtion Date Insp. Othw Footinyp Foundation Framie?y - -5s Rouyh Plbp. ~ I Rouyh HVAC -9-~ 5 Z -27_ $ ' InwWtion F'"'i wlml. ?3 Finsl HVAC ~ Finsl f C1rtJOoe. Wow Wseribe Loution: YWII , Sewer • Pr. Disp. , I Receipt MECHANICAL PERMIT Permit Na, CITY OF EAGAN - Fae Fill in numbered spaces S!C Type or Print legiWy Tot. . , 1. Date i 2. Installation Cost 3. Job Address Lot ~j L~ Blk. Tract 4, Owner ~ 5. Contractor Phone - • ' 6. Address 7. City State Zip 8. Bui4ding Type: Residential ~ Commercial ~ institutional O 9. Work Oescription: New ET- Add D Alter ? Repair ? 10. Describe Fuel Type 11. No. Eqsjonwnt STU - M. Ea. No. Eauiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. t_ Unit Heater ~ Mf9• Other ~ Air Cond. T- Mfg. Gas, Fliping Outlets 12. I hereby certify that the above information is true and oorrect, and I agree to comply with all prdinances and codes governing this type of work. Signed: b for Rough Fina1 Inspections: Date Insp. Date tnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 R*asipt PLUMBING PERMIT PKmit No. CITY OF EAGAN - 31`6y F« Filr m m.mae,ed apacer S/c Typa or Prinr lsyibJy Tat ~ . 1. Date 2. InstaUstion Cost ' 3. Job Address ' Lot Blk. Tract i•~W'...ti-'~~ ~ 4. Owner ; , 5. Contractor 7L • . Phone • ` ~ % ~ 6. Addrsss - ~ J 7. City . State !1 / , Zip " 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New [1 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well _L Kitchan Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. t hereby oartify that the above information is true and correct, and I agree to comply with all ordinances and cades governing this type of work. Signed : for Houyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. r~ 1~. r: Eagan, Minnesota 55122-1897 Date Issued: o r/ Ors /fr 6 (612) 681-4675 SITE ADDRESS: APPLICANT: i~.~ I; I~t Ii t n ; r1ftY 1 f'tilN F`1 t .r111~,I1 I !';`h1h~ ii~~l{ 1 tl'•. 1 1, i rtl ,~I~r:t ! i.. ) r.:?.. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ra,. t-t MAJ~V-~: -TNI- i I1(i[5 ifliJf k I.lt ~ I L ~ Permft No. Permlt Mdder Dab Telsphone M ELECTRIC PLUMB{NG HVAC Inspwtlon Dea Inap. Commwnts FOOTINGS FOUND FRAMING ROOFINC3 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG F W AL HTG ORSAT TEST BIDG FINAL I F3SMT R.I. i !3SMT FlNAL I CiECK FTG - - - !ECK FINAL ' I CITY OF EAGAN Remarks Addition NORiHVIEW MEADOWS Lot 14 Rlk 5 Parcel 10-52100-140-05 Owner Street 824 YORKT04JN PLACE State EA6AN NIId 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1984 76.75 7•67 7-,,,(T8. 10 STREET RESTOR. ' i GRADING SEWER LAT 61 1981 15.89 .79 20 SAN SEW TRUNK 19$1 138.48 6.92 20 10 rr ri SEWER LATERAL T 1984 275.22 ?Q* 16'-55 15 SEWER LAT 1981 22 . 28 .46 1-.44 "iS 14.88 WATERMAW $ 1984 70.67 4.71 15 61.2 " " WATER LATERAL 1981 18.65 --9-3 'M!S 12.45 if " WATER AREA 1981 138.48 6.92 20 1-03.88 it WATER LAT -5 3 1982 29.52 , yIr" 20 22.17 it STORM SEW TRK j~ 1984 392.32 7446 49-.-23 +0' 2 -40 STORM SEW LAT DRAINAGE 1984 33.97 X-.40 0 2,1~ „ CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 470.00 " " BUILDING PER. 1: ii SAC 595-00 - n s PARK • CITY OF EAGAN N? 9762 ~ 3830 Pilot Knoh Ruad, P.O. Box 21-199, Eagan, MN 55121 BUILDIt+{G PERMIT PHONE: 454-8100, rteceiPt # Te M uted !ar SF DWG/GAR Est. Value $56,000 Dote DECEMBER 4_ 19 $4 824 YORKTOWN PL R3 SiteAddr;as Erect IR Occupancy Lot 14 Block 5 Sec/Sub. NORTHVIEW MEADOW14model ? Zoninq R1 Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories ~ Name OL-BERG CONST n4ove ? Length 43 Z Address6400 1315T ST CT oemolish ? Depth 45 ? ~ City APPLE VAL Phone 432-9079 Grade Sq. Ft. o Name S~E Approvala Fees Address AsSessment Permit ' F City Phone Woter 8 Sew. Surcharge 2fl_ 00 F Police Plan check 150 _ S(1 ~w Name Fire SAC 525.00 ~Z 47~.~~ ~G Addre55 Eng. Woter Conn. .W City Phone Plonner WoterMeter 6310_0 Council Rood Unit 260_nn I hereby acknowledge ihot I have read this upplicofion and stote that Bldg. Off.12/3/H4 parks the inbrmo[ion is torre<t and ogree to compfy with oll oDDlicable AP~ Total~~ State of Minnesato $tatufes nd Gty~(if Eugon Ordirwntes. ~ Var. Date SipnaNre of PertniMee 7 ~ - ~ A 8uilding Permif Is issued to: OL-BERG CONST on the ezpreu condition ihat oll xrork sholl be done in accordance wit plimble $ e Min esota Sfotutes ond City of Eogan Ordinances. Buildin0 Off{ciot . . . ~ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 9j?16z INCLUDE 0 SETS OF PLANS, J] CERTIFICATES OF SURVEY ~F pW cl9 SET OF ENERGY CALCULATZONS To Be Used For: Valuation: 4;~- Date: dF y~l Site Address: ~a4 YDQKZbwN p(-J'.r£ ~O~ d • • Lot- 14 Block: ~ S2Ct/Sllb: NPMfAnA s~ Erect: ~ Occupancy: Parcel Remodel: Zoning: ~ Repair: Type Of Const: S Owner: (o~,)TRAr'Yb,D- Enlarge: # Stories: Move: Length: .13 Address: Demolish: Depth: 145_ City/Zip Code: Grade: Sq. Ft.: Phone Contractor: OL 8E~-'6 Gh uST ~ Address: 6461> 13J~T57_ cf T. Assessments: Permit: 301.~ City/Zip Code: A Pp)-e y yniJ 5)$I,LQ Water/Sewer: Surcharge: 28,02 Police: Plan Rev.: Phone Fire: SAC: 5'Z7, W Engr.: Water Conn: ~'jp, Arch./Eng: Planner: Water Meter (03,°° Address: Council: Road Onit: Z~p.= Bldg. Off.- /L.,3•A>ft_%Parks: City/Zip Code: APC- nh,,,,AA, variancev ~ J' 7,sQ 25 x 38= SO x S~ ` 5~3c~ ~ 42o x i~ ~ 9~z o 21 ~c 20 ~ ~ z• ThisreQUes[voitl 18 non ~ ~fmq 6 /.5.5 N b U i e...r /kti 37. ~ fle~uc~s J~.+le-~ p Fire No. Rnu ? gh-in I~pection / ~Ycs~' ~NO fteatlY Now,0 toWil rlM~~en ry;ady ~LicenscMRioc~ncal ConVactor I hfep ~ oq y uest insPection of ebova Q pwner electriwl wak imWlled et: Streo[ Address. Boz or Route o. City ~Pii dk'~%QGC~~J E46-q kJ ecuon o. TownshiU Name or No. Hange Na. Counry Occupant (W11NT) PlIom, No. 6~S'a.c.: Pow~r $uypli¢r Address 7\ ? ~ Elec iu~l Contractor ICOmp y Name~ Coni~c~oJ~ cLicense No. l J`% M:ulin Address (COntracmr Own¢r Making Ins[ailaiionl SSd' ~/~ca17- Av ized SignaWtractor~ ner Making In tallationl Plionc Nunbcr ~c-«~oc~-Z_ MINNESOTp STATE 80AND OF ELECi111CITY THIS INSVECTION REQUEST NIIL NOT Griqfls-MidweV Bldg. - floom N-191 BE ACCEPiEO 9T THE STAiE BppRD 1821 Univer5ilV Ave., 5t. Paul, MN 55104 UNLE55 PNpPEp INSPECTION FEE IS Phonx 16121 297-2111 ENCLQSED. REQUEST FOR ELECTRICAL INSPECTION EB-°°°m-w ' Sae instructions lor complelinq this lorm m hack oT yellav copy. ~D 196 "x-, Below Wbrk Cov'ered by This Request FAtl Nep. T s of 9uiltling ApOliomea Wire0 Equipment Wired Home Range Temporary Service Ouplex Water Heater Ligh[iny Fixmres Apt. Buildmg Dryer Electric Heatin Commeraal Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Mifk Tank Farm oH,er 5pec. ty Othei ISUer.iryl t v.r Sueufy Othe, Othcr ompute lnspection Fee Below p Fee ServiceEntrenceSize R Fee Feeders/SubfeeAers N F:e Circuits 0 to 200 qm s 0 to 30 Amps 0 tn 30 Am - Above 200 q... py 31 to 100 qmps 37, Qd 31 to 100 A Swimming Pool Above 700_Arnps AWve 100_Anyri Transrormers Irngation Boorns ,SQ Panfal%Other Fee Signs Special Inspection $r7 Remarks ~7 ( TOTAI.FEE (37. vU flouBh-in Date ~ . the El~cai~/~ / ~ /Q~' i~pecto-. heretry Certlh/ [hat tIg dbpye Final Ie ~~ion, Isi b.. T - 4 ~ ~ae. tltlarepu¢stvmalBmomhsimm C,/~ ~ This reQuesl wid lI Q I~,l6 C{ M1.@months Irom 1 < < EE~ Lq B O Requesl Date Fee No. Rooeh-in Inspection Ru E] mred~ RenAy Nuw W~II Nolify InsPCo- ~j c+ ? No r When Hoatly ,@:~icemsed Eleclrical Convactor I hereby request inspaction ol abova ? Owner electricel work installod ac StreM tlress, Bo or R~ ire No. ~p Citv aG f / L . 55' ectmn o 7owmshi0 Namn or No. Hanee No. Counry Occu t (PRINT Phon No. csviv Po SupPIler Acltlress /k:-~ Elecvi I Contraclo, ICOmpany Name) ConUactor's License No. 71 - Maili B dJress IContractor o~ Owner MakinO Insjail:rtionl ~SSd' G, ~'I~v 5S3 Authorized Sienature (CO vactor ~Iion) Phone Nwnber -6 - O MINNFSpTA STATE BOARD OF ELECTflICITY THIS INSPECTION flEQUEST WILL NOT Griggs-Midway Bldg. - Hoom N-191 gE ACCEPTEU BY THE STATE BOARD 1821 UniversitV Ave.. St. Peul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS m.,..... 1a111 197111i ENCLOSED. u~ I~~ REQUEST FOR ELECTRICAL INSPECTION ~EB/-0°°°1~ 1 e , Sea instructions br comotolim this t«m on baek ot vellow cooY. ° 6163 "X" Below Work Govered by This Requesf Hd0 Rep. TVPe oi Builtlinp Aootiantee WireE Epaipmam IYired Home Ranye Temporary Service Duplex Water Heater Ligh[in,y Fixhues Apt. BuilAing Dryer Electric Heatin Commercial Bldq. Fumace Silo UnluaAer Industrial BIAg. Air Conditioner Bulk Milk Tank Farm Ne, peci y F"her ISPCr.~fy) t $Veuly Other Oth.r ompute lnspectlon Fee Below Y Fee Service EnfrencaSizo p Fea Fondors/Subineders N Fee. Cvcuits 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am ~ Above 200 q~nps 31 to 100 qmps 31 to 100 qm - Swimming Pool Above 100-Amps A6ove 100_Amps Transrormers Irngation Booms SO Partial•'Other.Fee Signs Speciul Inspection Nemaeks !Q-L( ' j TOTAL FEE ~ 'S Bouph-m Oate the Electrical Inspector, he,eby F cartilV that Ihe abpva inal n~y~e pection has beeo f : `aa. R~y nepuast voiE 18 monlRS irom Certificate for: ,-01-berg Construction - 6400 131st St. Court Apple Valley, Mn. 55124 DELMAR H. SCHWANZ UND SIIFVEYORF INC PcoroPo 1n1p1 Lawnl Tnp Gt}le nl Minn?sn~T 14750 SOUTN ROBEHT TqAll ROSEMOUNT. MINNESOTA 55068 PHONE 814 423-1769 SURVEYOR'S CERTIFICATE _ . _ . . . ~o,~KrowN f'LAc~ o ~ M 60. oo s 9- rz • ii E ~p 4 4 9~y¢ o - - - "'('o ev I d 60 9Iz4 : ~l1 2.1 M I a~ d ~ I ~OofEO ~ I a ~ ~ paas6 r ~ SCALE: 1 inch = 30 feet il.t 38 ae~ ° Elevations shown are proposed ( i from development plan. a I G i ° Proposed garage floor elev.= 972.4 :t. ~ o ~ Drainage & utility easement '~30 l- M - - - J 9,~~ = 60.~ t~i-sz-i~E I hereby certlfy that this is a true and correct representation of Lot 14, Block 5, NORTHVIEW MEADOWS, according to the recorded olat thereof, Dakota County, Minnesota. Also showing the location of a proposed house thereon. - Dated: November 20, 1984 r MINNESOiA REGISTRATION NO. 8625 ' . v . . ~ • EXTERIOR EINE*C?Z AVERAGE "U ` COi;?:;TFTIQ:! 047NER SITE ADDcTESS YOP g T twN PLACF CONTRACTOR OL- B Ee-6 Gb u51 , DAT:: PEO!IE Deternine ororking square footage of e2ch. 1. Total exposed wall area ....__/G 9D, D sq. ft. x.19 2. iotsl roof/ceiling area 988.o sq. ft. z.04 Total exposed :rall area above floor =/G 90.0 a. Total wall vrir.zc:r area b. Total door area -y c. Tota1 sliding glass 2re2 ?a.7 d. Total fir=place 7rall area O e. Tot=_1 wall fra..~ir:g area (average 10%).../G 9- o f. Total net wall zrea above floor i33y.~ g. Total rim ,jolst area ~ Totai expcsed fcu^dation area = h. Tctal foun3st?on V:indow area O j.. LOt~.~.} :12t £OUTldc~`.'_v[1 ZT'°3 ?bOV2 g_'3d? De*ermir.e "U' value of eacn s•r2ii segner.t. a. X flTJt: .35 = 9 b. x t,Ut: G9~ _ R c.~ X "li`: •.:S = /7.9 D. p X"U;' o ' o e. 1.U,, ./-1 9 f./334l./ X ':I3': .oti/R = l5// A- X "U.. h. p C 'U' I. ?O. X ':U" 3 ............................................Tota1 If Ste^ H3 19 tne sa:,-.e as, or less than itera N1, you have met the Snter.t of 53C e0G5(c)2. • , ' Total exposed roof/ceiling area J. ;otal skylignt area k. Total roof/ceiling framino 2rea (average 1Gh R.R 1. iotal net insulated roof/ceiling area p,R q,a Determine "U' value for each roof/ceiling sec_m=nt. J. O X"U" p = G x. x ,:Ut, , oy = Jr, '9 X ,V, 4 .........................................Tota1 = ~ n If total o.° k4 is the saze as, or less than F2, you have met the intent of SBC 6006(c)1. : / i1 m r y 7 a ) / (-'-~3 S--,5-j 41c Alternate Bu±iding Envelepe DesiFn Sn! ~-vcGl)/ To utilize t~e tetai enve'_zpe s:°.e= _e=tc-4, _r_e es_-=b_is.`.sd by the sun c: ;tems fj ard sral; ::ct te Sreate^ :^e su~,ci iters ,'.'1 anl- =2_ 1. 2.::P/. / -F 2. 3 y + 4 .'_':c. _ _ ~ ' 'CIfY OF EAGAN PERMIT 3830 PilotKnobRoad PERMITTYPE: euiLoznts Eagan, Minnesota 55122-1897 Permit Number: 028158 (612) 681-4675 Date Issued: 0 7/ 0 6/ 9 6 SITE ADDRESS: 824 YORKTOWN PL LOT: 14 BLOCK: 5, NORTNVIEW MEADOWS P.I.N.: 10-52100-140-05 DESCRIPTION: ' - , (REPLACE DECK) Building.Permit Type SF (MISC.) Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL , REMARKS: INCLUDES LOWER DECK FEE SUMMARY: Base Fee $45.00 Surcharge $.50 . Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - ST SAUVER IYNN 824 YORKTOWN PL EAGAN MN 55123 (612)688-8438 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. ~ Statutes and City of Eagan Ordinances. ~ G n , / . -"y / 0 ~LQ r(~ 1 L? 1 /A / T- AP~~OANT/P RMITEE SIGNATU E ISSU : SIGNATURE CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~ 1996 BUILDING PERMIT APPLICATION (RESIDEN7IAL) , J~, 9p,C~ ~?/p 681-4675 ~ New Conslrudion Reaufrements RemodellReoair Reauirements ? 3 regislered ake surveys ? 2 copies o( plan ? 2 ropies of plans (include beam 8 window sizes; poured fnd. design; ete.) ? 2 sile surveys (exterior additions & decks) ? 1 energy calcuiations ? 1 energy calculations for heated additions ? 3 copfas ot tree preservation plan if lot platted afler 711193 required: _ Yes No ? DATE: ~ e CONSTRUCTION COST: e0 C as2O DESCRIPTION OF WORK: STREET ADDRESS4 a n E LOT I ~ BLOCK 25- SUBD./P.I.D. 02 ' ~ N4eAluo I G` ~ N/l~ Phone t~-9y2X PROPERTY Name ~ lv OWNER * VTkl r9r.v ,1 Lr l9C.° E Street Address: 9-1 City: C State:9 Zip: =(2-3 coNTrtAcTOR Company: 's-,• ~ LtUC1~2-- P h o n e ZA Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water Iicensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. c Signature of ApplicanY. , ~ • Sc~u~~e.~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JU 2 M, ~~,o I , 1Jds Tree Preservation Plan Received _ Yes _ No , - _ , Certificate for: , ,i'c~.-ti~ • : ~ O1-berg Construction " 6400 131st St. Court 78/41 Apple Valley, Mn. 55124 DEL6'il9AR H. SCHlRIAFVZ 14ND$lliiVEVpF$ INC finQa~niM U(IM lTwniP Clrla nl MnnYSt~.l 14750 SOUTH NOBERT TRAIL ROSEMOUNT. MINNESOTA 55068 VHONE 612 423-1769 • SURYEYOR'S CERTIFICATE , . , G o " h~ . ~vqb9,~ 7o1oC,V/aII 96B-6 ~p k 9 9~4 o- ~o 0 0 Q`rot 7op Nve 2i47p8 a, ~ 4.9 I 6 n ` 4 i4.s ~ ~ C ~ cz:r _ I h ,vaus6 ~ 'A SCAI,E: 1 inch = 30 feet ~ i lqll 3e 9n.z Elevations shown are proposed JD~'( P y i=xzj 97/•~ from development plan. Propoaed garage floor elev.= 972.4 ft. I sinage & utility easement q?1.3' - ii E `17a•$ . (a O -~77 I hereby certify that this is a true and correct representation of I,ot lh, Block 5, NORTHVIE47 MEADOWS, according to the recorded plat thereof, Iabota County, Minnesota. < Also ahowing the location of a proposed house thereon. House staked November 27, 1984, Dated: November 20, 1984 J M1fINIJES07A REGISTRATICN NO 8625 ~ 1 2/84 I CITY Or EAGAN APPLZCATION FOR PERMIT SEWER AND/OR WATER CONNECTIOrI (PLE SE PRIHTJ 1) PROPEF7PY ApDRFSS: ~ r.FrAT DESC2SPTICN: (Ir~t/Block/Su='Lvisicn or Tax Parcel I.D. Nunber) ~ IF S?'RI;CPT<E. DA'I OF OiZTGi IAL 'r.iiILDI::G P.j;mST ZSS~;?\C.: PFZFSL:?' Z:^„]P~C;/P??OPOSED C'S: .51, R-1 SL;Q.E FPti+SLY ? R-2 DLJPL...~'`{ (Tti17 CP?ITS) ? R-3 7CM-NII?C{JSE (?T?D.~F"-. + L?]ITS) ( WITS) ? R-4 A.?l:;!`1~7T/CC~.7CiSIILti1 ( Wi ITS) ? CClti~i~ff:RCLAI./RETAII,/OFFIC:: Q I~i'DL'STRIAL ? 1?VSTIT[,7IONAL/G,iVERrT-mm^P 2) PPPLSG?.NT ~ (PLEAINi) NAhtE: ADD?2ESS: (/O / ~ / Sfs._ CTT'_', STATE, ZIP: I~,(J o,~, d PxOINIE: 3) PLl.,;-ffiER NAME: ( LEASE PRI4i) FOR CITY I1SE 04LY ADDRESS: PLl1HBER5 LICENSE: " y[~/J Active CITY, STATE, ZIP: Ezpired r, Not qF Record PHODIE: PI~UMBER LICENSE # S 3 2 ~J ~-yl~J nitia 4) 0CC[JppNT/(7,yiER NuuME: (PLEpSE PRINT) _ - - ADDRGSS: v CITY, STA'I'E, ZIP: PHONE: 5} INpIG,TE I,iyICH PERRIT IS BEZ\G RDQUESTI:D: p QO.INECI'ION 'IC) CITY SF)WER COi`7NFCTIO:I TO CITY A*A'PLR ? Cli'[IER (PLPIISE DESCf2ZSE) 6) I21DIG= C:a: . ~ PL-EASE f?OID APPROVID PERMLiT FOR PZCF:-UP BY ONE OF r1BOVE ~ PI.E'+SE :*~'.IL APPROVm PER:-LIT TJ 1,(~l 3. 4 AFOVE (Circle one) ~ 7) SIQvTAT[iRE: DATE: 1211 L •~wai;R+wrrsd.aeE~a:a......+.sa ' FOR C I T Y U SE ON;,Y PE2HIT ISSUED FD1=S: $ / o• So S°t'ic4 PERMT_T II`1CLliDE SUP.C'itRGE1 $ WATER PERP1IT (IiICL'JDE SU3CHARGL) $ WATER METER/COPPEBHORN/OUTSZDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:4ER TA? $ $ ACCOUNT D.F,PpSIT - PIATER $ o , c-d WAC $ l~e3s .-e-tJ SP.C $ TRUidK f4ATER ASSESS'rtE;IT $ TRuidK SE61ER ASSESSAiE'riT $ LATERAL BEidEFIT/TRUNK SE:•iER $ LATERr1L BEVEFIT/TRUNK t4ATER $ OTHER • $ TOTAL $ 7'~ ~S d AMOU.`:T PAID; RECEIPT n y~ 3 /,7 DOES UTILZTY CONNECTZON REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? ~ YES ZF YES, THEN H"PERMIT FOR W0RK WITHZN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE L?,~ NO ENGINEERING DIVISIOV. LIST AS A CONDZ- TION. SUBJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: TZ:LE: i DAT°: C/ ~~~s~~s~~as~~~a~?~+~c.~~~w~wws~w.awc~w~~~.~~a~~s~~~w.~nc~wefs~~~ ÿþý ÿÿ þýüûüúýý ùþþÿÿøú÷öõ ÿô üûúùø÷öõ öùø÷ ÷öõ üô ùø÷ ûóûüûòúñòûòúüô ÿûòû ÿ ðïïø û ÿþý ð îîíîîîïî òìëöüêéöõèçæíæíå óù üû þìäçæïæï òûûñ ôðõ ÷÷ ûòûûòúþø ðïïø íá ÿþ ðÿþ ëîèîíîîîïî úø þ ÷÷ óòþò÷ø ÷÷úü ó üûãøóÿþâæ ÷÷éòüþûûøüþû City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: / OW Permit Fee: 47/12' 5 0 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (2( Site Address: Unit #: Name: A:7/a. 9114 u e 1 L (/n /9(6--1(-(6-phone: foJ l — 40.7r 00 TYPE OF WORK Address / City / Zip: 0 f/ I Applicant is: Owner re Description of work:. D f � . C - r t b9 -Sr /4 a» ( 1 `` 11 t S? .90"J\ Construction Cost: 5763 Multi -Family Building: (Yes / No ) Contractor Company: Contact: Address: City: State: Zip: Phone: License #: O 5.2 7 Lead Certificate #: If the project ismpt from lead certification, please explain why: (see Page 3 for additional information) it(1- COMPLETE 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: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information the information may be classified as non-public if you provide specific reasons that would perms' conclude that they are trade secrets.- CALL ecrets 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 Buildi • ;, m . completed within 180 fri days of permit issuance. Applicant's Printed Name Appfi a t' f mature Page 1 of 3 D6 (kg./(---ht,Ctici t bO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) — Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair ✓Repair DESCRIPTION Valuation 5d 0 0 -I -- Plan Review G' ( ° Census Code # of Units # of Buildings / Type of Construction V, 13 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant I2G-l' 2-007 a MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: ,Footings Air/Gas Tests _ Siding: Stucco Lath _Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 41,01' City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use / Permit #: j0(1 66 Permit Fee: 476 Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: Dv .t r� j et s -a rt Address / City / Zip: eeL1 g, rk 1i -wn PiL.fGe? Applicant is: %.Owner Contractor Phone: ‘...Cl -5502 TYPE OF WORK Description of work:0� �Q�A� e: $ir�r n o ,r� ,Sed Construction Cost: izor" Multi -Family Building: (Yes 2< / 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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 Applica Printed Name x Applicant :signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114648 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 824 Yorktown Pl Lot:14 Block: 5 Addition: Northview Meadows PID:10-52100-05-140 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Douglas P Decker 824 Yorktown Pl Eagan MN 55123 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148346 Date Issued:03/22/2018 Permit Category:ePermit Site Address: 824 Yorktown Pl Lot:14 Block: 5 Addition: Northview Meadows PID:10-52100-05-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 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 - Douglas P Decker 824 Yorktown Pl Eagan MN 55123 (651) 231-0919 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature LY TT T solve.SC1 v For Office Use ; EguC EAAGAAN °"°'6 Permit#: � - T1 Permit Fee: cx 1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �� (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: '►�1 buildinainspections(cD-citvofeagan,com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: —) Site Address: f3 a �O IIS Td c�) ✓` Unit#: Name: be) Phone: z..,57—„73/—.61/9 e Wrier Address/City/Zip: Op; 11r LTh W A F' i ‘7# v. ' /" I✓� 5�i t3 Applicant is: Owner Contractor Description of work: -- 'D iry G d,�,w� �+YAi , O� �}�i > 2r" r1 Type of Work J Construction Cost: Si/00 Multi-Family Building:(Yes /No)` ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License# Lead 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: NOTE:Plans and supporting documentsfatyou ubmitare`consider'edtobepublic ` a � tion s�» Portions of the iii b classi iedtas.non-public if ou ro u :e specific reasons that would remit the Cit to co cif.olhatl , „artrade secrets 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.cityofearian.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.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. x UD,.ctx f� Applicants Printed Name Applicant' gnature DO NOT WRITE BELOW THIS LINE ( a2. 7C%(l), 7---C/�i� 0 ., 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 at Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3Q�Y> Occupancy ,../-1( --/ MCES System — Plan Review Code Edition °do e- SAC Units — (25% 100%4 Zoning 77D City Water — Census Code 34 Stories Booster Pump #of Units / Square Feet PRV #of Buildings i Length / Fire Suppression Required --- Type of Construction Width `- REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 0 Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice& ater Final Pool: Footings Air/Gas Tests _Final 4t- Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced WallsErosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL F S Base Fee g-r* Surcharge Plan Review 57i---- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • Certificate fo • it- --/,?--_ -6 x ?1 -berg Constr etion .- Ii ��,/ 6400 131st St. Court `- Qk-41-din l Apple Valley, . 551244 DELMAR H. SCHWANZ LAND SURVEYORS INC RPQI.IPON1 UnOP'Law.nI Tho SrAIP nl MInnn5nlp 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE 812 423-1768 SURVEYOR'S CERTIFICATE 1y it.7- &N ptAC - 6o. o0 589-f-Z- //E 6o M y 14 .1)4,.. ) (44 4.7 2, JCT, DATE: ?•/4 y// r �' i 7 '�° yrc. vr BUILDING INSPECTIONS DIVI sib. 14.f 1 ° 0 4 , N,; 4; , Q *I P 1,00Eo w a k 1 K #- ' ' r °` SCALE : 1 inch = 30 feet g/F._ 380 4 1 Elevations shown are proposed CIf 9P , 1 from development plan. . p I i. 1, 0,--..m ,�r� N a Proposed garage floor elev. = 972 . 4 ft . 0 /drt. k Drainage & utility easement 7730 L 7 __ ...._ _ J . O p 60.ac .1"`-fl- // &c" I hereby certify that this is a true and correct representation of Lot 14, Block 5, NORTHVIEW MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house thereon. - Dated : November 20, 1984 n JO ! ,),,-/ : - /1/1/Y 6 //17 itra, .- i MINNESOTA REGISTRATION NO. 8625 i' -0- .-..-•,.1....10.• .. . I , .,i 7 rY . .,j ;IVSD 4(1/4-' I—For Office Use �( 1 , 0 9 2019 ::::e: APR Date Received: 1 -0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 146 buildinoinspections@citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 44-2 Site Address: M4-1 yr-prk+i)tor) Pi. Eoon n ,M N 53 123 Unit#: Name: ` (31O E De.0,1,12,r Phone:I Db(-2. 1 - Dq ICI Resident/ Owner Address/City/Zip: (Aaki \lc�►-k-1 c)t sr) EC's►cJgin mkt 5503 3 Applicant is: X Owner Contractor Description of work: rp m0cLPl I h(1 m -,t - Ina, .i n 2 bed rooms In-to I Type of Work '' 9 Construction Cost: g0C)Q Multi-Family Building: (Yes /No Company: N/A Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: r' s ' If the project is exempt from lead certification, please explain why: f' n tie ddri L hn Ire lend pair 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the info mat►on may be classified as non-public if you provide specific reasons that would permit the City to conclude that they aretrade secrets. 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.citvofeagan.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 digto receive locates of underground utilities. www. o h tateon ll. r g g a ers eco o q I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Do 4 Qs Meier x Applicant's-Printed Name Applicant' nature r DO NOT WRITE BELOW THIS LINE frk- 0 r1 �j til S i ??y 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 �L Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior `i\‘ 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 -(0-4-(1.3 Occupancy - / MCES System Plan Review Code Edition Units V1(1 Iv cA l5 (25%_100%4) Zoning PI) City Water Census Code Stories Booster Pump #of Units Square Feet _ PRV #of Buildings Length Fire Suppression Required Type of Construction `f L Width REQUIRED INSPECTIONS r� Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS r Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: (11V , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ' v Plan Review V V 'i,\V- 11 MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge J_ 0 -` n Treatment Plant i} rx eL v 6 ,t , o 0 Radio Meter Read `C Copies TOTAL Page 2 of 3