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1996 Zircon Lane , CITY OF EAGAN 173 5O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SIDtNG Est. Value ;4,6Q0 Date flFX 1 , 19 89 Site Address 1996 ZIRCON LN Lot 1f Block il Sec/Sub. GHDAR 6SOV8' 1ST OFFICE USE ONLY PdfC81 NO. Occupancy , FEFS Zonfng - W Name CINDY D~AMAI~i~i (Actual) Const _ Bldg. Permil 72_00 o Address 1996 ZIRGOIi LN (Allowable) - Surcharge 2.30 City ~ Phone +r oi stodes - Length _ Plan Review o Name P~g~~~ Depth - SAC, City zo- Ov Address 3118 SlIELLI~IG AVE 3 S.F. ToWI U~ City NMA Phone 721-6648 S F. Footprints _ SAC, MCWCC On Site Sewage _ Water Conn r W W Name On Stle Well - Wa1er Meter i ; Address Mwcc system _ i W City Phone Ciry water _ Aect. Deposit PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the eooster Pump - SIyy Surcharge infortnalion is correct and agree to comply wilh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: pAMLCRAn Planner - Park ped. on the express condition that all work shall be done in accordance with all Co+ncil applicable State of Minnesota Statutes and City ol Eagan Ordinances. gldy. ph. _ CoP1es Building Oflicial Variance - TOTAL 74• ~ WATER Parmk No. Permit Holdv Dats TNMplwne Ar SEMiER PU1M1811VG H.V.A.C. ELECTRIC Inspecfion Date Mtsp. ComnNnts Footngs I Foundation I Framing I RookV I Ragh PIb9. Ragh H19- hul. I Freplece Final Hkj. I Fnal Pbg. Const. Meter Plbg. Inspec,9or - NoLfy Plumber I ErgrJPlan Bld9. Final ~ 2 Z~ • S n ta / ~ 'I Oetk F!9• Oedc Final WeN Pr- D*. I INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: " ' 1 I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: N. ' " 11-' ' 10 1' APPLICANT: t nr~ tI ril I?I r iI 1Rf nN 1 ANF t I~ (4 HA1Qr t 1 h•. PERMIT SUBTYPE: TYPE OF WORK: . t I M I !~t t I: C I:;~~ j ~~~j 1?cf. ) I INSPECTION .A • D• ~ '~i:l I i~!~ ~ ~ L J permR No. PKmit Hdder Date Telsphone # ELECTRIC PLUMBING HVAC InspscNon Dab irap. Commwts F0071NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST INSUL GYP BDARD FIREPLACE FI R EPLACE AIR TEST FINAI PLBG FINAL HTG OFSAT TEST ~ ~ ~ BLDG FINAL lAbIQl / /~I l ~ BSMT R.I. I 3SMT FlNAL ~ DECK FTG ;I uFCK FlNAL - - - J CITY OF EAGAN Remarks * Additio.np Cp'TI?R -RMM # Lot 11 --Blk 13 Parcel 10 26700 110 11 C Owner f.C.r Street -],g96 1QM LUw State i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19(7 300.00 30.00 0 Paid STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN * WATERLATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. u BUILDING PER. SAC (/l. PARK CITY OF EAGAN N2 17350 • ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 L~~1 BUILDING PERMIT PHONE: asa-Stoo Receipt # ~ ~ ~ To be used for SIDING Est value $4, 600 oate DEC 1 ,1g82 Site Address 1996 ZIRCON LN Lot 11 Block 11 SeGSub. CEDAR GROVE 1ST OFFICE USE ONLY PdfC81 NO. Occupancy _ PEFS ZOning _ w Name CINDY DAMANN (ncmaq const - eidq aermii 79 _ nn o Address 1996 ZIRWN LN (Altowable) - Surcharge 2.50 City EAGAN Phone x oi siories - Length _ Plan Review zio Name PaNF.i.C'RaFT oeolh - snc, cary AddresS 3118 SNFT i TNC: AVF S S.F.7oial UQ - F SAC,MCWCC C+it`/ MpT S Phone 791-6699 S.F. Foolpnnfs - t-On Site Sewage - Water Conn ` Name Fw On Srte Well - Waler Meler AddfBSS MWCCSystem _ aw City Phone cnywacer _ Acct.oeposrt PqV Reqmrea - S/W Permil I hereby acknowlege [hat I have read this apphcauon and state ihat the Boosler Pump - SNJ Surcharga iniorma[ion is correct and agree to comply with all applwa6le State of Minnesota Statutes and City of Eagan Ordinances Treatmenl PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued ro: PANELCRAFT Plannar - Pyrk Detl. on the express condition that all work shall be done in acwrtlance with all Council applicable Slate of M~innes~o~ta,pSfaWtes and 1CIity ot Eagan Ordmances. Bldg Oil. Copies BuildmgOfliaal 7 uwn ~191ll f~ fi vanance - 7o7AL 74.50 r EAGAN TOWNSHIP No 647 ~BUILDING PERMIT Owne3 V/.ir'~Z.C:'h41~:F~" Eagan Township Address (presen ) . . /~._~7 . ltlQ_t ~~r-13~~~ Towa Hall Builder ..............{~i-._.,-............'............................_.... Daie%1.~..-~~.-.. Address DESCRIPTION Siozies To Be Used For Froni Depih Heighf Esl. Cos! Permi! Fee Aemarks =e4 LOCATION Sireef, Road or oiher Descriplioa of Location I Lo! Elock AddiSion or Tracf This permit does not aufhorize the use of sireefs, roads, alleys or sideNvalks nor doos it give the owner or his ageni the righ! !o create any situaiioa which is a nuisance or which presenls a hazard fo the health, safefy, convenience and general welfare fo anyone in She communify. TFIIS P£RMIT MUST B I PT/j~()}~~ TR IS£/ ~q,ILE THE WOAK IS IN PROGSS/.~7/-; This is fo cerfify, tha ~LX ./l.5f.~?^.'~. f~...~~.`.:~..has permission fo erecf a..f:.CA!~~4La- ..........................upon the above descxi6ed premise subjeci fo the provisions of the Suilding O di ce fo nship adopied April 11, 1955. / Per /~G~ '.......'...`.__'I Chairman of Town Boerd 8~' di g Inspecfor J ; , • PERMIT n~o 5775(0 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinnesOta 55122-1897 Permit Number: 0 2 7 7 0 9 (612) 681-4675 Date Issued: 0 5/ 3 0/ 9 6 SITE ADDRESS: 1996 ZIRCON LANE LOT: 11 BLOCK: 11 CEDAR GROVE iST P.I.N.: 10-16700-110-11 DESCRIPTION: . (ROOFING) Building,Permit Type SF (MISC.) Building Work Type REPAIR ~ Census Code ~ 934 ALT. RE3IDENTIAL ~ . ~ . ~ REMARKS: FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2.00 Tatal Fee $89.25 CONTRACTOR: - Rpplicant - sr. LIC.OWNER: MAJESTIC REMODELERS 14321077 0004723 DAMANN CINDY 15635 HALLMARK PATH 1996 ZIRCON LN APPLE VALLEY MN 55124 EAGAN MN (612) 432-1077 (612)681-0090 I hereby acknowledge that I have read this application and state that the inPormation is correct and agree to comply with all applicable State of Mn. L Statutes and City of Eagan Ordinances. J APPLICANT/PERMITEE SIGNATURE ISSUE D B1~'~. IGN RE 3 k • 14'q0996 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements RemodellReoair Reauirements ? 3 registered aRe surveys ? 2 copies of plan ? 2 cropies of plans (inGude beam 6 window sizes; poured Ind. design; ete.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations lor heated additions ? 3 copies oi iree presarvation plan N lot ptatted after 7/1193 requlred: _ Ves No 0~ ~ DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~ STREET ADDRESS: g~ c LNI LOT ( I BIOCK f I SUBD./P.I.D. PROPERTY Name: Phone OWNER u~, ~ rinsr ~ , Street Address: City: ~C State: ZiP~ s39~s/1 coNTw?cTOR Company: ~ ~-e-~~'-Phone ,~.c[, G M 0'~ P License'#: Street Address: City: ~Q~~ tate: C,Gu ZipSS l Z~ - ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer 8 water licensed 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. % Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No r' ~ 1989 BIIILDIHG PERMTT APPLICATION CTTY OF EAGAN ~ SINGLE F9MILY DWELLINGS MULTIPLE DWELLINGS COPIIdERCIAL 2 SEfS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHISECTURAL 3REGISTERED SITE SIINVEYS 9EGISTERED SITE SIIRVEYS - & STRDCfQRAL PLANS l SEf OF ENEAGY CALC5. (CHEC% WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SEf OF F.NEAGY CALCS. 1 SET OF ENERGY CALCS. tlULTIPLE DWELLINGS RENTAL ONTTS FOR SALE DNTTS # OF DNITS HOTEt ADDRESSES FOH CORNER LOTS - COIQTRACTOR/HOMEOi1NER MOST DFSIGNATE i1HICH ADDHFSS IS DFSIRED. NO CHANGES iIILL BE ALLOi1ED ONCE BDILDING PERMIT IS ISSIIED.. SEHER 8 iiATER PERMIT FEES AND ACCOIINT DEPOSTT FEES iIILL BE INCLIIDED FTITH SHE BOILDING PERMIT FEE. PROCFSSING TIME FOR SEWER AND W9TEA PERMITS IS TWO DAYS ONCE 6 PEAMIT HAS BEEN COMPLETED INDICATING A LICENSED PLOMIDEA. PEN9LTY APPLIFS iiHEN: PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS REQIIESTED. LOT CHANGE LS EEGOESTED ONCE PERMTT IS ISSOED. To Be Qsed For: Valuation: ~ Date: 00 iJ Site Address (q9( zr2cc.u L-ni OFFICE OSfi ONLY Lot ~ Block Occupancy FEES n Zoning Parcel/Sub l or~n;~ ~IhMU, [.dt Actual Const Bldg. Permit 7,;' D G Allowable Sureharge T S D Owner C~~vpi Dl3MR.?N # of stories Plan Review Length SAC, City 6ddress /996 z 1zco~ C.~ Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Aeet. Deposit Phone On site sewage S/W Permit On site vell _ S/W Surcharge Contractor Prf.dc-ZC~oaF7' MWCC System _ Treatment Pl. City xater _ Road Unit Address 3//tY Sn/C-cGin/6 9ue 5o PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code /zo~f ssYo6 SUBTOTAL APPROVALS Penalty Phone 7z-/ Planner _ TOTAL Council 6rch./Engr. Bldg. Off. Varianee Address City/Zip Code Phone fi y J5 3 S RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 C) ~ NewConstruction Reoulrements RemodeVReoair Reauirementa • 3 registered site surveys showing sq. tt. of lol, sq. tl. of house: antl all roofed areas • 2 wDies of plan (20°k macimum lot coverege allowed) • 1 set ol Energy Calculations for heated addrtions • 2 copies of plan showing beam 8 vnndow sizes; poured found design, etc.) • 1 site survey for extenor additions & decks • 1 set of Energy CalculaGons . Indicate if home sened by septic system for additions • 3 copies of Tree Preservation Plan it bt platted after 7/1193 . Rim Joist Detail Options selechon sheet (bldgs with 3 or less unils) DATE O~. / I D ID VALUATION I,700 JOB SITE ADDRESS I 9q L ~ l R(,an/ ~_A IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER CINII YL A Vvi A t4/N TYPE OF WORK /NST C1 0 41'6- A)QSEIYIi'l\,r Ct,,e6~Z_ 6()11V' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ,42401n SC I~OE4.G~ CayvST , JNG PHONE# 9,512- yO-ZLlZ ADDRESS I'~ lC,lo~ A 06- ~We~((.~ ,(/ZIPCODE PAGER # CELL PHONE # Q ~il Z z I AeY'~' FAX # SY2' Y~1~ "~~f',,40 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing Systcm Licludcs: Watcr So(tcner _ Lawi Spriiiklcr rcc: $90.00 Watcr Hcatcr No. of R.I. l3aths No. of Iiatlis Mechanical Contractor: Phone # Mccliauiical Systcm Includcs: _ Air Conditioning Fcc: $70.00 Hcal Rccovcry SysLcm P IS 0 U ~ ~7 ~ Sewer/Water Contractor: P T e # APR 1 0 2002 All above information must be submitted prior to processing of application. )E~ Bv I hereby acknowledge that I have read this application, state that the information is correct, nd agree o comply with all applicable State of Minnesota Statutes and City of Eagan Or nces. Slgnature of Appllcanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addilion ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant n~ ,p Valuation / ?6,0 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 V-A.) Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) ~ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Wa[er _ Final _ Pool _ F[gs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ Insula[ion _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge ~ (r/LGSS r~/7 ow PlanReview pvT MC/ES SAC city sa,c Water Supply & Storage S&W Permit & Surcharge -T-~j / Treatment Plant Plumbing Permit ~ ~ ~ Mechanical Permit License Search Copies Other Total S° zoos RESIDENTIAL PLUMBING PeRnniT nPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 6~_ r 16 (o Site Street Address (4 ~Y-) L-.4) unii a Property Owner (?1j'f1rG( y Telephone # (g~7) (Og/ 6 com~aor reyiQanone n6~ ~ 74Z2 Address ,106li sc{WL-ez ity fJJ~y~l7/'~/ /~~Q/6tate_~y'LLl~ Zip The Applicant is: _ Owner CoMractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee E 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 ~ Add plumbing fixtures. This fee inGudes installation of a water softener and/pr water_ heater at the same time. lf yoo are instafling on a water soffener and/o?,water~ f~ heater, do not complete this section; move to the next secfion and cFieck~ the i r~ appliance(s) you are installing. _SepticSystemAbandonment ~ JUN o 7 Z~O~i _Water Tumaround (add $130.00~ 'ifDa 5!8" meter is requirned) Sy _Other: tM i\qA-'~/ Ld-'t'- ti,d.,~,w~ v~vivt (0 0t _ Water Softener _ Water HeaMr $ 15.00 _ new _ replacement _ Lawn Irrigatian ,RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge g .50 Total $_~L Q11t)D I hereby apply for a Residential Plumbing Permit and adcnowledge 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 Uie plumbing oodes; ttiat I understand this is not a pertnit, but only an application for a pertnit, worlc is not to start without a pertnH and work will be in accordance with the appro ved planvent a plan is required [o be reviewed and a p n L~, ApplicanPs Printed Name Applf~Ys Signature ðü ÿþ þýýüÿûúûù øüüýý ÿì ÷ ù â å þý ýüûúì äù üûú ø üûúìú úêàâ ÿ ùùîéîãúû Þÿ ô ë äó ú úú äþó óú öß äý ç ý úýäúç ù ýæ ô ýûöÿäûóç ëèéÜèííçðíçîíð öø ó ÿÝèéÜèçðçð Ýéþç õó òñ úú ÷ ó æ ò ùû üý ìÿóÞ ùÿâ åò÷ðð ÿò÷ðð ñðïéðé ó ýûöÿó óå óúúóóä ÿ úûöóúúý äòùûä ÿã ç úúß ÿ ûÿ 4,11 CityofEa�all Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATION' ' l t e Ad ress: Unit #: CIA/ Use BLUE or BLACK Ink For Office Use Permit #: i Permit Fee: Date Received: Staff: Name: Y\ -b bist-v\AN-KIN t Qc:140 Z v-C-Ov\ Address / City / Zip: Applicant is: Description of work: Construction Cost: -7t 1 SO Owner Contractor L Phone: (� �t -- pL3 1 —33s3 Multi -Family Building: (Yes tom /No ''''..* Company: R"c-a'EPre_10tAA eS Contact: TAtom-" Address: r State: Kt") Zip: S SO Le c} Phone: AircL5(' (o fa --3 C (4,—i-1cj9 License #: a/2.4. i ' 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: N )TE- Plans ansupporting documents that you submit aretconsidered to be public informatio e informationd may be classified as non' public rf you provide specific reasons that would permr nclude 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.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 be completed within 180 days of permit issuance. 64 ‘C&— Applicant's C - Applicant's Printed Name Page 1 of 3 DO ORI E BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family VCarage Multi ! Deck 01 of _ Plex ! Lower Level Accessory Building WORK TYPES New Addition k•itkIteration Replace Retaining Wall Interior Improvement Move Building Fire Repair Repair DESCRIPTION o0 Valuation 20.0 — Plan Review (25% 100%_/' ) Census Code # of Units # of Buildings Type of Construction L/34, Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) AiL Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES - Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 95 - 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required tAg Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector Page 2 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit it: / Permit Fee: J /� Date Recehred: Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:: 9 €7 /2 Site Address: / ,9 71.Qc94' Tenant Sults* RESIDENT / OWNER • 'Name: C /, / /9- A-4,1/ ' Phone; _ •-•:2 ffs Address / City /Zip: CONTRACTOR Nanfe: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50Th ST EAST city: : INVER GROVE IGTS State: • MN . Zip: 55.077' Phone: . 65.1.::..4S1-241 ' Contact BILL.MILBERT:. Email: TYPE OF WORK New 1Replacement Repair Rebuild Modify Space Work In.R.O.W. -_ _ _ _ _ Descrlptlon of work: - PERMIT TYPE • e RESIDENTIAL • . Water Softener. Water Heater Add Plumbing Fixtures L_ Main / _ Lower Level) Lawn tn1gatign L. RPZ / PVB) _ ' ' Water Tumaround • Septic System _� . _New Abandonment ' • • 'E^IbE. i /AL FEES: 555.00 Minimum Water Heater, Water Softener, or Water Heatern€� Softener (Includes $5.00 State Surcharge) (inch/des 35.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (Includes 35.00 State Surcharge) (add 3166.00 iia 5/8' meter is required) • ffe/ (310.00 per as bulk) (includes County fee and $5.00 State Surcharge) . $35.00 Lawn irrigation $55.00 Add Plumbing 'Water Tumaround 3105.00 Septic System y595.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) ,) 0� TOTAL FEES $ ___Cii) CALL BEFORE YOU D(G. Call Gopher State One Ca at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to recelvd locates of underground utilities.- www.000herstateonecall.orU 1 hereby acknowledge that this Intprnatlon N complete and accurate; that the work will be in conformance WIN the ordinances and codes of the Clly of Eagan; that I understand this Is not a pemdt. but only application fora permit, and work la not • start without a parmN; that the work wIN boo In accordance wi to approved pia the case of work which requires a rsvIew and apprwti of l,vrlllw�+t fhi�b�iL�' • Applicant's Printed Name X Appllcantrs, Signature City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA109858 Date Issued: 04/09/2013 Permit Category: ePermit Site Address: 1996 Zircon Lane Lot: 011 Block: 011 Addition: Cedar Grove 1st PID: 10-16700-11-110 Use: Description: Sub Type: Residential Work Type: Alteration Description: Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:KITCHEN: PVC WASTE AND VENT PIPING; INSTALL DISHWASHER; ICE MAKER LINE; SINK/FAUCET/DISPOSAL MERIDEE BUSHARD Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge -Fixed $5.00 9001.2195 Total: $60.00 Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 - Applicant - Owner: Cindy D Damann 1996 Zircon Lane Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Basan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: l oqg 09- Permit Fee: Date Received: Staff: 0 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two1 (2) sets of plans wi�h all commercial applications. Date: i) q) 13 Site Address: l q r (�� l.�(Jkl ��I ,e Tenant: Suite #: la 3 Name: Dor v moi� 1/ n Re,M f ce, Phone: —("( Address / City / Zip: 1 (D arc6'-'`t� 7 "Slay Name: CYYZ Address: am) ) W `R wd 13 ((�� City: ' ) ( QI a55 1 ►l_. State: I Y ik) Zip: p Cly'! Phone: 7 S» ? (7 / OS / �y �/� v1�, Contact:! r ICYI dctk) 11i mail: WIIiht��@ W /._r New Replacement Additional Alteration License #: Demolition ett Description of work: C 0 nI- ba e. svpp\ r nip f i��y of lygdy.2, RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump ther t S'QP SVCY'Vh COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) (, $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ RC1 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ x 1% = $ Permit Fee = $ 5.00 Surcharge* = $ TOTAL FEE 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x OYI�r r ck TD r a(d Applicant's Printed Name x Applicant's Signature City atEagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1(MN gg Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 41 ( (C 0 13 Site Address: )6K-') Z1 Unit #: LC Name: (I /147L P NL n Address / City / Zip: Applicant is: Owner rContractor Description of work: F � Construction Cost: Phone: 1/S 1 "Gt v Multi -Family Building: (Yes / No ` ) Company: l i lI�ll�`Lp� b% C�h Address: X34 UL L DC D L Zip: -5174. Phone: S( Contact: Q -Q 3 -I - L_ State: License #: City: 2lic NP\-LLEti' - 7-24 Lead ik Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) -\ \Sulk- (1.19/0 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: 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 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. Applican 's Printed Name x ApOlicans Signature Page 1 of 3 i iirwr Lane DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% !/) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair Repair 1713k/ .T713 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Framing Fireplace: _Rough In Insulation Sheathing Sheetrock Reviewed By: Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies © et TOTAL Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Jae 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 - 1Rc -.1 aloe? R-/ 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 Other: Pool: _Footings _Air/Gas Tests Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control Building Inspector Gas Line Air Test Final Brick Final 7.2 0 M77c,044. Aftn 4f i fra/ct /'yv 3 Gl/4GY,f /i7G,C/1, /0 2 (/:,T 9/$4)) coo ' Page 2 of 3 Date: City of Eapii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION c2V/3Site Address: /9,e0 u-iC'f Unit #: Resident/ Owner Name: L%rtdl J.--)44,04.11.-.ti*i Phone: (r,,�/-of.-3353 - Address / City / ip: -a; - < <. _ - ., `,/ Applicant is: Owner 't/ Contractor Type of Work Description of work: < .4 _i A_..1 , _ A a.- / _ . of ` , ." q Construction Cost: /,d Multi -Family Building: (Yes / No ✓) Contractor Company: ...?..4,74.,e_40--/b":5Contact: if:,DH-t.-t�t.L.�� Address: /oj,''3 g' � * 7 4.I /�a )'City: �,,e.t. 10/7 §6 ( �,r/ State: ,A A Zip: 55301. Phone: 6,6/-353— �S-�iz 9- License #: 0.32g7 Lead Certificate #: AL / y�3_7'6,0' 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 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 days of permit issuance. ppli aril's Printed N x Applican thin 180 Page 1 of 3 City of Eagan PERMIT 411' CityofEaan Permit Type: Mechanical Permit Number: EA134319 Date Issued: 12/10/2015 Permit Category: ePermit Site Address: 1996 Zircon Lane Lot: 011 Block: 011 Addition: Cedar Grove 1st PID: 10-16700-11-110 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & 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 Total: $60.00 Contractor: Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 - Applicant - Owner: Cindy D Damann 1996 Zircon Lane Eagan MN 55122 (651) 231-3353 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA151723 Date Issued: 09/10/2018 Permit Category: ePermit Site Address: 1996 Zircon Lane Lot: 011 Block: 011 Addition: Cedar Grove 1st PID: 10-16700-11-110 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 - Applicant - Owner: Cindy D Damann 1996 Zircon Lane Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature