2226 Whispering Tr ~ ~
!
1
gtr#if iratie n# Orru~aury
~
f- titp of Cagatt ~
Ep~~ ~ ~tjrtion
This Certifiaare issued pursuant to the requkeinents of Sectlon 306 ojtke Unifonre Building ~
Cale certijying rhat at the ame of issuance tlris structure was !n compliance wlth the varioiar I
ordinances ojtlie City regulating building co?rstruction or use. For die foUowing.•
t. O.M.U. SF DWG/GAR 1111%. Pe,n,;c wo. 141509
Oa.,,o„" 7Yw +i/M 1 zai* o:a;a Rl iype comt VN
OwecdBaldin Z'SB ~jQN Addrs TWUM AVE •Ss Bn=
Bwl4ft AWrew 2226 WHISPERIW, IRAIL lmatyL I, B2, wfIISPERIldG WOODS 3RD
11 / 13/Q I
Iltulding
POST IN A CONSPIC1/0US PLACE
~
~ _
-?•,r,p.,~-=-r-~ - , . -:~*a-- - ~ -r--------
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est_ Value 107 Date ANIG Zd ,19-21-
Site Address " 222k_WHISPERING TR
OFFICE USE ONLY
Lot _L- BTOck _2- Sec/Sub.
Parcel 3 Occupanq R..3 !!-1 FEES
zoning J61
~ Name F S B CWtBtRix?Iatf (ncn,aq consi AfmS Bldg. Permit 6b4.00
Address --12006 '1'M1Y= A{IZ S (nuowawe) V-N City S11s19SVIt1.t Phone d90-2a19 or stories ~~~9e
Length 631 Plan Review 622_(Y1
~o Name sAJW DePm MI sac. ciry 100.e0
,!j Address S.F. To1al _
CI~ Phone S.F. Footprints _ ~C, MCWCC 6~O.m
F On Site Sewage _ Water Conn 660. 0p
uW Name on site weai
W W - water Meter 95.00
i= Address MWCC Syslem 30.00
5~ City Phone CilyWater Z_ ~.~~'t
PRV Required _ S/W Permil 30,
~
I hereby acknowlege that I have read this application and state that Ihe Booster Pump _ S/yy gurcharge
intormation is correct and agree lo comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinar?Ces. TreaUTont Pi 276.p~
Signature ol Perrrsilee ' APPROYALS Road Unil 370.00
A Building Permit is issued to: ~B 19 C010S?RLTC?I00 Planaer _ Park Ded
on the express condition that all work shall be done in accordance with all Co+ncil applicable State of Minnesola Statutes and City of Eagan Ordinances. g~. pry. _ Copies .
Building OffiCial Vane"ce - TOTAL 3,361.
~
' Pwmit No. Pennit Holder OsM ToNpAone #
WATER
SEINER
PLUhIBING
H.va.c. 9/ SS -7/GO
~crFnc
In (o S10 . ~ 9 ~o °D
.pscdon oote rap. commums
Footings I 3 q
Foundetion
F?aniirig o- 9/ S
Roofing
a«uch Plbg.
Roiqn Hlg.
Isul.
FirepleCe
Final Hig.
Orstat Test
Finel PR1p. . r~ Pbg• lnspector - Notify Plumber
Const. Me48r
EnprJPfan
Bldp. Final ~S
FDea F6D.
Final
Pr. Disp.
• :
.
SEWER & WATER PERMIT ' ' OFFICE USE ONLY
~ CITY OF EAGAN MEfER a 7d s3 PERMIT DATE 0E128/91
~ 3830 Pilot Knob Rd. CHIP # 6 a 97~ / PERMIT
~
Eagan, MN 55122-1897 # 12242
METER SIZE -51 Su,5 B.P. RECEIPT # r. 1 51
DATE AUG 2$, 1991 ISSUE DATE - B.P. RECEIPT DATE 08 28 91
PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REOUES7ED
LOT 1 BLOCK 2 SEC/SUB WH:SPEitINU FIOODS 3RD
X SEWER X WATER _ TAPS
APPLICAIVT:
ADDRESS: - COMM/IND ~ RESIDENTIAL
GITY, STATE ' ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
FLUMBFR: SCHUL'fTES PLtJl~'3INC IRC ~ Ahead of Domestic Meters on Water Line. ~
ADDRESS: 1521 94Tti LN Credit WILL NOT be given for Deduct Meters.
CITY, STATE BLAINE MN ZIP 55434 `y •
786-4007
PHONE: L. I~J~J ~
I AGREE TO C P ITH CITY OF
OWNER: F S B CONSTRUCTION EAGAN OR S
ADDRESS: 12006 TWELFTH AVE S
CITY, STATE BURNSVILLE Mlv ZIp ~55~337
PHONE: V, 10 -2~13 SIGN RE ME ISSUED
PLEASE ALLbW TWO WORKING DAYS FOR PROCESSING. CALL 454-5 0 FOR INSPECTION . FOR STORM
' SEWER PERMITS,,CONTACT ENGIMEEfiING DEPT. -
.
CITY OF EAGAN N~ 19609
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor SF DWG/GAR Esc Value $107,000 Date AUG 28 ,~g 91
SiteAddress 2226 WHISkERING TR
Lot 1 B16ck Z Sec/Sub WHISPERING W00 OFFICE USE ONLY
.
Parcel No. R oocuPancy R-3 ZL-1 FEes
F S B CONSTRUCTION Zoning R=1
w Name (AClual) Const SL-N Bldg. Permn 664. 00
3 Addfess 12006 TWELFTH AVE S (Allowable) V=N
° CjtY BURNSVILLE Phone 890-2813 x ol Siories Surcna.ga 53 _ Sn
Leryth 651 Plan Review 47 7_ 00
~o Name SAME Deplh 521 snc, cny 7 00 _ 00
Address 5 F. 7otal
SAC,MCWCC 650_00
CIfY PhOf10 S F. Footprmis _
F On Stle Sewage _ Water Conn r+r,n _ on
~w Name on ste weii
W - WaterMeter 45-00
N AddreSS MWCCSystam X
a W CitY Phone City Waler Accl Deposit 30. 00
PRV Required _ SNJ Permit 30. 00
I hereby acknowlege ihat I have read Ihis application and state that tha Booster Pump - SiW Surcharge • 50
information is correct antl agrae to comply with all apphcable State of
Minnesota Statutes andFi{jyof E~a9an OYrQ}in'~an~c9s~. ~ L \f Trealmeni PI 276.00
SignaNre ot Permitee '--~'~r~w H! 1~`tinM~~ APPROVALS Road Unit 3 7(1- h0
A Building Permit is issued to: F S B CONSTRUCTION Pianner - Park Ded
on the express condillon Ihat all work shall be done in accortlanCe with all Council 50
applicahle Slate of M/i~n,n,e,s~o`ta pSlatutes antl City ol Eagan Ordinances. Bldg. Off _ Copies .
BwldirgOfiiaal '_Ll}~.~1]_.[~.Qf(~, Variance - TOTAL 3a,361'$fl
~ 1
Address: 2226 WFiISPRRIPIG TRAII, Lot I Blk z Sec/Sub yRUSPERING WOODS 3RD
These items were/were not complete at the time of the final inspection.
II/13/91 Yes No
Final grade (6" from siding) ? SH Ow ~
Permanent steps - garage ~
Parmanent steps - main entry
Permanent driveway ~
Permanent gas
Sod/seeded grass
Trail/curb damage 7 S~p;~ ~
Porch
Basement finish f~ ~r Cc, ~.ehC `/r~ -N~
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-of£ o£ vater supply to the outside Lawn faucet before
£reeze potential exlsts. ~
a¢muownx
White - City copy Yellow - Resident copy Pink - Contractor copy
~ RESIDENTIAL
{--~-I c9~ BUILDING PERMIT APPLICATION ~
4CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-661-4675
New Conelruetlan Reaulremente RemotleUReoalr ReouhemeMe
• 3 registere0 ste surveys showing sq. ft. of bt, sq. tt. ot house; arW II roofe0 areas • 2 copies of plan
(20%maximumbtcoveregeelbwetl) • 1 setolEnergyCakulatqn5forheateAadtlAbns
• 2 copiesot plan showing beam 8 window sizes; poured found design, etc.~ • 1 site survey for ezlerioradd'NOns 8 decks
• 1 set of Energy Cakulatbns . Indkate M hane serveC by seDtic system for add'Abns
• 3 coDles of Trse Preservatbn Plan if bt platle0 after 711193
• Rim Jo4st Detall Options selectbn sheet (bldgs wAh 3 or less unAS{
DATE ~ ~ 0 ~ VALUATION v
SITE ADDRESS ~ZZ (o In_jeVSDe~~nc.~r- MULTI-FAMILY BLDG - Y - N
c
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT~,o~~:cc„~
STREETADDRESS_(Zzq7 NL.oLily,~ia„tS CIN~e STATEM ZIP_&~37
TELEPHONE #iQiSz ~77 r,~i<°? CELL PHONE # FAX q°l5 Z 904k 25kq.6
PROPERNOWNER 7 rr../ L;Omef TELEPHONE# ((2 ~ 7,
COMPLETE THIS SECTION FOR ••NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULE5_Z672..,.. .
submission type) . Residential VentilaGOn Category 1 Worksheet Submitted . IrA"UG :Cpde G/o~ ^csheet Submitted
• Energy Envelope Calculations Submitted l" 0 7 2002 '~~i
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler By ~ F° :=-$90
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor. Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Coniracfor: Phohe #
I hereby acknowledge that I have read this application, staTe that ihe InformaTion is correct, and agree to comply
wffh all applicable State of MinnesoTa StatuTes and City of Eagan Ordinan es.
Signaiure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
M
OFFICE USE ONLY •
? Ot Foundation ? 07 OSplex ? 13 1Eplex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06plex 0 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Ait - Multi
? 03 Ot of _ ptex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water _ Final _ Pool _ Ftg.s _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
[nsulation _ Rctaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ . .
1991 BUI ~~P IO~ICATION ~'U0y'IQJr'
CITY OF EAGAN
SINGLE FAMILY DWELLINGS ?NLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESI c HcADDRESS~IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT ~Le,~ I
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCEI ICH~A~S,~E~ENJ COMPI~ TED.
PERMIT MUST SHOW A LICENSED PLUMBER. ~ I
To Be Used For: ~~Y~ , '~C~}Y11I Valuation: 1071oVDa . - ~
Site Address OFFICE USE ONLY
`Z~'~ 4 ~~1Speriry l ~
Lot I Block ~ FEES
Occupancy R-3 M-I Bldg. Permit 6 04,00
1 \ Zoning (Z-~ Surcharge $-50
$V' Parcel/Sub W~`5~~rinG l~)ood5 ?~Y~ Actual Const V-N Plan Review 4132. 00
Allowable V-N SAC, City 100,00
Owner # of stories SAC, MWCC (~50,00
Length (e~/~2 Water Conn. 660,00
Address Depth Water Meter 17$100
S.F. Total Acct. Deposit 30,00
City/Zip Code Footprint S.F. S/w Permit 30.4)0
S/W Surcharge 150
Phone On site sewage_ Treatment Pl. 2r)6,00
On site well Road Unit R O,OJ
Contractor uCA%'fjn MWCC System ? Yark Ded.
City water Trail Ded.
Address Ia,DOb IOI~ ~Ml-C, -5- PRV _ Copies •50
Booster Pump
City/Zip Code SUBTOTAL
APPROVALS - Penalty
Phone ~ Planner Lot Change
/ g 11VK H'rCl"1'l Cou~cil TOTAL 3.3t.~.4n
Arch. En r. 1 C~C~FJ Bld Off. $ z979/9g
Address TH r~ , o ~Il5 Variance
n a~ ~ p~. S-C4~
WDOftUYu rnr~ 55ia 0 ~
City/Zip Code
Phone #
( lail ag e~es thC Work shall be done in accordance with
(Signature of Co tractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
yy Au~q}~dJ T ~
_ t.. r ~ . .
Gt1QRG
23'X31%2 s 72y x ld~.96~
'-I 1(1 x 3 0_ 1 tiy,j
Z x Z2 = Uo
~
~2A5 x IH s 1~990
! 5T FL,,4nz
3z2= 2 .
~X~ ~36)
~~?scOx s3 = Ir7 rG8
) o~olX of~ 107 c~a J
. . iu
oop
~ ;50 ~ • ~
~C° • 10
~ G Hy~G ~aG ,
. A ~
/
,
s ~
x' NG+ TiZ Ai L`
M_
p
U , -
~ ~ i6-y R,0 6S po
44' z z.•
~ q
ra MO'
Q ~ /o
22,0 ~ + 0
~ v ~ ~L wv ~o,~ A i Q
~I ~ v
Q r
to
~ OUA ~ qI °Q~Y
' y
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UA"A0
' a" y r ~
I A%S
r4 h
G+~;9 ~
IF,.~ ~
n0 (
N °'A
f
6RS~ ME~1T EL. 975, 5
Al.l. BEA2iul.5 AS~U~,~,- 6D 1, ~ o~'}T I ~ BLOGJL~ Z~
wooU5
oD~b+oTE~i lRt~1J MON~7M ~ W~ISPE
AOO~T1o?..1 ~
BF - /yC.._-- r 7A c o u nrr Y,
Ll- _a ~~u5~a~~~ g 1
I hereby certify that this survey was prepared by me'or
under rny direct supervision ar.3 that I am a duly Registered
Land Surveynr under the L`aws of the State of Minneso'ta.
Date: Q..~..tf ;(2I fii,
Lelioy A. Bohlen
Registe:ed Land Surveyor No. 10795
. _ _ ~
~c~l/Bir~
FSS Construction, Inc.
12006 12th Avenue South Office: 890-2813
Burnsville, Minnesota 55337
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
PLAN 1456-591 DATE: 08-20-91
OWNER: TERRY LOOMER
CONTRACTOR: FSB CONSTRUCTION INC.
SITE ADDRESS: 1-2 WHISPERING {400DS 3rd PHONE: 890-2813
Square "U"
Footage Factor
1) TOTAL EXPOSED WALL AREA 1570 x 0.11 = 172.70
2) TOTAL EXPOSED ROOF/CEILING AREA 1456 x 0.026 = 37.86
WALL AREA CALCULATIONS: .
TOTAL WINDO[V AREA 142 x 0.41 = 58.22
TOTAL DOOR AREA 41 x 0.07 = 2.86
TOTAL GLASS DOOR AREA 82 x 0.41 = 33.62
TOTAL FIREPLACE WALL AREA 30 x 0.36 = 10.80
TOTAL WALL FRAMING AREA 112 x 0.08 = 8.98
NET INSULATION WALL AREA 1010 x 0.043 = 43.43
TOTAL RIM JOIST AREA 102 x 0.04 = 4.08
TOTAL FOUNDATION AREA(EXPOSED) 51 x 0.16 = 8.16
TOTAL FOUNDATION WINDOW AREA 0 x = 0.00
3) TOTAL 170.14 ~
If item.3 is the same as, or less than item 1, you have met the
intent of 2 MCAR 1.16008 A and 0.
ROOF/CEILING CRLCULATIONS:
TOTAL SKYLIGHT AREA 0 x = 0.00
TOTAL ROOF/CEILING FRAMING AREA 146 x 0.026 = 3.79
NET INSULATION ROOF CEILING AREA 1310 x 0.022 = 28.83
4J TOTAL = fi32.611
I~ ~
If item 4 is the same as, or less than item 2, you have met the
intent of 2 MCAR 1.16008 A and 0.
2 herehy certify that the building here described eets or exceeds the
State of Minnesota Energy Conservation Act!
i Al_20/91
/
Si natur / Date
. ~ CZTY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #/D, 02 O
~C1ib,tT~CA7.P~RMI'~ DATE:
RE5TpE~1TXAL: PLENSE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
_
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST V" ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME :.S U COl~! s T~ uc r in N y} ~
SUBTOTAL : $ 0 r?•
SITE ADDRESS: =?62 STATE SURCHARGE: .50
pCIO
i.OT:BLOCK ~ SUBD. l IYA 3& TOT_Ai.: $~<L
INSTALLER:
a&l
ADDRESS:~505 00 N ~N DS GlID, S NATURE OF tRMITTEE
CITY: Cm~.~.~dP(U ZIP: 5Sq33
PHONE ~SS 9160
COMMERCTAL%TNDIISTRIAT.E: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUS'fRIAL 6UILDINGS,
. . .
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHP.RGE _ $.50 FOR
SITE ADDRESS:EACH $1,000 OF PERMIT FEE.
?&GCBSSE^u Fi?:.:C - $25.00
LOT: BIACK _ SUBll.. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
` 3830 PZIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 03e760
tS.UH}3ING ~ERMIT DATE: a.?o
RESTDE37q'TAT,;: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
. .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 300
REPAIR WATER CLOSET 3.00 7i00
~ BATH TUB 3.00 300
p~ ~i LAVATORY 3.00 b°O
OWNER NAME: ~PJ l.lJVIS4"{'G(d10?1 I KITCHEN SINK 3.00 ~oo
-T LAUNDRY TRAY 3.00
SITE ADDRESS:_ ZZZ(G ~11hiSDN~IhA TrA I I HOT TUB/SPA 3.00
1~ 7 ~ ~.;pm~c,n v~TER 3.00 3°O
LOT:~ BLOCK Z SUBD. WVilSpG?1.?1~ WC15 3rtlacld• 2 FLOOR DRAIN 3.00 °p
GAS PIPING OUT.
INSTALLER: SC6I+ieS Pll1yh{'JI?iG I~I ~ (MINIMIJM - 1) 3.00 3°O
ROUGH OPENINGS 1
ADDRESS: ISZI . qy~H (-q,y~e Nc ~L .50 45O
_ OTHER
5~43~I WATER SOFTENER 5.00
CITY: 3~uIN ZI ; PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ 5O
60I7- - 7&~4av ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $ 36•OD
06MMERCIAL%iNDIJS.TRIA1:c' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUh1 FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
~
- - ;-T:T_._ - . . - - . -
. „ . CASH RECEIPT
;
~ CITY OF,:EAGAN
38.30 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
197
OATE 7
~
. . . - AMOUNT
s D
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/
. ,
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• • - . ' . O CASH ~CHECK
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2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complere for. single family dwtllings & townhomes/condos when permits are required for each unit
Date (Dq / I a / o -1_
Site Address aa a Unit #
PropertyOwner ~cunr, oC.-7r Telephone#((a0)
Contraccor Dan Wohlers Southside Htg. & A/C
6950 W. 146' St., 4106
Street Address Apple Valley, MN 55124 - ~`Ty
State (952) 431-7099 Telephone# ( )
Bond#: T2,LZo5 4 -7 qa-7 Expires:
The Applicant is _ Owner x Conhactor _ Other
Fire repair (replace burned out appliauces, duMwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
f furnace _Additional ~Replacement _ New
air exchanger
~ air conditioner
heat pump
otlier
State Surcharge $ .50
Total $ 5~ ~
I hereby apply For a Residential Mechanical Permit and acknowledge that the information is complete and qp ;~~[~e ~th~y
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; th U i.k i
permit, but only an application for a permit, and work is not [o start withoirt a permit; that the work wil] 'ngFcRrdanpe wi[h the D
approved plan in [he case of work which requires a review and approval of pl . t r 1 7 Z00 ]
'LI-c,CI ~h V~rS. • ~ Qd' 61_~ ApplicanYs Printed Name Applicant's Signature Y
City of Eaaali
3830 Pilot Knob Road�
p 2p11
Eagan MN 55122
1
Phone: (651) 675-5675 jUN
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
it6D3
Permit Fee:
Date Received:
Staff:
4e--)
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
Date: Site Address: Unit #:
Name: l'/`etfl L rI;"
Phone: CZ/ - 171- 0101
RESIDENT i ,►
OWNER Address/City/Zip: 22.2,4eJrr
fe Lhispe-' n� -st,; l j Cd„ $572'1 --
Applicant is: Owner Contractor
'PE OF WORK
Description of work:
Construction Cost: $ VS -0e
Multi -Family Building: (Yes / No )
CONTRACTOR
Company: Lescucy DGe k -S Contact: 'oark fk ✓1
/ City:: FovrN%/i/45
State: i'k/A Zip: 62 `{ Phone: (of Z
5 ,63 �%3 J
Address: 7P5 /8&
License #: /SCC' f 3C01 Lead Certificate #: EXcewfpf'
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
5,61 Le / 5 /155 AAA, Z o s / Le Are be, /11,7.I v,.,. eleti j kiref-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
TE: Plans and suppo�
the information may be
"ng documents that you submit ane considered to be
'assified'as non-public if you provide specific rt
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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 1 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 5 fJ AdBue-hvyx
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
1� 5
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
y Deck
Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
<2.2 -2 -Lo Whisr,,r.,) fr .
Porch (3 -Season) Storm Damage
Porch (4 -Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
— Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
_ Egress Window
_ 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
•.)(; 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
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Copies
TOTAL
01(71. -it -
(4,06
y15
Page 2 of 3
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1 hereby certify that this survey was prepared by me 'or
under my direct supervision and that I am a duly Registered
Land Surveyor under the Laws of the State of Minnesota.
,t1 404
Le oy H% Bohlen
Registered Land Surveyor No. 10795
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