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3682 Widgeon WayCity of Eaau 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1 0L`•_:;1 r For, Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: e 0./e6// Site Address: ,11-2 1/I O ?t,, i/CUnit #: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner TYPE OF WORK /Contractor /�' Description of work: DC/f( We,c7%/` lir/Po % "46.71// Construction Cost: ` 600 Multi -Family Building: (Yes DC / No ) CONTRACTOR Company: 0/je/7 1 ICP%A'FG `'Y L e Contact: L7,/r J 14 Dhcin Address: g--560 6E'J 5i�//f% /1)/C %V City: ��I//7LL� State: JO Zip: sgaB Phone: 6/% 'f5Csge License #: 42--62 9' Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes 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: _No 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 maybe 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.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. x /7�,e Y21 D%/ x it .,,ccrii-A-) Applicants Printed Name Applicant' Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation V Occupancy Plan Review Code Edition (25% /►�/100%') Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction V6 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 D N RITE B a• W THIS Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Sheathing Sheetrock Reviewed By: 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 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 S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Sep 22 10 12:22p Patton Heating and Air City of Iaaaiis-b) 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 763-444-8925 p.1 Use BLUE or BLACK Ink For Office Use Permit ft; c:\k/DO‘CA Permit Fee: Date Received: Staff: g 2010 MECHANICALPERMIT/}APPLICATION Date: '2' 10 Site Address: 1 y1- {,} � t ( f f LA1 't Tenant: `-'l_ 1 L 1� i l C��tk.) Suite #: RESIDENT 1 OWNER Name: j ( t. .4-341.) Z -I � ( P 1i Phone: Address / City I Zip:- c; .r} CONTRACTORName: ... (`' qa`- fl i License . Address: L(,a 1, )r^:::11'7 L -.d ' IQ V' city: lel State: A) Zip:. i �` ' 1 I Phone: 11' �44-4' 3-(0 3 Contact . .n 011 Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: OM 11 C• , (211 Oil i n Ritf NOTE: Roof mounted and ground mounted mechanical equipment is tequired to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL �/ Furnace_ COMMERCIAL New Construction _ Interior Improvement Air Conditioner — Install Piping — Processed Gas Exterior HVAC Unit _ Air Exchanger_ _ Heal Pump _ Under 1 Above ground Tank (_ Install 1Remove) Other **When installing/removaaig 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) �G •r $5.00 State Surcharge) $ .� --' 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 5.50 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 $10,010-511,010 Permit = $ � -'"'- 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.aopherstateonecail.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�t(re approved plan in the se of work which requires a review and approval of plans. Ail 0 vt x( Applicant's Printed Name x Applic t'Signature ;x'14 FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough In _Air Test Gas Service Test _ __In -floor Heat _Final Exterior HVAC Screening Inspection City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 D EZEME AUGJZQ Use BLUE or BLACK Ink Permit #: a -; Permit Fee: / c:4r ('1. Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Cop i es 4 0•SO Date: (*.304)/e Site Address: 36B2, ..<6751/..3615;3,64.3k /&/ ew or Tenant: Site #: "/ —' /5 -- RESIDENT S RESIDENT / OWNER Name: Phone: L' CH— M_ e Address / City / Zip: / Applicant is: Owner . X Contractor Aos>S /.4 3 CSI �k as TYPE OF WORK DECK PUS Tf ,Pe. jr Description of work: ea' /C PT7ED ?4T72/V75 1200�c?Cc to Aies-} 6' Construction Cost: � - , Multi -Family Building: (Yes x / No ) CONTRACTOR Name: 0/..56) 67,:z7Ailc// 24./7 ,41-, C., License #:.20_5-6 2.vg Address: 356 40 fief s Aivi%J ,4; / Y City: Vc>Ua,/ta State: ki/y Zip: a5.57/2g Phone: 6%2 8y5 03b-2 Contact: //// O/ O/? Email: C,Yal7/7f g _ 66/71 22t COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 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.ciopherstateonecall.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 %i QyLL ', 0/con Applicant's Printed Name //rf0,407/ Applicant Signature Page 1 of 2 Cry>61.‘roo 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% I/ ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage 1 Deck Lower Level Interior Improvement Move Building Fire Repair Repair 3 XS REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In _Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window *Demolition of entire building - give PCA handout to applicant Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage Occupancy Z - 3 MCES System Code Edition 260 SAC Units Zoning Stories Square Feet Length Width Final R- City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC 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 S&W Permit & Surcharge Treatment Plant Copies 73 % 47 a 2,01 / f Aom f-evv,i TOTAL Page 2 of 2 r ~ CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address WIZGEpA) IOAT OFFICE USE ONLY t; . . On Site Sewage _ Occupancy Lot Blo~k Sec/Sub. MWCC System _ Zoning Parcel No. On Site Well , Type of Const _ City Water _ (Actual) _ rc Name (Allowable) w # of Stories 3 Address Length ° City Phone ' ' ` i Depth _ S.F. Total , p Name Footprint S.F. ~ ~ Address APPROVALS FEES f- City Phone Assessments _ Permit WateNSewer Surcharge W W Name Police _ Plan Revievv ~z Address Fire = SAC,City ' Engc SAC, MWCC CC W City PhOne Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thatthe information iscorrectand agree to comply with all applicable APC _ Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks ' Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Officiai Permit No. Permit Holder Date Telaphone ~t 'Plumbing C'd, ~ 11r7/t~-~ H.V.A.C. Electric A Inspection Date Insp. Comments Footings I Footings II Foundation Framing s Roofing s' Rough Plbg. , Rough Htg. 000 41-f 6~t`fI AW & O(w Ays~l6bY11 Isul. ~ Fireplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. ~ Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 T- - ~ . ' ' Site Address 2 BLDG. TYPE WORK DESCRIPTION Lot / Block Sec/Sub Res. New 77c, Mult. ~ Add-on ~ Name 4'L' ~ ~ ; "7 - . „ Comm. Repair ~n Address f ~ - r < - Other c Ciry JLki" v'.- c-< itPhone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - ,.NO. FIXTURES TOTAL Name ~Water Closet - $3.00 Bath Tubs - $3.00 3 Address ~ 2 ~Lavatory - $3.00 p City iZ Phone `t Shower - $3.00 wi -1_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE r Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES / Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES -LWater Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARCaE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~-~.Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: j~ ' STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ~ p . . . _ . s . . 9. . . PERMIT # . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address ` " BLDG. WORK DESC~tIPTION Lot " Block ~ Sec/Sb Res. 7 ~ New ~ ~ ` Mult Add-on ~ Name Comm. Repair Address Other c City "~~r'r?~ k f Phone. - , FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address , ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW p City hone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI7) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES Forced Air M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU MINIMUM COMMERCIAL FEE REMODELS _ 22~.~ ~ Air Cond. M BTU R STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES A Gas Piping Outlets # ~ $ BEYOND $1,000) ~ Other $ • a ~ ~FEE: SIGNATURE OF PERMtiTEE S/C: TOTAL• ? FOR: CITY OF EAGAN ~..r_ ..r.._,.. ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage _ Occupancy Lot BIOCk SeC/Sub. MWCC System _ Zoning ParCel No. On Site Well Type of Const City Water _ (Actual) a Name (Allowabie) W # of Stories 3 Address Length ° City Phone ' J Depth _ S.F. Total , p Neme Footprint S.F. 0 z ` Address APPROVALS FEES ~ City Phone Assessments _ Permit F ~ Water/Sewer _ Surcharge yVj W Name Police _ Plan Review F, W ~z Address Fire = SAC,City _ • Engr. SAC, MWCC ~ • `W City Phone Planner _ WaterConn. Council Water Meter ~ I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit • thattheinformetionisCORectandagreetocomplywithallapplicable APC - TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Buildin Permit is issued to: !IlR STA!? 't 9 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Officiat * Permlt No. Permit Holder Date Telephone # Plumbing . H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I 4 Footings II Foundation , ,O Framing Roofing q 3_1 y.~ ~ Rough Pibg. Rough Htg. Q - ~..T S,--ae ~ Isul. LO Fireplace Final Htg. Final Pibg. a Bldg. Final Cert.Occ. a ~ Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. 13_g G~4S P/PG c% Td r=r,et-PiA C~ ~ ~Y'( a ~rD? 4 1 : ° PERMIT # " . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: n77F CONTRACT PRICE: P ONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~l~ock ~ $ec/Sub Res., ~ New . J ~ , Mult ~ Add-od Name ~ Comm. Repair ~ Address . ~ Other c Ciry t6~(l1 ~F'hone r- ~ FEE$ ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 ~ ~ E~ ~ f Phone - ~ ` (~S. HVAC INCLUDES A/C ON NEW p City CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air -.V_ M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU ~ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU ~ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE _ - 20.00 Vent. CFM ~ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outiets # $ BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: " FOR: CITY OF EAGAN .~~.~_.....z ,.1. .r..,. ; ....d. . . . , . . . . '_~,s~°."""T'~: T.Tr • • ; PERMIT # ' PWMBING PERMIT RECEIPT # 1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ` BLDG. TYPE WORK DESCRIPTION Lot ~ Btock ~ Sec/§ub Res. New X_ /J. 1 Mult. Add-on Name Comm. Repair m ro Address / T ~ Other c, Ciry ?Ai c,- Phone 7RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FiXTURES TOTAL Water Closet - $3.00 $ Name 7- -2, Bath Tubs - $3.00 3 Address ^ / _,-Lavatory - $3.00 p Ciry Zd-= + Phone yt~-3r~ i ~Shower - $3.00 ,v _ -L-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Z_Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES / Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -1-Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00 MINIMUM - COMM/IND FEfE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 J j _.Z_Rough Openings - $1.50 f1 ~i • SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: s'~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage _ Occupancy Lot Block SeC/Sub. MWCC System _ Zoning Parcel No. On Site Well T Type of Const City Water _ (Actual) a Name (Allowable) W # of Stories 3 Address Length ° City Phone Depth S.F. Total , p Name Footprint S.F. ~ ` Address APPROVALS FEES ~ City Phone Assessments _ Permit F WatedSewer _ Surcharge yVj W Name Police _ Plan Review ~ Z Fire _ SAC, City sg Address Engr. SAC, MWCC =t =W City PhOne ' Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ TreatmentPl State ot Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee 707AL A Building Permit is issued to: d l on the express condition that all work shall be done in accordance with all aBplicable State ot Minnesota Statutes and City of Eagan Ordinancea Building Official Permit No. Permit Ho!der Date Telephone # Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. & IsLI. s-iY-B~ L.~. :~as ~ ' ~ R • ~ r o ~ ~-17-F7 Fireplace ~ Final Htg. ~ .A2-9 Final Plbg. Bldg. Final ~ C.~i • 6 Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. . •..yiyei. . v.y+.N A.. :o.. ar _ . . : . . . . . i .~P^ . . . ' PERMIT # Y I 79 PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r1/9 7 CONTRACT PRICE: PHONE: 454-8100 Site Address 3686 Wid eOri 4Ja BLDG. TYPE WORK DESCRIPTION Lot 3 Block 1 SeciSub Res. X New X St. Frand4s Woods 5th AC3C3iti PlMult. Add-on ~ Name Nort rup Mec at1 Ca Comm. Repair ~ Address 7640 146th St t Other c City APPZe Vci leyPhone 432-0 75 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - Np. FIXTURES 9 • T8T4L Name Fischer St3 f Construc ].Ol1j Water Closet -$3.00 t~ Bath Tubs - $3.00 3.00 c Address 14640 Glazier Avenue --4-Lavatory -$3.00 o C;ry ApplE! ValleyPnone 432-3551 -TSkroyver -_$3.00 • 13; 88 - " -xKitchen Sink - $3.00 3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 • TOWNHOUSE 8 CONDO - RES. RATE APPLIES --TWater Heater -$1.50 1_ 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 St3T1 Northrup Rough Openings - $1.50 SIGNATUREf4f PER T F~E FEE: 36.00 , STATE S/C: ' 50 --r T-" FOR: CITY OF EAGAN GRAND TOTAL: 36 . 50 : . ; . ; . . . . _ . . - . - . ~ { - °y. . . . . . - . . PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PH NE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Biock ec/Syb, Res. ~ New ~ Mult. Add-on ~ Name Comm. Repair ~e Address Z Other c CityTp19W eA4,1ZF Phone - FEES ~ Name ~ RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City ~6,A~ A) Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ BEYOND $1,000~ ~l Other FEE: S/C: s TURE OF PERMITTEE TOTAL: ~ FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . , PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFiCE USE ONLY Lot BIoCk Sec/Sub. On Site Sewage _ Occupancy _ MWCC System _ Zoning ParCel No. On Site Well - Type of Const City Water _ (Actual) s Name (Allowable) u+ # of Stories 3 Address Length _ ° City Phone Depth S.F. Total , p Name Footprint S.F. ~ Q Address APPROVALS FEES a P. City Phone Assessments _ Permit Water/Sewer Surcharge F W Name Police _ Plan Review Address Fire = SAC, City Engr. SAC, MWCC ~ W City Phone ' Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationiscorrectandagreetocomplywithaliapplicable APC - TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea Building Official - Permit No. Permit Holder Date Telephone ilt Plumbing L H.V.>a.C. ElectriC ~ Inspection Date Insp. ` Comments Footings I Footings II F.oundation ~ Framing A`/ Roofing Q ~ Rough Plbg. Rough Htg. Isul. Fireplace 7 -7 A, p7 Final Htg. Final Plbg. Bldg. Final Cert.Occ. tr~~ 6XI Temp. LP Deck Ftg. Deck Frmg. Weli Pr. Disp. ~ , . . . . . . . . . „ . . . . . . . , . . r~'~ : a PERMIT # • PWMBING PERMIT CITY OF EAGAN RECEIPT # ~9-22 -2 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 45 7 CONTRACT PRICE: PHONE: 454-8100 Site Address Vi.d in Wa BLDG. TYPE WORK DESCRIPTION Lot 4 Block i Sec/Sub Res. x New X c h Addition Mult. Add-on Name NOrthru Mechanical Inc. Comm. Repair a~ ~ Address Other c Ciry ApQl@ VaLley Phone 432-0175 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - T FIXTURES T T Name &tdri NOrthrLi Water Closet - $3.00 JUlu Bath Tubs -$3.00 • c Address 1371.6 Danville COUrt •'00 Rosemount 423-4345 ~ Lavatory - $3.00 p Ciry Phone Shower -$3.00 0 1 Kitchen Sink - $3.00 J.UU! FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1°r6 OF CONTRACT FEE --I-Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES --i-Floor Drains -$1.50 1. 50- TOWNHOUSE & CONDO - RES. RATE APPLIES -1-Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 --I-Gas Piping Outlets - $1.50 1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF P MIT PRICE GOES Softener -$5.00 , BEYOND_ $1,O00. Well - $10.00 Private Disp. - $10.00 •t. Rough Openings - $1.50 SIGNAT 'RE OF PERMITTEE FEE: 37.50 STATE S/C: .50 FOR: CITY OF EAGAN GRAND TOTAL: 38.00 ' PERMIT # n MECHANICAL PERMIT RECEIPT # /v ry • . CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot - BI ck ~ ec/Sub Res. New ~ , Mult. Add-on ~ Name - ~ co Address Comm. Repair c City 4:1 ~ a~ I v~ L l t" Phone ~ Other Name # S r- FEES L RES. HVAC 0-100 M BTU -$24.00 - c Address - - - - ADDITIONAL 50 M BTU 6.00 . p City Phone (RES. HVAC INCLUDES A/C ON NEWV CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air -7L M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU g MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) _ Other $ ~ FEE: , s Gsr S/C: / SIGNATUR OF PERMITTEE / TOTAL: FOR: CITY OF EAGAN ~ ~ . Ttxtif ir~tt uf (IDrrupttnry titp of (tagan Brpmtmf uf ludbmg Jts,prrtimt This Cenifrcate issued pursuanl to the reguiremenu of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances'of the City regulating building construction or use. For the following.• Use C9a.ctification Bldg. Permit No. 0-Pa-Y TYPe Zooing District t Type Const. R1 -f N e Owxr of Building ;.J._••• Addrecc . a ' ;•-t - - ~r! ~ YS Z~ ~Z : r~n~ Bwlding Addrass I.oality n.te: eudaing offiasi - ~ POST IN A CONSPICUOUS PLACE ~ (Itx#i#iratP n# COrrupttnry titp of (tagan Orpurtmrttf o# luildittg IttspPttimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code,cenifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use Clazsi6cation Bldg. Pormit No. axuP-r TrPe zoning Disu;ct Tyve coosL Owner of Building Addrcss '46W QXI' •`~Y'~, A 1ii BuildingAddres ~&C wIMAAL Wa I.acalityl..~~~, ITT' FidA2r'.tC :.iCq,i -:`1; ` _ _ Date: i"NY'.UM 73, 19W Bw7ding Otficiel' POST IN A CONSPICUOUS PLACE . ~ (texfi#iratP uf Mrrupttnry titp of (Eagan Dr.prar#mrni of luiibitcg jWpriinn This Certifcate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in comp[iance with the various ordinances of the City regu/ating building construction or use. For the following.• Use Clmsifiauon Bldg. Rrmit No. Occupancy Type ` Zoning Disvict Type Conu. ` Owcer o[Building k Z~~ SIAW i.Y'+i S't' Address ,'y4,: ar , T- ~~•`r. Building Address 3P°"'''' w:.i.Y ~m ~-w Lncaliq, .%s F;1 a.~`i Dau: ^':~AX 27, 1988 Building Otficisl POST IN A CONSPICUOUS PLACE ~...e.. ` ` . . . . . _ , .~,~r..--~+ . . - . _ , „ . e ` . . . . .M . - . . . 1 / ~ (Itxtifiratt uf (Orrupttury titp of (Eagart DppMl't11lPltf Af IllttlbtM J1tBpPtftittt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use Classification 1 OF 4-PLEX Mdg. Perm;tNo. 13498 Occupancy'I'ype R-3 Zoning District R-3 Type Const. v Owner of Building FISCHER STAPF CONSTAd, 14640 GLAZIER AVE 'i BuildingAddress 3682 WIDGEON WAY ~~n, Ll, Bl, S!' ~IS ti~A(,~ 4IH Da,e: AUGUST 30, 1989 Building Ofricial PQ57 IN A CONSPICUOUS PLACE ~y ~ "Y OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 " i.~~?ct ~r, ~,4. y,* ` Owner. ,«t. d s.._....as.-Ir,n _ ! Site Address: 24S2 W{d.gMOR 2m~ I' 2 1 rrC d g Plumber. `'~+?rr'hrRw i Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree io comply with the City ot Eagan Tr. Plant Ordinances. Meter. Misc.: BY WATER SERVICE PERMIT , _ ;.9i"~va"s-r";,.,.. ~~a~~"'"""~""~",~- •,r~? , . _ ' AY2 6 - 47 ~ Permit No: Date: CITY QF EAGAN Size: ' ' 3830;Pffo3-Knob Road Meter No: Date: p.l~. 8ox 21199 Reader Na Eagan, MN 55121 ' pisclier -Stapf- Owner. Widgenn tqa Ll El Gt. ':':agciS »aati3~ 5th i Site Address: ,;~r~}iruF 1%c~=f~'~~-C-'°1 Plumber. F3 r~^ S .,+;~.~ci _ Zoning: ~ Conn. Chg: ~0F`, No. of Units: Acct. Dep:--- Permit Fee: 10. 00pd .,~~~yt{I agree to comply with the City of Eagan Surcharge: Tr. Plant 9 Ordinances. -1 ~~~u , Meter. 10.COr1 i'e.ia-rr- By Misc.: WATER SERVICE PERMIT ' SEWER SERVICE PERMIT CITY ~ EAGAN 10 14 9 i• 383Q,Pi1~kKnob Road pERMIT NO.: _ 7 P.O. $ozi1199 DATE: `1 Eagan, MN 5592~1, No. of Units: j Zoning: rischer--StaP` ; Owner. ; Address: 4Jidgeon c7ay i]. ~1 rranc.ts t~ooc~s 5th SiteAddress: }.;ar'thrup P'echmnica3. Plumber. ^z ^ i a 4~ti tltlnd 1 agree to comply wiih the City of Eagan Connection Charge: Account Deposit: } f~ '~nd _ _ Ordfnances. ; . - permit FBe: Sflnrl ~ Surcharge: ' Misc. Charges: ~ BY Total: ' Date of Insp.: pati paid: ~ Insp.: ; 2004 COMMERCIAL PLUMBING PERNIIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~O 651-675-5675 Date / Z S / o`-( Site Address 308Z . S ~V ,O&Tonj w y Unit # Tenant Name "rek,an Ko,r?,xs ok In,. A ;,eor~ 1vseS Former Tenant Name Property Owner 'f o wh~, ~.o Iha,s Telephone R$'z ) q z z- Contractor Address 74-~ t u Av4 CJ City fQ~oo~~-,N Pa,•.~c State IM. ~j Zip 55q2 S Telephone #(IW63 ) Yz Y- Z Co `l to The Applicant is Owner Contractor Other Work Type _ New Bldg _ Add-on _ Repair ~ RPZ _ PVB _ Irrigation system * * Rain sensors re uired. Jer Wobschall to calculate fees. Description of Work Re- 6u.«- -Qa, (.Fo 2P2 ?c.,~ve To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Ca11651-675-5300 to verify that hydrostatic, conducrivity, and bacteria tests passed urior to aickine ua meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevard irri atg ion svstems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ St3te SuiCh3ige If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ Water Pemut Contact Jerry Wobschall at 651-675-5024 for required fee amounu $ Treatrnent Plant $ Water Supply & Storage TgraT $ D- ~ -d--~- $ 6-0. sO iW 13 2004 I hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and acc ate; that the work will be m conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand t' is not a pernut, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance y,~ith the ap which requires a review and approval of plans. ~Le-x,k,o an 6"ea4 kocp % 1, t(A Applicant's Printed Name Applicant's Signatu CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS RF.OUIRING A 4-HOUR ADVANCE NOTICE PRIOR TO P[CK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" lrrigatlon syst $ 788.00 displacement sm commercial turbine** must recelve maximtim continuous approval 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine lg irrigation syst $ 992.00 rnaximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRINC 30-DAY ADVANCF NOTICE PRIOR TO PTCK UP GPM METERS USG PR[CE GPM MGTERS USG PRICE 5-350 3" turbiue very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs S6,124.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigatioii $2,384.00 syst & production lines Comments • To schedule inspection ofthe inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 5/04 (..'Y OF EAGAN PermitNo: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 ' . . . T_;.. , ~ r: ' Owner. .__,...in.arm j Site Address: Plumber. Conn. Chg: Zoning: Acct. Dep: No. of Units: I - Permit Fee: ` ~ ' - Surcharge: 5''f"c' I agree to comply with the City ot Eagan Tr. Plant Ordinances. Meter. Misc.: BY WATER SERVICE PERMIT ; • - ~{_Z~-~i7 ~ Permit No: 3999 Date: , CITY QF EAGAN Size: ! ' 3830,Pifot-Knob Road Meter No: Date: , p,o."tox 21199 Reader No: Eagan, MN ' 55121 ' risctier -Stapf Owner. , T,41d~eorc ~~;a - Ll L~~. St. ancis 1~'oods 5th Site Address: ~r,~P ~;ECSx~~.nical Plumber. f ~ ' r,^ 5 t1(?s,ci _ Zoning: ~ Conn. Chg: 14 Ot FJ No. of Units: Acct. Dep: 10 00~d Permit Fee: e$~~a , I egree to comply with the Clty of Eagan Surcharge: EOrdlnances. Tr. Plant t b ~?tlpu Meter r, 7 -1> Qt rc~ i'L;i81f.~ gy Misc.: ' WATER SERVICE PERMIT . - r-- SEWER SERVICE PERMIT ! f CITY gF EAGAN 10149 , j• 383Q.Pi1okKnob Road pERMIT NO.: ! P.a. ~o'x'11199 DATE: 1 _ I Eagan, MN 55121. . ~S No. of Units: ~ Zoning:" ' Fjscher--Stapf Owner. ! Address: Widgeon T7ay Ll- ~t 1 St • Ftanc is %~+ood s Sth SiteAddress: ,,ort rup lHechanical 100.COpr! ( Plumber. Connection Charge: ~_S_~Lnd _ 1 agree to comply wRh the Clty ot Eagan ~y-- Account Deposit: ~ ~ Ordinances. s • - permit Fee: 5()nrt - Surcharge: ' Misc. Charges: ~ BY Total: ' Date of Insp : Date Paid: ~y Insp.: ' CITY OF EAGAM Permit Na Date: 9, 7 3830 P116t Knob Fioad Meter No: s a Size: ~ P.O. Box-211199 Reader No: Date: Eagan, MN 55121 Owner. "ischer-Stapf Site Address: ' i peon iday B St. Prancis Woocls 5t17 Plumber. r+ort. rur '`cc anica Conn. Chg: 525. 0i)pd wAlANl'1 Acct. Dep: 15. 00p N i ` Permit Fee: c;. <<;_ ne 4fe igging c~'Iq~~?~i. . Surcharge: r '')Up E~;~rg'[o comp~y with the City oi Eagan Tr. Plant P i"ifelAw Meter. 67. 00pd Misc: • OOnd Peaalt--v gy WATER SERVICE PER IT CITY OF EAGAN Permit No: ~0 0~ Date: -"~6 - 87 1830 PIIW Knob Ptoad Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN.55121 ?':_-c:her. ScaF.,f Owner. Site Address: ' 1 cigeon Way T.; L. ?'rane s7ooTs t i Plumber. ~;`'r t71ru~p •;.ec ;an cFt__ Conn. Chg: Zoning: Acct. Dep: ' p No. of Units: ` Permit Fee: ` ' Surcharge: : ~ r~` 1 agree to comply with the City of Eagan Tr. Plant ' F'" Ordinances. Meter. 67. 04pd Misc.:_ ~ 1)(?Pr' ?'e8a1tv BY WATER SERVICE PERMIT - ; cinr~F EAGAN SEWER SERVICE PERMIT 3839 Pltot KrtDb"Road pERMIT NO.: I01 I P.O. Box 21199 'h Eagan, MN 5511.7~ y DATE: , i Zoning: No. of Units: ~ , sc Pr- ap ; ~ Owner. ~ Address: ~ ay 7. v St . Site Address: . ' P : ; Plumber. ' . i ~ 52S.O0p3 I agree to comply wRh the City oi Eagan Connection Charge: Ordfnaoces. Account Deposit: I5. UO~c'. j Permit Fee: 10' 00py i Surcharge: .SCpc: ~ gy Misa Charges: Pen43Ity 10.00nd ; Date of Insp.: Total: ~ Ingp_; Date Paid: ~ r- Date: 6--87 CITY OF EAGAN Permit No:_ 5 3830 Pilot Kr?ob Road IiAeter No: aa Size: P.O. 8ox 21199 Reader No: Date: l 2-It0 -P Eagan, MN 55121 Fj.sc:Ler 10'tanr Owner. - 7 raicis `doo7s 5tti SiteAddress: ' T`F(I&eo^. - Plumber. !'~O1 t`irun ATeclzanical ~ .'J~J - 1 W AR~~ Conn ~t,: . Chg: Acct. Dep: ?5.~)+) d Lt). tj`~8 Ofe (JIggilly, Permit Fee: ----[~TR?~ - GAS Surcharge: • 50MLEPNON - agree 'to /c~QnQqly with the City ot Eagan Tr. Plant p~xia~lC+~s.vr Meter. Misc.: 7c~ nn >>~,~~sBy WATER SERVICE PERMIT ~y~-~, _.^n+w'1r~ts, 3~~+'n,v,...~qR~T~--;.---.r~'+-„'-r-a'-~~-•," 4 CITY Oi EAGAN Permit No: Date: 8-26-87 383Q. PiloHenob Rfioad Meter No: Size: P.O: Box 21199 Reader No: Date: , Eagan, MN 55121 Pisclier ~Stapf Owner. Site Address: ilv-bfi geou ay R it. ?'rancis Zi00:Is 5tY: Plumber or p I-lechanical 525. 0Opd Zonin F3 Conn. Chg: 9~ ~ Acct Dep: '~Q d° No. of Units: Permit Fee• 10`rA d Surcharge: • 50Pd i agree to comply with the City of Esgan Tr. Plant 180.00pe Ordinances. Meter. 67 4(h,~ Misc.: 10 nOpr? Ppnn lrv By WATER SERVICE PERMIT ~ - - { CITY 0E GAN j°3830 Pilot- ob Ftpad SEWER SERVICE PERMIT ~ P.O !'BoX 21199 - PERMIT NO.: r ~ ~ Eagan, MN 55121 DATE: $--2 F_c 1 ~ Zoning: P-3 No. of Units: Owner rischer-Stapf f Address: ~ k SiteAddress: 3686 j'~idgeon i~7av I.3 B1 St. Francis tioods 5th ~ Plumber: '-iorthrup t-iechanical ~ ~ 4_24._87 72838 100.00pc3 ; I agree to comply wltR tFie'City of Eagan Connection Charge: S? 5GpPd ~ r Ordinances. Account Deposit: 7 5 pslaa j Permit Fee: 11) nQpd I j Surcharge: StlPd ~ F BY Mlsa Charges: 1' i Date of Insp.: Total: ~ Insp•: Date Paid: ; Date: S -2C,__q7 CITY OF EAGAN ~ Permit Na 3830 Pilot knob Road Meter No-J.2!.Z~ Size: P.O. Box 2] 199 Reader No: t.n Date: a 9-~[9-- Eagari;'MN 55121 I Owner. :-sc:-'er.Sta f ' SiteAddress: '~(g'~* ~~iapeon SJav ~Bl St. Fr3nci_s '-:oot'.s 5tli Plumber. 1vorthru A4echanical 52S.O0 d ~ P-3 ~ Conn. Chg: p g: 15.00 OCB~ 1 Acct Dep: gm Permit Fee: - • ~ ~ ~ ~R~C • G~ ~ ` Surcharge: a t with the City of Eagan Tr. Plant 13'0. `)d' r~ s. Meter. 67 ')n Misc.: 1 n nnTci rp` n=1 r* By WATER SERVICE PERMIT . :..i' k:r;4'`z:_..r-:~~ ^-?'.'~LlF4~;°P~"°•'`~'M ~CITY OFwEAGAN.~ Permit No: Date: 5830 PiloiKnob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner rischer _;,tupf Site Address: 3!5$4 j~ id eon F~1a ~ Z? ;il St r. ~.;l ic: y c~'),' Plumber. 77737thrup P'ectiaai.Ca1 5. C~opc'; Zonin Conn. Chg: 9: ~ Acct. Dep: No. of Units: 1 Permit Fee: ' 00pd Surcharge: 1 agree to comply with the City of Eagan Tr. Plant 1 "0' "Opd Ordinances. Meter. '}Q"'A MISC.: By WATER SERVICE PERMIT j CITY q,fi EAGAN ~ ~'3830 PilqR Knob*Oad SEWER SERVICE PERMIT P.O. Box 21199 PERMIT NO.: 10 1 ~ EaganrN."M'a512`~ 1 DATE: Zoning: r No. of Units: 1 ~ Owner. Fischer-Stapf ~ Address: „ SiteAddress: ' gedA •ap B at. ^rancis i~'oor~s ~f.ji .,ar rug .ec n ca ~ Plumber. j 28 100.00pc: ~ I agree to comply with the City of Eagan Connection Charge: 525 • 00nd : Ordinances. Account Deposit: 15. QOpd ~ Permit Fee: 10. fl4d ~ Surcharge: . 5ona ' BY Misa Charges: °enal t3; L-1 n~ ci ~ Date of insp.: Total: ~ j Insp.: Date Paid: ~ r , 4 `V Date: CITY OF EAGAN Permit No: ~ 9 c~ 9 Size: ~ 3830 Pilst~l~+ncb Road Meter No: 0 Date: P.O. Box 21199 Reader No: Eagan, MN 55121 i~ isclier -Sta P f ,-r.is 14oods Stlz Owner. t . Fr ~ SiteAddress: 3~'8 2 ~'~~d~e~~ ~i~ Ll J1 ?~~orthru :~Sechaaical Plumber :~25. ~l0 d ning: ~ Conn. Chg: t~p~ of Units: i Acct. Dep: -T~ Permit Fee: lU c. ~~g~n C81 utlllt183 mP~Y -R~~p with the City of Eagan ` Surcharge: ' Tr. Plant t`, ` Te1~`rPHQ~E' _ Ordin 1 Meter. y By Misc : WATER SERVICE PER IT > f < ~ r: a +yq ,i~.,}- ~y 4 f , t . . -Ci fi-S• ~pr t ~ ~ x. 'a ~~~C : • ' T Y' ' 7'r #b'~ . _ . _..._~h3~ ~ '..:at. ..rs . REQUEST FOR ELECTRICAL INSPECTlON Ee-ooooi-os ~ See instructions for completing this form on back of yellow copy. ?.S -A "X" Below Work Covered by This Requesf . HAd Rep. . Type of Building Apptionces Wired Equipment Wire.1 ~ Home Range Temporary Service DLipfex Water Heater Lightin,y Fixtures' Apt. Building Dryer Etectric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other SPecify Othe.r (Sperify) t er Specify Other Other ompute Inspection fee Below eders/Subfeeders # Fee Circuits Fe p Fee Service Entrance Size rq to Z00 Am s 0 to 30 Am s. 30 to 30 Am s Above 200 Am ps31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial,`Other Fee Signs Special Inspection $ •;y ' O TAL fE- ~ ;a Rea-arks Rough-in Date 1, the Elec ' Inspector, hereby certify that the above Final r q)e~~ i 'nspection has been made. fhis request void 18 months trom ' -57~' This request void 7 7 18 months from /h v< C $ ~ 7 KZ 4. Request Dbte Fire No. Rough-in Inspection q~6~'V O~ Required? ~Ready Now Will Notify, Inspec- 7Yes ? No x tor When Ready ~ Liceryed Electrical Contractor. I hereby request inspection of above ? Owner electrical work installed at: StreetAddress, Box or Route No. City 3688 WSDGrON WAY ~ NEW TONHOUSE ) FAGAN sMN• ection o. Township Name or No. Range No. County DAKOTA Occupent (PRINT) Phone No. , STAN NQRTHRUP Power Supplier Address N S P 'Lice se No. E9ectrical Contractor (Company Name) 76064 metropolltan bhergy Sier~rice ~ Mailing Address (Contractor or Owner Making Instailation) 2017 KAO11 TH eST t'rJ[ a mN 18 Auth r' ed Si natu ontractor/ ner a ing Installation) Phone Number 781-9973 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midway Bidg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave., St. Paul, MN 55104 PhOne (612) 642-0800 ENCLOSED. ;,EQUEST FOR ELECTRICAL INSPECTION Mw Ea-00001-06 / See instructions for completing this form on back of yeliow copy. "X" Below Work Covered by This Request Nevy Hdd Rep. Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Li,yhtin,y Fixtures Apt. Building Dryer Electrii; Heatiii Commercial Bldy. Fumace Si lo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecify Other (Specify) Pr ~e • t Other Other ompute lnspection Fee Below # Pee Service Entrance Size tt Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Am s ZI ~ 0 tn 30 Am s Above 200 AmpS 31 to 100 Amps jr, J(3 - 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms S'G Partial-'Other Fee Signs Special Inspection TOTAL E Rerru~rks , ~p ~j Rough-in ' D~t1, tPe EI al 7 Ins ector, herebY certify that the above Final l ~ 1 inspection has been made. This request vofd 18 montha from ~This request~roid _7441~_~/~`'-~ 18 mpnths from / i D 2,5 8 5 5 Request Date Fire No. Rough-in Inspection Required? E]Ready Now,&Will Notify. Inspec- r !,F 7 Yes ? No tor When Ready ~ Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Sireet Address, Box or Route No. City :5 6 J,49" (,.1 !Olseo.~ ~ .5 ection o. [Township Name or No. R nge No. County Q Occupant (PRINT) Phone No. "1$ - S i d13/-3 Power upplier Address KO779L- gLEt92?f f~I?lLhil.JGJ'~~ Electrical Contractor (Company Name) Contractor's License No. /y1 e~~'rf- 9c &cYlz/e_ O 5~~7 - 3 Mailing Address (Contractor or Owner Making Instailation) ruthorized ignature (Contractor/Owner Ma ng Installation) Phone Number "d - MINNESOTA STATE BOARD O LECTRICITY THIS INSPECTION REQUEST WIIL NOT Griggs-Midway Bldg. - Room N-791 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE iS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON r« Es-00001-o II, See instructions for compieting this form on back of yellow copy. E 44221 '=,K" Below Work Covered by lhis Request ti Now Add Rep. Type of Building ApDliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Electrie Heattn Commercial Bidy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otner SPecify other lspeciry1 ther SVecify Other Oiher ompute Inspeciion Fee Below q Fee Service Entrance Size tt Fee Feeders/Subfeeders # Pee Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 qmp531 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms $o Partial- Other Fee Signs Special Inspection Rerrx~rks $ TqTZC FEE ~.sf~ G e~ d`'• Rough-in Date K. the Electrical • '0 •.4 Inspector, hereby rcify that the above Final ~ Date ,-~y^ ~ ection has been ~+d'( de. This request void 18 months from REQUEST FOR ELECTRICAL INSPECTlON .n. Ee-ooooi-as ~-9 See `nstruct70ns for completing this form on back of vellow copy. ~ ~ 9-5 4 "X" Below Work Covered by 7his Request Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service ' Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrie Heatni Commercial Bldg. Furnace Silo Unloader industrial Bidg. Air Conditioner Bulk Milk Tank Farm otne, pec:i v otnFr lsnecirv1 f- Other Qthi;r ompute lns ection Fee Below Jf Fee Service Entrance Size tt Fee Feeders/5ubfeeders it Fee Circuits 0 to200 Am s 0 to30Am s y/~ Oto 30Am s Above 200 Amps 31 to 100 Amps ~ 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms diZ Partial-'Other Fee Si gns Spec ia l Inspection ~3 ~ TOTAL F,3 Fierra rks $ ~•t Rough-in Date the Elec al Inspector, hereby 9, certify that the above Final DaLe inspection has been 47 de. This request vold 18 months from r I This request vofd~.~~Q~ 18 months from v ° E 4 4 2 21 "~~/t. Request Date Fire No. Rouph-in Inspection P~ Required? ~Ready NowgWill Notify. Inspec- 1(~ 1g d" I'm 1'es ?No tor When ReadY 041-icensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City S' ection o. Township Name or No. Range o. County A 4a~ Occupent (PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing AdJress (Contractor or Owner Making Instailationl .,p " 7 Authorized Signature (Contrac or/Owner Making Installation) Phone Number F150 - sS~s' MINNESOTA STATE BOARD OF ELE RICITV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~This request void 18 months from ~ v 6- D 29854 Request Date " Fire No. Rough-in Inspertion Required? OReady Now$Wili No[ifY. InsPec- [or When Ready ?r ~ V§Yes ?No ~ Litensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. CiTY 5 le ~l 1, r !"reanS ~ 15111611*0241 ection o. Township Name or No. Ran e No. County Ko I7~J-- OccuGant (PRINT) Phone No. ~ ~ K I 1/ 3 ` ~.S Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. 7 , f 3 Mailing Address (Contractor or Owner Making Instailation) So Authorized ignature (Contractor/Owne~r king I stallation) Phone Number -3s'S MIN SOTA STATE BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1827 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. '21R(tQUEST-FOR ELECTRICAL INSPECTION Ea-00'001-06 See instructions for completing this form on back of yellow copy. *2 9 8 5 3 "X" Be/ow Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Electric Heatin Comrnercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecifY Other ISPecifyl r OthCr Other ompute fnspection Fee Below p Fee Service Entrance Size H Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Am s 0 to 30 Am s 2 " 0 to 30 Am s Above 200 Amps 31 to 100 Amps 16 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms ,Sa Partial-`Other Fee Rernarks Signs Speciai inspection S J~ ~ TOTAL FEE 7 ~r Rough-in : 7e ~/J1, the Electrical • f 'b~ Inspector, hereby Final ~ 1e certify that the above 'nspection has been ade. This request void 18 months from ~ request void } y - 18 months from , ~ 29853 Request Date ' Fire No. Rough-in Insper.tion Required? DReady Now~Will Notify. Inspec- ~ 3 -d 7 ,,1'es ? No ror When Ready Licensed Electrical Contractor I hereby request inspection of above A? Owner electrical work installed at: Street Address, Box or Route No. C ity fd GjiIp G-sro "J e./ ection o. Township Name or No. ange No. County ?nr Oc.cuGant (PRIN7) Phone No. Power Supplier Address O 91,6 G P"O/ e Electrical Contractor ICompany Name) Contractor's License No. ~c~-°/ I a. - a ~-3 Mailing Adclress (Contractor or Owner Making Instailation) Atq .51, Authorized Si nature (Contractor/Owner Making I tallation) Phone Number !'J ` ~ MIN SOTA STATE BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roo N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~L~;Zey/~ i;JiEQUEST FOR ELECTRICAL INSPECTION .r-« EB-oo7ooi-oys, ~ See instructions for completing this form on back of yellow copy. ~ D'•A,~ r' 2 4 "X" Below Work Covered by 7his Request Nev4-A Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electrie Heatin Commercial Bldy. Fumace Silo Unloader . Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otnr, peci v otner Isrneritvl t er Suecify Other Other ;JM--pute lnspeciion Fee Below q Fee Service Entrance Size q Fee Feeders/Su6feeders # Fee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmps~ 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms , O Pariial•"Other Fee Rerriarks Signs Special Inspection L ~ u TO AL FEE 9 ' GQ . Rough-in Date 1 th I ical Inspector, hereby ? certiiy that the above Final y te ins ection has been s made. ~ This request void 18 months from This request voidS~ ~ !J/ 1 1h12 2 4 ~1f.f 4~~a D Request Uate Fire No. Rough-in Inspection ~A Required? [:]Ready Now Q Will Notify, Inspec- -2" p 0 Yes No tor When Ready Pcensed Electrical Contractor I hereby request inspection of above ~Owner electrical work'installed at: StrEet Address, Box or Route No. City ~ R ;L / A 'goly 9;#fslop^j ection o. Township Name or No. Range No. Coutity 17h''/eO rfp- OccuUant (PRINT) Phone No. 5~11fle ` 5M64 ,445W' y,w/ - S s/ Power Supplier Address X6 179-- 4~E9G Tz l L dl~'Jr~ - ~ Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Instailation) Authorized Si ature (Contractor/Owner Maki g Installation) Phone Number MINNESOTA STATE BOARD O LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BId9• - Room 1191 BE ACCEPTED BY THE STATE BOARD UNIESS PROPER INSPECTION FEE IS 1821 Universitv Ave., St. Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. i/,~r~j~~5")- P. REQUEST FOR ELECTRiCAL INSPECTlON .r. ea-ooooi-os ~ O 1 S.@'e instr'uctions for completing this form on back of yellow copy. ~ ""X"' Be/ow Work Covered by Ihis Request 2985 Nem Add Rep. Type of Building Apptiancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electrii: Heatiii Commercial Bldy. Furnace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Far Other Speci Y Other ISper.ifyl 47 Other Other ompute lnsp ction Fee Below # Fee ServiceEntranceSize # Fee Feeders/Subfeeders # Fee Circuits Uto200Am s 0 to30Am s 2~ Oto 30Am s Iz- Above 200 Amps~ 31 to 100 Amps p~- 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_AmpS Transformers Irrigation Booms 50 Partial- Other _Fee_ Signs Speciai Inspection Rerrua rks $ TOTAL E`3 ~ Ln. in Dat e 1, the E ctrical t InSpeCto , y certify that the above D ation has been pec. , d This request vofd 18 months f rom Thit request void 18 months from l..~ L~ 2 985 2 rl . t~l '~~~~~-r5 ~ G tia1' ~~3 U-L Request Date Fire No. Rouph- inI nspertion Required? ~Ready Nuw ~Will Notify. Inspec- 3 Yes ? No tor When Ready Licensed Electrical Contractor I hereby request inspection of above Q Owner electrical work installed at: Street Address, Box or Route No. City 3/0 ;X t 11" g ecuon o. Township Name or No, ange No. County OccuGant (PRINT) Phone No. /5cu Power Supplier TAddress D ractor's Lnse No. Electrical Contractor (Company Name) 7;',~7; 7~' ling Address (Contractor or Owner Making Instailation) Mai 1194-16 7 50c) Authorized Si ture (Contractor/Owner Ma ing Installation) Phone Number o- 35'S '77 MINN OTA STATE BOARD O LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway 81'dg. - Room -191 BE ACCEPTED BY THE STATE BOARD 1821 Univarsitv Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED. Phone (612) 642-0800 REGIUEST FOR ELECTRICAL INSPECTION V Es-00001-07 I ? See instructions for completing this form on back of yellow copy. 9_f ~ G~ Q 31?_ 5 X" Be/cbw Work Covered by This Request ~T ew Add'riep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner (specify) Contractor's Remarks: Z fr5A ';Kop- r y f au~l pe~ Compute /nspection Fee Below: $~n~'/Ge ~cp ~esf~ ~ [~?v,G~E1~ , # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps -110 to 143! Amps 3/ Transformers Above 200 Amps ' Above jj~ Amps SIgnS Inspector's Use Only: TOTAL Irrigation Booms 40 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in . P oate certify that the above inspection has pinal ~e " D e~ been made. OFFICE USE ONLY This request void 18 months from - - 0 /8' 7 c~ G~ 0312 5Z/ % , Ico~ t5 Request Date Firs-l~lo. Rough•in Inspection • Required? ~eady Now ? Will Notify Inspector Yes ? No When Ready? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City e Z 1j',9GE0ij Gj Section No. rnship Name or No. fiange No. County 62 Occupant(PRINT) Phone No. Al-sehg~2 - 5 'e 3 Power Supplier Address !t Electrical Contractor (Company Name) Contractor5 License No. ^l;+5 rVA_ ,.O O .3 Mailing Address (Contractor or Owner Making Instellation) a AV.~ AIE 115~p Authorized Signatur Contractor/Owner Making Instali ion) Phone Number MINNESO A STATE BOARD OF ELEC ICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE ST.4TE BOARD 1821 Universiry Ave., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. F.OR SA~~E liNI~YS - CITY OF EAGAN N~ 13501 T.H. °~N 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt# To be used for 1 OF 4 PLEX Est. Value $110,000 Date APRIL 22 ,19 8~ Site Address 3688 WIDGEON WAY OFFICE USE ONLY Lot 4 Block 1 Sec/Sub. ST FRANCIS WOOD On Site Sewage Occupancy R3 MWCC System Zoning R3 ParCel NO. On Site Well Type of Const City Water X (Actual) V oc Name FISCHER STAPF CONST (Aliowable) v_ z Address 14640 GLAZIER AVE Le 9 h ries _ 38 ~ City A.V. Phone 431-3551 Depth _.,,.6.6 S.F. Total Footprint S.F. ,o Name SAME ~ Q Address APPROVALS FEES ~ City Phone ,4ssessments _ Permit $ 533.50 Water/Sewer Surcharge 55.00 yVj W Name PROBE ENGR Police _ Pian Review 9hF. _ 7 5 Address 1000 E 146TH ST Fire _ SAC, city 1 nn _ nn Engr. SAC, MWCC 525_0 n Q W City B' VILLE Phone 432-3000 Planner _ Water Conn. 52 5_(1(1 Council _ Water Meter 6-L_ nn I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 3n 5_ M 0 that the information is correct and agree to complywith all applicable APC _ Treatment P1 180.0 State of Minnesota Statute City of Eagan gixHnanies Variance _ Parks Copies Signature of Permittee TOTAL $7~5=. 5 A Building Permit is issued to: ISCHER STAPF COA19 on the express condition that all work shall be done in accordance with all appl~icjab~le State of Minnesota Statutes and City of Eagan Ordinances. Building Official b? FOR StXE r'.~NITS CITY OF EAGAN (v° 13500 T.H.t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt Tobeusedfor 1 OF 4 PLEX Est.Value $103,000 Date APRIL 22, 19 87 Site Address 3686 WIDGEON WAY OFFICE USE ONLY j ST FRANCIS WOOD On Site Sewage Occupancy R3 Lot 3 Block Sec/Sub. 5TH ADD MWCC System Zoning R3 PaYCeI NO. On Site Well Type of Const City Water X (Actual) V s Name FISCHER STAPF CONST (Allowable) V W Address 14640 GLAZIER AVE # of Stories Z Length 32 ~ City A.V. Phone 431-3551 Depth 54 S.F. Total , p Name SAME Footprint S.F. ~Q Address APPROVALS FEES ~ City Phone Assessments Permit $ 512.50 Water/Sewer _ Surcharge 31750 pj W Name PROBE ENGR ' Po1ice _ Plan Review ~~5 ~ z Fire _ SAG City 1 n0. 00 ~g Address 1000 E 146TH ST Engr. _ SAC, MWCC 525.00 Q W City B' VILLE Phone 432-3000 Planner _ WaterConn. 525.00 Council _ WaterMeter fi7.00 i hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit a05. n0 thattheinformationiscorrectandagreetocomplywithallappliCable APC _ TreatmentPl 180.00 State of Minnesota Statutes a City of Eagan inance . I Variance _ Parks Copies 5 Signature of Permittee_ TOTAL ~2A Building Permit is issued to: ISCHER STAPF C JT on the express condition that all work shall be done in accordance with all applic7;~g inna tutes and City of Eagan Ordinances. Buitding Official ' CITY OF EAGAN NO- 13 4 9 9 .A 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PH O N E: 454-8100 BUILDING PERMIT Receipt# ~ a To be used for 1 OF 4 PLEX Est. Value $103,000 Date APRIL 22 ,19 87 Site Address 3684 WIDGEON WAY OFFICE USE ONLY 2 1 ST FRANCIS WOOD On Site Sewage Occupancy R3 Lot Block Sec/Sub. nnwCCSystem ~ Zoning R3 ParCel No. 5TH ADD On Site Well Type of Const City Water X (Actual) v- m Name FISCHER STAPF CONST (Allowable) ~ w # of Stories z Address 14640 GLAZIER AVE o A.V. 431-3551 Length _ ~ City Phone Depth _ 54 S.F. Total , p Name SAME Footprint S.F. ~ Q Address APPROVALS FEES ~ City Phone Assessments _ Permit $ 512.50 WatedSewer Surcharge 51.50 yVj W Name PROBE ENGR Police _ Plan Review 256.25 t z Fire _ SAC, City 100.00 X~ Address 1000 E 146TH ST Engr. _ SAC,MwCC 525.00 Q W City B' VILLE Phone 432-3000 Planner _ WaterConn. 525.00 Council _ Water Meter 67 _ (10 I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 305 _ nQ that the information is correct and agree to complywith all applicable APC _ Treatment P1 1 Rn _(lp State of Minnesota Statute d City of Eagan rdina e. Variance _ Parks Copies Signature of Permittee TOTAL 5 A Building Permit is issued to: FISCHER STAPF OnEST on the express condition that all work shall be done in accordance with all applicable tate of Minneso Statutes and City of Eagan Ordinances. Building Official ~ 1-1 ly / CITY OF EAGAN ~ No _ 13498 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for 1 OF 4 PLEX Est. Value $110, 000 Date APRIL 22 19 87 Site Address 3682 WIDGEON WAY OFFICE USE ONLY Lot 1 Block 1 Sec/Sub. ST FRANCIS WOOD On Site Sewage Occupancy R3 MWCC System Zoning R3 Parcel No. On Site Well Type of Const City Water X (Actual) s Name FISCHER STAPF CONST (Allowable) V w # of Stories z Address 14640 GLAZIER AVE ~ City A.V. Phone 431-3551 Length 38 Depth 66 S.F. Total , p Name SAME Footprint S.F. ~ Q Address APPROVALS FEES ?°C- City Phone Assessments _ Permit $ 533.50 Water/Sewer Surcharge 55.00 W W Name PROBE ENGR Police _ Plan Review 9h~, _ 75 ~ Z Fire _ SAC, City 1 nn _ n0 Address 1000 E 146TH ST Engr. _ SAC, MWCC 595_(10 Q W City B' VILLE Phone 432-3000 Planner _ Water Conn. 925-p0 Council _ Water Meter fi 7_ 00 I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 305_ nQ that the information is correct and agree to comply with all applicable APC _ TreatmentPl ~,s2n np State of Minnesota Statutes nd City of Eaga rdin es. Variance _ Parks Copies Signature of Permittee TOTAL $2,557.25 A Building Permit is issued to: FISCHER STA CONST on the express condition that all work shall be done in accordance with all applicable e of Minne ta $t tutes and City of Eagan Ordinances. Building Official CITY USE ONLY PERMIT RECEIPT DATE: RUIDENTIAL 1VIECHMICAI. PF"IT APPLICATION C1T71 Oi' EAfiAN 3$30 PILOT KNOS RD EA6M Mft 55 Y 88 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Da • / o'lOD/ SITE ADDRESS: 3 OWPJER NAME: TELEPHONE 76 (AREA CODE) INSTALLER NAME: TELEPHONE 4offo7775 (AREA CODE) STREET ADDRESS: oJ Co D Y CITY: STATE: ZIP: ~J~/~- Place a check mark next to the ermit work t e New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: 71 State Surchar e $ .50 Total $ Reminder: Call for inspections. ' ~ ~ 2 ~ oQ1 . S16NATUWfi V_'FE~KT_ Updated 1/O1 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COIVIIVIERCIAL bIECH"CAL, P£R1VI1T APPLICATIf1N . CITY OF EAem 8$30 PILOT KNOB RD EAGM,MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New constcuction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/O1 s ' city oF encjan 7HOMAS EGAN Mayor PATRICIA AWADA September 21, 1995 SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Councii Members THOMAS HEDGES NdR JIN4 SAMUEI+SON City Administrator BRAUN INTERTEC E. J. VAN OVERBEKE 6950 W 146TH ST SLTITE 131 cirv c,ark APPLE VALLEY MN 55124-8520 Re: St Francis Wood 3rd Addition Request For Soil Boring Analysis Dear Mr. Samuelson: As we discussed on the telephone last week, the City is looking for soil boring information in two backyard areas within the St. Francis Wood 3rd Addition. The borings are located behind townhome buildings addressed 3678 Widgeon Way and 3686 Vvridgeon Way and adjacent to a ponding area. The townhomes at the two above addresses are currently experiencing damage to their decks and patios due to frost heaving. Currently, the deck footings are approximately 48" deep. The scope of services requested would include borings in two locations to a depth adequate to analyze the existing soii conditions noting the water table, the soil classifications, a recommendation on how the frost action on the decks and patios can be mitigated, and a cost estirnate for these services. Please contact me at 6814637 with any questions. Thank you for your anticipated timely response in this regazd. Sin erely, cc: Tom Colbert, Director of Public Works ~ Doug Reid, Chief Building Official I ~ei P. Foert6ch, P.E./L. S. Assistant City Engineer MPF/'y MUNICIPAL CSNTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PIIOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3~~ COACHMAN POINT EAGAN, MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE: (612) 881•4600 PHONE: (612) 681-4300 FAx: (612) e81•4612 Equal Opportunity/A(firmailve Actlon Employer FAX: (612) 681-4360 iDO: (612) 454-8535 TDD: (612) 454-8535 r- ~ . 't' / ~ ~ ' ' / - \ • , ~T~-- / I 895. ~ A~ ~ / 1.:~ , / wE ~ 1 ~ 890. ~ 16 . 1 ~ ~ . • ~ ~ ~ I 4 ' ~ ~ \ ~ - P, ~ 10 ~ ? r ~ ~ . O \ ` - ' ~ ~ ~ _ ~ , ' l ~ ~ ` ~ ~ ` ~ ~ ~ 1 1 _ ` ~ ~ ~ ! ~ ~ ~3 ' p Y~ ' ~ / ' ~ t f ~ ~ ~ ~ ? ~ ` ~ ~ ~ ~ ` . , ~ ~ ( ~ \ ' n _ i ~ ~ ~ < , _.1- - -r"' ~ ~f J".-.., ~ \ f1 l • ~ ~~G~ / ~ ~ ~ / ` • - \ ~r-.,~, ~ . ~ ~ 1'~ ~ , ~ 1 t / ` . ~ I . / - 5 .,4r I I~ ~ 14 ~ ~ ~ ~ . ~j P~ ~ ~ p , ~ , . / 1 • , ~1 ~ r .CI SKYLINE TR. ~ z~Z SKYLINE PATW:NK RANIE Z ~ sN 2 rRO p OaK ~m /,/4 LON -r OAK RD. Fl ~ o. Rd. o. . o. O Q l~ a ~ d 4 a ~ y ~ ~ U a a v P j' i APOLLb RD. ° N R <~~5~~ ~ NE d crNW N E vGEMINI ` 9 ° R MO H f PARK C,r - ~ f, ~ o HIGH SITE OR.• ~ ~ ~ 'a ~ ~ E z m "l~a. 'q~ •'1 } Y ALDRIN DR 1J `J 1 - TAMARAC PT. ~vRr 5' a AR~ce SW - _ e?RCH NORWAY PT. sE I'a ~ sw ' sE ~ ~,a PAAK - FOREST RIOGE T ~ W x - W ~ - IRONWOpD LN. ~ ~ c SPRUCOE PT T. 77777, 1^~.w+pry~{MTC°„r3AM1RTS"F@';.M . n,,:. , s a a L I ~ DR a p---Rd. O.NO. 2- - - - - sT scoTr so. 0 ~ z T H~5 OP. ~ 5 C E N T R E . D R. N=_-___ ~ J 1 >V OLEARY P CARR/AG£ x z I ~ 3NE NW NW H/GLSGOLF -=cE~aR -sTNE 9~'- -=YA~,,== i ROrAI @ a 2 3 a CKWOO BIUE COURSE ~I ~ F ~v pUCKWpO 3 ~ DU ~ VIOLET ,~g ~ 4 wOODLAND R CT. ~NC-= CK ~ DR ~ I-LA ~q~~ - O~ ~ 3 -i;!-»,k - C ESTRIOGE LA i W `S~?v u ~1, - ~ i u CT L---s Uc ENGIET~ 0 ~~E1 CT• 3 SE SW W W P~q 0 ' BIA:.K W ~ DEPr l o~yEau S ~~~r`~ . COMM, 'j NMARK ARK T A!L E. L,J 4i L ~ A9 . 2 z v.. 'Affy v ES~ - R 0. • ESCOTT Y a ~ ~NY WESCOTT i ~ M, d ~ Q ~ a ~w ~AGAN o V ~di ~ CJPAL Z ~ Ln . ~fF W ~ TFR ~ cl NY L ~ ~aY WNE)CREST ~ CREgTyIE'W ~`~Sle ~ ~llK~NGS'~ Y WEST GL NE o- , KNOLt_ a:. R. lllt5NL ~ Y l T. TRAIL c ~ DEERWOO pR.- - ~ ° ° - FORD ~ ~ HI LS RD. BE~9RY PATG'H ; a 0 (tvVlOOD V PAfiK > CT. ~ C C.T. 0 ,j ODEER 1,;, ,T P ~ 2 ~ I I 2' ~ PATH 'A S S ~ t 'SHE GLEN ~ w IR. 06`' W C T. o a a ~ ~ i; ~ g 1 ¢ J r (J J J CJN Q. m'' R lCo. Rd. No. 301 O Co. Rd No p - - a DIFFLEY ' -p___ . p o . ~ ~ 1 . . . _ e~~.,;'~-'.. . ~ r-.- , . , , . . . y ' . . . . . . . . U Ut`.~CWV ED NOtl 6 Jb B RpU N 5A1 Braun Intertec Corporation 6950 West 146th Street, Suite 131 I N T E E C Apple ValleY, Minnesota 55124-8520 612-431-4493 Fax:431-3084 Engineers and Scientists Serving ?he Built and Natural Environments November 1, 1996 Project BODX-96-289 Mr. Myron Staph Fischer-Staph Construction 3438 150th Street West Rosemount, MN 55068 Dear Mr. Staph: L d i ~ Re: Engineering Evaluation, Townhomes at 3678, 3682, 3684, 3686 and 3688 Vidgeon Way, Eagan, Minnesota As you authorized on September 30, 1996, Braun Intertec has conducted observations and made recommendations regazding the repair of the slab-on-grade patios and deck footings at the above-referenced townhouses. Background Information Braun Intertec first observed the townhomes at 3678 and 3686 Widgeon Way on October 17, 1995. The purpose of our original observation was to aid in evaluating the cause of the severe frost heave of the deck footings and slab-on-grade patios. Results of our observations were summarized in our report dated October 20, 1996, Braun Intertec Project BODX-95-287. You indicated that in the fall of 1995, a drain tile was installed approximately 10 feet east of the existing slab-on-grade patios. The drain tile was installed approximately 4 feet below the existing surface and was placed at a flat grade to the existing catch basin on Widgeon Way to Li% IIt)L'il'iJvL'St ol` ut ie Gi9iid~'aug3. ir^vu FudiC.3 t223t th.°, *jt?,in tilP aFPeared to reduce the frost heave during the winter of 1995-96. Observations The recent observations were conducted on October 1 and 2, 1996. The existing slab-on-grade pados were removed on October 1, exposing the subgrade soils. Random, shallow hand auger probes (less than 3 feet) were put down to aid in evaluating the existing soil conditions. The soils encountered consisted of silty sand, clayey sand and silt. The soils were wet and judged to be in a loose condition. At this time, we recommended that the existing soils be removed to top of footing elevation at the reaz frost depth footing of the units to 4 feet below existing grade at the deck footings. We recommended that the soils be replaced with a clean sand with less than 10 percent passing the number 200 sieve and that drain tile be installed below each patio unit. . Fischer-Staph Construction Project BODX-96-289 November 1, 1996 Page 2 On October 2, 1996, we observed the repair. The existing soils had been removed to the depths recommended on October 1, 1996. From 3 1/2 to 4 feet of soil was removed. Drain tile was installed at each patio and was connected to the existing drain tile installed along the east of the building. The sand import was a medium- to coarse-grained washed sand with less than 2 percent passing the number 200 sieve. On October 2, 1996, we recommended that the soils around the post footings also be removed and xeplaced with sand. Bas:d on our hand auger probes, it was our opinion that the soils below the existing post footings are adequate for support of the relatively light foundation loads. The soils encountered generally consisted of inedium dense silty sands. Summary Based on our observations and hand auger probes, it is our opinion that the repair conducted at 3682, 3684, 3686 and 3688 Widgeon Way will reduce the frost heave to the slab-on-grade patios and deck footings. The clean sand is considered to be non-frost susceptible and will provide a stable subgrade below the patios. Around the deck footings, the clean sand will reduce the freezing, adhering and heaving of the deck footings. We recommend that positive surface drainage away from the patios be maintained at all times. The drain tiles placed in the clean sands will assist in draining water which could drain into and potentially pond. We did not observe the installation of the drain tile to 3678 Widgeon Way but we understand that the drain tile was extended to 3678 Widgeon Way to connect into the street storm sewer. The drain tile was placed between the reaz of the units and the existing retaining wall. Drain tile was stubbed off the main drain tile to each deck footing. t;enerai Services performed by the geotechnical engineers for this project have been conducted with that level of caze and skill ordinarily exercised by members of the profession currently practicing in this area. No warranty, expressed or implied, is made. It has been a pleasure being of service to you on this project. If you have any questions or require additional information, please call Jim Samuelson at (612) 431-4493. Sincerely, es M. Samuelson Office Manager _ • Fischer-Staph Construction Project BODX-96-289 November 1, 1996 Page 3 Professional Certification: I hereby certify that this report was prepazed under my direct supervision and that I am a duly Registered Professional Engineer under the laws of the State of Minnesota. John T. Carlson, PE Senior Engineer Registxadon Number: 20663 c: Mr. Mike Foertsch, PE; City of Eagan jmc:r1b\96289Utr , : ~ , , _ ; : _ . . _ . . . : . . . . : ~ . . . , . , . ~ , , a . , , t ~ ~ + a, , ; . , , ~ , - } CASH RECEiPT ` ~ , I CITY'OF~ ,~,EGAN ~ ' 3830 PILOT KNOB ROAD e ~ EAGAN, MINNESOTA 55122 ~ I 7~ ~ 1f,~~~ DATE 8 ~ 4 ~ ~ouNr s,o7' ; p 6 i 4 ~ ~ ~ _ c~cx: t_ ~ & _ ; .~,a.s i ~ ~ H :~G! 4 . ~i~ / f , I L . ~ ~ , ; ; , : , wn . ; . , , c . o . . ~ - . , : , r , , . ~a . ~ ~ ~ , , FUND.. OBJECT . AMOUNT ~ ~ ~ ~ . ~ / 6 d , ~ , ~ ~ # s r ~ , 8 ~ ~ . ~ ~ a ~ ` ~ : Thank:You ~ , ; ' . ~ : A ~ , N z 11 ~ , , " ~ l + " '}1 , } BY~ ~ 4F , i ~ 4 ~ & 5714 a~ . _ , . , „a . . , . , , , ~ . - ,.,i ~ ~ s. ' ~ :t i , . , . , , : ~ . ; , „ _ , . . . . . , , , . S ~ t , . . . _ . . . , . , , . , :r . . f: . ~ " ~A "1 f ~ ' t _ rh:'. i 't 4 l,i S . , . _ . . .t;~ F . ' , . ' , . ~ . . . . . , . . . . . . : . - : . . ; , . ~ . . , , . . ~ ~ ~ , . . . , ~ . . . . . . . . . . . r , , . . , . . , , t. • . . . r - ; . . . d . i' . ' : . . . . ' . 'f,~ ~ • ~ . . . ~ . . . . , . . . . . . ~ . . I ' . . . . 1 r I . . . . . . . . . ; . 11.- . ~ ` , ~ I BTY ~ . . A 4 ~ . J: PAY`~' OF M ~c ~ ~ APPISCATION . ~ M L 0F P . * AF'PL.ICATIQN FOR PER(VI1T * INSPECTION oF ~ . ~ 7['IONs BE ~ SEWER A[VDl4R WATER COlVNECT10lV ~ p T ~ . APP . ~ P ease Print y 1) PROPERTIL ADDFtESS= 3b82 Widain Wav LEGA'L DESCRIPTION: Lot 1 Block 1 St. Franics Wood 5th Addition ~ Lot Block Subdiva.sion or Taac Parcel ZD ) IF EXISTING STRL'4..'.I~.'RE, I?ATE OF QRZGINAL BUILDIM pE2MIT ISSL'ANCEm tMon Year? PFtE.SENT ZONING/PROPOSID LSE: ~ CTAL/12ETAIL/'BFFICE 0 R--1 SINGLE FAMILY . ~ zMLIsTRsAr., Q R-2 DcPLEX (Two Linits) ~INsTzT[..~TsQNAL/covERbu1EN°r ~ R-3 'LMWNHaL'SE (Tnree + Units) c Units 1 _ . ~ R-4 ~ARTMENr/corIDaMINzt~~-M _ - ~ Units ) 2) ~+s ~ a NAME= Fischer Stapf Construction ADDRESS: 14640 Glazier Avenuo ~ CITY, STAZ`E, ZIP: Apple Valley, MN 55124 PHONE: 4 31-3 5 51 3) . a,. For City Lzse . NAME-._ TLTn,r,i-hriinM,Prhaniral Tn PI S L7..CE?LkSE'_: ADDRESS: 7640 146th Street . D Active CITY, STATE, ZIP: Apple Vailey, MN 55124 ~ired Not recorded PHONE: 432-0175 LI E# 2443M t~. Tn ti~. 4) NAP2Es Fischer Stapf Construction _ ~DRESSr 14640 Glazier Avaz ue ` c~~, STATE, ZIP= Apple Valley, MN 55124 PHf)NE: 4 31-3 5 51 • : -5) :e • • ; - $ ~ ~ C'~i~i~CTI{~ '.1 CITY ~ ~ C~?~`ION 7+C! CI`T'Y' ~dA'1`~R ~ t'~ ' . . 6} 111i,.a- p PLEASE HQId? APPROVM T FUR ICK-[7P BY ONE 0F ABOVE - PI.EASE MAIL APPR~ PII~Mtfi Z+0 2 3, ABOVE : A rcle one) - 7) . s ei: o • • ~ ~ r • o a • ` r'~- . ' . ..a . ~m • ~ a ns • e~. e - a:r• •,nas e a e o e• - as. r _ _ CITY USE ONLY Y.;PERMIT Sf ,FSSUJ.~iD , yPd w/Bldg. Permit FEES: . $ $ SEWER PERMIT (IIVCLL?DE SURCHARGE ) . $ $ WATER PERN1IT { INCLUDE SL'RC£3ARGE } . $ $ wAT~R METER/CaPPERHORN/QUTSxD~ ~EADER $ $ WATER TAP (INCLt;=DE coRPoRATION STOF ) $ S SEWER TAP $ ACcOUNT DEFC3SIT - SEWER ; $ A.C':C?L.~N`I' DEPOSI'.I' - WATER $ S-2, $ _ WAC $ (p1 ~ ~ 617) $ SAC . $ $ TRUNK WATEF2 73SSESSMENT $ $ TRUNx SEWER AssESSMENT $ $ LATERAL 8~~EFIT/TRUNx SEWER $ S LATER.~~ ~~~EFITfTRUNK WATER s- $ WA°r~R T~~~~~~~~ PLANT SURc~~~GE , _ $ $ ~C~ • C~ ~ OTHER : s___-L3 7 $ 57/1 U~ TOTAL ~-3~ ~~z 3 REeEzp'T REcEZPT~.'.# ~~~S UxILITY CONNEcTIaN REQUIRE EXCAVATzoN z~ PUaLIC Rz~~~ ~F WAY? YES zF YEs~ A "~~RMIT FOR Wc~~K WITx~~ PUsLIC ..~_PO.~~WAY". MUST.aBE _~~~~ED BY ENGINEERxNG ~°~c~r~~ . NO • DxvISIt~r~s LIS°~ ;AS.~ Ce~NDI . . R . , . h . . #7 y~d. ' " _ T ; . . . . .r . , -~N~`~B1.i~1/'~4gp'~t~x~py2:#4l~yW«L1~"4J ^p'q~q/n pY¢~~,#~y~` L.LJiFi2J.L.6,V~$'yj4yp~ ~R, #.a''~^,~si.r~pp~ ~AT$.'a°""Y"~,SJ.bi,X.~Y4.7~ . . . . , _ . . . . . . ,,x, . . . : . . . , F . . . . . . . . . . . . 61PP$44J Y ELl S7 A s . . . . +~J, ,~~'5..~ J "Q . . . . . . . . . . . . . . I111L' : a 9JC1 1 l:e. i~ / . j . - . . ~ ~ . ~ ~ p~~ o~ ~ M~ +cF * ~ _ APPLICATItN mES Wr ~ ~ MPROvM, oF P , * APPLICAT'1OIV FOF3 PERMiT ~ . INSPDCTIOid OF SEWER /CR WA= . ~ , . . * IvSTAI,iLATT+C3N.S wII,s, N0'T BE sao). , SEWER ANDOOR 9NATER CONNECTIOIV ~ MM UNM PMMT liAS BEEN ~ APP e . ~ ~ P ease Print ) `1) PROPERTY AI3DRESS: 3684 Widc in Way LEGAL DESCRIPTIOriT: Lot 2 Block 1 St. Francis Woods 5th Addition ~ : Lot B1ock Subdivisicn or Tax Parce3. ZD ) IF F.XTSTIM STRUX-MME, DATE OF ORIGINAL BL~TLDING PERMIT ISSL'AIVGE: ' (Mon Year) PRFSEN'!° ZQNZNG/PROPOSEY7 t?SE s ~ CSALfF2ETAIL/OFFICE ~ R-1 SINGLE FAMILY . ~ INDUSTRIIAL , . ~ R-2 DL'PLEX (Two L~nits ) n aNSTIT(.'TIONALOGOVMZ0NT . . . . ~ R-3 MWNHOL'sE (Three + L?nits ) ( L.~nits ) R-4 APAR7mENT/COmIDOMIIVIL'M ( Units ) 2) wil•~ NAME: Fi srhP Stapf CoDstruction ADDRESS: 14640 Glazier Avenue~ CITY. STATE, ZIP: Apple Valley, MN 55124 ' pHONE: 431-3551 - 33 For City Use . . Northrup Mechanical Inc Pluiaibers License: ~DR ESS: 7640 146th Street Act1ve CITY, STATE, ZIP: Apple. Valley, MN 55124 . Explred Not recorded pHpNE: 432-0175 . . MA,TE{ LICENSE# 2443M Staff Taut~.a1 4) ~ o..,e~~; . _ NAME: Fischer Stapf Construction ADDRESS: 14640 Glazier Avenue ` CITY, STATE, ZIF: Apple Valley, MN 55124 PHOMs 431-3551 • :.a '5$ ,s ~ , : ~ s. ~ ~ CONNECT30N TO C22'Y-SEi+slE2 E3 CONIVFJCTZON 'I'd CTTY WA.Tg2 ~ MABOVE UM 6) r.~r- E3 PLEA.sE HC3LD APPRC3VID PERMIT FCP. PICK-UP BY ONE C3F iM PI.~'..ASE MAIL APPROVEt3 PFRMIT TO 2 3. 4, . ABOVE _ • ( ircle one) 7) r I • o. . - • -r: ~ s' ea ~ • • • e e i- ~,e • • ~ . e n ra+• . d . . ~ aa ~ s ~ R~ ~a. r - a: •,c~ae a 'k ~ ~ a• ~ ~e.~t~.. ~ , , . I! 1 USE L1 ' PERMIT # ISSLryED - pa W/Blago ~~rmit FEES : , $ sEwER PERMST (INCLcDE SURcHARCE) WATER PERMIT (zNcLUDE si1RCHARcE ) . $ 4~~ WATER M~~~R/COpPERHcaRN,roUTsxDE REaaDLR $ $ WATER TAP ( INCLLDE CORPQFtATION STOP) $ $ SEWER TAP $ AccacNT DEPQSIT - SEwER $ ACCoc1NT DEPoSzT - WATER s Z wAc S $ sAC . $ $ TRUNx WATER AssESsMENT $ $ TRUNx SEwER AsSESSMENT , $ ; LAT]ERAt, BENEF'IT/TRUNK SEin7EFd $ $ LATERAL 33Ei'dEFIT/TRUNK WATER $ $ WATER TREA'I'MENT FLAtt+3T SLRCHARGE $ $ 4 4 C3THFR • , , - . $ , TaTAL 7 V>-2_3 :RECEIPT , . RECE-U`I' DOES UTZLITY Ct1NiVECTION REQi,filRE EXCAVAfiZfJlet IN PUBIaTC RIGHfi OF WPeY? ~ YE a IF ;1'ES, TliEN A "PERfi~IT F0,RWC9RX WiTk3lN PUBLIC . RO WAY". ~E-J3SVE;~ BY R ENGINEERING ~ Nt? ' DZVYSIC3N.,__LI;$T AS X CONDITION. . , ~$t ( p. . . ` ^ . 'V` <^'.S%"V~ I~~'Y ~`"j Wy ,x t th` . . . . • . . . . . " . o" ,L . ,SUBJLCT TCr THE F4LLOWTNG CONDY'T`ION5 a AI'PROVtD ' BYs TITLEe ' . ~ATE E _ " . . M._..r' " W . . ~ . . ~ . ~ f ~ ~ ~ ~ ?~K3T~: PA s U (3F : AT TTM Q~' ~ . APPLICATION DOES NOfr C"3 T[TTE ~ AFPRWAL 4F PERMIT. ~ Ai'PLICATtt7N FOR PERM9T . . * INSPEMON OF SEWER ,1 * ' * INsm.I.A°I'T Wu:aL AXoT BE ~ SEYUER AN0/OR W/QT'ER d:OIVNECYlON uLED uwm P T ~ ° . * F,PP . • ~ P ease Print `1) PROPERTY ADDRESS: 3686 Widgen Way LEGAL DESCRIPTION: I,ot 3 Block 1 St. Francis Woods 5th Addition " Lot Block Subdivislon or Tax ParcelID ) TF EXISTIM STRL'CTt)RE, DATE OF ORIGINAT, Bt,'IIJ3ING PERMIT ISSC'ANCEs (Man Y'ear ) FRESENT ZONI1vGfpROPC3SED LSE: ~ :M CIAL/RF.TATL/OFFICE';. ~ R-1 >IWA.E FAMILY Cj INDC'STRIAL ~ R-2 DL'PLEX (I%m Lnits) C] INSTIZL'TIDNAL/ G ~ R-3 MWi+~iOL~SE (ThreP + Units ) - ( . - Llnits ) , . ~ R-4 APARTMQNT/COiVDQN1INIL'N! ( Lnits ) 2) ~.oa NAME' EiS.cher Gt-a3af Crjv,Gjrurt-j nn ADDRESS= 14640 Glazier Avenu6 CITY, STATE, ZIP: Apple Va11ey, MN 55124 ' PHONE: 431-3551 3) For City Use NA`E= Northrup Mechanical Inc. Plumbers IFicense4 A[?DRFSS: 7640 146th Street . Ar-tive ExCI''Y, STATE, ZIP t ' . alred ~ V.al 1g=.~, MDT ~ r% 1 94.,e.. Nat recorded PHONEd 432-0175 MASTER I,TCENSE# 2443M Sta - . f' In~.~ial 4) ~~aups.~g • iaT• . NAME: Fischer Stapf Construction _ ADDRESS: 14640 Glazier Avenue CZTY, STATE, ZIPs Apple Valley, MN 55124 . . PHONE: 431'-3551 - M4 . . . . 2 . . . ~ . . YG~.. . . . . . . / ' CC? ICN TD CTT1' SEWM IC}N Z`0 t:ZTY WAZER 0 ariM 6, : ~ _ ~ PLEA.SE , HOLD AAPPROVED T FC1R PICK-LTP BY ONE OF ABOVE - - - - - RM PLF.7'~SE APPROVF-D PEERMIT TO431e 2, 3, 4, . ABOVE one) 7) g . o • 4~' / ILZ : • ^s: ~ i: ~ . • • s o e t- > • - a r r~+• . . . ~ . ys , ~ B 571 ao • ea. e - a:r• •,e+a~ ~ ~ ~ M• • ~ - ~o. . ~ ~ ~ . CITY' . I PERMTT # ISSUED . .Pd W/Bldg. Pezmit FEES; . SEWER PERMIT ( INCLL'DE SL'RCHARGE) WA°~ER PERMIT t zNCZ,UDE SLRCxARGE; . $ WATER METERCCoPPERxoRN/OcTszDE READER $ WATER TAP ( INcLUDE CoRPoRA~~ON sTOP) ~ S SEWER TAp $ S • ~ ACCot?NT DEPOSST - ~EWER $ Ac~OUNT DEPoszT - WATER $ 5 2- wAc SAe S ~ TRt~NK WATER AsSESSMENT ~ S T~RLrrx SEwER AsSEssMENT ` ~ S LATERAL BENEFITf TRLiNK SF.WER LATERAL BENEFZT/TRUNx WATER WATER °rR~ATMENT PLANT St?RcxAzcE $ $ ~C1 • ~'9 D M f?THEFd : 2x ~ ^ 4 ~Q 'T'OT _72 f 3~ 3 ~ECEzPT DOEs UTxLITY coNNEcTIaN REQ~,~IRE ExCAVATION IN Pc.~BLIC RzGHT OF wAY~ IF xES, TxEN A "PERMxT FOR WORK WzTxIN PcBLIC MUST. BE-.:.ISSUf:E89 +Y.tY J.Z3F. &fNG,c.,c#d:a&d.Fl1%'tG - . . . AtlO -,,.6.~IS,1 As7 .47.. CVND+L1,4.ONa . . . . SUBJECTTtJ 'T'HE FC3L,LCsWING +~~~~ITIONS: , . ' , _ . . A;PFROVE;D BY : TTTLE s • DATEt ~ - - ~ l ~ ~ ~ pA`~''. ~}F F~ A~° TIM ~ ~ AFPLICATTON D3E5 s~ If APPR{7'VAL OF F ~ . APPLl+CA3iON F'OR PERMiZ' . . TNSF UN OF SEWER ANt)/C.R WMM SEWER AN[7/613 WATER COR1BVECTIC)N ~ mm tnvru, ~~T HAS Bm IF . ' , • . . APP . * If P ease Print) 1) PROPERTY ADDRESS: 3688 Widctin Way I,EGAL DE,CRIPTYON: Lot 4 Block 1 St. Francis Woods 5th Addition " _ Lot Block Subdivisian car Tax Paxce ZD ) ZZF EXISfiING STRL'CZL'RE, DAZE OF ORIGINAL BL'ILDING PMRM.IT ISSL'ANCE: - PRESENT ZONZNG/PROPOSED L'SE: (Mon Yea r ~ COYMMCIAL/RETAIL/OFFICE ~ R-1 SIIVGLE FAMILY . ~ IIQL7L'STRIAL ~ R-2 DL'PLEX (Tdo L'nits) C3 INSTI=ONAL/GOVE )M R-3 T{'3WNHOL~SE (Three + Units Linits ) . . ~ R-4 APAPTMM/CONDOMIlUILM ( dJnits ) 2) •:1 NAM° _Eischgr =Stapf Construction ADDRESSs 14640 Glazier Avenu~d CITYj STATE, ZIP=--- A-o e Va11ey, MN 55124 PHONE: 431-3551 3, . Far City Use . . NAME=Northrup Mechanical Inc. Pl s Lieerzse: ADDRESS: 7640 146th Street Active CITX, STATE, ZIP: Apple Valley, MN 55124 . ExPared Iebt recorded PHONE: 432-0175 MASTEF2 LTCENSE# 2443M Et-Of-Initial q; NAME; Stan Northrup . ADDRESSs 13716 Danville Court ' CZTY, STATE, ZTP: Rosemount, MN 55068 PHONEr 4 2 3=4 3 0 5 • '5) b 9 ~itl. • ai• : ~ • ~ . Xo CX?NNEG`TiON 3C'J CITY SEWE2 ~ CON.~°CTZt3N TO CITI WATER 13 6) s't - a 4MI' P F.' HOLD APPROVED '1' ~ ~ICK-LT ONE flF ABOVE F' E APPR4VF..D P~T 1~0 2, 3, 4, ABOVE le one) 7) ~ ON ' ° '1: f ~4' I: o . . o p ~ • • ' ~ I:~° . B h ° 91'P ~ ' "i ` ` ~i • 6 6 • v• ~6 • I:+ti 0 e ? ~'I•,!'!?t 1 1 1 " e :A' • ~ ~ ITY -USE ONLY PERMIT # ISSUED , _Pd W/'8ldg. Permit FEES: $ $ SEWER PERM3T (INCLUIJE SURCHARGE) $ s WATER PERMIT ( INcLUDE Si~~~~IARGE) $ . ` ~ WATER lviE`I'ER/CC?FPERHORiV/OL'TSIDE REAr3ER $ $ WATER TA,P (INCLLibE COTZPORATIGN STUP ) $ $ SEWER 'I'AP $ $ ~ J , (r a ACCOLNT DEPt3STT - SE4JEFt $ AccOiNT DEPoSIT - WATER $ ~ Z .S • C~ $ wAc $ sAc $ $ TRUNx WATER AssEssMEtvT $ $ TRUNx sEwER AssESSMENT $ $ LATERAz BENEFzT,~~RUrax sEwER S $ L~~~~~~ BENEFIT/TRUNx WATER $ WATER TREATMENT PLANT sURCxARGE ~ ~ • rr~ OTHER: T4TAL ` - N2 RECE~PT T?C1ES L'I'ZLITY CC}tvTNECT°ION RFQt?ZRE EXCA'VPaTION IN PI:'BLIC RTGH'.i' QF WAY? . YE5 IF YES, THEN ,t3 eoPERMlT FfJ"ft WOkiR WZ'S'FiIN Pi?BLIC RQA~WAY" MUST BE. ISSUED.. BY THE ENGINEERING NOw. . " . ~IVISIt~N,,LIS`I' CONii~ITION. < < . . z , . r St?BJ~C7TQ THE FOLLOWING CONI7TTZC3NS; _ .a. _ APPROVE#~ BY: TITLE : DATE: ~ , *,xx,xxxx~~xx~x.F~~xxxRxx~x~..F~, APFLIC."4'ATION FQR PERMIT *N=: PAYNW OF FEE AT TIME OF . . ,*t APPLICATION DOFS NOT CON- .*k STITUTE APPRGVAL OF PII2MIT. * 4•~ S E W E R A N O R A T E R C N N E C T I Q N * TNSPDCPION OF SES~2 AI~II)/OR WATER INSTAIdATIONS WIIS. NOT BE SCIDqLED * f= +r * a . * [!NPIL PERMIT HAS BEE1V APPROVID. .*k . *,r**,r******t,r***,r****,r,r,r**+r******,r**** . T -citv of cagan (PLEASE PRINT ~ Mn 55123 1) PROPER ADDRESS: 3682 Widgeon Way Eagan, I,EGAL D IPTION:. Lot Block Subdivision or Tax Parcel ID ) IF EXIS ING STRL'CT[)RE, DATE OF ORIGINAL BLILDING PE IT ISSLANCE: Mont Year PRESENT ZONING/PROPOSID USE: Q COMNIII2CIAL/RETAIL/OFFICE 1_1 R-1 SINGLE FAMILY Q INDLSTRIAL F-=l R-2 DLPLEX ('i~vo C'nits ) ~ INS I'I'UTIONAL/GOVERNMENT ~ R-3 TOWNHOLSE (Three + C'nits) ( Units) Q R-4 APARTMENT/CONDOMINILM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE:" For City Lse 3) NAME: Northrup Mechanical, Inc Plumbers License: ADDRESS: 7640 146th St. W. Active Expired CITY, STATE, ZIP: Apple Va11ev, Mn 55124 Not recordec pHONE : 4 3 2-.017 5 MASTER LICENSE # 2443 StafT Initial 4) Wk~1t'~ IVAN]E : c 0 ADDRESS : le 2 22-- 4v i O :2-- d2.d k?? /-J CITY, STATE, ZIP: nJ PHONE : 5) s ~ ' .i, • u R : : a~a.~»'~tN~~ gur$nkler ~ CONDIECTION TO CITY SEWEE2 ~ CONNECTION TO CITY WATEFt .~X OTF-IER S~is ~em.,... 6) ,:r¦ ~ AP Ap * * THE GOLD COPY OF THE PERMIT WILL BE SETTr DIRECIZ,Y TO PUSLIC _ WRKS TO FACILITATE MEIER PICK-LP. ~ * PLEA.SE ALLOW n10 WRKING DAYS FOR PROCESSING. SOMEUNE FROM 'I'M CITY WILL CONTACT YOL IF TfiQ2E ~ * ARE ANY PROSLENIS. ~ ~ . FOR CITY USE ONLY PERMIT # ISSL'ED ' 19 ~6 f/ Pd w/Bldg. Permit FEES: $ $ ;z'a:;=_5=r SEWER PERMIT (INCLLiDE SURCHARGE) $ WATER ER T( INCLUDE SURCHARGE ) ~ $ $ WATER METERjCOPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING " NO DIVISION. LIST AS A CONDITION. SLiBJECT TO THE FOLLOWING CONDITIONS: ~ APPROVED BY: TITLE: DATE : CITY USE ONLY r~ L BL RECEIPT#: ~ . ~ SUBD. /YI • ~/~'.C~«a (N~ RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 - (612) 681-4675 Please cornplete for: ? single family dwellings ?#ownhomes and condos when ;permits are reqwired for each unit ? backflow preventer for underground sprinkler systern FIXTURES E CH 'NO. TOTAL _ Shower 3.00 x = Water Cfoset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3,00 x = Laundry Tray 3.00 x HofiTub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x Gas Piping Outlet * minimum - 1 • 3,00 x = Rough Openings 1.50 x 1Nater Softener * fot awellings under construction 5.00 ` X = Water Softener * for existing°clwetling 20:00 x 7PIC010 U.G. Sprinkler * for tlwelling under const. 3.00 ` _ - U.G. Sprinkler * for existing dwelling 20.00 Alterations " to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System " Dak cty iic. 75.00 = (new and refurbished systems) Private Disposal Systems " Anandonment 20.00 STATE SURCHARGE 50 TOTAL I herebyadsnowledge that I have read this application, state that the information is corred, and agree to comply with, altapplicatile City-, of Eagan ordinances. It is the applicant's responsibility to notify the peoperty ownerihat the Gity of Eagan assumes noliabili .ry fo'ran,.y < damages caused by the City during its normal operational antl maintenance activities to the facilities constructed underkthis`permit witFiin City Propertylright-of-way/easement: W I LT$E SITE ADDRESS: 3684 W I DGEON WRY EAGfm $ 5123. OUVNER NAME: H 454-7686 W INSTALLER NAME: TELEPH:ONE STREET ADDRESS: CITY: STATE' ZIP: NURBLGt-1 PL41MB:"!a C0. ~ DBA VENTCO/APPLIANCE It3STALLERS . (612) 827-4033 2905 GARFIELD AVE. souTH G URE OF PERMITTEE tJ11NNEAF'OLIS, M!V 55408 ,G~~ Tt ~ , r v . ~ ~ ~ 1987 BIIILDING PERMIT lPPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICITES.OF SIIRVEY, 1 SET OF ENERGY CALCQLATIOHS A10TE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOGTNER MIIST DESIGNiTE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. M[TLTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SAI.E IINITS X_ INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY CHECK WITH BLDG. DEPT., . 1 SET OF ENERGY CALCULATIONS CONIlMD?RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF . ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND l o~ 4-- To Be Used For: Valuation: Date: Site Address OFFICE USE ONLY Lot /,11grfBlock ~ On Site Sewage Oceupancy K• 3 MWCC System ? Zoning . Parcel/Su~#~/;q. A/~ ~'?~c9~ S't~' On Site Well Type of Const • City Water ? (Aetual) ~ Owner ~A V/Yla iv /A /Cis C ~j c /z ( Al lowable ) -_v:_ ° ,1 # of Stories Address q6 S/o ~.I~ Z/g ?Q 1i Length 3S Depth Ca ~ City/Zip Code 4_F (0411~' ~ . S.F. Total e s-;z';f Footprint S.F. ' - Phone V;3/- ,34T ~T I gPPROVAI.S FEFS ` Contractor rl5c, h F_ !Z S~,t1 f' ~ Caw Assessments Permit Water/Sewer Surcharge 55. Address CL A"Z /il? ' APolice Plan Review 2(oCo~ Fire SAC, City DO. City/Zip Code A~,[ ,C IAL~~~/ Engr SAC, MWCC SZS. SSr 2q/ Planner Water Conn S25 Phone _ L.3%- 3 S3( Council Water Meter 67 Bldg Off Road Unit ?~S • Arch. /Engr . ~~p j~ ~ • APC Treatment Pl 4 E~0. Variance Parks Address /Qe7o Copies City/Zip Code STOT1I. Phone # y3 2 - SOOo - ' e;.,~ ' . . , ~ . A~4 ? 2 A ~ , - 1987 $IIILDING PERMIT lP IClTION - CITY OF EAGIN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PI.ANS, 3 CERTIFICATES OF SITRVEY, 1 SET OF F,ATERGY CALCQLATIONS ATOTE: ADDRESSES FOR CORNEa LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGAATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE lLLOWED ONCE BIIILDING PERMIT IS ISSIIED. MQLTIPLE DWELLINGS - RESIDENTIgL. RENTAL IIPITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SiTRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS - COMIlMERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND , I of= 4- To Be Used For: ^ Valuation: GOO Date: ~ 2- 7 Site Address OFFICE USE ONLY Lot Block ~ On Site Sewage Occupancy R. 3 MWCC System ? Zoning 12 3 Parcel/Sub .S'~. f%4'AeC f 5 On Site Well Type of Const City Water ? (Aetual) Owner (Allowable) ~ # of Stories Address Length 3 2 Depth S ¢ City/Zip Code S.F. Total Footprint S.F. "Phone gPPROVALS FEES ~ Contraetor Assessments Permit '~,~'~2• - . Water/Sewer Surcharge 5I.5-0 Address Police Plan Review 251o.2s Fire SAC, City ~co. City/Zip Code Engr SAC, MWCC 5 25 Planner Water Conn ~ 2j• Phone Couneil Water Meter Bldg Off Road Unit ' 50S. Areh./Engr. APC Treatment P1 I.gp. Varianee Parks - Address Copies - TOTAL Jk ~ City/Zip Code Phone # . ,:ti - . . , . Li +-4 ~ 2"g!\- ~ 1987 BIIILDING PERMIT iPPLICATION - CITY OF EAGiN SINGLE FAMILY DWELLINGS IHCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES.OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. . M[JLTIPLE DWELLINGS - RESIDENTIIL. RENTAL IINITS FOR SALE IINITS ~ INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK WITH BLDG. DEPT., , 1 SET OF ENERGY CALCULATIONS - COMIlK6RCIlL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ; $2,000 LANDSCAPE BOND ~ or 9- To Be Used For: Valuation: I~3f 0(DC Date: Site Address 3(p W OFFICE USE ONLY Lot ~ Bloek / On Site Sewage Occupaney ~•3 MWCC System ? Zoning 2.3 Parcel/Sub ~'"f`"~ rP44/IC, i S` "Cv On Site Well Type of Const City Water ? (Actual) ..,pwner (gllowable) :,i~.~a . # of Stories Address Length 3Z . . Depth ~ . City/Zip Code S.F. Total Footprint S.F. Phone 9PPROVALS FFES Contractor Assessments Permit ~ Water/Sewer Sureharge Address Police - Plan Review 25~ . Zs Fire SAC, City la~City/Zip Code Engr SAC, MWCC 525. - Planner Water Conn SZS. Phone Council Water Meter (r, 7. Bldg Off Road Unit 30~ Arch./Engr. APC Treatment P1 ?.P-0, \ Variance Parks • Address Copies - TOTII. S-z • ~ City/Zip Code Phone # . ~ . . . , L! f~ J 1987 BUILDING PERMIT lPPLICATION - CITY OF SAGAN SINGLE FAMILY DWELLINGS INCLiJDE 2 SETS OF PLANS, 3 CERTIFICATSS.OF SIIRVEY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOTdNER MIIST DESIGNATE ii1HICH ADDRESS IS DESIRED. NO CHANGES FTILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. M[JLTIPLE DWEI.LINGS - RFSIDENTIAL RENTAL IIBITS FOR SALE DNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYEY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS - CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND l of 4- To Be Used For: Valuation: Date: Site Address OFFICE IISE ONLY Y Lot ~ Bloek f On Site Sewage Occupancy F,,3 f , MWCC System ? Zoning (?,3 Pareel/Sub On Site Well Type of Const City Water (Actual) Owner (Allowable) 3T- # of Stories Address Length _ Depth Cv G~ City/Zip.Code S.F. Total Footprint S.F. `Phone gPPROVALS FEF.S -95 Contractor Assessments Permit - Water/Sewer Sureharge Address Police Plan Review ZCC,co.~s Fire SAC, City IoO. City/Zip Code Engr SAC, MWCC .SZSPlanner Water Conn SZS • Phone Council Water Meter (,r,, -7, Bldg Off Road Unit ' 3oS, Arch./Engr. APC Treatment Pl Ibo. Variance Parks Address Copies - TOTAI. City/Zip Code Phone 4k i RO p E ~pNSU~TINO ENC3lHEfqS ENGINEERING PLANHEflS nnd LAHQ ~URVEYOQS CompriNyt tNC. . 1000 EJlST 1461h 57REET, BURNSVILLE, IIINHESOTA 5!:!37 PN 1:2-3000 C4e Y-'Z Le cC Z~~ C~~~~~ ~ n,• L07"6 l, 2, 3, AAl U 4, BLoGK l, ST FRq/VC/S IMooU STH, . ADD/TION, QqK07A GvVN7Y MINNESOTA (_825E,op) QEN01"_ES EXISTtNC ELEVHTIDN (897.7) pENiDTES PROPOSED ELEViqTfoI`..! II.JD1CqTES DIRECTION OF SURFqCE DRAINfI~_-E FlNlSNLD 6ARq6e FLObR ELEVATION c , , - 7. J I,, ScaLe -40' ~~J o 00 00 •J ~fi ~ ~'0 2d t)O ~ ,D• p~ l ~ - ~ 51 ~W2,7 `a~'' ~.9s ,7 ~~9z p~ 36.06 \so' J Zy. ' o \ r ~ QP (e 92.0, ~ ~%Za, ~ Cb ~ ~ ~?Q ~ ~,o•~ s, ? o ~o d<~~ C ~o ~ ~R 0 ? ~ ~ \ , s ~2 ~ f ~ 1p• •oa~ °o ~ ~ °o 9)- Nx a ~Q Qb Ux / oQ ~9 \6'01 2' '96 ~ 1J No 6• ,~h ,y 3pC. o3r~ Zb N~, 5p ~i J- o ~ / % ~93.4s~ I hersby cartify that thia ia a t:ue and correct rnprzaentition ot a tract ot ljnd as thoxn' and deacribcd hereon•• Aa prsparsd by mn on this Zo-zrl» day ot 19 87 • • -z.G Nin n. X ~ a. No PERMIT # 00 RECEIPT DATE: MIDENTIAL PLU1VI$INQ~ PERMIT APPLICATION CITY OF EmAN S$SO PILOT KNO$ $D EAfiAN, MN 55 Y 88 651-6$1-4675 Please complete for: ? single family dwellings ~ ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system W I LTSE, MARY ' SITE ADDRESS: 3684 WIDGEON WAY ~ EAGAN, MN 55123 'OWNER NAME: : I (651) 454-7686 TELEPHONE (AREA CODE) INSTALLER NAME: O r6 C1W1 WW161f1 TELEPHONE I Z Z`7 STREET ADDRESS: ZgD S-6Ge4' so , (AREA CODE) CITY: STATE: Mvq ZIP: 5_S`/0? Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: ~~C~_Cs2. Lia-te-f- ~ Septic System, new/refurbished - $ 225.00 . • includes County & Consuiting Inspector fees • requires MPC license State Surcharge $ .50 Tota l $ t5Q • Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail appiicable City of Eagan ordinances. it is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. I URE OF PERMITTEE Updated 1/01 - " ' COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ~LD Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) ~ • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) • LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always"" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" . Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) y 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter cal I 651-602-1000 cal I 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Catl 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORK TYPE: NEW REMODEL CONSTRUCTION COST: CU DU - SITE ADDRESS: TENANT NAME: e, 0 [ ~ Be. rQ SUITE FORMER TENANT NAME, IF APPLICABLE: ~f Z/2- DESCRIPTION OF WORK c-. /Z- o 1-1 f Name: LJ e- c~ J t~-3 c~ ')'_0 / b cu~ ~ I /~o n.. • , Phone L/ - p PROPERTY Last First OWNER Street Address: '2 4 ~ City: It State: Zip: Company: Phone CONTRACTOR n Street Address: City: L.D State: /h n3 Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registrarion # : L 2C S~ Street Address: u City: State: LZip: _ _ ,i Licensed plumber installing new sewer/water service: Phone I hereby acknowledge that I have read this application, state that the information is c rrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanfi Updated 7/02 Z_ 7 L OFFICE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 WindowsJDoors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MClES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ~ Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total ~ SAINT FRANCIS WOOD ST'' 65904 APPROVED 12/86 PERMIT DATE & TVPF i,nT $jl AnnRFSS 4i87 4-nLEx 010 Ol 3682/ WIDGEON WAY 020 01 3684/ 030 01 3686/ 040 Ol 3688 050 01 COMMON AREA 10i88 DuP 060 01 3690/ WIDGEON WAY 070 01 3692 6i88 3-PLEx 080 01 3694/ WIDGEON WAY 090 01 3696/ 100 01 3698 11i92 s-Pt,Ex 010 02 3697/ WIDGEON WAY 10i89 020 02 3699/ 10i89 030 02 3701/ 12i88 040 02 3703/ 11/88 050 02 3705 6i90 s-PLEx 060 02 3695/ WIDGEON WAY 9i90 070 02 3693/ 4i94 080 02 3691/ 4/94 090 02 3689/ 4/94 100 OZ 3687 110 02 COMMON AREA 7/94 4-PLEx 120 02 3685/ WIDGEON WAY 7i94 130 02 3683/ 7/94 140 02 3681/ 6i93 150 02 3679 16 COMMERCIAL BUILDING ` Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~0 1~~ 1--t 3 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always*' • Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always** • Meter size must be established . Meter size must be established • Meter size must be established-if applicable 1 , • ProjectSpecs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • SAC determination - calt 651-602-1000 • SAC determination - call 651-602-1000 SAC determination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Pernut for new building or addition will not be processed without Emergency Response Site Plan. aol a2~ aZ Date cD.~ Construction Cos: ~ Site Address L? W C~- ~f't/Ste # Tenant Name Former Tenant Name ~ Description of Work +r~___J Property Owner L4,;~, Telephone # ( ) / Contractor -e- Address C.D City l3E,,. r J J'' cJ / t State ~ .J Zip .S~S33 ~ Telephone # ( ) Arch/Engr Re istration # Address Cit f „ ; I'I IV! I,~ y ~ ~ State Zip Telephe#( ) ' I ' u , Licensed plumber installing new sewer/water service: ~71,, --Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. ~L..s ~ `S c. _ ~ ~ f~. ~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ' ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire 8idg 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 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total y y ? SAINT FRANCIS WOOD STH 65904 APPROVED 12/86 PERMIT DATE & TYPE LOT BL ADDRESS `t 4i87 4-PLEx 010 01 3682/ WIDGEON WAY 020 01 3684/ 030 O1 3686/ G40 O1 3688 050 Ol COMMON AREA ioiss Dtrn 060 Ol 3690/ WIDGEON WAY 070 01 3692 6i88 3-PLEx 080 01 3694/ WIDGEON WAY 090 01 3696/ 100 Ol 3698 t v92 s-PLEx 010 02 3697/ WIDGEON WAY 10i89 020 02 3699/ 10i89 030 02 3701/ 12i88 040 02 3703/ ivss 050 02 3705 6i90 s-PLEx 060 02 3695/ WIDGEON WAY 9/90 070 02 3693/ 4/94 080 02 3691/ 4/94 090 02 3689/ 4/94 100 02 3687 110 02 COMMON AREA 7/94 4-PLEx 120 02 3685/ WIDGEON WAY 7/94 130 02 3683/ 7/94 140 02 3681/ 6/93 150 02 3679 16 ,G7~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ~ fg5-0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements I Remodel/Repair Reauirements Office se On{v 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists CeR of Survey Recd _ Y_N (20°/a maximum lot coverage aliowed) 1 set of Energy Calculations for heated additions Soiis Repat'. _Y _._N 1 Soils RepoR if proposed buiiding is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan #teed _ ll N, 2 copies of plan showing beam & window sizes; poured found design, etc. Add'dion - indicate if on-site septic system Tree PreS Required Y= N 1 set of Energy Caiculations On-s't1oSeptic SyStem~ N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date ? Construction Cost U~q 3p Site Address Unit/Ste # n4D Description of Work 1 Sw,, V\." Multi-Family Bldg ~ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ~Is") Contractor Renewal By Andersen 1920 County Road "C" West Address Roseville, MN 55113 C'~' State License #20130983 Celephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber ~ ~ 11 # ( ) Mechanical Contractor tMY ~ aawp e # ( ) Sewer/WaterContractor Telepho e#~ ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIT Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without , permit; that the work will be in accordance with the approved plan in the case of work which requires a review anc approval of plans. Applicant's Printed Name App icant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvqes ? 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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Descriation: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O. _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing Siding _ Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge ~ _ Treatment Plant License Search Copies Other Total ~ ~ FIRESIDE HEAR'TH&HO E" ~ ~ FAX TRANSNISSION aATE: . ; iw~~z / • ~ r ~v~ THi'S CoVER PAGE rs PA6E #I OF A Ta'rAL aF PaGES. ~ TO: _~~n C~y r4utt FRdM: FIRESTDE HEARTH dc HONkE Retail Tns-tall Office 2700 N. FAIR+JIE1A! R1/E. RasEVIL.4E, MN 55113 a7TN: 7ury FAX (651-633-8884) VOICE (651-63$-3349) FAX SENDER: pak THE ATTaCHED DOCUN4ENT5 CC?NCERN: a S Ti'~e NOTE'Jr ; ~Y~~~ (S r~~,~tk Dc.~C [3K 't~r lt A Heorth 4 Home Technologies 8rand Refaii Division 2700 Fakview averAe NorTh Roscvllle, MN 55113 Phonc 652-b33-2561 Fax 651-633-8$$4 www.firesideusa.cam MN Ca+troctar License # 20090911 Z00/T00'a 5Z00# SHoH arra xs'dVSH SazsTdz3 fi888 M i59 St:E'[ 800Z,50'0n'V 719 ' 6 b888 229 Z99 Seation 4.0 6nseatllatlon Practices GaS& SeCCoo 4.3.4 Cnncealed Fircings The Gascire" Mechanical Ficcings have bern irscecl itnd lisred prr the r'rquirernenzs uf'ANSI LC-1 For concealed use_ The f;c- i Gasciei. rink may l,ii• uscd for contealc*d acxachmenc inclucking, bux noc limired ta: appliunre valves, branch ruits using cee iictings. C55T, ]ength splites and scub-outs rr,anufatrurrci Frurri a.pproveci fnrl gas piping materials- a) Oi ThrsN guidelincs addiress some of tP?e mosr carr,mc,n siraatiorts where eoncealing che ficzirigs is Ehe only pr~acr.ical a9ternacive. Rat Thrse guidelines cannot address all applicacions of conct.-Alec1 F~crings, buc irasread, provide typital ;nsrtutcians co demon- h-t strate the principles that apply to Fittings lisied for insrallation in concea3ed ltxations. (Reference T`acional Fuel Gras Ce,de. NfPA 54, Concealed Piping in Buildings)- b) A aT a) New lnscdllacions (Fig. 4-2$) - VUhen muliiple gas oudets are sLipplird from a single run oFC55T, e-ach ~ dc,wnscream outlec braocE's c:.n be cannttrrd tu crae mair? run usirig acee-rype fircing vvhich can be s"'k'r Pla'e ' 4.37 lc,catrcl in a concealed lc,cation. ~ bj fireplacr key valves (Pig. 4-29) - CSS f cannecuar,s Trie F cc, Fireplace key Walves can be lncatrd in a concealed ~ Thes' lc,cacion whrn accissibiliry is noE rradily prCr'vided. - c59Yqun Pass', cj Srub-Ot2i5 (FlUrT. 4-30) - GSST cannecEions ro stub- rrsrsc c,ucs fabrireted from approved fuel gas piping ~ 2,,0014geti,.2 materials- A plc dj Exclusiun - NldriiFold scacions for clual pressure sys- Fig 4-2$ `'S pa rcrns 5which indude che mutti-porc mdnifold, shuE-off valve and pressure regulaEor shall not be insialiecl in coricealed locatiuns regardless of the qualif cacians c>f rhe t'ubing- ~FUr i ' SysL< eian . . , l.1'L ' I"T 4.3. ~ • c • ~~lt cior aPF ~ Wl Fig 4-29 Fig 4-30 a Norr. Srrib Prorer~iow fFlvMl a.+t t~ J6• ~rir~. 4,3.5 Mcid;ficarions ra Exiscing Syssems Mtl lcra aj New Ceilings in Unfinistied ltoomslBasrmencs - CSST firtings origirially inscalled in accessible ceiiing jucacions cae br concealed in the evrnc a [eiling is insca7>ed st a lacer clace. bj Excensions co Exiscing Tabing Runs - Coneraled cubing can be moclifed to permir an extrrisiori to ar?oEher appliance lcxarion provided cl',err is sufficien4 eapaciry ro supply borh appliances at the same cirrte_ !f an accessiblr locacitrn fur che mnckification is nor svailable, cl'ir exiscing rtabinb run csn be moclifieci wirh a tee fitcing chai a•i11 resulr in a concealed fsrring behind rhe walJbcaatd_ c) Whrn rnodiP~cacians lead co [bnccaled tubing„ s[rike prutec(io[r rreay be reGuirecl. KeFer srction 4.4: C-acrur C1.vir-v,n TirArX f_nrrworbtion d•: Z00/ZOO*a SZ00# 3Hox aisa xzEVSx 3QIS32II3 b888 EE9 T59 9~:£T 800Z+501ony i ~~J~ ~ I Cil ty L ~I Of ~n11 V~Fi Permit#: 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 ~ I Fax: (651) 675-5694 ~ Staff: ~ ___-_____________J 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Z3 Date: ~ U Site Address: w~ dY Y1 ?Vl ~'S J1 Tenant: L.°. S ite RESIDENT / OWNER Name: ~ C1 ,L- ~y ?1 ~ ~ ' r/none: ~j Address / City / Zip: 36, ' a Yi Yk7 kJ CONTRACTOR Name: G kl:~f /IA ell-V License Address: 0~-`/~ 5_/ City: State: 4~74,,l Zip: ~ j6_39__? Phone: 2--J_0S' Contact Person: 2 6?445-~' TYPE OF WORK _ New Y--R-eplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Swelinirnum Waier Heater, Water Softener, ar Water Heater and Softener (inciudes $.50 State Surcharge) $30.50 LSwn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 SeptiC System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ~ I hereby acknowledge 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 star.t..w+thouT'a~-perrriii; that tFie work will be in accordance with the approved plan in the case of work which requires a review and approval o ans. / . % _ X fG~ . . X A plicanYs Printed Name ApplicanY Signature 1r ~UF~ O~'~1~~ US~ ~ ~Fkevier~re~s~ By a~ q p Ll~d~r Grr~uncl , R6u gh In Air T~~t ~1'Ua~ T~st &inaF, ~ RE3 urCBd ~ns ~Ct~01~s Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: \ Nr42_,A Permit Fee: Date Received: Staff: 2010 010 MECHAN ICALPERMIT APPLICATION TIO N /ISO lo Site Address: 362p '7u)6dJ(leo (-WXy Tenant: )\.‘r -Pc -701r) 12e1/— RESIDENT / OWNER Name: 1 c 12,M Scn )� Suite #: Address / City / Zip: <47ckr(V) C( ice( hOUQ-, Phone: CONTRACTOR Name: V00 1 4eAti1101 A I a License #: (o0 C/Co ha., CLOU Address: l,. rYl �N inl�l'e.� City: St IS TYPE OF WORK PERMIT TYPE State: YYUnL Zip: 55ic-)J.v Phone: C)15a-C)r� ✓;(U 7 (.d 1 Contact: Email: Vc fhvac i�Vl hest-bt\ C.oivu New Replacemen Description of work: re NOTE Code �( RESIDENTIAL ry Furnace Air Conditioner Air Exchanger Heat Pump Other Additional Alteration Demolition rnr ` Lan nd t nted mechan clta tins fo arnerS861-4070-13 r,fiaL New Construction Install Piping Gas COMMERCIAL _ Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install /_, Remove) ** 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 $5.00 State Surcharge) $95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) 5.5. 00 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali 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.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 no to start yvithout 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. L, LC) rd Applicants Printed Name x Applicants Signature Calculations are based on 8th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. C:\Program Files\Elite\Rhvacw\Projects' -wRhvac - Residential & Light Commercial HVAC Loads Vogt Heating and Air Minneapolis, MN 55426 . :-.:... ite Softare Development. Ince-1 ��. Total Building Summary Loads Component�� Description <;> £w x� ., ' . Ar ea Se" La Sen{ Toal= . Q ani' Loss °` Ga n Gain. Gar! 1 D-cw-o: Glazing -Double pane, operable window, clear, wood frame 1 B-cw: Glazing -Single pane window, fixed sash, clear, wood frame 11D: Door -Solid Core 12B-Osw: Wall -Frame, R-11 insulation in 2 x 4 stud cavity, no board insulation, siding finish, wood studs 15A-Ooc-8: Wall -Basement, concrete block wall, no insulation or framing, no interior finish, open core, 8' floor depth 16CR-13: Roof/Ceiling-Under attic or knee wall, Vented Attic with Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-13 insulation 16CR-19: Roof/Ceiling-Under attic or knee wall, Vented Attic with Radiant Barrier, Dark Asphalt Shingles or Dark Metal, Tar and Gravel or Membrane, R-19 insulation 21A-24: Floor -Basement, Concrete slab, any thickness, 2 or more feet below grade, no insulation below floor, any floor cover, shortest side of floor slab is 24' wide 121 6,068 0 5,268 5,268 18 1,552 0 504 504 40.2 1,380 0 392 392 1392.8 11,890 0 3,121 3,121 864 9,504 0 0 0 360 2,218 0 983 983 360 1,552 0 688 688 720 1,584 0 0 0 Subtotals for structure: People: Equipment: Lighting: Ductwork: Infiltration: Winter CFM: 87, Summer CFM: 46 Ventilation: Winter CFM: 0, Summer CFM: 0 35,748 0 10,956 10,956 4 920 1,200 2,120 400 1,200 1,600 0 " 0 0 0 0 0 0 8,193 1,014 685 1,699 0 0 0 0 Total Building Load Totals: 43,941 2,334 14,041 16,375 c igilreSt!' Total Building Supply CFM: 658 Square ft. of Room Area: 1,800 Volume (ft3) of Cond. Space: 14,400 CFM Per Square ft.: 0.365 Square ft. Per Ton: 1,154 Air Turnover Rate (per hour): 2.7 Building Loads Total Heating Required With Outside Air: 43,941 Total Sensible Gain: 14,041 Total Latent Gain: 2,334 Total Cooling Required With Outside Air: 16,375 Btuh Btuh Btuh Btuh 43.941 MBH 86 % 14 % 1.36 Tons (Based On Sensible + Latent) 1.56 Tons (Based On 75% Sensible Capacity) Note Calculations are based on 8th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. C:\Program Files\Elite\Rhvacw\Projects' Use BLUE or BLACK lnk -------____—� �`For OfHce Use � , E+��r�v� �� 1a��a- ; { Permlt#: 4 �� 1i �1 � PermitFee: (.��. �d i � � �u� � a 2a � � . 7- ,�_� � 3830 Q{�at KnOb Raad _:� Date Received: E Eagan M'N 55123 � �� Phone: (651}875-5675 $Y' , -` � staff:rr . ... ��...-�,—'.�.��--��.��r...1 Fax: (651)67v-5694 2tl'i4 RESiDE�TIAL P�.t]MB1NG PERMIT APPLICATit)� '"� ��5�.s � pate:��--�Site Address: Suite#: Tenant: Phone: � Name: Re�lder�tl�+vner . Address/Ctty 1 Zip: �' � r V 1 _, � Ucense#' � '�� °' Name; �� City: � � � Address. Contractor � '��/','�,� phone: State:,��Z�P��>�' cv o , . ' Contact; Email: New �Repiacement ,�ePa�� Rebuild ,Modi#y Space_ -�Wo��n R.O.W. ..Type of:Wark ,: ~ _ Description of work: RESIDEN7[AL 'J. �- : �Water Heater Water Softener . • �Lawn Irrigation(�.RPZ/.�P�) _ �. . ,Add Plumbing Fixtures(,�Main!�Lower Level} Pel'1'Y11t Type ' Septic System Water Turnaround New �', :'-' � �' ' Abandonment RESIDENTIAL FEES: $60.Q0 Water Heater,Water Softener,or Water Heater and Softener{includes$5.00 State Surcharge) , wn lrrigation(includes$5.00 minimum State Surcharge) Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround`(inctudes$5.00 state Surcharge) • "Water 7umaround(add$200.00 if a 5!8"meter is required} fee and$5.00 State Surcharge) � $115,flU Septic S steY_ m N$�''�{$10.00 per as bullt}(includes County ;Q�q�F��S$ �� CALL BEFORE YOU D1G. Cafi Gopher State One Call at�ound ut�t es Z f�'�'40QCte�st eolnsecall orrground utility damage. Call 48 hours before you intend to dig to receive tocates of unde g lication for a permit,and work is not to start without a permit;that the work rrrill be in t hereby acknowiedge that this information is complete and accurate;that the worVc wIN be fn confortnence with tfie ordinances and codes of the City o Eagan;that I understand this'�s not a pertnit, but only an app' ro,�{of plans. accorclance with the approved plan in the case of work which requ9res a review and app I� �1�?Y'��DY3'� " x pppficanYs n re Appficant's P ' ted Name t x E :. . .`. . :,� , Reviewed BY ' �" C7t�fe ,��.�,:.. F1GE US s . . ' 'y FOR aF . ` .e, � ,_' � �; � .- �� ';'::purTes� `� ��s fi��t ,�� in�i 1 ° �, Rou h In : f—'_' ,..�< Reqwred Isis�ections Uritier Cround ` - � . �, W _.;; . �: .�e+,�. �i f �'`_ .� . . 4� i��,-. . � ; ':.� Radio Fta�d ' Staff s�f�.:: �� Meter Ftelatetl ltems. � Meter Sf�e:,,,;,,.�-�,.- : - ' • �v;�d.�� , � � Use BWE or BLACK Ink I r________________i i I For Office Use I � � Permit#: �� I I • CltV of �a �� (�'��—� �� ° � � Permit Fee: � �' � �, 3830 Pilot Knob Road i � � Eagan MN 55122 � � I Date Received: I � Phone: (651) 675-5675 � � �, Fax: (651) 675-5694 j Staff: j � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: (� ' J� �{ - 3(o$t��' 3(�SS W; �Q czr� i Tenant Name: (Tenant is: New/ Existing) Suite#: Former Tenant: Name: Phone: Property Owner Address i city�zip: �(p$a- 31�8�� 3C�SC�- 3(088 ��,`�Q �r � ��en Applicant is: Owner �Contractor Type of Woek Description of work: �,e,�('�� , Construction Cost:� '� �� ; �W � �� Name: �}JS'('G.0 �r15��('UG��(�!"'i �'�G License#:_��cy O� J Contractor Address: ^1 J� i��a HVE� l�J�',S'r City: `�`v�nG2��<°�.• State:�Zip: rJ" �3�—t Phone: "1 �J�. '" �� ' �(�� Contact: 1 ll'E'i ,1 f(�U Email: (Y'L U r(� � �V151� • Name: Registration#: Architect/Engineer ' Adaress: city: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents'#hat you submit are considered to be public information. Portions of ' the informafian may be classified as non-public if you provide specific reasons th�t would permit the City to conclud�fhat the are trade secrefs. CALL BEFORE YOU DIG. Call Gopher State One Cali 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.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 fY��Ke� �,��r�re� X ApplicanYs Printed Name ApplicanY ignature Page 1 of 3 ♦ DO NOT WRITE BELOW THIS LINE � SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments _ Commercial/Industrial Accessory Building Exterior Alteration-Commercial • Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New Interior Improvement Siding Demolish Building* _ Addition _ Exterior Improvement � Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%� Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS j Footings(New Building) Sheetrock Footings (Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required • Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Sampling Fee Plan Review Water Supply & Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral • Trail Dedication Other: Water Quality TOTAL Page 2 of 3 t Clt of �a �� • 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 COMMERCIAL BUtLDING PERMIT SUBMITTAL REQUIREMENTS: Foundation Onlv ❑ 2 sets of scaled Structural Pians New Building AND Additions ❑ 2 sets of Civi! Plans ❑ 1 Soils Report ❑ 1 Certificate of Survey ❑ 1 Certificate of Survey ❑ 1 Code Analysis** ❑ 2 sets of scaled Structural Pians ❑ 1 PrQject Specs ❑ 2 sets of scaled Architectural Plans ❑ 1 Special Insp�ction &Tes#ing Schedule'`* o HVAC units required on building elevatian 1 site plan ❑ 1 Sails Report ❑ 2 sets of Civil Plans ❑ Meter size must be established—if app(icable ❑ 2 sets of Landscaping Plans ❑ Met Councit SAC Determination (651)602-1000 ❑ 1 Code Analysis *'" ❑ 1 Energy Calculations complying with the 2009 Interior (mprovement Carnmerciat Energy Code(Chapter 1323 of the ❑ 2 sets of scaled Architectural Plans MSSC} *"'** � (maximum plan size=<24" x 36") ❑ 1 Emergency Response Site Plan *"* ❑ 1 Code Analysis ❑ 1 Special Inspectian &Testing Schedule ** ❑ 1 Project Specs ❑ 1 Project Specs ❑ 1 Key Plan ❑ 1 Master Exit Pian ❑ 1 Master Exit Plan ❑ 1 CD including electronic copies of the final reviewed plan submittal ' 1 Energy Calculations complying with the 2009 Commerciat Energy Code (Chapter 1323 of the � ��re Stopping Submittals ��8�� "*** ❑ Fire Suppression/Alarm Form ❑ Fire Stopping Submittals ❑ Meter Size must be established ❑ Meter size must be established—if applicable ❑ Met Gouncil SAC Determination (651)602-1000 ❑ Met Council SAC Determination (651} 602-7000 "` Call MN Dep#of Health at(651)201-450Q for details regarding food & beverage or lodging facilities. ** Contact Building Inspections to see if it is required and for a sample. *''* Permit for new building or addition will not be processed without Emergency Response Site Plan. *""'` 2009 Energy Code Compliance Forms are available at www.citvofeaqan.com/buildinqinspections. You will need the ANSI/ABHRAE Standard 90.1 —2004 to complete the compliance forms. i Page 3 of 3 Use BLU�or BLACK Ink �.._..—_.__�..,_�..____..��_,..——---� � For Office Use � f �� 1;� I1� �',�� j Rermlt#: � _-_= t == ,��.� � ��: l t� '� � ��,�� , � • Eagan MN b5122 1 Date Received: { Phane: (651}675-5675 � 1 Fax: (651)675-5694 � � � Staff: � �______._._�__^____� 2014 RESIDENTIAL BUILDtNG PERMIT APPLICATlQN Date: � e�'° I ( " 1 � Site Address: � �c� �� o,`, Unit#: Name: �'-a.f�..2 {-�4'�)I�i r��, Phane: ��(� °_ Residentt _.— ...—_ °�C'��— {}wf1�t` Addr�ss!City!Z;p: �(e��a (�°�",e�Ca P r>� � o�/ ��a v� .�,�� c�c t oZ�..� � Appdicant is: Owner �Confractor � �. R�rr,c7�lE. e� ocC� 1 Co S Q5 W�n D� �,,�. __ m Type of Work `��s`j`�"'�T'ofwa�c: Cdnstruction Cost: Muiti-Farnily Suilding: (Yes�/No._____) --w,..._....._...�..a ' '- � ,- ___ _ �. =`_ �::�r��: ��,�, -------�__._. - --- F�-_.�. COt1tY�G�OY Address: h�,��`� c� ��.. l.�t�}" City: j��,, o��.� � 4 __ . State: �kr�U Zip:��_ Phone:��'�LI�-�]()7�maii: f�'k.1f�k.?r`r�v�.�_�s�-'��r r� • �.'scense#:� ;�? �.�, Lead Certifiicate#:�j1��-"(� ^�-��,Q"�'�,�--� � . ,- ---- --_ _w._...�__...�,,, �x:,��„��,�::�,�,pd:s:+iii �vriy. L3c� i°es�C ,s(�t�t1Q1it[li'lr'3(IF1ffl1�'Ci��lOit} ��-----�.- � nrt��4�""€ r-e�r�,„ �r�e.'�` ��` ��. _ — = � : . ' _ _ °; ,-T :e�. ._�_�= n a��sa = e: :.. .._ _�_"_ - ::°--- °_ -_ - ; _ _� - == -� � _� _ �� _� [n the tas-�12 montF►s, has the Gify 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: Phane; Mechanicai Contractor: Phone: Sewer 8 Water Contractor: Phone: II �, NQTE' Pl�»c�nt!!c»nnnr-Einn.%,......,...,s,.�t_..s.._.. _e.�__•� _ . . _ . __.__._ c�s�jft�crfrrtaiivn�ay�re cfassifieai as nan-�aub/ic if yau provide speclfi�ressons that�rauid�Reomlt the Cfty toF canclude that the are trade secrets. t�A) 1 QCGADG V113t rtEr �-�-�-+��-�- —_ --- _._� .,..,. u�.�....: ..._.. .s .:_ ..-- . ..— __ ��=��v`.�:.... ..» _ ._ : ..1 {liuiF i.a83F33--_ " . _ �_ . �ta3��ixi#Si3i�t5ti(t3 S5�${l(£'C,'�:PV��it��t3f 13tS�R�T�llli�U�1�{E.'S. WYt+Y�[It}D�p'.��,LiT��+��;3#� � "- �-�'-r.�.� t i��_ t..uit�3�3�' 1 hereby acknowiedge that this information is complete and accurate;that fhe work wili be in conformanca 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 withaut a permit; that the work wii! be in accordance with the approved plan in the case of wark which requires a review and approval of plans. Exterior work authorized by a buiiding permit issued in accordance wlkfi tfie Minnesota State Building Code must be comnieteri�it!�;n�r�n fl.�V�!sf F1a►enit F_c__c_i._�n_r.n. � , �� x Appiicant`s Printed Na Apptica s igna re Page 1 of 3 �� Use BLUE or BLAGK Ink r----�.___.r_...,__..�----+ . 1 For Oi#ice Use � ` ` � Permit#:�� ' � Clty of �a�� j � • � Permit Fee: / �` 7� i 3830 Pilot KnQb Road � T �( �� Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � /L- � Fax: (651)675-5694 I Statf: i�jC-� � 1 I 2014 RESIDENTiAL BUfLDING PERMIT APPLICATfON � '" �,��7..�� Date:__ " " � Site Address: � Unit#: Name: �'Q�,c� i w�� r� Phone: �Q" g �'��'RB�C'�e��' ��_� "�.� �-��Z.LI- � �y . r ` Address/City/Zip: � � c? � � �� ' : APpGcant is:� Own�r �Contractor �,, ,x, �� > � � ��` l�� .� �� a, , ��, �� Description of work: `�1�.��s�� C�. ��"eJ � � � .. . � ✓ � `'. ` Canstructivn Cast: _fi� �� Multi-Famiiy Buiiding:(Yes�No ) � � � �; � �` ti � �r � ' �A , . . � Gompany: • Cantac�:�� `f`c�j,�,�...�.. _� `� �Qt1 p� Address: �� ` �v�, t� City: �.�. �� ,�� Sta#e:�Zip: Phane: ��11'��maii: �' '7� .C � � �� • �� ,�. Q�, z�� ,�� ,�,� License#: '1� � Lead Certifiaate#: If the praject is exempt from lead certification, piease explain why:(see Page 3#or additional infarmation) COMPLETE THfS AREA ONLY fF CONSTRUCTING A NEW BUILDING in the tast 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes �Na If yes,date and address of master pian: Licensed Piumber: Phone: Mechanical Contractor: Phone: Sewer 8�Wa#er Contractar: Phone: NQTE�Pfans and su`� orfln cioc menfs�fhat acr; ub i "are��o�srde ` to°'✓ uf�l F t� a�" `� �"x' c�ns af �; �'fhe litforma#�ai��ma p�e c ssf�e��ss,nan.�`�bli��qu��v�e s��.e c�i�c�'.�Q��an��.#ha��ouecf� �: (�,�C3 �'o `* "� ��*"md`�. ,�fi�.. � ; ��^^ � kt:.^` ��.+�^ '�,,��p� ,� ��+`�°�-��s+�M�`�'F '.y�a+',�'ttj`s;�3XT�' ,� � � �"t��. �z��f, #° � � ' ��.. ,�f � �� ctir�ctiic�e that t�i� tare�fraa�e.�ecrets�;. �. '�� '��,��,. , .��.��;�,. .,� CA�L BEFt3RE YOU DIG. Cali Gopher State One Cait at(651)4540002 for protection against underground utility damage. Cail 48 hours before you intend to dig to receive locates of underground utilities. www.QoaherstateonecaU.orq I hereby acknowledge that this information is complete and accurake;that the work will be in confnrmance with the ordinances and cades of the City of Eagan; that I understand this is nat a permit, but only an appiication for a permit, and work is not to start without a permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and approval of pfans. • Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days af permit issuance. x '� x ,.. Applicant's Printed Name Appii nt's 8ign ure Page 1 of 3 � 3 .�� _ �� ,- �� v/�-i� � � �� DO NOT WRITE BELOW THIS LINE [ ° �' SUB TYPES _ Foundation , Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Famil _ Singie Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) � _ Multi � Deck _ Porch (Screen/Gazebo/Pergola) _ Misceilaneous _ 01 of_Plex � l.ower Level _ Poo! _ Accessory Buiiding WORK TYPES _ New _ Interior Improvement � Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair Windows Demolish Foundation _ Replace � Repair � Egress Window _ Wafer Damage _ Retaining Watl *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation �� Occupancy �✓�� MCES System -- Plan Review Code Edition �Q�''? SAC Units --r (25°l0_100°!0� Zoning �r$ City Water � Census Code y sy Stories — Booster Pump ^� #of Units / Square Feet — PRV � #of Buiidings ! Length Fire Sprinklers �"` Type of Construction � Width / REQUIRED INSPECTIONS FooEings (New Bui{ding) Meter Size: Footings(Deck) Final/C.O. Required • Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_fce&Water _Finai Pool:_Footings AirlGas Tests _Fina! � Framing Drain Tile Fireplace:`Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings`Backfill�Final Sheetrock Radon Controt Fire Walls „�.. Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 3d Base Fee �/�( --- Surcharge Plan Review �-_� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant • Copies �.(�3-�� TOTAL Page 2 of 3 130' AA r c 3 For Office Use �r �7 Permit#: /W C (,/ Permit Fee: f / Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535(FAX:(651)675-5694 Staff: buildinginspections(ct?cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1-1 "ii ` OCO V V 1 53 Site Address:3(O a C\O ,)� L3C1 O Qr Unit#: %), I Name: G lf'� '� 1� . Q. )C� �C).Yj l Phone:391—L4°8 8393 Resident/ _ q� owner ', Address/City/Zip: 3iog a. lk), `t 't JL-')i 0+ 4`r-N. p..).l 5 513.a 1. Applicant is: Owner Contractor z Description of work: R e.,C E c' Type of Work ' J i 12 41 3Co SD. 13 , 4li a(03(0) SSS' fr Construction Cost "4 (..020 Multi-Familyy Building:(Yes V /No ) Company: UrrC.AI cDrv3-v i t G 3Dr1 LnC.Contact: AY >Lit. �rlti%Ll i Contractor Address: i .n�l 5 J I�SeJ 1\0 E. City: ',V.\as 0.„....., i State: /LW Zip:5,53 I g Phone:Ql —91-1i---P Email: rY)Orroq COnth 1 ci..j-er SN)-CC 's License# Bci--igias 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 documents that you submit are considered to be public information. Portions of the information may be classified as non-public if ••u ••rovide specific reasons that would permit the C to conclude that the are trade 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 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 1v1 tyve, ,t)f �. x1,477V cfiG Applicant's Printed Name Applica s Signat e PERMIT City of Eagan Permit Type:Building Permit Number:EA155757 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 3682 Widgeon Way Lot:1 Block: 01 Addition: St Francis Wood 5th PID:10-65904-01-010 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Jeremy C Hollingsworth 3682 Widgeon Way Eagan MN 55123 (603) 828-3110 Murray Construction Inc 10675 Jersey Ave Chaska MN 55318 (952) 941-7075 Applicant/Permitee: Signature Issued By: Signature