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1277 Wilderness CurveUse BLUE or BLACK Inks "17!""- Permit #: v� City ofEtal I �7j 7� Permit Fee: ``) (J 3830 Pilot Knob Road E"ECEI1J Eagan MN 55122 ED Date Received: Phone: (651) 675-5675 'tun Staff: Fax: (651) 675-5694 JANL i 2010 RESIDENTIAL PLUMBING PERMIT Date:qQ-Lk1: ' Site Address: V a-- 1 \)1/4)1 \ gy11 4 APPLICATION , L1 -) J to Tenant: f\ I, Suite #: RESIDENT / OWNER Name` .( Al . L Phone: ii U.�"--1 1:)BI5 � Address / City / Zip: t)�! i _ 1a CONTRACTOR , , Nam �� , I_., R■; License #: LI c)L1�`- - V , Address:311 (�� 1 L� b \ \ 2 2 6c ' - City: 1� ,�i.� � (h/"'� i ,l Statel )\ Zip: 5`-I r) 1,1..p` Phone: "' _ 712. to- Contact \ Email: TYPE OF WORK - New N Replacement _ Repair - Rebuild Description of work: _ Modify Space _ Work in R.O.W. PERMIT TYPE RESIDENTIAL Water Softener Water Heater .,: .. ti Add Plumbing Fixtures ( Main / _'Lower<Level) Lawn Irrigation (= RPZ./_ PVB) Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: i $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) I $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnarjund* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.0 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) -^ L� TOTAL FEES $ . ' 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.gopherstateonecali.org I hereby acknowledge that this Eagan; that I understand this accord nce with the approved x V rY� information is complete and accurate; that the work will be in is not a permit, but only an application for a permit, and wor plan in the case of work which requires a review and approval o , , ^ y''� j7L 6- X onformance with the ordinances and codes of the City of is notto start without a permit; that the work will be in p - s. / Li ,lie—____ Applicant's Printed Name Applica-`'s Signature FOR OFFICE USE ifd y x Date ,�. .. .. ,1 �' � �{• i * �b� xw a `�bi4� , Required lniOections: Under G otattcl h .=. Rou ft lrti Atr c" Z „,��,uh q-. % � w5 1 . PERMIT # f~` ~ ' . ~ MECHANICAL PERMIT RECEIPT # ~ ~ a ' CITY OF EAGAN DATE: /~`/9 V~~ 3830 PI~OT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address ~G~'`"V BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub R~ , i New ~ ~ , . r ~ Name ~ ' ~ 'r' ~ Mult Add-on - Comm. Repair ~ Address ? ~`,c. _ c City Phon / - ~her ' FEES Name ` RES. HVAC 0-100 M BTU - 524.00 ~ ~ t• DDITIONAL 50 M BTU - 6.00 O Cdyress Phone ~~'r (RES. HVAC iNCLUDES A/C ON NEW - CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK ~ _ COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU r` APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M 8TU 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 OuUets # ~ ~ ~ BEYOND $1,000) Other g . FEE: ~ S • ~ ~ ~ ' _ - ' - SIGNATURE OF PERMITTEE SiC: ~ TOTAL• C~ FOR: CITY OF EAGAN i; ; ; P PERMIT # Q ~ , ~ PLUMBING PERMIT RECEIPT # f ~ ' CITY OF EAGAN G 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: l~~ ~ f' CONTRACT PRICE: PHONE: 454-8100 Site Address ' ~ .2"~ ~ BLDG. TYPE WORK DESCRIPTION Lot Block Sec~Sub Res. New " ~ Mult. Add-on y Name ~ ~ Comm. Repair ~ Address - ' - Other c Ciry Phone 5' RES. PIBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ~ Water Closet - $3.00 ~ Name " ~ ' ~ F. Bath Tubs - $3.00 ~ c Address ~ ~ l La~atory - $3.00 - p City ` Phone " Shower - $3.00 J ~ ~ Kitchen Sink - $3.00 FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.D0 J APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 ! F`r TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.U0 JLGas Piping Outlets -$1.50 ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Sottener -$5.00 BEYOND $1,000.00) Well - 510.00 , Private Disp. - $10.00 ~ fi!., Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: G STATE S/C: ' L ~ FOR: CITY OF EAGAN GRAND TOTAL• G~~ } „ CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - ~ ' PHON E: 454-8100 BUILDrTIG PERMIT Receipt # To be used for S~ ~'~~G~ Est. Value :i 3~~~ Date ~ ,~g8o Site Address k`- ~•~ERI3ESS CURVE OFFICE USE ONLY Lot j7 elock ~ Sec/Sub.~I~~~'~n$~ ~!~s onSiteSewage oceupancy Z"' k"i MWCC System ~ Zoning p't Parcel N o. On Site Well (Actual) Const "~F` -~'~+u;.w}~~n81~S0~, ?;.C c~riwater x (Allowable) rc Name ~ PRV Required ~ # of Stories Address 151jC :>,~2.AXIi:: AYY ~ City~~r~ V~t'~'~ j Phone 431l~4 eooster Pump Length ~ Depth ~ 7 , o Name S.F. Total ~ ~ Address Footprint S.F. ~ City Phone ppPROVALS FEES ~ a Engr./Assess. _ Permit ~~Q • ilQ WW Name 6q,SQ ~ Z Planner Surcharge Address _ 3SO~pp City Pho~e Council Plan Review a W Bldg. Off. SAC, City ~L~'~ Variance SAC. M WCC S~' ~ I hereby acknowledge that I have read this application and state that the 5~ information is correct and agree to comply with all applicable State of Water Conn. ~ Minnesota Statutes and City of Eagan Ordinances. Water Meter 67 Siynature ot Permittee - Road Unit 3Z S. QQ ~1Zl.it1N-PEBE'3~OhT~ IlOC 7reatment Pt 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 Ordinances. Parks TOTAL ~ ~ ~ ~ Building Official - , Permit No. P~rmit Holder Dat~ T~I~phona ~t Plumbin9 ; , / ~ C ~ ~~!v 8 H.V.AC. ~ C'1 ~ . I /5 C ~ ~ ~ ~ _ / .5 ~lt' ~ l /CF Eie~c.~~ ;7~,or l ~ ~'Pir~. Softener Inspsction Date Insp. Comments Footings I ' ~ : e l 'n ~-,:~v3r~C /'Gr~ S Footings II Foundation ~~j y Framing Roofing ~ ~ Rough Plbg. g~ Rough Htg. ~ /t., Isul. /~s ~ Fireplace '%Y ~6 ~ ~ Final Htg. _ ~ Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. 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 gl r Ut-~ Date ~ ,19 ~`t' Site Address J 2~~ YR1.11ERliB5S CUbtV~ OFFICE USE ONLY 17 ~ 1.~ I LR~R?3BS9 POtiilS On Site Sewape OccuPancy 1 Lot Block Sec/Sub. ~ MWCC System Zoning Parcel No. On Site Well ` (Actual) Const a Name Q~~"pEDE~iSt~i~ Il`~C Citywater (Allowable~ = Address ~~1~6 Gj'Ll!~`7£ A~~ PRVRequired ~otStories ~ 3 ~1~f Booster Pump Length ~ Cilt~1~`~R• VALLB;~ phone ~~;il-Sp~ti%~` ~ Depth ~ a $A~fE S.F. Totai ~ Foot rint S.F. _ ~ n dress p ~ ~ City a Phone APPROVALS FEES ~ a Engr./Assess. . Permit 7~~~' ~w y~ W Name 64~ xj _ ~ Address Planner Surcharge U it PhOnB CounCil Plan Review 'S `W Y BIdg.OH. SAC, City jC~•~ I hereby acknowledge that I have read thigapplication and state that the Variance SAC. MWCC J~~' ~ information is co~rect and agree to comply with all applicable State of WaterConn. Minnesota Statutes and City of Eagan Ordinancea. Water Meter Signature of Permittee _ = - ~ _-Y`--~ Road Unit 325.(10 A BuHdin Permit is ~ssued to: Q~ ~~~''r~L~Ei57~s_ 1r3C ~t~!?, (1Q 9 Treatment P1 on tha express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks i`,, TOTAL ~ ' Building Official___-_ - - ; CASH 'ECEIPT _ ~ ~ ~ CtTY O ' =AGAN 3830 PILOT B ROAD a ' EAGAN, MINNESOTA 55122 OATE I I r - 19 r~weo . ~ FWJI4 . { . . ~ ~ AMOUNT $ M 8 DOLLARS ? CASH CHECK i~._ _ saa ( I i ~ ~ • ~ ' ~ f I I FUND OB.IECT MOUNT ~ r ~ ~ Thank You BY _ , ~nn,~ce--Paye~s coP,, Yelbw-POSting Copy Pink-Flle Cppy c-. . . v . :w~+w~ .,~r.=..r~a.v+'~..'~.+',~r-r . • . _ • ~ A * ' f~.er~ifir~t~ ~f (~rru~~nr~ ~Citp of ~agan ~P~1~`~lPttf 0~ ~31'tI~ ,~Pt1[Ut[ This Cerlificate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code certifying that at the ume of i.ssuance this structure was in compliance wuh the various ardinances of the City regulatrng building construction or use. For rhe following.• u~ c~r,~oo~ SF I~/CAR eta~. ra~t No. 1581b ~~rTrx ~/M1 ~ ~ R1 Tya VN o.m~ or e,~a~~ 0~'i1l~F-PE~R.9C~'I. II~. 15136 C~lE AV$~ APPfE VAiI EY ~ i2n w~ss a~ Li~. a2, w.~.ss ~s i ` v~~- ~~",R~"~ ona: MARQ3 I, 19~89 s~ POST IN A CONSPICUOUS PLACE . . ~ ~l n5 Date: 11-16-84 ~ITY_OF EAGAN Permit No: ~ Size: ~~"~e~ 3830 Pilol Knpb Road Mete~ No: a~ P.O. Elax 21199 S~er-No: ~ Date: 9 Eayan, MN 55121 ~ ~.^~.~T^'-~pDE ,SOt~: ~rc.S ~0 S Owner. I.17 B'' IL~;' 4,-.. , L IrSS C~.:P.~ . Site Address: Plurriber. n t`•.. :`3 P:'LNE FLBG. Conn.Chg: "55~ Zoning rll Acct Dep: 5~~~} - No. of Units: Permil Fea ~ ~ An - Surcharge: S~ I a9ree to com with tha City of Esgan Tr. Plant ~n~ nn Ordinan Meter. , Misc.: n~~ ~r StrTn ~ - By WATER SERVICE ERMIT ~ Date: -16- ~ Permit No: ~ ~ ~ ` ~jn pp.,rAGAN Size: 3830 Pilot knob Road Meter No: pate: p.O.~Box 21199 Ffeader No: Ea~an, MN 5512? Owner. i:l , , " _ . . Site Address: . p ~'r • Plumbe~ ~ ~ Zoning: Conn. Chg: No. of Units: Acct Dep: Permit Fea ~ with the Ciry ot Eagan 1 agree to comply Surcharge~ Ordinances. Tr. Plant Meter. By Misc.: WATER SERVICE PERMIT 1 ~ _I6- 11 ? `ti % Date: CITY OF EAGAN Permit No: ~ ~`;1 ~ Date: 3830 Piloi Knob Road B/P No: P.O. Box 21199 Eagan, MN 55121 ~~~T_~rrt~R,~'~~. ~ ~ ~.ZI L17 ~ , ~;'~r~ Owner. L ~ *JILD':'.~?'i;'^ S CtJF~'F , + ` SiteAddress: .TCs t°.~,.,:, ,.~.~.t ~,R'j;i(:~;~P.I".'7'. PLBC. Plumber: u_ ~ : s Zoning. MWCC: ~ No. of Units: 1 Ciry Chg: w~ ~e ~y p1 Eagan ' ~ ag~ee to complr Acct Dep: , , Permit Fee: ~ Ordfnances. cn Surcharge: _ _ „ ~~j._ _ By Misc.: SEWER SERVICE PERMIT I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 15816 ~ , PHONE:454•8100 BUILDING PERMIT Receiptn x~~ L G Tobeusedfor SF DWG/GAR Est.Value $139,000 Date NOV 2 ,~g88 Site Address 1277 WILDERNESS CURVE OFFICE USE ONLY Lot 17 Block 2 Sec/Sub.WILDERNESS PONDS On site sewege _ Occupency R-3 M-1 MWCCSystem __7L Zoning R-1 ParcelNo. OnSiteWell _ (AcmapConst V-N OZMIIN-PEDERSON. INC Ciry Water (Allowable) v-N a Name W PRV Required -7L # of Stories ~ Address 15136 GALAXIE AVE o sooster Pumv - length 68' CityAPPLE VALLEY phone 431-5000 oeotn 37' , p Name SAME S.F.7otal Footprint S.F. ~a Address ~ City Phone pppROVALS FEES ~w Engr./Assess. Permit 700.00 wW Name 69.50 ri Plenner Surcharge i- Address Cit Phone Councii PianReview 350.00 aw Y a 81dg. OH. SA0. Ciry 100. 00 I here6y acknowledge Ihat I have read thi appliwtion and stale tha[ the Variance SAC, MWCC 550. 00 information is correct and ree to co y wrth all applicable State of Water Conn. 55~. MinnesotaStatutesand t ofFjjgap nc WaterMeter f77.~_ ~ Signalure of Permitfee _ z~4~ Road Unit 321.,.OQ_ A Building Permit is issued to: O7MUN- ERSON"_IHC- Treatment P7 204.00 on t he express contlilion ihat all work shall be done in accortlance with al I applicable State of [vlinnesota Statutes and City ol Eagan Ortlinances. Parks ~(1,,,~P ~Q I-I 1~p TOTAL 2~915.50 BuildingDfficial!l,LLtAS{_l~`~1ddc+LLlS.--_ - BLDG. PERMIT NO. ~ 5~' ~~~%1 ~L~J ~.0~-' I-1 uJ~ I L L'YU.a%S 'p1-3210 Bldg. Permit ~1~%C ~ ~1-3422 Plan Check =~~e% ~c, °1' 01-3445 Surch./Adm. ~ 3~J ~ j 01-3446 SAC/Adm. S d u 01-2755 Surcharge ~ ~ ~ ~ ~ 75-3860 Road Unit -~S j 20-2275 SAC ~ ~ ~ _SC% . j 20-3865 Water Conn. ~ SZ= =C' ~ v 20-3868 WaterTrmt. eo ~ ~ 20-3716 Water Meter 20-2252 Acct. Dep. r 20-3713 Water Permit ~ 20-3743 Sewer Permit 793866 Sewer Conn. ~ 28-3855 Park Ded. TOTAL 11 ~ ~JC~ ~ . CASH RECEIPT • ' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MIPJ E OTA 55122 1S.- onre ia ~cerv[o ~~y e~ Fppiu G~ ~y ~ ~C iS_L/ Cc ~ AMOUNT $ U~/ 8 DOLLARS ,m ? CASH ? CHECK ~ 't77~v~t'> -C'1(~~I~,~~ Fql ~ ~ C.~ ~.~i~G~~. J~L~ ~ FUND O&IECT AMOUNT ~ ~ ~ ~ GG ( ~ c1 ~ G L ~ ~ ~ C' Thank You NO 8 915 4 'A'hit~PaYeis Copy vellow--POSiing Capy Pink-File Capy ia ~7 g99~~ ~ 7 610 7 ~~(3 ~ I~c,1~Pde~~ ~~u~ ~6 AeQUest ~ate~' Fre No. Rough-In Inspec~ion Z Required? ? ReadY ,(~Will Notify InspBCtor Ves ? No ~en R~~'? I~licensed contractor ? owner hereby request inspection of above electrical work at: Jo6 Address (SYreet, Box or Route No.) Ciry ~ ~^yJ~ / 1~ L , el L/Q 1~ f $ectbn No. Townshlp Name a No. Rarge No. Cour~ty ~~~a. OCCUpant(PRINn ^ Phone No. ~ Powar Supplier ~ Atltlrees ' I~l~.'°'?'A ~lec7.`1~''rC ~-~-4v..~n~~is~i~-. Elecvical Conlrac[or (Compeny Nartre) Contredar5 License No. ~,b~~ c"lu:f~?.~ ~ lIYL~s Meiling Pdtl es (ConVaclor or O~vner Meking Installatlon) 1.~2 ~1zS ~sae/~a~wY ~fli Se/•u:u~t ~J`~-t~b~' Autlioriz gn ea (ConVactor/ er Meldng I let ~ Phone Number Yz 3 - Yi.~,~' MINNESOTA STATE BOARD OF ELE Ti11CRY TM~S INSPECTION REQUEST WILL NOT Grigga-Midway BIEg. - Aoom 5773 BE ACCEPTE~ BY THE STATE BOAFD 18P1 Unroerelry Ave., SL Pau4 MN 55104 UNLESS PROPEF INSPECf70N FEE IS i Piione (872) 642-0800 ENCLOSED. I REQUEST FOR ELECTRICAL WSPECTION Eaocooi-o~ ~ ? See instrudions for completing fiis torm on back of yellow copy i~ ~g' ~ -l "X" Belaw Work Covered by This Request g J~j ewAdd Rep. Typeoieuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apf. 8uilding Dryer Other (Specify) Comm./Industrial Furnace fartn ' Air Conditioner Olher (speciy) Comractor5 Remarks: Campute lnspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Cimuits/Feeders Swimming Pool 0 to 200 Amps .i:l! ~ 0 ta 100 Amps Transformers Ahove200_Amps Above100-Amps SIgf1S ~~spectork Use Only: 7Q7pL., ~SD yJ~iG~.sw C, ~Q~P~ Inigation Booms >,J-ci l~ Special Inspection ~ niarm/Communication Uf ~De~~ Other Fee I, the Electrical Inspector, hereby Roug~-in certity that the above inspeaion has Final r o~e been made. ~ OFPICEatSEONW r This request mitl 18 mortlhs irom ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ I~ C I ~-t~-~~~ . `l Site Street Address 7/ VIJI ~U'~1'LL~S J l. Unit # PropertyOwner ~~r Y` Telephone# {~GSr) (p~ / ~~~5 Contractor~'~GJ u,~ `1T,elephone # L~~C[ ~ ~ ` I Address ~~~1 G ~ Q. Ci ~-~~sv~\U SWte ~1'~l ~ Zip J The Applicant is: _ Owner ~Contractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener ~Water Heater $ 15.00 _ new ~eplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application f r a permit, work is not to start without a permit and work will be in accordance with the approved pl in the event a plan is required to b reviewed and approved. ~ . ~ ~ ~~-~'l ~ ~ ApplicanY Printed Name Applicant's Sign re ~1! i' Q~~s I~jl JUL ~ 5 2005 D Li' By- - _ ~ ~a~~ ~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 C, `-l' ~ 0 851•681-4675 1 I 3~~'~ New Constructlon HeauiremeMe NemoAaVHeoalr HeaulremeMe • 3 registered sile surveys showing sq. ft. of lot, 5q. fl. ot Muse; ar~d all roofed areas • 2 coples of plan (20%meximumblcoveregealbweC) • 15etotEnergyCakulalbnsforhealedatldNOns . 2 copies of plan showing beam & wiMOw s¢es; poured fountl design, etc.) • 1 sNe surrey lor ex[erior adtlAions & decks . 1S2totEflefgyCalCU12~i0ns • IntliC2teKhomeserv2dhyseptic5y5temforedditbns • 3 copies ot Tree Preservaton Plan tt bt pletletl a8er 7/7/93 • Rlm Jo~t Deteil Oplions seledbn sheet (bldgs wi~ 9 or less unXS) DATE ~1 ~y I02 VALUATION T~~~ ~ SITE ADDRESS ~Z1~ IL MULTI-FAMILY BLDG _ Y _ N NPE OF WORK ~~F ~.~F}l~~-I~I~fX1~I~ ~~J~?~ e FIREPLACE(S) _ 0_ i_ 2 APPLICANT I! ~'~~-I~IL~1 QUl ~,.i~ I NG CO ~ STREET ADDRESS ~ZZ~ N l~o L~~r ~-~I€ Sa CITY S 1Ll~STATE f'! hl ZIP ~.~3 TELEPHONE # 9S2-7o7- 69S`I CELL PHONE #`~Z'Z9Z` ~ u S I FAX # q~Z' 707" 992 ~ PROPERTYOWNER M UrePHY TELEPHONE# ~SI`(pS7-OZ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUIFS 7670 CATEGORY 1 MINNFSOTA RULES 7672 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Coda Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Conhactor: _ Phone # _ _ Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable StaTe of Minnesota Statutes and City of Eagan Ordinances SignatureofApplicant [ 7T~-~1~~~`""'! 11 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated M02 OFFICE USE ONLY , ? 01 Foundation ? 07 05-plex ? 13 1&plex 0 20 Paol ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) O 37 Exi. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Ak - SF O 04 02-plex O 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish (Bldg)` O 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolition (EMira Bldg only) - Give PCA handout to applicaM ValuaNon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundaaon HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ F'veplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge PI2n Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total • ' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ' . SINGLE FAMILY DWELLINGS I ~ ' ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGNATE WEiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. M~LTIPLE DWELLZNGS RENTAL UNITS FOR SALE UNITS ~ OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - ' ,~1CT 2 8 1986 To Be Used For: SFD Valuation: / 3% Date: 10-28-88 Site Address 1277 Wilderness Curve OFFICE USE ONLY Lot 17 Block 2 On site sewage~ Oceupaney ;Z'3 /rI-/ MWCC system ~ Zoning Pareel/Sub Wilderness Ponds Addition On site well Aetual Const t-n/ City water Allowable vi'~ Owner LawrenCe and Jean Murphv PRV required ~ l~ of stories Booster Pump _ Length ~ Address Depth 37,33 S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contraetor Ozmun-Pederson. Inc. Engr/Assess Permit ~4 6 Planner Surcharge t 4.~ o Address 15136 6alaxie Ave. Council Plan Review O Bldg. Off. ~~~3~ SAC~ City ~ City/21p Code Apple Valley, MN 55124 Variance SAC, MWCC Water Conn S!"C' Phone 431-5000 Water Meter G~ Road Unit Z S~ Arch./Engr. Treatment P1 ~ Parks Address Copies TOTAL ~ 'i / ~ . ; ~ ~ . City/Zip Code Phone l~ ~ow~~ . ~G~ rl'2,& (ooP ~ ' /~k;,~~- ~io,37 " ~ , . S = ~ ~ /%3~- S : , ~j,~ G 7 ~ _ U > --s" - if5~, p~' is ~ ~~57z f'~1~.;~ 3~ X?~ = /o~,g l<9. C~Ir? . z/.3j / ~ _ ' 3 _ ?o i,~ ~G~: ')~,0~ --j 2~/J, 3 7 ~l- y~i S 3~~ ~ 3 ~ r. ~ ~ ~~s ~ ~ o~ F ~ ~i,r ~ ~ ~ oC k t~s = .~y /Sy _ ; Z zs z r-----~_ . . . r^.r 2~ 4 y2o I I O 7,,- r y ~ y~ yo a~ i ~ _ ~oo•oo+ _ ~ j ~ l, I '3 6 9 • 5 0 + ~ 350•00+ ~ 1~796•0~+ i~~2~915•5U* / _ _ j , ~ ~ ~ Z _ 0 mun Pederson, Incorporated Average ""U",Cbmputation Job Site Address I7..~~~`~~~(~(~~ Legal Description: , Lot _ Block Addition~/i/( yt:):'-r~~;_: ~`'C`.; 1!%?> Date C~,~ AVERAGE LINEAL FEET OF • .EXPOSED WALL AREA ABOVE GRADE Main Level Lineal ft of framed wall above grade~~O~Zx height of wall B=~. Second level Lineal ft of ~ framed wall above grade ~~x height of wa11~=~LL~-, Vaulted Area Lineal ft of framed wall above grade x height of wall - Rim Joist Ar~a Lineal ft of rim ~~x height of rim1_= U, U Lower level Lineal ft of Eramed wall above grade 3'L xheight of wa11~= ~C~,o Lineal ft of framed wall above grade x height of wall = Lineal ft of masonry.wall above grade~x hgt;abo~ze;gradeL= iZ .D Total wall ar.ea.above grade including windows and doors = 2;9~B.Q WINDOWS: Brand and Type ~~Y1~L--P 1' ~.-~`i 5c%~l/l-r!'( 'nOZ-f~i~CLr(Z.E~ Area x "U" value ' 21~:~_. rJ,-~n~"'~ sq.ft. y._ii_~ X~~U~~~~ ° r~ .s~ H.~ ' ~'r sq.ft. 1I, 2 x ~~U~~ ~ S 2- 6c:') c sq. ft. z~~x ~~U~~ = 1 z.. 6 2-~(-h,~i' ' elo'~! sq.ft x ~~U~~~= /7„9,~i Zd3~ lF-~-'~f,Lsq.ft.~x ~~U~~ 7,71 -:,r~ i.1 7 sq.ft. L X uUn 7_.Qr~ 'z.~l°~ C S- ~ sq.ft. z Z x~~U~~~-= ~7. 3~" 'Z..t7~f-^. /_'~c?G,:;sq.ft. ~,'i" x uU~~ ° ~R7_~ sq.ft. x "U" _ sq.ft. x "U" _ sq.ft, x "U" _ sq.ft. x "U" _ sq.ft. x "U" _ sq.ft.. x "U" _ DOORS: Area x"U" value z~J, sq.ft x "U" _ L - 'G Zl,RD sq.ft~x "U"~/3 = S,ti ~ i` ce.~IvEt~~ ~,'S;3n sq.ft. -z5',;o x~~U~~_ f0.~/~' . sq.ft. x ~~U~~ _ ~ ~ . . ~ . , ~ . OPAQUE W11LL CONSTRUCTION:..Area x"U" va ue ~Framing members scj.ft Z~ ~ x"U" /~,p ~ Framed wall sq.ft 0 x"U" ~'7 fp / Rim Joist Area ° sq.ft ~2d,p x."U" .d3" _ 17..,•~R Masonry wall • sq.ft ('L4,d x"U" o = ~,G ' . ~L.., ~ 9 3. 9 2,?G Total wall area including ' Windows and Doors a. ~G~'- r . b~ S~~ Total (U) Values b. 2~~, j2. = Avg. "U" Divided by tota wall area a. 2„t~ AVERAGE "U" Minimum .11 or less for 1& 2 family dwellings , ~ _ _ Iz~MI l~~ M~M~RS ~u ~1~?.~ #z:.=Va.ua E .-~~~r . i~.. -~X7ERIe~~ ,PdR: FLLM _ , ~ 17 , n t y~.,, _.g.CDl1-l(. . .~~~2~ U)/tUalM . ~ ,~j2 ;`~FFEAThtf NCs 2.OCo :5~L2~.:..~PT °V1ooD . !o. .875 ._~_.~..1 V21...6`l P...gp . , . ~K ` . :IN'.i'~2fOR' Psl~ FJ UJI . . LoS ~ ~2 a o55 . . . . . .._.r~-a~ _ u._ . . u a ,oi'j~ . . ~ I?P~M Ep ~ ALL ~----:~xTeRlaiz::Alf2. ~1I.M.. . ~ . .17 , ,.i . . :-.1 S~~iNV .5~e.{ v~~-~v,.s ~2 >`'r . 1 - i,,l-. -~ft~h'ThfIN(U:. _ 2~OCo ~ 1~~~.: ~'7T::_.I NS:UL . ~~j : t~d ~ /2.::vY.P<...~,p. _ . . . u , 45 . :jµ7ERIDR: pJlz- ~I CNi ,li~ , -~o,-a~ , = 2~-, l ~ F:., ~ ~ i , . ~ . ` ~ • Crj~},I _ 1~ 4:~;~~~;...:. _ ~ ' , ` _.:.-.-1z1~:_:.:..J~is~r... A~E~: . : r. ' EX?~iztol~--aIR FI.ILIaI - .I~ _ - ~,Q~H~ _...-~t~t w~-~~. : , . ~ . ~'~FEA~'L~I I Nls . . : 2 , GCo ~y,yn ~o~r.:wooa--. . ~,b8 !P'~ ff1'~-t1t:A•TIGl:1. _ . : I°I ~on -~I;L'1'EWG~: aR;: FII~M , l08 - . t ~S, _-__..i'dT'AL...IL* ' _ ~ ;::L1.=..i _ _ ~ a .0~~ /~t::.....;.. . ' :-o: II ~ . _ ~ ^ I~ _ • ~ , , ; I~lli~oNr~Y~~u~ , . . :,q : 9! _.E~;fER~R .PIIL: .F1'LM . : o ~ y _ ~ I~~. Gol:lG.RE'I'E ~I.o~l~ 2.48 . e i:"i.~~;y;,~ :..iµ4U~.,~.-riol.l (v.t~o . . . : • . ~ -ii,L7ERta~..:_.AI~ .~~.LM ,toP~ : . . . . T~'a~. Iz = ' °i .33 • • _ . ~ a „ u,~ i~~ ~ , : ' . . _ - ~ . . , _ ~ : ~ ~ _ ! C' 'I ~ - , ~ _ i ; , . , < } ~ t . _ i\_, ; ~ ~ \ " - _ t. , \ . , ~ : ~ . ~ . - ii . - . -i \ . . - . . . . . . . \ . : . . . . ' ' . ~ ~ ' i ' - ' : . . , . _ . . ~ ____~~t, ~ . ~ ~ . . : . . . . . . . . , . ' _ . . . . ...^r ' . . . _ . . ' . . . . . . - . ~ ' . . . ~ y ~ . . . ' . " : ~ . , . . _ . . . . ' ~ . . , . . ~ . . . . . . . . _i . . . " ~ : i ` . _ _ . . . . r . . . _ i.. = ~ . . . _ . . . _ . _ . ' . . ~ ~ l° p; - ~ .,,f- ' ~ ~ ~ , ~ ~ ~1 ~ ~ ` ~ (p_ ! p ~ 1 ~ c _ ~ ~ ~ $ 0. : , ~ 0 ~ - -P ~ ~ ; ; ~q ~ ~ 0 I ; i, , ~ ~ 1 , p~ ~p p~~~~ (j a~~~ p o p trr; . : ~ ~ ~?i -~r s ~ I r ` , . , ~ ~ ~ i~- ~ ~ ~z ~G; ~ ; - ~ ; ~ ~ ~ _ ~ F '7'b ,i n ~ . . _ . ~ 6 . - - - ~ _ _ _ d -s~'~ (~j 8 ~ r . N ~ m • Certificate for: Q~'~ ~Ozmun-Pederson, Inc. ' Apple Valley, MN 55129 ~ D E MAR H. SCHWANZ~ ~ ~ wm sumew~e. mc. / U~M~ law M TMlIb d Wnire~~ 1~750 SOUTH OBERT TRA l 908EMOUNT. MINNEBOTA 6606! s~v~-nao f VEYOR'S CERTIFICATE ' ~ ~ b I ~ ~ Ry/~ ~r~ r- r~,"' ~~~1 , _ r t F, ~1.. ~ ~ v~ • - _ E ~ o~ ~ ~ oP~p~~l~ _N~T 3O _ - - ~ ~ ~ ~ ~.~:~~~'s. __l~ ~ ~ ~ ~aJ LT~il, ' ¢a~bdn y;~~~ T ~ ~O ! 15 m , ~ N ; `s BLoC.K o`~' W ~ ~ 1 0 ~ ~a ~ o ~ ~ .o ~o - , 0 I 1 ~ Scale 1 inch = 30 feet ~ ~ 2 O Denotes iron monument ~ ~ ` 5.5 0 ~ M ~ 9/U =Proposed elevation from Dev. Plan. ~ i5.51_ b oo v. r, z m~ b~ 3 pPpSEp 7•5 22~v~ ~ M ~ Lot 17, Block 2, I 1 PRNo~sE ~ RR N Wilderness Ponds, ~ I I~ ~ 3~ bi ~ r according to the o Zp » i{- recorded plat thereof, N H S ~°pO ~~pO Zo.~~ I - Dakota County, Minnesota ~ ~ ~ 3a ; 9h o N 4~~ 1~. Also.showing the location of a I ~o $ _ ' !fl ~ ~ , ` proposed house thereon. N ~M 1- o ~ o;to~~0 ~~~l~J~~~D = ~ ~oo. 2.7 , N g0°oooo E oH~ ~ A ~ I 4° 15 pO N ~ ~ / ~~oERNE_ - ` ~ ` ; ~ 'DELMAR H. I ~aroby osrllly th~T t~b survey. plen, or raport was ; ; ; prop~rod Dy ms w uMx my 0lrect supsrvlsbn and ; SCH'?VAfJZ : ' ehat I am ~ euy Reppte~sd Leed Sunsyw unux II&25 ~ / Me laws ol 1M StNS ol Minnnol~. ~ 9~`•, ~ ~L p '%'1.~ pma /D -Z8` BCJ /,,'~~~"~O US ~~tii~iuw~e"~y_` M~nnNO4 RwbhMlO~ No. sl~6 APFLiCATION ~OR PERMIT pp'~'~ ~ AT TIME OF * ~ i APPLICATi~J DOES [x7P ~ON- ~ ~ STI7VIE APPIKTJAL OF PII7M[T. ~ ~ SEWER ANQ/OR WATER CONNECTIQN : In~se~°~' oF se~ ncn/o~ c.m~a C ~ ; xesraca.nTioes w~. txm ~ ~r~nrn~ ; . ~ c2rtzL rtxuuT xt,s ~ar nrreavm. ; t~kxwxx~wa~~ia~~~~x>rs~wwi~aattiii~+:~~ a s~ty oF ec~c~c~n IPLEASE PRINT 1) PROPIItTY ADDRESS: ~ 2 7 7 (it~, ~~~p r yj &.T.r ~j~ r v-~ T.FY;AT. DESCRIPTIOND . . . . d ~J I6~ ~E'~ L . . . . Lot Bloc Su cLivision or Tax Parcel ID IF EXISTING STRt'CTL~RE, DATE OF ORIGINAL BUILDING PII2MIT ISSUANCE: Mont Year PRESENT 7ANING/PROPOSID L'SE: Q COMMERCIAL/RETAIL/OFFICE I~-1 SINGLE FAMILY Q INDL~STRIAL ~ R-2 DLPLEX (3:1,ao Lnits) a INSTITUTIONAL/GOVERAIINENT ~ R-3 TOWDIIiODSE (Three + C~nits) ( Lnits) Q R-4 APARTMENT/COAIDOMINIL~M ( [)nits) 2) IV~: ~!J/jI/J'd/I C1~Lcivt~ii/.y . . . 0 ADDRESS: % b~O.S- LCi~lj v~-~~-y ~1~~~ ~ CITY, STATE; ZIP: ~n?er ~Yave S-S"~7s' PHONE: ~/.T/-~9f o /7 / / For City Use 3) ' NAME: 1/ e r%~ t- <i:e.m.b' i~ Pl r~e: ActiVe ADDRESS: ,FIi,,~ ~3 ~ a,~ ~cpired CITY, STATE, ZIP: ~ie~-~n, ~h y ~ , 'y'.J~~ ,~"~.)'O ~ Not recordeC ~ ~ PHONE: 3-~'~3 o MASTER LICENSE # 60~ - 6 0- !f `n7 z St Initial 4) ~ • NAME: ~'2 rr/uJ.~ 'V- V~~(~~ r.f a 1 ~i~ c / - ADDRESS: I S/ 3~ a.C~ ~2 !~v-2 CITY, STATE, 2IP: ~~,~,e ~ -7'77 ~.f /~2f~ PHONE: .~J ,~O 6 U 5) ~ ~ o~ i .y~~~ ..i a~ COI~CTION 'I1~ CITY SEWF.~2 CONNECTION 'PO CITY WATER O QTHER 6) ~ ~.,e.-.c. ~l~~T ~S'~~' 'k*#"k'k*****rt****'k****#**9f~k*~ ak****~F*******it'k'k**'k'k#':k****k#~kYtit*****************'k******* k~k1F~e*i'**~kY * * * THE GOLD COPY' OF THE PFI2NIIT WILL BE SEPTT DIRECTLY TO PUBLIC WORKS 7+0 FACILITATE MEl'ER PICK-OP. ~ PLEASE ALiAW 'iFA WORKING DAYS F~R PROCFSSING. SON]EO[~ FROM Tf~ CITY WILL CONPAGT YOU IF 74~RE ~ * ARE ANY PROBI,II~1S. e ~***,~***~*****~*******~*~*************,~*~****~***~~~~*~~*~++**~***+~*****+*~*+************r+r~******; . ~OR CITY USE ONLY ~ ~ ~ ~ PERMIT # ISSDED /0/L~.s Pd w/Bldg. Permit FEES: $ S"O $ f ~ SEWER PERMIT (INCLDDE SURCHARGE) $ $ ~ ~ S~ WATER PERMIT (INCLC~DE SORCHARGE) $ ~ l~ ~ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC~DE CORPORATION STOP) $ $ ~ SEWER TAP $ $ ~ ~ ACCOUNT DEPOSIT - SEWER $ ~S • ACCOL~NT DEPOSIT - WATER s s5n~va $ wA~ s ~ S~- 6D s sAc $ $ TRC~NK WATER ASSESSMENT $ $ TRL~NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ ~ ~ ~ I ' ~ $ ~ TOTAL ~$~l~ 8~j ~ RECEIPT RECEIPT DOES DTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMIT FOR WORK SOITHIN PUBLIC ~ ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED By: ~Z~? TITLE: / DATE : ~ ~ / ~ _ _ _ _ _ _ _ _ _ _ ' ~ ~ Fpr(?~ce;USe ~ Clty of E~~aIl j Permit # ~~~~Ic~ j ~ ~ I Permit Fee: ~f 7`-' I 3830 Pilot Knob Road i ~ Eagan MN 55122 ~ DateReceived~0•v~-•~~ ~ Phone:(651) 675•5675 ~ ~ Fax: (651) 675-5694 I Staff: ~ . 2008 RESIDENTIAL PLUMBING PERMIT APPL.ICATION Date: ~ 0(~ Site Address: ~ Z~ ~ l,~/ (~„Q/~1~-Q,~-~ ~itn~w z.~ Tenant: Y I Suite RESIDENTIOWNER Name: Phone: ~p.~i ~~~075 7-~Z~ Address / City / Zip: ~ Z.1 ~(~ll ~ti~'l..Q./~..Q CONTRACTOR Name: Gary Ford License (~~~j -P~ - Metro-Testing - Address: 31222 Cedar Creek Road Hinckley, Mn City: _ 55037 _ State: Zip: Phone: ~~~_-Z-( ( _ ~S{4'j-~ Contact Person: ~~G2/VCiI ~O'!~~ TYPE OF WORK _ New _ Replacement _ Repair X Rebuild _ Modify Space _ Work in R.O.W. ~ Description of work: PERMIT TYPE RESlDENTIAL W ater Heater W ater Softener La n Irrigation _Add Plumbing FiMures RPZ PVB) ~ Main _ Lower Level) SepticSystem _WaterTumaround New Abandonment RE5IDEN7IAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) `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, duchvork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ' I hereby acknowledge that this information is complete and accurate; that the rrork will be in conformance wkh the ordinances and codes of the City of Eagan; that I understand lhis is not a permit, but only an application for a permit, and work is not to start without a per it; Mat the work will be in Xccordance with the approved plan in~ of vrork which requires a review and Xpproval o~ans. ~ ApplicanYs Printed N e ApplicanYs Signatu FOR OFFICE USE ~ Review'ed By:~~" ~ Date: ~ Required lnspectionsi _Under Ground`:. Rough In % Air Test Gas;Test ~'Final ø ÿþ þý ÿþþ ýüûüúûû ùþþûúïïîþþ í à÷ åóàà ÿþô üûúù ø ô üûúù ÷ ø ùþ ü öõþ þ ô üô óóïüùþú ò ñüþ î ù ù ù þýî þ íüí î ù ìëþþ þþþ ê þ ü þ þ ùþ üù ê ôþ íé þ ñü úþì þíúîí ê þ ð çæçååêåêóå óù ü îþ çêê èþüþýê òñ ôöð ùùþ þ ìø í Ý þãü ùîú ÿí ð àà÷ ôü ä í ãáóÿþ þãá ßÞååå î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü FROM <MOM> 7 2 2012 15:21/ST,16:2o/No.90017u7787 P 1 CITY OF EAGAN 3419 Coachman Point Eagan MN 55122 Phone: (651) 675-5200 Fax: (651) 675-5211 Website: www.cityofeagan.com MANDATORY INSPECTION OF BACKFLOW PREVENTER Test Reduced Pressure Zone Backflow Preventer Workorder Number: 36889 Date Inst: 6/22/2012 8:52:40 AM PROPERTY Unit ID (Account #) 195149 Business Name Address Contact Person Phone # JEAN MURPHY 1277 WILDERNESS CURVE 195149 009M2 BACKFLOW PREVENTER INFORMATION Assembly Type Serial # Model Size Manufacturer RPZ 195149 009M2 1 WATTS Responsible Company Phone # Last Rebuild Date 5/27/2008 Next Scheduled Rebuild Date Device Location Device Serves What System 6/1/2013 OUTSIDE FRONT LAWN IRRIGATION BACKFLOW PREVENTER ASSEMBLY TEST Press Diff Across Check Valve #1 7. 6 PSI Press Diff Across Check Valve #2 , 2 PSI Press Diff Relief Open Describe Repairs I hereby certify the foregoing data to be correct and that the tested device is functioning within the limits of the standards, Firm Name: e r/) -Tsr7 .- 11 Address: 31�aJ de:biiR ereek 12,") Tested by: (j.(JJ Certification #: dl01S i3 f Print Name; ).G AW Date Tested; .6' 5,. 900 d New tgl Test © Rebuild 0 Replaced Unit 0 Removed A permit and inspection is required for any new installation of an RPZ, rebuild, repair or removal. Contact the Inspection Department at (651) 675-5675 for permits and fees, Permits can be located en the City website: www,citvofeaean,com. RPZ tests do not require a permit Test results should be faxed or mailed to the Utility Department, If you have any questions pertaining to RPZ's, please contact the Utility Department at (651) 675-5200. ty of Eaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: t OV -it Permit Fee: V u Date Received: 5 (3 b 1( 3 Staff: n� 2012 RESIDENTIAL PLUMBINGB'PERMIT APPLICATION Date: 5VA \ 1 �J Site Address: k of `� , 1 W 1 `d trft,SS Cu,r- i e Tenant: \(1(\r) _ r 0hi Suite #: n la Name: Phone: ` �� Address / City / Zip: °, —t^ Name: Ki-iC'® l P'-E1'!lC3 License #: bM-1 1 C Q Address: 3k a a -a. (`eda r ON 2_d City: rn i(1Gk_k € A: State: CfN Zip: n71.).1 Phone: t 0I Q--caal' 5S1Z 3 . Contact PA1fYl Email; hi - rte i , ..,. \ .:i t. lj li. s A New Replacement Repair -y_ Rebuild _ Modify Space _ Work in R.O.W. _ _ Description of work: RESIDENTIAL #+ Water Heater Water Softener very X Lawn Irrigation ()( RPZ/_ PVB) Add Plumbing Fixtures L. Main / _ Lower Level) Septic System Water Tumaround New _ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heaterg_nd Softener (includes $5.00 State Surcharge) Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ [ Di ) . C'iC•) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County 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.aooherstateonecaliora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta accordance with the approved plan in the case of work which requires a review and approval !ans. x Applicant's Printed Name he ordinances and codes of the City of out permit; that the work will be in Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113517 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 1277 Wilderness Curve Lot:017 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-170 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Scott Rise Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jean Murphy 1277 Wilderness Curve Eagan MN 55123 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117799 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 1277 Wilderness Curve Lot:017 Block: 002 Addition: Wilderness Ponds PID:10-84275-02-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Jean Murphy 1277 Wilderness Curve Eagan MN 55123 (651) 687-0252 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature � � , , * Use BLUE or BLACK Ink � r----------------� I For Office Use I � � Perm it#: / �`� / / � � City of �a�� ED � � . /� � aa ; 3830 Pilot Knob Road RECEIV � Permit Fee. � Eagan MN 55122 �UN 0 3 �� Date Received: (�' � � Phone:(651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: �� I Site Address:�� L-��Q�� C �� Unit#: �� Name: �� U��'°1� Phone: Resident/ ' I�"�� '�/ t��►?NE� C V(�� Owner Address/City/Zip: ' Applicant is: Owner t` Contractor Type of Wo�k Description ofwork: ��C� r � Construction Cost: ��4 Multi-Family Building:(Yes /No ) Company:__V��(Z� L l_� Contact: C�`��f �G IZ QGN�QpG Contractor Address: ��r f�U' ' �� vv� City: ��'�� v��-Y State:�� Zip: J�2�, Phone:��`� 1"12�maiL• License#: �� ead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �V I��' I ►v ��' �'� �-° � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classi�ed as non-public if you provide specifc reasons that would permit the City to conclutle 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 wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X �k t '�� X 6� �'( � Appl canYs Printed Name Applicant's Signature Page 1 of 3 /a? 7 7 �l�-�� ',�� y� �� DO N�T WRITE BELOW THIS LINE � SUB TYPES _ Foundation _ Firepiace _ Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Multi) _ Multi "�✓ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex �'tr Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ��''Q Occupancy � MCES System Plan Review Code Edition �� `�,'� SAC Units (25%_100%�) Zoning ___�_j� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) 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: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final 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 Control Fire Walls Erosion Control Braced Walls ,,,, Other: Reviewed By: I � , Building Inspector RESIDENTIAL FEES Base Fee Surcharge �/'`r�� Plan Review j� MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant � � � -° � � � Copies � TOTAL � � Page 2 of 3 , dQ� � 7 �`� . , , . Certificate for� "`-'--� . . ,,�� ` )zmun-Pederson, Inc. ' �pple Valley, r�N 5�129 � pE MAR H. SCHWAHZ� � � � w�o a�wc. / IAi►eMr lar�ef TM�M d IMMwsd _ . / 1�750 SOUTH QeERT TRA� I�QBEMOU#1T.MINNESQTA 6506d af?/4Y3►17AY � : YEYOR'3 CERtIFlCATE , � g�� =- .r•� �--- ;� ,�, fn' -;� �``: i: +4 rv �� , ,•. ;' �� h°'�, (� ��L�� . " ' , ,.-�-a :� � _ , ; . , �.� `. F '�..� i;' � � � ' : i � i t: . + - - � O� op�!/`�� N��a� - -� � __ --- - ___. . . ._ , _. r (c�� . - � . __.: . .. . ._��' �`3 J �'".f.��.�_�. _ - � '/ ,� • .� i�; �p �.s ••i,'��S.. .� Y .W � ' , �17►��'�aV �av��xv •aa,�sac�� dJ�X�! .. �� 5 � , 1 �l � _ �� / I ls� , �i �y v�v't�' � . , � ( , g �.o C... K = o � � i�� i�� ? : � � � o � � . 4 / o . . . ,q ' - ao � - - - , � � 1�"� f,� Scal,e 1 inch = 30 feet p ! � i �� "r t t O Aenotes iron monument � � 4 � 5S !- �`" , 9�U =Propased e2evation from Dev. Plan. � �5�i!_ 3�Ap � ° � z • � �,;�,00 - �pP�s�� 3�4 , �°� M M 4Q Lot 17, Block 2, . I I ` P , xp�S� �R, � N W i l d e r n e s s Pands, � M G . � � according to the . �' 3 f� � "'• ° io >>•b� " t}. recorded plat thereof, � ; � � � S� ippO i►•O° �o,,,'� -' Dakota County, Minnesota � � ,+:s3 _—.� �h a . N :�� ¢�'�� M Als�. showinq the location of a ' r $ � � � ` ` . proposed house thereon. �0• ,tl� � " � ... �� ` / � �-- M -� -� '° "- p � �p � ��G�C�D ` � . \ �pQ. �.7 , � �Q°OQ�� o�� . _ �p� +4° 1��°� —�� . ' �t� , U�� . � . - .. .� � � �OERNE55 � � ,\\r`�\��'t1n1!rf!�i!E.�tG,yI, • ��\ i�1'�.�a��/�j�`,. `��`\`�� '`/�; ' • �J�•� • •.• �'� �y e ' "� DEL�I��#F? N. �:�r� . I heroby certlfy that fAfs survey,plan,or repoK was � : propamd�y ms w under niy direct supsrrisbn and =_ �CH'JVAfJZ _ '��'• . that I am a d+ury Fiepista�sd Lsnd Survsyw unQsr � ' �� . - the laws of tAs St�N of Mlnn�aota, • ��''; ;;�,` �� p i�� 'P"1,�: patsQ �4-Z��C� l��'d�� ~�` MinllMOta 8�hwan NO-�2b ��`�ii� S(J�`}�•�� fU11ttrlt8:;►Ii3sUt!!!. � .... . . . .. . " ' .