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619 Wildflower Way . . ~ , _ . . r . . . . ,r . ~ • ~ . . _,.w . -..~w. , . . , . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipl # To be used for ~ZCK Est. Value Date SEP 4 ,1 94L- Site Addre. 619 WiLDFL06il.Y liJlY Lot Block 3_ SeclSub. COUNTQY llOI.1.tW OFFICE USE ONLY P8fC81 N0. Occupancy - FEES Zoning - W Name 1.LE 6 DIIIIfE GAUL (Actual) Const - BIdg.Permit 2s-Ae ~ ~ Address 619 WILQIrIOVEB VAY lawwablel - surcnarge City SI?a11D1 Phone 452-!l27e r of sio~5 ~ plan Review Length 3Z. za Name sANK Depih SAC. City Address S.F. Total U~ CIty PhOfle S.F. Footprints snc, MCwCc - On Site Sewage Water Conn ~0' - ~ W Name On Site Well - Water Meter AddreSS MwCC System _ i W City Phone City Water _ Acct. Deposit PRV Required - S/W Permit I hereby acknowiege that I have read this application and state that the 8ooster Pump - SM Surcharge information is correct!and agree to c mply with ~tl applicable State of Minnesota Statutes a City ol E ganrdi hces.,7reatment PI Signature of Permitee~ = ~ ~ APPROVALS - ~ 1 ~ t tL C Road Unit A Bwlding Permit is issued to: LEs QR Di~ GAUL Pla""er - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statules and City of Eagan Ordinances. gld9, ptt. _ Copies 1•00 8uilding OftiCi31 ' t Variance - TOTAI 26.30 Permft No_ Permk Holder Date Tslsphone # WATER SEWER PIUMBING H.VA.C. ELECTRIC knpseHon Date Insp. Commsnts Footings I . Foundation Framing Rooling Rough Plbg. Rough Htg. ' Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter ` Engr./Plen Bldg. Finai oeck Ft9. S-`• 9 S oeck Final weu Pr. Disp. «-;,a~,+~?+1~„ . , :,Y..~?-1~~S.r~*~'~!~'~+",p'e4~~w.i....1yw.::.. , . . . . . . CITY OF EAGAN 17585 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt Tobe used for SF ~/GAR Est. value $11T+000 Date MARCH 8 19 90 Site Address 819 YIL.DFLONSR WAY Lot 42 Block 3 Sec/Sub. COUIiTitY HO OFFICE USE ONLY Parcel No. occupancy R-3 M-i FEFS BLILIE CONSTRUCTION zoning W-N 699.~ W Name lACtual) Const Bldg. Permit o Address 644 SUPERIOR C'f (Albwable) V=N ~rcharge s&• ~ City EAGAN Phone 454-1438 rorswr+es ~ Length Plan Review Zp Name SME Depth 3p SAC, City 100'00 ~4 Address S.F. Tofal - SAC, MCWCC , City Phone S.F. Foo[prints - 625.04 w - On Site Sewage _ 1Nater Conn ~ F W Name On Site Weil ~ Water Meter 90.00 = MWCC S stem 30. AddreSS y ~ Acct. Deposit ~ a W Ciiy Phone City water 30.00 . PRV Reqwred xx S.+W Permit I hereby acknowlege that I have read this application and state that the eooster Pump - SiW Surcharge '50 information is correct and agree to comply with ail appiicable Siate o( 252.00 Minnesota Statutes and City of ~agan Ordinances. • . Treatment PI SignatureofPermitee f' r~ / '4/-jl r( APPROVALS RoadUnit 355.00 BLILIS COAI3TRl1CTION ~anner A Building Permit is issued to: - Park Ded. on the express condition that all work shall be done in accordance with all Councfl applicable State of Minnesota Statutes and City o( Eagan Ordinances. gld9. prf. _ Copies Building Official Variance - TOTAI 3,294.00 Permit No. PermR Holder Date Telephone k WATER SEWER PLUMBING ~ ~rx • ~~ll ~ - ~ O H.V.A.C. D~ O ELECTRIC f ms( Inapection Date Insp. Comments Foo,inys I 3-~- po f~s Foundation Framing y -Z ~ C ~S Roofing Rough Pibg. kzz 9'C Rough Htg. Yoi,j Aa Isul. `f , o M41 Fireplace _ O u.C Fnal Htg. Final Pibg. Const. Meter Plbg. Inspeclor - Notify Plumber Engr.IPlan Bldg. Final ~ Oeck Flg. Deck Final Well Pr. Disp. PERMIT # f • , ~ MECHANICAL PERMIT RECEIPT # - ' ~ CITY OF EACAN , 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ` CONTRACT PRICE: PHaNE: 454-8100 For Office Use Only: Site Address ' L 0 G- gLpG. TYPE WORK DESCRIPTION Lot Block Sec/Sub - Res. New - Name Mult Add-on Comm. Repair ~ Address Ciry Phone Other ? FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City r 4 Phone ` (RES. HVAC INCLUDES A/C ON NEW ~ CONSTRUCTION) GAS OUTLETS (MINIMUM - i PER PERMIT) - 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 & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent " l CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # BEYOND $1/000) PERMIT PRICE GOES Other FEE: SIGNATURE OF PERMITTEE S/C , : - TOTAL• ~'rn' FOR: CITY OF EAGAN PLUMBING PERMIT ` For Office se Only , , • • CITY OF EACwAN PERMIT # CONTRAGT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#k 1 ~ PRICE PHONE 4548100 DATE: ~ Site 'BLDG• nPE WORK DESCRIPTION •L . Lot B~oCk r Sec/Sub ResMuft. New . Add-on , Name •~•~~Fl/F• 777 _ Comm. Repair ~ Address Other ~ Gity Phane > RES. PLBG. ONLY - COYPLETE THE FOLLOWING: , - ~ NO. FIXTURES TQTAL 3 Water Closet - $3.00 g`) C~ ~ Name Bath Tubs - $3.00 ~ ~ ~ Address ~ Lavatory - S3.00 Cit / ` % % F, ~i ~ Phone > Shower - S3.00 r Y Kitchen Sink -$3.00 ; UrinaUBidet - $3.00 ~r FEES Laundry Tray - $3.00 ~ COMM./IND. FEE - 1% OF CONTRACT FEE ~ Floor Drains -$1.50 ~ APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater -$1.5o TOWNHOUSE 8 CONDO - RES. RATE APLLIES Whirlpod -$3.00 ~ MINIMUM - RESIDENTIAL FEE $72-00 ~ Gas Piping Outlets -;1.50 C MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener- $5.00 `(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. -$1Q00 A?«J Rough Openings - $1.50 ' /7 T IGNATURE OF PERMITTEE U. G. Sprinkler System -$12.00 PERMIT FEE: STATES S/C: 5t' FOR: CITY OF EAGAN GRAND TOTAL: ` SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER #~3,c_(r.~Z 0' PERMIT DATEG4/Q`/90 3830 Pilot Knob Rd, CHiP 4"9 -2 9 PERMIT # 11299 Eagan, MN 55122-1897 METER SIZE B.P. RECEIPT # C 6682 ISSUE DATE ~ 61 - B.P. RECEIPT DATE 03 a8 90 oA-rE Z, " ll v x PRV - BOOSTER PUMP SITE ADDRES6 6919 PERMIT REGIUESTED LOT ~Z-BLOCK SEC/SUB WATER - TAPS APPLICANT:" 6 q ~7 -COMM/IND X RESIDENTIAL ADDRESS: CITY, STATE ZIP ~3 X NEW EXISTING PHONE: ~ Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: - -0 Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: YMCO 2 S~ 1 AGREE TO COMPLY WI7H CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: IGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSIMG. CAZL 454-5220 FOR INSPECTIONS. FOR STORM + SEWER PERMITS, CONTACT ENGINEERING DEP,T. S"R &WATER PERMIT OFFICE USE ONLY CITY 6F F-AGAN METER # PERMIT DATEQ4/02/90 3830 Pilot Knob Rd. 11299 Eagan, MN 55122-1897 CHIP # PEaMIT # METER SIZE B.P. RECEIPT # C 6682 DATE ISSUE DATE B.P. RECEIPT DATE 03 08 911 T_ X PRV - BOOSTER PUMP SITE ADDR~S 6l' • g PERMIT REQUESTED LOTV Z~OCK~SEC/SUB ` • r ~ - SEWER ~ WATER TAPS APPUCAIVI: ; ' S r ADDRESS: ~~T ~ ~ • ~ ~ ' - COMM/IND X RESIDENTIAL CITY, STATE r' eA~ ~ZIP r~~ I X NEW _ EXISTING PHONE: ~ Lawn Sprinkler Meters are to be Installed PLUMBER: ~Ahead of Domestic Meters on Water Line. ADDRESS: c- Credit WILL NOT be given for Deduct Meters. CITY, STATE - j ZIP SS/ PHONE: ~ 6 -k~'~~ 2 4 C- I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT ~ . CITY OF EAGAN 3830 PILOT KNOB ROAD p EAGAN, MINNESOTA 55122 DATE FIECEIVEo ,AOA. ar+ourrr a " -}C,~ oc ~ ~ 3 DOLLARS ? CASH ~ CHECK 'w ~ „ I , FUND OB.IECT AMOUNT Thank You - 8Y C fi~82 ",~",~C°°y Yeoo--Pos*v COPY Pk*-F*e Copy ~ . • ~ (iler#ifira#it of (Orruvanry titp of (Eagan arparbcetd nf iwding 3.prdwn Thrs Cerrifrcate issued pursuant to the requirements of Section 306 of the Unifornr Buildircg Code cenijying that at the time of issuance this structure was in compliance wilh the various ordrnances of the Ctity regulatrng building rnnstruction or im For the following: use c,.Isitic.fim 3B M1G/GAR Hag. ~~t No. 17585 oa~ Tra ~~'S1I~lCTI~ ~ ~ ~ SUPBRI~OQJRT. EAGAN e~aaoe Aaa~ cOCRiity r . MAY 1990 DaoG POST IN A CONSPICUOUS PLACE r . • (gtr#if iratie of (Igrrupanry Citp of Cagan Eqwbnrn# of iWdiacg Jwrrtimc Thu Certifrcate issued pursuant w the requirenterru of Section 306 of the Dniform Building Code certijying that at Jhe time ojrssuance this structure was in compliance with tire various ordir?ances of rhe Crty regulruing building consinrctron or use. For the followtng.• u%C clonificatkm 5F DWG/GAR ~4 p..,j, 17585 Occupwry Tyw R3/M1 Zoomg DWaict t) Ty~~ VN owra of TP OMSTK(•TIQV Add„w,644 STFf'RI04t OOORT. L1('M Bwkbog Add= 619 WIIWI0WF1t WAY LOM&Y Vi2, B3, OQMIItY M117W Buildia offidw'' DW: MAY 24, 1990 POST IN A CONSPICUOUS PLACE . _ . . .T . . i. . . a4/o2/90 _ _ ~ • ! • r A , DATE: RE: 619 ilI1.DFL0WER WAY X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YDUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property c"annot be completed for the following reas2ns: YobF' Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspeciors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - RE(1UIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. . 04/02/90 DATE: RE: 619 WILDFLOiIBR idAY % Your 5ewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasins: ~f YA Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy aliowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ///,;-jso '11%. q(v53 9 14 7 6 3 tWa j ~.P~d.w- /8'~Cv Fequest Oale F re No. Rau in Inspeclion 3. r~~~ Req i tl? ? Reatly Now ? Will Notify Inspector ~~:•J ? es ? No When Rea0Y7 ' licensed contrador ? owner hereby request inspection of above electrical work at: .bb HAtlress (Slreet, Bax or Rou City 5 on 'Nb. Townsfiip N orNO. arge No. Counry Occupa P J ~ Phone o. N28 Iler ~ Atltlress e ri nlra r Compypy.C{Gqye) n IVoui LicBnee No. MaJing ss(Comractor r In ion) ~ A~~ P'7 S ~ ANho zetl Sgnetu Con or nx akin slall ion) t Phore Num6er MINNESOTA STA7E O OF ELECTpICRY THI$ INSPELTION FEOUEST WILL NOT Grlgpa-MlEway eltlg. - Raom &173 BE ACCEPTED BY THE ST.4TE BOARD 1841 Univenlty Ave., SL Paul, MN 55104 UNLESS PROPER INSPECf10N FEE IS PhoM (812) 642-0800 ENCLOSED. RE4'.LE8T FOR ELECTRICAL INSPECTION ee ooom-o7 P, See instructions For mmpleting this form on beck af yellow mpy. 9.1#053 9 0 14763 '7C" Below Wark Covered by This Request ew *d Re"p:- TypeofBUilding AppliancesWired EquipmeMWired Home . iir ange Temporary Service Duplex ater Heater Electric Heating Apt Building ryer Other (Speciy) Comm./lndustrial urnace Fartn Conditioner Other (specify) CoMractor5 Remarks: Compute Inspection Fee Below: # O[her Fee # Service EntranceSize Fee /f 'cuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to Amps Q Transfortners Above 200 _ Amps A Amps 1100 SIQfIS Inspector§ Use Only: 7Q7p Irrigation Booms C Special Inspection Alarm/Communication O[her Fee I, the Electrical Inspector, hereby Rough-in oaie J~ certify that the above inspection has F~~y oe~e been made. OFFICE USE ONLV Thi,q requesl void 18 montlhg bom ~ 1 11 7 L~ 4 Requas[ Date Fire No. Rough' Inspaction p/ - _ ~ Raq ~ !0 Reetly Naw ? Will Nolity InspecWr ? V ? No When fleadY? IX licensed contractor ? owner hereby request inspection of above electrical work at: Job AGtlrass ( l, Bm or Ro No.) City Sedbn No. Towns~ip N or No. R No. CouMy Occupa (PRNJ . PMre No. ~ ~ ze Power upplier , ~ ~ Addraw / O~-tCe' IqZI. `rWl, Eleclrkal (Company Name Conlraclork Licenae No. -f 7 ~ Melllig AtlErass (COniractar or Owner Making Inslallalion) l ( 3z-0 3 AWwtlze neNre Contraclor/Ovm ' g In allaibn) Plmire Number WNNESOTA7E BORHD OF ELECTRICRY ' THIS INSPECfION HE~UEST WILL NOT Grigga-Mltlwey Bldg. - Paom S-173 BE ACCEPTED BY THE STATE BOARD 1821 UnWersky Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS %wne (612) 662-0800 ENCL0.SED. REQUEST FOR ELECTRICAL INSPECTION ea-oaam-m ? See inaWCtiona for completinq [his tomn on back ot yellow copy. P..1 _4 7. 5 9 'X" Below Wark Covered by This Request ew Add Rep. TypeofBuilding AppliancesWiretl EquipmerrtWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer O[her (Specify) Comm./IrMusirial Furnace Farm AirCorrditioner Olher (specity) Contraclor§ RemaMS: Campute lnspec[ion Fee Below: # Other Fee # ServiceEn nceSize Fee # Circuils/Feeders Fee SZvimming Pool D to 200 Amps 0 l0 100 Amps Transfojmers Above 200 _ Amps ~t4o _ Amps SIgfIS Inspecior5 Use Onry: TOTA ~~5~ Irrigation 8ooms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, herehy Rougn-m = certifythat the above inspection has Final oa~e been made. s zwd- OFFICE USE ONLY This request voiG 18 mantM1S from CITY OF EAGAN ND 17585 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° PHONE:454-8100 ~ BUILDING PERMIT Receipt a To be used for SF DWG/GAR Est. Value $117,000 Date MARCH 8 _ 7990 Site Address 619 W LDF R WAY Lot ~ Block 3 Sec/Sub. COIINTRY HOLLOW OFFICE USE ONLY . Parcel No. aauancy R-3 M=1 FEFS Zoning R=1 m Name BLILIE CONSTRl1CTI0N (nauap Const V=N Bldg. Permit 699.00 ; AddrCSS 644 SUPERIOR CT (Allowable) V=N Surcnarge 58.50 ° City EAGAN Phone 454-1438 # of Staries length 62! Plan Review 454.00 , o Name SAME Dapih 5' snc, city 100.00 O ~ Addfe55 S.F.Total - u< SAC,MCWCC 600•00 _ ~ City Phone S.F. Foolprinls _ On Sile Sewage _ Water Conn 625.00 uw Name on sna weii water Meter 90_ nn x~ Address Mwccsystem ~ u5~ Acct. Deposit 30.00 iw City PhOnB CilyWatar xx PRV Required xx 5/W Permil 30.00 I hereby acknowlege that I have read ihis applicalion and state Ihat the Booster Pump - SrW Surcharge .50 intormation is correct and ree to comply wrth all applicable State of nc Minnesota Stalutes and agan Ordina . , Treatmant PI 252.00 SignatureolPermitee APVROVALS RoadUnit 355.OD A euiiding Permit is issued t LILIE CONS RU [ON Pianner - park Ded. on the express condition tha work shall be done in accordance with all Council applicable State of Minnesota StaWtes and Cyyity ~ o~t E1agan Ordinances. gld9, pp, Copies BuildingOffiCial r~~A p•Pa.T~'!LlcCy Variance _ TOTAL 5+294.G0 ! ' CITY OF EAGAN N2 19640 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value Date SEP 4 , ~g 91 Site Address 619 WILDFLOWER WAY Lot 42 Block 3 Sec/Sub. COtINTRY HOLLOW OFFICE USE ONLY Parcel No. occupancy _ Fees Zoning _ w Name LEE & DIANE GAUL (AcWal)Consl _ BIdg.Permit 25.00 ; Address 619 WIL?FLOWER WAY (aiowahle) _ ° City EAGAN PhOne 452-8278 # otStones Surcharge .50 c Length 22' Plan Review io Name SAME Depth 202 SAC,City °u< - Address S.F. rotai ~ City PhOfl@ S.F. Footprinis _ SAC, MCWCC On Sila Sawage _ Water Conn W W Name On Site Well - Water Meler Addf@SS MWCCSystem _ i W City Phone City Water _ Axt. Deposit PRV Required - ShY Permil 1 hereby acknowlege a ave rea6di plication and state that the Booster Pump - S/w Surcharge information is corred and a e to with I pplicab le State ol ln ces. 7reatment PI ~ C"APPROVALS Road Unit A Building Permil is issued to: LEE 0 DIANE GAUL Planner - Park Ded, on the ezpress wndition that all work shall be done in accordance with all Council applicable Sta1e ol Minnesota StaWte1s an-dh ~Ci~fILI ty / ol Eagan Ordinances. gldy, pp, _ Copies 1.00 BuildingONicial ~ ln DAlA.I I Vanance - TOTAL 26.50 ' 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS ~ COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED DNCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 11AR 0 6 RECD ~ l~ To Be Used Valuation: I I ~ L Date: - I 0 Site Address OFFICE USE ONLY Lot IA2- Block ~ FEES Occupancy -3 M-I Zoning R- I q Parcel/Sub t+-QOo Actual Const V-N Bldg. Permit ~9 /0t7 Allowable V-N Surcharge 58.SC~ Owner # of stories Plan Review q54,00 Length ~ SAC, City D0 10 0 Address Depth 50 Yzr SAC, MWCC /aDDiOv S.F. Total Water Conn EIDO City/Zip Code Footprint S.F. Water Meter 2100 Acct. Deposit .?C'~DO Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor n G~ti MWCC System ? Treatment P1. 22 ot7 City water ~ Road Unit 13zff L_Ofl Address tf 9 '-A~-~621~~ c v` ~r PRV ~ Park Ded. ~ rs Z, Booster Pump _ Copies City/Zip Code SUBTOTAL ( APPROVALS Penalty Phone I y g~ Planner _ TOTAL s,a 97 00 Council Arch./Engr. Bldg. Off. 3(~ Variance Address City/Zip Code Phone # _ vA LuAFFr~Q~l . , a _ i 6k 4. 2AbE ' 11 2X2~~ Z.ra'fo zzX2y = ~2¢ r- 8~4 X 15= ~Z,OCoO ~s?~nr 31 k I ~ = ~pQ 3w ~c gB y 15 ~1 ~ x iy= 22 o5Q H ~ etsE r3~+M r= I 5 .r75 2x~ _ I ~I 20 ~u lbl9 X 51 = 8Z56~ I I ~6~q T l ~P; Certificate For : Blilie Construction Book /¢2 Page ~o(a ~ DELMAR H. SCHWANZ LMM a~~ INC. ft, e U, a. a T» ft. a MM~ . 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 65006 !14/421-1709 SUAVEYOR'S CERTIFICATE N 85.03 -N g903a ,3/ „W g2~" Scale : 1 Inch = 30 Feet O Denotes Iron Monument $y3.'7 p • Denotes Set Spike , 8274 Denotes Existing Elevations ~ Denotes PropoGed Elevations 5 From Development plan. 5 LOT -¢2. Drainage & UtilityEasementG Top Foundation Elevation . Garage Floor Elevation `Q ~ Lowest Level Elevation 0 ;O . q ~ tia• Q o e.oo. T'ov t~,~ z ~ pRoPoS~ fl e~~ ~ N NouSE M ~ BM: Top nut of hydrant between Lots 38 and 39, ~ 12 ~iz Block 3. = 824.95 ry GAR. dD ~ 1 ~ Q` l2 r 22 ~ g a2"S~• B23 ~ 9~ 811. - - - - ~15.00 To~ f~~` • ~ ~ ~ ~P r= n ~ 85.00 - N 88°50'0 0 '"E rdp «ae By ~ -m-- , . W I L 0 F L Oe~n/ E R W A Y `v E i~~~`~~~=~r`~°~~I°'~ I3~~Description: Lot 42 , Block 3, COUNTRY HOLLOTi ADDITION , according to the recorded plat thereof , Dakota County. , Minn2~spb~.~~ y ' \O~\. U L 1 Mrsby cerlify thN IMs wrwy, plan. or roport wu DELMAR H. ; proparoe Dy ms w undsr my diroet wpsnblon end = SC H W ANZ Ms! 1am e Auly RplNeisd Land Surwyor under ~ i • - tM laws o/ tM 8tats o} MlmMtots. - 8625 - wNi r tl `'^1.~~NIMr M. 80 ~~i d ~ DNeG ,y/~~///a/p1U~1s 141U ~`\\\\~IIIInMOt~ NphMqOn Na !!~6 . El(TERIDR ENVELOPE AVERAGE "U" COt•1PUTATION OblNER SITE ADORESS ~--c i~'Z t_cc, • t. r~ ~ 0 C~J CONiRACTOR A&/M01%fT DATE -21~7~~9 PfIONE Determine working square footage of each. 1. Total exposed wall area 21 sq* ft. x-11_ 2. Total roof/ceiling area 16 sq. ft. x.026 Total exposed wall area above floor a. Total wall window area /S.t? b. Total door area ~2_ c. Total sliding glass door area .3__ _ d. Total fireplace wall area 2 D e. Total wall framing area (average 10%)...'......... ~!T f. Total net wall area above floor g. Total rim 3oist area /SCl Total ezposed foundation area = _&7_ h. Total foundation window arca - i. Toal net foundation area abcve grade ~ Determine "U" value cf each iaall segment. a. X ,.u,. n. 17 ? x „u„ , /~3 = ~,GS c: 30 x,lull , 5 S =/G • So d. ~a X „u„ , 72 = ya e. x foull x °u^ • ~y = S~ 93 g. ia D x .,u„ n. - x „u„ X "ulo , / / = 0.7,87 3 . .Total If item q3 is the same as, or less than item ql, you have met the intent of SBC 6006(c)2. . ' WALL SECTiANS No7'E: Use 15% of opaquc wall.area Por frame construction Construction R-Value 1 6 3, , '-51zi.nches soft wood ` 4~ z ~ S. ~ly~1 Z'j~D/rVG , Pi/ BASIC 6. Exterior air filro c ? 0.17 WALL Total FZG. N1 TOPVIEN OF ggAHg WALI, 1. Intcrior air film 0.68 z` ~or~.H • a 3. S!z' ~iBf.?;! tl ' , . ' 4. ;Y r rl> Tle• ~.a6 ' J s. r~n~~r~ •,5~ 6. Extezior air fllm 0.17 Ftc. rs Towi 7 --v 1. Interior air film 0.66 . y, ' •/ITi1GlZlI 3. IefGG•S"A z9t 5. C , ti9/NL ~ Exterfor sir Pilm 0.17 Total >y G ~ . v . O.GB r • 7n 1. Intcrior air film • A o " 2 . 7- GO FOO::ilaTICN 1• 3. • Q• 4. . tl • ~,r~oC 5. ~ , • • i. 0.17 ~ n~~ p ::~-~j,.• ' 6. Exterior nir film 9/3 y Total . j`~• . . . : CC = . sLAa oN cw+oe . ~ , . . ~ %L • i • ~ ` ~ ~ A ~ • •~f I. 1' ' • . . r • i' ~ !I1 ~ A~~ " ~ ~ e• . • ' ~ . . . = ~ ~ t`. ~ ' • i!( : FIG. Ad I I ~ p = /~l ~ FIG. N3 V. . S ~ ~ - ` ~ Lr/!1 ~ lll ,c lIf ~ ~ NOTE: Indicate type, value, depth and ° ~ ' . ~ • ~ placeneni ol insulation. . Paga Three ' ROOI'/CEILING , f Conalruction R-Value ; Lr~ • 1. Interior air film 0.61 r-31 4 2. ,F° ilt!!//r! ` j~~?S~ 3. 17" WY6LZSl a. PO r~~_I+ ~ 4. Fxtcrior air film (still 07 . To~~ . , Vented Heat flov uP . . FIG. #5 1. incerior ai film 0.61 ~n~.~.}~.1'!r~e~tnn • ~.:'~r~t1"'J`'_°=~~_i-.a-~ Z. 3. _ • 4. Er.teriur air lm till) To 1 ~l?II11111)'~ ?1_ r;j;~ ` i%~~ ---r 2~ ¢ . ' - ~Y.eae flow up • vented. FIG. #6 . . ~ _ 3 4 Ins~.~le air Cilm O.Gl 2. . al-.A~ ~ e 3. a~'.--~!'~i' 1.Y• S. Outsidc air f ias 0.17 TOta • 1 . Z . . . . N0.1-VLNTED Nota: ' Use ndditional sheets if more space is , • needed for details and calcul:~tions. ' . Hest . • , Elov up F.T.R. 47 I ~ Total expased roof/ceiling area = /lofJ 7 J. Total skylight area k. Total roof/ceiling framing area (average 1. Total net insulated raof/ceiling area........... i S/P. O Determine "U" value for each roof/ce9ling segment. J . _ X ltuit k. ~Gb• 7 x„ul, 3 91 l.: ~s~b• 3 x liuii , a~s = 4 ..................................Tota1 = . If totai of #4 is the same as, ar less than #2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items fll and + 2. s. + a. ~r~~of•~~,a~p6 1991 ~i BIII N P I AP ICATION CITY OF EAGAN SINGLE FAMILY DWELLZNGS M[TI.TIPLE DWELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF YLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1.SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALT1f APPLIES SiHLN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Se Used For: C29=V6- K/.._ Valuation: s-- ~ Date: Site Address (ejq LA)J(,0F'~,~UJM OFFICE IISE ONLY Lot ~LZ Block -2,_ FEES Occupancy Bldg. Permit -25,00 Zoning Surcharge 5-0 Parcel/Sub OQN~~ H C)UVOt..~j 14Df1 Actual Const Plan Review Allowable SAC, City Owner L~~~~~ALIL (qA(J(,.. # of stories SAC, MWCC Length Water Conn. Address Depth Water Meter S.F. Total Acct. Deposit City/Zip Code ~A, („E~ CS n Footprint S.F. S/w Permit S/W Surcharge Phone Z~ ~Z7S On site sewage_ Treatment Pl. On site well Road Unit Contractor -SF.LF MWCC Syatem _ Park Ded. City water _ Trail Ded. Address PRV _ Copies oD Booster Pump _ City/Zip Code SIIBTOTAL (1PPROOAIS Penalty Phone Planner _ Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Cade Phone # Sewer/Wa L4_dr. agrees that all v otk ahall be done in accordance with S t ror) 1 applicable State of Minnesota Statutes and City of Eagan Ordinances. I . ~ . ' ~ •~il ~i~_I~~ ~ . . ~ I I `-1- ~r-- ~ ' - 1• ; I 1 .I I I •I ~ ! 1 , i ~ i ' SIm PI.AN ~ 619 wI~~oWdp~r~lA'f 20'-0" ~ ~ Gpcrs-' °t-3-ql • j ~ 'j ' t ~ ~ eL - arv use oNLr RECeiPr s: I 3 5 /a5 SUBD. " Y W RECEIPT DATE: 'OU PERMIT # 2000 PLU1rIDING PERMIT (RESIDENTIAL) CZTY OF EAGAN 3830 PIIAT IINOH RD EAGAN, MP7 55122 651-691-6675 Please complete for: ? single family dwellings D townhomes and condos when pertnits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to exis6ng dweliing - minimum fee $ 30.00 Describe: Bath tub S 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tre 3.00 x = $ Lavato 3.00 x = $ Septic System newlrefurbished ' requlres MPC Ilc. 75.00 x = $ SBpYiC Sy5tErt1 abandonment 30.00 x = $ RPZ naw installatioNrepaiNrebuiid 30.00 % _ $ Rou h opening . 1.50 x = $ Shower 3.00 x = $ Undergroundsprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler rf existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x $ Water softener if dwelling under eonstrucUon 5.00 x = $ Water softener it exiseing dweum9 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 $ .50 Total S Reminder. Call for inspections of alterations, f.e. water heaters, water softeners, ete. • I hereby acknowledge Met I heve read this app4cation, state that the infortnation is aned, and agree W mmpry with all applieable City of Eagan ordinances. R is ihe applicanPs responsibility to notify the praparty owner that the City of Eagan assumes no IiaDility for eny damages caused by the City during its nortnal operallonal and maintenance activitles to the facilRies consVUCted under this pertnR within Cily property/right-ef-way/easement. SITEADDRESS: OWNER NAME: TELEPHONE (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: CITY: / `_YW0c1 -771'- STATE: ZIP SIGNATURE OF PERMITT tramler tnt Th#• " a7 e! ~ . 1 ~ 895392 VI DTILITY EASEMENT 7, r,~~ County Aud, QYOut,s pp IN CONNECTION WITH EAGAN CITY PROJECT 9541 AND CONTRACT #88-36 THIS UTILITY EASEMENT, made this day of ~ilPQ 1989, between Progress Land Company, Inc., a Minnesota corporation, herein referred to as "LANDOWNER" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "CITY". WITNESSETH: That the LANDOWNER, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the CITY, its successors and assigns, a temporary construction easement and a permanent easement for drainage and utlility purposes, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: That part of Lots 41-43, Block 3, Country Hollow, lying north of the following described line: Commencing at the northeast corner of said Lot 43; thence southerly on the east line of said Lot 43 a distance of 15.00 feet to the point of beginning of the line to be described; thence southwest to a point on the east line of said Lot 41 distant 40.00 feet south of the northeast corner of said Lot 41; thence northwesterly to a point on the west line of said Lot 41 distant 15 feet southeasterly of the northwest corner of Lot 41 and there terminating. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for drainage and atility purposes includes the right of the CITY, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits, mains or ponds and the further right to remove trees, brush, undergrowth and other obstruction. After completion of such construction, maintenance, repair or removal, the CITY shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. And the LANDOWNER, its heirs and assigns, does covenant with the CITY, its successors and assigns, that it is the LANDOWNER of the premises aforesaid and has good right to grant and convey the easement herein to the CITY. IN TESTIMONY WHEREOF, the LANDOWNER has caused this easement to be executed as of the day and year first above written. PROGR rSLjA7 C MPA2 , INC. . By its Pre 'dent STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) On this ardday of 4Cti~ , 1989, before me a Notary public within and cr said County, personally appeared WARREN J. ISRAELSON, President of PROGRESS LAND COMPANY, INC., a Minnesota coporation, to me personally known to be the persons described in and who executed the foregoing instcument and acknowledged that they executed the same as their free act and deed. cnuov ccusow ~ dt~ ~ FK]TAfV Rl3l;'-lJR1NESOTA NOt.b11C ~YV COMY1S3qN ENY REST}23Y3 APPROVED AS TO . City Attorney's Office Date APPROVED AS TO CONTENT: ~ ~l Public Works Department . Date L, - Z;- - 89 TAIS INSTRUMENT WAS DRAFTED BY: McMENORMY 6 SEVERSON, P.A. 7300 West 197th St. P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 JPE r . I ~ ~z LANTERN LANE 8 0 `yo NO•21'29" E ----142.05--- 50 I fi I ` (y' I ~ ~-EXISTING DRAINAGE / I I~ 8 UTILITY EASEMENT ~ d N p I N e lC) ~I I a I ` i 3 ~ i , ! - --Ni•io'oo"w---- W r-- 144.e5-------i o W m3 i~Z o :a m~l -i r; Z I ~ I O - ~40.00 N I°io'oo"w-- ~ PERMANENT ~ ---14e.92--- DRAIITYGE B I / EASEMENT- ~ ti ~ - Q',mm"' r• i Q ' Ni ~ ~ UI I I I / 3o•w' 'A '4253' OO 0 25 50 100 SCALE IN FEET ~ PROGRESS ENGINEERING, INC CONSULTING ENGINEERS EXHIBIT A 14300 NICOLLET COUP.T SUITE 235 BURNSVILLE, N?; 55337 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION (o`-I O CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ! ! Site Street Address 6/9 G/.'/.?~/o..~~ 1?~~y, E~a~, rs'/23 u,,;t # PropertyOwner r Fie/sl-~eyh Telephone# (GSO 90 s'-Y923 Contractor Telephone # ( ) Address City State Zip The Applicant is: /Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnar/ound (add $121.00/if a 518" meter is required) / -Other. Water Softener Water Heater $ 15.00 _ replacement _ additional. Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Piumbing 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 for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~-?'ti-9-0 Z y A[ tiKEL r!-/Tl- ' u<<. ~ ApplicanYs Printed Name Applicant's Signature LY=~__ V Q 4 2004 'U 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ ' ~ ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CansW ctlon ReauiremenGS RemodeVReoair Reauirements Oifice.Use.Onlv 3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan Cert af Sunrey'AeW . Y _N (20% maximum lot cove2ge allowed) 1 sef of Energy CakulaUons for heated additions Tree Pres Plen Reoi _ Y T N 2 wpies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for addi6ons 8 decks Tree Pres Required _ Y_ N isetotEnergyCalculations Addition-irMicateifarsitesep6csystem On:-sitel.SepticSystem _V _N 3 wpies of Tree Preservation Plan'rf lot platted afler 711193 Rim Jaist Dehail Options seleciion sheet (bldgs wifh 3 or less uoits Date u / ` ! / " Construction Cost SiteAddress li/>`U /'laV&X Ee~2s+, /1f4/ 5-5'123 UniUSte # 0 Description of Work ~~~'-a-~~'~-+'fP ~r c~ w,.ri~.ta~..~ J~-~• ~c, a~ jY~ac,,~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner (e-e.V.r?,¢ 0 Z Y~I~/~FL SfGj(= J~•c/ Telephone #(iW) ~o i"'- yJ`P 3 ` S p y v`16 v\A Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , ResidenGal Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submittetl Submitted • Energy Envelope Calculafions Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone NOV 0 4 2004 ~ Sewer/Water Contractor Telephone B I hereby apply for a Residential Building Permit and acknowledge that the informatio is comp e e an 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. ~~iYA~Iy' FNKE< SFffE'}/p/ • ApplicanYs Printed Name i Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 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 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous WorkTypes 6T>r7i~2ej 8Z.+ck FI70di7` ? 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 ReplacemCnt 'Oemolkion (Entire Bldg) - Give PCA handout to applicant . Valuation 2i oa-t' Occupancy MCES System Census Code Yq Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const v Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ,!1 FinaUNo C.O. _ Foorings(addition) ~i Plumhing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ Stone )4 Brick _ Fireplace _ R.I. _ Au Test _ Final _ Windows _ Insularion _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge o / c Plan Review MC/ES SAC ~ C,ty SAC Utility Connection Charge S8W Permit & Surcharge Treatrnent Plant License Search Copies Other Total , 2006 RESIDENTIAL BUILDING PERMIT APPLICATION t-la oo City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New 3 reistered sAe ConsWcfion surve s shawi~Reoulrements s. ft of lok s. R of house; and all roofed areas 2 coPies of Plan RemodelfReoair showln9 footi~9Reauirements s, 6eams, jo~5 Certof Surve Oflice ~g OnN 9 Y 9 G 7 y~Red _Y _N. ' (20% maximum bt coverage allrnxed) 1 set of Energy Cakulatlons for heffied additions Tree Pres Pisn ReaJ _Y = N. 2 copies of plan showing beam & window s¢es; poured found desgn, etc. 1 site survey for add'Aions 8 decks Tree Pres Reqwred _ Y_ N 1 set of Energy Calalations Add'dion - inMicate ff onsde sep6c system On-site SepticSystem _ Y_ N 3 copies of Tree Preservation Plan if lot platted aRer 711193 Rim Joist Oetail Options seleclion sheet (buiklings wiN 3 or less unBs) Minnegasco mechanical ven6lation form - Cp Date 7- / Z-1~, Construction Cost YJ 3~ ~ Site Address 6~~ Ld ~L° wev UniUSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 11 ~e L S!z 5~¢ y~ Telephone #(65/ ) Cio S-~f -~f z3 Contractor y Address 171i3 ~e City State Zip .SS>z ~Z_ Telephone #(`E/ 76 V,,~ i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calalatlons Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masterplan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone # ( ~ Sewer/Water Contractor Telephone # 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 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. C~a-vc~ Ma,c~ri Applicant's Printed Name ApplicanY Signature DO NOT WRITE BELOW THIS LINE Sub TVpes ? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Intenor O 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacem0nt •Demolitlon (Entire Bldg) - Give PCA handout to applicant D@SCfiptt011: WaterDamage_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) FinaUC.O. _ Footings (addition) FinaUNo C.O. _ Foundarion 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 Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant . License Search Copies Other Total PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166470 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 619 Wildflower Way Lot:42 Block: 3 Addition: Country Hollow PID:10-18275-03-420 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Jessica Louise Slowter Mazur 619 Wildflower Way Eagan MN 55123 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175997 Date Issued:04/26/2022 Permit Category:ePermit Site Address: 619 Wildflower Way Lot:42 Block: 3 Addition: Country Hollow PID:10-18275-03-420 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 - Jessica Louise Slowter Mazur 619 Wildflower Way Eagan MN 55123 (612) 670-7866 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature