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3778 Windtree DrC!ty ot8agan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: 6" - Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Date: /1/3O/10 / / Site Address: / (.(� )�L� °CkAr Tenant: Ctit� Suite #: RESIDENT / OWNER Name: Phone: Address /City / Zip: CONTRACTOR //j Name: l...71,1vrri i� till/ C' License#: Address: 32.,_SS /go- U✓/ City: Weld) 0414 ) [ State: 17)/ Zip: : (� `�, Phone: t/Z3---366 L'-- Contact(( C`L't (Vi Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipmentis required to be screened by City Code.Please contact the Mechanical Inspector for information on permitted screening methods PERMIT TYPE kk' RESIDENTIAL (v Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other " 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 bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $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 $.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-$11,010 Permit _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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/proved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name X Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Under Ground Rough In Air Test Gas Service Te. Exterior HVAC Screening Inspection '` CASH REGEIPT . ~ CITY OFtAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE FFK)M AMOUNT $ & DOLLARS ,oo ? CASH .5eCHECK FM c,. FUND OBJECT AMOUNT Thank You BY e~ vvnne--aere.s covr reao---aoanna cow Plnk-Fib Copy - - . . _ ~ BLDG~. PERMIT N0. ~ 01-3210 Bldg. Permit 01-3422 Plan Check "Lc 01-3445 Surch./Adm. ~ 01-3446 SAC/Adm. 01-2155 Surcharge -7Sj-3860 Road Unit ~ 20-227S SAC ~ 20-3865 Water Conn. 20-`3868 water Trmt. 20-3716 Water Meter 7 4~0 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. (J ~3855 Park Ded. TOTAL ' , . .e. ~.....w..~~~~^~T^ wa~.asnnqr . . ~ ,.~,.~+-.+~n :y CITY OF EAGAN ~ 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `j PHONE: 454-8100 BUILDING PERMIT Receipt~ To be used for slr DWr-/GAR Est. Value 3135v000 pate ApBIL 29.19 Bg Site Address 37=6 WiNMEE DR OFFICE USE ONLY On Slte Sewaqe Occupancy 1"3 *"`1 Lot 3 Block 2 SeC/Sub. ~ MWCC Syatem x Zoning Parcel No. On Site Well (Actual) Conat V"N a Name MONTGWERY llLSICli 6 BUILD Cnywater X (allowable) V-N = Address 4151 iCNOa DR PRV Repuired # of Stories °tity WAlt Phone 681-9260 Booster Pump Length 60' Depth so Neme SA~ S.F. Total . ~ ~ Address Footprint S_F. ¢ City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit ~ W Name W ~ = Planner Surcharge ~.r~ =n Address i W City Phone Council Plan Review 34~r.(~) BIdg.Off. SAC, Clty 100.00 I hereby dcknowledge that I have read this application and state that the Variance SAC, MWCC 550. 00 informatiori is correct and agree to compiy with all applicable StatQ of Water Conn. 550_00 M}{inesota 9Katutes and City of Eagan Ordinances. t . Water Meter 67-01 Sjgnature of Permittee Road Unit 325.00 A eyilding Permit is issued to: WNTG0NERY D$SICM b Bli D Treatment P1 2"•~ on thb express condition that all work shall be done in accordance with all - applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2~~ 8ufiding OHicial ~ , - - 1\\• . . . ' ' . ' . . ..:.~?`..1'.U\ , . , ~ REDI-NOT¦ DATE 19 TO ~N} 4NTC~vy}?k72y ~~Sl4N SUBJECT THE E C~c,c ~~2 F t> U- r/~4 C u~ ~.P~ ~o,Q ~:c. s . ~ ~ Ps~~ ASC MA~~ TNE~E cNAN~cs T nu ~ EN~ 7 : \ ~ &EKT ~ I . S I G N E D ~Ot: ~iFO 45462 ~ NO REPLY NECESSARY ~ REPIY RE,QUESTED - USE REVERSE SIDE POLY PAK (SO SETS) 0462 - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r PHON E: 454•8100 BUILDING PERMIT Receipt #t To be used for Est Value • L ~ Date ' ,19 Site Address OFFICE USE ONLY WnTRU 376t On Ske 3ewage Occupancy Lot Block Sec/Sub. MWCC Syatem ^ 2oning Parcel No. On Site Well (Actual) Const City Water (Allowable) a Name - W PRV Hequired ~ of Stories ~ Address • ~ City PhOne ~~ter Pump Length Depth a Name S.F. Total .o • ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES v W Engr./Assess. Permit Name ~W u~ Address Planner Surcharge 6 Z City PhOne Council Plan Review c W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is conect and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. ~ Water Meter ~ Signature of Permittee - ~ - - - - - Road Unit ' A Building PermR is issued ta_ Treatment Pt on the express condition that ail work shall be done in accordanCe with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Park$ Buflding Official____ TOTAL ~ + Permit No. Permk Holder Dah TeIephone s Plumbing zl 44. H.vAC. Gi 119 Electric Softener Inspecsion oah lnep. Comments Footings I Footings il Foundation Framiny Roofing Rough Plbg. JIM' ROUgh Htg. IsuL Fireplace ~ Q Final Htg. Final Plbg. Bidg. Final '7 ' 'tf s a,,, „r Cert. Oca ~ 2 p~ Gc, f ~ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. , PERMIT # `~-17://; ~ • PLUMBIN(i PERMIT RECEIPT # 9=3 9 9 =a CITY OF EAGAN , .3830 PILOT KNOB ROAD, EA(iAN, MN 55122 DATE: =1u CONTRACT PRICE PHONE: 451-A1Q0 Site Address BIDG. TYPE WORK DESCRIPTION Lot Block Seci~ub Res. New l ~ - - --t- ~ < - << ' Mult. Add-on m Name Comm. Repair ~ Address Y r' ~ Other c; c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name - Water Closet - $3.00 ~ • m _ ~ Bath Tubs - $3.00 # Address Lauatory -•$3•f10- - - - _ • - 'O City Phone f Shower -$3.00 ~ Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 ' COMM/IND FEE - 196 OF CONTRACT FEE T-Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPUES ' Floor Orains -$1.50 ' TOWNHOUSE & CONDO - RES. RATE APPUES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 _TGas Piping Outtets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 -Private Disp. - $10.00 Rough Qpenings - $1.50 i SIGNATU, QF-PERMITTEE : FEE - STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ . . . . PERMIT # : MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE `1 ! 9- CONTRACTPRICE:' PHONE:454-8100 Site AddiM 1' BLDG.~ PE WORK DESCRIP'T10F1 Lot ~ r 9foc1~~ ~ ~c/Sub Res. ~'i.- New ~ Mult Add-on a~ - '1~ !-1 m Address Comm. Repair ~ , . ' Other c City U + Phone". .14 - ' FEES ~ Name . ~ - ~ • - RES. HVAC 0-100 M BTU - $24.00 c Address % ADDITIONAL 50 M BTU - 6.00 O Cih+ ; ;1_) • Phone L- 72 0 (RES. HVAC INCLUDES A/C ON NEW I CONSTRUCTION) i GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RI~TE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boifer M BTU MINIMUM RESIDENTIAL FEE - ALl AOD-ON 8 Unit Heater M BTU REMODELS - 12.00 I Air Cond. M BTU ~MUM COtvIMERCIAL 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/C: ' SiGNATURE OF PERMITTEE TOTAL• - F FOR: CITY OF EAGAN r. L•~~-. _ , .A!'.i~ Y ? j F . . ? , ' ' . CITY OF EAGAN • 454-8100 ' • DEPT. OF BUILDING INSPECTIONS Correction Notice Located at I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: c~ r T,l v 5 .c~ . Y When corrections have been made, please I call 454-8100 for inspection. , Date Inspector City of Eegan i DO NOT REMOVE THIS TAG ~ R t fUrtiftratp uf Mrrupanry titp of (Eagan oPpwftnti of IWlbbv iwPt#iDYt This Certifieate issued pursuant ro the requirrments of Section 306 of the Uniform Building Code certifying that at tiie time oJissuance thir structure wars inconipliance with the various ordixances of the Crty irgulatirtg building construcuon or use- For the following: un culnificlaim 5T D[C-jC-Ak; 1491G &eg. Poraie No. O-UP-r TrvC R3 ' 1 ~ Dkftict R 1 ~ n owe« at ekadia t~MICaM)7.' D-Fl~iC7N & S[1). ~ 4151 M ~ c~Ii 71, F.AGw Budding Addm 3778 WltMM I3lt"„~ity I , , WRODC-E S , ~w &&dingomcw ^ PO3T IN A CONSPICUOU3 PLACE r 5_~_RO t.. i CITY OF EAdAN Permit No: Date: ! 3830 Pyot:kno!! Road B/P No: = Date: i ' P.O. Box 21199 ~ Eayan, MN 55121, • , i:i lio.itgomery Costst. ' Owner. ; SiteAddress: -~-r i;indtree T~t'ive 1.3 B2 'Jfnc?tre.a. Plumber: riI "r,hi^A ~ I MWCC: 55~).C!?i,'. Zoning• 1~)n . 0(}r+-'. 7 ' City Chg: No. of Units: ; Acct. Dep: I agree to comply with the City oi Eagan ~ _.,Permit Fee: Ordlnances. . I Surcharge: ~ I Misc.: By ~ SEWER SERVlCE PERMIT a r--* I CITY OF EAGAN. Permit No: 954` Date: 3830 PffM ftob Road Meter No: giZS; ~ , P.O. Qox 21199 Reader No: Date: I, Eaqan, MN 55121 Owner. . 7Mi.i "ont?or.;ery Con st . ' Site Address: 377P -tree Drive BI-1in tree ti Pfumber °'~urr Plumbinp i Conn.Chg: 550.0 d Zoning: rl ; Acct Dep: 1 S•00T)d No. of Unib: ~ Permit Fee: 10• O0 d Surcharge: • 50rod 1 agrea to eomply wllh the City of Esyan Tr. Plent 204•00 d Ordinances. i Meter. 67 . 00Fa l Misc.: gr i WATER SERVICE PERMIT ' . CITY OF EAQAN Permit Mo: Date: 5--2-38 8830 Ph61 4nob Road Meter Na Size: 9 07 P.O. Bo: 21199 Reader Oete: Eagan, MN 55121 ~ Owner, Fri.1n ont-,onery Const. SiteAddress: 377` "jn,'tree i'rive L3 T;2 ~~Tindtree ,r 1 Plumber ?~':urr Pluml~in~ Conn. 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NCITES ON TIii5 SHEET. . ~ T1~yy5 !D ~ _ A COPY Of TttIS OftAWING TO 9E C;tYEN TO EHEC7{NG Jic.p +.ot ee or p~a : CFS Gt?kti ilate • 7-ZP-$e LV ER w~~ii<TONlfiliv OWFac,- Lbr : 1.15 ~ a,t,.,~ w~w.la+w. we k Cp iar." iaal. sAaC I . m ~ NTR r~ o~ ~f ~ DurFac - ~1t : , . ~S ,.uyFU o! the wtM~ ThaJbt app6ird L+ nkACi ti:• _f,,, TG LIilB 7-0 AO.O ~ ' BrC..~f aE.r.~+f~+tl~V rLa~aNf:f~W dRf.e)1 MKNd, ~d..mny . f. r..~x: rnal u~x~ od' /ors~d ~ .hi:k ~i o f•st a I~6c D~uJdnt dreE^ en1.~t.n~4 naen M: c+..~.a+e3! y ihr D~.fTd'~++0^"• ~R' ~ LlV! 0 0 ~ O.C. ~aCliig: 24 0' ..~cao+l~aG ~a~~A~Y ~rur•..'ar~a:.yfwrtoJo-r++aa7rto~rYF~k%nSlrnasf: ~rwarivwr~t?r Tp1 Bl~ f,,.~ ~:~r~ °C•~ tie.o f ~ DQSign ;YLICfs r.•.,aa-~...~cui6..s-.:-s. r~c,d~art.~i}+ai,•id:~camw•.ic:c'S,-~wr~d`-...,_,;rph . ~.I'.cnuu i~@Ed ~ I 3621 T~v.F'.mei~ut~ru, . uiwr-r TC3TAL 57.0 p i$~',n : KLg- ;au~e•y~.p~PrpduA ymtpaclt~ o/ nrfln49~1'+1Q~°'i~M+~~+•~wwow Mwosaw~rrrir.c ,-~.n.T•.~L..~r.b(.r~aac^uc.~wnJ, cu CITY OF EAGAN Na 14 910 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 - , BUI PHONE: 454•8100 Receipt # p ~ 4 ~ LDING PERMIT To be used for SF DWG/GAR Est. Value $135,000 Date APRIL 29 ,1988 Site Address 3778 WINDTREE DR OFFICE USE ONLY Lot 3 Block 2 Sec/Sub WINDTREE STH On Site Sewage _ Occupancy R-3 M-1 ParCel No. MWCC System X Zomng R-1 On Site Well (ACtual) Const V-N a Name MONTGOMERY DESIGN & BUILD Cirywater X (Allowable) V-N w PRV Required # ol Stories z Address 4151 KNO$ DR ° City EAGAN Phone 681-9260 BoosterPUmp _ Length 60' Depth 481 , p Name SAME S.F.TOtal oa Address FootprintS.F U : City Phone APPROVALS FEES a En r./Assess. Permrt 688.00 ww Name 9 ! i Planner Surchar9e 67.50. i~ Address _ ..Q0 Q W CityPhone Councii Plan Review BIdg.Off SAC, City 109-00 1 hereby acknowledge ihat I have read Ihis application and state that the Variance SAC, MWCC _550- nn inbrmahon is correct and agree lo comply with all applica6le State of Water Conn. S S!1 _ f10 Minnesota Statutes and City ol Eagan Ordinances. d R~ A Water Meter 67.00 Signature ot PermiHee Sylal.Gb1$,_ In9~~Tii~-~ Road Umt 325.00 A Building Permit is issued to: MONT OMERY DESIGN & BUI D Treatment Pl 204.00 on the express condition that alt work shall be tlone in accortlancewith all appiicable State of Mmnesota Statutes antl City of Ea9an Ortlinances Parks Buiiding Offiaal 0~~- ~AWI rnP. TOTAL 2e895.50 , ' \ ihis request void/~/~/~^yQ 18 tmnths from E 21036 RequEst -0al, ' I I veNO. Ro ph-i Insucr,tion Re~mietl' ~'1 flcatly Nuw ~~II Nuufy. InsOec- qs ?NO toe When Ready Ocensed Elecnncal Contrnctor I herebv request aosoactwn oi aeove Owner elaclncnl work instelled ac 'Sveet AAAress, Bon or Rom No. C,Iv 377,S- c,c~i~c~'fir~e~ gaCcc n ecuon o. Townshi0 Name or No. Range No. County P,(~,~-~ Occu ~am (PRWT) ' Phone Nn. IfIlleru Po $uppber ~ Atldres t 4'1~ l~cLr-tm~~ ~r Elecerical Contradoe ICompany Namel Comrar.to,'s License No. Mailmq Atl iess IConcracmr or Owner MabnB ltistalluuonl 7~7 ~S CtJ. w 54 3- c/ AuNo aed Signatur¢ ICoM'c1 r Owner ny Installatmnl Phohe N mber THIS INSPECTION flEQUEST WILL NOT MINNESOTA STATE BOAHD OF EIECTHICITY GriaHS-Midway Bltle. - Aoom N•191 BE ACCEPTEO 9Y THE STATE BOAHD UNLESS PPOPEH INSPECTION FEE IS 1821 Universitv Ave.. St. Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa , ~ , Sea inshacbens lor comoleUon tM1is torm on bock o1 vellow coov. ~r E 2106 "x' eeloW Woik Covered by Ihis Request NIns TvDe oi Bui ltlinq AOOlinncne Wired Equiymem Wned Home ~iiye Temporaiy Service Duplex Water Heater Liyhbny Fixtwev Apt. Buildmg Dryer Electnc Heaunc CommerCial Bldy. Fumace Silu UnW.ider InAustnal BIAg. Air Coixlitioner Bulk Milk Tnnk Farm tnr~ oecI y Oinc" t , uccrty 1hcr Othur pecUOn Fee Below a Fee SerameEntrenceSizo b Foe Fexdefs/Sublexders n Fe¢ Gwmes ( U to 200 Am s 0 to 30 Am n j _N 0(n 30 !1m o5 Above 200 qi»py 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms $-o Partfal.'Other Fee Signs Speciallnspection TOT (~o Aemvks ^ - • • Rough-m ~}1e th Etemr' Insoauor, hmaby ,cer4/y tM~ t~e above Final inspecIion has been r mede. TMa mpuasl volE 15mon0u Imm ~~oa z- S'o sd . 2007 RESIDENTIAL PLUMBING PeRnnir aPPLic,ariorv CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. Date I Z S 1 o/ n~ m Site Street Address S 778 Unit # Property Owner Telephone bS~ ~ 8JS ~ C7S17 Contractor Telephone # ( ) Address City State Zip The Applicant is: Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10 00 I' Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . . Alterati to existing dwelling ~ $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener, and/or water heater at the same time. If you are insfalling only a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ~lJ ~ 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 for a per work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requir to be reviewed and approved. (~O-t1 -rr°,-~ 1 ApplicanYs Printed N e plicanY Signature 2007 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I n- ~ New ConsWCtion Reauirements RemodellReoair Reouiremenis ~~iFice Use Onlv 51 ~ O 3 regatered ste surveys showing sq. ft. of bt, sq. ft. d house; and all mofed areas 2 copies of plan showing foofings, beams, joisis Cert of Survey Recd Y_ N (20%mvcimum lot cwerage allowed) 1 set of Energy CaICUW6ons fw heated additions Shcs Report Y_ N 1 Soils Report d proposed building is to be placed on distur6ed wil 7 site survey for addi6ons 8 decks Tree Pres Plan Rectl Y_ N. 2 copies ot plan shovnng beam & window sizes; poured fand design, etc Adddion - indicafe i1 m-sife sepGrsyslem Tree Pres Required Y_ N 1 set of Energy Calculafions On-sde Sep6c System _Y _ N 3 copies ol Tree PreservaGOn Pian R lot platted atter 711193 Rim Joist Detail Options selec6on sheet (buddings wM 3 or less units) Mmnegasco mechanical ventllaGOn form Plans are considered ublic information unless ou state the are trade secret and the reason. Date Construc[ion Cost SiteAddress Unit/Ste # Description of Worlc mb~l~-c~ [KCiVia 13r- 4 T'~,i$ t, F3.4ln Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # 0 ? Contracror Address City State Zip Tclephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateRorv ] Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Enerqy Code Worksheet (J submission type) Submitled Suhmitted • Energy Envelope Calculations Submitted In the lost 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 m~ansier n: . Licensed Plumber Telephone ) Mechanical Coniractor MAY 2 5 2007 Telephone J Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the infonnation 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 Stamtes; 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 approve plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Poot ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Exi. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Ga2ge ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10.plex 7K 19 Lower Level ? 24 Storm Damage ? 06 04-plez ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entlre Bidg) - Givo PCA handout lo applicant DeSCfiptlon: WaterDamage_Yes Valua[ion 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) _ SheeVOCk _ Footings(deck) Final/C.O. _ Footings (addition) ~ FinaUNlo C.O. _ Foundation ~ HVAC Drain Tile Other ~ Roof _ Ice & Water _ Final = Pool Ftgs Air/Gaz Tesls Final Framing Siding _ Stucco Lath Stone Lath Brick Fireplace _ R.I. _ Air Test _ Final _ 1Vindows ~ Insulation _ Retaining Wall Approved By: Building Inspector T - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1` 14 Y~ 7988 HUILDING PERMIT APPLICATION - CITY OF EAGAN 4 4 I 0 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIAED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. M[TLTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.? 1 SET OF ENERGY CALCULATIONS COI+AERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: S~ Valuation: 13~ Date: Site Address ~`)"7 wi;nIXUV'P~fi OYJ OFFICE USE ONLY Lot ~ Block Z On site sewage_ Occupancy R-3 M-I hII1CC system ci Zoning R-1 Parcel/Sub On site well Actual Const V-N ` City water ~ Allowable V- N Owner PRV required of stories Booster Pump Length Address Depth 5'8~• S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit 6 BQ,OU , r 1 S \ ` } Planner Surcharge G7.5o Address 1\hU b Council Plan Review y, ou Hldg. Off. ~y2`f SAC, City 100000 C3ty/Zip Code ~~~-q~VVfU .SS ~Z~ Variance SAC, MWCC 550.00 Water Conn 550,06 Phone Water Meter fo1, pp Road Unit o 0 Arch./Engr. Treatment Pl ;?pLI,Po Parks Address Copies TOTAL City/Zip Code Phone # I/AwA'viaN ~ ~A'~a~E Zg 1C z8 =`78y x iy _ ld 97G E2-1~m ? 3 x 3 l~ x Z? - kyg $ x ] o ~ ~'ro r~ X 13 = IS qfS3 z~,D F. o------- Zy X y z-~ loo4i ZKIS 30 3K5 = ( q) ~y /0 = (60) 969 X y9; yqqb? 15r F~2. &::,r*'?' _ ll G(I Z X I~j = 2L ~i /t3? X va = 60 31 l3yzsry . i EX"fEI1T.Oh EIWVELGI'h= AVE.F;A[;k= "U" (:OI`11''lJl'A"fIGN I°ION'fGC71'1E:RY I7C.SIGN I:'+U:[I_.U G_1 1135v AL6AVAh F'ATH T.NVER GRCIVF I-1EIf_itITS. INIV 55075 M01)EL f::EYST0IVE ? AREA U I! X AFtf=A FE=fJUIRFU , I , 1 ( 3l.6S 1. TOTAL_ WA_L AREA 301~i .1 y7' i :i1.~)cV`S~+ = 3 2. hOnF= AREA 1470 74 [ yos ~ AL"H1EVED I A WT.NDOW AREA 2'8 .:i 119 B DCJOF: AREA 40 .077 = C 8L]DIN_r-, GLASS AREA 108 •40 52 D 1= f FtE:F'I...ACE. AREA 75 .5 i ::EI E WALL FhAME AREA 301.5 .041 12 F I'JE:T WAI._L AREA 2252.5 .049 i 1(,) G 1=tIM JOIS'T AREA 206 ,.04=6 12 H 1='OL1ND 4JINllQW AREA 0 • 5 1 FUUND ALiOVE GRADF_ 79 .135 11. 1'Ol'AL WALL AkFH 35' J t31::YL1:'TE ci F:. FiUOt= FRAMG 147 • 0'_•2 5 L IVET FiOQP Afi'L-'A 13:,'_3 . .025 3- 4. T(:1TAI._ ROUF AREA ',f:i :.;lq°I UF 1. r,f:}6- SUM OF +4. =:95 I SURVEYOR'S CERTIFICATE MONTGOMERY OESIGN REVISEO 4 _29_88 / go / po O , = - r•_° 1 0 r \ s~; , -=c/ ~ kg1391 O EAG1z ~ ~ r Q \ } T.~-:-ivG D1:P2'. i ~a 'p1 }J (917.5) \ ip~ N 5 DECK 0 3 PROPOSED ; p 14.0 \ ~ip a ORIVEWAY-,, N f917.51 ' o 33,73 ~ 0 ~0 ° POSED/vNf MQ+ n/ GARAGE HOUSE a, ~ V1 C 7 a N ~ ^ O aazs (9099) Z 63.26_---"bg~, • (9019) 550•'~'' ~lJii I\ 6'~O l ~ (D V ~ N s _ Lf) s ~ • ORAINAGE 9 UTiLTY _Z EASEMENT PER PLAT \ 5 LO T 3 \ ~ O '•:V \ - Tez(5z)\kr.i= o ' u 1915.6) v v n 195. 00 S 88 23 18 W~ r.~ L, ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 917.8 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 910.1 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 918,2 FEET WE HEREBY CERTIFY TO MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT REPRESENTATfON OF A SURVEY OF THE BpUNOARIES OF: Lot 3, Block 2, WINOTREE 8TH ADDITION, according to ihe recorded plot thereof, Dakota County. M(nnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY QIRECT SUPERVISION THIS 26ruDAY OF APRIL , 1988. SIGNED: JA?A S~ LL, INC. PROPOSED ORAOES SNOWN WEqE TAKEN L/ FROM THE ORADINO PLAN FOR WINDTREE BY; 7rN e BTH ADDITtON9 PREPARED BY HAROLD C. PETERSON, LAND SURVEYOR RON KRUEGER B ASSOC., INC. AND IAST DATED 7-27-e7. , MINNESOTA LICENSE NUMBER 12294 cn ~?i~~ ~70 = o r ~ O ~ i m ~O m o D)ames R. Hill, inc. A N ° m~~ Z ~ 50) m~ W PLANNERS / ENGINEERS / SURVEYORS O m ~ N~ Z~ 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 S 0 n 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF eacaN x,. 3830 PILOT KNOB RD - 55122 ~~~3• ~5 651-681-4875 \ ~00 New Canshuctlan Reaulremanh LJ ~ Rertrodel/Reoalr Reaulremenh > J reylsterotl Yta wnays inowlnq p. ft of lof, aq. H. 01 house 2 coples d plan and yp roofetl areas (407L mxWmum bt coveroae albwed) 1 set ol enerpy cdeWatiau tor heated adtliflons > 2 coples of plana (show beam & wlndow sizes; paured fnd. desipn; elc.) 1 alfe wrvey for e#edor addltlons & decks > 1 set ol eneryy cdculatlons > S coples ol hee preservatlon plan Il lot plaMeA after 7/1/93 DATE: CON5TRUCTION COST: o~ DESCRIPTION OF WORK: ~ -J STREET ADDRESS: ~ Z" I-~ LOT: ~ BLOCK: ~ SUBD./P.I.D. N: Vv; Name:,//lGL7`"f"J C ,P ~ i~ Phone C PROPERTY Wsl flrst OWNER SfreetAddress:3 2r`I2~ 6c//LftI `P-2 d2/e City cC a aVi _ Stafe: /~I/ r~ s? Zip: 61 Yl~P?'/.CG~ Phone#:6/Z eYg . Company.XP l007~ 141 (area code) CONTRACTOR O L 1/~'1 Gl l~ Llcense C.ZQ~ 16l/Q Exp. 34K~~sa Sfreet Addreu: 9S Q Clfy A /Oa/s'! / v! G-14/'/ State: 1"'/ /9 s'I Zip: 5~'S ARCHITECT/ ENGINEER Company: N ZA Name: ' Telephone i: ( ) Sheef Addresa: RegishaHon 0: CHy State: Zip: Sewer/waler licensed plumber (H inatallina sewer/waterl: Pho^e I hereby acknowledye ttat I have read this applicaHon, state Maf the inlormalion is cortect, and agree to comPb wUh atl appiicabie StatE of Minnesota Statutes and Cily of Eapan Ordinanees. Siynalure of ApplfcanY. p~[4~ c OFFICE USE ONLY Certificates of Survey Recelved _ Yes _ No Tree Preservation Plan Recefved Yes No _ Not Required / I OFFICE USE ONLY BUILDING PERMIT SUBTYPES ' ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ext Att = MuNi ? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) O 33 Ext. Att - SF O 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 MuRi ? 04 02-plex 0 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? 05 03-plex O 11 10-plex Plbg _YOr_N 0 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• 0 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUSINSPECTIONS ? Stucco/Stone APPROVAtS Planning Building Engineering Variance Permit Fee Valuation: $ ' Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC . . , ' APFLICATION FOR PERMIT ~NO'E: pAYMFNf OF FEE AT 1'I14E OF , nerLIcATzori ooEs riox corr ; STIILTIE APP320VAL OF PERbffT. * ~ SEWER AND/OR WATER CONNECTION ~ INse=a'oF sax'"ra/°'='u''ER * icisrnU.nzz«as wna. ca3r ee cr4rnrEr, ; i I!NCIL PERDffT HAu HfIIi APPRCNID. : . • if~~~~~+t~~t~~aatwii~sf~aWWwt~~we~~t~+ . s'sty oF eagaw (PLEASE PRINT 1) PROPERTY ADDRESS: ~j -7-7 r? ~ „~p( •fi~~. ~ rz T.FY:AT DESCE2IPTION : ~ . . ~ r-, d-~~ t 1c~E S ivision or Tax Parcel ID it) IF EXISTING STRCCI'URE, DATE OF ORIGINAL BLILDING PEEtMIT ISSOANCE: Nbnt Year PRESENT 20NING/PROPOSID USE: Q CONMERCIAL/RETAIL/OFFICE IZ'R-1 SINGLE FAMILY Q INDC'STRIAL ~ R-2 DUPLEX (3tao Onits) E=j INSTI'IS.)TIONAL/GOVERNMENT Q R-3 TOWNHOUSE (Three + Onits) ( Lnits) Q R-4 APARTMENT/COPIDONIINIUM ( Cnits) 2) NAME: ADDRESS: Ail 5~ Kr, n l-p b~ CITY, STATE, ZIP: . ~ PCp%" Lj'-~ \"LZ PHONE: ~ ~gI ~C1 For City Use 3) NAME: ~\U Pl rumT~e s License: I Active ADDRESS: ~ +A p \ E7tpired CITY, STATE, ZIP: b- Not recordec PHONE: MASTER LICENSE #(,X)35-70Yh]~ Sta Initia NAME: c !i ADDRESS: CITY, STATE, ZIP: PHONE: 5) :a~~T.~..iUR F]-E81VNE',CTION TO CITY SEWEE2 F--j C.QNNEETION TO CITY WATER a 0`Pf1EEt 6) *,r*+~**~++*~+**~**,r*,r****+*** ~*,r*****++*********+*******+** **+~****++********+**************+***y * * THE GOID COPY OF THE PERMIT WLLL BE SENP DIRDCI'LY 70 PUSLIC WDRKS 1U FACILITATE ME'I'ER PICK-UP. *k PLEASE ALI,OW ZSVO WORKING DAYS FOR PROCFSSING. SOMEONE FROM TfiS CITY WILL CONi'ACf YOU IF THERE * ARE ANY PROBL,IIM. i ,~**~**~«******+***+*******~****:~*********~***~*+~~***********~+*+******+****~*+******+*+~+****r*+*, .-F'OR CITY USE ONLY PERMZT # ISSOED Z ~ Pd w/Bldg. Permit FEES: $ /O "5--b $ SEWER PERMIT (INCLODE SURCHARGE) $ /D -S 6 $ WATER PERMIT (INCLUDE SURCHARGE) f $ 7' $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ o $ ACCOUNT DEPOSIT - SEWER $ v $ ACCOUNT DEPOSIT - WATER $ J <S`O U-6 $ wAC $ I.;50•u0 $ SAc $ $ TRI)NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFZT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ °ZD o $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 16Z Z • G'O $ TOTAL - e 3 3 3S RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: _ DATE : City otEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Email: planninqAcitvofeagan.com 2011 ZONING PERMIT APPLICATION t RECEIVE Nny 011011 For Office Use Permit*: /®1 '75'7 Date Received: ✓ Please submit a set of scaled drawings with the application. PROPERTY Site Address: / 7s, W d. 1-e2i riVe CONTACT TYPE OF WORK Name: SCSI Cis(' (-LI Address: 377' 11.)6,,d., Ne Applicant Signature: ❑ Retaining Wall <4 feet 0 Patio ❑ Sidewalk Description of work: ❑ Driveway ❑ Sport Court ❑ Fence %ch Is {lel Phone: tri- f- L 6 7-201 City/State/Zip: r'. ��wwCN Sfa31 1 Date: /0/Z sit / Other: te-710o' PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. Approved: Notes: t2 Date of Approval: I I oZ /I' Staff: COWL i Revised Plans Approved: Yes / No Date of Approval: Staff: ENGINEERING Approved: Notes: Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc. Yes / No Date of Approval: Staff: Revised Plans Approved: Yes /No Date of Approval: Staff: COMMENTS G:\Building inspections\PERMIT APPLICATIONS \2011t2011 Permit Applications FRZe-TR -iSSe5 5/7/1-C; n9 r� th Y1 \ 5 i 3016 D)Rec► ;a^ 447) 4-c mci ��p/e� Z zg 114, ('" /1a Cf' 1 1.e55 77L»/) Y v re-A, e ,m -0+(r E:yii;2J " f) (7 I STAIR TREADS AND • 7'1s MAXIMUM RISER TREAD • 10" MUUMUU TREAD DEPTH ,ow or more rr ors Fey° a graspei'le handrail boivveen 34 & 3i3" measure., vera E Ily from the nose of the tread. i /61 dgEq SURVEYOR'S CERTIFICATE NI•OACC/1*\1 \10)--- yo��2 x29.50 . 62• / 41111/1 IAN .11110/1111e PROPOSED DRIVEWAY • (917.5) • 1.33.75 (917.5)1 DECK ° 0 14.0 ri GARAGE P03EDIr1 / HOUSE • 4425V 2 -- 10 0 3 6O (9039) r'• .5.21". MONTGOMERY DES REVISED 4 -29-88 •.•.. 11 : A. rw It 'I • I 63.2 0,90 .q, - - cs A' 4P 1.0 4 \TG DEPT. Ex L4111 /oc` °K o4' f t&fk:►uSe <0.P.cP N. 4e '7. EASEMENT' PER PLAY /60, JeiDRAINAGE UTILITY 3��/60, s a Q VV I `.# %/ I I 0 195.00 r)GAIrrrr a larl.Ant‘nrr.. -_ _ _ S 880 23' 18u w 01ir'N n1-` _..-,1915.6) in I \l/1 -1L) WE HEREBY CERTIFY TO MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: • Lot 3 r Block 2, WINDTREE 8TH ADDITION, according to the recorded plat thereof-, Dakota County. Minnesota. i //-73q October 25, 2011 City of Eagan Tom Miklya 3830 Pilot Knob Road Eagan, MN 55122-1810 Re case number: 11-007379 Dear Tom, /0039 I appreciate you working with me on this project and accommodating my lack of "planning/engineering speak" as we work to resolve this issue. In an effort to comply with the concerns expressed regarding the playhouse built in 2010, I have had discussions with 3 separate structural engineers (as well as calls to Lamperts and Mendards) since we last had written communication. I have engaged one structural engineer to ensure that the playhouse roof specs meet the city requirement of having the rafters/trusses signed off by a Structural Engineer or getting the roof rafters/trusses manufactured and stamped. All of the engineers expressed confusion as to why the city would require an structural engineer sign off on the roof (or stamped trusses) if the playhouse is 120 square feet or smaller and a permit was not needed. I replied to them that the city wanted assurances that the playhouse is safe, which is my goal as well. In your letter dated September 15, 2011 you state: "It appears that your accessory structure is not built to the building code minimum." In previous conversations/emails with you, I provided requested information on beam size, joist direction and spacing and beam connection detail. From my understanding the remaining concerns of the city were the roof rafter/truss engineering sign off and the requirement for the stairs/railings to be in compliance with code, including not more than 4" railing spacing. The stairs and railings have since been modified to comply with code after the engineer did an initial site visit. If there are other issues that need to be addressed which were not discussed previously, please provide further specifics as to the concerns. A Zoning Permit was not originally required when I designed and built the playhouse in 2010. Your letter dated September 15, 2011 has requested that I complete a Zoning Permit, even though this is a new requirement effective June 21, 2011, after the playhouse was designed and built. However, in an effort to see this issue to acceptable resolution, I have attached a complete Zoning Permit along with the original drawings you and I have shared back/forth and a copy of my property survey showing the location of the playhouse on the property. I this point I have not received drawings from the engineer. I believe the only outstanding issue at this point is modification of the roof height so that it meets the requirements that "no inside wall height shall exceed 8 feed as measured from the floor to the roof decking." Since the city is requiring me to either have a Structural Engineer sign off on the modified roof I proposed or have custom stamped trusses manufactured, this has delayed completion of the project as I explored options and worked to engage a PE who was willing to do a site visit and take on such a small project. As you can tell by my engagement of a Structural Engineer, I am committed to resolving this issue. I have documentation of discussions with 2 other PEs and an email sent to Lamperts, so please understand that this is not something that has been ignored since we have spoken. I have had numerous phone calls as well with PEs and Lamperts, and two visits to Menards as well. The active robin's nest that was built on the roof beam also delayed the project as I could not destroy an active nest that my 4 and 7 year old children were aware of. This year I learned that robins can lay three sets of eggs almost immediately in succession in the same nest in a year! I am requesting an extension for compliance given I do not have the engineering drawings at this point and the city needs time to review the Zoning Permit and advise on next steps. Given the impending harsh winter where I cannot perform demolition/reconstruction, I will lock the playhouse and ensure that we are in agreement between the city, the engineer, and myself before demolition/reconstruction occurs. I will ensure that the playhouse remain locked and is not used until all modification is completed by spring and it meets the inside wall height requirement (including Structural Engineering sign off of the roof trusses). Please let me know what next steps are. C!tyofEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /30173 Permit #: Permit Fee: 6o-00 Date Received: Staff: L /2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2-0 / 15 Site Address: ? `7 77 %iv 1 ✓l c `t�-ez- 0 r 1 ✓�- Tenant: Suite #: Name: _c(` t7 ,i Phone: b / z-23/ -b777 Address /City / Zip: 3 77 r ✓1 /' 1 tie E��j' L', . /4. VO TS -1 Name: SOD t Gy(, I /Asiejeci Cl' Address: State: icense #: City: Zip: Phone: Contact: E ft-Z3(_o777 Email: _ New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. 0RI1C- Description of work: /a �'f � -V RESIN DEI�AL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures Main / r Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecaliorg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval s, plans. x Applicant's Printed Name plicant's Signature Relat+ PERMIT City of Eagan Permit Type:Building Permit Number:EA163337 Date Issued:08/27/2020 Permit Category:ePermit Site Address: 3778 Windtree Dr Lot:003 Block: 002 Addition: Windtree 8th PID:10-84477-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Cody J Olson 3778 Windtree Dr Eagan MN 55123 (952) 994-5675 North Construction & Restoration Llc 3300 Gorham Avenue St. Louis Park MN 55426 (612) 314-4313 Applicant/Permitee: Signature Issued By: Signature