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3625 Woodland TrCity of EaQaII 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Phone: (651) 675-5675 Fax: (651) 675-5694 SEP 1 5 2010 Use BLUE or BLACK Ink For Permit ft Permit Fee: Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION `:_14--1? ' ° Date: Site Address: =rtea.. Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City Zip: CONTRACTOR // Name: 145I A,t.1 PLLI/Ylgi t 0' ICES, I1 en'see #: 059551 S Pa) Address: p0 X off.1'74- City: E --AG kN State: PO Zip: Si Phone: b51-68 1 ---O as cam.. ,�S] M Contact: 1 I k.E SC ,'l (LT7_. Email: TYPE OF WORK _ New Z_ Replacement Repairai/ Rebuild Spacce� in R.O.W. ModifyC� _ k_ _` Tf4Work Description of work: D ODE,—T —IEIJ I /0 J PERMIT TYPE RESIDENTIAL. Water Softener Water Heater X Add Plumbing Fixtures (,X `Main / _ Lower Level) Lawn Irrigation ( RPZ 1 _ PVB) Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 55 • a0 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ■ 'Lan Applicant's Printed Name x ppltcant's Signature FOR OFFICE USE Reviewed By: ai Required Inspections: Under Ground ,_,_Rough -In Air Test Gas Test Final Sep.15.2010 07:52 AM Hessian Plumbing Services 6516818306 HESSIAN PLUMBING SERVICES, INC. . g 4, S di City of Eagan Cv 1 Permit Dutcher Remodeling, Inc. r'0 via, A 689 Stonewood Road Checking - Anchor Ba 9/14/2010 PAGE. 1/ 1 10148 55.00 0,-, o Y& Q.. 40 3 S ttJ U i Qln c 7(o)( Cor (fl )5'- 7a /Q 55.00 City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 33 REED Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 69 g� is g 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O 2V2Olt, Tenant: Suite #: Site Address: 3 Cz, 2 S dicharGw RESIDENT / OWNER Name: Mark- LW k- 1— susu ,t ?\IO -'11 IQ.GL Phone: 65/ (083 94067 Address / City / Zip: 3(:, 2 5 1iiJeloz, I cued Trac I Applicant is: cat Owner ? Contractor TYPE OF WORK Description of work: /51 444,02114 civ Construction Cost: _ Multi -Family Building: (Yes / No/1( ) CONTRACTOR Name tr - License #: 2-40 3 ' ' cf, Address: 3c:43 \,.) cs0-z t I0..,,,Q Tv- City: E _ Stater Zip: 5 5 (23 _ Phone: /an — (o S 9 — 67 5 S Contact:" iJ ( id/ta/V Email: cuqpS co 0.4-, „A--" ' COMPLETE In the last 12 months, has Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE:'Plans and supporting documents that. you submit are considered to be p� blic`information Portions of { the informations maybe classified o aS nn public if you; protide specific r'easo s that would permit the City to , conclude that.they.are°trade secrets .... .. : ... . .. . .. : CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval • glans. x T i i vv1-Du ei Le, - Applicant's Printed Name x Applicant's Signature Page 1 of 2 56 Wild 772_, DO NOT WRITE BELOW THIS LINE q6 -o6) SUB TYPES Foundation Fireplace Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation ,2.00Q Plan Review (25% 100% 1/r Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final L Framing Fireplace: _Rough In Air Test _Final AL Insulation Meter Size: Reviewed By: Oa/ RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window *Demolition of entire Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector -23 07 Page 2 of 2 CITY OF EAGAN Permit No: 4-'29-8 .8 3830 Pllot Knob Road Meter No: Q 7I Date: ~ Size: ~ oc P.O. 8ox 21199 Eapan. MN 55121 Reader No:117 -3 Date: `11' e~ Owner, Wnn eS Site Address: 5 z~d Trail L~ 0~i3 F~oor a*~ .5 Plumber n~ Conn. Chg: 2oning: Acct Dep: Na. of Units: " Permit Fea Surcharge$gfplp,~jg ~ ~iil • r 0 S 9~~ lo comply w11h the City oT Eagan Tr. Plant ' dinancea. Meter. "I f-+~w Misc.: ey WATER SERVICE PE 1T CITY OF EAGAN Permit No: rsig 8-29-88 ~ 3840 Pi(at:Ynob Road Date: Meter No: Size: P.O. Box 21 t 99 Reader No: Eayan, MN 55121 Date: Owner. , lamazae Hoates Site Addresx ' ~ ~a ~ ~Icrod..an~a Plumber. SChttZtles PZt~mbiq i I ~ Conn. Chg: S 5~ •()(IW 1 I 2oning: F1 Acct Dep: ' No. of Units: Permit Fee: ~ Surcharge: ' I agree to comply wifh the Cfty of Esgan ~ ~ Tr. Plant • • ~ Ordinaoces. Meter. 67, n a f Misc.: By ' I WATER SERVICE PERMIT { ~ ~ CITY OF EAGAN Permit No: 4_29_g~ ' 3830 Pflot `Snob Road Date: : ~ P.O. Box 21199 B/P No: Date: 3--30-8:. t , I FBgan, MN 55121 TaTI8ZSC xI0 meg ~ Owner. ~ Site Address: 1695 Wood Iand Txa iI LIO B 3 t; oo c' iar lo ~ ; Plumber. ScFiultlea F3.umbing ~ ~ MWCC: Zonin • f City Chg: 9 , No. of Units: i ; Acct Dep: • d ~ ; Permit Fee: P I agree fo comply with the City a Eagan ~ • P Ordinancea. ~ Surcharge: Misc.: + ' By SEWER SERVICE PERMIT ~ CASH RECEIPT ~ . ' i a CITY OF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE " ~ C ! 19. ` ~ REceveo Fqqa ~ ' ` • , ' ' J ~ , i ~ . AMOUNT & ~L~f~$ i~ O CASH l~f CHECK ~ , FUND OBJECT AMOUNTI' Thank You BY White-PayeraCopy Yelbro-Poatlng CoPY Pink--Ffle Copy _ , ' BLDG. PERMIT NO.~ (t1-3210 Bldg. Permit ~ 01,-3422 Plan Check 1 Y 01-3445 Surch./Adm. ! 01-3446 SAC/Adm. 1 ~ 01-2155 5urcharge ~ r*-3860 Road Unit 4 ` 24-2275 SAC ' i 20-3865 Water Conn. ! 20-3868 Water Trmt. 'i 20-3716 Water Meter 20-2252 Acct. Dep. ~ 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. a if-3855 Park Ded. j i I TOTAL -CITY OF EAGAN ; • ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PFIO N E: 454•8100 - BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Value $t32 s000 Date lAACH Za ,,19 88 Site Address 625 1100nL11ND TRAIL OFFICE USE ONLY 10 Block 3 SeC/Sub. TH8 NOODLAl1IfS On Sfte Sewape ~ Occupancy R_ Lot MWCC 3ystem Zoning Parcel No. On 5ite Well (Actual) Const v-R a Name ~~C ROWS city water (Allowable) V-n = Address 1556 14C ' DRIVZ PRV Required of Stonea ~ ~~j 636-8622 Booster Pump Length c' CityPhone Depth 4 1 , p Name $AMZ S.F. Total ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES 1-- a sA~ EngrJAssess.Permit 676•~ yVj W Name 66.00 Planner Surcharge Address 0 Z Cit Phone Council PlanReview 339.00 ~ W y Bldg. Off. SAC, City 100.07 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550•00 intormatiom is cor?ect and agree to comply with all applicable Stete of Water Conn. 550•0(1 Minneaota Statutes and City.ol,Eagan Ordinances. - Water Meter 67.00 _ Sillnature of Permittee Road Unlt 325.00 TAMAARAC Et4MS A BZilding Permit is issued to:_ Treatment P1 204,QQ_ on the express Condition ihat all work shall be done in accordance with ell I appjicable State of Minnesota Statutea and City of Eagan Ordinances. Parks Building Official, ~ ~ - • ~ ~ _ TaTAL 2 t•g14.00 , CASH RECIEIPT ~ t ' r • ~ CITY 4F EAGAN' ~ . " 3830 PILOT KNOB ROAD ~ ~ . EAGAN, MINNESOTA 55122 ~ DATE IIECffYED ~ FR01A ' AMoUNr a r~~ S ~ s oouLAws ,oo O CASH ~CHECK ran ~ l~'~ T / . FUND. OBJECT qMOUN7 _ ~ ot ~ ' `7 4 ~ c v Thank You - BY - vYhite--Payera Copy , Y,ft OF EAGAN . ~ _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt4k To be used for 'Est. Value ~132.000 Date MAW-i ?4 ,19 ` Site Address ' • OFFICE USE ONLY ~wr~g On 5ite Sewape ~ Occupancy '1 Lot Blpck Sec/Sub. t` ~ " MWCC System Zoning Parcel No. On site Well (Actual) Const ~n a Name CityWater ~ (Allowable) V1" PRV Required ~k of Stories 3 Address " - ~ City Phane 75 7 7 Booster Pump Length Depth ' , p Name S.F. Total ~ ~ Address Footprint S.F. f_ _City Phone APPROVALS FEES ' UW Nam~ Engr./Asaesa. Permit ~~R • wW Planner Surcharge ~ ~ Address ' 5 W City Phone Cauncil Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC infonnation is correct and agree to comply with all applicable 5tate of Water Conn. Minnesota Statutes and City of Eagan Ordlnances. Water Meter Slgnature of Permittee - Road Unit l~ S. CC 1'- !}i:A(` $?i1FS A Building Permit is issued ta - Treatment P1 on the express condition that all work shall be done in accordance with all ; applicable State of Minnesota Statutes and City of Eagan prdinances. Parks TOTAL Building Official ~ ~ PermR No. Wrmit Nolder Dste ToIophons * Plumbing H.V.AC. ~j. 0 Electric Softener Insp.etbn Det• Insp. Comments Footings I Footings II Foundation *104 ;~2 Framing 5-)3?f Q, r f-< .r r~•c t'L Roofin9 Rough Plbg. Rough Htg. - Isul. ~ Fireplace 7 Final Htg. Final Plbg. Bldg. Final ~ Cert. OCG Temp. LP Deck Ftg. Deck Final Well Pr. Disp. y 1 •I (Etrfi#iratr vf Orrupanry titp of eagan lirpwrhtntt uf ludding jnaprdiott This Cerilficale issued pursuant to the requiremenu oJSection 306 of the Unijornt Building Code cerlifying thal W the ttme of issuance t/iir stnreture mw in compliance wrth tlie various ordinances of the City regulaAng building rnns"etion or rcse. For tlte foUowing.• U!w cusifimtkm SF DWG/CAR sk Pamk No. 14716 g3 RI Vn O-Vanq o«cr e, ~t T~lARI~C FTTFS ~ 1556 M7QtA~ ~VE, AFM BoUn A 3625 WO('A[.ATID TPMS Lomiky L . , . Ji.1LY 1 , 1988 ao~: POST IN A CONSPICUOUS PUCE ~ - PERMIT # : . . PLUMBIN<i PERMIT RECEIPT # CITY OF EAQAN 311130 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 4544100 Site Address s 00 ' BLDG. TYPE WORK DESCRIPTION Lot& _Btock Sec/Sub ~ " "~(._L-'`!'~1 ~c%K Res. ~ New ~ Name Mult Add-on m Address Comm. Repair c Ciy. Phone y Ud Other Name a o c- e ~WaterClosetF'53.00~ T7I c Addr /S ~4 1 r CLe.~,~, Bath Tubs -$3.00 .0 o p City Lavatory - $3.00 , 4 U Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray - $3.00 MINIMJM - RESIDENTIAL FEE - 510.00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20•00 Water Heater - $1.50 /.10 STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00 • 0~ (ADD $.50 S/C IF PERMIT PRICE GOES EGas Piping Outlets - $1.50 y' BEYOND $1,000.00) Softener - $5.00 well - $10.00 Private Disp. - $10.00 3-Rough Openings - $1.50 SI(3NATURE OF PERMITTEE FEE y~ a V STATE S/C: S O FOR: CITY OF EAGAN GRAND TOTAL• y~' 'S ~ - ~ `!'a~;}~y ; ~!v . S , , ~ PERMIT # , . • MECHANICAL PERMIT RECEIPT # CITY OF EA(3AN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~ Block.~Se4o /Sub pes New i'`, Mult Add-on ~ Name Address / . Comm. Repair ~ Other c City Phone FEES Name RES. HVAC 0-100 M BTU - a24.00 ADDITIONAL 50 M BTU - 6.00 c Address p City!'~- . ppqne ` (RES. HVAC INCLUDES A/C ON NEW - _ ; - _ ~ - CONSTRUCTIDhi) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air i-'~-`M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES 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 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SiC IF PERMIT PRICE GOES Gas Piping Outlefs # BEYOND $1,000) Other FEE I S/C: SIGNAITURE OF PP-RMITTEE TOTAL• - ' ` FOR: CITY OF EAGAN ~ CITY OF EAGAN N2 1 4 716 ` 3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt#? a c2.~C~ To be used for SF DWG/GAR Est Value $132,000 Date MARCH 24 ,1988 Site Addiess 3625 WOODLAND TRAIL OFFICE USE ONLY 10 3 THE WOODLANDS On Site Sewage Occupancy R-3 lot Block Sec/Sub. MwCC System X Zoninq R-1 ParcelNo. OnSiteWell (ACtual)Const V-n z Name TAMARAC HOMES City water X (Allowabie) V-n W PRV Required - # of StOrieS z Address 1556 McCLUNG DRIVE ° City ARDEN HILLS phone 636-8622 Boaster Pump _ Lengtn 60' Depth -42' ¢ Name S MR S.F.Total 0 oQ Address FootpriniS.F. ~ City Phone APPROVALS FEES ~a Engc/ASSess. Permrt 67$.00 uw Name S~ ~i Planner Surcharge 66.00 z - Address aw City Phone Councii PlanReview 339.00 BIdg.Off. SAC, City _1_00.00 I herehy acknowledge thal I have read this a plica on a state that ihe Vanance SAC, MWCC _J.SQ. QQ information is correct and agree to co wrth I ap icable State WaterConn _550..00 Minnesota Statutes and CdAof,Ea9an nanc Water Meter _63..00 _ SignatureofPermit[ee RoadUnit ~'25..40_ A Bwlding Permit is issued to OMES Treatment P1 704.011_ on the express condition that all work shall be don inaccordancewrthall 1 applicable State of /Myinnesota Sta utes and Crty of Eagan Ordinances Parks _ 'uldingOtticial /C7C9Z ~ ~i'~ TOTAL 2.879.00 This reques~ vo,d~!' 18 rrpnlhs Irom E 15 6 5 3/o Q-6 Renuest Uate „ Fire No. Rouph-in Insuecunn RenmreAI ~Reatly Now ~II Nnufy Insoe~-- es ?Nu ~~r When FeaAV Licensetl Electrical ConVactor 1 hereby reQVest , nsoaction af ebove Owner elechicel work instelled et: $tree[ AAtlress, Box or Rou[e N. I Cfry ZS ~G~o.Gt4v .c.- ectroo o. Township ame or No. Rangi No. Counry Occup.i RINT)n Phune No. T !I Power Supober ~ AAdiess Electr ical o actor lC ny Nu1mj 1 GonVUr.mi's Lwense No. CR4efe/ M 1 ,ss IComr - r or Owner Mnkrog Instuflationl ~ 4.~ /~,(1- SSSL3~ Authorfzed "amre IComrac~uJO ner Makmy InslalluGon Phone Number MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION flEQUEST WILL NOT G,iggs•Midway Bldg. - floom N-191 BE ACCEPTED BY THE STATE BOAFD 1821 Univers,tv Ave.. St. Pnul. MN 55104 UNLESS PHOPEH INSFECTION FEE IS PhOne(612) 642-0800 ENCLOSED. flEQUEST FOR ELECTRICAL INSPECTION M. ce~e-oo/o/oi-os/ 0 See insnumions lor completing this lorm on beck ol vollow coOV. gV-SG/ v ~ E 156 5 3_ "x BeloW Work Covered by Ihis Request and Nao. - Twe of au,iail,e AVOtmncna WieaE Eauiunierii wired Home Funye Temporary Scrvice Duplex Watei Heater Liyhtiny Fixunes Apt. BuilAmq Oryei Eiectric Heatin CommerCial Bldy. FumaCe Silu Unloadar Industnal Bldy. Air Conditioner Bulk PAiIk Tenk FBrm OthNF aeu v Mhcr ISUr,~:ilvl i ~e uculy Other Otho, ompute Inspectrun Fee Below p Fee ServieeEnveneeSiza n Fen Feodors/5u1afeetlers u Fert C0 ro 200 qm is 0 to 30 qm s ` 0 in 3Above 200 q~nps 31 to 100 Amps Q 31 to Swimming Pool Above 100_Amps Above Transrormers Irrigation Booms Par[ialSigns $peciallnspecuon TO AL RertNrks Y~ flouen.in oa.~Y/'(l, . ~ne ' Insoec~or, nerehy rt~ly tMt t~e above Final ~ msoectmn hes been rtwde. Tnis reQUesl voia 18 moNM hom RESIDENTIAL ~s BUILDING PERMIT APPLICATION cirr oF EacaN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 NewConshuctbn Neoulremems HemotleNieoair Reouiremente • 3 registered she surveys showing sq. tt. of io1 sq. N. of house; and all rooled areas • 2 copies ot plan (200% maximum lot coverage allowed) . 1 ut of Energy Calculatqns for heated atlditbns • 2 wpies of ptan showing beam & window srzes; poured found desgn, etc.) • i sAe survey lor exletlor addrtbns & decks • 1 set ol Energy Calculations • Indkate tl home served by seplic system lor atltlAbns • 3 COpiBS ol Trae Pre50rvatbn PI2n ii bi platled atter 7/1193 • Rim Joi51 Deteil ODtions 581BCtron Sheet (bldgs wBh 3 or Ie55 unAS) DATE lQ' Z_~ -02 VALUATION SITE ADDRESS 61p2,S MULTI-FAMILY BLDG _ Y ~XN NPE OP WORK FIREPLACE(S) _!~-0 _ 1_ 2 Catastrophe Restoration Services Inc. APPLICANT 2489 ice ui e osevi e ZIP STREET ADDRES~S _ _ CITY S65 E~5302 TELEPHONE # b CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# ° ° ° ° COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 YiINNESOTA RULFS 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # Plumbing sys[em includes: NVa[er Softener Lawn Sprinkler Fee: $90.00 tiVater Hea[er No. of R.I. Baths No. of Baths Mechanlcal Conhactor: Phone li Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water ContraCtot: 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. Signafure of Applican ` I r! n OFFICE USE ONLY Certifcates of Survey Received _ Tree Preservation Plan Received _ N'ot Required~.= Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/DOOrs ? 34 Reptacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Ficeplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wail Approved By , Building Inspector - Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit • Mechanical Permit License Search Copies Other Total ' 1988 BUILDING PERMIT APPLICATION - CITY OF 9AGAN' SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS Ik 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 4(GS~ ~ To Be Used For: S'~' Valuation: ~ Date: j-21- g& Site Address OFFICE USE ONLY ~ 3 Z~ Of?c~ Block 7 On site sewage_ Occupancy (Z- 3 Lot 1 10 A1WCC system 2oning !Z-I Parcel/Sub ^~g~9pL~„l~ On site well Actual Const V-N City water ~ Allowable V- N Owner ('~~,7(yp~~,c~ PAV required of stories Booster Pump _ Length Address Depth 6(2 ~ S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS EEES Contractor Engr/Assess Permit Planner Surcharge 6,00 Address Council Plan Review 339.00 B1dg. Off. 3/ZZ SAC, City o0.00 City/Zip Code ,Q12.06IJ f,({LLr Variance SAC, MWCC 55-0100 Water Conn SiU. 00 Phone C03 (o- 0Yo ZZ Water Meter 67. DO Road Unit :2 $,oo Arch. /Engr. Treatment Pl Zt7N, 00 Parks Address Copies I_ a,p 7 y City/Zip Code TOTAL ~ Phone lk vALuATtoN . GA1ZA6~ ' ° ' ' ZZX2,2=~f~3y, ' - bASEMEhII~ 2) 4-7z XI y = 6G0 cj~ ly%axzo = zqo 33 9 7S = ~ 3g H X 15= I X S %t = 6, X I Z/z = So 2Y~= IN f2s~3x~3= 1635y ~ Sr F.oo~z F.~SrnT - f 2S S I y. s _ 5 z'/z,f-s = I'L ~ X12 = 12 1Z4`( x 49 c 634 0(s Z N D F~ coyz._ ____---2G 1C I f. _ '41(° 12%x 30 ZI = 12 b ZY~ _ iy ~ G 3 ~ xyq ~Li s&i q ` 5ct ~ ( r SURVEYOR'S CERTIFICATE TAMERACK HOMES ~ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 3 0 FEET • DENOTES IRON MOfJUMENT FOUND PROPOSED GARAGE FLOOR - 909.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR FYd/•6 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK-909.7 FEET WE HEREBY CERTIFY TO TAM E RA CK H 0 M E S THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10 , Block 3THE WOODLANDS , accosdinc to the recorded plat tnereof,DAKOTA County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2/ DAY OF MARC N , 1989 ' SlGNFD: J FS W I L., INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 m m:0 (A co ~ To~~ W n m p~)ames R. Hi , inc. _ mto"'~~ r~n~°D~ " 7 - ~v z 0 Z m / ENGINEERS / SURVEYORS PLANNERS N o n~ y m ~ m ~n < , 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ~ N O N SURVEYOR'S CERTIFICATE TAMERACK HOMES ~ r w00 pLq N p , - 1' T 91.97 RQI ` 4--140p814!"'Rs3j2 Ss, N 5 ~ o' ~ 9o7a~ i ec7.9t~ , ~ ~ 1 \ 01 ' m ~P rp 37 3-_-_ `•~2. 7;5e' ~ Ci - w \ a n\N ~v i ' a a.a \oo ~ o ! i = co mm ~Lo ` ra ~ 1 N ~ i _ I / 1 _I ~1.P 1 ~ X 9b6.g ~ 0 m L_\J r , v~~^'~-~~Q •8 a ~m ~ i i . 1•, ' M 9tif:f Cd ~ ~I~ .r • itr;:' ' ~ a , ~1ST D C\j} LpT 14~;~ h , L cDN ~ ry ~ M C~ ~o .DRW„We a ~ R vutlyiA*`~ y_ , • ~,~yENr rE ' a 1 _ . i ~ ~ o , co i / ~868.0) 1 / ~ o32a~~~~ .~86416 ~ James R. Hill, inc. E-n oN o WcN0 U UD D Z~ Z~ m~ j RLANNERS / ENGINEERS SURVEYORS ~ m ~ 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612-884-3029 « m 0 ' FXTFR7nu thillri nor Am-^GF. "U" COMPUTATI0I4 OWNL'R Co '(02 _ . SITE ADDRESS (o ZS ~IOO 1 ~MI~ ~ CONTRACTOR A?1AZL1L -13IjV,5. DATE 3 PHONE Determine'uorking square footage of each. ,11 1. Total exposed wal.l area sq. ft. x%_JRW = 2. Total roof/ceiling erea 129 Z. sq. ft. x-;arr 3. Total floor/cant. area 42 ~r? sq. ft. x ,c3* = Total exposed wall area above floor = II3Co _ a. Total wall window area . . . . . . . ~ ~fl b. Total door area . . . . . . . . . . c. Total sliding.glass door area .Q,~.oZ ^ G. Total fireplace wall area . . . . . . - e. 'I'otal wall framing area (average 10$). . I f. Total net wall area above floor ~ g., Total rim joist area . . . . . . . . . - Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade. Determine "U" value of each wall segment. a. ~(o,'~'(o x uuu b. 4'1, e~l x IOUlt c. x "U" ZD d . X "U" = e. , . x loull f. l • x aUu g x uUn = ~ h. x 1. . x uUn ~ _ . SUEITOTAL = i' .~•`Ka 4 . TOTAL If itemN4 is the same as, or less than item N1, you have met. the intent of SBC 6006 (c) 2. i . . F I2g Z _ Total exposed roof/ceiling area j. Total skylin,ht area . ~ k, ^'otal flat roof/r.eilinr, framinp, area. I~3(..ZFj 1. Total nei insulaterl flat roof/ceil.ing r_rra..... M. Total vault roof/ceiling framing area ; n. Total net insulated viult rooflcei7inr area.... Determine "u" valuc for each roof/ceilinp, se;;merit J• x nU° _ k. x $lull ~ Z x 'FU" , m x IItltl : M. n. x it1lit _ 5. Total If total of 05 is the same as, or less than 02, you have met the inteni of SBC 6006(c)1. Total exposed flctor/cant. area ~S 'S _ o. Total floor/cant. framing ercn lnv(!rAge .10%).. 1~27 p. Total net insula+:ec1 floorlcsnt. area Determine "u" vaJ.ue for Pticli f.loor/cnnt. scrmont . o, x liuii p(p p ' L x "U" , 6. ?otal -~J If total of 06 is the samc as, or le:.s than 13, you have met the intent of SBC 6006(c)3. ALTERHA'CE.BUII.PING LAIVl;LOPE DFSIGN To utilize the total envelope system mrthod, the.values establis}:ec' by the sum of itcros 44, NS and 96 sh711 not be greaier than the suT of items 91, 02 and 93. z. 9 3. 4. s. 24,Z3 6. IP _ : Prep,ired by8t ' I . Datc , . ~ • I i TotAl ezooeed wall area tbwe floar ~ i 'to'LiL1 rall virdw area 2ota1 door nrea a. jll?otal @11d1tig glaee doot •re& - ^ ITotal f]repLc• vall &rea - - . .26ta1 vall framing area (aversqe 10$).......... 13. Z. t• TotA1 M~. MAll area abo4~e I1002'....~~~~~~ii~~~• ~q C~ TOt.al riA 'O1Et. Al'Ol................. Total ezpoeed fourriatlon area Totel foundatlon wialw area ~ 7g Tetal tet faufflatlon area nbove grode.......... i ~ Determine "II" vRlue of each vall eeReent. . 27,01 x mu- IO.ZI b, - x »U" f . - o . - z ^ u" . i ~ - Q• Y NVN I"0" , ~D e ~~~JZ • . I wu- IO ~ :41 le? X ' U" h. I "0" 1. `7'J~ 3Co x•U^ , I b ! 9ubtotal I: II~ . i ~ uI ' li i I ~ I~ , i ~ , , , ' . I 2N l -~'~cM~ . . ~ ~XVO Total ezooeed wnll area ab we floor e .s TOt.11 M6u MLJIdCN 4Tel....................:.... 'i. TOSa1 dOOT CTla . 0 • III.TOta1 s11diI1g g1a06dOOI' area ........r • y ' '~Total f]repLc• vall area - Total vall fYaming aroa (avernqe 10%).......... f, total rnt wall are• abarv,.e floor 7• o ~;.?otal ria joiet aroa 9~'1!e Total ezpoeed fourriatlon are< ~ h• Total found?tlon M1fXIW lI'DY......... a.* - To4 1•not foumdatlon area nbove grade..... ~ DeLermine ^D" aalve of each wll ee`eent. , a. !~O x • ' f b. - X "U" ~ • - O. X wUw ~ I ~ ~ d. X "U" s . e~O, ~O i "0" f. ~77~~ I •D" ' a~ = ,31, I~ g• , x *U" ? h. Z "0" ~ ¦ , ~ ' .1. x "U„ _ ¦ ~ ' 9ubtotal i; ;i~•lii ~ I h ~ , 1'~ if I 1 I I ' 1 il . ~ '~j • I I , ' i illl: I i ' . . i THR'U STUD Int. Air' .68 T}iRU INS. WALL Int. Air' a/IS.R. 6 SIDING S.R• W/ S.R. 6 SIDING S.R. ~ .~F2 . stvd . ' . . f-,'`r . • - Ins. I~Cb . , SHTG. Siding . . 21 . • Siding ; Ext. Ai'r ' .17 Ext. Air. I _,17 + Total. "R" . Total "K" - ZZ'/7 1/R=.~,~~„ =F, e-T , I/R _ „U„ Cc4 T.HRU CLG. Int. Air .61 THR11 CI.G, Int. Air 5i MEMBER S.R: INSIILATION S.R. (qg") 5c~ ^ Clg.: Memb. 4,3~7 Ins. (l41") • i Ins. (lt,4(i') 320~ Still Air Still A.jr , .61 Total "R" = 4~,~ Total "R" = 1/R = "U" = ~ Z 1 / R '"HRU CONC BLOCK . I'nt. Air .68 TI1RU RIM Int. Air .6? C.B. (1.Z:") l•?t!, JQIS'r Ins. I~,Ob Opt. Ins. ~ 11." Wood .1. fil El _Ext. Air. .17 Shtg. I Z~d(o Opt. S.R. Siding Opt. Sid'. F.xt. Air Total "R"Opt. Brick 1•/R 'lull-_~ ~ ~ Total "R" • ~ I , rr• _ "_~c--r•~'^".,,---~...zi.-.r^. . . . . . . . . • ~ RU 'STUD ~ InY. Air .6P TF!RI' IA!S. Int. Air . ~ 8" Stud l0~8~7 5/8" F.C. S.R. (Opt.) Shtg.'Z-Dei R. BOTN SIi1FS (Opt. ) Shtg. Z,d(p ROTN CInF.S Ins. li',d0 5/B" S.R. .56 5/N" S.R. .SC 5/8" S.R. .56 5/e" S.R. SF, i - Ext,. Air .17 Ext. Air .1" ~ ' • Tota). "R" Total ~'R" I 4 . ' o 1/R 1/R "ll" ~ 1RU STUD Int. Air .68 TIIRiI 711S. IJAI,1. Int. Air .c" io S.R. Stuct a/o S.R. Irs. • ~°J~G~ i sioiNc ~ snrs. u/ str!2ac: Sr.cg. ' Sidinp, Si6ins I Ext. Air .17 F.xt. Air Total "R" Total "R" = 2Z. ~Z I ]/R _ iluii 1/R = _ 'HRIi MEMRF.R Int. Air .92 7i1Rll I1'S. Int. Air cl^ +P CAr!T. Carp.-Pad Z,d5 , AT CA*!T, (arp.-Par! , Vinyl Vinyl - Und. iind.' ~ P 1 y. ,(0 2- ~ P.1 y. Joist Depth Ins. , P].y. Ply. i ; . F.xt. Air .37 Fxt. Air .1'~ - - - - - - - - - - . - . . . . - - - . , . r_._ • - RU 'STUD Int'. Air .68 . T}IRI' IT!S. Int. Air .6? 8" F.C. ! Stud 0-8~ 5/8" F.C. S.R. (Qpt.) Shtg.'IZ-OCi R. BOTH SIi1ES (Opt. ) Shtg. Z,O(p ROTN SIPF.S Ins. 5/B" S.R. .56 5/H" S.R. .SG I 5/8" S.R. .56 _ S/e" S.R. SF, Ext. Air .17 Ext. Air .1:' Tota?. "R" - ID.~I? Total R~~ 1/R Lf ~ a 1 1/R -"U" U 1 - _ - ~ dRU STUD Int. Air .60 TIIR11 i11S, IJAI.1, Int. Air .c" /o S.R. Stu(i w/o S.R. Irs. ? ~°l~d~ / SIDIP!G Shtg. 2,~p w/ SIPI11f: Shtg. ' Sidinp, Siding Ext. Air .17 F.xt. Air .1, ' Total "R" Total "R" = ZZ. ~2 ~ ` . l/R = 1.Ull , r ~ 1/F 'HRII MrMRF.R Int. Air .92 '".HRII P'S. Int. Air ki CAP'T. Carp.-Pa(l Z,675 AT CA*!T. Carp.-PaO " 2~bv Vinyl Vinyl - Und. • SZ ~~n~!. ' ~z , ~Z- ~ Ply. P.ly. • lj(~ . CC> Joist Depth 4GJ Ins. P).y. Ply. ~ F.x?. llir .J'7 F.xt,, /1ir ' . ~ ~ 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 P(LOT KNOB RD - 55122 (651) 681-4675 Date; Description of Work: Conshuct ue)v flreplace _ Alteratioies to existing ~ Install gas insert nirlv _ Install ,,as liiee aelv _ Other Job address: Lot Block: on/P.I.D. ~ Apphcant (circle one only): Own Conhactor Pennit Fee: 360.50 k4kC ~'Y1C(.G1 M(~,..k Name: Plione PROPERTY Last Firs[ O WNER ~ Street Address: City Po/t a rA Zip: j~ ~ P Y ~ Phone IO'V ! Com an ~C FIREPLACE INSTALLER Street s: ~J V V Ciry p~~~ ~S ~ VIX~i State: ~N Zip: Company Phone GAS LINE INSTALLER Street Address: City State: Zip: ` [ hereby acknowledge that I have read this application and s[ate at the t rmation is correct and agree to comply with all app icable State of M es a Statutes an City of Ea-an Ordinances. / L RECEIVED iona re / OCT 2 g 1999 BY: OFFICE USE ONLY BuiLnINc PfaNuT TvrF ? 14 Fireplace R'ORK TYPE ? :l \`ew ? 33 Alterations ' ? 33 Addition ? 34 Repair GENER>L [YFORMATION' Cznsus Code. 43=1 SAC Code 01 RE Ma RKS Chimney/flue must be inspec[ed bzfore concealing. i ~ LOT 0 BLOCK .3 SUBD. il RECEIPT !f a2G (,P5 .3 & DATE 1994 CTTY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COAMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM ~a Residential (boulevards) GPM Existing residential Area/address to be irrigated: WCODLMn TP- I Inscaller: goyL(Lr,IL PLUMQIN(s- Owner ? Plumber TR Street address: 7 -7:3f Ave, S ~ City, state & zip code: 3 Phone 869-7-~3 i Owner Name: PhUL GU~ ~~~oll) Street address: 3& 9`5 woGbG/7i0 City, state & zip code: Ed6/7/~ 1 M /V Phone (O 77 ~ 9 WS- Irrigation contractor, if different than installer: Telephone k: ~~ljo I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all ap ' able City of Eagan ordinances. P iv~t, DWN-e ,?2 Signatu Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City properry/right-of-way/easement. Property Owner Date Approved b • Date: PRV Yes ar~o New service ? Yes Cd'No Meter Size & Cost Fees due: Calculated by: c-~-J/L. -7 -Z 0 _ PROCEDURE FOR IRRIGATION SYSTEMS 1. A site plan must be submitted to the Engineering Department for review before installing an irrigation system. A permi[ to work within City property/public easement/right-of-way may be required. 2. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $ 25.50 irrigation system permit to cover installation of backflow preventer. $ 50.50 water permit fee onlv if new service is installed. $100.00 per tap if installed by City. b. Residential proiect: $ 20.50 irrigation system sprinkler permit to cover installation of backflow preventer. $ 50.50 water permit fee if new service is installed. $725.00 ner connection - WAC. $348.00 per connection - water veatment facility. c. Existine residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not required if backflow preventer previously installed), however, plan and .application must still be presented for approval. d. Meter charee: If gallons per minute are less than 25, a 1" meter will be required at a cost of $165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $775.00. This information is to be supplied by the designer of the system. 4. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utiliry Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. **r~*~*~+~**~x*a**+~~fx****x*~++*~x x C I TY O F E~ A A i~ ~F~ ~j~~F APPROVAL OF PEF2MIIT. APPLICATION FOR PERMfT * . y INSPDCI'ICiN OF SF.FM ArID/OR F7ATII2 INSTATd,ATIONS WIIS. NCJr BE SCHED- SEWER AND/OR WATER CONNECTION *IJI~ UNi'II. PIItbIIT HAS BEE[V APPF2CiVM. * rt r • •:kl.t:**~r+t~*Ftyr*xt+irtttt:ttyra~rf+t*e P ease Print 1) PROPERTY ADDRESSc LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF E7QSTING STRCCIL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: . ~ ' PRFSEW 7ANING/PROPOSID C'SE: (I"bn Year) El C0bY,27CIAL/RF,TpIL/0FFICE IgR-1 SIiVGLE FAMILY [_7 IDIDL'STR7AI, ~ R-2 DL'PLEX (1to Onits) n INSTI'lt,'TIp(yAI,/GpVEtNMENT ~ R-3 'IOWNIODSE (Three + Units) ( Cfiits) [7 R-4 APARTMEN'p/COIID0.1INILTI Units ) - 2) NAME:-_ ~rli+L. Ol,`P r ADDRESS: CITY, STATE. ZIP: PHONE: 7 ~ / 3) • u ti• NAME.- For City Use Plumbers License: ADDRESS: ~ Active CITY, STATE, ZIP: Expired ! Not recorded PHONE: MASTER LICIIJSE# St Inal 4) • ~ ~ i~- T NAME: /~~,-h Gt ra L . PDDRESS:_ ZS~S(e CITY, STATE, ZIP: f/,o 'X-LIQ S(%/ Z PHONE: 6 3 5} ~ ~ v r. • . . 'D •0~4'~1YSi CFZ_CONNECrION TO CITY SEWER E&'`CpNNECTION TO CITY WATII2 E] pT-E[t 6) v c- • i• ~ PLEASE HOLD APPROVID PEE2MIT FOR PICK-DP BY ONE OF AH.7c/E PI,F.ASE MAIL APPROVID PFI2MIT TO 1. 2. 3. 4, ABJVE ' (Circle one) 7) r ~ u• • 7-L~''~ 4 F~ ••u~•~c7i '7 ~ ~ u~ a1 tm~. a • oa 1 t e~ ~ 1 1~ M.I. ?I 1 1 I "pl' ~ i• J' li CI°TV l9SE O(VLY ' " . PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ !O SEWER PERMIT (INCLL'DE SCRCHARGE) $ S /C~ •S~ WATER PERMZT (ZNCLL'DE SC'RCHARGE) $ $ WATER METER/COPPERHOftN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE .r,ORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SE;WER $ $_~~•UO ACCOUNT DEPOSIT - WF.TER $ SSD ~ o U $ wAC $ oZJ g sac $ $ TRUNK WATER ASSESSP ENT $ $ TRUNK SEWER ASSESS19ENT $ $ LATERAL BENEFIT/TR('NK SES9ER $ $ LATERAL BENEFIT/TRUNK WATER $ o 6) $ WATER TREATMENT PL?1NT SURCHARGE $ $ OTHER: $ TOTAL -3 %,-3 RECEIPT RECEIF'P~- DOES UTILITY CONNECTION REQC?IRE EXCAVATION IN PUSLIC RIGHT OF WAY? ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~L~-yrrJ e-J~ TZTLE: DATE: qd-v & ;;-z) 2006 RESIDENTIAL PLUMBING PeRnnir c,PPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 031506~ Site Street Addres WALTMAN, MARK UNt # 3625 WOODLAND TR.41L EAGAN, MN 55123 , Property0wner_ (ssi) 675-0941 Telephone# ( ) Contrector Norblum Pt,(,t,{'}'(,lbl n G Telephone# ((D12-) 827-~l0~3 Address 2q05 C-7ar-held fFv. ,5p. cicy YYID(s StateN zi PI~-19-tD8 ; The Applicant is: _ Owner V`Contractor _Other Septic System _ New _ Refurbished Submd 2 sets of plans and MPC license Includes County tee $ 100.00 Per as-buift ' $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water soffener and/or water heafer, do not complete this section; move to the next section and check the _ appliance(s) you are instafiing. ~ _Septic System Abandonment _Water Turnaround (add $130.00 if a 518" meter is required) hAR 2 0 Other: ` _ Water Softener / /Water Hezter $ 15.00 _ new ? replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total g j5,5O_ I hereby apply for a Residential Plumbing Permit and acknowledge that the Information is complete and accurete; 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, w is nQo start without a permit and work will be in accordance with the approved plan in the event a plan is required to ei c : i N d d ap oved. Applicant's Prin d Name Applicant ignature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129187 Date Issued:01/20/2015 Permit Category:ePermit Site Address: 3625 Woodland Tr Lot:10 Block: 3 Addition: The Woodlands PID:10-75875-03-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - John E Ferguson 3625 Woodland Tr Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Inl ' For Office Use 5 Permit*: / ! 5 City E���� Permit Fee: /14 7. 4 3830 Pilot Knob Road ` Eagan MN 55122 Date Received: s I ' Phone:(651)675-5675 A buildinginspections@citvofeagan.com Staff: / `) 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 (7 Site Address: 3 G o ‘44o. 01 A dkn =, t_I Unit#: Name: e N k A.AO I y RSO te, N Phone: C1ea, 7Z7t,-288. Tkoolas Resident/ Owner Address/City/Zip: 3(flcS° QOM(-Al.() rQAtI 1 : +4 to MA,. 66%03 Applicant is: Owner Contractor Type of Work Description of work: r i N t5(� E X(<SI/Pa to LA', T"f�w •f<,15t.1 RI" 8 .114 Construction Cost: bC) Multi-Family Building: (Yes /No X ) Company: X 1t i Kt L K a i (b.c.L.st 5e91 Ji Letntact: AA 11441 'L.►{nn `rB r'n (� Q Contractor Address: 3 $ v� t II c , IN'80(�G, mac`; ui City: Q�tl1 L State: M Sb Zip: 558 8)I i'U So(CC i'dl Z o 20e q IN►1t.i•CaM, License#: L &fl 4/ I Lead Certificate it: .104.1% f I(P Z 3S ( I (y If the project is exempt from lead certification, please explain why: y` FM 151 ka h A./v,.OA, M, IftV A-111 Poon, o fk•. /4'60'VKC'Kjr COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.oro I hereby acknowledge that this information is complete and accurate;that the work will •. in conf• ance with the •in ces and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and •rk is - to s :rt witho a • that • work will be in accordance with the approved plan in the case of work which requires a review and approval• pl J 8, x GCSE^ �C1�I��(� X ,�/ �/ 1mi L', �� ) Applicant's PrintedCName Appiican;s- - I' Page 1 of 3 i ' . 6y.� iil,.d_1 /' DO NOT WRITE BELOW THIS LINE / ' N SUB TYPES Foundation — Fireplace — 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 Lower Level _ Pool i 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 , ' "l 0 Occupancy t'N,rilv MCES System Plan ReviewCode Edition /1 02 1)1( SAC Units (25% 100% X) Zoning �/I ►I City Water Census Code Stories 'C J�- Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \) Width REQUIRED INSPECTIONS��✓✓ Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required — Footings(Addition) y Final/No C.O. Required Foundation Foundation Before Backfill ) HVAC_Gas Service Test Gas Line Air Test Roof:__,,,Ice&Water _,Final Pool: Footings Air/Gas Tests Final IN,, Framing `7C. 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick_„.EFIS X Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control — Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: /\/1 ,Building Inspector RESIDENTIAL FEES ��,^ Base Fee f, `� Surcharge �)y .IJD' Plan Review �li" 11 0ofiNk MCES SAC 1 City SAC , ` Utility Connection Charge S&W Permit&Surcharge 2 )_ t/ o Treatment Plant ( (1 X 2'0 -.'„ 1 Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145874 Date Issued:09/27/2017 Permit Category:ePermit Site Address: 3625 Woodland Tr Lot:10 Block: 3 Addition: The Woodlands PID:10-75875-03-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - John E Ferguson 3625 Woodland Tr Eagan MN 55123 Boevaag Plumbing P.O. Box 1257 Prior Lake MN 55372 (952) 292-1511 Applicant/Permitee: Signature Issued By: Signature