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933 Trail Ct401' City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: Permit Fee: 0 Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water RESIDENT 1 OWNER_ Name: e:- /uirk, X17(24-2ster---- Phone:6 5/ — ---C‘ 72 75 _z Address / City / Zip: ��? � � -� / 3 ) CONTRACTOR Name: /24)/sf License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building >--Sump Pump Repair envelope) SEWER & WATER (Outside the Repair building envelope) Other: Other: DESCRIPTION Description of work: ,l c� j 214.1 -z/1 2 , FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 4 YsG0/7 Applicant's Printed Name Applicant's Signature 1NSYl:U`1'lUN KLUUKl) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ; Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . < < . ~ , , ~r.i ± i~!i~ I i ut~l , . ~ ~ . . ~ • ~ ~i . i,,, ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION „ . DA lu tsf ._o" Ml.Nlf4UPi i.?lRpIF t1 k!it l.t •~A~. I-r i: li:!?c tIIi,' ~ ~ Permit Holder Date Telephone # PLUMBING HVAC Inspectian Uate Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TE5T INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METEfi IRRIGATION METER FLUSH MAINS CON DUCTI V ITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG •wDECK FINAL f4l 7 INSPECTION RECQRD CITY OF EAGAN ' PERMIT TYPE: , 3830 Pilot Knob Road Permit Number: ' r F 2 Eagan,'Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDRESS: 1 0 1 APPLICANT: iI? i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . D. I i~u I~ ~l~, . I~iilNi~rl 1 1~?N ~ , I I;t1MtMf~ tr~~~~? FN~~~ - t id',11I rl I 1h) { I 1<1 I A1 1 I1 ?MA1 i l }it> > IN/ll Fti MAf;F.~.: •i 2Y l1 !'1 i;}: 11 ( 1'!t - ~tn . ~ ~ur r F ~ s ~ ~ f Permtt No. Permit Holder Date Takphone # ~ ELECTRIC ~30~ g 711111 G tIv , PLUMBING HVAC Inspectlon te Insp. Comments FOOTINGS G~ (J FOUND -16 `L L+ FRAMING ROOFING ROUGH PLUMBING PLBG u k AIR TEST ROUGH HEATING QAS SVC K le TFST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST F1NAL PLBG lb_46 /(J ~4r~r FINAL HTG < ( ORSA7 TEST BLDGFINAL l~~4d - - BSMT R.I. BSMT FINAI. DECK FfG DECK FlNAL i~ ";2~ ~ ~r 93-019 p,lA2 f?~ ~j~o Req st Dalo Fire No. Rough-In Inspection Requiretl Inspeclion Other Then oug -In (VOU must call inspector when reatly) ~ Reatly Now ~ Will Noltly Inspector I Ves ? No Date Reetl I Klicensed contractor ? owner hereby request inspection of a6ove electrical work at: Job Atltlress (Slree[, Box ar Route No.) City 933 -r au o&'2r "yeAl Section No. Townsnip Name or No. I Range No. Counry .04ko rg OccupanlJPRINT) Phone No. ; D L x/ Power Suppller AtlOress Eleclrical Conhactor (Company Name) ConVaclo(s License No. c~m~4- l~F~'ot0 8e Tol C~OLQ'4o Mailing Atltlress (COntmcbr or Owner Maning Inslallation) lo. L? No,er r,0 rn~ 6'i6;'&6- 2 Authorized SigneNre (ConVactor/Owner Makin9 Installalion) Phone NumNr $Vq -GG3- !9 0 MIN ESOTA STATE BOAPD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Orlggs-Mltlwey Bltlg. - poom 5-128 11111111111111111111111111111 I 111111111111111 II BE AGCEPTED BY THE STATE BOARO Phone (612)$II~yZ ~e.~St. Paul, MN 65104 ~ ~ ENCEOSED.OPER INSPECTION PEE IS 7jr/9(~ REQUEST. FOR ELECTRICAL INSPECTION ee-ooooi-o-s/ Sea insimctions for complsting this form on back ol yellow copy. "X" Below Work Covered by 7his Request . Ne Add Rep. Type of Building Appliances Wiretl Equipment Wired . Home Range Temporary Service Duplex Water Heater Electric Heating Apc Building Dryer Loatl Management Comm.Rndustrial Fumace. Other (Specify) Farm Air Conditioner Othar (specity) ContreMOrs Remarks: ^ 2^ c O0 ~ OD Compute lnspection Fee 8elow: a- C k w K00 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool j 0 to 200 Am s/ 0 .00 0 to 700 Amps Transformers. Above 200_Amps Above 100 _Amps Si ns Inspectais Use ONy: IJPTAL Irrigation Booms Sly,o a S ecial Ins ection i/ c- \f gy, Alarm/COmmunication THIS INS7ALLATION MAY BE OR RED DIS NNECTED IF NOT Other Fee COMPLETES WITHIN 18 NTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made. oatepr L~ t OFFICE USE ONIY This request void 18 months imm J~AY~ / wCr-hittCRfC Of cCC1tpQttCv wim of Cftgan t MeOartmeat o4 fti[biag aalboaction This Certifecate issued pursuant to the requiremersts oj the Uniform Building Code , ~ ce,tifying tha[ at the trme of issuartce this stnucture was in compliarsce wirh the various ordiriances of the Ciry regulating building corutruction or use. For the jollawing: u~ classlr~: SP DtiG/GAR eiag. remit no. 27615 O-mp-rTYae R-3 U-1 zoning a-;a R-1 rype cons(. Vn p~of ei,;ld;,,g KEY LAND HOMES Adaou 17021 F1SH P01NT RD., PRIOR LAKE, Bwa;,,g'wd~ 933 TRA1L--.CT L2, Bl, TRAILS END 4fN .f~ uare: ~~-g 0" f, _ . POST IN A CANSPICUOUS PLACE \ i AddteSS 933 TRAIL CT Zip 5512_ , LA[ 2 Blk 1 $Ub TRAILS END . THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE F'INAL INSPECTION. Date: /(v f('a Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) ? Permanent driveway Permanent gas ? Sod/Seeded gass ~ TraiUwrb damage ~ Porch Basement finish Deck Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shu[-off of water supply ro the outside lawn faucet before freeze potential exisls. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ Whitc - City Copy Yellow - Resident Copy Pink - ConUactor Copy b CITY OF EAGAN PERMIT e&o5~3'~13 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Num6er: 027615 (612) 681-4675 Date Issued: 0 5/ 21 / 9 6 SITE ADDRESS: 933 TRAIL CT LOT: 2 BLOCK: 1 TRAILS END P.I.N.: 10-77160-020-01 DESCRIPTION: • ; ' ~`uildino-,Permit Type SF DW6 IBuilding W"k Type NEW ( UBC Occupan: y-, R-3 U-1 ~ Construetiiin 'f`~:pe V-N i 2aning R-1 " ° B'uit`ding Length ' 52 Building Width j~ 46 Bu31dYi1~g staries . °-/~`c~U.are Feet_ 1.845 C e~S2.iodli'°101 1- F A M. D E T A C H J~ r ~ . ~ ~ i . C 9 r 4 r3 ~ff i i : ~L.._:,~~`~.CS .:,;j • , . REMARKS: S& W PLBR - p C MECH FEE SUMMARY: VALUATION $103,000 Base Fee $902.25 MISCELLANEOUS $1,923.50 P1an Review $451.13 Total Fee $4,228.38 Surcharge $51.50 SAC $900.00 SAC ~ 100 SAC Units 1 Subtotal $2,304.88 CONTRACTOR: - Rpplicant - sT. LIC.OWNER: . KEY LANO HOMES 14409400 0001553 KEY LAND HOMES 17021 FISH POINT RD SE 17021 FISH POINT RD PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 440-9400 (612)440-9400 x hereay acknowledge thiat X hove read this applicatiorr and state that the infarmation is correct and agree to comply with all applicable State ofi Mn. 3tatutss and Cit nfi Eaga Ordinances. - ~tuan 1~o~r~.~m1~ APPLICANT/PERMITEE SIGNATURE ISSUED eV: IG TURE CITY OF EAGAN 41 ?~J ~ 1.1 3830 PILOT KNOB RD - 55122 - ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ 2' 681-4675 New Construdion Reauirements RamodellReo=1r Reauiremenh ? 3 regbtered ake surveys ? 2 eopies of plan ? 2 wpies of plans (indude beam 8 window saes; poured Md. deslgn; etc.) ? 2 sile surveys (exterior addftions 8 decks) ? 1 energy calwlations ? 1 energy celculations for healed additions ? 3 copiea oi hee preaervatfon plan N bt platled efler 7/1/93 . requ'ved: _ Yes _ No . DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 'vEW Sm-1L~ t. FArn Il.Y "i1 STREET ADDRESS: 1-5-1 -__CWAt L_ C-t LOT ~ BLOCK I SUBD./P.I.D. ~~t I~ ~t-~D PROPERTY Name: Phone OYYNER Street Address, City; State: Zip: coNTRACTOR Company: Vl~qLAt-1D Liy?G-s Phone 44o"a4'no Street Address: %Z F-i5A Y'C'• ZD• License LS5'-~ City: to ~ "l~~- State: ZiP: ~ 3~ 2 ARCHRECTI Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed plumber: V. G, Mf--L ~Aj-A IL4L-- . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the InformaHon is corre t and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Qrdinances. Signature of Appiicant: OFFICE USE ONLY L,C V ~ Certificates of Survey Received _ /Yes ou ~a'•'k 3a i~'sf / ~ ~ . Tree Preservation Plan Received _ Yes y No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish oFe 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 GaragelAccessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ,,d' 31 New ? 33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. lvy MC/WS 5ystem (Allowable) ir-r? Main levet sq, ft. 75" City Water UBC Occupancy -3 sq. ft. Fire Sprinklered Zoning 2-/ sq. ft. PRV # of Stories / 4 4-wr sq, ft. Booster Pump Length ~Z sq. ft. Census Code. Depth %fo Footprint sq. ft. bys SAC Code ~ e Census Bldg Census Unit APPROVALS Planning Building Engineering Variance d Permit Fee Valuation: $ Surcharge ~j Plan Review /oSlP License i nncrws sAC 104;~ city sAC ~3 a Water Conn. O(~ Z~X ZS~= Water Meter 7S X Sf $ Cf~> Acct. Deposit ~ S/W Permit ~sp 2 ~ OS ~ SNV Surcharge Treatment PI. ` Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~O~ 3 ~ Jw 2422 Enterpriae Drive Mendoto Heights, MN 55120 alON6iA ,A,,, (812) 681-1914 FAX:661-9486 ~ eno near ng IAMD PIMINERS. LNIDSGPE ARCNITECIS 625 Highwoy 10 N.E. * * Blaine, MN 554}4 (612) 783-1 B80 FAX: 783-1883 Certificate of Survey for: KEYLAND HOMES 933 TRAIL COURT 3855-A ~ (Eij,f.o) I~72. oJ 872.7 N89°41'55"w 90.00 870.4 a ~ o ~ r-~ 5 I `EASEMENT PERTPLA7-=-, 5 E A G A N 874.2 874.2 REYI WED w i ~1~v~~1c•~~ M i~ -3Y 879,8 x 9.6 79.9879~.8 d0 S ~(p o _ O MTE ;9.0 879.9 (8'G0.9) 880.2 _ 0d, 880_5 -T- 44.00 Z r 880.2 ~ 3 PROP 50 ED M i N HO SE ~ M I N N v 1887.3 22.0~ U u ~ - BENCH MARK M ~ ~ GARAGE~ ~g~8~ 8 N/ ~ ad D~~ ELEV~ 887P94----_ - L s_oo 30.00 -------'~3 ~ NG ItNGDEPM 18 87.6 ($ff9 ~f 887.5 I --HENCH MARK- ~ g~ { ~ PROPOSEO I N ~ TOP OF PIPE ORIVEWAY ~ g n ELEV.=887.58 - - - _--J n , ' iNEV ~876.0 ~ $7. 5) 888.3 0.09 887.1 ~ R~1175.00 - N $87.7 p=04023'34" 887.2 ~ 887,4 TRAIL ~ COURT NOTE: PROPOSED GRAOES SHOwN PER CRADINC PI.wN BY: HEOLUND PROPOSEO NOUSE FVATON NOTE: BUIIDING OIMEN90N5 SHOWN ARE FOR HORIZONTAL AND 4ERTiCnL IOCATON Q$) , OF 57RVG1UFE5 ONIY. SEE ARGHIIECNAL PlANS FOR BUILDINC AND LOWEST FLOOR ELEVATION: FounonnavoiMENSrons. TOP Of 9LOGK ELEVATION: gg'~•3 NOTE: kp SPECihC SOM1S INVESTGAl10N MAS 9EEN COMPIETED ON THIS LOT BY THE Q~$ SURVEYOR. TNE AlI149RIT7 OF SOILS 70 SUPPORT THE SPECrt1C HOUSE GARAGE SLAB ELEvATiON; PROPOSEO i5 N07 THE RESPONS191uT' OF THE SURVEYOR. N07F; 1HI5 GFRnFlCATE DOES NOT vURVORT Tp SHOW EASQAEN75 On1pt 7HAN % 000.00 OENOTES EXISTING ELEVATION THOSE SHOwN ON THE RECOROfO FUT. ( 000.00 ) 0E407E5 PROPOSEO ELEVqTON NO7E: GON7RACTOR MUST VERIFY DRIVEWRY DESIGN. DFNOtE3 DRAINAGE ANO uTU7Y EASEMENi DENOlES ORAINACE FLOW OIRECTON NOTE: BErRINCS SMOWN ARE 8ASE0 ON AN ASSVNED DANM 0 OENOlES MDNUwFNT OENOTES OFiSEi NUB WE HEREBY CERTIFY 70 KEYLAND NOMES THA7 THIS iS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARiES OF: LOT 2, BLOCK 1, TRIALS END OAKOTA COUN7Y, MINNESOTA iT DOES NOT PURPOR7 70 SNOw IMPROVEMENTS OR ENCHROACr+MENTS, EXCEPi n5 sHOWN, AS SuRVErEO Br ME OR UNDER MY DIREC7 SUPERVISION THIS 61H DAY OF FEB., 1996. SICNE ' PIONEER EN IN NG, P.A. SCALE : 9 INCH = 30 FEET 1480 96034,00 SWK John C. Laraon, L.S. Rag. No, 19828 S0'd . LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATIO f PROPERTY LEGAL: e~'-°2 DATE OF SURVEY: ~ LATEST REVISION: DOCUMENTSTANDARDS ~ s OR--'o ? • Registered Land Surveyor signature and comparry a'~-13 ? • Building PermitAppRcaM ? • Legal description Q-~ ? ? • Address 2-'0 ? • Narth anow and scale 4Y ? ? • House type (ramWer, walkout, split w/o, split entry, lookout, etc.) 2-'0 ? • Directional drainage arrows with slope/gradient % &1"0 ? • Proposed/eristing sewer and water services 8 invert elevatian E~9 ? • Street name o ? • Driveway ELEVATIONS Eastlna e r'~ 0 ? • Sewer service (or Praposed) C9'13 ? • Property comers e-'? ? • Top of curb at the driveway ? W'~-C • Elevations of any existing adjacent homes Prooosed ar-`0 ? • Garege floor Er' 0 O • Frst floor Blo O • Lowest exposed elevation (walkouUwindow) B"'~0 ? • Property corners Q-'o ? • Front and rear of home at the foundaUon PONDING AREA (Faoolicable) ? Er'? • Easement line ? 0,? • NWL O Er' ? • HWL ? p~~ • Pond # designaBon ? m~ ? • Emergency Overflow Elevation DIMENSIONS e-~ ? ? • Lot IinesBearings 8 dimensions 0' ? ? • Right-of-way and street width (to back of curb) C!r- ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all strucWres requiring pertnanent footings) 'rf' ? ? • Show all easements of record and any Cily utllides within those easements El, ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ? q/o • Retaining wall requirements ' ny I Reviewed: _ 3O Na e Date January 799B cMwioWeLocvrtMr.Fen I ~ I I rl L/ I /'1 L/ L1 I I I I^ I ~ ' \ I i I I I I ~ I~ I~ - - - - _ - - - _ _ _ - - - - - - - - - IF - ~ F ~ ~1s~ / $"BE v HERAL ~ ! A~1 Ex i ; I I S 6 N= 0+89 S 6 W= 1+74 S& W= 0+92 ~ as-= I ~ INV. = 876.5 I I INV. = 876:0 INV. = 875.5 2.1 Ahe = I mp.. / Pave- I I I I 2 I I ,I ~ / ~c be'"`-_; Res Thec~ ~ I Utl' Con<_- I I 3. I I TIE INTO EXIST. al i = ryp00~ I I ~ ~ SAN. SEWER STUB ut i _ I 6 W W . or°c~ I ~ ¢ I ~4. ) For : grour. SAN. SEWEF 5. 1~he ' ° N ¢ ~ I aacer WA7ERMAIN H 1 'SAN. m~ mI I The : ENE ~i L_ ArOUn ~ Befcr - - 'OIP 1I rI.~}- 7he , r XM EXISI. MN Nher=' TOP 886. 93 Conf' it. I I p i ~ BEN05'~ r I I NV, I87p. 00 I I 4 PVC SDR 26 1 B• zfi_ TEEJ;' ` I 85P.42 SAN. SERV I CE. I I HYO, ~ I ~ I i' 7YPE K COPPER.1 ~ I I TIE INTO EXIST., I I ~TYPi I ~ I I WATERMAIN STUB i i i 10 12 -~-i- ` ~ ssw=a+92 I ~ I i INV. = 878.0 ~ i SNV. w= B7~?1 I I SNV. W= 87697 r- I w w j I 3 = ' L -j ~ IiIQ~¢ , N ' T ~ I ^JI,-_As: ! -nr-~ s. ^i r~ 1r~p 4 QOt~i; ~pi~..,~.,t ~ .`r hl i 1! lLl.~E.. "i7f,; - 'tfiE- ;:•~;~;'<1;Y OF IJTIL.!"i'Y I_Oi F:IIM~i I ~ I f.fl.'V_;i ~'LE•t;;ilo\"j. `tFil^ n rI r_ ti;':=.::;r :-',iPU~O~._:: -,.1 Oe!ta Length ~ Tangen~ti~~;_.. ~ r.W. ~-r.--Chor/Brl ~ 91 i6' - 514.94 57.51 114.89 N87-22-25.2W ° 29' 16' 114. 94 51/. 51 1:4. 89 N87-22-25. 2W SCAL~ r : . ~ : . : : :5T , : 885: 93....;.........................: . . i , f = A~e:,z, ur.........._...:........................... HOP05ED.....;........................;........ . , . . ...........p................................. ; . ; : , bNAtl~...........;......................... . . . • . . . : ..Q. SDX:::: : . . . . . . . . . . . :.........................:...tiX•t3T.. . . ; '.....'...EX:I SI::..:::::: : • . . . . . , -GfIAflE. ; : 1iATERMAfN . . . . : . , ~ ; . E B'...p 4.p..WA TfA*A•1 N:3:: . . ...................p..................... , . . . ....i... .............:.............A.IP...W ; NAI.N . : . . . . . . . • . , : . . . . • . • . . , : . ja...FVI:: . $AN:::'.5'~N~~..@..~;•4X : . _ . E.....................:..::'.....................,. _._...EUA...35..._..........._ ..................lg ..L -:..&'..PUG:...SANi:::SENER::@:fl::. . . , . . , . _ ....:..............:.SDH..15.......................:.:.:::::::~~.::{ .1 I...... .......~..1... 1...1...1 . I : . i: l . . . . . .....F.. : . ~ _ _ ...........................Ex ............~..1...1. ............................................................................f;e; r, ''<.;......:.........................;5 N....SEN~R . • ....~.~~."~1H~.~.:ivv:i7i`i.i.`." ".'"."......i .........................i..~..~.... ``....8.....74..... . . . . . ; . . . • . , ~~~n~. -0A .J C, __._................................;5....8::::....; ..........::j::~:::~: :......z~.} m ~7; . ....._........:..._.ri.~.!~~...~.~~yJA id~1.41JHa7,.. ...1/IV1i..~.. . : ..i ~ . . n U+' _ • i . . • . " ~ ~ . . . . ~•.3~......j . { ......~f...~! ......r............... ..............f.........................; .j. : . . . ...............p . ' A A . . : ~ ~ . . .r. ~ :_~14! L~ VO~J b: • .....g.,~.'.Ii. vi..., . . ° ~ ~ ...............i ......~1............................... .r!..,,.,;;or„a { . . . 4..1...~ .........................1..... . ...............E.......~..;:,.r...~......;'.~.,....~:_.~~.~.,.~.j.~.~...~..i......r.:i........ . . . • _1.. I I... ~ ..................~.n~.:lrR. • . , ~t . . . , ~_..:.._...._.,..,..s.~: :j::l' : ~ , .~:ti>:, . . . ~ ~ . . . • . . •..:n. ~,-:,4 r,~ . • ,P ~ . t~sa - . ~-~1•~_~T\r•~j~'1FC .!!..t:`:57rv;.ig.i. ~ { ~lYi i~j~ is:" '4'S•t!•f: Mu.\e~.~.~.. . : . . 4 . . . , ..t.r : . . v.T.IT.Le.Y~~o . . . . : : . . . t.~~ f..._L....:tv . . • ...,;q ..L3r..~:r~...k~... 1: , . : • R...:a~...,;.,. ' . ^ . ' l. . : z_ :.....~;;r............ .,..........~?.(~.t:t4.'.(~ i,~r, . .f... j. ...............:.........................t. : i Y ~ .L . . ~i W. ' . i~"'u..^.:' : . ' ...t....:"t-sr~,n~e ti~i~c~~nt • ..~.HC3?:li.~ . ~ , • r~r . . . . . • • ...st.. ;:._..._._;.,~.,r,~..sE.....- . d...._;~.,i, ~ Q....~~~~~. . • m...........:..... ~..7.. . ; e~7 - ..:L I-j o......••~~::.;:_•:,~~,.,.. . _ _................................;..................._....:....m.. . . ~ . • : . : : 3 00 2+00 i+oo o+oo sr.qi E: , ~ EXTERiOR ENVLLQPE_AVERAGE :'U" COMPUTA-fION. J ~ OWNER:____~-___~-~_ nnrr: SITE ADDRESS: ej~~ ~T~AIL. ~T• PhlOME: `i`t0-9 CONTRACTOR: PLFN # ?~05~ Determine wor•king square foota9e of each 1. Total exposed wall area..... /444- sq. ft. x.11 = /~f~ • a:t r 2. Total roof/ceiling area..... sq. ft. x.026 = -5 2-1 L4 Tctal exposed wa'1 area above.floor=_ 12-1 11:5) a. Total wall window area b. Total door area c. Total sliding glass door area d. Total fireplace wall area e. Total wail framing area (average 10%) f. Total rim joist area g. net wall area a6ove floor h. wall area.above floor i. , wall area a6ove floor j, frame wall area at.fo~ndation Total exposed foundation area= k. Total foundation window erea....................... l. Total net foundation area above grade Determine "u" value of each wall segment - (e.g. window, cioor, each separate wail section) a. x " r e 21 b. ^ r% X ~ c. i"•-i~ X liu~~ , J'~!. d. X lluil e. ;U { X ~~Ul. ,o7 _ ~ . f. ~ :S'L X ~v, g. 29 ,J~~5 X~~U,~ , C~~T h. X ~lull _ ~ x ,lu,l _ j, X"U" - If item x3 is the s- k. ? j X -,u,l 11 d5, Ot" 1255 thdfl 7tE nl, you have met tfi=_ a;-? X ['U', intent of SBC 6006 ( 3 . .................................Total , I • .TOTAL EXPqSED ROOF/C'fLIPIG CALCULATIDt15: . Tota1 exposed ~-5 J roof/ceiling area........ ~-zqp sq ft .'j) Total sl:ylioht zrea....... - sq f[ x"U" ° k) To[al roof/ceilinq framinq area (Averaqe 10510 17-21 sq ft x"lJ" , 02..1 1) Total net insulzted roof/cei 1 inq area....... ~ IILa sq ft x"U" TOTAL j) thru 1) !f total of =ti is the same as, or less than /'2, you have met the intent of 2 >rC _Z 1.16005 =4 z:_d 0. • ALTERhIATE BUILDIAIG ENVELOPE DESIGN • To u:ilize the :otzl erivelope system me[hcd, the values estz6lished by the sun o* icens '3 and =4 shall not he orea[er than the sum of items #1 znd -2. + z. 3z.z9 = 1`li,~~ 3. Iqz."?v + 4. I-7q.Z-7 ' PION616R ;e 1 8 wu sw~cmxs . cmL awrcru ~ 41-1914 FAx:881-9488 * eng neer ng wo -xexs. uwsw[.ACxi¢crs i125 Highwoy 1(IN.E. * # * * 31olne, MN 55434 1,812) 783-1680 FAX:783-1883 Certificate ot Survey tor: KEYLAND HOMES 973 TRAIL COUR7 3655-A ~ ~o~~ ; e7 z. 01 p _ 'Z' N89°41'S5"W 90.00 0.4 . r-~- cS~ _ ~b 5 ~ EASEME~N~T PEHnPI PT-..: 2 I I' 970.2 ~ ' I 2 I ~ I II Bt9-8 879.6 ~ B74.9.319.fi O ~ 6~ .00 879.9 rggo.q) 880.2 1<I.O~. 44.00 3 88°.5 ~ I 880.2 ~ PROPOSED ~ i r HO SE ,.m n~ 1887.3 I 8.00 ~ 22.6 N I ~ IA 4_ ~ee,.zi NOT AN RPPR iPK 11) I N~GARACE ~ " 4 I i ~ ' s=oo - ao.oo ~ i ie.ocL -f-- SITE FjVEY 1 saze r68a9 887.5 I' 1 m / r "--BENCH MARK ^ 51 I a PROPOSEO TOP OF PIPE r L_ DRIVEWAY ' ~ 15 r ELEV.=887.58 RIE1/IEWED FO TREE reye.,) ° SERVICE._ - o ~ PFdESEBaYATION - inv.=e7e.a rBS~.s) aee.a 87 ~ - COAAPLIANCE IyLy fi =1175.Ob - ~ ee7.7 4=04°23'34" 887.2 9 - 887.4 rRai - couR'_ - - NOIE: PpOPpS[p CqApES SNOMi PEq GHADINC PLAN BY: NEOiVNU PROP( 2JE"fl HOUSE ELEVA?ION NOTE' BUIl01NG pIMEN90N5 SNOMN AR[ Fpq HpR20NTAL ANO YERTCIiL LOCATON Oi SIRUCNFES ONLT. 9EE MWITECtUAI PL,Wg Fdi 9Ul0iHG AND LOW':ST FLOOR ELEVATION: rwNoAnM oOI 084 NO~E: HO SPECl1IC SORS W1ESnpATW XAS 9EEN COMPLEIED ON mm5 LOI BY iHE T~P OF BLOCK ELEVATION: sn+VE*a+. Me wirAmun av saGS ro suvroxr nE sr¢ane Hwse CnRnCF 5LA9 ELF.vnnON: Q' ~ 8 9 PHOPOSLD IS HOi IHE XESPplABIUiV Of 1HE SURVEYOR. NOIE: 1M5 CENTIICAI[ pp[S Hpi PUFPpIT TO $HOW EASEMEMT$ OT1EA iH1N R 000.00 OFWlIS EMISiINC EIEVAIIW iMOSE SXONN pl TI[ RECONOED PUi. (M.Qp ) pf.IPo1I5 PROPOSEO FLEVATON NOIE: CONIqACTOR MpSi YFNIGY OqIVFMAY DE9fi1. OF.N06S ORAINAC[ ANO URirv EASEYENi OFNOIlS ORAINACE FLOW DIRECTION MOIE: BEAIXNGS SHOWN ANE BASED pl NI ASSUMEO DAtUM OFNOIFS MplUYEN! B- oemons arsc* HUB WE HEftEBY CERTIFY TO KEVLAND HOMES TIIAT iH15 IS A TftUE AND COHRF,CT REPRESENiATION OF A SURVEY OF THE BOUNpARIES OF; lOT 2, BLOCK 1, TRIALS END DAKOTA COUNTY, MMNESOTA . IT DOES NOT PURPORT i0 SHOW IMPROVEMENTS OR ENCNROACHMENTS, E%(:EPT AS SHONTI, ,45 SVRVF.YEO Pv A1F. OR UNDER 61V DIRF.CT SUPERVISION iH15 6TH OdY oF FEB., 7996. I I ~iGNFd/ PIONFFR fNR/INELHMC, P.A, SCALE : 1 INCH = 30 FEET ~ ; - _ ! ' -wi~~! I l_L_..~ aw t~Ii.LNL'I 15_ 1 si ~ ' ~ ' i'J: " yt A v ~ { ~ ~ ~a.•. i~:. ~ 13 ; ( 6 T ~ ~ 41 m - • y ~ { i BBI 8 ~ti 889. a fi i : I' 5 12~ 10 ~ YtlO ~ , j M ~ _ - e • I . }'2~ c 10000, r~j 889 BSB. 8 - i' SBB.Z' Z ° X• 87. 89. 5 _i e , ~ ~ ~ ~ ~ m ec St _ - - ~ - - " _ \ ~ a)~~ ry d i/,'~ ~ ^ x ~ i 89Q. 1 8E i W'1, 9~O ji . ~ ~ ,~~f iu y~? ~ ' , ; I ~ ~ ago.~ ~ r2C 'G : j ~ ~r, . . ^ ~ } ~ F p ~ 892.3 86.3 u a ~ L r •t~ i ~ i'~ J Q__ - _ ' ~ ~I j PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinQesota 55122-1897 Permit Number: 032198 (61 681-4675 Date Issued: 0 6 J 0 9 J 9 8 SITE ADDRESS: 933 TRAIL C7 LOT: 2 BLOCK: 1 TRAILS END P.I.N.c 10-77160-020-01 DESCRIPTION: FTGS SIZED-FUT PORCH &uilding Permit Type DECK rbui2dYng'=kJQrk Type NEW Gensus Code~' 434 ALT. RESIDENTIAL n-' = .-1 i' , ' REMARKS: PLAN REVEIWED BY JOE VOELS ALl FOOTINGS TO BE 20" MINIMUM•DIAMETER BELLS (A5 PER CONTRACTOR'S PLAN). FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 ~ CONTRACTOR: - Applicant - sT. I.zc.OWNER: A& A CONSTRUCTION 14312008 2428 LARSON RICK I`17115 HEMLOCK CT 933 TRAIL CT I-;LAKEVILLE MN 55044 EAGAN MN 55122 4(612) 431-2008 (612)456-9275 1 hereby acknowiedge that I have read this application and state that the informatipn is correct and agvee to co!mpty wtth all applicable State of Mn. Statutes and C3ty of Eagan Ordinances. ~ . - ~ A PLIC NT/P RMITEE SIGNATURE ISSUED BY: SIGNAT E i ..'cll ~ ~l :75 ff•''.:,'I 'i.,.i::;i~' r.1, A i.~~i ti:.~c.:..i _:~r .:Iir.J0 . I _•.•.'i . I~., a-1iJ._ . .r,. . . i . . ~ ( (jlY4... i . T.~:~ • , . 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~~b • ~ / CITY OF EAGAN 3830 PILOT KNOB RD - 55122 i , 681-4675 New Construction Reauirements RemodeVReneir ReauiiemeMS 10 ? 3 regiatered afte aurveys ? 2 copias of plan ? 2 copiea of plans (inGude beam & wirMow sizes; poured fid. design; etc.) ? 2 ake surveys (exterior edditions 8 decks) ? 1 energy alculations • 1 energy celailationa }or haete0 addkions ? 3 copies Mtree preservelion plan H lot platled aRer 711193 requ'ved: _Yes _ No ' DATE: CONSTRUCTION COST: ~ • DESCRIPTION OF WORK: - I`t X ILi 12F GK MEETADDRE9S: 9J.~ -FgAJL CL(,(k'jJ EACAN MIQ, S'SI BLOCK SUBD./P.I.D. ^~A I LS ~AJI~ PROPERTY Nam@: _LARSON Pnone 451a - qc-)75 OWNER u.. Street Address: TRA I L ('>n (,1R! City: EAGAN State: Yln Zip: _575~~a CONTRACTOR Company: A p ND Q l,nA)Sj I,l C`T~6AJ Phone L4 I '2A 6 K Street Address: 12 ( !.~F{'Yl 10 I' ~C C7- License 3 4,;~ 5? City: LGl.kP. UdIP_ State: ~ n, ARCHITECT/ Company: S~ M~ Phone ENGINEER ame: Registration treet Address: ? ~9 ity: State: Zip: Sewer & wat licer.ned plumber (new constructlon only): . Penalty applies when address change and lot cha ge arc ,equested once pertnit is issued. I hereby acknowledge that I have read fhis application and state that the infortnation is eorrecc and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ ~s=t~~~•r'`~° OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY , ~4: S.. . BUILDING PERMIT TYPE ; ' • c 0 01 Foundation o 06 Duplex o 11 Apt./Lodging a 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Mufti RepaidRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscelianeous ? 05 SF Misc. ? 10 = plex 4al-15 Deck WORK TYPE f'~(.J17~//~L /'~LL Foo72kCjS -/'gA /3G' ZO hlt.rinr~,vc ~31 New o 33 Akerations o 36 Move ? 32 Addition o 34 Repair. 0 37 Demolition , - GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/WS System (Allowable) Main levei sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. ~ PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3 y Depth Footprint sq. ft. SAC Code oi Census Bldg ~ Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC . , , Water Conn. i`~ Water Meter Acct. Deposit S/W Permit , . . . S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 2422 Enterprise Orive Mendota Heights, MN 55120 IPIONGficA ~ {612) 861-1914 FAX:687-9488 tNID SyNyEYppSANL ENGINE(NS ~ ene nnnr ng LAND PlNlNENS• LNIDSUPE ARLNIIECiS 625 Nighway 10 N.E. Blaine, MN 55434 * ~ 'f (612) 783-1880 FAX: 783-1883 Certificate of Survey for: KEYLAND HOMES 933 TRAIL COURT 3655-A ~ /~rj.~•a) !~7 Z. o) _ e72.~ N89°41'55"W 90.00 870.4 _ I yK ~~l a ~ o . r-~-~---------~ ~ro~as. g -=`DRAINAGE & UTILITY I EASEMENT PER PLA7-=_~ `A G A N 874.2 1 S,,,~, 874. W REyI W E D ~ i 2 Po~ ~ c SY 0 819.8 x 9.6 r ~ 979~8 O )ATE ~ 3~~ . r0 y9.0 879.9 BQ.2 p~ Q -j-- -T- 44.00 z 3 880.5 I i 880.2 ~ ~ j ~ PROPOSED M I I N HO SE y~ ~ 1887.3 N 8.00 22.00 a d. +t- v I ~ BENCH MaRK ~ j ~ 1O GARAGE/°o ~5~8-~ ~ g EOLEV~ B87P94..... . N~ ~°D 1lJ~c% G ~ 9_00 GIN ERING DEPT. ~ e87.6(rs85.9 587.5 I ~ --HENCti Ma.RK m PROPOSEO N ' TOP OF PIPE n~ I ~ DRIVEWAY 15 ELEV.=887.58 ry L' I h N - ---J n , ,SERVICE o - iNV.=876.0 ~ 888.3 0.09 R=1175,00 - 887.2 N p=04°23'34" ~ 887.4 MAJ _L COURT NOTE: PROPOSEO CRAOES SHOriN PFR CRAOINC PIAN Bh HEOLUND PROPOSEO HOUSr El EVATION NOTE: BUILWN6 DIMEN90N5 SHONN ME FOR HORIZONTAL AND VEBTIC4L LOCATON LOWEST F100R ELEVaTION: e~'1.Z - OF S7RVCNRES ONLK SEE ARCHI7EGNA1 PLANS FOR BUILDING ANO FOUNDA710N DiMEN510NS ' TOP Of BLOCK ELEVATION: NOIE: NO SPEGLIC SDLS INyE511GA710N Hp5 6EEN CONPlETEO ON iM5 LOT BY TNE SVRYETOR. 7NE SVItABIlIT7 OF SOILS TO SUPPORT 7HE SPEOFlC HWSE GARAGE SLAB ELEVATION; PROPOSEO i5 NOT h{E RESVONSIBIUTY OF 7ME SURVEI'OR. N07E: TMIS 4ERrFlCA7E DOES NOT PURPDRT TO SHOW EASEMENTS OTMUt 1TfAN % 000.00 OENOTES EIfIS71NG ELEVATION THOSE S'IONN ON ME RECOROEO PUT. ( 000.00 OQ/OTES PROPOSED ELEvATON NOTE: CONTAAC70R MUSi VERIFY DRIVEWAY DESICN. DENOtES URqINAGE AND uTiLIIY f45EMEN7 UENOiES ORAINqGE FLOW OIRfGTON NOTE: BEN2MG5 SMOwH ARE BASEO ON Arl ASSUMED DATUM OENOIES MDNUUEr+r a- DENOTES OFFSET NUB WE HEREBY CERTIFY TD KEYLnND NOMES THAT THIS iS A TRUE AND CORRECT REPRESENTATiON OF A SuRVEY OF THE 80UNDARiES OF: LOT 2, BLOCK 1, TRIALS END OAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT 70 SNOW IMPROVEMENTS OR ENCHROACHIAENTS, EXCEP7 AS SHOWN, AS SURVEYED 6Y ME OR UNDER MY DIREC7 SUPERVISION THIS 6TH DAY OF FE9„ 1996. SIGNE ' PIONEER EN IN NG. P.A. SCALE : 9 INCH = 30 FEET ~ 1480 96034.00 SWK John C. Lorson, L.S. Reg. No, 19828 TR'.i CITY USE ONLY L Oh 1- BL RECEIPT S~'y ' SUBD. , iI/Y.A~l (nAfDATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551::2 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH j~Q.. TOTAL Shower 3.00 x 2. _ 4'• 60 vva4er Giose'[ 3.0'v x Z - -oa Bath Tub 3.00 x _J_ = 3. w Lavatory 3.00 x Z = " b0 Kitchen Sink 3.00 :c Z = /6" 66 Laundry Tray 3.00 ;c I = 3. co Hot Tub/Spa 3.00 :c = Water Heater 3.00 x ( = 3" ca Fioor Drain 3.00 •06 Gas Piping Outlet * minimum -1 3.00 :c 3•60 Rough Openings 1.50 :c = Water Softener 5.00 x = PrIVate DiSpOSaI ' Dakota Cty. iicense 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL . `Vb SITE ADDRESS: 733 ~?t.~[- ~ OWNER NAME:---' INSTALLER NAME: ~ STREET ADDRESS: ~ ~ < < I a 6 ' ~ ° CITY: STATE: 7~1~ ' Zip; SS 3 V' PHONE#: (L(a) F90 -$a8'g' OFFICE USE ONLY L BL RECEIPT - ' SUBD. DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: . all commercial/industrial buitdings. ~ multi-family buildings when separate permits are pgs required for each dweliing unit. r DATE: CnNTRACT ?RICE:^_._ WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Qgrmit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE 1 QT%iL ' SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CIN: STATE: ZIP: PHONE SIGNATURF: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: CITY USE ONLY L d BL ~ RECEIPT SUBD DATE:~J 1896 MECHANICAL PERMIT (RESIDENTIAL) . CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681a1675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit Neyu const^urtion Add-ori fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FFFC ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ~ HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Suroharge .50 TOTAL SITE ADDRESS' OWNER NAME:~o•n PHONE INSTALLER NAME' STREET ADDRESS: 1\O CITY: u,\lst . STATE: ZIP: PHONE SIGAAT Cfl1( USE ONLY L BL _ RECEIPT SUBD. DATE: 1986 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUndustrial buildings. • ? mufti-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee QL 1% of contrdct price, whichever is greater. ? Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of pg[mjt fee due on all pertnits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE • TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP• PHONE SIGNATURE; SIGNATURE OF PERMITTEE CITY INSPECTOR City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 933 Trail Ct Lot: 2 Block: 1 Addition: Trails End PID:10- 77160 - 020 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Signature Home Services 758 Reaney Ave. St. Paul MN 55106 (651) 731 -1147 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $90.00 Owner: Richard A Larson 933 Trail Ct Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA082899 05/06/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature 4,1°' City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: — Tenant: RESIDENT I OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE RE,.:,._ 4, !_D MAY 3 1 2012 2012 MECHANICAL PERMIT \LA - Site Address: Use BLUE or BLACK Ink 1 For Office Use rmit /7/_/ Pe#:j6C(OOII I Date Received: J Permit Fee: Staff: APPLICATION Suite #: Name: i��.,, , RC �� 011 Phone: lY S 1-L1-0(>-1 Address / City / Zip: \ sg -5 -S-1"-c-1/4'i 1 C� - C„ S SS \ 3 Name: -X r C4 ^ L Lice se #: V� \ Jc') "1 Address: \ C\ g �Ot'�►? ck \I ft., City: V C:1 vYr' '-SL State: 'k..\6� Zip: SS -S-1‘)., Phone: 1 - - \ aq Contact: N Email: N) l h �'� . � t v C O eh Alteration Demolition New / ` Replacement Additional Description of work: n�; NA cA. NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under /Above ground Tank ( Install / T Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE OR Contract Value $ x 1% _ $ Permit Fee Surcharge, TOTAL FEE $ =$ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecaliorq 1 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 witho9&a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X c\i1 y C R k,\ Applicant's Printed Name xvr Applica is Signature . ,- FOR OFFICE USE Required Inspections: Underground Rough In _ Reviewed By: Air Test Gas Service Test In -floor Heat Date: Final HVAC Screening