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3910 Valley View Dr N INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 1"111 N`' 3830 PilOt Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1 •rFwt nP t4 , I ,,0;r, I , PERMiT SUBTYPE: TYPE OF WORK: fit • . i i S f i ; , . . . . , ' . . INSPECTION D. • DA ~ ~ Psrmn No. wrmn Haaa oate ralaphon. +1 ELECTRIC PLUMBING HVAC InepocUon Dsb Insp. CommanU i FOOTiN(3S FOUND FRAMING Z ROOFING i ROUGH ~ PLUMBING I I PLB(3 AiR TEST ROUGH ~ HEATING GAS TE T5VC I INSUL GYPBOARD FIREPLACE FIREPLACE I AIR TEST I FINAL PLBG I FINAL HTG ORSAT I TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAI ~ ~ ~ ~ ~ 1 ~5 0. S ° 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 • 651-675-5675 Da[e p~o / QS- 1 / SiteAddress ~3qlq ~/G~6{l,) I.JF t-J Unit# Tenant Name Former Tenan[ Name Property Owner M Ul4.s Telephone ) Contractor -i- UV l~U Address (Q Q (..JrcAn8 I-tve CitS' State m^] Zip Telephone#((,~50 o~aES' ga~~ License # Expires: The Applicant is _ Owner Contractor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB A'ew ~ Repair/Rebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ ho Rain sensors are re uired on irri a[ion s stems Description of Work EXAPpU (2lUYy)U?1G r ~T lPl~"fS TY1roUAh Y`e(.v -~rt,6-5-eS To inquire if Pressur Reducing Valve i qmred on new service, call 651-675-5646 Me[ers - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine uo meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed hy Public Works Fire Size & Price 3/4" displacement S1C1.00 Domesric Size & Type Avg GPM Iucludes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ Nlo Permit Fee $50.50 minimum (includes State Surcharge) Contract Value S ~c~~ •~7 x 1% _ $ c;Q' PemvtFee $ Meter(s) Required on all new buildings & boulevard irri¢ation svsrems $ Radio Meter Read If pertnit fee is $1,000 or less, surcharge is 5.50 $ SU St3te $u[Cbaige If permit fee is over $1.000, surcharge is $50 per $1,000 of [he Permit Fee Following fees apply onty when installing new irrigation system ~ Water Permit Call Jerry Wobschall at 651-675-5024 for required fee amouncs $ Treaunent Plant $ Water Supply & Storage $ State Surchazge $ sO' s-Q Total =Fee n 2 D e that the information Ss complete and accurate; e iri~ 1 hereby apply for a Commercial Plumbing Permit and acknowledg conformance with the ordmances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this i I!ly an application for a permit, and work is not to start without a permit; tha[ the work will be in accordance wi[h the approve I~Yk which requires a review and approval of plans. ~Applican['s Printed Name Appiic CITY USE ONLY ~ REQUIRED INSPECTIONS: _ U.G. _ Air Tes[ _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: BUILDINC INSPECTOR - General Informatioo • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test resul[s should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, reair, remove. • Water meters include copper hom/s[rainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOT[CE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential 5125.00 4-120 1-1/2" i[tigatiOn syst S 735.00 displacement sm commercial turbine** Public Works must approve meter size 2-30 3/4" lawn nrigation S 161.00 4-160 2" hubine lg irrigation syst $ 931.00 displacement residential 8 sm commercial production lines 3-50 1" displacement very ]g res $296.00 1/4 to 160 2" compound bidgs over S 1,849.00 bldg to 24 uni[s 65 units sm commercial & ]g comm bldgs im arion 5 stems 5-100 1-1/2" bldgs 25-64 units 5429.00 displacement & most comm bldgs METERS REOUIRING 30-DAY ADVFu\CE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" [urbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1l2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,226.00 svst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, call 651-675-5300. ca Mamtenance Division Clerical Technician January 2005 ~912g ~~~(.SO 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DateS-/ Site Street Address 3i 914 44 t i bc N Unit # Tenanf Name (ifapplicable) Previous Tenant Name Property Owner rV- 00r`(~°` ~'~.SkMe(1"~S Telephone # ( ) Contractor Street Address Co4O (3rond 4~--' City S~ 1"CcC, I State ml~ Zip -Z:~(GtS Telephone# ((aS/ Bond Expires: The Applicant is _ Owner -xContractor _ O[her Work Type " New Construction _ Underground Tank _ Install _Remove •`see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: EX{2(\d mrol~ \IeM~; AA~rvx~ r\et-'j rcap-!p -6 vss c5 '*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Pel'mit Ff¢S: 570.50 Underground [ank installa[ion/removal - 550.50 hlieinwm (iududcs Staie Surchargc) or Contract Value $Cp4&D- (Z x 1% = S Permi[ Fee • If ermi[ fee is $1,000 or less, add $.50 $ ~ISC) State Surcharge If ermi[ fee is over $1,000, add $.50 for every $ 1,000 ep rmit fee $ U Total Fee [ hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 [he case of work which requires a review and approva] of plans. kc'~,eA (~P- n-) Applicant's Prin[ed Name Ap ip canignature ID ~(2l ~ a "n ~ _ ~U7 U Approved By: J 6 S~ S , Inspector Date: I II MpY 2 4 Z005 JE3y - : _7L. 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . o . . • Structural Plans (2) set5 • Architectural Plans • (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Stmctural Plans (2) • Code Analysis (1) ° • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) . Code Analysis (1) " • Landscaping Plans (2) • Key Plan (7) • ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec: Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) nol always" • Soils RepoA (7) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meler size must be established • Meter size must be established • Meter size must be established-if applicable . 1 • ProjectSpecs . (1) . 1 • EnergyCalculations (7) 1 • EleUnc Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • SAC detertnination - call 651-602-1000 • SAC delertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 . • Fire Sto in Submittals Call MN Dept of Health at 651-215-0700 for details regarding tood & beverage or lodging fncilities. Contac[ Building Inspections for sample and if required Permit for new building or addition will not be processed wittiout Emergency Response Site Plan. Date 0 S Construction Cost 21ae~)00• 00 SiteAddress 3 j/4 UQI/ey U,ew bY /V Unit/Ste # Tenant Name yi e~/ A01:-+74{ /~ZfS . Former Tenant Name Description of Work (.._~LQIi'Q 2 C/I l ST1 h~t 7/l.2T I~DO~ ~ O Q f~/~G~p~l ?c~7~ P.,? ~i' /e 5~' S s~ !r,'r~! ~..~s Property Owner ~7 /(Oti^ e- ¢/~CC?~il~er'~7 S Telep6one ) Contractor / vd~~e~ C O • Address Z'72-; 2 6-4' - ?e City /rL.an ea""O/s State In Zip ~r~06 Telephone 611 ) 33 ~-15-37s- Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that tHe work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is noLto_siail-. ' a permit; that the work will be in accordance with the approved plan in the case of work w~iichsrequires~a rev'iew~l d approval of plans. II ~ MAY 06 2005 0 '/~'i~~-~q~~, " ApplicanYs Printed Name ApplicanYs Signature BY- - - OFFICE USE ONLY ! A Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments s 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse 0 34 ExtAlt-Commercial ? 25 Miscellaneous ? 29 Antennae D 35 Ext Alt-Public Faciliry 0 37 Nail Salon Work Types ? 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 WindowslDOOrs ? 34ROpldCemenl 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2/0/ DUu ~ Occupancy ' MCES Syslem Census Code 437 Zoning City Water ~ SAC Units " d Stories 3 Booster Pump Nbr. of Units ~ Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Canst K Width Required Inspections _ Footings (new bld-) _ Insulation _ Footings (deck) Final/C.O. _ Footings (addition) ? Final/No C.O. Foundation Other Drain Tile / Roof ?Ice Pr ? Decking _ Insul Y/Final _ Pool _ Ftgs AidGas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning CA'4 Building Inspector Base Fee a9• 7f Surcharge /V r. otl Plan Review 02 •4`1 24!- % F° K- Si"e iA_~ ?La'r's MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total. 4~ .2-/ / 7 /9 nniut riunu souni uaritnwc:i_ ~ c7 i . NO SUU'fb" u0U111 ° _ , tt• , . N y'~ , 1g ' ~ ~1 ~ ~ o• ~ ~ m a` _ t~ rc c s~ ur 0 ro ^i'y \ \ ~ ~ ~ q\~) O 3712 N ? d F ' 5 ~C ~1 ^ ry~~ a a~ i ~ ~ n 3010 Pul ~ . G r , 72^Q i-\I N' ~s~ ; anzu ~h~l g ~ ~6q ~~,6~i ~ • ~ m . i 3 (u oN 4 ~ ~ . •f 4j.~~ ~-i , i~' ~ 9 . ~ ~ 5951, ^ oY N 395, , • i " ~ - L,bt3r ~3~b U 33 6 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . . o . - . . . • Structural Plans (2)s ets • Architecturel Plans (2) sets • Architectural Plans (2) sets . Civil Plans (2) • Structural Plans (2) • Code Analysis (1) ^ • CeAificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (t) . ProjectSpecs (t) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec: Insp. 8 Testing Schedule " • Certificate of Survey (i) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. 8 Testing Sehedule (1) " • Elec. Power & Lighting Form (1) not ahvays" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • ProjeclSpecs (1) . 1 • EnergyCalculations (1) " i 1 . Eleclric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) ! • Soils Report (1) ~~l • SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-1000 • SAC detertninationrcall 651=60 -1000 • Fire Slo in Submittals /l 1S i ~s (J r • Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. 'J w Contact Building Inspections for sample and if reqwred M . AR ,Z Permit for new building or addition will no[ be processed with'ou[ Emergency Response Si[e Plan. I ~ ZQQS v Date O eJ Construction Cost ~ )_,~n-~. ~ Site Address 3r11~-~'~CXx` ~/~.x.x~u./ ) :H i,~ UniUSte # Tenant Name Former Tenant Name Description of Work -4,4f atX ZG- S54., 4G.l- 57 Property Owner Telephone # (cpSl ) AR S • Sl 2 017 ~ Contractor Address 2~4 ~-c.P A-rd City R State Ail lJ Zip±:?,;W,~? Telephone tf (7t~) 577-1703 Arch/Engr &KP/1~ ~dlo-m (:;ZA" 4i^-- Registration l7 39g Address ~Z3O ~(Y'~[/u.~^~ SD City 4~c~ State MN Zip 57 41s Telephone ~5~1 S~O g Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wotk 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. A4V6 uvl~ l;K~W ApplicanCs Printed Name Appl ant's Signature OFFICE USE ONLY Sub 7ypes ? 01 Foundation ? 26 Public Facility G~30 Accessory Building ' ? 14 Apartments 0 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) 8~44 Siding ? 32. Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair or'33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replatement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 10i6oo Occupancy MCES System Census Code Zoning City Waler SAC Units Stories - Booster Pump Nbr. oi Units ~ Sq. Ft. - PRV Nbr. of Bldgs Length Fire Sprinklered ~ Type of Const ~ Width ~ Required Inspections _ Footings (new bldg) _ Insulation _ Footings (deck) Final/C.O. _ Footings (addition) ? FinaiMo C.O. Foundation Other Drain Tile Roof Ice Pr Decking _ Insul _ Final /Pool Ftgs AidGas Tests _ Final ? Framing ? Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning Building Inspector Base Fee 195-a5- Surcharge S . Sa PlanReview ZS% g~ MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Piant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total: .S6 <K . , . . . . ~ . _ ' . . . 4x 32' jyp, VIEW ~POINTE . . APARTI6'P AND'GARACE UETAIIS APARTMENTS ~ " . ~ ~ , . ~'~iu '~o' , s`c~ • 4. '~qay . . _ . ' _ ~ . . 'Y"c""' rw , . . / _ . b. .-0 , ~ ~ . ~ ..e1n • ~ ~r.~2cm,. ~ . ! . ' _ ~ , ~ . . ' , . ~ ' ~ ~ . . . . ' . . ...~.n~. . . ' i iu..o . ~ ;......,.x . . ~ ~ . i - . ~a.m~ . . R o..v~ p~ . . . ~ t? ~,TM'.G,~ ` .nr...~~ ~ i . . . . . I _ . . . . . . ~ ~ . . _ _ . , 1 • ~ . ~ ~ ~ . . ~ ' ' ' ~ . . _ . . 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' PERMIT .Ci se r ~JANUARY 3, 2005 i ' ~ ' . . y . _ ' . ~ . . . . . . . - . • ' ' • µM1m~e~n~Tn~ • • . • I ~~R • • ~ . ' aCiulaHC ' uMC ~evi r.µM1 ' rMi [~ma~ ~ . . . • mvno ~ . ~ "~Y1m~SMO _ . ~l~PYi\~ - ' ' ' . . . . . • 4 • • . I ~ . . . . . ' l1ilLL VYGS Mlry ' . . ~ • ' ' Im~tlvC _ ' ~vMLMYO ~'Tlmf • TR . . . . . ' . , I ' . ...~.COM~a . ~ m . . . . . . ~ ~ . . . ~ ~I °ns ~ .-F'. • ' ~ , . ' •n arma ' . rz- ~ar g . . . , . . . . . ~ . ~ . . . . . ' , . ' . . . . ~ ~wc!{sart~ . LJ U . I ~ . . .nwuau aEiN.~ • ~ ~ ' Clniurm'oErw . . ~ ~C'iew ir ~ ~ art er omn~o oormoM. i uz ~,~+•ia ~e , ~i: i~n.~r~. _ ' . ' ~ u: ivt•e.r~a ~ A 1.2 , I _ _ ; ' , - - - •~E ~ : d Fe Z a~~. ~ . . J :..t . , do~.: ` .~(A F ~ e 8 ~ g. _ry k 9r I ~~Es ~ ~-~31 ~ 2005 COMMERCIAL BUILDING PERMIT APPLICATION ~g 3~e City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _ , Ayy ~•b t g ~ d ~ • • • , • (2) sets • StmcturalPlans (2)sels • ArchttecturalPlans ~2Z~ sets . , Code ArchitedAnaryural Plans sis a.: (p~ • Structural Plans . ~u • Civil Plans . Civil Plans (2) • Project Specs • Certificate of Survey . Landscaping Plans (p) . Key Plan ' . Code Analysis (1) • Master Exit Plan y~ • . . J~: . Project Specs (1) . Code Analysis (1) . Energy Calculations (1) not always" •i. •i . & Testing Schedule • Certificate of Survey , Elec. Power & Lighting Form (1) not always" . • , " Spec: Insp a ~ r. • Soils RepoA (1) • Spec. Insp. & Testing Schedule (1) , Meter size must be established-if applicable . . . ~ • Meter size must be established . Meter size must be estabhshed . . , projecl Specs 1 1 . Energy Calculations " j . Electric Power 8 Lighting Form . Master Exit Plan j . Emer enc ResPonse Site Plan (1) . Soils ReP h I i Y , 1 . SAC detertnination -~Ca11651 ~602•10`OSO . SAC determmation - call 651-602-1000 SACdetermination-ca11651-602-1000 . FireSto in Submittals ; N 4 1_005 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. LI Confact Building Inspections for sample and if required permi[ for new building or addition will not be processed wittiou[ Emergency Response Site Plan. gy~ Construction Cost ~ Date p (r'~~ti•: A`a~ Unit/Ste # Site Address Former Tenant Name Tenant Name 7 ~ s Description of Work 4 ~CsW Telephone#p~ C ~ Property Owner -~7z7 f~t = ggg Contractor ~ ~ A/cl City 41 Address ~ ZiP 'S254y4s,la Telephone # (14(15 ) 5~7~ 17Z ~ State 4- ~ Arch/Engr Registration # ~?3g~ -r City Address 7c~r~ GG2~dG1 GLt4l~"~n ~d ! " 55C1~--_ ~N Zip ~ Telephone # ~3C State a , Phone . Licensed plumber installing new sewerlwater service: I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN ' Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ - A 6 )4/n;crb~ Applicant's Signature Applicant's Printed Name 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundafion O • . . Inter-ior .Improvement • Structural Plans (2) sets • Architecturel Plans (2) sets • Amhitectural Plans (2) sels • Crvil Plans (2) • Struclural Plans (2) • Code Analysis (1) " • Certrficate of Survey (1) • Civil Plans (2) • Projecl Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certificate ot Survey (1) • Energy Calculations (1) not aMrays" • Soils Report (1) • Spec. Insp. 8 Testing Schedule (t) " • Elec. Power a Lighting Fortn (1) not always" • Meter size must be established • Meter size must be eslablished • Meter size must be established-if applicable . 1 • Project Specs (1) 1 • Energy Calculalions (1) l . Electric Power 8 Ughting Fortn (1) ~ • Master Exd Plan (1) L . Emergency Response Sde Plan (1) 1 y • Soils Report (1) • SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 . • Fire Sto in Submittals Call MN Dept of Health at 651-215-0700 (or details regarding food & beverage or lodging facilities. " Contact Duilding Inspections for sample and if required Permit for new bwlding or nddition will no[ be processed without Emergency Response Si[e Plan. Date 0 Z / O Z / ~ I Construction Cost ~<<P ~`6~(P Site Address 3~ to UA-C~ Jii,-~ DR- N~°~ UniUSte # Tenant Name Former Tenant Name Description of Work qnvR(~'Ac~~^°-^~SOr Property Owner Jisv? B'v'a"r rSq~~ Telephone#vs( ) LfS~-Z/`~~ Contractor ~iGc.J rJT~IL,~& ~'"~-?~°~"rS C-L 0_' Address Z2~ VPXt%'+--E City GG?F'~'~"-) State Zip ~S I Z Z Telephone #(!r} r~ 5 z( -Z/qo Arch/Engr Registration # Address City S[ate Zip Telephone # ( ) Licensed plumber installing new sewerlwater service: Phone I C 2 T I I I'I T I(~ . FEB 0A 2005 ~ I hereby apply for a Commercial Building Permit and acknowledge that the informatiQn is complete and ae ate; that the work will be in conformance with the ordinances and codes of the City of~agan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and ork=is.not_tcr-sfacLzwi ut 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. r Applicant's Printed Name A plicant's Signature OFFICE USE ONLY Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ;o?' 27 CommerciaU[ndustrial ? 32 Ext Alt-Apaztments ? 15 Lodging 0 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext AI[-Public Facility ' ? 37 Nail Salon Work Types r ? 31 New ~e 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding / ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCemenl 'Demolition (Entire Bldg only) - Give PCA handout to applicant IL.O / Valuation /70 Occupancy 2' Z MCES System Census Code Zoning City Water ~ SAC Units ^ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of'Bldgs 1 Length Fire Sprinklered Type oi Const 6 Width Required Inspections _ Footings (new bldg) Insulation _ Footings (deck) ~ Final/C.O. _ Foo[ings (addi[ion) _ Final/No C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning Building Inspector BaseFee 271 . ZSr Surcharge S~U Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit SNV Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total Zga • 7~ CITY USE ONLY PERMIT 14 lk~ C`1 RECEIPT DATE: EOOE COMb1EItC1AL PLUM$1N& PERMIT i4PP11CATION CI'[Y OF BA6AN S$SO PILOT KPOB {iD gA6RP. 6tF 55122 851-861-4878 o ~90Q 6~1- I l~ Date: 7'-0~2_ WORK TYPE New Bldg Add-on Repair X RPZ PVB • Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK OJeAai..l fi`F Z VC Pz ~s (Aw l e t~ev- IAIa ste sf ~l To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646 METERS - Ca11 65 1-68 1-4300 to verify that hydrosiatic, conductiviry, and bacteria tests passed prior to nickinE uu meter Iaiga[ion Size &.Type Avg GPM ~ i F've Size & Price 314" disnlacement $152.00 Domestic Size & Type Avg GPM ~i Zoo Z,~~ Does this include high demand devices? _ Yes ~C No FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes I 5'No Site Address: 0( etj 0~ . lUv Tenant Name: l~ l L p---n ~ .e A- Telephone ~P (Area Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: Sa.2, InstallerNama: K064C'v- SQrU. Cc~, Telephone#: 76 '3 ScS'`% -3 c _?t-~ (arm Caae) Installer Addr~ess: V-e, o City: n I~`-' State: l/V~ tU Zip Code SS ~`l7 FEES Contract price $ x 1% ($50.00 min) Plbg Permit $ s0 Meter(s) $ Required on all new buildings & boulevard irrigation sys[ems Radio Meter Read $ Surchazge: $.50 Minimum. If contraet fee exceeds $1,000, calculate at State Surcharge S 50 cents per $1,000 contract fee. Sub TotaUTotal $ - - Supplemeotary fees for new irrigatioo system Water Permit ~ S 50.00 Contact Jerry Wobschall at (651) 681-4624 regatding fees Treatment Plant $ 540.00 Water Supply & Storage $ Stste Surcharge $ Totel $ I hereby acknowledge that I have read this application, state that the information is eonect, and agree to comply with all applicable Ciry of Eagan ordinances. I[ is the applicanPs responsibiliry to notify the property owner Ihat the City of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed unde s permit within City operty/right-of-way/easement. a~9s in SIGNATURE OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00 (Acct Code # 9220-4509) • Water meters include copper hortJstrainer, remote wire, and rouch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8"displacement residential $118.00 4-120 1-1/2" urigationsyst $ 745.00 sm commercial turbine•• "must receive approval from Public Works 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine Ig irrigation syst $ 923.00 residential & sm commercial production ]ines 3-50 1" displacemen[ very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 unia sm commercial & & Ig comm bldgs irri ation s stems 5-100 1-1/2" bldgs 25-64 units $439.00 displacement & most comm bldgs METERS REOUIRING 30.DAY ADVANCE NOT/CE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very Ig comm bldgs 1/2-320 3" compound +Zpp unit bldgs $2,264.00 10-] 000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very Ig irrigation syst $2,184.00 & production ]ines Comments • To schedule inspection of the inside water line and backflow preventer, call 65 L681-4675. . To arrange for water mm-on, ca11 65 1-681-43 00. cc: Kris Forsrer, Maintmance Div~sion Clerical TecMician Updazed 10101 PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagdn, MinneSOta 55122-1897 Permit Number: 031180 (612) 681-4675 Date Issued: 7 Z/ 01 / 9 7 SITE ADDRESS: 3914 VALLEY VIEIJ DR N LOT: 31 BLOCK: 10 SECTION 19 DESCRIPTION: WALL ADDITION Building-Permit Type MULTI. (MISC.) Build3.ng W~,rk Type ALTERATION . Census -Gode 434 ALT. RESIDENTIAL s ~ t4 iYRV~~ PT- REMARKS: STORAGE LOCKER ROOM - CONVERTING 1/2 TO BOILER ROOM FEE SUMMARY: VALUATION $1,000 Base Fee $34.75 Surcharge $.50 Total Fee $35.25 ! r CONTRACTOR: - Applicant - OWNER: EDMOND CONSTRUCTION 17553867 LANG/NELSON ASSOCIATES 12950 LINNET ST NW EXCELSIOR BLVD COON RAPIOS MN 55448 MINNEAPOLIS MN (612) 755-3867 (612)920-0400 I he eby acknowledge .that I.fiaya read this_app3ication and staCe thaC the i fo ma~ion 3s correct arsd agrefl.,to coriiply w~.th all -appLicable.9Ca~Ce of°Ma~ S a es and City ag E.agan qrdinances. ~ ` - ` APPLICANT/ ITEE SIGNATURE ISSUED Bl. SIGITATURg 4/ 3S° a ~ 1997 BUILDING PERMIT APPLICATION (REStDENTIAL) CITYOFEAGAN CIU'W~ ~ 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RemodellReoair Reouirements ? 3 registered site surveys ? 2 copies ot plan • 2 eopies of plans (inGutle Deam 8 window saes; poured fid design, etc.) ? 2 site surveys (erzterior additions & tledcs) ? 7 energy wlculations • 7 energy calculahons for heated adtlitions ? 3 copies of trea preservation plan if lot platted aRer 711193 repuired: _ Yes _ No - CfJ DATE: CONSTRUCTION COST: ~ZS DESCRIPTION OF WORK: 5i6Q~-~ j.CX'Kc' _ AN' STREETADDRESS: qt~~10,J DP-• 1 LOT? UJ r BLOCK SUBD./P.I.D PROPERTY Name: Phone _ qZ~ ~ oLlco OWNER ~.cr M. StreetAddress: ~5u 6 City: 1MState: M~ Zip: 7SS-3 SG7 CONTRACTOR Company: ~ Phone StreetAddress: SV- No< License#: 24~20 77s'$z. City: CXA (~ftPlD '5 State: i'A'-4 Zip: y16 ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip; Sewer & water licerned plumber (new construction only): . Penalty applies when address change and lot change are . equested once permit is issued. I hereby acknowledge that I have read this application and state that the information i c ct and ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY 19 a ll~ \J Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex 11 p odging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Faciiity ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORKTYPE uA oF, 1..lc,11 -t0 G•ft-C 2ouvn ? 31 New ? 33 Alterations o 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. R. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 144/ Depth Footprint sq. ft. SAC Code Census Bldg Census Unit O APPROVALS Planning Building /Uq- Engineering Variance Permit Fee Valuation: $ i, ovo Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIVV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: • % sAC'- SAC Units L 't 11 cirr use oNLv L BL RECEIPT SUBD. /O RECEIPT DATE. 1997 1H£CHANICAL P£ftMIT (COMIKEftCIAL) CI1'Y OF £AcfiAN S$SO P1LOT KNO$ SD £i4fiAN, IrIN 551EE (61E)6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not reqwred for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION ~ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: ~e ~Z-n L1 tf E_k ~ 5/. L, c ~ ea( 1„t S Sy/S l~l~ FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% , PROCESSED PIPING PERMIT FEE ~ STATE SURCHARGE ~ ($.50 per $1,000 of p¢Rnl[ fee due on all permits J TOTAL siTE_ aDDxESS: Ua 4 L e L&) owrrEx rraME: K~, 11~e Lsa v~ PxorrE 10(f) - o Y(DC) TENANT NAME (IMPROVEMENTS ONLY): nvsTai.LER: F"o r e wtep Wl~n, k," , ez-'r-, ~ I ADDREss: So t,J . Pxo1•rE a: CITY: S 1 I4 u L STATE: yt-1 '4 ZIP: S I SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY LOT BL RECEIPT SUBD. RECEIPT DATE: 1997 MECHA1VICAL P£RMIT (R£SIDMIAL) C[TY OF EAfiAN 5830 PILOT KNOB RD f.R6AN MN $51 EE (612) 68 t -4675 Date: Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-] 00 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section ortlv if you are remodeling, adding to, or iepairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, eta ~ Other S~51G LL 2~ (ZeC- Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 5tate Surchazge .50 Total: $ 20.50 sirE nDDREss: 1q 1)e, L Lc ~i UterA) ~ 1' 1~7 e OWNER NAME: L oLA=(Up L-,~o ~n PHONE O4/00 [NSTALLER NAME: Fn 1'L° I.U:T I r~l eA_ G; PHONE STREET ADDRESS: So( U) L°S 7 LG L1~ r/1 r! J`° CITY: PQ tt L YI/~ 1*' STATE: -04'1'~J_ ZIP:S NA PERMITTEE JS/FORMS BLDR.9ECH PERMIT (RES) - 1997 71 L BL OFFICE USE ONLY p RECEIPT SUBD. D RECEIPT DATE: ~ Dvl l ol 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Pbase compkte for. . all commereieVindustrial buildinps. • mutti•family buildings when eeparate pertnits erefly required for each dwelling unk. • backflow proventer to be instelled in commercial areas or rcaidenhal Doubvards DATE: IQ , WORK TYPE: _ New Const. ~ Add-0n _ ReDav DESCRIPTION OF WORK: =vIS`I4 L C wcz IIYC F/ECi /-tev IS WATER METER REpUIRED? _ Yes _ No. ARE FLUSMOMETERS TO BE INSTALLED? _ Yes _ No SINDERGROUND SPRINKLER SYSTEM INSTALLING METER? _ Yes _ No. NEW SERVICE? _ Yes _ No WATER FLOW: GPM. Pressure Reducing Velve may be required H installing new service - contaq City's Engincering Department at 881<646. FAII.URE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fce of E25.00 or 1°h of contractprice, whichever is greater. Minlmum Slata Surcharge of E.50 due on ell pertnits CONTRACTPRICE: S 4~e6-6O o-s x 1% = $ ~e6 COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 S WATER PERMIT (new serviee onty) 50.00 = § WAC (new service only - per eonnection) 780.00 = $ WATER TREATMENT (new service oniy - per connection) 420.00 = S CITY INSTALLED TAP 300.00 = $ METER: 1" = E7 85.00 , 2" TURBO = $846.00 = $ cv ~ d~ PERMIT FEE S FIGURE SURC/IARGE AT 60 CEMS FOR EVERY $1.000 Of PERMIT FEE DUE STATE SURCHARGE $ riflT TOTAL E I Mreby aeknowbdge Nat I have read thiv aDPlicetion, state that the infortnation is corred, and agree to oompy wlth all applinble City oi Eagan ordinances. ft ia the apDlipnt's rasponsibility to notify tha property owner Mat Me Cily of Eagan auurtres no liabildy (or any damages caused by the City during its normal operational and mainMnance activities to Ne tacilities wnstructed unAer this pertnit within City p(r~opertylriphtof-way/easement. SITE ADDRESS: 3~ f~ UCa L LE t/ U l P.l ~ ~J • TENnNT wAnnE: _If l e~~ S7e. x: OWNER NAME: hQ ~n c~ ~ e Lso INSTALLER NAME: V14 OS I ) Y ` e- d ~ TELEPHONE STREET ADDRESS: S~ I 1 1) ~ L Q C.1 SC. 1~I CITY: STATE: V V 1 ~1/~ ZIP: ~ p z n~7 APPLICANTS SIGNAT E ~ h/~ OFFlCE USE O • NEYERSE SIOE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE p$y _ Yes _ No Domestic Irrigation UTILfTY CONNECTION (APPLIES TO NEW SERVICE ONLY) $ REVIEWED BY fj1J /z-.~a -92 Building Inspector ~ Date To determine meter size ~ • See ii it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S8W permit # • Check PIMS Screens 110 (Remarks) • Ii galions per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult wfth Plumbing Inspector if Licensed Plumber does not know GPMs. Before sellina meter Check PIMS Screen 320 for apyroval of inspection results. No meter will be soid before all sewer and water inspections are complete on a new service. If new service Iines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous IrMormation • The instalier is to contact Building 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 tum-on. , If ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes overthere. J ,.0~'-C. /y 03U iu EAGAN TOTdNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SFb7ER SERVICE CONNECTION DATE:November 5. 1968 N[MBER234 Valley View Apartments c/o Bldg. 4 OWNER: .ar_ N i P.ddress Ti914. Vallev View Catat ~f PLUMBERMitsch Plunbinz Co. TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units x 24 Location of Connections: Connection Charge Permit Fee 7•50 Street Repairs Tota 1 Inspected by: Date Remarks• By Chief Inspector In consideration of the issue_aud delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toc•mship, Dakota County, Minnesota By. P+Iitsch Plumbina Co. 332 - Sth St. S. E., Osseo Please notifq when ready for inspection and connection and before any portion of the work is covered. • „a2t=G. / 9 O.s a ~b EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERtff T FOR WATER SFRVICE CONNECTION Date:November 5, 1968 Number: 123 Valley View Apartrnents c/o Bldg. 4 Billing Name: (-ar-Rnr-Nai $lt8 AddT055;~qjly tlalla;r Viaur(nnni OWLSei: Car-Ror-Nal Billing Address 16no F_ 7$tt, G+_ ~pffQlc" P1Umbex': Mit.a h Pl>>mbing Go", 332 - Sth S't. S. 6', 059e0 Location of Connection Meter Size Connectiou Chg. Meter No, Permit Fee 7•50 Meter P.ezding Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple X tio, Units 2 Commercial Industrial gy; Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I heieby agree to do ttn proposed work in accordance with the rules and regulations of Eagan Tocanship, Dakota County, Minnesota. By: Mitarh Plvmhinp, Co_ 332 - 5th St. S. E. Osseo Plea:;e notify the above office when ready for inspection and connection. ? . q a s- 6~ //3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Constmcfion Reouirements RemodeVReoair Reauirements Office Use'Ot 3 registered sde surveys showmg sq, ft of Iot, sq ft of house, and all roofed areas 2 copies of plan CerE bt Survey Recd:':.`. _ Y-_ N (20° muimum bt coverage allowed) 1 set oF Energy Calculahons fw healed additions Iree Pies Blan Recd YN. 2 copies of plan showing beam 8 window s2es~ poured found design, etc 1 site surveq for addihons & decks Free Pres Required: Y T N iseloFEnergyCakulations Adddion - indcateifon-srtesepficsyslem Orcsile5epticSyslem'..: _Y _:N 3 copies of Tree Preservation Plan if Iot pWited afler 7l1193 Rim Joist Detad Options selecLon sheet (bldgs wAh 3 or less umts Date / N \ Construction Cost Site Address 3q ~ 3 9 I y UQj(, : l, r w )t. 5 Unit/Ste Description of Work ~-5 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner L2441u41 IViahc,~~y~~- Telephon ~ Contractor E. &r • (-On,-,+ - Address y~/,~, q ? ~ ~ City 6~gS State Zia4~~00 ~ Telephone #(6fk )616 ~ - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ ~~esota Rules 7672 Enefgy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a buildin in Eagan with a similar plan? _ Y _ N If so, 257o plan review fee applies. D ~ tir~ Licensed Plumber ~A Telephone ) Mechanical Contractor B 1 9 2004 Telephone J y Sewer/WaterContractor TelePhone # ( 1 I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name pplicanYs Si ure OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair ? 33 Alteration ? 37 Demolish Buiiding• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplBCement 'Demolition (Entire Bldg) -Give PCA handout lo applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC UnRs Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Fooungs(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundalion _ HVAC Diain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ grynu'ng _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 99 a s City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion Reauiremenis RemodellReoair ReomremeNs Office Use Onlv 3 regislered stle surveys showing sq fl of lot, sq, fl. of house, and all roofed areas 2 copies of plan Cerl o(Survey Recd',- Y:_N (20% maximum lot coverage allowed) 1 set of Energy Calculahons for heated additions 7tee Bres Plen Rerd ._YN. 2 copies otplan showing beam 8 window sizes; poured found design, etc 1 sile survry For additions 8 decks Tree Bres Requiredi YN lsetofEnergyCalaWhons Addition - mdiwteNortisrtesepficsystem Do-sileSeplic5yslein 3 copies of Tree Preservahon Plan if lol platled aNer 7M193 Rim Joisl Detail Oplions selechon sheet (bidgs with 3 or less units Date / 0 \ Construction Cost SiteAddress C(10 ' b UniUSte #a~z~ Description of Work S Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~ m: n C urn rn4!~- Telephone #(60, ) Contractor !V (l~~l'~f Address 7~ Lg cM City ~ State Zip ~v 1 Telephone# (GIk )~IG -C-aZ RS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Ene~gy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Wotksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber ('S Il Telephone J u Mechanical Contractor AUG ~ Telephone ) Sewer/WaterContractor Telephone#( J ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 114, ' ,~c ) tl ,~~.v~- boV~_ Applicant's rinted Name pplican ignature OFFICE USE ONLY , Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgvor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire 81dg) -Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIIiED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Dmin Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Fryming _ Siding _ SNCCO _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulalion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Suroharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWC6on Reauiremenis RemodeVReoair Reomrements Office Use Onlv . 3 registered site surveys showing sq. N of lot, sq. fl. of house, and all roofed areas 2 copies of plan Ced ot Survey Recd. Y"*hl (2(P/, maeimum lot coverage allowed) 1 set of Energy Calaiations for heafed addi6ons 7ree Pres Plan Redd-'' ~i:YN. 2 copies of plan showing beam & window s2es, poured (ound design, ett. 1 sile survey for ackiiLons & decks Tree Pres Required-: :-YN lselofEnergyCalculations Adddion-indicateifon-sdesepficsystem Oo-site'SepticSyslerrr`[_YN 3 copies of Tree Preservation Plan if lot platled afler 7/1193 Rim Joist Detail Options selechon sheet (bldgs with 3 or less units Date~/ 1q /6(-1_ / ConstnctionCost Si[e Address ~Q /0 ' UniUSte # F~~ ' 6 Description of Work L-> Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ;n ~0M hLkn~ ri-cn Telep6one ) Contractor S Iv E cp Address ~4 City State Telephone # (MI) 616 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ nesota Rules 7672 - Minnesota Rules 7670 Cateeoiv 1 ~ Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitled . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. elephone ~ Licensed Plumber El~ Z Mechanical Contractor elephone J ephone#( ~ Sewer/WaterContractor By el \ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name pplicant's~& gnature OFFICE USE ONLY , Sub Types ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex O 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-piex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Adddion O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) -Give PCA handout to applicant Valuation Occupancy MCES System 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) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundalion _ HVE+C Dcain Tile Other Roof Ice & Water Fina] _ Pool _ F[gs _ Air/Gas Tests Final grammg _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ,6Si/iO 99a~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements Remodel/Reoarz Reauiremenls Office UseOniv 3 registered site surveys showing sq. fl of lol, sq. fl. of house, and all rooted areas 2 copies of plan Cerl d Survey,RecQ _ Y_ N (20% maximum lol coverage allowed) 1 set of Energy Calculations for heated adddions 7tee Pres Plan Recd Y._N_ 2 copies of plan showing beam 8 windax sizes, poured found design, etc 1 site survey for addAions 8 decks Sree Pres Required -.~Y t- N iselofEnergyCalculations Add'rtion - ind'icateifoo-sitesepticsysfem 0n-sileSepLcSysiem.--' _Y::'_N 3 copies of Tree Preservation Plan if tol piatted after 7/1193 Rim Joist Detail Oplions selecLOn sheet {bidgs wAh 3 or less unds Date O 1-I Construction Cost kl, DOO. Od Site Address 3910 -3yi ~i Ualle v u < < p f•'S~ UuitlSte # c2OZ/30 2 Description of Wark Ocn- GKS Multi-Family Bldg _~:__Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ()O~ ' r. i 0 v-L- /tje,~,e-y Telephone ) Contractor J/Y G 60L4f• ~1 - Address /„29 7J-Z 3 0? " _9 ,-j. City AYON. State lILL v\. Zip S3 06 1 Telephone 612) !l6 -~z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateQOrv 1 _ M~esota Rules 7672 Ene~gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsu6missionType) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone ) IRV I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / N . e- L 4c- ) Q. Jok,u ri V.,_ Applicant's Printed Name pplicant nature OFFICE USE ONLY " Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding ? 32 Add'Aion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) -Give PCA handout lo applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS Footings(new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. Foolings (addition) _ PlumbinB Foundation _ HVAC Drain Tile Other Roof Ice& Water Final _ Pool _ Ftgs _ AidGas Tesu Final _ gralning _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I _ Air Test _ Final _ Windows Insulalion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC ' Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total / (o~S rlI 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reauirements RemodeVReoair Reouirements Office-ilse'dnti 3 registered site surveys showing sq fll fl of house; and all roofed areas 2 copies of plan Ced d Smvey Recd~',_~ _Y N (201Y. mazimum lot cwerage allowed) 1 set of Energy CalculaLOns for heated additions 7ree Pres Piao Recd Y: _N_ 2 copies of plan shaxing beam & window sizes, poured found design, etc 1 site survry for additions & decks ~reeRes.Requi{ed:Y ~ N lsetofEnergyCalculahons Additron - indicafe'rfon-sitesepticsystem Drrsile'SeplicSystem.-.-_Y._:N 3 copies of Tree Preservafion Plan rf lol platled afler 7!1193 Rim Joist Detail Optrons selection sheet (bldgs wtlh 3 or less units Date -6-f /cl/ G' i'/ Construction Cost O Site Address 'a e!/O - 39/V Vu I lcVt e-W Or. Unit/Ste N s Description of Work ~C- Multi-Family Bldg Z~y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner nowA,'v, 'o w~ Telephone#( ) Contractor S/y z Address 71/ .30~45~, ,S. City,AJ'~0v~ State v,n J... ziP SSoo ~ Telephone #(L12 ) l,/6 -G-;~ :9~-5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mirmesota Rules 7670 Categorv 1 _ Mumesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( J Mechanical Contractor r,i Telephone ~ 0 Sewer/WaterContractor I• Telephone J I hereby apply for a Residential Building Packnowledge that the information is complete and accurate; tin 1 that the work will be in conformance with atices and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ /'If, c ~6C it 'd• .~h V~So~ti. Applicant's Printed Name pSi ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Ait - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgv or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addftion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration 0 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Consl Width REQUIItED INSPECTIONS _ Footings(new bldg) FinallC.O. _ Footings (deck) _ FiiaUNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ AidGas Tests Final _ graming _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Pertnit 8 Suroharge Treatment Plant License Search Copies Other Total 9 ds 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ~n C~'`" City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construqion Regwrements RemodeUReoair Reomrements OFfxe UseUrtk' 3 registered site surveys showing sq fl of IW, sq fl o( house, and all roofed areas 2 copies of plan CertoS Survey Recd:::::: Y:_N (20% maximum lot covera9e allowedJ 1 set of Energy Calalahons for heated additions 7ree Pres~Plan Recd" .:I: Y°_Rl. 2 copies of plan showmg beam & window sizes; poured found design, etc 1 sAe survey for additions 8 decks 2ree Pres Required,j RN lsetofEnergyCalculations Addition - indkateifoo-sResepfc sysfem OitsiteSepficSyslem~Y:~N 3 copies of Tree PreservaLOn Pian rf lot platted after 711193 Rim Joist Detad Ophons setec6on sheet (bldgs wdh 3 or less untls Date d l15-l 6~l Construction Cost ODO Do SiteAddress V 15L s UniUSte # ,2o ai Description of Work D~r= )c-5 Multi-Family Bldg ?Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner A,~ Telephone ) Contractor ,s/P.L Addre35 {eZ9 7IZ -~0'4S~' S City ~/),~7~Dkt State tM Yt Zip .7.~60 I Telephone #(612 ) 616 -E.z b'.5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber ~ M ~P Telephone ) Telephone ) I 004 Mechanical Contractor 9 ' Sewer/Water Contractor Telephone ) By I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ^c%acl a JahK500 Applicant's Printed Name pplicar~t+ Signature OFFICE USE ONLY ' • , Sub Types ? 01 FoundaLon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) O 31 EM. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foolings (duk) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundauon _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final _ grarning _ Siding _ Smcco _ Stone _ Brick _ Fireplace R.I. AirTes[ Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - Base Fee ~ Surcharge Plan Review MC/ES SAC City SAC • Utiiity Connection Charge S8W Pertnit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDIA'G PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephane # 651-675-5675 FAX # 651-675-5694 _ New Construdion Reauirements RemodeVReoair Reauirements Office Use b~iv 3 registered site surveys shaxing sq. N of bt, sq. ft of house, and all roofed areas 2 copies of plan Cert oi Swvey Rerd" Y-: LL~N (20% mazimum lot cwerage allowed) t set of Energy Calculahons for heated additions 7ree Pres Flan Recd: Y~'_N_ 2 copies of plan showmg beam & window srzes, poured found design, etc t stle survey for a~UOns & decks Tr?e Pres R~uired:_ YN iselofEnergyCalculations Addifron - indicaterfon-sReseptc sysfem 0[tsileSephcSyslem::.:^Y _N 3 copies of Tree Presena4on Plan rf lot platled afler 711hJ3 Rim Joisl Detail OpUons seleclwn sheet (bidgs with 3 or less umis Date q / 4 0\ / OC{ / Construction Cost Site Address -Zq 10 ' 3q ~ y ~ ~~-1 I.~Y? `Al'` ~ UniUSte # ~("700 Descrip[ion of Work ~ C rs Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 4mi n vum rnLCy~u'y~t~.c.YL~ Telephone ) ~ Contractor J (jonST I ~ Address ~ G`7~/ ~D t~ Sf ~ City ~~7vyi State ~l Zip ,yol Telephone # lG C-_o~ gS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Mimiesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (V submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y 25% plan review fee applies. ~ Licensed Plumber Telephon y Z Mechanical Contractor Telephone ) ~OQ Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name pplicant's S' ature OFFICE USE ONLY • . Sub Types ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ect. Alt- Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-ptex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demoiition (Entire Bldg) -Give PCA handout to applicant Vaiuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Unfts Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS Footings(new bldg) _ FinaUC.O. Footings(deck) _ FinaUNo C.O. Footings (addi[ion) _ Plumbing Foundation - HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Smcco _ Stone _ Brick Fireplace R.I. AirTest Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total '7l ~7?,86 2006 COMMERCIAL PLUMBING rExMiT arrLicaTTOrr CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ~ 12 2007 Date !~U ~ Site Address Unit # Tenant Name Former Tenant Name Property Owner ~ Telephone # \ Contractor l771 Addres~s l~ • ~~'(ti -~.~-~,p~ City State \ Telephone t~ License# ExPires: (2' ' The Applicant is _ Owner Contractor _ Other Work Type New Bldg Mo i y pace _ Irrigatian System** Yes No Work in public r-o-w / easement? ~RpZ _ pVB; _ New _ Repair/Rebuild ~'Replace _ Removc Rain sensors are re uired on irri ation s stems Descr[ption a[ Work I . o inq ire it~surc Redum Valve is rcqwred on new semce, cali 651-675-5646 Meters - Ca11651-675-5300 to verify that hydrostatic, conductivity, and bacteria iests passed odor to oickine uo meter. Icrigation Size & Type Avg GPM 2" turbo req'd unless smallcr size allowed by Public Works 0 F've Size & Price /4^ mear S167.0 Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1"/0 = S Pecmit Fee . g Meter(s) Required on all new buildings & boulevard irriaation svstems $ Radio Meter Read $ SWte Surcharge . Itgermit fee is leaa than $1,000, surcharge is $30 If vermit fee Is morz tM1an $1,000, surcharge Is $SU for eecM1 $1,000 owed. Following tees apply when Installing new lawn Irrigation system . $ W ater Petmit Call the Citys Enginecring Departrncnt. 651 fi75-5646, tor requircd 2e amoanu $ . T[eahnent Plant , g Water Supply & Storage g State Surcharge g Total Fee 1 hereby apply for a Commerciel Plumbing Pemii~ and*aelmowledge that the infortnation is complete and eccurete; that the wor k will be in canformance with the Plumbing Codes; that 1 understan this is not a permi nly lic ion for a permit, and work is not eo ordinanca and codw of the Ciry of Eagan and wi[h I. start without a pcrmit; that the worlc will be in accordance with the apP*oved Pian in the cu of r wh' A ' s an pro of plans. " . ApplicanPs Printed Name pp canPs Signature CITY USE ONLY ' REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: . . BUILDING INSPECTOR General Information ~ • Radio Meter Read (required on all new buildings. Boulcvard irrigation systems may require a radio read -$141.00 RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. ' • A minimum fee pemvt per address is rcquired for the following RPZ's: new, rebuild, reoair, remove. • Water meters include copper homistrainer, remote wire, and touch-pad metec METER$REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $130.00 4-120 1-1/2" iitigation syst $ 827.00 displacement or turbine" Public Works maximum small commercial must approve continuous 10 meter size 2-30 3/4" ' lawn irrigation $167.00 4-160 2" turbine large irrigation $ 1,040.00 maximum displacement rosidential system & continuous or production lines 15 small commercial 3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00 bldg to 24 uniu 65 units , maximum small commercial & continuous & large oomm bldgs 25 uri ation s stems 5-100 ~ 1-1/2" 25-64 unitbldgs $515.00 maximum displacement & conrinuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTTCE PRIOR TO PICK UP . GPM - METERS USE ~ PRICE , GPM' METERS USE PRICE 5-350 3" turbine, very large irrigation $1;394.00 6-500 4" compound +300 unit bldgs .$3,864.00 system & production , & ve 'rylarge lines • comm, bldgs 1/2-320 3" compound , +200 unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs, $6,436.00 very large . very large . comm bldgs comm bldgs 15-1000 4" turbine very large $2,495.00 irrigation systems & production lines ' Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water hun-on, call 651-675-5200. . cc: Utility Division Systema Aneiyst , lanuary 2006 .