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
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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• , .
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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 ~
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.Ci se r
~JANUARY 3, 2005
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~ 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 .