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1763 Turquoise Tr • CITIf OF EAGAN 3795 Pitet Knob Raed Eagea, MN 55122 N! 5 126 PHONEs 454-8100 BUILDING PERIIAIT Receipt # To be used for '''f1LZ71. Est. Value T~~ • dote ._19 ~n Site Address d? Erect Occupanq ~ Lot r~ Block 4' Sec/Sub. r~h' r~ Alter ? Zoning Paroel .4 ~(''„yARepoir Q Fire Zone o~ Enlarge ~ Type of Const. " V17~ oWe Name Move 0 ~E Stories , 3 qddress ,-rpZ? Demolish p Front R. Ci Phone Grode ? Depth R. ~ o Ncme ' C' C'^,-~•;sl,~~~ Approvab Fees Z y,~, R..Y . _ . o~ Address Assessment Pemwit u~ 1 - r~~ ^ n^ Water & Sew. Surcharge Ci p?wne Polite Plan check ~W Name Firo SAC /lddress Eng. Water Conn. < W Ci phone Plonner Water Meter Counci I I hereby acknowledge thot I hove read this opplication and state that gldg, p{f, the information is correct ond ogree to comply with ail appliceble APC Totol ' Stete of Minnesota Statutes ond City of Eagan Ordinances. Signature of Permittee A Bullding Permit is issued to: ' on The express condition thut ell work sholl be done in accordonce with all applicuble State of Minnesota Stotutes ond City of Eagan Ordinonces. Buildiny Official . r P~nwM # PaAe Iaaed raewkfM Plumbing Mechunlccl~&l - - L5'd17 6 3 `~(c -7 t-x-- 3 INSPECTIONS DATE (NSP. ` ough-In Find Footings DaFe Insp. Dote Imp. Foundation PI umbing Frame/ ins. Mechanical Finol Remorks: • ' CITY OF EAGAN 3795 Pilot Knob Road Eagae, Mlnnesoto 55122 Phona: 454-8100 PERMIT No. 1-420 Dote: 4-3-79 Receipt No.: Single I Site Address: 1753 'h1LigtldUile T'IdU Residential ~ Lot 52 Block 6 Sub/Sec. Cbdar ~"m ff Multi Res., Comm./Ind. I Nnme ip"'k~~ sclnrm New/Alter./Repoir. 3 Address 1761 ~~~se T!-'i? Cost of Installation - O City Famx Phone: Permit Fee 5. 100 .50 Name ^E&Ar ua_1.:k--y Surcharge ' . Address 4770 Cedar Sout, qe V r r~,~ City F'a ` Phone: Total This Permit is issued on the express condition thot oll work shull be done in otcordance with nll applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Offlcial CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 N2 5012 PHONEs 454-8100 BUILDING PERMIT Receipt Te be wed for Parin Slab Est. Value 1'-)00. Date 10-4 19 7^ 1 urqtio se ra Site Address Erect p'` Occupancy Lot Block ~ Sec/Sub. C'1~1-s Alter ? Zoning pormi # f (c+!]'D~ 'S --2 0 n 6 _ Repair ? Fire Zone Enlarge 0 TYpe of Const. ~ Nome ' ero*te F. Sarmston Move ? # Stories i 17S? ':urc,tioise Trail ' Address Demolish ? Front ft. Grode ? Depth ft. ~ Ci ` Phone 454-7257 ~ ,liry t 2e g Approrals Feas ZV Nome 1764 Tt!Cr,ao Se Tra 1 Assessment Permit /lddress r Ci ra,a,an phone Water & Sew. Surchorpe Police Plon check ~W Name Fire SAC u~ qddress Eng. Water Conn. ~W Cj phane Planner Water Meter Counci I 1 hereby ocknowledge that I have read this opplication and state that gldg. Off. the information is correct ond agree to comply with oll applicable State of Minnesota Stotutes and City of Eagan Ordinances. APC Total Signature of Permittee - " - A Building Permif is issued to: •jeYrnne P. SRmt+tOn on the express condition that oll work shell be done in occordance with oll epplicoble State of Minnesoto Stotutes end City of Eagon Ordinonces. Building Officiol Ponpk # Dah laued tWwllfM Plumbing Mechanical INSPECTIONS DATE INSP• Rouph-In Finol Footings Dote insp. Date Irrp. Foundotion Plumbing Frnme/ins. MetFaniCal Final , I Remarks: CITY OF EAGAN Remarks Sew & wtr permits and wtr conn pd. on 11-14-68 Addition Cedar Grove #6 Lot 52 B1k 6 Pa,,.i lo 16705 520 06 Owner J _Street 1763 2'L1Tq11013e Z'!'111 State Fxagat1,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 197 O 1 2 OO 20 Pi WATERMAIN * WATER LATERAL 1970 LO WATER AREA # STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200.00 1072 _ _ BUILDING PER. sAC 200.00 1072 11-20-68 PARK TvVirequest void 18 months from (o p , Date f this Request 6 3 5 7 6 I, as I,icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: ` i`763 TU~-~ois~ ~eAi~. c~~y ~~?J S2reet Address or Route No. Section Township Range County~~ Which is occupied by ~ O i~ -7- (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ~D Ready Now ? Will Call ? 0(~I~o-r~ ca Power Supplier C-b Gp Address 1r'A~Y11jt1G~Q'o~3 ~ ElectricalContractor ~%LvlI'= --L~-=-_ ?firk Contractor's License No3~ Company Name) Mailing Address N ' =C- eGALN~ . (EIt~Mical C tmctor or wner Makl q Thls Installatlon) Authorized Signature Phone No. 4&-'ZC~~ (Electr cal Contractor or Owner Making Thls Installation) q157 S .y This inspectian requestwill not he accepted 6y the - State Baard unless proper inspection tee is enclosed. ~ Minnesota State tloartl ot eiectncity University Ave., St. Paui, Minn. 55104-Phone 645-7703 AEQUEST FOR ELECTRICAL INSPECTION p~ 7 CHECK BELOW WOKK COVERED BY THIS REQUEST 1~ Typ[ of Building New Add. Rep. Check Applianca W'ved For Check Equipment Wired Fo: 113me ? ? Range ? Temporazy Wuing ? Duplex ? ? WatecHeater ? LightingFixtuces ? , Ap[. Bldg. Dryet ? Elect[ic Hea[ing [Ell Commercial Bldg. ? ? ? Fumace ? Silo UNoader ? Industrial Bidg. ? A'u Conditionec ? Bulk Milk iank ? Fazm 0 E] [j List List pthers Others Other 0 ? ? Heie Heie COMPUTE INSPECT[ON FEE BEIAW Seivice Entrance Size: # Fee Fceders&Subteedeis: # Fee Cucuits: # Fce 0 to 100 Am s. 0 to er 0 to 30 Am eres 101 to 200 Amps. 31 to m 31 to 100 Am eres ONJ~j Above 200 Amps. 01CO 11 Abo s. Above 100 Amps. Transformeis Re Co 1 Partial or other fee S Signs 11 Special lns ection Minimum tee $ Aemarks TOTAL FEE Z , I, the Electrical Inspector, here tiFy e above ' spection has been made:~o,~ 1~ (Rough-in) . Dyte ^ { (Finyl) jL(iyc.Q,~ Date This request void 18 months from N`This request void 18 months Gom / 34 V, 'e'e R 5276 Date of this Request..o^ - a!o 9 I, as Q Licensed Electrical Contractor Owner,'do hereby request inspection of the above electri- cal wiring installed at: Sireet Address or Route No. 7 Section Township Range County~~ ~ Which is occupied - ame of O-ccuDant) Is d roughin inspection required on this job? No ? Yes C7/ Ready Now C?f~~ Will Call ? Power Supplier.-e Add6~--- _ ~ ,7/ Electrical Contractol~- Contractor's License No. _ iCOmpany Name) Mailing Address (E trical ontractor or Ownar Mak{ng This Installatlon) Authorized Signature Phone No. /ya S7 (Eloctric I contractor or Owner Makinq TNS Installatlon) (~T(~ FE &20 C~py This inspection request will not he accepted by the ~ U,~ o Siate Board uniess proper inspectian fee is endused. Minnesota State Board of Electricity r~ 3 6~~ 1954 University Ave., St. Paul, Minn. 55704-Phone 645-7703 RgQUEST FOR ELECTRICAL INSPECTION 5276 CHECK BELOW WORK COVERED BY THIS REQUEST Type of: Building New Add. Rep. Check Applinnces Wired For Checlc Fquipment Wired For Home ? R ? Range ? Temporary Wiring ? Duplex Water Heater ? Lighting Fixtuces ? Apt. Bldg. Dryer ? Etectric Heating ? Commercial Bldg. ? Fumace ? Silo Unloader ? Industxial Bldg. A'v Conditioner ? Bulk Milk Tank ? Faxm ? ~ ? pList pList + O$j~er ? ? ? Heiersl Hehetsf ) COMPUTEINSPECTION FEE BELOW Secvice Entrance Size: # Fee FcedersRSubfeedexs: # kAb i[cuita: # Fee 0 ro 100 Am s, 0[ ~ m s 0 Am eres IOI to 200 Amps. 31 t A ~ s 00 Am eres Above 200 Amps. Ab 0 s 100 Amps. Transfo~mers Re teC rolor o[hei fee Si ns Special lns ec[ion m fee $5.00 Remazks L FEE j ~ 1, the Electrical Inspector, hereby I th bdve in ection has been made. (Rough•in) Date (Final) ~ Date This request void 18 months Trom / ciTr oF EAG+?+ 9795 7ilot Knob Raad Eagan, MN 55123 N4 5126 ` PHONF:4548100 /3~v BUILDING PERMIT APPLICATION Receipt # 7o be used for POOM~~• Est. Volue 12,000. oare3-14 19 79 Siro Address 1 763 `I11=tni a Tr i l Erect ? Occupancy R-3 Lot 52 Block_6 Sec/Sub.GTOVe #6 Alter ? Zoning R-1 Pa#, _ Rapair ? Fire Zona Enlarge ~C] Type of Const. V rc Nome 18111101F• Sai[[tnn Move ? # Stories ; Address 1753 Turauoise Trail Demolish Front 32 ft. b EagM Grade ? DePth 14 ft. Ci Phone o Nome D& C COT]StTilCt.lOIl APP~16 Feas o~ Address 1903 H1gh1.a1K1 Vi2W Assessment Perr.dt 39.00 6.00 B' V1112 55337 Pha~ 894-1444 Water 8 Sew. Surcharge Police Plan check 19.50 Name Fire SAC Address Eng. Water Conn. ~ <w C Phone Planner Water MeMr CAUncil 1 hereby acknowledge that 1 hov ad s application and state that gld9, pff. - the infortnation is wrre t comply with all applicable APC Toral 64.50 State of Minnesom St s a gan Ordinances. Sfgnoture of PermiMet on the express condition thot A Building Pertnit is iSe~o F. oll work shall be done in atmrdanee i all apd~' b~le a-t-e- o-f Minnetota $totutes ond Ciry of Eagan Ordinances. Building Official \ CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN 55722 N2 5912 - " PHONE: 4548700 BUILDING PERMIT APPLICATION Receipt # 9~- To be used fo. Patio Slab Esr. Volue 1,000. pate 10-4_ 1978 $Ite Address 1763 Turquoise Trail Ered [jc Occuponcy Lot 'Sa Block& $ec/Sub. C•l? Alter ? Zoning Parcel # 5ao Repoir ? Fire Zone Enlmge ? Type of Const. c Name Jerome F. Sammon Move ? #StoAes z Address 1763 Turquoise Trail pe„wnsh ? Fmnr lZ ft. Ci Eagan phone 454-7257 Grade ? Depth 30 ft• o Nume Gary Pietig Apprmak Fees i~ Address 1764 Turquoise Trail qssessment Permit 6.00 CI EagBn PhOne WaMr & Sew. Surcharge • 50 Police Plan check Name Fire SAC x~ Addrew Eng. Water Conn. <w C Phone Planner Woter Meter Council state that gldg, pf{, I hereby ackrrowledge thot I h ead this aerdinonms. the informution is correct nd o ee to wpplicable APC Tatal ~ 50 Stah M Minnesoto Stat es an City of Signature of Permittee A Building Permit is issued . J T'ome F. Sammnn on the express condition that oll vrork shall be done in accorde~r~c/~~ all ap wble State of Minnesota Statutes and City of Eagan Ordinances. Butldirg Official ~T EAGAN TOWNSHIP BUILDING PERMIT N? 1887 w„ Owner Eaqan Townahip Addeees (Presenl) ....ff!'----~:------r,ez'`-................ Town Hall G:• G -l- . . Builder . . . Dafe ---'l~fji~.> -------~---.e.-- Address DESCAIPTION Sfories To Be Used For Front Dep1h HeighiI Est. Cosi Permii Fee Remarks • . p?A "7W V LOCATION y ~O C~i-el< . ~ y~Ya Sireef, Road or oiher Deccripfion of Locaiion I La! 81oak A dilion or Traci ~ ~/-1/°a.x-3 -44-- Y7-so'S'i- i~ el ` f C.r.-4; 4 ~ 1-7-/o _%6-17 57 57 ~ ~ This permil does no2 auihorise the use af slxeels, roads, alleys or s~ew ks n6r does it giroe the owner or his agenf the righ2 fo create anp sifuaiion which is a nuisance oz which presenis a hazard !o the healih, safety, conveniance and general weliare !o anyone in the communifp. THI$ PERMIT MUST BE KEPQT, ON TIiE PREMISE WHILE THE WORK IS IN PROGAESS. J This ia io ceriify' fhal----_.~'~.....~o.C.......`~A::c~r.?.`.-~.--------------------- has permission !o ereei ----c-:~--:-----~':.i4upon the above deseribed premise subjecf !o the provisiona of the Building Ordinance fox Eagan TownsrMp adopfed April 11, 1955. - .~1.'"~aa.....~~.z:-: Per ...---........Ge4f:'~,f.~'........7l.!~c~ ' . :C... . r/ Ch~lsman of Town Soard ~ Suilding I~ispecior C . 06 EAGF.N TOWNSHIP : 3795 Pilot Knob RoEd St. Paul, MinnesoCa 55111 Telephone 454-5242 ; PERk7IT FOR WATER SERVICE CONNECTION Date:---~~i'a--'f-. Nuwber• 175 Billinat Site Address•,~-L -~0 1 3~ iL~ Ocraer: i,wc~~6-71A..(iu, Billing Address Plumber:~~ , Locatioa of Counection Meter Size Connection ChgaA--s ~ • Meter No, Petmit Fee 7•50 Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. , HO Total Chg. Inspected by Date , Building is a: Remarks; ~ Residence_~ t ~ ~ Multiple Iia, Uaits Commercial . Industrial Sy: Other Chief TnspecCOr . , Tn consideration of the issue and delivery to me of the above permiC, I hereby agree to do tke proposed work in accordance with the rulea and regnlations of Eagan Township, Dakota County Minnesota. - r By: ~ Please aotify the above office when ready for inspection and conaection. , i ' ' - • - - I - l.:~VIuY IOj'fLYJI~l ' ! 3795 °ilot :cnoH P.cad St. Paul, 14innesota 55111 Telephoae 454-5242 pER/ttiIIT_ POR SL4JER SERVICE COh'NECTZOfI ' ' DATE• NUfffiER 285 041NEP, r x J'• F.3dress,sJ-6-4v 17G3 ' PLUMB~R TYPE OF PIP3 ! Di:SCRIPTION OF BUIIDING , ._r.. Industrial Commercial Residential hfultiple Dwelliag No. of unfCs ~ I ~ Connectioa Charge Location of Connections: i Permit Fee 7.50 ; i Stxeet Repairs ~ ' ToCal j Inspected by: _ Date ( ~ t Remarks• i By i Chief Tnspector j i In considerotion of the issue and delivery to me of the abave permiC, I hereby agree to do the pzoposed work in accordance with the rules and ~ regulations of Eagan Township, Dakota County, IKinnesota j i . i By; I Please notify whea ready for inspection and connecYion and before any pori:ion o£ the rrork is covered. I nA2e 116 - V- 7 P~ BUILDING PERMIT APPLICATION , Include 2 aets of plans. 1 site plan r/elevations and 1 set of eneigy calculaLions. J~ ~ 1b be used Por Gc ' Valuation ~L ~0 5ite Address: I 7 ~1,3, Lot Block See. Sub. Parcel Number /0 ~~p 76-5 0(,/-, ~ d+ner Telephone 7~S 7 AddTess /"7G3 7-4,1RR.cioisr L~lGnN mN >>^~z Z Contractor Telephone AZdress 7~~ Arch./IIt4• Telephone Address pFFICE USE Erect OccuPanaY Alter zoning Repai= Fire Zone Enlarge Sype of Const. # of Stories Fbve grp~yt 1 ~ - Der.nlish Depth ? D Grade OFFICE USE pate of Approval 6 Eaitial FEES ~ Assessment Permit v ' Water/Sewer Surch++rqe folice 'pian Check SAC Fire Plannet Hater Heter Qauneil Sldg. Off. ~ A.P.C. ` DATE BUILDING PERMIT APPLICATIOV Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy caicuations. To be used for I<uow. A hA, 1o- Valuation Site Address: 1-)[,3 7u+0-8.0ot sti Lo[ Slock Sec./Sub. Parcel Num6er ~ Z 74 G Owner ~EA-ovh~ I ~Arti~or+ Telephone ~ Address I?63 T"IL~UtiiSe jhM~l CA c n.- ~ +J Contractor Telephone yL/ L~ ~ Address 190 3 /-IzH Lnwo Vi r'W Arch/Eng. Telephone Address OFFICE USE ONLY Erect Occupancy ' Alter Zoning ' Repair Fire Zone Enlarge ~ Type of Const. Move 6 of Stories Demolish Front Grade Depth Date of Approval and Initial • Fees v 0 Assessment Permit Water/Sewer Surcharge Police Plan Check ~ q .r Fire SAC _ ^ Engineer Water Connec[ion Planner Wa[er Meter Council Bldg. Off. ~i A.P.C. TOTAL 44 I - ~ ~ _ ' -L- - I ' ~ _._i _ . . . i . _ I _ . ! . . . . ~ - i.. , , ~ i I ' ' ' - - ' - • ~ _ . _ . . ~ ~ - . i ~ i ~ - - __I------ ~ - _ i - ! - ~ . ~ ~ . _ i . . . ?C~ ~ ! . ~ ~ i - ; ; r , ! - . . _ : . . ..i . ~ ~ _ - - ~ : b~ 6 __1--------~----~ --__.__----._---___._r___-- ~ I i ~ - - ~ ~ 1---- ' . ' . ~ , . ~ . . (LE Rr~ . . . . . ~ ' ~ . _ _ ~ ~ ; - _ ~ ~ i. y.. , _ i ; ~ , i ~ R . ; . . . _ ; --r ! - - - , , ~ . . _ 1 / 1 ~ . . ~ . I . . i . . . . S~ ~ _ _ _ _ ' ~ ~ ' . . ~ . . ~ I . . NPM.a ! S :YF i . 1 MEMO - city of eagan TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: Al7GUST 25J 1993 SUBJECT: STREETLiGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3, Lots 1-18 18 Block 4, Lots 1-11 11 Block 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 8, should not be billed at this time) Block 7, LOts 1-12 12 Block 8, LotS 1-18 i8 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being bilied by Dakota Electric for streetlighting in the above listed subdivision. V~ Ea Kirscnt ° Sr. Engineering Tech cc: Mike Foertsch, Asst City Eng. EK/je ~C> \ RESIDENTIAL BUII.DING aS Permit Application ~~j~ • ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Conshuction Reauiremenfs RemodeVFteoair Reauirements OKce Use Onlv 3 registered site surveys showing sq. ft. of lol, sq. fi. W house; and all roofed areas 2 apies W plan CaR of Survey Recd (200/o maximum lot caverage allowed) 1 set of Energy Calculatlons for heated addNons Tree Pres Plan Recd 2 copies of ptan slawing beam & window sizes; poured found design, etc. 1 site survey for additlons & decks Tree Pres Not Reqd 15etofEnergyCalculations Addkion-irxlkateJOnsdesepNcsysfem _On-sileSepticSystem 3 copies of Tree Preservation Plan if lol plaried after 7l1193 Rim Jaist Defail Optians selec6on sheet (bldgs wtlh 3 or less units -7 aLJ Date / / 4 / ti Z Construction Cost Site Address l 7/:, j u o tsF 7I'L Unit/Ste # Description of Work -Re- - S i D v Property Owner q`V1(ya f P_~ Telephone Contractor Address -77/-S-- 12 2-' i? CiTy T -?~7 State Zip Telephone # ((p/,2 ) _ zx COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 , n 1 1Glinne ota Rules 7672 Energy Code Category r~ • Residentiai Ventilation Category 1 Work heetr - L, NewiEnergy Code Worksheet (J submissian type) Submitted Submitted • Energy Envelope Calculations Submitted~~ 1 LJ Licensed Plumber I Telephon_e ~ 18Y--'~--_ - Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wark 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 Naxne Ap ant's Si ature 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e foc single family dwellings & townhomes/condos when permits are required for each unit . . Date (L / ~ ~ / D 7 . . . . . . _ . . . . . Si[e Address L& 4Unit # Property Owner ( ) f tG<.(.Jti ~O(~Y ~ Telephone # (6 SI ) 67j` 7>30y Con[ractor / z Z s 3 /J> .:7, ciry ~t.[ v rt "S' ~/c L Cv Street Address Zip `rJ~3 °-7 Telephone # ( 99 SL) 7 YG- T2-1~ State Bood (a y(63 Ezpires: ~ Z.?/V y The Applicant_is Owner ~ Contractor Other - I ; ~ Add-on or alteration to existing dwelling unit 30.00 & furnace _Additional Y, Replacement air exchanger air conditioner _New X_Replacement other D~~~(',~~f111 $ 50 S[ate Surcharge 3 U Z004 ~ $ 30.5'0 Total 9Y I hereby apply for a Residential Mechanical Permit and acknowledge that the inforniation is complete and accurate; that [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I underscand this is not a permit, but oaly an application for a permit, and work is not to start without a permit; that the work will be in accordance widi the approved plan in the case of work which requires a review and approval of plans. ~[~•1' y ie 24-2.wh ~4-~- Applicant's Printed Name. Applic 's Signature 9~-/~ *so. 2005 RE5IDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date-to/AS-l O-S , Site Street Address 3 7ttr ~ ~ J Unit # Property Owner Telephone # ( ) Contracto& Te phone # Address 0 City ~ State~ Zi ~ d The Applicant is: _ Owner Contractor _Other AI e ions to existing dwelling $ 50.00 Add plumbing fxtures. This fee includes putting in a water softener and/or water ~ heater at the same time. If you are insta!linn onlv a water softener and(or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround dd 125.00 if a 5/8" me er is req/~wr,ed) Other. ~ Y? • Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ •50 Total $ s..L-S_ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the appro d plan in the event a plan is required to be r "wed and approv . n~1, 1, . / (if~ { ~ ~ ~ ~ ~ , ~ 1 I' ApplicanYs Printed Name ApplicanYs Signature ``0~ ~ ~ Y - - - _ 2007 RE.SIDENZ'IAL BUII.DINGPERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouiremenfs RemadeVReoair Renuirements Office Use Onlv 3 registered siie surveys showing sq. R. of lot, sq. ft of house; and all roafed areas 2 copies of plan showing footings, bwms, jois5 Ced W Survey ReW _ Y_ N (20%maximumlotcoveregeallowed) lsetofEnergyCalalationsforhmtedadditions SoilsRepoR _Y_N 1 Soils Report if proposed building is lo be piacetl on disWrtied soil 1 site survey for additions & dedcs Rree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Add'dion - indicate 8on-sde septk sysfem Tree Pres Required _ Y_ N tsetofEnergyCalculations . Onsite5epticSystem _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Jo'st Detail OpGons selecUon sheet (buildirgswim 3 or less unAS) Minnegasm mechanical venGlation form , Plans are considered ublic information unless ou state the are trade secret and the reason. Date 0/ ~ Construction Cost SiteAddress UniUSte # Description of Work ~V co /'ocrc Multi-Faroily Bldg _ Y~ N Nlreplace(s) _ 0~ 1 _ 2 Property Owner q ct-i /V l AV / t- Telephone # ( 6 9) p 7,5 ' o3 6 Contractor e 5 w LA m el") ~e ~ Address 6 City l State rf Zip Telephone #(l~( ) 475 - 656 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet . • New Energy Code Worksheet (4 submission type) Submitted Su6mitted . Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a masfer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor 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 NIN Statutes, I understand this is not a permit, but only an applicaUon for a pernut, and work is not to start without a pemut; 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 Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117230 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1763 Turquoise Tr Lot:52 Block: 6 Addition: Cedar Grove 6th PID:10-16705-06-520 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Randy Bradach Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Shawn M Moore 1763 Turquoise Tr Eagan MN 55122 Bradach Roofing, Siding & Seamless Gutters Inc 18267 Italy Ave Lakeville MN 55044 (952) 892-6015 Applicant/Permitee: Signature Issued By: Signature 09/30/2014 15:57 7635371882 STAND�RD PAGE 01 � . . K / Use 6LUE or BLACK Ink � For Offlce Uoe^� ! ^ I Cit of Ea �n �������� ; -������ � y � Permil ii; � i �-� ' 3830 Pllot K11ob Road � Permil Pee: I Eagan MN 68122 SE�' 3 � 2014 � j Date Received; � Phone:(661)676-667b I Fax:(861)6�6•b684 � � I Staff: � �"'---------------� 2014 RESIDENTIAL BUILDING PERM�T PpLICATION Data; , Slte Addresa: Unit�: Name: ��`7`7�'���� .. • ResldenU Phone: Owner Address/City/Zip. ��r� Applicantis:Mr�r Owner �Cantractor """ 1 �;�...- - ,. _.........,..,.,�....�._ ..._._. Type of Wprk Description of work: � r' � �'I, i Construction Cost: �,,��Q.(�� Multi-Fa ily euilding;(Yes i No�) Company: /' ,Con ct �/�/5P /`t�q��.SD/��` I Contractor Address:�k�i�L �" � cit : ��,5 ��l State;�Zip�ti�s��9 Phone:2 _;�„��'70 7�Em�il� � � � � Licenae#: �('�� l.��� l.ead Certlflcate A�: /' � �J � ^ ��� If the project is exempt from lead certlflcatlon, please explain why: (see Pag� 3 f r additionel inform 'on) v��.T e � ��� COMPLETE THIS AREA ONLY IF CONSTRUCTING A VEW BUILDING m� � �� In the last 12 monthe,hae the Clty of Eagan Issued a permlt for a simllar plan b�aed n a maeter plan7 _Yes ,___No If yes, date and address of master plan: ' Licensad Plumbsr: P one: Mechanical Contractor; p qne; � Sewer&Water Contractor, P one• � NOTE:Plans end support/ng documents that you submit are consldered ta 6ie publlc lnformadon. Port/ons of the Informstlon may be clsss/tled as non-publlc If you provlde specK►c rea bns that wou/d permlt the Glty to �_,___„_.___,,,�_,_„ concludo fhst thoy arQ trsdo aocrots. � � CALL BEFORE YOU DIG. Call(3opher State One Call at(661)464-0002 for protection agains underground ulility damage. Call 48 hours be(ore you intend Io dig to receive locetes oI underground utilities, www.goQh,g� i�algonecell.oro I hereby acknowtetlge that Ihis informali4n is complete and accurale;thet the work will be In conforma Ce with the ordinenCeb end codee ot the Clty of Eagan; that I undersland thiy is nol a permit, but only an application for a permil, and work is not t start without a permit; that the work wlll be In accordance wlth the approved plan In the case of work which requires a review and approval of plans, f—^-� Exterlor work authorized b a bulldln ���' y g parmlt lesuod In accoreanca wlth the Mlnnosota StetA Bu dln t be�o�rrp` wlthln 180 days of permlt Isauance. x /�� x , Appllcant's P Inte ame ppllcanYs Sla a Page 1 of S � � ' "' DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) `� Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building Reroof Demolish Interior _ Alteration Fire Repair Windows Demolish Foundation _ Replace ;� Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION � Valuation ,�1� J'" Occupancy ��<�'1. MCES System "'—` Plan Review Code Edition ��rs? SAC Units (25%_100% ✓ ) Zoning ,�,- l City Water Census Code l�34 Stories �-- Booster Pump �---- #of Units / Square Feet PRV -- #of Buildings / Length Fire Sprinklers Type of Construction � Width ----- REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests Final Framing � Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �/$' Surcharge Plan Review '7G �= MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies �yQ ,�,j TOTAL Page 2 of 3