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1904 Turquoise Tr41011°. City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: INFLOW yNFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: GA .-//// Site Address: ) ` 0 Li Tenant: !r1 J Suite #: RESIDENT / OWNER Name: (Lk -'(f/ Q,✓>t✓`�.,k Phone: 6/2- 22/- -17 c73 j Address / City / Zip: /cj0 ( 7r i a, trot r CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBINGn(Within the building envelope) SEWER & WATER (Outside the building envelope) A. Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: CApf-e,c7T Swwm-)Q p In, MAO a5c-`L Tc� ib-GwASr FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of woslg which req/gires a rev,ew and approval of plans. x /1,C a�tC/ VrS-t' re Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Insp Final CITYOF EAGAN Remarks * - - r [:mve:A=~rnjsitinn Addition CEDAR C'ROVE #5 Lot 6 Rlk 6 Parcel 10 16704 060 06 Owner - Street 1904 Turquoise Trail State Eag~, MN 55122 ~ ~'fi ~ ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~j 1967 100.00 5.00 20 Pdl.d SEWERLATERAL 3. 196 525.00 26.20 20 Paid WATEFiMAIN * WATER LATERAL 1972 607.00 24.28 25 WATER AREA STORM SEW TRK 1974 70.00 4.66 15 Faid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, sac 200.00 725 4-16-68 PARK RESIDENTIAL BUILDING PERMITAPPLICATION CITY OF EAGAN ~ r~ X I 3830 PILOT KNOB RD - 55122 651 •681-4675 New Conslruction Reauirements RamodeVReoair Reauiremants • 3 regislered stte surveys shawing sq. H. of lot, sq. ft. of house; and all roofed areas . 2 copies af plan (20% manimum bt wverage allowed) . 1 set o( Energy Calculations for heated addidons • 2 oopies of plan showing beam 6 wimlow saes; poured fouiW design, etc.) • 1 site survey far exderior addifions & decks • 1 set of Energy CalcWatlons . Indicate ff home served by septic system for additions • 3 copies of Tree PreservaUon Pian'rf lol platted afler 711193 • Rim Jaist Detail Opfions selectian sheet (bidgs wilh 3 or less uniGa) DATE VALUATION JOB SITE ADDRESS 0 (/t~' D~-Di ~k,~ IF MULTI-FAMILY BUILDI HOW MAN~Y U1I.TS/? PROPERTY OWNER ~"J~ TYPE OF WORK ~LAA PIREPLACE(S) _ 0_ 1_ 2 APPLICANT q, C) ^ PHONE# S`! /-8 ADDKESS / G GC. ZIP COI3E-! - J- PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Su6mitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical System Inctudes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informtt ion is correct, pnd agree t,Comply with ail applicable State of Minnesota Statutes and City of Eaga Ordi nc s. Signafure of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not q'red _ Updatetl 1lOt ~ /8 9a- /Olv ~5° 6 814 0~ 6~3 Request Dete Fire No. I Rough-in speCtion Required9In 1 Reatly Now ? Will Notity Inspectar ? Ves No When Reatly7 ilialicensed contractor ? owner hereby request inspection of above electrical work at: JoD Ntleress (SVeet, Boz or Route No.) Ciry j Seciion No. ownship Name or No. Range No. Counry Phone No. Occupen~ (PflIM) F ~rv Cati : Power Supplier Atltlress EI rical ConVp~tor (Company Name) ConVactor§ License No. G[~•./ ~-~v< c:u e. O 13 Mailing Atltlress (CnVxtor or Owner Maki ,installalion) Aulhoriz ' CO~hac~orl er Meki Installation~ Phone Number MINNESOTA STATE 60AHD OF ELECTNICITY THIS INSPECTION REOUEST WILL NOT GrIqgHllTVay BIEg. - floom S173 BE ACCEPTED BY THE STATE BOFRD 1821 UnlversHy Ave.. SL Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone(612)612-0800 ENCLOSEO. P. ~?`="•~`'~"g, ee-oooo,-oe I 4 REQUEST FOR ELECTRICAL INSPECTION See Instmclions for tompletinq Ihis lorm on back oi yellow copy ~ 66814 "X" Below Work Covered by This Request A henceSWiretl EquipmentWired ew Ad0 Rep. TypeoiBUilding PP Tempofary ServiCe Home Range . Duplex Water Heater Eleciric Heating Dryer Other (Specity) ApL Building Comm.llndustrial 'Furnace Farm Air Conditioner Other (specilyj ContrectorS Femarks: ~ ~(J<7 A. ~ f. y~ Q4 ~ ~-r ~7 Compute Inspection Fee Below: ~ ! q O t h er Fee # Service Enirance Size Fee # Oto OOA Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Transformers Above200-Amps 0-Amps Inspecsor5 Use onry: TOTAL Signs 1j, lj, ,STj Irrigation Booms Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. Rougn-in Date I, the Electrical Inspector, hereby certify that the above inspection has Final oa~e , a3~ been made. OFFICE USE ONLV This requast wi0 18 monIDS Irom ~ EAGAN TOWNSHIP BUILDING PERMIT N? 1757 ~`.°-.."s.~:-'. Ownex p ~ Eagan Township Addrecs (Preseai) eA-r-„"°--....~----- Gt z- • Towa Hall Buildez a~~ ~ Addresa DESCRIPTION Sfaries To Be Used For Fron! Depih Heigh! Esf. Cos! Permit Feel Remarks ? --V LOCATION Slree2, Road or ofher DesaripSion of Loeafion I Lo! Block Addition or Traef ~ } _I s~ d ~j This permit does aot authorize the use of sizeels, roads, alleys or sidewalks nor does it give the owner or his agen! the sigh2 !o erea2e any sifuation which is a nuisanee or which presenls a hazard fo the healfh, satefy, coavenienae and general welfare to anyone in the community. THIS PEAMIT MUST BE,DK~EP~T ON TtH~E~ PR M$ ISE WHILE THE WORK IS IN PROGRE55. ~6- x,,~ This fn !o cerfifp, !ha!_..:..... hes permission !o ereet a---~ ..,.a...~..~....y~y . . . _-----~._----upoa the above deseribed premise subjee! !o the provisions of the Building Ordinenee for Eagan ol'ownship ad !ed April 11, 1955. _ , " . . . R1"-ll~:-' Per ----..........~.ft~[- --"'--9•":•---_--~• 'v"---``--'.`l ~Chairrt~fn oF Tnwn Soa/r~d ~ Suilding~Insp~or HOUSE HEATING TEST RECORD ADDRE55 APT.-FLOOR CITlCcSUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. - SOLD 8Y INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM -SPACE HTR. UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE ~Q MAKE OF BURNER Model ~ nCaO7EAflEZ Model Sxial zFQ ~~Z F~~o Ma:. BTU Rating ~C~1FM MAKE OF FURNACE INPUT - Model ~Cp NTROLS THERMOSTAT LLHeatPlug VentSise yalve r KIND OF LINER SIZE NONE _ Limit Dmft Haod ~ ~Regularor Limit SsMing ~Zp F{Itars Siza 1~~ Number Fun Setting l Chimney Locetion Inside Outeids PiloT Typa ~ ~/~~-~d Chimney ConstruHion ~ ?Ply~ Pilot Make Pilot Model Smoks Bom Wiring Pilot Timing DrafT Mkdee Test Tog L.W. Cut Off Door Pressure Lighting Inst. ProssurePereentCO ig Dafe Tested 2 Input CFH ~-S Percent Oz-7 Company Testing Stock Temy Percent CO Nome of Tester Form 235 EAGESN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55211 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE: April 15, 1968 NUMBER 06dIVER: Cedar Grove Const. Address 1904 Turquoise Trail PLUMBER Stein Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUII3lING Industria2 Cocmnercial Residenti8l Multiple Dwelling No, of units X 1 Location of Connections; Connection Charge Permit Fee Street Repairs Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above per.m3t, I hereby agree eo do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota Stein Inc. By Pleasz notif.y e;hen ready for inspection attd connaction ar.d be£Are any port:.oa of th: wcrk is covered. i ' MEMO - city of eagan TO: D(ANE dOWNS, UTILITY BiLLtNG CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY C05TS-CEDAR GROVE NO. 5(208 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. 5 Addition. Block 1, Lots 1-22 22 Block 2, Lots 1-19 ig Block 3, Lots 1-11 11 Block 4, Lots 1-16 16 Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, LOts 1-25 25 Block 8, Lots 1-5 5 Block 9, Lots 1-2 2 Block 10, Lots 1-23 23 Block 11, Lots 1-14 14 Block 12, Lots 1-9 g Block 13, Lots 1-15 15 208 The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J.~f 'irscit Sr. Engineering Technician cc: Mike Foertsch EJK/je -b6 04; 0 . . 2>~:y3;~:.' }:is~•8:?':*•: :3„..X'A....:$~.+''I,.~~,. ~u). y.:'~~,,. ¢ ..F.'...~ ~Y,.,'.::'~.:Cxa..~ ~~"Fz'.y•..z..;y.'~C .r ~~r'~' .,..,.,.-.ks:;,... . . 1994 MECHANICAL PERMIT (RESIDIIVI7AL) fif- 776 o crrY oF FaGax ~ 3830 PILOT KNOB RD EAGAN MN 55222 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT. - - - - - - - - NEW CONSTRUCTION ADD-GN A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EaCI-) ADD-ON/REMODEL (ExISTIIVG CONSTRUCi'ION) 20 STATESURCHARGE 3 6 STTE ADDRESS: OWNER NAME: 1~~i?~~~.~PSyf' TELEPHONE INSTALLER: ADDRESS: CITY: -t/ STATE:-~ ZIP CODE: TELEPHONE , SI N OF PERMITTEE I13.75 ZToq RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 -7 ~ 651-681-4675 New Canstruction Renuiremenb RemodeUReoair Reauirements • 3 registered site surveys showirg sq. h. of IoL sq. fl. of house; and all roofed areas • 2 ccDies of plan (20N manimum lot corerage allaxeG) • 1 set of Energy Caiculalions for heated adtlitions . 2 copies of plan showing beam d window;izes; poured found design, etc.) • 1 site survey for extenor additions 8 decks • 1 set of Energy Calcula[ions . Indicate if home served by septic system'or additions • 1 copies of Tree Preservation Poan if lot platted after 711j53 . Rim Joist Detail Options selection sheet ibldgs with 3 or less unifs) DATE ~,/&zlo"2._ VALUATION 4#6 0- 00 SITEADDRESS IqOq ?vrroi'-&- Tr. MULiI-FAMlLYBLDG _Y ~N FIREPLACE(S) _ 0_ 1_ 2 TYPE OF WORK PoSidv APPLICANT STREET ADDRESS AA¢?vta?':u.J ~r!¢.• /U, CITY 5&ifL"r STATEAAJZIPb 2 iELEPHONE #(Q51-~{.39-N3Zo CELL PHONE # FAX # 4Sf-3c 1-Zos~ PRdPERTY OWNER iELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ XfI\\r:50"1'.\ RCi.ES 7070 CA`['L:GORY i Nt[NNE50"1':1 RULGS 7672 (-J suhmission type) . Residential VenGlation Category 1 Worksheet Suhmitted • New Energy:Gode Worksheet Submihed • Energy Envelope Caiculations Submitted Plumbing Contractor. Plione # PlutuUing system includes: _ Water Softener _ I.awn Sprinl:ler Fee: $90.00 Water Heatcr No. of R.I. Baths V o. oF Balhs Mechanical Contracfor: Phone # NlIcchauic.il systcm inclucics: Air Condilioning Pcc: $70.00 - Hcal Rccovcry S}:slcm Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read this applicotion, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf OFFICE USE OiVLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 3/02 q 2 ~,A9 o~ 5"RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knoh Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 .11 New ConslmclionReauiremenis RemodellReoatr Reauirements Otfxe Uke OnN 3 registered site surveys showing sq. fl. 01101, sq. B. of house; and all wofed areas 2 copies of plan CerlpiSurvey Recd Y_N (201k mazimum lot coverage albwedy 1 sel of Energy Calculalions fot heated acWitions Tree Pce4 PI2n;Ri6d Y_N: 2 copies oF plan showing beam & window sizes~ poured found design, eta 1 sile survey for addilions & decks TreB Presfiequired y b 1 sel6FEnergyCalcufations Addition - indicatei(oo-sifesepficsystem 0171_sile5sphc.5yslem _ _Y _N- 3 copies of TreePreservafion Plan if lot platted afler 7/1193 Rim Jois1 Detail Oplions selection sheet (buiidings with 3 or less units) Date p l/7 / 0+O Construction Cast J 000 Site Address l 6 T' TLCrp4O t-it, Tlr' UnitlSte # Description of Work l) {~R-D I Z- OY1T ~/l~ ~ nC:~ O(•~15 Mniti-Family Bldg _ P~ N Fireplace(s) _ 0 ^ 1 _ 2 Property Owner ~ lYl TY Telephone #(6I.1) 5LP-I ` 17 q J w iN Contractor i O(,l]S l,v~r~ /'t~Y~(C, yyltnr-e5o-~-f• A/~ Address W ~ ~ • WL5-f- City 0a V(j,~j State Zip JV~-~ Telephone #(666 c~-G ~^o~ 9 u o ao24 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Atinnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted . Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review fee applies. Licensed Plumber Telephone ) „ Mechanical Contractor _P 'lrir` Telephone ) Sewer/WAter Contractor ' . Telephone ~ L~- 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 Applicant's Signature ~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ' City Of Eagan ~Q 1~~ 6_•~6 3830 Pilot Knob Road, Eagan MN 55122 v~ Telephone # 651-675-5675 FAX # 651-675-5694 Ct1 New Construction Reouirements RemodeUReoair Reouirements 9tfis&~lse dnN 3 registered site surveys shmving sq. ft of lot sq. ft. Mhouse; and all roofed areaz 2 copies of plan showing footings, beams,joists Ce[t4t'-Sue.tgyftecd =eY-;=N (20%mazimumbtcoverageallowed) lsetofEnergyCalculationsforhealedadditions sags.-RBp4tt N 1 Soils Repod if proposed 6uilding is to be placed on disNrbed soil 1 site su~raddifions 8 dedcs Tf~ Pres~Iap~36td , N 2copiesofplanshowing6eam&window sizes;pouredfounddesign,etc iddMoA afeifoaskesepticsysfem Sta~e~R6~ V._1~ =N 1 set W Energy Calculations ,uN p 106° _Y::_ M 3 copies ot Tree Pre:zrvatian Plan if bt platted aflm 771193 " Rim Jdst Detail Op6ons sdeclion sheet (6uildings with 3 or less uniLs) Minnegasco machanical ventilation form Plans are considered ublic information unless ou state #he are trad secret and the reason. Date 6 / 2c)! 07 Construction Cost Site Address 4?12 y /i,t fni rn D'Sf Unit/Ste # i Description of Work a. ~ivt G Multi-Family Bldg _ YZ N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner 6S/rAn J 7L?~a.~ Telephone #(6lZ. ) 221-9 7~ 3 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Aules 7672 Enefgy CodB Category . Residenlial Verdilation Category 1 Worksheet • New Energy Code Worksheel (,J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In The last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Tefephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor 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. wllc4afr~ 14/_~ Applicant's Printed Name Applicaot's Signature ~ ' DO NOT WRITE BELOW THIS LINE ~ ~ Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 11~2 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous WorkTvoes cr fi~r?iw ilJ}YL~~n/&~~ 0Y161Y,,CrA ? 31 New ~ ? 35 int Improvement 0 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Wndows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant DCSCrIptlOfl: Water Damage _ Yes Valuation 0V` \D Occupancy MCES System Plan Review Y 100% or _ 25% Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const vz Width REQUIRED INSPECTIONS _ Footings (uew bldg) _ Sheetrock _ Footings (deck) Final/C.O. _ Footings (addi[ion) ~ FinaUNo C.O. _ Foundation HVAC Drain Tile Other ~ Roof _ Ice & Water _ Final - Pool Ftgs Air/Gas Tests Final Framing Siding _ Stucw Lath Stone Lath Brick Fireplace _ R.I. _ Air Test _ Final _ Windows ~ Insulation _ Retaining WaII Approved By: Ti~, Building Inspector ^ Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search • Copies Other •Total : , ~ . .~ry~ ".y. 4d F:~::: ''~x:;.:~.y~ ~r:.:::.a..:il: y~3:s..`:qi,~'.~k;3'~. >::'..r:'n.•;: : . 1994 PLUMBING PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. - NO. FIXT[1RES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ~ Z WATER I-IEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - 1 3.00 ROUGH OPENINGS 1.50 WATER SOFCENER 5.00 PRIVAT'E DISP. • Dakcry. iic. 20.00 U.G. SPRINKLER • nom uoa« mmL 3.00 ALTERATIONS • w existing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: Il • 50 SITE ADDRESS: /9 l ~ OWNER NAME: INSTALLER: llJ~ .e,DDxESS• / 9 s p &j oo _ ,,Pk", CITY: STATE: /7) ZIP CODE: fS/a ~ PHONE (//a,) ysa - is~.~ ~Q/LP/1~ • ~..~~.('/u/~oiU GNATURE PERMITTEE ,t~~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1904 Turquoise Tr Lot: 6 Block: 6 Addition: Cedar Grove 5th PID:10- 16704 - 060 -06 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203 -0149 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: $88.50 $1.50 Total: $90.00 - Applicant - Owner: Richard Verstrate 1904 Turquoise Tr Eagan MN 55122- -160 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA088857 04/23/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA107345 Date Issued:10/08/2012 Permit Category:ePermit Site Address: 1904 Turquoise Tr Lot:6 Block: 6 Addition: Cedar Grove 5th PID:10-16704-06-060 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 5,915.00 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 - RICHARD VERSTRATE 1904 Turquoise Tr Eagan MN 55122 Greenguard Construction Inc 2915 Waters Road, Suite 101 Eagan MN 55121 (651) 289-7000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I I r> Permit f 7Q City of E I Permit Fee: ° I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 i✓ Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: UnAgfe Phone: (64;l) Dal- 179? Resident/' Owner Address / City / Zip: l Q q 'un- oc/se 7/'ctd Applicant is: Owner Contractor Type of Work Description of work: 7 5r. 6 V1 44414 C/- e 76 S ~ c~zT_ Construction Cost: ~q75 00 Multi-Family Building: (Yes / No Company: V* Contact: Contractor Address: k AK City: ~i~rr~SU%/P State: l-yV Zip: 37 Phone: 65- ~ Vgy- $SY~ License Cti~~~~77 Lead Certificate AIIA i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) coi~ - AAA, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: € Licensed Plumber: Phone: $ Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I the information may be classified as non-public if you provide specific reasons that would permit the City to l conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3