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2265 Wall St06-15-2010 17:46 4916. CRT of MO Pilot Knob Road Eagan YN 55122 Phone: (657) 675-$75 Fax: (651) 675.5$94 PR6E2 Usa BLUE or BLACK Ink Date Raoeiiverx Stats: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Dante: `s.>"_ r Site Addle= �1 ')1 ` - T.nant: ai J ,_.._ Suit RESIDENT OWNE thune:CEILIA A Ce.Vjc!'4't•\* Phone: e/`i - if ? moms 1 Cyr t ZIP: (.,, Ilw 7Qu.. F:6#►tl arta..., .,...tax _ t Applicant is: ,,,�, Owner X Contractor �j TYPE OF WORK Dominion of wok T)+t2..t_Ntc, v.., , Construction Coat ilea? ea. Multi-Famiy Standing (Yes / No ) T Mame: ._. r. t,so, 'i el rt. 'ri tC License 8: aei'i. f' Ery f CONTRACTOR State: Mk Zip: :..i 'C// Ptiane: !r/41, `sea. " 0) - 7 Oontact, .v% ( U•uw&girS Ema11: V+r, Pa t i i r tK_ tak. Yak % 00 . 0..e Q COMPLETE In the tart 12 months, has _Yes _No 11 yes, Licensed Plumber: TIUS AREA ONLY IF CONSTRUCTING A NEW BUILDING the CIt7 of Eagan issued a parent for a similar plan based on a master pull? date and address of master pan: Phony: Mechanical Con{eactor: Phone: Sewer & Water Contractor: Phone: ifirieikt %yJ'J0wl7r' 1 y�1 {�f��y�wyp�y:` .YN �7imrY! theinfiviiadar+maYS i mB/4'}' :a ..TR.lMel..� i.Ya •, .,ti, CALL BEFORE YOU DIG. can Gopher state One Cell at (051)454-001n for protection against underground 'day damage. Call 48 hours before you intend to dig to receive IoCates of underground Mites, www.aouherstateonecall.orq 1 hereby acknowledge that this information Is complete end accurate; that the work will be in conformance with the ordinances and codes of the City of Earorm that 1 tsedoratand this is not a permit, but only an spoliation far a permit, and work hi not to dart without a pain* that the work veil he in accordance with tiro approved plan in the case d work which rumbas a mbar and :.. of pians. X 1 Q•1 %i 4e.' Applicants Pointed Name Page 1 of 2 4q- 1 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building DO NOT WRITE BELOW THIS LINE Fireplace Garage jk Deck Lower Level G1 Ll�f�S _ Porch (3 -Season) _ Storm Damage Porch (4 -Season)_ Exterior Alteration (Single Family) _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool _ Miscellaneous WORK TYPES _ New _ Interior Improvement X Addition_ Move Building _ Alteration _ Fire Repair Replace _ Repair _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% //) Census Code # of Units # of Buildings Type of Construction litto L/3Y 123 Siding Reroof Windows Egress Window _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy ,.ZRC Code Edition Zoning Stories Square Feet 21 1# Length 13= G " Width R -r REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In _Air Test Final Insulation Meter Size: Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required A* Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL rt 0- 6? a3 3G60 Page 2 of 3 2265 WALL STREET 942.0 x(941.8) 0 • Rs V/EXISNG WOOD RAIILTIFENCE AS LOCATED v H • I /1'r A L_ \J I `1- Af'A nIT` V nvnl v I ) Vo O0s› 740 EAGAN REVIE /133 44)1 h 1 `d s �"��,�,' 0�` • 0 5„ • - p2 ���C3 o') -G REE T 5 i G-/6 "/d •ECTIONS DIVISION NOTE: SANITARY SEWER SERVICE INVERT ELEVATION=953.94 / NTOTAL SQUARE FOOTAGE OF THE LOT = 21541.7 FEET TOTAL SQUARE FOOTAGE OF HOUSE AND ALL ROOFED AREAS = 2708.0 FEET Scale: 1"=30' Page 2 of 2 James R. Hill, Inc. 0 0 0 0 Address 2 2 6 5 Wa 11 S t Zip 5512 2 Lot 3 Blk I Sub Whispering Woods 12th Addition THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: L G•s-0 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement £nish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinktec syscem. ~ Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 t (651) 681-4675 ~ New Construction Requirements RemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies of plan 1 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 5ite Surveys (ezterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions 1 3 copies of tree pres ation plan if lot platted atter 7l1193 required: s _ No GATE: O_rA0 CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: aa ~ ///c[GC Cj LOT: J BLOC : SUBD./P.I.D. t#: \:une:__~L,d/T Phone (f//O~ _ZJ7O ~`T ~fJ-- PROPERTY H°st t) W'\ ER Strect Address:L_7_------- f}~ y~~~ - , City State: Zip: coNTizkcToiz (:ompanry':_d/U/UC~~~--Y_.~"'-'-- ~v Phoiie k: - / 3 ~3/~~ Strect Address:~~Q L~C-___ _ ~ License t! `~7T.xp. J Cily State: ZiP: ARCHITECT/ ENGINEER Comp:uiy: Phone ° \~:une:_ RcLi,st~ation N: ~ Slree[ Adclress:~ly"L Cilv --Go...'.. Sta[e: _!V`N 'Lip: ~65S-FN---- Sewer & water licensed plumber (new construction only): c>C~~CIL~EJ Aug/&Penalty applies when address change and lot change is requested once permit is issued. x(~ `E0 ---i I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 7 Signature of Applicant: ~u~//2~`'/ • OFFICE USE ONLY Certificates of Survey Received '!OYes _ No Tree Preservation Plan Received z~Yes _ No _ Not Required / OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 902 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE x 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuaq Basement sq. ft. WZ Census Code (Allowable) Main i vel sq. ft. )j(9 SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. ~ MC/WS System Length ~~JJJ sq. ft. City Water Width ~ Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ; i'ki' Engineering Variance Permit Fee Valuation: Surcharge Plan Review "J /~/K/~ License ~l J''+~- { f~~ MC/WS SAC city sac ~.if JP v ,;L`~ Water Conn. WaterMeter Acct. Deposit S/W Permit S1W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies a 5 ~ ~Total: (a O ? S ~~`J ~ % SAC SAC Units I-f A ssh-r t'j'/E[APE AVT-.RAGE ' U' CclMrl,rtntivn fOT 3 ' (To bc ~ub,i:ecd vith LuSldlnq p~-it 3ppllcatlon) Onq or two L-Imi ly d-cl l inl ? Ovner r u 1~,.,.~ Fsy.ILDitc~ _ p11 och~r ' ~ 5ite Rddre~s F gLi \-o1 ,,A 6- o,•<< oi IrZI_o____ Phanc 890 - 3ovo - ContraGto[ 7.TNF.h7. FT. OF l.~ 7 - ~xTO=FD SdAl.f. F[. abo~c q+adc ~ . . TCY:hL EX:OSED SJALL ARF.; 5(~'. prnQLrE wnLL CO"I:TF.UCTTON: "U" va1uc z arca - ~n~ir 107a U" .'~Dq z sQ. ft. yol7.5- ~ ~A.q7~ (II)(A) F~ psLe' wN • °io''G .~U.. ~43 s sq. fc._ 3~1~ _f.65. 4~4 (U) (A) ~ AcCail.rcCr,r~nr.- Jo~t~ .0+0x (U) (A) rr~m ~ a oo c~5u~. e~ '•~r•• , osE~ x aq. rc. '7 e 77. «T) (n) - 5q- It(U) (A) ~ nCtnchrd x ~q. Ci:. ~(U) ( . ..V.. x sq, ft. - (U) IA) :.r ~ z z j.83 r] -.u- 194 (0) cr~ nntc c [yPe . - (U) (J1) - ' ' •i.~ ~~c- 5=.... 1 ~q. tt. - ~ ..V' ~c zQ. ft- ~U) ; fc. (v) CA) nOORS: -U- valuc z arcaC~` ~;,:_45 . 29 ra3 : 1 r_~kc G [ypc -U- ,~2 u •q. ft . U) (J?) \j ST `U- .42 ~c sq. :t. 9.Q.T ^V' z sq. 5-7_ ac. :t . y 69,~5 n~~ c l (u) tnt vnr.trES L1b9•4 ,TvIDED 8Y TOTAL %+ALL n%~`•1 $53-7 . ~ ny°pAGS -U' •17 oc.leas for :A 2 family dwcllinqz • . ' .22 oz lcxe for all othcr buildings ~ I aooF/cr.tr.iNC r k r,n'nL nnr.rr 3q. ft_ 3.13 94. rt.nll r~ference r'A55c. :[rxm ettachcd'. FSGSI c~ d.T 9 7P ~U" _ 07-/ : a4- 3~.OS (D} iN) y s-~ (U) (7,) .h,c[w. r aQ- ft. ~ .(V3 Cw) . . T.,c~c 'int~lnq. SCUttlfe~'.S~CYL., GS V;L~ -V" •3.~ Z 3Q..tt• - ' , ,xylltca, etc. (o SQ. !G 35•1 N) vrna (v) tr? vnT,nLS 3 6,7g ..oa~ nVc. :vinr.o nr rornr, r.oor/ F.IL7NG nretn l vT:finC[ ••U.• O$ rPr .10.Ior all oChr; co,'[rUC[ion ' TI:: 7( .~vr~l•~r "ll° vni~~^.: n- C.~~r-lilnh,-.~ .'+~.n~~- ~jn nOt. Mt'CL tSrt ER.••N C~GC rcTl¢ircmcnz:~. ~ 'nlr-rn.~~~ f'n~..l~~••' t°•::~'i^" ~+~~Ll.in.••! in f:ltC GOOGfn1 ~.,y bo ••SCd. 1~ddiciorvl shco . '..ny 1-.- ....,-.1 l.. •.I...., r.~l.-.~l.~rlni~~:_ ~ i 01/131/2000 14:32 6124463616 LEP1h'E PAGE 02 COtISTRUCTION , R Yl11.UE ' • FJALL FRANING SELTIDN: 1 Interlor alr ftlm 2 1 2 GYP BRn 0.45 j g nches so t woad 6.86 4 25 32 Built-Rite 2.05 5 5 A" siding 0.7e f+ E:terTor air {nm ' O.T7 TOTAL R ~ 11_02 U e 1/R = .09 • WALL SECTIDII (INSULATED) ) Interlor air film O.FA ' 2 0 5 .~{3 oarr- nsu a zon 9.00 25/32- ui - i e . 6 y S lnQ . $ , F Exterlor alr f(Im ' u•17 TOTAI R = 2-zTZ4 i 0.043 ..U„ s 1 =.043 RIM J015T SfCTION: 1 Interlor alr fllm , • Z St, a nsu ation 9.00 ; 1 So wood 1.25 1.RA ° --~4 25 3 Huilt-R te 2.06 5 5 8" Sidin 0.78 i 6 Exter or air fllm 0-17 TOFAL R ° 2d 7 "U"= =.040 "U" = 1 -.040 .b~~•~.'a' ' p fOUNDATIDlt SEGTI01l: D.68 e;-~. '1 Interior alr fllm I, •.p , ~ - • 2 Zneulation 16.00 3 ~ack 1.00 , > 4 Ez[erlor n r i Irn 0•17 'r e.. . /~n~ ~S . Q: n•_ a;,. TOTAL a= 17. 8s ...P SGAII 0N GRADE I . " . ~ ~ ~ ' ~ . `t' ' ' q • 4' . I a• , .1 /A na1~,~l A ~a•~4-°..• . ~,•--"`'I ' 4• ~ . . ¢ . . • t' A' V q .i U•6• / p~ ' ~ 1•41,, ~ ,•,Q ~ . ~ . ' q' _ . Q . . , . : ' 4~ • ~Q ~ , ~ , , a , o . . _ . , • sJ 01/13/2000 14:32 612440361B LEMKE PAGE 03 • CCI~ItIG SECTIOIJ (INSUInTEU)= ' , . • ' ~Intr.Plar air filn D.h1 • ' 2 5/8" Sheetrock a.56 ; ' 3 Fiberqlass 50.04 ; 3 a 11 fxtcrfor air fllm (stili) n.Fl TOTAI R = 51.78 - i Ua 1!R= i 1 • _ .019 "U" _ ~-.019 ' ~ I CEILIIlC FRAHIlIG SELTIOtI: °L 1 2 5 1 in[erlor alr film n.El ' 7. 5 8' GYP SRD 0.56 VENTED 3 cara depth ci.2s/^ zxa 4.38 QIR 4 Fxber laes 3-45 FLOw . 5 Ext.' air film s't 1 0.61 • ° 37.6 1 6 ,022 "U" = 1 =43.61 3.61 ~ CEIL114G SEf.TfON (IN5ULATEO)= 1 ' I n t e r t o r a f r f i 1 m " n.61 2 9" Satt Inaul ~ 3 5 B GYP BRD D.56 4 F.xterior air 'iim s[ill t ' 707AL R = ~d7t 08 , n ~ 11 U.,_ 1 = .,U,l .oz • ~ ~ 2 3 4 S CEILINf, FRAHItIr SECTIOfI: 1• InCCr(or air fflm n-(i VENTED z - if Exterlor air , m scil n•'~ ' q Ihchts sof[ wood TOTA! R = ~ 1 3 ' 4 5 • ~ . ~ Inslde alr film n.Fl 2 9n Joiat Dentl, a1-9K/" 77_25 I _ ~ , 3 5 8" GYp B ' 4 ~ P1 wood 0.62 ~ 7 ' ~ cz p.tslAe air filn n.1 SOTAL R ° 13,21 ( 'll / - uUu ^ 1 nUn .075 i rY. fY I TREE PRESER~AsT10N°kP,L~4N,SUMMA~Yr , 746814300 (SEE ATTACHMENTS) Development W tS-12-t r iv.k Lot Number 3 Bloek Number ~ Address 7 2 X 1C lP/ a-( l S"L Builder V2 hnPkj Pw- aU~1- cj,( i - - vo-o ccn.. c 7 k4;~ ~ av' W1 caJ~:+n Tree Protection Reauirements: _41 Tree Fencing Oak Tree Pruning (Seal wounds during April 15 to July 1) Therapeutic Pruning Retaining Wall Other: Replacement Trees: Not Required As Follows: Attachments: Nos F(DR1~STRS7 o9v8voNJ Additional Notes: ~a~ I - Zl-aZ~ ' 7XE'E' &~X?RTiDd kan! l~,~fisP~iAI6 6?~DDtLS - VENNEHJEMeUILDfNGCORFCFATiaN ~ ~IZzA 2500 W. COUNTY RD.42, n9 ~l,,` /J BUViNSVILLE,MN55337-0~<5 ~1L11CK! Y~/U/f/~~71~/1 / YIY~ #iLL/k I/Yl. ~Li.t;it! ~o~ ; ~ia ~ saa -3a~ In(c~?~, Id.~~~.f . oRS3N6E FEUVE , :-s., e v s° 5'0 E - ~"'SIU FENCE cR,uvAc_ a unun ° ' LOT 3 D~k 5Av'E Ln 2,. DftK S~vE UAK SAVL ~ ~ ~e~5 c 'a. ~1 lCl/r DYfh n 2~ ~ ° ~ -_IPCV G ~ 4~ c5_, ao' Kpl~ n cr~6 V ' ,~y^yy'' ~'G q. 4u '7 . ' F9e \~•a . ¢~..~~-ci2E7_ 1 (.~~1 (ln./ p /LJ~~•t~. I•^ A \ ~ p ~ ~ L l, lJlSG~- Jl~~/L \ ems y/O \ ~ 1 q. 6S j" . S~REET ~KEE z-SuMMAU / ~P~'~ S~l GA.~IGIGR~ FS ~ " Ti~ / RZo~ CQ~reinati~s !/6.~~ li ~e oti,E~ ~ 2265 WALL STREET CERTIFICATE 4F SURVEY PROPERTY DESCRIPTION: Lot 3, Block 1, WHISPERING WOODS TWELFTH ADDITION, Dakota Caunty, Minnesota. We hereby certify that this is a true and correct survey of the ahove described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 18th day of Jonuary ,2 Bmes R. Hal, Inc„ B y. Harold C. Peterson, Minnesota L.S. No. 12294 Notes: 1. Building dimensions shown are for horizontal & vertical placement of structure A Denotes set spike only. See architectural plans for building o Denotes set iron monument • Denotes found iron monument & foundation dimensions. x927.6 Denotes existing elevation 2. No specific soils investigation has been (930.0) Denotes proposed elevafion completed on this lot by James R. Hill, Inc. _x-x- Denotes wood radl fence 9e The suitability of soils to support the specific house proposed is not the responsibility of Bench Mafk: 957.06 _7NH-WALL STREET James R. Hill, Inc. or the surveyor. proposed Garage Floor= 966.0 3. No specific title search for existence af non- proposed Garage Top of Block= 966.4 existence of recorded or un-recorded easements Proposed House Top of Block= 966.4 has been conducted by the surveyor as a part Proposed Lowest Floor= 957•6 of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were taken from gearings are on assumed datum the grading &/or development plan prepared by a71.O cww,w- {s°3W/? 7~ 1 ' NYHUS ENGINEERING x ~ No~ 0 m~ ~ James R. Hill, Inc. ~ a~ N~ o~> o~ PLANNERS / ENGINEERS / SURVEYORS 0 0 o°o m uZi o ~ 2500 W. Ctt. Ro. 42. Su~ 120. BuWls'9r1E. 1~1 56337 n~ ' o MfONE: (612)890-6044 FAll: (612)890-6244 R~G~IVE.CI J AW 1 ~ ~ LOT SURVEY CHECKLIST FOR RESIDENTU1l BUILDING PERMIT APPLICATION )W PROPERTY LEGAL: L-~Y ~ BLO~~.GC ~ ~NrtOr12I/I/~ /~a/1 ~ Ic~?yAGO ~ h DATE OF SURVEY: H LATEST REVISION: W ~ o DOCUMENTSTANDARDS 0 Q~ Q : Registered Land Surveyor signature and company y a BuildingPermRApplicant ? : Legaldescription [a~g ? • Address ~ o North artow and scale pp~y . a. • House type (rambler, walkout, split wJo, spAt entry, lookoK etc.) ? • Directional drainage anows with slope/gradient % ? • Proposed/exisUng sewer and water services 8 invert eleva6on d>' ? ? • Street name ? ? . Driveway d? a • Lot Square Foofage 90/ ? ? • Lot Coverege ELEVATIONS Edsuna ? : Sewer service (or Proposed) y ? Properly corners g~/ ? • 7op af curb at the driveway • Elevations of any epsting adjacent homes ? rfl/ ? Adequate footing depth of structures due to adjacent uUliry trenches Prooosed 2/cc ? • Garege floor d/? o . Firstfloor ~ ? ? ~ Lowest exposed elevation (walkouVwindow) ? Property comers c9' • Front and rear of hame at the foundation / PONDING AREA ('d aooAcable) ? d o • Easement One ? ~ a • NWL a ~ ? • FIWL ? m~p • Pnnd # designation a d~ ? • Emergency Overflow Elevation ~ DIMENSIONS } o ; Lot hnesJBearings & dimensions ~~p ? . Right-of-way and sUeet width (to back ot curb) ' Proposed home dimensions induding any proposed decks, overhangs greater than Z. porches, etc. (i.e. all structures requiring permanentfoo6ngs) o ? • Show aU easements of record and any City utitiGes within those emmenLs ca~ ? 9' • Setbacks of proposed structure and sideyard setback of adjacent eristin9 structures ? m/a • Retaining wall requirements, if any Reviewed: Name / Date Meroh 1998 canKV8LocvnMr.Fw 2265 WALL STREET CERTIFICATE OF SURVEY . ~ For•Venne jhem Building Corp. ce `9 x 155.16 N 88°05'03" E _ 94z.o ~ c G,r ~ / e o) w k - 0411.8) ` ~ ~ EV 10 pRAINAGE k UPLIN ~ ~ 0.0~ EASEMENT PER PLAT X 411 /x LoT 3 1 *b r- p,r xce ,-01 o ~o D; m x °n 0 02 tis. \ N 1)O \ g58 7~~ N 2\\ Op ~ LA O) . R ap~SE w I s \ ~WA~pUT) ~ I fTl EX{ST1NG WOOD s ftAIL FENCE AS LOCATED r , `g6 ,yA' ~r2•8~~12gQf Xo BENCH MARK O TOP OF SPIKE N I /NT A R-'q,'~ ~ ss2 `9g5. ~ N ELEV.=963.08 I n fN n n iT` 61 h1 I ( vnvr-\ i v I I F o,~ ~~Pg o 4.1~-.--! r 64.1 ~s 00~~ 2 ' x963.8 ° ~ 1• A ~ ~s y Q~ a „ ~P$, `O ?c "1~ 06~ ~ ~yo, • v ~ ~2~~ R~E T ~ N>e Qo ~25 NOTE: SANITARY SEWER SERVICE INVERT ELEVATION 953.94 ° 0 0 TOTAL SQUARE FOOTAGE OF THE LOT = 21541.7 FEET o TOTAL SQUARE FOOTAGE OF HOUSE AND ALL ROOFED AREAS = 2708.0 FEET Scale: 1"=30' Page 2 of 2 James R. Hill, IriC. 3 BL f cirr use oNLr RECEIPT#: 7S ' od sueD. lnrhi.y:1-ina YuondcS 'Lry1 RECEIPTDATE: 3-a ~ PERMIT# "1IU' QJ 1 2000 PLUMBING PERMYT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOH RD EAGAN, D4d 55122 651-681-0675 Please complete for: D single family dwellings ? lownhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH /f TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bathtub $ 3.00 x = $ ,pp Flaor drain 3.00 x = $ p Gas piping outlet ' minimum • t 3.00 x 1 = $ pp Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x $ , O Laundry tray 3.00 x -L' _ $ 10_00 Lavato 3.00 x = $ Septic S stem newlrefurbished `raquires MPC lic. 75.00 X = $ Septic System ahandonment 30.00 x - $ RPZ new installatioNrepaidrehuild 30.00 x = $ Rough a enin 1.50 x = $ Shower 3.00 x = $ .06 Underground sprinkler if dweliing is under construction 3.00 x = $ Under round sprinkler rf existing dweuing 30.00 x = $ Water closet 3.00 x = $ . Water heater 3.00 x I _ $ _3.60 Water softener if dwelling under construction 5.00 x = $ Water softener If exisUng dwelling 30.00 x = $ Watertumaround 30.00 x $ State Surchar e .50 $ .50 TOtal Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - I here6y adcnowledge Miat I have read this appliration, state that the infirmation is corted, and agree to compty with all applicabla City of Eagan ordinances. It is the applicant's responsibilily to notity the property owner that the City of Eagan assumas no liability for any damagea caused by the City during iLs normal aperational and maintenance adivities to the facilities consWC[ed under this pertnd within Cily property/right-of-wayleasement. SITE ADDRE55: 1221r2S [A)a 1 L S~ OWNERNAME:: VevlnEh.e~ ~Jtaildltni TELEPHONE#: ~ (AREA CODE) INSTALLER NAME: ;Zox"ittllv TELEPHONE#:laCi t (IfaI - (AREA CODE) STREET ADDRESS:,;.I " CITY: T:Ltf~n;.n~1h STATE: rVI. ZIP: riSOa~ I r i A-k SIGNATURE OF PERMITTEE I CITY USE ONLY LOT ~ BL ~ PERMCf SLJBD. RECEIPT I3~~~3 C ~ RECEIPT DATE: 7'/a^od 2000 MECHMICAL PEmIT (RESIDENTIAL) CTl'Y OF EAfiAN 3830 PILOT KNOS RD £A6AN MN 55122 Date: -~/iqo 651-6$1-4675 Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) _00 State Surcharge .50 Total $ ~I D . S (D Complete this section onlv if you are remodelinp, addlnQ to, or Mp[acing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. KhanFurnace ew Replacemen t Other Air conditioning ger r _ Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 Reminder.• Cullforfinalinspection. SITE ADDRESS: 7 Z~ S J R LL )7Y~~~1 OWNERNAME: &/-^T PHONE#: C9G ~ - lfCj'U c~000 (AR~EA~ ~ODG) INSTALLER NAME: I C-~ ! PHONE o C L STREET ADDRESS:~~_lUOP ~J ( ~A CODE) CITY: L STATE: n_ ZIP: ~-7~ S GNATUI OF P ITTEE JtJ~ o PERMIT City of Eagan Permit Type:Building Permit Number:EA116397 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 2265 Wall St Lot:003 Block: 001 Addition: Whispering Woods 12th PID:10-83961-01-030 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 . Audrey Flattum 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 - Paul R Hassett 2265 Wall St Eagan MN 55122 (651) 329-2929 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature