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2268 Wall St WSID ENT~AL (3 • ~ BUILDING PERMIT APPLICATION ~ CITYOFEAGAN 0~,rj`-11`{~ ''[d•~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-881•4675 P 0 - I`-I New Construction Reouirementa RemodellReoair Reauiremenb • 3 registered site surveys showing sq. fl. o( lot, sq. ft. of house; and all roofed areas • 2 copies of plan ~ 5. ~ucs 71 9 (20% maaimum lot coveraqe allowed) • 1 set af Eneryy CalcWations tor heateA adaitions . 2 copies of plan showing beam & window sizes; poured found desgn, etc.) ~1\ • 1 site survey for e:lenor addilians & decks 1 set af Eneyy Calculatiore ^~p • Indicate'rf home served by sep6c system for additiore • 3 copies ol Tree Preservation Plan ii lol Dlatted after 711/93 -ac C . Rim Joist Detal OpGons selectbn sheel (bidgs wiN 3 or less unils) ~ DATE VALUATION ~.6 /c~ 31TE ADDRESS MULTI-FAMILY BLDG _Y TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 /-101 ~ l ( 2~4G. APPLICANT ~e STREET ADDRESS / /S/T ATElZIPy6'1~597 TELEPHONE # ' CELL PHONE # FAX # ~ PROPERTYOWNER T/+ TELEPHONE# COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M1N\E;S01':1 RUISS 7670 CA'1'EGORY 1 _ MIVNESOT:1 RULES 7672 _ (J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Ener9y Code Worksheel Submitted • Energy Envelope Calwlations Submitted Plumbing Contraetor: Tervl fPlumbuig system inclWater Softcner ~ Iawn Sprinkler ~ Fee: $90.00 IK Water Heater 1 No. of R.I. Baths ~~~/GL9,0 S?j VW~~~ \3 No. of IIaths MechanicalContwctor: 47"pt-Dw 1"'CnqA11'~!6Z-- Phone# Mcchanical svslem includes: tlir Conditioning Fec: $70.00 _k'~Hcat Rccovcry Systcm Sewer/Water Controctor: ~lc= r/-4~ ~ Phone # I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O~/rdinances. / Signature of Appllcant / = -P---~---!~__~..7~r!P/---~--_4. • OFFICE USE ONLY Certificates of Survey Received V Tree Preservation Plan Received Not Required _ Updated 4102 2P3i , OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg I~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 ExL Alt - Multi 0 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 (screened) ? 36 Multl ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous j( 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "DemollUon (Entire Bldg only) - Give PCA handout to applicant Valuation z9zco Occupancy R -3 MCJES System Census Code Zoning 12- 1 City Water SAC Units O/ Stories Booster Pump Nbr. of Units 71 Sq. Ft. "3) PRV Nbr. of Bldgs Length ~Z Fire Sprinklered Type of Const ~ Width ~ REQUIRED INSPECTIONS X Foorings (new bldg) ~ FinaUC.O. _ Footings (deck) FinallNo C.O. Foatings (addition) Plumbing ,X Foundation HVAC SJ( Drain Tile Other Roof ~ Ice & Water X Final _ Pool _ Ftgs Air/Gas Tests Final ~ FraminB _ Siding Smcco Stone Fireplace _ R.I. _ A'u Test Final Windows (new/replacement) k Insularion ~ Retaining Wall Approved By ~ Z Building Inspector Base Fee 13 y.nr 13 79- ~T ~.S 9S Surcharge r/-I`ti -7 Y IL~L Plan Review ~.044f,a 17 o ay MC/ES SAC 2-VIekA -73/ 70 City SAC ~~~ti~y Gy /50~' 3~' Water Supply & Storage S&W Permit & Surcharge y3! Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . ~ NOV 12 2002 11:41RM PLRNCO INC. 6514523659 p.1 Permit Numher MECcheck Compliance Report cneckea sy/Dace 2000 Minnesota Energy Code VfLCr.her.k Sofhvaze Version 3.3 Release lc Data filenazne: I:\Energy Calcsub1EC\Mn\02-499.cck i Tl"CLE: .#02-499 CUU1vTY: Uakota S'fATE: Minnesota l.OVL: 2 CONSTRUC"TION 7YPL: Single FarsilLy D.4T1:: 1 U12i02 PRO.(GCT IIVFORMATION:~_ YIATTHEw' & RACHELLS.GONANT COViPANY 1\'FORMA'L'ION: VFNEHJEM BUII.DING CORP. r'C2VfpLIANCE: Passes A4a:umum U.4 = 535 Ynur Home = 474 - + i i. ,4% Better Than Code Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: F(at Ceiling or Scissor Truss 1462 ua ~ 0.0 39 '.b"nll I: Wood Framc, 16" o.c. 3892 19.0 2.0 187 \Vindow 1: Above Grade, VJood Framc, Double Pane with Low-E 428 0330 141 Dour L Sulid 18 0230 4 Door Z: Solid 40 0.350 14 Door 3: Glass 60 0.330 20 Hasentc-nt Wall 1: Solid Conccete or Masonry, 8.8' hd8.2' bg/S.8' insul 930 11.0 0.0 55 Basement Wall2: Solid Concmte nr Masonry, 3.5' ht/3.0' bg/3.5' insul 179 11.0 09 13 }lonr 2: All-Wood JoisvTruss, Over Outside Air 36 B.0 0.0 1 Flour 3: All-Wood JoisV'1'mss, Ovez Unconditiooed Space 11 38A- 0.0 0 Prnpoeed and Maximum U-Faclor Averages Proposed Maxirnum - Avecage U-Factor Allowed U-Factor Above-Cnade. Windows and Glass Doors 0330 0370 Licludes Poundation Windows > 5.6 ft2 Ploors Over Unconditioned Space 0.026 0.033 NOV 12 2002 11=41RM PLRNCO IHC. 6514523659 p.2 COhfPL1A\'CE STATEbIENT: The proposed huilding design described here is consistent with the building plans, specificanons, and other calculations suhmitted with thc pennit application. The proposed building has beeo designed to mect the 2000 Minnesotx Energy Code requirements inMECcheck Version 33 Release ]c and to comply with the manda/t~ory requ'vements Gstzd in ~ie M~ECckeck Cnspectian Checklist. Builder/Designer_~/ Date ~ I _ ~ TR~EE PRE~~~RVAITIO~~~L~AN«S~.(M wml k~(SEE ATTACHMENTS) ~ Development `SP r.L2.2 DS 1~ Lot Number < Block Number ~ Address ZZ _b S li ~ l Builder \1F t~}NF~i4 ~T Erv~ I~t Dkr ('f~~~ &`t u ~ 3c~:'~tr Tree Protection Requirements: Tree Fencing Oak Tree Pruning (Immediately seal wounds during Aprii 1 to July 31) Therapeutic Pruning Retaining Wall Other: Replacement Trees: Not Required as Fonows: R.(OIVI5I00 Attachments: Yes No Additional Notes: ID H:\ghove12000f1e\treepreslTree Preservation Plan Summary-2000 ,e~~,e.ilnTotv ~ Pw &~~~1r~ P~R.Ty U4~ln~~,; a. n1c LLf !G, LDq, VENNEH.SEM ALW,[J,, P~~i ttul, , ~aS~Pff ~LL~ :z,. N~:. 5,--E_- • 8 RD ~.~c~ CERTIFICATE OF SURVEY 7W For: VENNEJHEM BLDG. CORP. 3WY&~ ' Ln~-il- • _ LOT 11 I REES Dt~ Lb+ ' Z ~ J P • = - ~ - U -i •r •t/` ~ 3 I.C .I LO PLA 1A 0, - ~ 11 I~PL,5~ " O c r • ' ' l ~ • ` _ e ` J I / / C;~• ~ _ ~ ~ ~ n = _ I e ` S • ' - \~C. ~ ' C _ ~6 _ ' . _ - ~ g.e)~ 0 • : ~ ' i ~ • ~ / ~y r 1/ o - , . ~ ~ . _ • ~ ; e~ I • 1"1,30 Fage z o; 2 James R. Hi11, Inc_ Vovwhjem BLdWV CorPoM' Cll 25M yiest Camty Rcad 42, Sur.~ 9 Bwraft, MN 55337 ' 2268 WAIL STREE7 - CERTIFICATE 4F SURVEY For: VENNEHJEM BLDG. C4RP. PROPERTY DESCRIPTION: Lot 10, Block 1, WNiSPERING WOODS TWELFTH ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above 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 >>th day of November , 2002. James R. Hill, InC., I • By: E. S even i ht innesota L.S. No. 41842 Notes: 1. Building dimensions shown are for p Denotes set spike horizontol & vertical plocement of structure O Denotes set iron monument anly. See architeCturol plans for buildin • Denotes found iron monument 9 x927.6 Denotes existing elevotion & foundafion dimensianS. (930.0) Denotes proposed elevation 2. No specific soils investigation has been Denotes proposed drainaqe completed on this lot by Jomes R. Hill, Inc. TC Denotes top of curb -SF- Denotes proposed silt fence The suitability of soils to support the specific gencn Mork: 962.47 _TNtf L 7-8 BLK i hause proposed is not the responsibility of James R. Hill, InC. or the Surveyor. proposed Goroge Floor= 964.5 Proposed Garage 7op of Block= 964•9 3. No speci(iC title search for existenCe or non- Proposed House Top of Block= 965.6 existence of recorded or un-recorded easements Proposed Lowest Fioor= 956.8 has been conducted by the surveyor as a part HaRD COVER 5C}UARE FOOTAGE: of this survey. Only easements per the recorded Lot area = 14,158 5q. Ft. 14,158 S.F. plot ore Shown. House . = 2469 S.F. 4. Proposed grades shown were taken fram Hard Cover = 17.4 % khe grading &/or developmenk plon prepared by Bearings are on assumed datum NYHUS ENGINEERING SCBI@: 1'=30' v = 11 A y ~ O D ° ° James R. Hill Inc. m N f~ N N O 5~ O D ~ J c°n ~ N ~ o~ m'~+ ~ PLANNERS / ENGINEERS / SURVEYORS 0 N p~'" ~ N N W 2500 Ilt CIX R6 42, SU& 1M BtwMalE. 1@I 55337 rv cn < PHOlff: (952)890-6044 FAX: (952)M4244 2268 WALL SiREET CERTIFICATE 0F SURVEY For: VENNEHJEM BLDG. CORP. 966.1 961.0 o ? ~ x ~ 963.5 ~ w ZwF- ~ N°° LOT 11 W=° ~ 3: t MaIdrrtwm Stopea ~ 0 to or taining WAl1lMlll ~ Be~equired ~ 966.4 0 966.4 ~ J133.81 89°50,03„W gc. 66J 1-- ~962.3) 964-9 51.24 968.7 0. x W f-- ~-'F--~ -4----- ~m rn 964.° ef w mo+ 9b3. 964.7 ~28~~`N-y T~p C~y Mq r+ l~~] rn°' I ~9 SpKk L~ii J • W ~10 ~S.p° 39 ml > V r ~ 8S-T 4j 4~3-. `O.~ ~iZ33 964 ^ ~ Y ' -j ti N ~ I LiJ ~o~/ . ~ fY` ? p I Ny~p QO% 3. ~~6 o a~ 3 J p 9 oo i ~ ~ SANITARY SEWER ~ • rsir' - ^~^f0 o ~ L0T LINE INVERT ~ ~ 10 1 0 ~ ELEV = 952.04 7.o <o TOP OF CURB STOP ~ ~ °i I _ D BOX EIEV = 959.29 p Cy AS PER CITY OF vj -,y1 ~59~~ p, EAGAN AS BUILT ~ PLAN '`G \ S4 ~Y~ ~.N ,~B`~rC ~ pF 10.0- C Mq \ l o L,J IU~ 9 5 n~„ ~~OO a~o~F ~oo I\10 ~ ]B ~ ~ ORAINAGE AND - ~ TREE CER7tFtCATION WAS ~ ~ ~ UTIUTY NOT PREPARED FOR THIS c" .SS ~9Sg 92~~ EASEMENT AS K> L O T. A S O F 10/25/02, 0`~, S J~ gs PER PLAT ALL SIGNIFICANT TREES i~G y S• S HAD BEEN REMOVED RE=953.0 ° tz (954.0) A`yt; NV14.W~-~90.4946 6 ~ ro _...~..r' /J 4 ^I P Y!4 Q'fl`A'9 'iiS ~hT/~ D1~ Ti ~ µ ul ~S ..~.s.LC v s 1kk11V Scale: 1"=30' Page 2 of 2 James R. Hill Inc.~ LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMR APPLICATION PROPERTY LEGAL: L ~T J D 2172 !i DATE OF SURVEY: 4/- n 2 LATEST REVISION: m m c w z V v O~ Q DOCUMENTSTANDARDS QI' • Registered Land Surveyor signature and company (7 0 ? • Building PertnitApplicant ~ ? ? • Legal description J ? ? • Address 0 ? • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) LI ? • Directional drainage arrows with slope/gradient 9'a r~ • Proposedlexisting sewer and water services & inveR elevation ? ? • Street name ? ? • Driveway ~ ? ? • Lot Square Foofage ? ? • Lot Coverage ELEVATIONS / Existin fd G? • Sewer service (or Proposed) p~/ ? ? • Property comers d/? ? • Top of curb at the driveway and property Iine extensions I~ • Elevations of any existing adjacent homes ? • Adequate footing depth of structures due to adjacent utility trenches ~ ? ? • Waterways (pond, stream, etc.) Prooosed ? ? • Garage floor 0 ? • Basement floor ty ? 0 • Lowest exposed elevation (walkouUwindow) ? ? . Property comers C~ • Front and rear of home at the foundation PONf~ING AREA (if applicable) ? 9/0 • Easement line [y~ ? ? • NWL ? . HWL ? ,I~ ? • Pond # designation ? • Emergency Overflow Elevation ? ~ • PondlWetland buffer delineation DIMENSIONS ~ ? ? • Lot lines/Bearings & dimensions q~ • Right-of-way and sVeet width (to back of curb) ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. / (i.e. all structures requiring permanent footings) q' ? n • Show all easements of record and any City utilities within those easements C9~/o ? • Setbacks of proposed structure and sideyard setback of adjacent existing sWCtures G1~ • Retaining wail requirements, 'rf any Reviewed: ~ e;2,,2' a2 Name W. G:/FORMS/Building Permit Application ~ . Site address: LotL Block ~ Subd. /o? - /L, On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. ~ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This sWcture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE 'NaterHeater -O ~ ~~H C-~ ~~-r ~,~j Furnace p 3 ~ 5 ~ ~ u ~ ~ Dryer VENTED EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No Kitchen kitchen Bathroom 1 ~ Bathroom 2 V Bathroom 3 ~ ~ E ~p~ ? Bathroom 4 ~ ~ Other f~{UIJ ~.-~NNo~ , U~- VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS i ~ r~rl G~~ ~ MAKE-UP AIR MODEL TYPE CFM's I hereby acknowledge that fhe above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ~ Si ~ / Date ~ ~~i ,n~uM~ Company Name ,~y 4 /y /}/y,?'~ T~/N~ ~ l;l~A~. VO ' This form is the responsibility of the General Contractor. ~,,u Dr ~5~a ~ J Adilress: 2268 Wall St Zip: 55122 Lot: 10 Block: 1 Subdivision: Whispering Woods THE FOLLOWING ITEMS WERFJWERE NOT COMPLETE AT FINAL INSPECTION ON G.&. 03 Yes No Comments Final grade - 6" from siding ? Permanent ste s- ara e ? Permanent ste s- main entry Permanent drivewa Permanent gas Sod/Seeded lawn ? Trail/curb damage ? Porch Lower level finish ? Deck ? Fire lace • Verify with your builder tHat roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn fauceu before freeze potential eacists. • Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing irrigarion system BUILDINGINSPECTOR 'r'~~~ ~Enctr ~ cd/b1dginsp/fortns/2002/final inspec[ion checklist T _ . • - , . Site address: .~~~'~~°'Lol J0_ Block ~ Suhd. On April 15, 2000 ihe Minnesota Energy Code, Category I Building Requirements for insulabon protection, air tighlness, and vantilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy, ~ This sfructure: Is constructed W meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This eUuclure: will be canstrucled to meal more restnc6ve reorements of Chapters 7672 ar 7674 qPPLIAHCE GAS ElE MANUFACTUitER MODEL 8TU'S YEKfING TYPE Water Heater , fl t • N 5 6 N Fumace Oryer VENTED EXHAtJST SYSTEM LOCATION TYPE MODEL CFM's YEs Ho Kitchen kitchen Bathroom 1 r1l Ne, Vfi L 1 4~V f V Balhroom 2 i 1 'l Ew BaNroam 3 j ~ 6DP Bafhraom 4 V~ Other ~u 'C~ ~ (J , S YENTING FIREPLACE LOCATION GAS WOOC MANUFACTIJRER MODEL ; BTU'S DIRECT aiMas ~ MAKE•UP AIR MODEI TYPE CFM's ' I hereby acknowledge that the a6ova informaUon is carracl and agrae to comply with lbe Minnasota Energy Code and City of Eagan requirements. ~ 03 " ~ig tu Dste - ~~c;m t ~ EA 05~1 l~f CompanyName • TAis farm is the responsihility of the Genaral Contractor. ~ 2005 RESIDENTIAL BUII.DING PERMIT APPLICATION 4-~0'00 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimdion Reouirements RemodeVReoair Reaviremenis OffiCe lke 6nlv 3 regisfered site surveys showing sq. fl, of lot, sq. fl. af house; and all roofed areas 2 copies of plan Cedcd Swvey Recd N (20% mazimum lot coverage ailowed) 1 set of Energy Calculations fw heated addiGons T3m, PtCS P(srf' Rectl _ Y_ N'. 2 copies of plan showing 6eam & window sizes; poured (ound design, etc. 1 sile survey for addilions & decks Tree Pres FoqUitOd N isetofEnergyCalculafions Addition - indicafe'rfornsdesepficsystem 9hsiie$eptic~~st2A1 _~Y,_N' 3 copies of Tree Preservation Pian if lot platted afler 71iRJ3 Rim Joist Detail Options selection sheei (buildings wilh 3 or less units) IL T Date H_ I~_ Construction Cost )-0 U09" Qa/<' 41 I~~-- SiteAddress 2,2i(.7 COUSY- Unit/Ste # Description of Work r r„ k "la-~Y fL~rvw~~~°°rlncmw, t...-L.a.GSUV`n~ Multi-Family Bldg _ Y~Q N Fireplace(s) ~ 0 _ 1 _ 2 Property Owner Omm\'n~ Telephone # ) QqU ~i~d~ Contractor C~ Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Rules 7672 Energy Code Category , Residential Ventilatlon Calegory 7 Worksheet • New Energy Code Worksheet (J submission type) Submittetl Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y N If yes, date andddress of master plan:-~, i - - i~ ~ f~, ~ n Licensed Plumber Telephone ~ h ' VU" ~ LuuJ I Mechanical Contractor Telephone ) Sewer/Water Contractor iE'~~- - - = - I 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. e Applicant's P nted N~a'me Appl an' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 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 OS-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 Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair X 33 Alteration ? 37 Oemolish Building' ? 43 Reroof O 46 Windows/Doors ? 34 Replacement •Demolition (Entire Btdg) - Give PCA handout to applicant Valuation Occupancy 9-3 MCES System _ Plan Review ~ 1 DO°k or _ 25% _ Census Code ~f 3~( Zoning City Water SAC Units Stories Booster Pump - # of Units Sq. Ft. ^ PRV ~ # of 81dgs Length Fire Sprinklered Type of Const ~ Width ~ REQUIItED INSPECTIONS _ Footings(new bldg) FinallC.O. _ Footings(deck) ~ FinallNo C.O. _ Footings (addilion) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retainutg Wall Approved By: , Building Inspector - - Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total v5o ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN C K~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~7gs 651-675-5675 Please complete for modifications to existing residential dwellings. Date C?_ Site Street Address al L g Cs-ca.~ ~ S'~f ee'h Unit # Property Owner M~~ CoA,n n.`K _ Telephone #((p1a) SqU- 2,14s60 Contractor r 'n v` Telephone# (651) 40--7Ra4 Address 163y CH evxc6e~ City r iv+ State VY~h Zip U? The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. !f ~ou are installinp onl 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 (add $125.00 if a 5!8" meter is required) Y Other. ~e ¢ve QQ.~OrEAK UJWQ:VLAJ0 ~ Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 60,SO I hereby appiy 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 ap\ptication for a permit, work is not to start without a permit and work will be in accordance with-tti"e approyed plan in the event a plan is required to be reviewed and approved. ,J )CV,wt'el The~Pv~ ApplicanYs Printed Name ApplicanYs Signature Aug 07 13 07:56a The Fireplace Guys 612-326-1918 p.1 Use BLUE or BLACK Ink I For Office Use I 1101, j Permit 11_d aC49 I I g City of EaALIr Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: 5694 75 I Fax: (651) 1) 6 1175--5694 I Staff: f I € 12013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /7/23 Site Address: rPP,) i3127 Unit#: Name: t, .91.5 Phone: 617.,) Qv- _27217- Resident/ Owner Address i City !Zip: ~Llc`I) (U rrA e sJLZ Applicant is: Owner Contractor ~.m. ay~- Type of Work I Description of work: 'T n~~~i el~.~ lfi C,P e f Construction Cost: L/ 000 _m Multi-Family Building (Yes / No r ComPanY TVZ_ f--i N r~ t c ~/S Contact: 147 ~ I Contractor Address: illaIt A-e _ 40' "4120 City: r r, State: Pnll, Zi Zs~ p: Phone: J € ` `zl 2) 3 2 f I `fi, 7 i F T License L _~~C / l .yys' Lead Certificate IU If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) is COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 6 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a l _Yes _No If yes, date and address of master plan. I Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.gopherstaleonecall.ora 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 w.th the approved plan in the case of work which requires a review and approval of plans. Exleriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x F~Gt~ U1ti1c,' 14-✓, r,1D r1 Applicant's Printed Name Apphcant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use G 0 l 44C~ City an I Permit#: X08 I of Ea a ~ Permit Fee: ~ l 3830 Pilot Knob Road 1 , L Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite Residenlt/Owrier~ Name: Phone: f 2{ -~~v~~ r Address lCity /Zip: 71, Lill, d Name: License Address: City: ;'Contractor' State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) ..Type of Work Sump Pump Repair Repair Other: Other: Description of work: Jy-1P "'I~ ~'tcS G~~ISZ Q Description FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ O *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofea-gan.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.gol)herstateonecall.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. nv / Lao i~ ao oL-1 S x x / L Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ` Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA125767 Date Issued:08/01/2014 Permit Category:ePermit Site Address: 2268 Wall St Lot:010 Block: 001 Addition: Whispering Woods 12th PID:10-83961-01-100 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 . Danielle Merritt 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 - Mark W Waous 2268 Wall St Eagan MN 55122 Merritt Restoration 2031 Basswood Ct Rockford MN 55373 (612) 282-9979 Applicant/Permitee: Signature Issued By: Signature