2155 Warrick Ct
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INSPECTION RECURD
~ CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . .A
I II .~ti';; 1 F~~hl , ! 11 1 I'I i~~ (
, I II,.I I i I~~~ f 114~•~I
i: rM n RV ;a : I t~' 'v' i-J !(1 1.
~
J
L
Pe?mft No. Permit Holdsr Date Telephone A
SNV
PLUMBING
HVAC
ELECTRIQ:Z 00
ELECTRIC
Inspsctbn Dete Insp. Comments
Footings t ~V;:.Z'/~Q
Foundatlon ? y B
Framin9
Roofing
Rough Plbg.
Ftough Fitg.
I5ul. 6 9r ~
~
Flrepiece
Final Hig.
brsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.lPlan
Blcig. Final
Deck Ftg.
• Deck Final
Well II
Pr. Disp. ~
~ ~1 v-fS9 ~ I
~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3$30 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
. 4 . . i r . _ . , .
SITE ADDRESS: „I , t, i„(' ~ APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
, , ~ , ~ , ~ i~
INSPECTION .
~
t i rlHltr 14' , t a' 1•IIE, F I lirq ),t kil t r Hr~ I'iH hil l UkF
i'IDRf.H
~ ~
-----y
PermR No. PertnR Holder Dete Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK F7G
DFCK FIN:.:_
j
Address 2155 wnuusc:rc !rn~T Zip 55122_
I.o1t ~ 22 Blk 1 Sub sr M~mS [,oOD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~wf_R, Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage) V/1
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck
Please verifywith the builder the removal of roof test caps from the plumbing system andthe shut-off of water supply to
the outside lawn faucet before freeze potential exists. -
Contact engineeting.division at 681-4645 before working in right•of-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
2005 RESIDENTIAL BUII.DING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtbn Reauirements RemodeVReoalr ReauiremenLS Office Use Onlv
3 registe2d stte surveys showing sq. tt. of lol, sq. h. of hause; and all roofed areas 2 copies of plan CeR M Survey Reoi _Y _ N
(20% maximum lot coverdge allowed) 7 set of Eneyy Calculations for heated adEltions Tree Pres Plan Recd _ Y_ N,
2 copies of pWn sMwug beam 8 window saes; poured found design, etc. 7 si[e survey tor addHbns 8 dedcs Tree Pres Required _ Y_ N
lsetofEnergyCalculafions Add'Non - indicate'rfon-sdesepGcsystem On-sileSepUaSystem _Y _N
3 coples o1 Tree Preservation Plan K lol pleUed after 717/93
Rim Joist Detail Options seleclion sheet (buildings wAh 3 or less unils)
Date(D/ ConstructionCost
SiteAddress c~ISS 1,~)atA~ Occ.n7t' UoitlSte #
Description of Wark ~ 5~~'D
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ~-L ~ tiL AN.D 1041T, Telephone # ( fo5 ( ) c990 - J"~ 7D 3
Contractor /1'"1b~Z`14,.) Re-s
Address ~el 646(E- /~~25a~ *fl, L City~fi
stete ziP s~~gd Telephone # (&S( ) `~39 - /~6 0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(4 submission type) Submitted Submmed
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
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 tUe 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 whi requires a review and
approval of plans.
~7
'Applicant's Printed Name ~Applicant's Signattue
2005 RESIDENTIAL BUILDING PERMIT APPLICATION l• C(~ 1(~~y-y~,( Jf p~,
City Of Eagan o z/
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reauirements Offke Use OnN
3 2gistered sile surveys showing sq. h. of lol, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%mazimum lot coverage allowed) 1 set of Eneqy Calculations for healed add'Aions Tree Pres Plan Recd _Y _ N.
2 mpies af plan showing 6eam 8 windowsizes; poured faund design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N
lsetofEnergyCalculalions Addifion - indkafeMOn-sdesepticsysfem On-sitaSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted afler 717193
Rim Joist Detad Options selection sheel (buildings with 3 or less uniis)
Date ~ / Ur / ConstructionCast
SiteAddress ~S-c- (.U~vv c fC UnidSte k
Description of Work (7GS~vycr~rT ~2wrod~P 4u-ri
Multi-Family Sidg _ Y_V N Fireplace(s) ~ 0_ 1 _ 2
Property Owner P114111c. k ?"5~ ( Telephane # ( 6SI
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Ene[gy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheei
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor r Telephone # ( J
Sewer/WaterContractor ErIL-- Telephone )
F II~
I hereby apply for a Residential gilding e•mit nd ck owledge that the information is complete and accurate;
that the work will be in conform and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. n
F-u?ks ~ 4 1
ApplicanPs Printed Name pplicant's Si ature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02. SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex IY 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition O 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34. Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation 111'? (9~ Occupancy MCES System
Census Code V/ 3[4 Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const e Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
~
S&W Permit & Surcharge 7o
Treatment Plant
License Search
Copies
Other
Total
_~CI''Y OF EAGAN PERMIT fl- (3-5~
3830 Pilot Knob Road PERMIT TYPE: B I L D i N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 5 9 7
(612) 681-4675 Date Issued: 10 / 13 / 9 4
SITE ADDRESS:
2155 WARRICK CT
LOT: 22 BLOCK: 1
ST CHARLES W00D
P.I.N.: 10-65870-220-91
DESCRIPTION:
Building,.Permit Type SF DWG
Building Wo~rk Type NEW
!UBC Occupancy\., R-3 M-1
j Construction Type V-N
j Zoning R-1
j Building Length / 65
% Building W3dth ~ 43
Building stories ~ - 2
~^-_Sµu~are Feet ~ 2,221 ~
~ rvy~ v~
? / ~.t~V L"~ ~ F:j`' :J
V
REMARKS:
PRV S & W PLBR -
FEE SUMMARY:
VALUATION $198,000
Base Fee $982.50 MISCELLANEOUS $1,828.50
Plan Review $638.63 Total Fee $4,348.63
Surcharge $99.00
SAC $800.00
SAC ~ 100
3AC Units 1
Subtotal $2,520.13
CONTRACTOR: - Applicent - sT. LIC. OWNER:
HORTON INC OF MN, D ft 14544663 20005657 JOE MILLER HOMES
3459 WASHINGTON DR 3459 WASHING70N DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
,
xr I.,h'ereby acknowledge that I have read this application and state that the
infiormation is correcC and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPL ANT/PERMITEE SIGNA7UFE ISSUED : SIG ATURE
, CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s 19, e ergy
calcs. SEp 1 5 11994
COMMERCIAL 2 sets of architectural & structural lans, 1 set of
specifications, 1 copy of energy cal
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 19 6? Valuation of work
Site Address: L'ot (20 U e t
STREET SUITE #
Tenant Name: (commercial only)
LOT C9 r-4 BLOCK ~ SUBD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor Other (Describe)
Name Phone
Property Lnsr Fiasr
Owner Address
STREET STE #
City State Zip
Company Phone Z6q"Wd,{_2)~
Contractor Addres '7~c? icense # : x. 3qf)-
City State ZiD65/OZ .
Company Phone
Architect/ Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
/
Signature of Applicant: /5- 94
OFFICE USE ONLY ~ - ~ • ~ .
BUILDING PERMIT TYPE ~
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
Of 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 fireplace O 19 Comm./Ind. Misc.
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair C] 36 Move
GENERAL INFORMATION
Const. (Actual) 'k-W Basement sq. ft. Z MWCC System Iq
(Allowable) lst F1. sq. ft. 1,~7/ City Water x
UBC O9cupancy Snd Fl. sq. ft. ~siz PRV Required x
Zonin q, ft. tatal Boaster Pump
# of Stories Footprint Sq. ft. z zzi Fire Sprinkler
Length ~s On-site well Census Code
Depth ys On-site sewage SAC Code
~L
APPROVALS eensus Undg ~
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site eg~ Footing E14raming ~Insulation
? Wallboard Q~Einal ? Draintile ? fireplace
Permit Fee vaiuacion: g /9fl,ooo
Surcharge
Plan Review /SsMrLicense
MWCC SAC zx z3.&7 = 1/;,3y 2XZ3.v7 = Y7.3y
City SAC ~ zX v =
Water Conn.
Water Meter 3 s =.s~_, s~o
3s -
Acct. Deposit J y71 syXSyj
S/W Permit p~3.s1/
S/W Surcharge
Treatment Pl.
Road Unit 777.7 s
3~.
Park Ded. s/z . Zr 5- K s
Z&xsy ° ~ ~.sF zo> >C >
Trails Ded. v~ Is , ivo
Copies L r X /s.s,> =L7.7} 7
Other Gi~f 5 > ~ 9° >
Total:
sac v 73g x
SAC Units
L- - _ -
7or„~ ~ /S'7BSB
CERTIFICATE OF SURVEY M32~-1166-94
• for
JOE . MILLER HOMES N 84w E
90.37
47,1 0 o s¢s`
S - - - ~s ~
)2, , koll,T ~ \ \
< Utuit ~
7 /o" y eOSement
~ ~ / ~9385~ ~ ` M
~
riu ~ prainug6lity ent \
eQSem
~ - l
mM~ ~ ~4.0
Q)
Cc
o
N o,
QO O~ N ?'ie> $ 2 .
p
s ,r8 QS°posey
' ~t e/ hO4se 'oo
9s3,6 Z
9o K
U
f 96~Ob o0
Bik 96~
~
0 5S~ ~
p ~ 9~ so Fr°
` iNV,
8s ~ I ,r S
S)~ 2 00
~2 • ' Ss, I GAN EIVGIIVEERIIVG DE T
05~ .
C\ Scale: 1u = 30'
C° ~a
~
r Z! _ Warrick r ~
r~
G~o G~o~Io ~.R~
DESCRIPTION R E V I E 4V _ L~
.
...r-----
I hereby certify that this survey, plan, or Lot 22, Block 1gy
~S~
report was prepared by me or under my direct ST. CHARLES WO
supervision and that I am a duly Registered ~j' L
Land Surveyor under the Laws of the State Dakota County, i~,+eso{Q'.~,._- t
of Minnesota. Plat bearings shown
o Denotes iron monument
VC
Date ~ 56Q 199~ RFVF_Reg. No. 8140 ~ Existing j Proposed
~ BRAPIDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
M32-1166-94
LOT SURVEy CHECRLIST FOR RESIDENTIAL
BIISLDING PERMIT l?PPLZCATION
~ pROPERTY LEGALt
Dats of Survey: _
DOCIIMENT 6TANDARDB i / / ~f 'H' 0 0 • Registered Iand Surveyor signature and company
D`D 0 • Buildinq Permit Applicant
~ 0 13 • Leqal descziption
~ D 0 • Address
07' n 13 • North arrow nnd bar scale
D~ 0 D • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
G~M 0 • Directional drainage arrows with Blope/qradient 4.
8' 0 D Proposed/existing eewer and water services
0' 0 0 • Street name
Di0 11 • Drivevay
ELEVATIONB
Exiatinc
[70~D 0 • Sewer service
Or'-13 0 • Lot cozners
Pl D 0 • Top of curb at the driveway
0D---U • Elevations of any existinq adjacent homes
Procosea
0 D - Gnrage floor
0 0 • First floor
0''D D • Lowest exposed elevation (walkouL/window)
20 D • Property corners
B'L 0 • Front and rear of home at the foundation
PONDING 71REA8 fif avDlicable)
0 2'0 • Easement line
0 GY 0 • NwL
0 0" 0 • HwL
0 0'" 0 • Pond # designation
D 0'13 • Emezgency Overflow Elevation
DIMENSIOIQB
D D • Lot lines
IIr 0 0 • Right-of-way aad street width (to back of curb)
B' D 13 • Proposed honne dimensions including any proposed decks,
overhnngs qreater than 21, porches, etc. (i.e. all
atructures requiring permanent footings)
1~- D ~ • Show all easements of record and any City utilities within
those easements
C- D 0 • Setbacks of proposed structure and setback of adjacent
existing homes
a 8-0 • Retaining wa requirements, if any
Aeviewed:
Nam / ate
October 1992
, .
2.4
s~s(2 3
22 ~
v+o5 ~"51,• s t+5 m
w
9 2+4 2
i
G' iw9/ ~ $L.. 4 ~
\ *g- ~ rdkb"~
4...'
SHE~E~Iq ,~~r
~v.~ *~1~ L,l91fJ1~~EN~~Q~Lld7~'}::~1! ~
, ~t,~rroNs.
:Fu-i(78~~;~~„PUAPps,c
l?
P~TH~SH~ f,,t;; . ~ ~
M. ~ L /~M ~
5!~ OV< 1
~
~
~ I Dy /
a
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' GOtliR-
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G4ri,3~ o
~ ~To NIN.s{g +
~ ~ ~ ~-RISER f~ ~ ~ C
II ~YP.) 13S~,~o~B'~-
.
~i _ r r-> _ .i ~ f.~ aAC~~ ~
~ . i , Aap 93
M
o-
1:1 1'T'491t° 1::=SWV~ &b-! D O Fl:~
~ ~ I ~ I
. MINNEROTA GTATS ENERGY OQ& CAICUI&TIONS ~
' BA9SD ON CIiAPTSR 5 OF Tf1E
MODSL ENER6Y COpE - 493 EQITIQN
(I Adoptlon E[feative
owner_~___ANW C, f~ Phooe pate__.
site.Addrese
. ;
contractor
guilding Classifioationt Type l?i (single Family b buplex) r
Type A2 (Residential, 3 stories or less) (Over 3 stories) (other)
NOTSt ComQlete jRaqes 3 and 4 first.
9ENEF2AL• TNFORFLATTON
1, euiiding Perimeter L~y0ft.
2. Wall height (ground to aave) N Ft.
a. 1. X 2. (abova) qrose usll area 33 R~ sq.ft.
4. Buiiding dimensions (L) x(W) r 4 ~~Ds~q,ft.rooP 6 fxoor area .
5• Sq. foot area of rim joist - Fl~r Xoie. t~ize (2 X~~_Z, /1 q
i~(Perimeter) sq.[t.
2 •
6. Doors - Area
Thickne s in U. factor~l4t 41
Type oP Congtructlon Perimeter gt,
Manufacturer
7. Total dnor's perimetier pt,
B. tiindows: Mantkf~turer 1~~JUL l~/lt! ~ State eppraved_
U factor L _
'PYpE SIZE AREA (6q.Ft.) NUHBER OF TOT?.L
EACH UNI'CS 5Q FBET
ri
9. motal sy.tt. aiaes
lo, Fireplaae areaf Width X Height sq.ft.
].i. Exposed toundation= Neight Jt Perlmeter,G7 X(7(., ft.
COldPLETION Op TNIB FORM x8 REQUIREn FOk AI.I, NEA1 C0149TRlICTiotf, MAJOR
REMODELINt3 AND BUILDINf3S BLING HOVED WHERB 1Sf1ERGY, OTHER TNAN mH$ NINIMAL
COpE ALLt7L9ANCE, IS UBED.
50iT0'd 659£ 2Sb z19 1 'Xli 'ODNy-Id 8£:SL 6661-TO-d35
1Z. Framin aren ~ 10} of
q grogs Nall area.
13. Gross well erea ( gq,Et, .
Window erea A 33 ~ sq,tt. U windowa UxA -
Rlm joiSt area A~sq.ft. U rim joist= UxA -~j=%
poor area A -s! gq,ft, u door srea= ux]1 = 7
Othsr doors area A By,ft. v other doorQ=-14--L Uxa -
Expomed lndli A-,1sq.tt• U foulldqtlotl=~(J L(O UxA -
p~ ~
Framinq area A ec~, Pt. u Praming area= UxA =
Net wall aroa A eq. ft. U wall. f!~43 Uxh _
(138) TOTAL . . . . . . . . . UxA -
14. Gross wsll nrea x 0.11 (1?-1 alnqle faepily G duplax) = allowable Ux.A/Code '
(1J. aAove)
x 0.23 (A-2 other reaidentiel) x .23 (othet buildinge)
x .28 (ovar 3 storiea)
2BTUH muat he larger than or eame
l+ iYU x U Code ~ t 1 4 % °F. ae 13B above
15, ce111ng framing area (A£) equela lOt of aellinq area
15A. Grose ceiling area =(L) x(N) d1(10eq.it.
r
158. .7oist area (Af) A 30t cailing erea
15c. Net ceiling area (A.) (1BA - 15B) ~ 4sq.ft.
U ce i 11 nq xAC = 1~1~.•-•~-'-5~.-x
U framing x A f . ~i x
150. TOTAL U x A
16. Ceiling eren (15A) x 0.026 (A-1 single femily k duplex)
= ellowable UxA/C~ode
x 0.033 (A-2 other reeidentiel)
x 0.06 (other)
1~(15~l/`? ~ BTUH muet be lezger than ~~r sarae
1~)I x U Code_~„~~,_~,r P. eg 15p abova
17oTEi Uee U anol 1? values obtained from pageB 1, 3 and 4.
CEBT7,EICATI4Hm I heraby certify that I have oalaulatad the "U~~ fsatnrs end
~~itII valuas hereln and thaC tha building hera dosoribed maoto or exaaeae tha
stata oP Hlnnesnte Etiergy Conaervntion hak. .
nate 8lgnature
~
PERMIT
~CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028151
(612) 681-4675 Date Issued: 0 7 i 0 3/ 9 6
SITE ADDRESS: 2155 WARRICK CT
LOT: 22 BLOCK: 1
ST CHARLE5 W000
P.I.N.: •10-65870-220-01
DESCRIPTION:
(FUTURE PORCH)
l3u3ldii?g- Permit Type DECK
~uiiding W.9rk Type NEW
r`Gensus Code434 ALT. RESIDENTIAL
,
i'!~ i~~~fl l, TM•'~
REMARKS:
14'x 14' POR7ION OF DECK HflS 3 FTGS AT 24" DIAMETER BELLS FOR FUTURE
PORCH
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - Applicant -
REEDER MARCELLE
2155 WARRICK CT
EAGAN , MN 55122
(612)882-6369
I hereby acknowledge that I have read this application and state that the
information zs carract and agree to c.omply with all applicable 5tate ot Mn<
Statutes and City of Eagan Ordinances.
L . ~
.
GN1AT °EI,
APPLC /
~~PE M~ EE SIGNATURE 155U
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ ' 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
t'q 681-4675
New Construction Reauirements . RemodeVRaoair Reauirements
? 3 registered sile eurveys ? 2 copies of plan
? 2 copies oi plans (includa beam 8 window slzes; poured (nd. design; etc.) ? 2 site surveys (exterior addMians & deeks)
? 1 energy calculatlons 1 7 energy calculations for heated additfons _
? 3 copies of tree preservatlon plan if lot platted after 7/1193
required: _ Yes _ No
DATE: ~ 3-/v~9/~ CONSTRUCTION COST:
DESCRIPTION OF WORK: C4 f~l LIC-4 t~
STREET ADDRESS:
LOT °a- BLOCK I_ SUBD./P.I.D. JA" onzi
PROPERTY Name:.;~ejj~~ Phone.#:
w, nR81
OWNER • T
~OJ/~.~8"/
Street Address• 2~/
City:, State: lj*A~ Zip:
. ~
coNTRAC7oR Company: Phone
5treet Address: License
City: State: Zip:
ARCHITECTI Company: • Phone
ENGINEER
Name: Registration
Street Address•
Ciry: State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and Ioi
change are requested once permit is issued.
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.
Signature of Applicant:
OFFICE USE ONLY ~~~ENED
.
Certificates of Survey Received _ Yes _ No
. J UN g 6 1996
Tree Preservation Plan Received Yes No
OFFICE USE ONLY • •8 `
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 = piex ~15 Deck
WORK TYPE #OX /yx/y A0774w'' DF
,d'-31 New ? 33 Alterations ? 36 Move
~
? 32 Addition ? 34 Repair ? 37 Demolition 0
~ 2~1 3cttf F~-
GENERAL INFORMATION r ~
~lwcr, ~
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Boaster Pump
Length sq. ft. Census Code. 47357
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit D
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
`
% SAC
SAC Units
. .
CERTIFICATE OF St1RVEY M 3 2-~- l 156~- 9 4
for
JOE MILLER HOMES N 89'48'04" E 54,44
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eosement
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1 ro~ g /
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DESCRIPTION
I hereby certify tnai this survey, pian, or Lot 22, Block 1,
report was prepared by me or under my direct_ ST. CHARLES WOOD
supervision and that I am a duly Registered Dakota County, Minriesota
Land Surveyor under the Laws of the State
of Minnesota. Piat bearings shown
~A o Denotes- (rbn rnonument
Date a7 56P 199Lt 2FV, Reg. No. 8140 ~ Exist(ng~ Proposed
Q I ~ /9
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BRANDT ENGINEERING & SURVEYING ? ~
1600 West 143rd Street, Suite 206
Burnsville, MN 55306 °
(612) 435-1966
. . . . . . , , . ~ . . ~ . .
f
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1994 PLUMBIIVG PERMIT (RESIDENTIAL)
C1TY OF E,1GAN ~3830 PILOT KNOB RD
>e
EAGAN MN 55122
(612) 681-4675:
PLEASE COMPLETE F'OR SINGLE FAMILY DWELLWGS AIS'Q; FOR~~TOWNH~OMES~";,~
CONDOS WEiEN° PERMITS, ARE REQUIRED FOR EACH":UNTI',
<<
NU. EIXTURES` ~ACH TOTAL ?
~ SHOWER 3.00
-
~ WATER CLOSET 3 UO 2? T W
BATH TUB `3'00 ~ LAVATORY 30Q
KITCHEN SINK 3w00
_ l LAUNDRY TR.AI'
HOT TtJB/SPA 3 pp,
~ WATER. HEATER 3 00_ " ` '
FLOOR DRAIN
GE15 PIPING OLTTLET ~ minimum . t 3 00' ~ ~
-22 ROUGH OPENINGS i 15A ~
WATER SOF'TBNER ` 5~00'
PRIVATE DISP. • nekciy, uG
U.G. SPRINKLER • nome unaer mnst: .~....+°~--`$~~x y~ y
ALTERATIONS • io adssine 20 ; - `
WATER TURN AROUND '2U.<(+?Q ti r'3''•' ~
x FY,~
STATE SURCH.ARGE
TOTAL:
r
SITE ADDRESS:_ ' €2 I "~~7 n l''1 ( .L~~ . ~
OWNER NAME:;
.
F, ~
INSTAI,L'ER: GENZ-RIYIAN PLUMBING & HEATIN6'~'
7~
ADDRFSS: 14745 SOUTH ROBERT TRAiL
CITY: ROSEMOUNT STATEi MINNESOTA
PHONE ( 612 ~ 423=1144:
$IG Ma 7 ~ -~El
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. , - -~3- - .
C. E
CITY USE ONLY
~ L .o,:~PZ BL ~ RECEIPT 1~1416
J\ SUBD. ZfV C:" LvO-04 DATE: 2-3 J
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please comnlete for. ? singIQ famiiy d.w_P!!ings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
5hower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas F'iping tJutleL " minimum - 1 3.00 x -
Rough Openings 1.50 x =
Water Softener 5.00 x 5 r() 0
Private DispoSal Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations ' to existing 20.00 _
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ~
SlTE ADDRESS: -2 /
OWNER NAME:~
INSTALLER NAME: e7n Ct-L~
STREET ADDRESS:
CITY: l o- STATE: ZIP: -SSv7S
PHONE ) .22 Lt ~
TTEE
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1994 MECHANICAL PERMIT (RESIDF.NTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.,Y DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT.
V-' NEW CONSTRUCTION
:wD-ox A/c
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OVI'LETS (Mnvrn,rUM i@ S3.00 EacH) 6°-"
ADD-ON/REMODEL (FmsTnvG coNSr[tUCrcoM $ 20.00
STATE SURCHARGE .50
TOTAL 36 ho
S1TE ADDRESS:
OWNER NAME : JoC M(Uw kryw TELEPHONE ~ysy-y66~
INSTAI.LER: l_ /1/i10OLG EL5 Ae
EwnxESS: 309 2" 57-
CTI'Y: Mmlh'i~lzN STATE: ZIP CODE: 5562`/
TELEPHONE 02 2
SIGNATkAtE OF PERMITTEE
~ ~6o ~
2007 RESIDENTIAL PLUMBING aeRnniT aPPLicaTioN
CITY OF EAGAN ~
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 '
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
lumbin on the same a lication; se arate a lications and ermits are re uired.
Date C9 I a I(1,7
1
Site Street Address a~ SS W C.INY' kck`\ C 1 Unit #
Property Owner i Telephone # ( )
Contractor YlQ V+SbU Ai_Mh, rt, , ~rvC Telephone# ) ~-f~-7tcSy
Address `~r)q5^ /Ga 4 L4, k),cl- ciri K1v.4m)P,- stace!at,t ziP SD-L~_
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations o existing dwelling $ 50.00
_ Add plumbing flxtures to main level lower level. 'This fee includes
installation of a water softener and/or water heater at the same time. lf you are
installing only a water sokener and/or water heafer, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_ Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
Water SoRener Water Heater $ 15.00
_ new _ replacement
_ Lawn Irrigation _RPZ _PVB irill;w~ _repair _rebuild $ 30.00
State Surcharge ' $ .50
Total $
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be
in confortnance 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 approved plan in the event
a plan is required to be reviewed and approved: O
hk,cV,YV10.1, y,c5sw
- ~
ApplicanYs Printed Name ApplicanYs Si ature
~ 00
W2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenfs RemodeUReoair Reouirements Olfice Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofied areas 2 copies of plan showing foo6ngs, beams, joists Cert of Survey Reoi _ Y_ N
(20°h maximum lol coverage allowed) 1 set of Energy Calculations for heafed additions Soi6 Repat _ Y_ N
1 Soils Report if proposed building is to be placed on dirturbed soil 1 site survey for addiGons & decks Tree Pres Plan ReM _ Y_ N.
2 copies of plan slrowing beam 8 window sizes; pou2d found design, etc. Addfion - indkate rfon-site septic system Tree Pres Required _ Y_ N
i set ot Energy Calalations Onsite Septlc System _ Y_ N
3copiesotTreePreservationPlan'rflotplattedafter711193 ~~y~ ~ 9M7
Rim Joat Detail Optlons selecGon sheet (buildings wAh 3 or less uniLS) WN~ _1~~~
Minnegasco mechaniral ventilation fortn O~,
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date (o Construction Cost ? L -7c) !
Site Address Z > > j W ~'•1-~~' ~ ~e3 'i~~~ UnitlSte #
Description of Work L
S c-r{~-~T Re~
Multi-FamilyBldg _ YIA Fireplace(s) _ 0 ~1 _ 2
Property Owner 'a.- );:~v S-P+HlSelephone # ( +0S l) qq p - S 9 U3
Contractor (,:,`o
Address I CiTy
State PA~ Zip 55 t 2~ Telephone O'a LI
C,r} R~ S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 D
Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy ~d,~q~~
(J submission rype) ~ U u
Submitted S~ itt
• Energy Envelope Calculations Submitted inl"
2 p 2007
I n t h e l a s t 12 m o n t h s, h a s T h e C i t y o f E a g a n i s s u e d a p e r m i T f o r a s i m i l a r plan based on a master _ 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 informarion 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
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.
Cr-tR~ S
Applicant's Printed Name App icant's Signa' e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg '
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
11- 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
D95cfioti011: Water Damage _ Yes
Valuation ~J Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type af Const Width REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Foorings(deck) FinaVC.O.
_ Footings (addition) ~ FinaUNo C.O. ~
_ Foundation Y HVAC. /
_ Drain Tile r~ Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
~ Fnming,f I Siding _ Stucco Lath _ Stone Lath _Bdck
F'ueplace RI. _~(qir Test _~inal Windows
Insulation Retaining Wall
Approved By: Building Inspector
Fee
Base Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge ~Ae+y(MQ"fi
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007 RESIDENTIAL BLTILDING rERmiT arrticaTioN
City Of Eagan
3830 Pilot Kuob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtlonReauirements RemoddlReoairReauiremen5 OficeUse.OnN
- 3 registered sAe surveys showing sq. tt. of lot, sq. tt. of house; and all roofed areas 2 copies M plan showmg foodngs, beams, joisls Cert of Survey Racd Y'N
. (20%maoumumlotcoverageallowed) . isetMEnerqyCalculationsforheatedaddAwns SoilsRepat ~_Y N
1 Soils Report if proposed building is fo 6e placed on disturbed soil 1 sfte survey for addifions & decks Tree Pres PWn ReW _ Y_ N,
2 copies af pWn showing beam 8 vrindow sizes; poured found design, etc. Addition- indcate il on-site septlc sysfem Tree Res Requved _Y N
lsetofEnergyCalculafions Ori-Site:Sephc.Syslem ._Y. :N
3 copies of Tree Presenation Plan'rf lot pladed aker 711/93
Rim Jois! Detsil Op6ons selettiun sheet (buidings wiU 3 or less unAS) .
Minnegasco mechanical ventilaCwn fottn Pians are considered u61ic information unless ou state the are trade secret and fhe reason.
Date I~^-~ / Construction Cost
Sife Address ff57 WGZ-J~Y I C- UniUSte #
Description of Work 0 O y" q- TG O 1 J
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 2
Property Owner / c fr ~ C K /'Gtri~I r~ Q Telephoue # ) o
Contractor zffhy-n ~49`~10
Address ~ 67(~ ~ . C<<3'
State {47 Zip ,5a-,% y 1 Telephone # (7~ 2 )SY I -6~ ~
i~
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rales 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet .
(d submission rype) Submitted Submitted - . Energy Envelope Calalafions Submitted tn the last 12 monThs, has the City of Eagan issued a permiY for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: .
Licensed Plumber Telephone J
Mechanical Contractor Telephone J
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 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.
~~,~J
w il~~_Y~ r~tti~z
`~~l ln, rr-w i
/ U (
ApplicanYs Printed Nam Applicant's Signature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsW ction Reouiremenls RemodeVReoair Revuirements Offce Use Onlv
3 registered site surveys showing sq. ft of lot, sq. fl. af house; and all rooted areas 2 wpies d plan showing 1006ngs, beams, jasts Cert of Survey Recd _ Y_ N
(20%maximumlatcoverageallowed) tseta(EnergyCalcula6onsforheateAaddiGons SoilsRepod ._Y _N
1 SoJs Report d pmpwed building is to be placed an disWrbed sdl 1 site survey for addifions 8 decks Tree Pres Plan Recd N.
2 copies of plan shovnng beam 8 windav sizes; poured (wnd design, elc. Add6on -indkete i( oo-site sepAc system Tree Pres Required _Y ..N
lsetofEnergyCalculafians On•sde5ephc$ystem-_Y _N
3 wpies of Tree Preservation Plan H lot plaHed after 711193
Rim Jaist Oetail Options selecfion sheet (buddrgs wiU 3 or less units)
Mnnegasco mechanical ventllatlon form
Plans are considered ublic information unless ou state the are trade secret and the reason. ,
Date ~ / L9 ,7 Construction Costy7 > C::~2 ' 32-
Site Address 1N,4,K "V ~ UniUSte #
Description of Work c2l~ c-,,-YJ ~ ~ 4cer?~17
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ~~~r~G~ ~UYII 5~~~ Telephone£tfG3/ )S9~ ~~~3 .
Contractor Wk7/V All IQGYJ~/~rJ,E f" 54P_1.1/~
Address :g77ao/3 7,ff 4 U/-2--7 /1/ Cit3'~~`~~~~F" L~
State AAAL Zip Telephoue #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Calegory 7 Worksheel • New Energy Cade Worksheet
(4 submission type) Su6mitted Submitted
. Energy Enveiope Calculalions 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 and address of master plan:
Licensed Plumber Telephone ~
MechanicaiContractor Telephone#( )
Sewer/Water Contractor Telephone # ( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
~ AppiicanYs Printed Name Applicant's Signature
~
r.~. _ ,
i Far ~ Use ~
City of EapIl ~ Permit# 3 3s~ ;
I Permit Fee:
3830 Pilot Kno6 Road
Eagan MN 55122 ~ Date Received:
Phone: (657) 675-5675 j Staft:
Fax:(657)675-5694 ~ i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: c
Tenant: ~a * jt~~ vt S Suite
RESIDENT/OWNER Name: Phone: ,/S--/ 307 7/72
Address ! City / Zip: rtl
~
Applicant is: _ Owner /-Contrador
TYPE OF WORK Description of work: 12Q1) ?
Construction Cost: Multi-Family Building: (Yes NoK'~
~
CONTRACTOR Name: A411 rx f t+-.o~l License 67 y
Address: /S -3 /ra~ l.7?
City: s-a SY f¢-l State: 44 /L/ Zip: SJ U ? 5`
Phone: G.y~ ~/g) 0-266 Contact Person: ?[i c~i I d~"44
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water ConUactor: Phone:
° NOTE:, Plans and supporting documents that you submit are considered to be pubiic information. Portions of
the informaGon may 6e cJassified ag non-public if you providespecific reasons that would permit the Cify to
conclude that the are trade secrefs.
I hereby acknowledge that this infortnation is complete and accurete; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permR; that the work will be in
acwrdance with the approved plan in the case of work which requi2s a review and approval of plans.
x/~ ~R'F A u SY", k I X '
ApplicanYs Printed Name ApplicanCs S' ure
Page 1 of 3
City of Eapn I Permil
I ~
~ I
3830 Pilot Knob ROad ~ Permit Fee:
I
'E8g8n MN 55122 I Date Received:
Phone: (651) 675•5675 1
Fex: (651) 675-5694 ~ Staff:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
oece: f It5 •OS siteaaaress: 2-1S5 Wavv iGk C+- ~EaqaU
Tenant: Pa'tcIC~C ~UYNStQ~ t ~
Sutte k:
RESIDENT / OWNER Name: -Pa~yiGL U(tA5'C0.W Phone: &5) 8 R0 59`03
Address/City/Zip: Z(SJ WafriCK G4. 14 .SrJ1 2
CONTRACTOR Name: DdQi" Fr0 ?IU GH? I'4q License O 6D (o (.3 pM
Address: VU 1TJ" 2D '71-14 15~11C • U) •
City: Lp-L&--~'(Ale state: MQ zip:5504-4
Phone: R5Z 4&'1 C4 L7 4 ( Contact Person: DeiO
TYPE OF WORK _ New 4Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESIDENTIAL
~ Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 SeptiC System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknovAedge ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City of
Eagan; that I understand this is not a permit, but only an applicalion tor a permit, and work is not to start without a permil; that ihe work will be in
accordance with ihe approved plan in the case of work which requires a review and approval of plan .
x I-)dv0Y0.k LQfSO(n x 7 ~C{'
ApplicanYS Printed Name ppli Ys Signature
FOR OFFlCE USE Reviewed By: Date:
Required Inspectfons: ~_Under Ground _Rough-ln _Air Test _Gas Test _Final
ate:
City of Eaari
3630 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Far Office Use
Permit#: (02V1
Permit Fee:
oLf
—i
Date Received: ' 1- (
3
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION ‘,1-10,
4281/ ;z Site Address: 'i ) )5 6RiC-K Co6sartrot - Unit #:
RESIDENT f
OWNER
Name: /919T 1 1i j -L4 P -WS -719+N1-- Phone; 6"--/- SciD-6-5.c)3
Address / City / Zip: g- / J`5- 74-R1 t c k C-C.3e4 - i -'V c , 0 61 fl -Ti
Applicant is: Owner 'X Contractor
TYPE OF WORK
�- D
Description of work: YiTr=-if-�i t�' i.= t6D=mi. t -e-) STV-- 4 F / p�T�
Construction Cost I/1. -Pt 6-Y-- - Multi -Family Building: (Yes / No )
CONTRACTOR
Company. N Et -e-} s /3e'..., . Contact: S ag & 413-6, r2 "i
Address: g/ (2=-).7 t-(,) . I' -f' s � City: u c i) L
1
State: )(Y) i'I Zip: tp > c 7 - Phone: ` F'7 ,,,R----- 5 03
License #:_.:- CO /6 Lead Certificate #: /J iT-1 - 19 1/ b 3 `,
lithe project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
Com,', 11,id-r=- A-t-=-r—e 19 97,- f q '6,A1 \lgti
In the last 12 months,
Yes if
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
he 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.00pherstateonecall.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 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.
x....J n 9_ k----e-)k hit.;5p
Applicant's Printed Name Applicant's Signature
Page 1 of 3
ak65 W ha. -CA-
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace
Ai Single Family Garage
Multi _ Deck
01 of Plea Lower Level
Accessory Building
WORK TYPES
_ New _ interior Improvement
Addition _ Move Building
A' Alteration Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation lid
Plan Review
(25% 100%..
Census Code
#of Units
# of Buildings
Type of Construction
1139
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: lee & Water Final
J Framing
Fireplace: , Rough In .A4 Air
insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
— Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
— Water Damage
*Demolition of entire building — give PCA handout to applicant
Z
2c -. MCES System
'too? SAC Units
PD City Water
Booster Pump
PRV
Fire Sprinklers ---
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: ___Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Test Final Al` 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
/3.2 3
QG 17
30"d /kite id.4.0 (-4-1
61-1
GIWO
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108868
Date Issued:01/22/2013
Permit Category:ePermit
Site Address: 2155 Warrick Ct
Lot:22 Block: 1 Addition: St Charles Wood
PID:10-65870-01-220
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Patrick J Furnstahl
2155 Warrick Ct
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108878
Date Issued:01/22/2013
Permit Category:ePermit
Site Address: 2155 Warrick Ct
Lot:22 Block: 1 Addition: St Charles Wood
PID:10-65870-01-220
Use:
Description:
Sub Type:e - Gas Line
Work Type:Replace
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Mike Lutz
15021 Manitou Rd NE
Valuation: 600.00
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Patrick J Furnstahl
2155 Warrick Ct
Eagan MN 55122
Genesis Heating & A/C
15021 Manitou Rd
Prior Lake MN 55372
(952) 447-3762
Applicant/Permitee: Signature Issued By: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
use BLUE or BLACK Ink
For Office Use
Permit #:
t l b 2'F''
Permit Fee: (fes/ • O
Date Received:
Staff:
2013 RESIDENTIAL PLUMBINGj,PERMIT APPLICATION
Date: 4/-30—/3 Site Address: ) ? 66 LA)ge,e c, k cT
Tenant:
Suite #:
Resident/Owner
Contractor
Type of Work
Permit Type
Name: Phone:
Address / City / Zip: / j
Name: V� #.„, ,CJ/✓.'h Q �i� �] License #:
Address: 7c2D P) rd totC P1 City:
State: (4# (JV Zip: 65/4O0
Contact: S -i e /'e y
Phone:
Email:
11, dJeasriect /11S . c
New kReplacement _ Repair _ Rebuild Modify Space Work in R.O.W.
Description of work:
fle p)c liC
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ /_ PVB)
Septic System
New
Abandonment
Water Softener
X Add Plumbing Fixtures (`Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ rC)
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 wor, 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 approv
Applicant's Printed Name
x
Ap 't's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test_ - Fina!
w
401° City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JAN 2 0 2016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/20/2016 Site Address: 2155 Walick Court Eagan, MN 55122 unit #:
Name: Patrick & Julie Furnstahl
Phone:
Address /city /zip: 2155 Warick Court Eagan, MN 55122
Applicant is: Owner ✓ Contractor
Description of work: bath remodel & "Kids" bath changeout
Construction Cost: $38,000 Multi -Family Building: (Yes / No 1 )
Company: New Spaces Contact: Sara Laurent
Address: 2105 W. 143rd Street City: Burnsville
State: MN Zip: 55306
Phone:
952-898-5300 Email: sara@newspaces.com
License #: BC001586 Lead Certificate #: NAT -F150060-1
If the project is exempt from lead certification, please explain why:
House not built before 1978
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?
1 No If yes, date and address of master plan:
Yes
Licensed Plumber: Janecky Plumbing
Mechanical Contractor: Janecky Plumbing
Sewer & Water Contractor: N/A
Fire Suppression Contractor: N/A
Phone: 651-365-8680
Phone: 651-365-8680
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00Dherstateonecall.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 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.
x New Spaces by Sara Laurent
Applicant's Printed Name
x .0-t4 r
Applicant's Signature
Page 1 of 3
5-5-Ld��/
DO NOT WRITE BELOW THIS LINE
.Met 2-ce
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of _ Plex Lower Level
_ Porch (3 -Season)
_ Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
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
5a
L/3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
., Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
$. Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy /
Code Edition 02a'J
Zoning ?
Stories
Square Feet
Length
Width
RESIDENTIAL FE S
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Final
g-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
p2AX kir )34>b /7440,il 67 2..4/0 = S40
Page 2of3
r
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 3 1
Permit Fee: (DO
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING_PERMIT APPLICATION
Date: :- 3- Site Address: gt cc-
W'Qreit. L
Tenant:
Resident/OWne
Contractor
Type of Work
Permit Type
Name: Fly 4rAII'G LL
Address / City / Zip: ��yQ
Phone:
Suite #:
Name: T AC..C. (c_ (91-.0 G— License #: '57 (1-"(
Address: G d O Pot Tc -C, P c- City: /'`a"C � 1
State: 14n'l. Zip: f i—j0-
Phone:// O c L— Y [ r C 2—
V
Contact: / d'
Email: t Ke c-tc+
Lac3'z(
_ New %'Replacementt _ Repair , ( Rebuild _ Modify Space Work in R.O.W.
Description of work: Q lac et_ f (
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
/S
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ 60 6�
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 work which requires a review and approval of plans.
x fl 4 v 4 14,4A G
Applicant's Printed Name
Applicant ignature
FOR OFFICE USE " " Reviewed By: Date:
Required Inspections: Under Ground Rough-ln Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152721
Date Issued:10/29/2018
Permit Category:ePermit
Site Address: 2155 Warrick Ct
Lot:22 Block: 1 Addition: St Charles Wood
PID:10-65870-01-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Patrick J Furnstahl
2155 Warrick Ct
Eagan MN 55122
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160655
Date Issued:03/31/2020
Permit Category:ePermit
Site Address: 2155 Warrick Ct
Lot:22 Block: 1 Addition: St Charles Wood
PID:10-65870-01-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Patrick J Furnstahl
2155 Warrick Ct
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-56
bui Idi nginspectionsecitvofeagan.com
ECEIVE
JUL o 1 �
For Office Use C /f
Permit*
Permit Fee: o 6 CC
Date Received: 7 /—
Staff:
2020 RESIDENTIAL BU�PILDING T APPLICATION
Date: '7 I 2020 Site Address: 216 5- Y1/4/4 vY l e l< Ck •
Unit #:
Resident!
Owner
Name: 1 L rt c k (tAY I45-V4 � l Phone: 1,51-3o7- 7177
Address / City / Zip: 215 Wei v✓ie 1` C( toia n /4i/ 55/ 2/
Applicant is: Owner x Contractor P 1) j4 .OMdehheks. 00
Type of Work
Description of work: Pot �4 iihtf - Fla Ervlyy Dos 4f
Construction Cost: 067)00• DO Multi -Family Building: (Yes / No )C )
Contractor
Company: 3114(tQA Calwin.Aken /AJC. Contact /®1V►A./ Mcta'1`-I4
Address: 56 2-8 M� Niko If 10.1 A� • S, 4 ( City: 51°1I 1�`�I�-it I(
State: 11htJZip: 550g2 Phone: C I' '3"ca7gEmail: 40 INA KklE VIZ Mct• C0OA
License #: QG 112)t 1 q Lead Certificate #:
If the project is exempt from lead certification, /please explain why:
-10 ct. se 13 o U a►af v 19 cJ o - &AI-e vI e y us o Y k — b post �"l tutS,c Kl
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber.
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.00Dherstateonecall.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 work which requires a review and approval ans.
x —Tien& .S •
d p
• .0° lAck•kcix ov
Applicant's Printed Name Applicant's Signature
. DO NOT WRITE BELOW THIS LINE
cgI Ss Wio2Qi cr- C�. /6ac /s
SUB TYPES
Foundation
Single Family
Multi
01 of _ Flex
Fireplace
Garage
Deck
Lower Level
_ Porch (3-Season)
_ Porch (4-Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
WORK TYPES
New _ Interior improvement
Addition _ Move Building
Alteration _ Fire Repair
Z( Replace d Repair
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
4 boo
Occupancy
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Siding _ Demolish Building*
_ Reroof _ Demolish Interior
_ Windows _ Demolish Foundation
Egress Window CL Water Damage
*Demolition of entire building - give PCA handout to applicant
Code Edition I f2L
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
• if Insulation
V Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Service Test Gas Line Air Test Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3