2102 Water Lilly Lane
INSPECTION ItECQRD'
, CffY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued: '
(612) 681-4675
SITE ADDRESS: ~ APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK: S
INSPECTION .
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ELECTRIC
~
, PLUMBING y( 9a_
HVAC
Inspectlon Da Insµ Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATiNG
GAS SVC
~ TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG I
, FINAL HTG
I ORSAT
TEST
BLDGFINAL -7-111-q7 ~U$
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
' SITE ADDRESS L~.t.~ Unit # Pertnit #
~ L B Sect.`/~Sub. ll11,O~f'','~l ~,L Mi?7~,1~fY~.Pir/
(P. ~ ~ ~ S~~l
INSPECTION riiNSPECTOR DATE COMMENTS
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INSPECTIOM INSPECTOR DATE COMMENTS
CITY OF EAGAN
681-4675 A
DEPT' OF BUILDING INSPECTIONS
Correction Notice .u.;
~.'I have insPected this structure and these ~
premises and have found the following ~
~
~ violations of city codes: -
~ /??ZP AL0177AW111- tVl/Z'S N / r ~
[~lt CL~~-1N
NA7 i- 091--F TJ~ss 062 147r ..?i
~ry 3 • /vLIEZ~ 41)4)1na&-lr7snA2s1JA.c0t:W161e-0,02 rKcX~-
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6 P~?~~~ ~r~,~uU ;o.~i~r~ ~~ms eN c~rr. slAf&r/#,K4
G. ~eEi,uAaf~!y 4-~ms b& I 7VA &1975. 4-~~
When corrections have been made, please
v call 681-4675 for inspection. .
Date
Inspector City of Eagan ~i
E~
DO NOT REMOVE THIS TAG ~
. _ A
y~
CIT'Y OF EAGAN
681-4675 .
DEPT. OF BUILDING INSPECTIONS
Correcti r-mimotice
, ~
a I have inspected this structure and these ~
premises and hav~.. f he ing
~
violatio s of city cod`e '
~
MEL>
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,IAZ
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1
When corrections have been made, please
call 681-4675 for inspection. ~
Date lG ~
Inspector City of Eagan
DO NOT REMOVE THIS TAG
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~ SITE ADDRESS ~
- ~ Unit # Permit #
n I
L B S ./Sub..~l~.(~ ~t.~ J,bt.~11.~l111~id.
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IKSPECTION INSPECTOR DATE COMMENTS
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irv`xJi~?10.c1 !blf97
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INSPECTION INSPECTOR DATE COMMENTS
~
f CITY OF E'AGAN ~
. 681-4675
DEPT. OF BUILDING INSPECTIONS
.
Correction Notice
- A
I have inspected this structure and these
s.
premises and have found ~
violations of city codes:
t t3 - 7 F' r ?
7- r~ D ~ e~ ~1.1G
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/4414
S4b d.5 dn~ly
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When corrections have been made, please A,
call 681-4675 for inspection.
Date 4-1q-ci'7
Inspector Ciry of Eagan ~
:
DO NOT REMOVE THIS TAG
.
SITE ADDRESS ~
Unit # Permit #
L 1 B S ./Sub ~_P,dl1n
# 4~ 811~ ~ • . -
~A
INSPECTION INSPECTOR DATE COMMENTS
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f P iLl;3 y- iy -97
.vs114-4170~f
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INSPECTION INSPECTOR DATE COMMENTS
f~n ` SITE ADDRESS ~-1v 71 ~~~~~11 AT~n ~ ' Unit # Permit #
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS Unit # Permit # ~
p nL 1-5 B Sect./Sub. ~
4 •Y # 44197 i 00-0
INSPECTION INSPECTOR OATE COMMENTS
u _ .3-~ 7
4L
IzM. 4ok- 7v Ga uex .
~y /~r ,t~ -a y 57
lolo
INSPECTION INSPECTOR DATE COMMENTS
' SITE ADDRESS Unit # Permit #
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L B Sect./Sub. f _ (Z(l/?'', :~..(}{d11 XlQl1'!G)
P# g197
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
' SfTE ADDRESS .2 1I ~ l~ D)t_ i Q 1 /l, Unit # Permit #
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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' SITE ADDRESS Unit # Permit # JA
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INSPECTION INSPECTOR DATE COMMENTS
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IMSPECTION INSPECTOR DATE COMMENTS
oa3s
PLUMBING (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complate for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date ~ / a(P-/
Site Address a>> Unit k
PropertyOwner Telephooe#((ojl ) -701-0536
Contractor
Address Cit3'
State Zip Telephone # ( )
The Applicant is x Owner _ Contractor _ Other
Septic System New _ RefUrbished Submit 2 sets of plans and MPC Iicense $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
u Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 578" meter if needed -$121,.00)
Other: k--o ---P, v-2 1
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
replacement _ additional
~
A:'G 2~ K23 ~ J$ eo
State Surcharge
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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.
pplicant's Printed Name A icant's Signature
, RESIDENTIAL BUILDING
Permit Application \
City Of Eagan
Q 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReauirements RemotlellReoairReauiremeMS Office UseOnlv
3 registered site surveys showirg sq, ft of l06 sq. R of house; and all roofed areas 2 wpies oi plan _ Cert of Survey Recd
(20°k mazimum lot coverage allowed) 1 set o( Energy CalculaGons for heated addNOns Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addifions & dedcs Tree Pres Not Reqd
1 set of Energy Calculations Addifion - irMkate d on-sfte sepfic sysfem _ On-site Sep6c System
3 copies of Tree P2servation Plan 'rf lot platted aRer 7l1193
Rim Jaist DeWil Options selec6on sheet (bldgs wlth 3 or less unifs
N
Date (P Construction Cost foq,0an
Site Address UnitlSte #
Description of Work aJOCIESMI j fY1~¢L~~1~dYld ~ ~ !
Multi-Family Bldg ~ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~ Q k~w SQr'} Telephone # ((*9 ) "1Cf7
•~p
SEW
Contractor ~Mrlc_ yb)E -__V
aaaress ~ city
State Zip Telephone li ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted - - - Submitted
Isr3~Lbmitt1 d~l
. Energy 4iveiope
Licensed Plumber IJ~ n IKI Telephone )
II _JI
Mechanical Contractar I~L}I{I ` ~ 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 accardance with the approved plan in the case of work which requires a review and
approval of plans.
c(i YrV& 2,LE& Va fykkkkr)
A licant's Printed Name A licant s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex jS9 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous
Work Types
0 31 New >91 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire.Bldg) - Give PCA handout to applican[
Valuation Occupancy MC/ES System
Census Code y3 j Zoning City Water
SAC Units Stories Boaster Pump
Nbr. of Units ' Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const WidtN
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) X' FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundauon HVAC
_ Drain Tile Other
RooF _ Ice & Water Final Pool Ftgs Au/Gas Tests _ Final
Z+ Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total ~
, . PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road BuzLDTN6
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 2 9
(612) 681-4675 Date Issued: 12 / 3 0 J 9 6
SITE ADDRESS:
2102 WATER LILLY LANE
LOT: 13 BLOCK: 1
EAGAN HEIGHTS TOWNHOMES 1ST
P.I.N.: 10-22425-130-01
DESCRIPTION:
~4) 114yng.,?.ermit Type S-PLEX
Type NEW
- U6C',Qcoupancy a. R-1 U-1
~ Cofts`Cruo tiom e V-N
PD
~ ~uv~I d ing tiengt~4 149
~ - ~ $~p i-d tnw-~t164
rit2
~
105 S OR MORE FAMILY
~
W~ 'd
REMARKS:
INCLUDES 2104 2106 2108 2110 2112 2114 2116WATER LIILY LN
FEE SUMMARY:
VALUATION $688,000
Base Fee $3,686•25 CITY SAC $800.00
Plan Review $1,843.13 WAC $6,080.00
Surcharge $344.00 S & W PERMIT $100.00
SAC $7,200.00 S & W SURCHARGE $.50
gpG t 100 TREflTMENT PLANT $3,168.00
' SAC Units 8 ROAD UNIT $3,440.00
Subtotal $13,073.38 Total Fee $26,661.88
~
CONTRACTOR: - Applicent - sT. Lzc OWNER:
TQWN & COUN7RY HOhIES 19253899 0009137 TOWN & COUNTRY HOhIES
6800 FRRNCE AVE S 6800 FRANCE AVE S 170
EpINA MN 55435 EOINA MN 55435 (612) 925-3899 (612)925-3899
. ~ -
I•h~reby ~~kYiawlectge ~ha~~"Z fiave rsr TM;tti~.s ~6a~s3 io~tiah 4ts~d s'ta'te t'ttat the '
informaCian is ~ae`r~c~ ar~l s~r~e ~o cvmplY ~!~'Ck ~a~l. ~~SPIA'baia ~,e"StaG~~ o°F Ctr~.
~s~atuts~ ~htk~E~ty' crf a~r Ore~in4 naes_'
^ AP /PERMITEE SIGNATURE ISSUED : SIGNATURE
CITY OF EAGAN
- 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675
l{ RemodeVRepelr Reauirements a1,;7
? 3 regblered ske surveys ? 2 cropies of plen
? 2 eopka at pWns (Indude beam 3 wirMow s@es; poured fid. deslgn; etc.) ? 2 stte surveys (exterior aAdkions b decks)
? 1 energy calculatiom ? 7 energy calculations
? 9 copien oi hee prenenatlon ptan H bt pletted aRer 717/93
iequired: _ Yea _ No .
DATE: 11/11/96 . CONSTRUCTION COST: $422.640.00
DESCRIPTION OF WORK: Complete Construction of Townhome Living Units
STREET ADDRESS: 2102-2116 Water Lilly Lane
LOT 13 BLOCK 1 SUBD./P.I.D. 10 22425 130 01
• ~nn m ' o;e~~.~ ~m~mhrnna~ I.a ~ - -
PROPERTY Name: zown & Country Homes Phone 979-1899
owNeR
Street AddreSS' 6800 France Ave S, 11170
Ciry; Edina State: rar ZlP' 55435
CONTRACTOR C01T1p8ny: Town & Country Homes Ph0n2 925-3899
Stre@t ACIdf@SS: 6800 France Avenue S, #170 License 9137
Clly: Edina State: mN ZIp; 55415
ARCHITECTJ COIilpBnY: LHB Engineers & Architects PhOne 338-2029
ENGINEER
Name: Jerry Putnam R@91Stf8tI0f1 19343
Street Address- Zso Tntra avenue N, #aso
Clry: Minneapolis State: MN ZIp: 55401
Sewer & water Iicensed plumber: valley Plumbing , penalty appiies whe ress change and lot
change are requested once permit is issued.
1 hereby acknowiedge that 1 have read this appiication and state that the Inform ti n i ect d agree to comply with ail
appliwble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 1! Zt 96
OFFICE USE ONLY CEIVED
Certificates ot Survey Received _ Yes _ No DEC Q 61996
Tree Preservation Plan Received _ Yes _ No BY~
OFFICE USE ONLY
J
1
BUILDING PERMIT TYPE '
. ~
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
a 03 SF Addition.,~8 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
,>v`-31 New o 33 Alterations a 36 Move
0 32 AddiGon o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuaq J~-lv Basement sq. ft. S,ofjy MC/WS System
(Allowable) Main level sq. ft. y,gs~ City Water oC
UBC Occupancy .e //u-i z Y~ sq. ft. ~ rvy Fire Sprinklered
2oning G-O sq. ft. PRV
# oi 5tories sq. ft. Booster Pump
Length iY5 sq. ft. Census Code. ~or
Depth /y y Footprint sq. ft. SAC Code o i
Census Bldg i
Census Unit ~
APPROVALS
Planning Building Engineering Variance
PeRnit Fee Valuation: $ ~ 00:P ~
5urcharge
Pian Review Aasa C~~cs. ,4s ~~e
License
MCNVS SAC 9,¢cH I CFI~ p2~4~^~
Clhl $AC y, 5 fS`/' Z~o-7S1~
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
SNV Surcharge ~
Treatment Pi. S3"yyX c-v
Road Unit
Park Ded.
Trails Ded. ~G1C5
Other
Copies
Total:
96 SAC SACUnits
~ U
. , , ~fyG = ~0 7, 3~~
~
L 2422 Enierpflse OfIVe ~
Mendota Helghts, MN 55720
* PIOIVO~q (612) 881-1914 FAX:BBl-9488 ~
ic ' Lu+a wxWmas ~ crvu Mawrms .
nh nedr n [Aw1 pLANNERS. L.xoscu~c u+au~c~s 625 Highway 10 N.r.
~f ~ ~ BlolOe, MIJ 55434
* ~c ~h 1(612) 783--1880 FAX:783-1683
Certificate of survey for: TOWN & COUNTRY TOWNHOMES
C°C,6.0~ SCAIE : 1 INCH = 30 FEET
149.00
BENGH MARK ~-------~-'-------~--~---~-0 * 23
1 23.00 I 34.33 1 17.17 I 17.17 I 34.33 I t .00 1 BENCH A~ARK
~ lo I ~o I0 5 0l i i TOP Of PIPE
TOP OF PIPE Ia ~ 89•5
i ip (
~~[v.=se5.~5 n°- ~ ELEV.=886.82
0 ~i~
~N jN jN jN IN NI ~I
1
M A ~ B I c' D I E ' F~ s
I BUILDING SD WIT~ SAY WINDOW OPTIONI N W
N ~ ON~ UNITS iA ANDI F o I ~
1.7o w^
PROPOSED SERVICE 1,70 119'ZZ B g9 x a°
EL.=883.9 x 70
o~
s 17 ! 5.17
I y 1.7 u~ a'~ J I a
1.79
I ~
~ r 21.0 ri I ~ ~ rv I ~ 21.00 10
O I ~ N I I ~ Iv1
n~ I ao 73.67 I. 24 00 I.- 23 7 ao r ~
I ~ ~ n ~ ~1 ~ I~ ooY [ oI ~ ~
1 ~o I I NI I
BENCH MARK 1 23.00 1N 34.33 1 17.17 1 17.17 1 34.33 1 23.00 1 BENCH MARK
TOP OF PIPE _ 16 a#.oo 0-------+ TOP OF PIPE
EI.E V.=893.78 ELEV.=890.72
V
~ ~?6°~a•2,•887,'~ a ~ l-
~ •62 1 i ~a`V
S76'~~0'24 ~E. p zn~°i~ ' AI~T EIVG~:ERIIVG DF$1;
PROPOSED HOUSE ELEVATION
~ O i~ ~i ~ 7 •Fi'
891•1 LOW£ST FLOOR ELEVATION:
TOp OF BLOCK ELEVATION:
~ 9 ZN%l n GARAGE SLAB ELEVATION
AT DOOR : ry~• 5
3W
x ooo.oo oENOIES EX1511NG L4EVA710N
2 I ' ! ( 000.00 ) DENOliS VROF'OSEU ELEVATION
` q _ OfNOlES ORAINAGE AND U1R1TY EASEMENi'
DENO7FS dRAINACE ROW DIREC710H
DENOIES MONUMENT
t.9 z -o-' DEN07ES OFFSEi HUB
~ `1~~ ~i 892.0
F 6~1. / 8$.4
,^O;O ~~S76~o~ 4b NOTE: CONTRAC70P NUST V£RIfY DRIVEN'AY OESICN.
N 2O~ ~ J2~Le q, NOTE BEARINCS SNOWN ME 6ASED DN AN A55UMED DANM
1 i1`'~ ^y b 28~~13~ NOTF: PROPOSED GR~ES SHOYM PEH GRADINQ PUN By: PI~EFR ENCINEERING
v 1 HOtK: &11LDING MUENSION$ SHONN ME FOR HOR120NTAL AND VERIICAL IOCAIION
OF STRUCY~IRE$ ONLY. SEE AftCWTECTUAL P4ANS FOft WILDWO AND
$ FWNDAl10N DIMENSIaNS.
\ NOIE: Ntl SPECIFlG S4ILS INVES71GAliON MAS BEEN COMOLElEO ON TMIS LOt 9V THE
SURVEYOR. 41E SUITABILITV OF SOLS TO SUPPOR7 1HE SPEpfIC HOUSE
PROPaSEO IS NOT 7XE RESPON51eluTr OF iME SURVEYOft•
1NE RE~oROE~ pRqTO SHOW EASEAIENTS 01H[R THAN
NoIE: TMOSE 6HOWN ON DOES
WE HEREBY CERTIFY 70 TO`MV & COVNTRY 7OWNNOMES THAT THIS IS A iRUE AND CORRECT REPRESENTATION OF A
I SURVEY OF THE BOUNDARfES OF:
~ LOT 13, BLOCK 1, EAG/QN HEIGHTS TOWNHOMES 1 ST ADDITION
~ pAKOtA COUNT', MINNESOTA
~ 17 DOES NO7 PURPORT TO SHOW IMPROVEMENTS OR ENGHROACHMENTS. EKCEPT AS SNO+MJ, AS SURVEYED BY ME OR
UhIDER JAY pIREC7 SUPERVISION THIS 12Th1 DAY DF NOVEMBER 1996-
5 NED: PIONEER E IN RING, P.A.
SCALE : 1 INCH = 60 FEE7 B ~
I John C. Lorson, L.S. Reg - No. 19828
i
13}G 95343.08 PJH
tr~'d - .
LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ BUILDING PERMIT APPLICATION ~
PROPERTY LEGAL:
~ DATE OF SURVEY: IIT~ q G
LATEST REVISION:
DOCUMENTSTANDARDS
~ ~
• Registered Land Surveyar signature and comparry
? • Building Permit Applicant
? • Legaldescription
0 SR' C3 • Address
21"' ? ? • North arcow and scale
~ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? • Directional drainage arrows with slope/gradient %
m'c ? • Proposed/eAsting sewer and water services & invert elevation
g_/? ? • Street name
R" ? ? • Driveway
ELEVATIONS
6dstina
• Sewer service (or Proposed)
? ? • Property comers
0-' ? ? • Top of curb at the driveway
? • Elevatlons of arry exasting adjacent homes
Prooosed
2~' ? O • Garage floor
? • Frst floor
G3' ? ? • Lowest exposed elevation (walkouUwindow)
? ? ? • Properly comers
r~~ ? • Front and rear of home at the foundation
PONDING AREA (rt aoolicable)
? ? ? • EasemeM line
? ? ? • NWL
? ? ? • HWL
? ? b • Pond # designation
? ? o • Emergency Overflow Elevation
DIMENSIONS
Me"~b • Lot IinesBearings & dimensions
? IY 0 • Right-of-way and street width (to back of curb)
19ICI ? • Proposed home dimensions including arry proposed decks, ovefiangs greater than 2',
/ porches, etc. Q.e. ail structures requiring permaner~t footfngs)
5Y ? ? • Show atl easements of record and any City utilities within those easemenffi
03,-'Cl-/ ? • Setbacks of proposed structure and sideyard setback of adjacerrt exasting structures
? ? • Retaining wafl requirements, if any
Reviewed: Z ~
ame e
January 1996
GFUI616B&BLDGPRMT.FM
11/OBl96
ENCLAVE AT RIVER RIDGE TOWNHOMES AREA CALCULATIONS
4 LEX BUILDINGS without basements - 4A and with basements - 4B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt lst 2nd Garage
2 635 635 730 291 2 1270 1270 1460 582
3b 6 736 717 455 2 1472 1472 1434 910
TOTALS 4 2742 2742 2894 14
~rPLEX BUILDI S without basements - 5A and with hasements - 56 uildings)
EACH NIT SUBTOTAL
Unit Bsmt 1st 2nd Garage X# of Units Bsmt lst 2n Garage
1 1171 1106 283 1 1171 1108 0 283
2 635 635 0 291 1 635 635 30 291
3b 736 736 71 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 1325 276
TOTALS 5 3278 3 3 3489 1760
6-PLEX BUILDINGS without b sements - 6A and with asements - 6B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Gara X# of Units Bs t lst 2nd Garage
2 635 635 730 29 4 2 0 2540 2920 1164
3b 736 736 717 455 2 472 1472 1434 910
TOTALS 6 4012 4012 4354 2074
6-PLEX BUILDINGS without basemen - 6 buildin s)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X#o nits Bsmt lst 2nd Garage
1 1177 1106 - 283 7 1171 1106 0 283
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 1472 1472 7434 910
4 - - 1325 276 0 0 1325 276
TOTALS 6 913 3848 4279 2051
6-PLEX BUILDINGS (without b ements - 6D and ith basements - 6E buildings)
EACH UNIT SIJBTOTALS
Unit Bsmt lst 2nd rage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566
36 736 736 717 455 2 1472 72 1434 910
4 - - 132 276 2 0 0 2650 552
TOTALS 6 3814 368 4084 2028
7-PLEX BUILDINGS without basements - 7A and with basemen - 76 buildings)
EACH NIT SUBTOT S
Unit Bsmt 1 2nd Garage X# of Units Bsmt lst 2nd Garage
1 1171 7 O6 - 283 1 1171 1706 0 283
2 635 635 730 291 3 1905 1905 2190 873
3b 73 736 717 455 2 1472 1472 1434 910
4 - 1325 278 1 0 0 1325 76
TOTALS 7 4548 4483 4949 2
8-PL BUILDINGS without basements - SA and with basements - 86 building
EACH UNIT SUBTOTALS
U t Bsmt 1st 2nd Garage X# of Units Bsmt lst 2nd Garage
635 635 730 291 6 3810 3810 4380 1746 `12-~
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 282 5814 2656
a
S-PLEX BUILDINGS ( ith basements 8D & 8E buildings)
EACH UNIT ALS ~~tt kP
Unit Bsmt lst 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566 f~~ ee~S
2 635 835 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 7434 910
4 - - 1325 276 2 0 0 2650 552
TOTALS 8 5084 4954 5544 2610 J.J`
Lor: 201 BLOCK: ~ SUBD./P.I.D#:~G/l`I NeiatitC T0~'hhameS
-'4 --1 o .C)c~
20@-BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ C~ U+ CITY OF EAGAN ~3830 PILOT KNOB RD - 55122 cglleC' ~Z/z9
6 5 1- 6 8 1- 4 6 7 5 U
New Conshuction Requirements Remodel Re air Re uirements
? 3 registered site surveys showing sq. ri. of lof, sq. ff. of house 2 copies of plan "t
and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculaHons for heate additions ~
? 2 copies of plans (show beam 8 window sizes; poured fnd. destgn; efc.) 1 sife suney fa exierlor additions 8 decks
? 1 set of energy calculations
? 3 copies of tree preservation plan if lot platted aRer 7/1/93
t Rim Joist DeTall Options selection sheet (buildinas wifh 3 or less units)
DATE: L2 & /aDI~O CONSTRUCTION COST:
DESCRIPTION OF WORK; I-ow8r LeVB' &/SLJ If multi-family bldg., how many units?
STREET ADDRESS: a?II (o dltb' L.t r.
Name: GERON , ~Q~,.k Phone#:
PROPERTY lasf 7 ~ First
OWNER
StreetAddress: r~Il~v Q*er LilrvLj.ue'
c;ty srare:-df l/ zip: 551aa-l93o
Company: Phone
(area code)
CONTRACTOR
Street Address: License # Exp•
City State: Zip:
ARCHRECi/
ENGINEER Company: Name:
ielephone ( )
5keet Address: RegisfraTion C.
Cryy State: Zip:
Sewerlwater licensed plumber (if installina sewerlwater): Phone L~
I hereby acknowledge that I have read this application, state that the information fs correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Appllcant: ~
V ~
OFFICE USE ONLY DEC 2 6 TOa~
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ~y
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 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 Multi
? OS 03-plex ? 11 10-plex 't( 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)" ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior) '
" Demolition (Entire Bldg only) permit - GiVe PCA handout to applicant
VALUATION Occupancy ~-3 MC/ESSystem
Census Code ~.3 Zoning p- [a City Water
SAG Units L9 Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const . 5-N1) Width
INSPECTIONS REQUIRED
_ Footings: New Bldg ~ Insulation _ Windows - new/replacement
_ Footings: Deck FinallC.O. Siding
_ Footings: Addition FinaUNo C.O. Stucco/Stone
Foundation F"ueplace: _ r.i. _ air test final RooF: _ ice & water _ fmal
_~O Framing Pool: _ ftgs _ air/gas tests _ fmal
APPROVALS
Planning Building ~ Engineering Variance
- - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
~ IIITY USE ONLY
L L BL ~ RECEIPT#: 7,9 L 200
SUBD. C~4 E~a, Z745.~"/~c,vc.c.a RECEIPTDATE: Z1/9/91-7
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
5830 PILOT KNOB RD
EAGAN, MN 55122
(612)6814675
Please complete for. ? all commerciaUndustrial buildings.
. muld-family buildings when separate parmits areM required for each dwelling
unit.
DATE: ~e. 9~ CONTRACT PRICE:
WORK TYPE: V NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: C4 5 YaLPJ+ 1Ilh. ~fE
FEES: - $25.00 minimum fee Qr 1% of conVact price, whichever is greater.
• Processed piping - $25.00
• SWte surcharge of $.50 per $1,000 of pgrmit fee due on all permits.
CONTRACT PRICE x 1% U9'to
PROCESSED PIPING ~
STATE SURCHARGE 150 ~
TOTAL
I./ '
SITEADDRESS: ~a- vy"O~o-OS'"/D-/oZ- IL/- W/~I&I.LfLf~
OWNER NAME: /OG)d t 0.014AH12N I1DY11 a TELEPHONE#: C707.'5-" e~~~I9
TENANT NAME: (IMPROVEnnenRS
INSTALLER: ~?%IN g. Uj;& 114G, ~
ADDRESS: 44,31 l.NlL°i60
CITY: _MAS. / / f Ig. _ STATE: ZIP: S O
PHONE SS
SIGNATURE:' ~
SiGNATURE OF PER TTEE CITY INSPECTOR
/ CITY USE ONLY
~ L BL ~ RECEIPT d/aa s
SUBD. ~ DATE: ~2/7
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
• FIXTURES EACH N.Q LQIA_L
Shower 3.00 x = Water Cioset 3.00 x \a = 3G"
Bain Tuo - - 3.0u ;C
Lavatory 3.00 X t -j_ = 3L -
Kitchen Sink 3.00 :c
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 ;c
Floor Drain 3.00 ;c a-'-
Gas Piping Outlet " minimum - 1 3.00 :t a~Rough Openings 1.50 ;c =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations " to exfsting 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:~a'
OWNER NAME: Cn- ~ ~i la•w -
INSTALLER NAME:_Sf (P (S, c o t-
STREET ADDRESS: Q w v-, ~ - ~
CITY: ) jj~ STATE: ZIP: Ss s s'a
PHONE
_ /3- t
21 CITY USE ONLY
O 5
L BL RECEIPT#: 17
SUBD. RECEIPT DATE: / 9 97 '
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . single family dwellings
. townhomes and condos when pertnits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Cioset 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 =
WaterHeater 3.00 x =
Floor Drain 3.00 x =
Gas Pip(ng Outlet • minimum -1 • 3.00 x =
Rough Openings • 1.50 x =
Water Softener ' for dwellings under ansWdion 5.00 x
Water Softener ` for extsting dwelling 20.00 x zO
U.G.Sprinkler `fordwetlingundareonst. 3.00 =
U.G. Sprinkler ' for exbtlnp dwelting 20.00 =
Alt@fdti0n5 W exiating rceidenee 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' oek ccy nc. 75.00 =
(new end iefurblshed systems) • . Private Disposal Systems `nbanaonmerrc 20.00 =
STATESURCHARGE .5D
TOTAL
I nerebv adcnwviedge met I nave iesa mia eppacanon, Mate that n» inIortnanon b conea, ane sgree ro comPy witl, an epvlicaele cRy .
of Eagan ordinances. It is the eppi'icanPs responaihllfly W nMly Ne property awner Met the Cily of Eegen assumes no Ilability for any .
damapes wused by Vre Cily dudnp Rs rromrel operatlonal eM maMtenanee edNitias to ttro fadlitlea oonstructed under Mb permR wiMin -
Cnf' ProvertY/rigM-ohwey/easementl OEROU YIflRK . • . .
2116 WRTER LILV LRhE
SITE ADDRESS: ERGRM 55122
OWNER NAME: ~ H s08-o334 W 707-8732_
INSTALLER NAME: I~~RP]~ ORII P(~MDIN L7 TELEPHONE
STREETADDRCESS: Zq0S R~IELD VE.I~~L~E. M ~J4
MP'~-Jt STATE: i ZIP: 4641nS`3 ~ I
aTr:
;
4RE OF PERMIT7EE ; I
10~~a-4I2
~37 a ga, 0~
2006 RESIDENTIAL BUILDING PERMIT APPLICATTON
Cily Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
~,N 2007
New Comlruction Reouiramenfs RemodeUReoair Renuirements ice Use nN
S registered vle suneys showing sq. ft. of bt, sq. ft. M house; and all roofetl areas 2 copies M plan showin9 fooUngs, heams, jo'sts Cert oi Survey Recd _Y _N
(20%maximumlolcwerageallowed) lsetdEnergyCalalafionsfofhealedatlaiGOns TreePresPlanRecd -_Y _N,
2 cap"es d plan snaxing beam 8 windrnn sizes; paured fand design, etc. 1 site wrvey for addNms 8 decks TfeePres Required _Y _N
tse[ofEnergyCalcula6ais Addilion-ind(ca(eilwrstesepficsystem On-si[eSeptlcSyslem _Y_N
3 wpies d Tree Preservadm Plan if lot platled after 711193
Rim Joisl Depil Options seleclion sheet (builUirgs with 3 or Iess units)
Minnegasa) mcchmniuJ vcnlilulion fonn
~
Datc / / /z / 07 Construction Cost /b> U1~ ~
SiteAddress Zlox RI dyZio60.ie8A~/6, 1111,7 1+`! A~~4+ (JAT£2 Z i[CY- LJaE. UniUSte#
E`.;.+ci..a A; E.eR~b &
Descriptiono(Work R £:-,ov[ ~ RcPLqCiL ~j tLd1ac• : 2a;L 5 Ati'f,x.sT:..tb F".¢w•-.,.~~ Rr.•,nr
Multi-Ramily Rldg x Y _ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner eM h VRp -~D No~£2TI£S Telephone#(laS')) ~50`.2 '3Ut~
xo,.a tj ns, .i o
Contractor ~x~~~i 0-a /71,1:N7 t,..a.q„1CL_
Addre.ss 4/o_~- City iy7 PL S
StHtc /V A1 Zip SS41/ 9 Telephone # (lo ~ x ) s'(c z y ~
COMIPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cazeeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitfed
. Energy Envelope Calculations Submittetl
In The last 12 months, has the Cify ot Eagan issued a permiT for a similar plan based on a master plan?
_ Y _ N if yes, date and atldress of masler plan:
Licensed Plumber Telephone )
Mechanical Coniractor Telephone ~
Sewer/WaterContractor Telephone#~ )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete und accurate;
that Uie 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 lhe work will be in accordance with the approved lan in the ase of work which requires a review and
approval of plans.
N L) tl, !'L 2!1 J~
Applicant's Printcd Name ApplicanYs Signature
10/03/2008 11:26 6128616267 BEI EXTERIOR MAINT PAGE 21
~ 80(ZD
,
My af Eaian ; Parm,t#:
. I Percnit Fee:
3830 Pllot Knob Road ~
Eagan MN 55122 ~ oate Reee'rved:
I
Phone: (651) 675-5675
Fax: (651) 675-5694
aoos RESIDENTIAL BUILDING PERnniT aPPLicA7IoN
oa+e: 10 / 31 0 8 Site Address: 2 10 7- wA , a~Z 4.+Wr
Talo~ 'P/X} ~lap allo, a11,2 a1Iq -4 al1L suroea:
RESIDENTl04YNER Name:90 DUPANd s.4SSGGA78S Phona- .~i5/-S1S~J-Z~'70p
Addres3 J Gity ! Zip: 97 7 Ire a nrn Qve- yy 50. 57.A41lL X/V ?'r-r~J-
Applicanf is: _Owner Gotrtradar
TYPE OF WORK pescription of work: -16,0,01AN11 le~eP44i~~ 4011'
Construetian Cost: I23 U OD 9~ MuRi•Family Building: (Yes No ~
CONTRACTOR Name: BFr JFt1Q10P- AM/11T COk-P License* zOOLl33B V3~(Oy
Address; gos- ~w 60 -14 sTT[a-r
City: AfNA1AI77U5 State: /tr11? Zip:JZ-UW
Phane: InIZ - AGI 4143 Contact Persore .~~,,.L~
COMPLE7E THIS AREA ONLY IF CONSTRUCTtNG A NEW BUI1.171NG
Minnesop Rules 7670 Cate.gorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New En6rgy Code Worksheet
Cgtegppy Submitled Submftted
(4 5UbrtliSSi011 typ¢) • Ene(gy Envelope Calwlaliens Su6mitted
ln the last 12 mnnths, Nas the City of Eagan issued a permk for a similar plan based on a master, plan7
Yes _No If yes, date and address of master plan:
Llceneed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer & Water CoMractor: r Phone:
IYOTE; P7ans ~~tl si~ppbrHn~ ddcL?h~r~l~ lhatyb~ SUft1W{it are consrlor~ !`a o pUd66 rnk+rrneUbn. Portions of
the inf6l»#abon ma~l tfe Cl~ssWiEd as rc if`qolt prbYid~ sp~;CNi~ is~asbns ih9t ivoufd permit the Cfty+lb
I h9reby Atknowledge that th:s informetion is canplete arW axuraOB; that the work wfll yp jn COMOrmance vWKh the GWi11011C05 6nd COdC3 Of the City Of
Eaqan; fhat I understand this is nat a permtt, but onry 9n appliCation far a pertnit, and woiic Is not to 9tart without a permil; tha[ the wo'9c wi11 be in
accordance wllh the app1oved pfan in the case of wnrK vrhich requires d review and appmval M /plan's}.
x G~&.QIS QN.OE7eSe~ z
ApplicanCs Prlnted Name - plicaoYs Signature
Page 1 of 3
• • lrvl,;7D ti 13
~ 0i:~~?~ ~
;
City of ~apIl ; Pe"it# 7~~
I ~
I pertnit Fee:. i
3830 Pilot Knob Road I ~
Eagan MN 55122 ~ Date Received: j
Phone: (651) 675-5675 i ~
Fax: (651) 675-5684 I Staff: I
I 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress:.7~0~~ di/d ~UAlzcX LIGY L,4Atr
Tenant: Suite
RESIDENT/OWNER Name: ~lo D~2A~c/D ~ fFsSOC:iAT~3 Phone: 65/-'YS49 -23Go
Address / City I Zip: ~7~? ~ LrR AN0 ~?a ~50, 5f ~.4I24. ~S079-
Applicant is: _ Owner -X-Contractor
1'YPE OF WORK Description of work: ZE7190VE fr'sVD 1~EL'LAG6- S/D/N!T
Construction Cost: S3~ Multi-Family Building: (Yes Na
CONTRACTOR Name: QF/ E,C7lE"IZ90,C' /f1A/iUT a2P License
Address: `f05 Gc~- Co-m 577ZEZ--7' CiTy: ~lin/N~7POL%5 state: /jA.f zip: 55V/9
Phone: kloq - 9W 6°7 y3 Contact Person: SfEVi~- / pAGL
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category . Suhmitted Submitted
(4 su6mission type) • Energy Ernelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian?
_Yes _No If yes, date and address of master plan:
licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water ConVactor: Phone: 11 'NOTE: Plan`s and suppor[ing documenfs"that qou sutiinit`are consitlered to be'public igformationPortiori5 of `
~.the informafi on,m'ay be classified as' non public rf you pro'vide'specFfic reasons tiiaf wouid permii the Cify:to
, tt~ ' eonciu`de'ttiat the are tratle"secrets: n 3 'r ,~h
I hereby acknowledge that this information is complete anq accurate; that the work will be in conformance wifh the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but oNy an application for a permit, and work is not to start without a percnit; that the work wiil be in
accordance with the approved plan in the case of work which requires a review and approval of ans. .
x cf~PrS /t/UL7r7.~Sv^N - x
ApplicanYs Printed Name Applicant's Signature .
Page 1 of 3
4~8 F~ MiFflY 3
a~oa , al 0A I -.;I-\() (0 , aln 8 2110 1211; Use BLUE or BLACK Ink
2 t 4,► t t S t~- Ll4
I For Office Use
' 11~5a
Permit#:
Y I
' C"l3a.75
I Permit Fee:
3830 Pilot Knob Road 1 c I
Eagan MN 55122 1 Date Received: J
Phone: (651) 675-5675 1 j
Fax: (651) 675-5694 j Staff: I
t-----------------1
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
Description of work: '
Type of Work
Construction Cost:
Name: License
Address: - _ City.
Cot
State: /-ip: Phone:
Contact:— Email:
Name: Registration
Address: City:
Arch itect/ ngineer
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service 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 then are trade secrets _ . .._fn _
CALL BEFORE. YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which re uires aview and approval of plans.
X tr` x t
Applicant's Printed Name Ap cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162314
Date Issued:07/08/2020
Permit Category:ePermit
Site Address: 2102 Water Lilly Lane
Lot:308 Block: 03 Addition: Eagan Heights Townhomes 1st
PID:10-22425-03-308
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Debra Tste A Brecht
2102 Water Lilly Lane
Eagan MN 55122
(507) 456-2235
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature