Loading...
2134 Water Lilly Lane ;j~,.,. , ~ INSPECTIOrN RECORD ? . CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4875 SITE ADDRESS: APPLICANT: ;T1!'I tFkMt PERMIT SUBTYPE: TYPE OF W4RK: INSPECTION D. . D. ii~.0 ~ ~ ~ Permit No. Permit Holder Date Telephone # • ELECTRIC . ~ PLUMBING / f 79or.y~y~ I HVAC !rG Av` Mspection te Insp. Comments ~FOOTINGS ~O ~ ~ LG/ C.t ~i s FOUND '~M% FRAMING ROOFING fiOUGH PLUMBINfl i PLBG AIR TEST 0 ROUGH HEA7ING GAS TEST VC I INSUL I GYP BOARD -7V 07AP-a:~, ` /,Y.~SS n _dow2 ~~S • wele hu/ mIpa• FIREPLACE ~r , FIREPLACE AIR TEST ~ ~ I FtNAL PLBG IAJI J-V}y,~_ FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. - BSMT FINAL DECK FfG DECK FINAt • , t 9~1 ),~l l . I l SITE ADDRESS kr l~ + !I V /~.17. Unit # Permit # . ~ ~ L ~ ~ B ~ SectJSub , ~ ~S 70 33841 ~~a- 7 4-90oql INSPECTION INSPECTOR DATE COMMENTS ci h,:, ~ - /c 471 , - ~ U C'or..G • / y • INSPECTION INSPECTOR OATE COMMENTS ~ , ~ . SITE ADDRESS l` V~-~')• Unit # Permit # Sg~ ~ L )l a ~ sect.isub. L "~+s o u-wi INSPECTION INSPECTOR DATE COMMENTS G Q 1116- - G "Y/07 ~ 2-,2G`G l • t~ ~ INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS (2~W AlerL/IV ZN. Unit # Permit # affg& 7 L ~I g ~ Sect./Sub.F-AGAvt l~~Crh~S O n~~)'~1CS I~I P~4wqq . INSPECTION INSPECTOR DATE COMMENTS 15 U 1" ~ I~~ ~f7 2s- ~ r ~ INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS~"~' ~ 1e'' 4-1 f... r'1 • Unit # Permit # ~g L- A B Sect./Sub w O Z4L fne OD INSPECTION INSPECTUR DATE COMMENTS L G l ~ ~ o Z8-9 ~s / /.Av& ~hsu/ N~ Q~/!3 ~'~y ,tlr?C Se v~ e~'~~r Y I ltiSPECTION tK3PECTOR DATE COMMENTS . , SITE ADDRESS ~11-214 ILf" Ll. Unit # Permft # L B ~ Sect./Sub i-C461cm Nf-40PS OWeJ^" ou_ r` ~ ~ • 8' J`` I~~O / 7 INSPECTION INSPECTOR DATE COMMENTS L, UI-l /c/6-rL o- 6 s J;p -V7 • -a ~ P4 /ct$ s ,fc.-l7 INSPECTION INSPECTOR DATE COMMENTS , ~ . . . , . . . . . S tr.3--. r w . . , . . - CITY OF EAGAN • : . Lulrroz !.e LY !av . 4 681-4675 k" DEPT. OF BUILDING INSPECTIONS Correction Notice ~ I have insPected this structure and these ~ ~-premises and have found the following ~ violations of city codes: r/-) a<F- S?ne ~ &Ne= -neA-na~/s iA-1 ~t r~uP•~~? s -7y ~ Ta A t.c.E s s ~ ~ 1-1~,!rTTknn/. w/ 3~ -/YJiN 12[7f.I zOiJ77*L rj/2t 0. ~ Oi`l Al ~ ~ When corrections have been made, please ~ 1:. call 681-4675 for inspection. R Date ' Inspector City of Eagan p a DO NOT REMOVE THIS TAG f J SITE ADDRESS ~141~1 ~ee Unit # Permit # r L ~ ~ ~ L B ~ Sect./Sub. ; V115 / twt ?'h S e-Li, Avrm ' #44. . A1147 O INSPECTIOM INSPECTOR DATE COMMENTS 9 ~ u,/3 ~-y7 ` ~ v ~-y INSPECTION INSPECTOR DATE COMMENTS 1 SITE ADORESS Z"AE kh' 'ft.r -III/ /..I?• Vfiit # rermh # =lG L B ~ Sect./Sub. F 7 INSPECTIDN INSPECTOR DATE COMMENTS - p~ - 6 ~ a 512efli b 2-,13- c? 2 ' ~Ir?/~'t~ ~1"y1 y~~ ~ INSPECTION INSPECTOR DATE COMMENTS ` . SITE ADDRESS C;~144 W~TP.!'' 4;//(/ Ll. Unit # Permit #aSSZo 7 L B Sect./Sub ^ n ~ ~Zow"A e clt ou . / 7 90 INSPECTIOH INSPECTOR DATE COMMENTS 13l., i'' / C/C y d -vp 'C L~6 J AV A wI~!(~ ~ 3'll-~7 N't.als £erWcog- 'g.x -o,-r' AEe£ssFa C,sart co/ LA Yt&f S ~711 t, /-ff4. R4774C4 ~c iCLGtTn.r NbyI4L Ol~ t'IA jr, Rt•IMspt[~ ~ Q7 ` G INSPECTIOM INSPECTOR DATE COMMENTS CITY USE ONLY PERMIT ] J RECEIPT DATE: EOOE CObIbI£RCIi4L PLUM$INfi PEliMIT APPLICATION CI7Y OF £i4&i4P 3930 PILOT KPOB RD KAHAft, b1A 551 E2 881-6$1-9875 INCOMPLETE APPLICATlONS WlLL NOT BE PROCESSED Date: 7, WORK TYPE New Bidg Add-on Repair RPZ PVB ` Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" htrbo unless smaller size permitted by Public Works DESCRIPTION OF WORK /~Z O To inquire it Pressure Reducing Valve is required on new service, ca11 65 1-681-4646 METERS - Ca11 65 1-68 1-4300 to verify tnat hydrostatic, conductivity, and bacteria tesu passed prior to oickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3!4" disnlacement $152.00 Domestic Size & Type Avg GPM Dces this include high demand devices? _ Yes _ No FLUSHOMETERS - _"~es- _ No PRV REQUIR(E~D _ Yes _ No 0j~LC--' Site Address: f3, V`c ~ -~iJ-T~2G/G.J G/?• . 'Cenant Name: Telephone . . . . (P.rea Code) Was there a previous tenant in t}ris space? _ Y_ N. If Yes, Name: Installer Name: ~//.EDA~L ~G/~j°?/N~' C. Telephone -U ~ (Area Code) InstallerAddress: ~~/y/ Zi~,e9 C]ty: State: /LJ/? Zip Code z o FEES Contract price S x 1% ($50.00 min) Plbg Permit $ Meter(s) $ Requued on all new huildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If contract Fee exceeds $1,000, calculate at State Surcharge 3 i~ 50 cents per $1,000 contract fee. Sub TotaUTotal $ - Supplementary fees for new irrigation syatem Water Permit ~ 50.00 Contact Jerry Wobschall at (651) 681-4824 regardi~ Treatment Plant $ 540.00 Water Supply & Storage $ . . '„D .i 9 20Q2 . State Surcharge - $ Total . $ ~ 3 I_-- - I hereby acknowledge that I have read this ap~ic5fion, state that the informarion is correct, and agree to comply with ali applicable Ciry of Eagan ordinances. It is the applicant's responsibility to norifythe property owner that the Ciry of Eagan assucnes no liability for any damages caused by the City during its normal operarional and maintenance acrivities to the facilities conshvcted un is pe ithin City propertylright-of-way/easement. , ATURE OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: U.G. _ Air Test _ Gas Test _ Rough In Fiual PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boufevard irrigation systems- $159.00 (ACCt Code # 9220-4509) . Water meters include copper hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4120 1-1(2" irrigation syst $ 145.00 sm commemial turbine"* •*must receive mauimum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" hubine ]g irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units mvcimum sm commercial & continuous & lg comm bldgs 25 irri tion s stems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30.DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350. 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very Ig comm bldgs I/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very lg irrigation syst $2,184.00 & production lines Comments . To schedule inspection of the inside water line and backlow preventer, ca11 65 1-68 1-4675. • To aixange for water tum-on, ca11 65 1-68 1-4300. cc: Kris Forster, Ma'vrtenance Division Clerical Txhriician Updated I0/01 , k CITY bF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minne50ta 55122-1897 Permit Number: 0 2 8 8 6 7 ,(612) 681-4675 Date Issued: 09/ 19 / 9 6 SITE ADDRESS: 2134 WATER LILLY LANE LOT: 11 BLQCK: 1 EAGAN HEIGH7S TOWNHDMES 157 P.I.N.s 10-22425-110-01 DESCRIPTION: ditt Permit Type 8-PLEX ~'i lzl£n9 b,rk TYPe NEW R-1 G#}ii$~rl14'~~'p1~ ~xqe V-N -~~n%, PD " ~ k 9~.v~3~firiJ h 149 k, 64 'a `~~st~d~.~„~""C~~;, 105 5 0R MORE FAMILY gay ~ t M mx e>' ~ 5~~ vz it s m s~i ad Ln s.s- REMARKS: INCLUpES 2136 2138 2140 2142 2144 2146 2148 WATER LSILY lN FEE SUMMARY: VALUATION $611,000 Base Fee $3,359.09 CITY SAC $600.00 Plan Review $1,679.50 WAC $6,080.00 Surcharge $305.50 S & W PERMIT $100.00 SAC $7,206.00 S & W SURCHAR6E $.50 SAC 8 100 TREATMENT PLANT $3,168.00 SAC Units 8 ROAq UNIT $3,440.00 Su6total $12,544.00 Total Fee $26,132.50 CONTRACTOR: - Applicant - s7. Lzc OWNER: TOWN & COUNTRY HOMES 19253899 0009137 TOWN & COUNTRY HOhIES 6800 FRANCE AVE S 6800 FRANCE AVE 5 170 EDINA MN 55435 EpINA MN 55435 (612) 925-3899 (612)925-3599 T hg`re6y ~cf~n±s~riedu~ ~M~~t,'1 Ec6ve-cead` appSi.~ajtfarv 4tatst~aat iGha aa 49r,ee~`~o c~r~p~Y w~~,~7.1~,apFlicabke- Stat$ of ~ln.. Statutes ore;d ~~ty lEs~~a q, krd3.nannesz.~ <f ` APPLICANT/PEfiMITEE SIGNATURE ISSUED BY: SIG ATURE , • CITY OF EAGAN i1 3 aS 0 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Mew CenstruCion Reauirements RemodeURecair ReaulremerMs ? 8 registemd aite wrveys ?2 copies ot plan ? 2 copias oi pians (rtidude beam & window saes: pourcd fid. design; etc.) ? 2 site surveys (exterirn addidons 8 dacks) ? 1 energy caWlations ? 7 errergy ealculations for Ireated edditions ? 3 copies M tree preservatlon plen if lot platted aRer 7/1/93 required: _ Yes _ No DATE: $/8/96 CONSTRUCTION COST: 422,640 DESCRIPTION OF WORK: Complete Constructian of Townhome Living Units STREET ADDRESS: 2134 - 2148 water Tillv Lane LOT 11 BLOCK 1 SUBD./P.I.D. 10 22425 lio oi PROPERTY Name: Town & Country Homes PhOn@ 925-3899 OwNER vs. rwr $ 5'T ~ S767 Stf@Et AC1dr85S' 6800 France Avenue 5, #170 City: Edina State: MN Zip: 55435 CO TRACTOR Company: Town & Country Homes PhOnE 925-3899 ~ Str22t A(1dr@SS: 6800 France Avenue S, IC170 LIC2(1SE 9137 CIty : Edina State: MN Z~p• 55435 ARCHITECT! C01T1p8ny: LHB Engineers & Architects PhOne 335-2029 ENGINEER ' Name: serry Putnam Registration 19343 S1r28t AddreSS' 250 Third Avenue N, I1450 City: Minneapolis $tate: MN Zjp; 55401 Sewer & water licensed plumber: Vallev PlumbinQ . Penatly applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all applicable Sfate of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY RE719E9 Certificates of Survey Received _ Yes _ No qUG Tree Prese rvation Pian Received Yes No OFFICE USE ONLY , r BUtLDING PERMIT TYPE 0 01 Foundation Q 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool 0 03 5F Addition.Air-08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 42-plex ? 14 Fireplace ? 21 MisceAaroeous 0 05 SF Misc. Q 10 _-plex o 15 Deck WORK TYPE ,9' 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const (Actual) *f0d Basemerrt sq. ft. ` MCNVS System ~ (Allowabie) .4-y Main level sq. ft. Z 959' City Water UBC Occupancy J" Zsq. ft. s s Fire Sprinkiered Zoning sq. ft. PRV # of Stories z sq. ft. Booster Pump Length iVf sq. ft. Census Code. los Depth .6f, Footprint sq. ft. SAC Code o! Census Bldg ~ APPROVALS Census Unit Planning Building ~ Engineering Variance Permit Fee Valuation: $ lo~% ooa ~ A(,.rc: f£t 4rl4aNt3 Surcharge Plan Review fyJ,qiN ,y,ez.o CA«s. ,9s ~~t License MCNVS SAC City SAC Water Conn. Water Meter ACCt. DepoSit 7~ SlV11 Pertnit « S/W 5urcharge Treatment PL 1/7 rzy- Road Unit Z6~ ~a b z y/, 7L~ Park Ded. Trails Ded. Other ~ L cK-s Copies r- z E d/ u~ ' Z, '!oo TOtal: % SAC 5AC Units Z- L ' asroa/ss ENCLAVE AT RIVER RIDGE TOWNHOMES AREA CALCULATIONS 4-PLEX BUILDINGS (without basements-4A and wdh basements-46 buildings) EACH UNIT SUBTOTALS Und Bsmt lst 2nd Garage X#ofUnits Bsmt lst 2nd Garage 2 635 635 730 291 2 1270 1270 1460 582 3b 736 736 717 455 2 1472 1472 1434 910 TOTALS 4 2742 2742 2894 1492 5-PLEX BUILDINGS (without basements - SA and wdh basements - 56 buildings) EACH UNIT SUBTOTALS Unit Bsmt lst 2nd Garage X#ofUnits Bsmt lst 2nd Garage 1 1171 1106 - 283 1 1171 1106 0 283 2 635 635 730 291 1 635 635 730 291 3b 736 736 717 455 2 1472 1472 1434 910 4 - - 1325 276 1 0 0 1325 276 TOTALS 5 3276 3213 3489 1760 6-PLEX BUILDINGS (without basements - 6A and with basements - 6B buildings) EACH UNIT SUBTOTALS Unit Bsmt 9st 2nd Garage X#ofUnits Bsmt lst 2nd Garage 2 635 635 730 291 4 2540 2540 2920 1164 3b 736 736 717 455 2 1472 1472 1434 910 TOTALS 6 4012 4012 4354 2074 6-PLEX BUILDIN6S (wdhout basements - 6C buildings) EACH UNIT SUBTOTALS Unit Bsmt lst 2nd Garage X#ofUnits Bsmt lst 2nd Garage 1 1171 1106 - 283 1 1171 1106 0 283 2 635 635 730 291 2 1270 1270 1460 582 3b 736 736 717 455 2 1472 1472 1434 910 4 - - 1325 276 1 0 0 1325 276 TOTALS 6 3913 3848 4219 2051 6-PLEX BUILDINGS (without basements - 6D and with basements - 6E buildings) EACH UNIT SUBTOTALS Unit Bsmt lst 2nd Garage X#ofUnits Bsmt lst 2nd Garage 1 1171 1106 - 283 2 2342 2212 0 566 3b 736 736 717 455 2 1472 1472 1434 910 4 - - 1325 276 2 0 0 2650 552 TOTALS 6 3814 3684 4084 2028 7-PLEX BUILDINGS (without basements - 7A and with basements - 76 buildings) EACH UNIT SUBTOTALS Unit Bsmt lst 2nd Garage X#ofUnits Bsmt lst 2nd Garage 1 1171 1106 - 283 1 1171 1106 0 283 2 635 635 730 291 3 1905 1905 2190 873 3b 736 736 717 455 2 1472 1472 1434 910 4 - - 1325 276 1 0 0 1325 276 TOTALS 7 4548 4483 4949 2342 8-PLEX BUILDINGS (without basements - 8A and with basements - SB buildings) EACH UNIT SUBTOTALS Unit Bsmt lst 2nd Garage X# of Units Bsmt lst 2nd Garage 2 635 635 730 291 6 3610 3810 4380 1746 3b 736 736 717 455 2 1472 1472 1434 910 TOTALS 8 5282 5282 5814 2656 ~ 8-PLEX BUILDINGS~ without 6asements- BC and ' yrr ~p/5~. CH UN SUBTOTALS Unit B lst 2nd Garage X# of Units m lst 2nd Garage ~ 1 11 1 1106 - 283 2 2 2212 0 566 2 5 635 730 291 2 1 0 1270 1460 582 3b 736 717 455 2 4 2 1472 1434 910 4 - - 1325 276 2 0 2650 552 TOTALS 8 508 4954 5544 2610 2422 Enler se Drive Mendbta Heinghts, MN 55120 1At91 SURVEH7R3 . pvi EN(iNEEA4 (812) 681-1914 FAX:881-9488 uNo vLv«Ens. L,uoscAPE erta{iiccrs 625 Hlghway 10 N.E. Blaine, MN 55434 (812) 783-1980 FA%:783-1883 Certificate of survey for: TOWN & COUNTRY TOWNHOMES SCALE : 1 INCH = 30 FEET BENCH MARK SW.-zj3 -----r------- BENCH tdARK i 23.00 i 34.33 i 17.17 i 17.17 i 34.3 i 23.00 i TOP OF PIPE i a i o o i i o i o o i 01 TOP OF PIPE ELEV.=889.23 ~ o ~ o v i io i o ~q3-q o i o i ELEV.=691.28 ~ N ~ c O I ~ I O O ~ O I N ~//~z)N I I I N N~ NI I 1 I I I V 5 E5 tooo A ; B C~ b E ; F~ ~ Q n I (BUILDING '81) WIT}I NO dP710NS) N ,o I I M o ~ (Wj7 t`1 0°000 1.67 ~ o$.88 ..88 o I 1.67 a°~° ~ 11 ~ c ~ ~ J ~aw x 1.79 5.. I 5. 0. .79 I N j x aw ; N N I p p ~ ~,j ~ ^ I ~[7 ~ ~A N N i I .,p. .I [~v 1 pj I Z1.OO I O p tn I I N I O N N y. I I~ t[1 1 ~ ;ni ~ 23.66, ~ 23.66. ~ ~ 'n I OI..~g~5. I IN 1 ~~'i'~ IN 1 I~ I 1 I I ol 0 ~ ~ I ID I I NI I I BENCH MARK 1 23_00 _ y ___34.33 1 17.17 1 17.17 1 34.33 i 2J_00 BENCH MARK TOP OF P.K. _ --------1 -----1 -----------1- TOP OF PIPE ELEv.=891.76 ELEV.=893.87 NDTE: PROPtl5ED LRADES SMOWN PER CRADMG PUVN BY: PIONEEN ENdNEERING Ff - ~ f~ ~1 yK ~ i NOIE: BUILDINC DIAffNSIONS SMONT! ARE FOR HORI20NTAL /MD VEft71CAL LOCATION OF SiRUCNRES ONLY. SEE dRCH17EC7UAL PLANS FOR BUILDING ANb - ~ FWNDA710N bIMEN510H5. NOIE: NO SPEGYFlC SOIL4 INVESIICATION HAS BEEN COMPLEtED ON iHIS L0T BY ~p ~ ~ SURKY~t. 1HE SUITABIUIY OF SdL3 TO SUPPIXtT 7HE ~EGFlC HW~ PROPOSED I$ NOT iNE ItE5PON51BIL1T`! OF h1E SURVEYOR. NOIE: hUS CER71FlCAtE DOES NOT PURPORT TO SHOW EASEMENiS O1HfR THAN Y~:AGAN ENGINEE DE / #(v I n+ose sHOYM ow nHE RecoROeo rui. ~ ~ "J NOTE: CONTRACTOR FiUSi VERIFY DPoVEWAY bE4(iN. ~ ~ aJ OK NOIE: 9EARING5 9ifNVN ARE BASEO ON AN ASSUAIEU bA1UM ~92.4~A~. PROPOSED HOUSE ELEVATION sybOpS~ fr~'^ UNITS A & B ~ ~ ` ^ ~'a \ LOWEST FLOOR ELEVATION: Aja` py~F A / 70P OF BLOCK ELEVA110N: 2 Qa`O~~ \ y GARAGE SLA9 ELEVATION V97 B AT DOOR . 0 p~ 5' 892. fi\ $92y1 UNITS C. D. E& F O 20.2 f ~~Y x~ ~,Z D'• /"y !4' LOWEST FLOOR ELEVATION: 70P OF BLOCK ELEVATION: E GARDOORAGE ELEVA110N. F~ 12 ~ VL V ~ % 000.00 bENDTE3 E7(1571NG ELEVAitON ~ ~SSROO \ ~ ~ V ( ( 000.00 ) DENOTES WtOPOSED ELEVATION S~. ~ DENOTES DRAINFGE ANO UTIJTY EASEMENT ~ OENOTES qiAINAGE FIOW DIRECTION OENOiES MONUMENT U t -E3 OENOIES OiFSET HUB WE HEREBY CERTIFY TO TDWN & COUNTRY TOWNHOMES THA7 THIS IS A TRUE AND CDRRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: E A G A N LOt 11, BLOCK 1, EAGAN HEIGHTS TOWNHOMES 131111E YtCE"IffiIV DAKOTA COUNTY, IAINNESOTA iT DOES NOT PURPOR7 TO SHOW IMPROVEAiENTS OR ENCHROACHMEN7S, EXCEPT A~~HOWN, YED B ME OR UNDER MY DIRECT SUPERVISION iNIS 30TH pAY OF AUGUST 1998. ' Q / /ZP vi4~ SNE PIO ER[ 1( P.A. SCALE : 1 INCH = 60 FEET s r` II 1336 95343.06.. PJH John C. larsan, L.S. Reg. Na. 19828 ;.t LOT SURVEY CHECKLIST FOR RESIDENTIAL • ' BUILDING PERMIT APPLICATION ~ PROPERTY LEGAL: DATE O SUR Y: > LATEST REVISION: ~ H ~ DOCUMENT STANDARDS 4o'~13 o • Registered Land Surveyor signature and company 4~J ? • Suilding Permit Applicant e' ? ? • Legaldescription ? ? ? • Address ~ ? ? • North arrow and scale W---0 ? • House type (rambler, walkout, spiit w/o, spiit entry, lookout, etc.) R~'? ? • Directional drainage arrows with slope/gradient % ff'~ ? r] • Proposed/exsting sewer and water services 8 invert elevation Q-~0 ? • Street name 2r-' ? ? • Driveway ELEVATIONS 'stin 9~ ? ? • Sewer service (or Proposed) ~9 ? • Property comers o~ ? ? • Top of curb at the driveway ? C3-'o • Elevations of any existing adjacent homes Prooosed C~/ ? ? • Garage floor ff 0 ? • First floor 2--0 ? • Lowest exposed elevation (walkouf/window) ff' ? O • Property comers F3~ ? ? • Front and rear of home at the foundation PONDING AREA fd aonlicablel ? 0~-'o • Easement line ? ff' ? • NWL ? 0' O • HWL ? M"~ ? • Pond # designation ? u-, ? • Emergency Overflow Eievation / DIMENSIONS C~ 13 ? • Lot IinesBeadngs & dimensions ? 2' ? • Right-of-way and street width (W back of curb) Z' 0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring pertnanent foodngs) 1a,,/ ? ? • Show all easemenLs of record and any City udlHies within those easemeMs ~ ? 4 • Setbacks of proposed sVucture and sideyard setback of adjacent ebsting shuctures ? O'~O • Retaining wall requirements ff any Reviewed: N me / Date January 1988 cauc19oe1eLocartWr.FM CITY USE ONLY L / BL ~ RECEIPT SUB . I X DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: `O FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.40 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ~ 6~ ? State Surcharge .50 TOTAL db-~ SITE ADDRESS: ;a OWNER NAME: PHONE 1,~SV RAY N. WELTER HEATIN CO. INSTALLER NAME: Minneapolls, MN 55407-3592 STREET ADDRESS: CITY: ; J STATE: ZIP: PHONE ( ) ~ ~ ; CITY USE ONLY L BL I RECEIPT SUBD. DATE: a 8 G 7996 MECHANICAL 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 permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: M FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ~Ot~r ? State Surcharge .50 TOTAL ~ SITE ADDRESS QWNER NAME: D N PHONE INSTALLER NAME: RAY N. WELTER HEAT G CO. ve. o. STREET ADDRESS: Minneapolis, MN 55407-3592 CITY: STATE: ZIP: PHONE ~ ~ CITY USE ONLY L ~ BL L RECEIPT _62~- SUBD. DATE:_ /X Se;P 1996 MECHANICAL 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 permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 • Gas Outlets (minimum of 1 required @$3.00 each) ~ 'A , ~ ? State Surcharge .50 TOTAL SITEADDRESS: OWNER NAME: PHONE 11~ INSTALLER NAME: RAY N. WELTER HEATING CO. 4631 icago ve. o. STREET ADDRESS: Mlnneapolls, MN 55407-3592 CITY: STATE: ZIP: PHONE ( ) b Y'.L (o 4~d CITY USE ONLY L BL ~ RECEIPT#:(P~- SUBD. , e " I 4 DATE:,,I'1'.~~ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNaB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ~ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.D0 ? HVAC: 0-100 M BTU 24.00 ? Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 6 ? State Surcharge .50 ~ TOTAL 5d ~ SITE ADDRESS:~~~~ OWNER NAME: aS PHONE INSTALLER NAME: RAY N. WELTER HEATI G CO. icago ve. o. STREET ADDRESS: Minneapolis, MN 55407-3532 825-6867 CITY: STATE: ZIP' ~ PHONE ( CITY USE ONLY L ~ BL _L RECEIPT#: 4~G0.,23-- SUBD. C , ~ .eeo, ~ DATE: 7996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: ? single family dwellings / ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 ~ Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ~ G ? State Surcharge .50,-, TOTAL SITE ADDRESS: OWNER NAME: PHONE RAY N. WELTER HEATIN CO. INSTALLER NAME: Minneapolis, MN 55407-3592 STREET ADDRESS: 825-0861 CITY: STATE: ZIP: PHONE ( ) b ? 6~ CITY USE ONLY L I~ BL L RECEIPT SUBD. 0/A.t .k. I~. DATE: 1996 MECHANICAL 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 permits are required for each unit New construction Add-on furnace ~ Y Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: JD ~/S-G%G FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 ~ Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 ~ ~u sv TOTAL SITE ADDRESS : J ~ "v ` ~ ~ -WY OWNER NAME: /Uf~~ ~ lJL1~ ~ PHONE INSTALLER NAME: FiAY N. WELTER HEATING CO. 4637 icago Ave. So. STREET ADDRESS: Minneapolis, MN 55407-3592 1325-6867 CITY: STATE: ZIP: PHONE ~1~~ , CITY USE ONLY L ~ BL ~ RECEIPT 610.~2~ SUBD. DATE: 7996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PtLOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL U, SITE ADDRESS:YY L + OWNER NAME: PHONE / 7 INSTALLER NAME: RAY N. WELTER HEATING CO. hicago Ave. So. STREET ADDRESS: Minneapolis, MN 55407-3592 825-6867 CITY: STATE: ZIP: PHONE CITY USE ONLY L BL RECEIPT SUBDa'CA=~~ ~iDATE: ID /~~y~ 7996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 - (612) 6814675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air, exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00/ Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ~ ? State Surcharge .50 / TOTAL 51TE ADDRESS: OWNER NAME: PHONE INSTALLER NAME: RAY N. WELTER HEATING CO. 4637 Chicago Ave. So. STREET ADDRESS: Minneapolis, MN 55407-3592 825-6867 CITY: STATE: ZIP: PHONE ( ) 7 . ~ _i Sf 1~Yt CITY USE ONLY / 1-1 L ~ BL ~ RECEIPT SUBD. DATE: [9/ ' v 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551::2 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH I1Q TOTAL Shower 3.00 x = k ao = (7? - r°'ai6i vlv5c} 3.0 0 Bath Tub 3.00 x am i o = "~u- Lavatory 3.00 x r G ij- Kitchen Sink 3.00 :c Laundry Tray 3.00 :c = Hot Tub/5pa 3.00 = Water Heater 3.00 Floor Drain 3.00 Gas Pip'ing Outlet * minimum -1 3.00 x C4_ Rough Openings 1.50 ;c = Water Softener 5.00 x = Prlvete DiSpOSaI ` Dakota Cry. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under eonst. 3.00 = Alterations ' to existiny 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 ~ TOTAL SITE ADDRESS: DIIy- yg t-)~-4~ L Lc-, OWNER NAME: 'rr),.,.. 1.-4 INSTALLER NAME: STREET ADDRESS: L~~,L A- ` CITY: STATE: ZIP: S s 3~~ . PHONE#: StGR~~Riz-Oe P` a ~ ..,.i „ , ' 1 i ~ ? i .:..~-r'I, (1.', '1 r i i r..;. I ...:1 ~ . . ` ~ i„ w 1 ~ ~ 4 : M 8.ia 1L.1Ssw.x ivi10 r - - . _ Serial # Sl66-4p 90,6 Chip # ~ 71T906,1 Permit # ~ ~ 89 a Address: 0Rl<3Lf VUy C.9-7?~ 1 AGREE TO COMPLY WITH CITY OF EAGAN ~ ORDINANCES Signature: 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Q 2007 New ConsUUCfion Requiremenis RemodeUReoair Requiremenls Office Use OnN 9 regis[ered sile surveys showing sq. ft. of IoC sq. ft. of house; ana all roofed areas 2 mpies of plan showing footings, 6ews, joists Cert of Survey Recd _ Y_ N (20%mazimumlotcoverageallowed) 1setWEnergyCalculationsiwheatedadtlitions TreePres.PlanRecd T.Y._N. 2 copies M plan showing beam 8 window sizes; poured found desgn, etc. t sile suNey ta addi6ans 8 decks Tree Pres Required Y_ N 1 setotEnergyCalcula6ons Addiibn-indicafei/on-sitesep6'csysfem Dn-sileSepticSystem_ _Y_N 3 wpies W Tree Preservalim Plan if bt platte0 after 711193 RimJOistDelailOptionsseleclionshee[ (builtlingswith3of lessunits) Minuegusco mechaniwl venlilatiou form ~ Dale o7 Cooshuctioo Cost Site Address a- A 1 `145 (.J4T ti2 Ljii y Lia..J E_ UnitlSte # 'r,:1CL%'q?~ 47 A~'rv'[.Q6Zlb & F_ DescriplionofWork Q£~o?£. j QcpiqtF. ~LG,Zi.1~ a R.a~~S Atl'Er~ST~~JG Multi-Ramily Bldg X Y_ N Fireplace(y) ^ 0 _ 1 _ 2 Property Owncr c% J~ U aw~aD E2T(£5 Telephone#(bS/) ys0`z3VL) Ta H.-1 U R$.,.i 6 Con[rector ~4 ~F crx: e-2/ cr/L /y1,9;~ 7' i,..,.q„1C£? AAdress S/o.~ 6 G*~'` City /yJ PL 5 Stnte _ /V AJ Zip Telephone # (!a / X (c;t COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Cdlegofy , Resitlenlial VeMilation Calegory 1 Worksheet • New Ene(gy Cotle Worksheet (d submission type) Submitted SubmiHed . Energy Envelope Calculations Submitted In ihe last12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, tlaTe and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone 1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that che work wiU be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 1 understand this is not a permiY, but only an application for a permit, and work is not [o slart without a permit; that the work wil] be in accordance with the approved lan in the ase of work which requires a review and approval of plans. ApplicanYs Yrinted Name ApplicanYs Signature ~ ~ ~ 2006 RESIDENTIAL PLUMBING PeRnnir aPPUCarioN CITY OF EAGAN . 3830 PILOT KNOB ROAD, EAGAN MN 55122. ' 651-675-5675 Please complete for modifications to existing residential dwellings. Date 9 ( 11.0 1 Dr7 4 ; ( Site Street Address Wakf L. O l~Y 1~ Unit # Property Owner a L-VAQ U~( Telephone #((,5 I`) Contractar,~~~J S Telephone #(3'a 31p5 -I 34-Q Address Clty State~ Zip !M(23 The Applicant is: _ Owner ~S ntractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existtng dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. qp _Septic System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) ll U q PR 2 2007 Other: _ Water Softener ~er Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repafr _rebuild $ 30.00 State Surcharge $ .50 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 tfie City of Eagan and the plum6ing codes; that i understand this is not a permit, but only an appiication for a permit, work is not to start without a permit and work will be in accordance wip the approved plan in the event a plan is required to e eviewed and approved.. Applicants inted Name Appli nY Signature ~ 10/03/2008 11:26 6128616267 BEI EXTERIOR MAINT PAGE 23 i i ~ty af EalaIl ; Pem+k W I i PermftFee: .04~1 I 3830 Piiot Knob Road EaganMN5572x ~ DeteRecawad7, Phone: (651) 675-5675 ~ Fax: 1651 ) 675-5694 j s~ ~ j 2008 RESIDENTIAL BUILDING PeRnnIT APPLICArION oate: /0131 08 SiLeAddress: a/351 Gu/d-'Tffl~t' 111-Lkl 4A1V'5 _ Xvwft 1iuC409A&' d(36, 0138 911-10 ~iYZ~ 2/qy1 ~~H6 ~aly~ suieeia: RESIDENT I OWNER Name:70 DUeANb 5 f~SSOUATt~ Phone: V15I'40~`~~ Z-3a0 a,daress / ciry fZiv: 2227- a nrtl AvE' A1. 5a- ST. AFH1L AJA/ 5~ Appllcant is: _ Owner X Contrndor _ nrPE oF vuoR?c Descripron afwork: &Xe4L .4n1,Q R~c.~r~ /Zaaf ~ Construetion Cost 23, qpU Multi-Family Building: (Yes ~ I No ~ CONTRACTOR NaR,e: BFf ~AMynlT COQP LirensanZ0aL t 33 2 3I31 /ay aaaFess: 405 W bo 4* SnZff7- City: /ulUAlEMt-15 State: &Af zip: „r''3V/9 Phone: 4I2- 24I- o~243 ContactPerson: jTE7/F /1~• COMPLETE THIS AREA QNLY IF CONSTRUCTING A NEW BUILDING Mlnnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EI1CIgy COde . ResideMlel VeMlledon Categary 1 Wodcsheet u • New Energy Code Workaheet Category submittce sudmlmd (4 submission lype) • E^ef9Y Envelope Calculations Submltted In the last 12 months, hae the CiLy of Eagan issued 8 pertnitfor a slmllar plan based on a masfer ptanT ^Yes _NO if ye5, date and address of master plare Lieensed Plumber: Phona; Mechartlcal Contractor: Phona: SewerBWaterContracWr: `Phone: NOTE; Plans and siappdrtfrl~'ddCYlmt~}its tJ+~i` yqi[ st~faErYNt':aei4 reJhsideV~C+F to~e'pWrilC l?+t'ormatiqn PortfobS of the mforrn~~roe rnay b+~ +GT#sarf'i~d as ~iar~~}1b1i0 1~ ybCe proild~,sp4 t+eABbNS that woilld pwmPt th~ C;ty to p,: r , s.: c.'d ~rflare.il?dl.tba .•~!~rt~rip-~~c?crsr. 1 hereby acknowladBe that this infonnatlon tx cemplete antl eccurate; tha! !he work will6e in coniormanee wIN tha ortlinances and cotles of the Ctty af Eagan; thet I understand lhis Is noi a permit, but ony an application for a pertnit. and wpAc iy not to sWrt vYithout a peRnlt: Mat the work will be In accorciance with the approvad plan iri tFle Ca3e of work which ipquirea a review and apDrWal of plans. G'ggts ,4.'14Czsb,11 X ApplIcanCs Printed Name A plioanCs 3ignature Page 1 uf 3 . i ~ Clty of Eaian I I Permit Fee:. 16 3830 Pilot Knob Road Edgdn MN 55122 ~ Date Received: ~ Phone:(651)675-5675 i 02~_ ~ Fax: (651) 675-5694 I Starr: I I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: s S o` Site Address:a/36 o?1.39a/e69 ..7/Y~ ~/~~~2/VT Tenant: Suite RESIDENT I OWNER Name: /O Z)l/,P,9/!~O `~SSOG~~7E~ Phone: ~S ySG' 23G0 Address I City / Zip: Ge,51/Lv 1r SSd 7s- Appticant is: _ Owner 77" X° Conirector TYPE OF WORK Descriptian ofwork: Construction Cost Multi-Family Building: (Yes ~L No CONTRACTOR Name: 1*j4// C.l//ZP License#: Address: 6Y0,5- ~ UiL~~rJ'/~EZrj city: /0iti•1,'?1RvaS state: /L1/i/ ziP: 5501% Phone: ContactPerson: 1_)l1L- 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 Cdt@90Fy . Submitted Submitted (4 su6mission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a similar pian based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting`doeumeofs that you sabmitare consid@reti to be=pubfic informabon: Portions rov~de speceifc reasons that wouldpermrt fhe City' ta „s';. the information`may 6e classified as non publtcif you p r COnQ.~UCfB,&a2 t/7@ I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that 1 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 CH.?!S f/.r~G'EZ'~7n/ l/C!6"~~~ ApplicanYs Printed Name IAB ;U 1,-_ /ig- ApplicanYs SignaWre f g pr Page 1 of 3 I a ~>A o~-t J (V 1 `t 3 (3, eD- I'q b Use BLUE or BLACK Ink a I A V~cX t-'11 ~19r~ &L` I For Office Use Permit I L~ ~ 09 j . ~ _ I t I City of Eap I Permit Fee: lQ~~ • 50 I 3630 Pilot Knob Road I I I Date Received: I Eagan MN 55122 I ~J ~j I Phone: (651) 675-5675 I I Fax: (651) 675-5694 j Staff: L--------------- - - BUILDING 2013 COMMERCIAL APPLICATION " l Date: 15t 2-01,3 Site Address: I LtZ ~ 1► Q. Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: Name: Phone: Property Owner Address /City /Zip: Applicant is: Owner Contractor Description ofwork: L t - - - Tye of Work Construction Cost: 4-9 _ x License '=t Name: Address: City: On State: Zip: Phone: Contact:Email Name: Registration Address: City: Arch itectlEngine r 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 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.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 a review and approval of plans. F , H Applicants Printed Name Ap int's'Situnature Page 1 of 3 5wc....4--(01.5 010.010) 411/1° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: Permit Fee: Date Received: Staff: Z0 Or 1/05( 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 '01 Ill Site Address: Tenant: a /1.3v i z/1i�o/// %e kesfie ct .s,/ Suite #: RESIDENT / OWNER Name: / f S// P. W/29 A 1r Phone: A.57 - 24 / 74 57 Address / City / Zip: 02/ %/` 4, / 60'176 3 `C Applicant is: Owner X Contractor TYPE OF WORK Description of work: pQc.r(.i door PepIc,4.-e-ell21/If _ Construction Cost: Multi -Family Building: (Yes- / No ) , a CONTRACTOR Name: 5 T 1' tei'i/if-> License #: �J'/ 2- % Address: 3 g2_ /pia e.", /Ccl e 4./ e City: % w/e/4 TP>'7 State: l%1/1 Zip: �-��` 61-6 2940 /�/ , 457.6- �pJ� �lO© �( Contact Person: -5 Phone: lf✓ Contact COMPLETE Energy Code Category ('1 submission type) In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting the information may documents that you submit are considered to be public information. Portions of classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets., 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 'ccordance with the approved plan in the case of work which requires a review and approval of plans. 5co i -far -n7 Applicant's Printed Name x Applicant's Signature Page 1 of 3