2230 Water Lilly Lane
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ' Ei 0
Eagan, Minnesata 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
+ r; tc ~ i I!~,~ ~ r1 t•i r ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
. , .
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~y Permk No. Permit Holder Date Telephone M
ELECTRIC
:
PLUMBING
HVAC ~P S f! f 8~'j-~~
Inspectton t Inap. Commenta
FOOl1NG5
' ~
FOUND FRAMING
ROOFING
ROUGH ~
PLUMBIN(3
PLBG
AIR TEST
~
ROUGH
HEATINCi .
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
!
BSMT R.I.
BSMT FM1AL
DECK FTG
DECK FINAL
SITE ADDRESS00790 6a2 un~c # Perrnit # ~~v
L ~ B ~ Sect./Sub. • ~
IHSPECTION INSPECTOR DATE CUMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS"J(:3? Unit # Pennit #~~~a v
_
L 3~ B ~ Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION IHSPECTOR DATE CUMMENTS
SITE ADDRES~~~ 6) ~ • Unit # Permit # 0?9 k-i L S B ~ ~
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Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS~~ Unit # Permit #cx7 2o v
L Sect./Sub. - /
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
. SITE ADDRESS~~ L~ C/ ~1 • Unit # Permit # af 7so
L 15
B Sect./Su
INSPECTION IMSPECTOR DATE COMMENTS
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UG -/6 97
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INSPECTION INSPECTOR DATE COMMENTS
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. , ` SITE ADDRES4 P77~ W~Ci~~~r.s'? Unit # Permit #0~7 O
L ~ B ~ Sect./Sub
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
. '
2422 Enterprise Drive
~ * * hfandota Melghts, MN 55120
* picu~`is~a (812) 881--1914 FAX:681-9488
~ UNO SUR4FYORS ~ CINL ENfANEfpS
* anQ naer nQ AN° °L^I,1NERS• u"°"~ "p°°reeTS 625 Highway 10 N.E. ~
Bloine, MN 55434
~ i~ * * (617) 783-1890 FAX: 783-1883
Certificate of Survey for: TOWN & COUNTRY HOMES
SCALE : 1 INCH = 30 FEET
~-----11----~°------
BENCN MARK •
10 25.00 1 17.17 I17,17'~ 1 17,17 1 17_17 1 23.00 1 BENCH MARK
TOP OF GIPE 1o~g~j~•~~ io °of~~'S~/'d_I o gi~~~t~'~~°oi TpP OF PIPE
ELEV,= ELEV.= '
io ~o oi o~ ol cl
(N I- - ' - -1 - NI NI NI 1
i ~
11,21 itzi (
p q i B'I C ~ D;I E 1 F M
~ BUILDING 9A WITH; BAY WINDOW bPTION N i
~ ONi UNITS ~A AND 1F I s ~
PROPOSED SERVICE ~p X g
fL.=881.0 x uS
i 10 3 i 10 3 i s'9J i o N
m I ~ ' m I ~m
o a m
K il.
21.00 v ~ N N ~ N 21.00 ~ I o o' w
~ I n 1 33 j° 24100 ~i 12. 3
I I
p I PI/ I I
1 S5z-~„ 1.~913~~ ~
i
BENCH MARK j ~F~ I Nj BENCH MARK
TOP OF PIpE I 1 TOP OF PIPE
ELEV.a +_17_17^1 23.00"+ REV.=
~ 1 I
' I I
6 ' aE W ~•p4 E i ~
~
-~y15~ y
`,z.oo-- N 6• Qi&8-~J _-_1z.oo-~~~•,o.aa
w3 \ 89D.5 wi
iH 5~6.~g~S~,
A
~887.86 5 i
~ ~ ~nn t = 15
C ±
•
14
~
4~T 890.4 ~ '
BY ~ .3~ "e
" - •-1 ~ F~ t ~ ~ aes.s
p ~ NSPECTIONS D~5 j ~ " #>,N>5.
k a 46,oa
V •50 ~F
IOWESF FLOOR EIEVAT10N: 889.2
TOP OF BLOCK ELEVA710N: ~
GARAGE SLAB ELEVATION G 99'~ ~ o
AT OOOR p~y'1 o S~rjoyg0
~
_EH4POSED HOUSF FI FVAjjQJy_
UNI~~T,i, F F
I.OWEST FLOOR ELEVATION:
TOP OF BLOCK ELEVAiION: NOTE: CANIRACTOR I/UST IrFftIFY ORIYEWAY OESICN.
GARAGE SLAB ELEVATION N05E: BEMINGS SNOWN ARE BnSED ON AN ASSUAIED DANIA
nl DOOR IIOTE: PRaPOSEO cRAtlE3 SNONT! PEfl GRADINC PLAN BY: PIONEER ENWNEERING
NOTE: 6UILDING DIfAENSI0N5 SfIOWN ARE FOR HORi2[vJTAL AHO vERflCAL LOCATiON
1( ppp.Op DEN07F5 E11571NG EIEVATION PF STAVCNRES ONLY. SeE ARCHITEC7UN. PlANS FOR 6UILOMO ANO
( 000.00 j DENOTES PROPOSED ElEVA710N FWNDAl10N DiMEN510NS.
DENOlES ORAINAOE ANO U11LIiY EASEMENT NOIE: NO SPEGGIC SOILS INVES11GA710N HAS BEEN fRNPLETFD ON THIS LOT BY 7HE
DENOTES ORAINAGE RDW UIRECTION SURVEYaR. 1HE 9UITABILITY OF SdLS 70 SUPPORT 1HE SPECIFlC HWSE
DENOTES 110NOMENT PROPOSED IS NOT 7ME R6PONSIBiIJtt Of' TME SURVEYqi.
-1--
---6- DENOTCS OFrS[T HUB NOTH: 7HIS CERTiFlCATE OOES NOT PURPORT TO SHOW EASENEN75 OTHER THAN
7NOSE 910WN ON 7NE (tECORDEO PLAT.
WE NEREBY CERTIFY TO TOWN & GOUNTRY TOWNNOMES THA7 iHIS IS A TRUE AND CORREGT REPRESENTnTiON OF A
SURVEY OF THE BOUNDARiES OF:
~ LO7 5, BLOCK 1, EAGAN HEIGHTS TOWNHOMES 1ST AppITION
. DAKOTA CQUNTY, MINNESO7A
IT DOES NOT PURPORT TO SHOW IMPRDVEMENTS OR ENCHROACMMENTS, EXCEPY AS SNOWN, AS SURVpYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 201H DAY OP MFRCH, 7997.
SIG D: PIONEER ENGI ~I G, P.A.
SCALE : 1 INCN = 60 FEE7 r. ~
BY: .
1336 55343.10 PJH ohn C. Laraon, L.S. Reg. PJo. 19828
ie-d I
- ~ PERMIT ~
CITI( OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e uILo z N s
Eagan, Minnesota 55122-1897 Permit Number: 029780
(612) 681-4675 Date Issued: 0 4/ 2 5/ 9 7
SITE ADDRESS:
2230 WATER LILLY LANE
LOT: 5 E3LOCK: 1
EAGAN HEIGHTS TOWNHOMES 1ST
P.I.N.: 10-22425-050--01
DESCRIPTION:
( 6- P L E X)
Okiildin~,,Permit Type MULTI. (Apn'L.)
jBuilding Wb_rk Type NEW
' U$C t3ccupano.,~'., R-1 U-1
Gonstruction 7ype V-N
Zohing ~ '--~s PD
Building Length ~ 115
~ Bua3ding Width 62
Hyiidi.ng stqries ~ 2
~~„1"i:9 u 5 G`6 'B~ 1 0 5 5 0 R M O R E F A M I L Y
" . '•.j'-;;~-'
}f r(
t
to - !s
'°€a„\ _ ,3 i t C. '~`l 1 *v?~ ~ ~ Qj
REMARKS:
INCLUDES 2232 2234 2236 2238 2240 WATER LILLY LN
C P II DI RA k'Al_I FV PI 130
FEE SUMMARY:
VALUATION $485,000 .
Base Fee $2,812.25 . CITY SAC $690.00
plan Review $1,827.96 WAC $4.680.00
Surcharge $242.50 S & W PERMII' $100.00
SAC $5,700.00 S & W SURCHAftGE $.50
SflC ~ 100 TREATMENT PLANT ' $2q520.00
SAC Units 6 Total Fee $18,483.21
SubYotal $10,582.71
CONTRACTOR: - Applicant - 5T. Lzc OWNER: `
TyOWN & COUNTRY MOMES 19253899 0009137 TOWN & COUNTRY HOMES
6800 FRANCE AVE S 6800 FRANCE AVE S 170
FDINA MN 55435 EDINA MN 55435
~~612) 925-3899 (612)925-3899
I hereby acknowled that T have read this application and state that the
informatinn zs car ect and agree tq camply with a11 appltcaple Stat2 af Mn<
SGatutss a iCqf Eegan Ordinanaes.
~ ou,~~
APPLICg ~ ERMITEE SIGNATURE iSSUE : SIGNATURE
EAGA ~ • 3830 PIL'OT KNOB RDN 55122 151`~ ~3 • z ~
~996 BUILDING PEaMiT APPUCATION (RESIDENTIAL)
661-4675
RemodeUReoair ReauiremeMs
? 3 regiatered a8a aurveys ? 2 eopies of plan
? 2 copiea of plans (Mdude beam d whWow s@es; poured fid. design; etc.) ? 2 sNe surveys (ezterior additlons d decks)
? 1 energy calculelions ? 1 enerpy ealaletions tor heated adeitiona
? 3 copies ol tree presaweHon plan M bt piatted after 7l1/93
requlred: _ Yas _ No -
DATE: 3/24/97 CONSTRUCTION COST: $420.960.00
DESCRIPTION OF WORK: - Complete Construction of Townhome Living Units
STREET ADDRESS: 2230 - 2240 water Lilly Lane
LOT 5 BLOCK 1 SUBD.IP.I.D. 10 22425 050 01 ,
PROPERTY N8tT1@: Town & Country Homes PhOn@ 925-3899
OWNER
StreCt ACICIf@SS' 6800 France Avenue S, 11170
_ Cj{y; Edina State: mN Zip• ssass
CONTRACTOR Company: Town & Country Home's Ph0(iC 925-3899
Stf2E1 AddfeSS: 6800 France Ave s, #170 License 9137
Cjty; Edina StBtB: MN ZIp' 95445
flRCHITECT/ CO(ppany: LHB Engineers & Architects PF10n2 338-2029
ENGINEER
Name: Jerry Putnam Re915tf8fi0n 19343
Street Address• Zso Third Avenue N, 11450
Clry: Minneapolis State: mN Zjp; 55401
Sewer & water licensed plumber: valley Plumbing . Penalry applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the informaNon is c ect nd agree to comply with all
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certiflcates ot 5urvey Received V Yes _ No
• APR 0 ? 1997
Tree Preservation Pian Received _ Yes _ No
OFFICE USE ONLY
•~t
BUILDING PERMIT TYPE 4%
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ~ 10 6-plex o 15 Deck
WORK TYPE
00~ 31 New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. N~ MC/W5 System
(Allowable) Main level sq. ft. 'Y O/Z_ City Water ~
UBC Occupancy / Z N6 sq. ft. aSY Fire Sprinklered
Zoning - D sq. ft. PRV
# of Stories Z sq, ft. Booster Pump
Length sq. ft. Z 7 Census Code. as"
Depth /a/•S Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCIWS SAC 0! zx Y ° i
City SAC
Water Conn.
Water Meter
Acct. Deposit 2- N3
SNV Pertnit
S!W Surcharge y, 3s yX ~-Y = Z
TreatmeM PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
snc u?;fts
i
• ' . , LOT SURVEY CHECKUST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
~ PROPERTY LEGAL: "!7
~ ATE OF SURVEY: f Z~ oZ~' W1
LATEST REVISION: ~ ~7
DOCUMENTSTANDARDS
41~0 ? • Registered Land Surveyor signature and company
4l/17 0 • 8ullding PermRApplicaM
? / • Legaldescription
? 0" t~1 • Address
0--'0 0~ • North arrow and scale
2---0 ? • House type (rambler, walkout, spli[ w/o, split entry, lookout, etc.)
12-'0 13 • Directional drainage arrows wilh slope/gradient %
0' ? O • Proposed/e)dstlng sewer and water services & invert elevatlon
• Street name
Q-' ? ? • Driveway
. ELEVATIONS
E)dstlna
Q< ? ? • Sewer service (or Proposed)
C)-~ 0 ? • Property comers
13 D" ? • Top ot curb at the driveway
13 0'-'0 • Elevations of any ebsting adjacent homes
Prooosed
0"~ 13 0 • Garege floor
3-~ ? ? • Frst floor
Er'0 ? • Lowest exposed elevation (walkouUwindow)
? Z-' ? • Property comers
0-' ? ? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
O 0' ? • Easement line
0 JCI~ 0 • NWL
? C2" ? • HWL
13 CY ? • Pond # designation
0 R" 13 • Emergency Overtlow Elevation
DIMENSIONS
q--~o 0 • Lot lines/Beadngs & dimensions
ff-- ? ? • Right-af-way and street width (to back of curb)
~ O O • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring pertnanent footings)
zf~ 0 0 • Show all easementa of record and any Cily udiides within ihose easemerts
0-10 • Setbacks of proposed structure and sideyard setback of adjacent eristing sWCturea
• Retaining wall requireme , ff any
Reviewed:
Name D e
January 1986
CRAqt BBMD6PRMr. FM
. . 03/19/97
ENCLAVE AT RIVER RIDGE TOWNHOMES AREA CALCULATIONS
4-PLEX BUILDINGS (without basements - 4A and with basements - 46 buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1 st 2nd Garage X# of Units Bsmt 1 st 2nd Garage
2 635 635 730 291 2 7270 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 with basements - 5B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1 st 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 297 'I 635 635 730 291
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 5 3278 3213 3489 1760
=BUILDINGS asements - 6A SUBTOTALS ~I r291 X#ofUni4 B~slm~t 2540 2920 Ga1184 ~r~~a~<<~ ~455 2 44~ 1472 1434 910 6 49~- 4012 4354 2074
6-PLEX BUILDINGS (without basements - 6C buildin s)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 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 1 st 2nd Garage X# of Units Bsmt 1 st 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566
3b 738 736 717 455 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 1st 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 1 7171 1706 0 283
2 635 635 730 291 3 1905 1905 2190 873
3b 736 738 717 455 2 7472 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 - 88 buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmf 1 st 2nd Garage
2 635 635 730 291 6 3810 3810 4380 1746
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 8 5282 5282 5814 2656
8-PLEX BUILDINGS (without basements - 8C and with basements - 8D & 8E buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt 1st 2nd Garege
1 1171 1106 - 283 2 2342 2212 0 566
2 635 635 730 291 2 1270 1270 1460 582
3b 736 738 717 455 2 1472 1472 1434 910
4 - - 1325 278 2 0 0 2650 552
TOTALS 8 5084 4954 5544 2610-
?
CITY USE ONLY
L -5 BL ~ ReceIPr#: y50o'20
SUBD.,'~~ RECEIPTDATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MM 55122
(612) 681-4675
Please complete for. ? all commerciallindustrial buiidings.
? multi-Tamiy buildings when separate permils are M required for each dwelling
unik
DATE: lo'1 i- CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION lNTERIOR lIvIP OVEMENT
I1~nS PI ~ 6 ` C~JIIC1~~-fiAU
DESCRIPTION OF WORK: 1'~"~
FEES: , $25.00 minimum fee gr 1°k of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of pgmjs fee due on all pertnits.
CONTRACT PRICE x 1% ?
PROCESSED PIPING
STATE SURCHARGE SO
TOTAL Ot ~
64 bt3, ~ aa~~- ~ - . , •
SITE ADDRESS:
OWiVER NAME: G~~ l.~ ~IJ~YG I'YI f TELEPHONE
TENANT NAME: (i OVEA7ENTS ONL
INSTALLER: ~ A
ADDRESS: 6),tielma
cmr:
/ STATE: ZIP:
PHONE#:
SIGNATURE: 4
SIGNATURE OF PER ITTEE CITY INSPECTOR
L /O~FFICE USE ONLY
5' g~ RECEIPTit:
SUBD~, o~~~ ,Ap{,~lc~»rvW~v 1 RECEIPT DATE: S~ S 9 7
eieT~ ~E ORDER nc '
1997 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 687 -4675
Please wmplete for: . all commercieUinduatrial buildings.
• mutti-family buildings when separete pertnils are pM 2quired for each tlwelling unit.
• backflow preventer to be installed in commerdal areas or residential boubveMs
DATE: 7 WORK TYPE: Y_5:1 New Conat. _ AddAn _ Repair
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? ~C Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes ~ No
1FNDER6ROUND SPRINKLER SY3TEM
INSTALLING METER? _ Yes _ No. NEW SERVICE9 _ Yes _ No WATER FLOW: OPM.
Pressure Reducing Valve may ba required 'rf inatalling new service - contad City's Engineering DepartmeM at 681-4646.
FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE
FEES
Minirtwm'ee of $25,00 or 7% of contract price, whichever Is greatar. Mtnimum Stete Surcharge of $.50 due on all permits.
CONTRACTPRICE: $ UJu x 1% _ $ ,c6U~
~
COMPLETE THIS AREA ONLY IF IN&TALLING UNDERGROUND SPRINKLER SYSTEM
BACKFLOW PREVENTER FEE E 25.00 = E
WATER PERMIT (new service only) 50.00 = y
WAC (new service only - per conneetion) 760.00 = $
WATER TREATMENT (new servica only - per connection) 420.00 = $
CITY INSTALLED TAP 300.00 = $
METER: 7"= S185.00 , 2" TURBO = S846.00 = y
1v°~
PERMITFEE $
F16URE SURCMARGE AT 50 CENTS FOR EVERY 51,01M, OF PERMR FEE DUE STATE SURCHARGE $ TOTAL S
I hereby acknowledge thet I have road this application, state that the intortnation is oorrect, and egree W compy xwiM all applicable City oT Eegen ordinances.
ft is tle applipM's responsibilily ta nolify the property oxmer Mat tAe City M Eagen assumes no Iiebility Mr any tlameges caused by the Ciry during its normal
operstionel and maintenanoe ectivilies to the faciikies ConsWqed under Mis permft within Cfty property/rightof-way/eaxment.
SirenooaEss: tiv WaG~ L,:LL" L,-
TENANT NAME: STE. # :
OWNERNAME: . _TJw~ J, Cvw
INSTALLER NAME: V I c ~ ~2 TELEPHONE 4C1
STREETADDRESS:
CITY: STATE: ZIP: LS~Sz
APPLICANTS SIGNATURE
OFFICE USE ONLY • 11EVER9E 910E
OFFICE USE ONLY
PLUMBING PERMIT (COMMERCIAL)
METER SIZE jg _ Yes s No
Domestic /
Ircigation
LITILITY CONNECTION IAPPLIES TO NEW SERVICE ONLYI
$
REVIEWED BY
Building Inspector Date
To determina meter size
• See if it is indicated on back of Building Inspections card
• Enter address in PIMS Screen 301 to obtain S&W permit #
• Check PtMS Screens 110 (Remarks)
• If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with
strainer wili be required. This information is to be supplied by the designer of the system. Consult wkh Plumbing
Inspector if Llcensed Plumbar does not know GPMs.
Before selling meter
Check PIMS Screen 320 foraRAroval of inspection results. No meter will be sold before all sewer and water inspections are
Complete on a naw service. If new service lines are not required, one check may be written for meter and permit costs. Write
meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk.
Enter meter size, type, receipt date & amount paid on PIMS Screen 170. Copy of receipt should be given to Utility Billing
Clerk.
eAlscellaneous Information
The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The
Public Works Department may be reached at 681 -4300 for water tum-on.
If ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes
overthere.
10/03/2008 11:26 6128616267 BEI EXTERIOR MAINT PAGE 09
~
$0 ll9g - - - - - - - - - - -
~
,
Cit of Ea. an
, I pertnrt Fee: 9 -7/~ I"1 , 7.S ~
3830 Pilot Koo6 Road
Eagan MN 55122 , ~ oate Recaived: j
Phone:(651)875-b675
Fax: (651) 575~'v684 i Stati:
2008 RESIDENTIAL BUILDING PERIwIT API'LICATION
Date: I0,I3I OS SitoAddress: Ra30 w*"r&Z LlLL,/ L-A'NE
Te,r; INGLUIJfNLl, Sa32 ~ aaaE. 2238 f a2yo Suite
RESIDENT I OWNER NamAa DU2AN D s f45SOf/ATfS Phone: d~~/' 0v- zi~tyO
Address 1 City 1 ZiP: Z2,7- &DA ND .4VE W 54• $7- I°i4aL /1'//i
Applicerrt is: _ Owner X Conhactor
TYPE OF WORK Description of work: i4N/1 ~ L.+Af~ /LO(af
Canstruction Cost: 0 7- 1, MuIN-Famlly Buflding: (Yes! No
CpNTRACTOR Name: Bff EX7ERIpQ ,t,(,cyNT: COeP. Ucense#: Z.UOLl33~ 3I3~loy
,4ddress: q&5 by, 6O ~ S1]~~
City: /u!AlIUEAfbUS State:, Ri? ZiP:
Phone: `i12 - gfi/- 62,V3 Cont:+ct Person: .5~~/F /h•
COMPLETE THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDIiVG
_ Minnesota Rules 7670 Categorv 1 Minnesota ules 872
Energy Code . Residential Ventllation Category 1 Wwksheet • Naw Energy Cade Workehect
Category Submitted Submiaed
(4 subllYiSSion 4p2) • Energy Envelope Calculadons SubmHted- tn the last 72 months, has the Cily of Eegen issued a permit for a similar plan hes9d on a mASter plan9
Yes _No If yes, date and address of master plan:
LiCCnsed Plumber: Phone:
Mechanicai ContracMr: Phone:
5ewer & Water Contractor. - Phone:
NOTE . Plens trJd.suppC ~
rtitt,q cuSnefs
n lhsf ydd ~L~t`t7rt ane cuh~r~~ ttf bA Llic:fnfoMiatiqr). Poit/ons of .
the frrfoima6oA;mayb~ clissfiiela as non-p1}bli~sifybu 0hovidb sp+~cXtf~ r~bn$ thaf would pemtk Che Ci[y to
. , ~ ~ • ne~tf'd9 f~t~! t1tE+ ~te.~tle,s~crats'. a I here6y ecknowledge M?t thls iMormetiOn ie complete antl accurate; thdt tn6 wOAc will be In conb'n+anoc with the ONinanceB and CAdCS Of the Gily of
Eegan; tha[ I unEerstand this 6 not a pertnit, but ony on appliration iw a pertnlt, anA woAC g not to start wkhout e permit that the werk wi1l be in
accordanee wlth the approved plan in the case ot work whieh requires a ravlew and aDpeovdl of plans.
x LfF.QIS f~NO'N'~Sa~ x ~y
Applicant's Prlnted Name A plicanYs Slgnature
Paga 1 vf 3
X30 ;Q-3, a, as 3~
Use BLUE or BLACK Ink
8 as 4o wow
t----------------
f I For Office Use
Permit City of EaV Permit Fee: i •
J I I
3830 Pilot Knob Road I Cj
Eagan MN 55122 I Date Received: a
Phone: (651) 675-5675 I I
I
Fax: (651) 675-5694 j Staff: I
1-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
J ' f V Date: Site Address: 11~Xnl
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant: C
Phone:
Name:
Property Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: i i
Construction Cost: I
4 Names' C> - License
Address: City: = . _Contractor
State: j. r, - Zip - Phone: 'la-61 V~60 e/
_ P
Contact L E m ail:
s
Name: Registration
Address: City:
Architect/Engineer
a
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. 4 .w,..
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.qopherstateonecall.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 view and approval of plans.
X. t x
Applicant's Printed Name Ap ant's Si nature
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