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1821 Walnut Lane ' arY oF FA"N WATER SERVICE PERMIT 3795 Pila! iinob Rwd PERMIT NQ.; . Eagen, MN 55122 DATE: Zoning: "Z" No. of Units: ' OWfIQ?: - "nriagip 1'LlQ`7nn AddfESS: _ . . . Slte Addrcss: ) p?1 ~,a].iiut I.~;i(- I'! ; 72 ^~.cien Adc'... Plixrtber. _ " n? „7 , + * Meter No.: Connection Charfle: 4 5`1 Sixe: Account Depostt: Reader No.: Permit Fee: 1soree to oomolp wob Me City ef legon Surcharge: ' Ordiwenoa. Misc. Choryes: Toto?: BY Dats Paid: Dote of Insp.: Inap.: ciTr oF EAGAH SEWER SERVICE PERMIT 3745 Wlor d(nob Rosd PERMIT NO.: ' 9090D. lUN1 $5122 DATE: ~ Zonirg: No. of Units: Owner: tT~. Addrcss: ite Addrass: ' t 1-;-~~ t^~ Plumber: ~nlr" M oomply wilh tM Gtr of EaOaA Connectlon Charne: I Ordinenat, Acccunt peppait: Permff Fee: BY 5urchorpe: Misc. Chorges: Dote of Insp.: Tald: I nsp.: Date Paa. I _ ~ CITY OF EAGAN . ~ ~7!! Mfet K~ RMd Ea~ae, MN ss12! , ~ - 7~, J u ~HONL: ~54-~100 BUILDING PERMIT Recelpt # J ~ Te M w~d hr SF DWG/GAR Est. Value 563.00~ Oate Ar~1 2R 19 R"~ ~y~ ~rc~ - 1821 WaLnut Lana Enct ~ Occuponcy _~_3 Ler 25 B~ock 2 Sec/Sub. Eden Adaition N~te• p Zontnp R_7 lpn~ pa~~ # 10 22750 250 02 Repoir Q Firc Zons ?se Enlarps ? Type of Const. V W ~yp~ ~dnttinstn Vang~an Mpve ~ # Stories ~ ~ddross~r33R N E.~iadiaan St~ Der„o~i~h ? Lengthl~8 C~ ~ p~~ 6rode ? Depth ~_Sq, Ft. Narrk Chester M~ciaazeti AP~O"a~ F~ ,~,~~e~ 16711 Dakota Street Auess?„e~~ Permit 33L Ci Anoi~ 55303 phone 421-1814 ~Neter b Sew. Surcharye -3~±,_5A- G~ Police Plon check 1~A . Sfl ~Z Noma Fin 511C - 5~ 5_ Il[l Addreas Enp. Water Conr~,~,~Q,~_ ~ W G pE~ Plonner Water Mete~ 6~ _ nn Co~?,cn Rood u~~r ~5n ~n I hercby ackrwwtedpe that I hnve reod this opplicetion ond state that Bidp. Off. fhe informotion is oorrect ond agree 4o tompiy with oll opplicobk Stott of Minnesota Sfotutes ond City of Eogon Ordinorx,es. ~ Total S 1 R^ 4 nn Sipnotum of Permittee A Build~ny Pennit is issued to: ~hester Maciaszek or, ff,. e~.~ss oa,d~ria, ~r,~,~ oll work sholl be done in aocordonce with all opplioobl~ SMte of ~r~ota Statutes ar+d Gty of Eopan Ordinoncei. BuUdnp Officiol G.i .J Pwmit Na Pnmit Holder Miw. Permit No. Holder PiumWn9 0~ II~,~ T~ 5'17` ri.v.,?.c. 3-7or~ pvwu w.a. Disp• Swvw El.ce.ic w&JqqGt( 3 wa EIFC~ (~-3--fs3 nK 77 ~ Irapeitfon Daft Insp. Uthw Footlnps -4s? Foundation rM 61-71-13 p. _ )1d3 Rouyh HVA Insulation Fiml PIb4 Final HVAC ' Final Wobr Ofteribe Loeatlon: IMNI Saww Pr. Dimp. This request void (zn 18monthsfrom W 064964 Reques te Fire No. Rouph-in 7on, /dRoady Now UI1V ufy. MsPec- ( U es ? No tor Wh n Heady tLwner icensed Electrical Contractor 1 hereby requeat inspection ot above electrical work inatalled at: : /4Sqr SU Street ress, Box or Houte o. . City L-~n ~a e ecUon o. Township Name or No. Range No. Countrp y c cupant. INT) Phone No. A ower Supp er ~ Address Elecvical ~ractoDany N~, Con ct r~ ~ o I Mailinp T0&5's19Co trec or OwnerfAakine nstai ationl &J l~/tJ~ ~ no~2 ss 30 Authorfzed Si ature ICo ctor Owner Making tnstallationl Ph i ' 90 MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WI L NOT GriD9s-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARO 1821 University Ave., St. Peul, MN 56704 UNLESS PROPER INSPECTION FEE IS - Phone (612) 297,2111 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 _ ' See imtructions 1or compieting this fwm on back of yellow copy. % w . 6 X Be ow 19 Mered by This Request Now Add Rep. Type ot Building Appliancns Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Etectric Heatin CommerCial Bldg. Furn2ce Silo Unloader Industrial Bldg. Air Condrtioner Bulk Milk Tank Farm lher peci y .thEr (SUer,ify) t er .peci y t er Other ompute lnspectlon Fee 8elow N Fee ServicaEntronceSize # Fee Feeders/Subfeaders ~ Fee Circuits U to 200 Am 5 0 to 30 Am 5 0 to 30 Am ]S Above 20 _qrnps 31 to 100 Amps z 31 to 100 Amps Swinxnfng Pool Above 100_Am s Above 100_.Am Transdormers Irriyation Booms i Partial Other Fee Signs Special Inspection $ liemnrks NN TAL 7 RouBh-in Dj)te y the Electrieal Cj v~ Inspector, hereby certity that the above F1nal y 'nspection has been mede. Thle rsQUeal roid 18 moMha trom Raoeipt ~MECHANICAL PERMIT Permit No. -7/ ! CITY OF EAGAN Fee Fil1 in numberied s,naces S/C > f Type or Prini legib/y Tot. " 1. Date ' 2. Installation Cost 3. Job Address LotBlk. ~ Tract 4. Owner 5. Contractor • _ Phone 6. Addreu 7. City State ZiP 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe Fuel Type ` 11. No. Eauioment BTU - M. Ea. No. EQUiament CFM Forced Air Air Handling: Mfg. Boilen Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is yoix permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fse Fill in numbered spaces S/C ' Type or Print ItgiWy Tot. 1. Date 'ti' 1 2. Installation Cost ~ , t, ~ ~ 3. Job Address 1 U!;t i r? u" Lot~Blk. ~ Tract 4. Owner ~4 f' r1,-1U ~ VOt i 1.:~ ( ; - j;•1 n 5. Contractor Phone • % ~ ~r ~ 1"3 ~ 6. Address ~~.7 d /f-ad-6.u~ Gr 7. citv ~`1`~.3.,r state zip 8. Building Type: Residential O Commercial O Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? j ~ 10. Describe ~ I ~ 11. No. Fixtures No. Fixtures ~ - - , ~ . Water Closet Cesapool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well - Kitchen Sink . ~ Urinal/Bidet pttrer ~ Laundry Tray ~ • Floor Drains ••f ~ ; , , , Drinking Ftn. Slop Sink - Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : T ~~4,)- - / for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved • CITY OF EAGAN 464-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: f++s~ i 3830 Pilot Knob Road Permit Number: t•,l 1 ~ I Eagan, Minnesota 55122-1897 Date Issued: , ~ ~ ' ~ • ' (612) 6$1-4675 ! SITE ADDRESS• APPLICANT• I ' ! I . .'t, tct u~ ~ • I ~ . 1 N11'f t AMF ~ PERMIT SUBTYPE: TYPE OF WORK: ~ r•i t ~ ~.J ~ i i :k i ~ INSPECTION D• P • D, i l_~ ~ Permit HoWer Dete Telephone # PLUMBING I HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING VA00 AW5 i ROpFING I ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 9rY JVU DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucTivirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG OECK FINAL CITV OF EAGAN Remarks Addition Eden Addition Loc 25 eik Z Pareel #10 22750 250 02 owner K 'y 1,9/ , sveei 1821 Walnut Lane siace Eagan DN! 55122 Improvement Date t524.22 Annual Years Payment Receipt Date STREETSURF. ~S"D 1982 454.23 5 1362.69 A012154 5-4-83 STREET RESTOR. GRADING (c ) 1982 104.84 31 .5 A01215 5- - 3 SAN SEW TRUNK SEWER LATERAL 1982 754-30 5 PPAP - Qn it it WATERMAIN ~ WATER LATERAL 1982 WATER AREA ~ • Services 1982 STORMSEW TRK 7, 1982 487.61 97.52 5 ~ STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT 2 0.00 1551o.' 4-28-8 WATER CONN. 450.00 to it BUILDING PEfi. 7956 SAC it ti PARK ' • CITY OF EAGAN N~ 7956 3795 Pilot Knob Rood Eegan, MN 55I12 PHONE: 434•8100 BUILDING PERMIT Receipt # Te ba und }ar SF DWG/GAR Est,yalue $68,000 pate April 28 1983 Sire Address 1821 Walnut Lane 25 2 Eden Addition Erecr ~ OccuPancy R-3 Lot Blotk $ec/Sub. Alter ? Zoning R-1 (PD) Parcel # 10 22750 250 02 Repoir ? Fire Zor+e NA Enlorge ? Type of ConsL V W Name NoxmBri VdRQOn Move ? # Stories ; Address 4338 N.E. Madison St. De,,,olish ? Length 48 0 Ci Mpls. 55421 phona 788-6144 Gmde ? Depth Z$ Sq. Ft.- o Name Chester Maciaszek Avmorals Fees OU Address 16711 Dakota Street Assessmenf Permit 337.00 Cit Anoka 55303 phone 421-1814 Woter 8 Sew. 5urchar9e 34.50 Police Plon check 168.50 ~wZ Name Fire $AC $2$.00 F x3 Address Eng. Water Conn4 50.0(1 Ci Phone Pionner Woter Meter 60 . 00 Council Rood Unit 250.00 I hereby ackrwwledge thot I have reud this application and state thaf Bldg. Off. 1he information is wrrect and agree to comply with all opplicoble $1s25.~~ Sta1e of Minnewlo Statutes and Cify of Eogan Ordirwntes. APC To1al Sipnalure of PertniMee A Buliding Permil is issued to: Chester Maciasz ek on fha express condifion thoi oll work sholl be done in atcordance wilh all op[p/ l~icoble /S~qte~ ,ry -innew-ta Stafutes ond City of Eogan Ordinances. Buildinq Officiol ST~@ . ~~Pf L/G OF EAGAN Include 2 sets of plans, 7Q~ 1 site plan w/elevations & ff_~~NG PERMCT APPLZCATION 1 set of energy calculations. To Be Used For SF valuatior(,/.ort~ /1 Date ~112 . Site Address: _IS'Z / (.c/q / NA `r L~4N iF- OFFICE USE ONLY i.ot 2,f sioctc 2 sec./sub. C4N 5M Erect occupancY Parcel so O~ Alter Zoning Repair Fire Zone Owner: ~O//11liN Enlarge Type of Const. i ~ Move # Stories Address: /m,ac/<s e.o ir DPmolish Fmnt ft. City/Zip Code: Grade Depth ft. ~ Phone # : P,PPROVALS F'EES Q~ Contractor: Assessments Pexmit Address: Water/Sewer Surcharge~~ Police Plan Check City/Zip Code: Arvo/%f Fire SAC S~ Phone zJ12,( Eng . Water Conn. ya-o - Planner Water Meter Arch./Eng.: ~)Qw 14 i1 C/qSL-QIT Council RDadUnit a(~ Bldg. Off. ~ Address: APC City/Zip Code: A.va/fij- Phone -?s~f ~Sl ZCYI'AL - ~~a~ ~ O 0 AOBE ' ' ' . PflWINC(RING `~LANHtAi i~A [AMDiUAVtyOAf COMPANY, ING. %.....~1000 Wt 1491h fTl1[[T, lU11N3VtLL[, MINN[SOTA 53337 ?H 432-3000 cc,l LOT 251 13(_OCK2, EpEN ADDI'rIO1J, DAKlJTA C,CdaNN, • M INNESO TA. N~904e, Z,NE /VORTN SCALE I "=q0" 'HEARINGS SHOWN ARE ASSUMEG J'e p ~ 5. (004 o0_ \ ~ O\ y`i'~ PROPoSe.0 GARA6E EIEVMT1UNs (93z 14 6 ~NE DENOTES DIFtECTiON pF SURFACE DR4fNAGE ~ 2hertbr certity that thi.r is a true ind coz7vot reprotentation ot a traot ot 1& d as shown'and Cdascribed h*rson.,, A# prop4red Dy fie on thie e.r ot r i V • ~ 1 ~ W . . . M f w w 7 n• tlo 600 . . ~ 17XTFRi(1R F.NVFi.pPF AVF.RAr,q 'stT" (Y1Mpi]TATION . owxFR_ srxFFr OnNTRA('!C)R i7ATE _PfiONE netermine cvorking aquare footage ef each. 1. Total. expeaed wa11, area..... -izk_sq, ft. x•19 _ 2''j 40 Tntai roef/ceilinR area..... sq, ft. x'04 ~}7•D •Tetal. expoaed wal.l area above fl.oor A. Total wa11 window area R, Total. Aoor ar.ea.. C. Tota/. aliding Rlase~tonr area:~{ n s:........ . Tota1. firepl.ace wa11 area.... t . . . E. Total wal.l framinR area (averaql07'.) F. Tntal. net wall. area abeve fino................ DU143- Total rim ioiet area.......... Total expoaed fou ation area - 'a H. Total foundation window area...~.:,.....,,,,,,. '7,/L I. Total net feundation area above grade........ e6.Z Z• Aetermine "U" value of each wall aegment. A./~M,. (~7 x "U" `5 5- B.R "Urr ~ C. g nUn ~ D. x "Un ~ E. IIL x "TJ" F. ! 008 x nUn 07 0+ X -AOL 3~z x n1Jn ~0(. • H. 7.17- a"U" .y5 ~ i~ 3 .;.;........Total ~ 1 44,~ Z If Item #3 is the eame ae, or leae tItem #1, qou have met the•intent of SBC 6006(02. • , ' ' ' • r , V~ °f • ' •:y , . , . ' i 4 •.'k' : ~ Total exposed roof/ceiling area ~ II7 ~ J. Total akylight area - K. Total roof/ceiling framing area (average~l0'L), L. Total net insulated roof/ceiling area......... 1o S B,.4- Determine "U" value for.each roof/ceiling aegment. . J. ' x R. x"U" . OZ Ob L. 5 x !'U" .OI off 19_ 4 ..........Total If total of #4 ie the same ae, or less than #2, you have met the intent of SBC 6006(c)1. j ' . Alternate Building Fsnvelope Deaign e~ + s. 44- 3. IC+. qZ + 4. Z 1, O~ , ~ . ~ ' d . . . ' , ` d,y . . . . ' . . . . . PERMIT CITY OF EAGAN 3830 Piiot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 2 7 (612) 681-4675 Date Issued: 0 6/ 2 6/ 9 8 SITE ADDRESS: 1821 WALNUT LANE LOT: 25 BLOCK: 2 EDEN P.I.N.: 10-22750-250-02 DESCRIPTION: egress window Building Permit Type SF (M2SC.) Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL , r / ,l ~ ~ , ' - . ; ~ . REMARKS: PLAN REVIEWED BY JOE VOELS. FEE SUMMARY: VALUATION $500 Base Fee $21.00 Surcharge $.50 Total Fee $21.50 CONTRACTOR: OWNER: - Applicant - STIEBNER TIM 1821 WRLNUT LANE EAGAN MN 55122 , (612)452-7435 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Mn. Statutes and ty of Eagan Ordinances. APPLICANT/PERMITEE SIGNA7URE IS UED B: 4AT E Z~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITIt OF EAGAN V 3830 PII.OT KNOB RD - 65122 681-4675 New Construction Reauirements RemodeVReoair Reauirements I~ ? 3 registered site suneys ? 2 copies of plan ? 2 copies ot plans (inGuGe beam 8 window sizes; poured fid. desipn; etc.) ? 2 site surveys (exterior addRions & dedcs) ? 1 energy plculations ? 1 energy calwlations ior heated addkions ? 3 copies of tree preservetion plan M lot plattad after 711193 required: _ Ye No DATE: Ll'f~98 CONSTRUCTION COST; DESCRIPTION OF WORK: ~~SS ~~~LdOW STREET ADDRESS: I \.~T: ~ BLOCK: ~ SUBD./P.I.D. ~GTeLi / 114k, I ',I ~r~ /I 7 1 Name: S]`1 GJher ! t (/Vl Phone PROPERTY l.ast First oWNER Stree[ Address: City ~ State: V Zip: ~~~a~ Compan Y: PhoneH: CONTRACTOR Street Address: License # cib State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): . Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the iniortnation is correct an a e o comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican : OFFICE USE ONLY RECEIV D Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required BY: S x • OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plez ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace . O 21 Misceilaneous 05 SF Misc. ? 10 = piex ? 15 Deck WORK TYPE fer s c..<; / ? 31 New O' 33 Alterations ? 36 Move O 32 Addition ? 34 Repair O 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o/ Census Bldg / Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee ~ Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 S (~c 0, S v ? ~ ~d (651) 681-4675 ~ e! OI New Construction Requirements Remodel/ReDair Reduire n~ 10' ? 3 registered site surveys ? 2 copies of plan • 2 copies of plans (indude beam & window sizes; poured fnd. design, etc.) ? 1 site surveys (extenor additions & decks) ? 1 energy calculahons • 1 energy calculations for heated additions ? 3 copies of tree preservation plan rf lot platted after 711/93 required. _ Yes/ o / DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: &5-0ktCk STREETADDRESS: ~So2' (Jci IGlt,tl tsivl12-. LOT: ~s BLOCK: a SUBDJP.I.D. Nar„c:_ Pi S- f - PROPE2TY l)WV LR Slicet Adilrcss:---p~ ~v9_LL--------- - C,L> sc,«: m - - iil): - ~ ---JfA8 - -sia Cump:uq':-------------------------------------- Phuuc 9: COX'fR:1Cl'OR Strcc[ Address:-------------- - [rccnse X Cii}' State: %ip: ARCHITECT/ GNGINEER Cumpauy:---------------------------- Plloitc \5unc:------- 12cbristration Strcct Address:------ Ciiy Statc: 7_ip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and a r mply with all applicable St:ie of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: ` OFFICE USE ONLY Certificates of Survey Received _ Yes K No Tree Preservation Plan Received _ Yes k No ~ Not Required ~ Z'~9~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous _b]~'05 SF Misc. ? 10 _-plex O 15 Deck WORK TYPE ? 31 New -b<'33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code t-13 I (Allowabie) Main level sq. ft. SAC Code ol_ UBC Occupancy sq. ft. Census Units I Zoning sq. ft. Census Bldg U # of Stories sq. ft. MCNVS System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building (S6 Engineering Variance PermitFee 60.50 Valuation: $ 1200 Surcharge _ Plan Review ~ License I MCNVSSAC 'S ~1'--R'4-,M1. pC^ 73^ City SAC t"M Water Conn. , Water Meter Acct. DepOSit I Npt'-'a T?PtOTHY J. ST?F'+\~R S/W Permit ~ S/W Surcharge 32t0 ?Cp2 ;R:R ; N1AiNul _IJ ( 7.c3 ~ Treatment PI. , 2- S~ 9001. i.6?+. WPd.NU 1 L.r! Park Ded. Trails Ded. , ~ . Other Copies ~ Total: 60. S % SAC SAC Units 'n~:;21 RECecP" ~ec•_,'... t~~ - CR•~i,9gr9 i' I.ISE:F% Ua JAN ~ CITY USE ONLY L BL 14- RECEIPT il: SUBD. RECEIPT DATE: L'd CJ PERMIT# 2000 PLUM$INH PERMiT (ii£SIDENTIi4L) crrYoF ewswx 3830 eaoT Kxoa sn gwsnN, aac+ 5512E 651-681-4675 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 Alterations to e isting dwelling - minimum fee Describe: 0.AQ:W`x~,~ v~i S~ $ 30.00 U!\ V Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outtet ' minimum - 1 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x - $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tiC S St0f1'1 new/refurbished ' re uires MPC Ilc. 75.00 X = $ Se tic S stem aoandonment 30.00 x = $ RPZ new installation/repairlrebuild 30.00 X = $ Rou h o enin 1.50 x = $ Shower 3.00 x - $ Under rounds rinkler ifdwellin isunderconscn,ction 3.00 x = $ Under round s rinkler ifexisun dweuin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water soRener if dwelling under construction 5.00 x = $ Watersokener ifexisNngdwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e .50 $ .50 Total S 30 - Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, slate Nal the information is wrtect, antl a9ree to comply with all applicable Cily of Eagan ordinances. It is the applicant's responsibility to notify the properry owner Ihat the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its nortnal operaUonal and maintenance aclivities to the facilities consWCted under this pertnil within City property/nght•of-wayleasement, SITE ADDRESS: 0,2I '^)4I41u~ ~A~e-- OWNERNAME:: ~bvl 'F STI&V1e1- TELEPHONE#: rOS Z15, -713-S AREAC DE) INSTALLERNAME: 11m S~~ite-? (I'w~'HPbW~P,~ TEL HONE#: STREET ADDRESS: Ihuf zl~~ he- (AREACOoE) CITY: fGSTATE: Vv' N ZIP: . SIGNATURE O PERMITTEE I ----------------i I For Office Use City of Eapn ~ Permit# 4k I PermitFee. ~ 3830 Pilot Knob Road i Eagan MN 55122 i oate Received: " i Phone: (651) 675-5675 Fax: (651) 675-5694 I Starr f. I i ' i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~ ~ / ~ ~ ~ ~ ~i ~ ?L~ Tenant: Suite RESIDENT I OWNER Name: r?1 i Q 4~ Y1,P !c Phone: Address / City / Zip: ~G 4 ln n VV) /\J Applicant is, _ Owner _i~`Contractor TYPE OF WORK Description of work: /A inn'Si~C ~ Construclion CosC Multi-Family Building(Yes _ I No_~e_l_j CONTRACTOR Name: Le V,~ )-JC C.(Inc/rucb D dV License#: aO Address: 3 ) Cify: O)IJ Stale: Zip: SSL/ Phone: /S/)-~ Contacl Person: -k COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilahon Calegory 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (V submission type) • Energy Envelope Calculations Submined In the last 12 months, has the City af Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and supporting documenfs thaf you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons thaf would permit the City to conc/ude that the are frade secrets. I hereby acknowledge that this information is complete and accurete; that the work will be inconfortnance 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 requves a review and approval of plans. X Z el/d, ~ X , ApplicanYs Printed Name ApplicanPs Signature Page 1 of 3 , City otBakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 Permit #: 4713 0 Permit Fee: ``? b Date Received: Staff: 2010 RESIDENTIAL PLUMBINGPERMITPERMIT APPLICATION Date: 41I LD 110 Site Address: /Ca ( � htti4 Lane, / S/? —gym S--jebt� Tenant: J Suite #: RESIDENT /OWNER Name: �.---I } ✓t, 9t�Yten Phone: G51--.2490-S63V _i Address / City / Zip: IfQ.1 (.1 v1L-tT 4,HR__ Eq.Qq V\ /6 2 0� CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK _ New Replacement Repair Rebuild Modify Space Work in R.O.W. _X _ _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) _ _ Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to . 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 Applicant's Printed Name FOR OFFICE USE Required insi Applicant's Signature Reviewed By: gtti-In _„_,,Air T