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1826 Walnut Lane12/20/2010 18:26 7633231454 41111'' City of Eatan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ANDERSON EXTERIORS PAGE 01 Use BLUE or BLACK Ink For Offloe Use Permit #: Permit Fee: Date Received: Staf(44.? 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: '5S1Z7.- Suite #: RESIDENT! OWNER -. - Name: c 4/119/0"&ti kidetZ704,itione: /4 43 . 7i47-etw:/4i,,R, .2-c-,75.:114,,cet , Address / City / Zip: /gr...7741. eZ/10/41:1 74- j.:.,Adi7.,6,71) Applicant is: Owner ,,,C., Contractor TYPE OF WORK Description amok: g Aim) al .1 Construction Cost; ,, cp,ZeZ,„,,, l'11-1,_. Multi -Family Building: (Yes t No 4.) , CONTRACTOR Name: Adaqd 4. At deor',70,A) '--;t" 7/-eiAlaS-License #: Address; 4646.17/ Z17 /4119 4/4? CRY: ""Y-, 4if.1.11 .:--5--;j:11C23 State; 711k) Zip: ;575-303 Phone:70-30-01?0 647- 7?("Crir..... Contact:XOAj "Indeledi Email: Oigde&±&!_erd elL,." )/ Cb .• - d COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 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 the 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.gooherstateonecalloro hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and cadet of the City of Eagan; that I understand this, is not a permit but only an application for a permit, and work i5 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 71/(4) 4 deo-J64./ Applicant's Printed Name licant's Signature Page 1 of 3 CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MNt 55121DATE: ;--21 - 4 ZonlnQt 1 No. of Units: 1 Fter,'Cilsen Eio Addrcss: 1 a 'A7 F,k Eden rlddn ~PI""'b°r ~Oi ftr 470.00 pd Metrr No.~ OfV ' ?on Charos: 15.00 pd S~=°: s4x " nect DepWt: 10.00 pd Readar Permit Fee: 1.am to aarvhr wNli Nw Clh ef E.PN Surcharoe: .50 pd OngMmem M~~ Charg" 63.00 pd meter Totol: gy Date Paid: Date of Insp.: CITY OF EAGAN SEWER SEICVICE PERMIT 3830 Pilot Knob Road 6795 P. O. Box 21199 PERMIT NO.: Eagan, MN 551 D^'~: ~ Zoninp: No. of Units: ' ~Mr: i s~n Ho~as ~ /lddrcss: Sfte Addroa: 1826 Fia ut Lane L E Edea Addn ~ Plumbsr. Ralph a p ~ 7-11-84 100.00 Pd I.pN eo eaerh? wilb Ni. CNr ef g.o.¦ Conn.etton ehwroe- 425.00 pd ! OrdIMnoa. AccoLwii DepWt: 15.00 pd Permit Fee: 10.00 vd Surcharoe: .50 pd i, gy Misc. Chorpm ! Date of Insp.: Total: ' Imp,; Date Paid: + CITY OF EAGAN Remarks ' Addition EdenAdditinn Lot 7 Rlk- d Parcel #ln 2275n (170 Od Owner Street 1826 Walnut Lane state Eagan MIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 2271.15 454.23 5 454.23 A014810 11-2-84 STREET RESTOR. GRADING (p 1982 24.22 104.84 104.86 A014810 11-2-84 SAN SEW TRUNK 1974 69-93 4-20 15 12.65 A014810 11-2-84 N SEWER LATERAL 182 3771-50 4 Q 754.30 11 11 WATERMAIN f WATER LATERAL 1982 WATER AREA 25.22 A014810 11-2-84 * Sertrices 1982 STORMSEWTRK 1982 !IS .E>l 97.52 97.53 A014810 11-2-84 f STORM SEW LAT 1982 S CURB & GUTTER SIDEWALK STREET LIGHT I Road Unit Z 7-11-84 WATER CONN. 470.00 it 91 BUILDING PER, n n SAC PARK CITY OF EAGAN • ' 3830 Pilot Knob Road, P.O. Box 21-199, Eapan, MN 55121 N? 9~s~$ r) PHONE: 454-8100 sU1LDING PERMIT a~ipt To w wgd fw SE•' D'4C/GX.1 Est. Volw ~b 0, 0 0 U Date J~U 11 19 84 SiteAddreu 1826 '.-4ALNl7'r LN E,ect R3 Lot 7 Block 4 ~/Sub. EUEN ADD Altar ? ~ Z~~uoninp Rl Parcel Na. 10 - 2 2 7 5 0- G 7 0- 0 4 Repoir Q Firo Zone N/A - Enlorpe p Type of Const. V oc N~e TILSEN HOMES Move p # Storios ~Z qddress 627 SOUTH SNELLING p~~~ish p Length 49 City cT PAUL phone 6 98- 5 5 U 1 Grade p Depth 40 Sq• Ft. SAME Aoprovob Feas Name ou ,qddrm /lsseumenr perm;t $ 313 . U G Vl 1- City Phone Water b Sew. Surchorye 30 . 0 G ~W N~e CLAIR SCI-IUSTER PoHu Plon check 5156.50 25.00 F W Firo SAC ~Z Add?ess U~n E Water Conn. 4 7 U. 0 G I_420~1 ?w. ~6 City ' Phone plonner Water Meter .63,Q Q Countil Rood Unit 260---~ 0 I hercby ocknowledpe that I haw rcod this application ond stote that Bldy. Off. fhe inforrration is torrect and agree to comply with oll opplitoble ^PC Totol ' ' V 5tate of Minnewto Statutes and City of Eayun Ordinonces. Sipnaturc of Permittee /1 Buildirq Permit is issued to: '1'IN5l~i'; HtX?ES -NC q~ ~exprcss cadition thm oll work sholl be done in acco with all oppliwble t of Minnesota Statutes or?d City of Eoqon Ordinonces. Bufldirq Offidot . PNmit No. Permit Holder Mac. PKmit No. HoldK P~~m~~, ~ 5t a a I,fs,13018 H.v.ac. ~ ~ 0"~ rwi~ w.ar Disp. Sww- 8-r Ebctrie Impwtion Drw Intp. Other Footinpt Foundwtion Frnnino Rough Plba Rough HV ImuWon Final Plba O • Firul HVAC Final w.ar n.w ie. Location: . rwu Sawr " Pr. Dap. Receipt~i MECHANICAL PERMIT Psrmit No. CITY OF EAGANI Fet Fill in numbered spwea S/C Type or Prinr JegiWy Ta. ` 1. Date 2. Installation Cost 3. Job Address Lot ~ Blk. Tr~~ 4. Owner 5. Contractor Phone 6. Address - 7. City Siate 2ip 8. Building Type: Residential ? Commercial 0 Institutional O 9. Work Description: New 0 Add O Alter O Repair ? 10. Describe Fuel Type 11. No. Equigiment BTU - M. Ea. No. Equiament CFM Forced Air Air Handling: Mfg, Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanoes and codes governing this type of work. Signed : ' for Rough Flnel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Rspipt PLUMBING PERMIT Permit No. CITY OF EAGAN . Fee ' Fill in numbered spaces S/C -77 Type or Prini /egiMy Tot 2. Installation Cost 1. Date ~ 3. Job Address ; ;"Z1n "111.k.± Lot ~ Blk. q Tract ` 4. Owner TTI S t° ~ . 5. Contractor f' I b . Phone I 6. Address I~ 7. City VState Zip S. BuildingType: Reaidentialr0' Commercial ? Institutionaf O 9. Work Description: New.$ Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory $oftner / Shower Well ~ Kitchen Sink Urinal/Bidet Other ~ Laundry Tray L Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu E 12. I hereby oertify that the above information is true and correct, and I agree to comply with atl ordinances,and codes governing this type of work. Signed : for ~ ' Rouyh Final Inspections: Date Ihsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN N. ~ 9285 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454•8100 BUILDING PERMIT rteceiPt # 1161 Te ba uwd ior SF DWG/GAR Est. Volue $60,000 DO1e JULY 11 lq 84 SiteAddress 1826 WALNUT LN Erect Occuponcy R3 Lot 7 Black 4 Sec/Sub. EDEN ADD Alter ? Zoning R1 Parcel No. 10-22750-070-04 Repair ? Flre Zone N/A Enlorge ? Type of Const. V W Name TILSEN HOMES Move ? # Stories z Address 627 SOUTH SNELLING Demolish ? Length 49 City ST PAUL Phone 698-5501 Grade p Depth 40 Sq. Ft.- Approvala Fees o Name S~ME Zl- Assessment Permit $ 31 "2 _ 00 ou Address u~ CitV Phone Water d Sew. Surcharge 30 - 00 Police Plon check 156 _ 50 WW CLAIR SCHUSTER Name fire SAC 525 _ 00 i~ Address Enp. Water Conn. ~~.D0 1W Citv OAKDALE Phone 777-4204 Planner WaterMeter_6.3.-...00 Council Rood Unit 760 n0 I hereby acknowledge that 1 hove read this opDlication and stote fhat Bldg. Off. the inlormotion is torrect and o9ree to comply with all opplicable 1$],7 .,rj0 State of Minnewto Sfotutes ond City of Eagon Ordinances. APC Totol Signature of Permiftee A Building Permit Is issued to: Ij.$EN HOMES INC on the express condition thni nll work sholl be done in occord nce i oll oppl cable 51ate of Minnesofa Stotutes ond City of Eagan Ordinonces. Building Ofiiciol d4 as, o a IB mpn[hs tmm A 077218 L16 C4, Vj 0 R enuest Date Fire No. RouPh-In Insuer.tion Reqmretl, ~HeaAy Nmo{oWill Notiiq Ingp¢e- ~.~a 8-230- 1984 [RYes ~NO IorYlhenlieatly ~yp~ Licensed ElecVical ConVnc[or 1 hereby repuast inspechon oi abova' ? Owner elecbicul work ongtalletl at: Street Address, Hon or Houte Nn. ~ity 1826 Walnut Eagan ectmn o. Townshio P1amo or No. Range No. Comny Dakota Occooant (PRWT) Phone No. Tilsen Homes Power $upOlier Atldress Dakota Cty. Farmington Elec[rical Con[racmr (Company Nanre) Contnclor'z License No. O.B. Thompson E1'ectric Co., Inc. A40602 MailmB AtlJress ~Convacmr or Owner Makinu Installation) 12201 Mtka Blvd., Mtka 553p)) Authorizetl SiB~~urE,IConuactor~Owner MakinB InsUliatibnl Ph ,ty u i.f~~~~ us"r-•~ KJ' ~ Y?l ~ g3 ll MINNESOTA STpTE BOAND OF ELECTPICITY ~ THIS INSPECTION NEQUE T WILL NOT Griges-Midway Bldg. - Hoom N-791 BE ACCEPTED BV THE ST~TE BOAND 1821 UniversilV Ave., Si. Paul, MN 56704 UNLE55 PPOPER INSPECT ON FEE IS Phono (612) 297-2111 ENClOSED. l.,( (j/V;q r HtuutS7 FUR ELECTRICAL INSPECTION ~ Ee-ooooi.oa Sae instructmns for comoletin, Q/ a/, / this fwm on back of yellow coov. / C A 72 1 X" Below Work Covered by This Request Home X ~n9e 5.00 Temporary Service upection Typa af 9uilCinO AOplinncas Wi,ed Equ~pmem.WireA Duplex Water Heater LighUnp Fixtures APt. Buildinc~ Dryer Electric Heahn Comnercial Bldc~. g Furnace , rjQ Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm X Ihef 'S 1S the, Isuer NI t r Sueu v t cr Othe r Fee-Belaw p Fee SarvicoEntronee5ize p Fae FawCers/Subinadels p Fee Circwts 1 0 G ~.Q to200Ams 0 to30qms Otn30qm Above 200 qmps 31 to 100 qmps 31 to 700 q Swmming Pool Above 100_Amps Above 100_Amps Transformers Irtigation Booms ParUal.'Other Fee Signs Speciallnspection Herrerks $ 43.0 07AL, FEE Dick Hall ~ Houoh-in ( Date l~ . he EIeG cal Inspector, hepoby certily thei fhe ebove Final ( ~"1e ~~suaction has been ae. ihla ropueat raA 18 moniha fmm CITY OF EAGAN Include 2 sets of plans, , ~ ~ 1 Gertificate of Survey ` BUILDING PERMiT APPLICATION 1 set cf energy calculations. ,:P. F, Gw G ,XL,AR. - Tb Be Used For Valuation IUIC? 000. a Date 4,-84 Site Prldress 1g'Z.b ~A,r, p OFFICE USE ONLY ' Lot -7_ siock 4- sec./sub . eOf.l/ A D#0 Erect ~ occpancv 2-3 Parcel °27 SO - d ~U -O ~ ~ter Zoning (Z-I Repair Fire Zone N A aaner: IJ10~ Enlarge _ 7ype of Const. Fu3dress: TI L5 r,-K/ 40uCg~S MO`re # Stories . Demolish Front 41 ft. City/Zip Cocle: Grade Depth 40 ft. Phone APPROVALS FFES Contractor: tl u5F-N) 4fIYYtPS 'r~ C ~lssessments Pernu t ~ ~ ?aater/Se,aer Surcharge 30 • Address: 2-? - V Police Plan Check ~ ~j(o. City/Zip Cocle: ~,~I~ 5511 ~ Fire sAC 525. Phone ~g. Water Conn. 4-70. Planner ATater Meter CD 3. Council Roacl Unit 2(o0. Arch./Fn9• : Bldg. Off. Adclress: APC City/Zip Code: ~aN~,aQi\e Phone # : `7 -7 7 - 4204 TCFr~ 7, S cl - 24x 40 _ 9 Go K 5 4 i 640 . 5 K i o 7-0 SoO . . .2o x zZ = 44o n~r = 4~,4v 5 X 8 = qo x t~ = 44a 5~1 I ~C~ ~oao~ \ ' • /D O~ V ~/~l .M."~/L~~ ~-~C t~ec~Aa- c T--o Pt-+o~1 ~-OT ~ , LGC 1~ ~-F ~'A t, cUfil~ Cov NT`f , Kl t r~ NE~tsC~A 93I `I q30 e _,z 5i I zo 6<< ~ ' ~ i 15 zw' . . ~i ~ r 9 o ~ I 9Z1 `f lP~_5 , ' EXTERIOR ENVELOPE SPACE "0" COMPUTATION - , (To be submitted with building permit application) . . One or two family dwelling Y, Owner TlQy'lL 6nQ Ch rU~ 0-,C0.y1~-)0,'l ' All other Site Address ~P2(0 Contractor lkL,^-,EN~ 40-v)Erz>,_rriC.Date (6-2.8-84- Phone ' . )i,.. LINEAL FT. OF • • "ERPOSED WALL L?J +_40 +_+_+_+_XJA--ft. above grade= IR-74o ~T. " I~qZ TOTAL EXPOSED WALL AREA SQ. F. , OPAQUE WALL CONSTRUCTION: "U" Value X area ,full X sq. ft. _ (U) ,(A)~ "U" X sq. ft. _ (U) (A) Detail reference E~aStC m l' "U" .043 X sq. ft. Fr95.'7 = (~,(n (U) (A) from "0" X sq. ft. _ (U) (A) attached sheets C~)nrrr Pwc_j~_ (a1n11 "U"___Z=X sq. ft. ~ -2~ = 4„2 (U) (A) nUn X sq. ft. _ (U) (A) . . ,lUll X sq. ft. _ (U) (A).. WINDOWS: "U" VALOE X AREA ft.,1 : ,z,,i.=•n:l,; @ 24 x44 73.2_ sq• I --,LcA2. @ I6 x 37_ -1. f - sq. f t . • , 2 SLDdS. @ 24x 310 = -24.o ' Bq: ft.' . @ = aq.iift: @ = sg: , sq.. f[. @ @ _ 'sq., ft.: 7 ,1_ Make & type SLiDERS WI-_jt,O'rrnS~r? R sq. ft. IOQ"~J 'lull X sq. ft. _ (U) (A) l.Ulr X sq. ft. _ (U). (A) ~"U., X sq. ft. = (U) ; (A)':.'{;.;- DOORS: "U" value X area ,.v% , y.. Make 6 Type nUu sq. ft. ZO.C3 = Zs1v -~jl~ u n (L "2-e X G,~? nUn .I7i X sq. ft. ~ 'lUlr X sq. ft. " (U) , n o nUn . •4K~ X sq. ft. QO • O = ~g.4 (U) .(A)-"~. ~ e _ F _ .Oq2 TOTALS 0 sq. ft. TOTAL (U) (A) VALUES DIVIDED BY TOTAL WALL AREA AVG. "U AVERAGE "U" .17 or less for 1& 2 family dwellings . .22 or less for all other buildings CONSTRUCTION FRAMING R-Value v11-S~oE A~R- , 2. S~ c~ ; L o t~ • , . . , . 3. a. s ~l z , 6. 1KS1oE, At2 I . . , . ' ROOF/CEILING': TOTAL AREA: tQ1S.O sq. ft. Detail reference "U" ,pZG, X sq. ft. ~015.0 = 25.~ (U) (A) from "U" X sq. ft. _ (U) (A) attached sheets "U" X sq. ft. _ (U) (A) ' Describe openings 'lU" X sq. ft. _ (U) (A) in roof "U" X sq. ft. _ (U) (A) TOTAL (U) (A) VALUES eO-z ~ TALS sq. ft.25(U) (A) DIVIDED BY TOTAL ROOF/ 15, Q CEILING AREA ,OZ~? AVERAGE "U" ..OS for ventialated roofs .10 for all other construction ROOF/CEILING: R-value 1._~~51~. ~1Q , I~ 2. s. 6YPsv~ 4. 5. 6. NOTE* If average "U" values as calculated above do not meet the Energy Code Requirements, the "Alternate Envelope Design" as outlined in SBC 6006 (g) may be used. Additional sheets may be used to show calculations. Ir . " . t•3~'.'•~~' . . . . . ~F k~ °L t.„ e :b . ~ . ~ . __~......~_~..o._..~_..._...~-.._.~.~_...»..__.~.~.,.....~._,...o.~.y_L__...LL-......~~.~_.~.~..~._.._._~. ~ - ~ 2/84 ~ CITY OF EAGAN t / APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) 1) PROPEEZI^I ApDRESS: v~),-Q~ r•Frar. DESCRIPTION: (LOt/Block/SuLxlivision or Tax Parcel I.D. Nwnber) SF E{IS5'?'F'cL'CI'UP.E, De`:SE 0F ORIGi:VAL uiILL'LNG PE-',-IIT ISSJ;~,-NCE: 1:'ort./Ye3r) PRESENT D^,IIi~X;/PROFOSI-:D L'SE: ~rt-1 SINGLEE FP?1ZLY ~ ? R-2 LL-'i?,.{ (1yG0 Wi ITS) ? R-3 ZCJWNHO[JSE (TEL4EE + UNITS) ( UNTTS) ? R-4 APAR'IMEUP/COiNDOMINIUM ( UNZTS) ' ? C,lOMrfERCIAL/REI'AII,/OFFICE i Q IIQDUSTRTAL , Q INSTITUTIONAL/(',OVERNMENr , z) AppI,ICANI' (PLEpSE PRINT) NAME: ADDRESS: 1. S CITY, STATE, 2IP: PHONE: Cc~~P g'~ J~SO~ 3) PLUiMBEP PLEASE PRINT) FOR CITY USE ONIY NAME: O ~ )p 110U ADDRESS: pLUMX RS LICENSE: lA9i C ~ Active CITY. STATE, ZIP: Expired i~IE: ~ILF Q Not f Record PHO i I-~~,q'j2 PLUMBER LICENSE N ~ i a ni ia + ~ 4) OCC~'UpANT/aqNII2 (PLEASE PRINT) NAP1E: ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICIITE WHICH PERMIT IS BEINC; REQUESTID: NNECPION TO CITY SESr7ER 6 CONNECPION 'IO CITY WATER ? CII'IIEF2 (PLE715E DESCRIBE) 6) INDIG'1TE ONE: ~ PLFASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF laBWE PLE'ASE MAIL APPROVID PERNLiT 'IC) 1, 2 3, 4 AB0VE (Circle one) 7) SICvNA'IURE: DATE: / ;3Q . F 0 R C I T Y U S E O N L Y ~ PERMIT ISSUED FEES: SE;^iER PiRtitrT (I*ICL"IiDE SUP.CHP:RGE) $ /a • S <9 WATER PERII1IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ `AATEP, TAn (ZivCLUDE CORPCRRTION Smpn) $ SEWER TAP $ / S-. ACCOUNT DEPOSIT - SE44ER $ ACCOUNT DEPOSIT - WATER $ ~~d• WAC $ s~~~fl SAC $ TRUNK WATER ASSESSMENT S TRUVK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER S LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ 9~ 9• AMOUNT PAID/RECEIPT # ~e/S a c7~ ~ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-1T OF WAY? ~ YES ZF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE E=D/ IVO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO THE FOLL064ING CONDITIONS: APPROVED BY: TITLE: -Z,/ DATE: 7 to':" owz+ ne w?'+•b•i ~c~ ~a ~rw wt~ w~~a s~a w""" "wTjlq w~ w~ we ~ sa s=pw Ra ~c~ w sw w~ L gL ~ CITY USE ONLY RECEIPT C~ ~ 0 ~-q SUBD. CQ d1-&1- RECEIPT DATE: 3- CL 1999 PLUM$IN(i PEftMIT (ftESID~'1NTIAL) CITY OE £d4fiRN 3830 PuoT KNOB ftD £AfiAN, MN 55122 (651) 6$1-4675 Please complete for: i single family dwellings : townhomes and condos when permits are required for each unit % backflow preventer for underground sprinkler system Alt2ration5 to existina residenca 30.00 = Water Turn Around 30.00 = 3U.OD Private Disposal System ` MPC rc. 75.00 = (new and re(urbished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = WBtBf SOfI@nBf ` for dwellings under construction $.00 X = U.G. Spfinkler ' (or dwelling untler const. 3.00 = STATE SURCHARGE 50 Reminder: Call 687 -4675 for inspections of water heaters, water softeners, alterations, etc. 3 U~J j'\ TOTAL v - - 1 hereby acknowiedge that I have read this application, state that the information is wrrect, and agree to comply with all applicable Gry of Eagan ordinances. It is Ihe applicanCs responsibility to notify the property owner that the City of Eagan assumes no liabiliry tor any damages caused by the City durinq its normal operetional and maintenance activities to the facitities constructed under this permit within City property/right-of-wayleasement. SITEADDRESS: ~Oz6 kAVU' L,~¢'?E OWNER NAME' K 05CI4/ZSO~/ INSTALLERNAME: S/fi~"1F TELEPHONE#: STREET ADDRESS: CITY: STATE: ZIP: SS/ZZ SIGNAT RE OF PERMITTEE CDIPERM1IIT FORMSlRPLBG PERMIT (RES) - 1999 2000 BUILDING PERMIT APPLICATION (REStDENT1AL) CITY OF EAGAN ~j 3830 PILOT KNOB RD - 35122 v.~ 651-681-4875 a-aa-oo Naw ConshucMOn Reaulremenh RemoUel/Reoalr Reaulremenh D 3 rapisprotl tito wrwys showlnp t% fL o1 bt, fq. R. ol houw 2 copies W Plan md girooled areas (2DX mmdmum bt covemae albwedf 1 iet of enerpy cdcWatlons for healed admtlons D 2 caplei ol plau (uww becm a wlndpw tlzas; pouretl fntl. tleslpn; etc.) 1 rlte wrvey for axfedor adClHona 8 dec W 1 wt of anarpy calculatlona a J toplas d hee protenallon plan H lot plathG aRer 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: ~~Z~ Ft/fILNUi L/J~vF LOT: l BLOCK: ~ SUBD./P.I.D. Y: Name: phone ( S~ ~ 6 Fl/ -/~Y.S PROPERTY wst Flrst OWNER /8z~ ~ Litl Sheef Address: cny state: vp; 55/ZZ Company: Phone M: (area code) COMRACTOR She9f Address: Ucense !f Exp. Cly state: Lp: ARCHITECT/ ENGINEER Company: Name: Telephone M: ( ) Sfreef Address: RegisfraHon CHy Sfafe: Lp: Sewer/water licensed plumber (N inatalflna aewer/waterl: Phone (I 1 I hereby acknowledpe thaf 1 have read thia applkaHon, atate ttaf the Informatbn is careet, and agree b comply wNh a0 apploable Stafe of Minnesota Stalufes and CMy of Eapan Ordinanees. Sipnalure of Apptlcant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No FEB I ' . \ rrS ) Tree Preservation Plan Received _ Yes _ No _ Not Requfred ~ 1 OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) O 31 Fxt. Att - Mutti ? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex 0 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 Muki ? 04 02-plex O 10 OS-plex 0 19 Lower Level ? 24 Stortn Damage ? 05 03plex ? 11 10-plex PIDg _Yor_N ? 25 Miscelianeous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair 0 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applieant for demolition permit GENERAL INFORMATION SAC Code ~L # of Stories sq. ft. No. of Units Length ~ sq. ft. No. of Buildings ~ Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupency A2,ij sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered C ~L F~hv.GS MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge CITY OF EAGAil CASHIER: JS TEfiMINAL N0; 015 DA'TE: 02/24/00 TIM=: 10:23:10 ID: hpME: MAFK G CHERYL OSCA.^•SON r i 321.0 3001 1826 1J4LNUT LP.N 60.00 , 2155 3001. 1826 IJA'_NUT LAN 0.5 ~ ti Total Receipt Arti01.21)t,r 60.50 CF12375i USF'R :(De JAN RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Conslmction Raauiremenle RamodellRemir Reouirements • 3 registered sAe surveys showing sq ft of lol, sq. ft. of house; and all roo(ed areas • 2 capies of plan ~ (29% maximum lol coverage allowed) . 1 set of Energy Calculauons for heated addihons • 2 copies of plan showing Geam 8 window srzes, pouretl found aesign, ett ) . 1 sile survey for extenar addiGons 8 tlecks • 1 set of Eneryy Calculahons . Indicate if home served by sephc system for additions • 3 copies of Tree Preservation P1an rf lot piatted after7/1;93 . Rim Joist Detail Opuans selection sheet (bltlgs with 3 or less uniLS) DATE IU I I B I O a VALUATION 0 n. Oc-) SITE ADDRESS IB aL WALN u; ~A KI 'i- MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK &F FIREPLACE(S) X 0_ 1_ 2 APPLICANTEoF ft I~ - IA -1 hl C STREETADDRESS &3(o4 aunL4eQU LK1_ CITYM/JPSTATEMN ZIP 5S311 TELEPHONE # 765-_SCU -il CELL PHONE #6f a'369-32o 0 FAX #-7f~l-55-7' IOq S PROPERTYOWNER ffl?if7X 0S@t4250TI TELEPHONE# &i2-lg8l- Ir8q` COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIV':\L:tiO'I' ~ RCI.1:5 7670 CA'fLGORI' 1 SII\ VESO"1'.1 RCLI:S 7072 (v' submission type) • Residen6al Ventilahon Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contwctor. Phonc # Plumbing system includes: _ «'ater Softener _ Lawn Sprinkler Fee: S90.00 NVatcr Heater No. oF R.I. Baths \o. of E3aths Mechanical Contractor: Phone # .'VIcchtmiril ;}'stcm indudc,: Air Conditionmg Pcc: 870.00 - Hcat Rccovcy Sy'stcm Sewer/Wafer Coniractor: Phone # i hereby acknoWledge that I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesoia Stoiutes and City of Eagan Or nanc s. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL S1O BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reuuiremente RemodeUReoair Reuuirements • 3 registereC sde surveys sMwirg sq. ft. o( lot. sp. R. of house, and all roofed areaz • 2 coDies ol plan (20%maximum bt coverage allowed) . 1 sel of Eneryy Calcula0ons tor neated acdihons • 2 copies of plan showing beam 8 window srzes; poured lound Gesgn, etc J . 1 sire survey for extenor adddions & tlecks • 1 set ol Energy Calculations . Indicate d home served by septit system for aCCitions • 7 copies of Tree Preservation Plan d lot platted after i 11193 • Rim Joist Detad Options seledion sneet (bldgs with 3 or less units) DATE I O I~ ~J IO~ VALUATION SITEADDRESS I640 09-111 UA- I)~ MULTI-FAMILYBLDG _Y 111 TYPE OF WORK L"L lSJ FIREPLACE(S) _ 0_ 1_ 2 ~I APPLICANT ~~'t-~ (c~ru 4 W_64elj;'~ Twe STREET ADDRESS 56 J' CITY STAi _ZIP TELEPHONE # CELL PHONE # FAX # `V~~ 196J PROPERTY OWNER TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ >[(VNL'S0"C:1 RCLL•:S 7670 C:YfEGORI' l N[IAVESO"I'.A RCL1:S 7672 (v' submission type) . Residential VenUlaGOn Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculahons Submittetl Plumbing Controctor. Phonc Plutiibing sys[em includes _ Water Softcner _ I.awn Sprinkler Fee: 690.00 Water Heatcr No. of R.I. 13aths No. of Bachs Mechanical Contractor. Phone # N(cclI.linical m'stcm includrs: :\ir Conditionin, Pcc: S70.00 I-[cat 2ccoacn Svstcm ' Sewer/Water Contractor: Phone # C~T 3 U 2002 I hereby acknowledge that I have read fhis application, state ihat the infor ation is correcf, and agreo comply with all applicable State of Minnesota Statufes and Ciry of Eagan Ordin ce's. S(gnature of Appllc _ OFFICE US NLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ~p O RESIDENTIAL BUILDING l ~ I Permit Application ~143. -SZ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenis RemodeVReoair Reauirements OHice Use OnN 3 registered site surveys showing sq, ft, of lot sq. fl. of house; and all roofed areas 2 copies ot plan Cert of Survey Recd _ Y_ N (20°h mazimum lot coverage allowed) 1 set of Eneyy Calculations for heated additlons Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site suney for additions & decks Tree Pres Nol Reqd _ Y_ N i set of Energy Calcula6ons Adddion -indicate i/on-sRe septic system Oo-site Seplic Syslem _ Y_ N 3 copies of Tree PreservaUon Plan if lot platted after 711193 Rim Joist Detail Options selecUon sheet (bldgs with 3 or less units Date 8/ / I03J / Construction Cost Site Address /g26 UniUSte !1 >i9~, v ii~ 53 i 2 Z Description of Work ,PEPci9eE I Sc.Qi.vG- DGV2 Multi-Family Bldg _ Y x N Fireplace(s) A 0 _ 1 _ 2 Property Owner /"l41,l< D~'/~?L SOnJ Telephone 65 1 ) 68'1 -/kvs- Con[ractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan wiih a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ~ Mechanical Contractor aiiri 12003 ~J Telephone ) Sewer/WaterContractor Telephone#( ) lav I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Appli ant's Signature - - - ~ For Oific:_e U_ se I ~ Permit tt: I rn ~ City of Eap I Permit Fee: \~CJ •J V 3830 Pilot Knob Road i i EBgan MN 55122 I oate Received: Phone: (651) 6755675 ~ I Fax: (651) 675-5694 ~ Staff: 2008 MECHANICAL PERMIT APPLICATION Date: ,S /T 44 10,5~ Sfte Address: 19Z l~ k4-1,44nici F L iTNE Tenant: Suite RESIDENT / OWNER Name: /7v2K 05 C42 SOn/ Phane: 6~/- 6V-1 SyS Address/City/Zip: ISZro CONTRACTOR Name: License Address: City: State: Zip: Phone: Cantac[ Person: TYPEOFWORK _New _,xReplacement _Additional _Alteration Demolition o Dexriptlonofwork: /~~A/tcE r~.e~v~E ~~J ~i.e C~°~v.0~/~?F~ NOTE: Both roof mounted and ground mounted mechanlcal equlpment is requlred to be screened 6y Clty Code. Please contact the Mechenical Inspecfor or one of the Planners for ln/ormatlon on rmltted screenln methods. PERMIT TYPE RESIDENTIAL COMMERCIAL x Fumace _ New Construction _ Interior Improvement X Air Condiuoner _ Install Pipirg _ Processed _ Air Ecchanger - Gas _ Ezterior HVAC Unit ' HVAC units must be screerred _ Heat Pump Urder / A6ove grourM Tank L Install Remove) ptryyr " When installinghemoving tank(s), call for inspection by Fire Marshal and Plum6in I ctor RESIDENTIAL FEES: $50.50 Minimum Add-on or aReration to an existlng unit (incWdes $50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, ducnvork, etc.) (includes $.50 State Surcharge) $ ~ D ~ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - It Pertnil Feg is lesa Man $1,000, surcharge is $.50. - If Permi Fee is > S1,000, sumharge increases by $.50 for each State SurChafge $1,000 Pertnll Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 surcharpe). $ TOTAL FEE I hereby adcnowledge thaz Ihis iMqmation i5 complete and accurete; that the xork will De in coNOrmarm wilh the ordinances aM cotles oi the City of Eagan; tlmt I undersrarW this Ls not a pemrit, Dul ony an applica0on fw a pertnit, aiM wmk is not to start wilhout a permit: tliat the work wfU be in aaadance vAM the apprwed plan in~ t~he1 case ot woik which requires a review aM approval of plans. , x ~f1v2K 056/1~KS0n/ ,c ApPlicanYs Printed Name Appi' ant's Signature FOR OFFlCE USE R wed By: Date: Required Inspections: Under Ground Rough In Air Test Gas Service Test tn-Floor Heat Final City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Receiped: Staff: /' 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /V/�/// Site Address: / t 2 (P `^) rid * LQ -,/\t„, Tenant J 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.000herstateonecall.org 1 hereby acknowledge that this infbnnation 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 wig t a permit; that the work will be In accordance with Jthe approved plan' in a case of work which requires a review and approval of pla ' x VV ////�t"h1.11)4 . ie* Applicant's Printed Name A ants. Signature 1lY1ltl R: RESIDENTI OWNER ' j Name:CJOS Ii o on 1.40) 2-- Phone: Address / City / Zip: /t d ai if/ri L aJ , &lap , SS ! 22.... CONTRACTOR Name:.MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 SOTM ST EAST City: .: INVER GROVE •HMS State: MN Zip: '>, 55.077 Phone: 651 ::451:-2241 , Contact BILL.MILBEl ', . Email: TYPE OF WORKNew Replacement _ Repair Rebuild Modify Space Work in.R.O.W. De cription of work:.. TYPE •; ..PERMIT RESIDENTIAL Water Heater (later Softener Lawn irrigation L RPZ / PVB) c Add Plumbing Fixtures (___ Main / _Lower Level) _ Septic System Water Turnaround • : New Abandonment _ RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing Fixtures, *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if am.' meter is required) am ($10.00 per as built) (Includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 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.000herstateonecall.org 1 hereby acknowledge that this infbnnation 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 wig t a permit; that the work will be In accordance with Jthe approved plan' in a case of work which requires a review and approval of pla ' x VV ////�t"h1.11)4 . ie* Applicant's Printed Name A ants. Signature 03/11/2015 11:10 7633231454 ANDEP.SON EXTEP.IORS PAGE 02 Use BLUE or BLACK Ink jForOHlceUeeT�r�---�r� �� r �C' ��j�� J�—' C�ty of�a�a� ; Pe��: , � � Pertnit Fee:__1��. �. I 3830 Pilat Knob iioed � 1 Eegen MN 55i22 I Dp(e qgCerved: � Phone:(651)675-58"!5 � i� ,"— I Fax:(857)873-5694 � Staff: j �-----------------� 015 RESIDENTIAL BUILDING PERMIT APPLICATION Dete: � �N 91te Address• c.A"� � Unit�: �� :�.i�, il;.i�:j`�` rVOs�4�, / �r�7 ^� �� i`i" Name: � Phone�s��f'_/ �� , i � �;,', ; -� ; '� �;; Address/City/Zip: 1 v � P p�� r�''. �^ �,__"•,ti�__—^ o �;i:,':� ' � j'��i-:: ;a ; Applicant ls: �Owne� �ontractor � �, '! . �� ' .` � <� 4.•5� ;;� Descriptlan of work: / !'"`� � � � e,� ConstruCtlon Co • �/ Multi-Femily eullding:(Yes_/Na� ;, _I :i:��,��•. �/ �'-� �� ,: :i r..,.;i:�. :.I Company'�t�U�/I/��i�/'�S L��e'.r uo�tact: (�<^-� E��e�.-- � �.1 � 1 ,1 � Address: °� � � �h � /(��City: �4-�7 5G� /�12i1� I; ; �� I ";� �� State;��t,Lip• ��Pnone��7,��E�a I� G"'1��UG/ � a � ;, ` �;I�� Llcense fF;�� Lead Certiticate#: l .. ''� If the projecl is exempt trom (ead certlflcetlon, please explain why:(see Page 3 fvr additional information) _��';�+%�.�r�ce GB�� COMPLEtE THIS AREA ON�Y IF CONSTRUCTING A NEW BUILDING In tha leat 12 moMha,has the C�ty of Eagen issued a permlt�or a simllar plan b9sed on a mabte�plan? _Yes _No It yes,date and address of master plan: Llcensed Plumbar: Phone: Mechanlcal CoMrector. PhOne: Sewer�We1er COntrector: Phone: �NpTE': "�1 ��t�rrn�Yrhs tN�f yr�u submlt er�cv►t�fcN�►ed to be piJBlld'Mi'oH►r�t�r1, '. r� ns aI ' tit ' ` • `��fhe��i1'��l�i��#+��lWl�tfl��nonytubllc!f ytsu prov/de spec�fi�reasvns ttt�t wou►d�etin/t`tfrie�lt,�to '� `�E�� :�::� ;,. � `""` :�►��w�o►�r►�r�rt� are r�e�,�; CALL BEFORE YOU DIG. Call QopAer Sts�e One Call at(e61)454-0002 tor protecNon agalnst underground uri�ity damags. Call a8 hours before you intend to dlg lo receive locatss of underground utilities. www.aoaherstateonecall.ora 1 hereby acknowledge that thls Ir�formatlon is complate and accurate;that tne work wiu be in contormance with the orclinances and codes of the City of Eagan; that I understand this is nol a permlt,Dut only an application tor a permit,a�d work is not to start without a permit;that the woric wlll be in acCOfdance with the approved p�an in the cese of work which requires a review and approval of plans. E�[terlor work aufhorized by e bultding permil laeued in accordence wlth the Mlnnesol0 Stete Bulldl�g Code muyt be Completed wllhln 18D d�ys ot perml Ioaua�Ce. x��Q��N � ��J x Applicant's Printed Neme Ap i n1'6 Slgnpture Page t of 3