1430 Wellington Way
~994.64 1430 Wellington Way
E.O.F y /
,
~ TOP7596 ~ „ Certificate of Survey
( ^ -
. I ko<
84_ ,
RFM~ED TOLL~oBROTHERS INC.
N 9 ~
~ Eagan, MN 55121 Curve
3;~ '4° q131 o
4 a
° ry~ 962.50 ' x 975.67 O
o 9a DQ~ ~
o„/ i T0P „
E.O.F=972.1 N86'09,09 E 984. ,
°i LP56.1 = 170.0 ~ 74 .
NWL=967.5 X975.5 ~ .4%
~ 6.37 2 35.65 1~
HWL=970.8 g 54.
10.34LTOP I.P. ~ 986.04 985.59~ .
(9672) m
4.39- = 3. J 986.28 `y 10 NORf9
43.39 - - ~ ~ 988.6 90i7 X _)3 985. /
~
Wm y Proposed 1
S9 .'w ni ~ o m oa drivewoy
Toa sc11uER NI~ ~m N oo n m 5.4% 6~ O 30
o nrn
0' 4.42 SCALE
~ ~~\9) p 8t.4 3m ~ q g 4 ` X O
~t3O lS~\ ~ s s. t mo ~ o i 1 9$,c° ,p 9 7.a NOTES LEGEND
o0.67 1
j 98 a Lot Area= 17.250 Square feet Iron monument found
J
~ ~ . ~
n.~ r°~0°j ~gg~g~-- 9738 Lot Coverage= 3422 Square feet O= Iron monument set and marked
o o \ I ..~m`Og with Iicense No. 23968.
(981.28J `D ~ i3~a aoi3 4.17.. P
k y.~° 1O 9e7.9 or 19.8 X p= Offset iron
~ 51 i ro SanRarY Serv. Elev= 9726 -
978.6 x ^ i m •14.94 \ •124 .o°+ = Dratnage & Utility Easement
' ~.o \ ¦ eoo.o = Existtng pewtion
,r.
; ~ rT_~ • I9~ o~ A~ \ x(a~rto E x i s t i n g H a i d d o w n E 7 e v o t t o n
~ W I rn t`- ~ e 2 v` 9ej S~ Q~ = Proposed elewtion from grade
y r., N~ ; 983.7 < 9B9-o'~ ~ or davelopment plan
i n/ Drainage Directfon
m 1.17)~ 982 O~ A ¦ I o c k 1 Beor fngs a hown are asaumed
0 0 0 o, PROPOSED ELEVATIONS
~ Gara e floor elev. = 989.87
n Z ry ~ 'OK ggz_4 Top of block elev. = 990.2
~ °O 98 ~TEEPLECHASE 9
„ y 985 G \ Lowest floor dev. = 981.53
~ l OF EAGAN Lookout elev. = 985.03
Drawing Flle: LOT-1 BLOGCI-718 DWG
984 ~V DAKOTA COUNTY, MINNESOTA Project No. 03-730-M
0%• Subject to easements of record, if any.
~
N1 98
Duluth, MN.
n f~g8p,55 D~`Z ? I hereby certify that this survey, plan or report was prepared by Hibbing, MN_
0 0 - ~ .~J r\ me or under my direc:t supervision and thot I am a duly Registered Ham Lake, MN.
g~ N/ Land S r un er ~~lCws of the Stote of Minnesota. ~ g ~
9819 Minnetonka, MN.
n~ ~ / C~x~'a~a~° LTD Phone: (952) 933-0972
' ~ ~ ~l December 6 2005
Fax: (952) 933-1153
~F
urt M,:'Gtisch, MN License No. 23968 Date www.rlk-kuusisto.com
.~1 RaNSe* New Houes Run po[a 12-12-0.5 6110 Blue Circle Dr. • Suite #100 •Minnetonka, MN. 55343
V
~ 2005 RESIDENTIAL BUILDINC PERMIT APPLICATION qC So
' City Of Eagan M 8q 7- 40-so
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 CQ~~( r z ~Z l.~~ -
Ngw Conslrudion Reauirements RemodeVReoair Reauiremenls O~ce Use~lv 7'13~
3 registered sita surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert ot SUrvey Recd _ Y,_,_ N
(20% maximum lof coverage allowed) 1 set of Energy Calculations for heated addilions FrCe Pt9s Pla(f Recd Y_ Ff.
2 copies of plan showing beam & window sizes; poured tound design, etc. 1 site survey for additions & decks '4re~ Pres Repurzed Y N
isetofEnergyCalculations Add'Aion - irMicate"rfon-sitesepticsystem OrrsileSeptie~ys~e(n
3 copies of Tree Preservation Plan if bt platted afler 7/1/93 w O I~ O# q(,1' ~ fs ~~3.Ids
Rim Joisl Detail Options selection sheet (builchngs wifh 3 or less units) Date 1 li_ / 0 q / b":j Construction Cost
Site Address Q UniUStc #
} 1 ` k vn C of Ea an
DeacriptionofWork Mnrial ~kntnne -jCnr wl\, c'. sb`~A
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2
PropertyOwner lol\ P~vO"nP+rC ,nC. Telephone#(1o51) ,'>lrici-hC~)5'
RiUL K~ ec1cJ2~
Contractor _~ol\ -~-h - ~ L.iCe 2l~ 5
Address iLAOD r City
State M 1-.1 Zip 5C,:p\,9LA Telephone #(u51) 3l nC:, - O5~y(
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateROiv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilalion Category i Worksheet • New Energy Code Worksheet
(Jsubmissiontype) SubmiKetl Submitted
. Energy Envelope Calculations Suhmitted
in the last 12 montlls,~has the City of Eagan issued a permit for a similar plan based on a master plan?
Y ~ N If yes, date and address of master plan:
Licensed Plumber mo k-~in P1~av~nhl v~c Telephone #(1~~ LrAU - Col 0(3
Mechanical Contractor ~ ~~f' ~vg_V W~q Co ' Telephone #~~~aJ .~a5
Sewer/Water Contractor Telephone # ( `u,_
M v 12-q I `I- 2~2q
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 approve 'n the case of work which requires a review and
approval of plans.
l~
AppficanYs Printed Name Applicant's Signat e
OFFICE USE ONLY
~
Sub Types '
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
P) 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plez ? 10 OB-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
p 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolit7on (Entire Bldg) - Give PCA handout to appltcaM
Valuation 3bq , -o -o 0, 0~ Occupancy MCES System
Plan Review NO 100% or _ 25%
Census Code Zoning City Water
SAC Uniis ~ Stories Z Booster Pump
# of Units / sq. Fc. 3 y 2 Z pRV
# of Bldgs ~ Length Fire Sprinklered
Type of Const Width 85
REQUIItED INSPECTIONS
~ Footings(new bldg) ~ FinaUC.O.
_ Footings(deck) FinaUNo C.O.
Footings (addition) _ Plumbing
ZO Foundation _ HVAC
Q Drain Tile Other
Roof ~O lce & Water IQ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final
)0 Frazning _ Siding _ Stucco _ Stone VBrick
~ Fireplace , R.I. 4 Air Test i Final _ Windows
~ Insulalion _ Retaining Wall
Approved By'7161714LBy, Building Inspector
- -
° -
Base Fee '~'3 136. I 5
surcharge )Sp.oo aRSE,YriCOthea z`l37 xZS.o-o
PlanReview 1,388.50 ~sr ~~0~32 1in,-shed ZyqSX
nncressac i~15o,oa P;nrshed l714I X S`-`-f•eo
CitySAC i.J 1, ioo.oo ~~~~e X o0
t ~ d-
Utility Connectiona Gharkgl 1009.00
S&W Permit & Suroharge 100.s o 2(2 f{- C~,~eRed ! 0-7 X 3 a. e o
Treatment Plant 612.00
License Search
Copies - p Z / ~ y 3,~ c7
Other 12S.00 ~
Total -4 3 , t S
r
41101MV oF eaqcin
Name: To~~ p2esT~~W-s S-A- . Date: I I Iq IO
Site Address: H30 Telephone S/' 3bs' 0 S S/
Rim Jaist Detail Opdons
As outlined in t6e new Eaer;y Code, buildiugs constructed with three units or less require
that rin joists be put up according to detail options shown below. Please circlelhighGght
the optiou you will be using.
#z 13
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DEC-19-2005 13:56 DJ & R 612 676 2796 P.02i02
' Permit#
Perml[ Date
REScheck Software Version 3.7 Release 1a
Compliance Certificate
Project Title: Toll House Model
Report Date:12119/05
Energy Code: 2000 IECG
location' Eagan, Minnasota
conswction Type: Single Famtiy
Glazing Area Perceniage: 76°k
HeaNng Oegree Days: 7991
Construclion Site: OwnerlAgent: DesignedContractor:
.
. - .
Geiling 1: Raised or Energy 7mu: 2898 44-0 0.0 64
Wall 1: Waod Frame. 46' a.c.: 5034 19.0 0.0 250
Windaw 17 Wood Freme:Double Pane with Low-E: 746 0.340 254
paor 9: Solld: 42 0.766 7
Door2: Glass: 84 0.320 27
Basement Wall t: Solid Concrete or Masonry: 7092 0.0 10.0 57
Floor t; Slab-On-Grade:Unhealed,, Insulatlon Depth: 4.0' 244 70.0 167
Canpllance SYarement: Slatement of Compllance: The proposed building design described here is consistent wkh the building
pinns, specifications, and oiher ealtulations submRted wlUi the permlt application. The proposed build'mg has bean designed ln meet
the 20001EGC requiremems in REScheck Version 3.7 Refease 1x snd lo comply with the mandatory requiremenls listed in Me
RESeher,x Inspection Checklist.
~^AS'-L`~~L.OPEe.~r aJIZ ArdG~l~~u~-U~e.tj noc. l2 -(`T-av
BuilderlDesigner Company Name Date .
Project Notes:
Previously saved projed infwmaUon: ,
DJR ArChitgCNr6, InC.
Toll House Model Page 1 of t
TOTAL P.92
. „ K LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: l~o~ 1 UIc- I L ~ Q^^
DATE OF SURVEY: II~~
LATEST REVISION: IZI ~OIOS
a
~
c
m
L
U
Y a a
z DOCUMENT STANDARDS
¢
. Registered Land Surveyor signature and company _ Syn c~d daZF e~'
~ p ? . Building Permit Applicant
'z ? p • Legal description
? • Address 1430 /,~'/lv'floi Ghv
,B ? ? • North arrow and scale
0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ""a.~/
• Directional dreinage arrows with slopelgradient /'~rpr/?i7~ /~ta'~.~op05~g/'OGGr1c~ E/cap e0 S~
~?,Ef • Proposed/existing sewer and water services & invert elevation
? p • Street name L>
Driveway (grade & width - in R!W and back of curb, 22' max.) - LJ/i ~
~ ~g 11 p ~g • Lot Square Footage e'
~ ~e / ' (iJ ? ~ . Lot Coverage - Zta rf"
~
~Aw-
ELEVATIONS
Existin
;r ? ? . PropeRy comers /
oa/~ p~ • Top of curb atthe driveway and property line extensions-~'bd~L~iAi 1m'2 ?'z ? . Elevations of any existing adjaceni homes an /,o rc.Je, s•d~ o~~~f o^/y Remye a~'
Al~ ?,0' • Adequate footing depth of structures due to adjacent utility trenches-A/Ud oK
,9 ? ? • Waterways (pond, stream, etc.) eevn
Prooosed
,9 ? p • Garege floor
,z ? p . Basement floor
g ? ? . Lowes[ exposed elevation (walkouUwindow)
g p ? . Property corners
. Front and rear of home at the foundation - S/no~/ e/u/~v ~s oG+~si~ e E' ~~Sy
PONDING AREA (if appiicable)
? ~ . Easementline- {~~L ~S 5hca~ln o,Js~dt graeAe-e-
,a ? ? • NWL
,g ? ? . HWL
~r ? ? • Pond # designation
~ ~g p ? • Emergency Overflow Elevation
g ? • PondNJetland buffer delineation
y . Shoreland Zoning Overlay District
y • ConservaGon Easements
DIMENSIONS
p~ • Lot Iines/Bearings & dimensions- ClC An IQ-~ I? ~oP- ~1nE.
/IJ kr ?;r • Right-of-way and ~r et wi +(So back of cu
~~yJ 0 2{ - Proposed home dimensions including any proposed deck overhan s r han' orches etc.-~~o~~a~c1i ,
(i.e.allstructuresrequiringpermanentfootin s _~WA6/1'h'1S m Sf,^eefSaS~q-
? ~q • Show all easements of record and n Cily utilities within those easements C,,,Skher; 04 Nai
a
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
~ ? Z • Retaining wall requirements: - z ~ i a? ~ + L. e[d ~lr+~ ~o~
I~a,~
e/ DSGL easzr''41 -i -
s/dcfwd, Reviewed By:
G:/FORMSIBuilding Permit Appliwtion Rev. 11-26-04
~-~-~984.64 1430 Wellington Way
ficate of Survey
Certi
~ • TO975.96 MIEVVED
L
By
Date /
I ~ ko,
aa. EAGAN ENGIIYEERING DEF1; T O L L B R O T H E R S I N C.
v h ~ 9
~ 1400 Corporate Center Curve
,a.o ~ 3 o PROVIDE AND MAINTAIN 962.50 Eagan, MN 55121
N ry' • ~~n~5 ~~(Zf~A~~a 9g4 INLET PROTECTION UNTIL
0 9 5.67 o FINAL T'URF IS ESTABLISHED
~e.o.F=972., I: N86'09'09„E ~
NWL=967.5 X975.5 6-37 ~ 2.4% . EAGAN
~ LP56' 170.03
HWL=970.8 54.74 •
(9672) ~ 10.34,~L,TOP I. 986 985.59`
-~~.3 i 986.28-~ ORTH
4_39
~ 43.39 !s,~T_=~-~ - - \ ~988.6 98 7}X
98i_3
i ~!1
0 7
.P o m a~.`_ 4. m°ro 2, Proposed v,CP~ cy~¢ NG 0Ni~D S 6Hee.7~c'~
S9 . ni 3 o m oa drivewoy ~ ~~g
97 .50 p 5.4$ ~ 6. ~e~tl0.m'+ 0 30
TOP KIMMER
~ cn'_m -o ° 4.42 ~ • ~ 6 SCALE~
. 1l o=o .
-fg o ~.981.4 j 3E
•s \ ~'s ~ m • o mm o ~ 989 98a a ~ 7-4 NOTES LEGEND
~.6, •~•c t oO C n I l ~ ~ ~ ~,~y EItSO(~ a7DOUV
~ ~ ~ I I ~ ~ ~ ~ ~j
O 0.67_ ~ 98 . 4 ~ ~Q~ Lot lueae 17,250 Squarg feet 9 = Iron monument found
~
18 90i i o~ ' o$o,~ o~aoQ•~ ~ ~ p= Iron monument set and marked
Lot Coverage= 3422 Square feet
a s ru; (987 ~ 9as.o
o~ g
~ with Iicense No. 23968.
'o aoi3 or 19.8 X p = pffset iron
(981. 29) 0 ~ i 41Z
5 .
~ 987
1 ~ . n~ Sanitary Serv. Elev.= 9726 Drainage & Utlity Easement
978.6\ i O1 14• `t241 ~ ~ 0~ z eoao = Existing Elevation
7 ~ n ~ is~ C~ n~ x(aqao)= Existing Hdd down Elewtion
~ ~~1 9`?O ~ ~ 9a~ Proposed elewtlon from grade
I^ 2~ [y~ ~~~p S or development ptan
Y N ~ 983.7 \ e. `98 9 -01
~.30 ~ / V h ~ r= Draina e Directbn
Bearings shown are ossumed
m ~ 982 ~ '9 ~°e L ot 1 B I o c k 1 PROPOSED ELEVATIONS
0 o o~
4001 ~
° O yo`~y 98 Gar e floor elev. = 989.87
STE E P L E C E T~ of blodc eiev. = 990.2
982.4 ~Y~o ,y 985 Lowest floor elev. = 981.53
keokanE elea
OF EAGAN
~ OMS Ud i J (`Q Drawing Fle: LOT-1 BLOqp-718.DWG
% SuL7 FE 984 DAKOTA COUNTY, MINNESOTA Project fVo. 03-730-M
_ ~ OJ~!1~O• ,~j ~ ~ Subject to easements of record, if any.
98 r
o ez ; 5•~,5 ~ ~ Duluth, MN.
n J 82 55 I here6y certify that this survey, plan or report was prepored by Hibbing, MN.
Eo - (9 me or under my direct supervision and that I am o duly Registered Ham Lake, MN_
1~0/ \ Land S r un er s of the State of Minnesota. PUX Minnetonka, MN.
r ~ 987.90 ~ rTw gCJfEE4Tp LTD
Phone: (952) 933-0972
December 6 2005 Fax: (952) 933-1153
urt M. Kisch, MN License No. 23968 Date \1 www.rlk-kuusfsto.com
ReWe* Nsrr Hwse Plm Dota 12-12-05 6110 Blue Cirde Dr_ •Suite #100 •Minnetonka, MN. 55343
u
1uu` a. I'rn ~ u. L 6KU NtKS CENTP,AL FAX Irdo. Z/'/ d Ir. j
J 1
. B~, 1RAUN &vun InNr~ve Corperolion PAOne: 952.995.200D
IIYTERTEC 110D1 hlompiksreAenueS I Fav: 952.9452020
Minnropolls, MN 55d38 Web, 6rauninlenec.cOm
Decembar 8, 2005 Projeot BL03•01600E
Mr.ColinRaehnut ~ 7 3 v We~Ji~79'f°i~ IL) fly
Toll Brothers
1400 Corporate Center Curve, Ste I10
Eagan,IvlN 55121
Re: Summary of ExCavation Observations and Compac6on Tesiing
Steeptechxse Residtntial Develapment
Pi1ot Knob Road
Pagan> Minnesota
Beaz Mr. Itoehnan:
We have rCCently aompleted excavation obsetvations and compacrion testing durang the site grading of
the SteeplCChase residential devetopmenY in Eagan, Minnesota,
During the sita grading operation, a Braun Tnterteo engineering technician completed excavarian
observa,tions and shaliow hand-auger horings at the bottom of the excavations W evaluate the suitahility
of the eoils £or support of any engineerad fill and huiid{ng loads. VJhile plecing enginecred fill, a Sraun
Intertnc teehnician completed soii compacrion testing to evel+aate the effeetiveness of the procedures
being used by the grading contractor azzd to evaluate whether the soif was being compaeted ta mcet
minimum project specificazions,
Baaed on the results of our ezcavation obaervationa and compaofion tests, it is our opinion thet the lots
requiring engineered fiii were pmpcrly construetcd. On those lots roquiring a cut w gxade, we
tecommend that the excavator, contraaror and building official evaluait thc soils when the foundations or
basements are being excavated.
A model house ;s to be cansttucted an Lat 2 of Block 1. Tha excavatian to remove uasuitable soils waa
extended to an approximate elevadon of 479 at the front of the psd and about elevation 976 at the back of
the pad. Hand auger pro6es taken in the bottom of the excavation encountered silry or clayey sand. T'he
silty sand was judgcd ta be mediam danse and the clayey sand to be rather sriff. Engineered fill was then
placed to constn,ct the house pad. Compaction tests were talcea during the fill placement. All the tests
raken in this lat met or excaeded rninimum density requirements. It is our opmian that soiis in this
buiTding pud are suitabla far house support.
A final report detai}ipg our excavatjpn observati0ns and compaction testing foc the entire site is heing
compilcd, but is not yet availabte far pubtication,
a1~;
oca~,~ l°I" l a
~ PtovidinB engineering nnl nnviTortmrntat snluduns since 1957
5._1UUh 4_11YN1 IO L NKUIH~KS CENIRAL FAX No.2 1 !8 S
Toll Brothers
Project BL-03-0I600
December 8, 2005
page 2
If you have any aucsrions regardina this tetter, pleasa cat] mc at 952.995.2238,
Sincerely, .
13RAUN DqMTEC GORP012ATION
Profeasiocal Cercification:
7 hereby certify that tlus plan, specification or report
was prepared by me or under my d'uect supervisian
artd that I am a duly Licrnsed Professiona) Engineer
under [he laws o the Stste of Minnesota.
'D4-Q
Henry oo, PE
Associate-Senior Engineer
License Number: 21140
e: Mr. Andy Berenberg,ltT_.K ICuasisto, LTD
Mr. Kevin Hachfeld, Ryan CantractiXig
su=mry io-
City of Euan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
ForOffke Use
Permit #: /oi - c
Permit Fee: 00
Date Received:
Staff:
2011 MECHANICA PERMIT APPLIC- /TION
Date: /0-3-/i Site Address:
j�
12/319 f < I AJ671J )
Suite #:
J
RESIDENT / OWNER
Name:' / 7✓G ](I- tit Phone: 6S/_ 363-- 4661
t
Address / City / Zip: 1'T 4 ' { i" t 0Iri/S 4'9i
CONTRACTOR
Name: f Ni li)ei 7 ?/ / k ? License #:
�� r
Address: `1 !? 7 ekIC/TTIj 141 , S.0k City: Wi<d: —
State: 0%ij Zip: Sj407 Phone: 44p1 4 5-vbab7
Contact: Email:
TYPE OF WORK
New Replacement Additional /AlteratiionnDemolition
/tt[ `i
Description of work: :ltd. glfr e � 6,K J)( S /fMezAVO i JSrjt<1 ii
NOTE: Roof mounted and ground mounted; mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector, for information •on permitted screening methods.
PERMIT TYPE_
RESIDENTIAL
Furnace
Air Conditioner
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Meat Pump
Under / Above ground Tank ( Install / _ Remove)
/ (I I�- -
✓✓✓ Other q ,�vI Nl,1�L,
" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
":rned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge) p
$5.00 State Surcharge) $5 r TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installatio -moval OR
State Surcha • -
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for eac $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ - Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ <� ,,,,, TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-00d'L-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 l understand this is not a permit, but only an application for a permit, and work is wit • ut a pe mit; the a work will be in accordance
with the approved plan i the case of work which requires a review and approval of plapr--
X «iH k SLG.181.E
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Reviewed By:
Required Inspections: Under Ground Rough In _Air Test _Gas Service Test _In -floor Heat _Final
Exterior HVAC Screening Inspection
Date:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169311
Date Issued:05/21/2021
Permit Category:ePermit
Site Address: 1430 Wellington Way
Lot:1 Block: 1 Addition: Steeplechase Of Eagan
PID:10-72540-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Kirstie Foster
1430 Wellington Way
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature