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830 Wescott SquareCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 9LVc2 Permit Fee: Date Received: l3' Staff: &;%. 2010 MECHANICAL PERMIT APPLICATION Date: S\k51 C.) Site Address: LU �SC ` t '� Tenant: f K, CL \ Y 1P V Yi u Suite #: J RESIDENT / OWNER Name: rCk 4 BroLL1v, \L Phone: 1 5 �J`4o' 9R -k3 Address / City / Zip: ( ✓`�� sCGJ `-'� i 1 1 r 55 L 3 CONTRACTOR Name: _� C= S ,-... c -o-k �Vyk.c License #: 00 I S %_ /- � 1O 126 a( Address:�� (. O\ (IC) 126 a( City _ State: `I))1\--) Zip: J> `--t Phone 7L03 42k- 3 - 1 Contact: U Email: TYPE OF WORK New y Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Pleasecontact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Lr Furnace COMMERCIAL _ New Construction _ Interior Improvement V Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ _ Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $SOi - (-- Q TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 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 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. x Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test > Gas Service Test _In -floor Heat Final Exterior HVAC Screening Inspection 35'qy-71999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) / CITY OF EAGAN . ' 3830 PILOT KNOB RD - 55122 fqka, Dc,1C5 L~ • ' 651-681-4675 4~$ New Conshuction Reauirements Remodel/Reoalr Reoulremenis ? 3 registered sMe surveys showing sq. M. ol lot, sq. (1. of house 2 coples of plan and gll rooted areas (20% maximum lot eoverave allowed) 1 set of energy cakulaFions for heated addRions ? 2 coplea of plans (ahow beam a window sizes; poured ind. design; Mc.) 1 sNe survey for exferia addHions a decks ? 1 sel ot energy calculations ? 3 copies W hee presenal(on plan H lot plotFed aMer 7/1/93 DATE: 15`25` J 1 CONSTRUCTION COST: 5)S D~ DESCRIPTION OP WORK: lV~1.~ L(li~l'lYU.S~(N"1 L.L4'l4 STREET ADDRESS: ~ 30 LJ-LXZD-C.l Sw-<-Q LOE BLOCK: ~ SUBD./P.I.D.#: ~~fW1 !1~ 2.~~ V'1G(!'i1E'ftt~ Name: Q S Phone PROPERTY last Finf OWNER Street Address: City State: Zip: Company: L, BUI '?t Tr'1C , Phone 61Z -79b-q 0c7 0 (area eode) CONTRACTOR n Street Address: (a 7D l.: iwiC- 6~IM 010. License # 76~Exp. MU City Ci rck Y+ ne S State: m h Zip: 52) 14 ARCHITECT/ ~ ( ENGINEER Company: IC'bi~gT &,g~ ,n ~1~, -'~%+<z-4 Name: Telephone area code ( ] Street Address: I Z I37 G YD US C.= s'T Registration , city nvv, 9±6 3 S state: Y'V)n zip: S,wer & water Ilcensed plumber (reaulred for new conslruction onlv): 5cwev, +~xclwe,4~~ PenaHy applies when address change and lot change is requested once permff Is issued. I hereby acknowledge that I have read this apptlcaHon, state that the informaflon Is cortect, and agree to comply with all applicabl State of Minnesofa Statutes and CHy of Eagan Ordtnances. Signafure of AppllcaM: OFFICE USE ONLY Certffcates of Survey Received ~ Yes _ No ~ ? 5 Tree Preservation Plan Received _ Yes _ No ot Required !~1H~ OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea. 03 1 of _ plex ? 08 6-plex p 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous woRK nPe ~I 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ~d 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) S• N Basement sq. ft. G2 Census Code UZ (Allowable) Main level sq. ft. I[ b 2 SAC Code ~ UBC Occupancy ' C-RA'tZ. sq. ft. [ D No. of Units Zoning ~ sq, ft. No. of Bldgs ~ # of Stories ~s sq. ft. MC/ES System Length - ~faQ~ sq. ft. City Water Width Footprint sq. ft. ~ Booster Pump PRV Fire Sprinklered APPROVALS Planning Building C L1 Engineering Variance c , G/ yV b Permit Fee Valuation: $ D bo00 ~ Surcharge Plan Review License MC/ES 5AC City SAC Water Conn. Water Meter ` Acct. Deposit ' S/W Permit , S/V1l Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units °h SAC LOT SURVEY CHECKLIST FOR RESIDENTIAL • ' BUILDING PERMIT APPLICATION PROPERTYLEGAL: ho7 'RLOQ / ~A<'~(N OAKs /ouirvtpmE~ ZNd DATE OF SURVEY: -1-7 - 9q LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and compeny Building Permit Applicant ~ e • Legaldeacnption ¢/p ? • Address Ev ? ? • North arrow and scale lookouf, etc.) yi • House type (rembler, walkout, split w/o, spfrt eMry, Z/o o • Direcbonal drainage arrows with slope/gredeM % [D~? ? Proposed/exosdng sewer and water services & invert elevation ei ? ? • Street name m~ ? ? • DiivewaY Vy ? • Lot Square Footage ~ ? ? • Lot Coverage ELEVATIONS Eostlna ~p ? . Sewer service (or Proposed) ~ p p • Properry comeis r~ • Top of curb at the drNeway ,o ~y~ . Elevaliona of any ebs6ng adjacent homes c~? Adequate footing depth of strudures due to adjacent u0lity trenches Pro p ? . Garege floor o ? • First floor ? , Lowest exposed elevalion (w~ko Wwindow) ~ ? ? • Property comers m/o o • FroM and rear of home at the tounda6on PONDING AREA fii aodicadel ? /o • Easement6ne a 13 . NWL ? m/ ? • HWL ? p/p . Pond # designation ? ~o • Emergenry OveAlow Elevadon DIMENSIONS M//0 ? • Lot 6neslBearings 8 c5meneions we e o • Rightot-way and street width (W back oT curb) gil-o ? . Proposed home dimensions induding arry proposed dacks, overhangs 9reater Man 2', porches, etc. (i.e. all structures requiring pertnanent footlngs) e-'o o • Show all easements of record and any Cily uhli6es within those easements m/o g • Setbacks of proposed structure and sideyard setback of adjacent mdsting atructures ? p/p • Retaining wall requiremeMS, if any Reviewed: ame / Oate r.mreh 1989 . caAio,gKnpvrtMr.FM G, ~y 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ~A ~S 1 X~ CITY OF EAGAN 3!{24 t-~42~ U ? ~ 3830 PILOT KNOB RD - 5512:0 ~Ctyp..-~ 651-681-4675 pc,l[S C+ l New ConsfrucNOn Reauirements Remodel/Renalr ReauiremenTS b~ Y D 3 registered sNe surveys showing sq. R. of lot, sq. R. of house 2 coples ol plan and all rooled areas [207* maximum lol eoveraae allowed) 7 set ot energy calculafions ior heafed addMions ? 2 coples of plans (show beam 6 window alzes; poured Ind. design: etc.) t sBe furvey for exfedor addRlons 5 decks ? 1 set M energy calculaNons ? 3 copies of hee preservation plan H lot plalted aHer 7/7/93 DATE: lsl'ZS -5 1 CONSTRUCTION COST: ~I~Y\S~YLI~L'~ n?1 UY1 ~D~in~~vK£ DESCRIPTION OF WORK: P~,/') STREETADDRESS: 56-~2- ')JaAcU~'~ SC~-LLd~P LOT: ~ BLOCK: SUBD./P.I.D.#:toA(1Y1 QxyS Z-v" 14dd1-kvn Nome: Spm2 'AS l&r4g4c~'6i2 _ Phone#: PROPERTY taat First OWNER Sfreet Address: City State: Zfp: Company: ( 141y, 661GQCYS .ZnL Phone#: (,/Z -780-'iDC7'G (area code) CONTRACTOR Sheet Address: 6z(J License # 63-Exp. 2bbO City l,1YGIe -ftrtP$ State: Zip: ARCHITECT/ Company: ~n hf~ft ~~l~G Name: J'~~'1E Telephone area code ( ) Street Address:17GI QYDUSf S'f . RegistraHon City lDCYO\ 0 S State: Vi'1 Zip: Sewer & water Ilcensed plumber (reaulred for new eonslruction onlv): i^ g- PenaNy applies when address change and lof change is requested once permM Is Issued. I Fiereby acknowledge that 1 have read this applicallon, stafe that the InformaHon is cortect, and agree to comply wHh all applicabl State of Minnesota Stafutes and CHy of Eagon Ordinances. GL% Signafure of Applicant: ~ OFFICE USE ONLY I Certificates of Survey Received ~Yes _ No 25 I Tree Preservation Plan Received _ Yes _ No Not Required ~ OFFICE USE ONLY • . . BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-piex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ° Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. ~20 v Census Code ( 0'?i (Aliowable) ~ Main level sq. ft. SAC Code ol_ UBC Occupancy 2_ sq. R. 4 Z-0 No. of Units i Zoning 2- 3 sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. ~ Booster Pump PRV Fire Sprinklered APPROVALS . Planning Building ~ Engineering Variance Permit Fee Valuation: $ Da Surcharge Plan Review , License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. • Trails Ded. Other ' Copies Total: SAC Units % SAC _ 1 d , LOT SURVEY CHECKLIST FOR RESIDENTIAL . ' BUILDING PERMIT APPLICATION PROPERTY IEGAL: L.oT 3la B~CK I ~',ai Rrv OAKS Tiu,v/1am~s ~N'~ DATE OF SURVEY: LATESTREVISION: DOCUMENTSTANDARDS p~ • Registered Land Surveyor signature and company ? . ButldingPertni[Apqicant ~ ? e • Legal deacription ~ ? ? • Address a~ o o • North arrow and scale q~ • House type (ramWer, walkout, spNt w/o, spfit enby, bokout, ete.) o • Directional drainage arrows with dope/gredieM % Proposedle)asling sewer and water servioes & invert elevaUon y/ ? ? . Street name ~ o ? • Drivewey ? o • Lot Square Footage ? o • Lot Coverage ELEVATIONS E)deGna ~ ? ? • Sewer service (or Proposed) ~ ? ? • PropeAy comers oip/ ? • Top of curb at the drivevvey * m' o • Elevatiana of any epsting adjacent homes c 6' ? Adequate footing depth of atrudures due m adjacent uOTrty trenches Prooosed sy/ ? ? • Garagefloor y/? ? • Fist floor IP' ? o • Lowest exposed elevalion (walkouUwindow) ~ ? ? • Property comers p~? ? . FroM and rear of home at the founda0on PONDING AREA (if aooScadel ? o/? • Easement6ne ? p/ o • MNL ? R' ? • HWL 21 yy, ? . Pond # designa0on ? ~ o • Emergency OveAlow Elevation DIMENSIONS m/? o • Lot Gnes/Bearings 8 dimensions o'12r ? • Rightof-way and atreet width (W back of curb) V ? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porchea, etc. (i.e. all strucNres requiring permaneM tootinys) y~ • Show all easements of record and any Cily uldiUes within those easemerts r? • Setbacks of proposed structure and sideyard seC>ack of ad'acent epeting structureB cV ? • Retaining wall requirements, 'rf any -9 Reviewed: / ame Date MareA 19BB ptApgWpPpMT.fM . 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) S~ FNS CITY OF EAGAN 3830 PILOT KNOB RD - 55122 T~ µ 65'1-681-4675 New Conshucfion Reaulrements Remodel/Reoalr ReauiremeMs yn U ? 3 registered sRe surveys ahowing sq. tl. of lol, sq. k. M house 2 copies of plan ond cll rooted areas (207o maxfmum lot coveroae allowed) 1 set ol energy calculallons lor heafed addffions ? 2 copies of plans (show beam R wlndow shes; poured fnd. dealgn; etc.) 7 sXe survey lor exferior adtlkions i decks D 1 se1 of energy calculallons ? 9 coples of hee preservofion plan tl bf platfed aMer 7/1/93 DATE: S-2S-S~ CONSTRUCTIONCOST: 3.h600 - DESCRIPTION OF WORK: WL+) CuvLs:~VArm u hl4 -~Clwti~uw,_Q STREET ADDRESS: ~(~-Q LOT: BLOCK: ~ SUBD./P.I.D.#: fC7A6L'V1 ~ICS 7~ ?"1GGli~v?I Name: SM"2 tqS l.m"6aC'~2 Phone PROPERTY Last Firsi OWNER Street Address: City StaTe: Zip: Company: / wnc, &JUtYS Lri C_ Phone I?_ (area eode) CONTRACTOR Sheet Addreu: 6~0 Ci J I(_ kclln4S n2 . License #~bcp. ZDDO City I.IYGk pt neS Stute: m~ Zip: ARCHITECT/ ENGINEER Company: I`DY~'~ LY~'~( J}CL[.il'~G~ Name: ) Telephone area code ( 1,[7 Street Address: t Z13 i qYDUS c- Regishation City (9IJh Qnpinis State: VY11') Zip: ~ Sewer & water Iicensed plumber (reaulred fw new conshuction onlvl: 64-' " Penaly applies when address change and lot ehange is requested once permM Is Issue ."""w`~ Sf Yl/ C C1t ~ I,hereby acknowledge fhat 1 hpve read this appllcaNOn, sfate thaf the Informartion Is cortect, and agree to comply with all applicabl State of Minnesoto Sfatutes and CMy of Eagan Ordfnances. % lY Signafure of Applicant: OFFICE USE ONLY Certificates of Survey Received ~ Yes _ No MAi 5 Tree Preservation Plan Received _ Yes _ No ~lot Re,qui[ed__- ~ OFFICE USE ONLY ' . BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscelianeous WORK TYPE ? 31 New ? 35 Tenant impr ? 39 Gas Line Only ? 43 5iding/Soffts/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors L] 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof • Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. UU-2- Census Code V7- (Allowable) 5' nJ Main level sq, ft. 11 P,Z SAC Code o f UBC Occupancy fZ-~ sq. ft. 417.0No. of Units ~ Zoning d2• ~ sq. ft. No. of Bldgs ~ # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. LC~j~7% Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ~ Engineering Variance (J Permit Fee Valuation: $ Surcharge ' Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. ~ Park Ded. . Trails Ded. Other Copies Total: SAC Units % SAC ~ ' LOT SURVEY CHECKLIST FOR RESIDENTUIL BUILDING PERMIT APPUCATION nID PROPERTYLEGAL: L07' 31 `RWOK I E/%1C-'-.dN OAKS bWsvNamEs ~ DATE OF SURVEY: LATEST REVISION: OOGUMENTSTANDARDS ? • Registered Land Surveyor signature and company ? • BuildingPertnrtApp6cant ? ? • Legal description u~ ? ? • Address ~a c • North arrow and sple p/ . House type (ramWer, walkout, spNt w/o, spGt entry, IoakouC etc.) ? • Directional drainage arrows wilh slopelgtameM % ? Proposed/exieting sewer and water senricea 8 invert elevaEOn ~ ? ? . Street name ~ ? ? • DmrewaY ? ? : Lot Square Footage c~S ? ? Lot Coverage ELEVATIONS 6astlna ~ ? ? • Sewer service (or Proposed) ~ ? ? • Property wmers ? cy' ? • Top of curb at the drivaway ? ef ? • Elevationa ot any ebsting adjacent hames ? q? ? Adequate footing depTh of structures due to adjacent utw trenches Prooosed ef ? ? • Garege floor ? o • First floor ~ ? ? • Lowest exposed eleve6on (walkouflvaindow) 3y/ a ? • Property comers U/ ? ? • Front and rear of home at the foundadon PONDING AREA (if aoo5cade) ? Ilr" ? • Easemern fine ? m' o • NWL o qi ? • HWL ? V o • Pond # designa0on ? ~ p • Emergenq OveAlow Elevation DIMENSIONS tz/ o ? • Lot GneslBearings & dimenaons ? m/ ? • Right-ot way and street width (to back of curb) M/ ? o • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • Show all easemeMS of record and any Ciry udliGes within thoae easements p' • SMCacks oi proposed structure and sideyard setbe k of adjacent existing structures C) dK o • Retaining wall requiremeMS, Aany Reviewed: Name / Date Msrch 19BB cnAIGABLoovaMi.cM . CITY USE OYLY ~ W / 1C LOT eLS I3L RECE[PT#: II3WW5 SUBD. (1JQ.c,ILu. ~4-Ip/1 p(~ RECEIPT DATE: 1999 MECHANICihL PEitMIT (RESSIDENTIAIa Ct1']' OF E4fiRN 3$30 PILOT KNOS RD EAfiAN MN 55122 (657)6$1-4675 Date• Complete this section onl if you are installing HVAC in sin.-le family, townhomes or condos under constniction and not owner /occupied ~ • HVAC: 0-100 M B T U Q ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required cr $3.00 ea.) ~ 9'cc) • State Surcharge: .50 TOTAL: Complete this section onfv if you are remodeling, adding to, or repairin- existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New _ Replacement _ Repair ~ Other Fumace _ Air condirioning _ Air exchanger, i.e. Vanee system, etc. _ Other Reminder: Call 681-4675 for inspections. $ 30.00 State Surcharge: .50 Total: $30.50 SITE ADDRESS: ~~7), 1k~' A(' I f - S-(I v~ Ct ~`~C OWNER NAME: li Y c~,~: ~R .l ~~V. ) l PHONE tl: ( l. ~J- l L i I~ CiVSTALLER NAME: ~ ~ M I PHONE ~-'t?~tJI ~ ~I ~ r STREET ADDRESS: I(~/ t~ I l ~d Q p~ CSC[TY: flall1- L~ L~Q STA E: i S[GI~ PE ITTEE JS/f02MS 6LD/MLCH PERMIT (2E5) - 1999 I~ ~ CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR 1999 Id£CHAIVICPtL PEi14[IT (CObIMERCIAL) C11'YOF EAfiA1V 8$30 PILOT KNO$ RD £Afi". Mb155122 (651)6$1-4695 Please complete for: alI commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Dti i E: corlTRAcT PiucE: IVORK TYPE: NEW CONSTAUCTION NTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of wntract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of pemvt fee due on all permiuJ TOTAL SITE ADDRESS: O WNER NAME: PHONE TENANT NAME (iMPROVEMENTS ONLi): INSTALLEA: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE C[TY USE ONLY LOT ~ BL n~ RECEIPT#: I 1 SUBDV l G.. RECEIPT DATE: ~ ~ 2J 1999 MECH"ICAL PEgM1T (RESIDENTIAL) crrY oF EaGAx ~X(J 3850 PILOT KN08 RD ERHAN MN 55122 (651) 68]-4675 Date• % Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 r1DDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) ~ LO - w • State Surcharge: .50 • TOTAL: Q Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. _;r New _ Replacement _ Repair _ Other Fumace _ Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other Reminder: CaU 681-4675 for inspections. S30.00 State Surcharge: . 50 Total: $30.50 SITEADDRESS: Uks~~&~- vC/qCo-,~-~ - OWNERNAME: La PHONE#: NSTALLER NAME: T I l1~ PHONE ~ 34 U -7 SCREET ADDRESS: ) Lvi~A CITY: STATE: ~ ZIP: JS~)Ll % SIGNATURE ITTEE ISIFORh1S BLD/MECH Pfi2YlIT (RES) - 1999 . CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE APPROVED BY: , INSPECTOR 1999 MECHANICi4L PERM1T (COIHMERCIAL) CITY Of EAfcl4N 3$30 PILOT KNOB RD ~GArr, Nuv 55 i 22 (651)681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRP,CT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATE SURCIIARGE ($.50 per $1,000 of pemvt fee due on all pecmits J TOTAL SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE r C[TY USE OYLY LOT DL J_ RECE[PT#: ( I I'f'Q b V SUBD. RECE[PT DATE: 1999 MECHANICAL P£fiMIT (ft£SIDENTIAL) CfCY OF EAfiRN 3$30 PILOT KN06 RD - EA&AN MN 55122 3 cssu 681-4675 Date: Complete this section on[v if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Please indicate if it is a new item, replacement item, or repair. New _ Replacement _ Repair _ Other Fumace Air conditioning _ Air exchanger, i.e. Vanee system, etc. _ Other Renrinder: Ca11 681-46 75 for inspections. $ 30.00 5tate Surcharge: .50 Total: $30.50 SITE ADDRESS: OWNERNAME: PHONE#: 79D INSTALLER NAME: PHONE n S"CREET ADDRESS: CITY: ~ STATE: ZIP: SS 3v ~ ~ SIGNA O PERMI 15/PORMS BLDlbIECH PE2MIT (RES) - 1999 CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED BY: , INSPECTOR 1999 M£CiirtlVlClkL PERMIT (COMMEiiCIAL) CITY OF F-AfiAN 3$30 PILOT KNOS RD EAeAv, huv 55 i 22 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRIGE: WORK TYPE: iVEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR 530.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per S 1,000 of permit fee due on all pemua.) TOTAL SITE ADDRESS: O WNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 3( t L CITY USE ONLY ~l BL ~ RECEIPT ( 1 Z~~ SUBD. RECEIPT DATE!--1° I 1 PERMIT # C 1999 PLUm$INH PEfiMTC (iiEStDE1VTiAW Cl1'Y OF gAfiAN S$SO PILOT ISNOB iiD E.AflltN, Mrt 55122 (651)6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system , FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ 3-00 Floor drain 3.00 x = $ ,00 Gas i in outlet 'minimum-i 3.00 x $ on Hot tub/s a 100 x = $ Kitchen sink 3.00 x = $ • no Laund tra 3.00 x = $ a b Lavator 3.00 x = $ ,60 Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installatioNre air 30.00 x = $ Rau h o enin 1.50 x = $ , a Shower 3.00 x = $ •ad Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ ~00 Water heater 3.00 x = $ ,00 Water softener if dwelling under construction 5.00 x = $ Water softener if existin dweliin 30.00 x = $ Waterturnaround 30.00 x _ $ State Surchar e 50 $ 50 Total $ 504V Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read fhis appliration, state that the information is Comed, and agree to comply with all applicahle City of Eagan ordinances. It i5 the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: p"/ D u/CSCC7~ 59• OWNER NAME:: GO/'l~ 6719S TELEPHONE 6~Z ~IB~ ~(d Yd (AREA CODE) INSTALLER NAME: CJ((1 , S~~~e C~n l c~' TELEPHONE '~Z STREET ADDRESS: (AREA CODE) C ITY: 13I6r ?I °L STATE: ( ' ~ ZI P: SIGNATURE OF PERMITTEE XITY USE ONLY L ,RECEIPT SUBD. S RECEIPT DATE: ~ PERMIT # 1999 PLUM$INfi PE$MTI' (RE51DENTIAL) CI1']' OE EAifiRN S$SO PILOT KN08 RD F4HAN, MN 55122 (651) 6$1-4675 Please complete foc ? single family dwellings > townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ .o° Floor drain 3.00 x = $ 3,oD Gas i in outlet ' minimum - i 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ ` ~a Laundr tra 3.00 x I = $ Lavato 3.00 x ' $ Go Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x ' $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x - $ 5 Shower 3.00 x ° s ' ,6 Under round s rinkler if dwelfin is under construction 3.00 x - $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ oa Water heater 3.00 x = $ , O0 Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e 50 $ .50 TOtal > $ ,CO Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - I hereby acknowledge thal I have read lhis application, state that the informatlon is covect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by fhe Cily during its normal operational and main[enance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ~ ~~~U ~fi 54, OWNERNAME:: ~9nq TELEPHONE#: C12 780-90c?,O (AREA CODE) INSTALLERNAME: APM6`7 SC'rv'Gg `-2v7~r TELEPHONE#: Ol~ 79?0- 909/ STREETADDRESS: (AREA CODE) CIN: D`a~n ~ STATE: ZIP: SIGNATURE OF PERMITTEE L.1~ I gL I ~ CITY USE ONLY RECEIPT#: 10-01" I9 SUBD. ~ RECEIPT DATE:,-)-'--}1 '9 1 PERMIT # ?lY ` S 1999 PLUM$INfi PEftMIT (RE.S1DENTIAL) CITY OF EAfiAN S$SO P1LOT KNOB RD fatHAN, MN 55122 (651)681-4675 Please complete for. ? single family dwellings 9 townhomes and condos when permits are required for each unit : backflow preventer for underground sprinkler system FIXTURES EACH #t TOTAL Bath tub $ 3.00 x = $ . .Oo Floordrain 3.00 x = $ 3,00 Gas i in outlet ' minimum - 1 3.00 x = $ .oO Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x M = $ . Gb Laund tra 3.00 x = $ v0 Lavato 3.00 x = $ - °p Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal 5 stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ •h Shower 3.00 x = $ ^ U~ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e .50 $ 50 Total S Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - I hereby acknowledge that I have read this application, state that the information is cortect, and agree to wmply wrth all applicable City o( Eagan ordinances. It is Ne applicanPS responsibility to noti(y the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its normat operetional and maintenance activifies to lhe facilities rqnstructed under fhis permit within City property/righbo(-way/easement. SITE ADDRESS: 93 T b(I (~5 C4~ ~ ' OWNER NAME: : ~~~j 17~rn~5 TELEPHONE ° (AREA CODE) INSTALLER NAME: SPi'~<<L Gf,/ ~r TELEPHONE 6l2, 7tlV " lG~I ° (AREA CODE) STREETADDRESS: a;;fJl /07n CITY: STATE: 14v Zlp: 6~~47 ( ~ m A' " -o SIGNA ERUT OF PERMITTEE I • RECEIVED ~ HY-LAND SURVEYING, P.A. JUN 011999 LAND SURVEYORS INVOICE N0. 17.198 Proposed Top of Block F.B. N0. 235-3 7S•0 8700 Jefferson Highwoy SCALE I"= 20' 8 Proposed Goroge Floor Osseo, Minnesota 55369 ro7•S Proposed Lowest Floor 493-5761 O Denotes Iron Monument ~ ? Denotes Wood Hub Set Type of Building - OurvPyIIrs (DprYifirtttP For Excovation Only L1 x000.0 Denotes Existing Elevation N Denotes Proposed Elevotion U t-- Denotes Surfoce Drainage W +(5 E I ANG BUILDERB S prQ ~.~ES~oTr ~ase~ ~U PtQE C6j~ ST1.~~. ~ ~t 819.2 ~ E7 ~ ZOP IRD ' O. ^3 Oo~- ~ 6. 90~` N~ "7 g'13.6 10, ~ . - - -32. o q-41120; . p__ O I ° 20'_0" "rDP IRorS- N b82.93 ~ ~ 0 N v`°i 1 _01 _ Cv o n ti h I 1 _ '~~ROP ~ ^ o 0 ~ OSEpv) 1Q,O ~s'-s- N+ / Ig'_g„ ds o a. se ~ o i . 961112 4• RESIDENCE o 0 ~o rs_8„ v) I 13'-4875. 5 / ~ 34• Op-_ 0 M /o• o ~ O 'TaP 862X7 / 34. Op_ s, 60T SANTTARY SERVICE ADD S ~ Sr~vove 35 - [364.5 830 ~bCo 3s 854.5 832 yje-.C0µ . 37 864.5 834 We.scU~ s~uave. ~ REV~ E- E D Q? f'o ~ SS . ~ FS ~ J . V Lots 35, 36, 37, ;ilock tAGAN OAKS TOWNHOMES 2ND ADDITION ------~-~~bi~:-~°~.~.~1~F.NGI3i,?~` i . . ; ~ The mly easements shown are from plols of recad ot intormoiion provided by client. I hereby certify thai this survey wos prepored by me or under my dirtct supervision, and that I am o duly Registered land Surveyor under the laws o( the State of Minnesoto. Signed Surveyed by us this 17TH doy of MAY , 19 99 Milton E. Hylond, Minn. eg. No. 20262 • IIru. MAV 2e, 1999 NECEIVED JUN Q 9 9999 r i r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: �0/6 73 Permit Fee: 3--2 64- 5 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: Ee,,344.401 k5 / oU4 i 4 /454n. Phone: e 12—z-zq ^-e it 3' Q / 1/0f Galt '51,,, / .04\1,44 Address / City / Zip: 03©. 93'z, '31 Applicant is: Owner X Contractor TYPE OF WORK ttom _ r,, / Description of work: 6e -a.+- 691-" C rt r Construction Cost: 2.(1000 c-'-'"' Multi -Family Building: (Yes X / No ) Company: K1.,ci gc24,keor5 L(.C, Contact: Ev"i 1, Ail Address: C I dSi '5-F, AJ City: fa- 1)4'C—, State: /14A) Zip: "5-T1431, Phone: 6/z- Z"• /-0 °t p "C License #: Z.l 36 I bb Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) yvpYr. 7P In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CI"( 4'1'4 »L41- Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA108897 Date Issued:01/23/2013 Permit Category:ePermit Site Address: 830 Wescott Square Lot:35 Block: 01 Addition: Eagan Oaks 2nd PID:10-22461-01-350 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code: - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Perry Firkus 2650 Minnehaha Avenue Minneapolis, MN 55406 612-276-1680 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Tracy J Braund 830 Wescott Square Eagan MN 55123--123 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature 'city of Ear' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: `.. 3666 Permit Fee: /05; �- Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/25/2016 Site Address: %i -36 (AIL 5 efed;LL Unit #: Resident/ Owner J Name: Eagan Oaks Town Home Assn/8 ratty ,l Phone: 952-238-1121 Address / Cay / zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343 Applicant is: Owner ✓ Contractor Description of work: Garage door replacement Type of Work p Construction Cost: $1,152.64 Contractor Company: Custom Door Sales, Inc Multi -Family Building: (Yes ✓ / No ) Address: 5005 Hillsboro Ave N Contact: Amy Egan City: New Hope State: MN Zip: 55428Phone: 763-535-0042 Email: aegan@customdoorsales.com License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ust be completed within 180 days of permit issuance. 1 x m ADD�can x YY� Cc, Applican s Pri d Name ppli'a 's Sign(ture Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138544 Date Issued:09/02/2016 Permit Category:ePermit Site Address: 830 Wescott Square Lot:35 Block: 01 Addition: Eagan Oaks 2nd PID:10-22461-01-350 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Dan Raden 830 Wescott Square Eagan MN 55121 (651) 335-2870 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140969 Date Issued:02/03/2017 Permit Category:ePermit Site Address: 830 Wescott Square Lot:35 Block: 01 Addition: Eagan Oaks 2nd PID:10-22461-01-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Dan Raden 830 Wescott Square Eagan MN 55121 (651) 335-2870 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156963 Date Issued:07/26/2019 Permit Category:ePermit Site Address: 830 Wescott Square Lot:35 Block: 01 Addition: Eagan Oaks 2nd PID:10-22461-01-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Dan Raden 830 Wescott Square Eagan MN 55121 (651) 335-2870 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature