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872 Wescott Square INSPECTI4N REC4RD CITI OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: „ ~ . ;n~inR~ • 1 Ib . 1 i ~i ~ '1 i . ~ , , } ~ ~ ,i.l ~ PERMIT SUBTYPE: TYPE OF WORK: . . . i . ~ , INSPECTION • DA i+ i" hf I 14 i. i rt.tli k~ 1 fMJ It 1 i. ' I i+:,l t'I i:l: I I I~f+t • . i : ~ i , :y Ii! ~ I ~ ~ . . ' . . ' ' ~J Permit No. Permit Holder Deta alephone S 00 , ELECTRIC ~ PLUMBING HVAC 0&0 Inspaction Date Insp. Comments FOOTINGS ~G FOUND 14 ~ ~ FRAMING J~G~7 M~ /2-141196 -+i3 - vlP irs /7 ROOFINQ ROUGH PLUMBING PLBG G/ H -e AIR TEST J ROUCiH NEATING GAS SVC TEST c (NSUL -Q'! -'1 GYP BOARD ~v FIREPLACE FIREPLACE AIR TEST FINAL PLBG V FINAL HTG / ~ ORSAT TEST BLDG FINAL ~ BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTION RECORD 'CITIf OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 • Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • /A . ~ ' ~h ~ . ~ 1 • . ~ 1 j ~ : ~ . : I : . ~ ( ! I T~ ~ ! ~ ~ I : 1 I ~ ~ • I .•~{~f'~ . i 1~~~ (~~I 7 IPJ! ftii Ea 04#4114 I ~ Permit No. Pe t Holder Dats Talephone S ELECTRIC ' PLUMBING HVAC Inspectlon Data Insp. Commenta FOOTINGS ~ ~(O FOUND ! t E~ ~~~ci FRAMING ~ Z /ef/4,~'`/'s'!~+„~ U^ l7 ~?Li3 ROOFING ROUGH JI2s G I lf~ T PLUMBING PL6G ~ L., I9 -G}r l%" cS~p C.r~. I AIR TEST o' ROUGH HEATING /y _q _ GAS SVC TEST INSUL ~~•/G'9f+ Itfg !J i.S o~ ~ ! -G-'f 7 ~ a GYPBOARD Q r FIREPLACE FIREPLACE AIR TEST FINAL PLBG 2 ~Q _q7 d ~ Q ~ Pr /~/e / eN o ~ / c ~ N FINAL HTG O G ORSAT TEST BLDG FINAI t BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECURD L,,t'fY OF EAGAN PERMIT TYPE: } tAAttd 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: •~f.f11 T tip11ARF ~ • ~ ~ ~~tf 1 11~~11it' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . DA ~ ~ Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Commente FOOTINGS FOUNd FRAMING ROOFING ROUGH PIUMBING PIBG AIR TEST ROUGH HEATING GAS SVC TES7 INSUL GYP BOARD FIflEPLACE FIREPLACE II AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. BSMT FINAL DECK FTG 7 v •sv DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 f4 . SITE ADDRESS: I0.PPLICANT: iii •.rrill ~:p1lAf+l' r ~ , ,,~r~ iil~,M~ti~. PERMIT SUBTYPE: TYPE OF WORK: , W 11 INSPECTION . .A ~ ~ Pertnit No. Parmit Holdar Date Telsphone i EIECTRIC PLUMBING HVAC Inapection Dato Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE Alfi TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG ~75'~y DECK FINAL t~l~~ w ~ W'Aertifrcate af cccupanc~ Wit4 of ~agatt 2e#artattut of ~ttii~a~g ~a,~ectian This Cenijcate issued pursuant to the requirements of the Uniform Building Code certefying that at the time of issuance tltis structune was in compliance with the various ordenances of the City regulating building construction or use. For the following: Llse Cl,ssifwat;on: SF DWG Bldg. Pcrmit No. 29022 O=q--y TYP- R-3 U-1 Zoniog District R-2 Type Consi. V[I ~wofewmng T G P CONSTRUCTION AddmsS 14659 LOUISIANA AVE., PRlOR I.AKE B,,;b;ogAddr= 872 WESCOTT SQUARE ~~ry L2, B1, WESCOTT H1LLS STH MN , t . Dme: ew+eing ofrxlw . PO.ST IN A CONSPICUOUS PLACE ' _ _ - _ . . " ~t~ a . ...r~~_~ i ' ~ Wertificate vf cccuvanc~ WFit4 of Wagan ZOartatexr of 13xiliarg 31160ection This Certifecate issued pursuant to the requrrements of ihe Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances af the City regulating building canstructiort or use. For the following: use cimification: SF DFiG eiag. Pamit ro. 29023 00„w-r TYve R- 3 U-1 Zon;os Nsaia R- 2 Trpe conu. V n OwmofBWkhog T G P C:ONST wdkbm 14659 LOUISIANA AVE., PR10R LAKE, ei,;~Add,,~~, 874 WESCOTT SQUARE L.,.I;n L2, Bl, WESL`OTT H1LLS 5TH Mt] Daw- a,aking officLW ' 11 POST IN A CONSPICUQUS PLACE ~ ; 4 . ~ 63~0 /5-Sd 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 9 I i(c I d'/ Site Street Address Unit# PropertyOwner Telephone#~51) ContrectM Telephone #1 t5 )-L& &lU7~ Address `7-IiL-) 0A~SCL o-k ciri scateLL-L zip~ The Appiicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heate _Septic System Abandonment SEP 16 C004 _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: ~ Water Softener _ Water Heater $ 15.00 ~ replacement _ additional, Lawn Irrigation System RPZ_ new _ repair _rebufld $ 30.00 State Surcharge $ 50 Total .~J I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. , ApplicanYs Printed Name icanYs ignature PERMIT cw . ql~ -~'CIt.,YOF EAGAN PERMITTYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumber: e29022 (612) 681-4675 Date Issued: 10 / 10 / 9 6 SITE ADDRESS: 872 WESCOTT SQUARE LOT: 2 BLOCK: 1 WESCOTT HILLS STH DESCRIPTION: (1 OF 2 UNITS) Buildi~ng,Permit Type SF DWG ' ~6uz`lding GTork Type NEW , UBC pccupanc,y', R-3 U-1 ( Construction' 7'tif'pe V-N Zoning R-Z Building Length 26 ' Bu;Ldin.9 W3Sfth 45 Buiidfng st.ories 2 ~a,Ye F8O'C 1.~r;-'"~ 1,153 C0r~s6s,C:ade-A 102 1- FAfA. AT7ACH il 1's r . v-..;~.~~ REMARKS: ZERO LOT LINE PRV S& W PLBR - ALTA MECH FEE SUMMARY: VALUATION $92,000 ' Base Fee $837.25 MISCELLANEOUB $1,923.50 Plan Review $418.63 7ota1 Fee $4,130.38 Surcharge $46.00 SAC $900.00 SAC % 100 , 5AC Units 1 Lic. Search Fee $5.00 Subtotal $2,206.88 1 CONTRACTOR: - Applicant - sT. Lzc OWNER: T 6 P CONST 14476046 2001744 T G P CONST 14659 LOUISIANA AVE 14659 LOUISIANA AVE PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 447-6046 (612)447-6046 I hereby acknowledge that;I h,ave read this application and state that the information is correct and agree to comply with all applicable Seate of hin. 5tatutes and City a'f Eagan Or,dinanc,es: . ~ I ~ n R o;r,--- AP LICAN /PERMITEE SIGNATURE -ISSUED : SI AfURE k 3830 PILOT KNOB RDN 55122 41q 0~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Nere Construction Requirements Remodel/Repair Reavirements ? 3 regislered site surveys ? 2 copies ot plan ? 2 coples of plans (include beam & window sizes; povred Md. design; etc.) ? 2 stte surveys (exterior addHions d decks) ? 1 energy wleulations ? 1 energy calculations tor healed additions ? 3 copies of tree preservalion plan if lot platted after 7/1193 tequired: _ Yes _ No _ DATE: 2- Z _3- CONSTRUCTION COST: DESCRIPTION OF WORK: 1:7ZX~ STREET ADDRESS: ~7Z -4iW-. 0- S~- ~~'S~ 4 n A1ltt =c 'B LOT L_ BLOCK ~ SUBD./P.I.D. 112 Z ~ 7*1"- a vc c,r ~Aa u t"A ~~e~~ ZY 7- 2~ Z! FROPER7Y Phone 61Z SqS -32A2 OWNER uB• ~ w* 4'~'7-l00~'(0 Street Address- City: State:/i i~. Zip: S CONrRacTOR Company: T Cp- Phone StreetAddress: f!/, License #:/7 City: State/~_ Zip~ ARCHITECT! Company: /A~= s. Phone ~nyZL ENGINEER Name: Registration Street Address;z,~~' 441-~ kl- 14~ City: _;rrl G-HI -G~- State: Zip: Sewer 8 water licensed plumber: ~Jg)wn'bl Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this appiication and state that the information is corcect and agree to comply with all appiicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY q~ -~~'V D Certificates of Survey Received _ Yes ~ S EP 2~p3 9998~ Tree Preservation Plan Received _ Yes ~ _ _ _ _ !r!V....... OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish Y11-02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool o 03 SF Addition o 08 8-plex ? 13 GaragelAccessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 - 5 Deck WQRK TYP ~c R,d -~p ~1 New ? 3 era ions ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) a'L- N Basement sq. ft. '1013-D MC/1NS System (Allowable) 4- Main level sq. R. z2 City Water UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV y ~ # of Stories 2 43s-,r- sq. ft. Booster Pump Length z~ sq. ft. Census Code. /oz Depth ~ Footprint sq. ft. 153 SAC Code o~ Census Bldg r Census Unit ! APPROVAIS Planning Building Engineering Variance ~~g . Permit Fee Valuation: $ 92 0 0 n Surcharge Plan Review License MCNVS SAC S37 ty s,ac ~lrXZ4 ~ ao aWater Conn. 2.s =~/y Water Meter /Z,oeX j 13 ` y Z~X 7 Acct. Deposit 13 5/W Pertnit (D47X Z S!W Surcharge z z~ x Treatment PI. Road Unit Park Ded. Trails Ded. Other cG'C Copies r~ 5'7 OL Z! x Z!•13 = Total: i/9sx % sAC o SAC Units ~ 2 ~~p~ , ~ P+'~ • 09. [4. 14U5 17: 12 P. 3 Totnl exposed roof/ceiling area ~6 ~ ToUl gress roof/ceiling area = ?116 j. Total skylight area Y„ Tctal roof/Cei'ing ,`raming zrea ~ ~ l. Tocal net insulatEd roofjceili-~ arec "Z~ a DPi.EilT,ll1L' "U° VZ"UF ipf' EdCfi rGDi /Cu!l7;1p SEQ-~in-, U° a; °uC! l . _ ~ s t 6 ...............................ot-, ir COLel Cf r4 iS th2 Sdm2 ZS, 01' ieSS th2n fVCU hdV2 me: tne inteni Df $BC 6006(c)l. ?o utiiized the total enveiope system netncc, tne values estabiished by thE 5u:~ pf 1teI11S rj aRd t4 ShG') n0 C°_ SYvdter than t}1F SUlil 0f items rl end i . J• ; ti ~ FG~jM . C' 9,24.1945 1711 P. _ r ii>«II ~u~tWl~~-rt~ a1`!,. ~~11h ~~~1' 1'l l„ , ~7. ~hSt~~'~' Ct~~, ~ i ~ r'~ . . > . r cu•!3 ' Ys l~_ ' ' :Iktni~~;1~ti 6 ! , , - ~ o Zo J ` , 0 IZ, s~ , 3c?.~•. ~"x~.~i~~.,(sf,r~ j, 6/ 4 k, ~ G' ~ ' SrP 27 11:28 TO 612 691 4612 FROM PROBE ENGIPEERiNG T-715 P.02 „ CONStlIiIpp 4N0 qttRS T~ ~w AAQ~ PLqMNEIfi and ~AND 3UAVlYORf NCvINE@R1NG 4w Zg/ PeCOMPANY, INC. " 7 ~ 1000 [ABT 1461h gTpf[T, 8UqN8VIL,LE. MINNE80TlL 6S33T PH 9b2_ 3000 CERTIFICATE OF SURVEY LOT spur MscwPnow PARCEL A. TheEpert oF i:ot 2, Bladc 1, WESCOTf HILL3 bTH ADDIT*N, ax.ording to Ihe recorded plat thereof, Dakota County, Mirmesote, which ifas vreat of a Iine drewn soulheqy, Io the south line thereof, and pareAel wiUt the west Ifne M said Lot 2, Biodc 1 Trom a poirri oR tlie nath line thereof cHstmu 36.50 feet eesterly from Qie norihwest comer of said Lot 2, Block 7, as measured along said narth•line. , PARCEL B: Thaf p8rt of Lot 2, Bloclt 1, WESCOTT HILL8 STH AODRtON, eocoMing m the rewrded plal Utereof, Dekale CawtY, Mirrreeote xfikh Ifes e88t oT e Ihie drawn soulherly, to ihe saAh Ifne thereaf, end perellel with the west line of said Lot 2. 91odt 1 SCpLE :V e 8r irom a point on the north line thereof dlatant. 38.50 feal easterty from the rroNhwest comer of said Lot 2, Block 1, as measur~l alorip seid raM line. ($aaC) UENO"fES EIOS'fWe ELEVATlON ($~~,p 1 DENOTE8 pROPOBEI] EtFYAT10N INDtCATES pitECT10N OP SURFACE URAWAOE n = iWISHEU OARAOE FLOOH ELEVATION 968.31 a Bp$EkyENT FLOOR EI.EVATION • , 71• Me c TOP OF FOUNUATION ELEYATION F*Xa A sX14 W65C07T 6QJA0& pAW-C-L $ = 872 WO..~ 64VRfW W~ESCorr u ~ 6'7.8 Xe. ~9EB.3n~T,G. '~GN.9~S Tt g Nw cow~~=2 p 92. 9b9.3~ 0 86~ Q 5 ,A7.. . 9i U-rsG . . i M n ~ ~ ga so fr. fiRonrr seraacx uns ql ~ B7l. O' t~"~,33 s71.a3 a EA G A rV m~.oo H~+aa ee~ 3 4 I a w , a s . R E V I La . • $i._...~_ ~,6 ~-g . . ~~.03 3Y (.7 - - ,...5 i--- M3o ~ ~Ra 0 -rw.#ro- rWE 7, ~ ~ ~ _ 6Ho~ L F^- t.j $ CELS PARGE ~B. <.i ' ~ • LO 2 w= ~ s.; a~ iL . - ~r \ ? , V ~ ~ tl.~ t'j T PRnfoS~t ~ Y SPMi~, ~ NYO. .4. DRR!IUA~E B W _ l LLl r UTILD Y D =te 0 ~ ' ST EasEnWr ~,rAl~l' E~t~IGLSL-RIi~,'G nE.~"~`. 3~;so S(o.a~ ~o;~ ~ Ct`71o~:1~/~0 ~i'L ~J~ 7 ~~1'i 5'8 unc 9°361/A"E I hereby aertlPy that this is a true and correot representation of a traat oE land as shown and desaribed hereon. .Ae prepared by me this 19'a day of .S'EP1F34'0e - 1 19 , ,t~i~ 9-2b~A6 ~ Aq~IQ~ A50.~.°ffd5~ E7vSr . Minn. Reg. No. /9Dgb fpp/p~p ss+?+'i~6 [ceAliA~ R=959d 612 432 3723 09-27-96 11:22AM P002 #10 •LOT SURVEY CHECKLIST FOR RESIDENTIAL AL B LDING PERMI APPLICATION /j C 'l ~ PROPERTYLEGAL: L~ ~ DATE OF SURVEY: LATEST REVISION: ~ DOCUMENTSTANDARDS ~ ~ O • Registered Land Surveyor signature and company ~ ? • Building Permk Applicant ? • Legal description ~ ? ? • Address :-~z ? • North arrow and scale ~ ? • House iype (rambler, walkout, splH w/o, split entry, lookout, etc.) ] ? • Directional drainage arrows with slope/gradient ~~--0 ? • Proposed/epsting sewer and water services & invert elevation Pf~ ? • Street name ,2' ? ? • Driveway ELEVATIONS / 6dstina ~ ? • Sewer service (or Proposed) ~ ? • Property comers e' o ? • Top of curb at the driveway ? GK'10 • Elevadons of any exisHng adjacent homes ~ Prooosed tY p O • Garage floor 0/p ? • Frst floor ~0 ? • Lowest exposed elevation (walkout/window) v ? • Praperiy comers ? • Front and rear of home at the foundation PONDING AREA fd aoolicablel ? ff' 13 • Easement line ? [3~/~ • NWL ? L7 ? • HWL ? P~~ • Pond # designation ? Cf ? • Emergency Overflow Elevation DIMENSIONS t9I" ? ? • Lot IineslBearings 8 dimensions .8' ? ? • Right-0f-way and sireet width (to back of curb) 2~ ? ? • Proposed home dimensians including arry proposed decks, overhangs greater than 2', / porches, etc. (.e. all struclures requiring permanent footings) t( ? ? • Show all easemenis of record and any City utilitles wtthin those easements ,e • Setbacks of proposed structure and sideyard setback of adJacent epsting structures menis ' any ? ca~ ~ • Retaining wail ?ame Reviewed: / Date nuery 1996 Ja c4tM1e9eAe=~.Frn i . ?:E PLL6 TO E%14. P` WATEFMAIN M1i ~ L.6.Tvl:H. f B'%B" WET T4P 0'GATE vALVE._ I I+-zo " I ~ ~ ~ ~ x` 11 I~ i <,o s~a.o ~ I i M H. 2~~ SQUARE e y I ~ " ,M.H. 5 ~ T. -~-1 i , I ^ SIST.NG (j 9'V.C.G 5 . _ ~ 585~ 2 ta5 Yx qEMJVE E SdN $E W4T R. M 1 V~'.. 5 IE~B ' d..--.s..- 10 i ~ . _ ~ j c. sr rov >e~ w rv=~^ ~ro i s' v i I I I vvpP iOG 86900 W 470 RC~AOVEI E%ISTING '1. \ Z Z I I v SEwER 9 NaTE9M~1 1 I I I I I ~ I I ~ 2~~~~ 1. : . a ~ 12 FLJ I o ao • Q _ %P'N'ET TfP o, ~ F ';~3~~ 66.5 q ? ~C '3'»+Z.r,NOr,,~ qD O O' wrE-O.iS 'I ~ • 0-GnTE V4LVE 4215' ~ M 3 15 ~5 ,Eq W6~0 J` 1 RO D/T/ I 13 IS a~a IB W .1 14 ~ z3X ~ I YE190~v; ~ i _ ~ • . e' ~ . _ i 6 D0~ W 2E wYE-Ui6Y ~ nwrmp«~rx~} ~ 1f i I~ 1 n\'DR/tlT 1~t B~ N ` 23 P'% 6" EE% 1 8'-I/16 BEN wYE-Mli I L«.w.••.w.A.3 I I B~ V4BENp HYDRANT I? • n~^ ~ D ' ~'<2 - x ~ I J ZZ X wvc-!f9a 8'-1/16BEN0- I I ~8'I/48END ~ . O J C.B. 4 j 5 ~i e• .n e v.~ ve i....,..........M ~ C.B.6 . -S . . : . I B. ~vc z zl 8" t :n4 vrce-ir9s HYDRANT ~ . p c~ 2Q 8" X 6' TEE PEYDSY/ 6 zO 116r ~ sw uWIN~°uu~~S a I ~S H S 0. ~SEV Oi3RD M1 ~ ~W , ~ - ~S ' xb I S~"', caa , • •L ~ zao . wr y S az ' Iz -8 I WTE16126 0 ~ o h . ~ 10 i rou r wrE-o+2a - ri ve~ 7 5a0 17 2 ~ w O ip - ~s 6 n1E~trK ..16.~, M.II\~i'~ ~9BIBC1~ ILO' ~IBUILDING5:15-19NOT I ? NA: O l~ I I rE~Cr2 i F 3-27-8 1-COULDN apQ B'"-1.':bBENO 5 x'vE i~3~ 600'9 ~ Z.o '124. wrE- ~uq ~a I r LUCaTE ISEkVICE9. I I f q i ~ I. 3 WxE-Ir_1 ~ I.. wrE-li4i ~~~93 ~ 12 wvPO:M Q=2 ~4 ~ L~~ wv[~ J~ia < 10 II wrE-i*5l 13 I 7 ~ ~ p try BUILDMGS iIC2 NOT M 45 R wrE-o+~a wvE- 1a43 i Mf.- 1+55 ~OCATE l SERV WSp NGT r ~ Bt11L.DIh65 I1-10, pND 20-24 NOT IN n5 ~ d • I I ' i . . • nF 3-27-1~7 ~ I i ~ NOTES. } I ~BENCHIAAFK~ q SEE SEWER TRENCN DEi/iL ON SHEET a FOR i TOP NIT OF HvDRANT SIZES B loYOUT OF SEWER B wnTE4 SERViCES. ELEV. • 9)63 2) ALL W0.TEftMAIN SHPLL HAVE 4 MINIMUM COVER OF P.5 PEET UNLESS NOiED ^THERwISE. ~ - 0 25 5p 4o a,p 3) SEE SnEEi 5 fOR OETniL OF RESTORATiON GF MiKE COti.iNS OR. C.B.M.H.i3 ~ C.B.!6 ~ _~Q',~ STORM SEWER STRUCTURE SCHEDULE ~ - - . CflM.H.I ST.MH.2 ; G0.4 i CB;Sj? ~ . . . . _ . ~ . . ~i . $TRUCTURE NO. TYPE ~CASTINGNO.(NEENGH) . r-, ; ~ I ~ • . ; ' ' i CAiCH BASIN M.H. F-3067V 8'1 10 ~ c5i'~E... __"I . I _ . . . . . . . ~ . 87 m. . . . . . • es;i ' 9C~a ; . ' - . 2 STORM SEN'EFM.N 'RJ6n26 . . . . . . . BE25 6e~6 GHAD`O-7 3 C4TCH 045INM„. H-3067V ~ . . . ~ _r-- 8625~ 86 a~W 1~ 1 < '.OW POiNi C.B F~306]V 860 30L.F.-12'R.C.P-CL5 2301Yl• --e r[ :.c. . ~ . . . 5 . CATCH 9ASIN M.H. .fi-3509-A2 a _ow POiNT CB 3-3067v . ~ ~ . - 27LF 12 RCP.-r,,.s Z6% p~ 70 L.F. - 18^ RC P. - CL S -10 3 25 lF-12'R.C.P.-CL5 -1.60Z 1 LOW POINT ce. n-2573 650 ; -46 L,F.-18'R.C.P7C1,5 -061 % . . i . . . . ' . . . . . _ . "_'8~ NO-T=E: . - 4 ,rt ` ~1~ su (~1~~~ 1 I I.ll~., i LWYE.,LOCaT10N5 LkE BPSEO ON FIEID MEASVREMENTS BY MIOnESTEPN MECH4NICnL COFPORATIOK ON SITE INSPECTION BY UTr OP EAGAN.9EE 1N9PELT033 NOTES. ' FOR, qN'/ iN FIELD CNAHGES. ' ' ..Ll~.:: IT C"i!V . . . . . . . . . . . _ l _ . . . _ ~ . ~ _ . -C~~~" I i; ~I7E. j exIsr,rnN M.H.1 M.H.;2 M.H.;3 M.H.4 M.H.19 M.H.: O M.H.~7 ~ M.H. 6 M.H.~,5 880 ; 68 . . . R_x _ . . . u ss . . . j cn.:oe i ~ ~ ' . ~ . . . . . _ i . . . . - ' . - . exi ~ f2 1 _ _ ' . 8699 87 B a , ~ ]J~ '1 w. P A s.~.i. ~ 8'SEN'ER-:1.15'~ ;ess .efi 063' . . ~.1 ~`E J 1 •L 250L.E-8'SEWER-072K' , p ~i63L F e•sE R'9. 8so u x - ~T___'~--~-. . . . . . _ . . . . . . . , . . BOI.F.-8'SEWER-0.407. . . '--cx.snxcarno~rss.ct . . . . . _ 18E ~ - 70LF-8'SE~MER-0.67'b 1BSLF-B"SEWER-0.408 179LF-8'SEWER-G4a/ 601F.-8'SEWEH-323% 850 : : . ~ . . . . . . . . . . . : : . : . : . : ~ . . . _8 n ~ ~ . . ~ . . . .<i - -12 7. ~-1- - , . . . . . . ~ .uev ~rr~i-. . . . . , , r-~ , . . . c,...~~..+.. .r... c . _ PERMIT Lffqz4 -vi CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: euzLosNG Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 0 2 3 (612) 681-4675 Date Issued: 10 / 10 / 3 6 SITE ADDRESS: 874 WESCOTT SpUARE LOT: 2 BLOCKa 1 WESCOTT HILLS 57H DESCRIPTION: • (1 OF 2 UNITS) B~~lcl~h4, Permit Type SF DWG ~uiYc~~.ng ~'~g~rk Type NEW tlB.~ ' bCCUp'ar.t~ c'y"k_, R-3 U-1 CQristrGCL°~,.v'n-'3''_e V-N R-2 Z ~ BtiiLiiing: E,eing~[a` ;r 26 ~ r Eu•3in~t~' 4I#tlth,; 4.5 ~st:ries 2 1, 15 3 102 1- FAM. ATTACH h*"~ko-a 1g1,. i i~~ a'~» %J a-? ti REMARKS: zERO Lar LsNE PRV 8& W PLBR - ALTA MECN FEE SUMMARY: VAlUA7I0N $92,000 Base Fee $837.25 MISCELLANEOUB $1,923.50 Plan Review $418.63 Tntal Fee $4.125.38 Surcharge $46.00 SAC $900.00 SAG % 100 5AC Units 1 Subtotal $2,201.88 CONTRACTOR: - Applicant - ST. I.IC OWNER: T G P CON5T 14476046 2001744 T G P CONST 14659 LOUISIANA AVE 14659 LOUISIANA AVE PRIOR LAKE MN 55372 PRIOR LAKE MN 55372 (612) 447-6046 (612)447-6046 T hareby aekViowle"d'ge thaC`.`:~ k~~+re' read; Chis ~4p;P3«iGaCZOn , 'And sta"to: thaC the . inforrnat3,'o,n ts °carr:sot=~rtc9 6gr^eo, tr5 coittptly w i t h `aI.#., a pplicatz]„e'State of 14'rt. 9tatutes°`~nd'CxtY af Eagan nrdinartces ~ ~ ' ~ . _ _ , . ~ PPLIGANT/PERMITEE SIGNATURE UED Y: SONATURE ~ CITY OF EAGAN alq ~ 3830 PILOT KNOB RD - 55122 ~ UL513 ~ 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) 681-4675 New Gonalrudinn Reauirements RemodeURSpair Recuirements • 3 regislered site surveys ? 2 copies of plan + 2 copies af plans (include beam S vrindow sizes; Paured fnd. design; ete.) ? 2 site surveys (exterior adOitions 6 decks) ? 1 ener9y catculations ? t energy calwlations for healed additions ? 3 copies ot lree preservatlon plan H lot platled after 711/93 required: _ Yas _ No _ DATE: `l- Z S- ;2/U CON5TRl1CT10N COST: DE3CRIPTION OF WORK: S7REET ADDRESS: GJ.Pj a A'% PA~ec s c ~N « , LOT i BIOCK iSUBD./P.I.D. -'r' Cbikf ccK w/ P,vwur. zv~-z&zl PROPertTr Name: Phone OWNER ~ Street Address• City: State:Zip: coN'rRac'roR Company: Phone Street Address: License City: 5tate:- Zip; ARCHITECTI Company: Phone SL f ~ i - 5C i7'- ENGINEER Name: ~~j Registration 5treet Address; ~ City: State: Zip: Sewer 8 water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I h0ve 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes ~ SEp 2 31g9~ Tree Preservation Plan Received Yes ~ !V~ OFFICE USE ONLY g dy_y 1 '•I ~ • Y FY:~ 4 ~it BUILDING PERMIT TYPE 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ~02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Pu61ic Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 :era 5 Deck WORK TYP ~O ~f `31 New ~ons o 36 Mov ~ e ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuaq Basement sq. ft. ~ MCNVS System (Allowable) 5C- ~v Main level sq. ft. az-? City Water o~ UBC Occupancy -714e l sq. ft. Fire Sprinklered Zoning 2Z sq. ft. PRV %f < # of Stories 27 sq. ft. Booster Pump Length z~ sq. ft. Census Code. /cz Depth ys Footprint sq. ft. SAC Code Census Bidg Census Unit ~ APPROVALS Planning Buiiding Engineering Variance Permit Fee Valuation: $ ~Z. O'D C 5urcharge Plan Review License ~5M7 ~IAI^i MC/WS SAC Za. y~ G = 57,77 City SAC ~/5' Z G= 1, ~ 700 Water Conn. r Water Meter ~Z,o~;~ Z S"/ Z' 7 Acct. Oeposit -r--- S/V+1 Permit SNV Surcharge ~d /Cr, ~ Treatment PI. (F,w:~ Road Unit Park Ded. Trails Ded. Other Copies 1/ 7 y TotaL• yysx ~ % SAC SAC Units ~ . PERMIT CITY-OF EAGAN auzLoINe 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 030084 (612) 681-4675 Date Issued: 0 5/ 2 7/ 9 7 SiTE ADDRESS: 872 WESCOTT SQUflRE LOT: 22 BLQCKs 1 WE5C01"7 H'ZLLS 5TH P.I.N.o 10-83602-022-01 DESCRIPTION: ng Permit Type OECK ~t~;~3tfzF~~Work Type NEW 434 ALT. RESIDENTZAI c e~.^"`~ ,s• ~ i R'*Ka . '~#s~;~ A 4: ~ REMARKS: FEE SUMMARY: Base Fee m~,0.00 S u r c h a r g e 5 0 7atal Fae $60 CONTRACTOR: OWNER: -Ap P 1 i r. a n t- ANDER50N l"HOMRS ~ 872 WCSCOTT SQUARE ~ EflGAN MN (612)905-0389 ~ I~e~~ay~~hn~sk~~~d~e kr~'a t~ tft~t d4?A~~.~a~~~~ Mtr.5 Ca tqtos,atte# uipty' f,6g~ita Vr"€{i"nA0Q0s« tr ~ - . . .n . _ < . _ , - , - ' , . . t APR'LICAN /PERMITEE SIGNATURE ISSl1ED BY:6IGNATURE ~7z - Lozz 31 Lpz 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~d -5O 8 CITY OF EAGAN J/' ; p~, 9850 PILOT KNOB RD - 55722 `~f"p"~~ ~ 661d675 41ew Gonstnietion Reouirements RemodeVReeair Reaulrcments ? 3 registered ske surveYs ? 2 copies W plan ? 2 copias ot plans (indude beam 8 window sizes; pourod fid. tlesipn; etc.) • 2 ake surveys (exterior additlons 8 decks) • 1 energy cafculations ? 1 errergy calculationa for heatetl adtlftions ? 3 copiea of tree presarvation plen 'rf lot plattetl aRer 7/1/93 requlred: _Yes _ No ' DATE: 5- 41 ~`1 ~ CONSTRUCTION COST: aZ-(f DESCRIPTION OF WORK: -~pc~ C'- STREET ADDRESS: 25 7L 4=461111156- /.6+o7T' ~l~L=R~~rn •~i7 SS/Z ~t LOT 02?- BLOCK ~ SUBD./P.I.D. W-isrnT l-L,A S~ PROPERTY Name: A41-6w Phone 905- D 3 c5 9 OWNE4 ~ 12. Street Address: ZOW LLs~all- 5 City: ~Li«t, State:,/1~ Zip: ss CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: 5ewer & water licensed plumber (new construction onry): . Penally applies when address change and lot change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correCt and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No idlAY 2 0 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required BYtf~- OFFICE USE ONLY :ati • BUILDING PERMIT TYPE ' • 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. n 10 _ plex ~ 15 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move ? 32 Addition o 34 Repair ? 37 Demolition . , . • GENERAL tNFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy aq. .r?.. Fire uaeinkierev Zoning sq. ft. PRV # of 5tories sq, ft. Booster Pump Length sq.ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit f?PPROifnLB Planning Building Engineering Variance Permit Fee Valuation: $ 5urcharge Plan Review License MCNVS SAC Cfty SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units 0 70M .4&aV5gt/ g CONSUlTINO ENOIHlEpt RoBE PLRNNEIIS ond IAND fU8111EY08i #76 57.0/ zs/ ,e. PEENGINIGERING ~ COMPRMY, lNC. PU. 7 k; 1000 EAST 1461h SiqEET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 CERTIF9CAl'E OF SURVEX LOT SPLI7 DESCRIPTION PARCEL A: 7hat part of Lot 2, Block 1, WESCOTT HILLS 5TH ADDITION, accordinq lo the recordad plat thereof, Dakota County, Minnesota which lies west of a line drewn southerly, to the south line thereof, and parallel with the west line of said Lot 2, Block 1 from a point on the north line thereof distant 36.50 feet easterly from the norlhwest corner of said Lot 2, Block 1, as measured along said north line. PARCEL B: That pan of Lot 2, Block 1, WESCOTT HILLS 5TH ADDITION, according to the recorded plat thereof, Dakola County, Minnesola which lies east of a line drawn southerly, to the south line thereof, and parallel with the west line of said Lot 2, Block 1 SCALE : 1' = ao' irom a point on the north line thereof distant, 36.50 feet easterly from the northwest corner of said Lot 2, Block 1, as measured along said north line. (g63_S ) U[NOf[S CXIS'IIN(3 CLEVAfION (9-71,0 ) UENOfES PIIOPOSEU ELEVA'1'ION INUICATES UIRECfION OF SUqFACE DfiAINAGE $ll. = FINISIiEU GARAQE f-LOOR ELEVAlION 868.31 - gASEMENT FLOOtI ELEVATION . ' 8"71, b(o = TUP OF 1'OUNDATION ELEVA710N Od Mq ~ ESGoTT U RE ^ ~868. ~ V ~6~47 MT $ 9.0~ X, . . r ~ ~1 /QYl b,,~ ~ 1" ,,Y~' 9'? ~861~6l) 7C. `969.3o77,G. 668.43T TC. g Q v/~ 89°3I~A-5"E uc~ ln -run+srba+EU m 0 92.5 ' : ~ ~ 1 / ,r NW CnRNER 86 9,3 vv ~86$. Z~ 36.50 0 5,R~ ~869~ o-reL. 30 30fT FRONT 1/ V SETBAGK LING /~1 : ~ s m ~ ~8~1i,;3 871,33 87I, o ~ 869 .1 8b9, 6~ Io,So 1 52.00 ~ m3o,oo NL+a= e69.34 R~ Hua- 87oB1 . _-y u gl _j S , ' - -z-- ---r N , io.so TwlN- /lah1E op r I t=] :I= kn m O0 ~ S .oo - - - - - m cm L G8.61 r1- `_Y $ - o (~68.0 Se o c=~, . ~ ~ U) L-~- m i G-oT 1 2 A Li~ i, 1 J 30 ~~~Q~~S~ PARCEL A PARCELaHA DAAIN Li.1 r L_ UTILI ~ AND -IEWED ~f . m M EASEM~ BY 96.50 56.00 DATE 2`~?. /99 92.50 ~ ~863,S1 . . ~ BUILDING Ii~SECTIOfVS DEPT. $ 89° 361 11}"6 ~ I hereby certify that this is a true and correct representation of a tract c land as shown and described hereon. Ae prepared by me this /!P"~ day c . . Sc~r~mB~ , 1996 , ~ Minn. Reg. No. 19086 L , PERIVIIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: surLozNr Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 8 5 (612) 681-4675 Date Issued: 0 5/27f 9 7 SITE ADDRESS: 874 wESCOTr s4uaRF LOT: 21 BLOCKa 1 WESCOTT HIILS 57H P.I.N.: 10-83602-821-01 DESCRIPTION: ,''f6Ui1CI`iDg Permit 7ype DECK ' Suil:ding'"Work Type NEW ~t Censug ~od41 434 ALT. F2ESIDENTIAL . & y vl> > 3 l~ ~,A ~ ~ , ~ }li~ ~f i "'1 ; REMARKS: FEE SUMMARY: Base Fee $50.09 Surcharge $.50 Total Fee $50.50 I CONTRACTOR: , OWNER: - Applicant - A14DERSON THOMAS 872 • WESCOTT SQUARE EFlGAN MN (612)905-0389 I hereby ~c;knawl:edge that I have read this application ancl state that the ~ infqrmation ie carrect and agree to comply with ali appliceible State of Mn. Statutes and Cit,y pf [agan Qrd3.nances, PLI ANT/PERMITEE SIGNATURE ISSUED eY: NATURE c 7 z- ~o z z~~ 1997 BUILDtNG PERMIT APPLICATION (RESIDENTIAL) 2 ~ _~Z ~dp, , w CITY OF EAGAN ~ ~ 3830 PILOT KNOB RD - 55122 " 681-4675 Nev Construdion ReeuiremeMS RemodeVReoair ReauiremeMs ? 3 rogisterod sks surveys • 2 oopies af Plan ? 2 mpies of Plans (fndude beam 8 window sizes; poured fid. design: Me.) 2 ake surveys ("erfor additlona 8 dedcs) ? 1 anergy calwlationa ? t arrcrgy eakuladona Tor heated adtlitiona ? 3 copiea aitree preservalbn plen it lot plaCed after 711/93 requimd: _Yea _ No • DATE: S- CONSTRUCTION COST: DESCRIPTION OF WORK: - DPc.,C Ci. STREET ADDRESS: S/Z ~ ? ~y LOT ~ Z r BLOCK ~ SUBD./P.I.D. PROPERTY + Name: A)l1r,,w //lOm.o 4, Phone 4D5- OWlNER u.. Street Address:- ' r1i Z y- 0 2y c~T~ .s~. ; . ~ . city: 1~~~uh state:/1~ zip. ss aL ~ ' coNTRACTOR;, Company: Phone . a: . k Street Address: License 4 ~ . ' . . ` . . . City : State: Zip: ; , . _ _ , - - ARCHITECT! Company: Phone ENGINEER Name: Registration ~ Street Address: City: State: Zip: : Sewer 8 water licensed plumCer (new construrtion ony): . Penafty applies when address change and lot change are requested once permit is issued. ;r 3T: . . . i hereby acknowledge that I have read this applieation and state that the infortnaHon is cortect and agree to compy with all applieabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appliqnt OFFICE USE ONLY - RECEIVED Certificates of Survey Received _ Yes _ No MAY 2 0 1997 Tree Preservation Ptan Received _ Yes _ No _ Not Required BY. OFFICE USE ONLY - . ,r~,.. ~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 &plex m 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. 0 10 = plex 15 Deck WORK TYPE a 31 New o 33 Atterations o 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION a..:; . . Const. (Actuaq Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. - City Water UBC Occupancy sq. R. Fire SarinWered Zoning sq, ft. PRV # of 5tories sq. ft. Booster Pump - Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ; Census Bldg APPRt3VbLS Census Unit Planning Building Engineering Variance Permit Fee Valuation: $ - Surcharge Plan Review . License - MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. - - - Road Unit Park Ded. . Trails Ded. Other Copies Total: . % SAC SAC Units , CONSUlTINO ENOINEEIIf T ~ I11 ~jZSRt/ ~~~E PLONNEDS ond LqND 3unvevons # 7~57,0/ PIENGINICEIEERING M B" Zs~ ~ COM(~(~NY, INC. P61 7 ~ ~ 1000 EAST 1481A STqEET, BURNSVILLE, LIINNESOiA 65337 PN 432-3000 CERTIFICATE (JF SURVEY LOT SPUT DESCRIPTION PARCEL A: That part of Lot 2, Block 1, WESCOTT HIILS 5T'H ADDITION, accordine to the recorded plat lhereof, Dakota County, Minnesota which lies west of e line drewn southerly, to the south line ihereof, and parellel wilh the west line oi said Lot 2, Block 1 from a point on the north line thereof distant 36.50 (eet easterly trom the northwest corner of said Lot 2, Block 1, as measured along said north line. PARCEL B: That part of lol 2, Block 1, WESCOTT HILLS 5TH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota which I(es east of a line drawn svulherly, to the south line lhereof, and parallel with the west line of said Lot 2, Block 1 scqLe : r= ao' from a point on the north line thereof distant 36.50 feel eas[erly from the norlhwest corner of said Lot 2, Block 1, as measured along said north line. (g63S ) ULFIOTCS CXiS'11NC7 [LHVA710N (g'11,0 ) UENOfES 1'ItOi>USEU ELEVATION . INUICATES UIRECTION Or SU?1FACE bRAINAGE 8'71.33_ = t°IIJt311EU (UAhAGE rLOOfI ELEYAfION 868 31 -BASEMENT rLOOfI EL[VAl lON 8-7 1• N~ = 70P Op I-OUNU!!l1011 EL[VA7iON Q~ ~wESCorr u ~ ~868.0~ ~6~47 ~ ~861,6"TiTC. `9Fa3.3o) T,G. J ~668.935 TC. g Y~\~ ~ Q ~ J g9°3l'A5°E Li i m NW cnRNEZ /L%~.2~ 36.So 5,a~ ~8t9.3~ O-TEL. 30FT. FftONT m~pl ~ l, 30 SETBqLK UN5 1 ~87f,;3 87133 87/. o m ~ 869 . 8b , 6~ 10.50 --52.0o m30.00 HwB=B69•3¢ i H~B~E7o8J i ~ I 6qR69Q, I ~ ~I.o a ~0e . ~ io.so ~ PRa ~ ~t o. o . _ S iq Tw,N_ 90WE __J L_: 2 ^ 1 11)~ Q l_=_ L ~'.l ~~g•~ ; o cn ' M I-" ~ t=- g e l ~ ' = tn ~ , - or 2 ~ L ~ ~ - I ~ z,; ~ ~ Q~ f ~ ~ i ~ ~.,j ! I 30 } ~ J ~ : PARCEL A . PARCEL+HFR DRAIN EAGAN. urizi ZtVIEVI/ED m m fASEME BY 36.5o 56,00 DATE ~ Z3 199~aea 92.50 j-'~', BUILDING IN$ ECTIONS DEPT. 99° 36'1Q!u6 l86`i'J I hereby certify that tihis is a true and correct repreaentation of a tract c land as shown and described hereon. As prepared by ma this /971~ day < S~r~reaz , 1996 . ' CpNiq,`~Ig~, . .~16 Minn. Reg. No.__/9oB6 L ~ gL -L CITY USE ONLY RECEIPT#: SUBD. k)LL~~ DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: , / ~ ~j,~ FEES ? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 4.00 Additional 50 M BTU 0 ? Gas Outlets (minimum of 1 required @$3.00 each) 3>d0 ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: Qt,r4,f~1_77, K/ u-e-'L eo~rsd PHONE INSTALLER NAME:~RB?~a/~S STREET ADDRESS: E`~ CITY: 1'31e/t.Jjv'11(z_ STATE: ozn/ ZIP: 5 -7 PHONE ciTr use oNLv L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for. ? all commercialfindustrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum tee 2c 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVeMeNrs oNLv) INSTALLER: ADDRESS: CIN. STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L ~ BL / RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please camplete for: • single family dwellings ? townhomes and condos when permits are required for each unit ~ New construction Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee systerri, etc. Date: N6? /d', ~ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24:00 Additional 50 M BTU 0 ? Gas Outlets (minimum of 1 required @$3.00 each) 3"0' ? State Surcharge .50 TOTAL SITEADDRESS: tveSCa7-7- S, 62 k An~ 7('t?~,t Cle,r.~ PHONE OWNER NAME: fiu~t,t rz, INSTALLER NAME:~Ra~ STREET ADDRESS: cmr: STATE: Gh~ ZIP: 55-337 PHONE (6/2) ~95~ D 3/d ciTr use oNLv ~ L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please compiete for: ? all commerciai/industrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee Q.C 1% of contract price, whichever is greater. Processed piping - $25.00 5tate surcharge of $.50 per $1,000 of pgpnd fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (iMPROVeMeNrs oNLv) INSTALLER: ADDRESS: CIn': STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR cirY use oNLr • , L 2 gL ~ RECEIPT (6,1 ~ 75U SUBD. 4'L2gU4& IJ" P~t DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ~Q TOTAL Shower 3.00 x = Water Closet 3.00 x ? _ - o ~ Bath Tub 3.00 x ~ = 3•~~ Lavatory 3.00 x 1 = 3-00 Kitchen Sink 3.00 :s 1 = 3 0 c) Laundry Tray 3.00 x I = 3,00 Hot TublSpa 3.00 :c = Water Heater 3.00 I_ = 3• Floor Drain 3.00 I_ = 3 00 Gas Piping Outlet " minimum -1 3.00 :c 1 = 3•• o0 Rough Openings 1.50 3 = ti• So Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sptinkler " home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 a S• sa STATE 5URCHARGE .50 TOTAL d 1760 SITE ADDRESS: VO a UJe S C of4- Sa OWNER NAME: To rr\ A n,JI e/soro INSTALLER NAME: SG~ti P I I~; tir/ STREET ADDRESS: CITY: Pf;d OlA-K-t STATE:'('A i~ ZIP: SS~l2 PHONE ( L,i2 ) PERMITTF-E OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ~ ati commerciallindustrial buiidings. ~ multi-family buildings when separate permits are aQt required for each dwelling unit. DATE: CONTRACT PRICE: WdRK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A 3EPARATE U.G. SPRINYCLER PERMIT. FEE: $25.00 minimum fee or 1% of conhact price, whichever is greater. State surcharge of $.50 per $1,000 of R@mit fee due on all permits. CONTRACT PRICE x 1°h ~ STATE SURCHARGE TOTAL : SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PNONE SIGNATURE: APPUCANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: , GITY USE ONLY 69 • - L o- gL / RECEIPT SUBD. DATE: /;/9 ~ 1996 PLUM8ING PERMIT (RESIDENTiAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EAScH ZLQ. TOTAL Shower 3.00 x = Water Closet 3.00 x ! _ 3_ Bath Tub 3.00 x 3' Lavatory 3.00 x ? = 3 - Kitchen Sink 3.00 :c 3-_ Laundry Tray 3A0 :c ! • = 3- Hot Tub/Spa 3.00 ;t = Water Heater 3.00 x 3- Floor Drain 3.00 3 - Gas Piping OUtlet ' minimum -1 3.00 :t _3-_ Rough Openings 1.50 :c 3 = t~ S D Water SoRener 5.00 x = Private Disposal ' Dakota Cty. Iicense 65.00 = (new and refurbished systems) U.G. Sprinkier " home under const. 3.00 = Aiterations " to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL a 9 6 d SITE ADDRESS: -5Auadc ONMER NAME: 1'`'\ s o,J INSTALLER NAME: 5~~•- 01"> STREET ADDRESS: (-//Q d ~ di' ^ " cinr: Pr 11 bi A-k't STATE: fi'I:- Zlp: 553 7 Z PHONE#:(4'`L ) 4V'1-(473q ~ OFFICE USE ONLY t _ BL _ RECEIPT . ' , SUBD. DATE 1996 PLUMBING PERMIT (COMMERCIAL) GITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: , all commercialAndustrial buildings. ~ multi-family buildings when separate permits are agt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUfRED9 _ YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER3 TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU.BE'INSTALIING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES ?JO. IF SO, YOU MUST APPLY FOR A SEPAI2ATE U.G. SPRINY.LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $7,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ' ADDRESS: CITY: STATE: 21P: PHONE SIGNATURF: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: b ~ Agenda Ioformation Memo November 4, 1996 Eagan Ciiy Council Meeting ~ lN G. WAIVER OF SUBDNISION - WESCOTT HILLS 5TH ADDTTION ACTION TO CONSIDER: ? To recommend approval or denia] of a Waiver of Subdivision to allow a duplex lot split for Lot 2, Block 1, Wescott Hills Sth Addirion. FACTS: ? Wescott Hills 5th Addirion was approved in 7anuary 1996 and is mned R-2, Duplex. ? The applicant is requesting a waiver of subdivision (duplex lot split) to allow individual ownership of each half of a duplex. ? The duplex lot split will result in the crearion of two pazcels, A and B. Combined, the site is less than the 15,000 s.f, minimum lot area required under R-2 mning; however, a variance was granted as part of the Wescott Hills Sth Addition subdivision to allow this lot to be smaller. The pazcels are unequal in size because of the off-center location of the dup(ex on the lot due to an exisring 30 foot wide easement along the east edge of the lot. ? A duplex is currently being constructed on the properry. The duplex building meets all setback requirements and separate utility connections aze available to each unit. ATTACHMENTS: ? Staff report, pages _ through _ ? Certificate of Survey, page _ I F'orO~ce,Use ~ City of Eapn ~ Permit# I ~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (657) 675-5675 I ~ Fax: (651) 675-5694 i staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9- SiteAddress: v7Z ~.I~~SCO~T ~ Tenant: AL ~ER'~ d- M'f 5 7Y A N~~~"Itoo' Suite RESIDENT / OWNER Name: P~L66-W-I-d- M l STY AA' OE-Phone lOs/- Za`f' 3S3 Address ! City / Zip: v/ z wC--$66,-rT s~ Applicant is: _ Owner *4 Contractor TYPE OF WORK Description of work: F0d F Ln Construdion Cost: Multi-Family Building: (Yes x/ No ~ CONTRACTOR Name: J) 4 6 140ME C&91 9 $L 8kh CE License ZUSS/ ~C/ I Address: ZZ DOI 'GT~O/V WzJO ~ 5T ciri: L ED A 2 State: M/v Zip: Phone: Contact Person: .J T&7F4~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 suBmission type) • Energy Envelope Calculations Submitted . In the last 12 months,.has the City of Eagan issued a pertnit for a similar plan based on a master plan? _ _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: . i:NOTE: Plans and supportingdocuments thatyou sabmit are considered to be public.iriformation Porhoris_of , woWd the Ci to > < the mfoimation may be classi fied as non'public if yoq provide specific reasons fhat perrort `.u . "concldde tliat fhe are:trade t I hereby acknowledge that this information is complete and accurate; that the vrork will be in conformance Ihe ordinances and codes of the City of Eagan; that I underetand this is not a permR, but only an application for a perm@, and work is not sta thout a permi • hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of p n. ~ X 5TEP N E.--~ LYoNS X ApplicanYs Printed Name ApplicanYs Sig ture Page 1 of 3 ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I FbiO'ffiUse xii Clty of Ea~a~ Permit# 5F`f 9J I - I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 i stafr: /,el i Fax: (651) 6755694 ~ 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I~O7 Site Address: g67 u-) ES Gg77~ S't' Tenant: A I?Di VL_ t" ~~~sk Suite RESIDENT / OWNER Name: ~BOVL t/IA BF~~?9 ~RE5 A Phone: lOSI'- o~-~- ~~3 Address / City I Zip: YJ 74 w~ S~dp T s42 Applicant is: _ Owner X Contractor _ TYPE OF WORK Description ofwork: ~Gd10 Construction Cost: Multi-Family Building: (Yes _'2L / No CONTRACTOR Name: d E A~? SER-%ICC License#: ZDSSI S`I l Address: 22-601 ~~TG/v-47- lt~u~ City: lrLb IQ 1?_ State: t^A-~ Zip: , T50 Phone: 69/Z^ 023+Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatCgory Suhmitted Submitted (4 submission type) • Energy Envelope Calculations Su6mitted . In. the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? . . . _Yes _No If yes, date and address of master plan: _ Licensed Plumber: Phone: Mechanical Contractor: Phone: . Sewer & Wate[ Contractor: Phone: . " NOTE: Plans and supportin'g documents that you submit are considered'to be public, information Portions oi:-; the informa6on may be c/assifed as non-public ~f you provJde spea~c reasons that would permrt fhe City to l f the yare;trade.`secrets. concu'de tha I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with 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 n to art it ut a permit; t the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl s. x S 1~lb~ E~ L~L'vS x ApplicanYs Printed Name Applicant's Sig aturePage 1 of 3 - - - - - - - - - - - - - - - - - f I For Office Use I Ila I I Permit#: City of Ea . I Ed I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received:. 14 Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 072 U)E-S`O7T Tenant: AL 630e4 SA) { 7Y A XI C 9"' Suite RESIDENT / OWNER Name: L l STY IA/- 0t Phone f47 204- 3S-3 Address / City I Zip: 9-77- w 6-5e077- sW Applicant is: Owner Contractor TYPE OF WORK Description of work: Roo F Soov a' Construction Cost: Multi-Family Building: (Yes / No ~ CONTRACTOR Name: 1) 4 DOME __jOl R S678i CC License#: 21JS_'/ _9l Address: ZZ 00/ ( P1 V woo is ST / VW City: /C cO P n State: MN Zip: 6SUf Phone: IO TJ Z3 Contact Person: Jr T~Ia E~i ' L~c~'~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: Phone: Sewer & Water Contractor: 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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w' he 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 sta thout a permi hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of p n . X CEP N LY'ows X Applicants Printed Name Applicant's Sig ture Page 1 of 3 . .- . - ,.. ' , - , . ' - '. :::-..."-.--- - ,;.-, •--;:::::: .- I-. -..i;,....7.;,:i,-...,..4..;**Otiti.':92- 3 - : -, ., -.-7 - ''''- ...„' '''.; '''„;: -4' ' . '; ,',!.7' :: ,414:+;Z'', :::::,71;"':-''-9-'7-*-;'r",74.,,,--::'' a.:::f " le:- ' 41: ;; -r ;''''-‘ - .' . 7,'.4.. . - ---:,-,,,,,iii-x;-,-,i,,':-,:-.:,--,-J,;,-;..-i-'::i,V.4.-4f,61,31.-7-7..:‘,:,:,--= ''''.. •:7-- - .,,,,.-'ql,F':'.'",....T--,-,n1::,t',41',''.-- :. -;',:''''''''''''4'-'-;' 4 1 ' -' ../„,,, ' .- ... • ; ' '-''''''';:tY41,11ti:1;,.;,:,,iiit1,. 4 01Sl' ,,.:A'il-;,$—VtiK,,-;',''',',''-*4,71,e4 ' Z'., ......;,71,i' ''',..-.!':, _ ,, ..;;,., .,_,..--- • ' '''''.;.',7.''..4''.,-;,,,:."1 .''''- - ,-,."' ; ..''' • ,,, ',' .,? -.' ",, "4 ' .:". " ' ' "I' '";" "'" - "" ' '-`A.14.7.?'!'''.t i:',,Isk4d 43,54',,,,r ;,'...,?,... ,‘-'-!,:•.,?.':-.'',`"1.,i .._, '': ' ' . 4 ". .4' ,,,,, CV.;,4,--'4.. v - - - . -:- ' ' - -,-- - ,--'-'- ' - - ,----;,,..- --..,--,-,. ..ii. -7 .-. - : - .4,-" , 4 4 , : •-is-, : . ..7.1-n-A.,,,,:?,,,.-.. ''''''''„-,:;:Z.,,ke..''.':',-,1,"-., ..!'fii . ','" 4-,':i'':-,iThj2±0,;r'l;;;'t':I.;.=7.4;,?''.lt 9,,,,. ; 3 ' . ".i'.:".,,t..1r. - -...,::',..:;,.,,, - - , '..,. . ,..■ .0.--, . . �r x � • • • d ;. M.... . . y I � F .� Jf ' si2ti 4 f yp�wr r;w . syz - r, i ;/y�6 ',_ 0r_ r (b '.--.) k Use BLUE or BLAGK Ink �-----------------, � For Office Use I �� O{'�� I Permit#: � ��"1� � i � 1 � � �y� I 3830 Pilot Knob Road � Permit Fee:�• W � Eagan MN 55122 I `'� Phone:(651)675-5675 � Date Received: 1 � Fax:(651)675-5694 AUG 1 7 1(l15 � Staff:,;'�J j ' ______J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: SiteAddress: �$ T� �,l��O� c�G��- Tenant: Suite#: ,� � � 2 � '�4� � � Name: �3f'0�� Phone: ��''0+��7 �� f�eSlCr��1t�OWri�C � ��. . �" Address/City/Zip: ��. W`� � 2,3 �. � �; Name: K&S HTG. , A/C & PLBG. INC. License#: 4 3 6 8 9 � ,� , � � ' � b ,,,,�a�; Address: 4205 HWY 14 W �ity: ROCHESTER r,i� �,x��O�1�1`�G�b�'= i � ' `��r, ° iii�i , �r7�� -� State: MN Zip: 55901 Phone: 507-361-2332 i�� ,� � � �� i'!��" ' ""° �� ` Contact: H�IDI BROWN Email: HBROWN@KSHE�ITING.COM �.��,.,„� � �� New �Replacement Additional Alteration � Demolition �,� � �, ��I��'��u��,� � �'�'y��act��Nor�t � . �� Description of work: �U�/1,�� 1�°i�'�� -* ird��liilll�l ��'' ' - S�'I.II� � �II:II IIIII� Ilo ��ill H II�IiEHI�^ ' - `�,��hiUin��FyPl��p�� . '' i�i � �ii��'� TE:1�tY17�M11Q �l L�.'r�CY(1#�IY?Uili��+�?�l�� 11�' � � ; 1T1 .�;��'Q t[l��l`E.'C�i��7SG�' � ��.'4�7 E'.1� �_ � ti,i�il� _ . i�i�i�dl i ip��Ili :, iibitilii8tl�!��.u�� '�...*k i*�,-'7si:e:il�..ir Ip�K� .,i�L�@ �,r��,��I�111i�Y4a�i�y�•v�i�ut,,iliplll��d��.�r� ..�.�^..�lil,��lbdi�y yi� ��. �.`` �,k�„�„�,��;�� d,�, I�I��e confact�F��Nle��n�c��.�nsp��#€�r�f.o�•t Qrma��st��1 p�ri�i��.#e�Scr��ti�t�e��o �r,��a��i � ,� � ' �� '��"� ' ,,�;��t�i RESIDENTIAL COMMERCIAL �� ; : z (��i�" � ��, �Fumace New Construction _Interior Improvement � . ,� � — ��,�#� � u�� Air Conditioner _Install Piping _Processed �� _Air Exchanger Gas Exterior HVAC Unit i� — — �w� �,�74 � �� k � _Heat Pump _Under/Above ground Tank �Install 1_Remove) ('1��qi�i��i;� � r�� ' Other i�(��i�i�w.r.u..°. .(: RES/DENT/AL FEES $60.00 Minirre�m Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ 6 0 . 0 0 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is GREATER than$2;010, Surcharge=Contract Value x$0.0005 -$ Surcharge�` If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 ' ut 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 RICK KEEHN X ApplicanYs Printed Name Applicant's Signature 'F��i:�7-! ��-�' u IIrXf"� ��kJi ir� � �_"�� _ �y,M'��I �� t+ Mr1�u�i i�li iN i�it i N u i�� i� 7 I i;il �.,, -� � ,�ii ; , � i _ (il ^� ��i� �Y"" iT i�� p�l ��u.i`u� i ,.�, �,i�lpi�h�tjb'�.r"t i(Ii� �.��'i(i �l i i ; ��Gi��I��ii., � ��I��)iL,'i `i fi �'P�i ��"n9�I ig �{' �2equrr�d'n��ctro�s�i�ll�� t_ , +�;i II� � y j;�l�"•�x��"` a�'�ailW��iil��`,�o��) ��.YIF.'WBC��,� �„� �.I�;�',�i�6illliPC�N��Wililill�l�il�l�ll1lJ'd�8 —�ri��jldll��l�l�) :� �w.i . i ryr a s "ya.�i�liilCa!i�� ;�,ini�n °'I�I�p y;,�.etlriU�J�ii�i�`�19�IBG"&i�n J�iliitli'��',�Ii�i�i�N(�`��.�'"'!i�lii'ii"�"�i"�'� ,� _ mT I�Gi�'I�N r r�dehg,rc�und = �;augh Ir��=u;, ��r Te��t��y�,a,,��as��t�Tes� _ ��b�br i��at „--�ir� ��s��r��`��i��ng' ��; Use BLUE or BLACK Ink ---------------, � For Office Use I • ' �3a��s ' ��} O�� I Permit#: � I I � � �� • �O 3830 Pilot Knob Road i Permit Fee: I 8` �� I Eagan MN 55122 I Date Received: � Phone: (651)675-5675 AUG Z � ZO�S � statf:� j Fax: (651)675-5694 i________________,, 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: $/Zs/is SiteAddress: 872 WESTCOTT SQUARE, EAGAN, MN 55123 Tenant: Suite#: ��1 �� a �� ` � HAROON PASHA �952-237-9892 �-�� Name: Phone: � �,k�� ipF ' .` AddfBSS/Clty/Zlp: 872 WESTCOTT SQUARE, EAGAN, MN 55123 _ �: ��` ' K&S HEATING, AIR CONDITIONING & PLUMBING I PM059513 Name: ��icense#: K��`��'��11t�'aCt41'�� . �''� Address: 4205 xtivY i4 tia City: xccxEs�ER � �� " MN • 55901 507-361-2332 �a e��h� `� ` �: ' State: Zip. Phone: �, �i �r8�� grao4��'�� , f� COI1t8Ct: HEIDI BROWN Etllall: HBROWNQKSHEATING.COM _ ��'��rr _u 4 �-�.��,��. �,� � _New X Replacement _Repair Rebuild _Modify Space _Work in R.O.W. � �,�� ` ��' � � � ��N�� - ��,r=��. �� Description of work: � � � ' � �' �� RESIDENTIAL � � r '' �G��h � � �E y �,�� i Water Heater � � , � , � "� = Water Softener � ��,�� Lawn Irrigation�RPZ/_PVB) �� ,�_� � �� Septic System Add Plumbing Fixtures�Main/_Lower Level) ° : �r � �z Water Turnaround �tu��yHHGa�"� 4�� — �,��;�'� _New � � _ � � ,��'�� ,u��i��= Abandonment � � � � RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 A�d Plumbing Fixtures, Septic System Abandonment,Water Tsarnaround"(includes State Surcharge) *Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 Septic System New(includes Counry fee and 8tate Surcharge) TOTAL�EES$ 60.o0 CALL BEFORE YOU DIG. Calf Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 DAVE OFTEDAHL X Applicant's Printed Name Ap licant's Signat e � . p �Ly f ��;ry}k y4��i — � �ri i�� q�� tlNy 4� `;'� r i n�i il�� tl�g�p�� — ii iH(�I u_ ��fi�l'"�I��rJ�1 � II��Gii _i�G�� 9h��N°N "'aXBI I �',�5'r _ itl — _ �r ��d4°r _ �� h6u��'u��.��hn�j ; �=�� s ' ��.. �r � ,i; �rcaa �- ;;�uyr �� ti i H o�n1�� C��,�ir� u ; � I)�� s xGi� �.��'� � : �i1�4N� � � a s� 'I p�� ' i�GtiH�� r,rns�� _ �r�� - un��r,�� t�r��c��ti�� :� ��r��r��t 9��Fk � ,�� =� � �,,� ti��a�� - �= ��- _ � r �� d � �� I�#�:r��1��i�e� ;G��r Sire�a'i"i�'4�`��dic�R��t��,,,�' f� .�.'� � ��'�� r- _ �,� M��7nc��r �S��f� ��