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3793 Wescott Hills DrCity of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink L Permit #: X110 Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Date: a Z 3 CO Site Address: Tenant: S 'ct 3 Cie S co` t- o \ c S Suite #: RESIDENT / OWNER Name: , 0,_...,. s T 0 (9 , c 3 Phone: 65 ) - t -i 05- 7 7 Address / City / Zip: 3 `Z d'I to %, ,cf- c c it )4. \ i S -DN. CONTRACTOR Name: ,Reside1,1,,:; n,ftng & License#: Address: Air ;,:_._ ;:on= - Inc. City: 1815 East 41st Street State: Zip: - MN 135 Mlnn+aapoli Contact: (612) 2 Email TYPE OF WORK PERMIT TYPE New Replacement Additional Alteration Demolition Description of work: AL • an cL C r ,c 56 On• -1 o8c,^lt( RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement r--/tt�c 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: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ � TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be i conformance w th 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 nto start 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 fl -e. n c _ Applicant's Printed Name ~ For OINce Use Only: . , , - . ~ MECHANICAL PERMIT PERMFT # G TY OF EA(iAN RECEIPT # , ' 3890 PILOT KNOB ROAD, EA~i /?N, MN 55122 - ~ CONTRACT PRICE PHONE: 454-8100 DATE: 3ite Address . _ BLDO. TYPE WORK DE8CRIPTION Lot 61ock 7" Sec/Sub ' ,i• . Res. New Mult Add-on Name Comm. Repair Addresa ~ Other City Phone FEES Name FiES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 3 AddreBS p City r Phone ' (RES. HVAC INCLUDES NC ON NEW CONSTRUCTFON) TYPE OF WORK GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. COMM/IND FEE -1'N. OF CONTRACT FEE Forced Air M BTU APL BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONOOS - RES. RATE APPLIES Unit Heater M BTU YINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Air Cond. M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 VBnt _r CFM STATE SUFiCHARGE PER PERMfT - .50 CiBS P{ping Outlets # (ADD $.50 S!C PER EACH $1000.00 OF PERMfT FEE) Other ; . PERWT FEE: ; _ , ~ . SIGNATURE OF PERMITTEE SJC: TOTAL: FOR GTY OF EAGAN PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154052 Date Issued:02/14/2019 Permit Category:ePermit Site Address: 3793 Wescott Hills Dr Lot:1 Block: 2 Addition: Sunrise Hills PID:10-72982-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - James S Douglas 3793 Wescott Hills Dr Eagan MN 55123 (651) 405-8077 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature ~-~-.-rT~rss'l.sc1~.'4. ..7e:i , NY_-yA'l. . Ti41k1!"`s°:.#•r :±~qqr" . ~:~''~=r"' "„hr' . „ PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # / CONTRACT 3830 PILOT KNOB ROAD, EAQAN, MN 55122 RECEIPT # 117 PRICE PMO E 4 100 DATE: ~ v ~ Site Add s BLDG. TYPE, / WQRK DESCRI, P~ht' Lot ~ Block Sec/Sub Res. New ult. Add-an Name Comm. Repair ` ar,er ' ~ Addre ~ Cit Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N!.? FIXTURES TOT ~ Water Closet - $3.00 $ Name Bath Tubs - $3.00 ~ Ad ss ~ d Lavatory -$3.00 ~ ~ CPhon~ a Shower - S3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 ~ FEES ~ Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50 ~ : APT. BLDGS. - COMM, RATE APPLIES Water Heater -$1.50 ~ TOWNHDUSE & COMDO - RE5. RATE APLLIES ~ Whidpod -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 7 Gas Piping Oudets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUIU -1 PER PERMIn STATE SURCHARGE PER PERMIT .50 So(tener -$5.00 '(ADD $.50 S/C PER EACH $1 OF PERMIT FEE) Well -$10.00 ' Private Disp. - $10.00 Rough Openings - $1.50 ~ U. G. Sprinkler System - $12.00 SIGNATURE OF PERMffTEE PERMIT FEE' STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: ~ ! • . (Itr#ifiratr nf (10rrupanry titp of Cagan lorpwrbnrtd nf wudbtng Anwerfinn Tlris Certificate issued pursuant to the requirements of Section 306 of the Uniform &dlding Code certi)ing that at tlre time of issuance tltis structure was in compliance wilh the various ordinances of the City regulating building rnnstruction or u.se. For the following.• Ux cVeirrauo. SF DWG/GAR elda. Permit No. 17705 M Oacaya.y .lype ~,11 ~ Zooioa Diqrict R I 7ypa CaNl ~ ~of &WIN~ JOE Mr.tFdt HXW-S Addraw 18133 (R AvE S, FARMCM BUM 3793 WE ~i HI.LS DRIVE ~,Ll, ffi, SUIyRiSE HILTS 4/5/91 aw o~ POST IN A CONSPICUOUS PLACE '.v."*!~.A~I~f", . •~-.+~.~.:!CJ!/'7"'M'.'~. , . . c- r.~--•-.., . . .~w;;~':.s~~ CITY OF EAGAN ';42 17705 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - BUIIDING PERMIT Receipt # TobeusW for ' SF a1G/GAR Est.value $124, WO Date "a 11 ,~g 90 Site Address 3793 WESCO'TT HILI.S DR Lot i Block 2 Sec/Sub. s~RISB HILLS OFFICE USE ONLY Parcel No. occ,~ncy R 3~"'i Fees Zoning R-1 W Name ~E HILLER H0~4E5 (AClual) Const Y-N Bldg. Permit 724•~ - o Address 18133 CEDAR AVE S (Ailowable) V-~ Surcharge 62•00 Cit FARHINGTOt~hone ~?31-2001 # ot siones Y Length PlanReview 470'~ ~l SAC. City 100.00 =F Name SA~ Depth - OU ` Addfess S.F. Total - SAC, MCWCC 600•00 ~ Clty Phone S.F. Footprints _ Water Conn 625.00 On Site Sewage ~uW Name On Site Well ~ Water Meter ~ Address MwCC System 30.00 UZ ~ aoot. oeposit <W City Phone citywater 30.00 PRV Required _ SnN Permit ! hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge •50 intormation is correct and agree to comply with I applicable State of 252OO Minnesota Statutes and City of Eagandinanees/ Treatment PI ' .r/ Signature ol Permitee '-Z' . _ APPROVAIS Road Unit 355.00 f ~ A Building Permit is issued to: JOE HI LI.6R ti0l4BS Planner - Park Ded. on the express condition that all work shall be done in accordance with all Couricil applicable State of Minnesota Siatutes and City of Eagan Ordinances. gid9, pff. _ Copies Building Ofiiciai ~ Variance - TOTAL 3,338.50 ~ Pe?mit No. Pemiit Holder Date Telephone # WATEfi SEWER PLUMBING ,lp • ~Q H.V.A.C. pfI U(/ p1190 ELECTRIC 9 0 Inspeetion Date Insp. Comments Footings I Q ~ Foundation Fram,,g C s U Roofing Rough Plbg. --S Fough Hlg. Isul. Fireplace ~ '~Gs Fnal Htg. Finai Plbg. 3 Se ConSt. Meter P1bg. Inspedor - Notify Plumber EngrJPlan eld,.F~~l s--9/ I~S Deck Ftg. Deck Final yVell Pr. Disp. StWER i W,pTER PERMIT OFFlCE USE ONLY CITY QF EAGAN METER # PERMIT DATE~4112 1yC) 3830 Pilot Knob Rd. 11328 Eagan, MN 55122-1897 CHIP ~ PERMIT ~ METER SIZE B.P. RECEIPT # C 72)5 . ISSUE DATE B.P. RECEIPT DATE~ ~~~qo DATE PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT =BLOCK SEC/SUB 1 - - - SEWER - WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND - RESIDENTIAL CITY, STATE ZIP _ NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be installed PLUMBER: Ahead of Domestic Meters on Water Line. ADdRESS: a ` Credit WILL NOT be givan for Deduct Meters. CITY, STATE ZIP PHONE: : I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES AQDRESS: CITY, STATE ZI P PHONE: ~ SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ . SE"IIVER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # T 37-f;" 7 g g PERMIT DATEC4/12 f 90 3830 Pibt Knob Rd. s g a n, M N 5 5 1 2 2- 1 8 9 7 CHIP # d ld Z F~ PERMIT # 11328 METER SIZE 5'QaC,!r B.P. RECEIPT # C 7225 q,, ISSUE DATE d B.P. RECEIPT DATE !w 12 90 DATE - ' _ PRV - BOOSTER PUMP SITE ADDRESS nY' j V r-' PERMIT REQUESTED LOT -BLOCK ' SEC/SUB - SEWER - WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND - RESIDENTIAL CITY, STATE ZIP _ NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ` Ahead of Domestic Meters on Water line. ADDRESS: CreditWlLL NOT be given for Deduct Meters. CITY, STATE t n ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: n : ~ ~ 1 r " - ~ EAG'AN O DINANCES ADDRESS: 1 ~ L' ? Cer3 l '`.~t : u CITY, STATE n-ZIP PHONE: UFW'QFHEN METER ISSUED J v- - - ' ~ PLEA3E ALLOW TWO WORKING DAYS FOR PROCE$SING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , Addre,ss:3793 WESr,ATT HIId.S DRIVE Lot 1 B1k2 Sec/Sub SUrLRiSE HIIdS These items were/were not complete at the time of the final inspection. D t:, 4 5 1 Yes No ,S Tnqnpctnr: Final grade (6" from siding) Permanent steps - garage Pexmanent steps - main entry 11__~ Pexmanent driveway Permanent gas Sod/seeded grass ? Trail/curb damage Porch j~ Basement finish i/ Deck Pleasa varify vith the bullder tha ramoval of roof test caps from the plumbing system and the shut-off of water supply to tha outsida lawn faucet before freeze potential exists. ~ ucuEOwax White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN N2 17705 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ~ (a~ 32,2 ~ Tobeusedlor ` SF DWG/GAR Est.value $124,000 Date APR 11 , 1990 Site Addr.ess 3793 WESCOTT HILLS DR Lot 1 Block 2_ Sec/Sub. SUNRISE HILLS OFFICE USE ONLY Parcel No. paupancy R-3 M=1 FEES Zoning R=1 w Name JOE MILLER HOMES (nctual)Const V-N BIdg.Permit 724.00 o Addfess 18133 CEDAR AVE S (Ailowable) V=N Surcharge 62.00 Cily FARMINGTON Phon2 431-2001 :v af Stories - Length ~i~F~ PlanReview 470.00 o Name SAME Depth 4-5' snc, city 100.00 Addfess S.F. Total ~Q - SAQ MCWCC 600_0 0 ~ City Phone S.F. Footprinis - On Sile Sewage _ Waler Conn 695_ OQ ~Q ww Name OnSilBWell - WaterMeter 90.00 s~ Address n+wccsystem xx ~ naI. oa sn 3 0_ on <W City Phone atywater X7L PO n PRV Required _ S!W Permit 30-0 I hereby acknowlega Ihat I have read ihis application and state that the Booster Pump - SNJ Surcharge .5 0 inlormation is correct and agrea to comply wi II app/licfable Slate of Minnasota Statutes and City rdinaC~~~ Treatment PI 252.0 0 Signatule 01 Pefmitee o~ Eaa APPROVALS ROad Unit 355.00 JOE MILLER HOMES Planner - parkDed. A Buildinq Permit is issueG to: on ihe exprass condition that all work shall be done in accordance with all Council applicable Slate of Minnesota S,,qpptatutes and City of Eagan Ordinances. BIdg.Olf. _ Copies 0 8uilding Oflicial ~ ~g ~LJ Q1A~~ Variance - TO7AL 3,338.5 RESIDENTIAL ~ BUILDING PERMIT APPLICATION I~ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New ConaWction Reouirements RemodeVReoair ReauiremeMs 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and ali rooied areas • 2 wpies ot plan • (20%maximum lot coverege allowed) . i set of Energy Calculafions for heated additions • i 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 stte survey for eztedor additions 8 decks I 1 ul ot Eneyy Calculations . Indicate if home served by seplic system for additions . 3 copies ot Tree PreservaOon PWn if lot platted after 711193 . Rim Joist Detail Options selection sheet (61dgs wilh 3 or less unils) IATE ~ 19 I OZ VALUATION LnnU• CCo SITE ADDRESS 3~I q 3 W C.~'~~~ /~i l~~ MULTI-FAMILY BLDG -Y ~N ITiYPE OP WORK t0t 9rldnL 1 ) FIREPLA CE(S) - 0_ 1_ 2 APPLICANT ° SITREET ADDRESS nnO I ~CITY lmk~'C STATEmN ZIP~~SZ TIELEPHONE # rIGt3 `4ZrJ -'&3CELL PHONE # FAX # rI63'429" ?1~9 PIROPERTYOWNERa0-1IVl,~l _~~Qdwl TELEPHONE# "W6 -gd~ COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY IEnergY Code Cate9orY MINNESOTA RLJLI'~.S 7670 CATEGORY 1 MINNESOTA RULC11612 (J submission [ype) • Residential Ventilation Category 1 Workshaet Su6mitted . New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # ~ Plumbing systcm includes: Water Softener _ Lawn Spruililer Fee: '$90.0O Watcr Heater _ No. of R.I. Baths ~ No. of Iiaths - Mechanical Contractor. Phone # ` I Mechanical system includes: _ Air Condilioning Fce: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply wit h a l i applicable S ta te o f Minneso ta S ta tu tes an d Ci ty o f Eagan r dinances. Signature of Appl(cant OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6c[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors q 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Citv Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footmgs (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC' City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 112 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4875 I. New Conatruction Reauiremenb RemodeUReoair ReauiremeMs • 3 regislerad sde surveys showing sq. fL of lot, sq. fl. of Muse; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Eneyy Calculatioia for heated additiore I. 2 copies of plan showing beam 8 window saes; poured found design, etc.) . 1 site survey for extenoraddNions & decks • 1 set of Energy Calculadons . Indicate if home served by septic system for additions 3 copies ot Tree Preservation Plan if lot platted aRer 711f93 • Rim Joist Delail Options selection sheet (Wdgs wilh 3 ar less untls) I DATE VALUATION ~4 / I SITE ADDRESS 3793 Oe'sca7T y~ //s z A' MULTI-FAMILY BLDG _Y _ N I TYPE OF WORK ]a -'fodF FIREPLACE(S) _ 0_ 1_ 2 IAPPLICANT I-ILCO?ef-_ poori.v STREET ADDRESS Lb-'S,S~ h*p+zN?91[ AivD Swrf_ 13 o CITYEdENd.~,k,e STATEN IV ZIP &5_3`f b TELEPHONE #9'0• 971/-0_033' CELL PHONE # FAX #S~a- S7'-l -/eSy I PROPERTYOWNER ~)"I DOU41QS TELEPHONE# FS? - 938- /Sa8' COMPLETE THIS SECTION FOR °`NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI:SOTA RiJL1:S 7670 CATL•'GORY 1 MINNGSO"1'A RLJLI:S 7672 „ (J submission tWa) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted I Plumbing Contractor: Phonc # Plumbing system includes: _ Water Softencr _ Lawn Sprinkler Pee: $90.00 Water Heater No. of R.I. Baths _ No. of Baths I Mechanical Conhactor: Phone # Mcchanical system includes: _ Air Conditioning Fee: $70.00 _ Heal Recovery System I Sewer/Water Confractor: Phone # i I hereby acknowledge that I have read this application, state that the information is correc nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan~es. Signature of Applicant ~ orrici: usi: oNt.Y I Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req . Updatetl 4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory' Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (En6re Bldg oniy) - Give PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft, PRV . Nbr. of Bldgs Length Fire Sprinklered Type ot Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , i . . , i 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN SZNGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIDNS 1 SET OF ENERGY CALGS ~ # OF RENTAL UNITS ~ # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MDNTH IN WHICH REQUEST IS MADE. ~ LOT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NIOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS ' DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. MAR 1 0 RECD jZ~z 000 To Be Used For: Valuation: ~ Date: S;ite Address OFFICE USE ONLY L,ot ~ Block ~ FEES Occupancy Parcel/Sub Zoning Actual Const VY B1dg. Permit ' Allowable Surcharge ~ Owner # of stories Plan Review ~12 D Length SAC, City loa Address Depth VS SAC, MWCC ~-00 S.F. Total Water Conn zS 11 City/Zip Code Footprint S.F. Water Meter D Acct. Deposit 3p Phone On site sewage_ 5/W Permit 3 0 On site well S/W Surcharge 50 Gontracto MWCC System ? Treatment P1. Z SZ City water ? Road Unit 3 5$A'ddress PRV _ Park Ded. ooster Pump _ Copies City/Zip Code SUBTOTAL ~ APPROVALS - Penalty Phone ' Planner TOTAL Council ~ z Arch./Engr. Bldg. Off. 16 Var iance a Address City/Zip Code Phone # ~ok J 2h c? 2 9~/d,sk S`l = ~l) 3 73_ S C4r G ~ ~ 3 zz~. Y z ~Vis~~sk3 -9U. CERT/F/CATE oF sr~r I ~y5"l I 3a . I 5 99° I4o'S3" E n 10 2 S. 33 i o W ~01 $~g~} 1..;~ > J yFi q5, i`El £9SS ' ,n 3~p~_+' p w ~~P a C~iQ L-- 'k;~;..,..•`.,#';" W rn T $ 17oe •t ' ' in U 0 rn 0 ~ 594.Oo 0 .Ji 0 Z 0 , ~ti- Z ~ i ~ o 30 pl J 5 89° Iv' S~" E i~ ~ 3 N ` h WESGOTT RoAO H D Scale: 1" = 30' E AGAN $Y REVIEWED D FAGAN. E1V IIVEERING DEP!' DAT£ V- / 0 ~9 D'-~ DESCRIPTION -_-y----" Lot I , Block 2 , / HER£BY C£R17FY TNAT TN/S SGPYFY, PLAN A4 REPART SUN= HILLS AM"I ION WAS PREPARfO BY M£ OR UNAER MY D/RfCT SYA°ERY/S/QN Dakota County, Minnesota AND TNAP I AA/ A OY/LY AEG/STER£D LAND Sl/RVE1'GW UNaER TNE LAIYS 01f TNE STA7E Lir M/NNESOTA. Plat bearings shown o Denotes iron mornunent nn (Existing) (Pro~osed') 8140 acrE 6 gat95b NO Ma brondt anginaaring P. furvaying 2705 uuoodr troil : burnivilla, minna-Oolo 55337 (bIZ) 435-1466 11432-343 -9U 1111JNt501A SIF1fE EWERGY CUDE CNLCUL/11IUNS . : BASED ON CHAPTER 5 OF THE " MODEL ENERGY CODE - 1983 EDITION Adoptlon Effective 11I11i Owner Phone Date ~ Site Address Contractor ej~ Phone Bullding Classtfication: Type A1 (Sfngte Famiiy 6 Duplex)ype A2(Residentlal) . • (3 stor(es or iess NOTE: Complete pages 3 and 4 flrst. . (Other) (Over 3 stories) GENERAL INFORMATION N ~ 1. Bul lding Perimeter~E~ 000-1, 6Hml#t. 2. Wall helgh[ (ground [o eave) ft. , 2 3. I. x 2. (above) gross wal l area -7 /~q 15,'1 ] ft. 4. Bullding dimensions (l) - X(W) ft.2 roof 6 floor area 5• Square foot area of rlm joist - Floor Joist slze (2 x lo- X Perimeter = Rlm joist area ft2 12 . . 6. Doors - A~ea I ~ Thickness in. U factor I~ ~~i • Type of Construction Perimeter ft. Manufacturer ' 7. Total door's perlmeter ft. ~ 8. Windows: ManuFacturer IN12V L~ ~G f1f-~r~J' State approved U factor TYpE SIZE AREA (Ft.2) NUMBER OF T07AL FEET 2 N EACH UNITS . 1~ A-~ 9. Total ft.2 Glass 10. Fireplace area; Width X helght = X = Ft.2 11. Exposed Foundatlon: NeiQht X Perlmeter~(J~~ X Ft.2 COMPLETION OF THIS FDRM IS RE UIRED FOR ALL ~A COfdTRUCT ON 19AJOR REMODEL NG ANb BUILDINGS BEI MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCEi IS USED. rraii y aiea - iwe u y uss waii aiea. r ~ 13. Gross wal l area Zq ! 1~ f t.2 Windo.r area A 3~7~-f' ~ j ft.Z U windorrs = P3~.4 U x A= Z7i(P7 Rim joist area A ~~q • 5Ti ft.z U rim joist 041 U x A= 4rqo y` Ooor area A' -1 iv ft.Z U door area =114_ U x A= (Pa w 1~.4Tfv~L~'. . ~ ~ ft. Z U~~;36e' = n~7 U x A= 3 I•'~l"~ ,a,'e. area A Exposed foundation A9 (O• ft.2 U foundation = 1010 U x A= 7~ 3 2J Framing area A ft.2 U framing area = r095 U x A= Net wall area A i Z' ft. U wall = ~~`1'7?'" U x A= V'l~ ! ~ (138) TOTAL . . . . . . . . . . U x A = Z I~~ ~I : 14. Gross wall area z 0.11 (A-1 single famlly & duolex = allowable U x A/Code (13. above) . x 0.23 (A-2 other residential) x .23 (Other 6uildings) x .28 (Over 3 staries) ' BTUH Must be larger thar A x U Code_~~~_ °~>Z 33~~. 136 above 15. Ceiling framing area (Af) equals 10% of ceiling area or the. same asJ 15A. Gross ceiling area =(l) x(W) ft.2 158 ' Joist area (Af) = lOro ceiling area = I Z 3 i O ft.2 15C. Net ceiling area (AC) (15A - 158) = ft•2 U ceiling x A c= p~ZZ x I c,8_ = 04, 3v U framing x A f= x_ ~ z~J = C. 1~~ 150. TOTAI'U x A L 1 I~ ~ 16. Ceiling area (15A) x 0.026 (A-1 single family 5 duplex - code allowa6le U x A, • x 0.033 (9-2 other residential)~ x 0.06 (other) ' BaUH 14ust be larger than •15D (above) A(15A) I Z~J ~ x U(codel= 3Z r 01 F (or the same as) NOTE: Use U and A values obtained from pages 1, 3 and 4.' CERTIFICATION: I hereby certify that I have,calculated the "U" factors and "R" values heren and that the bullding here described meets.or exceeds the State of Mlnnesota Energy Conserva[ion Act. ' Date $ignature ' . I , . : ~ _ _ _ . ~ - - . O'2 , _ _ ~ 5 - ~ - _ 0)l i~o'll ITc.-f ~f ~1- _ ___---~--~~F~~; , 1; , " . ~ ~ . . . . . Il p a62 ~ ~ -X _ , = 7(jj~~F~~-f ) ~6'~+; . , _ ' L _..1._._.-_~~ . . 'i . '.'ir. ..:f ~ j l ~I~ i' j~ ~ ~ h.~ , ~ ' i 5~:, . • ( a 1' r;1LVl U YILLU(: Inelde tlr Eilm .68 WALL Interioc wall •45 (Hall) U a R . SECTION ' Insulation Sheathing 41040 ' ~ • Slding ~ (01 ~ Ou[alde air Eitm .17 R TOTAL iI Instde.ait fllm ' .68 . STIJD Interioc wall •~j SEC'fION scud R= -k-;as LO0S (Framing)U.: R . ; Sheathing ~ SLd(ng . r-- Outslde air Eilm .11 R TOTAL Instde air film R= .68 ~ L Intetlot well SECTLON. Insulation (Wa11 ) U . R = . z ing , ~ Exterior wall co J6~_ Exterlor air film R=,17 ' R iOTAL . lnterlor air film R= .68 RlN Ic I Insuletion JO15T 'l~ Inch soft wood R=1,88 (Rim u~ Joist) Sheath Lng Z~ 06p f 04I ~ Exterlor vall eovering ~ . E:c[er[or air Ellm R-- ,17 R TOiAL zA i lntertor air Film R= .68 , lrtsulailon ~ ~ Fou~datlon (Fdn:) U - ~ = Exterlor a1r tiln R= .17 ~ F 'fOTAL J-a, ~ I - 1 \ ~xposed Bluck. -\~,rade 3. ~ . l.L1Ll11U Ill lll Ylllll.l/ 1: .L R '/ALUE ALUE ` _ • FRAMING CEILING + 0.61 Air Film 0.61 ' Insulation Joist r Ceiling . 0.61 Air Film 0.61 ~ ZI 10 Total R 797 U=~ roLZ a fLAT ROOF OR CA?HEORA4 CEIL[NG ' q R va ve R YALUE ERA611NG CEILIIIG. - 0.61 Inside air film 0•61 Ceilin9 • - Joist (stu Insulatlon Air space Roof decfcing insulation Built-up raof 0.17 Outside air_film 0:17 ' Total R ~=U R lindow lnfiltration .5 cfm/lineal fovt of crack 2eslifential door infiltration 0.5 cfm/square foot or door and minimum code requirement . •lon-residential door infiltrat.fon 11.0 cfm/lineal foot of crack )h 12" con u•ete block no insulation =.47 R 2.1 Jb 12" concrete block insulated cores =.26 R 3.8 1y 12" lightweiglit block =.32 R 3.1 , 1b 12" lighto-reight b}ock insulated'cores =.12 R 8.3 J single glass = 1.13; with storm talndow .54 • J double glass = .55 • 1 triple glass = .41 I11 exterior wails and cellings must have a vapor barrier (0.10 perm max.). , lapor barrier must be on the inside (heated side) of viall. iapor barriers of the polyethelene thin film have no R value. , . q. . II CTTY USE O1VLY • PERMIT#: RECEIPTDATE: 7^~iD QI MIDENTUL MECfi"CAI. PEAMIT Ai'PLICATIOR crrYoFE?em , . . . saso Pnor xxos gn . EA&RA MA 551EE 651-6$I-9675 Please complete for: ? single family dwellings to homes and condos when permits are required for each unit I~ Date: ~I SITE ADDRESS: .J l `J OWNER NAME: Y7'"~ TELEPHONE ~ (AREA CODE) STANDARD ;iECAT!!JG 8 AM COND{iidN11V6 CO. INSTALLER NAME: TELEPHaNE _ i (AREA CODE) MINNEAPOL.lS, MN 55408-2998 IP STREETADDRESS: 612-824-2636 li CITY'. STATE: ZIP: Place a check mark next to the ermit work type New resideMial dweNing unii under constructionand not ownerfoccupied $ 70.00 I - I ~ Add-on, modification or alteration to existin dwelling unit $ 50.00 , • furnace replacement • air exchanger • air conditioner • other / Nature of work: I Gc li State Surchar e $ .50 Tota I s~ ~ Reminder: CaII for insp"ections. ' I l/ ~ SIGNATURE OF P ITTEE Updated I/Ol I I CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COMMMC1AI. MECHkNICAI. PF"1T A"LICATION CIY'YUf EkBu4N 3$30 PA.OT KNOB iiD EABRft, MN 55122 651-6$1,4675 Piease compiete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WA5 THERE A PRE VIOUS TENANT 1N THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (ARFrt CODE) CITY: STATE: ZIP: WORK TYPE: New conshuction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of W ork: When instafling/removing underground tank, call 651-68I-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installarion = minimum fee Contractprice: $ xl%=$ (BaseFee) State surcbarge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/Ol ð ýüû þýýüûúÿðúÿÿ ùüüýýï íý ëýþ ëúù þáþ ëìëë ÿþ þý úùø÷öõô á ô ÷öõóò þ õô á î úÞî ÷öõîùãù ú óùðø çðóùðø úÞ î öò ý ë ùúù îõþûîó ëë ðèíôúàß ôáêæ å ÷ù úù üèäæ ìåëì öõô óò õõ ú ùðøüûáüàßâðþúùüþ ë úìôþáþ îõþîó ýüîó ë íëêë øöòü þõõþ ã ðþ ü ðõöò õõøú ãîþúùþöãýüé þå õõß ðúüù þþùöúüù 41#fr City of Ia,au 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit ft: Permit Fee; iso Date Received: c' 12-' Staff; 2012 COMMERCIAL PLUMBING PERMIT APPLICATION SiDate: (1 �1r� 2--' Site Address; `" X Pe -C LI E Tenant: Bch - VC) ZIC\ Suite #: PROPER Name; - +APhone: _�0.1 CONTRACTOR Name. v tt'Z ST?t_%0-P!It k 4i-6 License #; (14Agq "Pr" Address:QOS lit+ WOP 1 {J City: &-/ec�1— State:Mf Zip:S `(. i Phone:j1 —23 r is At Email 3PC YItJ l) G 7'1� s TYPE OF WORK New Replacement Repair . Rebuild _ Modify Space Work in R.O.W. _ _ T Description of work:2 LU - 'L vR� St , $ PERMIT TYPE COMMERCIAL_ New Construction Modify Space Irrigation System ( yes / _ no) RPZ I PVR) • Rain sensors required on Irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking uo meter. _ Domestic: Size & Type_ Fire; 1 Avg. GPM High demand devices? _Yes _No Flushomoters _Yes _No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x 1% Required - If the Permit Fee is lass - If the Permit Fee Is > $ Permit Fee on ALL new buildings and boulevard irrigation systems -, $ Radio Meter Read than $10,010, the surcharge Is $5.00 $ Meter(s) $10,010, the surcharge Increases by $.50 for each $1,000 Permit Fee $ State Surcharge (i,e. a $10,010.511,000 Permit Fee requires a $5.50 surcharge) Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply 8 Storage $ State Surcharge — = $ TOTAL FEE Ogg_ 6EFORE YOU DIO. Call Gopher State One Catl 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.00pherstate-one9Cll.ora I hereby acknowledge that this information is complete and accurate; that the work will be in d,n • man 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 w. N is of accordance with the ved plan in the case of work which requires a review and approval • pl x_‘S•ac+i\KO- c Applicant's Printed Name FOR OFFICE USE permit; that the work will be in Approv=d By: Data Required Inspections: Under Ground TRough-In Air Test ,-_;_Gas Test _Final PRV Required: Yes Page 1 of 3 Date: r City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (6511675-5694 MAY U 8 2012 Use BLUE or BLACK Ink For Office Use Permit #: /c2 7369 Permit Fee: 3 Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C8._ I a Site Address: 319 3 WC0-r1" +( I LLS DP Unit #: Name: % k i i' j06(%) los Address / City / Zip: �f Applicant is: Owner Contractor Phone: b3/-4')5 067 7 Description of work: 5i6t9E t\ CIjT P) N IS 44 Construction Cost: -11;a5 k Multi -Family Building: (Yes / No X ) Company: 'OLL-1 a: OCM -HO S Contact: STEV ROCK Address: 737 8 VW -re -HAW 1KD City: 3 4AKLS{'&E State: NW Zip: 55319 Phone: \ ' (03)AX-1-0800 License#: c�®d�� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for ad 'tional information) 13 n LT I)J c1 01.S Sup l/ •(D 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 Mime days of permit issuance. x Kul T OL -1 EL Applicant's Printed Name StaB .g Code must be completed within 180 x 4.0 leatAkillikda AppliTres ' • nab lr Page 1 of 3 c0t-f. H�fls b DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace �( Single Family Garage ( Multi Deck _ 01 of _ Plex Lower Level _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review _ Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement _ Move Building Fire Repair Repair (25%_ 100%4) Census Code # of Units # of Buildings Type of Construction 0 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final xFraming Fireplace: _Rough In Air Test Final 1 Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Aq--3'°q Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior _ Demolish Foundation _ Water Damage "Demolition of entire building - give PCA handout to applicant /L- OIN )-1./&7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required X Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath Brick Windows, /5:611.114,,c Retaining Wali: _ Footings Backfill Final Radon Control 1-2,-, Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 1/50-trYKIN.r ;-a705m7.47,,movils 61-0 x /0/02-0 Page 2 of 3 4,16 city of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: !0`03 cow Date Received: Staff: 2012 MECHANICAL PERMIT APPLICATION Date: C? - Site Address: � l 6 * ' j k Tenant: RESIDENT I OWNER CONTRACTOR TYPE OF WORK Name:, rc-N� Address / City / Zip: Suite #: Phone:w Th-)�� /�slb`\ ,\ >Or Name: �- ®1 C, ff,, License #: Address:, (b V \-4'k\ c.; G r -J1 IIq )/k City: State: Zip: S - (:). Phone: I Sv' �� /� �n 1� c' Contact: (' ,ti �. �� k Email: N L- k 2 f z �:. 1 1 S pV CC)r'\-.. New Replacement Description of work: g r` ct c" CLL _ Additional )( Alteration Demolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump X Other 65 cSQ Sk COMMERCIAL _ New Construction _ Interior Improvement _ Install Piping — Processed Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork. etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% =$ _$ =$ Permit Fee Surcharge TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for 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 whiefi requires a review and approval of plans. Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Applicant's Signature Reviewed By: Date: r City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /057 ` Permit Fee: oC) c 6 Date Received: Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �7 )0I. Site Address: Tenant: Suite #: RESIDENT / OWNER Name: 17011)' 6 CJT C[�/1 Sfifo( Dr) -- �/T- Phone: ,__-• �d.T - 0---2O 6 _761 � 3 Address / City / Zip: 3c/73 i 3 ' W/ c S rol--/- ()LS D r t CONTRACTOR Name: M Si e ) [iii j/1 \ License #: 0 6 55 O-1 Address: 3J /? 1 id L4 1.-/-0City: r`, d -. (a kc State: r ----)1V Zip: S'53-201, % Phone: 6/^ D., 0 - q6s V Contact LC3DnaI(Ci Email: U hLp/I7 e 6i -011_00i-1 TYPE OF WORK - — New _ Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ Description of work: / 2 /64/d h 'k-- y i',0.-1/ J t jam_. PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) f Add Plumbing Fixtures ( Main / 3 Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee 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 per - k will be in accordance with the approved plan in the case of work which requires a review and approv Le -aVc Applicant's Printed Name Applican 's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In _Air Test Gas Test Final City of Eagan PERMIT 41' City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Building EA146660 11/06/2017 ePermit Site Address: 3793 Wescott Hills Dr Lot: PID: Use: 1 Block: 2 Addition: Sunrise Hills 10-72982-02-010 Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: Windows/Doors Replace One Window/Door 434 - Residential Additions, Alterations 0 Construction Type: Occupancy: 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 Fee Summary: Valuation: 500.00 BL - Base Fee $500 Surcharge - Based on Valuation $500 $40.00 $0.50 0801.4085 9001.2195 Total: $40.50 Contractor: Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 - Applicant - Owner: James S Douglas 3793 Wescott Hills Dr Eagan MN 55123 (651) 274-0247 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173842 Date Issued:12/07/2021 Permit Category:ePermit Site Address: 3793 Wescott Hills Dr Lot:1 Block: 2 Addition: Sunrise Hills PID:10-72982-02-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - James S & Kimberley Douglas 3793 Wescott Hills Dr Saint Paul MN 55123--229 Residential Heating & Air 7454 Washington Ave S Eden Prairie MN 55433 (612) 724-1899 Applicant/Permitee: Signature Issued By: Signature