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3932 Stonebridge Dr N*1' City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: (/4v7 Permit Fee: G .' Date Received: Staff: J17 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: J/'/9,///15 Site Address: Tenant: /2 ©1 IF / Ci /C P JJ 64-,219 Suite #: RESIDENT / OWNER Name: %n G r ZO C/ P../...r, rY 2 L2 Phone: t Address / City / Zip: 7.932 S�O16� 8'2 PZ( CONTRACTOR Name:</ J / /'f d `1"-/ / i7 f ib License #:tra9 72 6,1 rill Address: 7/ y� L1 << C i'9. 14°' / ,4-�P. City: /2(C4 4'(e/Q% State: M '`) Zip: ff P1e% Phone: G (Z - 2v3 '-3',Q Contact: (1014_/Z L Email TYPE OF WORK New - Replacement Repair Rebuild Modify Space Work in R.O.W. / _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener pWater Heater Add Plumbing Fixtures ( Main / Level) _Lower Lawn Irrigation (_ RPZ / PVB) _ Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 notstart 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 Ian jd /711Lii 6 ^-f Applicant's Printed Name pplicant's Signature . _ . , „ . _ . . _ ~ . _ . . - . . . . . - ~ SEWER & WqTER PERMIT e O FIC~ P U E ONLY ~ CITY dF EAGAN METER # 7 T 7 Z~ERMIT DATE 03/14/91 3830 Pilot Knob Rd. cHtP # G L?4 ytV7 Ea gan, MN 55122-1897 PERMIT # 11 3 METER SIZE /?at~( h ".p, RECEIPT # D14 DATE HAR 12, 1991 ISSUE DATE S~3' B.P. RECEIPT DATE 03 12 91 _ PRV _ BOOSTER PUMP SITE ADDRESS 3932 BTONEBRIDGE DR N PERMIT REOUESTED LOT 8 BLOCK S SEClSUB HILLS OF STONEBRIDfE I-SEWER J~-WATER _ TAPS APPLICANT: ADDRESS: - - COMM/IND x RESIDENTIAL CITY, STATE ZIP X NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: THOMP$OH PLUHBING Ah f-0 i Meters on Water Line. ADDRESS: 15001 MINNETONKA INDUSTBIAL RD C it WILL T, given (or Qe ucy a CITY, STATE NZ~ETQ~ ~ Z?P 55343 + PHONE: 933-7717 X I A REE TO COMP Y WITH CITY OF OWNER: gRENTWOOD H4MES EAGAN ORDINANCES ADDRESS: 1564 i) UNIVE1tSITX AVE CITY, STATE ST PAUL MN Zlp 55104 PHONE: 646--6529 SIGN TURE WHEN METER ISSUED -;;"cx r. ! ~ • . / PS~' ALLOW TWO WORKING DA4FOR PWOCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ' SEWER PERMITS, CONTACT ENGINEERING DEPT. .I ~ SEV4R 8r1~,~1TER PERMIT OFFICE USE ONLY I CITY OF.E~AN 3830 Pilot Knob Rd. METER PERMIT DATE 03% 14/9 i Eagan, MN 55122-1897 CHIP # PERMIT # L4 2 METER SIZE B.P. RECEIPT # DATE F]AR 12- 1991 ISSUE DATE B.P. RECEIPT DATE 03/12/91 PRV _ BOOSTER PUMP SITE ADDRESS 3432 5TONEBRIDGB Dlt N PERMIT REQUESTED LaT a BLaCK S SEC/SUB HILI.S 01P S?ON&BRIDCB X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL : CITY, STATE ZIP X NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: T'~~s~ ~Ah d Ofi Domesti Meters on Water Line. ADDRESS: 15001 MIIiMETOpKA INDUSTRIAL RD Cr dit WILL QT given f~5r Dequct,.Metn. CITY, STATE ~ ZIP 55343 933--7717 PHONE: I A REE TO COMP Y WITH CITY OF QWNER: aBEKriIQQD HOilES EA+GAN ORDINANCES ADDRESS: 1564 iiI UNIVSftEITY AVE CITY, STATE St PAM MN Zip 55104 ~ PHONE: 646-6529 SIGNA7URE WHEN METER ISSUED I PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ~ SEWER PERMITS, CONTACT ENGINEERING DEPT. • . . DATE: MAR 14, 1991 3932 STONEBRIDGE DR N(BRENTNOOD AOlE3) RE: x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE 5URE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8 Water Permit for the above property cannot be compieted for the following reasons: ' Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. J~ . . . •-R ..s--. . . . . R . . . . . 7. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE 3^ 1 ~ 19-i-- ~ ~L i-r AMOUNT 33 ~ b DOLLARS a c&%+ ~aiecK ~ 177 dFUNO OBJECT AMOUNT : Thank You BY ~ ~ 12477 Y@Go--4%o*V C"„ ~~t C40Y • • CITY OF EAGAN 18777 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 ` BUIIDING PERMIT Receipt # ' To be used for ST M/GAR Est. Value $104111000 Date MAQ 12 , 19 91 ss 3932 8TQIlEERIDCB Dx R 5ite AVre elock Sec/Sub. gIL~ Ot OFFICE USE ONLY Parcel No. SIONEButocz occupancy R-3 16-1 FEES Zoning W Name ~sABN'f1i00D ti0!!ES (ncn,ao const Btdg. Permit 654.00 ~ Address i'~ AVZ M (ab,,,a,la) Y~ 52.00 p surcharge City A Phone 129 # °f $tO"eS Plan Review 425.00 L~~ . ~ Deptlh SAC, City 1~•~ , g Name ~Addfgsq S.F. Tolal - SAC. MCWCC b~•~ ~ C12y PhOI1B S.F. Footprinis _ "0'00 On Site Sewage _ Water Conn , W Name On site weu waler Meter ~ ; Address MwcC Sysiem ~ 30.00 g W Ciry Phone Gty water ~ ncct. Deposit 30.00 PRV Required _ S/W Permit I hereby adcnowlege that I have ad thi application and state thaNthe Booster Pump - ~yy ~r~ye informatan is corr and agr o cpm y with all appl able St e of 276.00 Minnesota Statutes d Cit~ol E g~p.Or ances., Treatment PI ~ " Signature of Permite - ~ APPROVALS Road Unit 3T0*00 A Building Permit is is ued to: Plarmer - Pazk Ded on the express condition that a11 work shall he done in accordance with all Council _ app6cabteState of Minnesola Stalutes and City of Eagan Ordinances. gldg, pry. _ CoPieS Building Official ' Variance - TOTAL 3,337.50 . PKmlt No. PWmit Hoift Dsb TeM{Mwe» WATER SEWER aLuMewc 9.3 - I ~ g~ ~ o 0 KvJLc. eLEMIc llllvhl rap.eYon o.a coWNF#Wft Foo*gs I lu Fouidamon Fiaming Roofirg I ~+g?+ P". ~ - - Rxo ?+g• ' -°i -`1 ~ f ,Y1 • 1 / ~ I laLr. l l!].~S . , FmW Hog. FoW P"- conx. Mers? PWg. lnspecW - Notitr PN,mber ~ Engr./Plan Bldp. Final ~I DeCk FV. Deck Final VVetl R. Diap. - -91 Z - Citp of (eagan ~,~rhurtrt ~f ~uitdiag ~rrtian Tkfs Certifroau lssue,d prrrsuant lo d`e mqWmmmb ojSerliow 306 ojlhe unifon,r BuiVng Cak artifjkg tlrat at !he linu of tssumra thisstiuctun wvs in campliana w*h 1he Narious ordinanors ol the CZY re8uladn8 b:u7&v awuducYiore or use For dre Jo!lowing. Uk Owmmamio. Sg an..rar cm sdt- Ebmi No. 18777 O-pmT5'0c R3 * N J Zo&i Dimiet EQ Tjpe C••w VN ~ Ow-o[9ui6"-~,{A=-umS Addac 1564 MMM$M ANE tiIT, Ri' PATII. B.umAd&= '3Q39 4"Ma+4lTnr3? IgjM. N,L,,Wq i13_ R5, HTil S[p SToN4'.EiI2Tnr.E _ ~ p,~ ~17f91 ~ Posr w w con4sPWous PucE ~j REQUEST FOR ELECTRICAL INSPECTION EB-00001 08 No Sae mstmctions lor completug this brm On back ol yeilow copy 6 8 8 2 8 W "X" Below Work Covered by This Request '~•W~ ew AyJ Rep. ~ TypeofBmldmg AppliancesWired EquipmenlWired Home Range Temporary Service Duplea Water Heater Elecinc HeaLng Apt. Budding Dryer Other(Specdy) Comm/Indusirial gFurnace X LIGHT FIXT R Farm An Conditioner Othar (speuly) Contmctor5 Remarks Compute /nspection Fee Below: k Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 10U- I Amps Signs Inspecmrs Use Ony OTAL vngation Booms 67.50 SpeCial Mspechon Alarm/Communicallon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS I, the Elecirical InspectOr, hereby Rougn.in oaie '~U~/ certify that the above inspechon has Fnal oeie been made. ' , Q OFFICE USE ONLY This requesl vaE 18 monms Irpn , - /oo~vv a 47259 , ' Repuesl Dale Fre N. Rough-inlnspeciwn aquired7 ~eatly Now ? Will Nat~ty Inspecfor ? Yes No When ReeGyT IX-licensed contractor O owner hereby request inspection of above electrical work at: Job Atltlress (Street. Bw ar Fowe No ) City 3 3~ f6Ri~ Sedion No Tavnsbip Name or No. Range No Counry Occu0anl(PRINT) Pnone No ~Yzu EG K n/Tdrlod F.f Pawer Supplier Atl-ress AlSoKo Elecvmal Convacmr ICOmpany Name) Convxtor5 Lwense No G O Mailing AOtlress IConiractor or Owner Making InstallaUOn) ~ ~ Awno zetl S~gnaWre ICOmracior/Owner Mak~ng Ins~allauonl Pnone Number f90 - SS S' MINNE50 4 STATE BOARO Oi ELECTHI Y THS INSPECTION REOUEST WILL NOT Grlgpa-MlEway BIOg. - Room 5-173 9E NCCEPTEO 6Y THE STATE BOARO 1831 Unlvenity Ave, St Peul, MN 55100 UNIESS PFOPER WSPEGTION FEE IS Pfwne(611) 602-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION "7'.~ eeaoom-0e I 7 1~Se inshmclions foraompletuy Nis lorm on Oack ol yellow copy. a 47259 ~ y/"X" Below Work Covered by This Request ew Add Rep- - TypeofBwlding AppliancesWued EquipmeniWrted ' Home Range Temporary Service Dupiex Water Heater Electric HeaUng Apt. Building Dryer Other (Specify) COmm./Industnal 'Fumace Farm Air Conditioner Omer IsVeciM Contractor's Remerks', ~'7zF"j cX f- i.?sr~ Le~G S~co.~p~~ Compufe Inspection Fee Be/ow: (j ~l L # Other Fee # ServiceEntranceSae Fee X Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps Signs Inspector5 use oniy. TOTAL IP Irrigation Booms ~J SO Speciallnspection ~ AlarmlCommumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby RovgRin oaie certity that ihe above inspedion has Fmai ! oaig~ been made. OFiICE USE ONLY This repuest wid 18 rtwnlhs irom . CITY OF EAGAN Np ~ 8~~~ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt x G Tobeusedlor SF DWG/GAR Est Value $104,000 Oate I1AR 12 ,~g 91 Site Address 3932 STONEBRIDGE DR N oFFICE uSE ONLv Lot $ Block 5 SeGSub. HILLS OF Parcel No. TONEBRIDGE acuPancy R-3 li-1 FEFS Zoning PD a Name BRENTWOOD HOMES (AcluapConst V-N Bldg Permit 654.00 w ~ Address 1564 UNIVERSITY AVE W (AUOwable) -Y--N Surcharge 52.00 ° City ST PAUL phone 646-6529 x of stories Lengih 481 Plan Review 425.00 , o Name SAME Dapih 40'. SAG City loo. nn AddfCSS S.F.Tolal _ ua SAC,MCWCC 650.00 ¢ City Phone S F Footprinls - 0 On Sne Sawage _ Water Conn 660.0 ~ Fw Name On 5ite Well - water nneter 90.0 0 Address Mwcc system ~ qccL Deposn 30.00 Q City PhOn@ tyWater aw PRV Required _ S/W Permit 30.00 0 I hereby acknowle e ihat I haVe, aedyhis applicahoAM slate ih e Boosler A~PROVALS Pump - SnN Surcharge .5 inlormalion is corr t and agre t or7 ty wnh I a SI teof Mmnesos ntl Ciry of E ga Or ces. Treatmenf PI 276.00 Sgnature ol Permitc+S' Road Umt 370.00 BRENTWOOD HOMES Pianner - park Ded. A Building Permit is i sued to: on tha ezpress condition that ail work shall be done in accordance wilh all Councd apphcable State of Minnesota Statutes and City of Eagan Ordinances. gldy pti _ Copios Bwlding Otfitial T, ~y~aea._I nl~ Variance _ 7p7qL .7 ~ 337. 50 ' Address:3932 STONEBRIDGE DkIVE N. Lot g Blk 5 Sec/SubHIITS OF STOTIEBRID(E These items were/were not complete at the time of the £inal inspection. Date: 5/17/91 Yes No Final grade (6" from siding) - / - Permanent steps - garage Permanent steps - main antry Permanent driveway VII" Permanent gas Sod/seeded grass ' Trail/curb damage Porch ~ Easement finish Deck Pleasa verify vith tha builder tha removal of roof test caps from the plumbing syseem and the shut-off of vatar supply to the ovtside lawn faucet before freeze potential exists. olz nartxmrua White - City copy Yellow - Resident copy Pink - Contractor copy ~/io 9/ /o0 7~0 a 6' 828 ,f 5. ~ o0 Repuest Data Frta No R -in Inspection 4- 8- 9 1 R retl+ FafltlY No`}CR~ Notify eaeyPeclor Ves ? N. ~ licensed coniractor ? owner hereby request inspection of above electrical work at: Jo0 Atltlress (SVeei. Box or Poule Na.) Qy 3932 STONEBRIDGE DRIVE N. EAGAN Seclion No. I Townstiip Name w No Fange No County DAKOTA Occupant (PRWT) Phone No BRENTWOOD HOMES Power SupPlier pdEress DAKOTA ELECTRIC FARMINGTON, MN. Elech¢alConVactor(Company Nama) ConVactors Ucense No. MIK-LYN ELECTRIC CO., INC. A 40329 Maibng AOdress (COnhatlor or Owner Making Installalmn) 5 JEFFERSON Y. CHAMPLIN MN. 55316 IhonzeC 5 nawra (COnv tovOwner MaW In Ilatio Phone Number 421-7714 MINNESOTA STATE OARD O LECTRICRY THIS INSPECTION REOUEST WILL NOT Grlpgc-MlGway BIEg - qoo 4]3 9E ACCEPTEO BY THE STATE BOARD 1821 Unlvarsity Ava., St. Peul, MN 55104 91- 0 9 8 UNLESS PROPER INSPECTION FEE I$ Plwne(61Y) 6C2-0800 ENCLOSED. ~ For'Oflice'Use I ~ i~&d7~ ~ I Permit#~ I City of Eapn ~ Permil Fee. C~ I 3830 Pilot Knob Road I I Eagan MN 55122 I oate Received: Phone: (651) 675-5675 ~ j Fax: (651) 675-5694 i Stan. ~ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:I~YC U-6 4 SiteAddress: StavV , ~ ric(~t Pr Iv~ Cq~aw rlV) Tenant: Suite t1: RESIDENT / OWNER Name: k-F W~eY~ ~iQ l`~~ Phone: r05 1 y~2 Address/City/Zip: '1_I?72 CONTRACTOR Name: 0 (.U?l{i" License#: Address: Ciry: State: Zip: Phone: Contact Person: TYPE OF WORK X-New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: . PERMIT TYPE RESIDENTIAL , Water Heater _ Water Softener ~ Lawn Irriga[ion Add Plumbing Fixtures C__ F1PZ 1_ PVB) L_ Main, Lower Level) Septic System _ Water Turnaround New Abandonment RESlDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) x$30.50 Lawn Irrigafion, (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 Staie Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etcJ (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge ihat this informabon Is complete and accurate; ihal the work will be in conformance with the ordinances and codes of the Ciry of Eagan; that I understand this is not a permit, bul only an applicalion for a permit, and work is not to staA without a pertnit; ihat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x I Z Lf w 9,0Y' 1"v x `"U -A `N f"C/ V l Applicant's Printed Name Applicant' Signature FOR OFFICE USE' Reviewed By: . Date: '.r . , _ ~ , s ~ ^ Required:tnspections ""UnderGround; =Rough In AirTest` Gas,T,est =Final -r; RESIDENTIAL BUILDING PERMIT APPLICATION ZS CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements RemodeVReoair Reuuiremenh • 3 registereA site surveys showing sq. fl. o11aL sq, R. of hause; and all roofed areas • 2 cropies of plan (20% maximum bt coverage allowed) . 7 set of Energy Calculations (or heated additions • 2 copies of plan showing beam & window sizes, poured found desgn, etc.) . 7 site suney for extenor addi6ons & decks • 1 set of Eneryy Calalations . Indicate if home served by sephc system for addi[ions • 3 copies of Tree Preservalion Plan it lot platted aRer 711/93 . Rim Joist Detatl Oppons selection sheet (bldgs with 3 or less unAS) DATE Al _2 2> - O Z VALUATION SITE ADDRESS MULTI-FAMILY BLDG _Y _N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT~ 57 0 n /Coo'O- ~eM oole.Ii~?~ STREET ADDRESS S 3 3 7~fG; CITI(Sy/,, LAA'<P,tSTATE//ZIP SS 9'3 'Z TELEPHONE#G/1 67 CELLPHONE# 612'S/';2 -yy9~ FAX# 'j PROPERTYOWNER I`ZoI7t' ~ o~ ..s u ai'c7/ TELEPHONE# l5l- `~52- 3~5/ T ~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yIIN~~ESO"CA R[iLES 7670 G\"PliGORY l MINNL•'SO~1:A RUI.ES 7'7_2 (d submission type) • Residential Ventilation Calegory 1 Worksheet SubmRted • Epnergy C3d~ WOrks eel Submi[ted • Energy Envelope Calculations Submitted D Ib " U ~ I OCT 2 8 2002 Plumbin Contractor. h ~n " I 9 P c c # Plumbing sys[em includes: _ Water Soltener _ L1wn Sprinkler g„ Water Heater No. of R.I. Batlis No. of Badis Mechanical Contractor: Phone # Mechmlical systcm includcs: _ Air Conrlilioning ['ec: $70.00 Hcal Rccovcry Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SfgnafureofAppllcant i ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4I02 OFFICE USE ONLY O 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulfi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? OS 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Dram Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ A'v/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 MGES SAC City SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . I • 1 ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SZNCLE FAMILY DWELLINGS TNLTIPLE DG,TELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTllRAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERG] CALCS # OF RENTAL UNITS # OF FOR SALE UNITS YENALTY APPLIES WF1EN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEF'ER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. oda 3 ~ ~91 To Be Used For:S1f"~G~-~FA''"Al~- Valuation~~- Date: 39n f`{EbR~ C>Q.. 0 , Site Address :.FiC+L~+-7 OFFICE USE ONLY Lot U Block FEES Occupancy A-3 !f7-/ 1I Zoning ~ Parcel/Sub ~r{(.J,S ce- 2rCNQ>Actual Const y/t/ Bldg. Permit Allowable AV Surcharge S z Ohaner~~"['wQ°D ~~S # of stories Plan Review ~/zs Length //g SAC, City /00 Address I5G4 UH i VEkS i TY AV4c• V~• Depth I/(J SAC, MWCC lo5-O ~T ^ 1 S.F. Total Water Conn 660 City/Zip Code A-U ~ f4 Footprint S.F. Water Meter ~ Acct. Deposit 30 Phone ~~C72Q On site sewage_ S/W Permit 30 On site well S/W Surcharge 1 15-0 Contractor SPMC- MWCC System ~ Treatment P1. ZP6 City water v Road Unit 3~)1J Address PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ TOTAL Council Arch./Engr. Bldg. Off. Variance Address Ci[y/Zip Code , 26 ~ ~zY a;s~ r~ • . 3 z -2 2X zo. 3 ~ 3 d- j ~ z~/,rzb = Gzy z,r (6 = 3 z zZ,r y0 = ~~0 1 5 3G X 5 3~ 1/08 1 Gsr f/, / s 3~ 33s, s . ' . Certificate of Survey for: vJ'GR-.fl ~ SURVEYING SERVICES INC. : : , . 3730 Rlof Knob ROad B RE N TWOOD ' EaAan. Mirnewto 55122 - `612) 452 - 307 HOMES, • INC. DfHWrN }NYf•0 VTllliY [Af(Y[MTf AMl ~ J 9 ~.rp O _J w0 C4T[D t.NONAOJOWINwIOTZIIN[f A MO 10 /[[i NI WIOTw AMO AO~IOIMIMO STII(LT t111[l, Af fM09M OM iM[?LAT. ' < a~. ra9 Ga e E<;.lthg ~ V • ,Y , V ~ ' KOUSE 'A i h ~ p c. / ; ~soF~y \ ~ Ci yM1,39 ~~Y' ~i le h4 l.l"r~~ \ / 7o Nub , To Hu6 i 904.05 , .1x4a8.45b't VA. x9a9.'f \ LoT 9oY.q ~ To ~A ~ ~.-d 3s.~ \ k x9as0 ~ N c/U Vk,~ G~` EV} 1 r'1 r' 1 R CW ED z~~ BY N F,., , A g5, ~b K/ -LEGEND- E11,GAN ERIGIiVcE'XP3.r-. D-H o Denotes Iron Monument PROPOSED f,ARAGE FLOOR ELEVATION= `11I.0 o Denotes Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= 914'1 „9t2.9 Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION= `110,-i w! s~W„) Denotes Proposed Spot Elevation ~xo Denotes Drainage Direction *NOTE: Verify all Bldg. Dimensions and~ Floor Heights with Final House Plans. -PROPERTY DESCRIPTION- -SURVEYORS CERTIFICATION- LOT 8_, BLOCK I hereby certify that this survey, plan or _KLiA-S oF SToaEBAJoGE report was prepared by me or under my di9ect supervision an~ that I am a duly according to the recorded pl;Re istered Land Surve or under the laws of the State of Minn sota. ~Yf • Af V~C Q.•:t~Sl.;~ _Qle d _.__County,~hlinn~~~t~abES • _ 4 Date: : t) 14G75 _ ~~^;Wayne D. Cordes, Minn, Reg. No. 14675 R~ `•`'~~+,i' w. QtJ i ' 3 S 9( S~i µowS~- ~ E~ , 1•.r:rn~e~nxan~~~ ~ EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION • owcaEx TV~IoOD 4-~IvMES oF ~IP~S, Irlc • ' . SITE ADDRESS ZP 32 ~Td(~EC?~I~GE ~F'' ~ • ~ AGA-I~ CONTRACTOR 1A'-~ SDATE b 91 PHOIIE ~o'7~P - CO`~J Z 7 Determine working square footage of each. 1. Total exposed wall area 2_sq. ft. X.II -_-J ~13(0 2. Total zoof/ceiling area sa. ft. X~02(G - '?G •9 J A. Total wall window area rLr7 ! B. Total door area................................. C. Total sliding glass door area D. Total fireplace wall area E. Total wall framing area (average 108)........... F. Total Rim joist area 1995 G. Total Net wall area above floor.••••••••••• Total exposed foundation area H. T'otal foundation window area O ~ i. Total net foundation area above grade........... Determine "U" value of each wali szgment. a. 257 X ~.U- .?J~ _ ?~~~OY~ b._:52_-) % "U- ~ GrP-7 = L.r'Jy ~ X ,.U„ , S'o = 20.00 - C. a. 12 X ,.u„ , pb-7 _ ~81 e. 222 X„U., , ip~ = 23,31 f. 1-7-7 X ~v- ,024 = 4,~ g. I 9 X.,U„ , 044,(:~, = 9? .17 n. - x .,u,. i. 9 5 x..Ull ~ 107 _ 10, l(p 3 ...................................Tota1 = 2 ~.t/•~I ' If item k3 is the same as, or ]ess than item ql, you have :net the intent of SoC 6006(c)2. • J. Total exposed roof/ceiling area = - 1558.Qo j. Total skylight area ~ k. Total roof/ceiling framing area (average 108)....... - 1. Total net insulated roof/ceiling area ..............1,!>64 Determine "U" value for each roof/cei2ing segment. j . X ..U.. k. 154 x °ol• ~025 3,85 1. f'J84- x ^oll .d21 = 29.0:;2 4 .....................................TOta1 = 3 Lq I If total of k9 is the same as, or less than k2, you have met the intent of SBC 6006(c)1. Alternate Huilding Envelope Design ib utilize the total envelope system method, the values established by.the sum o£ items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. ' + 2. _ 3. + 4. - • WALL SECTIONS , NOTE: Use 15% of opaque wall area for frame construction R-VALUE 1. INTERIOR AIR F7LM n FR Z 2. 1/2" GYPSUM BOARD 3. 5 1/2" SOFT WOOD 6 4. z' S HTG O . 3• • 5. __WLUD SIC)O (e7 q, 6. EXTERIOR AIR FILM ~ 17 5. R-TaraL ~15 6• V- roca L, 105' EIG. #1 TOP VIEW OF FRAME 1. ZNTERIOR AIR FIL[+1 0 68 47ALL 2. 1/2" GYPSUM BOARD 0.45 3. 6" FIBERGLASS T_*:SULATICN 13.00 4. _1_72 S?ITG • - 1. 5. INOCO n~I,DIr1G 0.6-( 2. 6. EXTERIOR AIR FIIM n i7 FIG. #2 \ 3• R- TOTAL 21,V-) 4. v- rm At , 04 b 6 1. INTERIOR AIR FILM p~_ 2.l'Z' FIBF.RGr.aSS iNGrtr.nmrnv B pp 1 3. 1 1/2" soFm wmn 1 nR r 2, . 4. 'Jzw SHrG o.(o(o 3. 5. _1/2' W= SiDIri& 647 ~ 4' 6. EXTERIOR AIR FILM 0 i2 5• 6. R • TOTAL 4'1-. b(~ V-T~, aL ,O2~ . , - 1. 1, Z. 1. INT .RT(1R ATR FTj,M 0-6 3• 2. FZBERGLASS INSULATION 6.Do 4• 3. 12" CONCRETE BLOCK 1.28 5• 4. WATERPROOFZNG 0_77 ~ ••o ~~,~~GL 5. EXTERIOR Aitt FTrM 0.17 ° . R- ZYYi'AL 8.3 U V-T~AL ID-I SLAB ON GRADE FIG. k3 • • a GL • . ' . , e' • . .'a • ~n L FIG. p9 6 ' O . ^ L ~ - NOTE: Indicate t ` YPe, "H" value, depth, and placement of insulation. I ~ ~ ' FIG. #5 . ROOF/CEILING CONSTRUCTION (Use for item L) 1. INTERIOR AIR FILM 0.61 3 9 2. 5/8" GYPSUM BOARD 0.56 3. FIBERGLASS INSULATZON .4~j~ ' 4. EXTERIOR AIR FILM (still) 0.61 VENT ~ _ R-1C)TAL Q(p7g i z ~NTED ~ HEAT FLOW ~p CEILING ERAMING (Use for item K) 1. INTERIOR AIR FILM 0.61 2. 5/8" GYPSUM BOARD 0.56 3. 3 1/2" SOFT WOOD 4.38 4. = " INSUL. ASOVE FRMNG. -~9--5E129, SD 5. AIR FILM 0.61 r'IG. #6 2- TOTAL --v= V - TorA L , ~ Z -~`j " ~ '~.a'~o8',~n•aa~,.a"sCn's.'oP St4~s4 ~ I 1, INTERIOR AIR FILM 0.61 I 2. 5/8" GYPSUM BOARD 0.56 ~3. FIBERGLA55 INSULATION 4. EXTERIOR AIR FILM (still) 0.61 l fZ- 1Y)TAL 1 2 3 4 v - rm-k L 4 HEAT FLOW VENTED UP FIG. #7 1, INSIDE AIR FILM 0.61 3 Iq 2. 3. 9. S. OUTSIDE AZR FILM 0.17 TOTAL V- ToTkL HEAT FLA47 UP CITY OF EAGAN FOR CITY USE ONLY . 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O O O MECHANICAx.`'Y$It~T'~ DATE: 9 E~S~DE~`TTTAL:~ PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 . TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME:~-r ~ - \ SUBTOTAL: $ ~ ~ SITE ADDRESS; STATE SURCHARGE: .50 LOT: Y BIACK ~ SUBD. TOTAL: INSTALLEfi r INC. ADDRESS : 9303 PlyR10lltI1 AVE. N0. SIGNATURE OF PERMITTEE Golden Val!ey. MN. 55427 CITY: ZIP: PHONE COMMERCIAL%ZNDIISTRTALt PLEASE COMPLETE THIS PORTION FOR ALL COMMERC"LAL/INDUS'TRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PP.OCESSFD PT_pING - $25.00 LOT: BIACK _ SUBD. $15.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ' CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMZT PHONE: (612) 454-8100 RECEIPT #/0d~ PI.UMBING p~~SIT DATE: y/3/'`'1/ I~$TpE37TIAT.:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST _ ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 'CK~ REPAIR _ WATER CLOSET 3.00 la,00 I BATH TUB 3.00 3,OC LAVATORY 3.00 Ia, ll OWNER NAME: _LYerr~""'c'-rA Fzc1m~S I~ KITCHEN SINK 3.00 3,00 SITE ADDRESS: ~UNDRY TRAY 3.00 IV O• HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 :5,0 c~ LOT:~ BLACK ~ SUBD. ~ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ~I \VYY1a~~n~tl~r5~~-,~r~c. ~(1('~ I (MINIMUM - 1) 3.00 3,oc~ ROUGH OPENINGS 1.50 ADDRESS: ~51~v\ OTHER WATER SOFTENER 5.00 CITY: 2IP: PRIVATE DISP. 15.00 PHONE el~d~' 'ylrll`~ - U.G. SPRINKLER 3.00 ~ SUBTOTAL S 40• SD ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S 41, On COMMERbiALjINDUSTRIAL:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ° CONTRACT PRICE; FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: F.ACri $1,000 OF FERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 2007 RESIDENTIAL MECHANICAL PEUMiT nrrLicaT?orr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 „ Telephone # 651-675-5675 Plca~c cumplete tbr: single family dwelhngs & townhomes/condos when pennrts am mquved for each unrt Uate ~ / 31 0 Site Address 3?10~ fl,Q byJ~~j Pk I Unit tS Property Owner I'elephone#( //Q) % 5oZ Cuntractm' ~y~I Sh-cet Address .&~4 /NCi, ` City G State 'Lip '1'elephone# ( 3) Bond H: Gxpires: "fhe Applirnnt is _ Owner Contractor _ Olher Fire repair (replace burned out applianees, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building AQd-on or Alteration to existing dwelling uni[ $ 50.00 ~ furnace _Additional Replacement _ New /air exchanger ? air conditioner heat pump other St:itc Surcharge 5 .50 I'otal $ ~ I hereby ,ipply for a Residential Mechanical Permit and acknowledge [hat the information is complete and aceurate; [hat the work will he in confoimance with the ordinances and codes of the City of Eagaii and with the :vlechanical Codes, that I understand this is no[ a panmit, but only an application for a permit, and work is not to start without n permit; that the or will be in accordance with the :ipprov d plan in the case of work which requires a review and approval of la s /~n GerfG~ili M1E APPlicant's Printed Name ' Applicant's Signature JUN 0 5 2007 r For Office Use • 13/q31j2 ik ' , , ::: : D-D Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinainspectionsAcityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 1"\ S 67- Phone: -/` Resident/ /\_)Ownr Address/City/Zip: 39 3 2 5 n Q f\ OK �� (l A ;4.S aj Applicant is: Owner Contractor T e of Work Description of work: 03\ cleCX-3 P YP Construction Cost: /0 ZYDIED Multi-Family Building: (Yes /NO( ) Company: arc, c � �2�'d c S L1(-Contact: ContractorAddress: 7Ct3L7 Ke, �ett� City: �:'�' C�(b UR_ (4S Vt4 CM-71 State: AO Zip: 5"-S7 7 Phone: 6S1 3-11,Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you stbN#are considered to be public information. Portions of the radon maybe classified as n ffyou"provide specific reasons that would permit Meaty to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.aoaherstateonecall.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 ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o • . tidx Applicant's Printed Name App icant;/ ignature