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722 Summer Lane SEWER 8 VUATER PERMIT ~ OFFlCE USE ONLY ~ CIYY OF EAGAN METER #:Y a!t 7A PERMIT DATE 8/2/$9 3830 Pilot Knob Rd. 107d3 Eagan, MN 55122-1897 CF+iP # 9g 3 7 9.Z PERMIT # METER SIZE ~ B.P. RECEIPT # G 3234 ISSUE DATE S% B.P. RECEIPT DATE 8/ I/ 89 DATE xx PRV - BOOSTER PUMP SITE ADdRESS z 4t PERMfT REQUESTED LOT BLOCK L SEC/SUB ; ~ , _L\SEWER !'WATER _ TAPS APPLIG~AfVT:, 21 &l ADDRESS: r - COMM/IND ~ RESIDENTIAL : CITY, STATE - ZIP ~~q NEW _ EXISTING PHONE: ~ I - ; ~ Lawn Sprinkier Meters are to be Installed PLUMBER: J" Z, %~-1_~rA-- Ahead of Domestic Meters on Water Une. ADDRESS: ~~Credit WILL NOT be given for Deduct Meters. CITY, STA ZIP ~j PHONE: ,23 a, ~t 75'f 1 AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANC ADDRESS: CITY, STATE ZIP PHONE: SIONATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAVS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STCRM SEVYER PER"TS, CONT~CT EN~i1NEERING DEPT.. .a , . , i ~ SEWER & WATER PERMIT - OFFlCE USE ONLY I METPIIOt ~f10b f~'d. ER # PERMIT DATE 8I2 / 89 3830 I CHEagan, MN 55122-1897 ~P • PERMIT ~ 1oT03 METER SIZE B.P. RECEIPT ~C 3234 ISSUE DATE B.P. RECEIPT DAI$~ DATE ; ~ PRV - 800STER PUMP h ySITE ADDRESS PERMIT REQUESTED LOT -L,.4-BLOCK r SEC/SUB u'-II A • , , f ~SEWER -'WATER - TAPS APPLI(3ANT:. - ADDRE.;*: COMM/IND Y~ RESIDENTIAL CI7Y, STATE - . , < - - ZlrE:5 ' 2, NEW - EXISTING PHONE; . f ~ 1 ~ ' ! • Lawn Sprinkler Meters are to be Installed PLUMBER:%,,,~,~--, ,~"s~ ~ r ~ - Ahead of Domestic Meters on Water Line. ADDRESS: A4 ! 1:' Credit WILL NOT be given for Deduct Meters. CITY, STATE- ~ ~ r 21P=' PHONE: ` / ` i I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP pHpNE; SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAVS FOR PROCESSING. CALL 454-6220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEEfi1NG DEPT. - ~ _ ~_l CASH RECEIPT CITY OF EACAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19~ ~ , ,u40uNr A & DOLLARS ~m O CASH qCHECK I PM FUND OBJECT AMOUNT I ~ ' Thank You gY C nr)3G' IVhAS--PaY- COP'Y x tl! s Vebw--Postlnp CaPY Pfnk-Flk Copy BLDG. PERMIT NO. 2 !'n !2 f lL l<, r.,C ~ 1314 01-3210 Bldg. Perrnit 6 ~ 01-3422 Plan Check cb Ot -3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. lJn' C T-) 20-3716 Water Meter ~ 20-2252 Acct. Dep. 24-3713 Water Permit U ' 20-3743 Sewer Permit ZJ 79-3866 Sewer Conn. ~28-3855 Park Ded. TOTAL _ - u DATE: 8/2/89 / RE• 722 SUlMx 1.ANE• L1, Bl, SUlgiEB PLACE xx #'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 SURE TO ~ CALL Pt16LiC WORKS (454-5220) FOR YOUR PERMANENT WATER Tl1RN ON. ;kour Sewer Water Permit for the above property cannot be completed far 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 si2e must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTII,ITIES - TELEPHONE, ELECTRIC, GAS, kTC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DePAR'IMENT FOR WATER TURN ON POLICY. Secrefary, Building Inspectio} s Dept., . ~ DATE: 8/2/89 RE• 722 SU!@!ER 1.ANE Ll B1 SUlQMR PI.I?CE , . r -77kour Sewer & Water Permit for ~ e above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ~ CALL PUBUC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. EYour Sewer 8-Water Permit for the above property cannot be completed 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 notlce. C0111AAERCIAL PROJECTS ONIY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Diric House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REDUIRED BY LAW. CONTACT COMI?1UNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY. Secretary, Building Inspections Dept. ~ . INSPECTI4N RECORD ,-'CITY OF EAGAN PERMIT TYPE: ' 3830 Pi1ot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ~ ~ (612) 681-4675 SITE ADDRESS: APPLICANT: ,l;t.qrV I J'fli i Ia, PERMIT SUBTYPE: TYPE OF WORK: ' INSPECTION ' r. r rat:s~ r. 11 nrl Iri i i t! it r; . 1-t I F L ~ Parmit No. Pertnft Holder Dab Talephona # ELECTRIC PLUMBING HVAC Inspsction Date Insp. Commsnb FOOTINGS FOUKD FRAMING AOOFING I ROl1GFi PLUMBING PLBG AI TEST ROUGH HEATING ~ GAS SVC TEST INSUL GYP BOARD F{REPLACE FIREPLACE I AIR TES7 FINAL PLBG FINAL HTG ORSAT resr BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL . , , , , . CITY OF EAGAN 16369 'J 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # J' To be used for s! aWIGA1t Est. Value s59,000 Date- AW 1 , 19 89 Site Address 722 =UMM LN Lot 1 Block 1 Sec/Sub. 8LIM= !IAM OFFICE USE ONLY ~ ~1 Parcel No. occupancy R,.. FEES Zoning JOSEPH MMII.I.ER GONS'1111CTI011 V-11 '~90~00 W Name (Actual) Const Bldg. Permit o Address 18133 CEDiA~ AYE S (a~abie) V"N s~~cna~9e City Phone ~1'Z~1 # olstories I Lergth 460 Plan Review 295,00 ~ ~p Name SA~ Depth SAC, City 100000 ~ v~ Address s.F. rocai - 5ac, MCWCC 573*~ ~ ~'il~/ PftOfl@ S.F. Footprinls _ ~ On Site Sewage Water Conn 5A0.00 ~Z Name on site weu ~ wace, n+8ter 90•40 ~v Address MwCC System ~.oo i W City Phone ciry wa?er ~ i4`ct. Dep°s't PRV Required ~ SNV Permit ' I hereby acknowlege that I have read this application and state that the Booster Pump _ 1~~ ~ SNV Surcharge information is correct and agree to comply with all applicable Slate ol ~a.~ Minnesota Statutes and City of Eagan Ordmances. 7reatment PI ~ Signalure of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: /JWM m HiLJM COM PIa""Br - Park Ded. ~ on the express condition that al work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pK, _ Copies Building Official r 1 ' Variance - TOTAL 2t,a9~.50 L Permit No. Pwmif Holdw oate TelepAorn N WATER O 76%5 Z:~4~7 p SEWER PLLWABING 9is zkn H.V.A.C. II 9 ELEcraIc ?Z/ 9 Insp.ccton Dab 114. commsnts Footings I Foixndation Frarninp Rooling Fiaigh PIb9. ' Rough Ht9 ' //,t Ar/ 3w W. q 1% FwqM- ~ / f/ ' J Final Hig. J O -70 ~ .61* FoW Pbs corot. Meter Pibq. inspedor - Nouty Plumber E?grJPla" Bldg. Final Oeck Ftg. Dedc Fnal WeA Pr. Oisp. ~ . t. ? i I fCtr#tfiratt uf (Orrupanrn titp of Caga» lopwxmml of Suitdiug jwtrtwn ~ This Ceruficate r'ssued pursuant to the requiremenu of 5ection 306 of rhe Uniform Building ~ Code certifying rhat at tlee lime ojissuance this structure was in conrpliaRCe wi1lt tlte various ordinances of the City regulating building construction or rrse For the joUowing: ' ux a~~ ~MOR eag. taM nb. 16869 O-UPMKY TM R3/u' I zoning na~ PDM T~Tc consL YN own" of;. JOSEPH K= 00HSgWC%,1e, 18133 i~R AVE S, FAMffNGI'Qd ' B.AJdrm 722 SM44.R LAP~ tDmhty L I, B 1, SrMR P1A(E e 1989 . BWM4 offiew/lIp POST IN A CONSPICUOUS PLACE ~ . . - - -1 , . . . , _ . . - .c a . , '.t a'~.J: o.:~' . f . ,,.r •,..h ,y. . . , h' - . . . . . . - . , , ' r ..2 . : . • ' ~ y PERMIT #k ~ MECHANICAL PERMIT RECEIPT # J CITY OF EAQAN `-r 3930 PILOT KNOB ROAD, EAGAN, MN S5122 DATE CONTRACT PRICE PHONE: 454-e100 For Office Use U y: Site Address • ^ • k r` BLDO. TYPE WORK DESCRIPTION Lot ~ Block Sec/Sub Res. X New f, ~ Name , ~ ~.t t • ` Mult Add-on m Address Comm. Repair c City Phone Other FEES Name - ' `~r ~ • RES. HVAC 0-100 M BTU - $24.00 c Address ~-~-ADDITIONAL 50 M BTU - 6.00 p City Ir ' Phone (RES. HVAC INCLUDE8 A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 E/1. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. f l M BTU MINIMUM COMMERCIAL FEE - 20.00 • STATE SURCHARGE PER PERMIT - .50 Vent CFM 7-• BEYOND $1/000) PERMIT PRICE GOES ! A Gas Piping Outlets N i- Other i ~ ~ FEE Fz: SIGNATURE OF PERMI7TEE S/C: TOTAL• FOR: CITY OF EAGAN ~ ' , - PERMIT # , ~ PLUM8ING PERMR CITY OF EAdAN RECEIPT Ik 9830 PILOT KNOB ROAD. EAGAN. MN $5122 DATE: CONTRACT P E PHONE: 454-8100 Site Addsess f 3''`' A~ BLDG. TYPE WORK DESCqIRT10N Lot ! Block ,Sec/Sub Res. ~ New Mult Add-on m Name l.•'~r %;L Y --a~G Comm. Fiepair ~ Addre~s Other c City,~~'~~ Phone °l b RE8. PLBG. ONLY - COMPLETE TNE FOLLOWING: NQ~ FtXTURES TOTAI - Na~ >~Water Claset - $3.00 $ 6ath Tubs - $3.00 ~ c Addr-~ --rLavatory - $3.00 p City Phone ~U -7_Shower -$3.00 - ' =Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES _..t_Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPUES ~ Water Heater -$1.50 MINIMUM - RESIDENTIAI FEE - $12.00 __~__Whirlpool -$3.00 3 MINIMUM - COMM/IND FEE -$20.00 Gas Piping OuUets - $1.50 ' STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00 _ BEYOND 1,000.00) Welt - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 SJGNATURE OF PERMITTEE FEE STATE 3/C: ~ FOR CITY OF EAGAN GRAND TOTAL• ~ ~ INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: :~,~t• , ~ ! ~~i . I r:lr ,iU~, 1 I !ri 1+ PERM(T SUBTYPE; TYPE OF WORK: INSPECTION .A • . I~tF1 I Y•I~, : r: .t~; : 1 t r~tz I ~ ~ i i i ~ ~ ~ , i ~ , i , . i ~ ~ ~ . . . ~ r , ( • ~ , ~ ~ Permk No. Po?mit Holder Dete TMephons # _ SNV PLUMBING HVAC ELECTRIC .IJV.gqt f- (I 95 ~ va ELECTRIC Inspsction Dsts Wsp. CommeMs Foodngsl Foundetion Frsming RooHng Rough Plbg. Rough Hte. ls,l. I Freplace Final Htg. OrsBt Test Fnal Plbg. Plbg. Inspector - Notify PlumDer Consl. Meter EngrJPlan Bldg. Final Dedc Ftg. Deck Fnal weli Pr. Disp. ii 912 y/8`y 5 4 9 2 4/ Repuasi Date Fire No Raugh-in Inspeclion R iretl? oeatly Now Will No~ily. Inspector 9.,--13-89 Yes ?Nq henReady? I licensed contractor ? owner hereby request inspection of above elecirical work at: Job Address (Sheet, Box or Roule No.) Ciry 722 Summer Lane Ea an Section No. I Township Name or No Rpnga No. Counry Dakota Occu an[(PRINT) Phone No. .~oe htiller Construction Co. 431-2001 Power Supplrer AEdress Dakota Electric armington, MN 55024 Fl¢Clllcal ConVaclo! ((10mpolty NdmB) COnhdC10l~S IiCBI15B NO. Midland Electric Inc. 041610 Maifing Pdtlress (COnlractor m Omier Makirg Ir¢teilation) 14055 Grand Ave So, Suite E, Burnsville, P1N 55337 ANtvrre(Canvaaa/Owrrer Malung Installauon Phona NumDer . 892-6688 MINNESOTA STpTE BOAflD OF ELECTRICfTY THI$ INSPECTION REOUEST WILL NOT Griggs-MlEway BIEB. - Rmm St)3 BE ACCEPTED BY THE STATE BOARD 1831 Unlversity Ava., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phane (812) 6424800 ENCLOSED ol/fGy/g'Ol flEQUEST F.nR ELECTRICAL INSPECTION 9 : ea-00001-07 ? See idsVUCtions for compleLiy this lorm on back ol yellow copy 9$Y~~ -~L+/ 747 5 4 9 2 4 X" Below Work Covered by Thrs Request Ad Rept TypeofBmldmg AppliancesWired EqwpmenlWiretl 1Home kAir ge Temporary Service Duplex r Hea~er EleCtric Heating Api. Bwlding r Other (Specily) Comm /Indusirial ace Farm ondihoner Other ( specity) Contractor5 Remarks: Compute Inspecfion Fee Below: # Other Fee # ServiceEnlranceSize Fae # Circuits/Feeders Fea Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps Ahove _ Amps $iyf15 Inspedork Use Only. TOTAL Irriganon Booms . ~D 3• ~ Special Inspection Alarm/Communicalion Other Fee I, the Elecirical Inspector, hereby RO1eh.,n oate cenity that ihe a6ove inspection has Dat been made. OFFICE USE ONLY This requesl wb 18 momRs fmm ~ 0-1 2-9 95 92 1~ 3 Re esl Oate Fue o. •R~j%~~nspecllon Reqwretl Ins ectlon Other T1en Rougn,ln (VO 1 call Inspector~yv~~en reetly) Reetly Now Wdl Nolily Inspector Vas U No Data ReeE I-f4censed contractor ? owner hereby request mspection of above electrical work at Job Atltlress (Streel, Box o oute No.) Cny Section No. Tmvnship Nama or No. Range No. Cou t OccvPanl ~ ~1\7 c ~ 1\ Pho~NO ~ Power Suppller Atltlress Eleciri I Convac or (COmpaa)Copiracs LicOensOe N~ 14 ~ M iLnq ~rass (GOnlrector wne. Making Installet o~ n) t ~ ~ 1 L iR._., ~ Aut onzeE Signawre (COntrecronOwnar Making InStailetion) - Ph na Number IY. . ss ? ).I-A , U - 50 3 ~ MINNESOTA STATE BOARO OF ELECTflIdTV II 1111111 I111111111111111111111111 I I I II THIS INSPECTION REOUEST W ILl NOT Grigga-Midwoy Bltlg. - Room S428 BE ACCEPTED BY THE STATE BOFRO 1821 Unlvenlry Ava.. 51. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phona(81P) 643•0800 ENCLOSED . REOUEST FOR ELECTRICAL INSPECTION ` c,(~ ; EB-00001-09 4/Ja! ~ S¢e instrucilons br completin8 thls form on back ol yellow copy G~ "X" Below Wnrk Covered by This Request MYR New Add i Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Bmlding D er Load Management Comm./Industrial Furnace Other Speci ) Farm Air Conditioner Other (5peclty) G o n ~ i r e , G y q r's Remerka' Pn ryp ~ ~ ~!l~NO~ML Compufe Inspection Fee Below: # Othar Fee N Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 700 Am s Transformers ~ Above 200_Am s 100 _Am s Si ns inspactors Use Only: TOTAL Irrigation Booms ~6 ~v N O• bv S ecial Ins ection Alartn/Communication THIS INSTALLATION MAY BE ORDERED DI COrJNECTED IF NOT Other Fee COMPLETED WITHIN 78 MQKfg I, the Electrical Inspector, hereby Rouyn-m o z~ Jo R certify that the above inspection has Flnal oate been made. OFFICE USE ONLY This reQUesl voitl 1B monlns Irom 316*15 o 76`11Wo rx 36709 ~ 9tip°° Repuesl Date Fire No Roui Inspection 3122190 ReqwreO' ? Reatly Now,{Vfdl NoUy Inspector es ? No When ReadI I hcensed contractor ? owner hereby request mspection of above electrical work at Jab Atlaress (Slreet. Boe or Route No ) pity 722 Summea Lane an Secoon No. Township Nama or No Renge No County l7CLILO.f.CG Occupanl(PRINT) Phone No aoe f?i22e2 Coaht2uctioa Co. 439-2009 Power SuvPliar pdaress vakota eeectli EICCircal Gonlractor (COmpan Name) Conlra[lor's L¢enso No. ('}~:d2¢ad ~~ect2~ic Znc. 049670 Maihng Aatlress (Conlracbr or p.vner Ma4ing Installation) 94055 92aad Aue So, Suife E, [3az2euiQQe, l'1N 55337 Aulhoni urP IGOnuactOr,Ownar Mai~nq IL51aIId~iO PhonB NumOar « _ _ 892-6688 MINNESOTA STATE BOARD OF EIECTqIQTY TMIS INSPECTION REOUEST WILL NOT Grlgga-MlCway BIEg. - Room 5-113 BE ACCEPTED BV TME STATE BOARD 1821 Unlverslry Ave., SI. Veul, MN 55100 UNLESS PROPER INSPECTION FEE IS PMne (612) 602-0800 ENCLOSED 0 REQUEST FOR ELECTRICAL INSPECTION ee-ooo,o ? See mstmctmns lor com0'sunq M.Vorm on pack al yellow copy ti, 36709 "X" Below Work Covered by This Requsst e Fdtl Rep.- 7ypeofBudding AppliancesWired EquipmentWired Service Home Range Temporary Duplez Water Heater Eleciric Heanng Apt Building Dryer Other (Specity) Comm./Industnal Furnace Farm Air Conditioner Omer (svecity) Conlractor's Remarkst Compute Inspection Fee Below: x Other Fee # ServiceEntranceSize Fee x Cvwns/Peeders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transiormers Above 200 _ Amps Above 100 _ Amps Si9f15 Inspector5 Use Only: TOTAL Irriqation Booms 36 • 30• S0 Special Inspec6on Alarm/Communication THIS INSTALLATION MAY BE DERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. r I, the Electncal Inspector, hereby certify Ihat ihe above inspection has F,,,ai ~ oaie been made. ^ OFFICE USE ONLV This reQue9 voitl 19 months Irom CITY OF EAGAN NO 16869 3830 Pilot Knab Road, P.O. Bax 21-199, Eagan, MN 55121 / ' BUILbING PERMIT PHONE:454-8100 Receipt # - q ,~~•~/L ~l To be used for SF DWG/GAR Esc Value $89, 000 Date A[IQ 1 , 19-B9- SiteAddress 722 SUI4fER LN Lot 1 Block 1 SeGSub. Sl1MMER PLACE OFFICE USE ONLY Parcel No. oauPancy R-3 M-1 FEFS Zoning PD R-1 w Name JOSEPH M MILLER CONSTROCTION (AttuapCOnst V-N Bldg Permit 590.00 ~ AddreSS 18133 CEDAR AVE S (Allowable) V-N 0 Cj(y FARMINGTON phone 431-2001 A of $lones _ Surcharge 44. 50 Lenglh 461 Plan Review 29.5. 00 ~F Name S~ Deplh 4 ' SAC, Ciry 100.00 g¢ Address SF.TOtal - SAC.MCWCC 575.00 ~ City ' Phone S.F. Footprints - On Site Sawage - water Conn 580.00 r ww Name onsiiewan 90.00 t~ XX WaierMeier s- Addf255 MWCCS stem aw City Phone City Waier XX /+cm. oeposii 30.00 PRV Required _XX SM/ Permit 20. 00 I hereby acknowlege that I have reatl this application and state that the Boosler Pump - SM/ Surcharge 1.00 intormation is correct and agree to comply ith all applicable State of Minnesota Statutes and ty of Eagan Or cee. Treaiment PI 228.00 k. SignaWre ol Permitee APPROVALS Road Umt 340.00 A BuAding Permn is issued to, JOSEPH M MILLER CONST Planner - park Detl, on the express condition that I work shall be done m accordance with all Council applicable State ol Mmnesota StaWtes antl-yCyity ~ o}{l Eagan Ordinances. Bldg. OII. Copies Bwlding Otficial 14 PA ~ 1~ I..CI Variance - TOTAL 2,893.50 ~ 139,? 2006 RESIDENTIAL BUILDING rExMiT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuc6on ReauiremenLS RemodellReoair Re4uiremenis Offce Use OnN 3 registe2d site surveys shrnving sq. tt. of lot sq. fl. of house; and all roofed areas 2 copies of plan showing loohngs, beams,'pats Ced of Survey Recd Y_ N (20% macimum lot coverage allowed) 1 set of Energy Calculalions for heated addNOns Tree Pres Plan Recd Y N 2 copies ot plan showmg beam 8 wirMav sizes; poured tound design, etc 1 sAe survey for addrbons 8 decks Tree Pres Required Y_ N 1 set of Energy Calculahons Addifion - indirate i(on-sRe sepfk system On=site Septlc System _Y _ N 3 copies of Tree Preserva6on Plan if lot platted after 71153 Rim Joist Detail Op6ons selection sheet (buildings wiN 3 or less un'AS) Minnegasco mechanical ventilafion form 6p Date IR / /0 / Construction Cost SiteAddress UniVSte # -,~,a,, , L. Description of Work y~ Mf'J • ' Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~(,1.~ ~ ~ Telephone # (C?S j) ~ J~l~' ~ ~ ~j ~ Contractor - --d Address Ci[y State Zip Telephone r211,3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venfilation Category 1 Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe lasf 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone ~ Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approve 'n the case of work which requires a review and approval of plans. Qt_kr ( kz ApplicanYs Printed Name Applicant's Signature DO NOT VVRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot 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 (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ' ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes 0 31 New ? 35 Int Improvement O 38 Demolish Intenor ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCem2nt 'Demolition (Entire Bldg) • Give PCA handout to applicant DBSCfiPYion: Water Damage _ Ye5 Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ FinaUC.O. _ Footings (addition) _ Final/No C.O. Foundarion HVAC Dnin Tile Other Roof _ Ice & Warer _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge • Treatment Plant License Search Copies Other Total V1 W 17-:~ o,s-o 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for. single family dwellings &[ownhomes/condos when permits are required for each unit Date 2 / 3 Site Address 1 SovAMkr Lh Unit # Property Owner ~•Y • l.~ ~~•J X Telephone # Contractor E}~11Yyj, a1yA Air ]~RC.. StreetAddress City State m~ Zip Telephone W Bond Expires: The Applicant is _ Owner ---)L Con[ractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional q1 _Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total $ WTJ 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wiil be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 wilf be in accordance with the approved plan in the case of work which requires a review and approval of pl ns. ~ i i~.Q~ Applicant's Printed Name ApplicanYs Signature ~ U~ D FEB 1 1 2005 By 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separa[e permi[s are not required for each dwelling unit Da[e Site Street Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephane # ( ) Contractor Stree[ Address City State Zip Telep6one # ( ) Bond N: Expires: The Applicant is _ Owner _ Contrac[or _ Other Work Type New Construction _ Underground Tank , Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: *`When installing/removing underground fank, call for inspection by Fire Marshal and P/umbing /nspector Pe1'mi[ Fees: 570.50 Underground IanA installation/removal 550.50 Minimum (mNudes Statc Surcharge) or Contract Value $ x I% Permit Fee • If eP rmi[ fee is $1,000 or less, add $.50 ~ $ State Surcharge If ep rmi[ fee is over $1,000, add $.50 for every $ 1,000 pe rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge tha[ the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he Ciry of Eagan and with the Mechanical Codes; that 1 understand this is not a permit, but onty an appiication 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: . ! ' 1989 HOILDIBG PEAIlTT APPLICATION CTEAGAN r 1.1(.9 SINGLE FAMILY DHELLIBGS !lQLTIPLE D1iELLINGS COF@4ERCIAL 2 SfiTS OF PLANS 2 3ETS OF PLANS 2 SETS OF IRCHTfECTURAL 3 ASGISiEEiED STTE SDR4EYS HEGIST6tiED 3I?E SOAPE2S - 6 ST80CTOAAL PLANS 1 SET OF ENERGY CALCS. (CHECB NT!'E HLDG DIV.) 1 3ET OF SPECIPICATIONS f SET OF F.N8AG2 CLLCS. 1 3ET OF EAEBG2 CALCS. M7LTIPLE DfiELLINGS AENTAL DNITS FOR SALE DBTTS f OF D6TTS BOTEt IDDAESSE4 F09 CORNER LOTS - COATRACTOR/H0I+E01iNEA !lUST DFSIGNATE TiHICH iDDAFSS IS DFSIRED. AO CHAtiGES ftILL BE ALLOHED ONCE BDILDIRG PERHIT I3 ISSQED.. SEiiER 6 1tATER PEAMIT FEFS lND ACCOIINT DEPOSIT FEES WII.L BB INCLIIDED WITH THE BOILDINf3 PEAMTT FEE. PNOCESSING iIM FOA SEWEA !ND W9TEA PER04Ii5 IS TiiO DIYS ONCE ! PERMIT HAS BEEN COMPLETED INDIC9TIAG A LICEN3ED PLtllBER. PENALTY APPLIFS HHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQUESTED. ~ LOT CHANGE IS AEQOESTED ONCE PERHIT IS ISSIIED.,~ L 2 1 19gg To Be Used For: , , Valuation: Date: - Z/ Site Address / Z Z~.LL»4,y)t~, •r.~ OFfICE OSS Ol9LY Lot / Block Occupancy 1z-3 M-1 ~FS q Zoning PD R-1 Parcel/Sub ,~LC.c~ndti" YA-C_[, Aetual Const V-N Bldg. Permit ,590,00 Allorrable V-N Surcharge 4460 Owner 1 of atories Plan Review a95,o0 - Length ~ SAC, City 100.oD 9ddress Depth 4B SAC, MNCC 00 S.F. Total Nater Conn S O.aO City/Zip Code Footprint S.F. Nater Meter ,00 Acet. Deposit 3p,o Yhone On aite aexage S/ti Permit 120,GO 91 On aite well S/ii Surcharge 00 Contractorl.~iae~~R~ !lKCC System V' Treatment Pl. 2~i P-T~ ~ City rrater ? Aoad Unit ,9~! •oo Address /~in ~ ( /~~e~J ad ~ - PRV required ? Yark Ded. Booster Pump _ Copies Citq/Zip Code jr~x-~~~`--- SDBTOTAL APPAOVALS Penalty Phone Y"31- yUD / Planner _ tOTAL Couneil Arch./Engr. Bldg. Off. Yariance Address City/21p Code Yhone R VAL u/-\Tio N . . ~ y X Z2= SZB x ~5 =`l 9 aa .C3~S~Eh1T a.~xy~ I 196 ~S X~ = 6y i 1 asa x ?H = I r7s29 Hou~ $y»9T " )_2.~52 I z~~ XS~ = 6 3y 00 ~y~ 4 y ' 89-094 TRI-LAND C0. SITE PLAN FOR: SURVEYING SERVICES JOE MILLER CONST. 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 , LEGAL DESCRIPTION; LOT! ,BLocK! , SUMMER PLACE ACCORDING TO TH RECORDED PLAT THEREOF DAKOT~ COUNTY,MINNESOTA W j- HouR FrRERESosTivE ~ Z ~CNS7RlnG7~l~N - NC Q y QDEN W65 'rM "y wAII ' J »..:i ! - l~Qc Soy (b~ ~ 60 10'06" w L = 20.25 2 R =188.06 ~ -o aW.io O oW ~ qo, N650 I'06"W ~ p14745 j t.¢s' ` qh 2 r \ 18 33 ~ a 2.OB r 5b2.35 1(a \ 9P765 N la4R. i 901.75 I~ Q~ I .~.a3J aD 3~zo ~ A LOT ~ o , scoie:i"=ao' = 21 04 ~ e' ~ I L= 51.51 ~ ~ N I R=140.00 a I 9al I,o W ~ N M 0 c RO , Q= 9039'32" o N02°26'45"E L=136,40 R~s Z 8.47 35 aJ J2 55 'R Cl0 'fOP , g /LDERNES.. . . . *qoPZ~~,~.... . S RUN ROqD ` MW . D, By Da e f~ E~G~r ExGa~rEER G EPT [~e°~oMo °~~~MBG°~C~~ LEGEND •°DOPOSEP S?LIT ENTRY INVERT EIFVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= ~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = =f DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR ELE VATION ELE VATI ON DENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 hxsby certify that this survey,plan or q report was prepared Dy ms or under my 0~'~ direct suparvision and that I am a duly Bradley J. Srinson, Mn. Rep. No. IS233 ; Repistered Land Surv*ror under the • ~IwJG`, Laws of the Stote of Minnesota. Date. , ensEU oii ciinrT€n3-oF=1iiE--#.g9 - 3 3 3 „ . IIUDEL EIIERGY COUE - 1983 EbITIOtI ' , . • Adoptloii EfFect ve 17(]84- , : . Owner ' • ' Phone Dete' Slte Address ~.-o-f Conttaetol- Vn~~ PA I jNST Phone ~ 6ulldlnq Classlflcatlons Typa l11 (Singla Famlly 6 Ouplex)'_Type A2(Itesldentlal) IIO1E: Complete paoes•j and 1l flrst. ~ (3~storles or es~ ' . , (Otlier) • (over 3 storles) CEN6RAL (NFORIIATIDN • 1. Bullding Perlmeter Ft.. i 2. Nall helglit (ground to eave) µ ft. . ' 3. 1. x 24 (above) grase wall•area ZO 2• • ~ ,S~Oft. 4. 6ullding dlmenslans (L) x(W) Z54 1`0 roof,6 floor area . 5.• Square foot area oF. rim Jolst Floor )olst slze (2 x ) ;~X Pgrimgter - Itlm-]blst area:~ I~J~QI~Z ft2 I 6. Doors - Al ed Q . thlcki,ess • In. Ufactor 1 1$ 1_I4 ~ Type of Construetlon Perimeter ft~ NanuFacturer 7, lotal, door's'perlmater • ' ft. " . : 8. Windows: IlanuFeeWrer U feetor State approved ! ' • TYPE ; SIZE AREA (Ft.2) IIUlmER OF 7o1AL FEET 2 . /y ' EIICII UNI.iS SFiG O ` • • ~ . . . 9• 1ote1 /t.2 Cl844_ ~ . 10. Fireplace areat N(dth X lielglit ~ x Ft.2 11. ExDOSed foiindatloni Ilelglit X Perimeter X I l(J~' C/ ~~O~ Ft.2 'ONPLETION OF illls FORH IS ItEQUIREb FOR ALL Tl€A~bf1~ThUCT1oR; ftn,IU~~AOb€LTRG AAb'g(jjjbj}IpS BEI111 10VE0 NIIERE ENEItCY, OTlIER TIIAt1 illE f11tIIf1AL COOE ACIOWAttCE, IS USEd. 13. Gross xal l area_ 7,-0(Q4 1 ~ft.z - , i Nlndowarea A 2CJS,!~ ft.Z ' U wtndows ~ U x A¦ . • Rlm Jolst area A Z ft.~ U rim ;Jo1st o!4~ U x Aa Door area ft.2 U door area n ,o ~ U R A•'6pr 8C0 • fPTIO 02-1 • . . z . . ,.F$.v f~ce area A 4Z . f t. U GfEeljLact'°*47, U x A- 19,~ Exposed foundatton A~D~~ . ft.2 ' U foundaHon ~ 4~ U x A- O, 3s Framing area A ft.?, U framing a?•ea * D,S U x A- 19,57 Net Hell area A 1-3 (OoCP tt, U wall ~ t 494 '3 U x A,i 51?': • ~ (139)~ 101AL . . . . . . . U, x A ° Mo,cort ~ . . . . ~ 14. Gross wall ar A'0.11 (A 1 s(ngle famlly 5 dupiex • alloriable U x A/Code (13. above) . x' U.23 (A-2 other resldenHal) ' ~ ' , • x .2J (Other bulldings) , x .E8 (Over 3 storles) ' " " ' ~ • , x U BiUfl F1ust be lerger tltan ~ G9dg../__ ~ • ~ ' 11 ) V. 138 ebove 15. Cetling framing area (Af) equals lOX oF celling area or tlle, sama esJ i ISA. Gross ceiling area ¦~L) x(W) . l~ {t.2 ~ i 159 Jo1st areA (AF) ~ 10; ce111ng area a_ ~ Zs ft.2 • 15C. .tlet ceiling area (Ac) (15A - 158) ft.2 • . , ' U cell lnq x A co _ /dZZ ' x • _ !IZ9 , . 1 'g ~ ' U framing x A t= • t aZ ~j . X 1~. , z g ; 150. TOiAL'U x A ~'f • • 16. Ceiling area (15 ) x 0.026 ( stngle tamlly 6 duplex - code allowable U x A. • • • x 0.033 (4-2 otlier residentlal x 0.06 (otlier) • • . A f15n1 I Ou~ _ 3Z~(OQ OaUll I•lust be larger than•150 (e6ove) x U(codel- F (or tlte same es) NOTE! Use U and !1 values obtalned from pages 1,•3 and 4.' . CERIIFICAilOU: I hereby certlfy'that I'have calculated the ''U" Factors and "R" values iere n an7'ti~at tl~e bullding liere descrlbed meets or exceeds tl~e State oF Hlnnesota Energy Lonservatlon Act. . • . . , , , . . , . . ,I t " ete • b7gnature . . . • ~ • • . . ` • . . • , , • . • • , • ~ , • , 2 . . : . . 1 • ' I , ~ : . „ ~ ; . ~ . . i . .1 i . ~ , . ~ •I. ~ ' ~ ' . a _ 'i; d X z_: f ~F._Z~P:t?.t~ . =;._S~ a . - - , - - , ~ - SCo ~ ~ ii . ~~W N s-~--------- - «L~ z5 Zv~'~.5__=-- - 17- I o ^ ~ , , ~ a- ~rc,?-~ ~1~ n ~ ` _ a . ; ,.P, _ - - ; ~ 'PPT?o.--~P~ ~ ~.._~z, o- I ~ ~ ' i . . ! ~ . . . ' . ; , . . ~ - - - . ~ ~ ~ - ~ ~ ~ , , ~ _ . ~ _ _ - ' ~ ~ . . • U YHI.U[ I.HLI.VLHIIUfO , R VAI_UE U VALUE • . Inaide air film .68 ' NALL Interlot wall (Nall) U A R : SECTION I Insulatlon j,0 Sheething , a(C • ~ ~ •Stdiog OutaLde air Etlm .17 . R 'fOTAL o ?7 I Inside.att fLlm ~ .66 ~ STtJD Ioteilor vall i SECTION (y~fi,+t etud R= 49M (p,~j0(Ftaming) U ~ Sheething ,7~.0(D Sld(ng ~ . •(D7 ~ Outslde atr ftlm ' .17 J r R TOTAL ~-1- Ine{de air film R= ,68 2ND UALL , Intetlor vall ' SECTION. , Insu 3t6 . . z . R ~ z.',•' Sheathtng I Ext er4 vall covering ' ( Extetior air fllm R ..17 R TOTAL • interior air film R= .68. R1M ~ lnsulatton JOIST 'l~ lnch soft wood R=1,88 (Rim U ~ Joist) ~ Sheathing LjU~ ' n ~ Extetlor wall covecing „(o'7 . , , Exterioc air Ellm (r ,17 , \ R TOTAL 24,4(0 \ . Interlor air fllm R= .66 ` Insulaiion ~ ~ Foundatlon 1.~ (Fdn.) U = . ~ E:ctertor a1r Etln R' .17 ~ F TOTAL I~7i I 8luck ~`r,rade 3. . , . cti Luiu . . ~ . . . . Alr FIlro U.AI . ~ . Jals! • ' , ~ _ ~ _,_r~_ y, d Cnlllnq . Alr Fllm U,UI , . . _ • ' ' . • ~n-L y ~ . , ~d~L... . 1 ' ' . ==1- ' , n y~~~~n n vnuia. i-' U,61 , Intl~la elr Illm ~•el • ~~i i ~ i EiiJ ~ . ~1111 ~ ~ t ~ tlll l1' I1II41 nour ~4O:kiF1q • . ~ . . • ~ Oulik-u~i ~onf t . . , U.~i UulelJu elr Il~ni U,~j~-' ~ . , ~ . . ~ . . • .lake~ It ' , . ~ ~ la~i Inflltratlvn ,5 afm/1lnea) fuaE at crack ' • . IJuntlal Joor Inflltritlun V,g c~,,,(~,~,iarp Ivnt ~~r Junr enJ minlunnn cuJa•~.aqyll•eman! -re~ldentlal Juur Inflltratlun II,U plm/Ilnaal laut af creek li" CtltICI'0t0 blucN nu Insulaflun •.'41•Il 2.1 ~ ' 12~ toncreto bluck InsulateJ CUI'07 ' w ,20 .11 1,0 12 IlqlOt;ialal'k liluck • ~ ~ ' 12" Ilglitualiit! block InsulaleJ cni-us•¦ .IZ Il U.J ~ ~I~~yla gia~s • 1.1~~ xlll~ sturm ailiiJy,~'.64 ' ~ ' . . ~ Ioubla qlasf • :5i ~ • . • ~ . ~ trl~ile gla~~ • .41 • ' • , , ' • . • ' . ' ' . . ~ , 1 exterlor uallf anJ celtlny s roniE Iiare A rapur bnrrlcl' (U.IU paita mex.J, , poi• Larrier npist bn an lha IliiIJa t4nattiJ I IJo) nf 6ar Unll, por rlars n( tha pnlyethelane tliln fllm hovc uu II relual ~ . , . . i . ' . , • ~ . . . • . . , ' ~ . . . . . . • ~ i , . . . ' . . ' • 1 . • ' i . - PERMIT ~rA44 k CITY OF EAGAN PERMIT TYPE: 1 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55123 Permit Number: 025158 (612) 681-4675 Date Issued: 0 2/ Z 8/ 9 5 SITE ADDRESS: 722 SUMMER LANE LOT: 1 BLOCK: 1 SUMMER PLACE P.I.N.: 10-72960-010-01 DESCRIPTION: 8uilding Permit Type BASEMENT FZNISH Building Work Type ALTERATION V REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - applicant - sT. LIC. OWNER: HARTGERINK CONST FRED 16879343 0006420 CADIEUX J P 4194 BRADDOCK TR 722 SUMMER LN EAGAN MN 55123 EAGAN MN (612) 687-9343 (612)452-8053 I hereby acknowledge thaC I have read this application and state rhat the infiormation is correct and agree to comply with all applica6le State of Mn. Statutes and City of Eagan Ordinances. - J ~ ' ~~d PPI.ICANT/PERMITEESIGNATURE ISSUED E INSPECTION RECORD- - ~ - CITYOF EAGAN PERMITTYPE: euZLozNC 3830 Pilot Knob Road Permit Number: 025158 Eagan, Minnesota 55123 Date Issued: 0 2/ 2 8/ 9 5 (612) 681-4675 SITE ADDRESS: Lo r: i B L 0 C K: 1 APPLICANT: 722 SUMMER LANE HARTGERINK CONST FRED SUMMER PLACE (612) 687-9343 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION . FRAMING INSULATION OUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F- ~ L J J61fi CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 + New Construetion Reauirements RemadeVReoair Reauirements ? 3 registered sila surveys ? 2 copies of plan ? 2 copies oT plans (inUude beam & window sizes; poured tnd. design; ete.) ? 2 ske surveys (ezterior add'Rions 8 decks) ? 1 energy calculations ? t energy calculationa Mr heated eddilions ? 3 mpies of tree praservation plan ' lot platted aRer 7N/93 required: _ Yes _ No 1-1-3 Q DATE: 0 - I -7 CONSTRUCTION COST: L~~M[~DD DESCRIPTION OF WORK: " C I- E STREET ADDRESS: J~ rn 1995 LOT ~ BLOCK SUBD./P.I.D. PROPERTY Name: ~/i° -4 K- 4 c/ e- (/X Phone OWNER Street Address- City: State: Zip: -1- re ~u f CONTRACTOR Company: q3 ~ ~n Phone Street Address: a~ra6r-l• License City: Z--°r - State: ~-4,1 . Zip• ARCHI7eCT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the information is correct and a ree to comply with all applicable State of Minnesota Sfatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certifiptes of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging e~rr- 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New cvy~- 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCM/S System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~f3y Depth Footprint sq. ft. SAC Code oi Census Bldg i Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~'sQD Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY L. BL RECEIPT 59 SUBD.__. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) I~3Z ' 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 FerE( TOTAL Shower 3.00 x = . . . . . _ . . . . ,,Zi:; ~ Water Closet 3.00 x Bath Tub 3.00 x = ' - Lavatory 3.00 x = Kitchen Sink 3.00 x Laundry Tray , 3.00 x Hot Tub/Spa 3.00 x 1Nater Heater - 3.00 x Floor Drain ' 3.00 x • _ Gas Piping Outlet • minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x 'Private Disposal ' Dakota Cry. license 50.00 (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to exiscin9 20.00 Water Turn Around 20.00 a 940' 610-0 / STATE SURCHARGE .50 1 _ . TOTAL SITE ADDRESS:_ u'oieux JEAN-PAUL 722 SUKR LANE . . . EAc;AN , 55123 OWNER NAME:_ H 4sz-oz97 w . _ ` : w . INSTALLER NAME: STREET ADDRESS: NoaeLoa~ awnnsiNa co. ^e°eA'1iGNTCOIJIRR4ANCE aDiST11LLF+R8 . (812 827-4033 ` _ CITY: ~MiN S AMN 55408 H ZIP: PHONE ( ) ~ t: . . Y,m Y,cY,:Y,c%(ym)C* ~ ",:Y:7;c)Y>Xrt k: C]:TY 0!= F_AGAN CAS'rI.T,ERa JS 1'EF'MSNAL. ROr, 694 DQTE':: 05/05/9E3 T]:ME: 15,34e11 i% N4MEs HIn' C;ONSTkL1CTI0N INC 32'_ 0 9001 72R SUMP1Efi L.N 50..00 2155 3001 722 SUMMEFi LN 0.50 34:30 9001 722 SUNiMiER LN 0.25 TOf ]l hPCt.lp': AmtlVI'1"':" 50..75 CR09103l USrh !P JAN ;•w>;:;,,.,I:sY,; CITY OF EAGAN PERMIT 3830 PNot Knob Road • PERMIT TYPE: Eagan, Minnesota 55122-1897 PermitNumber: ~31905NG (612) 681-4675 Date Issued: 0 5/ 0 4/ 9 8 SiTE ADDRESS: 722 SUMMER LANE LOT: 1 BLOCK: 1 SUMMER PLACE P.I.N.: 10-72960-010-01 DESCRIPTION: Building-Permit Type DECK Building Wbrk Type NEW Census Code 434 ALT. RESIDENTIAL 1 ~ . 0-`' r~ A < - cJ REMARKS: PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 COPY $.25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 CONTRACTOR: - qpplicant - ST. LIC.OWNER: ~UDGET INSTALL & REMODEL 18944131 0005145 CADIEUX JEAN PAUL P 0 BOX 5036 722 SUMMER LANE BURNSVILLE MN 55337 EAGAN MN (612) 894-4131 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate oP Mn. L Statutes id C3ty of Eagan Ordinances. ~ APPL ANT/PE ITEE SIGNATUfiE ISSUE Y SIGNATURE k 4s0 . 7s z ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? ~ i,~ ~ CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construchon Requiremants RemodellReoair Requirements ? 3 registered sde surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions 8 decks) • 1 energy ealculations ? 7 anergy ealculations for heated adddions ? 3 copies of tree preservation plan'rf lot platted aRer 7/1/93 required: _ Yes _ No DATE: 1I "3n - 98 CONSTRUCTION COST;'~ DESCRIPTION OF WORK: ~ 2 CA~ STREET ADDRESS: cSu BLOCK: ~ SUBD./P.I.D. zI2, Ccl,g~ e~`x Jt4n ~~k\ Name: k1~E Phone#: PROPERTY 1-ast First ~ OWNER Street Addtess: City State: Zip: ~ Company: Phone CONTRACTOR ~ Street Address: License # City && , Ge C~ Stare: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (new construction ony): Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is ect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ` V~ l c~~0 r~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' ' o I~ Tree Preservation Plan Received - Yes - No - Not Required , OFFICE USE ONLY ` ~ • ° BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ~,15 Deck WORK TYPE ~ 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Ng Depth Footprint sq. ft. SAC Code o I Census Bidg i Census Unit ~Z APPROVALS Pianning Buiiding _AAG Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies , ..15 Total: % SAC SAC UnRS =1 _ . . , I -~x... 89-094 'RI-LAANND C0. SITE PLAN FOR- SURVEYING SERVICES JOE MILLER CONST. 1260 YANKEE DOODLE ROAD OEAGAN, MINNESOTA 55126 LEGAL DESCRIPTION: LOT! ,BLocK i, SUMMER PLACE ACCORDING TO TH RECORDED PLAT THEREOF DAKOT~ COUNTY,MINNESOTA W Z Q •,;r~=.~i:~,riioi~ ~ - c~r;,•. „ , i~., ~ A=6°10'06" W L = 20.25 ~L ~ R =188.06 ~ -0 qo, ,o ~g ~~~~r +y,~~ 2y N 85° I' 0 6"W s r.zs• - T147.45 v 2 ` 18 33 ~ v 9C~2.35 95 'R7165 I 2.p9 N~ qo\ 16 a 64R. I 901.75 - I O I ~ 33 J 31zO 'LOT I m Q=21°Q4, I a' o scale:l"=30' L= 51.51 R=140.00 j,5 ~ t,o ~ qol ~ I1o I a w N L 4 o I ~ 9039132" o N02026'45"E ~=136.40 R`6 z 8.47 35 QJ12 55 rq02" ~0 ToP Wlt- pE . g . _ RNESS qo~ oF00" R~N RoAD " SoP 'Y~', [j ~ r b f i.•. r 7~.~ P.RY_ RF-01."PT-' LEGEND ^°0POcFO S?LIT ENTRY INVERT EI..EVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= ~ OENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = r~'i r ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION ~ DENOTES ORAI1ipGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOIJSE PLANS L:7.ft tMt tAlS arwlWon a ~u ~i~~ ~6rod1~ J.-$rineonl Ma ROa Na IOQ3S M~. f1 lli~l~ -i ' 1 vlQ V~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION 4~~V ~ City Of Eagan C ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouirements RemodeVReoair Reouirements Office Use OnN 3 registered site surveys showinq sq. ft. o11ot, sq ft o( house; and all roofed areas 2 copies of plan showing lootings, beams, pists Cert of Survey Recd _Y _ N (20%maximum lot coverage allowed) 1 set of Energy CalcuWtions for heated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam 8 window sizes; poured found des'gn, etc. 1 site survey for addiGons 8 decks Tree Pres Required _ Y_ N 1 set of Energy CalaWtions Addifion - indicate i7on-stte septic sysfem On-site Septic System _Y _ N 3copies of Tree Preservation Plan if lot platted after 71153 Rim Joist Detail Options seiection sheet (bwldings with 3 or less unils) Minnegasw mechaniral venLlation fortn Date 7 7 Construction Cost G 3 a~' ~ Site Address ~J-A~ A. a-w- UniUSte # r Description ot Work o ~ Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone 65I )6 S S Contracror lee-")~'y'''~ ' oCce.'p'LO U QDp /7 Address / c-_,e Citv eoe~ State ~ ~NL Zip S,~j y 29 Tclephone # 3) _ -15,3 7 ' 77 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mmnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet . New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calalations Submitted In fhe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wil] be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pennit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Qn~FRr Applicant's Printed Name Applicant's Signature DO NOT VF'RITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OSplex ? 13 16-plex O 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plez ? 12 12-plex O 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) • Give PCA handout to applicant DescfiptiOn: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Lengih Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings(new bldg) _ Sheetrock _ Footings(deck) _ FinaUC.O. _ Footings (addition) _ FinaUNo C.O. Fouodation HVAC Drain Tile Other Roof _ Ice & Water _ Fina1 _ Pool Ftgs Air/Gas Tesis Final _ Framing _ Siding _ Siucco La[h _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows Insulation _ Retaining Wal] Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge ' Treatment Plant License Search Copies Other Total ~ For Offic'e Use I Clty of EapIl ~ PertnR# 4 I I Pertnit Fee: 3830 Pilot Knob Road i Eagan MN 55122 ~ Date Received. ~ Phone: (651) 675-5675 i i Fax: (651) 675-5694 I StaH: I I - - - - - - - - - - - - - - - - - - 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: `o?/oZ9 Og SiteAddress: 72 2 L, ,Ja^^A, Tenant: Suite RESIDENT I OWNER Name: ~ Phone: kSI -6 ST Tf - 33Y Address / City Zip: 7 n...a_ hI^'l ~S l 3 Applicant is: _ Owner JC Contracror TYPE OF WORK Description of work: ,~Yi 9~-m0 .m ~ Construction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: L~cense QC - a G o qoo/'7 Address: Al City: State: %jAk Zip: Pnone: %3- 53 7 7~contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Enfrgy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 72 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 Contrector: Phone: NOTE: Plans and supporting documents fhaf you submif are considered to be public information. Portions oi the information may be classified as non-pubfic if you provide specifrc reasons that would permif the City to conc/ude that the are trede secreis. I hereby acknowledge that this information is wmplete and accurate; that the work will be in confo ance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appliration kr a pertnd, and w is not t start without a pepnjt, that the work will be in accordance with the approved plan in the case of work which requires a review and appr al of plans I~o~Ee~ L q ~z y_ = x ~L ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 RESIDENT OWNER Name: C A.., I A IV_ Phone1 Q- LO _MS 1- Q5 _1 Address City ZipTA ..L M.Q ...1 e 1 cc...r‘ m iso CONTRACTOR Name 1 1 3 V\ E e I \L Address: )W y City: State Q Zip: b I-. Phone: 1 D J f oLo Contact Person: 1Thi TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) CJ $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $10030 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $136.00 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 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: i LLt Mae- tiTh Tenant: 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 roved plan in the case of work which requires a review and approval of is. x A ant's Printed Name DEC 14 Z009 Applicr'St's Signature For :Office Use Permit 7(; Permit Fee: `‘'f-) d Date Received: Staff: 1 J Suite F OR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test _Gas Test Final Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use a Permit 15(~~y(- 1 City of Eanan I Qa 1 I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff> ' I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~4I 2 , Date: Site Address: Z 2 Unit . LA' N me:t UA I I()V Vy I Phone: (D~Z Zi ~l ^ 1 Resident/ i ~,g Owner Address / City / Zip: -12,2- &)mwl.Q - l u.r 1, t o t "M 5512 Applicant is: _y_ Owner Co'nt(actor Type of Work Description of work: l~7 lCj~ t~ n 15h Construction Cost: ME5 iax) Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) p 1 Y ~ T~ vll 7" ~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Y In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 3 t _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: g 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be c ed within 180 days of permit issuance. x L_A OO j x Applicant's Pr nted Name licant' ignatur Page 1 of 3 710 Jc4,onnu, L&tc DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of - Plex Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy :r3c -1, MCES System Plan Review Code Edition pp7 SAC Units (25%_ 100%X -1-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings 1 Length Fire Sprinklers Type of Construction _ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) t Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES ~9,L ~Q 3glj+'O Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: (Le t J SU( Permit Fee: J t) r‘C Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /e> ' �� Site Address: % 2 2 54-e .7,41 Unit #: Resident/ ;OWner ' Name: "#/ lY L7 A dft /l.--- Phone: 6 2 .2'O13'2-7047 Address I City I Zip: 7 22,. 5ei ,..-7 Ert 1`/`--( 2,0-6..1---a--- 5.9'2I Applicant is: Owner Contractor e of ork TypW %`e�� Description of work: ri.�,- ", 4 �/ Construction Cost: 0-'67610 Multi -Family Building: (Yes I No d' ) ontractor , Company:/2 P G /1/-,1 �e• Contact: Address:6-c1"4-- tP4 9,a+ ,1b` ./L®L City: S7` /* i�-lf�t 4- State: A!j !/Zip: 57 5- 3 -76 Phone: zit'›- !'7.02 • 2 ? C-7 License #: / 7 / �'� 3 Lead Certificate #: /24172'® '' % If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are'Oh:*tiered ;to be public info, rmp tion. Portions of the information maybe classified as non-public rf youpro vide specific reasons that would permit the City to ; conclude that they ere,' ade,secrets= CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 Minnesota State Building Code must be completed within 180 days of permit issuance. x k,ql2aze- Applicant's Printed Name x Applicant's Sig ature Page 1 of 3