4147 Arbor LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4147 Arbor Lane
Lot: 3 Block: 1 Addition: Wenzel 1st
PID:10- 83570- 030 -01
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Jenn Sondrall
5320 Triton Drive
Contractor:
Ductworks Heating & Air Conditioning LLC
5320 Triton Drive
Golden Valley MN 55422
(763) 521 -0070
PERMIT
City of Eaan
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Norma D Zemek
4147 Arbor Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA083719
06/20/2008
ePermit
cal Inspector,
0512312014 11:28 Les Jones Roofing, Inc. TAX)9528817009 P.0131016
Use BLUE or BLACK Ink
I
I
For Office Use
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City of Ea ~I]n PermitJY (~~l I r j 1
3630 Pilot Knob Road Permit Fee: 1
Eagan MN 65122 Date Received: I
Phone: (661) 676-6676 I I
Fax: (661) 676-5694 1 Staff. j
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S Z'3 Site Address: 4145- %1- q1 q -y 1 S J 4apa.-L.4wr Unit
Name: O l.*E AIzmas Assoc e-Ar.>w- K hone: b SI - 403- T
S~~
Address / City / Zip: 41,% I14R o Q L-4 wr
Applicant Is: Owner X Contractor
Description of work: 6 40 ✓E .A-rtW &&Ar2 &CC &AkW _
Construction Cost 3 7 r Multi-Family Building: (Yes X / No
J` Company: _ Aks &4,2-3 Bwan/fr; /A-- Contact: GaR4 r A-^JDE72.so~
Address: 9111 W. 2WT _city ,6T22,11
State: d _ Zlp: .?D Phone: 96-P - 76 7 - 07819
* ro License M 4~aQ Lead Certificate M
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information)
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-
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454.0002 for protection against underground utility damage. Call 46 hours
before you Intend to dig to receive locates of underground ullittles. owvaooharstateonecali.ora
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 18o
days of permit Issuance,
x C*els 406 0AI
-Applicant's Printed Name Applicant's Signature
Page 1 of 3
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,, ,. ,,,e:, Permit#:
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Permit Fee: / 7 0
ee,ifE Date Received: /0 (7-1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 O Staff: "
buildinginspections(acitvofeagan.com OCTI 9 ��1.7 019 rr' """
BY:
2019 RESIDENTIAL BUIL ' , e - - r_i/ APPLICATION
Date: Site Address: Unit#:
U4)NN ' iZ4one:
Name: CI'�`�� C/9z-- 2./5
Resident/
Owner Address/City/Zip: ' //4',/7 /9 v. 1ja4:-. /c1-?-.0.,�
Applicant is: Owner 'Contractor 4'D (,iE vx 7 Lam ' 19-
Type of Work
Description of work:- dy _�z-z� 21
�'y'9 7<k' ti Gl7�-
,,J
Construction Cost: 6,..(-)<>c) Multi-Family Building: (Yes X /No )
//, �J �,,�
Company:/#4-AlSC)t?/(cc-1)44.474f 6,6y)%N Contact:\/c %U/e' cC!
Contractor
!oS Address: yG 4 -Z`.0 i/&0( �rut.'��- / City: .��
�/
Stater% /v Zip: `3 )7 Phone:3_4/-10 9 Email:y c_ 4/S()LI elC.vii S 74re4,.. 4/c Co
.7Licc)..yt C. 1 71r N-e.7-
License
ense#: f 6.�g l�cri Lead Certificate#:44_,2_ -_,_2_2_2_
If the project is exempt from lead.
fcertification, 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:Plansand supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeagan.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.00pherstateonecall.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
accorda e with the approved plan in the case of work which requires a review and approv f plans.
x ,5.. `j . "zio U.Sox 1":„AtEc --- ziage.6.r.
Applicant's Prifited Name Ap ' is gnature
/f7 A Rbo(2 tim& / meso 7
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
O,^ 01 of 6y Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
4 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 ¶a Occupancy .1 l�G / MCES System
Plan Review / Code Edition . //r SAC Units
(25%_100% {7) Zoning P rj City Water
Census Code y.M' Stories -' Booster Pump —
#of Units I Square Feet — PRV
#of Buildings iLength Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
—
Footings (Deck) Final I C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC—Service Test tGas Line Air Test t Hood
Roof: Ice &Walter _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick_EFIS
4- Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: �j�I , Building Inspector
f
RESIDENTIAL FEES q'' �t`'3/ fil g`I'Y'7"( 40 co
Base Fee // D d
Surcharge
0
Plan Review 76 ?--
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
I—
For Office Use
•
II ::::�
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:
buildinginspectionsecityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: ��----�� Suite#:
Resident/Owner
Name: 92 f ', //'t - log' //.`7 Phone:
Address/CitY/Zip.
01, /7
Name: he-5 c` %/ 7;::^" License#:
Contractor.
Address: Y `� 02� c ( `i7 GL City: /j��-Z %r /7 rJj Is
State: iiZip: Phone: £v J c") V b
Contact:��'`� s 73 a '--) Email:
Type of Work —New —Replacement —Repair —Rebuilddify Space —Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation( RPZ/ PVB)
Standard Water Heater
Add Plumbing Fixtures( Main/—Lower Level)
Description Water Softener
Description: y /
P /�
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540
Sewer&Water Permit also required for connection charges
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
p
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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.citvofeaean.com/subscribe.
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.
Applicant's Printed Name Si natur
• Page 1 of 2