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1412 Vince TrCity of Eagan 411'P City of Eatan 3830 Pilot Knob Road Eagan PAN 55122 Phone; (651) 675-6676 Fax: (861) 876-6894 fjUL 2 1 REC'D Use BLUE or BLACK Ink 1.6,011. PiernIt Fatl' Cate Received. Staff L 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7— N it' Site Address. 14. ),1 vl RQ:1 Tenant. RESIDENT / OWNER 1•010111110.1.10.11110+ CONTRACTOR Name: Address / City /Ztp Name: QL.5... tAt rn g asi6 License #. Address: La. tip )3 I 5:1 5--CC1 coy: p ep). State: __Irsr•CNNJ Z.p: 5 ) LI Phone; _14=k:761_3 Contact hi -6 Di )---SIN--) Email -?2New Replacement Pdpeir Rebuild Modify Spare Worl n R R.O.W. Description of work: _ Phone: ulte 1: TYPE OF WORK f>ERM1T TYPE RESIOENTIAL Water Heater Lawn Irrigation RPZ eS Systorr _ New Abandon:lie:it PV6) Water Softener Add Pluintlr o Fixtures ( Mein I Lower Level) Water T rnaround RESIDENTIAL FEES: $50.50 Minimum Wale:- Heater, Water Softener, or Water Heater. and Softener (includes $.5.0 State S'rrcharge) $30.50 Lawn irrigation (inchdes $.5`,/ State Sucharge) $50.50 Add PluMbing Fixtures, Septic System Abandonment, Water Turnaround* finc:ucles $.5(, State Sdrtharge) 'Water Turnaround (add $166,00 if a 5ie" neer is required) $100.50 Septic System Nev ($10.00 per es built) (ncludes County, tee and $ 50 State Surcbarce) $9050 Fire Repair (replarie tviled out appferices, Ouctwork, etc ) (iticludes $.50 State SLrcherge) TOTAL FEES $ W.0111M•11.01.00411. CALL BEFORE YOU DIG. Call Guo.+. State One Call at (651) 4544002 for protection against underground utility damage. 48 hours before you intent to dig lc nnelye locates of underground utilitie-4 ww.' gpriherstatennecoll.orq herby aricioWedge that the intorrnation is Co!otets/ and accurate; that the v,‘../ c vyi; ha rnlior mama/ with tie (A-di:tannin are codes ot the Cir) of Enan: that unlike:40C this IA rieJta ()emit, b-ir only an applicertron tor a perrit, ar work is rct to start without 3 parmIt.: that tile WOO( wt. te in -dance with the approved oian in the as of .yori whtrt recut/IBA a revirm, and apprcval of rlans Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections: dam. Under Ckci nd Reviewed By: Rough•in Air TestFnat Gas Tes Date: APR -13-2010 19:23 GROUP fidah AECIIIIEOS .I I!MEEK • IWNES• GYOSYSfRtOES•SSIBIIINS P.02/a2 JOB )(MOE' bRoS. CEMft41" - I'112 Va Ert6A SHEET NO.�� CALCULATED BY CHECKED BY SCA? E OF ON? DATE DATE L/E .� iZ.a /- Aoto R1PY• TP._c '?$ -Poo i...YT .Fp-t(D... 0.005. 6.pA ,VANIZA i Temp qit!_ -rvPlcAt-. 0j77141 _. ..?rF .... .....Ebcots1..S .wN R 8rt cVI)_w._1t46 15 L.,r.r TH +inl 3 7" SAw Cur AO gEmtivC I"► St1544 aP/YI160,4R Kfir .7v}fs g E To..,.7 aF'1�som0AT/9++j• S I t r�57» � AIE e...} S 0..GA4 ✓r4 N17..€l3 pmt- SQL} 1:2%..4 1?4.G.QCAT1p5$.1)muo.4. ?(Y. E ....._.: D Rc.p14 Fo,gjATioN .yw/ �' Ft+nsE , rfl (Mimi tfir1gE5op_ Epo+ty._ADHE$/V£) egovtpiw.. _. s e 11*w) Q . GRa T. -r:f41A _Roo A6P.N.I.0 .gcurl001714 GlA 44, ?9s_...___. JETFss,'rzy_ rd 441Ncc17004 A p .tf. '. 1 hereby certify; that this pian, specification, Or repoed by me trik._ or under . aupervisioreandathat.l.,am..a.duty .. Ligene8d..._'_..._...._ _.. Professional Engineer under the laws of tho State of Minhesota pont Brian .D...Glarde �Sgnature_ ......... i� i �'�7r��1 Pate ._ _. A 1 4 2010 TOTAL P.02 5I 14A�� c /07 Cllyof Ea�all DEC 23 2009, 3830 Pilot Knob Road L_ i 7 l etizi Eagan MN 55122 Phone: (651) 675 -5675 • Date: 12'2` Site Address: ) 1, VA>ltt 1r 4 ) Tenant: i✓ F— K&n b 1 G K- - ( 7 x 1 /(1t► i - - 6s - t& Applicant's Printed Name Applicant's Signature Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: ( 40. 3 0 Fax: (651) 675 -5694 C 0 q,096,14 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 1 1 Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR J Name: °✓Sc►. L =vo l Address /City /Zip: 44 J t ur61 /L■1■4 Applicant is: ) Owner X Contractor Phone: 40 45 Description of work: Construction Cost: Multi - Family Building: (Yes / No ) ) Name: 1-I1 -fa_ /, r►ne ,f I License #: ) 1 � Address: (4( �� z; w+ue/ kL, City: EG( yav, Phone: h r 2--. Tt 0.1 $ 7 Contact Person: State: plt- Zip: (SIZE ono-, - rt 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 X No If yes, date and address of master plan: Licensed Plumber: 01 t6L f;" / [Vn - .14. Mechanical Contractor: Al_ MtikBthe Sewer & Water Contractor: /JUEI .(e+54.4641/ $15 Phone: -7 63- 43 - Q Phone: t S2' $q(^ 77q O Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions the information may be classified as non -public if you provide specific reasons that would permit the City t+ conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utifty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x IIL - � Page 1 of 3 , / 1 1 / � l DO NOT WRITE BELOW THIS LINE (77&L 2 SUB TYPES _ Foundation Fireplace Single Family Garage _ Multi Deck _ 01 of Plex Lower Level Accessory Building WORK TYPES New _ Interior Improvement Addition Move Building Alteration Fire Repair _ Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25 %_ 100% Census Code # of Units # of Buildings Type of Construction Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies 0 00-0 TOTAL REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Y Rough In '(Air Test ) Final X Insulation Meter Size: c/1 Occupancy Code Edition Zoning Stories Square Feet Length Width 1 _ Porch (3- Season) _ Storm Damage Porch (4- Season) _ Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) _ Exterior Alteration (Multi) Pool Miscellaneous Siding Reroof Windows Egress Window Demolish Building* _ Demolish Interior 1:)"3/ r)? 12—°- xks;y �gv,rr - r 7L-01)(4,6q= (i y Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _ Footings _Air/ Siding: _Stucco Lath Windows Retaining Wall: _ Footings _ Backfill _ x, Radon Control Erosion Control Building Inspector Final Brick Final 1 Q, yn 2 07, 7, O d , tic/ / 0,2 1? c bs7, 92 ,5;75 3 n ?1 5y t Page 2 of 3 NOV-12-2009 16:38 FROM:AIR MECHANICAL EAGAN 6514526925 New Construction Energy Code Compliance Certificate Pot M l CIA Dunding•C raf late. A bm1rAnn certificate shall be paned in a porno/ very, visible location !node the bpiMML The emitters/ be eomptead by the builder and sholl.1iat Information and velum of comma= halal; in Table 111101.a. Ma hue Addna et the Weenier or Dgttian Unit P f _ V t Pt c._ Nea t 41%e:dermai Gatemen. l '1 o.roL THERMAL ENVELOPE In4eul*Rion Location Below Entire Slab Finandntton Wan Iaetlmcier of Slab.on Grade Rine Joist (F dation) Rim Joist (1" Floor+) Wall Cenfnc. flat Ceiling, vaulted 1 Bay Windows or cantilevered areas 6011110 mom over EfYideu race Describe other insulated areas !ante) rated capac Location of tbn s), dcsct Windows & Doom livers U,Factor kzehdes skylights and one door ) U: Solar Heat Gain Coefficient (SHGC): ,n4t..1 a l y AFUE o RSPF% in dins; d.' 5 l3,q ici 44 U ' 350 Capacity cambiums ventilation rite in cfms: Total ventilation (lntermiaent r continuous rate in dens: Type: Check All That Apply 0 m C1ty Mrr Ut , eNumbee 11 r 0 CF COP u m Dna Cet aaate Parted 11 7 vq U Y 0. 0 C TO: 6514059437 P: 4'4 RADON SYSTEM Passive (N o•Fan ) Active (With Jenard manometer or other eysrrnvmorrhotingthsvice .) Other Please Describe }Jere Typo in kr-adore Interior easier orkeenra! Tyne 71 local= rosier coroner or inrega 'Noe in Iootbrt inmate manor or imago k Structure's Calculated meat Low: Moe honked Vedtnatlon System Describe any additional or combined heating or cooling systems if installed: (c.g. two furnaces ar or our= had pump with gas back - up furnace): Srject 7rpe Beat Recover Ventilator (UR , city in cfms: Ea . a Recover Vcunlaror RRV) Capaci in cfms: Continuous exhausting Low: 1 4 1 1 1 3 A N1F t) Std Output in Tons Th8b: 34-, Interlocked with exhaust device Desc ib cfht's Heating or Goof Ducts Outside Condtdoned Spaces Not applicable. all ducts located in conditioned space Revalue Sint Gticaktiod tsa& i3 $ G/ Make-up Alr Select a Type Other, describe: Location of duct or syste n: Cfm's • round duct OR " metal dues CombustlonAir Select a 7)pg Not requited per ..mech. code Passive X Other. describes Location of duct or system: metal duct Created by BOA version 052009 NOU-12-2009 16:38 FROM:AIR MECHANICAL EAGAN 6514526925 Part B. DEPRESSURIZATION PROTECTION Check option used: 0 Fuel burnIng equipment (complete schedules below) D No fuel bum* equipment 011111 bisanucnaNs Step 1. Complete the Combusaon Equipment Schechde bcIoiv. Only equipment with a Y (Yes) may be selected under the "Category 1" alternate. Step 2. Complete &ha:La/Make-up Air Schedule on the right if direct or power vented or solid fuel atmospheric vent space laeating equipment is selected 1 4 1.1 - Part Ci. VENTILATION - ......f '- i .--, ,, ..,• „.... .. ,,,cr..... 6:...V4K,10 Ma - '' ' . „z..i. a . 4174 iT,', r' '''' 1 1 ; r0 - A- '4 .' r , ,...,.., e.__ . 1 . , I ' ll ' :77 . 1. 0' CI 0 . it :- . ••••• . '.......',. ..050§01...01. oilkrirtir*:4'..:7r.I:17.tv ' SI Bichanst 0 _An.......,,,- '::-..4 . .,..÷.....•,.• kl ae,/,... A *"7 V lbe'-',. RA . A . r .;."4j'1*C td ,i4jf4 - 26- \:0:4".:V.Wfr2.5:1'7Lertk"."1.-Ilijk'± .:.0 ID Balanced (heat recovery ventilator air exchanget, etc. •.- .. 0 'rifsaltirt I 0 Weill Lf 0 Ma Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans. specifications. and other calculations submitted with the permit application. The proposed building has been designed to meet the requrenic of the lvfinnesota Energy Code. ---, 1 1 /1) / 7 - (. 96. 2? - Date • Telephone number Applicant (print name) Part C2. VENTILATION Job Site Address: Applicant (print namc) Signs Signature (Submit Part C2 upon completion of system veriticado ? fl e .04 ,42 .,„..„ . .. ' ..,.1.1vieggr , i. • • gm ' - vairraer •03 -. • - - - - .5F.A.,' : . .. gnsla..v.. .6.... fo..ut ...%:' - ' •:.• . v- 1.3sti__ f.4.......iliLuL-.r..t.a • • . usmeoluisn. Compliance Statement Installed ventilation system is in compliance with M1 Energy Code and is sized to provide the design air flow. Date TO:6514059437 Permit Number Telephone number P: 2/ 4 AO VEM IQ • :- 1111111111111M t) spectidn Dept Ottpy City Forester Copy Applicant/Builder Copy Development Lot Number Address Builder Tree Protection Requirements: Replaceinent Trees: Attachments: Additional Notes: - sON t -DYIAts Phone Number: t Z - gvi-( 31 Contact: #0.,∎ Ni Not Required As Follows: Yes No H :\ghove\2006file \treepreslTree Preservation Plan Summary-2006 (BUILDER, PLEASE READ ATTACHMENTS) R, 104 2:- t1P Block Number 14 ,12_ QtN lR t,L. Tree Protection Fencing Installed On Site Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Required Retaining Wall To Be Installed Other: SAN FORWSTRY DIVISION REVIEW BY DATE 17'7i'n7 • SODDED 903.4 901.3 901.9 903.3 EXISTING HOUSE 907.8 908.3 908.4 (908.0) 905.5 903.6 903.8 905.9 905.9 906.4 (90 3. 9) 903.9 902.9 I hereby certify that this plan was prepared by me or under my direct supervision and that I am a Urban Forester and Certified Arborist. SIGNED :: ^ - PIONEER ENGINEERING, P.A. 12/17/09 Peter A. Molinaro, !ban Forester Certified Arborist MN -4197A 103081.016 103235009 -KE NEI4ICK- L04- B01.dwg T4, 9,266/2--- 4 PIeNEERengineerin CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 (651)681 -1914 Fax:681 -9488 TREE PRESERVATION PLAN Certificate for: THORSON HOMES LOT 4, BLOCK 1, KENNERICK 2ND ADDITION EAGAN, MINNESOTA (DAKOTA COUNTY) 907.3 X 1293 911.5 918.3 DRAINAGE AND UTILITY EASEMENT PER PLAT Tag ' Tree Size # (in.) 1292 128-1, X 1288 1289X .. ; 1231X 1291 1290 4 nu m 1276X X 1275 Tree Type Proposed Status 1225 13 Great Ash Saw 1231 13 Green Ash Saw 1271 14 Maple Saw 1273 12 ;Elm Saw 1274 10,7 ;Green Ash Saw 1275 11,6 `Green Ash Sane 1276 ` 11,10,7 Green Ash Saw 1271 8 Boxeider Sate 1278 7 Great Ash Sate 1279 10 Elm Saw 1280 19 Willow Saw 1281 12 ;Green Ash Sate 1282 , 11 Green Ash Saw 1283 11,7 Green Ash Sane 1284 ; 18 `Green Ash Saw 1285: 6 Boxelder Saw 1286' 7 Green Ash Saw 1287 14,8 , Elm Sane 1288 6 Boxelder Saw 12891 12,11,7 'Green Ash Sane 1290 7 :Green Ash Saw 1291 6 ;Green Ash Sate 1292 ! 10,9,8 ;Green Ash Sane 1293 6 ; Elm Sate MITIGATION NOT REQUIRED X - SIGNIFICANT TREE 919.4 1285 x X 1286 X 1283 x x1271 1274 x 1282 X 1225 1273X (924.0) 924.0 923.f 1281 x 923.7 1280 x . 921.7 1279x 1278 919.5 906.5 1 Msr e SODDED ib k;14"4• .; 40-0._ 909.3 909.2 7 7.0 W111 �w EXISTING t * Amar HOUSE 925,5 y1. trM►j 4.8 1 INCH : 30 FEET 1 OF 2 • TREES TO BE SAVED SHALL BE FENCED OFF TRMH BRIGHT ORANGE POLYETHYLENE SAFETY NETTING OR HEAVY DUTY SILT FENCE AND STEEL STAKES AT 111E DRIP UNE, OR AS DIRECTED BY THE OWNERS CONSULTANT. PROTECTION FENCE WILL HELP INSURE AGAINST DAMAGE BY VEHICLES, COMPACTION OF SOILS A140/011 THE CHEMICAL AL1ERATION OF BOILS DUE TO CONCRETE WASHOUT, PAINTS AND LEAKAGE OR SPILLAGE OF ANY TOXIC MATERIALS. 1.( PISNEERneering CIVI,. ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive Mendota Heights, MN 55120 (651)6814914 Fax:681 -9488 TREE PRESERVATION PLAN Certificate for: THORSON HOMES LOT 4, BLOCK 1, KENNERICK 2ND ADDITION EAGAN, MINNESOTA (DAKOTA COUNTY) THE AREA OF ROOTS EQUAL TO 1' -1.5' FOR EVERY I OF TRUNK DIAMETER (0911) TREE PROTECTION DETAIL NOT TO SOME UMI - . P'01EC a, ROOT ADR15 a 1 - 1.5 FOOT PER INCH CF TRUNK DIAMETER TREE PROTECTION ROOT ZONE DETAIL NOT 10 SCALE PROTECTED ROOT ZONE TREE PROTECTION FFENCE DRIP UNE TREE PRESERVATION_NOTES INSTALL TREE OR 51LT FENCE PRIOR TO OR AT SAME DYE AS LAND CLEARING PROTECTION FENCE SHOULD REMAIN IN PLACE UNTIL AU. CONSTRUCTION IS COMPLETE IF PROTECTION FENCE 15 DAMAGED OR REMOVED, NEW FENCING MUST BE PLACED BACK IN ORIGINAL POSITION UNTIL CONSTRUCTION IS COMPLETE 90-95* OF A TREE'S ROOT SYSTEM IS LOCATED 511HIN THE TOP 3' OF SOIL 50% OF A TREES ROOT SYSTEM IS LOCATED WITHIN THE TOP 1' OF SOIL MOST FINE ROOTS ARE WITHIN THE TOP HY OF THE SOIL SURFACE, AND IT IS THESE ROOTS THAT FUNCTION PRIMARILY IN WATER AND NUTRIENT UPTAKE. 5011E TREES CAN V4IHSTAND UP 10 50X ROOT SEVERANCE WHILE OTHER TREE SPECIES ARE EXTREMELY SENSISTIVE TO ANY ROOT SEVERANCE 5011 COMPACTION AND FILL OVER ROOT SYSTEMS ARE JUST AS DAMAGING AS ROOT SEVERANCE AND SHOULD BE MINIMIZED FCR PROPER SOIL OXYLEN BEFORE LAND CLEARING BEGINS, CONTRACTOR SHOULD MEET WITH THE CONSULTANT ON SITE TO REVIEW ALL WORK PROCEDURES, ACCESS ROUTES, STORAGE AREAS, AND TREE PROTECTION MEASURES. NO FILL SHOULD BE PLACED AGAINST THE TRUNK, ON THE ROOT CROWN, OR WITHIN THE DRIP LINE AREA OF ANY TREES THAT ARE TO BE SAVED. NO GRADING, TRENCHING OR PLACEMENT OF EQUIPMENT IS ALLOWED IN THE TREE PROTECTION AREA. WORK PERFORMED WITHIN THE TREE PROTECTION AREA SHOULD BE DONE BY HAND AND UNDER THE SUPERVISION OF THE CONSULTING ARBORIST. PRUNING OF OAK TREES MUST NOT TAKE PLACE FROM APRIL 15 TO JULY 15 TO PREVENT THE SPREAD OF OAK HALT DISEASE. IF WOUNDING OF OAK TREES OCCUR ANYTIME BETWEEN APRIL TO AUGUST, A NON —TOXIC WOUND DRESSING MUST BE APPUED IMMEDIATELY. (EXCAVATORS MUST HAVE A NON —TOXIC TREE WOUND DRESSING WITH THEM ON DEVELOPMENT SITES). 2 OF 2 Y a o z .L( 0 . r ❑ ,g' ❑ . , 0 • .2` ❑ -6 ❑ $ ❑ .P1 ❑ PROPERTY LEGAL: Proposed ❑ ❑ • Garage floor ,e! ❑ ❑ • Basement floor ,fe ❑ ❑ • Lowest exposed elevation (walkout/window) .M ❑ ❑ • Property corners % ❑ 0 • Front and rear of home at the foundation LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION DATE OF SURVEY: It/JS /o7 LATEST REVISION: U IncE TR, DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w /o, split entry, lookout, etc.) • Directional drainage arrows with slope /gradient % • Proposed /existing sewer and water services & invert elevation • Street name • Driveway (grade & width - in R/W and back of curb, 22' max.) • Lot Square Footage • Lot Coverage ELEVATIONS Existing ❑ ❑ • Property comers .0( ❑ 0 • Top of curb at the driveway and property line extensions .0' ❑ ❑ • Elevations of any existing adjacent homes ,g' ❑ ❑ • Adequate footing depth of structures due to adjacent utility trenches ❑ 0 ❑ • Waterways (pond, stream, etc.) PONDING AREA (if applicable) ❑ -$ ❑ • Easement line ❑ ft' ❑ • NWL ❑ ii2f 0 • HWL ❑ 2' ❑ • Pond # designation ❑ % ❑ • Emergency Overflow Elevation ❑ , g 0 • Pond/Wetland buffer delineation Y • Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS ,r ❑ 0 • Lot lines /Bearings & dimensions . ❑ ❑ • Right -of -way and street width (to back of curb) .B 0 ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) • ❑ ❑ • Show all easements of record and any City utilities within those easements ,p' ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures .IT ❑ ❑ • Retaining wall requirements: Reviewed By: d��i Date /��0 /`� G: /FORMS /Building Permit Application Rev. 11 -26 -04 a 907.8 908.3 589'55'38 "E NOTE: ADD BRICK LEDGE AS REQUIRED NOTE: GRADING PLAN BY GUST ENTERPRISES LAST DATED 8/16/03 WAS USED TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBIUTY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 34991 103235009 D.C. /MTWx3 /NJK ) Lf/3 U; cc- T BENCH MARK: TOP OF SPIKE l ELEV. =907.03 \ 904.8 DRAINAGE AND MUTT EASEMENT PER PLAT x9013 ‘ .1%., 923.7 919.5 SODDED EAGAN 905.5 903.9 903.6 u 903.8 905.9 905.9 906.4 / 0 x i oiBENCH MARK: 5 TOP OF SPIKE ELEV. =905.87 (903.9) PJ*NEERengineering Certificate of Survey for: THORSON HOMES 911.0 0O XISTING ^� E <C> 11OUSE X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION ..- _ DENOTES DRAINAGE AND U11UTY EASEMENT DENOTES DRAINAGE FLOW DIRECTION -�-�- DENOTES SPIKE DENOTES ELEVATION ON 1000.01 187.00 DENOTES EMERGENCY OVERFLOW BY: 91 1272 I Will CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com LOT AREA = 28,248 SQ. FT. HOUSE AREA = 2,011 SQ. FT. ADDRESS: 1412 VINCE TRAIL, EAGAN, MN DR AREA 115 4 BUYER: MODEL: ELEVATION: DRIVEWAY AREA = 849 9 SQQ. . FT. SIDEWALK AREA = 143 SQ. FT. IMPERVIOUS COVERAGE = 11.0% o r 911.5 916.3 919.4 (924.0) 924.0 923.9 DV, E AND AINTAII1 LET PROW /419N UNTIL FINAL TURF IS ESTABLISHED ETYPE 13 - FULL BASEMENT 909.2 SANITARY SEWER INVERT ELEVATION = 893.2 (PER PLAN DATA PROVIDED BY CITY OF EAGAN) 1 HOUSE ELEVATIONS : (PROPOSED)/ASBUILT LOWEST FLOOR ELEVATION : ( TOP OF FOUNDATION ELEV. : (908.3) GARAGE SLAB ELEV. 0 DOOR : *(907.2)* drop 0.7 ft WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 4, BLOCK 1, KENNERICK SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF JULY, 2005. REVISED: NOTE: 11 -20 -09 N DOUSE PLANS SCALE : 1 INCH = 30 FEET 12 -10 09 CHANGE GE HOUSE DIM. PER CLIENT 12 -15 -09 STAKED HOUSE SIGNED/ // , PIONEER ENGINEERING, P.A. Peter J. Hawkinson License No. 42299 925.5 0) 0) 24.0 f 41,1' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r RE COVED MAY 1 6 2012 2012 RESIDENTIAL BUILDING PERMIT APPLICATION tecf ? i Unit#: 1�irG"✓J �� Use BLUE or BLACK Ink For Office Use i Permit Fee: Date Received: `moi; J 67 Staff: Date: 5"'tS"212. Site Address: Name: I Address / City / Zip: IL/ I v i,Ari,t_, 1 rn:3 ‘ Applicant is: Owner X. Contractor Phone: Co Description of work: Construction Cost: LI .690-1) Multi -Family Building: (Yes / No ) Company: t k ms. Wc-kAASA Contact: Ntmak-- t tx"... Address: L-11-4In C, \AM k x� ,40 ci Dr: City: fry •-- State: �"1 Ni Zip: -)`i'1 Phone: (QS) ` 4Oet-41-j License #: 1 i Lead Certificate #: 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 (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 completed within 180 days of permit issuance. x N;ctlobb Applicant's Printed Name Applicant' Signa Page 1 of 3 SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% )() Census Code # of Units # of Buildings Type of Construction V (5 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final DO NOT WRITE BELOW THIS LINE Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair 0 Occupancy Code Edition Zoning Stories Square Feet Length Width ?C, Framing Fireplace: _Rough In _Air Test Final Insulation Sheathing Sheetrock Reviewed By: /m/ 77 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant PN-bL MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 060c. ?Vy /s--: (;,0 Page 2 of 3 PIZNEERengine�ing CIVIL ENGINEERS LAND PLANNERS LAND SURVEYORS LANDSCAPE ARCHITECTS 2422 Enterprise Drive, Mendota Heights, MN 55120, Phone: (651) 681 1914 Fax: (651) 681 9488 - Pioneereng.com LOT AREA = 28,248 SQ. FT. HOUSE AREA = 2,011 SQ. FT. PORCH AREA = 115 SQ. FT. DRIVEWAY AREA = 849 SQ. FT. SIDEWALK AREA = 143 SQ. FT. IMPERVIOUS COVERAGE = 11.0% Certificate of Survey for: THORSON HOMES ADDRESS: 1412 VINCE TRAIL, EAGAN, MN BUYER: MODEL: ELEVATION: SODDED 907.8 908.3 -nk-a 908.4 (908.0) d. 903.4 901.3 LO 905.5 1*1 s-• .. x 1 x90.9 903.3 EXISTING HOUSE CO r-. xo Hca 903.6 to 903.8 CV. 905.9 905.9 906.4 to 1r N to .BENCH MARK: 5 TOP OF SPIKE ELEV.=905.87 (903 9) 903.9 S89'55'38"E 911.5 916,3 77 187.00 907.3 X93 0 cV co 51 s 90 • 5 904.8 x`*, 905.4 j� 05.9 t '`. �9 / isj ANO UNITY PTA PLAT x 187 188 04 x 292 Bi 90x1 2 905.9 91 S9S3:60 *s T4s 907, 023.2 89 10.9 90 Gt4.2 31 919.4 1 (924.0) 924.0 923.9 917.5 1283 18.6 82 316.4- 25 175 x 17.3 1273 923.7 .4 9 920.1 278 919.5 925.5 0) N 4 • 24.0 08.3 91 1272 12.8 10l 902.9 1 I 0 64r. '1 _1s t m 4n1 I WA/ LL NOTE: NOTE: I I 909.3 909.2 LL 906.5 SODDED r • BENCH MARK: TOP OF SPIKE `ELEV. = 907.03 ADD BRICK LEDGE AS REQUIRED GRADING PLAN BY GUST ENTERPRISES LAST DATED 8/16/03 WAS USED TO DETERMINE THE PROPOSED ELEVATIONS SHOWN ON THIS CERTIFICATE. NOTE: PROPOSED BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL LOCATION OF STRUCTURES ON THE LOT ONLY. CONTACT BUILDER PRIOR TO CONSTRUCTION FOR APPROVED CONSTRUCTION PLANS. NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN PERFORMED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE GOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM 911 0 �4-s� EXISTING HOUSE HOUSE TYPE 13 - C FULL BASEMENT SANITARY SEWER INVERT ELEVATION = 893.2 (PER PLAN DATA PROVIDED BY CITY OF EAGAN) �` HOUSE ELEVATIONS LOWEST FLOOR ELEVATION TOP OF FOUNDATION ELEV. : (PROPOSEDVASBUILT (899.5) :(908.3) GARAGE SLAB ELEV. 0 DOOR :*(907.2)* drop 0.7 ft X 000.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION DENOTES SPIKE DENOTES ELEVATION ON I moo I DENOTES EMERGENCY OVERFLOW WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 4, BLOCK 1, KENNERICK SECOND ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF JULY, 2005. SCALE : 1 INCH = 30 FEET 34991 103235009 D.C./MTWx3/NJK REVISED: NOTE: 11-20-09 12-4-09 NEW. ijQUStz PLANS CHANGE HOUSE DIM. PER CLIENT 12-10-09 CHANGE HOUSE DIM. PER CUENT 12-15-09 STAKED HOUSE SIGNED// PIONEER ENGINEERING, P.A. BY: Peter J. Hawkinson License No. 42299 � Use BLUE or BLACK Ink . �________________� ' I For Office Use � � � Permit#: �� v�� Clty of �a�a� � �� ; 3830 Pilot Knob Road REC�l�ED i Permit Fee: r i Eagan MN 55122 � Date Received: � Phone: (651)675-5675 �A� � 4 �0,� I I Fax: (651)675-5694 i Staff: i -----------------,��,�,�,5� , 2014 RESIDENTIAL BUILDING PERMIT APPLICATION t'��.�� Date: Site Address: Unit#: Name: \� ��`E.� �� Phone: �I Z- Z� - � (�� Resident/ �� Owner adaress�city�z�p: �`"f�Z 'U � c.E `,�� ,��.0,�1 Applicant is: Owner �Confractor Type of WOrk Description of work: ��€�..E�� ,,,� s� c1� � ' Construction Cost: �f�� Multi-Family Buiiding:(Yes /No ) �, (,�4� � (� ' Com�iany: � ��.ca�G �t7-v�ec�v�-� Contact: �,,a �•��..�- Contractor Address Z-�� - �-s�e�..., +� City: �s� State:�-J Zip: 'S'S�1'� Phone: l.5 � - '�S��Z�mail: V`tic-w,�cr�.c,to��2c_c��s�r4��ia.�t License#: ��-'�'FZ`�lOt�`� Lead Certificate��(�� 3 �- � ' t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ��I� �r� 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: 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#he City to conclutle that they are trade secrets. CALL BEFORE YOU DIG. Cali 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.qopherstateonecali.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 Build' Code must be completed within 180 days of permit issuance. X �;�1 �( s.(Y[,.JL� x ApplicanYs Printed Name Appli Ys Si ure - Page 1 of 3 I �`��7.�� l�r �e� �Y' � DO N�T YJRITE BEL01fV THiS LINE 7i �� 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 II _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 4� Occupancy �,3�— � MCES System — Plan Review / Code Edition ;tGb'7 SAC Units -� 25° 1 ° ✓ /0 00/o Zonin �`� Cit Water � � — —) J Y I Census Code �.3� Stories ^ Booster Pump �— #of Units / Square Feet .� PRV —' � #of Buildings ! Length � Fire Sprinklers I �— Type of Construction �_ Width �.,, REQUIRED INSPECTIONS Footings (New Building) Meter Size: ,i Footings (Deck) Final /C.O. Required � Footings (Addition) � Final/ No C.O. Required Foundation �f HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final �C Framing Drain Tile � Fireplace: �C Rough In ,�Air Test �Final Siding: _Stucco Lath _Stone Lath _Brick -� Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTtAL FEES �77 �1'�9 a,0 � /g Syd Base Fee 33q � Surcharge Plan Review 2�j 5! MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA124825 Date Issued:07/11/2014 Permit Category:ePermit Site Address: 1412 Vince Tr Lot:4 Block: 1 Addition: Kennerick 2nd PID:10-41501-01-040 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Tammy M Quant 1412 Vince Tr Eagan MN 55121 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature u�C . . . v� oLirur��nn •�`. __�__—_.��__---_.�_.S . � For Office Use � p f � �.sf -' �� :`- t �� O� L� �� I Pertnit#: � I � � ' v v� I � Permit Fee: � 3830 Pilot Knob Road � i Eagan M N 55122 � Date Received: � Phone:{651) 675-5675 i statr: i Fax: (651) 675�694 �-----------------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:�� Q� 1 Site Address: I —1 �� ( 1 11C� �L � rA� � _ Tenant: Suite�l- ReSldenUOW11e� Name: Phone: Address!City/Zip: Name: YC�L� �1iiY U�.X M,`��- ��.� License#:�p��`�p� Contractor Address:�� E'��7�r��c�y: ��Qi 7 � � State: �1(� Z;P:5�+a g Phone: ��I.7' �� I— ��'�'I Contact:l��UY ! �lQ_-I�^_ Email:��n� I�3�c,f.��t r � - !i'Wl Type of Work �.New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. / 4�c�,-_ ` � Descriptioa of work: 3/y 1 XJt��'l7�" bC�C�I LA�'°� RESIOENTIAL Water Heater Water Softener Lawn lrrigation�RPZ/_PVB) Permit Type �Add Plumbing Fixtures�Main/�,Lower Level) Septic System New Water Tumaround _Abandonment RESIDENTIAL FE�S: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes S5_oo State Surcharge) $60_00 Lawn Irrigation (indudes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Tumaround*(includes$5.0o State Surcharge) "Water Turnaround(add$200.00 if a 5/8"meter is required) 5115.00 Septic SYStem New($10.00 per as built)(includes Couny fee and$5.00 State Surcharge) /}� TOTAL FEES$ �r�/�' CALL BEFORE YOU DIG. Call Gopher SWte One Call at(654)454-0002 fw protecfion againsi underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby adcnowledge that this information is complete and accurate;thal the work will be in coniormance with the ordinances and codes of Ihe City oi Eagan; that I understand this is 1 a permit, but oniy an application for a permil, and work is not to start without a pertnii;that lhe work will be in a�cordanc �th the approved in the case of woric which requires a review and approval of plans. � � X��'"'Ro�/ Pou� A icant's P i Name ApplicanYs 5ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: Z�d �£0�60b� 961nf �i:r2t�i�j" .t� /,�3�'S�" � FE� 17 20�5 Dale Schoeppner, This letter is fio describe the insulation and fire blocking that was installed at 1412 Vince Tr, Eagan far the basement finish that was campleted in the Fall of 2C?14. 1. Entire fEoor system and soffit was netted and blown full of fiberglass insulatian. 2. All wall cavities where blocked off with 16 inches of batt insc�lafiion far�re blocking and to hold the ialown insulation in piaee and gap behind studs with fi(#ed with spray faam insulation(1/4 inch gap between stucf and fioundation wa(I} 3'. Ali vertical penetrations were sealed with spray foam insulation. �i d P �6+�vTt F��i.✓h.i�'1N�T�s� 4. Green treated 2x4 is nailed tight to bfock rnrali every 8 ft for backing and for draft stop be�ind the energy walls, Attached are photos of the completed basement and aisa the open area in the mechanica!raom where II you can see the insulation that was installed in the ceiling, Let me know if you have any quesCions or`rf there is anything else that you need regarding the matter. 7hanks, Ryan Sei erk Gyclone Construcitan 4111/1 City of Eakall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 01 2016 Use BLUE or BLACK Ink For Office Use `j ' Permit #: ✓ 1 j C/C2 Permit Fee: C9 Oc/ Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION `�. ❑ Please submit two (2) sets of plans with all commercial applications. —± —Zia 110 Site Address: 1412 \)'t t\K.`L. l(ZAiL Tenant: Suite #: Name: C...L`kt i Q� Ci 1� Phone: �2es)dent/Owner Address / City / Zip: Name: FL. CVQ$L WIS►T1tOV 4 A` ITK)C - License #: Address: q 333 `' Lt, iiry ► \J R\7 i., Q City: G 0L1 .1v) \' R 0L`try n ractb� State: t ley Zip: 5 -51.k -LI 6-6- 5u2�-I11. p ,�a- �` Contact: si35 i tib 6RAvF Email: 11i ♦ i Otrt. e.0.,4t- , l.z'i°'‘, New Replacement Additional X Alteration Demolition pa ofUil'ork Description of work: -1t5S7t'LL/NTtoA) OF Nt (jhRAb`c. ONO. VAeAT L E bf o n •• • u se o t �c a ltd r nca( •�• a nspe or fd in orm o COMMERCIAL New Construction r r e c Interior Improvement RESIDENTIAL Furnace Air Conditioner erit Install Piping Processed A Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_ Install / _ Remove) Other OPS CI q RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge = $ t.Q0 . OO TOTAL FEE $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum Contract = $ Value $ x .01 Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 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 p Applicant's Printed Name Use BLUE or BLACK Ink r For Office Use .* Permit#:J tIg5 - ' City �� Permit Fee: bO'O 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: I. 2017 MECHANICAL PERMIT APPLICATION n Please submit two(2)sets of plans with all om} mercial pplications. Date: ,31-1 7 Site Address: / d7, d vl., /,/'/ get,s,,,,_ Tenant Suite#: Name: / .tialJY/ Phone: �`, s —,g _l Resident/Owner ; 7 ,/'� ,. / Address/City/Zip' / / � �� ' Name: r I � f License#: {�C.C;dc> Address: b9J l/I ,�, ', `7J City: "I Contractor C / � '' r��, F State: /'r PA Zip: c> t'�1J Phone: 76 3 ✓ 7 Contact: % //e e' /45 /1.111ke i. 't Rf �� a _ Email: . 0/'t New Replacement Ad itional t Iteratio r,�Iemolitio 1 . Type of Work Description of work: ,6.,,,., e u' u/ y (2. e i s NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by fr y0 Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement t Permit Type — Air Conditioner Install Piping Processed I _Air Exchanger 1 i Gas Exterior HVAC Unit i Heat Pump f',, —Under/Above ground Tank ( Install/_Remove) ( ?C Other * tam RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEESContract Value$ x.01 I $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge= Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start wit out a permit;th the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. A i K �l /XC.rg/i X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In _Air Test Gas Service Test In-floor Heat Final HVAC Screening