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3239 Evergreen DrDate: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Phone: (651) 675-5675 Fax: (651) 675-5694. DEC 2 7 2010 1 Permit #: q 7 4/ Permit Fee: Date Received: Staff: L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION 12-p(t 0 Tenant: Site Address: Christy Moore 3239 Evergreen Drive Suite #: RESIDENT / OWNER Eagan, will JJJ.LJ. Name: 6516862828 lone: Address / City / Zip: CONTRACTOR Name: NORBLOM PLUMBING CO.License#: 011l (A Pal t Address: (612) 8274033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: AThj TYPE OF WORK _ New X Replacement Repair Rebuild Modify Space Work in R.O.W. — — Description of work: re pteu vva-fe,rhem PERMIT TYPE RESIDENTIAL IWater Heater Water Softener 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) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 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 $ 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 Je L • iV orb( o- ni Applicant's PrintebrName A•' icant's Signature OFFICE"'U ' REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-oa ' Sae insiructions for completing this form on back of yellow copy. ,i t,Z r? ""1(" " Below Work Cnvered 6y 7his Request ?j $?(p g' AAtl Re0• Type of 6uilAing AoCliancea Wbed EquiOment Wirad Home Range Temporary Service"" Dupiex Water Heater Ligh[ing Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Cnnditioner Bulk Milk Tenk Fafln Other penfy Other (SUecify} ther Suoci y Ot er . Oihor Compute lnspec2ian fee 8e/ow # Fea ServireEntrenceSize tt Fee Fexdersl5ubleeders N Fee Circvits -I I z. u 0 0 to 200 qm s ? 3 2, rj 0 to 30 Am 5 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Am '. Swimmin Poal have 100-Amps A Above 700_AmPs Transiormers rrigation Booms I . Q Pdrtiai-"Other Fee Signs Speciallnspection $ T Rem3rks 50 .00 ? ? Lrl Yl 1 Wfl1V 'l. / Pough-In ; Date ? ?jp?JJy26I! 7? . I(ISpectOr. hBrBby I certify thal Ne abave i Final ? i?r??? , spactiai has baen i 1hi6 roquasl void 18 montha from This request voiA 4 -23 78 rtpn[hs fiom A ') rc;`iri ?za , B 1? CoacG.w?av\ 3$7 lo Y {J-etInl&A A, S qQ Sa Rxques[ Date ``- I Fire No. I Rouyh-in Inspection flequiredt He2tly Nuw Will Notifv I.sPec- 9-21 -83 ?]ves ?No cor when peadv []CLicensed Electrical Conlractor 1 hereby request inspection ot above' ? Owner elaclrical work instelled at: Streel Address, eox or Houte No. Giry 3239 Evergreen Drive Ea an ecUOn o. Township Nnme or No. ftange No. County ? akota Or.cuoantIPRINT) Phone No. Brutgee Companies 612-252-6262 Pawer SuoP11e1 Address NSP EI¢Ctrical Contractor (COmpanY Name) Comraclor's License No. Tim's Electric Inc , . Mailing Atldress (Contractor or Owner Makinq Instailationl 32 S. Wabasha, St. Paul, MN 55107 Ayl?orized SiBnature (COnNactor Owner Making InstallatioN L Phone Number ? 224-8293 MINNESOTA STqTE BO?qD OF ELECTRICITY TMIS INSPECTION pEQUEST WILL NOT Griees-Midway Blde. -7foom N•797 BE ACCEPTEO BY THE STATE eOAND 1821 University Ave., St. Paul. MN 55700 UNLESS PflOPEN INSPECTION FEE IS Phone (812) 297-2111 ENCIOSED. CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BIJILDING PERMIT APPLICATION 1 set of energy calculations. 2 4b•Be Used FOr 1 of 6 Plex Valuation 13:5:j? t75-,g 00o Date July 13, 1983 Sit2 PLldress 3239 Evergreen Drive Lot 22 Block _ 1 Sec./Sub. Coachman -Parcel #: Highlands Oan2t: Brutqer Companies, Inc. AdiY'ess: One Sunwood Drive, P.O. Box 399 City/Zip Cocle: st. Cloud, rs7 56302 PhOR2 #: (612) 252-6262 COntsaCtOr: Brutqer Companies, Inc. PddT25s: One Sunwood Drive, P.O. Box 399 City/Zip COde: St. Cloud, MN 56302 PhoT1E #: (612) 252-6262 ArC1'1./Er1q.: Blumentals Architecture, Inc. Address: 6100 Summit Drive North City/Zip Code: Brooklyn Center, MN 55430 Phone #: (612) 571-5S50 OFFICE USE ONLY Erect Occupancy 3 Alter Zoning ? Repair Fire Zone Enlarge 7ype of Const. '? Move # Stories y Derolish Front ft. Grade Depth ft. APPFtOVAIS FEES Assessments Permit 2 q > [aater/Sewer Surcharge Z - Police Plan Check Fire SAC ?A5-- Eng. Water Conn. „ Planner Water Meter , Council Road Unit z5,T-p Bldg. Off, AE? =AI, _-? 1-7 q R 1 s-o Bldg. A-§ BUILDING PERMIT N° 8334 Receipt # Ts be wed br 1 of 6 PLEX Est. Value $53,000 Dote A ugust 1 , 1g-0- Site Address 3239 Evergreen Drive Erect ? OccuPancy R-3 Lot 22 Bi«k 1 Sec/SubCoachman Highlands Airer ? Zonin9 R-3 Parcel # Repuir ? Flre Zone NA E l T t C t V n arge ? ype o ons . w Nome Brutaer Comnanies. Inc. Move O # Srories Z z? Addreu One Sunwood Dr., P.O. Box 399 Demolish ? Length_ Ci St. Cloud Pham 252-6262 Grode ? Depth Sq. Ft.- ?p Noma Owner AOVrorals Fees ?U Address Assessment _ ~ Woter & Sew. Cit Phone G Police w Nome r Fire = 0 Addreas Enp. ? Z" Ci Phone Planner _ Council _ I hereby acknowledge that I have read fhis oppiicofion and state that gldg. Off. _ the inlormation is correct and a9ree to comply with oll applicoble State of Minnetota Stotutes and City of Eagan Ordironces. AP? Permit ?2?6"v SurcFwrge 26.50 Plon theck 146.00 SAC 525.00 Warer Conn. 450. 00 Water Meter 60.00 Rood Unit 250.00 Tofol $17?.49•50 Signoture of PertniMee I rutger Companies, Inc. A 8uilding Permit Is issued to: on the express condition ihni oll work sholl be dorx in accordante with ol ppliwble of Minnesota Statutes and Cify of Eagon Ordinancea. Buildirp Officiol 4n A., asaig _/?- CITY OF EAGAN 9795 PIIM Knob Rood Ea9an, MN 55142 PNONE: 431-8100 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BIJILDING PERMIT APPLICATION 1 set of energy calculations. 2 4b•Be Used FOr 1 of 6 Plex Valuation 13:5:j? t75-,g 00o Date July 13, 1983 Sit2 PLldress 3239 Evergreen Drive Lot 22 Block _ 1 Sec./Sub. Coachman -Parcel #: Highlands Oan2t: Brutqer Companies, Inc. AdiY'ess: One Sunwood Drive, P.O. Box 399 City/Zip Cocle: st. Cloud, rs7 56302 PhOR2 #: (612) 252-6262 COntsaCtOr: Brutqer Companies, Inc. PddT25s: One Sunwood Drive, P.O. Box 399 City/Zip COde: St. Cloud, MN 56302 PhoT1E #: (612) 252-6262 ArC1'1./Er1q.: Blumentals Architecture, Inc. Address: 6100 Summit Drive North City/Zip Code: Brooklyn Center, MN 55430 Phone #: (612) 571-5S50 OFFICE USE ONLY Erect Occupancy 3 Alter Zoning ? Repair Fire Zone Enlarge 7ype of Const. '? Move # Stories y Derolish Front ft. Grade Depth ft. APPFtOVAIS FEES Assessments Permit 2 q > [aater/Sewer Surcharge Z - Police Plan Check Fire SAC ?A5-- Eng. Water Conn. „ Planner Water Meter , Council Road Unit z5,T-p Bldg. Off, AE? =AI, _-? 1-7 q R 1 s-o Bldg. A-§ BUILDING PERMIT N° 8334 Receipt # Ts be wed br 1 of 6 PLEX Est. Value $53,000 Dote A ugust 1 , 1g-0- Site Address 3239 Evergreen Drive Erect ? OccuPancy R-3 Lot 22 Bi«k 1 Sec/SubCoachman Highlands Airer ? Zonin9 R-3 Parcel # Repuir ? Flre Zone NA E l T t C t V n arge ? ype o ons . w Nome Brutaer Comnanies. Inc. Move O # Srories Z z? Addreu One Sunwood Dr., P.O. Box 399 Demolish ? Length_ Ci St. Cloud Pham 252-6262 Grode ? Depth Sq. Ft.- ?p Noma Owner AOVrorals Fees ?U Address Assessment _ ~ Woter & Sew. Cit Phone G Police w Nome r Fire = 0 Addreas Enp. ? Z" Ci Phone Planner _ Council _ I hereby acknowledge that I have read fhis oppiicofion and state that gldg. Off. _ the inlormation is correct and a9ree to comply with oll applicoble State of Minnetota Stotutes and City of Eagan Ordironces. AP? Permit ?2?6"v SurcFwrge 26.50 Plon theck 146.00 SAC 525.00 Warer Conn. 450. 00 Water Meter 60.00 Rood Unit 250.00 Tofol $17?.49•50 Signoture of PertniMee I rutger Companies, Inc. A 8uilding Permit Is issued to: on the express condition ihni oll work sholl be dorx in accordante with ol ppliwble of Minnesota Statutes and Cify of Eagon Ordinancea. Buildirp Officiol 4n A., asaig _/?- CITY OF EAGAN 9795 PIIM Knob Rood Ea9an, MN 55142 PNONE: 431-8100 CITY OF EAGAN 3830 Pilot Kno6 Road WATER SERVICE PERMIT r? ?; f, r i PERMIT NO : P. O. Box 21199 . ? MN 55127 an E DATE: , ag i Z of Units: No on rg; . Ownar; Urutger Co Address: 3241 EvergrQan Dr L:.1 lil Coachnan :iighlands sib Aedreas: -- Hayes .on rac ars Plumber: 00 pd 450 Meter No.: Connection Charge: . Si AcCOUnt Deposit: ze: 00 10 Reader No.: Permit Fee: . ? ' n 1 aqne te oomphr wilh !IN City of E,oyan Surchorge: ' OrdinancM. Miac. Charges: 6 0. 00 pu Ti^ t el' Total: g Dats Paid: y Dote of (nsp : (nsP•: . CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6-04 j P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pq''E; R-3?` 3 Zonirg: , No. of Units: Owner. b.rutger CO Address: Site Addi Plumbec 1 ayroe ta osmply with !he City of Esgen Connettlon Chanpe: 42S.00 I1c1 OrdinAnem AccOUnt Deposit: Perrnit Fae: 10, 00 pd Surcha?oe: .50 12d gy Misc. Chorpes: Date of Insp.: Total: I nsp.: Daft Pafd: PERMIT NO.: DATE: No. of Units: Connection Chcrge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Total: Dote Poid: No.. h aaaply wilh 1w Cihr sf Eeqes OF EAGAN Pilot Knob Road Box 21199 i, MN 55121 U SEVNER SERVICE PERMIT to eaaply wlth ehe Chy of EogoA Connectlon Charpe: Account Deposit: _ Permit Fee: Surdwrpe: Misc. Chorper. , Totcl: Doto Paid: CITY OF, EAGAN Remarks N.}/' ?" ' Addition ?OAC}KAN HIGHIANDS - LQt 22 Bik 1 Parcel 10-18075-210-01 owaer screet 3239 EVERG1tEEN DRIVE State EAt'iAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2']D 1975 Paid und arcel 10 2750 010-03 STREET RESTOR. 1974 to 1t GRADING 1007 1986 354.14 35.41 10 /07 7 7 U-/5--8 SAN SEW TRUNK LIO SEWER LATERAL 1984 A WATERMAIN ? WATER LATERAL r1 It • WATER AREA 1977 2 If 11 STORM SEW TRK Z$ 1975 t1 t? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 250,00 37651 8-2-83 WATER CONN. 450. QQ 9UILDING PER. SAC PARK INSPECT'ION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (651) 681-4675 ? SITE ADDRESS: ' ' 110 i : •t t? ,??i ? r.? .:?. PERMIT SUBTYPE: APPLICANT: rtr a?.•;r F. ?,?.? Mi.?i??.a f TYPE OF WORK: fi1 1-t'R1F'X I+M V t- ty A r tt ja( 1•rr10 t ; r, I11 1 I INSPECTION „ , ,. i 1 fIf3F'n . :4 i'39„ 324 1 "Ih , A Nt -1 I ?.?. Permft Holder Date Telephone # SEWER/ WATER • PLUMBING HVAC Inspection Uete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGN HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirr resr HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Receipt 7 PLUMBING PERMIT Permit Na. CITY OF EAGAN Fee • -,,-- ? Fill in numbered spaces S/C Type or Print leyibly Tot. -D 1. Date 2. Installation Cost ? 3. Job Addres?P??` `U< Lot ZZ Blk. ? Tract - {' 1 j? 4. Owner ??(.1\i 0C f 5. Contractor ? q Phone ?. 6. Address 7. City State 1 "I lVi Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 0 Repair O 10. Describe `4 t 11. No. Fixtures Water Closet No. Fixtures Cess aol/Drainfield ? gath tubs p 5e tic Tank aZ l.avatory p Softner Shower Wel l Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Qrains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : < ? ?- for Rough , Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - CITY OF EAGAN 454-8700 ?:.?- ' C . Receipt -? ` MECHANICAL PERMIT Permit No. CITY OF EAGAN • Fee Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date '•''I ' ti 2. Installation Cost 1 3. JobAddress .CILot Bik. Tract ;?- ? 4. Owner &=/T 5. Contractor Phone - 6. Address 7. City State 2ip ' 8. Building Type: Residential Q? Commercial ? Institutional ? I 9. Work Description: New ? Add ? Alter ? Repair ? 10. 11 ? ' , Describe - ' '/ 1 I I f ? ? L Fuel Type i ' No. EaJpment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other T Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : " for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Biag. A-s , cirir oF EAGAN i; €3?34 3795 Pllof Knob Rood Eagon, MN 55123 , . PHONE: 454-8100 BJILDING PERMIT Recelpr # Ta 6s used fer 1 O f UPT.iX Fd VnL? $.53.000 n.,to t:1 -ui I" 1 10 ?' ?3 Si4e Mdress .,.. , .. .8?«:... .,«.` l.oi 22 Black 1 Sec/Sub.`'oachman Highlai Parcel #/a -/ft 7,7 -& 2 ZD- O/ W Npme ?? ? u??ca vvwyouaco ? iu?.. Z Address One Sunwood Dr., P. 0. Box 399 9 _.. st. ciou -626 at 0 Ou u? F- Name _ Address Nome Address Erect M Occuponcy r:-3 R-3 Alter ? Zoning Repoir ? Fire Zone 'TA Enlarpe ? Type of Const. v Move ? # Stories 2 Demolish ? Length Grode ? Depth 5q. Ft. Aonrovols Fees Assessment _ Water & Sew. Police Fire Eny. Plonner Council ( hereby acknowledge that I have read this opplicotion ond stote thut ?f. _ gldg the inlormotion is correct ond agree to comply with oll opplicable APC Stote of Minnesota Stotures and City of Eoyan Ordinonces. 5tqnature of Permittee . eumparites , ILt c. A Building Pe?mit Is iuued to: oll wark sholl be done in atcordnnce with oll opplicable Stnte of Mincw Buildirp Officiol Permit ?' - - - - Surcho rge 2 . Plon check SAC ' Woter Conn. 4 5 0. () 0 Woter Meter 60• 00 Road Unit `J??' ?}n Total $1749.50 on the express condition thnt ond Ciry of Ea9cn Ordinances. Permit No. Permit Holder Miac. Permit No. Holder Plumbinq 3?? Q? ?,9 ?_?•.$3 H.V.A.C. i„L VI&Qf' ? -2 Well w.t.. Disp. Sovrsr Elactric f}-? Inupection Data Insp. Other Footinqs Foundation Framiny Rouph Plbp. _TS- d Rouph HVA ? Insulation ? Flnal Plbp. ar Final HVAC ? Final ?2? Tfg Vel yv?? Descri6e Location: VYall Sewer - Pr, Di?p. . RESIDENT / OWNER Name: G6 1 441 61-1 LAAJD5" T i1/LISPhone: Address / City / Zip: Sik. d LJ r j P D Applicant is: Owner X Contractor TYPE OF WORK Description of work: RE R Construction Cost / � OC) Multi - Family Building: (Yes x / No ) CONTRACTOR Name: ROD F ) i- c,P41,1r N4 -t-/✓C . License #: a ° l 7� l . 5-3 Address: S Q CJA-44 j /-U A- City: S7' G'4 /e./-/A- L State: /4/-J Zip: SS2 7 / Phone: 76 3 - S 0 - d Y Yy Contact: (�5- 2R' Y Email: ��1%/ Y� © o a MA o Cosh COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes 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 the City to conclude that they are trade secrets. *' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: 141.E • x . cam, x 0-z41 Applicant's Signature App cant's Printed Name r Permit #: 94(0.7 3 Permit Fee: , 2S' (P12.5"//0 Date Received: Staff: Use BLUE or BLACK Ink 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - . 2 .S - /0 Site Address: Dr Ji �,� � R. gu /L Df�G / t.t i S2J43 3'v-45 32 uite #: 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. Page 1 of 2 ,1ffJ ~-C.~C\I2(~ Use BLUE or BLACK Ink For Office Use I Permit City of Eap h 0 Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: NO V ' i l Phone: (651) 675-5675 i Staff: Fax: (651) 675-5694 I I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: - --2, h, Ljn~ Tenant: Suite Name: Phone: e0© o Resident/Owner~' z ar." off, r„'r - I. Address /City /Zip: f y Name: MILBERT COMPANY INC dba CULLIGAN WATER 063031-WC License Address: 1801 50TH STREET EAST City: INVER GROVE HGTS 'Contra s State MN Zip 55077 Phone: 651-451-2241 BILL MILBERT Contact: Email: r ` eNew Replacement - Repair _ Rebuild - Modify Space Work in R.O.W. Type of Work - - Description of work: RESIDENTIAL r Water Heater Water Softener «~~a Lawn Irrigation RPZ / PVB) Permit Type z Add Plumbing Fixtures Mainl Lower Level may. Septic System - ) ; - New Water Turnaround -Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.001awn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *WaterTumaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 0 Lev TOTAL FEES $ CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.or4 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 wihe approved plan in t e case of work which requires a review and approval of plans. r x ttJC x Applicant's.P7inted Name Applicant's Signa ure y ~ i! t ` Ytt< v 44- y FOR OFFICE USEx Reviewed By« Required Inspections w „r Un0 er Ground s}_;Rough=ln ti AirrTestGas TestI (rat ~'h PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122186 Date Issued:04/29/2014 Permit Category:ePermit Site Address: 3239 Evergreen Dr Lot:22 Block: 01 Addition: Coachman Highlands PID:10-18075-01-220 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:tub,tub faucet,lav faucet. Alex Barna Po Box 188 Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christy Moore 3239 Evergreen Dr Eagan MN 55121 (651) 686-2828 Sowada And Barna Plumbing PO Box 188 Cedar MN 55011 (763) 444-0292 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122392 Date Issued:05/06/2014 Permit Category:ePermit Site Address: 3239 Evergreen Dr Lot:22 Block: 01 Addition: Coachman Highlands PID:10-18075-01-220 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:shower Glenda Brown 328 Cty Rd E Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christy Moore 3239 Evergreen Dr Eagan MN 55121 Ed Brown Plumbing Llc 328 County Road E Houlton WI 54082 (612) 328-0827 Applicant/Permitee: Signature Issued By: Signature r . �3� , 3� 3�, �3� ��� 3� �3; 3aUS; �� `� l Use BLUE or BLACK ink .------------------ � For Office Use � I ',� l.�'� ��G I I Cit of �� a� ; P�,�#: � � ; � � i Permit Fee: � �S � 3830 Pilot Knob Road � � l�� � I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 i Staff: � V_���������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � I�� Site Address: �� 4�-b'��� �V�-�`-l>1w�.� �J�—�V�— Unit#:�7' �.�� Name: Phone: Resident! +�wner Add�e�i c��y i zp:��.37—3���1 �U"t���� 1�1,11�. Applicant is: Owner � Contra�tor Description of work: �� ` �"� Type of wor� ,� Construction Cost: � 15���� Multi-Famity Building:(Yes /No� Company: �W� �• �� • �1'��.. Contact:��y P�1�1�1G Cantra�tor 1� Address:'J.�� �(.�.�'✓� 1 w� f�i� City: ��� ����l���. State:l��� Zip: S� Phone:��"�'�7��13� Email:(t1�� ��P1C.Qr���^�Y►'�tt �s� License#: � 6��� �� Lead Certiflcate#: 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 moMhs,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: Mechanicat Contractor: Phone: Sewer 8�Water Corrtractor: Phone: NOTE:Plans and suppordng documerrts',#ha#you�ubm�t are consider+ed to be pubftc irrt'o►ma#ivn. Parl�or��of ' t�e information may be cJa�sifi�d as»anyaubiic if you provf�r sRecitic reasons t�at would pennit#�e Gity#� ; conc�ude that the` are trsde se.�rets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to rec:eive loptes of underground utili6es. www.aopherstateonecall.orq I hereby adcnowledge that this iMormation is complete a►id acxurate;thffi 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 onty an application for a permit, and v�rk is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of wo�ic which requires a review and approval of plans. Exterior work authorized by a building permit issued in accoMance with the Minn State Building Code must be completed within 180 days of permit issuance. X �R�-��� X Applicant's 'nted Name Applicant's ignature Page 1 of 3 Use BLUE or BLACK Ink For Office Use�/ city Ea I Perot p: /`-f1I Permit Fee: I I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone:(851)675-5675 buildinalnspectionsecitvofeaaan.com SEP 1 9 2017 staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: y �(t Unit#: Name: [�a4 Phone: 3 c� 3'S*),1), Residentt! Owner Address/City/Zip:-3 3 rJ2y Applicant is: Owner X Contractor Type of Work Description of workki vte ! v 1� ..r.._1�c. Construction Cost Multi-Family Building:(Yes )4 I No ) fa Company: Contact Contractor Address: 7—'1"-;c1' s City State:i"l Zip: sL Phone: t - 3-°'-3Email 5-3\1- _.a,5�g. Ucense#: l3 1(t Lead Certificate#: 12-` If the project is exempt from lead certification,please explain why: rL3`�t v.:�;�C� Ga f-V5 'f•,sa c,' "-'� 'urs-- -lz''-4r t ct {b COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a penult fora similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and suppoting documents that you submit are considered to be public inlomutt on. -Potlidndorthdr information may be classified as non-public if you moulds specific teasonsibat would permit the Cityta concludelhat they are trade secrete. 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.comisubscribe. 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 0851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilkies. www.sopherstateorecail.orr 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 permt;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 '\ PP-a.; a' J X �f � ° .. .—,rte{ ✓ Applicant's Printed Name Applicant's Signatu Page 1 of 3 . .. .._.., 7 r -�.f b� TE BELOW THIS LINE /`7 .01 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 0 t9 0 Occupancy 3 MCES System Plan Review Code Edition ,e/ii„ „ /I` SAC Units (25% ' 100% ) Zoning 6 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of ConstructionTr5---- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X" Footings(Deck) Final I C.O. Required Footings (Addition) X Final I No C.O. Required Foundation Foundation Before Backfill / HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _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 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: , Building Inspector RESIDENTIAL FEESj) / Base Fee g . 4 Surcharge Plan Review ;� . MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge (VI Thi Treatment Plant (fit" 2( 62 (2 3 Copies TOTAL Page 2 of 3