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1627 Donald Ct40' City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: Permit Fee: Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7713,441 09 Site Address: I torn % Oct lei Tenant: Suite #: RESIDENT / OWNER Name: lPa4,0.S A0.Y`1atvim Phone: 17/5--%5-- l D ff + Address / City / Zip: ! Qfl l' r13A Ct . lar Ssla I CONTRACTOR Name: 32., C' License #: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation X Add Plumbi 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 Dcx\k 0.5 arnnnc Applicant's Printed Name nt's S(g ture FOR OFFICE USE Reviewed By:.i (�2 r Date: 7 ` 2-q . O/ ` � Required Inspections (` Under Ground /_Rough-ln Air Test Gas Test Final For Office Use 1 I City of Eaau Permit ex) Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5676 I I Fax: (651) 675-5694 1 Staff: I y GC•1`„fG:C C~~ I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 71'a/ j®q Site Address: /6--27 Do rYr Id C'i . Tenant: Suite RESIDENT I OWNER Name: pa\\©s Amniore Phone: I S-~r'IO S" /4qa Address / City / Zip: 0021 Ooh 0 C-~ , Lcan /01 Applicant is: Owner Contractor TYPE OF WORK Description of work: V e wkA ,rarl ,m (c Q/ 'A AM C S Construction Costa 0©O Multi-Family Building: (Yes / No CONTRACTOR Name: 3, (c License # Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 the City to conclude that they are trade secrets. 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. '1z 'i x D I IQ5 " Gl x Applicant's Printed Name A nt's Sig t e Page 1 of 3 JUL 2 4 2009 / - of i Cie DO NOT WRITE BELOW THIS LINE tC~ J SUB TYPES Foundation _ Fireplace _ Porch (3-Season) - Storm Damage _ Single Family _ Garage Porch (4-Season) - Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen!GazebolPergola) - Exterior Alteration (Multi) 01 of _ Plex Lower Level _ Pool - Miscellaneous Accessory Building WORK TYPES _ New _ Interior improvement _ Siding - Demolish Building* _ Addition _ Move Building T Reroof - Demolish Interior X 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 3(12 Cg lD Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%_ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) _ Final I No C.O. Required Foundation HVAC 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 Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review 9 7 v MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Fof Office Use ) City of Eaaall Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /-.26-o? Site Address: 1(1,2- Tenant:1UGe l~ s 15~a 7~~.~ Suite I RESIDENT I OWNER Name: l~G.~(~S ~Q f?LQ ss n Phone: 7,y -945 /x/9,2 Address 1 City / Zip: 1027 c.. ,c st A-vi f ~ Applicant is: Owner Contractor TYPE OF WORK Description of work: /e 41 a e wv. e- Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name i hZc L L License 2'.2.5V Address: a/O y City: State: M 4I1 Zip: Phone: Contact Person: ?~i J~~/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('I submission type) • Energy Envelope Calculations Submitted 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 the City to conclude that they are trade secrets. 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 Applicant's' Signature Page 1 of 3 Citi of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: q/w/( o Tenant: Suite #: Use BLUE or BLACK Ink Permit #: -/ J g /n,yO Permit Fee: I ((J (C� Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 1;L"1 ' o,td. RESIDENT / OWNER Name: DCS\\CS0.fY (u' -v Phone:7/ q' j - )Y9,02 Address / City / Zip: 162:1 tdr,exAV . Applicant is: X Owner Contractor TYPE OF WORK Description of work: VQfvUXLk S cc .'- zf?‘6)thr Construction Cost: `j Multi -Family Building: (Yes / No ) CONTRACTOR Name: ,,..)„...0 ,t- License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has Yes 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: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informatio ► Porttons, the information` maybe classified as non-public rf you provide specific reasons that would pert the City to - conclude'that they are trade se`crets ,- 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.qopherstateonecall.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 an. ..proval of plans. x 7a,A04, Mc fv\ Applicant's Printed Name Ap ant's ature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES foundation 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 Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Meter Size: Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant A-- ( MCES System 0407 YLcsa GSAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required ✓Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath Brick Final ✓ Windows — Retaining Wall: _ Footings _ Backfill _ Final Radon Control AS r - � Erosion Control Reviewed By: (�•� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zonfng: —_ No. of Units: Owner: _ Address: Site Address: Plumber: d eter No.: _ Connection Charge: _. Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: _ Total: By Date Paid: Date of I nsp.: / e 9 " - - t. I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: _ — -- Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: — — 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: _ _ By Surcharge: __ - -__ Y -- -- - -- Misc. Charges: Date of Insp.: _ -- Total: Insp.:— - - - - -- — — Date Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161170 Date Issued:05/11/2020 Permit Category:ePermit Site Address: 1627 Donald Ct Lot:201 Block: 01 Addition: Cameron Court PID:10-16300-01-201 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Dallas J Hamann W3004 Broek Rd Curtiss WI 54422 (715) 965-1492 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176890 Date Issued:06/06/2022 Permit Category:ePermit Site Address: 1627 Donald Ct Lot:201 Block: 01 Addition: Cameron Court PID:10-16300-01-201 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Dallas J Hamann 1627 Donald Ct Eagan MN 55121 (763) 253-4788 Sabre Plumbing Heating & A/c Inc 15535 Medina Road Plymouth MN 55447 (763) 473-2267 Applicant/Permitee: Signature Issued By: Signature