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1660 Boardwalk PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA088914 Eagan, MN 55122 . Date Issued: 04/27/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1660 Boardwalk Lot: 12 Block: 3 Addition: Hampton Heights PID 10-31900-120-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Jamie C Tiedemann 1920 County Road C West 1660 Boardwalk Roseville MN 55113 Eagan MN 55122 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Parcel Files Cover Sheet Unique ID: 1930 1660 Boardwalk 103190012003 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: € il.1 i 40 1041 8830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 ` pate Issued: (61 g) 681-4675 SITE ADDRESS: 1) 1 l$►PPLICAMT: i bt» is{} ~tctt t i t ;s 1 N ti f re 1 t €f'Pt cif i fiAlvly i iiO lit 1-s3µ i'. PERMIT SUBTYPE: TYPE OF WORK: 1 t ttr f. €~t is Of w V tRi 1, 1 At'.3 r i ~ II eL CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MIINN:%SEXTA_,56122 of DATE- t9 „ RECRJV~d FROM r' AMOUNT y)~S~l0 C_j & _ DOt LAPS too CASH ~Q CHg~C ° F Rte/ ell L FU CODE AMOUNT } f Thank You t I S 97 q White-Payers Copy Yellow-Posting Copy Pink-File Copy c i RF :t I,S~W.: ;R ~1Ti!P.{1 TiF jAUT ~T'W*II~I BLDG. PERM-IT NO. f ~ 01-3210 Bldg. Permita 01-3422 Plan Check 4:, L3 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge s 17-3860- Road Unit v'? t 20-2275 SAC 7' r s 20-3865 Water Conn. v c 20-3868 Water Trmt. ~ktj 20-3716 Water Meter 20-2252 Acct. Dep..> 20-3713 Water Permit 20-3743 Sewer Permit f rya .79-3866 Sewer Conn. U-d i 11-3855 Park Ded,,,,'. t_ i i TOTAL o C a 5/4/isr r{ CITY OF EAGAN r 1 2509 Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT f Receipt # To be used for SF DWG/ GAR Est. Value $64r000 Date AUGUST 25 19 86 Site Address 1660 BOARL)WALl Erect C* Occupancy R3 Lot 12 Block 3 Sec/Sub. HAMPTON HTS Remodel ❑ Zoning PD Parcel No. Repair ❑ Type of Const Vn Addition ❑ No. Stories 40 Name FRONTIER MIDWEST HOMES Move ❑ Length W S BLE HW r Jffa EDemolish ❑ Depth d$ 3 Address Int. Impr. ❑ Sq. Ft. c City ,EAGAN Phone 454'0433 Install ❑ ix SAME Approvals Fees o Name Address Assessment Permit' City Phone Water & Sew. Surcharge 32.00 Police Plan Review 162 ` 50 F W Name Fire SAC x.00 x Address 500.00 Eng. Water Conn. a City Phone Planner Water Meter 113 . 50 Council Road Unit 290.0 I hereby acknowledge that l have read this application and state thatthe Bldg. Off. 8/25/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina es. a APC Parks - Var. Date Copies - Signature of Permittee Total $ ~ 4.00 A Building Permit is issued to. ! FRONTIER MIDWEST HOMES on theexpress condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Y M1 Permit No. Permit Holler Date Telephone # Plumbing 01t:0~ 8~p H.VsA.C f 1 Electric CC.S q ioJ/, j 6 ~/7 C Softener r w I Inspection Date Insp. Comments Footings 1 f Footings 11 i Foundation i Framing Roofing C Rough Plbg. ` Rough Htg.l/9 J insul. Fireplace Final Htg. Final Pibg. I Bldg. Final ~s Cert. Occ. 0 Deck Fig. , y Q •A, C Dock Frmg. 51Arp A6404 45"yd7e•// [3 bit . . Well -C ` C I P",7 Pr. Disp. PERMIT # V PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE:: PHONE: 454-8100 4 Site Address C f ' BLDG. TYPE. WORK DESCRIPTION Lot Z 2, Block Sdhz~ Res. New y Name 7 ` Mult Add-on 4 4'A Address l i Comm. Repair c City,'"r Phone !5 Other NO. FIXTURES TOTAL Name ___J__Water Closet - $3.00 $ 0() 3 Addres _.L _Bath Tubs - $3.00 s.~ 01) O City ---g/ Phone / Lavatory- $3.00 .2-66 Shower - $3.00 FEES -.~--Kitchen Sink'- $3.00 '0n COMM/IND FEE - I% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 -~~undry Tray - 1. A 00 • ST-) MINIMUM - COMMAND FEE - 20.00 - Floor Drains - ` STATE SURCHARGE PER PERMIT - .50 1--Water Heater - $1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool - Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 F Private Disp. $10.00 At c/ 3 Rough Openings - $1.50 ' SICp ATURE O PERMiTTEE FEE- STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL - [ .r a n~ • ~.w F:• a4~" 7l: R; a. !D-"~`~"9n~ ~'":~:'i"'1.. . ~,>f~v'.d"s "q,~r ;►*Y ~i„~.~. ^i.~r!`z i ;T"„Sy, s'-0 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 9/11/86 CONTRACT PRICE: $1700.00 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 Site Address IbbU oBoafdwalk Rd. BLDG. TYPE WORK DESCRIPTION Lot 12 Block 3 Sec/Sub XX New XX Res. WENZEL MECHANICAL d M ult Add-on Address 3600 Kennebec Drive Comm. Repair co City Ewan Phone 452-1565 Other Name FRONTIER COMPANIES FEES c Address. 3908 Sibley Memorial Hwy. RES. HVAC 0-100 M BTU -$24.00 o City Eagan' phone 454-0433 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 80,000 24.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES 1.50 BEYOND $1,000.00) Gas Piping Outlets # $ Other c_. FEE: 25.50 SIC: j o SIGNATURE OF PERMITTO TOTAL: $26.00 FOR: CITY OF EAGAN MECHANICAL PERMIT B'2~627 CITY OF EAGAN RECEIPT # V 51319 ~ i 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address , L~l BLDG. TYPE WORK DESCRIPTION Lot _jBlock ,Sec/Sub Res. New Mult Add-o 1-2 Fa Address 5" 5"` S G. u ~Uity co City, r~rGs t~- Phone -rx 6 i Other Name N ° /v K RES. HVAC 0-100 M BTUEES -$24.00 3 Address Ewa ADDITIONAL 50 M BTU 6.00 p Cityt 1 h'J Phoned }.4 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTI<ONJ TYPE OF WORK GAS OUTLETS-(MMIMUM - 1 PER PERMIT) = 1.50 EA. M/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-M BTU $ f MINIMUM COMMERCIAL FEE _ 20.00 STATE SURCHARGE PER PERMIT .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other $ FEE: Y~ S/C: - SIG F E TOTAL: 5. r~Y FOR: CITY OF EAGAN CITY OF EAGAN _ WATER SERVICE P8WT 38W Pilot K% Road 8047 P. 0. 6OX41199 PERMIT NO.: _ 10-20-86 Eagen,. MN 55121 DATE: Zon#V:. Rl No. of Units: I' Owner- Frontier 'Midwest Address: Site Address: 1660 Boardwalk L12 B3 Hampton Heights Plumber: Star Plumbing Meter No.: -179 ?a 1 500.00pd Size: 15.00pd Reader No6To70 Sq BNd I egg to own* with tM~af1AQU S -t SOFd_ ryes: 156.OORdd TP Total: .nct iewt sar B Date Paid: Date insp.: Insp.: Z, CITY OF EAGAN 3830 Pilot Kno 1AfATEIt SERVICE PERM'. ~r P. O. Box 21199 PERMIT NOS Eagin, MN 55121 DATE: Zoning:: Rl No. of Units: Owner. Frontier Midyest Address: Site Addresw 1660 Boardyalk L12 B3 : stow HaUhts Plumber: star Plumbing Meter No*' Connection Charge: 500.OQP-d Size: Account Deposit: l S {10114 Reader No.: Permit fee- ! ague ft 60awly wfth the Cur of Bogen Surcharge: . 5ftd wimmems. Misc. 'Charges:'. 1 6.Of~ 12 Total X a'~ndi ,~arar BY Date Paid: Dote of Insp.: Insp.: CITY OF EAGAN SOM SfRvta PERM 3830 Pilot Knob Roatf 9199 P. O. Box 21199 PERMIT ,NO.: Eagan, MN 55121 DATE; Zoning: 91 No. of Units: Owner. 'Frontier Midwtst Address: Site Address: 1660 Boa7tdy al.>c L12 B3 Hampton -delghts Plumber. Star F3.tbi.nt _'~fi 6 5977 Ai~d 1 elm to am* w" as, CRY of Easing Connection Charge: 475.0004 O oa.' Account Deposit; i' .4old Permit Fee: 3a7 . f~fld Surcharge: .5094 BY Misc. Chorus:. Date of lrap.: ToW: - Insp.: Date Poid: /10535283 ~ ~1 _5 0V Request Date Fire o. Rough n Inspection NOTICE: You Must Call Electrical Inspector Required? If A Rough-In Inspection Yes ❑ No Is Required. I I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) city hula Q Eow-d W a- Y\ 6 a-yl Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. f-n- PLC Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. \\\n_ fir ~ e\ Cd Vn o g 0 6 Mailing Address (Contractor or Owner Making Installation) -%A-6e_ el S~r-P_4 ~ - ~Cklk~ MN 1 `7 ne Number (X~ AuthorizedSiSig_nnatturre (Contractor/Owner Making stallatio) Pho 41 /1 ~JV o IA 1 vl I / ~ r~~ MINNESOTA STATE BOARD OF ELECTRICITY }lit 0_~ THIS INSPECTION REQUEST WILL NOT Q~ Griggs Midway University Ave., St. Paul, SMIN -173 55104 f ' BE ACCEPTED BY THE STATE BOARD 1821 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ' ` - ENCLOSED. r REOUEStT~ FOR ELECTRICAL INSPECTION M 10. See 352 83 `t' Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Rergarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms /6- ~ , ~ cS0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Datq been made. OFFICE USE ONLY This request void 18 months from This request void "7 '/qL IS months from 50299 ko r Req s pate fire No. Rough-i Inspection 0 Requir ? ❑Ready Now [goINIII Notify. Inspec- • ` es ❑ No for When Ready ;tensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Addr ss, Box or a No. City 6 ect on Nb. [ Townsn ame or No. Range No. County Occupan (PRINT) .Pow uPR ier. Addres c(f/ 5 El~ct, bk=' or {f, ra iT Contractor License No. ~tAl6! '1 i+a.a s Mail ili o I tailation) 124 r gna ure 'jC ontrac or/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Room N-191. BE ACCEPTED BY. THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave- St. Paul, MN `55104 Phone (612) 642-0800 ENCLOSED-. Ea-Ii, lc f i ~ REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. f 17 p~ `X" Below Work Covered by This Request C New dd Rep. Type of Building Appliances Wired Equipment Wired Home Range emporary Service Duplex Water Heater Lighting Fixtures Apt. Building yer Electric Heating Commercial Bldg. Furnace Silo Unlonder Industrial Bldg. Air Conditioner Hu{k M, 1k Tank Farm Other pecr y ther (Spec f0 W her Specify Dt er Other ompute lnspection Fee Below # Fee - Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 AMPS 0 to 30 Amp 1 s 0 to 30;Am Above 200^Altips' 31 to 100 Amps 1 to 100 An4ys Swimming Pool Above 100 Amps Above 100_Am s Transformers rrigation Booms Partial%Other F Signs Special Inspection- Remarks TOTAL FF~ , { ' r /y Rough-in Date i', the Electr V inspector, hereby f? certify that the above Final Dterl inspection has been / ,rJ made. f This request void 18 months from BONN- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 7 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd J Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date D / IM& / Os- Construction Cost orm Site Address I cc La C) ,1jW0xL Unit/Ste # Description of Work \u 1f~W w r S~ ri Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2 Property Owner ~Q Vy\",L .'C6:-Cw-, 1.a(\,1f\ Telephone # (05 L(05-'20(bo Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 ^ City State 651-264-4777 phone # ( ) License # 20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cates 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. 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 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 approved pl in the case of work hich requires a review and appr Clans. & L~ II' lr Applicant's Printed Name Applicants Signature rB i OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 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 (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or ^ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 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 Valuation Occupancy MCES System 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) _ Final/C.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - 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 S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~+vr vd A,pvv,t, StiV ib. JU L`123, too of -L -4400 W UU re al City Of awn. 3836 Rikrt Knob Road Egan, MN 55122 To Whom It May Concern: Elder Jones is authorized to Elder ]ones to i~ bmIding permits for Renew - by Attdarsezt_ Please allow provide this aer'vicc for us in Fart. '~tiR authorization iS valid fm any o date thecity_ beyond 6/6I0Z; wadi a cuewat by d n Mon= ea~ady revokes it In w an to g I request this authOmation be accepted tlousl our building permits any fuxthcr. Please can me If thcco arc of delay in the pr o6essing of r conbwted at 763-5o2-4706. any quesd9na. • 1 'can ba Your immgdiata attention to this matter is a . $ted. - . Sinoaialy, _ ; . l ~ 41diantdVonManager Renewal by Antdcrscn Cmporation ('c: KarA_F1clf~r Jnne~ . - _ MY oT 3 Received Tlme Ju.n. 7. 1:b7P~d RESIDENTIAL' /13. ~S BUILDING PERMIT APPLICATION CITY OF EAGAN `t o 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodeliRepairReauirern • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; andll roofed areas 2 copies of plan (20% maximum lot coverage albwed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate I home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bklgs with 3 or less units) DATE VALUAION JOB SITE ADDRESS ~ o ar d Lua /L IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN --~~-~'y? TYPE OF WORK IC)D FIREPLACE(S) _L---0'_ 1 _ 2 APPLICANT PHONE#65/- tZ'1;57 ~ d ADDRESS 6~1 DGtf/'dCL.(JQ ZIPCODE 5:5la c2- (Pfd-- ~~~9~ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Ph LI i All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informa on is correct, an agree to comply with all applicable State of Minnesota Statutes and Ci of Eagan Ordinances. Signatu of pplicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 1/OT OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex O 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 03 01 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex 0 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Roof _ Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests -Final Fireplace _ R.I. -Air Test -Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT CITN40F EA GAN 3830 Pilot Knob Road PERMIT TYPE: . B U Z L ~I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 2 5 0 (612) 681-4675 Date Issued: 10/15/93 SITE ADDRESS: 1660 BOARDWALK LOT: 12 BLOCK: 3 HAMPTON HEIGHTS P.I.N.: 10-31900-120-03 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC OWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 SHUBATT BOB 3850 W HWY 13 1660 BOARDWALK BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-0758 (612)688-8043 I hereby acknowledge that I have read this application and --tate that the information is correct and agree to comply with al.l applicable State of Mr] Statutes and City of Eagan ardinance!~-,, APPLICANT/PERMITEE SIGNATURE ISSUED 131. SSIGNATUR r INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 2 2 5 0 Eagan, Minnesota 55123 Date Issued: 10/15/93 (612) 681-4675 SITE ADDRESS: LOT: 12 BLOCK: 3 APPLICANT: 1660 BOARDWALK HEAT--N-GLO FIREPLACES HAMPTON HEIGHTS (612) 890-0758 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FIREPLACE REACTIVATE CITY OF EAGAN ' PERMIT # - 1993 BUILDING PERMIT APPLICATION 681-4675 ).1" 0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site survey, I copy of;energy calcs COMMERCIAL 2 sets of architectural structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date Z Valuation of work Site Address: STREET SUITE # Tenant Name: (commercial only) LOT Z BLOCK SUBD, i ;Vim, 1 imp 1 P . I . D . RF Descr tion of work: The applicant is: 0 Owner El Contractor ❑ Other (cescribe) . Phone. .~..._.r. Name 1-9-47-71 Property LAST FIRST Owner address STREET ftf city d State f1/ Zip 5 12 ~J Phone Company Contractor Address U-0 UY l -G (3 License iI Exp. City V-a~ State m zip ss- 3 3 Archftectl Company Phone Engineer Name Registration # Address State Zip City . Sewer & water licensed plumber Processing time'for sewer & water permits is,two days once area has been approved-. I hereby acknowledge that I have read this a lication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplTCant. 16 OFFICE USE3NLY BUILDING PERMIT TYPE E3 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 0 1~Basement Finish 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory 0 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. 0 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE D 31 New ❑ 33 Alterations D 35 Tenant Finish ❑ 37 Demolish D 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) °asemrnt sq. ft. "ONCC S;stez (Allowable) 1st Fl.` sq. ft. City Water UBC Sccupancy 2nd Fl. sq. ft. PRY Required Zoningg Sq. Ft. total Booster Pumpp # of Stories Footprint Sq. ft.; Fire Sprinkler Length On-site well Census Code Depth y On-site sewage ~ SAC Code APPROVALS' Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Drai nt i 1 e ❑ Fireplace Permit Fee v tuatiou S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails. Ded. Coppies Other Total: SAC 96 SAC Units CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121W_-112509 PHONE: 454-8100 Receipt PERMIT Receipt# To be used for SF DWG/GAR Est. Value $64,000 Date AUGUST 25 '1986 Site Address 1660 BOARDWALK Erect C Occupancy R3 Lot 12 Block 3 Sec/Sub. HAMPTON HTS Remodel ❑ Zoning PD Parcel No. Repair ❑ Type of Const. ~n. Addition ❑ No. Stories Name FRONTIER MIDWEST HOMES Move ❑ Length 40 Depth 48 z 390 SIBLEY MEM HWY, BLDG E Demolish El B-1 Address Int. Impr. ❑ Sq. Ft. City EAGAN Phone 454-0433 Install ❑ i o Name SAME Approvals Fees 00 Address Assessment Permit $ 325.00 ~ City Phone Water & Sew. Surcharge 3 2 . 0 0 Police Plan Review 162.50 W Name Fire SAC 575.00 0 Address Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state that the Bldg. Off. 8/25/8 6 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of E an Ordina a APC Parks Var. Date Copies Signature of Permittee Total $2,104.00 A Building Permit is issued to: FRONTIER MIDWEST HOMES on the express condition that all work shall be done in accordance with all applicable ~S..taate g Minnesota SVtt~nd City of Eagan Ordinances. Building Official s. 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAB COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1.SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND C To Be Used For: C / VValuatio Date: Site Address OFFICE USE ONLY Lot 17- Block Erect Occupancy Remodel Zoning Parcel/Sub ~Repair Type of Const Addition # of Stories Owner 9L~ Move Length Demolish Depth Address 57- h'~1 - Int.Impr. Sq Ft Install City/Zip Code Phone V-7.5 -/2~ APPROVALS FEES Contractor,rOX7/7 5-e Assessments Permit Water/Sewer Surcharge AddressD Police Plan Review, Fire SAC City/Zip Code /V~ Engr Water Conn Planner Water Meter :510 Phone Council Road Unit Bldg Off Treatment P1 Arch. /Engr. APC Parks Variance Copies Address TOTAL o~ City/Zip Code Phone NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. `t ;X7RIOR [itVC>_dP!: AV ('R,ti,f' '►i' COPii'lITA 'CIUv wili Ell SITE A0OU'SS • PHONE: CONTRACTOR: ;:JZdWX ~Z. Oetermine working square footage of each 1. Total exposed wall area..... sq. Ft. x .1; _ 2. Total roof/ceiling area.... to x .026 = • Total exposed wall a:-ca above floor= r' _ I L'GK i a. Total wall window area 7' b. Total door area A c. Total sliding glass door area z4 d. Total fireplace wall area...... e Total wall framing area (average 10%) f. Total rim joist area. g• net wall area above floor G f x.2 1. oY7 h. wall area above floor....... i. wall area above floor j frame wall area a:L Toymdation t Total exposed foundation area= k. Total foundation window area........ 1. Total net foundation area above grade Determine "u" value of each wa ill S--omen t (e.g. window, door, each separate-wall seCtion) a. I z S X „L,,, -b. g~ X„U„ 45 .C. Z X „u„ i d. = = f. ~o x '-U.- 'O 'Z) -g• l ~12) 1 ~0,;2, x ',u„ , • h. X "'~N V s .i• X "Uu = • j X "Un s ~J If item 43. is the- ' X as, or less than- i 1, you have met..t 1 • C X "U" (S • 75 intent of sBc._6Od6 Total 5 Ervclopc Average "L' Ccmputat:ion Pnc}o 2 of 4 Total exposed roof/ceiling area Ic in. Total skylight area n. Total roof/ccilinc; framing area (average 10%) p~ , o. Total net insulated roof/tailing area........... Determine "U" value for each raof/ceiling segment M. x ..U.. n. 1 01. Cv x "U.. o. x "v" ~C Z 4 Total If total of ,4 is the same as, or less t:hzn 02, . you have met the intent of SBC 6016 (c) 1. Alternate Building Envelope Design To utilize the total envelope 'systems method, the values established by the s•im of items 43 and 44 shall not be greater than the sum of items #l and #2. 1. Z I C~ C) 9 + 2. ZG. 41 Z S 3 . 1 C0''1 + 4. ~ 7 I U:'r• Ijt...ul rl~~nw7 u.M Arva Cot I: :r 11Y: ta.i:;.l r jcl kin t ~u t_•~: V.t l+~•• Axe pi_vr.. . 3~Ztr,, fir, • ~ 4.'3~ ?IC. ~1 TC7t'VIct•1 Oc- ~ . TRMILE WALL A' . i ~i-mss' G Eitxr kit' t; It.i 0. 17 -IC. rul.It1~- -.-ill 2 ~,~~i~!'1._.. _~{e•~~ 01 13. F:x.Cr1~~, !,7y G. l:al~:rit•i .~~r i!tt 0.17 st~~n ON t:)tAIM • jlt _ • ~ 111 ' ~ d Flt;. aR rft IZ r f 12 t r :"h nnct to • o - ` et- r:t•rt.; ;tf i rr:.t'..llirrt. ' Constzuction A-Value Intcriar air £il-i 0.61 . 511~1Zxtc:ri.or air fiim (still) 0. ~ Total. (Z V Z: l - ~ 4s 80 L'eaC floe - I. Interior air film 0.61 ~ up 384 S El Ln • Total. r IZG. ~5 r C oAt 5,rit ri mom, - ~,.,_..,..•,•-.v,•".- -.,.Z.;r.-..s: •..rc♦.c:.,a.~ Inside air files 0.62 S. Cutsidc Fil:n 0. 17 ! 1 i i t I rr i~•r Total 3 fi- Z- Inside air film 0:61 ? ~ezt fZov vp _ j venttd • outside air film 0.17 Total FO ' v Z. xns idc air file 0 - ~'1• ~t~~ fem........ • • 4. NACutzidc air Film 'Tot31. .0. se addi"..-anal ':sett: it ::sore 'race rote: needed for det: iL and calct:lat_cns $CnL - l • t U.:~ ~',t~:of t~t!nclu~ W-111 Am% Cor w; a atR~: GGt1::l -GCt, lun Cent`t t t:.a ~.'n. i:~ V,1 ~u. . • ~ ~ i . l t . sl 1. r t ' 4 - - . _ U l.~ - G. c:•'it.r .11 c i its u. 17 Z S _ % :r h ' l:~•; : 4Z) A= cI.W (,tALl.` 2. icrL'rt_ r:t a i r ca l+):tCfli)r •11Y (1)l.l_.._...M.-....•-~_.I _.c~~a,..~;:: r ,4 FIG. tQ2 i TuLa c ="f. Intcv:ur air film 0. (S ~~R C ~ I i i ~.7 ~ • •j •Z V t~'~nM :xtc:'icr nir f i _ 't~ -a- 1-- - 1. tntu4 i•1c_-Air v G~~.t1e+ t~• •rt' ~ • ):at•c:c•ic!t: •cit' .•i Tcz Q. I'1 SUMI Ott GRAMS c tea:` `~"~sF AA M.. 14 t ~3i,r `'ti, Inrt'I;: Irtt1L[tG: ty~,t•, • VZ:ucs,-tir:t)Ctt Ct1tClrs-fl-~.`?fi.~+ C ion PLA Q L c ~jSAL PT, osc p a WALL ~LoL- K. ; G S t 13 o gUL.L 130 TZ. I t~-~ = . ~ '~01 S (S2- . ~Pr l Z. 1~1AL.~.. A~ Eh t3Lc- c..K,.'. c x ,S = 3Z.~, X.B tto~ r.. R. t{ X= t 3 o To -rA L. 14COq, AS :r . SAD ~I L(~.IC{ ~ v tto W D W LI D oo ~S 'Z„ 2 q 13c• ~C... Co _ 3` - Zo(;c a' aGo ?A-r'l o i Z 3 Zc tAl44 Zl 35 H`~ U u ~-t- ~ZS~ SIGMA HO SE CERTIFICATE FOR: HOME Putt nE RS SURVEYING AAM LAND DEVELOPF AS REAL TORS SERVICES AW 3908 Sibley Memorial Highway FRONIM COMPANIES oft Eagan. Minnesota 55122 Phone: (612) 452.3077 FPP-~ MODEL : STAF FoRC> SGALE )'~=4Ot LC i Lam:'; Z S ~.y~ ~b O o 11~ 41' i 6 <o 1.2 r?_8..°I°.4.11 oci - - - - - y 1 G.f3' r' 101---~' = mot A 0 Ho.o - 4 b a ~,~Q►' d ls. °M.,g x LC)T 12 I p ti! Q. ,rsq. ~j N O I '4~y •j'4i / I DO 1 2 41- ocp".W ~8s d~. ak _ e L~i 1 i j 25 atA E u r r u i q~ ni . 101 WAYNE D. = CORDF_S s- 14675 ann~~~~an~~ti~a~ -LEGEND PROPOSED 6ARA6E FLOOR ELEVATION= M-7 - 0 ~te.o Denotes Iron Monument PROPOSED Top of Block ELEVATION- Denotes Wool Hub Set PROPOSED BASEMENT FLOOR ELEVATION= etts.c,_ x S4s 8 Denotes Ex i s t i rg Spot E 1 eva t i on NbTE: Verify all floor heights with Final House Plans. (x s~•~) Denotes Proposed Spot Elevation Denotes Drainage Direction 4/ CERTIFICAT IpV- I hereby certify that this survey, plan or report -PROPERTY DESCR I PT I CN - was prepared by me or under my direct supervision and that i am a duty Registered Lard Surveyor LOT 12 , BLOCK ~ _ HAMPTON HEIGHTS under the laws of the State of Minnesota. according to the recorded plat thereof, ha~ 1) - aJAW'-- 8/1Y Date: Dakota County, Minnesota Wayne D. Cordes, Minn. Reg. No. 14575 CITY O F E A G A *lOTE: PAMMO!1T- OF FEE AT TIME OF *APPLICATION DOES NOT ODNS'1ZZ = APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF S MM AND/CR WAZER r ,*f INSTAr.rAmom WILL NOT BE SCHID-- SEWER AND/OR WATER CONNECTION * ULM UNTIL PERMIT HAS BEEN APPROVED. * * (Please Print 1) PROPERTY ADDRESS: 1 » jM A] LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Nbn Year } CONq`1ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY INDUSTRIAL R-2 DUPLEX (T%%o Units) n INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) W.TNAMIN-d NAME: FRONTIER MIDWEST HOMES CORPORATION ADDRESS: 3908 Sibley Memorial Highway Bldg. E CITY, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 • 3) u I::1• For City Use NAME: STAR PLUMBING Plumbers License: ADDRESS: 1018 Mound Springs Terrace - Active CITY, STATE, ZIP: Bloomington, MN. 55420 Expired Not recorded PHONE: 884-4149 MASTER LICENSE# 3329 Staff 4) •..i~l~l: r~ -NAME: ~ ADDRESS : CITY, STATE, ZIP: PHONE: ~X CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER 6) 1 _ • i' PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - C1 APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r. r ' ' •1: • Y' 1: • • I" ' • ' ICI' P 111• • JI• pI• • ' i :FOR :CITY USE ONLY PERMIT # ISSUED r Pd w/Bldg. Permit FEES: $ J G $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ lZ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT WATER $ WAC $ ~ 0-y $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT # RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : f. t y Y ~ ~ r 30 ► I 0 9 ~ nrlP~ k i RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ~ ( 651-681-4675 New Construction Reaulremenm RemodeURMIr Reouirements • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exte for additions & decks • 1 set of Energy Calculations + Indicate I home served by septic system for additions • 3 copies of Tree Preservation Plan 9 bt plotted after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE LQ 02 VALUATION lU'~1o.2 SITE ADDRESS LL o MULTI-FAMILY BLDG - Y IN TYPE OF WORK C-~---,\C FIREPLACE(S) L4 _ 1 _`2 APPLICANT Lai c3S ro STREET ADDRESS M9 R4[~~ - o CITY STATE ZIP 2~ I _L!~) TELEPHONE # ~5t- fi 4~1 CELL PHONE # FAX # 1631 - Q513102.4 a PROPERTY OWNER l~ c ` - \ ' c n ti- TELEPHONE III - - COMPLETE THIS SECTION FOR "MW-" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential' Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater ' No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: N Air Conditioning D JUN ~ 0 , 6 1UUZ HT, Heat Recovery System h Sewer/Water Contractor: Phone # - - t- _ - I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina Signature of Ap OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4J02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 "Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Mufti ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Game ❑ 22 Porch/Addn. (4-sea.) 0 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lover Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition 0 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) -Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ FinallNo C.O. _ Footings (addition) Plumbing _ Foundation - HVAC _ Drain Tile - Other Roof - Ice & Water Final - Pool Ftgs _ Air/Gas Tests Final Framing Siding Stucco Stone _ Fireplace - R.I Air Test Final _ Windows (new/replacement) Insulation Retaining Wall Approved By Building Inspector - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Use BLUE or BLACK Ink ~ ✓ r~ ~ Far 0r1F `'ED jOZl~z City o Evan CC~,V I Permit#: ~ C~~ I R G I Permit Fee: i 3830 Pilot Knob Road % 10~~ 1 Eagan MN 55122 DEC I Date Received: 2" I Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff: j 2011 ~ i MECHANICAL PERMIT APPLICATION ~ Date: /V w 1 Site Address: U, 0 BWrAW I K. dy)(M v ~i Tenant: Suite RESIDENT / OWNER Name: Phone: oog (2, 'LWMW1K 'MN .jm ~ L Address / City / Zip: CONTRACTOR Name: e ~ 1 Il~l~ n `r License M Address: Iq U t 1 ' City: Qs Ver'~n ~ 1 ~ ~ State: ryi n zip: aea Phone: US]- ` 1 Contact: Jul, 1 i Ii 1 HewmEmail: t,- bffna l,i ►Ollr 1r' TYPE OF WORK New 4- Replacement _ Additional Alteration 'Demolition Description of work: FL~ r- vl Cie NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL /-,,Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ` TOTAL FEE COM,Vii_f CMIL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE 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.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 wiTth Tved plan i the se of work which requires a review and approval of 9M x x App ican 's Printed me Ap i 's Signat re FOR OFFICE USE Reviewed By: Date: Required Inspections: --Under Ground Rough In Air Test ___Gas Service Test --In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA113871 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1660 Boardwalk Lot:12 Block: 3 Addition: Hampton Heights PID:10-31900-03-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Amy Jilk Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Jamie C Tiedemann 1660 Boardwalk Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature