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3926 Boston Cir PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA093202 Date Issued: 03/25/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3926 Boston Cir Lot: 5 Block: I Addition: Lexington Square 2nd PID: 10-45076-050-01 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Jerry Olson 13963 45th Place NE St. Michael. MN 55376 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Paladin Plumbing LLC Robert Ross 13963 4th Place NE 3926 Boston Cir St. Michael NIN 55376 Eagan MN 55122 (612) 770-2282 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Parcel Files Cover Sheet Unique ID: 1946 3926 Boston C i r 104507605001 INSPECTION RECORD CITY OF EAGAN PERMIT WE: Ott I 1 01144 3830 Pilot Knob Road' s =3 Permit Nurtber. " Eagan, Minnesota 55122-1857 Date Issued- 1 /;,o 06 (612) 681-4675 SITE ADDRESS: f I APPLICANT. I 04-111N ,cat AW rat° t nt - ~ r~, PERMIT SUBTYPE: TYPE OF WORK: AITERATION 1r ~ ~fi ht ~ #'8 +ts ~ ~ ~'4 I i 4. MAR I A`=1 P A R A T V, P#L. t M I t f s:, p f; Q 11 l Fe tD VO P A PT Y F 1-F, t` I CA t WW4 r V i ~ Permit No. Permit Holder Date Telephone li ELECTRIC PLUMBN G HVAC Inapeetion Date Insp. Comnants FOOTINGS FOUND FRAMING ROOFING ROUGH PLL#AMG PLBG Alfa TEST ROUGH HEATING GAS SVC t TEST INSUL i i GYP BOARD t FIREPLACE AFtR% Tr FINAL PLOD i FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL f INSPECTION RECORD CITY OF EAGAJV PERMIT TYPE: fs" I t 11 two 0 t~ 0 4 f) 3830 Pilot Knob Road Permit Numb or Eagan,, Minnesota 55122-1897 date Issued: (612) 681-4675 ° SITE ADDRESS: APPLICANT. VCtST ~if c` 3 8z t" 41'1 C 14C 0tU. M0)0IT, 1~0 PERMIT SUBTYPE: TYPE OF WORK: 7NA J Permit No. Perms Holder Date Telephone # ELECTRIC t f g~ / /S G PLUMBING HVAC Inspedlon Date Inap. Coma>ents FOOTINGS FOUND FRAMING ROOFING r ROUGH PLUMING PLBG AIR TEST ROUGH ` HEATING, I GAS SVC r TEST INSUL GYP BOAC FIREPLACE FWPLAOE AIR TEST P FINAL PLBG FINAL HTG C ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN r1 3830 Pmt Knob Road, P.©.' Box 21-199, Eagan, MN 55121 12492 1 y PHONE: 454-8100 BUILDING. PERMIT Receipt k3 To be used for SF DWG/GAP- Est. Value $83#000 Date AUGUST 21 , ig 8b Site Address. 3926 BOSTON CIR Erect 14 Occupancy R3 Lot 5 Block 1 Sec/Sub. LEXINGTON SQUAAgnodel ❑ Zoning Pn Parcel No. I l ADDITION Repair ❑ Type of Const ;41 Addition El No. Stories W Name BARNNSSS COSST Move. ❑ Length 5A 7f 14 165TH Demolish El Depth 49; 3o Address Int. Impr. ❑ Sq. fit. city.AIEVS` a 431-1240 Install ❑ FO Name SAM 431-3030 Approvals Fees 00 Address Assessment Permit $ 32.00'. ~ City Phone Water & Sew. Surcharge 41. 50'.1 Police Plan Review 191. 00 LOU u Name Fire SAC 575, 00 x a Address 5041 ~.00'i Eng. Water Conn. a City Phone Planner Water Meter 63.50 Council- - Road Unit 2910 * 00, I hereby acknowledge thati have read this application and state that the Bldg. - 156. 00 information is correct and agree to comply with all applicable State of g. Off. Tr. PL l Minnesota Statutes and City of EaMan Ordinances 7 APC Parks 1 Var. Date Copies Signature of Permittee , 00 4 Total r -!5 2 19 9 0 A Building Permit is issued to: SNESS COINST 9 on the express condition that all work shall be done in accordance with all ticable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # PlumtAng '7'705 i Cp fly 9 2 WS" HS AX. /rI,P C7 r7 I t ~~C %~iz ~g Etsciric 11 r) Softener Inspection Date Insp. Comments Footings I 8} Footings 11 Foundation Framing ~pp 6 Rooting Rough Pibg. r" Rough Htg. insul. vK e Fireplace Final Mg. Final Plbg. b Bldg. Final Carl. Occ. 0 Deck Fig. Deck Frmg. _ Well Pr. Disp. CITY 9tc4AGAN WATER _SERWCE PfMff 31Pilq&ib Road 7822 ` P. 0~ 06x 21199 PERMIT NO.: Eagan, MN 85121 DATE 8-25-86 Zoning: _ Rl No. of UniW. Owner: a ess C.onst. Address: Sift Address: 3926 Boston Circle L5 exin tan S IT Plumber: Lakeside SewFA.jjAkjVFVL Meter Z S 4 I i 500 t1 ^ tv- K 15 00 ~scl SiW. Ida. e r ~10 Ot3~d I Som to am* WA *0 -toy 6'1 ~ . 50pd f V Charges: 156.00pd TP R Total: 63.50pd meter By Date Paid: 'Pate of I Insp.: f 9, 5 W CITY QF PAGAN SEWER SERVICE PlgM~t't 3930 Not Knob Road R,O.;Box 27199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: R1 No. of Units: Owner: Barad ess C.on st . Address. Site Address: 3926 Boston Circle L5 B? Lexjj ;,torn Sg 11 Plumber: Lakeside Sewex ~ T,,,-tor S-.72--86 6586 1~O. t30pd I agree to eaa* wftb the City of Imp" Connection Charge: 47 5 _ QQ ow"emess." : Account Deposit: 1 'S QPJ Ponnit Fee. - I t1 tIQ4xi Surcharge: BY Misc. Charges:' Dote of insp.: Total; Insp.: Dote Paid: uest void 18 months from validation date printed in this box. his req 349-190 le~fl~ 771-Z7~ PLEASE PRINT OR TYPE ~n J7 v Reques Date Rough-in inspection required? IN Yes No Inspection Other Than Rough-In: Ready Now 'will Call 1 4 k (You must call the inspector when ready) Date Ready: I, licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, Route No.) City Zip Code ~q a~~ ~c,~e~ can 155~3 Section No. Township Name or No. Range No. Fire No. County - l,ko-t~ O Phone No. antb V Power Supplier Address E rical Contractor (Company Name) Contractor b a No. Master Lic. No. (Plant Elect. Only) Maitin Address (Contractor orOwnerfong Installation) LXJ&C\j ~p orized Signature (Con ctor o o Installation) one No. 1'153 - EB-OOOOIA-10 6/95 STATOBOA&D COPY-SEE INSTRUCTIONS ON BACK OF YELLOW COPY 1 II IIJJ REQUEST FOR ELECTRICAL INSPECTION IIII ~~I~I I~ ~I~ II II~ I6 II ~I ~ I~I II I I Minnesota2T Unive silt Ave, Rmf Electricity 8 St. Paul, MN 55104 A * 0 3 4 9 1 9 0 9`°Phone (612) 642-0800 ~O Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm R---d Re air, Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Elec. Heat Temp. Service Dryer Range "X" above the work covered by_this request. Enter remarks in this space and on the back of the white copy only. ONt Ur1a,~r(YOU n~A _ r\`1 cc W-j t e . l )0-rQ 9-e, Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOT L Sign/Outline Ltg. Xfmr. Ob 0' Alarm/Remote Control Swimming Pool I hereby certify that I ins e a installation described herein on the dates stated Irrigation Boom Rough-In Dote Special Inspection Final Daty Investigative Fee G THIS INSTALLATION MAY BE ORDE D DISCO EC D IF NOT COMPLETED WITHIN 18 MONTHS. v ~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION - City Of Eagan V t f 3830 Pilot Knob Road, Eagan NIN 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 showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) r 1 set of Energy Calculations for heated additions Soils Report _ Y - N 1 Soils Report if proposed building is to be placed on disturbed soil i l rvey for additions & decks TreePres Plan Recd _Y -N. 2 copies of plan showing beam & window sizes Poured found design, etc. c ditt 7 septic system Tree Pres Required _ Y N Per " 1 set of Energy Calculations On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) M ®Q7 innegasco mechanical ventilation form /Jill Plans are considered public information unless you state the are trade secret and the reason. Date I 0 / .L / CJ~ Construction Cost qo6 x Site Address 1 7j o ?Z~ ~ iJ l 62c' Unit/Ste # Description of Work 121ik-A 4,!fD h.. /--S)21J tZe) ~,0)1-70Y\) ` (2 t Multi-Family Bldg _ Y UN Fireplace(s) 0 _ 1 - 2 Property Owner b) G I/ ~CtY S Telephone # ( } G/ iC~'ds Contractor e/0 Q L.'1 -/17~ v Address I 3 5 )9~ ~1 City e) p13L1~~ State M YJ Zip ! I Telephone # (b"5) &31 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted r In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( J ) 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 pla in the case of work which requires a review and approval of plans. Applicant's Printed Name 1 is Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ❑ 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 gb 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding P9 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 Description: Water Damage Yes Valuation DOD .Oc7 Occupancy G MCES System Plan Review 100% or 25°l0 Census Code 'J 7 Zoning Y Water - q,3 F P City SAC Units Stories ( Booster Pump # of Units Sq. Ft. 3 3 y PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock _ Footings (deck) _ Final/C.O. Footings (addition) 1o Final/No C.O. ~L Foundation X HVAC _ Drain Tile Other Roof % Ice & Water < Final _ Pool _ Ftgs Air/Gas Tests _ Final iq Framing - Siding _ Stucco Lath _ Stone Lath -Brick Fireplace _ R.I. _ Air Test - Final _ Windows Insulation Retaining Wall - Approved By: Building Inspector Base Fee a X 1 7+ 3 3 Surcharge ; / aoi2 Plan Review Z p ` X / 7' 5p ff- ~•f 7-9 MC/ES SAC u E jz City SAC IS-R~Je L'rJ~eS PP Utility Connection Charge S&W Permit & Surcharge D Treatment Plant ~C' I+e~ d~S 600. It 1! License Search ~L~ pe I Ci7 Copies 2 Other` Total REScheck Software Version 4.1.1 Compliance Certificate Project Title: Ross Residence Report Date: 11/18/07 Data filename: C:1Program FlleslChecklREScheckk= rescheclc.rok { Energy Code: 2000 Minnesota Energy Cade Location: Dakota County, Minnesota Construction Type: Singie Family Glazing Area Paroentage: 37'6 Climate Zone: 2 Construction Site: Owner/Agent: Designer/Contractor: 3928 Boston Circle Howard Theis Eagan, MN 55123 Wooden Dreams, Inc 1663 Sioux Blvd New Brighton, MN 55112 651636-7645 Compliance; 1.5% BotOer Then Code Maximum UA:128 Your UA: 126 . Doc r Ceiling 1: Fiat Ceiling or Scissor T. uss 330 38-0 0.0 10 Wall 1: Wood Frame, 16' o.c. 550 19.0 0.0 20 Window 1: Above-Grade:Wood Frame-,Double Pane with Low-E 75 0324 Window 2. Abov"rode Wood Frame:Double Pane with Low-E 6 0.120 2 Door 1: Glass 125 0345 Basement Wall 1: Masonry Block with Empty Cells 390 19.0 010 25 Wall height: 8.0' Depth below grade: 1.5' Insulation depth: 7.5' Furnace 1: Forced Hot Air94 AFUE Air Conditioner 1: Electric Central Air13 SEER Compliance Statement, The proposed building design described here is consistent with the building plans, spedksk s, and other calculations submitted with the Parmit application. The proposed building he n designed to meet the 2000 Minnesota Energy Code requirements In REScheck Version 4.1.1 and to comply with the manda nts listed in the REScheck In Checklist Name - Title na re Project Title: Ross Residence - - - Date Page 1 of 3 Data filename: C:lProgram Files%ChecMr=Schecktross rescheck.rck R part date: 11/16107 z00 swvau(l ma(looM Lb2TL69T29 XVa Cis:CT LOOZ/9T/TT V GAN I E 8Y• ,/1_ SWING INSPF~ S DIVISION EAGAN e ~ REVIEWED By- DATE h 33.31 is xi sT 8 sd 9, S' 1,ti•---~-w-""""~ s I~ 0 4 ~ J 5 1 <a ` Yb , r, lI r 8y eop A 11, 0, L4 O 895.8 ~S LA j 4.~ DE~i~-CZ.iPTIo►-S L- o T 5 , FSt..cack. t..Extw4-rc>w -::~,t.ZUAr-e SGt1.L.E 1 ~ 3v' ~ E,~N V AODtT~or.t~ IS.~..i.. Fj~C1~l.lfry ~~l1MED C7a.11-o TA. GpUNT""(~ oDFl.~orlLf ~RoW Mofi.(UKIEJtT M 1 N f•I E<.,oTA. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of t e State of Minnesota. 41 Date; ,r Leroy H. 136hlen Registered Land-Surveyor No. 10795 -----I ~ I For Office Use I Permit f ~j I City of Ea I Permit Fee. I I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: I Phone: Address / City / Zip: CONTRACTOR Nam fF~` - mac' License Address: City: State: Zip: 5 3c Phone: 763" G%33-'x( Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ~'l e--) 7cr, < / NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners 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 HVAC units must be screened 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: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE 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. i Applicant's Printed ame° Icant's Signature FOR OFFICE USE eviewed BY: Date: Required Inspections: -Under Ground `Rough In 'Air Test ' as Service Test `In-floor Heat Final v ~G'S~~"~ I~ I U RONONCY Model T-KJr. J, ~ er .rm ® 'Miwa~° ~ rTAKAGI C. rLAH':11X 1d1!%.]Or, NSF-61 standard+ 'SCAQMD 1146,2++ I Description I Application: Fully modulating gas fired tankless on demand water heater with sealed combustion (optional) and power vented flue. Rated for indoorloutdoor use to supply hot water to; domestic hot water systems (direct or indirect using water storage tank applications) with or without recirculation system: piping, hydronic, heating systems; radiant floor heating, and combined domestic water and heating water systems, Fuel: NG or LP - ._..__._......_.....:;.v., T KJr. Safety Features 8.0 ? - Built in Freeze Protection - Manual Reset Hi Limit (set at 1901F) 6,0 _ _ , _ -Overheat Cut Off Fuse - (nletlOutlet Thermistors for Constant - mm Tempurature Monitoring 4.0 - - - Flue Backdraft Pressure Switch - _r- _ - GFI Power Supply Connection T. 2.0 . m _ .1...._ Flame Sensor _ i_._ 0.0 IIF- Venting and Combustion 10 40.50 60 70 130 11 100 110 120 "1 140 150 ' - 4" Category III Stainless Steel - Vertical or orizontal Installation Temperaturo Rtse (F► - 35' Max Length (9011 elbows = 5' equivalent length) A1.IgUaR 7005, Irvlr10, CA - Power Vent - Electronic Ignition _ - 3" Combustion Air Intake (with optional kit) T-KJr. - 52 db Fan Noise Level at Max Speed 30 00 Accessories: 25 TK - TV03 Vent Damper r_- 00 TK - TV05 Direct Vent Terminator TK - TV01 Wall Ventilation Terminator (Indoor) q° 1s 30 TK - TV04 Outdoor Vent Cap TK - -IV09 Direct Vent Conversion Kit (optional) I TK - RE02 Tempurature Remote Control (optional) I Q. 20 5 - 10 Remote Controller 0 0 -150' Max Distance From Heater 0 1 z 3 4 5 6 7 e - Non Polarized 18 Guage Control Wiring Flow ROMe 1PPmt _ - AUOUR 2005. Irvine, cA Temp Settings Dip Switch: 113OF 122°F (•Dotault) 1400F 182°F With RE02 Remote; 99°F 100°F 102°F 104°F 106°F 1080'F 109°F • • 1110P 113°F 115OF 117°F 122°F 131°F 140°F 158°F 167°F Comments: . Takagi Industrial Co. USA, Inc. 5 Whatney Irvine, CA 92618 888.882.5244 www.takagi.com +Complied w/NSF-61 standard (certified by TL Lob) ++Met SCAQMD rule 1146.2 (certified by BR Lab) SPSTKJR082006 U R putKT Model T-KA pC cerrM ® ama ,w d a M P mP FTAKAGI ICJ✓ TRUOAIL MAF.INC. NSF-61 standard" SCAQMD 1146X4 50 13-3/4* 5-7/9-(150mm) 1 0' (254mn) 1 -3/4" 5mm) -1-3/4-(45 ) 3't 76. I 04'0*101mm) 4'( 1026 n) (Intake for direct vent kit) ' 2-1 /4' (56mm ) m N I I m o ( I N N r i HOT OOLD 1120V GAS 1-5/8" 40mm ' .5111fY1) (58.5mm) HOT COLD 2- 9/8' (61 mm Z(5 I mm) 120V 4'( 102. Smirn) GAS HOT 5-1/4- 133mm) 4-7/e' (12am ) GAS 14-7/8'(123.5M) COLD 5-3/6' (136.5mm 120V 7-3/4' ( 195. ) August 2005. Irvine. CA (Hot/Cold/Gas), T KJr: HT W D WT.. Volt AMP... Flue :-:-:,Intake Connectiotls 20 14 6 32Ibs: 120 0:84' A"O.D.3'ri9..D. 3/4":NPT Input Input Max BTU Min ETU. Eff% `Energy Factor: :AFUE: Miri Press; Max Prt3ss:. NG 140,000 19,500 83% .83 ' 10.5" tae LP 140,000 17,500 84% 84: 80:6' ; -9;T *c, :'.14.0" .wc GPM 'DOE GPH ' FDH -:131., TUH =;PSI *atier!.PSI:; Coil Gap. 5.8 - 0-75" 180 46:2 -1,:16 Installation Top Front Back. Sides Bottom' Clearances IT 24" 1 2~criih 12 " Category III Required 0.6 GPM Required for Continuous Fire After Initial Ignition Pressure Only Relief Valve Required (Min 200,000 BTUs. 150 PSI) Warranty 7 yrs Heat Exchanger, 2 yrs Parts Only (as of August 2005) Specification.- -~'.M. Plash water heater(s) shall be Model TI(Jr. as manufactured by Takagi Industrial Company Inc, The Flash water heater(s)shall be a copper coil Integral fin and tube conatructlon with quick release braes or bronze waterways. Heater(s) will-be factory assembled and tested. The hector shall be vented with 4" stainless steel Category III vent pipe a distance not to exceed 36' (oqulvalent) feet terminating vertically or horizontally as preacribed, Intake air with optional direct vent kit may be of such material as PVC not to exceed a total of 35' (equivalent), The heater(s) shall be controlled by onboard solid state printed circuit board monitoring Incoming and outgoing temperatwact with factory installed thermistors, sensing and controlling flow rate to set point temperature which control both air and gas mixture input-, to maintain thermal combustion efficiency. Unit also consists of ground fault interrupter, Inline fusing, spark Ignition and sensor system, aluminized stainless stool burners, vent pressure switch, Hi limit switch, modulating and proportional gas valves, freeze protection sensor and heating blocks and overheat cut-off fuses. The water heater(s) shall be GSA llstad, exceeds the energy efficiency requirements of ASHRAE 90.1 b-1992 and listed by SCAQMD rule 1146.2 Low NOx, - - SPSTKJR032006 7 56 -S7j 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date V7 1 Site Street Address : qTZ r -430srn/) C azy,&, - Unit # Property Owner "US4 n ~,Q55 Telephone# (k) Xy7- &2,5- Contractor Telephone # (452) ~LZ~L -6 LCOL-~ Address " V l q City NA V& b5snn State= zip ,5-S- 1 The Applicant is: _ Owner , Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment Water Turnaround (add $121.OQ if a 5/8" meter is required) -Other: _ Water Softener - Water Heater $ 15.00 - replacement _ additional Lawn Irrigation System f/P„^Y"/RPZ_ new _ repair -rebuild $ 30.00 State Surcharge U $ 50 J U L 1 2 2004 Total $ ~D By hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. D1 Ak~e_> atAe~j L Af~AAA_ No eAcz= [4AZi. Applicant's Print 6d Name Applicant's Signature ` ' PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 0 4 9 (612) 681-4675 Date Issued: 10/15/96 SITE ADDRESS: 3926 BOSTON CIR LOT: 5 BLOCK: 1 LEXINGTON SQUARE 2ND P. I`. N 10-46076-050--01 DESCRIPTION: Building Permit Type GARAGE/ACCESSORY Liu i.ldi ti q Wot I< Type ADDITION %ensu,~ Code 438 ALT. GARAGE REMARKS: FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge 2.50 Total Fee $102.25 CONTRACTOR: - Applicant - ST. LIC OWNER: DUTCHER REMODELING 16880758 2003599 ROSS ROBERT 3643 WOODLAND TR 3926 BOSTON CIR EAGAN MN 55123 EAGAN MN 55123 (612) 688-0758 (612)681-0691 I T hereby acknowledge that I have read this application and state that the intormation iy correct and agrae tca comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE S D B SIG TUR r~. } .z I DUTUI-IE r. f.~... r.. t:3 try r .75 , 11 ;e r ir}(' i~1r~F,t r f,.' , i(t t o 4 3 n 1 3 t t: ? J~ t i s F t f . J , , h CITY OF EAGAN.. 3830 PILOT KNOB RD - 55122 - *tq 049 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) av. 681-4675 New Conftctlop~E;gguirements R air R uirements 3 registered site surveys ♦ 2 copies of plan 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) 1 energy calculations ♦ I energy calculations for heated additions 3 copies of tree preservation plan If lot platted after 7/1193 requW: _ Yes - . No Al DATE: Lo 8 lea, - CONSTRUCTION COST: 3.t.U C7 -r - DESCRIPTION OF WORK: gee- Ad j i-ho ice . STREET ADDRESS: 1 39 2 ~ 10S a `Ve IR.- LOT J BLOCK SUBD./P.I.D. Lex i vyw e- oZ Edj,- q,, PROPERTY Name:-.- P=Q 4- JUG ADS S Phone $1 001 OWNER UST carer Street Address* Z~ °s (2~1 if Je._ City: acs. State: V ~ v% Zip: 5 S i 2 0 CONTRACTOR Company: u +C"~ RLaS2&"6t g r Phone e 2 --Q-7 593 Street Address: 3643 t,,JobJ(aA J TV License 2.0 3 5c1 cW City: ~r 1 u cam,, State: I/~1 V. t Zip- ~ 5 t , ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address City. State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No O C T 0 81996 Tree Preservation Plan Received Yes No OFFICE USE ONLY «s.. .r BUILDING PERMIT TYPE a 01 Foundation o 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish o 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool o 03 SF Addition o 08 8-plex 013 Garage/Accessory o 20 Public Facility a 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. D 10 -piex o 15 Deck WORK TYPE 11 31 New a 33 Alterations o 36 Move 32 Addition a 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y 38 Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building , M Engineering Variance I Permit Fee Valuation: $ s v~~... Surcharge ~zM a, Plan Review K, z a: 44. License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029119 (612) 681-4675 Date Issued: 10/28/96 SITE ADDRESS: 3926 BOSTON CIR LOT: 5 BLOCK: 1 LEXINGTON SQUARE 2ND P.I.N.: 10-45076-050--01 DESCRIPTION: (ENTRYWAY TO GARAGE) Fifil.ding Permit Type SF (MISC.) Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK rare place 11TJb &L ~ r 5~ are rephce perlJt1 FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge 3.00 Total Fee $115.25 1 CONTRACTOR: - Applicant - ST- L I c OWNER: DUTCHER REMODELING 16880758 2003599 ROSS ROBERT 3643 WOODLAND TR 3926 BOSTON CIR EAGAN MN 55123 EAGAN MN 55123 (612) 688-0758 (612)681-0691 T hereby acknowledge that I have read this arplication and state that the information is correct c: d agree to comply iii all applicable State of Mn. Statutes and City of 1 gan Ordinances. i APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TUBE CITY OF EAGAN lwq RD - 55122 3830 PILOT 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL l 681-4675 New Construction Reauirements RemodellRepai Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 6 decks) I energy calculations ♦ 1 energy calculations for heated additions 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes No DATE: L0115 &V CONSTRUCTION COST: o 000 qa" 0/"119 DESCRIPTION OF WOR I~ t Y~~ STREET ADDRESS: LOT _ BLOCK I SUED./P.I.D. Leal mm~f Smd~2~ 12 PROPERTY Name: 'R055 '20 6f T Phone &V- r _ OWNER FOBT Street Address: t~ltlk- City: Oa4e,fa State: M ti - Zip: ~Z 3 CONTRACTOR Company: ~)U7c~i /n Phone 0 ZZa 101 Street Address:I W~c~ Ti License Z00352~ City:' State:.. _ Zip: 55123 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the rmation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No 0L 1 17 .1996 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex o 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. o 17 Swim Pool ❑ 03 SF Addition 0 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ D4 SF Porch ❑ 09 12-plex o 14 Fireplace ❑ 21 Miscellaneous ,cam 05 SF Misc. 0 10 --Alex ❑ 15 Deck WORK TYPE n 31 New 0'- 13 Alterations o 36 Move o 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories. sq. ft. Booster Pump Length sq. ft. ` Census Code._ Depth Footprint sq. ft. SAC Code o Census Bldg i Census Unit o APPROVALS Planning Building "o Engineering Variance Permit Fee Valuation: $ 61 vy0 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CLAIM VOUCHER - REFUND REQUEST r CITY OF EAGAN MAKE CHECK PAYABLE TO: DUTCHER REMODELING ADDRESS: 3643 WOODLAND TR EAGAN MN 55123 LOCATION: 3926 BOSTON CIR RECEIPT # / DATE 66286 /OCT 28, '96 VALUATION (FIREPLACE) REASON FOR REFUND FIREPLACE INSPECTION IS COVERED UNDER PERMIT ISSUED FOR GARAGE ENTRYWAY: A SEPARATE PERMIT IS NOT REQUIRED TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ BUILDING PERMIT FEE 3210-9001 $ 25.00 PLAN REVIEW FEE 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (CITY) 3866-9379 $ SAC/ADMIN 3446-9001 WATERCONNECTION 3865-9220 $ SEWER PERMIT 3743-9220 $ WATER PERMIT 3713-9220 $ ACCOUNT DEPOSIT 2252-9220 $ WATER METER 3716-9220 $ ROAD UNIT 3860-9375 $ WATER TREATMENT 3868-9220 $ SURCHARGE 2155-9001 $ UTILITY ACCT OVERPAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ TOTAL $ 25.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. 12/10/A6 Signa e 5 Date CLUMNOU r PERMIT Ck~blqG CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029120 (612) 681-4675 Date Issued: 10/28/96 SITE ADDRESS: 3926 BOSTON CIR LOT: 5 BLOCK: 1 LEXINGTON SQUARE 2ND P.I.N.: 10-45076-050-01 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW Census Code 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - A p p l i c a n t - ST. L I c OWNER: DUTCHER REMODELING 16880758 2003599 ROSS ROBERT 3643 WOODLAND TR 3926 BOSTON CIR EAGAN MN 55123 EAGAN MN 55123 (612) 688-0758 (612)681--0691 i I hereby acknowledge that I have read thi`: ~,ppiication and state that the information is correct and agree to comply oli applicable State of Mn. Statutes and City of Eagan Ordinances. aw'N&Z~~ 1110 Eli A Ilk APPLICANT/PERMITEE SIGNATURE ISSUED BY: I NATU E IL 0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1"6 FIREPLACE PERMIT APPLICATION ~ 681-46755 DATE: UY DESCRIPTION OF WORK: CONSTRUCT FIREPLACE: SNOOD BURNING GAS INSTALL GAS INSERT ONLY IN FASTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE INSTALLED IN: STREET ADDRESS: OAV LOT BLOCK SUBD-/P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Nance: _1P_0' L Phone OWNER LAST FU= Signature: Stmt Address: City: State: Zip: J" l < 'Dkf FIREPLACE Cmn y: Phone INSTALLER Signature: StrfttAddresS: License S S ! City: iaa IJ A 4~ State: AA, V\_ Zip: . GAS LINE Company: Plume INSTALLER Name Signature: Street Address. City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ .14 Fireplace WORK TYPE o 31 New o 33 Alterations 0 32 Addition ❑ 34 Repair i GENERAL IN ORMATIQN Census Code. SAC Code REMARKS Chimney/flue most be inspected before concealing. I i i CITY OF EAGAN ip 12492 ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 596 To be used for SF DWG/GAR Est. Value $83,000 Date AUGUST 21 19 86 Site Address 3926 BOSTON CIR Erect M Occupancy R3 Lot 5 Block 1 Sec/Sub. LEXINGTON SQUAIMmodel ❑ Zoning PD Parcel No. II ADDITION Repair ❑ Type of Const. V1 Addition ❑ No. Stories Z Name BARSNESS CONST Move El Length 58 3 Address 7614 165TH Demolish El Depth c Int. Impr. ❑ Sq. Ft. City LAKEVIL1e 431-1240 Install ❑ cc I o Name SAME 431-3030 Approvals Fees 00 Address Assessment Permit $ 382. 00 city Phone Water & Sew. Surcharge 41.50 Police Plan Review 191.00 L W Name Fire SAC 575.00 _ Address Eng. Water Conn. --5-0 0 .0 0 =z City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. Off. 8/21/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci f gan Orlinanc APC Parks ail Var. Date Copies Signature of Permittee . Total $2,199.00 A Building Permit is issued to: BARSNESS CONST on the express condition that all work shall be done in accordance with II = e o Minn ota Statutes and City of Eagan Ordinances. Building Official - :i~ L 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: -~t71`1L'L~ Valuation: Date: Site Address OFFICE USE ONLY Loth Block Erect Occupancy t Remodel Zoning Parcel/Sub LFKW65r0t-) G- mj Repair Type of Const Addition # of Stories Owner- D g E-W1- ©51 Move Length Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractors Assessments Permit 3Cg Water/Sewer Surcharge S Address -76', r C 5.7-,4 Police Plan Review 1~'1 Fire SAC City/Zip Code V It Le _ t Engr Water Conn Planner Water Meter d Phone 4 3 1 - j -Z q © y 31 Council Road Unit - '~0 - Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies? Address TOTAL ~5 - City/Zip Code Phone 46 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. OOP .t EAGAN REVIEWED 1► By DATE 33.3 ~x~sT 8~y,s a ~ ~ Farr $ ~ri AS o o O01 -t1 / G,? W 9,3 Mr kl~ e, 0 Q . % < ~Q ~ ~ x r s r _ F+a 99,1 rQ~ d, ~a ~ f LA J xg~~ = Exit I Z 9.34P ~ ; s9s.c~ 'U ay9s z 1189°cj8' D9"E P, L4 pESc-iZ.IPTt©t..l L-o -F 5 ,tat t 1.t v R.'tµ t..Ext"4"'rOW -5Q U Aet5 ~jGAJ.-E 1~ 3ra' SE~~►ti? ACX>J'riot4t ALL ~t~Nty A,y~,l1N~ED opEMOMf I" M01.1t)K1E."T' V A, W-0 -rl►.. Gpt31Nt'rv. M I N h.t ESvT'A I hereby certify that survey was prepared by me o his or t under my direct supervision and that I am 'a duly Registered Land Surveyor under the laws of Vie State of Minnesota. Dates 1S LeRoy H. ohlen Registered Land Surveyor No. 10795' CITY OF EAGAN 1 P-JC, 32iO 900i 3926 BOSTON CIR H2.2!-*.; 2i55 900t 39R6 1XISTON CIR 3. 00 320 900•I 392(-.-. i O,'. 7';'yj'.;( C :P:t, '°d:. , 00 2 1::5 900•S 3926 BOSTON C'Ii:; 15) Total Amount:! c W, USER TPr NANCY ~ j ! .1, { l i I: J i l l is l i l f~:i i i t 1 3 l: I I f h ~ 33.3? is XiST g3~,1 ~4► I tQ' ~ 0 10 G `Uj ~h xis; $g OL 'j-) I r 8,94, Gy k S r` ~ O F~µ B94 9 `J DESc-2tQTtof.1 t^-o T S s xw-je- t h(DR-'f~► LEXtN4-rbW SPUAZE ~jG~.t..E 1 3a' S F~t.t t) AODtTto~l~ A~.t_ 3~~N4S b~~~IEO pAyr-o-ra.. Got31~t~"f~ oDEµc~i t2oM Mc~~1c~l~tlEf,tT M I "W EFTA I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of t e State of Minnesota. Date: LeRoy H. ohlen Registered Surveyor No. 10 Land 795 i EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 1 r OWNER f3S fi SITE ADDRESS S E rC ' CONTRACTOR e A4p=% ~ DATE I ` PHONE •w~, ~ Determine` working square footage of each. 1. Total exposed wall area ~~3 sq. ft. X' ..d 2. Total roof/ceiling area sq. ft. x Total exposed wall area above floor / 73 a. Total wall window area . . . b Total door area 7 , c. Total sliding glass door area........,... d1*~ 1:314 . Total fireplace wall area e. Total wall framing area (average 10%)........ f. Total net wall area above floor`...... g. Total rim joist area o Total exposed foundation area - _ h. Total foundation window area.....`.. e-` i. Total net foundation area above Determine "U" value of each,wll.segment. r X flu", X flu," C . X »U» do, X "U" , ? 3 X nu" l l _ ....L_.L.2~....•,. f. X flu" go A00 h. X "U" ' x "Un 3 ...............:..................Total _ If item #3 is the same as$ or less than item #10 you have met the intent of SaC 6006 (c)2. re lovI P St' "a i~ Ir rCl f, fva,~7 I't 1'. .L y F 1999 BUILDING PERMIT Y OP A ~Px'1/.~I~CNATI MSS 1'~ ➢ 3 fegtstered site surveys showhW sq. of lot, sq, of home Z co l" of Vkm and alf roofed areas QM madmm kit caygMW ) 1 sed at D 2 copies of plans (O w boom & window sk*s; poured fact. des%K edic.) t sffe +rtp taste r A► dodo > i set of energy casiculaftrts A 3 copies of Wee presesvaftn plan if rot plidW c0er 7/1/93 DATI fZ 9q CONSTRUCTION COST ~ DESCRIPTION Of WORK: STS ADDRESS' 4~5 LOT: BLOCK: l SURD.JP.I.D. 1 , Name: '15 1 A/ Phase PROPERTY Last first OWNER Street Address: Q feC L City HENDRICKS ROOFING & REMODEJ JNG Co. foree co ft), CONTRACTOR Street A esw BLOOMINGTON, MESTpN N, AVENUE SOUTH LAO MN 56014513 WOW # (012) SeP-7274 OR (Isip Z=183 C#Y YEAR `ROUND SERVICE State: ZIP ARCN~[~CTj - ENGINEER CttmpcWry: lNeaWM: Tolephone area code +~fa`r:.f A~ra:►s: I.eiIor.: City stow "wer & wciter feeanserd pkm*w ( t for r cotamblom_audv) ftnaly applies when address ct%mge and ktt change Is requested once perw* fs Isomd. Thereby a+cknowle age that I have read f#ta appt aftn, state RK6 are k4ornudlon s coma; WW, ► d f State of Mkowaota Stat%*w and C#y of fagan Ordinances. Signature of AppNc(n*. _ OFFICE USE ONLY " c frcates of Survey Received Yes No 4 Try Presentation Plan Rea#md Yes No NW OFFICE USE ONLY BUILDING PERMIT TYPE 0 41 Foundation 0 06 4-plex 0 11 10-pk.,x © 16 Fireplace © 21 Porch (3-see.) 0 02 SF Dwelling 0 07 5-plex O 12 12-pkw 0 17 Garage 0 22 Po t Addn, (4-sea, 0 03 1 of plex 0 08 6-plex 0 13 16-pkox 0 18 Deck 0 23 Porch (screened) 0 04 2-plex 0 09 7-plex 0 14 Apartments 0 19 Lower Level 0 24 Storm Damage 0 '05 3. Alex 0 10 8-plex 0 15 Lodging 0 20 Pool 0 25 Miscellaneous WORK TYPE 0 31 Now 0 35 Tenant Impr 0 39 Gas Line Only 0 43 Siding/Sdflits/Fascia 0 32 Addition O 36 Move Bldg. 0 40 Gas Insert 0 44 Windows/Doors 0 33 Alteration 0 37 Demolish BW9.* D 41 Wood Stove 0 45 Fire Repair 0 34 Repair 0 38 Demolish (Interim) 0 42 Reroof • t,n/p 0(' A hsancirnrt try ms-,niirao r fnr r#Pr-f0it nn newmit GENERAL INFORMATION Condo. (Actual) Basement sq. ft. Census Cade (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump ~,.Y_.._._. PRV Firs 5prinklered APPROVAI S " r . wing Building Engineering Variance Permit Fee 5 a Valuation: $ Surcharge _ 0 0 Plan Review License MC/ES SAC , ~ . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Park Ded. Trails Ded. Other Copies Total: C ~ SAC Units SAC Total exposed roof/ceiling area • Total skylight 1 area. , k., Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling Determine "Un value for each roof/ceiling segment. f j. x utn r k• x "u"'- Z:2 33 1. ~Z 3 eqX "U". 1 0 71 s 40## a1 ..................Tot = If total of #4_ is the same as, or less than #2,, You have meta the ifitent or SBC 6006(c)1; Alternate Building Fnvelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the,sum'-of items #1 and #2, l . ♦ 20 .A a r ; c . ~ ~ l }„fir i t ~ t~l r v. ! ey } i f 14 ~iir'jr)r:F 06 , P~{,,~;='" ..t T;;:t.i. r ,:!~?t.'1° ~.r~~::; } I~i! tl :El....~i•?rx .i 4...;;7 it F -,.-T. :1,28 25 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan C 3830 Pilot Knob Road, Eagan MN 55122 o<) - C) Telephone # 651-675-5675 Please complete for. single family dwellings c& townhomes/condos when permits are required for each unit Date C C? Site Address- rl o' U Unit # Property Owner Telephone # ( ) Contractor dL1Q M~'~'"~!a Alt1/'~~i ®~A®r~ r ar7i Street Address 16411 Aberdeen Street NE city 1i 1am Lake, MN 50304 - State Zip Telephone # Bond Expires: The Applicant is Owner } Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional Replacement New air exchanger jbytj(t Vt~ 2a~gC air conditioner- _ heat pump . ~ V other 6f.-Pe V1a"n r t°- State Surcharge $ .50 Total $-G® I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. ~t Applicant's Printed Name Applicant's Signature r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r` I For Office Use i City of Ea Permit#: I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: U Phone: (651) 675-5675 I I~ Fax: (651) 675-5694 I Staff: ( I L-----------------I 2008 RESIDENTIAL PLUMBING PERMIT LICAT N Date: Z 'C)- Site Address: • c. cc' Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Nam C-49 -,z --6"l-~_~/ License#: Address: 31C11 ica L "u r--S7'` ~d City: #'LS" 77 State: Zip: 53ct~ Phone: <r1= Contact Person: TYPE OF WORK -New _Replacement -Repair _Rebuild 4 Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation _~X 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 (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace 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. ' p Applicant's Printed Name A cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final Use BLUE or BLACK Ink its ,o I For Office Us /e I j Permit 7 j City of Eapfl I I Permit Fee. ' 3-71 830 Pilot Knob Road I Eagan MN 55122 Date Received- °-D Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 229-1 ~c~ T~tJ L ILL- LIF Tenant: Suite M RESIDENT/ OWNER Name: Phone:USI le'2D f --009 Address / City / Zip: a S~ 21 rJ C ( 1L Lt-,f Applicant is: Owner Contractor TYPE OF WORK Description of work: ` uvvt,r 6L) Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License 26>rL915 `1 Address: _1i' SI 6U1C C4J City: f J &_j State: Zip: 112 Phone: Contact: _i~X~ii✓y~(-(~ Email: W rA-1 l N C E L: L6 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 the City to conclude that the are trade secrets. 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 confo ante 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 n~t 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 pla s. I x'y x Applicant's Printed Name p can s Signature Page 1 of 2 A l ~ / e DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level _ Pool _ Miscellaneous 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 Memolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 000 Occupancy tart ~ MCES System Plan Review Code Edition Ljv/V 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 V6 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition)( Final / 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: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control- Reviewed B Building Inspector Y~ g .1 1 ! 1ZZ~v~ `~~J~% RESIDENTIAL FEES Base Fee%`. 1 Surcharge rgl'-- Plan Review 70 MCES SAC City SAC ,"v.. w. q7 069t~, Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies / TOTAL Page 2 of 2 ^ r e ~V ' A . e~ /10 EAGAN REVIEWED DATE- _ h ti N 07~5 g'771-f 33.37 u.kiST f.~~~5 ` ~<4 00 oit W ~S' Oc ~ yu 1 ~ Z < ~c \ ' rl S T B 61, r S>s.8 I S 0j, Flo b 9 A g~a -'•~9 r)('5.6 9-. 9 DES ~-t'Z1 Q't" to ~,!©GZT~.t 4..Ext►.t4-raN -:Sr.~u~E SGC.I..E 1'~ } 30'• ts..~..L g~r~~~ ~r',V DIED 5 F~.a~.t D AD~ITtoP.!! °DEl~U7~iS 1QpM Mo~.tl~f~EllT Mlllf~l~<,~oTA, I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of t e State of Minnesota. Date: LeRoy H. ohlen Registered Land Surveyor No. 10795 --m7MSIDENTIAL MECHANICAL PERMIT APPLICATION p City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~~//w~, Telephone # 651-675-5675 '"r" P Y 8 ZQ~Q Please complete for single family dwellings & townhomes/condos when permits are required for each unit Date- t~ Site Address l~ Unit # PropertyOwner uj2d I'J~n ig-IDUaws Telephone # ( ) Contractor A en laic Street Address Aberdeen Street NE City State Ham Lake, MN 55304 ~j Zip Telephone # (I O?} -439 - 7:1 7 Bond Expires; i The Applicant Is Over Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace -Additional -„-Replacement New air exchanger - air conditioner 01 ~d C.. rm heat pump :4 fin Pavt other 2 C, v State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143874 Date Issued:06/30/2017 Permit Category:ePermit Site Address: 3926 Boston Cir Lot:5 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Robert Ross 3926 Boston Cir Eagan MN 55122 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155915 Date Issued:06/07/2019 Permit Category:ePermit Site Address: 3926 Boston Cir Lot:5 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Robert Ross 3926 Boston Cir Eagan MN 55122 Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature I f For Office Use 4 1 I C o, 5100°01 e, Permit#: /� 1 JO V Permit Fee: Date Received: U 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 RECEIVED (651)675-56751 TDD:(651)454-8535 FAX: (651)675-5694 Staff: buildineinspectionscityofeadan.com AUG 2 7 2019 J 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: _ -------• ... , , Name: )3 ^ o S s - Phone: — S,L Zz � Q , Resid� tlOwner,.:; k ..:,. 3q 2. 6 S :::.::':,:';:‘',•."!;e'40:141; Address!City I Zip: �� C,,‘„,/ ...A.,.......... S4. Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 _-" ` Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS Contractor, • State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com New Replacement Repair _ Rebuild _Modify Space Work in R.O.W. Type'Of Work .— ._ Description of work: Water Heater Lawn Irrigation(_RPZ/ PVB)- x Water Softener Add Plumbing Fixtures( Main/_Lower Level) Description- Septic System . Description: _New Connection to City Water from Well Abandonment RESIDENTIAL FEES .`, $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment , $100.00 New Residential:(fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 60.00 TOTAL FEES$ CALL BEFORE YOU DIG. Call Gophor 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 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.cityofeagan.comisubscribe. 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; hat the work will be in acorderice ' the approved plan In th case of wor which requires a review and approval of p ns. X _ QA1e) l x.w ` Applicant's Printed Name Applicant's Signature Page 1 oft PERMIT City of Eagan Permit Type:Building Permit Number:EA158631 Date Issued:10/23/2019 Permit Category:ePermit Site Address: 3926 Boston Cir Lot:5 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Robert Ross 3926 Boston Cir Eagan MN 55122 (651) 247-0625 Liberte Construction Llc 1406 West Lake St, Suite 202 Minneapolis MN 55408 (612) 999-7663 Applicant/Permitee: Signature Issued By: Signature