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4158 Braddock Tr Use BLUE or BLACK Ink Far Office UI I i ~i, Permit /0 1 Cty of aFn 11 '111N 6 ?011 1 Permit Fee: J7- ~a 3830 Pilot Knob Road I Eagan MN 55122 ( Date Received: G Phone: (651) 675-5675 Cl(#)1761 I Fax: (651) 675-5694 Staff: - ----~.--J 2011 MECHANICAL PERMIT APPLICATION Date: o-~~ ~ \ ( Site Address: Q Tenant: Suite RESIDENT / OWNER Name: II rv-11 Phone:(__0S I - (1093-0-7(4d Address / City / Zip: dolovITA CONTRACTOR Name: BURNSVILLE HEATING & A/C License (4160 6P4,273 3451 W. ]BUIlMifte Pd, G. Address: Sulte 120 City: ~umsville, MN 55337 Y~ State: Zip: Phone: cub Contact: (z) k~ cyu Email: TYPE OF WORK New -A- Replacement ry Additional Alteration Demolition All Infi Descriptibn of work: `l 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. RESIDENTIAL COMMERCIAL PERMIT TYPE _ Furnace _ New Construction _ Interior Improvement X Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pum _ Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) ~L"-`~ $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ _J ' TOTAL FEE COMMERCIAL 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.aopherstateonecall.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 i not to start without a permit; that the work will be in accordance wit a approved bn the case of rk which requires a review and approval of plans. x x Applicant's Prin Name Applicant's Signature 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 r Use or BLACK Ink OW For Office Use ~j I Permit q 12 ~ ` I d~ (o U ~,r 1 Clt of Ea E I Permit Fee: 3830 Pilot Knob Road i Eagan MN 55122 i Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 1 ' 2 ` v!C Site Address: l 1 ° 15 lid A(- TZ Date:. Tenant: Suite RESIDENT I OWNER Name:. Dark ~ e-, - YQ r") t% Phone: Address / City / Zip: '7 S d f 1cc~e,:.~ .e y y Applicant is: Owner Contractor TYPE OF WORK Description of work: P c ~ &N,r Construction Cost: ~SJ L) Multi-Family Building: (Yes No 1 CONTRACTOR Name: ~ , t License Address: 5-119 l A, /W(t k- d PV & I V City: State:.tAZip:~ Z- Phone: Contact: ,fF ' ,r~Email: G fer 5 / t/ L ` G 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. 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 ns. x iur Mt x Applicant's Printed Name Applicant's Signatu Page 1 of 3 DO NOT WRITE BELOW THIS LINE q / 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION a, Valuation Occupancy ~C 1 MCES System - Plan Review Code Edition SAC Units - (25%_ 100%~ Zoning City Water Census Code K3 `7 Stories - Booster Pump - # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / 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 By: Building Inspector V t/ RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r----- For Office Use,1 I City of Evan I Permit ~ I d, I 3830 Pilot Knob Road I Permit Fee. Eagan MN 55122 Date Received: MAY 16 2009 j Phone: (651) 675-5675 I i Fax: (651) 675-5694. I Staff I L -----------------1 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 24 09 Site Address: _ . _ - DarletteJorgenson Tenant: 4158 Braddock Trail Suite EaganMN55123 RESIDENT / OWNER Name: 6516830742 one: Address / City / Zip: CONTRACTOR Name: NORRI OM PLUMBING -r,0 License O(P 15,2-A Address: 612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK -New X -Replacement -Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: ti " vVCEfeX vwaw PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ 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 $165.00 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 $ 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X je~ffr L'. Iflrit~t Dm x - --:e~ Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test -Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA091171 Eagan, MN 55122 . Date Issued: 09/16/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4158 Braddock Tr Lot: 11 Block: 2 Addition: Stafford Place PID 10-72500-110-02 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. 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: Property Claim Solutions LLC Darlene J Jorgenson 4655 Nicols Rd, Suite 202 4158 Braddock Tr Eagan MN 55122 Eagan MN 55123 (651) 994-2028 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 i I Parcel Files Cover Sheet Unique ID: 2004 4158 Braddock Tr 107250011402 d,. SEINER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN MATER 0'4 a PERMIT DATE 05/22/41 3830 Pilot Kftb%;R m`.',')t Eagan, MN 551 22-1 897 CHIP # PERMIT # 12003 r METER SIZE ~j B.P. RECEIPT # C 13523 ISSUE DATE / f B.P. RECEIPT DATE 05/20/91 DATE KAY 20, 191 PRV BOOSTER PUMP SITE ADDRESS 4153 BPADDOCK Tl'. PERMIT REQUESTED LOT 11 BLOCK 2 SEC/SUB STAFFORD PLACE X_ SEWER X WATER _ TAPS APPLICANT: ADDRESS: _ COMM/IND X RESIDENTIAL G k CITY, STATE ZIP X NEW EXISTING PHONE: P~CDOI3ALD PLUIbtBIiVt: SYSTEMS ZP;C Lawn Sprinkler Meters are to be Installe ; PLUMBER: ° Ahead of-pomestic Meters on Water Line. t ADDRESS: 18271 KENWOOD Tk< Credit WILL NOT be given for Deduct Meters. CITY, STATE LAKEVILLE ?M ZIP5.5044 PHONE: 435-3334 I AGREE TO COMPLY WITH CITY OF OWNER: T4TTTELSTA!DT BROTHERS _ EAGAN ORDINAN ES1 ; ADDRESS: 785 SUNSET DR CITY, STATE EAGAN RN ZIP 55123 PHONE: 456-4125 IGNATURj ER ISSN I PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECT. FOR S ORM SEWRQ PERMITS NTA ENGINE RING DEYT. . Cities Digital Quality Control . The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERM6 Receipt # - To be used for 5F j GAR Est. Value 81 Date 20 19 Site Address 4158 I I K TR Lot 1_ Block 2_ Sec/Sub. STA~'IORD PLACE OFFICE USE ONLY Parcel No. Occupancy R-3 -t FEES Zoning 1z I W Name Ht~"?IA "~,F__j~'~` ARMERS (Actual) Const Bldg. Permit . ; o Address 7'85 SIIMET DR (Allowable) Surcharge City ]RAGltN Phone 456.91 Ilk L of Stories 411 plan Review 9 30, zp Name .rites Depth ~ SAC, City 0¢ Address, S.F. Total SAC, MCWCC 630, t- City Phone S.F. Footprints ~ On Site Sewage Water Conn 660, Q °C Name On Site Well ww Water Meters t- uAAddfeSS MWCC System cct. Deposit X 30, am City Phone City Water- A PRV Required S/W Permit iQ+ 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances, _ Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: HITTELSTAEDT BROTMS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan: Ordinances. Bldg. Off. Copies 316600 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING r / 7/J` 333 H.V.A.C. ELECTRIC ✓1 0 Inspection Date Insp. Comments Footings I t /0 Foundation 4l 14i'd Framing tzd Roofing Rough Plbg. - Rough Htg. S Isul. Fireplace Final Htg. Orstat Test Final Plbg. _ Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. SEINER,&4WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-189.71► CHIP # PERMIT # 1 2C03 - METER SIZE B.P. RECEIPT # 11523 DATE ISSUE DATE B.P. RECEIPT DATE OJ/D/ -AY 2C~ 1991 PRV -BOOSTER PUMP SITE ADDRESS 41 a8 BRADDOCK T PERMIT REQUESTED LOT , 11 BLOCK 2 SEC/SUB TAI FOR PLACE SEWER X WATER ^ TAPS APPLICANT: ADDRESS: COMM/IND*~ RESIDENTIAL CITY, STATE ZIP NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: MCDONALD PI,i3A3BING 5Y1i;li3 INC Ahead of Domestic Meters on Water Line. ADDRESS: 16271 KENW000 T9 Credit WILL NOT be given for Deduct Meters. CITY, STATE LAKEVILLE Mai ZIP 55044 ~ j PHONE: 43.5-3334 I AGREE TO COMPLY WITH CITY OF OWNER: HITT LSTAIDT BROTt[L'%1d' EAGAN ORDINANCES ADDRESS: 785 `SUNSET V R CITY, STATE EAGAN MIJ ZIP 5t 123 PHONE: 456--9125 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR °PROCESSING, CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. i Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT L CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 V1 DATE RECENEO AMOUNT $ = r', & DOLLARS ,ro ❑ CASH [CHECK son, f FUND OBJECT AMOUNT E i f Thank You BY _ 13523 White-Payer. Copy Ye11>11-p.thv owy Pink--File Gaily, DATE: MAY 22, 1991 RE: 4158-BWDOCK TR (MITTELSTAEDT BROTHERS) 7 X Your Sewer VWater Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. `CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ~C117 81 _ ~ T ao~ Request Date Fire N Rough-in Inspection Required? ❑ Ready NowQWill Notify Inspector Yes ❑ No / - When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at; Job Address (Street. ox or Route No.) City ~X fi Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. - Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. 4f4w'& 11-17 Al- Mailing Address (Contractor or Owner Making Installation) Author ignature (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER, INSPECTION FEE iS Phone (612) 642-0800 ENCLOSED. V!/3 f REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 `/O/ ► See instruclbns for completing this form on back of yellow copy. 81 r ,J T ,r' X" 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 Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: 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 00 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough-in e certify that the above inspection has Final Date been made. OFFICE USE ONLY - This request void 18 months from CITY OF EAGAN NO -19087 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 1 To be used for SF DWG/GAR Est. Value $81,000 Date MAY 20 1897 Site Address 4158 BRADDOCK TR 11 Block 2 Sec/Sub. STAFFORD PLACE OFFICE USE ONLY Lot Parcel No Occupancy R-3 M-I FEES Zoning R-1 W Name MITTELSTAEDT_ BROTHER. (Actual) Const -Y--N Bldg. Permit 554.00 3 Address 785 SUNSET DR (Allowable) V-N 40.50 c City EAGAN Phone 456-9125 # of Stories Surcharge Length 41, Plan Review 360.00 Z F Name SAME Depth 46' SAC, City 100.00 Jcc Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints - On Site Sewage Water Conn 660.00 Wvw Name On Site Well Water Meter 95.00 W _ Address MWCC System X a Z R Acct. Deposit 30.00 a W City Phone City Water _ PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree to comply with all applicable State of Minnesota Statutes and City o a an Ordinan Y 9 Ces Treatment PI 276.00 Signature of Permitee APPROVALS Road Unit -37o-o0 A Building Permit is issued to: MITTELSTAEDT BROTHERS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and C~ iity of Eagan Ordinances. Bldg. Off. Copies Building Official 9.O1 ~A,1 MA I LLI Variance TOTAL 3, 166.111-- ~ i ~ ~ C i .~f ~.CXtt ~1t~C Citp of Cagan 27*Cer*SWe *wedpm=aw w theMgWmw&*ofSecgon 306 ofthe Uniform-Buhl w Cadecerttfyftdratat the rkeofttraawAb M"we um in compliance with Merarim ordbm waof Ac CW regalatutg br "Tton on or we For a w follow w oqowvyp R3&1 zoda nj u a R l Type VN Owaecd SEA S cr- BFc EAQ4N kirM RRA11171(`fZ ~A17. i;,ll, A2,, BI.AQ 6/27/x1 POSTW A PLACE GXN,§P'ICUQU S I' i ~ ? address : 4158 BRADDOrCK TRAII, Lot 11 Blk 2 Sec/Sub STAFFORD FL ACE These items were/were not complete at the time of the final inspection. Date: 6/27/91 Yes No Final grade (6" from siding) Ll~ Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage t/ Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. RECYCLED MKR White - City copy Yellow - Resident copy Pink.- Contractor copy t 140Iq 1991 BUILDING PERMIT APPLICATION IV" 1'7 CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS & STRUCTURAL' PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALLS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS 'MADE.` LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS -CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEENCOMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: SGL FfKL`f Valuation:..? Date: / I Site Address ~Z/fQEX{( OFFICE USE ONLY T"iL 8j/D00 Lot Block t~ FEES Occupancy FE'S M' I Bldg. Permit .56V, o o Zoning R-1 Surcharge 50-1- 50 Parcel/Sub 5"Prwu P- Actual const v-N Plan Review 10-0 Allowable y -,N SAC City 16,0100 Owner # of stories SAC, MWCC i Zb' Length Water Conn. (0-6-Q, Qb Address Depth Water Meter !jso S.F. Total Acct. Deposit 50,00 City/Zip Code Footprint S.F. S/w Permit 3Deo~ S/W Surcharge Sb Phone On site sewage Treatment P1. No, 00 On site well Road Unit 011100 Contractor -1-Tc~ MWCC System ✓Park Ded. City water` Trail Ded. Address PRV Copies Booster Pump _ City/Zip Code y,} Al,, 5tL-z 3 SUBTOTAL APPROVALS Penalty Phoneme Planner Lot Change Council TOTAL 41 o Arch./Engr. Bldg. Off. Variance Address City /Zip Code I Phone # agrees that all work shall be done in, accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. N "I ; 11 c"I'l 7 F VALUAT t ~x22~ ~b X is'~= 9,60 ci xy 6 1U34 x ~y 1 y~a~ Isfi 'F~o o!Z 2X5- 30 ~S ri► T _ I D 3 1. t Z X / Ca °~-O l ! 18 X ,3 = s9~ zS y C> S o.* 554.00+ Lao' 50+ 360 ° 00'- 2,211 •501- 3,166-00* 554-00+ 360'00+ 2,211.50,1- 3, 166 - 00`" SU V► YOR'S CER 1'II"ICAT MITTI:LSTAEDr BPOS cdNST i l . f ~ W e oe.e hl 020 Irc1G£~~ _ 47 s ~y ~ UT1L-1YY IL _~1 ; ~QRAINAO pCIR PLAN' h EASE 0 0) w y~ LOT I I / I c I 3 DWI W IJ 5 f - 21,92-1 9oa,2 -LL - fi ?_I9 l K 504.1 AO.O , rn I 7 1 rl to _L 1 l CA PROPOSED 1 j z N HOUSE ri (I 0) 1 m II rn 11 cd 2.0~ b 90212 O I t - - -I 17 (0 .17 RirIC H MARK / TOP Or PIPE 0 GAR. CLRN. s 0 O 1.81 I (d/ N -4RNCN MARK ~0 11-~ - 4 ~i20. 21.91 _ TOP OF PIPE i 1.0 9aZ.9 ("1 p3. $ 90 2 .T ELK V. ■ 008. R PROPOSED DRIVEWAY S 1 got.<" 85.00 SO°i~ 48 E 90 I. S 9Q 1.9 ~ ~ i NOTE! NO 9M11'IC SOILS INVEBTrATION HAS BEEN COMPLETED O TNtf LOT BY THE SUFl1tEYOR. Y S NOTE: BUILDING DIMENSIQNS SHOWN ARE S0 ) rnor L OF IIS TO 9UPf'pRT THE Sf'EGtfIC HOVSE PROF"OJEo EO IS FlOft 9 NOT THE PIEtP'ONtIIMIUTY OF THE SURVT:YOR AT+o AP►CHITECTIA L MAW Rp $Vna" w - DENOTES PROPOSED SURFACE DRAINAGE A FOVMMTION DAN'!. O DENOTES IRON MONUMENT SET SCALE: 1 INCH 30 FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - g04,z FEET X000.0 DENUIES r- - r-I 7fl1N PROPOSED LOWEST FLOOR- 6)ol,4- FEET (000,0) DENOTES PROPOSED ELEVATION PROPOSED TOP OP BLOCK - 104.(+ FEET WE HEREBY CERTIFY TO MITTELSTAELr BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF. LOT I I , BLOCK 2, STAFFORD PLACEtACCORDING TO THE REGORDF-D PLAT THEREOF, DAKOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF MAY 1491 . P"OfnED WOES SHOWN WEAE TAKEN SIGN D: J S R. HILL, INC, FWAI THE 4"414G,ORAMMAOF 6 EMOS1ON CONTtok P1_q►1 Pm s rA FFIRD MACE, c" PREPARED BY HEDLUND ENGINEERING, RY: _ LAST DATED 9-3I-er fr JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 m M C) (.0 0 -nes R. H*11 --4 m V) Jai I inco Q rn.0 Q m PLANNERS I ENGINEERS / SURVEYORS z cc - © m 2500 W. CTY. RD. 42 * BURNSVILLE MN. 55337 612-890-6044 Y '3 z EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 671ft OWNER: DATE: ,5~gy SITE ADDRESS:-. z 1-1 W, T q~iL PHONE: CONTRACTOR: V'A Ilrre . ~j'%MMf- %p~o , Determine working squire footage of each I. Total exposed wall area..... Ig43 sq. ft. x .11 = Zt'~.73 2. Total roof/ceiling area..... ~~73 sq. ft, x .026 = Z7•9 Total exposed wall area above floor= a. Total wall window area 19.39 b. Total door area „ 4 c. Total sliding glass door 'area d. Total fireplace wall area e, Total wall framing area (average 10%). o } f. Total rim joist area - . ~3q g. net wall area above floor........... 13~4w .01 h. wall area above floor i wall area above floor. j. frame wall area at foundation -Total exposed foundation area Co k•~ Total foundation window area. 1. Total net foundation area above grade.. 4 Determine "u" value of each wall segment (e.g. window, door, each separate wall section) a. t l9.3~1 X fluff . 49 ' = 58 •S b.. X fluff. C.. X fluff / JJ~r 4r\ fluff I r f. X37 X flu„ ,8~ _ 5•S` QA- h. X „u„ _ , X „u„ _ i If item #3 is the same k• X "U" - as, or less than item #1, you have met the 1• 7 X "U" •d~2 = ~j•Qq intent of SBC 6006 (c) 3. . Total 73 - for Envelope Average "U" Computation Page 2 of 4+ Total exposed roof/ceiling area = ~1 J i ; 'i ' + + • ~ it I i; I. ,I ~ j ; I i I~ I i i i~ j. r m. 'total skylight area I n. Total roof/cell i,nq framing area (average 10~) V"~ ~ I' i' • , i ' , 1 r' i, o. Total net insulated roof/ceiling area..... , , . , Determine "U" value for each roof/ceiling segment _ + ) + x Ovule M. n. p7. X U.. . Q Lei _ ~i • , ! I i 1 ` I' .0. ~V S•3 X 4...... , Total - Z 'g°~ ill If total of #4 is the same as, or less than u have met the intent of SI3C 6006, (a) 1. Alternate Building Envelope Design To utilize the total envelope 'system method, the values established by the stun of items #3 and 114 shall not be greater than the sum of items Ill and 112. 1• + 2. _ 3 ` + 4. - a?e $ a ti I, L ~ f I I r e ;.ii i 1, level r ipfarl rn)jeu) 4e- cel 1991 BUILDING PERMIT APPLICATION day IO, ~I CITY OF EAGAN ~ ' • SINGLE ZAMILY DWE iNGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS' OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS< REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE_AI LOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A'LICENSED PLUMBER. To Be Used For : Valuation; `f 't Date : Site Address ISg OFFICE USE ONLY O00 c ~Aa FEES Lot Block cO- ~J Occupancy Zoning F- _F 33Z 'pfl Parcel/Sub Actual Const V-_N Bldg. Permit Allowable V. _ Surcharge -8.0 ry Owner # of stories Plan Review ,4 , 0 Length SAC, City Ib 0100 Address b` Depth 36` SAC, MWCC 3110 S. F. 'Total Water Conn 660,00 City/Zip Code Footprint S.F. Water Meter $,00 Acct. Deposit A, 0--:1 Phone A{ - p CVO'?~~~ On site sewage- S/W Permit -&0, cc On site well S/W Surcharge i= Contractor MWCC System I/ Treatment Pl. Z176Mt~ City water LI-1 Road Unit rj0,00 Address PRV Park Ded. Booster Pump Copies City/Zip Code _ SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. ( Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with i re of Contra: _11 applicable State of innesota Statutes and City of Eagan Ordinances. t VA`LUAT tah 6~AlM, At wow S Z'Z x Zx , 1~2~ 220 '56M T- 24 x3e-TI S/c 6 14 13 4 A V 86-^T= 362 y s 3--'z.- r i CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 1:4 -7 0 U N PT DATE : 5 9 PLEASE COMPLETE UPPERPORTION ONLY FOR SINGLE FAMILY DWELLINGS S~ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING NO. FIXTURES EA. TOTAL NEW CONST Zy- ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR 9 WATER CLOSET 3.00 C BATH TUB 3.00 3 LAVATORY 3.00 OWNER NAME: 7 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3 SITE ADDRESS: .T% HOT TUB/SPA 3.00 /f WATER HEATER 3.00 LOT:-_ BLOCK cl SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 y~ ROUGH OPENINGS 1.50Q- ADDRESS: 2397/ f C/~ OTHER WATER SOFTENER 5.00 CITY: ZIP:PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ 3 ST. SURCHARGE .50 IGNATUR F PERMITTEE TOTAL: $ °3Ur 0,9 OMMEICIAL/TIdDUSTRIALs: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN.SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT # f7 5 DATE : REI~EI`: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. i WORK DESCRIPTION FEES NEW.CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 (4&'~ REPAIR ADDITIONAL 50 M'BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : ~ lT1g~,ST'(a'~f~1'r ~J~ g . ~ NSS` SUBTOTAL: $ 2-. SITE ADDRESS: r St3 Tf~_ c STATE SURCHARGE:.50 LOT BLOCK- SUBD ~(L-d 1"i.Nc-E TOTAL: $ c~ INSTALLER: _ Rura&4119 He'"^^ 4 Am hic. V" 1R6~ 12481 Rhode Island Ave. SO. A URE F PERMI TEE ADDRESS: Swage, MN 55378-' SIGN 894-OOQ CITY: 44p: PHONE C9kIELiCIA1<IND#TSTItTAI.; PLEASE COMPLETE, THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY.BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - - CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE'. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PEF11IT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: _CITY OF EAGAN 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 7 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address 41 ~0 ]BY-,9I f Unit # Property Owner AX G SQ Telephone # contractor PjKn5Vi11-t kkA4ina 4A L Street Address u+Yn6v,1 City r6wYY15yi P& State I ► ► n zip 553 Telephone # (qsa) 94AI' 0IiCJl7 Bond Expires: -11N I& The Applicant is Owner " Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace Additional -Replacement air exchanger / V air conditioner New V/ Replacement other 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. &Iln Applicant's Printed Name Applicant's Signature I! R 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address _ i Unit# Tenant Name (if applicable) Previous Tenant Name Property Owner + '1<+elephbne # ( ) Contractor i 1 ,'x; ..i t . ^ F r• . 'Ail 1" Street Address, ( ) y State " ' Z;IS ' `z Telephone # Bond g; ¢~arlilres: fi r The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank ^ Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: a **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% - $ Permit Fee • If. permit fee is $1,000 or less, add $.50 ~ $ State Surcharge If e'rmlYfee is over $1,000, add $.50 for every $1,000 grmit fee $ Total Fee I hereby apply for a Commercial 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 Nartie Applicant's Signature >i , . Approved By: , Inspector Date: PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096320 Date Issued: 10/06/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4158 Braddock Tr Lot: I I Block: 2 Addition: Stafford Place PID:10-72500-110-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, 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 S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Darlene J Jorgenson 1920 County Road C West 418 Braddock Tr Roseville MN 55113 Eagan MN 55123 (61)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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature