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4233 Braddock TrParcel Files Cover Sheet Unique ID: 2027 4233 Braddock Tr 105210009001 CASH RECEIPT CITY OF 'EAGAN P. 0. sOSc 21-199 EAGAN, MINNESOTA 55121 DATE 19 z, AMOUNT ?is s v .f' &. DOLLARS tbo ? CASH O CHECK FOR ..i C,r .?' FUND CODE AM OUNT' ThankYou } is White--Payers Copy Yellow-P nk-- -Posting Copy Pi Copy CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 6 -' t 9 RECEIVED AMOUNT DOLLARS too CASH ? CHECK FOR ?¢t., •!`„4''F_..y d ? rte.. ?r FUND CODE AMOUNT 1 S JV 41 Thank u ,?? (f ` ?'•G BY YX White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY`OF EAGAN I 0' 9559 OiN Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M PHONE: 454-8100 tr - 4?5 BUILDING PER Receipt # To be used for SF DWG/GAR Est. Value 50,000 DateO C_T-OEER 31 19 8 4 Site Address 4233 DRADDOCK TRAIL Erect Occupancy R3 Lot 9 Block, 1 s, /Sub. NOVIEW MEADS Remodel ? Zoning Parcel No. Repair ? Type of Const. V Enlarge ? No. Stori Name GROCO HOMES, INC. Move ? Length 4 Address 5555 CAHILL Demolish ? Depth 4 8 City I NV . GR a I' TSphone 451-1964 Grade ? Sq. Ft. rtS, ARE N e Approvals Fees am Address Assessment City Phone Water & Saw. Police Name Fire T13 Address Eng. City Phone Planner Council Permit 283.00 Surcharge 25.00 Plan check 141.5 0 SAC 525.00 Water Conn. 479, 0 Water M4ter 6 e 0 0 Road Unit O I hereby acknowledge that 1 have read this application and state that Bldg. Off .0 30 84 Parks the information is correct and agree to comply with all applicable APC Total !7 5 50 State of Minnesota Statutes and City of Eagan Ordinances. r y • , r , Var. Date Signature of Permittee a ` .???' l LI?.J A Building Permit is issued to. GROCO HOMES INC. on the express condition that all work shall be done 41qccordance with all plicoble State of Minnesota Statutes and City of Eagan Ordinances. Building Official C & .) C?, 1 Permit No. Permit Holder Date Plurnblng Y 6 (Y ? 12-1 , t -) 5/ 101 ' M ka o Electric 46,9 6 cam"' nu-,,- t O` ? [ 10 C-b Softener Inspection Date Insp. Other Footings Foundation Arv Framing Rough Plhg. Rough HV Insulation 6-111 Final Plbg. Final HVAC Final Cert(Ooo. . Water ibe o ion: L Well ? , p Sewer Pr. Isp. ' f 3 Receipt f U MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee a (I I Fill in numbered spaces S/C Type or Print legibly Tot. o® 1 / ? 1. Date 2. Installation Cost_________________ 3. Job Address ' 4l33 $KS?17r x/f Lot v L Bik. Tract - - `? 3 4. Owner R/. k P®77 /?' 5. Contractor ?2 /C K_ P®7 f? Phone 6. Address ? ? ? / / 2 40 f/ 7 k 094 5 f 7. City ,S%, /Li9 vC State Zip 8. Building Type: Residential 9. Work Description: New Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe ff'A F?"'nv4 e"F Fuel Type " T, G /9S 11. No, Equipment BTU - M. Ea. Forced Air 601 No. Equipment CFM Air handling: Mfg. Boilers / 767 E h M Mfg. aust ech. x 8,09 7W ass Unit Heater 'F 1 ' Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply all di nxices and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 Receipt PLU MBINO PERMIT. • Permit No. b 1 i s fr CITY OF?EAGAN Fee s Fill In numbe, d Wam S/ Type or Punt legibly Tot. J. 1.. Date 2. Installation Cost y ?, , ?, {•"' 3. J Adr _,_ Lot - ! Blk. r Tract 4. Owner 5. Contractor 1t ^ .? i_ ? Phone J ? _-.S/ 6. Address 7. City State Zip 8. Building Type: Residential U' Commercial 13 Institutional 0 9. Work Description: New J' Add 0 Alter 0 Repair 13 10. Describe 11. No Fixtures Y Water Closet 4 tf A' No. Fi ure infieid Ces l/Dr o , Bath tubs sp o a Se Ta ti k Lavatory p c n Softner Shower well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. i hereby certify that the above information is true and correct, and I agree to comply wl all ordiru pees and codes governing this type of WO ?£ Signed: ; I'? for,/ if u' ,.? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 yY ' Yf _ T4 CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21'99 PERMIT NO.: 5922 'Eagan. MN 8 -9-$5 DATE: 81 Zoning: No. of Units: G`rQCCO Homes Owner: Address: site Address 4233 Braddock Trail L9 BI Nort:hvit ? Plumber "iurr Plblr 1,V Meter No.: Connection Charge: 47Q .00 > Size: Account Deposit: 15.00 pd Reader No.: Permit Fee: 10.00 pd i agree to aoiapty with the City of Surcharge: . 50 pd Ordwanoa. Misc. Charges: 63.00 Pd imU 1 Total: By Dote Paid: Dote of Insp.: Insp.- 3830 Pilot )(004 Road 111 P. 0. Box, 21 PERMIT NO.: Eagan, MUMN•' 5929 DATE: Zoning: No. of Units: - 1 Owner: $10O¢tt0 Hoit+tas Address: Site Address: x±233 Bxaddrack Tisi L9 Bl Northvldw d Plumber: Rurr Pibp AV 10-31-84 47381 iob.ba p1 a0m to goo* w tf. the City of Eagan Connection Charge: 425.00 i Otwseaee.. Account Deposit: 15.00 Permit Fee: 10.60 pd Surcharge: .30 pd BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY pF EAGAN WATER SERVICE PERMIT 3830 of Knob Road 5 i22 > P. 0. x 21199 PERMIT NO.: . Eagan, MN 55121 DATE: 1"9-85 Zoning: Ri No. of Units: 1 Owner: Grocco ','.times .Address: ite Address: 4233. Braddock Trail L9 BE Northvieww Meadows } Plumber. ; Sur r i s AAG Meter No.: -? Connection Charge: 410.00 Pd Size: 54% A4count Deposit: 15.00 d P Reader No.: O S L (c-, Y Permit Fee: 10.00 pd I some to comply with the City of Eagan Surcharge: .50 pd Ordinances. Misc. Charges: 63.00 R d meter / Total: e By' Dote Paid: Date of Insp 4 : Insp.: 7 . CITY OF EAGAN I"' Remarks D)V,- I'? Zl 11) 3 Addition NORThVIEW MEADOWS (rot 9 Ik,, Par cel 0-52100-090-01 Owner 4233 iBRADDOCK TRI Street AL, State AGAN PMT 55123 Improvement Date Amount Annual N' rsl j, Payment Receipt Date STREET SURF. 1984 76.75 41 A 615099 1-22-8 STREET RESTORJ' GRADING SEWER EAT 1981 15.89 .79, ii :P 11. 9 4 A 15099 -22-8 SAN SEW TRUNK',; 1982 138.48 6.92 ii2 03.8 SEWER LATERALI TRK 1984 275.22 3t}. rJ 35.5 n n SEWER LAT 1 1981 22.28',' 8_ 14.88 it WATERMAIN 1984 70.67 4.71 11 1 161.25 WATER LATERAL 1981 18.65 1[1,24- .i 12.45 if WATER AREA 1981 138.48 6.92 W3.88 'r n WATER LAT 1981 29.52 ?rA?7 L-r4t- 22.17 it n STORM SEW TRK 1984 392.3 2 G 35.40 1 ', n n STORM SEW LAT 'I DRAINAGE -1984 7: J.4U 27.19 A )15099 1-22-8 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00' 47381 10-31-84 WATER CONN. 470.00 it r? BUILDING PER. ??96 n ?r SAC ii nni? rr ra PARK CITY OF EAGAN N2 9659 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # qqj zql To be used for SF DWG/GAR Est. Value 50,000 Dote OCTOBER , 19_R4 Site Address 4233 BRADDOCK TRAIL Erect IX Occupancy R3 Lot 9 Block ---!-Sec/sub. NOVIEW MEADS Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories sc Name GROCO HOMES, INC. Move ? Length 34 6655 CAHILL Address Demolish El Depth 4 b City INV.GR. HT hone, 451-1964 Grade ? Sq. Ft. SAME Approvals Fees ,o Name u Assessment Permit 283 - 00 ? Address Water & Sew. Surcharge 25- 00 ? City Phone Police Plan check 141- 5 0 MW Name Fire SAC 525- 00 Address Eng. Water Conn. 470- 0 0 <W City Phone Planner Water Meter A 00 Council Road Unit-26n.-00 I hereby acknowledge that I have read this application and state that Bldg. Off.10/30J84 Parks the information is correct and agree to comply with all applicable APC Total 1 767 5 (l an Ordinances. State of Minnesota Statutes and City of Ea - g , f t Var. Date t 1_ Signature of Permittee a- `A/ l A Building Permit Is issued to: GROCO HOMES, _INC - on the express condition that all work shall be done in cordance with all 9pplicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ? -? PkcJteQ? This request void 18 months from .w. A 0 7 9 6 0 5 t7 Request Date Fire No. Rough-in Inspection Required? DReady Now,QW[II Notify. Inspec- yes ONO tor When Readv Licensed Electrical Contractor I hereby request inspection of above 'Owner electrical work installed at. Street Address, Box or R ute No. C o 3_3 171""91 G."' [?--- __- Section o. Township Name or No. Range No. County L71,9K a 7W Occupant (PRINT) Phone No. Power Supplier Address >` f ,AXON Az- Contractor (Company Name) Electrical Contractors License No. ,R /e? K CB . E? 4 -"v %;z Mailing Address (Contractor or Owner Making Install atio 3/ ) /e 6 / r ?OA/ Ei Author( a SSignat a (Con ctor/Owner Making Installation) Phone Number o -- e c MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION. FEE IS Phone (612) 297-2111 ENCLOSED. An7q mmnata # Fee Service Entrance Size S It Fee Feeders/Subteeders It Fee Circuits 0to200Amps 0 to 30 Ams Oto30Amos Above 200_ Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100--Amps Transformers Irrigation Booms Partial/Other Fee Signs Special Inspection $ OTA Remarks m i Rough-in ( -x I. the Efec Inspector, hereby ce ify that the above Final /5F at Ja inspection has been made. REQUEST FOR ELECTRICAL INSPECTION ER 1?oa See instructions for completing this form on back of yellow copy. 605 X"" Below Wor/'c Covered by This Request Type of Building Appliances Wired Equipment Wired tome Range I Temporary Service )uptex Water Heater Lighting Fixtures \pt. Building Dryer Electric Heating ;ommercial Bldg. Furnace Silo Unloader ndustrial Bldg. Air Conditioner Bulk Milk Tank :arm other (Specify) Other (Specify) )I her Specify Other Other 9ction Fee Below This request void 18 months from LOT: BLOCK: SUBD./P.LD #: y C l i.?S 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements D 3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations 3 copies of tree preservation plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less unihl DATE: l CONSTRUCTION COST: DESCRIPTION OF WORK: Ise (0 c If multi-family bldg., how many units? STREET ADDRESS: l J c?I QC lam- f?- Name: 6 ie-c? Phone #: G D ?2 1 ? PROPERTY Last First OWNER Street Address: City ?Wdz4a State: Zip: SELA ROOFING & REMODE:LIN; Company: E..GEL8+9R Rte Phone #: Co..LZ Z3' ?b S ST. LOUIS PARK, MN 55f CONTRACTOR = (area code) Street Address: ID #0001060 License # /O 5-O Exp. 3- 3(' City State: Zip: ARCHITECT/ ENGINEER Company Name: Telephone #: ( ) Street Address: Registration #: City State: Zip: Sewertwater licensed plumber (if installing sewer/water): Phone #: 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 Ordinances. Signature of Applicant: IZVOJ,?? = OFFICE USE ONLY Certificates of Survey Received Yes No " Tree Preservation Plan Received Yes No Not Required OCT aC) 2000 2/84 CITY OF EAGAN ? APPLICATION FOR PE RMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS : A ,2l 4 -> LEGAL DESCRIPTION : c "7 / 3/ VP , (Lot/Biock/Subdivision or Tax Parcel I.D. Number) IF EXI __:G STRUCTU:2E , DATE OF ORIGINAL EUILDI IG P _IT ISsU CE: PRESS 2CNL r'1PpCPCS USE: R-I SINGLE FAm=Y 0 R-2 DUPLE (T6%O UNITS) Q R-3 TC 7NHCUSE, (TFREE + UNITS) ( UNITS) ? R-4 Apz1RT1:T/CO?Ci LIIL': I ( UNITS ) ? Ca=CIAL/RETAIL/OFFICE Q INDUSTRIAL Q INSTITUTIONAL/GOVvI' 2) APPLICANT (PLEASE PRINT) NAME: 1`- C d d ADDRESS: 7??? CITY, STATE, ZIP: PHONE : 4652- o 3) PLU., B ? NAb1E (PLEASE PRINT) FOR CITY USE ONLY ADDRESS MURR PLUNDING - APPLE VALLE't MU. PLUMBERS LICENSE: : Active CITY, STATE, ZIP: APPLE VALLEY, MN 55124 Expired PHONE: SIt. ^-? ?5AS PLUMBER LICENSE #L..?D, /?/ _ [? Not of Record Starr Initial 4) CX-'UUPANT/C 'SIN NAME: lrLrA3c rHiNi) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CG;"VECTION TO CITY SEWER CC?INEC TIGN TO CITY WATER ? GTE (PLEASE DESCRIBE) b) LNUiC??i ONE: 7) SIC:=RE: PLEa.SE HOLD APP.IT20VED PERiMIIT FOR PICK-UP BY ONE OF ABOVE'` ? PLEASE :FAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE J (Circle one) DATE: sa?ssarr:a? as soli s..iss: a? ? ? ,.? wrr.fst:r r?-si.r ? ? aE ? s ?sasac t FOR CITY USE ONLY -_ PERMIT ° ISSUED FEES: $ SE ":ER PERMIT (I"CL--DE SURCHARGE) $ o. ° ? WATER PERMIT (INCLUDE SURCHARGE) $ / ?03 a WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE.'IER TAP $ %5 ACCOUNT DEPOSIT - SEWER $ es- ?--? ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ ?5"/• ?--° AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C] YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: c°?a TITLE: DATE: /' 9' ?? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, C1 © CERTI FICATES OF SURVEY 11 ?P DI?,.I(?,j(ap: SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 5 0, Date: l 0 9 _ Site Address: Lot: Block: ! Sect/Sub: Erect : Occupancy: -'? Parcel #: Remodel: Zoning: Repair: =?1 Type Of Const: Owner: Enlarge: # Stories: Move : Length: Address: % O (°,t s' %j Demolish: Depth: 40,> City/Zip Code: S I pa-,...1 M Grade: Sq. Ft.: Phone #: 'ff 336 3 Contractor :5.-2 r-0 ? z' H ('?. t ??. ?.'? • .. . Address: C, Assessments: 2y Permit: i -j City/Zip Code :__ ,Z; _ Water/Sewer: Surcharge: 25.-° _ Police: Plan Rev.: Phone #: Fire: SAC : 5. _ Engr.: __ Water Conn: 470, Arch./Eng: e= Planner: Water Meter Address: ?? ( 5rR L Council: Road Unit: '0. Bldg. Off.: lp-3p-8q Parks: City/Zip Code:'; APC: s ? ?` S y Phone # : ,,.? P Variance: / ( 3 4-7 9f6- q-- 44oc,4- 96 -72 e $ 0• * 283-00+ 25.00+ 141.00+ + J250 470.00 + 63.00+ 260-00+ 1,767.50* i h usfuwstuass ?f 1gOlNiilalMO V North Office - 571.6066 6675 Highway No. 65 N.E. A M t S5432 J M ` Civil, 1>1umcipo4 A I nswnnmentel En ?nrrnn 1< K 1 rwwapo s. inneso a South Office . 690.6510 12350 Riva Ridge Blvd. Land Swvvrinx • Land Planning • Sod Iei, nR 6wnsvola. Minnesota 55337 Cgrt,'ct,'i ,oFSurv¢y tot' MorfhI14 w A;?c. Cb. D, r r ? h?i ? . g6 I J c r ?FJ,' ct, *' 1 i ? -sue lf. -C I e S'ti w 7 Lot 9 , swcKf , /Voivw,wv,Iw Mt4oyw;, DAKOTA Civrv, Mwive ccTq Approved for Northvisw Associates as per Architectural Control Committee by /" 30 Date I hereby certify that this survey. plan or report was prepared by as or wader By direct supervision and that I sw a duly Registered Land Surveyor wader the Laws of s State Nice sets. Dated this ? s' day of 194 ' ' by • Gary R. j is. Registored'Lend Surveyor Ninn. Re Ne. 10943 EXTERIOR ENNELCPE AVERAGE "U ` COMPUTATION 10 OWNER 3- J-,4 ' P 0 U&? R SITE ADDRESS CONTRACTOR S DATE L - "`" PHONE n ? t ? Determine working square footage of each. 1. Total exposed wall area .... .? $ sq. ft. X .11 = />C? $ 2. Total roof/ceiling area .... sq. ft. x .026 = a Total exposed wall area above floor a. Total wall window area ......... ....... b. Total door area ............. .......-??' '/ c. Total sliding glass area ........ ..... d. Total fireplace wall area ......""..'? . . e. Total wall framing-area (average 10%Y... /9 7,16 f. Total net wall area above floor .:..:`... 1,600 60 g. Total rim joist area ...................moo Total exposed foundation area = 0 h. Total foundation window area .......... C> i. Total net foundation area above grade Determine "U' value of each wall segment. a. / ' x flu" ; 33 = --5 3. b. X ""us; - c . -- X "U :. _ D. X "U" e.X '•U" 14, FY f.J600, X :lull ? O y = , 0 g• /58. ox "U'' ..® w = x,33 h X i. X ;•Ut l;ul, • C> Z = .Q &.9'6 3..... ........................................Total If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. l I. . d r Total exposed roof/ceiling area ? 1, c J. Total skylight area ............ ... k. Total roof/ceiling framing area (average 10% a.. 1. Total net insulated roof/ceiling area ....... Determine "U, value for each roof/ceiling segment. J. 0 x ,:U it b k. 2. 1 a. x U 1; 83 = + L 1. 23e3`_ x U,? J,O 8 3 _ . '. - 4......................................... Total .If total of f`# is the same as, or less than f2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope 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 72. 1. + 2. 3. + 4. _ CITY USE ONLY PERMIT #: RECEIPT DATE: RESUW-NTL4iL MECRICAL PERMIT APPLICATION CiTYOF£A€* 3630 PILOT KNOB RD GAM = 55122 651-6$1-4675 Please complete for: > single family dwellings townhomes'and condos when permits are required for each unit D v ll ?/ ?S Dater M - C? AR 01 2002 SITE ADDRESS: BY OWNER NAME: TELEPHONE #: INSTALLER NAME: TELEPHONE STREET ADDRESS: ?2 ?C 1 CITY: -?------,. _ _ STATE: L? V ZIP: Place a check mark next to the permit work type Add-on, modifcation or alteration to exi_.'sting dwelling unit humace replacement 30.00 air exchanger • air conditioner • Other Nature of work: State Surchar e Total $ .50 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 `1bc 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 Y - N (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Tree Pres Plan Real - Y - N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Requrced - 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 (bldgs with 3 or less units Datec9 j( / Construction Cost Site Address LA @ ; ( oA&oct TC Unit/Ste it Description of Work Multi-Family Bldg - YN Fireplace(s) - 0 1 _ 2 Property Owner CJ c l , G e-O (A-cr Telephone # (6.5 j) `t O57.' 5 3 RMA HOME SERVICES, INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 City Atlanta, GA 30339 State 763-542-8826 Telephone # ( ) BC-20268257 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 ('I 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 Contrac)or'U Sewer/Water Con Telephone # ( Telephone # ( 2 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 which requires a review and appro al of plan pplicant's Printed Name App icant's Signature COUNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn- Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power .of Attorney are limited solely to the express powers delineated herein and apply solely to the Work. This Limited Power of Attorney shall expire and automatically be revoked on the 21st day of May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WITNESS WHEREOF this Limited Power of Attorney is executed this 21st day of May, 2003 David Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. Notary P sic in for the State o eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT PERMIT City of Eagan Permit Type:Building Permit Number:EA107025 Date Issued:09/24/2012 Permit Category:ePermit Site Address: 4233 Braddock Tr Lot:9 Block: 1 Addition: Northview Meadows PID:10-52100-01-090 Use: Description: Sub Type:e-Reroof Work Type:Replace Description:House & Garage 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 . 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 - Kevin L Brown 4233 Braddock Tr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature