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4333 Braddock Tr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA078297 Eagan, MN 55122 . Date Issued: 06/14/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4333 Braddock Tr Lot: 12 Block: 4 Addition: Lexington Pointe PID 10-45070-120-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. 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: Ryan Windows & Siding Daniel W Rietz 3750 NW 85th St 4333 Braddock Tr Oronoco MN 55960 Eagan MN 55123 (800) 367-2606 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 Parcel Files Cover Sheet Unique ID: 2073 4333 Braddock Tr 104507012004 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. I NSPLCTI® CITY OF EACAN PERMIT TYPE: e1 1 3830 Pilot Knob Road Permit Number: 0 Fagan, Minnesota 55122-1897 pate issued: (612) 681-4675 SITE ADDRESS: 10 . • . APPLICANT: 101 .111 m it fT ' itVA11t'tI f 1 NI Of t r. 1 i 11i1(, 1 11.1 .;(11 H 11 c i . st.'ti f) ; PERMIT SUBTYPE: TYPE OF WORK: I a r l - r 1 t 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. r• CITY OF EAGAN 14427. 1 300 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t, PHONE: 454-8100 DINQpEMIT' j 1 Receipt * E 6 be used for Est Value ' DatA Site Address OFFICE M 014 Lot " Block ` Sec/Sub. 1Gt'.~DItiGT t?~Oat O x wing - MvVW system t'aroet N .,mom, a g a w On Site won . ~Ctuat) Cotmt 9fo ' ac Nash®t? Ll. 6 R ._ir01T City water $ w) V11 ' z Ad!lresa ..1k MA - PRV Required of Stories Pfiohe Booster Pump Length A~. S C PAHt 4K Deptit t- SANE S.F. Total Address Footprint S.F. City Phone APPROVAi.B FEES cc Name Engr./Assess. Permit f 1 • 5i Planner Surcharge s - Address y Council' Flan Review W City Phone Bldg. Off. SAC, City t ` `f ' `,tca 1 hereby acknowledge that 1 have read this appiioatW and state that the Variance SAC, MW0C t; information is correct and agree to comply with all applicable State of Water Conn. ad Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road unit A Building Permit is Issued to. : E I -LL : c ' O a Z U • Treatment P1 on the express condition that all work shall be done In accordance with all Parks applicable State of Minnesota Statutes and City of Fagan Ordinances. TOTAL S Building Offkdai we. 4t~ Deft Te{ o MAIM o~ Seaft Old- soft~ M-1, Noll Daft loop. Foam 1 fooft" it Foul F % . Raw" 1%Wh Pft , ftuo oft ' leaf ~ Fireplaft Ia Final NW. a2 AeV Final Pi)g. BW9. Final Cart Oct Temp. LP Dbok Ftg. Djok Final we". Pt ~Dis x PERMIT # 9/ PLUMBINGPERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, 9AGAN; MN $6122 DATE: CONTRACT PRIM PHONE.041114 Site Address BLDG. TYP WORK DESCRIPTION tl'. Lot N' oc'k. SeCLSub Res. New MUlt Add-on m . Name 7 1,64 Of-, Comm. RepalP A Addr Other 40, c c City Phone ` RES.'PLBt3. ONLY - COMPLETE THE FOLLOWING: NO./ FIXTURES TOTAllp Name Water Closet - $3.00 m Bath Tubs - $3.00 c Addr ~.avatory - $3.00 shower _ ~3 00 IKitchen Sink - $3.004 a FEES Urinal/Bidet - $3.00 COMM/IND FEE CONTRACT FEE Laundry Tray - $3.00 7TU `APT. BLDGS - COMM RATE APPLIES :4FIoor Drains - $1.50 TOWNHOUSE.& CONDO - RES. RATE APPLIES --ZWater Heater - $1.50 MINIMUM RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM COMMAND FEE -$20.00 ~CIas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - 50 (MINIMUUIIIA:-1 PER PERMIT) (ADD $ 50 S/C IF PERMIT PRICE GOES Softener - $S.QQ t BEY'OND$1,OOO,IaO; Well - $1000 rivateiOlsp: - $10.00 Rough Openings.-'$1.50 d 2# SIGNATURE Of PFRMITTEE FEE. STATE S/C: FOR CITY OF EAGAN, 0? 71 D GRAN TOTAL. 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. p" PE IT # MECHANICAL PERMIT cn,f OF EAGAN RECEIPT # 8830 PILOT KNOB ROAD. EAGAN. MN 55122 DATE CONTRACT PRICE PHONE 454-8100 Cite Address BLDG. TYPE WORK DEC t Lot iw. Sec/Sub Imo. New d Name Mulc Add-on ` Comm. Repair Address Odter G ' C City_ Phone k, Name FEES RES. WAC 0-100 M BTU - $24.00 C Address I to c CA c- ADDITIONAL 50 M BTU - 8.00 I'• V: O City Phone 3 RM HVSTRUCTIONAC DES A/C ON NEW _i CHAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. "F TYPE OF WORK COMM/IND FEE -1% OF CONTRACT FEE A~ i'1aa5r --REBRTl'E/fPPL1E8 1 - ~ - M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS • - 12,00 Coral. M BTU MINIMUM COMMERCIAL FEE . 20.00 Vent STATE SURCHARGE. PER PERMIT .50 ' CFM (ADD &50 8/C IF PERMIT P 4CE GOES ng Outlelss . RE1fOND $1,000) ' FEE 8/0 8 TURE OF PERMi TEE, TOTAL ' FOR: CITY OF EAGiAN Y - i. J t~k Y Cities Digital Quality Control . The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. (9rdiftraft of Orrupanry y cite of (lagari prvartmmt of long 3wrdta" This Certif sate issued pursuant to the requirements of Section 306 of the Uniform Building' Code certifying that at the time of issuance this structure was in compliance with the mriqua ordinances of the City regulating building constrwhon or use. For the fohowiv: Use Qs~tion Bldg. Permit No. 14427 r Omupuoey Type R3 Zoning District R1 Type Consr- OwnerotBuikiing JU+ M[W GOAT- Address 16133 OMAR. AVB SG; ,z8 Building Address 4333 fiRAMOM i e AM I-lity L 1 E,, , LEMr 7-9, 19% Builkling Official POST IN A CONSPICUOUS PLACE _77- { A CASK RECEIPT j CITY O t CAI 3830 PILOT KNOB 106AD EAGANyiMINNE$O 06122 yea aaR ! °1 r t t J' t~'1 ; s } J -7 llflAdtJWt r~ 1 1 u '-DIOLLARS k-i [l IC/YBH I Ch~CK i aos 3 -~y~r 11. L Gt 1. ° f r j L f. P ~iJS~ as 4d _ ~;IGC~- { ( i y~ LL, J ti P'tl Nt'Ij' COLS AMOUNT, ~jl zj, ' . White-.,Payers COPY Yellow-Posting COPY a Pink-Fite Colby _ f, 7- o, t CASH R CEI!PT CITY OFt E LAN 3830 PILOT KN OAD EAGAN MINNESOU65122 fi s- .e DATE ~ 19 l y RE V AMOUNT & _ DOLLARS too CgsH CHECK FOR r j Lae, FUND CODES AMOUNT i Thank You sY N2 d' 9 2 01, White-Patera Copy Yellow-Posting Copy Pink-File' Copy I i BLD.`PERMIT NO. 'r01-3210 Bldg. Permit' 01-3422 Plan Check f 01-3445 Sureh./Adm. 01=-3446 SAC/Adm. ~ 01-2155 Surcharge 17.-3860 Road Unit r 20-2275 SAC Lao 2 0-3865 Water Conn. k R~ 20-3868 Water Trmt. ,t ! 20-3716 Water Meter F 20-2252 Acct. Dep. r" "20-3713 Water Permit 20--3743 Sewer Permit 79-3866 Sewer Conn.. 11-3855 Park Ded ! TOTAL CITY t .EAGAN 3830'Pilot Knob:Road;"P:O Box 21.199, Eagan, MN 55121 A PHONE: 4454-8100 BUfLDING, PERM~t 'Receipt # ' . To be used;for Est Ya[ue ► Date's SRO Address' ' OFFICE USE ONLY ; Lot: . Block~ 4' SeC/$µb. M :XINe:TON A~' ' on ait+r~ sewage occupancy MWGCSystem , Zoning a ParC@I NO, On Site Well (Actuan Const VII I City Water tAllowabie) n- t Na►nr3' PAV, Required # of Stories $ Addre ss-'. 18 Ow'AVE 40 k o City PhOnB ' Boaster Pump Leri$tfi ~1 n I Depth 4., i w i S F; Total } SAME s °r Name L Ota Adctres$ Footprint S.F. CY Phone ti` APP VALE FEES N me En~r Permit r Address Piariner Surcharge,,. 4w ' `Council Plan Review" J :City` Phone Bldg. Off. SAC, City Varl ce SAC, MWCC " I hereby acknovrledg4 that 1 have read.this application, and state that the s infonMtion:Is txxrect and agree tO gomply vriEh all applicable State of W~terConn. Minnesota Statutes andity of. Eagan Ordlinance VYater. O"Ieter -AR Aw Signatute,of Perm[ttee x"& ? d w ~Xp fts~atl Unit' A Building l4etmit Is issued tq: 5 R 3 treatratent.P 1 14IJ 00 on the express condition that all work shall be done in accordanap With all applicable State of Minnesota S tutes and City of;Eagaip Ordinances. Parks IrOiAl- _r..~BuRdingOfflc.iai.W......._ .~,.~M.,..~. a _ r - . "i +-a., :'n:u-.. - ...tea-. q.-~'~ ~ .oi.; . '•4YP~ ~ "?wf:a,c...~r.-.. CITY OF EAGAN Permit No: 925E Date: 1I'"25-87 3830 Pilot Kno?b Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. Jai. Const. Site Address: 4333 T•ra =dock Tram. I..I.;' 34 Lexington Pointe Plumber. 1y:r.0ut1 Plu binz Conn. Chg: 525. 0pW, Zoning: Acct: Dep: ~ No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan nG Tr. Plant 18 0. 0 x Ordinances. Meter. E,7 _ i api Misc.: By WATER SERVICE PERMIT CITY OF EAGAN Permit No: 10405 Date. 11-25-87 y e3036 Pilot'k9ob Road B/P No: 7920', Date: 11-18-87 P.a Box 2V 99 Eagan, MN 55121 Owner. .lase: ~ .lex Constr. Site Address: 4333 rad6ock Trail 12 Bit Lexington Pointe Plumber: Plliu" pluwbing MWCC: 525.' j 3d Zoning: F1 City Chg ICS (YJT;d No. of Units: 1 Acct. Dep: 25.00P 1C. ~t~ d I agree to comply with the City of Eagan Permit Fee:- P . 5isr,c Ordinances. Surcharge: I Misc.: By SEWER SERVICE PERMIT W'nob Permit No 9256 Date: 11--25--87 4 Road Meter Na. 3 ~'2 t~~ Size:A' P Reader No: ~TZT' Date: Z - g Eagan, MN 55121 Owner. Joe Mille. Const. Site Address: 4333 Braddock Trail L12 34 Le ngtoPain o Plumber. c Conn. Chg; 525.OpXf; o i'n q Pli Acct Dep: 15 . d , f fiT 1 Permit Fee: 10.0 p`3` L R1 - GAS Uc. Surcharge: • + ~ D► it oryrg~t~ply wfth the Cify of Eagan Tr. Plant: 180.OOnd rdinanc Meter. 67.O~leE: ! ~e: Misc WATER SERVICE PERMIT AN Permit No: 104,05 Date: T 1° 2' S®'17 Road B/P lvo:= ~ Date:_ a A X1199 aa~ an, MM 55121` r 77~f~+n Ovwndri , x'22- Mller con to Site Address. 'x=333 Braddock trail x12 B4 ~@Fivg o Pointe Plumber Plymouth uh Plumbing MWCC: 525,0011d WAR WN CityChg: Ube ion - gc~lblc,aliroi~~~ ~r Acct Dept M`4~ a ~ d J Fpb IF PI 4% % tbr4tt with the City of "an Permit Fee: n rcharge: 150 Misc : °SEWERSERN OF PERMIT CITY OF EAGAN N0_ 1 4 4 2 7 38,T Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF M/GAR Est. Value $68,000 Date NmEwER 17 ,1987 Site Address 4333 BRADDOCK TRAIL OFFICE USE ONLY R3 Lot 12 Block 4 Sec/Sub. LEXINGTON POINTE On Site Sewage Occupancy Parcel No. MWCC System X Zoning Vn On Site Well (Actual) Const City Water X (Allowable) Vn s Name JOSEPH MILLER CONST 3 Address 18133 CEDAR AVE SO PRV Required # of Stories 43.5 0 City FARMINGTON Phone 431-2001 Booster Pump Length Depth 48 °C Name SAME S.F. Total .o o o Address Footprint S.F. P City Phone APPROVALS FEES Engr./Assess. Permit $ 391.50 Ww Name Z Address Planner Surcharge 34.00 z City Phone Council Plan Review 195.75 a w Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 525.00 information is correct and agree to compI wAh all applicable State of Water Conn. 525.00 Minnesota Statutes and 6,.y of Eagan Ord , ncet -1 . i Water Meter 67.00 Signature of Permittee l - a 305.00 Road Unit A Building Permit is issued to: JOSEPH MILLER CONST Treatment P1 180.00 on the express condition that all work shall be done in accordance with all applicable State of Minnesota S tutes and City Eagan Ordinances. Parks Building Official TOTAL $2,323.25 This request void 1months x/41 0 (!O l - 0 A -;7 Request Date Tit-6 No. Ro -in Inspection Re red? ❑Ready Now III Notify. Inspec Yes El No r When Ready ~r Li ensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City L~' ~ 73, 7 ection No. Tow ship Name or No. Range No. Count Occupant (PRINT) Phone No. Power Sup plierAddress Electrical tr for (C mpany N me) Contractor's License No. D yl~/ Mailing Address (Contractor or Owner Making Instailation) Au horized Signature (Contractor/Owne Making Insta cation) Pho a Number INNESOT TATE BOARD OF ELECTRIC TY THIS INSPECTION REQUEST WILL NOT Griggs-Mi ay Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul MN 55104 UNLESS PROPER INSPECTION FEE IS ENCLOSED.' Phone (612) 642-0800. ~ REQUEST FOR LECTRICAL INSPECTION EB-oooot-os Ill, See instructions for completing this form on back of yellow copy. D .80641 "X"' elow Work Covered by This Request Add Rep. Type of Building Appliances Wired - Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting' Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. 54 -Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other Specify Other Other- ompute Inspection Fee Below # Fee Service Entrance Size Fee Feeders/Subfeeders # Fee Circuits ~jJQ 0 to 200 Amps 0 to 30 Amps `f O.Er 0 to 30 Am s Above 200 Amps 31 to 100 Amps p 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_Am s Transformers Irrigation Boorrs Partial, Other Signs Special Inspection _ RemarksTOKFE,.j. Rough-.in r Date ~i , th Elect Inspector, hereby certify that the above Final ' D' to j inspection has been 'r made. This request void 18 months from d RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1 `~12 3830 PILOT KNOB RD, EAGAN MN 55122 J 651-681-4675. New Construction Requirements Remodel/Renai( Rsouir nts • 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & whitlow sizes; poured found design, etc.) • 1 site survey for exterior addaiors & decks • 1 set of Energy Calculations . Indicate If home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detal options selection street (bldgs with 3 or less units) DATE I, )2Fi/oZ VALUATION 4-1'1C> SITE ADDRESS X33 r~ddoC1L ~f'r MULTI-FAMILY BLDG ,Y N TYPE OF WORK 1/ i 1 iho0 FIREPLACE(S) 0 1 Z APPLICANT ~T~.Chen~- r~o STREET ADDRESS 4a1 °.S r- v.) a t)i uC CITY STATE ZIP TELEPHONE # 45~4 14Uk o CELL PHONE # FAX # PROPERTY OWNE~f-N ~ TELEPHONE'# -9'124 5 A 05 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (d submission type) . Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phone # Plumbing system includes: r Water Softener Lawn Sprinkler Fee: $90.00 M Water Heater No, of R.I. Baths No. of Baths Mechanical Contractor: Phone # ' J$t.00 Mechanical system includes: Air Conditioning Heat Recovery System k Sewer/Water Contractor: Phone # l' - - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of A OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling 0 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of Alex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF 0 04 02-plex ❑ 10 ,08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi 0 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ ` 32 Addition ❑ 36` Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof 0 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof Ice & Water _ Final Pool Ftgs, _ Air/Gas Tests Final Framing _ Siding Stucco Stone _ Fireplace R.I. -Air Test Final Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector Base Fee - Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total • RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 IIJi 651-681-4675 New construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served biy septic system fo additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE D y> > 1 A VALUATION (EXCLUDING LAND) 12gor) 140 JOB SITE ADDRESS 3 AY` lock a~~ f IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER - 0( n e tZ TYPE OF WORK ~n ire iloPT ` e g r J~ FIREPLACE(S) _0 Lfl/ _2 -3 APPLICANT r % L~ PHONE # As2 -M- ADDRESS az• # c' l3 19,krnSV" I/V__- JI1. ZIPCODE J`AS'_33 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: ' 1 QS~ IAIWT' P_31 Phone # 2!U- O 07 -2-1 6' Mechanical System Includes: Air Condi ' ring Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the i r ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin i ces. ~ r Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Updated 1101 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex 0 20 Pool. ❑ 30 Accessary Bidg . ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace 0 21' Porch (3-sea.) ❑ 31 Ext Alt- Multi ❑ 03 01 of - plex 0 09 07-plea ❑ 17 Garage O 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ❑ 04 02-plex ❑ `10 08-plex ❑ 18 Deck 0 23 Porch (screened) 0 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level O 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement O 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. 0 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Btdg)* 0 `43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width i REQUIRED INSPECTIONS i - Footings (new bldg) Final/C.0. - Footings (deck) Final/No C.O. - Footings (addition) Plumbing Foundation HVAC - _ Drain Tile Roof _ Ice & Water _ Final Other _ Framing - Pool Ftgs _ Air/Gas Tests Final - Fireplace _ R.I. Air Test -Final _ Siding Stucco Stone - Insulation - Windows (new/replacement) Approved By , Building Inspector - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT k CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 2 3 (612) 681-4675 Date Issued: 05/17/95 SITE ADDRESS: 4333 BRADDOCK TR LOT: 12 BLOCK: 4 LEXINGTON POINTE P.I.N.: 10-45076-120-04 DESCRIPTION: Building Permit Type DECK Building Work Type NEW REMARKS: FEE SUMMARY: Base Fee $36.66 Surcharge .50 Total Fee $36.56 CONTRACTOR: - Applicant - ST. LIC. OWNER: SKYLINE DECKS 18299377 20005274 RIETZ DAN 8912 NEILL LAKE RD 4333 BRADDOCK TR EDEN PRAIRIE MN 55347 EAGAN MN 55123 (612) 829-9377 (612)454--5405 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stat- of Mri„ Statutes and City of Eaten rdinances. i~ hat a k~djnil A PLICANT/PERMI EE SIGNATURE IS ED B I SI URE F INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 6 2 3 Eagan, Minnesota 55122-1897 Date Issued: 05/17/95 (612) 681-4675 SITE ADDRESS: P ° I ° N 10--45070-120--04 APPLICANT: LOT: 12 BLOCK: 4 4333 BRADDOCK TR SKYLINE DECKS LEXINGTON POINTE (612) 829--9377 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. 'FOOTINGS FINAL e OF EAGAN T KNOB RD - 55122 99 UILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements modeVR,apaq R@quirements ♦ 3 registered site surreys ♦ 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 ♦ 1 energy calculations for heated additions 3 copies of tree preservation plan if lot platted after 7/1/93 required: Yes _ No DATE: ' g.7`~ CONSTRUCTION COST: 3 70D .Oa DESCRIPTION OF WORK: STREET ADDRESS 4333 LOT I2 BLOCK SUED./P.I.D. LE,5,I1J6-r J Z,JN-: PROPERTY Name: 9 I F f - bl"hi Phone 4✓ q - 5clos, OWNER UST FMsT Street Address: 4 33 -3 6RAh,9DGK jy=jIb City: ~ ecJ' State: AA ~J, Zip: 557 3 CONTRACTOR Company: i~~ Li~~ D,Ec~S Phone YEq' `1377 Street Address: 0/2 lkl~u (.A- License 10QD5,2'71 city:LE*3 Pmt- 46 State: .~(t11- Zip* 5-S 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 R E rC~ F ~ V E D Certificates of Survey Received Yes No MAY 1 1 1994 Tree Preservation Plan Received Yes No OFFICE USE ONtf' y ^ BUILDING PERMIT TYPE a 01 Foundation ❑ 06 Duplex o 11 Apt,/Lodging ❑ 16 Basement Finish 0 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. "o 17 Swim Pool 03 SF Addition ❑ 08 8-plex o 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ❑ 10 --Alex ❑ 15 Deck WORK TYPE 31 New 0 33 Alterations o 36 Move 0 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories s q. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn: Water Meter Acct. Deposit S/W Permit SM Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units s CRI - LAND CO. } SURVEYING SITE PLAN FOR SERVICES JOE MILLER CONST. 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION-' LOT12 BLOCK ACCORDING TO THE RECORDED PLAT SCALE: I"=50' THEREOF DAKOTA COUNTY, MINNESOTA N ~S3x 4- o~* o~ LOT 12 Al po 1 A I_AL C\j iri I Leo ~ rh ~z LOT I I ° ( 13 S. L. 0 t ,,z (n s 75.00 S 89°50'21 E BRADDOCK TRAIL LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT -PROPOSED GARAGE FLOOR Ft.IEVATION= ~.n _ '__o _DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= g(Is- DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION -NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Brad le Swenson, Mn. Req. No. 15235 Registered Land Surveyor under the Laws of the State of Minnesota. Date i/~S/, PArr OF FEE AT MM oF' APPLICATION FOR PERMIT NOM: * APPLICATION DOES DM CON-` * STI WE API VIAL OF PM4ff. SEWER AND/OR WATER' CONNECTION * INSPE7Cr ON OF SSM AW/M WATER INSTALLATIONS KFLL wr BE BCBvm * I'TML PERMFT HAS BEEN APPROVED. ~i *lttttlsrtrtft*,krFksietkfrrttt:tt**,tt,tr*~~r** 5 city o_F cagan (PLEASE PRINT 1) PROPERTY ADDRESS: 5f 333: . ~,G `'bl ~~dc ~lrtl4: LEGAL DESCRIPTION; (Lot/Block/Subdivision or Tax Parcel IDS IF EXISTING STR=RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon Year PRESEN'T' ZONING/PROPOSED USE: Q :COMMERCIAL/RETAIL/OFFICE r_&,:::~R-1 SINGLE FAMILY Q INDUSTRIAL r_-_-] R-2 DUPLEX (Two Units) =INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM { Units) 2) . Safffe"T'NO NAME: t , Il I F l~u- Gaw s ,F. ADDRESS: I at 33 CITY, STATE, ZIP: PHONE: [,f 3I eZ OCt { For City Use 3) NAME: Plumbers License: ADDRESS: /mil 1.8 ;2 3 R, o ~4~• u Active Expired CITY, STATE, ZIP: ouH, Not recorded PHONE: MASTER LICENSE # rti s o6 Sta Init aT' 4) KuwaINUON NAME: ADDRESS: j CITY, STATE, ZIP: f PHONE:' 5J) ! ` CM ` 01" N iM! CONNECTION TO CITY SEWER 'ONNECTION TO CITY WATER` OTHER * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE W M PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL 'CONTACT YOU IF THERE * ARE ANY PROBLEMS. FOR .CITY USE ONLY y PERMIT # ISSUED Pd W/Bldg. Permit FEES: $ $ lQ - SEWER PERMIT (INCLUDE SURCHARGE) $ $ t1oWATER PERMIT '(INCLUDE SURCHARGE) ~ O $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ~S ACCOUNT DEPOSIT SEWER $ $ Q Q ACCOUNT DEPOSIT WATER $ 6-2 S ' D ® $ WAC $ Z S $ SAC $ $ TRUNK WATER ASSESSMENT_ $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER ~I $ $ LATERAL BENEFIT/TRUNK WATER p r~J D 'C~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: e $ TOTAL -Z' ® ;L 3 d RECEIPT # RECEIPT` DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF_YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE I v 1987 BUILDING PERMIT APPLICATION CITY OF KAGAN T SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 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 NOV 13` , To Be Used For: e,(,~~ Q Valuation: 1 Date: - Site Address g33S jgra- 6dL' OFFICE USE ' ONLY Gay Lot Block On Site Sewage Occupancy R-3 MWCC System _ Zoning R-1 Parcel/Sub On Site Well Type of Const City Water V' (Actual) V-N Owner (Allowable) V-N # of Stories Address Length y35" Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor ilk) a Q ki A Assessments Permit 39/. $D Water/Sewer Surcharge 3y. 00 Address 33 (LP) l Police Plan Review ,~y', Fire SAC, City 100-00 City/Zip Code -1WAAA 1 LSD Engr SAC, MWCC -.Uidw _4 Z- ,r Planner Water Conn Phone' - c~00 t Council Water Meter 6910 Bldg Off 11 Ib Road Unit 305,00 Arch./Engr. APC Treatment Pl , Variance Parks Address Copies S- City/Zip Code TOTAL Phone # VALUATiDN r Gf}PA6,E Z 2X22 = ~8y x 12 = 5 p8 - - .?6X 40 = io yo X `f q l yS~►D 4.0 US 1040 5Y.s s I"L o f-do xyu y'l 5 2 n ref t.i -r ..mss P ~ w TRI-LAND CO. SURVEYING SITE PLAN FOR SERVICES JOE MILLER CONST. 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT I2, BLOCK 4 1 EXINGMN PO INTE ACCORDING TO THE RECORDED PLAT SCALE: I"=30' THEREOF OAK COUNTY, MINNESOTA N C- ` LOT 12 t 5 ~ f, l15 o~ I tiff _ ~ o~LO ~ LOT i i o (0 1 'c- ;,3 N L I M Q ~ L I titiA 1~t7 22 2 3 75.00 S 89° 50'21" E BRADDOCK TRAIL LEGEND ND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR F4. FV:ATION = 97 _ r~ o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECOTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Brad le Swenson, Mn. Req. No. 15235 a Registered Land Surveyor under the Laws of the State of Minnesota /~s~R~ Dote CITY OF BUILDING DEPARTMENT EXTERIOR ENVY PE AVERAGE "U++ C014PUTATION (To be submitted with building permit application) One or Two Family Dwelling " Owner M-rne-Lo j <~41MriU11O All Other Site Address _LOT 12,, BLOCK 4, LEXINGTON nt~1NT'e' Contractor X05 I" C-O/~~7~ Date Phone LINEAL FEET OF EXPOSED WALL VVO Gys~(M ft. above grade TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: ''U+' Value x Area Detail ~E I+U" • 0 Q7i x SQ. FT. 601'77- (U) (A) reference "U+'_ o (P x 5Q. FT. v, =~(U) (A) from'' "U" , o O x SQ. FT. 114,05 %~L}~3 (U) (A) attached "u" x SQ. FT."--(U) (A) sheets hull x SQ. FT. - (U) (A) WINDOWS: ''U" Value x Area Make & Type JAL VL, Of6f T "U" ~}'LP x SQ. FT. 98 = ~~4$ (U) (A) n u nun x SQ. FT. - (U)(A) flute x SQ. FT. - - (U) (A) it if nun x SQ. FT. (U) (A) DOORS: "U" Value x Area Flake & Type "U"- , 14 x SQ. FT. 4,' = CASCP (U) (A) if u 0 , 'lull-- • 4~ x SQ. FT. log __(U) (A) flute x SQ. FT. a (U)'A) it n flute x SQ. FT. _ (U){;A) TOTALS 2092 /17 SQ. V'T. z24~ (U) 4 A) AVERAGE "U" TOTAL (U)(A) VALUES DIVIDED BY TOTAL WALL AREA ZD$2, AVERAGE .115 0X, less for 1&2 family we lings ROOF/CEILING: TOTAL AREA: Detail reference flute x SQ. FT. 0710 = It, (A) from flute x sq. FT. (U) (A) attached sheets. !lu11 x SQ. FT. (U)(A) Describe openings flu+' x SQ. FT.~ (U) (A) in roof. flute x SQ. Fr.w= (U) (A) TOTAL (U) (A) VALUES DIVIDED BY Z ZrCO `T~Lt7 4 t ZZi (,p lure TOTAL ROOF/CEILING AREA AVERAGE "U 1' . 25 r ventilated roofs. --r- ,l t -4+ z c~~ = (.40 o q~~~C~of~+ 2.cQ~ zro~3) = IZ-.87,x'0 Lo-7 -/,135 11F N G WAS W l Zo y4F) X 4 ate, o 2-Z-4x~5 - 22145 X 3 - LP7,~r I 3- Z4x4v - 33,75 x I = 3~ 7S' J 2' Ic~X3c~ = IZ~ zs x 1 = /z1 ZAF L-24X3(-o 7, c5- X 3510 1980 ~ w/ o 8 d pp- C~ +P i n ~jz.~ X 2= 54, D a ds' 3 vrtti = Zito f r,o d /o~CO ~ I~kN) Xw wavy, 198. o P?14.7 154,D 5 Determining $fUff values at Room Wally Rimy and tlono, Blook ROOF/OEILIN(j R Y U 1.) Interior Air Film 0.61 2.) 5/81, Gyp. Bd. .56 3.) Insulation TT.cb 4•) 5.) Exterior Air Film .61 1 2 .3 (STILL) flute „ 1/R= •02~ 'OTAL (R)= ,?g 1 V J ' • $ WALL R VALU 9 6.) Interior Air Film o.68 7.) 111 Gyp. Bd. .45 8.) Insulation 19.00 9.) Nw-r'-P-ITG Z.04- 10;) Musonite Siding .67 to 11.) Exterior Air Film 017 flute a 1/Ra • 0`x•3 TOTAL (R)a 13.01 1z JR) VALUE 13 12.) Interior Air film 0.68 130 Insulation 19.00 I~ 14.) 211 Fir Rim Joist 1.88 IS 15.) Kow-'-kiTc 2004 16.) Ma6onite Biding .67 170 Exterior Air Film e17 . o d flute a 1/Ra X040 TOTAL (R)n O~ • 0° • • O• FOUNDATION R VALUE 18.) Interior Air Film 0.68 zl Ig 19.) L7. 20.) 5 TkrPrb . O ~j° • 21.) 1211 tlonorste Blook 1.28 . ?n 229) 13 23.) Exterior' Air Film .17 flute : 1/Ra .07(o TOTAL (9)n ~3.~t RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 • l 651-681-4675 i v Comstraction Requirements RemodeARenair Reauhinents 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate If home served by septic system for additions 3 copies of Tree Preservation Plan I lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) IkTE 04; -/Z-- O/ VALUATION A SITE ADDRESS 'y333 ©i-e~ss ./l i MULTI-FAMILY BUILDING, HOW MANY UNITS? j :OPERTY OWNER DM -0- PE OF WORK ~i A0 VO-- !t» rear7S' FIREPLACE(S) -1 _2 3PLICANT ` v► 4'4 PHONE # -Ta0 0-4 3K3 )DRESS • 3 '2 U ZIP CODE s'6 3 lo 1GER # CELL PHONE # FAX # Z5Q2- A6 ^eg,1(6 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths No. of Baths r Mechanical Contractor Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # ) (in L-6 U U a above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, an gree to comptywith applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant :rtificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY 01 Foundation ❑ 07 05-piex ❑ 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 0 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF 04 02-plex ❑ 10 08-plex ❑ 18 Deck 0 23 Porch (screened) 0 _ 36 Multi 05 03-plex ❑ 11 10-plex 0 19 Lower Level ❑ 24 Storm Damage 06 04-plex ❑ 12 12-plex Pibg ,,,_Y or N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding 32 Addition El 36 Move Bldg, is 42 Demolish (Foundation) ❑ 45 Fire Repair 33 Alteration 0 37 Demolish (Bldg)" ❑ 43 Reroof D 46, Windows/Doors 34 Replacement Vernolition (Entlre lbldy only) - Give PCA`handout to applicant A . duation Occupancy Mtr/ES System ,nsus Code Zoning City-WatE3r kC Units Stories -Booster Pump ; )r. of Units Sq. Ft. PRV )r. of Bidgs ~ Length Fire Sprinklered pe of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Roof - Ice & Water _ Final Other _ Framing Pool Ftgs Air/Gas Tests Final Fireplace _ R.I. -Air Test Final Siding Stucco Stone _ Insulation Windows (new/replacement) Approved By , Building Inspector ise Fee ircharge 0 0 l 1 3n Review /ES SAC ty SAC ater Supply & Storage tW Permit & Surcharge eatment Plant imbing Permit -chanical Permit tense Search e )pies her ►tai! . a- PERMIT City of Eagan Permit Type: Mechanical Eaaan, Permit Number: EA097569 Date Issued: 12/29/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4333 Braddock Tr Lot: 12 Block: 4 Addition: Lexington Pointe PID: 10-45070-120-04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Valuation: 7:551.00 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Daniel W Rietz 1408 Northland Drive, Suite 310 4333 Braddock Tr Mendota Heights MN 55120 Eagan MN 55123 (952) 881-9000 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 Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature