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4366 Braddock Tr
PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082605 Eagan, MN 55122 . Date Issued: 04/17/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4366 Braddock Tr Lot: 3 Block: 1 Addition: Lexington Pointe 7th PID 10-45091-030-01 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: Minnesota Rusco Gary M Bosiacki 5558 Smetana Dr 4366 Braddock Tr Minnetonka MN 55343 Eagan MN 55123 (952) 935-9669 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Parcel Files Cover Sheet Unique ID: 2083 4366 Braddock Tr 104509103001 INSPECTION RECORD I Control No. 0 912 CIT`E' OF EAGAN PERMIT TYPE: 61,1 3830 Pilot Knob Road Permit Number: T" Eagan, Minnesota 55123 Date Issued: ati N 7 /q2 (612) 681-4675 SITE ADDRESS: L 01 r =1 APPLICANT: 11 1146i W4 POTNTT° 7 T'H s 612) 46;e 6644 a .i PERMIT SUBTYPE: TYPE OF WORK: ,JF N@ 1.:W INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i alt)T 1 #ds FItAN IN I'T ! NS(II A I .1 =sN F.1 N A I F~ t' P1Ii N3 k, : r `a 1 W CON TR A C r 1) R TON 1 t I: a'SI[ A M P 01"1 Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ; ~7 ~4dD ELECTRIC 0 y~• ~Q ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation v l Framing < Roofing A Rough Plbg. _z e~Z l./4~ _ f i Rough Hip., /1U J~ Isul. Fireplace Final Htg. G- Orsat Test Final Plbg. ~f A Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final ~Gl~k7 Deck Fig. Deck Final Well Pr. Disp. ~l9 . ~;~t~ ' ca#e n ~c anc Of 6"M SUM" ax"Ced" This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at dke time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use CLv4rxafiew 1223 Bldg Parmnt No. Occupancy Type ! Zoning District Type Cow. o of Bntkdmg PAnsH m= & MV MW Addnm 3744 ~ IN, EWAR 13, B1, IFKII IN i 43b6 Bdt i)B LR -wity L Date: 14/30/92 POST IN A CONSPICUOUS PUKE i° l i Address: 4366 BRADDOCK TR Lot 3 Blk 1 Sec/Sub LEXINGTON POINTE 7TH These items were/were not complete at the time of the final inspection. Date: 9 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry / Permanent driveway V Permanent gas Sod/seeded grass t/ Trail/curb damage V-1 Porch Basement finish I/ 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. REEIQEDMMM White - City copy Yellow - Resident copy Pink.- Contractor copy 9P- R- CTION ~Tel OF RA'GAN Pilot KID AoW iil" E AWi. f;t f "J ti I AL"1..1w. k ;1! let 6'r [ t 1' 1 N T- F 7T it ~ 6 :1 L48 I 1. TYPSOFWORK~ 13f~:,1 1#1:'1 1-IN1x;14 H1.. 1URAT ION f 7AIM # 1. 11,13 t' 10 .1~#....... )11# i #=t.R3 i T1l,1. d*Ad jam, a r 1t 1::1~fARV SE.PAQAft P€:RM[ 1:~ ARE RF_OUT.R1;'1'► 1()1d' ANY 1,' 1.i.1M BTNt~ +31 t'11 t"1RICA1., t40Rk i { o ~ ~ ~ f z S, o y L ~ a i I CITY OF EAGAN PERM, Tom:: flu 1 E o 1 N,t 3834 Not Fib Road Pem* Number : 0 2 5 6 9 6 Win; MiArnta 66122.1697 a _Imed: (612) 661-4676 SITE ADDRESS, F APPLICANT: PERMIT SUBTYPE: TYPE OF VWORKa !3Vt; l' NV41 f - is f iiij Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL / K 30 X28 ~ peo, / 9 R uest to Fire No. Rough-in Inspection Requi ? 0 Ready Now ;y,VA Notify Inspector L. No When Ready? I Licensed contractor D owner hereby request inspection of above electrical work at: Job Address Street. Box or Route N City Section No. Township Name or No. Range No. Cou Occu IIPRINT) 15hone No. P er plier Address Electrical Co ctor (Company Name Contractors Lice No. OZ/ Mali ddre5s SCo actor or Owner Making Installation _7 s Authorized Si ature (Contractor/Owner Making Installation) r Phone Number Ia- MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST 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. REQUEST FOR ELECTRICAL INSPECTION e~ooom-oa lo- See instructions for completing this form on back of yellow copy. 062 ^ -K 3 - lyJ! "X"Be7ow Work Covered by This Request New Add Rep. Type of Building AppiiancesWired 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 Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection (7~ 1 :712 Alarm/Communication THIS IN5TALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 T S. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final Date been made.` OFFICE USE ONLY This request void 18 months from 9 9 ~ 5 N025 4 I- 17- $ ci 0-0 Request Data Y ire No. Rough In Inpsection Required Ina coon Other Tha ough•In /(You mu call Inspector when ready) Ready Now ill No* Inspector Date Read hl yet [3 No I ❑ licensed contractor ~Dwner hereby request inspection of above electrical work at: Job Address (Street. Bo6Y-Route Na a 11 City 01 0(- ~Y~ ~q G Section No. Township Name or No. Range No. County Occupam (PRINTI Phone No. ~I Y C V 6 6- J~) i 7-s Power Supplier Address 001Vlt;]t EIec Electrical ,.ontrraaclor (Company Name) Contractor's License No. cl (,l i± ~W Y G! Mailing A ress (Contractor or Owner Making Installation) a✓ _ Authori re ( ant or/Owner Making Installation) Phone Number L✓ 8~7-sr~ 44 q 6 MINNESOTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 l J BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 612 842-0800 /G! ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E Een00001.08 T ► See instructions for completing this form on back of yellow copy. .'n H 0 2 5 0 4 - X" Below Work Covered by This Request New Add Rep: ~_v TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAridustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: J{ ~1 # Other Fee # Service Entrance Size Fee # Circufts/Feeders Fee Swimming Pool 0 to 200 Amps 0 0 mps Transformers Above 200 Amps ve 10 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE RD RFrD DISCONNECTED IF NOT Other Fee COMPLETED WITM4 M 1, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL BUILDING * - Permit Application City Of Eagan l g~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 9 , 3 .03 New Construction Requirements RemodellReoair Requirements Office Use Only 0 3 registered site surveys showing sq, ft of lot, sq. R of house; and all roofed areas 2 copies of plan ced of Survey Reod N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd _ Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd _ Y _ N 1 set of Energy calculations Addition - indicate don-site septic system On-site Septic System _Y -N 3 copies of Tree Preservation Plan ff lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units $ly l Construction Cost coo Date Site Address ~jl~lolo edgfz ©140 ° Z;r, Unit/Ste # Iws Description of Work ~X 11:;e(JG®v cJ2'211s~l fe`IOC Multi-Family Bldg - Yr 'AN Fireplace(s) _ 0 _ 1 - 2 Property Owner 9/j/ ~~EfJ/9G°/,~~ Telephone # (e~/j lpb'ra Contractor Address c:F(~ ropy f~JY City ~jJC/~9111 State "y1f/• Zip ads/dv~ Telephone # (,,5,4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J 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 # ( } j AUG 2 6 200; Mechanical Contractor Telephone # ( ) Liu Sewer/Water Contractor Telephone ) - I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N4N 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 plan in the case of work which requires a review and approval of plans. Gel, Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types r~ ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex )1k 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_vor_N ❑ 25 Miscellaneous Work Types x 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 3,207 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 3! Surcharge 0 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 33 . 7 r L, TRI-LAND CO. L SURVEYING SERVICES SITE PLAN FOR : PARISH LEGAL DESCRIPTION: LOT BLOCK, LEXINGTON PT. 7TH ACCORDING TO THE RECORDED PLAT REV~Ew' ED, THEREOF - DA-KCOUNTY, MINNESOTA ADDRESS` -4Z6 ADD0G"-RAIL O ' 1 Z irp um .Sl w,; s 8Rgp00CK ~ae'ratng bball q I ~~a~~n TRq i( Required 1 ~P qo s 7,3.00 15 .0p 0;E a~ O°~k4a~, 80 _ 4 q I 710 P 13~ 1 a Ate- J l p RIVgWAr f~M 9 Yo tl- ~ J191' coR 10 CV 9'e•, GARAGE R r9 0) Top N'k T j ( aD d 4>yso r \ n HatisE 1 6. O 2 , , 1p O 13• LOT 4 O .4 0 I ` wA , s !a O -es 1 can C• Det (E f~~ • O LOT 2 1av e 1 32 ' }l ~ 973 , -TrmP Fe-vwc ' ' 3 Y At t- 4,v-eircc,,. U. z6 S 68 • SCALE: I"=30' ~ `fzo~~aL LEGEND INVERT ELEVATION AT SERVICE ExT~~ISIO o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=97ZYo o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 978_,5'0 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 28e 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 c~ report was prepared by me or under my° ~fn "0 direct supervision and that I am a duly Bradley .`'Swenson, Mn. Req. No. 15235 a Registered Land Surveyor under the /s/~ Lows of the State of Minnesota. Date r t POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS 04 GENERAL INFORMATION o z GJ'~ ❑ ❑ Applicant - name, address, phone & fax numbers, signature W ❑ ❑ Property owner name ❑ ❑ Legal description and address of property ❑ ❑ North arrow, scale (1" = 30' or 40') and date L ❑ ❑ Location and name of all streets adjacent to property ❑ ❑ Site Plan drawn to scale showing location of house, pool and other existing or proposed structures ia~ ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS / Existing 6d/ ❑ ❑ House corners / ❑ ❑ Property corners U ❑ ❑ On property lines at point of measured dimension to pool (see below) ❑ d ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed U( El ❑ Finished pool deck corners ❑ lY ❑ Top of retaining walls (if any) and at each different elevation (if it changes) t~❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ All property/lot lines Proposed Y ❑ ❑ Pool ❑ ❑ Pool plus integrated deckipatio ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: 1~ )cu,... & 9S-e)3 Name Date GfrECHOR 2002/Pool Permit Checklist RESIDENTIAL BUILDING PERMIT APPLICATION , -/9^ I CITY OF EAGAN C QX ~I -c~ ® f 3830 PILOT KNOB RD - 55122 651.681.4675 New Construction Requirements RemodelfReoair Requirements - • 3 registered site surveys showing sq. it of ILL sq. fl of horse: 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 saes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calcc'- dons • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Optionns/selection sheet (bldgs with 3 or less units) DATE J~ - O VALUATION (EXCLUDING LAND) 00 O . ,DB SITE ADDRESS ~3 6 g r (AtJ IJ 0 C K _T YCn , IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER GgY Y o.5; c,\C K , TYPEOF WORK 3 Sev\So r-, ~dYc O FIREPLACE(S) _1 _2 _3 APPLICANT G CN Y o S , cry C 7 t^P) 9 Sa 233-W4 PHONE # C,S 16$6 Sql rl\ ADDRESS Ll Ab qY D4 NOS ~ ~ V 0,\ 3 J ZIPCODE SS l a3 PAGER # CELL PHONE # G I s;L 810 - oZ g S FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLE LY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitt - Energy Envelope'Calculations Submitted I! MINNESOTA RULES 7672 By_~ - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No, of Baths Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. 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 Ordinan s. /t{n/yyv- Signature of Applicant " Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1701 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace X 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. At - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) O 36 Multi ❑ 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 ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 3 N Zoning City Watei 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 I-IVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other Framing - Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace 1 R.I. Air Test Final _ Siding _ Stucco _ Stone Insulation - Windows (new/replacement) Approved By T Z , Building Inspector Base Fee Surcharge Z g x -/7 1 Plan Review J MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge J _ Treatment Plant c ri /,q5 QAJ look(-, Plumbing Permit J Mechanical Permit / ~r7yyt IpL wn/r d License Search Copies Other Total 4 TRI-LAND CO. LL SURVEYING SERVICES SITE PLAN FOR : PARISH LEGAL DESCRIPTION: LOT, BLOCK-, LEXINGTON PT. 7TH ACCORDING TO THE RECORDED PLAT THEREOF -DAKOTA COUNTY, MINNESOTA ADDRESS: 4,366 A.9B-9EK--T-RAiL BR4DD 0CK TRAIL 40 0 a, ,5 a~ oo~ u" d 80.0 000"E 0 0. fBm ReLC e. ~ , TOP (3~ ( DRIVEk'A1: I 9 ~S y0 1, F Cog C 9' b 2z a `g `c GARAGE t - L r8 TOp qtlk m HODS@ J c. fy) O ( 2 o ip O LOT 4 3 o~ +6 x O 1\ IN•r O `ns O Pro FoSeA to O LOT 2 s 9 73 y eo zs h I S 680 60 SCALE: I"=30' 2~ 5,9 LEGEND v-~PaeL Nnrvwvlko~f INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=9>y9o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 979-6b DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 5k4.80 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION 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 _+o direct supervision and that I am a duiy Bradley J .'Swenson, Mn. Reg. No. 15235 S Registered Land Surveyor under the Laws of the State of Minnesota. Date • 9/s/sz PERMIT ck 4 00 CITY OF EAGANI, 3830 Pilot Knob Road PERMIT TYPE: e N G Eagan, Minnesota 55122-1897 Permit Number: 025696 (612) 681-4675 Date Issued: 05/30/95 SITE ADDRESS: 4366 BRADDOCK TR LOT: 3 BLOCK: 1 LEXINGTON POINTE 7TH P.I.N.: 10-45091-030-01 DESCRIPTION: B"fi'i1din4,Permit Type DECK B-ui~ding.491,rk Type NEW f IT 12 t 6' 6f g _i REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - BOSIACKI GARY 4366 BRADDOCK TR EAGAN MN 55123 (612)887-5512 I hereby acknowledge that I have read this a~pplication'alnd state that the- information is correct,and 'agree to camp1Y,.~th,,all,,rappl-cable;3tate q Min. Statutes`and City of Eagan"`Ord'inan=ces. PLICANT/PERMITEE SIGNATURE IS TURE 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 9 6 Eagan, Minnesota 55122-1897 Date Issued: 05/30/95 (612) 681-4675 SITE ADDRESS: P.I-N.: 10-45091-030-01 APPLICANT: LOT: 3 BLOCK: 1 4366 BRADDOCK TR BOSIACKI GARY LEXINGTON PONTE 7TH (612) 887-5512 PERMIT SUBTYPE: TYPE OF WORK- DECK NEW INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL rz, r. CITY OF EAGAN )1(44 3830 PILOT KNOB RD - 55122 ~30°50 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 8 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: S - -1y ' 5~ CONSTRUCTION COST: DESCRIPTION OF WORK: G1 ~ (1^ c ~I Oe K STREET ADDRESS: 1 6 J ~ Oc K Y- 3 QX%no)Y\ ~r LOT BLOCK SUBD./P.I.D. L Ir17 887-f7'I,;L 1. PROPERTY Name: Phone OWNER ' T StreetAddress• V366 131-4d°`` Tr- City: Copy a State: /l" Zip: f s, i 3 CONTRACTOR Company: Phone M Street Address: License City: State: Zip• ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer 8 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 info ation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. k Signature of Applicant: ' RECENE D OFFICE USE ONLY /Yes No Certificates of Survey Received _ Tree Preservation Plan Received Yes No OFFICE USE ONLY A ~ "r Wes; BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Mufti Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex . ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex cia=-15 Deck WORK TYPE X31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. yFK Depth Footprint sq. ft. SAC Code -L Census Bldg i APPROVALS Census Unit _0 Planning Building Engineering Variance Permit Fee Valuation: $ /Z QO Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total; % SAC SAC Units R AOOOCK TR4 ~ rL 1 q `~b S 73 go L I0 0 to a 00 DRwN4 0, E C> a 7 !8m Rccrc DRIV a~ OP SWAY' ; j 9 ~s Yo d-~ cog N /8, 9 0 2,2 jv 10 cv g•~.. GARAGE 0) Tdp 4ia V 9>y HousE ry) J 6~ 1 LOT 4 r _ - = O 1 • k 11 D1D O ° 1a O 1 cr757X~ (1 97-Ws ° LOT c t 9 73 h BO~zy ~ h ~ S 68 , 26 6o c CYT# OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUx~~NG <7y Number: 023011 Eagan, Minnesota 55123 Permit (612) 681-4675 Date Issued: 02/25/94 SITE ADDRESS: 4366 BRADDOCK TR LOT: 3 BLOCK: 1 LEXINGTON POINTE 7TH P.I.N.: 10-45091-030-01 DESCRIPTION: r, B414 nt?,Paermit Type BASEMENT FINISH B°uiiding W,*:rk Type ALTERATION t 7 q (Nagan REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - BOSIACKI GARY 4366 BRADDOCK TR EAGAN MN 55123 (612)887-5512 - I hereby acknow.liedge that T 11avo r;ea4 t~htJs.a:PP~dt~a,1:4o'rt AKId atthtat; tt t3 information is cart-act artd- .ag4-e,e t-a comp,li t xtin al'i Ppi ab Mn Statutes and city of •feigart Ordirrarnxes:: AP LICA T/PERMITEE SIGNATURE ISSUED BY. SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 023011 Eagan, Minnesota 55123 Date Issued: 02/25/94 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 1 APPLICANT: 4366 BRADDOCK TR BOSIACKI GARY LEXINGTON POINTE 7TH (612) 887-5512 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK - A.. - 7 7 k I CITY OF EAGAN ~_.1 i' 1994 BUILDING 681E-46715 APPLICATION SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date a / / Valuation of work IS(00 0 Site Address: 4k3 66 6'r9JJoc,K rrq -I STREET SUITE # Tenant Name: (commercial only) LOT A BLOCK _I. SUBD. q~~1 tl P.I.D. # Description of work: 6015c me Y% Y\ _S I-, The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name 13os o, GK I Gqf Y Phone 686-5 1 (h Property (AST FIRST W Owner Address 436b 6 rg Ad oc.K Tr(l, STREET STE # City (i State M Al Zip SS 1 a3 Company S G m Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this 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 BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 0"16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'1. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code V:? Depth On-site sewage SAC Code o~ APPROVALS Census unit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing A Framing Insulation ❑ Wallboard 0 Final ❑ Draintile ® Fireplace Permit Fee valuation: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pg. Road Unit Park led. Trails Bed. Copies Other Total: SAC % SAC Units ~w;~W:i:%k,kK~K7KM7k`u?8*~%nr x~:,;.$:~';vix:tx~~k*`~:k~:!cMCk:'c~Ic7K t CITY,OF iiAGAN CKHTER: 19 TERYMM NP: ?63 IV. N PATE A' RMIS ROOFING G " O Y 301) 9001 4366 L'I y1",IY DCK. M705 7. l ' Total . Receipt A-,conW.W &OUVATIUMM 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (S 651-681-4675 9 New Construction Reauhemerds Remodel/Revak ReauhemeMs I O 3 registered site surveys showing sq. ti. of lot, sq. R. of house 2 copies of plan and Q roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for healed additions ➢ 2 copies of plans (show beam & window sizes: poured Md. design; etc.) 1 site survey for exterior additions 6 decks D 1 set of energy calculations ➢ 3 copies of tree preservation plan I lot platted alter 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK:// 7f / Cm4~ ~JrJ7 j ti ~~f10 STREET ADDRESS: Y("/ r0 C//~ de~G `f n LOT: BLOCK: SUED./P.I.D.#: V-1 V ~~n S U~T~ I~ Name: 9 C,"f"tI (/t N Phone ~✓fZ fo PROPERTY Last P OWNER Street Add/reess: 7 (76 b &\A CAJ4 Zip: City ~iT37d/~7 State: N- s Company: ( 0', Yh 7!t 44,A46 Phone (area code) CONTRACTOR /~1 ,&J•. t ' License # „yam Exp. cy0~ Street Address: t / City Ed' State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Sheet Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only : Pefralty applies when address change and lot change Is requested once permit is Issued. I hereby acknowledge that I have read this application, state that the Information Is a ct, and agr comply with all opplicabl Strife of Minnesota Statutes and City of Eagan Ordinances. { Signature of Applicant LY'ir OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received "Yes No Not Required i OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.' ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof urvd iidnwai iu dpNiiu Ala Jul Uall a Llwi pdiniii GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. rlty Water Width Footprint sq. PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge TC~ Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: 1 1 SAC Units % SAC I s>`~' cs <g:,,.,,. . s,"':ii3:~•f.:`i?2:>3; s.,:,:-:.> g.q. r•'a::a :.i:.. ;,:,-'~'t,.,n.,y.,;..y;..ks; ,'t.~>:; .c:*,::c:..<.e3: i<°^ sx"..~..:~'« .r; w.~. f ..b::>. .,~'•a ~':.:~;«,<s:~~~: :.gY3.~.. .x>.~,.:~. p..c.. f : '1,`:iM:~,..~~ ~<+yi,4`.::.s ,,~s:.~: , { .~;...,k':. ~..wn9.n b ...:t~fA .A..a:.:q.'.... s.. E a .~~:~.:.>s.i~,::';:~ .a~3:i£>~' . 2:z*c>~. i;4~yFe,.t,. .~r.?~~~ .fi : ma:;%%~3' •Yt y: WN c V..V 1994 PLUMBING PERMIT (RESIDENTIAL) ~ CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 -L WATER CLOSET 3.00 BATH TUB k' 3.00 _ LAVATORY 5d" 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 r FLOOR DRAIN 3.00 I GAS PIPING OUTLET • mmimem - 1 3.00 TT ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVAT E DISP. • Datcty. he. 20.00 U.G. SPRINKLER • home ender oonst. 3.00 ALTERATIONS • to edsting 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 s.~ TOTAL: SITE ADDRESS: V366 9yy~~Y oJo OC l-,1Y 1---G , OWNER NAME: C-) G y UJ o 'r tr cU C i INSTALLER: I J S U1 ~7- I ADDRESS: 3 6 9 Yrn CA d yC 1~~ rC' I CITY: CA Y1// STATE: M N ZIP CODE: S r PHONE ( ) b~6 `sci )c' (I+) q,37 - ss la Cw) SIGNATLYE OF PERMITTEE q •>;,~b.;,..3,~J.o,; `x.{<'z,:: ~oas';~~.;. ..a4;4~ an. .`°`~~OE'.'R: b?iii ~i Et•;.:: n. :F' ~ y.. R3. ..L ~~.KK ~p k • . :~.~t,~.:Sad.~:t..,,•:,:.;£a.*a:~::;d:i~£3.°.~§~a~F.5':e>"..:'.r> : ..:e. .~,~a .s' i~:. ~a.',5~.%'~q..:~:. oY :4...•.:......co.<ab;:o::q t" H: Y':.... LQ3 &%f~a :y3.. ✓F,i~"I 3 "23•'o.~aS~` aew„ 5' i' ~a~@ ~ K ~ '~45~~':: , : S " ,k an..a~.tx .•x•4„.4 ~ Y<.: 'sa x$.S 3 4 • w z.x ~ ~~:8. >4i'$~N b. > .tii°~:,'& 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT LOT 3 BLOCK I SUBD. LeX', nyf,3V~ Po',>1te 7 RECEIPT # CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 7 1993 Date: s-3 - 3 Commercial project Residential project Existing residence r Area/address to be sprinklered:n 'f 3 6 6 Und do G<1 7-ro] Installer: G/q r Y ,J O.S L Street address: _ y-3 6 6 S,)-A~U d o c 1< Trh , 1 City, state & zip: 4 T /2/1 Al SS 103 Telephone G 3% Owner name: S y G`' ( h I l✓ u v e Street address: City, state & zip: Phone Irrigation contractor, if different: Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan ordinances. c Signature Permittee New service required 0 Fee due: $ Calculated by: 6, -93 Oro CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. Plans must be submitted to the City's engineering department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $ 25.50 plumbing permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with engineering department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential project: $ 15.50 plumbing permit. 50,50 wa.tPr ne.rmit fee if new service is installed. $695.00 per connection - WAC. $324.00 ner connection - water treatment plant. c. Existing residence: $15.50 plumbing permit - (not required if backflow preventor previously installed) however plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, building inspections clerk typist will contact utility billing clerk for cost and notify installer of all costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(engineering department will advise utility billing clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to utility billing clerk. 5. The installer is to contact building inspections division at 681-4675 for inspection of the inside water line and backflow preventor. The public works department may be reached at 681-4300 for water turn-on and set and seal of meter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. Z/ ' CITY OF EAGAN L B MECHANICAL PERMIT RECEIPT # SUBD. (612) 681-4675 DATE RESIDENTIAL PLEASE COMPLE'T'E UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: F~C S a P P OS JQ c ki FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 7,0b~ Z~ cldocAa CONSTRUCTION ONLY) INSTALLER: HVAC: 0.100 M BTU 5 p 9 D 2400 PHONE 12481 Rhode Island U ADDITIONAL SO M BTU 6.00 ADDRESS: Savage, MN 55378-1122 GAS OUTLETS - MINIMUM 1 @ $3 EA.~ 0 p CITY. ZIP: SURCHARGE: $ 50 SIGNATURE: 9 as TOTAL $ ~s Q 74- COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWIINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE $ PROCESSED PIPING - $25.00 1I!?16TImum FEV_ OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE: CITY OF EAGAN FOR CITY USE ONLY yy 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ?SBNG:aAR DATE: 1~ESIDN?IAA, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & w_x ...,..f... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST / ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 7 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 SITE ADDRESS: C~ vA HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: T(1M HFMA I P1 I IMRIAIRIAIC (MINIMUM - 1) 3.00 - 121 REDWOOD DRIVE ROUGH OPENINGS 1.50 _Y~.O ADDRESS: APPLE VALLEY, MN 55124 _ OTHER _ _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ ~7,0 ST. SURCHARGE .50 SIGNA F PERMITTEE p TOTAL: $ ~!1 (1D COMMERGIALfINDUST&TqL 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: 18 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 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT Control No. - CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Eagan, Minnesota 55123 Number: 001223 (612) 681-4675 Date Issued: 08/07/92 SITE ADDRESS: 4366 BRADDOCK TR LOT: 3 BLOCK: 1 LEXINGTON POINTE 7TH DESCRIPTION: ~uildYng Permit Type SF DWG Building`-Work Type NEW i' UBC Occupancy R-3 M-1 / Construction 'Type V-M Zoning _ PD R-1 f Building Length 56. . ( .'Bui.l.di.ng -Width. •s -mow _a REMARKS: C D a D a g 9 S fi_.W,..CON.TRACTOR.a-.:TOM HESSIAN...P.LBG r...: . FEE SUMMARY: VALUATION, . $102., 000 ..t Base Fee $646.50 MISCE,L.LANEOUS.. _..::_....:.,,.........51.6.10.50.,..:._.... Plan Review $420.23 To.tal_.F.ee.._.__....._ $3,428..23.. Surcharge $51.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,817.73 CONTRACTOR: - Applicant - ST. LI OWNER: PARISH MKTG & BEVEL CORP 14526644 000105 PARISH MKTG & DEV CORP 3799 BRIARWOOD LN 3799 BRIARWOOD LN EAGAN MN 55123 EAGAN MN 55123 (612) 452-6644 (612)452-6644 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 Mn. Statutes and City of Eagan Ordinances. S A1tt APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNA7 RE INSPECTION RECORD Control No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001223.... Eagan, Minnesota 55123 Date Issued: 08/07/92 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 1 APPLICANT: 4366 BRADDOCK TR PARISH MKTG & DEVEL CORP LEXINGTON POINTE 7TH (612) 452-6644 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE nc.r•.REMARKS: S & W CONTRACTOR - TOM HESSIAN PLBG L- - PERMIT't CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION -AUG 0 4 RECQ 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested,'but not picked up by last working day of month in which re guest is made or lot change is re guested once permit is issued. Date 8-4-92 Valuation of work Site Address: 4366 Braddock Trail STREET STE Tenant Name: LOT 3 BLOCK 1 I o Lexington Pointe 7th pe Description of work: Single Family Home The applicant is: ❑ Owner M Contractor ❑ Other (oescribe) Name PARISH MARKETING & DEVELOPMENT Phone 452-6644 Property UST FIRST Owner Address 3799 Briarwood Lane STREET _ STE City Eagan State Minn. Zip 55123 Company same as above Phone Contractor Address License # 0001054 Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Tom Hessian Plumbing - 432pro-6898 Processing time for sewer & water permits is two days once area has been apved. I hereby acknowledge that I have read this application-an. state that the information is correct and agree to comply with all applicable State of Mi esota Statutes and City of Eagan Ordinances. Signature of Applicant: &k !-H,Y'I i Vrriur- U,C UNLT BUILDING PERMIT TYPE q Ol Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13'0611C" Fac. ❑ 02 SF Dwg. p 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 I►gYfrUTtural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE ❑ 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move _ GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation- $ P02~o0a^ Surcharge G ARAVE; lan Reeview 44x32=?`168 Cl/ P Licens MWCC SAC C ~ City SAC ~'/zx (12 ~t Water Conn. 4n~3 = (S2) 41)( to Water Meter x 7 _ ~y2) ~Ya~ Acct. Deposit r 4 ` y32 S/W Permit . 6514 1 _ S/W Surcharge too ff x G = !0 4 6°l 14 Treatment Pl. 30 Road Unit. I5 Zgy2. ,3'70 11 L1 Park Ded. 2 ot Trails Ded. ISK.30'/z- 459 Copies y~1 ~xS9= Other S x (35) Total : 17 quo 2.3 SAC % "1G3~ 15= II~$`IS SAC Units ~ ~ L, TRI-LAND CO. L~ SURVEYING SERVICES SITE PLAN FOR : PARISH LEGAL DESCRIPTION: LOT BLOCK--~_,LEXILGTON PT. 7TH ACCORDING TO THE RECORDED PLAT THEREOF 9AKO-T~ COUNTY, MINNESOTA ADDRESS: 43A-D-Q0E FRAIL QRAppOC K rRAll •P _ 40 73•p~, IS ~°R+: 8 O b 0 E a~ oa N IBmR~c 5 . 7OP 13~ 1 PRNEWAY 9 ~S Yo ~r ! a`~ coR _N ~B 9 0 22 iv 10 { l 9'8" N GARAGE 8 Tqp OL k Co HOUSE I O O j 2 !o ~p 0 l 13 LOT 4 0 J I 0 1 " IN• O I q,sXes P LOT 2 3 n3FCs' 5 9 73 zy- S 68 • 6° f SCALE: I"=30' `~-~aveL Notvwvlkovf LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=97Z9o u DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 9M-%TO DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = &~L 80 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey,plan or report was prepared by me or under my ° "p direct supervision and that I am a duly Bradley .`Swenson, Mn. Reg. No. 15235 Registered Land Surveyor under the Laws of the State of Minnesota. Date tP~s/r z EXTERIOR ENVELOP[- AVERACE "U•" COMPUTATIO11 OWNER _ SITE ADDRESS _ CONTRACTOItII.410'945 A4 DATE PIIONE Determine working square footage of each. 1. Total exposed wall area 1.,93,9-0 Sq. ft. x 2. Total roof.ceiling area 13 9s1.0 sq. ft. x .025 .3 7 8S Total exposed wall area above floor a. Total wall window area....... /3G b. Total door area C. Total sliding glass door' area 30.$ d. Total fireplace wall area O e." Total wall framing area (average 10%) .3.c f. Total net wall area above floor 9 S. g. Total rim joist area /°1S•3 Total exposed foundation area = / 7 h.. Total foundation window area O i. Total net foundation area above grade 7J p Determine "U" value of each wall segment. a. /39.G x ..U.. .3S = 7G 8 b. yo. g X "U.: .0 7/ _ : 81 C. 3o.B X ..U d. O X ..U.. O = O e. X93• D X ..u" • _ ~3. z r.- /sas 8 _ x ..U.. . o /08.3 U.. . oY3 ...-.`1.F...._. 3 .................Total If item #3 is the same as, or n:; than item 410 you hav• met the intenI of SUC 6006(c)2. oQ(Gyy~3 Cam/~~/2.3f Total exposed roof/ceiling area. O _ j. Total skylight area..... b k. Total roof/ceiling framing area (average IWO 1. Total net insulated roof/ceiling area ~s~!•fe _ Determine "U" value for each roof/ceiling sugmenr_. p X U.. p = d k. /39 y X ..U.. O.t = s 1 /o~sri/~ X -U.- fJ~/ _ 3 4 ......Total = f 8 If total of 04 is the same a+ or less than N2, you have/nyyet the intent o/f ' Sac 6006 (c) 1. r 9. 8, G. '9e # 1 y ~3,~ ✓/~h• ' ,l~ s~rc, GooG C~~ ~ Al ernate Building Envelope Design ,To utilize the total envelope system method, the values establish-id by the sum of items R3 and f4 shall not be greater than the sum of items kl and 02. + 2. 3y gs aY~ /s 3. /fps,`9 + 4. 12 ' CITY OF EAGAN Page 1 of 4 PERMIT TO WORK WITHIN CITY PROPERT~Y-/RIGHT-OF-WAY/EASEMENTS 1. Location (J T.3 66 UYcidd ocd, f r.1 , ) 2. Nature of Work S r, , n t z I e r f +e #,n r• L--J-~f ( ~ CT. 3. Indicate below items to be affected and include a sketch or plan of work to be done. 4L Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilities Structures/Buildings other J 4. Method of Installation or Construction jC ev, I /C ~ + A /ovn yf lie hnl./ 5. Work to start on or after: J '1 $ and shall be completed by: 6- l D unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? Q If necessary to detour traffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being established, changed or pdiscontinued. NAME OF APPLICANT yo r Y j j,~ p s 1 ci Lp PHONE 60 b - SCI y~ f f PLEASE PRINT ADDRESS ~3~ U l4lAR oc t re, . ) E /.I /17 jS 1 t3 STREET C 31Y STATE ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK A^ t- t f ei ~o (✓e, CONTACT PERSON: EMERGENCY (24 HR.) PHONE ADDRESS DAY PHONE STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: Title: DATE: ' 6 FOR CITY USE ONLY AUTHORIZATION OF PERMIT FINANCIAL SECURITY: AMOUNT: TYPE: (Cash,bond,LOC,etc.) Fee: $ Receipt No. Permit No. In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: A BY EPT. OF PUBLIC WORKS r E ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND 0 "SPECIAL PROVISIONS" TO BE COMPLIED WITHI THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Permit No. Page 2 of 4 PERTINENT REGULATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Public Works 72 hours in advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operations within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified by the City, shall immediately take the necessary steps, at his own expense, to place the work in condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to Laws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarantee in the amount to be determined by the City which is required to ensure adequate & timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of street repair to protect the City from defects in material, workmanship or non-compliance with City Standards or specifications. Permit No. Page 3 of 4 b. The applicant shall furnish evidence of public liability insurance of not less . • than $100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. C. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction: 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface hall be finished within 48 hours upon completion of backfill 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. C. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general public. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No. Page 4 of 4 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGUTATIONS as stated above and relevant City Ordinances. DATE: ! - SIGNED: Revised 4/93 LTS#I-PERMIT.FM w PROPERTY LINE w 1 1 1 9 4 SAME AS REMOVED (3" MINIMUM) SAME AS REMOVED (e" MINIMUM) TRAILWAY 1. Curb and Cutter shall be removed only after saw cutting at joints and replaced according to specifications or Standard Plate. 2. Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May lst and November 15th for permanent patch. Temporary cold mix patch should be used November 16th to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base. 6. Barricades and warning flashers are to be provided as per MnDOT standards. 7. Bituminous trailway closure requires Type II MnDOT barricades with flashers. 8. Backf ill shall be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. city of eagan STREET AND BITUMINOUS TRAILWAY approved: standard PUBLIC plate 141 WORKS EXCAVATION/PATCH DETAIL 2/92 P_1 DEPARTME .I I t H H 1q ,+p o. tc r-t Z> -Az Q N (n7'ASSY 6t:o~sf N l H Q 3/4 I,x3~ Q SS's w ~ 3rd ~x3a 11 j 5 s~ 1. ~ Ipx SU SST 1 wkl NAME: GAMi C3o51ACK( 14 3&(o 6RAOI)OGI<' rz. EACA,) ONEER SSrL3 H(v8b-8919 WOE37-9-9-IZPSI GPM IDWEST DATE: 3-IS-93 SCALE: =ZOO DRAWN BY: ~IZvI TORO MASTER INSTALLER RESIOENTIALlCOMMENCIAL NC. LARGEST RETAIL DO IT YOURSELF CENTERS IN THE MIDWEST MflllbfP GROVE SQUARE PRAIRIE VILLAGE MA LL TOWN CENTRE SPRINKLER Sl MAPLE GROVE EDEN PRAIRIE EAGAN„~~~ . 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F't" qN 'S, t F.i r7 +a, SP ~ >a p{ ° r ~ ° fr[t ar c i ~CF ``c' v,A n- e y, a } 7 t 7 "7 rya..a~`x" ! a r 4 r p: f xA s ,d t t {r s ~ Tu S ~ Y'~ i1 ' in F' "r~ r•1' P$~ pA! `}W F~ '~~~'~I ± R''R ~ " , t r_. ~A t Use BLUE or BLACK Ink For Office Use I s I ~ ~ C U EaRfl I Permit Ci ty d Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2010 MECHANICAL PERMIT APPLICATION Date: d ~ Ce f Site Address: 4-3 0 ~Y Ala ~~G ~recetl Tenant: V1 ©S l Suite M RESIDENT / OWNER Name: 69CA r t./ 1-3 ©S i r c .C_~ Phone: Address/ City / Zip:4(p lT`~ ~cc gC4 b~ f^~ t CONTRACTOR Name: ✓ c i cc. 'Id < r License Address: / J ~l D2 AXe, 4 S4 city: State: ,_i(/1 Zip: 2 © J Phone: / 63- / [J C~ Contact:(-r f Email: G~Lr~f v ofh Q,~ rvt <c ~~t ce, TYPE OF WORK New ~eplace ent Additional Alteration Demolition Description of work: NOTE: Roof mounted an ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL V-Fumace _ New Construction _ Interior Improvement P" Air Conditioner Install Piping Processed Air Exchanger - Gas _ Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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.ciopherstatoonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in confoon ante with the ordinances and codes of the City of Eaga that I understand his is not a permit, but only an application for a permit, and work i t to rt without a per that the work will be in accordance wit pproved plan ' e ca work which requires a review and approval of plans. J pplicant's Printed Name cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test __ln-floor Heat Final Exterior HVAC Screening Inspection Sep. 21. 2013 1 : 2 9 P M Property Claim Solutions No. 1318 P. 1 Use BLUE or BLACK Ink ~ For Office Use f Eap Pelt#: O Ci I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: 7') I Phone: (651)-675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: ,.G311 ner.Y~ Address / City / Zlp: Applicant is, Owner Contractor ' 'w~`~*.,~ii'~' ti•~' Description of work: (n~~ ~~~•n • ,y ~s Construction Cost: Multi-Parnily Building; (Yes I No s;;Rm 3' 1 mra~ Company: i- cs Contact: I.L l1i/Y~ Address: ` Yl J ~K►~L.` C>tr a 4'Coxrlti'a'`ON ir\ State: +~~rrw'":,'` .-i L~Zip: Phone License I :~.:.~.q~;,.~sa.~:.-•~•~'~;~~ Lead Certificate I If the project is exempt from lead certiflcatlon, please explain why: (see Page 3 for additional information) I 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: i Sewer & Water Contractor: Phone MOTE :Plans and supporting doctimenfs that`.' ou"sutimrf' reconsidered to:be: 1.14# nfonr atlon:.Portloiis of e the information ma be classitTed a at.' Y Y s,n:publi0fyou provide specrfic reasons that would permit thta C1ty.to.. : t . : " < :;;;t:aric/uda ha `thQ ' are..traa►e secr"ets:.2; y 1 CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours I before you intend to dig to receive locates of underground utilities. YAyw.aooherstateonecal1.ora i 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 i Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start v^thout a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. i Exterior work authorized by a building permit issued In accordance with the Mlnnesota State Building Code must be completed within 180 j days of permit Issuance. j x Applicant's Print Name Applicant's Ig ure Page 1 of 3 A it PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166192 Date Issued:12/18/2020 Permit Category:ePermit Site Address: 4366 Braddock Tr Lot:3 Block: 1 Addition: Lexington Pointe 7th PID:10-45091-01-030 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David William & Aaryn Arlene Ackley 4366 Braddock Trl Eagan MN 55123 Residential Heating & Air 7454 Washington Ave S Eden Prairie MN 55433 (612) 724-1899 Applicant/Permitee: Signature Issued By: Signature