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1071 Briar Creek Rd PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA082108 Eagan, MN 55122 . Date Issued: 03/03/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1071 Briar Creek Rd Lot: 19 Block: 1 Addition: Lexington Square PID 10-45075-190-01 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: Renewal Andersen Kimberly K Vander Hoeven 1920 County Road C West 1071 Briar Creek Rd Roseville MN 55113 Eagan MN 55123 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature BLDG. PERMIT NO. r°~ l 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. r' 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 4 ; 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter r=. 20-2252 Acct. Dep. 20-3713 Water Permit. 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road .30 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DINE: 17 8-' Zoning:.- ~ No. of Units: ilcsl ir3u>z~ Owner: '0:-navt ~ X Address Site Address: 10' Briar_ Cree_ "'wad '1119 Lexingron S, Plumber: Meter No.. Connection Charge. 500. 00rd Size: Account Deposit: 15. 00yd Reader No.: Permit Fee: 10.000d I pree to "Mply With the City of Eege• Surcharge: 156.007)d ees. Misc. Charges: i Total: i _ 'i!7 .aFtPr By Date Paid: Dote cf Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 9175 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: -1 - r Zoning:. No. of Units: Owner: _ - P19t's.~ztiit 476'Y Address: Site Address: 107]'r~j,jar cree1"_ I?nsvi LiA 111 Y&xin-4-to i, icy Plumber: `T 11 -0.30,- rflu bi- 4 I evree to em y with fie City of 16900 Connection Change: 47 5 COW. Ordinances. Account deposit: 1.5 'ajc Permit Fee: I nAPA Surcharge: BY Misc. Charges: Dote of Insp.: Total: Insp.: Date .Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12521 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF 0WG/GAR Est. Value $102, 000 • Date AUGUST 2 ~ , 19 ~ 6 Site Address 1071 BRIAR CREEK 'RO Erect C~ Occupancy R3 Lot 19 Block 1 Sec/Sub. LEXINGTON SQUAB&odel ❑ Zoning- PD Parcel No. 1ST ADD Repair ❑ Type of Const. IIEj- Addition ❑ No. Stories cc THE ROrrXLtJND CO INC Move ❑ Length 44 Name zy.O.BOX Demolish El Depth •i o Address Int. Impr. ❑ Sq. Ft. c City OSSEO Phone 571°0304 - Install ❑ 0: Approvals Fees o Name SAME U a Address Assessment Permit 438.00 City Phone Water & Sew. Surcharge 51.00 Police Plan Review 219.00 57500 F w Name Fire SAC • Address - - Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Ihereby acknowledge that Ihave read this application andstatethatthe Bldg. Off. 3/22/86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks f r ^'Var. Date Copies Signature of Perm ittee _ Total $2e292.50 A Building Permit is issued to THE ROT rtUN D CO INC on the express condition that l all work shall be done in accordance with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing 7 T H.U.C. 7FIA o~lloL/' o Electric 5 L ~V~ v j !t3~a ~d 7 1 t7 ~1 Softener Inspection Date Insp. Comments Footings 1 Footings 11 Foundation Framing Rooting Rough Plbg. Rough Htg. O 94 fed 4kw et&C1. Insul. D 4_ Fireplace Final Htg. Final Pibg. 4 -lS- - ~ G+J Bldg. Final Cert. Occ. Deck.Ftg. Deck Frmg. Well Pr. Disp. E 717? PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block j Sec/Sub ~e ( Res. New Name C'? M ult Add-on Address Comm. Repair C City dC2 +f Phone ~ T Other FIXTURES TOTAL Name A// Kill Water Closet - $3.00 $ c Address Bath Tubs - $3.00 0 City Phone -3 Lavatory - $3.00 ti -T Shower - $3.00 FEES _TKitchen Sink - $3.00 COMM/IND FEE 'm 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM -RESIDENTIAL FEE - $10.00 ~-Laundry Tray - $3.00 Q Floor Drains - $ i MINIMUM - COMM/IND FEE 20.0 - STATE SURCHARGE PER PERMIT _ .50 Water Heater . $11.5 .50 (ADD $.50 S/C IF PERMIT PRICE GOES 7-Whirlpool - ' Gas Piping Outlets - $1.50 BEYOND $1,000.00) r Softener - $5.00 Well - $10.00 Private Disp. - $10.00 t C" Rough Openings - $1.50 k~ SIGNATURE OF PERMITTEE FEE: STATE S/C: 5u FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: r PHONE: 454-8100 Site Address ~ ; < i ' BLDG. TYPE WORK DESCRIPTION 't 1' Lot Block Sec/Sub Res. X New Name i, . ; c r } c ; r `m N Mult Add-on m Address' Comm. Repair c City Phone Other Name FEES c Address , - RES. HVAC 0-100 M BTU -$24.00 p City Phone `•j ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air l ! L) M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # ' Other FEE- 1C J, 'J" S/C: SIGNATURE OF PERMITTEE TOTAL J4"{~ FOR: CITY OF EAGAN PERMIT # . Co MECHANICAL PERMIT 7~~280 CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 3/5 ~e CONTRACT PRICE: PHONE: 454-8100 Site Address Y x BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ResNew Name Ala- Mult Add-on Address ' n W. L A i Comm. Repair c City ~A U Phone Other FEES i Name A i-I og RES. HVAC 0-100 M BTU -$24.00 F" 3 Address b 7 1 R •,4 A. F-' P ADDITIONAL 50 M BTU - 6.00 4 2 (RES. HVAC INCLUDES A/C ON NEW f p City o~_ 44 4-.,~ Phone 691- 1 CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK - COMM/IND FEE - 1% OF CONTRACT FEE ~ Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE -ALL ADD-ON . Unit Heater M BTU REMODELS - 12.00 LL MINIMUM COMMERCIAL FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $,50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) j Other FEE: rs t r✓ S/C:~ SIG I E a TOTAL: S FO ' CITY OF EAGAN CITY OF EAGAN Remarks {S G- `ma c Addition LEXINGTON SQUARE Lot 19 Blk 1 Parcel 10 45075 190 01 Owner Street 1071 Briar Creek Road State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK Ml 1985 5 16.97 1 254.53 0009692 10-12-84 q7rEWEIR LATERAL ben trk 1986 173.65 11.58 15 173.65 C010036 1-28-85 WATERMAIN 68,33 0010036 1-28-85 .eff 1986 68.33 4.56 19 WATER LATERAL WATER AREA 1986 286.41 19-In 1 286.43 0010036 1-28-85 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010036 1-28-85 STORM SEW LAT 1986 513.81 34.25 15 513.81 IT 11 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3830,D' Knob Road P. 0. nx 21199 PERMIT NO.: Ewen, MN 55121 DATE: Zoning: _ No. of Units: Owner. Address: Site Address: Plumber: } p~ b in rte' O r l r'i } i. Meter No.: 3 Size: C `'.00r<' Reader Na.: s~~ ' 1 Gone to comply wkh the City of urcha e . SOnd OrdiwoGae. ® t 11 es: . r 4aeQVTatnI- E~? - 0p~By c l~ Date Paid: Date of Insp.: Inap.: //-7-' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 12521 U_i , BUILDING PERMIT PHONE: 454-8100 Receipt# To be used for SF DWG/GAR Est Value $102,000 Date AUGUST 26 1986 Site Address 1071 BRIAR CREEK ROAD Erect L# Occupancy R3 Lot 19 Block 1 ec/Sub. LEXINGTON SQUARg,odel El Zoning PD Parcel No. 1ST ADD Repair ❑ Type of Const V31 Addition ❑ No Stories Name THE ROTTLUND CO INC Move ❑ Length 44 W P.O. BOX 383 Demolish ❑ Depth 42 o Address - 0 Impr. ❑ Sq. Ft. Ciry OSSEO phone 571-0304 Install ❑ a Name SAME Approvals Fees o $4 Address Assessment Permit $ 438.01 City Phone Water s Sew. Surcharge 51 . 01 Police Plan Review 219.0( F W Name Fire SAC 575. 01 ma Address Eng. Water Conn. 500.01 < W City Phone Planner Water Meter 63 .51 Council Road Unit 290.01 I hereby acknowledge that l have read this application and state that the Bldg. Off . 8/22/86 Tr. PI. 156.01 information is correct and agree to omply wi all applicable State of Minnesota Statutes and City of n Ordi ce APC Parks Signature of Perm Var. Date Copies ittee Total $2,292 - 51 A Building Permit is Issued W THE ROTTLUND CO IN on the express condition that all work shall be done in accordance with all applicabl to of Minn ota Stall City of Eagan Ordinances. Building Official - This request void 10/ay7/8'( -7 18 months from 58540 \Ck, 6 I s~ /sr Addy) ZPV7.ea Request Date - n Fire No. 14 Rough- inIns peal n quired ❑Ready Now WWI Nntily InsPec- hen Reetly -a1..4~ I~ Yes ❑Np 1.11 ❑ Licensed Electrical Contractor I hereby request inspection of above ❑ Owner - electrical work installed at: Street Address, Box or Route No. C O 1 W Yl/ ecuon o. ownship Name or o. Rang¢ NO. County Occy,O I INTI Phone No. Power Supplier Address Electrical Contractor ICOmpaa Name) Contractor-s License No. Mailing Address (Contractor or Owner Making Installation) 090 - ,mil to Q S ti Authorized Signature (Contractor Owner Making Insiallat onl Phone Number TOSS -~~OO MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnna 1 8791 BAg.ttann ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-0e Ilt See instructions for completing this form on beck of yellow copv. 7 p_^ 0 '"X'- 8elow Work Covered by This Request l d o Add Rep. 'TVpe of Sw Id l ng Appliances Wired Equipment Wired Home Range Temporary Service Dgplex~ Water Heater Llghtln, Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pert y thgr ISpeu tyl t r Specify Other Other ompute Inspection Fee Below M Fee Service Entrance Size p Fee F6ed6rarSo1bfeeders # Fee circuits U to 200 Amps 0to 30 Amps 0. 0to 30 Amos Above 200 gmps 31 to 100 Amps 31 to tUU Am s Swimmin Pool Above 100_Ant s Above 100_Am Transtormers Irn gation Booms Partial: Other Fee E1Mrk3 Si s Special Inspection / TOTAL FEE S ~N ~l Rough-in ate I, the ac cal CO Inspector, harsh, Final certify that the above Is~ M inspection has been .K de. This rtai w,old is months from This request vold -3119197 714 Y7 18 months from Rio. o0 C 85587 Request Dafe Fire No.' I 94" -in Inspecti n aired? ~j (~Qeady Now d Will Not ly, Inspec- ❑Yes o T tor When Ready Licensed Electrical Contractor 1 hereby request Inspection of above Owner electrical work installed at: Street Address, Box or oute No. City ~p t A) Owl-, ase e lion No. Township Name or No. Range o. County Occupant (PRINTI Ph a No. l, ~ 11 QQ.1-6 19 K to s'1 '96a7 Pow upplitu Address Q 7t :y- Electrical Contractor (Company Namel ,Contr4`c1ip's License No. ELECTRIC Coe Mailing Address(Contragtq tjr w i to ST. PAUL. 'fU• 55119 Authorized Signature (Contractor war Making Installation) Phone Number MINN O E BOARD OP E RICITY THIS INSPECTION REQUEST WILL NOT / BE ACCEPTED BY THE STATE BOARD Oritllµ lidw e _'S 1821 niv ve.. St. N 56104 -yam / J UNLESS PROPER INSPECTION FEE IS PhonU 1842-0800 I/W Y'/"fp 0-3a ENCLOSED. q REQUEST' FOR ELECTRICAL INSPECTION &Vk ES-00001-05 7~ Ses instructions for comp left no this foam on back of yellow COPY. '"X=' Below Work Covered by This Request Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater LI htin Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other PectY Other spe,,fy) t r you y ter Other ompute Inspection fee Below p Fee Service Entrance Size a Fee Feedefs/Subfeeders a Fee Circuits 0 to 200 Amos 0 to 30 Am s 0 to 30 Am Above 20 _Am )s 31 to 100 Amps 31 to 100 Amps Swinvnin Pool Above 100 Am s Above 100-Amps Transformers irrigation Booms Partial,'Other Fee Signs Special Inspection TOTAL F emerks 8/2> J-7) Rough-in Date 1. the Elec Inspector. hereby ceftifv that the above Final OatR inspection has been -do. This request void 18months tram l 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Reaurements mewsoni, 3 registered site surveys showing sq it of lot, sq ft of house, and L roofed areas 2 copies of plan Car dSurvey Recd _Y N (M maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plain Recd _Y _N- 2 copies of plan showing beam & window sizes, poured found design, etc 1 site survey for additions & decks Tree Pro Required -Y - _N I set of Energy Calculations Addition- indicate ifonsite septic system On-site SepYiq SysEem ....Y _N 3 copies of Tree Preservation Plan if tot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Q-( Dat _ / ` Constr~ujct' n Cost 1 T ~O Site Address Unit/Ste # Description of Work/~ A 6l (d o 1) 1 Y )(Y~c LLD l N-) /~y~"iS~ Multi-Family Bldg _ Y N Fireplace(s)_ 0" 1 _ 2 '(1 (t ~,p( Property Owner ` -\bkx, -Q,\`(1 `aK tN Telephone#(Cj1 )gSOC "----1~~!`f'`/1 Contractor Renewal By Andersen Address 1920 County Rd. "C" West City Roseville, MN 55113 State 651-264-4777 Telephone # ( ) License 420130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 (J submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 2576 plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance Lapproved tan in the case of work which requires a review and ap al of plans. D ITY) pli~ Applicant's Printed Name is Signature By vvr ver LVVy yuV 14. pV ft1d. (OJ D71 rjti(fD ~ ttiMITAL br,"II t47M • ~7! ue re al . aYannay~. . • - June 2MI City of awan 3836 ihlot ICUOb Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pun buildingpennits forRaaewal by Andersea~ Plem allow Eider Jones to Provide this sarviee for us in Bagan. 'litia amltori2ation is valid for any ~e G~ 616141; uutii a ~entewa! by Audersan mattapar y t>rvoltes it in Writing tX I rcgnest this authorization be acoepted-expeditiously, as to not our dally in the building Peanits any further. Please can me if there arc any questions. • I can be ( contacted at 763-502- O7 . Your immyciiatc attention to this matter is a] Fectated. Sinooialy, - - . and R. Rau tistallation Manager Ronowal by Andersen Comoration t'c.: Kmn-haAer Snne~ y Qi 0 (iQAgf1L Dote au°"F,~~~~20~ Received Time Jun. 1. 1:07PM CITY USE ONLY 1 PERMIT 17u ip 3/ RECEIPT DATE: I r f USIDEPTIAL MECII NICAL PUMIT APPLICATION CITYOP EASM 3630'PELOT KNOB 6D' , E AGM MN 55122 651-6$1-4675 Please complete for: ➢ single family dwellings n townhomes and condos when permits are required for each unit Date: ~d - O f SITE ADDRESS: /07/ ''g// r,/QQr C ~C /5 C90C~1 OWNER NAME: Q/Qns VO.8. wn)Anuef a TELEPHONE#: SOc11 ~g~ ~9S17 (AREA CODE) INSTALLER NAME: TELEPHONE r o-1 F~a nn (AREA CODE) STREET ADDRESS: c2O/C eazn J ~ftl)L°y~~ CITY: _ nn STATE: / /!J . ZIP: Place a check mark next to the permit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 eration to existing dwelling unit $ 50.00 • f ace replacement • air exc anger • air conditioner • other Nature of work: ~zLn Y~Lpp°C? 7~8~7//'h~S /ail lSh7~ State Surcharge Total Reminder: Call for inspections. I o ' i u SIGNATURE O PERMITTEE Updated 1/01 CITY O F E A G A ICI PAnr OF FEE AT TIME OF *APPLICATION DOES NOT axoTITuTE C * APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER AND/OR WATER * INSTALLATIONS WILL NOT BE SCHED- SEWER AND/OR WATER CONNECTION * ULID UNTIL PST HAS BEEN * APPROVED. Ir (Please Print 1) PROPERTY ADDRESS: L / LEGAL DESCRIPTION: Lot Block Sub iviSion or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: 1 PRESENT ZONING/PROPOSID LSE: (Mon ear) ❑ CONVERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL Q R-2 DUPLEX (Two Units) INSTITUTIONAL/G(WERBA§NT ❑ R-3 TOWNHOUSE (Three + Units) ( Units) ❑ R-4 APARTMENT/CONX)mINIUm ( Units) 2) NAME:-N C k e 2 S a n( P .I- hf ADDRESS:_P. 0 Q o rr CITY, STATE, ZIP: S C Z t d a h. n~ • -S-c 7 3 PHONE: 41,3,? - S'/ -7 3) NAME. For City Use Plumbers License: ADDRESS: e ,Qh`~ q Active CITY, STATE, ZIP: Expired R Not recorded PHONE: MASTER LICENSE# Stf-Initial 4) •:.1 )Ilia: NAME:- / # C n ri-_t , . l ADDRESS: f,3 a X 3 t 3 CITY. STATE, ZIP: ~S S t° n yy, n/ - S PHONE: J`` J/ L l u y -5) 1 :1 v ~ 1 v • al• • a - a• gat~1•a1 CONNECTION TO CITY SEWER 01CONNECTION TO CITY WATER OTHER ' 6) 1 • r Q PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1 2, 3, 4, ABOVE T (Circle one) 7) C u /e) - ~ - ^I' • Y- Y•i' 7 • • • I • a Ls • 1 Yal 21 1 . • 1 11 Rim .FOR CITY USE ONLY PERMIT # ISSUED 2- Pd w/Bldg. Permit FEES: $ $ / 6 S SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ :3 $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ~5 0 ACCOUNT DEPOSIT - SEWER $ $ S, 6-0 ACCOUNT DEPOSIT - WATER $ /~-o n • v-D $ WAC $ 7~ 7 of ~ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL' BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ~7 tr ZU $ WATER TREATMENT PLANT SURCHARGE $ ` $ OTHER: $ Jr/, cx- TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. Q SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: / U~ 7 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOB SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For ~ F~irrie ~g Valuatio • Date: Site Address /07/ &el4p C'RWV /[D OFFICE USE ONLY Lot Iqz Block / Erect Occupancy ~Q Remodel Zoning ~j Parcel/Sub ~X/NTOrtl ScpycE / S'- Repair Type of Const TTY/ Addition # of Stories Owner 72Y4!E- R0771,-yo GO, /eOC. Move Length Demolish Depth qf3 Address 100, ,~X 38 3 Int.Impr. Sq Ft City/Zip Code DSs~-479 Install 53~s'/o 9 Phone SW- d30 APPROVALS FEES Contractor sfji27~ Assessments Permit y- Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit efo Bldg Off .j4~1 i reatment Pl Arch./Engr. SA F, APC Parks Variance Copies Address TOTAL S U City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ZG~~ ~ = 9~n yes y//8~ ~ 0•A ~ 438•+ 51•+ 219•+ 575•+ 500•+ 63.5+ 290•+ 156•+ 008 2 292.5*+ Y~YII~~M Yrm ODU 6n Q~ NOIM~•IIIIIO MM r~,w. Mo 0 M E Sown Mlp ..w . Mww .rrr.n,y . Sri r«.w • aw .....>w • i.r iw+,r /t L03 3 ✓~v? JPo. W/+w+l. Yrr. Kit/ Certifiawto of Sur w*y forROTT . I ~ UND 4 S. 89 ° 4C'32 " E. NORTH 89s.$ 96.9/ a9as a 1 N o 5 o W wo ~ 11 ~ ,9 Proposed ~ ~ C4• o° z/ No use ~ M o o~ 1 ti O ~J 1 / = o O o 1 Zz.3 I W1 ZZ~; O ~ IO ~p (00 C= 90.9 f • S9 12.5 BRIAR Ck?llll ,QOAD Dcnofec Drainaje j Ufa ii Easemen} Bearings Shown art Assuaed. PROPOSED ELEVATIONS o Denotes Iron Pbmaaent. o Denotes m Foundation Top of Block 8938 Corner Stake. Lowest Floor 88(01 ,em-oDelwtes Existing Elevation. Garage Floor 89°4 A-Dmtss Direction of SuMaca Drainage. LOT 19 , gLorL 1 LEXINGMN SQUARE, Njeofq Couurr/MIUN. Subjecf fo dr4/n 'Q e ; uhh1i casements 1 II.I061, ...IIIP IMI Illi• Y • r.v. r/ u....l r.p.wwl.Hu. of • •rrrq of IA* b•r.M.ie. M /N .Mw ywrl►M I..I, .N of /M I...IIr. N ~ i I wwly w~ .11 rlyfy~l. w.... r..l., If w", /.N W ~ SOW IM11. A..rrr."NO by M Hi. P.I 1~ 'n s uaaw a s a o 01C. - -Ch PuanOw. All Ilya. R~md 5 8G 4Z4 !55 1 A EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION OWNER ~[~TTLV tiD LU SITE ADDRESS CONTRACTOR -5At .1 F DATE PHONE Determine working square footage of each. 1. Total exposed wall area . 2 °t 7 sq. ft. x = 7 = Y~ 2. Total roof/ceiling area U Z sq. ft. 02(cq Total exposed wall area above floor a. Total wall window area (ci5 b. Total door area S c. Total sliding glass door area - d. Total fireplace wall area e. Total wall framing area (average 10%) 1 f. Total net wall area above floor 17/5 g. Total rim joist area 2 `G Y Total exposed foundation area = '2- h. Total foundation window area q i. Total net foundation area above grade 5 3 Determine "U•• value of each wall segment. a. 19) x- Ull ms `f = 10200(~, b. 5 x "u" ,07 3.~C 2 C. - X lull d. X nu" e. X lull ,0'67 = Ifo,6Z f. /71 x.,,u,, <OVa = ~2oa3 g. 2 g ~4 x lull .OS~o = ii, h. X "Un v JET _-{.g~e 1 S 3 X „u„ 007 a L.03 3 ......................................Total , If item # 3 is the same as, or less than item U1, you have met the intent of SBC 6006(c)2. WALL Sla,"1'l,,.. d Ot 4 tlu7:e?: li'2e 10% Of opaque wall area for frame construction Construction { R-Value Interior airt'£ilm 0.68 ! C,C, -P 69 D 045- 3 3. .zue, srciaS (oo$S" t 9. 2 5-/3 2 S NTG- 2..0G, a nslc WALL 5. S/b/Airy vt✓C/c FECr l 0 2 ro 6: Exterior air film 0.17 Total //,!5-" FIG. 111 TOPVIEFV of v ~ QoB~ FRME WALL 1. Interior air film 0.68 _ 2. VL" C,,. r P a u' r o 3. fiUGL iA/61L~ /~LSGG / % bU r:IC. fiz --_.•-Q 5. 5/ U/•fiG O V Eep F EL7' J a 2 6 II r^d4 6. Exterior air film 0.17 Total 2 3r 6 L IJI I~ 1, Interior air film 0.68' :pSeral k 11 _ 2 ''j vsv~ //r'v00. ~ 3 . 12 X . rz't r n f I .•l~(:*'•. •1 I ' 6.15- O, i 1 4..2 S/3 ~ S H't-C-, Z ra v •j'4'~,~-'^~'`'~ Sµ s. /,~W,f/Ca v(s7/z /b•2 eQ, 6. Exterior air film 0.17 `1.lTIC1 i fj-~ Total 2 5.0 5-0 v-0 ty `r ry F' J 1. Interior air film 0.68 6 F~22t rt c~ U U 1 3, 2x-t 9. /2C0-It- /3CaC L /a 1. FS 5. 6• Exterior air film 0.17 Total 13,13 ea7C lily, 77 rr. re 6 I11 ~I K ell 113 FIG. 119 / 1 . FY 1 a ROOF/CEILING yrV Construction 11-value 1.' Interior air film 0.61. 2. " s/0" yY'f- T3 p D ass lUj~l ' 3. aLowv iNSvt 3~,oU VcZ1T Ulf 4. Exterior air film (still Total 3~f,go, L V _.OZS Vented Heat flow.' . i up FIG. #5 1. Interior, air film 0.61 ey; s,--, F.:n. 'CtiL^r-et2*o~n~ec 2. 5 i. C-YT~ Cz~21D 5 - S ---p~a~ -i^. 3. 1,v5clL ovE2r/zU55 3'-f,.j r/~{ 4., Exterior air film (still) _ Total. 3(er~ I UN U, U M- -ffu ~ Heat flow up vented ..FIG. #6.*..1.. 'r• J Inside air film 1 0.6 1 } oS<: . .t. • • . 5. Outside air, film 0. ].7 Total. NOi7-~TL'RTPD Notre: Use additional sheets -if more space is t` needed for details and calculations. Heat 'flow up Total exposed roof/ceiling area = / U 3 Z Total gross roof/ceiling area Z 3. Total skylight area 6 k. Total roof/ceiling framing area 6 Z 1. Total net insulated roof/ceiling area 96 `1 Determine// "U" value for each segg~ment. 1CJ x hull a /q 2,6 1 k. ( 2 x „U„ 6(127 = 1667 1. ~6 `f x lull . 02-5 = 241.1 4 Total = If total of 114 is the same as, or less than 112, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items 113 and 114 shall not be greater than the sum of items 111 and 02. 277.(7 + 2. 2c,.`63 = 30 y. 3. 2+ 4. 2 S.`(/ = 2 3. HEAT LOSS CALCULATION -qd 0 TEMP. DIFF, cwl~rttn cld o C~P sft2( Type certrttntlerl whwmn stone SM BMW Namt . E HEATINI3 f AIR I~ONDITIO/dLtu^ Ill r walls . ln. Strom Avg bin- ceilwq Ina. Gen - Floc FI.I Room (Length Wkhh,?y laid 5Rw .[.5T-Fl.jk;+chthftcgcwnlLwVth 11.5' Widdt Winlbws sn I Doors-Crackap and Ares I-- 1 `l Wit OW Doma-08clui a SOW Asa .3 4, we W.dM t" „,yl„ we. a1 LMMM h. NO. IN,a,,, ~ n1 rw• et L N 1 tl "M Is wax. M Lhiwl ft A lt 8 a 1 35 -.58' Z ZA 16 ~ s } nd~r1 ' Btu coo. Btu Infiltration If-/'q I ]Zen Infiltration Glare Cohn ~O 2 I o U Exp. wall' 0 Exp. wall k Izakjo No exp. wall tam L/n c/ No axp, troll Int. Well S O Z V V IM. well Coiling Collins 1!, x 1 1617 1Z Floor ,3 Fwla 1/:2'114- Z 4 g?pff Tool Btu. Total Btu. 01 F1.1 L:p Raom~la A J Nfidlh tlo&t -VF' .I -LW-W-h 11 3 Wwlth 12 INi t WwWov" Ad Door-Craduga and Area Windows a d Doors-Craekap and Asa No wins worn, w.. w Lwrr n. yI wnw, w•. of Lip" N. a gyn. st.n. L LOkU of "A' o 3a aZS 20 Btu OW. Btu Intimation ioo _Infimatwln (pO U DO Goa 1200 Gr. S~ D Z Exp. wall 30 Exp. WWI -36)c 8 Z D No exp. wall EIVIM, y(eq Nn sxp• wall (82 `T Z$ GInt. wall i Int. well _IVC G bo cl ilwq 1,4x / Coiling (3)W7 2 9 z-loor Floor zzI L y Total Btu. Total Btu. I L 4wdaa l s* F I.I D Room I L.n h I: S wd*h I I 11a tt S `rFI.1 Roam Larislitt ( wwlM "Wim Wt Doors-Oadcega and Ana Wwdowa NO Doors-Crooluip wall LYrrl fi. a.w ,M MIyM N.oth, `a 01 Lw" OL LMoth Now" No. of L7/ M M 0 Z 6 coo. Btu Btu Inf,ltranon ZZ Infimation a. Z Gla;a lay C;0 O Glen 2 /3ov Exp. wall '22, 1 go Exp. well =y"c Na exp, wall No esp. wall 144 Int. wall IM. well c iing 11-4; x 11 ra c llwg I H. 5 x 131 i Z~ L Flaw Floor 131 -ILI LJi Total Btu. Taal Btu. ~~~e or 3 HEAT LOSS CALCULATION .L0 ° TEMP. DIM. narNrne ~0 ~d n/ewDo✓t(IDVfc-fie) TwNoatbuation 4.br Name. WindoMK Storm Sash Street WINES. Ins. C1ty Gdut1 Ins. Floor 1•I g RoomIL Width w FI.I RoomIL (.0 Width W i ws and Doors-Or aekap and Aran wilw om and Doors-dedtya and Area we nM"aM M•qh, he. M 11, h. M "e / M ehM h. he. M 1r,e heyM be. M L1MM N. WO v . "x. Btu Infiltration CoN. &M 0 1 IMiltration Glass (o Od Glass Exp. wall (D?c fj Exp. well K Nat exp. wall Int. well G No tip. well ~ i IM. well Ga X lV c) Ceilbq to ?c r Z L Floor g Total Btu. Total Btu. 2 FI oomlL ~ I IAlidt1 1 t$ FI.I awn I L , 5-Width I. S laid t S;w Windows and Duwe-Crarkap and Arm Windows and Doors -0raekaya and Aran he of wNnM `e. M N wry. he. V# a Mail e Ye. M tNrN h. of - r Btu Daaf. Btu Infibration a o Infiltratlon o LO Exptwall 5-0 ((oaC) Glow V 3° x Exp. well ~U C~ No exp. wan ZdF 3 Net exp.;Nl v Int. well Int. well y_ Ceiling 17 x 13 1 z I Ceiling 1 >r 11. b slow Z L 2 Flow 1 A-4 .3-f Total Btu. I Tetal Btu. 3 - FI.1.s- facet rLength (P WMkh Haight Ii e- I.I Roan L O. WiOM I . S Haight Windows and Dawes-Crseka a and Ana Windawe and Doors-paekap rd Aran hn w" r'~~ he M ~mel h. rr n1 uwr M 1. N. Ms. M 41e Mir us. M Lnerl ry, • N 1 -2 7F 3 d `F 2 In}~hraran Btu fly Goss O / O _ IMiltratMm v ov Glow 14- 9DI CD -SVI Exp. wall Exp. well ~ co Nw GNP. wall I 4/ F-0744 -4.4~ Not mp. well c7,-t t+ Inc. well IM. well Calling )Cj Ceiling O. S K J Floor N g Flair Liz Tout Btu. Total Btu. Z 2 1 ~ HEAT LOSS CALCULATION -1-)o TEMP. JIFF, nw fiama MOIJ New 0Y t Typo Owarvo On I(- window Storm Swh 40lar Name . Walk. Ins. - street coiling hts City Flow Z FI. RpRni width FI.I RownlLan width "my" Winlbws and Door-Crildw a and Aran windows and Done-Cradcpa and Arm No w.me iN»et Ne. N ►teM w1Ne Mw N LMM K A nt M Or M L e1M~ N . rr. Coal. Btu Coal. Btu Infiltration Infiltration _ Gifu p~ Gips Exp. wall la~• S X l Exp. wall Net exp. wall Nst exp. Wall Int. wall Int. wall Gamy K ! f 3 3 Calling Floor Floor Total Btu. Total Btu. FLI RoomlLon th Width Nei t FI.I Room ILan 'h Width HOW" Window and Doors-Cradup and Anr _Window; and Doon small Am Ne e1 me NN i~iN no N MY~ ale. M YM NNaI't rM. N N I4 WY Btu Infiltration Infiltration Gem Gips Exp. wall Exp. wall Nal exp. wall No exp. WWI Int. wall Im. wall Caiing Coiling F bar Floor Total Btu. _ Total Btu. FI.i RoomrLwrath Wkfth Nei t FI.► Rooml Length Width fall 4 Wnxkm" and Door-Crm*ap and Aran windows and Dews -Oradtge and Ana Nn W M Mn Na N h. „ Nw M WMr IN. N LMNI n. ar~i tcw.l i Mu Btu 1nflNlit10I1 n7f it lion Glass Colas E up. wall Exp. WON No exp. Wall Net exp. wall Int. wall IM. wall Cail"q coiling G; Floor Total Btu. Total Btu. of Sri, R -y40 Co (.+Te Y ~ 3~_ g? 4'rtsh ar ~ ihekt#~~' - 'rod( he~c~ gas RESIDENTIAL BUILDING PERMIT APPLICATION _V30 5 0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651.681-4675 New Construction Requirements Remodel ReoairReguirements • 3 registered site surveys showing sq. R of lot, sq. R of house; anr§II roofed Bross • 2 copes of plan (20% maximum lot coverage aWwed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sties; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for addition • 3 copies of Tree Preservation Plan H let platted after 7IV93 Rim Joist Detail Options selection sheet (bldgs with /3 or less units) DATE ca~~ /ZO a~< VALUATION JOB SITE ADDRESS ~D71 1'344 yr Cwcc /i~~ IF MULTI-FAMILY BUILf~I/NG, HOW ANY UN TS? + PROPERTY OWNER ! 11~r2 C~u 4 ;c e✓ !`~r~~° ✓e TYPE OF WORK e 5 % Zce50- Aff FIREPLACE(S) _ 0 2 APPLICANT a ar ~c - ~e L PHONE# 65l b~ 3'98( 7 ADDRESS lO/( ~J G1''e e Ct c~~ ~t ZIP CODE 53`/x_ 3 ER r 365 5O° LELL PHONE # FAX # 0 tc G 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. 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 Or ' anc s. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 S RESIDENTIAL L? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 I a New construction Reaulrements Remodel/Fleoalr Reauhments J . 3 registered sre surveys showing sq. t1. of lot, sq. ff. of house; and 12 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 a home served by septic syeem for additions • 3 copies of Tree Preservation Plan r lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE (n-S-02 VALUATION SITE ADDRESS -7 f 3 r2, 0.2 t~ MULTI-FAMILY BLDG _Y _ N TYPE OF WORK C-` 12-30 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT (22,kw 000 9,0 t -L:4, S _ 4. S~~ v ~eS STREET ADDRESS Z~US P•°0 F-RJ~e _74; I ; &Z STATeA/ ZIP ~ Y TELEPHONE # A96?- ZC7CE-LL PHONE # FAX # ~1 z ~~J Z~ 7 PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR uNEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Pho Mechanical system includes: _ Air Conditioning 00 Heat Recovery System JUN 0 5 2002 Sewer/Water Contractor: Ph e# t By _ f I hereby acknowledge that I have read this application, state that the Information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signature of Applicant ( (f OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated aro2 "70 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consbucbun Requirements RemodellReoair Requirements 3 registered site surveys showing sq. ft of lot, sq ft. of house; and all roofed areas 2 copies of plan showing foolings, beams, joists (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addibons 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition -indicate ifon-site septic system ME 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form rye Date OF f IJ-~. / U l-/ Construction Cost Q'LJO Site Address UnittSte # Description of WorkT (A2j ...Q ii~ /1`j t Multi-Family Bldg _ Y k N \ Fireplace(s) _ 0 _ 1 _ 2/ Property Owner Telephone #CIS O' `t~,") T RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 5511$ City State 651-264-4777 _ Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Catecorv 1 _ Minnesota Rules 7672 (d submission type) Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Submitted Submitted • Energy Em,elope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app val/ofpllaands,. Applicant's Printed Name App icanifs Signature '~•~r, sn•..1, zuv tb. JV rne. tod atl '~h@8U HP.1Y,1RhL f52°@tYUlSt(,7lSfY re fume t 2001 yOfaw'a 3836 PdIof Xmob'Road Bam MN 55122 TO Wbom It may concen. ElderJoues is authorized to phg bnildia Bider ]Ones to Provide this gpermits forRenewai by Andersen. please allow date beyond 616101; until a rbuewal by sAnde> . 7uta amhodzadon is valid for any to the aty- eapteady revokes it in wdit I request tbis sntfioriiation be our Iraildin9 Permits any a~ Please can me if them arc not delay in the g of r contacted at 763-502-4705 any gftWpna., I can be Your immgdiato attention to this matter is - Sinoafely, A - Ond R. Rau dstallation Manager Renewal by Andersen Horatian C'.c: Karn-Fsict~TOnec - _ _ MY MIM RECfl(YE~ T;je ,JUIt. NA' Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use I Permit City of Ea a~ el E I Permit Fee: O 3830 Pilot Knob Road Eagan MN 55122 Date Received: ' T Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y /9.2010 Site Address: Ctir Tenant: Suite RESIDENT/ OWNER Name: ~'-~Yhb2Y+l 5' v-' C6- 140\W(- Phone: 6S1. 34);Z. 0_3/1 Address / City / Zip: 1 071 f3 lrt`W C"a (G, 12-/) Applicant is: Owner t~ Contractor TYPE OF WORK Description of work: Rg. 5 C~ to Construction Cost: 157630 - co Multi-Family Building: (Yes / No CONTRACTOR Name: VV-e% l License a.G S7S-I ~7q Address: S~-GG 81cte1*-*5k,V-(. City: ]~v~~e✓ 6,t" 7 i'c,h~S State: Y\) Zip: S Phone: 6Sl. 6 ~J-_ 6 3 Contact: `.1y✓tC~ft- ✓1 SoEmail: ;5calr'ge~ ktee~~x/zw~ -5 - CC7v-,_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accords a with th:E an in the case of work which requires a review and approval of plans. x ~J Y ICc 1 _ t, c,) X - 6,1)- Ap icant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159682 Date Issued:01/08/2020 Permit Category:ePermit Site Address: 1071 Briar Creek Rd Lot:19 Block: 1 Addition: Lexington Square PID:10-45075-01-190 Use: Description: Sub Type:Residential Work Type:Alteration Description:Garage Heater - See Comments Comments:1/8/20 Per Kaila, they should have pulled a plumbing permit and accidently pulled a mechanical permit. She will call to swap the address. pf Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Jason K Grandell 1071 Briar Creek Rd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163826 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 1071 Briar Creek Rd Lot:19 Block: 1 Addition: Lexington Square PID:10-45075-01-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Jason K Grandell 1071 Briar Creek Rd Eagan MN 55123 (651) 895-4831 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170249 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 1071 Briar Creek Rd Lot:19 Block: 1 Addition: Lexington Square PID:10-45075-01-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jason K & Andrea E Grandell 1071 Briar Creek Rd Eagan MN 55123 Kenilworth Construction 3507 Elmwood Pl Minnetonka MN 55345 (952) 913-5483 Applicant/Permitee: Signature Issued By: Signature