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1583 Antler Pt Use BLUE or BLACK Ink r For Office Us I I Jakh- qqr City EaR n n Permit a of a1 111 ' I Permit Fee: 2 s 3830 Pilot Knob Road Date Rece' ed: Eagan MN 55122 Phone: (651) 675-5675 t✓ I I Fax: (651) 675-5694 I Staff: I I - 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: Phone: RESIDENT / 4,fi g 2 2 OWNER Address /City /Zip: /Jr$ 3 _l.y r 2 44, S.S~j2 11 Applicant is: Owner IV Contractor TYPE OF WORK Description of work: otq~- Construction Cost: 6 Multi-Family Building: (Yes / No Company:Aflwcm (G (adA (IOr%) Contact: AOE R^/Ytes CONTRACTOR Address: /25-/q 01.u,,J y (21t, City: S State: 1't' tJ Zip: ia5FD-7 Phone: -7 ts-~> " y2-0 S /c) License 90j 529 17 . Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 classif<ed 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.orq 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, 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 proval of p x 1 Y o& xlll~ Applicant's Printed Name Applicant's Si ture Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 6339 c. (c. (651) 681-4675 I SITE ADDRESS:' ' APPLICANT: (Y is 1 111 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR, i : . [ t`~1 111!1 t t:►1+.-: Permit Holder Date Telephone • SEWER/ WATER 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: + I (612) 681-4675 SITE ADDRESS: APPLICANT: s I ► 1:1 11+ r ~ ~,rJ t 1. I F: ► i IJi IIIIIVI { { I.Ii+t+l~ 1 ~rIJtJNIiaF' PERMIT SUBTYPE:. TYPE OF WORK: INSPECTION 10-01 AI I+ItJ ~1ht t tJt~ I I!+~ +~tl (Id t': i;i. „ttut,ll 111 ii f t. I rf+'; f+t+J'1 I III I It I t+i w ~I F Permit No. Permit Holder Date Telephone ELECTRIC PLUMBING HIVAC Inapeaw ate Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC J~y-`TG TEST q / INSUL ah GYPBOARD <~U C FIREPLACE FIREPLACEG AR TEST I FINAL PLBG~L FINAL HTG rt o ///~~~I`(((lll ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD MY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i I APPLICANT: .;1 I I t.)Eil!It f IILIi'1F~ttMP (i':• ~ 'i c; "1'3 i PERMIT SUBTYPE: TYPE OF WORK: i INSPECTION TYPE •DATE INSPTR. • TYPE DATE INSPTR. t t rl l3 i r1 l i (I rJ f 7 I E t' i i! ~ l li l hf )i 11111,1{ i, 1 ~t ! t t 11.1 l,1 i t P5f•trF 1=ttt I t L!I rid I ICI I I ! .~t I I I I I . - - - - - - - - - - - - - Permit No. Permit Holder Date Telephone # ELECTRIC ~J PLUMBING /V HVAC EWAL~~ 1-4,r ~ W / 633' 1557 Inspection IlVate Insp. Comments FOOTINGS FOUND '~•r FRAMING ROOFING (may ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ^ 2* f f~ FINAL HTG ~ 7C uJY ORSAT TEST BLDG FINAL 7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 158' ANTT.FR PT Zip 55123 Lot 2 Blk I Sub IH [2[.DOD TbaNE1ws THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) LI/ Permanent driveway C~ Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy FP 2 C O Q C © OFFICsE USE ONLY, This request void 18 monMs hom vaLdahon dare pnrh d in/Y~this bc. V o J /5/0 # 7 to 9il PLEASE PRINT OR TYPE pc~a Regoesf Date Rough-in mspecfion mgmredY s fI No Inspechoa other Than Rough-In ❑ Ready Na ill Call (You man call the snap a revdrl Date Ready 5_:~_ g(o ID I, [Xlicensed contractor ❑ owner hereby request inspecfi of the above electrical Cih Code Job Address (Street, gor, or R.O. No) 1 r rtF 5eceon No Township Name or No Range No Fre No ,curt, wIQ Occupant phone No 6CCd LbLw_ H Power Suppler Addmss IDG A ELych Eleamcol Contractor (Company Name) Conkatlor incense No Mvslar Lc. No (Plant Elect. Only) ~(s~. E C411C nc PYl a Mailing Address (Con"cror or Owner Perform, Installation) 400- fie. Flo ore! m 551443 Authon ,d 5i9nahre (Contractor or Owner Performing Insbllati,x Phone No. J K)A EB-OOOOIA-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONSON BACKOF YELLOWCOPY IIII III III REQUEST FOR ELECTRICAL INSPECTION lO~f Minnesota State Board of Electricity E 1821 University Ave., Rm. -128, t. Paul, MN 55104 * d 26 0 785) * Phone (6122) 642-0800 . ome Duplex Apt. Bldg. Other: ew Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: D er Range Elec. Heat Tem .Service 'x' above the work covered by this request Enter remarks in this space and on the back of the white copy only. isC ( L!nj 4 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Otter Fee # Service Entrance Size Fee # Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 5 0 to 100 Amps Street Lig./fraffic Sig. Above 200 Amps A Amps Transformer/Generator INSPECTOR'SUSE TAL cep Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool i hr ~M t «id d,e elac+nro ~d herein on+he it.,., sword Irrigation Boom Roaghln Dore Special Inspechon nl Date Investigative Fee t.~ a `Yj 7 THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 260 a 7 r oQo OFFlC7 F,ONLY This request void 18 months from vahdahon dale pnnred in 9nspox- 16 / -7 r/~o~^ 9V jjIirl9 q ao PLEASE PRINT OR TYPE I p D Request Yale Rough.in inspectwn regoired2 s 0 No Inspector Other Than Rough-In 0 Ready N. ill Call r~ (You must toll she inspector when ready) Oafs Rea y. f SK I, E~ lice/nsed contractor 0 owner hereby request Inspection of th abov lecfrical w Q° d Job Address (Street, Box, or Roue No) City I58Z Y- & Sedion No. Township Name or No Range No Fire No Count, O.pant Phone No. Cicc,A Power Suppler Address Eledocal Contractor (Compony Noma) Contractor Lmnse No. Maskr he No (Plant Elect. Onlyl I1~" flm lS Mailing Manias lComador or Owner Pedormug iro allahon( Lk)S,D-K3--J stollahon) F~)K, mrJ `541-0 Aulhonzed Signature (Contrador or Owner Periarmug In Phone Na Rom EB.00001A.IO UI? STATE BOARD COPY- SEE INSTRUCTIONSON BACKOF YELLOWCOPY Minnesota State Board of Electricity u • II I II I III~I I Ili lIl l I fII ~~Ill~l' REQUEST FOR ELECTRICAL IM 1821 University Ave., Rm. SA26, St. ul, N 55104 *112607'869* - Phone (612)_642-0800 ome Duplex Apt. Bldg. Other ew Addn Commercial Industrial Farm Remad Re air Air. Cand. Htg. Equip. Wafer Htr. Load Mgmt. Other Dryer Ran a Elec. Heat Temp. Service x' obove the work covered by this request Enter d on the back of the white copy only. Calculate Inspection Fee - This Inspection Request wi not a accepted without the correct fees---- Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall o to 200 Amps t'cj j3 0 to 100 Ampsj - Street Ltg./Traffic Sig. Above 200 Amps Above 100_Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL c~ Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I hnn b c e enncal inslollanon deacnbed here,n on the date inQL Irrigation Boom Bo,ti-In e note l Cr Special Inspection nnl L Date Investigative Fee Fi THIS INSTALLATION MAY BE ORDERE IS CONNECTED IF NOT COMPLETED WITHIN 18 MON H . OFFI E USE ONLY This request void 18 months from voLdohon dole printed in this bay 2 n o 18 7 12 . E{ l~ PLEASE PRINT OR TYPE Request Dab p p Rough m in[pedion regmredt yYes o No Inspeamn Other Than Rough In ❑ Ready Now [3 wit Call Yrr I25 / / / (You must mil the inspetla, when ready) Dab Ready. 1, licensed contractor ❑ owner hereby request inspection of the above electrical work at: lob Address ISl eet, Box, or R/ouk Np) GN ~r Zip Code 15?-? r^7 1 537 7- SMion No Township Nama or N. Ranga No Fire No Covnry ®9 ~o Omupont Phone No W ilk- .5A c✓ 6~/-a3ld Power Sup RRleer Address A- &A- ~/2C ~rrC FvFx r r s/ /4 N/ Elednca1 SP9 Iracror ompany No ) / Canonical License ap Massa Lc. No. )Plant Elea. Only) CElE S/4 t /~^rC ~o . e~ 00 Meiling Address (nlmcro~ar~"'"er Performing Inslolloeon) 4?q(/ /~or7~✓~E7✓ ~r~ 14ew EiL A✓ At 55-12 3. Authorized Signature )Co cbr r Owner Perfonnin Phone No o Sid 5 = ///v EB-OOOOIA-106/95 STATE BOARD COPY EE INSTRUCTIONS ON BACK OF YELLOW COW II`I II f II I II I ~I II I I II III II 'I~ REQUEST FOR ELECTRICAL INSPECTION 7°? Minnesota State Board of Electricity 1821 University Ave., Rm. 128 St. Paul, MN 55104 * 0 2 8 4 L b 7 2* Pkone (8?~) 842-0800 tom, Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Form Remod Re air Air Cand. Htg. Equip. Water Htr. Load Mgmt. Other: D er Range Elec Heat Tem Service "k' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. S 74 WA 7, Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./trafhc Sig. Above 200 Amps Above 100_Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. V, 0. r Alarm/Remote Control Swimming Pool hereb gem that end i .daml oh dasdb d heram oo ~ha dore.:mbd Irrigation Boom floagh-in Dale $pecial Inspection Investigative Fee hnai . THIS INSTALLATION MAY 8E ORDER SCONNEC F, COMPLETED WITHIN MOORS CERTIFICATE OF SURVEY for GOOD VALUE HOMES ~vis~lD EcEV• PROPOSED BUILDING ELEVATIONS Top of foundation q 4C7 Front of house _ 9 9/3. 3 Garage floor W 15 Rear of house ~0S• S Lowest floor -225.7 Walkout _'V4s arrow denotes drainage direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevation BENCHMARK USED: N 82`i3'07f N ~7 /t 37.83 0 7~1- O'Q ~.O.W MLO) J7Y1fJ~T Envelope 106 O'P Z W 0O~ 33 g~iVdin9 29.78 N u D♦D..l`." rL~T L'/A'6 p' Line S 88'52'88' w N 70 Etl:sr 6'493,. m EX]ZtiDEL~ E(.c 909.73 18.41 N• y Drolneg. Z Easement SLIM 1{'L'IZ ~LI~\U iVDETAIL A 5E~VIGFJS Sti.~0WT.7 n r' rwr TO SCALE TN US : I I 16q EAGAN EN~~~ y~31~ SATE nwape Not to Scale 6-- Budding E _ 15' to E SEE DETAIL ~•Q c q 10.00 BWidin Eneicpe N 82 013-07 8.41 88.33 Pa IC )A 8 ~ 9 E.59 2~ O E 0('GU$~ ~Q 6.59 S.s 3.s3 18.47 go 12 20.47 20 O ~ U 1 ~ 0 Z 00 U yO L UC PROPOSED PROPOSED of t~ V a M 12 m 2 TOWNHOME GARAGE ()\a II,C.03 W LLJ - 66.33 5 O 66.33 - t0 O e cD z o O 17.00 PROPOSED o O d, Q t` r PROPOSED GARAGE N to 0 ~ TpWNHOME M m 20 1 on z }2 kP ~ O V m v~ 7.39` M a 3.93 18.47 5 T q i~• a9 20.47 3.5 q~ 12 V1 6.59 1 8.41 913.7 88.33 /5 G 4 q05 .cam 8.41 82°13 07 W BuilAng 9w1npe Q Building velope LEGAL DESCRIPTION NOTE: ALL DIMENSIONS ARE FOUNDATION DISTANCES ( ) = RECORD INFORMATION Lots 1 and 2, Block 1, DEERWOOD O DENOTES 1/2" IRON PIPE & CAP SET TOWNHOMES, according to the plat of L.S. # 23945 record thereof Dakota County, Minnesota. 0 DENOTES IRON PIPE SET I hereby certify that this survey was FOR BUILDING OFFSET prepared by me or under my direct ❑ DENOTES WOOD LATH SET supervision, and that I am a duly FOR EXCAVATION ONLY Licensed Land Surveyor under the DASHED LINE DENOTES DRAINAGE laws of t tate of Minnesota. AND UTILITY EASEMENT AS PER PLAT. PASSE ENGINEERING. INC. REGISTERED PROFESSIONAL *LAND SURVEYORS Donald E. Sigety, MN L N . 3945 9445 EAST RIVER ROAD, SUITE 203 D Q COON RAPIDS, MN 65439 Dote: II Tat. (812) 765-8240 Fax. 612) 766-1862 ;~EVISEC) /1//-3" f 13 S JOB N0: 93-34 SCALE: 1 INCH =--29--FEET FIELD BOOK: /0 PAGE: S9 DRAWN BY: CKP DFERCRTI.DWG W LOT SURVEY CHECKLIST FOR RESIDENTIAL o BUILDING PERMIT APPLICATION W W W m PROPERTY LEG a W DATE OF SURVEY: d m U LATEST REVISION: u o ~ ~ Z Y DOCUMENTSTANDARD 91-.10 ❑ Registered Land Surveyor signature and company ❑ Building Permit Applicant 0 Legal description ❑ Address ❑ ❑ • North arrow and scale t"~❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) W ❑ • Directional drainage arrows with slope/gradient % C1 Proposed/existing sewer and water services 8 invert elevation D • . Street name ❑ ❑ • ' Driveway ELEVATIONS Existing ❑ Sewer service 0 • Property comers M"10 ❑ • Top of curb at the driveway ❑ Me" • Elevations of any existing adjacent homes Pro s m"'63 ❑ • Garage floor P"13 ❑ First floor ~9 13 Lowest exposed elevation (walkout/window) p/ ❑ • Property comers ❑ ❑ Front and rear of home at the foundation PONDING AREA-Cif apolcablel ❑ Easement line E3 ❑ t NWL ❑ ~~My • HWL ❑ • Pond # designation C3 [3~ ❑ • Emergency Overflow Elevation DIMENSIONS 0 ❑ • Lot lines/Bearings & dimensions tt C ❑ • Right-of-way and street width (to back of curb) IY13 1 • Proposed home dimensions including any proposed decks, overhangs greater than r, porches, etc. Q.e, all structures requiring permanent footings) ❑ • Show all easements of record and any City utilities within those easements ❑'~p Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ B' ❑ • Retaining wall r Ireme Reviewed: Name / Date July tags PERMIT (2RD5a-07 CI~~( OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 6 0 (612) 681-4675 Date Issued: 12/01/95 SITE ADDRESS: 1583 ANTLER PT LOT: 2 BLOCK: 1 DEERWOOD TOWNHOMES DESCRIPTION: (ZERO LOT LINE) B.uilding'.Permit Type SF DWG Building Work Type NEW UBC Occupancy--, R-3 Construction Type V-N Zoning R-3 Building Length 28 Building Width 66 Building stories 2 t REMARKS: DUPLEX WITH LOT 1 S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $130,000 Base Fee $1,037.25 MISCELLANEOUS $1,892.50 Plan Review $363.04 Total Fee $4,207.79 Surcharge $65.00 SAC $850.00 SAC % 100 SAC Units 1 Subtotal $2,316.29 CONTRACTOR: - Applicant - ST. LIC. OWNER: GOOD VALUE HOMES 17559793 0001583 GOOD VALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 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. L_ - R~91 APPLICANT/PERMITEE SIGNATURE ISSUED Y. SIGNATURE CITY OF EAGAN4/ J" IC 3830 PILOT KNOB RD - 55122 IL01995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681.4675 New Construction Requirements Remodel/Reoak Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 7 energy calculations ♦ 1 energy calculations for treated additions ♦ 3 copies of Use preservation plan If lot platted after 7/1/93 required: _ Yes _ No DATE: f k,12- CONSTRUCTION COST: DESCRIPTION OF WORK: F`°*kE- STREET ADDRESS: HNTLs f ~ +'-t r LOT Z BLOCK 1 SUBD./P.I.D. AIT *601, DvvcE k- Co> / % ' anry aLyt 4 S -~~-57 Ei's PROPERTY Name: Phone OWNER FMIT Street Address' Z, v4 , V-2 City: Coq N.7ro~ State: /Lr,j Zip: s-s433 CONTRACTOR Company: C4~ Phone Street Address: License # City: State: Zip- ARCHITECT/ Company: 5" Phone # ENGINEER Name: Registration # Street Address, City: State: Zip: Sewer & water licensed plumber: Ma 1'4 Penalty applies when address change and lot change are requested once permit is issued. 1 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. ~I(I Signatu of Applicant: F~mw~ OFFICE USE ONLY Certificates of Survey Received Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY, BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish 002 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex_ -....3- ireplace ❑ 21 Miscellaneous ❑ 05 SF Misc -0-10' = plex 103 15 De WORK TY 31 New o 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) JBasement sq. ft. 27~ MC/WS System (Allowable) Main level sq. ft. ~/f z 3 f5 City Water UBC Occupancy sq, ft. sss Fire Sprinklered Zoning f sq. ft. PRV # of Stories z t4.5-r• sq. ft. Booster Pump Length Z~s D~ sq. ft. Census Code. io z Depth _(yG Footprint sq. ft. SAC Code Census Bldg / Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCM/S SAC ~12 4c e7 P• City SAC Water Conn. Water Meter G r Acct. Deposit S Permit SAN /w Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APoLICATIDN This supplement is provided to assist the applicant in computing ETTERIOR ENVELOPE AVERAGE "L"' FACTOR INFORMATION. This informa- tion is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the A"FLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION `T4E S'rE'ZL_I t~t~~ OWNER(S) \/A1.U E OM S PHONE _ "75S- '1'193 CONTRACTOR Slat~lE PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area (84-16 2. Total door area 5-7.$ 3. Total sliding glass door area ~4 A 4. Total fireplace wall area 1Z 5. Total wall framing area (average 10%) Zll. Z. 6. Total net wall area above floor 1 ~0 C6'(0 7. _Total rim E.-area: 12 SUBTOTAL: Total exposed wall area above floor. Z ll Z 8. Total foundation window area A Total net foundation area above grade t 4l SUBTOTAL: Total exposed foundation area GRAPiD TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .11 = item I 2 37 . 3 Z C. Determine the Total Exposed Roof'/Ceiling Area as follows: 10. Total skylight area 11. oral roof/ceiling framing area 1 -2 12. Total net insulated roof/ceiling area 112 3,2 „ GRAND TOTAL EXPOSED ROOF CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING ARIA x•a2,~-- Item -II - . S Determine the "u, value of each segment (1-9) and multiply by the area as follows: 1. 1eA .8 x "u" .d.c( 90, ~6 2. x RIURR 7, 3. N1A• x „U„ a. 1Z8 x „U„ .05 = 6.4 5. Zt~ .Z x .,U" 09 1 = 1q.Z 7. x U„ B. iy ~A x 'lull A = N A 9. x „U„ , ADD 1 - 9 FOR TOTAL WALL SEGMENTS = Item III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. NJA x "U" N~ = N~A _ 11. x ,U„ 12. i iZ3.Z x „U., 0ZZ = Z4.-1 ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGMENTS = Item IV -ErPs. T-71 G. If Item No. III is the same as, or less than Item No. 1, you have met the intent of State Building Code 6006(c)2. H. If Item No. IV is the same as, or less than Item No. 11, you have met the intent of State Building Cofe 6006(c)l. I. Add Item No. I Z 3z 32- + Item No. II 3 .3Z = Z b~ J. Add Item No. III 12 g + Item No. IV z (a' = -2r7.5 K_ If- the- sum of Items III and IV are less than Items I and II, you have met the intent of=the-code-for-total envelope system (State Building Code 6000 and MPS 607-3.5. Overall Structure Performance Alternative). The undersigned, as applicant for a Building Permit, hereby affirms the above information has been prepared and submitted ' by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the Building Permit Application. Signature Date Rtataeratrt~m CnaKrsmea- N1I..ola►;w Frtslde+s Dees I~ Rd"am old. Van I6L Wd cams Resf Flnar {led How Applied MF Fl! ~1TE Room Lzotth t1 4 7Ah t 3 }feslLL 0 F FLI K%-Cl 1 RacmIL"Ill Wdtil b lieiglltl C/mdaws and Doon-Craclsav aad Arcs Wmdom and Dmn--Crackarc .ad A+e+ MYI/ l.o/N of YN\I IL w.IN MYl\ N/IPt MN Lwlk MY M~ /f NN m NN IILI.Ir M w//\ N. fl Ma /I YM /I r~Y 1./\Y nI 1.~\/ N~ rL 3 1 z 148 zo z I 0 -z o . Z O 1 I a 13 Ito I ( I I I ICxf.~ &n I I ( ~Coef.l H: lafliratioa I I SD fafiltratioa 1 3 ~ I Sd I ~h$ Clan IZ 41A • L Chan ,,7 h~•QI n51. ap. waH 2,4?- Ems. Man -47 Z I I Net exp. wall IZa. 4 2 i `i m. fret CX;L .rau I z35. 4z : InL wall t I Ins Mall I I I flow Z~•~I Z I ~.n Flom I Z I Z S& G, CC L I J C-2. I -zFN 72 566 Tots! Hta. Total BuL 94-5. Rewired s4• ft. =D.R. o: to. iut. TA- Ludes am& I Rcpuircd so. P r DR or sty. in* WA Lrader area MF FLk Lo5I $A•9SRm=,1 Lcn;in 50 71dt6 1-3 "cirht $ ~F FIJ 6 -T P=rz I LeaFth 13 'Width I. S Iieiy;hh wxdowa and Doom--rrarknge ant Jvea Rtadowr and Doonl..rackage zod Aru 1•'ICi\ bgrnt hL/t YIrd LL. a.Y rIl\L\ hnrkt hd at 3.1n.a [L wnL NI. a e.w. I et mn. I brl.u 1 at ceet w C N~ I et n... I a! xn. I [Irnv I at m/k I s. n I I { I _ I O 16A I I Sn I I I ~ Z I 1 za 11 2 I I I I t 1 I I I !C~-'•1 B17-1 _ i 3 O 1 z i I rla.3 I z I~=f-I E I F?zatioa I I I LEI ra[i~n I Q8'a l I Sy I4915 Clan ~ttt I 141. 14iz1~ EX;L wan I I i wan 13~Z I Net ca. wan i foo I .t I z tz~ ~ win l 2i5 14.21 1 z3c Int. ,can I I Ins Man • ( i I Flom I z60 I z I SZO F mw 1QS 1_2 13~L Cal i ~ 11~q C =l i ia51 Z O 'a ow Hm. 113~o I Taal Eta it 1582 Aegti[zed aq, f- =DR or t,, inL WA Lut,r am& I Rccuircd aC ft. ' D.R. ar sg. Lcadrs area ? FLI(rL J.a.at.t Foom lLenFth -7 Width i 3 i ht Mr-mi ll>t _rox Raotmuxn-th 11 CvleA l Iiei~ht WM6and Tioosi,-Crace:g: and Arca \Wradows and Doan-Craekage and Am r1> I m s/M ( 1 Y t I l l t~ 1 CNCk SA HL I m MIMI A I I/. I CI.CkL I N-. n' 1 13Z 18O I IS •1 t~.8 136 1 So I I +4.3 1 20 I l l tZ1 3ee,I I 13 I I I I I I I I I I I I I I I H~ I ( r I ( ICnef•I = _Ir.>:ltrauoa 11 g,~ I I ( g -3S7 Inbltm6oa 12.3 I I 1176 Clan I t'1 S 14l Al X352 Clam I z~ i4~.~t1 (101 " E=P. Wan I I C;c~ I I =p. wan I l o I I Net =zr- Wan I ZZI .z I 9 I -Z Net czp. wan 1431- IA.ZI inL wan I I Iat wan I I Floor 19 I Z I Z :.em I I ro 112a 2 171 cam- f I 1 t ua! H:a I Z(048 .b Total Btu. Aeoaircd sl t E DR or a3 6 s. WA 1=6W ama ( Rcy..imd sG fL E.DR or sty. ins WA Lcsdc area 1 ~tnt6antripe Lvj. a"...m>moe N16 Iacdatiea ,wrt~ D.ei. 8 risfarrsa. ore c.n lief V.Jl cajus wbt fle.r Kind rb. Aaoii.d 19_ S Fl l LD i✓f Ream Lc" 11 L 711 15, wick $ FU Raaam I LZRI `;S"Idth fiairht m&ws and Doan-CrAC63 a and Arcs Wmd and Does--Gack+R Am wMU "we" h el aee.Y 1 wwaela MwIeG ar et s,...a lL wrr Y~ of MM t M. epaaa et oreer .7m l eew el eer INaY el ewet w. tL 2- 1 3C~ 4 #11E zo I I I ICoei.l Btu 1 1 ICaei.l B 1a61ssatiea I (j I So ci pp InOtratiaa Clam I zo" ~l.ql 952> {MASS '1 I fp, wall Z 1 1 Fs9. wdf Nat eap• wdf I FtZ 1 4.2 80(e . fret am. wdl InL wdf t I I Int. waif Fleas I 1 Now Call 7ZST Z I 4 C 1. Total Btu. 136cr:t .4 Total Btu Rewired sty. ft. D.R. or in. ita. VA- lsader arts I Reauired at- it r D.R or sq. ID>_ WA I -der :rea ~j1= FIA 13CD Z Roar:1 Lenxth 15- i-hh j{ 3 Hz;,-ha Ej F1.1 Roam I Length Width lieiFht iz:ivws and Doors-Gackatti and Aru vrmdowi and Doar>J~ackage and Am 'wapu hYinl he. el Ls.J GL. wne Maau hsYeG hsH Lwel tL was 7JS at e.... 1 et n.ws I nrnu I et a1[;F 1 2, r I NL el MM I .t Mti 11inL et e..ek i. IL 2 1 I I zo Z I I I I I I I I I I I I I I l ~ i I I 1~=•i Btn i I 1 ! 1 f uaf.1 E 1:t anon l a I SD I pop LzSI r ima I I I i CZ= I z4 I 144 . Mau I i I EX;L wall 1 I I E=r- wan I I I Nat =;L wall 171]f> 14.2 I SJt O Net - wnli InL wall I 1 Int. wan • I I I Flow I I I r aear I I C=L I f~is i 3~co ca. 1 I I Tahl Btu 133-1 R . TOW Btu. Rtgtired SC;. fL EMR or ity. ma. VX Leader a a I Remtircd iq fL P.D.R, or iq is. Q c_ Luduor aret~ SF FLI 3 Yf. R it IL=Fth Irj Crtdth 13 I mkt g~ iitiFht wmtiawi and Doon~arsase and Arm waa I heaa'at I he. e2 Lwl ii wra O - Na. H rew en fsw llreY I 1 I I I I I I I Ic,tf.l Es 38q~q .S , ToTA1_ l3ry,5,:I~ _ Isfiitralioa I f ! I ~ ' Class I I E=>s waif 12` `bl ' I _ Nei =cr- wail I •21 l I Z s . Net exp. wall - I I lnL wd Int. wau Moor _ I I I raaaer" 1 I I ZRO Tow Eta I t $1"5,; G Total Btu - i Rto=aed az. EL .D.R or t3. in& WA 1r ,;_r area R tr=d in. L ED.R.or sa- inr_ WA LcL6= arm 1 PERMIT mo.~'O t-1(07 VTIf OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 5 9 (612) 681-4675 Date issued: 12/01/95 SITE ADDRESS: 1585 ANTLER PT LOT: 1 BLOCK: 1 DEERWOOD TOWNHOMES DESCRIPTION: (ZERO LOT LINE) 86ildini Permit Type SF DWG Building W&!'k Type NEW UBC Occupancy',, R-3 Construction Type V-N Zoning - R-3 Building Length 28 Building Width 66 Building -stories - 2 ~y REMARKS: DUPLEX WITH LOT 2 S 6 W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION $130,000 Base Fee $1,037.25 MISCELLANEOUS $1,892.50 Plan Review $363.04 Total Fee $4,207.79 Surcharge $65.00 SAC $850.00 SAC 100 SAC Units 1 Subtotal $2,315.29 CONTRACTOR: - Applicant - ST. LIC. OWNER: GOOD VALUE HOMES 17559793 0001583 GOOD VALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 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 Eag,an,Ord nance.s. 9NIn ~~tr~l1 APPLICANT/PERMITEE SIGNATURE ISSUED SIG UR ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122r 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814676 New Construction Reouirements Remodel/Recair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ I energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies Of tree preservation plan If lot platted after 711/93 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 4 w w u STREET ADDRESS: -Fr' WT LOT I BLOCK I SUBD./P.I.D. 4rR-+- ~•M~m/l~ ~upctX 1-/- Co! PROPERTY Name: `t"L.uJ 1}6A 4 Phone 53 OWNER " T MU Street Address C14`~ iZ l~aD City: Coq N fT/v S State: Zip: S A 3 CONTRACTOR Company: ('64-1 -AS A-i e,I f- Phone Street Address: License City: State: Zip' ARCHITECT/ Company: Phone ENGINEER Name: Registration M Street Address, City: State: Zip: Sewer & water licensed plumber: ~L14'( 1C~~ , *C- Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. f~ Signature of Applicant: OFFICE USE ONLY T~ Certificates of Survey Received Ye No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE w ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish a4:f--02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi 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 _ {ilex Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move 13 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) 1-'v Basement sq. ft. l Z3f- MC/WS System (Allowable) , .v Main level sq. ft. a s 8 City Water UBC Occupancy /Z sq. ft. SS h; Fire Sprinklered Zoning 9 sq. ft. PRV _ # of Stories sq. ft. Booster Pump Length ts.oa sq. ft. Census Code. laz Depth 1 Footprint sq. ft. SAC Code e~ Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License vY zs.ob ° /zJ~ S~- MC/WS SAC j, 2- 3e x i5 = City SAC Water Conn. , sr z n z z f ~d Water Meter = /~o Acct. Deposit S/W Permit S/W Surcharge sz ,2, -4 Treatment P1. Road Unit ®o~,z Park Ded. Zox Z°' °e y° , Trails Ded. Z ys.- 2G. of 6$ Z x/ y, v 3 Other Z Copies /L, 3 3 </Y.33) ' Cl 77~ Sx z y z 97 1 6, Total: 3. L X / v > 3 % SAC SAC Units SLar•Y "CX r` &-0 X i ENERGY CONSERVATION SUPPLEMENT 70 BUILDING PERMIT APPLICATION This supplement is provided to assist the applicant in computing EFI'ERIOR ENVELOPE AVERAGE "L"' FACTOR INFORMATION. This informa- tion is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "e" and "L"' factors used; and to assure construction is per approved plans. JOB LOCATION if'lT4e S'CEr~.L_I tJ(~~ OWNER(S) 6,C10-D s/w_uE ~:LMsS PHONE _ 75S- `t193 CONTRACTOR Sdt--~E PHONE A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 184-16 2. Total door area S~•$ 3. Total sliding glass door area 4. Total fireplace wall area IZ 5. Total wall framing area (average 1DA) 2-11._L 6. Total net wall area above floor 1 10 c6.(o 7. Total rim jdist_area: 12 SUBTOTAL: Total exposed wail area above floor ZII Z 8. Total foundation window area g. Total net foundation area above grade t ,11A SUBTOTAL: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X -11 = Item 1 Z 32 .3 Z C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area 1 Z 4.,~:x 12. Total net insulated roof/ceiling area 112 3,"Z GRAND TOTAL EXPOSED ROOF CEILING AREA 2-A D. Multiply the GRAND 707AL EXPOSED ROOF/CEILING ARIA x•a 2•6- Item II r3`2 . S Determine the "U" value of each segment (1-9) and multiply by the area as follows: 1. teA .8 x "u" -49 90, ~v 2. 57.8 x "u" ,13 7, S 3. x U04 4. IZ8 x "U" OS = b•4 5. 21 x U,. 091 = l q .z. 6. \409, x „U„ ,ate 7. 1 -4. w x 1. U.. B. N A x „U" t~ p = ry A x "U" ADD 1 - 9 FOR TOTAL WALL SEGNENTS = Item III 1. F. Determine the "U" value of each segment (1D-12) and multiply by the area as follows: 10. N/A x "U" 12. 1 1'2. x „u„ 102-2 = 2-4.-1 ADD 10 - 12 FOR TOTAL ROOF/CEILING SEGM--NTS = Item IV 1 4-71 G. If Item No. III is the same as, or less than Item'No. 1, you have met the intent of State Building Code 6006(c)2. •H. If Item No. IV is the same as, or less than Item No. II, you have met the intent of State Building Cofe 60D6(c)1. I. Add Item No. I Z 32- .3-2 + Item No. II 32- •32-- = Z 64. (o 1. Add Item No. III I gq •ti + Item No. IV 2-g. x(7,5 K_ If the_ sum of Items III and IV are less than Items I and II, you have met the intent of_the-code-for total envelope system (State Building Code 6DOO and MPS 607-3.5 overall Structure Performance Alternative). The undersigned, as applicant for a Building Permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents = the information with required plans in support of the Building Permit- Application. Signature t . -s- 3 - Date - Praeaertripa D..aeaa~aa ~ Iasalari/a Cimde.s 1 _ D.ot. Referam OWL Tan 166 Wall C~ R.4 F6w H. Avd~•d 1 T~•~.-YT~TT.T I T9_ MF F1J ~t-t"E Reom1lunftbn4 Wdtk t3 ficieks ~ FFI.I t R.e,oiLea*t6 Z WSdtil i b fieisht' S"rtndeln and Doon--crackaae and Aeea Wmde.n and Doer--Crackare aad Area w a•1. s.wu na• a....a l~ wwaa M«ru a.Pr bra +6 ..Y }la •t HY •t NY 11taae, «!.••a •r. R Na «•.N .t Nw $.raw .1 .A.a N. rL 3 12-4- 4a zo z 3p 0. U. I -z o ~ 2 0 I o al 113 Ito I I ( 1cocf.1 Btu I I 1 oef.1 B: lnfiluation I Zo 50 lnE lvatioe I 1 TO 7-D6 Glau I 7-4 4'1 m Claw 41.9 VI . yip. wall _ ZIAQ I Exp. wall Net wan IZa. 4. 1 9 t-T . N e exn wan I Z3S_ ~k~ , Int. wall 1 1 lat. Wall I I' F,•lar 2 24 ~cl I y Q, Fi..r 12831 Z 156 & cen. I I C-a. 12831_-2 1 566 Total Bm I \Zb1.1 Total Btu. 943: Reavired so. ft. =D.R or sq. us. Gr1L leader area I Required :p. f:. F .R. or sq. mL VA- Laadv area I Ml" FLV- LoS (BATIISRoom I Lea~tla Zo 7,a',b 13 Hci::ht 8 ( Mp FLI 6Zj;,~'r Rrmm l Lnt-tlt 17 'V"dtb 1, S Hci7h L :w:adnks and Dlwrr -ratkage and Area I Windows zad rVem-lackaee and Arri n orm a •l Lw.l t., w.Y waAM bor•a nP et Y•w ta. mek I e4. [L ~1P~1 b.Y I aMM I 1.nI at 0 P. Ir.. r- MP I al Nw I ..Y I tlTbw at 1 I I I Leo 160 I_ 1 40 I5d I I I z I I zo i 1 z i I 3 1 0l z I I 19 Its ( - i I I ICt><=.1 Btu _ 13 I I I !G-3 IZa ICatf.1 E: 1=21tation I I 1 L-51ratnu I a$.31 ISv 1491 j Clam I I Mast 1419 14• AA ^T, wall I I I 1 :-P. wan I I ~G Net cp. Man I !oo 14-z I I L Net e=p. Win 1~y L 'S I ,t `,,Z) I Z T Fat wan I I int. wan . I I I Hoer t Z60 1 Z 1 sz.o F-al,•r IRS-I 2 1390 Total I ~ 1 I6q ca 11%51 139p0 Total Bro. 1 13'01 Total Bta 1~158>; Required sr. ft D.R er sp. in, V-A, Ledder Area I Required jr is FAR ors is W E_ Leader area N"F 1WC1tC(.TALL Room IIt rth --7 V-latb 13 i~bt 8 MFZIDr Fou RtemlLen-tb 1 CTtdth 1 Height' Wmdnws and Doors---Crzeuge and Arr. 1•rndows and Doorv-. Aekage and Ana wa1Y ren[ nP 1u - a are ' - wwu Wore[ l.P ei L..•1 tL wrN ria of .I a" NY 1 larnw .t vet ti c_ MP I •t NYI I arcbn I u a+sek I .e. zz I ! 3Z I So I 1 18.1 I~.a t 1 -3 go I 11q.3 zo i l 1-41-3 1 I 13 I I I I I I I I 1 I i I I I IC:btf•I BW I I r I I I~ef.l B Iaf}aa iaa I I g.7 I I C I q-35- CZ= itntion I Z~,3 I I so 1136 I I-vg, 141x1 BSZ.(e Glass - 12(:; 141.-(11101._ E=r- wan II(~ I I E= wan 110 I I Net at`. wan L. I 2 q Net czp. wan let IA.ZI 340• Int. wan I I Int. wall 1 F)OW I':It 1 -2 1 Z Fkaw I 1461 2 1292 cca...:. 191 11 g z-- cam. ToW l;ra I2EAS-8 ;oral Btu. 1°x$4 Rupeired s:; t r_DR or sq inL WA Leader area Rttr`ircd sr. ft. F-DIL, or sq. int. V O- Lrsder area I P.ratbererip OM&MCk ea Nu Iaadaeisa Grmtfe.s ( Dais Refe:aaa Ow-Bran Ifat. Via caier R.ef Floe Kid H-- Applied S FU 1--pr-T Room Length j I a Width , S }Ie'tld g F1! Ranml IsartL ydd1 Height wmdowt and Deer -Crat~a~e aad Am 7mdwts and Deora--CJack-we -ad Am Ywu NIwM Nr It y~w14 s V YU NYpt M N L+t fL ~w Nw. N NN It MN biM1 al awlt y. R Na R NN 11 ra Iw1Y N Iw1a yfl 14 r8 20 f I I I lCaef.l &e 1 I I I~l•I B lofilyat;oa I~ ISO gZ>CD In@rratine clan, I zO i.ql 16f> Glau 1 FSP• wall Z Exp. wall Net exp. wall ~ C-tZ I -A •zi SO(. . Net tap, wan .Int. wall t I I Int. Wall fleet I 1 F4a I I Coil 1'1ZST Z I ads C 1. I i Total BuL 130ogi . 4 Total Btu. Required sq. It. r D.R. or so. us. VA- Lratier a= I Required so. k. EAR or sq. 6&. QtA Leader arc, gF FLI 13CD 2 Roor.. (Lccgt6 l S Width '13 li ht 8 FLI Room I L cmrth lqj Height wtndoMs end Dcor - rackagc and l+rea Grmao.la znd Docrsl,.rackage and lure ~s`te I Nurwl I ne. It 1+, t. ana a.lau Nlwst t+. s2 LNaI tk (^~a Ne t si a~N Riau 1 0[ an ef. I y. T Na. I of M~ 1 a! I.w. MIX It eraa n 1 2/4 1 9, 1 1 zo Z4 1 I I I f I I i I I I I I I I 1 I I I IC~:.I Bnt I I I I I I~rcl•I f: I=-'~u~n 12 I nl looo I~:~:~n I 1 I I ~ *:?-4 I -i. I 14a . mast I I I wall I z I wan l i I NC Cp. +can 1 X 14.2 1 c a4 Net esp. win 1 I I Iat.rall I I Int. wan • I _ f fl~ I I I Flaw I I r-1 i las I Sao cam. f t i Total Bat- 133-18 . Total Btm 1 Regcimd Sq. ft. EDR or sq. ins. WA L arrr area 1 Reouima sq. ft. EDR or sq ii WA Lzaacr arcs S r- FL I iyn Yf. Room I L meth 1,5 WWrb 13 i ~ht b p- _ lz ;Fl,t Wintiows and Denrs-Craceage and Ana C C~ Z~~~~ NWY NMryt ha.w J--N o- ~n.a Q O . Hs et naN st faN I neat al mwet I y, C I I I I I I I I 1 l I I 1 I i •I Bs _......3ack$q,s T°CAL_ c=0 I Lr.~laation I I I I _ ~ I Claim Fsp_ wall Nei rg WAX 266 1 .21 (I Z S . Net =Co. wall I { I Int. wan ( I Inc wall f I ~'°°r- _ I I Ftam f I I -------11 a T 2 1 3q0 Total Bart 1 15 I S. (o Total Btu- Required sz. ft. E.DR or aq, in& ZYA L=a= ana Rccraired sF ft. EDR. or sa. im. WA Lraaer ate CITY USE ONLY L- BL ~ RECEIPT* 56 4'Q SUBD. Zoays f DATE: '511019& 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings townhomes and condos when permits are required for each unit FIXTURES EACH N.Q. TOTAL Shower 3.00 x I _ - l= Water Closet 3.00 x Bath Tub 3.00 x 1 = 3- Lavatory 3.00 x Kitchen Sink 3.00 x _I = 3 Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x I = 3 - Floor Drain 3.00 x I = 3- Gas Piping Outlet " minimum - 1 3.00 x i = s- Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 33 SITE ADDRESS: L OWNER NAME: Co~ I Ualut INSTALLER NAME: y~ < r I Lz i STREET ADDRESS: ~L U GJ a e CITY: da _ STATE: In - ZIP: C s 3 5- d PHONE ( ) `f9? - a a OFFICE USE ONLY L _ BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681.4675 Please complete for. ~ all oommercial/industrial buildings. multi-family buildings when separate permits are 041 required for each dwelling unit. DATE: CONTRACT PRICE: 'NOOK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES - NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Pyrmd fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: CITY USE ONLY • L- I BL RECEIPT &O SUED. DATE: sllolke 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH M.Q. TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x 1 = 3- Lavatory 3.00 x a = Kitchen Sink 3.00 x = 3~ Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x 1 = 3- Floor Drain 3.00 x I _ Gas Piping Outlet * minimum -1 3.00 x 3- Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license s 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 33 SJ SITE ADDRESS: ~Ar o" OWNER NAME: o r r/ u n 1 INSTALLER NAME: 1J~ 11,,E Q ] c STREET ADDRESS: L CITY: STATE: - ZIP: ss 3 s a PHONE ( ) <lua r> STGNA TOKh L)t IIZ OFFICE USE ONLY L _ BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commercial/industrial buildings. mufti-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REIaA1R DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. s FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: L BL CITY USE ONLY RECEIPT SUBD. /SLPQ 9GCUU9d( ' towiU DATE: io /sue 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x _ Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x _ Water Softener 5.00 x Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: dLJ/~7~GlTi{~ U~4dfi/G STREET AA~DDD``R''ESS: . Air CITY: l.~yri O~" STATE: Zip: PHONE ( ) s-3so v OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commerciallindustrial buildings. multi-family buildings when separate permits are W required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of W r i fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP, PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR M CITY USE ONLY L ~ BL I RECEIPT SUBD. oc ,UTA-4 RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for., . single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH N TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler 'forexisting dwelling 20.00 Alterations ' to existing residence 20.00 = ll!• IU Water Turn Around 20.00 = Private Disposal System ` Dak cry lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL V-jo I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's nssponsibllity to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. I SITE ADDRESS: ezJ OWNER NAME: f INSTALLER NAME: SOUI*,. ticRc WA--a Q TELEPHONE H23-3733 STREET ADDRESS: 3 g'?y /s s cd Sf Zu CITY: fs o SQ IµG~ ^A, STATE: Y" m. ZIP: 551J G 8 SIGNATURE OF P RMITTEE CITY USE ONLY L BL L_ ~ n RECEIPT SWO SUBD. Osysafu 2 L DATE: J_ !P 4 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ' q FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 0 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required @ $3.00 each) ce-3 d/ ► State Surcharge .50 TOTAL SITE ADDRESS: , /~~+~ef''1 OWNER NAME: L~CCd- Vnis-)P ttC~f~CS PHONE M INSTALLER NAMEQ Pma cj -r L STREET AF (fSS~ ~nr)-} ~✓G n- CITY: JC LI j ; ~ 4~_ STATE: rY-)r) ZIP: PHONE M (pI al-) L I S 1 CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercial1industrial buildings. ► multi-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $25.00 minimum fee g[ 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of p nit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE M SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: PLYMOUTH HEATING & AIR CONDITIONING ADDRESS :6909 WINNETKA AVENUE NORTH BROOKLYN PARK MN 55428 LOCATION 1583 ANTLER POINT L2. BI. DEERWOOD TOWNHMOMES RECEIPT DATE 60232/07-03-96 REASON FOR REFUND DUPLICATE PERMIT TYPE OF REFUND ELECTRICAL PERMIT# 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ 30.00 SURCHARGE 2155-9001 $ WATER CONNECTION PERMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITY ACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP REFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER: $ $ TOTAL $ 30.00 1 declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. JULY 23. 1996 Signatu Date E? CITY USE ONLY L ~ BL ~ RECEIPT SUBD. ~BdflL ifOGtK DATE:. 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit X New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00y ► Gas Outlets (minimum of 1 required @ $3.00 each) G/ ► State Surcharge .50 TOTAL/ 1~ a Y1 ~ ~ SITE ADDRESS: MM-~-'- OWNER NAME:C~' (A V-)I' fi PHONE #:~7 " 97Ci~ INSTALLER NAME21t ;rYlQ STREET ADDRESSt~_F CITY: STATE: I^~ 11"t ZIP: PHONE#: J~ OF(PERMITIFEE SUBD 61~ 1 , NEW RECEIPT I tECEIPT DATE 9 7 DATE TO ` SOB OWNER PLEASE BE ADVISED THAT THERE IS A FEE SHORTACS ON THE ABOVE ELIXTRICAL INSTALLATION IN THE AMOUNT OF $ SHORTWE XMT BE PAID WHIT1iIR 14 DAMS. REM US to 30 am circuits- _31 to 100 am circuits, to 100 amo + e l~ r 101 to 200 amo. service- AL FE DU - LESS FEE RECIEVED TOT~f r4F "'°GE' D[IF 2~ PERMII# /1, - ORIG. RECEIPT/ RECEIPT DATE ZZ RETURN A COPY OF THIS FORM WITH REMITTANCE. V iu9D ZV RECEIPT / Z1019 7' ECEIPT DATE WTE TO 0 JON-~Cb~~~UL OWNER a DAP PLZUE HE ADVISED THAT THERE 15 A FEE SHORTAGS ON THE ABOVE ELEMICAL INSTALIATION IN THE AMOUNT OF : SHOlMCE MUST BE PAID WHITHIN 14 DAYS, MARES f ~ 0 to 3Q amo e+~^uits ~rj 31 to 100 am eircuics- 0 to 100 amp so vice 101 to 200 amp. service- TOTAL FE DU LESS FEE RECIEVED TOTAi. FFF 4HORTA D t f c~ PERMIT!- ORIG. RECEIPT! RECEIPT DATE Z RETURN A COPY OF THIS FORM WITH REMITTANCE. v WAIVER OF HEARING #515 Special Assessment Authorization I/We hereby request and authorize the city of Eagan, Minnesota (Dakota County) to assess the following described property owned by me/us: Lots :1 through 30, Block 1 Deerwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit received from the following improvements: ITEM QUANTITY RATE AMOUNT Sanitary Sewer Think 6 Lots $800.00/Lot $ 4,800.00 Water Trunk 37 Lots $835.00/Lot $30,895.00 Stone Sewer Trunk 358,712 sq. & .02/sq. & $ 7,174.24 Storm Sewer Trunk 195,128 sq. ft. .076/sq. ft. $14,829.73 Lateral Benefit Water 899.51 ff. 25.50/ff. $22,937.50 Lateral Benefit Storm C K Sewer 1 Lump Sum 6,224/L.S. 6 22 . 0 TOTAL $86,860.47 to be spread over five (5) years at an annual interest rate of 7% against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. DEVELOPER AND OWNER: GOOD VALUE HOMES, INC., a Minnesota Corporation By: Betty R. Hardle Date Its Chief Executive Officer / 4,41)." By: R Peterson Da Its: sident f DEERWOOD TOWNHOMES r del kip MMA 11 •.r.:;.;:,::: 'iii!.,.. a'•`""" ° FINANCIAL OBLIGATION y;.:•; ' LEGEND tt I * + ~ ,1 ~cF~r 6 onmmnmmin Lateral Benent Water a :....;;;:•::•:::;:;::•t;::• , f I if ~ ec o Lateral Bene1N Storm Sewer _ • • Sanitary Sewer Trunk • ~ Water Trunk Storm Sewer Trunk eevsr a or a a~~• RECEIVED AUG 2 1 1995 RFf:FIVFP AUG 2 1 1QQ5 " STATE OF MINNESOTA ) ) as. COUNTY OF DAKOTA ) 1995, before me a Notary Public on this Al ~ day of n JOHN R. within and for said County, A y appeared" known, who being each by me duly sworn, each did say that PETERSON to me personally they are respectively the Chief Executive Officerandan pre t~ of i00en Waosigned on the corporation named in the foregoing s en Executi of Chief behalf insuument to be the free act and de d of the President e~acknoywlauthority of edged said its Officer corporation. Notary Pu c =-my= APPROVED AS TO FORM: 59 fs APPROVED AS TO CONTENT: Public Works epartment Dated: Se f 7- 2 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SBELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD/wkt 206-12870 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ,J q~ H.. R7(.~`~1t:~;7~3C'?'gi!:$9f.:i, 7R n= r a;:k:~'1~'kX«fMI>IS~Vt9r1:T; Y'`r kr;.:n:k'~.'i$ 7TLj t. fi b X7,1 •;w. ' T 'j MF. t ^f xy, al PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029810 (612) 681-4675 Date Issued: 04/24/97 SITE ADDRESS: 1583 ANTLER PT LOT: 2 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-020-01 DESCRIPTION: (ONE BEDROOM) puilding,,Permit Type BASEMENT FINISH fOuildiwg U,'0xk Type ALTERATION Census Code 434 ALT. RESIDENTIAL F i k s v lam- Sr'or:.~^ ~T ii ( :a. t\T; s4 1 I'ry.7 °~f' ,'~t3~": L~~i^h REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: ~CHWEICH CONST, DAVID 14498808 0003607 STENGER NORMA 3.7160 HAMILTON DR 1583 ANTLER PT LAKEVILLE MN 55044 EAGAN MN -(612) 447-8808 (612)681-0366 I hereby ackn6wledge that I,.halv'e'` read this app Ii oatd.,on and 'Mate= that t'he information is correct and agree to comply'with'all applicable State of Mn. Statutes and City af Eagan ~Drd:a:nans~s. E ` APPMMNPEHMII EE SIGNATURE - SUED V: StGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,~fo, A-0 XJ6 ' CITY OF EAGAN 3830 PILOT KNOB RD • 55122 681.4675 New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plan # 2 copies of plans (include beam 6 window saes; poured Ind. design; etc.) # 2 afte 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 n (J DATE: y / CONSTRUCTION COST: / DESCRIPTION OF WORK: .~rv)S/-1 r5 ~AjISr,/~f?><N7~ STREET ADDRESS: l rP 3 LOT L BLOCK SUBD./P.I.D. P~np?!f1>/~ - ~ktH111D1ttGV PROPERTY Name: '0* STnAl&CW /Vo1~m A Phone uar rwn OWNER Street Address: S~3 G 0 City: f or.~ State: - Zip: CONTRACTOR Company: _~~>1 Tc~lu/t~l~l~ G~wrT Phone Street Address: 17140 AIWIIC76A✓blZ License City: r~li2CL State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit Is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No APR 16 1997 Tree Preservation Plan Received Yes No Not Required BY: OFFICE USE ONLY M ~ BUILDING PERMIT TYPE f ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 1a'" 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi 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 ❑ 15 Deck WORK TYPE ,p/31 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. Depth Footprint sq. ft. SAC Code o i Census Bldg APPROVALS Census Unit Planning Building mt Engineering Variance Permit Fee Valuation: $ 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 C TTY OF EAGAN CASHIER:: TERMINAL NO. 779 DATE. 1.i!./09/98 TIME. 1.31.3-.31. n i ID: NAME:: SUBURBAN GROUP INC 2155 9001 i.O0.00 320 9001 1501 ANTLER PT 16205; 3210 9OUI 1595 ANTLER PT 16205' 32:1.0 9001 1559 ANTLER PT 162.20 :32' 1 001 J563, ANTLER PT 2iic?.25: SE 90.11 1'566 ANTLER PT 1.62.25' ' 32J.n 90101 ANTLER PT 1(;2.i?gi 3210 9001 i`.:i'U ANTLER PT 21.-.'..2$ ' 3010 9001 !571 ANTL.ER,PT 16225, 3210 9001 075 ANTLER PT 162.25 I' CR099222 CONTINUE USER ID: NANCY CONTINUE a , ##W X # hl # K# KW k k K* kkK>k###* CONT:CNUE C'C'( Y OF E AGAN (CASXI.ER2 S TERMINAL, NO: 779 DATE: i1./09/95 TIME: 0:13:33 ,a ID ; NAME: SUBURBAN GROUP INC 32 9001 '1.:579 ANTLER PT 21.12.25 321.1 90101 15HP ANTLER PT EiE.01 321.0 90101 1.583 ANTLER PT 1.62.25 i 3210 9001 1586 ANTLER PT 2:1.2.2 3210 9001. 1.587 ANTPT 162.2 ' 3210 9001. 3989 FAWN WAY 162.2 32:1.0 9001 39f36 FAWN WAY 162.2 a, 3210 9001 39£39 FAWN WAY 02.2 3210 9001 2990 FAWN WAY i6T'..e Total Receipt Amount: 3.,270.5 CRO99222_ USER ID: NANCY 7k**#%k%;%ktk-.#>9;~####~;kNc*M#>KNc*~#>K# #>K#tk$:#>atk>kN~~ n CITY OF EAGAN PERMIT 3830 WiI Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 9 6 6 (651) 681-4675 Date Issued: 17. / 0 9 / 9 8 SITE ADDRESS: 1583 AN I I.EH PI LOT: 2 BLOCK: I DEERWOOD TOWNHOMES P.T.N.: 10-20200-020-01. DESCRIPTION: T.O. & REROOF Baildinq-Permit Type SF IMISC.) Building Wo'r,k Type REPAIR 'Census Code - 434 ALT. RESIDENTIAL REMARKS: TNCLUOESo 1585 FEE SUMMARY VALUATION $10,000 Base Fee $162.25 Surcharge_ _,5_00- Total Fee $167.25 C NTRACTOR: - Applicant - sT. I_:rc. OWNER: S SURBAN EXTERIORS 18818232 4289 OFERWO00 HOMES ASSOC. 9701 PENN AVENUE S 1583 ANTLER PT BLOOMINGTON MN 55431 EAGAN IN 55123 (651) 881--8232 I hereby acknowledge that I havo read this application and state that the information is correct and al7roo to comply with all. applicable State ol- Mn. Statutes and City or Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE Q.WED 6Y: SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) q CITY OF EAGAN I ~O 681-4675 l - ~I 41 Submit followin to obtain necessary ermit Foundation Only New Construction Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) " code analysis (1) " civil plans (2 sets) project specs (1 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calculations (1) not always " Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Forth (1) not always " SAC determination letter from MCIWS - SAC determination letter from MCNJS - SAC determination letter from MCANS - call 602-1000 call 602.1000 call 602-1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) " Electric Power & Lighting Form (1 Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: l WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: c~ UD C~ TENANT NAME: Q~2XC~c~c~L~~CS ~r y lQl/Yld SITE ADDRESS: I J O T~,S F~eX SUITE LOT-BLOCK ` SUED.vsc~r~Cg ~-~H~ P.I.D.# Name: Phone PROPERTY Last r first a OWNERT {p-f l Street Address: 1~'' I' City 0 State: AA, Y) Zip: Company: SV~fb~-t^ 1c~ts Phone CONTRACTOR n n Street Address:p? Q64n t~ ArozS License City Nam"r^. State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer & water): 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. ! v Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance 0 Permit Fee t 2 . as Valuation: $ Surcharge U C) Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size -n- i ----------~j-------- City of Fapn 209 I Permit I ARIA. Permit Fee: 3830 Pilot Knob Road j t > Date Received: a Eagan MN 55122 I ~J l Phone: (651) 675-5675 I to Fax: (651) 675-5694 Staff: RESIDENTIAL PLUMBING PERMIT APPLICATION -13 -3 er Date: 2 Site Address: 1,g 7 J ! 17~ Tenant: / Suite M ~1 RESIDENT / OWNER Name: l~CJ ~1 t?Vro Phone: / 5 - I' J 5 Address / City / Zip: S ) 2Q_ CONTRACTOR Name: License s: Champion Address: 651-365-1340 3670 Dodd Rd. #100 City: Eagan. MN 55123 1329 State: ?iP Phone: Contact Person: 4~L 5 1) I e!n TYPE OF WORK _ New VI (eplacement -Repair -Rebuild Modify Space _ Work in R.O.W. Description of work: r PERMIT TYPE RESIDENTIAL Water Heater -Water Softener Lawn Irrigation -Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) _ Septic System _ Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc,) (includes $.50 State Surcharge) ~n ! TOTAL FEES $ JV 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x )a G. mg~qe~ Applicant's Printed Name APPlicant's Sig f f x t r t' ~ i k k r w vet d3atg 1 < ~ FOR°OFFICE USE s4 ' Revlevuedilly. i ~ ar d+''i { t„r ~4 t7t' F, ~?ltr test L ~~ias'TbsE ' 'Flrtal` w , , . Orouftd dough Id Z RequiredlnspActldns " Under` 00 Use BLUE or BLACK Ink r For Office Use I I I Permit fill City of Ea ~a~ i / aS Permit Fee: lD~ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I j~ I Fax: (651) 675-5694 I Staff: I I J2~013 RESIDENTIAL /BUILDING PERMIT APPLICATION Date: Site Address: J ' / 1 n664 f Unit Name:- tJI- /04),!lj tE9lAtr y SOi I-14 /Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor ~d v~~"L~`} Cis-c'f✓ Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes /No ) Company: Contact: ../('1'n-c G_O'&&.IA-J f~-Tr ~ ~ Contractor Address: City: 11 State: /t-./ Zip: Phone: , Y 20 - 1/ O 7 License .,~6 C ~61 O~y Lead Certificate S 974f lecGclt_~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /(77S 07?6 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 they 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work autho ized by a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of per s ance x q~ '61 Ci X Applican ' nted Name Applicant' ignature Page 1 of 3 IC Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - For Office Use Permit City of Ea~~~ I I Permit Fee: 162 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /~~3 JCS / Unit 40 Z-11- I Name: Z_i 6 ~C v%~a Phone: Resident/ Owner Address /City / Zip: Applicant is: Owner Contractor Description of work: Type of Work d Construction Cost: Multi-Family Building: (Yes Ai / No Company: ✓i~ ~C Contact: Address: ~1176- City: Contractor _ State: ,,//LL,, /'~/Zip: Phone: License 1_*C Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 they 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.orp I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 'Ai `4 el I / C Gy~l . x Applicant's Printed Name Applicant's Signature Page 1 of 3 , r� Use BLUE or BLACK Ink r________________� � � I For Office Use � ' � I Permit#: /���..� I � �' - � � City of �a�a� � Permit Fee: . �� � 3830 Pilot Knob Road �t��� � i3 t�^�� � '' I Eagan MN 55122 � Date Received: " � r�� � Phone: (651)675-5675 I /�,� � Fax: (651)675-5694 I Staff: /1�"� I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � ��^�� Site Address: -s�� �Y1 f"�2� �b I n� �A � Unit#: �� ��� � '��'�� �<. , �#%' > Name: Phone: ;:, � ;esidenU '{�"��'x�,p�� �} Address/City/Zip: ¢ � r� �� � �� `� �'� Applicant is: Owner Contractor �� k��. � � �� _�'(..t�� ►��' ��z��� � �l ` �� � ��'��� Description of work: L � � ��pe 4f Y1101'k �k ` Construction Cost: Multi-Family Building: (Yes /No ) �, ,� ,�� �"� µ��� Company: ...�(�t� ���5'°�ur� C c��Sf. -��JC. Contact: .J't t t �� �, Address: �Q�� ,�. SY�Li'�T S�', City: /,(��P ��a��f � ������: �'.w.:. � State: �"1� Zip: S„6 G ll Phone: 76J o9,��'/9gYEmaiL• �•f-�� ���`�i� � �i✓t . L�r� �` :� � .,-�, �� License#: � � �O `�� o� 3) Lead Certificate#: If the project is exempt from lead certification, please explain why: �j u � 1� ; h ��q l� �-'� 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: Fire Suppression Contractor: Phone: ��"E P��n ., s��ort����dt��rr�e����� ubm�t ar�.. �� '�retl f#� #� ra�i� on��pf �� �. � 5 �m��x be classi�eal as nt�»�pt��a�i� ��oc��rc����le s .r; ��re�so»�: � lc�,p� i t �ity to � x x �� �` s � .,: ,:..� � � � � � v 5 �. s ,�� ��x�� ° �o�c��de=i�� ��lae a +�e �ts.'� � �:r� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X ���� ��PS�'�� X ApplicanYs Printed Name App' nt's gnature Page 1 of 3 ���s � �j/�,-�'�L--�,, -��_ DO NOT WRITE BELOW THIS LINE �,�� �� � SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi �Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation ' �[ Replace _ Repair _ Egress Window _ Water Damage �j, Retaining Wall *Demolition of entire buiiding-give PCA handout to applicant DESCRIPTION Valuation Occupancy .�_ MCES System Plan Review Code Edition �v_1�� SAC Units (25% 100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ���� , Building Inspector � RESIDENTIAL FEES , Base Fee � Surcharge �"" �r� Plan Review ��� �'' �� MCES SAC �✓ ► i � c�ty sac � Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 . �.� � ' � �ERTIFI�ATE C1F SLTRVE� - /���s�� for � � �� � - � GC7UD VALUE H�JMES j�g� ��-�{c-�-��-. ���S� ��' PROPt7SED BUILDI�IG ELEVATIQNS �r-I^��3! �� T�p of foundatian ��� Frant af house _ 9� ��'�- � G Q ro g e f E o o r �,r 5 R e a r o f h o u s e _'� . Q_���'• � Lowest floor �_ �QS•'7 VYalkaut _ __.��F'� �-- arraw denates drainage direction per development ptan. 89UE denotes existing spot efevation 890P denot�s praposed spot elevation - BEIYCHMARK USED: N 82't3b�� � y 37.a3 0 �� o� �tJ.LV /�OlV U�T �,�v01oPe "° � �.�1�F O•� �`,�,�1L1W DOC� 9ut►din9 2e.� � �; 0.�� �►n�; S as�s2 oe' w y �o. �]e.C� �,�" f�[.tsT C,��� e�483,. m E7cTLNDEL`f �.= 9C�-!'.73 tia.a� �- Grotnag�� 1 g jiU�7`�.� 4 � Ecsame�t S��J 17���� � �- ��� �.;� ,� I��erai� A '�,�-°vrc�s 5�owr.� �� � . xos ra scu� • # 1l `,ti l �. i� 'TN US 4 � ���► / � _ � � � ,l� .S Y .�.....�.....�, S�4,� �\ � ., �, \�\`a �A,C:�!►I�T�1lTf��� t�� 6! � �r ,�,�l� � �` �u���aPa Not to sca�e 3AT� -•_- -....�..._.. $-� � . �, �U.� � , �� �EE DETAIL � ' 'S' °� � 2°13 07 g.a, B�►��, �����o. N g8.3� i�4�• a � ��.�s '�A�E �-a t�`�'� 3 .�t,t Q 5.5� 3.as 18.�7 a� Z cr C7 ��� �C U�� � �o.a� � � r 12 `-�.39 2� ` O � � , , yl f LC1 � �,v� , (� � �A � � �Ra�pS�D � �'- t t.Cv3 � M 1z m 2 �ow�°�o�°� cA�AG� �a� . N W . 5 � �rj 66.33 � � � 66.33 � . � � � � � Od pROP�SED "r O � � r 17. p�OppSEt� GqEtt�GE � � � d p .�OWNHOME M m 20 �_.- 1 �, � }Z � � 3 �, �o � � l 7.39�_ � �_ a� � �' a Zo.a� � �.� �s.47 .�; l � -�- 13• � �s.5s /4, 12 �., $� s.�g B.Qi 9r 3.7 88•33 �s� o to " � 4' q,OFj ,� s.at � 82"13�47" � s�,na,�o�,�.,� °�� ��9 �°� LEGAL DESCRf PTION �� �TE: ALL DIMENSEONS ARE FQUNDA710N DISTANC�S � ) = RECORD INFORMATION l.ots 1 and 2. Block 1, DEERWOOQ o ��tvoTEs �/2" IR��I PIPE & CAP SET TOWNHOMES, accord�ng to the plat af �•�• # ��9�5 t-ecord thereof Dakota County, Minnesoto. � DENaTES IR�N PIP� SET I hereby-cert;fy that this surv�y was FOR BUILDI�lG OFFSET p�-�pared by me or under my direct D DENQTES WOOQ LATH SET ' supervision, and that I orn a duly �'�R EXGAVATI�N Of�LY �icensed Land Surveyor under the DASHE� LINE DENOTES DRAINAGE laws of ta e of Minnesata. AND l!7'I�ITY EASEMENT AS PER PLAT. G�T���. PA89E E,�Tt3INEE1tING, INC. REQISTERED pROFE88ItiNAL�LaND SUiiVEY�RS Donald E. 5igety, MN � N . 3945 8446 8A3T RIVEA ROwD, 3UITE 208 Dote; �� � COON RAPIDS. �rr ss�s (( ��V��Q !1 �3 Tet. (61?J 766-68�0 Fax. t6121 7b6-1862 ..• ,1p$ Nd: 93-34 SCALE: 1 lNGH =_�d_FEE7 �'IELD B�OK: /(� PAG�: DRAWN BY; CKP ••,•� . r.,rrr��►raya r..a PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139305 Date Issued:10/18/2016 Permit Category:ePermit Site Address: 1583 Antler Pt Lot:2 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jane E Juntti 1583 Antler Pt Eagan MN 55122 (651) 260-0688 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature