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1410 Appaloosa Tr CLAIII VOUCIIER - REFUND REQIIF.ST CITY OF EAGAII i CLAMANT GENZ-RYAN PLUNBING & HEATING ADDRESS 14745 SOUTH ROBERT TRAIL ROSEMOUNT MN 55068 Location 1410 APPALOOSA TRAIL f 1c) Bl SHERWOOD DOWNS Receipt No./Date 4193 - 04/09/93 Reason for Refund BUILDING CONTRACTOR HIRED ANOTHER MRCHANTCA7. cnNTRnr TnR_TD DO THE WORK. Type of Refund Electticnl Permit 01-3211 $ Plumbing Permit 01-3212 $ Hechanical Permit 01-3213 $42.00 Surcharge 01-2155 $ Water Connertinn Permit 20-3713 $ Sewer Connretion Permit 20-3743 S -r Account Deposit 20-2252 S /Tll~ Utility Account Over-rayment 20-2250 $ Other: $ S TOTAL $ 42.00 I drCIATO under the penalties or law that this account. claim or demand is just and . that no part of it has been raid. 04/12/93 51r ature Date x?..n~-z£,«~y.. £%&:iF,?9?x>:i...`~'L3'T,.i°gx-`~.vc..a7.^ne+w>oa>c{.<~S<iaA.ax^~a..a .~v'i>..;.. $<>~<r; f« S?i>x,:.d~TTS:xz;:,T^sE. xa7a' ~ '?i'~!44.;~~c'>4 ^n;H`.~x:.ry..w .::;.c<,.;..>o Rte. v.:. ^Y:..:. .,,w~tf<.. ~'.,".:.~o.':"E~~cit<>i%^w F'. 9~a':::£.':CE~ tia~yG'ic.'«ir^',:.. 9+F: ~~~y4+ ~i::S.i::i::w.h:•4• c ~Yai..:<~i!> ,w . 3 ~ z x .y •s e< 1Si+ }'3l":::% > oy>as <~E' ery<°~". „aRn<~<°s•< ,~.>§4.Y.><.,~h~."... ?Sk. `~~gr ~sE;x~,::~E?~..:e°.x°:•<>:r.'6><.~>... '~s`sY%aR;sbM 'A;ya>~;G;.. .3 <e.rn..,`.>.:...<y,„;i.ini ~n~-r.M'Z:,`.F'.o`.>'Tb .T~c.: a<:...,...yx>:^r~ViA':i:a.. r.....1<:Yka<:. S~3c...i,.y u,z .Crc..: n...::, r i..k';.,£3'ato:.:: •o>: <x ca .:.c£•o.rc,??:>:'O:«`:zx?ap?:.<,...:4>.r«yy.. a..c. c,,,;'...<..<.. '::.n.;o o_?:;.c •r.2.3.c :.:.:"3; ~<sy,:.. s: s: r. 5:.,¢..x•.,e k:. a.. •ti,:':..:,. <;xs. F4`. ..`«r. ;:>x$... a.::xr kx 5:i::'aY. a.:...>r.vax3 rF..: e .o,z>. k s:,>..sK.E.~.t~z ?3: r. s. r :ffi "+';u>.<,".°rvp~~£<Ct>Y. ,p;>`~,;$' k~`~av.° ,;•;s~a~ts:~tE:>:ai:i":'s't':`~.`<'.' MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD (6 1 E 55122 (612) ~ 1 75 - 1 PLEASE COMPLETE FOR GLE FAM WE S. , FOR TOWNHOMES AND CONDOS WHEN PERMITS QU FOR UNIT. CONS ION AD -ON` \ f AD ON C ( ~J ATE \ l FEES HVAQ-' 00 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 WAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 2.0 ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL ,J-6 SITE ADDRESS: I"~ ~D f !/J lDO~~` / a/~l OWNER NAME: (Y th AC K (an4 ( TELEPHONE INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP CODE: 55068 TELEPHONE (612) 423-1144 G ATU OF PERMITTEE PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE.REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL _ SHOWER 3.00 9,04 _ WATER CLOSET 3.00 BATH LAVAT RY 3.00 4, t9i9 ! KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 _L FLOOR DRAIN 3.00 1 GAS PIPING OUTLET • minim - i 3.00 .!a 0V ROUGH OPENINGS 1.50 • WATER SOFTENER 5.00 PRIVATE DISP. • Daixty. iic 15.00 U.G. SPRINKLER • home under cons 3.00 ALTERATIONS • to casting 15.00 WATER TURN AROUND 15.00 .50 STATE SURCHARGE 41,06 TOTAL: I SITE ADDRFSC- ~FtI D Awal m a al I OWNER NAME: JO( ~i fIifI- l_16n5ti ~1. __Z0 . INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MN ZIP CODE: 55068 PHONE (612 ) 423-1144 WNATV,RE OF PERMITTEE w 's i~la7AFxt~LgF A:'r i<.., :::''~x:r.'+'r+aa:a'w:«;:£E'o;•.>::';':Y'zx:u:::.>scaA':;.a.y r:g. . aSt:;;tilt iilo.i3 of::"'a`>i~is., ..iH.y~cf: (:S4z;xa:Axai hY:r: 'QA; •i i.Ft~ t. :..;k.y;„•~.,:..a..,..f. .a~ 3i:. tGJ,ei.:a-sy `.:kt>•W q~$.. a St.,k:tE:i;.t )•.Rg4'r k'a''v°'ia ~L1,:., 'ux i`%:i~[:,Yi(✓:.O,:ib: &a~xq:~ : e~:x :a.✓•,4..,~u.;.~.b. ..b:~ ~i'~i: ,+T~'t k ..:f:.:::.33:t,:< .q . .a .':~'.:"¢`y!.y. :d[:.f'>':<`::`:i::i;....'t':u.'.&? >'£a`°:~^. > ..p: a.;.~ mb•.. ~ s. 'C.: i. ..~~...g a: H::, r!:3~'tn~~~ar~i:3':~:. .a A.::...,., • r i.:;'3.. ~._~..t ~'a'~ k ;x . xJat...:„;)~,.'r~.. ~°dZ•.d. 4,•$.x ~;zyt3,: ~>~a:..: a: .e..ro:r.x;oH3-k'$;;E>,._•~.:a.°.i., ,.q•..;....... ,s,'':.'3r,~..r;<s~.. Wr .;y Y~ry . -a.,.+..+.....S., r..>r:; .a:,:.tk.«,ea~aa>p>~.;~eq£:~ t',•~;,.. k „ ~a a ~ ~:x.. » T - •~.::~'ava;`:.:':r;~°£: >:t<r:si ,^{:~ey<"•xc'.~~..~':~~s:; tNs~ >';:a:' ,~°,'~„3`~£~~:~a.; `:aesS<: ar~'•.d'M+,... ~,.~:..5. .t.{aV.t:t:..,.. .c o..r. :n.3>'d Y~YaYQ4'':5:~',l`<A~'~. ta. n:R"~.Y.~„:~~.~`.~ar. 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681A675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - - - - - - - - - - - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE` FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 19.06 ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL 3656 SITE ADDRESS i OWNER NAME.-Jb -ice 1 C TELEPHONE '4S~ ~O (0 3 INSTALLER Z ei & \~I ADDRESS: \ CITY: Vc~ -L V\J STATE: I Y 14\) ZIP CODE: O TELEPHON : ° (00 -0C D 2_- I NATURE OF PERMITTEE _ PERMIT oe'iln'?03 7 CITY OF EAGAN -yj 3830 Pilot Knob Road PERMIT TYPE: B U I L u. N O/~ Eagan, Minnesota 55123 Permit Number: 0 2 0 4 8 1 (612) 681-4675 Date Issued: 03/16/93 SITE ADDRESS: 14110 API't1LUUSA , LOT, 9 BLOCK: SHLPI,'WOU COWINd P.f N.: 10-676!0-090-01 DESCRIPTION: f'6uild'3lao Perini t Type SF DWG Building Woi w '1 "ape NI.W t USC Occupano k-3 M--1 Construction. t"V pe V -N Z0rting R-1 Building Length 66 Bu9.ldi.ng Wid't_h 50 `l V i r1, y REMARKS: s & W PLBR- OFNZ-RYAN i'Lhc~ FEE SUMMARY. VALUATION o1.1 "1 000 Haae Fee PIISCEILbtI`IEOUS _ $1,7114.50 Tian fYe+✓i_ew '4`_:?.. 3E fotnL F-1= $3.706.35 Sii - charge 1; 3.50 AC 1:7so.00 SAC 1. 1G30 'SAC Units 1-1Ll to Lal. 'l CONTRACTOR: - A p p l i. c: a - ST. L I cOWNER: MILLER HOMES. JOE 7.45=.46b3 0002,13L JOI- MILLER HOMES "''SQ WASHING'T'ON OR 341'x9 WASHINGTON OR 204 FAOR,N MN 55122 FA:1AN MN 55122 (617' 459--4663 (61.:.')454-466:3 II 7 hereby dcknowledge Lhat I have read this apptle!'.ion and ,Late th,it: tiie intnrma"aiorl S3 correct and' agree to comply Uri ti all e'wplicrrbTa. StateoP 3jal. Statutes arid City o~ Eagan Ordinances. f1OLf~ I Illll APF' ICANT/PERMITEE SIGNATURE ISSUED Bfl. SI NATUF~' E~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: CU I L 0 1 ill G 3830 Pilot Knob Road Permit Number: 0 ? to 4 3 1 Eagan, Minnesota 55123 Date Issued: 0:3 1116 / f3 3 (612) 681-4675 SITE ADDRESS: APPLICANT: 1.Or: eLO~;~~ LA10 ~1FIIALOOSA Trt N-ILLER HOMES, JOE :,10 RWUOD DOWNS (57.1) 145'-1-4663 PERMIT SUBTYPE: TYPE OF WORK: Sf OWG NEW INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOT 1"NG F"nMI NO I NL t11. AT 10N FINAI F I Pl Ill l1Ci (i cRIAHK J: h W PLBR - GENZ-PY',1?' 1='L136 REACTIVATE - CITY OF EAGAN~ PERMIT 0 1993 BUILDING PERMIT APPLICATION 104it 681-4675 YAR 1 ~ w0 ar~ g-le SINGL & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. 11 COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / -5 Valuation of work 100,JD07 Site Address:/h`/0 a4 a1' ET SUITE # Tenant Name: (commercial only) LOT '7 BLocK _j SU% /J P.I.D. M Description of work: The applicant is: ❑ Owner Contractor ❑ Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company JOE MILLER HOMES Phone ~&4-`f 6G 3 Contractor Address SUITE 204 License # Exp.3"9el City #0002431 State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two da s once ea ha been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Erdinances. Applicant: 92n~ a_ OFFICE USE ONLY BUILDING PERMIT TYPES ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging - ❑.16 Basement Finish ® 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind..Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE x'31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) y- N Basement sq. ft. MWCC System Yes (Allowable) y_ 1st Fl. sq. ft. City Water YNS UBC Occupancy -i 2nd F1. sq. ft. PRV Required Zoning R_I Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length T On-site well Census Code rev Depth On-site sewage SAC Code 01 APPROVALS a~5u5 U6"s 131 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee Vahmtim: $ 0c'S Surcharge Z x 12-, 41 Plan Review GARAGE; 3?_x gZ x704 License v-~ MWCC SAC $;-,w1T; GSA K Ifr, s /0 Bib City SAC 5y X28: 15~z Water Conn. Z X 11 22 Water Meter Acct . Deposit 1534 x I.S~ 23, 01 c S/W Permit as'r F~..ooR; S/W Surcharge Treatment Pl. lhxgc 12. Road Unit I'h><II = tea Park Ded. n Trails Ded. umr= ig34 Copies Other I56ZXoz Vz07134 Total: SAC % 100 SAC Units M32-75i-yj CERTIFICATE OF SIJ ~VEY ~~((((1111 'x1414 -7 X411 RQtt 54. .10 `ate S mob) a _ 48.00 10 r _ ,f qtl - Gar slab' ~.2 I b, P El 900,9 S Top \ r Blk 901.2 3+•00 5 t41 ,Plr 10.00 = ,1.00 S I 3 9 Proposed house 2.00 Bsmt fir Y93.1 IQ \ ~g ` g \ 2200 / I 54.00 \ 110 J Z ( 1iNP \ / Jp 0 co. s / 00 00 lT (P \ N 01 c^ 5 / m e & Scale: 1" = 30' Qro~ Jg\teose~er~s 1410 Appaloosa Trail DESCRIPTION L Lot 9, Block 1, SHERWOOD DOWNS C Dakota County, Minnesota Plat bearings shown o Denotes iron monument B ' r'i, Lu - ~Ex~sting~ Proposed cv EAGAN h~GI ZERING DE T I hereby certify that this survey, plan, or o° report was prepared by me or under my direct o,N supervision and that I am a duly Registered Co Land Surveyor under the Laws of the State of Minnesota. ra-116'V N 005 .71 2039 8p "E Do e V-ntn L" 3 Reg. No. 8140 BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55337 (612) 435-1966 M32-752-93 LOT •VRVEY CnCELIST FOR RESIDENTIAL BUILDING PERMIT APPLICATS N PROPERTY •.1►~t•.= ~ y~ ~ Date of surveys ` DOC NT BT ur»nna 6"D 0 Registered Land Surveyor signature and company 0 building Permit Applicant 0 0 Legal description 0 0~0 Address @~ 0 North arrow and bar scale VE 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 Directional drainage arrows with slope/gradient i. 0 Proposed/existing sewer and water services D Street name 0 Driveway ELEVATIONS Existiac D D sewer service p D Lot corners ❑ Top of curb at the driveway ❑ Elevations of any existing adjacent homes proposed D Garage floor ❑ First floor D ❑ Lowest exposed elevation (walkout/window) D Property corners D ❑ Front and rear of home at the foundation PONDING AREAS (if applicable) D Easement line B'~ D NWL HWL G Pond N designation D 19 D Emergency Overflow Elevation DIMENSIONS ID' D D Lot lines 6 D Right-of-way and street width (to back of curb) D 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) DAD ❑ Show all easements of record and any City utilities within those easements D/ D Setbacks of proposed structure and setback of adjacent existing homes ID~ D Retain' re ements, if any Reviewed J ftme / t ~CLeAs.tnoe HIHHEROTA STATEA11ERrY MP CAI.CULAT101a BASED ON CHAPTER 5 OF THE ~iJ_ I Q I HME"HERH7L M - 1903_ER1TIoH t7 Adoption Effective Owner riGt~5c Phone Date Site Address_ LoT 13L__Oc.j< J, 5", Rwoo-O D 56,uivS Contractor J d~ 1 V~( LC;" N5 t.r Phone Building Classifications Type Al (Single Family 6 Duplex) Type A2 (Residential, 3 stories or lees) (Over 3 stories) (Other) HQTEICoMt1la "Ages 3 and 4 firm-t. HE~I~IHE~RHATI~H `7~"' ~ 1. Building Perimeter ft. 2. Wall height (ground to save) (1 ft. •3. 1. X 2. (above) gross wall area LPL!'5,5- sq.ft. 4. Building dimensions (L) _ X (W) =~5 eq.ft.roof s floor area 5. Sq. foot area of rim joist - Floor joist size (2 X 1a ) _D X _h.~_(Perimeter) _ WLysq.ft. 12 6. Doors - Area 17i4i`_7 Thickness in U. factor !41 Type of Construction Peri a er ft. Manufacturer 7. Total doorfs perimeter v1L~ ft. 1-t 8. Windowes Manuf rer_ State approved - U factor it; If TYPE SIZE (I AREA (Sq.Ft.) NUMBER OF TOTAL EACH 1111ITS SQ FEET 9. Total sq.ft. Glass 10. Fireplace area: Width X Height x = sq.ft. . 11. Exposed foundations Height X Perimeter_L~X_0_~=~ O sq.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE HIHIHAI, CODE ALLOWANCE, IS USED. 12. Framing area = 10% of gross wall area. 13. Gross wall area~I;7 sq.ft. _ Window area A b], sq.ft. U windows = 1 J(e UxA = ISM` Rim joist area A sq.ft. U rim Joist= to_ UxA = S U Door area A ,5 sq.ft. U door area= UxA = /0 11 UxA = Other doors area A ~sq.ft. U other doors= Exposed fndu A (I sq.ft. U foundation= 1b7 ~ UxA = U_ Framing area A 1, V3 ~~sq.ft. U framing area. A:3 UxA - ~ Het wall area A c(L.5 -q.ft. U wall= 119V~ UxA = (13B) TOTAL . . . . . . . . . UxA = 14. Gross wall area x 0.11 (A-1 single family 6 duplex) = allowable UxA/Code (13. above) X 0.23 (A-2 other residential) x .23 (other buildings) x .2e (Over 3 stories) BTUII must be larger than or same .41 U Code 0F. as 13H above A 15. Ceiling framing area (Af) equals lot of ceiling area 15A. Grose ceiling area a (L) x (W) r sq.ft. 15B. Joist area (Af) lot ceiling area X01 sq.ft. 15C., Het ceiling area (Ac) (15A - 15B) sq.ft. U ceiling x Ac A & x U framing x A f A 117(^q x 3 15D. TOTAL U x A... o.., 16. Ceiling area (15A) x 0.026 (A-1 single family 6 duplex) allowable UxA/ Code x 0.033 (A-2 other residential) 50`1 x 0.06 (other) BTUII must be larger than or same A(15A)I x U Code OF. as 15D above HOTEL Use U and A values obtained from pages 1, 3 and 4. GERTMUTIM I hereby certify that I have calculated the "UII factors and °1111 values herein and that the building here described meets or exceeds the state of Hinnesota Energy Conservation Act. Data signature q~r -t UP 22~ ~S rr~n S HI ZU~ c~~~rX~ II L~~ Da wJ 5t- = 8 X44, Z~ s~~- JAR- ~1 ~Z4 ~ U IMUC LNLLULHIM", R VALUE U VALUE inside air film .68 WALL Interior wall • 45 (Nall) U R SECTION Insulation 11.0 ~J 1 Sheathing Z,O(o Skiing (p7 Ar- Outside air film .17 R TOTAL Z3 • O7j _ Inslde.alr film .68,! STUD Interior wall •47 SECTION 4,@ stud R- 4M (p,`j (Framing) U • R Sheathing Z •of0 , Siding Outslde alr film .17 R TOTAL I C> . S 3 a i Interior wall SECTION., Insulation all U R z -f xterlor wall cover Exterior air film' R ..17 R TOTAL Interior ■ir film R- .68 RIM S-~ ( Insulation 19-00 1 JOIST iii Inch soft wood R=1,88 (Rim l) , a Joist) ' Sheathing r-41 Exterior wall covering .101 Exterior air film R- ,17 R TOTAL M • 4(O Interior air film R= .68 Insulation 1 \ Foundation (Fdn.) U n R = \ Exterior air film R- .17 • O 1~ \ R TOTAL 3 , ( 3 Exposed Block _ V 1 „ ' n vni.nn rnnulull 1 n vnl.ub ue1L11111 -USA L~k fish 4 vik site .-I 1'l. 1.'I ~~P 'rnkallt` ~I_~L~ ..i p'IrlLnlll luarl isle rogqgir a1p ank. 11kreklaN'e pl n1U/agllgr ral,k,4 ar Ilnnr alld nlnln,a~ nnQ• Ilall-raa1do1111at dear 1111114111:1all 11,4 nld/IIIIaRI Innk ~l prank (lil 17" nallurake 1,1aak Ile IIIe1114k1a11 ' 14, 1711.aollaruko (,lank Illalllaka,l onren ,70 It 7,0 his 1711 IIg11k11e1gllt 111aak Ilia 17" Ilghlllelgilt blank hulllekrd aurae 14 ,17 It lai all 11 ■111ggI11 gimp" w ,(.171 111k11 ukarll 1116111011 Ohl 11 Ileu1,111 glean Mpg u lliplu glean i , All'eukarlar ' VR'oc ■rr rrbsllu and a d ~1 ~IRV nllln II , rL v}}por h•rrlul (o.lo p•ra ►,ru, rk 1,r on"ll'r u• , • (I.•k+~ rldu) ul Nall,' 1 v■'~•t ,Rrr •rN "664L al llla (lulyull,alollq k11111 I1~h (lays Iln II vallla. I ' 1. . I ' • 1 , „ I ' I ~ 'T' ~'CITP' OF EAGAN PERMIT PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 7 2 3 (612) 681-4675 Date Issued: 04/16/97 SITE ADDRESS: 1410 APPALOOSA TR LOT: 9 BLOCK: 1 SHERWOOD DOWNS P.I.N.: 10-67670-090-01 DESCRIPTION: Building"P,ermit Type DECK 1,Bulldint} W'b jk Type NEW r Census Code'_. 434 ALT. RESIDENTIAL !n it +°x REMARKS: FEE SUMMARY. Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - ERICKSON VICTOR r 1410 APPALOOSA TR EAGAN MN 55123 (612)452-2088 I hereby acknowledge that f have read this application and state that the information is correct" and~'agree to'tbmp y~`with alb.,-applicable State of Mn.- St tutes and City of E~agan',nrdinances. ma, nil APPLICANT/PERMITEE SIGNATURE ISSUE SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681.4675 New Construction Recuirements Remodel/Repair Reouirements ♦ 3 registered age surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions e 3 copies of tree preservation plan it lot platted after 7/1/93 required: _Yes _ No DATE: q-q CONSTRUCTION COST: DESCRIPTION OF WORK: -~1 «K o r c K7 1 fl-Du s - - STREET ADDRESS: III IU LOCSf, I ~~i t I f7l~} 1~ LOT BLOCK f_ SUBD./P.I.D.#:he~~-~N S PROPERTY Name: V k t6k\ F C ' ,,V' V Phone Lbc) -C~ 09 OWNER Street Address LI I U P P( oos 6 -TR4 I City: k) State: ~'ryU zip: SS CONTRACTOR Company: SC Phone Street Address: License City: 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 RECEIVED OFFICE USE ONLY Certificates of Survey Received _ Yes _ No APR 99~ Tree Preservation Plan Received _ Yes _ No _ Not Required BY- OFFICE USE ONLY • a BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 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 n 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex X 15 Deck WORK TYPE 31 New ❑ 33 Alterations o 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS 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. ~T Depth Footprint sq. ft. SAC Code DI Census Bldg Census Unit p APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units M32-752-93 CERTIFICATE OF SURVEY X1414 L' ~9111;]Y Q 10 10 Gar slab a El 900,9 f 5 q~ ` Top 8q\ \ Blk9ol.i *1413 ,0.009 oo 's g Proposed house s.. Bsmt fir 393.1 Ig s ~ `L \ \ R200 / r 51.00 11.00 ~ y I,D ~ y z N J 0 1? N \ n~ NiO.?1 / ~0 N00 ~ a c^ 5 / m Scale: 1" = 30' Qro jeaseme~~s 1410 Appaloosa Trail ,:,RIPTION L Lot 9, Block 1, L rR=~ D SHERWOOD DOWNS Dakota County, Minnesota gy 7 Plat bearings shown pAT 1WX4L -7 -qp 9 o Denotes iron monument ILDING INSP Cl IONS DEPT. °isting, Proposed N I hereby certify that this survey, plan, or 00 report was prepared by me or under my direct mc~ supervision and that I am a duly Registered 10 COUM MM C()Fv Land Surveyor under the Laws of the State v: of Minnesota. ~j /g~71181 ~ 55.71 N 0 ` Y (W Lw ~!A 0'2039" DaaTe 9 9R J99-~ Reg. No. 8140 BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 5337 APPROVED PLANS MUS (612) 435-1966 REMAIN ON JOB SITE k Awn „ r1Z / ✓ L BL CITY USE ONLY RECEIPT#: 9 S 15 p J( 7 ~ SUBD. RECEIPT DATE: 1998 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MIN 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 # 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 ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = O Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL au, sa I hereby acknowledge that I have read this application, state that the information is correct, and agree to compy with all applicable City of Eagan ordinances. It is the applicant's responsibility 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. SITE ADDRESS: 1411() A PAO L O d S A TR, OWNER NAME: COA1NiiF 5.elcASdr✓ INSTALLER NAME: P/9L e LUrnR ma TELEPHONE#: STREET ADDRESS: /,3 / O fl, S T %yTy ST. CITY: aLdomr 6ru. STATE: m~ ZIP: sfva5 7-di i?r - ~1- J--~~ SIGNATURE OF PERMITTEE pry 1 CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 a 2 q 7 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 No Construction Requirements Reaure mots OfteLbe Qnly 3 registered site surreys showing sq. It of lot, sq. ft. of house; and d roofed areas 2.cgm of plan showing footings, beams, joists cart c4 Solvay Reod Y _ N (20% maximum tit coverage allowed) 1'set of Energy Calculations for heated additions Sobs Report T Y N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres P1w Recd _ Y _ N. 2 cow of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on sife septic system Tres Pres Required _ Y N 1 set of Energy Calculations or"ite sew System _ Y --N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selec ion sheet (buildings with 3 or less units) M i nnegasco mechanical ventilation tam Plans are considered public information unless you state the are trade secret and the reason. Date_. If ;k, / l Construction Cost off. ~{f Do O Site Address 1 4410 Loo 3 z ~f rz I Unit/Ste # k Description of Work ko A - 1!2 . d (n q Multi-Family Bldg - Y L,~N Fireplace(s) - 0 - 1 _ 2 Property Owner r . y, 1,-/-( 2 t u1 Telephone # (6S 7 y Contractor {'h [ ry S~ -/r ,rte f7a u} A-*-)Q S 1 J7t ~G- --r. Q- r Address "1-7t O ~00 U!21(--.s ~r r J e -;L-9 O City G d t 4Q-"k 60 State /"~vk Zip 3` Telephone#(7fo3) SYS--0546 COMPLETE THIS AREA ONLY IF CPNSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category _'1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope 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 approval of plans. /w 6L-P-s1 Q r ,Q eJ Applicant's Printed Name Aippli s Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113247 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 1410 Appaloosa Tr Lot:9 Block: 1 Addition: Sherwood Downs PID:10-67670-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Erik T Klein 1410 Appaloosa Tr Eagan MN 55122 (651) 994-7234 Minnesota Window & Siding 1710 Douglas Dr. #290 Golden Valley MN 55422 (763) 545-0545 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123208 Date Issued:06/02/2014 Permit Category:ePermit Site Address: 1410 Appaloosa Tr Lot:9 Block: 1 Addition: Sherwood Downs PID:10-67670-01-090 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. Linda Jernander 2026 Colburn Drive Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Erik T Klein 1410 Appaloosa Tr Eagan MN 55122 Ron's Mechanical 12010 Old Brick Yard Rd Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature _._ From:Taylor Gable Fax:(763)400-5992 To: Fax: +9 j651 j 6i5-5694 Page 2 of 2 12J16l2015 12:A9 PM ' LJS@ E3Ll��O�'6�.p►�K IPYk ---�,_._.-----------, A For{�i�i.ce Use . � 9 � r, r ���. I F"�rnt�f�i: � ���� ��.����� � 1 � Perrnit f�e: I �$3��'ilc�t:l{nvk� R�i�d t ( ��r.��i�C-G'iN��� �. �e'��e']il.�� �,�J'�hi� . 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