1417 Appaloosa Tr
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SWTT & XSAN NELS01+-H Rj-40q5'5I
' CITY OF EAGAN
t Knob Road, P.O. Box 21-199,
• PHO N E: 454-8100
BUtLDING PERAM'T
.wl
Site Address 14617 LPpAIOASA TR
Lot -L Block _I SeclSub. gHREW
Parcel No.
W Name -- -1DSFP+ m Nit-liw rlwcnrrTTe?r
? Address -I A133 CWDAo AVE -q t
0
City FARMINCI+Ox Phone 431-2001
' Name RARF
t? Address
'- City Phone
Name _
Address
I hereby acknowlege that I have read Ihis application and state that ihe
information is correct and agree to comply with all applicable State ol
Minnesota Statutes ancl City of Eag inance
Signature of Permitee -101,
A Buiiding Permit is issued to: J03EPH !! MILI.88 COl18T
on the express condition that all work shall be done in accordance with all
applicabie State ol Minnesota Statutes and City of Eagan Ordinances.
Building OtfiCial ?
13914
Aeceipt #
OFFICE USE ONLY
Occupancy R?3 11-1 FEES
Zoning .g-A
(ActuaqConst Y? BIdg.Permit 1106¦M
(Nlowable) Y? $urcharge
# of Stories - ?
Length
?
Plan Review ?
DePth 371 SAC, Ciiy tw.Loo
S.F.7otal - SAC, MCWCC 650•00
S.F. Faotprinls _ ??
On Site Sewage
_
Water Conn n nn
e.t?
On site well water Meter 93.?
MWCC Systam ? ?
?
City Water Acct. Deposil .
PRV Required _ S/W Permit 30*?
Booster Pump - SNV Surcharge • ?
Treatment PI 276.
?
APPFlOVALS 00
310
Road Unit 1.
Planner
Council - park Ded.
BIdg.Off. _ Copies
Variance - TOTAL 3,618.
SO
? Permit No. Pertnk Nolder Oata Telephonm N
WATER
SEWER
PLuMBWG
Aw. 77? p7?Y?
H.VA.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
FoundaGon .
Framing
Rooling
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orstat Test
Final Plbg. -9 Plbg.lnspectw - NoGtyPlumber
Const, Meter
EngrJPlan
Bldg. Final
Deck Ftg. 2,2
Deck Fnal
Well
Pr. Disp.
?
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. '
Eagan, MN 55122-1897
.
DATE ' ] 12L
OFFICE USE ONLY
METER ??!!Z 2 J 6 g b D pERMIT DATE 13 / 91
CHIP # 0 2' 3L fiy To PERMIT # 11930
METER SIZE V S?'?Su B.P. RECEIPT # C 12980
ISSUE DATE G- °7 5 - -Yl B.P. RECEIPT DATE 04 / 18 41
PRV - BOOSTER PUMP
SITE ADDRESS 4-. 3 a I LOT -?LOCK ' SEC/SUB
APPLICANT: n s e p h •'? , ' • ? ' i ' ' ? r C' o : ; ; t . . I n c
ADDRESS:
CITY, STATE .3 r m i r_ ; o n? Zip 7-?2- 4
PFiONE: '' 'i 1- 2 0 0 1
, PLUMBER: ?;an:-R y s a
ADQRESS: J-?-1-:i 4 c n R n h p r t T r
CITY, STATE ': n a P rn u n r, PT:Zlp
I PHONE: • 2 3 -'- 14
?
OWNER: _
I ADDRESS:
PERMIT REQUESTED
- SEWER x WATER _ TAPS
- COMM/IND
Y NEW
x RE5IDENTIAL
- EXISTING
1 AGREE TO COMPLY WITH CITY OF ?
EAGAN ORDINANCES
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
CredR WILL NOT be given for Deduct Meters.
I CITY, STATE ZIP
PHONE: SIGNA URE WHEN TER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-6220 FOR INSPECTIONS. FOR STORM
SEWER PERMtTS, CONTACT ENGlNEERING DEPT.
SEWER & WATER PERMIT
CITt Q,F EIjGAN
3830 Pilot Knob Rd.'
Eagan, MN 55122-1897
DATEA p r i 1 1 1, ?, 91
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMIT DATE " * 1 1 ? :"? ?
PERMIT # 1 1y30
B.P. RECEIPT # C 1 ZgSQ
B.P. RECEIPT DATE 38/91
_ PRV - BOOSTER PUMP
,? '' i ? c=: a Y r
I SITE ADDRESS 14
LOT ! BLOCK ? SEC/SUB t' e r w°D'? D° M' ;-' `
APPLICANT: .1"o9ei>:1 ! , rri]ler CQ;-,._Q::. T:2C
11. ,. ?A, ?
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: = e r. z-2vrn
ADDRESS: 14 ? 4 5 S o ':i o' := L!- `:.'r
CITY, STATE ':: o e e m n u n rV? ZI P`
PHONE:
OWNER: _
ADDRESS:_
CITY, STATE
I PHONE: -
ZIP
PERMIT REGIUESTED
X SEWER -r WATER _ TAPS
- COMM/IND RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
I PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING OEPT.
CASH RECEIPT
CITY OF EAGAN ,
3830 PILOT KNOB ROAD ,
EAGAN, MINNESOTA 55122
OATE 19 ?
REcervea
Fnw .
AMOUNT $
(
? CASH
? CHECK
ey
& loo OOLLARS
c ?"'"? ? ?
Pir*-Re copyy
Thank You
? RE:
DATE
APR 18, 1991
17 APPALOOSA Tx (JOSEPH M HILI.ER CONSTRUCTION INC)
x YoufSewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAIL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be complete?d for the following
reasons:
Your Sewer& Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hail. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
' Secretary, Building Inspections Dept.
K4 514 8
319Y
Raquest Date Flre No
? a3 Rough-?n Inapeclion
RewreE
? ReaOy Now AWill NoGtyInspector
/ Yes C No WOen Reatly?
IL I licensed contractor Kowner hereby request inspection of above electrical work at:
Job AtlOress (SWeeL Box or Route N I Ciy
l o a lr.
SecM1an No Tow ip ame orNO Range No Counry
OccupantlPRINT)
f Phone No
f Iso Seo
f
Powarsupolier Aaaress
Eleclrc Conlrac?orlCompany Name) Contractor's 4censa No
m£o r,Jn &11?
Maihng Pdoress IconVanor or Owner Making InstallaUOni
v ?
Autho tl Signature (COnVaeror'Owner Ma'eing InStallaLOn) Poone Number
??f_?? _ 6Y- `o?
MINNESOTA STATE BOARU OF ELECTflICITV THIS INSPECTION REOUEST Wlll NOT
Grigge-Mitlway elEg. - Room S173 BE AGCEPTED BV THE STATE BOARD
1821 Unlvertity Ave., St. Poul, MN 55104 UNLESS PROPEF INSPEGTION FEE IS
Phone(6t2) 642-0800 ENCLOSED.
1'/ c?c3//r,;2- REOUEST FOR ELECTRICAL INSPECTION , °eaaoomaa
o ? Sea br com
msVUCOOns pleting Ihs lortn on back oi yellow mpy Q
??A'?
945148 - 'X" Below Work Covered by This Request ??`
e Atld ReN. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electnc Heating
Apt Butltling Dryer Other (Specdy)
CommJlndustnal Fwnace
Farm Av CondiOOner
O[her (syed(yi CqMractor's RemaMs y/
Compute Mspechon Fee Below?P4'
# Other Fee # Service EniranceSae Fee Circults/Feeders Fee
Swimming Pool 0 to 200 Amps s
TranSformers Above 200 _ Amps $
_ Amps
S1905 InspMOr511se Only i41TAL
trrigauon Booms ?v
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE OflDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MOIJT-HS.
I, the Electrical Inspector, hereby Rougn-io
certiy that the above inspection has
been made. F,,,ai
'
OFFICE USE JNLY ?
This request vaitl 18 monihs fmm
QP/ 3191 -27
p 04409 I' /
Request Date 5-30-91 Fire No RougM1-in Inspedion
FeqwreV
J Ready Now / Will Nordy Inspec[or
AIYes C N. When Reatli
Ia licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Actlress (S:reet Boa or qoule Na I City
1417 APPALOOSA TRAIL EAGAN
SecLO, No Township Name or No Range No coun,v DAKOTA
aPpvahy6V11ILLER CONSTRUCTION PnonQNg12-431-2001
POWer sffXEOTA ELECTRICAL ASSO Address 4300 220TH STREET SW, FARMINGTON
INC co?„a??0416??0 ?
Mae,ng ADOress iCOnlracmr or Owner MaNmg Instellauon)
7630 145TH STREET WEST #214, APPLE VALLEY, MN 55124
amnorvea ign (COmr .inq Instaliauon) Phone Number
612-432-6688
MINNESOTA STATE BO RICITY THIS INSPEGTION REOUEST WILL NOT
Gnqga-Mitlway BIEg - Ro 3 8E ACCEPTED BV THE STATE BDARD
1811 Universrty Ave.. 51. e N 55104 UNLESS PROPER INSP WTION FEE IS
Phone (612) 862-0600 ENCLOSED
/?C2?g/ REQUEST FOR ELECTRICAL INSPECTION "Ir! 'A e?
Cl 7
?$ee mslmclions lor compleLn5 this form on back nt y?Ilow copy Q(/?
"X" Below Work Covered by This Request
"''?<?•?° Q°Z?Q
ew Add Rep TypeolButlding ApphancesWued EqwpmenlWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heatinq
ApL Bwlding Dryer Other (Specify)
Comm./Industnal Fumece
Farm Air Condi4oner
OtM1ersyentyl Gonlrectotk Pemarks
Gompute Inspection Fee Below.
# 1 Other Fee # Service EntranceS¢e Fee # CircurtsiFeetlers Fee
ISwimming Pool ? 0 to 200 Amps 0 to 100 Amps (e'YO
ITranstormers ? Above200_Amps Amps
ISlgns Inspecmrs use Onry TO L
Irngallon Booms
ISpecial Inspechon
lAlarmlCommunication I THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee I COMPLETED WITHIN 18 M THS.
I, the ElecVical Inspector, hereby Ro,i9nm
6
certify ihat the above mspecuon has
been made. F,ai oaie
?. '
?td
7
OFFICE USE 9NLY q'i
Tnis repuest eoltl 18 monlhs imm
Addness: 1417 AYPAL,OpSA 1RAII, Lot 7 Blk 1 Sec/Sub SHEEWOOD DOWNS
These items were/were not complete at the time of the final inspection.
Date: '1/1/91 Yes No Ct/? Tnqpector,
Final grade (6" from siding) ?
Permanent steps - garage j/
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage ?
Porch ?
Basement finish
Deck
Please varify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn £aucet befora
freeze potential exists.
•mmm?n?
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN ND 18g 14
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-810 0 n
p,\
BUILDING PERMIT Receipt # 0 'Y ? ?
?) Ll
Tobeusedfor SF DWG/GAR Est.Value $148,000 Date APR 17 ,1 g 91
Site Address 1417 APPALOOSA TR
SHERWOOD DOWNS
Lot 7 Block 1 Sec/Sub.
OFFICE USE ONLY
Parcel N0. Omupancy R-3 M=1 FEeS
R
1
=
Zoning
w Name T04EPH M M R ON R 1 T7DN (Actuap Consl v-N Bldg. Permn 808.00
o Address 18133 CEDAR AVE S (Ailowable) V=N 74
00
.
Surcharge
City FARM7NCTON Phone 431- 001 Nofstories -
fiz!
PlanReview 525.00
Lengih -
p Name SAMF: Depth SAQCiry 100.00
}
0a AddfQSS S.F Tolal -
65
? 0.00
SAQ MCWCC
Ciry Phone S.F. Footpnnts _
0
660
0
W
l
C
On Ste Sewage _ .
er
onn
a
F
ww Name On Srte Well - 95
00
W
t
M
t
?? Address MWCCSyslem X .
a
er
e
er
Acct. Deposit 30.00
iw Oity Phone City Waler ?
30
00
PRV Required - .
S/N Permit
1 here6y acknowlege that I have read this application and state ihat Ihe Booster Pump -
0
S/yy Surcharge .5
mformatwn is correct and agree to comply wdh all apphcable State of
Minnesota Statutes and Ciry ol Eag ?nance
0
Treatment PI 276.0
Signature of Permitee , ?, APPROyALs
0
Road Unit 370.0
A ewlding Permit is issued to: JOSEPH M MILLER CONST Pianner - park Ded.
on the expreu condition that all work shall be done in accortlance wrth all Council
apphcable Stale of Mmnesota Statutes and City of Eagan Ortlinances. Bmg OH. Copies
Building ONicial 1q ? or d' 1 V Variance -
0
TO7AL 3,618.5
CITY OF EAGAN
3630 PILOT KNOB ROAD
EAGAN,'MN 55122
PHONE:-(612) 454-8100
???MAM
FOR CITY USE ONLY
PERIfIT # e7Z f-
RECEIYT # O
DATE: 5 9
A?5?owTXI?. PLEASE CO?fPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNlIOMES/CONDOS WHEN PERMZTS ARE REQOIRED FOR HACH UNZT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME:
?- n
t?
? 1 /7
SITE ADDRESS:
LOT: ? BIACK I SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. '
ADU[tESS: 14745 5outh Robert Trail
cI'rY: Rosemount, MN zIP: 55068
PNONE a: (6121 423-
C014PLETE THE FOLLOWING;
N0. FIRTURES EA. TOTA1.
ADD-ON MINIMUM 15.00
? SHOWER 3.00 3
? WATER CLASET 3.00 9 -
? BATH TUB 3.00 !o
IAVATORY 3.00
KITCHEN SINK 3.00 3 "
? IAUNDRY TRAY 3.00 ,;L_
HOT TUB/SPA 3.00
?
? WATER HEATER 3.00 3
? FLOOR BRAIN 3,00 .3 "
GAS PIPING OUT.
1 (MINIMUM - 1) 3.00
7?, ROUGH OPENINGS 1.50
? OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
_ U.G. SPRINKLEA 3.00
0
SUBTOTAL S 1/9 5
ST. SURCHARGE .50
TOTAL: $ 50
?
PLEASS COPSPLETE THIS PORTZON FOIt ALL COHI4ERCIAL/INDbSTRIAL BIIZLllINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH
DWELLINC UNIT.
CONTAACT PRICE:
OWNER NAME:
SITE A?DRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FEES
1$ pF CONTItACT FEE.
STATE-SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
" TOTAL:
(SIGNATORE)
$
FOR:
CITY OF EAGAN
CITY OF EAGAN
? 3830 PITAT KNOB RDAD
EAGAN, MN 55122
PHONE: (612) 454-8100
? . .. .. ... ..... .... ...
FOR CITY USE ONLY
PERMIT #
RECEIPT # O ?O
DATE:
W,rb9 N??t1Ty;. PLEASE COMPLETE UPPER
PORTION ONLY FOR SINGLE FAMILY
.::.. .
..,-... .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME : r,1;?P ?\ 1 1 A\?',\ \ Q? S l,
SITE ADDRESS: I415n cAIr?i1il?1], ICG??D-? Trai L
--?-T--
IAT:BIACK SUBD. U?R5
INSTALLER:
ADDRES S : P, O . \
\
CITY: ZIP: E;c:_
PHONE #: Q
ADD-ON MINIMUM
HVAC 0-100 M STU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIM[JM
OF 1 PER PERMIT
.0934htERCIAL/INDVSTkTA1::. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
. ...
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #
EEES
18 OF CONTRACT FEE.
STATE SURCHARGE 6 $.50 FOR
EACH $1,000 OF PERMIT FEE.
PCcGCnSSEL riFING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
?
$
(SIGNATURE)
FOR:
CITY OF EAGAN
SUBTOTAL: $2 o' oo
STATE SURCHARGE: .50
TOTAL: $?U ?
1991 BUILD?NG'?rPERMIT A LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
?NLTIPLE DWELLINGS
0•?
f303•00+
74•U0+
525•00+
2; 211•50+
3,618•50*
Date:
2 SETS OF PIANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT. ) -??t? 3A 'd
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY-CALG5
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ,Lj?, Valuation:
Site Address
Lot ? Block ?
Parcel/Sub?t.Q/L(.?n
Owner
Address
City/Zip Code
Phone
Contractor
Address
zti-?
City/Zip Code i7,
Phone L131 2-Ud /
Arch./Engr.
Address
City/Zip Code
1 (4 ur 0 oJ,OFFICE USE ONLY
0
Occupancy
Zoning R ?1
Actual Const 14-N
Allowable y_N
# of stories
Length 62-
Depth 3"7
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. =/z-V/
Variance
FEES ?OB
Bldg. Permit V
Surcharge ?I #a O
Plan Review S Zy', o D
SAC, City 100,00
SAC, MWCC 50,00
Water Conn.
t7
6(010
Water Meter 95, oc
Acct. Deposit O,ab
S/w Permit 30,00
S/W Surcharge ,5"D
Treatment P1. 27?,00
Road Unit 39010
U
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone #
Le?, ZdA ? agrees that all work shall be done in accordance with
(Signature of Contracto
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
??w ?Dpj
?
Gi A 2 A-(p't=
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z x 17- = (z w)
G x
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2 ?C I 7 = 3 ?I
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135vnr =? IuS
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F.01
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II 2422 Entorprise I]rive
Mendota Heights, MN 55120
(612) 681-1914
Ce,t;f,CAteo,SU„,ey,n,:,]OSEPN M. MOER CONST. C0. ?
y NoatH
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6,49 b?. !2°Z ?
A Pp,q L ao
r?g?°37''?Z"E c'by
x 300, 00 Denofes Exisfing Elevatiorts
R_ oo.ao Denofes Proposed 6levafions
--- -- Denoics ?roma'?e U?rlify Easern¢nl
-- Denofrs Draina?e low xlrrows
o Dr?oley Monun?enf
$Ealtipls shown orG p,ivmed
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ti
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7'op of'glock E/PVOlion o29„ 93
PgW75EQ 921SE UEVqTlONS
Lowest rlaor Elevqtion ---g 01. 23
Gorqe Vt7h E/erafron plog', 6.
c? CJtno?t? oF sef Nub
j hErehY cer`l(y thel dhis 5Wv4y, p?nn or repnrt was pre red 6v m9/ [9// o?d6r ?..y d?rgct ;uffRrvis-aM 01+d hat 1 em efuW Regislernd Land SurveYOr
loT 7 , g?-oc? / , sNrRwaoc? ?wNs
pAKOTA C0UN7}', MINNlkSOTA H subjeef fo eammenls of^rPCOrd '
under lhe lawe oi the S<ate of Minnesata. bated this?day Of XY1tl t' / A.O,
?J . ? ? ..;
9aZ oE???1 `J?f inch. ?ftC? ---
? oAEn r H. 8?K?G i l.s. ttEC. NO. ?aa9l
?inuiEsarn sinir LiIEIiGv cuuE cnLr.uinitons
OASEU 011 C11nP1LR y OF 't14E
HOOEL,ENEItGY COUE - 1943 EDI11011
' - Adoptlon Effec[Ive
Dwncr
?Sltc AdJress
,
?9?-3a3
Contractor
pul lding Classbflcatlon: Type AI (Single Famlly G Ouplex)
I10T`' Completc pages 3 anJ h flrst. (pther)
Type A2(Ilesldet?tlal) '
i3 storles or ess?(Bver 3 storles)
GEIIGRAL IIIf01ttIAT1011 . '• ,
1, OuIlJlny Perlmeter /EC N ? ??-fi[.
?' , . . .
Z ;
Z, Llal l helyltt (yrounJ t'o eave) ft.
- ?3`1 ?3? 3; x 2. (above) gross'wall area p / :5' F?
? x(l?) ?•Z rooF G floor area
1I. OUlldln9 dlinenslons ' (l)
?
5,• Square foot area of rlm Jo1sC - Floor Jolst slze (2 x^f(_? ft 2
X Perlaieler = R}m }olst area ?
12 ??J?O • ' ' '?
G. Uoors
1h1c1<ness ' In. U (actor '{t.
f'erltneter
Type uf Constructjon '
. 1lanufattui'er , .
], lotal dooi" s perlmeCer ft. '
i
0. NlnJ j???U('- State approved'? ;
ows: Ilariu(acture r
U factor '
Z
AREA (Ft.z) IlUtt[lER OF TOTAL FEf7
TYPE SIZE E/1CI1 UI11TS . .. ,
, •
-
?
__-_---- ,
N.
9. Total (t.z Glass^ v? I^?? . ' 2 '
• Ft.
10. Flreplace area:' WI'dtli X hel9lit = x-------- . , , x Ft.2
I I. Exposed f01111Jatlall: Ilel9h[ X Perlmeter ?( ?_?.?
LOItPlE710N OF TIIIS FORII IS REQUIRED FOR RLL II€ CUAS111GCT?U11, ??n??R REHUUEL711G AIIU' 6UILUIIIGS OE
ItOVED 1111ERE EIIERCY, OiIIER TI1A11 111E 1111i11{AL CODE ALL041N1CE, IS USED.
t'hone? bate________
, , _-, -r-. -
12: ?ramii?y a?'ea = lOX of yross t?all arca.
. ?.? ?1 ? ?c t.z
13. Gross rial l area 3 '?7
7 C,? - r' ft.2 U windorfs = i.7 ? x n'----r-.
ulndo.i arca n !?5 C u x n? ZU rim Joist
Rim Joistai'ea A I' L v?7 ft. A'_.P et,/n,
2 __? U x l1:' ,.
Door area' pt_ U door area e ?
=
? U?Gt•epl?te•= i?' U x A
Z
rt.
FU'pJ?la??`area 11 ?? .
Q•??j ? ft.Z U foundation ?-U x A
Exposed% faundatlon,A q a IJ?c. J
U framing area U x A, ?-s--
Framiny area A???
= ?A?UxA L
ft. Uwall O
fieE wall area 11
• . . U x A
. (I.3B) TOTAL '. . . . . . . . .
. t
14 , Gross wall area+x '0.11 (A-1 sinyle (atnily S duplex ° alluarable U x R/Code
(13. above) ?
x 0 • .23 (A-2 olher residential)
x .23 (OUher bulldings) . . •
•X..n,0 (Ovei' 3 stories) BTUIi, I•lust be larger than
-or. 139 above_
• ?(? ?' I I?> ?j x U Code ? I I ._-----
A(, or tlte, same as)
15.' Celling framing area (AF) equals 10% of ceilinq area
S
= ft.2
_-= /------ ,
?
ISA, Gross ce{11ng area x (W) O ft.2
10?. = t
150 Jo1st areA (Af). ceiling area
° n? J C ft.2 '
15C. Uet ceiling area (Ac) (15A - 15U) ° ???
. ,
U cciling x A ?O7 x
I?o "1, 53.
x
U fraining x A f= j
...........:........ ZD ,
isu. ToTnt' u x n ....................
16. Ce111ng,area (15A) x 0.026 (A-1 single family S duplex - code alloViable' U x A. '.
x 0.033 (A-Z other residential):
x 0:06 (othe?L?? .?e7 Ll? tiauii I4ust 6e.larg?r than•15D (above
?2 1 ? F (or tlie same?asj,
n I l 5n, 1 ?" ?`? ,- x u codc=.----- .
IIOTE: Use'U and A values oblalned (ron+ pages I,•3 and 11•
iE4lT;Fla?j???I'at calculated ther5tatesofnltlnneso?aues
Energy Conservatlo,n Act.
te • , I
gnature
?
i •
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tolal Ll ?? '"'???
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fLAi ItUUF Dll CR111EUUAL CEILIIIU ?
?
CE1LlI1G ?
- -?-9- --q- n?niiinc ? • '
J lJ ? ?- ?-- • 0.61 InslJe all- f 11m u.GI
J o I s t?
• ? . '-?- Insulatlolt '
• .,,?......a--.- '--?- AI r s p a cd
'--?- ilvo( deckIng
?.-.---- ' ---
•• T^?- insulatlon '.
. ?! Bu I 1 t-Up roo ?_-_-_-------
?_____._..,_ -=--- ' ? , j__ o u t s i d e d I r f i l m U.1 I
?... . ' lotal 11 ,
• . ____--.-- ? U
---- ' ii •
{li„doN ?nflltrallun 5 cfm1llneal fvut of crack
lesidetitidl Juor Inflltratlon 0.5 cfii?/syuare (oot vi- Joor dnJ ??iinlnwm code YequlremenEi ;
1un-1-nsldenllal Juor_liiflltratloii I1.0 c(m/1lneal Toot oF ei'ack
•
1211• tonnrele block.no fnsulatlon .Al R 2.1
J? 12?, Conce•.,le block iusUlaEed cores c.2G It 3.0
»• I29 11911?eight Work :32 R 3.1 . .
Jb 12?? 11yhliielylit block IiisUlated'cores e 112 R B.7
) Slng?? glass = 1.13; tillh storm wlnJoW .54 . .,. .
1 douLl@ glass = .55 .. • , 1 lrlple glass = .41 „ . .' • ''
111 ?xLerlor ?ialls and ce111nqs musE Iwve A v:?por barrter (0.10 pcrm m?x.)i , '
;,ipar Uarrler must 6e on Lhe 1nslde ?heated side) of oiall? ?.
fapor barrlgrs of lhe,polyelhelene tliln f Ilin haJe tw R velue. ; ..
. , ? ' . ? i . , . . .
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u.61
PERMIT # CITY OF EAGAN ?
? b 1992 BUILDING PERMIT APPLICATION
681-4675
?
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, I set of
specifications, 1 copy of eliergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made r lot chan e is re uested once ermit is issued.
Date (ft,_ /8' / q Z.- Valuation of work
Site Address: 1- A-In ot loS& d r r.'( 9
STREET'? STE ¦
(A 14-N ly
?C
T 7- ?'
T
t N
a
enan
ame:
,t
LOT J BLOCK _/__ SUBD.
?J
?
P. 1 D. i
YW
t,2
Descri tion of work: Oeuc,
The applicant is: 011 Owner ? Contractor ? Other (oes«ine)
F,A-_S0AJ 5 C?UTT t 5US14hl Phone LF'p, -a i0f
Name k
Property _
LAsT FIRST ??` ? - 4("('-/
?
?
Owner ?
i
Address ? l oa
???ut UOSeI If-
STREET STE #
City A-A9 State 09? Zip S?I?Z
Company Phone
C011tf8CtOt' Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
c.,/ '
(0io/93--
vrr?vc u.?? v???r
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg O 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace O 11 Res. Add./Porch
? 04 Multi-fam. T.H. Ef 08 Deck ? 12 Comm./Ind.
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
O 99 Undefined
GENERAL INFORMATION
tonst. (Actual)
(Allowable)
UBC Occupancy
Zoning
f of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq, ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
?
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/M Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuacian: s '
a
? •' .' .
? 13 Publfic Fac.
? 14 Agricultural
? 15 Miscellaneous
MWCC System
City Water
PR1l Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
* P10
* engi
* ic ?1-
242? Entorprise bFive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey 1or:vo???H 114• MM L ER C0NS.T CO. ?
?J
NoRtN
,
\oy /5/.77 589°Z3'z5"-r7
p? .
N
4
W
0
N
N
N
qo1•°`L
94? 9>p
9eb.7z ,
!
/e,49 ? ,b?.,,?2°29'S8??B6°37,?Z?? ,?b ? ?,? 3??,•io
L oos
r soo.oo D¢nofts Ekisfinj EJevofions
• aa.oo Oendes D+-oposed Flevotr'ons
-- -- -- O[noies Draina e {Uldify fasemen{
Denoes Orain efFlow 71rrow5
1? r1 C E'w A. t.. L
tlf1<O = qo4A
Paomf2 NavsE EtEVAT?ONS
Lowrst f7aor Eltvafion tl 11 23
T o^g/ock E/evalian _,9 b ?. ?3
ro?e SJob Elcvofion olbg, 6.
o Deno eg 'Vfonu en
Bcvrhjs shown are asflumtd o fJenolts ef sef Nub
Lor 7, BLOCu SNi-pwooD aowNs
pA7lOTA COUti/7y, h41NNESDTA Sub1'ect to £nmmrn l's ov^ reca'd
•H
I herebY cer[I/y ihet ehi3 491vPY, pInn or rePCrt was oro rM bY mt v?ds? my d".ecI +"ro?epwis)lon m'JY1hlat 1 Pnn dulY peplllErnd Land SVrKVOi
onder ihe lawe ol che State ol Mlnnesota. battd thit-1'aV 01 --A .0 . tq?/ / n 11?7
Scal 1 inrh 40f Kd
902
?
? O
2
878,9
49 PK
r P. St
? I
y
?
EMI?RhE/?GY OfiL+«!?N/? Q
\
-
?- r
nti >
?
1
4
-- asi3 ryro.«7 i.f t5 ? kN
(?"/? 0
1?
° r bR
?
e
? ?
,
? I
z
.; G+?R. .. I i _
LV-4?jjvlo?`yp
?
SUBD.
CITY USE ONLY
BL 1
sherwnod Oowhs
RECEIPT #:
RECEIPT DATE:
PERMIT# 'l?7?5
2000 PLiJNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 P2LOT Ea70B RD
EAGAN, mN 55122
651-661-4675
Please complete for: ? single famiiy dwellings
? townhomes and wndos when permits are required for each unit
? backflow preventer for underground sprinkler system
F1XTtIRES
EACH #
TOTAL
Alterations to existing dwelling -?ninimum fee
Describe: ?ivncG, +Qau.l?,r (?G'?'?.. $ 30 00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping Outlet ` minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 100 x = $
Laund tra 3.00 x = $
Lavatory 3.00 x = $ 2, aD
Septic System new/refurbished • requires MPC Ilc. 75.00 % _ $
Septic System abandonment 3o.00 x = $
RPZ new instatlationlrepaidrehuild 30.06 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $ . uv
UndefgrOUnd Spflnklef ifdwelling is underconstruMion 3.00 X = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $ cra
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener n extsein¢ aweuio9 30.00 x = $
Waterturnaround 30.00 x $
State Suroharge 50 -> -> ---> $ 50
TDt81 -> --> -'-> ---> $ C V50
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------•---------------------------------------- --------------- ---------------- ----
I hereby adcnowledge Mat I have 2ad this appliption, state that the information is cortect, and agree to compty with all applicable City of Eaqan ordinances.
It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
nortnal operetional and maintenance activtties to the facilities constructed under this permR within City property/right-of-weyleasement.
SITE ADDRESS: l? I? I'1' rU I G? U b S Gi f U-Gt i`
OWNERNAME:: S Lb? QdIJ /V uS UAJ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: &I?
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
CITY: I?? _ -- - STATE: ZIP:
i
SIGNATURE OF PERMITfEE
L, '. ?
LOT: ? BLOCK: ? SUBD./P.I.D?4 VWOOd OW _
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?
CITY OF EAGAN
y373 Y 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
? 3 registered site surveys showing sq. R. of lot, sq. R. ot house
and all roofed areas (20% maxlmum lot coveraae allowed)
? 2 coples of plans (show beam S window sizes; poured fnd. design; etc.)
? 1 set of energy talculations
? 3 copfes of tree preservation plan H lot plaRed affer 7/1 /93
? Rim Joist Detail Opflons selection sheet (butldinas with 3 or less uniisl
1 I
DATE: 4 I S Uli CONSTRUCTION COST:
DESCRIPTION OF WORK: If multi-family bldg., how many units?
STREET ADDRESS:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: N Ct$ Uw J 61 ?-JILA-VJ/J Phone #: 6S t ? 6% -o64
last Flrsr
Street
50
RemodeUReoair Reauirements
2 coptes oi plan
1 seT of energy calculations for heated addRions
1 sHe survey for exterior addifions 8 decks
S
City C[?r Qr.l y U State: ? _ Zip:
Company: Je I Y Phone #:
(area code)
Street Address: License #
City
State:
Company:
Name:
Telephone #: (
Streef Address: RegishaHon #:
CNy
State:
I I-f 1'Uc
?IYV ?
Zip:
Zip:
Sewedwater licensed plumber (if installina sewer/water): Phone #:
I hereby acknowledge that I have read thfs application, state that the informatlon is correct, and agree to
comply with all applicable State of Mlnnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: JL-- Ilw'r
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes No
Yes _ No _ Not Required
I -
' NOV ZOQD
I
i?? • ? ?
-`?
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Levet ? ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg& or _ N ? 25 Miscellaneous
tll 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Ak - Multi
? 33 Eut. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 36 Move Bldg. [3 43 Reroof ? 46 Windows/Doors
? 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior)
` Demolition (Entire Bldg only) permit • Give PCA handout to applicant
VALUATION
Census Code
SAC Units d
Nbr. of Units ?
Nbr. of Bldgs
Type of Const
_ Foohngs: New Bldg
_ Footings: Deck
_ Foo[ings: Addition
Foundation
? Framuig
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
K Insulation
FinaUC.O.
7S FinaUNo C.O.
Fireplace: LS r.i. V airtest x fma]
Pool: _ frgs _ air/gas tests _ fmal
Building /M Engineering
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Windows - new/replacement
_ Siding
_ Srucco/Stone
Roof: _ ice & water _ final
Variance
r1 2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: Construct new fireplace _Gas _Masonry _
Install gas inrert onlv _
Job address:
Other
L.ot: ? Block: ? subaivisionrn1.D.a: SherVyo0d Uwn,_?
Applicant (circle one only): Owner X ontracto Permit Fee: $60.50
Name:NQJ C 0 h SCO - Phone #:
PROPERTY Last First
OWNER
Street
City
Comp
FIREPLACE
INSTALLER Street
City
GAS LINE
INSTALLER
State:
II-I1'OD
AUerations to existing
Install pas line on[y
Zip:
Phone #:
(area code)
State:
Zip:
4won+p +
2100 N. iehview AM.
Com an R??' MN SJtu Phone #:
P Y? (area code)
Street
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is conect and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
$1 StUT@
.S' b 13'-
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction ReauiremeMs
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°k manimum lot coverage allowed)
. 2 copias of plan showiig beam & window sizes; poured found design, etc.)
. 1 set of Energy Calculatbns
• 3 copies of Tree Preservatwn Plan'rf bt platted after 711193
. Rim Joist DeWil Options seledion sheel (bldgs with 3 or less unAS)
DATE ID- Ua
SITE ADC
TYPE OF
APPLICANT Cdw
RamodellRenair Reuuirements
• 2 copies of plan
• 1 set W Energy Calculations for heated additions
• 1 site survey for exterior additiom & decks
. Indicate'rf home sened by septic system for additions
VALUATION
N1C.
ULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Coon Raptds MN 55493 -CITY.
TELEPHONE #?Ij. aaN CELL PHONE #
PROPERTY
STATE _ ZIP
FAX #--1(a5- 75S-539 O
TE4EPHONE# 1 - 'U , 6
---------------------------------------------------- -..........................................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILD{NGS ONLY
Energy Code Category _ MINNESO'PA RULES 7670 CATEGORY 1 MINNN;SO'I'A RIILES 7672
submission type) . Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations Submiited
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Coniractor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater
No. of Baths
Air Condirioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
--------°------------------------°------------------°---°°----°-----------°--------°-------------°-----------•---
I hereby acknowledge that I have read this application, state that t information is c ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan r inances. ,
Signature of App{icant I
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required ,
- Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Atldn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damaga
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
p 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W itlth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ plunibing
_ Fouadarion HVAC
_ Drain Tile pther
Roof _ Ice & W ater _ Final _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _
_
Siding Stucco Stone _
_ Fueplace _ R.I. _ Air Test _ _
Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
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ÿù
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116615
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 1417 Appaloosa Tr
Lot:7 Block: 1 Addition: Sherwood Downs
PID:10-67670-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Bobbi Gustafson
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 -
Thomas P Collins
1417 Appaloosa Tr
Eagan MN 55122
Minnesota Window & Siding
1710 Douglas Dr. #290
Golden Valley MN 55422
(763) 545-0545
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use I
Permit 0
City of Ea E~~
Permit Fee:
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: Unit
Name: l C3,M Co Phone: i~S~l- T lam- ~
Resident/ /
Owner Address / City / Zip: L~ l d Cz ~~5~ ~y l
Applicant is: Owner _K/ Contractor
Type of Work Description of work: UV t n 61(3 k) V 14C &~n,-ekt,
Construction Cost: Multi-Family Building: (Yes / No
Company: ~Otr~ t C CU Contact: ► t ru c.~ri~
Contractor ; Address: f ~1rtrV~ A) W She I60 City: /t,/e LIZ
State: /t/1 A) Zip: 5 Phone:
License M AJ - 2 O 6 3(o 1q Z 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.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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuanice.
l
Applicant's Printed Name Applicant's Signat re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178092
Date Issued:08/01/2022
Permit Category:ePermit
Site Address: 1417 Appaloosa Tr
Lot:7 Block: 1 Addition: Sherwood Downs
PID:10-67670-01-070
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Thomas P & Karen L Collins
1417 Appaloosa Trl
Eagan MN 55122--382
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature