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1421 Appaloosa Tr Use BLUE or BLACK Ink ~ My Permit ! qo Of Eajan JUL 1$69, 1 Permit Fee:..?. / -7 1 3830 Pilot Knob Road I i Eagan MN 55122 I Date Received: i Phone: (651) 675-5675 Fax: (651) 675-5694 Staft 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: k4lA NPPA- 75k TQ NtL- -Lijo," 1A11, 55 Vll- t Tenant: Suite RESIDENT / OWNER Name:!;~"Qv-~ -T~kc pc) Phone: 1- ,55V- a7s-1 Address / City / zip: ~i-'rZl ~pP IP~I A`CR ►u. EA 17~- Applicant is: Owner Contractor TYPE OF WORK Description of work: K~ ~ gZZ D6di-- 6~40 A. -V Y, he `Ct 0 vok- \0TZ Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name:~"~-i~W.OXC5 Kt! JCS License m Zbk~aY Address:,561 City: Q State: "LL zip: '55M I Phone: 012- CM6-SZ0 Contact: l3CJl. ►-1 Email: C t>#n 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: NOTF- Plans and supporting documental that you submit we conaklered to be-p ablk /n ation. Portions of the information may be classified as non-public if you Atovide ~c reasons OW would permit the City to conviude that w o secrets. CAUL BEFORE YOU DIG. Cali Gopher State One Calm at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.ora 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 fora 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 ~k~ls.~~►r-~1 ~ x 13 10 Applicant's Printed Name Applicant's Signature Page 1 of 2 I c,/ ;2 A ' DO NOT WRITE BELOW THIS LINE " SUB TYPE8 Foundation Fireplace Porch (34eason) Storm Damage Single Family Garage _ Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Muth 01 of - Plex Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building' _ Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation Replace T Repair Egress Window Water Damage Retaining Wall "Demolition of entire building- give PCA handout to applicant DESCRIPTION Valuation Occupancy L MCES System Plan Review Code Edition 144 N I= SAC Units (25%_,,,_ 1000/0Zoning City Water Census Code Pump Stories Booster # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction_ Width REQUIRID INSPECT, IONS Footings (New Building) Sheetrock lc Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _ _Ice & Water Final Pool: lFootings Air/Gas Tests Final Framing Siding: -Stucco Lath Stone Lath -Bride Fireplace: -Rough In .....Air Test Final Windows Insulation Retaining Wall: _ Footings Baackfiil r Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC o = 70410 Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 P i r-, r- Er-,a i n -er- i r-,.a 6819488 P.02 2422 Enterprise Drive PIONEE Mendota Naights, MN 55120 * engineering- (612) 681-1914 Certificate of Survey forcJOSEP/ ! M. MM Z -0 CONST CO < WORTH v ! 3~ 1 ~ GdE115, r.( _ ,#v w5415 n 'i n1 J'1 0 - 0 N Gy,49- MS. 1 ~o,a lr. 467 ti 21.0 0 ry ~9 xN y, 1 TR. AP f~ x 900.00 Denafes [W-5finj flevalion,5 P0,5ED RQ HoWE EcEUartarvg A oo.oo Denafes Proposed Neygbi r?s Lowest Floor Elevation ,l Oenofes Drain e 'U/r/rfy lagerne171 rpp ol'8lo0 Clemf on al t. 14, - - Denotes DrainJG e low ,irrows 6orcr e Ylob LE/evaIlon a. t 3 o penafe5 ,tfor~U n f gearm s shown are assumed o Denolcs a'~'sef Ilub _ f t SOT ~ r BL 6CA1 I 14tRWCtOD W WN L.nder Qlr07A COUNry, MIAIWSM , Subject to easements v1"record ereby certify that this survey, plan or report wzif; prep,rt.-H by mr/ Jor under my direct supervfsian and thcit I am duly Registered Land Surveyor the Pews of the State of M1,1innesota. Dated this --[_lL day of _L►£?~ _ A•r1, 19 Zo lo. O 5 G[ 31~RT B: SIr{tCEt L.S. REG.N4. 14891 r.~ a. 7Ny7 n « PILCM ~~~+u~~••: . ~y.yy~. `=;4 ~~,~k,,J EAGAA-MINN. r t yr DATE AMO( Aff - - & 100DQL~AM p CASH CHECK ;~y ti: I 'd 1 lion Vr P , R. r i~ 1: -Thank You' BY tj t C 13107 .,-COP„ r"Wo pawp Cam V vrri-~ cm CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ) ? To be i1sed for SP DMICAR Est. Value $158,000 Date- Alt 26 19~_ Site Address 1421 APPALOOSA TR Lot 6 Block I Sec/Sub. S111:Rtir100D DOM OFFICE USE ONLY Parcel No. Occupancy R-3 j9--1 FEES Zoning R" W Name JOSEPH M KILUR CONSTRIl 19N (Actual) Const V-11 Bldg. Permit 843.00 I Address 18133 CEDAR AVE S (Allowable) V-1r o City FAP141NMN Phone 431-2001 s of Stories Surcharge 79.130 11 1 Length 600 Plan Review 5". tp Name SAM Depth 42@ SAC. City 100.00 Address S.F. Total SAC. MCWCC 630.00 City Phone S.F. Footprints - On Site Sewage Water Conn 6tt~O.Od Name on Site well 93.00 LU Water Meter W X Address MWCC System ¢ z x Acct. Deposit 30.00 su, City Phone City Water PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump SSW Surcharge • SO information is correct and agree to comply with'all applicable State of Minnesota Statutes ano' ity of Eagan Ordinhr)b$fi. Treatment PI 276.00 Signature of Permitee ^ d L11 _ APPROVALS 370.00 ~ - Road Unit A Building Permit is issued to: iCMRPH K MI - 92 ;;m Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 681 • SO Building Official Permit No. Permit Holder Date Telephone M WATER I SEWER' PLUMBING H.VAC. IO(7 / 7~~" ELECTRIC Inspection Date Insp. Comments Footings I S Foundation Framing Roofing K33ol/ Rough Plbg. Rough Htg. Isul. Fireplace Ow Final Htg. t~ Orstat Test Final Pibg. 6 Plbg. Ins or - Notify Plumber Const. Meter EngrJPlan Bldg. Final 6 ,z Deck Ftg. Deck Final Well Pr. Disp. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # y q g6 z PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # 3 d 5 PERMIT # 1155 METER SIZE S-A)5 S B.P. RECEIPT # C 131D7 Ln r l J_ 2_3.1? 9 1 ISSUE DATE C~ 2 S7l 1`'/ B.P. RECEIPT DATE G4 26 DATE PRV - BOOSTER PUMP SITEADDRESS 1421 p D a J. o o s a T r 9 i l PERMIT REQUESTED - LOT " BLOCK 1 SEC/SUB Sherwood Downs SEWER WATER TAPS APPLICANT.T o s e N_ M i 1 1 P r C n n A t T n c ADDRESS: 1 813 3 Ce l ar Ave So COMM/IND RESIDENTIAL CITY, STATE 7armington. Mn Zip 55024 x NEW EXISTING PHONE: 4 31- 2 0 0 1 Lawn Sprinkler Meters are to be Installed PLUMBER: G?_- Ahead of Domestic Meters on Water Line. ADDRESS: 14 7 4 5 q n Ro h P r t T r a i 1 Credf~ WILL NOT be given for DeAct Meters. CITY,STATE Rosemount, Mn ZIP 55064 , J PHONE: L 3 - 1 14 4 ~ T REE TO COMPLY WITH CITY OWNER: LzAQAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN ME ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER 9. WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 41: /'91 3830 Pilot Knob Rd. Eagan,,MN 55122-1897 CHIP # PERMIT # 11355 W METER SIZE B.P. RECEIPT # C 1'S l i DATE a rY 1 23 , 1991 ISSUE DATE B.P. RECEIPT DATE 04 2, PRV -BOOSTER PUMP SITE ADDRESS 11' 2 1 1 en o s a 'i r. a 1. 1 PERMIT REQUESTED LOT BLOCK 1 SEC/SUB Sherwood Downs SEWER WATER TAPS APPLICANTJO_ epL is 1r~r Con$ t tna e COMM/IND RESIDENTIAL ADDRESS: I~ 1 V1 ('.p A A r " v a 5 a CITY, STATE 7'a rmi n; f a n, zip 550!4 x NEW EXISTING PHONE:', 1 001 Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1101+5 -_So R a h s s L T r ai 1 Credal WILL NOT be given for Deduct Meters. CITY, STATE R e n e m~ u r t, M^ ZIP ? 3 1 r I ql PHONE: 1164( 1- RE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP s~ PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. I DATE: APR 29, 1991 RE: IA21 APPALOOSA TR (JOSEPH M HILLER CONSTRUCTION INC) X Your Sewer & 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 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. } Your Sewer & Water Permit for the above property cannot be completed 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 Hall. 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. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN N2 18966 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 7 BUILDING HERMIT Receipt # 1 To be used for SF DWG/GAR Est. Value $158,000 Date APR 26 t991_ Site Address 1421 APPALOOSA TR Lot 6 Block 1 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning RR1 w Name JOSEPH M MILLER CONSTRUCTION (Actual) const=N Bldg Permit 843.00 o Address 18133 CEDAR AVE S (Allowable) VN surcharge 79.00 City FARMINGTON Phone 431-2001 rot stories Length 601 Plan Review 548.00 fo Name SAME Depth 42 r SAC, City 100.00 of Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints On Site Sewage Water Conn 660.00 w Name On Site Well X Water Meter 95.00 x3 Address MWCC System 00 gw City Phone City Water X- Acct. Deposit 30.00 PRV Required SAN Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump SAW Surcharge .5 0 mformabon is correct and agree to comply grit all applicable State of Minnesota Statutes anq City of Eagan Ordina s. Treatment PI 276.0 0 Signature of Permne J •L t V yr• i APPROVALS Road Unit 370.00 A Building Permit is issued to Planner Park Ded, I/ F on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies Building Official an I1.0 !A ~LII Variance TOTAL 3,681.5n Address: 1421 APPALOOSA IRAU Lot 6 Blk 1 Sec/Sub DNS These items were/were not complete at the time of the final inspection. Date: 6/28/91 Yes No TnqppcUnr, Final grade (6" from siding) VIII~ Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas j~ Sod/seeded grass t✓ Trail/curb damage Porch f 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.] ~~~-Fno..uEn White - City copy Yellow - Resident copy Pink - Contractor copy p 0 4 0 6 Request Date 5-30-91 Fire No Rough-In Inspection Rerwr ed? 0 Ready Now &Will Notify Inspector OYes C No When Reatly'+ I &Dhcensed contractor ❑ owner hereby request inspection of above electrical work at: Jpll AlOprpaffIdXWA'tbd§X' TRAIL Qty EAGAN SeclionN4o 1 TgwnShip Name or No Range No Coun y DAKOTA Ooco"162I'MiLLER CONSTRUCTION Phone'612-1431-2001 Power Supplier Address DAKOTA ELECTRICAL ASSO 4300 220TH STREET SW, FARMINGTON Elecmcal Contractor (Company Name) Contractors License No MIDLAND ELECTRIC, INC 041610 Mailing Andress contracto• or Owner Making Instaaa9onl 7630 145TH STREE ST #214, APPLE VALLEY, MN 55124 ;1821 nied Sigr r ICOnlra • r ng Installation Phone 6Num1her 2-432-6688 OTA STATE BOAR OF ITY ' THIS INSPECTION REQUEST WILL NOT s-Midway Bldg - Roo '123 BE ACCEPTED BY THE STATE BOARD University Ave. S1 P M 100 UNLESS PROPER INSPECTION FEE IS one(612)6a2-0800 ENCLOSED lel# f/ REQUEST FOR ELECTRICAL INSPECTION ~e.0oam9%7 jI See iWnruchons tar compienng Pis Corm on back 01 yellow copy MYicx "X" Below Work Covered by This Request l~r,~. ~Qa3 ew Add Rep Type of Swlding AppllancesWlred EquipmentWred -''Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /industrial Furnace I Farm Air Conditioner Other Ispecityf onhactor§ Remarks Compute Inspection Fee Below n Other Fee a Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs inspector's use only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATIO AY BE OR RED DISCONNECTED IF NOT Other Fee COMPLETED W 8 M I, the Electrical Inspector. hereby Roughin Date certify that the above inspection has Final r Date been made OFFICE USE ONLY This request void 18 months from 1991 BUILDSAG PERMIT APKICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS 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 LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED 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. ~(jf: f ECD O/ To Be Used For: Valuation: - Date: -9/ Site Address Z LfJ OFFICE USE ONLY Lot CD Block FEES Occupancy R 3 M-1 Bldg. Permit 843,00 Zoning R-1 Surcharge '79.00 Parcel/Sub . Actual Const V- N Plan Review Sy8,00 Allowable V-N SAC, City 100,00 Owner # of stories SAC, MWCC 65-0,00 Length Water Conn. 00 Address Depth Water Meter `75,00 S.F. Total Acct. Deposit D,00 City/Zip Code Footprint S.F. S/w Permit O eo S/W Surcharge 15U Phone On site sewage- Treatment Pl. ,00 On site well Road Unit 314>'00 Contractor 1 7 CC System ✓ Park Ded. A City water Trail Ded. Address ee~ c~J Lo PRV Copies -4 Booster Pump _ City/Zip Code tTNV~ - 5~ y SUBTOTAL ? 0 APPROVALS Penalty Phone Planner Lot Change Council TOTAL Au , Arch./Engr. Bldg. Off. 4zYs/p5 Variance Address City/Zip Code Phone # l n agrees that all work shall be done in accordance with (Signature of Contractor all applicable State of Minnesota Statutes and City of Eagan Ordinances. I LA uL46 l ~ GA'RA GC agX3Z=768 X (7 q) ~ p x IS = I080a SS MT, k'Zg ' SI Z '3zy ~J s 1165 X ►4 = 11",310 343.001- 1SaR, 79.00F T~srnT = ribs" 543.00+ 2X~ - 1u 2,211.50 •Z K ~ ~ - = l~•_ J~:l~C 3,681-50* II~q ~3 843-004- 79-00+ 2rvC 1'L 548'00+ 2,211.50+ 3,681.50* ,29)t Z(e = ~l L I~ k 2t . y3Z rl -Z !G I KS`s- 5 ~>2- la~.aaa 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 / Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date (0 r !5 / I / ~ yas ' / 1 aI _ Unit # Site Address l y~l 41;7>1 1W, S5A 7 ~ Property Owner K~nn°y ~T Omar Telephone 9(2 Contractor I ~ C~ W , ^ StreetAddresss C l(1S , l ~ "is~ 5 City ~ 0c / State 1 I I 1`/ Zip 'SsoO) Telephone # (♦05 Bond Expires: The Applicant is Owner -4--Gontractor Other Add-on or alteration to existing dwelling unit $ 30.00 /furnace -Additional Replacement _ air exchanger /air conditioner -New _ Re acement other State Surcharge $ .50 Total I hereby apply for a Residential Mechanical 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 with-tthe chanical Codes; that I understand this is not a permit, b t only an application for a permit and work is not to start without r n; that the work ' l be in ccord - ce + ith the appro d plan in the c f wor whit reggi~s a review and approval of ans. Applicant's Printed Name Applicant's Signature I JUL i 4 2005 By- 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank _ Install -Remove ""see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: "When installing/removing underground tank, call forinspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installationfremoval $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If pe rmk fee is $1,000 or less, add $.50 $ State Surcharge if pe rmit fee is over $1,000, add $.50 for every $1,000 ermitfee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: Pioneer- En3 iWeer in3 681'3458 P.02 * 2422 Enterprise Drive * PIONEER Mendota Heights, MN 55720 * ng* Bering . {6121 681-1914 Certificate of Survey for:JOSE/ + r M. M UE COI S • Cv NORTH ay \ 4 n ~meRiii°r•KY orek'K. ~ N ~ qol ~ ~ N rv ~ I co, a r K ryj OT - y 46.e y~y o r 1 ieoPoSE~ M S k I fir. 140 545 ro /4a ~ a r. l N Ca Art • M• 5. 3 1 a io.e /6~7 ti Zl.e ~ Sri, o ~ 9ia,5 0 t d ~ o i T3Z"tF x IM 00 Denafes Exisfing flevafions PROeUED RMEEL£UATWIVS ,,oa.oo Denokv Proposed flevafrons Lowest Floor Elevation -I o 4L Oenofes Dr 1717 15 f Ufi/il~y Easenrenl rp p^elQCk fIPYQfrDn Dmofes Draino~e Flaw 14MOwS Goraje rl,7b Elet o Hon ' G ta. fs 3 o Denofeg /G1onu enf 9earlnjs shown ore assumed ❑ Denoles o}71ef dub LOT , BLOCAI J- , SNERWOOD DOWNS DAKOTA COUA/7•y, M/NNE50rA ,re Subject fo easemenh of^record I hereby certify that this >urvey, plan or report Wa$r7preppared by me or under my direct supervision and ti at I am duly Rnistered Lend Surveyor under the Ism of the State of Minnesota. Dated this -ClfC day of A.D. 19 . /-'7( 0 L, Scale : 1 inch , eefeef , r / ryry • zo(0. 0^/ y~rS. y~~ Av7F OBERT B. S VI~K,ICQ H L5. REG. N0 o . 1y~4981 p ©9(go _N/VU~U' (r IIi1111ESOIA SIAIL• CHERGY CODE CALCl1LAlIOIIS _Jt g; 4 j DASEU oill CIIAPIER y Of 'IIIE f1 I ! MODEL LHERGY CODE - 1983_EDIIIOil AdJ;ptlon f(ectlve 1/1/04- r hone -Date ~,ner 111 ~-I-~ ' I Le Address I OT. n A d e Al (Single Family G (3 st Duplex)__Z (3 sLon es e es o or lullding Class6f lcatlon: Type or essr . (Over 3 stories) 101 E: Complete pages 3 and !I first. (other , GENERAL IHFORHATION 1, DufIding Perlmeterl E N ✓11.1.__f[. . 2, Wall height (ground,to eave) . ' 3~b f t . 1. x 2. (above) gross wall area.~(J3 )r X (W) ft.2 roof C floor area II, oullding dimensions (L) 2 'S,• Square foot area of rim Joist %oor Joist size (2 x _ Joist z I~~ ft X Perimeter =Rim Jost area ° 12 16(o .G, Doors - Ai 'ea I If'~ ,I', I r' lhlclu,ess In. U factor ft. Type of Construction Perimeter Manufacturer Total door's perimeter ft' 0. Windows: 1lanudacturer .4', State, approved _ VII U factor 2 2 11U11RER OF TOTAL FEPT TYPE SIZE AREA (Ft. ) EACH UNITS • N 9. Total It.-2 Glass C2-- Ft.2 X-_ 10. Fireplace' great' W(Jfh X height = ° Ft.2 1I. Exposed foundation: height X Perimeter, ~lU X _ COIIPLETloll of IMS FORA IS.'REQUIRED Foil ALLCi0D4L11S40C U11S IUSEDI-E~IUDMIIG AIIUU BUIL 111GGS DEI11( HONED WHERE EIIERGY, OMER TIIAII IIIE 111111 12. FramPny area lox of gross Wall area. C-3 1j9I7~ rt.2 ~j1 13. Gross rlall' area ' U x A 1.7 ' t~- ~ 2 U windorls -_31 7-5~~ ft~ ft. N1nUo•d area ~pC~_lU x A = ' Fj ft.2 U Hill Joist = Rim Joist area A l " 2 GI = 01 t~ ~ ft_ U door area U-x A I ~'1= Door area A 2 ,~-U x n ate. > Z ft. U ~LTepl 1 . 1 F0,61Oee-area A C7 _ Ol (0 U x A ' 21 - Q .I J L ft.2 U foundation Zv Exposed ~found'atio11 A p15 U x A `o' 2 U framing area i Framing area 'A O 4~ U x A " ZfCJ~ 7i 15 1p7 f t. D wall 'yl Z~L11 L. Ilet wall area A . U x A = (A-1 single family y duplex = allowable U x A/Code . Grosz wall area z U.11 14 (13. above) x 0.23 (A-2 other residentlal) x .23 (Other buildings) x 20 (Over 3 stories) [iTUli'. 1-just be larger than 13D above A ~~j? 1?_ x U Code.`' - or the same ash 15. Ceiling framing area (Af) equals 10% of cellin9 area `=`ft 2 15A. Gross cellin9 area = (L) lO ft.2 15G Joist aretl (Af), =AD%- ceiling area = q q25 ft.2 15C. Ilet ceiling area (Ac) (15A - 150) U ceiling x n c_ f D 7 Z x- l "1153'_ U framing x n f= A x ~ ZD 150. TOTAL'U x A 16. Ceiling area ( 15A) x 0.026 (A-1 single falnlly S duplex - code allowable U x,A G x 0.033 (A-2 other residential): x 0.06 (other) pbUll Must be Iarg@r than I5D (above) 1017,(a I 1: (or tile sameN.as) X U (code)- A 154) ul 1 IIOTE: Use U and A values obtalned (rain pages 1,•3 and 1. CERTIFICAT1011: I hereby certify plat I have calculated the "U" factors and "rle values eln and that the building here described InAets or exceeds the state of Illnnesota Energy Conservation Act. . I flgnature Date - _ L. _ Ll ro,sxC I Jffi I _ o Y, I o _ - d-H J02; ~-joy, ca. Vii.. _ _ i i - --h `iALiIL R wOll. 11 cElLUlc. _ - CltAliltiu Ail- fIlm 9Xp1 D Insulation ~4___DU - i~~~•~2~ joist I NCO Ceiiln9 II 1 ,fft',' All, Clem U.61 S x I CJ total 1 10 [LAI noor oil CAIRURAL CEILIIIG rt value n YnluE --1~q-~."-""°"'" CEILIIIG • f IlAII11lG ~ U. 61 Inside air flint U.GI J U U _ Ju1st ~sCii3l • InsulatloU AIr spacd itoof decking T. _ Insulation hI It-up root s-- - U.17 Uutslde dlr Him U.ll lolal rt IU llndoH InfllLrallhn 5 c1m111nea1 foot of crack lesldentlai door Infiltrotion u.5 cfw/square loot or door anJ minimum'code requirement luu-IesldenLlal door IMILLraLloll I1.0 cfnl/Ilueal toot of crack 16 I211tonu-eLe block no Insulation .47 n 2.1 F .2G IL J.G • 16 121 toncrele'block insulated cares Jb J2 It 7.1 2 Il.hbielght block ` a 1 d 112 )b all llghluelyltt block Insulated cotes It 0+i 1 91ngg16 glass = 1.1]; r1 11h storm wlrtdo'a .54 1 double glass= .55 J trlple glass 111 dAe.rlor Halls and CO Ings nulsE have 1 vgllor barrier (0.IU perm Wx.~I 1 fapor barrier must be on the inside (healed side) of t1a111 lapol• barriers of Lhe polyethelene tltln 1111111 IIaJe uo it value. ; I 1 I CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /c2 W~~ DATE: -53 2 jSIAFN?TAI{ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST_ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME : OF 1 PER PERMIT \ SUBTOTAL: $ yl.~y SITE ADDRESS: STATE SURCHARGE: .550/ LOT: t BLOCK I SUED. cSVVPIC <Oc'kC1 V UJf~_S TOTAL: INSTALLER: C~_S°~~ 1 t \ ITTEE ADDRESS :~.O 1Cl ~G/NATURE OF PER] CITY: ~C)A- 1v ZIP: 5S~ ~GI PHONE (ce GOMMEI2CIALIDUSRIAL! 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: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: ~~S el Permit # Date Receipt # V -~,y i Lo Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. X Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, umbing permit, WAC, and water treatment plant fees. /-(p, lall Nab Aoo-r, aloo Ste, (Address to be sprinklered) Homeowner/Plumber: Ke V-NyvOL, A -1-~Yv, a 5 Phone 1.1 51-1 - a 1" S Street Address: It I P u ojcc)<a -Tye- City, State, Zip: ` a n ra v.J m 70 S S > _ Owner Name: V ~>nR tti Street Address: l ua.l oQe,2cJ aos ck 7e Phone 4!R Ll S L/ - -Z & S -7 Irrigation Contractor: ► ~r~ ~i I a at'YG1n~ Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan Ordinances GV\1 D" C.G/o cc: Engineering Department CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN. MN 55122 PERMIT # d~z PHONE: (612) 454-8100 RECEIPT # /60 / DATE: a3 9/ .<TAE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS fi TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 J Q REPAIR 3 WATER CLOSET 3.00 ~.OD BATH TUB 3.00 (o. d? LAVATORY 3.00 La OWNER NAME: ~c~- 1~ 4 ! LP/1~ /Lu ~Yt 1 KITCHEN SINK 3.00 .3 a u 1 LAUNDRY TRAY 3.00 3" d0 SITE ADDRESS: jyro a~-(t-/ HOT TUB/SPA 3.00 n T WATER HEATER 3.00 3,dD LOT: BLOCK SUBD. ~X~n rr=~ ~~ZtlYLO 1 FLOOR DRAIN 3.00 3,cN GAS PIPING OUT. INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. I (MINIMUM - 1) 3.00 ~ Q ROUGH OPENINGS 1.50 O ADDRESS: 14745 South Robert Trail OTHER _ _ WATER SOFTENER 5.00 CITY: Rosemount, MN ZIP: 55068 PRIVATE DISP. 15.00 FriONE 612 423-1144 U.G. SPRINKLER 3.00 SUBTOTAL S ~J 9. J b ST. SURCHARGE .50 SIGNATURE 0 PERMITTEE TOTAL: S SU O L T ~T T PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN RESIDENTIAL 5 a~ BUILDING PERMIT APPLICATION d 19 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodeirReoair Requirements . 3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) . i site survey for exterior additions & decks l set of Energy Calculations • Indicated home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 71M3 • Rim Joist Detail Options selection sheet) (bldgs with 3 or less units) 2 DATE IU a VALUATION 1 2~l+ O~ J too SITE ADDRESS MULTI-FAMILY BLDG -Y _N TYPE OF WOR FIREPLACE(S) _ 0 - 1 - 2 C hil Exbe `i 9 . APPLICANT 9020ZJIla811 et Ra" MIN ft= STREET ADDRESS r CITY STATE ZIP TELEPHONE #155 d D2D CELL PHONE # FAX # -7S~'s3 PROPERTY OWNER l I~ TELEPHONE# (L,5) ^ 1 -J8_57 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (V submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee $90.00 Water Healer No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning - Heat Recovery System D Sewer/Water Contractor: Phone # MAY 2 2 2002 I hereby acknowledge that I have read this application, state th t he informatio is c ply with all applicable State of Minnesota Statutes and City of Eag n r inances. Signature of Appiica - J bu Auffij~~_ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundahon _ HVAC Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Figs _ Air/Gas Tests _ Final - Framing - Siding _ Stucco _ Stone - Fireplace _ R.I. _ Air Test - Final - Windows (new/replacement) - Insulation - Retaining Wall Approved By Building Inspector Base Fee 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 Total 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 2-1 -2-1 O's Site Street Address I `f 2 t p(Y2j OOY~ ~l Y GtL Unit # ( ) Property Owner -7-r. UYY 10.8 Telephone # Contractor. Syya.ri3on Pl t q- akt ra_ Telephone# (1o5I) 4-3-7-9 2-1,S Address 3SSO Vermi O~ICIYL~ fEg+_ City l state rnu Zip 9!SO35 The Applicant is: _ Owner vEontractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ so. SO I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approve Kathy Murphy T C T 0 d T D Applicant's Printed Name Applicant's S gnature FEB 1 0 2005 By 70- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft, of lot, sq. ft of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _N l set of Energy Calculations Addition - indicate ifon-sits septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date e:26- Construction Cost 3 L, c 2e- B Site Address 2~ f~,W,r, 4, JLa Unit/Ste # Description of Work lc_i., 1 h S f cr s 6,4,e 7 Multi-Family Bldg _ Y I N Fireplace(s) - 0 - I - 2 Property Owner 17-)? O yu r S Telephone # ilg, 11/ - 2 ifs 7 Contractor ~f ob k j 5 r~E h a wc, /~41' v s Address / 2s- & S^ ao o ~y ti 4/ G N City State 1yM1 Zip C5-O 33 Telephone # (Z-~) y3 2 - g- 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BVI _ - Minnesota Rules 7670 Category 1 _ Minnesota s7 QQ Energy Code Category . Residential Ventilation Category 1 Worksheet New Eno o e rk$ 12005 (J submission type) Submitted Submitte • Energy Envelope Calculations Submitted By Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone J 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. ~1l/~EvY S Lei h ciC Applicant's Printed Name Applicant' gnat OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 EM, Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex )K~ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 4- Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.0, Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Brick Fireplace _ R.I. - Air Test - Final _ Windows v Insulation _ Retaining Wall Approved By: 1 Z Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC t Y7 " Utility Connection Charge ~G7'G tG S&W Permit & Surcharge J70 Treatment Plant License Search Copies Other Total DAKOTA COUNTY PROPERTY RECORDS DAKOTA COUNTY GOVERNMENT CENTER 1590 WEST HIGHWAY 55 HASTINGS, MN 55033 02/02/05 P A I D R E C E I P T RIX139R1 RECEIPT NO: 427120 KG3 PROCESSING DATE: 02/02/05 PAYER NAME: ROBERT'S RENOVATIONS INC. AMOUNT: $19.50 CHECK: X CASH: CHECK DATE: 02/02/05 CHECK NO: 3247 RECORDING DATE: 02/02/05 FEE CODES: 10 A RR CUSTOMER COPY DOCK FILED 1a:5gpr"7 ABSTRACT COPY DAKOTA COUNTY tl b~ ~ ~ Is ~ L~ FEB 0 ? 2005 fay CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING I> f w ..,v r7 , 27/ vy~oS duly sworn and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.03 of the Eagan City Code located at /Yx/ /f,~w/sc tr^ acid legally described as Lot 6,Block PID #10- Co767~ 00/ S//prwnt d ~muJrt3 A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: 47- - 4C 12005 wner's Signa Subscribed and sworn to before me this day of 005. CHERYLE J. LEVY No ry c Fey Notary Public Minneeots cwminion IN Ina Jnwery 31,2010 I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family Dwelling was recorded at the County Recorder's Office on a?- oZ 2005. By. Its: THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Community Development Department 3830 Pilot Knob Road Eagan MN 55122 Bldg Insp/Fonns/Certification of Kitchen Facilities M ¢ W ❑ OO 0 ~ I =0 Z nn ~ 1a WW = 2 W 1.I7 G g a W W V = z_LL N 2 ¢ cc ll Z 2 U S O OeA W F Z N Q y 2 El C\I S v¢ C C7 m c 40 0 _1 (V O~0¢o ..n W M w ur 0 8 ❑ 3 z fV ? C ¢ f a O U. J 0 3 ' W U U v CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING I,* ;r, ~v duly sworn and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.03 of the Eagan City Code located at /y;21 /enso I~and legally described as Lot 6,Block PID#10-G7ra7DL$'aOC'/ 5herwoad pmw t_3 A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. Dated: 2- 4C 12005 wner's Signa Subscribed and sworn to before me this ~ day of 005. CHERYI.E J. LEW No ry c Notary PuCUc Mlnheeote ~dy Cornmieewn 4~t Ifae d6nwry3t,?O10 I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities Within Single Family Dwelling was recorded at the County Recorder's Office on 2005. By: Its: THIS INSTRUMENT WAS DRAFTED BY City of Eagan Community Development Department 3830 Pilot Knob Road Eagan MN 55122 Bldg Insp/Fonns/Certification of Kitchen Facilities PERMIT City of Eagan Permit Type: Building Permit Number: EA106168 Date Issued: 08/15/2012 Permit Category: ePermit Site Address: 1421 Appaloosa Tr Lot: 6 Block: 1 Addition: Sherwood Downs PID: 10-67670-O1-060 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Con1111entS: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: -Applicant - Owner: Apex Roofing & Siding KENNETH STILES 944 Oriole Dr 1421 Appaloosa Tr Apple Valley MN 55124-0000 Eagan MN 55122 (952) 891-1919 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.  ApplicanvFermitee: signature issued By: signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132078 Date Issued:07/23/2015 Permit Category:ePermit Site Address: 1421 Appaloosa Tr Lot:6 Block: 1 Addition: Sherwood Downs PID:10-67670-01-060 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 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 - Kenneth Stiles 1421 Appaloosa Tr Eagan MN 55122 (651) 994-1847 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use J City 6'67 67 ty of Permit#:Permit Fee: '° 00 e D 3830 Pilot Knob Road Eagan MN 55122 Date Received: 7 Phone: (651) 675-5675 Fax: (651) 675-5694 L Staff: / f12G 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:(/-D-/r7 Site Address: ! / ( , / 42c( / �• Tenant: --y Suite#: Resident/Owner Name:/ 14-t �e, t ! Phone: Cit / Address/ / 7 1�14�a( . r Y Zip: f/ Name: /2"7 1i ec/ �G 6 /l �J✓� License#: ?C& ( 1 ( l� Contractor Address: J qd XG�-z,1' it �� �'/ City: AfG.-eY'. State: ,5 : 4'4/ Zip: Phone: `1' ?^ � Contact: i... Email: Ge-/0(_ i` , - New Replacement _Repair Rebuild Modify Space Work in R.O.W. Type of.Work — — — Description of work: /V 2 q4e t ( 44 t/ V RESIDENTIAL �'�/ Water Heater Water Softener Lawn Irrigation ( RPZ/—PVB) Permit Type Add Plumbing Fixtures(Main/—Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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 .info •=nce 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 wor is • o 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 •f pl x ' c ) x A p cant's Printed Name Ap'' i•0'nature FOR OFFICE USE Reviewed By: Date:- Required Inspections: • Under Gro,Y.ntr Rough In Air Test Gas.Test ,Final' Meter Related Items: Meter Size Radio Read Manometer Staff: Use BLUE or BLACK Ink ( Eaau For Office Use CityU Permit i`/ 3c/ 3830 Pilot Knob Road Permit Fee: ' 0 Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 MECHANICAL PERMIT APPLICATION El Please submit two(2)sets of plans with all commercial applications. Date: LQ.' '1:1 ` 1.1 Site Address: 14'L1 L -( Tenant: Suite#: { Name:ILY k S"C\ Phone: 1pck—�OV Address/City/Zip: 1`A- -‘ N' -tf .S16t Name: (,�" 1soat) A1veL License#: vwt,gso S�1 O � Address: i �� E vv &� City: 144- v-t �7VitISW� c r State: YsivrSk Zip: Phone: VS L1/40"' f3Sole x �r Contact: G t'(� Email: C nS Q�� 6? w.anl OWN New Replacement Additional Alteration Demolition :,leatiii-owof*wkrilwo, Description of work: KV E 1sc f3ityN- 1A�1 i v &N e ' de r �t�� � � � i n * i PRESIDENTIAL COMMERCIAL _Furnace New Construction _Interior Improvement Air Conditioner Install Piping Processed VAVINSONMOROM834(sf:, Air Exchanger Gas Exterior HVAC Unit Heat Pump _Under/Above ground Tank ( Install/_Remove) x Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 T $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conforma - 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 sta • t 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 � J (/\444A-3A7 x Applicant's Printed Name App ant's Si• aturere ��� y �`t'{!B.{ Xp M i nd 7:t *4r T`e �` �T z�# ,n4od{" tiz it Z'� 7`b! l ntri d !X V t i" Z. YS \ d .. .. ._ .4 'Y _,...?X,� Za $i:,� �, .0 MX� t .., e