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876 Betty Lane PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 7 4 (612) 681-4675 Date Issued: 10/01/97 SITE ADDRESS: li 876 BETTY LANE LOT: 3 BLOCK: 1 WESSEL BOND P . I . N 10-83623--030--01 DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R'-3 U-1 Construction Type V--N Zoning R-1 Building Length 74 Building Width 94 Building stories 2 Square Feet 3,533 CensusCode 101 1 - FAM. DETACH REMARKS: S & W PLBR - BREDAHL PLBG FEE SUMMARY: VALUATION $237,000 Base Fee $1,572.25 MISCELLANEOUS 1 539.50 Plan Review $1,021.96 Total Fee $5,207.21 Surcharge $118.50 SAC $950.00 SAC 100 SAC Units 1 Lic. Search Fee 5.00 Subtotal $3,667.71 t CONTRACTOR: - Applicant - ST. LIC OWNER: WEIKLE & SONS, EARL 17243961 0005889 WEIKLE & SONS, EARL 2514 24TH AVE S 2514 24TH AVE S MINNEAPOLIS MN 55406 MINNEAPOLIS MN 55406 (612) 724-3961 (612)724--3961 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE - k8b SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' ~Q• CITY OF 3830 PILOT KNOB RDN 55122 681-4676 New Construction Reouirements RemodelReggir Reoulrements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured find. design; etc. ~ ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No G y DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~frtJ /°LC'Strtf ~Pn"h 1. UY1 S~ S.TfRa~ STREET ADDRESS: LOT BLOCK ~L-• SUBD./P.I.D. #:e.°`~.dl.t ~t+4 ti,~ L/`,~' T• PROPERTY Name: e ro o c H V i (UGW1 Phone ~g aid 1, OWNER LAV street Address: 3 o to .R:, a" r-6 o N Ave, City: (fPG A N State: Zip: 55 Idol CONTRACTOR Company: Earl WejKle, So A~ S Phone 3 9 to -er3~3i 1~ Street Address: 65 14 " a t4t 1Ue • So • License .5 City: s• State: rn n Zip: ARCHITECT/ Company: _ Phone ENGINEER Name: Registration Street Address: ,try City: Am/.J- State: j ' Zip: Sewer & water lic ginned plumber (new construction r 4•~ l /M,~/~ h only): L 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: ~c~c~adc~ OFFICE USE ONLY D Certificates of Survey Received Yes No SP 2 6 07 Tree Preservation Plan Received Yes No Not Required L:7"* OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation a 06 Duplex ❑ 11 Apt./Lodging o 16 Basement Finish 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. o 17 Swim Pool 0 03 SF Addition ❑ 08 8-plex a 13 Garage/Accessory o 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex o 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. fl 10 _-;plex ❑ 15 Deck WORK TYPE 31 New ❑ 33 Alterations ❑ 36 Move n 32 Addition o 34 Repair ❑ 37 ,Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 1 61 Depth Footprint sq. ft. .2252f-T SAC Code 01 Census Bldg L Census Unit APPROVALS, Planning Building_ Engineering Variance Permit Fee Valuation` $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. p~ Water Meter Acct. Deposit S7X = 13a7 S/W Permit I S/W Surcharge ~T 1=►~sHD ~`10 x >l~~D~b,~d Treatment PI. I y 2as7 3~/53~, So Road Unit Park Ded. Trails Ded. ' (,VNFpl' 1 D Other Copies $ X 1 S'= ®~S tX~ " 1"p7r-- Total:~ % SAC ` SAC UX*. -1- 7 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: J "Z lr~tj DATE OF SURVEY: LATEST REVISION: ~d H DOCUMENT STANDARDS a x E' ❑ ❑ • Registered Land Surveyor signature and company tz" ❑ ❑ • Building Permit Applicant D" ❑ ❑ • Legal description ❑ ❑ ❑ • Address [3-"❑ ❑ 0 North arrow and scale ems" ❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.) Er' ❑ ❑ • Directional drainage arrows with slope/gradient % E3--'' ❑ ❑ • Proposed/existing sewer and water services & invert elevation CT' ❑ ❑ • Street name Er' ❑ ❑ • Driveway ELEVATIONS Existing ❑ • Sewer service (or Proposed) '0 ❑ • Property corners ❑ ❑ Top of curb at the driveway Earl, 0 ❑ Elevations of any existing adjacent homes Proposed e`" ❑ ❑ 0 Garage floor ❑ ❑ • First floor d r"❑ ❑ Lowest exposed elevation (walkout/window) ❑ ❑ 0 Property corners dF ❑ ❑ Front and rear of home at the foundation PONDING AREA (if applicable) o ❑ • Easement line t) ❑ ❑ • NWL [3" ❑ ❑ • HWL ❑ ❑ Pond # designation ❑ 0-- ❑ • Emergency Overflow Elevation DIMENSIONS ❑ • Lot lines/Bearings & dimensions ❑ o ❑ • Right-of-way and street width (to back of curb) BI-- ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) [a- ❑ ❑ • Show all easements of record and any City utilities within those easements a-- ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures ❑ t~ ❑ Retaining wall requirements -1 any Z 5. Reviewed: Na e r /Date January 1996 CRAIG 1998BL DG PRMT. F M y y a , I i I \ i I \ \ IN'v = 894.C INV = 896.,D 60.5 \ CO. \ 11 63.0 'NV 895.0 3 47. 1 1 3.5 L41.E TV- CAN TRUCT LXC CI 52 WA TERrv 19.0 li CONSTRUCT HYDRANT INV = 894.0 L1 26.0 VOTES: i. SEWER SERVICES TO BE 4" PV C S 20.0 2. ~vATER SERVICES TO SDR 26 v ~ BE 1 " TYPE K COPPER IN J - 894.C 35.5 61.0 3. CURB BOXES TO BE PLACED ON PROPERTY LINES IN1" = 89 4. EXTEND SERVICES 15' INTO PROPERTY 5. VERIFY LOCATION OF SERVICES IN THE r r ItrL'D PRIOR TO CONSTRUCTION b. SANITARY SEWER SERVICE IS AT THE ENDOF~NSTg EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER - SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each 1. Total exposed wall area ....t J sq. ft. x .11 = ZS • Q 3 2. Total roof/ceiling are sq. ft. x .026 1 . Total exposed wall area above floor = _ ,xt a. Total wall window area b. Total door area i c. Total sliding glass door area 7 4 d. Total fireplace wall area W OOD F FLJIf~ Z<3un3D f- 5l-T. e. Total wall framing area (average 10%) d f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = A h. Total foundation window area . c~z l... I f.... 1. Total net foundation area above grade atO Determine "u" value of each wall segment, X 'lull Z4 b. 54 x „U,. %3 x „u„ R - ~2 . q 2 c. -7-1 d. X e.~- X ..U„ 4 ? 7 . -4z -3 1 x 'lull 32.5 X„u„ R~ ►3,n~ 9• X „u„ X -u- . Total It Item #3 is the same as, or less than Item #1, you have met the Intent-of SBC'60?Q(c02. Total exposed roof /ceiling are Total skylight area k. Total roof/ceiling framing area (average 10%) 1. Total net Insulated roof/ceiling area Determine "u" value of each roof/ceiling segment, k. 21- µ7 14 X „U„ a 4 ~ ~n ,Qy ~ 1. 4 . Total; t~•~ If total of #4 is the same as, or less than #2, you have met the infent_4f SBC_6006(c)1: r r Alternate Building Envelope Design 1 + 2. _ _ 3 +4. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER_ SITE ADDRESS CONTRACTOR DATE PHONE Determine working square footage of each 1. Total exposed wall area . . sq. it. x .11 = 6 z e • 43 2. Total root/ceiling are sq. It. x .026 = Total exposed wall area above floor = a. Total wall window area . b. Total door area c. Total sliding glass door area 7 4 Wo~aS> r fL~ C A2o~t Q d. Total fireplace wall area e. Total wall framing area (average 10%) 2 I t. Total net wail area above floor 4231 g. Total rim joist area Total exposed foundation area = h. Total foundation window area r.`~ . N ,O ' - - 1. Total net foundation area above grade .....................................c3io Determine "U" value of each wail segment, r a. _ X "U b. x 'lull C... -7X ..u„ - -5A 42.`12. d X „u„ _ x -u- z4 f. 37-45 9. X „u,. - h. X „tl„ 3. . Total' # If Item #3 Is the same as, or less than Item #1, you have met the Intent ofSBG'60?6 c02. ~ ~ Total exposed roof/ceiling are 1. Total skylight area k. Total roof/ceiling framing area (average 10%) 1. Total net insulated roof/ceiling area Determine "U" value of each roof /ceiling segment, i X.,u„ _ 4 . Total r . If total of #4 Is the same as, or less than #2, you have met the Infent..of; StiC 6006(c)1:"'"' Alternate Building Envelope Design - 1. +2. - 3. +4. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING t~ HVAC f`I V f-T y 5 783-cl/a Inspection Date Insp. Comments FOOTINGS "0 7 FOUND FRAMING ROOFING -mil ~1 e, , ROUGH PLUMBING ~~ff PLBG AIR TEST ROUGH HEATING GAS SVC , p y p 9 TEST f`~'l1F t~ COY,'( -tt6.1 INSUL 44 G GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL F Wtrfi f icate of CccupancC pagan (00 of Zoartraent of 13KOiK% 3ndOcction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use Classification: Sf DWG Bldg. Permit No. 30874 O-Pancy Tyl- R-3g U-1 Zoning District R-1 Type cont. WEIKLE & SONS 2514 24TH "E S. MINNEAPOLIS MN O,*o of Building Address 76 BEfiTi LANE L3, B1, WESSEL POND Building Address Locality - ul ` Date: Building OFfiCW POST IN A CONSPICUOUS PLACE Address ' 876 BETTY LANE Zip 5512 Lot 3 BIk 1 Sub WESSEL POND THESE ITEMS WERE WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 3 / Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB IUD EAGAN, MN 55188 (618) 681-4675 Please complete for: ➢ single family dwellings ➢ town homes 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 = & QQ Lavatory 3.00 x .S = 7. ey Kitchen Sink 3.00 x _ Laundry Tray 3.00 x = _3G 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 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE .50 TOTAL L .50 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's 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: 876 Betty Lane OWNER NAME: Vince Crouch INSTALLER NAME: Bredah 1 Plumbing, Inc. TELEPHONE 424-2646 STREET ADDRESS: 7916-73rd Avenue North CITY: Brooklyn Park STATE: MN ZIP: 55428 6A A SSICIWATUW PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 l CITY USE ONLY LOT BL RECEIPT SUBD. RECEIPT DATE: ~7 l` 0 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN Iii 55122 ~j, (612) 681-4675 Date: I / A~C -r f g Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied ~ V C_ 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) - Z• G---,:fj • State Surcharge: .50 • TOTAL: S`Cj Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: G/ l OWNER NAME: 1/ j ✓L.c .E I'~ uc'l PHONE 7i d / INSTALLER NAME: PHONE 7, 22 `>~lo STREET ADDRESS: CITY: ' ✓ ~/c~~ STATE: ZIP: SIGNATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY L BL RECEIPT SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of Permit fee due on all permits.) TOTAL - - - - - - - - - - - SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (impROvEMENTs ONLY): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR R~ m I~ T T ~E ~ , ~,2~ ~~p . f' - 'rS ~ ~ ~qo~:4' •o rho ~ ~ , ~ / `3 ~ Tc, •_~.1, to ~~o ~ S '3~ - ~ o Q:5 o I ~I ,N " 89~~ 4 30 48 ~ ~ ~ 7E~ Etc. gox ® I ti ~ a \ a ptia rgo5,gr li ti o a ~905~~ o ~~D ~f ~ ~ S 0 ~,,S X905.. o - Cq ~ ~ODtJ,~~ - ~ p .ol ~ a\ ~go2,9; 9 6 ti ~ ~ R - - a c' qoA- .o ,o , til ~ --~b;~ C' 'D 0~ ~ 0 ~ 'V SL o %o6~w ~ ~ 60 80 ~ 9°I,3 M ~ - gG5~2J X906, ~ I EHE._ ~ ~ ~~20.00- o I ,I , o ~5~ 8-- 0 ~ - I ~q ~ ~ ~ - c, C I: ~ o Q a ~ Scale In Feet 06.E - - In ~g99,~2, rgoi~l~~ Ito. 1 CXlS?~N~1 ~89~,~`I~ - i5.83 ~ ~ s I 0 , 07 /TD~~, s 6. 4 - b, - - - ~ ieoP o . ~ 9 _ '898.3; ~ p ~ (89~, "i`~, 33.92 0 p l1 a°~8~ ~ ~.o ¢9Z,6~ ~ ~ w3" P~C~'~SE~ ~ t - ~89j,2, ~ ; NovSC o L® 3 PLC 1 • 5 C~ 9 v - _ _ _ - r , $q1,5 ~ _ 5 ~ ~ o 1x.17 : - - - ~ - ~ 15.4-4 _ - - _ . ~ 93,05, ~ 93 ~ ~ _ ~ 6 ~ 9 8_-- - 1.5 c' 0 3R 2.0 6.0 ,,~Q 895.841 ~8g1,~Fg .ag 9 W~ X892, ~B ~ ~ SB S 7~° 5 (5a -o) DENOTES EXISTING ELEVATION ~ g7~, - - o~,o F - ~893,Z (9 ) DENOTES PROPOSED ELEVATI® _ _ 1 INDICATES DIRECTION OF SURF ~ o , 3 ~ 9 6 ~3 =FINISHED GARAGE FLOOR ELEV _ ~A~ , P`' ~ - ~ Pt G _$9~~ -BASEMENT FLOOR ELEVATION ELEVATION 0 P o a 0 6 ~66 =TOP OF FOUNDATION ELEVATIO 0 ® ELEVATION N )N OF SURFACE DRAINAGE e r-e evs v~ r e e- e v n -8- . p o N ~ 0 , b N it I r-. „ I % ~ Q N ~ s e 54.99 h189°55` 28`IW • .e ceew~arr~a 0 o N ELEVATION 0 I~ Q JL ~ 0 ~~v ®d- ® ~ ~ 0 N 0 ~ v~ ..o ~ E~~~, u~aTE 587. o ~ ~ ~a - F C -z9.9~ 4 ~J gS~.s~ BY 1 c O 9-24-9~~ ~ C DATE ~ _ ° LNG INSPEC ID, BUILD /J 89 •SS 03 W ~5e®~ it - DESIGNED CHECKED I HEREBY CERTIFY THAT THIS PLAN WAS PREPAI I~ ~ 7 T Y M R NOER MY DIREC ~ i A AT PREPARED ® E 0 U ~,~la OR WN D E C®NSUlTIN~ ENIkEE~S, f, ~ ?I ~ ! ~ ~ E ®61d LAND ~UAVE4®~s SUPERbIS10N AND THAT I AM A DULY ' ~ ~ RPQ 41-~.:~ ~i,~~~We, PLRNN RS REGISTERED InrJnsuavEVOR I.. CC, { I`:{`~-~'.-, SCALE VINE ~ UNDER THE IAkS OP THE S'l67E ~ - ~:I~ i i~~` OF MIN ESOTA. i ~.d ~1:. ~ v ~ ~ -`.Il'. NO DATE ®Y REMARKS ~ 8083•QQ o 6, AT p'Z4''91REO,N .19486 ® D Et_- 0 REVISIONS - I~00 EASY 1~61h STREET, ®URNSVILLE MINNESOYA a333Z _.P_H 432-3000 - - _ ~ ~ _ P - .i - ~ - - I N w_ f:. _ ~ 1 7 V \ - Z i .e °---~,...-,.a. ~i u ~ W rff Y ~ - S's. 4 ~ . , \ 7( i/~ - ~ ~r%'F. . ~ F ~ w~ ~ ~ ~ ~ ,r ~ \ t ~ ~ a. ~~e ~ ~ N ~ S ; - fi' ~ ~ ~ `a ~ ~ ~ \ ~g 4 6' ~ t. °r i ~ ~ ~ , ~ ~ ~ t t r ~A , ' ~ ~ ~ 4 ~ lye ~ r - fi W ~ 5~ ~ ~ 1 ~ ~ , 1 ~ ~ 4 \ , ~ 1 R ''a ~ 1, ~ ~ ~ w . ~ ~ ,1Y`, . ~ ~ ~ -3. 1 ~ /"F. i .r ~ 4t ~ 1' . ~ \ _ x \ ;a:. ,6 ~ `~.U .,`y , _ r,, a ~x Q ~ - - ~ ~ „ . y ~ , ~ ~ ~ `4 ~'`1 ~ r"- A 5 ~_1 ~ ~ - ~ ~ ~1, ~ ~ ; ~!i,, ~ ti e.. , i' y l t y ~ ~ 'r ~ s. _ c ~ ~ l ~ .i \ ~1 i\ ~ ~ T _ ~A \ ~t_' 1 e, J / ` I ~4~1 ~ ~ ~ ,t ~ ~ ~ ~ ~ ~ ~,l r- ~ ~ ~ ~ ~ . ~ i ~,1 ~ t t' ' t ea ~ ~ ~ ~ _ - ~ 3, _ ,.....-~..v - ~-r, - _ .._.,..,~.~,..,A,,t _ ,J 9. F ~ ~l f t, 1 a { ,z , ..R, ~ ~ ~ o.__~ __~.r,-___,___._~.~„ .  4, Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I L I , Permit I I City of Eanan I Permit Fee: I 3830 Pilot Knob Road _ Eagan MN 55122 Date Received: ~2 I Phone; (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 7 I I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: , f Site Address:(' ! G%~ Unit Name: Cro u c_k Phone: RESIDENT / 4 OWNER Address / City / Zip: Applicant is: Owner Contractor Description ofwork: ~ TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No ' j Company: Contact: CONTRACTOR Address:'~Z cCP ~ City: lLr YYA7l j ! State: Zip: ~ E ! Z o Phone: License 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: e..,-,M-m 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 uilding Code must be cAmpleted within 180 days of peEmit issuance. x ~Vl G`~V~(' Cit V` V 1 x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148638 Date Issued:04/11/2018 Permit Category:ePermit Site Address: 876 Betty Lane Lot:003 Block: 001 Addition: Wessel Pond PID:10-83623-01-030 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Xu Bing Wang 876 Betty Lane Eagan MN 55123 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164446 Date Issued:09/29/2020 Permit Category:ePermit Site Address: 876 Betty Lane Lot:003 Block: 001 Addition: Wessel Pond PID:10-83623-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Xu Bing Wang 876 Betty Lane Eagan MN 55123 (952) 228-3989 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature