Loading...
877 Betty LaneCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: doW 4S BUILDING 025878 06/22/95 SITE ADDRESS: P.Z.N.: 10-63100-020-01 877 BETTY LANE LOT: 2 BLOCK: 1 RED OAKS 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 66 Building Width 42 Building stories 1 Square Feet 2,136 REMARKS: S & W PLBR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $78,000 $749.75 $262.41 $39.00 $850.00 100 1 $1,901.16 MISCELLANEOUS Total Fee CONTRACTOR: $19892.50 $3,793.66 OWNER: -- Applicant - STRICKER BRAD 3544 WESCOTT HILLS DR EAGAN MN 55123 (612)454-2669 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. A PLICANT M ATURE ISSUED B: SIGNAT E INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 2 5 8 7 8 Eagan, Minnesota 55122-1897 Date Issued: 06/22/95 (612) 681-4675 SITE ADDRESS: P . I . N .: 10-63100--020--01 APPLICANT: LOT: 2 BLOCK: 1 877 BETTY LANE STRICKER BRAD RED OAKS (612) 454-2669 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR. FOOTINGS . FOUNDATION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR -- P L P P R ques Dat s Jam", .? 57 Fire No. WInIns ion Required e w r dy Inspection Other Than Rough-In j Ready Now D Will Notify Inspector Date Ready •censed contractor ? owner hereby request inspection of above electrical work at: 2 (Steet, Box or to No.) res City,,...-- Section No. Township Name or No. Range No. Coun Occ p [(PRINT) ?• Phone No. Power lier Address /j p 'p n AVY Electrical ontractor (Company Nime) ohtractor's License No. c'q 9 U Mailing Address (Con ractor o caner Making Installation) Authorized Signature (Contractor/Owner Making Installation) Phon ?4n ECT ITY I 11 III I T E I Griggs-Midway Bldg. Room S-128 I I ( ( ? ??? STATE BOARD BE ACCEPTED BY THE 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 l S ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-0 r? 'See instructions for completing this form on back of yellow copy. 44u"55 8 $5 "X" Below Work Covered by This Request New Add Rep. Type of Building - Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater ectric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 0 Amps Signs Inspector's Use Only: TOTAL c? G Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final n Date - ?Y OFFICE USE ONLY This request void 18 months from 0 1 ? 8 61 ?°°5a? ?2z 2 k ?/ . /9-/. ei z 60 Reque Date Fire No, Rough-In l pection Required (You must ca inspector when ready) Inspection Other Than Rough-In ? Ready Now Will Notify Inspector ? Yes No Date Ready '- ` I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City '7 Section No, Township Name or N d. Range No. County Occupant (PRINT) Phone No. Power Supplier Address {{//Y Electrical Contractor (Company Name) Contractor's License No. Mailirr ddress (Contractor or Owner Making Installation Author' c}t Signature (Contractor/Owner Making Installation) Phone Number THIS hiINNESOTA STATE PhonUniversity Ave., St. Paul, a 55104 ELECTRICITY UBE ACCEPTED BY THE STATE ENCLOSED. S PROPER ER INSPECTION FEE ST LYE-•l. t3'tmff cote of ccn anc? Wit*, of Wagan Mcpartment of Tnlbing ZeAeetion 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. 25878 R1 VN Occupancy Type Zoning District T Coast Owner of Building Address RED OWS 77 &M-TAR f f Building Address Locality DR, EW.W Date: Building Official POST IN A CONSPICUOUS PLACE Q / REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 o r See instructions for completing this form on back of yellow copy. 1111. "X" Below Work Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # 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 3 Special Inspection 0 Alarm/Communication THIS INSTALLATION MAY B RDERED D ONNECTED IF NOT Other Fee ?- . COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby h Rough-in Date certify that t e above inspection has been made. Final OFFICE USE ONLY This request void 18 months from Address 877 BETTY LANE Zip 5512 3 Lot • '2 Bik 1 Sub RED OAKS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 3 // 9t 7 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 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy I CITY OF EAGAN ??,, ?,' 3830 PILOT KNOB RD • 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?!? 4-' r_ 1-4575 j_ ? 3 nrd site surveys i 2 copies of plans ( beam & w siasu; poured fiat. design; etcc.) s. # t energy i 3 csopie of tries plan if tot platted after 711193 ` niquind: ., Yes ,_,,, No +? 2 cis of plan i 2 site surveys ( & docks) i 1 energy for healed lTE: a?f?? CONSTRUCTION COST: DESCRIPTION OF WORK: „ ,G?...1. hw :" e ri z? mower S water licensed plumber: Penalty applies i ddress -end lot tie are requested once permit is issued. I eby adtnowledge that I have read this application and state the information is corm and - to ? r -„ #8 amble State of Minnesota Statutes and City of Eagan Ordinan+. Signature of Applicant OFFICE USE ONLY R EC EOM D C silicates of Survey Received l,/ Y - No N :1 3 1995 Tres Preservation Plan Received Yes No ..--?,?'" "'" BUILDING PERMIT TYPE o - 01 Foundation o 06 Duplex © 02 SF Dwelling o 07 4-plex O3 SF Addition a 08 8-plex 0 04 SF Porch © 09 12-plex n 05 SF Misc. o 10 _-plex WORK TYPE dm(--31 New a 33 Alterations O 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) USC Occupancy Zoning # of Stories t, o.! l.ength Depth APPROVALS OFFICE USE ONLY © ? 1 Apti odging 13 16 Basement Finish o 12 Multi Repair/Rem. 0 17 Swim Pool © 13 Garage/Accessory 0 20. Public Facility -o 14 Fireplace o 21 Miscellaneous 0 15 Deck a 36 Move © 37 Demolition L t Basement sq. ft. " , MC/ S system Main level sq. ft. ,z, __ City Water _.._?_?.. sq. ft. ,,,; Fame Sprk sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. 2, / SAC Code Comm swo Census Unit Planning Building Engineering Variance ort Permit Fee Valuation: S 7 at-An Surcharge Plan Review License ? N (fr1C _ olla 4 MC/WS SAC City SAC Z x qZ- S- _ ?? (05 23, f -„ P87 Water Conn. ?6 yy X Water Meter Z X 1 ,r& Acct. Deposit / l f/? x sY S/W Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: 2? ?3Y 11C? % SAC SAC Units L CITY USE ONLY rJ p L BL RECEIPT #: SUED. 6J24' DATE:_______ 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit - j, New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: J_?f FEES Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS:' 2 /kZ / c4,vc' S_ -26e ' OWNER NAME: i) PHONE #: 9' INSTALLER NAME: 12'4)A&7- STREET ADDRESS: S-atZ CITY: STATE: ZIP: c PHONE #: (642 ) ' ---266 / 11-17 S,51UNATURE OF TTE CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 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 , required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: $25.00 minimum fee QI 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR CITY USE ONLY L BL RECEIPT #: SUBD.C DATE: 4 95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x I _ 0--) Water Closet 3.00 x _ Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ 0:11 Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x ?_ _ ?L r? Rough Openings ,tt,q k' Y. 1.50 x Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL +`__ SITE ADDRESS: 877 BETTY LANE OWNER NAME: BRAD STRICKER INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING CO. STREET ADDRESS 14745 SOUTH ROBERT TRAIL CITY: ROSEMOUNT STATE: MN ZIP: 55068 PHONE #: ( 612 ) 423-1144 J LLa OFFICE USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 PLUMBING 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 ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? - YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pffmit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: INSPE CTION :ECOR. C EFY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road - Permit Number: # .' ° s 4 Eagan, Minnesota 55122-1897, Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: t; . Iii r ; i ritd! 1 f i 1? #_ ;- It1i1+ 1"', 11 i)fat ` PERMIT SUBTYPE: :cI Irl"Is. TYPE OF WORK: ypr € iIt VjA 7 I I i 0 1)J\$-I M?; },: itto ( .1 P{s: I i1!1 A I 11)1 i 1I 4: t't.rja t 1)ttt.kl# 114 .1"? i;tf ) uI)siII F f1 II 1 A, 1 tHAI t't 1;?, i I1'1{ij .eft( ,7 Permit No. Permit How Date Telephone e ELECTRIC PLUMBING HVAC WioG inspection Date Insp. Comments FOOTINGS (.3 s FOUND FRAMING ( ll Z ? Q ?/`CJ t ?? "vv ROOFING ROUGH PLUMBING -3/-? AS Ar PM EST if ROUGH HEATING _ (C 9 t='- GAS SVC TEST __ c?/ j l (( !N 6urR y _ CQ s-Yr `Yi ?'- /Z INSUL ! /.7 l clx / GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ?iOf1/?tl 9+r tI e 14 ORSAT TEST BLDG FINAL jflr t l Ll+bS CA-$ I *I 1E 5, a,P c e t L E V t e , * a rv?mfk f4 BSMT R.I. 1!x!Y''>' ag-,93 BSMT FINAL ?Iril..? daa " l?J?.vr? uvy . ?r 4 4 . DECK FTG DECK FINAL J?.J Certificate of House Location For: Brad Stricker DELMAR hi. SCHWANZ LAND SUflVtYOfl, INC. Registered Under Lewe of The Stele of Mlnneeote 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 612/423-1769 S+.IRVEYOR•S CERTIFICATE Address: 877 Betty Lane f. x i { 4 Scale: 1 inch = 40 feet Proposed garage floor elev. gZgr/ 0 = Iron pipe set when platted Proposed top of block elev. q ,7 o = Existing spot elevation Proposed lowest level elev. j 2 Q = Proposed elevation 31171 Drainage & Utility Easements 2!>T 2,LU i Qq) R E V?,E? E D " GA/r?? a BY 74 -4 q 1 I? v 9v ._ Al89n?Gfr qOO 9o. 00 7571 l p'\ ?' yYj? ? -p 0 A "?4 Z? Description: it 4b ?' Lot 2, Block 1, RED OAKS, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house staked 71?' thereon. 06-16-95 Revised south end of proposed driveway. Added proposed elevations at lot corners. By Da ---.-' zcr EAGAN EN INEERING DEPT. I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and (''DELMAR H. that 1 em a duty registered Land Surveyor under I SCHWANZ the laws of the State of Mlnnesbtai.' i i ;ti? ?? -- 8625 M&Imer H. Schwartz Dated 06-07-95 Innesot Registration No. 8695 ??'? •.. .••' ?, ' frt.. « •,• o *, 172/48 ° r\ V7 TI-1-1 lolv?- LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: Date of Survey: DOCUMENT STANDARDS s-- <D 0 Registered Land Surveyor signature and company D/ 0 0 Building Permit Applicant 1Y0 D Legal description IY 0 0 Address t? D D North arrow and bar scale M-- 13 D House type (rambler, walkout, split w/o, split entry, lookout, etc.) D- D 0 Directional drainage arrows with slope/gradient t. D? D ' D Proposed/existing sewer and water services D" 0 Street name C- D D Driveway ELEVATIONS 0''D 0 Existing Sewer service D D?0 0 D Lot corners A Top of curb at the driveway D H D Elevations of any existing adjacent homes Proposed CAD 0 Garage floor fl' D D First floor 1?' D 0 Lowest exposed elevation (walkout/window) D D Property corners D' D D Front and rear of home at the foundation PO DING AREAS (if applicable) 0 Q0 Easement line D D D IL HWL D D D ID'? Pond # designation D Emergency overflow Elevation DIMENSIONS Q' D D Lot lines D--D 0 Right-of-way and street width (to back of curb) D'D D Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all M"-0 structures requiring permanent footings) 0 Show all easements of record and any City utilities within those easements D'D D Setbacks of proposed structure and setback of adjacent D ?0 existing homes Retaining 1 requirements, if any -r Reviewed: (? / 24 Na / ate October 1992 0 RE INV = 894.0 896.0 INV Co. INV = 895.0 CO. CONSTRUCT 6" DIP Cl 52 WATERMAIN-, CONSTRUCT HYDRANT --? MH 1 INV = 894.0 NOTES: I. SEWER SERVICES TO BE 4" PVC SDR 26 2. WATER SERVICES TO BE 1" TYPE K COPPER INV _ 894. 3. CUR Rnxrc Tn r„ ...__ REMC CONN 6" D x REMO\ .............................. BETTY LANE NOTE. TACK COAT SHALL BE R ALSO, THE FAC THE 7 P.reeYA77cW '4Ar' ,& ?i?4 s l.LrL?LOPl?Ev7 iOTe? 1S':Oc</ ?e w>' UJV4 .L J?/tee •7 t '•S NOT AN SITE iS Gily t ` ?, jam' '°"'w•?•"?•+•?•w.w..E?++yv. r,. /6 • l 1.7 i y J. .l( REVIEWED FOR TREE ) • PRESERVATION COMPLIANCE N• w S 5 LE i'= 5'O' 44 7 IV6 7 - CEG /O .? Y /o''.@.OAC Me- ii- /8'd. DEC w 42 ot-T"444C 6 • ?` /G' .C, Ot(' 04C 7 - * it R. aW 4 ,e. u /Y's. eAC 16- V-RaAk lo. e. aa< n - /p" w. a& Z E?C',M'f1 V • EX/57XV r ^rQA10/776A -5 S/6A ', /c PVT 7?'e? Z2 0' ,?ocos ,e' ru - /J. R. G4< f I c?s.??• `S7c's'`??! 6//1f1S`Y`„`°"° - -`` . 1 & 2 Family Residential "Cookbook" Method FIn-RiADDRESS city R Date Minimum Criteria: Rim Joist' R-19 insulation Foundaton Windows: Insulated Elass, 112" air space, wood or vinyl frame Entry doors: t% inch solid wood with storm or better I STEP I Window & Door Area I STEP 2 Calculate area as a percent of wall I Total Window & Door Area in Sq. Feet Box A (window & door arca) divided by Box B (total WINDOWS (including foundation windows): wall area) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wall area (Box C). L1-c X Z,- D !11 X x X x X X X X X DOORS: X 2 l-? X 'Total Area of Window & Doors Arca BoxA -' ? x 100 BoxB 1410 C STEP 3 Design Features ASSEMBLY FRAME WALL: OPTION STANDARD FRAI [RiCi: ADVANCED FRAMING CAVITY INSUIKTION R- ?? 1 SHEATIIING: LESS TITAN R-5 R-5 OR MORE WINDOWS (except foundation windows): u-1=ACTOR [ii. - From the table, determine the maximum percent window & door area for the design options selected and enter the value in box D below: - F-4 Box C must be less than or egti-al to Box D Total Wall Area in Sq. Ft- Wall Total Perimeter Height F. The building must not exceed the maximum window and door area as a ?x . percentage of overall exposed wall area listed below for the combination of framing technique, R-value of insulation within the insulated cavity, sheathing R-value, and window IJ-factor. Other components must meet the requirements of this subpart. MAXIMUM WINDOW AND DOOR A1tEA As A PERCENT OF OVERAI.I. Exposti-D WALL Cavity _ t'Vindot?' [;-Factor Framing Insulation _ Sheathing 0.99 0.36 0.31 0.27 STANDARD R-13 _R-7 13'4 % 17.8% 21.3 °% 2.1.3°0 STANDARD R-15 2R-5 12.9% 17.1% 20.1% 23.4°6 STANDARD R-18 : . ..' <R-5 11.1% 16.0% 18.8% 22.0; STANDARD R-18 2R-5 13.5% 18.6;0 21.8% 25.3;6 ADVANCED . R-18 "1t-5 11.1 % 17.1 % 20.1 :? 23.1 ;" ADVANCED R-18 ?It-5 13.5% 19.2% 22.5;6 26.1% STANDARD R-21 <R•5 11.8% 17.0°5, 19.9; 23 1 ;U STANDARD H-21 2 I 5 1:1.0'd . 19.3°5, 22.5;;, . 26.1% ADVANCED R-21. <lt-5 11.81 18.1% 21.2111, 21.6;5, ADVANCED R-21 1111-5 .. 11.0°U 19.9% 23.2;6 26.90 Subp. 3. Performance criteria. The combined thermal transmittance (YJp) factors for walls, roof/ceilings, and floors over unheated spaces rntist be less than or equal to: A. 0.110 l3ttt/h ft2 °P for walls; B. 0.026 Bttt/h f12 °P for roof/ceilings; and C. -0.01 flu/h ft2 °p for flciors. STATAIITJJ: MS § 216C.19 81ST: 18 Sit 2361 7670.0180 Repea1ed, 18 SR 2361 Minn. 1 iileS Cilat)ipr 7(,70 ?.: } City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I For Oice Use / Permit Permit Fee: 7 (-' Date Received: I I Staff: I ------------------ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 7/ Date: !zlzl_4?? Site Address: Tenant: Suite #: RESIDENT / OWNER Name: /,".4 ". Phone: la ? 3`r`/ 7 7? Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: r°©w ,r Construction Cost: l ")O?Multi-Family Building: (Yes / No CONTRACTOR Name: . ii%4(ense #: ?T Address: City: c1/J State: Zip: - 411A Phone: .?• ,? , ??2 Contact Person: _%4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _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. 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 wo will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xa7 -e6 x Applicant's Printed Name pplicant's Signa ure Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA176664 Date Issued:05/25/2022 Permit Category:ePermit Site Address: 877 Betty Lane Lot:2 Block: 1 Addition: Red Oaks PID:10-63100-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Brad D Stricker 877 Betty Ln Eagan MN 55123--246 (651) 341-7764 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature