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4051 Albany Cir715191 1o.,2 /ate 9, JU4 Request Date t Fire No. ugh-in inspection quired? ? Ready Now , ^M Notify Inspector , i- Yes a No When Ready? I'ficensed contractor I owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) ' City •4oS e Section No Township Name or N Range No. Cou Occupa (PRINT) Phone No. Power pller Address Electric only cloy (Company Name) Contractor's License No. a 3 42 <i ix Mailing Address (Contractor or Owner Making Insta(lation) Authorized Signature (ContractodO er Ma 1 g installation) Phone Number 43 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION / / / ? See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request EB-00001-08 ew Add Rep: Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Other (specify) Compute Inspection Fee Below: Air Conditioner Contractor's Remarks: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps jf_ 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Irrigation Booms Inspector's Use Only: TOTAL {ps?'? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTt . f I, the Electrical Inspector, hereby Rough-in ! f of certify that the above inspection has been made. Final o to OFFICE USE ONLY This request void 18 months from 2/9j1/ I n ' `? j d1 ds Request Dale ' Fire No. Rough-in Inspection Required? eady Now ? Will Notify Inspector _ I I 6_1"f es C No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) n City D l; Section No. Township Name or No. Range No. Count Oceupant(PRINT) Phone No. lier Power S`µ Q`p Address ? \ Electrical ontractor (Company Name) Contractor's License No. . Mailing Address (Contractor or Owner Making I nstallation) Authorized Signature (Contractors ne aking Installation Phone Number y A_ 3r o MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 . BE ACCEPTED BYJHE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FORoEpLECTRI?CAL INSPECTION See for this on ack of yellow copy. X" Below Work Covered by This Request E8-00001-08 ew Aad Rep. ?Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace 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 ! y r 5 Special Inspection JV Alarm/Communication THIS INSTALLATION MAY BE ORDER 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 OFFICE USE ONLY This request void 18 months from CITY OF EAGAN NO 1915 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C 15 O1 To be used for SF DWG/GAR Est. Value $144,000 Date -TUN 3 1991 Site Address 4051 ALBANY CIR Lot 9 Block 3 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE RD W Name TH ROTTLUND CO INC Address 520 1 E RIVER RD 0 City FR DLEY Phone 571-0304 Name SAII E 0 Address City Phone 5 Name X Address <w City Phone I hereby acknowlege that I have read this application and state that the information is corre and e to omply with all applicable State of Minnesota Statutes an ' of E r nce Signature of Permite 'CLIA A Building Permit is o: THE ROTTLUND CO I C on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY occupancy R-3 M-1 FEES Zoning PD R-1 (Actual) Const V-N Bldg. Permit 794.00 (Allowable) V-N 72.0 0 Surcharge # of Stories 5 . s/ Length 62' Plan Review 1?0 Depth 36' SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints - On Site Sewage Water Conn 660.00 On Site Well Water Meter 95.00' MWCC System X X Acct. Deposit 30.00 City Water PRV Required S/W Permit 30.00 Booster Pump 0 S/W Surcharge .5 0 Treatment PI 275.0 APPROVALS Road Unit 370.00 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL .3 59 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be Used for SIP DWG /GAR Est. Value $144,00 Date JUN 3 1941 Site Address 4051 A-JjANY R Lot 9 Block 3 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE 3RD W Name THE EOTTLIND CO I NC 3 Address 5201 E RIVER i ° City tIDLEY Phone 571-O3O4 ZF Name& Address City'" Phone W W Name Address 00 aw City Phone I hereby acknowlege that I have read this application and state that the information is correand agree to comply with all applicable State of Minnesota Statutes and City of E?gah Ordi nces I Signature of Permitee, A Building Permit isFissued to THE LU$D CO I C on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R -3 _ FEES Zoning PD W (Actual) Const Bldg. Permit 194 nn +00 (Allowable) V-N Surcharge 7+ # of Stories Length BIZ Plan Review Depth 36' SAC, City 100 S.F. Total SAC, MCWCC 650, S.F. Footprints On Site Sewage 6*0 t Water Conn 660. Y On Site Well Water Meter 931 MWCC System x City Water Acct. Deposit - 30, PRV Required S/W Permit 30, Booster Pump S/W Surcharge + Treatment PI 273, APPROVALS Road Unit Planner Park Ded. Council _ Bldg. Off. Copies Variance TOTAL 3. "3.50 Permit No. Permit Holder Date Telephone # WATER 41noql' SEWER' PLUMBING - 219A1 °1 H.V.A.C. ELECTRIC 0? ?7 J Inspection Date Insp. Comments Footings I 6 7/91 (,(J f Foundation ,8 (1? Framing Roofing Rough Plbg. Rough Htg. 2 /g 41-71 PW Au{ !'•C Isul. 7?3' Ql n . / Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 9 /• j L!J c? Deck Ftg. Deck Final Well Pr. Disp. Address:4051 ALBANY CIRCLE Lot 9 Blk 3 Sec/SubHILLS OF STONEBRIDGE 3RD These items were/were not complete at the time of the final inspection. 9/13/91 Yes No Final grade (6EE 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. RECYttEO PAPER White - City copy Yellow - Resident copy Pink.- Contractor copy SEWER & WATER PERMIT CITY OF iGAN 3830 Pilot Knob Rd. Eagan` MN 55122-1897 DATE 3.-2_?-C t SITE ADDRESS .4054: A l + rye PERMIT REQUESTED LOT__. _ BLOCK 3 SEC/SUB I, z y SEWER 1< WATER TAPS APPLICANT: The lRo tl "-ic Ca ADDRESS: 52"01 iiw-, COMM/IND RESIDENTIAL CITY, STATE Er i d' ny, = ZIP GZ "'k NEW EXISTING PHONE: 571. z Lawn Sprinkler Meters are to be Installed PLUMBER: ?` - P Uflt) i at.' --' Ahead of Domestic Meters on Water Line. ADDRESS: 1 C : F9i?r Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP b i35E . .a ` PHONE: 492--2121: I AGREE TO COMPLY WITH CITY OF OWNER: i't,c rtl;ln Cc° . :) _?• EAGAN ORDINANCES ADDRESS: 52'`1 River. Roes CITY, STATE ft ZIP= PHONE: 14 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. OFFICE USE ONLY METER # PERMIT DATE ' 71 CHIP # . PERMIT # 12046 .,1 METER SIZE B.P. RECEIPT # ., ISSUE DATE B.P. RECEIPT DATE 6151 PRV BOOSTER PUMP S? Y &?WATER PERMIT 'CST` ' F GI N 3830 Pitt Knob Rd. Eagari"MN 55122-1897 DATE 3-2?-9± OFFICE USE ONLY *METER# c? PERMITDATE 6/7/91 CHIP #!O Ir/ PERMIT # 1.20- METER SIZE 'ems B.P. RECEIPT # C13801 ISSUE DATE / B.P. RECEIPT DATE 6/5/91 PRV BOOSTER PUMP SITE ADDRESS m 1 1 y ^ ',e PERMIT REQUESTED LOT BLOCK SEC/SUB W I] ` L 'r Mfr' X SEWER WATER TAPS APPLICANT: Tha Rott-li nr^ Cn Trr ADDRESS: 5201 E River Rn ad' COMM/IND RESIDENTIAL CITY, STATE 'ridley, Mn. ZIP` aL2.I X NEW EXISTING PHONE: 57':.-C304 Lawn Sprinkler Meters are to be Installed PLUMBER: dal e? E?m?'rl Ahead of Domestic Meters on Water Line. ADDRESS: 610 Creek i,ane- CreditWILL NOT be -given for Deduct Meters. CITY, STATE Jordan? tin. ZIP 55-452 PHONE: 492-2121 , < < < I AGREE TO COMPLY WITH CITY OF OWNER: The Rottlund Cc. trc 'EAGAN ORDINANCES ADDRESS: 5201 E River Road CITY, STATE Ft -'C-" 21p55 PHONE: C' SIGNATURE WHEN ER ED ' PLEASE' ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN Page 1 of 4 PERMIT"" WORK WITHIN CITY ROADWAYS 1. Location t ?Ot...C7 N I F,, AN IY r J 'd 5 1- 5 Ld+ q 131uc% a S oo4,L . 3 2 2. Nature of Work l3?UE. _ SR?tJiC.RS 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketch or plan shall be provided with permit application. 4. Method of Installation or Construction 5. Work to start on or after W Z4 and shall be completed by approximately____________ ? 3c> 6. Will detouring of traffic belnecessary? © If necessary to detour tAraffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours inadvance of any detour being established, gcch?anged or discontinued. / NAME OF APPLICANT C) EJ ' PHONE Jam' .Z k?' ?p PLEAbt PRINT ADDRESS SAC,,AKJ M 5512--5 ZIP NAME OF PARTY OR ORGANIZATION PERFORMING WORK,'"' S(;P ADDRESS . .G 1i L) MN 5512-3 PHONE 45 - CS 71,j lip The undersigned herewith accepts the terms and conditions of theregulations by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the Eagan City Council. For: Title: Signed: Date:?/,__ Ctj IFOR CITY USE ONLYI AUTHORIZATION OF PERMIT Fee: $_ Op _ Receipt No. ) fj Permit Nol -I In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: ' C O C K S1, Pi its C) F 5 0. e bp-. L 3 b r o n! i D.blfi APPROVED BY: DEPT. OF PUBLIC WORKS BY: r`a DATE : ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. ? Y I 4 m. w .Page 31 of 4 wv Vi c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its ?empl,oyees h rmless .from any. and allrclaims for damages, actions or causes of f adt3.ori arisin? out of the' wdtk' to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere .,., with any existing utility facility on the City's right-of-way. 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage will occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil /a4 d" s"oc are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONSi.aszstoted above. DATE : Q ! / S IGNEI d Ia O'A a 1991 BUILDP IT APPLICATION CITY OF F.AGAN 794.00+ 72.00+ SINGLE FAMILY D WELLINGS MULTIPLE DWELLINGS 516-00+ 2'211.50+ 2 SETS OF PLANS 2 SETS OF PLANS 3' S9 3 ` 50 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULAT 794-00+ # OF RENTAL UNITS t t?;? 72-00+ # OF FOR SALE UNITS 516-00+ PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PI( 2' 21 1 • 50+ OF MONTH IN WHICH REQUEST IS MADE. 32593-50* LOT CHANGE IS REQUESTED ONCE PERMIT IS IS! NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGI DESIRED. NO GES WILL WE BUILDIN PERMIT I PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE INAVAR fE ,CO ED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For. ? 'I Valuation. =-? Date. Site Address 4f aw e Lot Block I'1Ir 54 Parcel/Sub 14\1t-,L, ?z51r? Owner -rt-s Z,//k,-,P 1 4c>. /1 Address 5241 E Z City/Zip Code Ss 421 Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone ,"??--?' agrees that all work shall be done in accordance with Signatu eentractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA L. R A, R A& 3L ZZr = ?y? ?. X ?r z.. 17 3 x? boy o 1 a8u Zg ^ ?1z ?t STWo? !134 x. 3- ?/o2 -%mT . 2_0 2.11 k? :. / IP 3 ?s3 r G l 10 Pioneer Engineering 6819488 P.02 2422 Enterpris, Qrive .? ?a++oauievcroas.aw?,Ns Mendota Heights MN 55120 ?l engineertn ,... ?wrva !''t.wllfERB • LAF1D9CME ARCMTECT9 0612; 681-1914 Certificate of Su v+ey for: TIlE MOTE L UAID CO. IAfC WORM ,.tl ae? VIA *tf By Date EAGAN ENGINEERING DEPT Jaw Deno/es Existing Efevot _ Dent 1t 5 Pr osC? EjBMtT tpr?S + ?D 14?CXxs?' fl >x Ii..r -- -- Dtni?f ?s 17ro1rt e 't/Y+lify ?crse?ran? hares." Fl*or Were mm ---.ago v -DMAO f,J low m1ws o?Bl+xk Elevr?fiarT 54?. L 7a 7 (o o Ihrivtes 4fine o;t S, d 'ltratrin t"7,4* LOT-9 OL- %, A% &rtls .S % W7aa-e ar'u9»etd v Deft/ 5 q'ps el 11ah 5 OF STONL8RIDG` ` 3DD AGE priif?. that th,s ,? (J4KOT9 CCVJt1 Y, M111/NE O7-A • a 18M Of ON St k M? Y pyn or r CVort tint pr by ++e 9r wry direC[ t -1 Of ^?'4. Do" this icr+ a?td fiat I em dWy Aajixt*rwd Lend Sutv.yor -wday 19 R -y j= 4Uf n F.TtT . SIKPCN l 5. ,. NO. IA6l1 ' ? { r EXTERIOR E..dv LOPE AVERAGE, "U" COMPUTATION OWNER ) ?`ko SITE ADDRESS LU 1, CONTRACTOR DATE _ PHONE 5 7 Determine working square footage.of each. 1. Total exposed wall area 2.88 sq. ft. x rI 2. Total roof/ceiling area .. sq. ft. x Total exposed wall area above floor a. Total wall window area .... ... 3 b. Total door area .......... ...... ... ... ... ... c. Total sliding glass door area ...... .. d. Total fireplace wall area ......... ... ... .. ?-' e. Total wall framing area (average 10%) ... . 2/5- f. Total net wall area above floor .... .... % d g. Total rim joist area ..... .. ............ Total exposed foundation area = `7 ffi h. Total foundation window area .. ...... . .... -7 i. Total net foundation area above. grade .... ....... ....? Determine "U" value of each wall segment. a. 253 X ?"Urr 135, (_ b. X "Urr 1?? _??D? V d. X t"Ult e. / ../.. X IfUll (./.. = /15v71 f /g3 x lltill 04f 2 = *06- 9-- 3/2 x "lulu h. X "U" 3a,6 i. x "U" •? / _ ? 3......... ..... . . ........ .Total the If item # 3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Total gross roof/ceiling area j. Total skylight area .. .. ... y/ k. Total roof/ceiling framing area ........... 1. Total net insulated roof/ceiling•area ...... /10 Determine "U" value for each roof/ceiling segment. j. X glut k. -71 x"iU" 1. X "U" `925 = t 4 ................. ..... Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1.2, v.3S + 2. 3?. 68 351,63 3. 2.90.7 1 + 4. 7 9 5 ( ! ,----, WALL S u'i•iu,;., t uyi J Of 4 JUTE: =Use 1.0% of opaque wall area for frame construction Construction R-Value 1. Interior air film :AsIC WALL .2. PT3Q 0.68 n?S ,?--_ 3. 2 x s-rvD S (o ?S S'., : 4 . 25-/32 S -6 2?O n 5. /h/?i;-& UC.1G7c /CECT I a ? ro a 6 . Exterior air film 0.17 • Total /'/. S.. - ,00o-7 1. Interior air film 0.68 2. ??'r /? t3 oZ D y S. 4. 2 S./32 5j/TU 2 .COG 5. /?tiG OVE?C FEC`r j 02 (? 6. Exterior air film 0.17 Total 2 3, 2- 412- J Interior air film 0.68 ' 2 . /tisv L ?+s ]? 3. '2 X 121r/t /aSB 4 . 2 5/3'. S h-1 T--V. 2 a:U('v 5. c2 7" / a 2 6. Exterior air film 0.17 031. Total 257 . .0 5"' . `t u FIG. 1f1 TOPVIEW OF FRAHE WALL ?heral ' „ o J =/10C\\? r V = . d :•,?J 1. Interior air film 0.68 .. 2x 1 FUI2 R t N c_ -------------- 2. 03 3. 4• JZ 5. 6. Exterior air film 0.17 Total ttt j ?` • ? ? •' jai FIG. 119 rr -` (( =- t1j ° R,pOF/CEILING Construction R-Value Interior air film 0.61. 3. C3C-Ut•c-'.t? /k.r 5 v <. ? r©?' ?,; l• {ii' 4. Exterior air film (still) 0.61 vmrz Total 35-60. Vented Heat flow.' up FIG. #5 • _ _ , I. Interior. air film 0.61 :off-?;??:.+?- ?l?sn:_?'"?`?yfsc'-•_ •c_aa?,e:e 2. S 58 '" ""_" •" T"'---"j? ?" "'.Y' 3. t,vSuL ove-i< r/_05 s tee i 4.. Exterior air film (still) Total. -L -7 Heat floe up . vented FIG. #6.'..?... Inside air film O.Gl S. Outside air film 0.17 Total 1 1. • K4id-"1`Hp Note: Use additional sheets•if more space is • needed for details and calculations. Heat . flow up • FTC x7 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # W' J 9 PHONE: (612) 454-8100 RECEIPT # O/ BIND DATE: TAI PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION ------ --------------------------------------------------------- COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST,__ ADD-ON MINIMUM 15.00 ADD ON 1 SHOWER 3.00 REPAIR WATER CLOSET 3.00 1 BATH TUB 3.00 i LAVATORY 3.00 ia. OWNER NAME: L t,?J eJ . ! KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: U o, C : - HOT TUB/SPA 3.00 %k QQo• I WATER HEATER 3.00 3 LOT: c1 BLOCK 3 . SUBD. I FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ?? e v _ T? _? (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 y.S' ADDRESS: t 9 4-E' t L; , OTHER ?- WATER SOFTENER 5.00 r CITY: ZIP: as: 3? PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: SUBTOTAL ,S y ST. SURCHARGE .50 SIGNA OF PERMITTEE TOTAL: $ So ?MI!E IA NDITSTIIAI 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: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: PHONE #: (SIGNATURE) FOR: CITY OF EAGAN Q p?? CITY OF EAGAN FOR CITY USE ONLY ,3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # onc PHONE: (612) 454-8100 RECEIPT #106:2-3 MEOIrAE DATE : 7 0? ESIDE AI 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 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $ SITE ADDRESS: STATE SURCHARGE: .50 LOT:_ / BLOCK cX SUBD. J TOTAL: $ 5 INSTALLER: FLARE HTG. & A/C, INC. ADDRESS: 9202 AM •• j B `r SIGNATURE OF PERMITTEE r Golden Valley, MN 55427 CITY: ZIP: PHONE #: !M fERCCIAL/T6tDgBTR I.r PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUI LDINGS, 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 SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN J42810 REQUEST FOR ELECTRICAL INSPECTION ? See instrutigns far completing this form on back of yellow copy. 'X" Below Work Covered by This Request EB-00001-08 ?O/ass New Add Rep. "` Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace 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 w t . l s Special Inspection ? Alarm/Communication THIS INSTALLATION MAY BE ORDERED 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 Date -`9 OFFICE USE ONLY W"- This request void 18 months from 4281D g?3??so Request Date O'°' ???"`--- 7?/ Fire'SOo. Rough-in Inspection Required? ? Ready Now /Notify Inspector n R !? h d ? C / ? Yes o e ea y I ? licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) i city 405/ . re -i -AMInv Section No. Township Name or No Range No. County Occupant (PRINT) R6f.rt 'sJ..e.r Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. &6m- to W f) tr? Mai ing Address (Contractor or Owner Making Installation) Authori Si attire (Co actor/O erMrg Installation) Phone Number 2-10- G MINNESOTA STATE BOARD (ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. L 9 B 3 CITY OF EAGAN MECHANICAL PERMIT RECEIPT #? l g SUBD. (612) 681-4675 DATE qy RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNIIOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: R?E. " F+sc i & SITE ADDRESS: 4051 ,kL& lli Qt--E E #.O ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER: R-Z' F t sue- HVAC: 0-100 M BTU 24.00 PHONE*: 452--(65-71- ADDITIONAL 50 M BTU 6.00 ADDRESS: 4u5 t A6,-?Iat.) ° i C l ( ? GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: E AL-4., KD ZIP: 55 l Z-3 SURCHARGE: $ .50 L SIGNATURE: TOTAL: $ /5 5 0 COMMERCIAL 7/ °/' 5- PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMI LY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: 1% OF CONTRACT FEE FEES STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTALS $ SITE ADDRESS: TENANT: SUITE #: INSTALLER: ADDRESS: CITY ZIP• PHONE*: CITY SIGNATURE. SIGNATURE.• K6 LL/I Request Dat 4 % o. Rou n Inspection Re fired? D Ready Now ill Notify Inspector When Ready? [ Yes E No I' licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) tlliiee 4105! 4l*N City Section No. Township Name or No. Range No. County Occupant (PRINT) fish eA Phone No. Power Supplier Address Electrical Contractor (Company Na e) Contractor's License No. Mailing Add ss (Contractor or Owner Making Installation) & Air YOWL Authorized Signature (Contr ct Owner Making Installation of Phone Number , MINNESOTA STATE BOARD OF ELECTRICITY V THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-0 ^ 5 1 ?' a ( See instructions for completing this form on back of yellow copy. q ? Q C A c . d XBelow Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: c'^ 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.Y_ Amps Signs inspector's Use Only: 1 TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS 1, the Electrical Inspector, hereby Rough-in Date -?Tv - certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS:, ?tr9i f riff (e,?' ? t?,s Ir[? PERMIT SUBTYPE: ;k i? ,fir s ? APPLICANT: TYPE OF WORK: W 'o € r' } f 4iN x .t:. WAIN INSPECTION DATE INSPTR. • TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC 8 /9 a? Q ELECTRIC Inspection Date insp. Comments Footings I Foundation Framing 2/ / 3 pS Roofing Rough Plbg. Rough Htg. '' L?<z/93 -1?svc.-uv2- Fireplace Final litg. Orsat Test Final PIbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. 3 P 3 S yU Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: s! Date Issued: 0 ? ,'' :i REMARKS: FEE SUMMARY Tc?is 1 i;.: r', 11! r i t. tea CONTRACTOR: f i I I OWNER: ??,?.r,(, E..- C:.. 1:1 Ui INC I CHIN `t(JI.,ERT f APPLIC T/PERMITEE SIGNATURE ISSUE BY: SIGNOLME INSPECTION RECORD 1 u I !_ ? I n! r> CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1 I C i I R CJ 1 150 PERMIT SUBTYPE: TYPE OF WORK: F L Pioneer Engine_riny 6819488 2422 Enterpris* Drive * «r+O?urlvcvpa®. av?? vrwr, Mendota Naights, MN 55120 "Ineering ,. a tnno RMWitR3 . iAF109?`A}'E ARCMTECT7y fe 2 ?}p. ? ,y?.?s qu, C*vlificats of Six"y fart; T111 ROTrWAfD o. IN ti fta p P. 0 4, /y = ,gyp _ //( J < 4 "e 1 f} x sae.a, Denofes Existing flevatkns ---` Drnrrfes Dr3t; Elify Fc ray{ 7 t o3 ? ---- O. &( o rs 1 ?? ,71rr»ws ' ?ac Etevnfren :8.? ?, Garr » Slad El is 9" 0 LOT3 D, ru U L.0, PN 3 ? HIL 15 SToI1r( 3RD r smrq c Mry Lt ' ' ! i tsxds?r e.r:ifr ti+at tots wnKr. plan o, reR+o•t INA SOM "IM" of tM Sate a! M r4mv%. VK" th% pr by "V ar xKkr my Wrs" $"*vkt,,, and that i sm dtoy p A.D. 19 L WW Sorvp 3QI R -I a 4 >-7:L REACTIVATE - CITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION 681-4675 $ IA5. IS MAR 2 5 RECD rra Dhii L-! SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 3 Valuation of work Site Address: 14051 P\LB N y C I I L_I= STREET SUITE Tenant Name: (commercial only) LOT BLOCK SUBD ;.. J)?Jf P. I . D . Description of work: b c+i + DEC The applicant is: Owner ? Contractor 0 Other (oescribe) Name __ ) Phone 45Z-(o62 a Property ___ LAST FIRST Owner Address 4D51 / B1'NY? Cl GLE STREET STE # City F-6 -a State M?? Zip 5512.3 Company ME I BUtt._b Phone _ q - l 45 Contractor Address 5r 2 7 EDINN l b -(Al-B License # 3782- Exp. All 4 City EDIN-P-, State MN Zip 55y3Ci Company Phone Architect/ 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 compl with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE E3 01 Foundation ? 06 Duplex ? 11 Apt./lodgin g `l•6 a ment Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool 03 SF Addition ? 08 8-flex ? 13 Garage/Accessory ? 18 Comm./Ind. 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Conan./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous - ?j E'c?vc?6 WORK TYPE v"v 31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Cunst. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy R-5 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 1q1 _ On-site well Census Code 43 Depth On-site sewage SAC Code b? , U'!" ? ' APPROVALS i? C.tn1 -- -'- Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ACSo 16'x I (' 7 Gc,< Site f Footing .Framing V Insulation O Wallboard T F inal 0 Draintile ? Fireplace Permit Fee l 3S , 0 Valuation: S 12-000 Surcharge ("'00 view G17. 95- ??arzc?l I?x?y='?• )< S?-`D icens CK- City SAC Water Conn. Water Meter / v Ae-P v}2 ) 2 Acct. Deposit ' S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 2000 BUILDING PERMIT APPLICATION go CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 CO- C, C New Construction Reaullrementa RemodeUReaair Requirements 3 registered site surveys showing sq. I of tot. sq. N. of house 2 copies of plan and gE roofed areas (2Q% maximum lot coverage Mowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam d window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks 1 set of energy calculations 3 copies of tree preservation plan if Id platted alter 7/1/93 DATE: /2 ` tiQ © CONSTRUCTION COST: 9,200-00 DESCRIPTION OF WORK: i FaOOF you S45 STREET ADDRESS: 1OS- l 4.4 2 1 eCi S? h e ?r I'd LOT: - l BLOCK. SUBD./P.I.D. #: P 11 of Name: CG 72_ ? -T Phone #: (a t 4 S Z (n ?-? PROPERTY Lout First OWNER /'? Street Address: 4 0,?' V4 L 1S ANV C! 2C L E City -6 RAJ State: Zip: Company: f?r»?)2r t?1h) 2?/Jb/A) 6 ?? 7fone #: 2 7d x-69 s' (area code) CONTRACTOR Street Address: /R.21/7 / V 1 &ol Lli 7 / t) f, Uc# ..7o1 9 3f13 Exp. 0 / a o City Q¢11! O/L-L- E State: J? Zip: 3 3 7 ARCHITECT/ ENGINEER Company: Name: Telephone #: Street Address: Registration #: City State: Zip: # ( Sewer/water licensed plumber (if installing s?ewe?/waterl: Phone I hereby acknowledge that I have read this application, slate that the Information is correct, and agree to comply with all applicable StatE of Minnesota Statutes and City of Eagan Ordinances. 4/9 `-3?991 Signature of Applicant -C.,Z2t 24:?& OFFICE USE ONLY Certificates of Survey Received Yes No MAY 4 Tree Preservation Plan Received Yes No Not Required LI RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 631-681-4675 R m Construction Rsauirements Re a Reauhements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of arouse; and all roofed areas • 2 copies of plan (20% rrwrouan lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy calculations • indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Ren Joist Detail Options selection sheet (bldgs with 3 or less units) DATE f D 2 VALUATION `F ZO t 9? c SITE ADDRESS ?CiC-(-4L MULTI-FAMILY BLDG _Y _ N TYPE OF WORK FIREPLACE(S) ` 0 _ 1 ,_. 2 SELA ROOFING & REMODELING, ki<,. 2" APPLICANT 4100 EXCELSIOR BLVD, ST. LOUIS PARK, MN 5541 F STREET ADDRESS CITY STATE TIP TELEPHONE #441?-V_3-25205642 CELL PHONE # FAX # PROPERTY OWNER ° t'tiSLS2 TELEPHONE #Z - 65 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New E • Energy Envelope Calculations Submitted { OCT 1 0 2002 I, Plumbing Contractor: Phone # Plumbing system includes: Water Softener - Lawn Sprinkler Y Fop?°n nn - Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor. Phone Mechanical system includes: _..? Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, 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 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Updated 4/02 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan l S 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeURegair 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. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) t?qo - 66 Office Use Only Cert of Survey Recd _ Y _ N Tree Pres Plan Recd Y _ N. Tree Pres Required _ Y N On-site Septic System _ Y _ N Date _J Construction Cost QQ2 Site Address y /? OS`C ,' -ie9 Unit/Ste # Description of Work ,?Glwa- ?GY> Multi-Family Bldg Y - N Fireplace(s) - 0 - 1 - 2 Property Owner / 5 3 /-/ $ c'f Telephone # (j f) Contractor S S Address rn nn p ____ City State Q ZipS S I t1 Telephone # (637) *2 - °,r4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (I submission type) Submitted Submitted Energy Envelope Calculations Submitted 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 # 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. Ab--'2!4 - Z Applicant's Printed Name Applicant's Si e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex )420 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 0 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types -f 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 G C9 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.O. - Footings (deck) _ Final/No C.O. - Footings (addition) Plumbing _ Foundation _ HVAC Drain Tile Other _ Final Ice & Water Roof Pool Ftgs Air/Gas TestsCFinal _ _ - Framing Siding Stucco Stone - B ck Fireplace _ R.I. -Air Test - _ Final _ Windows - - Insulation _ Retaining Wall Approved By: Building Inspector ------------------ - ------ - ----------- - - - ---- - ---------------- - -------- - - ------- - - - ------- - ---------- - - - -- - --- - -------- - - - - - --------- -- - ------- -- Base Fee Surcharge Plan Review Q C 0 MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Prestige Pools ADDRESS: 3 E Little Canada Rd St Paul MN 55117 PERMIT # Building Permit #68986 - 4051 Albany Cir RECEIPT #/DATE: 87325 5/16/05 REASON FOR REFUND: Plan review fee incorrectly charged TYPE OF REFUND: Building Permit Base Fee 0801.4085 $ Construction Meter Dep Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Suppression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ 208.81 Plumbing Permit 0801.4087 $ SAC (MC/WS) 9220.2275 $ SAC Ci ) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surcharge 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meter 6101.4509 $ Water Supply & Storage 6101.4680 $ Other (Copy) 9001.4230 $ Total $ 208.81 I declare under the enal ' s of law that this account, claim, or demand is just and that no part of it has been paid. 6/1/05 SIGNATURE DATE City of Eaaafl June 1, 2005 Pat Geagan MAYOR Peggy Carlson PRESTIGE POOLS Cyndee Fields 3 E LITTLE CANADA RD ST PAUL MN 55117 Mike Maguire Meg Tilley RE: 4051 ALBANY CIR COUNCIL MEMBERS BUILDING PERMIT #68986 Thomas Hedges CITY ADMINISTRATOR TO WHOM IT MAY CONCERN: A recent audit of building permits for the month of May found that you were incorrectly charged a plan review fee for Building Permit #68986 issued May 16, 2005. We apologize for this error and will send you a refund in the amount of $208.81 under MUNICIPAL CENTER separate cover. If you collected this fee from the homeowner, we trust you will refund this amount to them. 3830 Pilot Knob Road Eagan, MN 55122-1810 If you have any questions, please feel free to contact me at 651-675-5675. 651.675.5000 phone 651.675.5012 fax Sincerely, 651.454.8535 TDD MAINTENANCE FACILITY anice D. Severson 3501 Coachman Point Office Supervisor Eagan, MN 55122 651.675.5300 phone cc: Robert J. Fischer, 4051 Albany Circle, Eagan, MN 55123 Dale Schoeppner, Chief Building Official 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community. POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: ?b S) 1 Appl icant Name: ?ob ski' s t? GENERAL INFORMATION O -21 ,0 ? ? Applicant - name, address, phone & fax numbers, signature J ? ? Property owner name ,0 ? ? Legal description and address of property 0 ? ? North arrow, scale (1" = 30' or 40') and date JX ? ? Location and name of all streets adjacent to property g ? ? Site Plan drawn to scale showing location of house, pool and other existing or proposed structures f3 ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existing fd ? ? House corners 2' ? ? Property comers ? 0 ? On property lines at point of measured dimension to pool (see below) ? f d ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ? ? Finished pool deck comers fd' ? ? Top of retaining walls (if any) and at each different elevation (if it changes) ,pr ? ? Pool bottom (or max. depth) DIMENSIONS Existing )d ? ? All property/lot lines Proposed Ja ? ? Pool if ? ? Pool plus integrated deck/patio ? ? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name Ditz &.FORMS/Pool Permit Checklist/06-02-04 Pioneer Enoineerine 4- y 68194gg P_Q2 2422 Enterprise Drive LA&Os rRVevola -OVIL97OWNe>Etrs Mendota Neights, MN 55120 11 @>i 1??ft78tE?r`itr>tc? .. ?.,..a r,-Anr+atgi • 1 Arrox. PV ARCrn'Mcrs ,iK ** (6121 681-1911 Certificate of Surrey for: f ?"i ROTTLONDCo. IN uORru lb? :ems ?' a? A KEVIEWEU E DEPT E.A.GAPI ENGINEERING DEPT' 399.arr Dertvfics £x'-5t nS Elevatio Dena 5 9 seO(E/eva ion( a>rros?© s? F Fir, rroNS -?-= Dtnofes Dro'n ?'{ ?l f Fcrseme, r O" rla?r /e v 1 • e r Dew ley Q of rou?d? /ow ,7?rmws Blrack Efetrofiort 597. o L o/ey Miq ,4 t ; 51426,61"llon Abliqjs shower a-c c ,,,,ad 0 QEr2bilcS ok f S tT kuf LOT-? Cw 3 , HILLS or 5TONL8RI D L~ 3PD ADD. DUMP tr.,t,,, owiit that Ivw this r M E? vey. Pbn a m iQ "Port ?wsa PrOpered by m4 Ot mY tfirmCt {ut?.trtir>sitwr avid that t am Au1 p •Rkr tfie i?rrn of tM Seta of Minnsoet. Data! this y 'Qnt?red l.t.rrd Sro+eryar deYOt' . R _L? rarJ? _ 40f t? CRY s?K?CN t_ S. A ry[1. TRw41 i k nr .fir ~ f,- r' -ate 1_17 I~ - r PcP PC)1c7 , F- C r~ fJ! ~.Y ,7f ~err'?~uEp? f' V V Spa s - PoP-ctP 5PRA ' , c a.i y \ S P -c 3 i PaP- ~(P $pI d D CE R 5, \ ' . S r, + Pvg PR ssGd cc r t Z G rr~/ V)44 . J E { r 4 - ; \ ( •4 - a x. 1 \ - \ \ tk 7 ii 't n,,. 1 ~ t0, \ \ 5 i \ I nn i dI \~g r '.~,"+rw,:xwnioanutm~at:ai=.:~, , ,....mn.~waa. Nyr r~ \ r ' i , rr f ' i a r ~ tF b ~f 3 ry...,w:~rwwme.....w..c.r~r .,au~aaa+ntm..n e~arw.+o...... . ~ ';~Y`N5459Y~.*A!hk+IMhr3RyNN~Y+rYn..xHaxvul 1" REVEWED I EAR ENGINEE PT 4x51 AL8AN Y Ij?Cj /f I'"')' ,t . 7 C7 P" f"7 _ r e d,^ r SCALE: I~' r APPROVED BY DRAWN BY DATE 6WIVI DRAWING NUMBER 51 c--/v 44 5 Is'rOsrteAe-zu -24x$8, L'D+ Lo eJc 3J i ?~s a is e6a~~l 32 ADD {7 ~a,~