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4363 Bent Tree Lane L 65 19 41~2cz 40"V qtDat Fire No. Rough-in Inspectio Required? ady Now 0 Will Notify Inspector ~ Yes G No , ` When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or RoLAW No. ( City Section No. Township Name or No. Range No. County Occupan (PRINTi Phone No. Power Su tier Address Etectnc Contractor (Company Name) Contractor's License No. Mailing ddress (C tractor or Owner Making Installation) Auth ed Signatur (Co ct r~owner Making Installation) Phone Number 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., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 0 REQUEST FOR ELECTRICAL INSPECTION 5x4 EB-ooool-oe~ ► See instructi~for completing this form on back of yellow copy L "X" Below 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: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hj Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee ;Z~C, COMPLETED WITH S ONT r I, the Electrical Inspector, hereby Rough-in flat~~~.~~ certify that the above inspection has Final Dal been made. OFFICE USE ONLY This request void 18 months from 6~ertc jicate of cccoanc~ WitV of OR agan Zee+artnient of 10nitbWS 3n6pecdon 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:.' ~ Bldg. Permit No. 21805 Occupancy Type R3//41 Zoning District R1 Type const Vn owner of Building R A Wr HMS RU Address NO I UPPER. HAiM LT, APPLE VAUM Boding Add.4363 BENT TR)5E I.AN I.ocalit,+7, B3, MM RIB 3RD - = Date: Building Official POST IN A CONSPICUOUS PLACE Address 4363 BENT TREE LANE Zip 5512 3 I-Lt 7 Blk 3 Sub AU11 Mty RIDGE 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 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 !O 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 *t PERMIT --A)'CITY OF EAGAN' 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 021805 (612) 681-4675 Date Issued: 0 8 / 2 4 / 91 SITE ADDRESS: 4363 BENT TREE LANE LOT: 7 BLOCK: 3 AUTUMN RIDGE 3RD DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupancy R--3 M-1 Construction Type VN Zoning R-1 Building Length 69 Building Width 34 REMARKS: S&W CONTRACTOR - MATTHEW-DANIELS PRV FEE SUMMARY: VALUATION $155,000 Base Fee $832.00 MISC FEES $1,744.50 Plan Review $540.80 Total Fee $3,944.80 Surcharge $77.50 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,200.30 CONTRACTOR: - Applicant - ST. LIC. OWNER: KOT HOMES, R A 16879513 0001506 KOT HOMES INC R A 7901 UPPER HAMLET CT 7901 UPPER HAMLET CT APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 687-9513 (612)687-9513 I 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 Cit of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE 01-ISSUED Y: SIGNA L1AU671993 ~VED CITY OF EAGAN PERM'11 1993 BUILDING PERMIT APPLICATION S 681-4675 C~ ~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. 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 > Valuation of work ~ a r Site Address: ^1 STREET SUITE #f d nant Name: (commercial only) LOT BLOCK SUED.v~U r~►, S~r~~ P . I . D . raj Description of work: C~-Q S The applicant is: O Owner O Contractor O Other Macron) ~ Name -1aM ZLo' P_. AVoz Wc _ PhoneAP:),Z -9 S 1z~ Property LAST FIRST M Owner Address ti Gr ST ET STE # 0~ City A:IzState X14.!• Zip ,►Z4 Company ~&ANVO Phone Contractor Address TT License #CO,91~_-Z'6 Exp,~J,,,-_ City State Zip Company ,Pf>L_ Phone t8`I -°i S IS Architect/ Engineer Name V,&"eLA- UAvJ"Rb4._1 Registration # Address city State Zip Sewer & water licensed plumber Y1~EA N«LS 'R_j t4 Processing time for sewer & water permits is two days once area has been ap roved,. 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: OFFICE USE ONLY is BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt,/Lodging ❑ 16 Basement Finish C9 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. O 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex O 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex O 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi.,Addll. ❑ 15 Deck ❑ 20 Public Facility O 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V-tq Basement sq. ft. MWCC System YES (Allowable) Ry. 1st F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning R-i Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length -G TE On-site well Census Code 161 Depth 3y~ On-site sewage SAC Code 01 1 APPROVALS i Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee v.tuati«,: S I R Surcharge GAR,&&a 2 x 31 '14~{ Plan Review License MWCC SAC, r72 o x 1(v H~SZ City SAC Water Conn. ~g 39 Water Meter IN Acct. Deposit I x )4= S/W Permit (6 "A I -L Q S/W Surcharge .000 Treatment P1 . 13 ca KI'T Ins 1 Road.Unit ~~Ta Park Ded. 204 Q R oo& ; Trails Ded. 11Sv 2l 38 lp14 Copies AYX $1/.~ 117 Y K W a 9 Other XW K2 !G. Z 221 c►a Total: , JO: z SAC % Qe ~ SAC Units 3X SURVEYOR'S CERTIFICATE R, A, KOT HOMES 11 A ',VT;-IC R NE 5 -7- DRA E 11 VTILITY s i EASI %4T PER k AT LOT 7 (~5►35, i x 931. r ~ ' Rl 1.Q ~ r x 934.8 936.2x 9 46 936.5 % I 939A t O PROPOSSD m, I "S r L~1. I HOUSE e~ N~ GARACit: M ~ ,k I a 37,38 SEJCM MARK U► ` Z, 3 4(D ~T TOP OP PipE U49 9 9y~ ElEV,- 94 1.08 PROPOSED 941.10 + BENCH MARK W DRIVEWAY TOP OF PIPE Sr' I ELEV.= 93869 .4 00 48II '1130 -5) 4•2r~ 939.6 (UNDER aON$TRUCTION) '3- I"io'r6e 6uLoW6 oiMa'•1JSi0NS SHOWN ARE fVR 4 0ffl TA Bi vERTICAL LOCATION OF STRUCTURE ONLY. $ NOTE! NO SPECIFIC SOILS -INVESTIGATION HAS BEEN COMPLETED, ARC'HITECTUAL PLANS FOR 9UILOINO Ik FOUNDAtION ON THIS LOT By THE SURVEYOR. THE SUITASILITY OF DIMENSIONS, SOILS To SUPPORT THE SPECIFIO HOUSI= PROPOSEV tS -4 _ DENOTES PROPOSED SURFACE DRAINAGE NOT THE ktSPONSIBILITY OF THE SIJRVEYOft O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = C,t ` 4.0 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 754,7 FEET (000.0) bENUTES I'RUPC7SEb ELEVATION PR O D TOP OF BLOCK - FEET r ■ ■ • Law WE HF-RE13Y CERTIFY TO R, A. KOT HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OP THE 130U iDARIES OF. Lot ,7 , Olock 3, AUTU~y R++DGE..4,RD A ITIdN, according to the recorded pint thereof, Dakota County, Minnesota. Vrh,MNOgal dasOlp►lon will ologme valid upon filing tho plat of AutoMn Rlddo AcfdiflOn)., IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS IOTH DAY OF AUa, 1993. SIGN J R. HILL, INC. OROPoSES upADEs SHOWN WERE TAKEN FROM THE DEVffi DPMENT C. PA D AUTUMN AIODOE LAST DA► b - 52-+330. JOHN G, LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 15828 -O av v s. re n Q ~~QCn y ~pmW O PL N~ oy >:E m. a O _ O m to (A 2600 W, CTY. RD. 42 * BURNSVILLE, MN. 55337 + 812-890-8044 LOT SURVEY CHECKLIST FOR RESIDENTIAL ~ o J W BUILDING ERMIT APPLICATION' m M PROPERTY LEGAL: " CL Co U < Date of Survey: z z 2 DOCUMENT STANDARDS 0% ❑ Registered Land Surveyor signature and company Q-1-0 0 Building Permit Applicant Q'-❑ 0 Legal description ❑ Cry ❑ Address ❑ ❑ North arrow and bar scale 0 ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) C3~~❑ ❑ Directional drainage arrows with slope/gradient 0 D~-❑ Proposed/existing sewer and water services Q--0 ❑ Street name •0''❑ 0 Driveway ELEVATIONS Existing 0 ❑ Sewer service 0 ❑ Lot corners 0~ ❑ 0 Top of curb at the driveway 0 ❑ Elevations of any existing adjacent homes Proposed ❑ D Garage floor Q~ ❑ ❑ First floor C1' ❑ ❑ Lowest exposed elevation (walkout/window) D'y 0 0 Property corners ❑ 0 Front and rear of home at the foundation PONDING AREAS (if applicable) ❑ 0' 0 Easement line ❑ 0` 0 NWL ❑ D' ❑ HWL 0 Ct'` Pond # designation D O~ ❑ Emergency Overflow Elevation DIMENSIONS P1" ❑ ❑ Lot lines 2' ❑ ❑ Right-of-way and street width (to back of curb) 0'' 0 ❑ Proposed home dimensions including. any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) C~'~ ❑ ❑ Show all easements of record and any City utilities within those easements 0"0 0 Setbacks of proposed structure and setback of adjacent existing homes ❑ 0r0 Retaining qu' ements, if any Reviewed 462&-ZZ Na e / bato6f October 1992 CITY. OF EAGAN PERMIT ORO 11A1 4 i Q 3830 Not Khot Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 2 4 (612) 681-4675 Date Issued: 07/05/95 SITE ADDRESS: 4363 BENT TREE LANE LOT: 7 BLOCK: 3 AUTUMN RIDGE 3RD P.I.N.: 10-12302-070-03 DESCRIPTION: (INCL DECK) Building Permit Type SF PORCH Building Mork Type NEW REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $7,000 Base Fee $124.75 Surcharge $3.50 Lic. Search Fee $5.00 Total Fee $133.25 CONTRACTOR: - Applicant ST. LIC. OWNER: HENDRICKSON CUSTOM BLDRS 16888507 0000608 CARLSON JOEL 570 PRAIRIE CIR E 4363 BENT TREE LN EAGAN MN 55123 EAGAN MN 55123 (612) 688-8507 (612)454-9152 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Stat es and City of Eagan Ordinances. o~ APPLI T/PERMITEE SIGNATURE ISS D BY: ATURE CITY OF EAGAN 4 az j1914 3830 PILOT KNOB RD - 55122 1985 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 t 3 regisbend site surveys t 2 copies of plan t 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.) t 2 oft surwsys (estew additions & decks) I anew ♦ 3 copies of~ rvation plan if wt platted after 7/1/93 t 1 energy c at s for # Nom: _ Yes No CPO DATE: c1 CONSTRUCTION COST: DESCRIPTION OF WORK: E'GK f?A/ r Sea STREET ADDRESS: 4136 LOT BLOCK SUBDJPJ.D. 01111AW PROPERTY Name: Soe.l fi bt aN c... C04-(50&)_ Phone OWNER W Street Address- City: Err r,.,,~if State: Zip. CONTRACTOR Company: , r~l/ i 4 J 4 Phone M Z. Street Address: lY Liirnsle City:....._._A,.AJ...., . State: Zip` ARCHITECT/ Company: Phone M ENGINEER Name: Registration Street Address- City: State: Zip: Seer R water kWMd plumber. Penalty dies when addrOSS dWge and lot dwn$e are requested once permit is rued. 1 hereby adcnow a that I have read this application and state tfut the ' affil r con" with aN applicable State of Minnesota Statutes and City of Erman Ordinances. Signature of Applicant: OFFICE USE ONLY RECOQJ/ ED Certificates of Sunray Received Yes No J U N 2 1 1995 Tree Preserntlori Plan Received Yes No w~rrr~ ".wr+.r - r s~ s :4 OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation a 06 Duplex o 11 Apt./Lodging a 16 Basement Finish a 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rern. El 17 Swim Pool a 03 SF Addition o 08 8-plex a 13 Garage/Accessory o 20 Public Facifty 04 SF Porch a 09 12-plex o 14 Fireplace a 21 Miscellaneous a 05 SF Misc. a 10 --plex j2,-"15 Deck WORK TYPE a 31 New a 33 Alterations o 36 Move 2 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water USC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Cade. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 7 °O Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Depose SNV Permit SNV Surcharge /L q, X To ; o ~ Treatment PI. Road Unit U44 JZ~ Park Dad. Trails Ded. 0 Other Copies Total: % SAC SAC Units 3•~ !,S /!K ~1l 'H Q lF z~ At 1(9 ff t w H !I H SSS 7 pssr 3.0 ssT I • . SST 5s'f O LS NAME: ~rAn~M . o C !2 -13(13 ,3T ' ' 6,4 `A iONEER s'a H 11511- 9 /.Sa w PSI GPM ~'f co DWEST DATE: SCALE 13o DRAWN BY: I c TORO MASTER INSTALLER RESIDENTIAL/COMMERCIAL N/ . LARGEST RETAIL DO IT YOURSELF CENTERS IN THE MIDWEST manptl• NC. NORTHWEST SOUTH EAST SPRINKLER SYSTEMS TORO "CONTRACTOR OF THE YEAR" - 1964,1988 420-8961 934-2554 681-1614 '~`~40 LOT BLOCK 5- SUBD. RECEll?" # 0~'l & DATE S 1994 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM Residential (boulevards) GPM Existing residential Area/address to be irrigated: X03 &n i- Try psi r Installer: _ LL 1 RA'tG- ~ ak <'0y] Owner ❑ Plumber ❑ `"rte. Lau, Street address: 1~i11i City, state & zip code: '-4Afg,vi _ ~ ► ~-3 Phone 06 l iautc~ ISO k-1 Owner Name: Street address: 9162 1310- Tttt' t4a&= City, state & zip code: E k4(ti✓y 5S ( ~S Phone 14 9 4 " 11 S 07- Irrigation contractor, if different than installer: Q. _ I Telephone y 2-0 - 9q 81 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. O { OOA Si ture Titl If construction activity occurs in public easement or City right-of-way, signatlire of property owner is required. The property owner agrees to hold harmless the City of Eagan 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. ,on Property Owner Date Approved b Date: PRV Yes 2-90- New service ❑ Yes No Meter Size & Cost ~y v Fees due: Cl-Q Calculated by: C.~ ` . r r PROCEDURE FOR IRRIGATION SYSTEMS 1. A site plan must be submitted to the Engineering Department for review before installing an irrigation system. A permit to work within City property/public easement/right-of-way may be required. 2. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercial project: $ 25.50 irrigation system permit to cover installation of backflow preventer. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. b. Residential project: $ 20.50 irrigation system sprinkler permit to cover installation of backflow preventer. $ 50.50 water permit fee if new service is installed. $725.00 per connection - WAC, $348.00 per connection - water treatment facility. c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer - (not required if backflow preventer previously installed), however, plan and application must still be presented for approval. d. Meter charge. If gallons per minute are less than 25, a 1" meter will be required at a cost of $165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $775.00. This information is to be supplied by the designer of the system. 4. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backfiow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. • r S-~ 3 ~l y i ff Q ~ f H /f i i 4sS 7 N ~ fssr 3.o SS7 59'i NAME: 'b,AA)i- 10NEER 43(9,3 96.3T E 6,-J 5/~ H ~s`✓ 9/Sa W PSI GPM 9 1 DWEST DATE: l q SCALE: /So DRAWN BY: TORO MASTER INSTALLER RESIDENTIAL/COMMERCIAL N/ . LARGEST RETAIL DO IT YOURSELF CENTERS IN THE MIDWEST spa. NORTHWEST SOUTH EAST SPRINKLER SYSTEMS TORO"CONTRACTOR OF THE YEAR" - 1984.1 420-8981 934-2554 681-1614 ~`M~" v}»• .}:a' "k •ii ~ ~ f' ?`•'it's` v':kij. t : v: ti k' :k: ~,+.}.f' rr,: , . 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ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE , -71 1`3 HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6. GAS OUTLETS (MINIMUM 1 @ 53.00 EACH) a. ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 15.00 .50 STATE SURCHARGE TOTAL ' SITE ADDRESS: ~eyfr e--- OWNER NAME:• P4- K0 ~es TELEPHONE s INSTALLER: Burnsville ritau ADDRESS: 2481 Rhode Island Ave. So 22 Savage, CITY: 894.0005 STATE: ZIP CODE: TELEPHONE rAT LYRE OF PERMITTEE ..`,rn.+%K:}}}. .w.;Srvp;.~:{nY.;w},w}>X:>:'?iP•.:. 4'?t•?CKC,: :'a: :^{Y..: 'N, ::ni:}S'~{:}::{`.:????~:~'??, +kS:{:?"':}`Ma-.+ :....kr•Fi: .i't:•:.}: a..w:.{,. ,a. ..:.a..'S", Krt,••}.., t+,+`d,•iC+h:::t%; t. ::#r, 'u1. r •+v)::-:!'-}:aw: iit:i: i:{::•.?,vv ry .:h••. •AV1. . 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S>..: tr': +i'?ti:•: :`S;+:: {4'r .`X :i'v~ti `+Y':: :ar:4.:+. +~Q?`?{ fi.+,++Ci 1:Y•. YY.'.>., i<iC:ii. :::y':;:::::•y+c::;r::'ryr:.,.};':.,:'•~::::?.';}•hi... :2::;: nr.}':,'.'•+.>;$.~~~a.., F•. •:'{~.+•,,•o ..}.;:.'+.£4"i:: ~~~~k;~'•.~~r{ 0-1 { J t~1G.va:•:;...}~{; } r Y .,:.2t1}: {..>4•:. > <t . ?y'14?' ;2;.y,. ,av,~{,E~ 2. . ,•''',,'•a,,•f;+3,+.;,'}r, .'r':i:':```~i?;:?::•:;•r.n1..,~.CKi4... r:.f,.: r?{q::i . { •fi... {..r.;.•.:.:r:,tt~.•. ........i.,..+}::`a•~. .tr:.~. r:::::::r:....;::•t,a:.~:.:.::•.::}:,•.,.,,c;+r..•}:'•"}•.•~':...•:.',:R>+::.. .:,>,}...z.':4`............?:::rr:::. ...,h:kv 'S>x. ....xt;+ :•r..;:}>:..,.~~.?Cy:.,.... 1993 MECHANICAL PERMff (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 612 681-4675 PLEASE COMPLETE FOR ALL COMMERCLUJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF 9M77ACI' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE `'TTY INSPECTOR ::::.~L.:'. • .:....::.:::::::::::.v.::::.v:..:..:?iYJ:•}?:4:i•}}?i:4: }::.:}}:t .?::J?i::v:;??::•::::J:??}}??ii}:J::ti4:::::'.}}}ii :.................................................:..................:......rv:•.v.~:::.:::................................ J.......... t:• 4:' . ;.,;:..:.i is :•ry• ....................................:...t.v.v.•::::.i•}W......... :.:t:ti':: i:i?::i :iii.:'::':: v.:.......: t :.........::.t::::.v::::v;:..v::.v:::::::::::•::::::::v:::::::'•:+.t.i:..wx: t}:}::...:..; ~::::..:ii'•?::w: h::v:??}' t.. . t ...................:..:....................::.:v..v:: ;:v:v::::.:::n:::: •:n.v.t•.J?: n:.v •Yh:^:.. .t. ...........................................'p'' :.::,•r•...........: ..•~!~''?5353;::ii ~Sii:iaii ;5........: x:;;}>:.::>???.. ::~?}:??iJ•::•:::cJ: J?:??; iii;::}:::::: : ...............:........»n..,. .nd ......•..w..:.......:........... g3.2Q3 1993 PLUMBING PERAHT (RESIDENTIAL) CM OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL _ SHOWER 3.00 3 . 00 WATER CLOSET 3.00 t : • v 2 BATH TUB 3.00 n (O LAVATORY - 3.00 g ' KITCHEN SINK 3.00 3 0 ° LAUNDRY TRAY 3,00 3 ° v HOT TUB/SPA 3.00 WATER HEATER 3.00QN FLOOR DRAIN 3.00 ----T GAS PIPING OUTLET • minimum -1 3.00 ell ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. - Dak.Cty. lic. 15.00 U.G. SPRINKLER - home under oonst. 3.00 ALTERATIONS - to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: 3 S SITE ADDRESS: L A -3 OWNER NAME: A • T INSTALLER: ADDRESS: S 18 ~-~r o~ s c l SSIJ~~ CITY: 7~K)k"5 - STATE: N•~t--S ZIP CODE: PHONE SIGNATURE OF RMITTEE a... D. 1993 PLUMBING PERMIT (COM MMCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMNERCLALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI? :7INGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U %,T. NEW CONSTRUCTION ADD ON r REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF I'RMT FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ i TOTAL $ SITE ADDRESS: TENANT NAME: STh...r OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER JOEL AND DIANA CARLSON PLAN ~lO, 9 -ry~~a^cr?-~; SITE ADDRESS i,-~=L u i ;ntru CONTRACTOR R . A . KOT HOMES, I NC . DATE___.____._____P6130193 PHONE 6S7-9513 DETERM I ME WORKING SQUARE FOOTAGE :,51.3.67 1. Total exposed wall area 3584.02 sq. f t . x .11 394.242' 2. Total roof/ ceiling area 1318 sq.ft x .025 34.268 3. Total floor cant. area 22 sq.ft. 0.05 1.1 (over unheated enclosed areas) 4. Total floor cant. area 60.67 sq.ft. x 0.025 1.51675 (over unheated exposed areas) 5„ Total exposed wall area above the Vloor.---_3194.67 a. Total wall window area ....................366.4696 b. Total door area 37.8189 c. Total sliding glass door area 77.7722 d. Total fireplace area e. Total wall framing area (ave. 10%) 319.467 f. Total net wall area above the floor 2393.142 g. Total rim joist area 319 TOTAL. EXPOSED FOUNDATION AREA 70.35 h. Total foundation window area 0 i.. Total net foundation area 70.35 Determine "U" value of each wall segment. a. 366.4696 "U" 0.39 = 142.9231 b. 37.8189 "U" 0.06 = 2.269134 C. 77.7722 "U" 0.39 = 30.33116 d. 0 Ulf 0 _ 0 e. 319.467 "U" 0.090334 = 28.85881 f. 2393. 14'2 U 0.043215 103.4202 9- 319 X ''U'' 0.040683 _ 12.97803' h. 0 X U 0.39 = 0 i. 70.35 "U'' 0.076161 = 5.357959 6.................... Total If item #6 is the same as or less than item #1 you hav _ e current energ = codes. 2 MCAR 1.16008 A AND O. TOTAL EXPOSED ROOF=/CEILING AREA 1318 j. Total skylight area 0 F:. Total flat roof/ceiling framing area...... 131.8 1. `("otal net flat roof/ceiling area.......... 1186.2 Determine "U" value for each roof/clg. segment 1. +_J x „U,s 0 0 k:. 131.8 M U" 0.025549 _ 3.367399 1. 1186.2 "U" 0.021B01 - 25.86004 7 ..............................Total ^9.:"_"744 If item #7 is the same as or less than item #2 you have met the energy code. 2 MCAR 1.16008 A AND 0. TOTAL FLOOR CANT. AREA (enclosed). 22 o. Total floor cant. framing area (ave. 10%). 2.2 p. Total net insulated floor/cant. area.,.,.. 19.8 Determine "U" value for eachfloor/cant. segment. 0. 2.2 U 0.04 ;819 = 0.096534 P. 19.8 U" 0.024254 0.480233 8... ..............................Total (0.57W6,/ If item #8 is the same as or less than item #3 you have met the energy code. 2 {VICAR 1.16008 A AND Q. TOTAL FLOOR/CANT. AREA (exposed) 60.67 q. Total floor/cant. framing area (ave. 10%). 6.067 r> Total net insulated floor/cant. area 54.603 Determine "U" value for each floor/cant. segment. q_ 6.067 x "U" 0.044346 _ 0.269047 r. 54.603 x U" 0.024396 = 1.332105 9..> ......................„.......Total 1.601152 if it .rn ##9 is the same as or less than item #~~4 you have met the enell code. 2 MCAR 1.1600e A,....ANa-G, I HER-BY CERTIFY THAT I HAVE CALCULATED THE FACTORS AND VALUE HEREIN AND THAT THE WILDING HERE L ill, I EKED MEETS ,W E CEEI a THE S °ATE: OF MINNESOTA klER Y CCIIVSERVAT I C AC (s i g na t~kf°e) r w K date) DETERMINE "U" VALUES'' THRU TUD WITH SIDING & S.R. Inter or Air...„.. 0.68 Sheet Roc:k:........ 0.45 Therm --Break:.. „ > 0 Stud . 6 , 9:, Shea t i ng „ , . 2.06 Sidin 0.78 Etter or Air'...... 0.17 Total "R" Value......„..... 11.07 I /R "U" Value 0.090334 THRU l~ISUL_A7'IOhI WITH SIDING & S.R. Inte for Air...... 0.68 ShIs Rock........ 0.45 Ther o--Fuca k:..... . Insulation 19 Shea hing......... 2.06 Sid i.rg............ 0.78 Exterior Air...... 0.17 Total "R" Value 23.14 I /R "U" Value 0.04 "215 THRU CEILING MEMBER Interior Air....... 0.68 Sheet Rock 0.58 Ceiling Member.... 4.35 Insulation 32.92 Still Air......... 0.61 Total "R" Value . . . . . . . . . . . . 39.14 1/R "U" Value 0.025549 THRU EILING INSULATION Interior Air...... 0.68 Sheet Rock:........ 0.58 Insul Lion........ 44 Still Ai.r......... 0.61 Total "R" Value............ 45.87 I /R - "U" Value 0.021601 THRU ONCRETE BLOCK Inter or Air...... 0.68 conc. Blk:......... 1.8 Insul Lion........ 11 Sheet Rk. (opt.). o Exter or Air...... 0.17 Total "R" Value............ 13.13 I/R = "U...................0.076161 THRU IM JOIST Interior Air...... 0.6B lnsul tion........ 19 Rim J ist......... 1.89 Shea is i ng 2.06 S3.cii.nc „ 0.78 Exter or Ai 0.17 Total "R" Value............ 24.58 I /R = "l.!" 0.040683 U" value for window........ 0.39 U" value for doors......... 0.06 U" value for Patio Drs..... 0.39 i 'THRU CANT. @ MEMBER (enclosed) Interior air...... 0.68 Finish Flooring. 1.22', Sheathi.ng......... 7.2 Plywood 0.93 joist 11.56 Sheet Rock........ 0.58 Still Air......... 0.61 Total "R" Value............ 22.79 I /R = "U. 0 . 043879 THRU CANT. @ INSULATION (enclosed) Interior Air...... 4.68 Finish Flooring... 1.2 Sheathing......... 7.2 Plywood 0.93 Insulation 30 Sheet Rock:........ 4.58 Still Air......... 0.61 Total "R" Value............ 41.23 I /R _ "U".- 0.024254 THRU CANT. C MEMBER (exposed) Interior Air...... 0.68 Finish Flooring... 1.23 Underl.ayment...... 0 Plywood 0.93 Joist 11.56 Sheathing......... 7.2 Soffit............ 0.78 Exterior Air...... 4.17 Total "R" Value............ 22.55 1/R "U ..................0.044346 THRU 'ANT. C INSULATION (exposed) Interior Air.. 0.68 Finish Flooring... 1.23 Underlayment...... o Plywood 0.93 Insulation 30 Sheathing......... 7.2 Soffit............ 4.78 Exterior Air...... 4.17 Total "R" Y'alue............ 44.99 I /R = „U. ..................0.0243,96 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ' 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 "4 New construction Requirements RemodeURepair 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 bears & 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 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE (D 1 S! VALUATION 3 f 3 3 `t SITE ADDRESS q 3(-0 3 ► TPete- La Yt-p - MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK D hc8lou_ FIREPLACE(S) - 0 ^ 1 _ 2 i 91~2Q Mils 3tres# APPLICANT COOn RWWS,, MN 85M STREET ADDRESS CITY STATE ZIP TELEPHONE # 1 SS - c~'-gPj CELL PHONE # FAX # 75; s' 5390 PROPERTY OWNER D('G"' A- CQ P' S0 yt TELEPHONE # ((951) L4'54 _ `'11 ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 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 Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System 0 UL9 Sewer/Water Contractor: Phon - I hereby acknowledge that I have read this application, state that t i formati is Corr t and a e comply with all applicable State of Minnesota Statutes and City of Eagan rd a s. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received Not Required _ Updated 4/02 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. Aft - 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 Bidgs 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 Roof - Ice & Water _ Final _ Pool _ Ftgs _ 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 47 tiC"`'1l t3F EAGAN PER#"i TYPE:s 3830 Pilot Knob Road Pe Date rmit Number: ~Evart, Minnesota 55122-1397 Issued: a e P (612) 681-4675 ADDRESS: t rt ° F APPLICANT: t B(N) f t~ t't t. A #If !4t NOR 1. 11 IS ON t`4)IS't 0fq 01, 0 AWSUBTYPE: TYPE OF WORK: ~~8+►►~ {.;t~ tat` tt 1) 5. C R t,. pt T am ( 041A 0 U -C ~r . 31 '1 j flHAV 1 14 A h A t; f' ft tt~ i 1f' t~ ~ t I I ' V,, f` Q 1) t V V k-) f 0 1~ A ~i' `r U I V("i I ► C3 1 1,40 - n w t r I. f(' 3 i ~ ! k r -pu 14M FIN "*W OWN TOWPWA E PLLOMM I fouw i MOM I ROOFM f p AIR~'1'M I HEATM l Gam r wxr i QYPWMRD FWdPLACE f FROUZE ~C MA TEST ~ f~L,BQ i FINAL HM OMAT TEST B= F K4L BSWr FLL BSMT FUM DECK FrO OWX FWI I JL TIO N-P 1 v'1VC-0lkD, A N PERMIT TYPE: ~ t Road , - Permit Plumber: FAQ, MWwsota 55123 Date ~ssuec + r' ; (012) 881-4575 , ADDRESS: APPLICANT. 4163 "UNI Jkltu UAW Alf foom - xo(ir-. 3Rt) g-flit l rfi i7 ftfttT SUBTYPE: TYPE OF WORK: f, OW14 i i lif -ft AC,U c F _ F *"ON** ow f1 kwok All J ,r 4 Paugt Plug. AJAE A PAUW H'g 3 s „ r®°rr~s t PAW FkW Pft. Pft. wqxlcw - PkMVy Pk r COrnt mew EWJFgaa► Dace Do& Fkw i vm Pr. Cam. Use BLUE or BLACK Ink For Office Use j Permit I CRY of Eap ) I Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: / 3 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: c Lri~Fcv+. M ff Unit Name: %_3e__VNtN Phone: Resident/ Owner Address / City / Zip: 3 A -1c- (VIII) t j Applicant is: Owner Contractor Type of Work Description of work: (Zec - ooc- 4- (P..._e 0~ . e af✓ r<91'e Construction Cost: Le ay Multi-Family Building: (Yes / No Company: cLC,e_c` LL C- Contact: L7(--!gk 1 T 19® Address: c~.uU +e `r City: Contractor ~r nor' 2 State: t Zip:S~ Phone: t e I o~~ Qba -,99 30 License ~ LpL~L4 5; Lt Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) y_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesot State Buil g Code must be completed within 180 days of permit issuance. x J F~ ~c-c~ s x Applicant's Printed Name Applica Signa e Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140388 Date Issued:12/15/2016 Permit Category:ePermit Site Address: 4363 Bent Tree Lane Lot:7 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-070 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Valerie Martin-kuehn 4363 Bent Tree Lane Eagan MN 55123 St Paul Plumbing & Heating 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145299 Date Issued:09/01/2017 Permit Category:ePermit Site Address: 4363 Bent Tree Lane Lot:7 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-070 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: 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 - Valerie Martin-kuehn 4363 Bent Tree Lane Eagan MN 55123 (952) 451-7019 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature For Office Use , Permit#: /46) o -4'7' %soE AG A `•`s IVSD Permit Fee: DOD .0g 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAR 0 9 2018 Date Received: 0- _ /'4 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 • Staff: buildinginspections(&cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 t Site Address: '13/3 /4 '7(e€i Unit#: Name: 11 vja an c 'Jo &i t. K t1 r'i li v'� Phone: (v5 7-3,Pi - ?153 Resident! I l�, j _ Owner' t = ' Address/City/Zip: 3g5 $0.4-t- lice. !^ nL v I Applicant is: Owner X Contractor / / �`�`` L41,(' > / / nJl( I-ILS 4ted Ot Oa✓ Type of Work Description of work: rahlr G7�%� rir/. - Re..1 �i Ccc/ 1 Construction Cost: Multi-Family Building: (Yes /No ) Company: f(l4c.N Liiaf5 Contact: -✓, -w,.. $vim Contractor Address: 5-2(,(4) Lt �/i+e ial W J. c 1• City: / i ` Stat Zip:�5O7 Phone:41,674 2--64,4e 3,$ .5. %.1a56)Email: kJ-etGr CXIPI-;Q dolo License#:V L 5r 3 t Lead Certificate#: 4/ ` 7 /5 351 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and s rpporting documents iftat,,y4vionit are considered to be public information ;Portions of i `ion maybe classified as non-public if you provide specific reasons that would permit the City to conclude re trade sect You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gooherstateonecall.orq 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. x 54A/4 -51°e5 x Applicant's Printed Name ''cant's Signature DO NOT WRITE BELOW THIS LINE q,6 "<_/-2/ /:,cam Z-i. /q ;7 o SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) Exterior Alteration(Multi) — Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex ? Lower Level _ Pool _ Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION / Valuation 4 We4 '— Occupancy __.)-l2 C-/ MCES System Plan Review Code Edition SAC Units (25% 100% A Zoning { '-/ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of BuildingstiF Length Fire Suppression Required Type of Construction J Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill 66 HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water Final Pool: _Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick EFIS yl Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan k I,- / Other: AReviewed By: / `U01 y1" , Building Inspector RESIDENTIAL FEES , J ,t 5. , / Base Fee _ Surcharge ) /.5.-, 5 , Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148097 Date Issued:03/06/2018 Permit Category:ePermit Site Address: 4363 Bent Tree Lane Lot:7 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-070 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Valerie Martin-kuehn 4363 Bent Tree Lane Eagan MN 55123 (952) 451-7019 The Fireplace Guys Llc 680 Hale Ave N #110 Oakdale MN 55128 (612) 326-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149673 Date Issued:06/05/2018 Permit Category:ePermit Site Address: 4363 Bent Tree Lane Lot:7 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-070 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Valerie Martin-kuehn 4363 Bent Tree Lane Eagan MN 55123 (952) 451-7019 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature