611 Autumn Oaks Ct[`^.*NwLl ?U rtm 1JrA,0. V.?/cc/?t
.1?? ?E 454-0037 CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # C 96 To be used for SP DWG/GAR Est. Value $95,000 Date 06?27/90
Site Address
Lot 15 B1ock
Parcel No.
W Name 308 !lILLER HOMS
o Address 1$133 CEDA[t AYE S
City IrARM;NGTON Phone 431-2001
ZF Name sAME
oU?a Address
cc
City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to com^pEq'' ith all applicable State of
? Minnesota Statutes and City o , gan Ofdi ces ,?
Signature of Permitee , ?
A Building Permit is issued to: 30E MILI.BR HOMHS
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 Oificial
u .
18299
19 "
dFFICE USE ONLY ?
Occupancy R-3 M"i FEFS
R-i
Zoning
VN ?
617.00
(Actual) Consi y ? Bldg. Permit
(Allowable)
Surcharge ?j]?3Q i
b' ot Stories
?'
PlanReview
?1??
Length ?
100.00
DePih SAC, City
S.F. Total - SAC, MCWCC 600'00
S.F. Footprints -
`
625•00
On Site Sewage - Water Conn ?
On Site Well Waler Meter 90•00
MWCCSystem x
?
Acct. Deposil 30,00
City Water -? 30.00
PRV Required S./W Permit
Booster Pump - S?W Swcharge .50
252.00
Treatment PI
APPROVALS Road Unit 355.00
Planner - park Ded.
Council
BIdg.OfL _ Copies
3,148.00 ?
Variance - TOTAL ,?
? Permit No_ Permit Holder Date Telephone #
"WATER ?Q yJ ?g O
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Ins . Comments
Footings I
Foundation
Framing l-z.;,-pa
Roo(ing
Rough Pibg. - ? ?
Rough Htg. za
lsul. /5 y ?a
Fireplace
Final Htg. Q -?S• ?. .
Final Plbg. orep Z7?
Const. Meter Plbg. Inspedor - Notify Plumber
Engc/Plan
Bldg. Final l? 9 Q L?G??
Deck Ftg.
Deck Fnal
Well
Pr. Oisp.
$
? •-
a' ? '+
r '.? •
?
. (grr#tftra#e of (O.rru?aury
Citp of ceagart
Erprwtnct Lif ltrillitcg ittopertimt
?his Cerrificate is?ed pursuanl to the noquineneents oJSaclion 306 of the uniform Building
Code cerAifyin8 Jhat at the tiw of usuance diis strucmne Kws in rnmpliance *ith the various
ordinanors of the Gity reguladns buildkg on,rwrrcteon or ure Fvr the fouowu,g. ,
lbC QtlwmOfiOa SY MC/GAD BW(.. ARmit N0. -7v299
?
O=UPA-175rpe R3.411 --T°O1°i Dis? RJ 7?Pe CnnN TiRr-
Oworr of 9.1dio6 Addtra
Bu"m Add- 611 atrrts?t?pg?_?M Loas4 L14, 81. CX)i+TII?1'Y KLLfW
POST IN A CONSPlC:UOUS PIACE
SEWER & WATER PERMIT 'I
CITY OF EAGAN , METER # `?
3830 Pitot Knob Rd.
Eagan, MN 55122-1897 CHIP # ?
METER SI2E
DATE - ? I%5UE DATE
I SITE ADDRESS 611 ??. ut umt1 0a ks `C o u s t
lOT _L_BLOCK SEC/SUB , ' ,) u n t r:z ," n 1 1 c -•
APPUCANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: sTj Fi ..;;;?) ia .-,
ADDRESS: ? t 1` ? ,..,.? ?_g.r?
CITY, STATE ?vp1 e i1 a 1? 2yT-1ri ZIP 'i ?' 1 2 G
PHONE: 432-689 3
OWNER: ,?,???jjprmifiL :lo me s
ADDRESS: 1'; 1 33 (' - d r 4 v S
CITY, S7ATE Farm? ng on t hit; ZIP 5 5 ?%14
CONTACT ENGINEERING DEPT.
ONLY
PERMIT DATE Oa / ": / `.'
_ PEflMIT # 11604
he'16 RECEIPT# G t'671
_ B.P. RECEIPT DATE cl,2
_Y_ PRV _ BOOSTER PUMP
PERMIT REGIUESTED
-4 SEWER ? WATER - TAPS
- COMM/IND ? RESIDENTIAL
? NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
. ?,
TO COMPLY WffH CITY OF
WHEN METER ISSUED
4545220 FOR tNSPECTIONS. FOR STORM
11\?Jl 11V1\ 1\L' ?V1\L
CITY OF EAGAN PERMIT TYPE: '; 111 1. I' !NO
3830 Pilot Knob Road Permit Number. o: t't 1 fif.
Eagan, Minnesota 55122-1897 Date Issued: c} 1 ! (>`' !`) 6
(612) 681-4675 ?
SITE ADDRESS: APPLICANT:
? uI 1? fs? ??? }
?; ;?i?1??1?1N ??Akt? +:1 ?I? ? ? 1 ia ttrllN
t11lV ( h''1 Wl) Itl1.1 041:1I 1
PERMIT SUBTYPE:
I f? ri r 1 Nii s
i 1Nni
TYPE OF WORK:
F 14Ars i Nii
Rf MAtIK.'s: '-JPANAiF f't kp11 {" REQ111R1[1 I nrt ANY E:I.F+. I-R 11 At lJllft)
?
N.=
?
nrlrlr I r riri
Permit No. Permit Holdsr Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
!l(
ROOFING
ROUGH
PLUMBING
PIBG
AIR TEST
fiOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIOG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address: 611 AITICMN OAKS COIRT Lot 15 Blk 3 Sec/SubrOUNfRY HOLYOW
These items were/were not complate at the time of tha final inspection.
naTF: NOVESBER 9 1990 Yes No INSpFd,TOg:
Final grade (6" from siding) ?
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas jJ
Sod/seeded grass
Trail/curb damage ? ?Z_Vfle/
t
Porch
Basement finish ?
Deck ?
Please verify vith tha buildar the removal o£ roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet bafore
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
2007RESIDENTIAL PLUMBING PeRnnIT aPPLicaTIow
GITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please campiete for modificetions to exiatfng residential dwellinga.
?? "S-b
-7
Date -7
_
Site Street Address GT 4- Unlt #
Talephone# ((r51
PrapertyOwner
""L e-?"4"-4-)!> Telephone# (1Sz) `f9Z'Zy-'fD
Contractor
'?r`? ? City Stat@ '„'?
Z
kb
5???? Zip ?-'??
-
5
c
Address
The Applicant is: _ Owner Contractor _Other
$eptic System New Refurbished Submit 2 sets of plans and MPC license fee
s ;o? ?y
Include
0
$
Per as•bullt $ 10,00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
s to existing dwelling
Aiteration $ 50.00
/
?dd plumbing fixtures. This fee includes installation of a water softener andJor water
? heater et the same Nme. !l you are lnstallfng only a weter soRenar and/or water
heater, dQ not complete thls eecUon; move to the next section and chack the
appNance(s) you are Inetalling,
_Septic System Abandonment
Water Turnaround (add $136.00 'rf a 5/8" meter is required)
Other:
Waler 8oflmnor Woter Mealer $ 16.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new -repair _rebuild $ 30.00
State 3urcharge $ .50
SO SO
Total $
?--
I hereby apply for a Residentiai Plumbing Permit and acknowiedge that the information is complete an r
?
,..L ,..,u ho in rnnfnrmnneo wirr, rnn, nrdinances and codes of the Citv of Eagan and the p?Um at
....,,. ..„ .,.. ,,, ....,...,.,.._.._.. ...... _.._ _._..._ -- -
understand this is not a permit, but only an application for a permit, work is not to start without a pe ar?d.yvorc.Wi 0 n
accordance with the approved pian in the event a pian is required to be reviewed and approved. ? I,' ?UL
? ?.?5 ??...C?..,.? ?? 5?L.- U; ??
= y?
Ap pII9m R1'? fltl1@d N A??II@@ftf 6 I0fl@lllm
/',?/-)SP202007 10:27 ERGRN ENG+COM DEU 4 99524922446
N0.101 D01
2007RESIDENTTAL MECHANICAL rERmtrr aPrLicrlTIO1V
City Of Eagan
3830 Pilot Knob Road, Eagan M11" 55122
TefepLane # 651-675-5675
Please complett fOr. single family dwe?ings & mvmhomes/condos when permits ere rtquirtd for cueh unit
? / ?U /
?
Tfate
?
Site Addreas CL// •'L 6a- r-S e--' -1L ' [Jnit #
Property Owner jy'+` S-PSS?G?- A'?? ?f Telephone #((? 5( }„s;'?fR- 7? 3? I
Conhactnr c(n
Street Address City ?
?
I
Stnte Zip SS ? SZ Telephone #( 9?Z} ePc1 Z-- 7-4 (?6
Band #: Expires:
The Applicant f5 _ Oweer Conlxactor Other
Fire r¢pair (replace burned out nppliances, Auehvork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a huilding.
Add-on or altetntian to exiaTiag dwelling uqit $ 50.00
fumace `- Additionai _Rsplacement ? New
air exchanger
air conditioner
_ heat pump
O[hBf 1 J Lt"1 O/l?° L. z pc?z-?wrv."?
1
State Surcharge $ 50
Total
I hereby apply for a Reaidcnrial Mechanica] Pernut and scknowledge that tha tnformation is complete ond accurate; that the work wil]
be in confomvinee wrth the ordinances and codes of the City oC Eagan aad wifli the Mechanicni Cocles; thac
permn, bu[ only an apPlicarion for a permit, and work is uot r.o statt without ¢ ptrmit; that ihe work w' G? a?c?in D
approved plan in the case of work wluch requires a mview and upproval of plans. L??9 ?
??u? ? s 2007
Applicant's llrinted Name? Applicant's Signature luu
`r57F3
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Constmcfion Reqmrements
3 registered site surveys showing sq ft of lot sq. ft. of house; and all roofed areas
(20%mayimum lot coverage allowe8)
1 Soils RepoRif pmposed 6miding is lo he placed on disWrbed sod
2 wpies of plan showing heam & window sizes; poured found desgn, etc.
1 set of Energy Calculahons
3 copies of Tree Preservation Plan i( lot platted aRer 711193
Rim Joist Oeqil Options selecfian sheet (6uildingswith 3 or less units)
Mlnnegasco mechanical venlilation irnm
Plans are considered public
r
DateS.
Site Address (p_I
Descripflan af WorK D n
Multi•Famity Bldg _ Y _XN
Property Owoer
Contractor
Address
SCate _
cjQ
RemodellFieoair Reouiremenis
2 copies of plan showing foo6ngs, beams, joisfs
1 set of Energy Calculatioas far heated addifions
1 site survey for atlditions & decks -
Addifion - rndmafe A arsite septic sysfem
7
dess vou state they a?}e tra3e secret and tFie reason
Cons[ruMion Cost?2? C) Q
2 r? Uuit/Ste if
Lti) cWi0 c(
Fireplace(s) x 0 Z
Telephone#&r ) 2C Vk- '71?
Vk City L/4/(,Cf,p(.CC.
Zip `J S Telephone #?) ' F?q -
COMPLETE THIS AREA ONLY IF CONS7RUCTING A NEW BUILDIr
Minnesota Rules 7672
Minnesota Rules 7670 Cateeorv 1 New Energy Code Worksheet
Energy Code Category , ResidenGal Ventilation Category 1 Worksheet
(4 su6mission type) Submiited Submitted
. Energy Envelope Calculations Su6mitted
In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Coniractor
Telephone #(
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 approv d an in the case of work which requires a review and
appro of plans. ? ?
'?-
A icant's Signature 2007
,SpphcanYs Printed Name PP
Telephone #(
1JDr?
i6kkl?
Office Use OnN
CertofSurveyRecJ -Y -N
SnilsRePoR , ' _Y _N
-Tr¢e Pras Plan R¢cd _Y _ N.
TrW?Requtr0__ . _Y -N
6o-sile5etlticSVStenC'-?_Y _N
DO NOT WItITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-pfex
? 05 03-plex
? 06 Oa-plex
Work Tvoes
? 31 New
? 32 Addition
? 33 Alteretion
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lawer Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch(3-sea.) ? 31 Ext.Alt-Multi
? 22 Porch/Atldn. (4-sea.) ? 33 Ex[. Alt - SF
? 23 Porch (screen/gaze6o/pergola) ? 36 Mulii Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
`DemoliYioa (Enlire Bldg) - Give PCA handout to appllcant
DeSCI'iDtlOtl: WaterDamage_Yes
Valuation -;77 G' / '
Plan Review 100% or 25°/a
Census Code
SAC Units
# of Units
# of Bldgs ?
Type ot Const _s, 0'
Occupancy re- MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Wdth
_ Footings (new bldg)
_ Fooungs(deck)
_ Footiags (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIItED INSPECTIONS
_ Shee[rock
FinaVC.O.
? Final/No C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utihty Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
? 07 OS-plex
? 08 06-plex
? 09 07-plex
? 10 08-ptex
? 11 10-plex
? 12 12-plex
CITY OF EAGAN NO ' 8299
. 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est Value $95, 000 Date_
Site Address 611 AITTUMN OAKS CT
Lot 15 Block 3 Sec/Su6. COUNTRY HOLLOW
Parcel No. _
I w I Name .IOE MILLER HOME I
3 Address_ 18133 CEDAR AVE S
° City FARia7N(`TON Phone 431-2001
o Name SAME I
Address
? City Phone
?w Name
?x,; Address
`aw City Phone
I hereby acknowlege thal I have read this application and state that the
inlormation is correct and agree to co wdh all applicable State of
Mmnesota Statutes and City aga rd nce ?
(
SignaWre of Permitee
A Building Permit is issued to: .TOE MILLER HOMES
on the express condition that all work shall be done in accordance with all
apphcable Stale ol Mmnesota Statutes and Ctly of Eagan Ordinances.
Bwlding Oflicial
OFFICE USE ONLY
Occupancy R-3 1`L-1- FEES
Zoning R=1
(Acmap Const VL-IL emg. Permn 617.00
(Allowa6le) V-N
0
Surcharge 47.5
a ol Stories -
Lengih SFj ' Plan Review 401. nn
oavm 30'
0
snc, ciry 100.0
S.F Total - SAC, MCWCC 6OO.O0
5 F. Footprmis _
On Site Sewage _ Water Conn 625.00
On Site Well - yyater Meter 4(1 _(10
MWCC System X
City Wa1er X Acct. Deposit 30.00
PRV Requirea X S1VJ Permn 70 • O(1
Booster Pump - S/W Surcharge _ 50
Trealment PI ? 52 _ 00
APPROVALS qoadUnn 3$$.00
Planner _
Council
Bldg. Oif. _
Variance -
Park Ded.
Copies
?
TOTAL 3,14$.0
1990 gIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
HULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CDRNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. AUB 2 Z RECD
To Be Used For: Valuation:? Date: s V o"'I -((J
Site Address LlI U1 a=A/L f W U.
Lot -8 Block J
Parcel/Sub l?l1U/IV
Owner
Address
City/Zip Code
Phone
Contracto , 1/V /',/
Address /0 / ?R rAq . & _
City/Zip Code z
Phone 4?p'I ?Coy
Arch./Engr.
Address
City/Zip Code
Occupancy R 3 M `i
Zoning R_ l
Actual Const \/-N
Allowable V-N
# of stories
Length 5(0
Depth .30
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
COMMERCIAL
ONLY
FEES
Bldg. Permit (0 1 ?' Oa
Surcharge 4150
Plan Review y0/,00
SAC, City 100.00
snc, rtwcc ao 00
Water Conn
D
9Z5,0
Water Meter 010,00
Acct. Deposit o 00
S/W Permit 3069
S/W Surcharge 15b
Treatment P1. ZSQ, o0
Road Unit 3 D Q
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
APPROVALS
Planner
Council ,
Bldg. Off. b123
Variance
Phone #
t
U' I' ?l?l?Tel C? t? ?••?? j
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N ?9°SS08??? E'?'G`? ENGd1?TEEEiIT]G
fn1 E -
[Mr
?
/ NfREBY CERr/fY THAT TH/S SU4VfY iY.AN AR REPA4T
Wi1S PREPARED BY ME OH UNDER MY D/R£CT SfA°E'Rd/S!ON
AND THAT I AM A DULY Rf6/STER£D LAHO SURYEYt7Yp
UNDER TNE L AWS (.iF TNE STATE GtF MlNNESOTA,
DESCRIPTION
Lot 15, Block 3,
COUNTRY HOLLOP;
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
DATE ? Rm tip $140
fExistin Propose
?---
t
DEP i
brandt anginsaring a rurvaying
2105 woodi trail
6uinivilla, minnaiota 55337
(bIR) 4351966
114 32 -q-23, 9 d
#121/4
w f%$f 1?? U?-1 7i
MINNESOTA STATE ENERGY CODE CALCULATIONS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective I/l/84
Phone Date
Owner
1 Stte Address
Contractor
is
Phone
r
Building Classification: Type AI (Single Family S Duplex)Type A2(Residential)
(3 stories or less
NOTE: Complete pages 3 and 4 first. (pther) (Over 3 stories)
GENERAL INFORMATION
1. Bui Iding Perimeter (N0le}C .J ?'??t. ,
2. Wall height (ground to eave) it ft.
•
3. 1. x 2. (above) gross wall area ?J 2
ft.
4. Building dimensions (L) X(W) = i3 c? 9 ft.2 roof 6 floor area
5. Square-faot area of rim joist - Floor joist size (2 x /(J ? )
14 6-7 f
2
? 16.1 X Pei ier = Rim joist area =
t
12
6. Doors - Area
Thickness
Type of Construction
- Manufacturer
7. Total door's perimeter
ft.
t.
8. Windows: Manufacturer. ?y_jj"iIG 5-Lir. State approved
U factor '
TYPE SIZE AREA (Ft.2) NUMBER Of TOTAL FEET Z
• EACH UNITS ,
a
?
9. To[al ft.2 Glass G/I -?;?
10. fireplace area: Width X helght = X Ft•2
11. Exposed foundation: Height X Perimeter ? X 6 Ft.2
LOMPLETION OF THIS FORM IS REQUIRED FOR ALL CONSTRUC ION, MAJOR REMOD LING AND BUILDINGS BEII
IiOVED WHERE ENERGY, OTFIER THAN THE MINIF1Al CODE ALIOWANCE, IS USED.
3
in. U factori ?I
Perimeter
1-2, rraming area = 10% of gross wall area.
U. Gross wall area
2
Windo-vi area A -Z (JO ft.
Rim joist area A ft.z
Door area AJ?J ft.2
? A "('2 ft
Z
e
-Fi-rep area
.
Exposee foundation A _ft.2
Framing a rea A Z('Sft.2
Net wall ?
area A ft.
# W• 5° ?
ft.Z
U wi ndows =? *1 U x a = l?lS Z
U rim joist = i? U x
U door area = , I4 U x
U fi repl ace =Al U x A
A
A =
= 7, c-r Z
= -li
U foundation = t b U x A - _ jq,q(,,
U framing ared = rM5 U x
U wall = 04 U x A
A = Z? tO
=(p7.SJf
3
' (13B) TOTAI . . . . . . . . . . U x A .
i
14. Gross wall area z 0.11 (A-1 single family & duplex = allowable U x A/Code
(13. above) •
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Ovet• 3 stories) ?/ BTUH Must be larger than
p ----- x L Code.._?_ - G?Z, F. 136 above
15. , C"eiling framing area (Ap) equals 10% of ceiling area Cor the same as)
15A. Gross ceiling area =(L) x(W) ft.2
158 Joist area (Af) = 10o ceiling area = ? 7jJ ft.2
15C. Net ceiling area (AC) (15A - 156) 7 dj ft.Z
U ceil ing x A C= x? _ ?`?• I j
U framing x A f= ib?i?J x- DJ = 3•o'
Z8,9Z .
15D. TOTAL U x A ........................................
16. Ceiling area (15A) x 0.026 (A-1 single "amily 5 duplex - code allowable U x A
x 0.033 (Ft-2 other residential)
"
1 x 0.06 (ather) ,OL(4 BoUH P1ust be larger than•150 (a6ove)
j A(154)
? x U code = F (or the same as)
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION: I hereby certify that I have calcu lated the "U" factors and "R" values
herein and that the building here descr( bed meets or exceeds the State of Minnesota
Energy Conservat ion Act. '
te Signature
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,
?-?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
8ase Fee
Surcharge
1'otal Fee
PERMIT
SITE ADDRESS:
611 AUTUMN OAKS CT
LOT: 15 BLOCK: 3
COUNTRY HOLLOW
P.I.N.: 10-18275-150-03
DESCRIPTION:
--,.
Building.,Permit 7ype
t?8uilding Work Type
?` Ce°nSUS Cade `;`
/,
C?
t
t
?, Er
GARAGE/ACCESSORY
ADDI7ION
438 ALT. GARAGE
PERMITTYPE: euzLnxnG
Permit Number: 028186
Date Issued: 0 7/ 9 9/ 9 6
"C„i;i
Z:Ii..._t
REMARKS:
SEPARATE PERMIT REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
$99.75
$2.50
$182.25
$5,000
CONTRACTOR: OWNER: - Rpplicant -
WILLEMS JOHN
611 AUTUMN OAKS CT
EAGAN MN
(612)454-0037
IL
I hereby acknowledge that Thave read th2s eppl3caCionand state that the
information is correet and agree to comply with all applicable State ot Mn.
Statutes and City ofi Eagan Ordinanoes. 641
g? 1 ml
I SUED BY GNA RE
?hffljo APPLICANT/PER ITEE IGNATURE
I CITY OF EAGAN
B 55122
1996 BUILDING PERMIT APPLI ATION (RESIDENTIAL)
b
661-4675
New Construction Reauirements RemodeVReoair Reauirements /1 i fl V/??
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (Include beam 8 window sizes; poured Tnd. design; etc.) ? 2 site surveys (exterior addRions 6 decks) (
? 1 energy catculetbns ? 1 energy ealculations tor healed additions
? 3 copies of lrea preservatlon plan H lot platled afler 7/7193
required: _ Yes _ No
DATE: 7/Z/ °l CQ CONSTRUCTION COST:
DESCRIPTION OF WORK: 610'??-A(4, Lf ? o't J°N ?
S?EET ADDRESS:
v ?
A-vi.rvMd C}PCL C-?'
3 SUBD./P.I.D. #:
?
LOT 12__ BLOCK
/
I? J??
"
PROPERTY l
Name: Vl ?M S r Phone #:
OWNER ?i
Q A i1R5i
`'s7 `4fi1AJ
Street Address
State:A/A" Zip: S S /Z 3
City:
coNTRACTOR Company: Phone
Street Address: License #:
City: State: Zip:
?-
ARCHITECTI Company: .? M C Phone #:
ENGINEER
Name: Registration #Street Address,
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
State:
Zip:
Penalty applies when address change and lot
is correct and
OFFICE USE ONLY / RC??ENED
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No -?- ----"-"-'
with all
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = piex
WORK TYPE
? 31 New ? 33 Aiterations
?M• 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi RepairlRem. ?
?£ 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
0 36 Move
0 37 Demolition
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
?
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit d
Building Engineering Variance
Valuation: $
z???
Y?
°k SAC
SAC Units
11l/1'32-423-90
CERT/F/CATE of S~r
N 99°Ss,oB"6
las,ao
3
N
N
Z
? ?0-1Np,?,
0-S90T-2
5I?
I \ S
??
???
I ?r?
? /DR?.)NAd-E $ ? ?
tl urIu-ry ?
ft"GM N7'
I lvl '?' ?, ?
? 32 4a ? f /.
P2DP6%A NOVSG I
I I?
, 1 $gw16L, ?19,1
$
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6?. PiZ2?O IO.W I
a o6??
BL2?'SJ ? ?_ zR.oi
1N0f3 ? g2 1.3. -
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--?AU i UMikI 0,4V-5 c0U2i
DESCRIPTION
Scale: 1" = 30'
l NER£BY C£R17FY TNAT TN/S SGPVEY, it AN AR REPOWT L o t 15, B 1 o C k 3,
WAS PR£PAREO BY AI£ OR UNdIE'R MY Od7ECT SYAERY/S/QM C OUN T RY HO L L 01'+
q,yp T.yAr! A.N. A!7yJiY XV645.*E$E? iANd £!lP.:"e'!'W L8KOL3 COUIity, fNiTlneSOtB
f/NOFR THE LAMS OF TNE SrATE QR' M/IVNESOTA.
Plat bearings shown
o Denotes iron monument
oATE qm Mp. 8140 fExistin2 Propos
----
brandt anginaaring a rurvaying
2705 uroodi trAil
burnivilla, minnaaolo $5337
(biR) 4 35 -I96 6
114 32 -q-23, 9 d
?-1
rJ
1991 ING P ' ?? . CITY OF EAGAN
i •
SZNGLE FAMILY DWELLINGS M[JLTIPLE DWELLING5 COt4SERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCkiITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED,
PROCESSING TIME FOR SEWER & WATER PERMITS
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation:
Site Address (ol e1 l'y,M S G' F-
Lot /5? Block -3
Parcel/Sub ?fJyN ???
Owner J6171? M.
VVIVLGJ?S
Address b ?I IN '1'-?Mj 0A-K5 G?(City/Zip Code mr-J STl
Phone 4"?4" 'D03 ?
Contractor RONLfDa)dj??
Address 3?SMG
City/Zip Code /NM r
Phone M i?
Arch./Engr. 4hA Eovo/sK-
Address slbCM Ci
City/Zip Code i)
il
Phone #
IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
Date:
USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length ?-T
Depth ?T
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES ,??
Bldg. Permit ?"?C--
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Fl-
4 agrees that all work shall be done in accordance with
Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?.\
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?AGRt, , M??
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PG. I
MEMO
t- 15 4 3 (' c,,.,.,, 4v,?
TO: THOMAS L. HEDGES, ClTYADMINISTRATOR 4o t lo,?3)
FROM: THOMAS A. COLBERT, DIRECTOR OF PUBLIC WORKS
DATE: MAY 3, 1996
SUBJECT: SANITARY SEWER BACK-UP - COUNTRY HOLLOW ADDITION
INCIDENT
At approximateiy 8:15 A.M. on Monday, April 30, 1996, the maintenance division of the
Public Works Department was contacted by various residents within the Country Hollow
Addition reporting sanitary sewer back-up into their homes. Maintenance employees
dispatched to the area discovered that the Country Hollow sanitary sewer lift station
experienced a power failure and the pumps were not working. Dakota Electric was
contacted and City dispatched a portable generator to the site with one pump being
reactivated at approximately 9:23 A.M.. Full power was uitimately restored at 10:13 A.M..
By Tuesday morning, the City had indications that approximately seven home owners
experienced a sanitary sewer back-up into their homes to some degree. See attached map
for location of impacted properties.
CAUSE
Preliminary investigations indicate that same type of power spike or surge created a"flash
burrY' at one of the connection points of the control fuse for the electrical motors. Such a
power or mechanical failure should not result in a sewer back-up into residential homes as
the City has portable generators and/or auxiliary pumps that can be commissioned to
maintain corrtinuous sewer service. Unfortunately, the sewer back-up resulted from a failure
in the alarm system to notify the City's maintenance of a lift station malfunction allowing it
to respond with corrective action prior to any homes being impacted.
HISTORY
Unfortunately, a similar situation occurred on June 14, 1994. At that time, five homes were
impacted. Similarly, the 1994 sewer baclc-up resulted from an eiectrical power outage and
the failure of the alarm system to notify City maintenance.
Due to that previous occurrence, the Public Works Department proceeded in 1995 to
replace all such unreliable alarm systems with currerrt technology of radio telemetry SCADA
System City wide. Unfortunately, we were approximately 4- 5 weeks away from completing
the conversion of the alarm system at this location when the second power outage/alarm
failure occuned.
CORRECTNE ACTION
The Public Works Department has contracted with an Electricai Engineer to review the
eiectricai controls and alarm system to identify any interim measures that can be taken to
increase reliability. The Public Works Department wiil also be accelerating its efforts to
complete the conversion to the new fail-safe alarm system. During the irrterim, the City will
be inspecting the facility three times per week testing all conVols and alarm systems helping
to insure reliability.
The City's insurance agent, League of Minnesota City's insurance Trust "LMCIT' has
already been in coritact with all of the known affected home owners helping to process any
claims they may have. Of the seven homes owners, two of them have indicated the back-up
did not result in any damage requiring on-site inspection by the insuranca agent.
COMMUNICATIONS
In addition to numerous phone calls and personai visits with affected property owners,
attached is a letter being sent to affected property owners.
As significant additional information becomes available, i wiil forvvard it to your attention.
Please let me know if you wouid like any further action.
Respecifully submitted.
r p
Director of Public Works
TAC/cb
cc: Eugene VanOverbeke, Director of Fnance/Risk Manager
Wayne Schwanz, Superintendent of Utilities
Attachment: Letter dated May 2, 1996
List of Affected Property Owners
Location map
OL.v OC1 ?JG
95 1,1: Q8 EAIaPF! MTCc F•+C - r:i T'r' H4;LL-DPi5TP5
111b?lcitV oF eagan
N0.9% PG]01^_
iHOMASEGAN
Mayor
V[AY Z, 1996
PATRiCW AWAOA
SHAWN MUNTER
SANpqA A. MASIN
iHEODORE WACHTER
CouncY MamOOrt
THOMAS NECGES
Ciry Atlminisbatar
Nea1VSE E. J. VAN OvER9EKE
ADDRESS cirv ao(k
CITY, STA?E ZIP
RE: FAILURE OF THE COUNTRY HOLLOW SAIYITARY LIFT STATION
ON TUESDAY, APRIL 30, 1996
Deaz Name:
It is my understanding rhat your house was involved in flooding from the backup of the ciry
sanitary sewer system on April 30, 1996. The cause of the backup was a failure of the City of
Eagan's sanitary lift station which incurred a power failure thus preventing the sewage pumps co
functioa properly. In itself, such a power failure would not cause a sewer backup as the ciry has
portable genemtors and pumps to maintain continuous sewer service. Unfortunately, the backup
resulted from a failure in the alazm system wivch notifies the City's maintenance division of a
problem allowing ic to respond with correcrive action onor to any of the homes being impacted-
Upon receiving the alarrre at 8:1 % a.m., on April 30th. 1996 the Utiliry Division dispatched two
employees to ihe scene and they arrived oa sire within 10 minutes ot being notified of a flooding
problem of one of the homes in the area. They immediately requested a backup generacor to be
broueht in which was done wi[hin an addicional 15 minutes. At the same time Dakota Elecaic
was notified that a possible power failure may be resulting in the transformer which controls the
sanitary lift stanon. Dakota Electric dispa[chnd a eruck which arrived within 40 minutes of the
initial call. 7he zmergency crew connected the generator to the elecriical bypass of the sanitary
lift station and tha pumps were operaring within minutes. It took approximauly 20 minutes to
pump the system down to con[rol any flooding that may have been taken place. Unioctwiateiy
approximately seven homes in the area had experienced a sewer back up to some degree. Ihe
entire situation was conected and the stadon was back un line operating proQerly by 10:13 a.m.
On I'vSav i, 1996 the Utiliry Division contracted with Jensen Electric Company co inspect and test
the control panel at the sanitary lifr stauon. As a result of their inspection, no probiem was
discovered within the conrrol panel, suggesting possibly what may have happened was a power
spike being created within the power lines which may have damaged a fuse. Although a fuse
was tocaced which showed that ic may have been exposed to exccssive powzr, it was still
operable. The Utility Division also traced and verified the operation of the current atarm system
which has zxisted at the sration. Further investigaUOn will continue to determine what caused the
MUNICIPAL CENiFR Me1NTENANCF FAGIIN
78JOYitOT KNOB ROao iHE ICME OaK TREE iQINf
COACHMAN
35?i
EAGAN, MiNNESOIA SSI$y IB9? THE SYM90l OP 51RENGTH ANO GROwTH iN OUR COMMUNRV 1"
NNESOTA 55
_.
AN N,
EAG
GMONE (612)681 a600 PMQryE' ?012)0914700
FdX.(61"a)cdt-90R EQuCIOppCOUmty/AIflimollveAC110nEmployer .A%'.(6I27e61.a350
fD0 (612)454.tl5d5 100 :0 12745a.8535
51? 031 -1700
05?J?- 95 1a:,78 E?GaN MTCE -4_ - ,(r, .tiqLL-DhiSTP.S N0. 995 F902,0c:
On lune 20, 1994 Uus lift stadon experienced a similaz problem due to loss of power from
Dakota Elecaic. ARer reviewing this incident the Division investigated altematives in system
conaol and monitaring Failure alarms which lead to the development of our cuzrent SCADA
(Supervisory Control and Daca Acquisition) system which is utilized at our Water Treatment
Plancs.
In 1995, the ciry initiated an aggressive program of replacing controls and alarms in our entire
system with tfie most current technology available which has built in redundance of a failsafe
mechanism. Unfortunately we were approacimately five weeks away &om completing the
conversion to the new alarm system when the receni pump and alarm failure and sewer backup
oceurred. The city wi]j make every effort to further accelerate the completion of this atazm
conversion and liope to comQlete the installauon and testing within two to three weeks. We feel
confident that once this new alazm system is activated there should be no fiuiher concerns of
similar situations occvrring in the fiuure.
In the meantime, the Utility Division has taken further steps to monitor the operation of the lift
station. The curtent alarm system will be tested three times weelcly and verified as to the status
of iu operarion. Also, we will be adding a light to be installed at the station which will activate
during a high sewage level situation. This light will provide a visible alarm that a problem with
the staiion is occurring and therefore allowing the ciry to be notified by residenis whenever the
light is observed to be on.
We sincerely apologize for the inconveaience you have experienced and want to assure you that
the City of Eagan is committed ta providing a safe, dependable and uouble free sanitary sewer
system to meet all of your expectations. As the work progresses with the new alazm system, I
will notify you as to the progress and compleuon date of that project.
Tf you have incurred any damages the Ciry's insurance company will work with your
homeownezs insurance company to process any claims and reimbursement paymenu. Tf yau
have any quesrions regarding processing your claim, please contact the ciry's insurance agent,
ivts. Dariene Boise at 215-4,077.
Sinc.rely,
Wayne 5chwanz
Superintendent ofUti]ities
WS/nab
N716itountry.126
t
COUNTRY HOLLOW SEWER BACK-UP
Residents Affected (Known as of 5-1-96 3:00 P.M.)
PROPERTY OWNER APRIL 1996 JUNE 1994
1. Jess Stacy ? ?
4179 Prairie Ridge Road
686-0770
2. Joe & IGtry Robertson ? ?
4179 Countryside Drive
683-0930
3. Ted Peters ?
4175 Countryside Drive
687-9267
4. Roger Dean Nelson ?
4177 Countryside Drive
686-0049
5. Don Dickerson ? ?
4175 Prairie Ridge Road
456-0744
6. Tom Bland ?
4154 Lantern Lane
683-9674
7. Mike Smith ?
4181 Countryside Drive
452-6357
8. John Willems ?
611 Autumn Oaks Court
454-0037
9. Joe Giacomini ?
4180 Prairie Ridge Road
683-0787
I - !
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----------------
T- =?---------- L? Y_ ?_ ??%; /?•.?
-' '---"- --------- - ' - - iT
? ¦ = APRiL '96'
. _ .._,._ .,,.., SEWER 13ACKUP
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan /') .4;j
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comptete for: single family dwellings & townhomeslcondos when permits aze required for each unit
Date Y l 6_ l D?
Site Address lci/ Unit #
Property Owner ,/e 9
TelePhone #( wt/ ) Y-S
?
t- S??S'7
Contractor
-4
?
Street Address _„?__?? itY
??..n?tte/ ^
State _h)A) Zip ssia,1-- Telephone #( 6S7
Bond #:
TC? Expires: cxa
The Applicant is Owner V C ontractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
New
t
l
1/
furnace Additional _
acemen
Rep
air exchanger
? air conditioner nE ?? 0 ? D
heat pump
APR 1 0 ?(l
.fi
other
$ .50
S[ate Surcharge
$ 3o so
Total
1 hereby appty for a Residentia] Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be io conFormance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the
ap Rroved plan in the case of work which requires a review and approval of p?
Ko6t"'P fA/9?2 ? ?•
Applicant's Printed Name Applicant s`Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 611 Autumn Oaks Ct
Lot: 15 Block: 3 Addition: Country Hollow
PID:10- 18275- 150 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA085561
08/25/2008
ePermit
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Andrew C Madigan
611 Autumn Oaks Ct
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 611 Autumn Oaks Ct
Lot: 15 Block: 3 Addition: Country Hollow
PID:10- 18275- 150 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Andrew C Madigan
611 Autumn Oaks Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
Building
EA090445
08/03/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 611 Autumn Oaks Ct
Lot: 15 Block: 3 Addition: Country Hollow
PID:10- 18275- 150 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Softener
New
Water Softener
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Total:
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Andrew C Madigan
611 Autumn Oaks Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$50.00 0801.4087
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Plumbing
EA091842
10/30/2009
ePermit
Line Size
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JAN-I_�5-2015 MON 10�32 AM J@D BU I LDEP,S FAX No. 651 646 2634 P• 001
Use BLUE or BLACK Ink
i For Offlce UB � ^ i
� j Permit#: �v� I
C�ty af �a�an ; . ^�,� ;
Permit Fea: �o�
3830 Pllot Knob Road � f �` � �
�agan MN 55122 - � Date Received: ;' ' > �� �
Phone:(651)675�675 � �
Fdx:(B51)675-5694 I Staff: � �
'-----�-----------kX y�^5�
2013 RESIDENTIAL RUILDING PERMIT APPLICATION �s� ��
611 Autumn Oaks Court ��$ �1
Date: �-5,�4 Site Address: Unit#•
���
� ,,' � Name: And Mad'I an whone: 651-452-5357
rI •
� ` Ada�ess�c�ry�z�p: 61'� Autumn Oaks Court Eagan MN 55123
� Applicent Is: Owner �Contractor
� oes�r�pt�on of Wo�k: Bathroom Remodei � see attached M��`h �'�a� '�
ti � � ,
�� ;. Construction Cost: � D40 � Multi-Family Building:(Yes I No�
* 0� �N 1
�' Company; J & D Builders conta�c:�e Urbanski
' „ , n d Address: 1477 S21by Ave _ _c��: St Paul
. , .. • . stete: MN z�p: 551�4 phone: 651-699-6863
`,'�a r'� �, : ucense#; BC003226 Lead Certificate#: NAT-26095-1
If the project is exempt from lead certificatlon, please explaln why: (see Page 3 for additional information)
��
� COMpLETE THIS AREA ONLY IF CONSTRUCTING A N�W BUILDING
In the(ast 12 months,has the Clty of Eagan Issued a permit for a slmilar plan based on a master plan?
_Yes�No If yes,data and address of master pl�n:
Llcensted Plumber: Phone:
Mechanical Contractor. Phone:
8ewer 8 Water Contractor: Phone: '
; '» � �M ' � ' p l��'A',�,��!, eh4f o't�rat�,Yau s'lll�'�.`,si��a���o`'`�I�►e'i�e' t, ���Np �SU,�,..,+jjfti7iiY�ISt�i' ,. ,,,. �,r,
A ���'ia"I ti � �t,�i �. � ��l � � n'�►'���l1��i�^�k �'�1''�����'�l�l ; a�"r �� "i�; �^ ..� ,��
��i�r2j; 1�1,�','�11�l�'� ., � °' � i� �v '1 ' 'a+N�' 'I,�i��� 'e� 1 � 4 N/ �W � G T;
��P„a:; ,,,���, �J�,�1� ,.� ,• ti'}�� �. �;�i �` I' ���1 ��'�a�: s��..�'����t�s� aia�9l`�w. ",,�,��.�� N4a F M�;� , a '�.
Y.• � d@,S� /' '' ��
.�... �d.
CALL BEFORE YOU DIG, Call Gopher State One Call at(6S1)45M1-0002 for protection Hgainat underground utllity damage. Call 48 hours
before y0u intend fo dlg to receive locates of underground utllities. vuww.ao�herstateonecall.o� •
I hereby acknowledge thet this informatlon is complete and accurate;that the work will be in conformance with the ordlnqnCee and codes of the City of
Eagan; that I understand thls Is not a permlt, but only an applicatlon for a permit, and work 15 not to start wlth0uf a permlt; thet the work wlll be in
accordance wlth the approved plan In the case of work which requires�review and epproval of plans.
EXterior work autborized by a bulldln�permlt Issued in accordance with the Mlnnesota 5tate Build'ng C de must e c mpleted wtthln 180
days of permlt lasuance,
� ���. �
x � Dc� lC,� "
Applicant's Printed Name , App an 's Slgnature
Page 1 oF 3
JAN-�5-2015 P�ON 10� 32 AM J@D BUILDEPS FAX No. 651 646 2634 P� 002
R DO NOT WRIT� BELOW THIS LINE ��
j/ �
SUB TYP�S ( � �v�n CD�l�-S C�
Foundatlon _ Fireplace _ Porch(3-Season) _ Storm Damage
� Single Family _ Garage ` Porch(4-S�ason) _, ExteriorAlteration(Single Family)
_ Multt T Deck � Porch(ScreenlCazebolPergola) _ ExteriorAlteratlon(Multi)
_ 01 of^Plex _ Lower Leval � Pool _ Miscellaneous
_ Accessory 8ullding
WORK TYPES Wl�'�"� ����"� b��� r����
_ N� _ Interior ImprovemenE _ Siding T Demolieh Bullding'
Addltlon _ Move Building ` Reroof _ Demolish Interior
� Alteration _ Flre Repair � Windows _ Damolish Foundation
_ Replace _ Repal� ` Egress Wi�dow T Water Damage
_ Retaining Wall "bemolltlon of entlre bullding-glve PCA handout to appllcant
DESGRIPTION �
Valuatlon ���OU - Occupancy �(L� � IVICES System
Plan Review `� Code Edition �MS(�(� SAC Units
(25%_100% 1�) Zoning J ',� City Water
Census Code Storles Booster Pump
�!of Units Squate Feet PRV
t�of Buildings Length Fire 5prinklers
Type of Constructlon� Wldth
REQUIRED INSPEC710N5
Footings (New Building) Meter Size:
Footings (Deck) �inal I C.O. Requlred
Footings(Addltlon) � �inal/No C.O. Required
Foundatlon HVAC,�Gas Service 7est Gas Line Air Test
Draln Tlle Other.
Roof:_Ice&Water �Final Pool:`Footings _Air/Gas Tests ^Final
� Framing Siding:_StuCCo Lath _Stone l.ath �Brick
Flreplace:_Rough In Alr Test �Final Windows
� Insulation Retaining Wall:_Footings_Backfill�,Final
Sheathing Radon Control
Sheetrock Erosion Control
Roviewed By: ,Building Inspector
RESIDENTIAL FEES
Base Fee ` �
Surcharge � � � `. � � � ?'� � ���
Plan Review
MCES SAC � �� � r�C �L�/K
V �
Clty SAC /
./
Utlllty Connection Charge �t�(� �
lJ
S&W Parmlt&Surcharge ��
Treatment Plant
Copies� . ,
TOTAL
. Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129523
Date Issued:02/18/2015
Permit Category:ePermit
Site Address: 611 Autumn Oaks Ct
Lot:15 Block: 3 Addition: Country Hollow
PID:10-18275-03-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:Shower, Lavatory Sink, Toilet
Applicant: Mike Rohrer
1272 South Point Douglas Road
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Andrew C Madigan
611 Autumn Oaks Ct
Eagan MN 55123
(651) 452-5357
Bruce Nelson Plumbing & Heating
1272 South Pointe Douglas Rd
St Paul MN 55119
(651) 738-9354
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
. r________________�
I For Office Use �
� I
• � Permit#: �����'�C
Clty of ��D�� ; . _ �
b Permit Fee: �
3830 Pilot Knob Road � i
Eagan MN 55122 � Date Received: �
I �
Phone: (651) 675-5675 � Staff:
Fax: (651) 675-5694 �___________ I
------�
2015 RESIDENTIAL PLU BING PERMIT APPLICATION
�
Date: ���C�`-'� . Site�Address: ��. - S �� �� ;
Tenant: Suite#:
�� �.r���`�
��.
�2QS�d�t ' ��i/t'1�C =' Name: �` ' - Phone:� ��1 � ��1 � '""'��1�'`�
�� � , r
�� n����' � �ti Address/City/Zip: �I� ��, �� S �
��
� � � \ `� -1
�: � �� Name: � .��e �s �� �-v— `� : � License#: T � (v-� � � 'T
��v ` �������" .
�_ (
��� Address: i �C,� � �\ � �
�� �����rac��� F�-�.� K„„J�-� .�-ti. City: � ��
�� �}� ��� > x: State: �-'1'�' Zi . ����� Phone: � � � � J. �� S'_ 3G���
� � � p
� �� <; Contac��--,\ � �� \ ' � \
wn._ -�EmaiL• <.=.���' c.----�J�tve �-t c. � �C c:�--c
w ��� �
��3��Df�111�1'k, —New _Replacement Repair _Rebuild _Modify Space _Work in R.O.W.
��� £ . ��-- � �
���" „�� i: ; Description of work: � H- �� w �-`-�^ � "- 6-\-a-.,
�mTM
�����' °�: RE�ENTIAL
� 3
� ���. ��� � .:�: � Water Heater
�� � � Water Softener
�� �..� ��� �� Lawn Irrigation(_RPZ/_PVB)
erm��';��p�� _
Se tic S stem Add Plumbing Fixtures�Main/ Lower Level)
� ����� P� Y
��"� New Water Turnaround
: �_��� . —
� �
��,. ,.�� � � �` Abandonment
�.: �
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment, Water Turnaround*(includes State Surcharge)
''Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic Svstem New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will e 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 w is not to start without a permit; that the work will be in
ac nce with the approved, lan in the case of work which requires a review and approval of p . ----� ^
---
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Applicant's Printed Name ApplicanYs Signature ""�
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fOR O���E�� ���� � � ���vie�E� . ���:„ �� .�� � ,. �t�:
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. �
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41151'' City
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
06/22/2016 611 Autumn Oaks Ct
Date: Site Address:
Unit #:
Resident!
Owner
Type of Work
Andy Maddigan
Name: Phone:
611 Autumn Oaks Ct
Address 1 City / Zip:
Applicant is: Owner ✓ Contractor
Description of work:
Existing finished basement facelift
$5000
Construction Cost: Multi -Family Building: (Yes / No )
Contractor
South Metro Custom Remodeling Inc Adam P Warpeha
Company: Contact:
Shakopee
1813 Wyndam Dr
Address: City:
MN 55379 612-916-691E awarpeha@msn.com
State: Zip: Phone: Email:
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
House wastuilt after 1976
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 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 CaII 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.gopherstateonecail.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin• Code st be co '• • eted within 180
days of permit issuance.
Adam P Warpeha
x
Applicant's Printed Name
nt's Signature
Pana 1 of 3
VV 1111V 1 ••1\11 L VLLV •• 1111V 1.111
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
fit\ 010„• rk c. � T 1'Z1
Porch (3 -Season) Exterior Alteration (Single Family)
— Porch (4 -Season) _ Exterior Alteration (Multi)
_ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool _ Accessory Building
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation / 0(9 0 Occupancy
Plan Review ! Code Edition
(25% 100% Y) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction ,/jg Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
— Egress Window
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: ` Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
SU
Pane. 7(IfR
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164710
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 611 Autumn Oaks Ct
Lot:15 Block: 3 Addition: Country Hollow
PID:10-18275-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Andrew C & Jessica E Madigan
611 Autumn Oaks Ct
Saint Paul MN 55123--162
(651) 492-4914
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168732
Date Issued:04/30/2021
Permit Category:ePermit
Site Address: 611 Autumn Oaks Ct
Lot:15 Block: 3 Addition: Country Hollow
PID:10-18275-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Andrew C & Jessica E Madigan
611 Autumn Oaks Ct
Saint Paul MN 55123--162
(651) 492-4914
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature