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4454 Ches Mar CirCITY OF EAGAN WATER SERVICE PERMIT 3795 Piot Knob Rood PERMIT Np.: Eupon, MN 55122 DATE: Zoning: No. of Units: Owner: - ^ Address: Site Address: - Plumber: ? Meter No.: _ Connection Chorge: Size: _ Account Deposit: Reader No.: Permit Fee: ? ogree to eomplr wifh fhe Citp of Engan Surcharge: Ordinances. Misc. Chorges: Totol: BY - Dote Poid: Dote of Insp.: InsD.: CITY OF EAGAN . SEWER SERVICE PERMIT 3745 Ritot Knob Rood ' PERMIT NO.: Eagon, MN 55122 DATE: - Zoning: No. of Units: OWnef: Address: $ItE Address: MC,S-S X - ? X^1 r, ? Plumber: -- I agree M wmply with rhe City of Eagan Ordinanaes. 1 '.O, n,f .; . Connection Charge: •?r „ Acwunt Deposit: Permlt Fee: "') Surcharge: Misc. Charges: Totol: Dote Paid: R., Dote of Insp.: I nso.: CtTY OF EAGAN 3795 Pilot Knob Road Eogen, MN 55122 PHON E: 454-8100 BUILDING PERMIT Site Address 44j4 ':hcs ..:r. _ Erect ? I Occupancy Lot Block Sec/Sub. % q r?tt' t) Alter ? Zoning _ Parcel $k Repair ? Fire Zone _ Enlarge ? Typa of Const. v ? Nume JOhA Wit?ter % Move ? # $tories Z 1390 Lppf, ? r 1?i I 4:' Address Yy Demolish r ? f/ Front ?? ft. 8 .-. ! r)"PMn:11-1t - --- -..-•---- -?.--_? Grade I-l Death 56 ft. ?o Name ?.mun?Pe?lprann_ isir? OU Address ;%4x 235 H r:... :',IiBgtOZI e?_-- 463•4555 Name _ Address I hereby ocknowledge thot I have read this applicotion ond state that the information is correct ond agree to comply with a!I appiicoble State of Minnesota Statutes and City of Eagan Ord:nances. Signature of Permittee A Building Permit is issued to: all work shall be done in occordonce Building Officiol Receipt # '"ar. 24, QntP Assessment Permit Z Z 3oQ« - Woter & Sew. Surcharge ? Z• r 3 Police Plan check Fire SAC ' Eng. Water Conn. Plonner Water Meter Council Bldg. Off. APC Total 899.50 on the express condition that Minnesoto Statutes ond Ciry of Eagon Ordinonc°s. N2 4241 Faewk #k OeN Inwd PawNlw PI umbing --Methonical INSPECTIONS DATE IN$p. Rouph-In F{nai Footings ? J Date Inap. Oate Irup. _Foundotion _ Plumbing . 7 Frome/ins. ,? . Mechaniwl Finui ?=Rc ) I Remarks: ? CITY OF EAGAN , 3795 Pilot Knob Road • ' Eagon, Minnesote 55122 ?Phone: 454-8100 - PERAAIT No. ?'?'? Dote: ril 13, 1977 Receipt No.: 0 5-- 44 I Single '=45'1 irC1F'. Residentiol ` Site Address: - ' ? Ches ?,ar : I Lot - Block Sub/Sec. Multi Res., Comm./Ind. Nome . New/Alter./Repoir ? 3 Address Cost of (nstallation O ;i? City Phone: Permit Fee 2t? .' _ `"enz-F.yan Plumbing & !:Patinr 1'nc. 50 ` Name - Surchorge g Address 14745 So. I3ohertTrail e 0 V :•GSL':..tiUr?t cc!!f?'; '?O S City _ Phone: Total This Permit is issued on the express condition that all work shall be done in occordance with all applicoble 5tote of Minnesota Statutes and City of Eagan Ordinances. -? ? Building Official ` - CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesoto 55122 ' Phone: 454-8100 F _ PERMIT Dcte: p•pril 13, 1977 Site Address: 4454 Ches Mar Cizcle Lot 1 Block ` Sub/Sec. CheS t:ar T '? '14 No. Receipt No.: 0564 Single Residential Multi Res., Comm./Ind. I Nome '?r'?u?? :c?e.rsor? Irc. new New/Alter. / Repai r . 0 ; Address Cost of instollation O City Phone: Permit Fee 2 "). On ` Name Gnnz-Ryan Plumbing & Heatirig Surcharge .50 ? Address ? `1745 So. Fobert Trail e a V 20. 5n City Phone: Totol This Permit is issued on the express condition thot oll work shall be done in accordence with oll applicable State of Minnesota Statutes ond City of Eagan Ordinances. :' I?i.C;? Building Official • CITY OF EAGAN Remarks Additian CHES MAR lst ADDITION Lot 1 sIk ow??C 4454 Ghes Mar Circle I Street % Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. ' GRADING SAN SEW TRUNK 9Ll 7. * SEWER LATERAL ¢O _ ?r WATERMAIN * WATER LATERAL I977 * WATER AREA 1977 * STORM SEW TRK 1977 * STORM SEW LAT 1977 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac 475.00 #05508 3-24-77 PARK I] CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I r Flt ., MACi 1: i PERMIT SUBTYPE: Date tau i I D I afa TYPE: t filt:i, l APPLICANT: ? I :?;?• : ? .i? . 1 ? • 1 .' ) ?1 ; ! ? k' ?3 ; 4? TYPE OF r i Nni ? I_ ?- ? ? Permk No. PermN Holde[ Data Telephone N ELECTRIC PLUMBING HVAC Inspocdon Dste Inap. Comments FOOTiN(3S FOUNO FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL CiYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG 23 S v DECKFINAL ?a??? ? ? G ?9284 • l?•- °`` Request Date Flre No. E?11gllSt 9 1990 u ?-in Inspection Repuiretl? 7[ LXReetlyNOw ? W^Wiff n Notify Read 4?or , ? Ves CNo e y IFN licensed contractor ? owner hereby request inspection of above electrical work at: Job Atlaress (Sireet. Box or Route No.) Ciry mq 4454 Ches e Circle Eagan Section No. Township Name or No. Range No. Counry . Dakota Occupenl(PRINT) Phone Na. Marvel Winter 452-5769 Pawer SuDOlier qtltlress DEA Faxmington Elecv¢al ConVaclor (Company Name) Gon[raclorS License No. Corri an Electric Company 039549 8 Mailing AdOress (ConVaot9r oe Owner Making Installationj .0. BOx 475 Rosemount MN 55068 Autno zetl ignature (ConlraciotlOwner aking Installation) PFOne Number i? ? r 423-1131 MINNESOTA STATE BOA , OP EIECTRICITY THIS INSPECTION REDUEST WILL NOT Grigga-MlOway Bltlg. - Raam 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Onlverslty Ave., SR PauL MN 551pC UNLESS PROPEF INSPECTION FEE IS Phone(61Y)69R-0800 ENCLOSED. m 8'G?/pO REQUEST FOR ELECTRICAL INSPECTION ee-ooom-/ ,1? ? Sea lnstmIXlana for completinpp ihis lorm an beck af yellow aopy. ??1 90yJf ' ??. ? 2928/? ?} X" 8elow Work Covered by This Requesf ` r ew Add Aep. ' TypeofBUiltling ApplianceSWiretl EquipmentWired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) F omm./Industrial Fumace arm Air Conditioner Otherlspecily) Coniractor's RemarYS: Compute Inspection Fee Below: Replaced old panel # Other Fee # ServiceEntranceSize Fee # CircuitslPeetlers Fee Swimming Pool 1 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 0 Amps Signs lnspecmr§ Use only. TOTAL Irrigation Booms ? 15.50 Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT O[her Fee ?'j COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, here6y certity that the above inspection has been made. i t 1-7 021- Finai Dale l %U`-Qf7 . 9FFICE USE ONIY st void 18 months irom ?e .. i Gr RESIDENTIAL BUII.DING Permit Application City Of Eagan T0ag ZS 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConshucGon Requiremenis RemodellReoair Reauirements OHice Use Onlv 3 registered site surveys showing sq. ft. of bt, sq. R of house; and all roofed areas 2 copies of plan CeA of Suney Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree P2s Plan Real 2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey tor addifions & decks Tree Pres Nol Reqd 1 set of Energy Calculations Adddion - indicate if on-sde sepfic syskm _ Onsite Septic System 3 copies of Tree Preservation Plan'rf bt platted after 711193 Rim Joisl Detail Options seledion sheet (bldgs with 3 or less uniGs Date `7 / _ I . _, ? / U3 1 a Constructiun Cost .. ' Site Addrese Description of Work Multi-Family Bldg _ Y ?N Fireplace(s) `? 0 _ 1 _ 2 UniUSte # I Property Owner_D) Telephone #(fy`?J' 1) (a88 r`LGt La-2) Contrac nNEWAL BY ANDERSON Add 1920 COUNTY RD. "C" WEST Stat ROSEVILLE, MN 55113 651-264-4777 LIC # 20130983 City _ Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheat (J submission type) Submitted • Energy Envelope Calculations Su6mitted Licensed Piumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( Telephone #( Telephone #( SE.P 2 f> 2003 I hereby apply for a Residential Building Permit and aclrnowledge that the inform iion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ?llj?Eagan and.the?S_taY?4f NIN Statutes; I understand this is not a permit, but only an application for a permit, and rvork is not to start without a pertnit; that the wark will be in accordance with the approved plan in the case of work which requires a review and apprpval of plans. I ? ApplicanYs Frinted Narne )5,pplicanYs Signahxre vv/vai6vvy 11iV 1L.JV • ` rna r od o t 1?t460 KC1YtSItkL ?Y° BCIUnt47tS1V re al .. .? . rune'7, a.oa] of Bagim . 3836 Pilot Knob Road . EaBan, MN 55222 ' To WFiom It May Goncern: Elder Jones is aut.hoxir,r,d tA pqn bniIding pemilts for Rer?owal by Andeisen. Picasc x1Iow .Hider Joncs to ptovide this Scrvicc far tie in Eagan, IItia and?ocI2etion is vstid for sny datc boyond 616101; wntiI aj;'onawa! by Andarsen mana?er ocP?asly ravakes tt in wii?3ng W the City- our buddiag P???aonbe acccpted-axpe?donsly, ac to uot de[ey in du g?ccssi„tg of wntacted Y ?. rthcr. Plcasc caII mc if thcro au+c ntty qnesttone.. I can bc at 763-SU2-47U6. Your immqdiatc attcntion to tI.s mat2cr is Sinoaiely, and R &Rm ostaltatzon Managcr Ranowal by Andarscn CoiPoration C:c.: Karn-F.Idx 7nne.c . li - T?.?t7r?j . ?°as`anEqpyyo.m?wm wVu Received Ti'me Jun. ). I:OlP}d RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN q 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConstructlon Reauiremenls • 3 registered site surveys showirg sq. ft. of lol, sq. R. of house; and all rooteC areas (20% mazimum lot coverage allpwed) • 2 copies of plan showing beam 8 window sizes; poured faund design, etc.) • i sel of Eneyy Calculatlons • 3 copies of Tree Preservation Plan if lol platled after 717193 • Rim Joist Detail 0 ons seledion sheet (bldgs with 3 or less units) DATE SITE ADDRESS TYPE OF WORK APPLICANT FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS CITY STATE ZIP TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ 34INNESO'C:\ RULf:S 7670 CATtiGORY I (J submission rype) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: Mectiviical sys[em includes: Sewer/Water Contractor: MULTI-FAMILY BLDG _ Y _ N Phone # Phone # Pcc: $70.00 -------------------------------------------------------------------------------------°----------------------.....------° I hereby acknowledge that I have read this application, state ihat the infor ation is correct, and agree to comply with all applicable State of Minnesoto Statutes and City of Eagan Or i ces. Signafure of Applicanf OFFICE USE ONLY _ Water Sottener _ Water Hea[er No. of Ba1hs _ Phone # L.awn Sprinkler No. of R.I. Baths Air Cociditioning Heat Rccovcry Systcm RemodeVReoairReauirements ? . 2 coPies of plan I?. • 1 set of Eneryy CalculaUons for heated addifions • isitesurveyforextenoradditions&tlecks • Indicate if home served by septic syslem for additions o VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Upda[ed 4102 P'ee: $90.00 cirv oF EAcaN 3795 PiIM Kno6 Raad Eagan, MN 35722 N° 4241 PHONE: 454-8700 3 U? BUILDING?ERMIT APPLICATION $43,000 ReceiPt # ---- 19 To be uwd fo. Sing, Fam Dwlg, d Garg, Dare Mar, 24, 77 Site Address 4454 Ches Mar CI. Erect [Yj Occupancy i Lot1 Block_2 Sec/Sub. fhac Mar_T Alter ? Zoning R 1 Porcel # _ Repoir ? Fire Zone Enlarge ? Type of Const. V w Name John W1ntEI Move ? # Stories 3 Address 3390 Upper 147th St. W. Demolish ? Front 54 ft. ? Citv Rosemount phone 423-3388 G.ade ? DePrh 56 fr. p Name 07m,,.,_nede*son.? Inc, Approvols Feea ?U Address BOX 235 ? ,.;,,FarminRton o?„__ 463-4555 Name _ Address I hereby acknowledge that I have read this opplication ond stote that the information is correct and agree to comply with oll opplicable Stote of Minnesota Statut an Eity f Eagon Ordinances. Signature of Permittee ?? A Building Permit is issue tm Oz - all work shall be done c<ordance ith al oDD1iEebkSfate of.Mir Assessment _ Water & Sew. Police - Fire Eng. Planner _ Council - Bldg. Off. _ APC Permit 1LJ.VV _ Surcherge 21.50 Plan check SAC 475.00 Woter Conn. 220,00 Water Meter 60.00 Torai 899.50 on the express condition that Statures and City af Eagon Ordinances. Building Official ^ • ' nws?:?G?!,?1?G.? ??? BUTTDZM PERAIIT e9PL?CATI.?_'d 5 T WT_?_,_ s,rCTr _?? rDDr.1e?7 G Ff? ?1 _---•-- Y:1RCt':.L & SE.^..^SCi7 Sa:iI'_BrR 1^ iTi77^,.Ai'TED - - - .--- r,on;.aFSu c.? ,Mzcr.?, ? f'/S? ('?? %f..?:?C1J• ---- _.__. 7p-- A I OCC7rPSvCY ? -"' US? ?-? L 2:D?v'i !G ?' --- --- ,?., B5`!'Ii40i.:? C:CST CON-1i±:Ci'OR 42 TELEPHONi. T10. anD14433 _?_l? Ixiclu&? o;.te plan, buiJ.lin3 plans, and energy calculatio::s u'nttl: ihzs z_r.pla.c :i;1on ?7f•?d g, OFE'ICE USE VALUAa'IO?d 4V? 6) ? .e ? SAC -?-- S'.7s:.lL't CO:dLVS?.'TIgf) N73TER MF.TER I'?TJiI,DTNG FPsW::'.C PiS SJi:C:'??G3 P3F PIA:T Cl.? CSZ F= PAE2;C Di,DS(?'1'iSC:.d FEE C?7'i..R A'I ??. - ?D TO`3't1Lk W(/ IlC / A^uSES&:BriT CLSFSC BUILDIi4G DEFT,3 99 77 POIJRMDM?EW c /?rr-77 T.:J'1!•."P-•R & EL'FmA DEP`i. FI2L DrPT. PI1TtR DFs?'T . ? W ?1 a?0 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 ? ? r\ Date: Description of Work: Construct new fireplace Gas Masonry Altera6ons to existing ? Install gas insert onlv _ Install gas /ine onlv _ Other Job address: _ ?'-l S y CYl (? `? ? 1^ C 1 r• Lot: Block: ? S bdi i i D # /P I ?Q S M a C r u v s . : on . . , i I- Applicant (circle one only): Owner Contractor Perniit Fee: $60.50 1Vame: /? Phone #: _ A-O (1? 23 PROPERTY Last First OWNER S?eet Ad dress C l' Vl p City E a State: ? Zip: -S? Company: PLrpCUV'nAr /?'JI?CIX C??d1Q1? Phone#: T (area code) FIREPLACE ? INSTALLER Street Address: City GAS LINIE INSTALLER Street CiTy Y7 [,?.?}/lS ? ? ? ? State: Zip: s5_ 33 Phone #: (area code) o- State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to ? comply with all applicable State of Minnesota Statutes anCity o 11 f E^gan Ordina?ces.n ? ? I 2 1999 ??-f-_-__ i? NAME ??_ ' CITY OF EF.GAN FEE ADDRr, PERMIT !1 P P L I C A T I ON DATEPAID TELE. N.,.U? ,.: Wgst (Submit in Triplicate) RECEIFT NO.?? ?W:319""Int. M06 covivz? oF DAxura ) s9• I/We, the undersigned, being first duly sworn, hereby make the following apolication to the City Council and Planning Commission of the City of Fagan, Dakota Countyg Minneaota: Z. Application is hereby made for: (Check appropriate item(s) Trailer Building Permit Kennel Perrr.it Reconing Conditional Use Permit Ekcavating Permit Plat Approval Waiver of Platting Other (describe) imder Ordinance No. 2 Under Ordinance No. 3 under Ordinanee No. 5 under Ordinanoe No. 52 under Ordinance No. 52 under Ordinance No. 8 under Ordinance No. 10 2. .:;pplica-tn have the reapcnoiBility of checkind _11 applicahle ordinanoes per#:ining to their applieation and eecplying with all erdicanee rec,t.ire- r..nnta. 3. Legal description o£ land to be a.ffected by application including acrea.ge or square footage o£ land involved, and street address, if any: Chosmar Firet Addition. City of Eagan, Dakota Coualp Lot Y. Block 21, Lot dimeaeioa; 125x132, 16.504 eq, ft. 4. Propoaed name of plat: 5. The present zoning of the above described property is: 6. Zoning classification desired: eiagle houee dcslling 7. The name and addresa of the present owner of the above described laxid: B.H?spiamae acgft b1"mow"Rf I@ t?jaM#djT?MElit'qMR y9.J& NWr li?sAak$e Mple.55426 of permit applied for, if granted, is 6 ." The nature of the improvement is: 400 oe(i 9. If proposed improvements corisist of buildings or structures, specify in detail: Dimensions: sp x,? Number of stories: ?A etoly wlth bA98m?IIt Type of construction: ?ble with arglkOUk beeea?eat Occupancy or type of businessfeiogle family dwelliag 10. All real estate taxes on the above described property have been paid thrcugh the year_+,,,__except: • 11. The method o£ financing the above improvements will be:COnveAtloASl moztg8g0 12. Persons, firms, corporations, or other than applioant and present owner who may or will be interested in the above described land or proposed improve- ments witliin ene year after issuance Pf permit applicd for? if granted, are: 13. Attached to this appiecation and made a part hereof are: Plat Plans and specifioations ? Pl9t Plan Photographs x Sketoh of improvement laywt Other, (Describe): Dated Subtcribed and sworn to before me this day of 777"-?- ?? Notar Public ?-- Applicant Owner Approved Di3apFsoved: Planniug Commission (/ App^oved Disapnraved: City C0117keil Ap.rovad DisapprPVed: City Cotu:cil L' Aprroved Disapprmvevl: E*and of Appeals DATE /-id'--7 7 uaiutizu'li inu az:au rAA 104 oei 4400 tcn,NEvret, tyy AIYLm3C1V ,Tune 7, 2001 City of Eagan 3836 PiIot Knob Road Eagan, NIN 55122 To Whom It May Concern: E1der 7ones is authorized to pull building permits for Renewal hy Andezsen_ Please allow Elder dones to provide this service for us in Eagan. `I'his authorization 'rs valid for any date beyond 616J0 1; untU a Wenewal by Andersan *n?_ n?age* expressly revokes it in wridng to the City. I requESt this authorizarion be accepted expedidously, as to not delay in the grocassing of our building pcrmits any furthcr. Plcasc call mc if thcxc azc auy questiuns. I c.axi Ua contacted at 763-502-4706. Your immcdiate attention to this mattcr is appreciated. Sincerely, ond R. Rau nstallation Manager RenewAl hy Andersen Corporation Lm UUL/UUL Cc: Kara-F.1de.r.Tnne„c M. ?! ? M;G:HADA ???' Fubl)c? AL Minnespte ?anEtpinsJan.a7??qp,5 Received Time Jun. 1• 1:01PM PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: ? 4--4,V i BUILDTNG 025867 06J21/95 SITE ADDRESS: 4454 CHES MAR CIR LOT: 1 BLOCK: 2 CHES MAR 1ST P.I.N.: 10-17100-010-02 DESCRIPTION: Bliiilding'-.Permit Type DECK Building W'ork Type NEW ? - ,. . ? , s. t % yY'.:?:4 S. \''...E ..?? J. .?/ ..ri . . '.. ....c.. .... REMARKS: FEE SUMMARY: Base Fee 5urcharge Lic. Search Fee Total Fee $39.00 $.50 $5.00 $35.50 2 APPUCANT: CONTRACTOR: - Applicant - s-r. l Tc. OWNER: KEN'S CONST INC 14352030 0002391 HERMAN JOHN 340 E 152ND ST 4454 CHES MAR CIR BURNSVILLE MN 55306 EAGAN MN (612) 435-2030 i T her;eby acknowledge xhat r have read this a:pplicaCiorr and sCaCe that the information is cbrrect and agree to comply with all applice6le State of Mn. Statutes and City of Eagan Ordinances. L APPL T/PERMIT N'C UR SSUED 8 51 TUREI k CTION RECORD CITYOFE_ PERMITTYPE: evsLorrvc 3830 Pilot Knob Road Permit Number: 025867 Eagan, Minnesota 55122-1897 Date Issued: @ 6/ 21 / 9 5 (612) 681-4675 1 SITEADDRESS: P-I•N.: 1e-171ee-e1e-02 Lor: i sLocK: 4454 CWES MAR CIR CHES MAR 1ST PERMIT SUBTYPE: DECK F- L KEN'S CON57 INC (612) 435-2030 TYPE OF WORK: NEW - ` ? CITY OF EAGAN 4 ilg, ffo 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements RemodeVReoair Reaufromeirts ? 3 registered site surveys ? 2 eopies of plan ? 2 copiea of pWns (indude beam 6 window sizes; poured ind. design; etc.) ? 2 si[e surveys (exterior additiona 8 decks) ? 7 enargy calcula6ons ? 1 energy calculations fir heatad additions ? 3 copies of Vee preaenafion plan 'rf lot platted after 717/93 required: _ Yas No oa,-re: G -/ 3 CONSTRUCTION COST: DESCRIPTION OF WORK: ? ??/:? STREET ADDRESS: ' S /-;fGT, 1/- LOT BLOCK SUBDJP.I.D. #: ?- ? Z ?1--+ PROPERTY Name: /`-/c°YmG) bL! ? l Phone #: OWNER FIaa? ? K- C ` U Street Address• L ?z" City: State: ? Zip: CONTRACTOR Company: T?i?i ---Lh C/phone #: 7?0 a65?-s? Street Address: 3'lo ? 13-7i - --ez St License #- 0? 32 ? Ciry: z/ _'/. ? state: 1`-/tt/ zip: 5.L30? ARCHITECTI Company: ?-` 1 ! Phone M ENGINEER ? Name: Registration #Street Address• City: State: Zip• Sewer & water licensed plumber: Penatty applies when address change and lot change are requested once permit is i ued. I herehy acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No / ? j , / cuRB /?? Iol1l/ . 'Y f ; \ 101 i i ? . S LoP? ? . .? ' / ?-- , I r ,o cuK3r . ? yV, o4k ? 1 Jo& - - - ? ? , ? ? 1 •?1 ` 1 c P?4.?r1E Nl- ? , ?`1 I .1 ? .? ' I I I ? 1 i?z I I ? JJ:tv?f ELEY. ios,o I ?-- '? = :?AR15CsE ?? j i ? r / I FLEV, I l ? I ? t i I • I 03.5 I I ` 1 10-7.1 .- . ? 1 ? . 0 ?e r /n6 LiNc- -;. Lo'r . 9 ?,. y? ? N / ? ?- r ne// Pf o eY?'1 Renewal By Andersen 350-53rd Ave. NE Fridley, MN 55432 763-502-4777 #MN20130983 RESIDENTIAL ILDING PERMIT APPLICATION CITY OP EAGAN 6)/ ! l 3830 PILOT KNOB RD - 55122 651•681-4675 New Constructian Reaulrements • 3 registered site suneys showing sq, ft ol IoL sq. ft of house; and ail roofed areas (20% macimum lot coverage allaxed) • 2 copies of plan showing beam & window sizes; powed found design, etc.) • 1 sel of Energy Calculations • 3 copies of Tree Preservation Plan'rf bt platted after 7/1/93 • Rim Joist Detail OpEons selection sheet (Mdgs with 3 or less unifs) DATE • 01 VALUATION (EXCLUDING LAND) ia JOB SITE ADDRESS ?ySq GCdA IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWt TYPE OF WORK APPLICANT ADDRESS _ PAGER # CELL PHONE # PHONE 0Sa-31-IS• C00(4* FAX # ZIP CODE NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbfng Confractor: _ Plumbing System Includes: Mechanical Contractor. Nlechanic:il Systcm Includes: Sewer/Water Contractor: rlir Condifioning _ Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant --?-? Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ _ Water Softener _ Water Heater _ No. of Baths M.T RemodellRewir Reauirements • 2 copies of plan • 1 set of Energy Calculatlons for heated addNons • 1 site survey fw exteria additiore & decks Phone #: Lawn Sprinkler No. of R.I. Baths Phone # Updated 1/01 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NsrtConsWdlon Reaulrements • 3 regatered site surveys shaving sq, ft M bt, sq. fl. oi house; ar4ll mofed ereas (20% mazimum bt coverage albwed) . 2 copies o( plan showing beam & wuMav sizes; poured fourW desgn, ek) • 7 set of Eneryy Calalations • 3 mpies of Tree Preservafion Plan H bt plattatl a%er 711193 . Rim Joist Detail Optioiu selection sheet (bldgs with 3 w less unBs) DATE ' I *r el JOB SITE q IF MULTI-FAMILY BUIL%NG, HOW PROPERTY ( TYPE OF WC APPLICANT ADDRESS _ PAGER # w ? O.C? 4 Y UNITS? ? ) CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Confractor. _ Air Conditioning _ Heat Recovery System FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE#_ 7,03 $7j; /S H zL nPCnnF Ssyz .1? Phone # Phone q Fee: $70.00 All above Infortnation must be subinitted prior to processing of appliption. I hereby acknowledge that I have read this applicqtion, state that the infor ation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ces. Slgnature of Appllcant Oertificates of Survey Received _ MINNFSOTA RULES 7670 CATEGORY 1 - Residential VentilaGon Category 1 Woricsheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone M: _ Wa[er Softener _ Lawn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths Tree Preservation Plan Received _ Not Required _ " . . . = Updated 1/01 RemodeVReoairReauirements 1 4I 1r • 2 oopies of plan • 1 set of Errergy Calwlations for heated additions • 1 sile wrvey lorexterbr additions d deda • Indxmte if Iwme served by septlc system for addNons VALUaION 40?2 $ Fee: $90.00 . ~ _ : . ~ . . _ . „ ~ ~ti ~ ~ , ~ ~ : ` ~ , l~. ; , ~ . ~ . - - _ . . ; , . . - . . - - i~ ; ' , ' . 1 ~ , . ' . . . ` ~ ~ ~ ~ ~ ~ DRAWN , ~i ~ ,~~s$~t~ 4~'8 : , , APPROVED ~~6'i G~N~C;~~~~ . . . ~ . ~ ~ , . . . . - . . . . i . . . . . . . . . , . . . . . . . . . ~ ~ ~ . . ~ ~ ~ . :i . ~ ~ . . . . . ~ . . ~ ~ ~ . . . . . ~ . . . ~ ~ ~ ~ . . ^;.j ~ . ~ . . . ~ . . . . . . . . . . . ~ . . . . . . . !i.:~~~ . . ~ ~ . ~ . . ~ REVISED . . ~ . . . ~ ~ . . . . . . . ~ ~ . . . . . . . , . . . . . . . . ~ . ~ . ~ . ~ . . - . . . . ~ . - ~ ~ . . , ~ - ~ . . ri~ - . . ~ SPEClFICATIONS ~ - . . ~ ~ ~ ~ ~ . . ~ ~ , . ; . . ; ~ ~ . ~ ~ ~ ~ ~ . . ~ . , . 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' - ~ _ , ! ~ ~ ~ ;I l , c~ ~ , ~ ~ ~ , . . . ~ . ~ . ~ ~ . 1~ ~ t ~ ~ I ~ f ' ~ ~ 1 1': 1 ~ ~ . ~ ~ i ~ . . . . . . ~ . i i ~ , ~ . I I~ ~ . . _ R ° ! , r ~ ~ ~ ~ ~t ~1 ~ , ~ ( ~ f ~ ' 1 1 ~ ' u"'' ~ ~ f/ ~ ~1 ~ ~ , ; . ~ ~ , i ~ ~ ~ ~ ~ ` v ~f' ; ~ ~ ~ ~ ~ ~ . . . .j y~ y , . ~ ~ , ~ . ~ ~ ~ ~ . ~ . ~ ~ - ~ . ~ ~V~~.,~ 1 ~ . . ~ ~ ~ 4 . . . . . . . . . . . ~ . . ! J ' . . ~ . . ~ ~ . ~ . . . . . ~ p ~ ~ , . . t . ` , . ' ~ ~ \ . . ~ . . . . . " . . . . I / ~ I ~J ~ ~ .?~w. ~ . . \ . , ~ . s~,~`:~: ~ ' I' ~ , q~ . i . . ~ . . . . . . . y. ~ I ' ; . . . . ~ . 0.;iv ~ u y, g~pf ~e, rr . . . . . . . ~ . ~ ~r 'r"w ~ ~ ~~2~~'r~,;T~'e!".~ , . , ~ i:.-`~ ~'4,i . ~1'~;~: ~ . 1~ : ~ ~ s ~ ~ . . ~ . . ~ ~ ~ . ~ . ~ ~ . ~ ~ P ~ . ~ r. . ` . n.., x, . r` ~ ~ "~"i i.4.4 ~j-' ~U~~ , , ` ' l o5'd P~~ , g ~ L.t P~~ ' I Q l ~ ! . ~.G`~" ~ ~ ~°~f~ ~ ~ , ~ , ~ _ ~ ' ~.~b~ ~ _ ~ , , , ~ ~ ` ~ ~ . : i ~ ~ _ , ~ ~ ~ ; ~ f ~ ~ . ; _ ~ _ ~ _ . ( ~ r, ~ r it j ,I : ~ , _ , c_ ~ ~ ~:i y~~ ~ ~ ~ , i. ST. P~UL M~NN. Q~lt#~.lftil;`;~.' ' ; (612) ?39-6310 ~~f {,T . I~^: . . . `~C~~:, j i ~ a ~o k ~ ~ ~ ~.~Z -.z'i"W JS k'<t; ~ ~ . ~ . ~4' . ~ . . J~j !r~' y r+ ~ ,~N'p . y A ~ ~ ~ . ~ L~V~ ~~~r~p ~~:~~~~~~y?. , ~L' ,~r.m c~,~r~ ~ ( /1y~, J~,p,f t ~I' ~tw`~~?i~li,~~'~r f 4~! 1 ~ ~J "'^`Vq , „ ~ = ~ ~ ~ ' ~ ~ ~ ~ ~ Date ' -Job Na Set „ , 1 ~ , , ~ ~ ~ ~ ~ ~ Sheet: ~.Ai A a I; . . , . . ~ , ~ `t , 9 , ~ a . ~ _ . . . . . . . . _ ~ Jun 16 14 06:25a Great quality plumbing 6513400524 p.1 �UI;/l 3/20�4/F P,1 (2: 27 P1uf Ci ty of Eagan E�,;4 �10. 65 f-g7�-56g4 P. 00? ', Use BLUE or BL,ACK Infi ��,.. r-^.-__.-_-„�-�--__� ,, ECE p i Fo�off��usa —i �, ��- �( �;-� �vE � ,�� L Ul ��a�11 � 1, u ,��+ i PertnilAt� � I � b / �v �� i ./ � � Permit Fae: � I 3830 Pilot Knob Road �3"`�'�- �E `�% �� ```� b�C'��T ► I EBga� MN 55121 .� .•, � PaleReceived: � phone:(651?675-56T5 L%j t"� 7 j5 '— �f� ' � i Fax: (651}6T5-5694 I S�aff: � �_-----�----,---�� "'S� 2014 RESIDENTIAL PLUMBING PERM�T APPLICATION �,�b'1 � Oate: � /� / Sile Address: �'7S/ Ci�E�f� i -(�� c �—r�G Tenant: . Sufte�!: ` . ..: �`'-. • � Name: �t%f!�' �/ -C'��" �Resitl�ei��.Own'er;�: -- �f Phone: � c - �� Address I City I Zip: _. . Name: �'T` : L'i"�`'/�X.i��se ti� ��l� � 7 .��.� . '->'... .�.... % " � � �.. �. Address� . 'Ccirit�cactor: �� '�L�! C�'� .e,.`�� City: r"�- <�-f'�'c� .� State: �� 2ip:_,?��T L Phone: �.�%— r'ys !�/�� ._ .. ` ` � . Contact: LC i � Email: e..l��;I�o(?��ri•. •^ �'v'��•�,,ce:ST- �+�-f=� � .�� New �,Replacement Re air '•Yj/pe:�'f Wo7k — — P _Rebuild _Modify 5pace `Work in R.O,W, Descriptlon of work: ' �� RESID�NTIAL • • � Water Heate►' ��- ' `' ,'. �� Lawn Irr' ation —Water Softener : _ �g �RPr/_PVB) ��PerixiiY'fype:� :_.;_ - ' ` _Seplic System _Add Plumbing Fixtur� �Main/_L�vrer Level) „ _New _Weter Turnaround • Abendonment RE5IDENTIAL FEES: $60.00 Water Heater, Water SoEtener, or Water Heater and Softe�er(includes�5A�State Surcharge} $60.00 Law�Irriga[ion(includes 55.00 m;nimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaro;�nd"(inCludes$5.00 Sta1e Surcharge) 'Weter Turnaround(add$20U.00 if a 5/6"meteY ls required) $115.Q0 Seotic Svstem New($10.�0 per as built)(includes County fee and$5.00 State Surcharge} TOTAL F'�ES S �� C ._E�v -_�, CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-D002�or protection against undergraund utilify damage. Call d8 hours b�fore you inlend to dig to receivelocates oi underground utilities. wvvw.eoaherstaleonecall ora 1 heteby a�nowledge that ti�is irforrnatl0n is compfete and accurate;that the WarK will be in conFormance with lhe ordinances a:�d codes af the City of Ep�gn; (hal � undarsland t�is is not a permit, but only en&pp(icalion tor a permit, and Work is not t rt wi�ho�t a permit; Ihai;he work wili be In accordanCe with the approv�pla�In the case o(WorK whiCh requires e revle�v and pp�ovaF.of plan , � �, , x Li. a . . ��.�J,��` ��'/ x ._` _` Applicant's ri ted Name ApplicanCs � ature � .... -.: , - '�� ., _.... . ...:. . . .. .- � � • . 'FO�.�O.F.FICE t1S.E< �.' -. .. . . • ., Red:ieweq�By:`:.:. . ' < . '. .' pate: . .. ..,., .. ; ., : _ . Re.qu�red Inspections;',_.:.-:" ' �:•`llnder.GrvQn.d:: ;:�..:.: ;` '� ' . � . . �� ..;,:...�.: .,.... I� - .. . .,... ,. •�•. •..�..;.::•. .. ...�: _: : •.:.,-•., - • . � �::;••.�� : - •: � . - �.r::�n;�':::::-:: - .. . _... :..�••.: _ R�u �=�•�r'7est ::�Gas 7est�, . < : ..�inal . ... _ ..::......,.:.:. ..._�..�.:. Nleter:Reiated:Items:'-_.:::Me er` i• ' - . • ..:.. f. S ze:� - y`Radio,R� . , . . _.. , . . . .. -�.•.- .._.. ... . . . . . .. . _ .�ad., �:�'taff�..