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875 Basswood Lane PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA098528 Date Issued: 04/08/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 875 Basswood Lane Lot: 3 Block: 6 Addition: Sunrise Hills PID: 10-72982-06-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy-: Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin°s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Property- Claim Solutions LLC George J Rahlf 4655 Nicols Rd Suite 202 875 Basswood Lane Eagan NIN 55122 Eagan NIN 55123 (61)994-2028 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN Permit No. Date: 5-19 3830 Pilot Knob Road Meter No. -ov0 3 '13 R SiZa P.O. Boa 21199 Reader No: 125Date: Eagan, MN 55121 Owner. e "iller (o-13-- Site Address: ' - B -Wee'er , te z Plumber T? 1 17 t- In Conn. Chg: S SO pc) Zoning: r. t Acct Dep. 1 s X n No. of Units: I Permit Fee: 3;1 ~n Surcharge, L I agree to comply with the City of Eagan Tr. Plant_ 904 .QQ Ordlnanc Meter. Misc.: By U WATER SERVICE PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 r BUILDING PERMIT Receipts To be used for / ` ' Est. Value Date + 19 Site Address ! BAti:iW00--l, L'r•; OFFICE USE ONLY Lot Block Sec/Sub. SUN" I ` " " f,r,{, On Site Sewage Occupancy ct-3 A-3 MWCC System Zoning R-1 Parcel No. On Site Well (Actual) Const V-I`A s Name ic,- LER CONSTRUCTIC"; City Water r: (Allowable) Y_h = Address A NP, s PRV Required # of Stories r Booster Pump Length ! o City 1'6701" Phone 41 t 4iC` 1 Depth ' cc Na6e S.F. Total 0 a Address Footprint S.F. City Phone APPROVALS FEES W CC Name Engr./Assess. Permit u 14. t)(, w+ g Address Planner Surcharge 6 5. 50 i W City Phone Council Plan Review X37.00 Bldg. Off. SAC, City 1 U~) I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. S5U•l~0 Minnesota Statutes and City of Eagap Ordinances. Water Meter 67.1)O Signature of Permittee ' r' 1' .tom r Road Unit 3 3 A Buildi Permit is issued to: Vi. I.LLLR 0,''f;>'t nC CT10' 1U4.UQ J~4 Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official r CITY OF EAGAN Permit No: 9592 Date: 3830 Pilot Knob Road Meter No: Size: P.O. Bois 21199.4 Reader No: Date: Eagan, MN 55121 Owner Joe "iller Gor.st Site Address Plumber. ~lvmeuth rl? Conn. Chg: 55(1 _ DA Zoning: I l Acct Dep: t - 00 No. of Units: 1 Permit Fee: I P -,l O Surcharge: 5 1) 1 agree to comply with the City of Eagan Tr. Plant 2tuA _ nn Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CITY Of MAN Permit No,. per: 5-- ? 2.2 ^ 3830, Pilot Knob Road SIP NO: L-- pgtw:: 6 P.O.Brx21M Ugen, MN U121 r Owner. Jon Yiller r~- Site Address: 275 A o s a+., r 7 ^ Plumber: ,;2tymovid-U V1 MWCC: - Zoning, 1 City Chg: n f~ No. of Units: - Acct. Dep. a 5 `.~f I woo to aa"* WWO Mw City d g"" Permit Fee: ~OrNSurcharge: 5'? Misc.: by SEWER SERVICE PERMIT 1 BLDG. PERMIT NO./0 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 ,Sufch./Adm. L 01-3446 SAC/Adm. Li 01-2155 Surcharge -:J~=3860 Road Unit 20-2275 SAC r C1 20-3865 Water Conn. 20-3868 Water Trmt.' 20-3716 Water Meter ( U~~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. i C c J ,-3855 Park Ded. TOTAL /CITY OF EAGAN 830 Pilot Knott Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. i .1 On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name City Water ^ (Allowable) W PRV Required # of Stories 3 Address o City Phone Booster Pump Length Depth c Name S.F. Total 0 o Q Address Footprint S.F. i- City Phone APPROVALS FEES Engr./Assess. Permit u W W Name g Address Planner Surcharge i W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. _ Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee - - Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL Permit No. Permit Holder Date Telephone >t Plumbing -6 L' CG c ✓ H.V.A.C. C cmzr Electric a CC Softener Inspection Date Insp. Comments Footings I ?may- D Footings II Foundation Framing ~p yay _ Roofing Rough Plbg. '64 Rough Htg. f/n Isul. 1 Fireplace Final Htg. Final Plbg.V-9 Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final 8 Well Pr. Disp. a (Urtiftratir of Mrrnvttnry Citp of clagan lope t of Inert" . pram This Certificate issued pursuant to the requirements of Section 306 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 QaaiCWion 1• J W G / U A Bldg. F4rmit No. O-uP-y Type R3 n zoning District i Thv Cont. Owna or Building ' ^T.LI'~ C C?? Add- 133 C rM R AyE, ~ p " 5 EAS.SWOCn ! ~ ° _ t, ah, SUtiRI: ? • " Building Addrrs Lowity Date: xx UST 5, Building OBitW POST IN A CONSPICUOUS PLACE PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. PE WORK DESCRIPTION Lot Block Sec/Subj.'' \ + + ~e Res. New 1 ~ Name C'. Mult Add-on Comm. Repair m Address C City Phone Other FEES Name - RES. HVAC 0-100 MBTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 p City Phone V (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK r w, COMM/IND FEE - 1% OF CONTRACT FEE Forced Air + t MBTU f r 1 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. > > M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM _ STATE SURCHARGE PER PERMIT - .50 $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: IA-1 . -1. 1 - S/C: SIGNATURE OF PERMITTEE TOTAL E~~ (1- FOR: CITY OF EAGAN PERMIT # I(;.. ` PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' !f,~ss CONTRACT PRIC PHONE: 454-8100 Site Address y < ' BLDG. TYPE WORK DESCRIPTION Lot ` Block Sec/Sub Res. y~ New ` Mult. Add-on Name -=dam- - Comm. Repair Address Other S City ,{{Phone h LIT RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Name Water Closet - $3.00 :7 Bath TOTA r: Bath Tubs - $3.00 ^1° 3 Address/ Lavatory - $3.00 p City Phon w Shower - $3.00 , Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE !r_Laundry Tray - $3.00 L APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -Water Heater - $1.50 ' MINIMUM - RESIDENTIAL FEE -$12.00 % Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 F=s'.. Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL 2 This request void ~y~/~~ E 2 month, from Request Dap Fire No. Rough-ifi Inspection 0 5 Required? ❑Re.ady Now~q~1, •p'~i ll Nolity, Inspec- Yes ❑No ~(or When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City action o. Township Name or No. I Range No. Cowuy D OTccupant(PRINT) Phone No, ~a 'a,V lf3/- Sao / J-0 Z- £ Co.~111- Power Supplier Address ~ ~ ssd a Electrical Co ra for IC mpany Name) Cnn trartor's License No. Mailing Address (Contractor or Owner Making Insta ilation) 5 019- ltJ- <c, . A/2- .ee ww..:.~1c SS 3 3 Author it Signature (C nt Ic Owner Making Installation) Phone Numher M ESOTA TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT G i,ggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1 (612)27 ' 61aity 642-Ave..0800 St. Paul. ENCLOSED. W/mss/s~s REQUEST FOR ELECTRICAL INSPECTION EB-00 001-0 s~ See instructions for completing this form on beck of yellow coDV. E 20 "11",5- "X" Below Work Covered by this Request Add Rep. Type of Building ADpllancaa Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting FixtUles Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm n r Pet' the, IS Veci lvl Other Spmd v thcr Othcr on pate Inspection Fee Below a Fee Service Entrance Size h Fee Fenders/Suhleeders N Fee. Circuits .AD U to 200 Amps 0 2 32 Am s -6E 0 to 30 Am Ds Above 200 Amps 37 to 150 Amps 31 to 100 Amps Swimming Pool Above 10o_Amos Above 100_Amps Transtormers Irrigation Booms Partial-Other Fee Signs Special Inspection Remarks T AL EE Rough-in tl") I, th J Inspectoq hereby Final O^ artily that the above inspection has been matle. This request void 18 moralist from &PARES CITY OF EAGAN N°_ 14958 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Receipt # 23644-- To be used for SF DWG/GAR Est. Value $131,000 Date MAY 6 ,1g$8_ Site Address 875 BASSWOOD LN OFFICE USE ONLY Lot 3 Black 6 Sec/Sub. SUNRISE HILLS On site sewage Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel No. On Site Well (Actual) Const V-N x Name JOE MILLER CONSTRUCTION City water _X_ (Allowable) V-N w PRV Required # of Stories z Address 18133 CEDAR AVE S ° City FARMINGTON Phone 431-2001 Booster Pump Length 5( Depth --4Y r ¢o Name SAME S.F.Total zoa Address Footprint S.F. U City Phone APPROVALS FEES mw Name Engr./Assess. Permit 674.00 E Surcharge 65.50 t z Planner x Address Council Plan Review 337.00 <w City Phone Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 550.00 information is correct and agree to comply with all applicable State of Water Conn. -550-GO Minnesota Statutes and Of ff E~aga/~ O/rdinanceLS-. Water Meter _63-00 Signature of Fermin `~J"ti!L~C % Road Unit _3Z5-.D0 A Building Permit is issued to: JOE MILLER CONSTRUCTIQbt Treatment P7 204. DO on the express condition that all work s hall be done i n accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 2, 872.50 Building TOTAL 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS QD To Be Used Valuation: ~4 Date: Site Address g/~1O~WaazQg,. OFFICE USE ONLY 131/ 000- Lot _ Block CO On site sewage Occupancy R 3 M MWCC system ✓ Zoning R-1 Parcel/Subs On site well Actual Const y-N City water Allowable V-Nk Owner PRV required # of stories Booster Pump Length Sd"O' Address Depth 42- N" S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor Engr/Assess Permit Cr?q. y Planner Surcharge 6 S . So Address Council Plan Review a ,O 0 / Bldg. Off. 4~1~ SAC, City DD, 00 City/Zip Code,4dr-. D/f," Variance SAC, MWCC 550,00 Water Conn 54,0,00 Phone Jo Water Meter 67,0 0 Road Unit 2,525,00 Arch./Engr. Treatment P1 .DO Parks Address Copies TOTAL k 7 SQ City/Zip Code Phone # VAS-u~~ ti~ &AR,AGE Z2 X ZZ . `i~~(x1y ~ G~?7~, SASE ZoX l~_ 3z~ 12-Y ~ Z 15 X 13 = 15 795 Isr FLoop ~SMT = 121 S C,CXI $ ►zz3 x y9 =s~9z~ ND FL 00 Z /o /20 x 130, Llo ua: u ~J UU 88-043 TRI-LAND CO. SITE PLAN FOR: SURVEYING SERVICES JOE MILLER 1260 YANKEE DOODLE ROAD CONSTRUCTION EAGAN, MINNESOTA 55122 a LEGAL DESCRIPTION; LOT 3 BLOCK--6-9 SUNRISE HILLS ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA ~sea<ga 1 W / LOi 4 N SCAB • e~,~a ti~O LOT % n fa plV HUB 66827a 3 CnI WILLIAMS PIPELINE CO. •tiZ`~ es~ ~e se9x2a EASEMENT ~Z HUB 69108 \ S~ ~ IS'e ~ v \O t OJ lop, +OxI 4WO o ~ p ,a ti~ J I_C~T 902,08 ,q n l a 0 p 2 ' j o"HIV 44° 33'31" W 5.03,_. Dcci :.LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION- O DENOTES IWOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION I'll VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 hereby certify that this survey,plan or p report was prepared by me or under my direct supervision and that I am a duly Bradley cd Swenson, Mn. Req. No. 15235 Registered Land Surveyor under the z4 ,fig Laws of the State of Minnesota. Date L"`V" AV2MM' "U" COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling Owner All Other ' Site Addreso LdY-,Y G No L - S~M~15 Le.S ' L~ Date Phone LIIIEAL FEET OF EXPOSED WALL ft. above grade TOTAL EXPOSED IVALL AREA Sq. FT. OPAQUE WALL 0011S'TRUCTIONI "U" Value x Area Do tail -1~ IIUII ~2~ ,q q rererence GO nUe x sq. FT. ~GZ7r7 . /4•(p2-(U)(A) b~(o x 9q. FT. r z uUr' f ro in Z(U)(A) attached IIUII = x Sq. FT. 7, g =_SSU)(A) x SR slteoto aUu . FT. _ (U)(A) IIUII' x SQ. FT. - (U)(A) VII II DO WS t UUrr Value x Area Flnke & Type INSUI, r~hj-1-. IIUII I ¢(0 _ u " Un x Sq. FT. " ~r7 S,~cS(U)(A) n nUw x 9q. FT. _ (U)(A) nUn x Sq. FT. = (U)(A) ll001iSt ".U" Value (U)(A) X Area Hake & Typo IIUII 14 t n _SVJINC-IX1 nU" ~ a x Sq. FT. r//0 = (D,~(l (U)(A) n it it It ttUtr x SR. FT.._ZI,a (U)(A) aUn x Sq. FT. = (U) (A) x Sq. FT. _ (U)(A) TOTALS Z00194Sq. FT. 2 TOTAL (u)(A) VALUES nvE11nc1E 'gu't (u)(n) Zc~:~,•43 a ,0q3 DIVIDED BY TOT ►VALL AREA ZB(~ i~' AVERAGE "U' 115 or loos for 1&2 family dwellinga ROOF/CEILI11a t TOTAL AREAS Detail reference "Un from oZl xSq. FT.~ P=ZIlr ~9Z(U)(A) attached sheets. ~-IIU1t A SF'r. Describe openings --wUn x Sq. FT. _ (U)(A) in roof. I I UI x SR. FT.' - (U)(A) TOTAL (U)(A) VALUES DIVIDED BY x Sq. FT.~ _ (U)(A) 2~ r 3~ Z Tr1~1.5 r.~ 5q.f? ''!'O•!'AI ROOF/CE Niv 1 fe z AVERAGE " 025"f ventilated roots. n v~o~k T" I(Oco 9,54x (44,ot44,o4-~O,O+39,0)= I~B3,r6~ ~,a3x (31,~ 2j,clI Z-'2 z 84-~- Ga~tJG, g~X Job 13~1,7g l-~ -7xz= 14--° 2s Zoxcoo = ~~x I = 33,0 Z-Z4XLO = Z7,SXZ=t5S,o 24X~ = l~,~sx2= 27•s Z-24X48 =Z2 5X _ 7 h a'T, W~ko =3x1 =3,o r 24X48 ~ JI,~X2 - 22~~ r2-4u 4& = 37i, 75A 3 75 S G-I~¢n~ WR~~ ~.W~p Z819,84 '2,g S7L, P2, w/5L. = 2 ~ ,0 9 a G~~S ~oNc., /f 1, ZZ Z'S7L, p 21,0 _ << 121 Wl 1227,713 3° SJ~ I Nc~ 'b2, = 2 L ~ /i WPbtJS 3aa, 2s 19 ,ZS moo, a 70,o J f~ ZZq~i`~ v ~I x28 = 8(~8 lox 17= 1352-~ a ' j DQtermining uUn values at Roof, Wally Rim, and Conc. Block ROOF/CEILING R VALUE 1.) Interior Air r'ilm 0.61` 2.) 5/811 Gyp. Bd. .56 3.) Insulation 4 .pb' 4.) 5.) Exterior Air Film .61 (STILL) 1 2 3 6 uuu = 1/R= .02r TOTAL (R)= 9,78 l !1 WALL R VALUE 9 6.) Interior Air Film 0.68 7.) 1e Gyp. Bd. .45 .8.) Insulation Moo 9.) B~~LT-~ir~ Z•~4 10.) Masonite Siding .67 to 11.) Exterior Air Film .17 I "Un = 1/R= .O`I3 TOTAL (R)=Z3.oj 12 RIM R VALUE ►3 12.) Interior Air Film 0.68; 13.) Insulation 19.00 ( 14 14.) 211 Fir Rim Joist 1.88 15 15.) go1t.T-PITC- 2,04 16.) Masonite Siding .67 170 Exterior Air Film .17 . n nun = 1/R= .640 TOTAL (R)= 2~g4 • d O Q , O° _ O• FOUNDATION R VALU 18.) Interior Air Film 0.68 zl 19.) °o. 1g 20.) ~--1~ MP/CI> //.Gl'J 2t 9 21.) 12" Concrete Block 1.28 e n 1a 22.) z3 17 23.) Exterior Air Film .17 e D° . uuu c 1/R= .070 TOTAL (R)= ~3.12i APPLICATION FOR PERMIT 3NOTE: PAM= OF FEE AT TIME OF APPLICATION DOES NOT CON- ; STr= APPRGVAL OF PEPNIT. F SEWER AND/OR WATER CONNECTION = INSPECTION OF SEWER APD/M WATER r:- xr INSTALLATIONS WUL NOT BE SCEDULED ,*x [RML PERMT HAS BEEN APPROVED. + sxx+r++x+ss+rrrxxr++s++++++++++xxx+xxr dtV of ecag an _ (PLEASE PRINT 1) PROPERTY ADDRESS: 7 . ' ss to 49- LEGAL DESCRIPTION:. }i 3 (~{!.L9k-, ~4 ~LOt B1 Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q CONAMCIAL/RETAIL/OFFICE I =Z~-1 SINGLE FAMILY Q INDUSTRIAL E-1 R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVOUZENT Q R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) NAME: ADDRESS: CesOwl~ u~ CITY, STATE, ZIP: ~Avy. ; we u PHONE: L/'3/ aav/ For City Use 3) :D NAME: /IneowiLt- P(r P1 rs License: ADDRESS: A4 Active Expired CITY, STATE, ZIP: %o.mTle- ~rdve- Not recorded PHONE: 1413- ri `f?~ MASTER LICENSE # *aa(psC Sta Initial 4) Qe'i~Tii71`a NAME: SNasrt C;;k) ADDRESS: CITY, STATE, ZIP: PHONE: 5) s a n ~e EiJ~ECTION TO CITY SEWER EQX4ftMCTION TO CITY WATER O OTHER * *x THE GOLD COPY OF THE PERMIT WILL BE SEND DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. w * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE x. * ARE ANY PROBLEMS. FOR CITY USE ONLY ' PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ag,-5,e) SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) 442, $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ I ! O C~ ACCOUNT DEPOSIT - WATER $ J~SO • G~ $ WAC $ -3 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 0 o $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: OCJ $ CSC TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY, TITLE:. DATE: 9 _ 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL PLANS i SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS t OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - OONTRACTOR/HOMEOWNER MST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. DECD To Be Used Fors ,4;4A;fc--rva6- Valuation: Date: 7 i B% Site Address 875 8A55 kmn LN, OFFICE USE ONLY Lot 3 Block 6 Occupancy PEES Zoning Parcel/Sub SIJn1~SE HTL.L.S Actual Const Bldg. Permit N - Allowable Surcharge Owner 8EKVADZ(VE S727--VEN~9)1) i of stories Plan Review Length 1t` SAC, City Address $7S 845SWoaU l.N Depth 1~ r SAC, MWCC S.F. Total Water Conn City/Zip Code 64(00W 177N 55-/;Q Footprint S.F. Water Meter _ Acct. Deposit Phone H - tux aa~`1 On site sewage S/W Permit On site well S/W Surcharge Contractor E1VyV?0A)E1VrAL -Sf6A) MWCC System Treatment Pl. City water Road Unit Address 111712- S00l14Po1JVr eZKtI6` PRV required Park Ded. Booster Pump. Copies City/Zip Code &/UakLE /NINA! 55337 SUBTOTAL APPROVALS Penalty Phone t-/_Sy -00,7 Planner TOTAL Council Arch./Engr. ~/tfll l6~ AL 4Z3fG Bldg. Off. Variance Address /1/7/ SQl F~f2''aJ'° !nK( 7 City/Zip Code e-4102d&L"L 35 Phone 1 88-043 TRI-LAND CO. SURVEYING SITE PLAN FOR SERVICES JOE MILLER 1260 YANKEE DOODLE ROAD CONSTRUCTION EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT 3 BLOCK 6 SUNR13E HILLS ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNE SOTA 'sss use ~r G Y v p0 \/`y/ / O SCAB BaS, Hs LOT .a p`~ ~1Te 3 a HUB WILLIAMS PIPELINE CO. C:) 9129 J(897,.V ~~33 :'?=1R EASEMENT F' Hue \\6y% Rol ca /,^T s~ Is'o 0 \o / 900179 A'PO FO, \ 42 1. °G°S ~9. 904k4e (T 2 Bq~~O p._. \✓~m It's 440 3313111 W 5.03 LEGEND INVERT ELEVATION AT SERVICE EXTENSION - _ 7 a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR Et_EVATION o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVA ION - DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR=! ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HE1GHTa ,qI FINAL HOUSE PLANS I hereby certify that this survey,plan or l? ~a i report was prepared by me or under my direct supervision and that I am a duly Bradley `J. Swenson, Mn. Registered Land Surveyor under the L Laws of the State of Minnesota. Date Z - " RESIDENTIAL BUILDING / A b Permit Application l City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use OnN 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate ff on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 7 / Zu l 03 Construction Cost / 77 Site Address 7S 9 #SS6JOU /7 L N Unit/Ste # Description of Work Multi-Family Bldg _ Y n_ N Fireplace(s) _ 0 _ 1 - 2 Property Owner 6 f-!~ K t~71E 2 Li' Telephone # SJ) ~o ^z p 2 C~ Contractor %lr/~~1~)C~fyt/ Ca,~~eYtG 53~~1141 ~s Address SZ~ 2 S E_C d~1fl S 5V1 7_J; PO O city S®ti State U) Zip 51f 016 Telephone # (71S) 507 2`f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephol¢ I I"iL 4 4 LJU I;J I hereby apply for a Residential Building Permit and acknowledge that the i rmation is_complete J~nd accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and7tfTe_State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wo which requires a review and approval of plans. S, L F_ (;F 0,/L Applicant's Printed Name Applicant's Sign ture I ~ & C/ (0 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date-5, l12, 5v, n ~ Site Street Address Pr/CJ 2CLO~LLcI~d oer ~ Unit # Property Owner Telephone# fig/)49P-995' Contractor Q! Y Y.~,tZO1cJ/1 ~ Telephone # 51) 365 -)3 -1'40 Address 3l0 7d 0 "n L14ed- City State A. Zip x.23 The Applicant is: - -Owner ✓Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is required) Other: _ Water Softener ✓Water Heater $ 15.00 ✓ replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ J5- 6,4 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Apples Printed M Applicant's ignature :Tj ~ u M N 0 7 2004 Fnr office Use f I CItV of Ea n DEC ~ Permit q (n1fn1p I V J I ®1 LYUJ Permit Fee: d VI 3830 Pilot Knob Road 1 Eagan MN 55122 j Date Received: ~ Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 0, 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: l~d 1 Tenant: (7 n Suite RESIDENT / OWNER Name: Phone(aD - sba Address / City / Zip: 5 d S -&q3 CONTRACTOR Name: BURNSVII F HEATING & A/C, INC License #:C Address: 3451 W. Burnsville Parkway Suite 120 ' City: Burnsville, MANN 55337 State: Zip: Phone: Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition _ j Description of work: J NOTE: Both roof mounted an ground mounted mechanical equipment is required to be screened by City Code. ;Please contact the Mechanical Inspector or one of the Planners for information on permitted screening ` methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement ')C Air Conditioner Install Piping ` Processed _ Air Exchanger _ Gas Exterior HVAC Unit - Heat Pump _ Under / Above ground Tank Install / , Remove) When installingtremoving tank(s), call for inspection by Fire Other ` Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) C7~ J!/ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 ~l fl- z5o?, ~ -q/i~,*u x Applicants Printed Name Applicant's Signature FOR OFFICE USE Revlewed By: - pate: Required Inspections: -Under Ground Rough In -Air Test __Gas Service Test -Infioor.Heat -Final Exterior HVAC Screening inspection Use BLUE or BLACK Ink r----------------� I For O�ce Use � I �/ � • � Permit#: /� / � J� j Clty of �a�� I Permit Fee: C�� ` �C�/ � 3830 Pilot Knob Road � j Eagan MN 55122 � Date Received: � Phone: (651)675-5675 1 � Fax: (651)675-5694 � Staff: I � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � o , �� 7� ��S� wv��G �. ��, Date: � � �� Site Address: �� 1 ` Unit#: �.,..�„�.��.�,��.,��.�_,.s,....��,.�.,,.�.a,�. �a�,��_,��,..,.�,,�„�,�..,�,.�. . . � �� iS�:IC� /1�VN�-� Phone. llJl ��J �C��i � ' � Name: �SSId�'i'1'�i � --+ � c,�wner add�ess i c�ty i z�p: � 1`� �!�55 ilV�,�J �.r��.1� ' Applicant is: Owner � Contractor �� '��1'� �� Description of work: l� - ; J' l�t��r�E7��.�� 1�,�J��N��f�:%�1,1�1�� i `�,,IUIEVv �l�t�;�� i�f'i�. T�p+��f 1� rJ(�i1 �N.�Y",��L 11,�1� lt L= /�i�.Qb JL� ��N1 �� G`V�� Construction Cost: � Multi-Family Building: (Yes �No�� Company: Ur'�L.�,r"rl�6`�1��/�� L,��I��C:� Contacfi J�' /�G��6��,(�i � /, /�j Address: 7' �. �:J�� L�V L:�� City: f� PL� �L�� - CQ�1��'1�'�Ut' �� l — state:�� z�p: 5�� Phone: ��/( TV� I��✓7 EmaiL• �4r � �G✓�'� �(�y `� u�b�=f�t�!' , �7 / -,/1 � J ` License#: (1� C��(� �� y Lead Certificate#: 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: IVOT�':Pf�ns�►�d�upport��dvcu�e�r�s f�at yoi�suab��are ca�r�idered fi�o',be�r�blic i�af��t�on: �or�+��of ths�nforma#�on rr�s�y b�cla�.si�ied a�non:pwbl�if yc�t�p�r�vide spe�ef�c rea�r�ns fhat�wa�ld perr��t th�Ci�ty td 'ct�r�c��d'e t�at t�e �re tratle sec��s, ' 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 Minnesota St�O�Building Code must be completed within 180 days of permit issuance. ' ,,� X J�� u��.� X �� a��/ �� Applicant's Printed Name A lican s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA151495 Date Issued:08/27/2018 Permit Category:ePermit Site Address: 875 Basswood Lane Lot:3 Block: 6 Addition: Sunrise Hills PID:10-72982-06-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - George J Rahlf 875 Basswood Lane Eagan MN 55123 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175883 Date Issued:04/20/2022 Permit Category:ePermit Site Address: 875 Basswood Lane Lot:3 Block: 6 Addition: Sunrise Hills PID:10-72982-06-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - George J Rahlf 875 Basswood Ln Saint Paul MN 55123--241 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177864 Date Issued:07/21/2022 Permit Category:ePermit Site Address: 875 Basswood Lane Lot:3 Block: 6 Addition: Sunrise Hills PID:10-72982-06-030 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - George J Rahlf 875 Basswood Ln Saint Paul MN 55123--241 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature