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724 Caribou LaneBLDG. QZ-321Q 01=3422 01-3445 01-344b 01-2155 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. ? 20-3713 Water Permit 20-3743 Sewer Permit ? 79-3$66 ? Sewer Conn. 11-3855 ? Park Ded. TOTAL T N0. Bldg. Permit 'tf7 l_,'f ?v Plan Cheek Surch./Adm. n.r• SAC/Adm. ? Surcharge Road Unit ? SAC .?: •?a? "1 f '.T r Water Conn. ,.? C? > f ?a C'.J 3 ? a1 _-a . . . . ,. , . _ ..- . ,. ::., . CITY OF EAGAN Permit No: `127 date. 101 --7 87 ? 3830 Pilot Kno6 Road Meter No: Sixe: P.O. Box 21199 Rpder No: Date: Eagan, MN 55127 ? I Owner. ' :`"sl'onnQ].? ::u'l.-;'C ' SiteAddre`ss:724_Car3bau Latie Lt' 1:;.5 Conn. Chg: _ 5 2 5. t7f'r4u Acct. Dep: 1500'?6 Permit Fee: ?-'? • 0 Meter. 67 Zoning: _ Surcharge: • 5 0 :) ei Tr. Plant ?80•?-?0na No. of Units: I agree fo comply wlth the City of Eagan Ordinances. WATER SERVICE PERMIT .` CITY OF EAGAN Permit No: '???• Date: 1Q-? w.1 7 3830 Pilot Knob Ro'ad B/ P No: ^Date: "_? 5-S'Y P.O. Box 21199 Eagan, MN 55121 Owner. Site Ad Lr4-v%e LB BS Fawia MWCC: 525, [7i:;A City Chg: I'l pi ."J? ,;{:'1 Acct. Dep: 15• OODd Permit Fee: 1 {}' ?opd Surcharge: ' or ?: _.. Zoning• No. of Units: ?- 1 agree to comply wlth the City of Eagan Ordinances. By SEWER SERVICE PERMIT _ . . .. . _ . . . . . . ' . . . . - ' .. . - : . . , . . . , . . ? . ' _ ' `3 . , ,f# CITY OF EAGAN .;4 # 87$5 . "^ • 3830 Pilot Knob Road, P.O. Box 21-199, 6agan, MN 55121 $ PHONE: 454-8100 BUILDING PgRMIT Receipt # ? ?ECK $1 *000 MAR 14 1941 c Est. Value To be used for Date , ` 4 72 C?I? ? ? Site Ad ess - ' 1 A OFFICE USE ONLY ? ' Block Sec/Sub. Lot Parcel No. occuPancy - FEES ?DD & MAR? ??OLM Zoning 25.00 : W Name (Actual) Const - Bldg. Permit ; AddCBSS (Allowable) - Surchar e . 50 ° Cit Phone # or stories g Plan Review ? f ?R?? ?"RU?I? Length o Name Depth SAC, City ? AddfeSS S.F. Total - SA MCWGC ? ? C, ? CIty ' Phone S.F. Footprints Water Conn ? On Siie Sewage _ w w Name On Site Well - Water Meter tZ AddreSS MWCC S stem Y - ?0 Acc?. Deposit 4 W City Phone wa?er ciry - PRV R i d S/N1 Permit -; re equ - ? I hereby acknawlege that I have read this applicalion and state that the 8ooster Pump - SnN Surcharge information is correct and agree to compiy with all applicabie State of " ? Minnesota Statutes and City oi Eagan Ordinances. • Treatment PI Signature of Permitee °•' APPROVALS Road Unit ? A Building Permit is issued to: ??? ???UCTxON Planner - park Ded. ? on the express condition that all work shall be done in accordance with all Council -- „ applicahle State of Minnesota StaWtes and City of Eagan Ordinances. Bldg. Off. _ Copies _? . 8uilding Official Variance - T07AL Permit No. Permit Holder Date Telephone # WATER SEWER ? PLUMBING 4. H.VAC. ELECTRIC Inspection Date Insp. Commems Footings I Foundation ' Framing Rooling Rough Pibg. Rough Htg. Isul: Freplace ' Final Htg. Fnal Plbg. Const Meter Plbg. Inspector- Notify Plumber Engr.lPlan Bldg. Final DecR Ftg. 3 Deck Fnal - 2 Well Pr. Oisp. . . CITY OF EAGAN 3830 Pilot Knab Road, P.O. Box 21-199, 169an, MN 55121 ; PHONE: 454-8100 ..., .- ? BUILDING PERMIT Receipt# i To ta€ used for Es:. V7Iue Date ` A LANE Lot `?' Block ? SeclSub Pareel Nv_ aC IVaR18 ? Address k a cc,l -9:.6a City Phone I hereby ackn4wledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ' A Building Permit is issued to: all work shall be done in accordance with all applicable State of I Building Official ,,., W.. - ?.. ... ?,. ?, , OFFICE USE ONLY On Site Sewage Occupancy ? MWCC System Zoning pn Site Well Type of Const ' Ciry Water ? (Actual) . {Alinwable} '' # of Stories Length " Depth S.F. Total' Footprint S.F. APPRaVALS FEES Assessments _ Permit y . - . ., Watsr/Sewer _ Surcharge Police _ Plan Review = <- Fire _ SAC, City Engr. _ SAC, MWCC Planner _ WaterConn. Gouncil _ Water Meter 61dg. OfF. _ Road Unit RPC _ Treatment Pt Variance _ Parks Gopies TQTAL on the express condition that ??v - perm{t Na. Permii riotider Oate Telephone # Plumbing H.V.A.C. ?' ' ? ? ; ? ?? /; • ' /b [o ?? Electric r?/' Saftener .,? U?'L12j I Inspection Date Insp. Comments Faotings I Faotings II Foundation Framing d - ? Roofing Rou9h Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Oca Temp. LP Deck Ftg. Deck Frsng. Well Pr. Disp. City ? Name _ Address CONDO PLUMBING P CITY OF EA 3830 PIL4T KNOB ROAD, _ Phone - kN, MN ?. i.rrt n. ; DESCRIPTI RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TDTAL Water Closet - $3.00 ? - + Bath Tubs - $3.00 =- Lavatory - $3.00 5hower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ;1'PLfES - - _ -_ .- - _ - --- - - = fiooK Drains = $1.59 =_ - - - - ... ,. - - - S. RATE APPLIES Water Heater - $1.50 _ - $12.00 Whirlpool.- $3.00 - $20.00 Gas Piping Outlets - $1.50 MIT - .50 (MINIMUM - 1 PER PERMIT) :E GOES Softener - $5.00 well - $10.00 Private Disp. - $10.00 Raugh Openings - $1.50 ' FEE: STATE S/C: ?- GRAND TOTAL: ? ? -'?-1 ? PERMIT # ? 7 , . .. • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTAACT PRICE: PHONE: 454-8100 Site Add?ess npE WORK DESCRIPTION gLDG , Lot Block ? Sec/Sub 17' Res. ?j New ' ? Name Mult Add-on co Address Wk •? , t" ir R C - omm. epa c City ` <",) Phone?, - Other L Name FEES c Address??? RES. HVAC 0-100 M BTU - $24.00 p Ciiy Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12•00 ADDITIONAL 6 M BTU 6.00 TYPE QF WORK o r? ? " ? GAS OUTLETS 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond M BTU STATE SURCHARGE PER PERMIT - .50 . (ADD $50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other f ? FEE: , _ J" , `?-? - - ?j SIGNATURE OF PERMITTEE v S/C: TOTAL• G CO •'?? FOR: CITY OF EAGAN , : . , ??.'?• PERMIT # PLUMBING PERMIT REGEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8700 5ite AddrQSS t ? Q / "J , Lot ? Btoek ? l SeclSub 4 ?- ? Name Y Addres f .? ? c City ?. - S? Phon ? ? Name " !c c Address p3 City ?,?4.'?,.? Phone zz, %:- FEES COMM/IND FEE - 1% OF CONTFiACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12,00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 5/C IF PERMIT PRICE GOES BEYONd $1,000.00) - SISd??ATURE OF PERMITTEE y? S?' CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New `-?- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMI?) " Softener - $5.00 Well - $1 0.00 Private Oisp. - $10.00 Rough Openings - $1.50 FEE: STATE 5/C: GRAND TOTAL: " CITY 4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE AQDRESS: , AdO+.1 I Aiu? i h IJta }•:94!(i} N L? SUBTYPE: 1 ., ? ? ? ;, iaMiMi. itI A R k'"? ? P i. A td 6i E 1! 1- 1:: t:.! F. t t 8 Y Nf C 4J' Fs A 1, [ h PERMIT TYPE: Permit Number: Date Issued: ! J. ' - Mr ._a ri e? , r'? tq ? rCc ?? ,: ? APPLICANT: TYPE OF WORK: #: ( NrI ! A S?ft ( I i tlfti '?. [.J;I (.F•I_ I,i I'?ii'? lf:sy ?;?irif,; Permit Holder Date Telephone # PLUMBING HVAG Inspection Date Insp. Comments FOOTINGS FOUND FRAMING « r v ROOFING ROUGH PLUMBING PLBG AI R TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLAGE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATIdN METER FLUSH MAINS coNOUCriviTv TEST HYDROSTATIC TFST BSMT R.I. " BSMT FINAL DECK FTG DECK FINAL j ._.?; l CITY C!F E,4GAN Permit No; Date: 3830 Pilot Knob Raad Meter Nn: 5 Size: AcIr P.O. Bo? 21189 Reader No: 1 6 9_ Date: Eagan, MN 55121 y(+? - _ - ? I I ? Owner. Site Address: Car_ibeu L.07t,J 7,-; Plumber- Conn. Chg: ???' `? •'??'?? ?A4? ??1? F;?. Acct. Dep: Permit Fee: Surcharge: 4 ?y with the City of Eagan Tr. Plant ouv a Meter. WATER SERVICE This reque5l void 18 mon[hs (rom Hequect 4ate-4 /O 30- ?? Fire No. Rauph-in Inspectwn R wred? Y ? Reatly Nuw?Will Nouty InsOer.- tor Wh n R ? es No e eadv Ucensed Electncel Cantraclor 1 hereby reques[ msDacLOn of above Owner alectncel work inaialled at Sueet Atldress, B x or Rout No. 7z?/ ??r?u 4n. Gfy ?-;a.62n acuon o• Townsh,p Name or No. Range o. Counly Occu ntIPpINTI ?j'J'1e Phone No. Po'?`?r ?Su ph¢r ?/ /? C` ?rL ?Yl '7? 1° l f? Address 1-- /?? ? -?rh'li ) p , y - fe zy I / Electn al Contractor ICompa y Namel Co tractoe's License No, I o?n ?'.?? yr<< CYP/ frs-.3 Maibnp A dress IContraclor or Own r MakinO instailavonl ?S ? !?w 2 - S a /79/9. AuMor¢ d Signature IC ntractod wner a inB Ins[allation) ne NumDer 8'4v-636 C/ MINNESOTA STATE BOARD OF ELECTNIGITY THIS INSPECTION pEQUEST WIIL NOT Griggs-Midway Bldg. - floom N•191 BE ACCEPTED BV TNE STqTE BOANO 1621 Universitv Ave.. 51. Paul. MN 55104 UNLESS PNOPEH INSPECTION FEE IS Phone[672)692-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION &Vk es-ooooi-os ? , See Instrucpons for comoiabng this fwm on back ol yellow capv. "X" Below Work Covered by 7his Request ?. . A RaO. 7vPe of Bwldmg Apphancea Wired EpuiVmenl Wired Home Range Temporery Service Duplex Water Heater LighUng Fixtures Apt. Bwlding Dryer Elednc He21in Commercial Bldg Furnace Silo Unloader Industnal BIAg. Air Condrtioner Bidk Milk Tenk Farm omr, nro v 001E, (sn41,00 t ,, Succify Othe. Oth¢r Compute lnspection Fee Below p Fea ServiceEnlranceSize tt Fea Fexders/Subieetlers N Feg Cirewts fZ .lTD U to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 qmp5 37 to 100 Amps 31 to 100 A s Swinming Pool qbove 100_Am s AAove 100_Amps Transtormers Irngation Booms Partial- Other Fee Signs Speciallnspecuon TOT Nemerks AL FEE Rouph'm ? e ?^b I, the Elecbical ? ? ? / 0 InsDecbq hereby Final /?? U/nt?j ?ertdythatthexbova ctmn has been ? ' (l.. r (d?// da tlim reQueal voltl 18 monthe Irom Th,s repuest void 10 monlhs Irom neque;t UBIe - 9 Ci f G? ? Q Fr¢ No, Raugh-?n InspecLOn R,e?qua,iretl? .,---..tt ?Heady Now?Will No?rtv ??spec- pQ? ? N 1 Wh fl _KKIcensed E1e11ncal Conlractor 1 hereby request inspec[ion ol ebove ? Owner electncal work instelled at. Street Atldress, Boz or Route No.? ?? h 1 aA, d cuon o. Township Nama or No. Coun1 Y Ocr.??n.n? (PqINT) ! ` ?'a cL?r> e!/ Phane No. .SZ9-s?G9 Power Supplier K ? f i Adtlress ec 2 L s Electncal Contractor ICompeny Namel / Cnntr&rtor's License No. ?S,GL.J G?I' GA2[c Mailing tlJrass IControctor or Owner Mak B Instaflavonl 7?75 CcJ EF 3 . 4, ? - Autho ed Signatu IContractor/ ner Makind Installatwnl Phone Nmnber MINNESOTA STqTE BOAqD OF ELECTflICITY THIS INSPECTION NEQUEST WIIL NOT Gliaes-Mitlwey Bidg. - poom N-791 BE ACCEPTED BY THE STpTE BOAHD 1821 Univarsnty Ave.. St. Veul. MN 65100 UNLFSS PPOPEP INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-os N C , Sae mstruchons lor compleLrg this torm on beck ot yellow copV. "X" Below Work Covered by Ihis Request ?Iew?AAC?.Rep.? ?Typa ol Butltling ? Apphancea Wired ? Equiumenl Wved ? ? ? Home Range Temporarv Service I I I I Dirole.x I I Water He»ter 1 I Liahtina Fixiu1w1 I ? i,ommerciai niag. 1 ? rumace ? aiio unionaer ? I ,ndustnal Blda. Air Conditioner Bulk Milk T:,nk M Fee Se/vicaEntrenceSua tt Fee Feeders/5ubfeeders N Fee Cucurts o to200qms 0 to30qms Oto 30Ams Above 200 qm ps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 700_Amps A6ove 100_Amps Transtormers IrngaLOn Booms Partial.'Other Fee sigls Special Inspecuon S pema.ks TOTAL FEE Rouph-in Dnte I,the Electncal Inspector, nereev certily that tha above Final D5?/J ?te mspechon has been metle. Thb reVUeat roid 18 manihe imm x CITY OF EAGAN N0 1$7$5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8700 C a SZ ?Q BUILDING PfRMIT Receipt # J ? To be used for DECK Est Value $1, 000 Date MeR 14 , 1991- Site Address 724 CARIBOU LN Lot $ Block 5 Sec/Sub. FAWN RIDGE 2ND OFFICE USE ONLY Parcel No occuPancy - FeEs . Zoning - w Name TODD & MARY EDHOLM (ACtual) Consl - Bidg. Permrt 9 5_ 00 ; Address 724 CARIBOU LN (Albwable) - Surcharge .50 ° pit EAGAN Phone 456-5302 y x of srories - L h vr r Plan Review engt o Name ZARBOK CONSTRUCTION Deplh 34, saG crty , ?a Address 3119 dOYCE CT S.F Total. - SAC MCWCC , ? City EAGAN Phone 688-2686 SF.FOOlprinls - Water Conn On S[a Sewage _ Name On Sae Well - Waler Meter F Address MWCC S slem Y - ul Acct. Deposit City PhonO Cirywater - tl PR R S/WPermn equire V - I hare6y acknowlege that I have read this application and stale that the 8ooster Pump - SNJ Surcharge infortnalion is correct and agree to comply with all ap licable State ol Minnesota Statutes and City f E ?rdinances 7realmeN PI Signature of Permilee ?-?- APPROVALS Road Unit A Building Permit is issued to: Z BO Plannar - park Ded. on the express condihon that all work shall be done in accordance with all Council applicable Stale of Minne oia Statutes and City oi Eagan Ordinances. s gld9, pry, _ Copies / ? " ZS.SD m?_ Building Olficial ,7?/q/I??I ?o ?,ra'_ Vanance - TOTAL ?-.r?. ,,.. , . . . 4 „ ? ' ...-. . ? ..t ?. ::. ?f vv - nuuumg nuurces a :V, 8uifdfng txrlcial:, r Bldg. PCrmit No. 14 1 OST IN A C4NSPICUOUS PLACE ? - ? f 5 ? r ?.. . ? . ? ? . : RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 NewConsVUCtionReauirements RemodeVReoairReauiremeMs • 3 registered site surveys showing sq. k. of lot sq. ft. of house, anil roofed areas • 2 copies of plan (20%mazimum lot coverage albwed) • i setof Energy Calcula6ons for heated additions • 2 copies of plan shaving beam & window sizes; poured found design, etc.) • 1 site survey for exterior additlons & decks • 7 set of Energy Calcula6ons • Indicate if home served by septic system foradditions • 3 copies of Tree PreservaGOn Plan d lot platted aker 711193 • Rim Joist Detail Options selectlon sheel (61dgs vAth 3 or less uni6) DATE G? JOB SITE ADDRESS 7 Z q CAoe?l7rm AWG/?il/ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TdAh 47)IM1,1YJ TYPE OF WORK /PC?UO F w/?11 **P UA? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT O6fAL/7% (dA/17Ai` GONN /NL PHONE# ADDRESS Na/"TNEXN /ZPE79 149a-l6 $ ll 4l' /6/C' '4/7ki,v CMN ZIP CODE SG ?`3 / PAGER # CELL PHONE # 61Z • 9$,:P• 6al / FAX # NEW RESIDENTIAL BUILDING ONLY- PILL OUT COMPLETELY Energy Code Category _ MINNE50TA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ P1umUing System Includes: Mechanical Contractor. _ Mechanic:il System Includcs: Sewer/Water Contractor: _ Air Conditioning Heal Recovery System Phone # Fee: $90.00 Phone # All above information musS be submitted prior to processing of applicaGon. ? I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordin c s. S(gnatureofApplicanf ?""'°" 4e141_ wn?_ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 Water Softener Waler Heatcr _ No. oF Baths Ole- VALUAfION :0!5_?0U '' Phone #: Lawn Spruikler No. of R.I. Baths PERMIT CIT-Y OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BurLozHG Eagan, M innesota 55122-1897 Permit Number: 0 3 2 0 9 8 (612) 681-4675 Date Issued: 0 5/ 2 9/ 9 8 SITE ADDRESS: P.I.N.: 10-25801-080-05 724 CARIBOU LANE LOT: 8 BLOCK: 5 FAWN RZD6E 2N0 DESCRIPTION: PORCH& ROOF SF PORCH ADDITION 434 AL7. RESTDENTIAL ?? ° «d tia::: X ,.-,, SCREENED E16 iPermit Type tBuilding lkork Type Census Code y F ty '? : r. ' `(^'`-33 ?? y )t REMARKS: PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge $3.00 Total Fee $115.25 CONTRACTOR: OWNER: - Applicant - EDWOLM TODD 724 CARIBOU LANE EAGAN MN 55123 (612)456-5303 I hgreby acknqwledge that I have rsad this information is correct.ar?d--ag"rtb compl'y Statutes and City of Ea9an Ord.inances. iI APPLICANTlPERMITEE SIGNATURE ap;prlication apd st7te that ths wii?_h a12, applkcablO State aF;Mn. " ISSUED BV. SI TURE / •??r-?G1 ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL+?? U crrf oF E?aax asso pn,oT xiNoa xn - ssiza 681-4675 New Construdion Reauirements RemodeURec ? 3 registered sHe aurveys ? 2 copies ? 2 oopies of plans (inclutle beam 6 window a¢es; poured fid. design; etc.) ? 2 afte su ? t energy ealwlations ? 1 energ) ? 3 copies of tree preservation plan if lot pletted afler 717193 ' required: _ Yes _ No DATE: j, 'f7 - lcP- ?8 CONSTRU) DESCRIPTION OF WORK: ?X/kJ40,Y!rp??) fAl GX%S STR T ADDRESS: Z2J? L GZll&J f.?jP Vt/O'T- BLOCK: ? SUBD./P.I.D. #: F;?l W V edditions 1? I 2'I Name: iQN O/ YYI ?dd'Q Phone - 1 0--24A((l?jLrSJ PROPERTY L851 Firsc 'y S C - S?? 3( pjty) OWNER w _ / ?i Street City State: Zip: Company: ??Al ? ev,ue? ? P6one ti: CON7'RACTOR Street City State: ARCHI7'ECT/ / ENGINEER Company:?JUP_ ( C/0 0. i4 e?v Phone #: Street City Zip: Registrarion #: _ State: Zip: Sewer 8 water licensed piumber (new construGion ony): . Penalty applies' when address chang and lot change is requested once pertnR is issued. I hereby acknowledge that I have read this application and state that the infortnation is State of Minnesota Statutes and City of Eagan Ordinances. -1-1 Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required License # with all applipbl ? 01 Fo ? 02 SF ? 03 SF 404 SF 0 05 SF WORK TYPE O 31 New )k 32 Addition ? 10 = plex ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning M3 Basement sq. ft. _ Main level sq. ft. _ sq.ft. sq. ft. _ sq.ft. _ sq. ft. _ _ Footprint sq. ft. Building Permit Fee Surcharge Ptan Review License MCNVS SAC City SAC Water Conn. Water Meter ACCt. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units , f OFFI CE USE ONLY V ? 11 Apt./Lodging ?i I? 0 ? 12 Multi Repair/Rem. m ? 13 Garage/Accessory 0 ? 14 Fireplace m O 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Rool 20 Fublic Facility 21 Miscelfaneous V I! . , •.. .. li MC/W9, System City WOer Fire Sprinkiered PRV '.u' . Booster Pump Census Code. SAC Code Census Bldg Censui Unit Engineering i! Variance b/ / 0 Valuation: $ ?- ??.ei?N?p ?cker- li ??•y xtS.S - ?7'7 ?11? 3o I!= s3?v.? ii li .. ? q . u II h , r. COHSUL7I110 CHOINEERS plBNNERS snd 111HD iUR' F , lURNSVILLE, YINNESaTA 5!337 PN 4]2'3000 ??? CerZifi ccz?e Suf'-i"ey _ LoT 8, BLOCK 5, FAWN 006E ZND ADDlTloN twKOrq CvuNn; M/NNESoTA , (3¢_h7D DENOTES fX/STlNG ELEVAT/ON (94sS) 06N07r5 PROPt9SE9 ELEM711ON ?f 1/VD/CA7E5 O/RECT/oN OF SURFACE DR4/NA6E •• 9¢9.e3.- F/N/SHED sARAQE FL0o1Z ELEVATION t% 9 1? . Q?? f?` 0 /?.^ yoop? %?y '?6' FRmIT BWGD/N6 5E7MCK L/NE n i- d0 ?7y" • - c t`'• ? ? . ? l?' C i p ,e ?s ola' ? s ? l ? ? `VP_ ?/ GE• >? ?s. '?s.. ??' LO ? or - L DT 8 DARWAG&- Atilv i ?_ . UTJLITY OSEMg? (.JL_L? ... I ?. ?.: /80. 53 i 3?.0l lV 890 ZZ' O¢,• w I heriby certify that thia is a t:ve and corsyct representation of a tract ot land as tho+m'and described hereon. As Pr+par+d by ma.on this _f 79 _'day ot ? $?E' YrEMBEe- ? 19?7 . . ! Hinn. Wo No. 14,6P SCAI.E : l" = 40' ., . CoNSUITIHO tItO1NEtlIS pkplll{EAS and LRHD iuR' , BURNSVILLE , VIHNESOTA 5=337 CerLif z cczZ e Sj ? Ye y ?e?a1 .De4Cr4g2ion: .LoT 8, BGOCK 5, FAWN !Z/D66 pQKOTA CovNT1; MINNESOTA 5CALE : /" =40' cA4 `6J / :90'??'? eY. R% % C3.¢-+:D OENOTES EXISTINC ELEVAT/ON ZND ADDITION (943:5) GEN072E'5 PFCOPOSED ELAEMT/ON lND/CA769 O/RECT/oN OF 961RcACE DRA/NA6E 9¢S.B3- F/N/SNEd GARAaE FLOOkZ EL.6VATlO1J 0(ff ,ov", ?r +i'\i ..fo ' FRoNT 601Lo/N6 Z 4E7MCK L/NE ? ? ?- ??'•s???v, /\ . ?? . ? \\? ? ? v\<= ),NO J D\ y6' - ?? cP_J C T l ?- \ DR41NAG&- AND UTlLITY eASE ? ? s' `?_?• ?'?? ?-•??? / ? . ? / / / / LD T ? !YVt s r 180.53 (7at.-4) /J 99° 2Z' 04 W I hertby certity that this is a t:ue and corr+ct representation of a tract of land ay sho+rn'and deacribed hereon.• As praparid by ma.on this L2?..'day ol 14EPTEMBEr- 9 19 87 . • ' Nlnn. 11rg, No, "O€ CITY OF EAGAN N2 1416 5 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 BUILDING PERMIT ' PHONE:454-8100 AeceiPC# ---7 --7 3 a9 Tobeusedfor SF DWG/GAR EsLValue $$3,000 Date SEPTEMBER 14 19 87 Site Address _ Lot $ Block Parcel No. ¢ z 3 0 Name MCDONNELL CONST Address 4467 REINDEER LN City EAGAN phone 454-9183 o Name SAME ?Q Address : City Phone H Name_ ww w z g Address `w City- I hereby acknowledge that I have read this applicetlon and state that the Information is cortect and agree to complywith all applicable Stete of Minnesota Statutes nd City of Eag inances. Signature of Permittee ?fzi-?-?-?.a?" . A Building Permit is issued to: MCDONNELL CONST ali work shall be done in accordance with all applicabl State of I Building Official 724 CARIBOli LANE 5 Sec/Sub. FAWN RIDGE 2 ND I OnSiteSewage MWCC System On Site Well ciry water APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance OFFICE USE ONLY OccUpanCy X Zoning ? Type of Const (ACtual) (Allowable) u of Storles Length Depth S.F. Total Footprint S.F. FEES _ Permit _ Suroharge - Plan Reviaw - SAC, Ciry - SAC, MWCC - WalerConn. _ Watar Meter - Road Unit _ Treatment P1 _ Parks Coples TOTAL R3 --PD- UA -Vtl $ 444.00 41.50 222.00 ton_o0 575_00 595_OQ 67.00 305.00 180_00 ?30 on the express condition that Statutes and City of Eagan Ordinances N ,_ • ?„ '/ 1987 BIIILDING PERMIT APPLICAR] SINGLE FAMILY DWELLINGS INCLITDE 2 SERS OF PLA9S, 3 - CITY OF SIIROEY, 7 SfiT OF ENERGY CALCOLATIONS . NOTE: ADDBESSES FOR CORNEH LOTS - COATRACTOR/HOME06iNER MQST DESIGHATS WHICH ADDRfiSS IS DESIRfiD. NO CHANGfiS WILL HS ALLOIiED ONCS BDILDING PEAMIT IS ISSDSD. MO[.TIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CEfC 1 SET OF ENERGY CALCULATIONS COMMERCIAL RSNTAL iTNITS FOR SALE UNITS OF SIIRVEY - CHECg ftITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTIJRAL.PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE 90ND To Be Used ForqsiNCCp`Ar//Lx Valuation: 1Ydtee 91?/'/S'7 Site Address ?a g, ea-? c?, - OFFICE IISS ON?.Y I On Site Sewage_ MWCC System On Site Well City Water Lot gr Bloek S' Parcel/Sub?j¢lrv A >,aE ?r/? • Owner /''CJ?on/N EL-,. Co,vS i ' Address 11-44 7 IIiFfn'Dc E.( Ir( City/Zip Code G,4A411 5L.S`/7- 3 • Phone 93. Contractor ? HE Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Assessments Water/Sewer Police Fire Engr Planner Council Bldg OfP ' 9 Lq APC Variance Occupancy Zoning PD R-1 'i Type of Const V nI I (Actual) (Allowable) V- N !/ of Stories Length y4.s Depth S.F. Total Footprint S.F. FSES Permit 14qL.00 Sureharge 41,50 Plan Review 22 Z, m SAC, City / D o• ou SAC, MWCC ZS I oo I Water Conn S 2 .uo Water Meter 6 0o Road Unit 3oti,0o Treatment P1 120,00 Parks Copies TOTAL ? S-0 Phone # GA KAC?E `Z't-X Is" = 396 '6! ''Z x 409 xi2= N9os T35rnT 24K3G= 86y I4K.?i? 33L ??oa x iu= /?sda i5T FL.oom ?? x z3 ; S?IX ? ?[ 13 = 33? l4 u 2? = 3?? ?'/? ? ! G = Z?l ZX ?`I , u?3 ?10"1 ? , , ', - '' ? •• EXTERIOR ENVEIAPE AVERAGE "U" ' COMPUTATION OWNEA M G D 0 6J NF- Z- L G o W 5 7Q, u cT 1 o tit • SITE ADDRESS /-0T ? • ? LPL S" /Ci3w.i ?, ?ac- '?N9 . OONTRAGTOR?7[ De?YNELC C?NSi DATE ?i°9v?, P$ONE ?FS?K??/p'7. Determine vorking square footage of each. 1. Rbtal exposed wall area ..... `8l3 sq, ft. X •?? - ? 4g. 43 2. Total roof/ceiling area ....... {3 55 sq, ft. X•? 2 L - 3 4•'7 ? ?' A. Total wall window area ......................... I 2 4 B. Total door area.:............................... ¢ o C. Total sliding glass door area ................... 1 2 0 D. Total ffreplace wall area ....................... E. Total wall framinq area (averaqe 10i........... 1,313 F. Total Rfm joist area............................ 1 48 G: Total Net wall area above floor................. I1 q 4 Total exposed foundation area - H. 'fotal foundation window area .................... 1. Total net,foundation area above grade...........? 18 I 3 Determine "U" value of each wall segment. a. I 24 X"o" .43 V1 S3.3Z b. 4-o x°V° . 23 a q.20 C. I L.O ]( °U" .46 n 5~I .?00 d. X "U° a e. ? 33 R°U^. .10 a 13.30 X nun 104' n 5.9Z. y. I194 x ^u^ .04 = 41,1G TI. X nvn v i. r7 4' X"U" .10 a 5.40 3................................... Tota1 ° f 1 ?.O Q If item A3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. . . . . . ?.?. Total exposed roof/ceiling area m j• Total akylight area ................................ k. 7bta1 roof/ceiling framinq area (average 103)...... 1. Total net insulated roof/ceilinq area,,,,,,,,,,,,,,- Determine "U" value for each roof/ceilinq 1335 134 0 ? i 3 s 5 seqmerit. i. • R wUw e n k._ I 3 4 X"U" . 0 27 G ? 3.1 O , ? 1• • {2ot % wUn ?02$ ? 30?a3 4 ...............•. .:....Total . 33 .'f 3 ? If lotal of #4 is the same as, or less than #Z0 you have met the intent of SBC 6006(c)l. . Alternate Buildinq Envelope Design 7b utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items A1 and #2. 1. + Z• a + 4. ? , L£ Construcci_o_q . R-Valuc l. 2. 1iz1' flRY WALL 045 3. 5O/z inches soft xood G,1L 4. 9HEpTMIF/G Z,OG 5. !S i v lmG ,G7 6. Exterior air film : 0.17 Total 10.1s rtL 1. Interior air film 0.68 2. +/Z" bLYWALL .45 3• 4. 5. 51Jz" iusuL. S1A EAT44 ING .5%P tntG I9.00 .OG .G7 6. Exterior air film 0.17 Total Z;,o'i u : . 04 fh7i ATIOH "f3S. 1. 2. Interior air film iu?uL . 0468 19,oo? 3. f l/z" wooP 1,89 4. 45HEATHIti1G ,oG 5. S?p1W4 .47 6. Exterior air film 0.17 Totsl 24.44 V_ .04 1. 2. 3. 4. 5. b. Interior air film 0.68 114suL. ,E.uC DRYWAI.t 8.06 12" 6Loctw- 1128. Exterior air film 0.17 Total 10.141 • Us,lO SIJ1B ON GRADE • ? ?? ` y o `' h' • ' % FRAHE WALL 'G. 'A3 . ` ` . ? ? . ? ' • o - ' e? • . ? ? . . . . . ? ? . • . , . ?. . ? e . ,r . • ? a ?• a • . ?,?? ??k ? , ' _ .•? : ????^ ? w ? • ? ' /? f v ' . • _ /(I . ' • ' /(/ . ? • FIG. #4 /f( ? .d.• • o ? /I / ? ` • . /it ? /1( = llf c l?l ? NOTE: Indicate tyne, "R" value, denth and ' placenent of insulation. , dALL EFA^.T'aONS ? nrP 15* of opaque wall area for '''X lzame conatructi@n . . f , ,'I • •? ROOF/CEILING 1 varr .• ? \'J `:! Vented ' fleat flow up • ' FIG. AS • •_ _ . _ 1 11eat flov up, . vented• CLG. FRAMING(Use for Item K) 1. Interior Air.film 0.61 2. 5I8" SME.E.?Racr- 35G 3. Inches soft wood 31/7-" ' +, 3 8 4. Inches insul above framina 30.00 5. Air Film 0.61 9P0t?1 3G . 1 L • V = . 82T (, 1. xnterior air film ' 0.61 2. 3. 4. Exterior air film (still) 0.61 Total .FIG. #6 . ' . ? 1. Inside air film 0.61 2. 's. 4. 5. Outslde air film 0.17 Total Not•c: Uso additional shccts if mc,rc- space ia needed for.dr.tails and calculations. ? • .,, . iJ Construction (Use for Item L) x-Value 1. Interior air film 0.61 2. ' SA SHEE.T"e? S!i ? 3. ?NSU?. 39.00 4. _Exterior air film (still? -O.ZiI Tota1 34.9 S .. ' . U c.oZS fiT,(,, 07 : ? NOR-VLTNTEQ , L? ? . Neat . , flov up . N oU?NNE? CoNST aoeE CbHSUlTIH6 ENOINEEAS ENGINEEI?ING PIRNHEAS and LAHd iURVEYOflS ?p 6? 54 COMPf?NYI INC. 1000 GtST 1461h 57pEET, BURHSVILLE, LIINHESOT,1 55337 PIi 432'300Q C4ETZZACQzC c ?a? c1 .?eJCrL,o?ian: LoT 8, BLoCK 5, CAWA/ R/D66 Ll4KOTA CavNTY, MINNESOTA C993-=ID DEND7E$ EX1S71N6 ELEVA7/ON (943:5) DENOTES PROPOSED ElFMT/oN ZND ADDITlON ?.? /ND/CATES. D/RECT/oN OF 9UR`ACE DRA/NA6E 94-5.93= F/N/SN6D BARAGE FLOOYZ ELEVLITION ,3o' Fr{oN7 $v/LO/N6 S&TLMCK L/NE o 1 E ? r-\ ? 6 0 o_ C? A?o ? ^ 90 'S ??l ? /80. 53 /V 890 22' o¢" W I heriby cartify thst thia ia a t:ue and corrsct rapreeantitian ol?a tract ot land as shoxn'and deacrihed heraon.• Aa prapared by me on this d+Y of 9EPTEMoBEg- ? 19 87 . • ? Ninn. lig. No. /G,os-S- - SCACE : l" _40' CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ...... .. " - a ii}1?1? t? • *10TPI: PAYMMTP OF PF.R. AT TIME OF npri.ic.ATIaN DOEs NDr oaa-riTrTE ? npPROVAL oF PEF44ET. . INspncizort aF sEWEZt nrnAst wOx nmAra.ATLors raIIa pDr BE scHED- tA.m vNru. PERMrT tAs EEEN npPRovM. ? '__,.____,.---- _,.,.:,.,.:::_,.,.:,.:_;,.,.:_: P ease Print ? ? 1) PROPERTY ADDRESS : -72-4 rw1 Ol ) I Y) . ? •- LEGAL DESCRIP-TION: _- _ - -- - -. -- ? .- . Lot B oc Sub ivision or Tax Parce ID IF EXQSTZNG STRCCIL'RE, DATE OF ORIGINAL BLILDING PERMIT ISSI'ANCE: . . Mon ear PRFSIIJP ZONi1VG/PROPQSID OSE: .. ? CM'?CIAL/`REMMu+/0FFICE [21 R-1 SINGLE F1lFIILY . r-3 114DUSTRIAL Q R-2 D[)PI.EX (1Wo Onits) 13 INSTITL*IIO1?AL/?IItAAffSTT (j R-3 TCxMiOM (Three + ifiits) ( Units) . • (v' R-4 APA[tTMIlNf/CaIDON1ItJICfiI ( [fiits) 2) ?.,? . ?: --- --- -- - -- - ADDR£SS: - ---_-_?_ __--°_-_-° CITYr S'fATE, ZIP: 3) NAME: ADDRFSS: CITY. SlATEr ZIP: NFAS'TM I.ICQNSE1 4)-moc , • 121- ]lctive Expired Not recorded S-taff Initial --- anoxESs: • crrsr, STA7E. zxp: PHONE: . •5) ? i «• • ?• : a • ?• :? a? • CONbIIX,TION 10 CITY SF3M Q' CODIIaX.TION 4U CITY WATfR ? ?? . 6) ? • • r Q PLEASE FK)ID APPROVID PMIIT FM PICK-UP BY ONE OF AHOVE -- Q PTEASE MAtL -APPROVFD PERMIT RO 1. 2; (p 4. ABWE .:. - - - o - -- - - - - - - (C12'Cle Of1e) 7) ? ? ?y lU •G? .c -? ? 'lull • '1' • Y" 1: ? • • ? 1' •? ' ? " , IOI• ? /• Y?' ' p• ? • ?• ? • i. •?' ?p. Yq.'tlD? • 1 /1 7" • ?• D1' •?. t •? . FOR CITY USE ONLY PERMIT # ISSUED II 9?oz 7 - II Pd w/Bldq. Permit FEES: $ $?/C • S-D SEWER PERMZT (INCLL'DE SCRCHARGE) $ S-_ /? C• S ? ?I WATER_ PERMIT (INCLVOE SURCHARGE) -- $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL?DE IIORPORATION STOP) S $ SEWER TAP o--cJ ' ACCOUNT DEPOSIT - SSWER 1 ACCO[NT DEPOSIT - WATER S `d 2 .S ' Cr- c:? $ . . ?? . . I WAC > l0 7 S^ d Z? $ ? SAC _ - - -- - UNR WATEIt. - ASSESS NT - - - - - _ _ - . - -°_ - --- = •-=- - --- -,?-n, _? . . TRONK SEWER ASSESSMENT i LATERAL BENEFIT/TRL. R SEWER $ i LATERAL BENEFIT/TRUNK WATER WA E N T R TREATMENT PLA T SURCHARGE S UTHER: ? ?? 9 7 • o -o s ? ? rro Torai. ? 7 73z y -7???S RECE PT RECEIPT I? OES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT?OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN?IPLBLIC Q ROADWAY" MUST BE ISSCED By THE ENGINEERING NO DIVISION, LIST AS A CONDITION. Ii OBJECT TO THE FOLLOWING CONDITIONS: li PPROVED BY: . --- - --- , _._-_,._,--ma..-.=-----??------ ---- --- - -- - ----- ----?--- - -- - -' - -- TITLBe --- -- - - ? , -.. .. ? - - - - DATE: ? II • il - _ - ° - - ?ttit1991 BUILDING PERMIT PLICATION CITY OF EAGAN . SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINCS COMMERCIAL 2 SETS OF PLANS 2 SETS OF YLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALC[TLATIONS (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 REQIIEST 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 ALIAWED 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. To Be Used For: Valuation: Date: --T° J3' qV Site Address za Lot ? Block ? Parcel/Sub S--'aeu? ??rQc7??`•?tr Owner aCl' Address City/Zip Code Phone ? S"G - S 3b e2 Contractor Address ?7j/? g pTp?fQ ?• City/Zip Code Phone CJ?/? ' ??D (v Arch./Engr. OFFICE Occupancy 2oning Actual Const Allowable # of stories Length :?b Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pwap _ FEES Bldg. Permit ,Zj, L' a 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. Trai.l Ded. Copies SUBTOTAL. APPROVALS --?P.enalty__. J Planner Lot Change ? Council TOTAL Bldg. Off. 2? C)S Variance Address City/Zip Code that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. T. Y.. i . tONSUlTIHO lHOHEElIS PIpHHE11S end [ANO iUR' F EURNSVILLE, YIHNESOTJI 5S337 PN 4320300O Z cczze 4? Sur?-Ye r.? _ ?.e?cl_DC.1c?Lp2ionr . LOT 81 B[pCK 5, FAWN R/D6E v4xoT4 CvuNTY, M/NNE.SOTA I , ZND ADD/TlON CQaJJ DENOTES EXISTING E1EV,4710N (943:5) DEN07r$ PKOROSED E4E?.4T/ON /ND/CA795 O/RECT/aN OF SuR6ACE DR41NABE •• 9¢5.83 _ F/N/SHEd BARAC-iE FLOOk ELEVi4TlON lvl? ? , . y^ o ?§? ,i?i2 .6' FRmIT 8111LO/N6 yETLMCK G/NE R' fO'S wls;d.e IC_). \/% P?' ,'6 •s? ? `,? 4%N r N C_l1v`, J / 6' - . ? ? LOT DRA/NAC& AND U7ILITY rA56MEN7" ? C _L? ? I `. ..: 180.53 N B9° z2' 04" W . I heriby eertify that thl.s ie a t:ve and eorr+ct repretentation o[ a traet o[ Und av oho+m'and deecribed hereono• As prepar+d by fia.on thii -IL70 'day ot ? $'EyTEMBM t 19 874 . 4CS4l-E : l" ° 40' U For Office U~ D City of Eaan JUN 2 4 2009 Permit Fee: ~50' 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 MECHANICAL PERMIT APPLICATION DateLQ \9 09 Site Address: t 4 ( ( )oa L(N Tenant: Nt-) (Vt Suite RESIDENT / OWNER Name: 4 mcft 1'(t \t \ (Y) Phone:(DSj- 1 4 Address / City / Zip: ~~L' LC I b& L-1 CONTRACTOR Name: License #:~kl Address: 3451 W. Burnsville Parkway Suite 120 City: BUFnsyiue MN 55337 State: Zip: Phone. , , T J Contact Person: TYPE OF WORK New X, Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and 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 Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump kUnder / Above ground Tank Install / _ Remove) When instal Iin removin tanks call for inspection b Fir 9/ 9 O, by e Other n 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) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $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 Ja review and approval of plans. 1Zf~?C t~s7 x_ ~ -7 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA159150 Date Issued:11/22/2019 Permit Category:ePermit Site Address: 724 Caribou Lane Lot:8 Block: 5 Addition: Fawn Ridge 2nd PID:10-25801-05-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 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 - Todd A Edholm 724 Caribou Ln Eagan MN 55123 (651) 269-0505 Quality Craft Construction 21275 Blaine Ave Farmington MN 55024 (952) 895-0414 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179851 Date Issued:10/24/2022 Permit Category:ePermit Site Address: 724 Caribou Lane Lot:8 Block: 5 Addition: Fawn Ridge 2nd PID:10-25801-05-080 Use: Description: Sub Type:Furnace Work Type:Replace Description: 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, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Todd A & Mary L Edholm 724 Caribou Ln Saint Paul MN 55123--303 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature