4254 Augusta Lane.
CITY OF EAGAN
WATBt SERVICE
PERIWT
? 3830 Pilot Knob Road
! P. O. Box 21199
' PERMIT NO.:
E Esgan, MN
55121 DATE:
i 2onlnp:. . No. of Units:
i OWfIlr: .. , . -
AddroR
Sih /lddras: .! .? ?. ,
Mumbar. ',"' i ,•
Meter No.: Connecfion Chwoe:
S1ZA: /??
/?OOOI//it .+Q?,w.t: ? K ri
• ,
Rwdar No.: Permit Fee: .
1opm In aswPlg wuh iw Ciy d Epwe Su?charge:
Orriwwnar. Mlst. Charges:
TotoL•
BY Dota Paid:
Dote of Irisp.: Irnp.:
t;
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 59121 pATE;
zonin0: No. of Units:
OwMr, a .
Address:
5ite /lddi
Plurnber.
1.sn.. ro 00mm* wil& th. C11y ei awn
Ordlnawees.
By
Date of Insp.:
Conrncflon ChoMo: Axount Depodt:
Pe?mit Fee:
Su?cfwrgo:
Misc. Clarges:
Totol:
Dob Poid:
CtTY OF EAGAN WATER SERVICE PERMR
3830 Pilot Kpob Roed.
P. 0. Box 2 99 PERMIT NO.:
Eaganr MN 5512,1 D/1TE:
Zonlnp: -
M of Units:
er
o S
7t:C
.
Ownwr: ,
.
.
" '
Address:
$it! ^ddfiQli: ;i T-1E: i:It `i e Z , .
Plt7ft1bi/: Y :.':tnCJU 1 , A•1tit? _
Mafor No.: .36 s '?
?
Size: ?-•-?v . ? ??c
??My ' S
Rooee. No.: s6 8e ore?? ? iC. .. 7 p ?
?
1 o0" !o oosoply wMi !I» Su
rchaaw:
. ? . .' P
-
Total:
BY Daft Paid:
Dote of Irnp.: lnsp.:
PERMlT #
RECEIPT #
DATE
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE - $20.00 + $•50
1. Bldg. Type: Res SG_ Camm.
3. To!OBid Price
?
Lot ? BI?ck Sec
6. Contractor
(Name)
7. Contractor Phone # L= ?-
FEE
S/C
TOTAL
Inst 2. New Add Alter ? Repair
Job Address
5. Owner '
(Streat) (CitY) --s (ziP)
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
-LL/HEATING VENTILATING HOT WATER STEAM A R COND.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RAfE - 1°Yo OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH S1,000 OF FEE.
. 1 ?
Signed: for
Approved' Inspections: Date Rough Insp. Date Final Insp.
??5v
PEHAAIT #
. ?
RECEIPfi #
DATE
CITY OF EAGAN
PLUMBING PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $•50
MINIMUM COMMERCIAL FEE -:20.00 + $.50
FEE 04
S/C
TOTAL
1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. Job Address
Lot Block ? Sec 5. Owner
6. Contractor
1Namey (Street) (City) (ziP)
7. Contractor Phone #
NO. FIXTURES
? Water Cioset - $3.00
? Bath Tubs - $3.00
?Lavatory - $3.00
-Shower - $3.00
?Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
__LLaundry Tray - $3.00
1 Floor Drains - $1.50
-Water Heater - $1.50
_Whirlpool - $3.00
___?_Gas Piping Outlets - $1.50
-Softener - $5.00
NO. FIXTURES
_Well - $10.00
_Private Disp Syst - $10.00
:iRough Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.SO STATE SURCHARGE FOR EACH i11000 OF FEE.
Signed: for .
AppTOVed Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUItDING PERMIT Receipt #
To6eusedtor SF DWG/GA8 Fst_Vaha S7O#OO0 DAtP_ NOVEI
1J ???.5
? -
BER 19 ?y 85
4254 AUGUS' I`A LN E
? R3
d
SiteAddress rect ccupancy
Lot 1 Block 2 Sec/Su b. SUNSE:T 1ST Remodei ? 2oning
Parcel No Repeir ? Type of Const V
. Addition ? No. Stories
W Name J OSEPH M. MILLER CONST Move O 64
Length
Demolish ? 2
8
Depth
o Address
FAR CEDA
I'?INC R ?iVE SO
43 1-2001 Int. Impr. ? Sq. Ft.
City I;pr4
Install ?
a
Name SAA:E APprova b Faes
= o ?
? i
? Address Assessment
W
8
S Permit
h
???
S
Cicy Phone ew.
ater
? urc
arge
50
¢
? W Name Police
Fire Plan Review
SAC 525.00
I hereby acknowledge that I have read this application and state
intormation is correct and agree to comply with all applicable
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
JOSEPfI
A Building Permit is issued to:
all work shall be done in accordance with all appl
Building Official
- Eng. Water Conn.-
- Planner ?00
Water Meter-
_'
?
00
Council
11/14/$
Bld
Off Road Unit
Tr
PI
Qa
g.
.
of .
.
APC Parks
Var. Date Copie 50
:ONST Total
on the express condition that
sota Statutes and City of Eagan Ordinances.
ParmN No. PemiN Holder Daw TiNphoM N
PlumWny " ?O
H.V.A.C. LTIfl-bi
? • ?a?i
S011WIM
Inspsctlon Date Insp. Commenb
Footlnys I ?Am6
cv-
FocUngs 11
Foundatlon ? - ?
Framiny
Roofiny ?
Rough Plhg.
Rou9n F+ro• & -vE- T
Imul. AI C
Finplece
Final Mty.
Ffnal Plby.
BIdQ. Final
Carl.Occ.
Doek Fip.
Deck Frmp.
Wsll Dascrlbs Loeetlon:
Pr. Disp.
CITY OF EAGAN Remarks
Addition SLTNSET FIRST ADDITION Lot 7 8lk 2 Parcel 10 72985 070 02
Owner screat 4254 Augusta Lane state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
j STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK t r 1981 168.57 $.43 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$], 1($.5] $.43 20
STOFiM SEW TRK 1985 547.79 36.52 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
57664 11 19/85
WATER CONN. 500.00 it
BUILDING PER. 315
sAC 525.00
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
n, CiTY OF EAGAN
3830 PILOT KNOB RD - 55122
{ 651-687-4675
New Construction Reauirements
• 3 registered site surveys showing sq ft. of Iot sq. R of house, antl all roofed areas
(20% maximumlotcove2geallowetl)
• 2 copies of plan showing beam &window sizes; poured found design, etc.)
• 1 set of Energy Calcula6ons
• 3 copies of Tree Preserva6on Plan if lot platted after 711193
• Rim Joist Detail Op6ons selechon sheet (61dgs with 3 or less units)
DATE IO
JOB SITE
IF MULTI-FAMILY BUI
PROPERTY OWNER
TYPE OF WO K ?
APPLICANT
ADDRESS
PAGER #
NG, HOW MA'NY UNITS?
nc,t? * --P",-('h
O
l??l,2 ?
? . ?
CELL PHONE #
? ? ? ? _?_ 12?_
I o - Ia-o(
RemodellRenair Reauirements
• 2 copies of plan • 1 set of Energy Calculatlons for heated addilions
• 1 site survey for eztenor addihons & deck5
VALUATION (EXCLUDING LAND) 6'
I
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category i Worksheet Submittetl
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing Systcin Includes:
Mechanical Contractor.
Meclivnic.d Systern Includes:
Sewer/Water Contractor:
_ Air Conditionina
Hcat Recovcry Sys[cm
ree_ _.i ,-QO
i,
?I
Phone # r?
All a6ove information must be submitted prior to processing of application.
YRy_ ??
I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply with
cll applicable State of Minnesota Statutes and City of Eagan Ordi ces. '
Signatore of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _
_ Wa[cr Sottener
Water Hcater
No. of Baths
Phone #:
lawn Sprinltler
No. of R.I. Badis
Phone #
D
LACE(S) _0 _1 _2 3
ONE#
ZIPCODE 5 60I L{
FAX # LI -733 -q D ?b
Fec: $9Q00
Updated 1101
RESIDENTIAL
BUILDING PERMIT APPLICATION o c) ?
?" `3830 PILOT KNOB RDN 55122 t r
'
659-681-4675 ? 0 0 I
New Construction Reauirements RemodeVReoairRepuirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; anr911 roofed areas • 2 copies of plan
(20% maximum lot coverage aWwed) . 1 set of Energy Calculatlons for heated addi6ons
• 2 copies of plan showing beam 8 window srzes; poured found design, etc.) . 1 site survey for extenor atldihons & tlecks
• 1 set of Energy Calculations . Indicate if home served by sepGc system far additions
• 3 copies of Tree Preservahon Plan if lot platted atter 711/93
• Rim Joist Detail Options seleclion sheet (bldgs with 3 or less unitr)
DATE /C19 /a?//O/
JOB SITE
VALUEPION
IF MULTI-FAMILY BUILDING, HOW MANY UNJTS? /
PROPERTY
TYPE OF WORK ,P/*W FIREPLACE(S) _ 0&-1-' 2
APPLICANT Gl/l*-si<.f PHONE#
ADDRESS 2???dUo A4e14'sLf 12v- !I?`7 ZIPCODE SS/d5"
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing Syslcrn Includcs:
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
Waler SoEtcner I,awi Sprinkler
Water Heatcr No. of R.I. Baths
No. oC Baths
Mechanical Contractor: //??45 i?.t?
Vlcctivlicail 5ystcm Includcs: Air Conditioning
Hcal Rccovery Systciii
Sewer/Water Contractor:
All above information must be submitted prior to processing of application.
I'ce: $90.00
Phone # a5-l - 9 t? - F-7 77
Pce: $70.00
Phone
I hereby acknowledge that I have read this application, state that the information i correct, ayf
with all applicable State of Minnesota Statutes and City of Eagan Ordiyi nc s. Ciy_.-?
Signafure of Applicant C
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
agree to
Updated 1101
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex 0 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ?C35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Founda[ion
Drain Tile
Roof Ice & Water Final
Framing -
? Fireplace _ R.I. '?Air Test _ Final
_ Insulation
FinallC.O.
HVAC
Other
_ Pool Ftgs AidGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
;,, a a od
8 ironths 1rom 5 sq`? L
Mo..090427
Benuest Date
/ r ?/
_
a S Fire No. Roughu? Insper.tmn
rteA?
Yos ?No ,,,???,,,...///
?ReaAy Now ly? Will Nobfy
Insaec-
?? ror When Ready
Licensed Elecvical ConVactor I hereby request inspection of above
Owner elactrical work mstalletl et
Sveet Atldress, Box or Rou[e No. Cary
GI fGL 1? _ C
cuon u. Township e uf Np , anye No. Counly ?
Or.cupam INT) Phone Nn.
Power up er Adtlre
ss
?
Elec/tJica?l Conv c/}+?r IComOan N
/ / / i 01 ? /' ??/r
(Jf' 7 . 7 //
r
No
ha m /s}ic/ef'se? ?
?/ /
Ma, inB Address ICO actor or Ownar MaktnB ? staJavonI
Authoriz d Sienam e IComra r ner Ma i B ??stallatignl Ph ne
b?Jer
D
? ?' ?..J ? •/f'1 1 ? ?
??
li
MINNESOTA STqTE BOAXO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltl9. - Noom N-191 eE ACCEPTED 9Y THE STATE BOAPD
1821 UniversitV Ave.. SL Paul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
_Phone (612) 297•2117 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPEC,TION EB-00001-04
yy I ee inslmctions lor complefing this`orm on ;eck of yellow coOV?. 0 S ? "X" 8elow Work Covered by Thrs Request
Add Re0• Type of Bmldmg Ao0lmncasWirotl Equipment Wirad
Home Range Temporary Service
Duplex Water Heater Ltghtiny Pixtures
Apt. Bwiding Dryer Electnc Heatin
Commercial Bldy. Fumace Silo Unloader
industrial BIAg. Air Condrtioner Bulk Milk Tank
Farm Oth, per.i y Othe, ISUec?lyl
[ er pecrty Other Othae
Compute Jnspection Fee Be/ow
# iee Servme Envance5iie H Fea Fnnders/Subfeetlers N Fee Ciwwts
l ! U 0 to 200 qm s 0 to 30 qm s a -19< 0 tn 30 Am s
Above 200 qmps 31 [0 100 Amps 31 to 100 q 5
Swimming Pool Above 100-Amps Above 100_Amps
Transtormers Irrigation Boortis .j"c? Partial'Other'Fee-?
Signs SUecial Inspec[ion
$
TOTA
O
Na?+arks L FEE A\
/
1 if l, /
I n. i
Fough-in ? ? On 11 I,t?e Elactrica??
y Inspectoq heraby
certdy that the above
Final / ?? ??}?1? . 0?e inspection has baen
matle.
mia reouest void 18 months from
???i ??
2007 RESIDENTIAL MECHArTICAL rExMiT nrrLicaTtorr
City Of Eagan
3830 Pilot Knob Road, Eagan NIlV 55122
Telephone # 651-675-5675
Please complete For, single family dwellings & rownhomes/condos when permits are requ'ved for each wit
SO•Sp
Date ?-? / 07
Site Address Uuit #
PropertyOwner ?7G}G ? 7_IULl1LL9 Lki_?C.f% Telephone#(
Contracta
O'CONNOR'S ONE HOUR
Street A 1904 VERMILLION ST. City
HASTING, MN 55033
?p
State
Telephone #(? 7 ' y177
_
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
? furnace _Additional ?Replacement _ New
air exchanger
? air conditioner
hsat pump
other
?
IJ $ so
StateSurc6arge,
FEB 0? 2007
Totel %
$ S D ,
i hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; [ha[ 1 unders[and this is not a
permit, but only an application for a permit, and work is not to start without a permit; [hat the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
/
Applicant's Printed Name Ap?lican6 S'ignature
CITY OF EAGAN
. ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT Receiptn
To be used for SF DWG/GAR Est. value $ 70 ,000 pate NOVEN
SiteAddress 4254 AUGUSTA LN Erect Cx Occupancy R3
Lot 7 Block Z Sec/Sub. SUNSET 1ST Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. V
. Addition El Na. Stories
a Name JOSEPH M. MILLER CONST Move ? Length 64
18133 CEDAR AVE SO Demolish ? Depth 2 R
3
° Add?ess
FARMING ?1T?7 431-2001
Ciry WITOi
? Intlmpr.
I
ll
t ?
? Sq.Ft.
'
I ns
a
i o I Name SAME
?°, i Address
?
Ciry Phone
Assessment
Water & Sew.
u Q
W
Name Police -
Fire
F Address En
g.
a W Ciry Phone Planner_
Council _
Iherebyacknowledgethatlhavereadthisapplicationandstalethatthe gldg.
infoimation is correct and agree to comply with all applicable State of
Minnesota Statutes and it of Eagan Ordinances. APC.
Signature of Perm Var. [
itte
A 8uilding Permit is issued to: JOSEPH M MILLER CONST
all work shall be done in accordance with all ap State of Minne ta' atut
8uildin ^ff;^i_I
?
NO 11315
-5-7cG ?
3ER 19 85
Permit ?" ""
Surcharge 35.00
Plan Review 171.50
Snc 525.00
Water Conn. 500.00
Water Meter 63.00
Road Unif 280.00
rr. PI. 132.00
Parks
Copie
r,,.,,, 2, 49.50
on the express condition that
and Ciry of Eagan Ordinances.
9
,
. ,.
t y? .
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lNST BE LICENSED WITH THE CZTY OF EAGAN
MDDCL 6?OD9 INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date:
Site Address: OFFICE USE ONLY
?
Lot: / Block ? Sect/Sub Erect ' )C Occupancy 23
Remodel Zoning
Parcel Il Repair _
_ Type of Const ]Z'
Addition !l of Stories
Owner Move _ Length
Demolish Depth 2. /
Address Int.Zmpr. _
Sq Ft
City/Zip Code
Phone
Install
APPROVALS FEES
Contractora(mp,?? ? Assessments Permit
d I Water/Sewer " Surcharge
Address 18133 C¢ACLn 0-.c1lt .'in. Police Plan Review
City/Zip Code Fire
Engr SAC
Water Conn
Planner Water Meter
Phone ??i -avor Council Road Unit
Bldg OfT7/L77-73; Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone 0
343,
35•
=at
5.? 5
Soo.
(?3•
280.
132.
= 9-S,
TRI-LAND C0. 9'MpM FOR:JOE MILLER CONST.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
- ? -
?ao AuGUSTA LANE ?
•P 500°Oy4"E a 0
a 5 135 I yi, , / ? I N
I y2
? CAR?GE ? SCALE.. 30.
I " NOUSE
sa I
( yy S
? 4+ W
N I ? ?
N
7 ? I ?ppp ?
o 7 ?
Z I ? 2
I I
SI 7 I
S000Id444E q'L'
PROPERTY DESCRIPTION
LOT-I-, BLOCK z ,
SUNSET FIRST ADDITION
oecordinq to ihe recorded plat thereoi
DRKOTA Caunly, Minnesoto
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby certity that this survey,plan or
report was prepared by ma or under my
direct supervision and that I am a duly
Reqistered Land Surveyor undar fhe
Laws of the Stote of Minnesota.
PROPOSED GARAGE FLOOR ELEVATION= 4-31•00
PROPOSED FIRST FLOOR ELEVATION = 431.50
PROPOSEDBASEMENT FLOOR = qz?oo
ELEVATION
NOTE ? VERIFY ALL FLOOR HEtGHTS WITH
FINAL HOUSE PLANS
Bradley 4.7,Owenson, Mn. Req. No. 15235
DaTe : 111e184-
1 ul 4
' CX1CRIt)IZ i nvi i ori nvi.icnG l "ii" t uMl'U1111 IUN
lillTf: 3 -?3--??---- -
SITE ADDRESS: 44,,)54 rnUUi_:---
d-
CONTRACTOR: _1D4E,
Delenuinr workinq :11u.irc foot..i(jr nf r,i(h
1. Total exposed wall area..... /(?-1 Ln sq. ft. x_11 =
1 13 (
2. Total roof/ceiling area..... _ 106o Z sq. ft. x.026 = Z7.Co
Total exposcd wall ,u•ai ahove Flonr 1_t-4C_ -
\
a. Total wall window area ........................................... ?1 Z
b. Total door area ................................................... '3 A
c. Total sliding glass door area ...............................,.... g,o
d. Total fireplace wall area ........................................ -
e. Total wall framing area (average IOx) ............................ _ 14 e4
f. Total _
rim joist drea ............................................. ! 32>
g. net wall area above floor ..................................... lDtoco
h, wall area above floor .....................................
-
--
i. wall area above floor .....................................
j. frame wall area above floor ..................................... ?.g
Total exposed foundation area- (eg
k. Total foundation window area ....................... (r
1. Total net foundation area a6ove grade .............. S S. z
Determitie "u" value of each wall se9ment
(e.g, window, door, each separate wall section)
a. ti Z x
b. 3? x
c. -W _ X
d.
„U„ 411 = 54.8
31 =
-- --- -- <<' --
.4°I -..°._-._V1, 7,_
X „V
e- i44_ X „V._
f. 1.32 X „u„-- ------??-
,. , 04- = 4z•c?
9•--lb?ta-- -- X ,)
h.
x °u°
1. X "U" °
X ° u " -154
- 1.0
-- -- --
- -- -
--
If item
H3 is the same
k. Lr X"U" ?? as, or less than item
_ _ kl, you have met the
X "U°__ _ ,0`1(o_ - __._z 2, intent of Si3C 6006 (c):
k, k
I o ,
- - ------------?
,
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,
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' ? .,i??.? - 1U?PZ
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Qic ---------•
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9btA 1 roo[/ccilirn7 uiiimI ni n ( ,:. i.. - ;,.
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2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
SEZdER A.ID/OR WATER CONNECTIdDT
(PLEASE PRINi)
1) PROPER'IY AI7DRESS: 5'f u us /.p ,q
LF.GAI, DESG^1IPTICV: Iz-
(Loc/Block/SL:czvision or TaY Parcei I.D. NLU:iber)
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P-°L'S= ? R-1 SL:=- F?YSLY -
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Z) A2PLIC2iT (PLEASE ?RINi)
NAi-tE:
nDoREss:
CITY, STTiTy', ZIP:
PFoNE:
3) P??iEER
NPP' (PIEASE PRINi)
? FO(i CITY IISE OYLY
SE: L /?9er.?? ???q/ef ,r? rc?
aDD?ss:
yz z a 32o X1?? PLUMBE lICE9 :
, nct?v
CZTY, STAT'E, ZIP: s'red
PHOVE: i ?Hd I Gn
5-5--r?-/7S PLUMBER LFCENSE N s7065 {?'J3 P R ord
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Q) pCL[?mpj•]'r/a.;TI^2 NA lvLtHSE PRiNi)
[?:
ADDRESS: Acs?c ?Js ?>
CTTY, STATE, ZIP-
PHQ:VE:
5) INDIG".TE :VHICH PERh1LT IS BEI.:G Rff.Q[JESTID:
,Q--,??CI?.INF.CTIO?I 'In CITY SETr1ER
Ly' CoNNA^iZC:I 'IO CITY L9A=
? di[IR (PI.E'LE DESCRIBE) 6) Pi:DZG=," C::r.: •
. ? PL°ASE F?OID APPRWID PER,'+LiT FOR PICIC-G'P BY ONE OF ABOVE ? °_T.E-kSE APPRpVFD PEP.:•IIT TJ 1, 2. 3, 4 AFOVE
(Circle one)
7) DATE: ?,?o ?I?? 96
'
00 ?! Elilaqfs.JS s rr a l?.aav a 1?'+e ?cs ?r? +?/ a+ s is?r:? a/! l? ?!llfar-iFl? an f? ra ? a?sgr
F O R C I T Y U S E O N L Y
PE4MIT = ISSUED
Fz'T'S: $ ,":2 .SU
$ $
/ 30 0
S
$
$
$
$
S
S
$
$
$
SE:L.D. n"=rT (I_`ICL-..-Dr.^ JURC-r:?Gc)
WATER PER:1IT (INCL'uDE SiiRCHA2Gc)
WAT°R biETER/COPPERHORN/OUTSID=- READEr2
WATER TAP (INCLUDE CORPORATIO?] STOP)
S.=WER TAP
ACCOU:IT DEPnSIT - S•7AT°_R
WAC
SP.C
TRUVK S4ATER ASSESS:t?'::T
TRli:1K SELqER ySSP.SS:•Ix'NT
LaTEP,:+L $E:iEFIT/T3U:IK SE:•:F.'=
LATc.RAL BENEFIT/TRU.IK i4ATro
WATER TREATMENT PLANT SURCHARGE
OTHER:
$ TOTAL
$ _ Q,?w P,NIOG'\'T PAID/RECEI?T n ??SJU
DOES UTILITY CONNECTION REQi7IP.E EXCAVATION IN PUBLIC RIGiIT OF WAY?
L YES ZF YES, THEN A"PERMIT FOR TAORK WITHIV
PUBLIC ROADWAY" MUST BE ISSUED BY TAE
? NO ENGINEERZNG DIVISIO[V, LZST AS A CONDI-
TION.
SGEJECT TO THE FOLLOWI.7G CONDITIONS:
APPROVED BY:
TI:LE:
DAT°:
on sw s.s ? ? s? .Hr ?c? ?e ? ?c+ w ? w +F? ww w.a w?+? ? ?w? ?as? wia ? ? sa ?? w?+? w? ae sw ? ?
t
r}--
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConstmction Reouiraments
• 3 2gistered stte suneys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% rtaximum lot coverage allowed)
• 2 copies of plan showing beam 6 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies M Tree Preservation Plan it lot platled aRer 711/93
• Rim Joist Detail Options selection sheet (bldgs wiN 3 or less unBs)
DATE 5 " ?a-CC.J l
SITE ADC
TYPE OF
APPLICANT Cedff
EXt@fi0i'S, MC.
ULTI-FAMILY BLDG _Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS Coon Rapids. Mid 55483 CITY STATE_ZIP
TELEPHON E#-7In?'15S ?q-K?CELL PHONE # FAX #-706,75S"S3? C?
PROPERTYOWNER TELEPHONE# Ia -4S?p 'SIV ?1v
----------------------------------------°-----------------=------------------------°---------
COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFS07'A RLiI.FS 7670 CA'CEGORY 1
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery Systcm
Phone #
Phone #
P'ee: $70.00
---------------°---------------------°-°---------------------------- ---°---------------------------------------------
I hereby acknowledge that I have read this application, state tha t e informati 's correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga rdinances.
Stgnature of Applicant ?-
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone #
Iawn Sprinkle
No. of R.I. Baths
RemodeVRenair Reauiremenis
• 2 copies of plan
• 1 set af Energy Calculations for heated addi6ons
. 1 site survey forexterior additions & decks
• Indicate if home served by septic syslem tor additions
VALUATION EI06,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 4702
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155765
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4254 Augusta Lane
Lot:7 Block: 2 Addition: Sunset 1st
PID:10-72985-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew R Aumann
4254 Augusta Lane
Eagan MN 55123
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179047
Date Issued:09/15/2022
Permit Category:ePermit
Site Address: 4254 Augusta Lane
Lot:7 Block: 2 Addition: Sunset 1st
PID:10-72985-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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:
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 -
Amanda Cardinal
4254 Augusta Ln
Eagan MN 55123
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature