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4142 Barrow Ct
Use BLUE or BLACK Ink J r I For Office Use Permit#:~'f~ / j City of Eap Permit Fee: ate' f 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 zJ U L - 6 2011 I I Staff: Fax: (651) 675-5694 i tr 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/6111 Site Address: 1 I i4l L 4_'pQQ (DJ+ Unit M Name: 5 ~ LOck4a, Phone: RESIDENT / OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 1'_1 k l y 6eCk / ~Ser ~ X LiJ No WA - 0179 i Construction Cost: Ll i D07J Multi-Family Building: (Yes / No J ) Company: ~6 501, s (0 • Contact: 5e4 Sw' Address: 21~ 1 lid! CONTRACTOR AP Ave City: SVr Ik State: MKI Zip: S7 331 Phone05- 7 3 tv 3 3 0 License 2 057 S Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City, to conclude that the are trade secrets. 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.aopherstateonecall.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 start out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o a ^ ff / x Ala✓,1 x Applicant's Printed Name Applicant's Signature Page 1 of 3 U'DO NOT WRITE BELOW THIS LINE /0000 / SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* X Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition txh SAC Units Zoning City Water (25%_ 100% J Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Feef Surcharge Plan Review MCES SAC City SAC lS Utility Connection Charge (-0 S&W Permit & Surcharge Treatment Plant n f Copies Sd' TOTAL l~ Page 2 of 3 H -7 oT 242 ~rittcpt-ist Qtivt ! i-maguiv . as- CAVILCW.204MR31 M4r vt8 }leiyhts, MN 55120 ngtn~~ring . LA"ChOLA&MIN W 1.11NOMMEA1OM'1`lM'M (612) 881-1914. certif icale of Survey far: ~r ~ I At.. G e, ~ 'kdr7~ f tIA~ j oqb sue" - 5 1 as+ ~i3?Ik qQ p3 r z;" ly'rz ] 1 L a x J EAGAN EAICII4FERING DEPT x gO8.Q0 tlTdfeS EXlS (R ~eYQ~ +YJ!}.+ POPCf5FD fau56 f EV 7-DNS o~v, do Des Arop Su'Ejewl pps lowrsi Poor Etevatm 89 J • DmlCf f]ro, e ~Af fy Eagemml of Slack Elevation 8 X18.9 p &WJet Onai e low Arrows Ip~ Elnr4t1*011 _ , 63 o Demlez Y*xeeot lgearials spawn art autoned u Dcades a pof Oub LOT9 , 8LOCA1Z , J1 5 OF TONEBRID61 3A?O ADD. L74KaTA j YWWW I MINAAFSOTA I hereby Gati1v that Zhu aurvsy. Plan at report wall ~ psnod tiY me it urbmw my threat supTtm4lt A a,.d jr 1 t Vr! tk►~Y pMlt7le.ed land SulvrYgr A.O. 19- under the lam of the Stott of Minnesota, dated 1hrc day of V ' fp t 1I~[lj= AM A 0 FE. T a• SIK-I 14 RS . NO- x}tt 4 r 'y CITY OF EAGAN~ + 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SP DWG/G1RR Est. Value $134,000 Date JUNE 10 1991 Site Address 4142 BARROW COURt Lot 9 Block Z Sec/Sub. NIU S OF STONY- OFFICE USE ONLY Parcel No. UIOGL 3RD Occupancy R-3, M-1 FEES Zoning PD-1t-1 z Name THP RROTTLUDiD CO 1140 (Actual) Const Vtt~- Bldg. Permit 776.00 il: o Address 5201 E YiVSA RD (Allowable) V11-- Surcharge 69.50 City ERIDIIXY Phone 571-0304 # of Stories 504.00 Length Plan Review c Name SAME Depth - SAC, city 100.00 00 QC Address S.F. Total SAC, MCWCC 650.00 City Phone S.F. Footprints On Site Sewage Water Conn 695.00 W W Name On Site Well 95.00 UJ w Water Meter Address MWCC System -IM 30.00 i W City Phone city water _XX Acct. Deposit 30 PRV Required S/W Permit .50 050 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of 27640 f Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 370.00 A Building Permit is issued to: TIME 80TT1.UI!ID 11 Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota tutes and City of Eagan Ordinances. Bldg, Oft. Copies t I Building Official Variance TOTAL $3,%1.00 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING (!X o 7"7~ jo~j 79 LLVe H.V.A.C. ELECTRIC LEI / 6 2 ~ Inspection Date Insp. Comments Footings I b(~ zlf-z jl z Foundation 7 1V Framing Roofing Rough Plbg. Y- C, ~l Rough Htg. 511irlfl *,0( Isul. Fireplace Final Htg. S 9 y/ 6 r ~ Orstat Test _ Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final S Deck Fig. Deck Final Well Pr. Disp. (9rdifirate of (Orrupaury Citp of (Eagan Eq rhuntt of 1w1bitto .fit opertioti M Cerdj sate Issued pursuant to the requirements of .Section 306 of the Uniform Building Code certifying that at the time of issuance this structure mu in compliance with the mrious ordinarrm of the City regulating building construction or use For the following. Use CIRMTwoim SF Dw~ R w h,.j N._ 14216 O-V*--Y TTIM R3/41 Z..ig Dbi,,, FD/R1 Type CQM VN Owma d WAdieg THE RDIIIM OD M A4&r. 5701 E RIVER RD. MU= Bwdj,s mss 4142 BARROW OaM L-ala Lq, B2, IDZ.I.S OF SZMMTD(E 3RD nMc q/Ig/qI Rwldin= Ot<iaaJ POST IN A CONSPICUOUS PLACE I, DATE: JUN 14, 1991 r RE:. 4142 BARROW CT (THE ROTTLUND CO INC) % 5 ,,Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN PERMIT TYPE: I 1 11, 11 t, 3830 Pilot Knob Road Permit Number: 4 I Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: I , , APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: . i i ~ 1 i. 11 11 IJ I INSPECTION DATE INSPTR. • TYPE DATE INSPTR. A14 1. ttl 11 { PC 1%A I I. i'1 ttM 1 i M1 tltt 1 ki 1t t ill? ANY I'1.1t1*th L fJti t-lof?r 4 S Permit Holder Date Telephone! WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7 ROUGH PLUMBING - PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.1. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ! e 1 I I 1 i I r,4 3830 Pilot Knob Road Permit Number: ' 1 H 49 Eagan, Minnesota 55123 Date Issued: l (612) 681-4675 SITE ADDRESS: I „ I 1s 1 APPLICANT- I W., hF Pl"uw 0 1 1 111 11" f r I II 1 I I " uF 1 uNt liP i 1lr,t iI?II I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ~ i r~~. I Ian1 i i i r Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. 7 p/p~ Deck Final Well Pr. Disp. SEWER & WATER PERMIT OFFICE USE ONLY CITYOF EAGAN METER # PERMIT DATE C~~'r l t; 1 3830 Pilot Kgob Rd. Eagan, MIFF 55122-1897 CHIP # PERMIT # t~i: L 3 METER SIEE B.P. RECEIPT # 15S'~ ISSUE DATE B.P. RECEIPT DATE JU L 1 I DATE _ PRV BOOSTER PUMP SITE ADDRESS i- PERMIT REQUESTED t LOT BLOCK SEC/SUB l 118 Of SEWER Y WATER TAPS APPLICANT: =i r ADDRESS: a r Rc, - COMM/IND Y RESIDENTIAL CITY, STATE ZIP NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP E e3 PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # 'Al!X ql4g 8'-3 PERMIT DATE ft/14/91 3830 Pilot Knob Rd. CHIP # 7 9 PERMIT # 12063 Eagan, MN 55122-1897 _ j METER SIZE a Sus B.P. RECEIPT # C 13963 DATE ISSUE DATE B.P. RECEIPT DATE Q UM ~i 1 PRV - BOOSTER PUMP E SITE ADDRESS - PERMIT REQUESTED LOT - BLOCK SEC/SUB c; n G ; SEWER Y WATER TAPS APPLICANT: J - COMMIIND RESIDENTIAL ADDRESS: - CITY, v a. R j CITY, STATE Yin ' ZIP ~ NEW EXISTING PHONE: {C Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 10 C a Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: I AGREE 10 COMPLY WITH CITY OF OWNER: 1 R EAGAN ORDINANCES : r. ADDRESS: F. R R C z'. CITY, STATE ZIP PHONE: SIGNATURE HEN MET ISSUED i PYf=AS`E ALLd~1N TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Address:4142 BARROW COURT Lot 9 Blk2 Sec/Sub HILLS OF STOI BRTDGE 3RD These,items were/were not complete at the time of the final inspection. 9/19/91 Yes No Final grade (6" from siding) Permanent steps - garage ✓ Permanent steps - main entry ✓ Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy p 01 ? 31 ReGUest Dale Fire No. Rough in Inspection Required? ❑ Reatly Now OJill Notily Inspector ;^ee No - an Ready? f-- Imo'licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Andres, (Street. Box or oute No I Coy - 41-4 z l n11,1 - Section No. Township Name or No. (Range No. Counjy Qf\ _ Cocup no IPRINTI Phone No. Powar Supp~l~~ie\\r AtlUress ----mil _ - Bearic ontraclo; ICompan met - Contractor's License No. _ 4 z1 1~-- Malbng Address IOOmraclor or Owner Making Instal unl Au11.ori2e0 Signature fCONrec10 aWng Installat 1 Phone Numher - 4G~ - 3 gig _ MINNESOTA STATE BOARD OF E ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.113 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE Is Phone (612) 642-0800 ENCLOSED. ;REQUEST See FOR ELECTRaCALoNSPECTION . r£ E8-00001 oe l l 1 .w "V Below Work Covered by This Request ew Xdd Rte!l Type of Building Appliances Wired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other tspi contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 o2 00 Amps 0 to 100 Amps Transformers Above 200 Amps Above too -Amps Signs inspectors use only, TOTAL Irrigation Booms ! . . Special Inspection `f Alarm/Commu rication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rougi Date certify that the above inspection has Flnal fe , been made. Z/ OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N2 19216 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 0 139(a,3 To be used for SF DWG/GAR Est. Value $139,000 pate JUNE 10 1991 Site Address 4142 BARROW COURT Lot 9 Block 2 Sec/Sub. OF STONE- OFFICE USE ONLY Parcel No. BRIDGE 3RD Occupancy R_3 . M-1 FEES Name THE ROTTLUND CO INC Zoning PD-R-1 $ 776 Bldg. Permit .00 m (Actual) Const vu__ o Address 5201 E RIVER RD (Allowable) Vtl--- Surcharge 69.50 City FRIDLEY Phone 571-0304 # of stories 504.00 Length 5A Plan Review 100.00 fF Name SAME Depth 54 - SAC, City 650.00 uQ Address S.F.Total SAC, MCWCC City Phone S.F. Footprints 660.00 On Site Sewage water Conn Lew Name On Site Well Water Meter 95.00 uz Address MWCC System XX 30.00 iw City Phone City Water ,may Acct. Deposit PRV Required S/W Permit 30.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50 information is correct and agree to comply wes.II applicable State of 276.00 Minnesota Statutes and " r of eg in c Treatment PI Signature of Permitee APPROVALS Road Unit 370.00 A Building Permit is issue o: - THE ROTT UND CO IN^ Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota tutes and ~qy of Eagan Ordinances. Bldg. Off. Copies Building Official _Q9 LL:4 Variance TOTALS, 561.00 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 7 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodeUReeair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate it home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after VIM • Rim Joist Detail options selection sheet (bldgs with 3 or less units) L.J DATE , I 4~ )D~ VALUATION ~I l QC)r~ SITE ADDRESSy~~{'--~1 C~` R (WOL 1 MULTI-FAMILY BLDG _ Y '/N TYPE OF WORKJO Aku (m 4 ~Nd i f q FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT n r t~ 1 ` i~ STREET ADDRESS ~)X Vit n kc CI p SSTT'ATE ZIP b f TELEPHONE #~C 1-'II~Y`-IELL PHONE # FAX #WN PROPERTY OWNER LEP ~F ~~C1 illC~ CU h TELEPHONE #010-KA COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (+l submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag r inan e . &VA S ignature of Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT _ CITY-OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 021140 (612) 681-4675 Date Issued: 06/08/93 SITE ADDRESS: 4142 BARROW CT LOT: 9 BLOCK: 2 HILLS OF STONEBRIDGE 3RD P.I.N.: 10-32992--090-02 DESCRIPTION: B,uildit y~,.Permit Type DECK wilding Wc k Type NEW r C Occupancy,,, R-3 t Building Le^ngtW, 15 Building Width 1-114 Ft- 1 } ~ l (9] a fi REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - FUCHS LEE 4142 BARROW CT EAGAN MN 55123 (612)282-8479 I hereby acknowledge that I have read this a:pplication.a'nd state that the Information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. E_ II~PUCANT/PERMITEE SIGNATURE SUED B : SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021140 Eagan, Minnesota 55123 Date Issued: 06/08/93 (612) 681-4675 SITE ADDRESS: LOT: 9 BLOCK: 2 APPLICANT: 4142 BARROW CT FUCHS LEE HILLS OF STONEBRIDGE 3RD (612) 282-8479 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FINAL KM11VAlL _ HL''(4 EhVE_© 1x11T Vr CA%mAim PERMIT 1 I~ 1993 BUILDING PERMIT APPLICATION $ 2 J O ' 0 3 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 4-1 C_ ? _ Valuation of work Site Address: Ai/ POyNI CT Otl 6;,A IQ STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK SUBD. fTi~~S SIGN/ai23 P.I.D. N Description of work: ~ i 5 PT D- c.K The applicant is: MOwner ❑ Contractor ❑ Other (Describe) Name ~uGHS i JANICE Phone Q 8 Property - LAST FIRST v~o2K.ga_~~f~Q . Owner Address P-)A rRRe)V\ C ~ . STREET STE M City 6a(7A1J State !LA/~ Zip Company EL a= Phone Contractor Address 5k1iVti 0 License # Exp. City State Zip Architect/ Company ~ELLJ Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ OI Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑`ts Ba iWht"nnish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. JZ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 3 y Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site K Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee 0o VaLustion: Surcharge a Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units J J - r 2422 FnIttprile Drive )i JEER ~u om rn c,one• aw orle~rns Merdu(e Heights, MN 55120 sngineering•. "°•tua,Er~.`""°~ (612) 681-1914 Certificate of Survey for: 7P fii~rL I 1 Lm ~ Q CO "OR1 N ff+ 4 5k 1r. Z 6 ZJ! qflLL) 41 O.i w iy 7 1 ♦ 3~j7i L~ ~gv Dar Z4"S !SS-/a 1 q . • # FKAGIAN ENGIIIE 'RING DEPT Y 50.00 Denotes fxistinj Elevaf~pns PFOPMD HW59 afjt gTZONS oo ao Dkna'l8s Proposed F/rvabons lowrst floor ElevvAan _ 89 1- z(- - Denafes f]ro, e eAlify Easement` r~o, I8krk flevoi on 8`18-4& &(wiles Dmi nol e low krows 57ofi ElrvoPiorl S9 8.63 a !.ivvles MEV7urnent geolvrt s Shown art aowned o Dfrrofes q~set Oub LOT 9 y BCOCW Z , yetlS OF STONIBRIDGE NO ADD. DAKOTA CiaVYT11r MINNF50TA I hereby tertiiv ,hat this s.,"Y. Plan ar report oared cy n,.[p.~r..~~.e~• no %at supe.vr*ien a.a me, + rn i ut^ flcgsna•se tend Sun y" raider Ito laver of %he State of Mlnnep m Dated she W day of j""f•--~• A.D. 19~ t, . - RE . NO. x4p l ~t. e: firn*, 4Ui~ O E T B. 31Kt V L / p~CITY USE ONLY BL RECEIPT A93I 9"2 5/ SUBD. / J/ RECEIPT DATE: //~35 5 &2-6 9 9 U tv 3~7 °W 1999 PLumBuvs parr (sin t.) c1TY OF EAEIAN 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system - E__-------- FIXTURES EACH # TOT L Shower 3.00 x = Water Closet 3.00 x = 3- d Bath Tub 3.00 x = Lavatory 3.00 x = 0 Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener for dwellings under construction 5.00 x = Water Softener for existing dwelling 30.00 x = U.G- Sprinkler for dwelling under cont. 3.00 = U.G. Sprinkler for existing dwelling 30.00 = Alterations " to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. o • SO TOTAL (-011 /U~. sv I hereby acknowledge that have read this application, state that the information is correct, and agree to comply with all applicable o Eagan (wdinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the faacilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: S// Q eVjLB-y J OWNER NAME: INSTALLER NAME: l f/ P/i?~> Q /YI 0,e7 fiAl J A&j TELEPHONE LAS/-ASP' -/S~ 5 T i - n STREET/A}DDRESS: / X151`' Awj &n. / CITY: lfd~l/I) STATE: //)2/ ZIP: SS/ate SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY OF EAGAN rASHT.IR. S TERMINAL NO: i39 DATE: 02/24/99 TIME: 1.4.56.04 rT~ NAME,; 321.0 9001. 4142 BARRON OT 60.00 --155 9001 4142 HARROW CT 0.50 Total. Receipt Amount: 60.50 CRIO3172 USER ID: NANCY WfF%cXcxY# ~ ~t?X~XXaK7kX~~k~k# ~ %ok~ ~ ~k~XkaX%o%%~~~X~X~7kX~~7k~K~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U J. L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 51 3 (651) 681-4675 Date Issued: 02 /2 4/ 9 9 SITE ADDRESS: 4142 BARROW CT LOT: 9 PI_OCI<: 2 HILLS Or :"10NFRR13CE 3RD P.T.N.: 10-32992-090-o", DESCRIPTION: Bu Io c10 •PP,I nli'L T v D e BAS[MEN T FSNiSH Bpi Idi ng W'6ck Tvge ALTCRAT,TON ,Gen,,jo.s cocLd 434 ALT. RESIDENT'[AL. Z i~ 1 Y- REMARKS: "I fill REVIFWEU DY CRN'tG 1V0 VAC7YK. SEPLRATE. PERN11 REQUIRLD ;-OR ANY PLUMBING WORK. CALL (61.21 445-2Rg0 REGARDING ELECTRICAL PERMIT AND TNSPECTIONS. FEE SUMMARY. Base Fee $60.00 SurohaI- ge 1.50 Total Pee 60.50 OONTRACTOR: Applicant - ST. LIC. OWNER: 1`0:?D, OWAYNE 14633997 20093303 FUCHS LEE 3._'60 2J2NO 'J I E 4141 BARROW (:T H.!^MP'VON NN 55x031 EAGAN MN 551.23 (612) 463-3997 (6E, 1.}£, P8--6x2:17 1 hFl } u,3KnowIvdga I-, h,, have r:=,id this bp?1iCaLlP. L112 t. Ic rrn,a ..!orl co.'r:ec~ r:nd agr(Ic L0 colnp Ty with all .-1p0 1ib1 SY_a Lo of Mn. Si a CL!1. r:s and City o1' L.I gan Ord! -nanc~s . L APPLICANT/PERMI EE SIGNATURE S ED BY. SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF KAGAN 3830 PILOT KNOB B RD RD - 55122 --1) (651) 681-4675 S Lo t + p New Construction Requirements Remodet/Reoair Requirements C_Qt~y ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 1 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1193 0 required: _Yes _ No DATE: - / CONSTRUCTION COST:: S~ y DESCRIPTION OF WORK: h l,\(G~ AT (Pk27&L4 STREET ADDRESS: 9 O , - ~Z 42 f? 11, LOT: BLOCK: D- SUBD./P.I.D. is i `~S 6~a S~t/~ y `9 ln~ 3Y Name: U A S Phone L S / tv 0 a fo k; / / PROPERTY Last First OWNER Street Address: 7 d J20 if n(„/ City Q State: ✓d/ i17 yl Zip: S a I Company: ✓ C( Phone y6 -33n / CONTRACTOR y Street Address: 6b a3 ) f License X0933 4g Expo -31 9 City J4,1 y r/V --(0 h State: i 47 ~l Zip: j 3 f ARCHITECT/ ENGINEER Company: \ Phone Name: Registration / / Street Address: City State: / Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the informatioFiiS1correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Ik :r OFFICE USE ONLY I Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required - / 12BU~TNG (%MIT 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 - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. j PERMIT MUST SHOW A LICENSED PLUMBER. 4g~~C~J To Be Used For: le ~a dM Valuation: Date: C M5 \N Site Address 41U . p ex 137, 000~ OFFICE USE ONLY Lot R Block ' FEES Occupancy 3 M -I Bldg. Permit ~ 7G 0(' H I ~lS n~ Zoning D P__ I Surcharge ,50 Parcel/Sub ~t2n At' Actual Const V-N Plan Review SD ,00 Allowable v- 1,4 SAC, City 100,Oa Owner -TL-IF, rJ?,ff1'rT LAS,-lo Go. # of stories SAC, MWCC A57010J Length Water Conn. 10 0 Address ~7c-3i E . F=1UE1! ecx~~ Depth Water Meter 9151 S.F. Total Acct. Deposit 30100 City/Zip Code 40I0LY t;ScJU Footprint S.F. S/w Permit 30,00 S/W Surcharge ,SD Phone 571 0~~`~ On site sewage- Treatment Pl. 0 On site well Road Unit 3 0t0 Contractor cJ1~/E MWCC System Park Ded. City water t/ Trail Ded. Address PRV Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. LS 6_/a-9/ Variance Address City/Zip Code Phone # ~ Z I agrees that all work shall be done in accordance with Signatu a of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V~~u ~TIpN 1 (:;A }2A ~ 22x 2 6 = 512 _r- SszxiS= r7 E3 1J~T a~u2e-~]8y 11121~1~►= 15S'6~ 13Sn,T, i~i2 IlyoxS3: (v6y2c7 X35 7 1 11'2- 11043 >c 53, 5`3 r?2y 13BtigZ aK 139,00~~ C 2422 Enterprise Orive * PIONEER ~wP9umrcrorm.aw~cwJaEns Mendota Heights, MN 55120 *ertgineQring . l4"P`LhNCM. L^"06C AR6#TEYeB (612)681-1914 Ceti ticate of Survey for: l..I6RT N ~k Fria rya ~ ~13q 17 r \ VV '46 0 .Px6a / `3~ `_fo ~ f r~ e f" v. fNyl 42. 1 V {J , ~ P ~ o I 1 P90 dj' Z4"E 155./a rle; 1 x 3rIQ.OQ ~efl(JatCS EXlStr>r~ EJeVat:or~S P,rm~D NfX.6F E(,FYATtONS Denotes AJVOSed Elrva}ions braes} Floor EliwAon 89 J. 2 ~ - Drnoies Om e AlifYY Easeme,71 7' s elcrk E/eve?Aon $9 8•% Oeimley Drai e tiilow Arrows Gait S/ob 19cvalion S98 . b3 Q D&VIO A%W-Omt Bmarfrr7 shown are auumeor o Deno{cs a}irse} 11ub LOT 9 , BLOCW Z) HILLS OF STQIVEBRIDGF 3WO ADD 04MO a CWiYIY, M(KAIFS0T.4 I IlenbY fer(iiV dial th i>; aurvrly. Plsn ar rmarC prat A• Pared tw me r unclar mw diraas 7rgetvMOn arW 4r % r W duty Regnwad lend Su Ve order the larva of the State o! MiPPeopta. Wtad tilr'sdaY A.D. of19 ,Came. Pln*= O_E 1a.S KI REQ. NO-1L1 EXTERIOR havKLOPE !AVERAGE "U" COI•IPUTATION OWNER T,/& nL~ Y II CJ C7~~~ b SITE ADDRESS _ Lo-T9 _T>L-ac-~, Z, HILLS o Nc`$44~J>6~ ~]FLO DD#A/• CONTRACTOR 1dAf1F\;E DATE PHONE 57I .OC~`7 Determine working square footage of each. 1. Total exposed wall area sq. ft. x •I// = 32CJ.3~ 2. Total roof/ceiling area sq. ft. X 02& Total exposed wall area above floor a. Total wall window area b. Total door area S- c. Total sliding glass door area d. Total fireplace wall area ~ e. Total wall framing area (average 10%) 2-~ f. Total net wall area above floor 0 g. Total rim joist area 3 Total exposed foundation area = -7 S h. Total foundation window area i. Total net foundation area above grade 77T Determine "U" value of each wall segment. a. 253 X "U" z-dz T =..136.62 b 3ga X ,Dl• 007 = ,Z•( G C. G ® X ..U„ ®'446 = 27- 660 d. X uUn e. Z/S X ,iU„ 0 087 = 1$•7( f. /q3o x "U" , 042 = 51.06 g. 3/2 X HU„ , 64-0 = 12.48 h. 7 X "u" S~ = 3a65' i. 7/ X "U'. 1 = 7-8f- 3 ......................................Total 2 O.7 If item 11 3 is the same as, or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Total gross roof/ceiling area j. Total skylight area ✓ k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area J ~IJ Determine "U" value for each roof/ceiling segment. j. X full k. n2 2- X full 025 7-3 4 Total = If total of 114 is the same as, or less than 112, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items 113 and 114 shall not be greater than the sum of items 111 and 112. 1. 32 0.3 S + 2 30. 8 . 3S/•Q3 3. 290. 7 9 + 4. '2.65 WttLL SLC,'i~.r,_, - YaYQ J of 4 LUTE: Use,10% of opaque wall area for frame construction t 'Construction R-Value -~J Interior air'film 0.68 4 S 3 3. z uE, aTVa s 10 088 :AeIC 4. 215/32 S/lrCr 2 OCR WALL 5. 5/O/.IiC+ UVC/< =EC- 6: Exterutr air film 0.17 Total FIG. (I1 TOPVIESP OF aO~~ - FRAHE WALL 1. Interior air film 0.68 2. ~L"vrr~ e jz E> o v$ 3. P(,/LL Lf/f)L[ , fisLG J(J FIG. 42 4 • z s/3i srrr~ 2 06, --5. s/UiAie- ovi5:,e FELT / e1 6. Exterior air film 0.17 Total 2 3, 6 2- ~-'---0 oast 2 1. Interior air film l S6r L. I( I K r ~Ja' 0. GIB' ?5era1 l l 2. / vSVL / J~°~UO r'O 1 /a-151515 ~~".~i•r~ ' L~~ f f 4. 2 5-/1'Z S t-1'TGr 2 >OCo Y (L~~`_^~p I , 5. S/OivC~ ~v~/z rEZT I•:1j I t~ W 16 2 ~o Jil,,~O 6- Exterior air film 0.17 TICie ~ ( Total 215.05- i,1i "L t) i _L -~:s FJL)C t` 1. Interior air film 0.68 it 6 2 3. 2A FCJ/Z 2 (N v cJ o 4. /2 tCpwc, 13Cac(~ h 5• 6. Exterior air film 0.17 Total 13.13 or ~5~ - . Q III 113 FIG. 114 C(I r o - ti (C( X ' X r(~ ROOF/CEILING Construction R_Valuc l3 J 1. Interior air film 0.G1. n 2. b/~4" G~YT~ 'r, ZO oS~ 4. Exterior air film (still) 0.61 VZUT Total 3 Dented Heat flow ' up FIG. 05 1. Interior air film 0`.~G1 2. S~J r-7 1 g 1- I (J~ {D O/ CJ ~T-`-'--r`~ 3. iv5v~ ov~2/•'US 3`F.~ 4., Exterior air film sti 1 U. _ Total 7 `f 11i~~~ SEE v .0~7 Feat flow 'up. vented I FIG. #6...1... 3 r13) v 1. Inside air film 0.61 g d4.> 2. _hnt a1°0.5;:5. 3. 5. outside air. film 0.17 r~ Total I • I H0.7-VIA°IE~ Note: Use additional sheets if more space is needed for details and calculations. I float up Ary I CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT 9< ~~~~:<:mv DATE: "w9"m PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 ' LAVATORY 3.00 OWNER NAME: z/ ✓x"C2 u ri KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 / WATER HEATER 3.00 LOT: BLOCK SUBD./ ( 3 FLOOR DRAIN 3.00 INSTALLER: 1_71 G3~ GAS PIPING OUT. (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: /Qb Mfr/1)c- AVE OTHER Q WATER SOFTENER 5.00 4 u-) CITY > /d ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE / ` SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE OF P ITTEE S~ TOTAL: S OOMMERCIAI%NDUSTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY f 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ~66/7< PHONE: (612) 454-8100 RECEIPT # /O "mm "m DATE: &1141191 RSDEx PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 _3 REPAIR 3 WATER CLOSET 3.00 1- a BATH TUB 3.00 ' LAVATORY 3.00 U) OWNER NAME: V\n}~~~- 1 KITCHEN SINK 3.00 3 ,nn LAUNDRY TRAY 3.00 SITE ADDRESS: y P`S V~ hAtko w tit HOT TUB/SPA 3.00 G 1 WATER HEATER 3.00 3 LOT: f BLOCK o2 SUBD. FLOOR DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: C~ 1 c 1 (MINIMUM - 1) 3.00 :3 ROUGH OPENINGS 1.50 .i-" ADDRESS : ~o y C IZz z K L. OTHER _ _ WATER SOFTENER 5.00 CITY: -TU CA 4- ZIP: lz~ S 3 ) PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE L-)`1~- a1a ~ SUBTOTAL S 4°I s° ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ So "J OOMMERCMINDU.S. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. ,AT-- SURCHARGE = $.50 FOR ST SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~$L0 1 CITY OF EAGAN FOR CITY USE ONLY v 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O a W WCp" AM DATE: rm PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST.X_ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: OF 1 PER PERMIT SITE ADDRESS: `11 V 0~~0 s~vp~.~J ~c STATETSURCHARGE: $~~50 LOT: 7 BLOCK oZ SUBD./ ~rd TOTAL: 5. O INSTALLER: n ADDRESS: 9303 Nymmith Avk No. SIGNATURE OF PERMITTEE Golden Valley, MN. 55427 CITY: ` ZIP: PHONE 5 4A CO?3l tClli j 2TS?FS RIM PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN A ~ o CITY OF EAGAN FOR CITY USE ONLY v 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 3TTV / kI~GH~N;S~AI,; YEitt'~ DATE: 3 / S a- RrsTD$qZA3Gr PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM ADD ON :;z HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: OF 1 PER PERMIT SUBTOTAL: $ /5_+' SITE ADDRESS: Z//`/.Z /3i~~oG✓G STATE SURCHARGE: .50 LOT: R BLOCK SUED./ TOTAL: $ INSTALLER: T/{/irlV2/a~ ADDRESS:- /9TS J cry ~ IGN TU F,? RMITTEE CITY: Ap8 ZIP: PHONE 4,r5_2- AL Ti4MN!$RCrALf12bUSTRSAZ_i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 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 _46_/__~_ / Site Street Address / C r~ q_,_(~orj Unit # L ~~Gl~ S (~J 0 PropertyOwner Telephone# ✓f /~/u Contractor n / l'J~ Svc S Telephone # Address g - ( q~t-/I City ~to~J~l~ i -StateK-) zip 37-3 Li The Applicant is: _ Owner ~ntractor -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 JA`awn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge Lg $ .50 Total $ - 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 ordinanc s an codes of the City of Eagan and the plumbing codes; that I understanV.n but y an application for a perms work is not to start without a permit and wce ith the approved plan in therentJa plan is required to be reviewed and ap/ LI1 ~1J 04 Applicant's Printed Name Use BLU_E_o_r_B_L_AC_K_ Ink- For Office Use I ` Q p I I Permit City of Ea non I 60, ©a Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: (p - I a I I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 1 2012 MECHANICAL PERMIT APPLICATION, Date: "fffF l~~ ~ Site Address: If M2 [30400i/ll C Ii(l 1 Tenant: Suite t n RESIDENT OWNER Name: flit` i 1~3 Phone:! ~C"J IJC~ : at Address /City /Zip: bit l~OW f 1 Name: Ron' s Mechanical Inc License 12010 Old Brick Yard Road Shakopee CONTRACTOR Address_ City: State: MN Zip: 55379 Phone: 952-445-8585 Contact: Linda Email: VI/ New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: I NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. / RESIDENTIAL COMMERCIAL Y Furnace New Construction _ Interior Improvement PERMIT TYPE -Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) TOTALFEE $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) LQC) COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Cali 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.gooherstateonecali.ora 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 i 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 U myyie r x * ralov-,- Applicant's Printed Name Applicant's Signatu e FOR OFFICE USE Required Inspections: Reviewed By: Date; Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA117337 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 4142 Barrow Ct Lot:9 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Audrey Flattum 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 - Seth M Lockner 4142 Barrow Ct Eagan MN 55123 (651) 905-2007 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167362 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 4142 Barrow Ct Lot:9 Block: 2 Addition: Hills Of Stonebridge 3rd PID:10-32992-02-090 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Seth M Lockner 4142 Barrow Ct Saint Paul MN 55123--394 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature