4382 Bent Tree Lane3??
S1
?,
2
N ? 1 ?SS
Repuest Dete
? a
? Fire No. Rough-In Inpsection Required
(You mu call inspector when ready) Inspection Other Th n Rough•In
? Ready Now Will Notity inspector
??' Yes Q No Date Ready
I)(1icensed contractor D, owner hereby request inspection of above electrical work at:
Job Address Street. Box or Route No.) City
Section No. Township Name or No. Range No. County
OccupyaqN/ PRINT) Phone No.
Power Suppli Adtlress ?
Electrical Con ractor (Company Name) Contractor's Lice No.
Mailing Address (C ntractor or Owner Making Installation)
- 4
4e_"'
l -5
Authorized Sign re (ContractoriOwner Making Installation) Phone Number
------ 4 yi??e-l031
' MINNESOTA S7ATE BOARD OF ELECTRICITY V J THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Room 5-173 8E ACCEPTED BY THE STATE 80ARD
7821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121642-0800 ENCLOSED.
- ?r.
REQUEST FOR ELECTRICAL INSPECTION
H 12 3 8 6 , Seo instructi? ns for completing this form on back of yellow copy.
`X" Below Work Covered by This Request
tllE
E -00001-08
g?: ;' ? S S
'Y!ii_r2"' _
Add Rep. ` TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 65
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms ?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY RD IStONN TED IF NOT
Other Fee 0 COMPLETED WITHIN 1 TNS ?
I, the Electrical Inspector, hereby Rough-in Dat 2_,t
certify that the above inspection has
been made. F;,,ai ate
OFFICE USE ONLV
This request void 18 months fram
a?ao
0022575
zz" ?? j
?' o?D
Request Date Fire N . Rough-In Inspection Requiretl Inspectio her Than Rough-In
? (You must call inspector when r ady) eady Now , Will !? tif spector
?
? Yes
o Date Read
I Z?Ticensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
CISd
Section No. Township Name or No. Range No. County
Occup PRINT)
X Phone No.
?7e ?s
Q NCC .
Power Supplier Address
63k'67"L t ,2 ? ? ? RAj
Electrica! Contractor (Company Name) Contractor's License No.
?
; l
Mailing Address (Contrector or Owner Making Installation
Authorize alure (Contracror/ wne Making Installatio hone Number
?INy151OTA STATEARD OF ELEC]?ICITY THIS INSPECTION REQUEST WILL NOT
rr
gge-Midway Bldg - Room 5-128 ?? BE ACCEPTED 8Y THE STATE BOARD
1827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642•0800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION
? See instruction %for completing this form on back of yellow copy,
0?122575
9`a274V"X" 8elow Work Covered b y This Re quest
New Add ep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer oad Management
Comm./Industrial Furnace Other (Specify)
Farm onditioner
Other (specify) Contracior's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Abo 0 Amps
SI ns Inspactor's Use Only: ' TOTA6'iD
Irrigation Booms
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electricaf Inspector, hereby
if
b Rough•in ? oace
cert
y that the a
ove inspection has
been made.
Final
,
le
.-
OFFICE USE ONLY
This request void 18 months from
??-
?.
?
?
f CeL'tiftCQte nf cCC1tpQliC?
? Witi) of Vagan
', ?e?+art?ccat o? ?xit?ing ?n??ectivn
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building constraction or use. For the following:
Use Classificarion: .S FM Bldg. permit No. 230C)2
OccupancyType ?/rti2 ZoningDisirict =RI TyPeConst_ VN
Owner of Building PARISH MA.R??''?TM Sc DEVEL Address 3799 $.12IANOM IAM, EAGAN
Building Address 4382 BEN'T TR.EE LANE LwWity L5, B2, AUTtHRRtDGE 31;I} _
? Date:
BaddmB Off &
POST IN A CdhSPiGUOUS PLACE
:
?,
Address 4382 BENr TttEE LANE Zip 5512 3
Lot 5" Blk 2 Sub AUTtm xZDGF, 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 11116 ?j Yes No Inspector:
Final grade from siding) (f
Permanent steps (garage) J?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish j?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before fceeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or instaliing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
? RESIDENTIAL
•'? ?/S? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Rggairements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ?II roofed areas
(20% manimum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Pian ff lot piafted after 7/1/93
• Rim Joist Detafl Options selection sheet (bldgs with 3 or less units)
DATE I ? `? /9-, 0-:2'
RemodellRepair Reauirer,?gnts
. 2 copies of pian
• 1 set of Energy Calculations for heatel additlons
. 1 site survey fw exterior additions & decks
• Indicateaif hope served by septic sy em for additions
-. ?
.,r..?w 2
f?w
VALUATI•
? N
SITE ADDRESS -S 0 nl ULTI-FAMILY BLDG _,. Y ('?.
.
TYPE OF WORK FIREPLACE(S 1_ 2
APPLICANT l_5 ??1 fLI ?C,?`17?c?? ?? l.[7'"/?L'JY')k?9a??1_ _.. 1 ?/r1 .
STREET
TELEPHONE 029? '$':5--9.2ELL PHONE #
c1a
hlay%
N/ ? '(t*ATEM1' ZIP `???
FAX # 9S2 r? ! ? 7
PROPERTYOWNER ???.{,L? ? 1 / ?P1dV TELEPHONE#?l`7 77
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RIJLES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Woiicsheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: __Phone #
Plumbing system includes: Water Softener _ Lawn Sprina
Water Heater No. of R.I. ]
No. of Baths
Mechanical Contractor: Pho
Mechanical system includes: Air Conditioning
Heat Recovery System
Sewer/Water Contractor:
Fee:
OCY 2 2 2
002
Fee: $70.00
Phone #
I hereby acknowledge that l have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OrdijnaWes^
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
W
..
.
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
L] 02 SF Dweiling O 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Ait - SF
? 04 02-plex ? 10 0$-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Pibg Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding
13 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37` Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City l+l/ater
SAC Units Stories Booster Pump
Nbr. af Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) ` FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace , R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
?
,?
.
CITY 6F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4382 BEtV'T 7REE LANE
LAT: 5 BLt)CK: 2
AUTUMN F2IpGE 3RD
P . I . N . : 10-12302--050--02
DESCRIPTION:
s F nwG
NEw
R-3 M-1
V-N
R--1
60
50
2
Vo mo ce -ci g ci n
REMARKS:
PRV
! FEE SUMMARY:
S& W PLBR - LAKESIDE P166
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAG Units
5ubtotal
VRLUA"fION
$129,000
1
C?° ? C (
BD. N?G ?
823+?'9 2
B3'/18%94,
$741.00 MISCELLANEOUS 1 828.50
$481. 65 Tptal Fee .$3q 91:.7 • 65
$64.50
$800.00
100
1
$2, Ql87. 15
CONTRACTOR: - App]. i c a n t- s r, L T C. OWNER:
PARISH MK7G & DEVEL CqRP 14526644 0001054 PRRZSM MKTG & CIEV GORP
3799 BRIARWOpD LN 3799 BRTARWpOD LN
EAGAN MN 55123 EAGAN MfV 55123
(612) 452-6644 (612)452--6644
?-7
-fi(mia &atlw
kPPLICANT/PERMITEE SIGNATURE ISSUED B: SI NATUR
REACTIVATE ,_._
PERh1IT #. t
t
CITY OF EAGAN $ 3 91.??-?
1993-BUILQfNG PERMtT APPL?CA?'IQ4?.- _ 2 _... ?
ql 681-4675 - , ? ' ?
MAR 1 1 1994 ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveA;zJ:.,.-..,Q.f_-e?er y
calcs.
COMMERCIAL set of
2 sets of architectural & structural plans, 1
_
specifications, 1 copy of energy calcs.
Penalty applies: lj when permit is typed, but nat picked up by last working day of manth.
in which request is made, 2} address is changed ar 3) 1at change is requested once permit
is issued.
Qate 3 / 11 j 94 Valuation of work
Site Addres5: 4382 Bent Tree Lane
STREET SUITE N
Tenant Name: (commercial only)
LOT 5 BLOCK 2 SUBD. AutLunn Ridge 3rd Add. p,I,D, 0 .
Descri tion of work. Si le Famil Home
The appl i cant i s: ? Owner E7 Contractor ? Other cowr;bej
Name PARISH MARKETiNG & DEVELOPMENT CORP. Phone 452'6644
Property LA5T FtRSj
Owner
Address 3799 Briarwood Lane
STREET . STE 0
City Eagan- , State Mn Zip 55123
Campany Same agg, above Phone
COi1tC8CtOt' Address Licens,e # 0001054 Exp.?
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Lakeside plumbing -- 894-7600 , Processing time for
sewer & water permits is two days once area has been approved'.
Y 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: 2?IAA
?
OFFICE USE t?N
BUILDING PERMIT TYPE
13 OI Foundation
,a 02 SF Owg.
13 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.-
O Ob Dupl ex
? 07 4-Plex
? 08 8-Plex
0 09 12-Plex
? 10-Multi. Add'1.
? 11 Apt./Eodqing
0 12 Multi. Misc.
D 13 Garage /Acce s sory
E3 14 Fireplace
0 15 Deck
woRK rrPE
'.
,:. .
E1.16 Baument,1.iai sh.
0 17 Swim Paal
? 18 Comn./Ind.
E3 19 Comn./Ind. Misc.
O 24 Public Facility
[3 21 Mi scel l aneous
,0-31 New 13 33 Aiterations ? 35 Tenant Finish 0 37 Demolish
? 32 Additivn 0 34 Repair 0 36 Move
GENERAL INFORMATtON
Const. (Actual) Vil Basement sq. ft . ? 3 a MWCC 5ystem ?
(A11owa?bie)
U8C Q
c lst F1. sq. ft.
d Fl
2
ft 13 City Water
PRV Required
ccapan
y n
. sq.
.
-t _gz
Zoning Sq. Ft. total Baoster Pump `
# vf Stories Footprint Sq. f t. 'Fire Sprinkler
Length [°D On-site we11 Census Code
pepth sa.3 3 On-site sewage SRC Code ?.
aPRROVALs ...?
?
planning Building Assessments
Engineering Variance ?
REQtJIRED IN SPECTIONS . '
? Site Pf Footing ;C Framing ,Z Insuiation
? Wallboard ,8:?Final ? Draintile 1'3"Fireplace
Permtt Fee
Surcharge
Plan Review
License
MWGC SAC
c; cy sac
Water Cann.
Water Meter
acct. oepos,t
S/W Permit
S/W Surcharge
Treatment P1.
Raad Unit
Park Ded.
Trails Qed.
Copies
Other
Total:
wt Bc? S 2 (h?a
?
S?2
1 y sk v
?
a.h
2 .?..--
!
3 z-? t 92°
?-??--? °
l2S? ?6 z-
?2 ?92
?
3100
SAC 96
SAC Units
2422 Enterprise Drive
* * Mendoto Heights, MN 55120
* PIONEEp (612) 681-1914 FAX:681-9488
woo suRVVeroKS • avti ?a?as
? enp neer ng LAN° PL"""°t5• LAMS I C+PE "RCrarEcrs 625 Nighway 10 N.E.
? * . 6lalne, MN 55434
(812) 783-1880 FAX: 783-1883
Certificate of Survey for: PAR IS H MARKETlNG
BENCH MARK
?70P OF HU8 ?
? ELEY.=952.78 7
2S "o?s/
? s5i.s ? . -
? -- ? p?2, g5 3.0 x F ? .I ,?
? 51.9 ? I4 6+0 ? E 44 1
?
OI ?? ? ` S? ? '? `a? . ??-.,n•.n?'
?-? 3 gY L e
9524 x? ?3 86 (/? t
? pN 953. 6/3 3.3D 33 Or,w
N `, ?
?SERViCE
54.1 \ \
952.6 o \
a X 953.1 x 953.6 x95 3.6
40k?
?'Op?
4u t6 o / ? s .<v
?co Q?? ? ti cqR x
3p o ?
/
vi
/ 952.8 / lo/ 954.1 ? ? 0 280 ?Yryi ?---s- 5 4??/ n7SV
2S ? 953.4 ? .0 ?k 954A
\ ??3 954.3 Q.?? /,
954.2 4?
0) a)
v) 0 c11 819 So 3;;-
NN` ? \ \ \ ? w
? C\j 9 54.4
9 \ N69o? ? J 5 h ?
? 955.4
BENCH MARK ?-
TOP OF HUB - 955.0
?
Ek?Sr? , E LEV.= 954.50
? ? OV? 955.5 1-11 ri?f?f? ?/ 1/9
PROPOSED GRADES SHOWN PER GRA.DMG PIAN 8Y: PIQHEER Eh
NOTE: BUIl01NG DIMENSIONS SHOMM ARE fOR HORIZONTAt AND VERTICAL
LOCAl10N OF STRUCTURES ONLY. SEE ARCHiIECTUAL PLANS FOR BUILDING
AND FOUNDATION DIMENSIONS.
NOTE: CONTRACTOR MVST VERIFY DRIVEWAY DESIGN.
NOTE: NO SPECIFiC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS
LOT BY THE SURVEYOR. 1HE SUItA81UTY OF SOILS TO SUPNQRT 1NE
SPECIFlC HWSE PROPOSED IS NOT 1HE RESPQN51811ITY OF iHE SURVEYOR.
EAGAN E"` ^ J.1V %.a' a.+a,J+ ?
r IYviI izF .,. __ .. H. . . . . ......
1HIS CERTIf7CATE DOES NOT PURPORT TO 51i0W EASfb1ENTS
OTNER THAN TNQSE SHOYM ON THE RFCORDFD PLAi.
9EARINGS SFiOWN ARE ASSUMED
?.?I?,k:.N
x ooo.oo Denotes Existing Elevotion "
( ooo.oa ) Denotes Praposed Elevation Lowest Floor Elevation:
--- Denotes Draihage dc Utility Easement ,
----? Denotes Droinage Flow Direction Top of Block Elevotion: --0-- Denotes Monument
--a Denotes Offset Hub Garoge Sfab Elevation:
LOT 5 ? BLOCK 2 AUTUMN RIDGt 3R0 ADDITION
DaraDrA COUNTY, MINNESOTA
We hereby cerliiy that :his survey, plan or report was prepared by me or under my direct euperviaCon ond fhat I am du!y ro?gisterd Land 7,>-nyF„
unda the laws oi the StoSe of Minnesoto: Doted this 8TH day o{ MARCH A.D. 19 4 . 7
?SIGNEp?-` _ 6I0NEER ENGINF?"ROG, P:k
, in92a
Scale: 1 inch = 30 feet BY. John C. Larson, L.5.' ?e?: f10. ?
93 0 94047.00
' Z+'CT dCRDEY C8EC1CLI8T FOR RLPBIDENTSAL
sIIILDIN3 ERMIT AP ICJITION
pROpERTY I,ZQALs ? -
?
Dat• oi eurveps
I)OCUMENT /T ReS
0'?'0
f 0 • Registered Lnnd Surveyor siqnatuze and compnny
W
0 0 • Buflding Pezmit Applicent '
L_ 0 • Legal description
fd o 0 • Address
?,,,D 0 • North arrow and bar- scale
D" [] 0 • House type (rambler, walkout, split W/o, split
lookout, •tc.)
0
0' 0 0 • Directional drainage arrows vith slope/gredient 4.
0 • Proposed/existir?q sower and weter services
0" ? 0 • Street name
• Driveway
LLavATioNs
eD
D
• Existina
Sewer aervice
e 0
0?0"?D 0
0 •
• Lot corners
Top of curb at the driveway
D' O 0 • Elevations of any existing edjecent homes
Provosed
PJ'^0 0 • Garage floor
H'" 0 0 • First floor
0? 0
' 0 • Lowest exposed *levation (walkout/window)
L?Y? 0 • Property corners
0 0 • Front and rear of home at the foUndetion
BONDING !?REl18 t3! ADDliCibltZ
0 (d? [] • Easement line
13 NWL
D 0 • HwL
13 0?,D • Pond # designation
D 0 • Emergency overflow Elevntion
DIKENBIONB
e D ? • Lot lines
D 0 • Right-of-way and street width (to bnck of curb)
entry,
D''0 0 • Fropesed home dimensions includinq any proposed Aecks,
ovtrhangs qreater than 21, po=ches, etc. (i.e. all
strueturis requiring permanent footinqs)
?fl C1 • Show all eesements of secord and any City utilities within
those easements W'13 0 • Setbacks of proposed structure and setback of adjacent
existing homes ,
D0---1'3 • Retaining irementr, if any
Reviewed: ?
me / a e .
October 1992
S-0+,
5r87 9 INV-92
r ' ?4H STA. 4++5
1t22 CS-94
- ,
S ?--8T-72
INV-935.6 6
?
10 CS- 946.1 66.5
,
? S-2+00
INV-939.8
CS-950.3
90.4'
?-
?
REMOVE PLUG
. & CONNECT TO , - ? - ? -
EXI5TiNG STUB
S-1+"
95.2
INV-93
CS- 94;
S-1+90
;
,
?INV-939.4
' 98.5
25 CS- 949.9
INSTALL WATER
SERVICE ONLY
CS-9 .6
- EXISTING SANITAR
SERVICE ?
?
?
o 25 50 too '
TH"C'CiTY aF EAGAN DOES NOT GUARANTEE
GRAYHIC SCALE Itv r'r;E?r' THE ACCURACY OF UTtIITY LOCATIONS
t inch = 50 feet AND/0R ELEVATIONS. TH1S DATA IS FOR
INF3RMATlON PURPOSES ONLY AND ,
PEF??Q?S U?"?IG IT SHQULD V?R'FY ?'H?
lNF?`?"?..?"-??'iO?J 0?1 THE ?1TE. ?
x???,??,. , .., . ................................................................
4
R ?? .? ? ,- ' • . . _ . • .
fT??S?,y€?, ? d:• ?? . . . . . . .
g,4y?60? . . . . . . . . . . . . . . . . . . . .. .-.. ..... -.. .... - • _ ... . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . • .
: : : MH
-- - - __ __ ?
................. _ _ _._._._ .................
.............. :.... , ?....... 949.9(.......
:.......
MH RE -9?? :
9 . BI-G. -!-*--pEf :
355 i i.40 :
... :................. ............
:.......\??....... :....... ?':......,......................
:.......
? : ? ? ?? : /' ? • -
... sso...... .............................. . . . .........
945 :
\ . . . . : . .
g40-
. CONNEC T TO, EXIS'riir?G STUB
. 935:.
: THE C1TY OF EAGAN DOES Wfi CU;RANTEE ? TNE ACCURACy : pF UTILITY tOCATfQNS AND1pR ELEVATIQNS. THlS DATA IS FOR !, . . . 930,
. . . : .
. tW-OAMATi0N PURP4SES - :fJNLY AND......
- PEflSpNS US•'NG 17 SHOULD: VERf FY THE
jNFORMATIQN QN T'HE SITE. • ? : ; ? - : :
... 925:... ?
;EXISTiNG CROUND
. ....:.........:.. .... N.
...:... ?...?
, ,• .? .
, .
UWWIiR
,-;,r%.
, .•
[;XT[:RIUIt F.NVL•'[.0I't: AVIi1t/1GG "U" CpMt'U7'ATIOtJ
St'fli ADDItL•'SS _
~ CONTR11Crori ?'/??iS/-? m/?1I,?61i,J?o r ?rU•
OATE I'l I ONL•'
. . . ? - . . . .
Determine warkinq sc;uare footaqc oE each.
,
1. Total exposed wall arca .. .. .. ..0 sq. ft. x • I i ?.?_J''??• j?
2. Total roof.ceiling area ...... ???li •!7 sq. ft. x •025
a;
Total exposed wall area above floor = .30 /•V
..
a. Total wall window area ..................................
b. Total door area ........................................... y2? 8
c. Total sliding glass door area ............................. .38•f?
ci. Total fireplace wall area ................................. O-?'G/ZGp
e. Total wall framing area (averaqe 10%) ..................... c,•5?
f. Total net wall area above floor ........................... / ,
g. Total rim joist area ........................ ...--....... .,3
Total exposed foundation area = 149li•ls
h. Total foundation window area .............................. a
i. Total net foundation area above grade ..................... /49G•li
Determine "U" value oE each wall seqment.
a. X .. V..
b. X ..U.. , o7G 3 : .,?3
c . ,3$,B x ..vN
d. ? X ..V.. ? O
. e. ..? 30•f? X ..v.. , fy s ,?77. G
r._ /Byr, ? x ..W. . o ya - _ 7?•.3 _ ._
,?. /.3?•3_--- x ..U..
r,. D X •?i•? o - a
. . /a G. G. . . .. , a?3 $ • 8
,. ,
_ . .• . .? -
s7=" c Rolx rf
. ,
;
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . To tJ 1 a ?? ?` ....,._...
-
IC itcin ql is tlle 5ame as, or Less thati item N1, you 11.yvt: ??r t_he intunt
oc sBc 6006(c)2.
sA c 4 ? ? <<> z
Total exposed roofIceilini area
O
j. TQtal skylight area ........... .................... N. Total rooffceiliny Eraminq area (avcrayc Ll'f%) .............
1. Total net insulatcd roof/ccilin(j arc:a .....................
Oetermine "U" valuc Eor cach roof/eeiliny scyment.
j, a X ..U.6
k. ?3y, 6 X ,.U ,.
x -•v-•
1. / Z//• 3'?
Q - 0
•OL3 ? 3./
, U Z/ 7 - d G. 3
a.....--• .................... . ......Tota? = o?9•S?
If total of M4 is the same as, or less than #2, you have met ttie intent of
sac 6006 (c) 1. ?w ???y 4. Z?3.
Alternate Buildinq Envelope Desiqn
To utilize the total envelope system methoci, the values r_stablish•-,d by Ghe
sum of items N3 and 14 shall not be greater than the sum of items #1 and k2.
. . ' . .. : ?a. ' i . .
1. ZS 3 ? _ + 2. .
+ 4. Z Q. Sl - ?5 b° ' 8 ?, •
3. -
GG%?? Z S4 + $? L cz-87
? . . .:
L BL D- CITY USE ONLY
?
SUBD. T--l????.lbV? {?
?
RECEIPT #: H i
RECEIPT DATE: U' I 9
PERMIT # -5 ?r
1999 PLUhIiaINEiPEtNIIT (RESIDENTIAL)
crrY oF F-AfiAx
3$30 f'ILOT KNO$ itD
EAfiA1V, 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
FIXTIIRES
EACH #
TOTAL
Bath tub
$ 3.00
x
= _-
$
Floor drain 3.00 x = $
Gas i in outlet * minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee atterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished " re uires MPC iic. 75.00 x - $
Private Dis osa{ S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ C?
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ----> $ •
Totai --> --> ----> ----> $ 50.
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ,
-
------------- -------------------------------------------
- .
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply- with all appiicable City of Eagan ordinances-
ft is the applicanYs 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 facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: //z?
.?? TELEPHONE #: ???
OWNER NAME: : ? lpf.6
(A EA CODE)
..?- /?
{NS7ALLER NAME: J'/,?', TELEPHONE #: CZ0??
(AREA CoDE)
STREET ADDRESS:
CITY: &;?-Ml1-7 STATE: ZIP:
-- ,
SIGNATURE OF PER TEE
2005 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.
4i?.. r-??--%
1 ? ? .
Date
J_ / !- ? / z/:"",
"..
?
?
_
Site Street Address ''??e??l a,4,2) Unit #
Property Owner ,/v Telephone #
?
Contractor ?
? q /r a i G fU Telephone # &0
Address J1Lz- " State j2q..? 1 Zip
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_XWater Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ ^PVB _new _repair `rebuild $ 30.00
State Surcharge $ .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 ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.-
,l,{
?
2t
Applicant's Printed Name A li nt's Signature
qu
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
---------------------------------------------------------------------------------------------------------------------------------------------
NO. FIXTiJRES
a SHOWER
I V`N'H 1 E, iC C L0 S Ei
BATH TUB
LAVATORY
.?. KITCHEN SINK
/ LAUNDRY TRAY
HOT TUB/SPA
/ WATER HEATER
FLOOR DRAIN
.?_ GAS PIPING OUTLET • min?mum - i
ROUGH OPENINGS
WATERSOFTENER
PRIVATE DISP. • Dak.Cty. iic.
U.G. SPRINKI,ER • home under const.
ALTERATIONS • to odsting
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.00 ? • ?
3.00 9. ?
3.00
3.00 1'. E+.
3.00 3r 'j
3.00 .? . * ?
3.00
3.00 3
3.00 3?o
3.00 ,? . :..
1.50
5.00
20.00
3.00
20.00
20.00
.50
S ?'A__p
SITE ADDRESS:_ '?/3?',;d ?t,,?? ??,? ,?,??"
OWNER NAME:__ f'„?i?/s'i? ,???tCi?,??
INSTALLER:__ 4&4G?
ADDRESS:_ ?? Y.IS 2ivA-4,1 ,,r'e
CITY: STATE: ZIP CODE: •X_32F
PHONE #: ( G1,2 ) d'f y- ?d ev
SIG TURE OF P MITTEE
1994 PLUMBING PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
w
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION•
CONTRACT PRICE: $
Fi?E: i% OF CONTRACT FEE.
STATE SURCHARGE: $.SO FOR EACH $1,000 OF p'F
Rlt'II'T FEE.
...................:
DiINIAiUI?I FEE: $ 25.00 ....................
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE:
ZIP CODE:
PHONE #: '
FOR:
CITY OF EAGAN APPLICANT
?, Z/ 6 4
1994 MECHANICAL PERMI'T (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------------------------------------------------------------------------------------------------------------------------
Y NEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE 1?I -??'Lff/
FEES
HVAC: 0-100 M BTU $ 24.00 ;
ADDITIONAL 50 M BTU , 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExlsTirrG CoNSTxUCTION) $ 20.00
STATE SURCHARGE
TOTAL
StTE ADDRESS:?? fI ,.-
OWNER NAME32/ri sf1 TELEPHONE #:
INSTALLER: Burnsville Heating & /C, Inc.
124$1 RhnriP I-,fand AtiP SA
Savage, MN 55378-1122
ADDRESS: 8 4-0005
CITY:
STATE: ZIP CODE:
TELEPHONE #:
?
GN URE OF PERMITTEE
z._? ?
fI
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
V
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APA.RTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- ---- -- ---------------------- ---- ------------------------------------------------------------------------------
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICF: $
1 % OF 99NTW FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
J1 1 E l1liLItEJJ:
FEES
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF PER?VLIT' FEE.
$
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110436
Date Issued:05/10/2013
Permit Category:ePermit
Site Address: 4382 Bent Tree Lane
Lot:5 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Steven O Wilson
4382 Bent Tree Lane
Eagan MN 55123
(651) 683-0604
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178665
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 4382 Bent Tree Lane
Lot:5 Block: 2 Addition: Autumn Ridge 3rd
PID:10-12302-02-050
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 -
Steven O & Metta Wilson
4382 Bent Tree Ln
Eagan MN 55123--305
(651) 683-0604
Clear Choice Restoration
2722 Hwy. 694, Suite 100
St. Paul MN 55112
(612) 259-7177
Applicant/Permitee: Signature Issued By: Signature