4641 Aspen Ridge Cirt af RES EDI TIAL
y??? - P P -4?1?3?, 56
0 A -V? BUILDING PERMIT APPLICATION pp
CITY OF EAGAN
C 3830 PILOT KNOB RD - 55122
?O ??x W`f • ? 651-681•4675
1, ? • '?
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NewCOnstructianReaui ments CCe1V, /vI'7 RemodellReoairReouirements
• 3 regis[ered site surveys shaxing sq. R of bt sq. ft. of house; and all roofed areas 2 copies of plan $R ?1'l i'ry _
(20,6 maximum lot coverage allawed) 1 set of Energy Calcula6ons for heated addi6ons ? h ? ? U
• 2 copies of plan showing beam 8 wintlow sizes; poured found design, etc.) f3a tch # S 27 , 1 sde survey for exterior addifions & decks j(, ?• O?l
q
• 1 set of Energy Cakula6ans '?" (f.?
. 3 copies of Tree Preserration Plan 'rf lot platled aRer 711/93 I q 1?
• Rim Joist DeWil Options selectian sheet (hldgs with 3 or less units) Y I<- 01 Oa k Q ?n+e 0??-? q h?hlj ?
DATE
JOB SITE ADDR
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OW
TYPE Of V
APPLICAt
ADDRESS
PAGER #
90, 50
) _0 ^4 _2 _3
, T2? -7
XW1 PCODE.?-?c? ?
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
_ --?_
MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventiiation Category 1 Workshee t Submitt D
- Energy Envelope Calculations Submitted
X, MINNESOTA RULES 7672 gy
- New Energy Code Worksheet Submitted
Plumbing Contractor: jg TIM 6v,u.?11U ET Phone #: / J -
Plumbing Sys[eai Includes: X Water Sottener Lawn Sprinkler Pee: $90.00
? WaCer Heater ? No. oF R.I. Baths
'?-•? C1o. oF Baths
Mechanical Contractor: gl) KIe k.SOIV 11L?__#r//4-one # C2S l' a7 L
Meclianic>il System Includes: x Air Conditioning Fee: $70.00
? Heaf Rccovery Systcm
Sewer/Water Contractor: Phone # p ' ' L
V?l d M?)r.vn?in? li47-Al!? - N9.3.3
All above information must be submitted prior to processing of application.
I hereby acknowiedge that I have reod this application, state that the information i? correct, and agree to comply with
ail applicable State of Minnesota Siatutes and City of Eagan Ordingr?GQs.
Signature af Applicant
Certificates of Survey Received ? Tree Preservation FQReceived Not Required
4 50q7• 5b
VAWATION (EXCLUDING LAND) U G <!:i
fSY??iv'
Updated 7/01
CELL PHONE # _
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screened)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex . ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Y 31 New
? 32 Addition ,
? 33 Alteration
? 34 Repfacement
? 30 Accessory Bldg
? 31 Ext. Ait- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
*Demolition (Erttire Bldg only) - Give PCA handout to applicant
/3fe X"
3
Valuation Occupancy -- MGES System
Census Code 1191 Zoning z4-j? City Water
SAC Units Stories ^ 02, Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs l Length Fire Sprinklered
Type of Const ?
5 ti Width
? Footings (new bldg)
_ Footings (deck)
Footings (addi[ion)
?o Founda[ion
TDrain Tile
Roof Ice & Water Final
? Framing
Fireplace R.I. Air Test Final
? Insula[ion
REQUIR?INSPECTIONS
FinaUC.O.
FinallNo C.O.
? Plumbing
HVAC
e S
Approved By1166_, Building Inspector
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
_ Other
_ Pool Ftgs Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
,FS4 r
99'2 xsY
?
?3 / 7 (Fy
CJ/?1Q'I? G C ` CRl?i
-S'ur ve-ohy2 prfiYiddPo
-Z?W /°Z? 7?z
7
777?" (3759?
Site address: l W?t1 ?n??? , Lof?. 81ock? Subd. ?
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On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is consVucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
waterHeater (,?A a A?? - w • ?,.?. 5-6 L(OA) IZ G po0 V(,
Furnace e ? ? ? ld0 Doo PV
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CfM's VENTED
ves No
Kitchen kitchen
Bathroom 1
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
W000
MANUFACTURER
MOOEL
8TU'S VENTING
otaECi aiMaS
3 , eoo
MAKE•UP AIR MODEL TYPE CFM's
Le ?oo a r d - S P Zd D
I hereby acknowletlge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
U'?
Signature
CompanyName ?
*7 -z(6--o?
oace
" This form is the responsibility of the General Contractor,
2000 MINNESOTA ENERGY CODE
1-2 Frrmily Residentiu! Uinclliugs
"COOKI300IC" WORKSFII:GT
Applicnnt Namt Phunt Dalc Plans mu+t bc drarl}' marlced willc Statrmcnt nf Conipliancc:
? illsulalion R-vnlucs, I la z pnip usal builduig d 5igi npraunuJ in
F 5. 82 !- 01 2
-T
3'3 U•O )
?wiudowand sAyliglll lJ-t'alUCS, ??ae duamimis
is uunsul rn witlt We building
plans, spa ilicuiuns,;md uWLr
Applie(uttCompunY ?SUCandlypto(eqttipnlent, wlculatia,ssubmit[edwnh tl,epcnuit
? lOCation ol IntCriDf .tir balricf
vapoC CCIardCI
npplicatiai. 'ILepropus
.?lbuilJinghasIwa?
Q p 5 ,
u?l? wlli/l WuS?I ?aIT1Cf, Jaignad W mai We rtyuintinaiis of tlic
blinntsota l'nagy Cade.
i3uiidillg naa as: oA1(Pciu7£ ??qo???„???i ?o„?ro?s
r
PFiA 5 E S
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MINIMUN( REOUIRGMENTS for "Cookbook" Ontion:
Entn• Doors I-3/4" solid %cood or m:ixinmm U-valuc of
0.40 Cciling R-38 (insulatiou pcrfonnaucc at wintcr dcsign
condilions Hcating system cfficicncy: > 90'% APUE
Pound:uion 1/2" iiuulalcd giass in ivood or vinyl Gamc,
1Vindows* or maxinmm U-valuc of U-OS I Found:ll1011 w:III II1SUIation R-10 (if a diffcrcut 2-valuc is
uscd, adjust thc rcquircd avcragc windorv U-valuc by Rim joist R-IU
*Include founcl:uion wiudow total squam Cootage in com Ietin g the worksheet ou lhe next agc . floor ovcr unconditioned s ace R-30
cakulalion of Windon/Door Arca.
Windoa and DnnrArca 100 r --?s --? ? a9roo -
As °/u Uf ETp09C(I Wall Arc:i Window/Dunr Aren Grnss Wall Arcu
15.3 %
WinJaw•/DoInr Antt:i
y
WINDOW U-VALUC : • 3
Sonrcc: NFRC _?Sl_ or CnJc Detault ta61c
? NIAXIMUNI AVGRAGG WINDOW U-VALUES
rOR R-10 rOUNDA'CION WALI. INSULATfON & 911 % AFUE FURNACE
Check VVall
Ty c Used Masinium Total Window and Door
Area ns Percecita e of b:x osed WaIL•
10%
12°b
14%
160,%
18°a
'l0°6
22°-6
240N.
26°%
280,S
Wall 'Cy r.: M.iximtun Avera e Window U-value:
2x4. It-IJ insul;itiun. < I:- i shc;Ul?in ? 0.:17 0.:37 0.33 0.28 0_25 0.22 0.20 0.18 0.17 0.T5
2x4. It-13 intiulal.ion, > li-fi 51'ical,him., 0.;37 0.37 0.37 0.37 0.:37 0.33 0.30 0.27 0.26 0.23
2x4. 1i-13 insul;U.ion. > H-7 shc,d.hing 0.;S7 0.37 0.37 0.,37 0.37 0.:36 O.J:3 0.30 0.27 0.2 5
x 2) x(i. I{-IS] intiul,tl.iun. < li- 5shooLhin r 0.:17 0.37 0.37 0.37 0L37 0.32 0.29 0.27 0.24 0.23
lx(i. It-Ifl inyid.d.ion,> k-5 shcaLhim? 0.:37 0.37 0.:37 0.37 0.37 0.37 0.35 0.3`l 0.29 0.27
'Gx(;, k-'ll insulal.ian, < li-G shea6hin g 0.37 0.37 0.37 Q37 0.37 0.35 431 0.`'l9 0.26 0.24
'lxG, I{.21 insulal.ion,> li-5shcal.hin 0.37 0.37 0.97 0.37 0.37 0.37 0.3G 0.33 0.30 0.28
NO'l'li: 11' lioundal,iun wall insulal.ion is ci6hm• less 0 h:m 11-10 (but nol; loss Chi in It-G), or R• 19 and abovc, I.hml use 6hc Lables appropriate for those valucs.
Residentiai ventilation two-step worlcsheet
2000 Minnesota Energy Code
STEP 1: submit copy with permit anolication
W a d ess: - G Completed by: GRo?? D1NjO?.D
City, ZipA ? Date: 3. 3 o• ? I
House conditioned floor area (normally including the basement) 2`l S? sq. ft.
Number of bedrooms 3
Ventilation quantity
Total ventilation requirement (conditioned floor area x 0.05) 150 cfm.
Ootional: total ventilation may be split between people and supplemental quantities:
Peopie ventilation (# of bedrooms x 15 cfm + 15 cfm) cfm.
Supplemental ventilation total (total - people ventilation) cfm.
tV_uN,oX Mt7DF_L 200 5P
List fans to provide mechanical ventilation CE_K7RAL A I2 _7v Ai2 b4FA76AGFf,4c-?L>
Fan location or descri tion I
FAN PURPOSE people
ventilation
orsu lementalventilation TOTALS
AS DESIGNED cfm cfm cfm cfm
or eARM cfm cfm cfm Zfff cfm
onu
STEP 2: Submit unon comnletion of svstem verification
MEASURED
' cfm cfm cfm cfm cfm
intake
pERFORMANCE or cfm cfm cfm cfm cfm
measur2ment required f"FAk'6s and exhausts from the building with design air flow of 30 cfm and greater.
Ventilation equipment requirements (check to confirm compliance)
Ventilation system sized to provide the design air flow
People ventilation fans listed for continuous operation and sound rating does not exceed 1.0 sone
(surFace mounted) or 1.5 sone (all others)
Optional: heat recovery ventilator (HRV)
HRV meets Canadian standard CSA-439 (indicated by listing in HVI Directory)
(optional manufacturer cold weather performance certification ?.
HRV meets UL standard 1812 or equivalent
HRV has a permanent label of net air flow and sensible recovery efficiency
Distribution, installation, and certification requirements
All ducts outside the interior air barrier sealed with UL181 or equivalent product
Controls for people ventilation are readily accessible and labeled
If RVS ductwork is connected to furnace ductwork, controls are installed to run the furnace blower as
required by code to distribute outdoor air to habitable rooms
?/99 Page 10
d?.?tci: ( F((? ?af^?(
(SEE ATTACHMENTS)
Development p69"K FOl wT"C- c)C- -iw3g(v
Lot Number
Address
Builder
Tree Protection Reauirements:
Block Nuinber
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during Aprii 1 to July 31)
Therapeu4ic Pruning
Retaining Wali
Other:
Replacement Trees:
X Not Required
As Follaws:
Attachments:
Yes
Y.; No
Additional Notes:
K- `C v1
C?G?4C?
H:lghove12000111eltreepres\Tree Preservation Plan Summary-2000
14M 1 ASPFN RtDl6c- GtR.
Tree Preservation Plan
Oakpointe of Eagan 1-7-1 Lot _L(-_? Block _/ (Site Plan Attached)
Address: Z-? (? ?? / ?? pct) '121 J? &L;?- C i -e-
OWn2f: OCP Homes, Inc. BUIIdBf: Joseph P. Varley Construction
8609 Lyndale Ave. So. #101B 16800 Shieldsville Bivd.
Bioomington, MN 55420 Faribault, MN 55021
881-0127 507-334-6034
Si nificant Trees on Lot:
`None
Sionificant Trees: (Numbers Per Tree Survey)
# Tvoe Size Retain or Remove
Protective Measures:
_ Tree Fencing
Oak Pruning (April 15 - July 15)
Retaining Wall
_ Therapuetic Pruning
Other:
Replacement Trees:
_,2S,,Not Required
As Follows:
Notes:
L?
161l%.1L?l
J (?
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
? BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Ga ' I? l DQ a"al
DATE OF SURVE
'?J LATEST REVISION:
?
2
Z DOCUMENTSTANDARDS
`
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Ll? ?
V ? • Registered Land Surveyor signature and company
B
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P
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i
ing
ermit Applicant
?-/ ?
I
'
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CI . Legal description
Add
U
/
' • ress
Cu
/ ? ? • North arrow and scale
?
? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
C9/
? ? • Directional drainage arrows with slope/gradient %
M/? ? • Proposed/existing sewer and water services & invert elevation
fl/ ? ? • Street name
@'/ ?
? ?
? •
• Driveway
Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
/ Existinq
M/ ? ? . Sewer service (or Proposed)
IW/ 0 Ci • Property corners
d G [1 • Top of curb at the driveway and property line extensions
V/ ?/ ? • Elevations of any existing adjacent homes
?@' [7 • Adequate footing depth of structures due to adjacent utiliTy trenches
Prooosed
C? ? ? • Garage floor
? G • Firstfloor
d ? ? • Lowest exposed elevation (walkouUwindow)
? LI • Property corners
L?f ?? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? ? • Easement line
? ? • NWL
? G7? ? • HWL
? q?i ? • Pond # designation
? q/ ? • Emergency OverFlow Elevation
DIMENSIONS
? • Lot lineslBearings 8 dimensions
M/
La' ? CI • Right-of-way and street width (to back of curb)
?? CI • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent footings)
G(/ ?? • Show all easements of record and any City utilities within those easements
f? ?? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
?v I.i • Retaining wall requirements, if any
Reviewed:
Name
/ Date
2-1
** **
* PIONEER ?
* ang neer ng WO
* ?. *
*
Certificate of Survey for:
LOT AREA = 9,586 SO. FT.
HOUSE AREA = 1642 SQ. FT.
DRIVEWAY AREA = 853 S0. FT.
COVERAGE = 26 %
HOUSE TYPE=2 STORY
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LutlSCME Mqvi[C14
2422 Enterprise Orlve
Mendoto Heighb, MN 55120
(651) 881-1914 FAX:681-9488
OCP HOMES, -INC.
4641 ASPEN RIDGE CIRCLE. EAGAN
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BENCH MARK
TOP OF PIPE
ELEV.•=942.97
NOiE: PROPOSEO CRAUES SHOVM PER CRADINC PLAN BY: PIONEER
NOIE: BUILUINC DIMENSIONS 410WN ARE FOR HORIZONTAL ANO VERTICAL IOCATION
OF STRUCNRES ONLY. SEE ARCHITECTUAL PLANS i0R BUIlA1NG ANO
FOUNDAiION DIMENSIONS.
NOTE: NO SPEdFlC SOILS INVESTIGAl10N HAS BEEN COMPLEIED ON 7HI5 LOT BV 1NE
SURVEYOR. ME SUITA81tlT1' OF SOILS TO SUPPORT TlIE SPEqFlC HOUSE
PFOPOSED IS NOT ME RESPON51911JTY OF THE SURVEYOfl.
PROPOSED HOUSE ELEVAl10N
BASEMENT FLOOR EIEVATION: 5 s?
MAIN FLOOR EIEVATION: V • Z
GARAGE SLAB ELEVATION: 9 43. S
TOB 0 LOOKOUT ELEVATION:
NOTE: MIS CERI1FlChTE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THNN % 000.00 DENOTES E73SiiNC ELEVAl10N
MOSE SFIOWN ON 1HE RECOROED PUJ. ( 000.00 ) OENOTES PROPOSEO ELEVATION
DENOTES DRNNACE AND UTLITY EASEGENT
NOTE: CONTRACTOR MUST VERIFY ORIVEWAY OE9GN. DENOTES DRAINAGE fLOW DIREC110N
NOIE: BEAftINGS SHOWN ARE BASED ON AN ASSUMEO OAIUM t DENOTES MONUMENT
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO OCP HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNOARIES OF:
LOT 12, BLOCK 1, OAKPOINTE OF EAGAN 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES N0T PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYEO BY ME OR
UNDER MY DIREC7 SUPERVISION THIS 19TFi OAY OF MARCH, 2001.
cir.NFn-I iPIONEER ENGIN RING, P.A.
SCALE : t INCH = 30 FEET
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625 Htghway 10 N.E.
Bloine, MN 55454
(812) 783-1880 FAX:783-1883
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ELEV.=944.83
`SO ASPC RCLE GE y?
,UdLCSS 1_fi4 I A cpa n R i rl g a r i r r 1 a ZlP 5$129
IAt ] 2 $]k ] $ub Oakpointe of Eagan 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway ?
Pecmanent gas
S eeded grass
TraiUcurb damage
? - 7 zv
Porch
Basement finish
Deck
Please vetify with the builder the temoval of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sysrem. ?
Whice - City Copy Yellow - Resident Copy Pink - Contracror Copy
2006 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date / / c;?2 /06'
Site Street Address ?S ? Unit #
?
Property Owner ?ci SS?ti Co? Telephone# (25,2) ?So-
7'F-e
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City SState ?.U Zip S/
Address 7 C= p
The Applicant is: _ Owner ZContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next
tion and check the
appliance(s) you are installing.
Z?
N
PM0
_Septic System Abandonment ?UC D
_Water Turnaround (add $130.00 if a 5/8" meter is required) 2? 7D06
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
??,? 1
? Lawn Irrigation tkRPZ _PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ .50
Total $ ?? • Sa
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 wit out a permit and work will be in
accordance with t Proved plan in the event a pian is required to be rev'ewed a ved.
Appli Ys Printed Name ApEyieemf's Signature
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105507
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 4641 Aspen Ridge Cir
Lot: 12 Block: 1 Addition: Oakpointe of Eagan 2nd
PID: 10-53776-01-120
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 7,700.00
Total:
$105.25
Contractor: Owner:
- Applicant -
J A Jacobson Roofing and Siding Chris. P Hsu
791 160th St 4641 Aspen Ridge Cir
Hammond WI 54015 Eagan MN 55122
(651) 303-7254
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124428
Date Issued:07/01/2014
Permit Category:ePermit
Site Address: 4641 Aspen Ridge Cir
Lot:12 Block: 1 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Christopher Tste P Hsu
2131 Ashton Ave
Menlo Park CA 94025
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127189
Date Issued:09/23/2014
Permit Category:ePermit
Site Address: 4641 Aspen Ridge Cir
Lot:12 Block: 1 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Christopher Tste P Hsu
2131 Ashton Ave
Menlo Park CA 94025
(612) 290-1748
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
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Use BLUE or BLACK Ink
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� j Permit#: I
3830 Pilot Knob Road _ � Permit Fee: __ _ lL(��� �
Eagan MN 55122 � �
Phone:(651)675-5675 � Date Received: I
Fax:{651)675-5694 � �
� Staff: �
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2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: '1 Site Address: l.� 1 �V� �. � � 2
Tenant: Suite#:
I�esident/Owne`r�,__ Name: Phone:
.__,�� Address/City/Zip: .�_ __
� .� �,- . � .J
��`'���.�„ .y Name: � � d- License#: lJC � � � � �
..
�� Go:t�--ov Address: ( +�-1� ���..1(�I i l l � � ST City: 1��"�,.t.C�"'1{�1�
. �� _
�.# �.:�' State: 4�� Zip: �����Phone:_ �Q�j � � � ��� ��V 1 .,
� �� �` �� Contact: Email: I� � L� �/jC1LQYGCIY c[�`j'V1
�, « ;�";.
° _ _New �Replacement _Additional _Alteration Demolition
�:��ype�Uf W�I ��. Description of work:
tt � " OTE:Roo moun,,e ,an �ro„�,�un moun ecl ec amcal equi me is eqwre �a be screene"���ity.
"� ��= ; ,� e.,,. ease o c he�Vlec�ianica�nspec or,�o��r�o a io o p�ermi e sc e n ng e hods �
.�.�.�.,_.F:�-4,...�_ � � � _:�..�..�_...,_. �, �:
:����:��, �,�:��.��
n � �"``�#�` RESIDENTIAL COMMERCIAL
.:_< -.�.,�,�.�.:��
`�� ' .�Fumace New Construction _Interior Improvement
_: Pe t e , —Air Conditioner _Install Piping _Processed
�" �•�yp "°�° Air Exchan er
— 9 Gas Exterior HVAC Unit
�:w `�� — —
,;.,:�w,,�„�,;;�� _Heat Pump Under/Above round Tank
g (_Install/_Remove)
�-°-�- ,_Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) v
$100.00 Residential New(includes$5.00 State Surcharge) _$ �� °� TOTAL FEE '
GOMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee �
'If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge*
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 •
**"If the project valuation is over$1 million, please call for Surcharge =� �' TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x X_ � ��lL�i'V ""
ApplicanYs Printe Name Appl�nature
°F_OR OFFICE USE �' � y� �e� :�.. �
�` µ � _ : ���. � '��. 4, � Y�'���.- ,..�..�� .,� �
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Requ�red Inspections `�� ° °'�� ,_� � ��= `=Reviewe By � ..�•�..�.�..,� '' �Date`ri �' �
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. � n�ergroun �'�`�_R�oug n� -� ir es "`Gas� e �ice-es �' �� -� oo ea ��,��„�,a�.��=<..'� � Cr� cree mg�="`'J
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128388
Date Issued:11/07/2014
Permit Category:ePermit
Site Address: 4641 Aspen Ridge Cir
Lot:12 Block: 1 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Christopher Tste P Hsu
2131 Ashton Ave
Menlo Park CA 94025
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130578
Date Issued:05/01/2015
Permit Category:ePermit
Site Address: 4641 Aspen Ridge Cir
Lot:12 Block: 1 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Sarah A Roche
4641 Aspen Ridge Cir
Eagan MN 55122
(712) 339-5750
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
:`<,- . ..
, ��t [ f���`]� Use BLUE or BLACK Ink
�U , , ---------,
�� lr L- r � I-------
, ,_::�� � For Office Use �
(� t� �] i
���� U��Q (1il �,� ,���� � � t�i��J I Permit#: I
� � � �
3830 Pilot Knob Road � Permit Fee: — � �
Eagan MN 55122 ....,,.. ,j �i � I� _r�_� �
Phone:(651)675-5675 � Date Received:�s° �I
Fax:(651)675-5694 I � �
,�{ i ' � J � Staff. �
��_��_��_��_���_�J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address: I
Tenant: Suite#:
Name: �IM V�"\��'�V l.(. Phone:��1-"��ja.5�S�
Address/City/Zip:
Name: � 1"f U r �""� "� � License#: � I � U �j � S '�j
Address: 1� C�`�--���/) I� � � �S�j�l�_City: -�
State:�Zip:S'`�j��j�j Phone: ����' 'T�7 " �� �
Contact: Email:��SS)C�•'Y�CX.In� Q}�1('_�Cf�i,{y'GL,/�r,�fJyy-t
_New �Replacement _Additional Alteration Demolition
Description of work: C
RESIDENTIAL COMMERCIAL
Fumace New Construction Interior Improvement
,�Air Conditioner _Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
_Heat Pump _UndedAbove ground Tank (_Instail/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) f � ��
$100.00 Residential New{includes$5.00 State Surcharge) _$ �XN TOTAL FEE
COMMERCIAL FEES
Contract Vatue$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
�If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
***If the project valuation is over$1 million,please call for Surcharge
_$ TOTAL FEE
1 hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
c `
X X (�t���l� L��I�.�,.
Applicant's Printed Name ApplicanYs Signature
� :