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3572 Baltic AveCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55721 - D/1TE: Zonirg: No. of Units: Owrnr: =o:ltiez- ''!iciweQC Md?ess: - Site Addr`eas: Plumber. _ AAste? No.: _ Size: Reoder No.. . I pm !o comply wMb tlw Gry of Eove OedlwonnuL By _ Oate of Insp.: Connecion Charpe: 00. '00?x Aooount Depasit: Permit Fee: - Surcharge: , Misc. Chorpas: Totol: Dote Paid: ` CITY OF EAGAN WATER SERVICE PERMR 3830 PilotjCnob Road P. O. Box 21199 PERMIT NO.: ? Ea&n, MN 55121 • DATE; ? ZonirD: _ No. of Units: Owner. jr:ntier i ? j /?ddress: . , - , . ! 51te Address: 3 5;? Plurrbar ., C a t ;- Meftr No.: 3 7 (c ..5f3 ? ?an (]arfle: Slu: /?ocl< . .;.„. S/ ?? .-.-.-.......r? DePosit: : Reader No.? 70 7 ? 1 ?camf F![ill ? ?EE"l?F?'• Elf° . . x REQUIREDW-LA.., B - oa. %w: DOft Of insp.: iz-7- Z??6 CITY OF EAGAN SEVyER SERVlCE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 • p^TE; Zonin0: No. of Units: 1 OWm?: _ FI'(] el t fc •r ' + ' • ? ? Add(QSS: I '- Sfts Add" .: P:z Ii_ia` 1ur??.t ? ` ! "et;,C..?:_ '.?.??'...i Plurriber. _ ;r. -?..?;"r:•? ' 1 prw h eoMMyr wie6 W C11y of Mven Conroetion CJxew: •?' S?ttn? --r OfdIMrOM. Accourit Deposit: ? Permlt Fae: Surdwrpa: BY Misc. Chorgm Dote of Irop.: Totd: Insp.: Dote Paid: CASH RECEIPT ??: , 4 ? CITY OF. EAGAN 3795 PILOT KNOB ROAO . EAGAf`d4 MINNESOTA 55122 • , ., k ,- _? DATE C/ 19 RECEIVBD FROM C /1v AMOUNT ` ?Ht/ ?? ? CASH ? CHECK too DOLLARS FOR J '/ White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY .. 66279 ? r un liLL,n-rLeuv tGLV 1LWLll 40/8' CITY OF EAGAN fn L? ? ? gg 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ???` - ??`C6? ? CJ? (?1[tT?ffi?7.V 452-3273 pHONE: 454-8100 L17PBUILDING PERMIT DAY 435-4232 Receipt # 87-:? , To be used for SF DWG/GAK Est value $64,000 Date "TEMB'r.R 4 19 `. 'v SiteAddress 3572 BALTIC AVE Erect Occupancy K3 Lot 2561ock 4 Sec/5ub. 'iAMpjON h"s'*; Rernodel ? Zoning Yp o „uuicsb - - - - ----- ----- -- - --- - - 4 54 - 0 4 3 3 Cit ?-'?G? Ph Int Impr. LJ Sq. Ft ? y one Install o Name 5AME Approvala Fess ?°, i Address Assessment Permit 3 2 5' J ? lc City Phone Water & Sew. Surcharge 32.00 ? Q Police Plan Review 162. 50 W W Name Fire SAC 575. 00 I ?; Address Eng. ? Water Conn. 500.00 < W City Phone Planner Water Meter 63 . SO Council Rosd Unit 290.00 I hereby acknowledge that I have read this application and state that the y 3 8 6 Bld Off Tr pl 156.00 information is correct and agree to comply with all applicable State of . g. Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks Signature of Permittee-? ? Var. Date Copie ' io 4. U , ? Total ? FRONTiI?it i?].I;)?vT',ST i-? ?i::S A Building Permit is issued to: on the express cortdition that all work shall be done in accordance with all eppliceble State of Minnesota Statutes and City of Eagan _ • Ordinances. .. ? , ; Building Official ? - I • I Permk No. I Parmlt Ho1Mr I Dste I TNsPhone N I Plby. Hty. Plbg. Final Occ. Ft9. PERMIT # ' `" "" ` , . , e • - ` .? ?; PLUM8ING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAH, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 • Site Address ".11 7 i` ?? ? i L.- BLDG. TYPE WORK DESCRIPTION Lot " _?) Block Sec/Sub ! fr ;/ f) l?' t C> ? ? s Res. X New A ? Name N E-. Mult Add-on ? Address LJ K. Comm. Repair c Ciry - 1+ S h f V Phone Other Name t i ???J 1 i t' ? l C I) I c S N?. FIXTURES $ C TOTAL s "` - - c Address /C m r/ ?) iN Water loset - 3.00 TBath Tubs - $3.00 1 ' 0 City A ri: Phona'?; _.,- Lavatory -$3•00 l Shower - $3.00 ?- ? FEES Kitchen Sink - $3.00 COMM/IND FEE - 1°rb OF CONTRACT FEE MINIMUM RESIDENTIAL FEE Urinal/Bidet - $3.00 TLaundry Tray -$3.00 T - -$10.00 MINIMUM - COMM/IND FEE 20 00 Floor Drains -$1.50 T ` - . yyater Heater - $1.50 ? -? STATE SURCHARGE PER PERMIT - .50 1Nhirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES TGas Piping Outlets -$1.50 ? BEYOND $1,000.00) Softener - $5.00 _ Well - $10.00 ? f , Private Disp. - $10.00 =Rough Openings - $1.50 . I 31GNATURE OF PERMITTEE FEE r;r " STATE S/C: G D TOT ' 1' ? FOR: CITY OF EAGAN RAN AL: . • . PERMIT # ' . MECHANICAL PERMIT RECEIPT # CITY OF EA(iAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: lU/_"wf ab ?NTRACT PRICE 4 _?'500 . UU PHONE: 454-8100 Site Address »/Z ??1 t 2 c Lot =S Block 4 Sec/Sub. m Name ? Addre c Ciry _ Name rrootier c Address 3908 Sib] 0 Crty EaQan TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Alr Cond. M BTU Vent CFM Gas Piping Oudets # Other FEE S/C: TOTAL• BLDG.TYPE R@3. M ult Com m. Other WORK DESCRIPTION NeW :iX Add-on _ Repair FEES 1Ii' • RES. HVAC 0-100 M BTU -$24.00 0433 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 4. 0,1 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) .50 . OO I SIGNATURE OF PERMITTEE CITY OF EAGAN CITY OF EAGAN _ 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at _'26- Z-T% J Z? i---- I have this day inspected this structure and these premises and have found the following violations of' city codes governing same: wS z When corrections have been made, please call 454-8100 for inspection. Date Inspector City o( Eagan DO NOT REMOVE THIS TAG MECHANI, ' CITlf 0 3830 PILOT KNOB RC , DATE Q PHONE I. 8ite Address < - Lot Bbck ,Sec/S)at I? I City Phone L'l ? TYPE OF WORK ' Forced Air M BTU $ Boiler M BTU $ . Unit Neater M BTU $ Air Cond. M BTU $ ; Vent CFM $ ` Gas Piping Outlets # $ Other $ CommJind. Contract Price x 1% $ PERf4qT FEE: S/C: IIT For City Use Only PERMIT # INg MN 55122 RECEIPT # ? DATE: 'i BLDG. TYPE WORK DESCRIPTION ? Res. ? New Const ? Muk. Add-on ? y Camm. Repair Other FEES .? iES. HVAC 6-100 M BTU - $24.00 0QITIONAL 50 M BTU - 6.00 ? (RES. HVAC INCLUDES A/C ON NEW CQNSTRUCTiON 'j ; ) 'OWNHOUSE & CONDOS - RES. RATE APPUES AINIMUM RESIDENTIAL FEE - ALL ADD-ON 3 ; REMODELS (INCLUDES GAS PIPING) - 12.00 ? iAS OUTLETS (MINIMUM - 1 PER PERMIT- NEW CONST.) - 1.50 EA. I bMM/IND FEE - 1% OF CONTRACT FEE tPT. BLDGS. - COMM. RATE aPPLIES ? AINIMUM COMMERCIAL FEE - 20,00 iTATE SURCHARGE PER PERMIT - :.50 ? ? ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEEJ a ;, 101,5,1 7/F b684 8 9 ReOvesi Date / o_ -?• FW No. Ro gh-ln Inpsetlion Repuir (VOU moet cell in50 or hen ready) 50 b? Other Then Pougn-In Reatly Now ? Will Notity In9pectOr / ? Yn No Oa ReaOy I licensed contractor ? owner hereby request inspection of above elecirical work at: Jo0 Atltlpess (Sre'"e't?. Box or Ro te No J? /%?{ l?/ c i/ ?/ Z... Ciry /? U S¢CtiOn No. TownShip NdmB m No. R9pgB No. // Caun / ai pc n1(PRINT) Phone No. U rS Po uppL r r ? Atltlres ' CJ G Y1( n ri Elecincai Convactor (COm°anY Name BESTER E L r C T R I C "a"°`s "Ce"5e "° . ? . _ d a zS nnaning nmress icomracmr or owner F A R?tln?s fl 6??? " TOk MP, 55014 Amnonietl SiSnam;e IGontr?Iavm Ahr &N, Phone NumOer Y MINNESOTA STATE BOAFD OF ELECTNIdTY THIS INSPECTION PEOUEST WILL NOT Grigge-Mltlway Bldg. - Room 5473 6P BE ACGEPTED BV THE STqTE BOARD 1821 University Ave.. SL Psul. MN 55104 l1NlE$5 PPOPER INSPECTION FEE IS PMne (612) 643-0800 ENCLOSED. Q?7 REOUEST FOR ELECTRICAL INSPECTION ea.ooom-oe p ? See ins?mctions for comple?ing Ihis torm on pack ot yellow coOR p? p pV 6 'i %O "X" Below Work Covered by This Request M? ew A -_ ep. ' Typeof8uiltling AppliancesWired EquipmeniWired - Home Range Temporary Sarvice Duplez Water Heaier Eleclric Healing Apt 8uiltling Dryer Load Management Comm./Industrial Furnace Other (Spec' ) Farm Air Conditioner ? Other (specily) ContrdcNr's Remarks'. Compute lnspection Fee Below: # Other Fee # ServiceEmrance Size fee # Circuits/Feetlers Fee Swimming Pool ps D to 200 Am 0 to ioo Amps Transformers Above 200 _ Amps Above 100 _ Amps SiynS Inspecmr5 Use Only: TOTAL - Irrigation Booms i Special Inspection j Alarm/Communication ONNECTED IF NOT TMIS INSTALLATION MAY BE OR ED"DISC Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th h Rough-in /10 ? oate cer y at t e above inspection has been made. F??ei ° o e OFFICE USE ONLY This request voitl 18 manIDS irom rnis .ua?esc wue 1. (. /7/ a' (o v??' 18 montns tram ( fi 2D-82 \-a? r?,Y [?'va,k,??e r\ W SY7. c?s Hequ st Date Fire No. NouBh-in Insoer.tion ? ?G Require ? OReatly Nuw Q]JN??f?lutity, inspec- ' 6 es No ?or When Peady tie-Licensed Eleclrical Camractor I hereby request inspection at ebove ? Ownar elacVical work instelletl aF. Str t AdQFess, Box or Route No 1 ? City 9 -f -1 N ecuan o. Towns iD Neme or Na. anBe o. Cowrty OccupantlPRIN . / o4I c r2 Il?c ? GDw c- s Phone No. 5 ¢3? - 0 Power S lier Address Elecvical Conttacto'IC ny Namel RM?Q&W C ratt 's License No. ? NI "Wng Instailationl 14540 PENNOCK LANE [p?pi aE1pr?OvrnV11Yspl?la???rLgtnyjaJ?lationl AuM)?tiqt?r?a.?.r. i 1.i.?? v PhoneNumber MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT Grigps-Midway Bitlg. - Room N•191 .. BE ACCEPTED BY THE STATE BOAND .1821-.UnivvaitV Avtr:•: SL.-Peu1: MN•55t0A_.. UNLESS PROPEN INSPECTION FEE IS Phana'16121'U42-O800 ENCIOSED. ' REQUEST FOH ELECTRICAL INSPECTION EB-00001-05 7 1 S_t? - _ 1 ? ? 0 See instructiona for comOleling this torm on back oi Vellow cooY. /<7 ? n ?e cz7n Q 7 "X" Below Work Covered by This Request •?9 ? ? NnidAAd7'Reo.1 Tvoe oi BuilEina 1 Aoolianeea WireA 1 Equiument Wiretl I ex Commercial 81dg. Fumace Sllo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Fn.m Othee oeci y .ther ISnar.ityl M Fea Servica Entronce5ize b Fee Fexders/5ubtaetlers N Fee Circuita 0 to ZOD qm s 0 ro 30 qm s 0 tn 30 Am s Above 200 qmpy. 31 to 100 Amps 31 to 100 q 5 Swimming Pool Above 100_Am s Above 100_Am s 7ransiormers Irngation Booms Partial.`Other Fee G- JIQtls JUecial inspection S ? ? r?\ Remarks OTAL,FEE ? insoe«or. nareev cerlilV that the ebove ?hspaclion has bee. I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 12567 BUILDING PERMIT PHONE: 454-8100 Receipt p _ f Zi ' To he used for SF DWG/GAR Est Value $ 6 4, 0 0 0 Date ' TEMBER 4 1 9 116 SiteAddress 3572 BALTIC AVE Erect ? Occupancy R3 25 Block 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning pn Lot Parcel No. Repair ? Type of Const. V.p , Addition ? No. Stories W Name FRONTIER MIDWEST HOMES Move ? Length 40 3 Address 3908 SIBLEY MEM HWY, BLDG E Demolish ? Depth d? ° EAGAN 454-0433 Intlmpr. ? sq.Ft. City Phone Install ? o I Name- SAME Approvaie ?°,Q nddress Assessment ' Ciry Phone Water & Sew. ?Q ? w Name z ? Address a W Ciry Phone Police Fire _ Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatihe gldg.Off. 9 3 86 information is correct and agree to comply with all ap 11 ca6le State ot Minnesota Statutes and City of Eagan Ordinance . APC Signature oi Permitlee Ver. Date ' F ONTIER MIDWEST HO L Permit $ 325.00 Surcharge 32.00 Plan Review 162. 50 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63.50 RoadUnit 290.00 Tr. PI. 156.00 Copie T,,,e, 2,104.00 A Building Permit is issued ta ` on the express condition that all work shall be done in accordance with pII-aQpl' le Statefei MinnTS6fa S1?s and Ciry of Eagen Ordinances. Building Official ?`?\ 2005 RESIDEN'I'IAL BUII?DING PERMTf APPLICATION ??]? O? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauiremenls RemodeVReoair Reauiremenls Oifice Use Onlv 3 registered sife surveys showing sq. ft. of lot sq, fl. of house; and all roofed areas 2 capias of plan Ced of Suney Recd _ Y_ N (20%mazimumiotcovemgeallowed) 1 selofEnergyCalculationsMrheateda0ditions TreePresPlanRecd _Y _N, 2 copies of plan showing beam 8 window sizes;poured found design, etc. 1 sile survey for additions 8 decks Tree Pres Required _Y _ N lseto(EnergyCalalations Add'dion - inMicateAon-sdeseptksystem On-siteSepUcSystem _ Y _N 3 copies of Tree P2servation Plan'rf bt platted atter 111183 ' Rim Joist Detail Options sekction sheel (hWdiigs vrith 3 or less unita) Date :ZL Construction Cost U Site Address Unit/Ste # DescTiptionofWork L4 vL P-odt - .NO e-c..- ?T Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_.1 _ 2 Property Owner 1 A7-44S 1'14 / v 0 r3'e i./ Telephooe #( JSZ ) 4Y-0 3-/o Z?J Contractor SELA ROt]me; ,g Address State 4100 EXCELSIOR BLVD. ,MN 554V?P ? CL#08BaB?? City Telephooe#(?Z) Zy0 777? COMPLETE THIS AREA ONLY If CONSTRUCTING A NEW BUILDIPIG - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor W [E phone # ( Sewer/WaterContractor _. T -phone #( , _ 111. , I hereby apply for a Residential Building 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 State of MN Statutes; 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. -VZZ? Fe" i - Applicant's Printe ame 1 -:7 ApplicanYs Signature RESIDENTIAL BUILDING PERMIT APPLICATION a CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4675 New Cortstructlon Reauiremenq . 3?registered sfte surveys showing sq. tl. of lot, sq. ft of house; and all roofed areas (20% mzcimum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, elc.) . 1 sel of Eneyy Calculations . 3 copies of Tree Preservation Plan if lot platted aRer 711/93 • Rim Joist Detail Options 5elec0on sheel (61dgs with 3 ar less units) DATE _V ?'_ ?,/ a Z RemodelfRewirReauiremants . 2 copies of plan • 1 set al Energy Calculalions for heated additions . 1 site survey for erienor addi6ons & decks . Indicate if home served by septic system (or additions VALUATION CJT'? u-v U ^ SITE ADDRESS MULTI-PAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPIICANT S f, STREET ADDRESS -7 a t Y 'a s'b 'L- S((-, CITY r.cZ?Z_6_STATE P11 ZIP TELEPHONE # 6 Z- Coe- CELL PHONE #775- `,Vo / 9 FAX # Co Z- 31_ (?S i CCa s ( ) (&'r/ PROPERTYOWNER a it "'I"` ?f' I?? TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNCSOTA RUI,ES 7670 CATEGORY 1 MINNESOTA RLJI.CS 7672 (V submission type) . Residentlal Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Piumbing Conhactor. Phone Plumbing system includes: _ Water SoFtener _ Iawn Sprinkler Fee: $90.00 _ Water HeaYer _ No. of R.I. BathFL"F;?c _ No. of BathsMechanical Contractor. Phone Mechanical system includes: Air Conditioning c,7 Heat Recovery 5ystem Sewer/Water Confractor: Phone # ------------°----------------------------------------- °°--° °-°--°-------°-°-------°----------------------------- I hereby acknowledge tha# I have read this application, state that the? v?ation is corcect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ances. ? Signature of ApplicanT OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 *?********************************?**** CITY OF EAGAN CASAIER: JS TERMINAL NO: 672 DATE: 09101100 TIME: 10:53:18 ID: NAME: KCJ FNTERPRISES INC 3212 9001 3572 2155 9001 3572 3212 9001 4644 2155 9001 4644 3212 9001 3840 2155 9001 3840 3212 9001 4180 2155 9001 4180 3212 9001 4379 2155 9001 4379 Total Receipt CR136805 USER ID: JAN BALTIC AVE BALTIC AVE LENORE LAN LENORE LAN HEATHER DR HEATHER DR READING READING HAMILTON D HAMILTON D Amount: 30.00 0.50 A30.00 0.50 30.00 0.50 30.00 0.50 30.00 0.50 152.50 3xl)'? ZL I' CITY USE ONLY L _/ sL "i RECEIPT #: SUBD, i ['s RECEIPT DATE: PERMIT # q/"YJ"N 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOS RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FiXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet • minimum -1 3.00 x = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newlrefurbished "requires MPC lic. 75.00 x = $ Septic System ahandonment 30.00 x = $ RPZ new installatianlrepair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under consUUCtion 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surchar e 50 -> --> --> $ .50 TOtal -> -? ---? ---a $• Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I here6y aGcnowledge thpt I have resd fhis applicaNon, state that tha informetion is correct, and agree to compty wRh all spplicabie City of Eagan ordinsnces. It is the applicant's responsibility to notify the properry owner that the City of Eagan assumes na Iiability for any damages caused by the Ciry during ds normal operetional and maintenance activities to the facilities constructed under this permit within City propertylrighFOf-way/easement. SITEADDRESS: ?5Y?) "f T-7 OWNER NAME:: 7?C,(.t/1'1e S INSTALLER NAME: L- l"? TELEPHONE #: (/ S ( ? ` ra-`4 -:? / / (AREA CODE) TELEPHONE #: :bG 3 - SSI' d ?r f , I _ (AREA CODE) STREET ADDRESS: ciTV: ATE: ZIP: OF P C:VISTENSEN ? 1986 BOILDING PERNIIT APPLICA2ION - CITY OF EAG9N NOTEs ALL COATRACTORS MOST BE LICENSSD iiITH THE CITY OF EAGAN SINGLE FAlIILY DiiELLI6GS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DWELLINGS - RfiSIDEATIAL BENTAL QBIYS FOH SALS ONITS INCLUDE 2 SETS OF PLANS, CE@TIFIC9TE OF SDRYSY - CHECB SiITH BI.DG. 1EPT., 1 SET OF ENERGY CALCULATIONS COlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET DF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? dp4a= ?A To Be Used For: Single Family Valuation: VOW96ft Date: 8-15-86 Site Address 3572 Baltic Ave. OFFICE D36 ONLY Lot ZS Block 4 Erect ? Occupancy g3 Remodel Zoning Pareel/Sub HAMPTON HEIGHTS 8epair _ Type of Const ? Addition # of Stories Owner Christensen, Bruce &.Tulie Move Length ? " Demolish Depth gl &ddress 3265 Hillridge Drive Int.Impr. _ Sq Ft Install City/Zip Code Eagan, MN. 55121 - Phone 452-3273 APPROV9LS FEES Contractor FRmNTIER MIDWEST HOMES Assessments Permit 72,12J Water/Sewer Surcharge Address 3908 Sibley Mem. Hwy.Bldg. E Police Plan Review )_fo_5-0 Fire SAC ? City/Zip Code Eagan, M. 55122 Engr Water Conn o O Planner Water Meter 63 , So Phone 454-0433 Couneil Road Unit Z 4 O Bldg Off OA-. -? Treatment P1 ? Areh./Engr. APC Parks Varianee Copies ? Address TOTAL ` City/Zip Code Phone # NOTE: ADDRESSES FOR CORNEB LOTS - CONTRAC?OR/HOMEOilNER lIUST DESIGNATS WHICH ADDRESS IS DESIRED. NO CHANGFS WII.L BE ALLOWED ONCE BiTILDIHG PERMIY IS ISSQED. cX7ERI0R rIIIVELOPC ,1V['R,1G:' "11" -?uwNER: / 5f7E AOOR;55: CONTRACTOR: FzC;y..Yn-x. COhi1'1ITr1 f IOA ?^ ?a7'?F4P+lC t? N n w/o . fL1Tf': I'ffONi : ML Determine workinq square footage cf each 1. Total exposed wall area..... J !1{e4. S sq. ft. x , 1; _ 2. Totai roof/ceiting area..... ft, x.026 = Total exposed wall a,•ca abovc floor=_ a. Total wall window area ............. .................. ??? b. Total ... ......... door area .............. . c. Tottl ................................... sliding glass door ar:a . w Z d. Total ............................. ...... fireplace wall area ........ . ? _ ,. e. Total ....................... ......... wall framing area (avera e 10? e ) ? F. Total ........................ .... rim joist area ................. S• net ............................ wall area above fioor...Z` ?4?G?°l?'T?';A ? z O h• _,,,,.,,, . wall area above floor ............. ........... i• ............. wall area a6ov: floor ....................... J . rrame wall area ar foundation ................. Total exposed foundation area= k. Tota1 foundation windo;o area 1. Total net foundation area ah ................... ove 9rade .......... . . .... ?l ?1 Determine "u" (e.g. windoo-r, value door, of eacli wail each separa[e segment wail seCtion) • e- I Z S g ? . b, X „v 4S ----?- .C. 4 Z X - d. X "U„ ,?U" a? , 5(-2 - _ ?r; , v( • e. [ 45 X "Ul. . UC5 = IS, ? I • f• I o x 0 3 -9. 13E) 1r 0;:2 x U„ . c .? . h, X . t, x ? . j , X „u,l ? . ? X "U" ? . If item #3 is the : as, or less than~it @i, you have met.tf intent af SBC..6dQ6? ,.,t;,.?... s; t. Co S X,.U,. tS '? :.........................rocal = (? ? .? ...y. ..? ?.urvi??.r ??.?.?u.?v ? ?.?uqru?.t?.iV? t'ngn 2 0f q Tol•al expoued rooE/ecilinq nrca =_I Ot (O m. Tb tal skyiiyht area .:.......................... •- n. ToCal roof/cci:in, framing arca (avcrayc 10%)... a. ToCal net insulated roof/cciling iirea........... . Determine "U" valuc for each roof/cciling segnent M. ? X ---- n. 1 O(• Ca x?•v?? ,O Z _= 2. 4 g - x „u„ C7 = ( , Z? n ........................... 2b?ta1 - ? Zf tota.l of 114 is the same as, or les; t:han I12,.you have mel- the intent of Sxr_ 60e6 (c) 1. nlternate Buildinn Envelooe Desiqn 1b utilize ::ze total envelope'system method, the values estzblished by tile s•,im of items n3 and i;4 ;hall not be greatez than the sum of items #r1 and $2_ 1. ZIc?,219 +2. ZG. 41 = Z47-tS 3. __ I(0;5'I ?bl - + 9. [.-C,?,73 ? U°r jiL ?u( ?•??an?u? u.?il nYt•a Iur ??Q??! ? =-?? i _ ?. y ?•.. ?cPy.F" G lo . .. _ . . . .q - -O s ? ' ,. 3?ji??,.,,,•, ..,i, .,.: ?4 7. cx) ?? ALv.rr?. I n i V4.? '11)iot s . as3 .'IC. 11 T4PVIFS4 Oe F1I1Lt1li ttAt.2, . i?+Crr.iu• ;ii?' 'i1m "-'-^ f}:Gll „ a• ?.Q?._rrl!W..--? - -----.__._. .1,_vC? ???- _..-•--? 5. l44vf'i.1.-.Stl9tw.g. . ..-_._.. j ?y.tn? - .I'/ ? -p ?IC. 02 . ? , . ? J'y?__-----Q • ?.. 7nlr?'it?[ nr.c._flltr '_?___"..._(1_C,'i . .. . -••---- ` ''' ? `?? z. ?.-?L?tn'1... . . . _..__.._.._._?_,?? 11 -?: ? ? ]. _ir.h!?i`?i_•... C?a --.._.. ___....._t_?:CC B."VnI..S?.?.atnr?_._.._ ?.r':?i I ?? 6. }:x:,•r?or ?i r[?m o.1?? ,,.,,,t .__r L.?• ? -------__.___. ---- ..;U -?--•_•--?,`iI 3 ? t ? ? . . : :.L• 1 '2'??''A u (----?--?-Q' :. ??.?v?.Y Ci!' ---..._, ? n•??J ? ?,; • ? -=,- - -r - - - - ??S;.CI! .': ' '` °.?. ----•--{•? ?a_ . !' .. ?t?._.t?L o?C tpJ..--'._. ??.?3. ? •_-°- . ? . d. • 'o' _ '-_-Q . '? • . P. L'eeci'G Z?NQ.. ?R!i.T,iCR_.... ..._..--- ? , . ?,, . ' ?-. --" ``--? . .. _..-- ---- -......-----•-•--°.-•.--._..? •a . .__.-?--??--?-•._.. __...1'ul.?l '`, ? .r ' • ?-L = . I ?"J ? SIJ\il (7pI IMUI)Ii ? ( I • • '? ,?' ?. ;: • ? I, -i-?2?r ? rr1=-?, ? ? . . ? ? _?.l - . . •,_ f!1 - ???_ ?_-1 .? n • ji?? -_ yr •t ` ." 77 (!( / it? ? . • . - . . N1 j1'::: M • `' ?r? F1G. 114 i(t c. ia . rc r i;. il - ' • I . , , . i' °' • ? ?n' I ?;?.r:rn..?•;r. n( ii?:,?!.ilin:i. 1'sCC3 ? EeaC fiov _ ! up . 1'IG. OS .? ? . ? • ? ?J L02 LC3 r ? Eea? Flov vp• , : • , _?SG. ib.? . -- v • _ BC:l-T.:.'.:? • ? . ?, • . . : • .`• ,. ? . , ilov ,:p . , . • . .. . Pir;_ '47 ' - •, s• ...?.??..? ? -- - _? ? ,77---r ? ?ry% 1 II(11 `. ? j-ven[ed Construc:ion . R-Valuc 1, Zntcriar air fi2r.n ? .0.61 z. s3 r-,- ? 31? . tR 3. 112SuL. 44.Q? .i. Extc:i.o: ai= filn (stiil) p - Tota.L r? q.s8o • . ' • 1 . ? •O? . FRh^'T ?= ' • . . j. Interlor air E.ilm 0.61 2- 6 _ . f3D 3_ ?? ? 1?llSuL 38.3_S 4. °:ttr_rin= :ir filn (se.li l.oi :or3t rz - qo.?S ? U c o.+. sr? ?? r, m,'` ).. Ir.sidc_air filsn 0.61 2_ . 3. ' • '. 4_ 5, Cutsidc ?ir fil:n 0.1'7 Tota1 ,.C,C ^. ro E 1_ Tnsidc air film 0:51 2. . 3_ 4. .5_ Outsidc aiz E:,2ia 0.17 • , Tota1. . Z_ Ynsidc air Pilm . 0.51 2. ?_ . . , . 4_ ,( lm 0.17 ?t=idc aic fi Tots1 1Catc: Use additianal s:jeet_ iF :norc ?Paec neecleci for aetail? snd caleu'_atians. • r.?,r•/c_??x:tc •? Wnu _; u:.n•?,? !of c?t!oi?uc u,tilt ncen Coc ::am•: r.Gn:;lruc4f?n , ?- --(7 . ? ? . S Ic .?--- A .R? TGPVIF14 Gp °:N:t:. HAL1,' i.? • Ei`:.i i .i? ; . •. i. ` n• n ? F'IG hA2 . I • ._. . ? ?ISCAL 5? • ?i` ? ?^ `r.J?' ? , "? ^ ( t . I .7 . .,, • 1 ? ? ? ."•:'.- -Q ? , , • ? ? `p •n • ? -. ,? _ ! 11 . . I•• . ? 1 ' .i• ' • !r . G 13 i .,?. :.r;E ?ai? • ? Y' i. 1.:'..•:?:'?.?:?.?..I ? ii:: ... _ -°-•. --!?-L'?b ? 4, • AIA ?Pr.GE.._ . ...._.... . ..... ..(aa ? ... . ..?.???...?. ..L .? . : ` u'. Er.lcr?.,r ih (i'm _ ..... . ' tl.17 __..._ - ' .:, . _ ---- --- 2 •"2$ ??.?.,?1 - !. SnCrrln? aiC 'ilm (S.G71 . ? 2. -•-'-.-_'-'-.. .__- - - -- -• _- ? 3'.: ? . .. . . . _.. . _._ -•----- ?I'ula! . r?? ?Fk???? , . ' A A n 6't 4. .-°...- -•-` - --? -? - ? a ..: -? ? 5 ? ,y ? i : S•. . G . - --- ExCCC1.Ot A1C ir, i w,,.-^r r . r .. ? ? rM'i 3?4 i 1 i. cnc,!i ;-,c ai r rt1, 2. ......_.. --- •- • ?- -?----__._....••- ?> ?? • ?? . _. ? ?? ? ? .? ... A . _ ..- _..--- . . .._ _ -- ? ; , .:? ?;:i; . .-.•---••-----•-._.. ...___..._.?_... 5. ...._.---_• _ - - ---•-•-__•_------- - G. I::cC?:ria?r .?i,• ..+ri _ U.i'J ' . 5[.AI?_(1!l ?:iNt)t . ,?7- : - -._._.._-?--. --- ,` ?' "i • / iif??Qf '??C ' '-? • ?',{.? 'i?,-: _L? ?It - ?( . ; , • ? .?.;?s'??-??f: , v ? ' '? , . 3 •.'. ??1?'u'k'??. ? 04 c^iG. !tc ? *?? ? • /ir ? `..?? ? •? ? r{1 .'. v??. '. ? ??? •L.? '• • _: r ?? , -,:- ? •+ turfC: Ir.dlk;ntclcy??., ?.,?• va.uu, . . ? , E Lt?je-:4 L FT, EXposF-p WALL 40 S-I dm ? 30 , ?:uL L? i?0 TZtM -;? I '3c! Skt?'o5Ea WA LL. AZEA t3?.Oc?', ? 5 X , S = 3 Z?'S ?C S = ?? v ? ? ' k, .g = tto? ??? r ? ? • ? ? 48 R.? ?'? c?? ?C I= c? o Ta-rA L 24/3Q w w -7 r 'Zo Go - 3 - _ ? E1CP05S-D GEt L[UC{ L?I 3` s$ ZS tz?? r _;.,,. PLAkt j*- I c) rto D o0?5 ?AT f O z? ? ?. _... ? qz BS M4' U u i;- 4 81C3MA SURVEYINO SERVICES ` 3906 Sibley Memorial Highway Eagan. Minnesota 55122 Phone: (612) 452•3077 SGAI.E 1 1?-4?? 2y ? I ?- ? ? in o; 40 CERTIFICATE FOR; ;..;` 'i C, NOMEPu4OEpS ? - LAN[D DlVELOPFAS ? BEAIipqS ? MODEL: STAFFoRO 1.51 -- J?5• 2?_ 5.8.?°..II?.oZ" E > ro sr,o.o IN ,.o._ . ?;?-ZOSj ?RAINAC;6 utILtT"' oQ j: O O bip $?6 EAS M, 1, . X 3<fi% ? a o U ?,J I 0 Ql % ro ? / ? !V 7j°3??2m lw? 1 r??j? V ?.?i•r? a1r3/? 1 ? ??g a ? f+ 1 NJAYNE D. CORDES - 14675 - -LEGEND" 0 Denotes fran Maxmnt m Denotes Woai Nub Set x Sy?? Denotes Existirg Spot EJevation Denotes Proposed Spot Elevation ,,-Denotes Drainage Directicn -PADPEKIY DESCRIPrION- LOT? 5 , &LCK 4 HAMPTON ISFIGE3TS accordirg to the rectrdd plat thereof, Dakota Countv. Mirvrsofa PROPOSED GARAGE FLOaR ELEVATIOK = 8 50.0 PROPOSED Top of Block ELEVATfON= 850.3 PROPOSED 8A5EMfNT FLOOR ELEVAifON @ SWZ•3 NOTE: Verify a11 flax heights with Final House Pfans. aiWEVo25 MR'fIFlCafiLYV- 1 hereby certify tiut this survey, plan or report was prepared by me or urrler my direct supervisiai ard fhat ! am a duly Registered Larti Surveyor wdgr the faws of the Stete of Ifinnesota. I /? n 6 ?d, Ler? Date: ?s?86 Wayne D. Cordes, Minn. Reg. Na. 14575 ?oT 25 0 m?° 1Y O; ry 1 ?? O ? ? i ..': ?5 ??. ? i ? ? ?- / ' ^0 h0 h "'' '2'S CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *R7T5:PAYMENS'QF FM AT 17M^OF ^ ^^ ??? ? ? ? APPROVAL CF PERMrr. P ease Print) 1) PROPERTY ADDRESS: 3572 Baltic Ave, Eagan, MN. 55121 •- LEGAL DESCRIPTION: Lot 25 Bloc* Hampton Heights IF EXISTING STRL'CZUF2E, DATE OF ORIGINAL BUII,DING PE4MIT ISSL'ANCE: . (Nbn Year) PRFSENf ZONIM/PROPOSID LSE: ? COi`YfERCIAI./RErAIL/OFFICE ? R-1 SINGLE FAMILY ' Q ICLTSTRIAL Q R-2 DC?PLEX (it,o Clnits) ? INSTITL*ITONAL/GOVERIZj= r7 R-3 70WNiIXJSE (Three + Uni.ts) ( IInits) . q x-a aPAxTrErrr/corroorurrzcM c units) . z) NAME:_ _ FRONTIER MIDWEST HOMES CORPORATION 71 ? ADDRESS: 3908 Si61ey Memorial Higfiway Bldg. E CZTX, STATE, ZIP: Eagan, MPI. 55122 PHONE: 454-0433 3) . y? ?. For City Ose .. NAME: STAR PLUMBING Pliunbers License: ADDRESS: 1018 Mound Springs Terrace , Active ? ? CITY. STA TE, ZIP: Bloomington, MN. 55420 ?? rded PIiONE: 884-4149 MASTER LICENSEg 3329 Staff UTt-lal 4) NAIZ: Christensen, Bruce and Sulie _ ADDRESS: 3265 HIllridge Drive, CITY. STA TE. 2IP: Eagan, MN. 55121 PHONE: 452-3273 - •5) i :? r • t r: • ?• • ? • ? - ?? ? CONNEC.TION TC3 CITY SEkW ? CONNELTION 1l7 CITY i\TATER 0 07H12 ? 6) ??? • • r ? PI.EASE HOLD APPROVID PERNIIT E'CR PICK-UP BY ONE OF AHCnIE ? PLEASE MAIL APPROVID PIItMiT 70 1. 2. 3. 4. AB OVE . xxsrrx'riori oF sEWEt Arro/1OR INK= IrScFiL.ATrOL1S WII.L D702 HE SCHED- ULID t]NTB, PIIRMLT HAS BEFSI APPRaVE9. . FOR -CITY USE ONLY PERMIT # ISSIIED r b 3-f Pd w/Bldq. Permit FEES: $ /j' . ?0 $ SEWER PERMIT ( INCLCTDE SURCHARGE ) $ ? Q $ WATER PERMIT (INCLLDE SLRCHARGE) $ j O. $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ fiD $ ACCOUNT DEPOSIT - SEWER $ 1J.60 $ ACCOUNT DEPOSIT - WATER $ SG? . IS CJ $ WAC $ S ?SC?ZS $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL ` . _. ' RECEIPT - RECEIPT DOES IITILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PC?BLIC ROADWAY" MLST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. 5U$JECT TO THE FOLLOWING CONDZTIONS: APPROVED BY: , TITLE: DATE : , pp? BLDG. PEF-4tT N0. Z!?,p 01-3210 Bldg. Permit ,3z? (j 01-3422 Plan Check /(r ? (? 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? tj 01-2155 Surcharge ?j ? ,?j ?L 17-3860 Road Unit Z O U D 20-2275 snc y ?? L .? 20-3865 Water Conn. ? U O D 20-3868 water Trmt, /a?; O p 20-3716 Water Meter 20-2252 Acct. Dep. 3 U L, D 20-3713 Water Permit /Q O O 20-3743 Sewer Permit /D 0 79-3866 Sewer Conn. O V Q C) 11-3855 Park Ded. Tllmnr. 7:! rC"? Wilo SEFiVICEB 3808 Si61ey Memorial Niphway Eagan. Minnesota 55122 Phone: (612) 452-3077 SGA?.E:I'=¢O' ?. 2S Iv + 7i ZI tr Q? In o G? MOOEL: STAFFoRO e ia,,Z; ;.::'; 2:, I 5. S 89' II'.o2, E I ia 0 n / J-1- ? J? ? sc ? J 10 h ? / "lF ?l 1 e'? ? ' i n0" h . k42 _ yu h l.V^ _3 ? / ' ? roPosed e (n.c?xnu??. e-? ??- * 1'-'r/ `? a. ?t 10 ?C d X i0 x I4 (,1 (.p OL\ i ? s-fia- ? ? 5 a'iu ia" ? i?h 43 4 _LEGEND_ PROAOSEO 6ARAGE FLOOR FLEVATfON= 0 ocro+Qs trm Mpntaient PROPoS£D Top of BIoCk ECEVAJION> $50.3 • Llenotes Ilaai Nib Sef P?PoSfO BASEYENT FLL?OR ELEYAiOON- x "70 Qen0les Existirg Spot Elevation !a",^w..?l Ckrwfes Proyrnea Spot Elevatim ?-Ckratea Dfaerogs Oirxlim -PVERiY OESCRIPfILN- lAT Z 5 .&CCIt 4 HAMPTOP7 HFIGHTS accadirg to }h recwdd Plet thereol, Dakota C"yy, yirvarsofa L Mp1E: Verify s7f llaa' Mighh wifh Firol Nouae Plaro. a? CERfIFICAffQI- ! hers6y ceriity thet }his surveY. Pfen ar rcDorf waa {mpred by me or vder nry direcf supervisim srd tfyt I am a duly iEegixTered Lerd SurveYa ud?Pr th len ot /M Stafs ol Mim/nIWa. i lar Oa}e: Ilayne D. Cordss, Yrm. Pag. Ma. 14575 LZI5, ,t3 CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 0 / 610' " Permit Fee: Date Received: 5. / �J' Staff: C �� J INFLOW & INFILTRATION PERMIT APPLICATION ,Plumbing / Sewer & Water Date: 3 /— (3 Site Address: 3 7 -77cG i Tenant: Name: e4 Suite #: Phone: Address / City / Zip: Name: Address: State: Contact: License #: /406 7d / z7 / , c /4-2 Citye/4-' 3 Phone: g3 V77 Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will •e in conformance with the ordinances and codes of t/ - Cit of Eagan; that I understand this is not a permit, but only an applicatio/or a pe it, and rk is not to start without a permit; t , t th 1}k will be in accordance with the approved plan in the case of work ich rand approval of plans. cant's Print6d Name x Ap ic.nt's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117556 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 3572 Baltic Ave Lot:25 Block: 4 Addition: Hampton Heights PID:10-31900-04-250 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, 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 - Deanna Souba 3572 Baltic Ave Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature V Use BLUE or BLACK Ink For Office Use i of Ea I Permit X~ c 9 3830 Pilot Knob Road V~ Permit Fee: Eagan MN 55122 9 Phone: (651) 675-5675 JUN 0 9 20% 1 Date Received: Fax: (651) 675-5694 1 I I Staff: BY. I----------------~ 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date; Site Address:~0Y,tL. Tenant: Suite Name: Pfjr~t+) ff, kE'CLYU 1~_`L Phone: 221_ 95 2- Resident/Owner Address / City / Zip: 35--)2- ep-6ft6 AL/;f_ Name: AIR A 1EC-- AIIC JAC License Contractor Address: 16411 Aberdeen SOW NE City: Ham Lake, MN 55304 State: Zip: Phone: Contact: Email: New Replacement Additional Alteration Demolition s Type of Work Description of work: NOTE Roof mounted and gro d mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. "^4RESIDENTIAL COMMERCIAL ~ urnace New Construction _ Interior Improvement t Permit Type Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank L- Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) CaO 100.00 Residential New (includes $5.00 State Surcharge) CO TOTAL FEE COMMERCIAL FEES Contract Value $ X.011 $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 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 he approved plan in the case of work which requires a review and approval of plans. r x 46~01 4 cz X App icant s Printed Name Applicant's Signature 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:EA123297 Date Issued:06/03/2014 Permit Category:ePermit Site Address: 3572 Baltic Ave Lot:25 Block: 4 Addition: Hampton Heights PID:10-31900-04-250 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 . Kelly Meyer 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 - Deanna Souba 3572 Baltic Ave Eagan MN 55122 Hause Construction, Jg P O Box 206 Bayport MN 55003 (651) 439-0189 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179477 Date Issued:10/06/2022 Permit Category:ePermit Site Address: 3572 Baltic Ave Lot:25 Block: 4 Addition: Hampton Heights PID:10-31900-04-250 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian & Deanna Souba 3572 Baltic Ave Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature