872 Basswood Lane
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA077646
Eagan, MN 55122 . Date Issued: 05/07/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 872 Basswood Lane
Lot: 3 Block: 7 Addition: Sunrise Hills
PID 10-72982-130-07
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Donavan Schwartz
1920 County Road C West 872 Basswood Lane
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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
3830 Pilot Knob Rd Permit Number: EA079510
Eagan, MN 55122 . Date Issued: 08/29/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 872 Basswood Lane
Lot: 13 Block: 7 Addition: Sunrise Hills
PID 10-72982-130-07
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: 4130/08 Notification letter sent regarding expired permit pf
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Donavan Schwartz
1920 County Road C West 872 Basswood Lane
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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: Mechanical
3830 Pilot Knob Rd Permit Number: EA090116
Eagan, MN 55122 . Date Issued: 07/08/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 872 Basswood Lane
Lot: 13 Block: 7 Addition: Sunrise Hills
PID 10-72982-130-07
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Permit expired without required inspections. 1/6/09 CE
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Sedgwick Heating & Air Donavan Schwartz
8910 Wentworth Ave S 872 Basswood Lane
Minneapolis MN 55420 Eagan MN 55123
(952) 881-7739
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
SEWER & MATER PERMIT OFFICE USE ONLY
CITY-OF PAGAN METER # Y Z `L L1G PERMIT DATE-' "11 3830 Not Knbb Rd. 11674
Eagan, MN 55 1 22-1 897 CHIP ~ 7 PERMIT #
METER SIZE B.P. RECEIPT # C 106-4-5
DATE c b r 3, 1990 ISSUE DATE Zl - 1 `1 9~ B.P. RECEIPT DATE 1-3 Z t
PRV BOOSTER PUMP
SITE ADDRESS 372 v a s s w o o d Lane PERMIT REQUESTED
LOT 13BLOCK 7 SEC/SUB Sunrise Hills Add '
SEWER WATER -TAPS
APPLICANT:
ADDRESS: COMM/IND RESIDENTIAL
CITY, STATE ZIP NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Tom hessian Plumbing Ahead of Domestic Meters on Water Line.
ADDRESS: 121 Redwood Dr. Credit WILL NOT bye given for Deduct Meters.
CITY,STATE Apple Valley, MN ZIP 55124
~l.J 1< i
PHONE: 432-6893 -Al
I A EE TO COMPLY WITH CITY OF
OWNER: Joe Miller Homes EAQANORDINA
ADDRESS: 18133 Cedar Ave. S. •a 1
CITY, STATE Farmington, HN ZIP 5 5 024
PHONE: 4 > 1- 2 0 0 1 SI NATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: + I + +
3830 Pilot Knob Road Permit Number: s +,t
Eagan, Minnesota 55123 Date Issued: a- ,
(612) 681-4675
SITE ADDRESS: APPLICANT:
. r, I I I_ ~ I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE lN';PTR.
I rs+r 1 I N:' , , , 1-1 1 ir..
1 I Oil I
!
1,; i`Ii Ff 11 ) I C~I'llil I I liM! 1 1 I'I 11!1!1 I, ; r114 NiVi i I i s 1 Ir 1„ s! 1f
L
Permit No. Permit Holder Date Telephone S
S/W
PLUMBING
HVAC
ELECTRI 7W/,5 e7 a0
ELECTRIC
Inspection Date Insp. Comments
771
Footings I (9
Foundation
Framing o? 5 t
Rooting
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Cont. Meter
EngrJPlan
Bldg. Final
Deck Ftg. ~'f 1 ~s r
Deck Final 3
Well
Pr. Disp.
46 0 CITY OF EAGAN r~ 18442
-4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 t:r
BUILDING PERMIT Receipt #
To be used for SF DW(;/GAR Est. Value $138.000 Date OCT 9 199
Site Address 872 BAS3HOOD LN
13 7 SUNRISE HILLS OFFICE USE ONLY
Lot Block Sec/Sub.
Parcel No. Occupancy R-3 1111=1 FEES
Zoning R-1
W Name JOE MILLER HOMES (Actual) Const V`N Bldg. Permit 773.00
z 181 CEDAR AVE S V-N
Address lauowable) 69.00
City FARMINGTON Phone 431-2001 # of Stories Surcharge
502 • 00
Length -W* Plan Review
Name SAME Depth 40# SAC, City 100.00
u<u Address S.F. Total SAC, MCWCC 600.00
r City Phone S.F. Footprints 625.00
F On Site Sewage Water Conn
o5 Name On Site Well 90.00
W W X Water Meter
~
Address MWCC System 30.00 _
u~ X Acct. Deposit
a W City Phone city water
PRV Required SW Permit 30.00
I hereby acknowlege that I have read this application and state that the Booster Pump SAV Surcharge .50
information is correct and agree to comply with all applicable State of 252.00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 355'00
A Building Permit is issued to: JOE MILLER HOML'S Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. - Copies
Building Official Variance TOTAL 3.426.50
l
Permit No. Permit Holder Date Telephone k
SEWER
PLUMBING
H.V.A.C.(G I L ZL C cj v
ELECTRIC
Inspection Date Insp. Comments
/D
Footings I /6 d
Foundation
Framing
Roofing
Rough Plbg.
Rough Hig. l
Isul. 1(
Fireplace
Final Hlg. - ]
Final Plbg.
Const. Meter Plbg. Inspector otify Plum
EngrJPlan
Bldg. Final 10/
Deck Ftg.
Deck Final
Well
Pr. Disp.
i
(9rdi#iratr of (Orr am
Citp of Cagan
19f,pwhnmt of Vw1bin ItopprtWu
This Certificate issued pursuant to the requirements of Section 306 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 construction or use. For the following:
Use Clauifmtiom SF DWG/GAR Bldg. Permit No. 18442
Ooe P-Y rya R-3 M-1 znmimg D,,,. R-1 Tn), comet. V-H
Ownetof emldimg JOE MILLER HOMES Amy, 18133 CEDAR AVE S
Bm'IdingAddrew 872 BASSWOOD LN Locality L13, B7, SUNRISE HILLS
Datez DECEMBER 20, 1990
Budding Offiki
POST IN A CONSPICUOUS PLACE
1
MECHANICAL PERMIT For City Use Only
• CITY OF EAGAN PERMIT # 3830 PILOT KNOB ROAD; EAGAN, MN 55122 RECEIPT # ~Z
DATE PHONE 454.8100 DATE:
Site Addr ss ' BLDG. TYPE WORK DESCRIPTION
Lot -Block Sec/Sub Res. New Const. i%
Mult. Add-on
Name Comm. Repair
Other
Address
c City Phone FEES
RES. HVAC 0-100 M BTU - $24.00
Name- g ADDITIONAL 50 M BTU - 6.00
c Address (RES. HVAC INCLUDED A/C ON NEW
3 CONSTRUCTION)
O City Phone TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00
Forced Air M BTU $ GAS OUTLETS (MINIMUM - 1 PER PERMIT-
NEW CONST.) - 1.50EA
Boiler M BTb $ COMMAND FEE -1%OF CONTRACT FEE
Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES
i Air Cond. .!S M BTU $ MINIMUM COMMERCIAL FEE 20.00
Vent CFM STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC PER EACH $1000.00 OF PERMIT FEE)
Gas Piping Outlets # -
Other $
CommAnd. Contract Price x 1%
SIGNAT MITTE -
't PERMIT FEE
' SIC: `FO ITY OF EAGAN
TOTAL:
jFrg'
PLUMBING PERMIT For City Use Only
' CITY OF EAGAN PERMIT# 42,-Q,;0
_
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454.8100 DATE:
Site Address BLDG. TYPE WORK DESCRIPTI~1
Lot- Block 7 Sec/Sub Res. L/ New Conet.
Mult. Add-0n
Name Comm. Repair
Other
m Address
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-?Water Closet -$3.00
Name Bath Tubs - $3.00
Addre Lavatory - $3.00
b; City Phone Shower - $3.00 J
Kitchen Sink - $3.00
Urinal[Bidet - $3.00
FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 T51)
TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool - $3.00 If
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 2,s4
MINIMUM - COMM.INDJFEE $20.00 (MINIMUM -1 PER PERMIT-NEW CONST.)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.5o C PER EACH ,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 44m
SIGNATURE OF PER E U. G. Sprinkler System - $12.00
PERMIT FEE: 46;:r
STATES SIC:
FOR: CITY OF EAGAN GRAND TOTAL: 6! .S4
RESIDENTIAL
BUILDING PERMIT APPLICATION
q?r/ 1 ~f CITY OF EAGAN
TI b 3830 PILOT KNOB RD - 55122
651-6814675
New Construction Requirements Remodel/Repair Requirements
. 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
. 1 set of Energy Calculations . Indicate if home served by septic system for additions
. 3 copies of Tree Preservation Plan 'd lot platted after 7/1/93
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE r/ c, /(9 I C/ / VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS tit ? o2 dJC( -S S .rl u Ill 4&Yf P
IF MULTI-FAMILY BUILDIN HOW MANY UNITS?
PROPERTY OWNERyy
TYPE OF WORK olw 0- r rug (REPLACE(S) _0 _2 _3
ISM-
APPLICANT 1 PHONE #
ADDRESS ZIP CODE .f5 33
PAGER # CEL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 ( 2-n~
(check one) - Residential Ventilation Category 1 Worksheet Submitted D n I ~C I p',
- Energy Envelope Calculations Submitted I 11.
_ MINNESOTA RULES 7672 OCT, Irk, LODt
- New Energy Code Worksheet Submitted U -
P" - - - -
Plumbing Contractor: Phone
Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths /y
Mechanical Contractor: ~'4 e h 0, Phone # ? O7 ~CJ
Mechanical System Includes: Air onditioning Fee: $70.00
Heat, Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinanc .
~ r
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
'Address: 872 BASSWOOD LN Lot 13 B1k 7 Sec/Sub SUNRISE HILLS
These items were/were not complete at the time of the final inspection.
Date: DECEMBER 20, 1990 Yes No Inspector: td
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
a" 761
00
Request Dateu l Fire No. Rough-In Inpaection Required Inspection Other Than Rough-ln
l'ou must cell inspector when ready) ❑ Fleetly Now ❑ Will Notify Inspector
Ve8 ❑ .NO Date Read
Ix licensed contractor ❑ owner hereby request inspection of above electrical work at:
ZNaTo.,~h-p e No.) Cily
lei
e or No. Range No. County /1 No.
Phone (r'U( [Power Su Atltlreas
I rM (i -Al
17 Electric Contractor ICOmpany Neme) Contra cIV's License No
Maili g Access (Contractor Making installation)
l `-e /v^
s y /U, V
Authorized Signature ICOn!ratlonOvner Making nstaflatto,,
MINNESOTA STATE BOARD OF ELECTRICITY p THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1641 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 6420800 ENCLOSED.
_ REQUEST FOR ELECTRICAL INSPECTION E6-000~~~0fff109
074833 94 See Instructions for completing this form on back of yellow copy I 4,~!_ Ao
3 X%Bei Work Covered by This Request {P
ew Ado ~9ep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
other (speclfy) Contractor's Remarks: , / yr ^ n ^
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 21
0 _ Amps Above 100 Amps
Signs . Inspector's Use Only: ^ 7pTALro ` r
Irrigation Booms ~ \d
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O ERED DIS NECTED IF NOT
Other Fee COMPLETED WITHIN 1
THS /
81 It
I, the Electrical inspector, hereby Rough-in + d y
certify that he above inspection has Final I Dat
e /
been made
OFFICE USE ONLY
This request void t9 months from
NSTRUCTIO
Abodute exce Wa , AtmWle peace of nnW.
To : City of Egan
Re :Addendum for 872 Basswood Lane
Moved bathroom window over 18" so it would center over toilet. Framed with a double 91/2" LVL @ 48" long.
Standard wall framing with old opening filled in with 2x6 cripples and 2x6 studs.
Sincerely,
Troy Berke (lead carpenter)
(651) 248-5640
7 9203
rjr& o will
EAGAN
BUILDING INSP CTIONS DEPT.
}
RESIDENTIAL •t5
BUILDING PERWT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681.4675
New Construction Requirements RemodegReoair Requirement
s
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all mofed areas . 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for healed additions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs vdth 3 or less units)
DATE IS K) ' li-Q . VALUATION S j OQ
/O~
SITE ADDRESS $Ia ~j~4 UX°J.lb ~1\Q MULTI-FAMILY BLDG _Y _N
TYPE OF WORK-'o 0/'? $ i-Ays6aIze FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Renewal By Andersen, Inc.
STREET ADDRESS 1920 County Rd. "C" West STATE ZIP
Roseville, MN 55113
TELEPHONE # 651-264-4777 FAX #
License fl 20130983
PROPERTY OWNER-~11 V0 ~ 5 ~CI1U 0.iI~+ TELEPHONE#I05 Ca •OaI(O
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener _ Lawn Sprinkler Pee: $90.00
Water Heater No. of R.I. Baths
_ No. of Baths r 1
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning "'F'e:'' V0.06
Heat Recovery System
f
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the info mation is sect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin n es.
Signature of Applicant
- -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4102
1 I
RESIDENTIAL
BUILDING PERMIT APPLICATION
I CITY OF EAA
3830 PILOT KNOB RD, EAGAGAN MN 55122 ~ U o
651-681-4675
New Construction Reouhements Remodel/Repair Reoulrements
• 3 registered site surveys showing sq, ft. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan
(20% ma)omum lot coverage allowed) • 1 set of Energy calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• I set of Energy Calculations • Indicate 11 home served by septic systern for additions
• 3 copies of Tree Preservation Plan it lot platted after 7/1W
• Rim Joist Detall Options selection sheet (bldgs with 3 or less units)
DATE Lo- l..o - O Z VALUATION 1 C`~ - ~2
SITE ADDRESS a" tase~ J n ~ MULTI-FAMILY BLDG _ Y X N
TYPE OF WORK dr~~~~`E Vet'oc7( FIREPLACE(S) C 0 _ 1 _ 2
APPLICANT ~vcS-
STREET ADDRESS QLk?C) -+n CITY LSC n STATE SIP tip` ( 1
TELEPHONE # 1o!5 l CELL PHONE # FAX # to`5 l- 49::L-0239
PROPERTYOWNER TELEPHONE
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Iawn SprinMer Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System 22 nn
W.JUIN Ir II I'~~
Sewer/Water Contractor: Phon
I hereby acknowledge that I have read this application, state that the informati correct, and agree t comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi Flees:
Signature of Appli
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4lD2
~ CITY. OF PAGAN PERMIT
PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023949
(612) 681-4675 Date Issued: 06/23/94
SITE ADDRESS:
872 BASSWOOD LANE ,n a ~1A ~
LOT: 13 BLOCK: 7 ley
SUNRISE HILLS
P.I.N.: 10-72982-130-07
DESCRIPTION:
B'uilding-'Permit Type SF PORCH
building Work Type NEW
1 \
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $8,000
Base Fee $99.00
Surcharge $4,00
Total Fee $103.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
RHEIN CONST CO, RANDY 14613336 0003311 HERRICK JIM
8600 237TH ST E 872 BASSWOOD LN
LAKEVILLE MN 55044 EAGAN MN 55123
(612) 461-3336 (612)452-1090
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 Mn.
L Statutes and City of Eagan Ordinances. J
A414 tbll- Did
APPLICANT/PERMITEE SIGNATURE ISSUED BY IG TURE
CITY OF EAGAN
14059 4 9 1994 BUILDING PERMIT APPLICATION ,
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 regis 91e8~s 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural p) ans 1 set of
specifications, 1 copy -ca4GS___
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 14-y%.f 24, Valuation of work
Site Address: 9-77- 6Pr6si~rM6 LWf--
STREET SUITE #
Tenant Name: (commercial only)
. 1~✓r,~ P.I.D. #
LOT I BLOCK -I- SUBD. ~JY
Description of work: m f{
The applicant is: ❑ Owner Contractor ❑ Other (Describe)
Name dy-= 14 1~4 Phone Z-/~lD
Property LAST FIRST
Owner Address '97Z- &KQa_jQM LAM)s±-
STREET STE #
City 55A_41M'j State W)• Zip
Company v>', Phone 461-3331
Contractor Address No00 Z37 r-& License # 3A II Exp. 3 3,
City E-A['CI/~ - State /4tV- Zip S~Sa9
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I 2hna this application and state that the information is
correct and agree to compl applicable St innesota Statutes and City of
Eagan Ordinances.
Signature of Applican
OFFICE USE ONLY
BUILDING PERMIT TYPE `
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition 0 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
0 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code of
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site ❑ Footing ]a-Framing Ef Insulation
❑ Wallboard to Final ❑ Draintile ❑ Fireplace
Permit Fee valuation: g nr^o
Surcharge i
Plan Review
License No = ~3~0
MWCC SAC
City SAC
.Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
CITY OF EAGAN NO 8442
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /li f g(R
BUILDING PERMIT Receipt # t-• C"L
To be used for SF DWG/GAR Est. Value $138,000 Date OCT 9 1920._
Site Address 872 BASSWOOD LN
Lot 13 Block 7 Sec/Sub. SUNRISE HILLS OFFICE USE ONLY
Parcel No. Occupancy R-3 M-1 FEES
Zoning I-
$ Name JOE MILLER HOMES (Actual) Corral V N Bldq.Permit 773.00
Address 18133 CEDAR AVE S (Allowable) V-N
0 City FARMINGTON Phone 431-2001 #ofstones Surcharge 69-n0
Length 581 Plan Review 507- n0
*o Name SAME Depth 40, SAC. City 100.00
Address S.F. Total
uF SAC, MCWCC 600.00
City Phone S.F. Footprints -
~i On Site Sewage Water Conn 6 7 5 - 00
w Name On Site Well
~w Water Meter 9n_ n0
, Address MWCC System X
aw City Phone City Water Acct. Deposit 30 _ OQ
PRV Required SM Permit 90 _ 00
I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge - 50
information is correct and agree to coQgtpy with all applicable State of
Minnesota Statutes an ity of Eagan P), anc n Treatment PI 252.00
Signature of Permitee APPROVALS Road Unit 355-00
A Building Permit is issued to: JOE MILLER HOMES Planner Park Ded.
on the express condition that al work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
~ QLd 1 V Variance TOTAL 3, 426.50
Building Official f fifen LI
eau INN
M22-449-90
CERTIFICATE OF &#")e
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Scale: 1" = 30' EItI cNGINEEhMGG DEPT
DESCRIPTION
Lot %3 , Block 7 ,
/ HEREBY CERTIFY THAT 1H15 SU4YFY, FLAN oR R£PA4T SUNIZIM HILLS A TDuI HON
WAS PREPARED BY M£ OR UNDER MY D/RE'CT SU9ERVIS/AN Dakota County, hfinnesota
AND THAT ! AM A DULY REGISTERED LA.NO SLWVfrf'P
UNDER THE LAWS OF THE STATE CF M/NN£SOSI. P7_at: bearings shown
o Denotes iron monument
fExistingj II'roLosedi
DATE Z,Y ; 1990 Rra AV. 8140 - - -
biandt anginaaring P. -rulveging
2703 woods trail.
burniville, minnaiota 55337
(612) 4351466
1990 BUILDING PERMIT APPLICATION
CITY OF FAGAN
r SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
..~,,/u RECD
To Be Used For: t I" Valuation: " Date : 10- 3 CIV
Site Address $al 1Lyu0d 6y 13S~~/~~OttD~~,~~OFFICE USE ONLY
Lot Block 1 FEES
Occupancy 3 1-~
OA ,J d' Zoning TZTI nn
}
Parcel/Sub dU m ~i ~~4 . Q~~ A1, Actual Const Bldg. Permit I /3,00
Allowable \1 Surcharge /L,7 0 0
Owner # of stories Plan Review O 2,0 0
Length ce SAC, City /ooloO
Address Depth go SAC, MWCC (01049'a
S.F. Total Water Conn 0 0
V
City/Zip Code Footprint S.F.' Water Meter 170,0
Acct. Deposit 30,00
Phone On site sewage- S/W Permit 30,Od
On site well S/W Surcharge 1SO
Contractor MWCC System Treatment Pl. Z6Z•4-010
City water Road Unit 56r,
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council /
Arch./Engr. Bldg. Off.
Variance J j Y
Address
City/Zip Code
Phone #
w rs / f: h
G~K~4e-c
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1315" r = 11't4
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(2- 07 51. Gl s`57
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12-
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M32-09-'90
CERMICATE OF SY Tff--Y
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H EASEMENTS
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Scale: 1" = 30' EAGAN ENGINEERING DEPT
DESCRIPTION
Lot 13 , Block 7 ,
/ HEREBY CER17fY THAT TH/S SUPYEY, PLAN OR REPART ~F~ HILLS ITION
WAS PREPARED BY ME OR !/NO£R MY D/RECr SEPERVISION Dakota County, Minnesota
AND THAT l AM A OULY R£G/STEREO LAND suRVEYOR
UNDER THE LAWS OE THE STATE AF M/NAIESOTA. Plat bearings shown
o Denotes iron rtomment
8140 ~Existingj (Proposed/
GATE sew I AM W.
beandt anginaaring 6 iurvaying,
2705 woods trail
buinivilla, minnaiota 55337
(612) 4351466
M32-X49-90
U1JLU UFI WAVIER S UI' I ft MODEL EIIBRGY CODE - 1903 EDITION
Adopt on Effect ve 1 9T
Owner
_ f Phone Date
SI to Address
Contractor Y~1 O G, 1~ L{)J~•)`=-1' Phone
Building Classification: Type Al (Single Family 6 Duplex)-' Type AZ(Resldentlel)
IIOiE: Complete (3 stories or ess
pages 3 and 4 first. (Other)
(Over 3 stories)
GENERAL INFORMATION
1. Building Perimeter! u)CF')Jc_I ft.
t
2. Wall height (ground to eave) N ft.
3• I. x 2. (above) gross wall area L (-40?'3/ 3 ft.
4. Building dimensions '(L) X (W) 0 J ft.2 roof 6 floor area
S.• Square foot area of rim joist - Floor joist size (2 x ) Lt! )
X Perimeter e Rim-1o)st area e I CAE' ft2
.6. Doors - Ated 04.
Thickness In. U factor 1" 1'~ <I I I
Type of Construction Perimeter ft.
Manufacturer
Total door's perimeter ft.
8. Windows: manufacturer ~I~SUL, {~G.,p•j j`r,, State approved
U factor
TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2
EACH UNITS
N_ WOK 6 ~-~E1~N
9. Total ft.2 Glass •(6701
10. Fireplace area; Width X height X Ft.2
II. Exposed foundation: Height X Perimeter I Q X C5 d L6) i Ft.2
COMPLETION OF 7111S FORM IS REQUIRED FOR ALL N€ oiisin c'tio1-iKjUii RERo-bEIING AND BUILD NGS BEINI
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED.
q~ v I
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13.- Gross wall area ~i6) ft.2
Window area A &&C)I -7 1 ft.2 U windows J(O U x A ° 3iQJ~
Rim Joist area A (0 ft.2 U rim Joist °104-)U x A ° 5r(~
Door area A L ft .2 U door area " U X A ■
o
,Otfplhce area A 4 v' ft.2 U,f-it'eglare °A-7 U x A° I I
Exposed foundation A I t~~ i~ ft.2 U foundation U x A° 11 14
Framing area A Z(p ~7l J 35 1~5 ft.?, U framing area ° 1G s U x A
Net wall area A 17 J7155 ft. U wall i 04-s U x A,~ 1 i
(130), TOTAL U.x A
14. Gross wall are R 0.11 .(n-1 single family b duplex ° allowable U x A/Code
(13. above)
K0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
BTUI( Must be larger than
A x U G tm i O-°r. 130 above
15. C-Piling framing area (Af) equals 10% of ceiling area or the. same as)
15A. Gross ceiling area (L) x (W) ° (97 ft.2 ;
150 Joist area (Af) ° 10% ceiling area ° 17J I ft.2 ,
15C. Net ceiling area (Ac) (15A - 150) (L (0~ (2 ft.2
P
U ceiling x A c° )DZZ x 100(O
U framing x A f° jc2z-„ ? x ~*0-
15U. TOTAL'U x A
16. Cell Ing area (15A(x 0.026 (All single family b duplex - code allowable U x A
x.0.033 (K-2 other residential),
x 0.06 (other)
02,0 quit Must be larger than •150 (above)
A (15A) I.zo1 x m U (code l- Jg F (or the same as)
ROTE: Use U and A values obtained from pages I,•3 and 4. .
CERTIFICATIOIi: I hereby certify that I have calculated the "U" factors and "R" values
sere n an tTiat the bulWing here described meets or exceeds the State of Minnesota
Energy Conservation Act. i
Date
S gnature
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I ! ZoX = 7,o X I = `7r a
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
RemodellReoair Requirements Office Use Only
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas 2 copies of plan showing foWigs, beams, joists cart of Survey Recd _Y =N
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Soi ls Report
Presres RegPlan pv Recd _Y N
proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Tree Pe
1 Soils Report if .
2 espies plan showing beam 8 window sizes; pared found design, etc. Addition - indicate it on-site septic system ed Y - N
on-site Septic;System _Y N
lset of Energy calculations
3 copies of Tree Preservation Plan if tat platted after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form ~Re . O
Plans are considered public information unless you state the are trade s`_,ire and tfnnn~~~ a n.
_ 710 / • 06
Date 7 l ! ! ( Construction Cost 1S
Site Address 97 Unit/Ste #
Description of Work LSL '94
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner y0 ~J V A~ /~I //!2L /SSA W #~Z Telephone # ( )
Contractor ~f'Tt~7J LD~R3~Ttp
Address _ (ZC4,f PPS EJCCWIt'4n1Ge~ _ City S ! . AUL_
State ~AI Zip Telephone At (&9 ~S - 16'? 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 Category t - , New Energy Code Worksheet
Energy Code Category . Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted .
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
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.
Applicant's Printed Name App cant' Signature JUL 1 -i ) 2 707
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
"ill 02 SF Dwelling El 08 06-plex El 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous .
Work Types Y14, Zf-o /LD OVL, ~"V//~/
❑ 31 New 35 Int lWovement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
`l~' 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors
/
34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage_Yes
Valuation w 17 Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const_ Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
Footings (addition) u Final/No C.O.
Foundation T1U• HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco Lath - Stone Lath -Brick
_ Fireplace _ R.I. Air Test -Final _ Windows
lG Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review ~ v w
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007 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. Do not combine inside and outside
plumbing on the same application; separate applications and permits are re wired.
Date -6 l 16 I
Site Street Address{ l L+wu•j ~a< Unit #
Property Owner tlJ~~ a^ 5~~ - Telephone # ( LS i) I Lb "O2r16
Contractor 7kk lJo~ w ~~.:,d Telephone # (6S 1) S 2-S ( 3 / 3
Address 3'`3% 6 ! - City (-4,t• ("4- state A-"(I Zip Zs) /e
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive plumbing repairs are made to a building.
Alterations to existing dwelling $ 50.00
~i
_ Add plumbing fixtures to X main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing only a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water 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.
Applicant's Printed Name Applicant' Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115424
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 872 Basswood Lane
Lot:13 Block: 7 Addition: Sunrise Hills
PID:10-72982-07-130
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 -
Donavan Schwartz
872 Basswood Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127554
Date Issued:10/06/2014
Permit Category:ePermit
Site Address: 872 Basswood Lane
Lot:13 Block: 7 Addition: Sunrise Hills
PID:10-72982-07-130
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donavan Schwartz
872 Basswood Lane
Eagan MN 55123
(651) 303-6868
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
.
� Use BLUE or BLACK Ink
� � r----------------�
' I For Office Use �
I ' � ,1 I
Cit of �a �� ; Permit#: �� j
y � � � � �
� Permit Fee: �
3830 Pilot Knob Road I I
Eagan MN 55122 � _ �';�'� � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 ,' � :� I Staff: �
�.<:;i,. I I
-------------�--� `�/
2015 RESIDENTIAL BUILDING PERMIT APPLICATION �
G1 � (�2�7 � ��� Q��
Date: V � ��' Site Address: (J7 ✓" Idm�I.�-� ��JL: Unit#:
�� � �
����� � # �� 2,�7
� =� �' � Name: Phone: �S�1`c��U"���
�@5���� �'� ` ���
�" �7; yy��� F'° Address/City/Zip:
�,�:� �.: � :' Applicant is: Owner �Contractor
� � � �
� .s�: "�� tr� ' Description of work:
l�1��e�#
�_� �� Construction Cost: �"� Multi-Family Building:(Yes /No �)
��� � :
� /�J ��.. (�
� ~ ���� `� Company: �.���C_��,Y�u.�� � Contact:��1 p d[���
� �� ���-- ��j
�� �m = ������ Address: �7�� ��c�� � If'� � City:
Ct� �' , 1
�µ , � *, � � Y State;►�v1/ Zip:�� Phone:�Z ���� Email: �����'i T'��/t. /��-
: � � ..
„:: ;�,,
����:. : yw �$� � License#: l�-��'3� � Lead Certificate#: '
If the project is exempt from lead certification, please explain why: �` I
!UA � �
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�1/� �n���n S�ep`�� r�t�r�g doCum��ii's�� �.�` ���?��t 8�'�.r�On��C/e � � n� s,�: �� � �����.���
#he �r��i� t�ma ,�class�� ���s nor� i�,�r y� ���'� � 1��+vavl ��� i m�
�
��, �� . � � �. . z. � ���x� .,;,., �� � � �,.
v.... ,.#r �:'= r w�b/). f�� �77�� � - �����- ,kar��.
w,
� .-� �� ��
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.qopherstateonecall.orq
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 the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Mi a State Building Code must be completed within 180
d ermit issuance.
���" ��` �r�5 �_._._ _ �
X X 4;��-� -
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE G�
� �'J J
SUB TYPES �' �4SSv�:""c;D �'''"�
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi �Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
�;Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation � ,� Occupancy �j MCES System
Plan Review Code Edition •��� SAC Units
(25%_100%�) Zoning City Water
Census Code Stories �,...�_ Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �/J� Width
����-
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final
�C Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
� Other:
Reviewed By: f � , Building Inspector
RESIDENTIAL FEES
Base Fee ��C,.
Surcharge �
Plan Review
MCES SAC
�f� s
City SAC �"V ,� �j � � � ���
Utility Connection Charge `�
S&W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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UESCRIPTItl�t '
I.o� t3 , Block 7 , ,
I HERE9Y CERTJFY TNAT TX/S SLRV�`Y, PY.AN AR REPiART ��N��� ��I�� ��10�[ �
Ws1S PR£PAREO BY A�If OR uNAER AIY p/RECT ,SY.I�RV/3/AiY pakota County, hlinnesata
AND 1'NAT I AM A GKlLY R�EGISI'EREQ LAlVD �L4�'SE?'p�t
U�1tAER TNE �AWS OV°' TH,� STATE GiK' M/HK,�'SOTA. P1at l.�e��t.#��S s1�t�WII
o De��otes iron monument •
.�. ' _ ..
� � ��xisting;� f�'ra'�osed� ,
814a `---' "
DATE �-�. 4 1 S19D I�E� MP. .
. b��ndt ang�naaring � iv�vayin� ,
��+C�S Uuood� E�a�l . _. �_
burnivtlla, minna��ta �5337' �
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171939
Date Issued:09/08/2021
Permit Category:ePermit
Site Address: 872 Basswood Lane
Lot:13 Block: 7 Addition: Sunrise Hills
PID:10-72982-07-130
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:
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 -
Donavan & Melissa Schwartz
872 Basswood Lane
Eagan MN 55123--229
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature