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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 \902 93s ~9D3, g~ o 0 r s nor, 8 Dy <9 9 BAR o ti v<, r 3 R GJ Z • 90 r f. 0 ~Dy. " ~lsll~ rc ~pV q ~ Ztv~ 2 D2q~NAr- Z S fic~ ~ o R ur~r-pry / 1~ ay ~O 6 EA5EME14T5S H 33 ~6 \ / 9 tL, ~ s i / I 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 X32 >c Z -t,. boy ~ 6i6o XIS- aLo v 8Srv1T, 2~ u3~ = y3G 12x 4 : C dl7N X Iy= l~tis~ ~Sr F6~onrz 1315" r = 11't4 ZY~ !s i'iZ~c to = is (2- 07 51. Gl s`57 ND R.ov2 jNl~~~ IlZ X u. - 81 1 12- q5~ X 51 ,139)l M32-09-'90 CERMICATE OF SY Tff--Y ,yo s o rNUB 10 Is, 1 ~~.9 n ry7Jy 3 R lei p O J, NO (oj ft 114 DRA'NAGE Z SRO 6 ~r,~,T-Y •i`~j apty H EASEMENTS 1~py.g~ By . / D e D ,SJ 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 .:i 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 • ii i` N00~ N 071 Z1r5+ -3), IrS)- zZ Ztn 33, 3 Z0'] - I ! ZoX = 7,o X I = `7r a ll ~N 4 ZOX coo - if X ~ = -77, 0 zl,o I IiI °i III ii I 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 Iv O ~ U N. ' O v m Jam.'` o O ¢ j Y Z J LL 0 Q w:V a ZU t ~ il! 3 Q ~ = f~!1 00 F m a V ~ \ O ~ A Z w V ~ z N Z W w w W U. N t7 C3 W Z U - co cc -j Cc w -1 (D 0 0 3: 0 a. /R U O Z 2 ? > F J u F- Z VZ m Z~ O, N L Z Z 02 V O 0- < N Qz O z_ w w w va ¢ Zj v a a (L ~O ~ W Z % W> ~ LX N Z F Z Z w Z W _ w 0z Cl) z Z Wr} Z~_ LL F ft ~ a W Q Q W F H ~ h- 0 F- co ~ Y W° a 0 Y w _>j g- z Z of z a. F.2 co < 0 U) a. 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 � . . , r�� 2 �44��ga 4 GERTIflCATE Of' �Y�'Y �-i r . '"" � ��,'{��Y� . `�h+�� � .� ����� � . � _� �"`�;90� ��� �s � . � � �. � 3° `��i- �9A3,g� o � � �- � a �ht�' � U . �, ` \ s �o . ��r�\� /�,� ..:.���;;�.�'. 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' .....�r..... ., \ f� � _.�.�_�....�.�� _s",,�',�. � � � � Sca�e: 1" - 3U' f' ��i;f��f� �;Nf'�TNEEhiNG DE,�Z' '� -: . � . -•. . . , , 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' � ta��� �3s -��►�►� , � , ,�. . 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