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1945 Beaver Dam Ct ,r i Use BLUE or BLACK Ink f I For Office Use `rr I on j Permit* Cit : of Ea Permit Fee: 3830 Pilot Knob Road ~U Eagan MN 55122 j Date Received: i Phone: (661) 676-5675 i I I Fax: (661) 676-5684 I Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _7 Z J l~ Site Address: rl C~ EF110„ l /i~IM , Tenant: Suite M RESIDENT ! OWNER Name: `l e:c A r Cty' (r q°e f Phone: (u S - Me 71 `1 Address l City i zip: et q.5 &a y e r Una,V"n C+ ri fY1 rJ ~+5 -7- Applicant is: _ Owner _X_ Contractor TYPE OF WORK Description of work: -e-v,) Construction Cost: g 0 Mufti-Family Building: (Yes I No CONTRACTOR Name: be c-k k-D Cana 00 rs t 2 fa w , License Ali aJ Address: 0/) ( 11 f i W. loo p City: Aoo _ Vallp-An State: in &I ~ T Phone: 1. r " 3 ~L Contact: cn q.(2 r Email:, ct r1st i) ..c~a..c:.i~ slere . /1, 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstat2onecall.org 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. /r x a t x G^ Applicant's Printed NarrW Ai car~4 ature Page 1 of 2 S r- ~ i e DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation - Fireplace Porch (3-Season) - Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level Pool Miscellaneous 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 Wail 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System E Plan Review Code Edition zwa.SAC Units (25%! 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) ! r Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: -ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: Stucco Lath -Stone Lath Brick Fireplace: „-Rough In -Air Test -Final Windows Insulation Retaining Wail: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility action Charge _ qv ~ ~ Sermit & Surcharge / T tment Plant Co ies /4/ X TOTAL Page 2 of 2 Cirrt,.Ulubi kow -COX, r Dunn & Curry CT' DELMAR K SCNWANZ . LA040 SYRV FYOR R"WWad UnOW LAM of The St•t• of Minn*Wt• ?9TA - }gSTtt STREET W. - !OX M n0SU X)NT. WONNUOTA Gem t'FIONE s)} j ~}tY~ SURVEY CERTIFICATE 40 N o cl~ 9 a~ a 30 .5 Z8 1 p,tj b.8°g3~►R~ , . ~s ]I[rely certify that this is a t 'and correct representation of tat, 59, jm** : WPW PIRADMLAND FIRST ADDITI0120aacordia to the ssalo --plat thereof, Dslwta County, Minnesota. e8: June 16, 1980 Approved for Dunn & curry Real 8stateR Management, Ina. by: MINNESOT REGwm' M0./ PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087782 Eagan, MN 55122 . Date Issued: 12/15/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1945 Beaver Dam Ct Lot: 59 Block: 1 Addition: Meadowlands 1st PID 10-48050-059-01 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: Pella Windows & Doors Turnkey Sales Jerd A Metzger 15300 25th Ave N #100 1945 Beaver Dam Ct Plymouth MN 55447 Eagan MN 55122 (763) 745-1400 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 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 required. Date 13 / D ? Site Street Address f nn0 G Unit # Property Owner Jer(ilLS41-4 Telephone # (6/j 6?2~ 7 Contractor Zell Telephone # (rSsl) 77 -7 3 Address S-19,20 o22 ~ 914 City 4-f .0~c State *P2-17 Zip -r-Y-6 Y 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 applies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 Add plumbing fixtures to 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 land this is not a permit, but only an ap lication for a permit, work is not to start without a permit and work will be in rda wi approved plan in the event a plan is r uired be r iew and approved. Applicant's Printed Name ht's Signa re 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner .Jel_ 4 ...S. Telephone # (6S1 ) 691(v Contractor l Z! Ar rrr®/ ~li~ Street Address ?Q6;20 _;2 _1r city State Zip J`r3W~ Telep one # ((~S~) 77 7 3 3 Bond Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 _ furnace -Additional -Replacement New air exchanger / air conditioner _ heat pump other 43 as din (Z.- /I Ski C S `2~ $ .50 State Surcharge Total $ ~ _S v I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 a work wi ,kbe in accordance with the approved plant is the se of work which requires a review and approval of plans. h , Applicant's Printed Name icant's Signature 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not r uired for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond -Expires: The Applicant is Owner Contractor Other Work Type New Construction -Interior Improvement -Install Piping _ Processed -Gas -Exterior HVAC Unit** **HVAC units must be screened _ Under/Above ground Tank Install _ Remove When installing/removing-tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: Permit Fees $7050 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge To calculate surcharge If Permit Fee is less than $1,000, surcharge is 50 cents. If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 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 and with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. _ Air Test _ Gas Service Test - Infloor Heat - Final 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 rcirr )ins i,7side and outside Date / _ t3 (~i p'-7 Site Street Address LQ'i -4~ G+• Unit # Property Owner rl / ~a Z Telephone # ((ysj) l DLO Contractor (J~.~ 1 Q n ch& LLf~T Telephone # ((y5)) '-M-?313t3 Address 'N City nn'z state l _ Zi Dyo~ 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 applies when extensive plumbing re airs are made to a buildi . A rations to exist g dwelling $ 50.00 p~luhtbing -fixtures to main lev lower level. This fee includes installation of a water softener and/or wat ear at the same time. N you are installing on 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: Z'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 aeourate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbin codes; tha n rstand this is not a permit, but only an application for a permit, work is not to start without a permit and wo 'll n acco the approved plan in the event a plan is required to be reviewed and approved. / S ~dSf, 1~ Applicant's Printed Name A nt's Sig ature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION / G City Of Eagan ,:2 t 3830 Pilot Knob Road, Eagan MN 55122 C 1 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office use Ord 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres`Plan Recd Y _K 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate ff on-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less unks) Date 0s Construction Cost Site Address ( 7S &epeS rM Unit/Ste # Description of Work 1, Ca-~: U~ ,X eVt'~ cm or- ~s+ ti g j,c , L.' J Multi-Family Bldg _ Y Fireplace(s) _ 0 X 1 - 2 Property Owner cS'a 1 `'lK-Telephone # (6 (~2) ~%c3~- (l0 3 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted 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 Telephone Fn) Sewer/Water Contractor Telephone I('1 I hereby apply for a Residential Building Permit and acknowledge that the info ccurate; 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 pl l e+ 77A A icanfs Print d Na ~ ~ Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 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) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex X 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg Y or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ . 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation fj(~V Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs /j Length Fire Sprinklered Type of Const 1! f Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) ~C FinaMo C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. Air Test Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge '96p C P lan Review MC/ES SAC City SAC ~ ~Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies _ Other Total Z0 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Cert of Surrey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -K 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y -N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost Site Address UniVSte # Description of Work 7/~/~Z ~9.4 ~~`~SL~e T Multi-Family Bldg _ Y N Fireplace(s) _ 0 1 _ 2 Property Owner Telephone # (653-~) fyb~o 7~ ~ L. o ::Z Contractor ) ILL,.,; G ) 2 Address 3,9 V t-J /¢w`'7 City lJ vlt l State fy`"J Zip Telephone # (ejfl 4 99J -u 15~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (q submissi" type) Submitted Submitted w zQ Energy Envelope Calculations Submitted 00 Have you preji sly constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. I,--- Q Co 0 Licensed Plurro)~r Telephone # ( ) o_ 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 whi h requires a. review and _ approval of plans. /r Applicant's Printed Name Appri ant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02, SF Dwelling ❑ 08 06-plex ❑ 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 O 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05. 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous Work Types ❑ 31, New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation O 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System 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) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco - Stone - Brick - Fireplace _ R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITY of EaGAN WATER SERVICE PERMIT' 3195 Pilot Knob Road PERMIT NO.: '3541 Eagan, MW'-55322 DATE: t 1 l1 ~,15!n Zoning: ^T 7 _ No. of Units: 1 Owner: A-1-. Berw Ca n s t l u c t ioit Address: Site Address: 1~G } "eaves :'ur Ct I,S9 ?J 1.!eadowt1an(l Plumber: L,a%e-y3.11e P12,17::10- Meter No.:. Connection Charge: 305.00 tad Size: j - < Account Deposit: Reader No.: Permit Fee: 10.06 T)d 1 agree to comply with the City of Eagan Surcharge: - 50 ;)8 a Ordinances. " Misc. Charges: 60.00 .vd mkt Total: CI By. Date Paid: P f Dote. of Insp Insp.: =clrr of EacaN SEWER SERVICE PERMIT 3795, Pilot Knob Road PERMIT NO.: 376 Eagan M'N ;SE122 DATE: t 11 i 3 Zoning: FIT No. of Units: 1 Owner:. I Rerj., Construction. Address: Site Address: _ 1?45 leaver "an! Ct 1,59 r 1 ? eadowland Plumber: Lal;eville"1.u: ' n 100.00 pd 1t7 Ad 25 agree to comply with the City of Eagan Connection Charge: . t Ordinances. Account Deposit: Permit Fee: 1'1 A!l TO Surcharge: 5 1 '"A W. By Misc. Charges: Date of Ins P.: Total: Ins.p.. Date. Paid: ! • r. • .<'i CASH RECEIPT CITY OF EACAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . W.' 4 . 0JkTE RECEIY~D _ _ ~ FROM AMOUNT f ' i oa- E] .CASH 'CHECK z FUND CODE AMOUNT 7 fed Thank You~~ , , . ,r r ! PI r-- CITY OF IIAGAM 3745 Pilot Knob Reed Eegon, MM $5122 PROMS: 454-8100 r F BUILDING PERMIT Receipt To be wei Eer ^l' T)"!C,/GAR Est. Value 4 5,00r: Date 10-8 Site Address 1945 Heaver Dam Ct. Erect El: OccuPency ' Lot 59 Block 1 Sec/Sub. Meadowlands Alter p Zoning Rl Parcel 10 48050 059 Ol Repair ❑ Fire Zone - Enlarge ❑ Type of Carat.. -y--- B Name 01-Bert- Constr, move p # Stories z Address 6400 131st 't. Demolish p FrorHt _ 52 - pt Cl Apple Valley, 432--9079 Grade © Depth -35 14. Nome Approvals pow g Address Asse Permit r~ Water & Sew. Surcharge G2w//~~ryd.. city Phone Police Plan d .5 00 W Name Fire SAC xZ- Address Eng. Water Conn.. v Planner Water M ~W Qtv phone Y Council Read H,ihii~~ , 0 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State,of' Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permits s A Building Permit is issued toe 01-13ert* Construction jay' r all work shall be done in aaowdancp lAth di op0imble Staff of Minnesota Statutes and City! of 6"on Building Official fw.R #t Bob trsN pomwom Plumbing 10 4L Mechanical 'yo 0 . INSPFCTIOM DATE q RoupMln Footings d Daft InW Daft bop- Foundation mun6w Frame/ire. L~`~ niaol Final Remarks: or loy-off f-~r ,.4v CITY OF RAGAN ~ a 3793 Melt Knob Red 169, Minnesere 55122 INSPECTOR NOTIFICATION No. Phone: 464.8100 REQUIRED BY LAW IIeatirg PERMIT FOR ALL INSPECTIONS Daft: 11-12-80 21877 Receipt No.: ' ~a Single; , 1945 Beat/@r Daft Ct. Residential X Site Address: x 59 1 ]Meadowlands Lot Block Sub/Sec. Multi Res., Comm./Ind. 01-Berg Conatruction r w Name New/Alter./Repair 6400 131st St Address Cost of Installation Apple Valley, Mn. 432-9079 20.CO, .b City Phone: Permit Fee Lakeville P & H Nome, Surcharge ai Address Ott. 2 a Sys City Lakeville, 11•b. Phone: 461-2254 Total 2~1•"' This Permit is issued on the express condition that all work shall be done in acmder a wWAS irmefale Minnewto Statutes and City of Eagan Ordinances. Aw, 37" (Pilot Knob Read Ea4sa, Minnesota 55134 INSPECTOR NOTIFICATION.; No. Pitons: "4.8100 REQUIRED BY LAW Plurntin47 PtRMIT FOR ALL INSPECTIONS 11-12-80 218W Date: Receipt No.: Single Site Address: 1945 Seaver Dam Gt. Residential X Lot 59 Block 1 Sub/Sec. rMeadowlends Multi Res., Comm./Ind. Nome 01--Perg Construe. now New/Alter./Repair d~ Address 6409 131st St. Cost of Installation CI fipple Valley, Mn. Phone: 432-9079 20.00 tY Permit Fee Name Lakeville P & It Surcharge •5Q Address Rt . .2 , r 20. 30 City I..akeyille Mr. Phone: 461-2254 Tate) a This Permit is issued on the express condition that all work shelf be done in accordance wah ail sok" Stour stj Minnesota Statutes and City of Eagan Ordirwnces, Baifdirp,_ ~rf d;st: /Vi'e' / 1- This request void 18 rtfontfis from f Date of .As Request 1! ' r 9 " Fire No. T 2840 I, as RLicensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: f y Street Address or Route No. 1 l~~~~t G.1, City Section Township Range County ILA-VE Which is occupied by d4e - (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes 19'0'0' Ready Now ❑ Will Call Z,**' Power Supplier Address I . Electrical Contractor g 'f~o"n ?ract~ Lie e No. ompany eT Fro = r Mailing Address (Electrical Contractor or Owner Making This Installation) Authorized Signature Phone No. (Electrical Contractor or Owner Making This Installation) ~ This inspection regp pwill not be accepted by the State Board unless roper inspection fee is enclosed. M.931100Vaa O&OLO uVara u1 riMoLnSAay Griggs Midway Bldg. - Boom N191 EB-00001-02 -1W1 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION T CHECK BELOW,' WORK COVERED BY THIS REQUEST T 2840 T, ?enf wilding New AAd. Rep. Check Appliances Wired For Check Equipment Wired For Ilbme ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures 03-11, Apt. Bldg. ❑ ❑ ❑ Dryer ❑1 Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ pList H, . List Other ❑ ❑ ❑ Herers~ erers COMPUTE INSPECTION FEE BELOW ,""n. Service Entrance Size: # Fee Feeders&Subf ers: Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE 1, the Electrical Inspector, hereby certify that ove}~ iori has be ~ _ e Lf. Q (Rough-in) [ (Final) Date This request void 18 months from ~GJ r, li J S~ This request void i t3 / / Cr -I 18 n oaths .`-rom Date of this Request 0 Fire No. I, as [-.icensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. -~k City r Section Township Range County 7~ _u~u. `4d M''rzt`y cl Which is occupied by SCCs t I C5 ! 11~ (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes ❑ Ready Now ❑ Will Call ❑ y/1' Power Supplier~~~~' Address Electrical Contractor KENDRTC_'K FT,Ff "1~2Tg A.38 1'rl! ctor's Lice *ll Mailing Address 14 ' n NHOCK LANE APPW1VA&bE'Y-" Mm 5!5 Installation) i Authorized Signature hone No. (Elect a a u n I I uest will not be accepted by the jb"a State Board unless proper inspection fee is enclosed. mmnesoza *Laze noaro or C16CUICizy Griggs Midway Bldg. - Room N191 l~ EB-00001-02 1821 University Ave., St. Paul. Minn. 55104 - Phone 297-2111 ,uw REQUEST FOR ELECTRICAL INSPECTION -01IECK BELOW WORK COVERED BY THIS REQUEST 9 6 9 8 9 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring m~ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm E] List List ❑ ❑ po pp Other ❑ ❑ ❑ Herers Herers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee !eeders&Sub Circuits: # Fee 0 to 100 Amps. 0 to 30 Am v 30 Am res 101 to 200 Amps. 31 to 100 Am es 3 100 Amperes Above 200 Amps. Above 100_- mps ? e 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks .01) R 1 cZ TOTAL FEE Z I, the Electrical Inspector, hereby Z'ertify that the above inspection has been made. (Rough-in) - - Date -r~-~-+- (Final) This request void 18 months from CITY OF EAGAN 4t 3795 Pilot Knob Road Eagan, MN 55142 N2 6275 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for SF DWG/GAR Est. Value 45,000 Date 10-8 1980 Site Address 1945 Beaver Dam Ct. Erect Occupancy R3 Lot 59 Black 1 Sec/Sub. Meadowlands Alter ❑ Zoning Rl Parcel # 10 48050 059 01 Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V - W Name 01-Berg Constr _ Move ❑ # Stories 3 Address 6400 131st St. Demolish ❑ Front 52 ft. City Apple Valley, Abne 432-9079 Grade ❑ Depth 35 ft. Approvals Fees Name AssessrWat 10- 7-80 Permit 128.00 uo p Address same city Phone Water & Sew. Surcharge 22.50 Police Plan check _ 64.00 ~5 Name Fire SAC 525.00 ua Address Eng. Water Conn. 305-00 QW City Phone Planner Water Meter 60.99 Council Road Unit 185.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1r2 9 $.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of PermitteeV,_,d, - - P_, L~ A Building Permit is issued to: n1 _RPrg CDngtruction on the express condition that all work shall be done in occordance ith all appli ble State of Minnesor Statutes and City of Eagan Ordinances. Building Official F ? V. C rtfif tract of orruvaury r Cit of Cagan arvart 1lPltt of wantuo 3l pprtimt a 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: C2 SF DW:~/CMR the \ Claaeficatim Bldg. Pettnit No 6275 W Occupancy Type R3 Type Canatnwdon V Fite Zone. 3 zoning District Rl /11 Owner afBnnding QjmA Oo2vk=. Addte=s 6400 131st St,Apple Val W , Bab Ad*= 1945 Beavw3r Dam Cts,,. L59,B1, Meacbwlands \ 3-27-81 / B g 6fHr3al I&I; Date: PpT IN A CONfi►IGUOUS PLACE /I BGOES 49! IITNOIN N.S.A. CITY OF EAGAN Remarks Additionp Meadowland ist Addition Lot 59 Blk 1 Parcel 10 48050 059 01 Owner CIJO'a AIDAI~ Street State Uattn. MN 55122 1945 Beaver D= Court Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. MP. 1589.99 0006795 10/15/80 v5, 981 1589.99 158.99 GRADING SAN SEW TRUNK 1970 77.95 3.12 25 43,74 A009600 10-.15-80 * SEWER LATERAL 3156538 31565 --in 1432077 A0096nn I ()-I S-go WATERMAIN * WATER LATERAL WATER AREA 1973 6..35 1 44 47 AQQQ60Q 1 ()-1 _E;_80 STORM SEW TRK 1971 282.92 4.15 20 - - * STORM SEW LAT 198 * services 1()R1 V) CURB & GUTTER SIDEWALK STREET LIGHT Rd- INIT 91--)71, 10/840 WATER CONN. 'ZOS 00 10/8/80 BUILDING PER. SAC 525.00 21271 10/8/80 PARK CITY OF EAGAN Include 2 sets of plans, ~1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For c b Date r r~ Valuation do o 4' ~y Site Address: J L~ E r~ L,I. r C C OFFICE USE ONLY Lot Block Sec./Sub. ("<T~,~^r;yl,.,~ Erect Occupancy Alter Zni Parcel 1/,~~~~ Repair Firenzone Owner: Enlarge Type of Const. i ' Move # Stories Address: Demolish Front ft. City/Zip Code: Grade Depth ft. Phone APPROVALS FEES Contractor: r F,{~ 6 Assessments 1 Permit Water/Sewer Surcharge Address : Police Plan Check .:y City/Zip Code: Fire SAC - Phone Ci Eng.• Water Conn. Planner Water Meter Arch./~ng.: Council Read Unit s' - Bldg. Off. Address: APC City/Zip Code: Phone TOTAL Dunn & Curry DELMAR H. SCHWANZ LA1No SURVEYOR Registered Under LiWS Of The SW4 of Minn*$Ota 2M - MTH STREET W. - SOX M ROSEMOUNT. IMNNESOTA 66068 P"ONB 4"2 4MIM SURVEYOR'S CERTIFICATE tea. ca W 49° ZS 44" MJ tA AL \ J s ~ 1 01. rr to AA ~ V, 0 44 1.10 Z hereby certify that this is a t"W d correct representation of Lot 59, 31200 2, MEADOWLAND r: -r ADDITION, according to the p at thereof, Dakota County, Minnesota. Zed: June 16, 1980 Approved for Dunn & Curry Real Estate Management, Ino. by: MINNESOT REGISTRA NO.SM EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR C of"7 DATE PHONE 43 `9x72 Determine working square footage of each, 1. Total exposed wall area t ~ 7E. sq. ft, x , 17 - LIZ 1- ' 2. Total roof/ceiling area q4 7.. CC) sq. ft. x .05 _ Total exposed wall area above floor = (6 1 .7 f' a. Total wall window area +121.2 7 b. Total door area . . . . . . . . . . . . . . . . . 1 el c. Total sliding glass door area 0 C-0 4 d. Total fireplace wall area e. Total wall framing area (average 1O%)..........., jH,6 g f. Total net wall area above floor 13 C5:6'2 g. Total rim joist area z9.06 Total exposed foundation area a ;;0`7 h. Total foundation window area i. Toal net foundation area above graule "7'7.17 Determine "U" value of each viall segment, b. 1- f! X "u" •13 = 491 d X nun s CS X nun .(Z 9. l -r 5 6 X nun e6 • 4.71 h. X nun 1.- -7. C -7 X nun Az 2 C; 3............ ................Total = 2 C- c` If item 13 is the same as, or less than item /1, you have met the inttnt of S8C 6006(c)2. Total exposed roof /ceiI ing area 2'(- 7 L e j, Total skylight area.... k. Tota' roof/ceiling framing area (average 10%)... 1. Total net insulated roof/ceiling area........... Z cc, Determine "U" value for each roof/ceiling segment. X A1111 = k. X mull s X II U 11 p f 4 ~C.L_ 4 .................C7 .........Total = t4f,,;? r- If total of #4 is the same as, or less than 02, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design. To utilize the total envelope system method, the values established by the sum of items 13 and 14 shall not be greater than the sum of items #1 and #2. 1 V-47 _ + 2. --A 5.31, - _ 99.7 F, 3. Z70 )d + 4. 4 5-31 $804 Melody Lane 8943063 Bumsville, Minnesota WEPIA Co. PLAN SERVICE ED ANDERSON ARCHITECTURAL DESIGNING AND PLANNING Office: 1129 Cliff Road Office: Bumsville. Minnesota 8944636 . RESIDENTIAL BUILDING PERMIT APPLICATION 2 J / S CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 -10 651-681-4675 V New Construction Reouiretnents RemodeUReaair Reauirements • 3 registered site surveys showing sq. t 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 A 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 711193 • Rim Joist Detail Options selection sheet (bl/dgs with 3 or less units) DATE VALUATION 2 SP SITE ADDRESS / 1Z MULTI-FAMILY BLDG _Y _ N TYPE OF WORK F FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 1TudI, /V 494nt 3 STREET ADDRESS /9Y< ~i.'k1K~ CITY e&a&& STATE ~/ZIP SS(2 TELEPHONE # CELL PHONE # FAX # PROPERTY OWNER TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Y Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. PhorJUN - Mcchanical system includes: Air Conditioning 00 Heat Recovery System 2 1 2002 Sewer/Water Conhactor: Pho 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 Ordinances. Signature of Applicant a C OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ' R -ru~ RESIDENTIAL BUILDING A-tt'j Permit Application City Of Eagan I 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVRepair Requirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Cert of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd -Y -N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bkigs with 3 or less units Date G~ / 30_ / C) `5 Construction Cost Site Address /6z4veg- C~ Unit/Ste # rLA- lJ . 'SI Description of Work (Z&A-re T tsTi - Multi-Family Bldg - Y ' N Fireplace(s) _ 0 - 1 _ 2 Property Owner -/LC Telephone # (~S (U 00 br o~ Ge=tsj Contractor '-ku LA Address X73 I &L6; City state ~ `C-rk-pte--O yV(rJ Zip D'55-`42--~ Telephone # (Q.1-) Y2 J3 -7 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category-1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • 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 Telephone ) _ i Sewer/Water Contractor I~ ~elephohe ) { T I hereby apply for a Residential Building Permit and acknowl dge that tfje--I'h~maticin is complete and accurate; that the work will be in conformance with the ordinances anke©des-ofd--City-6f-tagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pe it, and work is not to start without a n the se of w r which requires a review and permit; that the work will be in accordance 7:;Signature ap roval of ans. - Applicant's Printed Name OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 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 x 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Stone Damage ❑ 06 04-plex ❑ 12 12-plex Pibg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair 1 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof -0 46 Windows/Doors ❑ 34 Replacement 190W A *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation f Occupancy - MC/ES System Census Code 3~( Zoning City Water - SAC Units Stories - Booster Pump Nbr. of Units Sq. Ft. - PRV Nbr. of Bldgs Length _ Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing - Foundation HVAC - Drain Tile - Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final - Framing _ Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) - Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 10/02/2008 12:14 EA58N. EN5tQM --DEy 94581665 I 0 0 ~ I For r,~jjce.llsc I ~ permit 111" of ~aafl 40"' citj Perrnlt Fee: ~ I ' I 1 pato Received; ~ 3830 Pilot Knob Road t Eagan MN 55122 11 SIB", 11 Phone: (651) 675.5676 t - - - - FOX: (651) 675-5694 2oog RESIDENTIAL BUILDING PERMIT APPLICATION eowef Date: -~ra ~ Site Address: Suite 0. Tenant: ~N1f L~ G' Q ' 1 Z-L) phone: RESIDENT i OWNER Name: Address I City I Zip: Dwner Contractor Applicant is: TYPE OF WORK Description of work; Muati-Fatuity Building: (Yes / No Construction Cost: license a' CONTRACTOR Name: & Remodeling, nt. Aodress: State: Zip. City: 0 1, ' Contact person: C ' Phone: ✓ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW Ba I UDsN6 e Mlnne o _ Mj~~te90t21 RUIN Cale QOrY 1 New Energy Code Worksheet Festdential Vannlatlon Cato Bor energy Code y Worksheet $ubmrttvd 5ubm,tted ~ Category . Energy Envelops Calculallons Subrnltled (J submlaslort type) In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Y9s _No It yes, date and address of master plan: phone: Licensed Plumber. Phone: Mechanical contractor: Phone: sewer & Water Contractor; u6Nc information. Portions at 'su to NOTE: Plans and supporting documents thaubl you it you provide specific ea sons that would permit the City 10 the Info (ion may be efassifled as conclude that he are trade secrets. per that the work w1il be in 1 hereby acknowlsd0e that this Information Isl; but OIsle and accxuralte! a; t that the work wilt Ue in co'fo once with the onances and codes of the e Ciry O t ur , woex 9 not In star wthe ordinances Eagan; titer I understand this is not a Dorm y an a a for a , and work i accordance with the approvod plan to the case of work which regwrea a review and approval of a x r l~ APP n s Ignature page 1 of 3 App It nit's Prlnttd Name 2011-09-07 09:42 » 651975 5694 P 1/2 WW 06VF V/ OMIVI% 11M Ln V ~ Fat]Nloallss - 1 LILY of Eap 1 I Per" 0: ftmn Fee: I 3890 Ptla Knob Road i 1 Eagan NN 55122 ~e R00B` Phone: (651) 676.6675 1 Start: Fax: (651) 576-6694 L----_____________ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION , 1'/(,, / j T r Dabs: ( slu Addross• D-1 Tenant: SO* >Y RESIDENT I OWNER Name; Y71 ef Z Phone: U S I (ELI 0 71 Address / City / Zip: 1`<- CONTRACTOR Name: I ' L1cw a dt: 6 (ki 3 Addrr~sa: city: 3&-6" Stab: .p~.~ Zip: 55 35a Phone: U L a glob 14 lag Conb, 3ason Email: TYPE OF WORK New Replacement _ Repair _ Rebuild - Modify Space Work in R.O.W. Desedp9w of work: 1(-6AQ-kitlA PERMIT TYPE RESIDENTIAL _ Water Heater Water Softener Lawn Irrigation L RPZ / PVB) Add Plumbing Fixtures L Main Lower Level) Segos System Water Turnaround -Now Abandonment RESIDENTIAL FEES: $66.00 Minimum Water Heater, Water Softener, or Water Heater W. Softener (includes $6.00 State surcharge) $35.00 Lawn Irrigation (Includes $5.00 State Surcharge) $66.00 Add Plumbing Fixtures, Septic System Abandonm0, Water Turnaround' (includes $5.00 State Surcharge) 'Wabr Turnaround (add $188.00 If a SW meter is required) $105.00 Septic System Div (510.00 per as built) (includes County tee and $5.00 Stab Surcharge) $96.00 Fire Repair (mosce burned out appliances, duchvork, etr-) (Includes $5.00 State Surcharge) TOTAL FEES S g &L BEFORE YOU DIG. Call t "lw Stabs One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locales of underground utilities. "vy.9onherstateonecall.om 16weW acknowledge that this inrormation is complete and aooutafo; that the work will be In conformance with the ordinanoss and codas of the City of Espan; that 1 understand this is not a peat, but orgy an applicefon for a pannlL and work Is not to start witlrout a permt t11at the work will be in accordance with the approved plan In ire case of work which requires a review and approval of plans. Ankanrs Pdnbd Name J pwlca sl9nab" FOR OFFICE USE ReWswad By: Oat: Required Inspecdone: Under Ground -Rough-In Air Test 'Gas Test -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA119935 Date Issued:01/03/2014 Permit Category:ePermit Site Address: 1945 Beaver Dam Ct Lot:059 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-059 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeril A Metzger 1945 Beaver Dam Ct Eagan MN 55122 (651) 686-7194 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123398 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 1945 Beaver Dam Ct Lot:059 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-059 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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. 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 - Jeril A Metzger 1945 Beaver Dam Ct Eagan MN 55122 (612) 599-7959 DuBois Conservatories 11825 Point Douglas Dr S Hastings MN 55033 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature . , � '' ww rrvr r• rrrvv�� +uw . '..�.�r.��..�...�.���..�..�.r.�,�. � For Office Use � ' j Permit#: (4 j � Clt of �a �Il � ; . � �.� ; � � ��EIV�D pe�,�t F�: 7• 3830 Pliot Knob Road R � � e�an a�r�ss�� AUG 1 � a(11G � ��te����►�a: �l('I ; Phone:(651)675-5675 I I Fau:(651)675ti5694 I Staf#: 1 I 1 �----_.._.�._..._.,_._..,,... �.� 2014 RESIDENTtAL BUILDING PERMIT APPL�CATIC�N � i)ate: Site Address: Unit#: �I�� tVame: �@.C'� '���- Phone: �51 - Co�C��r �� Resident�' Q �^ �.:5 QWIt@f. Address I City/Zip: _ � 1 �J ���V� �VVV� �� Applicant is: Owner Contractor � , Q� ►,�,�' Description of work: '���1 f l���'�,�'� � �a'. �-'`���5 j � ��nnt �d�t�oovJ� � Type of Work �' Construction Cost: �2SS '��, �a C�O C'7 • Mufti-�amiiy Building:(Yes f No Company: Contact: COrltt'�Ct01' ' Address: City: State: Zip: Phone: EmaiL• Liaense#: I.sad CertiliCate#: If the project is exempt from tead a�rtlficatlon, ptease explain why: (see Page 3 for additional information) r ���� �, COMPLETE THIS AREA ONLY IF GONSTRUCTING A NEW BUILDING M the last 12 months,has the City of Eagan tasu�d a permit for a similar ptan based on a master ptan? _,Yes �No If yes,date and address of master pl�n: Lic�naed Plumber: p��e: Mechanical Contrac#or: Phone: Sewer&Water Contractor: ph4�; NdTEr Plans and suppvrting documents that yoa subm�`ar�e�sldered ta be public in�'ormatfon. Portians of the infc�rmatfon n►ay be class�fisd as non public it yvu provide�pecif�c r�asc�ns that would permit#he City to conclude;'that# are#rade s�rets. C�ALL BER<1RE YOU DIG. Call Gopher State One Call at(651)A64-0002 for protection against anderground utility damage. Calt 48 hours before you intend to dig to receive locates pf underground utilities. www.aonherstateonecall.ora I h�reby acknowledge that this ir�formation is arrr►plete and accurate;thai the work will be in conformance vvith the oMinanc�,s and codes of the City of Eagan; that 1 ur�derstand this is nat a permit, but pnly an app{icatian for a permit, and work is not to start without a permit; that the work will be in ac�ordanae with the approved pl3n in the case of wbrk whiGt requires a review and approval of plans. Exterior work authoNZed by a bu{lding permit issued fn aceordance�with the Minnesots State Bultding Complet�d wlthln 18Q days of permlt issuance, x �� ����� g Appltcant's PNnted Name A ant's S gnat Page 1 of 3 . � ���� (���' ��,r`� c�- Dp NOT WRITE BELOW TWiS 41NE � ��'��, SUB 7YPES � Foundatian � Fireplace � Porch(3-Season) � F_xterior Alteration(SiMgle Pamily) ^ Single Family � Garage � Porch(4-Se�aon) � F.xterlor Alteratfon(Multi) � Multi Deck � Aorch(ScreeNGaz�bo/Pergola) � Miscellar►eows ,_ 01 af_,.,_Ptex � Lower Levei � Poo! � Accessory Buitding WORK TYPES ����n,�� _,_, New � Irrterior Improvement � Siding � t�molish Buitding* Additlon � Mov�Buliding Reroof Demofiah Interiqr �Alteration � Ftre Repair � Wlndows �, Demolish Faundation � Replace � Repair � Egress Window T Water Damage ` Retaining Wall "DemoNtion ot entire bullding-glve PCA handout to applicant QESCRIPTION Yaluatlon �f� � Occupancy �� MCES System ___^___._ Plan Review �ode Editian SAC Units (25°!0�1flt3�o taning ����}� City Wa#er Census Code � Stories � Booster Pump #of Units Square Peet � PRV #of Buildings Length Fire Sprinklers Type of Constructton �,J"T7"`�'" Width 9' REQUIRED INS,PECT,�,ONS � �ootings(New Buildingj Meter Slze: footings(D�ck) finall C,O. Requir�d footings{Additton) � Finai!No C.D. Requlred �aundatfon HVAC�Gas Service Test Gas Line Arr Test Roof:�Ice&Water �,Final Pooi:____�ootings Air/Gas Tests ,�Final � Framing Draln Tiie Fireplace: Raugh !n Air Test �Final � Slding:,_,,,_8tucco [.ath �Stane Lath _Brick � 1n�ul�tion � Wlndows Sheathing Retainin�Wail:,,,,_,Footings�Backfili�,Final 5heetrock RadQn Control Fire Watis Eroslon Controi Braced Wails �,. 4thar: Reviewed By: ,Building it��pector RESI�ENTIAI��ES Ba�e Fee Surcharge ��� Plan Review �J�� MCES SAC " � Clty SAC �.��� � Utliity Gonnectlon Charge S&W Permit&Surcharge (�f � �( �� ;. �� a ( /` � Trea'tment Plant � Capies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127002 Date Issued:09/18/2014 Permit Category:ePermit Site Address: 1945 Beaver Dam Ct Lot:059 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-059 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 . John Nichols 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 - Jeril A Metzger 1945 Beaver Dam Ct Eagan MN 55122 Dubois Conservatories 11825 Point Douglas Dr S Hastings MN 55033 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA129350 Date Issued:02/02/2015 Permit Category:ePermit Site Address: 1945 Beaver Dam Ct Lot:059 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-059 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeril A Metzger 1945 Beaver Dam Ct Eagan MN 55122 (612) 599-7959 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature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b7887W!:&",2L,3&62K&G 4#@K1M&FZ&&::!!;X2.2+&FZ&&::7UU Q;\\'\]&'::97'88Q\\7U\]&:WW9;W:W 5&M,3,>@&2$%+C#,).,&M2&5&M2L,&3,2)&M*=&2AA#*$2*+&2+)&=2,&M2&M,&*+O3K2*+&*=&$33,$&2+)&2.3,,&&$KA#@&C*M&2##&2AA#*$2>#,&/2,& O&F*++,=2&/21,=&2+)&G*@&O&X2.2+&J3)*+2+$,=N (AA#*$2+D4,3K*,, &/*.+213,5==1,)&"@ &/*.+213,