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3957 Avon Ct~ 384 BUIzDING PERMIT To be used for 5F I)WG/f'AR . CITY OF EAGAN Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-$100 , Receipt # Est. value $134•000 Date 3ilNL IO ??y 91 Site Address 3457 AWr L'UURT Lot b Block g Sec/Sub. co Parcel No. ¢ i 3 0 Phone _? Name ?? o¢ Address ? City Phone ? WUW Name ?z Address Q W City Phone I hereby acknowlege that I have read this apptication and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan OFdinancik?..;__ Signature of Permitee ?!K - t- all OFFICE USE ONLY .? Occupancy ? FEES i, Zoning (Aclual) Const Yn.- Bldg. Permit ?•='?? (Allowable) y?R- SurCharge 67*00 # ol 5lones Lengih /?(?_ Plan Review 493.043 ? Depth 34 .- SAG. City 100.00 ' S.F. Total - SAC, MCWCC 6??? , S.F. Footprints - 6W•00 On Site Sewage Sit Weil O - Water Conn 95.00 n e Water Meter MWCC System City Water ?x Acct. Deposit ^?0•? PRV Required ? SIW Permit _Xt00 ` Booster Pump ? S/ry Surcharge • 50 TreatmentPl 276000 APPROVALS Road Unit 370.00 Planner Council - park Ded. Bidg.Off. ? Copies ? ;3.530.,? Variance ? TOTAL • Permit No. PermR hloider Date Telephonx # WATER SENER PLUMBING /a-l ?w ? 7 9 ? ?? H.V.A_C. AA? ELECTRIC Inspection Date Insp. Comments Footings 1 ? .S Foundation ? Framing Ls 6/1;-k -Yn / t (.i'H - Ffi4t3ss Roofing Rough Plbg. Rough Htg. isui. ? 6 q Fireplace 0S' Final Hts. Orsfat Test Final Plbg. ?-/ Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Finai Deck Ftg. Deck Final Well Pr. Oisp. F ? (ger#i#irate uf (Orrupanry Citp of Cagatt ?tpwtmna a# %awg jwrr#inn This Certiftcate usued pursuant 1o the requirements of Section 306 of the Uniform Building Code certifying that at the time of rssuance thu structune was in compliance wrth the various ordiruirrces of the City regulaling building construction or use For the foUowing.• use ca?ioa SF_DG/GAR Bwg. F,,,m;, Na. 19215 oaummy Tya R3/M ? Zoning nis,,;G R 1 TA* COOL Vn o,Y„?, d B„ua;? IlE RC1iTLI]AD 6D IlVC Am,.. 5201 E RIM RD, FRID[EY Bwldmg ,? 3957 AVV OOURT Loc,,;ty Ib, B5, OOVHdM PASS 10/08/41 Hm'Id'mg , POST IN A CONSPICUOUS PLACE SEWER.& ATER PERMIT CITY OF t?GAN 3830FPilot'Knob Rd. ' Eagalr, MN 551 22-1 897 , DATE F"'23"'91 SITE ADDRESS 3957 AvC.ri CcT,:x C LOT 6-BLOCK 5 SEC/SUB LYjvmtry -Da5•3 APPUCANT: 10-0 `?? ? 110 o Tnr ADDRESS: 5?91 E. Rivlr Rcad CITY, STATE 'VXicleyl "n» PHONE: f_ 571-03(A ' ZIP55421 PLUMBER: V le_1_RV Pliur+hinc3 ADDRESS: h? ' C-?'aek aor CITY, STATE Tc "darif Mn ZIP?S'Si PHONE: 01NNER: The Rott1ti°c C.c>. Inc. ADDRESS: 92C1 E. Ri.vr.? M:- CITY, STATE :,;,." ' r . . . , ZIP - -'"' ° PHONE: . ,_`-`'; _ 1 UFFICE USE ONLY METER # -S. . CHIP # METER SIZE ' ISSUE DATE PERMIT DATE :,v/ 14 .141 PERMIT # ? 2??6a B.P. RECEIPT # `, 13963 B.P. RECEIPT DATE 12Z13 5i 1 - PRV - BOOSTER %z SEINER I WATER - TAPS - COMM/IND ? RESIDENTIAL >- NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL N07 be given for Deduct Meters. ?' . I AGREE TO COMPLY WITN CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. " RE: 40 X DATE: JiHI 14, 1991 3957 AVON CT (THE ROTTLUND CO INC) _j Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall_ Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITtES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ? CASH RECEIPT GITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 IY, ; DATE 19 r AFCEIVEO . j - , . FtqM AMOUNT $ - r ! i 100 DOLLARS ? CASH CHECK FOR ? ?? ? ? _ ?i 't.. • - J 'A?4 --Y I ?\` . 1 -4- J ?ry ' t 1 t ev A J' C13963 W„te--e,ers Copy Yellow--POStinp Copy ? Pink-File Copy Thank You r. ,. SEWER & WATER PERMIT CITY OF EOsGAN 3830 Pilot Knob Rd. Eagam, MN 55122-1897 DATE OFFICE USE ONLY WIETER # T y? ??? T8 PERMIT DATE CHIP # 4?S'? a? 30 PERMIT # 12Uh' METER SIZE ? ?eA?Xu ? B.P. RECEIPT # C 1'?% ?- ? ISSUE DATE B.P. RECEIPT DATE 0013 /91 _ PRV - BOOSTER PUMP SITEADDRESS LOT ` BLOCK SEC/SUB Cnvantrv Aaac APPUCANT: 'P"ie ?.ottl.t?yw, !? ADDRESS: %??1 E. River P,oaa CITY, STATE .- i.c1eY, ^`n ZIP53421 PHONE: r 57I'03`k: PLUMBER: Valley Pltmbina ADDRESS: C-ZO Creelt Lane CITY,STATE Jor6an, Mm ZIp55=52 PHONE: ?191°2I.21 OWNER: Tne Rottli?:?: Co. Inc. ADDRESS: =201 E. CITY, STATE ZIP - PHONE: PERMIT REQUESTED x SEWER - WATER - TAPS _ COMM/IND E` RESIDENTIAL X NEW - EXISTING Lawn 5prinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ?? • _ I AGREE TO COMPLY WITH CITY OF ? EAGAN ORDINANCES NATURE WHEN METF4 ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FQR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Addross: 3957 AVON !iOIJBT Lot ( Slk 5 Sec/Sub rpvENTPy pASg These items were/were not complete at the time of the final inspection. ]p 08 91 Yes No Final grade (6" from siding) Permanent steps - garage V_? Permanent steps - main entry ? Permanent driveway Permanent gas V Sod/seeded grass ? Trail/curb damage Porch ? Basement finish Deck PLease varify with the bullder the removal of roof test caps from the plumhing system and the shut-off of water supply to the outsida lawn faucet be£oze freeze potential exists. ? MCIIIfUMIfP White - City copy Yellow - Resident copy Pink - Contractor copy 7 9/yr 10,zl-si p 1235 0 Repuest Dale -q ( Fre No o h-in Inspection Re wred? ? Reatly Now ,f!WAI Nolity InspeROr When R d ? ^7 _} - I /Ves = No ea y IW'Ticensed contractor 7 owner hereby request inspecLOn ot above electrical work at Jo0 Ntldress iSVeet Box or Route No j ? ? C&L,,t Qry Secoo?n No Township Name or N. Ran9e No oitiv Ocwpanl (PPMT) Phone No Powa SuDPlier Atltlress VA . Ua", . Eec(nc31 C nip Clol iCOmpdny NOme) GOn ctolS LicenSe N. ? i - 3 Mailinq notlress ?ConVaCtor or owner tilekin9 Installanon) Authonzetl Signamre I er Makin< Inslallabon, Phona Number * MINNESOTA STATE BONHD OF ELEGTRICRV THIS INSPECTION REpUEST WILL NOT Grigqs-MiOway BIUg - qoom 5473 BE ACCEPTEO F1V THE STATE BOAFO 1821 Unrverslly Ave, St Vaul. MN 55104 UNLE55 PPOPER INSPECTION FEE IS Phone(612)662-D800 ENCLOSED 7/9/?l 2-15 REQUEST FOR ELECTRICAL INSPECTION ? S^e msLUCtions for compleung tM1is brm on bnok ol yellow copy "X" Below Work Covered by This Request E6-0000I-08 i TpeofBwltling AppliancesWued EqmpmeniWired Home Range Temporary Seroice Duplex Water Heater Electric Heanng I Apt Bwlding Dryer Other (Specify) Comm /Industrial Fumace Farm An Condinoner Omer (syeafyl Compute lnspechon Fee Below. Gontraaors Remaiks- # Other Fee # Service EniranceS¢e Fee # Circurts/Feeders Fee Swimming Pool 0 to 2D0 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ahove 100 _ Amps SignS Inspecror's use Only TOTAL Irngallon Booms /J_GJ ,f sQ Special Inspecnon Alarm/COmmunication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I the Electncal Inspector, here6y Ror9n.,o oaie cerhfythatiheaboveinspechonhas been made Final r oa?e T P-Pr OFFICE USE ONLV This request vaiC 18 monms tmm ? 7/9/9/ /ooziO ? p 012 3 0 Request Dete Fre No gh-in Inspection wretl? ? Ready Now 71JI Notity Inspactor ? I?• / ;?4es C N. When Reatly> I;Kicensed contractor 7 owner hereby request inspechon ot above electncal work aY. Jab A od ress Bireet Box or Route Na I Ciry + nr? Q ? I J Secnan Nn Township Name or No Ran9e N. ?Y P Occup IPRINT Phone No Power ber A e? pJ?C Aatlress Eleclnc o?lr IoFlCompany Namej ConVaclor'S L¢ense N. Maibnq - ress ?GOnhactor or Ow r Ma4ing Instanauon? FmM1Orrzetl SignaWre IComract ? wne ung Instailano n,?x - Phone Number 143-3 9tle) MINNESOTA STATE BOARD OF ECTRICIT?- THIS INSPEGTION REOUEST WILL NOT Gtlggs-Midway Bltlg - Room 5413 BE ACCEPTED BY THE STATE BOARD 1621 Unlverslly Ave, St Paul. MN 55104 UNLE55 PFOPEF MSPEQION FEE IS Phone(611) 6<Y-O800 ENGLOSED REQUEST FOR ELECTRICAL INSPECTION ? See mstmctions lor completing Ihia fo«n on back ot yellow copy ?h'I 9q(1 "X" Below Work Covered by This Request rdM^??'2 E6ooooLOB Y>C::3: 4<.ixn.a?l ew A, ep 7ypeofBwldmg AppliancesWUed EqmpmeniWued Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Butlding Dryer Other (Specity) Comm /Industrial Fumace Farm Air Contlitioner Olherisuecityi Gontractor's Femaras Compute Inspechon Fee Below: n Other Fee # ServiceEntrance Srze Fee # QrcuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps ve 100 _ Amps SigpS Inspecror's Use Oniy TOTAL IrrigahonBooms ???? ?- Special Inspechon .? Alarm/Commumcahon THIS INSTALLATION MAY BE RED DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 18 MO S. ? I, the Electncal Inspector, hereby Aou9n-in tp certify that the above inspection has been made F,,,ai Dale OFFICE IISE ONLY T1115 IEQu25tvpIC 18 fltOnl116 fMll1 CITY OF EAGAN N2 19215 • 3830 Pilot Knob Road, P.O. 8ox 21-1 99, Eagan, M N 55121 PHONE:454-8to 0 'Z 12/}? BU!LDINGPERMIT _ Receipt # L? ??? ? ? To6eusedfor SF DWG/GAR Est.Value $134,000 Date SUNE 10 91 Site Address 3957 AVON COURT Lot 6 81ock, S Sec/SubCOVENTRT PASS . OFFICE USE ONLY Parcel No. Occupancy R-3?M-1 FEES Zoning R -L W THE ROTTLUND CO INC Name (Actual) Const Vrt Bldq. Permit $ 759.00 z 5201 E RIVER RD Address (Allowable) -- Vn? 67.00 o City FRIDLEY Phone 571-0304 # orstones _ S?rcharge Plan Review 493.00 Length Q$_ F Name SAME Oepth 3L? SAC CiI 100•00 i ? Address s.F.TOtal , _ , y 650.00 ? SAC, MCWCC CISy Phone S.F. Footpnnts _ t r C w 660.00 On Site Sewage _ onn a e ? W Name on srte wen M W 95.00 ?w X ater eter ?v Address MWCCSystem x 00 30 <W Gii Phone Y Ciry Waler XX A??? Deposit . 00 30 PRV Required _ ShV Parmit . I hereby acknowlege iha[ I have read Ihis apphcation and state that the Booster Pump - SiW Surcharge .50 informallon is correct a d agree to wmpl ?t II apph5able Stale of Mmnesota Slatutes and of u O?i ance . \ ireatment PI 276.00 Slqnatufe of Permi[ee APPROVALS Road Unit 3?0.00 A Bmlding Permil is issuetl to: THE ?? Planner - park Ded. on the express condition thal II work shall be done in accortlance wrth all Council applicaGle State of Mi eso lamtes and Ciry Eagan Ordinances. Bldg. Off. _ Copies ?3,530.5u Builtlinq Official ? Vanance - TOTAL RESIDENTIAL BUILDING Permit Applicatioo City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 LO (n 13 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauiremenls RemotleVReoair Reauirements ORice Use Onlv 3 registered she surveys showing sq. ft of lot, sq. fl of house; and all roofed areas 2 copies of pWn Cert of Suney Recd _ Y_ N (20%maximum lotcoverege allowed) t setof Energy CalcuWtions for heated additions Tree Pres Plan Recd _Y _ N 2 apies of plan showing beam 8 window sizes; poured found design, etc. 7 site survey (or additions 8 decks Tree Pres Not Reqd _ Y_ N 1 set of Energy Calcula6ons AtldNOn - indkate Non-sde septic system On-sile Septic System _ Y_ N 3 copies af Tree Preserva6on Plan 81ot platled afler 717193 Rim Joist Detail Options selection shcel (bldgs wAh 3 or less uni5 r? Date ? / / ! 03 s? Construction Cost ? ? SiteAddress 39,) -) g!ZvVA) <ff- Unit/Ste # Description of R'ork Q& 5 f 4€? ? 4av.? & NI,UP-?% C Pol-0,,, Multi-Family Bldg _ Y l? Fireplace(s) _ 0_ Q _ 2 PropertyOwner C-vI-7111-k /C/Zt7Telephone#(65/) 6SS? ?Q 5r?? Contrac[or 7kvq?-VvJC -- - Address /(3cza City State !t-IV . 29Ua S`d' `fo Zip C L- Telephone #6$-I 6h COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheat • New Energy Code Worksheet (4 submission type) Submitted Submilted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review in ? MG 0 I hereby apply for a Residential Building Permit and acknowledge that theldyfor?na?zan -?emgTSfe 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 1 in the case of work which requires a review and approva] of plans. ??u?-?.,s,.?l ?. ?c? ? << ? Applicant's Printed Name Appl c t s ignature Teiephone #( RESIDENTIAL BUILDING • r ? Permit Application I City Of Eagan ? O?? 3830 Pilot Knob Road, Eagan Mn 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenis RemodelfReoair Reouirements 3 registered site surveys showing sq ft of lot sq. tt of house; and all rooled areas 2 coDies ol plan (20% marimum lot coverage albwed) 1 set of Energy Calculations for heated add'Nons 2 copies of plan showing beam 8 window sizes; poured tound design, etc. 1 stle survey for addilions 8 decks 1 set of Energy Calalalions Adddion - iiMicate if on-58e septic system 3 copies of Tree Preservation Plan if lot platted afler 711193 Rim Joist Delail Op6ore selecGon sheet (bldgs with 3 or less unBs ? Office use a?? ? - ?-2- b3 Cert o( Survey Recd Tree Pres Plan Recd Tree Pres Nol Reqd _ On-site Sepfic System Date ?7 ll/ l U?J Construction Cost 4 6 a? 00e) G Site Address 3952 L)GYL) dr ZASi?hJ s512, 3 UniUSte # Description ot Work (W121;Z9_,f:- Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone #(6S/ ) 68 / Uv 8 9 Contractor Address 1023 City C7/v ` State Zip Telephone #(6S7n T33lo 4--%dG, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CategOry , Ftesidential Ventilation Category 1 Worksheet • New Energy Code Wwksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( ? Telephdne #? I hereby apply for a Residential Building Permit and ackrn that the work will be in conformance with the ordinances Statutes; I understand this is not a permit, but only an app permit that the work will be in accordance with the approv, approval of plans. ApplicanYs Printed Name -?J wledge that the iLformation is complete,and accurate; and codes of the City of Eagan and the State of MN ication for a permit, and work is not to start witliout a d plan in the case of work which requires a review and OFFICE USE ONLY SubTypes , . '+ ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwe lling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-pleX ? 12 12-plex Plbg_Y or _ N ? 25 MisCellaneouS WorkTypes ?/?s?t?d!'Jia?.?'?J ?y/qYll9'(rZ/ ?1O/&Troyo ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair x 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation 10L97 Occupancy fil, MC/ESSystem Census Code Zoning t City Water SAC Units Stories Booster Pump Nbr. of Units i Sq. Ft. PRV Nbr. of Bidgs 7 Length Fire Sprinklered Type of Const Width _ Footings (new bldg) Footings (deck) ? Footings(addition) Foundation Drain Tile Roof Ice& Water Final Framing Fireplace -4 R.I. )(Air Test i Final Y Insulation -y- REQUIRED INSPECTIONS FinallC.O. FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By T 7_ , 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 31.c)0 y- sQrs4.-) /oUrtuf (??G'?f 83F?? ,X 14 = (,072a qol (p?, Dvc? 2422 Emerprise Drive r f'? ? ?I iNEER Mondota Heights, MN 55120 J ? ,gi* eering.. ?(612) 681-1914 ? ? * . CertiFicate of Survey for: ??? ??TL uNI/ Co. I-AiC • ? 3957 Ava&,/ a?)- . NoRrH A 63° 20, 51 , ? '9Z.ZZ j? .?- ? nCXA? ? .?I S? Z ? / ?f1.53 ? o \ / ?\ r„? . 9$ ap :4,0 •S1 L 1e ?. ^ ?yp a ? P avoN CDURT ? •' ff9P r? ? ?a o4b p r? ?,y y (0 3 ? -rv ? y/ ? a 140.9z ' S ffl° 57'39" W 900.o Denotes existil elevotion 9oa.o Denotes pr6posed e%vafron Denof enf es Drainae i Ufi1i??y Easem - Denofes Drainase ?low Arrows o Denofes monumen f k kq 2 c ! 2 5 -E- p-IOUSE._ E( f VA 1"ION? Lowesf Floor t(evafion 811-,.41- Top ot Biark Elevafion qot. ib C'ara¢e Slab Elevalion qao-93 Bearinjf 5hown are vssumed o Denofes 00"sef Hub LorG.,9LOCK_5_, CoVFNTAY PA55 DAKOTA covarY, MIiVNESOTA Subject lo easemenfs o'record i A,qiY cerlily th.lt thil snrwV. Man nr repwrt was p. rM bV mr, nr u.dnr mY direet stM:rvieinn nnd Ih.il.l am duly HroisterM Wnvi Survaym unAnr iho lawt of the Slate of Minnesola. Deted thisay of ? A.D. 19v_. ? - J eaJe,: 1 inch = 40 t'ief l L? r nnFn t n. aiKIr,i iI.a. nr.;. Nri. tano1 JIA-21-2003 10:35 MNchw* COM ,PL?IAN(:E REP(]R7 ?,p?rt Minnp.s?'ta Ener.av .tfdp MNr.hAC?i Soflwwrw Varxion 3.0 1 C.haricad hv/f)ate I' I' COUNT'V: Dakota 9TA7E' Mlnresota , C\ CANSTRU4:T?InN TYPE: Single Famiy ? DATE:1 1 fi-2QQ:3 COMPLWNCF-:PASSES Y?nur H = 734 1 A°A a~ TMar+ r.`-A8 ca,t c,ayanolDnor ???• `??^? ?ti ? ? nrea nr caNw perirnWar R VAAin R Natus U-VAhie UA CEILIW.S? Raim! TruRa 2Ri! 44,A 6.0 a SMTSC?nc"a o?:s'o a:a ??,i ?A?? +o a? o.n'° I'? 3 cLauNC;! wruafcwm tu ocxrfi. e?tx" Grada 91 0.320 29 rt ?? wiRh ? tudkir??ro?ana. snacim fra?h'd cuhi?iji And e? alc?l? here is d?nad to ?m et th tequire.nme he Minn E?rierg? Cho?d t?een Butldsrl?ner /?uv/j cc ???'Aw SS k. . ,, << . ?_ . . - ._ Y? ,Fr s-a e. - .. P. 01: 01 'yr ,; ' 91 B NG PERMIT APPLICATION ? Z19' CITY, OF EAGAN ? SINGLE FAMILY DWELLZNGS MULTIPLE DWELLINCS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 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. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CFi/+NGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MOST SHOW A LICENSED PLUMBER. `N'- ,. -q RE^n ?o Be Used Fo Site Address r: Valuation: jgjg--'01. Date: ??fqr \ i4,?- A?;? 4:;o? Lot ( Block C:-; Parcel/Sub Owner TNE_ pr?-TTLl7NY7 Ct?. /f/G• Address c,-7o1 E. 2ir1Ep City/Zip Code TAh(j?-Y? ?G f)21 Phone La-7 Contractor ?}?1lJ1E- Addres City/2 Phone Arch./ Addres City/2 Phone 3y OFFICE US! I, oA J° Occupancy Zoning R -i Actual Const V- N Allowable V- N # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV Booster Pump _ APYROnALS Planner _ Council Bldg. Off. Variance FEES Bldg. Permit 151,00 Surcharge 67.00 Plan Review 4113,oo SAC, City 100,0u SAC, MWCC /.Sa,DB Water Conn. dO,oo Water Meter 95.00 Acct. Deposit 30,00 S/w Permit 30,vm S/W Surcharge •So Treatment P1. 0&.oo Road Unit 30a, vo Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL r/S ?t`l agrees that all work shall be done in accordance with -J (Signatu e of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1/A LU ATl OW 6A2A&E . . ;zD X aLo r. asv ;216 - 7sy r ?r x a.? ? ? io6y x 14 = f«gq? Is-r FL o on gsm r_ / o(;y 'k53= 3-L392 2 Na =1?5?r: ? o?v u 53 = 5639 Z ..-.-?--- ???G?v ?* ** * Pian ? engir * *+ ? 2422 Enterprice Drive Mendota Heights, MN 55120 3ering,.. I (612) 681-1914 Certificate of Survey for: 7-e ^0Tj-t4A1(2 CO. 1 W• ? NORTH AVON COURT 0 2 5 0 °° ;ov. p? \1 e 5? ?\ LgA 71 ?? 1% P ,? L e j ' fl o ? p ?M ?s I ? `? //bor 3 J` O ? ? a o 4Y cn ? ! F; - ?- ? 5 s s E? g??;E.RIY??G D??'T 140.9z ? 9?0 57'39" W ?? o x 900.0 Denofes existin¢ elevation P-RQC?QSEL??q-42g?uVATIDNS , goo.o Denofes proposed e%vation Lowesf F/oor E"1evaFion Set3.46 Denofes braina?¢e c' Ufili.fy Easemenf Top of Bla?k Elevafion qol, i6 --- Denofes Draina¢erlow I??rows Gara?ie Slub E/evalion qao.93 o Denotes i»onurrYen f fes O+fse'} Nub Bearinj?s shown are Qssumed o Deno ?or? IBLOCK? y COVENTa}' PASS DAKOTA covNTY, MI1V1VfSOTA Subjecf lo easemenfs of"record I hnrv6y tertily tha( this 5urvay, plan nr report was p'r qred by me or undnr my direci tuperv!iaion nnd tFmt 1 am duly Rrqis[ered Lnnd Surveyor unde, tbe laws of the State of Minnerota. Dated thisAay of ? A.D. 19.?L- . -Pa --1 3CQ'Le__1 inch = 40f?ef I1151 89102•5? nOnFnI B SIKI(:III.S.RE0.NO.IAAS1 7"HE HAMPToN t-t1•er;er+ t•:rrvr•.r,nt•Y. nvi•:i;nc,r: °u° currru•rrrr10rr o•.,,+ER c S='!'E ADDpESS CGlIT?UC i 0R Se ,r S ?D r%L(J/VrJ Lc? . DnTF. Plit)NE Detennin varkini; squnre S'ootni?c of cnch. 1. Total er.pcsed vall areti .. 2(.p75. 2 sR. ft. x o.ll = 294,2 2. Total roof/ceiling area .. /V (a+_ c;I, ft. x e-.026 _ 27? G . Sotcl exposed va11 aren nbovc floc+r = 26 7 S L a. Total v211 vindov ar ea ............... .......... 2 I 1•-7 b. Total door area .... ......? ......... ... ? L. Total sliding glass ... door area .. .. ........... d. Total fireplece vall ...... nrea .......... .. ............. ? ...... •-- e. Total vall :raming a rea (averaGe lOp) ....... ............. 2 f. g. • Total Total net vell aren rim joist above floor ...... ? ............. 2Z.G aren ................ ........... Tot31 exposed fo undntion aroa Z- h. Tctal founde;?on vin ? dov a:ca .....•. .. ' i. To'„al net fo:Lndation a-ea above gr.ade ............. / ,(J ? Deterrine "U" calt:e o; eech vall seF;ment. a. 2r7, -7 c '.??l (V, b. 3197,-7I _ x.,U,. O,i 3 b _ 5. 3? . C. 3q,q? x „u„ a. X „??? _ _ • -.? e. 'J 13. 7r'Cv ????? 0.08 ? ?q 00 x _ , r. ? 9 ZZ, o(4, X„?,. 0,0¢3 _ b 2,?,?f 9. 243, Z X,.1?„ h. X „u„ i. ,.U„ . 0, I r{- = f 7- p Z X 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'in i. nl = 2? 2.?? ? a? If ite:.^. N3 i s the same as, or les.^. :.h:,n iLe:n Nl, you . et the intent or sac 6oo6( c):. f . Totnl expoyed rooC/ceilinr arel = I V? 'l ? . .. . Total gross roof/ccilinp arca J. Totel skyliCht arza .......................... _ k. Total roof/ceiling frarning area............... ?- 1. Total net insulated roof/ceilinti area ........ Determine "U" vnlue for e1c1i ruc,f/cci 1 inj: seb'ment. x 'lull ?. - x: /o (10,¢ X„U„ d, p 27 = 2;? 7' 1. 9??"7, ?, x"ul. p, a 2 Z a . ................................. Tozel • e,- If to:al oP N4 is the same as, or less than H2, you have met tYte intent of ssC 60o6(c)i. To utilize the total envelope systec method, the values estahli;hed by the sun of items N3 and RL shall not be sreater.thnn the sum of iten:s F1 and M2. 1. ± 2. ? • 3', ?+ 4 . - - _ r . 0 , e .-? -VAI.U? 6AI.1(,O.A"rioW-,7 ?GoNT?. -??P?ML W?tU. G? IN?-I?ATI?N LoMPo N ?r+? (j u ? ? ?. ? Olq';'AvE AIF- Ff LM _ 5%,, ?NSU?A???? [?S??E Pofy ?ILM. - R - VALU E Iq.o ' o, 45 - -_----p;Co'c - 23.oI = u= ??? o-oa3 -PF-AM;r WAU. C. lz;1L4D C C C L'_, C C LoMPaN?H ?5 o_u''16?10E Aip hN?A1H?N/?. '? X (, h'?JD (F??? MP RLM• . - -- F--VALU5 2.oV _ ? -- ---: 0;?5 ---?_ - _ - -- - ? ?tQf?t. --- u: r a D. 089 . ?L s r ? =G?1J?1 P?. ??U =?0,12 X o.0?9? t?o,Sb X o•043? = O, 0'?- ?_ 0 ? ? ? ? ? rnkhPo?f?+ ?h - ?N?'(HINfv. ?jDING- - LM• -?. L? G - -o, cr2 I I - - -o; ? _ i ? O ? ? C 2?} :v `?- - ??•- ?? Co.-hi::P:;-L?, ?. -?? ? ?-- i 7.f;L, _ ? ?` 1 3 O. 0?; -- _??'--??'?'-?- ? O C ???? . OS (I C l?k I f?-Ft?M .. u --?s83 + 0, 027 ? -a, ?-,--- _Z?i ? -Co - --- 5'-p----- --o-.a? _-_- --? R 76-3--- ?O ????=-F??,?? ? O ? l??f?=FIG:M-%-- p ,-!. ? 0,02!L 46,G 3 ?r Lf ? PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Kuob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit So''5v i Datr"n 03 f? ? oe-\ CL. Un,t # d ress Site Ad Property Owner rnw--Y' Lc- r-N-4 d 2r M`CA? Telephone k( ) Contractor V?c,\, !v Address City State '"\- Zip SS?04A Telephone# The Applicant is _ Owner !\ Contractor _ Other Septic System New _ Refurbished Submit 2 seu of plans and MPC license $ 100.00 Includes County fee. Additlonal consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 2C Adding fxtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround (+ 518" meter if needed -$721.00) Other: -? ?+-k- _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation systero _ Water softener _ Water heater $ 15.00 _ replacement _ adddional $ 50 State Surcharge ? ? Tatal $ ? h h k ll I hereby apply for a Residential Plumbing Permit and acknowledge that the mformaGOn is complete and accurate, t at t e wor wi be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 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 lans. cp--- ?CF?? Applicant's Printed Name Applicant's Signatur?-? CITY OF EAGAN FOR CITY USE ONLY , 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # _ PHONE: (612) 454-8100 RECEIPT # mn _ DATE: Si RE;??DE'N1?IA1;?µ PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS & :.. _ .. .. .. . ..: ,...:. ... TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. --- ----------- ----------°--°----- WORK DESCRIPTION --- ------------------------°- --- °°--°----- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON I SHOWER 3.00 3 REPAIR WATER CLOSET 3.00 'a BATH TUB 3.00 LAVATORY 3.00 ?_ OWNER NAME: ? KITCHEN SINK 3.00 S ? LAUNDRY TRAY 3.00 3 SITE ADDRESS: ? 95 V ri l.J .t HOT TUB/SPA 3.00 t WATER HEATER 3.00 3_ LOT:? BIACK S SUBD. ! FLOOR DRAIN 3.00 -5 GAS PIPING OUT. INSTALLER: A`\t . 'i (MINIMUM - 1) 3.00 ? 3 ROUGH OPENINGS 1.50 ADDRESS: Cn ?o C P?e ?L C _ OTHER _ WATER SOFTENER 5.00 CITY: Eci.eAa,..i ZIP: S S?S a _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: y? SUBTOTAL S S? ST. SURCHARGE .50 SIGNATURE OF PERMITTEE -1 ' :OTAL: 0OMMER?IAI:?IT?I1tiST $I PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND , . .... .... ... . . - ; . . MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EAC DWELLING UNIT. CONTRACT PRICE: FEES Oiv'?+•ER ivAKH: SITE ADDRESS: LOT: BLOCK _ SUBD INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN ZIP: aF CONTP.ACT ;5E. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) ?sz???xxaz;; CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "NI FOR CITY USE ONLY PERMIT # RECEIPT # D ? ,3 DATE: ° O / PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: 1 VZ 1\O_1±`VY\ CJ '''" SITE ADDRESS: ?? ?? ovz)N LOT:_IP BIACK ? SUSD. INSTALLER: ° '3?,'? H1G• 8t A/C, l C d? , Eymuum ' ' r ADDRESS: MN• 55427 CITY: ZIP: PHONE #: JH ?-`\? 2IP: C419M'ERC,IAllDtISTRIAZ;: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: DWELLZNGS & FEES ADD-ON MINIM[TM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: $15.00 24.00 6.00 3.00 $a? o0 .SO $Qa.Tc) ?('4i'??r . ?^1C Ynl[] .x SIGNATURE OF PERMITTEE FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED YIPING - $25.00 $25.00 MINIM[JM FEE. CONTRACT PRICE x 16 $ STATE SURCHP,RGE TOTAL: (SIGNATURE) CITY OF EAGAN 2004 RESIDENTIAL BUILDING PERMIT APPLICATION . City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?7 New ConsWdion Reauirements RemodeUReoair Reaui2ments OfFi'ce Use 0? ? 3 registered site surveys showing sq. il. of lot, sq. ft. of hause; and all roofed areas 2 copies of plan , R"ofSiirvey (20% mazimum bt coverage allowed) 1 set of Energy Calcula6ons for heated additions Trep.Pre-sRlap Recd ?:, 13;_1t? ? K 2 copies of plan showing beam & window sizes; poured found desyn, elc. 1 sile survey for addNons & decks Tree PrgS Requirgd ., ,_ Y _N ' 1 set of Energy Caloulatbns Addifion Jndicafe Ilon-site saptic system On=ilfe Gepl? Sys`?, rt% _Y _ N 3 copies of Tree Preservation Plan if lot platted after 717/93 Rim Joisl Detail Options seledion sheet (bldgs with 3 or less unAs Date 4 Construction Cost SiteAddress 57 ON 1 UniUSte # Description of Work -PC=G(,:?, Multi-FamilyBldg _ Y'X, N Fireplace(s) _ 0 2 Property Owner /i R,Bf' k4e( o'tit/?GC-? EYL Telephone #( ?oSl ) lO?il ? C.Y? ? l ] 3 (ofa 3pg- 75-dLlCe1 Contractor Address CitS State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y f°e ^Pl-li°-`-. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( N If so, 25% plan review Telephone # ( II D Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the inform 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 ?quires a review and approval of plans. ? -10 /Y ; ieV e r/ ?Applicant's Pf nted Name ApplicanY i ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 11 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 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 Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding A 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 applieant Valuation 2, ov-V 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) T' Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ 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 ;? ? ? ? ER ?- si * T P'40"dOS-rd 17'0C.'? k"'? II 2422 Enlcrprise Orive ? Mendota Heights, MN 55120 g.. (612) 681-1914 Certificate of Survey for. ??r- ^b' I L' urvo ev. 1?C • ? 3957 AvtvJ e-T'. NORTH I ? :2C ? .? o ?- oQ o? ? AvoN 83,70'51' COURT ?f1.5i Z 5 ° ?'P ?q2•2 ? s?Jpe ?- ; ?_ _? i- ??o' °\• y ? /? ?wa_ \ a7' "Q LP j3? ?q ? ?. \? ? y ?o' ..?..,?, , ? ti ff9 p _ S ? (G 1,y-y ?0 3 ? v )4:- le?'/ 0 14o.9z S eq° 57'34" W 0 900.0 Denofes exisfin¢ elevation 900.o Denoles proposed e%vafron Denofes brarnage i Ufili-fy Easemenf -= Denofes DrQina?ie ?"low I?rrows o Denofes monumen f Bearrn?? shown are assumed ?p?usE.El EVATIONS Lowesf Floor E?levof?on S`1'3.46 Top of Blatt Elevafion qor. ib C,aro?ie Slab Elevcr{ron RGb•g3 o DPrrofes o+ef Nub LOT?--,BLOCK5, C4VENTaY PASS DAKOTA COUNTY, MINNESOTA Subjecl lo easemenfs of record I hnrNry tenify that this surveV. Plnn m reparl vFls pre nrr.ri hY me or unde.r mv direct supn.rvision and ihat I am dulv RcOitrernd La.M SurwYOr undo, rh> laws ol ihe Siate ot Minnesota. DatM lhis day ol ? A.D. 19_qj_ . --? Secr/e : 1'nch = L?? i2ef S. nrr,. rurL I.Ia-t ?? ??) 2007 RESIDENTIAL BUILDING rEiuvnT nrrLicaTTON -4 % ?6TJ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requiremenis 3 registered site surveys showing sq tl, of IoL sq. R of house; and ail rooWareas (20% mazlmum lat caverege albwed) 7 Solls Report if proposed buliding is W he placed on dislurbed soil 2 mpies of plan showing beam 8 vnndow sizes; poured found design, etc. 1 sel of Energy Calculations 3 mpies of Tree PreservaNon Plan'rf lot platted afler 711193 Rim Joisl Dehail Opdons seledion sheet (huildings witlh 3 or less unils) Minnegasm mechanical ventilalion form RemadeVReoair Reauiremenls 2 coples of plan showing fiatings, beams, Joists 7 set of Energy Calcuialians fw healed additions 1 site survey toraddiM1ons 8 dedcs AdaYfron-indirate ifon-sde sepficsystem O(fice lJSe Onlv Cert of Survey Recd _ Y_ N Soils RepoA _ Y _ N Tree Pres Plan Recd _Y _ N. Tree Pres Required _ Y_ N On-siteSepticSyskm _Y _N Plans are considered public information unless vou state thev are trade secret and the reason Date ?l <"' / _0 Site Address .?Cf -ly-7 ConstruMion Cost r3_17Z 17. / 7 Unit/S[e # Description of Work Re r?o-F _ Multi-Family Bldg _ Y _?, N Fireplace(s) _ 0 _I _ 2 ProperlyOwner Telephone#(65Y) ?p0 Contractor RQYYIOGI e 4AS Address 4Y/Z,/ State l,?e v` dv City ? Zip .J.?/ Z? Telephone #(&j /) "( ? COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventila0on Category 1 Worksheet . New Energy Code Worlcsheet (q submission lype) 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 Mechanical Contractor Sewer/Water Contractor a Residential Building Permit and Telephone # ( Telephone #( Telephone #( the information is e; 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. ?/f /?'e/n /?/.,?P G??Y/?7'o / Applicant's Printed Name App cant's Signature úùú þí ÿ þ ÿþþýûýþ üÿÿ ñõç ëäå ù íë ú ýüûúùø ÷ü ßä õúùø ô ó ø÷ü ßä Úü ÿ ÿ ø ï Üü ï ìüû ò þý ø þèç ííí ò ï÷ èî ø ï çæééí ÷ü ýüì ÿ ÷ö æéé öõõô úóò øø ò ì ò Û ï ì ëíû ýåä ï òôí ÿ òô èëçííí ì ûù ó ÿ ì ì å ì øø ì ì ðï ÿ ïøùóì øø û ý ðò ý ü äùð ÿ ã é øø á ï ýÿ ü ü ùýÿ ü PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147334 Date Issued:12/29/2017 Permit Category:ePermit Site Address: 3957 Avon Ct Lot:6 Block: 5 Addition: Coventry Pass PID:10-18400-05-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark E Kreidermacher 3957 Avon Ct Eagan MN 55123 (612) 309-7521 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164503 Date Issued:09/30/2020 Permit Category:ePermit Site Address: 3957 Avon Ct Lot:6 Block: 5 Addition: Coventry Pass PID:10-18400-05-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Leann Jo Johnson 3957 Avon Ct Eagan MN 55123 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170270 Date Issued:06/25/2021 Permit Category:ePermit Site Address: 3957 Avon Ct Lot:6 Block: 5 Addition: Coventry Pass PID:10-18400-05-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations 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. When a weather barrier is installed or 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 - Leann Jo Johnson 3957 Avon Ct Eagan MN 55123 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature