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584 Autumn Oaks Ct Use BLUE or 616AGK Ink I For Office j Permit* j City of Eajan I Permit Fee: 3830 Pilot Knob Road I I Date Received: Eagan MN 55122 RECEIVED Phone: (651) 675-5675 1 I IF= (651) 676-56t~4 JUN 15 2011 1 staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 6_0d Dates Site Address: Unit ads: Name: ~ J hJ Z Phone: (~51 ~i ' RESIDENT / OWNER Address/ City /Zip: 5 ~q AQ TO M i4 1,T Applicant is: Owner Contractor TYPE OF WORK Description of work: p tL K Construction Cost: Multi-Family Building: (Yes No .2~j ~I . .,4 hrn5o r't Company: to Contact: 7'f L(')0 Address: lq S ti w City: W-~I w CONTRACTOR State: Zip: ~?11 Phone: GS l- ~{V - So ~-1s-1 Llbense 206 ' C 51 G Lead Cdrtltftt6 IZ 1 ° sa358 - t 1- Q I ra 61 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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) 454-0002 for protection against under round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 1 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. ~1vrc q X x Applicant's Printed Name Ap s Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE VY112.6 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 r 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 Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review 01 Code Edition 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) Meter Size: Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC % ~~d Utility Connection Charge e S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 s _ 5P AA)M Y, oa ty c-f 5 CERTIFICATE OF SURVEY FOR _S1 0ALl a &:a ~(o t-A- C,: -t7_ KURTH SURVEYING INC. IHEREDr CgfiTiFT THAT THIS $401M, PLAN. OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. 6T ME OR uNOER MT amccT SYPERyiS10R'7R T 1 AM A DYLr COLUMBIA HEIGHTS MINNESOTA INUZI REOISTEREO LAND ETOR 0 "n TI tAW OF E STATE OF MINNESOTA. 64-780-1109 gc~ oATE z .21 PROPOSED. SCALE 1". 3 MINNESOTA R TION NO. 1(.113 0mIRON MONUMENT GRADES' BEARINGS ARE ON AN ASSUMED DATUM GARAGE SLAB • 53,E • • s0 0 SPIME SET TOP OF BLIOCK• 63 I-)• SPOT ELEVATION BASEMENT FLOOR• .D0•`O 'O PAOPOSEP ELEV. • DRAINAGE ARROW lip PAM, REUA"' ' U I R ~ o s 7 p 4 xh r 3 s3r,► rct4•o ~ r . cs- a IZ•o vo ' w 711AG D` PT O r O~ rz N Jas r ~ FbBCH f C..ou U -rv*~ Vka"7W, 00 4 I~h31 9 pRAtµA~•yTc. 1 L1T1L~'1j`t Ic4ykM.sF.►S o r"~~~/ V: C-0 V4 D -b 0 SEWER A WATER PERMIT OFFICE USE ONLY -CITY OF EAGAN / z c t, ~ 33830 Pilot Knob Rd. PERMIT DATE 83 Box 21199 WATER PERMIT #E ' S 1 SEWER PERMIT #E Eagan, MN 559 kiri-TS # 4 Z 3 T-? B.P. RECEIPT #F ~ DER B.P. RECEIPT DATE 1 ' f IZE 1 ~ ISSUE DATE x PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT `J BLOCK - SEC/SUB "LY APPLICANT: T+~' S~ ~c F iZ C SEWER _ WATER - TAPS ADDRESS: F'ti'1.,i ` COMM/IND - RESIDENTIAL CITY, STATE ZIP PHONE: NEW - EXISTING PLUMBER: 41 C ADDRESS: i AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: /'-,c/ " n~~-%' ~'vr i; , CITY, STATE ATURE WHEN M ISSUE L ZIP PHONE: ! 6 t I J Z Z- ~ U , 7. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN ; 3830 Pilot Knob Rd. PERMIT DATE 383 Box 21 nob WATER PERMIT # c ` SEWER PERMIT # i Eagan, MN 55121 METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE K= PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT-BLOCK SEC/SUB - 4 APPLICANTy n U SEWER WATER _ TAPS ADDRESS: L COMM/IND RESIDENTIAL CITY, STATE ZIP PHONE: NEW EXISTING PLUMBER: ADDRESS: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # MECHANICAL PERMIT C" RECEIPT # J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION r. Lot " Block - Sec/Sub Res. New Name Mult. Add-on ~ - Address Comm. Repair Other C City Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW p City Phone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. i TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM: RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # _ BEYOND $1,000) Other $ FEE: i S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address r BLDG. TYPE WORK DESCRIPTION Lot Block - Sec/Sub Res. New Mult. Add-on Name Comm. Repair ~n Address Other C City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES y Name 9TAL Water Closet - $3.00 $ Z - m 1 Bath Tubs - $100 C Address Lavatory - $3.00 / p City Phone I Shower - $3.00 Kitchen Sink - $3.00 FEES -Urinal/ Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $100 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES i Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL- TrrtifiratP of (Orrupaury Citp of eagan 10pax twmt of luilbtng JWertion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use ckmfintion SF DX?QR Bldg. PBrmit No. 161 10 0ocu0-y Type ?R3/M 1 zoning nisM RI Type Cont. VN Owner of Butkl ng Sr. MOIF.S HMS Addr,. 4196 MUNWRIE DR. EAGAN Tq 1~IId 1 Btamyg Atldros ~ -OAKS rJU1RT LoaBry•s+E- Q~..~az, MEN mw APRTT. 27, 9189 POST IN A CONSPICUOUS PLACE CITY OF EAGAN x. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ~"e p Est. Value 4 41 r Date 19 Site Address '84 At1IUMN OAKS COURT Lot Block 3 Sec/SubG0VNTRI H011 )V' OFFICE USE ONLY Parcel No_ Ogcupancy --~LI~t•° FEES Zoning a Name C 5A lldg tit13M"S (Actual) Const Y~ Bldg. Permit ~ 784•~ 3 Address (Allowable) r _ 70.50 p Surcharge City Phone 454-.7975 # of stories 392.0( ; Length Er~- Plan Review 0 41f r Zo Name Depth 4Q__ sac, city • 00 a Address S.F. Total SAC, MCWCC 575, f>n City Phone S.F. Footprints On Site Sewage Water Conn F w Name On Site Well Water Meter r f t Address MWCC System k n 00 a W City Phone City Water; Acct. Deposit PRV Required 4► S.+W Permit {i I hereby acknowfega that 1 have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ~2~+• Signature of Permitee APPROVALS Road Unit iiT. :.off` Planner A Building Permit is issued to: Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 3 ? ` " ' Permit No. Permit Holder Date Telephone # WATER a !"~t l -SEWER PLUMBING H.V.A.C. ~G'~GC`CcJ CCir~ ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing P~ ~iyy r S Roofing N6~ G~ nA.YR . Rough Plbg. Rough Hig. 3 /(o ~.S h~oc~ !•re-! f loo / Le Isul. _ 6 Q Fireplace 3- Z I S Final Htg. / l/ Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Cf ~7 Deck Ftg. Deck Final well Pr. Disp. y Y7 41 rvv B DG. PERMIT NO. ZIL~I r L !G C C1 /z c7 ~oZ 01-3210 Bldg. Permit 7 01-3422 Plan Check 907 01-3445 Surch./Adm. ~-3 01-3446 SAC/Adm. Jr 7 01-2155 Surcharge / 75-3860 Road Unit 20-2275 SAC 9 20-3865 Water Conn. 20-3868 Water Trmt. c 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. i 6YJ 28-3855 Park Ded. TOTAL ////~/IK 9 C 90303 x/33 ~u C~~z~G~Cr Request Date Fire No. Sou n napeclwn Req uetl Ready Now ❑ Will Notty Inspector es ❑ No When Ready? licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or uta l City Sii No. TownaNp Name or No Range No. County Occupant( RINT) Phone No s /t . lC.S m Cho z~ P pplier Address Ma A1,9 /I& C I EI Contractor Company Name) CoMractor~ 1-m-r~a1ise No. S 1 1! C N / l Mailing Address(C)ntrador or er mg Installation) S c1s /9/n z 3 3 Authonzed S (Contractor/ ner Ma g Installatl ) F, one Number 5'~nd, MINNES TA STATE BO OF ELE ICITY THIS INSPECTION REQUEST WILL NOT G%ga-lill Bldg. nom 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 65106 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION Ea00001-07 T ► See instructions for completing this form on back of yellow copy. R -90a03 X" Below Work Covered by This Request ew Add Rep Type of Building Appliances Wired EgwpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks. V~ ~7 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Cirwits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps ve 100 _ A 44 Signs Inspectors Use Only: / .U I TOTA Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough--in t Dat~ certify that the above inspection has F,nal Dare„ fY' been made. OFFICE USE ONLY This request void 18 months f on 5 4 2c C Request Date im No Ro n Inepecbon R ui do Xleady Now ❑ Will Notify Inspector' es o When Ready? licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Addreas (Street, Boa or Route No) Coy vt k Cewfr~ G~ eJIZ) Section No. Township Name or No. Range No. Count' Occ;rt (PRINT) ) Phone No. S_ / r N 9~ G f ~S Power er / Address Elednc oniraot (C mparry Na e) Contractork License No Meiling Address (Contractor or Ow r Making Installation) 410,111 f17 ei CI/S //11 Aulhar¢ nalum (Contras Own Making tallahon) hone Numb MI SCTA STA OARD OF ELECTRICITY 17 THIS INSPECTION REQUEST WILL NOT Grigg8-Mi0way g. - Room 5-173 BE ACCEPTED BY THE STATE BOARD ,18 1821 UnWers ve., St Paul, MN 56104 61 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E9-0p0001~07 I► Seeurstructions for completing this form on beck of yellow copy 5 4 2 0 0 'X" Below Work Covered by This Request Now Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other lspecity) Contractors Remarxs Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circutts/Feeders Fee Swimming Pool 0 to 20O Amps o to 100 Amps Transformers Above 200 Amps Abovelo0, Amps Signs Inspectors Use Only: TOTAL Irrigation Boomg UU O Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in f Date certify that the above inspection has Finai re been made. OFFICE USE ONLY This request void 18 months from X003 114-14 Yc"o ~ a~ Request Date Fire o Rough-In sp ctmn egmretl Ins action Olher Than Rough-In //99 r1 c (You must Inspector hen ready) Reatly Now ❑ WAINobly inspector -O.l- 1 ❑ Yes No Date Rea I X licensed contractor ❑owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No) City S 4 5 La Section No Powri Name or No Range No Counl l7RKo'F~. Occupant (PRINT) Phone No Oer Power Supplier Address 12> EtI Elsetncal Conlraclor (Company Name) Contractor's License No -Q P 1.1mg Atldress tractor or Owner Making Installation) 4 1 cam )3 S Aut tl bgnatore tConbactor/Owner Making Installation Phone Number 77 ~2P y a~-1 31 MINNESOTA STATE BOA OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 Universlly Ave., St. Paul, MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED y/ay~y REQUEST FOR ELECTRICAL INSPECTION ° n' EB-00007-09 See escruchons for completing this form on back 01 yellow copy. ~RI 0 0 3 2 4 4 ~~so X" Below Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) contractors Remarks OFF— P&AK Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/ Feeders Fee Swimming Pool 0 to 200 Amps 0 to too Amps Transformers Above 200-Amps bove 100 -Am s Signs inspectors Use only TOTAL /t ~O Irrigation Booms Special Inspection v Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. Data I, the Electrical Inspector, hereby Rough-ur certify that the above inspection has Final r 4~e been made. OFFICE USE ONLY This request void to months from C33 (rJ U Permit (7 '6 L11-4 2- Del I City of Ea n D \J 1 ~-~~a \ I Permit Fee: v V 3830 Pilot Knob Road ~V1 J Eagan MN 55122 Date Received. / Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. 9y 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t (01 ite Address: I LA_ ~ Y_\ i . Tenant: c ~p Suite RESIDENT/OWNER Name:z~ \ny~ i f~Phone: Address / City / Zip. kt-t /I ' ~g IL -e Applicant is: _ Owner !Contractor / TYPE OF WORK Description of work: / C tt' G ✓ r Construction Cost: Multi-Family Building: (Yes / N Window Concepts of MN, Inc. CONTRACTOR Name: 990 Lone Oak Road Suite 114 License fp' Eagan, Minnesota 55121 Address: _ Toll Free 1-888-712-1733 License # 20163493 City: www.windowconceptsrnn.com State: Zip: Phone: J:%,75_1 ~BC~ ~d Contact Person: ETC 4 yw 1 P, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 CategorV 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _1'es _No If yes, date and address of master plan Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer t£ Water Contractor: Phone: NOTE Pfans anct suppd77)0 utneiaY fihat3YUfrf stt6r rl ce cbrJsr?dred f~ lilra nToriffatrdn"Porbonsiif he rniormaho'-maybe_- lan ifsed as ion pu6llcr>~yOfrpr©vida specific Yeason brat watrld pea r2 the Crly to fudeLf~iatArip amrraCd@,sec!$ts 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 ZworkwjIll rn accordance with the approved plan in the case of work fwhich requires a review and approval of s. x ) x 7m Applicants Panted Name is is Signature Page 1 of 3 2006 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 3 registered site surveys showing sq. ft. of lot, sq. it. of house; and al roofed areas 2 copies of plan showing footings, beams, joists litdj'~u~3ept(t$„t1"'1' r (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions PfesP `r)Reo'd;~r k@Ifi Y >_r>[~ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions 8 decks 7 10111 "(uu Y l set of Energy Calculations Addfion - indicate H on-site septic system 3 copies of Tree Preservation Plan if lot platted after 71W3 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasm mechanical ventilation form Date 5-/ G O / D 6 Construction Cost 1(~, 3 a y Site Address -5-91/ Aufuyn, OAKS 06 /'1- Unit/Ste # Description of Work T~6 rfer<::; s- 4 ~6r1S - 66&!Jn Multi-Family Bldg - Y XnN Fireplace(s) _ 0 _ 1 _ 2 Property Owner _::J0_ hn to l0/Li A yt? Telephone # (_S/) -a._ Contractor ~Q~~lLccrBservtp~Q,r . Address '9001 E iy i'h f city Gt7q~ y,no~n. /j/c1 State Zip .415SF.10 Telephone # (%5A) 99S - SS.3 n COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: Licensed Plumber 1~J [E0 E 5 Y F 4-- Telephone ) Mechanical Contractor MAY 097006 Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. StAr6,11'Gtr Tr r\ Applicant's Printed Name Apph ant's Signatur 4-1~dtV of eagan March 15, 2005 PAT GEAGAN Mayor BRIAN L HANSON PEGGYCARLSON UNITED SERVICES AUTOMOBILE ASSOCIATION CYNDEE FIELDS 9800 FREDERICKSBURG RD MIKE MAGUIRE SAN ANTONIO TX 78288 MEGTILLEY RE: 584 AUTUMN OAKS COURT Council Members Dear Mr. Hanson: THOMAS HEDGES In response to your request of March 9, 2005, please be advised that: City Administrator • Minnesota State Building Code, Chapter 1309.0315, SECTION R315, HANDRAILS requires that a handrail shall be provided on one side of the stairway. Municipal Center' The 2000 International Residential Code, Section R313, RAMPS, states that 3830 Pilot Knob Road handrails shall be provided on at least one side of all ramps exceeding a slope of Eagan, MN 55122-1897 one unit vertical in 12 units horizontal (8.33-percent slope). Phone: 651.675.5000 These code sections are enclosed for your review. If you have any further questions, Fax: 651.675 5012 please do not hesitate to contact me at 651-675-5697. TDD: 651.454.8535 Sincerely, Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Tom Miklya Building Inspector Phone: 651.675.5300 Fax: 651.675.5360 TMJJs TDD: 651.454.8535 cc: Dale Schoeppner, Chief Building Official w .cityofeagan.com THE LONE OAK TREE The symbol of strength and growth m our community i 41~MV of eagen PAT GEAGAN September 23, 2004 Mayor WILLIAM R GOWIN PECCY cARLSON GOWIN INVESTIGATIVE SERVICES CYNDEE FIELDS 1411 FRANKLIN AVE SE MIKE MAGUIRE MINNEAPOLIS MN 55414 MEG TILLEY RE: 584 AUTUMN OAKS COURT Council Members Dear Mr. Gowin: THOMAS HEDGES In response to your request for a statement from me regarding 584 Autumn Oaks Court, I City Administrator offer the following: • On September 8, 2004, I received a call from a citizen stating that he had fallen off a ramp at the aforementioned address and wanted to know if a guardrail is required Municipal Center. on ramps. 3830 Pilot Knob Road . I asked if the ramp was more than 30" above grade and he indicated that it was. I Eagan, MN 55122-1897 informed him that I would check the ramp for building code violations. Phone: 651.675.5000 • My investigation verified that the ramp was more than 30" above grade. • I called this citizen and told him I would contact the owner of the property. Faz: 651.675.50]2 . I informed the owner that a railing was required for the ramp in his back yard. The TDD: 651.454.8535 owner came in with a drawing which the City approved and a building permit was granted for the guardrail. • When the guardrail was completed, the owner called for an inspection, which did Maintenance Facility: pass. 3501 Coachman Point Eagan, MN 55122 Sincerely, Phone: 651.675.5300 i Fax: 651.675.5360 1 TDD 651.454.8535 Tom Mlklya Building Inspector www.ciryofeagan.cam TM/js THE LONE OAK TREE The symbol of strength and growth in our community 2004 RESIDENTIAL BUILDING PERNUT APPLICATION City Of Eagan / 3830 Pilot Knob Road, Eagan NIN 55122 1v ~l Telephone # 651-675-5675 FAX # 651-675-5694 I~p~ New Construction Reauiremenls Remodel/Repair Requirements 3 registered site surveys showing sq. fL of lot sq. fl of house; and all roofed areas 2 copies of plan t (20% ma>vnum 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 additions & decks l set of Energy Calculations Addition - indicate f/ on-site septic system 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail Opkins selection sheet ((ftsI with 3 or less units Date r _ l Lri Construction Cost 10131) Site Address 5 SA /N L.Ltu mn L) AK 7 (f v if i Unit/Ste # AG M 5 512-1 - I Description of Work ADD 12 A I L I C) EX ) .5-7- ) 61G 2 A Multi-Family Bldg - Y ✓ N Fireplace(s) - 0 i/ 1 _ 2 Property Owner . Jahn T 1° Gr) T~ Telephone # 1) Ic,913Ia b Contractor ap~ Address (('i Jim U;i LAO State Zip JD Telephone # ) IBY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J 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 ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,cln P [-;-1 T~ m G Applicant's Printed N e A is is Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-p1ex ❑ 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 (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Yor-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 X 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 PV(7X-4 - Plan Review IJk MC/ES SAC / ` Yo fZ ~ tj V E City SAC Utility Connection Charge S&W Pemlit & Surcharge Treatment Plant License Search Copies f Other Total 2005 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. Date . nI / d 5 / 0 5 Site Street Address 584 A,_& VY1 K1 Oaks ci Unit # b I Property Owner l!)loyl ek &I y t tZ Telephone # H.P. PIPEWORKb Contractor 3670 DODD ROAD Telephone # ( ) Address ~w1\ REi5 134^ City State Zip The Applicant is: _ Owner /Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 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 $ 15'50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's nn et d Name Applicant's Signatur (3A 3 2005 CITY OF EAGAN NQ 16110 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 9 To be used for' SF DWG/GAR Est. Value $141,000 Date d 1 , 19 89 Site Address 584 AUTUMN OAKS COURT Lot 2 Block 3 Sec/SUb.COUNTRY HOLLOW OFFICE USE ONLY Parcel No. Occupancy R=3_/M-1 FEES Zoning R=1- s Name ST. CHARLES HOMES (Actual) Const V--N- Bldg Permit 784.00 W 4194 COUNTRYSIDE DR o Address (Allowable) V--N- Surcharge 70.50 City EAGAN Phone 454-7925 #ofstories Plan Review 392.00 Length 6b-_ o Name SAME Depth 40- SAC, City 100.00 Address S.F Total SAC, MCWCC -.7%-0 a City Phone S.F, Footprints 0 On Site Sewage Water Conn J90.0 ww Name On Site Well Water Meter 90-0 O Address MWCC System X u~ Acct. Deposit 30.00 o' 2W City Phone city water X PRV Required X- SPN Permit 20.00 I hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 228-00 Signature of Permitee APPROVALS Road Unit 940.00 A Building Permit is issued, ^ Planner Park Ded. tol AR on the express condition that all work shall be done in accordance with all Council applicable State of Minne o Statutes a Ci of Eagan Ordinances. Bldg. Off Copes y )"'o Variance TOTAL $3210.50 Building Official 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~;Q 6 1989 To Be Used For: cTg(TF FAMILY Valuation: tim.OOO_on Date: 9/6/,g9 Site Address 584 AUTUMN OAKS COTTRT _ OFFICE USE ONLY Lot 2 Block 3 Occupancy R3 M-1 FEES ZoningI - Parcel/Sub C^,rnrmnv unr r nta Actual Const V-N Bldg. Permit 78N . 00 Allowable V-N Surcharge 70,50 Owner ANDY & MONICA CHOW u of stories Plan Review X2,00 Length 66 SAC, City 100. 00 Address 33gs YANXRR Tl(1(TTTTF RD APT ~1S. Depth 40, SAC, MWCC 6r?Sl00 S.F. Total Water Conn D, Ora City/Zip Code EAGAN, MN 55121 Footprint S.F. Water Meter 90,00 Acct. Deposit .~;O. DO Phone 687-0724 On site sewage_ S/W Permit 0,00 On site well S/W Surcharge t O Contractor ST. CHARLES HOMES MWCC System v Treatment P1. D~ City water t/ Road Unit 40.00 Address 4194 CnTTNTRYcTDE nurVF PRV required Park Ded. Booster Pump Copies I(~ Sn City/Zip Code EAGAN MN 55123 TOTAL APPROVALS Phone 454-7925 Planner _ Council Arch./Engr. PLANCO DRAFTING & DESIGN Bldg. Off. 2~'1 Variance Address 3435 WASHINGTON DRIVE Council City/Zip Code EAGAN MN 55122 Phone # 452-0734 NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time.Por sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. VALUATION G ARa.~~ I Z x ZZ = 26y 24 x 24 = S~6 r 5, yo X 15= 1 ZGr;a g SmT 16u48= r7&8 12 X 3o =360 II box I~ = ~62yn 0•A I51 t`~OR U • ~ ~3SMT _ //~o 184•uu+ `lX2 IL1 ~~11y4 '10 50r 392.00+ ~X2.. = I<< 100.0U+ Sy5.0U+ i r I g<OX Sv % 5~~lob ~LJ 580'O0+ ~ g0.0U c7~ 50•UO+ J<,C- r A~~N ro&r n 2 0- 0 U • U U t + 12XIZ ° 1414 k 40 228.0U '340.030+ 3"21U •50* Z N r---- 30~)( °loo z X IS = 3 0 Gj 3 o X 50 = 0500 I t.~OS~o CERTIFICATE OF SURVEY FOR 0-1-1402k -5 K40AC KURTH SURVEYING INC. I NERE97 CERTIFY THAT THIS SURVEY, PLAN. OR REPORT WAS PREPARED 4002 JEFFERSON STREET N.E. BV ME OR UNDER MYOIRECT SUPERVISIOR-AI T 1 AMA DULY COLUMBIA NEIGNTS MINNESOTA 53421 REGISTERED LANG EYOR U NDER TI LAW OF E STATE OF MINNESOTA. SIZ-799-9799 Z' 89 DATE MINNESOTA R TION NO.l~-ll 3 PROPOSED. SCALE 1"•3-0' GRADES ON IRON MONUMENT BEARINGS ARE ON AN ASSUMED DATUM GARAGE SLAB* 837'5 as 60 0 SPIKE SET TOP OF BLOCK• 0380 (-)a SPOT ELEVATION BASEMENT FLOOR• ( ) ■ PROPOSED ELEV. ---*a DRAINAGE ARROW U~jti 1 POROV, REQUIRED Ilk s 9 s R°z+~ ~6 38 7 O ti~.u, n.17 n / , 14.0 S `o 74.1; a f ~b l FS N IFI' `Qa 9C9~ .n 00. _ r:. 7-~ R s .Tr / - kQ ~Sc-D asJl.a_2<srii_~.a 7;sPT' 83 ~/b t)S` o o r 83 IZ N Jr3 _ v ~ I~~' 3 Lor 8~oc+.c 3 po Q~N I C-o~ w z Rol Kai-xOw, ECH m 'D D'KoT'A C„OJ1JT~l1 r\►-t. 1~ sL - - - - - - - - -Js ~ql ~0 Djuk%"Ar--IL 1 UT1 LI'SV tA7~M~NT ? r ~ per-G1 C`~ ~ - co,~~ tai, ~O CITY bulLLiilu L_ RTHLICT EXTERIOR ENVELOPE AVERAGE $lull C014PUTATIOR (To be submitted with building permit application) 0ne,or Two Family Dwelling Owner ANDY 8, MO'KXCA -CHOW All Other Site Address L-a'r Z LSLocclc_^M Contractor "!I G/Csl•ti~,~.~ 16M 9rS _ Date Phone LINEAL FEET OF .rG EXPOSED WALL o !j~'N fto above grade TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTIONS "Us' Value x Area Detail zaj~dwg IIUII O 3 x SQ,-FT.311~~~.I!t, [PS (A) reference ~°IUSS x SQ. FT. _ (U) (A) from x SQ. FT.~fayla_tU)(A) attached IIUII x SQ. FT. _r~ %u;k46; sheets dull x SQ. FT. s • (U) (A) x SQ. FT. _ (U)(A) WINDOWSS (lull Value x Area Make & Type 1NAu-,, GWywCC IIUIl .'b(,o x SQ. FT. Z(0079r=~ (U) (A) It ° n IUII II Isun x SQ. FT. (U)(A) x SQ. FT. _ (U)(A) to " uu° x SQ. FT. _ (U)(A) DOORSS IOU" Value x Area n~ MaICe & Type 4-40 IIUII X 3Q. FT. -010 = 7rT3'f (U)(A) I# It uuu x SQ. FT.= 19, (U)(A) s n nun x SQ. FT. _ (U)(A) s n Ilan x SQ. FT. _ (U)(A) TOTAL3 SQ. FT.7 , 150 (U)(A) .y AVERAGE IIU II TOTAL (U) (A) VALI ES 'Z 7 11 S~ a DIVIDED BY TOTAL WALL AREA ASS(p - L AVERAGE "UII 115O ;lees for 1&2 family dwellings ROOF/CEILINGS TOTAL AREAS Z!O 6 Detail reference Ilun 10Z~ x SQ. FT.1Z(/6 =?[~,5q(U)(A) from IIUII attached sheets. IIUII x SQ. FT. n (U) (A) x SQ. FT. (U)(A) Describe openings IIUII x SQ. FT. _ (U)(A) in roof. IIu" x SQ. PIT. _ (U)(A) TOTAL (U)(A) VALUES DIVIDED BY L(A~ T-o&e2 Z (0 Nft L1~15 `tjW\ TOTAL ROOF/CEILING AREA 12.pP p /R,ZI AVERAGE IIUII .025 r ventilated roofs. + VV01'.~► ~K.r 1 N 9.~X ~ ~5-X48.+,~ot3a) = u zs~~rLe Cal 83 x 15c~ = 1 Z-9, 46 was I 2- Z`' 4% = 2Z,s~ zz~S 3-zox~16 = 2~ x1 = z1,o l I 4- zoX cao - -XZ = 80.0 ~ ~`ZOxcga = 33,0 ~ 1. 33,0 Z 1O0,~C~' 74 S g (~Q ?Axno pR, :-42-1 I Z4JU ~uQsr~) wpv, Wosao T.58~ Its L~S~ dons-, 1o~5z TIM IS1146 N WDVJS Z(a0, 7y --Y!ltLL SECTION-- Determining "U" values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING R VALUE S 1.) Interior Air Film 0.61 2.) 5/811 Gyp. Bd. .56 3.) Insulation 4.) gq.oU 5.) Exterior Air Film .61 1 2 3 (STILL) G "U" = 1/R=TOTAL (R)a gt&n8 l $ WALL R VALU 6.) Interidr Air Film 0.68 7.) 1" Gyp. Bd., .45 8.) Insulation H w 9.) 1&A t;aS T-c 10.) Masonite Siding .67 l0 11.) Exterior Air Film .17 ' 4 - 11U11 = 1/R= .(A3 TOTAL (R), 73•0 IZ RIM R VALUE 13 12.) Interior Air Film 0.68 13.) Insulation IQ.00 y 11 14.) 2" Fir Rim Joist 1.88 160 Masonite Siding .67 17.) Exterior Air Film .17 . n d44 "Un = 1/R= <2~LQ TOTAL (R)= 111 (\tj 0° FOUNDATION R VALU 18.) Interior Air Film 0.68 21 19.) p° 20. ) P061 D IAJ60L 5-UCJ n 8 21.) 12" Concrete Block 1.28 A 22.) 17 23.) Exterior Air Film .17 A b (g° nUu = 1/R= TOTAL (R)= 713 t PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA097180 Date Issued: 11/26/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 584 Autumn Oaks Ct Lot: 2 Block: 3 Addition: Country Hollow PID:10-18275-020-03 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 848.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing John P Gritz 3670 Dodd Rd., =100 584 Autumn Oaks Ct Eagan NIN 55123 Eagan MN 55123 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675=5694 Uae BLUE or BLACK in Penult #: Permit Fee: (c 0 Date Received: (' (5 - 13 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION ss -f,-3 Site Address: <611 A-- ` a - "LP) Tenant Suite 6: RESIDENT I OWNER CONTRACTOR Name: `v rl q. , d -eig y-; - - '1 Address / City / Zip: t. 4 ,) d Nance: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50Th ST EAST Phone: 19s1 `5j ( t 63 . City: INVER GROVE HGTS State:' MN Zip: 55077.Phone: ' 651 ::451-2241 Contact . TYPE OF WORK PERMIT TYPE Email: • Newreplacement Description of (Work•, RESIDENTIAL Water Heater ' Lawn Irrigation (� RPZ / _ PVB) _ Septic System • New . _ Abandonment Repair _ Rebuild _ Modify Space ._ Work In.R.O.W. dater Softener Add Plumbing Fixtures (_ Main / _ LoWer Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener. or Water Heater mg Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (incitides $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (Includes $5.00 State.Surcharge) "Water Tumaround (add 1166.00 if a 5/8" meter is required) 1105.00 Septic System Zlgw (510.00 per as built) (indudes County fee and 15.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes 15.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali Gopher State Onp Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.. www.aooherstateonecatl.org I hereby acknowledge that this inf4rmatlon 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 in application for permit; and work Is not to start a permit that the work will be in accordance wi approved Ian, in the case of work which requires a review and a p • plana. /�' e . / I �. ,'L(i x t1tP- /j Plfd • Applicant's Printed Name Applicant's.,Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130598 Date Issued:05/04/2015 Permit Category:ePermit Site Address: 584 Autumn Oaks Ct Lot:2 Block: 3 Addition: Country Hollow PID:10-18275-03-020 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John P Gritz 584 Autumn Oaks Ct Eagan MN 55123 (651) 681-9663 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA135994 Date Issued:04/18/2016 Permit Category:ePermit Site Address: 584 Autumn Oaks Ct Lot:2 Block: 3 Addition: Country Hollow PID:10-18275-03-020 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John P Gritz 584 Autumn Oaks Ct Eagan MN 55123 (651) 681-9663 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141805 Date Issued:03/31/2017 Permit Category:ePermit Site Address: 584 Autumn Oaks Ct Lot:2 Block: 3 Addition: Country Hollow PID:10-18275-03-020 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John Tstes P Gritz 584 Autumn Oaks Ct Eagan MN 55123 (651) 681-9663 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature