4292 Beaver Dam RdRESIDENTIAL BUII..DING
Permit Application
City Of Eagan
3830 Pilflt Knvb Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??r 2?'- ?"
New Construction Requkements RemodeURepair Reauirements Office Use Onlv
3 registered site surveys showing sq, ft of Eot, sq, ft. of house; and a8 roofed areas 2 copies of plan _ CeR of 5urvey Recd
{209+o maximum lat coverage alloowed} 1 set of Eneigy Calcuhations Por healei additions Tree Pres Pbn Recd
2 copies of plan shcywing beam & window sizes; poured found design, etc. 1 site survey tor additions 8 dedcs Tree Pres Not Reqd
1 set of Energy Calculatians AddjUan - indkate if on-site sepbc system On-site Septic System
_
3 copies of Tree Preservadon Plan iF lot plaftteed after 711l93
Rim Joist Detail Op6ons seledion sheet (btdgs widh 3 or less uni45
Da#e? / ?71 Const ction Cost
Site Address -???.2. A6&?2'i1? UnitlSte #
Descriptioa of Work
Metlti-Family Bldg ? Y? Fireplace(s) ? 0 _ 1 _ 2
Property Owner Telephone #
Contrac#or gf4y/
o
Address ?,?j, 5-0 ?,??'??7?? ?- City 4/4&~
State /Alv Zip Telephone # ? 2 2 Z 7
CAMPLETE THIS AREA ONLY !F CONSTRUCTING A NEW BUILDIMG
- Mix?nesota Rules 7670 Categorv 1 Minrtesota Rules 7672
Energy Code Category . Residential VenBlaGon Cetegory 1 Worksheel • New Energy Code Woricsheet
(d submiasion type} Su6mitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone #(
Mechanical Contractor iTeiephone # (
Sewer/Water Contractor ? Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is comple#e 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 nvt a pemiit, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with ths approved plan i.n the case of work which xequires a review and
approval of plans.
r L.
A?J4 _-Wz,?A ?hll?
Applicant`s Printed Name p i t's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex Cl 20 Pool ? 30 Accessory Bldg
? 02 5F Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) 0 31 Exf. Alt - Multi
? 03 01 of _ plex C] 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) O 36 Muiti Misc.
Q 05 03-plex ? 'S 1 10-plex ? 19 Lower Level 0 24 Storm Darnage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New 0 35 Int Improvement O 3$ flemolish (InEsriar) C] 44 Sicling
0 32 Additian ? 36 Move Bldg. ? 42 Demolish (Founda6on) 0 45 Fire Repair
CJ 33 Alteratian ? 37 DemoEish (81dg)* ?. 43 Reroof CJ 46 U'Vindows/Daors
? 34 Replacement "DemolitFon (Entire 81dg) - Give PCA handout io applicarrt
Valuation Qccupancy MCIES Systern
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. af Bldgs Length Fire Spfinklered
Type of Const Width
REQUTRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.4.
_ Footings (deck) , FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundatioa HVAC
Drain Tile OtiZer
Roaf _ Ice & W atex _ F inal _ Pool _ Ftgs , Air/Gas Tests _ Final
_ Framing ? Siding Siucco Stone
_ Fireplace _ R.I. - Air Test _ Fiaal ? Windaws (new/replaceraent)
_ Fnsulation _ Retaining Wall
---- - --- - ----- Apprvved By
- - -- - ----- - --- - - - ------ - ----
- , 8uilding inspector
------ - - ---- - -- - ------------
Base Fee -
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatmen# Piant
License Search
Copies
Other
Total
This request void
(/? -)(t f?Z_ ?(-?/g LK
78 months from Lt ? (
iA 50 0,90 L? k (5 2 5u6p- CC.,• cst 3_? .5-0
Request Date Fire No. Rough-i er.tion
Required?
eady Now OWill Notifv Inspec-
- 1 -a Yes ?No tor 0
he??7eady
V Licensed Electricai Contractor I hereby request inspection of above
? Owner electrical work installed at: ?
Street Address, 8ox or Route No. C it
G? ! !•? ?//1?l ?? "9 ??
ection o. Township Name or No. Range No. County 1 -4
Occupant (PRINT)
/ '
r?/1 Phone No.
k ?. C7
/ *26 7 / •
Power Supplier Address
Eiectrtical CoMraclor ICompany Namel
?
-?
1 Contractor 's License No.
/
C7 6
G ? 1 Q / .2y -
Mailing Address IContractor or Owner Making Instailation)
aof'
Autho 'zed gnature ( ntractor/Owner Making Installation) Phone Number
r ? zs-`7C- ..- 0 ?
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILt NOT
Griggs-MidwaV Blde• - Room N.191 BE ACCEPTED 8Y THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
Phn.., 16121 297-2117 ENCLOSED.
REQUEST FOR ELECTRICAL INSPEC7IUtV es-ouvM:1,14
4 See instructions for completing this fnrm on back ot yellow copy. ZA
'"X'" Below Work Covered by,.This Request l
- -
AAd ? .....
Rep. :.. ?
Type of Building
Appliances Wired
Equiament Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatqi
Commercial 81dg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm OthPr peci y Other lSuecifyl
t er Spocify Other Other
Cmmniite lnsner.tinn Fne Relnw
N r Fee rServiceEntranceSize # Fee Feeders/Subfeeders # Foe Circuits
U to 200 Am s ?p 0 to 30 Am s to 30 Amips
Above 200 Am ps 31 to 100 Amps " 0 31 to 100 A s
Swimmin Pool Above 100_Am s Above 100_Amps
TransformerS frrigation Boorrts Partial '0ther Fee
Signs Special Inspection
5 3`
Remarks
_ .u
= m
.•
Rough-in D?yate irical
Inspector, herehy
? ce tify that the above
Final r D8Se ? i pection has heen
de.
fhis requeat void 18 months from •
ciTY oF EACaN ? WATER SERVICE PERMIT `
3830 Pilot Kney Road
P. O. Box 241199 PERMIT NO.:
Eagan; MI1fi $5127' DATE: ?
Zoning: ? No. of Units:
Owner: i'4Exlyit OIlit
Address: a
Site Address: 4292- BlBVi! am . ad ut1C . Z a
peine Plbg
Plumber ;i
.
Meter No.: Connection Chorge: U. p ?
Sixe: Account Deposit: 15.00 pd ,
Recder No.: Permit Fee: 10. 00 pd
I ogres Io cuanoly wtib the Ciryr of Eagan Surcharge:
50
'
p
Ordlnenom
Mlsc. Chorges: 63. 00 p we ar
Totol:
BY Dnte Puid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot I?nob Road 6704
P. O,.Box 21799, PERMIT NO.: t
Eagan, MN 55121 DATE: _^
Zoning: Ri No. of Units: 1
Owner, McKlqn Conat .
Address:
Site Address: 292 Beavar Dam Road L21 B2 SunCl3ff lst
Plumber Q n8 P g
5-25-84 3397 LUO.00 P
1 egroe M eemplr whh Nhe Cdhr of Eagon Conneccion Chorpe: 425.44 pd
Ordinaeees. Account Deposit: ' p
Pemnit Fee: LU.Lui pa
Surchorge:
BY Misc. C]wrges:
Dote of Insp.: Total:
Insp.: Dote Paid:
..,_.-,.-,. ._._•c[..rrs^??rv.???.?x,P'c'?aR;+,..??7?_?"";?,-rWjNr,t-u+*at's•s.?---f.??_
CITY t7F EAGAN ??
3838 Pilat Knab Road, P.O. Box 21-194, Peq?n, M?16512A ?
wHoNE: 45e-8,oW, C.
? ? "
BUfLDING PERMIT ?? at?ipr
To bo ww fer SF DWG/GAR Est. value $60,000 DorP MAY 25 ? q 89
Site Ad r 4 2 9 2 BEAVER DAM RD : Er? . R3
?
?? cupor?cy_.
l,ot 2 SUNCLIFF 1ST
Block - ?ec Sub.
?
Alter ?
Zonirp
Parcel No. 10-729
5-210-02 R
pol Fi
Z
e
r ? ro
one
" v
,Enlonpe
' ? Type of Const.
oc Name CRAIG SCHUCHARD
?
Move
?
# Stories
Z
3
Address ,
'Pemolish
?
Length 50
t? City Phone Ittode
? De th
F
:Ig S
q.
t.
p
' Approrals F"s
6 ame ' w 7340 ? A?? _
4- Cfty Phone
Name - - --
? Address
City Phone
,?GSSessment
Woter & Sew.
Police
Firo
Enp.
4Pionner
? Council
Pertnit .OO ?
Surctmrge 30.00
Plon check 156.50.
'
SAC 525.00
Water Conn.
.
470,46
woter Meter 63 . 00 -:
`
Rood Unit 260.00
( hereby acknowledge that I hove reod this oppl;cation and stote thqt ,'Bld9. Q{{.
tF?e iniormotion is correct ond agtee to camply with oti upplicobk ??? T?
State of AAinnasota Statutes ond City of Ecgon Ordino??ces. ;. •:
Sipnoture of Permittee ,
MCKI,YN GONST ?
A Building Permit is issued to: on #he axprasi eondit?n 00f f
OII wDrk "11 be donle in OCCOrd wit II opplio0bl Of irulesoto Stotuted ond ?' fy Of Eop9n .nFdinOnCel.
Buildinp Offieicl
. . -- . .._.... _ . .. .. ia.:.:.;,r_:3?ir
Pwm'rt Na Prrn?it FbHws 11Ai?e; Pa?mit 1?a. Holdsr
FH.VJLC. wn,wat ?(p 0 r %we
tl c/ )IA„ /. _ 7 . !!
1rzbc&W iq 5o a 9[1 f're be, I'1t 1g Y 137. 50 I 1
inonam oM inw. o?.
;
? i
. ? 1
?
lnrulufon
Fi?l ?
,
Rim1 M1fAC
Final
.?, ...arr?q.
? ?
? ?
OI'. QI?. .
5f? ?
?taceipt
MECH??NICAL PERMIT Psrmit Na
_ S-? y cinr oF EaonN r
7 Fee
Fili in numbered spacas S/C ' •
TypevrPrintlegibty T
z7j 7•?SV
t
7 S gy .
o
19S° • o0
1. Date
2. Installation Cost
v p°"'''''
3. Job Address ?''Z9 Z?Qu? Lot Blk.
? Trac
4. Owner 'M C?C ?y? C o?v5 / ?
5. Contractor H°lll S Neu7-,,v9 Phone
6. Address 72 y y 131Q 6d t Il Y?C/P $? .
7. City 1q I c H Fi t<<l State n"" Zip SS f 2 3
8. Building Type: Residentiat 16 Commercial ? Institutional 0
9. Work Description: New El Add ? AI#er ? Repair 0
10. Describe Ne,rrNy. FuelType a
11. No. Equ.inment 8TU - M. Ea. Mo. Eauioment CFM
? Forced Air
Mf9. L. lN^ro;c• Eiir Handling:
--
Boilers pAech. Exhaust
Mfig.
Unit Fleater
' Mfg- Other
Atr Gmd. ,. '
F-
Wo.
j PiRing Qutlets
P ?7 . h 'Y
? t'._. i? ...?".''... . , . . - _. - ? - ."..r.' ...... . . . ......b'*i?i* ._? ,....??. "_
r ,a:stc:., m . . ;:.., .. .,? ,. .._ .._ . , . .?..,. .
?, .
c aIPT
. ? CtTY O? ? ?GAN
. , . P. 0. 19ox 21-199
EAGAN, MINNESOTA 55121
'q TE
PRGM ? ' ? ? 18 ?'
R«MVgo RC. 1?A n) (? o N's 1
?
AMOUN7 Is 1 Q` 7 16?
v
/6_7Zl 7 `5 OZ & DOLLARS
XC-H +oe
? CASHECK
FOR ?d ya 6Wee a v?
FUNO COD6 AMOUNT
yVS
yb
? S- -
'r7d. 0'-0
Tha ou2''?
i
-:01"71 BY
??? n tY t1i . .
White-Payers Copy
Yellow-Postin9 CoPY
Pink-File CoPY
Receip# q 6 PLUMBIIIIG PERMIT. • Permit No.
CITY OF EAGAN
oqF.e
fiJJ in numbered spaces S/C ?
Type or Print leyi6/y Tot,
1. Date 2. Installation Cost i
PJi? YJI,?
3. Job Address ?
?9Z Lot?Bik. Tract?
r
Y/
4. Owner ' , l ?' • . I +, `<'.. t i _
5. Contractor, f Phone y 3
6. Address C?
7. City State ` Zip
8. Building Type: Rasidential 4D-' Commercial ? institutiona! 0
9, Work Description: New -0 Add 0 Alter C] Repair ?
10. Describe
11.
Na.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
-?- lavatory Softner
? Shower Well
? Kitchen Sink
Urinal76idet Qther
? laundry Tray
? Floor Drains
Qrinking Ftn.
Slap Sink
Gas Fiping C3utlets
E
12. 1 hereby oartiiy that tiie above iflfwrttaticrn is true and correct, and I agree to
c€nmppiy nvttll !a r?e ? ar? ? e?d?s g!a+r ing tlt#s tYpe of nr4rk.
?+gn?t s for
Plougf+ Fina1
' l'nspeftns: Qate tnsp. ______` Drate _^?____w_ lmp.
Thi9 is your Pwmi# when ran+bered and apprua?ed.
Approved
. Ci'E'if OF SAGM 49"9ft
Cff-Y aF EaGAN
3830 Pilot Knab Road
Eagan, Minnesota &5123
' (612) 681-4675
SITE ADDRESS: APPLICANT:
4x' 9;' f.i F f1 V kR DA!M ft ii F; A; K !.i p N A4
41,56...0059
PERMIT SUBTYPE: TYPE QF WORK: !c;
?) F. c:K ???? ,
,
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 5515
P. O. Box 211J9 PERARIT NO.: 6- -8
Ea?; MN ??5121 DATE:
Zonip9: RZ - No. of Units:
Owner_ McKlpn Conat
Addresa:
t Aidrcss: 42
„b,r Peine
?
r No : ` ° ?
ze
Reader No
1 aYre? h eaa?p?`I?r`"" !?i
Ordineaoa.
AWf11 RY„?? ?y? V!1O?: ...... Y/Y .
'7Fowunt Deposir: 15.00 pd
tymvt Fee: 10.00 pd
Surcharse:
-- .50 pd
-
-
Misc. Charges: KT-
uu p me er
Total:
Date Paid:
Date f nsp.: -.;a Inap.;
CITY OF EAGAN Remarks
v,ddition ?CLIpF iST Loc 21 Blk Z Parcel?? ?.
owner street 4292 $$AYER' DAM ROllti state ?? MN 5.511.22
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 15 1970 690.05 69.01 10
STREET RESTOR. $ 1981 2030.4 203.04 10 1218.24 C008765 5-30-84
GRADI.NG
SAN SEW TRUNK 99 1970 6.54 3.06 25 30.64 C008765 5-30-84
SEWER LATERAL 1974 44.21 2.95 15 11.87a C008765 5-30-84
• 1 q 2651.86 C008765 5-30-84
WATERMAIN
M' WATER LATERAL 1982 10
WATER AREA 2,0 18.79 C008765 5-30-84
STORM SEW TRK 105 1971 322.29 16.11 Z 96.75 C008765 5-30-84
STORM 5EW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD NIT 260.00 #43597 5-25-84
WATER CONN. 470.00
BUILDING PER.
sac 525.00
PARK
CORREGTlON NOTICE
_ A
Add ress
Qwner/A
Owneri Agent Add ress
Qrdinance Nos. and Corrections - Gorrect By
aA-rE: -?,??-- _
Site Name 44iM4 l?
Tefephone
For reinspection
Eagan Oept. af Inspeotion In
3W95 Pilat Kno6 Rd.
Eagan, flrlinnesota 55122
454-81 d0 D{
?
CITY OF tAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
0/?C&_,
B urC orni0
020869
05/06/93
SITE ADDRESS:
4292 BEAVER DAM RD
LOT: 21 BLOCK: 2
SUN GLIF'F iST
P.I.N.: 10-72975-210--02
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
Building Length
Building Width
REMARKS:
20
14
FEE SUMMARY
Base Fee $25.00
Surcharge $.50
Total Fes $25.50
CONTRACTOR:
I
OWNER: - Applicsnt --
RASK DONALD
4292 BEAVfR DRM RD
EAGAN MN
(612)456-0059
I hereby acknowledge that I have read this appl3.aation and state that the
informatian is correct and agree to comply with all applicable State nf Mn.
5tatutes and City of Eagan Ordinanass.
LSIGNATURE
4-
ISSUED B ' SIG E
F" CITY OF EAGAtd
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: L 0 T:
4292 BEAVER GIAM
SUN CLIFF 1ST
PERMIT SUBTYPE:
DECK
1-
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
21 BLOCK:
RD
2 APPLICANT:
TYPE OF WORK:
RASK
(612) 456-6059
DQNALQ
NEW
BUILDTNG
020869
05Jesfss
?
REACTIVATE _
PERMIT #
9
RECEIVED CITY OF EAGAN
, 993 BUILDING PERMIT
MAY 0 4 1993 681-4675
---------------
APPLICATION
C;? s s l
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1} when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date a- / ? / Val uation of work ???? 0•d ?
Si e Address: 1,3e_aver3a"n )?oad-
STREET SUITE II
T i \I??.- 1
I ? ?r?ant r.a????. ? /?.o?????crcia on lY)
IAT BLOCK ? SUBD. `Sc??? C?' f- ??i?s? P.I.D. 0 .
Descri tion of work: beck-
The applicant is: JO Owner O Contractor ? Other (oescr;be)
Name ROL5 DonalJ,_ Phone -4S4, -oo ? y
Property LAST FIRST
Qwner Address ??-
STREET STE #
Ci ty ? cX°1G.Y1 State I'n)j Zi p
Company '-' Phone
Contractor Address QS 0.?OoUL License # Exp.
City State Zip
Company Phone
Architect/
Name Regi strati on #
Engineer
Address
City State ZiP
Sewer & water licensed plumber N/!t . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the informatian is
f
correct and agree to comply with all applicable State of Minnesota Statutes and City o
Eagan Ordinances.
4?L
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
El 02 SF Dwg. ? 07 4-Plex
? 03 SF Addition ? 08 8-Plex
? 04 SF Porch ? 09 12-Plex
0 05 SF Misc. ? 10 Multi. Add'1.
WORK TYPE
? 31 New ? 33 Alterations
32 Addition ? 34 Repair
GENERAL INFORMATION
Cons+i.. (i'1CiLuvl)
(Allowable)
UBC Occupancy ?
toning
# of Stories
Length ?
Depth
APPROVALS
? 11 Apt./Lodging
[3 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
)1z 15 Deck
0 35 Tenant Finish
0 36 Move
0 16 Basement Fi ni sh
O 17 Swim Pool
? 18 Comn./Ind.
D 19 Comm.JInd. Misc.
13 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Racpm?nt sq, ft. MWCC System
lst F1. sq. ft. City Water `
2nd F1. sq. ft. PR11 Required
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code e?
On-site sewage SAC Cod?
/
G?mS'?'f '"•
-
. „ e
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
O Site J§ Footing 0 Framing
? Wallboard R Final ? Draintile
? Insulation
? Fireplace
Permi t Fee ? vC) vatuat;a,: g
Surcharge
Plan Review '
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tota1:
Assessments
SAC %
SAC Units
f
? . . ?
FOR:
McKLYN CONSTRUCTION INC.
C. R. WtNDEN 8 ASSOCtATES, INC.
lAND SURVEYORS ttl 645-3646
1381 EUSTIS ST, sT. PAUI, MINN. 56100
Scale: I" = 30'
O Denotes Iron
, Monument
P %
N
? ??•
-?C?p
`? J / (re , g ??, ? ?f
e?°q
,
ry ? } ?
?OX
? , ? ? f 1 L
.? ? .
6o
NOTE :
o Denotes Wooden Stake
Proposed Garage Floor E1. 995.63 (895.3) Denotes Proposed
Finished Ground E1.
-rt---- Denotes Direction
Of, Surface Drainage
Vertical Datum - N.G.V.D. 1929 •A\
/qV
L
Lot 21, Block 2, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
wE NEREtr CERtiFr 1NAt tHIS IS A TRVE ANb CONRECt tE?RESENTATION OF A SIfRvE1r OF tNE
SOUNpAR1ES pF TNE tANO AiOVE DESCRiSEO AN D OF ?11E IOCATiON Of Alt sUIIDINGS, IF ANY,
tNEREON, ANO All VISIIIE ENCROhCHMENtS. If ANY, FItOM OR ON SAID IAND.
, Oe?ed this-ff-"h ddr ?t AAg?( A.D. 1194 C. R. WINDEN i ASSOCtAYES. INC.
l?
?r_ ? 7
=urr„rer, MinMNfe RNiflretion NO '7726
Nmi•
BUILDING PERMtT
N° 9109
Reteipt .# ??s Cf I
To ba ased for SF DWG/GAR Est. Vclue $ 6 0, 0 0 0 po1e
. MAY 2 5 , 1 q 8 4
SiteAddress 4292 BEAVER DAM RD Erett ['x Occupancy R3
Lot Z?- Bloc k 2 seclSub. SUNCLIFF 1ST Alter p Zoning Rl
Parcel No. 10-72975-210-02 Repoir ? Fire Zone N/A
E
l t
T
f C V
n
arge ? .
ype o
ons
a Name CRAIG SCHUCHARD Move ? ,# Stories
3 Address Demolish 0 Length 50
b City Phone Grnde ? Depth 3 6 Ft
S
.
q.
me MCKLYN CONST Approrols Fees
o Name
o? Address 73 0- 130TH ST W
U°r? City APPLE VAL Phone 432-4298
G W Name SAME
FW
?? Address
?,Z., City Phone
I hereby acknowledge that I have reod this application nnd stote that
the intormotion is Correct ond cgree to tomply with all applitable
State of Minnesota Statutes and City of Eagan Ordinances.
Signoture of Pertnittee
/1 Building Pennit is issued to:
all work sholl be done in acca
Building Officiol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
Assessment _
Water & $ew.
Police
Fire
Eny.
Planner
Council
Bldg. Off. _
APC
MCKLYN CONST
of
Permit $ 313.00
Surchorge 3 0• 0 0
Plan check 156 . 50
sAC 525.00
Water Conn. 470_- 00
Water Meter 63. 00
Road Unit 26n-. 00
Totol $1, 817 . 50
on the express condition thar
Statutes ond City of Eagon Ordinances.
6 /q
•' p • ? I d 7 CI'i'X OF EAGAN
. ` `-'IF DW (,/(,v^g, BUTLDTNG PERMIT APPLICATIdN
Incltad.e 2 sets of plans,
1 Gertificate of Survey-&
1 set of energy calmlat;itt?hs.
Tb Be Used For ? (j1?_,,n t_ Valuation Date
site Aadmss 42--1 Z ewap_ oFFzcE UsE oNLY
Lot 2A Block `Z sec./stab. l, Erect 5C
Parce.t #: f c) 7 S- a I o? dlalter ?
Repair
Owner: Enlarge
AddSESS:
City/Zip
Fhone #:
Nbve
Demlish
Coc1e; Grade
Cantract,vr:
Address:
City/Zip Qode: OPt? ?(4t_Le,? sJ'f 2A
Phorie # : 4:2.z "429 a
reh./Eng.: ?
.A Int?..
Address:
Occupancy f?' 3
Zoning
Fire Zone
Zype of Canst. SL.
# Stories
FLront ?p ft.
Depth 3(v tt.
APPROVALS FEES
Assessment5 Permit ?j ) '5, o°
Tqatex/Sewer Surchaxge 30, e?
Police Plan Check f 5tv
Fire SAC
Eng. Water Conn. 470.
Planner Water Metex ?? ,
Cauncil Road Unit 2f00.
Bldg. Off._5'11.4ff ?q
APC
City/Zip Code:
Phone # : ? TC7T'AL ? ?y ? ?
Q a ?C
3 13•00+
:C?OCa
15C?5G?-
5 C J° l7 n t
4 70 ? U C r
6 3 ? 0 0 ;
260? GCi517?5G?
I V 1 -?
V ?
o
?
?
ir
?
C. R. WINDEN b ASSOCIATES, tNC.
tAND SURVEYQRS TA i4s-364t
13e1 fUSTiS ST., 3i. PAUt, MlNN. ssi0i
FOR:
McKLYN CONSTRUCTION INC. AI
IV
Scale: 1" = 30'
4Q O Denotes Zron
1 Monument
Q- /p l ? o9c?
4 ?-
?,, .
? 0?` 02 ? 7? LX
+
?
?°t'?o
? .
iN, h y ?
?4??' ? ? ''s ,?A ?ti'•', ?,?°? ` , / o
S6-o „9 d•? f 1r i?
NOTE : 2??? r\ 1'/ ?Q ?kp
o Denotes Wooden Stake ? .
Proposed Garage Floor El. 995.63 (895.3 ) Denotes Proposed
Finished Ground E1.
-"q- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929 •n?
Lot 21. Block 2, SUN CLIFF FIRST
ADDITION, Dakota County, Minnesota.
WE MEREdY CERTtFY TNAT 1MIS IS A TRUE AND CORRECt #FPRESENTATION OF A SURvEY OF TNE
SpUNDARIES OF THE tAND AlOVE DfSCR{{EO AN O Of THE LOCATION OF All SttilOiNGS, IF ANY
TNEREON, ANO All VtS1StE ENCROACHMENTS. IF ANY, fRO1N OR ON SAID tAND.
Deetd tMis 45r?Lh ior o{ A.D. 1964 C. R• WINDEN 3 ASSOCIAYES. INC.
5ur?wer, Mianowro Rpatrotion Nw372.b
NM1v
- • . ° f
•EXTERZOR ENVELOPE AVERAGE "U" COMPUTATIOI3
OwNER
SITE AbDRESS 4-2ElZ t K.gJr-C-
CONTRACTOR P??LK_Lst'?1 Ca at?STQ?T?o?.l Iu.L.. DATE.S/Z?L/f3?- PHONE 432-?I,Z?i u
.
Deternaine working square footage of each. Z?-(, ,9) z 41
1. Total exposed wall area . . . . . . `2..?? Z. sq. ft. X-l - _ ?
2. Total roof/ceiling area ..... /o(, ?O? sq. ft. X,,,?,OZlc - I p
2-7,17?
A. motaZ wall window area ......................... 1?v1S2..
8. Total door area ................................ d.42 .Ll l
C. Total sliding glass door area .................. '15.9 (o
D. Total fireplace wall area ...................... h1/A
E. Total wall framing area (average 10+k)........... IVCa.`?Ca
F. Total Rim joist area...... ••••--••••••••-• 1-10?6c)
G. Total 1Vet waZl area above floor................. delli° l Total exposed foundation area - S(L" T
H. Total foundation window area .................... hl1.4
1. Tota1 net foundation area above qra8e........... 24
Determine "II" value of each wall segment.
a. 131. ?? g„v,l ?i-
b. 4acit X.,U„ -.11 - Z.B?
c. X "U'l ZI . C1 8?
d. X "U"
e. )l.o1n.9(o ){ 'lU„ F t7Gi = I ?.?a
f. f'x,,op x nv„ _ c74..1 - ? 3 3
g• 1LVA71 x .,U„
h. X "U"
.
i. 2;6-Ma X llUvl
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total a Z?? Z? ?
7f it.em #3 is the same as, or less than item #1, you l:ave met tlie intent of
SBC 6006(c)2.
Total exposed roof/ceiling area = tC-311 IS
J. Tatal skylight area ................................
k. Total roof/ceiling framing area (average 10%)...... I ipi.,P,
1. Total net insulated roof/ceiling aiea .............. 5_1_ 7
Determine "U" value for each roof/ceiling segment.
j • x "v"
x• roL. ? X „U„ ?,a3? _ ?-?
Z, x°v^
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tbtal
If total of #4 is the same as, or Iess than #2, you have met the intent of
SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3-and #4 shall not be greater than the sum of items #I and #2.
1. + 2. _
3. + 4.
t
• pIALL 5ECTIGNS
Nt+?"'. G5!' 15% uf opaque wa21 area for
frame construction
Construction R-Value
1, i r ir fi m 01611
2. V " -4.5
3, I ainches soft wood Lk. 23
4.
5. StnlaG
6. Exterior air film : 0.17
Vr'ALL
FIC,. #'
J • ? '
.
' • r?
? -v
,?.
?
i ?+!f fea?---?--? • •
FIG. #2
51LL jSr:AL;
Pczi.p5aral
F?•?Y '1a1
?o?waTxcrr
?f\7T
. ....
?•---r------
?+-r .. ?
? ?`?•`,'` 'r ? -
.??; ?'?'??. ?p•. . •
?--?---
J` h ? .
:l? . . ? O ..
L? ? ??• '
. .
. ?? • . 'Q •
V • '`?6 '?/IJ C
41 . • :?-. ?
.
ob
__._ic .
?
-.? •
i
?i•
Zbtal Z_ / 0,c; I
)A = _ LA
1. Interior air film 0.68
2 j .? . ?.?
.
3.
4. On, o
5. aA!. _ _ 1.7
6. Exterior air film 0•17
Tota1 Q=
Li =.o4-A
1. Interio air fiim 0.58
2. 5 L`' a?r,3" _ ?G.6o
3. 1.8°.:
Q. v jZ _ lt_S uLd.YTlco A.l _0110? Z-o ?a
5 . C)?? .In7
5. Exteriox air film 0•17
??b
Total L= Z4??b
zA = .04A
1. Interior air film 0.68
2. f"? l-,i lr ?-Z 2,
-,
• 3.
4.
5. 6. Exterior air film 0•17
Total 2 f3, t?
• 1.1 1 Z .3
SLAB ON G?2ADE
r?•
.
r ' '? ` • u. , : ? . ! 11 -- ???
A* - , ? I`{ ??? •_
? • , ,• ?(?
?
FIG. #3
. . ?.,
v,
. e '
? ? ? ? .? • '. .
?? / ? r ? ? ? • :, • . • '.? ? -.
.
? ??(.: == . • .
(!f " ? ? a • • ?? IJ1 =.
.?' ' . • ? - r ? ?
rci - ' • W '
l ? • • , • ` ?? /?/
FIG. #4 J(t ? •• p ?
^ • ,_.,. .
?
NaTE: Indicate type, ".^." value, denth and
rlar_cnent of iii.ulatian.
FRAME [4ALL
? . ??
Construcrion R-Va2ue
l. Xnterior air film 0.68
2.
3, inches soft woo3
4.
5.
6. Exterior air film : 0.17
Tbtal
FIG. #1 TOPVIE[a OF
. FRAl3E I9ALL
l. Interior air film 0.68
2. '
3.
4. 5.
6. Exterior air film 0.17
Total
..._.., .......
Sri1 ?S.=zL:
P?:-?-•?ar al
: ??: .:. XT: C CN
W-' ?.
. f
? ~ • ,?
?? .
1. Interior air film 0.68
2.
4.
5.
6. Exteriar air film 0.17
Tot«1
1. Interior air film 0.68
?4• . 3.
. ' 4.
5. ' G. Exterior air :ilm 0.17
Total
SLAB ON GRADE
. a ' 06'- ' .
?.
U. 43
? - ` ?-
.
. ' U • ? L t?. '
. • • ;
?
't!} ..
?
.?-
. a . ? . • , s.
. ;
? -?Sl? / { 1 =' f ! k , • ' . ` ? ti .
. ? - -? ` .. .
1((.:r, , . • '
/?( ? " ' • •' ?
,,._. ? a • ! 1 t .,..
? • ? '
. ,
!^
,?y
FIG. 7t4 ?- ? • ' • ? /I/
p ? .
?k
.-
/T(
NOTE: Indir.ate tyne, "r" value, der3th ar3d
`%luc('I'If?Tl` Of 111i12Zi]t.lQ:l.
' r • v7ALL SF•.rTIGNS
jic-? 15% of opaque wall arEa for
frame construction
, ,. _.
.1..? 1 '
•' . , i?_ ? ? '?c .
?•
= ' -• ROOI /CEILZNG
Constructio:i (Use for Item L) K-V? Ue
1, Interior air film 0.61
2. s&, , S(o
3. 4-d. a-C?,
4. Exterior air film (still) 0-
Total Z- 4:!?~9 9
31-_Ozz
Vented Heat f Low
up FIG. #5 F2G. #6 -
1 V 1 `J
veated`
f ?? r
? h0y-VEIv'TED
' . Heat
. flow up
xTr,. 87
CLG. FRAMING(Use for Item K)
1. Interior Air film 0.61
2. ? `S i?C? 1,4r? • _? ?o
3. Inches soft wood ?3'?Z; ?•. .? ?
4. Inches insu2 above framing ZL. vp
5. Air Film 0.61
'%#w1 r2= 5? .1 t?
1. i.xl.terior air film 0.61
2. . . .
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film 0.61
2.
3.
9. 0.17
5. OuLsi.de a ix f ilm
Total
Noic: Use a3ditional shects if more sFacc is
neecicd for cietails and calculations.
I Heat f 10f7 up
fl ,I
I
-?_..__....._:_.?..,. .
•.....:......?...?
- ?
2/84
;
CITY OF EAGAN
LQ
? APPLICI?TIOy FOR PERMIT
;
SEWER AND/OR WATER CONNECTION
(PLEASE PRINTJ
1) PROPEFrI'Y -ADDRESS : ? 9.2. 2-0- Du . n cQ. , .
LDGA.L DF.SCRIPTION: 7`^
(Lot,/Bloclc Subciivisxon or Tax Parcel I.D. Nunbez) ,
?
3F EXIS':'27jG STR[K.'1URE, DATE OF ORIGINAL BUILDING PU,%!IT ISSJAdVC..: `
? l k?or. ?'1/`lea: J ?
PRESE^]T .:^`ilNr:/PRbPOSEC tTSi,: L4' R-1 SINGIE FAMII,Y
t] R-2 DtJPI,EX (TWp UNITS) ?
Q R--3 'fCM?7t1,'1;r r^,'?}?'?' a t'!!??r"S' + •+??:
E3 R-4 APAR'IIME.V'I'rGaIZCMiNItA4 ( UNITS)
Q CONMECIAL/'!REVajfCFFIC£
E3 IlNDUS'I'RIAL "
p INSrITUTZE??1AL/C-OlE.'FNK= _
2) APPLICANP PLEASE PRINT)
NA1E :
ADDRESS :
CI1'Y, S£ATE, ZIP : /At "I M"til p'f S .f ' f?? 4t
PHONE:
PtEASE PRIMT
3) PL?UI?'1BEft ?• .? ?
`t n
n4
FOR CIiY USE UtflY . ?
-?
IAUDRFSS: 461w
A&• y PlU RS LlCENSE:
, Ac t i va
CITY, S'TATE, ZIP: .? r m/,, 5 S-S~C
p Expired ,
,
C>
pHONE= PLUMBER LICENSE # ? p t Re crd
taf
nr ia
PlF SE p.^.I
4 OCC.'UE'ANT/Cx?1[?IER (
C-- ?-- n• --- ?`' _ _ ____
!
ADDRF:SS : 3 D 3»z;K r,j
CITY, STATE, ZZP: =s /-2
PHONTE :
5) INDZCATE WHICH PERlMIT IS BEIlWs RDQUE.S`TED:
? E]"'CY3NWCI'ION ZO CITY SEWER °
'DCONIVDC'TICJN TO CITY WATER
? Cyl'fTR (PLEA.SE DESCRIBE)
6)
? 11Iys'1,SE fIOID AF'PRCNII) PERMfiT FOR PIt:..h-UP IIY CaNE 4F ABL%T.
, ? PIT,ISr NA.IL APPROWZ PER'KI.T 'ro 1. 2. 3. 4?AI3011E ,
- (Circle one)
7) SI?,?';L'RE: ?? __?Z??? I3ATE:
?Ali
? • - ?
? !
?
?? o
2/84
?V 1
r 1=
,?i¢
r CITY OF EAGAN
i' APPLICATION FOR PER1tiiIT
- SESIER AND/OR WATER CONNECTION
(PLEASE PRINT)
j 1) PF.OPgt'I'Y ADDRESS :
LWI.`L DFSCRZP'TICN:
I, (Lot/Block/Subdivisicn or Tax Parcel I.D. Vt3Tber)
, IF EJ.ISE=2 :G STFL'CTt,Tc;, G=' ORIG-LL:AI. : uIL^LI-Z PE:_,IIT I=:?.?tiC^:
-
? -----_-• , .
-=
0 R-2 GTJPI?? (11V-0 UNI 1 J)
[3 R-3 TGti11HOt?SE ('I'F?tF" + UNITS) ( UNITS)
!7 ? 4 ApAR?I:??;m/CC??•L.TIL: i ( L'?;ITS i
p CJrl..'°,CIAL/RETAII,/OFFICE
p L-Mcs?.
Q L1ISTITL'TyO.''?,L/GG?r?'-u?? 1?,"I'
2) APDLIC:= (PLEASE PRI4i)
NA?tiE:
ADDRESS :
Cl'1'Y, STA1'F.7, ZIP: ..
PHONTE:
3) P=4BER (PLtaSE PRINi) FOR CI7Y uSE O4LY
NAME-
PLUMBERS LILE4SE:
ADDRESS:
; ?
Active
' CITY, STATE, ZIP: Q Expired
ai?. Not or Recard
PHOiV?E: PLUMBER LICENSE #
arr ini[ia
4) O=??/a'ZF-R NAI?'IE: (PLtASE PRINT)
ADDRESS: CITY, STATE, ZIP:
PHO.iE:
5) INDIGA'IE WHICIi PEPXIT IS BEINC, RDQUESTID:
? CC ''1ECTION TO CITY Sa7ER
? CC::,JECTICN TO CIT`,' tidATER
? C7= (PLEASE DFSC2IBE)
6) C:.r.:
? P=E FiOID APPROVEV PERMIT FOR PICR-UP BY O1?TE OF r'1BWE
i
?°LEa.SE ?PZL APPRW^D PFR:-lIT 'In 1, 2, 3, 4 AWVE ` (Circle one)
, .
7) SICMTUIRE: DATE:
0! R ' ° r
?•+? a? w s s:ss:a ca a r.it re ?RrAmkvn4K. s
F O R C I T Y U S E O N L Y ..
PER`4IT °- ISSUED
FEES . $_ SE:iF.^ cURrujr; ;
$ ?d •?d WATER PERP'lIT (INCLUDE SURCHARGE )
$_ WATER METER/COPPERHORN/OUTSI-nE REaDER
$ WATER TAP ( I:VCLQDE CORPORATION STCP )
$ SE:'lER T::P ,
$ ACCOUNT DEPOSIT - SE:,:ER
$ ACCOUNT DEPOSI'I' - WAT°R
$ wac
$ O-Z:i sac
$ TRUJIK WATER ASSESS:•Ir.NT
$ TRliN:; SE,vER ASSESSti1ENT
$ LATEP.AL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRL1:v'n WATER
$ ' OTHER
$ TOTAL
$ AMOU:JT PAID/RECEIPT $ 1L ? ? ? 9
DOES UTILITY CON;VECTION REQUIRE EXCAVATION IN PUBI,ZC RIGiiT OF WAY?
F-7 YES IF YES, THE1V A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
l+' ? NO ENGINEERING DIVISZON. LIST AS A CONDI-
TZON.
SUBJECT TO TFiE FOLLOTJING CONDITIONS:
APPROVED BY:
TITLE:
?_ .
. . DATE :
34 sM wsN r
?-!4 olfg !li pF40 ?! ?J, ??? ?l# ?E ? irt tl? ?F.+? f?4? ?4 ilG M m
AMQU.NT
. & DOLLAA$ . '.
100
[3 CASM -ff CK •
f -
rae
?
Y"u???
FUNO /J w.?.. .
? vg?q
3 /o 00 )
Thank You C59)
White--PeYers CopY
Yetlow-•-Pasten$ Copy
Pink-File CopY
'70 ?01 S°
2005 RESIDENTIAL 1VIECFIANICAL PERMIT APPLICATIU1Y
City Of F..agan 3830 I'ilot Knob Road, Eagan MPT 55122
Telephone # 651-675-5675
Please complete for: single family dwellings 8c townhomesJcondos when permits are required for each unit
Date 0 9 / I.T
Si
dd
v
u
t V L t^
3e U
it #
te A
ress
c
o O
4
1 I ( h rn n
Property Uwner 6J, t? G 5? Telephone #( ll5l )4?'r o"d 05 9
Contractor
Street Address W. City I'}'1 t7 l.fl1
?
State m k) Zip a??D1P Telephone# (6F51 Q_1?
Bond #• ' Eapires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to eaisting dwelling unit $ 30.00
? fumace _Additional Replacement
air exchanger
air conditioner _New _Replacement
other
Stste Surcharge $ •50
Total ' v
I hereby apply for a Residernial Mechanical Permi# and acknowledge that the information is complets and accurate; that dte work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; dat I ucy?decatand this is aot a
permit, but only an application for a permit, and'work is not to start without a perrnit; that the wark will be in accordance rvith the
approved plan in the case of work which requires a review and approva n
?Otr,(V v r5vv,. r?Ae ' Q
Applic t's Printed Name Appli
SEP 19 2005 -
. . . . . -, ? , ' - . - , ??Yi. . .. . . ? . , . .
YaK
Site St1'CC# Addi'uS 4 . - :.U14o
Teosut Name (iF apPkabUe) ?. PreVU0 fiim* Irilot.'
Property Oweer
Contnctor
' . .. . . . . :f
Stseet Addross
'' ?, •?
.. R
s? r .. y.
9tAte , ZIP
Bond #• Eipbvg , • " ,
The AppNcant is Owner iCtftacw
Wark Type
New Construction UWadoMmioN Tank ?,jJnsftll _..;?ReMt'"
_ Interior imprevement ?. ` ,.
Naturs of Wotk:
"When lnsftNfiWhwnovfitg ufl??d ? ?'*W?? AV
Permit Fees: S70.9U i7ndergaaand tok
asoA ? (inCmaN Slbft sWdMro
<..
or
Cornract Value $ l%
,
? If ek fee is Sl,MW ot leas, add t'sA
` If pmit fee ie mrer S1,000, add $:Sd ft . _ ?
every $1,000 it f@e Toui F"
I herebY appl3' for a Commercial - Mecho", F? aet MmowWp iiiit tlro ink4dodon 3s cd*olae, aand aemaw, oai 6e wwk
wiU be in conformar?ce wich ttie ordinancd: Nd;tan ±oraw Ckjr vf ?q;?'Wft,? MDAWCi.Co&$:**j V -,*cS i1;
?95 DO
aaas RESlDENTIAL PLUMBING PERnnIT ARPLIcArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA.GAN MN 55122
651-675-5675
Please complete for modiflca#ions to existing residential dweliings.
, ,.
I6; ?
`7
Date
Site Street Address 1/ r ? • Unit #
Properly Owner Telephone # { ?f') q`?Jio ?Scl
CHAMPION WAl'ER SERVtCES
Contractor 212 N• R?ver REdge Ctr Teiephone #{p5)
Address e' 56337 C?? ?? ZJP
The Applicant is: _ Owner ? Contractor _Other
Septic System ? New _ Refurbished Submit 2 sets of plans and MPC license tncludes County fee
$ 900.00
J
Per as-built - $ 10.00
I
Aiterations to existing dwe[ling $ 50.00
_ Add plumbing' fixtures. This fee inciudes instaila6 of a water softener and/or water
heater at the same time. if you ar+e installing? o softener aad/or water
heater, da not complete this section; move t /$e d check the
appliance(s) you are installing. ?5
_Septic Systern Abandonment
Water Tumaround (add $'I30.00 if a 5/8" meter is
Other:
Water Softener x Water Heater $ 15.00
new _?) replacement
Lawn Irrigation RP2 _PVB _new ,_repair _rebuiid $ 30.00
State Surcharge $ •50
Total . $
i hereby apply for a Residential Plumbing Permit and aclcnowledge that the informafion is complete and accurate; that the
work will be in conformance with the ordinances and codes of tfie City of Eagan and the ptumbing codes; that i
undersiand 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 pp reviewed and approved.
Applicant's Printed Name ' ApplicanYs Signature
?qr q
5eal(s
Pwmit#:b
~ Permit Fee:
oi Ea~ aIl
!
3830 Pilot Knob Road Date Received: J
Eagan MN 55122
t
Phone: (651) 675-5675 t Staff:
Fax: (651) 675-504 !
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Dater Site Address•`~+~-= ~2D..
t _
sui>he#:
Tenant:
Phone: - St° UC`
RESIDENT I OWNER Name: L `ate' i
Address / City / ZIP:
Applicant is. owner Contractor
TYPEOF WORK Description of work.
-TEA
construction Cost. MultWamily BwVIng: (Yes No
Li erlse z2
CONTRACTOR Name:
k)
Address: '
11 _ State: mw--Zip: Zip: S
City:
Phone: rn 6 I E4 ?)9 -`"I 220 _ Contact Person: f~ 1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota _Rules 7670 Cateoory 1 Minnesota Rules 7672
Energy Code Residential Veraifatiat,CaDegory 1 Worksheet • New Energy Cade Worksheet
: Mini
dory Submitted ('t submission type) • E" Envelope CeIVA00rd Submitted
In the Lest 12 months, has the City of Eagan issued a permit for a Similar Plan based on a master Pte?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone'
Mechanical Contractor: Phone:
sewer & water contractor. Phone:
i hereby acknowWe that this information is complete and asxauale: that the work VA be in c onfornance with the ordinances and cases of the city in
Eagan; that I ur r d this is not a permit, but only an application for a pemmt, and work is not WSW without a permit; that the we be in
accordance with the approved plan in the cue of worts which requires a review and approval Of plans.
Applicant's Printed Name Applicant's Signature Page 1 of 3
6513512096
04/21/.2009 09:12 6513512096 PAGE 01/01
WEATHERGUARD 74-,ssi~
i - i CCMPANY INC.
Roofing • Siding • Gutters + Windows
5641 Memorial Ave. No., • Stillwater, RAN 55082 • Phone: 651-439-4320 • Fax: 651-351-2096
April 21, 2009
Of-
City of Eagan
Building Department
3830 Pilot Knob Rd.
Eagan, MN 55122
To Whom It May Concern,
I am canceling permit 9EA088503 due to the homeowner's request for the project
to be cancelled. Weatherguard has been informed the City of Eagan does not issue
permit reimbursements. Weatherguard is asking the City of Eagan not to allow any type
of work to be completed using the above permit number.
If you have any questions or need clarification regarding this request, please feel
free to contact me at (651) 439-4320.
Best Re ards,
Karen DeMarrias
Weatherguard construction
5641 Memorial Ave. N.
Stillwater, MN 55082
BB ~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149738
Date Issued:06/07/2018
Permit Category:ePermit
Site Address: 4292 Beaver Dam Rd
Lot:21 Block: 2 Addition: Sun Cliff 1st
PID:10-72975-02-210
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Robert L Hannah
4292 Beaver Dam Rd
Eagan MN 55122
(612) 207-4041
Nmc Exteriors & Remodeling
14276 23rd Ave N
Plymouth MN 55447
(763) 684-1662
Applicant/Permitee: Signature Issued By: Signature