4355 Bent Tree Lane6 5 9 ? ?
?`?s ?
L
?
??
Reques Date Fire No. Rough•in lnspection
t
? -' ?? Required?
Y
N
;F ? Ready Now )Q Will Nofify Inspector
When Feady?
i,
es G
o
I:Klicensed contractor p owner hereby request inspection of above electrical work at;
Job Address (Street. Bo oute No.?
,
Section No. ownship Name or No. Range No. Co"o
Occupant(PRINT) - - Phone No.
Power S lier
_. Address
/
?'47? •:??%7#'Yl/
46
Electr,Contrector, (Company Name) Contractor's License No.
X3 C.'
Mading Address (Contractor or Owner Making Install 1ion) .?
l, . , I•.
Authorize ignature rContractonOwner aking Installation) - Phone Number
' '
?
\?-_ . ?... 4.' `: ?.._ L
?+_.? ? 1C:
/ 4L,`1.?g - --
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL N07
Griggs-Midway Bldg. - Room S-173 8E ACCEPTED BY THE STATE 60ARD
1821 University Ave., St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE 1S Phone(6t2)642A800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECT(ON ea•oooo,-oa
? ? See insiructions for completing this form on back of yellow copy. ?Z( S
"X" Below Work Covered by This Requesi
{ ?ew A?d Re . Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service •
Duplex Water Heater Electric Heating
Apt. Building Dryer Other- (Specify)
Comm./Industrial Furnace '
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ove 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms •QV r? ``??'
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ?- COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h Rough-in ? oate
cert
y that t
e above inspection has
been made. F;nai
f a
OFPICE USE ONLV
v
ThiS request void 18 months from ' '
t??,ei.?tifica#e of cccupanc4
(FUV o? ???
? ? ??? ?##Cdwn
' This Certificate issued pursuant to the requirements 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 CLassifcation: SF DWG BWg. Pernrit No. 21717
Occapancy 7he R3/M1 Zoniog Dnstrict RI Type Const ?
o?acs? ?t A Ktrr H(1?S I1?.". A? 7?1 UPiM i?? ?, APME. VAUZY .
s- naa? 4355- ? 71? tANE ??tyLS, B3, AITiL?N
i
f'OST IN A CQNSPICUOUS PLACE
Address 4355 BENT TREE: UAM
-
Zip 5512 3
Lcit ' S- Blk 3 Sub AUTUM RTDGE 3xD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTItON.
Date: No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage V/
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact enQineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
4b? City of E3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r - - - - - - - - - - - - - - - - -+
? Permit #:
I Permit Fee:
? I
? Date Received; ?
I Staff: I
I I
2008 RESIIDENTIAL BUILDING PERMIT APPLICATION
?^ ?p?
Date: g Df Site Address: ? ? ? `? "`n
Tenant: '? ? 6 e ( (
Suite #:
RESIDENT / OWNER Name: _ a*SO--(( Phone:,,.a 5-1 4?.?6 Q
Address / City / Zip:
Applicant is: Owner.
"Contractor
TYPE OF WORK Description of work: r'e 1/100 10
Construction Cost: "L ?0C&r Multi-Famify Building: (Yes / Noki
CONTRACTOR Name: ! -'Ye- /i ?
Address: -C o lri. 17 4'h c, License?#:
City: Pct (/" State: /( /lJ Zip:
Phone: _&7 ? ?0 or 6) Contact Person: '14 sd n
COMPLETE TIHIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cate4ory 1 Minnesota Rules 7672
Energy Code . Ftesidential Ventilation Category 1 Worksheet
Category :iubmitted
(4 submission type) • E:nergy Envelope Calculations Submitted ^ • New Energy Code Worksheet
Submitted
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 supportrng dacuments fhat ycxu submit are considered tp be pv6/ic informativn. Partr'onsof
the intarmation r»ay be classii`ied as non-pablic if you provide specific reasons tha would permf# fhe Ci#y tv
conc#ude tha# f.he are #rlde sectets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start
accordance with the approved plan in the case of work which requires a review and approval gff plans. j
X ?qc,04 solr" Qi, ,
Applicant's Printed Name
ordinances and co s of the City of
ut a permit; that ie work will be in
Page 1 of 3
, I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
pERMIT TYPE:
Permit Number:
Date Issued:
BSLpIMG
@2171.7
08/18/93
' SITE ADDRESS:
4355 BENT 7REE LANE
LiIT: 5 BLQCK: 3
AUTUMN RIDGE 3RD
DESCRIPTION:
sF nwG
NEW
R-3 tq--1
VN
R-1
60
36
A
. . ?E
?
g
:?.' ??
REMARKS:
S&W CONTRACTOR - MA7THEW-DANIELS PFtV
FEE SUMMARY:
BaSe Fee
P].an Rev.iew
Surcharge
SAC
5AC %
5AC Units
Subtotal
vaLuATZaN
$821.50
$533.98
$76.00
$750.00
1@0
1
$2,181.48
$152,000
MISC FEES
Tota1 Fee
1 744.50
$3,925.98
CONTRACTOR: - APPlxcant - sT. LzG. OWNER•
KOT HOMES, F2 A 16879513 0001506 KO?' Ht?MES ING R A
7901 UPPER HAMLET CT 7901 UpPER HAMLE1' C7
APPLE VALI.EY MN 55124 APPCE VALLEY MN 55124
(612) 687-9513 (612)687-9513
ISSUED B: SI TU? E I ?
REACTJVATE =
PERKI3 # _,
?
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
G
APPLICATION
9 c.?)' _?-• ! ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af 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 ? C?_ Yal uat i on of work
5
? ,
? s ??!??
.
??.?
ite Address:
STREET EVI- Ip?3
r7
`
Tenant Name: (commercial only) -?------`
.?
.,
IAT
BLOCK 3 ?
SUBD.
/
I. D. 0
Descri tion of work:
The appl i cant i s: ?wner G?'Contractor O Other (Describe)
Name J?a? ?,? ?.r ?? Phone b?7???
Property LAST FIRST
?wner Address "7gd I le-?
-
STE #
STREET 1)
City State Rit) Zip
Company ?.o Q a os(z Phone
C011tt'8Ct01' Address License # 000106 Exp. '73
City State Zip
Company - CSr Phone 687-9E-1-3
Architect/ j
#
Engineer Name Registration
Address
City ?0_!5?a 4 State Zip
Sewer & water licensed plumber _7\arf1e_62 /c4«.Z4? . 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 information is
correct and agree to comply with all appli ble State of Minnesota Statutes and City of
Eagan Ordinances. r, .
Signature of Applicant: ? LtY:i
BUILDtNG PERMIT TYPE
OFFICE USE ONLY
0 OI Foundation 0 06 Duplex ? 11 Apt./Lodging
?2 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory
? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
JW 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
,
.•
? 16 Basement Finish
O 11 Swim Pool
E3 18 Cortan./Ind.
O 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
Const. (Actual) v..f4 Basement sq. ft. MWCC System YE51
(Allowable) v- t4 lst F1. sq. ft. City Water y c?
UBC Occupancy R-3 /o-I 2nd F1. sq. ft. PRV Required
Zoning Sq. F t. to ta l B o o s t e r P u m p
# of Stories Footprint Sq. ft. Fire Sprink ler
Length ? On-site well Census Code lal
Depth On-site sewage SAC Code ot
?
APPRQVALS i "
Pianning Building Assessments
Engineering Variance
REQUIRED IN SPECTtON S
C1 Site O Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permi t Fee vaLusci«,: $ I S 2i 000
Surcharge
Plan Review GA RA vE;
616?16"=
MWCCnSAC .3 2 XZf S =$?j 6
Ci ty SAC ?G k 1 ?l : Z
Water Conn.
Water Meter
I ( Z-C>
tvo
Acct. Depos i t (5-?JROOL14
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
f?"' tt,:
q y
Park Ded. ?
Trai 1 s Ded. ZmD Ft- aOA ?
Copies
Other
Total :
1?s?ar? ? E r? ?
SAC X 00 2 3`1_ ?
SAC Units I
?
.b 1?
R '
,. ..'
EXTERIOR ENVE.t..Of'E ?VERACE „U" L.OMF'R..lTATZCIN
JGxlh1ER`!`HE AhdGF_LL RWOTDENCF' LAIN N?le "?-???0?:? -u:,
CI
? y . _g
ST T E F?n P R E S S .'? ?!.R?? ... ,m
?''? ?_ __ .?._???.?. .
t:.,li'??TR?ICTC:14? n R a ? ? F::C7 ?-IC?!"iE?-?' , ?t?. ?iF?T?. _..._.,._...C)b! 1 +?I 9::, PH?IN?......_...... bk3?`-?r'51.?
DETERhi I ME WClRKI tdG SQUARE FOCJ'i"AGE
3258.34
1. Total e,•:poxed wa].l arev 3319,9£3 sq. ft. ., .11 365.1978
2. Total rraof:'ceiliny area 1217 sqaft ., n025 3lq64:'
::,s Total fl.ovr cant. area 13.67 <sq.ftn ., 0,05 ;:am6P35
(over unheated er7closed area s)
4. Tca ta l. f1 oor cant. :s r? a 42 ryqK # t. A ., 0n 025 1.05
(over unheated e;:pcased aYseas)
5. To=.;al e.;posed wazl.l area abnve the 2943.34
an Total wa:ll windcaw area .e.,.e.....aea.nan>.29?.7891
t:z. Tot..l door area..o...ae..ti..o»....da...p., :57.8189
co Total s.lidiny glass dcaor arean.,..9<a>an., 84.4422
d. "f'otal firep].ace area. a . . . . . p . . . a . . w o e .. a . e {:A
es Total wa11 framing area (ave. 10%) . a .e 4 .. . 294«u34
f. Tatal net wa7.l area aboue i,he i7.crcrra . 4». e tl22^8a95b
gn Total rim .7oa.st area»..nd..b...u4a...a...a 315
TOTAl_ Ekf'C1SED FC:IL!NI?Al" 7: QN AREA .... a R b n... w e. a m 61.64
ti o To ta1 fouindat i ca nwa nd ow area e.... a a... a.o a 0
ie Toi;al net founrJati.on area a..d.e.a.tir....ti, 61.64
DetE?Y"tTi:t ne "U" v3 l! 4C? CJ'f et3Ch (j?a2l seg(IIeCIta
c`3. 291.7891 .3 "LJ" 0.36 ^- 107<2041
b 4 37.8189 ., "l!" 0a 0u = 2.269134
c= e 84.4422 .. ?? U" 0a 36 - ,::f0n,=,9919
da o , ltuti 0 ... t i
e. 294.334 ., ir U " 0.090334 -` .•''_6a C18844
f• 2228.956 r •
4 ? 1 F
I74..F
0.043215
96.3248
9s 315 •? "U" 0.040683 12.8153
h. 0 .. "U" f..7a36 .... o
1 . 61.64 "U" 0„076161 4.694593
6 p .o A .e e . .n . .a . . e o . a o a a a 4 . ti , . . e . . ..o a . Total 280.2955
If item #6 is the same as ar Iess than item #1 Yca?3 ha?.?e?: •:-?e cGkrrerxt
enerraY cnde:? a 2 !°1CAR 1.16008 ?? t?l`?lI7 0, ..
TClTAt_ E XPC7SE:D RCIC,'f= dCwEZ I._ TNC_a AFik.A
1217
J. °!"ot::i skyJ.ight area ,><ns?>>ansn..,.nn.>nm< 0
b::e 7atal flaiJ r~oof/c?.=i.li.rtig fr•aming area . n e a.. 121.7
1. "f ot al net f1 at r oof! cea. i i ng ar•°ea # . .a o .. e , a 1095.3
Deter•mine "U" value for° each rorafr'c:E.gn seciment
j. iV? tt Ull 0 ...
ka 121.7 „ i? U" 0.026925 - 3.276791
1« 1095.3 ., ii U ti 0.022795 ° 24n 9Cr695
7 » .. . « , .. . « . « .. e ., . .. « n , ,. .. .. R n a , « u n n .. Tt;? tia I
.,If item 47 is th? sair?e as or less than item #2 ycau have met the
" eneity}` codee 2 MC:AR 1.16008 A ANll D.
TOTAL F= LtJClR Cr;NT. AREA (enc 1 osed )A 13.67
c7. Total fl.oar cant. frami,ng area (avea 10`/.)e 1.367
p, Total net insu3.ateci floorfrant. area a ., e a. 12.303
Determa.ne "U" va:i.ue fcar gach fl.oorfc?ant. segment.
0< 1.367 :. ?? U" 0.043E379 __ 0, t,?59gg 2
p, 12.303 .. "U" 0.024254 -- 0.298399
.?7.'..an,. ouanaa..aa<,..a<.aaaq..<<n..nn.TAtal 0.w58,:?82
1:f i.tern #8 i.cx the same as or 1ess than item #3 you haue mew i:.he
enerzgy c.ode. 2 MCAR 1.16008 A ANI] 0e
TOTAL. FL.CJQRlC?'?lVT. HREA (e::posed ) 42
raa Total floor/s-ant. framing area (ave. 10/}. 4.2
r•. 7'otal net i.nsulai:,•ed f7.r.aartcant. area . .. a,, 37»S
DeLerma.ne 41i.?
ilti value
I{.aY' eG2cII f.LooY'Jcanta
se??ent»
q. 4. .wt ,. "U" 0.044346 ^° 0.186253
t` . 37.8 .. "U". 0,0...?'.4396 ._ 0.922176
9 .. . s d .e a s .. e < . a . < s . A . b a e ? d . « .a 4 . . . o TC3'G 3 l
1.108429
+?rR
r f iter? #9 is the same as car 1??s than i tem #4 yctu have met the
enerc:a y c ade. ^ C'ICAR i. .1600E3 A yta-e,.,,
T HEREBY C,ERT?'FY THFa`C I HAlJE G_rULA'1"CD THE "U" FACl"ORS nlVI}
VALCJES HEREIN AhlD THAT TNF" Bt_!T _DING HERtw.e-DgSC TSE:D h1EETS OR,,9X"E:D"`
"!"HE STATE OF 1`'! T hHNESCJI"A FNERCaY i:C?t?IS?:F?'?fAT :[ C?fi?l"!? I a
?
.? v.....
-_°1szgnaturY ?
_...._......... __..........
_._
(date)
?ETERMINE "u" VALuES,.
l"F{FtIJ 5T1.lL} WTl"H STDI141C.h & S.R.
Interior flir „ n.. A a 0q6f3
Sheet Ror.: F:: . n . . o a . a 0.45
TE'lE?I'mCJ-"'BC"f'?'cik . e , a .s ?..1
S'G?tCiati...a..d.. ..a 6e93
ai'1 ea•t I"t :i. ng w a tl. a. d s. 2.06
Si.cli.r7g ., a .. . 4 . . . . . . 0a?Et
Exterior A?r .as... 0«1:7
TCJ tci. l i tR" Vci l!1 C? a o. a w e.tl a. e» 11.07
1: R _ "!J" Val.ue . . .u . . .. a a .n0.c;a90::°,_s4
oS%05/93 13:43
mia-
SuRvEYQR'S c??????CATE
? 5? ?. ??RAINAt? t9 UTiL.t7Y ?
EASEM?IT PER
I-OT
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e
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9 33 . v)
r 00
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71 W ?s
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r
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940. 3r?
pPd PONA:
Y ?
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337< < ?
N?T?; ?O $pECF1G SO11.5 •INV?ST!(4A7iO1V FiqS BF?fi'? ?+'?{'?!rac,• -
?
'
'
?
H
014
SH' TO
?UII
ooCis? $
F
8 EGiFRt F1C?3SE i'
Th1E
`SUPnRT
.
NoT YwE ResaaNs1B?
POSFD SuRFAGE DRA1hlAGE
.?..?.---
,, Ra
pENQTES
"
1
DENOTES IfiQN MQNUMENT SF-
p 1RtJ1V MQNUMENT FOUNb
0 OENOTES
bENOTES EXiSTING ELEVATION
X000.0 S PROPOSED ELEVATION
OTP
(Opp.Q) -
DEN
0
?
d'
tr3?. ??
S4 ?
?.{
?,a •- y L,?...-- r??:,?i?.?
l-
i,
SMCMIN ARE Ftya ?iORiZONTAL
. V?RTICAL I.OGATION OF' S1'RltC7UR? ?7N?-'?? 5EE
d?
?
? AMCHI,rficTUAL ` P1.AN5 FOR 8U16DIN!3 E1 FlDUNpATi
SC:AI-?: 1 INCH - 30 FEFT
??ET
PROPOSED GARAGE Fl.C7QR - `f ¢0. ?' FEET
PROPOSED LOWEST Fl.L7UFi -° y'? 3. 3
PROPOSFb Tt)P OF BI.OCK -9$1. ?a FEET
TIFY TC7 R. A. KOT HOMF-S THAT T4iiS 15 A TRUE ANb Ct7FtRECT
WE HEREBY CER
REPR€SENTATION C7F A SURVEY UF TNE gOIJNdAR1ES O accofd'ng to the tecorcied pldt thereotR bakota
??aT?oN,
tiiing
eiocK ?, AvTUMN Rt??E: ??a n i i d
Lot 5? ? hlsLe?e?1 es t ion w l i l ? a a m e v a u pon
County . A5
Mlnnesoia. ?A ?j ot t A?????jACHN1?.NTS. ?XC?PT AS SHOWN
IS 3Rp DAY 4F 1?UG-
IT DtJES NOT PURPC?RT Tt7 SN i??'?? J??? j?'? j
SURVEYED BY ME O R U N t?? R M Y p I R E C T $U?'ERVI .?ILL, It'J .
SiGNED: ,?+ _ .
PROPOSED GRAOES SHOWN w?"'.
7PlA.ANN FO?OA1iTy pR1?P?ET C
?4????Dd 6Y P! it ?i. LA$T BY:
p p
e- z?- .
1, LAND SURvEYOa
?UMI&ER .12204
.. . larnes inc.
R
. Hill, NNE?S / ENGINEERS / SU?ORS
??
2500 W, CTY. Rb. 42 « qUFtNSVII.L.E, MN. 55337 6 612-890-6044
001
c11
t
26
`
u ?
<
J sa ?
CD
A ?
m
w
v ?
L3` t] l7 •
.
D'-- D 0 •
- .
M"
0
b?- ? ?
o •
0-- 0 0 •
?- D •
? p .
? J L7 •
LOT 6URVEY CHECRLIST FC?R RESIDENTI:,L
BOILDING PERHIT APPLICATIQN
PROPERTY LEGAL:
Date of Survey: ! ??? g?
,
DOCUMENT STANDARDS
Regzstered Land Surveyor signature and company
Building Perrit Applicant
I.,egal descrigtior?
kd`???ss
Nozth arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
loakout, etc. )
Directicanal drainage arrows with slope/gradient ?.
Praposed/existing sewer and water services
Street name
Driveway
ELEVATIONB
Existina
G C?' 0 • Sewer service
0? 0 0 • Lot corners
D D • Top of curb at the driveway
0n- [7 • Elevations of any existing adjacent homes
?roposed
? • Garage floor
Q' 0 0 • First flocr
t?' D 0 • Lowest exposed elevation (walkout/window)
t? L} 0 • PropezLy corners
? D 0 • Front and rear of home at the foundation
PONDING AREAS (if alDplicable)
D 6? 0 • Easement line
0 l? 0 • NwL
0 L? 0 • xwL
0 D? 0 - Pond # designation
D? 0 • Emergency Overflow Elevation
pIMENSI0H8
t?' 0 0 • Lot 1 ines
? D 0 • Right-of-way anc3 street wirith (to back of curb)
0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
?0 0 • Show all easements of record and any City utilities within
those easements
C'? D 0 • Setbacks of proposed structure and setback of adjacent
existing homes
fl 0?6 Retaining w requirements, if any
Reviewed•
Nam / Da e
October 1992 J
ol
. --
? SA
PLEASE COMPLET`E FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES .AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
--------------- ------- - - --------- - - --------
NO. FIXTURES CH TOT
? ?. SHOWER 3,00 3. ° v
..3 i?A 1?£?C l'LC3SE?i 3.1?t1 ''I - o U
12? BATH TUB 3.00 (? • 00
LAVATORY 3,00 ? o
KITCHEN SINK 3,00 6 v
LAUNDRY TRAY 3.00 o c,
HOT TUB/SPA 3.00
( WATER HEATER 3.00 ? o c-')
( FLOOR DRAIN 3.00 ? • o C?
3 GAS PIPING OtTTLET • m?nimum - 1 3.00 `j dC-?
V,,
? ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cry. lic. I5.00
U.G. cPRINKLER • eome under oonsc. 3•00
ALTERATIONS • to exiscing 15.00
WATER TURN AROUND 15.00
STATE SURCHA.RGE .50
5? . S b
TOTAL:
SITE ADDRESS: q ??+ -Tr ° ° Lc%-
OWNER NAME:
LNSTALLER: ?A i 1
ALDDRESS: 1 S
CTTY: pv(a5-c--'^--' ?----? STATE: ZIP CODE:
P'HONE #: ( (Q 12) '? - 3 -? -D v
'-Q?
NATURE OF
1993 PLUMBING PERMIT (RESIDENTIAL)
CTTY OF EAGAN
3834 PIIAT KNOB RD
. EAGAN MN 55122
(612) 6814675
a.
1993 PLUMBING PERMIT (CONIlVIERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
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PLEASE COMFLETE FOR ALL COMNMRCIAI,/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI! DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING U: -:T.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPT'ION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF PERMr'T FEE
_. ....:.
MINIMUM FEE: $ 25.00
CONT.RACT PRICE X 1%
STATE SURCHARGE
TOTAL
$
$
$.
SITE ADDRESS:
TENANT NA147E: ' STE. #
OV6fi'ER NAME:
INSTALLER:
ADDRESS:
CITY: STAT'E:
ZIP CODE:
PHONE #:
FOR:
CITY OF EAGAN APPLICANT
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]PL.EASE COMPLETE FOR SINGLE FAMIiyY DWELLINGS. ALSO, FC3R TC3WNHQMES ANi3
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH i,TNIT.
NEW CONSTRUC'TION
_ ADD-flN A/C
ADD-ON FURNACE I)ATE ? ? ? Z?L5
I-:NAG 0-100 M BTU
ADDITI4NAL 50 M BTU
GAS-OUTLETS (MINII?UM 1 @ $3.00 EACH)
ADD-C3NlREMC?DEL (Ex s?coNSTRucr1oN)
S'TATE SURCHARGE
TOTAL
SITE ADDRESS:
4'ViNER
IhfSTALLER:
TELEPH4NE #:
__...... .... . . . ,o . ., .,, ....
ADI)RESS: 12481 R'hode Island Ave. So.
,
CtTY: 894-0005 STA1'E: ZIP CC}DE;
71-3-EPHONE #:
EUS
$ 24.04
$ 15.00
1993 MECaANtc.AL pERvrrr (REsmErrrIAL)
crW oF EAGAv
3830 PII.OT KNt3B RD
EAGAN NN 55122
(612) 681-4675
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1993 MECHANICAI. PERMIT (C0MMEMCIAI.)
CI'I'Y OF EAGAN
3830 PIIAT KNa?B RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FC?R AL,L COMMERCIAIUlNDUSTRIAL BLTILDINGS. AISSO COATT;ETE
FtJR APARTMENT BUILDINGS OR 4THER MULTI•FAMII.Y BLTIIDINGS V4EEN SEFARATE
FERMTTS ARE NOT REQUiRED FOR EACH DWEL.LING LtNTf.
I?ATE: CDN'I'RACT PRICE: ?
NEW BUILDING
INTERI(JR IMPROVEMENT
Wt?RK DESCRIFTIQN:
4?
1% t)F €FEE $
PROCESSED PIFiNG: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,004 4F f?`?tFEE.
TOTAL $
STTE ADDRES5:
OW'NER NAME: TELEPHtJNE #:
TENANT NAME: (IMPRt'1vEMENTS oNLY)
INSTALLER:
ADDRESS:
CITY: SfiATE: ZIP C4I)E:
TELEPH4NE #:
SIGNATURE OF PERMITTEE CITY INSPECTOFt
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115090
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 4355 Bent Tree Lane
Lot:5 Block: 3 Addition: Autumn Ridge 3rd
PID:10-12302-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Mitch Husnik
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 -
Craig S Angell
4355 Bent Tree Lane
Eagan MN 55123
Homestyle Builders & Developers Inc
37 Walden St
Burnsville MN 55337
(952) 994-3980
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154976
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 4355 Bent Tree Lane
Lot:5 Block: 3 Addition: Autumn Ridge 3rd
PID:10-12302-03-050
Use:
Description:
Sub Type:Reroof & Siding
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: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Craig Tstes S Angell
4355 Bent Tree Lane
Eagan MN 55123
(651) 456-0725
Tix Construction Inc
1735 60th St E
Inver Grove Heights MN 55077
(651) 246-5756
Applicant/Permitee: Signature Issued By: Signature