4681 Aspen Ridge Cir. . 2000 BUILDING PERMIT APPLICATION (RESIDENT{AL)
cirv oF encani
3 c?l 3830 PILOT KNOB RD - 33122
851-881•4875
e_,?? aa -d
New ConehucHon Reaulremenh RemodeVReoalr ReaulrenleMa
: 3 reglsfered alte wrveya ehowing eq. ft ol lot, sq. tt. W houw 2 coplea of plan
antl Ql roofetl areas M mmm0mum lot covaraae atlowerfl t set of energy calculoNom for heated adtlitbns
> 2 coplea of plans (show beam 8 wlntlow sizes; poured fid. dasign; etc.) I aiN wrvey for extedor adtBNOns B decks
> 1 set o1 energy calculaMana
? 3 copiea of hee Preservatb plan H IW Ptatled afler 7/1/93 ?
DATE: ? ?2 ? CONSTRUCTION COST: / v?O
DESCRIPTION OF WORK: y?J ???"5 i Dr ti??
STREET ADDRESS: Z-/
LOT: ? BLOCK: < SUBD./P.I.D. #:
PROPERTY
OWNER
Name: v zj???lS ?icJG Phone c ?
war ? cirM
meet
?
cnp stare: 1-4e,
_ r38//--?P/,-2 7
?
Company: Pfibne ? 7r?? -???
(area code)
COPfiRACTOR Sheet Address: Z? ?iCLD?f?/L G? LJcense ?? L` Exp. 2-'
Cily T State: Zip:
ARCHITECT/
ENGINEER Company: Name: C?iPz% v? •...?- -? ?
,
Telephone #: LL
Sireef Address: ?(? Regishailon M
CflY S7- ,6 f L J L State: Zlp:
Sewerhvater licensed plumber (M installing sawaNwater): Phone V.
1 herebY acknowledge ttwf I have read lhis apPlicaHon, afote Maf the
of Mlnnesola SMlutes and CNy of Eagan Ordinances.
, Signalure of Applic
is cortect, and agree to comply wilhh a0 apWicable State
OFFICE USE ONLY
Certificates of Survey ReCeived Yes _ No
d
Tree Preservation Plan Received 1 Yes _ No _ Not Required
,jf'iNl 2 1
;115
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch(3-sea.) ? 31 ExtAlt - MuRi
,K 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
Q 03 07 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 04 02-plex ? 70 08-plex ? 79 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _Y or _ N O 25 Miscellaneous
? 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundetion) O 46 Windows/Doors
* Give PCA handcut to applicant for demolition pertnit
GENERAL INFORMATI N
SAC Code # of Stories ft. 8'D
No. of Units I Length sq. ft.
No. of Buildings Width q2 Footprint sq. ft.
Const. (Actuai) Basement sq. ft. ?144-0 Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy ?t %04sq. ft. City Water
Zoning -)" sq. ft. ? Booster Pump '
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
A Stucco/Stone
APPROVALS ?
Planning Building Engineering Variance
Permit Fee Vaiuation: $ 047 0
Surcharge
Plan Review ((1 ?/ J? l C?? ?a G`? ?' 1?f "E1 / 73-V
License (J
MC/ES SAC rkq' 7J C?O
City SAC ?'4? 0 y ?--? ? /
WaterConn. ??G?? ?? ? 71 Water Meter r
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. ,? o?? ? ? ?°a
Park Ded. 6-?q, °'
Trails Ded. 7 `^
Other ) ( U
Copies
Total: ?-I L-1f -7
SAC Units
% SAC
Address 4E81 AanPn Ridga Cirrle ZIp 5512 2
LAt 2 Blk 1 Sub Oakpointe of Eaean 2nd Addition
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspedor: ?f.
Final grade (6" from siding) ?C
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway x
Permanent gas X/
Sod/Seeded grass_ ?
Trail/curb daznage ?C
Porch X
Basement 5nish ?
Deck
Please ve ?'ywith the builder the removal of roof test caps from the plumbing system and the shutoff of warer supply to
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in righbof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF I::(-1GAN
C;A`]NIFRt lS TEfiMSNAL tdOv fli.8
DR'T'E_. 02!03/00 IIMI_:° 1002:41.
ID: '
NAMC+a JosFrid r Yr-d;i...rv r.ohsrr<ucr.uaN
P252 9220 4681 Asr>EU RDG 30.00
300 9001 4681 A5('4:.N RDG 1,00.95
3066 .93i3 46$1 taSF'F_N RDG 00,00
3422 9001 468:1. ASF'Elt F'iUG 707.82
2275 9220 4681 ASI'E:N RDG Ly08:3.tl0
3446 9001 4681 A.iF'1=N RDG i.1..0(]
205 9001 4681 f-:Sf'EN RDG 0.50
3743 9220 4681 ASF'Erd F'DG 50.00
205 9001 4681 A SF'FP2 RDG 58.50
3868 9220 46131 ASF'EN RDG cr`.3i?.00
CFt123011. CrINI'INUE:•
Ufif:i:R :CDt JAiJ t';f!P!'TTNUE'.
9 SVDVA-7
caNrlhUE::
czrv oF EncaN
CAiH:CE'.R? .1; TI?I;MINAI_ NOe 81.f3
DATIE; (]2/03/00 '1'7:MI:: 10:5242
TLi:,
NANi'c': JpSEF'H F• Vr`d2L.F_Y rON,TftI.JL"'f']:ON
306 9220 4681 A61='F:'.:N I"IiG 04„00
3713 9220 'rE:,Eti. ASE9:N F;UG 50.00
3865 `-lc^_t't) 4681 ASf'EP! RDG 4340.00
Tnra1 RereipF, Ainnunte 4yr,31.i7
CF{ 1230'31
l1S[i:R IDa JAN
--
TRE?E PRESERVATION,? PL:AN?S?UMMARY
crrroF??? ss??sa ?-IDmsior???;?Ma
(SEE ATTACHMENTS)
Development
Lot Number
Address
Builder
z- Block Number
4 ?- & i r?cno.. ?a ?vP.
Tree Protection Reauirements
Tree Fencing
Oak Tree Pruning (Seal wounds during April 15 to July 1)
Therapeutic Pruning
Retaining Wall
Other:
Reolacement Trees:
Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
? /l0
?? ?PEOM
W ?GC7?- C'??D
a?r
?Q4G ? ? z - \
Tree Preservation Plan
Oakpointe of Eagan , ?2 j--) D li'.Dp / Tio'v
LOt J` , BIOCk ? (Site Plan Atiached)
Address: /-?? ? I dA DIsJ-?
OWIIEf: OCP Homes, Inc. BUIId2f: Joseph P. Varley Construction
8609 Lyndale Ave. So. #101 B 16800 Shieldsviile Bivd.
Bloomington, MN 55420 Faribault, MN 55021
881-0127 507-334-6034
Significant Trees on Lot:
None
/\ Significant Trees: (Numbers P er Tree Survey)
9 Tvoe Size Retain or Remove ?
0
7
1
3S u.?U
199 l.O o
?
7iD 3 WO
Za`I I'20 I/
i fl
aO5 .
2v6 20
Z /o w 0
Protective Measures: ? gq RD ?
?
/
Tree Fencing
Oak Pruning (Aprii 15 - July 15)
_ Retaining Wall
Therapuetic Pruning
cS/6.v Td SH ? rT
Other. o v S ? T/
,4
Fteolac men Trees:
_ Not Required
As Foilows:
Notes:
.r
f ?
!
?
?
m
r?
?
C1
, ,..
' ?'.? ' ''?• ?`' ,' \
1 \ \
?
T ? ?I p
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_
--
?
iJt-.. o•?? ``,
?1'; 203 07 X._
u11 ? 1?
M p1' ?•. ???g Z? X Z ?
X
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ities Diiaital Oualitv Control
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•
CITS DF E1lGAN
? E]CTERIQR ENYE].OPE AYEHLGE 'UT fAMPlC7t1IDH
a?Ea:
sirE annxsss: to 1 S?P ?N R t D E G GC-?- ??T'
Coxteeciox: V?RI?`j GDtIS-ti PdTF: 1'}3 ?Don rdoxE:6 ?.g?3L-Ot?7
Determtne wrldng aquarc fooLaBe of each:
7. Total exposed wall area ... 23 0 aq. ft. z.17
2, Total roof/celling area .. ,7 7a aq. ft, x.026 =_'402
Total uposed vall srea above floor = ? I Lv
a. Total xall windoW area ........... -•••••••••••••••
b. Total dooY srea ...................................
c. Total sliding Hlesa area .......................... _:i-?
d. Total fireplace wall erea ......................... e. Total xali framfng aree (everage 7Dt) ............•
f. Total net wall area above floor ...................
..g. Total rim joiat area .... ..••••••••••••• •.••••••
- Total e:posed foundstioa area = ?1 ??
h, Total foundation r+indou area ....................... 0-?-
i. Total net foundation area above grade .............. s ^__
Determine 'II' val[te of each xall sepcnt:
6._ rG?x ?u e T?J'7 e
n. : +ul .14 -
c. X
d Y e?r ?--a
B. ? X lUl
f. 3rjs5O r. xID`
g•-_-??a[i s' u' -?P 9 a
h. ---? _ 'U' - _ ?
1. +..? z tVt
3. ....... ........ . .J S5 ......... Total
..... ..... ..........
If item /3 is the same as or less than itiem 07• You have met Lbe lnteat of SSC
6006ce,2. 1578
Total cryaxd rooT/ceiling etea : ^
---?--
3.7ota1 akyllght ares ...............................
k. Total roof/ceiling framSng area (average i0f) .....?
l. Total net insulated rooS/eeiling aree ..............
OVER
s'd 68TL-Sb9 (TSS) doa=so ss La oaa
t
Determiae 'U' velue f'or eacs r0of/aei2lag segments
x ' U' 'r =
' .
k. {5 12? x 0 Ul
*v.
3
tl . ............
If totel of 44 ..
.....................
is the asme as or less .............
than #2, you
5
...... Tot.l =
have met ihe intent of S8C
6D46(c) 1..
Alteraate Hullding EnseloDe Destgn uti of ItezsszQ3Landti48shalle ot be Breater than the sum of Itema?/ andb?Zthe sum
,, a ? 3 + z.
3, a.?7 . ?. 3 5.?.._.- s ------
z
9 'd 68TL-549 (I59) dOZ;SO 66 LZ oaa
RooF
tR? vA
iQ tt?-{E?lo? P.iC? Fl?`1 .61
Q fhSULA?{oN h'"' ?.dr.
OO EX ?E;?;a? Pl? Fitr1
(5-[ICL)
ToTAL (R)=fS7*
• 0'?? ?
V
=
InALL .
(1?) VAt
QQ ti
"lct=l0t'- filR ElLM .?,0
? (
?124 G`S P $T?. - : . . .45
10SVLAT1oN sia''I`)1Q7
? CEDAiZ 51D1r'(? .8?
r? EX'+,=i loi HrIt FfLr't o17
? To7AL (R)=2243
v
{9}
VAlL
?u 1t17c.t'?1or titr Fttt? ..j
aS
i3 5?/i lh'sUt%???ci? " /?f•?
nr? Ru? JolsT : l Igq
C? uj?L -?r? _ ?.- .
G c?nA?t? stoln? ; . ?
• 1 7
To7A!, (R)?23. gV
_E204DATtot•E ? u
? C?? VALV:
Q 10IEIz U? A?K Ell1'1
? ! fi? SU?-jcn-t ?Fb. I 1
- -
Q
EX7jcPo;t AiR Fi:M i
•-!7
To?a? (rc}-1343
V=.o76
F2aors oti•t; unhcz[ed spaccs nust have aininum R-facioz ef R-20 (tatk-nnder garages).
Floors occr ouidoor air (ovcrhaogs) s,ust t;ave a niaimum Y.-factor of R-33. _ L'd 6BTL-Sb9 (I59) dIZ=SD 66 LZ 000
r
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
L PROPERTY LEGAL: L.T ? Tzx"'f I /?A/??TP??? OF fill-I+I
H DATE OF SURVEY:
?
W LATEST REVISION:
tz
o DOCUMENTSTANDARDS
O
? ? Regis[ered Land Surveyor signature and company
? . Building PermitApplicant
? c • Legal descriptian
? Address
??
?
•
North arrow aod scale
¢'/o .? : Hause type (rembler, walkouk split w/o, split ertUy, lookout, etc.)
?'/e ? Directional drainage artows wiM sbpelgradient °r6
? • Proposed/exisUng sewer and water sernces & invert elevation
n? ? . Street name
/o ? Driveway
? : Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existina
v ? ? ? Sewer service (or Proposed)
? Properry corners
? • Top of curb at the driveway
0p • Elevations of any existing adjacent homes
? m/ ? Adequate footlng depth of struc[ures due to adjacent utiGty trenches
Prooosed
? ? • Garage floor
? • Firstfloor
? • lowest exposed elevation (walkouUwindow)
q? ? • Property comers
? ? • Frant and rear of home at the foundation
y o ?
m/ ? ?
12/o ?
V ? Sa
? ra/?
P' o ?
p?/ ? ?
m' ? ?
m?? ?
? o g?
? O" a
PONDING AREA (A aoolicable
• EasemeM line
• tuwL
• HWL
• Pond # designadon
• Emergency OveAlow Elevation
DIMENSIONS
• Lot lineslBearings & dimensions
• Right-of-way and sVeet width (to back of curb)
• Proposed home dimensions indudng any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show aA easemenis of record and any Ciry utlliGes within those easements
• Setbacks of prapoaed structure and sideyard setback of adjacent epsting atructures
• Retaining wall re^ui•eme^? if snv
Reviewed:
u
Mareh 19BB
CRAKLBLOGPRMf.FM
* * *
* PIONEEA
* engiearv
?C***
2422 Enterprise Drive
Mendota Heights, MN 55120
(651) 681-1914 FAX:681-9488
LMIO RANNERS- LANOSCNPE APCMIELR ' 625 HI hWp 10 N E
Certificate of Survey for
< ^? ?,?'Ayu
4681 ASPEN RIDGE CIRCLE
LOT SAEREA = 8,424 SF
COVERAGEEA242,q80 5F
7
HOUSE TYPE=RAMBLER
\1n
1 1v
1
I ?
(yl
1 ?
1 ?
POND A7-1\ CP
Nw-=
HWL=3i21.6 z.i 1 fP
l 6
I C
I
. ?
v
Ng1'00'41?E
_--55.57'? ?
?Bloine,9MN 55434
(612) 783-1880 FAX:783-1883
E-moil: PIONEER2@PRESSENTER.COM
OCR. HOMES, INC.
(VACANT)
?a
µ,.
BENCH MARK
TOP OF PIPE
ELEV.=
,
1 ? PROPN?EPApU1LD- ` ?
g33.4 ? o 46.96
1. °n ?934.2
?
a
p[ U L <
)RSEMENT ?ERnPLAT ?
HO PpryDINC WAtER ?
SEWER ENSCMENT PER
DOC. NOi 128184
TREE IINE -
i
?•,2 Ar5?w
1
- EOGE OF POND PER PLAT
'
? ZaN O
L Nv1 M.
?
i ?
VE 4. 1
1 ?? O
ZZ\ ?? 931.8 ?
WAY
931.4
16? ? h
J ?
BENCH MARK
TOP OF PIPE
EIEV.=
1
(VACANT)`
f,
c? ?? k.? n f}9 Y?^
? h+ L1
[.?
'-
RT77''' P12qC
DRPT
.
r
s 7
PROPOSED HOUSE ELEVATION
NOTE: PROPOSED GRADES SHO'Md PER GRAOING PLAN BY: PIONEER LOWEST FLOOR ELEVATION: RZS.p
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HOR120NTAL ANO VERTICAL LOCATION MAIN FLOOR ELEVATION: 937• Z
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING ANO
FouNOanoN oiMeNSioNS. GARAGE SLAB ELEVATION: I
NOTE! NO SPEQFIC SOILS INVESTiGATION HAS BEEN COMPLETED ON TNIS LOT BY THE [:t
SURVEVDR. THE SUITABIUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB *LOOKOUT ELEVATION:
PROPOSED IS N0T THE RESPONSIBIUTY OF THE SUROEYOP.. ,
NOTE: THIS CERTIFlCATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN % 000.00 DENDiES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
_-_ DENOTES DRAINAGE AND UTILITY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. - DENOTES DRAINAGE FLOW DIRECTiON
NOTE: BEARINCS SHOWN ARE BASED ON AN ASSUMED OANM ---r- DENOTES MONUMENT
-v- DENOTES OFFSET HUB
WE HEREBY CERTIFY TO OCP HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 2, BLOCK 1, OAKPOINTE OF EAGAN 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 11 DAY OF JANUARY, 2000.
PIONEER ENGINEESCING, P,
SCALE : 1 INCH = 30 FEET
0] 199546.02 JMM
-?-- ( C. Lorson, L.S. Reg. No. 1
2. m s 933.?
PROPOSED ? 26.0?
SE / ? O
HOU N
? GARAGE ?
24 33/
°0,20.00 ° - -'
1 ?
?
?lP'?
?^I
Y•
, lk5 ?
.?
?O
RECEIvEQ .iAN 2 0 2009
L BL cirr use oNLv y ?
? RECEIPT0010 ?
SUBD. 4? Ldt. y? ?N? RECElPT OATE: 3 d 3
PERMIT # 1 dq%a
2000 PLLJMBING PERMIT (RESIDENTIAI,)
cimY oF sacxat
3830 PILOT FINOB RD
EAGAN, 2MI 55122
651-681-4675
Please wmplete far: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? 6adcflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Afterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub i $ 3.00 x = $ p0
Floordrain 3.00 x = $ p-D
Gas ipin outlet ` minimum - 7 3.00 x 3 = $ , O
Hot tuh/spa 3.00 x = $ , 0
Kitchen sink 3.00 x J = $
Laund tra 3.00 x = $ g0
Lavatory 3.00 x = $ a, 6p
Septic System newlreturbished • requtrea MPC lic. 75.00 x = $
SeptiC S Stem ahandonment 30.00 x = $
RPZ new installaiioNrepaidrebuitd 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $ , op
Underground sprinkler rf dwelling is under construction 3.00 x = $
Undergroundsprinkler rfeuistingdwelling 30.00 x = $
Water closet 3.00 x -2 _ $ 60
Water heater 3.00 x = $ . oo
Water softener IT dwelling under construction 5.00 x = $
Water softener xexosung dweuing 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 -? -> -> $ .50
TOtal --> -> -?> -a $
Reminder; Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------
Iherebyadcn -------- - ------°-°-°--^-._•...-----°----•--°----...- - --- --- - - ----
owledge thst I have read this application, state that the IMOrtnation is eoned, and agree to comply with all epplfcable City of Ezgsn ordinsnces.
tt is the applicanYs responsibildy to notify the property owner that the City of Eagan assumes no liability for eny damages caused by the City during its
nortnal operational and maintenance activdies to the facilities constructed under this permR wRhin City properry/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: : Vp-f-1I e.+ =4zwd2j,., TELEPHONE #: SZ-7 -3,31F- 6 CL?t/'
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE#: L 7y1- q`I-?3
(nae.a cooE)
CITY: _r (a. ?? ?Gtc. ?. ?h STATE: A?41 ZIP: .? / () 9
SIGNATURE OF PERMIl7EE
? 40 ?Q' CITY USE UNLY
v
LOT ? BL PERMIT t!:
SUBD. 0Qk001Y1jP. Ot FoOQVi 2nj RECEIPT #:
RECEIPT DATE:
?, 50
?U
la syq
3•3o -dD
2000 MECHANICAL PERMIT (RESIDENTIAI+)
CITY OF EAGA77
3830 PIIAT IINOB RD
EAGAN MN 55122
3/ZG /00 651-681-4675
Date: ?
Complete this section onlv if you are installing HVAC in a single fatnily dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required (a3 $3.00 ea.)
$ 30.00
6.00
13,00
State Surcharge .50
Total $ 33. 6C1
Complete this section onlv if you aze remodeline, addine to, or reaairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration
Fumace
_ Air exchanger
Air conditioning
Other
Fee
State Surcharge
Total
Reminder: Call for inspections
_ Repair _ Other
? YGLC-
S[TE ADDRE55:
$ 30.00
.50
$ 30.50
OWNERNAME: V1.I' I? (1Y?S? ?l dVI - PHONE #: JU? -`s'3?7 ?' O3
?. • (AREA CODE) ?j
INSTALLER NAME: ? e??l Lk-S(1V) ??L fl ?'1G( _ PHONE #: b6 / - -7 _7 '??_
STREET ADDRESS: S l.lrs-b Y-+?YVlk-P?JtG ? ?? (AREA CODE)
_ ly
CITY: STATE: M1vJ ZIP:
RECEIVED I7'?k.,t(,?" ? ?1N
IVIAR n ? ZODD SIGNATURE OF PERMITTEE
BY: ?
Eaafl i or Oice
City O Permit#:
d Permit Fee: 11
3830 Pilot Knob Roa
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:.. Site Address:
E r I Lk r
Tenant:
j~ Suite
RESIDENT / OWNER Name: ISO Phone: J51 t0
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: A4'z t C-_ C- s 1~ -Si
Construction Cost: Z , (a co, ct Multi-Family Building: (Yes / No >Lj
CONTRACTOR Name:
tx. VR62--c, WD ~t
~'i'1 Sid' -l;`U)t>n License
Address: 1,f t I" (F_V O t t P 4E f
City: 1 t 1 \ State: Zip: 5_12)2'01
Phone: Contact Person: kCt_ e I )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 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?
lYes 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 they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
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Z Permit Fee:
3830 Pilot Knob Road ? Date Received: j /
Eagan MN 55122
Phone: (651) 575.5675 r Stan
Fax: (651) 675.56.94
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: Site A dress: l Aspe
suite
Tenant:
RESIDENT /OWNER Name. Phone: (05 ~g__
Address / City / Zip:
Applicant is: Owner Contractor
TYPEOF WORK Description of work _ T A~ (7iUr % ~ t 3 C
Constrtxxion Cost S£ t~ Multi-Family Buirtg: (Yes / No X }
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CONTRACTOR Name:
Address: mynrl
r,~~/~ n~r~ GG
City: State: Zip: S J -
Phone: 6061 " i `A i - M V Contact Person: ~nre
COMPLETE THIS AREA 2&Y IF CONSTRUCTING A NEW BUILDING
Minnesota Ruts 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code • Residential veneation. Category 1 worksheet • New Energy Code Worst et
Category Submitted Submitted
submission type) • Energy Envelope Ca ors Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pion?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
mechanical Contractor. Phone:
Sewer & water Contractor. Phone:
~Ys~ r Yom'::-:S
I hereby actamwledge that this information is complete and aoairare; to the work wi8 be in cwftmwwe with the ordinances and codes of Me 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 peril that the work will be in
accordance with the approved plan in the/case of work which requires a review and approval of phans.
Applicant's Printed Name Applicant's Signature Page 1 Of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143397
Date Issued:06/14/2017
Permit Category:ePermit
Site Address: 4681 Aspen Ridge Cir
Lot:2 Block: 1 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert T Lynch
4681 Aspen Ridge Cir
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature