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4059 Beaver Dam Rd
PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088002 Eagan, MN 55122 . Date Issued: 01/20/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4059 Beaver Dam Rd Lot: 35 Block: 01 Addition: Diffley Commons PID 10-20450-350-01 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Ashley Orman 410 W Lake St Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Barbara J Nemer Tste 130 Plymouth Ave. N 4059 Beaver Dam Rd Minneapolis MN 55411 Eagan MN 55122 (612) 824-2656 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. Applicant/Permitee: Signature Issued By: Signature * 2422 Enterprise Drive ONEER LAND SURVEYORS •CIVIL ENGINEERS Mendota Heights, MN 55120 engineering" LAND PLANNERS • LANDSCAPE ARCHITECT! (612) 681-1914 R Certificate of Surveyfor. 711,c CO, NfL y.1r0 CO) VP,M/Y 7o-4? z°• 91 "M to' bps 8 -te. tab 20.9 z g 1e.42 ~ rr NoTC ~ 0ETAI L_ M I M All dls~wixc@5 Show" $Air I te. ts- ' t° tS - ( Tb Ci1177t/' ~//1~C CAI/ ~pNG~ l7ca~¢ ! s 3e` f.•arr sp4ct i as SZ.°o__. -fin • 57.x.. i te. is :e.:s ~ M ' N 1 ~ /0. ♦2 g to. it to. K t o. 9Z g 10.42 F'&0F05ED GARAVE FLOOR F-LEWTION = 895,7 -¢o 00'1E 20531- 0 _ P.1VC WAIr ,n l l0 1 N T I ll`rv~ 1 PRoPosED 6ulc.DrNv 0X N p NOKTH ScccIe . t=90' SEE agovE) psp b Q - ~I 0 In C ' r a L `0 I Nt.1 Oft EWAY r' - -77.63--' y S 8'> 4.0' 00111= a 30 -71 f z S i it 9000 Alolt! lmll~' t/tvaIoh - - - - Ao/t! eaGiri~Agt ;~ei~i/>•y tAtr~on~ r OplO %'~ts /~rOpaslq/ ~IIYd{IOI~ - •a- c1~►AOlff o~~s~irago {'/oK/ a~rbwo F$ #Xown art 4"VM W o e~tnokf iron M011,1miril LOT5 33 3~- 3 Lack / a DIFFL C Y COMMONS St4W cT Th C-AS-M&AITS 0AZIrA cMNTy- 1 Hereby certify that this survey, plan or report was prepared by me or under my direct supervision rind that I am duly Registered Land Surveyor under the laws of the State of Minnesota. Dated this 13~{~ day of Ao!ys4 n D 1931 i nonEni R. SIKICIt t-.5. EG. NO. 14 9e 1 X90 9015( PERMIT Control No. J yip ~ U CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 004066592 (612) 681-4675 Date Issued: t SITE ADDRESS: 4059 BEAVER DAM RD LOT: 35 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: pr3 i g q S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION 682,000 Base Fee 6558.50 MISCELLANEOUS 61,610.50 Plan Review 6363.03 COPY t.50 Surcharge 641.00 Total Fee 63,273.53 SAC 6700.00 SAC % 100 SAC Units 1 Subtotal 61,662.53 CONTRACTOR: Applicant - ST. WNER: THE ROTTLUND CO INC 15719304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0394 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 Mn. Statu a and City of Eagan Ordinances. AP ANT/ ERMI EE SIGNATURE ISSUED . SIGNATURE PERM?; # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 'APR O 1 RECD 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 when typing of permit is requested, but not picked up by last working day of month in which request is made o lot change is re guested once ermit is issued. Date 3 °l2 Valuation of work Site LocatSoil: w,f STREET STE # Tenant Name:_'- ~~+V uoo( Cc v~ C_ LOT BLOCK 1 SUBD. P.I.D. T>'. Cow.woh 5 Description of work: The applicant is: Owner ntractor O Other (Describe) Namee 1~ ► +Iv r~ CC). Phone s"l ! - 03 cj!4 Property LAST FIRST Owner Address SZo t 2~` var. O STREET STE N City r State Zip Company Phone Contractor Address License # ocv133S Exp.3 ~ 7 City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days one area as be approved. 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. Signature of Applicant: Gam'~'~ OFFICE USE ONLY x BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural ❑ 02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition 1904 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 9 31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R-3 M-I Basement sq. ft. MWCC System YES Zoning p =u 1st Fl. sq. ft. City Water -r, Const. (Actual) V- N 2nd Fl. sq. ft. PRV Required (Allowable) 14-M Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code 107- Depth 3q ' On-site sewage SAC Code 03 APPROVALS Planning Building `s Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee S5 9 ,Sa valuation: $ $2+ 4 0 ° Surcharge 4)1.00 Plan Review 363.0 G/tRAQr 360 )6 576 0 License MWCC SAC '900,00 Z~ A s-3= 7.5; 316 City SAC 100.00 l~owf 1y3 Water Conn. &T?510D Water Meter ~I 5 95. 00 ~ Acct. Deposit 3o,oo S/W Permit 30, 09 S/W Surcharge 4_5'0 Treatment Pl. 3pa+0o Road Unit o0 Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units RUFUTLOR i•:NVFMPF AVERMI-E "u" cc)t•pwrATIOU OWN ER SITE ADDRESS q05CJ Ba4YER CONTRACTOR i~0 ; ! UAX G•P,- DATE PHONE 3 Determin workini: square footaire of each. 1. Total exposed wall area !i sq. ft. x 0. 11 • 2. Total roof/ceiling area I sq. ft. x 8 .,0?6 Total exposed wail area above floor a. Total wall window area r b. Total door area c. Total sliding glass door area ~i d. Total fireplace wall area e. Total wall framing area (average lOP) f. Total net well area above floor . g. Total rim joist area Total exposed foundation area = h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall sf-gment. , b. 1 X „Uu C/i ry r it e. .11 111 f . ~r Ff x 11Ul. , Y a'1~ : l t 9- h. ve 00 U X 3. .►int.:l e' If item 113 is the same as, or less t.lian iLcrn Hl, you have met the intent of SBC 6oo6(c)2. n Total exposed roof/ceiling area = 1 { = r Total gross roof/ceiling area J. Total skylight area k. Total roof/ceiling framing area . 1144, 5:-3 1. Total net insulated roof/ceiling area Determine "U" value for each rucif/cci 1 ink; segment. J• _ X nun n k.* X 1. < X07, 4 . Total = ( r~ If total of A is the same as, or less than N2, you`'have met the intent of SBc 6oo6(c)1. To utilize the total envelope system method, the values established by the sum of items N3 and #4 shall not be greater. than the sum of items #1 and #2. 1. f 2. 3• + • r, C'= I Nom: -2~ 51 tNT I rz, ►~I LM c~; z t - - 2. ~Z, emu. ~N,~;Iu . O ~ Y - 4 , f o,o22 r - i GA L61, - fjo N:;? (60NJ',~ . WAu- 6-I'I N hc4L-611 oN LoMPO N ~r+~ . ~ . ~ - ~lAl-U ~ 2 3 - = ~Z INSULAT1cN 19.0 4 ~ yy~ GAR Cam, o, 4~ - r..~ ; ~ t~51~71r Ate ~ILN1, - ---D:Co b L U= - 0.043 HMV WAuL 7T IoMPDN~NTS F--VALW5 3 v 1N1v • 2 -OU _ co 106,1M PriP M-A. PL .M. View. U L _G~~ P5. I~ u~ = (01)2 X 0.O69) t6O, 941-117A 0.040 04-7 - PERMIT I Control No. W 9 CITY COF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 04086892 (612) 681-4675 Date Issued: SITE ADDRESS: 4063 BEAVER DAM RD LOT: 36 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R--4 Building Length 52 Building Width 39 Building stories 1 REMARKS: 0 `jf ` j l S & W CONTRACTOR VALLEY PLBG FEE SUMMARY, VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1.610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $790.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 Applicant - ST. CONTRACTOR: ]OWNER: THE ROTTLUND CO INC 15719304 0991335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY NN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the infar ation is correct and agree to comply with all applicable State of Mn. Stat t as and City of Eagan Ordinances. APPLICA TlPER ITEE SIGNATURE ISSUED BY: SIGNA UR Control No. RECORDCITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000178 Eagan, Minnesota 55123 Date Issued: 04/06/92 (612) 681-4675 SITE ADDRESS: LOT: 36 BLOCK: 1 APPLICANT: 4063 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG F n AIR PEitiT' CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 JIFR G Ego 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 when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is re guested once permit is issued. Date Valuation of work q Site Location: Deay-ev- TD v, STREET PTE # Tenant Name:-Ft',' CC" --F- K- LOT - 10 BLOCK ( SUBD. PAP, (~~fPmap P.I.D. # Descri t i on of work: J l ~ ; (=a v--, The applicant is: Owner Contractor ❑ Other (Describe) Name V-0+4-I v ACJ co, c. Phone S? - 0 3 0~ Property LAST FIRST Owner Address S2y/ C-- - 9d, ° STREET STE # City ELr-2&sy State 14,1v( Zip 'Z_/ Company 5C, vy.~ Phone Contractor Address License # 04,0133s Exp 531 9 City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Vcel(44 vv&gbf'r, Processing time for sewer & water permits is two days once re has be approved. 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. Signature of Applicant: OFFICE USE ONLY, BUILDING PERMIT TYPE y ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural fl 02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ;R 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 31 New ❑ 34 Remodel ❑ 37 Move 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy 19-3 M_ I Basement sq. ft. MWCC System YES Zoning PD R.L-1 1st F1. sq. ft. City Water Y Er----, Const. (Actual) Y_ 2nd F1. sq. ft. PRV Required (Allowable) _N -r4 Sq. Ft. total Booster Pump # of Stories I Footprint Sq. ft. Fire Sprinkler Length rz1 On-site well Census Code 102- Depth On-site sewage SAC Code o3 APPROVALS Planning Building % J✓ Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee S 58 , O valustioe: $ S Z 4) 00 Surcharge , 00 Plan Review ~3 C-1 9 09 &A 12 ,4&16: License MWCC SAC 70.00 Ra, O City SAC C>0. 0 Water Conn. GrZ5, too Water Meter c~ , o o H o"a a Acct. Deposit 30, as S/W Permit ao,0a 1(432- ~A53, ~S S`tG S/W Surcharge "Sr> Treatment Pl. _SCD, o 0 I Road Unit .3a 0 ,C)o Park Ded. Trails Ded. Copies Other Total: SAC % -imp SAC Units FXTFiiiOR I:NVF1.0PY AV1• RA(.1•: "li" Ct)M 11TAT I-0tl OWNER f u o ~~►4-~... SITE ADDRESS CONTRACTOR fl i 7L DATF. PHONE ~ 7, r~-3x✓ Determin working square footrs,;e of each. 1. Total exposed wall area !l U sq. ft. x 0.11 = 2. Total roof /ceiling area 0 sq. ft. x 6,026 = ~,r Total exposed wall area above floor = l 05;, a. Total gall window area 1 ! , b. Total door area i f . C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10i) J?~ • f. Total net wall area above floor j - g. Total rim joist area Total exposed foundation area = 2 h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall sntment. 0 -7 4$ 1 C., Ifull -7 d. x _ ~j x fluff "al a~ g x "t j r, h. x $Olin 1. x null 3. TO U13 1 j If item U3 is the same as, or less :.ti:,n iLcla 11, you have met the intent of SBC 6oo6(c)-. f Total exposed roof/ceiling area Total gross roof/ceiling; wren = J. Total skylight area k. Total roof/ceiling framing area /ia;Oi 5:-; 1. Total net insulated roof/ceiling area / ? 1. 7 Determine "U" value for each ruaf/eci 1 ink: scfnncnt. J. _ x nU„ l ~ k: L x stuff 1. Z &7, 2-x U„ Total 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . _ If total of #4 is the same as,'or less than N2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values establi-hed by the sum of items N3 and B4 shall not be greater.than the sum of items #1 and N2. 1. + 2. _ 3' + 4. _ - V5).-- _ 2 ._5p,_._..__ of A-~ _ ~~:=Pc!(z ..AGM. c~,Zat - - 2 , 44 r P 0-4S LM- 4 _ ; o,o22 GA IZULATIn N-,-7 -~AMle_~w ~ATr~ LOMPONart~, -VAW5 " , : 2~ ; ~ h! D~ Ili • - _ _ ~ , ~ ~ _ 2 Z3.oI = u= - ~ 0.043 . -FAME W4L G <.P-V!D cl, 0-UT-610S A* FILA. 3 3 ~N!:;:AVINls. 2IOU _ 1 C(I U - ~ o, oaq. pL~N• view. - L _e_-Cm P~, Ur = 0,12 X o.0~9~ ~-(o~ ab X o.04~~ = 0.04-7 PERMIT Control No. L CITY OPEAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 84006492 (612) 681-4675 Date Issued: SITE ADDRESS: 4067 BEAVER DAM RD LOTS 34 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: S A W CONTRACTOR VALLEY PLBG FEE SUMMARY VALUATION $82,000 Base Fee $658.59 MISCELLANEOUS $1,610.50 Plan Review $363.03 COPY $.50 Surcharge $41.00 Total Fee $3,273.53 SAC $700.00 SAC % Lee SAC Units 1 Subtotal $1,662.53 CONNNEkA~TOR: - Applicant - ST. T(§WNER: OTTLUND CO INC 15710304 0091335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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 Mn. Sta tes and City of Eagan Ordinances. f► Q~ 1 PLIC T/P MITEE SIGNATURE ISSUED B .SIGNATURE INSPECTION RECORD Control No. 0 ` f CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000174 Eagan, Minnesota 55123 Date Issued: 94/96/92 (612) 681-4675 SITE ADDRESS: LOT: 34 BLOCK: 1 APPLICANT: 4067 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 671-0304 PERMIT SUBTYPE: TYPE OF WORK: ULTI--FAN. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DDATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG L - • CITY OF EAGAN - # 1992 BUILDING PERMIT APPLICATION 681-4675 'APR G REA SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made r lot change is re nested once permit is issued. Date -3-/ f Valuation of work L4067 Site Location: cL3E"e,-W( Czd STREET STE N Tenant Name:710-- 2<z-)- kJOCI Cc), C LOT _ BLOCK SUBDP.I.D. # CUlMw~o Descri ti on of work: 1 c,. w~.r ~ The applicant is: Owner Contractor 0 Other (Describe) Name 1 G-z k2, "f v rd Csz~- Phone 59 l 3 ~ `f Property LAST FIRST Owner Address SZ~t G7- P'wr- 2d STREET STE # City Fr (~-1 State Zip s =Sy2 Company S v~ e Phone Contractor Address License # 010 3 3 S City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber i< < `env Processing time for sewer & water permits is two days once 'area has been roved. 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. Signature of Applicant: OFFICE USE ONLY ' - BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add. /Porch ❑ 16 Agricultural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition g04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE Z90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R'3 N-1 Basement sq. ft. MWCC System_ Zoning =y 1st F1. sq. ft. City Water -E Const. (Actual) h2nd F1. sq. ft. PRY Required (Allowable) y.Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 7_4sT On-site well Census Code 102- Depth 3? On-site sewage SAC Code b3 APPROVALS Planning Building -~a9 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace MICC SAC Fees: valuation: s~ t C7 Permit Fee 550,50 SAC % Surcharge 411-00 GAQ A&r. Plan Review 343.03 100 % LiC"SeMluc,_sk_ X00.00 3 X4 = 5760 City SAC 180,00 SAC Units Water Conn. j, 00 ~k~sE Water Meter 5,00 Road Unit 3Q&00 Treatment Pl a0,00 c~ 3 Z Y S r r7$1 9 ~ Rand-Uft+tS1Wkr*n►1 30,00 pBed w s/c~ ,Sow Copies a Acct gyp. 30,oho $ 6 6 Total: _ -T-NTFRTOR i:NVE7n1`F. Av}:r ACC. "u" CIMPIMAT1011 ~ OWhER 00 SITE ADDRESS CONTRACTOR DATE. PHONE 5 `r Determin working square footarm of each. 1. Total exposed vall area ~ ~U sq. ft. x 0.12 = ~t 6 - Q~ 2. Total roof /ceiling area 4' 02/ sq. ft. x 8026 r Total exposed wail area above rlorr a. Total wall window area . b. Total door area c. Total sliding glass door area .....................4, rrs% d. Total fireplace wall area e. Total vall framing area (average 10:) f. Total net well area above floor . g. Total rim foist area Total exposed foundation area 2- h. Total foundation vindow area is Total net foundation area hbove grade Determine "U" value of each wall :segment. Q-~r R b. '5 x ovule a- ►.3 S _ J5 x ..u., a. r- . . f.~~~ X nuts , i - X. .,tun h. olull POO 2 x ..u.. is If item '/3 is the same as, or less '.tl:.n iicm 11, you have met the intent of SBc 6oo6(c)2. • Total exposed roof/ceilinc arel Total r - gross Too!'/ceiling aren _ J. Total skylight -area k. Total roof/ceiling framing area May, 56 _ .1 Total net insulated roof/ceiling area / Y = 7. Determine "U" value for rnch ruof/ccl t ing. sc6-mcnt.' • • X null - n k. x „U.. - o.a2 7 3. . Total = e If total of #b is the same as, or less than 12, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values established by the sum of items 13 and iL shall not be greater. than the sum of items 11 and 12. 1. + 2• 3. 4. PERMIT Control No. r CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000173 (612) 681-4675 Date Issued: 04/06/92 SITE ADDRESS: 4071 BEAVER DAM RD LOT: 33 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY VALUATION $82,800 Base Fee $558.50 MISCELLANEOUS $1,610.50 Plan Review $363.03 COPY $.60 Surcharge $41.00 Total Fee $3,273.53 SAC $700.00 SAC % 180 SAC Units 1 Subtotal $1,662.63 licant - ST LT CONIA~A~' Yf -.UND CO INC - App 15710304 0001 35 THE hOTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 65421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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 Mn. Sta tes and City of Eagan Ordinances. 4~ ~Ijvu APPLIC NT/PERMITEE SIGNATURE I SUEDIB~SIGN'ATUFkE INSPECTION RECORD I Control No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000173 Eagan, Minnesota 55123 Date Issued: 04/06/92 (612) 681-4675 SITE ADDRESS: LOT: 33 BLOCK: 1 APPLICANT: 4071 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAM. T.H. NEW INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG L - CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 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 when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is re guested once ermit is issued. Date 3 / 9 2 Valuation of work Site Location: j STREET STE # Tenant Name: ~tY ?-p-f-4-k u Act Cry ~+n C- LOT 3 BLOCK ( SUED. P.I.D. # ~ l~ Co v~.~ wo Description of work: The applicant is: 0-Owner Contractor O Other (Describe) Name ` ' l~~d C a ---+nc Phone-5 y 1-03 0 `f Property LAST FIRST Owner Address 5 Zc < C , 2 (Z d a STREET STE City ~r ~a l ( State ~A P~ Zip ~Sy 2( Company S U- Phone Contractor Address License # 0-o r33SS- City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days on area has be pproved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition 'K 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 90 New ❑ 93 Remodel ❑ 96 Move /Eff ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy g'3 M-1 Basement sq. ft. MWCC System /ES Zoning F=- y 1st F1. sq. ft. City Water ES Const. (Actual) V_tq 2nd F1. sq. ft. PRY Required (Allowable) 1 - Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length_ On-site well Census Code X02 Depth -3EI On-site sewage SAC Code APPROVALS Planning Building y-, 9; Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace NHCC SAC Fees: Valuation: S 8 2. ads r Permit Fee S~S.So CiARA~~: ~a~' SAC x Surcharge , oo X /6 = 51?60 Plan Review Do ti x HeenseMuXr- T7 0. o ou.S- l y 32~' ~C S3 = 5 09 U City SAC Do.0 C) SAC Units Water Conn. r) o Y,p 8 1 `6 Water Meter D Road Unit .00 Treatment P1. Oo, 0 a Read W tslwPw,41t 30, ov pa~Gz". S1~ S1 C. ,,1 Copies ,5 0#.I ' Acz T .DEP. 3 D , o Total: F(TERTOR FKVF.In]sE AVFRAt.F. "till CINMMATION • . OWN ER SITE ADDRESS ~~ss CONTRACTOR O'e DATE PHONt i~7 7t-o30. Determin working square footage Of each. 1. Total exposed wall area sq. ft. X 0.11 f 2. Total roof/ceiling area -sq. ft. x 9 X026 Total exposed wail area above floor ~1 a. Total wall window area b. Total door area 'i c. Total sliding glass door area d. Total fireplace wall area Total wall framing area (average 10 I;~ , j ;f. Total net wall area above floor...,. - g. Total rim joist area Total exposed foundation area = h. Total foundation window area • i. Total net foundation area above grade Determine "U" value of each wall segment. a. x ..U.. Of 4- (j d. x "U" - - e. 27 Z, glut# ro x s.Ur. • . .9- ^ x h. x ..U,. _ i l l 7C "U" ! ! r v Q If item•13 is the same as. or less: Lhan item $1, you have met the intent of sac 6006(c)2. 4e • TR 7 Total exposed roof/ceiling ssre:► Total gross roof/ceiling area _ J. Total skylightarea k. Total roof/ceiling framing area. 1. Total net insulated roof/ceiling area /247.7- Determine "U" value for each roof/cci t ing. se6ement: S • X "Ulf k: 1. f~ x °u" D~t72 7 ~i;~ ~ . Total d If total of 14 is the same as, or less than 12, you have met the intent of sBc 6oo6(c)i. To utilize the total envelope system method, the values establi_hed by the sum of items 13 and 14 shall not be greater.than the sum of items 11 and 12. 1. ± 2. . 3'. + 4. s j ti r. O L ''r BL l CITY OF EAGAN CITY USE ONLY SUBD. PLUMBING PERMIT Lt C~ v+-ryWr L U (612) 681-4675 RECEIPT It DATE 27 7 6 - 1P,>_ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 _ ADD ON a SHOWER 3.00 TT REPAIR a WATER CLOSET 3.00 S~ BATH TUB 3.00 3 OWNER NAME: ~ ~_1i1~Z01 ez97~} LAVATORY 3.00 j1 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: Re Aj.- HOT TUB/SPA 3.00 l WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 - _ ROUGH OPENINGS 1.50 ADDRESS: e2zl) C OTHER _ WATER SOFTENER 5.00 CITY: / it PRIVATE DISP. 15.00 _ U. G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 Vl L'L 4'L~'~ Z Z YL L~ c- SIGNATURE OF PERMITTEE TOTAL. COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #~~S O ? . v CPk:~ I~: DATE : Lt1 2, Rri17 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: l SUBTOTAL : $ SITE ADDRESS: 'AVer A STATE SURCHARGE: .50 S BLOCK ` SUBD. TOTAL: u•~ LOT: INSTALLER: FLARE HTG. & A/C, IHC- 9303 Plymouth Ave. N1 ADDRESS: rgolt#en Valleg, MN, M427 SIGNATURE PERMIT E CITY: ZIP: PHONE p~lM t A~{ ND IM 1... COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT / SUED. ~~C Z ~I7~V1~1lLrY~ (612) 681-4675 RECEIPT SAO W DATE L RESIDENTIAL -T PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 fr REPAIR a WATER CLOSET 3.00 L- BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: 2 ~O¢lJL9rIG KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: L) ( 3 tA,- t p R c HOT TUB/SPA 3.00 i WATER HEATER 3.00 FLOOR DRAIN 3.00 ~3 GAS PIPING OUT. INSTALLER: Gam' •L~~ (MINIMUM - 1) 3.00 T_ ROUGH OPENINGS 1.50 OTHER ADDRESS: WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S 3~ `7 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH.DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN _ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # b I7~'1► DATE : L -.7eT~t "L. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: ~ SUBTOTAL : $ SITE ADDRESS: ~~Vor ~~b(rl Rd STATE SURCHARGE: .50 TOTAL: $ '5 ' ICL~ LOT: BLOCK ~ SUBD. INSTALLER: RARE 11%. & r AMC. ADDRESS : 9303 Plymouth Ave, No. SIGNATURE OF PERMITT E Q en .;?Ii€v,5,-. ZIP: CITY: Cwt it PHONE COMMECA.ND~TS'RAI.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L `C.. BL CITY OF EAGAN CITY USE ONLY r L PLUMBING PERMIT S SUBD. k `L (612) 681-4675 RECEIPT / © DATE t- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 Ctl KITCHEN SINK 3.00 OWNER NAME: I LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 1 WATER HEATER 3.00 I FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: t (MINIMUM - 1) 3.00= ROUGH OPENINGS 1.50 ADDRESS: OTHER y~ WATER SOFTENER 5.00 CITY: UtG'~1 _ ZIP: ~J Z-- PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S C) COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN I~ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #_/j DATE : 5?`AI PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: -r aV r ^ SUBTOTAL: ~-2e SITE ADDRESS: 1 ~ / STATE SURCHARGE: .50 LOT : BLOCK j SUBD ~-tl T VUYY~-aYV" TOTAL: INSTALLER: _ FLARE urn• & Atov !NG • ADDRESS: 9303 Plymouth Ave. No. SIGNATUR OF PE ITTEE en a_ypv, . CITY: i ZIP: PHONE iER.ZA,{DQR1,~ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 - LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L BL / CITY OF EAGAN CITY USE ONLY / / PLUMBING PERMIT / 11 S S 6 L SUBD.- L~I L~11 ~-7~ -dry (612) 681-4675 RECEIPT / C/ DATE L~ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 _ REPAIR "3~ WATER CLOSET 3.00 1 BATH TUB 3.00 i ? LAVATORY 3.00 OWNER NAME: Giles G 1 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: Z eL OTHER WATER SOFTENER 5.00 CITY: C'~Gz ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE 2v - W. TURNAROUND 15.00 % STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S ~~~~C) COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # #1rN1 DATE : 9L CA PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 t OF 1 PER PERMIT OWNER NAME : ~ l l )ln~ ` SUBTOTAL: $ SITE ADDRESS : STATE SURCHARGE: .50 LOT: BLOCK j SUBD. TOTAL: $ e~ INSTALLER: , ma. ADDRESS: 9303 Plymouth Ave. No. (SIGNATURE O PERMITTE Golden . ev, W 55427 CITY: ZIP: PHONE nLiQ I ~~n pRSAL/1~tISt~►`r PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN Lot Block PID # Sewer/water permit # 7(v ~ ~a/5 pit Receipt # Gl CITY OF EAGAN SEWERIWATER REPAIR OR DISCONNECT PERMIT 1998 Date -2- Sewer Water Fee: $50.50 qolc~ , Address/area to be repaired qnO- ~Dl~ ~i Description Owner -~Lz g, J""~; C Phone no. 7Sc66 _ Street City State Zip code \ Ins taller) S6,662- ~ Phone no. 44--_44e-`~ P~ 753 -353 Street 76O City rrz State n Zip code 5 ignature o Permittee #~!:~~nM?X•'l ~ %~?RXS?~X~?r:X~?F?(<?'~ ~t:is~'~iYn~?K?X~'~~%it:;t~FY„~:?k?;=A~?):~ CITY OF EAGAN CASH'lU-KR,- S, T1l'.IMINAI... NO. 84.8 DATE.- il./l.6/943 TIME, 14.-4.9-53 ID NAME., SUBURBAN GROLJF' INC 321.C?,o 001. 4 043 T i=:AVI 'R DoM 224-.75 324.01.900:L 4•059 11L AVi-:i : I AM 224.75 321i) 9001: 4-075 L'ItEAVER DAM 224. 75 900:1. 409i BEAVER DAM 224. 2:LO 9001. 4407 DE"rAVER DAM 224.75 321.0 '.700:1. 41.23 DE::fAVE R 13AM 224.75 ::12:1.0 9001 41.39 BEAVER' DAM 224.75 32:1.1.) 90(:)1. 4155 DEA'VE::F< IJAM 224.7 CR0990.1. C0NTTNLJ=: (.1SE::Ft ID.- NANCY KM?X ~~?r•?,~,' if ?P ~s~!h yjf ~i'r )h ~F Ati:~?iA?l<?~?N4?~ ~'?f4+?f ~?i<?~i ?i'~?i4?/+?~~M1?~~n ?$K~#y??li~l+?v~%X~.°,~iICY,:'~:{<,,c~d?~h~'k?~mYd.ilC?Y1:YC~~?l: t;ON'TT'r~l.iE': Cl..TY Ol F-*,-VIAN (,ASElIER., S TERMINAL NO-. B4-3 DATE:;; iti 49- II:+ NAME: ~ . S(JBURSAN GROUP ' INC .`:7~'(]1. 41. r'i SsF_'t IVE:F,: I:i N ci~4 75 32J.0 CFtO994:1. i. USER ID: NANCY ~y~?X~:~?kX~?X~?~ ~?Kxt~?~ ~'~?r<h~?K?!' k~?k?I<?%?ks;<?l<~:?~~F?~t>X?~~:?~A~?~?k PERMIT CITY OF EAGAN 3Ew3 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 0 6 2 (651) 681-4675 Date Issued: 11/18/98 SITE ADDRESS: 4059 BEAVER DAM RD LOT: 35 BLOCK: 1 DIFFLEY COMMONS P.I.N.-.10-20450-350--01 DESCRIPTION: REPLACE SIDING 8vr,.r,l,d ing~ ?ermit Type MULTI. (MISC. ) E cbing.'~,W&'c_, Type REPAIR i~ensas Code 434 ALT. RESIDENTIAL F REMARKS: INCLUDES: 4063, 4067, AND 4071 FEE .SUMMARY VALUATION $15,000 Base Fee $224.75 Surcharge _.._..._..11 .^50 Total Fee $232.25 a i CCINTRACTOR: - A p p l i c a n t OWNER: SUBURBAN EXTERIORS 28818232 DIFFLEY COMMONS..ASSOC. 9701 PENN AVENUE SOUTH 4059 BEAVER DAM RD BLOOMINGTON MN 55431 EAGAN MN 55122 (612) 881-8232 I hereby.-ackho-wled''gethat hav e read this app1icatio-n `end State that tH,e i n f orrmati or 4:sarr ct, and °agra to comply With aj."l appa. eab].e State of 01n'- nceia StatU,tes, a.' city, of°.Eagan 0rdinLJ APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) t CITY OF EAGAN 681-4675 Submit following to obtain necessary permit Foundation Only New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) " code analysis (1) civil plans (2 sets) project specs (1 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calculations (1) not always Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MCnivS - SAC determination letter from MCNVS - SAC determination letter from MC/WS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) Electric Power & Lighting Form (1) Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: ) I Ci~ i WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: dam TENANT NAME: ~D SITE ADDRESS: 4c~- O 6,J 07 b2zA,-,Q-,r Oj,,~ rJ SUITE LOT 3f BLOCK. SUED. L (-L VY-\VV\-0, VV-- P.I.D. # T- ( ~ V"Q1A ~ Phone Name: )D PROPERTY Last First p-~ OWNER Street Address:`'f V -'/c)6 -5 q ©6-t- -e,O -o- a ~PJ --r - City State: Zip: ~U (1 ► ) ti~ rl' Phone #:t ~~23 Company:_ CONTRACTO ~,7CA R Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone _ Name: _ Registration Street Address: City State: _ - ZiP: - Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the information is ect and agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 00 K-~ Nv--L 2 OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCMS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge ~ - ~ Plan Review MC/WS SAC City SAC Water Conn. SM Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Water Qual. Other Copies Total: DS % SAC SAC Units Meter Size R_ A16 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 0 2 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4059 BEAVER DAM RD LOT: 35 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-350-01 DESCRIPTION: Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES 4063 (LOT 36) 4067 (LOT 34) 4071 (LOT 33) BEAVER DAM RD FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: OU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOC 636 39TH AVE NE BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TURE F 1.- 0 O *1 CITY OF EAGAN • V 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Repair Requirements V, M v- New Construction Reawrements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: Yes No DATE: CONSTRUCTION COST: 10 DESCRIPTION OF WORK: (~f 64~~~ L/ C/ STREET ADDRESS: 096) , 4 Q 0Q +'p y 0-11 &aU64- ua,~, ,33(o BLOCK SUBD./P.I.D. LOT PROPERTY Name: Phone OWNER wT FIRST Street Address* City: State: Zip: CONTRACTOR Company: we Phone t336 39th AVENUE NE M%, MN 55421 Street Address: A (612) 7W9411__ License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS r Planning Building Engrg t Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units . 4- i • ryy„ 8 (9trftttra#e of (Orrulpanry n 'citp of Qlagan n ~~~rim~f n# ~u~ldatg ~tu~rdimt . T7cls Certificate issued pursuant to the requirements of Section 306 of the Uniform Budding Code certifying that at the time of issuance this structure war in compliance with the wb*ur ordinances of the City regulating building construction or use For the following: u~ a. aoa KJL AFAM T.H. BWg. h6k-Nd. 175 Oa,upa-y Type R3/M I z nwW 1D/R4 TM, Cansf VN Owoa at B aft 7M .ROTTL= 00 -INC Add,= 5201 B VVER M. FfLI»~EY A 40WWAU DAN RDAD ~ L35, B1, DDT= W4M mot' 7124!92 POST IN A CONSPICUOUS PUKE 4 w J (l eriif irate of Orrupaury . ~itp of ~agatt~ h jx8r#M4414"a of fitg jmwtdt= nfs Cernftcate issued pursuant to the wqutrements of Section 306 of the Uniform Building I Code certifying that at the time of isswwe this structure was in compliance with the. various ~ ordinances of the City regulaAing building construction or use. For the following. uea. u~ NMTI FAM T.H. 174 ~sws. ~ rto. 0-111-7 Typ R3/141 z0ains Da i,, Type cam VN Owns of RMWAg IM BDTTLUND 00 IM Add= 5201 E RtyPR RD, FRM EY G -H&M DAM AD L ms;yI.34. B1, DUMM DDS V29J92 o~-w POST IN A CONSPICUOUS PLACE i Ted tf try#~e f (err. ~rau citp of eap.n Rnr alul ltrat Of BOA" 3witrum This Cernfcwe issued pursuant m the requirements of Section 306 of the Uraform Building Code cernfying that at the time of issuance this structure was in compliance with the. various i ordinances of the CWy regulating building conmcdon or use. For the following. use M[1LTI FAGS T.H. 173 clowificatim 1~ _ VN Dwrict Fo TIm 00 DC ~ Addm 5201 E RIM RD, FRIMZY 4071 MMA R DAM RW B1, DIFEFfrEY- CC*M " .{.t r f Date 7/24/92 ; 8 O&W POST IN A CONSPICUOUS PLACE u (grrftfirat a of Mtr4vaur . ~itp. of ~-agari ]gppwftmd of 100". wrrtt= This Certificate issued pursuant,to the requirements of Section. 306 of the Uniform Building Code certifying that at the time of issuanae this structure was in compliance with the. various ordinances of the Q# rMdaft building construction or use For the following.- s uw chufficad" KLTI- M T.H. - ftmdcNo. 178 Oxvw-s' M R3/Ml ZadngDistrict PD/94 Type 'amt VN Ownu of Wdm IM WMINID 00 RE " Add.. 5201 E RIVER RD. 1 MM- u 4063 WAVER UK FM . L36, :B#DIE'M CM44 S ' ( Dow .7/29/q2 ~I Bwwin8 O trial !i POST M A CONSPICUOUS PLACE Address: 4063 BEAVER DAM ROAD Lot 36 Blk I Sec/SubDIFFLEY CONS These items were/were not complete at the time of the final inspection. Date: 7/29/92 Yes No InApectaro IO Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry VII, ip rd Permanent driveway r Permanent gas Sod/seeded grass Trail/curb damage LZ Porch Basement finish Deck LIZ 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. AFCYCLFDMKA White - City copy Yellow - Resident copy Pink.- Contractor copy "Address: 4059 BEAVER:' DAM ROAD Lot 35 Blk 1 Sec/SubDIFFLEY S These items were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) Permanent steps - garage f~ Permanent steps - main entry Permanent driveway Permanent gas f Sod/seeded grass Trail/curb damage Porch Basement finish VII, 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. -ja REMEOERPER White - City copy Yellow - Resident copy Pink.- Contractor copy [Addres~s 4 4067 BEAVER DAM ROAD Lot 34 Blk Sec/SubDTT+ . Fy S hese items were/were not complete at the time of the final inspection. t : 7 29 92 Yes No Final grade (6" from siding) Permanent steps - garage' Permanent steps - main entry [f Permanent driveway y Permanent gas Sod/seeded grass Trail/curb damage 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. 2 NECMEED MEN White - City copy Yellow - Resident copy Pink.- Contractor copy Address: DAM R[)AD Lot 33 Blk 1 Sec/Sub DIFFLEy S These items were/were not complete at the time of the fina inspection. Date: 7/24/92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas' Sod/seeded grass Trail/curb damage Porch f 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. RECrCLEO MPER White - City copy Yellow - Resident copy Pink - Contractor copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 011 1 1 01 No 3830 Pilot Knob Road Permit Number: 0r' I `+0.' Eagan, Minnesota 55122-1897 Date Issued: 0f, ! 1 f f'}6 (612) 681-4675 SITE ADDRESS: 1 f it f 0 0 0 1 APPLICANT: 15? I:1 last ,r I:{i (fll'fil I Vi 1 OW4 IIt rhti 7! } } I 1 I 4 tilrgM+lh1`, { C• } i ,'11TY +Q t i PERMIT SUBTYPE: TYPE OF WORK: 1 !)I41 I+e NAt,1 1:•1 VA F Ind INSPECTION DATE INSPTR. • TYPE DATE INSPTR. I NO l I i 64tH?} I I'1+ t 411+1 it 0t, -t I ! s"+ } cr, f +169. 1 I i1 ! ; `t %1bi ' } { ! ~t } t';) til 11W It HAM lir) -t -1 Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION C ~ . ITY OF EAGAM PELT Y ~ VT~ : IV- 3830 Pilot Knob Road Perrfit i! Pnf; Eagan, Minnesota 55122-1897 Date isSred: (651) 681-4675 SITE ADDRESS: F' X N. . 10--?0460, 'I K O- ° 0 a APPLICANT t (IT 3b HL0C,V - t 40614 kylFA~VER DAN FCC) s0HURHAAyWy{ Fmt'#~`fP~ yIORS D t F T r.Ut t Cy7M1`I SW-i ~1 Y~ L! r! C3' K r1~ J - PERMIT SUBTYPE: TYPE OF VIIrOO'K: f1 f f L 't 'f . 4 ~t a:. 'f R E p A wE `tr~1 x *7 ~lkr k I4i fir- LF ` 9 a~ s ' t~Tr F,y:,c~.u.}9.,_ - -,r. r.,-zJ~ n, r.(~` a..+•.:1d~'r~~~ai~~'.?;~k "k,.+Fk:'rs~v: . ~..yNr~ .F , ~ ~ H. a i t - - _ Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG [DECK FINAL IN PECTI( RE T 017 s " "GM 'OF EAGAN PERiIiNT TYPE: ;3831) PW Knob Road Perml t4fter: x Eagan,. Minnesota 55123 Dana Issued: (WY 681-4875 SITE ADDRESS: Loy r $3 b&dCK S. i APPLICANT: 407S mfAvf* 0" RO THE *OTTL 40 bl~fl.!°Y CONMOIIb (8th) 1ie~'~•l~+1 PENW,SWWYP H TYPE OF W' t FOOTING IMtUtATIQ~i FI"L FIREPLACE 11EM+AR O r N CONTRACTOR VALLEY P&SO PWMRN& PWOM" Wer Date 7Y Drw# SJw Pty HVAG a.c . k+ePa 0Ift Dole wo. cx .rn. FoOOW l t z S POUnde*n Paou* Plbg. ~ f 1 P4u@hHig. AL i -IP4 JAC J". 0" Tad flnel Pbg. M* k+epe W- Pkvribw C XISL Meter EngrJPlon Mg. Fines oLz Deck Fig. Dock FkW well Pr. Disp. ` INSPECTION RE R . 0177 cm..OF EAGAN PEF "TYPE: 3830 Not Knob Road Pem1N Mm"ber: Cagan, Minnesota 55123 pew I OW) 881-4875 SrMADDRESS: LOT t $4 OL.04 r e ~ A .ICIAWi 4 ~ __,.___r~w~~t Rid °It?I►~ . ~ ~~di& PE UETY 'HYPE OF WORK. Otto M~tJt,AT`~aM ir`1~MAt . m ,i Permit No. permit Hamel, Dam T*PhOTA # J SW PyUp _ - - + ELECTM FR1 -a ftwddbn -1 Fir Fein: G 3' Replace Finet ice. - , a" TOM Rid Plb9. PR).11 CW -NOW Plumber CAE. Mew Mg. Finat 21" i DoCk Pig. deck Finer w4ii Pr. Disp. INSPECTION RECORD' co,bd No- 017 8 rrY OF EAGAN IP ERWT TYPE: 306 Pilot Knob Road -~LrmRh~unta~r: Fagan, Minnesota 55123 Date kwupt. >!iE (612) 6814,675 SITE ADDRESS: Lot $6 t or ~ I APPLICANT: ~1~#► 094vtN DAN *0 THE 116TYLUM 90 lilt bx~l~t<EY c0*0008 (412) 1171-"04 .P: H . TYPE OF WIC: E6tI T tlfA 1'MAN I M#i INSULATION FINAL I~IN1~i~f~ACE 04,00PKA: S A- W C0VTf4ACT8A - VAL EY PLO* P NO. hsrmft lldidsr Dow Tillsphom a T S/W d: CTRIC Map.adeli Dais WFL C. is FOGWVJ z , Frarainp Rough P14 Rough hl. Rrof H. Ormibm Rnd pw P ft Msepeabr - NOWY fts"Wr Canet. lAafar &VA'bn Sklq. Fines Z Dick Fig. Deck Final vm Pr. Disp. feu/ 71 ~.-0179T IN SPE ' I N rico QMOF EAGAW PER ' TYPM ` 3830'Pilot Knob Road pwfv* Nwr6or Eagan, Minnesota 55123 Data wowea. ! (612) 681.4875 SITE ADDRESS: LOT. 86 •tocK, ! APPUCAt*.-l 4663 "Avt* DAN RD TN1' ROTTI;iill $ '200 Y t IFFLEY C4N"*$ (6&2) Ev114&"04 TYPE OF WMI., trt OcIt IM8 IRA li! sutI A'E'I OU I~YtIIrA IM!PtACE b l pF/ "*S e. $ s u CONT*ACTt1A - VALLEY Pt NO Y Permit No. ' PlNnR FIM9dor 010 vsbphwo • .t ~ FaLUMOM AN, ELEC"VC bloomed". aaa Also. cow FooNtW ! Nk Fem. -fool~ , war. Q" T" Cana Meter 4 Bldg. Final Do* Deck Anal ~►ON , Pr. Diap. a 7 3 Y (Request Date Fire No Roug0f Inspection Q l i Re i ~ Ready Now j~M(iIl Notify Inspector I ` I es No When Ready? I,,Z'licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street, Box or R G No.l City t4 I Section No TowT wnship Name or No. Range No. Co ----------I IOccupantrP Phone No. - - (Power Supphe/~ Address ~Electncsi C traclldr (Company Name) Contractor's License No. IFIF------- Clf-00 -397) IMawng Addr s (Contractor or Owner M king Installation) - - - - IAuthonzed Signal-ure rContractov er M Installation) Phone Number (e 3 6 MINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD "-Iversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS °n800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTIONEe-00001-0e 10- See instructions for compietirg this form on back of yellow copy -7-32-3-9 - M'SPlow Work Covered by This Request v a 7 `/`/Fns 2. ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service I Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Cortractor's Remarks. Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee # Pool 0 to 200 Amps 0 to 100 Amps T I V0 00 Amps Above 100 Amps ~Transformers Above 2 Signs Inspectors Use Only: ~~TOTAL Irrigation Booms J 'c SS ScD Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. - r T I, the Electrical Inspector, hereby Rough-in, certify that the above inspection has Final t Date been made. ,been G~ Y USE ONLY -uest void 18 months from 1- 3,& 4 Request Date Kre No. gh-in I, ection squired. Ready Now ~4Nill Notify Inspector Z I No When Ready? 1 censed contractor J owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route o.l city /Levi V ~~,l.- Sect on on No Township Name or No. Range No. Coo UL Occupant (P IN~TI ~ Phone No. Power Suppligr Address Electrical Con cto' Company Nam Contractor's License No. C-A d0 3 l Mailing Address (Contractor or Owner Mak r,q Installation) Authonze0 Signature (Contractor,Own MaIR`"n I tallahon) _ Phone Number l _ 3_-3V0 MINNESOTA STATE BOARD OF ELECT ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED EB 8 2 REQUEST FOR ELECTRICAL INSPECTIONTe -00001 -os ► See inVucbor,s for completing this form on back of yellow copy 73940 'X"aelow Work Covered by This Request4 ewi AddTRep. Type of Building Appliances Wired Equipment Wired _ Home - Home IRang e _ -7 Temporary Service FXE - Duplex 'Water Heater Electric Heating Apt. Building -t Dryer - Other (Specify) t-+----- I IComm./industrial I Furnace (Farm----- Air Conditioner Other (specify) Contractor's Remarks' II Compute Inspection Fee Below: I # Other - f Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool j~0 to 200 Amps__ 0 to 100 Amps ~ 'Transformers Above 200 Amps ~ Above 100 Amps -TI gnS Inspector's Use Only, hTOTAL s~ rrigation Booms L Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M THS. -1----- - - I, the Electrical inspector, hereby Rough-ir Dates , certify that the above inspection has Flnai - ate •f ~i7 been made. f OFFICE USE ONLY. This request void 16 months from ~ ~0 7l6 2 7 ~~9%9 $ iu-st Date t-~Pire No. oug Irspecton~ eq it tl? _l Re ady Now ill Notify Inspector O Z s No I When Ready? IZ' iicensed contractor D owner hereby request inspection of above electrical work at: Joe Job Address (Street, Box or Routa o~.),, gyp,,Q City ((Section No, Township Na or No. (Range No. ICounty IOccupant (INT)-------1------ Phone Sup r (Address IEiectnwl C tractor (Company Name Contractor's License No. ' - I c Sao 3~1 Ma,hng Address (Contractor or Owner Making Installation) I----- IAumorrzed Signature ICon!ractor• wrier M in Installabon~ Phone Number MINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED N 3Mt,~ r(J~ ~G REQUES es-ooool-os ► Seg-mstruc yeuow copy. / 7/ "X" feet orx Covered by This Request --111111 17394 2 ' ! ` ` L ew~AddrRep. TypeofBuilding Appliances Wired Equipment Wired HomeRange Temporary Service -Duplex I Water Heater Electric Heating Apt. Building -(Dryer Other (Specify) C--}--a---------- Comm. /Industrial Furnace Farm _ Air Conditioner - t----------- 1--- Other ispecifyl Contractors Remarks, Compute Inspection Fee Below: - -r------ _Other T Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool rt 0 to 200 Amps 0 to 100 Amps -tTransformers _ Above 20o - Amps Above 100 Amps Signs Inspector's Use Only % (TOTAL ~ Irrigation Booms Y 6 ~ Special Inspection Alarm/Communication-~ ETHIS- INSTALLATION MAY BE ORDERE ONNECTED IF NOT r--}------------~--- f IOther Fee_____-L-- PLETED_WITHIN 18 MO HS. F Rough-in 01 { Date I, the Electrical Inspector, hereby „ ;P- I certify that the above inspection has Final to been-made. (OFFICE USE ONLY ,.i This request void 18 months from AN - 107141z Request Date Fire No. oug Inspection ~Q I Req v . Ready Now ^ill Notify Inspector -L v s-_No When Ready? - V 11,21icensed contractor D c hereby request inspection of above electrical work at: N - IJob Address (Street. Box or Ro No.) o Ciry wnship Name or No. v, (Range No. Co c (Section No TT. ,Occupant( INT) Phone No. t Power SuppliN ~ Address - -----L-------r L/y IElectnc3l tractor (Company Namei IContractor§ License No _L t 11 003 Q 1 rMadng Address icontractor or owner MaKing Installation) -r---------- Authonzed Signature (Contractor, ner M in Installation) _ (Phh nne Number MINNESOTA STATE BOARD OF ELE RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB•00001-09 ► See mstructtbns foTrimpleLng this form on back of yellow copy. Z4~ X Below Work Covered by This Request e w Ad IRQ epITypeofBuilding Appliances Wired Equipment Wired Home _Range Temporary Service -t----- -rDuplex Water Heater Electric Heating T-TApt. Building Dryer Other (Specify) Comm./Industrial - Furnace Farm (Air Conditioner I Other (specify) Contractor's Remarks: Compute Inspection Fee Below: I #+T- Other Fee #T Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S 0 to 100 Amps F ITransformers _ Above 200 Amps Above 10010.0 Amps Signs - - Inspectors Use Only: 1 (TOTAL ~Tri gation Booms S ~d(f Special Inspection - t- Alarm/Communication -l-_ THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH -1------ Rough-in Date I, the Electrical Inspector, hereby certify that the above inspection has Final oat ,e~ -y O been made. _ '4 7) OFFICE USE ONLY This request vao 18 months from 0711112012 10:42 Les Jones Roofing, Inc. TAX)9528817009 P.0031004 Use BLUE or BLACK Ink I ForOfflceUse-- - I My Permit of EaEdu :ZY Permit Fee: 3830 Pilot Knob Road Eagan IVIN 66122 Date Received: Phone: (661) 676-6676 Steil<~ j Fax: (661) 676-6694 1 I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION AM 2OA-D Unit: Date: '71" 4; Site Address: _W !'F2 f x/0(07 13L-A M D Name: f" Prto-Psxry CA-rl.~ lNG Phone: (es y__ .S _ `Fg1f9 0,SIDLN7 ! - OWNER Address I City / Zip: A 0, Bnx 2125 JN 1/0-L Cr"A- A&dg 33D 7G Applicant Is: Owner SC Contractor TYPE-- OF WORK Desclptlon of work: RI VI' PI/C AND RSP&A-Cf~ 1DB "-n 4' BA'^JD Multi-Family Building: (Yes / No __J Construction Cost: LUW,0- Company: ~.E5 X10N6r3 kn0FrslG 1N Contact: r^ ALS / Address: q y( W. w" ammr City: ~GUO/l~t <N~ TD N OdNTRAeiIe,R State: r Zip: ,~S'ydo Phone: License M &S O 331 IN Lead Certificate r- yo37O~~/ s~ag~l t 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 a Water Contractor; Phone: R-0 :,r Plans "d~4uPPo01ffw aJhien&.'fha •jrou°aOfti -acre-oansidFrgd~~s~•be,Doi iffo alien. Obdioni of thteAff,arr>rlation maybe°alassified,asanon-,pPobbgo if yqv.-pipv1de spe*1f16 reasoni+fist wouldffsertnlt,the•Qfty-to .1~!~~ ax ~iha ar~~tc~lafsx~~Or~,f~. CALL BEFORE YOU DIG. Cell Gopher State One Cali at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x ewAts .4 m i) ma~ X Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA105351 Date Issued: 0711012012 itj of 0n Permit Category: ePermit R Site Address: 4059 Beaver Dam Rd Lot: 35 Block: 01 Addition: Diffley Commons PID: 10-20450-01-350 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Renewal Andersen Barbara J Miller 1920 County Road C West 4059 Beaver Dam Rd Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121326 Date Issued:03/25/2014 Permit Category:ePermit Site Address: 4059 Beaver Dam Rd Lot:35 Block: 01 Addition: Diffley Commons PID:10-20450-01-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Wayne D Gilbertson 4059 Beaver Dam Rd Eagan MN 55122 (651) 756-8427 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature 0510612014 09:39 Les Jones Roofing, Inc. TAX)9528817009 P.0031011 Use BLUE or BLACK Irik 1 i For Office Use j Permit City of Eap - ' l Permit Fee: 1 3830 Pilot Knob Road Eagan MN 66122 Date Received: j I I Phone: (661) 676-6676 Fax: (661) 676-6694 1 staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ! Site Address: b 400, 0Unit 0: Py ' Name: y0 Pteo~er2rY c AW-E . c AIG. Phone: 657- s-s~/- 99vy Address / City / Zip: BO k 212 5 /,VV6X_ GV_ovX gyy 9 !re ~a ~ .1 Applicant is: Owner -X contractor Description of work: P11 . . Construction Cost:-A 7/ 7r` Multi-Family Building: (Yes x /No Company: ~E5 JoN63 RQ01!!2n/fr AVCG_ Contact:41- 4s Ot~tsoA/ e Address: t'D 9YY7'Y City: ,BGDOrtuyG=Al w al State: t _Zlp: Phone: 4SR - W 7 - a8/7 4°0 3 7.7 - / „y License 10.5 /off Lead Certificate &A-17 If the project is exempt from lead certlficatlon, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN0 In the last 12 months, has the City of Fagan issued a permit for a slmllar plan based on a master plan? _Yes __Jo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: _ Phone: Sewer & Water Contractor: Phone: i yyy, CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 484-0002 for protectlon against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utililles. www.oooher8tateonsQ11.2ro i hereby acknowledge that this Information Is complete and accurate: that ft work will be In conformance with the ordinances and codes of the City of Eagan; that I understand Ihls 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. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 05121/2014 10:19 Les Jones Roofing, Inc. (FAX)$528817009 P.0101011 1111!Pa° City of Eaaall Date: 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 6755675 Fax; (651) 675-5694 Use BLUE or BLACK Ink For Office use/ C Permit #: ��'1(p Permit Fee: �O Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION a //9 /# Site Address: 4/x..41.4 .400 4071 gesivEk AtIt f R_pA p Unit #: ;�;�Cs.+z; `t ,' ii, A 4',;9T�: al« ^ :. ,^ Name: o PeOPetrY C.AEr tNG, Phone: !06/- rte/• 194/9 Address / City l Zip: 'Po. Box 212 5 / Mien- 6�-D a 4i,h !114/ 61J-47 94 Applicant Is: Owner X Contractor • �:� `T` ;f'111•74���'' ''' N. `' r ' Description of work: I�EMD wND pM Construction Cost $ 20 550. �� Multi -Family Building: (Yes A / No w'°,c ' ..aka. til !F 4, ',C r, ": �,Vr )r v y.t . ' u• if 4i4.‘ , . ' , a!, '° ' "..-.pY= ' - '; u..''. -„r 1.-•;tiX ;; F ' y; ' ''.k 4'rn �;:,:9 i, `; /NG Contact LE,!/2a s �rVOFJ� Company: AES ,Th,v s Ru0f7i 14�^sOAJ Address: )'iI W. tO .4777 City: utiLr7Zm✓ State: ,�n! Zip: f .V 2D Phone: 95-A-74,7-_,.78/1 License #: i6re, ro Lead Certificate #: AlA-T LID 3 VR - / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: ,: f v.r � i 4`n_. - .1n,: s. y� 1X1 rot L'w a.lill r --• its��i,�, i'/inf4"c S�nlafipit lYl'a !i_9'T;cj �afftealwe44rr hn- Wy4� (��'.'y7tiqu�%uRro�l'r��ir 1/gpk 1 ks�onn, ri3Owdu/fid •Ii !( `i,,ttxtdto ,' •,'Sr :. L' c1 );�`:! r,,,,s ..r °i'.. i "M,,'.,l. lit�,y. •:I..$f A P }p.Qf.Q 2Fb?XRT•'v6i ,..yd.,rF9i.AI•.f Jir. k s).*q., >5101"..?...., COC' :3.., '�. tial � l''a,„i;•i. 4'G .7.' ', CALL BEFORE YOU DIG. Call Gopher State One Cell at (651) 464-0002 for protection against underground utility damage. 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