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580 Autumn Oaks Ct
SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERY1T # SEWER PERMIT # jT_ METER # f v B.P. RECEIPT # 7T77 READER # ) r? B.P. RECEIPT DATE 7% 16 METER SIZE ISSUE DATE PRV _ BOOSTER PUMP SITE ADDRESS :1....,-:nx-x--.' ?.??'?-=, •- ?' ? . , LOT?BLOCK -? SEC/SUB APPLiCANT: ?' ' 'f..?-? •- ? ? ?"7??k_-? ?. , ? . _ ADDRESS: CITY, STATE ZIP - ; . PHO,NE: i - c?66 PLUMBER: ADDRESS: CITY, STATE ZIP - - - -,PHONE: ' - - i PERM(T REQUESTED V SEWER - WATER - TAPS COMM/IND - RESIDENTIAL w NEW _ EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: I/% OWNER: rf ADDRESS: ATURE WHE ER ISSU CITY, STATE ZIP-- _ . ' - PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ; SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS lOT BLOCK SEC/SUB APPUCANT: CITY; Sl PHONE: OFFICE USE ONLY2 PERMIT DATE WATER PERMIT # ` '- = ! SEWER PERMIT # _?? METER # B.P. RECEIPT # ' `? ?? READER # B.P. RECEIPT DATE METER SIZE ISSt1E DAT'E PAV - 8005TEF1 PUMP PERMIT REGIUESTED ZIP PLUMBER: ADDRESS: CITY, STATE ZIP ' PHONE: OWNER: ADDRESS: ' CITY, STATE ZIP PHONE: - SEWER - WATER -TAPS - COMM/IND _ RE5IDENTIAL !/ NEW _ EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: ? !i . .?. SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO iNORKING DAYS FOR PROCESSIMG. FOR STORM SEWER PERMIT5, CONTACT ENGINEERING DEPT. DATE: 2/23/$9 580 AU'fUlIN OAKB CT.. Ll. B3, COUN'fRY HOLLOH --Xx- Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8 Water Permit for the above property cannot be completed for the following reasons: -- -? Your Sewer & Water Permit for the above property has been completed, but the meter cannot , tb issued or occupancy allowed until further notice. -? COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be clhfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Sec(etary, Building Inspections Dept. DATE: 2/23/89 580 AUTU[41 OAKS CT., L1, 1113, COUNTRY ROLLAW XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: -? Your Sewer & Water Permit for the above property has been completed, but the meter cannot , bQ issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be ° c4nfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. `i, WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-81 DO BUILDING PERMIT To be used for •?' Dri'G/C;AR Est. value $135,000 Receipt # 161?2- 19 fi,± Site Address 580 AUTUM OAl:B CT Lot 1 Block 3 SeclSub. C0(!D"HY Hl7C.L0W Parcel No. W Name MADgRA 110HISa INC ? Address HC?X 142 ° Ciry N8WPORT Phone 459-0560 o Name 'A? ;K Address Phone W W Narpe ? ; Addgess a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree ro comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I Signature of Permitee A Building Permll is issued to: Zkc on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Oiticial OFFICE USE ONLY Occupancy R" 3 *-A FEES Zoning R-1 (Actuaq Const V-N Bldg. Permit 7 f!2 . Vo (Allowable) V-N Surcharge 67.50 # of Stories 54 ' Plan Review 381. 00 Lengm Depih 50' SAC, Gity i Do• `' o S.F. Total - SAC, MCWCC 57 5. UO S.F.Foouxints - 580.00 On Site Sewage _ \Nater Conn On Site well - water Meter 90.00 MWCC System )LK Qri 30 City Water ? ?• Oeposit . PRV Required ? Sm P?? ?C • ? Booster Pump - S/yy $urcharge 1.00 Treatment PI 228.00 APPROVALS Road Unit 340. 00 Planner - Park Oed. Council - BIdg.Off. _ Copies Variance - TOTAL 3,174. 5', CASH RECEIPT 10 • CITY OF EAGAN 3830 PiLOT KNOB ROAD EAGAN, MINNESOTA 55122 RECEIVED ? fROM ?. . _?. . . . . , AMOUNT $ ? CpSH J;CHECK Fon ' BY & DOLLARS ,ao WhHe-Payers Copy Yellow-PoBting Cppy Pink-File Copy Thank You . `-- - w-' CITY OF EAGAN ? ?' ? , . . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date , 19 Site Address Lot Block Sec/Sub. OFFICE USE ONLY PBfCEI NO. Occupancy FEES - Zoning W Name (Actual) Const ? Bidg. Permif Address City Phone 459~ : f • E) Name Address City ?Q UW wW ? z? UZ ¢ W Q that I i and state that the applicable State of Signature of Permitee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official JAllowable) - gurcharge # of Stories t _ Plan Review Leng h - Depth - SAC, City S.F. Total - gqC. MCWCC S.F. Footprints On Site Sewage - _ Water Conn On Site Well Water Meter MWCC System - Acct. Deposit C?ty Water S ' P PRV Required ` r W ertnit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Pianner - Park Ded. Council 81dg.Off. _ CoPies 3 Variance - TOTAL . ' Permit No. PermR Hol der Dete WATER ??-??5 / )' ? l, ?^ • i l : .i ?i?r f lC;g : i: 3 r? o ? PLUMBING 7 -5 0". H.V.A.C. ELECTRIC y t? ?y?? ? • r ? I^ n 3/ 7 p ???? Inspection Date Insp. Co mments Footings I ; ` ° - < / Founda6on Z 60 Framing Aoofing 3 j Rpugh Plbg. 3 - - - Rough Htg. Isul. F?replece ; •3 ?? Finai Htg. Final Plbg. Const. Meter Plhg. nspecto r - Nolify Plumber Engr./Plan Bldg. Final 3 v O ? sc?-m.?? ? ~ C . C! . Dedc Fig. Deck Final Well Pr. Disp. Telephone # ,. . ??- ? f? I ?;.'• K (Itr#if ira#e of (Orrupanry Citp of eagan -,,,,--Vr#rartU,tt nf VUHWng.3tcaprrlWtt This Cerd*&issued pursuant 1o the requirements of Section 306 of the Uniform Building Cade certijying rlral at the time ojissuance tlris structure was in compliance wrth the various ordinances of the City regulating building consmuction or use. For 1he jollowing: ux Cbssrauon SF DWC/ `(AR M4. pe,.c M. 16132 o-P-,, 7w R3/Ml 7m* p;B,,;G R1 Tra cons,. VN ownffor Bw7aine rfAMA IIM'S. IlW-. Add,,. B(V, 192, M4CM e? ad? 580DAKS OQJRT L 1, ?. CMd1?C En.iII,T .Eti ? nawl / ) eu9ein officwY,, POST IN A CONSPICUOUS PLACE r?. _. -- -- -- --- - - - e Site Lot. m Name y Addre c City _ ?5 c 3 O 'I TYPE OF WORK . I Forced Air Boiler ? Unit Heater i Air Cond, ? Vent II Gas Piping Outlets ti ? Other MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 , PHONE: 454-8100 Sec/Sub -' M BTU M BTU M BTU ,2 MBTU " 7.5 c; CFM ?- BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU AflDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMf'n COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL AOD-ON 8 REMODELS $24.00 6.00 1.50 EA. - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE S/C: TOTAL• SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: For Office Use Onlv: PERMIT # • ' ` PLUMBINf3 PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Block m Name ?o Address c City Phone Name 3 Address p City Phone:'. Res. Muit Comm. Other WORK DESCRIPTION New Add-on Repair NO. FIXTURES TOTAL _.?_Water Closet - $3.00 r _.,.?Bath Tubs - $3.00 Lavatory - $3.00 / Shower - $3.00 _LKitchen Sink - $3.00 FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) l SIGNATURE OF PERMITTEE FOR: CtTY OF EAGAN UrinallBidet - $3.00 ?Leundry Tray - $3.00 ? Floor Drains - $1.50 1-Water Heater - $1.50 Whiripool - $3.00 / Gas Piping Outlets - $1.50 SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 • Rough Openings - $1.50 ' FEE STATE 3/C: GRAND TOTAL: J INSPECTIaN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pifot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: Control No. 0597 "u11.t) 1 a% 004 If.t, .6r09/q2 (612) 681-4675 SITE ADDRESS: LoT_ I BLUCx ; 3 APPLICANT: 68e ApTt1MM 4AKS 6T MARIfl15NEK EM7ERPftZSES QAM l:OUNTRY NOLLfWI ( 612'M +158-3826 PERMIT SUBTYPE: DI:CK TYPE OF WORK: ME41 k1`14Aiil:S: €ttl;rTPT • ? ? ,- . - ? ? -• - ? _ ' . _ - . 4 - - . ? - ?:? ? . wrmft No. PermH Holdsr Date Telephono # Sf4V PLUMBING HVAC ELECTRIC ELECTRIC frtepectlon Dete Insp. Commerns Footings I Foundatlon Framing Roofng Rough Plbg. Rouyh Htg. lsul. Freplace Final Htg. Orsat Test Flnal Plbg. Plbg. Inspector- NOtify Plumber Canst. Meter EngrJPlen Bldg. Final Dedc Ftg. 7/,O Deck Final Well Pr. Disp. -3/i/?/9 0 91a 34 ?- 210 8 2 Request oaie w.{ Q Fve No F?puijl- in Inspec[ion wred' ? Ready N. ill Notity Inspector hen R tl ' Ves ? N. ea Y IAhcensed cornrector ? owner here6y request inspecLOn of above electrical work at: Jo0 AOtlress (SVeet. B?j or Route No ) .s80 h`u?rp/?nl ?,4?s ?vr2r Qry ? , ?S SecLOn No Township Name or No Range No Coun Occupant(PFINT) Phone No D ?nf-S PoweiSuppNer ? Adtlress Elecincai ConVactor (Company Name) ConVacWr's Lmense No Standard Electric Co.,Inc. 40837 Matlmq qeoress (COnVacror or Ownar Mauing Installatron) 26 2 aplewood Dr. ? 55109 Autnonzetl Sgn onhacbrOwnar Makmg In Phona Number 1 V? _ 484-8044 2;? MINNE9BTA STATE BDARO DF ELECTRICITV / THIS INSPECTION REQUEST WILL NOT Gtlggg-MlOwey 810g - Room 5-173 6E ACCEPTEO 9Y THE $TATE BOARD 1821 Wfversiry Ave, St Paul, MN 55106 UNL`55 PROPER INSPECTION FEE IS Vhone(612?662-0800 ENCLOSED REQUEST POR ELECTRICAL INSPECTION e?g,\. ?xin ? a. E&OOOOI-0] ? See mslruq,ons lor completing Inis torm on Oack ot yellow copy g". ? ?? U 2 1 0 8 2 "X" Below Work Covered by This Request ny•,v,, ew Add Re0 TypeofBwltling AppliancesWired EqmpmeniWved Home Range 7emporary Service Duplea Water Heater Electnc Hea4ng Apt Building Dryer Other (Specify) Comm./Industnal Furnace Farm Au Condinoner Oroer (50eciry) Comractor's Remarks' fPJf?S &M E.[TT . ?E/{'JO DBiiC. Campute Inspechon Fee Below # Other Fee # ServiceEntranceSize Fee # CircuitslPeeders Fee Swimming Pool 0 to 200 Amps 0 to yTmps Transformers Above 200 _ Amps 00 _ Amps SignS Inspecror's use only TOTAL 5z) Irrigation Booms ?? ?p ?? Special Inspec6on Alarm/Communicauon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Olher Fee COMPLETED WITFiIN 18 MONTHS. I, the Electrical Inspector, hereby RO°9n-'" ' a1e ?, ?gjJ certify that the above mspechon has been made. F,?ai oa?e ? W OFFICE USE ONLY This requesl voitl 18 monlhs irom 51901 ?j/Cr 9 80 4 2 Requesl Oate Fire No. R -in Inepectim ?retl? ? Ready Now JgSUjII Natify Inspeclor W 9 0 ? No hen Reatly D. I5?licensed contractor ? owner hereby request inspection of above electrical work et: y- ? Jab ACtlrew (Street, Box or Route No.) r0 ? A ? City? ?? U U K.4 our?T SBqion No. TowreMp Name or M. Renge N. Cou?nY OccupeM (PRINT) ??/ ?J+k1D E/?A J`FOMz PMna No. Po r Suppher AItl/Oress ?S , s bYA N i TL( OO- ElecVical Conitactor (COmpaiy Name) Caniracl License Na. Standard Electric Co. 40837 MaAing AUtlreee (ConVaclor or Owner Making InslallaLOn) 2672 M plewood Dr., Maplewood, MN 55109 AullwrizeC S' n Crnimctor/Ownar Making Inet n) Phone NumDer 484-8044 Mli4yn1w I?(TE BOARU OF ELECTGICITX THIS INSPEC710N flEOUEST WILL NOT Griggs-Midway Bltlg. - Raom &1l9 BE ACCEPTED BY THE STATE BOARD 1821 Univerolry Ave., St. Peul, MN 55104 UNLESS PRDPER INSPECTION FEE IS Plwne (612) 80241900 ENCLOSED. ,?/?c ? ?REQUEST FOR ELECTRICAL INSPECTION (?p 3 0('?7?? ? See insVUCnons for cromp7gting this f0ffi on back ol yelbw copy ? J O 4 2 X" Below Work Covered by This Request EB-00001-W e Add Rap 7ypeotBuilding AppliancesWUed EquipmeniWired Home Ranqe 7emporary Service Duplex Water Heater Electric Heating Apt. 6uilding Dryer Other (Specify) Comm./Indusirial Furnace Farm Air Conditioner ahar(spemiy) ConVac[or§ RBmarks. Compute Inspectian Fee Below: # Other Fee # Servlce EniranceSize ' Fee # C' uiWFeetlers ? Fee Swimming Pool 0 to 200 Amps 0 to IOXmps 3 Transformers Above 200 _ Amp _ / A6ove W Amp Signs Inspectors use Ony: ry'v! TO7A Irngati0n Booms f" +'? Speciallnspection ? ort-' Alarm/Communication 0 Other Fee I, the Electrical Inspector, hereby certifythattheaboveinspedionhas been made. Rough-in , Flnel a, Daie Y' OFFICE USE ONLY ' ?j?? This repueat wid 18 mortlhs Irom NO. ,01-3210 Bidg. Permit 01-3422 Plan Check ' 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 SewerConn. 28-3855 Park Ded. % TOTAL 1 CITY OF EAGAN Nfl, 16132 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Receipt # aM Tobeusedtor SF DWG/GAR Est Value $135,000 pate , 19112 Site Address 580 AUTUMN OAKS CT Lot 1 Block 3 Sec/Sub. COUNTRY HOLLOW Parcel No. w Name MADERA H OMES, INC o Address BOX 192 City NEWPORT Phone 459-0560 o Name SAME . g? Address • City Phone u? Name ww ? Address a <w City Phone I hereby acknowiege that I have read this apphcaUon antl state ihat the intormation is correct and agree to comply with all applicable State of Mmnesota StaNtes and ?i/tJy of E?n Ordinances Signature of PermRee l? A Building Permit is issued to: on ihe ezpress condrtion that all work shall be done in accortlance with all applicable State ot Minnesota Statules and Ciry of Eagan Ordinances. Buildmg Official ni'DW4_? l OFFICE USE ONLY Oxupancy R-3 M-1 FEES Zornng R=1 (AClual) Const V-N Bldg. Permit 762.00 (Albwable) V=N Surcharge 67.50 # oi Stories - 381 00 Lenglh 54' Pian Rawew . Depth .50' SAC, City 100.00 SF Total - SAC, MCWCC 575.00 5 F Footprints - $$0.00 On Site Sewage _ Water Conn On Site Well Water Metar 90.00 MWCCSystem X qcct Deposit 30.00 Cny Warer xx- PRV Reqwred XX S/Y? PermR 20.00 Boos[ar Pump - S/W Surcherge 1.00 TrealmentPl 228.00 APPROVALS Road Unil 340.00 Planner - park Dad Council - Bldg OH. _ Copies Vanance - TOTAL 3 ,174.50 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Ylease complele for: single family dwellings & townhomes/wndos when peanits are required for each uni[ 5o S (D Date ( / ?,-& / 0 (; Site Address Unit # Property Owner ( Telephone # '?MDAflD MEATING 6 qIR CONDITIONING C0 contractor , Strect Address MINNEAPOLIS, MN 55408.2996 City State Zip Telephone # ( ) Bond #: Expires: T6e Applicant is _ Owner _X.Conhactor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger aircondi tioner _New ?Replacement other State Surcharge $ 50 Total $ I herehy apply for a Residential Mechanical Permit and aclmowledge that the informarion is complete and accurate; that the work will be in conformauce with the ordinances and codes oF the City oF Eagan and with the Mechazucal t I understand this is not a permit, but only an application for a ermit, and work is not stazt withou mut; tl?at rk will in accordance with the apprqbdd plan in the case of work ch r^res a review andpproval of ans. n/? / 1 1 L 1 / Pdnted Name Applicant's Signa re `I" 2 9 70Cs i? ? ' J I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAM 3830 PII.OT KNOB RD - 55122 ] ?y , (651) 681-4675 S -? ? / New Construction Reauiremants • 3 registered site surveys ? 2 copies ot plans (include beam & window sizes; poured fid. dasign; etc.) ? 7 enargy calculations ? 3 copies of tree preservation pian if lot platted aRer 7!1/93 required: _ Yes _ No DATE: W- a 9 ^ 947 DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: C) T" / RemadeUReoair Reauirements ? 2 copies of plan ? t ske surveys (e#erior addttions 8 decks) ? t energy alculations for heated additions CONSTRUCTION COST: -7 -\-0 ( Jv\ 7zl co 3 SUBD./P.I.D.#: PROPERTY OWNER A(/V/t ' i k'1 t&JV L V Phone #: ?Q 87 ? 74 C2 o Name: Lut First Street Address: City 47 /1State: AZ Zip: -51? J ??il. l l?fi ??J' v r? Company: / /-e/U!//'?I//?'G???fius????'6 Phone6?O -7 CONTRACTOR . Street Address: ?7Q //?"/'t?l? ?' / ?l License # y/.d O Exp. 3 ? City fQ q/l Lt1 State: Zip: ARCHITECT/ ENGINEER Company:. Street City State: Sewer & water licensed piumber (new canstruction only): _ change and lot change is requested once permit is issued. Zip: Penalty applies when address I hereby acknowledge that I have read this application, state that the informatio i corre , and gree to omply with all applicabie Y State of Minnesota Statutes and City of Eagan Ordinances. f Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Phone #: Registration #: r r AGREEMENT: I agree to plant the boulevard trees according to the above stated conditions. I have read and understand the City Ordinance pertaining to tree planting and maintenance and understand its contents. A copy of the ordinance is attached to and made a part of this permit herewith. I understand that the City of Eagan assumes no liability or responsibility for injury or damage to persons or property however caused through the issuance of this permit. All work done under this permit shall be performed without cost to or obligation by the City of Eagan. 4A?- ?11L-.rZq?f Dat Applicant 2 r4 y Signature of Property Owner Date ? ,1ta i eoachkF-a-J rT' (Please keep information sheet (Part M and retum this signed portion to City Hall, 3830 Pilot Knob Road, Eagan, MN 55122.) FOR CTI'Y USE: Property I.D. # J6 .- / g-Z 0% (J - 6 3 Lot I Block 3 Subdivision L' oun fT_1-? /? p p Appiication Record -'-? - )- _ y q- Reviewed by Reviewed by Recorded by: rj wa.. c( ?, R ',s c. 4J 22wp:blvdtree.pia Rev. 9/20/90 ?- Date k-z6-gy Date .5- a-?4- Date , . BOULEVAItD TREE PLANTING OFFICIAL PERMIT PART III APPLICANT INFORMATION: APPLICANT NAME: ?/I, Y" /?I?n?C y ? ??rc ADDRESS: ?a D 4u714 n..J Q?8'Kr c?-. L, f 1 /?c1c3 CvK¢.-1?/0/% TELEPHONE: I{"- 0 AVv ADDRESS OF PROPERTY TO BE PLANTED: ?jo 4U-t(AP,,) Q,4T-r OWNER OF PROPERT'Y (If different from Applicant): TREETQ BE PLANTED: Distance Tree Var=tv Size Location from curb Fxample: Marshall's Ash 1 1/2" dia. 15 feet south of driveway 11' 1. M.Ftfl?k: Ru'(an.?J 6?AtE + S ?o?rJ'fRy S?o? ?R , /// i 0 OU QRPx ¢ovi ? C?t-s? S?d? oF 1 a. tF ? ALL nAAr.JJ-s . 3. 4. DIAGRAM: Please attach a rough diagram of your lot and the right-of-way area showing the location of structures, buildin 5,-d?veway, street edge or curb, and location of tree(s) to be planted. `? L-0 Cfi'1lDtJ S - ----------------------- Q o u,t?2 ? f f • BOULEVARD TREE PLANTING OFFICIAL PERMIT PART III ? ? APPLICANT INFORMATION: APPLICANT NAME: ? Y A4n1C V / ,`t ?6-K ADDRESS: ?0 a f?N'?u M J O?'R-' P C,?-• L o?' I/,?C IC 3 C' v,n f?ff{a//y A un TELErxoriF,: C?-• ADDRESS OF PROPERTY TO BE PLANTED: S?Po AU?uN•.) 0,fl711 OWNER OF PROPERTY (If different from Applicant): TREES TO BE P LANTED: Distance Tree Var,ety ize I.oca ion from curb Fxample: Marshall's Ash 1 1/2" dia 15 feet south of driveway 11' 1. M.ltfuc : ? S QA? Woat pR , o F . ( 0 ? CktT? Slo f 2. r1E1JUE.---7;-rA 1- A« 3 nA,•rrs • 3. \ ? ?. 4. Please attach a rough diagram of your lot and the right-of-way azea showing the location of structures, buildin veway, street edge or curb, and location of tree(s) to be planted. eot), ty- X x ?s ?a b AGREEMENT: I agree to plant the boulevard uees according to the above stated conditions. I have read and understand the City Ordinance pertaining to tree planting and maintenance and understand its conteats. A copy of the ordinance is attached to and made a part of this permit herewith. I understand that the City of Eagan assumes no liability or responsibility for injury or damage to persons or property however caused throngh the issuance of this permit All work done under this permit shall be performed without cost to or obligation by the City of Eagan. 4y6 Dat ??1.??? 2 ? ? y Signature of Property Owner Date I p(o i EoXu4P-*J K. (Please keep information sheet (Part M and return this signed portion to City Hall, 3830 Pilot Knob Road, Eagan, MN 55122.) Property I.D. # L& - 18 2.7.S- 016 - 6 3 Lot f Block 3 Subdivision C Ap D Application Record 5 - ?- _ q ¢ Reviewed Reviewed Recorded by: J: j j- . k ; •-sc 4? 22wy:bNdnee.pia Rev. 9/20/90 Date k z6-9'A Date .S Date PERMIT C°nt °"° 0597 ? CIT-Y O? EAGAN 3830 Pilot Knob Road PERMITTYPE: euiLutbG Eagan, Minnesota 55123 Permit Number: 000755 (612) 681-4675 Date Issued: 06 J99 /92 SITE ADDRESS: 580 AUTUMN OAKS CT 10T: 1 BLOCK: 3 COUNTRY HOLLOW DESCRIPTION: '8uilding Permit Type DECK Building'Work Type NEW 6uilding Lertgth 21 Building Width, 14 i%, i. REMARKS: RECEIPT FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Subtotal $25.00 ;.50 ss.ee E30.50 COPY $.50 Total Fee $31.00 CONTRACTOR: - Applicant - S7. lI OWNER: MAROUSHEK ENTERPRISES DAIV 14683825 000554 PAVEK TIM 7746 HILLSIDE TR S 580 AUTUMN OAK3 CT COTTAGE GROVE MN 55916 EAGAN MN (612) 458-3825 (612)688-7620 I I hereby acknawledge that I have read this application and state that the informetion is correct and agree to comply with all applicable StaCe ofi Mn. 5tatutes and City of Eagan Ordinances. APPLICANT/PERMITEESIGNATURE ISSUE BY SIGNATURE INSPECTION RECORD I Control No. 0597 CITYOFEAGAN PERMITTYPE: euiLoiMG .°. 3830 Pilot Knob Road Permit Number: 600755 -' Eagan, Minnesota 55123 Date Issued: 0 6/ 0 9/ 9 2 (612) 681-4675 SITEADDRESS: LoT: i BIOCK: 3 APPLICANT: 580 AUTUI9N OAKS CT MAROUSHEK ENTERPRISES DAN COUNTRY HOLLOW (612) 466-3825 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW .e.;,R,EMARKS: RECEIPT N ? PERMIT # CITY OF EAGAN REAC7IVATE 1992 BUILDING PERMIT APPLICATION 681-4675 JUH 0 b IMp SINGLE 8 MULTI-FRMILY 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 caics. 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 chan e is re uested ance ermit is issued. Date Cv Valuation of wark ja,SpC+ O° Site Address:_ S l'? PJ xw-F c.,A.,.. e ek ec t?'r` STREET SUITE f Tenant Name: (commercial only) IAT I T BLOCB? SUBD. P.I.D. # Descri tion of work: The appliCant is: ? Owner R Contractor ? OtI1QP (Ueseribe) Name paw 'p Q TA.,., Phone /a IRK - 2& 9 o Property LAST FIRST Owner address _5- 8'O l?u4 (.A-0a, 1?y STREET STE N City State yY1 ?V Zip Company o?+-.'.e, Wtca-7o•.? ?.? 4-eP [one t?- 5'g-jAA,5`_ Contractor Address _`?? 4 (e ?2 S' license #006 Exp. 1 -31-4? City -e State ? h/ AZip <??O ) (a? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber . Processing time for sewer 8 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: e OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 Sf Misc. WORK TYPE 31 New 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 O 33 Alterations O 34 Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy 7-3 2nd F1. sq. ft. Zoning Sq. ft. total # of Stories Footprint Sq. ft. length ?L On-site well Depth 1-4 On-site sewage APPROVALS Planning Building Engineering Variance REG1UlRED INSPECTIONS ? Site fg Footing O Nallboard ? Final ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 1?<15 Deck ? 35 Tenant Finish ? 36 Move ? Framing ? Draintile y C ? Insulatian ? Fireplace Permit Fee 25, oa vel,,,t;,,u Surcharge ro Plan Review License 6,e1) MWCC SAC City SAC Water Conn. Water Meter . Acct. Deposit 5/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies ? Other •. Total: c,.o, $ ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC X SAC Units ? : ¦ r x 4 SURVEY FoR: MpDERA HOMES AUTUMN ° p 4V E . ? Af pQ' pi ?'N ?G•,.?,?""---'- ? ?t "-'m? c° t? O Q'.rj t; V VACANT c` 1 JK' ca pnore eo: . r - - 0 Mr. ? Nm 189'38?31??W 60.00 119 c?.v ° 9 B.C O o o? ? ° I lo , „ c g t- ° ?yr? „ ? zo ? I N ? a +I PR D HO SE ? 14 N?? I 40 ? I I IO ? s ? k1 I p • ?+FXtSTING I SWALE N ?' ?? _-=-- - - - _ ?a - o ,o9.77 P.1 CONTRAC70R_TO VERIFY BUILDlNGi41?? SIONS ?„1 ? $Y'j?. ,? , j 60 ? ',. W W ?o N v+ N t ?i. z (- pnone = Box . c 0 Q P? U 60 s ? '&?. EQUtRED 0 15 30-; ...w 60 . E ?{OWN ON THE RE ORDEDPLATE AS SCALE IN FEET . 1_ 97 ? SS3?? DIFFLEY RD Ed9e of AsPnolt .g,•' 11 representatianf oftaasurvey of the boundaries oft Proposed Basement Floor Elev? ? Proposed Garage Floor Elev Proposed First floor Elev = Proposed Elev? Exi sti ng El ev gSo o Oenotes Iron Mbnument Set • Denotes iron hbnument Found x Denotes Spike Set o Denotes Hub Set ?-- Denotes Surface Drainage SRAELSOn. r lot I Block?, ^ U?ITRV NpLi OW - ? accordin to the recorded plat thereof DAKOT?+ County, hlinnesota. and of a proposed building. As surveyed by me or under my direct FEBe?ision' 19g9 . ?jg 7TH?/ Of Leland C.N. mith, LanASurvieyor Minnesota Registration No. 14942 E ELLINGSON &ASSOC.,1hC. JOB:L9589 aY? M.CYERT 1989 BIIILDING PERMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS I Y 13 z INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTS: ADDAESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWAER MDST DESIGNATE WHICH ADDRESS IS DESIRE'D. NO CHANGFS WILL BE ALLOWED ONCE BOILDING PERMIT IS ISStlED. M6LTIPLE DWELLINGS RSNTAL DNITS FOB SALE ONITS # OF ONIT3 INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB WITH HLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - .FEB 13 1969 To Be Used For: Valuation: ??44Date: Site Address 2) Q172=_...,,57 A)/oA Lot / Block -1 Parcel/Sub _(???11pRr, > Owner Address City/Zip Code jL&g"?g-V '•?yj,(/ ?s'cai r- Phone -(Dt?e D Gontraetor _S c-, Address " City/Zip Code f? Phone ? Arch./Engr. Address City/Zip Code Phone 0 l'----- -- `"' 136)000 Oecupancy Zoning Actual Cons Allowable # of stories Length ? Depth S.F. Total Footprint S On site sew On site wel1 MWCC System City water PRV required Booster Pum APPROVALS Planner Couneil Sldg. Off. Variance Council 2 -/3 -?9 OHLY FE&4 t ? Bldg. Permit ?/_ Surcharge i,7 .50 .F. age, v v . P ?. 4 Plan Review 100 SAC, City IDD, OC? SAC, MWCC ,p? Water Conn 580?CA Water Meter q7;), oD Aect. Deposit 30,0? S/W Permit O,22 S/W Surcharge l,aa Treatment P1. ,00 Road Unit 340, pL) Park Ded. Copies TOTAL r , i 0 NOTB: Sewer & Water Permit fees and aecount deposit Pees will be ineluded in the building permit fee. Processing time for sever and srater permits is two days onoe a liQenaed plumber has applied for a permit at City Hall. va??A7 ao?1 FA G1?'RA, ? ?- _ ? ? ? rr • • ! 2 X 2?7 = 2ti0 Z2 x 2z ? y?q X lS= 10?80 g5 rnT- 4o u 2z = 7ssv 1? x Z 2= 3sZ ?_. ... __ .. IZ3Z Xly=1?24? ' . . _ 1 ?-iT? FiGt?01?, 0 ' * B$MT- I;ZJ14 1a f.: `' 762'0U+ 67• yU+ ((4 381 • 0 0 -r ??6 = r2 1 >964.00+ 3?r7 a•su iaS?X s? = °?490 67•tiU+ 381 •OU+ r 964•0 0 317A•SU? ynx2- 2= ??b xSo=- yU?o ?_. ? , ? ? z 0 . 0 c w x • suRVEY FoR: MADERA 0 ? Sq? `g'',(G•o?? ?. Phone :a Boa ? HOMES AUTUMN ° AVE. ,qe r ?? `=m if W 60.00 ? ?1 9 C.AL? nox ? ? ' B.C. w -? o -? -l > 60 110.01 ?- ----o- ? ? ?z -••-- ? ? 20 I ? S I BLr f' K rn ? pROPOSEO ? N M ? MOUSE 14 Qj? I ? ? ? I VACANT -fi M ? I i N a ? i ° ? lo sa i y f - ? ,? i. ? G . ?+$ EXISTIN sw ? -? t 83 i ca I ? r>e z Phone Boc W ? 0 C- z D ? V ? z Phone J QBox P P 13 o - p _N86 55-33E 109.7T ?} r? o CONTRAGTOR TO YERIFY BULLDING`IIIMENSIONS ' .. _?-- 14-69 0 15 SW."zAN EbsO.iid?- ;; ;'., r-, _ BEARINGS SF10WN'rARE THE SAME AS SNOWN ON THE RECORDEO PLAT SCALE IN FEET 56 ('.kl pG?CD 60 5 DI FFLEY RD Ed9e of Agohc„ ;. $ I hereby certify that this is a true and correct representation of a survev of the boundaries of- Proposed Basement floor Elev= 83/•./ Proposed Garage F76or ETev = Syai Lot 1. Block 3, CoUNTRY HOLLOw Proposed First Floor Elev according to the recorded plat thereof Proposed Elev_? • oAKOTA County, Minnesota. Existing Elev ?3So o Denotes Iron Monument Set • Denotes Iron Fbnument Found XDenotes Spike 5et ? Denotes Hub Set f- Uenotes Surface Drainage ELSON, KEESE. CLLINGSOh and of a proposed building. As surveyed by nre or under ny direct supervision this 7THday Of FEB , 1989. Leland C.N.''Smith, Land Surveyor- Minnesota Registration No. 14942 & Assoc.. IIyC. JOB: L9589 aY? M.CYERT . Energy Conscrvation Supplement To Building Permifi Application 13UILDING AND SAFE-TY DEPAR7MEN7 CI"1'Y OF Eagan Lot 1, B1ocCc 3, Country Hollow 7his supplcmcni I:: providcd lo assisl lhc appilcant In computing lhc GXTBFIIOIZ ENV[LOF'[ AVCRAGC "U" 1=AC70R INFORMA710N. 7his Inforcnalfon !s requircd so lhc [1UILDING OI'FICIAL can dctcrminc thal thc submitlcd plans comAl;on " G001CNCRG Ic APPLICANT S DCSIGN CII1TBIlIA ot thc STATC BUJLDING CODE ( e)• responsibiliry to accuralcly and compictcly compulc lho data; rcflccl lhc propcr D[SIGN CRITEFIIA in thc plans; submit product spccfliealion, as nceded lo support lhc ".H" and "U" lacfors wcd; and lo assurc Ihat consiruction is accornplished pcr lhc npprovcd plans. JOD LOCA710N OY1N[ft(S) CONTAACTOII MADERA HOMES, Inc. MADERA HOMES, Inc. OAT[: z-8-89 PI-fONC (612) 459-0560 PFIONL (612) 459-0560 A. Dctcrminc llic Total Gxposed riall Arca as follows: 7. Total wall.w.i,udow arca 2. Total door arca 3. 7otal sliding glass door arca 4. Total fireplacc wall arca 0 5. Total wail Iraming arca (avcragc 10"/0) 6. Tolal net wall arca abovc floor 7. Tolal rim joist area o Sublotal: Total exposed wall area abovc Iloor 220 40 20 ? 48 148 1330 0. TotalfoundaUon window arca ' ? 9. Tolal nclfoundalion arca abovo gradc Sublolai: 7otal exposed (oundalion nrca: GfIAND 70TAL GXI'OSED NALL AI?GA D. Muiliply llic GRAND TOTAL [XPOSCD WALL AR[n X.11 G. Dclcrminc Ihc 7otal 6xposed flooVCcilinp,Arca a, lollows: 10. 7otal skyliplil arca 11. 701al rovUcelllng INawlng area 12. 7o1a1 ncl insutalcd rool/cclling arca 204 ) 2010 0 336 88 792 GfIAND 70TAL EXf'OS[D ROOF/CL=ILING ARCA 1216 , ? ., ....??:..i.. ii.. rnnnin -rnTAL CXPOSGD ROOf/C[IIING AFICA X.GZG = / 2010 Item I 22? Ilem II 32 Delermine Ilic "U" valuc of oacli segmont (1-9) and mulllply b y lho orea as foilows; 1. 220 x . ..U., .414 _ 91 2. 40 x U.45 _ 18 3. 20 X ..Ul. .46 _ 9 4. 48 x "U., .06 _ 3 S. 148 X .103 _ IS G 1330 x ..?,. .046 _ 61 7. 204 x.?..024 0 _ S 0. --- x .U--- _ --- • ? --- x --- 'U' --- _ nDD 1-9 FOR TOT AL iNALL S[GMENTS = Item III 202 ' F. Dclermine lhc "U" value of cacli scgment (10-12) and multiply by tho arca as foilows: . 10. 336 X .026 _ 9 88 .022 2 11. x 'lu,l _ 792 .019 15 12. x ,.ll _ ADD 10-12 POR TO7AL ROOF/CEILING SGGMENTS = Ilem IV { G. (I i(em No. I!! is !!re same as, or less fhan ltqtn No. !, you hnva me( flio in(on( o! Sfalo 0uilding Codo 6006(c) 2. N. 1t ifem No. !V is lha_:.tmo as, or /ess fHan'lforn No. Il, you liivc mof fho infarif o/ Slafo Ouilding Codo GOOG(c) 1. 1. ndd Item No. 1 221 + Ilem No. 11 32 _ 253 J. Add Ilem No. III 202 + Item No. IV 26 = f' 22$ K. !I fho sum o/ 7tems !1! arxl fV are lcss than'ftems 1 arxl f!, you 1»vo nwf !!x inlont o( Ihc coJe !or (olal cnvolopo syslom, . / In addilion lo the above items you may have to add for such items as fioors over unhealed spaces, such as cantilevcrd areas, ctc. To arrlvc at "U" value divlde llic Iotai of tho R valucs for cach segment (as above) Into 1,000. Answcr you have is the "U" value for Ihal scgment. [xamplc: A tolal "Fl" ol 35.05 dividod Into 1,000 = .02II "U" The undersiflned, as applicant for a Duildinfl Pormit, horeby aifirms thc a6ove information has bcen prepared and submit- ted by himseit or uiider his direclion; hereby acknowledpes Ihe Inlormation lo be correcl nnd accuratc; and hcreby pre- senls lhe in(ormalion with requlred plans In supporl ol Ihc fluildlnp Pormit Appllcalion I Date -1 =j3 -L2 Use BLUE or BLACK Ink r I For Office Use I City of Ea ~a~ Permit 11 _ Permit Fee: /U5 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: C-/ Unit ( Name: La V le Phone: Resident/ f, Owner Address / City / Zip: rGt l/l9 A~ Applicant is: Owner Contractor Type of Work Description of work: C,~ yc) / Construction Cost: /3; o-3 7, Multi-Family Building: (Yes / No Company: f r Contact: j Contractor Address: 5 0 6~it !r/ -e 6V_ City: mac' ~j /c1 i State: ~ Zip~l ~ Phone: 2-70 ' License A<- Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 tate Building Code must be completed within 180 days of permit issuance. x L,-" 1/ l~/mil( SAI~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink � r-----------------+ I For Office Use � ' j Permit#: � D ` � j Clty of ����� � �v�� � � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f%����� l Site Address: ��� ,�U�,��d(� ['�uL"�S C` � Unit#: ';� �'��, Name: ��Vfc., �lv� /�lN�y IU�P Phone: .;Residentf �] /� �jjyp�� �'��. Address/City/Zip: ��� ,/�-(�t,`�'��tC� ���� C,�' Applicant is: Owner �Contractor � � � G Description of work: �NS��� � /��G� �1����� T��O'��OPI4�� ��D '�' ��'�',,u,�� , ��, , Construction Cost: `7i��� Multi-Family Building: (Yes /No� ���ti, ,�i�����'�= Company: ���1�"E'���C.(�-�j��l�l'1i�/,LI�L/�U J��,� Contact: ���-�„(�(i�1✓lC�°>�� ^ + �#�"Il�'�G�#!C N Address: �70 �4'Q/l�'��-O �!i` � City: ���/lfl�(/ ' State: `U Zip: �- /�3 Phone:�o� �7��7�� Email: � 56'���G(�E/� ��1��� ,I � �/ � N�� License#:����� Lead Certificate#:N��O� �/D' � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Gontractor: Phone: NC?T� A�an's�r�d ,u�,��rfrng��l�'��rrtents#f� ��t,�� ,�Q�str�irrtit��a xcvns�,�le�ed tc��e P�u�Z�1���f�fotm�tiarr. Portivras ot' .rs,th�rr��o`rm�t�a�"c�rr���r be�l�s��r�'i'�d�a��nan���u���;i��cz'u,A��avrt��spe�r��re�s�n�tl���wcz�r,�d-��rm�i�t�ie��t�r;to . , �u�s .,a�������Q7i��tr''k"�e't��� �Q.�a'r��f►'at'/���Ci'���: . �. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 Minneso tate Bui ding Code must be completed within 180 days of permit issuance. x_L�cJ� ��i����'[�'sc�� X Applicant's Printed Name App icanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA132890 Date Issued:09/09/2015 Permit Category:ePermit Site Address: 580 Autumn Oaks Ct Lot:1 Block: 3 Addition: Country Hollow PID:10-18275-03-010 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Timothy J Pavek 580 Autumn Oaks Ct Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature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c&50X2% !VV;&\]?0+#&3+##&C*;!'&)? ?/,&Z0%1&N F0B#2&\\E X2&FI&&;;(8898;((Y040,&FI&&;;8W( J:K(L&V8K9<<WVJK;8L&K!!9:KW' 6&.2E2@A&0$%, Q#2*42& .0 &6&.0X2&E20*& .+1&0BB#+$0 + ,&0,*&1 0 2& .0 & .2&+,H E/0 + ,&+1&$ EE2$ &0,*&04E22& &$ /B#A&Q+ .&0##&0BB#+$0@#2&> 0 2& H&F+,,21 0&> 0 ? 21&0,*&N+ A& H&Y040,&ZE*+,0,$21M )BB#+$0, T52E/+ 22 &>+4,0 ?E2611?2*&"A &>+4,0 ?E2 For Office Use 111 f/ t # Permit tt: 441 EAGAN ..o. Permit Fee: / " (0 Date Received: / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Fop (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: vs/ buildmeinspections@cityofeaoan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 580 Autumn Oaks Ct Unit#: Name: Bradley & Lori Briggs Phone: (651) 686-8523 Resident/ 580 Autumn Oaks Ct Owner Address/City/Zip: Applicant is: Owner Contractor DescriInstalling single casement & galv steel well (egress) ption of work' Type of Work • • 00000. Construction Cost: $3, Multi-Family Building: (Yes /No Company: Egress Window Guy Contact: Dan Ruegemer Address3410 Kilmer Ln N Plymouth : City: Contractor State: MN Phone: Zip: 55359 (763)544-2775 Email: DanR©egresswindowguy.com BC665399 NAT-123125-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 1989 build. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeacian.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 t ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of Daniel Ruegemer Applicant's Printed Name Applicant's Signature -ADO NOT WRITE BELOW THIS LINE �i� -D Au_skL/n I/ ,( n& CL � 5� '�/- SUB TYPES t•' _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex , - Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding — Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation — _ Replace — Repair /* Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION A 4 Valuation Aaa? Occupancy /AZ - / MCES System Plan Review Code Edition /,y SAC Units -- (25% 100% Zoning it-/ City Water Census Code A1347 Stories -- Booster Pump -- #of Units I Square Feet -- PRV #of Buildings i Length Fire Suppression Required -- Type of Construction /713 Width _.-- ---- REQUIRED .--REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) oe, Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice 8Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation . Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:__Rough In_Final Braced Walls Erosion Control Shower Pan ���� Other: Reviewed By: #A A ,Building Inspector RESIDENTIAL FEES / Base Fee 73 7$ Surcharge Plan Review // 7 'f= MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant / Copies / Q ¢ Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152295 Date Issued:10/09/2018 Permit Category:ePermit Site Address: 580 Autumn Oaks Ct Lot:1 Block: 3 Addition: Country Hollow PID:10-18275-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Bradley R Briggs 580 Autumn Oaks Ct Eagan MN 55123 (651) 485-9282 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166811 Date Issued:02/05/2021 Permit Category:ePermit Site Address: 580 Autumn Oaks Ct Lot:1 Block: 3 Addition: Country Hollow PID:10-18275-03-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Bradley R & Lori A Briggs 580 Autumn Oaks Ct Eagan MN 55123 The Window Store Inc 2924 Anthony Lane Suite 115 Minneapolis MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167126 Date Issued:02/24/2021 Permit Category:ePermit Site Address: 580 Autumn Oaks Ct Lot:1 Block: 3 Addition: Country Hollow PID:10-18275-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Bradley R & Lori A Briggs 580 Autumn Oaks Ct Eagan MN 55123 (651) 485-9282 Rji Professionals Inc 6063 Main St Suite F North Branch MN 55056 (651) 674-5158 Applicant/Permitee: Signature Issued By: Signature