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620 Autumn Oaks CtSEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE 3/9189 WATER PERMIT # L" /25 SEWER PERMIT # METER# Ilf -LIV a ? B.P. RECEIPT# C 3339 Ammy ii n 7371 ( B.P. RECEIPT DATE R! R ±R 89 METER SIZE.- 25?Zk ?oc ISSUE DATE 3_? a tx PRV - BOOSTER PUMP SITE ADDRESS )urc. LOT BLOCK SEC/SUB ,_ry APPLICANT: - • Char'? e.. I-OMES ADDRESS: 4194 Countryside Drive CITY, STATE ZIP PHONE: / / PERMIT REQUESTED vSEWER -?W/ATER /= TAPS :7NEW M/IND RESIDENTIAL EXISTING PLUMBER: Irin molz Plumbing ADDRESS: 31 17 Lpndale Ave. `,;ort I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP 22 EAGAN ORDINANCES: PHONE: OWNER: vid & Nanc Lange ADDRESS: )0 Lower 147th S Tree- SIGNATURE WHEN METER ISSUED CITY, STATE ''osemount, FOP; ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR ST ER PERMITS, TACT ENGINEERING DEPT. - SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE ' , a r'' WATER PERMIT # 107 c- SEWER PERMIT # METER # B.P. RECEIPT # : - .''a READER # B.P. RECEIPT DATE 'i / METER SIZE ISSUE DATE PRV -BOOSTER PUMP SITE ADDRESS LOT BLOCK SEC/SUB APPLICANT: t, Charles r+('!?_; ADDRESS. "'!> Countr-; CITY, STATE ZIP PHONE: PERMIT REQUESTED U SEWER -WATER -TAPS COMM/IND 1 RESIDENTIAL NEW EXISTING PLUMBER: imhol"! I'Zurabin' ADDRESS: ;7 Lvndale rive I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ii Nancy Lange ,, ADDRESS Lower CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: 8/9/89 RE-620 AUTUMN OAKS COURT, L11, B3, COUNTRY HOLLOW xx Your Sewer & Water Permit for the above property has been completed. It will be held at the 4 P. blic Works Garage- (3501 Coachman Road) until the meter is picked up. BE SURE TO ?LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasops: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be Issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed 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. Secretary, Building Inspections Dept. DATE: 8/9/89 RE: 620 AUTUMN OAKS COURT, L11, 83, COUNTRY HOLLOW -.Ax 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 4LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Ybur4iewer & Water Permit for the above property cannot be completed for the following -re(asops: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed 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. Secretary, Building Inspections Dept. BUILDING PERMIT To be used for Sr lWAW $126,000 Lot I'll Block Parcel No. W Name _ 0 Address NTRYHOL MM OFFICE USE ONLY Occupancy R-3 M-1 FEES S Phone Name Address I hereby acknowlege 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 Permitee ST CHARLES HOI4ES 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 City of Eagan Ordinances. Building Official - CITY OF EAGAN0 ? 6902 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 A PHONE: 454-8100 a 2 Receipt # Zoning fActual)Const R-1 - Bldg. Permit 730.00 (Allowable) V N Surcharge 63a00 # of Stories ' vi R Pl 365.00 Length 70 an e ew Depth SAC, City 100.00 S.F. Total SAC MCWCC 575.00 S.F. Footprints , 580.00 On Site Sewage Water Conn On Site Well Water Meter 90.00 MWCC System X Acct. Deposit 30.00 City Water 2 20.00 PRV Required S/W Permit Booster Pump S/W Surcharge 1.00 Treatment PI 228.00 APPROVALS Road Unit 340.00 Planner Park Ded. Council 1000 Bldg. Off. Copies 3,123.00 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER 47 SEWER PLUMBING ` 9?g•g H.V.A.C. L ELECTRIC Inspection Date Insp. Comments Footings 1 ?s1?4 LIJ g 3. , ?a„? Foundation Framing Roofing Rough Plbg. - s'_ Rough Htg. 9?'t ? Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final ?? 8 C7 Deck Fig. Dec* Final Well Pr. Disp. Qertifirati of (!rrupaury titp of Cagan Trpartmrnt of &t1bing Ingprrtion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Clssification XSF DWC7/(M Bldg. Ftrmin No. 1d )(a Occupancy Type R3/M1 zoning District R1 Type west VN Owner of Building ST- CHARLES DQ`ES Address 4194 =RYSILE DR. a EAGAN Building Addres 620 AURMd OAKS OOLW ry L 11, B3, WJNM HfL M Date: DEMER 8. 1989 7 Building O(fidal 1/15 POST IN A CONSPICUOUS PLACE PERMIT # _ MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Name - Address City BLDG. TYPE - Sec/Sub Res. Mult Comm. Phone Other Name c Address p City Phon TYPE OF WORK Forced Air L 0 M BTU 'v Boiler M BTU Unit Heater M BTU Air Cond. -30 M BTU Vent CFM $- Gas Piping Outlets # ; Other FEE SIC: TOTAL: T- 1 RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) j ;'" ."Z?,, ?1.-'-4 1-7 TURE OF PERMITTEE EAGAN DESCRIPTION Cities Di r Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address Lot Block 2 Sec/Sub Name Address City Phone Name Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other WM&I - VVTI-L.GI& If7G rVL.L.Vn1 MIA. FIXTURES TOTAL Closet - $3.00 $ ubs - $3.00 ry - $3.00 rr - $3.00 n Sink - $3.00 Bidet - $3.00 ry Tray - $3.00 )rains - $1.50 Heater - $1.50 ool - $3.00 ping Outlets - $1.50 IIMUM - 1 PER PERMIT) er - $5.00 Gas Well - Privat Qfl1In) Disp. - $10.00 Openings - $1.50 FEE: STATE S/C: GRAND TOTAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: IN tur ?,. .; 11 I LIMN (JAI I f i I I IJ 1 I; 1011 1 111-1 PERMIT SUBTYPE: 00 1 1 Nil N RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: f I.'1 4>k1i 4011 TYPE OF WORK: V 11v„ I rJ h 1.1 I1tl I I it r Ni. if ,' /l s <1 r . ?1r1/H'. /'+? Permit No. Permit Holder Date Telephone 8 WIN PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Inap. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final JD? y Sy /,.. Well Pr. Disp. CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 % aECENED -? I '.f• FROM AMOUNT . '; & DOLLARS w ? CASH Q CHECK FCM /.J,. 47 BY / i..( C a r WM --Payers Copy YeHov-Poslfng Copy Pink-File Copy Thank You ? Z7 3 94 ?? O Request Date - 3 Fire No. Rough spa ion Regw ado ,*eady Now El Will Notify Inspector es ? No When Ready' Ijlicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Roue No.) J? 6( D Cily -l a ? U ^1 N S e _ Section No Township Name or No Range No County u V® Occupant (PRINT)/f 1 L Phone No. Z C 7- 2 ?] . ?i)' a' c 7 - Power Suppli Address Electr tractor ( ompany Nam) Coniractor5 License No. Mailing Address (Connector or Ow r Making Installation) 1© , 1. Qa? Q, Aulhor¢ed Si a (ComracrodOwner king Install n) Phone Num r ?gam - MINNES°1XSTAT6r1ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BI(rg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED 9/d/9 F 30794 REQUEST FOR ELECTRICAL INSPECTION ? See Instructions for,pompleling 9Ris form on back of yellow copy. "X" Below Work Covered by This Request r E&00001-07 ^n// U0 51116211 ew Add Rep Typeof Building AppliancesWired EquipmentWired e Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor% Remarks: Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps g 71 1 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectorls Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication d Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in M7?Wl IF 6/41-) d.02 4 Final , Dare f ate OFFICE USE ONLY This ran,1est said 1s -nth, rmm /aa/Sv g/,s/so 0«.? u9 5SK C? 33550 z / co Request Date Fire No ugh-tn Inspection egwred9 $'F2eady Now ? Will Notify Inspector Ill ? No When Read" 111 licensed contractor 'owner hereby request inspe Ion of above e I work at: Job Address (Street box or Route No l bao Ati umn .ks Cou.xr t City Section No Township Name or No Range No County -D a- Occupant (PRINT) DAVID A ? Ni L Lan e Phone No 6y3 -- _ Power Supplier Dako-#a ttec.+ytc Address __ Electrical Contractor (Company Name) Conhamors License No Mailing Address (Contractor or Owner Making Installation) Aumpnxed Signature ICOnh tOr1Q er Making Inslallationl • Zap Phone Number o? 4 MINNESOTA STATE BARD OF ELECTRICITY 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 8??a/SQ REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ll? See mstrudions for completing this form on back of yellow copy e 01 3 3.5 5 O ?Below Work Covered by This Request C J?pa 3 New A Rep - Type of Building AppltancesWired EquipmentWlred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: 'g -f - -47ish # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only TOTAL Irrigation Booms 10,110 Special Inspection ?PK [7 `5.v Alarm/Communication THIS INSTALLATION MAY BE RDERED DISCONNECTE Other Fee COMPLETED WITHIN 18 MONTHA I, the Electrical Inspector, hereby Rough-in In certify that the above inspection. as been made. Final ptB OFFICE USE ONLY This request void 1a months from 05843 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 7D-? New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. it of lot, sq. it of house; and >JI roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & widow sizes; poured found design, etc. 1 site survey for additions If decks 1 set of Energy Calculations Addition • indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7)1/93 Rim Jost Detad Options selection sheet (bldgs with 3 or less units 16 0( Date g l / ?J J Site Address y0 f{-1i1 f-y?.l'r' Construction Cost '] Al 0 0.)cS vy _ Unit/Ste # L0. r?^? . SSY 2 J Description of Work Q ?LL f Multi-Family Bldg - Y N Fireplace(s) - 0 Y, 1 - 2 h Property Owner Jci f//f) ?7? ?j L Telephone # Contractor S? r' F Address City State Zip Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water - Final _ Pool Ftgs _ Air/Gas Tests _ _ in _ Siding Stucco - Stone - Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ nsu anon _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B ILDING Eagan, Minnesota 55123 Permit Number: 0 2 4 3 0 6 (612) 681-4675 Date Issued: 08/05/94 SITE ADDRESS: 620 AUTUMN OAKS CT LOT: 11 BLOCK: 3 COUNTRY HOLLOW P.I.N.: 10-18275-110-03 DESCRIPTION: uilding' Permit Type ;Building Wos.k Type ( C J? ' k v r, DECK NEW u REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: L OWNER: - Applicant - LANGE DAVID 620 AUTUMN OAKS CT EAGAN MN 55123 (612)683-6904 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. ? APPLICA /PERMITEE SIGNA RE ISSUED B SIG AT R I 1 M 'd J CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 620 AUTUMN COUNTRY HOLLOW PERMIT SUBTYPE: DECK INSPECTION RECORD PERMIT TYPE: BUILDING Permit Number: 0 2 4 3 0 6 Date Issued: 08/05/94 LOT: 11 BLOCK: 3 OAKS CT APPLICANT: LANGE DAVID (612) 683-6904 TYPE OF WORK: NEW DATE INSPTR. INSPECTION TYPE DATE INSPTR. INSPECTION TYPE FOOTINGS FINAL F- L i4iOC CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 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: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change?is requested once permit is issued. Date 24 Valuation of work ? ) CO O ( a? O c KS a t rt k Site Address: STREET SUITE # Tenant Name: (commercial only) LOT IJ BLOCK 3 SUBD.ISU,ll4y9 HtUac? 7 P.I.D. # Description of work: The applicant is: Owner ? Contractor ? Other (Describe) Name ?--i4 N G r D /-U f D A Phone 683-[ 8G _ Property LAST FIRST ?°v+ 3 5 V _0 ? Owner 0 ' Address STREET STE # M Iy?? Zip City State Company Phone Contractor 11 Address License t Exp. City State Zip Company Phone Architect/ istration N m Re w Engineer g a e r Address 11 City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE I New 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'? ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. 1st Fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site 471 Footing ? Wallboard a Final Permit Fee valuation: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ? Framing ? Draintile ? w d ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments 6 ? Insulation ? Fireplace CERTIFICATE OF SURVEY FOR Si- - HEN=S KURTH SURVEYING INC. IM(P({T C(.TJT THAT TM33 Su{YCT•/LIM•Q• ¦(OOPT -AS POEMgD 4002 JEFFERSON STREET N E. DIME CS Uft CP Y. DiA(CT SU'EAVISPOM "MD THAT I AM A DULY COLUMBIA HEIGHTS MINNESOT 55421 (GEra(D LIED (/ UNDER TM( LA R-TM( IvAT( or YIAME{QTA, 4E?T{{?{7{{ 7 i? 8°1 l i p DATE / ? SCALE ("- ten' INNEjs a Os IRON MONUMENT Au-ruMN OAKS ??sti GS ?. CouRT .91 ail r 1 ,G Jyy? Q tI?°)` ? .? i rY J JIB )J o ?' / y r , 7 .A N I ?fI y ?3 1 /9 `SI I D x,11. /0 ,o t867? ?? v J,?: 0 pR `FL.EY ROAD') CITY OF EAGAN N° 16902 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIN PHONE: 454-8100 Receipt# 6V 3q G PERMIT To be used for SF DWG/GAR Est. Value $126,000 Date AUG 7 19 89_- Site Address 620 AUTUMN OAKS CT Lot 11 Block 3 Sec/Sub. COUNTRY HOLLOW Parcel No w IName ST CHARLES HOMES Address 4194 COIINTRYSTDR DR City RACAN Phone 454-7925 Name SAME ga Address E City Phone ww Name Address W City Phone I hereby acknowlege that I have read this application and slate that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permilee A Building Permit is issued to: ST CHARLES HOMES 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 Official :D.1V1R + A. ty r' l if OFFICE USE ONLY Occupancy R-3 MM=1 FEES Zoning RR1 (Actual) Const V-N Bldg. Permit 730.0 (Allowable) V N Surcharge 63.00 # of Stones - 53' Plan Review 365.00 Length Depth 4$0 SAC. City 100.00 S.F. Total SAC, MCWCC 575.00 S F. Footprints - On Site Sewage Water Conn 580.00 On Site Well Water Meter 90.00 MWCC System X- 00 30 City Water Acct. Deposit . PRV Required XX SRN Permit 20.00 Booster Pump SiW Surcharge 1.00 Treatment P1 228.00 APPROVALS Road Unit 340.00 Planner - Park Ded Council _. Bldg. Off. Copies Variance - TOTAL 1.00 3.123.00 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS He9ol INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, i SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 'AUG ; 1989 To Be Used For: Single Family Valuation: ?1r599,90 Date: July 31, 1989 Site Address 620 Autumn Oaks Court Lot 11 Block 3 Parcel/Sub Country Hollow Owner David & Nancy Lange Address 3390 Lower 147th St. City/Zip Code Rosemount, MN 55068 Phone 423-3340 Contractor St.Charles Homes Address 4194 Countryside Drive City/Zip Code Eagan, MN 55123 Phone 454-7925 Arch./Engr. Planco Drafting & Design Address 3435 Washington Drive, #115 City/Zip Code Eagan, MN 55122 Phone 0 452-0724 OFFICE USE Occupancy K-3 M- Zoning R-[ Actual Const V- N Allowable 0 of stories Length-58 Depth g8' S.F. Total Footprint S.F. On site sewage On site well MWCC System ? City water PRV required ,C Booster Pump APPROVALS Planner Council Bldg. Off . Variance FEES Bldg. Permit 730,00 Surcharge 370 0 Plan Review 36$,00 SAC, City .0 SAC, MWCC '59610z Water Conn _5S0,0o Water Meter 9o,oo Acct. Deposit ,30,00 S/W Permit 2,0100 S/W Surcharge i,oa Treatment Pl. ZzB.oo Road Unit s(40,00 Park Ded. Copies ,bc TOTAL 8/4154vj NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. VA LuA`1-lOtQ AR r<Ge Zv X2y = L46,, ^aFai UqoL> 6SMT ?Lyl6= zsL `luZ?I=51CC L (a z) gao Xty. ?I2o0 L out (-Le-ek 092+0 z; - Ftoorx-, Y h,. ¢ 2$s 5o L?Iyon Z u') rLooR Z4Y3, Z n 12= 1 Y 7 ?3?C 12= 12?r7 3x?= 7'z-o ZU ISM ZL? 102.1 y s'o= 15-0 0 730.00+ 63•0U+ 365.00+ 464.00+ 1 -00-1. 3.123.O0* 730 -Out 63.00+ 365-00+ 1'964.00F 1.00+ 3,123•uu* 7/9/.19 [ 21249 /3,3 ? r G Request Dale Fee No. Rough. ns action 7-12-89 R i 9 Ves ?No ? Ready Now Will Nobly Inspector an Ready? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Boa or Route No.) City 623 Autumn Oaks Court Eagan Began No. Township Name or No Range No County 77 Dakota Occupant (PRINT) Phone No. Joe Miller Construction Co. 431-2001 Power Supplier Address Dakota Electric Farmington, MN 55024 Electrical Contractor (Company Name) Conkactor5 License No. Midland Electric Inc. 041610 Mailing Address (Contractor or Omar Making Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Autho' zed-SjAWqne (Contracar/Owner Making In ion Phone Number 1160 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENCLOSED. 711 ry/g9 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing m is form on back of yellow copy U 21249 `X' Below Work Covered by This Request 49?65`?001 e Add Rep. Typeof Building AppliancesWtred EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) contractors; Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps a tl`? Amps Signs Inspectors Use Only TOTAL Irrigation Booms C? Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Flnal 0alE, Dow ( Cq OFFICE USE ONLY Th. request void 18 months from IIUDEL ENERGY CODE - 1903 EDITION 1 a l? Adoptlon EFieclwo 17f791? , mer_lS.V I p # N L-1' A ? ? Phone Date' to Address li J )7 U II Pr>> fl M c (r-- . Gnu CLfI _ 1, ntrpctor?7 R IFS ??{yl )< _ Phone Ilding ClassiFlcatlons Type Al (Single Family s Duplex)' Type A2(Resldentlal) IEs Complete pages 3 and 1i first. (3,storles or ess< (Other) (Over 3 stories) NERAL INFORMATION N N Building Perimeter ??( C_}}r rt. Wall height (ground to eave) ?" ft. I. x 2. 2 (above) gross wall area z?? t. Building dimensions (L) X (W) -- ft.2 roofs floor area Square foot area of rIm joist - Floor Joist size (2 x T ) lot X Perimeter - Rim-fo st area ?1?LSLft: Dqors - AFed ^ I1(D. lhlckness/t'? in. U factor Type of Construct on Perimeter Ito HanuFacturer Total, door's perimeter It. . Windows: Ilanufacturer_????/L /fit fl S State approved U factor ' TYPE SIZE AREA (ft.2) HUMBER OF TOTA). FEET 2 t?? f ?G?N EACH UIIITS Total ft.2 Class L Z gas Fireplace areal Width X height - X I Ft.2 Exposed foundatlont Ilelght X Perimeters X I? Ft.2 'PLETION OF 11115 FORM IS REQUIRED FOR ALL Ht(Q 7IISThUc b(pIWJUfl R-OUEE HQ AHFeUTL61Hos BEM ED WHERE EIIERCY, OTHER THAN TIIE HINIfAL CODE ALLOWAtICE, IS USED. q area A Z??ctJr ft.2 U windows 177(v •U x A ¦ 10Z I Alm joist area A ' 9?tP,'UPj ft.2 U rim 'Joist ¦ O U __ x A ¦ sr_ Door areaA -' O 2 ft. U door area ¦ U x A •Q __ a-, 444A" area A 7 O f t.2 U VrW;e• • 14 . U ,_ x A 3(Or Exposed foundation A l1 i I'Z ft.' U foundation ¦ U x A is ' ?F?? Framing area A3ac( 939 15) ft.?, U framing area •.. X95 U x A + Net wall area A ZO55'.7(a ft. U wall ¦ 00,43 U x A,r. (130), TOTAL . . . . . . . . U. x A ¦ s Gross' wall area A 0.11.(A-1 single family b duplex • allowable'U x A/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) 0. I I .'I .1 • z .28 Over 3 stories) , ,` ' OTUN Must be larger than A X U 49 4. ! ¦ _ ?, r. 130 above Ceiling framing area (Af) equals 101,of ceiling area or the same as) Gross ceiling area ¦ (L) x (W) lf0 Joist area (Af) • 10% ceiling area • (.Q Z 0 ft.2 Ilet ceiling area (Ac) (15A - 150) • "f O ft.2 U ceiling x A c¦ IOZL • x 54.O 3?__ I ! U framing x A to rot3 ' x (Q2.D • 3,1 I ?? TOTAL'U x A .............. .....•..............• 351 Z Calling area (15A) x 0.026 (A-1 single family A duplex - code allowable U x A -x 0.033 (11-2 other residential): x 0.06 (other) • )(0 10 IOZ(P aZ 84UII I•lust be larger than.150 (above) A (15x1 x (codelz Z1 . F (or the same as) ITEa Use U and A values obtained from pages I,•3 and 4.- . RTIFICAT101I: I hereby certify that I have calculated the "U" Factors and "It" values ere n an th t the building here described meets or exceeds the State of Minnesota Iergy Conservation Act. I r its A - ,II Slana(urs . . ,. r „ ...: I. . .• t ' j1q?}X?.?s}1?.- PBS, Z2 1111 I Nlnxa =10 i ? `? O. D - - ?. __.P?S -zoo n f•".i?ll.yi- ltl'eat laF wall . '`?ls (.Nall) •U r r lnaulartlnu Itj,dl) -- Sluatlttuq -Z,p(? .16 status Uutltd..lt in.. lull LCI lull • 0- S •• S. . 2Jtu VALE I to I Lull Rlll• Jilt t"- ?l •ll • . . 1 R IQIAL 'L3,d 3 l;titOsslt Ills ,6q lutatlot wall •,itt• + I +W nut (6") R* .t..LIJ/ attts,alniJ u r r !lluathtttq . Zi Stittus t ' .fv! •' IdCI5- Uutalde stir lllta.- ,Ii : ?- 'r?• R IUTAL l b,ta3 , c 1tiiU* alt tllm' R+.sq ' L"t4tt"t wall / , • , , q- Ltuul.elnu .INall) V r I r . - taut tat rall?tn tlwq Exlatlue alt lLlro' ' ' It MUtAL Itttet lot sit Rim na 160 (wtulatnu ' I'.W 1: filth, @"It* Voila 1141 Jt11fl? H 81ts.tlllttq • • t 1 x O? a . xt.tIat wait taiettlt` .6"T . ' h• ? , txtetlot alt ItIm n. ell • ?? R 1UTAL .'7c'?,'l(o 1 tiltaflnc alt film Be .69 -_ ??_,, lnlulatlan • ,• / • 1 15,w- p- =_• Iwundatlan A 1 I.ju • (Fall ) U•a txtetlot aft Item ? R . R• .11 , ?' UP1944 Stock .tt. . 4i . Air film 0.61 Insulation `?'?'r ' , . y 1 Joist 11,61 Air film _ 11,11) joh fi- + ,, ,nL5 %'4'•? ,a?L ' ? ru ng1?F nn ?clllltWIAI+_? Ia ?- n bl;l'A n'lAUlr+ U? ?? a ! P/7 , . f0, IIpU', , cEI1.11tU T •el rr+l?1li air film U,e) ,? es Will tIIs e f deckiiij • Ineuletlen ) , • 9nllt-up roof = U•I) Outside all- lls U,II- ' .total II ' • , n. it iullltritlon ,5 clnn/llnee) fuut of crack + + tlal dour Inrlltrgtlurr 11.9 timisynare Not lit- door end minlarum rods 'tagylramau! Idantial du•ur' lot h b'etlou 11.9 pemlllneal lent of crack .r + concrete block nd Insuletluo +•.41.0 0 ' toilet-at" block Insulated cures ',• .28,0 3.8 Ilght;relglrt block 612 it 1.1 + • , Ilghtr,elght block Insuleted•cures • ,12 0 8,7 ' + + If glass ¦ 1.111 • e1111 aternr.rrlrrdy4',84 ` ? , Is glass .53 • • , I. , le glass 41 . •, Rterlor. Itoo ill slid eelllnys must Will a vapor berrler %u.IU perm mix.)• ? + ? barrier Must be on the Inside %hoatsd old") of 11"l11 barriers of the pelrethelane thin film hesi'no II value, I is + • „rC: E. o: a C)t? P,,,b j -* (607 7 - 9 2_ 10--m say,,,. ToV,n ar?9 N1 Ke t L©+ I j ? 3 T 0-/1,Q.rG2 L - ( -? lA,? Jam. J-.r??.2 L' 0.,),- c' -! U "l - .nlJ ? aW.d oc TC 4 % V U n c?--a te 0.¢ c Z A/ ke e, x M R . t^am ?r E r f H i c 3 A. / ¢o aK ve ,i?n?-«• n.c . Pn c ?? ? ? . /S;75- //O o3 2 1922 DAKOTA COUNTY HIGHWAY DEPARTMENT 14955 GALAXIE AVENUE. 3RD FLOOR DAVID L. EVERDS, P.E. COUNTY ENGINEER (612) 891-7100 Fax (612) 891-7031 APPLE VALLEY. MINNESOTA 55124-8579 sway October 20, 1992 Mr. John Wingard City Engineering Department 3830 Pilot Knob Rd. Eagan, MN 55122 RE: C.P. 30-06 Parcel 2(136), Lange So hr File G?}y Prod &07 X620 ?Iw}v.w?v. Dok G fir---L ---- Dear John, P . 4-0 TW" -S 4kk p 5 N"ii We received the attached letter from Lange today. We will accept the conditions posed with the revision of #5. This is predicated on my understanding that the Langes will fully execute the required temporary easement document for the $500 compensation which is our offer. Please have your department's approval of your commitment to the conditions on the Lange letter of 10/19/92 indicated thereon and return the letter to me. Thanks. Jer Kin ey Dako Cou ty Right-of-Way Manager JK/cw Enclosure P:lange cc; David tech Printed on Recycled Parser l ?-\ / ram Cy( cnhntnnl Go gr AVA- Sexry Kino?cey. AN EQUAL OPPORTUNITY EMPLOYER October 19, 1992 C.P. 30-06 Parcel No. 2(13 File # 1025 Mr. Jerry Kingrey Dakota County Highway Department 14955 Galaxie Avenue, 3rd Floor Apple Valley, Mn 55124 Dear Mr. Kingrey: This letter is to present an addendum to the county's proposal related to an additional easement on our property along Diffley Road in Eagan. As you are aware, we are seeking to prevent any drainage problems that may arise on our property as a result of the Diffley Road project. To that end, we have talked with the engineers for the city of Eagan on several occasions and most recently we met with Mr. John Wingard. Together, we discussed the potential drainage problems that could result from the Diffley project. Mr. Wingard indicated that the requested addendum is reasonable. Moreover, he indicated that this work should have been done at the time of the original drainage construction project. In addition to the offer to us in Mr. Everds letter of July 1, 1992, we request that the county do each of the following to minimize the drainage and erosion problems as a result of the Diffley Road project: 1. Install a stool grade casting with an appropriate berm at the highest level existing manhole. (See #1 on attached) Install silt-fence and seeded meshing to retain the soil around this berm. 2. Install a beehive grade casting with an appropriate berm at the lowest level existing manhole. (See #2 on attached) Install sod around this berm to complement existing lawn. 3. Install silt-fence and seeded meshing to retain the soil on all reconstructed portions of our property. 4. Install sod to replace damaged sod as a result of this project. LoNZF•Ac'tn . \4 .,?. watw?a.. 5 Del : of _ ed fr nd to - - - - damage to ,??L_existing lawnsw ?t?w.+.?s ccsospU 3-t'C?spF?J??• Please review this information. I will call you in the near future to set up a time to discuss this addendum proposal. Sincerely, David A. Lange 620 Autumn Oaks Court Eagan, Mn 55123 H: 683-0894 0: 683-6904 e S DDDlAJ a s &4t 03', '0 00 ! NORTH I/4 COR. SEC. 25, T. 27N. R. 23w ••••••••-!' ,ter, =:, P'ai'r OF n,,. :AY. 5..:.H. No. a (D FJ9 EY ROAD) , 04 ..r ci J 3I 10 TO6 'GaAN1' NNiN'AY }I Rf ?jp•J ..YP-+,{ 1 MOWTA PER 06 NO BII 52 •• " .?•" - _ . 2 T. •.!•7.prp ...a^.:i.? -9Cq , ?r I s "";T. N'89-45'280 E ?"'?<. .':667.,1 II.?.,,„a I-?.- t • ?? F.?y?. • / ''t;•36UTN LINE S7 /4 sE I/4 SEC. 2 T.2TN. am • . . ":.•. N6RfN LIIE' I/, NE. I/° SEC 2s?T, Z1N. aafr i'" "'t• 6B.2s••-•••• •^116 - ---------- ---?1 ?.'.....W?y„a,?A•IHA 4'N69fjxfdi.aDEI Yy PARCE -° , Mris is a7am i• az l -'?- -?- / 1 -- -- _f •_ ? i W UIel.LV[I_... • •;?Nlae , s.+ k- PARCEL % ??ARCE- 13ies1 ' "ARCEL ^a.?" . is .,r: Vii: :!..IS• _ "A-7923'16' R•5789 58 84 4 I - S 85° Y>'a_YL". s :i.s .. ??II W h``?= "' •' o ?'` RY''Ba:Ir A .es;?.ad a ?g "? .., •.• •M ='SRNOw ALL PERSONS BY TRESS PRESENTS: That:the County cf'Dakota, a bod. ;a? politic and corporate under. the laws of the Stat•'-of Minnesota, ::.,j pursuant to Minnesota Statutes, Sections 160.085, 160.14 and 5?5.179:, as amended, has caused the right of way of county S ate Aid Highway -'?-No. 30 (Diffley Road) to be maed as the following described lands situat d iintthesCountys If of Minnesota, to wit: Dakot., aState That part of said right of wav +« CITY USE ONLY ^^11 PERMIT #: T L [) C l RECEIPT DATE: RESIDENTIAL MECHANICAL PERMIT APPLICATION CITY OF EAeAN 3$30 PILOT KNOB RD EAGAN MN 55122 651-6$1-4675 Please complete for: D single family dwellings ?, townhomes and condos when permits are required for each unit Date: Vr / 0 i / 09 SITE ADDRESS: Co-2? riv-\P3 OWNER NAME: TELEPHONE #' Ca5l (p -CS9 t (AREA CODE) +?^ INSTALLER NAME: TELEPHONE # (5)51 - L&3 59aQ (AREA CODE) STREET ADDRESS: W • . R .0 • tJC1X 4.65 CITY: RQ?Qsrr?O STATE: _____ ZIP: Place a check mark next to the permit work type _ New residential dwelling unit under constructionand not owner/occupied $ 70 00 Add-on, modification or alteration to existing dwelling unit $ 50 00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surcharge $ .50 Total $ x'5-0 Reminder: Call for inspections. lal'e4v 44f?a? SIGNATURE OF PERMI E Updated 1101 S 0 Sa-/ RESIDENTIAL J I ?S? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 t?V 651-681-4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and L11 roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan If lot platted after 7/1193 • Rim Jost Detail Options selection sheet (bldgs with 3 or less units) DATE c zO VALUATION 4 eflo ?? SITE ADDRESS G ?O IolZi,*d 44fS Cop.@T MULTI-FAMILY BLDG -Y -N TYPE OF WORK _____ ___?/"_' FIREPLACE(S) _ 0 - 1 _ 2 1 1! APPLICANT ?I?TP1' G'dN•sT. STREET ADDRESS /L/ifD ?ra•-°iP,.J, S. PA CITYiitfwsi&,e c STATE ZIP SS337 TELEPHONE #9fl-f9S,'-N6X4)CELL PHONE # FAX #9?,$?$75 9947, PROPERTY OWNER .T 41,J4t 2-e'VA Y?P? TELEPHONE#/ef/-fo2 3 Oflf 11 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY 11 Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan1 rdinances. Signature of Applicant -----..--_ -------- ------ ----------------------- --------- -..----- .- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 Water Softener Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths - Air Conditioning - Heat Recovery System 033' 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 50.5b Date Site StreAddress l P I L ri lb(.m n OM 5 l 1I Unit # Property Owner- ye d Wai &? 1`Q ?1G? Telephone # ( Contractor VI Telephone #(45x) -767 1& Address )4 -city ?Yf?V)dV) f /c State MW Zip 15 The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 - new _ replacement Lawn Irrigation _RPZ _PVB new -repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the eve a plan is required to be reviewed and approved. 7 Applicant's Printed Name licant's Si naSi Ill f, "?" 2005 1?? 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 040006 Date I _ LANGE, NANCY Site Street Address 620 AUTUMN OAK COURT Unit # • EAGAN, MN 55123 (651) 683-0894 Property Owner _ Telephone # Contractor N d r l7 (6Yn P(-(, m b, (9 Telephone # ((ply) 821 4O' Address 2-D5 &iarf-iad Ay.. 4o, city mils State01M zips6-/08 The Applicant is: - Owner V Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPG license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Y _ Water Softener Water Neater $ 15.00 Vt _ new replacement - Lawn Irrigation _RPZ _PVB new _repair -rebuild $ 30.00 State Surcharge $ .50 Total $ ? c) 50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, woi tot tt4tart ithout a permit and work will be in accordance with the approved plan in the event a plan is required to b re VP ?d prove4 Ue reu L. Norblorvl Applicant's Prin d Name Applicant's ' nature CERTIFICATE OF SURVEY FOR "Ae' H^rt_3 KURTH SURVEYING INC. I MERE BY CCRTifY THAT THIS SJRVE T. PLAN, OR REPORT WAS PREPAPEO 4002 JEFFERSON STREET N.E. BY WE OR uC.CR My DIAL CT SUPERVISION i.$DTMAT I AV A DULY COLUMBIA HEIGHTS MINNESOTA 55421 FE 61STEREO LAND CY LNOCR THE L• pc-?M_THE OF YIM4ESOTA. 612 -78O- 9769 DATE ZCS \ $5/ SCALE I"- Vin' MINNESOTA REGIST 1 NO. ,b 1 ?3 y 0RIRON MONUMENT e I ?I IGAR•St,?e? (? .?I,2, "off X929. ? ? - tea. a? - ?l / f rk ('833.7) 337. L. 1-7 k 33 i ys > 1L ?CID .I\J Oc, ?X'?o O o i ° Y F ?Bjy 3 41 ' CAI 11S 89°55'og'4J a r` J r. / 0 C. S, A, H, N o 3O (OIFFLEY ROAD ) AUTUMN OAKS COuR T PROPOSED GRADES GARAGE SLAB • 32q• $ TOP OF BLOCK • 83 •-1-L. L.?w -BASEIREW FLOOR. $7-5;-5` QGVISi:D Au-II t) VkS?T'rIRAO Sc`U i?`rr._P L c >-i I) Bt ocK 3, COUNTP < HOLLOW, DAKOTA C-ourTY ? M INNESOTA ?„ ? ; siS ((JJ ; ? ht( ? h? % DSPIT DA14 ggIrI?EgRIN RED, _ rfeo I6- Y afv2. g- II Ik 3 - k ~ itlk1 '.AYi IlQr J t:' 9 rv fr.` 1 6 ~ +9 i - 27° 117° , j N a® 8 32999' : 7) I ^C TRASH . Wl it ES t PRAIRIE RI GE RD & LANTERNLN N. L * i 38.97 } . { : ! /0- jq--- ll1:::_::_iiiE::li 4 F m , ci4 CouNrfly D= 17.36°' 30 '..i' r~ wry w ~ t1,_ R 1Y rj0 F ;f$ REMOVE &RESTORE EX. HIT. 8WALE a I3 RM - S \ Ct34 --O8 Vii' DA to .'4 ,il _ V . ; r 1, V - , : . \ \ I \ 4 4OV G MP a AP , 2 s 9 ELEV8183 4\ G { r .a b ut fir ~ ~~ti of LIEV 848. . \ r,„ y { : I S \ I MH 4 REMOVE CP a APRON 1,' e, AS DIR CTED . I 6c I t 4e4 , 3 1 EL ' wa . : : • i:)JtJAk P-Al- \ \ , TEMPORARY CON TRUC'FION / MH-I , r C) C ' , EASEMENi' r-•. ~l 0° rr # f.- . a 0 •'i SEE NOTES ON a t. 6 •11 SHEET 4 FOR - a' 4g0~ 3 4 ~Z4 1. THIS AREA. - - ' th i 9 87.88{ o EE flE -;1• - MH 103 MFHO2 ~S k-1• I,, , ./9 f ' ! po L i U $30 g A) \ I t 0 ~I MANN'S 2 q.+n ~r iii e4tYr ~k l : S1` M 4UER , IN= tEd1 i ' N N T/. H PERM. 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I ~,l / ~i~ ~Lt , s 9 $ . . PERMIT City of Eagan Permit Type:Building Permit Number:EA110967 Date Issued:06/05/2013 Permit Category:ePermit Site Address: 620 Autumn Oaks Ct Lot:11 Block: 3 Addition: Country Hollow PID:10-18275-03-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Tste A Lange 620 Autumn Oaks Ct Eagan MN 55123 New Windows For America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature Oct,18, 2013 9:43AM BAUER RESTORATION No.0728 P. 2 Use BLUE or BLACK ink For ;ice Us`e-__---___ vl of Evan I Permit#: ' 1 ~ c I ~f f I Permit Fee: l 3830 Pilot Knob Road Eagan MN $5122 Date Received: 1 13 Phone: (651) 675-5675 I i Fax: (651) 675-5894 I Sfaff• 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0-/ 8-1Site Address: /10.1? Z) -1r,? In ,'V 04 ks G~, ~Q AJ") Unit Name: ~GL U I ` Phone: 4-15/`6 Restdentl; Q.tiwl 1€ `;s - Address / City / Zip: Qtt Ott ~Q kS c7- Applicant Is: !~-3 Owner Contractor Description ofwork: 4e Construction Cost: 0df o Multi-Famlly Building: (Yes I No Company gw/ZIrr- Address• ~dh h Contact: _grcc c..t°.. B K t° • 9.? -af CQntt'actOr O / City. i7k r"hQ state: Zip: Phone: - 7_-33-3 - cl o2 License: Lead Certificate 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 Cltyof 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: nl~ sitippo Nf77E~::►?lans a ate Cori'kl , . , ►Tltlg docylneiits. that;ou subni em to -fie pubIto : niormatlbn:; Pdi fans of the rn om►aftgn mc~ p . de'~c ass~e" s ao' bllc.7f J`~ i roafde s ' ►fit'Feasa 's at wo )d' We d4 C" `:t'o . Pte.. cogcludealtet they are rude: secrets:.: CALL BEFORE YOU DIG. Cell Gopher State One Call at (651) 454-0002 for protection agairst underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, ww•gooherstateonecall.orq hereby acknowledge that this Information is complete and accurate; that the work wil I be in corfommance 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 Me work will be In accordance with the approved plan in the case ofwork which requires a review and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code musk be completed within 160 days of permit issuance- Applicant's Printed Name Appl cant's Signs Pagel OF 3 r Use BLUE or BLACK Ink r----------------� ` I For Office Use � ' � Permit#: t����`E'� I City of ����� .. � � � � �-o� r .��_.� I Permit Fee: �O I 3830 Pilot Knob Road ��-�•'F" � � � Eagan MN 55122 r� � � "��j�, � Date Received: '�' 7 I Phone: (651)675-5675 �j�:. I /� I Fax:(651)675-5694 I Staff: 1'l�') I I I -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !"3'�� Site Address: 1P�0 w,�'inv��J lnirl.;,,}GS �At+►/LT Unit#: t, � ��� ° � , � ' Name: �Jf('il�� �' �A�ItJG`� �E Phone: (n�T�'��'17 . R�� ��� � m �" �� � +�' r' Address/City/Zip: �� ,�G�TUIN ril D��S Cf'� �A�/(�lJ. �N $��Z3 � �� ��-`', � �M�����: Applicant is: X Owner Contractor , xn�. ��r� ���� �.. ��� _ �; Description ofwork:�..��,ST���I?] �iQi4� INS�I«4-TiOev iR1 ���7jE/J7- �- �e of Wor��� � �r .o � r.��u�._: -� Construction Cost: � ,S�Do � Multi-Family Building:(Yes /No�) ,��� � ���� � ����w Company: dUJ/�tEP_ lIVSTi�-L.L Contact: �����.� # � �.,� ������� 3� Address: City: � State: Zip: Phone: Email: � #�' � ` �� License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: �o ��k� /aV ��DU�-� � � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 1�►0#���$ .���and��port�r�rg�a�`�t�eir�th �v s ����r�c`�� si #d�b��r�b���c��#� `a c��i.`��i�'+c�n� � i , ,.. � �� �`'��r��t►o%�a�,���be c%��r�ed as nar� rf you provide,s��cr�c t�easo��#ha�t wouls�perm�f the " �z� ;��� �.� ��� r�� �� , �, � M „ .. � ��;� , � �� ra �... �� v�.F ��� :, � � � -con�� . ��l`�`1�� �r�e#rader��a �� �; � �. _��. �� 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 Minnesota State Building Code must be completed within 180 days of permit issuance. X � r�<D �}-.�1�-��E ' Ap IicanYs Printed Name Ap icant's Signature . /V�//v� / � �/lA�/'L y ` �„^,� � � Page 1 of 3 i� /!/.r y �� .� �—v.t 0 DO NOT WRITE BELOW THIS LINE SUB TYPES _ 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 Wal) xDemolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ,, " ;���� Occupancy =,�� MCES System Plan Review Code Edition ` SAC Units (25%_100%�) Zoning ����� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction (``� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: � (�-, Building Inspector RESIDENTIAL FEES Base Fee � �`' ���/�'' Surcharge �''r� ���� .r Plan Review � � ��, MCES SAC ��� �.�4�� ���� City SAC ��� ,<...::� r Utility Connection Charge '� �_'�� � S8�W Permit&Surcharge � �� `'�' ��� r � + Treatment Plant � Y � � Copies TOTAL Page 2 of 3