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679 Campton CtCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 679 Campton Ct Lot: 10 Block: 5 Addition: Hills of Stonebridge PID:10- 32990 - 100 -05 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Jeffre 0 Stout 679 Campton Ct Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA079976 09/24/2007 ePermit ?.. . ?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 'il I tt? r 3830 P'ilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: - s I ' ',: ??; t t?iJi• #iN.ilt(i# i . i , ?st, ;, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION •• • DA w ;.{ `?, 1 iN A F? K`> _ A'=. F: P A 17 fi t f V F t? M'f T 7:M1 RF?} t a f I? ?? ?i f fl R f3 A# Y i' ! kJ NH.t' f4f"s f:i R?? wr., RK Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING AP-A-07 ROOFING RQUGH PLUMBING PLBG AIR TEST FiOUGH HEATING GAS SVC TEST ? 'J??t1. • INSUL `_ ! GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PL6G FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAI DECK FTG DECK FINAL WtMficate of cccupanc? WR4 of c???? ecoa-tweett tq ex?? anqptttim This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that ai the time of issuance this structure was in compliance with the various ordenances of the City regulating building corrstruction or use. For the following: Use Classification: S F D W G Bmg Pcrffdt NQ 15qq Occupancy Type ?/LiI v ?g Distrid ??l "lype Ca?st Owner of Euilding Addie.ss I?E1F ' 679 OMPTUN rJOUlif I.ocaliry L10, B5, HMS CB MEN= Buil ng Address ?r % U-• ? ._,fi-- 12/ 10/92 POST IN A CONSPICUOUS PLACE 'A9diess: 679 Ckd'M CAURT Lot lp Blk 5 Sec/SubHIUS OF S10NBESRIDGE ZIP: 3 These items were/were not complate at the tlme of the f1na1 inapection. Date: 12 10 92 Yes No Final grade (6" from slding) ? Permanent steps - garaga Permanent ateps - main entry ? Permanent dziveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement flnish Deck Pleasa vsrify with tha builder the removal of roof test caps from tha plum6ing system and the shut-ofE of water supply to the outaide lavn faucet before freeza potential exiata. m White - City copy Yellow • Reaident copy Pink - Contractor copy ?a?-????-- ?-?? _ K 2 4 18 oyo?? Fe??i ?o a ?a-,??o 3 - ? v °° R uest ate `?-" ? ?? Flre No o h-in Inspection iratl9 Ra80y Now ? q ?II NoLly Insp'?or? T `/dh R tl ? Ves ? No e aa y n d c ntractor hereb requestin ection of above el I al work aY d? JoL ar e o) n ciry ?.r SeG t? T bip Name No RanBe No ? J / ( OccupantlPRINT? P Power Supolier k J 4? AOtl ss ? 0"d'"" ."?1c ? ? Lv y ? ih r.. h 's v ? a ?- S e i Eleclr?c CoNrad r ?COmpany Name) , ?.. -I-r c? '? ? ?' ?? ? CO c? § Ucen? ? o S7 .?-?. c.? ?.1 i ? t-- Mailin Atltlress lCOntraclor or Owner aWna Ins? lalionl S3?' -?7??`" ? ??. Autnonze0 SFmr ICO?Vaclor:Owner ng In IlaFOn? ?ry - c,c•«!/ Phon um?ar S 3- ? ^ S? ? SOTA STA BOAND F ELEGTRICITY THIS INSPECTION REOUEST WILL NOT Grlgps-Mitlway Bldg. - Paom S113 BE ACCEPTED BV THE STATE BOARD 1811 UnlvenHy AvB., 31. Vaul. MN SSiOC UNLESS PROPER INSPECTION FEE IS Phone(61Y)BCP-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ? •See instrucMians Nr complebng ihis form on back af yellow copy. N 4 718 _! 'X'Below Work Covered by This Request EB-00001-08 2^`? ?,. / /Q9o7 ? AdA Rep 7ypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt.Bwlding Dryer Other-(Specity) CommJlndustnal Fumace Farm Air Conditioner ` Otner(sueciN) Convaclor's Femarks Compute Inspechon Fee Below: # Other Fee # ServiceEnlranceSae Fee # Cirouds/Feeders Fee Swimming Poal D to 200 Amps 0 to 700 Amps Transformers ADOVe 200 _ Amps 0_ Amps $igns Inspector5 use Ony TOTA ? Irrigation Booms .- 4 S eciai ins ection ? ? '?' ?p uJ A arm/Gommuniranon THIS INSTALLATION M E OR RiU dISCONJJECT?D1F NOT Other Fee COMPLETED WITHIN NT I, the Electncal Inspector, hereby Rougn-in • oa'9? ? y ? / certify that ihe above inspection has been made. F,nv ,ar.. • oa?g OFFICE USE ONLY This requast va0 18 monRis irom INSPECTION RECORD CITY'OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LOq= It 8'0cx ) 6 APPLICANT: 679 raNl41?T"ON Z1 GioMIRVRN CON$$ N7Lcs aV Sr0*1%Rxa*f (612) Taa?620 PERMIT SUBTYPE: S F' ipuF TYPE OF WORK: Control No. 1267 01a4 ...?:'; INSPFCTION F00P.[ N10 .. . I?? niN.T,bI? .A 114SBkA'1'IaM i"TACEL't Arp r RE?{NRPES. S!G 61 ColtTRACI'4PR -- OEMiP-P'YrtM 8?L&O Permlt No. Permk Holder Date Telephone M S/W PLUMBING -KN21a? 'J* t-' - 'YN Hdo,o ELECTRIC ELECTRIC Inspectlon Date Insp. CommeMs Foonngs 1 /0// 3AA S' Fountlatlon Framirg 2z D Roofing 'ROUgh Plbg. UJ? Rou9h Hig. ISUI. Firepiace 10342 RO?lfED i.v P Final Hig z. r" z Orsat Test 2 IDS Final Plbg. 1 /Q_c,Z PIOg. Inspeciw- Notily PlumOer Const Meter EngrJPlan Bldg. Fnal •? /''Z V?• C 1?'is ? ?` DeckFtg. O Deck Final Well Pr, Disp. ?v?- ' ! ? ??'?- RESIDEIVTIAL ? ? • BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 /-41 651•681-4675 NewConstrudion RenuiremeMs • 3 regatered site surveys showing sq. ft of IW, sq. ft. o( house; and ?II roofed areas (20% maximum lol coverege allawed) • 2 copies of plan showing 6eam 8 window saes; poured tound desgn, elc.) • t set of Energy Calculatlons • 3 capies of Tree Preservation Plan if lol platted affer 711/93 . Rim Joist Oetail Options selectbn sheet (bldgs with 3 or less units) ?- -- VALUATION q DV- 60 DATE ^f'?r ?_-Z JOB SITE ADDRESS 672 -e- -j IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF ' 0 1 2 APPLICANTLtYer-L ST.^tT? PHONE#7&3-S33-iS? ADDRESS &Z ig- L4745L4+?b A-t/F AJ ZIP CODE S3?ZS' PAGER # A3 T-? n •? ? fAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing Systcm Includcs: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor: _ Air Condilioning _ Heat Recovcry System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Or< Slgnature of Applicant CELL PHONE # _ Waler Softener _ Water Heater No. of Batlis ? EAo ('k-OOn.,f rtemoaeurtavart neamremanw • 2 copies of plan • 1 set of Energy Calculal'wns for healed addilions • lsitesurveyfarexlerioradditionsddecks • Indicale it hane sened by septic syslem for additions Phone #: I.awn Sprinkler No. of R.I. Baths Fee: $90.00 Phone # Fee: $70.00 Phone # ?? Certificates of Survey Received - Tree Preservation Plan Ri-dceived _ Not Required _ Updated 2002 OFFICE USE ONLY • ? `, ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New `4' 32 Addi6on ? ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - MuIG ? 33 Ext. Alt - SF ? 36 Multi O 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 9lg1? Occupancy iz MC1ES System _ Census Code Zoning City Water SAC Units Stories = Booster Pump Nbr. of Units Sq. Ft. " PRV _ Nbr. of Bldgs ? Length Fire Sprinklered _ Type of Const Width REQUIRED IN SPECTIONS Footings (new bldg) FinaUC.O. ?C Footings (deck) ? FinaUNo C.O. _ Foo[ings (addition) _ Plumbing _ Foundadon HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ pool _ Ftgs _ Air/Gas Tests Final ? FrammB _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By T_ Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total O 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex X 8 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N \I 2422 Enterprise Drive ; ? • ,' Mendota Heights, MN 55120 (812) HO sun?voRe • aML Ensm?as 681-1914•Fox 681-9488 ?EEI? u , ne?r ng ?D ?NERS • w+oscAre utai?cTS 625 Highway 10 Northeoet Bloine, MN 55434 . * * (612) 783-1880•Fax 783-1883 . rtificate of Survey for: GOI"CTlan Construction_, If1C. ? House Address: Campton Court Eagan.• MN ? JO / 918. ? S ?S?? • l? ,o ? OO F ? e,b C?II0•0t r,, ? q B Ov ? I 0 / / J/ N ?Iry O C:? / I 0 M r ? V 919.0 2.0 0° ?4 o ?^ C7 ?_3? ? ° 2433 2107 13.1 o 7 ? ?3a2a ? .'ti5•SS ? ? oO *J9O S/ ? I " REVIEW / \ \ S\,1? OR'? 4y l o ? ? ? ??ATD e,3.xu \ Data Lf- qy kiC1AN ING NE&RIr ? ?T \ \ DEH - PERMIT ? ? CITY OF EAGAN 3830 Pilot Knnb Road Eagan, Minnes ta 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 031266 12/16/97 SITE ADDRESS: 679 CAMPTON CT LOT: 10 BLOGK: 5 HILLS OF 5TONEBRIDGE P.I.N.: 10-32990-100-05 DESCRIPTION: s(ONE BEDROOM) B?i3lding-,PermiC Type BA9EMENT FINISH iB-L3lding f?`bCk Type ALTERATION ?r,"'Censua Cmde ? ? . H ? _ •'°°Yr? .4£ v( ? m?l??.P?.^? . .. t?r•sa"u}? .?`U"?' 434 liLT. RESIDENTTAL ?'`,«. ?5 y` ?1' ?'ak.? ?? '.`? j 'o-i.? ? REMARKS: A SEPARATE PERMIT IS REQUIRED FOR RNY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - BEVERLEY DAVID ' 679 CAMPTON CT EA6AN MN 55123 ; (612)686-0355 3 p E herekry ?acrkrcowledge th`at 2 have're'atY thft 4 pp"I'ca taaY1 ari''tl stat-lo "titai Ebe' in£brma-ti?ors_ zs corr.ect art.d ac?k^?? A¢li aorrtply ofi.?Rn.,? St,,RtU?'r&,s ?8f1:d L'it,a! 4f A ...,.,__...,_, ,,.?.:..,. .. ...,... .. _ ._.. ?_ _.._ -, ........ 17 t, o" rn? I APPLIC /PE I EE IG A RE --ISS E YYIG E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 1 itt CITY OF EAGAN ??p???/ p? 3830 PILOT KNOB RD - 55122 l?f(.C.?.CGt 681-4675 New Construction Reauirements RemodeYRepair ReaWirements ? 3 ngistered site surveys • 2 copies of I ? 2 copies of plans (InUude beam 6 window saes; poumd inA. ddign; eM.) ? ibeucv?xtert8redddions 8 Cecks) ? 1 onergy calculations ? . eatetl adtlitions ? 3 copies ot tree prexrvation plan if lot platted after 7/11/93 required: _Yes _ No / p / DATE J? •? y/ 7 CONSTRUCTION COST: DESCRIPTION OF WORK: _ F /N /S N T STREET ADDRESS: LOT ?--?-??BLOCK'-f--- SUBD./P.I.D. #: ' PROPERTY Name: QAJ j ,61 Phone #: OWNER Street Address: ? 7 G' / City: ??ly state: /vw_ Zip: 3 , CONTRACTOR Company: Phone #: ? Street Address: ?- License _- - _? City: State: ? Zip: ARCHITECT! Company: Phone #: ENGINEER ?- " Name: ? Registration #: Street Address: City: State: Zip: Sewer & water licer•eted plumber (new construction only): and lot change arc , equested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. (1 ,, e I, Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No CITY OF,EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 1267 PERMIT-T-YPE: Bur.LorNr., Permit Number: 001599 Date Issued: 1 0/0g/ g2 SITE ADDRESS: 679 CAMPTON CT LOT: 10 BLqCKa 5 H:CLLS OF STONFBR'LDGF DESCRIPTION: REMARKS: C-1 0C3-11X3 0 S& W CONTRFlCTOR - GEN2-RYAN PL66 FEE SUMMARY: VALUA'iIUN Base Fee Plan Review Surcharge sAr, SAC % SAC Units SubtoCal $762.00 $495.3m $67.50 ??00.m0 100 1 $2,0 24.80 $135.000 MISCELLANEOUS 1.1.610.50 Total Fee $3.635.30 CONTRACTOR: - A p p 1 i c a n t- s T. LIcOWNER: GORMAN CONST 17313240 00033 1 60RMAN CONST 2217 BONNSE LN 2217 BONNIE LN ST PAUL MN 5517.9 ST PAUL MN 55119 (612) 731-3240 (612)731-3240 I hereby acknowledge Chst I have read T.his application and state that the informatian is carract and agree to comply wi.th a],1 appJ,9,cable 5tate of Mn. ST.eTutes and City of Eagan Ordinances. L - APPLICANT/PERMITEE SIGNATURE ISSU DlA EJY : S G ATiRE ? INSPECTION RECORD C°"t`°' "° 1267 CITY OF EAGAN PERMIT TYPE: e u r. Lo r. N r 3830 Pilot Knob Road Permit Number: 001599 Eagan, Minnesota 55123 Date Issued: 19 /08 / 92 (612) 681-4675 SITE ADDRESS: L 0 7 : 10 B L O C K : 5 APPLICANT: 679 CAMPTON CT GORMHN CONST HILLS OF STONEBRIDGE (612) 731-3240 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION FOOTTNG .A . FRNMTNG .A IN5ULA7ION FINFlL FIREPLACE REMARKS: 5& W CONTRACTOR - GENZ-ftYAN PL6G I F SF DWG NEW F2-3 M-1 V--N PD R-1 70 28 , i ??•?"?t ,+'? f?Build3in.g Perrri.it Type f Buildin6?W,or1c Type ' UBC Occupancy l% Construction 7ype Zoning ?. ? , Building Lenyth ? ' Bui.l.ding Width ; i L ---- --- PERMIT i REACTIYATE _ CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION $3PL55,30 , SEP 3 0 REco SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of archltectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies vrhen typing of permit is requested, but not picked up by last working day of month in Nhich re uest is made or lot chan e is re uested once ermit is issued. Date CfZ Valuation of work 400. 6(Do,x00 . Site Address: ?? ?r? x I 1" 67 STREET ' SUITE N Tenant Name: (commercial only) LOT ) C) BIACR SUBD. P.I.D. A a„ e ?d Descri tian of work: The applicant is: ? Owner ? Contractor ? Other (oeecribe) Name Phoi-ae Property u:T FIRST Owner pddress STREET STE t City State Zip Company _C=? a r w. aLX Gok, . Phone 7 3(°3a?b Contractor Address Q vvn ?2. License S:333 1_ Exp. City >f PQAJ State Y?l l/l Zip S5 ? r9 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber -? . Processing time far sewer 3 water permits is two days once ea has en approved. I hereby acknowledge.that I have read this application and state that the information is correct and agree to comply with all applic ble S ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: _ OFFICE USE ONLY BUILDtNG PERMIT TYPE ? 01 Foundation X 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch O 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION i? ,? `? ' • . F ? 16'8asement Finish O 17 Swim Pool ? 18 Comm./Ind. ? 19 Comn./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 11 Apt./Lodging ? O 12 Multi. Misc. ? 13 Garage/Accessory [3 14 Fireplace O 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) V- N Basement sq. ft. (Allowable) V-N Ist F1. sq. ft. UBC bccupancy -?"-? 2nd F1. sq. ft. 2oning '?D R-l Sq. Ft. total t of Stories Footprint Sq. ft. ni h On-site well h DeP ? On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final O Framing ? Draintile ? Insulation ? Fireplace Permit Fee 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: v.tut;o,: g 13 S, oao ^ GARA6E; 2L4 X2L=576.4 16=`7Z/6 6st?r; aS xag = ?gq ? "c 3'lz = (31) S = 3 5 (g) , ?c X ??zX 12/2XZ2 = 13(a- ( oyZ IsrFioo a', I ox? X(S: 153go 13SYn7 IU'?6 / 1o38?[S3=5Sb??( - ZrjL) SAC % 0 p lsr ?on= 1o3% k S3 = SS?? ?( SAC Units ? 13 y, 63?r O 37 Demolish MWCC System YES City Nater res PRY Required Booster Pump Fire Sprinkler Census Code ? SAC Code o ? Assessments * PIONEER * eng?neeri * ,* * * . Certificate of Survey for. GOI'fYl(iCl Construction. If1C. House Address: 679 Campton Court. Eagan.? MN / 3D / . i ? *0 ? A?? ?A ? C ? 919.0 / cq?? 1°ti 2422 Enterprise Drive Mendota Heights, MN 55120 612) 681-7914•Fax 881-9488 625 Highway 10 Northeast Blaine. MN 55434 612) 783-1880•Fox 783-1883 ? SS 70O?r j?b ? 06 F ? REVI E D ? c" ? O??T \ \ "? \ ryh \ ? x 900.0 Denotes Existing Elevotton ? pROPOSED HOUSE ELEVATION • 9? Denotes Proposed Elevation Lbwest Floor Elevation:909.95 - Denotes Drainage & Utility Easement Top of Block Elevation:918.06 - Denotes Drainage Flow Direction ?- Denotes Monument Garage Slab Elevation:917.73 .-$- Denotes Offset Hub Bearings shown are assumed LOT 10 , BLOCK 5 HILLS OF STONEBRIDGE DAKOTA COUNIY, MINNESOTA I herebV mrtify thet this survsy, plen or repat was prepered by me or under my diract+upervMlon anM thet I em duly Replslmed Land 8urvayw /J undar tha laws of the State ot Minnesota. Deted this F'T? dey ol A.D. ?19 ReViS<,) .?p/'I?qL ?OOQO ???STrIJG ?l?'11. • ? . w // Scale: 1ln-cb=30fB8t ? RO6E0. .$K L.S.AEO.N0.14891 w 92447.00 047NER: SITE ADDRESS CONTR9CTOR: 5 e/= R?NC??z?oEr? (0 a Y DATE: 0a-1 2- PHONE: 7 3/-'S 2 Yo Determine vorking square Pootage of each: 1. Total exposed wall area .. a sq. ft. x.11 = a? S• 9 2. Total roof/ceiling area ... 14 LI sq. ft. x.026 = 07 5 , 04?l Total ezposed wall area above floor = 3)? 9 p a. Total wall window area ............................ ?_ b. Total door area ................................... ? 7?5 c. Total sliding glass area .......................... d. Total fireplace wall area ......... .•............. w e. Total xall framing area (averagel0%) ............. ?7 f. Total net wall area above floor ................... ?4a/ g. Total rim joist area .............................. !09 Total ezposed foundation area c Q-0 v 5F h. Total foundation window area ....................... -? i. Total net foundation area above grade .............. Z o5l SF Determine 'U' value of each wall segment: a. 2() Z, )- 3 x fUl b. , ?- x 'U' c. 7 q, 4'%-- x ' U' d. x ' U' e, a65 x 'U' f. 4a1 x ,ug g l,Q X IpI h. -- x 'U' f. 'Zoy x 'Ul 3 . ................................................... ToLal = a $ . If item 03 is the same as or less than item 01, you have met the f SBC 6006(c)2. p oz? ?otal exposed roof/ceiliag area =„ 1 b?1 •• ' b- 3. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) ... wo 1. Total net insulated roof/ceiling area .............. 4 6= OVER CITY OF EAGAN ERTERIOR ElNELOPE AVERAGE 'U' COMPUTATION Determine IU' value for each roof/ceiling segment: T ' ' ? ?? •- U- X IUI _ . k. rlx IUI Xlut R-U??ua3 -, 4, 4 . ...................................................... Total If total of q4 is the same as or less than 92, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items l13 and 64 shall not be greater than the sum of Items 07 and 92. 1. + 2. 3. + 4. - 2 . , • ' . SINGLE & DOUBLE FAMILY HOMES ' 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements ' should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUIDCIIIlE TO (R) rAqORS fC011 lSllRi,( 111:IUAL OF TTPIUdLY USCD PRO[N1CT5 Interior Air iilm (%iz lls) (R) O.EB Gypsw+ or Dlaster 6oard ;/B" (R) 0 32 Caterfor pir Film (valis) l 0.17 Cypsum or ylaste/ boar0 1/2" . 0 45 mtcrior hir Film (Ven[ed C<ilinq ) O.GI Gypsum or n1.,ster bwrd S/B" . 0 56 Eatcri,.r Air Film (Vcntcd Ccilin9 ) 0.61 Ply-oaA 3/8" . 0 47 Inlcrlor Alr Filn (II[n VenieA) 0.61 PlYwood 1/2" . 62 0 faterior Air Film !uon Venced) 0.17 Ply.moE 3/4" . 0.93 RiumtnuM sietoo 0 61 Shnathinp, reg, density 1/I" 1,37 Aluminum .,ith Backer . 1 82 Sneaminn, rea. eensitr 25/3211 •' 2.06 At.minvn with Batkci L Foiled . 2.96 Nyil-Eai< zhe:thinq I/2 1,14 1/2 x B loo Sidinn (uooa) 0.81 Built-up Roofs 0.33 7/16 x 12 IlardboarE Sidinq 0.67 Asbestof-ceent shinpl(s 0.21 l.s4cstes SiAinns 1/4 tapDed 0.21 AspNaIS roil roofing 0.15 Stucco (On.m and Iinlsh Coat) AsPahlt Sningies 0.44 I'4" vood SuEfloor or Shea[ning " 0.94 Insulrtion: 2-2 3/4" iiberqlass 7.00 1/3 Plyr.ootl _I.nathinq " 0.67 Insu4tion: ) 1/2° flEerglass 1F.00 1/2 Particla tlw.rd 0.66 Insulation: 6" Fiberglass 19.00 WODS• BLOVI11f. NOOLS Fir, plne 6 simitar soft 4oods I 1/2" 1.89 Appras. j' • 9.00 2 IR•' 3.12 Avvro.. 4 1/3" 13.00 3 1/3" 4.35 Apvro:. 6 I/4" 19.00 5 I/1" 6.8) Approx. I 1/4" 24.00 ? APProx. 14" • 70.00 RpOrox. IB" 40.U0 A11 other insule[ion mat<rials must ba Filled verifieE (R factor) (R) Vermiculitc 8^ Concrete 81ock (5 L G Reg.) 111 1.93 12" CenGrete ¢lock (5 b G Re9.) I.IA 3.1$ ' 8^ li5ht ucignt 2.18 5.07 12'• Liot t:eignt 2.48 5.81 •f!l.A?R?ln???CC3Gfi?PC f.A No7E: (U) • Ar¢a Spusre iect '4p) LL AII VInAONS (r/Sterns I" m 4" Space) .54 Rnroval DouEle Lla:ing (ROL) .55 Tnermo or welde0 3/16" ai? spate .69 I/4" air cpatc .65 1/2" air svace .58 (Other win0ows specifiully tesced csn vse better' ntingz) . I )/L SoliE core tloor ,46 • r/scorm, wnoe .31 w/storm, fttal ,26 hase SocelDoor Insl/r7/pL ),ygp ,1; Slldinq Gloss Door, WocE .65 . Metal .715 . . ? ' . r . v? r.nvnrv - i? PIZNITNii "U" VALUE Ai\D R-FACTOR AT ROOF, IdALL, RITI Ai\D CO::CRETE BLOCI: ! . • , ? ROOF j C?IL?N? (Y) Vf iQ 1t?TE?IoI? P.tR f101 . 61 . O S?su G?P ZD, • , s? ? : Q INSULA j?oN R 4y • C4J . , O . EXj6R;oi AtR FILM 6 ? (ST1LL) - ? 7bTAL (R)=ys7u ? -? InALL - . ?'- (R) ?!AL QQ {Illc[=101'- AlM FILM 161 G) '12` CaN(P.- BD.' : . . , 4If (D ?„-? Ip1SULATlaN 5 %Zlr / 9, o n ED ???Ir g?1-_7-?iTc ? . 6, o 0 ;o M? ?oNtTc StDlr'(x ? 6 ? u Ex;E;Io" F+iX FILNI itv= To7RL (ic) = 2 6.9? iziM - ? • ' ? (R) VAt1 ?z lt1TEl'?lor: l??C• FIu1 , 6?'?. . o- ? 'Z FIR- ' ?s ?f ?z gvt:? ?iTG . ? . • . ? ; o a . C' f ?F;sor?l'C?. 5?olNG '. G7?? - 0 . E)?j'cSL1OfL JaIR flLC1 .1 7'.•- ????? . To1P? (?t)=a?, y -,:_._. . ? faJNDATtoO . ? ? CR) VALV QQ IN LEt?lZ Aut F1LI-i • C 2 ' 121146I.IG. 3LK . 1• ?. ? O I`? 4r,YP-??'?t?,'`'?R•5-v,? r> eX7jEP.to2 Afrc FltM .1-7 aUll _ ??IZ= •;, ToTaL (R)= 7?3 /r Floors oee: unhezted spaces must have minimum R-fae[or of R-20 (tuck-under garages). Floors oc.-.r ou[door air (overhangs) ause liave a nininum P.-factor of R-33. . , . . . o ? LOT SIIRVEY CHSCBLIST FOR R88ID8NTIAL u7 u9 ? so BUILDIN4 PBRMIT APPLICATION " HI L L D F 570t4F 99)D6E eGo GK S PROPSRTY LE(iALS Lo+ /O w , LU < Date of Surveys /99z DOCIIMENT STAHDARDB 6' ??F1 • Reqistered Land Surveyor signature and company ?- /CY ? • Building Permit Applicant 9? ? 0 : I,egal description . [-il?/0 0 • Address • [?' 0?? ? • North arrow and bar scale ? Q' 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ff?t??? ? • Directional drainage arrows with slope/qradient 8. GY O? • Proposed/existinq sewer and water services 0/? 0 • street name 9-'? ? ? • - Driveway 8L8nATiONB Egistina 2' 0. 0 • Sewer service B?-0 ? • Lot corners LY ?? • Top of curb at the driveway ?? q/• Elevations of any existing adjacent horaes Proposed 0"10 ? • Garage floor [? ? ? • First floor - f? a ? • Lowest exposed elevation (walkout/window) IYCI ? • Property corners [YO 0 • Front and rear of home at the foundation DIMEN8ION8 ?-/? • Lot lines ?[?' ? • Riqht-of-way and street width (to back of curb) (Y? ? • Proposed home dimensions including any proposed decks, overhangs qreater than 21, porches, etc. (i.e. all structures requiring permanent footings) O' ? 0 • Show.all easements of record and any City utilities within those easements ? ? • Setbacks of proposed structure and setback of adjacent existing homes August 1992 C1TY OF EAGAN CITY USE ONLY MECHANICAL PERMIT RECEIPT # e o a ?-? ?? SUBD. (612) 6514675 DATE L-z?c--9Z RESIDE1V17AL PI.EASE COMPLEPE UPPER PORTION ONLY FOR SINGLE FAMILY DR'II.I.IIHGS. ALSO, COMPLEfE FOR TOR'NHOMES/CONDOS R'HIIV SEPARATE PERMII'S ARE REQUIRID FOR EACH DWELIdNG UNff. OWNER: GpfLm?tN Co"S`TizUL'F"t 0'"l ADD-ON A/C ADD-ON FURNACE? SITE ADDAESS: ?7 ? e4m p'?'on J ADD ON/REMODII. (E7IISTiNG CONSCRUCI'ION ONLI) $ 13.00 INSTALLER s <• HVAC 0-100 M BTU ? PHONE #F: ' 33 _S pZ ADDTfIONAL SO M BTU 6.00 ADDRFSS: 4 YYI P• fc'I S ? aL/J . GAS OUTI.EP3 -11IINIMUM 1 Q S3 EA. ( 21? O CITi': (z, n)e Co S-j• K'.0 nl• ZIP: ?b N2 SURCHARGE: $ .50 SIGNATURE TOTAL: u v V Q NO PERMIT REQUIRED FOR DUCTWO?tK ONLYI COMMERCIAL PLEASE COMPLEfE TIiIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUII.DINGS. ALSO COMPLEfE FOR ApARTMENT BUILDINGS OR OTHER MUI.TI•FAMILY BUII.DIIVGS R'HEN SEPARATE PERHIITS ARE NOT REQUIRED FOR EACH DWELLING iTNIT. L 10 eL 5 cxxY oF sncnN f /n PLUMBING PERMIT SUBD./dLKJL? (612) 681-4675 R88IDBNTIAL PLEASE COHPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # DATE /O ,30 Y? ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION N0. NEW CONST ? ADD ON _ REPAIR OWNER NAME: SITE ADDRESS: INSTALLER (n 7 9 ? ?. ? -4- ? ? COHPLETE THE FOLIAWING: FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 ' 0 BATH TUB 3.00 i La IAVATORY 3.00 !?(JD KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 ?D O HOT TUB/SPA 3.00 WATER HEATER 3.00 =O r WUk llRAIN 3. 50 &00 GAS PIPING OUT. (MINIMUH - 1) 3.00 < 3D v ROUGH OPENINGS 1.50 ? OTHER WATER SOETENER 5.00 PRIVATE DISP. 15.00 U.G. SPRZNKLER 3.00 W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S ^L_`U? ' COLMRCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTZON: OWNER NAME: SITE ADDRESS: TENANT NAME: , SUITE #: _ INSTALLER: ADDRESS CITSC: ZIP: PHONE #: CONTRACT YRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF YERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ _ STATE SURCHARGE $ TOTAL: \ (SIGNATURE) CITY OF EAGAN CITY:?.???%?Y7Z-O^u/?Z.f ZIP: c5 ?U60 PHONE #: _1l9'K ?? BL 5 cirr use oNLr sueo. RECEIPT #: 96/ T, 0 Yo RECEIPT DATE: 1"10 1997 PLUM$INfi P£gMIT (i;£SID£MfIAL) crrY oF ensntv 3830 PaoT xtaoa Ru ensax. Mx ssizE (61 E)'6$1-4675 Please complete for: ? single famiy dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet • minimum - I Rough Openings Water Softener ' Por dwellings under construction Water Softener ' for existing dwelling U.G. Sprinkler ` for dwelling under const. U.G. Sprinkler "forexistingtlwelling AliefBtlOnS 'toexistingresidence Water Turn Around Private Disposal System ` Dak Cty lic. (new and refurbished systems) Private Disposal Systems' Abandonmenl STATE SURCHARGE .50 TOTAL ? • --------------------------------------•----------•---------••----------•-----------------•-------------•------------•------ =-----•-•--•---- 1 hereby acknowiadge thet I have read this application, sfete that the iMortnation is cortect, end agree ro compty with all applicable City of Eagan,ordinances. It is the applicanPs responsiblllty to notity the proparty owner that the City ot Eagan assumes no liebiliry for any damagea caused by the City duritg rts normal operational and maintenance adivRies to the facilities construded under this permk within Cily property/rightof-way/easement. SITE ADDRESS T OWNER NAME: INSTALLER NAME: TELEPHONE #: STREET ADDRESS: CITY: ZaL/ * _ STATE: / / /t/ ZIP: SIGNATURE OF EACH 0 TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 x = 3.00 = 20.00 = 20.00 20.00 = 75.00 = 20.00 CD/FORMSIPLBG PERMR (RESIDENTIAL) 1997 RESIDENTIALBUILDING W Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshud'wn Reauiremenls RemodeVReoair Reauiremenis Office Use OnN 3 regisie2d site surveys showing sq. R G lot sq. fL M house; and all roofetl areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum bt coverage allowed) 1 sel of Eneigy Calculafions fa heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suney for addifions & decks Tree P2s Reqd _ Y_ N 15etofEneryyCalculatlans Atldifion - indicatei/on-siTeseptksystem On-siteSeptlcSystem _ Y _N 3 copies of Tree Preservatlan Plan'rf lot platted after 711l93 Rim Jo'st Detail Optlons seledion sheet (bldgs with 3 or less units Date o q /?/ )-v ° 3 Construction Cost Y/ 5? p o u, 0,3 SiteAddress G-t UnidSte # Description of Work _ T4?? o«??vv ? GjovS¢ d" ol a z Multl-Family Bldg _ Y? N Bireplace(s) _ 0 _ 1 _ 2 Properfy Owner -Te 7ZY ? f o tJ f Telephone Contractar L ct t(f S-'u ?C' /r ¢ M v d 2 le o/ 5 Address City /?rwoklYh State M A/ Zip ?' 1? W Lk Telephone #(7L 3) 3 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy COde CBtegOry , Residentlal 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 _ fee applies. Licensed Plumber_ Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acimowledge that the information is comptete 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 pernut, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. Jer7 Po FIP4 ApplicanYs Printed Name canYs Signature      ð  ý    ï þ ý ü ÿþþ ý  üúûüúûû     ùýýþþ ï  êôÿïûù ý ààê ÿ ÿþ÷  ûúùø÷öõòÿæ ÿÿ úø÷ö õ ø÷öõòÿæ ÿóòæíö î ÿ öôúÿ ÿúÿëúö ÷ Þý ûÜú é îö  îÿ  î Üú ÿî ÿ ù îÿãï  ýòòöýÿü ï ï îý  þ ÿöã ï ï ÿö ï ÿ  ã  ùîá ÿ  Üú ù÷ òÿýï î÷ îÿã  ÿéäìäââãêâãâê öù  ûú  ý ÿÛ ú äìäãêàãàê Û ú üã  õó ÷ òñ öö  õòöÿñóßïï ÷ëûú ààë íÝà îö þ ý ñóêêþ ý ñóêê èêåàêê   ù÷ òý     ÿ öö  ÿ   ï î ÿ   ý îö÷ò   öö ùû  ïñÿ û úÿ ÷ïþ ý ë  ÿã öö æ îûý ú ÿÿú÷ûý ú  Use BLUE or BLACK Ink I For Office Use I I ~ I r ~ I 1 t'~ I j Permit* City of Eajan Permit Fee: 3 7/ ` P 3830 Pilot Knob Road RECEIVED I I Eagan MN 55122 , Date Received: 1 Phone: (651) 675-5675 APR 18 2Q1 1 Fax: (651) 675-5694 1 Staff: I ! ply 4 "R-I,y 014 41Z~/,~ ~t RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Co7 9 C&m MN ~_Gtc r_T' L419-11* Unit Name: 7E~ F a' ~ u Io I Tl4 S- Lzr Phone: 6, S/ - 9 7 - 3 Resident/ Owner Address / City / Zip: ~ 9 Cf m IpTD N au rr~ r L d} ~-V Tw Applicant is: Owner Contractor Type of Work Description of work: LliY► a D ~ Kf -s Hsi ) ~AIA R O P)q ~ 19~T►j Construction Cost: Ja, 0-0y - Multi-Family Building: (Yes / No Company: I ~7•tJ SP {}c e7s Contact: S ftR YA d,10ru asvr Contractor Address: 0_10 5 W , N3SV_&e7- city: Vu P-H Sur uss State: _MN Zip: Z5530(p Phone: 1`I1--- 9 6 3 1 License Lead Certificate* If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) NOT 3u i t-r'3J~. 87~E' (c? 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 consldered to be publicc information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the Pity to conclude that the. are.,tM 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.gooherstateonecall.oro 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. ~n c~A Applicant's Printed Name Applicant's Signature Page 1 of 3 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 Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION a GIOt"J ' Valuation f~ Occupancy C - MCES System Plan Review Code Edition 477 SAC Units (25%_ 100%-,/-) Zoning / City Water Census Code Stories Booster Pump # of Units ! Square Feet PRV # of Buildings / Length Fire Sprinklers 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 Erosion Control Braced Walls Other: Reviewed By: , Building Inspector _ /0 RESIDENTIAL FEES xog 324Pv ..d= G?a~ ~ Base Fee gel iti- do Surcharge S~yyrr ,M j~ Plan Review f 1-It 41-- MCESSAC AC 18,0 City SAC Oxe& IF Utility Connection Charge 5Q7 S&W Permit & Surcharge ~✓`~rA~w Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r For Office Use Y Permit I - Cit of Ea I I 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 ' I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 I I Staff: L -----------------I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: 677 C a- k + d P-\ C Tenant: Suite Resident/Owner Name: k Phone: Address / City / Zip: ~J 0. t~ttit~ Name: VCS h 2 C...(G~ p G License Address: -14-0 Paa--- City: Contractor A State: V Zip: ~-L) Phone: rcc`"(i 1-5?1 Contact: ~-2-- Email: dpt vi~ &I q,'OL g. C K-t s . Cdh" New 251- Replacement Additional Alteration Demolition E Type of Work Description of work: DuL 4~ V041 Eujeace, NOTE: Roof mounted and ground mounted mechanical eq ipment is required to be screened by City { Code. Please contact the Mechanical Inspector for information on permitted screening methods. ! RESIDENTIAL COMMERCIAL X Furnace New Construction /1 Interior Improvement Permit Type i -Air Conditioner Install Piping Processed - Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under/Above ground Tank Install Remove) Other L 6 RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 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. x PAvib TAwec.p x Applicant's Printed Name Applicant Si nature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink r-----------------I I For Office Use I Permit ( ZZSL2, I City of Evan I i I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 i Staff: I Fax: (651) 675-5694 L PERMIT APPLICATION 2014 RESIDENTIAL pPLUMBING Date: 1r l Site Address: ( Tenant: Suite Resident/Owner Name: _ s 4C4t, c -f -f Phone: 4~ 7 Address / City / Zip: cf G~1.t~tQ_ ¢ Name: Ian e ge--`1 !rr"' C' 4'S License Oq l Q( C~ Contractor Address: P h,--t'-t u.c-_ City: v Kv- ►~c..c~4,r- `1 `f State: 4 Zip: L G Phone: y Lot-- Contact: ,1~`~ ( - Email: C ~ ✓ Gt - t4 I" Type of Work - New Replacement _ Repair _ Rebuild X Modify Space _ Work in R.O.W. ( Description of work: p(~ lie ti'.b %'t. .r ml RESIDENTIAL 1 Water Heater Lawn Irrigation RPZ / _ PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures Main Lower Level) I _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic SVstem New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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. x 1✓~yt ci Tu k- C. C6 x Applicant's Printed Name Applicant's Sig e FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: Use BLUE or BLACK Ink r-----------------� I For Office Use � � � 2�`7�DC� � ; ���' � Permit#: �� �� �� RECEIVED � Permit Fee: ��� � � � , 3830 Pilot Knob Road ��� � � 2Q�� � � Eagan MN 55122 � Dafe Received: i Phone: (651)675-5675 � i I Staff: Fax: (651)675-5694 �_________________ 2t114 RESIDENtIAL PLUMBING PERMIT APPLICATI4N Date: �`'� Site Address: �f)�� � �,�(�� ���� �� � � Tenant: � 'T Suite#: _ _ ,,�,��; d �, l ['`� -�e� Name: ���L� �...-�� L�.�� Phone.�,�_ 1��,�:� � �!��fd���l�` � � ' • - � �� C� , >r-� -� � �� `� � �� � � Address/City!Zip:..:�� .� ,�x.,... � � . � � � . � (� . r � r !�tame� �� � ��nse#:��`1 l L� � � I � c� � Address: ,�-( ��� )�_�� City: �l�� , ����+�1" ; < � � ; State:�_Zi �.I� �L� Q �_�0� € < ; � p: � � Phone: � � � r � Contact: Email: @ �����T� �� � � � ` New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � � ������C� — � Description ofwork: �r� �-�� ,�� � ' RESIDENTIAL T � � Water Heater � � �Water Softener � � ' ° �Lawm trr�gation(_RPZ/�PV8) � � �''`���� Add Plumbing Fixtures�Main/_Lower Level) � � �� ` � Septic System w � _New Water Turnaround � � ` : , Abandonment � ���.� : — .�.. ��� �-����,.f.,.-..:� � RESIDENTIAL FEES: � $60.00 Water Heater, Water Softener, or Water Heater and $oftener(includes$5.00 State Surcharge) � � $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) w � � $60.00 Add Plumbing�ixtures,Sep�ic Svstem�dandonmeni,V�iaier Turr��roun�*(�ncludes$5.��S�a►e�u�cha��E) � � 'hlVater Turnaround(add$200.00 if a 5!8"meter is required) � � $115.00 SeRtiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �j� � � TOTAL FEES$ � � � 4 .r �S�..eascne�z.��.�ma _. .. . . . . _ . . . . ..�wz;.� CALL BEFORE YDU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work wiN be in conformar�e with the ordinances and codes af the City of Eagan; that 1 understand this is no#a permit, but only an application for a permiF, 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. ���� � ;Y 1Ll � 1�---- x �� Applicanfs Prioted Name; App ic Ys ` ature �����#��r.�� : ' -, '� ;, F� '�����'�i �, ' �� �Ek�UII��������#i1��` : ,�.�.,,,�,.��"1C��'�s�FE��#� �,�,�t?�A�#��IT ,�-�.-,,;.���� � ���$� ' � ��.��: - . , �''L��''�3�����ter�#� ; I�I���f'�1?..��«,,,,, ��t�3��1_,�.,..;°,._ �f��: PERMIT City of Eagan Permit Type:Building Permit Number:EA153301 Date Issued:12/10/2018 Permit Category:ePermit Site Address: 679 Campton Ct Lot:10 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-100 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey O Stout 679 Campton Ct Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169718 Date Issued:06/07/2021 Permit Category:ePermit Site Address: 679 Campton Ct Lot:10 Block: 5 Addition: Hills Of Stonebridge PID:10-32990-05-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Jeffrey O Stout 679 Campton Ct Saint Paul MN 55123--165 (612) 749-5435 Archer Exteriors 820 N Concord St Ste 106 South St. Paul MN 55075 (651) 493-4156 Applicant/Permitee: Signature Issued By: Signature