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4371 Bent Tree Lane ýüü ûúþïúÿþþ ùüüûïìþ ë å ø å ýüö ÿþýü øìõøþýü ûøþýü ü øüö Üâø õ õ ôôðüý ó òø ñ ìî ø üø ü üøøìî øø î ü øúù øìÿøí ü ø ø üÿ ìü í õøÿë øø ø òø ÿýú ìýî í ñ éèéççíæ ç íô çæ ôù øîø êéèéíæ å íåæ ê í óò öñð üü â â øõøø ÚðÛø æ êÿø ÷øîôá þø ýîä÷ææôôáä÷ææ àáãßææ ô î ø ÿýú î îï ø îüü îî ìøøø ø üýúîüüÿ ìä õýìðø í üüù ø ø ý ø 42431- i r_,eA '??3 °° Request Date Fire No. Rough-in Inspectio NOTICE: You Must Call Electrical Inspector / Required? If A Rough-In Inspection es ? No Is Required. lice o for ? owner hereby request inspection of above electrical work at: Job Addr s reet, x or Rou No.) y/? { ?+C? U City Sectio No. Township Name or No. 1 Range No. County 1060e, Occupant (PRINT) Phone No. Power Supplier Address De&140441 "7A2 AA) ectric ontractpr ompany Name) Contractor's License No. 1 Mailin Address (Contractor or Owner Making Installation L - Authorized ' nature (Contr or/Owner Making i allation) Phone Number MINNESOTA STATED OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BI Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 4243 See instructions rr completing this form on back of yellow copy. M X" Below Work Covered by This Request EB-00001-08 aa:: New Add Rep. , Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 4 to 200 Amps to 100 Amps Transformers Abbove 200 Amps Above 100 Amp Signs Inspector's Use Only: TAL Irrigation Booms omw Special Inspection fl Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Rough-in at certify that the above inspection has been made. Final • ?/ ??Y OFFICE USE ONLY This request void 18 months from wertiftcate of cccupaw? Wit$ of pagan zepartment of 13milbing n??eetien This Certificate issued pursuant to the requirements 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 Classification: 1 Bldg. Permit No. 22{10}5 Occupancy Type l3fr+1 Zoning District R i Type Cons[. IN Owner of Building .1 & S HOWS Address _49652, EDINA Building Address 4371 ' JM TAM Locality T9, M, AWM RTTY 3RD Date: Building Offic"' . POST IN A CONSPICUOUS PLACE Address Lot 9 4371 BENT TREE LANE Zip 5512 3 Blk 3 Sub AU UMN RIDGE 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: q Yes No Inspector: Final grade (6" from siding) L/I Permanent steps (garage) 4l-*-- Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish j /o Deck Please verify with the builder the removal of if test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy Y' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4371 BENT TREE LANE LOT: 9 BLOCK: 3 AUTUMN RIDGE 3RD Building Permit Type building Work Type UBC Occupancy Construction Type Zoning Building Length Building Width SF DWG NEW R-3 M-1 V-N R-1 68 49 CK BUILDING 022005 09/20/93 REMARKS: PRV FEE SUMMARY S& W P L B R - M & W Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal VALUATION $919.50 $597.68 $90.00 $750.00 100 1 $5.00 $2,362.18 $180,000 MISCELLANEOUS 1 744.50 Total Fee $4,106.68 CONTRACTOR: - Applicant - ST. LIC. OWNER: J & S HOMES INC 16869092 0004849 J & S HOMES P 0 BOX 39652 P 0 BOX 39652 EDINA MN 55439 EDINA MN 55434 (612) 686-9092 (612)686-9092 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. L_ 1 AP LICANT/PERMITEE SIGNATURE ISSUED ':. S NATO E 0 9,4/113 CITY OF EAGAN 4 99e UILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY suVv s, 1 2 sets of plans, 3 registers si9? c py of energy calcs. - COMMERCIAL 2 sets of architectural & str -- ra plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once ermit is issued. Date Valuation of work Site Location: 1- I fjc-f 7 STREET STE # Tenant Name: /C, r z LOT BLOCK 3 ISU8D.T P.I.D. # cr Description of work: The applicant is: ? Owner L-Contractor ? Other (Describe) Name Phone' Property LAST FIRST S /- 24 57 Owner Address 13 >x" J`Y6 2 STREET STE # City r / '/ State Zip .rte v...? Phone Company ?,12 Contractor Address z=% :?? ! S License # City State ? ?- Zip Company Phone h/ - e xZ_ Architect/ Engineer Name 7%y Registration # Address City State - ?'7 -<- Zip l Z Sewer & water licensed plumber /'/' ,44 tr 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 Single Family 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Conan./Ind. Add ? 14 Comm./Ind. Rem. ? 15 Public Fac. ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous WORK TYPE '.W New 3 1 ? 93 Remodel ? 96 Move ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations ? 95 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy R-3 M-1 Basement sq. ft. MWCC System ,}CGS Zoning _1z _-- 1st Fl. sq. ft. City Water Const. (Actual) V- N 2nd Fl. sq. ft. PRV Required V#W (Allowable) V-N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /D/ Depth ycg• On-site sewage SAC Code APPROVALS 7 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Valuation: Permit Fee Surcharge Plan Review ARA_E ' 2 $ x 32 = 8yG $60) T z ya8 License 6 x 144 (8y? ZX6: /2. MWCC SAC City SAC 2 Y. -2 x7 Iq ..._..??•----• Water Conn. W te Met 8s WAT ? 7 818916= 1264 3gvSN sp a er r Road Unit j ZOO Z X $ . C16? - (43 Treatment P1. Road Unit 77 yX3L = 12D Park Ded. Trails Ded. Copies Other 4 & 1> / zI (6 )Q5 = Z I? ?ZD 6?? Total: SAC % SAC Units 3'-I)( 88L1 9x9 (32) 6XIb /Q X/6 = Z z tI r26$ I '1 A P.01 2422 enterprise drive * PIONEER Mendota Helghtu, MN 55120 .?( WtD 5UWtTOORS 6 CIVIL ENGINEERS (812) 6"i-1914-Fox 681-9488 Eng near "? Fl1UJN R9 • L1tN0150 f .Ct'$ ?.... - ,,. --,---_.- 625 Highway 10 Northeast 7k Blaine, MN 55434 * K (612) 783-1880-Fox 783-1883 Certificate of Survey for: J&S {-l om es House Address; ?r .n - TrIIQn,?M Model Name: Custornor: I C) r 00 0 F M to rv 05 N ?< to l? ? 1.? (RD t'JVIEwEc Date NA GA, ?Il?t>aAINC, C?x;Z No11 CONTRACTOR MUST VERIFY ALL WMENSIONS AND DRIVEWAY DESIGN ocao Denoteo Estleting Elevation PROPOSED lJOUsE ?LLVA71DN _?? Denotes Proposed Elevation Denotes Drainage Ik Utility Easement Lowest Eioor Elevation: 9d 1, s:; ------ Denotes Droindge Plow Direction Top of block Elevations 949,1&3 - Uenote9 Monument Garage Slab Elevation: 949,3o -n- Denotes Offset Hub Hearings shown are assumed LOT 9 , E3LOCK AUTUMN RIDGL 3RD DAKOTA COUN1Y, MIOTA 1 heteh't t lrNt? 1h%t %% e*st. pttitt tat thrall; - MZ pteQa+4t! bV or maw R4 t `„ , ? eyor undet the %m of the f;tell of Mlnnerote. D ted thin. t day o1 i .n. 19 Idi?T.11? K6v. 9/13-/3-ADD E1ctST', 14l*tl . note T,, . 1 1 S p, In W 93?ag.oo r R-96% 09- 1'7--93 04 : 26rM F001 1t36 A??SEP+14 '93'12:47 ADC 4 O'MAILROOM Siu?n t.umncx-rr+? P.2/ CITY OF .GAN RIOR ENVEL PEAVEGE 1U' iPUTATION • O]Ea /may ?? /y+ I ....._! L_..,L..._s:.T,...\eYn_. ..f tl ?..- - .__ ^°' ..IrOVirrY l I?IIO•Ir\iai SITE ADDRESS: 4 Ae t ` , t cJ - 4p. 77cb ?t,•r' CONTRACTOR: LJ !_c bATE! t L3 PHtXEs Determine world s& square fa4tage of each: 1. Total exposed wall area ... '_'' 1 s ft. x .11 a S CM-74- 2. Total roof/ceiling area ... i 1 sq. ft. x #026 total exposed well aru above/ fear `? pe i.r`. 62 & aea r• r r r r r r +p F }i7L` LW ;rte j/& Total wall window b. Total door area .a1#a?"rriT?r'#^'S'a• r+?#:.ar.r?a a ?' t,++y?wr? r r ?1 a##. r r. a r a r r i iVYai.r .r e133 ai G$ ........... d. Total fireplace gall area .,,.... •..rr..•.•....rr. e. Total wall framing area (average 10%) ....aa.....,. !}• ° c f. Total net wall area above floor aaa?.#rrrr.araarara ?l \ g. Total rim joist area ¦¦ar11....¦•......••..••...+a• Total exposed foundation area = I " h. total foundation window area .... '..)M . r a r 1410MC. i. Total net foundation area above getd* • • • ... _ ... a *4 r Determine t U' value of each wall aepent yyr O t _1, x 'U' Wr1WWw • YNa. r.•? L'_•' t + b, X 'U, .. -.a.•ir.?r ../r .r•...••..... ? e . x 'U ' ,rrr.._.?• ,?.,.. x ,. S • ?.;'l, w.,r. x i U' h# 1 3• ?a......#?#Ia41... a.a...•¦•r.r asr.a.a i-r.•aa.r Ie as Total i• 63 is the same as or lass than item 01, If item you have met the intent of SBC ++,? 6006(c)Ga Total exposed roof/ceiling area yir Total skylight area a.rar#rarm. rl.aa#ra.aa.araaaara 1SY} pi it k. Total roof/ceiling framing area ( average . r r a . 19 16,12 1. Total net insulated roof/ceiling area., .. r..... r a a. . OVER R=97% + 6128962806 09-14-93 12:48PM P002 #28 yfr 49/scP 14 '93 1247 ADC 49& MAILFZ0OM s'1'U4& L??mt??xL-?? P.3/5 f ,. a Determine ' U+ 'ra.ue for each r' fevet,l n went $ x 'U, tut k. x 4 i ... i i • • • i a .. a i i a r i 1 1 • • • i• o• a 1• f a a a• i i• r i t 1 i • i• a. r• 1 it total of #4 is the same as or less than #2, you.have met the t: of sic 6006(0)1. *1t mete wilding .frvelo Deli' he db the sum To utilize the total envelope system d, tthe he sum es establiShL of items 03 and #4 aha'll not be greater . post 1r bland fait transmittal memo ?(M Of Pw' R=97% + 6128962806 09-14-93 12:48PM P003 #28 1 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. TO. FIXTURES LC TOE= SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 ? t FLOOR DRAIN 3.00 ..3 - t' GAS PIPING OUTLET • minimum - 3.00 ROUGH OPENINGS 1.50 ?Okz WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. iii. 15.00 U.G. SPRINKLER • home under consc. 3.00 ALTERATIONS • to existing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 o a TOTAL: SITE ADDRESS: `7' / 1 &IJ74 ?i?'?? ?`??l1 OWNER NAME: J-v- c-'I5 INSTALLER: ADDRESS: /aa / L I e7 CITY: a?y /'L& STATE- ZIP CODE: 553 or/ PHONE #: ?0007' 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE #: FOR: CITY OF EAGAN APPLICANT 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE /?' •/• `? FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 ( $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL $ 24.00 l,7v® $ 15.00 .50 SITE ADDRESS: 4/3 7/- OWNER NAME: TELEPHONE #: y-,/- INSTALLER:- ADDRESS: CITY: STATE: ZIP CODE S TELEPHONE #: TURE 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-4675 i 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN. 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: 1% OF 'x " FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR ©? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remode1lReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan - Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks - Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system - On-site Septic System 3 copies of Tree Preservation Plan If lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / r ( l 0 3 Construction Cost I&, °Op Site Address 371 Be, 1 v L.Gr c°_ Unit/Ste # ` P - e VAN ?? CA Description of Work 4 l ??? D ?' ` ` '^ Multi-Family Bldg Y N Fireplace(s) - 0 - 1 X 2 Property Owner `?X I f "? nt1. EV\ Telephone # (6 ) g 0 4 O Contractor Address (10 D ?\ r-- City State Zip ?7s7-1a2 Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category ('I submission type) Licensed Plumber Mechanical Contractor Sewer/Water Contractor Minnesota Rules 7670 Category I • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 New Energy Code Worksheet Submitted Telephone # ( Telephone # Telephone # Somas 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 al of plans. Applicant's Printed Name A 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES 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 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 - Final Framing _ Siding Stucco - Stone _ Fireplace ` R.I. - Air Test -Final _ Windows (new/replacement) _ Insulation _ 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 6 2004 RESIDENTIAL MECHANICAL PE MIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5 75 Please complete for: single family dwellings townhomes/condos when permits are r uired for each unit Date Site Address Unit # Property Owner T elephone # Contractor O'Connor Plumbing, Heating at Cooling Street Address city 1904 Vermillion St. (6i1) 437-417 7 State Hastings, MN 55033 phone # ( ) Bond #• Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit t!? ll 15 $ 30.00 furnace -Additional Replacement JUN 1 2004 _ air exchange r X air conditioner Replacement New other - State Surcharge $ .50 ` Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the inliormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and ' e Mechanical C es; that I understand this is not a rmit, but only an application for a permit, and work is not to start witho a hermit; that thew will accordance with the appr d plan in the se of rk w c requires a review and approval of p C S s. Ui1?? )h? A 4 Ap icant's Printed Name pplicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank _ Install -Remove **see below Interior Improvement Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 inim (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If >l eft fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 hermit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: FRAM I NO S! ?-;ii# A# o f INAi. F 1!!#Fi Y::i a r k 0& W pqmk NIL jow I-ILI tow 1-2.3 Pr?ugilllMO- 9 iv *As v 4 1/ RnodHig. Or?tTast yk? Final Plbg. ,! c`T Carl. Islet EWJF%n BW Deck Ftp. MYe1 Pr. Diop. PERMIT City of Eagan Permit Type:Building Permit Number:EA106946 Date Issued:09/18/2012 Permit Category:ePermit Site Address: 4371 Bent Tree Lane Lot:9 Block: 3 Addition: Autumn Ridge 03rd PID:10-12302-03-090 Use: Description: Sub Type:e-Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Perry Firkus 2650 Minnehaha Avenue Minneapolis, MN 55406 612-276-1680 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Daniel J O'Brien 4371 Bent Tree Lane Eagan MN 55123 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144888 Date Issued:08/15/2017 Permit Category:ePermit Site Address: 4371 Bent Tree Lane Lot:9 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-090 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 A Kriske 4371 Bent Tree Lane Eagan MN 55123 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature