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4187 Beaver Dam Rd
Pioneer Eneineerine 78310$3 P.04 2422 I:n#tMrl9e Ofiwe Mentloko Neig}t1s, UN x5120 k PIONEER taro suav TWS • OVt~ 04COMM 912) 681~1914•Fae 681-~9 4$8 111~1~'I~C9`~ig ,AND P!_1MM - th"SCAFE Nypa-Wdts s25 ►ilgkway 10 Northeost ' slain a' NN 55434 (612) 783-1880-Fax 783-188,3 Certificate of Survey for: The RQttEf. nd Cam--an-y, inc. I I .0 l 4C I 1 1 I s 89'40'40• E S 59'40'W E l t 218.24 to all l d I tl A i ~ ~ i -N pass'! M7 a a ~ ~ . EA ? ! ~ t'<y ~ I L.-c-. a y.J I ~9A7' y}tAbSy'f"I al g 1 X C. Ila 218,24 I Q Y S 89 4000 E f--VA 89'0 m a Sal., a I t I E +7 o I ~ s~' S tl ! 7~ 1 Q o M ! ev c Mme'} Q r a I e~ ~.b ~ ~ 1.~ Y ~ e! Y 1 LL LLJ w ~7 DIiIVEIMY f ~f Q I ~3 \2r ~ ei f Q Lsj ` aa~r a A ! m 195.71, 2254 ~8 f5 + 4 or ' 89'44'00" W R - 3894.65 R 3894,98 DiFFLEY ROAD .9ano Denotes Existing devotion PROOSED HOVg d V-19 - Denotes Proposed Eleva#ion Denotes Drainage do Utility Easement come Denotes Drainage Mew direction --o- Denotes Monument a Denotee Oftet Hub ` Bearings shown- a 4s„ - ° . LOTS I _ 23. _3 & 4. BLOCK-L". x FFL DMOTA COUNT', WNW50rA I h.nby copitfy twat No survey, pine w report area PFvVared by me a arder my dlr=r wpervitron and Sbet 1 am duly Regltlerad t.sad Sune"i u-der the taws of the state or Minnueta, dated th4 day of A.O. 151_. Scale= lh"-J0 rem AOBEATASSK1CriLS.REd.MQ.1aS91 ® 91123 C41 PERMIT Control No. 0 8n 4 ITY OF EAGAN --~C3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Number: 001105 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 07/21/92 SITE ADDRESS: 4187 BEAVER DAM RD LOT. 3 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type 4-FLEX Building Work Type NEW ust Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 8uildin9 Length 52 Building 'Width 39 Building stories 1 REMARKS: C!- l ° z cc - r) S & W CONTRACTOR - VALLEY PLBe FEE SUMMARY. VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1,610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.80 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 C0%TEP%T?R' - Applicant - ST. LICOWNER: LUND co INC 15710304 0801335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY- MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is 'correc't and agree to comply with all ;applicable State; of Mn. Statutes and City of Eagan' Ordinances. APPLICANT/PE MITEE IGNATURE ISS 0 8Y: IGNAT INSPECTION RECORD Control No. 0 s-1, 4 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001105 Eagan, Minnesota 55123 Date Issued: 07/21/92 (612) 681-4675 SITE ADDRESS: LOT: 3 BLOCK: 1 APPLICANT: 4187 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERgjp YgTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG F PERMIT # CITY OF EAGAN REACTIVATE 1992 BUILDING PERMIT APPLICATION 581-4675 t JUL 1 5 Rte. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is requested once ermit is issued. Date / 15 / .~72 a Valuation of work Site dre s:__ 4199, STREET SUITE S Tenant Name: (commercial only) LOT BLOCK SUBD F.I.D. 0 Description of work: - The The applicant is: Q Owner lp--Contractor 0 Other (Describe) Name Phone Property LAST FIRST Owner Address )1 o STREET STE 0 City State AL Zip 5 Z/ Company Phone Contractor Address ~l License #4335 Exp. City State 0971C1 Zip Compan Architect! d~, 1,2,o Phone 4- Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once ea as been a oved. 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 r BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ""?'AAeient Finish ❑ 02 SF Dwg. P 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 04 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 0 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System - (Allowable) 1st F1. sq. ft. City Water _ UBC Occupancy i~ 3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories / Footprint Sq. ft. Fire Sprinkler Length_ On-site well Census Code` Depth On-site sewage SAC Code_ APPROVALS Planning VBuilding ariance Assessments Engineering REQUIRED INSPECTIONS ❑ Site ® Footing ® Framing .0 insulation ❑ Wallboard ® Final ❑ Draintile ❑ Fireplace Permit Fee Valuation: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge ` Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT Control No. t 8 4 5 '10 rY OF EAGAN 830 Pilot Knob Road PERMIT TYRE: BUILDING Permit Number; 001106 Eagan, Minnesota 55123 (612) 681.4575 Date issued: 07/21/92 SITE ADDRESS: 4191 BEAVER DAM RD LOT: 4 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type 4-FLEX Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: C C L S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $SAY,000 Base Fee $558.50 MISCELLANEOUS 11,610.50 Plan Review $363,03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % lee SAG Units 1 Subtotal $1,662.53 CO ER"I WRiND CO INC PP 15710364 0001335~~E 6TTLUNO CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571--0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply; with all applicable State of Mn. S. utes and City of Eagan Ordinances. APPLICANT ERMITEE SIGNATURE ISSUE-15 BY: Sl URE Control INSPECTION RECORD No. W CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001106 Eagan, Minnesota 55123 Date Issued: 07/21/92 (612) 681-4675 SITE ADDRESS: LOT: 4 B L O C K : 1 APPLICANT: 4191 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERIVVjpkygTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR VALLEY PLBG F PERMIT # CITY OF EAGAN " REACTIVATE _ 1992 BUILDING PERMIT APPLICATION 681-4675 J U L 15 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is re nested once ermit is issued.. Date _ Valuation of work Site Vddresl, Z~~ STREET SUITE # Tenant Name: (commercial only) LOT BLOCK 1 SUBD. P.I.D. 0 Description of work: The applicant is: aOwner 12 Contractor ❑ Other (Describe) Name (2o 1.14 cl- Phone Property LAST FIRST Owner Address ~ cc iJe_ .3 STREET STE City State WM Zip -55-461 Company Phone Contractor Address 2a 7' 1Zo,iol License # 04013-35 Exp._ 3 9 City tW/ State (W AL, Zip Company Phone ~'4/-a3o Z Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once are as been appr ved. 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: l I OFFICE USE ONLY . , BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging entnt Finish ❑ 02 SF Dwg. P 07 4-Plex ❑ 12 Multi Misc. ❑ 11 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 11,e/ 1st Fl. sq. ft. City Water sc UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning P Sq. Ft. total Booster Pump 0 of Stories_ Footprint Sq. ft. Fire Sprinkler Length s z On-site well Census Code Depth_ On-site. sewage SAC Code a 3 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site P Footing Framing ~ Insulation ❑ Wallboard gig-} Final ❑ Draintile ❑ Fireplace Permit Fee v.lu.t;m,: S ~z pdo Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. - Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT Control No. 0843 ITY EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Eagan, Minnesota 55123 Number: 001104 (612) 681-4675 Date Issued: 07/21/92 SITE ADDRESS: 4195 BEAVER DAM RD LOT: 2 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type 4-PLEX Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: Z c GC S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1.610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. LICOWNER: THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L / c APPLICANT/PER ITEE SIGNATURE ISSUED . SIGN E INSPECTION RECORD Control No. 0843 CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 001104 Eagan, Minnesota 55123 Date Issued: 07/21/92 (612) 681-4675 SITE ADDRESS: LOT.- 2 BLOCK-. 1 APPLICANT: 4195 BEAVER DAPS RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERIW%ITPjygTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATL INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: 5 & W CONTRACTOR - VALLEY PLBG PERMIT. Jk- CITY OF EAGAN z • r~ REACTIVATE _ 1992 BUILDING PERMIT APPLICATION Olt 681-4675 J U L 1-5 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l.copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I 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 uested once permit is issued. Date / 13 / Va nation of work Site ddres : STREET SUITE ! Tenant Name: (commercial only) LOT 2_ BLOCK I SUBD. P.I.D. 0 Description of work: The applicant is: ® Owner U Contractor O Other (Describe) Name d (1 Phone f/11 © 304- Property LAST FIRST Owner Address 5ZO ~o/ STREET STE S City State ~J Zip Sze Company Phone Contractor Address cS~ l j~' udZ3i1 License # 000!335 Exp. 3-344 City State Wk-) zip ±TZ Company Phone _6 1/_OW4- Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days o ce are as been appr ve . 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: I ~FA OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt /Lodging Ens Rent Finish ~W41 E3 02 SF Dwg. 0 07 4-Plex E3 12 Multi. Misc. a+❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ,EI 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) _ /y Basement sq. ft. MWCC System x (Allowable) V41_ 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zonings Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ; z On-site well Census Code ~p z Depth 31_ On-site sewage SAC Code 03 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ® Footing ® Framing Iff Insulation ❑ Wallboard Z final ❑ Draintile ❑ Fireplace 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. Coppies Other Total: SAC % SAC Units PERMIT Control No. 0 0 42 y CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Eagan, Minnesota 55123 Number: @011@3 (612) 681-4675 Date Issued: 07/21/92 SITE ADDRESS: 4199 BEAVER DAM RD LOT: 1 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type 4-PLEX Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: 7_ cc, C S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1.610.5@ Plan Review $363.03 Total Fee $3.273.03 Surcharge $41.00 SAC $700.00 SAC % 1@@ SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. LICOWNER: THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L Azo~"Ii~2 r APPLICANT/PERMITEE SIGNATURE ISSUED Y. SIGN E INSPECTION RECORD Control No. S Z 2, CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit dumber: 001103 Eagan, Minnesota 55123 Date Issued: 07/21/92 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK% 1 APPLICANT: 4199 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG PERMIT # CITY OF EAGAN 3 3, X73.3 -REACTIVATE 1992 BUILDING PERMIT APPLICATION 681-4675 J U L Rico SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is re guested once permit is issued. Date / l 119E Valuation of work Site A dress , 4179 L~J~Xa , ~24.0' L9?a2,I) STREET SUITE 0 Tenant Name: (commercial only) p_ 4 it LOT BLOCK 1 SUBD. d P.I.D. 0 f ~ Description of work: - The applicant is: Owner Contractor ❑ Other (Describe) Name Phone ~,nl = b30 4 Property LAST FIRST Owner Address 0~zoi B9 _5 D STREET STE 0 City State zip Company Phone C"1-030 Contractor Address ~5zo! /u A License # 006135 Exp. 3 d. City c State Zip -,4ff -4 Z/ Company Phone .591 -boo Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once are as been approv . I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable. State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging tlfisiment Finish ❑ 02 SF Dwg. E8 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE R 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System k _ fl (Allowable) 1st F1. sq. ft. City Water UBC Occupancy - ~v 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length jz On-site well Census Code o z Depth - 3 On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site 0 Footing ® Framing ~ Insulation ❑ Wallboard JEJ Final ❑ Draintile ❑ Fireplace Permi t Fee vatuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter , Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units FXTF.Ii iOR FtWFI OPY nVl•:ItACE "u" co mpUTf1'1 1011 OW1 ER SITE ADDRESS D CONTRACTOR Ai DATF Ptit7N G C Determin working; square footrn,,,c of each. 1. Total exposed wall area sq. ft. X 0.11 _ b ~6 • 2. Total rooflceiling area ~ ~ sq. ft. x 0,020 = r, Total exposed wail area above: floor a. Total vall window area b. Total door area . C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average lOP) f. Total net well area above floor g. Total rim joist area Total exposed foundation area = (I~- h. Total foundation window area i. Total net foundation area above grade Determine 11U" value of each wall sfgment. .r 7", X b. ( x four' 01 r 3 c r . C x -Ulf -7 Z1, 5 d. x ,lull e. x .1111,. .t x u ll h. x foull = - i• j 1 x $li t11 . V 3 . TO 4:1.1 = !mot- If item X3 is the same as, or less 1-lutn lLccn X1, you have met the intent of SBC 6006(c)2. r~ vs. Total exposed roof/ceiling area j C7 Total gross roof/ceiling; are: _ Total skylight area k. Total roof/ceiling framing area 1L1=~. 5-~ 1. Total net insulated roof/ceiling area / ? ' 7. Determine "U" value for each roof/cci l ink; segment. J. x nUu - s 7 7 4 . Total = ? , If total of H4 is the same as, or less than N2, you have met the intent of SBC 6oo6(c)l. . To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater. than the sum of items #1 and N2. 1. ± 2. - 3•. + 4. "s f. ►-tom. tr. VI > u C-2- ~~2 I~VM• D;t - - ~ ;lr , ~ ~ a GALL I 4- ~ a.4 VAWL 6pIc,/,UTIoW-7 (60NT). _ ~lz~M~ ~PtLL L~ I N~ LA~oN LomFoMt%-ri - - -VAU45- - Q.) o-VT;EAM AI(2- FiuM ~~I-~ _ - t &rL - 2 ~ - 3 INSU~aTIc 19,0 L FPrka Z~.a HMV' WAA L G pT~P :GoMPvN;✓N j~ - . - (~--VALUE t o_u Y~lo~ ~rz PLA - o .1'I - - - 2 Ap IDIHie 3 3 ~N A'~{IN6f 2 •OCIO _ 4 cf- X U h 11~1p (r-w kk) - • t S . - - PI.I~N• Vl~kt. U ~ 1- ~ p.089. ~L =G~~I P~. u~ = (0,12 x o.ot~q~ t(0, PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 8 9 3 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4187 BEAVER DAM RD LOT: 3 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-030-01 DESCRIPTION: Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES 4191 (LOT 4) 4195 (LOT 2) 4199 (LOT 1) BEAVER DAM RD FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOC 636 39TH AVE NE BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED S . SIG ATUR CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-615 New Construction Rmukements Remodel/ Repair Reouirements * 3 registered site surveys * 2 copies of plan * 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) * 2 site surveys (exterior additions & decks) * f energy calculations * 1 energy calculations for heated additions * 3 copies of tree preservation plan if lot platted after 711193 required: Yes No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: W ynk -It V" V'4 STREET ADDRESS: H181. 141950 q 199 _3 2 1 LOT BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER L"T FIRST Street Address, City: State: Zip: CONTRACTOR. Company: Phone DU ALL 636 3itn nv>:NUi: ME Street Address: c°+_UMWA 14TS., MN M421 License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the i rmation is corre and ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plea ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 --Alex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCAWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit ,a APPROVALS Planning Building, Engineering.,;. Variance Permit Fee Valuation: $ Surcharge Plan Review License MC1WS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit SAW Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY OF EAGAN CASHIER: S TERMINAL Y(a" 84.8 DATE: :0i./i6/98 TIME:; 14:49:31. ID NAME S-UBURPAN GROUP I NC 2155 9001 .00 320 9001 087 DEAVER DAM 224.75 ".'..:1.07 9001 40343 BEAVER DAM 224.75 t3 9001 4059 BEAVE "h TiM 224.75 / ' 3s_: o JE: 01 4075 BEAVER TEAM R2&75 321.E 9001 4091, D AVER DAM P24.75 3210 900i 41G7 BEAVER DAM 22075 3210 9001 4123 BEAVER DAM 224.75 ::320 900i 4139 BEAVER DAM 224.75 M 284.5 3e:.:{. C3 `9001. 4155 BEAVER DAM CITY OF EAGON cotn-Im TERMINAL NO". 848 ;,Aril.{IE.R'.e c.3 DATE: ii/W/98 TIME: W4903 ID r. NAME-. Supuf-ztAN G,Roul-' INC ; 3210 9001 41.•'r'i. BEAVER IMAM 224.7 1 Tint,,n]. Receipt Amount: a, 322J USER ID% NANCY YX7`~?'~>~~(•7~>~~`x%K?K%'F~k~i ?~Fi+~9r+~{?(y,~1~~th'ch:#~~M.~~~?'f.~~X?Ef~ PERMIT Y OF EAGAN 3 C ~ PI Tot Knob Road PERMIT TYPE:' B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 034070 (651) 681-4675 Date Issued,: 11 8 8 SITE ADDRESS: 4187, BEAVER DAM RD LOT:' •3 BL0CKD i DIFFLEY COMMONS P . T . N 10-20450--030--01 DESCRIPTION: REPLACE SIDING B , 1cji,nu Permit Type MULTI. (MISC. ) Ru-ildiipq ,I k Type REPAIR 434 ALT. RESIDENTIAL REMARKS; INCLUDES: 4191, 4195, AND 4199. FEE SUMMARY: VALUATION $15,0@@ Base fee $224.75 .Surcharg:e Total Fee $232.25 C Q 1 TRACTOR: - A p p l i c a n t . _ OWNER: SUBURBAN EXTERIORS 28818232 O.IFFLEY. COMMONS ASSOC. 9701 PENN AVENUE SOUTH 4187 BEAVER DAM RD BLOOMINGTON MN 55431. EAGAN MN, 55122 (612) 881-T8232 1 hE 1 ~h C:kn W I C, ~Ic.(< i. rI 1 f,- ~i i .C. 1.1 Li l 3rl~1 1 ii 1 1 t IlL.- j I'1' t' O rI]1 a ti c,n 1 S J i Y f _ 111 1 lL 'i ? l ~ p L I_.f C, 1 atatute G a,id Ci_1_,,~ I -1c71dr1 C~r11 P 1-1 APPLICANT/PERMITEE SIGNATURE UED BY. SIGNAT RE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) J~ a C 81 AN -4675 t Submit following to obtain necessary permit Foundation Only New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) " code analysis (1) civil plans (2 sets) project specs (1 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) energy calculations (1) not always " Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MGMS - SAC determination letter from MC/WS - SAC determination letter from MCNVS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " project specs (1) energy calculations (1) Electric Power & Lighting Form 1) Contact Building Inspections for sample Food & Beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: t I - I G - WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: 1f~~u.s O CONSTRUCTION COST: S. Qa c) TENANT NAME: ~iF~l Cow,wt a5' 6+/M SITE ADDRESS: SUITE A&. LOT BLOCK SUBD. Q U) Yell VVJI L&,~ P.I.D. # Name: Phone 4: PROPERTY Last First OWNER 2a..~eX V~ Street Address 41 si ' ~ r~1! ?r` - City l SCLA \ State: _ A zip: ComPanY: J~SLjgYic ,6 _ Phone `~~S 1- 2 CONTRACTO 9 R Street Address: License # City 131 State: enk1n Zip: - ARCHITECT! ENGINEER Company: - Phone iVame - - - Registration Street Address:- - City _ State - - Zip: - - Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informatio ' correct and agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 CommAnd. Misc. ❑ 21 Miscellaneous ❑ 18 CommAnd. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee . - Valuation: $ Surcharge -j- Plan Review MC/WS SAC City SAC Water Conn. S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: a a 3_ % SAC SAC Units Meter Size L BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT # 70 / cl DATE 7 r RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DE RIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CON ST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 473 REPAIR WATER CLOSET 3.00 1 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00 I FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: "Mze-- a~ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: D OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 ` U.G. SPRINKLER 3.00 PHONE cy1~ W. TURNAROUND 15.00 STATE SURCHARGE .50 S GNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L 3 B / MECHANICAL PERMIT RECEIPT # ADO _ SUED. Lo (612) 681-467S DATE 7023. x„15- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: L-L2 Ilj,-)12 - FEES SITE ADDRESS: ADD ONMEMODEL (EXISTING $ 15.00 7 / , yEr l;~a CONSTRUCTION ONLY) INSTALLER: - HVAC: 0-100 M BTU PHONE ADDITIONAL 50 M BTU 6.00 ADDRESS: 3 d 3 GAS OUTLETS - MINIMUM 1 @ $3 EA. d G CITY: - e Ao chi L ZIP: J-J311~ SURCHARGE: $ .50 SIGNATURE: TOTAL• $ 6 cS~ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCUTANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL- $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE: r i L_ BL CITY OF EAGAN CITY USE ONLY f PLUMBING PERMIT SUED. (612) 681-4675 RECEIPT # 10~VI,9 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST u REPAIR/ADD ON 15.00 ADD ON a SHOWER 3.00 REPAIR WATER CLOSET 3.00 1 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: CL` KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 - SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 T FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 S GNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L B / MECHANICAL PERAW RECEIPT # /D SURD. aC ! w t2c~h rx~, (612) 681-4675 DATE 7~~ 9 -P- v oZ 3 S ~ RESmENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWEL[JNG UNIT. OWNER 'U U yS FEES SITE ADDRESS: ADD ONMEMODEL (EXISTING $ 15.00 4!2 CONSTRUCTION ONLY) INSTALLER: f[ HVAQ 0.100 M BTU PHONE -1166 ADDITIONAL 50 M BTU 6.00 ADDRESS:'26 3 yt GAS OUTLETS - MINIMUM 1 @ $3 FA. 6,66 CITY: j~ ,(E" ZIP: rS!!o 2 SURCHARGE: $ .so SIGNATURE: v TOTAL: $ 36 ..S`0 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL: $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY.. ZIP. PHONE CITY SIGNATURE: SIGNATURE: 1 oZ BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. / (612) 681-4675 RECEIPT IT 0 DATE I RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: / NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 - FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: y1 (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRE OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 it STATE SURCHARGE .50 (04nz~' _:i~ - S GNATURE OF PERMITTEE TOTAL: S L` J COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L c~ B MECHANICAL PERMIT RECEIPT SUBD.~ (612) 681-4675 DATE ? a3 9~-- RESIDENTIAL 3 s3 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMTl'S ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: /1 U/'✓ D Y2 /Y/E 024.) SITE ADDRESS: ADD ONJREMODEL (EXISTING V S ' CONSTRUCTION ONLY) INSTALLER HVAC: A-100 M BTU PHONE ADDITIONAL 50 M BTU 6.00 ADDRESS: 3 a 3 f, /Y14 v y. /1,/. GAS OUTLETS - MINIMUM 1 @ $3 EA. o O CITY: ' Q - ZIP: SURCHARGE: $ .50 SIGNATURE: TOTAL- COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES loo OF CONTRACT FEE. STATE SURCHARGE IS $.SO FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL : $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY.. ZIP: PHONE*-. CITY SIGNATURE: SIGNATURE. CITY OF EAGAN L / B MECHANICAL PERNIIT RECEIPT # /O SUBD. (612) 681-4675 DATE ? a3 9~-- 2 s y ~ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: FEES SITE ADDRESS: ADD ON/REMODEL OMSTING $ 15.00 ICONSTRUCTIONONIM INSTALLER: - HVAC: 0-100 M BTU 24.00 PHONE - ADDITIONAL 50 M BTU 6.00 ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. , 0 0 CITY: ZIP:SURCHARGE: $ .so SIGNATURE: ~i TOTAL: $ 3 o, SG COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCUI4Tt4DUSTRLAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL• $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE SIGNATURE: • CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT Nom'' 0 DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY , DWELLINGS f TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR _~L WATER CLOSET 3.00 BATH TUB 31.00 _ LAVATORY 3.00 gad OWNER NAME: ~r KITCHEN SINK 3.00 T LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00- LOT: ~ _ BLOCK / SUED. l FLOOR DRAIN: 3.00,_ - GAS PIPING OUT. 'X2 INSTALLER: / 2 (MINIMUM - 1) $.00 _ ROUGH OPENINGS 1.50 ADDRESS: CD OTHER e , l^ WATER SOFTENER 5.00 CITYZIP: `3 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ Z,L~ D ST. SURCHARGE .5i S G ATURE OF PE RKI TTEE TOTAL : fl PECIA iNDt~TB ►.t PLEASE COMPLETE THIS PORTION FOR ALL 4L% BUILDINGS AN] MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIREDFOR EACI DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN INSPECTION RECO" CITY OF EAGAPI - PER' T 3830 Pilot Knob Road Permitwoer. Eagan, Minnesota 55122-1897 Date 11" (651) 681-4675 y.. SITE ADDRESS: r' 1 w 4 fa r~ . y :.4 0 . t APPLICANT: 4 f 81 fit,AW-14 DhPf fill • ltill;R14 ANt IF X'TERIOR + PERMIT SUBTYPE: TYPE OF WOW: WUL Ur . iMISC.) tr prt t1i:1;CRIPTI Of ftrPb I.NA1. RVHARK S ° T NC l UnE t 41 91 41 razz . AND 41119. • ~ r` " i H acv y F MOM i b~ T Perm@ Holder Date 7blsphone # SEWER- WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Isux we 3830 Pilot Knob Road Permit Number: #21093 Eagan, Minnesota 55122-1897 Date Issued: 06/17/96 (612) 681-4675 SITE ADDRESS: IS APPLICANT: Lot- ~ BLACK.x I 4181 HFAVt R DAN RD 010, At. 1.. `WC CONSTO W 0 t V v I f Y UONMON (+s1.~) Tt t X413 PERMIT SUBTYPE: TYPE OF WORK: 51ORN nANA40 REPAIR FR AMTN6 ko(OVINO F INAI. PF14ARK'is INCti.OU"i 41.91 4LOT A419V(1,01' 4199 (I-Or t) BFAVIEN QAM RO Y 3.'t ,y j.. Pefmft No. Pennlt Holder Data Telephone ELECTRIC PLUMBING HVAC iragaeotssn Date hmp. Continents FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG APR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I11TSPE C:TION RIE~ a`~ ~ ' CITY OF EAGAN PER IM F' 3830 Pilot Knob Road Ponlit ter: EeW.., Minnesota 56123 + immat ~ r (612) 661.4675 SITE ADDRESS: Ao. I *Ls i APPUCA 410 suA r ~~>is rRO ~r MAf JTAW TYPE. TYPE t Ws 5 F100LACE FEZ s + t w dM 4ACTA1e VALL*Y ►lh S, 4 ~j~ D p w Pnltllt moldw ogle - l oaf a ; - _r AN - PLUMOM HVAC a" lnsa. COMM" E dwv6 "jig Final MlQ + otsel feet ~ t, - FJW NW O•Z~` P.b kjlps'~ff /roll Pkenbr A CO*. M E 04 Fecal Dads F~. Deck Flrial wo Pr. D". cafe ~ ~ccu~anc~g 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 OF 4-PLEX Bldg. Permit No. 1103 R- M-1 PD R- V-N Occupancy Type THE ROT N 0 rRye1VER-RD-- L1, , F LEY COMMONS i Buid(iing 4199 Building Address BEAVER AM RD Address Liry B Datm NOV 4, 1992 Building Official POST IN A CONSPICUOUS PLACE Address: 4199 BEAVER DAM RD Lot 1 Blk 1 Sec/Sub DIFFLEY COMMONS These items were/were not complete at the time of the fins inspection. Date: NOV 4 1992 Yes No J Final grade (6" from siding) Permanent steps - garage c Permanent steps - main entry Permanent driveway Permanent gas t/ Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy 4 INSPECTION RECORD 9, S 4. GITY OF EA"N PERWr'rt'YPE: . 0830 Pilot Knob PlOwi P Eagan, Minnesota 15123 Malty JswAd: (012) 6814678 WM ADDRESS: k Nt ~r a tw C K e APP'WANT:` ' $ r u~r~t~a r coliNgMt Isla) sp&~ E TYPE. TYPE 4 1. PTWY rk f F' Y; rl"PLAce ^1 b;. k's J ' A of y•,,~~►,~ AMC •,d PM wju fit] tu *)@a uqdrAu3 J"9y11GUOD I~w ww f) III /rr X 'r JAW . ~C# VISz-I~ t -a.w emu` uor ANS t ' 'ca#e ~ ~ccu~anc~ of Saw » » 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 c1milication_ 1 OF 4-PLEX Bldg Permit No. 1104 O«opa-yType R-3 M-1 ~ Uistria PD R-4 Typecottst. V-N Owner of Budding THE ROTTLUND CO Address 5201 E RIVER RD Budding Address 4195 BEAVER DAM RD L2, B1, DIFFLEY COMMONS 1}(a~~. Daft- NOV 4, 1992 Budding O icW POST IN A CONSOXAMS PLACE Andress: 4195 BEAVER DAM RD Lot 2 Blk 1 Sec/Sub DIFFLEY COMMONS These items were/were not complete at the time of the fine inspection. Date: NOV 4 1992 Yes No Final grade (61E from siding) Permanent steps - garage Permanent steps - main entry U Permanent driveway t~ Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. KMEO MKH White - City copy Yellow - Resident copy Pink - Contractor copy 4 9m 4 -"INSPECTION REC ON ``C ' f OF EAGAN PER T1 z . 3830 PiW Vdwb Rad Poft gan, Mkvwm" 55123 Lim .t ed. ~0■11 2)) 66691-075" Love ott , AWRESS: t'~~* to *,lo• Fol RETYPE: TYPE 'W7tft W-Ir f tti 1M6 f~'1AMM1 x 1< /kA710N R t'- VWPLACB ,r, Rl ,i~1ill~K 5 a w comimAC v4t ~.lv PR O$ qt I~ ~ i ~ ~ n ,z . _ ~ ~ ~ u . ~ ~ ~ ~ ` ~ . " ~ ~ b i ~ 4~ . ~ b ~ l' C~;e~~ica#e o~ ~ca~anc~q a" of 0"" 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: UseQssiflcarion: 1 OF 4-PLEX OW PenmitIkL 1105 Occupancy Type R- M- Zoning District PD R-4 Type Coost V-N Owner of Budding THE ROTTLUND CO Addrew 5201 E RIVER RD Building Address 187 BEAVER DAM RD Locality 1.3, B1, DIFFLEY COMMONS i 00Date: NOV 4, 1992 Building Official POST IN A CONSPICUOUS PLACE 4d4ress: 4187 BEAVER DAM RD Lot 3 Blk 1 Sec/Sub DIFFLEY COMMONS These items were/were not complete at the time of the final inspection. Date; NOV 4 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage 1-100 Porch LIA Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. REMED DYER White - City copy Yellow - Resident copy Pink - Contractor copy INSPECTION RECO":-:, 1, 4 two Pilot Knob Road Pwffit fwr: - « Owe , Win, Mika 56123 (812) 681-46'i'S , s tL1lCilt r I APB w ~1f~1 rCAYlR MAM a ; "m Row. of-F FLty CONMANi ',AYPT rPE: TnrwE FtIiAY~NB fRA~lr»IA a=~A ~M~tlK'iION ir'I1~111L ~ .k ; I<~lN<At~t.1lCi` ~ *1IliA X8: 8 i 10 CONTRACTOR - MALM PLO* 1 t~ ' \`\I'- K ~ \ 1~ ~ y. t. ~ . ~ _ ~ ~ ~ ~ ~ = t ~ ~ ~ ~ << i T hl s j i tl Mm of Poem 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 onhhances of the City regulating building construction or use. For the following: 1 OF 4-PLEX 1106 use classification: Bldg. Permit No. V-1f R-3 M-1 PD R-4 yTyPe T District 0 E RIVER RD 0 52 ROT T ND Owner wingAd Bm BEAVER DAM RD locality -L4-1- B1, DIFFLEY COMMONS Date. NOV 4, 1992 Building Official POST IN A CONSPICUOUS PLACE Address: 4191 BEAVER DAM RD Lot 4 Blk 1 Sec/Sub DIFFLEY COMMONS These items were/were not complete at the time of the final inspection. Date: NOV 4 1992 Yes No S Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage i! Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. _ULI RMUEO!APIA White - City copy Yellow - Resident copy Pink - Contractor copy K - 11 0 r 17~ ~a Request ate Fire p ugh-in Inspection 7;quired? r] Ready Now .2-Will Notify Inspector 7 _I Z d9es r No When Ready? 1 lensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 4 IV -7 Lea. Section No, Township Name or No. Range No. Couniy-~ Occupant RINT) Phone No. Att" Power Supp Address Electrical C tract r (company Name) Contractor§ License No. Use, CJ4003f 1 Mailing Atldress (Contractor or OMaking Installation) Authorized Signature (Contracto wner akin Instauaton _ Phone Number 3- 38/v MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 542.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001- e K ► See instructions for completing this form on back of yellow copy.'' /D7 ( 3 111 "X" Held* Work Covered by This Request• New Add Rep. Typeo(Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps s^ O 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: _ TOTAL Irrigation Booms -GD S~-Sa Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORBERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 HS I, the Electrical Inspector, hereby Rough-in r~ ^ °at - 3e 0" -7 certify that the above inspection has Final Date ~r been made. OFFICE USE ONLY This request void 18 months from Request Date Fire ugh-in Inspection R quirad, 73 Reatly Now twill Notify Inspector wZ`~ Z es ❑ No When Ready? ~011icensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Box r Route Na ) City 4151 , Section No Township Name or No. Range No. Coupty Occupant (PRINT) Phone No. Power u ier Address Electrical nir l% Company ame) Contractor's License No C,50 Mailing Ad ress (Contractor or O er Making Installation) Authorized Signature iContra r1Ow r ak ng Insi tionl Phone Number &3-3810 MINNESOTA STATE BOARD OF LECTRICITY 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) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION§ E8-00001.48 ► see instructions for completing this form,gn back of yellow copy.',' 1116 4 X" Below Work Covered by This Request Wjo. Now Add Rep. ° Type of Building Appliances Wired EquipmentWired Home j Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other i(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps f /DID to lot] Amps a Transformers Above 200 Amps Abov Amps Signs Inspector's Use Only: 1 / ( TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY B RDERED D CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. ! I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final Hate// been made. OFFICE USE ONLY This request void 1S months from 162 Request Date Fire No. oug nspection a F~ p Ready Now A ?Will Notify Inspector 7- .2-7-11 Z es [ No When Ready? Licensed contractor :Downer hereby request inspection of above electrical work at: Job Address (Street, Box or XL~, City 4 s Qa,., Section No. Township Name or No. Range No. Coun Occupant RINTI Phone No. l Power Suppe•W1 Address Electrical C tragI r (Compan Namel Contractor's License No. Mailing Atldr~ss (contractor or-0w LKing Installation) Authorized Signature (Contractor wne M ing installaU Phone Number 3-3~iv MINNESOTA STATE BOARD OF E ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION $ ny ee Doom os ► See instructions for completing this form on hack of yellow copy. K 111-62 X" Below Work Covered by This Request .r New Add Rep. ' Type of Building - - Appliances Wired Equipment Wired III Home ( Range °J Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps d 0 to 100 Amps b Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: ! TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 kfQMHS. I, the Electrical Inspector, hereby Rough-in to certify that the above inspection has Final , r { Date /mar been made. OFFICE USE ONLY This request void 18 months from /O~o2~3 Request Date Fire R ugh-in Inspection 9 wired? ❑ Ready Now Will Nobly Inspector s No When Ready? I,,;ilicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. BOx or oute No.) City 19 Section No. Township Name or No. Range No. Cou Occupa .(PRINT) Phone No. r' Power $u ie~ Address recthcalAontractor (Company Nam Contractor's License No. 3b~7 _ cif Do Mailing Address (Contractor or.OtELCTRICITY aking Installation) Authonzed Signature tContracto wrier a g InSldlla110 Phone Number MINNESOTA STATE BOARD OF THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.~0/8 ► See instructions for completing this form on back of yellow copy' K' 1116 X" Be/oW Work Covered by This Request c v Rep. TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating + Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's 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 Above 100 ' Amps Signs Inspectors Use Only TOTAL Sb Irrigation Booms .r~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dale certify that the above inspection has Final been made. r ~3 OFFICE USE ONLY This request void 18 months from 09/27/2011 12:31 6128616267 BEI EXTERIOR MAINT PAGE 04 Use BLUE or BLACK Ink F..orOffice.,e T r I UlL oA Eajan l Permit lJ I Permit Fee 0 1 3830 Pilot Knob Road 1 Date Reed: 1 Eagan INN 55122 Phone- (651) 675-5675 r r start 1 Fax: (651) 676-5694 I t 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "Yl G° Site Address; -UAW? Tennnt: suite drrli°A.r~ Phone: lh. C~s~e:>v C RESI1yIENTf0WtJER Name' 9-0 4~4-'WdW . Address! City / Zip: 4VOL e,7 AW~W- . 4A&4-,9Y 02MA/ A~f IWAI -033Y2/ Applicant is: Owner Contractor TYPE OF WORK Description of work: Rcfov- .q*,w wa^~~"~ Construction Cost: S 2-i&lb Multi-Family Building: (Yes < / No CONTRACTOR Name: 6 CI 6MEEeog 4.a4P. License#: ty-7Z 31/ Address: L105 M. j0* S-,t&-&7 City: /460V162"!kjs_ _ State; Md Zip: 3t0419 Phone: G•rt-B/,,r-io'24'3 Contact: PAUL M. Email: -JA Ioejo, on, 4&," 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 drat you submit are considered: to be public information. Portions of the information may be classified: as non-public !f you provide specific reasons that would permit the City to . conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher Stake 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 utilitles. www.oopherstateonecall.orm I hereby acknowledge that this Information is complete and 20ourate: that the work will be In conformance with the ordinances and codes or the city of Eagan; that I understand this is not a permit, but only an application for a permit, and work ie 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. goo: Applicant's Printed Name Applicant's signatu Page 1 of 2 05/0612014 09:42 Les Jones Roofing, Inc. (FAX)9528817009 P.011 1011 Use BLUE or BLACK Ink 1 For Office j Permit City of Eagan l Permit Fee, 3830 Pilot Knob Road l Eagan MN 66122 I Date Rscelved. jig Phone: (661) 675-6676 I I Fax: (651) 676-6694 1 staff. 15. 1 Z2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date-. SlteAddress: y/S? `t/7! S"'1 Ale--"6-k 4)Xm ?oA Unit fl: 'I'Ma Name: ~_o P9OPE72Ty G4 E , 6 NC.. Phone: 57- 5Y- 9y 4/~ Address I City / Zip: O• i30 212 5 ,p NI Applicant is: Owner Contractor Description of work: gAire o/- AV-d 1 ~✓G.~~ rP 9 sf: '4'1 Construction Cost Multi-Femlly Building: (Yes x / No S. Company: AE5 .7ONd3 RQQ gaz~ fiVG Contact C~l.Qt s /~,VDEs72s0~ 12.Address: 911 W. eD s°rY city: &Qazu.vGTbA✓ State: MIJ Zip: JJ Phone: 9,5"R - 76 7 - a8/9 ,M CM1b" dI 4 ° License N. Lead Certificate .U,4T `f p - If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Egan 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: 41 CALL BEPORLe YOU DIG. Call Gopher state one call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.goaharstateonecall.org I hereby acknowledge that this Information Is complete end accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; Oat I understand this Is not a permit, but only an application for a permit, and work la 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. Exteriorwork authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 160 daye of permit Issuance. x_ G1¢45 fti 0000-od x . . Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:17 Les Jones Roofing, Inc. ffM)9528817009 P.002/011 Date: City of Eap 3630 Pilot Knob Road Eagan MN 66122 Phone: (651) 675.6676 Fax: (661) 676-5694 /1:0//V6— Use 0/lV6— Use BLUE or BLACK Ink For Office Use Permit#: ' 22,13c Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION -fir, //4/ Slte Address: '/187,'I/ 7/, L/' 5 W 49 &4/t WA -A.4 'l 4C) units: ,Y' r ''" ' :,' ' '` , R"` `dl1 4. • yd >; ; , ; r- r • . •• ti. `4", a;; ' „ ;+, Name: yo PeoP'42Ty Gk?.& t N... Phone: !05/-� 5.5-4/• f9yy r ,// Address / City / Zip: 11.6- BOX 21'2 5 //'7L ezr--014Z At/ 6.31;) 24 Applicant Is: Owner X Contractor yy $r�atr 4,,,,! ti 1,-,, , ,r •:i; . 1 's:., • ^� , Description of work: R?MOVE A,wO Rd°PA*e4 5°446' 4 43.' t At- S/O/N4r' rrr Construction Cost .-4; A,-/• Multi -Family Building: (Yes X / No _) .• ...yn"1l e z+)rkf A, ,5 • '',.'''x': .;: ' ' , '7 ., ` I N� '''' •:,r;'`It ' , ;, ,; ,66 :; .' ,,, ' ;.• Company: 4 3 ,ThN53 AcDPM/� five Contact G/�l�t i �or�so AV zze ' city: ,dAoaau r6 -77M/ Address: 91 t w. 8O 771. s7i- State: i4/4 Zip: f -020 Phone: 9$ - 76 7- X8/9 License #. 4.5-6D Lead Certificate #: ,(.) 7- `t O 3 V -/ .! _"„,0', ,7 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Sagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: " _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 'orn th40. Otiii Iffel" r / 0 % -!i'e t QLi/ %liftW '; TAII ' Ute"laityYYi fpnil:etgilActo. bier ,0149 •> (.14,4*,* $ N6tvolitd e ,titroi t ill?t 3'4 .a1r,tyA t( • g1 g •, t,it.A: 1`dC:.,J.iuC :N .„.„,, ?7. •+ Qf4 to CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. wyw,aooherstateonecall,orst 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 la 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 plane. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must bo completed within 180 days of permit issuance. x G1f4iS 444D6720'0d Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA162414 Date Issued:07/14/2020 Permit Category:ePermit Site Address: 4187 Beaver Dam Rd Lot:3 Block: 01 Addition: Diffley Commons PID:10-20450-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Richard J Lacher 10917 - 32nd St N Lake Elmo MN 55042 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature