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4347 Bent Tree Lane, ? ? o? 52?4 7-5 I? a3 ? ?v ev Requesi Date 3/ 0 2/ 94 Fire No. Rough-in Inspection Required? NOTICE: You Must Call Elechical Inspector If A Rough-In inspection f?Yes ? No Is Reqaired. I alicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Streei, Box or Fioute No.) City 4347 Bent Tree Lane Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone IVO. Wensma.nn K=as Prop erties 423-1179 Power Supplier Address Dakota Electric 4300 220th St. W., Farmington Electrical Contractor (Company Name) 5 License No Contractor. JOos Electric Coe CA00961 Mailing Address (Contractor or Owner Making Instailation) 3980 Beau D' Rue ive, EAgun, MN 55122 Authorized Signature (Contractor/0wner Making In allation Phone Number 588-61$0 RAINNESOTA STATE BOARD OF ELECTRICITY,/ / THIS INSPECTtON ftEQUEST WtLL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE 80ARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTIpN FEE IS Phone (612) 642-0800 ENCLOSED. RE ll.? QUEST FOR ELECTRICAL INSPECTION ? See instr.uctions for completing this form on back of yellow copy. M 5 2 4 7 5 "X" Below Work Covered by This Request ??;.. EB-°oq? O C7 New Add Rep. Type of Building AppliancesWired EquipmentWired X Home X 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 0 to 200 Amps 20. 0 to 100 Amps ] Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TO AL ? Irrigation Booms 9 4. 5 ? Special Inspection Alarm/Communication THIS INSTALLATION M BE ORpE D DISCONNECTED IF NOT Other Fee COMPLETED WITHI ONT ? I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Date OFFICE USE ONLY ` This request void 18 months from .0,i CcfttfiCQt? of cCC1tpQ1iC? vf Cfagan ?e?artmeut of ?uitbi»g ?u??ection This Certicate issued pursuant ta the requirements of the Uniform Building Code ce?7ifying that at the time of issuance this structure was in compliance with the various or+dinances of the City regulating building construction or use. For the following: Use Classification: SFFW x Bldg. Permit No. 22%4, Occupancy Type RMA11 Zoning District R Z Type Const. _._.VN Owner of Building 4?ERSM ?' M Adctress 3312 151GT ST w. ROSMNr Building Address 4347 $ENT T-RE F,ANE t.ocalityL3,_$?,-AD11If3 127FY''?+: ?-•'ir;. s.r ' ' .%%?'? ? iii! ? f G `?" POST IN A CONSPICUOUS PLACE Tq 1 1 Address 4347 BM '= .? Zip 5512 3 Lot 3 Blk 3 Sub At1T" RIDGE 3xD THESE IT'L'MS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ? . Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) L/ Permanent driveway ? Permanent gas V1/_ Sod/Seeded grass ? TraiUcurb 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. 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 ? ? -A" CI7Y OF EAGAN ? I 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 -- PERMIT PERMIT TYPE: Permit Number: Date Issued: C?Y l r`3?? BlJ I t. J.:1 IN G 0 :? %' 9 b 4 02,I 1.6j94 SITE ADDRESS: P o ?T o I+I , a 1. 0-. 12 3 0 2 --- 0 3 0_ 47 3 4:3I17 ;;EN-r r'REE [.aNE k_ (J 1? ^ 3BL. OCK e 3 AU1"tJMh! RTDt,F;3RE1 DESCRlPTION: 5 F- G) w 6 N ?" w R.-3 m __ 1 V_.. N R-1 56 52 tV'%.;iF cagan REMARKS: PRv s h w PLs R ..., a.i EN:% E± P1. BG FEE SUMMARY• 11 A !w U Fa `i° J 0 N Eiaw;e Fee P1an Rev.iew Si.!rc ha r,c?e ?i R t;; ,iAf: llrti.Y;,5uhtotrzl :1, 7 7 6 a 0 0 $5v) 4 .40 $69.50 £3 0 i1? ? 0 GJ l.OO 7. $_1LL 1 4 _. 5 td $139:,000 MSaCEI..LAhlEOUS 'i" ot al Fee vvo's 9 1 10,%1W 1 v9 i. . , r, p.. ... .,_ ,. ,,". .. ... , ., ,.. 1. .,. V VY IYGR. WENSMAIdfV HQMES 1.42:31179 0001A58 WENSMANN F'F?i;??ERT7E5 3312 1. 51 S'1` s`l` w 3 :.3 1. a? 1 51. ST W , ROSEI'+fOUN'r MN 55068 f2?.?SEhlCllltV`1" MP+I (612) A23--1179 ( 612)423-_1.1.Y9 ??? ? ??- APPLICANT ERMITEE SIGNAT RE SS ED BY: IG ATUREr REACTIVATE PE?MI7 0 I_tq L;1 ctTr oF EAGaN 19" Bli1LDiNG PERMiT ?q4 sai-as7s ?? ? 1 ? . ? ? APP?.ic ioN 4 _ t _ ', ? •?f? t?,,? SIMGIE & MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy af en cal cs. - '.- - COMMERC'IAL 2 sets af architQCtural & structurai pians, 1 set of specifications, i copy of energy caics. Penalty appiies: 1) when permit is typed, but not picked up by iast working day of m4nth• in which request is made, 2) address 9s changed or 3) 1ot change is requested once permit is issued. Date Yaluation of work site Address • y3y7 ??' -74?- tTREET SUtTE # Tenant Name: (CORiIII@1^Cldl Ohly) LOT ? BIACK SUBD.? ."'????,?`QgO-?•J? P. I. D. M ? ` ? ? ? Descri tion of work: ???.?..J ??rt ?vY?? 7he appl i cant i s: 0 Owner .W Contractor D her (o:s«ibe). Phone ?' . Name PrQperty LAST F RST . Clwner ) 1 L? (A- Address =117- STREET `TE ? City State Zip SMQ Company &Yne- AS Abou-2. - Phone Contractor Address License #fxP• City State Zip Company N-Y\e- Phone architect/ Engineer Name , Registratian # Address C i ty State 2iP Sewer & water licensed piumber Processing time far sewer & water permits is two days once area has been app ved'. I hereby acknowledge that I have read this application and state that tfie information is with all applicable State of Miinnesota Statutes and City Gf ' l e to com t d p y agre correc an fagan Ordinances. Z / YV Signature of Applicant: .. OFFiCE USE ONLY BUILDING PERMfT TYPE I . ? OI Foundation ? 06 Duplex ? 11 Apt./Lodging ? 42 Sf Dwg. ? 47 4-Plex E3 12 Mu'lti. Misc. ? 03 Sf Addition ? 08 8-Plex ? 13 6arage/Accessory D 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 05 SF Misc. ? 10 Mult1. Add']. ? 15 Oeck WORK TYPE 31 New ? 33 Alterations ? 35 Tenant finish ? 32 Addition 13*34 'Repair [3.36 Move { GENERAL INFORMATION " . ' , . . ., ?. Const. (Actual ) f/IY (Allowable) UBC Occupar?cy W/0 s Zoning t f of Stories length ? Oepth 5z,3? APpRovaLs Planning Engineering REQUIRED INSPECTIONS ? Site ? WalTboard Basement sq. ft. ? r Z lst F1. sq. ft. '17? 2nd F1. sq. ft. a Sq. Ft. total ?""" Footpriat? Sq. ft:' 0n-site well Un-s i te sewage Building ' . Variance 0 Fobting E) Final 13 Framing ? Draintile _• Ci? 16 8asgpent*f trr#-sh O 17 Swim Paol O 18 Comm./Ynd. D 19 Conam./Ind. Misc. E3 20 Public facility. O 21 Miscellaneous [3 37 Demolish 5` , 4 MWCC System City Water PRY Required Bc?oster Pump Fire Sprinkler Census Code lo SAC Code % ' 'Assessments E3 Insulatian O fireplace Permit fee Surcharge Plan Review license MWCC 5AC City SAC Water Conn. Water Meter Acct. Qepasit S/W Permit SJW Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Co pies Qther Total: SAC % sac un; t.s. wcu.ti«ti: S ? 3,Y. 006 A S= 221 t6 14, 4s: /W-;n 2Yk??s ? 3-j?O 9,S4- 16 ____9?- 1??2 ?- 3tk Sfe- y? ?- 2 lk 3 z e !.n JZ. ,._.-,--d-- b .? . V' , if ? ?.? ? ...??.. v•'' ? ? lC ? - a ? Ex S ? 4x ,C"4 s .? 40M .; t-OT ? t FSI..oGrL.- ?j! Fi?J"?'? M. t*•l 2? t? G,? 4 3 R ? A.O D 1? 1 D DA.?...v-rn. couN"I'`(t M?l ?t N? ?d TA ? IW > , EA ? V i \PS ? ? 8 , c ? Q ? V ? ? ? I ? ??AN ;, ZT9DiF,'?? "(??-T43WEPT. ?- ?a+c?a.i?.. ??JG.?i A?• ?.:??a ?,? ? P T6 U L. . I hereby certify that this survey was )repared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the Stute of Minnesc ta. Dat eF-Lowlky '.r f 7 ?-?, f1------- _ LeRoy H Bohlc,n ? ? Registered Land Surveyor No. 10795 ! . . LOT 6IIRVEY CSECRLIST FOR xEBIDENTZAL BIIII.DING ERMIT AP ICATION SZ PROPERTY ZEQAL: V ? ? Date of 6urvep: ? pOCIIMENT BTANDA1tDs 0'0 0 • Registered I,and Surveyor signature and compnny 0 • Building Permit Applicant VD • Legal description 0 • Address 0'--0 0 • North arrow and bar scnle 0--b ? - House type (rambler, walkout, cplit w/o, split entry, lookout, etc.) 8""D [1 • Directional drainage arrows with cl.ope/qradient t. 0 8'-10 • Proposed/existing sewer nnd water services 0' 0 0 • Street name 0'D a - Driveway F? 4. . ., Existinc D 8' ' 0 • Sewer service C3 0 0 • Lot corners Q? 0 0 • Top of curb at the driveway O?D 0 • Elevations cf any existing adjacent homes Proposed L? 0 D • Garage floor I? 0 0 • First floor 0 0 • Lowest exposed e2evation (walkout/window) PK0 V 0 • Property corners 0 0 • Front and rear of home at the foundation PONDZNG AREAStit aAfllicabie) D ,0 - ?Lement line . D 0? 0 • HwL ? Ft Pond # designation 0 • Emergency Overflow Elevation D QIMENSION6 • Lot 1 ines Ia' 0 '? D • Right-of-way and streQt width (to back of curb) D H 0 • Proposed home dimensions fncluding any proposed -decks, everhangs greater than 21, porches, etc. (i.e. all J structures requiring permnnent fobtings) ?J 0 13 • Show a21 easements of record and nny City utilities within ? those easements I 0 ? • Setbacks of osed structure and setback of adjacent -/ existing mes D E? 0 • Retain gw e ' ements, if any Reviewed: ? Nme / . 15 aVe Cctober 1992 F 1 L+423+1 14'3 F. 02 ? - `---. ? -- ?a`? Es:?' E;??,; Fl.t?i?. A1'F GOi•??'UI?AT?,Ot' _ , OIJr?EFt !`?•/?/rjG'__?,?,?,,?j ? w ---- S TTF.. ADT.1Ft.F' ; ; --,- - ,. CONTR.ACTOP, ? ALIDRES 5,--- --- AETEFuMIPiE WOP,KI„(; SUUAFtE E'fj0'TAGE QF EACFt. 1. Total r- r,ov`eCt wc111 'dTEa ... . zs-'?l ft. X', I 7- -, el-) 2 T l ? . ota roof/cezling area ... J . sq. ft, x . b;)A?, Z . ? Total e:cposed saaxl flLea abc,ve floor = a. ':a1_:t,`,Tot61 wR],1=:window_ areaL _. , . . . . . , . ? /C?/ ffd:tg-l-- door? area. .....,. ? - . . . . . ... . . ?, _ -_ ??? -.. _ .. ..... ..........,.,. .. ...._. ^ ?. ._door ar.e-a ,. .,_ ?. .... -.'- ? ? -.Tatal :fire pZec'e. wall. ar.ea .. ....... 2:14 ? .- :. ?To ., .. .. . . . ......... , : r. t2I. W3.ZZ-: fkRmI[lg: 3Tea- -(ayeiage,?3.07,) . ... ?.-..W??? _fz:.'.Total .neG, wall. area -.abave:fzaor. ......._ .. ..?.... , . . _. ,??+ .. g, Tot'a] rim joi.st area .................... ..,... Total e:cposed £oundation orea ? . h. Total foundation windaw area :.,. i . . . . . . . . . . . • . . . _?..--._..._.__?_. ?.._ -- .Tota1 rtet_.foundativa. area- a bove grade .... . , . . . . , v ?...._ ./...?' ?+ ---- ...- ?ac11 wa?l-rspgment. ? . a, b tru,y ?°, X I,Ult • ?i? p -?- . ?? ?/? • ,? !?.ee C •----?--'-?? X rfUlt d ? ?? g Iltri? lJ e. r;?.. Z2 R olU„ f• _ ,?-?? ? ? ????? s % ?.? e R „U„ x _ _„ r .^ . / ? ( JC_ ?J I ! M ?.7 V 3. .......................... ...Total w- If iCem #3 1s the same as} or less than ftem h, pou have met the intent of SBC 6006 (02, r_.1?t4::ti?t1 1 4'_? F' - _ . -• , Page 2 pf z . .? • , . ? Total exposed rvof/cei!ing az-eki ? J. Tats2 skyl:ight area .... ....y, ?-? k. iota]. raof/ceiling fr.artng?greg {average.lOT.'), --- _?, , 2. TOtAI -, insulated roof/ceiling axea ? Detez-n;r;P, "iJ" value Eor eaeh rco£/ee313ng seguieRE. j .- 6- x "U,l 0 --? k.?? x trul? x „ulf ? I'f .,? 4 ..........................................Total - ?? • ?- If thtaZ af ?f4 is Che same as, or Iess khan #2, you have met the int?nt .-. of -:S$C: ,60U6(c)1. ?ding:?r?vetape?Design To utiltze rF,P total'envelope 5ystem method, khe values establishpd by the svm of :Ltems #3 and #4 shalI not be greater tAan the suo af itews #1 and #?, . .. 1 _.? + 2 , . --------_-- ? ,? -`--?,- --- 1 -Z-- x i . ? r ??£ ? ? ?s( r?. 4 iz' y. J ?4.`,'.. 'ri`?! •? ?? ?.'#$v, dy.? y ..... . ; '> ds = z , sr?w i4l ???? .? .. ._?? ??i . ?'°-?` 3 ? y?w ?. ? 4fr iwo- 3 x? ',? ? ?` h? •,? ? F i'jrm H, s ?J . .. . . ii..?. .A. > . ??'. ?' • ,f PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------- ----------- ----------------------------•---------------------------------------------------------------------------------------------- NO. FIXTURES EACH TOTAL ? SHOWER 3.00 -9. 0<5 ?- WATER CLOSET 3.00 • O BATH TUB 3.00 6,00 3 - LAVATORY 3.00 7777D o ? KITCHEN SINK 3.00 3.00 ? LAUNDRY TRAY 3.00 3. nD HOT TUB/SPA 3.00 ? WATER HEATER 3.00 OD ? FLOOR DRAIN 3.00 . O GAS PIPING OUTLET • minimum - 1 3.00 . 00' _?4_ ROUGH OPENINGS 1.50 3,Od WATER SOFTENER 5.00 PRIVATE DISP. • Dek.cty. lic. 20.00 U.G. SPRINKLER • home under const. 3.00 ALTERATIONS -co ocisctng 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: y?'• 50 SITE ADDRESS: 'i/g y I Aon,G. ,A& XQiYJ OWNER NAME:__??d?_?,? INSTALLER: ADDRESS: CITY:_ & M4i22 STA'TE: M 41 ZIP CODE: 615-1-2 a-- PHONE #: ( 6/02) - 15-& SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 r 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 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: $ Fi:E: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF ?VJm..'ff FEE. .................... 11i1NIDiUM FEE: $ 25.00 .... , . ... CONTRACT PRICE X 1°/0 $ STATE SURCHARGE $ TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CIT'Y: STATE: ZIP CODE: FHONE #: ' FOR: CITY OF EAGAN APPLICANT ? 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 FIREPLACE INSERT DATE cq I?5m _ FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) 3- 00 ADD-ON/REMODEL (ExISTING Co1vsTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL o?'7.50 SITE ADDRESS:__q3__U ? fQnt dZQl ADM OWNER NAME: mnoimnn TELFPHONE #; Wol _?5 "? ? INSTALLER:Pil/Jon I9? -4 L42 ADDRESS: I U I c? i1Cl.i , CITY:_2&aaxvt-lt STATE: M? ZIP CODE: J?bcbe) TELEPHONE #: 42,311 -) C) ,ozogar-oi nmath SIGNATU E OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN . 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 ? 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 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: FEES 1 % OF PPMA`;C«"?" FEE $ ` PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.SU FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENT'S ONLI) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF FERMITTEE CITY INSPECTOR s 2006 RESIDENTIAL MECHANICAL rERMiT aPPLicaTloN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 3(? .5D Date/ 0(0 Site Address 93 y 7 13P/71-k G G-4,7 e• Unit # Property Owner .J/ ? ` /-4?'r1 /?11* 0 -Q Telephone # (6 S'/ ) ?1 SL ^ T ???_ Contractor ANGELL AIRE, INC. 12251 ico venue u street Aadress ? BIIt't13Vi118, MN 55337 ' - -? - - city l 0???6=5200 Te ep State Fax: 952•746-5202 Zip Telephone #( ) Bond #: 0 so e? 73 Ex ires: p The Applicant is Owner ? Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional k/ Replacement New air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ 39, i-d I hereby apply for a Residential 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. 14 r ?irz A .? «„ Applicant's Printed Name Applicant's gnature 4b? City Of EanoIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -----------------, ? For Office Use I I Permit #: ? Permit Fee: ?.A I I Date Received:oi5? Iq 0 ? ? I : I I Staff L - - ___- - - - - _ .__- _-J 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION . ? C Date: I Site Address: Tenant: Suite #: RESIDENT / OWNER Name: ?AbLw? Phone: Q7) c5A Address / City / Zip .t-L Kw CONTRACTOR Nam ZL?? ?1??? icense #: Lk?-? Address: _ ;` ?V?b `(A L-tQ? IL? City: CA State: Zip: Phone????j?Q??? Contact Person: TYPE OF WORK _ New ? Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater ?1Nater Softener Lawn Irrigation Add Plumbing Fixtures (_ RPZ /_ PVB) (_ Main _ Lower Level) Septic System Water Turnaround New ? Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Hsater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) " Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL. FEES $ Ih b k I ere y ac now edge that this miormation is complete and accurate; ihat the work will be in conformance with the ordinances and codes of the City o( Eagan; that I undersiand this is not a permif, but only an app(ication for a permit, and work is not to stari without a permit; that the work will be in accordance with the approved plan in the case oi work which requires a review and approval oi plans. Ca ? X ??v? `?? ?i' 1 Lt:,Lk X - sl?,/6 ApplicanYs Printed Name onn , _a.,t'a _ nt„rp FOR OFFICE USE Reviewed By: Date: ?? ??5 Required Inspections: _Under Ground _Rough-In _Air Test -Gas Test _Final ??• ?• _ `? ?.?-?-,? "" " ?.. 4-1 ? OZ:54 ?Wf?l?[?'?'?: ? ? ?#?'?f:?,+F??? ? ? ?01-4675 , a ? . ? :N 4_? - ? ? H !'N 6 ( R U., t' ? L ASJ f' N ft M,(; ? p ? ? •i auT!'So olti!`7T. "WO . ..A{rx . 1 1 P 4 ., 4 . . : I ; '0 0??'?? i YPE P TYK iJi" WORK: , 1 1, 1" ft 1.1 N C) A f 1 0 !^$ ? [.. t`s ?`? s` . ? }yy( ji ^•.i?! ?' . .. ? . . (ri?"1i?[ 7 I N ti (y 1'? i,?b??R yS.F !" ./ !! P7! U ?-1 ''? ?#"t ?,Ht.1 $1 t.t6i3 ? ? . . , . . . . ? . t . . .. . _, .w?..:i:. , , ? ? R&JOPlbg. ftuo Htg. .` ? IV* Fk FkWHIR. ? OmdT" nndftg. Plbg. kepecbw -NOUIY PkNnbw const mew r,' ?~ Wil. FbW Dal* Pq Do* FkiW wea Pf. oisp. V-&3 F--------------- For Office Use I of T Ema(~ (t nll Permit City / ~ 3830 Pilot Knob Road Permit Fee: / ~5' 7 Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date:LC}, S Site Address: `~1 -t •L t t t Q y Tenant: Suite RESIDENT /OWNER Name: ~f 7 \ C) f Y_ Phone(5( L5 Address / City / Zip:C/ 3L'l 6e ilr-e LCLAk Applicant is: Owner Contractor TYPE OF WORK Description of work: r p- ~`l P-. ('f tCILQ (ci t- S Id I Construction Cost: tmop Multi-Family Building: (Yes /No CONTRACTOR Nam -TQ t l ' License # A u n City: h Elfin State: i1 Zip: Phone:U 1 t4$1 I L41DlD Contact Person: 2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 'I~QChe n U X a Applicant's Print 6d Name Applicant's Sig ure Page 1 of 3            þ ý ü ÿþþ ý  üúûüúûû     ùýýþþ   ïðø úúîíý   ÿ ÿþ÷  ûúùø÷öõ  ô  õ ø÷öóò ÿ öõ  ô  ñ ûðñ ø÷öñ úï ú  û  óúîù íîóúîù ûð ÿ÷é÷  þ êêíóëôÛþ ûø üñóêê êâà  îéèõûçæ õôåäêãâãâ öù  ûú  ýéáäêãàãàê Û ú àêã  õôôó ÷ òñ öö  ïÚÿúîùýçô ýß îÿé êêí ö  ø   û úñóêêþ ý ñóêê èêåâà   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  PERMIT City of Eagan Permit Type:Building Permit Number:EA113899 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 4347 Bent Tree Lane Lot:3 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - James D Flood 4347 Bent Tree Lane Eagan MN 55123 (612) 590-1082 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature C!ty of EaQafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION j Date: 'Pt\ ` I Z O tty Site Address: 4 31-17 SZAT E For Office Use 33/17 Permit #: Permit Fee: 5a0. 0q 1alry Date Received: Staff: Name: jp I 5 d0 PA.I�6LA Flooc> Resident/ QYYger Address / City / Zip: Type of Work Contractor Applicant is: I-13419eNT TREE L.P rJE Unit #: Phone: LP 5 t LIS 2- S I I 1 Description of work: Construction Cost: Owner 7( Contractor AoRCbf A -Aa Brio 1\i La/Dr e/c. S'r Aih, 40,000 Multi -Family Building: (Yes Company: Zo13O( CoP►srrwc_rtbA7, GLC Contact: Address: 3160 CO W 6.5TI1.4 AVG v E State: NkZip: 55125 Phone: License #: � (Q 3548 S 7 City: is 1Z--161°-tEmail: /No /IN) -177 AA Regey (0©ooec e✓ -i-r,w\ 1ber4Constr‘)ttNo Lead Certificate #: 1•01,-r If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) CAki Z— COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. O NA. g015EL1x Applicant's Printed Name Applicant's Signature Page 1 of 3 .Cont 43V7 Iked %,/.v DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%100%Y) Census Code # of Units # of Buildings Type of Construction _ Fireplace Garage Deck Lower Level Porch (3 -Season)_ Exterior Alteration (Single Family) Porch (4 -Season)' Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) Miscellaneous _ Pool _ Accessory Building — Interior Improvement Move Building — Fire Repair Repair axe' 4311 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) f Footings (Addition) Foundation Roof: _Ice & Water _Final M Framing Fireplace: _Rough In Air Test _Final Iff Insulation Sheathing Sheetrock Fire Walis Braced Walis Reviewed By: fir& RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows _ Egress Window Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant .z RG •� MCES System 2 427 SAC Units 1e- / City Water Booster Pump 211% PRV Fire Sprinklers /6 Meter Size: it Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Other: Building Inspector " it Sk ine4 )$*410 7t 1/ VI Orf 15 fyit Page 2 of 3 • WIMMMMINIAMEMM r ,' °O ?' 4-69" C— OM 'MO 40. 0001.1111110MMININNIIII 1.01.111.1•11, .1, 4St, CP'1' r Nr on d' a V7 EA 53,, /3cy i ,;; 3 .7 5 5Ii.33 aF— P3.t,.y 1J 1 II �tA 30 n 11 uLL � EAGAN --1,o "EVIE!�^1'D 44 to Ift _..,TIONS DIVISION i 1- V EAGAN OATS-.�-- 3'l Pi 4111111. 41111 i 1 .b ty) o Low 3 f c,Loc.v... 3 PIO A4.O D 1` 10 t•-1 DA 14.-07A C. N-rTh' M4 1.► NE+'Sd TA I By D EAGA.N gg1E EPT. p. _L_ b ;►JOV41.�c 0 DNom''C'a+'Mu 4.10 MN"(' .r. 93100 t'SAEtr/JEN-r I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date :F, „jr/ 411 %7 7?‘ LeRoy HBohlen Registered Land Surveyor No. 10795 Cityofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JUN 23 2014 BY: "^'y' Use BLUE or BLACK Ink 1 For Office /Use Permit #: 6 4 7f /0 Permit Fee: Date Received: o— o B - Staff: 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. �� ) Site Address: 143 `l ) e � 6 ► OJ L4 L../ Suite #: Date: Tenant: J RESIDENTIAL FEES Name: Phone: Address / City / Zip: S `i L/' -C e Name: BilAd ('/V t `L_ -t • License #: Address: TACUA rr a" State: alij Zip: Phone: Contact: (CA -j1 Y ,Q.' Email: City: 1— Lis() EYckof New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equ pment,is required torbe screened by Ci Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL _ Fumace Air Conditioner _ Air Exchanger )(Heat Pump , , ,1 Other (Y�I�L C,', VlJ New Construction Install Piping Gas Under/Above ground Tank ( Install / _ Remove) COMMERCIAL Interior Improvement Processed Exterior HVAC Unit $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) r $100.00 Residential New (includes $5.00 State Surcharge) _ $ (LTJ° tip TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **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 Contract Value $ x .01 =$ =$ =$ Permit Fee 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 Applicant's Printed Name x Applicant's Signature FOR OFFICE. USE Required inspections:' Underground Rough Air Test Gas Service Test', ate: HVAC Screening r City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5685 Fax: (651) 675-5694 Email: planninq(a�cityofeagan.com For Office Use Permit #: Date Received: ZONING PERMIT APPLICATION o Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY INFORMATION _ Site Address: q 3 v7 $c v ) Ire e La, C/J y /.N , MN 5) Z 3 Ap_pry.ed-/ Denied Notes: At (,Lo-.".'" Owner Name: U661tS D. 1 P6/4 r ),'}- . P265 Cl a.5S.ur..-�ci% 44-/1 te-i5(Li tAl 41, locei..-Eisl ir1. e-OLSGmuesAA. Property lines to be verified CONTACT by contralorkwndr. Yes / No Date: Staff: Name: ZT/ ti FlOd J Phone: CSI— 4)52- 37J7 ENGINEERING Address: L)3 Lf 7 Re`,, T )y --e 1-N, City/State/Zip: C9i9.4.1) 1Ill) 53) 1? Applicant Signature: 0 ‘d-ef2(-24 Date: 372 I/ 24) 7 Email address: Jjv7 ne)O ./ (S @ 14 bOD , Go M Yes / No Date: Staff: TYPE OF _- . WORK " 0 Retaining Wall <4 feet ❑ Driveway ❑ Other: 0 Patio 0 Sport Court 0 Sidewalk Fence Description of work: PLANNING Setbacks, hard surface coverage, shoreland zoning, bluff zone/setbacks, etc. Ap_pry.ed-/ Denied Notes: At (,Lo-.".'" Date: 2-'4 — / S Staff: r,' K S tc-. 44-6(A„(,`, a.5S.ur..-�ci% 44-/1 te-i5(Li tAl 41, locei..-Eisl ir1. e-OLSGmuesAA. Property lines to be verified Revised Plans Approved: by contralorkwndr. Yes / No Date: Staff: ENGINEERING Grading, drainage, utility easements, wetlands, erosion control, improvements in the Right -of -Way, etc. Approved / Denied Notes: Date: Staff: Revised Plans Approved: Yes / No Date: Staff: COMMENTS CALL BEFORE YOU DIG. Call Gopher State One Cali 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.orq G:\Building Inspections\PERMIT APPLICATIONS\2011\2011 Permit Applications ESTIMATE / ORDER 525 E. Villaume Ave. / South St. Paul, Minnestoa 55075 (651) 451-2221 - Fax (651) 451-6939 Gopher State (1) Call ID #464 Ticket-# Nearest Intersecting Street Hudson Page # Township Hudson Grid # Range Corner Lot (-j Section/Quarter Name Spouse Address City 426% `' County State/VV Zip Employer Home Phon1('/A S9 ° Job Site Address Work Phone ( ) Work Phone (Spouse)( ) E-mail: Cell Phone: / - Date S 20 Job No Salesperson P 0 Picture No. Terms: 10% Down 50% Start Up Balance To Installer on Completion Customer Initials Copyright© 2005 E-mail: link@midwestfence.com www.midwestfence.com 7- _ ... QUANTITY DESCRIPTION 9X 83— C i / / / F o - f /r/4/// �~ i i j I / - -J— (rD) )1Pr W/a= ic I POLS'-- � .� . -..ipIl02efy) —1- . e -ip 4 - - --r-atic& 1\i/`› 1/4/0 �41c Ll c 004,77d 6eityt� 19,041 1 -` ,2 ._` I . ` �G'. , ,, '. f f� UU 42e✓/V Price -_-•------ '—/ - J /E?'1/i—dAJ -'c - r , 4 /Le /JC 00 z ,., ________--------- 7 /0 41 /97 / %-UT,--4- ,2 /047 Down Payment Check r Amt. - ; . e / /J % ,e)i,..5‘C{,UNt. "'. / e% 0 � " _ WaliMaingliiillnineW1211#7w r. / e4,st-5?4i9 2' DP • PS . BC . ALL . i�40 &/L -/a/24/0 '4 A SERVICE CHARGE of 11/2% per month (18% Annually) will be applied on all past due balances. The purchaser shall be responsible for any and all collection and legal costs incurred by Midwest Fence in the event of this bill becoming past due. Midwest Fence reserves the right to lien the improved property if payment in full as agreed to in this contract is not received. 7 72/1",,,,-C-,74," 6 MATERIAL AND INSTALLATION THIS ESTIMATE VALID FOR 30 TAX DAYS FROM ABOVE DATE TOTAL Owner responsible for establishing correct property and fence lines. Any Permits required shall be the sole responsibility of the owner. Owner responsible for removal of obstructions of every nature which will interfere with the installation of the fence. This contract assumes normal ground conditions. Should rocky or excessive hard digging be encountered, owner agrees to pay additional costs of such work. Midwest Fence & Mfg. Co. shall furnish only the material and labor specified in this contract. Any changes made from the above specifications will be billed at Midwest's current retail prices. `j This order will become binding only upon Midwest Fence Manager's approval. 0 // / %')t Z� } �.,) /�U ,/ s F Sig >`���e [f/ /�' ' <,./.; Fnrm 9 - Rev 7-n5 Manager alesoerson's Sionature Date Copyright© 2005 E-mail: link@midwestfence.com www.midwestfence.com 7- Mill AMID r _ys:b " 73c. 5.5 .„.")?-"3 „vitt' b 5 I V ro J a Q c-' , 4"6:?~ E M; J cn 4 r► 3(.9."l N12)Po'SEL. HOv 5 L 4 AKAC4C 41. iz.ss `41- 0 z d ,, I tfl 0 R E V i E vy l J 3i) 331 G --.".....C.-42-19-1" ©P-1 g=4 CA, V Qo A01T10A-1� bA K --a 7PA. c t' r--' GP TA i o DE W-4440 j .mow..{ v\..; .v N\t..r"r To? ►c.. l : L.. 9.37,G ASEN\EN"C et- . �Z�Z Use BLUE or BLACK Ink . . . r-------�------�---� I For Office Use � � . � ��-�1��c, � Permit#: � Clty of ����� � i ' �� i Permit Fee: � t r�� i 3830 Pilot Knob Road !E,C.�'v I I Eagan MN 55122 � � Date Received: ` ��� I Phone: (651)675-5675 �.� ��� I I Fax: (651)675-5694 �'F i Staff: i ------------���� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION `�-�3`l r� Date: Site Address: Unit#: : Name: � � �`'� °� //'!� ���6a�� Phone: �.Sl, �1 S Z � S�� Resident/ �� �i � Owner Address i c�ty i z�p: ��`'� � `Tr�e �� - Applicant is: Owner Contractor ��' Description ofwork: �f �C�t pC.'j �e'��'�'� � Type of;Work ^ Construction Cost: s� ��°� Muiti-Family Building: (Yes /No Company: /�—O � C��� $'►`��L��� Contact: /J f��� �`—��� Address: � b �� ��5��� �7'�'� City: l������� Contractor ��,y� j State:�Zip: �S t Z� Phone: l Z ��EmaiL !��/(� /�d����'�S'�'�'�e��C.� �(`,d�' License#: ��b �J � 3� � Lead Certificate#: !"G" If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1-�a vs� �s i���-��� �� � l�``7�' �, 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.documenfs that you submit are considered to be public information. Portions of the information may be classified'as non-pub/ic if you provide specific reasons that would permit the City to ' conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Co us e completed within 180 days of per 't irssu�nce. � % P � x d � x ApplicanYs Printed Name Applican s Si nature Page 1 of 3 �3 y� (3�.�,��`,.� � ,.-�- DO NOT WRITE BELOW THIS LINE � �-� 3 SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) x Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) 7� _ 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 � Valuation ��� Occupancy � MCES System Plan Review Code Edition SAC Units 25% 100%� i� ( _ ) 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 RESIDENTIAL FEES Base Fee ���� /��,�A � Surcharge � �rf v Plan Review �j� ����� �,,, MCES SAC ��'�'� � City SAC Utility Connection Charge � ����, � — / / J--�� S&W Permit & Surcharge � � � Treatment Plant Copies TOTAL Page 2 of 3 r For Office• U e (I "� T i � - - -� `a.��� �L Permit#: �7%'� 41 • E AG A IN 7(J c+ pVG 1 s 2019 Permit Fee: Liz. . er gr. Date Received: i l 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1)6(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsecityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 08/12/2019 Site Address: 4347 Bent Tree Ln Unit#: mea t` �E�l � Jim & Pam Flood Phone: �¢s +p �� � Name: ogyimiu _ �' Address/City/Zip: 4347 Bent Tree Ln Applicant is: Owner Contractor Master bath remodel and siding/windows b Description of work: o �, Construction Cost: 80'000 Multi-Family Building: (Yes /No ) ROBEY CONSTRUCTION TOM ROBEY n 0Company. Contact: gr5 R'g' `ax' F£.. �� ° �A4 3806 WESTIN AVENUE WOODBURY N Address: City: f` MN 55125 6127608001 tom@robeyconstruction.com a State: Zip: Phone:. Email: BC635859 not needed License#:igigivingiminguNIons Lead Certificate#: If the project is exempt from lead certification, please explain why: built after 1978 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: t t.� • _ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the or ' an es 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 'thou a p it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of ans. XTOM ROBEY Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE t/ 7 6e..4-1- TR- -� L - . 9 7 q3• / SUB TYPES _ Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) — Single Family A 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 Valuation , (10System i Occupancy MCES Plan Review Code Edition -\ ,1 l f( SAC Units (25%_ 100%1 ) Zoning di City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction W Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final ,( Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS XInsulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: II , Building Inspector RESIDENTIAL FEES �'�}�' Base Fee 1) tr a 1 Surcharge �'1 6,L. Plan Review iv /( Kr20.,, MCES SAC "11,1ril'' 4vI City SAC ( a , Utility Connection Charge ) I>7 )0 1 S&W Permit&Surcharge / 0,0 0 Treatment Plant Radio Meter Read 3/Copies o9 X 45-.00 gq5.9—)0/ / 3 3 6, 0 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157749 Date Issued:09/05/2019 Permit Category:ePermit Site Address: 4347 Bent Tree Lane Lot:3 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James D Flood 4347 Bent Tree Lane Eagan MN 55123 Spring Plumbing Llc 11473 Kenyon Ct Blaine MN 55449 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature