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4370 Bent Tree LaneFor Office Use -----__ - Permit #: City of Eakan Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite #: RESIDENT /OWNER Name: rn?^Y Phone: GJ',) (! t Address/ City/ Zip:'/37 Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: L License #: Address: City: ' 4 w ' State: Zip: - Sires Phone: 7 ; Contact Person: 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 ('I 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 submitare 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 x Applicant's Printed Name Applicant's Signature Page 1 of 3 RESIDENTIAL VlI BUILDING PERMIT APPLICATION CITY OF EAGAN 5 5 73Cj 3830 PILOT KNOB RD, EAGAN AN MN 55122 New Construction Reaukements RemodelfRepak Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate If home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE 6:2- SITE ADDRESS TYPE OF WORK A APPLICANT STREET #?b? GC1 CELL PHONE # CM d STATE FAX # 9'5 -fW COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conditioning Heat Recovery System Sewer/Water Contractor: Phone # Fee: $90.00 Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan (Orrdinances. ?J Signature of Applicant A° &) I OFFICE USE ONLY VALUATION ? //7// L/; 7 3 MULTI-FAMILY BLDG -Y FIREPLACE(S) - 0 - 1 _. 2 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 PROPERTY OWNER /4 TELEPHONE #65 f 68/-/37 ------- --------------- I_A ___?9__5lloacl f- J-- OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or - N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation Drain Tile Roof Ice & Water _ Final - Framing - Fireplace _ R.I. - Air Test Insulation REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Siding _ Stucco - Stone Final _ Windows (new/replacement) Retaining Wall rmai Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?2e92 Request Date ire o. Rough-in Inspection Required? ? NOTICE: You Must Call Electrical Inspector If A Rough-In Inspection ^ U Yes ° Is Required. I censed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City ` ,( Section No. Township Name or No. Range No. County /? ?+ Tp a1 Occupant PRINT) Phone No. G D?ti1eS < - Po er Supplier ,Ce 7;C _ Address Aot Al 0 nt /,t Af. Electrical Contractor (Company Name) Coonntractor''s License No. e.., Mailing Address (Contractor or Owner Making Installation) ell L L e(Contractor/ n r Mak ing Install do ed Phone Number c7 L(- 00oS I SOTA STATE BOJRD OF'LEC ICITY THIS INSPECTION REQUEST WILL NOT -173 BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room S-173-7, 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. a//1//,F M 526 REQUEST FOR ELECTRICAL INSPECTION Do- See instructions for completing this form on back of yellow copy. 9 2, "X" Below Work Covered by This Request EB-00001-03 New Add Rep r Ty f Building Appliances Wired Equipment Wired Ho me Range Temporary Service Duplex Water Heater EI ctric Heating Apt. Building Dryer oad 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 0 to 100 Amps Transformers Above 200 Amps Ab 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if Rough-in oat cert y that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from 777 7 M 25152261, Request Date Fire No. Rough-in Inspection Required? NOTICE: You Must Call Electrical Inspector If A Rough-In Inspection Yes ? No Is Required. 1 licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. Couu9Iy, , Occup 7N T) ., ffc, ?M Phone No. f47 /5i4 Powe u pplier Address --.y?? u /rkod t7ir / ?!1 / /i f?C /G!v Electric Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Autthhy;w' ed Signature (Qontr r/ ner Making Installation) / J Phone Number ? s `cz / c F C tc 6 3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ??REQUEST FOR ELECTRICAL INSPECTION bo. See instructions for completing this form on back of yellow copy. .. 5 X" Below Work Covered by This Request EB-00001-08 ? New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 00 Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Ile, Special Inspection Alarm/Communication THIS INSTALLAT AY ONNECTED IF NOT Other Fee COMPLETED I, the Electrical Inspector, hereby Rough-in 4f2 01 Dat ! certify that the above inspection has been made. Final Dae y r C OFFICE USE ONLY This request void 18 months from i L W 3 Req st Date Fire No. Rough-in Inspection Required? 0 Ready Now Will Notify Inspector Wh R d ? ? Yes G No ea y en I X licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Roe No,) City Section No. Township Name or No. Range No, Coun ,?j'3lCC 1-74 Occupant( PRINT) Phone No. Power upplier Address E)ectnlContractor (Company Name) Contractors License No. A/ C" Mailing Address (Contractor or Owner Making Installation) Author ignature (Contras rrOwner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 \) J BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 U _ UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. -- X" Bl4bw Work Covered by This Request ee-00001 -as Jew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range ,, a 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 Inspector'. Use Only. TOTAL Irrigation Booms / pCJ Special Inspection i Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee t c COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Dat Y.4 OFFICE USE ONLY This request void 18 months from a, e w Werfificate of cccuvancv wittj of Wagan ?e rfartwent *4 uitbing Zn 4rection 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: ?'' IM Bldg. Permit No. 22721 Occupancy Type RUMI Zoning District RI Type Const. VN Owner of Building R A I IBS VC Address 7901 SUPPER HM M C1, APPLE VALLEY Building Address 4370 EM -MM Locality TB_ 132. MTJi M REM 3RD Date: Building Official POST IN A CONSPICUOUS PLACE Address 4370 BENT TREE LANE: Zip 5512 Lot 8 Blk 2 Sub ATTTTmj RTTX ' "ii n THESE ITEMS 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) Permanent driveway V Permanent gas ?' Sod/Seeded grass ?' Trail/curb damage v 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 CITY OF EAGAN S830 Pifot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 022721. Date Issued: 12 / 14 / 9 3 SITE ADDRESS: P.T.N.: 10-12302--080-02 4370 BENT TREE LANE LOT: 8 BLOCK: 2 AUTUMN RIDGE 3RD DESCRIPTION: Building Permit Type SF DWG Building Work Type NEW UBC Occupana:_:y; R-3 M--1 Construction Type V-N Zoning R-1 Building Length 69 Building Width 51 Building stories 2 5 REMARKS: PRV S & W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $891.50 $579.48 $86.00 $750.00 100 1 $2,306.98 $172,000 MISCELLANEOUS w,z744.50 Total Fee $4,051.48 CONTRACTOR: - Applicant -- ST. LIC. OWNER: T HOM S, R A 16879513 0001506 R A KOT HOMES INC 7901 UPPER HAMLET CT 7901 UPPER HAMLET CT APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 687-9513 (612)687-9513 II T hereby acknowledge that. I have read this application aril tit tr?.a t. the information is correct and agree to comply with all a p r l i J _ - of Mn. Statutes and City of Eagan Ordinances. APPLICANT E SIG TURF ISSUED BY: SIG ATURE ---- V REACTIVATE PERMI r' # CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPL ??u I U' V E DD I DEC 1 3 1993 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site survey ,__=cop =e#==e?e talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Icy / ?o / 3 Valuation of work 1 Ste. o?,r? Site Address:"() STREET SUITE Tenant Name: (commercial only) LOT e) I BLOCK 2.. SUBD. i4??T'V ???t?"? P.I.D. # Description of work: C-USTb" 'IZESIC .?..1T+ta,L. The applicant is: ? Owner Contractor ? Other (Describe) Name I4?ToMES 11•.lC,Phone ??-`ist3 Property LAST FIRST Owner Address -7901 V STREET STE City - ?4`---- State sd? Zip 95124 Company A.'1 E. d.C A-T3d? Phone Contractor Address License #bad (O4 Exp. 9S City State Zip Company Phone I~___ _ Si Architect/ ' Engineer Name Pa I, Registration # Address City-A'6rA1..J State Zip Sewer & water licensed plumber M?'CI" ? `(mod. IIEL ¶ Processing time for sewer & water permits is two days one area has been approved: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: L..:w OFFICE USE ONLY BUILDING PERMIT TYPE I ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 me t F.nj sh B 102 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. .E 11'f 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) Vy Basement sq. ft. /3 MWCC System (Allowable) BC O rV 1st Fl. sq. ft. 130 ft d Fl 3 2 City Water PRV Required _ T ccupancy U n . sq. . // 8 _ Zoning R./ Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ?'c? Depth s/,3 3 On-site sewage SAC Code 0/, APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ® Framing 0 Insulation ? Wallboard , Final ? Draintile ? Fireplace Permit Fee valuation: $ /7 z dww Surcharge B , s tr-t 2 Plan Review x 3y,S__ 2,3 S_ License 2 S3? MWCC SAC / S /bs City SAC Water Conn. Water Meter Acct. Deposit ? S/W Permit l L S/W Surcharge Treatment Pl. Road Unit / 4? d 3y Park Ded. Trails Ded. Copies (3?g,3SX?? ?yy?gs/S Other _•?-----. /? ?/ 4,16 Total: SAC % SAC Units 12/10/93 13:48 002 Miss SURVEYOR'S CERTIFICATE N J.x937,3 ?a 94 ti0 -po Nw -E A GCR t Cn IO 94- REV C "4,94 .1 /zz ,01 01-1 R,A. KOT HOMES spa """oq3< J ??oos 1 f r??h ba ? 939,4 /4(?ZoI !4) / fah PPIIPEK ELEV. x943,52 4 t f . '\ Fps 40.8 4 3 0.00 OO 0.33 01-;p I ? W fi 74.C1 r " 0 !J 26.33" X944,2_ _? 50, 33 149.56 25 IIENCI4 MARK - f3L.. T40 Or PIIPE.9 N { i.! R Vff ro , . S: I BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL NOTE : NO SPECIFIC SOILS. INVESTIOATION HAS SEEN COMPLETED 5 VERTICAL LOCATION OF STRUCTURE ONLY. SEE ON THIS LOT BY JAMES R. HILL, INC. THE SUITABILITY OF ARCHITECf11AL PLANS FOR BUILDING f FOUNDATIcN 'SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS DIMEtiSION, NOT THE RESPONSIBILITY OF JAMES R. HILL, INC. =--?- DENOTES PROPOSED SURFACE DRAINAGE . o DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET i DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 7 PEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = P39, 0' FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCI<j? (?417,6 FEET WE HEREBY CERTIFY TO R,A. KOT HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OP A SURVEY OF THE BOUNDARIES OF: Lot at block 2' } AUTUMN RIDGE., 3RD ADDITION, according to the recorded 'plat thereof, Dalcoto County, Minnesota, IT DOES Not PURPORT TO SHOW IMPROVEMENfS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF DEC, 1993, PROpo9 GRADES SHOWN WERE TAKEN FROM THE DEVELOPMENT PLA ppLr- PA RN OR P ONEN.ER a ENO LAST DATE€DD 8Y - 22-go. ur 0 3 1 IV in p Q j y p I m w z Q m SIGNED: JAMES R ILL, INC. BY: MARY R Rl$, LAND SURVEYOR MINNESOTA LIOENSE NUMBER 10943 IN James R, Hill, in I C16 PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 0 512.890-6044 It LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING VERMIT APPLICATIO PROPERTY LEGAL: rate of Survey: _F DOCUMENT STANDARDS 0 Registered Land Surveyor signature and company -D 0 Building Permit Applicant V Legal description 0 t3 Address 0,-" 0 Forth arrow and bar scale - W 0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 D Directional drainage arrows with slope/gradient t. 0 D D Proposed/existing sewer and water services 0' 0 0 Street name 0''0 0 Driveway ELEVATIONS D 0' 0 Existinc Sewer service 91'0 0 Lot corners D'"0 , 0 Top of curb at the driveway 0 ? Elevations of any existing adjacent homes Proposed 0 0 Garage floor 0 V-0 0 0 First floor Lowest exposed elevation (walkout/window) 0?0 &V113 0 0 Property corners F d t ron an rear of home at the foundation PONDING AREAS (if aDDlicable) D D" 0 Easement line 0 0` ? NWL D B'?O HWL 0 0 0 Pond # designation D 0 D Emergency Overflow Elevation DAD 0 DIMENSIONS Lot lines I'0 ? Right-of-way and street width (to back of curb) 0 0 Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 0 D Show all easements of record and any City utilities within those easements 0 0 Setbacks of pro osed structure and setback of adjacent existing s 0 0 0 Retain r irements, if any Reviewed g Name / a e . October 1992 IN EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER DAVE & TAMIE STEELE PLAN NO. 2612 SITE ADDRESS 4370 BENT TREE LN. - CONTRACTOR_R_.A. KOT HOMES, INC. DATE-12/10/93 PHONE__687-9513 DETERMIME WORKING SQUARE FOOTAGE 4176.04 1. Total exposed wall area 4245.72 sq.ft. x .11 467.0292 2. Total roof/ceiling area 1500 sq.ft x .025 39 3. Total floor cant. area 106 sq.ft. x 0.05 5.3 (over unheated enclosed areas) 4. Total floor cant, area 10 sq.ft. x 0.025 0.25 (over unheated exposed areas) 5. Total exposed wall area above the floor. 3812.04 a. Total wall window area .................... 457.5445 b. Total door area ........................... 37.8189 c. Total sliding glass door area ............. 35.5511 d. Total fireplace area ...................... 0 e. Total wall framing area (ave. 100)........ 381.204 f. Total net wall area above the floor ....... 2899.922 g. Total rim joist area ...................... 364 TOTAL EXPOSED FOUNDATION AREA ................ 69.68 h. Total foundation window area .............. 0 I. Total net foundation area ................. 69.68 Determine "U" value of each wall segment. a. 457.5445 x "U" 0.39 = 178.4424 b. 37.8189 x "U" 0.06 = 2.269134 c. 35.5511 x "U" 0.39 = 13.86493 d. 0 x "U" 0 = 0 e. 381.204 x "U" 0.090334 = 34.43577 f. 2899.922 x "U" 0.043215 = 125.3207 g. 364 x "U" 0.040683 = 14.80879 h. 0 x "U" 0.39 = 0 1. 69.68 x "U" 0.076161 = 5.306931 6 ........ ..........................Total 374.4486 If item #6 is the same as or less than item #1 you have met the current energy codes. 2 MCAR 1.16008 A AND O. .1 TOTAL EXPOSED ROOF/CEILING AREA 1500 j. Total skylight area ....................... 0 k. Total flat roof/ceiling framing area...... 150 1. Total net flat roof/ceiling area .......... 1350 Determine "U" value for each roof/clg. segment j. 0 x "U" 0 = 0 k. 150 x "U" 0.025549 = 3.832397 1. 1350 x "U" 0.021801 = 29.431 7 ...................................Total 33.2634 If item #7 is the same as or less than item #2 you have met the energy code. 2 MCAR 1.16008 A AND O. TOTAL FLOOR CANT. AREA (enclosed). 106 o. Total floor cant. f raming area (ave. 10%). 10.6 p. Total net insulated floor/cant. area ...... 95.4 Determine "U" value for each floor/cant. segment. 0. 10.6 x "U" 0.043879 = 0.465116 p. 95.4 x "U" 0.024254 = 2.313849 8 ................................... Total 2.778965 If item #8 is the same as or less than item #3 you have met the energy code. 2 MCAR 1.16008 A AND O. TOTAL FLOOR/CANT. AREA (exposed) 10 q. Total floor/cant. framing area (ave. 10%). 1 r. Total net insulated floor/cant. area...... 9 Determine "Ti" value for each floor/cant. segment. q. 1 x "U" 0.044346 = 0.044346 r. 9 x "U" 0.024396 = 0.219566 9 ...................................Total 0.263912 If item #9 is the same as or less than item #4 you have met the energy code. 2 MCAR 1.16008 A AND O. I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R" VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS THE STATE OF MINNESOTA ENERGY COr 4,, DETERMINE "U" VALUES" THRU STUD WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock ........ 0.45 Thermo-Break...... 0 Stud .............. 6.93 Sheathing......... 2.06 Siding.... ....... 0.78 Exterior Air ...... 0.17 Total ''R" Value ............ 11.07 1/R = "U" Value ............ 0.090334 THRU INSULATION WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock ........ 0.45 Thermo-Break...... 0 Insulation ........ 19 Sheathing......... 2.06 Siding.... ....... 0.78 Exterior Air ...... 0.17 Total "R" Value ............ 23.14 1/R = "U" Value ............ 0.043215 THRU CEILING MEMBER Interior Air ...... 0.68 Sheet Rock ........ 0.58 Ceiling Member.... 4.35 Insulation........ 32.92 Still Air......... 0.61 Total "R" Value ............ 39.14 1/R = "U" Value ............ 0.025549 THRU CEILING INSULATION Interior Air...... 0.68 Sheet Rock ........ 0.58 Insulation........ 44 Still Air ......... 0.61 Total "R" Value ............ 45.87 1/R = "U" Value ............ 0.021801 •j ,THRU CONCRETE BLOCK Interior Air...... 0.68 conc. Blk......... 1.28 Insulation........ 11 Sheet Rk. (opt.). 0 Exterior Air...... 0.17 Total ++R" Value ............ 13.13 1/R = "U" .................. 0.076161 THRU RIM JOIST Interior Air ...... 0.68 Insulation........ 19 Rim Joist......... 1.89 Sheathing......... 2.06 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 24.58 1/R = "U" ................ 0.040683 U" value for window........ 0.39 U" value for doors ......... 0.06 U" value for Patio Drs..... 0.39 THRU CANT. @ MEMBER (enclosed) Interior air ...... 0.68 Finish Flooring... 1.23 Sheathing......... 7.2 Plywood.......... 0.93 Joist ............ 11.56 Sheet Rock ........ 0.58 Still Air......... 0.61 Total "R" Value............ 22.79 1/R = "U" ..................0.043879 THRU CANT. @ INSULATION (enclosed) Interior Air...... Finish Flooring... Sheathing Plywood........... insulation........ Sheet Rock........ Still Air......... 0.68 1.23 7.2 0.93 30 0.58 0.61 Total "R" Value ............ 41.23 1/R = "U" .................. 0.024254 • 4 THRU CANT. @ MEMBER (exposed) Interior Air ...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood ........... 0.93 Joist ............. 11.56 Sheathing......... 7.2 Soffit............ 0.78 Exterior Air ...... 0.17 Total "R" Value ............ 22.55 1/R = "U" .................. 0.044346 THRU CANT. @ INSULATION (exposed) Interior Air ...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Insulation ........ 30 Sheathing......... 7.2 Soffit ............ 0.78 Exterior Air ...... 0.17 Total "R" Value ............ 40.99 1/R = "U" .................. 0.024396 CITY bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 551 22-1 897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 9 0 0 9 Date Issued: 05/06/97 4( "{,? BENT TREE LANE LDT a 4 BLOCK. 2 AUTUMN RIDGE 3RD DESCRIPTION: Dui.isd nq Pormit Type DECK .J_c a Work Type NEW Cr n?-,u.. (;udo 434 ALT. RESIDENTIAL CASf"t1'ERa S TERMINAL.. NO„ 53 DATEr 05/06/97 TIME::. 1.4^20„4::3 11 NAME:: TIAv{E ST!°:f:::f...E: -3210 9001 4370 BENT T4'-'-',j: E 50,.00 21.55 900:1. 4:370 DENT TREE 0.50 5 0 OWNER: .- Applicant -- STEEL E DAVE 4370 BENT TREE LANE EAGAN MN (612,') 604-9731 ?. l.. I 1 71 ..{r 1 ?, •"t1.3 U]IE1R ID NANCY f"lc4''/f YfJ :d LGaon and f; Y'1 t', i.flc' c' E n n'o in p l y 4J t t h a i. t n f7 p b I t.:*'FTT.Sf(T\R++TTlt?•fi•..7(..M.??'%i%EC.l .i. IS Y D BY: SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 t ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (Include beam & window sizes; poured frxt. design; etc.) ? 2 sibs surveys (exterior afttions & decks) 1 1 energy calculations 4 1 energy calculations for heated ? 3 copies of tree preservation plan if lot platted after 7/1/93 addition required: _Yes - No DATE: q-36-q7 CONSTRUCTION COST: ° y DESCRIPTION OF WORK: 6. ??, I h P-A-) d STREET ADDRESS: LOT BLOCK SUBDJP.I.D. #: ?1 f?mY-973/ . w PROPERTY Name: l ?- Oo` t Phone #: 6 %l- 13") t - 4 OWNER u.? Street Address: Y 3 7© e>,-= tt (,? ti c r r ?....r+ rrr r?r .rir.?rrrrrlw?r City: rr = State: _ zip' CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): 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 information is correct and agree 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 Not Required comply with all applicable MAY 0 5 1997 1 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 02 SF Dwelling a 07 4-plex ? 03 SF Addition a 08 8-plex a 04 SF Porch o 09 12-plex a 05 SF Misc. ? 10 __ plex WORK TYPE X 31 New ? 33 Alterations ? 32 Addition ? 34 Repair 0 11 Apt./Lodging ? 0 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace a A15 Deck ? 36 Move ? 37 Demolition 0 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous GENERAL INFORMATION Coast (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories Length sq. ft. sq. ft. Booster Pump Census Code. _ Depth Footprint sq. ft. SAC Code 0/ Census Bldg Census Unit APPROVALS Planning. ti Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/iNS SAC City SAC Water Conn. Water Meter A+ct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Traits Ded. Other Copies Total: % SAC SAC Units RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 7! v 3830 PILOT KNOB RD • 3 registered site surreys towing sq. ft of lot. sq. ft of house; and ILI roofed area (20% maxurerm lot coverage allowed) • 2 copies of plan shoeing been & window sizes; Poured found design, etc.) • 1 set of Energy Ca c ations • 3 copies of tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less arias) X4111.75 • 2 co* of plan • 1 set of Energy Cautions for heated add • 1 site survey for extedor.additions & decks DATE VALUATION (EXCLUDING LAND) .iOB SITE ADDRESS £/ go T vg, s?+?^G? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? `- PROPERTY TYPE OF WORK KkN K,rt _ (nx ,.,?ovwS FIREPLACE(S) 0 .1 -2,: -3 APPLICANT Corp.. Corp.. PHONE # 9S2-'9 -4W1 -- ADDRESS Sl _ /ears , , .. ZIPCODE &5h12 PAGER # CELL PHONE # ?Q?/2-S?8-G?IDn FAX,#S'?-'- ?r{'Z A nv J i/Ghiv. tf t? wn J N W RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category I Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. . Phone #: Plumbing System Includes: , Water Softener Lawn Sprinkler Fee: $90.00 Water Heater . No. of R.T. Baths No. of Baths Mechanical Contractor.. Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina es. Signature of Applicant Certificates of Survey Received - Tree Preservation Plan Received Not Required Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext Alt - Multi O 03 01 of ` plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33: Fact. Alt-- ,SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) i? 36 Multi;., . ? 05 03-plex 0.11 i 0-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 .12-plex Pibg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 int improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Are Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) _ Final/No C.O. , _ Footings (addition) Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Final _ Other Framing _ Pool Ftgs _ Air/Gas Tests -Final _ Fireplace , R.I. -Air Test -Final - Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) -- - --------- - - - - - -- - - Approved By , Building Inspector -- - - -- - - --- - -------- - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit &.Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total n. _ r_yr INSPECTION RECORD CITY OP :EAGAN PERMIT TYPE: f I. U I $ sY 3830 Pilot Knob Road Permit Number: 0' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 srmADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: NEW POO1' $NS I I I t I NAt } ° rn It ft, Pern+It Holder Date r # ELECTRIC PLUMBING HVAC Date loop, conu"e FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TAT ROi1C8H HEATING GAS SVC TEST JNSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG TESTT BLDG FINAL SSMT R.I. ANX& pa'T BSMTFINAL ?'Yl7•/5V GA) '/ lW /7 W NO FTG S z OF Pr4s.. „ szpag- ECK FINAL ••• ?/O evelee9 Li ht*fv,AIL. INS?ECTION RECO F f;t1# I I t} I i?F9'` H : 3 t 3830 Pilot Knob Nied Permu Number: Eagan, Minnesota 55123 Date Issued: I ' ! I r` `+ (1612) 661-4675 E ADDRESS: "I n ! rr ::.: APPUCANT: 11t<Nt T F•t is r4 t. tkO'1 140Ilf S, tr A ilt?'tt1t4N #27f'7ta 31 i) 6,1(I3/...c)! 1... M1T SUBTYPE.- TYPE OF WORK: F txwo 14 f!'14 001 XNf6S I'OtIN()A'f-10 NSIILIA111OH I ttat°pt ACf' 1711 +`S H I tN P ti It t' t t tt t ?# t t `t t1 . !ti*tA1 sitFif1 #tNM #rf* IAF i( '> I) PV C) I'tjctJ l I'°t #1F #! t) :1 t` !t"tk 1 7+d - is r "y, -, ttF? r -d gat* ,a/ 10 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------------------------------------------------------------------------------------------------------------------------------- NO. FIXTURES EACH TOTAL SHOWER 3.00 "300 WATER CLOSET 3.00 9. Do _ BATH TUB 3.00 (c__ _ LAVATORY 3.00 t o KITCHEN SINK 3.00 .3.00 LAUNDRY TRAY 3.00 3- do HOT TUB/SPA 3.00 / WATER HEATER 3.00 , 00 FLOOR DRAIN 3.00 _ ov GAS PIPING OUTLET • minimum - 3.00 '.aD ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cty. lic. 20.00 U.G. SPRINKLER • home under conc. 3.00 ALTERATIONS • to existing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE TOTAL: .50 '25L 6v SITE ADDRESS: /3 "2o &cY4 T? (i9G OWNER NAME: ,a. INSTALLER: ADDRESS: /5, CITY: STATE: 10A) ZIP CODE:3 PHONE #: 23 7 SIG URE OF PERMITI?NwE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF IT FEE. ..................... MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $. TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: FOR: STATE: ZIP CODE: CITY OF EAGAN APPLICANT 1_ 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 I/T FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 600 G S OUTLETS (MINIMUM 1 @ $3.00 EACH) (°2 ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE ,5{I .... TOTAL Er SITE ADDRESS: 70 e OWNER NAME: _ TELEPHONE H#: INSTALLER: Burnsville Heating & A/C. Inc. 12481 Rhode Island Ave. So. ADDRESS: Savage, MN 55378-1122 894-0005 CITY: STATE: ZIP CODE: TELEPHONE #: Si AT OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 I 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. --------------------------------------------------------------------------------------------------------------------------------------------- DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1 % OF CONTRACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 CONTRACT PRICE: $ STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMIT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) TELEPHONE #: INSTALLER: ADDRESS: CITY TELEPHONE #: STATE: SIGNATURE OF PERMITTEE CITY INSPECTOR ZIP CODE: ow? `6J r °0 7 , P, f?a 0 GJ, -" 12/ 1093 13:48 CIO ---1 ) 30, 33 a j 7.0 2 \h 9 9 0 E •YO R' S CERTIFICATE R.A. KOT HOMES -937,3 9372 r 17 ?0) t 0 ?\ 939.4x 7///.dI52 Or- Fps 408 10OD-?=_ U) z w 4 'EAG On . R E V I EW I) L 944.7x 10.0 a 14110 44.4 a 2.0 la ?tA 26.33/ 944,2 x945.1 944, 30.00 So 33 M2 cn G • - L. 'L F U?c lr CD- IC R'? 149.56 r,- BY 25 ENCH MARK TOP OF PIPE ^ 014 2 ELEV. -944.93 ,G EN RING D APT. NOTE: eUlr_DING DIMENSIONS SHOWN ARE FOR HORIZONTAL NOTE : NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED a VERTICAL LOCATION OF STRUCTURE ONLY. SEE ON THIS LOT BY JAMES R, HILL, INC. THE SUITABILITY OF ARCHITECTV DIME AL PLANS FOR BUILDING I1 FOUNDATION 'SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NSIONS, NOT THE RESPONSIBILITY OF JAMES R. HILL, INC. * DENOTES PROPOSED SURFACE DRAINAGE 0 bENOTES IRON MONUMENT SET SCALE: 1 INCH -R 30 FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 94/4•7 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 939, ( FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOC 94Z-1,6 FEET WE HEREBY CERTIFY TO R,A. KOT HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8 , block 2' , AUTUMN RIDGE..3RD ADDITION, according to the recorded 'plat thereof, Oakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 8TH DAY OF DEC. 1 1993. PROPOSED GRADES SHOWN WERE SIGNED: JAMES R ILL, INC. TAKEN FROM THE DEVELOPMENT PLAN FOR AUTUMN RIDGE PRE- PA R R 8Y PIONEER ENO, LAST DAT D - 22-90. BY: GARY R. HIS, LAND SURVEYOR MINNESOTA LICENSE NUMBER 10943 U1Iu N a o ? o m -, N o ?> m z -n Q ` n Ch James R. Hill, Inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 812.890-6044 PERMIT City of Eagan Permit Type:Building Permit Number:EA157102 Date Issued:08/05/2019 Permit Category:ePermit Site Address: 4370 Bent Tree Lane Lot:8 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-080 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: 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, 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 - Christopher Johnson 4370 Bent Tree Lane Eagan MN 55123 (612) 554-6599 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164207 Date Issued:09/22/2020 Permit Category:ePermit Site Address: 4370 Bent Tree Lane Lot:8 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-080 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Christopher Johnson 4370 Bent Tree Lane Eagan MN 55123 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169626 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 4370 Bent Tree Lane Lot:8 Block: 2 Addition: Autumn Ridge 3rd PID:10-12302-02-080 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Christopher Johnson 4370 Bent Tree Ln Eagan MN 55123 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature