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615 Autumn Oaks Ct PERMIT City of Eagan Permit Type: Building Ea,an, Permit Number: EA098268 Date Issued: 03/16/2011 OR Permit Category-: ePermit 41~ it~ of E3 E Site Address: 615 Autumn Oaks Ct Lot: 14 Block: 3 Addition: Country Hollow PID: 10-18275-140-03 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- OccupancN : Zoning: Square Feet: 0 Comments: Improvements to the home man require smoke detectors in all bedrooms. Chimney ' flue must be inspected prior to concealing. Carbon monoxide detectors are required bN- law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Progress Land Co Inc 2700 N. Fairview Ave 14300 Nicollet Ct :235 Roseville NIN 55113 Burnsville NIN 55337 (61)633-261 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 Ea,an Ordinances. ApplicantPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096879 Date Issued: 11/08/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 615 Autumn Oaks Ct Lot: 14 Block: 3 Addition: Country Hollow PID:10-18275-140-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Craftsmen Home Improvements Progress Land Co Inc 7455 France Ave =194 14300 Nicollet Ct =235 Edina NIN 55435 Burnsville NIN 55337 (61)430-3706 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature k~ACTIITA'sID R DECK 9/25/89 448-7565 CITY OF EAGAN ,gyp 16320 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C 3034 To be used for SF VW/GAR Est. Value $128.000 Date JULY 19 19 89 Site Address 615 AUTUMN OAKS CT Lot 14 Block 3 Sec/Sub. COUNTRY HOLLOW OFFICE USE ONLY Parcel No. Occupancy R-3 1 FEES Zoning W Name JOSEPH M HILLER CONSTRUCTION (Actual) Const V-N Bldg. Permit c Address 18133 CEDAR AYES (Allowable) V-111 Surcharge 64.00 City FAltt>slI'WMN Phone 431-2001 # of Stories 369.40 Length 591 Pian Review c Name SAS Depth SAC, City 100.00 ue Address S.F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn s~~~ W Name on Site well 90.00 UJ w Water Meter =Z Address MWCC System Acct. Deposit 30.00 <W City Phone City Water PRV Required XX S/W Permit 20.00 I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of J Minnesota Statutes and City of Eagan Ordinances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 ' A Building Permit is issued to: JOSEPH H FILLER CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 3035.00 Permit No. Permit Holder / Date Telephone # WATER ~G c~D L- v i G /5 ~ 4/ SEWER p q PLUMBING H.V.A.C. 3 7r~ ELECTRIC U (7 le? I Inspection Date Insp. Comments Footings Io~8q W4 Foundation Framing 2 Roofing Rough Plbg. ~S Rough Hig. L e7L~ © Z Isul. 0' Fireplace Final Htg. Final Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bldg. Final s Deck Ftg Deck Final D 2 i - Well Pr. Disp. J J, - Q (Ur#if iraft of (Orrupaury Cf tp of eagan arpuftnt of Nuilbing 3"Pprtian This Certificate issued pursuant to the requirements of Section 306 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 C.,.fiieation SF DWG/GAR sag. fbrmit No. 16820 Occupancy Type R3/M l zoning District R 1 Tyre Cant. VN Owner of &rildin9 XSEPH M J ER OCM7. Addy 18133 CHAR AVE S, FAid4WMN Buis Address 615 AUiTM QAKS C1RJn Locality L14, B3, 09MM HOUM _ 1989 D,,,: MIMM 25, Building OffidAV" POST IN A CONSPICUOUS PLACE i C R PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN c l 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Ad ress BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub 1 E I- Res. New Name `s Mult Add-on Comm. Repair Address I 'T Other c City ti _ , cl a'e Phone `-%4 -6-_;cx FEES Name RES. HVAC 0-100 M BTU -$24.00 4 c Address lj ADDITIONAL 50 M BTU - 6.00 3 V RES. HVAC INCLUDES A/C ON NEW p City Phone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. c M BTU ; Arc. L • MINIMUM COMMERCIAL FEE 20.00 STATE SURCHARGE PER PERMIT .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # - r_ BEYOND $1,000) Other R FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: ? FOR: CITY OF EAGAN ~ A PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addressr BLDG. TYPE WORK DESCRIPTION Lot Block Sub. Res. New Mult. Add-on Name Comm. Repair Addr ss Other c Cit Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ2 FIXTURES TOTAL] ~G Water Closet - $3.00 / s-$3.00 $3.00 % C Admess/ ~3 3 v -TBath Tub Lavatory - $3.00 - p Ci cr 2snrGS Phon 3 Shower - $3.00 j Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE =Laundry Tray - $3.00 7 Z7- APT. BLDGS - COMM RATE APPLIES -7-Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES =Water Heater - $1.50 S MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 5 J STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 SIC IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 J Private Disp. - $10.00 i ' =Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE SIC: FOR: CITY OF EAGAN GRAND TOTAL: ' J DATE: 7/21/89 RE:515 AUTUMN OAKS COURT, L14, B3, COUNTRY HOLLOW XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. r DATE: 7/21/89 RE- 615 AUTUMN OAKS COURT, L14, B3, COUNTRY HOLLOW Your Sewer & Water Permit for the above property has been completed. It will be held at the jr Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. r t Your Sewer & Water Permit for the above property cannot be completed for the following reasons: • Vour Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check j 01-3445 Surch./Adm. \ 01-3446 SAC/Adm. 01-2155 Surcharge r%'f r- 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. J 20-3716 Water Meter f 20-2252 Acct. Dep. t 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. E 28-3855 Park Ded. TOTAL SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE f , . 3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT # P.O. Box 21199 Eagan, MN 55121 METER # B.P. RECEIPT # ;4}?,4 READER # B.P. RECEIPT DATE 71191 R9 METER SIZE ISSUE DATE ' "PRV -BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT L' BLOCK ~ - SEC/SUB _4 P ~rEWER WATER - TAPS APPLICANT: ADDRESS: COMM/IND l RESIDENTIAL CITY, STATE ZIP PHONE: ! Z NEW EXISTING PLUMBER: ADDRESA: I AGREE TO COMPLY WITH CITY OF CITY, STATE ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. POR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 0 Pilot Knob Rd. PERMIT DATE ' ' 2; el ~''3 383 383 Box 21199 WATER PERMIT # SEWER PERMIT # Eagan, MN 559 METER # Z ~ 742 B.P. RECEIPT # C 3034 # 4cs 0 ( aB.P. RECEIPT DATE 7 1 4 4 R 9 METER SIZEQ ISSUE DATE << xxPRV _ BOOSTER PUMP SITE ADD'RESS PERMIT REQUESTED LOT BjLOC SEC/SUB -JdA f ! ~€WER 'ATER -TAPS APPLICXNT: V"a''• r, Z ADDRESS: COMM/IND ~AESIDENTIAL CITY, STATE~~-- ZIP PHONE: ' )'-,NEW EXISTING PLUMBER:` / ` 7L ADDRESS: ) lei ..-i 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ti L ZIP EAGAN ORDINANCES: PHONE: OWNER: ADDRESS: SIGNATURE =ER, ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 'F11,21 9d&i 2 295tii Request Date Fire No in In .tron edv ❑ Reedy Now Will Notify Inspector 8-17-89 b yes ❑NO hen Ready' A licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 615 Autumn Oaks Court Eagan Section No. Township Name or No. Range No County Dakota OccvpaM (PRINT) Phone No Joe Miller Construction Co. 431-2001 Power Suppller Mom. Dakota Electric Farmington, MN 55024 ElaM al Contractor (Company Name) Contractork License No Midland Electric Inc. 041610 Mailing Address (connector w Dearer MeooW Installation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Authwa tore (Contractor/Owner Making In ation) Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Orlggs-Midwey Bldg. - Room S-In BE ACCEPTED BY THE STATE BOARD 1821 Unina relty Ave., St. Paul, MN 55180 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0880 ENCLOSED. /~}i /G(} REQUEST FOR ELECTRICAL INSPECTION Ee-oaaof O 7 ► See instructions for completmg this form on back of yelbw copy. ~ 21295 X- Below Work Covered by This Request e Add Rep. -TypeotBui)ding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (speraty) Conhactor5 Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Amps Signs Inspector§ Use ody. TOTAL Irrigation Booms Q(j O Special Inspection Alarm/Communication Other Fee y 1, the Electrical Inspector, hereby Rouen-m oa La certify that the above inspection has Rnel V. been made. OFFICE USE ONLY This request void 18 nwnlhs from RESIDENTIAL 5 `I BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 / New Construction Requirements RemodelfReoair 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 atiowed) • 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 Jost Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION_j~6 125- SITEADDRESS G/S /7yvNr1 D~f< Cy°/. MULTI-FAMILY BLDG _Y _N TYPE OF WORKa,~-o FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT 2js~ d~ita1 2 s«P~~ STREET ADDRESS ! 13'ti mod. Zc J CITY ZSTATE!~ IP SS'3 Y ~lvra" 93 l G TELEPHONE # 9c'1-4'3S/~-3yrSCELL PHONE #412 WLP3SG -FAX* PROPERTY OWNER Fri' ? ~Jssrl~, C " r'o.sekii TELEPHONE# 6e~571-61?1-p525 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cade Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MIN (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Ne (f yOd~N d A,V tted • Energy Envelope Calculations Submitted U JUN 2 7 2002 Plumbing Contractor: _ Phone # Plumbing system includes: _ Water Softener Lawn Sprinkler y Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # 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 Ordinances. Signature of Applicant - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 House heating test record MAR o zoos CenterPoint® Energy Owner Cmrtrols Conversion Address als A/,vJ"/,yfr dAPt Thermostat f Heat plug Vent size City Cd4lyM Valve O;f.-I--£. / T- 1 Kind of liner/size G Heat loss Date htg. cost Limit Draft hood Regulator Sold by CenterPoint Energy Limit setting Filters. Size Number Installed by CenterPoint Energy Fan setting Chimney location: MsidenllOutside Electrical work by CenterPoint Enerqy PIIOt type Chimney construction Heat type: FA Space heater Pilot make Wiring Test to Gas line by Pilot model Lighting Inst Date tested Unit heater Other Pilot timing Company testing /C~enterPoint Energy .S Tester's name' / Gas de r~ /Pressure Hi Ere / Lo fire /1777, Make esnsign /«t~ Model Percent C02 C-,S c i rry f Input CFH P~ Percent Oz Senal no. 39 / C Stack temp Percent CO 3 a//~in ~ t ijJ Input (n 02006 CenterPoiint Energy Form 235 Rev.4/06 10.61463 ' ,pEflCT di~/'zz 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 1(14;t 3) SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 9 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - i STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # .OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTR►CTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS EEN COMPLETED INDICATING A LICENSED PLUMBER. 1 PENALTY AP LIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. A~ M LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ~e qa 'To Be U d For: DEGK~ Valuation: Date: 9 a a 89 e Address 615 A~tahzms, Oaks Ct OFFICE USE ONLY Lot y Block 33 _ 4 Occupancy FEES Parcel/SubNtiR2W ~`o1l0 Actual Const Bldg. Permit Allowable Surcharge Owner Ea/W;N Z41S ~'ral/aeovn6 r # of stories Plan Review Length x 1 O SAC, City Address 4/S Ai 64,11M 044~s X71 , Depth tL ups SAC, MWCC S.F. Total Water Conn City/Zip Code Eaaa," 55193 Footprint S.F. Water Meter Acct. Deposit Phone 14,12) 1s 8 3 - o Sal. On site sewage S/W Permit On site well S/W Surcharge Contractor kill„ Lo ve-e MWCC System Treatment Pl. City water load Unit Address 1451 I/a//rug ecJ PRV required Park Ded. / Booster Pump Copies City/Zip Code C'ryaska 55818 SUBTOTAL APPROVALS Penalty Phone (G:2) X4* -756S Pla:mer TOTAL N L Council Arch./Engr. Bldg. Off.~~ZI Variance Address City/Zip Code Phone ! i M32 -194 -$9 \ t~ CERT/F E OF Sil4 r Ile 1 1 1 3 0S~ pg' C 1~21~ w~ !N ~4 T~ ; - O RRVN TY "GME NO~ \ r ~ .A Z OP SC ~ 511 ~VSE \N ~~QSI jam, So L c . e i 8Z5 B = $24 P,1 a~ N 4" -4, 7 W Scale: 1" = 30' c~• r SEZht~ \S IOZ.IB9 \ I / 2=60,ou,loooa (N S' DESCRIPTION Li Lot 1- 4, R c / HEREBY CER77FY THAT TH/S suvvEY, ELAN AR REPOY4T COUNTRY HOL-fig WAS PREPARED BY ME OR IdVDER MY O/RECT R RCP /s Dakota Cop 1 6 t o IUA 74dT l IY • AINY q!/•/lT~OCA / I4A H/OVlWr ..a ~4rrr_VTom. RI.~, ,r~;.,p CITY OF EAGAN NO 1 6820 3830 Pilot knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # C 3034 To be used for SF DWG/GAR Est. Value $128,000 Date JULY 19 190 Site Address 615 AUTUMN OAKS CT Lot 14 Block 3 Sec/Sub. COUNTRY HOLLOW OFFICE USE ONLY Parcel No. occupancy R-3-M--1 FEES Zoning R-1 W Name JOSEPH M MILLER CONSTRUCTION (Actual) Const ---N Bldg. Permit 738.00 Address 18133 CEDAR AVE S (Allowable) V-N Surcharge 64.00 City FARMINGTON Phone 431-2001 # of Stories -r plan Review 369.00 Length -559 z~ Name SAME Depth 381 SAC. City 100.00 0,04 Address S F. Total SAC, MCWCC 575.00 City Phone S.F. Footprints On Site Sewage Water Conn 580.00 r rw Name On Site Well Water Meter 90.00 s~ Address MWCC System XX a W City Phone City Water XX Acct. Deposit 30.00 PRV Required X S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.0 0 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 228-0 0 Signature of Permitee APPROVALS Road Unit 340.00 A Budding Permit is issued to: JOSEPH M MILLER CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of (Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies Building Official ~ I Al 1 A a&J.' n 11111 Variance TOTAL 3,135.00 4 a 1989 BUILDING PERMIT APPLICATION CI EAGAN T~ 4 ~ SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CkLCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 13 ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAIS ONCE A PEBM17 HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. r Q To Be Used For: Valuation: Irate: ~3'Scl ~ Site Address /7r~//~nnJ OFFICE USE ONLY 12QjppO " Lot B oak Occupancy FEES Zoning Parcel/Sub / Actual Const R.H Bldg. Permit 728,00 Allowable y-}4 Surcharge 6470-0 Owner # of stories Plan Review 3 0 ,oo Length 58' SAC, city -0070 Address Depth 3 8l SAC, MWCC $15,00 S.F. Total Water Conn 5eo'00 City/Zip Code Footprint S.F. Water Meter 40,00 Acet. Deposit 0, o Phone On site sewage S/W Permit ZO,~ On site well S/W Surcharge I - OO Contractor 1 / C/h 67t MWCC System v Treatment Pl. 22 8-o0 City water ✓ Road Unit 34O,00 Address 11 / 0 - PRV required Park Ded. Booster Pump Copies City/Zip Code 10 "X ~~d 6^, SUBTOTAL APPROVALS Penalty Phone 7 3 z Planner TOTAL Council Arch./Engr. Bldg. W. Address Variance City/Zip Code Phone # 1 qbe 9 ~5 ~y o 175 ~ o Gam 3zx38= iz~~ X~5 ~ i~~yD ls~ ~`cu2 a '~3~•ua+ tp 64-uu+ j~jYYIT _ ° 369•Uu+ 1,964•uu+ 1 3'S•uu : sl • D'D 5 X 5D !:--I Z_ S-0 Ztio ~ 2~1~2 y 3 z % G ►2 Kra = yJ _ 127 M32 -194 -89 CERT/F \ E OF S7ilFWY r- N 2~IN~ r- O0 S O Ty fi~K~1E i oe~ COO ~ ~ P Cp 2g, w 4 (L ~vSE 3,5; Qsy ' ~~QSlflf3 ' ,Z6So (qug = 824,$1 _ "f,~`~~i. \ Scale: 1" = 30' 102.59 v Q / 2 =60,DU yooa00 (,~J °y' I .DESCRIPTION Lot 14, Bldc HOMED HERESY CERTIFY THAT TH/S SuvV1~Y, PLAN OR REPA4T COUNTRY H Dakota C o o t a WAS PREPARED SY ME OR UNDER MY D/R£CT SbwERV/S/AM MMNAIiMINEER1 G DEP AND THAT IAN A DULY RE.SWERED LAND SURVEM R UNDER THE LAMS OF THE STATE Qr MINNESOTA. Plat bearings shown o Denotes iron monument (Existing 1 Proposed DATE REG. AV. 8140 p o' FQPnI HRPF0 beandt anginaaring a tuivaying 2705 woods trail buinlville, minnaiota $5337 (612) 635,1966 M3z-194-89 EXTERIOR ENVELOPE AVERAGE flUu C014PUTATION (To be submitted with building permit application) One or Two Family Dwelling Owner All Other Site Address ~04 Dail ~Q,~~ Contractor L Date ~a Phone ,~.2gom 114 LINEAL FEET OF EXPOSED WALL ~/1r (()Q2fL s`~ ft. above grade TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTIONS uUfl Value x Area LL Detail: "U" x SQ. FT. tU)(A) reference nu" x SQ. FT. s (U)(A) from flue x SQ. FT. a U) (A) attached fluff x SQ. FT. _ (U) (it) shoots fluff x SQ. FT. a (U)(A') ~nuu x SQ. FT. _ (U)(A) VIINDOWSS nUn Value x Area Make & Type _~AKUU~ nuo ~x SQ. FT. /7¢ = W(U)(A) of „ fluu_ - x SQ. FT. (U)(A) (U)(A) u. n flue x SQ.-FT. Ml x SQ. FT.. _ (U)(A) DOORS: "Ufl Value x Area Make & Type L. L uUfl SQ. FT. 53 o11, 7, (U)(A) fl n nuu x S . ,FT,, ll n R 42 - (U)(A) uUu j x SQ. FT. _ (U)(A) ~i _ nUu x SQ. FT. (U)(A) TOTALS _ Z ~lOZ SQ. F'T._ (jai Z (U) (A) AVERAGE nUu TOTAL (U)(A) VALUES = to DIVIDED BY TOTAL WALL AREA Z,3~OZ AVERAGE 'full .115 or less for 1&2 family dwellings ROOF/CEILINGt TOTAL AREA: IZOQ Detail reference $full OZ/ x SQ. FT. ZGb ZS,Z ( U A ) from iiUn attached sheets. x SQ. FT. (U)(A) nUu x SQ. FT. ~ (U)(A) Describe openings $full x SQ. FT. _ (U)(A) in roof. flue x SQ. F*P. a (U)(1A))1 TOTAL (U)(A) VALUES DIVIDED BY ZS Z 7rrh~5 Z~'fr Z_~V+(`) TOTAL ROOF/CEILING AREA Z f; ,2Z AVERAGE "Un .02$ for ventilated roofs. 1 h / t 2 a ♦ 6 e a 1 ~ 7 11 A 7 S 1 I - -7 y Z, 1 f 11 11 lI S . D 1 17 Q 11 Ito 17 11 7,4,{ 17 11 I 11 - 21 f2 27 7 0 21 al 23 II M4 I 1 11 27 II 71 71 . ~Li 77 33 7 21 71 77 11 11 • .s Determining 'full values at Roofp Wahl' Rimg and Conc. Block ROOF/CEILINQ R Y U 1.) Interior Air r'ilm 0.61 2.) 5/81, Gyp. Bd. .56 3.) Insulation IN-00 4.) 5.) Exterior Air Film .61 (STILL) 12 3 (o nUu a 1/R= Of iOTAL (R)- c~~,]g 8 WALL R VALU 6.) Interior Air Film 0.68 9 7.) }n Gyp. Bd. .45 8.) Insulation 13,00 9. ) ,901t; -eiTE z,o4- 10.) Hoson~te Siding .67 l0 11.) Exterior Air Film .17 1 aUn a 1/R~ ,o'-3 TOTAL (R)= 03.Dt 12 RI A VALU I; 12.) Interior Air Film 0.68 130Insulation , „ ,00 14 ' " ` 14.) 2 Fir Rim Joist 1.88 15.) ~uK?-~~TG Z.oIf 16.) Hasonite Siding .67 17.) Exterior Air Film .17 e • "Use a 1/Re TOTAL (R)e z¢," - 0° U D FOUNDATION R VALU 18.) Interior Air Film 0.68 1a 19. ) z1 p. 20.) K-!/ (-X1PP&.A //-Oa n b° 9 21.) 1211 Concrete Block 1.28 A n 7a 22.) 73 230 Exterior Air Film .17 0 L~° • B° 'lull . 1/Ro .07(o TOTAL _1J 4 E E ity of vegan 7-7 3 Si 3830 PILOT KNOB ROAD VIC ELLISON EAGAN. MINNESOTA 55122-1897 M, PHONE. (612) 454-8100 THOMAS EGAN FAX: (612) 454-8363 Special Assessment Search DAMDK GUSTAFSON PAMELA MCCREA .2 0/8 9 THEODORE WACHiER Date: _ G%incY Members THOMAS HEDGES /J GN AdMnah or Requested By: D C Re: ( r>~-ENEVANOVERBEKE . G!y Gene Lr~•a3 On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Ve/~r''y~~ truly yours, ~ . SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer a+e+- Kt -=xr._•TF:.~P!S=;I:TID~4 ID: P763 SPECIAL ASSESSMENTS SPECIAL ASSESSMENTS SEARCH SUMMARY PRDF=F•,TY I. T(:D YS DATE: 06/28/89 ---SPECIAL FLAGS---- 1-2-3-4-5-6-7-2-9-10 _ 0-1 32 7 = --1 a0-`7 S. A. # ASPIKSKEN DE'SCR. W YRS FATE TOTAL ANN. PRIN. PAYOFF COMMENT 101477 STRFE! W1-7. Q 5 9.00% 112.62 2.5 67.58 101b05 SLTK5n5 88 15 9.00% 449.06 29.94 419.12 101607 WLTK505 88 15 9.00% 100.77 6.72 94.05 101659 SSTK50° 88 15 9.00% 770.49 51.37 719.12 101610 BELTP505 88 15 9.00% 330.21 22.01 308.20 101684 STK491 38 15 9.00% 41._.86 26.92 404.94 101685 SLTVa91 88 1 9.00% 456.36 30.42 425.94 101686 WTK 491 88 15 9.00% 417.17 27.81 389.36 SUMMARY OF ACTIVE 3070.54 219.72 ..^_828.31 Comm * *a+* THIS YEAR'S TOT F'`..I_ 560.6:2 ~ For Office l)se I Permit City of EavaIl Permit Fee: ✓ v 3830 Pilot Knob Road i j Eagan MN 55122 Date Received: Phone: (651) 675-5675 ' FEB 7 2009 e Fax: (651) 675-5694 I Staff: 01(~ II.SV 2008 MECHANICAL PERMIT APPLICATION Date: FC6 21a00%iteAddress: lo4S 141d rnr/ Oaks (24 Tenant: Sulte RESIDENT / OWNER Name: F-4 C bQ(1,n-nnrin 6,. Phone: Les I - CoT3. 050(0 Address /City/Zip: (.015 I~kLj,-,rVXn Oak-5(2.. ct.n 5,S/23 CONTRACTOR Name: CENTERPOINT ENERGY License Address: 9320 EVERGREEN BLVD SUITE B City: COON RAPIDS State: MN zip: 55433 Phone: 763-757-6202 Contact Person: JOANN ZINKEN TYPE OF WORK -New IK Replacement -Additional -Alteration _Demolition Description of work: Cue ,e ~t -L-c, UNRLL-d~ } c..r now- NOTE:`Both roof mounted and ground mounted mechanical equipment is required to' " be screened by City Code. Please contact the Mechanical Inspector or one of fhe }matiori'ori rmitted screenin"methods: ' -~'„~~I"`''~ Planners forinto PERMIT TYPE RESIDENTIAL COMMERCIAL V Furnace _ New Construction _ Interior Improvement Air Conditioner _Install Piping -Processed -Air Exchanger -Gas - Exterior HVAC Unit HVAC units must be screened Heat Pump _ Under / Above ground Tank Install Remove) _ Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~J~OiSD TOTAL FEE $ COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fe~ is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work veil 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 witho t a permit; that the work wila7rd ce with the approved plan in the case of work which requires a review and approval of plans. x JOANN ZINKEN x Applicant's Printed Name A licanvs Signature FOR OFFICE USE (Fleviewed By:- Detei . Required Inspections:, - Under Ground'. Rough In Air Test -Gas Service Test ' `In Noor Heat Final i M32 -194 -$9 \ t~ CERT/F E OF Sil4 r Ile 1 1 1 3 0S~ pg' C 1~21~ w~ !N ~4 T~ ; - O RRVN TY "GME NO~ \ r ~ .A Z OP SC ~ 511 ~VSE \N ~~QSI jam, So L c . e i 8Z5 B = $24 P,1 a~ N 4" -4, 7 W Scale: 1" = 30' c~• r SEZht~ \S IOZ.IB9 \ I / 2=60,ou,loooa (N S' DESCRIPTION Li Lot 1- 4, R c / HEREBY CER77FY THAT TH/S suvvEY, ELAN AR REPOY4T COUNTRY HOL-fig WAS PREPARED BY ME OR IdVDER MY O/RECT R RCP /s Dakota Cop 1 6 t o IUA 74dT l IY • AINY q!/•/lT~OCA / I4A H/OVlWr ..a ~4rrr_VTom. RI.~, ,r~;.,p M32 -194 -89 CERT/F \ E OF S7ilFWY r- N 2~IN~ r- O0 S O Ty fi~K~1E i oe~ COO ~ ~ P Cp 2g, w 4 (L ~vSE 3,5; Qsy ' ~~QSlflf3 ' ,Z6So (qug = 824,$1 _ "f,~`~~i. \ Scale: 1" = 30' 102.59 v Q / 2 =60,DU yooa00 (,~J °y' I .DESCRIPTION Lot 14, Bldc HOMED HERESY CERTIFY THAT TH/S SuvV1~Y, PLAN OR REPA4T COUNTRY H Dakota C o o t a WAS PREPARED SY ME OR UNDER MY D/R£CT SbwERV/S/AM MMNAIiMINEER1 G DEP AND THAT IAN A DULY RE.SWERED LAND SURVEM R UNDER THE LAMS OF THE STATE Qr MINNESOTA. Plat bearings shown o Denotes iron monument (Existing 1 Proposed DATE REG. AV. 8140 p o' FQPnI HRPF0 beandt anginaaring a tuivaying 2705 woods trail buinlville, minnaiota $5337 (612) 635,1966 M3z-194-89 ForOfte Use - - - - I I I j Permit }~1 I MY of Eatan I Permit Fee: ` y 3830 Pilot Knob Road j 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: a..---------------- J 200g RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: J l AA62n algr ' Tenant: and eyAl)w_ Suite RESIDENT / OWNER Name: 94AyQ, AU41 106" - -Phone: GAY Off' , Address / City / Zip: ";:f A*A! r ~ lam- "Api Applicant is: _ Owner Contractor TYPE OF WORK Description of work: Y Construction Cost: Multi-Family Building: (Yes No,~_) D' CONTRACTOR Name: xw 4! frz'G License n;C57 Address: l 'v 4 '0 40wev, City- State: A-11 Zip: I"f Phone: Contact Person: )40/yf" 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 the 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 Kftnat6urme K_ ko~_IW h _ x Applicant's Printed Na a rwfi- 7 Page 1 of 3 - y Eo Cit of aaIl D fEc~f2Qu 1 j 1 Pemhlt#: I l D. ~p 3830 Pilot Knob Road SEP 0 4 2009 i Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 Staff; j 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~6911D~ Site Address: ' -I 10'4 &d_ F-~•- U T Tenant: Suite RESIDENT /OWNER Name: Phone: LOS L J( 31 010 r Address / City / Zip: 5( (~,S Gt` CSlht CONTRACTOR Name: ~p l u xnEl nA license OWS 3 Address: v-?`S SLdI IA L~ LS~Vf ~ City: c X`~Yd State: -Zip: 3504 Phone: LQ, - Contact Parson: ' r TYPE OF WORK New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work• PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / 4 PVB) Main _ Lower Level) Septic system Water Turnaround New _ Abandonment RESIDENTIAL FEES. $50.50 inimum Water Heater, Water Softener, or Water Heater an 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 165.00 if ( $ a 518" 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 $ I hereby acknowledge that this information Is complete and accurate; that the work WO 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 jilarq? x x 64, Applicants Printed Name App nt•s S tune FOR OFFICE USE Reviewed By: Date: Required Inspections -Under Ground Rough-In Air Test Gas Test -Final V PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA092464 Eagan, MN 55122 . Date Issued: 12/31/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 615 Autumn Oaks Ct Lot: 14 Block: 3 Addition: Country Hollow PID 10-18275-140-03 Use Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Champion Plumbing Progress Land Co Inc 3670 Dodd Rd., #100 14300 Nicollet Ct #235 Eagan MN 55123 Burnsville MN 55337 (651) 365-1340 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA102989 Date Issued: 02/13/2012 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 615 Autumn Oaks Ct Lot: 14 Block: 3 Addition: Country Hollow PID: 10-18275-03-140 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Joann Zinken 9320 Everareen Blvd NW Suite B Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Valuation: 3:300.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Centerpoint Energy Progress Land Co Inc 9320 Evergreen Blvd, Suite B 14300 Nicollet Ct =235 Coon Rapids NIN 55433 Burnsville NIN 55337 (763) 757-6202 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature ' ~ . Novae-e Pr®I V-4 40 L't vN- eeted 6 ~ e,a US BLUE or BLACK Ink J r - - - - - - - - - - - - - - - - I For Office Use I I it'~(~ I of Ea an ; Permit#: I T.J CltY E I Permit Fee:. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675~e~'3 I I Fax: (651) 675-5694 i Staff: 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~l Date: Site Address: / / Unit Name: G ( /L a Ila. ez fn l7 C Phone: (a Sr - S a 7 4 S O Resident/ / ttgQJ /ll/U d~S102.3 Owner Address/City/Zip: (oi 5 All vnof Va4'S Applicant is: Owner Contractor S.e e, 11 C f^. b r ra n a v~ e &I cad4~" ~arica l eAase tov- eyls•I inG !acts tr-e place,.. Type of Work Description of work:'441 Construction Cost: 076-,00 Multi-Family Building: (Yes / No Company: SA-%46 A6 ABOVS Contact: Contractor Address: City: State: Zip: Phone: / License 6M E ~W Lead Certificate A!~ 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 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. x, 4111IN 0/1 Q- l/Q~Dv~ 6 e x Applicant's Printed Name ~j Applicant's Signature Page -Pr o e c A -1o 6,e- -..ln s 4 a rslt 1 of 3 1 cv- a, q / ®vae, y k r r ~e15 Av.-hlLmn OctX .r C-f DO NOT WRITE BELOW THIS LINE , f (15 SUB TYPES / _ Foundation ,/Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of - Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy /94.1 MCES System IJ Plan Review ✓ Code Edition 9007A4S034 SAC Units (25% 100%y) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V • IS 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 Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick ireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control V/ Sheetrock Erosion Control Reviewed By: C")& , Building Inspector RESIDENTIAL FEES Base Fee 0 . Surcharge O • Sb Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL L Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA156435 Date Issued:06/28/2019 Permit Category:ePermit Site Address: 615 Autumn Oaks Ct Lot:14 Block: 3 Addition: Country Hollow PID:10-18275-03-140 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Edwin Challacombe 615 Autumn Oaks Ct Eagan MN 55123 (651) 253-3979 Craftsmen Home Improvements Inc 7455 France Avenue, #194 Edina MN 55435 (952) 930-3777 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buiIdinginspections(citvofeagan. corn T EIVED AUG 052019 L For Office Use, L, Permit #: /5 -7,29 9-/g /` Permit Fee: ,R-7/.7/ Date Received: ?� . J/ / Staff: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION/ Date: 7/29/19 Site Address: 615 Autumn Oaks Court Unit #: esid U Owner You Name: Edwin R Challacombe Phone: (651) 253-3979 615 Autumn Oaks Court Eagan, MN 55123-1622 Address / City / Zip: Applicant is: Owner ✓ Contractor ~ Type of VV41rk Description of work: Installation of a flush roof mounted solar array Construction Cost: 7195.00 Multi -Family Building: (Yes / No ✓) Contractor Company: All Energy Solar Contact Isaac Lindstrom Address: 1264 Energy Lane City: St.Paul State: MN Zip: 55108 Phone: 651-842-9404 Email: isaac.lindstrom@allenergysolar.com License #: BC665819 Lead Certificate #: If the project is exempt from lead certification, please explain why: LESS THAN 6 SQFT DISTURBED In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be ecrets. classified as non public If you provide specific reasons that would permit the City to conclude that they are trade secrets.- 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.citvofeaqan.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.gopherstateonecall.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 pen -nit, 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. )(Isaac Lindstrom Applicant's Printed Name Applicant's Signature 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%_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair -74( M Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final 4 Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: 1'2/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 5oPinit- Page 2 of 3