Loading...
4277 Beaver Dam Rd QF .►Ga,N WATER SERVICE ;PERMIT tlmot'Knob Road . PERMIT NO.: 2891. Eagan, MH 55122 DATE: 9/28/79 zonieig: ° Ril 'No. of Units'` i Owner P L V1 Rilf ldWPA Address: _ ;Site, Address:42T7 Rma~ ar 1lani T~ 131 I f ,',Plumber: WtCh Ell nbiri I: .Meter No : Connection Charge 00 ' Size: Account Deposit: Rei3 r Permit -Fee F I, ggM''iro comply with the City of Eagon Surcharge: 4 Ordinances. Misc. Charges:-' Totai BY Date Paid pate a4 ,irtsp Ins p CITY. of EAGAN' SEWER SERVICE PERMIT 174e--,Not Knob Road PERMIT NO.: - 3627 Eagan, MN 55122 DATE: 9/2b/79 Zoning: BIZ No, of Units: _ H W Build Owner: erg Address: Site Address:4277 .Deavev Date L8 Rt M* dt>ItIllttd Plumber: HItch PI.mbing - 9/11/79 15848 1 ,00.00 pd ; agree to comply with the City of Eagan Connection Charge: ,4A0 Ordinances. Account Deposit: l0. QQ Permit Fee:- • Surcharge: BY Misc. Charges: µz" Date of Insp.' Total: 'Ins Yeti P _ Date Pdid N r qr- aee~ for ~7 T & r- xage Est. Value 45' 1 _ 9 site A" 4271 :mss Lk¢r Pnad Erect :13 C)mupww* C7W lan 8 Aker 13 Zonino Block Sec/Sub. Mead - i' Lot n A~'r}r.r1 "fflf? Q] Reponir ❑ fire Zone • s, s Prmcel # Type of Enlat~e -13 No" t. ; .t if iders Mare D , -~F^q Wiagm Road Demolish ❑ Frorrt fl► Addrou zvlo '4 ^ tAWre" -fir Phone 434-7081 Phv went CRY Water & Saw. Police Ron aio* RM phone Planner Councll - hep4l r oekrawtedye that I have mod: this Alication and state that do infornwtion is correct and agreo :to ably wig all applicable • off. - v State of Minrmoto 5tatuteE and Cltryc of bagon Onftnonces. APC e of Permittee - H. AF. Ruildem Al SwdAV Permit is rued tot oi! . %W*- shall be done. in im _aii opitow, Stye of Mirwooli rK Peeeet # Deb btwd MINee Plumbing 4 9 - Z$ - 7 9 Mechanical i's J6 o-~ INSPECTIONS DATE INSP. Rough-In Fired Footings Dote InW6 Date insp. Foundation Plumbing 71 Frame/Ins. Mechanical Final f: Remarks: R~. O C EAGA1 r: ax 1«f~t~ Knob Road Pfmlt fx Ean, Minnesota 55122-1897 "a W2) 681-4675 p WrE AtMESS: f' s ►i yi r. c~a c 1 APPLICANT: 4:'7f 111 AV[ it fiAM pl) MACA`.;Kr. IAM "t y'. MV ADO M ANW. f'. 1 W WBTVE Ty'P 1VIl • N 1 y` Nrw 13 t..r'l.f~ f ( Io 007-7 7 14AAfi* 'A `.A PARAlU 1'10101 10 (MM A) FOR AMY VtPM.HT*(l OR ff-ECTRIC"I A 60 ='r Le L. a Lr~! t , . ELECTFW ~dY1a~uG - ti PODTII" h ROCIPING yo-wc- MOLL ~B1A~' 6~MI~ FWAPI" AM Fri- P~3 ' FW L MCi BLOti FINAL ~fTR.I. MMT FINAL OEM FTO DOW FINAL i CITY OF EAGAN Remarks Addition Meada+land lot Addition Lot 8 Blk 1 Parcel 10 48050 008 01 Owner x'- Street 4277 Beaver Dam Road State Eagan. MN 55122 '6 X. Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. Imp. 1981 1589.99 158.99 10 1589.99 06793 10/15/80 GRADING SAN SEW TRUNK cil 1970 77.95 3.12 25 :e SEWER LATERAL 1981 315.6!; io 3 IF 5~ 106 N8 W(154M 6M78(69 WATERMAIN 9 * WATER LATERAL WATER AREA i 99;_ 27 6-3r, -1 S P id e006525 9/ie~79 STORM SEW TRK > - paid C006525 9/10/79 * STORM SEW LAT 1981 1 • services 1981 in CURB & GUTTER SIDEWALK STREET LIGHT Rod Unit 75.00 15848 7 WATER CONN. 270.00 it 11 BUILDING PER, 5405 tf SAC n PARK ~ra719 0 4 3 Requ st Date Fire N Rough-in I spection equired Inspection Other Than ough-In p~ (You c inspector when ready) E] Ready Now will Notity Inspector Yes ❑ No Date Read I ❑ licensed contractor 6wner hereby request inspection of above electrical work at: Job Address (Street, Box or Rau o) city _ 7 2a per J C1. Section No. Township Name or No. Range No. County Oggigw t-(PRINT) / Phone No. 0, VV' e- $ / / l c, (q .Sc k,2-- Power Supplier Address Electrical Co actor (Company Name) Contractors License No. iDtK ev win e4,-- Mailing Address (Co actor or Owner Making Installation) av Authorized Signature (Contractor/Owner Making Installation) Phone Number N• ,r- 3 61 r. eR 6WESOTA STATE BOARD OF THIS 9Ave., S Room , MN B ELECTRICITY I ll~~ ll i~l lI III II III ~I ~II II III II , II III II III I IIII ENLCLOSED PROPER T BE ACCEPTED BY THE STATE ER INSPECTION BOARD FEEE I1821 University S Phone 16121642-080D 1-( REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 /y/p~ See instriAtions for completing this form on back of yellow copy. Q 91 ~X" Below Work Covered by This Request 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 Rer 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's Use Only: TOTL Irrigation Booms vjU9 Special Inspection Q. C~o ~ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M HS. I, the Electrical Inspector, hereby Rough-In Date/ - certify J certify that the above inspection has Final D been made. OFFICE USE ONLY This request void 18 months from PERMIT 61TY OF EAGAN 0/,P/95 3834 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 3 0 (612) 681-4675 Date Issued: 06/29/95 SITE ADDRESS: 4277 BEAVER DAM RD LOT: 8 BLOCK: 1 MEADOWLANDS 1ST P.I.N.: 10-48050-008-01 DESCRIPTION: (ABOVE GARAGE) Building Permit Type SF ADDITION Building Work Type NEW REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $34.000 Base Fee $430.75 Plan Review $150.76 Surcharge 117.00 Total Fee $598.51 CONTRACTOR: OWNER: - A p p l i c a n t - MALASKE JAMES 4277 BEAVER DAM RD EAGAN MN 55122 (612)454-3662 I hereby acknowledge that I have read this application and state that the, information is correct and agree to comply with all applicable State of Mn.' Statutes and City of Eagan Ordinances. RVA ICA~/PE ITEE SIG TUBE ISSUED BY: SIGNATURE y CITY OF EAGAN r 3830 PILOT KNOB RD - 55122 1895 BUILDING PERMIT APPLICATION (RESIDENTIAL) G~~C wo 681-4675 MUM BalowalffiawLeswiMMEM ♦ 3 repisbred eft surveys ♦ 2 copies of plan ♦ T Copies of Para (bdude beam & window sisal; poured W. design; efC.) ♦ Z sib sunroys (sdw* additm & decks) ♦ 1 energy a*L4 tiaras ♦ 1 energy eakmWorrs for heabd a Wkbm ♦ 3 copies of Uae pw waWn pion if iot pied afbr 711193 awke/d: _ Yes _ No DATE: CONSTRUCTION COS-J/ DESCRIPTION OF WORK: I A amt . t • ._._~1`t11', ~P4 STREET ADDRESS: e "~UJdmazj LOT BLOCK SUBD.IP.I.D. M PROPERTY Name: M •.1'XS jrf-- cc Phone OWNER L"T Street Address• `422 2 Joakm AJ City: A r L!!, State: MA) zip. CONTRACTOR Company: dwe- (0QAA-Q1 : Phone M Street Address: License City: State: zip* ARCHITECT/ Company: a LL-.dLLd./ Phone ENGINEER Name: Registration Street Address- City: State: Zip- Sewer & water licensed plumber. A) Penalty applies when address dump and lot change are requested once pemat is issued. 1 hereby acknowledge that 1 have read this application and state that the information is correct and agree to t wn* with all applicable State of INinnesota Statutes and City of Eagan Ordinances. Signature of Applicant: '10V - 4ZL~ OFFICE USE ONLY IVE Certilicites of Survey Received Yes No JUN 2 2 1995 Tree Preservation Plan Received Yes No lee r 1 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation a 06 Duplex o 11 Apt.A odging o 16 BasementFinish 0 02 SF Dwelling a 07 4-plex a 12 Multi Repair/Rem. a 17 Swim Pool X03 SF Addition o 08 8-plex a 13 Garage/Ac cessory o 20 Public Fecity a 04 SF Porch a 09 12-plex o 14 Fireplace o 21: Mliscellarmuus a 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE n 31 New o 33 Afteratiorm c 36 Move x-32 Addition a 34 Repair tt 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCANS System (Allowable) Main level sq. ft. City Water„ USC Occupancy sq. ft. Fire SprinNaed Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Cade. 3 Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planing Building Engineering Variance o ©o Permit Fee Valuation: $ Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit 2 Z x Zg • lv /~s'~' = 3 3, Z y S/W Permit SM Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~4ft Form for use with Minnesota Rules part 7670.0475, Subp. 2 I & 2 Family Residential "Cookbook" Method SITE ADDRESS C,h, ~t/v- / BUILDER Date Minimum Criteria: Rim Joist: R-19 insulation Foundaton Windows: Insulated glass, 1/2" air space. wood or vinyl frame Entry doors: 13/4 inch solid wood with storm or better STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall Total Window & Door Area in Sq. Feet Box A (window & door area) divided by Box B (total WINDOWS (including foundation windows): wall area) times 100 equals the window and door area Dimensions Qnty. Area as a percent of wall area (Box Q. 1.15rx G 7 S BOX A ,?:!,>,-x L , c2, ~ 9 Box B x 100 - /S, C ~c Zx /~s /syy Z x Z STEP 3 Design Features X ASSEMBLY OPTION x FRAME WALL: x STANDARD FRAMING x x ADVANCED FRAMING X CAVITY INSULATION 12- f x DOORS : SHEATHING: „ LESS THAN R-5 R-5 OR MORE x WINDOWS (except foundation windows): X Total Area of / U-FACTOR U. Window & Doors From the table, determine the maximum percent window Total Wall Area in Sq. FL. & door area for the design options selected and enter the Wall Total Perimeter Height Area value in box D below: C~, J DO ELI Box C must be less than or equal to Box D Total Area of wall B All CITY OF EAGAN e 3795 Pilot Knob Road Eagan, MN 55122 N2 5405 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be wad for SF DW19 & Garage Est. Value 45,000. Date 9-11 19 79 Site Address 4277 Beaver Dam Road Erect 7¢] Occupancy R3 Lot 8 Block 1 Sec/Sub. Meadowlands 1St Alter p Zoning Rl Parcel # 10 48050 008 01 Repair p Fire Zone 3 Enlarge p Type of Const. V W Nome H. W. Builders Move ❑ # Stories 3 Address 14620 Radi.sson Road Demolish ❑ Front 52 ft. Ci Anoka, MN Phone 434-7081 Grode ❑ Depth 40 ft. Name Sallie Approvals Fees ,o if-- Address Assessment Permit 12 u~ city Phone Water & Sew. Surcharge 22.50 Police Plan check 64.00 Name Fire SAC 525.00 L~Ivcoll Address Eng. Water Conn. 270.0City Phone Planner Water Meter 60.00 Council Road Unit 75.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the Information is correct and agree to comply with all applicable APC Total 144.50 State of Minnesota Statut and CI o Eagan Ordinances. Signature of Permittee A Building Permit is issued to: H. • Buw ders on the express condition that all work shall be done in accord with all plicoble State of Minnesota Statutes and City of Eagan Ordinances. Building Officials f r + 1 ► CITY OF EA-GUN Include 2 sets of plans, 1 site plan Welevations & BUILDING PERMIT PPPL CATION 1 set of energy calculations. To Be Used For Valuation ~ Date G' Site Address OFFICE USE ONLY Lot S Block Sec./sub. Erect Occupancy K:3 Alter Zoning Parcel Repair Fire Zone 3 Owner: Enlarge 'T'ype of Const. Move # Stories Address: Demolish Front ' ft. City/Zip Code: / )Je,Grade Depth Phone # : '1 : , l APPROVALS FEE`S `i /t Permit /a Contractor: i 1 , ✓C~ ~~~.fG;~ Assessments 7, 1 Water/Sewer Surcharge Address: z s% Police Plan Check 6 y City/Zip Code : Fire SAC S~ Phone Eng. Water Conn. g-?0 s G1;-414 Planner Water Meter &0 Arch./Eng.: Council Road Unit ;Z~ Bldg. Off. Address: APC City/Zip Code: Phone TOTAL / ~ ~ y / ~ G ~ ~r~ ~ - ~ 4,e Cy'rr LG.i~:'~~~:..: C'. A,1~"'~+T`'~ 7'. .,~.a ...t•-P i `.-r - 14 (s, pups ~4 D 7. L v p. ~m~'a"erP~t9 lrn~cr (_.awf b Z'~'a +°;~a p9 R~innaacla 4"'l-06 M: MTH STRUT VV. COX P,9 NIAC~-3TA E':';` J FhfrJp ~ .13 t. ~ ~ S '"Alcmatinns shown are pm,•ast,d il ~ psi J/ a.Tj a tl°i n i'*. ,T.' ? v !'•nfat on o~ ' W'. .ai l.. T•j_:11.' °>Y :Its i* ..,,►,~3~v'G?, r~CC4:."i' tt:t~ 1~ea, [ r't s'~~sr s~, 1~.'Ft~'..,.4~~i~'.::1~R.;yrs ?'1~.?";i7E.°i':.WC9.o .°"W l:)i+'<'3..4.cr. oj. a pI!opF?>. tl b,-7:,1.;a.• ,•kke.Y"F? sI1. for ~ ~Tl 2 tcs Curry Pea- Fstah.ca Man: ~F;enf-vrit p 1.'r. " b y P .r.... w•r'I,. I°i I VES }74 €9~rifS'Tftr. '7Rl Nib. sbi~ Actual 2_`_'5"` IQ a X .9-01-081 ! ~ Manufacturery~~sc-ettst~! I-1~.,1".s t 2 Model Mo. 2_4 x 4-o v? r zz. Exposed Wall Cei 1 i na Ht. 7 Cr 3 Date: 13- 7..4 TYPE OF EXPOSIJO-E Multi Dl i ers Area ( Rttrh 4 Gross Exposed lelal1 & Frame !.,o b Windbws •(Sto Sash Yes No) ,~•g /z 71 75.2- a 6 Doors (Storm Sash Yes o , &7e) 2 7 7 Net Exposed WaA & Frame 8 Wall Frami na Loss (Area - 20 *10 Line 7) 15Q, 17- ? G, 7 9 Wall Loss (Area-Line 7- Line 8) •~.7 4 1.3 .1a Gross Ceiling Area mot' 11 Ceiling Fame Loss (Area - 5% Line 10) n3 V 12 Cefl i ng Loss (Area- Line 10 - Line 11) 13 Gross Fl ocr. Area d 14 Floor Frame Loss (Area- 10% Line 13) 91, P. 7 15 Duct (Area - Length x Width in Feet) 16 Net Floor Loss (Area - Line 13'-14& 15) , o.- 7 17 Sub-Total Heat Loss Per Dearee T.D. - o 18 TeMoerature Diferences (T.D.) I 19 Sub-Total Heat Loss (Line 17 x T.D.) P "=i30 • ,o/9 off c. X, 0 "1~~ Y :lam 20 Ventilation Allowance (T. D. x 111) i..S' 21 Total Heat Loss at T.D. of Home ;•'SA 3 22 * Duct Loss (Line 15 x UDIM x FT.D+50°1 23 Total Heat Loss for-Furnace Size Form '1G Rev. 1/4/74 , CITY USE ONLY L ~ BL RECEIPT SUB . DATE: 95 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ► single family dwellings ► townhomes and condos when permits are r red for each unit New construction _ Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. VSnee system, etc. Date: ell 9's E ► Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ► HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ► Gas Outlets (minimum of 1 required Q $3.00 each) ► State Surcharge .50 56 TOTAL SITE ADDRESS: OWNER NAME: J PHONE* INSTALLER NAME• ?7 ✓ , STREET ADDRESS: CITY: STATE: r~ ZIP: MY USE ONLY L SIL RECEIPT X: SUBD. DA'T'E: 1965 MECHANICAL PERMIT (COMMERCIAL) . CITY OF EAGAN 8830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for all co mrterrcialtindustrW buildings. ► mufti-family buildings when separate permits are ~ required for ech dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ► $23.00 minimum fee a 1% of c onOW price, whichever is greater. Processed piping - $266.00 State surcharge of $.50 per $1,000 of iliii![CJIit fee due on all pern ts. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (ISAMOVEMEMTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIPS PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR city of pagan THOMAS EGAN Mayor PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES November 13, 1995 City Administrator E. J. VAN OVERBEKE James and Margaret Malaske City Clerk 4277 Beaver Dam Rd. Eagan, MN 55122 Dear Mr. and Mrs. Malaske: It has been brought to my attention that trees planted on your property are blocking the view of vehicular traffic at the intersection of Beaver Dam Road and North Timberwolf Trail. After reviewing the site, the trees that are causing site obstructions are two arborvitaes (white cedar) planted at the end of your driveway between the sidewalk and street curb. The problem arises as traffic leaving North Timberwolf Trail has difficulty seeing oncoming traffic heading southwest on Beaver Dam Road. The person reporting this situation pointed out that there is a day care facility adjacent to your house. This fact makes it all the more important to have a clear view of traffic as children are present. According to Eagan City Code Section 7.08 Subd. 1.D.4 "Trees, shrubbery, and other plant material shall not be planted or maintained, on public or private property, in such a manner as to obscure or impede the visual sightliness required to ensure the safe and efficient circulation of vehicles and pedestrians on streets, intersections, trails and sidewalks...... Property owners in violation of said requirements shall be given written notice to remove, relocate, or trim all related plant materials in compliance with the directives given therein." This code section goes on to state that if the situation is not corrected by the property owner, the City may order the work done. I believe there is an easy solution to this situation. The arborvitae in question can easily be trimmed down to w height of four feet from the ground level. This would result in their height being below traffic sight lines, allowing cars stopping at the intersection the ability to see oncoming traffic. If this is not the desired plan of action, you could always remove these trees and replace them with shrubs that will have a mature height of four feet or less. MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 681.4300 FAX: (612) 681-4612 Equal Opportunity/Affirmative Action Employer FAX: (612) 681-4360 TDD: (612) 454.8535 TDD: (612) 454-8535 Again, your speedy cooperation to correct this matter is greatly appreciated. Please take care of this situation before the winter season is upon us, as vehicular traffic is always more of a concern from snow accumulation and street surface conditions. Feel free to call me with any questions concerning this matter.' Your cooperation is appreciated as we strive to make Eagan a safe place to live. Sincerely, I Y Gregg Hove Supervisor of Forestry CC. Tom Colbert, Public Works Director Arnie Erhart, Superintendent of Streets F----------------- For' {fie tlse I City I Permit 261 Eapn I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 QC-0 61" Site Address:,? 7 &L*dXr C14 v__ Tenant: Suite M RESIDENT / OWNER Name: Ti i~,,, 12 xLle" 4e_ Phone: Address / City / Zip: Applicant is: Owner -_,X- Contractor TYPE OF WORK Description of work: %rrr~di>'c~o Construction Cost:,h" geyc Multi-Family Building: (Yes / No d rf ~'t7cS~ CONTRACTOR Name: .t-~r_Sr AlLicense#: -?0-5i Address: P/ 1,)jr . City: e~l K ~L~ I lkState: Vl ~/l Zip: 5 d e Phone: Contact Person: = rcYn )A~ 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 nonpublic 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 plans. x Ste-(' V M i c,1- C, 5 x(___) Applicant's Printed Name Appll nt's Signature Page 1 of 3 For Office Use 4 , . , Permit#: ( 3 " * ,* 0, . E . '1..•' 11:) Ail atoiii 'AO,air, Permit Fee: ............. ECEIV1 . - '.. /19 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)-675-5675 I TDD:(651)454-8535 I FAX:(651)67 MAY 3 1 2019 Staff: buildinginsoections@citvofeagan.com 1;;CA.ry\PIP\ 2019 RESIDENTIAL BLAIDINGIPERNIIT APPLICATION .(2,.\v ,(•\ 05/31/2019 4277 Beaver Dam Rd Date: Site Address: Unit#: :If!: NameMalaske (6 1)454-3662 : •: Phone5 , .. •• Address/City/Zip: 4277 Beaver Dam Rd • . •plicant is: Owner V Contractor I 14 .01 4 g • i Description of work: s-i- 2 Bathroom remodels - see plans for details Construction Cost 15000 Multi-Family Building:(Yes /No I/ -'-- Great Lakes Windows& Siding Company: Contact Danielle Sime Address. 14690 Galaxie AveCityApple Valley : - StateMN Zip55124 Phone952-891Email: -3400 . danielles.greatiakes©gmail.corn : : : BC060427 NAT 23297-2 I.:•1, ., License#: Lead Certificate#: if the project is exempt from lead certification, please explain why: Built 1979 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: 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,citvofeaoan,conVsubscribe. 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. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecatl.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 approv. 'f plans. Danielle Sime x x Applicant's Printed Name. Appi cant's Signature Loll DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family y, 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 _ i, 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 L( (9 Occupancy ...01i,(1,, MCES System Plan Review Code Edition WIN)/.401< SAC Units (25%_100% X) Zoning —44- -- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of BuildingsLength Fire Suppression Required Type of Construction -AT-6-- Width REQUIRED INSPECTIONS Footings(New Building) _ Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 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 Insulation 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: ''''.\ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge rt Plan Review ()/ / 11/1" )it 0> MCES SAC City SAC ‘11 Utility Connection Charge (7, N\ S&W Permit&Surcharge \H Treatment Plant Lii 0 0 0 I Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157121 Date Issued:08/06/2019 Permit Category:ePermit Site Address: 4277 Beaver Dam Rd Lot:008 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-008 Use: Description: Sub Type:Residential Work Type:Alteration Description:2 bathrooms 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 N Malaske 4277 Beaver Dam Rd Eagan MN 55122 (651) 454-3662 MN Plumbing & Home Services Inc 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature