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592 Autumn Oaks CtINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ? Permit Number: Eagan, Minnesota 55122-1897 ' Date Issued: (612) 681-4675 SITE ADDRESS: I i?f :I HI w I . . ;W10104 aAK'?. r.Y Cf)!!NlRY F111t I_OW PERMIT SUBTYPE: .. (ii?lIi,11. t IV APPLICANT: TYPE OF WORK: F iNAI : ? ? I Pertnif No. Permk Holder Date Telephona # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ' GAS SVC TEST INSUL GYP BOARD FIREPIACE [s Cf' FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? . CASH RECEIPT ? CIT1fiOF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 ? ? ? nccc?rveo `? J• ? I i ? f ? cnara ? . (1 6?r--t??u'?'?.t',G` Is ? ?l?a C/CJ ? CASH [? CHECK .? ? & -, ? ..? ? F ND O&1 CT AMOUNT Thank You BY ? 8 DOLLARS ,0D C YVhite-Payen Copy 6349w; YONOW--poswv COPY PINc--FHe Copy ..._.:?. ;;` CITY OF EAGAN ?p 17522 • -? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF ?/GJ1R Est. Value ;91 ,QO( Site Address 542 AUR1M OAKS CT Lot 4 Block 3 Sec/Sub. COUNTRY HOI.LpW Parcel No. W Name Jur. 1'i1UAK H[)!Sr ? Address 18133 CEDAR AVE Cily FARHINGTON Phone Name SAME Address Phone Name Address City Phone I hereby acknowlege that I have read this application and state that ihe inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of EaaarbOrdinanca9. Signature of Permitee o6-.1?/ L?, &'J?,,- A Building Permit is issued to: JOI! NILUR H(klES on the express condition that all work shall 6e done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Receipt # ? 19 .9t) OFFICE USE ONIY ? Occupancy R-3 m-_i FEFS ? Zoning R-1 i (Actual) Const Y N Bldg. Permit 599.00 ? (Allowable) V Surcharge 45.50 # of Stories L th 70' Plan Review ? ?89•? eng Depth 28' SAC,City : 100000 ? S.F. Total - SAC. MCWCC 600•? i S.F. Foolprint5 - 625•00 On Site Sewage _ Water Conn ? On Site Well Water Meter ?'? ? MWCC S slem Y ? 30 00 ? ciry waler XX Acct. Deposit . PRV Required ? SNV Permit 30.00 ? Booster Pump - S/1+V Surcharge • 50 ? Treatmenl PI 2 52 • 00 ? ; APPROYALS Road Unit 35S•00 .; Planner - park Ded. j CAUncil Bldg. Otf. Copies ? Variance - TOTAL 3,116.00 ? c Permit No. Permit Hoider Date Telephone # WQTER - ?' C} ,.? /'rJ+;1Gll= lJ SEVAR PLUMBING 159 5 0 H.V.A.C. ELECTRIC ( S/rJ U lp?? Inspettion Date Insp. Comments Footings I / ! y GlJ? Foundation Framin9 Z G op Roofing Rough Plbg. -? Rough Htg. ?- a 4to IsuL Fireplace Final Htg. Final Plbg 144 Const. Meter Plbg Inspector - Notffy Plumber Engr.lPlan Bldg. Fnal Deck Ftg. Deck Final Well Pr. Disp. n t 1 P (grrti#tra#e uf (O.rr:??aury citp of eaaari lkpatntnd u# WWdiag Jwrlintc MCutifraQte i=ed pursuanllo !he requiranenls of Section 306 of !!re Unifvrln Build'ing ('.ode certif17n8 that a1 the tinie of issuaxw this &Tuclure ttas in compliance witk tlre tearious ordinanctis of tTre Ci[}' regularin% buildin8 oorrs&ucxion or use- For 1he jollowing. u. asaaon SF Dt/ fiR WA&ftmw r7a _17527 O-„w,7 TYW R3/Ml Zodn Dhitia Rl Ty?GO" Vnt owoer d emwog .xE NQII.ER iOME5 Add„, 181 'Al rJMR AVR ? FAtd?fllt'iCN P4ST IN A CONSPICUOUS FLACE . Site Address Lot Block m Name - ?j Address - c City Name - c Address _ p City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. I Gas Piping Outlets # PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN pATE: - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 For Office Use Only: TYPE WORK DESCRIPTION BLDG . Sec/ Sub Res New Mult Add-on Comm. Repair Other Phone FEES HVAC 0-100 M BTU - $24 00 RES . . ADDITIONAL 50 M BTU - 8.00 Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PEiiMiT) - 1 . . COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 M BTU REMODELS - 12.00 M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 5/C IF PERMIT PRICE GOES BEYOND $1 000) , FEE: SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN CONTFiACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE _ PHONE 4548100 CUMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MIMIMUM - COMM.IND.IFEE $20.00 STATE SURCHARGE PEFi PERMIT .50 {ADD $.50 S(C PER EACH $1,040 OF PERMIT FEE) For Office Us Oly PERMIT # S ? RECEIPT # DATE: - a 0 Res. v Mew , Mutt. Add-0n Comm. Repair Other RES. PLBG. ONLY - COINPLETE THE FOLLOWING: ? NO. FIXTURES TOT Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 ?- ? UrinaUBidet - $3.00 ? Laundry Tray - $3.00 ' Floar drains - $1.50 ? J Water Heater - $1.50 -? Whirlpool - $3.00 ? Gas Piping OuUets - $1.50 (MINIMUM -1 PER PERMIT) " Softener - $5.00 Well - $10.00 ? Private Disp. - $10.00 ? Rough Openings - $1.50 4/:, ?50 .? U. G. Sprinkler System - $12.00 PERMIT FEE: ? a „SZJ STATES S/C: ? GRAND TOTAL: 311SV .?' . ? SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Ad. Eagan, MN 55122-1897 ? -- -? U DATE 92 AUTlJMli SITE ADORESS I LOT `?BLOCK _ METER # ' CHIP # O / G METER SIZE ? ISSUE DATE APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: CITY, STA' PHONE: -' ZIP OWNER: I " Y X X-J -' ADDRESS: CITY, STATE jt?20 nj? ZIP PHONE: PLEASE ALCOWO WUAKING D'AY$ F?OR PI?OC SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMITDATE 2/16/40 PERMIT # 11229 B.P. RECEIPT # C 6345 B.P. RECEIPT DATE 2/1 S I 90 PRV - BOOSTER PUMP PERMIT REQUESTED ---K SEWER AWATER - TAPS - COMM/IND A- RESIDENTIAL -X- NEW _ EKISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT, be given for Deduct Meters. ?? ,) • ? _ ! ? I A EE TO COMPLY WfTH CITY OF ? EA AN ORDINANCES SIGNATtiRE W ETER ISSUED FOR INSPECTIONS. FOR STORM SEWER & WATER PERMIT CITY OF EAGAN 3830 Aflot 4nob Rd. Eagan, MN 551 22-1 897 DATE S 92 AUTUMN SITE ADDRESS ? LOT _YBLOCK _ APPLICANT: I CITY, CITY, Sl PHONE: I OWNER: A ADDRESS: ZIP PERMIT REQUESTED SEWER __XWATER - TAPS l COMM/IND . RESIDENTIAL -X_ NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ,,.. Ly.1 1 I AQ REE TO COMPLY WITH CITY DF EA(iAN ORDINANCE5 SIGNATURE WHEN METER ISSUED .. - s ., OFFICE USE ONLY METER # PERMIT DATE 2/16/90 CHIP # PERMIT # 11229 METER SIZE B.P. RECEIPT # ? 634S ??1S/90 ISSUEDATE B.P. RECEIPT DATE PRV -BOOSTER PUMP PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. E 2/ib/90 925 JEFFBRSOiI LAN$. L1p 1 ,TB2, r RE: 592 AUTUMN OAK3 COIJRT, L4, 33, :AUNTRY tIOLLOW 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 (454-5220) FOR YOUR PERMANENT WATER TURN ON. our Sewer & Water Permit for the above property cannot be completed for the foliowing asons: f``, r ? YOur Sewer & Water Perrnit for the above property has been completed, but the meter cannot 6e issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Nall. 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. - REGTUIRED BY LAW. CONTACT COMMUNtTY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. s ,2/9 0 97/? C? 3 6 7 5 9 ReQOest Dale im No Fo m InsOection 5/ 15 / 9 0 1 ? ReaCy Nowwin Nonty mspecro. ' es ? No When Reeay Ilicensed contractor ? owner hereby request inspechon of above elecirical work at: Jab Adaress (SireeL Box or Raute No.) Ciry 592 Autumn Oaks Court EaQan Section No Township Name orNO. Range No Gounty Dakota Occu ant (PRWT, .?oe Miller Counstruction Co. Phone No 431-2001 Power Supphar Dakot a Electric Address Farmington, MN 55024 Eleclncal Con[ra<Nr (Company Name) Conhaclor'S License No Midland Electric Inc. 041610 MaiLng HcOress (COnirector or Owner Maeing Installation) 14055 Grand Ave So, Suite E, Burnsville MN 55337 Aumor¢e re (Convacmo0wner Makmq Inslallanon) Pnone Number MINNESOTA $TATE BOAflD OF ELECTflICITY ? THIS INSPECTION HEOUEST WILL NOT G?Iqgs-MlEwey Bltlg. - floom 5-173 8E ACGEPTED BV THE STATE,BOARD 1831 UnlvenHy Ave., Sl Paul. MN 5510E UNLESS PROPER INSPECTION FEE IS Phone(81Y) 6G2-0800 ENCLOSEO / REQUEST FOR ELECTRICAL INSPECTION Sae msVUCYions lor com le0n thi3lorm amback of ellow co ll? `"?`?? e, ? ee-ooom-o? / p g y py ) C?js •=3 759 . "X" Below Work Covered 6y This Request ?? ew Adtl Rep TypeofBmlding AppliancesWired EquipmentWired Home Range Temporery Serwce Duplex Water Heater Electric Heating Apt Butlding Dryer Other (Specify) Comm./Indusnal Fumace Farm Air Condi4oner Other lspecityj Confracmr§ Remarks Compute Inspecrron Fee Below: # Olher fee # SernceEntranceSrze Fee # Cimwts/Feeders Fee Swimming Pool 0 l0 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps ove _ Amps Signs Inspecror5 use onry / 2? TO7AL IrngationBooms l?J -to3. Speaal InSpection AlarmlCommunication THIS WSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electncal Inspector, hereby tif th t th i i b R°°9h-'" oata ?/i J cer y a e a ove nspect on has been made Final ? oa?e .„? OFFICE USE ONLY This reQUast voia 18 months fmm a0 369 1112 70/y 7as?/s?-- • 3 ? Request Date Fire No. -m clion Re iretl' Vea0y Now f I Wrll Nolity Inspector Yes - No When ReaOy' I5'ihrcensed contrector ? owner hereby request inspection of above elecirical work at: Job AOtlress (SVeet Box or Route No , Gtly 5-9 z /f fu. n, ti ?Ks U` ? Section No Township Name or No Range N. Gounry .0 OccupantlPRINT) Phone No_ h'1 f}eayS 6 P?f- '- aowe, suoolier n nmress Elec nlractor ICOmOany Name) n onlrec?or5 LKense N. ? ?? p MaL ng Adtlre ss IConlractor or OWner Making Inslallabon) j /l ZlJ ? (/. ANhorrzeu 5gnawre iCOmractoriOwner Making InstallaUOnj Pbone NumOer - - ? (/ 3ri MINNESOTA STATE BOARO Of ELECTRICITY`_ ? THIS INSPECTION flEOUEST WILL NOT Griggs-Mitlway Bltlg. - Foom $-173 BE ACCEPTED 8Y THE STATE 80ARp 1821 Unrverslly Ave.. SI Paul. MN 55106 UNLESS PROPER INSPECTION PEE IS Phone(612?fi42-OBOp ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ?f'"`??4I EB-00001-08 ? See insimctions lor complating Ihis form on hack of yellow copy b a 0 6 3 6 9? -x" Below Work Covered by This Request ew Atltl Rep TypeDfBmldmg AppliancesWired EqwpmentWUed Home Range Temporary Service Duplex Water Heater Electric Heahng Apt Bwlding Dryer Other (Specity) Comm /Indusirial Furnace Farm Av Conditioner Other(specify) GonVec[or's Remarks Compute Inspechon Fee Below: Ile A, # Other Fee # ServiCeEnirance5iza Fee S CirCUits/Feeders Fee Swimming Pool 0 to 200 Amps O to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sgns Inspedor5 use Only TOTAL Irrigahon 8o0ms / J ??? Special Inspection AlarmlCommunication TFIIS INSTALLATION MAY BE ORDER ONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTNS. I, the Electncal Inspector. hereby Rmyn-m f oata certify that the above inspection has been made OFFICE USE ONLV This request voitl 18 mil trom IF! R22 I II IIII REQUEST FOR ELECTRICAL INSPECTION S1 ? MinnesoW State Board of Elechicity ??.,? 1821 University Ave., Rm. 5-128, St. Paul, MN 55104 5 88 7 9 s Phone (612) 642-0e00 5?j0h'(o Home uplex Apt. Bldg. OtfieT: " New Addn Commeraal Indusfnal Farm emod Re air Air Cond. Hfg. Eqwp. Water Htr. Load Mgmt. Other. Dryer Ran e Elec Heat Tem . Service "X" above ihe work covered by }his request Enter remarks in rhis spoce and on the back oi f6e whif <opy only Calculate Inspeciion Fee - 7his Inspecfion Request wrll not be accepfed wdhout the conect fee: Olher Fee # Service Erhmnce $¢e Fee # Circuft /Feeders Fee Mobile Yiome Park Stall 0 fo 200 Amps 0 fo 100 Amps Streef Lfg /TraHic Sig. Above 200 Amps A6 ve 100 Amps Transformer/Generator INSPECTOP'SUSEONLY TO A Sign/Oulline Ltg. Xfmr. ? Alarm/Remoie Conhol $wimflling Pool I hereb cem that I ine ecled fie elxki hernn on Me dates .*ed Irrigafion Boom Roogh-In ' t Do1e? ?'i! $ ecial Ins edion C G6 p p Investigatrve Fee Finoi D? THIS INSTALLATION MAY BE OR)EflED ISCONNECTED IF NOT COMPLETED W17HIN 1 MONTH . 225-0 0 O O7 ? PLEASE PRINT OR TYPE OFFI E US ONLY This request void IB manths (rom vaLdafion doM pnnted m this box 5?a?9 fo SG59 Rayu?L a & ?„% Rough-in inspection reqmred4 Yes ?Yw must mll the mspeclor when ready? Inspacnan Olher Than Rough-Im 0 Ready Naw Q Will Call Dare Reody I, licensed mnfrador ? owner hereby requesf inspedion of ihe a6ove electriml work ah Job Pddm veei Box Romye N/o ?) Gry Iip C Sechon No. Townxhip Name or N. Range N. Ftm N. Cowry Oca vli? G??y1EC-O Phonp? (PrG?" ?? Power Supplier Pddress EI onvoaor ( ompo Name? Coniracbr boense No. Masmr Lm N. JPlcm Elen Only) M dress n*adoror Perfo ing nsmllano I ,-- I %Vl I Authon Si namre hodor or Own nsbllahon) (? y Phone No E - -10 6/95 RTEBO 3PY-SEEINSTRl1CTION90NBACKOFYELLOWCOW ?5/W97 458-6G6 U R4'15?A3 REQUEST FOR ELECTRICAL INSPECTION '74 !. ? Minnesota Staie Board of Elec[riary 1821 Universiry Ave., Rm. 5428, St. Paul, MN 55104 - Phone (612) 642-0800 Homa Du lex Apt. Bldg. Grher --' Naw ddn Commerciol Industrial Form Ramod Re ir Air Con. Htg. Equi . Woter Hh. Load Mgmt. Ofher Dryer Ran e Elec. Heaf Tamp. Service "X" above the work covered by fhis request fnfer remarks in Ihis space and on the back of fhe while <opy only. W ? ?ts Calculate Inspectron Fee - Thu Inspechon Request wJl not be occepted wAhout the correcl fee: Other Fee 8 Service Entrance Size Fee k Circuits/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 ro 100 Amps Sheet Ltg./Troific $ig Abave 200-Am s FC ve 1 Amps Transkrmer/Genamfor INSPECTOR'S USE ONLY 7TAL Sign/Oudine Lfg. Xfmr. Alarm/Remote CoMrol Swimming Pool i hera ?en,fy Ihm ieA the e descd6ed here?? o? Ih. dob::b?d Irrigation 8oom RouaMn oaw S ecial Ins ecfion p p Investigative Fee THIS INSTALLATION MAY BE ORDER D CONNECTED 10 NOT COMPLETED WITHIN 18 O THS. OFFICE USE ONLY This r uazt void 18 months {rom wlidalion dala n?d Ih ? n, ii/ ? is ? I4IIIIII 0 4 5 8 6 0 6 1 IIIIIII IIIII IIIIIII IIIIIIIII III IIII???C7j? C? PL?PRINT O / Reqaest Doie Raghm inspecno? reqwred2 ? Yes No (Yau most mll the inspecbr when readyl Inspanion Other Than RwgMn? Ready Na« tll Call Date Reody licensed conhacbr ? owner hereby request inspection of Ihe above elecfrical work al: lob Pddrass ISVee, Boa, w Route N. I 2 Ciy Zip Code Seclmn N. Townshf Name w N. Range N. Fire No Couny k-? O?1s+upont u PhoneNo. "' Power Supplier Addres Elecniml ConnonoF ICampany Name) / Conka vor licrose No '.P, =M Bect. QJM Mo li g Addrass I?o^kocror or Ow?r Performing Insmllaiian) s. czk.o I.kQ 55i o Au?gnamre Convoclw a Ownx Perf Insmllonon) S ^t„?k? Phorre7 No. `A EB1)OOOIA.1?/96 ? ? STpTi BOApO COPY - SEE INSTHUC110N5 ON BACK OF YELLOW COPY F 14 r c"?2 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 l,2o , 00 New ConsW ction Reauiremen4s RemodHlReaair Reauiremenfs Olfice Use OnN 3 registeretl site surveys showing sq ft of l04 sq. fi. of trouse; and all raofed areas 2 copies W plan showing footings, beams, joists Ced of Survey Recd _ Y_ N (20 k mazimum lot cwerage albweE) 1 set af Energy Calculafions for heatetl additions Sails Repwt _ Y_ N 1 Soils Repat rf proposed buiiding is to be placed on disWrbed soil 1 site survey for addihons 8 decks Tree Pres Plan Recd _ Y_ N, 2 copies of plan shovring beam 8 wmdow sizes; poured founE tles?gn, etc Adddion - indkate il orrsite septic system Tree Pres Required _ Y_ N 1 selofEnergyCalcula6ons On-siteSepticSystem _ Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 ? Rim Jmst Detail Ophons selection sheet (buldings wAh 3 or less unik) Mmnegasco mechanical ventilaGon form Planc ara cnnsidered nuhlic information unless vou state thev are trade secret and the reason. Date 1-2, /0-7 Construction Cost SiteAddress J?'?1Z Au?l,? iwn ?akS ? Unit/S[e # ?u - ss, a Description of Work `o.?+ro-??7?' r Multi-FamilyBldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1C.'? Telephone # V,?/? 770 __ (oi a 5? Contractor 4O ?t oItfc/' 'nr? Address City Sfate Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Venlilation Category 1 Worksheet • New Energy Code Worksheel (4 submissiontype) Submitted Submitted . Energy Envelope Calcula[ions Submitted In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: r 7 r' licensed Plumber il Mechanical Confractor 11 []r ^ Sewer/Water Contractor I hereby apply for a Residential Building Permit and acknowledge Telephone # ( Telephone # ( Telephone # ( the information is complete and accural e; that the work will be in conformance with the ordinances and codes of the Ciry oY Eagan and the State ot rv1N Statutes; I understand this is not a permit, but only an appiication 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. 41rn !V m Al c.. L- ApplicanYs Printed Name ?- A pficant's it5lature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? Ot Foundation ? 02 SF Dwellin9 ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes O 31 New ? 32 Addition 33 Alteration ? 34 Replacement ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo/pergola) ? 36 MuIG Misc. ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage D 12 12-plex ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ' ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire 01dg) - Gi va PCA handout to applicant D@SCrIDtIOn: Water Damage _ Yes Valuation ?i ooo• ?v Occupancy MCES System Plan Review 100% or 25% Census Code y3 ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final 29 Framing - Fireplace _ R.I. _ Air Test _ Final ?Q Insulation REQUIItED INSPECTIONS _ Shee[rock _ Final/C.O. FinaUNo C.O. ? HVAC Other _ Pool Ftgs _ Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wa(I ' Approved By: Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total ?/47- re ? M3Z-3de- 90 CERT/f/CATE of s~r ?/2 a ?0 6g&S?z? G?1U T, --_?-o6?sM l \ks - sr ,T P??Q / ?tiM I N OO ? I ? M ? ti \ I / I ! / ? r 9? SL \ Sz\ a RIGWT OF 60,vb Ja`-cc?s 4 Eg°55'33T / HEREBY CfR17FY THAr TH/S SU4VfY, PLAN AR REPA4r kYi3S hRF.^AREO 8; AfE 0.4 UN.?fER AOY Q/REC; SteE7r'vlS/oW AND THAT ! AM A DULY REGISTERfO LAND SURYErqR UNOfR THE LAWS OF THE STATE A'' M/NNESOTA. n N le: ]' = 30' DEPT F.R.V. RLQMORED nESCUiPTiori Lot 4, Black 3, COUNTRY HOLLOlV Dakota County, Minnesota Plat bearing,s shown o Denotes iron nonument ?/?? ?'- -•--? ??'?? /W(bxistin?? PTOPOSe , - oar£ 9 '& ) 99D RM ,ya_ 8140 brandt anginaaring a iurvaying 2705 uroodi tiail burnivilla, minnaiota 95337 (bIR) 43501966 ? ? ? cau Q? /9 ° 'f-o 2 Z i3 ) ?_? ? s) U ? / ?4Q e? N 40 ??y\\? ?vi ? ?O , ? ?s3? ?`?'?fi \ "g 23 •9?} /J? \ e. i ,?. M3Z-309 - ?a • '. t;XT}:RIOR IIiYFT.OPE AVERp(3E "U" COfiPUTATION , .. ^ ' (Th be aubmttted with bulldlag perffit application) , One or Twv Family DKelling Owaer All Othar Lo iLl?t? ?c,,,rRZc, f{c??owSite Addreee, --T Contrector (.¢Jt/iT Date (or??? Phone T?-- ' LINEAL FEET OF EXPOSED YtALL f t. .ebove aTade a S04-Z-4 -- •• - TOTAL EXPOSED WALL AR a SQ. FT, OPqQUE, WALL CONSTRUCTIONS °llli Oalue x Area ?t8u. ?Dfr)Q?{l, "U?? 0 x SQ. FT.-? -L(U)(A) ,?IIf1 :4 11?? z SQ. FT. Q ' (U)(A) reference ?U)(A) fxrom x Sq. FT, a attached "ull x BQ. FT. = U)(R) sheeta "U" X SQ. FT. ? (U)(A) liUel x SQ. FT. _ (U) (A) YJIItDJWS: "UIO Value x Area rlake tk Typa ,/N?iLtSh?'? flvff! •?g x sQ. Fr. Zo = GYI.3L(u)(a) u IIpII x SQ. FT.?? (U)(A) of in1ll-IFT. _ (U)(A) .,, iq1ll ' x SQ. F`f. _ (I!)(A) DOORS: 'lQll Value x Aren F(a!ce & Type yJ'(, 1$UL ICQn ? X$Qo FT. L(U)(A) u_ .. to - upa x SQ. FT.?a (U) (A) . f. u n irUn X SQ. F`P. .. _ - -. . . (U)IjA) 7[ SQ. FT. - (d) (A) TOTALS LOkZ SQ. lrT._ TOS.IZ (U)(A) AVERAUE °O , TOTAL (U) (A) VALUES ?.or7, I Z• r!Qd - DIVIDED BY TOTpy qpLL wgEA -Z24Z r? AYERA(IE 'IU,, .115 or leaa for 1&2 faaily drallin6e ? ROOF/CEILINUt . TOTAL dREAs Data12 roference "0„ ??x BQ. FT.?e Z Z(U)(A) irom trpll x sQ. FT. . (U) (A) nttached eheete. MU„ X SQ. FT. a (U)(A) " Deeeribe openin6e "iln x SQ. FT. . (0)(A) in roof. ?+ff? x 8 . IT* (U)(A) TOT1lL (U) (A) VALOES DIVIDED B2 Z4.76 ??1•?7 --u=-L. N FT? (ti (A) ToTN. ROOF/CEILIn(i AREA AVERAUE "Ull ,02$ for ventilated roofe. . . • ?'-/ _ / I I ; ° ? - - - - e ? - ? - -. , ?( Zcv _ _; , Xo c ? ? , , ? ._ ? 11 1 , u lU/- Z!? ' :1 _ 1 . ? t 71 / n II I fl YJ?51- L ir 24 is ? 3: ? iJ . 12 1 1/ ] )) ? 1( / - 1 ]1 ! ------ ------ ? 71 , Letereininc, "U" veluea at Roof, Wal1, Rlm$ end Conc. Block I ROOF/C6II,INO ? 1.) Interior Air !'ilm 2. ) 5/814 ayp. Ba. 3.) Ineulation 4 . ' 1 5• Exterior Alr Fllm (sTU,t, ) 'inTlu, (R)= 'k5170 ? WALL 6.) Interlor Air Film 7.) }n 4YP. Sd. 8.) Zneulation , s.) Arxxtr-P-,T-6 10.) Haeonite Slding 11.) Exterlor Air Film R V1lI,ll! 0.61 .56 .61 R VALUE 0.68 •45 19"00 lV .17 1IR=. ?6xtj TOTAL (R)=Z5-.01 RIH 12.) Interior Air Pilm 13.) Ineulatioa 14.) 2" Fl.r 81m Joiet -1541 ;&vo'- A'TieF?J 16.) Haeottite Siding 17:) Exterior Air Film R VALUE 0. 6$ 17,00 Z? .i? npn e 1IRa ?TOTAL (R)e Zif 17' k'OUnDATIOH 18.) Iaterior Air Film zo. ) g-// ST1?IPPED 21.) 12" Cottorete Block 22.) 23.) Exterior Air F12m fuu . 1/ria 07(D A VAL(1 0.68 //,oo 1.28 .17 TOTAL (t1)=/3 !? CITY OF EAGAN N0 17522 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 ReceiPt u - To be used tor SF DWG/GAR Est. Value $91,000 Date FER 7 5 , 7g._QD_ Site Address 592 AUTUMN OAKS CT Lot 4 Block 3 Sec/Sub. COUNTRY HOLLOW Parcel No. I w I Name JOE MILLER HOMES I o Address 18133 CEDAR AVE City FARMINGTON Phone 431-2001 Name _ Address Clfy _ Phone ww Name ???-, Address <W Ciry Phone I hereby acknowlege thal 1 have read this apphcahon and state that the inlormallon is correct and agree lo comply with all apphcable State of Minnesota Statule5 and Coy ol E/aO?rdinan Signawre of Permitee-.?/ A Building Permit is issued ro: JOE MILLER HOMES on the express condrton that all work shall be done in acwrdance wrth all applicable State of Minnesola StaWtes and Cily of Eagan Ordinances. Bwlding O%icial OFFICE VSE ONLV OCCUpancy R-3 li--1 FEES Zoning R=1 (Aduap Const V-N Bidg. Parmit 599.00 (Allowable) V=N Sumharge ---45-.50 # ol srories - 70 ' Plan Review 389.0 0 Lenglh Depth 28' SAq City 100.0? S.F. Total - SAC, MCWCC 600.00 S.F. Footprinis - On Siie Sewage _ Waler Conn 625.o? On Site Well - Water Meler 90.00 MWCCSyslem xx 3 QtyWater _',j$ Acd.Deposil n 0-0 PRVReqwred __X$ S/WPermit 30-00 Booster Pump - S/W Surcharge - Sn Treatmenl PI 0 252.0 APPROVALS qoad Unit 355.00 Plannar - Park Ded Council Bldg. Ofl _ Copies Variance - TOTAL ? 3,116.o SINGLE FAMILY DWELLINGS 1114072 1990 SUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN GOMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 'yE8 12 RECD To Be Used For: Valuation: / Date: Site Address ?QZ, Lot ? Block -?)_ Parcel/Sub _Luu,A Owner Address City/Zip Code Phone Contracto io.P I YI A Address jZ???? ?3?'CSL11 t'{ali,?. City/Zip Code Phone 'L??1 - P_r ch . /Engr . Address City/Zip Code 9 I'vvp ~ OFFICE USE ONLY Occupancy R 3 M-1 Zoning R -I Actual Const V- N - Allowable V-N # of stories Length r10' Depth ZS, S.F. Total Footprint S.F. On site sewage_ On site well MWCC System %7 City water v PRV J? Booster Pump _ APPROVALS Planner Council Bldg. Off Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL ?Z/3 S ? w , Phone # .s,? ?? V.4 LV?A^(`I N ? - _ ? ?ARAG? 22xZZ? 48N x BSmr 4$K24a = 1248 x I4= l'1472 I 6-t- 4: L EOR "?smT= I x L6 .7 pL l. 2?Z? = yc? ?- ?3Z2 Kso= ??Ic?o - 9 CQ 3Z. m? . o oof 5a9•ua+ 45•50+ saa•oo+ 2,oaz•SO1- 3, 116•OD*+ s3a•oo+ as•so+ 3a9•oo} 2,osz•so+ 3, 116•UO*+ ?` cxrv oF ??caN r,Asw IFh: ,s rFRnz?AL. Nn: e3 DFlTE: 05/27/97 TIMC1...d 14°e54v05 1D°n NRME: ALLIED FII"iES.LUE IMC 300 9001 592 AUTUMN QAY.fa 50.00 2155 3001 532 AUTUMN (]AKS 0.50 Tot,a7. Fiecei.rt Amount : 50.50 CRO'43f16 USLfi ID: JAN ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 592 LO7: COUNRY P.T..N,; 10-18275-040-00, PERMIT PERMITTYPE: suzLozNG PermitNumber. , 830075 Date Issued: 0 5/z 7/g 7 AUTUMN OAKS CT 4 BLOCK: 3 HOLLOW DESCRIPTION: er-Ll?ildin6-,;fermit Type ,?BUi2ding W`bx_? T.YPE ?`- x ."? ? ;- i -.,- ?a. ??,?'*',;;2.^ . 6ase Fce $50.00 Surcharge .50 Total Fee $50.50 REMARKS: FEE SUMMARY: FIREPLACE NEW 434 AL7. RESTDENTIAL CONTRACTOR: - Applicant -- OWNER: FIR,ESIDE CORNER INC 16332561 GRECO BERNADETTE 2700 N FA,T,RVIEW l3VE 592 AUTUMN OAKS CT R05EVILLE MN 55113 [ACAPd MN 55123 (6112) 633--1042 (612)688-3511 ? T here6y acknowledge that S have read thie applilcation and .staL'e that thie inftirmatioil fs coi^rect and agree ta comp3.y"wi'xN all app23cuble SLate o# Mn. Statutes atad City- af Ejagan'`9r;d,inar"€ae5.? " ` APPLICANT/PERMITEE SIGNA7URE ISSU D Br SI A U E CITY OF EAGAN 30oqS 3830 PILOT KNOB RD - 55122 .?? Q•?? 1997 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: 7 I Z? I?? PERMIT FEE: $50.50 DESCRIPTION OF WORK: CONSTRUCT N FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OTI-IER: STREETADDRESS: 6-?°P- (Oa,?,o (fOy'? LOT _? BLOCK 3 SUBD./P.I.D. APPLICANT: (circle one only) OWNER I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al] applicable State of Minnesota 5tatutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: Phone #: LAS} FlYS! Signature: StreetAddress: dn'?`d City: State:? Zip: S S?? 3 Company: OLrcr Phone #: Signature: ?j ` Street Address: ?a?? ???v??• ??. License #: -2- 0nc/(22g1l City: /0,l1¢1? State: ? Zip: 5- S?/ ?3 Company: ao0 aAax"P Phone #: Name: Signature: _ Street Address: City: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE tv-11 14 Fireplace WORK TYPE a?-'31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS w s ,r ? Chimney/flue must be inspected before concealing. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 592 Autumn Oaks Ct Lot: 4 Block: 3 Addition: Country Hollow PID:10- 18275- 040 -03 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: Mark A Reich 592 Autumn Oaks Ct Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA081715 01/17/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115137 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 592 Autumn Oaks Ct Lot:4 Block: 3 Addition: Country Hollow PID:10-18275-03-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Bruce Gates Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Justin L Bissell 592 Autumn Oaks Ct Eagan MN 55123--162 (612) 723-6345 Gates General Contractors, Inc 3500 Vicksburg Lane North, Suite 400-351 Plymouth MN 55447 (763) 550-0043 Applicant/Permitee: Signature Issued By: Signature Tod 6516755699 From: 7637108061 _ _ __ 5-12-17 3:90pm _p.. 1 of 1 Use BLUE or BLACK Ink r 41,11b' City of For Office Use Eagan 3830 Pilot Knob Road Permit Fee: /.&5,-�� Eagan MN 55122 Phone:(651)675-5675 Date Received: Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/12/17 Site Address: 592 Autumn Oaks CT, Eagan MN 55123 Unit#: I Name: Caitlin Bissell 952-388-7726 i Resident/ Phone: I Address I City/Zip: 592 Autumn Oaks CT, Eagan 55123 owner 1 R t—"'"—'7---H Applicant is: Owner Contractor Type of Work 1 Description of work:: Replace existing overhead garage door on attached garage. 1 Construction Cost: 1500.00 "----~- - Multi-Family Building:(Yes I No X ) I AA Garage Door LLC Company: g Contact: Deb Nyasende i Address: 562 Lundy Lane Hudson I Contractor i City: State: WI zip. 54016 Phone: 651-289-7121 Email: dave@aagaragedoor.com --- License#: Lead Certificate#: NAT-671642 fIf the project is exempt from lead certification,please explain why: I e I I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? i Yes No If yes,date and address of master plan: I Licensed Plumber: Phone: € I Mechanical Contractor: g j t Phone: Sewer&Water Contractor: Phone: t Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information.Portions of i the information may be classified as non-public if youprovide specific reasons that would permit the City to - conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work wilt 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. xDeborah Nyasende ic 3 66,E Applicant's Printed Name x �i"" - Applicant's Signature Page 1 of 3 9522042049 09:23:34 a.m. 06-23-2017 1 /4C/ - ^For Office Use __-...,...'- �/ I pPermit#: /`7 -°0��j f11 CityO Oil Permit Fee: S ,V 3830 Pilot Knob Road p� 'j\1 /c7-7,, 1I Eagan MN 55122 ��yl� Date Received: , (7J I Phone:(651)675-5675 / - I Fax:(651)675-5694 Staff: J 1 I I I • 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 06/26/2017 Site Address: 592 Autumn Oaks Ct Unit#: XA -. '3 Justin Bissell 952-388-7726 --4;:40;N ,, , Name: Phone: 14.;Reside 592 Autumn Oaks Ct, Eagan, MN 55123 Oinfne .` Address/City/Zip: 44.441141011 f ft Applicant is: X Owner Contractor C4�XN Adding Bedroom to Finished Basement, Doing work ourselves ;',4�� ' V*4. Description of work: Type of ork � �� Construction Cost: 1'500 Multi-Family Building:(Yes_/No X ) r -.r a '` ' � � ! Company: Contact: COntrac o' Address: City: •�' r k , State: Zip: Phone: Email: ar,0 • �v, �A License#: Lead Certificate#: If the project is exempt from lead certification,please explain why: 4r\LA 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 X No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Vit,..:•-�'.i x. ,e*v;= �zz y—�.zMF�+xU...��s�`",,. m.es�-+:r'•x�*e:'�^:zx:,�m��E e.•, sssax,.,-amu:a.Wr�uan+�+r�x:�. x c r w:raA-"s.-rn�+aegr•.w�. :s>r^-,:e..�,�oa... W/ OTE Plans nd irit nig aro Wrmi s. ha ie subm►f are ,,o s►deredto.be ubiic mff . iii8 Po tionsgof i tt fhcinformat►on mays be;class►fed now bhc�► ou row provide specific easons t ould�perm►lfhe C 7;!o z gC f q UM p cone u_e that.the La e i gle Msec of_; ' 4'_ ' CALL cFORe YOU DIG. Cali Gopher State One Call at(651)454-0052 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecail.oro 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 c�acri/l/ &/et'r2 x r/ ' Applicant's Printed Name A•. ,cant's Signatrri e� Page 1 of 3 9522042049 09:24:39 a.m. 06-23-2017 2/4 ie,____‹- c-/ . q.,, ki C DO NOT WRITE BELOW THIS LINE �— 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 X` Alteration _ Fire Repair _ Windows _ Demolish Foundation f_ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall `Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy - MCES System Plan Review Code Edition qh,B b j SAC Units (25%_100%1 ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vi!? Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) y Final/No C.O.Required Foundation Foundation Before Backfill i HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final 1 Pool:_Footings Air/Gas Tests Final ` Framing '9i 30 Minutes_1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick i 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 ..-- f S Surcharge �. Plan Review MCES SACS City SAC Utility Connection Charge � 1 S&W Permit&Surcharge / X /2 -- 2, g 7 (02 Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA153128 Date Issued:11/26/2018 Permit Category:ePermit Site Address: 592 Autumn Oaks Ct Lot:4 Block: 3 Addition: Country Hollow PID:10-18275-03-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Justin L Bissell 592 Autumn Oaks Ct Eagan MN 55123--162 (651) 238-1649 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157255 Date Issued:08/12/2019 Permit Category:ePermit Site Address: 592 Autumn Oaks Ct Lot:4 Block: 3 Addition: Country Hollow PID:10-18275-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Justin L Bissell 592 Autumn Oaks Ct Eagan MN 55123--162 (763) 607-6670 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165238 Date Issued:10/23/2020 Permit Category:ePermit Site Address: 592 Autumn Oaks Ct Lot:4 Block: 3 Addition: Country Hollow PID:10-18275-03-040 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 - Justin L & Caitlin A Bissell 592 Autumn Oaks Ct Eagan MN 55123 (651) 238-1649 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature