4505 Alicia Dr
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 043
DATE: 12/28/99 'TIME: 15:45:42
ID-
NAME- DLJ HOMES INC
?_252 9220 4505 ALICIA DR 30.00
3210 9001 4505 ALICIA DR 17346.55
3866 9379 4505 ALICIA DR 100.00
3422 9001 4 505 ALICIA DR 875.26
2275 9220 4505 ALICIA DR 1,039.50
3446 9001 4505 ALIC7:A DR 10.50
2155 9001 4505 ALICIA DR 0.50
3743 9220 4505 ALICIA DR 50.00
2155 9001 4505 ALICIA DR 81.50
3868 9220 4505 ALICIA DR 468.00
CRi2i.787 YoK CONTINUE
USER ID: JAN CONTINUE
kk MAcK*4Mk*%kXc~CK*X~*%*~F*X:*%t%* CONTINUE
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 043
DATE: 12/28/99 TIME: 15:45:4.3
ID :
NAME- DLJ HOMES INC
3716 9220 4505 ALICIA DR 114.00
3713 9220 4505 ALICIA DR 50.00
3865 9220 4505 ALICIA DR 825.00
Total. Receipt Amount,- 49990.81
CRi2i.787
USER ID: JAN
t
Address 4505 Aiiria nrivP Zip 5512
Lot 2 Blk 1 Sub Southern Lakes West
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: VWao Yes No Inspector: ~j ILA
Final grade (6" from siding) k
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway x
Permanent gas k
Sod/Seeded grass X
Trail/curb damage
Porch
Basement finish X
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3q l 3 3830 PILOT KNOB RD - 55122
651-681.4675
C3~ I a - ~ ~9
New Construction Requirements Remodel/Repair Reaulrements
3 registered site surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
2 copies of plans (show beam a window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks
1 set of energy calculations
> 3 copies of tree) preservation plan R lot platted otter 7/1/93
i
DATE: I u / CJ L L L p , A , ) , CONSTRUCTION COST: l D) r~
DESCRIPTION OF WOR/K:I' 1uu) II ~VI?TCU ~)C(~~'l\n
STREET ADDRESS: `I~~5 n f` lr,i a- nr
LOT: BLOCK: SUBD./P.I.D.
#~~~~S~~U~aa
Name. -G ~(hYyvl~~ w, 'r\ Phone
PROPERTY Last rhst
OWNER Sheet Address:- (0 111 wlytawa,Vr~ Dr
Ad o
City f 2 1kx Ke State: V r Zip: a O 5
c~ via/ Doi- q, -7
Company: O L -S Phone b is aa-- , a a-4-o
(area code)
CONTRACTOR ~M_
SfreetAddress: ~ l~ pp~'k am 0"r _ Ucense#Jf)1451O1 Exp. 310
City l a'lb' gwx .P State: JYI Y\ Zip:
ARCHITECT/
ENGINEER Company: hX T)V"-V)~ `.Name:
Telephone area code ((.51 ) o00-~-
Street Address: L~65 O\d SS'da ( ffon- 1u~ Registration
City OaQl State: ~-i~1 _ ZIP:( 5 S L a(rc),
Sewer & water licensed plumber (required for new construction only): 4LA\)OA\ Dn
s Penalty applies when address change and lot change is requested once permit is Issued. t" ~5 G
1 hereby acknowledge that I have read this application, state that the Info motion is correct and agree t comply with all appitcabl
State of Minnesota Statutes and City of Eagan Ordinances.
/y D
Signature of Applicant:
OFFICE USE ONLY`
Certificates of Survey Received Yes No P1c'~+ 5
Tree Preservation Plan Received - Yes No of Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
X 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE
13 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
❑ 33 Alteration ❑ 37 Demolish Bldg.' ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. /I_ Census Code rC /
(Allowable) Main level sq. ft. SAC Code CL
UBC Occupancy nn' sq. ft. 21,,,% No. of Units
Zoning sq. ft. , No. of Bldgs
# of Stories sq. ft.✓ MC/ES System
Length L sq. ft. City Water
Width S_L Footprint sq. ft. 2,1,2~-Z Booster Pump
PRV y~.S
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /
Surcharge > L 7
Plan Review / < l X J•S Z ZJ 5
License /
MC/ES SAC
City SAC
Water Conn.
Water Meter r✓
Acct. Deposit 70,L)
SAN Permit
S/W Surcharge
Treatment PI: ,
Park Ded.
Trails Ded.
Other
Copies
Total: al C .g
SAC Units
% SAC
e
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: / a T 2 TZ C!44,/ Sn rrrfEO y LFJ!'ES WG ST
?
h DATE OF SURVEY: -'7l0/
W LATEST REVISION;
(x
o DOCUMENTSTANDARDS
Y 0
O> Q
tam ❑ Registered Land Surveyor signature and company
❑ Budding Permit Applicant
X ❑ Legal description
❑ Address
❑ North arrow and scale
e~~❑ ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.)
❑ Directional drainage arrows with slope/gradient %
❑ Proposed/existing sewer and water services & invert elevation
G✓~❑ ❑ Street name
0' ❑ ❑ Driveway
M" ❑ Lot Square Footage
b~ ❑ ❑ Lot Coverage
ELEVATIONS
Existing
dim ❑ Sewer service (or Proposed)
a z ❑ Property corners
~ ❑ p Top of curb at the driveway
❑ e~y Elevations of any existing adjacent homes
❑ ❑ Adequate footing depth of structures due to adjacent utility trenches
Proposed
040: ❑ Garage floor
V ❑ ❑ First floor
❑ ❑ - Lowest exposed elevation (walkoutWndow)
r~ ❑ Property corners
r9' ❑ ❑ Front and rear of home at the foundation
PONDING AREA (if applicable)
❑ mho Easement line
❑ r✓ ❑ NWL
❑ UK O HWL
❑ Pond # designation
❑ r~ ❑ Emergency Overflow Elevation
DIMENSIONS
10/0 ❑ Lot lines/Bearings & dimensions
ED/ ❑ ❑ Right-of-way and street width (to back of curb)
❑ ❑ Proposed home dimensions including any proposed decks, overhangs greater than 2% porches, etc.
(i.e. all structures requiring permanent footings)
❑ ❑ Show all easements of record and any City utilities within those easements
q~ ❑ Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ B ❑ Retaining wall requirements, if any i
Reviewed: -
/Date
ame
March 1989
CRAIG/BLDOPRMr FM
uvcn\a r ~.~uc rrvnrwncct rvn I a L rMlml..t urrccl_u+vJ
SITE ADDRESS q56,5 1 Dr CITY
COMPLETEDBY: ~iCKTi UP,y~[I -PHONE? DATE 1,-4'1 \
BUILDING CLASSIFICATION: ❑ category 1 (must Include supplimantal ventilation) or Category 2 (standard)
MINIMUM CRITERIA
Foundation Insulation-R10 Walls & Windows Roof Attic Insulation
Slab on Grade Insulation-R10 (See table on reverse side for allowable R44-With Attic No Heel
percentages)
Floor over unheated spaces-R24 R38-With Attic Raised Heel
Foundation Windows 1/2" insulated Glass. R38 & R5-Solid Rafters
-Wood or Vinyl Frame
STEP 1 Window & Door Area STEP 2 Calculate area as a percent of wall
A. Total Window & Door Area in Sq. Feet
WINDOWS (Including FoundationGGW--''nd,,,ows): .
WINDOW MANUFACTURE NAME.'- I ZY FWC)-SI~. 1 Rt)f~ LA C. From Step 1 divide box A (Window & Door Area) by box IS
WINDOW MANUFACTURE TYPE: tykM-1Q.Ut~- (Total Wall Area) times 100 equals C (the window and door area
p~ percent to wall area )
WINDOW MANUFACTURE U FACTOR: a \ 22
R. O. Dimensions Quantity Sq.ft.Area Box A LILI~ .I 5 - Box 838.14 g X 100 ml~
= ) 75-3 X 3.Lk I,," 3 Sq
,o
X g c~ l1 ` N- STEP 3 Assembly Design Features
a. o X Ll C~ t,, a o FRAMING TYPE:
O x 3.3 t I , , r STANDARD FRAMING /studs 16" o.c
X ¢ ADVANCED FRAMING studs 24" o.c.
~J d X O \t t t I ~U U
i5 '(`tit 1 1U S` WALL CAVITY INSULATION R
3.~ x al.~ bl I"
X ( SHEATHING TYPE: R Value
5 X (t l LESS THAN < R-5
X R-5? OR MORE
DOORS..5 X r6 1 M 3 STEP4
-1 x (o. b (r ) t_ta. From the table, (reverse side) determine the maximum percent
window & door area for the design options selected and enter
x the % value on D below b mfg. 1.1-factor:
Total Area of d O
Windows & Door Area A= L.I I~~. icJ" sq.ft
B. Total Wall Area in Sq. Ft. The % value from the table on D shall be equal to or greater than
the%inC
Wall Total Perimeter Height Area
,ewe-v Vvd Wo K S 1 Dbo
a $
of door ~ W4 A'3 V1,
n! Ckoof Q4do
Total Area of Walls 8= 32 o sq.ft.
ONE- & TWO-FAMILY RESIDENTIAL BUILDING PRESCRIPTIVE (COOK-BOOK)
APPROACH
MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
From Minn. Rules wart 7670 0475 subpart 2 item F
Cavit Exterior Window U-Factor
Framin Insulation Sheathin 0.49 0.36 0.31 0,27
STANDARD R-13 > R - 7 13.4% 17.8% 21.3% 24.3%
STANDARD R-13 >R-5 12.4% 16.4% 19.7% 22.5%
STANDARD R-15 >R-5 12.9% 17.1% 20.1% 23,4%
STANDARD R-18-19 <R-5 12.1% 16.0% 18.8% 22.0%
STANDARD R-18-19 > R-5 14.0% 18.6% 21.8% 25.3%
ADVANCED R-18 -19 < R - 5 12.9% 17.1% 20.1% 23.4%
ADVANCED R-18-19 > R 5 14.5% 19.2% 22.5% 26,1%
%
STANDARD R-21 < R - 5 12.8% 17.0% 19.9% STANDARD R-21 > R-5 14.5% 19.3% 22.5% 2263..11%
ADVANCED R-21 <R-5 13.6% 18.1% 21.2% 24.6%
ADVANCED R-21 > R - 5 15.0% 19.9% 23,2% 26.9%
Additional calculated values
7% 18.4% 21.5%
STANDARD 4% 21.5% 25.0%
STANDARD Eiflffgm
ADVANCED 8% 19.6% 22.9%
ADVANCED 0% 22,2% 25.7%
Note
s:
Window area equals rough opening minus installation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
CONSULTING ENGINEERS, DW HOMES
VNGIMEIERING PLANNERS and LAND SURVEYORS PROJECT NO. 9473.00
BOOK PANY, INC. PAGE 77
~ 1000 EAST 148th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: LOT 2, BLOCK 1, SOUTHERN LAKES WEST,
DAKOTA COUNTY,_ MINNESOTA.
}3=~~ DENOTES EXISTING ELEVATION
04571 DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
6,67 = FINISHED GARAGE FLOOR ELEVATION
38.67 = BASEMENT FLOOR ELEVATION
146,67 = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30'
FEW-- /nAPK : TA/f/ gr L3-8/
ELEV. = ?4;,9,6
~ev~~~~ C45 °5
q poRESS ; 45as AG /C/A C/PcL~ f`o °
Z07- A,2M /3298 SQ, GT, DRAINAGE AND
NflVSE Ae~1 = 2095 SQ UTILITY EASEMENT K
CY3B,o, f NIL
UP Ir BACKQj:)
v IZAzana
L0T COVOWC _ 15.8 ~16
NU"7E: DLJ N-0MES ALSO NAS v\v/
'iRE ppV56 o1.1 !o-r3 I
UAVrt_ cnON-' ~
-77✓Er wcc. ccbROiv '~J ( - ~LT
7NE ~gOr.VG OF 7?9f
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atiA 03o
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o
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~aSSO 946,34
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N87'58'51"W ?1 0429 qSC
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this 13-1f day of c+na m 1999 .
+ W47 Z ^.v, CNF3 LOM-"IGN
,vme A%AVelN6 9CAA kAeO Minn. Reg. No. 19086
Dpd/NA6E SWgLE ,
RECEIVED °'E; 2 ~ F~~
L BL CITY USE ONLY RECEIPT ,1 1,-4
~ ~ ~ .j_~
SUED. \JJ-LAj RECEIPT DATE:: 1 - aQI - 9
PERMIT# J R ~l
1999 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EmAN
3830 PILOT KNOB RD
E.AGAN, MN 55122
(651) 681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x .1Z1 _ $ 6.00
Floor drain 3.00 x $ 3-00
Gas i in outlet ` minimum - t 3.00 x $ 3.00
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ 3-00
Laundry tray 3.00 x $ -q. 00
Lavatory 3.00 x = $ -00
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ` requires MPC Iic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x 3 = $ -50
Shower 3.00 x $ 00
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $ 9.00
Water heater 3.00 x $ 3.00
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x = $
State Surchar a .50 > > $ .50
Total $ Sb.00
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 0a /1~in~d~ n A n R/
OWNER NAME' : _ ~F~ \ Roo vrvtt~ TELEPHONE 997- 012y0
(AREA CODE) /
INSTALLER NAME: 7Yi~Cltdiii y~iOe Q.. TELEPHONE,#: 6,57 h".~3-\ 30
T--nq r- (AREA CODE)
STREETADDRESS: /540 (~i~b ~i/HiO "
CITY: nfJ STATE: ZIP: zw-06F
SIGNATUR OF PERMI TE
GINEERS, DW HOMES
ODNSULTIINQ EN
PLAN RS a,a LANO SJRVEYCRS PROACT NO. aoauc 96
KNO)INiGAING
MPANY, INC. PAGE 7y _
10W EAST 461h STREET, SURNSMLLE, MINNESOTA 55337 PN 432-3apa
CERTIFICATE OF SURVEY
Legal DOSCdPtbn: LOT 2. BLOCK 1 SOUTHERN LAKES WEST.
DAKOTA COUNTY MINNESOTA. _
{ DENOTES EXISTING ELEVATION
046', 1) DENOTES PROPOSED ELEVATION
r INDICATES DIRECTION OF SURFACE DRAINAGE
• 7 @ FINISHED GARAGE FLOOR ELEVATION
2210 r : BASEMENT FLOOR ELEVATION
• : TOP OF FOUNDATION ELEVATION
SCALE : 1° = 30'
8WM MAkK 7,4 47 L3 (ySs,s7
ELEV. ° 94;.9b
AVMVS : 4.505 At IC/A G /QCLE
LOT 4R61 = 13298 674 FT DRAINAGE ANO
UTILITY EASEMENT
lfOVfE R.etai = Zo95 -9m. Pr IL
Jr
s
LOT ave►6e : X5.8
IIDA pL✓ 46me-, 4050 NRS • 1
uNGr2 •N'~`
-/W a/®'
wru cep 3./ t'
7)W ° vI e. -n- sE fl r
RH>n- Y CdlS 2 AMA 3. 1 3 r w
Sw4rG AV 8s
00,
GO ~
oa JrJ,~d
/r
21
O rb 2 X41,06
i
10 0-000 2 D
N87 JO,51 'W
.I 1 1
I hereby certify that this Is a true and correct representation of a tract as shown and described
hereon. As prepared by me this Is" day of , 193Z•i
/g.~ ?n Ci~y ~wf ,V r l!6C~sy.e inn. Reg. No. 19086
QWi. wac Sxyr.E .
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
` 1 a CITY OF EAGAN CPL:
3830 PILOT KNOB RD - 55122
851.881-4875 c.,Ao 7-0.09
New construction Rewire metlh C44- I - )l g)~ Remodel/Repair Reauiremenh
> 3 registered site surveys showing sq. it of lot, sq. tL of house 2 uses of plan
and go rooted areas (20% maximum lot coverage ailowe 1 ~a i - 00 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & window sizes; poured Ind. design: etc.) t site survey for exterior additions & decks
> I set of energy calculations
> 3 copies of tree preservation plan R lot platted after 7/1/93
DATE: ('a~ ! CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: v C~ w V J~
LOT: ,cL- BLOCK: l SUED./P.I.D. t ►u 1~ 1~
Name: ~ v y ~U ~X f wW l Phone a Clot G~ f)
PROPERTY La Fiat
OWNER Street Address: f ~7 mt O/
City _ FPS TWA State: Zip: S S L a~
Company. L~ T LO tY Phone 01, CONTRACTOR (area code)
License # 2Ot~{,3`Vd 1 Exp. ~ b
Street Address LQ011 U
City \ a>J~ Ul4slla Q C State:Zip: 5 S3 3'~'
ARCHITECT/
ENGINEER Company: Name:
Telephone C ( )
Street Address: Registration
City State: Zip:
Sewedwater licensed plumber (if installing sewer(waterPhone
I hereby acknowledge that I have read this application, state that the mwWn is and ag a to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances
Signature of Applicant:
/ OFFICE USE ONLY
Certificates of Survey Received Yes _ No JUL 12
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex' ❑ 21 Porch (3-sea.) ❑ '31 Ext. Aft - Multi
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF
❑ 03 01 of _ plex ❑ 09 07-plex Er 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 03-plex ❑ 11 10-plex P1bg _Y or_ N ❑ 25 Miscellaneous
❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool b 30 Accessory Bldg.
.t ,
WORK TYPE " t
N 31 New ❑ 36 Move Bldg. ❑ 43 Retoof
❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding
❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 ; Fire Repair.
❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors
• Give kA handout to appigant for demolition permit.
GENERAL INFORMATION
SAC Code 0I # of Stories sq• ft.
No. of Units L Length T - sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code N3~
(Allowable) : Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
❑ Stucco/Stone
APPROVALS.
Planning f Building Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CITY USE ONLY ~y
(F
LOT 131, PERMIT cl
SUBD. `,(5L~1P,y in L_ lhoiL L RECEIPT J ~'u(0 `f
RECEIPT DATE: as O D
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGM
3830 PILOT KNOB RD
EAGAN NN 55122
Date: 651-681-6675
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
const6jctio n and nJ' p-Anen/ocCuS
• HVAC: 0-100 M B T U $ 30.00 a•7°?~VL
ADDITIONAL 50 M BTU ~/~6 00
• Gas outlets (minimum of one required @ $3.00 ea.) % . 0o
State Surcharge .50
Total $
1
Complete this section only if you are remodeling, adding to• or reairin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
- New _ Alteration - Repair - Other
Furnace Air conditioning
Air exchanger Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME: /G~l ~p PHONE E ,q
INSTALLER NAME: &M- J b b1IiLd/L - C. /}J PHONE t / f - 7~ -6
STREET ADDRESS: L~ G(~ (AREA CODE) ~j
CITY: TEJ///y ZIP:-d5
- I
S GNATURE F E
CITY USE ONLY
L _ BL PERMIT
SUED. RECEIPT#:
APPROVED BY: INSPECTOR RECEIPT DATE:
2000 MECBANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciaLlindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DA ; n:
WORK TYPE: New construction Install U.G. Tank
- Interior Improvement Remove U.G. Tank
- Processed Piping
When installing/removing underground tank, call 6S1-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1 % of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
-
SI lc, ADDRESS:
OWNER NANIE: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA104256
Date Issued: 05/11/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4505 Alicia Dr
Lot: 2 Block: I Addition: Southern Lakes West
PID: 10-71300-01-020
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: Dayna Gardner
505 RANDOLPH AVE
ST PAUL. MN 55102
651-228-9071
Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Bonfe's Plumbing & Heating Michael A & himberlv Garza
505 Randolph Ave 4505 Alicia Dr
St Paul NIN 55102 Eagan NIN 55122
(61)228-9071
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
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106817
Date Issued: 09/12/2012
of 3 a R Permit Category: ePermit
Site Address: 4505 Alicia Dr
Lot: 2 Block: 1 Addition: Southern Lakes West
PID: 10-71300-01-020
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Able Restoration Group Inc. Michael A Garza
17316 Kenyon Avenue, Suite 103 4505 Alicia Dr
Lakeville MN 55044 Eagan MN 55123
(952) 378-5000
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
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143536
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 4505 Alicia Dr
Lot:2 Block: 1 Addition: Southern Lakes West
PID:10-71300-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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: 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 -
Kimberly J Garza
4505 Alicia Dr
Inver Grove Heights MN 55077
(651) 247-3464
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144764
Date Issued:08/08/2017
Permit Category:ePermit
Site Address: 4505 Alicia Dr
Lot:2 Block: 1 Addition: Southern Lakes West
PID:10-71300-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Kimberly J Garza
4505 Alicia Dr
Inver Grove Heights MN 55077
(651) 247-3464
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature