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4367 Bent Tree Lane MI Q8/78' 7 3 Request Date Fire No. Rough-in Inspect n NOTICE: You Must Call Electrical Inspector Required? If A Rough-In Inspection es ❑ No Is Required. I X, licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address Elec rical Contractor (Company Name) / Contractor's License No. Mailing Address (Con ractor or Ow er Making nsta a ion) ~7- Authorized Contractor/Own aking Installation) Phone Number MINNES D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 See instructions for completing this form on back of yellow copy. i / 5 6 8 8 7 X'.Relow Work Covered by This Request e ' ~ S~ New Add (=.;p. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: 7 # Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 7e!~,.CC., 0 to 100 Amps 5 A Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 7- -V' -72 Special Inspection Alarm/Communication THIS INSTALL MAY D CONNECTED IF NOT Other Fee COMPLETED 18 I, the Electrical Inspector, hereby Rough-in Date Y certify that the above inspection has Final Date been made. 3 4 OFFICE USE ONLY This request void 18 months from I _ t~► ~ti~cate ~ccu~a~tc~ _ ~ pagan I~ This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF DWG/GAR 022680 Use (.7asCY TRion: Bldg. Permit No_ n Occupancy Type Znmog District 7 Co'A. ownerotBoildmg _ VF ST.- PAUUT E 1OW ST..,- ST... PAUL MN 55101 4307 BENL LREE LN Address L8, 133, AUTUMN RIME 3RD Building Locality APRIL 6, 11994 Date: ~ Bw'Idtng Official POST IN A CONSPICUOUS PLACE i i I ' Address 4367 BENT TREE LANE Zip 55123 Lot 8', Blk 3 Sub AUTUMN RIDGE 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 4/6/94 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy F - , V ~ V - - - - - - - -V PERMIT Ok 17 V CITY DF EAGAN _ ' - 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 6 8 0 (612) 681-4675 Date Issued: 12/27/93 SITE ADDRESS: 4:367 BENT TREE LANE LOT: 8 BLOCK: 3 AUTUMN RIDGE 3RD P.I.N.: 10-12302--080-03 DESCRIPTION: Buil.dinq Permit Type SF' DWG BuLldinq Work Type NEW UBC 0Ccupan'- r R-3 M-1 Con<>tf-UGtion Type V--N Zoning R---1 Building Length 62 Building Width 38 BUilding stot ies 1 I~ REMARKS: PRV 5 & W PLBR FEE SUMMARY: VALUATION $11.6,000 Base Fee $695.50 MISCELLANEOUS _1 7!4.50 Plan Review $452.08 Total Fee $3,705.08 Surcharge $58.00 SAC $750.00 SAC 100 SAC Units 1 Lic. Search Fee 5.00 Subtotal $1,960.58 CONTRACTOR: Applicant - ST. L.IC. OWNER. 3--D' S CONSi" OF ST PAUL 12280678 0008717 3-D'S CONST OF ST PAUL 78 E 10TH ST 78 E 10TH ST ST PAUL MN 55101 ST PAUL MN 55101 (612) 228--0678 (612)228-0678 T hereby acknow).edge that T have reed this applicatic,n and ghat the information is correct and agree to comply with all. applic, 1- ;1 Mn. Statutes and City of Eagan Ordinances, L^ / c. APPLICANT/PERMITEE SIGNA RE ISSUED B : SI NA ORE' f REACTIVATE _ CITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION 681-4675 42 x 4 1 I 12-~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural b structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change i.s requested once permit is issued. Date I oz--G Valuation of work .,1 .0 Site Address: `136 -7 6 &W T Z Ae -RJ bi, STREET SUITE # Tenant Name: (commercial only) LOT BLACK 3 SUBD. r P.I.D. # Description of work: The applicant is: ❑ Owner Contractor ❑ Other (0*scribe)Name P. 1 ~ atJ rA Phone '71'3 Property LAST FIRST Owner Address Molf yu G 1 Ad To G Z STREET STE # City State Zip r7 Company 3- b's C~xibi 2uc.7 G~~ e(O i_ Phone 2? 7 (7 Contractor Address I -7~ License 142 _ Exp. City S7 Pamz State „)Aiv p Company G , s 't vu~ Phone ;F 9m i ~1 1 / Architect/ Engineer Name OA R L Pee 0 Registration Address, W 1 RC S City ~~~zN 5 YTL Lh State _ 4A/ Zip S5 H Sewer A water licensed plumber Processing time for sewer k water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: .C~ w OFFICE USE ONLY 4 ~ BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging fi Beeme Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 B-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. O 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE F) 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. /5 zo City Water UBC Occupancy / 2nd F1. sq. ft. PRV Required toning Sq. Ft. total Booster Pump 0 of Stories Footprint Sq. ft. Fire Sprinkler Length -73 On-site well Census Code 74-1 Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance RE©UIRED INSPECTIONS ❑ Site 19 Footing C3 Framing J2 Insulation E3 Wallboard 12 Final ❑ Oraintile ❑ Fireplace Permit Fee Vatu.cion: 006 Surcharge Plan Review License l MWCC SAC 33 tfk City SAC Water Conn. Water Meter Acct. Deposit V = ~10 z S/W Permit / S/W Surcharge ~l3 z k ! Z15- 3 /,:3 C Treatment P1. Road Unit V~P4r l~~ls 3 Park Ded. Trails Ded. LI-3 y Copies z l/a ( Total: SAC % 3 z.S SAC Units Sg. ~S Certificate of House Location For: 154 -68 Double D Construction N 24708 Cobble Hill Alcove Woodbury, MN 55125 DELMAR He SCHWANZ LAND SURVEYORS. INC. rbabbrod Under Lawn of The SING of WM09414 1475o SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA S5o66 612/423-1769 SURVEYOR'S CERTIFICATE i Scale: 1 inch = 30 feet FV' s x,49 p = Iron pipe monument x- h~ - C► = Set wood hub 042 = Existing spot elevation ~ti q ~sr, ~s Q = Proposed elevation a• qi°iProposed garage floor elev. Proposed top of block elev. lj5,9 Proposed lowest level elev. 937. Yh Drab, a e 00 0 Nb 0 BM: Top nut of hydrant between,Lots 8 and 9, Block 2, 939.46 Description: Lot 8, Block 3, AUTUMN RIDGE 3RD ADDITION, accoridng to the recorded 3u plat thereof, Dakota County, Minnesota Also showing the location of a proposed house By staked thereon. ~'T. 1 hereby certify that this survey. plan, or report was E GAN ENG ~~u' ~ /DE prepared by me or under my direct supervision and _ that I am a duty Registered Land Surveyor undo the laws of the State of Minnesota. 11-29-93 Delmar H. Schwan: Dated Minnows Registration No. 0625 LOT SURVEY CHECKLIST FOR RESIDENTIAL o BUILDING PERMIT APPLICATIO m S2 PROPERTY LEGAL: _ m Date of Survey: ?W- DOCIIMENT STANDARDS ❑'0 0 Registered Land Surveyor signature and company 0`0 ❑ Building Permit Applicant 0 0 Legal description 0 0~0 Address 0~ 0 ❑ North arrow and bar scale 0-1"0 0 House type (rambler, walkout, split w/o, split entry, lookout, etc.) D' ❑ ❑ Directional drainage arrows with slope/gradient t. 0 0- 0 Proposed/existing sewer and water services 9Y 0 0 Street name 0~0 0 Driveway ELEVATIONS Existinc D 0" 13 Sewer service 0,- ❑ 0 Lot corners 0` 0 ❑ Top of curb at the driveway ❑"13 Elevations of any existing adjacent homes proposed -0 0 Garage floor H~0 ❑ First floor .H~ 0 0 Lowest exposed elevation (walkout/window) 0 Property corners FE3 ❑ Front and rear of home at the foundation PONDING AREAS (if applicable) ❑ C~ 0 Easement line ❑ ❑ NWL ❑ ❑ HWL 0 Pond # designation ❑ GY O Emergency Overflow Elevation DIMENSIONS I~0 ❑ Lot lines 0-" ❑ ❑ Right-of-way and street width (to back of curb) 0 ❑ Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0' 0 ❑ Show all easements of record and any City utilities within those easements 0 0 Setbacks of pr osed st cture and setback of adjacent / existing ho s D ❑ 0 Retainin it ents, if any Reviewed: N me / to October 1992 AE1-U-comp/permit . Energy Average U Calc OWNER: BUILDER: PLAN # Tom & Brenda Peterson 3-D's Const. of St. Paul 1-10-16-AD93 1812 Oakdale Ave. Apt. 215 WALL SECTION West St. Paul, MN. 55118 October,30,1993 SITE: 4367 Bent Tree Lane Eagan, MN. MAIN LEVEL MAIN LEVEL RIM JOIST SQ FT EXP FRAME WALL ABOVE GRADE 1520.00 188.00 LOWER LEVEL LOWER LEVEL EXPOSED BLOCK SQ FT EXP FRAME WALL ABOVE GRADE 383.64 94.00 Total wall area above grade X .11 2185.64 0.11 TOTAL 240.42 WINDOWS SQ. FEET Double Insul 1, Low E.:: Scherer Bros. FarNorth Casement 224.25: 0.4900: 0.00: 109.88 . : 0....00: 0.00 Scherer Bros.Decorative 90 0.00: 0.4900..... Scherer Bros. Basement units 0.00: 0.4900; 0.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WINDOW TOTA224.25: PATIO DOORS SQ. FEET U -VALUE Scherer Bros. Gliding Patio Door 90 84.00: : 0.261 21.84 ........................................................................<..................<............................................................................................ ATRIUM DOORS : SQ. FEET I U -VALUE • Mor an Swin sets LOW E GLASSI 0.00: 0.26 0.00 . PREHUNG DOORS SQ. FEET : U -VALUE 9 an ext fir doors/W storm 42.00: 0.0700: I 2.94 Mor < . < . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Castle ate metal doors R-15 I 0.00: 0.0700: : 0.00 . RIM JOIST I SQ. FEET U -VALUE SQ FT EXP RIM JOIST ABOVE GRADE: 188.00: 0.0420: : 7.89 WALL FRAMING AREA (15%) : SQ. FEET I U -VALUE SQ FT SOLID FRAMING : 228.00; 0.0971: 22.15 INSULATED WALL SQ FT INSULATION @ WALL AREA : 1325.39: 0.0446: 59.12 EXPOSED CEMENT BLOCK SQ FT EXPOSED FOUNDATION 94.00: 0.12301 ; 11.56 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL 235.38 NOTE: IF THIS TOTAL IS LESS THAN TOTAL WALL AREA LISTED ABOVE, IT MEETS THE SBC 6006(C)2. CODE. FRAMING MEMBERS IN WALLS INSULATED WALL Exterior air film 0.17 Exterior air film 0.17 siding 0.06 siding 0.06 sheathing 2.06 sheathing 2.06 5-1/2" studs 6.875 6" batt insulatio 19 1/2" drywall 0.45 1/2" drywall 0.45 Interior air film 0.68 Interior air film 0.68 TOTAL R 10.295 TOTAL R 22.42 U-VALUE 0.0971 U-VALUE 0.0446 Page 1; CPS, 151 W. 126 TH. ST., BURNSVILLE, MN. 55337 PH: 890-1498 AE1-U-comp/permit RIM JOIST AREA MASONARY WALL Exterior air film 0.17 Exterior air film 0.17 siding 0.06 12" conc. block 1.28 sheathing 2.03 Interior insul. 6 1-1/2" rim joist 1.89 Interior air film 0.68 insulation 19 TOTAL R 8.13 Interior air film 0.68 U-VALUE 0.1230 TOTAL R 23 83 <>`<'?<>':.>>r»>?:`a<>>>«>.?12 0.0420 -VALUE U CEILING SECTION SQ. FT. OF ROOF/CEILING AREA 1502.56 SQ. FT. OF CATHEDRAUCEILING ARE, 0.00 TOTAL CEILING AREA 1502.56 0.0266 39.93 SKYLIGHTS SQ. FEET Velux 0.00: 0.4900: 0.00: 0.00 FRAMING/ROOF CEILING AREA FIQURED @ 10% 150.26: 0.0266: 3.99 5 t....................................... t.................. i............................................................................................ INSULATION/ROOF CEILING 30.89 INSUL CEIL AREA Fiberglass 1352.30:: 0.02281 FRAMING/CATHEDRAL CEILING 0.00 • AREA FIQURED @ 15% 0.00: 0.0517: a t....................................... t.................. t.............................................................................. INSUL/CATHEDRAL CEILING INSULATED CEILING AREA 0.00; 0.0228; 0.00 t....................................... TOTAL 34.88 NOTE: IF THIS TOTAL IS LESS THAN TOTAL CEILING AREA LISTED ABOVE, IT MEETS THE SBC 6006(C)2. CODE. FRAMING/ROOF CEILING FRAMING/CATHEDRAL CEIL SECT Outside air film 0.61 Outside air film 0.61 Insulation 31.5 Insulation 0 Cord depth (3-1/2") 4.35 Cord D. 14" 17.55 5/8" drywall 0.56 5/8" drywall 0.56 Interior air film 0.61 Interior air film 0.61 TOTAL R 37.63 TOTAL R 19.33 U-VALUE 0.0266 U-VALUE 0.0517 INSULATIONIROOF CEILING INSUL CATHEDRAL CEIL SECT Outside air film 0.61 Outside air film 0.61 Blown insulation 42 insulation 42 5/8" drywall 0.56 5/8" drywall 0.56 Interior air film 0.61 Interior air film 0.61 TOTAL R 43.78 TOTAL R 43.78 U-VALUE 0.0228 U-VALUE 0.0228 • TOTAL WINDOW & DOOR AREA 350.25 TOTAL WALL AREA ABOVE GRAD 2185.64 OPEN. / BY WALL AREA X 100 16.03 % Page 2; CPS, 151 W. 126 TH. ST., BURNSVILLE, MN. 55337 PH: 890-1498 AE1-U-comp/permit • BUILDING PERMIT OWNER: BUILDER: PLAN # Tom & Brenda Peterson 3-D's Const. of St. Paul 1-10-16-A D93 1812 Oakdale Ave. Apt. 215 West St. Paul, MN. 55118 New Construction ADDRESS: 4367 Bent Tree Lane Residential Eagan, MN. LEGAL: Lot 8, Block 3 Autumn Ridge, 3 rd. Addition Saturday,Oct,30,1993 Eagan, MN. Eagan, MN. SQ.FT. PRICE PER FT. VALUATION First floor (per sq. ft.) 1502 $54.00 $81,108.00 Unfinished basement (per sq. ft.) 1482 $15.00 $22,230.00 Garage (per sq. ft.) 720 $16.00 $11,520.00 TOTAL VALUATION $114,858.00 If $100,001.00 TO $500,000.00 $692.00 $692.00 Building.... Permit .$69200 Plan review fees (65 % OF PERMIT) $449.80 • Surcharge (.0005OOF VALUATION) $57.43 Total cost building permit $1'199.23 . ac ....fee...... Sac & (METRO SEWER/WATER) $1,545.00 $1,545.00 . SC CITY . - . 460 . . 0) $949.50 $949.50 MI. FEES (EAGAN 681 . Contractor license check fee $5.00 $5.00 TOTAL FEES DUE 3.698.73 NOTE: HOUSE & GARAGE & DRIVEWAY CANNOT EXCEED 25% OF THE LOT SIZE ! NOTE: HOUSE & GARAGE CANNOT EXCEED 18% OF THE LOT SIZE ! Page 3; CPS, 151 W. 126 TH. ST., BURNSVILLE, MN. 55337 PH: 890-1498 :."f-' k:;x}.;ttti}: '::::kk;\"•k~:a}::,,• ,+;•.{:,,•;k}}::t :.4 . t,S.k•. ..f• . ::4r+ ~ •t4}• .~t• :4. ..:t,:4:s?} : 4'.'tk,:r.:~:?:....: ...w..;; s~.'"2'r,`:.':.'ik:;:•:::::vi::: k • • kks ::t:: {::.33:•:t•.++~r. 4.C+•''4•:: . C,,t' Y. ..~y?tr."^;s <z . '~+~.~:`•k, {:i;:~•• :kkYv v • ~ v .f v r..✓ v'~r~.v~3.x {::}:t:?: r..:.4 ;.vy':}v>~ ~:Hv' ?::i: v}v::{v' f{ ~C:' t ?'v: :i :::~i}:::k ~~ll iv}}.... r.~.:. k}~:C.Y•:Y .v}...:? v}}}. :j.'. ,}X• 7•}r ~?kAiitkv ~ v:{:~\ ,~~if~•$.. ~..v r' ...4~kk?:}iii..:.. .~C.. f'fr' :~4:. .$i. 4::1:•}'t4k~'ivs':::'vvfv :''•vL'v,< ::.~.t~:4:•C{f ti vk4v:+{vf:.. v{..:v hS~ •r"(•. v.i.. k• v f•. Yi:i%•::v} f..:v~. n;Y3:; ;}r..}. n i n: '3}' i. •..h....:A:: .i' nv v: \•:.v,{:v...v.. 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'~?'✓•Y `•?~~?•i.;:: .r. :}:fit:,:4••: '~y. ` ktti` t ;.yy y ,.,tia::;:,':;,~~~ kx }'9 : ~:••:},»Y:•t:;?sk., + r4 ;4k:}+ 4.; a'+Rui: ~ ,{~.:..•i::+:,••: }:4iS:::i~:•:,+.•h 5c.•41%tYk,4• y i4: f~~`, `,•ktv+•. .kk}:`•'~4w.k ~K~`'r'`:kk'tk~i'G.•;v'ti{•:ti..C•xvirt r:{•.,~" ' n .r.{R{i;X:C{{if 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3834 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE 2 Sq FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.oo EACx) 3 of ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL 27 y~a SITE ADDRESS: 436? 7 b4~ Lam. OWNER NAME: 6wa 7 TELEPHONE JI, L- 721-12 INSTALLER:_C&6 J `p6o:t4M3 , ADDRESS: CITY:- - , &L_eyt-STATE: e'lt- ZIP CODE: 6-5"252:r3 TELEPHONE SI E OF PER1vIITTEE ig i S. 1. 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'r •a• rr} r•T.~}} .t~~~'•i-. ~.'•'%'-i-.. ?t :.2.. .l.`:'• }::?fir} .:.e. r. • S..:n.........v:.vv:};}:J$$.n.n.....,.....r•}....r+......,bx.•:x.n,•.•x{:ryr?fi.•,'•>h$;trrt:,~S}k:`.ago:3'~::$$iv$;1.•i:rr}irni`:?:::,N,.,.: rnv{$}:::d: {:•S:d'/..h,i v}:::vY,aqe;;}~nvr;:::::.:.r.Cf..::~:}:r:{}~rS:•fv2;.,,}::nv:}Yrav%•.v..: 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - - - - - - - - - - - - - DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF i' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ` FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR O I 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan f AIV-10 . 3830 Pilot Knob Road, Eagan MN 55122 1-so-o7 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Revair Re uirements Office Use Only 3 registered site surreys showing sq. ft of lot, sq. ft. of house; and all roofed areas Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd -Y -N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y -N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System -Y -N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost - Site Address -p i ~Zcc- Lvj . Unit/Ste # Description of Work \ N 5l Acv M&P T- Multi-Fandly Bldg _ Y i,/N Fireplace(s) - 0 1/l - 2 Property Owner hRS nA C (ZS~~} Telephone # (~5 L4 S Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet 0 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. _ Licensed Plumber -Telephone # ( ) 4 i Mechanical ContractorL~~ 1 Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg,XY or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair .7~ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy R-3 MCES System - Census Code 1-1361 Zoning 1Z City Water SAC Units Stories - Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length - Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundations HVAC _ Drain Tile Other Roof _ Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests Final Framing - Siding - Stucco - Stone _ Brick- Fireplace JL4 R.I. .,~t Air Test Final - Windows Insulation Retaining Wall Approved By: zv,4~)l Building Inspector - Base Fee 2l7 Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies I o0 Other Total 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN S 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date [ / ) l / ~0 L( Site Street Address ~13 / Unit # Property Owner A u c ~ ~ ~L Telephone # ((~j H S ~ y Contractor Telephone # ( ) Address City State Zip The Applicant is: Zowner _ Contractor -Other Altera ions to existing dwelling $ 50.00 Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) -Other: .1Lwt Water Softener -Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed Name Applicant's Signature 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES 2' SHOWER Z. WATER CLOSET 2- BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum 1 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak.cty. uc. U.G. SPRINKLER • home under const. ALTERATIONS • to cdsting WATER TURN AROUND STATE SURCHARGE TOTAL: SI'Z'E ADDRESS: 134. 7 OWNER NAME: INSTALLER 3 „ID' S 6S7GGc.7z ADDRESS: 41O EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 20.00 3.00 20.00 20.00 3 -oma 3.: .50 .►* ..hvar CITY: STATE: /,4-> PHONE #: (6/t.„) 1 z -z — 5-5— Z111 5— ZIP CODE: 5-6-3.6" ni :4:{:,:}.vx;;4:;,vn.',:.:;}Y:.}}:.}•.:},,:{•.}}:.,ri+?:;?}}:.}T,.::.: r n:•: x.}'n4::: xi{.?}..} .}•L:::.vw:: n:wn•.,,,:;' v.:{:: n:...:v~v}•:: .....:x: x;•}.......{n v + t~: }~itiir:•:•} r ' ` '•.'r. v.:: n.::. 4... QtT....:S 4v....}} •r.:}}.•:}:,?,.x: x:f. v: y:: :>::::;:}:iii:<};t{>•:t{;•}:•:Lt{4?}•::.?T.n, ,..t„ . :{;z,:,,,:,•.?:.:.,,•.,.:n+:.?>:•.:•}:: v.:::::: x •.4}k \ : •.y.v:.v:::: n:...m r .:...rY.};; .ynry: ryt• •v:-'•?:Ti}::'v.}; •vv , ,~S`-'.::::iS:::kvSSS:::?}}}:4Y.•i3r::;::;;:;:citi}::.}}:4:;:::?:::. ...................::::::•...n ......•r.....~` .,r t• •.v......... 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ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. I NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $-50 FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25.00 R:•:::.:::: r:::::.v::. CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT WSPIECTION RECD t GAN a PERNT 'H'YPE: } !y 0111 i ! f l+ i 3830 Pilot Knob Road Permit Number S"n, Minnesota 55123 Date Issued: (012) 581-4675 UNt t#at::F 1ANf ~r# tis c:t ou ',t t'0I TYPE AF WORK: 1:tstt! ! t1r'r FRAX {NO J,wsot A " µt'oo { i t•i «s'? i jiAt, 166 F th#A1, i 't 41 kYy h J.'i ft POOR itchho Daft # Daft Mo. eal r w if 7 3 6 DWG Rnidft OMO t 1k1 P69. h PkQ. k"eclor - ray pkjntw Cont. Meier EWJPlan Oft FkW lip Dea Fig. Cock tine! wets PT. rte. Use BLUE or BLACK Ink I For Office Use I j Permit / I 411b~ I City of Eap Permit Fee: psacf I 3830 Pilot Knob Road i -2,t4z 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 i staff: f J` / I Fax: (651) 675-5694 1 _ J 200112 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: q ~lU~ i L .r _ Name: gre v► vat Phone: G L A2 0 •a6~ RESIDENT / L1 ! ~2 r.cQ_ OWNER ~ Address /City /Zip: ~D T V% Q_ Applicant is: V Owner ontractor Description of work: TYPE OF WORK Construction Cos 00-0 Multi-Family Building: (Yes / No ) 17- Company: ` D _w S~-+-rt a f Contact: Address: 1 V C ) am- h City: -a~V.c U, I LQ CONTRACTOR i C c~ State: Zip: 0 Phone: c~ License C `0 Lead Certificate 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 thee 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 gooherstateonecall.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 , ans. Exterior work authorized by a building permit issued in accordance wit a Minn S e Building Cod st b ompleted within 180 da ermi issuance. x 9 W Applicant's rinted N me Applican s Signa ur Page 1 of 3 C!ty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use JC% Permit #: / / %'D IO Permit Fee: / T 7 ; 53 Date Received: 7 "Z t:.7) Staff: 460; 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Owner Name: V r,e....s W2 I Phone: 6 SI. L%a g.CP$) qResident/ le_ Address / City / Zip: Li 3 (b1 Tae .- -TCe-e_ Lcxv�. Applicant is: X Owner Contractor Type of Work Description of work: D U i lid I d'1 1\ t? W b C Construction Cost: ' S-- Multi -Family Building: (Yes / No X ) Contractor Company: I v e fl'L Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) it isu pr KIL-f In the last 12 months, Yes No If 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? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.qopherstateonecall.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 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 tr I Applicant's,Printed Name Applicant's nature v Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex 4/30 & Tre,,( La n DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement t" Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation 0CW Plan Review (25% 100% Census Code 143 # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final gr -o 373, 11 x5i TOTAL 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 Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final Page 2 of 3 ►y. 4 . Certificate of House Location For: Double D Construction 24708 Cobble Hill Alcove Woodbury, MN 55125 DELMAR H. SCHWANZ /54-68 /149 /AND SURVEYOR$. INC. MCIN.i d Undo► low. M The atop N IannNot• 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 550011 1112/423-1760 SURVEYOR'S CERTIFICATE ‘\1' Ri E V I 0 Scale: 1 inch = 30 feet p = Iron pipe monument p = Set wood hub x9¢2 = Existing spot elevation Q = Proposed elevation Proposed garage floor elev. Proposed top of block elev. Proposed lowest level elev. 049. 1 /NA BY: s' ? 00 Aq- 14,0.44= t e f.iptio CTIONS DIVISION Lot 8, Block 3, AUTUMN RIDGE 3RD ADDITION, accoridng to the recorded 3‹, plat thereof, Dakota County, Minnesota Also showing the location of a proposed house. staked thereon. 2 99s� q4(;9; 937,9' BM: Top nut of hydrant between,Lots 8 and 9, Block = 939.46 1 hereby certify that this survey. plan, or report wits prepared by me or under my direct supervision end that 1 am a duly Registered Land Surveyor under the Irmo of the State of Minnesota. 11-29-93 DEPT. = Delmar H. Schwan= Dated r' . ; s: Minnesota Registration No. 0625 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138494 Date Issued:08/31/2016 Permit Category:ePermit Site Address: 4367 Bent Tree Lane Lot:8 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description: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. 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 (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 - Resa Weigel 4367 Bent Tree Lane Eagan MN 55123 (651) 428-6814 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154460 Date Issued:03/25/2019 Permit Category:ePermit Site Address: 4367 Bent Tree Lane Lot:8 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-080 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: 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 - Resa Weigel 4367 Bent Tree Lane Eagan MN 55123 (952) 486-7700 Hoyt Exteriors Inc 16626 Flounder Ave Rosemount MN 55068 (651) 246-4801 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155599 Date Issued:05/23/2019 Permit Category:ePermit Site Address: 4367 Bent Tree Lane Lot:8 Block: 3 Addition: Autumn Ridge 3rd PID:10-12302-03-080 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Resa Weigel 4367 Bent Tree Lane Eagan MN 55123 Overhead Door Company Of The Northland 3195 Terminal Drive Eagan MN 55121 (651) 683-0307 Applicant/Permitee: Signature Issued By: Signature