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612 Autumn Oaks Ct SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 01/06/92 3830 Pilot Knob Rd. CHIP Eagan, MN 55122-1897 # PERMIT # 12471 METER SIZE B.P. RECEIPT # C 016596 DATE DEC 24, 1991 ISSUE DATE B.P. RECEIPT DATE 12/24/91 )X PRV - BOOSTER PUMP SITE ADDRESS 612 AUTUMN OAKS CT PERMIT REQUESTED LOT 9 BLOCK 3 SEC/SUB COUNTRY HOLLOW aX SEWER X WATER -TAPS APPLICANT: ADDRESS: - COMM/IND _XL_ RESIDENTIAL CITY, STATE ZIP )X NEW - EXISTING PHONE: Lawn Sprinki r Meters are to be Installed PLUMBER: LAKESIDE PLUMBING Ahead .oflD rnestic eters gd Water Line. ADDRESS: 12469 ZINRAN AVE Credit W)L 'NOT be ' en forTeduct Meters. ' E CITY, STATE SAVAGE MN Zip 5537$ ' ~ 77 894-7600 PHONE: I A EE TO C LY WITH CITY OF OWNER: R S H HORSES EAf&AN ORDINANCES ADDRESS: 16817 DIJIAJTH AVE CITY, STATE PRIOR LAKE MN ZIP 55372 PHONE: 440-6901 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMIT Receipt # To be used for ST MG/GAR Est.Value $93+000 Date DEC 24 fg91 Site Address 612 AUTUMN OAKS C? OFFICE USE ONLY Lot 9 Block 3 Sec/Sub. COUNTRY HOLLOW FEES Parcel No. Occupancy R-3 -Hr) Zoning R-1 Bag. Permit 608.00 Name R 3 M HOMES (Actual) Const Surcharge 46.50 Lu Address 16817 DULUTH AVE (Allowable) Plan Review 395.00 8 of Stories O city PRIOR LAKE MN 7]p 55372 Length Lioense Phone 440-6901 Depth' SAC, City 100.00 S.F. Total 650.00 Name SAME SAC, MCWCC 0O S.F. Footprints 660 00 Address On Site Sewage Water Conn • Oty Zp On Site Well Water Meter 95.00 MWCC System X 30.00 Phone X Acct. Deposit City Water 30.00 LJOWN # PRV Required X S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge .50 information is correct and agree to comply with all applicable State of 276.00 Minnesota Statutes and City.gt Eagan Ors ntances. Treatment PI Signature of Permitee ti~ I,t APPROVALS Road Unit 370.00 T A Building Permit is issued to: R $ 1y HOMES Planner Park Ded on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. Copies Building Official Variance TOTAL 3+261'00 Permit No. Permit Holder /Datt/e'~ Telephone k S/W PLUMBING L EV WAC f ODO ELECTRIC 9 a~ ELECTRIC ~a8 02 Inspection Date Insp. Comments Footings I 2(r 5 Foundation Framing f 2, 1, Rooting Rough Plbg. - ~_90Z Rough Htg. ~~/J J~7 [Sul. / . 2 t 9z Fireplace / d S / - Finai Htg. --7, ` (al sat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final alAS Deck Ftg. Deck Final Weir Pr. Disp. t Tati#tratt of (Orrupaury City of Cagan 47rit Cerhfume issued pursuant to the requirements of Section 306 of the Uniform Building Code cerdfying 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.- the cunw sdm SF DWG) Bkl& FWvA l4m 19988 O-wa-7 Type R3µ 41 7ooia; D&rkt R Type COW Ownacr R S M M -ES Am,.. 16817 DUWM AVE, PRIOR LAKE B Add= 612 ATTH2+l+i OAKS OOM L9, B3, OOUN M HMI-OW LOO&Y 2/27/92 Suadias POST IN A CONSPICUOUS PLACE I SEWER & WATER PERMIT OFFICE USE ONLY CITY 4F EAGAN 01/06/92 3830 Pilot Knob Rd. METER # PERMIT DATE Eagan, MN 55122d. CHIP # Q11-~ 7 Z/.3 3 ~ PERMIT # 12471 METER SIZE Sp'J 'f B.P. RECEIPT # C 016596 DATE DEC 24, 1991 ISSUE DATE A 13-JA B.P. RECEIPT DATE 12/24/91 X PRV -BOOSTER PUMP i SITE ADDRESS 612 AUTUMN OAKS CT PERMIT REQUESTED LOT -9 BLOCK 3 SEC/SUB COUNTRY HOLLOW X SEWER X WATER -TAPS APPLICANT: ADDRESS: - COMMIIND RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING i PHONE: LAKESIDE PLUMBING Lawn Sprinkl restic Meters are to a Installed PLUMBER: Aed o ters Water Line. 1 ADDRESS: 12469 ZINRAN AVE Credit OT be en fo educt Meters. CITY, STATE SAVAGE MN Zip 55378 X % PHONE: 894-7600 IA E ITH CITY OF OWNER: R S M HOMES EA DIN NCES j ADDRESS: 16817 DULUTH AVE CITY, STATE PRIOR LAKE MN ZIP 55372 PHO 440-69 SI A R HEN ET ISSUED PLEA~E RLLOW TWO WORKINGAYS 1'~OR PROCESSING. 4ALL 454-5220 FOR INSPECTI NS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT CITY OF EAGAN r; f 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 J DATE 19 Rio snow AMOUNT S 8 DOLLARS +oo ❑ CASH -Q-CHECK i r FUND OBJECT AMOUNT Thank You BY ~~J1 G? C 01 6 5 9 6 While-Payers covy Yellin- thg Copy Pink-Re Copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I I I.1 of I IIMN 11AI, t 1 1-1 1 1 i 1+N I . 111 .1 I'Il t, tIt1IIf 1` lit) I 11111 ! 1 if 9;, !.140% PERMIT SUBTYPE: TYPE OF WORK: ~ ~.l+Ia ( I (nN INSPECTION INSPECTION TYPE DATE INSPTR. I ! r1 r1 1 t'f FlAlir"~ !'AKA I I; I't kM (1 l I+I 011 i IA i+ f 40 l+rl'( l i ~ ! 11 111111 I r Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND U FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE 1 AIR TEST FINAL PLBG F I NAL HTG ORSAT FEST BLDG FINAL bSMT R.I. I BSMT FINAL .)ECK FTG BECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' I 10 F} 40 " APPLICANT: • %-1111 ItFiri ~ :':p t i r•1 + I 1 ~ +rr~ I t+r'.1 it i tIIf I „iil S •.1 i r.I i. IVi~• PERMIT SUBTYPE: TYPE OF WORK: , iII ►.i INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ~ni rl F L Permit No. Permit Holder Date Telephone N ELECTRIC ffl.$ PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL i INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: 1 ~til lr,ll INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. r.,. I ,II r 14 1 1 1.,, , 1 tJ,,! } I i h 1 1 I I:I 1,111 I'f I7 11 i'! I{Mt; I NI, r,i 1 1 f, I 1 I 1I ' F L Permit No. Permit Holder Date Telephone tt S/W PLUMBING HVAC ELECTRIC T &PV ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing L Roofing Rough Plbg. Rough Mg. Isul. Fireplace Final Fitg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. I i INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: t ' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: i r tl I r APPLICANT: f11i I IIMN rlisf, ► , I : , i iit4l.I Jrl .l p11 I. IM14 I! , ilri, I Ill 1 ; 1110 o4 -I!, PERMIT SUBTYPE: TYPE OF WORK: 1%l t If INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR :i{ 1rl III, 1 Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. 5 US Deck Final G Z Well Pc Disp. .Adgress:612 AURM OAKS GOM Lot 9 Blk 3 Sec/Sub COUNTRY HOLLGIW _ These items were/were not complete at the time of the final inspection. Date: 2 27 92 Yes No L~ Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry ✓ Permanent driveway Permanent gas Sod/seeded grass f✓ Trail/curb damage Porch Basement finish 4~ y 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. xennm nem White - City copy Yellow - Resident copy Pink - Contractor copy DATE: JAN 6, 1992 RE: 612 AUTUMN OAKS CT (R S M HOMES) x 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. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ioa ioyas~ p 419 a Request Date Fae No Rough- nspectorn y Now p Nobly Inspector xl ' ' / Repw J Reatl ( L•~' ~4es C No When Ready? Itcensed contractor ❑ owner hereby request inspection of above electrical work at: Job Ador as (Street Box or R to No 1 Q[y ' Section No Township Name or No Range No Occupant(PRI Phone No. Pa uppner Adpress p Kb~ ~C r/F/YJ/ 70/✓ al tor (Company Namei Contractor's manse NO Elertr¢ trac Mnlmg Acoress (Coot or or Owner Makmy 1,S.allall0 ) Authorized S. nature ContractonOwner Making Inatatletmnt Phona Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD _ 1621 University Ave.. St. Gaul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-M00 ENCLOSED / REQUEST FOR ELECTRICAL INSPECTION E600001-08 ► ee„nsiructions for completing this loan on bacn of yellow copy y . 0 34199 "X" Below Work Covered by This Request ew Ad Rep - Type of Budding AppllancesWlred EgmpmentWlrad Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Out (specify, Contractors Re mares Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abe Amps Signs inspector's use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Finai ace been made. I (of 4Vii OFFICE USE ONLY This request void 18 months from / ars Yam AO ly 15 IT Re0uest Oate Fre No u -In Inspection eg ❑ Ready Now ill Notdy Inspector s ❑ No When Ready? 1,,ZTiicensed contractor ❑ owner hereby request inspection of above electrical work at, Job Atldress (Street. Box or Route No) 12 C Section No Township Name or No Range No Cou Occupant INT)C Phone No J ~ I Power Ter Address Ele Meal Contractor (Camps Name) / Contractor6 nse No s-~ Mailing A ddress (Contractor or Owner M 1 Iastallaanoni f 7KP 13 Authoreea S nature (ContractonO er Making Instaratrint Phone Number MINNESOTA STATE BOARD OF ELECTRICITY r THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room SA73 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424800 ENCLOSED VRepApt dofl REQUEST FOIJ ELECTRICAL INSPECTION R `aye es.aoom ► See instructions for completing this form on back of yellow copy. } "X" Below Work Covered by This Request Type of Building AppliincesWlred EqulpmentWired Home RangTemporary Service Duplex Water Heater Electric Heating Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Cher (specify) Contractors Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circufts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs inspectors Use Only TOTAL - l < (J Irrigation Booms ©J! Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee I COMPLETED WITHIN IS MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Dat y`"'~~ been made. OFFICE USE ONLY This request ,bb is months from 9/r7/y& 61 5Z'50 0 085 384 6L 3 11D. 50 Request Da[ - Fire N. Rough-In Inspe n egmretl Inspection Other Tha RougRln C / (Von must call for when ready) ❑ Reatly N. Will Notify Inspector 1!4 Ves ❑ N. Date Ready I licensed contractor ❑owner hereby request inspection of above electrical work at Job Address (Street Box or Route No) DIV~ Section No Township Name or No Range No County K clir Oelupan PINT) Phone No ~[7 r17 Power Su ter /-!dress El. 1 1 Contractor ompany Name) pp contractors Lnem, No - 1`C1 V Mailing Address (Contractor or Owner Malang Installation) rc( r r/ Ls1 Auth Z Wre lCOnhac[orlOwnar Malang lratallat , Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 6.2hone(612)642-0809 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ¢ ash EB cool- s Ste instructions for completing this Conn on back of yellow copy ' tGS~Sa~ "X" Below Work Covered by This Request 0 085 384 Ne Add Rep. Type of Building Applisn6i% 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 Work 6 Of~ p~/ l~(/g'PYLyvv~ Cp_mpufe Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps a 100 -Amps Signs Inspector's Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS I TALLATION A RED DISCONNECTED IF NOT Other Fee COM LIFTED WITHIN HS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from 008904~~ '103, FA No, Rough- n pe lion Regwretl Ina ecaen Other Then J3ough-In _ ( ( (You r~ t II mspectorO an neatly) ] Ready Now 'LW[I Will Nohty Inspector J Idl Yes No pan I licensed contractor ❑owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No Chy Ay t Uhf 1 OoIC~' -r- Sachon N Township Name or No Range No. County Oer Occupant (PRINT) hoe No o ~rr1 d .gip -071 Power Supplier Adtlress EleclncW Contractor (C mpany Name) Contractor's License No. IV C, -7 Mai n g Address (Contractor or Owner Making Insluillatt qoo C'( G l s~ r" Autiwnzetl S lure (COnlradodOwner kin Installaocn) j Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Orlgga-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66109 UNLESS PROPER INSPECTION FEE IS Phone (612) 662.0800 ENCLOSED 53WF.T REQUEST FOR ELECTRICAL INSPECTION ee-o,Qoot-os ~a d SAS 0008904111 Sae insiruchons for completing this form on back of yellow copy b" "X" Below Work Covered by This Request a k Ne Add Rep. Type of Building Appliances Wired Equipment Wired ' Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: k' `rv!~ 1 Compute Inspection Fee Below. 3 ysPCr'v~rl'ry # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps Above 100 -Amps Signs inspectors Use only TOTAL I rigation Booms G t Ir To Special Inspection Alarm/Communication THIS INSTALLATION M DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NT I, the Electrical Inspector, hereby Rough-in s oete _ J - certify that the above inspection has Final / ate~_ rip:; been made. (l OFFICE USE ONLY This request void 19 months from CITY OF EAGAN1 9988 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 681-4675 Receipt p GQ ka.S91o To be used for SF DWG/GAR Est. value $93,000 Date DEC 24 -19-9-1- Site Address 612 AUTUMN OAKS CT 9 Block 3 Sec/Sub. COUNTRY HOLLOW OFFICE USE ONLY FEES Lot Parcel No. Occupancy R-3 M-1 Zoning R-1 Bldg. Permit 648_00 Nance R S M HOMES (Actual) Const V-N Surcharge 46.50 w Address 16817 DULUTH AVE (Allowable) V-N Plan Review 395.00 Z F of Stories o City PRIOR LAKE MN Zip 55372 Length 46' License, Phone 440-6901 Depth 46' SAC. City 100.00 0 Name SAME S.F Total SAC, MCWCC 650.00 S F. Sewage 660.00 On Site ite Water Conn Address C) City Zip On Site Well Water Meter 95.00 MWCC System R 30.00 --k Acct. Depose 8 Phone License k city water PRV Required X SW Permit 30.00 I hereby acknowlege that I have r ad this applicatio nd state that the Booster Pump S/W Surcharge .50 information is correct and a ee com with a1 pplicable State of Minnesota Statutes and/Ciry an Or etas. Treatment PI 276.00 Signature of Permit ee✓~ APPROVALS Road Unit 370.00 A Building Permit is issue to: R 9 HOMES Planner Park Ded. on the express condition hat all work shall be done in accordance with all Council applicable State of Minn sota Statutes avn~d, City of Eagan Ordinances. Bldg. Oft. Copies Building Official flmq Reid 11111 Variance TOTAL 3,261.00 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction RemodelfReoar Reduirements office Use Only 3 surveys showing registered d site site s survweys showing sq It of lot, sq. k of house; and all roofed areas 2 copies of plan showing footings, beams, fasts Carl of Surrey ReW _Y _ N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Soils Report -Y _N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey far additions & decks Tree Pres Plan Recd _ Y _N_ 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate it on site septic system Tree Pr Septic System _Y _ N On-site 1 set of Energy calculations 3 copies of Tree Preservation Plan ff lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechamml ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date C) LConstruction Cost Site Address h r UniUSte # Description of Work J 6l,\ / e') Multi-Family Bldg - Y N \ Fireplace(s) _ 0 1 - 2 p Property Ownrti ?1 l N C 1 1`Nd Telephone # (j;s 1) 6~ O " b Contractor l l~ S v C Address D 3 City U(ZtuS U~ Li! Z- State n') ri zip 3 ~--741'elephone # Asa) ~T ' 3 O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 - New Energy Rules 7 Worksheet Fh y Code Category Residential Ventilation Category 1 Worksheet Code ubmission type) Submitted Submitted . Energy Envelope Calculations Submitted st 12 months, 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: Licensed Plumber Telephone # Mechanical Contractor Telephone I 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. je~y cj A Applicant's Printed Name Ap ' ant's lure r'' ' PERMIT CUO q -CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 025072 (612) 681-4675 Date Issued: 02/02/95 SITE ADDRESS: 612 AUTUMN OAKS CT LOT: 9 BLOCK: 3 COUNTRY HOLLOW P.I.N.: 10-18275-090-03 DESCRIPTION: B01"ildi,ng'-Permit Type BASEMENT FINISH .Building Work Type ALTERATION r \ t i, L IlN C3~~i ✓~4 REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: MILLER CONST, JOSEPH R 14406625 0005170 BIANCHI-KNOD TOM 17900 VERGAS AVE 612 AUTUMN OAKS CT JORDAN MN 55352 EAGAN MN 55123 (612) 440-6625 (612)688-0794 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with, all applicable State of Mn. Statutes and City of Eagan Ordinances. L } APPLIC NTT/PE~RMITEE SIGNATURE ISSU Y: SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 0 7 2 Eagan, Minnesota 55123 Date Issued. 02/02/95 (612) 681-4675 SITE ADDRESS: LOT: 9 BLOCK: 3 APPLICANT: 612 AUTUMN OAKS CT MILLER CONST, JOSEPH R COUNTRY HOLLOW (612) 440-6625 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F L J OF EAGA 3830 PILIOT KNOB RDN 55122 110111 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 1 tree preservation plan if lot platted after 711193 required: _ Yes _qNo DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: oz- LOT STREET ADDRESS: BLOCK I~ SUBD./P.I.D. AP q4 1 u~ Phone D~ 07~/ PROPERTY Name: h f4 14,/ OWNER u T nR$T Street Address, 6lZ aAh 51 City: Li4z-A~ `Statte: 1"~ Zip: 5~~23 CONTRACTOR Company: 1p ~f~} J' ~r Kc ~d Phone 20 ~G Z 5 Street Address: /7Yot, License 5770 City:1 rI!24~! /tiA/ 957 3-5Z, ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. n Y % Signature of Applicant: OFFICE USE ONLY RECENED Certificates of Survey Received _ Yes _ No J AN 2 7 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY .py` . BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging CK_16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi (Misc.) ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 Multi (additional) ❑ 15 Deck WORK TYPE ❑ 31 New o,CCW- Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code o/ Census Bldg Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~y PERMIT '*1TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING > Eagan, Minnesota 55123 Permit Number: 021137 (612) 681-4675 Date Issued: 06/07/93 SITE ADDRESS: 612 AUTUMN OAKS CT LOT: 9 BLOCK: 3 COUNTRY HOLLOW P.I.N.: 10-18275-090-03 DESCRIPTION: B,gildigg~_,Permit Type DECK Building Work Type NEW r'VBC occupancy" R-3 Building Lengthy 14 Building 44idth 18 rte. v LC n., n a REMARKS: FEE SUMMARY: Base Fee $25.00 COPIES $1.00 Surcharge $.50 Total Fee $26.50 Subtotal $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: MILLER CONST, JOSEPH R 14406625 0005170 BIANCHI-KNOD TOM 17900 VERGAS AVE 612 AUTUMN OAKS CT JORDAN MN 55352 EAGAN MN 55123 (612) 440-6625 (612)688-0794 I hereby acknowledge that I have read this application and s.tatz that the ; information is correct and agree to comply with all applicable State of MJ1* Statutes and City of Eagan Ordinances. ~ctA R,,Jd (1!1 AP ANT/PERMITEE SIGNATURE TD BY. SIG ATUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021137 Eagan, Minnesota 55123 Date Issued: 06/07/93 (612) 681-4675 SITE ADDRESS: LOT: 9 BLOCK: 3 APPLICANT: _612 AUTUMN OAKS CT MILLER CONST, JOSEPH R COUNTRY HOLLOW (612) 440-6625 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FINAL REACTIVATE _ E to V t'j CITY of EAGAIV PERMIT # JUN O 2 1993 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I 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 is requested once permit is issued. Date 3 ~ Valuation of work 3 16U-UU Site Address: 6/2 «h QM5 Cr STREET SUITE M ~q p f / 11~' Tenant Name: (commercial only) J/UG ✓l r7 61';A 17. Kn LOT BLOCK 3 SUBD. C CO-AF4/ T P.I.D. M Description of work: The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe) Name 7011 fIJ Phone Property LAST FIRST Owner Address 617, 09 STREET STE / City 4h State M& Zip '55723 F % Company 114,117 CG1 5~;" L4 Phone YP 67-5 Contractor Address 17100 /4~ License # S// Exp. City State Zip 33~ Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & 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: OFFICE USE ONLY BUILDING PERMIT TYPE • WO A ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./,Lodging, ~ w«&16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ OB 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE T9 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. City Water UBC Occupancy E= 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length i4T On-site well Census Code Depth 19, On-site sewage SAC Code APPROVALS 0 Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site E3 Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee valuotion: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies O O Other Total: SAC % SAC Units 1991 BUI] ING PERM FfLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY 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 OF 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 WHICH ADDRESS IS DESIRED. O CCHANCES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: s , +v Valuation: . Date: 1"D14(C1[ Site Address G la H/,Y fLo Of-, '13 Ow OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit 666,00 ``11_~ Zoning s Surcharge 4/6.50 Parcel/Sub couklk" FIO[tov7 Actual Const V-h- Plan Review 396,00 Allowable V - SAC, City 00,00 Owner # of stories SAC, MWCC $0,00 Length Water Conn. 660.00 Address Depth Water Meter $,00 S.F. Total Acct. Deposit 30,00 City/Zip Code Footprint S.F. S/w Permit 30.00 S/W Surcharge r5D Phone On site sewage- Treatment Pl. A16,00 On site well Road Unit 370.00 Contractor MWCC System E/ Park Ded. t64 ~~r City water Trail Dad. Address p \ ~~J t PRV Copies Booster Pump City/Zip Code -(Zlbw. SUBTOTAL t' APPROVALS Penalty Phone y~Q - (OR11i Planner Lot Change Council TOTAL 9 IN Arch./Engr. ~IM~. Bldg. Off. (2.5-9/ DS Variance Address City/Zip Code Phone # Sewe ter ti yensContr. Z1C~Nagrees that all war all be done in accordance with Sign re o Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. VA LLAA GARA&Er ZZX2o= 44015= gSMT, ; • aak~~, S98 ~ I ay x ~3 _ Ss~ 60a • 00+ I 11 x y = '76 ! 46.50+ 395.00+ ?.S (o X 14= I'll by 2)211-50+ n~ 3,201.00m 1 ST FG.op\' ~ 6oa•oo+ 135~Tf = 122 45.50+ z r? !iF 395.00+ 2,211.501- 1~~2X12 = ~ ~ i 2ES1 •00 ~ 2 %ly; ZSaY~ 130r ,;K 53 = 6Q 218 9 2782 oA 9 3, ooa ' 12.27V1991 11!62 FROM RSM HOMES TO 6814612 P.02 N/ ~I~e~1 O~C~41 ~lr SURVEY FOR: P. S I-t homes flit. DESCRIBED AS: Lot 9, Mock 3, cnuY•PP•v unLLON, city of ruFnn, Dakota Count , t.jinucsota and rescrvinF casemontc oP rocord. ~~aO A uTtIMJd OAKS CRT.* 16 zaQ 99t 55' 08 N 85.00 atu.B e e' , Er.8-- ----1$ I 15 I 1301 2L 11 g It.10 I $eiF Kant s 1 Ia If wrea V® I - a e,sr ikae a L01s1° I Is Its 1 a t w I 'a as s u I e s, aw t o 0 ! 00 I a N I I I ( N ' In I I l~ V I v e ov I L~~~~~-J I F- I I r- t~~ 889, or w Koo - ISO. LOOTAGE =16, 320+ pitGPO$ED€ay iN)Pi8 BENCHPAARK. 9arN@ ig5 W,u v et3.9y Top of Foundelbm • g24.3 in-is 812-01 Garage Floor DamneMFtoor .8im2 Ww-&aq,v"t1lo7.75 Approx. Bower 86tvlee Elev. W,t MIH SET8A0K NEIISH9P.ldEtl7s Proposed Elevetkme . Q EehanoalevolbMe Fnmt-m Home Side -w LUorwesolltel Dkec "a r r Rear • ao Garage 81ds •10 brake m SGAI Eo i Inch • 30 Feel J013 NO.: RmrrESroEnr¢r nstrnsalea7RUSaRUCamcc+RSVrcssRntwM DLIt/11ID V& "q enlaaeRlFS av ms aeove osBptroce vRavca7r.a ewa 91R 483 VEYEOBr4HORUtOEaeh'BatEeTo maw OAPRM EMTB on 91WRD INGWI S, ucuPT PHMPL FADE: EnOineerlrry Sunwyam "It.'~,$~iv wMO. trees z 9 I00RiB1. W VBYOR OaDO F1Et bWA. Cult. ALIC03e3EMt1MBENte1/s A9afgt•z . R=94% 12-24-Tl-fl:10LM P002 #20 ic.recilwil i:NVewri: AVERACE "U" COMPUTATION owNER R . S. M NOw.e~ sl'1'L'' ADDRLSS L--OT I LO 3~ Ul4ciLk-o CONTRACTOR R S M I-I•D NLE J O C c t DATE 3 _4 -G 1 HiONE Determine working square footage of each. ' I 1. Total exposed wall area 19O Z O sq. ft. x ~ ~ = 20 .2. 2. Total roof.ceiling area 1L 5 4•p sq. ft. x .025 Total exposed wall area above floor 1902.0 a. Total wall window area 13 6•+f b. Total door area y0. 13 _ C. Total sliding glass door 'area .............................1 d. Total fireplace wall area .................................i O C. Total wall (raining area (average 10%) I_~O2 f. Total net wall area above floor i 1503•'L g. Total rim joist area 1 25. O Total exposed foundation area = 100.S h. Total foundation window area O i. Total net foundation area above grade /O O.3 Determine "U'• value of each wall segment. a. _136. X "U" , 5•S 7.S• b . b qV B X ..U" . 07& 3,1 C. 31.2. X "U" 5S 17•3 i d. O X ..U.. b = n I J .....................................Total I9S:L i if item NJ in the same as, or Lew; than item N1, you have met the intent of sBC 6000(c)2. Cgs,y) Sllsw • t X204•+) -M-&4 ".L44 D 5 3 c, v o o C. (C ~ y Total exposed roof/ceiling area I75 Q1 j. Total skylight area D _ k. Total roof/ceiling framing area (average 1.0%) _ i Z 1. Total net insulated roof/ceiling area Determine "U'• value for each roof/ceiling segment. 1 x "U" -O = O k. !ts•y x 'B.• . 025 3•I 1 liZ8•ta x ..U.. oaI - z3.7 4 ......Total ° e7 (e' 8 If total of N4 is the same as, or less than N21 you have met the intent of sBC 6006 (c) 1. 4 2 4. 8) a 9x.. i. 2 C3 q .r.,( ,44FAA J~ SrJ C, (000 e QC 3 / Alternate Building Envelope Design To utilize the total envelope system method, the values establish.--d by the sum of items NJ and N4 shall not be greater than the sum of itemsNl and N2. 2. 31•y = Zqc). 1. 209• Z + 40 - = zzz, i~ J. 14s•y « 4. 2(.V-8 At .CYO t-~ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT DATE: ~ pSDE1SJfIn PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ,X ADD-ON MINIMUM 15.00 ADD ON 1 SHOWER 3.00 d•w REPAIR _2 WATER CLOSET 3.00 22 BATH TUB 3.00 G.w g LAVATORY 3.00 L•~ OWNER NAME: /F Si✓/ /~~Mt i KITCHEN SINK 3.00 i• LAUNDRY TRAY 3.00 ~•w SITE ADDRESS: 41.2 il42 a a/c c~~ HOT TUB/SPA 3.00 / WATER HEATER 3.00 ~•w LOT: q BLOCK 3 SUBD. u~~ //u t cpv✓ FLOOR DRAIN 3.00 131.0 GAS PIPING OUT. INSTALLER: A4/CfLsi44- /7A'd~. 1/111~x (MINIMUM - 1) 3.00 3. 3 ROUGH OPENINGS 1.50 _y ADDRESS: /.t `/G 9 ✓ qq ✓ /1✓c f OTHER _ WATER SOFTENER 5.00 CITY: ✓i9c~ ZIP: SJ37f PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ -,~l° • 3' ST. SURCHARGE .50 SIGNATURE OF PERMITTEE y~ • ~ TOTAL: $ OOMMERCIA-3f]ITSTRTAT PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EP-CH $1,000, OF PERMIT FEE. LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY 0. EAGANYL FOR CITY USE ONLY gJ 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D O }iECHaN„IGA~YERMTT DATE: tESID NTIALi; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. DESCRIPTION FEES NEW CONST IX ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 4.0 REPAIR ADDITIONAL 50 M BTU 6.00 nn GAS OUTLETS - MINIMUM V3.00 OWNER NAME: /~S T7(J~IGS OF 1 PER PERMIT O ~ n~ SUBTOTAL: $ SITE ADDRESS: 19112 yX/ 4X A/ eW rf STATE SURCHARGE: .50 LOT:_2 BLACK SUBD, ( TOTAL: $ A250 Burnsville Heating & A/ Inc. INSTALLER: 12481 I'd A"a Sr' ADDRESS: Savage, M N 55378.1122 SIGNATURE TEE w1~-WAP OF CITY: ZIP: PHONE O?iM£RCIAL INDUSTRIAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x It $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN *k~tT; ~F %t:M ~t:X mX'~rtk~XY,t~k~%~ ~ ~Xt~kvtkt>kx Tc Tt~t ~ W kt%t h~ ~W.~trYW CITY OF EAGAN CA531IIER S TEPMINN... N4: 24 DATE v 09/03/3[, TIME: W49:01 ILA NAMlE':; JOSEPH R MILLER CONSTRUCTION 3210 9001 602 AUTUMN OAKS 4`;.00 2150 900 Q2 AUTUMN OAKS 0.50 3430 9001 W AUTUMN OAi13 0„50 Total. Receipt Arco,ntg 46.00 CRO63r86 USER ID: NANCY Xtk(k:8t1FXtKt~~~~rd1k*~YFXf~F>k~kYF~kM~tWXtXt>kBtYp~#9F~KNcXtr~t~~Y~ ' PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 6 8 5 (612) 681-4675 Date Issued: 09 /03 /96 SITE ADDRESS: 612 AUTUMN OAKS CT LOT: 9 BLOCK: 3 COUNTRY HOLLOW P.I.N.: 10-18275-090-03 DESCRIPTION: ,9uildin'g-,.Permit Type DECK -Building Wbxk Type NEW Census Code 434 ALT. RESIDENTIAL {J f aai t -a ~ Si 1 LI Iy tl k- l{~:1\ REMARKS: FEE SUMMARY: Base Fee $45.00 COPY $.50 Surcharge $.50 Total Fee $46.00 Subtotal $45.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: MILLER CONST, JOSEPH R 18925105 0005170 BIANCHI-KNOD TOM 17171 IPANA AVE 612 AUTUMN OAKS CT LAKEVILLE MN 55044 EAGAN MN (612) 892-5105 (612)623-1311 I hereby acknowledge that I".have read this application and state,that the informatio'n is correct end agree to comply 'with all apprl cable State-of kn. L Statutes and City of Eagan Ordinances. t YI APPLICAN / ER IITEE SIGNATURE ISSUED BYISIGNaURE-' - S~ CITY OF EAGAN a U ~S 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 da-7 New Construction Reauirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 8 decks) ♦ 1 energy calculations ♦ 1 energy calculations for healed additions ♦ 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE:/- 2-7 M CONSTRUCTION COST: DESCRIPTION OF WORK: Lei STR ET ADDRESS: 2 "1 `y - Q C LOT BLOCK SUBD./P.I.D. PROPERTY Name: /4'/ICy'1 rr`4h04 UOI Phone OWNER `"'r/ nn. Street Address 6 r2 ~A id' ltj City: State: ~/1 //4/ Zip: CONTRACTOR Company: jo 44./ / ~1 1 Cad,/ La./~prrPhone Street +Address:: 17171 fj~ A License City:~,(H State: 141A Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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: OFFICE USE ONLY =RECE!PVEEDDQQ Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex 0--115 Deck WORK TYPE 0. 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. yid Depth Footprint sq. ft. SAC Code r>> Census Bldg t Census Unit o APPROVALS Planning Building /w/3 Engineering Variance Permit Fee Valuation: . Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units .82 FROM RSM HOMES TO 6814612 P.82 , Sur~cyor~8 Ccrt~, f~cat~ • SURVEY Pon: R S FI I(omos Irlc. DESCRIBED AS. Lot 9, Stock 3, COUNTRY 1101.1,01x, city or rf.nn, pokoto count , M WICSOt4 4110 ro:lorvinF ensemonto of roeord. A UT UMN OAKS CPT. 111D 890 55, oB M 85.00 ~ g'I o.O ~I- s-- l w 2,4 lid atiwr to •lyb g11• ~ l g -9 1&911 NN PE, ~ ,1/ f1 N I 6e~k Nent S I la d Woo fJ I r,a.823.3 e.66.Ilonr N LN L Vol 7r Ir4 ~Wtl ! N 8 I I 1~ E n ~A I eJ I I$1 AN' ly' ooI nj to I W g~ I ~ ~ ~ M I p i~ II I SC` L - -J 1 1 Y l h 1 FJ yl - J. Q 4 .z sag, OWN 85.00 LOT SO. F OTAGE =16,320-+ MOPO$EDELEYAIIOHS BENCHMARK. 9HM@ 1~ Top of Fourdalbns lam' 51.19'1 .01 Oar~ Floor 829.3 I a 4/j ~ L'1a.5 ga1H a ~"a Baaelnenl Floor . Bllo.z W+ 1 M*. err Sm.75 Apprter. S41ra1 BOWk:a Elev. 'YA ANN, SETSACK REOUBTEMENTS Plopoeed Elevallons . Q EzhdngSlavdbne Fmm.p HouseSide .a Drainage Dlrscllons r near •36 Qwage 81de •e uor4we onset slake to SCALHr 1 Indl a 30 FMI JOB NO.: l11EnEeYC9r111PT TMT nNW4%j J9AHOCOPPCCT IKPNIMINW10111 /~IEDLI/ND OF IRE DOL"AWS OF IN AWN DWQMED PNOPERIY ►e eNF 9fR 481. VEYEOIY IEOIIINlOERIIY gRE61 WPERYIfIt1NANIOOEiNotPlIIIPORI TO IaON e1PROYEMEKIe ON V0110CHIANN1e, 1AWr As MMM. BOOK: PAOF: P/annhrp ErWn"dny 5uneyhV ' qq'~ ow low0o.rIMW11=1 194 w,wlarww Date ZLAj_2L 4.! • ...r. IOOREN."NUMSEN lityom CADD FLB: DW*. Milt. TAIICflflE IH» RS(1191.2 " R-94% 12-27-g1 f1:l0AU P002 $120 PERMIT CITY OF IWAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 028451 (612) 681-4675 Date Issued: 08/12/96 SITE ADDRESS: 612 AUTUMN OAKS CT LOT: 9 BLOCK: 3 COUNTRY HOLLOW P.I.N.: 10-18275-090-03 DESCRIPTION: (STORAGE ROOM/DECK) ~Wy§ Type SF (MISC. ) ~,t~.i3;din„Permit ~ui~ling.,€flrQk Type ADDITION ae 434-ALT. RESIDENTIAL F _ „J t ,Ted P .fie i ce a Vii; ~T{=w+~ c ~~wi'ar 9:"'* qq to i`stw'"a a+ v ~vfr~ i^ £ xk ` iN t*~S!. ~ NV { PY pfd[ Qr' afA...PV °C 4 i rv*vm 1 1 asi G4 '"mna9 9rrt ~Ai= s,= . "aaLS hs }unaTF REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY- VALUATION $12,000 Base Fee $187.25 Plan Review $93.63 Surcharge $6.00 Total Fee $286.88 CONTRACTOR: - Applicant - ST. LIC.OWNER: MILLER CONST, JOSEPH R 18925105 0005170 BIANCHI-KNOD TOM 17171 IPANA AVE 612 AUTUMN OAKS CT LAKEVILLE MN 55044 EAGAN MN 55123 (612) 892-5105 (612)623-1310 I her'epy ocknow3 #ge that~x r" eat bYs apfsli a a _ d st y t in o_r3natlpia -3s 'cox vct an'd ajg.r o0 a ardmply. >ar'th 01 APT" "Icab Stack r~`•ti Mn StdtGtesnrix, Gly',ta£E'r'Ortfn¢nos~ f' „ u..... ~K.,.., _ _ i i , _ APPLIC NT/PER ITEESIGNATURE ISSUEDB~/~IG T~UREE CITY OF EAGAN 13830 PILOT KNOB RD - 55122 1%461 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) L 681-4675 041~ J e New Construction Reauirements RemodellRecair Requirements r I JIu , . ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam d window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ / energy calculations ♦ 1 energy calculations for heated addillons ♦ 3 copies of tree preservation plan ti lot platted after 7/1/93 required: _Yes _ No Z/ ev>,. OL~ DATE: CONSTRU TION COST: DESCRIPTION OF WORK: o ` 2 LAS STREET ADDRESS: h Z 7~ { 0.1 LOT BLOCK_ SUBD./P.I.D. Cor v- NalluwJ ~ I~IGr7lrll ^~c~Ol PROPERTY Name: TO Phone 6 1'3 ` l 3 /d OWNER Street Address- City: ee-~tt" State: /v' 41 Zip: o;7 S J2 3 CONTRACTOR Company: 1o5, 14^, `Ch Phone #:y /-~i-~ 31319 Street Address L lolh,~ /fir, Licens'~ # ~ 17y City: -l 44 vl/k State: /0 A/ Zip 5! b 2± ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer x water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 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: -7 LL~Iko~ OFFICE USE ONLY R E CCU E N E DD Certificates of Survey Received 'Yes No I i 29 -i00 Tree Preservation Plan Received Yes o OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex o 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ ~4 SF Porch 13 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous 05 SF Misc. ❑ 10 plex ❑ 15 Deck WORK TYPE S~ Q9`~ l 13 1 New o 33 Alterations ❑ 36 Move 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION ConsL (Actual) VAI Basement sq. ft. MC/WS System v (Allowable) VV Main level sq. ft. City Water UBC Occupancy R-S.o-r sq, ft. Fire Sprinklered Zoning 7z -1 sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~r3y Depth Footprint sq. ft. SAC Code 0_ Census Bldg Census Unit o APPROVALS Planning Building `0i~ Engineering Variance Permit Fee Valuation: $ 12,ooo.oo Surcharge Plan Review License MCAVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units -02 FROM RSM HOMES TO 6814612 P.82 affmoriferm 1?411ic SURVEY FOR: R S N Homes (tic. DESCRIBED AS: f.ot 9, Stock 3, COUNITY 1101.1,0N, f.ity of Ragnn, Dakota County , Ilitwic3ota and reserving oasomonta ol° rocord. 1 a't0O ,eP n AUTUMN OAKS CRT. w ,1n r 66' 08 N as. 00 91u.b . i tia vb al ; 1E« a« 11« a1I. I f $ ~ I b~.t Netit - 33 e. st ue. t s.04 Eattl~ Tt I 1r ItR f arwlw~n~ 1 w g i za. K I s I r& 1 s a I g Ir q L7 W I o tJ I Igo 1 K«- IY a, fQ~ ci u0j I I I I o I I I I t %7j -.t I I, I I r- f t , P o 4q~rl, sag, OWN 05. 00 LOT SO. F OTAGE =16, 320-+ ~jI QPQSEO EiE iATIDHS 6ENCHMARK. 9elb @ 1913 Top 91 Foundellons %mI eta-bi OP 819,3 Iwo 811.01 GatepsFkwr _ az;.5 SAN Q ti'r, eatemenl Floor . g11~.z W sr BBRlt. yt,~Ea1•TS Apprtet. Sawa 9avke Elev.. ryt MIN. SlTeAGK NlOUEIlMENTe Ptopoead Elevellon& e Q Eafaprg Elevdlons Frm -ae House Side • n otalnaee O4ecllo"s -t. Rear • b Oerape We -4 Utnolea oatsl Slake m SCALE$ I Inch • !O F"I Joe NO.: IIIERENYOEMFr TINTTNNATRIIE 11/pCOl111ECi IRPRitENTRTICN AD ri All ORI TO at* 91R 4E3 A/D OF THE NBOUNDANKS EOR OF THE AIM NENSIONA 0004 LU OH YMENR NN t NpMO0901f I~E TO tlt]w a4PROVEME YE11EMe On R 9CRIMAC URNRTRROA41114NIa, uGrr AS WH tllOWN, owN. EOOK: PAGE: P/ennkv Eaolnesrlnp Surwyinp D&O Z 1$ 1911 REN, MR CAM FE.E: nM. 0111. TAIICEtAE NUMBER I47Te AS 11•t 6mwwmmj R-94Y 12-27-3f f1:10AM P002 920 CITY O FA,AN CA!:SHII"li: S TERMINAL. NO: 36 DATE: 0802/96 TIME:: 13:4809 TD NAME: JOSFPH R MILLER CONSTRUCTION 9210 9001 W AUTUMN OAKS 187.23 2155 9001 60 AUTUMN OAKS 6.00 3422 9001 612 AUTUMN OAKS 9::5.63 Total Receipt, Amount: 286.88 CRO6 28 35 USER ID: NANCY mm>x~~~*m;xm~~m~~>x~mm>rm>k~z~~>x>a>x>x~>x~~m~~>x>x>x . 11102 FROM RSM HOMES TO 6814612 P.82 skmalors C 1' r SURVEY FOR: R S M homes fnc. DESCRIBED AS: I.ot 9, Stock 3, COUNITY tlni.t,oly, city or Papnn, Dakota Count , HIOHCSOta and reserving eascmonts of rocord. y O AUTUMN OAKS CPT .n z,o 89' 56" 08 W e5.00 1120.5 1 g I at i, I" ,I I" vb . f eti,. !~N itN g It.N I b. ~e w..e tt , d upw ffi ® I ,.a.Sz3.3 1 11• t.is! Ne f .a.N LO 46. I t¢ 1 ~ 8 ! N fs. I r N 8 N 1 g ss ~ Taos l °o I Ib wN" w' I oar N I I ~ ~ I I / b sII'~~fy~ ~i~ CAV s-- I t•- t`J P 4 S89' 08' W 85.00 LOT SO. F OTAGE =16, 320f PFIOPOSE EiEYATiDN3 OENCFIIIIARK' BwN~ lqy a11., • esj.ev Top of Foundellons • gz4.3 Inv 912-01 Offer Floor .8xx.a S1M11 c q/'5 tiawom Floor . 41u.~ W„1 as.% y..K9m.75 Apprm. newel Savke EIRv.. WA AN SlI KPKOUWemeffe Pmpoad Elevellons .0 E=300mi 31_vd6ns From -.W Houw Side - Drdnepe Dkeelan1 0. 1w Rear •30 Garage $)h •10 Uenma 005s1 sake ■ m SCALES I Mxh a 30 Fat JOB NO., IIIEIEOYetaiFT TINTTINMATIAIE AIA)CORIIEeT RPIN•'liNiafbN ,~~D~~~~ OF tl+a eaaloAalee of sae Aaove DaOWeED NpPeatT As tNIF era 4tt3 YeYFDaYlEQlUleleaMf aaECiggeRN110NAN1000iNDiPlIllpOaf Eft e, eAl:[Pr Ae NIOIrIl TO NWR YWIW LWM OR ORMAO MP, PAGE: Plowing Eratiffrlny SwwybV W4 too lbl.*qr Dow. TAUCRAEIaaAeeatdi►1 ps(A91.2 R-94% 12-27-31 fl:70Ab9 P002 #20 Citu of Eagan Cash Receipt Receipt Date 10/4/00 Time Printed 14:40:51 Rtceiat Number 1110 MINNESOTA CONSTRUCTION 612 AUTUMN OAKS CT 9091.2195 2.00 OF 43097 9001.4085 97.25 OF 43097 6.acelot Amount 99.25 City of Eagan Cash Receipt Receipt Date 10/4/00 Time Printed 14:59:38 Receipt Number 1111 INIESDTRLDN=TRUCTIDN 612 AUTUMN bArs CT 9001.2195 1.50 BP 43098 9001.7085 83.25 BP 43098 Total Receipt Amount 84.75 U_er MMCGRAU 2000 BUILDING PERMIT APPL TION (RESIDENTIAL) CITY OF EAC 1 13 3830 PILOT KNOB RD 55122 651-681-4675 Cs ~u,3_(1J New Construction Reaulremenis Remodel/Reoair Requirements 3 registered site surveys stowing sq. a of lot, sq. It. of house 2 copies of plan and 91 rooted areas (2096 maximum lot coveroas allowed) I set of energy cadculdlions for hooted additions D 2 copies of plans (show beam A window sizes: poured Ind. design: etc.) I site survey for exterior additions & decks D I set of energy calculations > 3 copies of two preservation plan It lot plotted alter 7/1/93 DATE: 9 12 CONSTRUCTION COST: DESCRIPTION OF WORK: rnJ"`~ ~C)U V- ~ STREET ADDRESS. LOT: ` BLOCK: SUBD./P.I.D. Name: k n >C9 TC1 V" Phone PROPERTY Lost First OWNER Sheet Address: qy State: Zip: Company: Vv~ b~1 Co v~S~ °F e S~ J CJi 0"Phone (0~I `i '~-34 t b (area code) C1k-~ Uc ense# ExP• CONTRACTOR Sheet --1 U =fst-a Address: , n City l3 CS s~_~ v\ te: lM hJ lip: ?~~Z{ 2 ARCHITECT/ t ENGINEER ` Company: Nome: Telephone ( ) Sheet Address: Registration City state: Up: Sewertwater licensed plumber (If Installing sewertwater): Phone I hereby acknowledge that 1 have read this application. state that the WorrmoliOn IS correct, arid agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Phan Received Yes No Not Required O F 4$E ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage JV 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 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 ❑ 30 Accessory Bldg. WORK TYPE PP 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code t/ # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) s Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy d-3 sq. ft. City Water Zonings sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building cc~ Engineering Variance 1 m~ Permit Fee K< Valuation: - Surcharge Plan Review uid ~mGfy License MC/ES o~ City SAC 71 6- KS~/ 68, AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 1E I -C SAC Units % SAC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 11 ~ CITY OF EAGAN 1 o 9 3830 PILOT KNOB RD - 55122 651-681-4675 3_C, New Constriction Remiremenh Re /Repair Rearirements > 3 registered site surveys showing sq ff. of lot, sq. t. of house 2 copies of plan aid,Q I roofed areas CM maximum lot coverage allowed) 1 set of energy colcutotions for healed additions > 2 copies of plans (show bean & window sizes; poured tnd. design; etc.) 1 site survey for exterior additions tt decks > 1 set of energy calculations > 3 copies off bee preservation plan if lot platted after 711/93 DATE: q/j*4 a CONSTRUCTION COST: 2 D~7y DESCRIPTION OF WORK: G17 !f'77/~/770^~ / its STREET ADDRESS: l9I z-UITUYr, ~><J7~' LOT: BLOCK: 3 SUED./P.I.D. ~t c^ < < U J 091-V Gam/ /C -71) Phone Z S -S 7 L2 Name: PROPERTY Lost First OWNER Sheet Address: z < / L+ ,J 01t 7G 6' - city ~rfh✓ State: s^"^ zip: Company. , yo mss- ` /as7v/zr7-),- Phone 7G~3 (area code) CONTRACTOR L~`~Y6ss- `73 Ucense # Sheet Address: City "o ~P'"Z v Q L}y(if~ State: zip: ST ~z~ ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Sheet Address: Registration City State: zip: Sewertwater licensed plumber (if installing sewerh"ter): Phone ( I hereby acknowledge that I have read this application, state that the information Is aortect, and agree to comply with on applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. - OFFICE USE ONLY Certificates of Survey Received _ Yes _ No SEP 2 u 2000 Tree Preservation Plan Received Yes - No Not Required I3Y: 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 Id 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storrs Damage ❑ 05 03-plex ❑ 11 10-plex PIN _y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE 31 New ❑ 36 Move Bldg. ❑ 43 Reroof 32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 6 < # of Stories sq. ft. No. of Units / Length sq. ft. No. of Buildings / Width Footprint sq. ft. Const. (Actual) S_aJ Basement sq. ft. Census Code ya (Allowable) L~:L Main level sq. ft. MC/ES System UBC Occupancy R sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building W~ Engineering Variance Permit Fee C? 7 JV Valuation: $ ~G Surcharge ;~.U Plan Review G a License c,- Pr'b a MC/ES SAC City SAC \~K a D ag0k G6 0610_Aa Water Conn. Water Meter Acct. Deposit to e o~ vw SAN Permit a a l08 " S/W Surcharge v G S 1 Treatment PI. Park Ded. f / O Trails Ded. Other Copies Total: SAC Units 01 ~ 77- % SAC . u- nVU n+u IIVIICJ IU bdl YELL P. d1 w' Sk c~orEB tie e c SURVEY FOR: P. 5 M Homes Inc. DESCRIBED AS: Lot 9, Block 3, COUNITY HOLLOW, Ctty of rayon, Dakota Count , MOIW30ta and roiervinF cnacmonto or rocord. 7• o q AUTUMN OAKS CPT. a yap 89'55'08 N 85.00 8'w.D rocf~cp-Ll ; . a 02g21I- 21-:- ' .ZI ~ i U t f/' etil, + 8 tta = r q.a I Edsk Nowt S I wee ~ I ra • S. a~ e.st llr•..r I N 7t 1 ta 'IL si~t I za !LS.A I ti. a i P r.A tM t w g I nw.~°" l S I 9 IL P I LO - Ito E T ~ m 1 g Kan 14 i Ch sL- 4 4 $89' 08' N 85.00 Z~ LOT SO. F OTAGE =16, 320-+ Pf10PO3E ELEYAi16N3 @ So1N@ Igry T ol Fourrdalbns 'w a esb'ar 8x9.3 l • Drt.q Oat erepe Floor a Q $/a Damnertl Floor . 81te-s 8.•87®9. Vww .75 Approx. Sower Service Mv.. N/A WN. MUCK 1119112111111we Proposed Elevations . C> Es7sarq Eterelten. F"d-p Name Side •o Vislpape Dkedons ..+.r near •7e L9aape IlMe •70 Usnaue offset Slake m St:ALHr 1 IrKh • 30 FMI JOB NO.: IIEMYpenT/Y TK%TnIOOAT" A"601 er atapil "TA"M 9rR 4D3 I~E~DL~l~I~D T t M ealfflpAWEa OF TN[ N RSEa ER At MM TmcoerlrtaaulalprlY op1EDT IwteRValoRUnotxeworwawapr TO clew a1PNDYEMENra qi w"UN ERaR VI11181 a1 ilrCiPT AS Aa NIDT111. ~Ql(: PAOE: Plwvft Enorneering SnnreylrW ~7' L ctrl too pw.M ~I' Mew .srr.rTrar Does ~l~J NMR CAM PLO! bWQ CNIr. AIICEMEMI1Mat11TDAe tiSln91•L R-94% 12-27-Jf-f1:10AM P002 x20 00.00 Use BLUE or BLACK Ink For Office Use J07 City I of ETOb*'4j: Permit I I e3 I I I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 1 Date Received: 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: - - - - - - - - - - - - - 2012 7'RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Q ~ v ite Address: AbL+yk,,vn r) QL C f- Tenant.-1 f 6 ?C IVAG Suite RESIDENT / OWNER d Name: VTC- hone: ~I ' LP p? y Address / City / Zip. nul Name: icense CONTRACTOR Address: y; t State: Zip. Phope: Contact: Email: NO ri TYPE OF WORK - New /Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: } RESIDENTIAL Water Heater Water Softener Lawn Irrigation C RPZ / PVB) PERMIT TYPE - Septic System Add Plumbing Fixtures (_Main/_ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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. wrwww.gopherstateonecall.om I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ X t° v -U 01 x LA-tlt~4 L, Appli an s Printed/Name Applicant's Sign re i FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final (to Z Li Ll Use BWE or BLACK hik ~ For Office Use 1 1 Permit I Y ~ City of Ealin +1 1 G~ I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I p Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 1 I Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: f o ' 12 Site Address: Tenant: I o V0 V! OC, Iq - Suite - Name: d 1 l' ne: t ~L7~ - [P U79 PRESIDENT l OWNER h i I Address /City/Zip: UIC4tj fj a4_ jk4 I/ Name: License D 2-20 2 CS I CONTRACTOR ' Address: t 1 614 Vffl '1 I~ Din City: H(A State: Zip: sso Phone: UoS Contact: Email New Replacement - Additional Afteraton Demolition TYPE OF WORK Description of work: - NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE AAir Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit - Heat Pump _ Under/ Above ground Tank ( Install / Remove) Other RESIDENTIAL FEES: i $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) t 06 $100.0$ Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE 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.orp I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x )~fyd x ( J- Applicant's Pr' ted Name Applicant's Signa e FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening s oio.-k- ?Jc~ (-ed 8s) U0. 00 Use BLUE or BLACK Ink 411 For Office Use I I i+2 I Permit I City of EaEd nn Permit Fee: 3830 Pilot Knob Road !j I Eagan MN 55122 1 Date Received: ' Phone: (651) 675-5675 1~ I I Staff: Fax: (651) 675-5694 1 201 f PERMIT APPLICATION Date: I Site Address:( Q 12- (u" ucMil V(d Tenant: 1M °Y C~ ~'k i Suite Resident/Owner Name: r QV l~ t one: lQ`(pg~~~ Address / City / Zip: v y- YVI Name: ~1 LI-M U V1 6 y~ l( [q~ ~1 nV ,;F City. Contractor Address: )9 State: 0~ Zip: E 5~ f> Phone: Contact: Email CJV1 0 L -t.VXL--, Type of Work - New _Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation RPZ PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures Main Lower Level) _ New Water Turnaround Abandonment ~ rl+.0'V..itr V RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.ora 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 pla s. x VCLh4 r x Applicant's Pri ted Name Applicant's Signatur FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA111731 Date Issued:07/09/2013 Permit Category:ePermit Site Address: 612 Autumn Oaks Ct Lot:9 Block: 3 Addition: Country Hollow PID:10-18275-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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. Window or Door:REPLACE FRONT PRE HUNG W/SIDELITE UNIT Perry Firkus Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Thomas R Bianchi Knod Tst 612 Autumn Oaks Ct Eagan MN 55123 (612) 868-5618 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119169 Date Issued:11/18/2013 Permit Category:ePermit Site Address: 612 Autumn Oaks Ct Lot:9 Block: 3 Addition: Country Hollow PID:10-18275-03-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Kirk Robideau Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas R Bianchi Knod Tst 612 Autumn Oaks Ct Eagan MN 55123 S Robideau Construction 11044 Industrial Cir NW, Suite V Elk River MN 55330 (763) 434-1418 Applicant/Permitee: Signature Issued By: Signature � VVM 0dWr1V4-I V� I+R�/"�3I11��i�a ��..������������...w�rti � Far Oifice Use � ' �� �� . ' j Permi##: � � ��� ���� �.lL�. � . �/�` ,' j � � � Permit Fee. � l�J �' � 3630 Pilot Knob Road � �.��.--�� Bagan MN 55122 � Date Received: � Phone:(65t)675-5675 �.� , '�"-'� �" � I F�x:(65i)675-5694 I Staff: I ��� ; .�{ C�p`�' �___...__________..__.; 1 b 2015 RESIDENT'IAL BUlLDING PERMIT APPLICATION Date: 1� �t SFte Address: �P I � 1�'�t,"fi"u,��.•�_(�c�-� �$", Unit#; ,M,a,..�..,a...�...�,,.�. �.._..� Name: '�'b,nn_ � '�1.+��'v-�--r �a�-�-.��i'-��ione.�,¢1�-9-�� '��-�'� Re�id+�n't/ � � � (}��e� Address/City/Zip: Applicant is: Owner Contractor �� 7yp�of VVork r!� Description of work: �-'�,��„�.�'vti-�,��-•. E� �`'��'� +,y� Construction Cost:`� o� �'�.�,�'� Multi-Famfly Building: (Yss /No,�} .��,;�:,,,.;e.,w .....�.�.,��..�,.�..�.�.�.�..�.�..�� ..�.o..v., . Company: D ` Cantact: �,,,� ..:..: . . : .� ,�^ f _ ,.: :. . .. ddress y ..... - ..: ': ;` A : d;�i f PX'w� ►��e�� f.-�"' � ,Cit v'1/��u ti..� CD�i�I"AC�OI' � S"�'�- - � I �.:,.::.. h � I . :.. , :. ... , ...... . State�,— ip:���,�P one:� �x�`�t Q{Emai: D� � , �?�' �U�!f' �{ � . ' ' l.icense#: U '7 Lead Certifica#e�: If the project is�xempt from lead certi#ication, please sxplain why: C�MPLETE TH�S AREA 4NM.Y IF CONSTRUCTING A N„�,�,W B,UMLDINCa In the iast 12 months, has the City of Eagan Issued a permit far a similar plan based on a master pEan? Yes No If yes,date and address of master plan; Licensed Plumber: AhQne: Mechanical Contractor: Phvne. ,_ _ .. Sewer&Water Contractor; Pha►�e: Flre Suppression Cantractar: Phane; .. .... .. _ �,,..rA� <�Y.�.�,v»,.,,..�a.� ,.�.�»�,W.�„�.A.. .,�, m.�..�� NU'T! Ptans:�nd suppbr�`ir���docur�i�nts#hat;�ou sa�mif ar�considered to be put�(ic inf�ri»atlt��. PO�trvn�S;af' the tnforma#�o�i:may be+vl�ssifi�d:a�nq�i:p�xbfi��t you prC��r"de speC�1�i�easons:that:w�ould.pePrnit�f���f�y:to . , , i�o.�af�d�Y�h�t#he a�re f�ade secr'ets. .�,�,;:,�:,�.:.�.�,�.:.�;:,��w;:.e_:..,�:w..�,�,�.�..ry:��.�..�. ..�� � CALL BEFORE YOU DIG. Call Gopher State One C�il at{661)454•O4q2 fnr protecFlon agafnst underground utilRy damage. ��Il�8 haurs before you intend to dig to receive locates of underground utifitfes, www.aanhersta#eonec�ii.ara t hereby acknowledge that this information is compleEe and accurate;that the work will be in confprmance with the ordinances and aocles nf the City of Eagan; that I understand this is not a permik, but only an applica6on for a permit, and work is not to start wiEhaut a permi�; that the work wili be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterlor work authorfzed by a building permit issued in accordance with the Minnesota State Bulidln e mus e campletecF within 180 days oi permit tssuance. �� � � x - App icant's Printed Name`� b �' Applicant's Signatur Page 1 of 3 vv ��v� ���►��� v�a,.vr■ ��r�v �.���` � SUB TYPES �"/�� �.:�t,t..�'�I,r'� �''�t�� C�� � / �Ll�l�'.� F.�undation _ F'ireplace _ porch(3-Season) � Exterlor Alteratlon(S9ngte Family} � � Single Family Garage _ Porch(4-Seasan) _ Exterior Alteration(Multi} � Multi � Qeck./Vfal/� _ Porch(Screen/Gazeba/Pergola) � Mlscellaneous _ 01 of_ptex r Lqwer L�vel _ Pool _ Acc�ssory Bul[ding WORK TYPES New Interior Improvement Siding ,� Demolish Building* � Addition � Mave Building � Reroof � Dempllsh Enterlor � Alteratlon ,_ Fire Repair _ Windows ^ �errtnllsh Foundatian � Replace _ Repair _ Egress Window _ Water Damage _ Ret�i►ling Wall *Demo[itlon of antire E�uEldtng--glve PCA handoui to applicant DESCRIPTit)N Valuation 3�a~ Occupancy .Tr2G–/ MCES System Plan Review / Cade Edition oi"� SAC Units `— (25%� 100% ✓ ) Zaning jL–� City Water ---� Census Code H 3 4 Storles — Booster Pump #of Units I Square Feet ;�G PRV #of Buildings � l.ength /G Fire Suppression Required -- Type of Construction ;� Width � REQUIpED INSPECTIONS Foo#ings{New BuiEding} Meter Size: Footings(Deck) Fina[/C.O. Required Faatings(Addi�ion) � Final/Na C.O. Required Foundation � HVAC Gas Service Test Gas Line Air Test Roof:�Ice &Water �Final Pool:,TFootings Air/Gas Tesfis _Final � Frarning Drain Tile Fireplace:�Rough In ,�Air Test _,_,Final Slding:�Sfiucco Lath �Stone Lath _Brick insulatfon Windows Sheathirog Retaining Wa11;,�Footings�Backfill��inal Sheetrpck Radon Contra! Fire Wafls Fire Suppressian:__,_Rough In TF�na� Braced Walls Erosian Contrai Other; Reviewed By: , Building Inspector RESIDENTIAL FEES �4 � ���� � �� Base Fee �'g'� Surcharge Plan Review �7–� MCES SAC �- p at R�rt _ � _• a.e.�t.+w.H►/� t°�a.�„`r Utillty Cannection Charge S&W Permit&Surcharge Treatmen# Plant Capies TOTAL Page 2 of 3