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4274 Beaver Dam Rd Use BLUE or BLACK Ink r For Office Use i 77, l My n IU1f Eajan j Permit 1 i Permit Fee: I 3830 Pilot Knob Road r I Eagan MN 55122 i Date Received: i Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 `staff --------------I INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water 74 Date: 7 _.z O Site Address: '-I o?, / L) fi ea V er L)a ►yj Road Tenant: _p a V 1 j 11 ° C r i S J A n Suite Name: D G v i j4 vI Phone: 6 / O / RESIDENT /OWNER M, ' Address/ City / Zip: N ~ 7 $e ve r N /V 5_5_I.~2- ZZ q Name: c•e__s 'r"c_ License Q S 9 5/SS t3 s1s CONTRACTOR Address: C3- 0 u / City: State: ovi N Zip: 9_1z." Phone: a 2S 2- Contact: M 'r )it .S c 1, ~ 1 #z Email: Pl l ye PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: ri; } rv 5 + DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ S S • O 6 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hail at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.ctopherstateonecall.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 of plans. x 'X9- %tJh x , 1. A Applicant's Printed Name Ap licant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground !Rough-in -Final This request void i 1 q Itz C d 18 months from 7 l I Request Date Fire No. Rough-in Ins tion Required? 0Ready Now ® Will Notify, Inspec- 7-2-84 R1 Yes ❑No for When Ready ® Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address,. Route No. City , Beaver Dam Road Egan action No. Township Name or No. Range No. County Dakota Occupdnt (PRINT) Phone No. Mary Kay & Rick Shorn 854-9604 Power Supplier Address Dakota Electric Assoc. 4300 220th st. SW Electrical Contractor (Company Name) Contractor's License No. Robbinsdale Electric company 039642-6 Mailing Address (Contractor or Owner Making Installation) 3754 West Broadway, Robbinsdale, MN 55422 Auth~zed Signature (Contractor Owner Making Installation) Phone Number 333-6930 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS °07-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION gft EB-00001-04 See instructions for completing this form on back of yellow copy. n Y lam~ Aw X" Below Work Covered by This Request Neei Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace No Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they (Specify) Other (Specify) Other Specify Other Other ompute Inspection Fee Below 8 Fee Service Entrance Size # Fee Feeders /S ubfe ode rs # Fee Circuits 1 • 0 to 200 Amps 0 to 30 Am s 10 25 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swinmin Pool Above 100-Amps Above 100-Amps Transformers Irrigation Booms Partial,`Other Fe Signs Special Inspection S 35.00 T AL FEE Remarks 3 ( 02 of e ~r Rough-in D th ctrical nspector, hereby certify that the above Final r Date inspection has been 4do 4!% , made. This request void 18 months from ~t CITY OF EAQOkN ~ 9108 t 3930 Pilot Knob Road, P.O. Box 21-120, Eagan, MM 55121 • PHONE: 454.0100 nu!"s Ifth"T Receipt # ,s I R To SF DWG/GAR Est. Value $58,000 Date MAY 25 i9 84 4 274 BEAVER DAM RD [JK Occupancy Site Lpt Ad Mcck_10-7297?-:150-0 IF T Erect ❑ Zoning hated N& Repair ❑ Fire; one Mme RICK 4 MARY SCHORNvi0rg° 13 Type of Const. ❑ # Storms IMdrses Demolish ❑ Length 1V Phone Grade ❑ Depth Sq. Ft. CON ST Approvals Fees fierne . 0 0 ~ Assessment Permit APPL " ` ' no 432-4298 Water & Sew. Surcharge 29.00 Police Plan check 153.50 ~plnwe Fire SAC 525.00 470.'OQ w _'}dtkees • Eng. Water Conn. Phone Planner Water Meter x63.00 _00 Council Road Unit ' Lave read this application and state that .Bldg. Off. ! on Is is" -44d agree to comply with all oWic*W* Vo* 040ft ism- ,r»"and City of Eagan Ordinances. APC Total -51o807.50 Signature at natitt, A ie MCKLY CONST on the express condition that rrk dorm f4 i I opfficome statutes OW City of Eagan Ordinances. ~t^II~: -~ed~ !illy PMrwit 1M~. 14~1d~r IKLV A.ac. _ .o ' I t g +rau - obp. ftww abowle ~t Y tile. imp. chbw FSD*W Foaodttdan 0 Poll. inMal~tan P*M Pft F %d MYAiC Rind d1R► , I w.ar ~cTt jiO~r ~,e-~` WWI Graw Pr. Dimp. 111ECHMICAI.. P§RIRIT P'GMk Nss. CITY OF EAGM -2- 3 - C/ Fft f1Alrt nu bcvdWacas type or Print Awboy TOL a 1. 7 ! 3 S y 2, installation Cost /,q O ° • °y -3 Job Address lf-27y 13c~ vev M lot ~ S Elk. ~ T 4. Ovwer !'Yl c ►C ! y C owS T 5. Contractor /uu'R /i5 Hf"(% phone 5.6,7 - 3 5 rI 7 C Address ~zY~/ t3la5~l/! 1`~✓< S~ 7. City I Z I c, L / 1 state r1i rv zip SS~I Z 3 8. Building Type: Residential Lq Commercial ❑ institutional ❑ 9. Work Description: New E5 Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equap"nt BTU - M. Ea. No. Eauinment CFM ! Forced Air 3 Z QOM Air Handling: Mfg L Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg- Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with allor~diinces. ~j co s governing this type of work. Signed : for , Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 AW1n ' ry alp~ . i. it n die IL C~~wVM*r "4A/ 66AZY 9. CRY d?SGmn r j State ziip- i filing Tvve. Residential &fComlmrcial ❑ lrwitvt omi ❑ 9. Work Description: New 4~ Add ❑ Alter ❑ 'Repair ❑ 10. Describe 11. N~o Fixtures No. Fixtures beater Closet tSeespool/l7 rai nfield Bath tubs Septic Tank Lavatory Softner Shoyrer Well Kitchen Sink Urinal/Bidet Other - Laundry Tray Floor Drains Drinking ftn. Slop Sink Gas Piping Outlets 12. i her&bV owti that the above information is true and correct, and I agree to comply wit I ordinerim a d odes giv r 'ng this type of work. Route Inspections. Date Insp. Date nsp. This is your permit.when numbered and approved. Approved CITY OF EAGAN 454.6100 GASH RK]WT `s T. CITY O tAGAN P. O. BOX 21=199 PAGAN, MINNESOTA 55121 DATE t g -67 S T AMOUNT U~y I! 001,L.ARS roc ❑ CASH CHECK FOR Vm/ • ~ FUN. CtlbE AMOUNT - p c),0 Tha 0'. u v 4~21_ _L _ F .White-Payers Copy Yellow-Pasting Copy Pink-File Copy CITY OF EAGAN Remarks f~V, ll /say Addition SM CLIFF 1ST Lot 18 BIk 1 Parcel Owner Street 4274 BBAVBR DAM ROAD State - W SS122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. g 1970 690.OS 69.01 10 STREET RESTOR. -6 1981 2030.40 203.04 10 1219-24 C008766 -30-84 GRADING SAN SEW TRUNK 01 1971) . 3.06 25 3o-64 cong766 -30-84 SEWER LATERAL ZS{Z 1974 2,95 15 11-87 CODS766.- -30-94 * Sewer Lateral X45 1981 4441.97 10 2651 -86 -.-MQS-766 -30-84 WATERMAIN * WATER LATERAL 110 1981 10 WATER AREA 1 93.55 6.24 is 18 7c) C008766 5-30-84 STORM SEW TRK 05 1971 322.29 16.11 20 96-75 12008766 - STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.0 5 --5--M-84 WATER CONN. 470.00 BUILDING PER. SAC PARK ~ For Office Use _ I of Eapn I Permit#: Lily ~ I I / l Permit Fee: rF ~r I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: L----------------J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: H 9~ en V`10 Tenant: 0 0., y I rd In 'r 1 -~I (at-ll~ Suite RESIDENT/OWNER Name: 0-1-yr1 S-tq n Phone:L`)I - OS~- 09nc- Address /City/ Zip: c) i{ PCs V of rrI Applicant is: Owner X Contractor TYPE OF WORK Description of work: 2P-,^0VP-/ p-t-Q 1 n CR ~34 Y? a as~l^ a N S ~)1,-YE ) Construction Cost: Multi-Family Building: (Yes / No x CONTRACTOR Name: i cl vt c~l~Ci~ S Re S+-Ora`k l v) License D Address: LJO `06 b-- 6 j,/6?L City: ~ n !211 t C~ State: Zip: D Phone:-7( 3 - ?(a - (O 1 Contact Person: P-S~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / Applicant's Printed Name fffttt~'~~~~ Ap ant's Signature Page 1 of 3 J~ L J i a /'MV'P R er ,J ~y d-~ nt I tD1 ILA 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan a 33 a 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Reoair Requirements Office tlse:Onty 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan ted49 ~Y Recd - Y (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions free Pie' Plats Redd _ Y 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ire Ares t2equ"dl T Y Id 1 set of Energy Calculations Addition - indicate if on-site septic system On-stf .800 System _.Y . N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date c:~ 1 13 / 0 A Construction Cost T L (J , 0 Site Address 427 J-1 6eave- r Dam Rd - Unit/Ste # Description of Work Rr ~1-, Multi-Family Bldg _ Y N Fireplace(s) 0 - 1 - 2 Property Owner y)13 0 l( ! Y` I, l ,11) Ls-h(-) 1 Telephone # (LOS I ) Q C •_1 "f 1]"I Contractor U I r~idC0 CI~nCQ,J~S O~ M10 nC n Address qq 0 1_-D n e- 0a r-, 120- 11 City 7 0Q I State M 0 Zip Telephone # (l c `~i) 05 1 V. 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 (.l submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constry in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. V Licensed Plumber Telephone # ( ) Mechanical Contrar of r Telephone ) ) Sewer/Water Contractof 4 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 pplicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 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 Fact. 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_Y 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 ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. R. 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 _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing - Siding _ Stucco _ Stone - Brick Fireplace _ RI. - Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total s ~.n,7s RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EA GM 3830 PILOT KNolli RD - 55122 fi51-BB7-+i87S ..r r~walmeiiep fZetAltrefll~lf~ • 2 boom d 00 . 3 registered site surveys sho+rrinp sq. R of K a4• ~ of hoe+ee; and ~ meted area . 1 set of En W0* for 11600690 1 site survey 1& stow ne & deft 2 copiesm of plan h wing teem window SIM, poured bo d deslyn, Or-) . tndiwW 4 hem s bysej* aim f0r • 1 set of Energy Catrxrlations 3 oopies of Tree Press sd Rim Joist Detail 00" edd (cgs with 3 or less its) 0 b VALUATION DATE JOB SITE ADDRESS- W 6 94 v IF MULTI-FAMILY BUILDING, NOW MANY UNITS? . PROPERTY OWNER il1D f gab/ q FIREPLACE(S) TYPE OF WORK PHONE~#" APPLICANT ~ ~ 1 N ~ ARK ~ t ~ zip C~►D>e»....,. ADDRESS u~ zlfl~ ? y FAX; PAGER # CELL PHONE L INC~QNY FILE: OuT COMPLEMY . MINNFSOTk RUIM 7670 CAT~RY FCoddeCategorY Resldentiai Van~tatlon CateBory 1 Worker UbMlObd, _ Energy Envebpa Calculadons SubrnfW MINNESOTA RILES 7672 - New Energy Code Workshee# Subs Phone . Plumbing Contractor. Lawn honer Fee: $90'00 Plumbing System Includes: Water Softener - Sprinkl _ Water Heater No, of &I. Baths No. of Baths Phone Mechanical Contractor Fee: $70.0 Air Condioning Mechanical System Includes: - H eat Re ov e System Phone # . Sewer/Water Contractor. All above information must be submitted prior to processing of AWIc8bon. gy~---~ -I hereby acknowledge that I have read this application, state that the ihforrnatlon is corn®c . cagr+~ campfy with all applicable State of Minnesota Statutes and City of Eagan Ordlrtdnces• Stgnah"of Applicant Ac~ Certificates of Survey Received - Tree PreserVSUon Plan Received Idol RequW ar®a Vol Corti "OFMCE "USE C Y... I3 01 Foundation ❑ 07 05-plex O: f'3 1 i 02 SF Dwetli Pool n8 Q 08 Mplex D 1a Fkep" 13 30 A ,W gldg 1 Porch ( a.Z; 0 x03 01 of plea ❑ 09 Of-Flex oil Cl 2 22 D 04 02 piex 13 . porof l . (4ai O 10 Mplex C7 is F. i3ecslc O 05 03-ple~ 0 11 1 23 " PAft (Screened) A 36 _ 'll~ll~ltl ❑ 08 04-plea 10-p is d 1S Lower Level 0 24; Sp f1n Mama Q 12 12-plex Pf_y 25 'MWcqm8r4mg ❑ 31 Now ❑ 35 I Improvorwe 13 3g C) 32 Addltlon Don (dnfaclri ❑ ` •t4 S ❑ 33 Alteration O 42 . 0WONih (Foundation) 0 45 Fine t ❑ 37 Derflash ($tc~j" ❑ 43 Reir~# d 34 Repwcenjent ( ni 0 46 yil ~ ~ appilaant . . V#Iwtton Census Code W-0 aotm SAC Unit CRY Water' Stories - Mr. Of units l iar PUMP Nor. of 81dgs Type of Const Wift 3 ......~,..:;y Footings (new bldg) QUIRED 1 SPECTIOM Footings (deck) FUC.O. Footings (addition) 1u~1/Ala"C. Foundation 1s}ing Drain Tile HVAC, Roof ~ Ice & Wad Final Framing Ode Fireplace _ RI. Air Test g l?S ool AuIc Tests Fioa1 Insulation - Stw wia&m OIL Pt) ApPMftd , Bass Fee .,._..._.__Y Surcharge - Plan Review MCIES SAC City SAC WSW Supply & Storage S&W Permit & Surcharge Treekrtent Plant Plumbing Permit McCtMical Per nit License Search COP" Other TOW r _ CITY OF EAGAN 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9108 BUILDING PERMIT PHONE: 454-8100 Receipt # S I~j 4 To be used for SF DWG/GAR Est. Val ue $58,000 Date MAY 25 1 984 4274 BEAVER DAM RD R3 Site AdFf~ss Erect [X Occupancy Lot i1 Block 1 Sec/Sub. SUNCLIFF 1ST Alter 10-72975-150-01 ❑ Zoning N/A Parcel No. Repair ❑ Fire Zone RICK & MARY SCHORN Enlarge ❑ Type of Const. iu Name Move ❑ * Stories Address Demolish ❑ Length 55 00 City Phone Grade ❑ Depth Sq. Ft. MCKLYN CONST Approvals Fees ,o Name _ uu Address 130TH ST W Assessment Permit $ 307.00 t- City APPLE VAL Phone 4 3 2 - 4 2 9 8 Water & Sew. Surcharge - 29, 0 0 Police Plan check 153 - 50 oW Name Fire SAC 525-00 19 Address Eng. Water Conn. 470- 0 0 ULD <W City Phone Planner Water Meter 6-1- 00 Council Road Unit 260.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $1,807.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: MCKLYN CONST on the express condition that all work shall be done in accord all opplicabl t e o innesoto Statutes and City of Eagan Ordinances. Building Official r~~ ~y~ ' C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tot 945-3646 1381 EUSTIS St. 5T PAUL, IAINN. $6108 FOR: McKLYN CONSTRUCTION INC. ~4~ ¢ Scale: 1" = 30' ~o •/~4? O Denotes Iron Monument C f yti a . 'r \ \ f / NOTE: o Denotes Wooden Stake V. 'VQ Proposed Garage Floor El. 898 83 (898.5 Denotes Proposed Finished Ground El. -qq nenotes Direction Of Surface Drainage b Vertical Datum - N.G.V.D. 1929 ! bv q Lot 15, Block 1, SUN CLIFF FIRST ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE iOUNDARIES OF THE LAND AlOVE DfSCRIRED AND OF THE LOCATION OF All BUILDINGS, IF ANY, THEREON, AND All VISIKE ENCROACHMENTS. IF ANY. FROM OR ON SAID LAND. Dotod this 'R!2~ day ofV _ A. D. 144 C. R. WINDEN i ASSOCIATES, INC. by Svrvlyer, Minnawte RoRiNratio~ No "776„ 0 CITY OF EAGAN Include 2 sets of plans, 1 Certificate of Surv+-y• 4' 17i gF G~.iU ING PERMIT APPLICATION 1 set of energy calculations. ,,,~~5 C7C~C7'- 1b Be Used For ! til(all~ Fin. valuation Date Site Address %&w., ~A4, OFFICE USE ONLY Lot _ Block ( Sec. /Sub.`~~, .-r Erect Occupancy 2-3 Parcel 1 O a - ) O / Alter Zoning R- I Repair Fire Zone f/A Owner: ~c IN~LiC~ Gehl Enlarge Type of Const. SC Move # Stories ft. _Address: Demolish Front 50 City/Zip Code: Grade Depth 5CP ft. Phone #:S APPROVALS Contractor: Ikc)-L " Assessments Permit 3077. ° Water/Sewer Surcharge Z Address: '7340 1-502 4a k L-) Police Plan Check 1 5 3 • City/Zip Code: ke ~14LL94 1'` `(Z = Fire SAC 5?5.= Eng. Water Conn. D.°-° Phone Z 4 Z Planner Water Meter (v "j . Council Road Unit ZCa4. Arch. /Eng• Bldg. off S Address: APC City/Zip Code: r s TOTAL Phone Ir n h 307.OC+ 2 9 • O c+ 153.501 525•0C1 470.00, 63o0C 260•JC t l II ~i 1° 0 7. 5 0# I ( 1 (1~ 6 w ' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER C rrAf-L) SITE ADDRESS LE.Z ? 4_ ?~li44J rL a,.,, L Q o CONTRACTOR WC.. DATE 9/z4"1i`4- PHONE 432-- 4ZI Determine working square footage of each. Z2U.(ifv 1. Total exposed wall area Z L> c) L. sq. ft. X I( - . onto 2. Total roof/ceiling area a> ,2-,:::f sq. ft. X . 2Cv, 52- ~ A. Total wall window area B. Total door area 4 O~i( C. Total sliding glass door area Q,`((o D. Total fireplace wall area n(( E. Total wall framing area (average 10%)........... iL.L 710 F. Total Rim joist area [ZI..D a G. Total Net wall area above floor 1 L1 Total exposed foundation area H. Total foundation window area 1. Total net foundation area above grade........... Determine "U" value of each wall segment. a. l i _ ] X "U" b. X tfu" -o,7 = L 54 C. X "U" .55 = 'l_i 8:f d. X "U" e. IL OL X ov, . 05 f. 1"..Zch X "U" 0" 1 0 g• /A17.0 X "U" _,-,s43 = -51F h. X "uel = uId i • ~3~.4-b X bull _ 3 ...................................Total 2L4-,--3 7f item 03 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Z a j. Total skylight area /1 k. Total roof/ceiling framing area (average 10%)...... roL.cS 1. Total net insulated roof/ceiling area 41 A,a Determine "U" value for each roof/ceiling segment. J. X "U° X "U" .v~ LA ./-O 4 .....................................Total = Z3-3fo If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3-and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ ` - OAtt, SrrTiGNS NC+T" . Gs~- 15% of opaque wall area for frame construction Construction R-Value I 1. i r it film 6B 2. ~ 3• "inches soft wood 4, a 5. Q%P46 ~l0`7 BASIC 6. Exterior air film 0.17 WALL Total P'c ; = A, `t 1 LL FIG. #1 TOPVIEVI OF FRhME WATT. 1. Interior air film 0.68 2. _4 3. ' 4 . z t. t L65ula~ i.~ i~ d2 Q 2-0 ~a ' ~J 5 r~ ~ e.i.La. . 4 7 _ 6. Exterior air film 0.17 FIG. 42 Total = 2 off. _ _..d...___. 3 LA - .04-3 1. Interior air film 0.68 'arm 2. a. ~ p 17 I 3. 1 " LCt~a.c(a.~s =..4 4. Sr!L Fs. L 3 5. Perlpheral 6. Exterior air film 0.17 i"j nor Sti? Total y_,L P}. Y 1. Interior air film 0.68 . . 'iJ~TYCN ~ o ~ ~ 2 FDv~ 3. k~L1. 'r ; G. Exterior air film 0.17 ~ Total SLAB ON GRADE p-. 6 / rot ~ • • ~ (r FIG. #4 t'- ' y f FIG. #3 r lei x l(r irr . NOTE: Indicate tyne, ,,•value, depth and • rIaecrwnt of insulation. . J WALL SECTIONS M-IT- . Use 15% of opaque wall area for frame construction Construction R-Value 1. Interior air film 0.68 2. 3, inches soft woad 4. 5. BASIC 6. Exterior air film = 0.17 WALL ~ Total FIG. #1 TOPVIE4 OF FF"M WALL 1. Interior air film 0.68 2. 3. 4. r-~ 5. 6. Exterior air film 0.17 FIG. #2 Total 1. interior air film 0.58 'rte 2. 3. • <<..u 4. `C 3 5. , ,?a i c~~ ~ . . • - 6. Exterior air film 0.3-7 Total " 1. Interior air film 0.68 r 0~ . 3 k'AS.I, C 5. 'r. • - L4 ~ 6. Exterior air film 0.17 Total SLAB ON GRADE 4 ~ n i • . S zz. s` f!( tit Je~ FIG. #4 ' /f! ffE FIG. #3 NOTE: Indicate tvoc, "T" valur,, denth and • Faacont~nt ni in,ulat9:?n. - ROOT /CEILING Construction (Use for Item L) R'v e 1. Interior air film 0.61 2. _ 5 L 3. C1t '-3g. io&-Lcnc:wA .A4. aC_. 4. Exterior air film (still) O. 1 t~ 1 t ( Total ~c 4~~ ; 7th VE= CLG. FRAMING(Use for Item K) Vented Heat f 1OW up 1. Interior Air film. 0.61 2. .56 3. Inches soft wood 3L' ¢ -3t_ FIG. #5 4. Inches insul aboyg 'frami.ng Z(o. oo • S. Air Film 0.61 ~a# 1Z 52 jig • '►a~• .~i41"'~Z,~'T1i_=l'~'~~'tZ~~"A`n i_C-..44LR.Q7S F+, i Z„~t _~,~YJ 1. I,aterior air film 0.61 2. 3. I : a 4. Exterior air film (still) 0.61 Total Heat flow up vented FIG. #6 3 1. Inside air film 0.61 . .y{a2~ 1► 2. S. Outside air film 0.17 Total 1 2 . R Note: Use additional sheets if more sFacc is h0y-~ needed for details and calculations. Heat ' flow up VT.r. 07 CITY Or' +4GAN WATER SERVICE PERMIT 3830 b Road 5516 P. 1199 PERMIT NO.: Eag n, 55121 DATE: 6-4-84 Zoning: Rl No. of Units: Owner: McKlvn' Conet - Address• 429 T6t6; ` am Road L15 B1 Sunclif~ist Motor dress: Eef~l., Ember- No.} t6hriktion Charge: 7 ize: d Ao"nt Deposit: 15.00 P Reader No Z DO permit Fee: 10.00 pd I come to comply with Hie City of Eagan Surcharge: .50 d Ordiaanea. Misc. Charges: 63. 00 P meter A4 Total: BY Date Paid: Date J IX: f gf 4!z e, L Insp.: J; CITY of EAGAN WATER SERVICE PERMIT 3830 PilotKpob Road 5516 P. 0.16ox 2,1109 f- PERMIT NO.: - Eagan, MN 55121 DATE: 64-84 •`ti Zoning Ri No. of Units: Owner: 999in cOt'!>tt Address: Site Address: = 4274 NeaVer Dam Ron L15 $1, uuc • . T: Plumber: Petae Plba 47U-.-UU pd Meter No.: Connection Charge: Size: Account Deposit: 15.00 p-4 10.00 pd Reader No.: Permit Fee: 1 agree to edmply with the City of Eagan Surcharge: • 50 pa 153 • VU dts fir`' Orlinanow Misc. Charges: Total: BY Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Kp9b Road a 6703 P. O. Box 21199 - PERMIT NO.: Eagan, MN 55121 DATE: 6-4-64 Zoning: R1 No. of Units: I Owner: MCKlyn oneC Address: Site Address: 4274 saver Data Road L15 B Sunc i! S Plumber: Q ile F1bg 3-25-b4 43598 1G0.0U pga agree to eoempy wldh the City of Began Connection Charge: 42 3.0,0 pd "Maness. Account Deposit: -PCL ro. 00 pd Permit Fee: Surcharge: BY - Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 2/a4 CITY OF EAGAN APPLICATION FOR ' PERMIT SEWER AND/OR WATER CONNECTION'. (PLEASE PRIH1). Y PROPERTY ADDRESS r % rig C LEGAL'DESCRIPTI i o 77, g--- 1' c~ ri :c (t►' JJ 7' ~c cY. (Lot,/Block vision or Tax: Parceh I.D. Ntanber)i IF EXIST2~r. STRUC- URE 'DATE OF ORIGINAL EUILDING Phu IIT ISSvANC i PRESS Z %71 - JI2r,/PRL3POSED USE:- R-1 SIN=,' FAMILY 0 R-2 DUP'IM (TWO: UNITS) ❑ R- 4 APART /cqIDCM:LNIUM . ( UNITS ) CaMMERCIAL/RE`TAII;~C 'ICE II~USTRIAL, D ' p INSTITuricNAL/GWF.RN uw PLEASE PRIM 1) 2) APPLICANT _ NAME: ~j i ' ; X C t~ v~~-7- ADDRESS:'~ CTTY,. STATE, : ZIP: Aa L V~ T , y1 l s s % ' y;. PTflONE= y,A- 16' PLEASE PRINT FOR CITY USE ONLY , 3) PI~MBER ~j / ' ! h r /G~.vn p n P qm RS LICENSE ADDRESS ' iu Ail Y M r r1 a Active CITy, ~ STATE, ZIP ~1 t' m r n ~ MAYILK Expired not of PHONE,:.' k, I - hp~ v PLUMBER LICENSE N r R, a ni ra 4) 0CCIJPANT/CJI^1[`3ERI - (PLEASE PR I N 1) v ADDRESS 3 o S 7. kj CITY, STATE.;.. ZIP:: ci n PHONE: :A61, fop 5)LINDICATE WHICH PERMIT IS HEINC:` RDrWE.STM: 4 I~; ,OOI3~QN 'R? CITY SD7ER `PION ; ;TO CITY WArlFP ❑ OTIm (PLFI~.SE DESCRIBE) 6) IiJ']IG;IE'0,'E7 Pln \SE BOLD APPR ~ PFP4 T MR PIi =UP BY 'ONE: OF, ABOVE TO 1, 2,- 3y 4~ E ❑ PLEASE t(AII° APPRG~VI- , i M ti= (Circle curie) 7), SIG::a'IL7E• DA`I'E•, . ' 2/84 CITY OF EAGAN APPLICATION FOR PERM y~ IT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPT ADDRESS : LEGAL, DESCRIPTICN: (Lot/Block/Subdivision or Tax Parcei I.D. Number) r M{I •='':G ST-RUCT;;I E, DATE OF CRIGk;AL uILDL`tG F.ii- Tc^-l .N -a\\ CE: u f PRESM--': SSE. ❑ R-1 SINGLE FAMILY ❑ R-2 DUPLE-{ (7-%-0 UNITS) ❑ R-3 MYNIHCUSE (TN.REE + UNITS) { UNITS) ❑ R-4 AFAR'I2' --7r/CC`7DC ,=1LM ( U~TI i S ) ❑ COP~MMCIAL/RETAIL/OFFICE ❑ INMUS'r= ❑ INSTITUTIONNAL/GG -EM-Tv ]T 2) APPLIGAN.'r (PLEASE PRINT) MME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) PUZIBER NAME: (PLEASE PRINT) FOR CITY USE ONLY PLUMBERS LICENSE: ADDRESS: Active CITY, STATE, ZIP: Expired NJit. Q Not or Record PHONE: PLUMBER LICENSE # Starr initia 4) OC"[JPA1T/Cf11`TF.T2 (PLEASE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: - 5) INDICATE WHICH PEPI~-LIT IS BEIICG REQUE=: ❑ CC.-TNEC'TION TO CITY SENIER ❑ CONNECTION TO CITY IdATER ❑ . OTP ER (PLEASE DESCRIBE) 6) DMICA,c. QZ: ❑ P=E FOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABCNS ❑ PLEASE MAIL APPRMM PERMIT TO 1, 2, 3, 4 AB07E (Circle one) 7) SIC:,AZURE: DATE: a Y i F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ 5-.d SEWER PERMIT (7'NT $ e. d WATER PERMIT (INCLUDE SURCHARGE) $ 0-•e WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER T^.P $ / !5;7-, ~d ACCOUNT DEPOSIT - SE:,ER $ / S ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ 1 0 AMOUNT PAID/RECZIPT n 1,1~ 7 DOES-UTILITY CONNECTION REQUIRE. EXCAVATION IN PUBLIC RIGHT OF WAY? 7-7 YES IF YES, THEN A"'PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY.THE fl~rl NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: jo ..1 _ 8~Q DATE: +s- ww Wk4W MtM w ~ jM s w w.-Mp w4 W Ie wim w:w ma w on w w w .6 0 t-t y PLUMBING (RESIDENTIAL) sz) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date ! ~S / d3 CHRISTIAN, DAVID 4274 BEAVER DAM ROAD Site Address EAGAN, MN 55122 Unit # (651) 905-4409 Property Owner Telephone # { ) Contractor N 13L S ING CO. (812) 827-4=33 Address 2905 "MELD AM City W. State MINNEMPOUS. MN tp Telephone # ( ) The Applicant is Owner Contractor Other Septic System _ New ` Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system - Water turnaround 518" meter if needed - $121.00) Other: RPZ new installation _ repair _ rebuild. $ 30.00 Lawn irrigation system .F Water softener X Water heater $ 15.00 X replacement _ additional State Surcharge $ .50 Total $ 15. E(O 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 with the Plumbing Codes; 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. Applicant's Printed Name A 's i ature Use BLUE or BLACK Ink r I For Office Use r,, I Permit City of EaI Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L / Site Address: Z I / Unit `~I Name: 4ZV0 0/`7S43~ Phone: Resident/ /_J27N & ) Owner Address / City / Zip: Applicant is: Owner Contractor qi~l r `S / Z43 _)F LAa Type of Work Description of workj - Construction Cost: C~ ®c~ Multi-Family Building: (Yes / Nq~&/ Company: AlksovI CzY Contact: / Contractor Address: Slq~ /N0U5TrG.lA2_ City: State: ~ Zip: SS ~ Phone: -763- to / 9-7D 23 License 6 6 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 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.clopherstateonecall.ong 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 nnesota St to Buildi Jeust be completed within 180 days of permit issuance. X_ x Applicant's Printed Name Applicant's Signature Page 1 of 3 x . j M Use BLUE or BLACK Ink ---For ---Office-- Use I C~ j Permit City of Eap Permit Fee: -70, Lt 3830 Pilot Knob Road RECEIVED I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 AR 3 2014 1 Staff. I Fax: (651) 675-569x4 I I a~------- ---------J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Zy~ Site Address: /.y4 Unit Name: ~,9d d Phone: Resident/ Owner Address / City / Zip: ~Z ~~~~'~~`L /~'°r'✓ -Y-- Applicant is: Owner Contractor Type of Work Description of work: LG~yZ.- ~ Construction Cost: v Multi-Family Building: (Yes No Company: i•N•i3Fx N~ ~rJ s u `~.~+cContact: C fiv Contractor Address: City: /?'Os 6,,.d L,v T Stater Zip: __53_C &f> Phone: % j l 3 I License* ~~Glv ~1 Lead Certificate Notf If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t_"- / "y 7& ED I 9~~ - 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 S 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 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.aopherstateonecall.ora 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 Cddo,must be completed within 180 days of permit Issuance. X__ x Applicant's Printed Name Appl cant's Sign atu Page 1 of 3 l DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace ^ Porch (3-Season) Exterior Alteration (Single Family) _ Single Family - Garage Porch (4-Season) Exterior Alteration (Multi) Multi _ Deck _ Porch (Scmen/Gazebo/Pergola) r Miscellaneous _ 01 of - Plex Lower Level _ Pool _ Accessory Building WORK TYPES - New _ Interior Improvement _ Siding Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior )C. Alteration Fire Repair _ Windows _ Demolish Foundation Replace - Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition h~ti~u~7 SAC Units (25%1000/0Zoning- City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation - HVAC Gas Service Test Gas Line Air Test Roof: -Ice & Water -Final Pool: _Footings -Air/Gas Tests Final Framing Drain Tile Fireplace: ,-Rough In Air Test Final Siding: Stucco Lath _ -,.Stone Lath - Brick Insulation Windows Sheathing Retaining Wall: _ Footings Backfill Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By:~ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant f Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121598 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 4274 Beaver Dam Rd Lot:15 Block: 1 Addition: Sun Cliff 1st PID:10-72975-01-150 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Fixtures:3 Jenny Norell 3185 Terminal Drive Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - David K Christian 4274 Beaver Dam Rd Eagan MN 55122 Silver Tree Plumbing & Heating Llc 1947 Shawnee Road Eagan MN 55122 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121601 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 4274 Beaver Dam Rd Lot:15 Block: 1 Addition: Sun Cliff 1st PID:10-72975-01-150 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. Jenny Norell 3185 Terminal Drive Suite #200 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - David K Christian 4274 Beaver Dam Rd Eagan MN 55122 Silver Tree Plumbing & Heating Llc 1947 Shawnee Road Eagan MN 55122 (651) 319-4200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176095 Date Issued:05/02/2022 Permit Category:ePermit Site Address: 4274 Beaver Dam Rd Lot:15 Block: 1 Addition: Sun Cliff 1st PID:10-72975-01-150 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David K & Shari R Christian 4274 Beaver Dam Rd Saint Paul MN 55122--223 Dns Plumbing & Heating Llc 101 12th Ave N S St. Paul MN 55075 (651) 403-1986 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176099 Date Issued:05/02/2022 Permit Category:ePermit Site Address: 4274 Beaver Dam Rd Lot:15 Block: 1 Addition: Sun Cliff 1st PID:10-72975-01-150 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. When a weather barrier is installed or 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 - David K & Shari R Christian 4274 Beaver Dam Rd Saint Paul MN 55122--223 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature