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3576 Baltic AveCITY OF EAGAN 3830 Pilest Knob Road P, O. 8ox 21198 Eagan, MN 55121 Ioninp: OwnAf; r Lul1t 1(. Addrcss: 51te iWdrress: ? c 7 6 ' z Plurtber: : f-r ->1 Meter No.: 6 3 Size: ?8'? ' Ra? i? Reodar? No.:d 70F87 1?qm? eo emPh wi16 tle O4isawat. WATER SERVICE PERMIT PERMIT NO.: DATE: " " No, of Untts: T' ;!1QWt'?i A ampton llelQhts Chcryes: Totot: 63 . SOpd meter BY Dota Pald: Dote of Insp.: Insp.: /Z - Y-$? CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road - P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE; Zonicg: _ r No. of Units: 'r Owner: ? AtWresa: Site /lddrca:; .1- Plumber. Metar No.: Connection Chor9e: `. CGliG Size: AccouM Deposlt: Reader No.: Permit Fee: ' Is!me ft oemplp wkb NN Cft of Eo"w Surcharge: OI+IMr1CY. MfEC. ChOfyB4: . Tocal: - ? - - - BY - Dote Poid: DoM of Insp.: Irqp.: I CITY OF EAGAN sEWR 5avicE PnmR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NQ.: _ Eagan, MN 55121 DATE: ' Zonin0: Na of Units: Owrnr. Nddrosx Sih Addross: _-?576 r,B?L.ic: AtiE,_?_e ? Plumber. "t-•?? - . . ? (i-. . ?. . . 1 ym te aawplp wMb NN Ciy oi aN¦ Conrnction Owrge: OdiMeeM. Aooount Depoalt: Pe"nit . ? f SuKha?0e: BY Misc. Choroes: DoM of Irap.: Total: irop.: Doft Poid: PERMIT # _ e . - ? PLUMBING PERMR RECEIPT # - CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE m Name m Addre c City _ - Name 3 Addre O CitY ? FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ?• FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. x New X Mult Add-on _ Comm. Repair Other N9. FIXTURES Water Closet - $3.00 - ?OTAL -?' Bath Tubs - $3.00 ? T ? • n Lavatory - $3.00 Shower - $3.00 = Kitchen Sink - $3.00 Urfnal/Bidet - $3.00 ?Laundry Tray - $3.00 ' c' Floor Drains - $1.50 =Water Heater - $1.50 Whirlpool - $3.00 ?- Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL- " `, • -? ? F. C;.:?'• . , . . ' . ' '• . . .. r . y .. . ?..''!`N f ..'( + . . , . . , PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF F?tGAN MN 55121 DATE: l?? ??? ?` 4T KNOB ROAp EAGAN 3 30 , , 8 PIL CONTRACT PRICE: $ 2 00 0. UQ PHONE: 454-8100 Site Address j-' a t C 4 BLDG. TYPE WORK DESCRIPTION Lot - Bl xk Sec/Sub ' xx N "x ' ' ew Res. Name LEL 4:LC f:i?NIGAt ;yEN Add M l ? Address 3600 KeancL)ec ?)rive -on t u R i c Ci ? Eagat' Phone ?+52-1565 r Comm. e ? Other ? Name Fiontier Ca?u»anir.s FEES c Address 3908 Sible `?iemorial El RES. HVAC 0-100 M BTU -$24.00 p Ciiy Phone ADDITIONAL 50 M BTU - 6.00 ADD-OiV AIR COfVQ. 0-24 87U -12.00 TYPE OF WORK ADaITIONAL 6 M BTU - 6.00 Forced Air 8U'UUU M BTU 24 .00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM i 50 BEYOND $1,000.00) Gas Piping Outlets . # Other $ _'S.5U FEE • ?0 SIGNATURE OF PEqMITTEE SIC: TQTAL• OU FOR: CITY OF EAGAN ?.. CIT.Y.,PF EAGAN 18879 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILDING PERMIT Receipt # ?- Tn ha iicaA fnr pECK Fct Valna $1 9000 flaro APR I i 1991 Site A ess f4 OFFICE USE ONLY Lot Block Sec/Sub. PBfC(?I N0. f " Occupancy - FEES bOB T[MIl1G i S[IE RffiID zoninq - 23.00 cc Name (ACtual) Const - Bldg. Permit W ? Addre55 (Allowable) .50 - S h 0 SAG" urc arge Phone City # of Stories Plan Review Length p 8? Name Depth - SAC, City , ?? Address S.F. Total - SAC, MCWCC ? CIty Phone S.F. Footprints - Water Conn On Site Sewage _ ? W W Name On Site Well - Water Meter ?? Address MwCC System - <W Cit?/ Phone City Water _ ?t. Deposit S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge information is correct and agree to comply with all applicable State ol Minnesota Statutes and City of,Eagan Ordinarices. Treatment PI Signature of Permitee APPROVALS Road Unit ?B rijxTxC 8 so ntD Planner - A Building Permit is issued to: 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. Off. _ Copies -?. i Building OffiCial - " Variance • TOTAL - Permk No. Permit Holder Oate TeNphone # WATFR SEVYER PLUMBING H.Y.A.C. ELECTRIC Inspoction Date Insp. Conune+ts Footings 1 Fouridatan Freming F3oofirg Rough Plbg. Rough Htg. Iwwl. FrceplaCe Final Htg. FuW Plbg. Const. Meter Plbg. Inspector - Notify Ptumber Engr.lPlan Bldg. Final Oeck Ftg. oeck Final y2 y- 9 well Pr. Disp. . CITY OF EAGAN ? ?f d 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i Y 1? 5??j PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be used tor SF OWG/GAR Est value $ 6 4,0 00 Date SEPTEMBER 2 19 86 SiteAddress 3576 BALTIC AVE Erect EIK Oocupancy R3 Lot 24 Block 4 Sec/Sub. tLAI'IPTON HTS Remodel ? Zoning PII Parcel No. Repair ? Type of Const Va- Addition ? No. Stories ¢ Name 'FRUi•JTIER MIDZJEST FiOMES Move ? Length 40 3 Address 3 908 S IBLE Y MEM HWY, BLDG ?; Demolish ? Depth p Int. Impr. ? Sq. Ft. City EAGAN Pnone 454-0433 Install ? 2 o Name S?E Approvals ?°, ¢ Address Assessment ~ Ciry Phone Water 8 Sew. a Police ? W Name Fire u = Address En ? g. z i W City Phone Permit 3 5 . U 0 Surcharge 32.00 Plan 162.50 a0 SAC ` Water Conn. 500.00 Water Meter- WT' 50 Road Unit 7-9-T' 0 0 I hereby acknowledge that 1 have read this application and state that the gldg. Off. 8/29/810 Tr. PI. ???• o V information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC PBrks Signature of Permittee Var. Date Copie TO?I r • ?0 A Building Permit is issued to: FRONT I E12 hiIDWr,51' 1'lOh11:5 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official Permit No. PsrrNf HddK Dris TMephone N Plu^Wn9 H.V.A.C. eiectdc SoffMer ImpseNon Date Insp. Commenb FooNnysl FooGnys II FoundaUon Fnminp Rooflnp Rouyh Plby Rouqh Hfy. /o?/ Insul. N Fireplace Find Mty. Z Z, Final Plby. Didp. Fbel --// ? Cert. Oec. Dock Fly. Dkk Frmy. WeN Pr. Disp. PLUMBING PERMIT ? CITY OF EAGAN CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE ? PHONE 4548100 Block ? a? ? ? c Phone FEES COMMJIND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CIN OF EAGAN 3'a PERMIT # - RECEIPT # DATE: ---Z BLDG. TYPE WORK DESCRIPTII Res. ?_ New Const. Mult. Add-on ? Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.D0 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping OuBets - $1.50 (MINIMUM - 1 PER PERMIT-NEW CONST.) Softener - $5.00 t Weil - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: ? STATES S/C: GRAND TOTAL: ?,? CASH RECEIPT . J" CITY QF EAGAN ?-? 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 /r • DATE 19 ( y' ReCHIV6D WAIOM f AMOUNT $ & DOLLARS 1 oo ? CASH ? CHECK , RoR :Ja -7?' White-Payers CopV Yellow-Posting Copy Pink-File Copy Thank You , - BY ..? 66166 ,; , BLAG`. PERMIT NO., ? Z SS ? 3? IG :.7,7.777 v-77-7 0L-1210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL o?/ •1 ? ?' - ? _"/..?!?/ `/dJ j I?w J 5 017 8cA?p y ?j , Reques[ Date 3- 3-7 1- Pire No. Rough-in Inspection Requiretl' G ves ?7 Reatly Now ? Will Notify Inspeciw - Wnen Reatly. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Street. Box or Route No 1 1-?i ern Clty ? G ? Section Na. t l,-,slp Name or No. Range No. tQ ? Occupam (PPINT) 1??? ?ll..V?l?ll Phone No. T- 1T0+0. G ?°L C, Y' 1 L ?? l?l?(l l Vl &O vl 1 V\ EEI lcal Conhx or (ComDany Wam ?' C ? A- i Commctor4 License No. c e , e_L r e Mailing Atleress (GOnlraclor or O er Making Irislallatioo) 3S0 ?i ? ? ? ir? ?o rA. Authonzed SigFaWre fCOnttactor/Q? er ki g Installaiion) Phone Number --7 L-1 L(_t) MINNESOTA STATE eOARD OF ELECTPICITV THIS MSPEGTION REQUEST WILL NOT Griggs-Midway Bltlg. - Room S173 BE ACCEPTED BV THE STATE BOARD 1921 University Ave., SI. Paul. MN SStUO UNLESS PROPER INSPECTION FEE IS PMne (612) 642-0800 ENGLOSED. ? J? ?l?G?qy REQUEST FOR ELECTRICAL INSPECTION F?? /Q ?'?'? T Ill Z01 7 ? See lnsimctions lor co.pletlng Ihls fortn on pack ol yellaw copy. / "X" Below Work Covered by This Request llft? ew Adtl Rep. Typeol8uiltling AppliancesWrad EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Indusirial Furnace Farm Air Conditioner Olner(suecify) Contractors Remarks: Compute Mspecrion Fee Below.* # ' Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee Swimminq Pool 0 to 200 Amps 0 l0 100 Amps - Transformer5 Above 200 _ Amps A1bove•700 _ mps Si9n5 Inspector§ Use Only: ? TO L Irrigation BOOms j Gf ? O Special Inspection (? ? Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT O[her Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th e Rough-in Date cer y atthea6oveinsp ctionha5 been made. oate OFFICE USE ONLY This request void 18 months Irom Tnie r«aueso vom 7 7:3 3 18 rtqnth9 Irom . C5 u 2 7 4?.?t? 1/7_ o0 flequ ¦ ate r, Fire 0. pough•in In pactlon ?( flaquir 07 ?RBaOy Nuw [?JO'?Nolify, Inspeu• • f? U ?g ?NO lor When Raedy []Licnneetl ElecVical Contrnctor I henby requast Ineoectbn of e0ove ? OwnerC, slaotrlael work Instellsd et: Streat Ad reee, Box or Ro No. -35 Citv ? V/7/V ect . o. owne i0 eme or o. nnpe o. ounty OccuDentlP INTI I o /? o?s Phone No. ?? O 3---3 Pawar S Iler Atldress Electrlce t dn PENNOCK LAN , ?g Cantreclor's Licanae No. tm MeIImOAtldren 1-`COnc?q?¢r?Wn? kipy?I? t ' n APPLE ,r E? Authorized Slpnature IContrector Owner Makinp Installationl Phone Number MINNE80TA BTATE BOARD OF ELECTRICITY THIS INBPECTION PEQUEST WILL NOT Orlppe•Mldwey Bldu. - Room N•107 BE ACCEPTEO BY TME STATE BOAPD 1821 Univenitv Ave.. 81. Paul, MN 86104 UNLESB PROPER INSPECTION FEE IS Phons18141842-0800 ENCL08ED. REUUES'f FOR ELECTRICAL INSPECTION EB-00001-06 Sae InsttuCllona lor ComDlNlnp thle /ofm on hsok ol vallow eopy. --? n?7 $ "X" 8elow Wofk Covered by This Request G 7`33 j,IW4Adc1j Nep. Type 01 Bulltlinq AoDlloneas WtreU . EquiVmani Wind tBf C8 M Fa 6ervloe Entmnca8l:• p Fae Faeden/Sublsedere N Fee Lircuite U to 200 Am s 0 to 30 qm s 0 tn 30 Am Above 2 Amps 37 to 1 0 Amps / i 37 to lU0 q 6 Swimmin Pool Abova 100_Am s Abov100 Am s Trensiormerg rn tion Booms Partial-'Otbor F igns 15pecial Inspection ,Jliy ?yJ/ i-el TOTAL L? ?C/?r. ??'?/ ' w1 I?jw?? I I. th? ElaTtale6l InsDaelor, hereby Finel ?' oHt ?? ca. 1Hy thet thr ebove r Inspsotion hes been ? ( mede. . CITY OF EAGAN NO ? 8879 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 n 9 ? ? J BU(LDING PERMIT 1, Receipt# ?' 1 To be used for DECK Est. Value $1,000 paty APR 11 , 7991 Site Address 3576 BALTIC AVE 24 Block 4 SeclSub. f1AMPTON HEIGHTS lot OFFICE USE ONLY PBfCeI NO. Oaupanq - FEES Zaning w Name BOB FLEMING & SUE REID (ACtuapConsl _ Bldg.Permit Z5.00 ? Address 3576 BALTIC AVE (Allowable) _ . SO S h Cjry EAGAN Phone ;r ot stories arge urc ] $ ' Plan Review , Len9th O Name SAME Oepth .1.57 ' SAQ City . 0 a Address S.F. rotal - , x City Phone S.F. Foolprints - SAC, MCWCC Waler Conn On Site Sewage _ w W Name on sie wan - waier Meter is AddfeSS MWCCSystem - 02 Accl. Deposit a W Gty Phone Cily Water - S/W Permit PRV Require0 _ I hereby acknowlege lhat 1 have reatl this appliCation and State lhat the Booster Pump - 5/W Surcharge inlormation is correct and agree to comply with all applicable State of MinnesOta Stalules antl City of gan Ordina s. ` Trealment PI ? SignaWre Of Permitee APPROVAL' Road Uni1 A Building Permit is issued to: BOB FLEMING & SUE REID Pla""ef - Park oed. on the ezpress condition that all work shall be done in accordance with all Council applicable State ol Mi nnesota S t atutes and it y f Eagan Ordinances. C o gld9, pff, _ Coples , / ? } Y v ? ) BuildingOtficial { 1?., 10 ?1,0 1 j, r I111J Variance - 70TAL 25.50 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address Unit # PropertyOwner Telephone# (ICI H.P. PIPEWORKS Contractor ,,,.?O .,,,nn nnn n ? Telephone # ( ) Address EAGAN. MN 55123 City State 2ip - The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 _ new J replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 1 ' ?ri I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ___.__ ? IP71 ^ n?? ? ? ApplicanYs Pririted Name Applicant's Signature? II f I I11W 1 9 2005 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ? 657-681-4675 Naw Conetructlon Beaulrements • $ reglstere0 sile surveys showing sq. tt. of bt, sq. tt. of Irouse; antl gll roofed areas (20% mexlmum bt COVOrege eliowed) . 2 coples of plan showing beam & windax sizes; poured tound design, etc.) • 7setofEnergyCalculetbns • 3 mpiesof Tree Preservatbn Pian tt bt pletled afier 717/93 • Rim Joist Detail Options seleclbn sheat (61dgs wXh 3 or less units) HemotleVHenair Heouirements ^1 1 . 2 coplesof plan 7^- . 1 set ot Energy Calculations iar heated addtlbns . 1 sAe survey for exterior addaions & decks . Indicaie tl home served by septic system for add'ubns DATE VALUATIOA;3 SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF APPLICANT I Kic- _ 0_ 1 _ 2 STREET A DRES?S 2-I ?(to KFa?.9 RI ?-?'- -f?N FCITY ? STATE ?ZIP 'Ot-fq TELEPHO??# `.3222_ CELLPHONE#(6+z,) 22t-60 E? F #9342?-) PROPERTYOWNER ? Ka?-S1b2. TELEPHONE --°------° ------°--- °-------------------------°----°---°--------°---- ----- -°--°----° COMPLETE THIS SECTION FOR "NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (J su6missfon rype) • Residential Ventilation Catepory t Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submittetl Plumbing Conhactor: Plumbing system includes: Mechanical Contracfor: Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Fee: $90.00 T ? L'J ? ? MAY 1 7 2002 I hereby acknowledge that I have read thls application, siate that the Informatfon is correct, and agree to comply wffh all applicable State of Minnesota StaTUtes and City of Eagan Ordinance . Signature of App nf OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 4_4::5w9-.1(? _ Water Softener _ Water Heater _ No. of Baths Phone # _ Lawn Sprinkler _ No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory 81dg ? 02 SF Dwelling O 08 06plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Exl. Alt - SF 13 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03plex O 11 10-plex el 9 Lower Lavel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvemenl ? 38 Demolish (IMerior) ? 44 Siding ? 32 Addkion ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair gr"33 Alteretion O 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement *Demolition (EMire B ldg only) - Caive PCA handout to applicant Valuation o L, e Occupancy ? MC/ES System Census Code Zoning to Ciry Water SAC Units ? Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. _ _ Footings (deck) ? FinaVNo C.O. _ Footings (addition) Plumbing , Foundation ? HVAC Drain Tile Other Roof Ice & Water Y/Framiug Final _ Pool Ftgs _ Air/Gas Tests Siding Stucco _ Smne Final Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall S-z°-°? Approved By ? P , Buiiding InspeCtor Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Pertnit License Searoh Copies Other Total CITY USE ONLY PERMIT #: RECEIPT DATE: 2002 ftESIDENTIAL MECHANICA? PERM1T APPI,ICATION C11']' OF EAfiA1V 3$30 PILOT KNOB RD £A6AN MN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: (p a SITE ADDRESS: OWNER NAME: ? ? ? 1 .Q?ff ? TELEPHONE #: INSTALLER NAME: STREET ADDRESS: TELEPHONE #: 8-313 CITY: STATE: m Y?\ ZIP: Place a check mark next to the permit work type d ? Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • ot er Nature of work: State Surchar e - $ 50 Total $-3a_.?_6 ? ' U O 4 fTME voz MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstruction Reuuiremenis RemodellRaoair RequiremeMs • 3 regislered site suneys showing sq. ft. of lot, sq. fl. of houu; and all roofed areas • 2 copies of plan (20°h mazimum lot coverege allowed) . 1 set of Energy Calculatlow (or heated additions • 2 cop'ies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 site survey tor exterior additions & decks • i set oF Eneryy Calculalions . Indicate'rf home served 6y septic system for adddions • 3 copies of Tree Preserva0on Plan if bt platted after 711l93 /? r ?? • Rim Joisl Detail Options selection sheet (61dgs with 3 or less units) DATE 14 ' \Z - OZ- VALUATION JOB SITE ADDRESS C1 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ? TYPE OF WORK S\OO FIREPLACE(S) 6L 0_ 1_ 2 APPLICANT C) v c-s - PHONE# 1e5\-131?9Y33 ADDRESS ZIP CODE J?'J" PAGER # CELL PHONE # ? FAX # Idr?I-L-IW-021 5 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) MINNESOTA RULES 7672 Plumbing Contractor: _ Phunbing Systcm Includes: Mechanical Contractor: Mechanical SysLem Includes: Sewer/Water Contractor: Phone # Phone # Fee: $90.00 Tcc: $70.00 All above information must be submitted prior to processing of application. Signature of Applfcm?}-- ` RESIDENTIAL I hereby acknowledge that I have read this application, state that the information is co trard-aW to comply with all applicable State of Minnesota Statutes and City of Eagan OrcJinances.. t New Energy Code Worksheet Submitted Phone #: Water SoRener I.awn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Air Conclitioning I-Ieat Recovery Syslem Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 F_ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT N-0 (o??64, 12556 7o be used ror SF DWG/GAR Est. Value $64 , 000 oate SEPTEMBER 2 iy 86 SiteAddress 3576 BALTIC AVE Lot 24 Block 4 Sec/Sub. HAMPTON HTS Parcel No. w Name FRONTIER MIDWEST HOMES ; Address 3908 SIBLEY MEM HWY, BLDG E ° ciry EAGAN phone 454-0433 o Name SAME = $ a Adtlress : City Phone ?Q F W Name s j5 Address U i w Ciry Phone Receipt # Erect 17 Occupancy R3 Remodel ? Zoning PD Repair ? Type of Const vEk Additlon ? No. Stories Move ? Length 40 Demolish ? Depth-4 Int. Impr. ? Sq. Ft Install ? Assessment _ Water & Sew. Police - Fire Eng. Planner_ Council- Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. information is correct and agree to comply with all applicable State of Minnesot2 Statutes and Ciry of Eagan Ordi e APC. Permit '' ?" "` Surcharge 32.0( Plan Review 162.5( SAC 575.0( Water Conn. 500.0( waterMeter 63.5( Road Unit 290.0( Tr. PI. 156.0( Parks Signature of Permitte??? ???-- Var.Date To?? Copies---$-2-,T0-4-.0( A Building Permit is issued to: r' all work shall be done in accordance Building Ofticial HOMES on the express condition that nesota Statutes and City of Eagan Ordinances. . ' DoYLE 19$6 gpu,DING PSRNIIT APPLIC9TION - CITY OF EAGAN : NOTS: ALL CUBTRACTORS HITST BS LICSNSSD WITH THE CITY OF EAGAN COMMERC29L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONSJ $2,000 LANDSCAPE BOND SINGLE F9MffLY DWII.LINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 00 ?,w `?tVZF? To Be Used For: Single Family Valuation: 13444= Date: $'15-86 61 Site Address 3?-? ciF?en OFFICB IISE ONLY Lot 24 Bloek 4 Pareel/Sub HAMPTON HEIGTHS Owner poyle, Irvin & Karen Address 136_8 High Site Drive City/Zip Code Eagan, MAI. 55122 Phone 452- 0216 Contractor FRONTIER MIDWEST HOMES Address 3908 Sibley Mem. Hwy. Sldg. E City/Zip Code Eagan, MN. 55122 Phone 454-0433 Areh./Engr. Address City/2ip Code Phone # Erect )J_ Oecupancy -JI L3_ Remodel Zoning Pp Repair _ Type of Const Addition # of Stories Move _ Length ?O Demolish _ Depth Int.2mpr. Sq Ft Install APPROYAIS FEES Assessments Permit ? 37-15 Water/Sewer Surcharge "Vt Yolice Plan Review C7 j? k Fire SAC .? 5'7 S Engr Water Conn 5e4 Planner Water Meter Q Council oad Unit V Bldg Of Treatment P1 re APC Parks Varianee Copies TOTAI. T NOTE: ADDRESSES FpR CO@NER LOTS - CpNTRACTpR/HOM60fiAER MDST D&SIGBATS SiHICH 6DDRFSS IS DFSIRED. NO CHANGES HILL BE ALLOpED ONCE BIIILDIIJG PERMIT IS ISS(TED. '-,:.,,r N E R : / SIT"e ADDRESS: FzTEaioR ENvcLoPc nvcRn;F "„" Cor1111 T1 ?4ff, ---- -- (l,'lT PIfONc; CDNTRACTOR: FqzCJyJ"t't -z. ? Determine working square faotage of each 1. Total exposed wall area....._ % sq. ft. x .?; 2. Total roof/ceiliny area..... ft, x.G26 Total exposed wall area above floor=_ ',:l r- a. 7ota1 wall window area........... ..... ......... .................. I ? b. Total door area ................. J c. Total slidi . ng giass door arca.... .............. .............. ... .............. ..... ? ? d. Total firepiace wall area........ .............. ............. .... °. Total wall framing area (average 10w) .......... ........... ... ... ? f. TotaT rim j oist area .......... ... ............ ? S• net wa11 ... area above floor...Z .... . ...................... ?4.?? ? - h. . wall area above floor ..... ....... ... . . . . . .. _? . d ?- wall area a6ove floor..... .... ...... .... ..... ....... j. frame wali area at foundation ... ........ .............. ...... .................. Total exposed found ation area= ?'j k. Total found ation window area..... ... l. Total net f oundation area above 9 .......... rade .......... .... Detenuine "u" value of each wa;l s_y,ne;,t ? (e.g. windovr, door, each separr.te a,ai1 section) • a• I ZS z "U" .? %1 =_ -I•? . b. x u,. 4S . C. .4 z X _ r- -- . . d. 48 a „u„ e- (q`Lo,4 S x%„ vL?j _ IS 7 1 , f. Do x,.,?„ 1-2 0 3 = -= ? ? -- - _ •9• {3E)X U„ . h, . { , X „u" _ • j. x 'lu„ _ X????? = If item #3 is the si - as, or 1 ess than' i tE 75 kl, you have met_thi int•ent of SBC..6008'`I : . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . To Ca1 :?w:= yr- L;cp:ior i;nvclopc nvcragc "u" Computjl:ion Total cxZ)oued rooP/ccilinq arca =_I Of IO Pn1n 2 oP q m. Totul skyli.ght area ... ............... .......... .. n. Total rooi•/ccilin, Eram ing arca (avcragc 10%)... } OI?? o. Total net insulated roo F/ceiling ttrea. .......... • Determine "U" valuc Eor each rooF/ceiling segment ' M. _ x %1. n. ? o f• Ca x ?v, o. ,; „U„ a = F? Z ? ........................... To?al If tota.l of ;W :s the same as, SxC G0Q6 (c) 1 or less t:han 12, you have meL- the int-ent of . l+lternatc Buildinn Envclooe Desiqn Lb utilize tne total envelope'system method, the values estz'nlished by ti2e s•an of items #3 and #4 shall not be greatez than the sum of itcros N1 and ;12. 1. 09 + z. Z?. 4! = Z4Z.?s , 3. _ 1??, V, + 4. Zv, 73 ' • ;I?I.I. f.C!•.I•ICilI:1 ? l?::r l?i. JIl P?!9qUr! vAtl nt'CA fUt' • _ IC:?11Y: l:bW.l fuCl }U(1 ?..•??'.1 : ?v ' ?:.?? .... V.l Ili.• _?..,.._ __??1-----{il i. ,,?:• ? qt?Ai??+'1 - - ---•- ._o_.(?;? . Vn . ... . _ , g.S f?^i ? .?-Q ,. t..,?... ALvR?•.- .... . _ ..lca ? }:>::?•rii,r .ti? ;i:•i: '• U??.? _' ? _.?.""--- _ ._.. . . ...._........_......"-_ ?- -_- a ? ??,. ,,,,ps?i' c.1 s?. . c?? PIC. ql T6PVIfS4 Oe FtUltiE NAf.L . IuCrnnr nir 'ilm ..°°--^0:f,ll ' z• Y '' Cr?P.-??? --?-- --...---?45 ------! fi-A-'a . . ? . ' a• ?.Q?_r?+w.--_. . --- - ._._...?._sJC? „ 5. _.?E' _.._:•____._{> /.44V(P.'1._ Stl9S?g .. .r.L( ai: 1 i li.i 0.17 ?"'?y PIC. 112 ' 't'vi.hl C! - ----'--'? f Is __ ?_....--._':r filr; q.,t$ '?? ,.P!?. %L'??_?._. G. _Y_q.00 •r .,cA Ct?t --°---- 1 i:?l. i(.,- ,;?y?1?;.?? ?--------?-C?)` . ----?-_---------..;:?,e';t ---•--?`?• 'S ? i? A1. {;i-. (1.(R .`'-'^- ? -Q l 1. i n :,• ' _ ? - i'?. . A °? . - ? 1 • .?,?--?L9??L, 8tl.---- a8..?'3. ? y .. P • d • ; _. L__S'-?.?'r4? ... ... ...----• •?- ' d' • ?P? -Q . ?• . p?etT? 4l?G . ?R!tix4C?...._ ..?-..___ ? ' ? • ?-'-;1?oC 5. . ..._--- --- -•- I • , i•. _. ~ . . ...._--; - _?__.._.. .._ ..---_v ? . . ` n 'I'uUl f-A m. . IS .` . c. ia ? o- f? • •? ? l.?__?. .(????f;•Iri?`? ' ._ .t , ? !I ? ?- . . • ' ,, _, ?rr ? 1 _.. eic. iin 6- • :> ' II??'CC: (ndi?/nL; l.yl ` "[!/'?nrw:? drqClt nnd ? ;;,.,:?•????,- ;,r • r.oor/cZI*.z:ic • : ?l???% ? .. . ?--02 .. :r,Ce3 ? EeaC flov ? I up - , . 2'ZC. 15 ConstrucGion R-Valttc Intcrior air £iln , 0.61 ' z. 63 /?; -f F3D _,SR 3. 1usUc.. 44.oa 4. Extcri.or ai: filn (still) p_ - TotaLl 2 4s8o ' F".rt ` ' . . 1_ Interlor nir f.ilm 0.61 3. ,? < f?.(Sul? 38.35 4. FXtrLiJC ; il' _ jil(1 - (Still .b1 - --- -- -rotal - 9 0. f S . V OZ4 - - . ^ ' Go.l.sr?'??ri m?_ ?.? ' p1???\V?T.L1??'r. rP.??.J^pI?9?L?1f41 . ---- =='1=---=__? ? 2_ Znsidc air filsn 0.61 fn2- 3. 4- Gitsidc ir. Pil:n D-iT ????rS.II`!?t Tota1 ?I?li?? l?l I?? .?..: i? t?. _r . . • . . . ?O t-02 3 LG . '. - I_ Tnsidc air Eilm 0:51 • i-vented 3. ? . t L'cc= flav vp - . . 4_ _ . .•' . 9_ Outsidc oir Pilm 0.17 • --F2C_ i6.?._.• •. ' •-.. _. . Total Fos 'S 1_ Inside air filn .:. • ' - 0•61 ' ?{, ?.? -1''°-',? 2. ? ?? • di?.?,J--J ?S ..1;? - ?? ? ' . . ?Jn,- • Q . . ? ?. ?. ri?. ..' . ' _?r.-?• i ? ?'1 . 0.17 R.. _ y' . ... .l ? J. ?1t.sj.C?C i11X F11711 y?!; .. . ,.:,; ??•.;. •"•, . /J .,..- : . •. . . • / T : To r.i1 . J ?O , .?o - . .- . . . . . . ,: . . . . . . g?;i_yr?,,i?•?,' 1Cate: Use additiona2 sheets iF more cpace ± ." ' . . •. ?? ' ? • peCClecl £oS eletails astd caleulations. . Hcn? ?.t ' - • flov a? • - . ' ?. • .? ' • • - • . • 1'IC;. P7 ? `. I, . LfIIT.L :;f::'Plnt:i ''? l..n•?yY !of tti!uquq v,111 nren (ar .a?_ a - frjm•: c.c,nst'UClAun Cc.n^lilici inn h-VA;??.; . ? ------ 4'1 1. I 1.??.•?.?;ii_.t???:. ..-_•-••..__u_63 ? 1 ___ 1 ' _?lR? ..$.WGlC „g•• k.11e?... . _L.?I1 ?. ? ??r?? 4 , • AIR .?Y1L.E . _..._._.. , -- °- - -• !a? ?, ?', • ? ? ?1.?<-E_.B{Z?GK tl SI^ tc:j• r ? /? 6, F?:lcr i,,r i Ir ? i'm "-...._2•75 . I I ? ' FIC.'. q 1 "M['VIF14 CF . ., . i.i..l :clllVtk: tiAL1,: !. Lnl'rttnt' a1C .'ilm p Gtl i ??. • 2. - , ---•...__ _._ -• ------------ -- . , ° ? ? ,. j , ?' ? ; ' 7• _ - _??----•°- °-°------- - ? ?. ' ? i - - ? -- ------ - -- ? - . _._ _ ' . i ; Er.tcriur ai:_ lill.i'-- --0 l1 y.; ?aA ?. - F11G. CQZ i'u111 40'2 qr . I ? i vi. ?. - - '? i ti.:J . ? _ ..-. _, ! ?'J•, -?.--------- . ` 1. Jntcr,ur it[r film ? ••i 4 . . . . ? ? , ? ? ? • • _-_... ._..._....._. .. .?_ "' i x. . `J rA l . . / f 5 . • • • M i '?? 1tsA.+.? . a1 '' ? ?' ? 6. t:xtcrlcr nic ftln; 0 31 ??? ,' Y.. ?,! L , _ .?`.. ? _ --_? ?.. __ •--- n ?. = . ?•, ? ( ?ol•:,i -? . <<_. > __? [ntriiac _iI?• fl:?: 0 611 ''??.r; t• A I ,{` u ICII .? ? °'-`L -----(.? 1 ?,a. , s •--'--- -- --'--_. . .__._ ... _ _ ...._._ w 4 ;?w; . . . . c1 . _..-----...__.... _. ... ' ` 4 . U t!ie.7p? 5. .._---• _"_'=? -----.--_____..__..__ - r ? . -- t I:.tCri.inC_.i_i?__:?.?.??.._ st.niL ()ri cIinut: . ? . . , . , . ` ?,r s..?a s. f?.'• ?'. ? _'. _ Y • _ . y ,. /1.Y1?????? ? y 'ri4'. IIA 161 ' • tsF,? ! ?.? ?_ , pn•t'C: Irdi?at.c ty,,-., '?," va.u?. ? ? • . , . ' _, . r ? r?'.,:,.. lt. : . +.?. ?. . ,; • . PLA N # Lt+u e.4 L FT, EXPos?O W,4LL BLOG i<- ; !. S, t 130 , ?7U L. L f ? 130 1; lb f-- . ? I 6?.El?L.AG E;?v p o,? r?? ...r? TZIM:. { ?ol SKPOSEa WA LL AR.Ef; 3Loc.s?', (:Io s x , S = 3 Z. 5 x S = ?? v ?v?L I ; 13? ?C .B = tio? 4d5 7207-AL. 24/3G ?Ls [o ¢ 20(;?;;! 7 , ? ZoGo 3 ? F-1CP05E.D GE?LfUC{ L? 3ra 35 ZS t.4k 144 = ? = 2.1 - tz?? dvo4a D o0?5 ? 4Z. _ ._:. ?ATIo D25 , ,, . ? qZ zm? SsM'+ u ut+ 810MA SUiaVEY1N0 SEFIVICEB 3908 Sibley Memorial Highway \ Eagan, Minnesota 55122 \ Phone:16121452•3077 -- 1 , ?iGA.LG: 10??' _ • 2 ? CERTIFICATE FOR; . HOME FVitOEnS L IANUUEvF.IOPfPS * HEAL1pR$ ? :R COMPANIES MODEL: STAFFORD y 1,.1 1 ,i 5 LC: -t" '23 WAYNE D. CORDES - 14675 - _LEGEND" O LL•no'es lron ![ax."nt m L1snoles Woa! Htb Set x 841.o penotes Existiry Spot Elevafion lknotes Proposed Spot Elevation ?- Aenotes Dra i neye D i rect i an -PAOPERIY DE9CRf Prf (W- LOT 24 , 8i.a'K 4 HAMPTON EiEIGHTS accordirg to the recorded plat lhereol, Minnesota PROPOSEO GARAGE FLOOR ELEVATION= 8S0 P{70POSED Top ot 81oek EL£VATfON= gq•3 PROPOSED BASEMENT FLOOR ELEVATION- 543.3 NOT : Verify all'floor heights with Firul Nouse Plsm. _4MRT? IfI?GAT_I 1 hereby certify fMt thrs survey, plsn or ropart wss pre%ared by me or u'der nry dircct supervisian ard tMt f em a dulY Re9istsrqd Lerd SurvrYw' urder the laws of the Stste ol Mimesota. 8 r (ydCe.-- Date: /f818?c Wayne D. Cordes, If+nn. Reg• No. 14575 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf. T?O. FIXTURES SHOWER WATER CLOSET BATH TUB LAVATORY KTTCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • ?um - ROUGH OPENINGS ? WATER SOFTENER PRIVATE DISP. • nekay. iic U.G. SPRINKI.ER • eome uneer eonsi. ALTERATIONS • w edsting WATER TURN AROUND STATESURCHARGE TOTAL: p? TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 1$.00 15.00 .50 SITE ADDRESS: :?7!f:7 ? ?? C, A ?E OWNER NAME: ga g6?Lr . FL,6?°11,? G WSTALLER: 0 o f /-7 RA'! E' CTTY: fQ cv I ??LC. ? STATE: /1'd ? ' ZIP CODE• ?7° a?'? PHONE #: (Gj9) ?.? ?IGNA E OF PER ITTEE 1993 PLUMBING PERMIT (RESIDENI7AL) CTiY OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 1991 SU? ING???PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET DF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNZTS _# 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. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED 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: Valuation:Date: Site Address 7{0 Lot 12-? Block ? Parcel/Suh ? Owner Address City/Zip Code Phone Contractor 15A In -Q Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # ? (Signature of Contractor) 4-C? -(? 1 OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth // ' S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit - S:3i_ Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 2_??b agrees that all work shall be done in accordance with all applicahle State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *ATwE: PAYMF,IVT OF Fk1? AT TIIE OF arPr.IcATIoN noFS rOr COrs1MM ArPxovru. oF rERMIT. INSrnC'riorr oF sENx ArID/wR WK= rrSTALT.AmrONS 4TIIZ WP HE SCFIIID" MID [7NFIL PERNffT AAS BFEN AP'PROVID. DOYLE *,ryra,t+r?t+r#*,r***,ex*+***,t*:?***,r:k?r*k ,,:, P ease Print 1) PROPERTY ADDRMSS: „ve°, Eagan, MN. 55121 LEGAL DESCRIPTION: Lot 24 Block 4 Hampton Heights " , Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRC'Ci[JRE, DATE OF ORIGINAL BC'ILDING PERMiT ISS(.'ANCE: - ' (Nbn Year -- . PRESENf 7ANIAXi/F'ROPOSID L'SE: [] Ca44ERCIAL/i2EPAII,/0FFICE DM R-1 SINGLE FAMILY Q ITIDC'STRIAL Q R-2 DL'PLEX (T4o L?ni.ts) rl INSTITUTIONAL/GOVFRtZENr J7 R-3 TOWNEiOUSE (Three + Units) ( Lnits) , q R-4 APARZMENT/CONIDOMIIIIUM ( Units ) 2) ? NF1ME: FRONTIER MIDWEST HOMES CORPORATION - ? ADDRESS: 3908 Sibley Memorial Higtiway Bldg. E CITY, STATE, ZIP: Eagan, MII. 55122 ' PHONE: 454-0433 • 3) , u?: ?• For C.ity ?se . D1p,ME: STAR PLUMBING Plumbers License: ADDRFSS: 1018 Mound Sgrings Terrace E?cpised j CIT1'. STATE, ZIP: Bloomington, MN. 55420 ppt, reCprdEd PHONE: 884-4149 MASTER I,I(E[VgE# 3329 Staff 4) •.? • ? i?• ,ygME: Doyle, Irvin & Karan ADDRFSS: 1613 Pacific Avenue ' CITl'. STATE, 7.IP: Eagan, MN. 55122 PFIONE: 452-0216 . •5) ins r• - ? r. -?• :o • ? - ?? Q CO@SECTION 2q CITY SEN72 ? CONS7FCfION 7b CITY 4ATER OTEIER , 6) u v ? r ? PLEASE $OLD APPROVFD PERMIT EpR PICR-UP BY ONE OF ABOVE Q PI.EASE MAIL APPROVID PERMIT 4U 1, 2. 3, 4. AHAVE » (Circle one) r ,. • ??: ..?? _ ,z,?,?, .?.? ?-_?? ?n ?' . F'OR CITY USE ONLY PERMIT # ISSLED Pd w/Bldq. Permit FEES: $ /"Ti - ? CJ $ $ /d ^ ??) $ $ LO j .S ? $ $ $ $ $ $ IsS-' O a $ $ /S ?0 0 $ $ $ s 57So? $ $ $ $ $ $ S $ $ O 0 $ $ $ . SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SLRCHARGE) WATER METER/COPPERHORN/OL?TSIDE READER WATER TAP (INCLPDE CORPORATZON STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRONK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT SLRCHARGE OTHER: $ TOTAL RECEIPT - RECEIPT DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITAIN PLBLIC Q ROADWAY" MUST BE ISSUED BY TAE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CO[VDIT20NS: ` APPROVED BY: TITLE: ? DATE: ? U ? ?? r City of Eagii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:, (651) 675-5694 � 1p'I )r� t'' 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION G Use BLUE or BLACK Ink For Office Use Permit #: V I II� a Permit Fee: LCA-) lC�l� ,,0�(� ( Date. Received:. Staff: --- Date: Site Address: Tenant S&Y oLK hfl&t.c . 351 � Suite #: RESIDENT /OWNER Name: xc-(1.¶0111114- . k- Phone: Address / City / Zip: CONTRACTOR Name: Appliance Connections Inc. License #: _512-O° F 11 12850 Chestnut Blvd. Address: Sha City: -�AN--5537a State: Zip: 952-445-4803 Phone: Contact: 0..WIt2� \V'\ --) Email: a. p0 \evAc2<C0►1VtCChallSfydlt o cr., 1, TYPE OF WORK New Replacement -_ Repair Rebuild — Modify Space _ Work in R.O.W. — __ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) __j_ Water Softener Add Plumbing Fixtures (__ Main / ___ Lower Level) _ Water Turnaround -- Septic System New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing 'Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ �- OC (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County 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.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. Applicant's Printed Name 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:EA132654 Date Issued:08/27/2015 Permit Category:ePermit Site Address: 3576 Baltic Ave Lot:24 Block: 4 Addition: Hampton Heights PID:10-31900-04-240 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 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 - Todd Spencer 3576 Baltic Ave Eagan MN 55122 (989) 615-3948 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:EA136058 Date Issued:04/21/2016 Permit Category:ePermit Site Address: 3576 Baltic Ave Lot:24 Block: 4 Addition: Hampton Heights PID:10-31900-04-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd Spencer 3576 Baltic Ave Eagan MN 55122 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140019 Date Issued:11/18/2016 Permit Category:ePermit Site Address: 3576 Baltic Ave Lot:24 Block: 4 Addition: Hampton Heights PID:10-31900-04-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd Spencer 3576 Baltic Ave Eagan MN 55122 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140893 Date Issued:01/30/2017 Permit Category:ePermit Site Address: 3576 Baltic Ave Lot:24 Block: 4 Addition: Hampton Heights PID:10-31900-04-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd Spencer 3576 Baltic Ave Eagan MN 55122 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141662 Date Issued:03/23/2017 Permit Category:ePermit Site Address: 3576 Baltic Ave Lot:24 Block: 4 Addition: Hampton Heights PID:10-31900-04-240 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd Spencer 3576 Baltic Ave Eagan MN 55122 (989) 529-3909 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature