1434 Appaloosa TrCfTY OF EAGAN
3830 Pilot Knob Fioad
Eagan, Minnesota 55123
(612) 681-4675
S1TE AQDRESS:
, :,i z•.i "ziiiA iFc
? •lil i l ???i?r ?iil l?a ,
? . 1 1 N
? .
ON
PERMIT TYPE:
Rermit Num6er:
Date Issued:
, APPLICANT:
?Aii?
TYPE OF WORK:
7, i: i 1 it(';
FRAM J Nti
F l N o? t
fill iI to irl
a .• ? 46 a
41il:1 1 1{o
N f° L•J
i,A ," ,. ! f ?' f'?
Permit Nc. Pecmit Hoklec Date Tefephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing ? (,?o JCJl'!s2 6 /
Rough Plbg. • ????? ?
Rough Htg.
Isul. Z
Fireplace
Finel Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Gonst. Meter
Engr./Plan
Bldg. Final
7
" Ftg.
mtr?h Di
Deck Final f,?171-f
?
«' p f^+
well /iv.ftL ? //, 'vi7l - ?oo/L
Pr. Disp.
?
. . 4&..
;' M
i BUILDING PERMIT
CITY OF EAGAN 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 °"'
PHOME: 454-8100 .
Receipt # j
Site Address 1434 AAl1AM ?it
Lot 15 Block 1 Sec/Sub. $H2300D DOiN18
Parcel No. _
W Name JOSEPH
? Address 18133 CEO11a A11E 3
0 Ciry FAi!!!IlIG'lW Phone 431-2001
Phone
yVj`W Name
?-
Address
<W City Phone
I hereby acknowlege that I haue read this pplication and slate that the
information is correct and agree to cow? with all pplicable State ot
Minnesota Statutes and Ciry o( ?gan; ¢rd' ances? r
Signalura of Permitee
A Building Permit is issued to: Josm L'I MILI.BB COllST
on the express condition that all work shall be done in accordance with all
applicable State of Minnesofa Statutes and City of Eagan Ordinances. .
Building Ofticial
OFFlCE USE ONLY
°c-pa"cy
Zoning
(Actual) Const -it.M
(Allowable) -V-N
8 01 stories
Lerglh
Deplh
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MwCC 5ystem
City Water
PRV Hequired
Booster Pump
APPROVALS
Planner
Council
: BIdg.Off.
Variance
_We
_AZ.l
?
?
FEES
Bldg. Permit
Surcharge 77-00
Plan Review 339.?
SAG City 100*?
SAC, MCWCC 650.00 I
Water Conn " C)•?
00
93
Water Meter •
30.00
Accl. Deposit 30
S/W Permit •oo
S/W Surcharge - SD
Treatment PI 276•?
Road Unit 370.00
Park Ded.
Copies
TOTAL 3,656,
?
Permit No. Pwmit Holder Date TNephone #F
WATER
SEYYEH
PLUMBUiG _ f 0019191 7qi? -/lw
H.VA.C.
eLEMIc 5 5 9 ?? / J°°
Inspection Date Insp. Comments
Footings I
Foundalion
Framing
Roof ing
Rough Plbg.
Rough Htg.
Isul.
F;??lace Df
Fnal Hig. 6
Orstat Test
Final Plbg. /" Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ,
Deck Ftg.
Oedc Final
Well
Pr. Disp.
r DATE:
?, ? ?? •
REf
AUG 6, 1991
1434 APPAI.OOSA TR (JOSEPH M MILLER GONSTRUCTIOti INC)
X/Your Sewer & Water Permit for the above property has b1len compieted. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (4545220) 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 LUCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REDUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON PaLICY.
Secretary, Building Inspections Dept.
0 CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MiNNESOTA 55122
OATE
ia q `
? rIEcE o ?`?. ? • G f' `. ?,..'` ? ?`' , t'' : ? ? (. ?,1 C T .
FAOM
AMOUNT •' n
? CASH PA CHECK
DOLLARS
,oo
L I S
14?!)Li Jr .
?
,
C 1 4 9 VVhAe-P.,,am Copy
,rel?,»-?? Covr
?
Pinic?Na Copy
Thank You ; ev '>>?
SEWER & WATER PE?i,?MIT
CITY OF EAGAN ,
3830 Pilot Knob Rd. `
Eagan, MN 55122-1897 `DATE
ilv 30, 1991
OFFICE USE ONLY ' METER # 41YfT460 g d? PERMIT DATE •'CHIP # .QIL78 c??j- PERMIT #
METER SIZE B.P. RECEIPT # G 1 0.4`,
ISSUE DATE B.P. RECEIPT DATE r` a' {' 4`
- PRV - BOOSTER PUMP
1434 Aansloasa Tt
SITE ADDRESS
LOT ' BLOCK 1 SEC/SUB ' 'i e. r w° " ? °
APPLICANT:•T fl 8 E p11 L '°i i1 1 e r C 0 n s? ?? r- c
ADDRESS: '8 133 Ce: s r A v S o
CITY, STATE` a'- T' ?'' " t o n. i'n ZIP j?? 0,...4
PHONE: ', ? ? -
PLUMBER:" ^z- 2-- P?z a n
ADDRESS:1'`- 7`+ `•' S o
CITY, STATE' o s e m o,.; :. n ZIP -^• n">^
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT REQUESTED
SEWER x WATER - TAPS
_ COMM/IND ? RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WIIL NOT be given for Deduct Meters.
n -4
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINA S?
?w._ '?. n 4,
ftw- SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PWMIT
CITY'tF EAMN METER #
3830 Pilot lynob Rd. Eagan, MN 55 1 22-1 897 CHiP #
4iv ' METER SIZE -
.J ;i 1 q 30, 1991 ISSUE DATE -
DATE
SITE ADDRESS 1434 TL
LOT 1-"BLOCK 1 SEC/SUB 5'ie rao e cl Do wn e
ADDRESS: 1 u 13 3 Ca dar Av S n
CITY,STATEfnrminittan, 71n ZIP 55024
PHONE: 4 3 i -2001
OFFICE USE ONLY
1 PERMIT DATE 08/06/91
PERMIT # 124C3
B_P. RECEIPT # C 1484(3
B.P. RECEIPT DATE ' 121,
_ PRV _ BOOSTER PUMP
PERMIT REQUESTED
?SEWER x WATER - TAPS
PLUMBER'' Q i%z-RVg*+
ADDRESS:14745 Se Robp re "'r
CITY,STATLFIRpmount? ZIP SSOr,g
PHONE !; 3 •-1 1 "= 4
ADDRESS:
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING QEPT.
- COMM/1ND
x NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given fcu Oeduct Meters.
,
. 1 ?i ? 11 . ?' ?..E ( ?fl ? : 'r-??
GREE TO COMPLY WITH CITY OF
GAN ORDINANCES
WHEN METER ISSUED
220 FOR INSPECTIONS. FOR STORM
Address: 1434 AppALOOSA T-RAIL Lot 15 Blk I Sec/Sub 5'HnWD DOWNS
These items were/were not complete at the time of the final inspection.
10/17/91 Yes No ?
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass ?
Trail/curb daroage
Porch ?
Basement finish ?
Deck
Please verify with the buiLder the removal of roof test caps from the plvmbing
system and the shut-off of water supply to tha outside lawn faucet before
freeze potential exists. ?
4EMl[YNRR
White - City copy Yellow - Resident copy Pink - Contractor copy
7'//r/?/ /Do??Sf?
p 52255/
?
Repuasl Dere
Fire N. Rough-in Inspeclion
9-6-91 Rapmred? ?ReetlyNOw C,4VIITofitylnspecmr
UYeS- " No N1hen Reacyl
I,?e4rcensed contractor ] owner hereby request inspection of above electrical work at:
Joe]`o4`jWs,rX'fyP`fYYlb`§ A TRAIL CitY EAGAN
seciion No rownsmoNameor NO aao9emo coumvDAKOTA
o`.Y°iftPN"ILLER CONSTRUCTION "One ?1 2-4 3 1 - 2 0 0 1
`o'brkk`6"I'A ELECTRIC, ASSO Addfe55 FARMINGTON, MN
e1ehYyft,A?,bc°ttftn IC, INC. c??vd?041610
Ma?$s????je,?„nyqr o?gt?Toleft ST, APPLE VALLEY, MN 55124
Authonzetl ICon12 e Bkmg InslallaGqj Phone Number
612-432-6688
MINNESOTA STATE BOAHD OF CITV THIS INSPECTION FEQUEST WILL NOi
Griqgs-Mitlwey Bidg - Room 3 . BE ACCEPTEO BV THE STATE BOARD
1821 Umversrry Ave., 5t Paul, MN SStO< UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? Sea mstmclions for completing this lorm on bmk ol yeilow copy
r "X /g
Q 9225,9 ? " Below Work Covered by 'fhis Requesf
;4°'.09LgL
?/,R5
ewAtld Rep Typeof8utltlinq AppliancesWired EqmpmentWired
Home ge Temporary Service
Duplex Water Heater Elecinc Heating
Apt. Bmlding Dryer Other (Specify)
Comm./Indushial '
uace
F m
Farm An Condilloner
Otnar (syacAy)
Compute Inspechon Fee Below Conlradors RemaBs
# Other Fee # ServiceEniranceSrze Fee # CvcwtslFeeders Fee
Swimmm9 POOI ? 0 la 200 Amps 0 t0 100 Amps
TranStormer5 AbOVe 200 _ AmpS 100 _ Amps
SIgnS inspecmr's Use Only TOTAL
Irrigahon Booms
? ?
7
Special Inspection
AlarmlCommunicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, Ihe Elecincal Inspector, hereby Rouqn-io
cerhfy that the above inspection has
been made F,na
OFFICE USE ONLY
TM1is request voitl iB monlhs Imm ?
$ 1 2 / /5??-
Fe esi Dat(?
?? ire o Rough-in Inspecimn
R
tl'
Ready Now C Will Nolity Inspector
Wh
P
tl
'
3
z? ? Yes
G No en
ea
y
IXlicensed comractor ? owner hereby request inspection of above electrical work at.
Job0 ress( treel. x or Poufe No I , Qty
Saction No To n ip Name or No Range No
..
County
Occupait. INT) ^
U PM1one No.
Power Suppher Atltlress
Eiec I Gamracior ?COmpany Name)
R r- ?TZ- F c CoMractor5 Lmense No
CA 'O D,3/S
Mailing atlaress (Comractor or owner Making Installauon)
/08`7 SSO
Fulnor?zetl at ? ntt . wner Marong I stellnaLon) Phone Numbar
MINNESOTA STATE 80AflIdOF RICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Midwey 91dp - Room 1 BE AGGEPTEO BY THE STNTE BOARD
1821 Ilnlverniry Ave.. SL PauL 55100 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 642-0800 ENCLOSED
REQUESTFOR ELECTRICAL INSPECTION EB-l000008
?.]., ?.
? See mstrummns br complenng this lorm on back ol yellow copy.
"?("'Be/ow Work Covered by This Request , i,?
31422
ew Xdtl Rep. Typeof8mldmg ApphancesWued EquipmeniWiretl
Home Range Temporary Service
Duplea Water Heatei Eleciric Heating
Apt. Budtling Dryer Other(Speciy)
Comm /Indusinal Furnace
Farm Air Conditioner
Other(syeatyl Conhacmr§ Remarks.
Campute InspecLOn Fee Be(ow:
# Olher Fee # ServiceEntranceS¢e i Fee # Cucwts/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeaor's Use Ony TOTAL
•
Irrigation Booms G? 6? /
?j, SO
Special Inspechon
Alarm/CommurncaLOn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rouyn-in Date
certAy that the above inspection has
been made. F,n,i
OFFICE USE ONLY
This reqoast vaitl 18 months Imm
CITY OF EAGAN Nd 19523
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 /? t4?r ?G?
Receipt # ?.- `i I
Tobeusedfor SF DWG/GAR Est.Value $154,000 Date att(: 5 _ iq 91
Site Address 1434 AFfhLA05A TR
Lot 15 Block 1 SeGSub. SHERWOOD DOWNS
Parcel No.
w IName JOSEPH M MILLER CONSTRUCTION It
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
o Name SAME
Address
Ciry Phone
?
W W Name
Address
aW City Phone
I hereby acknowlege thal 1 have read thi phcation antl state Ihal the
intormation is correct and agree to c pl wrth all pphcable State ot
Minnesota StaWtes and Ciry oi ga r ances
SiqnaWre of Permitee
A Building Permit is issued to: JOSEPN M MILLER CONST
on the express condition that all work shall be done m accortlance with all
applicable Stale of Mmnesota Statutes and City of Eagan Ordinances
Bwlding Ofhcial
OFFICE USE ONLY
OCtupancy R-3-X-1
Zoning ?$=1
(ACWaI) Const ?V-N
(Allowable) V-N
M oBtones
Lergth
Deplh
S.F. Total
S.F. Footpnnts
On Sne Sewage
On SAe Weil
MWCC Syslem
Ciry Waler
PRV Feqmred
Baoster Pump
APPROVALS
Pianner
Council
Bldg. Ofl.
Variance
60'
42'
x
._?
FEES
81dg Permit R99_00
Surcha(ge 77.00
Plan Review 539.00
SAC, City 100.00
SAC,MCWCC 6$0.00
weter conn 660.00
water Meter 95.00
Acct. Deposit 30.00
SMlPermit 30.00
S/WSusharge -50
TreatmentPl 276.00
Road Umt 370.00
Park Detl.
Copies
rornL 3.656.50
1991 BUIL1)INIU"ICATION
CZT7( OF EACAN
SINGLE FAMILY DWELLZNGS MIILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTORAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
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 SiHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHADTGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES 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 PLl1MBER.
To Be Used For: Nerv Hema Valuation: ? Date: July 30,1991
Site Address 1434 Appaloosa Tr
Lot 15 Block 1
Parcel/Sub Sherwood Downs
Owner
Address
City/Zip Code
Phone
Contractor Joseph M. Miller Const In
Address 18133 Cedar Av So
City/Zip Code Farmington, Mn 55024
Phone 431-2001
Arch./Engr. _
Address
City/Zip Code _
Phone #
154, OG7 O °`
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M-{
I'k-1
V- N
V-N
b
IVA:
On site sewage_
On site well
MWCC System ?
City water J?
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
ONLY
FEES
Bldg. Permit
Surcharge 7100
Plan Review ?o
SAC, City 100,0
SAC, MWCC 65-C.-OO
water Conn. 6(?O'
Water Meter 16,00
Acct. Deposit 30,00
5/w Permit 30,0?
S/W Surcharge 1 5-0
Treatment P1, aq&oo
Road Unit 3 0 0 D
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL 9 .? . (
Sewerer Licensed Contr.
' , agrees that all wprk ahall be done in accordance with
(S"g ature of Contract r
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1 - ,
.
V,4 M w
GanAUC-
f2 x22 r ?6?
a v X 2N ? 48n
'Z Xt 2 - (z4)
u
I s= loUy v
`?- - -- -
^
X l?f ? $Zg O•k I
-
1? y 2g = 3og 329 'oo+ i
/ y
.-
.5 .j,1,00+ i
53y°J0+
Li ( o - i
? 2,211•50r ,
3,056•50*
I`12x?? i ?2 ,, 829•oo+ I
7 7• 0 0 r
533•00+ ?
? 21 211•50+ ,
'..{ DuS?
` 3)0 5 5• 5 0?<
I
-- ? ?
w ....,..,.... vw.,?...,._. _??
j191
* * **
'F PIDNEEF3
* eng ? eering .
*?*
2422 Enterprise Drlve
Mendota Heights, MN 55120
(612) 681-1914
Certiticate of Survey for.vOJLEPH M. Mlt "ER CO" 'S T C0. ?
? APPAL.DOSA T2I.1 L' ,
o,
N86°37 32"E SS•o0 oRTN
qoo b.. Quy.7
qol.?
aQOq N ? ?Servic? .; `
1G"'
o \
? qo3? 9°?.o qo4.l
T- I b nc7
N? ?; ?t.5 o C'fAC- :r
(? N?O Z7.61 L /Ot' o
m w N ?. -
? PRoPoSED ,
? rI0u5E r
O J
9937 15.0 46,a
? - 9ay 9 ?o.o
?
-9 ?
N
SS ?
"'6
O_ \
.
?
I o?
x $oo. oo D¢nofes £xrsfing E(evatrons
? oo.oo Denofes proposed 6levatrons
----- -- ptnofcs Droirla e U1ilily Easemenl
-?- Dcnoles Drain e how Prrows
o Dtnofes Menument
9eorrn'{ S Shown are a9fumtd
Lowest floor flevotion S 9 9. 5(,
Top o06/OCk f/eVOfron qo7.l.l.
Gorle Slab Elevation qo-r .33
v Denolcs a?'{'sef !!ob
LoT 15 , BL OCrW 1, 914Iawood oowrvs
DAX07A COUA/ry, MINNESOTA •MiPuESoTQ 5ubject to easemcnfs o,"rPCOrd
1 hereby certlly that thit survey, plan or report was pr red by m or under my dirrct supervision a?+d that I am duly Rrgistered Lxnd Surveyor
14
under the tawe ol the Stete of Minnesote. Dgted thi:ay of q.p. 19?, ?-7
p SL+ale_I rnch: 40,e1
------ --------- uMnuu ? n. sn: e(I I'?.r,. ?ecc rio.inn?
?
N
Cfs
R1
?
A
, m',
c
P.,
DEPT
S6. 83
N S9°24'/5"V?
PROPOSfO NOUSE ELEVAT(ONS
1 r9o7, YY
oT 61a,
/ I
111ririLsorn srnir. E1dEitGY coDE CALCUlA1I0115
' '• , onsEU oii ciinh i En 5 o?iiie
NODEL,[IIEItGY COUE - 1903 EUI110N
• . AJoptlon Effectlva
' t'hone? ?atei_.
Site Address L-,QT l Ls?
Coiitractvr
builJing Classwcatton: Type AI (Single Famlly G buplex) A TYPe A2?Reslclentlal) '
(3 storles or essF- ,
. , ,
1101F' Complete pages 3 anJ 1I flrst. (Other)._ (Over 3 storles)
- . ' ? '..
CEII6RAL t IIFOIUTAT I Uil
?^_ N /
I., Dullding Perlme[er EG ,2 N ft.
Z
.2. 41a11 helyht (grounJ to eave) rc.
}. I. x 2. (above) gross wal l area ,,O,?j ? i i? f t. . '
.3 /
(t•2 rooF floo?-,area?'
tI. UUildin9 dlmenslons (L) X (lJ) , 5,• Square foot area o( rlin Jolst -r?oorxJ?erlneter t2Rlm ??t area ) L. 1?5 rtz
r
tz 15(v . • , '' ' ,
G. Uoors - Ai-ea
lhlcicness ' in. U factor 'ft.
Type oF Constructlon (erimeter . Nanu(ac[urer
7. To[ai door's perlmeter,
pB. Wlndows: IlanuFacturer
U factor
• 1YPE
N
?
ft.
State approved,_
_ (V
' S12E AREl1 (Ft.2) tIUItUER OF TDTAL FEfT Z
• EACII Utt I TS . ..
? ..1. vti _-_-----
W-2 ? 1?; -?I-1??--
9. Total ft.z Class 'Z ? 011) J ..
„ x a Ft.Z
10. Flreplace area:' WIJth X height
er X r ? = L?-?? ? Ft.Z.
• 1 I. ExpaseJ foundatlont Ilelght X Perlmet I(P,?. ?_1.4
.C011PLE?1011 OF T1115 FORt1 IS REQUIftEU FOR ALI. 11€W GUF?STnUC'(UII, I{nJOil IlE11UUEL?IIG Al1U'DUILUIIIGS ?EIII
fi0Vf0 u11ERE EIIERCY, OTtIER 711A11 TIfE t11Nll1Al CObE A1.L041ANCE, IS USED.
12. - Framiny area x 107G of yross aiall arca.
, ' ?3°I r ?>r? rt.z ?7ail'j
13, Gross Hall area Z, U x
• 7 '? ft: U wlhJovrs °
Nindow area A ? U x A°
rL .Vj ft.2 U ririi joist ° . . .
V L r,,
' Rim Joist area A 2. U'.x A'' lL'nc.•?r'
f t. U door area tl '1 U x A ---?"-"
Ooor area "?-?) ??---- . Iq I i ltL
?irIo. -kz I Z U. f-?ep1 ate• ° i ? G -
VP4t? =
ea?l??ace-area A f L.• O U x A
J ° ??-
O,? ? ft•Z U fnunJation
Exposedfoundatlon h
U framing area = i? ? U x A, ?
rt.
Framiny area A? ,• p U wall U x A°
f t.
tlet wall area A A d2?
TOTAL . . . . . . . .
,
A_1 S;ilgle (aioily S duplex ' allov?able U x A/Code
14. Gross wall area z,0.11 (
(13, above) X 0.23 (A-2 other residenNal)
• X .23 (Other bulldings) . . ,
• x,?p (Over 3 storles) . pT?jj, hlust be larger than
A ?6??33-°?• 13I1 aUove._
°_?
x U Code. or tit,, saine as?
151 Cet•ling framing area (AF),equals 10% oF ceiling afed /=? t Z
. . x ?W) ' ? r
15A. Gross ce111ng area - (L) ? /a ?t.2
150 Jo1st are? (Af). ° 10: ce111ng area =
ft.2
15C. Het ceiling area (11C) (15A - 150e
U ceSling x A r- x? = rp = 7? 3•
, U iraming x n f=
. • Zo ,
15U. TO1nL'U x A ............................. . ........ -- ?""
y duplex - code a11oM?able U x ?' . '
16. Ceiling area (15A) x 0.026 (A-1 single family ;
X 0.033 ((1-2 other residential): x 0:'06 (othe?Z(If?l .?? ba??? 14ust be larggr than •150 (above
r {or tli,e sameN as).
15A x U ?codc ? ,
• 3 and 4., .
t10TE: Usc U and A values obtalned frorn pages 1,
here t descrlbedemAe[sVOrcexce leJs the fState of n111nn1esotaues i'
buI lJing cei-tify
C?neInICAd10?lat liereby
Energy Conservatlon Ac[.
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1
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U.Gi A1i• Film
Iolal R 70-
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R 9AlUE.
9
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- - _ U.G1 lnside a1r 111m U.61
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11ndoH ?nllltratlvn 5 clm/llnea) fout of crack '
lcsldentltl Jvor infllfraElon U.5 cim/square toot or Joor dnJ minbnum code YequlremenE
-Ion-ttsldenllal Juor Inflltratlon 11.0 c(m(11nea1.Toot at crack
)(? I2??toncrete block no (nsulnNon 3 .47 il 2.1 . , • . .
)b ?21? toncrete block lnsulaEeJ cores =.2G fl 3.0 ,
Jb' ?Zd 191ILi12lgIlE I1lOCk ° :3Z n 3.1 . ' . .
1b 12ll llghb,elyht block InsUlated`cores a?12 R 6?J •h• 1 !1ng j? glass = 1.13; rillh storin talndo,t .54
) doUbI@ glass = .55 ., . • . ' ' .
1 lrlple glass s .41
; 411 txlerlor walis and cellings musE Iiave A v?por barrier (O.lo pe?m max.?I ,
Japar barrler must be on the Inside (heated s, Je) vf riall1 ?
rapor barriers of F.he pvlyethelene thlii fllm:haJe no R velue. ,
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. . • • .
CITY OF EACAtd
3830 PIIAT RNOS ROAD
,.. . EAGAN, MN 55122
PHONE: (612) 454-8100
???mmm
FOR CITY IISE ONLY
PERMIT fF
RECEIPT # S S
naxE:
PLEASE C02tPLETE IIPPER PO&TION ONLY FOE SINGLE ' PAMILY DWELLINGS fi
TOANH0MES/CONDOS WHEN pERMITS ABE REQIIIRED FOR EACH UNIT.
WO&1C
NEW CONST ?
ADD ON
REPAIR
pWNgt NAME; JOE MILLER CONSTRUCTION C0. INC.
SITE ADDRE55:
LOT:__L?Z BLOCK I SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATIN6 C0.
ADnttESS: 14745 South Robert Trail
CITY: Rosemount, MN ZIP: 55068
I-:oNE #: . (612) 423-1144
COMPLETE THE FOLIAWING;
N0. FIJCrUttES EA. TOTAL
ADD-ON HINIMUM 15.00
? SHOWER 3.00 7--r-
? WATER CIASET 3.00 ?
d, BATH TUB 3.00
? IAVATORY 3.00 /v7a°
? KITCHEN SINK 3.00 ?
LAUNDRY TRAY 3.00 .} °D
HOT TUB/SPA 3.00 ?
T WATER HEATER 3.00
T gronto, DgeTU 3.00
GAS PIPING OUT.
t (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50
oxxER
/ WATER SOFTENER 5.00 ?
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL S ,5-7 4 '0
ST. SURCHARGE .50
TOTAL: S 5 7. Sd
PLEASE COMPLETE TtIIS PO&TION F6R ALL COMZfERCIAL/INDIISTRIAI. BUILDINGS AND
MIILTI-FAMILY BOILDINGS WHEN SBPARATE PERMITS ARE NOT REQIIIRED FDR EACH
DAELLING [)NIT,
______________________________-____-__-_--__--___-----.__----------___---_-_-___-
CONTRACT PRICE:
owrrER rinrtE:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRE55
CITSC; ZIP:
PHONE
FOR:
CITY OF EAGAN
oy04*1
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[IM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN FOR CITY IISE ONLY
, j 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #-?
DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------
WORK DESCRIPTION FEES
NEW CONST ? ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OWNER NAME: _TCy_r_. OF 1 PER PERMIT
ci Q.CC
SUSTOTAL:
SITE ADDRESS: ?? "• ` . I STATE SURCHARGE: .50
L'uT:_?? B?CK ? suan. SI1eC?Cc?ATOTAL:
INSTALLER: ???'O 1 1?? R ?(, ' I
( - ? i ?----,
ADDRESS: P?0 ,???CI n'JC I NATURE OF PERMITTEE
CITY: -G. - ? 'l ( I /V ZIP: .`7SC)`
PHONE #; _(C)c)Q
COAIME[tGTALJINDU5xRT6T.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND M[JLTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #;
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
?. -CI TY O:F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
r ¢K
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
?
7//??, y f
?
BUZLpIN6
021464
07/21/93
SITE ADDRESS:
1434 APPALOOSR TR
LpT: 15 BLOCK: 1
SHERW000 DOWNS
P.S.N.: 10-67670--150-01
DESCRIPTION:
UBC dcc•Upaq * Q??
13uikding Lertgt
Buildln9 Width
??-y, (12'x 16' DECK INCL)
BUi1dSno,Permit Type SF PORCH
Build•ing Wb,rk Type NEW
R-3
14
!?--, 12
;
?
s`
?
s?r
u t?
?
REMARKS:
FEE SUMMARY:
vALuarzoN
Base Fee
Surcharge
Total Fee
$108.00
$4.56
$112.50
$9.000
CONTRACTOR: OWNER: - /+pplicant -
CARLIER DAVID
1434 APPALQOSA TR
EpGAN MN 55122
(612)683-1132
I kaereby acknai+ledge that I havo read this;applicatlon aad state theg ttie
}.nformatiun .is c4rrect and agres Go ezsmply,;with al2 a,PRlicahas SCate of Mn.
SCatuCes amef City af Eagart Ordfnottees.
&VJu? ?lc?cua R.? ?,1 nLq
APPIICANT/PERMITEE SIGNATURE ISSUED Y: GNATU E
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lo T: 15
1434 APPALOOSA TR
SHERWOOD DOWNS
PERMIT SUBTYPE:
SF PORCH
PERMIT TYPE:
Permit Number:
Date Issued:
eLocK: 1 APPLICANT:
CARLIER
(612) 683-1132
TYPE OF WORK:
DESCRIPTION
BUILDING
021464
07/21/93
DAVID
NEW
(12'x 16' DECK INCL)
INSPECTION .. . ..
FOOTING FRAMZNG
INSULATION FINAL
F- - ?
L
J
REACTIVATE _ In r- %:R It UVk 0
PERMIT ?. 9 J
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
l'rIP14 q-14
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, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?/ 10 / l?lq3 Yaluation of work
Site Address:143'-- ,c.noaloosa.--1"raL, ?'cc aa,n ? 1'1') 0
S E T SUITE M
Tenant Name: (commercial only)
IAT L6 BIACK I SOBD. P.I.D. k
(??I?Pi Vwiy?
Descri tion of work: t"C.¢1 d eol1)
The applicant is: Owner ? Contractor ? Other coeccr;ne>
Name Gt-r Li PX- i DfkU?D Phone
Property LAST FIRST
Owner Address 1434 Qo4lco5Q_. 'f'?1 0? L
?
STREET
City State KMJ Zip 55!
Company Phone
Co ntractor Address license # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration M
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 compl ith 1 ap i ble State of Minnesota Statutes and City of
Eagan Ordinances. `
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
O 03 SF Addition
E? 04 SF Porch
05 Sf Misc.
WORK TYPE
31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-P1ex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
.,
:P • r{ It
M% y
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 GarageJAccessory
0 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
SAllowable) lst fl. sq. ft.
UBC ccupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length /y • On-site well
Depth J l, On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS r4(.50 12 X/G ' fl?K
? Site $k footing f@ Framing
? Wallboard BCFinal ? Draintile
? 31 Demolish
MWCC System
City water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
/
a
Assessments
,B Insulation
? Fireplace
Permit Fee
5urcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
108.00 vsl tion: S C/ Daa
4. so
IZx/df= /6Er x ys = ?S? o
? jod o
. ?„16 Bastment Finish
O 17 Swim Pool
? 18 Comn./Ind.
? 19 Cortm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
SAC %
SAC Units
* PIO
* engi
* ?t yF
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Cert;f;cate of Survey fo,:JOSEPN M. MILLER CONST. CQ.
? APPALOOSA T2AI L- ?--?
N86°37 32"E $5.00 ?ob??? AIORTN
qoo b
?
NM
W
?
I? yo7.o
?.I._. P
90337 15.a
?
?Y•7 q?6
9a63
?
> ? o
0
oY.l a I 9o7,yy
P2o7osev :3l
I-EOUSE r
Yol.o
?p\ \
.a `
s 1
N
0
m
? sno.oo Denofes fxisfing flevations
? oo.oo Denofes Proposed E/evofions
'---"- Otnofts Droina'o¢ {'U1%/rl?y Eazemen{
- Dcnojts Oraino?¢e Flaw xJrrows
o Dtnofes Mopwr;"ar?t
6eorin?ts Shown ort asiumeot
?
N
v
0
1l
N
r%
?I1
I t9°?
JP
I
\- - --?
56. 83
N 59024'A5"K/
qo??
PROPoSfD NOf/SE EL£VATlO/VS
Lowest rlaor Elevatr'on 8 9 9. 5('
T LL
i? o?elpck £levplion qo?,
Garqe S/ab Elevofion ga7 ,33
a DenoIes o? sef llub
?oris , BLOCr/! 914awood Dowrvs
DAKOTA COUNT}', MINNESOTA .M?A?AIESoTA subject l•o easemenfs o,^record
I hereby cerNfy that this survey, pleo or report was pr red by or unAer my direct supervision and Ihal 1 am duly RCgistoreA Lnnd Surveyor
under the lewe of the Stata of Minnesota. Deted thisay of q,p, 19j/-
Sca/e : 1 inch , quitCt
?DZDb,I?-
,?
CH LS REG. NO. 1489
1E0 1 R 1 1111
o qo$.49
l.h
I ?
N
RESIDENTIAL
BUILDING PERMIT APPLICATION
•, ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construcdon ReouiremcMts
• 3 registered site surveys showirg sq. ft of lol sp. ft ot house, and all roofed areas
(20°6 maximum bt coverage allowed)
• 2 mpies of plan sMwing beam & window sizes; poured tound design, etc )
• 1 sei af Eneryy Calaiauons
• 3 oopies of Tree Preservation Plan H lot platted aher 711193
• Rim Joist Detail Options 5eletWn sheet (bldgs xfth 3 w less units)
DATE
.,JB SITE ADDRESS ? '_?
RemodeVReoairReouirements -
. 2 mpies af plan
. 1 set M Energy CalcuWtions lor heated additions
• t site survey for exterior additlons 6 decks
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK Ci FIREPLACE(S) _0 _t _2 _3
APPLICANT (JA-LLQb/ DOd-L'C PHONE#
ADDRESS 'f't) f
PAGER #
3Z ZIP CODE 15?_?-?7
CELL PHONE # ??FAX # ?z 8py - yci ?sl
t3'3
NEIV RE5IDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Cod? Category _ MTNNESOTA RULES 7670 CATEGORY 1
(check one Residential Ventilation Category 1 Worksheet Submi D
- Energy Enveiope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted 8y-?
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
blechanical System Iiicludes:
Sewer/Water Contwctor.
Air Conditioning
Heat Recovery 5ystem
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowiedge that I have read ihis application, state that the
all opplicable State of Minnesota Statutes and City of Eagan Ordinai
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation
_ Water Softener _
_ Water Hea[er _
No. of Baths
O ? .
VALUATION (EXCIUDING LAND)
Phone #:
I.awn Sprinkler
No. of R.I. Baths
Phone #
is torre`ct, and agree to comply with
4 (n'?5
Ca[fed 3-D-0)
lf"1
Not Required
Updated 1l01
OFFICE USE ONLY
? 07 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
,tr 31 New
? 32 Addition
0 33 AlteraGon
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
,,., 00
/iy0uv
v?
B ci
0
(
20 Pool ? 30 Accessory Bidg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screened) O 36 Multi
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
_ Footings (new bldg)
_ Footings(deck)
_ Foo[ings (addition)
Foundation
Drain Tile
Roof Ice & Water Fina]
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
_ Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
_ FinaVC.O.
_ FinaUNo C.O.
_ Plumhing
HVAC
MC/ES System
City Watei
Booster Pump
PRV
Fire Sprinklered
Other
? Poo] ? Ftgs k? Air/Gas Tesu ZFinal
_ Siding Stucca Stone
_ Windows (new/replacement)
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
? 07 OS-plex ? 13 16-plex
? OS 06-plex ? 76 Fireplace
? 09 07-plex ? 77 Garage
? 10 08-plex ? 18 Deck
? 77 10-plex ? 19 Lower Level
? 72 12-plex Plbg_Y or _ N
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1434 Appaloosa Tr
Lot: 15 Block: 1 Addition: Sherwood Downs
PID:10- 67670 - 150 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
e- Reroof & Siding
Reroof & Siding
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
When installing ventilated soffit material, remove exis
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the
Pictures are not acceptable in lieu of inspections.
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA090357
07/28/2009
ePermit
nspector w/ a ladder and flat bar.
ng material (i.e. debris that could block vents) and take steps to
$132.75
$3.00
$135.75
Owner:
David M Carlier
1434 Appaloosa Tr
Eagan MN 55123
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
�
� Use BLUE or BLACK Ink
r---
I For Office Use �
I
/� � I
• � Permit#: ��� �
Clty of �a�a� � Permit Fee: ���• �y �
3830 Pilot Knob Road j ( I
Eagan MN 55122 RECEIVFD � Date Received: • � �
Phone: (651)675-5675 � �
Fax: 651 675-5694 I Staff: I
( ) J�� f� � ?�1(r I
I
RMIT APPLICATION ��
2014 RESIDENTIAL BUILDING PE ����
Date: Site Address: Unit#:
Name: f 1,������t°dl�t... Phone:,���P�.��✓ "'�
Residentl
Owner ' Address�c�ty�z�p: ,(��� �.�.�.r/�ar� �7�`y��,� '�
Applicant is: Owner Contractor
Description of work: ����j°�'/l1�1 'p�
Type of WorK
Construction Cost: U�) Multi-Family Building:(Yes /No )
Company: ��f 4�.�����Y.�.�,� Contact:�tL
Address:�–���,�—�'�`ti f� City: �����,�'�? �.��
Contractor �/
State:�Zip: �-` Phone�sL��-J� Email:�;r.e� �r���L�2/lp�l��/��'�
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
��� I � _1
�
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 pian?
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 speci�c reasons that would permit the City to '
:conclutle thaf 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name � Ap g ure
- Page 1 of 3
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DO NaT WRITE BELOVi/THIS LINE
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SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ ExteriorAlteration (Multi)
_ Mutti _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof Demolish Interior
_ 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 � � SAC Units
(25%_ 100%''�/ ) Zoning I���� City Water
Census Code T 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 B �
Y� � , Building Inspector
RESIDENTIAL FEES
Base Fee ''�
� ��r
Surcharge � �;�;
Plan Review � ��� ���
��,�,`� .
MCES SAC � �
City SAC �
Utility Connection Charge �� �,� �,, � ��� � �� �
� � �
S8�W Permit 8�Surcharge �
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156350
Date Issued:06/26/2019
Permit Category:ePermit
Site Address: 1434 Appaloosa Tr
Lot:15 Block: 1 Addition: Sherwood Downs
PID:10-67670-01-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Nathan J Krick
1434 Appaloosa Tr
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature