4670 Aspen Ridge Cir
1SIDENTIAL y~~a jr
~P- 'f~~13• b5-
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 p I
C~ ~A~~ oinfe Oi FgQGv) 2nd 651.681-4675
New construction Reguirem is tJJ Remodel/Repair Requirements
• 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and L11 roofed areas 2 copies of plan =a§Ufi~V'
(20% maximum lot c
overage allowed) 1 set of Energy Calculations r h2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior addit • 1
set Energy calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION (EXCLUDING LAND) ~STa r~ p
JOB SITE ADDRESS Y l0 7n ~ / D Iyv
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK K~ G FIREPLACE(S) _0 ZJ _2 _3
APPLICANT 5'4~705t/ V 3ae 16a CJo,[JS~Y'l , 96n ~rJPHONE #
ADDRESS ~G900 /t"7-hg' C// L_ ZIPCODE
PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
I
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
i Plumbing Corrrractor: ee-J 45:7106- Phone
Plumbing System Includes: _ Water Softener -k_Lawn Sprinkler Fee: $90.00
Water Heater 1 No. of R.I. Baths
o2 i No. of Badis
i Mechanical Contractor: 2 C~(SO y ZLI616- Phone # 7
Mechanical System Includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: 7 ~XL'f/IG~ T1~ - Phone #
I -
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the inform ion corn ct, a agre o com with
all applicable State of Minnesota Statutes and City of Eagan ina ~
Signature of Applicant ~Ze ('rived p~
Certificates of Survey Received _ Tree Preservation Plan ec ived _ Not Required V ` UT YCgUvd
updated 1101
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous
`v 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code `p Zoning /0°- ` City Water
SAC Units Stories a Booster Pump
Nbr. of Units Sq. Ft. 1 t_1 J.1 PRV is
Nbr. of Bldgs Length 1.5-6) Fire Sprinklered
Type of Const s- Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
~j Foundation _ HVAC
Drain Tile
Roof Ice & Water _ Final _ Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone
Insulation - Windows (new/replacement)
Approved By, Building Inspector
Base Fee r Ste!
Surcharge t~ C7
SpD
Plan Review tG D X15'
MC/ES SAC
City sac 7a y
Water Supply & Storage y/ 0 6 S
S&W Permit & Surcharge
Treatment Plant 5 L VZI/ ! d
Plumbing Permit g (g SC
Mechanical Permit
License Search
Copies Sao !
Other
Total
Site address: Lot O Block( 010k ^
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adapted. As a result, the City of Eagan is requiring that the fallowing information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater Q _ M • V
Furnace f 60 p (J
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen
Bathroom 1
Bathroom 2
Bathroom 3
Bathroom 4
Other
VENTING
FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS
#10 60-W600
MAKE-UPAIR MODEL nn TYPE CFM's
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signatu`e ~,c^ ^ Date
Company yNName ~•,t~
This form is the responsibility of the General Contractor.
Address 46670 Aspen Ridge Circle Zip 5512 _
Lot 2 Blk 2 Sub Oakpointe of Eagan 2nd Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: g / • d L Yes No Inspector:
Final grade (6" from siding) V-11,
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas -74
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside awn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Residential ventilation two-step worksheet g 2 P IC
2000 Minnesota Energy Code
STEP 1: submit co with ermit a licaflon
B~rilding address: Completed by:
46 o A ~
City, Zip: ~ A4 A Date:
House conditioned floor area (normally including the basement) DO sq. ft.
Number of bedrooms
Ventilation quantity
Total ventilation requirement (conditioned floor area x 0.05) 195 cfm.
Optional: total ventilation may be split between people and supplemental quantities:
People ventilation of bedrooms x 15 cfm + 15 cfm) L cfm.
Supplemental ventilation total (total - people ventilation) -7 cfm.
L.E.N1-ACX, MopF-L ZDO 5P
List fans to provide mechanical ventilation c-sZNTgNL A,TcD-A HF:Ar Ek G
Fan location or description IH k D CT t3o Go o LJ E cH LE}UNpK
FAN PURPOSE people
ventilation
or sup lemental ventilation TOTALS
AS DESIGNED cfm cfm cfm cfm
or e>ffl" cfm cfm cfm crrn- cfm
STEP 2: Submit upon completion of svstem verification
MEASURED cfm cfm cfm cfm cfm
intake' PERFORMANCE or cfm cfm cfm cfm cfm
- measurement required f s and exhausts from the building with design air flow of 30 cfm and greater.
Ventilation equipment requirements (check to confirm compliance)
Ventilation system sized to provide the design air flow
People ventilation fans listed for continuous operation and sound rating does not exceed 1.0 sone
(surface mounted) or 1.5 sone (all others)
Optional: heat recovery ventilator (HRV)
HRV meets Canadian standard CSA-439 (indicated by listing in HVI Directory)
(optional manufacturer cold weather performance certification
HRV meets UL standard 1812 or equivalent
HRV has a permanent label of net air flow and sensible recovery efficiency
Distribution, installation, and certification requirements
All ducts outside the interior air barrier sealed with UL181 or equivalent product
Controls for people ventilation are readily accessible and labeled
If RVS ductwork is connected to furnace ductwork, controls are installed to run the furnace blower as
required by code to distribute outdoor air to habitable rooms
5/99
Page 10
-
2000 MINNESOTA ENERGY CODE L07- A BLk PW65F. Tr
I-2 Fanvily Residential Dwellings dRhPOI iJTE-
"000KDOOK" WORKSIIEET
Applicant Name Phone Date Plans must be clearly marked wi0t: Statement of Compliance:
JAMES D)Mbrlp 95q-9S)-01-R7 CK insulation R-values, llsoprupusod building desigi represented in
9 window and skylight 1-1-values, these doaunartons, ms othff th the building
p1mis, spa:itiuaions, d %vutter
Applicant Company I$ size and type of equipment, uv1ias sutmined wNt the pent
NL location of interior air harrier, valor retarder application. 'llseproposed buildingtas been
O G P H OM F. S OA k Po) P j-rE and wind wash barrier, designed Minnesota to meet Fxergy the re Code. of the
.
Building Address: El equipment controls.
0 ASPS R%DC. CI RC- I Applicant
MINIMUM REQUIREMENTS for "Cookbook" Option:
Entry Doors 1-3/4" solid wood or maxinvu n U-value of Ceiling R-38 (insulation performance at winter design Heating system efficiency: > 90 % AFUE
0.411 conditions
Foundation 1/2" insulated glass in mood of vinyI frame, Foundation wall insulation R-10 (if a different R-value is Rinljoist R-10
Windows* or maximuul U-vah(c of U-0.51 used, adjust the required average window U-value by
*laclude foundation window total squat: footage in completing the worksheet on the next page). Floor over unconditioned space R-30
calculation of Window/Door Area.
Window and Door Area 100 x 376 - 3070 % WINDOW U-VALUE: .3-1
As of Fxpoved Wail Area Window/Door Area Cross Wall Area Window/Dloor Area Sourer. NFRC X or Code Default table
y
( NIAXIMUNI AVERAGE WINDOW U-VALUES
FOR 11-10 FOUNDATION WALL INSULATION & 90%AFUE FURNACE
Check Wall Maxinutnr Total Window and Door
Type Used Area as Percentage of Exposed Wall: 30% 12% ]4 11 18% 20% 22°6 24% 20°6 28°6
Wall 7 v c: Maxinnmr Avera e Window U-value:
2 x4, R-13 insulation, < 13- 5 shc;dI1129 0.:37 0.37 0.:33 Q_°8 0.25 0.22 0.20 0.18 0.17 0.15 ~
2x4, It-13 insulation, > R-5 shonlhin, 0.:37 0,(37 0.37 0.;37 0.37 6 3 0.30 0.27 (125 f).2:3
2x4, lx'- 1:3 insulation, > R-7 sheathing 0.37 U.;37 Q37 0.37 o.37 0.30 0.33 0.30 0.27 0.25
2x(1, R-19 insulation, < R-5 sheathin 0.:37 0.37 0-37 0.:37 0.37 Q32 0.29 0.27 0.24
'2x(1, R-19 insulation, > R-5 sheathin • 0.:57 0.37 0.:37 0.37 1).37 0,;37 U.35 0.32 0.219 0.27
LxO, It-2 l iusulatinn, < R-5 sheathing 0.37 0.37 0.;37 37 Q37 0.35 0.:31 0.29 0.20 0.24
2x(1, R-21 insulation, > R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 6.
36 0.33 0.30 0.28
NO'T'E: If dims thit.ion wall insulation is cithor less than R-10 (but not less than 11.5), or R-19 and above, then use the cables appropriate for those values.
T~~EPRESERIT,101 ~I SUMII~A
' ~ sr CkT~IGO~EAGANO'REx~I~fYI~IbN'~ ~
(SEE ATTACHMENTS)
I
Development (U~l~pClk~-CC F ~6A N G- J!3 b,
Lot Number 7 Block Number Z-
Address tfF~lLSP~Iy V2t~tE Ct~
Builder '1z S~PG1 P ~+ktLt t Y
i FF ~l'C SI-t l tit 17S l' (L1~~ ~ ~
~~2ta,~ut.r mt~, cnu
Tree Protection Requirements:
Tree Fencing C ~tvJ LCC't T~ D N !~A SfYG~t~sY (~5,
Oak Tree Pruning (Immediately seal wounds during April 1 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
_ Not Required
As Follows:
A14 r-ORESTRy DIVISION
Attachments:
Yes REVtEWE®..
Np
Additional Notes:
K: ghovet2000fileltreepreslTree Preservation Plan Summary-2000
Tree Preservation Plan
~~~1i
Oakpointe of Eagan
Lot Block (Site Plan Attached)
Address: 20 rl~P,
Owner: OCP Homes, Inc. Builder: Joseph P. Varley Construction
8609 Lyndale Ave. So. #101 B 16800 Shieldsville Blvd.
Bloomington, MN 55420 Faribault, MN 55021
881-0127 507-334-6034
Significant Trees on Lot:
None
Significant Trees: (Numbers Per Tree Survey)
# Type Size Retain or Remove
Protective Measures: 14)6 Z-07>
Tree Fencing
Oak Pruning (April 15 - July 15)
Retaining Wall
Therapuetic Pruning
Other:
Re la a t Trees:
Not Required
As Follows:
Note
1
f
I f •
:;Le I-SE35`~ 936_„
938" II -P . O:P- SAD- ! ,
i f~ S-~-D C~ t
i
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err
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Let a UiGGf a kOD,v fR T' P9QN.
DATE OF SURVEY: S a f-6 i
LATEST REVISION:
m
c
v DOCUMENT STANDARDS
`1 Q v
0/ z 6
f~ ❑ ❑ • Registered Land Surveyor signature and company
❑ D • Building Permit Applicant
❑ ❑ • Legal description
❑ ❑ • Address
rir 0 0 • North arrow and scale
❑ ❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
;/0 0 • Directional drainage arrows with slopelgradient %
❑ ❑ • Proposed/existing sewer and water services & invert elevation
[Y/❑ ❑ • Street name
d ❑ ❑ • Driveway
❑ ❑ • Lot Square Footage
4V/ 0 0 • Lot Coverage
6X 0 ❑ • Benchmark
ELEVATIONS
/ Existing
Q ❑ ❑ • Sewer service (or Proposed)
w 0 ❑ . Property comers
[a~/ 0 ❑ • Top of curb at the driveway and property line extensions
Lq' ❑ ❑ • Elevations of any existing adjacent homes
0 Ri/ 0 • Adequate footing depth of structures due to adjacent utility trenches
0 P~ ❑ • Waterways (pond, stream, etc.)
/ Proposed
e' ❑ ❑ • Garage floor
fl/ 0 ❑ • First floor
r~ ❑ ❑ . Lowest exposed elevation (walkout/window)
❑ • Property comers
m ❑ ❑ • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
❑ U ❑ • Easement line
❑ ❑ • NWL
0 ql❑ • HWL
❑ f3 0 . Pond # designation
I/ ❑ ❑ • Emergency Overflow Elevation
DIMENSIONS
❑ 0 • Lot lines/Bearings & dimensions
d ❑ ❑ • Right-of-way and street width (to back of curb)
4 ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
U/ ❑ • Show all easements of record and any City utilities within those easements
❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
Ca ❑ ❑ • Retaining wall requirements, if any
Reviewed:
N ~ /l A l ~rL l y d~
Name /Date e
j {s• * * M2422 endota tHeights,DMN 55120
* PIONEER two saxWraNS • aHL O+aN¢ns (651) 681-1914 FAX:681-9488
engineering LMD PLANNERS. UNOSCA AR M1 CIS 625 Highway 10 N.E.
* Blaine MN 55434
* * *'t JUN 18 RECI (612) 783-1880 FAX:783-1883
Certificate of Survey for: OCP HOMES, INC.
4670 ASPEN RIDGE CIRCLE, EAGAN
LOT AREA = 7254 SQ. FT.
HOUSE AREA = 1621 SO. FT.
COVERAGE = 22.3 %
~CIU-120 J,3 REQUI[RE O HOUSEETIPEN ARTIAL7LOOKOUT
raft
BENCH MARK
TOP OF PIPE ELEV.=938.43 ~tAoff &VGO -rib
w ~a
EXI 4G h9 lalt~!/1 G ~ ~ W
rn H STING rn Ala
OUSE
50- 3 ;w
936.5 v
1 14 z~
r ,wl
I aTn
N8$'41'53"W m, 139.43 ow
36.88 50"133 936.9
Ln I LO oI 938.0 937.31m 937.1
1 Q 1 IMF--- 'o x 936j `I o 36.33 ` =
00 r2 / In ~l
UT P o 0o vT W
Z I T•o 3 Nw 6.00 40
CID
QY7.2 17OO
D W)
Cx) 0,
n F
N I ~
44 33 1 9,46.1 42 X .16
1937.0 0 io 9375 28.11 5034 r 935.3
U1 Mqy EHIOUSEGO 935.8
14 Amy N89'04'03"W M
Mm 119.88
50
1 _
A~ S IL T )0146 A)
vT<
rS
BENCH MARK?.
TOP OF PIPE [~a¢g
ELEV.=937.01 i 1117CC~ iUE d \~i'
aVI -to I~ SC.i y
-1 F .
i.
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER PROPOSED HOUSE ELEVATION
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND BASEMENT FLOOR ELEVATION, 932.0
FOUNDATION DIMENSIONS. 13
MAIN FLOOR ELEVATION:
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: °/350
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
- - -
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM • DENOTES MONUMENT
e DENOTES OFFSET HUB
WE HEREBY CERTIFY TO OCP HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 2, BLOCK 2, OAKPOINTE OF EAGAN 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 24TH DAY OF MAY, 2001.
S GNE~: PIONEER ENGINEE&I G, P. A.
SCALE : 1 INCH = 30 FEET
/
2541 99546.16 BAT ~6"d~SEQ ~~iSiO' i✓~!~'-~F-'--z° John C. Larson, LS~ Reg. No. 19828
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA086744
Eagan, MN 55122 . Date Issued: 10/09/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4670 Aspen Ridge Cir
Lot: 2 Block: 2 Addition: Oakpointe of Eagan 2nd
PID 10-53776-020-02
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Royalty Remodelers Anal Nasar
4411 Slater Rd 4670 Aspen Ridge Cir
Eagan MN 55122 Eagan MN 55122
(612) 414-8199
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use h I
j Permit
Jdas
City of Eap Permit Fee:
3830 Pilot Knob Road I~ i
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I~
Fax: (651) 675-5694 1 Staff.
1 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t ~e b i- Site Address: '7 , LG r e„` Unit
Name: l / N a S a r- Phone: 5 / 7Y4 &3-Lt
RESIDENT 1
OWNER Address / City / Zip: `f 7 o 55-12 -L-
Applicant is: Owner _C Contractor
TYPE OF WORK Description of work: W 1 yw !a t
Construction Cost.*73 (e, uka c> Multi-Family Building: (Yes / No
Company: reaA rA \ jkA" v Z 3 i ~ n S Contact: &_4
CONTRACTOR Address: ZO (o t~ 1 Fr C> t Car.- t- City: L-Q_ bl -c
State: M N Zip: SSA -31,44. Phone: 9 S2_ 2-I Li L 0,.3 71
License J2C (c K - I L`u 'L- 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.orp
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 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 worts 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.
)k- 5_e -k I, 2 z,"1__A_ x
Applicant's Printed Name App icant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use l
; Permit I LO? D
City of Ea (in
I Permit Fee: V~ ' 5 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: U Q 1131
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: '11670 A-s fin ,',b 9 a- G; f Unit
Name: J Mcl;,1 Nd6cL r Phone:
Resident/ i rte
Owner Address / City / Zip: 6 7~ ~'1S QG,rt 2Z
Applicant is: Owner X Contractor
Type of Work Description of work: f f cook t4 o s,_-.
Construction Cost: rr Multi-Family Building: (Yes / No X-)
Company: 1.1 ~VQ ox G X ~'Cd i O T S Contact: 11GUi .i Za4:1
Contractor Address: 3O s foth A-V S, City: 501AVI 5&'J Pao
State: 14 N Zip: ~5 iC~ 7 Phone: 6S) - 3 0 3 19 c'7
License b C 1 Ib 1 Z 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 the 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.goi)herstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x_\ I°/1! I n L t7w i11 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139763
Date Issued:11/08/2016
Permit Category:ePermit
Site Address: 4670 Aspen Ridge Cir
Lot:2 Block: 2 Addition: Oakpointe Of Eagan 2nd
PID:10-53776-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Ajmal Nasar
4670 Aspen Ridge Cir
Eagan MN 55122
(952) 484-1771
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature