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3913 Danbury Trsessu rnol BUILDING PERMIT To be used for CITY OF EAGAN Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 Receipt # Est. Value ' 63,00. Date A` [:C5'T 2`' .19 ." Site Address ' ' ?''' '• =' ? ? '. i (. Lot Block ? Sec/Sub. bAtqi,l3<Y YLACI Parcel No. ? Name •`' 3 Address ' ° City Phone ¢ 0 Name I ? ? Address ra- City Phone Phone 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 artd City of Eagan Ordinances. Signature of Permittee A Building Permit is issueall work shall be done in Building Official On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actuaq (Allowable) # of Stories Length Oepth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance FEES _ Permit _ Surcharge _ Plan Review _ SAC, City _ SAC, MWCC _ Water Conn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copies TOTAL on the express condition that Minnesota Statutes and Ciry of Eagan Ordinances. Permit No. Permit Holdor Dats Telephone * Plutnbing H.V.AC. Electric ;.?.? 9az 5oftener Inspection Date Insp. Comments Footings I 9 Footings II Foundation Framing Roofing Rough Plbg. _ Rough Htg. Isul. a ?-7 ?. J{. Fireplace Final Htg. • Final Plbg. ? Bldg. Final e- Cert. Occ. Temp. lP Deck Ftg. Dec G ? s Q $ Well Pr. Disp. . • CITY OF EAGAN (?. 3830 PiIQt Knob Road P.O. Sax 21-195 Eagan MN 55121 ? BUILDING I To be used for Site Address Lot 2 15 I I PHQNE: 454-8100 • ? ? Receipt # 4 " qXROATj(N Est. Value $47,000 Date 1+aoV 17 r- OFFICE USE ONLY W Name RICHARD ERICI?SON 3 Address 3913 DANBUBY T8 ° City BAGAN Phone 687-1235 , o Name CARE,C?IVE ffiM SERVICES ;Q Address 12221 i100D LAKE DR ? Gity BUttN&VII.I.&hone $94-5752 ? W Name $REH'T ANDERSON City sumVlLLpohone 874-5751 ?y aeknowlege that I have read t is app4ication and state that the ttion is correct and agree W"coly with all applicable State of on the express condition that all work shall be done in accordance with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Ofiiciaf Occupancy Zoning (Acluaq Const (Allowable) # ol stories Length Depth S.F. Tota{ S.F. Footprints On Site Sewage On Site Well MWCC System City water PRV Required Booster Pump APPROYALS Planner Council Bldg. Off. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter Accl. Deposii 5!W Permit S!W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEFS 419.50 1 ? Permit No. Permit Holder Date Telephone # WATER SEWER PLUM8ING ? f H.V.A.C. ELECTflIC a?LCL- _ (;ef, Inspection Date Insp. Comments footings I Foundation Framing Fooling Rough Plbg. 1 C Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan 81dg. Final Deck Ftg. Deck Final Weli Pr. Disp. . . . J__,.. ' L PERMIT # _ . !. . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 4 %? 4- " 3830 PILOT KNOB ROAD, EAGAN, MN 55122 , - DATE: I/ CONTRACT PRICE PHONE: 454-8100 For Office Use Only: .; Site Address ` ? ' -' ' • '; •,e - BLDG. TYPE WORK DESCRIPTION • Lot - Block ? Sec/Sub . ?. Res NeW ? N Mult Add-on m ? ame - -• Address Comm. Repair c City Phone'4' _x Other Name FEES RES. HVAC 0-100 M BTU -$24.00 c Address ADQITIONAL 50 M BTU - 6.00 p City ? LPhone (RES. H1fAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE Of WORIC COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES B il r M TOWNHOUSE & CONDOS - RES. RATE APPUES o e BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE 00 20 Air Cond. M BTU - . STATE SURCHARGE PER PERMIT - .50 Vent CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # Other BEYOND $1,000) i? FEE: $ . . . i S/ C: SIGN?T? p?E?)F PERMITT t- J i G ? ? TOTAL: , FOR: CITY OF EAGAN ' • , ? „' ,? ? ? fVame ? Addre: c Ciry L Name c Addre: 3 ? _ ..,..?.- _ . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 QATE: _ PHONE: 454-8100 Phone p Ciry " Phone II l ? ?;?i ` '• , ? a ; .. _?'?.. ? . . . . ?' ' . r ` TYPE BLDG iub . WORK DESCRIPTI Res. ? " New ON Mult Add-on Comm. Repair Other ' FEE5 RES HVAC 0-100 M BTU -$24 00 . . ADDITIONAL 50 M 8TU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM - 1 PER PEkMln - 1 50 EA ?. ( COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES . . TOWNHOUSE & CONDOS - RES. RATE APPLIES ? MINIMUM RESIDENTIAL FEE - ALL ADD-ON & $ It REMODELS MINIMUM COMMERCIAL FEE - 12.00 - 20.00 STATE SURCHARGE PER PERMIT - .50 $- $ " (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) . _ ? SIGNATURE OF PERMITTEE r,,,.:. .. . ..1 ti7.?..,, ,.> FOfI: CITY dF EAGAN . ,.:., _,... ,... ._. .:....... .. . .. . . . CONTRACT PRICE Site Addr?ss Lot ?? Name1 ? Address ?C;ry? CITY OF EAGAN PERMIT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ; PHONE 4548100 DATE: ! s,vr Phone FEES COMMJIND. FEE - 1% OF CONTRACT FEE APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIE?"? MINIMUM - RESIDENTIAL FEE L?.?? MINIMUM - COMM.IND./FEE ? STATE SURCHARGE PER PERMIT (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) BLDG .,T,YPE WORK DESCRIPTION ' D? Res. New ` Mult. Add-on Comm. Repair X ? 3 Other . RES. PLBG. ONLY - COIIIPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ J Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ? IGtchen Sink - $3.00 ; UrinaVBidet - $3.00 a Laundry Tray - $3.00 a Floor Drains - $1.50 ? Water Heater - $1.50 YYhirlpoal - $3.00 ; Gas Piping Outlets - $1.50 ; (MINIMUM -1 PER PERMIT) ; Softener - $5.00 ' Well - $10.00 ? Privata Disp. - $10.00 s Rough Openings - $1.50 '. U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: sD ?' GRAND TOTAL: ? ; PERMIT # ' PLUMBING PERMIT ?-'7 CITY OF EAGAN REGEIPT # 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ?" Site Address ? Name ' , ' ? Address c City Phone " ? Name : - 3 Address O City Phone COMM/IND FEE - i% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAI Water Closet - $3.00 SBath Tubs - $3.00 Lavatory - $3.00 - Shower - $3.00 Kitchen Sink - $3.00 "-? Urinal/Bidet - $3.00 Laundry Tray - $3.00 - Floor Drains - $1.50 Water Heater - $1.50 ? f Whiripool - $3.00 Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMin Softener - $5.00 well - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 FEE: STATE S/C: ?v Li GRAND TOTAL: CITY OF EACAN Permit Mo: 9037 petec 9-11-F7 3830 Pilot Knob Read Meter No: ? a 3 Size; rAo? P.O. Box 21199 Reader No: Date: ! EagBn, MN 55121 Owner. Rainbow Hc- SiteAddress: 3913 an ur,,-^ 525 .00 d ' ` -- - - Conn. Ch , Acck Dep: 15 • () ,?@?o.??:t{4S - I Permit Fee; N?? 1 ?H' • ?g ?? Surcharge: • 00)(reki"ply wiih Ihe Clty of Eagan Tr. Plant 1 ??? • ? - ?? Qrdinances. ? Meter. fi7 ?1t?PC' ?/?Cr??t,?? Misc.: gY . WATER SERVICE PERMIT !1?!x-W.T1v--4,r,%,7, .E-MVW7-.? CIT1f OF EAGAN - 3630 Pilot Knob Road SEWER SERVICE OcnI?lll P.O. Box 21199 PERMIT NO.: Eagan, MN 55120l DATE: ? ZonYig: tc iil O a . ' No. ot Units: , . Owner. - Address: Site Address: Plumber. ' 1 agree to comply wlth IN CNy'o'# Eagan Connection Charge: 525.00pd ? Ordinances. Account Deposit: I Permit Fee: t ? Surcharge: ' ? By Misc. Charges: ? Date of Insp,; jatal. Insp.: Qate Paid ?.? ._ : ?y` • ? ? l1lv!i? }??:: ? .14MW ?- ??.+ h? tt3,'T, .?lS? . ?? ry? . :?-t.+?S'_•? . ..'??',•0]? ;'i^ IC,lr?-;'?"?N't,, w` : RIM ?,i . -? . .? .. ,.._? .' . ? ? . . '' ?. . . . •V ' . ??:::.?• . - a . , ? O . ne . • .. ','?? \ A., . ? ,? ?• .? s ' ? ° + •?a . . iiii? • • - W., Rin, aad CoaQ. D300" • ' • ?LGffi.INt? Y U ? 1.) Interior Air Fila 0.61 2,) 5/$+, Oyp. Bd. :.5b 3, ) Inaulatioa- 4•1 r r' 5.) Exterior Air !'ilm .61 (sTILL ) ?------- „ull = trxu ,C724 ?roTnL (R)= +5.7& XI-LL R YAL U 6.) Intsrior Air Film 0.68 ?.) *" aYP. Bd. .45 8,) Iasulatioa 19.qP 9.) PvV,T- PTE Z• o'q- 10. ) Masonsts siaiu8 .67 110 Exterior Ji3,r Film .11 . ??ptt s .I/R= _,p4a TOTAL ?R)a?3? a? BIH ja.._M.U.E 12.) Interior Air Film 016$ 130 Iaeuiatioa 19•o0 14.y 211 Fir Rim Joist 1.8$ . 1b.) M$asvonite?ding t.? 17:) Txterior Air Film .17 I I . nVu s 1/Rs •? TOTAL (R)s Zl.?44 .?? '.14UHDICTI01 R V ilE Interior J1ir Film' 0.68 - zo. ) 99-fl y1RlPPEb? ?l • or? 21.) 1211 Co ncre te Blo ck 1.28 . 22.) ' 23.) Tacterior Air Film .17 ,,Ra .?, TOTIIL (R) = ?- - _ -? e 4 . ? ? aRA NO PRV REQliIRED CITY OF EAGAN N0- 14094 3830 Pllot Knob Road, P.O. Box 21-199, Esgan, MN 55121 "BUILDING PERMIT PH ON E: 454-8100 Receipt # 1-1 (1-0 &Ca ? To be used f or SF DWG/GAR Est.Value $63'000 Date AUGUST 28 ,1 987 1 $+ FI Site Address 3913 DANBURY TRAIL OFFIC ^- Lot 2 Block 1 Sec/Sub. D?SURY PLACE on Site Sewage _ MwCC System _ ParcelNo. OnSitewell _ City Water _ cc Name RAINBOW HOMES z Address 2367 78TH ST ? City I• G• H• Phone 450-17 24 .o Name SAME ? ? Address Ic- City Phone Address City _ APPROVALS Assessments water/sewer Police Fire Engr. Planner Council occupency Zoning Type oF Const (Actual) (Allowable) s of Stories Lertgth Depth S.F. Total Footprint S.F. FEES Plan Review SAC, City SAC, MWCC Water Conn. Water Meter R3 _TT- uA Vii- _WT- 46 ? 373.00 -3T30 1$7.00 100.00 525.00 525.00 67.00 0 00 I hereby acknowledge that eve read this application and state Bldg. Off. a? _ Road Unit TreatmentPl 1R?.?0 thattheinformationiscorre a dagreetoco plywithallappl?able - State of Minnesota Statut s ?d Cit o n Ordinances. Variance _ Perks Copies Q Signature of Permittee TOTAL A Building Permit is issued to: ?INBOW HOMES on the express condition that nneota,?tea Mi of e all work shall be done in accordance with all applicab Stat and City of Eagan Ordinances. Building Official ? ? ? b , /L•C .. . - ,.. ? '> r ???.?:7?.a?... . - . ' ? . fttr#ifiratr of (Orrupanry titp of (Eagan loPp1"h"tlY O'f ??NUO =411ptf Thrs Cerrificate issued pursuanl ao the requireme+tts of Seclion 306 of tlee Uniform Buildittg Code cernfying that ar the time of issuance thrs structure was in compliarce wr1h the various ordinances of the City regulattng building consiruction or use. For the following.• cwc,.mrmum SF ukCIGAR etag. ram;, No. 14094 O__P__y ,? R3 Za" DWric, pfl T"e com, Vn owoerorMd" R?? M"F'S Add= 2367 787Ii S'r. T-r-H- a,,di„e Am,a, 3913 UWM TRAIl. ,..,;,, 13 - x t_ rwWWPi1l12 D1,- OCIlM_2Q. 1987 lNulmng offid.t?r- POST IN A CONSPICUOUS PUCE . ? . . C/o C7`11 1987 BIIILDING PERMQT ePPLICATION - CI1T OF SAGAN SINGLE FAMILY DWELLINGS IBCLQDE 2 SETS OF PLANS, 3 CERTIFICA?SS OF SDHVEI, 1 SET OF ENERGT CALCQL.ATIOHS HOTE: aDDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MDST DESIGHA?E WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERliIT IS ISSIIED. MfJLTIPLE DNELLINGS - RFSIDENTIAL REHTAL U1RTS FOR SALE U<I?5 INCLUDE 2 SETS OF PLANS, CERTIFICA?E OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4ERCIAI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, o $2,000 LANDSCAPE BOND To Be Used For: SsvWV 4;?M I*t, Valuation. Site Address _ 3di ri QNa?yg(. 63 ao? OFF Lot 2- Block ? On Site Sewage MWCC System Pareel/Sub On Site Well -%O&Ond PWAS City Water Owner ?SD Address City/Zip Code sT. PaJ L Phone ?f 07- 1013 5' I APPROVAI.S Contractor _14fti Address ?• (? . City/Zip Code Phone q SO" I-IZA Arch./Engr. Address City/Zip Code Phone # Date: &&& 7 Occupancy ?- 3 Zoning PD Type of Const (Aetual) V_Af (Allowable) y/-R/ ? of Stories Length 97, 0 Depth yL, b S.F. Total Footprint S.F. FEE.S Assessments Permit ,oo Water/Sewer Surcharge 311SO Police Plan RevieW 18? . o0 Fire SAC, City ? aD , oa Engr SAC, MWCC 2 ,00 Planner Water Conn ,pu Council Water Meter _ 6r?, oo Bldg Off 427L Pa' Z7 Road Unit 3 & Oa APC Treatment P1 ?00 Variance Parks Copies TOTAL S RESIDENTIAL BUILDINC PERMIT APPLICATIOM 5 Z232 CIT, oF ?GAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConstructlon Neoulremems • 3 registered sae survays showing sq, fl. of bt, sq. tt of house; antlll roofed areas (20°h maximum bt cover8g8 allowed) • 2 oopies of Alan showing beam & window sizes; poured foun0 design, etc.) . 1 set of Energy Calculatbns • 3 mpies of Tree Preservatbn Plan If bt platled aRer 7/1/93 • Rim Joist Deteil Optbns seled'an sheet (bitlgs wilh 3 or less units) DATE ? `?- -- v a 51TE ADDRE55 Z G I '7D 'Z TYPE OF WORK-l..S2 a-/\ t? APPLICANT STREET ADDRESS TELEPHONE?# 67?14 Z 19 Z-Z CELL PHONE # PROPERTY pamodaVReoalrReguhemeMs . 2 coples of plen • lsetofEnergyCakulationsforheatedetltl'dbns • lsitesurveylarexterbraddnbns&decks • Indicata II home served by septic system br additbns VALUATION? a C? oS . 6? MULTI-FAMILY BLDG Y '--N FIREPLACE(S) _ 0 _ 1 _ 2 P5ES I a l Fax - Vs 60 Yz_H o? TELEPHOIIE #to SI LI SZ- 83'4o COMPLETE THIS SECTION FOR'°NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIATNESOTA RULES 7670 CATEGORY 1 (4 submission lype) • Residential Ventiletion Cetegory t Worksheet Submittetl • Energy Envelope Calculations Submitted Plumbing Contmctor: ____ Plumbing system includes: Mechanlcal Confractor: Mechanical system includes: Sewer/Water Contracror: Air Conditioning Heat Recovery System Phone # Phone # JUN 2 4 2002 Fee: $70.00 -----------------------------°-^--------------------------------°----°------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wlth all qpplicable State of Minnesota Statutes and City of Eaga?n.?T ?dinances. Signalure ofAppllch?t OFFICE USE ONLY _ Water Softener Water Heater _ No. of Baths _ Phone # Lawn Spi'inkler No. of R.I. Baths Certifrcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4f02 1989 BIIILDING PERMTT APPLICATION CITY UF E9GAN .. SINGLE FAMILY DWELLINGS 2 SETS OF PL9NS 3 REGISTERED STTE SIIRVEYS 1 SET QF ENEHGY C9I.C5. 11315 M[7LTIPLE DWELLING3 2 SEfS OF PL9N5 REGZSTSRED 3ITE SORVEYS - (CHECB iTITH HLDG DI9.) 1 SET OF ENEAGY CALCS. MUI.TIPLE DWELLINGS RENT9L IINITS FOR SALE IIHTTS # OF DNIT3 MOTEs ADDRESSFS FOH CARNER LOTS - COATRACTOR/HOMEOWNER MOST DFSIGNATE iTHSCH ADDRFSS IS BESIRED. NO CFIANGES WILL BE ALLOiIED ONCE BOILDING PERMIT IS ISSIIED.. SEBER 8 AATER PERMIT FEES AND ACCOtTNT DEPQSTT F6ES b1ILL BE INCLIIDED WIT6 THE SUILDING PEAMIT FEE. PROCFSSING TIME FOR SEWER AND W9TER PERMITS IS TWO ?AYS ONCE A PERMIT HA3 BEEN COMPLETED INDICATZNG A LICEN3ED PLD4IDER. PENALTY 9PPLI&S HHEN: PEAMTT IS NOT PAID FOR IN 39ME MONTH IT I3 AEQQESTED. LOT CBANGE IS REQIIESTED ONCE PERMTT IS ISSITED. ? To Be Used For: Valuation: ?? Date: Site Address 39 13 Lot 2- Bloek ? Parcel/Sub Owner Er-'CtCSo/1 9ddress City/Zip Code Phone Cvf?? 1235 Contraetor ?w'?-'- ???1 • ?''?? Address hw''. City/Zip Code "CV'?ICc?i?? ss337 Pbone 994 S 7S L Arch./Engr. 114'Cn't 4AdC?4`Sa\ 9ddress (ZyZ? ?? "ke I\Y-. City/Zip Code 3cv??5??1(?. SS33"7 Phone f e 9`I S? S 1 Oecupancy Zoning Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ APPROVALS Planner _ Couneil Bldg. Off. Varianee C0449ERCIAL 2 SETS OF ARCHTfECTURAL & STHUCTIIRAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY C6LC3. FEES Bldg. Permit Surcharge Plan Aeview SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies SDBTOTAL Penalty TOTAL 5`IE,Ca z3'S° ?- y ?y, sc . CITY OF EAGAN N2 17315 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ? ItEPAIR & To be used for j14DEIp7N FOy.pDATiCN Est Value $47 , 000 DatE Site Address 3913 DANBURY TR Lot 2 Black 1 SeciSub. DANBURY PLACE Parcel No. Occupancy Zoning w Name RICHARD ERICKSON (Actual) Const 3 Address 3913 DANBURY TR (Allowa6le) ? City EAGAN Phone 687-1235 xof siories Length a Name CORECTIVE BLDG SERVICES De ih ? O? Address 12221 WODD LAKE DR p S.F,TOtal City BURN V LLEphone 894-5752 SF.FOOlpnnis ?W w Name SRENT ANDERSON On Site Sewage On Site Well w ??O Address 12221 WOOD LAKE DR rotWCCSysiem aw City BURNSVILLEPhone 874-5751 ceywatar PRV Requued I here6y acknowlege that I have read t is application and state that the Booster Pump informaUOn is correct and agree o co ply/with ail applicable State of Mmnesota StaNtes and Crtyvi-E n Or nances. Signature ot Permrtee `?< APPROVALS ! A Building Permit is issued !o: Planner on ihe express condihon that all work shall be done in accortlance wrth all Councii applicable State of M,i(n?nes tatutes antlCitv of Eagan Ordinances Bldg. Off ? 6uldiN Offiaal II Ro,f? ;,f; ? Vanance OFFICE USE ONLY -. 19$2_ FEES i eldg Permtl 396.00 Surcharge 23.50 Plan Review SAC, Cny SAC,MCWCC Water Conn Waler Meter Acct. Depose S/W Permd S!W SurCharge Trealment PI Road Umt Park Ded. Copies TOTAL 419.50 ? ,.?.. ,. . -.:? 1'?edne " :: .: . ?_ - Eiate"-:. : - «-?„_.-. - - - ? ., . ... -.; . . . - --- LZNh'tL FffiET oF ?, Il r? s?asEn ?w?, .?tf?=7 st. 8bove grade a "a. TOTAL c;XWSED WALL ABF.A SQ. FT. OPAQUE WAI.y Op R^ ON:, U?? Value x Area, . ?CeAVwF? , Deoail .r....uq n •?-3 x SQ. FT.?. _ U)(A) ((?) (e) referenbe ' "U" 07C9 x Sc?. FT. a fmm °V° x SQ. FT. (L(o.1 oa 5.0 ? u) (A) atfisched "U" x B@."FT. _ ?u)(R) ahaete ilpff ? x SQ. FT. : (U) (A) nUn x SQ..FT. _ (U)(A) 9YTNDDWBS HO",';[elue x Area . .- Ffaka !k typs ,. _-.??1?5? ?I , ?L?np" -?? , 4.f ; x S$. F"1'.,.?(?? ' Zp ( oa ( `) - ' 'P. , If ? ?Q11 Y SR. FT. m (A) q- ??n x SQ. FP.? (u)(A) z S@. BT. : fU)(a) , -DO088= "UR Value x Area, . fe?k9 Qe 'pype npn ? ?7[ $Q• FT• , OG n u s SQ. 8T. . i M(A) n n,. ??° x$Q. FT. o- (U)(R) --? ?_.'? x 8g. FT. : M(A) 'rJTa1.S A?RAO& nu+SQ• rT._ 7.v4-.lQi. (u)(A) ?+o28I, (U) (a) vat,vES ----? ?? _ DIVIDED BY Tp L AREA.ZZj7Z,4o SVXUUE :115 r leee for 1&2 familq dweY2inge ,.._ Y/yCY?i/' . ,1',?$?.Ss-- F .?.'?&',.?'-a.a?r-7'`?, .. _.,.Rt..???:,,. :u's.?`._ ._ .,.'_7.,:,?i.,.=,i,r%"'°:.y<, , "•?'. . _ .1__ _ , - s ?---r??? • ` ? TOTAL (II)(A) ?VAJ10$8 DIVIDSD BY ? ?C.ZCJ TaTar. Aooe/ o axs?t 1 ZUO; oD ? l JVERAGB , .GPS or ventilatea roofa. -?;.. "'.:=fM YAVyi; I , Q. P?T•_`....:..?`?"';"""i U? (1) 'rT41-5 x0U •OZ? ? ... _.i,, . . 0 -- ?. . .? t.. ,.. ? ", ? , r. . . . . . .. , , _ , _ • . . . . .. • .P . LJ . . • ? 1 ?? WaRK- ?/??T ?J kF•5 4• o Co?c , -.C07 x X ?,?4f?0f 3l?t3?O? ^ Z Zo4:ov _ ?za.oo x ?tto) = 4B,oo ZiTZ•ao+ 2.(t?? _ -},oo x ?w? T?sr .8? x (4-o-t4o t?t3?? _ w?dt*ws I lox3Co -- lOX3(v = a4x Uo 3 Z4 x 48 = ZoX4B= 4.ox?Z= (o.oX 7 = S.o x (O = (o,7 X $ _ ,S s-rL w/S.C., = Z g 2TL, 54z = ?'? Pkno ? Z -- ,:. k ? • ?? ia1-O+ +s.oo 149•M+ !2(a. l(o+- . S-oo ^ S.oo 42,00 9B.oo S3. r?o /Slo lvo, ?? ; - zl •00 84.00 14q.84 I oo(o ? ?-? z4x34 IZx/z ?x? - 81(0 /¢z _ ?Io.Z? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION DTOT?': PAYW!II' OF k'M AT TIME OF r,Prr.icATzox noFS Wr aoNSriTUTE APPROVAL OF PEIOII'P. INSPE7LTION OF SFWI32 ADID/Ot F1A7FR TT1SR71T.T.ATTONS WII,L NOT BE SCfIFD- ULID UN'FIL PIItNIIT AAS B?I APPR()VID. ?• P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTZON: - , . IF EXISTING STRCCI[JRE, DATE OF ORIGZNAL BL'ILDING PERMIT ISSL`ANCE: ' (Nbn Year . PRESEEP77P 7ANING/PROP0.SID CSE: q COMMERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY ' r7 IM'STRIAL Q R?2 DUPLEX (ZWo L?nits) 8: f-1 INSfI'iC'TIONAL/GOVII2NAENr R-3 7UWNHOL?SE (Three + Units )( Units ) . p R-4 APARTMENT/CONIDOMINiUM ( Units) 2) ADDRESS: CZTY, STATE, 2IP: PHONE: 3) • ?: ?• NAP7E: ADDRESS: CITY. STATE, ZIP: PHONE: Active EScpired Not recorded MASIER LICINSE# '??n A -I' c-, I Steff Inta.al 4) NPME 7 ,?.` ?^ a.? RV ?n n ? _ AwDxFSS: -z ?g CITY. STATE, ZIP: PHONE:_ 5) n ?• •?• : ? a? - a?? ? CONNEC'TZON 70 CITSC SEWIIt ? CONDE,'TION ZO CITY WATIIt ? OTHER ' •' 6) '? • ??` ? PLEP,SE HOLD APPROVF9 PERMIT FY)R PICK-L?P BY ONE OF AHOVE `---'-' -._ ? PLEASE MAIL APPROVID PIItMIT TO 1, 2, 3, 4, ABWE XZ'Jy? (Circle one) 7) FOR CITY USE ONLY . PERMIT # ISSL'ED 63 Pd w/Bldg. Permit FEES: $ $ S-D SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ ? 0--o $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ S2 S' ?r-Z? $ WAC $ $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ • $ OTHER: S ? J I 7 Gr 7? ' $ TOTAL 76 T1 6, z- RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCA VATION IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK 4dITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION LIS ISSUED BY THE ENGINEERING . T AS A COIVDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? cinr oF eacM . ? .. 3830 PILOT KNOB RD - 55122 ]? U 851-681-4875 ?13NbI RemodeUReoalr Reaulremenh COI? ?'ao'0O :r D n gp rooledeareas Y(? ma m m lot eovamaeft. oWl em 6b 2 coPies ot plan ? ?? ?? 1 s61 W enerpy calculaHons ror heated adtllHoru ? 2 coples o/ Plana fshow beam 3 window aizes; poured 1nd. tlealgn; etcJ 1 sife aurvey tor extedor atltliXOns & tlecks i 1 sef ot enerpy CalculaMoro > J copiea W hea preservaNOn plan If lot plalfed after 711/93 DATE: 6/2 6 / o DESCRIPTION OF WORK: CON5IRUCTION C05f: L- / S o J c1< o..J Lt o u 5 e? U '? C?iF D y?/ 2 8 STREET ADDRESS: 3 9? 3-Z4 N b"-?zY Tk.a-c c. LOT: 2 BLOCK: ? SUBD./P.I.D. tl: Name: O&O Av 0 Phone $: PROPERTY taat Rrat OWNER .3 (. Sheet Address: ? City State: COMRACTOR zip. .57<5 ( L 3 - Company: - Phone #: _ (area code) Sheet Address: Llcense # ExP. CBy State: Zip: ARCHITECT/ ENGINEER Company: Name: LN?e.Rgr*r 5ea . ' Telephone g: ( ) Sheet Address: RegistraHon M: Cify Sfate: Sewer/water licensed plumber (H InsWllirw sawadwater): Phone #: Zip: I hereby acknowledye Ihat t have read this applicaHon, atate MKf Me Wortnalion is cortect, and agree to comply wHh atl apptlcablo Sfate of Minnewfa Stafutes and Cily o( Eagan Ordinances. Signalureof AppllcanY. OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Recelved _ Yes .4 - .. - No _ No _ Not Required ? ,. ,. . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 P 55122 e91-881-4875 ? (J I (l 3 ( aemcaeliaeoar Reawreme? _ ?? $ - U (? New Conshuctlon ReauiremerNs > 9 reglslered dte wrveys ehowing p. ft. of M. aq. H. of houne 2 coplea of plan antl gH rooled areas (4096 ma)lmum bt coveraae allowe?» 1 set d energy cxdcWaHans fa heated adNMons ? 2 coples of Plana (ahow beam d wintlow 9zes; poured 1nd. design; efc.) 1 slte aurveY t« exteAOr addlHOna R decks > 1 sel of energy calwlatlona ? 9 caples d hee proservaflon plan H lot platted alter 7/1/93 DATE: 1-0-aooa Co??UCIIoN CoST: DESCRIPTION OF WORK: 4AO 3` oW J15 ) STREET ADDRESS: LOT: ? BLOCK: I SUBD./P.I.D. #: 6l"-4'ely PROPERiY OWNER CONRtACTOR ARCHRECT/ ENGINEER Name: L e-, Glfsov L~6 4.1'b Phone #: LW Flrsf Sheet Addreas: ? r ? City State: ZiP; 5`5 ! a 3 company: Pnone #: 651 So 3- 5°85 (area code) SfreetAddreas: I70I61 NrJ;4? L? Ilcense# 9v173ya7 Exp, 3-3! a7a° Cryy 4 ?/ State: ZiP: .SS/ 02 ? Company: Name: Telephone #: ( ) Sheet Address: RegisiraHon S: Cly State: Sewer/water Ilcensed plumber (ff insfallina sewar/watar): Phone #: Zip: i nereby aeknowied9e mat i nave read n,m appncanw+, s?are tnw me miomwnon ls ortect. and agree to comPh with atl applcable Stade of fdinneaofa Stahites and Cily of Eagan Ordinances. Signalure of AppllcanY. OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No PA\ ' s r Tree Preservatlon Plan Received _ Yes - No - Not Required "IVY% OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? OS 06plex O 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex O 12 12-plex WORK TYPE ? 31 New 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-pleu O 21 Porch (3-sea.) ? 31 Ext Ait - MuRi ? 17 Garage ;C 22 Porch/Addn. (4-sea.) ? 33 Ext Alt - SF ? 18 Deck ? 23 Porch(screened) ? 36 Mufti O 19 Lower Level ? 24 Storm Damage PI6g _YOr_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. O 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bidg)* ? 44 Siding O 38 Demolish (interior) O 45 Fire Repair O 42 Demolish (Foundetion) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings AW idth Const. (Actual) ,(Allowable) UBC Occupancy 'L Zoning # of Stories Length Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS O Stucco/Stone APPROVALS Planning Building I ? sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinkiered zi? Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToWI: SAC Units % SAC ************:**+*:**************??**?*? CITY OF EAGAN -??-? -??-- ' CASHIER: JS TERMINAL NO: 007 v DATE: 03/28/00 TIME: 10:34:42 ffpp zD : NAME: ERICKSON BUIL?ING 3210 9001 3913 DANBURY TR 363.25 3430 9001 3913 DANBURY TR 0.50 ? 3422 9001 3913 DANBURY TR 236.11 2155 9DD1 3913 DANBURY TR 11.50 i I > -T•-l? Total Receipt Amount: 611.36 CR125173 USER ID: JAN *********?r**??***??***?+:** ?***?***+** 03I23f2000 10:33 6514643495 INTERSTATE LUMSER PAGE 01 MNcheck COMPLIANCE REPORT riinnesota Energy Code MNcneck Software Version 3.0 COUNTY: Dakota STATE: Minnesota Z ONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-23-2000 DATE OF PLANS: 2-2-00 TITLE: ERICK30N BUILDING INC.-#564-100 COMPLIANCE: PASSES Required UA = 125 Your Home = 96 23.1% Hetter Than Code Permit # Checked by Date Azea or Cavity CanC. Gla2ing/Door Perimeter R-Value R-Value U-vdlue ---_°__----------------------------------------------------- ------------ CEILINGS: Raised Tru3s 396 38_0 2.0 WALLS: Wood Frame, 16" O.C. 232 19.0 2.0 WAi,LS: Wood Frame, 16" O.C. 580 19.0 2.0 GLAZING: Windpws or poors, Above Grade 54 0.310 nOORS 20 0.350 CRAWL: Concrete 48" ht/ 36" bg/ 49° insul_ 232 10.0 ____--------- ------------------------------------------------_____--------- COMPLIANCE STATEMENT: The prapoSed building design described here is consistent with the bui.l ing lans, specifications, and other calculations submittefl with the plr t cation. The proposed building has been designed to meet the` q e nTj,of the Minnesota Energy Code. ?O °Z?v Builder/Designer DatL-3 0 198$ HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE2 ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR S9LE IINITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS , COhAERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,' 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?F ?/?? ? To Be Used For: Valuation: Date: • v Site Address 39O OFFICE USE ONLY Lot Block _/- Pareel/Sub !La46un/ QIaCe.. -? Owner A, Ffri??sv-? Address _3 913 City/Zip Code Phone 4S a Contraetor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone U On site sewage_ Oecupancy Nb7CC system Zoning _ On site well _ Actual Const City water Allowable PRV required _ # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Sureharge Council Plan Review Bldg. Off. SAC, City ? Variance SAC, MWCC , Water Conn ' Water Meter / Road Unit Treatment P1 ? Parks Copies TOT9L ! ? ? A"i ? Ti-?"r ?'o c!C ? /9S,v ?W/3 0,040e 7- 2,gi6 y?Sa- H s-? 16 1 /S ?r ia „ ro 9 g ? 6 ? Y ? ? ? f'°sl`- rw. a M ; e? o?x d ?7o,s7s Zx6 , /& r'? ct< ?'y XG ??;NS Id a ,p q:. • ? -` ? ?- a Vy H 4 e ? 4 ? r ? a+ ? o - ? a ? T > J ? b i0 v Pt /? i{/ T/b "? ? ,o 5 S ? ? 5 i? ? ? / .t y s 7 Fs 9 ? /:7 3? 5 6? 8 9 io i? iz is iJt is /6 i7 ?b i? ze ei zs as u 27 za z.y 30 .7" .2c JE3 ,if[ . ' o j G ,? EECORD OF CDMPLAINT D9TE: 3- a q- ? 9 COMPLAINT TAKEN HY: ??ti N9ME: 'd ADDRESS: PSONE NO.: C( s a_ ? ?? 6 ?- t a 3 s N?•.a Q?._.eQ COMPLAINT: Fr ? ? ? 9CTION T6KEN: 1?z {?? U t CONAlENTS: k,4?2aw-,v-d'"-Lr c?2 ?xe, .?'?c?? TYPE OF BUILDING: \ LEGAL DESCRIPTION: L-O1- DAWguPL./ Rp,e.& SICNED: ?? ?l? nriTF: 4i1e,He RAIP1BDW HOMFS OF EAGi;hi, lfd[. ^,•?; 78-fH STkEET ; NvER GF nVE HE I GHTE. M7P1NES0T;? 550751 ATThJ: rf;AGLES Ah1D RICHAFD PRAUhJ F'F.OF'ERTY IU. N0. 1V-1971-) 0-V^<i>-() i MFF:ITQF MOfiTGAGF COFFORATION-CENTRRI. 444 CEDAFi STREET STE =UO RT. PAIJL, MIP•lf•lESOTA 55101-2149 q??N: LANn DEVELOFh!EtdT DEF'ARTMEh!? FILE: 145014-u HGUSInaG & LiRRAN DEVELOFMEid1 <<^0 SOUTH 2hJB SIFEET MINNEAPOLIS, MINtJE90TA ATTN: FILE N0. 271-421440B VALLEY SF'F,INGS AND TRI-LAFJU F'kGFERTIES, INC 1260 VANt EE DGOLLE F.OHD EACAPI, MINYdESQTH 55123 F1TTN: LGU ENt:ELMANN APR 2 ;? 1989 HL1ME OWNERS WARRAfJTY F'FOGFAM WESTERN F'ROCESSIN6 CENTER 500 GRAPE'JINE HWY SUITE 300 HUFST, TEX.RS 76054 FILE: 3123476 BUILDEFS FEGI5TFATION N0. 2400-S2005 EAGAN CITY RUILDING INSFECTIDN DEPARTMENT 3830 F'ILOT k'tJOB F;OAD EAGAN, MINNESOTA 55122 FILE: PUILnING F'EFMIT N0. 14094 SUbJECT: NDTIGE OF MAJOR STRUCTUFAL DAMHGE TO F'FOF'ERTY (LEGAL: LGT-2, PLOCF: 1, PANPUF.'Y F'LHCE), EA6AN CITY, AND NOTICE OF CLAIM FOFi DAMAGFS. Ax-l? 4/z4/s9 P? / fei FLF:,SF COtJ^IPER THI5 LETTER FORMAL. fJOTICE OF THE FOLLOWIhJG; 1}. THAT THEF'[ HA3 HEEN MA,70F; 51RUCTURAL DAMAGE 70 THE F'F'OF'ERTY RFFERFNr.FP ABOVE DUE TD THE FOU4JUAl ION PJOT bEINB SUPF'UF,'TEP F'ROF'ERL. i 01=; NfiT RETNf, CONBTfiUC1TEL FRCIF'ERLY, INSUFFICIENT SUF'FOFiT FOF: E1(TEkPlALLY AITRCHFI) PFCk q, ACJLi '•). THAT ;iUBSEOUEPJ7 PIRECT DqMAGES HAVE HE_ktJ SUFFER'EP Pt' FIC-HAF:D A. EFICt:SON AtJD CYNTHIA ERICt.SUt3, (OWNEFiS), CHUSED DTRECTLY E'Y THE FRCBLEMS MEtJTIDhaEP ABDVE. IN AUDITIOhJ, FLEASE CONSIUFR THZS I_FTTEF• A FDFPIAL kEDUEST F0R REF•AIR OR FEF'LACEMEPJT OF THE PFiMHGEU F'FOF'ER1Y ANP NfITICE OF MY INTENT TCl kECOVER JOIfJTLY OF SEVERALLY FnF DAMarES. SFECIFIC DAMF6ES ktNOb! TO DFTE; 1. MAJCiR STRUCTURAL DAMA6E TO THE FOUNDATION, CONCF:ETE RLOCk.:5 FiESTING ON 1Hf,T FDUNDATION, EXTERIOF/INTEFIOR WALLS, RASEMEhJT AND k'1TGHEN FLOORS, DRYWALLS, STfiESS TO FRAME, EXTERIOR DECI:S AND L_HNDSCAF'ING. _. LOSS OF HPILITYf ?F'F'ORTUNITY TO COMF'LETE IMF'ROVEMENTS TG PRQPEfiTY A5 F'LANNE?; - INSTALL CEFJTRAL AIF. CONDITIONIN6 AND AIF PURIFICRTION SYSTEM NEEDED; tCYfJTHIA ANP HEF; DF;UGNTER HAVE ASTHMfl APJD ALLEF2GIC FEACTIONS FkOM THE F'LANTS F'OLLENIZATION SEASON>,. - FIIUISHING THE LOWER PASEMENT, (FAMILY FOOM), IS NOT POSSI6LE NDW AS THE bASEMENT FLDOR WILL NEED TO BE REPLACED AND ADJOINIIVG WALLS F:EPASRED. - CONTINUE LANDSCAF'ING AS FLANNED (INSTALLATION OF TREES AND SHkUHS) WERE F'LANNED FL1R THIS YEAF. - AND DFMAr,ES TU THE FAMILY MEMPERS. AS A REDROOM THAT WAS IN USE CAN NO LOfJGEk BE USED AND THE FAMILY Ft00M NOW SERVES AS A REDF:aDM. - AND DAMRGES TO IMFROVFMENTS ALFEADY INSTALLED WHICH NOW NEED TO BE FiEPLACED Ok REF'AIRED, (DECH'S} FINISHED LOWER LEVEL REDFi00M). - AADITIONAL COST DF HEATING THE HOU5E THAT HAS REEIV OF'EN T? THE OUTSIDE AIFt WITH THE bLQCF::S AND WALLS SEPARATING. 3. DAMAGES WILL ALSO INCLUDE THE ENTIRE COST OF SELLING AND FEbUILDING/PUFiCHHSIN6 A 1-IOME AS THIS HOUSE HAS REEN HUILT ON AN AF:EA THAT WAS PACk'FILLED AND DDES NOT NOR WILL NOT SURPORT THIS CONSTFtUCTION OVER TIME AND I PELIEVE NO QNE CAN OR WILL GUARANTEE THAT I WILL NOT HAVE CONTINUIN6 PFOBLEMS. - ALL MOVING COSTS - COSTS OF SELLIN6 HOME - MINIMUM REL?UIFED DOWN PAYMENT - CLOSING COSTS OPJ SELLIN6 AND RUYING/BUILDING HOME - LQSS IN EG?UITY DUE TO DpMAGE PROFEkTY - CDSTS DUE TO VARIANCE IN INTEfiEST FATE - COSTS OF LOSS OF HOME IMF'fiOVEMENTS IIVSTALLED. (DECk':S. PLINDS, WATER SOFTENEk, FIiVISHED DOWNSTAIRS &EDROOM, PAfiTIAL.LY CDMF'LETED FAMILY k00M AND LANDSCAF'ING). 4. ATTORhJEY FEES, IF fiEDUIRED, TO F'UF;SUE LEGF,L REMEDIE6 P a? -2 C514 T CAil h!C':T FAY THE F'RICE I D1D FQR THIS HOUSE AND NOT GET A fiD;°iE.' FF,:FF FF;nM THF CL>>TS OF 1HESE PF.DPLEh1S GURFEtdTLY OF THE WORFY F'Gf•; F'RORF:hI F FUTlif?E_ f7FdES. J EXFECT TO HAVE THIS HGME FEFF`,IF:EL SUFFIC7Et1TL''r' S[) THAj TT rApJ HE F'LAC:ED UN THE PtAR1:ET, SELL. THI i F'ROF'ERTY 'r.fJP PE i10':'Fit Tn (i LiEE DF IMFF:nVED RFSIDF'Nr_E F,S A DIFECT RESUt.T DF THIS FRUPEfT,' tlpl MEETIhJG ITS INIENPED OR A6F:EEU TO FURF`OSF. I Ahi UF•SET F,T THE F'f'OGF;ESS TO DHTE SIPdCE kEFDr:TIhJG TNiS 'fD Ttif- BU1LDrR AND THE CITl' BUTLDING INSF'ECTION DEPFsRTMEfJT. SF'ECIFICALLY. rd F'LfiN 4iA5 FEOUESTED THAT DETAILEL THE pCTIGNS TO BE T«-it.ctJ Ft:: TtIF SCHGDI.ILF OF TNOSF EVENTS aNn IT HAS r;ar PEEN PROVIPFD. THE f_.7T'{ INSF?ECThF; HAS F,LSO NOT INFLIF;MED Ug pF THE RESULTS C1F HIS ItJVcSTIGA; Iiil'J, OR INFUf-:MEL US F5 Tr WHF;T HIS ROLE IS IN SOLVING THIS FRnF:LEPt. IT Tr NOT GpMFOF?AE+LE TO HA':-E YGUR HpL!SE FF_L IN Ah1L RF_ 10L', LT`-'LE F:-,J-'7 WH:;T THE PL:;NS ARE TO FIX IT QR HOW OUF, PAMFaGES AF:E TC E+E LESSEDJC-D_ THE RUILPEF. APFEFF'S COFfiECT IN HLRPi1tJG THE L.Af!L? DE'.'Ei_DF'F.R FOP TFI1` F'F'CLiLEM ANr: I HA'.'E tJ0'T HEARP OCJF WpRL FROt1 THEM. WI74 THIS LET7ER I rih F:EGi;i=°TINR THE RESISTAPJCF FFOM THE HUNc OWNERS WAF.RAhiT'i F'F.O6R'r'iM Ai•'::- ExF'EC7 THFt9 70 GC?fJTF,CT ME DIRECTLY CONCERNIN6 THIS CLF,IM. I FiM AVFIILARLE AT 612-687-1235 (WORF:) OR 612-452-8848 tH0ME) FCF' F'HDhJE CALLS AND MY ADDFESS IS LISTEP PELOW, FLEASE COPJTACT MF AraD LET ME F:NDbi HObJ YOU ARE 60ING TO PF F'flFT QF THE SOLUTIOI'l. THIS L"AhJ fuOT L+F PATNLESS SO LETS GET TO IT, SIPJrEREI.`{, < L t ,I?u%- c1?-- FIGHARD F. ERICf',SOhJANL1 CYNTI?A D. EFICk':SON. CC: MF. RICHARD HENDRIKSON ATTORNE`f RT LAW 2650 METRO DRiVE SUITE 419 Pl00MI4J6TON, MINNESQTFa FTTAC'HMFPJTSc HD4! CEF;TIFIrATE # 3127476 FtiGAtJ CIT`f CENTIrICATC OF OccuF•Aracv Hun FORM EaUn-92800-5a (11-e5) WARRANT'Y DEED FCF: F'ROF'ERTY ?? ?•, .-? ?., -r'ic ?? ??' .•,. ",lx',? .7? "ttrx.i. _ , kt, ? .? ?:."??-,?^°W°?i,Lw• -.:QD ??g:$ i_ ' e.,.1'-,, 1 ?.t.J >il? (gPrtifirtttp of Orrupttnry ?. t. i = ? ?v= Citp of eagan i' lepartmrtt2 of lluilDing lWrrtimt ?,. ' This Cerlificate issued purruant ro!he sequirementt oJSectron 306 of the Unijorm Buildmg i? Code certifying that cr [he ame oJissuance this srrucmre was in compliance witk the vanous ? ordinances oj7he City regxlating building conrnucuon or use. For dhe following: ? F SF DI?G/GhR U. Clemfiouoo Bbg Rrvu1 N. 14094 , ? s Qrcupaocv TYv R3 loauig Dwrin pp Type Cms U^ O?rMemldme RATNWV W1AFR Ad&. 7367 7Ri47 ,c.' j_G Fl ewwg nm? 3913 A4t`.HFf(Y IRAIL ?i?? 1?- Sl, nat?nutRV PI r-F p? CY'ILIAF.R 79,, 1997 l1 ? 84 I , Q. ?POST IN A GONSPICUOUS PLACE I _- c Form No. 11-M-WARRANTY DEED Minnewta Unlfoxm ? ?CorDOretionor Pertnarship ? to Joint Tenents No delinquent taxes and transfer entered; Certificate of Real Estate Value ( ) filed ( ) not required Certificate of Real Estate Value No. ,19 County Auditor by Deputy STATE DEED TAX DUE HEftEON: g 313.50 Date: October 29 lg B7 Blmki p978>_____ ? ---?L-? (reserved for recording data) Mffle,-oa.'s co rn???eeooi?s _ FOR VALUABLE CONSIDERATION, Rainbow Homes of Eagan, Inc. a corporation under the laws of htinnesota , Grantor, hereby conveys and warrants to Richard A. Erickson and Cynthia D. Erickson Grantees as joint tenants, real property in Dakota County, Minnesota, described as follows: Lot 2, Block 1, Danbury Place, according to the recorded plat thereof. 1fCia Ucrd "Cas Stamp lli•rc STATE OF MINNESOTA SS. COUNTY OF DAKOTA } The foregoing was acknowledged before me this 29th by Charles P. Braun gnd the president anc of Rainbow Homes of Eagan, Inc. under the laws of Minnesota , on ? NOTAR3AL STAMP OR SEAL (OR OTHER TITLE OR RANK)_1 j ?....?..r._.. .." "... _ da of October , 19 87 , Richard H. Braun Vice President ? of the ,a ation ation i !'^' '?N GERALDIYE E. MOUTS i ru ee.eemeata tor th. nBJ oroa.rer a•mm.a mteL loneummt .houta ? ?? NOTAqY pU6UC • MiNNE50TA 6e ?eat to pncluAe nuos ud addrus o! Graatea): ' ? SCOTT COUNTY `V.:' My Wmm??slon Enpnes June 20, tOBO Tax Statements for Real Property j ..,........_.. ................. described herein shall be sent to: ? - -- - - - --- ----' ,, THIS INSTRUM6NT W AS DRAFTED HY (NAME AND ADDRESS): I First Security Titte, I•ec. i I 4655 Nicols Roc.:l ; Eagan, MN 55122 NkLif Uf AIIG. C0. LONN N'L'6'idtR Erickson, Richard A. & Cynthia D. P7Ad4t UF GIWNiE: 391?3 Danburx Trail? fnFlUl:c HD?klSS Eagan, MN 55123 ciir sIarE ZIP GOD L 09-1831 RAINBOW HOMES OF EAGAN,INC. FIfiJ 4'r^,Tc4",1 prrjrccSFN; CF4Tcn 51710 ;vaP-vT"- HVw SUT7E 10r) HOME OWNERS WARRANTY wU'',T. sx Q PROGRAM VHnF:- ^10-4? }_7A?1 wou?owMa?swvRan.t § B Ma i • '• ENROLLMENT/WAftRANTY NUMBER. 3123476 INITIALPURCHASEP;HOMEOWNER: 1)?CK L ?iti7]Y FRICK504 ADDPE55OF HOME MAILING ADDRESS 391? UA4°UPY IRAIL EAGA's ^1C?K G CIMIY ERKKSON 3913 DAVRlIRY TRAIL EAG4N MN 55123 BUILOER'SNAME. RAIhRC1N HOMES (1F EA'UA49 INC BUILDER'SADDRESS: 2367 7$TH STRFET INVFR GROVF 4EI64TS MN TERMS: LIMITED WARRANTV AND BUILDER DEFAUL7 COVERAGE PURCHASEORICE 949539 fAMOL1NT OF INSURANCEI My 55123 BUILDER'S FEGIS7RATION NUMBER 2400-52005 55375 COMMENCEMENT EXPIRATION 10/29J87 10Jz9/89 a?' MAJOR STqUCTURAL DEFECT COVERAGE 1 OIZ 4IB9 10/Z9/97 o?,fsr hn. Yceu.-? ? FORMS AND AMENDMENTS ATTACHEO TO AND MADE PART OF THIS CERTIFICATECONSEQUENTIAL DAMAGES Consequential damsgBa an exNuded. ($orrie sta[es do not ellow [he ezcWsion or hmitaLOn of Consequentiel demages so V+is exdunon or hmnation may not apply to you.) IN WITNE55 WNEREOF, Home Owners Werranty Corporation haa uuaed this Certiticete m be executed bv its Preaident and Saeretary. HOM£ OWNERS WARRAfVTY CORPORATION ATTE57 BV: L? r TERENCE S COOKE, Secretary H KENNETH SEEBER, P,es,oent HOVJ 500 111 1 D i Rev (B 8', ddendum to U. s oevarlilmem oi i ,g ?0\ . Conditional Commitment endUreanDeretopmen, Ut6ce of Housn9 (HA Cnse NumDer ^ r/ fetlPral Housmg Commissionei ? + ? ^ ?j= ' Lt OMB Aporoval No 7502 0711 (n10rmalion. The e?timalPS D; tue insuianc< in.et maini[•nanCe repanS, heat ultlnies and dosinq CoStb afe tiirnishetl fCr mortga4Ee s dntl moriqaoo, •,nimrt?ei?n?, ir,,must oe rus- to rnepaw r o•m HUp-92900 Application Ior Gretld Anprocai wne9 a Itrm commnmrr,; is tlcsiretl Commitment Conditions Manmum morlgage amouN antl terms - (a! Oeeupant Morlgagors. - the monGaoe amount antl ierm 5e7 10r1h On HL1D-92800-5 are thc mdximum apCrOeetl IOr ihi5 OrOperry assuming a sahsfactory ownei-occuGant motigegor The maximur,, amourd antl tr.m may be chanQetl tlependinu upon HUD 5 ratinq of Ihe bonpwPi his mcome antl crPtlrt 1ir1 Nonoceupant Mortgagorr - n tne moiiyaam tloes noi occupy tne houSr tnE I2K IimPS ±rie manimum morigBge BmOUnt IG nUt BxCeeJ 6?°, of valuP In 1hE case 01 nonOCCUpan: mOrlQagOrS the 1vm cnmm.'tmen7 wnpn issueC wm redu.e the mouqage amount dntl tErmS bElOw that 51dt2tl in ihfi hEatlin9 (c) Commilmenl Cnanges: - Tne Comm,sloner may upon requesf ot ihe approvetl moncagee cnange the morgage amount antl term set lortn on HUD-92800-5 If tne aGPlicallon is accompaniea by a VA CRV changes wiu be maoe oNy d VA issues an amendmem Z. Frtm Commrtment: - A firm commitmen; tC ?nsure a morigage will be issued upon ieceip; of an ApplrcaLO.? toi CreCrt Approval torm HUD-92900 execuleC Dy an appruvetl morigagee antl a Gorrowei sahslacmry io tne Commissioncr 3. Commnment Term: • This commnmenl snail eapire Stx Months from the issue tlate in the case o1 an E:isting Mouse or One Year lrom rts date in the case ot ProposeA Construction (HUD Uassdies an cases as enher ^EKishng" or °proposed" for thF purpose oldeierminmg when a commitmeni exDtres Accortlinaly a hou5e. even ihough sidl untlei con5(ruciion, may be Classdfietl as an eKtsting house rf n was nol approved by HUD or VA pnor to 1he begmning ot construcuon ) 4. Csncellatwn: - This commnment may be cancelletl atter 60 tlays trOm tPe 6dle 01 i55u2nCe d COnsirudiOn h05 n0[ SlBrteq, uNB55 the mongagee ha=_ tlisbursetl loan proceetls 5. PropeAy Standards: - All ConstruChon repairs or alterations proposetl m tne apGlicabon or on the tlrawmgs antl specificabons retumetl herewdh, 5hall equal or exceed the HUD Minimum Property Stantlards Specitic Commitment Conditions (Applicable when checked) 1. Health AuthoriTy Approval: - Ezecut.en c1 Form ? FHA-2573 Dy tne Health Authon?y intlicahng apProval 01 The water supply aBtl.or sewaqe tlisposal installalion is reqwretl (Approval by letter of Health Auihority Form may 6e usetl ) 2. Termife Coatrol: - (a) Extsting hiouse - Pumish ? certdicate from a recognizeo termire control operator thai the hou50 entl OtAer SiruCtureS Wrthm ihe IEgal bountlane5 Of Ihe prOperty shows no evitlence o1 adrve termite infesta!ion (b) Proposetl Construction - Fumish one copy of Termite Soil Treetment Guarantee Form HUD-92052 3. Prlfibricetor's Certiticete: - Provitle PretabnCation ? Certificate reqwretl by relatetl Engineenng Bulletin /. Carpet Untlertlooring: - NoLCe ol subtlooring or ? finisn tloonng installetl untler carpet snali pe postetl at a conspicuous location within the tlwelling ? Subtlivieion Requiremenis: - Comply wit? Reqwremems No `) p2 _ trom Report dated for subtliwsion ? Bulltler's Warranty: - Tbe Duiitler shait execute Form HUD-92544. Bwldei s Warranry 7. Property Inspeelions: - A nouce of tonstruction 1 staws shall be gnen 6y Form PHA-2289X lener or telephone at ?? ihe time intlicatetl below Unless instructed otnerwise, the budCer may proceetl with construcLOn uninterrupletl alter the two day noti0ceuon required in a(t) a ProDOSetl Constructron Cases (t) 0 NoUliCation shall De gwen for all Proposetl Construction Cases at least two work tlays before "beginnmg 01 COnStruCUOn' 8ntl a5 m2y be inStruCletl bElOw (210 When the bwlding is encloseA structural haming tompletely exposetl and rough-ng in of plumDing nealing an_tl, {elecincal worM installetl antl visible (3)y? UJhen tOnStruCbon co'npletetl Bntl property reatly for oc:lupancy ? b pepain: • Nmdy HUD upon completion ot reqwred repairs c CeAilicate of Completion: - A ceruficate stating that the morlgagee ha5 exammetl the proposetl or requsretl repairs and tha+ Ihey have 6een satisfactonly completetl wiu be acceplzd 8. VA InzpeNions: - Furnish a copy of a clear VA fmai ? report 9. Auunnce ot Complelion: - II the repwretl repairs O cannot De complete0 pnor to submission oi closing papers, a Form HUD-92300 escrow in the amount ot S (or such adOrtional amount as the lender Oesires) may be established as the means to assure completion 10. Seetion 223 ? Thts Cortamtm¢N is issued untler Sedwn Pursuant ro Secuon 223e 11. Seetiarlj2l(d)(2) O Tne Mfw?;um Insurable mortga fe for a mortgagor other than a dispiaced tamdy presennng a Certi6cate of Eligibilrty, FHA Form 3476. rs $ 72. Code Enforcemenl D Submn aststement from PuGlic Authonty that the subject property meets CoOe Requirements II the mortgage encumGermg the Droperty is ro be insuretl untler Section 221(d)(2) a code compDance mspeclion is reqwred. 13. The property is locatetl in a flOOtl hazartl area as ?itlen611e0 on the latest FIA Flootl Hazard Boundary Map in effed for the community Tne property must De coveretl by 11000 iasurance m accortlance with HUD Regulahons publishetl at 24 CFR 203 76A 1. See specialcondnrons No b210w Of On ett2[h¢C Street . ProviUe consumec with energy ch list Parl I- Sene Io Morlgagee Pege 1 0f 3 Pages MU?928005a (n851 Prenuut. ed?;,ons d•t ubwieie HB 4350 3 , c4,. /s/ / RECORD OF COMPLAINT 6' "°""?°"'?P ? U DATE: COMPLAINT TAKEN BY: ? ?? ? ?L, -q?-.--, NdME: d ADDRESS: 3Ct' ? ? ayL.4-0--- COMPLAINT- ACTION PHONE N0. : TAKEN: ?c-e?-& ? Z- ? CoMMENTS:? ???? TYPE OF HIIILDING: O 1/ LEGAL DESCBIPTION: SIGNED: Z,)u? ?4,-4,-',6 -,tl - LAN D C 0. SURVEYING . SERVICES 1260 ROA 55 22 EAGANA, M NN SO? A ? p SITE PLAN FOR: RA/NBOW !/UA1ES LEGAL DESCRIPTION? LOT? ,BLOCK! , DANauRr P4AC-C ' ACCORBING TO THE RECOCOUNTY,MINNESOTA THEREOF K°TA 'y 0 oo".'r-C?`?°? - -T C h- f ? ? L OT 2 . Z j ? Z f _ 4 --?• ?y 12 ti L.- - - - ----J to9o? 4 ? Q ,f.s/.S'1Vei a ?!°pipp"E L• t 3 1-- -V1 - 23'. G 3 iA3I!13 N'V!D 14 9 ?Fttyb_ f ?/ ?NBU,?y ^' /L LEGEND o DENOTES IRON M10NUMENT o DENOTES WOOD MUB SET DENOTES EV'ATION?T DENOTES PROPOSED SPOT EIEVATION ..?-OENOTES DRAINAGE DIRECTION I MnEy ceffify tlwt this surreY.Plan or report -was Dropand by nw or under my direcf supervision cnd thaf i om o duly Repistered Land Survyror under tho Laws ot tM StotG of MinnfSota a sc.v.E ; i..,x?. INyERT El_ENq?ION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION • s? PROPOSEO FIRST FLOOR ELEYATION ? PROPOSED BASEMENT FLOOR ELEVATION NOTE ? VERIFY ALL FLOOR MEIGMTS WITH FINAL HOUSE PLANS &adley Mn. Rtq. No.15233 . p? GOtf ?,? I W • ?' AND C0. SITE PLAN FOR: "/SSERV CES /' R,4/NBOW IYGw1E's ? 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT? ,BLOCK! , DAtv"Rr PLACt' ' ACCORBING TO THE RECOROED PLAT THEREOF ??7A COUNTYs MINNES07A ftoo ;?.? ° 000, NI,i?O ?r?n°'U -- w ? 4v , ? 3 ? S ?y h• ?s I I j LOT 2 N,i,. I? I lI ? N I I ??p? • p ? ? S 89° t. s? L? -- ----- 590 r °- 0 X ? a 1 6 et? y ? ? 3 3 ?. rA iw ,,, o- L'yw Fi 2 I ? ? EGEN o DENOTES IRON MONUMENT o pENOTES WOOD HU8 SET DENOTES El(ISTING SPOT ELEVATION OENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hro0y coAify that tNs surveyg plan or report,ras prepand py n» or under my dinct supwvisian and Mat 1 am o duly Roqistered Land Swveror undw tM Laws of tM Stafe ot Minnosota N c' -, p . ' Mt"I W?Y? INVERT FIEVATION AT SERVICE EXTENSIOIW pROPOSED GARAGE FLOOR EIEVATION ¦ g9'- PROPASED FIRST FLOOR ElEVATION = PROPOSEO BASFJdENT FLOOR ' ELEVATION NOTE ' VERIFY ALL FLOOR MEIGHTS WITM FINAL HOtJSE PIANS &adlsyWSwenson, Mn. ReaNo.I5233 um.: e ln l sn ` .-=...;LAND C0. ? SURVEYING , SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR: ,e,4/N60w yUhws LEGAL DESCRIPTION: LoT 2,BLOCK! 9 0AN6w19r PAAce- ' ACCORBING TO THE RECORDED PLAT THEREOF OAX07A COUNTYs MINNESOTA ??oo 1..1 0t(:"i-. I oo01a L? NIy'So•t7"'? qnou ?7???l;J?`?_ ?S. OG - o a ? M 3 I Ns-- Lr K ?f ? ? j LOT 3 I iC r I i t s ?. _ ? ? a vN I I I . . _ ?? le I i IM I Z 0 I ti , ( \ I ?? ? ? 1?' • 1 {10. '?b p . S 8qe L . . i . L? - ------? s9t"? ? 4 0 ?rl"b .es da , 4?4 u,?y , _ /L LEGENR o pENOTES IRON MONUMENT a DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION e,- DENOTES DRAINAGE DIRECTION 1 hrebjr ceRify thal this sutveY.Plan or report -wa prepored by ms or under my direet supervisian and that I am a duly Repistered Land Swveror w?dor fM Laws oi iM State o} Mlinnetotd /al mzw Pei L0 ILW KLO y• ?1 1 ? `7 X "'' G? _ rt - r N VMY? INVERT ELEVATION AT SERVICE EXTENSIONs PROPOSED GARAGE FLOOR ELEVATION ¦ 99? PROPOSED FIRST FLOOR ELEVATION ¦ 2 PROPOSED BASEMENT FLOOR ' ELEVATION NOTE * VERIFY ALL FLOOR FIEIGHTS WITH FINAL HOWE PLANS &adley Lf/SnIeDSOn. Mo. Req. No. tS233 Date: h or) 300 I TRI=LAND C0. SURVEYING . SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MiNNES07A 55122 SITE PLAN FOR: RA/NBOw HOitiEs LEGAL OESCRIPTION; Lor? ,BLOCK! , DAIV6G"Rr PLACC ' ACCORDING TO THE RECORDED PLAT THEREOF DAgg?A COUN7Y9 MINNES07A N?y;So•l7'? ? 4q K ? i, i ... ?. L OT Z ? I u - - -t ?s i 3 ? ? I S i I 3 vy ? Z ? 2 I ? ? i N i ( - ?e fy Q ?, ? ? {lo - - s B9o La i si I? IS . L? - -----'J s?Lp r ? o ?+L,b ?a LE6END o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIREC710N I hreqr certify tAot this wrvey,plan or report,was prtpond by ms or undK my dircet suparvisian and Maf I am a duly Repistered Land Su?reyor undw tM Lows of tM Stafe of Minnesota. 81'adley Dats -. Mn. Rey. Na 0235 , .ss sr? . ^ N .?CAi?; /••i,1D• INVERT ELEVATION AT SERVICE EXTENSIOIW PROPOSED GARAGE FLOOR ELEVATION ¦ g9=-? ? PROPOSED FIRST FLOOR EIEVATiON = ??9tyr PRDPOSED BASEMENT FLOOR ' ELEVATION NOTE * VERIFY ALL FLOOR HEIGNTS WITN FINAL HOUSE PLANS Use BLUE or BLACK Ink _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I For Office Use I Permit } 0 f City of Eap I Permit Fee:-( ~Y 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 j~RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 31 i$ .LJC1 6uc /r V Unit Name:.tt c-6c 'J G ri c Kso" Phone: 45* " 79 g d s27s Resident/ Owner Address / City / Zip: 3n) ba~rdw r`V 7ra,s 1 D~.a wv, hAJ x,715121 Applicant is: Owner Contractor Type of Work Description of work: RG ~OC►~ ltd ` G, Construction Cost: 4.2 Multi-Family Building: (Yes / No.AJ Company: A A.Ko EA11-st Clr:S '''''Yi c Contact: &U Ke. Contractor Address: _t qo ISO Aic., AX City: ecwtd:E & rvj State: Aw Zip: 554011 Phone: 6a-7A License _8C 1,37 & 0 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) is ;1 r 1970, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. 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~11kt 1,und ~t., x tr. Applicant's Printed Name App Icant's Signature Page 1 of 3