4240 Daniel Dr
Use BLUE or BLACK Ink
Por Offl e Use
ol Eajan Pem~it
My - I
I ~1 I
Permit Fee:
V® I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j
staff:
Fax: (651) 675-5694 1 ----------------a
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION G~ (~C
Date: 23 • /O Site Address: yotsa !/'~i✓i ~L J Z .3 U/ ✓ c~ v
Tenant: Suite
RESIDENT / OWNER Name: 400.4 a ` L ~NN~ LL Phone: 1612 . 2/d o. Z Zv
Address/ City /Zip: !64040 CONTRACTOR Name:E License
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK X New _ Replacement ,Repair _ Rebuild - Modify Space Work in R.O.W.
Description of work: NEw Ir ,¢NO MO✓E waste
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation X Add Plumbing Fixtures
C__ RPZ / PVB) C_ Main A Lower Level)
Septic System Water Turnaround
New
Abandonment
i
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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.gooherstateonecall.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 o 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
x 4!a""a G 4*eelts L.L. x
Applicant's Printed Name
FOR OFFICE USE Reviewed By. Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
I For Dffice Use
C itof Ea an j Permit j
I Permit Fee: Y&` O 1
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 1 l
2010 RESIDENTIAL BUILDING PERMIT APPLICATION GA LI
Date: f Z 3 • 10 Site Address: JZ ~j/O /Ai✓i G L ~iL s' / L ,3 r w
7 ~
Tenant: Suite
RESIDENT / OWNER Name: 00AS ` L 10VAtE 4-L. Phone: 4/2. Z /0 . Sze 2.
Address / City / Zip: Z ~O DANK t D/Q „'~,f Z ,3
Applicant is: _X_ Owner Contractor
TYPE OF WORK Description of work: /Chits." Low L'Ey~ ~^f'~ L.AVN4 ~t y
Construction Cost: T i to uv* Multi-Family Building: (Yes ! No )
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
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.
Ca1148 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or4
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 no 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 pi
x /~✓N E L.L. x
Applicant's Printed Name Ap 's n
qz' Page 1 of 2
~J
Q
SUN ~ 3 2110
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch {3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
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 C - MCES System
Plan Review Code Edition G~~ SAC Units
(25%_ 100% Zoning ~ City Water _
Census Code G1 3 q Stories Booster Pump -
# of Units Square Feet ;j/ 7 PRV
# of Buildings Length ' Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath _Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Meter Size: Radon Control
` Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEE 3 7 L ~'t,r, ~~f G 3 10
Base Fee 7
Surcharge
Plan Review r -
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
? . IN5PECTIUN RECORD
- CtTY OF EAGAN PERMIT TYPE:
, 3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
Gontrol No. 0053
t??? ? I Dt Nk
00t10Pa4
83/17/412,
(612) 681-4675
SITE ADDRESS: l, Q T 1 12 "1 Or APPUCANT:
? A.ti.AB DRfi{IEL E1R MYi.I.?R kt?ME:s aOBEPW
? l.4x?Ml31(1M RqI11fF' 77H (f?l?j 43t?-2A??.
PERlVIIT SUBTYPE:
st tiwO
TYPE OF WORK:
NEN
INSPECTION
FUu i IN1.i D.
F RAMIFlIi .A
IMsa`UlA ( 1UN F11'#A1.
FiRFVlAC?
? J
Permft No. PermH Holder Date Telephone IF
S/W
PIUMBING
HVAC ?c?--
ELECTRI
ELECTRIC
Inspectlott I)aats Insp. Cpmments
Footings I
Foundation
Framing O
RooFing
Rough Pibg.
v ?/
a
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Rnal Plbg_ Plbg. tnspecior - NoliPj Plumber
Const. Meter
EngrJP(an
Bldg. Final
Deok Rg.
Deck Finel
wen
Pr. Disp.
? ?' V ? ? O?• J ? /
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
,. .
?.II
PERMIT SUBTYPE: TYPE OF 1NORK: INSPEOTIOII . .
I
I
. , .
I F-
L L
?
?
Permft Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBQ
FINAL MTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECKFTG
? U
DECK FINAL
??
,.?.,..?_z :??...?...A , .,, . -,.. .
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
March 11,1992
OFFICE USE ONLY
METER # ? ?.?. PERMIT DATE 03/20/92
?
CHIP # PERMIT # 12620
METER SIZE B.P. RECEIPT # C 017840
ISSUE DATE 51? M B.P. RECEIPT DATE 03 f 18/92
:ADDRESS 4240 Dankel Dr
12BLOCK 2 SEC/SUB Lexineton Pt. 7th
LICANT`.1oaeph M. Miller Conet Inc
AESS: 1b1.7.s ce dar av s
STATE arming on, mn ZIP 55024
iNE:
6ER?ena-Ryan
ESS: 14745 Ro ert
STATE Rosemonnt, t?n ZIP 55068
_ PRV - BOOSTER PUMP
' PERMIT REQUESTED
x x
- SEWER - WATER - TAPS
COMM,1ND
---*-)(NEW
A RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
STATE ZIP
!E:
?/ ' -?3- ? .?
SE ALLOW TWD WORKING DAYS F?OR PROC
:R PERMITS, CONTACT ENGINEERING DEPT.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
'_ 7( ? .1
SIG URE METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
a.
; • E}(TERiOR ENYCLOPE AVERAGE ."U"CaMPIITATION.
OWNER: • - , nnTr:_
SITE ADDRESS: . PHONE:
CON7RACTOR :-?dE ?tLAXK pIAN # c I ot A°I A
Determine working square foota9e of each
1. Total exposed wal l area.,... 77-4a sq. ft. x .11 = Zj?.si8
2. Total roof/ceiling area..:.. 17'lZ sq. ft. x.026 = 3 z+n3
Total exposed wall area abave.floor=\qa(A
a. Total wall window area ...........................................
b.' Total door area .......................... ,...................... "n
c. Total sliding glass door area ....................................
d. Total fireplace wall area ........................................
e. Total wall framing area (average 10%) ............... ..+..,....,..
f. Total rim joist area ............................................. ?
g. net wall area above floor ..................................... \S
h. wall area above floor .....................................
......................
i. ' wall area above floor ................
j. frame wall area at foundation ........................i ..........
Total exposed foundation area=
k. Total foundation window area ......................
:.....
l. Total net foundation area above grade ........
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a x ???M
b. X „u„!
3im
C . A-0 X „ull
d
e. 1??,°?? X
f. x
9 . 1(?Ol ,s1 x
h
i
?
k
„u„
„u„
liull
„u„ . = Co?.Ofo
x
X
X "U"
x lou li
X "U" _
X„u„ ,?ll b = 5, fnZ
3. .................................Total
I
If item 03 is the sam
as, or less than item
#1, you have met the?
intent of SBC 6006 (c
??o, 0 9
2006 RESIDENTIAL PLUMBING PeRnniT aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
1S.cs?
g l -7 / 0 ?
D
t
e '
a
??
Unit #
Site Street Address 2 J CJ?¢N? `?
Property Owner 4- y i ^`J'??- L4- Telephone #(,6 5n
?
Contractor Telephone # ( )
Address City State Zip
The Applicant is: A Owner _ Contractor _Other
Refurbished Submit 2 sets of pians and MPC license
New
Septic System Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. If you are insta!ling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener ZWater Heater $ 15.00
_ new X replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to wed and ?pproved.
i ?
/?.? L,iv-.??e-L p ?
ApplicanPs Printed Name A' anYs ' ature
, PERMIT
CITY OF EAGAN
. 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE:
PermitNumber: ???I L UZN G
Date Issued: 033703
11/Pr2/98
SITE ADDRESS:
4240 CIANSCL DR
LOT: 11 BLOCN,: 2
LEXINGTON PQINTE 5EVENTII
P.I,N.: 10-45091-120--02
DESCRIPTION:
f 1'?
_._
Bu.?.Itly..ng ?..'Qrmit Type
B, ilding Won,k Tvpe
?Census Code
r' ..?
I ?1
?.?
DECK
MFW
434 AL7. RESIDENTIAL
"t
y ; } " }
i''t1 E'
REMARKS:
PLF1N I?FVTFWED f3V WAYNE MII,LER.
FEE SUMMARY:
8ase Fee
5urcharge g,5+?
Tota1 Fee
CONTRACTOR:
CURT'S CUSY"OM DECKB
29?15 1947H LN
CEpAR MN
(6,12) I53-5063
- Applicane -- sT. I_'Cc
17536063 0006559
iV W
55011
OWNER:
LSNNELL GREGG
4240 DANIFL CIR
_FlGAN MN 55122
(651)454-627$
T herebY ackntrW]¢dge thaC S haue read tY1is
information is correct and agree to camply
Statutes and City oF Eagart Ordinarices.
?
AP L C NT/PEFMIT SIGNATUFiE
applicatinn and state that the
With all applicable Stbte qf M•n.
ISSUED 6Y: SI NATURE
'x*A * l:%MM *;KZ.3 :KY:;;c0 **WA*MI
C:E7`I Oi" i"(-ii;!1\
('MI-11 'EI-..:: ; ''6-1;i1lNAl_ N{le Hr;,£'
^A1E.i i.l./OR/98 'r7:;SE:; 15e09240
?I:i ,:
NAtie:, _r,ur;rrs _,r.1i,NSoN
321.6 9001 4210 ItFri,Cfl=1._ Dfi 50.00
21:35 9001 4240 I?P-:NIi::l.. ?i:;. 0,.50
7o'I:x1:i. RBt]e1p4 F10'iC':JY1i;F 50.50
C40^`:)Oi?0
usEF: :rD, Nr-,r,rv
' ;(%k"?; tYF<(YR?;?; l:?/? t?:).C... ..:;'H:.y::???'},•.:i :Y?).1 ?i?.T'n???t.W: f.?i?.?ht?Yl
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, -, CITY OF EAGAN
? 3830 PII.OT KNOB RD - 55122
681-4675 ? ?
?
New Construction Reauirements RemodeVRenair Reauirements
? 3 registered sde surveys
? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.)
? 1 energy calculations
• 3 copies af iree preservetion plan if lot platted after 7l1/93
required: _ Yes _ No
DATE: l° - 13 - 4?R?
? 2 copies of plan
? 2 site surveys (exterior additions 6 dedcs)
? 7 energy plwlations for heated atltlilions
CONSTRUCTION COST;
g S`e
DESCRIPTION OF WORK: ncE e lcl Ce4cf areek ( 21e- P tc,
STREET ADDRESS:
icf (,?o--
LOT: 1-J-- BLOCK: ? SUBDJP.I.D. #:
Name: ~hvi ec? GrwjS Phone#: ? D 2?`
PROPERTY Last Fi*st
OWNER
Street
c;ty
S? ?
Company: L]2.,L, S G..s?,.-c oeckS
corrrxa,croR a?3S Street J?K a`? c ti- c?
Address:
City
G--cLr
ARCHITECT!
ENGINEER Company: Phone #:
Name:
Registration #:
Zip:
SSo??,
Street Address:
City State:
Sewer 8 water licensed plumber (new constrvctlon only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this applicatlon and state that the information is cortect and agree to comply with all applicabi
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
Zip:
Phone 74,10 `(.r> 6
Licrnse k (,
5tate: lk?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
D 05 SF Misc. ? 10 = piex
? 11 Apt./Lodging ?
0 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Firep(ace ?
7 15 Deck
WORK TYPE
? 31 New
32 Addition
? 33 Aiterations
? 34 Repair
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Pianning Building Engineering
Variance
d/
!
?
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
valuation: $ 35 O?
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
5AC Code
Census Bldg
Census Unit
% SAC
SAC Units
PERMIT
CITY-OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 0053
BUILDING
000054
03/17/92
SITE ADDRESS:
4240 DANIEL DR
LOT: 12 BLOCK: 2
LEXING70N POINTE 7TH
DESCRIPTION:
Build3ny Permit Type
Building Work Type
UBC Occupancy,
Constructian 1`ype
Znning
Bui2ding Length
Building Width
REMARKS:
CDn?46
SF OWG
NEW
R-3 M-1
V-N
PD
46
50
FEE SUMMARY:
VAIUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
5ubtotal
$695.50
$452.08
$58.@0
$700.00
iee
$1,905.58
;iie,eee
MISCELLANEOUS $1,610.50
Total Fee $3,516.08
CONTRACTOR: - Applicant - ST. jOIYNER:
MIIIER HOMES 36SEPH 14312061 0002 31 JOE MZLLER HOMES
18133 CEDAR AVE S 18133 CEDAR AVE S
FARMINGTON MN 55029 FARMIMGTON MN 55024
(612) 431-2001 (612)431-2001
?
Z hereby acknowledge thet I have read this application and state that the
informatton is correct and aqree to comply with all appliaebJ.e Stete of Mn.
Statutes and C3ty of Eagan Ordinences.
?
ti
AP LICANT/PERMITEE SIGNATURE
9n?aqi„.r I YYt t1
ISSUED Y ?16NAT RE
CITY OF EAGAN
• 1992 BUILDING PERMIT APPLICATION
681-4675
U4R 1 2 RECO
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 when typinq of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work //A p
Site Location: Z- D ` ,''i! • ZVD
SORK-y TREET STE /
Tenant Name:
LOT BLOCK ? SUBD.SO `
OC P.I.D. #
Descri tion of work:
The applicant is: ? Owner XContractor ? Other coes«;ne>
Name Phone
Property LAST FIaST
Owner
, address
STREET STE p
City State Zip
Company Phone 1,31-
Contractor Address
18133CEOARAYESD. License
...,.,. ...... 502
#
City 0=431 DL State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber - . Processing time for
sewer & water permits is two days ance rea ha been approved.
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.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
Q 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
12'90 New
? 91 Addition
? 92 Alterations
OFFICE USE ONLY
? Ob 6arage/Accessory
? 07 Fireplace
? OS Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
? 11 Res. Add./Parch
? 12 Comn./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
GENERAL INFORMATION
Occupancy C-3 /iy-/
Zoning ?
Const. (Actual)
(A1Towable) 1/N
# uf Stories
Length
Depth Sp.33
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
fi`Site
I$ Wallboard
Basement sq. ft.
3.cQ}st F1. sq. ft.
vfrevftd-Ft. sq. ft.
Sq. ft. total
Footprint 3q. ft.
On-site well
On-site sewage
Building
Variance
;"Footing
,?F Fi nal
Permit Fee
Surcharge ?
Plan Review z,p
License
MWCC SAC 900
City SAC o?
Water Conn.
Water Meter
95
Road Unit 380
Treatment Pl. 300
Read-VRi-t/+c,, Def
3 n
`
?i?
d v
3
s/4
Tra
De ,o
Copies
Other
Total
SAC %
SAC Units
Valuetion: $ l? OOOtVV?:'ayw
RS?.r
zz?.Zy_ sZa
r=
2y'?G?zkS3 =
=7.rN6 ; lioy
3zx y 'J
? Z3 z K?3 =
Gar,
r
'2 z?, zo k K,?, =
:,... ?•,
? 16 Agricultural
? 17 Building Move
O 18 Demolition
? 20 Miscellaneous
S-62- MWCC System
??z City Water
?2sz PRV Required
Booster Pump
Fire Sprinkler
Census Code /T
SAC Code _07-
Assessments
6?S) z9?
?
,,Er Insul ati on
? Fireplace
MILLER CONST. TEL No.612-891-4061 Mar 17.92 9:09 No.006 P.02
pD'lplZ6 OA
em.vrori•o?n' `i ^ a?aon? Y4?i0?'?I? ' ?p
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Jenl.rnSFA'IP?n.JMYAMVwe?IWI PueuWqu.tlrvwn sw?9W?Yad?exl<tl?+n??MMnMyyllh?lA"U.tMaYl
rios?raiw uNnm rioNVa
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4'iL6:uo11-e0 Mo018 io dvy w4oa110 Molj BSDUIoJp 6010uaa-+-
£'496 :uo13on213 JooI! 3saMOl 460waso3 Rm}n v 26ouioJp sa;ouap -
u014on013 pasodad eaaowp ?•
NOILVA3l3 35f10H 0350d0i1 uoj}onuj3 6ugsjx3 sa;otso onae •
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?a, s?
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t
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ii
Z a?yy y L _ t_zi
1-?L 13 zl?
6b96 `? ? ? ? !
/
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y iaIog :auaqN IaPoW
nu -? ;ssajppy asnoH
'Oa -Uof4otl.l}SUO3 Ja??l? w 4 aso? :?o? ,ta,vns 3o
oai-sat xezi•oaaL-se[ {ate)
MV99 NM
1coa41an14L01 ADM461H SL9 6l>L?OW Nnedflt • SkAIMn pM11 ?U?JBBV?6ua *
ecss-lflo Koa•alal-l9e fxlP)
111
OL1% NW 'si46laH ?3dGaaM l ?J .?yXy?? ?L Z.L yF * *?'
mi,0 acudnl?+3 T.L1L I (U? ? d i ?? e?aan?a?d
?7 *
TB'd 88P6f84 •wl+aa11 , c113 aaaLw, d
4.. TOTAL EXPpSED RQOF/CEILIIIf, CALCULATIONS:
Total exposed
roof/cetling area........ sq ft
j) Total skyl(aht area....... sq ft x "U" °
k) Total roof/ceil(nq framing
Z
IZ?
F
"U" ?
7
^ ?S
?
area (Averaqe 1h9;),.....
? sq t x `
1) Total net insulated
I??
"
"
v ?
roof/ceilinq area....... sq ft x U
p. TOTAL j) thru 1 )
If total of `h is the same as, or less than N2, you have met the intent of
2*fCAR 1.16008 A ard 0.
ALTERt7ATE BUILDIPIf, ENVELOPE DESIfN
To utillze the total envelope system me[hod, the values establlshed by the sum
of items k3 and N4 shall no[ be 9reater than the sum of items MI and H2.
1. + 2. _
3. + 4. °
j
3 a40/S?- cF l
14 $ 4 4 a Ck,
Fequest Oate Fre No
? Roughin Inspechon
ReQwretl,
G Reatly Now ll[].MII NoLry Inspedw
?Q2Ch 23 1992 Cyd4 CNO WhenReady9.
I L.Xcensed contractor ? owner hereby request inspection oF above electncal work at:
Job Atltlreu (Sfreet Bw oi qoule No ) qty
4240 17¢n-?eQ [i Eagan
Secvon No Townshp Name or No Range No Counry
L7CLIL 0 1 ¢
Occupant(PFINT)
aoe ('1??!!e2 Komeh Pnone No
439-2001
PowerSUpplrer
Da/tof¢ Uecta
ic Atltlress 220t/Z SA,. S.W.
7
, 7
u2mington,/?N 55024
Eleqr¢al Comrecmr (Gompany Namel Conlracl0r5 L¢ense N.
l'lide¢nd E2ectAic 049690
MeOng Address ?Conhac[or or Ownar Mekmq I nstallation)
7803 972nd St. Gl. LakeUiQQe,(7N 55044
nu oniatl S?gnawre IGoMra dOwner Making Ins[allation? Phone Number
432-6688
MINNESOTA STATE BOARO OF ELEW qICITY THIS INSPEGTION qEOUEST WILL NOT
Griggs-Midway Bltlg. - Room 54]3U BE ACCEPTEO 8V THE STATE BOARD
1821 Univerelly Ave, 51, Paul, MN 55106 UNLE55 PRWER INSPECTION FEE IS
Vhane(611)6C.^UB00 ENCLOSEO
3/p?lo/9 ? REQUEST FOR ELECTRICAL INSPECTION e-ooo 0
? See mstmctlons tor completing ihis torm on back ol yellow copy
?
JC" Befow Work Covered by This Requesl
J 14 R 4 4 4
ew Atld? Rep` Typeof8uilding -- "' AppliancesWued EqmpmentWired
Home LRange Temporary Service
Duplex Water Heater Eleciric Heating
Apt Bwldmg Dryer Other (Specify)
Comm /Industnal Ili, urnace
Farm Air Condilloner
Other (specRyl Contredore Remarks
Compute lnspection Fee Belaw:
# Other Fee # SerwceEnirance5rze Fee # CirCURS/Feetlers Fee
Swimmmg Pool ? 0 to 200 Amps /,5 f;t 0 fo 700 Amps
Transformers Above 200 Amps A 100 _ Amps
SignS Inspector§ use Only TOTAL
IrngationBOOms ?? ?p(prJ?
Speaal Inspection
Alarm/Commumcanon THIS INSTALLATION MAY D ED IF NOT
DFSCONNECTED
Other Fee COMPLETED WITHIN 18 THS.
I, ihe Electncal Inspector, here6y
t
th
t th
t Rouqn-in ?^ ?° - • ? oa?a
y
cer
i
a
e above mspechon has
been made
Finai
-
J
OPFICEUSEDNLV This requesi voia 18 montM1S lrom
* L1NL'AL CEGT CXPOSGD WALL
BLOCK: 48
KNEE: ?OI
WALKOUT:,S
FULL 1:I4S
EULL 2:
FIREPLACE:
RIM: 01%
BLOCK:1qB
KNEE: ?O`
WALKOUT:^IS
FULL 10Ag
FULL 2:
FIREPLACE:
RIM: IAg
= SQUARE EEET EXPOSED WALL AREA
x .5
x 'a
x 8 =(?J
Xs=118?
x 8 =
x
lAa
ZZ08
SQUARE EEET EXPOSED CEILING
WINDOWS: ?Za?71 ? DOOdS:39,114
'244 a 1I 4? PATIO DOORS:
Z454 ( I I '7
BASGMENT UNITS:
I Za.?
SKYLIGH'PS:
Mau_ srcx n rL
N•.,1;?? "i,kc 1 !s?, of Cpqq u l i.l i I arc:o t, ir
fvarnc' ctai'e r? «t 1on
_'""'_'x
fsn•.1C
NAi.L
(D
-EC?i
1'11?r?[= 5fnl.l.
.v-
?=-- ---f I
??. trl
?.?_ ..) I '..._. --_ni
r. ._.. I
...?.._..... _.....--- =-?.-- : .._.__.._. ... (!?)
" ....?
--- ?---.. .
-?t __.. -------°- -_ ?
. - ; _.. ... . G)
- -- ? Q
U'.
e? ?i--?b--? .... ..............__._--((.7
^ .i
I.J1\1- L 41)
4?• ? ? _i' .: ?.???_....
R- VAI.UI:
COtI S1'RUC'P[OPI - PRA11TPl(: - -
3 . nrrrRTOR niP, F7111 (1.68
2. 37T_YT'T3D .
' - .-Ij?
3. 5
17T' r(Jf P 0005 6.0
?? . 2371 ?I MAT1TP Fit; --2; ?s
.fi2
G. 1'.k`!'I`7, (nll ?11'2 f S L31
-- p. l'j-
--- IYl I,_AT- R- _.I 5 . 0__
U= .09
tll°C
?.
lrrri.'i?.ioR niR rii.ri
0.60
T. 772?` C?YI'131) '.ii5
3.
h. 7372,`:111A'I'filFli-
' ---- 2.06
S. ;Th1
lll; ? 62
G. 1?!ll_i?IbR A1R f'i 1
- p.
.
7
-- ?
c
-????llf?l?/?Iy-?}-? ?.,1?
U= .p4
]. ]hfl'f:F[qR A11? I f111 O.fiO
2.
3.
a. ??)73T?t1i'A?1t?tic:
s. T;Miiria ni i?riF?--- n.a`i
U= .f14
I1I.fiCK
1.
2.
:s .
s.
6.
rrnTatoP nne FT111 0.68
'SIAZ
riio•rr.crrvL iinuiaira
FR'1TiF7bl?'?t'f?T7T- -
-'-?•crrn?
.. `
.ni; ori civ,i,r.
?? r _, ? • \.
• ^' \ _. '1 ? L'? ? ? , 1 I?-2+yi? ???
? ._? ?.....?. l??x_?.?' ,°J 1?.. ?/?' /// •_
?
l? 43 ,,..?..,.,,
,? •n "/ ? .
._..__ t .___-`.._•+ _ O_'_"'`J.
4 '
iI,
; ?i i ?` .. • . ', n. .''• ," : y'-'; ? i
•1 61'/?
n4
LlL 3 . ° •
I '-
Hp'1'£: iHDIGA'I'I: T7PC, "R" VAlA1C,.DCPl91 AIdU
PiAcIN.rrr or [NsuLr,Trori.
ROOF-CFILING
, . . _.. - .?'
CUNS'I'RUCI'ION R-VAL.UE
IN1f:RI0u aTU rri n+ 0 61
2. 5/8"GYP. 13D -- 59
3. INSULATN 44 00L?
? 4• EX'1'Llt]OR ATR FTI.M
vBJT AL 45.80
U ° .02
fRAML
VaI'I'F.D ?1 ,' FICAT FL0W 1. _INTERIOR AiR FILM 0.61
2. /II ii { y
u UP 3. 3C
?4 TI?SP1_A'f10N 3?39_
y. P:XTL`FIMIZ A1R 17ILM 0.61 FIG. #5 '1 UlAL 40.15
U = U.0'L4
CUIIS'PRUCI'I.ON
]. 1NS1.DL ALR t1Lt9
2.
3.
4.
5. -OUfS] e AIR FILM 0. 1 7
'POTAL
U =
C'RAhiL
1. 1NSIUG AIR C1LM • 0,61
VEMI'ED
F'IG. N6 •
4
?
2.
3.
h.
5. 667'S1UC' A I R r•ii.r? q?17
TOTAL
U =
1. INSIDE AIR ['If_M O.ol
2.
3.
4.
5. IIQ'r ' I.hl U• 17
'fOTAL
U =
DIOTF.: USE ADDITIOFIAL SIIEF.TS IF FiORE SFnCE IS
NCE:DED FOR DE7'AILS AND CALCULATIOPIS.
FIG. N7
? MG)PI-V[1•lTT.n
IICAT FIAW
UP
if }1£AT FIAW UP
CITY OF EAGAN
. • 3830 PILOT &NOS ROAD
EAGAN, MAi 55122
PHONE: (612) 454-8100
NPL
FOR CITY IISE ONLY
PERMIT #
RECEIPT # /O ?
DATE: ,3 .2-
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMZTS ARE &EQIIIRED FOR EACH DNIT.
DWELLINGS &
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS: 04
U O v?
LOT: BIACK o? SUBD. " H
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
nDDRESS: 14745 South Robert Trail
COMPLETE THE FOLIAWING:
N0. FIXTURES gp,,
ADD-ON MINIMUM 15.00
f SHOWER 3.00
WATER CLOSET 3.00
,L BATH T[JB 3.00
? IAVATORY 3.00
? KITCHEN SINK 3,00
? LAUNDRY 7RAY 3.00
HOT TOB/SPA 3.00
? WATER HEATER 3.00
1 FLOOR DRAIN 3.00
GAS PIPING OUT.
! (MINIMT7M - 1) 3.00
_ ROUGH OPENINGS 1.50
oTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
TOTAL
?
G?
13_
9 `ru
13 "
3 d1
SUBTOTAL S _-33 -"-
ST. SURCHARGE .50
TOTAL: S 33. SD
COMMEItGX?Z;?,?IAIISZ'&7A'T:?? PLEASE COMPLETE THIS PORTION FOR ALL COMAfERCIAL/INDUSTRIAL BIIILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
FEES
19 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY: Rosemount, MN 2IP: 55068
. ' CITY OF EAGAN
3830 PILOT RNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
p"x0i :""
FOR CITY USE ONLY
PERMIT #
RECE2PT
# /?SvL
DATE; ?- ?
KES?UEN1'?tst,,:: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAM]
? TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----°----------------- ----------------------------------------
WORK DESCRIPTION FEES
NEW CONST A?
ADD ON _
REPAIR _
OWNER NAME :
SITE ADDRESS:
LOT:? BLOCK SUBD.k'J1 a"?,-,r,
INSTALLER:
ADDRESS: ?C)- I d I C"5c?c1. d?
CITY: -C ?. ZIP:
PHONE #: 21
DWELLZNGS &
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMLIM d 3.00
OF 1 PER PERMIT
SUBTOTAL: $? GCJ
STATE SURCHARGE: .50
TOTAL: $ -^"•-l )
I ATURE OF PERMITTEE
f4A44ERCIAL/TNUtTSTRIAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL $UILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACR DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT; BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
?ROC55SED ?IPIDIG = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
-79,501
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, fAGAN MN 55122
651-675-5675
Please complete far modifications to existinu residential dwellinas.
'3C - SZS
Date b_ 1 Le I b2
SiteStreetAddress 44 0??4 6 baM"IP? ??. Unft#
Property Owner 'nYl-Q 1 Talephone #(?Q (?j a? O c?o?OoZ
CorKractor V??S 1"?LUVM?1YL01 Telephona# Vi+`a ?
L,Qg'?'?LOa
,
Addreas a?, S ?'Si,thsv\ 6l! 6 dd CKy ?CUn SWteJ(JQ,bJ- Zlp 5535?
The Applicant is: _ Owner 8 OccupaM Licensed Plumbing Contractor
Sepdo System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes Courriy fee
$ 100.00
Per as-buitt $ 10.00
Fire Repalr (replace bumed out iixtures, ete.) $ 90.00
This fee a ies when extensive umbin re irs are made to a buildin .
AReradons to existlng dMrellfng $ 50.00
_ Add plumbing fixtures to _ main level _ bwer level. This fee iridudes
installation of a water softener and/or water heater at the same time. !1 you ara
instal/Mg ?f a water soltener anaVOr water heater, da not complete Mis section;
move to the next section anxl ptace a checkmark next to the appiiance(s) you are
installing.
_Septic System AbendonmeM
_Water Tumaround (add $738.00 if a 5/8" meter is required)
Other:
M'ater 3oftener _ Water Heater $ 15.00
_ new _ replacemeM
Lawn Irrigatlon ,RPZ pVB _new _,repafr _re6uiW $ 30.00
State Surcharge ?E c? P, L? v[E $ .50
JLN 2 5 70f17 -?
rocal
S 30 , ?
I hereGy appry for a Resfdential Plumdng Permit and ackrrowledge thffi the information ia complete and accurate; that the
work wiil be in conformance with the ordinances and codes of the City of Eegan and the plumbing codes; that I
understand this is not a permk, but only an application for a permit, work is not to start without a permit and work will be in
acxordance with the approved plan in fhe evern a plan is required to ?reviewe and approved.
1Cc SG?i L,r.?rCC,v? .? •-•••?
ApplicanYs Printed Name plica ' ignature
y0
r ?61
: ..s-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVF
EAGAN , MN 55122
qsip,
LEGAL DESCRIPTION: LOT 12 ,BLOCK-2-,LEXINGTON POINTE 6th ADDN.
? ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
-?- - - -
HAMIJ
, ON DRIVE
M...?,?„ ,...??.
7
SCALE:r"=30'
LOT II
i
96?'•?''
?
rlo I
V: I
M I
ol
a
3 j
_ i
Q
sr-
?
CERTIFICATE of SURVEY
for =
THORSON
CONSTRUCTION
U I
O ?
o i
oti
LOT 12
5 DRAINAGE 8 UTILITY EA5EMENTS e-r
5
`
n -------n
99o"8 N89°59'17"E 78.19 9e
M
O
o LOT 13
z
.?
,..
LecENo
o DEWOTES iRf3?i MONUFdEPdT
o DENOTES WOOD HUB SET
?vt,8 DENOTES EE E,VIATION?T
(qgO.o)DENOTES PROPOSED SPOT
ELEVATION
? OENOTES DRAINAGE DIRECTION
Dy ctrtify that this surwy,plan or
I Iwr*
r,pot ww prepored by me or under my
direct supxvision and thot I am a duly
Repistered Land Surveyor under the
Laws of the Stots of Minnesota.
_.., Q
-- ---?
2L.p o -? lV.?9?
? 0
g n?7 1?.0 V !4
l?P? I ( M
? ??0vo
NN. D
71
979.7 ? I zi 1 q80.Y
k?ixrx37-
INVERT ELEVATION !ST SERVICE EXTENSION-
PROfi'OSEJ GAURAGE FLOOR ELE`>ATIL1N= q-9 7
PROPOSED FIRST FLOOR ELEVATION = qgg z
PfiOPOSED BASEMENT FLOOR 9955 Z
EIEVATiON
NOTE ' VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
BraGley J. wrpnaon, Mn. RoQ. No. i8235
Dafe : i111.1`1 ,.I
ic
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114969
Date Issued:09/20/2013
Permit Category:ePermit
Site Address: 4240 Daniel Dr
Lot:12 Block: 2 Addition: Lexington Pointe 7th
PID:10-45091-02-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert D Frank
4240 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120406
Date Issued:02/07/2014
Permit Category:ePermit
Site Address: 4240 Daniel Dr
Lot:12 Block: 2 Addition: Lexington Pointe 7th
PID:10-45091-02-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert D Frank
4240 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature