The URL can be used to link to this page

4292 Dartmouth Cte R CITY -OF EAGAN . 3830 Pilot Knob Raad Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: }?'1Mi;tf7fi C' 1' ? t11`1fti1+N1 llili?t?`'; .'Ft1? PERMIT SUBTYPE: [ON RECQRD PERMIT TYPE: Permit Number: " Date Issued: " I. t f'f•-si'Yt.C: It11114f..N SPtt TYPE OF INORK: INSPECTION . , .. . . -; DA !1k1?'';+ P17`J fikt?tllitFl.a `:tiW PI.EtR: 11A1[f: Y t'1.[3fl Pemdt No. Permit Holder Date Telephone M ELECTRIC 41??5 17 PLUMBING EiR HVAC L". f?! Inspecdon Date Insp. Comments FOOTINGS 3?, /y l FOUND s?o/57 FRAMING G?J 2 p ` 'Y7 fZt,?3 A/o 't" i??acj, J - 3D ? c17 vN d Cwrr • wn? M 7i. ROOFING ?vtif3 it/a,} ROUGH PLUMBING _ ?5r PLBG AIR TEST ` ROUGH HEATING GAS SVC TEST 9 INSUL ??7 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 4J$ S`ryj I?'+f3 ?G 44',-.h ? S BSMT R.I. 5 BSMTFINAL -g- C't a&vH a DECK FfG DECK FINAL G INSPECTION RECORD ?I?1 I 1111Vt1 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: : . APPLICANT: ?GM?, i ht?f?f i tt ? t ' !?t'M1t , ? 1d?: PERMIT SUBTYPE: TYPE OF WORK: I'FRA77rlfi.! . . ? • , . INSPECTION TYPE D• • DA J:f,'ARA7'F !'ERP1TY:.? REl3tJ1 RF il f[IR HhY E I_F?C7R:'fCAl OH nl +l1NitllVG ,'Ai.1 44&-2R4O IFe)i2 Ff F r 1141't'R#. [NSPECTfnN +'EE1" REVIFWEI) BY hitKf NAWI:K 3 uS3 Permit No. Pennit Holder Date Talephone k fLECTRIC PIUMBING HVAC InspecNon Dete Insp. Comments FOOTINGS FOUND FRAMING ?T ROOFING - ROUGH PLUMBING 3 ill* PLBG AIR TEST ROUGH NEATING ?-? GAS SVC TES7 1NSUL GYPBOARD ? FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG QRSAT TEST BLDG FINAL BSh1T R.I. BSMT FINAL DEL'K FTG DECK FtNAL PERMIT ? C?ITY OF EAGAN 38 0 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: auxLozrvc Permit Number: 031483 Date Issued: 0 2/ Z 5/ 9 8 SITE ADDRESS: 4292 DFVRTMOU7'M CT LQ7: 23 BLOCK: 2 HAWTHORNE WOODS 2ND P.I.N.: 10-32151-230-02 DESCRIPTION: (NO BEpR00MS) ermit Type BASEMEN7 FINISH ?rk Type ALTERATTON 434 RLT. RESIDENTIAL ?'_.•?.a -: < F'.'?:' • ?.. _ }+?q?? f ^RP e REMARKS: SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING. CALL 445-2840 FDR ELECTRICAL INSPECTSON PLAN RF1LSEWF11 RY MTKF RARfK FEE SUMMARY; Base Fee 5urcharge Total Fee $50.00 $.50 $50.50 CQNTRACTOR: - Applicant - sT. LIC OWNER: LIPESTYLE HOMES INC 14363350 0001288 FREDERICK GIENN 1-2950 12TH ST N 4292 DARTMOUTW CT LAKE ELMO MN 55042 EAGAN MN 55123 (612) 436-3350 (612)454-5536 , ? • _ .. '??F aw,s,u.. ,: -,_ w _ APPLICANT%PERIT SIGNAT?IH6? ?c1n Rvc(.( m? S ED B. SI ATU E ,2 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 85122 681-4675 New Construc[ion Reauirements RemodeUReoair Reauiremenfs • 3 registered sRe surveys ? 2 copies of plan ? 2 copiea of plans (Indude beam & window saos; poured fid. design; eta) ? 2 site aurveys (exterior additlons 8 dedcs) ? 1 energy calalaNons ? 1 erreigy calaletions tor heaMd additions ? 3 caples W trea preserva6on plan if IM platted aRer 7/1/93 required: _Yes _ No ' DATE: ?9 ? CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK ?5 p,5? ?d k-14 PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER Name: Phone #: y5U' 61536 ?... _ _ „ .... .,? Street Address: City: LG3" C Company: ? Street Address: ',Phone #: 2E? (-33?L <' License #: 0 ? ,/, City: /?t' ,? ?f IM() State: I? L? Zip: c c 17 Company: L, C46V q ?17?` P Name: L4 Street Address:??C1?%- ?c-,'? City: ?Ei{?D L12zo State: ?? . Zip: =L --z' 'V,2 Sewer & water licensed plumber (new construction onty): . Penally applies when address change and lot change are requested once permit is issued. I hereby acknowiedge that I have read this applicatlon and sfate that ihe iMormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ° C?,(-„ ? •?. ?? Signature of Applicant: r OFFICE USE ONLY CertificatesafSurveyReceived ? Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required State: aj? Zip: ?6J443 Phone #: 7 J-? Registration OFFICE USE ONLY , -. --•, BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 AptJLodging Z"*?16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF AddRion o 08 8-plex n 13 Garage/Accessory ? 20 Public Facitity 0 04 5F Porch o 09 12-plex o 14 fireplace fl 21 Miscellaneous n 05 5F Misc. ? 10 _ plex o 15 Deck WORK TYPE 0 31 New ;?"?33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy 2oning # of Stories Length Depth APPROVALS n 36 Move 0 37 Demolition Basement sq. Tt. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building IM2 MC/WS System / City Water -? Fire Sprinklered PRV Booster Pump Census Code. L! 3 SAC Code Census Bldg / Census Unit `0 Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies s.oo (i e.w-n.c,E) Total: . .? : %SAC "" c;3 H ?TD ?3rr?vodw?5 $ 4 _.- .,._ ._._.,_ •- PERMIT CITV OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUSLDIN6 029576 @3J@7/97 SITE ADDRESS: 4252 DARTMOUTH CT LOT: 23 BLOCK: 2 HAWTHORNE WOODS 2ND P.I.N,: 10-32151-230-02 DESCRIPTION: E?uildaz;ng4,permit Type SF DWG ?urldzng G?"i?,r,k Type NEW n R 3 / U 1 C4n`,sruo?iirn T?.pE VN "` -ar7;i:,n? R 1 B iaildinL6ngCh_:,: 59 Bu3A d3.qg dtPt is 40 xkpd??g?q??arie? , W 2 1q775 Cen,susnC,tr? 101 1 - F AM. DETACH a y x ; a? :. {? ?a c,w!° U ' F'A'?s ar& . L' ? .zvarn... . . o,.. . . N v S?`-v REMARKS: PRV REQUIREp FEE SUMMARY: S&W PLBR: VRLLEY PLBG VALUATIQN 8ase Fee Plan Review Surcherge SflC 5AC % SAC Units Subtotal $1,137.25 $739.21 $75.00 $950.00 100 1 $2,901.46 $150,000 MISCELLAPIEOUS Total Fee $1p539.50 $4,-440.96 CONTRACTOR: - Applicant - ST. LTC OWNER: LjFESTYLE HqMES INC 14363350 0001288 LIFESTYLE MOMES INC 12950 12TW ST N 12950 12TH ST N LAKE ELMO MN 55042 LAKE ELMO MN 55042 ('612) 436-3350 (612)436-3350 n = a. I h'ere6y ,ackn,oMtledt?e that': L ii'w ii7,.tbrrriation is: ? Statutes arrd: Cit,y+;;.a'F Eagar? fl.rai f p .• APPLICANT/PE ITEESIGNPR -E 6,004s??t?7-t?? ??t 'ata of, 'Mn 7 CITY OF EAGAN $"41'?40. 9& 3830 PILOT KNOB RD - 55122 -,T1-1 C C? , 1996 BUILDING PERMIT APPLICATION (RESiDENT1AL) 681-4675 New Construdion Reouirements ? 3 regislered site survesys ? 2 copies of plan ? 2 coples of plans (include beam 8 window sizes; poured Tnd. desfgn; etc ) ? 2 ske surveys (ex[erior addRions & decks) ? 1 energy dlculations ? 1 energy calculatione for heated additions ? 3 copies of tree presenation plan H IM platted afler 7/1l93 required: _ Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT 2 ? CONSTRUCTION COST: PROPERTY OWNER CONTRACTOR ENGINEER uln Name: 42M ! Phone #: ? ?? ARCHITECTI City: ? Company: ? Street Address: Ciry:-,V? Company: - Name: ? Street Address: C,ty: ?? Sewer & water licensed plumber: _ change are requested once permit is Zip: ??/°' Phone #: - r License #:-L n Zip Registration #: Penaliy, applies when address change and lot I hereby acknowiedge that I have read this application and state that the informaHon is applicable State of Minnesota Statutes and City of E.agan Ordinances. r? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received to comply with all BLOCK v SUBD./P.I.D. #: 0,°')5 2'? ` Street Address: I (. A- L 212 1 Q ? " D b ` f \?J 1 - OFFICE USE ONLY BUILDING PERMIT TYPE 3 ` r. . 2s A..,, 0 01 ? Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-piex o 14 Fireplace ? 21 Miscelianeous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE la" 31 New 0 32 Addition a 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) \/ n! Basement sq. ft. 10 7 s MC1WS System ? (Ailowable) ?A? Main level sq. ft. , 0 8 3 City Water ? UBC Occupancy 11?-3, J-i 20'? sq, ft. I r a z Fire Sprinklered Zoning 2-1 sq. ft. - oky PRV +9E5 # of Stories Z ? sq. ft. Booster Pump Length 5'2" sq. ft. Census Code. 101 Depth ti o, °,• Footprint sq. ft. 1 7 S SAC Code 01 Census Bidg i Census Unit i APPROVALS P{anning Buiiding AXE2 Engineering Variance Permit Fee Valuation: $ 1,50, Surcharge 8ase,?,,„f-- Plan Review 3+ " Z ? z License ?s ?ap MCNVS SAC 2qx, 5 City SAC 24.25 >e 10 Water Conn. Water Meter i 5t - Acct. Deposit SIW Permit ? sa.n.e irl JS 074. ? SNN Surcharge n, sx r g• s Treatment PI. Road Unit L „d Park Ded. --' Trails Ded. 11 Su 14-, z s 7Bo Other z. ri Copies iS, s K y (.z Total: z, -,uS. - 96SAC za,Ba z9? SAC Un'tts ".sx 3r.67 :4d. a 2pXl. S ?? i ?I?ie 88()• S LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPUCATION , ? ? ? ?? fL" ?l ? Q ? PROPERTY LEGAL: DATE OF SURVEY: LATEST REVISION: 2 °? 4 • Registered Land Surveyor signature and company • 8uilding Permit Applicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/eristing sewer and water services & invert elevation • Streetname • Driveway ?S ? m ? ? ? ? ? ? ? 0 ? ? ? ? ? ? ? ELEVATIONS Edstina • Sewer service (ar Proposed) • Property comers • Top ot curb at The driveway • Elevations of any exdsdng adJacent homes Prooosed ?? CI ? ? ? ? ? ? • Garegeflaor • First floor • Lowest exposed elevation (walkouUwindow) • Property corners • Front and rear of home at the foundation ? cr' ? ? R' ? ? 0"/ ? ? [7? ? [?1 ? Ef"? ? ? yf7? ? O ? ? ? ?? ? Ct'/? ? ? ;,/ ? ONDING AREA Cf aoolicable • Easement line • NWl • HWL • Pond # designation • Emergency Overflow Elevation • Lot IinesBearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) • Show all easemems of record and any City utilfies within those easements • Setbacks of proposed structure and sideyard setback of adjaceM ebsting sUuctures • Retaining wali requireme? if any, Z Reviewed: January 7996 CRAq79B6A3LOGPRMT.FM ?J p ???FICE USE ONLY This reqoesi vaid 18 mamhs hom wlidonon dare primed in ihis 6. / O I 7445 & ? nv ?'8U/?7 ? IIIII???I ?III??IIIIIII I I I IIII IIIIlI?`23???? ?? *0 4 S 5 8 S 77 ? V pLEpRINT OR TYPE Requesl D ?e Ro?3h-in mspecrion reqwredz es ? N. Inspeceon Other Than Raugh In ? fteady Now ill Coll ?/ // ?You must call ?he mspxior when readyl ?? Reody !I? I, k licensed coMracror ? awner hereby request i ? of the a e e ec rical work-at - pv lab Address (Stree,, Box r 2aute No ) ?I C, N?? ' ? Z Z A7QT7?7dLLTN C.T. G?-N G/1 _ Senion No Townah?p Name ar No. Rarge N. Fire N. Cawy ?ec rP* Orcu m PhmeN. Po upplier Address ka779 4`e_r?Pic !rv6 ??`' E xhic ConhMOr (Conipany Nomel Conhacbr Lcense No Master Lu N. (Plant Elxt Onlyl hwfe ?L?C .c 1i?c (,/4 D! Nailing Address (ConrcanororOwner Perfor,?l?g Insiol ion) 9h`o/ S /irv? /uN ! ,h Signolore Conrca or Owner Performing Inslollananl Phar?.No r? /-ylvo EBOOOOIA-1 I 8/96 STATE BOAIiD COPY - SEE INSTBUCTIONS ON BACK OF YELLOW COPV _ #iE4UEST FOR ELECTRICAL INSPECTION / ?? • 4 5 5-O J7 3 M821eUnivers ry Ave.,r Rm. Se12r8, St. Paul, MN 55704 - PFrone (612) 642-0800 H lex Du iher:' l Bld - A New Addn ame p . g p _ Commercial Indusinal Farm Remod Re ir Air Cond. Hfg. Equip. Wafer Hfr. Load Mgmf. Ofher: Dryer Ran e Elec. Heaf Temp Service "X" above the work covered by this requesi Enter remarks in rhis spare ond on fhe bock of fhe white copy only. Colculafe Inspecfian Pee - This Inspection Request will not be accepted withoullhe correcf fee/?? d Other Mobile Home Park Stall Fee N Servke Entrance Size 0 ro 200 Amps Fee ?O"' # Circui[s/Feeders O.to-l OQ Amps Fee Sfreel Lfg./TmSic Sig. Tmnsformer/Genemfor Above 200-Am s A6ove 100 Amps T TAL INSPECTOR'S USE ONLY Xf l l ? mr lg Sign/Out ine ? Alarm/Remote Conlrol , Swimming Pool I here ceni ihm Iins hed I e co iR mion des o? tl,e dare9 ored Irrigotion Baom Rooyhan ? o Speciallnspechon Fnal Imestigalive Fee r.,?? ?.??r.l I .rinu nu ev wr n / wn sC ED IF O COMP TED WITHI MO THS. i FEB-19-1597 12:55 114 ItK'--? I H I c ?uiim?r. ? EXTERIOII ENVELOPE AYERAGE "ll" CDMPUTA7IDH ? K; • ; ? W -t'? . , pWNER_ p 4? znar? ?v?ti ? SITE ADb°CG4 _ ???9`l v`iG?s3S 1,•.Ce.Sa-tt?+ 1?1??Gt aArF ? aHOr+E_ coNTanc7oa Oetermine warking square faotage ot each 272?2c? p 1. Total eapaaed wall area.._ g? sq- IL *.11 2 Total roof/eeinng are.._ I y 7 ,a- iL • .a26 ? ?3 {? • g ? Total expOSed wall arsa ahova Iloor = ,3 0$•?, ? ...........?.......? a. 7o1a1 wall window area . . . ... ............. ............. . . .. .... 5 ? • ? So ................................................•... ?Itt _z t4 ' b. Total door area........ ...•.._??- ..................._ c. Total sllding 91ass docr aree .................................. ? d. TnUI llreplaoe wall ares ......................................................... 4 .. z ? 44?• e. Total wall lraminq aren (avera9e 10Ye) .......................................... ......?. - I.ToWlnelwallareaabovaltoor ....................................: ...., .. 15?.dU g. Tolal rim jolsl aree ............................................. ............. .?----^?- Tolal expesed laundalton area = 12C7 - 3 0 ? ..............?-^-- .... t?' ?? h. Total loundatlon wfndow area ........................ ......... ....... ............... :............. I, Total nel loundelloh area aEOMe gtade........ Determine "U" value ot each wall segmenl, A 3 05 •s ? x Yu• 21 _ (i 8. 1._.., ??•?.? X-u' ,- Q??- 3•g`t ? $,6(•ztb? 26'q3 `L x "U+ s ??, o '3 z'l • 2.J x-u- l1 a z 4?t3.?{j x.u- t. ' y, x U. (' , . h. x .V. L? `S r? ? ? . L 1 Z1-3CZ x.tr x 7 . ........................................ .......... .... Total - ? ?R fl ilem a3 le the sama ae, or leaa than Itam pt, you hava mel tha Intenf ol SHC 6008(c02 ??Zfl Total exposEd raaf/celling area ? J.Tolalakylighlares ................................. .......... .................?? 1Vi?o0 ... , k. Soial roolleaUtng lraming aroe (avara9a tOY. ........................ ......... _.-?--- 1. Total nel Inaulatad roof/cailing ana ............................... ..............._r-? - Determine "U' valus ol each roof/ceiling segmenf. ? I ` x u .? _ ?. k. {`t2_ov X.U, _d'Z. ? 1 `l 2.tl _ Q? % -j• ---..--- . rcui = 3l? a . ...................................................... II eqtal ol 0413 Ihs mms ae, or Isss lhan Y2. You haw mellha Intent ot S9C 6006(e)1. dflernate Building Envelope Oesiqe 3 f,? ? ' .z. 3C-?? r L 2?5 • 6? ,. SR-`?S TDTRL P.01 ? L d? gL CITY USE ONLY SUBD/?? a/dO4 45RECEIPT#: RECEIPT DATE: 7 a? ' 1r 1997 PLUMBING PERMIT (RESIDENTIAL) CI7Y OF EAGAN ? 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backfiow preventer for underground sprinkler system FIXTURES F-ACH d0. TOTAL Shower 3.00 x i Water Closet 3.00 x a- Bath Tub 3.00 x a = fD - Lavatory 3.00 x 3 = `? - Kitchen Sink 3.00 x 3- Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x =. - Water Heater 3.00 x Floor Drain 3.00 x \ = 3' Gas Piping Outlet • minimum - t • 3.00 x 3- Rough Openings 1.50 x Z = '4. t ? Water Softener ' for dwellings under construction 5.00 X = Water Softener ' tor existing dwelling 20.00 x = U.G.Spfinkler 'iordwellingunderoonst. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = AltBfdt1D115 ' M existing residence 20.00 = - Water Turn Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and relurbished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE .50 TOTRL `!y' I he26y edcnowledge that I hava read this aDPlipNon, stete that the iMoimfltion Is correQ, and agroerto eomplywith all applica6le City of Eagan ordinanoes. It is ihe epplipnPs responsibiliry to notiy the proparty owner that the City W Eagan assumes, nmliabiliry forany damages caused by the Clty during its nortnel oparaHanal and maintenance aaivities to the fetllries cons Wcted under ttiYS permR Within City property/right-oT-way/easement. SITEADDRESS: `i}'?? ???+^^?-kk ?L OWNERNAME: INSTALLER NAME: c ? -T- TELEPHONE #: STREETADDRESS: CITY: STATE: ZIP: ',53,=^ SIGNATURE OF PERMITTEE ? 2 CITY USE ONLY L Jo? BL o?- RECEIPT#: S SUBD/?? RECEIPTDATE: 97 ? 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: . single family dwellings ? townhomes and condos when permits are required for each unit ? New construction Add-on furnace ^? Y ^? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 1- nJia ? 19 °/ 7 EES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.Q0 ? HVAC: 0-100 M BTq 24.0 Additional 50 M BTU 6.00 ? _f? ? Gas Outlets (minimum of 1 required @$3.00 each) . ? State Surcharge .50 TOTAL 3(. .,f'o SITEADDRESS: t4?99_1 2?yyr-A N'_ OWNER NAME: _( INSTALLER NAME:_ STREET ADDRESS: CITY: ? 11h uu LI STATE: O PHONE#: -33SD PHONE #: 5 - I6 (p , 159?S7 ? . iLwa SIGNATURE OF P'E < q CITY USE ONLY RECEIPT #: ? O ? (??/Q 7 ? BL oU q ?/ ° ?F SUBD. RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IQIOH RD EAGAN, t9N 55122 (612) 681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? Gackflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = WaYer Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construdion 5.00 x = Water Softener * for existing dwelling 20.00 X = U.G.SprinklBf 'fordwellingunderconst. 3.00 = U.G. Sprinkler ` sor existing dwefling 20.00 = AlteraNons 'toexistingresidence 20.00 = ?= Water Turn Around 20.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbished systems) Private Disposal Sy5tems " Abandonment 20.00 = STATE SURCHARGE 50 TOTAL 5 u -------------------•-•----------------------------------------°----- ------------------------- -----------------------°------•-----• I hereby adcnowledge thM { have read Mis application, state that the irrfortnation is cortect, and agree to comply with all appllca6le City of Eagan ordinances. It is the appliwnPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ks nortnal opareGonel and maintenance adivities to the facilities construeted under this permit wi[hin City properly/rigM-of-wayleasement. SITE ADDRESS: 0 ar -I r`-N - A ? C t OWNER NAME: L,- Y, ,{_, ? t 0" Y INSTALLER NAME: v a( ?,_, C ? a TELEPHONE #: ?lH J. ???^ --? n STREET ADDRESS: ? L/G 0, CITY: 7) o , IL , STATE: r°`- ZIP: s S3 r?, SIGNATURE OF PERMITTEE JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 LA3 B ?2. SUBD.?r?J NEW RECEIPT # RECEIPT DATE 8 a5 97 DATE // ??/ xo ?'6r <r c re JOB owrrER L ??`e STY ?? ?vnr ? S PLEASE SE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ -3 7 i ?4f7rTX 0- 30 AMP CIRCUITS = J ?d J 31 - 100 AMP CIRCUITS 0 - 100 AMP SERVICE _ / 101 - 200 AMP SERVICE _ Z? TOTAL FEE DUE = I5 7 - LESS FEE RECEIVEb / e,7 z?p i-GTAI. F-EE 3at'iRTAta 7'JE PERMIT # 415 5- ' 7 ORIG RECEIPT # 7?'1 :5Y RSCEIPT DATE Z/ R PLEASE RETURN A COPY OF THIS E'ORM WITH YOUR REMZTTANCE. TBANR YOU ? SZ.yz? ? ?U0 2007 RESIDENTIAL MECHANICAL rExMiT aPrLicnTioN b City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comptete for: single famity dwellings & townhomes/condos when pertnits are required for each unit Date_,,?/?/o-I Site Address_ 44q 2101400DU4-h l.nl LM'-+ Unit #i PropertyOwner 2e.S7UrQ.,TlOV1 1-'? (?t Telephone # (6.51 ) 7.5S?;J98 ? Contractor Street Address JIM f Cit y Mo'? leu.sooc? Telephone # ( ( ,,;.1 l) 1177- 7&Za Bond Expires: The Applicant is Owner ? Contractor Other ' Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to exis[ing dwelling unit $ 50.00 furnace _Additional ?Replacement _ New air exchanger air conditioner heat pumo other 0 %G0 State Surcharge $ .50 T t l o a $ I hereby apply for a Residential Mechanical Permit and acknowledge [hat the infortnation is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanicat Codes; that i understand this is not a permit, but only an application for a permit, and work is not to start without a permit; tha; thrw?k an ce with [he approved plan in the case of work which requires a review and approval of plans. _? D. ?T1 56 W C/w_ Applicant's Printed Name Applican s Si nature MAR-29-07 07:34AM FROM-Rastoration Professionals 651-379-1881 T-080 P.002l014 F-062 / 711 7? _ 2007RESIDENTIAL BUII.DING rExmff arriacarYOrr g6 q? 7(v City Of Eagan 3830 Pilot Knob Road, Fagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 rtew ca*195011 Reud?amams 3 re9ivte2d sdes?rvgya sh?na9 yq, ft of WL a4 S. d Mae; wdd ioaPed atas (20°6 maxfmum bt Wrwa9B auwed) 1 Sods Repat Hproposed buBft is 9o be P1aoad on didmbed sal 2 mpies of plen 6hawhy 6aem 8 vmMm shW PoyradTamd dmgR eic. 1 aBlOFEnefgy CsWdsfidis 3 wpies oFirae Pm? Ran rf bt Wbd aftu 711193 itim,Oist FiBW Op6Ms WeGbm sheef (6uadsgs vdBi 3 or iess mds) fifinnegasm o1BChBniwl rm41e6an korm smgmsepar Rm-xmmmts 2 mpies dPlen abuNin9 buft; Eaams. '05ts 1 so d EnNW C2lcula5ons far heaeed dtld6wm 1 sdeswveyiorektiais&detkS Addfiaa - iram-e d atidf e saptit aysiem 0ftt?e OnN CartoFSwvayRecd "Y _N Saffi R6p0rt _ Y _ 1d 888 PreS Plan Reed Y_ N 7me Res ReWbd _ Y N a"ft swtcsyrsmn _v _:a PldnS 8f2 COI151d@11ed pUblIC lrtfORrl3YlOrt 11111QS5 vou 54ate thev are frado spr_rof and tho raacr,ro Datc SiMAddress CoostcnCtiou COSt ??1j?gqd _-- I CTuiifJSte # Description of Work 0 AcS,4 b M 4?u I .J& Qv eyc_F? ...? Se? /krnfc?+^;? Sccx.'? Multi-Family Bldg _ Y 7( N t _, Fineplece(s) 2 PropertyOwner ?pSEI'?J- f'c 2?a?-- Telephone#(4?.51 ;i 1'Ik ( _. ? Conh9CfOr 2?x!ri io`z 3??-S Addrm Stste P1a`S .4Vr vU CitY St'. P?tJ?r?tif S'?c} ZiP Telephone#(E,S, tqal0 ----7 COMPLETE THIS AREA ONLY !F Enargy Code Category -Nfl"e'OU Rules 7670 Cffieg ry i (J rsubrtussbn typs) ' Residerfial VrstllaUOn Category 1 Worksheet Submitted • EnErgy Emebpe CalcWations Submitted A NEW IBUILDING Mnnesota Rules 7672 . New Ewgy Cotle Worksheet subirnieaa In the last 12 monttu, has the City of Eqgan issued a permit for a s'unilar pfan based On q master pinrf? ? Y _ h IF yes, daFe androod licensed Plumber Mechanico! Coniroctor SAwer/Water ContracTor Telephone # ( Telephone #( Telephone #( I hereby apply for a Kesidentiai Suilding Permit and ar.knowledge that the information is compleie and accixr.ate; that rhe work will be in conformance with the ordinances and codes of the City of $agan and the State of ,*vCN Statutes; I understznd this is not a pernut, buC only an application for a permit, and work is not to start wiY}iont. a permit; rhat the work wi116e in accardance with the approved ptan in the case of work which requires a review and approva] ofplans. ApplicanPs Printed Name ApplieanCs Signature T MAR-29-07 07:34AM FROM-Restoration Professionals 651-3T8-1891 T-080 P.003/014 F-062 aiv s.ve V.raar. a?c.l,vrr inR.1 L419L , il -,1. ? - ----- Sub Tvoes -- ! ? • LG., ? 01 Faundation ? 07 05-p(ex ? 13 16-plqc p 20 Poal ? gp qcoesaPy ?idg ? 02 SF pwetling D OB 06-plex 0 16 Firepiaoe Q 21 Porch (3-sea-) D 37 Ext. Wf - MaIA ? 03 01 of_ plex O 09 07I1ex 0 17 Garage ? 22 POtChlqqOl. (4.see.) ? 33 Ext qH,- SF O 04 02-plex ?'lD OS-plex q 18 Deck ? 23 Porch (soeeNgazebol5ergpl0) 0 36 MWS Misc. ? 05 03-plea ? 17 70-plex E3 19 Lwuer Levei ? 24 Stwm Damage ? OB 04-plpc ? 12 i&plex ? 25 IN-isoBllaneous ° Z 17f l e W l T }/}vil Z l h/ ? or c Vqes ? 31 kew [] 35 Int Improvemerx ? 38 pemolish Interiw G 44 Sidng ?32 Adchhan ? 38 Move 6uiWirg O 42 DemNish Foundatlon p 48 Fire Repair [3 33 Alferation ? 37 Demolish Building' ? 43 fteroof C• 48 Windows/Doors gl- 34 Replacerrrent 'oemoution (Einlre Btdg) - Gwe PCA handwt m aWicaot DCSCI'IDLOII: MrdOBr Ump"e _ yes Yaluation 2Z)??EO .f? pccupancy 2 ? MCES System Plan Review 100% w _25% Census Code ? Zoning City Water SAC Unifs S(arieg Booster Pump # of Units Sq. FS. PRV ? # of Bldgs Length Fire Sprinldered Type of Const W,dth MQUIRED INSPECI'IONS _ Footings (new bldg) S6cetrock , Footin&4 (deck) ? FinaUC.O_ - Faotings (additiort) 4S- --Fina1/No C.O. _ Foundation HVAC _ Drain Tk Other Roof _ Ico & Water „?'ina( _ Pool _ Ftgs AirAGas 'CesGS Fme1 L° ?rwninB _ Sidmg _ Stucco I,ath _$torte ? ? Brick Pireplsce _ RL _ Air Test Finel Windows z° msutarion gera;,an,g wall ApProv2d By: Building Inspectpr Base Fee Surcharge Plan Review MC/ES SAC crcy sac Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ** * * PIONEEF! * 811e neBl' **** LNID 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 UNO PLPNNERS• Lu+oscAPE •?irecrs 625 Highwoy 10 N.E. Blaine. MN 55434 (812) 783-1880 FAX:783-1883 Certificate of Survey for: i/ ?5 ,t' /912.4 / & / ' V ^q ' n? zN //917.3 ? ' 9197 . 4 LIFESTYLE HOMES 4292 DARTMOUTH COURT ..BENCH MARK TOP OF PIPE ELEV.=912.38 s8 eX/S 9133 yOUS£G 10 p/ l i o? `q 91 7. 7 Z. i CO) ? I N N? ? 30 o? N¢ 03 a O- ? ZS / 10 / L --- ? 919.8 ? 45.50 M 5 N S ? 22 ?? ^ 5.4 911.2 ? a,z., N7S0,6,so?w x - 917.1 916.2 ? N J ` c aI, 912.9 ? fno ? ? 15 ? Z? ? t 1 ? 0 23 ? ? I ir IN t G ?? ` ? 25 ?\ "? ? 14 5? ? 3 vG 1 . n x 918.8 x 91815 ? i 5 ? ? 918.7- --- 1.0 -0-------- ----- - - O ?? h+ o N89°24'11"E i 4 EXISTING ^ 921.4 1 ry?^ ryro ? /' Hause BENCH MARK ? TOP OF PIPE r? ^ ELEV.=919.88`- ? G `Y o LI UV ?? NOTE: PROPOSEU GRAUES SHONN PER CRADING PLAN 8Y: MFR NOIE: BUILDINC OIMENSIONS SHOWN AftE FOR HORIZONTAL ANU VERTICAL LOCATION OF 57RUCTURES ONLY. SEE MCHITECNAL PUNS FOR BUILDING AND FOUNDAl10N DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTIGAnON HAS BEEN COMPIETED ON THIS LOT BV THE SURVEYOR. THE SUI7ABILITY OF SCNLS TO SUPPORT THE SPECIFlC HOUSE PROPOSEO IS NOT THE RESPONSIBIl1TY OF THE SURVEYOR. PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: q13.3 TOP OF BLOCK ELEVATION: q Z-Z• I GARAGE SLAB ELEVATION: to, NO'E: ?F'!5 CERT.RCATE DOES NOT PURPORT TO SH014 EASEk.NTS OTH`3. r1FN X OOOAO OEt20TE5 EXI571NG cLEVATIOH iMDSE SHOwN ON THE RECOROEO PLAT. ( 000.00 ) DENOTES PRaPOSED ELEVATION DENOSES ORAINnGE ANO UTi1fY EASEMENS NOTE: CDNTRACTOR MUST VERIFY DRIVEWAY OESICN. OEN07E5 DRAINACE FLOW UIRECTION NOTE: 6EARINGS SHOWN ARE BASEO ON AN ASSl1ME0 OANM • OENOTES MONUMENT -E3 DENOTES OFf5E7 HUB WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 23, BLOCK 2, HAWTHORNE WOODS 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 SUPERVISIDN THIS 14TH DAY OF FEB., 1997. IGNE P?DNEER NGINE ING, P.A. SCALE : 1 INCH = 30 FEET C 97 94126.01 SWK REVISED 2-24-97 CITY REVISIONS John C. Larsan, L.S. Reg. No. 19828 921.9 1 185.30 _,)o•v> SBWOilO SBWWIS SBWHOS SBIQOf3; gO'.w9? / / / SBWO?J! 553..6T 8933 s3B?w?B ."".52 <40?w50' 99]l 5 9028 I ? 096.I I 912.1 4 25A 2! 5 i 2 3 .oo' r._ 1 I ' h 8m. / . EL a es.o' ?-M.H. 14 M H.13 f?, ? A ? V ? yz w - /6'GATE VALVE 3 d ?c G TM oo s o ae3 29A/ ISD? ?.s25 ' .?. / 13 6?-I/I68EN? 3fY uQ ? 6"-1/320END /'. ? sewo.ao 12 11 ?? 1 10 9 \? 5 a45'.. .w' sswras 12 I sewlssa sewosz? ?q/ye 9f30 ,jp' a/2wwJ1 SEE 5 EEIt 40.9489670 ?B 3.0 ?r M.H l . ?5 I E... HAINKSBURY 9020 CIRCL.E 240u M.H. 14 wsa ??-° R£9196 . ? o goe MH.I 12 6-, R E 9B9& ------ --- ----- -- -- ---- - - ------------- 3BIKO+T! SBWIJ9Y ;BW/{61 HAWTHORNE WOGOS DRIVE 1 ,u"„14• az,.sr' 892D SEE SHEETN0.62408V 9123 909.6 15 1}Y.i2 ropHUi1°mirrox,wr 14 ?MH2O ELEV.'90A99 5 `1 19J ` 3Yd T90 6 I ?N ?EET ?\, grl,?E q? Jod ? h y ? f 4B d ?'?? \ ?a \! LT / ? . ara' sewaaa3 7 OJ,wbi' 892.0 ?? ? SdWOfSO ? ? 892.0 8 ? ? s35?.M6{ ? SHEE2 N0.3 24I/U 6 0' 7 \ ? )Ze 8X \ BPBSEB GFADE SdR 3.. AO°/. 2 wArf? a F.E.903.9 ] 5 MIN 0.59 N ? covea 120L.E-e'P.V.C. SOR 35-&48iL 8.02 , I 20LF.-8'D.I.F _ 198- . . . - ' ' - CL52-8A&Y. SLF-8'P.V.Cr5DR35-Q46Y. ? , ry 8.02 gW ? , 0.37 g . - 0 q ??.N P ?m mm JOS DRIVE ~ . . . _ _P NV 6 V G T < _?°•_ ?-raa..-o ?-z ? ? ? _ ? \ , _ ~ ?• ?.1 ? ? \ % N. /? A I 41 I J J \ ?? ?\ \ 4ACKMORE DRtVE ? ?Be ? -If wnrFR"'N' ?- _ - -------._...--- __----------- ---- - SBW0+90 SBWOMD ?N04T41IV a43.r01 ??'?w90 SEE SH StlWSi23 aC3..6B, 9w2 16 I e99.0 17 IB ee47 ? 3 M.H.IB M.H.19? ? 4?ja-/ /'o sro' sao' ? /?a.i ?f 19 = VALVE ` 24 23 22 L SBW1+99 ? saw,.w ? , SBWDI?I! 14O ?w30 •4!' ?31? i31 Wf 90A9 8992 J 'LI 9p 6 ? I SBW 0/ll sl06,,r s! 0 89E DARTMOUTH COURT 920 910 900 890 nors: u.r. sewex exn wTM sacvxces m ee larrrvmm is' o. vesina wr ume rU cin sxewnen neren , PIdiB e0'S 300 NN 310. . TYPICAL SERVICE ? SEWER-3" P.V.C. SOR 26 ? WATER - 1' TYPE K COPPER i BM, BENCHMMK, TOP NUT HYDFANT NOpTH SIOE HACKh10RE AT NORTH ENTflANCE TO PINEVNOp ELEMENTARY SCHOOL, NE O11q0. ELEVATION • 932.77 ' THE IOCAiIOM Of EkI$TINC tMFACA4Np ufIL1LIF5 exE 9pNN IN Prv aNFRS[MiE M0.Y ; pLY. TIE E%GVAI[NL CONiNYTqi SHWLL OEIEPMINE ilf E%0.CT LOfAiION OF PU. E%15i1NG IIiIL1iIE5 B:iOPE CQeENGIIL NOUf. 1f pREES TO BE RILY PEAINSI&{ ? FM aNY A'D NLl OPVnfES sHlp+ pCM 2£ OCCASIGfD BY NIS FASLWE i0 EXPCTIY NO PPESERr£ AYY MO ALl LWEIb'AUAU UT[L1TIE5. i ?-?,F ?y-3 .-.?r .-. ^i.a? . . . ._ _. . } 46:.: i?',,: ;-: .?114 ?.?':)??lfi J Z.1id7C I' h "i:... OF UTl:.Ei°t' i';?, .,., . , , .. _. = i PUiIM 0::?.? i?_... .._. ??.:'t€tG IT - - _ --- E:?:-°, S; pS - CfJThr "r ----- ? ?... , 4 zo rao' sawa+oe fIOT,bfi \ 994.9 øù ÿþýûýû úÿÿ ùûüû ñ îøöäùú î î ÷ ÿþýüûúùøù úùýüû÷ö ùûúùøù õù ôõùýüûõÿóÿùù ù÷ÿòþùñò÷ÿòþù ô àäõÛÿù îù ÷ õûõ÷ í í å ùòìëú êéùúøèç æ å æ å öú ÿùäùìçæ ã æ ã õô ÷óò ûû Ùòìù ÿòþäõÿùäù ãùòÿäá õûõ÷ õ÷ îî í ëí èí åØí äùþüöä äâùäûûääóùòùùùòûüöäûûþ óõ ÿáüóïùæ ûûé ùò ÿù ÿü ÿù Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use I 7~ 1 City of EI Permit#: -7 as , I Permit Fee: ~ I 3830 Pilot Knob Road Eagan MN 55122 Date Received: 99 1 ® / 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 1 I 1 - - __91 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ~ P7&K / W R A1~ ( O/ l lj 61 ~ Phone: 2 ge::~,'7 6 V3 Resident/ A, Q 1 M 0044 Cd FA Owner Address/ City/Zip: T Q 0-0 Applicant is: Owner Contractor Type of Work Description of worp"004 / Qf4 P094S ILJ Construction Cost: ?COD Multi-Family Building: (Yes / No ) Company: A y 6 /00 ~ $ Q~U< ~ Contact: Address: a ~-G gG~ 9 ~ City: Contractor _ State: _H V V Zip: Phone: Z 2 /_7 License 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 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_ YA QD, X_ Applicant's Printed Name Applica 's Si n ur Page 1 of 3 MAR -129-07 OT:34AM FROM -Restoration Professionals Sc Clain Number 23-L270-528 Policy Number 23 -IW -5695-8 insured: ARZAC, JOSEPH Property: 4292 DARTMOUTH CT EAGAN, MN 55123-3066 Home: 4292 DARTMOUTH CT EAGAN, MN 55123-3066 Claim Rep.: Cindy Mattson Business: 505 Minnehah Ave W St. Paul, MN Estimator: Cindy Mattson Business: Date of Loss: Date Inspected: Date Est. Completed: Ptiec List: Estimate: BY: DATe ` (6 k1\Z c 0 '0�) Cs ,� BUILDING INSPECTIONS DIVISION 505 Minneha1t Ave W St. Paul, MN 02/26/2007 02/27/2007 03/19/2007 651-379-1991 7-080 P.004/014 F-062 Pe Ti rig FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES. Type of Loss Deductible Water $2,500.00 Home: (651) 6S8-:441 Business: (612) 291-9469 Business: (651) 775-0699 Business: (651) 775-0699 SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK. MNNN2F7A1 Restoration/Service/Remodel ARZAC JOSEPH EAGAN REV1EVVED Date Received: 02/26/2007 Datc Entered: 03/01/2007 SMOKE DETECTORS ARE REQUIRED Alia IN ON EVERY LEVEL OF THE ROOM IN EVERY HALLWAY LEAD EVERY SLEEPINGG TO A SLEEPING ROOM C 4— 0 c- �� aVF+ +`.p (/‘, � �r e.t-h,-Lid--/ r 1AAR-29-07 07:34AM FROM -Restoration Professionals e 651-379-1991 T-060 - P.005/014 F-062 Claim Number: Date: CONTRACTOR AND MATERIALS SUPPLIER WARRANTIES UNDER. STATE FARM PREMIER SERVICE® Under the State Farm Premier Service® program (SFPSP), the State Farm insured is provided by the Contractor and Materials Supplier identified below, with the following warranties on repairs for covered damage to a dwelling insured wider State Farm's insurance policy: The Contractor identified on this estimate warrants for a period of five (5) years from the date of the insurcd's authorization to pay, that all workmanship of the Contractor and the subcontractors working on the above repairs (1) will be performed in accordance with this estimate and any construction agreement with the insured, and (2) will be of good quality and free from any fault or defect This warranty excludes damage caused by normal wear and tear, improper maintenance, and/or abuse. Any Materials Supplier participating in SFPSP warrants that all materials and equipment furnished by it in the above repairs are covered by the manufacturers' warranties_ The Contractor also warrants for a period of one year from the date of the insured's authorization to pay, that all materials and equipment furnished by it or the subcontractors in the above repairs will be new, of good quality, and free of defects. This warranty is limited to visible defects for materials and equipment furnished in the above repairs to the Contactor by any Materials Supplier participating in SFPSP. Please contact your Contractor or State Farm for the name of the participating Materials Supplier and the item it furnished in the above repairs. Insured Name: Repair Property Address: Contractor Signature: Phone Number: MAR -29-07 07:35AM FROM -Restoration Professionals Area Items: ARZAC JOSEPH ITEM 651-379-1991 T-080 P.006/014 F-062 ARZAC_JOSEPH Air mover (per 24 hour period) - No monitoring Dehumidifier (per 24 hour period) - XLarge No monitoring Equipment setup, take down, and monitoring (hourly charge) Wood floor drying-Dctd type (per 24 hour period) No monit. General Laborer per hour Post construction clean up after floor sanding. Single axle dump truck - per load - including dump fees Area Items Total: ARZAC JOSEPH Er 11' .-••-J ITEM Room: Bathroom QUAN) UNIT ALLOWS I) COMPLETED 24.00 EA 9.00 EA 5.00 HR 6.00 DA 6.00 HR. 1.00 EA 0.03 0.03 60.0] 0.0? 72.011 18.7:i [ 1 Lower Level 159.7.5 228.00 SF Walls 275.57 SF Walls & Ceiling 5.29 SY Flooring 28.50 LF Ceit. Perimeter R&R 1/2" water rock (greenboard) hung, taped ready for texture Scal/prirtte the surface area - one coat Detach & Reset Fiberglass shower unit Detach & Reset Shower door Detach & Reset Shower faucet Paint the walls - two coats Detach & Reset Outlet Detach & Reset Bath accessory - Standard grade Detach & Reset Light fixture - wall sconce Detach & Reset Mirror - 1/4" plate glass R&R 5/8" drywall - hung, taped, ready for texture R&R Acoustic ceiling (popcorn) texture Seal/prime the ceiling - one coat Detach & Reset Toilet Mask and prep for paint - plastic, paper, tape (per LF) Mask the walls per square foot - plastic and tape Mask the floor per square foot - plastic and tape Water extraction front floor AR2:AC.JOSEPH Ceiling Height: 8' 47.57 SF Ceiling 47.57 SF Floor 28.50 LF Floor Perimeter QUAN!UNIT ALLOWED COMPLETED 34.00 SF 9.38 [ ) 45.00 SF 3.05 [ 1 I.00 EA 44.87 [ 1 1.00 EA 17.24 [ 1 1.00 EA 18.73 El 228.00 SF 25.78 [ 1 3.00 EA 5.81 ( 1 2.00 EA 5.92 [ 1 1.00 EA 5.40 fl 6.00 SF 5.27 [ 1 2.00 SF 0.56 [ 1 47.57 SF 10.15 [ 1 47.57 SF 3.23 f1 1.00 EA 21.35 [ 1 28.50 LF 426 [ 1 228.00 SF 5.69 [ 1 47.57 SF 1.19 11 47.57 SF 5.37 [.1 03/20/2007 Page: 3 TAR -29-0T 0T:35AM FROM -Restoration Professionals ITEM Apply anti -microbial agent Clean floor Detach & Reset Baseboard - 2 1/4" R&R Batt insulation - 6" - R19 Visqueen vapor barrier 651-3T9-1991 CONTINUED -]Bathroom T-060 P.00T/014 F-062 QUAN/UNIT ALLOWED COMPLETED 4737 SP 47.57 SF 28.50 LF 57.00 SF 57.00 SF 2.31 4.55 10.17 7.57 1.84 Although insulation and visqueen barrier appear dry and we are getting dry readings, policyholder believes they are wet and that she can feel wetness and wants it replaced. Rooms Totals: Bathroom rTEM Room: Furnace 290.67 SF Walls 368.83 SF Walls & Ceiling 8.69 SY Flooring 36.33 LF Ceil. Perimeter 219.6E Ceiling Height: 8' 78.17 SF Ceiling 78.17 SF _door 36.33 LF Floor Perimeter QUAN/UNIT ALLOWED COMPLETED HEAT, VENT & AIR CONDITIONING 1.00 EA 0.00 This was for emergency services to get the furnace running, Due to water damage to furnace ;From top to bottom, it is recommended that the furnace be replaced. •f " vl eel) .HEAT, VENT & AIR CONDITIONING - in e. f e l 1.00 EA 0.00 The above is thc estimate for the new furnace Clean ductwork - Interior (PER REGISTER) 20.00 EA 64.72 E 1 ELECTRICAL L00 EA 0.00 E ] This is to check the lights and smoke alarms in the furnace room and the hallway as water was running through the lights and thc smoke alarm radia R&R Reflective bubble -foil insulation -- P �' ✓: t �'� S Lab R 7z 00 SF 2.31 This is to reinsulation around the HWH SQ'LS/ FSR P Il Water extraction from floor Apply anti -microbial agent Room Totals: Furnace ARZAC IOSEFH 78.17 SF 78.17 SF 8.83 3.80 [1 f El 79.66 03/20/2007 Page: 4 651 379 1991 I01AR29-0T 07:33AM FROM—Restoration Professionals Restoration Professionals of Minnesota, Inc. 505 Minnehaha Avenue W. St. Paul, MN 55103 Phone: (651) 3794990 Fax: (651) 379-1991 www.restpro.com 651-379-1991 T-080 P. 001 F-062 11S } ON PROFESSIONALS FAX COVER SHEET Date: 3/29/07 Pages; 14 To: License and Permits Company: City of Eagan Fax: 651-675-5694 Phone: 651-675-5675 From: Scott Karkula Message Please notify Scott Karkula of building permit amount: Scott Karkula skarkula restpro_corn 651-379-1990 For questions regarding scope or inspections, contact Brian Andersen (Project Manager) 651-325-5467 MAR -29-07 07:35AM FROM -Restoration Professionals 2. ITEM Room: Closet 651-379-1991 128.00 SF Walls 140.64 SF Walls & Coiling 1.40 SY Flooring 16.00 LF Ceil. Perimeter Detach & Reset Baseboard - 2 1/4" Water extraction from floor Apply anti -microbial agent Tear out wet carpet pad and bag for disposal Lift carpet for drying Carpet pad Lay existing carpet - labor only Clean and deodorize carpet R&R 1/2" drywall - hung, taped, floated, ready for paint Seal/prime the surface area - one coat Paint the walls - one coat Remove Closet package - hall/linen (4 shelves 3' wide) (Install) Closet package - hall/linen (4 shelves 3' wide) Room Totals: C1o90 Room: Hallway QUANIUNIT 16.00 LF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 32.00 SF 40.00 SF 128.00 SF 1.00 EA 1.00 EA T-080 P.008/014 F-062 Ceiling Height: 8' 12.64 SF Ceiling 12.64 SF Floor 16.00 LF Floor Perimeter ALLOWED COMPLETED 5.71 1.43 0.6.1 1.011 0.9:1 0.19 0.99 9.49 2.71 8.6a: 4.34 10.39 Missing Walt: 1- 3'1" X 8'0" Mussing Wall: 1- 3'6" X 8'0" ITEM ARZAC JOSEPH 104.67 SF Walls 126.60 SF Walls & Ceiling 2.44 SY Flooring 13.08 LF Ceil. Perimeter Opens into Steps Opens into Fanny Room QLJAN/UN1T 47.66 Ceiling Height: 8' 21.93 SF Ceiling 21.93 SF FIoor I3.08 Li: Floor Perimeter Goes to Floor/Ceiling Goes to Floor/Ceiling ALLOWED COMPLETED 03120/2007 Page: 5 11g MAR -29-07 07:35AM FROM -Restoration Professionals ITEM Tear out wet carpet pad and bag for disposal Lift carpet for drying Carpet pad Lay existing carpet - labor only Clean and deodorize carpet Clean carpet - cleaning charge per step Water extraction from floor Apply anti -microbial agent Room Totals: Hallway Missing Wan: ITEM Clean and deodorize carpet Room Totals: Family Room 651-379-1991 T-080 P.009/014 F-062 CONTINUED - Hallway QUAN/UNIT ALLOWED 21.93 SF I.80 21.93 SF 1.59 21.93 SF 0.34 21.93 SF 1.71 21.93 SF 2.03 8.00 EA 8.3'9 21.93 SF 2.43 21.93 SF 1.07 -11 13 COMPLETED Room: Family Room 677.34 SF Walls 1042.38 SF Walls & Ceiling 40.56 SY Flooring 84.67 LF Cell. Perimeter 1- 3'6" X 8'0" Area Items Totals: Lower Level ARZAC JOSEPH 19.39 Ceiling Height: 8' Opens into Hallway 365.04 SF Ceiling 365.04 SF Floor 84.67 LF Floor Perimeter Goes to Floor/Ceiling QUAN/UNIT ALLOWED COMPLETED 365.04 SF 33.75 33.75 Upper Level 400.14 03.20/2007 Page: 6 MAR -29-07 07:35AM FROM -Restoration Professionals -4 ITEM Room: Laundry 651-379-1991 T-080 P.010/014 F-062 260.39 SF Walls 323.54 SF Walls & Ceiling 7.02 SY Flooring 32.55 LF Ceil. Perimeter 11 g Ceiling Height: 8' 63.15 SF Ceiling 63.15 SF Floor 3/55 LF Floor Perimeter QUAN/UNIT ALLOWED COMPLETED R&R 1/2" drywall - hung, taped, floated, ready for paint Detach & Reset Baseboard - 2 114" Seal/prime the surface area - one coat R&R Ceramic tile 65.10 SF 19.30 [ ] 32.55 LF 1I.6: [ 80.00 SF 5.4. [ 63.15 SF 79.40 [ 1 We are removing the tile floor due to continued readings from 16 to 26%. Ceramic appears dry and 16% is within normal limits but then readings jutnp back up to 23% for unknown reasons. Feel & seal zipper 1.00 EA Zipper for one day to remove the tile floor and contain the dust particles to the laundry room. We will have the zipper and dust barrier up for 4 days. Paint the walls - two coats Washing machine - Remove & reset Dryer - Remove & reset Mask and prep for paint - plastic, paper, tape (per LF) Mask the wails per square foot - plastic and tape Mask the floor per square foot - plastic and tape Water extraction from floor Apply anti -microbial agent 0.6E- [ I 260.39 SF 1.00 EA 1.00 EA 32.55 LF 260.39 SF 63.15 SF 63.15 SF 63.15 SF 29.4.4 10.72 9.66 4.87 6.49 1.57 7.13 3.07 Room Totals: Laundry T ti 1 ITEM I-2' 1'-I tib 1' 11' J. 189.38 Room: Closet Ceiling Height: 8' 52.00 SF Walls 54.64 SF Walls & Ceiling 0.29 SY Flooring 6.50 LF Ceil. Perimeter R&R. 1/2" drywall - hung, taped, floated, ready for paint ARZACJOSEPH QUAN1UNIT 11.00 SF 2.64 SF Ceiling 2.64 SF Floor 6.50 LF Floor Perimeter ALLOWED COMPLETED 3.26 [] 03120/2007 Page: 7 MAR -29-07 07:35AM FROM -Restoration Professionals 2. ITEM Room: Closet 651-379-1991 128.00 SF Walls 140.64 SF Walls & Coiling 1.40 SY Flooring 16.00 LF Ceil. Perimeter Detach & Reset Baseboard - 2 1/4" Water extraction from floor Apply anti -microbial agent Tear out wet carpet pad and bag for disposal Lift carpet for drying Carpet pad Lay existing carpet - labor only Clean and deodorize carpet R&R 1/2" drywall - hung, taped, floated, ready for paint Seal/prime the surface area - one coat Paint the walls - one coat Remove Closet package - hall/linen (4 shelves 3' wide) (Install) Closet package - hall/linen (4 shelves 3' wide) Room Totals: C1o90 Room: Hallway QUANIUNIT 16.00 LF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 12.64 SF 32.00 SF 40.00 SF 128.00 SF 1.00 EA 1.00 EA T-080 P.008/014 F-062 Ceiling Height: 8' 12.64 SF Ceiling 12.64 SF Floor 16.00 LF Floor Perimeter ALLOWED COMPLETED 5.71 1.43 0.6.1 1.011 0.9:1 0.19 0.99 9.49 2.71 8.6a: 4.34 10.39 Missing Walt: 1- 3'1" X 8'0" Mussing Wall: 1- 3'6" X 8'0" ITEM ARZAC JOSEPH 104.67 SF Walls 126.60 SF Walls & Ceiling 2.44 SY Flooring 13.08 LF Ceil. Perimeter Opens into Steps Opens into Fanny Room QLJAN/UN1T 47.66 Ceiling Height: 8' 21.93 SF Ceiling 21.93 SF FIoor I3.08 Li: Floor Perimeter Goes to Floor/Ceiling Goes to Floor/Ceiling ALLOWED COMPLETED 03120/2007 Page: 5 11g MAR -29-0T 07:36AM FROM -Restoration Professionals 651-3T9-1991 T-080 P.O11/014 F-062 ITEM 11n8 CONTINUED - Closet QUAN/UNIT ALLOWED COMPLETED Detach & Reset Baseboard - 2 1/4" Seal/prime the surface area - one coat Paint the walls - two coats Mask and prep for paint - plastic, paper, tape (pet LF) Mask the walls per square foot - plastic and tapc Mask the floor per square foot - plastic and taps Water extraction from floor Apply anti -microbial agent 6.50 LF 2.32 [ l 20.00 SF 1.36 [ 52.00 SP 5.83 [ l 6.50 LF 0.97 [ 1 52.00 SF 1.30 [ l 2.64 SF 0.07 [ 1 2.64 SF 0.30 [ 1 2.64 SF 0.13 [ 1 Room, Totals: Closet ITEM 15.58 Room: Closed Ceiling Height: V 85.33 SF Walls 92.10 SF Walls & Ceiling 0.75 SY Flooring 10.67 LF Ceil. Perimeter 6.77 SF Ceiling 6.77 SF Floor 10.67 LF Floor Perimeter QUAN/IJNT1T ALLOWED COMPLETED Detach & Reset Baseboard - 2 1/4" Water extraction from floor Apply anti -microbial agent 10.67 LF 6.77 SF 6.77 SF 3.81 0.76 0.33 Room Totals: Closed 4.91) ARZAC JOSEPH 0320/2007 Page: 8 MAR -29-0T OT:36AM FROM -Restoration Professionals ,•_a. Room: Kitchen 651-3T9-1991 T-080 P.012/014 F-062 Ceiling Height: 8' 458.67 SF Walls 681.14 SF Walls & Ceiling 2432 SY Flooring 57.33 LF Ceil. Perimeter Mussing Wall: 1- 4'10" X 8'0" ITEM Opens into Entry Sand, stain, and finish wood floor Mask and prep for paint - plastic, paper, tape (per LF) Mask the walls per square foot - plastic and tape Mask the surface area per square foot - plastic and tape This is to mask around the center island in the kitchen QUAN/UNIT 212.06 SF 57.33 LF 458.67 SF 20.00 SF 222.47 SF Ceiling 222.47 SF Floor 57.33 U Floor Perimeter Cocs to Floor/Ceiling ALLOWED 98.54 8.53 11.44 0.50 COMPLETED [I [J [I [1 Room Totals: Ktehen 119.0ii Room: Entry Ceiling Height: 8' 436.90 SF Walls 581.56 SF Walls & Ceiling 16.07 SY Flooring 54.61 LF CeiL Perimeter Missing Wall: 1- 3'Z" X 8'0" Missing Wall: 1- 4'10" X 8'0" ITEM Opens into Steps Opens into Kitchen QUAN/UNIT 144.66 SF Ceiling 144.66 SF Floor 54.61 LF Floor Perimeter Goss to Floor/Ceiling Goes to Floor/Ceiling ALLOWED COMPLETED R&R Oak flooring - select grade - no finish Sand, stain, and finish wood floor Water extraction from floor Apply anti -microbial agent ARZAC`JOSEPH 150.00 SF 144.66 SF 144.66 SF 144.66 SF 164.97 67.22 16.34 7.02 II [J [I I] 03/20/2007 Page: 9 MAR -29-07 0T:36AM FROM -Restoration Professionals 651-379-1991 T-080 P.013/014 F-062 ITEM CONTINUED - Entry QUANIUNIT ALLOWED COMPLETED Mask and prop for paint - plastic, paper, tape (per LF) Mask the walls per square foot - plastic and tape 54.61 LF 436.90 SF 8.17 10.89 El Room Totals: Entry 274.63 Area Items Totals: Upper Levet Line Item Subtotals: ABZAC JOSEPE Labor Code 603.54 Description Labor Unit Breakdown CARP-FNC Carpenter - Finish, Trim/Cabinet CLN-F Floor Cleaning Technician CLN-R Cleaning Resnediation Technician DMO Demolition Laborer DRY Drywall Installer/Finisher ELE Electrician EQU Equipment Operator FLR Flooring Installer FLR-W Wood Flooring Installer HDW Hardware Installer INS Insulation Installer LBR General Laborer PLM Plumber PNT Painter TEL Tile/Cultured Marble Installer 1,154.44 Labor Units 44.00 49.88 191.73 141.58 32.54 11.22 18.75 3.23 246.36 28.42 5.68 92.38 84.95 151.56 52.17 Total Labor Units 1,154.45 ARZAC JOSEPH 03.'20/2007 Page: 10 MAR -2,9-07 07:36AM FROM -Restoration Prof ass ionaIs 651-379-1991 T-080 P.014/014 F-062 '1) 11 g Grand Total Areas: 3,637.05 SE Walls 1,151.71 SF Floor 0.00 SF Long Wall 1,151.71 Floor Area 1,718.75 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridgc Length 1,060.27 SF Ceiling 127.97 SY Flooring. 0.00 SF Short Wall 1,164.97 Total Area 203.50 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 4,697.32 SF Walls and Ceiling 434.27 LF Floor Perimeter 415.08 LF Ceil. Perimeter 3,931.63 Interior Wail Arca 0.00 Total Perimeter Length ARZAC JOSEPH 03/20/2007 Page: 11