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4299 Dartmouth Ct Use BLUE or BLACK Ink ~ or Office U ~ I City of Ea I Permit 411b~ Ed N Permit Fee: ao 3830 Pilot Knob Road Eagan MN 55122 I Date Re 'ved: -`l Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: - - - - 2011 RESIDENTIAL BUILDING PERMIT APPLICAT ON Dater Site Address: iR A ~ d u/7f e Unit 9 Name: G-c' Phone: 7 7"-:37f RESIDENT / OWNER Address / City / Zip: / r2~~~ 771 G C) ~ ~ Applicant is: Owner Contractor Description of work: A TYPE OF WORK Construction Cost: _s~du Multi-Family Building: (Yes / No Company: /7U~ //`~/`~~C6nlact: CJ / ✓7~~ CONTRACTOR Address: l 75`C ~i~'lfr2 City:i'!/1-~ ? State: Zip: Phone: fil License Lead Certificate Does this project require Lead Remediation? ❑ Yes I.No (see Page 3 for additional information) If no, please explain: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orci 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; the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x~ Applicant's Printed Name Appl Signature Page 1 of 3 CITI( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ON RECORD PERMIT TYPE: Permit Number: Date Issued: ? SITE ADDRESS: , Of : i ,, HI , ,; j!.wii (N 1.1 E.A i tft11; Nf 441) I 11I'I .'W11 i PERMIT SUBTYPE: .-, ctil r i is r Nl, 41.'pfJH 1 0 l.-f.l94 APPLICANT: sc ., ??i :? , • . , ? / h f3 >S d.' TYPE OF WORK: NI 11 INSPECTION rA • DA i C it ?? I N l y ?,?? ? I? ? t.? ?, i I fl',111 ;, f 1+?i;? I I t; 1 I I?',? : ,, 1 , I 1,,, l 1 p?:? 1 fa t 1'E'rV !i K? Ld f'i p ht • 15f1Fl.:1?N 1't liti ?L ? ?? Permft No. Permft Fiolder Date Tslephone A S/VN PLUMBING II?7 ?"BSAI HvAC 9 t3G?-8?01 ELECTRI Q / ?Ip,?; ? , Gb ELECTRIC inspectlon Dete Insp. Comments Footings I ??til ZAW Foundafion Z Fr3ming A ? n?t3-- c1/ M/ I Roofing RoughPlbg. G SJ Rough Ntg. Isul. Fireplace ?I Final Fitg. e- _ Orsat Test Finel Plbg. Y ? Plbg. Inspector - Notity Plumber (?iOnS1. MCt1Cf EngrJPlan Bldg. Final ? / Deck Ftg. Deck Fnal Well Pr. Disp. ? -7O' ? ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ( l ;/ New Construcfion Reauirements • 3 registeied site surveys showing sq. fl. af lot, sq. ft. of house; and all roofed areas (20% manimiun lot coverage allowed) • 2 copies ot plan showing 6eam 8 window s'vss; poured fouM design, etc.) • 1 set at Energy Calculatlons • 3 copies of Tree Pmservation Plan if lot plaked eRer 711193 • Rim Joist Detail Optians selectbn sheet (bldgs wilh 3 or less uniLs) DATE '1 ^ (e- a I JOB SITE 29I I.).n-kr.-.o,.,4 , IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER ( i-ona-K -/ Gt+?tst TYPE OF WORK 12o2cr4 A-:o t> FIREPLACE(S) _ 0_X 1_ 2 APPLICANT 17.0 n*r a JLAm t " G+hs r PHONE# G??' `I ? O6S7 ADDRESS Lf "0 9 Da,4r?aun, C-T- kJ ZIPCODE TS-123 PAGER # ? CELL PHONE # &S-7 ' 39 ? - 3 S-11 ? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Confractor: Phone # ? Fec: $90.00 Fec: $70.00 All above infortnafion must be submitted prior to processing of application. I hereby acknowledge that I have read this application, s e that the with all applicable State of Minnesota Statutes and Ci of Eagan Orc Signature f Apptlcant Certifcates of Survey Received _ Tree Preservatio MINNESOTA RULES 7670 CATEGORY - Residential VentilaUon Category 1 Worksheet ?I - Energy Envelope Calculations Submitted _ MINNESOTA RUI.ES 7672 - New Energy Code Worksheet Submitted k Phone #: _ Water Softener _ Lawn Spiinkler Water Heater No. of R.I. Batiis No. of Baths j CVr Phone# _ Air Conditioning _ Heal Recovery System RamodaURecair Reaulremenle • 2 copies of plan • lselotEnergyCalculatlonsfarheffiedaddAlonsz • t site survey for exlerior addftiom 8 decks . Indicate if home served by septic system for additions ? VALU ON 1 __,OOO ?kG /t ---- --- -- - - - is correct, and agree to 13Iy, o6 lvvt " 1` I 3,U IS'JM41C _? Irl, I IV Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex 1J, 31 New 'K 32 Additlon ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) X 22 Porch/Addn. (4sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 6ct. AR - MuIG ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors "Demolitlon (Entire Bldg only) • Give PCA handout to applicant Valuation f?(,v Occupancy #2 3-G? MC/ES System Census Code Zonin g City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length ? Fire Sprinklered Type of Const {L?1 Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) 7( FinaUNo C.O. ? Footings (addition) Plumbing _ FoundaNon v Drain Tile Roof Ice & Water Final Framing - Fireplace Air Test V Final Y Insulation Approved By r? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage O 10 OS-plex K18 Deck ? 11 10.plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N _ Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) n ? ? r??w a??X s°?A = l2, 09(, ? ? U tv V ? FinaUC.O. HVAC ?? . 7 ? RESIDENTIAL BUILDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675,. FAX # 651-675-5694 4'1aZS C4&41 gka? New ConsWCtion Reauirements RemodeVReoair Reawremenls Office Use OnN 3 registered site suneys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y _N (20% mazimum lot caverage allaved) 1 set of Emryy Cakulalions for heated addifions Tree Pres Plan Recd _ Y_ N 2 copies of plan shaving beam 8 wirMow sizes; poured lound design, etc. i site survey for addNOns 8 decks Tree Pres Not Reqd Y_ N 1 set of Energy CalculaGons AddN'on - irMfcate Non-srte sepfic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if Int platled afler 7/7193 Rim Joist Defail Options selec0on sheet (bltlgs wifh 3 or less units Date 9_ /b-kL___ /L) 3 Construction Cost D (OD O ?- Site Address `F 2?'j9 Dotrt.TrH rnATrf C"r. UniUSte # Description of Work Multi-Family Bldg _ Y_/r, Fireplace(s) _ 0_ 1 _ 2 PropertyOwner 4-(vv1 rc J UDS( C? fz Telephone #(66t)45(o O65;7- Contractor AUS? l N Ktjryl uD Fi.r h! lj ?v t?-7 YL? 7oY?-- Address I43 3 O(o DELkE ii2 • City P/?IUR. LAlC'L. State Zip S 5 3 7 Z Telephone #(? 2 l- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . ResidenUal Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in fee applies. Licensed Plumber Mechanical Contractor V .. jz? ? SewedWater Contractor with a similar plan$ _ Y _ N If so, 25% plan review Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential BuilVing Permit and acknowledge that the information is complete and accurate; that the work will be in conforniance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. m`(g, , s4i n Applicant's Printed Name ,4" I-A L? pplicant's SWgAatu-re' OFFICE USE ONLY Sub Types T ? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accassory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex p 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types jO 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement *DemotiUOn (Entire Bldg) - Give PCA handout to appliwnt Valuation Z, o v v Occupancy IZ 3 MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Un Width REQUIRED INSPECTIONS _ Foodngs(new bldg) FinaUC.O. ?ff Footings (deck) )p FinaUNo C.O. _ Footings (addihon) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (newlreplacement) _ Insulation _ Retaining Wall ? Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI !;2T_ 0:01 FkOM Gerultl Bros. Cun_C. TU 7584070 p,02 CONSVI+? IMO tHp?N6EBS ' ?E/Td4D BROS', G''gVS T ERING NlBY ond lpNO tuAViMQRx ' ?'6569.a/ OMPAN4, INCe a`' ?6 ?. ? .1000 EAgT I46lb STR[LT, BW?NSVIL66, M{NNESGTA 56337 pM ?l2-3C00 Legal Deacription: scnte : r . W LOT !? 8?? .?AW7?1r.Etl?f?' Iv .,?' ?vU /Jvv?7?Drv Dil,rldr?l v..vTy ..? (.2a ? ) D@TIOTrLS axl$'1'IP1G ELEVATION ( 9z4. 7) DEN07ES PROPQSED ELEVATION -y--- INQiCATES pIRECTION OF SURFACE DHAINA(3F ZS?Q - FINI91iGD QARAGH PLOOFI ELEVATION BASEMENT FLQOR ELEVATION • - ? = TOP pF FOUNDATION ELEVATION ADDKE£5: 4299 D497Mav75Y CaWT - EAGk,M ` ??VMVED DR.41NA6E ANO 1/7/L/7Y 0456"6tIT. . ? ? 0?1? ry? v ?y e?Ad?,c': sio.? ?l,.t?i•v F?o?vr cF tor.7, BZac.ex, ?o ? r W u £ A G A. REYIE?W En ' BY_ i ._ .. .- ?-: DEpT; 30 F-r: AWavr arr49CK L /NE z horably, rusrL-t w this im a trua nnd anr.r.er..r rRDrwRAntation cP :n traat Q. land as shcwr? and dasar?bed herean. As preparad by tme'tihie /q'* day o Mitita. Reg. tio.,16ar CERTIFlCA7E OF SURVEY (0gC)84 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. ??o so r Date 3_ IS' 1 0 S? Site Street Address ya Q? ? f? r t ?'^ 0 cL 7'?1 Lt Unit # Property Owner Telephone # ( ) Contractor Ahe-G<Y P /ys Telephone# (/S/ 7 Address 7 ao Aoh?'«c PL- CiryA P0jrfti "'Y StateI", Zip S The Applicant is: _ Owner el?l Contractor _Other Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: ? C?A--2JIY\A. ? ? v?- ? Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild ? $ 30.00 , F ? 7-1 ? ? ? ? State Surcharge ' d ?s i $ 50 ? I MAtt $? 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 be reviewed and approved. DA C4 D ?Ts}o4 ¢c?4 ApplicanYs Printed NarrYe ApplicanYs ignature Pa=rt B. DEPRESSURIZATION PROTECTION • ChOck option used: ? Fuel buming equipment (complete schedules below) ? No fuel buming equipment IN57RUCTIONS Step ]. Complete the Combustion Equipment Schedu(e below. Only equipment with a Y(Yes) may be selected under the "Category P" alternate. Step 2. Complete EzhausdMake-up Air Schedule on the rtght if direct or power vented or solid fuel atmospheric vent space heating equipment is selected. „ EXE[AtTST,/MAKE-iJF"AIRS GHEDUZiE:.,-- Exhaust'devices over 300-afin ;w ?r? ? ?Flow. ^,cfrn, ,•?? =I,cfii?' COMBUSTION ?QiTIPMENT SC1iEDi7LY„ _J che&'all . ea ro osed ` Space hea6ng = nonaolid.fuel ? ? Sealed combustion Y' Heartb - fionsolid fuel 0 Sealed combustion =Y_- y ? Direct or power vented = ? Direct or power vented `-Y.': "Atipos nericall Ventea ri: Am,os'beiicaii ,venced'r N_: Water heating - nonsolid fuel ? Sealed combustion Y ; 3paca heating solid;fuel:: ? Atrnospherically vented '. ? Direct or ower vented Y: _ WaiSer heatin `- solid'fuel- , ? Atmos hericall vented ,?.?Y,. - AUrios hericall vented ' . N Hearth - anlid'fuet , ? Atroos hericall vented sinstatled, tl?zn',make?up,air;o lnatcH11 `? tf atsnoapherically.vented-solid fuel or,dire?t or, po?ver danted=nonsolid fuel space -heapng ? flow is re uired for "each individual-exhauat 8evice which exce`eds,300 cubic_feeE ec'minute Part Cl. VENTILATION VENTII:ATION;QUANTITY (Mechanicai ventiiation must be pravidetl per ttie larger quanAry calculatecl b'elaw) i, cubic feet a- O.Q0583 /minote I fp?z5? - cfei- .(? ? a i5 efinfl?adrooin) +75 tFm =? f?0 chn? volume of habitahla rooriis ' +,number of bedreoms,' " , ' - Check mefhod(s)proposed 3? YE1VT7[;ATION-$AN?SCHLDI9LE ?1 r- ? Exhaust only _ ?30, Balanced (heat recoveryventilator air exch anger etc Faii descrition or iacation,°? ,. .' TO.TALS , ` YENTI[,ATTON` ?-?" `Intake' '.c8n? cfm cfm eL - C6tit 'A5 DESIGNED °',- -;. °Exiiaust`? efm - cfrn- 'cW cfrn'i- efitit' Stetement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculadons submitted wit he permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code q, i z-a Applicant (print name) -S' ature Date Telephone number Part C2. VENTILATION (Submit Part Cz upon completion of system verificationt) x ------------------------------------------------- Job Site Address. Permit Number Fan?descrition,oriocation'?;'- TO,TALS MEASURED lntake, cfm ofm , cfm'_ , cfhi-' ? cfin`;, PE]WORMAN6E ' Exhaust' cfm' cfm ' dfm" oiFm', cfm „f = Ventilation rate must be measuied and Gerifred'wtien,the pezformance-aptidm is used;in, lreu ofbthe prescriphveopg'on=for. t6b '§eaiin of'oints'in,thehuildin?_sonditioned-envelo' ftbSnPar't-A =',`_.'?' ' ' Compliance Stateme t: Installed venrilarion system is in compliance with MN Energy Code and is sized to provide the design air flow A?pj4nt (print name) Signature Da[e Telephone number Joli Site Address. r PLACE YOUR CITY LOGO HERE Provided £or your use - courtesv of the "CATEGORY 1" ALTERNATE FOR C'rv°fI,"`rG`°"eH"? l ONE & TWO FAMILY DWELLINGS L 651450-2550 ? INSTRUCTIONS: This nlternafive may be used Cor ona and twafamily dwellings built to meet t6e Category 1 requiremeots of Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark ptans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment controls; aod location of vapor retazder and windwash barriers. More detailed information can be found in the Minnesota F:rrergy Code summary sheets available from the Minnesota Departrnent of Commerce. Part A. BUILDING ENVELOPE ? Check proposed envelopejovrt seatrdg'opdon--4 .? Prescnptive (caulking, gaskets, etc.) ? Performance (tes[ per 7670.0470 subp. 7.C ) - - -; Check thermal energy calculanon'optionusad 4? "Cookbook" (complete worksheet below) ? .M ?.. ?. MnCheck method (attach report) "" - -, ? Perfoanance (attach U-value calculations) ? Systems Malysis method (attach analysis) "Cookbook" Worksheet INS7'A[ICTIONS Step I. Check item(s) that design mee[s on Minimum Requ+rements list [o the right. Must mec[ all items [o use "Cookbook" option. Step 2. lndicate pmposed wall type on table below Step 3. Indicate Window U-value and source. Step 4. Vcrify total window (including area of aIl fnundaaon windows) and door ama is cqual or less than allowable percentage. d111NCMUM-.RF.QUIRE113CNTS.:-=; , _., (for "CookbouCc oi+tiou ont9}- ? Ceiling Insulation: Minimum R-38 with 7%z" euergy heel, or Minimum R-04 with low hvss heel; or Minimum R-38 with R-5 s6eathin when no attic. ? Entry Doors: Max. U-value of 0.30 or 1'/a" solid wood wi[h stoim ? Rim Ioist InsulaLion: Minimum R-19 ? Floors over unconditioned spaces: Minimum R-24 ? Foundation Insulation: Miuimum R-10 0 Foundatron windows: %" insulated lass, wood or vin 1 frame -_.TABLE FOR•DET ERM]NING MAXIMUM VVINDOW ANA'DOOR AREA Mad?wti.AllowableTotalWindowendDoorA;maas aPerce cof Exposed ' Wal! ? 12%' -_14%. 15%,' ` YS% 7,40°/a. :'22%24°(p 216%,`- 28"k<< Wall Type Staudacd Ernm` Mmdmim?'Av " ?VViudoR? U _value ex t fotiuda tionwindoixs : ? 2x4, R-13 insalation. O R-9 sheathin ` 0.55 ?0.47 r 0.41:. ' 0:36 ?' '-, `033 =. -. '0:30 `, - •., 027"u.' , -;:035';. -1,0:23?.._ ? 2x4, R-15 insulahon, 0 R-9 sheathin =' 0.52. , 0.45`_ -,0.39 035, 0.31 ?0:29 -` 026f` ? 2x6,R-19insulanon,< R-5sheathin ' 0.4$, ,_..O41•'_=036"" 0:32 ''029 `-0.26', `-r024 °-10:221F -.L'02i.,-" ? 2x6,R-19insulation,OR-5 shea[hing °0.56-, `D.,48', _770.42` 0.37,e _1634.•-, 018 0`.26.' `0:24"- ? 2x6, R-21 msvlation, <R-5 sheadiing .0'SI. -- ` U.43 il` ."0.38 - -Q:34 % 1' 030 `, - =-02$'-..- °-025.,-1 i,'0.23i". ,412.1= ? 20, R 21 msulation, Q R-5 sheathin 0:58 ? 0.50',. 0.44'; , 0:39 035 `_ .,.- 0:37 ?`, •, Q39 ", 10:21-', :"F6.25 Wall T ` Adrranced Franil -' - - ' '- ype Mardmiun t1vE e Window U-value'(eac e fo'imdaflon tvii+do ws :? ? 2x6 sheathing 0.52' . 0.45 " 1- 0.39, . 0.35 ' ,031-= " 0.261'= -?'Oi24a.'4 Q22_-' ? 2x6, R-19 inadation, 0 R-5 sheathin 0.58'. ` 0.50 0.44 0.39, 0:35 .- ' . ' Q.32: 9 `: r,;; 0.2t:;? ? 2x6R-2linsulavon<R-Ssheathin OSS ' ;0.47 ?'.,'0:4 .036 0'.33'- -630 0.29a ,'6r2S?? i023-' ? 2x6, R-21 insulation, 0 R-5 sheathm ' -060 ' '.. 0.52. - ; .: 0.46 . , , 0_41 .0.36, .. . 033 '. "' 0.30-',. 028 Wmdow U-value , z -7 Sourcc ?I O NFRC _ ? ASFIItAE 1993 Handbook ? - ?100x?„ 1t7? , ;-4A?- °/a?c wsniio?v door ffiea _ gfosa eiq?osed wall azea DESIGN - - AL I.O VJAf31,E (fram, tab? abovej ° . - - A9INNESOTA ENERGY CODE - WHlCH RULES MAY 1 USE ? TYPE OF RESIDENTIA'L BUII:DING ARPLICABLE I#ULES -' - `DetachedR-3occupaucy 1= end'?2?'emilydvr,ellings ' ? " ?=Ch_apter 7672; ? or u ? ? Faiam les: la iv;,twin haanes; $ lexes- ,,, s , with s?atuto de ssurizadbn and vemilapon re Chykr,7670!Cate 1" grarc r ? °Attached-R,3occapancydwelleags' . ?-- . L,L .?Claapter=7574;,or , `. `_' ' - . `: , . lExamples: tri lex townhouses and row houses " ter 7670.with eithei "Caic 1" 'or "Ca 2' rovisians g6ry -12-t occupancy buildings pf 3 stories or less Chapter 7674; °or les: condannniwns or eats. ? - r?670, wil7?eitbei?-C --1's-or "Cata _?2" mvmons- ' R4 oecnpaz?ey bwldings ovv3`atories h?gti, -,-, " `t Chzp(er 7676' les: hi hnsecondcas'or PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UN1T. DATE NEW CONS'IRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT HVAC: 0-100 M BTU ADDTI'IONAL 50 M BTU GAS OUTL.ETS (MINIMUM 1 @ $3.00 EACH) ADD-ONiREMODEL (ExisTuNG CoNSrxucrioN) STATE SURCHARGE TOTAL FEES $ 24.00 6.00 .O? $ 20.00 .50 Q, O SITE ADDRESS: OWNER NAME: T/ m GG as? TELEPHONE #: ?- crrY: TELEPHONE #: .-S?7?oJ cs? SIGN TU OF PE TI"TEE qj2l?Ll STATE: A1141 ZIP CODE• ?d6 1994 MECHANICAL PERMIT (RESIDEIVTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNFiOMFS AND CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNiT. NO. FIXTURES 11 SHOWER ,3 3 WATER CLOSET I BATH TUB w_ LAVATORY ! KTfCHEN SINK LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER FLOOR DRAIN ? GAS PIPING OLTIZ.ET • minimum - 1 ? ROUGH OPENINGS ! WATER SOFTENER PRIVATE DISP. - nak.ay. uk. U.G. SPRINKLER • home undv oomt. ALTERATION3 • w cdsung WATER TURN AROUND STATE SURCHARGE EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1,50 5.00 20.00 3.00 20.00 20.00 C/ 3 SO TOTAL: a?s D srrE EwDREss:_ 71 OWNER NAME: INST. d-. ? STATE: /! N v ZIP CODE: -564? PxorE#: SIG A E O RIvIITTBE 1994 PLUMBING PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN SS122 (612) 681-4675 RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstrudion Reauirements • 3 registered si[e surveys showing sq. ft of lot, sq. R of house; and all roofed areas (20% maximum lot coverage albwed) . 2 copies of plan showirg beam & window saes; poured tound desgn, etc.) • 1 set of Eneigy CalculaGOis • 3 cropies of T2e Preservation Plan'rf lot platted afler 711193 . Rim Joist DelaJ Optians selection sheet (bldgs vnth 3 or less unils) DATE SITE ADDRESS (o - 6Z MUITI-FAMILYBLDG _Y _N TYPE OF WORK ' a ?oo-F Jpac[c FIREPLACE(S) _ 0_ 1_ 2 APPLICANT SELA ROOFINQ & REMODELING, INC. STREET ADDRESS ST. LOUIS PARK, MN 55416 ClTy STATE_ZIP TELEPHONE #??Z-$Z? D'?(p CELL PHONE # FAX # PROPERTY OWNER L d.-(, L..V Ut S? TELEPHONE #?f SZo' ?Ca ?? -------------°--------------------------------------------°------°-------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"C.a RUI,ES 7670 CA"1'EGORY I MINNESO"CA RULPS 7672 (J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope CalculaUons Submitted Plumbing Confractor: __ Plumbing system includes: Mechantcal Contractor: Mechlnica system includes: Sewer/Water Contractor. _ Air Condilioning _ Heat Recovery 5ys[em Phone # Phone # Fee: $90.00 ? F?tq vu4 .11H 16 2002 "'.-_'""'.-'--'""""--"'"-""_'"--.-'--."""---.".".'---_""-"'-.'-.""".-_"'"'""'-'"Z?y?;'r, - "' I hereby acknowledge that I have read this application, state that the information is c`ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord' ances. Slgnature of Applicant ------_____---------°•---------°--------- ---?------._..».?---°_ ................ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ? RemodellReoair Recuirements • 2 copies of plan . 1 set of Energy Caiculations for heated additions • 1 site survey for exterior additions 8 decks . Indicate if home served by upUc system (or addiGons ? 3ZOZ. ? VALUATION _ Water SoFtener Water Hea[er _ No. of Baths _ Phone # L.awn Sprinkler No. oi' R.I. Baths RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 < < 651-681-4675 NewConstmetion ReauiremeMS RemodeUReoair Reauirements • 3 registered site surveys shovring sq. k. of lot, sq. R. of Iwuse; and all roofed areas • 2 copies of plan (20% maximum lot coverege allowed) . 1 set ot Energy Calculatlons for heated additions • 2 wpies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site survey for eztenor addilions & decks • 1 sel of Energy Calculations . Indicate i( home served by septic system for add0ions . 3 copies of Tree Presenation Plan H lot platted after 7/1193 . Pom Joist Detail Options seledion sheet (bldgs wAh 3 or less uniGS) DATE VALUATION SITE ADDRESS `I Z 1 1 L!:?t(YLc-JAA? MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK Va_-5(d_D l /L FIREPLACE(S) _ 0_ 1_ 2 y?ecK?o-?ch add:be-n ?{- i-C,?lrzC?. 51ua1? ?c-?v) a-? raGL'c?sl¢s ?n SELA OOFINQ & REMODEUNG. APPLICANT 4100 EXCELSIOR BLVD. ST. L S PA K, -M-IT 55416 STREET ADDRESS iDmmmosn CITY STATE_ZIP TELEPHONE # (alZ '67,3'-VI(oCELL PHONE # FAX # PROPERTY OWNER ?V? Cjtcf-;-? TELEPHONE # YSZo ' O(o S-7 COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RULES 7670 CATEGORY 1 _ MINf j??7?1? (4 submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • Ne y e o s et. . Energy Envelope Calculations 5ubmitted MaY 2 4 2002 Plumbing Contractor: ___ Plumbing system includcs: Mechanical Contractor: Mechanical systcm includes: Sewer/Water Contractor. -------- ° ---------- ° ------ Air Conditioning Heat Recovery Syslem Phone # Phone # Tee: ree: $70.00 I hereby acknowledge that i have read this application, state ihat the information is orrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inar?,ces. Signafure of Applicant OFFICE USE ONLY Phone # _ Water Softener _ Lawn Sprinklcr Water HeaLer No. of R.I. Baths No. of B:vhs Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updaled 4l02 i ? ,., :.,. RECEIPT L ? DATE: SUBD. 1995 MECHANIGA?: P?RrMIT,(RESIIAL) H' .1A: ??,•,iri % . j ' ? , ? `?? R L. ?T?? • ? . t{;1?.?81.??..?:.?,= ?`;• ,_ , ????? - - . ? ` .• "? ? ?`: a,i??d°N??g?'??'7??.= Please complete,forr, ? singler ftar?i?,?d?+??Il?gsh ? ,, ;=?- ? ? - ; ,: ?_ town.? rSies;apil', ndos:whQn" permits are required for each unit , ? _ :.Ex,..?;•_? ??trt?t?>.t.y.; ,.- '?:,? ?,,???, •+... "=qd4??n?.fum,ace, New construction,.,r,, > _;r, .,r?..==-- ?.. ,•,,. ,, ? ? ? ?? ' 4 Y F ?C `- Add-on air?condit?oning?x ?yr'?""?;P!dcl on airexchanger, i.e. Vaneesystem, etc. . ;. ? na ? 314 ? Date . ? . . •,m .a.Rt.., . ?a..,?,olii???y'ir7?°-0'JY> i 'r?F+°. i , ' i R. ??I' N'.+ '.?' • _ ? .?.L ?? 1 i . .3 Y . r :? ;•if?`x d . ? _ . ? ? - ? . . Minimum Fee:l. Add-onlRemo?el (Qxisting''residence only) 20.00 . 100 BTUi:? 24.00 HVAC: 0- 6.00 Additiona1?50??M - .. . ? . Gas Outletsmirnmum of 1??requlre?d (?_$3 00 each) , '.,? h- v . State Surcharge;'? .50 i - T07AL r,. :?, :? _? _. .`°;;?;..., ..r ? ;. •,,'r'' "f s;.,:;'n, , ?f- h ?f : SITE ADDRESS: Q 4, - Q?,5 7 OWNER NAME: r''' PHONE #: 44F INSTALLER NAME ?'loC?l \ ?F [ L ? ? ,? (? • _ STREET ADDRESS 4 STATE: zIP: .SS07'7 CITY: . ln - 1: : , ?•: ? PHONE #: ?? Name: ?..?.P " Phone #: Last First 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 P[LOT KNOB RD - 55122 (651) 681-4675 Date Description of Work: _ Construct aew fireplace _ Afteratinr:s to existing Install gas irtsert onlv _ Install ens dine onlv ? Other ??Cel& Job address: Lot: A_ Block: -Qq- Subdivision/P.I.D. #: Applicant (circle one only): Own ontractor Permit Fee: $60.50 PROPERTY OIVNER FIREPLACE INSTALLER GAS Ll°NE INSTALLER J? Street Address: City State: Zip: Company: Phone#: { Street Address: \7 -P'4? ( ,? ?& '\Z Lk )" City-?Z>WinSW? State: Zip: niF? 2 Company: 'n Phone #: a ? Street Address: City State: Zlp: f I hereby acknowledge that I have read this application and state that the information is conect ? and agree to comply with all applica tate of Minnesota Statutes and City of Eagan Ordinances. n RECIEIVF,rT1 AUG 2 3 1999 ? BY: l OFFICE USE ONLY BUiLDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Additiott ? 34 Repair GENERAL INFORN-IATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? ti?:N?xv ??:N:tl:???? ,c;? ?y??>i;k.4«.X;';?s,;:N•k.?Y?:?Xr:X ? %?h:M.;?'?"?F ?k i.iTY C!I- I:'FIi,061 Nfse r''(:.ti S'P'fJuL I _EIiI: i-.'.:i.f; `i?Yltl:i di.'.:3P J:hhii7"tll:il'r'Y'L{ 60.00 ? 21.5`; go,.,1 i,p??5a "?AP;?IPSitUf{1 0.,59 a I r i.p1; (-1!1,ni./Y51;: In(].')C) . I rR:l.t'',8?1. 1 JON ? i ik;kV„*A%r,?nh?.WmIRTnrni:Pet .kti;: , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: (-k ? 024770 10/26/94 SITE ADDRESS: 4299 DARTMOU7H CT LOT: 14 BIOCK: 2 HAW7HORNE WOODS 2ND DESCRIPTION: REMARKS: pRV ? ?,1 {?, r ?r?`'?7 ? ? ? L.. U v \ V/ ?7 ,-? Bluilding'-Permit Type SF DWG Building Work Type NEW ?UBC Occupancy?, R-3 M-1 ? Construotion Type V-N j" 2oning ? R-1 ? Building Length ? 62 ! Building Width 40 ? 64ilding stories 2 S\quare Feet 1,874 ??" S& W PLBR - PARSON PIBG FEE SUMMARY: VAIUATION ease Fee Plan Review Surcharge SAC SAC % SflC Units Subtotal $783.00 $508.95 $70.50 $800.00 100 $2,162.45 $141,000 M25CELLANEOUS $1,828.50 Total Fee $3,990.95 CONTRACTOR: - Applicant - sT. LIC. OWNER: GEROLD BROS CONST 17582842 0001115 6EROLD BROS CONS7 1704 280TH ST W 1704 280TH ST W NEW PRAGUE MN 56071 NEW PRAGUE MN 56071 (612) 758-2842 (612)758-2842 L I hereby acknawledge that I have read this application and state that the information is correct and agree Co comply with all applicable State of Mn. 3tatutes and City of Eagan Ordinances. ? ?r ? &6LAPPLIN ?-ITEE SIG TUR?,? ;&a R;u:r?.?? ISSUED BY SIG RE I , , -- - - -- --- , -- - - -- - ::;------- , - - _ , . I ? W,?ftcate of CCCUpanc? ; WM of Cftgan . ,' ?rnt of ?ri[biag ?ue?pecHon ' 77tis Certifecate issued pursuant to rhe requirements af the Uniform Building Code I ? ? • certifying that at the time ojissuance rhis strucrure was in compliance wirh the various I ? ordimnces of the City xgularing building con.aructiai br use. ' For ehe followirtg: ? ? - _ I Ux Qassifiutioo: qp 7LA^_ 'BWg. Pemria No. 24770 . Occupncylype A,10 7aoingpnuict RI 7ypeConsL VN OwoerotBuilaiog(WRflVP WU7.S !YW+1ST pemess 1704, 7A(17H ST W, NFU PRM,lJF . suiuingnddess 499Q T1ARThfETl41 fYtt11PT Lawiiry114_ R7, HAWIFIDRNF. Wi00DS 7Nf) D.: POST IN A CANSPICUOUS PLACE ?. i , ?. i., ... . ? . 14qqo CITY OF EAGAN ^ 1994 BUILDING PERMIT APPUCATION ?J'1 ?Q Q• -1=-f 681-4675 SINGLE & MULTI-FAMILY veys, c o energy 2 sets of plans, 3 registered sit calcs. ? ., ? L COMMERCIAL 2 sets of architectural & structu Ans? 1 set of al- _ specifications, 1 copy of energy . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. rGL`?rJ Date Valuation of work 170 Site Address: &O?Z7-,nou7N ? STREET Sl11TE N Tenant Name: (commercial only) LOT /t/ BLOC& o? SUBD.?1_ NiW,ilr P i D #10-3W1-I40-O2 Descri tion of work: I«SicRbntFr,(_ The applicant is: 0 Owner &Contractor ? Other (Deseribe) Name Phone Property LasT FIRST Owner Address STREET STE # City State Zip Company GiFaotJ i&.o; C'owsl Phone 'haN - t/ p - 9z y COf1tCaCt01' Address 17°`( dS64`' S7' Lj License #<.z.,ordr Exp. City Al" State M-yJ Zip _ez70QW Company Phone Architect/ Engineer Name Registration q Address ' City State Zip I Sewer & water licensed plumber &a50^j Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: --?- OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish IK 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 M9scellaneous WORK TYPE @4,31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual ' ? ? Basement sq. ft . MWCC System ? (Al fowable lst Fl. sq. ft. City Water ?- UBC Occupancy Zoning -R -/ 2nd Fl. S F sq. ft. ?rs PRV Required # of Stories q. t. z w os..,T Footprin total - e t Sq. ft. Booster Pump Fire Sprinkler Length Depth i.r On-site well Census Code yo On-site sewage yS SAC Code o, APPROVALS Census Bldg , Census Unit _0 Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS ? Site d2F-Footing ElNcFraming 1?-Insulation ? Wallboard P4inal ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Copies Other Total: 5AC % SAC Units I vatwt;on: g /`/ooo / t'o-4 a. 2xb ? /6 ? B X 3g - G ts'/ /z x 3 ? ° 3'y zx,z ? z? xX 7 Sf = /? /(v3 x oz Z W F[/? I?- LYx 3P3 ' /C/L 8, ?Z ° 9m <G xiizs?'L(oD> 5?s X Jj f inT. _- /b,r 38 iyX ai 3K" 2x?t G7? . zv.rr sr ? Z.YF7• f? ?--- . ?ov . y3y - 3 _ 2y s- l? lo t x 1?..? l? _ ?(o =?/9) > s-- ?Z3 7;?e_ ? i'/o, 310 ? U a fY6 0 0 n n 0-13 0 B-0 D 8-5 0 LOT BDRVEY Bn=i pROPERTY L•EGALi FOR RESIDENTIAL Dat• o! 8urvsys ? - DOCIIMENT BTANDA S • Registered Lnnd Surveyor signature and company • Building Permit Applicant • Leqal description • J?ddress • North arrow and-bar scale • House type (rambler, walkout, aplit w/o, split entry, lookout, etc.) • Directional drainage arrows wfth slope/gradient t. •• Proposed/existing sewer and water services • Stzeet nnme • Drivevay El?? fl • as.EVATSOKs Exiatiav Sewer cervice r? e 0 • Lot corners ? Ci" D? ,0 • Top of curb at the driveway D E" O • Elevations of any existing adjacent homes N 2rJ1 0 • Broooeed Garage floor 0 • First floor ? a • Lowest exposed elevatfon (walkout/win9ow) ? D • Property corners 0 D • Front and rear of home at the foundation N D E D • EasemenL line . 13 NWL D D' ? • Hwi. D 0??? • Pond # designation D E' O • lmerqency Overflow Elevation e?n n irl n 0" D 13 (3 U0 • Lot lines • Right-of-way and street width (to back of curb) • Proposed home dimensioas includinq any proposed decks, overhnngs greater than 21, porches, etc. (i.e. all stznctures requizing permanent footings) • Show all easements oi reeord and any City utilities vithin those easements • Setbacks of proposed structure and setback of adjacent existing homes Revie Oatober 1992 ? 4 ? 3?? 4 _ o? ° ?? a Re'Yq est Date „ No. Raugh-ln Inpsetlron Repwre0 (YOU t_? II inspecYOr when ready) Ins0ec0on Other ough-In ? Reatly No ill NofHy Inspectar ? es ? No Oale Reetl 1Zj hcensed contrector D owner hereby request inspechon oi above electrical work ai: Job Aaaress (slreet Box or Poute No ) y C, C-\ (D l',i. ^'t ?- VV\ oU? C t Ciry e P, , j SecOOn No TownsM1ip Name or N. Range No Counry D N) La'['a. OccupanqlN?,? ? -- Phone No Power Supplrer l? ? Z? "( ?? Atldre '?.v nV'V'\j • 7'0 '-j EiecV alCon rac?or ICompany Name) ? c,,? ?lz?r ( ConVaclor's Licen e N4 Itf `?,`' MaiM9 Atltlrass ICom m o? ne? Makmg Ins+allaLOn) r? ?JC SE n)?? P?? ?,E rn Aulhor Signa re I nirac? r Ow er Ma'zi Inslallalionl Phonjm9be(?o/ 5 ` MINNESOTA STATE BORRD OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlEway Bltlg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD 1821 University Ave . St Vaul, MN 551D4 UNLESS PROPER INSPECTION FEE IS Plwne(61Y) 60Y-0800 ENGLOSEO !„?/af'3/(?? REQUEST FOR ELECTHICAL INSPECTION '?="`-'•`'? ee-ooo'o/, oe "7 ? See inslmctions tor completmg Ihis lorm On back oi yelluw copy q o- ; CV 47031 'X" Below Woik Covered by This Request ??•??y? ew Atld Rep Typeof6mlding HaphancesWired EqwpmentWired Home Duplex ?- Range Water Heater Temporery Service Electric Heating Apt Building ? Dryer Load Manegemenl Comm /Industrial Fumace Olher (Spec"rfy) Farm Air Conditioner Other (syea(y) ConVaclor's RemaBs Compufe lnspection Fee Below # Other Fee x ServiceEntrance5ize Fee Circuns/Feeders Fee Swimming Poal 0[0 200 AmpS 0 to 700 Amps Transformers Above 200 _ Amps ? Above 400 _ Amps 4 S19n5. Inspector'sUSeOnly v OT/jL Irngation Booms Q? ? Special Inspec6on Alarm/Communicatwn THIS INSTALLATION 8E OR ERED DISCONNECTEO IF NOT Other Fee COMPLETED WITH ON - , i I, the ElecUical Ins ector, hereb P Y Ro°9n-?° certify that the above inspection has 6een made, F,,,ai / ?-) Oate? w? ?. OFFICE USE ON W This reouest voia lB manlhs from L ` e ? ? V-M.H. Zu M.H. Iy - 14 , 14: r 32.0? 290' 39.0' 100.0, 670 ' ? 34.0 V 30.d O v _ z ? n 915 , O?d Requ t Date Frte N. Roug -In InsyeQ:on Reqwretl tl ? Inspechmn O??er Than Roughln Inspecior w ? Will Nolif d R N en rea y) (YOU must call inspec?or y y ? ea o 6-2-95 ? Yes ?NO Oate Reatl 1 Ciiicensed contractor ? owner hereby request inspection of a6ove elecfrical work at: Job Atltlress (Streel, Box or Route No ) City 4299 Dartmouth Ct. Eagan Seclion No. Township Name or No Range No Counry Dakota Occupant(PRINT) Phane Na 456-0657 Judy Chase P(wer Supplier Address Dakota Electric Farmington ElecNCal Gont acloir cOmpany Name) Conlrac?ors L¢ense No Roehning Electric CAO 1557 Mailing Address (COniracror or Owner Makmg Ins[ellation) 14811 Endicott Way Apple Valley, Mn. 55124 Aulhorrzetl Si naWre (CenVactodOvrner king Insl aUOnl Ptrone Number 423-4328 MINNESOTA STATE BOAPD OF ELECTRIQTY I GrIggs-Midway BIOg. - floom 5428 ? I ? I II (I ?I I ? I I I I THIS INSPECTION REQUEST WILL NOT 3E ACCEPiEO 2Y fHE STATE HOARD 1821 University Ave., St Paul, MN 551p9 UNLESS PPOPER INSPEGTiON FEE IS PFnnolF191fil1-ONOO ENCLO$ED REQUEST FOR ELECTRICAL INSPECTION 00, $ee mstmc0ons tor compleling [his lorm an back of yellow copy v/ / "X" Be/ow Work Covered by This Request EB-00001-0 Add Rep. ' Type of Bwlding ' Appliances Wired Eqwpment Wired Home Duplex Range Water Heater Temporary Service Electnc Heatin I Apt. Budding W Dryer Load Management Comm./Industnal umace Other (Specif ) Farm Air Conditioner Co Vaqor's Remarks Olher(specily) Compufe Inspechon Fee Below: # Other Fee # Service Entrance S¢e Fee # Circurts/Feeders Fee Swimming Pool 0 ro 200 Amps 1 0 to 100 Amps 20 . Trarsformers Above 200_Amps Above 100 -Amps SIgf15 Inspeclor's Use ONy TOTAL IrngationBOOms ?O'OU 20.50 Special Inspection Alarm/Communication THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecincal Inspector, hereby R0O9n-'" Date certify that ihe a6ove inspection has been made 1e ?- OFFICE USE ONLY This requesf voitl 18 mon[hs from L EXTERIOR ENYELOPE AYERAGE "U" COMPUTATION . lMIER: / 1/?'? ? fITE AODIlE55:' :? 6e4,J - OR N&T DATE: /0 0 OS C F/L4LS 6II fI PHONE: : , CONTRALT A . . DETEIWiNE 4?ORKINf, SO,UARE FOOTAGE OF EACN: 1. TOTpI EXPOSED WAII AREA,,,,,,,, 3#$O sq ft x "U" • ? ? ? 3?? 2. TOTAL ROOf/CEILING AREA,,,,,,,, 1/(p(p sq ft x "U" .. .?_ ;. TOTAL E1fPO5ED NALL AREA CALCULATIONS: Total exposed wsii area above floor,,,,,,,, 5y60 sq ft ' t a) Total Wall wtndow area: giazed...... 2 53 sq ft x??U" ,32 *'?.j glazed...... sa ft x "U" • b) ToCal door area ,,,,,,,,. CQ(o sq ft x "U" :l3 ' a c) Total sliding glass door area: qlazed...... S`( sq ft x"U" 13Z- ? a-7 glazed...... sq ft x "U" ? ? d) Total ftreplace wall area ? Z sq ft x"U" e) Total wall freming area / ? (Average 10f,).......... sq ft x ??U?? ?10 ' ?j f) Totai net wall area above floor (Insulated)....... o?(1570 sq ft x"U" ?Oq(P ? 1 -1-i g) Tota) rtm Jolst aroa...... ? sq ft x"U" ^.oq(o ??. ti Total tnundatlon area (Exposed)............ sq ft h) Total foundatton window area ............. sq ft x"U" -• 1) Tota) net foundatlon area above grade........ sq ft x"U" S, TOTAL a) thru 1) If Item 07 Is the same as, or less than item 01, you have met the Intent of 2 MCAR 1.16008 A and 0. , Page 1 4. TOTAL E%POSED ROOF/CEILING CALCULATIONS: Total expoaed ro.of/eatltng area........ 11?(0 sq ft )) Total skyllght area....... sq ft x"U" _.._.-- k) Total roof/ceillnq framing l(CO sq ft x"u" •Ak'_' 3 ' area (Averaoe loft)...... I) Tota1 net insulseed roof/ceil(nq area....... /00 O sq ft x"U" , ba ?• °? O 4. TOTAL J) thru 1) If total of r4 ts the same as, or less than 02, you have met the Intent of 2 MCAit 1.16008 A ar.d 0. ALTERNATE BUILDIfl6 ENVELOPE DESICN To utllize the total eevelope system method, the values establlshed by the sum of items 03 and #4 shali not be greater than the sum of items 01 and 02. 1. + z. g, + 4. - , C E R T I F I C A T I O N 1 hereby certify that I have calculated the "U" factors and "R" values heretn and that the bulldinq here described meets or exceeAs the State of Minnesota Energy Conservatlon Act. v?- qnature (Oate) page 2 PLU111BING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ?o'? S? Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when pernuts aze required for each unit Date-7--/12 /63 Site Address 7 a ql Unit # n n /J Property Owner Telephone # ( ) ? Contractor Address `V41" City z/L State Zip ? D f l Telep6one # QC3 ) Y/ J The Applicant is _ Owner Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional cansultant fees may apply. Alterations To ExisUng Dwelling Uniy Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) V ? Other. 1`> _ RPZ _ new installation _ repair _ rebuild i$ 30.00 ? ? Lawn irrigation system _ Water sottener _ Water heater $ 15.00 _ replacement _ additional $ .50 State Surcharge Tota1 $ I hereby apply for a Residential Plumbing Pernut and aclmowledge that the information is complete and accurate; that the work wiil be m conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. S?-GU G /?Ll r ? Applicant's Printed Name App icanYs Signatur 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Esgan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? New Constructbn Reauiremenb RemodellReoair Reauirements OKce Use Onlv 3 registered sfle surveys shawing sq. ft. of lot, sq. ft. of house; and all mofed areas 2 copies of plan CaK of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 7 set of Energy Calcula6ons for heated addilions Tree Pres Plan RecO _ Y_ N_ 2 copies af plan slwvring beam 8 windowsizes; poured found design, etc. 7 site survey for additions & decks Tree Pres Required _Y _ N 15etofEnergyCalculations AddBPon - indicateilarsitesepGcsystem OnsiteSepticSystem _Y _N 3 copies of Tree Preservatbn Plan if lof platted after 717193 Rim Joist Detail Oplions selection sheet (buildings with 3 or less units) Date -?-/J(L / Construction Cos UU Uw ? 05 Site Address ya9 9 ? ?/ &rt?virlcl-7i^- C`''?? UniUSte # ? ??J r m?k Description of Work Ii Multi-Family Bldg _ YZ- IY Fireplace(s) _ 0x 1 _ 2 Owner TN1 Pro er lJ wJ" tl- 14 Telephone 065?7 p Ty 4 Contractor Address6 ({' ? A LA ?l CitY State Zip a C Telephone # ( 6/.?) RO 4? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( np I hereby apply for a Residential Building Permit and acknowledge that the informa on is compfcte-find acc rate; that the work will be in conformance with the ordinances and codes of the City o MN Statutes; 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 appro al of lans. i? AV ` d3rev?? ? Ze???r Applicant's Printed e Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ex[. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 D-plex )10 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6ggY or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition /W 33 Alteration ? 34 Replacement Valuation Zew ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors •Demolitlon (Entlre Bidg) - Give PCA handout to applicant MCES System - City Water ^ Booster Pump - PRV ? Fire Sprinklered Census Code SAC Units - # of Units "-' # of Bldgs Type of Const REQUIRED INSPECTIONS _ Footings (new bldg) Footings (deck) ? Footings (eAdiEierc) _ Foundation Drain Tile Roof Ice & Water Final Framing Fireplace k R.I. kAir Test )?Final ? Insulation Approved By: Base Fee v FinaUC.O. ? FinaUNo C.O. Plumbing ? HVAC Other _ Pool Ftgs Air/Gas Tesu Finai _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Occupancy R`3 Zoning Stories Sq. Ft. -' Length ? Width Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other' Total --------------------- . 1,0i20i1994 I6:01 FROM Gvroltl Bros. Const. 70 7584070 p,eZ ? coNSU?TIt?o aHOiNSEas CyEROlO C'q1?ST. AO-dE PIANMldY aad LANp jjIINYeMpRx #659.4/ ENGiN6iRINQ? - 6 COMPANY, INC. ?.,? 1000 fABT 1461h 8TRElT, 911qNSV11.6L , MINNBSGTA S6b37 pFl 4ma-3p00 Lcgvl Deseription: ?.._ „ scALE: r • 3a LOT ? ' Alir ' 1v .,? A0 ,dvlLI7icyiv (23:0 DHNOTas ?ix18T{NG ELEVATiON { 9z4•7 3 DEN07ES PROPOSED ELENATION -+--- iNDiCATES DIRECTION OF SURFAC6 DRAINA41i KIMI91420 pARAGB FLOQR ELEVA710N ??2 = BASEMENT FLQOR FJ.EVATIDN • TOP QF FOUNDATION ELEVATION ADURESS' : 4299 D<1R7MW77f Cor.7Q7' 86cK5'/1f?,<C: SAN. ?1?5'. ?•v f0o.irr oF tor i7, ^--'- D?P.4/NA69 ANp uriury 6FAS& t1?1 ? . , . ? . v h / _ EA C A+ - - .,yv?F REVIEVdEn ' 8Y !rD ?? ?? eoFr. F.ecwr AFrAICK L /NE z hwroblf??vxt'S w this ia a truQ and cnrr. nr..r rRnrwRAntet3 cn d! _& tT,&Qj_ c: lana as Rhawn aad desorl?bed haxeor?. As gregarad by me'ihie ? day o: ...n6'7086¢ r 18 `l q• . CERTIFICATE OF SURVEY Mit1h. Iteg. Nv. 16 0Z' %AG,W ?W qMG DrpZ 0 oMe G?C .. . " ie:at ako , M G !rY 4l?S/' •roltl Broa. Const 70 7564670 "' - - .?.,- ??m? ¦ n. es ?Tr-„?8?: ?PIA?? 1Np ? ----- ?G1Nf6 ?fai o'b?LAMR??uAVlYORs RtNa ? BROS - ??M K"T ANY, INC. r?aol arrtge7, "NSVILLL, MIMN650iA as?? ?1a2 CmD1`?r?. ?. - - so" :r.300 'v'W,= AND /Ty LrA??OV71. ? t , F'-- ..r j/AU'T. *4569, o/ ' ?vsr. ?06. , u? •Qq --•.?:??? DENOTSiQ EXIfiTINQ ( 9Z4, 7 ) bENOrES PRO ?LEVATlOl? , 9z, INCICATF .g p POIRE 9LEyAT10N x"4191"fl QA q? ??n SURFACE DRAINAOE TOp LEVATIOp E EMENT FLAOR ELEVA OF FOUNDATICIN ELBVq OM eOT 17i Blo?.x i P. ?? ?. V4 y? ? 1,r / ??? ?.Gr v ?( s /?.? ?`, . ?.? p? /r?? +1??; o ? \ .A G AM` YiE'WED wn aad ? „?-?....._ r ds hexeart,?nd anr.rart a . AB Drepa a? ? n ? ? c'to ' t. r,?, It??.4,-•? 1,14"¦ 9i8, 7y .v e?aoc??fa,w DL, ? / ?O ?' ???vr ?, I ? ? ? /NE / ? 7.a1 . . t ? l ?o ? ? , 11 ? f . , ? t; in ' ?-?. PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA100332 Date Issued: 07/27/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4299 Dartmouth Ct Lot: 14 Block: 2 Addition: Hawthorne Woods 2nd PID: 10-32151-02-140 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Lori Lindholm 3670 Dodd Rd., =100 4299 Dartmouth Ct Eagan NIN 55123 Eagan NIN 55123--306 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan, Permit Number: EAIOIII6 Date Issued: 09/21/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4299 Dartmouth Ct Lot: 14 Block: 2 Addition: Hawthorne Woods 2nd PID: 10-32151-02-140 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Jon Post 1408 NORTHLAND DRIVE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Valuation: 6,004.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Lori Lindholm 1408 Northland Drive, Suite 310 4299 Dartmouth Ct lolendota Heights NIN 55120 Eagan MN 55123--306 (952) 881-9000 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink I For Office Use 1 1 I • I Permit / N3 9 1 MY of Eapn ~ Permit Fee: 3830 Pilot Knob Road ~ 1 Date Re i ed: / Eagan MN 55122 J 901.1 w ~I I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff- I f 2011 MECHANICAL PERMIT APPLICATION Date:1 - Site Address: ~ 2 Tenant: CG Suite Name: .a(e0- ? VL- Gherm Phone:. 4C) `{37L(Z c r# Address /City /Zip: a,. cense Name: RESIDENTAI HE NO & AIR 1sC# EE€ACTOR Address: 1815 Fit 41 St S&rW, SUt(8 A City: State: Zip: i + -oils , ~I W-3425 ~ Contact: Email: a New Replacement Additional Alteration Demolition C K Description of work: be screened by City 'NOTE- hoof r ss3unted at>ad round vtaoti+nt mechart Ga7:.equl ht is requcfed to 81 pector far tnforrr iora.oa a 066 scr4riir14 methods. Cede. Please cf,the, Mechanic RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT, Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection 0 ainst underground utilit damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecal! r I hereby acknowledge that this information is complete and accurate; that the work will in conform n wit the rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora permit, and work of to start ' hout pe it; that the work will be in accordance with tht"roved plan in the case of work which requires a review and approval of plans. x \C.6 ~ r\ C.i x Applicant's Printed Name Appli a 's Sig atu Ft W01i t 118E Re u+rex# Inspections -,P eviewed%$y: 17r dergrau6d Bough to Air Test' GaS S~ervir Test In-floor I IeaC Ftna! NVAI'A: tC IC 6/14/2016 3:30 PM FROM: Fax Standard Water TO: 651-675-5694 PAGE: 002 OF 003 City of Eapii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F. Use BLUE or BLACK Ink For Office Use Permit ft: / 7Ce6 Permit Fee: / Date Received: JUN 1 4 2016 Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/14/2016 Site Address: 4299 Dartmouth Ct Unit #: Resident/ Owner Name: Julie Manthe Phone: 651-270-1989 Address / City / Zip: 4299 Dartmouth Ct Applicant is: _ Owner 1 Contractor Type of Work Description of work: Draintile System Construction Cost:2550.00 Multi -Family Building: (Yes _ / No 1 ) Contractor Company: Standard Water Control Contact: Mike Hogenson Address: 5337 Lakeland Ave N City: Crystal State: MN Zip: 55429 Phone: 763-537-4849 Email: mike@standardwater.com License #: BC001522 Lead Certificate #: NAT 21436-2 If the project is exempt from lead certification, please explain why: In the last 12 months, No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor. Phone: Phone: Phone: 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 al (661) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecalLorq 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. )(Betty L Baker Applicant's Printed Name /-i.q?. Odti-fril-°`/cg- c-- *- DO NOT WRITE BELOW THIS LINE f , r SUB TYPES _ Foundation _ Fireplace — Porch (3-Season) 0 Single Family_ Garage — Porch (4-Season) Multi _ Deck — Porch (Screen/Gazebo/Pergola) 01 of _ Plex Lower Level Pool — WORK TYPES New Addition jJ Alteration Replace Retaining Wall Interior Improvement Move Building _ Fire Repair Repair DESCRIPTION Valuation 4( 2 — Plan Review Code Edition (25% 1 00% )'?) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction V Width Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Accessory Building Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy . 1`2C' 1 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: /v '. Pik L.( l). 1Ntn Zat S ~1 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required yam; Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r For Office Use •,• • EAGAN P: e: rmit#: Pv�f0 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsecityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: /✓ o.s c SCA of p Phone: 6 57' L3~O?Y 2_ Resident/ 12// Owner Address/City/Zip: `', 44-1''1b‘"4".4‘ Applicant is: Owner 1,4 Contractor Type of Work Description of work: 121,14 L.4. 5 ,,ti�a.4S c Q)ci S 1,9P.#1 S Construction Cost: Le 3 ‘-'`. Multi-Family Building: (Yes /No DC ) Company: 4.41/6 (o 4 51' LLL Contact: A4A-ciek- Address: Contractor 581 144144-P r�L t,J`'.)1S p _ City: State: " Zip: 17-3 Phone: 4 t2•'94 3 '69 Z-Email: Aa.i'r'-' .6e /e ✓'.- e,9/4-.•:‘ •co"-. License#: (en OS-2— Lead Certificate#: /JA-"r— I Def I t(to.Z If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacgan.com/subscribe. 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. 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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accord nce with the approved plan in the case of work which requires a review and approva aroyl � .ec Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161346 Date Issued:05/19/2020 Permit Category:ePermit Site Address: 4299 Dartmouth Ct Lot:14 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marc Schopp 4299 Dartmouth Ct Eagan MN 55123 Residential Heating & Air 1815 E 41st St Suite A Minneapolis MN 55407-3425 (612) 724-1899 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166912 Date Issued:02/12/2021 Permit Category:ePermit Site Address: 4299 Dartmouth Ct Lot:14 Block: 2 Addition: Hawthorne Woods 2nd PID:10-32151-02-140 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marc Schopp 4299 Dartmouth Ct Eagan MN 55123 (651) 403-0742 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature