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4136 Diamond Dr 05/11/2011 WED 13:33 FAX f~002/OOa Use BLUE or BLACK Ink j Parmlt ik Z C City of Ea a :x ~ S I Permit Fee 1 '5- n 3830 Pllot Knob Road I l 1 / Eagan MN 53122 j DatePAcelved: Phone: (651) 678-5675 1 Starr Fax: (651) 875.5694 ~`1Ssl 20'10 RESIDENTIAL BUILDING PERMIT APPLICATION LC-(t Date: r site Address: "C 1 L 't O~'~1f1~1~ l 1 J 1 I Tenant: suite #k RESIDENT / OWNER Name: L ~~fi-~ ° p~~ ' - P ~`Pi ~►h Phone: Las L PAJi r C1 Lbc' i Address / Clay / 7Jp: S Applicant Is: Owner Contractor TYPE OF WORK Description of work: 6 betel - 3 T I C1L~S ~ /,J Construction Cost . (0, ~ Multi-Family Building: (Yes 1 No CONTRACTOR Name: Q 2x.' Q- Ltoense of t)81 FA-6(nQS Address: QLaf57 t), li k'- ,3txynLhcL City: >n p l State: -Zip. Phone: car r_'a`~_ 1 1A -1 La_' 1 Q Contact rf) i n aVe, 't-,T Email IYl COMPLETE THIS AREA ONLY IF CONSTRUCTING CTING A NEW BUILDING In the last 12 months, hats the City of Eagan Issued a permit for a similar plan barbed on a master plan? Yes _No If yes. data and address of master plan: Ueansed Plumber. Phone: Mechanical Contractor: Phone: Savor & Water Contractor: Phone: u a' M''94 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4134-0002 for pratection against underground utility damage. Cali 48 hours before you Intend to dip to receive locates of underground utilities. www_QQpherstatevnecail.aru I hereby acknowledge that this Information Is complete and accurate; that the work will be In aonformanoe with the ordhaneas and codee of the City of Eagan; that I understand this is not a penult, but only an application for a permit, and work to not to etwt Without a pemtlt; that IN Wit wid be in Swede whit the approved plan I of wurk which requime a remew and approval of plans- Appl ants PrInted4ilarrif Appllcanre Signature Page 1 of 2 05/11/2011 WED 13:33 ' FAX f(~J003/004 l ,-yam d~z DO NOT WRITE BELOW THIS LINE SMI3 TYPES _ Foundation _ Fireplace Porch (343aason) ` Storm Damage Wngle Family _ Garage _ Porch (4-Season.) Sxtsdior Alteration (Single Family) Multi Dock Porch (Screenl(3aa abolPargola) T Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Laval Pool Miscellaneous _ Accessory Building WdRK TYPES t4 .0(I New Interior Improvement Siding Demolish Buildingr _ Addition _ Move Building _ Rsro& _ Demolish Interior Aiterado _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Donudldon of antlra bullding - give PCA handout to spplicant !g$Sr8)PTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (2511 100% J Zoning City Water Census Code Stories Booster Pump 0 of Units Square Feet PRY N of Buildings Length Fire Sprinklers Type of Construction Width Footings (New Building) Sheetrock Footings (Deck) Final ► C.O. Required Footings (Addition) Final ► No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water -Final Pool; -Footings A 1Gas Tests ~-Flnel Framing Siding: Stuoco Lath -Stone Lath -Brick Fireplace: -Roush In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill - Final Meter Size: Radon Control Reviewed By: Erosion Control , Building Inspector RESIDENTIAL FEES Rase Fee Surcharge _o' Plan Review J 0 t-/ / MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment-Plant Copies TOTAL Page 2 of 2 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ' Date Issued: i (612) 681-4675 SITE ADDRESS: let: i APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. I Permit Holder Date Telephone M PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING f? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisi tion Addition CEDAR GRO VE #1 Lot 6 Blk 5 Parcel 10 16700 060 05 Owner _ Street 4136 Diamond Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 86S 1985 1266.8 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. r BUILDING PER. SAC PARK EAGAN TOWNSHIP Ng 425 BUILDING PERMIT Owner - - / - - - ---- ----- --- ------ -- --/- Eagan Township Address Town Hall Builder Add", --- !f ?? .. --- -e L.L- --- D - ? .------... Stories o Be Used For I `? j ?T Front Depth ?eiight 'H E stt. Cosy Permit Fee Remarks ) ,, / / / age LOCATION srreer, ttoap/or otner-Description of Location / I Lot I Block, I Addition or Traci T/W /f,/ 1? ?1 - 1els ?krr ? D 1 .5 1 L AO sP ' L ? ? This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST B KEPT 19C PREMISS HILE THE WORK IS IN PROG$E This is to cer}i}p, that. /-- - ---@---- - . -h as permiss' n to erect a._t /_(.??.._.?..-. _ .._.,_,_.uPon the above described premise subject ! the revisions of the Buildi Ordinayce for shi dopted April 11, 1955. ? / L. ?- / Chairman o£ Town Boazd EAGAN TOWNSHIP N° 33? ??,l, BUILDING PERMIT - Owner t(/`..T1-!I-k•C?: L . -.?-. / ?? / Eagan Township Address (presenty .. o -?yJ/4o?Y a fu ... Town Hall .. Builder ---------------------- -----------......'_ .................--_------....------- ...... ....................... -.. ----- .---------- -------- Date.. I- .------ ..-..--- Address ------------------------------------ .. DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location Lot Block Addition or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BggK1{EPT 0 THE P M?I/gE HI T E WORK IS IN PROGRESS. This is to certify, ihaf..6.5?:.Z V.r.._? lSfl:. lK..'?4'vrmission to erect a/ - !. -------------- _.... ....... upon the above djscribed subjecdt to the provisions of the Building Ordinance for Eagan Township adopted April 11. 1955.^ Z"sc y? '---...._ ._ ??",L?'??/?...1 ............. Per ....... . . .. ... -.. .._ . ..__ .............. ----- --.---. Y .---... wn Chairman o Soard Building Inspector EAGAN TOWNSHIP N? 1332 BUILDING PERMIT Owner ..... .. -- -- ...... _. ..--------- .... -------------------- Eagan Township Address (present) ? ....... ---------.... _?----- Town Hall Builder _......kr&--11 +L___- ... {/?:'S-'°_ :._. , _ . Address Date A-3-11"- Stories Stories To Be Used For Front Depth I Height I Pe mit F Cost ee ;sst Remarks oB ? _ I r ( - - ?7 DESCRIPTION or LOCATION (' 1 s 1 6 - Zt, . -*?- / This permit does not authorise the use of streets, roads. alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BF?KEPnTONyTl._. E PREMISE WHILE THE WORK IS IN PROGRESS. +?. This is to certify, thatif./?._.._r.....? .......pl'?._.'? ------- ._..._.__..has permission to erect a...f? `-`..4fz._ -.upon the above described premise§ubject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. Q j p ...................... ------------ `O~ .i:-?........._..... Per ----------s?.. .---'--......_....... Chairman of Tnwn Board Building Inspector 4'B . d 136a- h? U 4/ :3E ,4--o7 6 i BL o&k 5 ?c-Ark o wi?jW/? I I65 I? 40 t n +- GLA C l ..c _. u}? o-? J .. - , ? G .t C > > p ? a ell- t 011,6 7H ('o e r,1't..,-=u 1,3 3 -), i Pt- ;ate -? 1 004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 %-70 ,oc) cflQLL? (3 -1s-.C)? New Construction Recuirements RemodellReoair Reouirements Offrce iJ brfiV 3 registered site surveys showing sq ft. of lot, sq ft. of house; and all roofed areas 2 copies of plan Cedof ?? eyRectra _ .'_° Y:: N N (20% maximum lot coverage allowed) I set of Energy Calculations for heated additions Tree Plge P18* It Recd ;i _ 2 copies of plan showing beam & window sizes; poured found design, etc 1 site survey for adddions & decks T"P'rgs Regyireets- - . 'i N I set of Energy Calculations Addition - indicate f onsife septic system DmAli septic System V _N 3 copies of Tree Preservation Plan if lot platted after 7/153 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date _ 0 r? Construction Cost 3y l on Site Address -3 6 ?s? 6 d1l Q? • Unit/Ste # Description of Work 6 nn Gl e v i vo Multi-Family Bldg _ Y 1 N ) Fireplace(s) _ 0 2 Property Owner A o Y C g. rl s ?T" 12 AP 4S o Al Telephone # ( A„1 /) / &1? - 96 Contractor e ,41,f l? , 6w-Ax efawI1-e L UA,1 Address / 0 6 0 4 iG 14-( / f X AV A(S pH City l'`isPh Ll G f .f liV State ? ? Zip S'S- 3 / 7 Telephone # (9US ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber u n Telephone #( ) Mechanical Contractor 0CT 122004 20041fli Telephone Sewer/Water Contractor Telephone # I hereby apply for a Residential Building 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 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 pla ' the ca of work which requires a review and approval of plans. _tl" A 1:1? • C r L S Applicant's Printed Name App )cant's ignature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Dd. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 'Yc 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibgyour_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ( 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation (9 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 146 Width Footings (new bldg) Footings (deck) _ Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace ?( RI. -XAirTest 4- Final Insulation REQUIRED INSPECTIONS _ Final/C.O. FinaVNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: Z 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 Total 1 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 la 1 ?? 651-675-5675 Please complete for modifications to existing residential dwellings. Date // / 3 / O Site Street Address Q/ 361 L);a- r)"A ayiye Unit # Property Owner PZieYS &-7 Telephone # (JA2) a1S^-11P/ Q Contractor A/f ke L-0yS611r) PhA M L )19 a_ Telephone # (AO) 3(03 Address St'o /-tJC?/i?2 R,4 CityAhCLUE{'1 Stater Zips The Applicant is: _ Owner contractor -Other Alterations to existing dwelling $ 50.00 ZAdd plumbing fixtures. If you are only installing a water softener and/or water heater, the fee is $15.00 plus the state surcharge - see next section. -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required Other: RI?A,y? z '?i ? / Water Softener Water Heater $ 15.00 - replacement _ additional Lawn Irrigation System _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ 50 No VO?c Total $ S? S L'Y _ 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. r ? le- Garse7-, Applicant's Printed Name Applicant's Signature Ssa I3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651.681-4675 New Construction Requirements • 3 registered site surveys showing sq ft of lot, sq R of house; and all rooted areas 120% maximum lot coverage allowed) • 2 oloes of plan showing beam d window sizes, poured found design, etc I • 1 set of Energy Calculations • 3 copies o(?ree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet )bldgs with 3 or less units) DATE ( g! 121 a7r SITE ADDRESS It NO b)Pf lOh) TYPE OF WORK_ A612104-t- 11 APPLICANT RemodetiRegair Requirements • 2 copies of plan 1 set of Energy Calculations rcr "eated additions • 1 site survey for exterior additions 3 decxs • Indicate if home served by septic System for additions VALUATION ` ."T V ?3 S it -?-A) STREET ADDRESS I"?f V ")V C?I?Y\-r(YM TELEPHONE # qS?_G , I'3` DD CELL PHONE # STATE MN ZIll FAX # 2 25 ff _- -q S-o PROPERTY OWNER '1VCP I LiX i II"C lllil r (I TELEPHONE# ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINV I:.SOTA RI7I,ES 7670 c.ATEGORY I _ NIINNESOT A RI LES 7672 submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Xlechanlcal system includes: Sewer/Water Contractor: -- fir Conditioning Heal Recovery System MULTI-FAMILY BLDG Y XN FIREPLACE(S) _ 0 _ I _ 2 Phone # Phone # Fee: T-7:1 111- 11 ogre e y 1 hereby acknowledge that I have read this application, state that the information is colt and with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 6y Signature of Applicant ------------------------ ------------------------ -'__----------------------- ----------- ------------------------------------------------------ ------------- -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 Water Softener Water Heater No. of Baths _ Phone Lawn Sprinkler No. of R.I. Baths Fee: :90.00 PERMIT CITY OF EAGAN 383CyPilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 3 4 7 6 Date Issued. 09/25/98 SITE ADDRESS: 4136 DIAMOND DR LOT.- 6 BLOCK: 5 CEDAR GROVE #1 P.I.N.: 10-16700-060-05 DESCRIPTION: R E R O O R Bu a'kn,q., Permit Type B Iditrt -WQa rk Type ,?`eT;l ? 6($ G C1 C? e'er' ?°=$a, Gm? ? 6 '1 1 ?'c?Afs. utCr. 4=a?g Y - - wm` GGg <9S1 hc- v m?.i'a:? Zt"w ? ... W (L i STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL < mib V ,I- ?d'.mc «? ?t£8Iy d ??' J?fut?_; .I dplmmmlL ,iµir?in a?g?r'r°dgS +EId?^3?p..y ?L`? 4°A' P.GP '¢ 3T? h `2`Y FtEI'slF W H4? hi REMARKS: FEE SUMMARY: P0QNER5b1VQ%ST INC, RICK 18940001 0001001 P'M N CURT 3341 HARMONY CIR 4136 DIAMOND DR BURNSVILLE MN 55337 EAGAN MN 55122 (612) 894-0001 (651)686-9628 1 . Kereb'ackripw':l`edtge that,(,I F s?v d Chi e 7?P,? a gatinn anti ta: , th 1' t'he' Infct_rnat? z ci is co re f- a66f agr:e.e° to coma Y :i,+kt j: a;I,l -Opp ?lcab A s 5:tat-0 a P3nA t -14tUte `rhd_.City,'oJ. EAOarh,, ?rdzttz APPLICANIPPERMITEE SIGNATURE SSUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) I CITY OF RAGAN 3830 PILOT KNOB RD - 55122 681-4675 t U New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; eta) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: ? -,r,7 ?7-; DESCRIPTION OF WORK: A_e"7?-eeSc?,J (ro/2T T. Name:66°I?P-=-? Phone #: Last First RemodeVReoair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; ?-U? STREET ADDRESS: yl3G 0/??fGN A? - v LOT: C° BLOCK: IJ? SUBD./P.I.D. #: G d J e PROPERTY OWNER Street GS 6, 96z5( co city State: Zip: ? xx'et,-<oi, ( CONTRACTOR Street Address: ,O Y/ 1JX.Jftft),Ajq &//Z' 9 #: 99y6f2ol License # GG 1 city ,t?N5U/cC C State: lf4/J zip: -55-337 ARCHITECT/ ENGINEER Company: ? Phone #: Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. ??2k \ Signature of Applicant: ?/ f n??[[aQdd \UU OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required State: City of Eagan Cash Receipt Receipt Date 10/3/00 Tice Printed 15:17:21 Receipt Number 1081 BURNSVILLE HEATING & AIR 4136 DIAMOND DR 9001.2195 .50 MP 43107 9001.4088 30.00 NP 43107 Total R-ceipt Amount 30.50 Us F HMCi,RAW CITY USE ONLY LOT 4 BL S PERMIT #: SUED. Cebr Groyt, 411 - #: y3I RECEIPT DATE: 30.00 6.00 2000 MECHANICAL PE$Mrr CITY OF EAGAN 9830 PILOT KNOB E EAGAN MN 5512E 651-681-4695 Date: Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occngied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section oat if you are remodeling, adding to, or reDlacine an existing single-family dwelling, townhome, or condo. Please indicate if > is a w item, alteration, or replacement. New (Y)eplacement - Other rV urnace Air conditioning Av exchanger Reminder: Call for final inspection. Other Fee $ 30.00 State Surcharge Total $ 30.50 SITE ADDRESS: 4 k 3u V?(>_mo nA O C OWNER NAME: C &-k- Pekr('sOt'-? PHONE #: (0 5l 9 (AREA CODE) INSTALLER NAME: 'Rof \ PHONE #: a S? 44 ?I OG?O? ? (C? \ (AREA CODE) (7 S " STREET ADDRESS: C owl l o ?? C? Q ` ?3 (l? *D CITY: _ STATE: ZIP: S53Z SIGNAVJRE OF PERMITTEE 4k City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I ----------------- I ForQM66Use I I ? Permit #: I I Permit Fee: I Date Received I I I Staff. ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: qqCC 2 Site Address: 1/36 D1am,a-.eA& P-A ? Tenant: Suite #: RESIDENT I OWNER Name: r Phone: Address l City 1 Zip: Applicant is: _ Owner - Contractor TYPE OF WORK Description of work-t ?Otk k ( i Construction Cost: ??©r©d Multi-Family Building: (Yes_I Nom CONTRACTOR Name: blow Ufa GentFasting, Ine. License #: 8030 Old Cedar Ave. S Ste. 119 Address. ??g 8b1-274.8943 Felt: 952-40? $?Rt 1 State Zip: 0 Phone: David Johnson Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted 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. I hereby acknowledge that this information is complete and accurate; that the work wilt be in conformance with the o s and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, d work is not t rt without per ; that the work will be in accordance with the approved plan in the case of work which requires a review and ap ro of plans. ,V :, I? n s O tti-' x x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA099007 Date Issued: 05/11/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4136 Diamond Dr Lot: 6 Block: 5 Addition: Cedar Grove 1st PID: 10-16700-05-060 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 1.053.00 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Curt E Peterson PO Box 188 4136 Diamond Dr CedarNIN 55011 Eagan MN 55122 (763) 444-0292 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: Plumbing Eaaan. Permit Number: EA099019 Date Issued: 05/12/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4136 Diamond Dr Lot: 6 Block: 5 Addition: Cedar Grove 1st PID: 10-16700-05-060 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Curt E Peterson PO Box 188 4136 Diamond Dr CedarNIN 55011 Eagan MN 55122 (763) 444-0292 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: Building Eagan. Permit Number: EA103719 Date Issued: 04/10/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4136 Diamond Dr Lot: 6 Block: 5 Addition: Cedar Grove 1st PID: 10-16700-05-060 Use: Description: Sub Type: e-Siding Construction Type: Work Type: Sidin, Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Great Lakes Window & Siding Curt E Peterson 14650 Glenda Dr 4136 Dimnond Dr Apple Valley NIN 55124 Eagan NIN 55122 (952) 891-3400 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 Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature !3a f 7- Use BLUE or BLACK Ink I For Office Use 1 " f I dv~ 2~ Permit City of Ea I oC as I Permit Fee. l I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: C3 201! IRESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name; Phone: 651--6 %Z8 RESIDENT / OWNER Addr4s/City /Zip: -3 (-o ala mono be-, E►44YAi AIX) ~/22 Applic nt is: Owner L-" Contractor TYPE OF WORK Description of work: P__A-2 O r~F ~E' L` /tad Construction Cost: Multi-Family Building: (Yes / No ) Company: L ~AFr LRL Contact: Address: $ ~S T C.rpirr q)r-( 5Q 200 City: t q (,CL \A r~ CONTRACTOR State: Zip: 93b1--13 Phone: 65-1 L156 `oQ? $ 7 License $ C s--?3 Lead Certificate Nt,,r -q© 7 6,9 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 I 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 a 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 i formation 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 isl 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 pl n 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 B ilding Code muss a completed within 180 days of permit issuance. X_ Zx f Applicant's Print ed Name Applicant's Signature Page 1 of 3 i /_30 Q use BLUE or BLACK Inn For Office Use City Of Eaw rrmit j 3830 Pilot Knob Road Eagan MN 55122 I Permit Fee: y Phone: I I (651) 675-5675 Fax: (651) 675-5694 j Date Received: I I Staff:t j 2013 RESIDENTIAL BUILDING PERM i IT APPLICATION Date: Site _ . Address Unit Resident/ Name. Owner Address / City / Zip: L(~ Phone: i Applicant is: / Owner e Contractor Type of Work € Description of work: .S"Oi~y c~ Koo Construction Cost: Multi-Family B i utlding: (Yes / No Company: S ire (Le,-~m eq (-q- Contact: ~h~s. t~oS'/- S%3aa3~ Contractor Address: 7 g• S; S r L o,.t' 5;~, ~v city: ~A /C,- i g i _ State: Yl/ Zip: S y 3 Phone: (b -5 V,6-9 7 F7 R License M KIT I Lead Certificate I V I~~ ~D ~ 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: l - Mechanical Contractor: Phone: I ~ Sewer & Water Contractor: Phone: z 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 yo- rrend to dig to receive locates of underground utilities. wv:re.oooherstateonecaiLorg 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 a' I understand this is not a perm?t 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 Z itding Code ust be completed within 180 days of permit issuance. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA137212 Date Issued:06/23/2016 Permit Category:ePermit Site Address: 4136 Diamond Dr Lot:6 Block: 5 Addition: Cedar Grove 1st PID:10-16700-05-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Curt E Peterson 4136 Diamond Dr Eagan MN 55122 Great Lakes Window & Siding 14690 Galaxie Ave Apple Valley MN 55124 (952) 891-3400 Applicant/Permitee: Signature Issued By: Signature