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4760 Dodd Rd r_________________. I For Office Use Permit City of Ea I I v E I Permit Fee: 3830 Pilot Knob Road I p Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION - - - - - - - - - - - - - - - - Date: 7// It Site Address: / !_~,o n& Tenant: Suite O -J RESIDENT I OWNER Name: ~ Phone: / - 7 Address / City / Zip: 919 . Applicant is: Owner contractor TYPE OF WORK Description of work:~-al &6~1 Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: / License L.~ f Address:/ City: State: P711 Zip: SJ / 7 Phone: d 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 (4 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 will be in conformance with the ordinances and codes of the City of Eagan; that I u derstand 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 pProved plan in the case of work which requires a review and approval of plans. X X App rinted Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink --------------, � For Office Use I � � Permft#:/ ��/ /'�2`_�� i��1' : Clt� of�a�an , . ��: r �- fn �°j� � PeRntt Fee. �� !� � 3830 Pilot Knob Road I ��,��y;/� Eagan MN 55122 - � � Date Received: `' �Q �� s Phone:(651)675-5675 � Fax:(651)675-5694 ,. . � Staff: �� J�,�5� �----------------- � �7Ct 2015 RESIDENTIAL BUILDING PERIIAIT APPLICATION �'�� ,� ��9y ' � 7�v f� �;� � Date: � � . �I S Site Address: �� Unit#: f Name: �� S c h�u�"�`� Phone: � lL-7�c�'�a� 1 ��!�� ,n ) �� Address/City/Zip: ��,�: �-e�i� /�./ I �s, �..�.�= : �„} Applicant is: Owner �Contractor II � � n�/ • �� Description of work: ��r � �,J, l;; ;,, �'. .��rn,`n•f ,5�� ' � f � "�� - " { ` ; Construction Cost: ��i`S`' = � � � 'J �Mi�ti-Family Building:(Yes /No ) �h� ` : Company: ��ac.�, �a �,e�c� �-y,�� _Contact: �� D v A �� l� +�� ; �5��"#�� Address:1 e� e? � �,�-F �-�` + S'�� `��JU _Cliy: /`�l�n n.e ti e,s l��S �'� �: ,;° State: !"�s�ip: �S�� Phone�'�,��'3 --�(�f Email: %�'(� '' b/a��.la be�.��.„ ' 4 � ��.e,3- .M 4,: T' License#: ��- (,y��' Lead Certificate#: l��' �d�.3�3 7 — � If the project is exempt from lead certification, please explain why: (see Pa�ge 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTIWG A NEW BUILDING In the last 12 months,has the Gity of Eagan issued a permit for a similar plan based on a master plan? _Yes �o If yes,date and address of master p1an: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: ��'� �� ` ��!��I��k�' � ��`�`� � �f�t�� J�l��+� �. � �� ; re .�e3 .,v� .��. ��,•� ��N�.s �` ,B''�:taw�+ � 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.qopherstateonecall.org I hereby acknowledge that this informaUon is complete and accurate;that the work will be in co�nformance 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 mus completed within 180 days of permit issuance. X '' S��. X � �'', ApplicanYs inted Name r� Applicant': ture � Page 7 of 3 G'1 ��%` C.r �.:.�`�c�c� �c.� � DO NOT WRITE BELOW THIS LINE l � 1�-`�' '� S� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Seaso�) _ E�cterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level � Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to appiicant DESCRIPTION Valuation �� ;� Occupancy � �n��:r �� MCES System Plan Review Code Edition �(Y�n �-�a"T SAC Units (25%_100°/�) Zoning 12 �� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length �� Fire Suppression Required Type of Construction V 13 Width ;� �J REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required � Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test �^ Roof: c�Ice&Water �Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows � Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: � �'�"'"` V��'�C l�,l,i� , Building Inspector RESIDENTIAL FEES '�j ��"�� '�� " ��°"°�� J� `� �(`�r::�,��a = 3)Or,� ., __ Base Fee �►4��'1 t4 l�,�;�. ��°�vN��?� 1� g�, x2o.r�o '� Z�� "� Surcharge ��rr;a�'��gZ. '�(�t� X ��'7,� = '� �i�J�+�r� °� Plan Review MCES SAC �_"�.��" ` __ City SAC �a�� ' .� Utility Connection Charge °�� „ , .� ��r �"j S&W Permit&Surcharge C��:`� �`��°��'�"G�C�", �'�m°'��="�,� }�� Treatment Plant . � _1 � ��.�: �-�� "�.�,�.� �� `��'��i?��i�'E�.".�`"; Copies TOTAL �`-�_��` ��":;�" ��.��'� � Page 2 of 3 DocuSign Envelope ID:5798BE3A-830B-4ED8-9A56-018E20626606 Use B�.t1E or BLA�K ink �:�.�......�.�,r,s........�..�.��.:,..�.��1 � ' �4X{}�t��$� �.. � ��I' * j(� �j # P$ti11►f� l � / UJ l.� � #�N�'�� i ��11��i� �� @ttTt4�.�@2: '--7 f/I , .G' � �� 3830 Rllo#K�tc4 Raad 1 Date Recaived: � Eagan 11�N 55122 � � Phane:{851j 67�5675 � Fa�z:(651)�75-5694 � Staff: i 1...________________� 2t�1� REStDENT11�►� BUIL.DING PER��IT APP�ICATIt�N Dats: � ��° ��`si�1,daress. �T � � 6 `r��,�d �.� unit#: � � , _ _ , }� ` � � _ t 1 �I�2 �?3��- f�C � � � ' � Name: R� t a_ G�,'.c�t'--� Phone' _ �� . . � y � � s5��-� _ Acidre�s!Ciiy 1 Zip. ��7�S� �v �/ , �•�s.��, n" 1 - �,��:��_ � ,:;�� APpiicant is: t'�mer C�antractar > � �� : �� s j / ! � / ` { ( / �,�� ,�� ,� �3 S�d� + �4 7 , Gh°�+t.Po�s ,f�� t �."1Ls^�� i�{�,Yrr�EI t�� F r , �� . � �- D8StX1�}�Oft 8fi WOt'IC: _��f A *► } , � � � . ��: S r 3 n /klJ! "�F � � �� y �- s . ��°�: ��an�; Multi-Family Buitding:{Yes !No � t..-t t� � r � �� -�'� �' t ��.y ,� � <x = Cotnpany: _GontacG '� ��++�" � , , N � ; Add�ss: �CitY: � � � �� r=,�. � r. ,� State: Z'ip: Phane: Etnail: _ _ '� T.�z'� License#- Lesct Ge�tiftcabe#: : ff the project is exernpt irom tead r.ertific�tion,ptease explain why:(see Page 3 for add�ion�t irtformatian} Ct?MPLETE THtS AREA 4NLY IF CONSTRUCTIING'A NEW BUIL�ING In the last 12 montlt�,has the'City of Eagan isuued a permlt for a similar ptan trased on a masker plan7 �Yes _No !f yes,da�and address of mas�er-plan; _ _ - Ucensed Pfumber, _._.Phone; Mechat�icai�ontractor: i Pttt►tte: Sewer t�Wa��Cor�ractar. ,+Pi�ne: �� ; . ..� �.rt:� � - �� ,. � . _ : _ . , n- } ` , � ,�� : � � - , � :z 3 �� .�,�� r . �. � . #s.. � � �� AL�.F�EFBRE Yt?U DIG. Ga��t3opher stam Ons c��at(sst)454•uoo2 tor protectiai agai�w,de'gra,nd utitity defqage. ca�As ha,rs before ytw inter�d M dig ta receive bcates af under�a�n�i ub'Hti�. .�r�onhersfateonecatl on� t hsreby acknowledge that#��ormatian is comptete and a�ar�;that ttie woCk wi�be in c�rrfarnance wiih�ac�nanc�s and codes o�the Cify of Eag�n;U�at 1 understand tl�s�rx�t e permit, but a�ty an applicattan fw a p�mit�atui w�ric.�r�to statt midtwut a p�mit;that the""wwk+�NI kae� eccotdance vrrth Uie approved pian'in the:cese c�wak which requires a review snd app�oval oi plans•, Exte�lo�work autl�orized by a bufWinp pa�mmit issued h�aceordan�wIth the Minnesota�Ygqa Buikling G�muaf ba com�stsd witt►In 180 day�c of Retmit issuar►�. � Doeu:Sig�d by: . � Kyle Schintz X � '�''� Appl[canYs Printec!Name . a�l�n9#g�aRure �;1�� , � DocuSign Envelope ID:5798BE3A-8306-4ED8-9A56-018E20626606 j f`�/`�� .� �� „ �r� � �� l��5 � c�o Nc��r w��BE�aw-r��s uNE -- _.�......� _ _..,.._. �u��,r��s fioundat�or� � �ireplar� ____ F�orch�3-�ea�an} E�erior Alt�rra�e�{sing��'am�tY) `� Single Famity � Garage ._..� Porch�4-�eason} ____ �eriar Akera#ian(Nlulti) � �lfuFti [7�ck � P�rch(ScresNGazebc�lPergal�) _ Miscettar�ec�us � t31 of�PEex � Lorrrer 1_evel Pual � Accessary�ui[din� 1�tQRK TYPES New Irrterior lmpravsmeryt Sidtng Demotish Building�' �Addltian � Move Build�ng � iter�f � Demallsh Inter�or ____ Alterafion � Fire Rapalr Wint�avrs {�nnollsh Founclatlon � Replace � Repair � Egress Wlndrnv � Water Oarrrage � Retairtin�Wall 'Demotitlon afi errtlre b�t�-�e PGA handart ta�ic�tt DESCRIRTK?N Valuatian ��.."" O�cupaneY �� '�„ "� � MGES Sysfienn Plan Review Cade fdi#ion ��e��`°� 8AC Units {25%_,,,_1�°lo,�} --� Zaning � �-1 Ci#y VYater Census Code Stpries Boo�#er Pump #af Uni� Squars FeeE PRV �of Buildin�s � I.sngth � Fire Suppr+assion Requ[red Type of Canstrt�ction '�'��' Width �� EQttIRED lNSPECTIONS . I Footings{New Buiiding) Meter Slze. Foa#in�s(Deck} Final l C.4.Raquit�ad : C Foatings{Additionj � Final!No G.Q.Requirad I �aundatian � HVAC Gas Servicc�Tes# Gas�ine Air?est j Ro�f:�1�8�Water Final Poa[:,;_,_Foo�ings AirfGas Tests final Framing �tra[n Tile Firapiace;Ra�h in Air?est �„Final � Siding:�Stucca�ath Sta�e Lath B�ck � Insuta�on Wlndaws Sheattting Rataining Wall._Footings„_,_„Bae�cf�l�Finat Shaetrock Radon Cott�ol — _ Firr�a Wa[fs __ _ _ Fire Suppressiar►;�Raugh In, __,--Fi�aR Braced Walls Erosion Gor�tral .�-� , Oth�r. Rewiew+�d By:__ � r'��e��!� .Buikl�ng lns�eCcar .�..� �tESIDENT11�1.FFEES �' `, �1 � �n ti n+� r�"1� ;�� •� Base Fee Suncharge Plan Review _ MCES SAC _ Gity SAG �� C��x'�,.a�.�F"� � t�"% 4�"��"�E��:`�� ,3��,� � Utitity Conr�e�ation Gharge Si�W Ferm�t�Su�ch�rge ��"?�,�"��'� {�� .�'��'f"�`��.��, ��fi�`.'a� �` Treatment Plan# ��''� t� V�" `� Copies TC?'fAL Paga2�3 ' Use BLUE or BLACK Ink r For Office UseI my Permit#: City of EaEd~ I Permit Fee: ~2 (9 I 3830 Pilot Knob Road I Eagan I VIN 55122 < I Date Received: / 7 Phone: (651) 675-5675 IT I I Fax: (651) 675-5694 I Staff: I I _ I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION LG~ Date: S 1 / Site Address: /7~4~0 A Fcqar1 M X1 550,3 Tenant:/ I~ ~c~~r►~"Z SuiteM RESIDENT/OWNER Name: , cy .,✓tj_ - Phone: (j a_ 600 " 37.7 Address / City / Zip: `1 76 0 Oz)dd Kc~ ~ac~ rl 65/23 Applicant is: _X_ Owner Contractor TYPE OF WORK Description of work: ~~ek Construction Cost:( Multi-Family Building: (Yes / No ) CONTRACTOR Name: 'Se l T License M Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateoneGall.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. x ) JC_ki 10+ x Appli ant's Printed Name Ap nt's Sign t Page 1 of 2 7420 1:)cAJ c(. DO NOT WRITE BELOW THIS LINE (3 c - SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation Q,~w Occupancy -T.9 G-~ MCES System Plan Review Code Edition , SAC Units (25%_ 100%j/) Zoning - City Water Census Code J 3~f Stories Booster Pump # of Units Square Feet 340 PRV # of Buildings Length A~ Fire Sprinklers Type of Construction _ Width ;LG REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FE :9'Yo IF Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 ~~~d_~~ odoo ~Q~o w ~ L o x 3~ A R IU C CITY OF EAGAN 9795 Pilot Knob Rootd. Eagan, MN 55122 C410N :1454-9100 BUILDING PERMIT APPLICATION Site Address Lot Block Sec/Sub. 'go -Xa Parcel * 060 27 - /0 d-AL 60 040 -,17- & Name atiner nclLp i Address 4785 Dodd Road Eagan 454-6519 s Name _ 0 vU Address H r:w. Name _ Address I hereby acknowledge that I hove read this application and state that the informotion is correct and agree to comply with all applicable State of Minnesota StotutS&And Cityof Eagan Ordinances. Building Official . n74 N° 4888 Signature of PenniIt A Building Permit is is ad to: all work shall be done in a e ' h oll o ble State of Receipt .# Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge Type of Const. Move ? * Stories Demolish ? Front ft. -- Grode ? ft. Depth Approvals Fees Assessment - Water & Sew. Police Fire Eng. Planner Council - Bldg. Off. _ APC Permit3a (10 Surcharge Plan check SAC Water Conn. Water Meter Total 38 ^x-00 on the express condition that and City of Eagan Ordinances. EAGAN TOWNSHIP PERMIT Owner .. .( ..-?... ...-._. ..._.-' ?'\?_ Address (present) ...._._?_- 6-tL ..... .... ._...?/..0..?.?... Builder ..... Address DESCRIPTION M 144 Eagan Township Town Hall Date --III -----'-- --vl - ?6 Stories To Be Used For Front Depth Height Est. Cost iPermit Fee Remarks /d 03600 06D ?J' LOCATION 71,9 01,0147 or Tract This permit does not authorise the use of?sireets, roads, alleys or sidewalks nor does if 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 O E,PR -MISE WHILE THE WORK IS IN PROG SS. This is to cerlif ihat.. Y /? .g?? -- p, ..21&[7. ..._ .... .....°---.........---has permission to erect a---2SC .......... ----------------------- ------ --upon the above descr' ed premis he provisions of the Building Ordinance for Eagan ownshi adopted April 11, 1955. ? ` --U .?. .rt, .r-----._...... Per _.----- ----------- ------ --------------------- .......................................... ---..... Chairman of oard Building Inspector IIII II III h I I Iii I lI I I II II I II II I II REQUEST FOR ELECTRICAL INSPECTION lP h I ?'ml ( Minnesota State Board of Electricity 1821 fi * 2 7 3 2 8 8 1 * Phone (612) 64 v m ?? ????aul, MN 55104 0 Home Duplex Apt. Bldg. Other: H New Addn Commercial Industrial Farm Remod Re air Air Cond. Equip. Water Hir. Load Mgmt. Other: D er Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Z?07? Calculate Inspection Fee - This Inspechost will not be accepted without the correct fee: Other Fee # Service Enhance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 100 Amps Street Ltg./TroHic Sig. Above 200 A s Bove OO Amps Transformer/Generator INSPECTOR'SUSEO Z j TOTAL 1 Sign/Outline Ltg. Xfmr. _ 0r V. O Alarm/Remote Control Swimming Pool l hm me leddml insmllarion deevibed herein on the dale, a d Irrigation Boom R...h_in x Special Inspection Investigative Fee Final Data ` 14 A?b THIS INSTALLATION MAY BE ORDERED DI ECTED IF NO OMPLETED WITHIN 8 MONTHS . 2 7 3 - [11 228 S O E USE ONLY This request void 18 months from volidalion dote printed in this box. OQ 1 4/9/0 lv 3a t ?' PLEASE PRINT OR TYPE TV Request Oa Rough-in inspection mgwred2 Y<s [] No Inapedion Other Thon Rough-in: Ready Now [] Will Call . l? (Youmustmlllheinspedorwhen ready) Oats Ready: I, ? licensed contractor owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Roule No.) Y Y lsc'? Y-?'?SJ CPit, 6A?P ZP Code Z 5??2 J Section No. Township Name or No. Range Na. ire No. 1 T Count, taL 1 Occupant Phone No. Power SuP I Address NS Eledncol Contractor (Company Name) Contracor License No. Master Uc. No. (Plant Eled. Only) Mailing Address (Con czar jOwner Performing Installation) a G g?yAI - ) s?12- ? " , f 4 Au ignaNr ( ommdor r caner nni Inslatlati I ne No. P h o / l.Y 3 EB-00501A10 6195 STA766AR6 COW-%EE INSTRUCTIONS ON SACK OF YELL OW COPY 0030346 A9` REOUESY FOtt ELECTRICAL INSPECTION See instructions for completing this form on pack of yellow copy. X" Below Work Covered by This Request EB-00001-09 s' Nets Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors R?ornaMSa?olic a Loess iLe0 ,vex E /G Pe vP a,-j L?Cf r eWP, Aeeow Compute Inspection Fee Below' 'free t ^ r-A-lG'A? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Amps Transformers - Above 200-Am s Above 100 -Amps Signs Inspectors Use Only. TOTAL ?A Irrigation Booms ' si-= Special Inspection Alarm/Communication THIS INSTA ORDERED DISCONNECTED IF NOT Other Fee COMPLE ITHIN, MONTHS. I, the Electrical inspector, hereby if h Rough-In / l 4A 59 Date cert y t at the above Inspection has been made. Final llz? oat Zi OFFICE USE ONLY _ This request void 18 months from 7???al all 0(f:0'46 o-? - Sao Re ques a 6 Fire No. Rough-In Inspection Required (You i,?y, t can inspector when ready) Ing s ecllon Other Than RovgMn Ready Now Will Notiy Inspector 7 I?I Ves No Date Reatl 1 IMlicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Boa cl rooutsNo.)) City / 6 o 6/&Nor/ eolW Z?16.,q A,; Section No. Township Name or No. Range No. County 11 ?? eA Occu APR NT) Q y 4!!F1-1a4 N' Phone Power Supplier ?,Fe v6 * Address Avv+?reN6?^J Electrical tractor (Company Name) Contractor's License No. v 6S ELCCl-elc Z',vG 4/T?@ 11 Melling Address (Contractor or Owner Making Installation) G #6sr??',? ? a? ?,h.?.6 ra..• ,tea A orizetl S store oni /Own Mflking Installation) Phone Number 44.1? MINNESOTA STATE BOARD OF ELEOIFRICnV THIS INSPECTION REQUEST WILL NOT OrIggs-Midway Bldg. - Room 5.128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55IN UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. BUILDING PERMIT Site Address - Lot Bl4 Parcel # ac Name W Address Name 0 $< Address - Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work sholl be done in accordance with all applicable State of Mii Building Official CITY OF EAGAN 8795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 N° 4888 Receipt # Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? --------'- Depth ft. l--- Sec/Sub. Assessment Water & Sew, Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Total on the express condition that sots Statutes and City of Eagan Ordinances. V` Permit # fete lamed PenNltee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Find Footings 7- fp • - Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: 0QyI ?e ` INSPECTION R CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: t I PERMIT SUBTYPE: ;CORD PERMIT TYPE: Permit Number: Date Issued: t: i rl t f , APPLICANT: TYPE OF WORK: lilt ItPIN6 0 /It fj 13 I6aJ I ti / (.16 M I 1 IIAI I NI W ( rNcI ttFCK) INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. i N'AtI A l l IIpi ? I 1 1 r. I iJAI R MAIt0.':,; A '+F PAPAI I I'r 14Hf I I'. k1 0111kF'1l I III? ANY VI IIMHiI Permit No. Permit Holder Date Telephone 8 ELECTRIC SAS ?' Oo PLUMBING HVAC Inspection Date Inep. Comments FOOTINGS j.W`?/ (D FOUND FRAMING j ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE D ?f FIREPLACE AIR TEST FINAL PLBG FINA0HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition SpCtiCm 3b /Lot Blk Parcel IU L?St]t) 1 Jn 1 L Owner ` Street -„1?;2}!,$T?/_?di4, State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. A n . 7-4888 10899 SAC PARK WAIVER OF HEARING NO 718 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES 1/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: PID 10-03600-060-27 PART OF THE SE QUARTER OF THE NW QUARTER OF SECTION 38 COM 2125.85 FT E & 2197 FT S OF NW COR NW '/< S 83D 25M E 150 FT N 43D 27M E 276 FT N 81D 59M W284.5 FT S 6D 35M W 229 FT TO BEG EX N 100 FT OF WEST 75 FT OF SECTION 36. For the unpaid permit fees: ITEM QUANTITY RATE AMOUNT Permit Charges 1 $7,131.50 $7,131.50 TOTAL: $7,131.50 to be spread for a term of 5 years at an annual interest rate of 5.5% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31st of the current year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these unpaid permit fees, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated:( ob Notary f -y@?SOTA p?pE$ t$t?10 WAIVER OF HEARING NO.-Wo -7 l8 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: PID 10-03600-060-27 PART OF THE SE QUARTER OF THE NW QUARTER OF SECTION 36 COM 2125.85 FT E & 2197 FT S OF NW COR NW '/4 S 83D 25M E 150 FT N 43D 27M E 276 FT N 81D 59M W284.5 FT S 6D 35M W 229 FT TO BEG EX N 100 FT OF WEST 75 FT OF SECTION 36 For the unpaid permit fees: ITEM QUANTITY RATE AMOUNT Permit Charges 1 U 58- $25692 56 7, t,3/. 7b { TOTAL: to be spread for a term of 5 years at an annual interest rate of..5% against any remaining unpaid balances. / , 5F" Dated: 3 z/ You may pay any portion of these special assessments within thirty (30) days of signing -the Waiver without interest at the Eagan Municipal fenter. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31" of the current year. g 1 pp assessments made pursuant to this agreement. The undersigned, for themselves, their heir executors, administrators, successors and assigns, hereby consent to the assessment f these paid permit fees, and further, hereby waive notice of any and all hearings necessary, a w ' objections to any technical defects in any proceedings related to these assessments and rther waive the riht to ob'ect to or a eal from these Fee er Michael Hays Fee O er Debr Hays NotaTv Permit #: 14lap Address Receipt Date: CITY OF EAGAN 2006 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY L 7 (o 0 D Q (:?,L Q° Q C(? OFFICE USE ONLY Property Ownery"? t C-t? F- L ?A F? `t S Telephone # L, S I- b (6 b- a 1 o i?' Plumber Date of Inquiry t 'o j Q CD Contact Name nrl r R TTC ? 94,7 Sewer 4" Sewer Service Lateral charge @ $27.60/ff X 1 30 Trunk @ $1,120/connection City SAC MCES SAC Receipt # , Date Septic abandonment Permit Fee State Surcharge Total 1, 0 PRV required t? City b? County R-O-W Permit Water $ 673.00 V at ervlce 3S $B. o o Lateral char @ $27.85/££ II ao.oo Trunk @$1,1 onnection 100.00 ? Water supply & storage 1,550.00 ? Receipt# ;•Date Treatment plant 50.00 Permit Fee 50.00 State Surcharge 50 ? Plumbing permit quired -water meter to be acq ed with plbg pernvt $ Total Sewer and Water 1gwa W (K 4" Sewer Service $ 3.00 ? V a Service S l 752.00 M 4"?l s r" L r ewer ater charge @ $27.60/ff - 'f° q.r Water lateral c rge @ $27.85/££ ? K i ? ° Sewer trunk @ $ 120/connection ?¢r nt7. ` J Water trunk @ $1, 70/connecti City SAC 100.00 MCES SAC 1.550.00 Receipt # Date Water supply & r ge 1.043.00 Receipt # Date Treatment ant 636.00 Septic a ndonment 50.00 Permi ee 100.00 Sta Surcharge 50 Total $ Plumbing permit required Water meter to be acquired with plbg permit $ 752.00 1.043.00 636.00 50.00 .50 *rc, f `I l?uk ur LW Sst" SeyJa° p ssi3 KVenaaa NHS y-11JU Dodd >acl . ht.W p?vw.kil.x- . cc: Carolyn Krech, Finance Department J`a l ? 9 Lot (0 Block L. 1 PID # Sewer /water permit # (e'q T^ -Plat JC'C? 1 O Date 3/4 ?l 9 Receipt# (IJOIt SO/? CITY OF EAGAN 1999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Lateral charge @ $21.851ff Trunk @ 80/connection SAC Date paid Receipt # Account deposit Sewer permit & charge subtotal permit & surcharge Water $ Lateral charge @ $22.10/ff Trunk @ $920/connection 1,150.00 Water supply & storage Date paid Receipt # 15.00 Treatment plant 5050 Water meter "Inspections req'd prior \ to issuing ing \` $ _ Account deposit Water permit & surcharge 30.50 ' Subtotal Plumbing permit & surcharge Total _ _ _ Water Tap $300.00 Sewer nd Water 37? F- 9aQo nol' avniG'6?c. rAn sec#rm, Lateral charge @ $21.85 and/or $22: Trunk @ $880 and/or $920/co c SAC Date paid eipt #_ Water supply & sto Date paid Re Treatment pt Water meter Inspections req'd prior to Account osit Sewer d water permit & surcharge Plumbing permit & surcharge Total Property owner i C V, 0, -y ? 40, S Address '4 7 (o () I-1 O (A ec) 01 CVO) toil- (aSL-?31-1 Phone number ( w) ld i -?_ - <j?8 4 - --.?-5 o Plumber $ -0- 1,150.00 825.00 468.00 114.00 30.00 100.50 30.50 02 50 a? 5.00 (T468.00 (:DI14.00 p/-? 15.00 L? 50.50 30.50 it 0 0 T7 -d.'j o U OFFICE USE ONLY PRV required: j ?r7 ?°Sc.r'OW R-O-W Permit: 1C, Cty Unpaid $ ?69?• 5a Permit Fees: ??M $ 9 p City financed: CITY O EACAN CASHIERS TERMINAL NO: 708 EATEN W/05l99 TIME: 0P46:45 ID , NAME:; MICHAEL.. :I HAYS) :3224 9001. 4760 DODD RD 50.00 Total Receipt Amount N 50.00 W03673 USER Wn NANCY MRS ?!raT'1`+hWTTTTTMTMT?T /f`TTTM/PM?TT.T R+mTry+l??`RTT WAIVER OF HEARING NO. 590 SPECIAL ASSESSMENT AUTHORIZATION FOR UNPAID PERMIT FEES I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property owned by me/us: PID 10-03600-060-27 PART OF THE SE QUARTER OF THE NW QUARTER OF SECTION 36 COM 2125.85 FT E & 2197 FT S OF NW CDR NW '/4 S 83D 25M E 150 FT N 43D 27M E 276 FT N 81D 59M W284.5 FT S 6D 35M W 229 FT TO BEG EX N 100 FT OF WEST 75 FT OF SECTION 36 For the unpaid permit fees: ITEM QUANTITY RATE AMOUNT Permit Charges 1 $2,692.50 $2,692.50 TOTAL: $2,692.50 to be spread for a term of 5 years at an annual interest rate of 6.5% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31" of the current year. The undersigned, for themselves, their heirs, executors, administrators, successors and assigns, hereby consent to the assessment of these unpaid permit fees, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to this agreement. I A Dated: 3Z4 9 Fee tner Michael Hays Nota Fee O er Debr Hays =BARBARA J:HAND PUBLICTA S10 Exp.2000 1 L/3??a Lot Block ' u PID # Sewer /water permit # Plat S--e C? ` U V-l Date Receipt # CITY OF EAGAN 1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Connection & t @ 21.30/ ff Lateral $ Lateral bene $21.50/ff l ection @$860 Tnutk 8951co Tnmk @ $ ion SAC 1,100.00 Supply & storage ) Date paid Date paid Receipt # Receipt # Account deposit 15.00 Treatment plant Sewer permit & sir ge 50.50 Water meter Account deposit Subtotal Water permit surcharge Plumbing rmit & surcharge 0.50 Subtotal Total $ Plu ing permit & surcharge (Ll Total not avRi'lablc Sewer ahd Water Connection & Availability Char e 4• Cep nQC! c? o Lateral Benefit @ $21.30 and/or $21. 50/ff [ ?? s _ ? 00 Tnmk @ $860 and/or $895/connection 5 7 SAC 1,10 .00 Date paid Receipt # Supply & storage (WAC) 807.00 Date paid Receipt # Treatment plant 444.00 Water meter 111.00 Account deposit 30.00 Sewer and water permit & surcharge 100.50 Subtotal $ Plumbing permit & surcharge 20.50 Total $ 807.00 444.00 111.00 15.00 50.50 OFFICE USE ONLY Property owner (? C) C-& Address y! o c Phone number( i„ -\ ( Plumber PRV required IVIA Number of taps D t [i? Pee' ,? {o. Wirt n I'yN' Re?w, ro! Availability $ 1783 6' to o TM T--t4 cLeslred City financed CITY USE ONLY L ? BL // SUBD./? 7(!; RECEIPT#: C RECEIPT DATE: q GIQAJV,., 1999 PLUMBING PERMIT (RESIDENTIAL) 3 1 S C CITY OF SARAN t 3630 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system -------------------------------------------------------------------------------- Alterations to existing residence 30.00 ------------------------------- = ---------°---------• Water Turn Around 30.00 Private Disposal System MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 = RPZ (new installation/repair) 30.00 = FIXTURES EACH # TOTAL Shower 3.00 x = Water 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 construction 5.00 x = U.G. Sprinkler for dwelling under const. 3.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. TOTAL -------------------------------------------------------------------- ------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 4/76zQ OWNER NAME: 41 INSTALLER NAME: U,-k N\TELEPHONE#: CQ??'??02 OCo3(? STREET ADDRESS: J 3Ce I `JOt9? f CITY: -BOrV?-s 0 L I J STATE: ZIP: SS3 ?Z TURE OF PE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 % PERMIT CITY Oil L`A.GAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 028573 (612) 681-4675 Date Issued: 08/16/96 SITE ADDRESS: 4760 DODD RD LOT: 6 BLOCK: 27 SECTION 36 DESCRIPTION: (INCL DECK) auilding_Permit Type SF ADDITION Building Work Type NEW r; Census Code aaA 434 ALT. RESIDENTIAL t w• t ? \? H eE .yo„w REMARKS: A SEPARATE PERMIT I$ REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $23,000 Base Fee $324.75 Plan Review $162.38 Surcharge $11.50 Total Fee $498.63 CONTRACTOR: OWNER: - Applicant - HAYS MICHAEL 4760 DODD RD EAGAN MN 55123 (612)686-8317 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. statutes and y srf Eagan Ordinances,: APPLICANT/PERMITEE IG AT E D BY. IG TURE a;R';X ?(Yd'!(:$.:4:::X mA(X(W.ydX(XoX.?YE:k;XY?Y.(a:%k:4:;#X(X(X(Y,:M ?>n iF?¢X':#rk CITY OF EAGAN CASHIER: lIERMINAI.. NO 83 DAM OB/:I9/96 TIME: 9.9 06M TD; NAMC .: MICIHAGI.J HAYS 3? ,;1. 9001 4760 DODD RD 40.00 2155 9001 4760 DODD RD 0.50 3210 9001 4760 DODD RD 3E4.75 3422 9001 47601 DODD RD 162.39 205 9001 4760 DODD RD W50 34::30 9001 4760 DODD RD L.ClO Total Receipt Amount,., MOM USER .CD a NANCY :X:X>XIX''r?k:'wYF*YriX(?k?%:?F>K?k?kYFiKW>XX(X<>k?k??>XMK(%r ??YFYFX(?;XiX( r^ I CITY OF EAGAN f 3830 PILOT KNOB RD - 55122 1"13 996 BUILDING PERMI6 P X15 CATION (RESIDENTIAL) New Construction Reguitements Remodel/Reoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservshon plan N lot platted after 7/1/93 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: `?`?CDO b6>bA KoAD C /?9ar/flccy 3? ?? A?cA? STREET ADDRESS: LOT L BLOCK _ SUBD./P.I.D. #: PROPERTY Name: Aa`tS M Ir?Hls'=:;i- Phone #: C09113- ES-3?: j OWNER w, ma, (''°(- tnt-qs?2 . Street Address, 4-ltpca BPD City: E?k4C441 State: Zip: SS,2?s CONTRACTOR Company: ® Phone #: Street Address: License #: State: ARCHITECT/ ENGINEER Company: E?IMi(? Name: State: Street Address* City: ,t Sewer d water licensed plumber: n 1l© ?1- C9a `t?lr? change are requested once permit is Issued. 1 hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Zip: Phone #: Registration #• Zip: Penalty applies when address change and lot comply with all OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwelling 03 SF Addi iort _ ? 04 SF Porch ? 05 SF Misc. WORK TYPE 0 31 New 32 Addition ? 06 Duplex ? 07 4-plex ? 06 8-plex ? 09 12-plex ? 10 _ plex r ri•1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ,,zo' 15 Deck ? 36 Move ? 37 Demolition r 4N M } 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance y3 y ?r 0 op Permit Fee Valuation: $ 2 3, o00 Surcharge Plan Review License MCIWS SAC // S ??r PLC City SAC ?t f Water Conn. Water Meter Acct. Deposit a 0? SMI Permit SIW Surcharge ?1( Treatment PI. 6?L ?? Road Unit ?(L Park Ded. Trails Ded. Other Copies ? (S Total: % SAC SAC Units y w CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION OWNER: SITE ADDRESS: 4-TLPZ> DODD ?[?AD CONTRACTOR: O 1-Jr?4 DATE: ?Z 2Z PHONE: a?j? Determine working square footage/ of each: 1. Total exposed wall area .. (090L sq. ft. x .11 = 110 2. Total roof/ceiling area .. L#u o sq. ft. x ,026 = 1"1 Total exposed wall area above floor _ -1 S a. Total wall window area ....... b. Total door area c. .................................. Total sliding glass area .......................... 0 0 pp d. Total fireplace wall area ........ .. .. .......... - e. Total wall framing area (average 10%) .. ........... '1 $ f. Total net wall area above floor ................... . 51'L g. Total rim foist area ,.......,,, ti Tc1&. t"MK WALIr P¢iC Total exposed foundation area = q 1 h. Total foundation window area ............ ........... $1- I. Total net foundation area above grade ... ........... 1469 Determine 'U' value of each wall segment: a. 4"I x 'U' .161 S! IS b. 3 8 x 'U' 13 - 5 C. CG x l u: 4Cp - $CD d. x ' U' _ e. x ' U' X04.1 = f. _ Z x 'U' Dot = Z1. g• _ 81 x 'U' 02 - 2 h. 3Z X ' U' _ 31 - I G I. C °S9. X ' U' C2 - 3 KNBa. W&" 44 % 61 p.{2 ? 3 . ........... ........................................ Total = 101 If item 03 is the same as or less than item 01, you have met the intent of SBC 6006(c) 2. Total exposed roof/ceiling area = LOU O J. Total skylight area ............................... k. Total roof/ceiling framing area (average 10%) ..... (p (p 1. Total net insulated roof/ceiling area .............. --4. OVER Determine 'U1 value for each roof/ceiling segment: J. x ,U, k. (1 L? x 'U' 025 - Z. 1. '5.9? x 'U' U25 195 4 . ...................................................... Total - ?-l If total or 04 is the same as or less than 112, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 03 and 114 shall not be greater than the sum of Items #1 and 02. 1. (20 + 2. 11 - l3'? 3. yob + 4. I DATE ?y ?L`( 1-J J 7 BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for 1-? a c? T' oC? Valuation C7 c-tr Site Address: N?030 ?? R? Lot Block See. Sub. Parcel Number (p C)? -3(P Owner Address ?{"lAS ?ca? artc? n? E 02, Telephone NA 9-(9919 contractor S y H? _ Telephone Address Arch./Eng. Address Erect Alter Repair Enlarge Move Demolish Grade OFFICE USE Date of Approval 6 Initial Assessment Water/Sewer _ Police Fire Eng. Planner Council Bldg. Off. A.P.C. Telephone OFFICE USE' - k Occupancy Zoning w I Fire Zone -4z Type of Consti,.: # of Stories Front Depth FEES ,i, Permit e3-_ surcharge Tian Check SAC S-later Conn. water Meter TOTAI, d i' 70% 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 Special Assessment Search Date: March 11, 1987 Requested by: ,Universal Title Insurance Co 14031 Burnhaven Drive Burnsville MN 55337 Re: Wtion #36 '10=0360=060-27 BEA BLOMQUIST Mayor THOMAS EGAN JAMES A. SMITH VIC ELLISON THEODORE WACHTER Councll Members THOMAS HEDGES City AdminlWaror EUGENE VAN OVERBEKE ciN 01 on the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The City's policy is to levy assessments based upon the current zoning or existing use of the parcel (whichever is higher) as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, a condition of development approval will require that this parcel assume any additional assessment obligations that have not been previously paid for existing public improvements. The City Engineering Division can provide further clarification of this policy if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSESSME S Attachment THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY f . TNONSAC115N Wo KIM.,' SPECIAL ASSESSMENTS PaGNEAVY 1.9'' TODAYS DATE: 03/11,87 ---SPECIAL FLAGS— r1S-.. _f. _t . CR. v. r.= RATE O i d'•di , ! R N. i=A OrF C t1f..°..,.. _ ._ ....?. T . .. .y -tH.r;a -:( ?i Mi ?. t ( ? ;. .%(..? -.,i.l . 1.+!-t :.. [.; munn*w THIS YVANO 707 FM Page 1 of 1 Jenny Hildebrandt From: Tom Pepper Sent: Tuesday, September 26, 2006 8:30 AM To: Jenny Hildebrandt Cc: Jan Severson; Mary Ann Olson; John Gorder Subject: RE: 4760 Dodd Rd Hi Jen, Sorry for the late reply. I believe Mary Ann has a copy up here for her records, and doesn't need the original. I'm only guessing the original would go in the parcel file, but I don't know. It should be handled like our other waivers. I've copied Mary Ann and John Gorder on this; one or both of them should know. And best wishes to you in your new job! Tom Pepper Chief Financial Officer City of Eagan phone: 651.675.5017 fax: 651.675.5012 toeoper ci ofeagan.com From: Jenny Hildebrandt Sent: Thursday, September 21, 2006 2:53 PM To: Tom Pepper Cc: Jan Severson Subject: 4760 Dodd Rd Hi, Tom. Just wanted to check in with you on this address. It is the one that they could not afford to pay for the sewer permit so we were going to have it assessed to the property taxes. Anyway, I still have the original signed authorization down here and am wondering if we should just file that away in the parcel file or if there is something more that needs to be done. Thanks, Tom. Jen Hildebrandt City of Eagan Building Inspections 651/675-5673 1 09/26/2006 9528917000 JUL-03-2006(MON) 15:22 Dakota County POD (FRX)9528917000 P.001/001 ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION ,i 14955 Galaxio Avonue • Apple Valley, MN 55124 952.891.7557 • Fax 952.691.7588 • www.co.dakota.mmus MUNICIPAL NO ICE OF WELL PERMIT APPLICATION ? DATE: July 3, 2006 TO: Tom Colbert/Wayne Schwartz (EM) RE: Well Permit #: 06-11225498 Municipality: Ragan Fax #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Rutten The Water and Land Management Section of the Dakota County Environmental. Management Department has received the .following permit application for the well described. Tf you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Weil Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner: Well Owner: Carlson Well Drilling 6/30/2006 Debra Hays Debra Hays Time: Time: WELL LOCATION: PLS Coordinates: 1/4, SE 1/4, SE 1/4, NW 114, Sec 36 Town 027 Range 23 Street Address: F-4760 Dods RDA PIN Number: 100360006027 WELL TNFORMA71ON• Diameter: 4 Casing Depth: 219 Total Depth: 229 Static Water Level: Aquifer: COMMENTS: W237 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all mofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy calculations 3 copies of Tree Preservation Plan Slot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addtn - indicate if on-ske septic system Office Use Only Cad of Survey Rood _Y _N Soils Report _Y _N Tree Pres Plan Recd _ Y _ N, Tree Pres Required _Y _N Onsite Septic System _Y _N Plans are considered public information unless you state thev adtradret (aarfd the reason. Date 6 / /07 Construction Cost 000 Site Address y460 JOacU R j Unit/Ste # ?H ?ti ss R44,r hovse, ac g)y '/ <ovae a 06 c* ;L A A/ riny $s,l y co1JM Description of Work a id- wcld•n n? ..i s dl pajez Multi-Family Bldg _ Y K N Fireplace(s) 0 1 _ 2 qaLS Y - Property Owner Kkr // Sc y, o74 2 Telephone # (65 /) yG1S - yyyD Contractor V'Y it d chlh I_Z r; o 4cadnf' 'Pow I 0 1! r q j Address ?Y76 0 06CU R city CE0-9 n State M.A./ Zip 551 c23 Telephone # (6s1 ) 9C'CW310 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 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? . Y - N If yes, date and address of master plan: . Licensed Plumber Telephone #( LE I FP 11 Mechanical Contractor 20 Telephone # Sewer/Water Contractor Telephone # ( ) a Residential Building Permit and acknowledge that the information is complete and accurat e; 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 plan in the case of work which requires a review and approval of plans. Ap icanVs Printed Name plic ' ature DO NOT WRITE BELOW THIS LINE Su T es Fer 01 Foun ? 02 SF D ? 03 01 of ? 04 02-ple ? 05 03-p1 ? 06 04-p1 Work Types dation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg welling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF x ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ex ? 12 12-plex ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 32 Addition ? ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 0 X K 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant ' Description: Water Damage _ Yes Od Valuation lob ??'"- Occupancy` . -3..:.. - .MCE&System _ ? Plan Review X100% or 25% Code Edition SLOW X4r-C. Census Code Zoning City Water Y SAC Units Stories '-' Booster Pump t # of Units Sq. Ft. PRV i _ # of Bldgs Length Fire Sprinklered Type of Const J40 Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. _ Footings (addition) ? / Final/No C.O. _Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water Final Air/Gas Tests _ Final Ftgs Pool ?Framing _ _ _ _ _ Siding _ Stucco Lath _ Stone Lath -Brick -Yrreplace _ R.I. -Air Test -Final _ Windows v/ Insulation _ Retaining Wall Approved By:c ? , Building Inspector --------- ------------------------------ Base Fee --------------------------------- / 32'15 ------------------------------------------ --------------------------------------- Surcharge ?? ao Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other , Total . 04 75 -o i Q ' 4 o 0 o rx, is . `'a t ?? K e \ "? -Mooy{4 ? ?? ?. f. f Agip,-, B1,NG Residential.pdf City atEatan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675-5694 iltp://www.cityofeagan.com/images/Conn unityDevelopment/Buildin... Use BLUE or BLACK Ink For Office Use Permit #: i D 310 Permit Fee:, Yle Date Received. Staff: 2013 RESIDENTIAL//BUILDING PERMIT APPLICATION te: i�`J '1.3 Site Address: 7 '7(DG DOG/d ✓clic Unit* Name: Address / City IZip: /1-7-6,6 Odd JJDJ,/1/1-/U�-7 Applicant Is: _ Owner y Contractor �als---rua/1c41 e7[tkibzL- ch e Description of work Construction Cost: 23 5 .60 Multi -Family Building: (Yes ! No AL Company;(okje4.-0U-S'i`d (_ riY1..5-ind_C%viy piaci: _ Address: SC 1p T)11)u . L 71e. /he City: Vim/ State: 14/tAl Zip: 657/6 /v Phone: 1 I . C1 !e9 L��✓ t9 License F: 8016,3,2,4z4.0 Lead Certificate#. A//9Tr / '� W51--/ If the project is exempt from lead certification. please explain why: (see Page 3 for additional ' formation) 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: CALL BEFORE YOU DIG, Call Gopher State One Call et (651) 454-0002 for protection against underground utility damage Call 42 hours before you intend to dig to receive locates of underground utilities. wviow.qoptierstateoriecall.orq I hereby acknowledge that this information is complete and accurate; that the work avill 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 budding permit issued in accordance with the Minnesota State Building days of permit Issuance. X Applica Printed Name plated within 180 Page 1 of 3 1 of 3 3/25/2013 9:27 AM App BUILDING Residential.pdf DONOT SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition it Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior improvement Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25% 100% Census Code Code 4/39 # of Units # of Buildings Type of Construction litp://www.eityofeagancom/images/ComnynityDevelopment/Buildin.. RITE BELOW THIS LINE 141(.00 D ede4 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing At. Fireplace: .gRough In jkAir Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 2 of 3 Siding Reroof Windows Egress Window 110 3 ah--) Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish interior Demolish Foundation Water Damage 'Demolition of entire building — give PGA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers ....•••••••••• Meter Size: Final f C.O. Required 46. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: __Stucco Lath __Stone Lath __Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector ‚'03 v.L. .90/11.2/4:4) / 9d 4j f//)2., ickv P 6? o et# Page 2 of 3 3/25/2013 9:36 AM EAGAN REVIEWED DATE 41 - /$t 07 BUILDING INSPECTIONS DEPT., Tic& -Are Top c m 1+s �G.vo1 4 fail 04.44,4-. ! wLor b t. 14,004, �wde � �a.cl. .� �� ►1 W uk Cw�A�vr v - Sfaudt 111 iyf 'raj -4ou4kdaJ4. 4v Lit) C a,u.? S 4 r Call an. IANSf tor� OCk- It Cvurse5 )Ja1I Use BLUE or BLACK Ink �-----------------, � For Office Use I ' i ?��--I� ' �� a� � Permit#: � pl�r U ' i i � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 I � Phone:(651)675-5675 � Date Received. � Fax:(651)675-5694 MAY 2 2 Z015 i Staff:�CJ j I ______J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 5/14/15 SiteAddress: 4760 Dodd Rd, Eaqan, MN 55123 Tenant: Suite#: _ --- _ : �;�� "� Name: Kyle ��firr�z �('��1 �-�� Phone:� 612-730-1061 ��G�� _ ' �� Address/City/Zip: Same A�,��n�ti�!�u��E��ti�� _• . � � �29�� ,`�' . � ��i�� '_ . M[Tek By: _ � � �8te� MiTek USA, Inc. Eagan Buitdin� Inspections Div�ton 14515 North Outer Forty Drive Suite 300 Chesterfield,MO 63017-5746 314-434-1200 Re: QTRECO290359 CARL SHUPE The truss drawing(s)referenced below have been prepared by MiTek USA,Inc.under my direct supervision based on the parameters provided by Midwest Manufacturing. Pages or sheets covered by this sea1: I24204012 thru I24204013 My license renewal date for the state of Minnesota is June 30,2016. Lumber design values are in accordance with ANSI/TPI 1 section 63 These truss designs rely on lumber values established by others. I Hereby certify that this plan,speci- fication,or report was prepated by me or under my�irect superoisian and that I am a duly I.icensed Pro- fessional En ' r under the s of th e of Mi�nesota /� EVE ,F X i7ATE i�EG.N{j.21980 May 19,2015 Fox,Steve The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer,per ANSI/TPI 1. � � Job Truss Truss Type Qty Ply CARL SHUPE UNITS:1.0 12a204012 QTRECO290359 F7 FloorTruss 8 1 ENG:DCR ob Reference o tional MIDWEST MANUFACTURING,HOIIDAY CITY,OH 7.430 s Jul 252013 MiTek Industries,Inc.Tue May 19 14:38202015 Page 1 ID:HId3yN2eQofdEAnlbnX2_ryZLPB-z4KY2wLh_m2Kxcqco2Aby2z16EVW012M1 LqnlzEvPH 0'1'6 � - 'n � . _ . H i 2-� Zi�'"� ,,. .. o�$ ,Q. .,_._ ... 'a . .. _. ..,:wyr.,wE�nm,xn�. :r.,� .. Scale=1:40.5 REPAIR:EXTEND RIGHT END 1" s"""" '�"-'�' �- -=�� ` "� ` ,. �.. . . ,:.,��=.xwun,�s.�. _ .. 4x4= *. . .w s u <_, ..3��.� , n _ �o ,:z �.i, , ,. 2x4 I I Dc6 — Sx6— 4x8 = 2x4 I I 3x8 FP= 2x4 I I 3x6 = 2x4 I I 4x10= 1.Sx3 = 1 2 3 4 5 6 7 8 9 10 � 11 20 0 � � 18 17 16 15 14 13 12 5x14= Sx6= 4x8= 3x12 MT18H FP= 4x12 — 4x8= 3�— TRUSS BEARS ON 1" OF A 2"SUPPORT � � APPLY 2X6 SPF No.2 SCAB TO EACH FACE OF TRUSS AS SHOWN. ATTACH WITH CONSTRUCTION QUALITY ADHESIVE AND 1 ROW OF(0.131"X 3")NAILS SPACED 2"O.C.IN ALL ALIGNING MEMBERS. USE 2"MEMBER END DISTANCE. i 23'7-� � 237-0 Plate Offsets(X Y) I1�Edqe 0-1-81 f2'0-1-8 Edqel f11 0-1-8 Edqel f12'Edae 0-1-81 [17�0-1-8 Edqel I18 Edqe 0-1-81 f19�0-1-8 0-1-01 LOADING(ps� SPACING 2-0-0 CSI DEFL in (loc) I/defl Ud PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.43 Vert(LL) -0.48 14-16 >587 360 MT20 197/144 TCDL 10.0 Lumber Increase 1.00 BC 0.66 Vert(TL) -0.77 14-16 >365 240 MT18H 197/144 BCLL 0.0 Rep Stress Incr YES WB 0.90 Horz(TL) 0.13 12 n/a n/a BCDL 5.0 Code IRC2006/TPI2002 (Matrix) Weight:95 Ib FT=0%F,0%E LUMBER BRACING TOP CHORD 2x4 SPF 2100F 1.8E(flat) TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins, except BOT CHORD 2x4 SPF 2100F 1.8E(flat) end verticals. WEBS 2x4 SPF Stud(fiat) BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) 12=1277/0-2-0 (min.0-1-8),18=1271/0-3-8 (min.0-1-8) FORCES (Ib)-Max.Comp./Max.Ten.-All forces 250(Ib)or less except when shown. TOP CHORD 2-3=-2333/0,3-4=-4917/0,4-5=-4917/0,5-6=5407/0,6-7=-5407/0,7-8=-5407/0,8-9=-3809/0,9-10=3809/0 BOT CHORD 17-18=0/2333,16-17=0/3854,15-16=0/5401,14-15=0/5401,13-14=0/4850,12-13=0/2203 WEBS 10-12=-2481/0,10-13=0/1823,8-13=1181/0,8-14=0/632,7-14=-254/0,5-16=-550/0,4-16=-258/0,3-16=0/1206, 3-17=-1727/0,2-1 7=018 59,2-18=-2594/0 NOTES (5) 1)As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the responsibility of the fabricator to increase plate sizes to account for these factors. 2)All plates are MT20 plates unless otherwise indicated. 3) Provide mechanical connection(by others)of truss to bearing plate at joint(s)12. 4) Recommend 2x6 strongbacks,on edge,spaced at 10-0-0 oc and fastened to each truss with 3-10d(0.131"X 3")nails. Strongbacks to be attached to walls at their outer ends or restrained by oiher means. LOAD CASE(S) Standard 1 Hersby certify thai this pIa»„speci- fication,or report was prepared by me or under my direct supervision and that I am a duly�icensed Pro• t�ssiona �er unde �e Iaws afi th tatQ Qf Minn� a. STEVEN E.FQX DATE REG.tdt?.219�t? May 19,2015 AWARNING-Verity design parometers and READ NOTES ON THIS AND INCLUDED MITEK REFERANCE PAGE Ml1-747J rev.02/76/2015 BEFORE USE. Design valid for use only with MiTek connectors.This design is based only upon parameters shown,and is for an individual building componen}. �, Applicabiliiy of design parametea and proper incorporation of componen}is responsibility of building designer-not iruss designer.Bracing shown is for laterpl support of individual web members only.Additional}emporary bracing to insure stability dunng conshuction is the responsibillity of the MiTekQ erector.Addi}ional permanent bracing of ihe overall structure is the responsibility of the building designer.For general guidance regarding fobncation,quality conirol,storage,delivery,erection and bracing,consult AN51/TPIt Quatlly Criteria,DSB-89 and BCSI Building Compooent 14515 N.Ouler Forty,Sufle#300 Safety Inbrmaiton availab�e from Truss Plate institute,781 N.Lee Sireet,Sui}e 312,Alexandrio,VA 22314. Chesterfeltl,MO 63017 . Job Truss Truss Type Qty Ply CARL SHUPE UNITS:1.0 124204013 QTRECO290359 F2 FloorTruss 8 1 ENG:DCR Job Reference o tional MIDWEST MANUFACTURING,HOLIDAY CITY,OH � 7.430 s Ju125 2073 MiTek Induslries,Inc.Tue May 19 14:38:57 2015 Page 7 ID:HId3yNZeQofdFAnlbnX2_tyZLP6-OB3XpZouGNoGdxxH4Dram4Gz1 ush7gUtlpHafzEvOi 0-1-8 H 1-�-� I°�s�� o-Ke Scale=1:41.1 REPAIR:EXTEND RIGHT END 1" Sx12 MT18H= 1.5x3= 3u6— 2x4 I I 1 Sx3= 3x4 I I Sx6= 4x10= 2x4 I I 3x8 FP= 2x4 I I 3x6 = 2x4 I I 4x8= 1.5x3= 1 2 3 4 5 6 7 8 9 10 11 12 � zZ 23 0 � 21 20 19 18 17 16 15 14 13 2x4 II Sx14= 6xG= 4x12 = 3x12 MT18H FP= 4x10= 4x8= 3�— TRUSS BEARS ON 1" OF A 2"SUPPORT � APPLY 2X6 SPF No2 SCAB TO EACH FACE OF TRUSS AS SHOWN. ATTACH WITH CONSTRUCTION QUALITY ADHESIVE AND 1 ROW OF(0.131"X 3")NAILS SPACED 2"O.C.IN ALL ALIGNING MEMBERS. USE 2"MEMBER END DISTANCE. 1-10.0 1-1 -8 237-0 1-10-0 0--8 21-7-8 Plate Offsets(X Y)� f1 Edqe 0-1-81 f12 0-1-8 Edae1 f13�Edqe 0.1-81 [18�0-1-8 Edqel LOADING(ps� SPACING 2-0-0 CSI DEFL in (loc) I/defl L/d PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.53 Vert(LL) -0.35 16 >742 360 MT20 197/144 TCDL 10.0 Lumber Increase 1.00 BC 0.55 Vert(TL) -0.50 16-17 >520 240 MT18H 197/144 BCLL 0.0 Rep Stress Incr NO WB 0.95 Horz(TL) 0.08 13 n/a n/a BCDL 5.0 Code IRC2006lTPI2002 (Matrix) Weight:96 Ib FT=0%F,0%E LUMBER BRACING TOP CHORD 2x4 SPF 2100F 1.8E(flat) TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purlins, except BOT CHORD 2x4 SPF 2100F 1.8E(flat) end verticals. WEBS 2x4 SPF Stud(flat) BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing. REACTIONS (Ib/size) 19=3553/0-3-8 (min.0-1-t5),13=1000/0-2-0 (min.0-1-8) Max Grav 19=3553(LC 1),13=1128(LC 3) FORCES (Ib)-Max.Comp./Max.Ten.-All forces 250(Ib)or less except when shown. TOP CHORD 1-2=0/2675,2-3=0/2677,3-4=-84/2387,45=-3241/919,5-6=3241/919,6-7=-4289/33, 7-8=-4289/33,8-9=-4289/33,9-10=-3247/0,10-11=-3247/0 BOT CHORD 18-19=-2409/33,17-18=-1601/1909,16-17=-428/4005,15-16=0/4010,14-15=0/4070, 13-14=0/1918 WEBS 1-19=-3373/0,11-13=-2160/0,11-14=0/1508,9-14=-866I127,9-16=-238/317, 8-16=-254/0,6-16=0/590,6-17=-1136/0,5-17=-253/0,4-17=0/1779,4-18=-2342/0, , 3-18=0/1127,3-19=-1522/0 NOTES (9) 1) Unbalanced floor live loads have been considered forthis design. 2)As requested,plates have not been designed to provide for placement tolerances or rough handling and erection conditions. It is the responsibility of the fabricator to increase piate sizes to account for these factors. 3)All plates are MT20 plates unless othervuise indicated. 4) Provide mechanical conneetion(by others)of truss to bearing plate atjoint(s)73. 5)Recommend 2x6 strongbacks,on edge,spaced at 10-0-0 oc and fastened to each truss with 3-10d(0.131"X 3")nails. Strongbacks to be attached to walis at their outer ends or restrained by other means. 6)CAUTION,Do not ered truss backwards. 7)Hanger(s)or other connection device(s)shall be provided sufficient to support concentrated load(s)2000 Ib down at 0-2-4 on top chord. �H�r��by c�erU#�+1h�t lhis plan,speci- The design/selection of such connection device(s)is the responsibility of others. {i�j��,p��{was prepared by 8) In the LOAD CASE(S)section,loads applied to the face of the truss are noted as front(F)or back(B). me o�undet�+dir�et supervisan LOAD CASE(S) Standard aad that I am�duiy�icenses!Pro- tessio ineer un laws 1) Floor:Lumber Increase=1.00,Plate Increase=1.00 ofth tate inn� a. Uniform Loads(pl� A � Vert:13-20=-10,1-12=-100 '�`� Concentrated Loads(Ib) � _ Vert:1=-2000(F) 3TEVEN E.�OX DATE E�i.tdCl.2198t1 May 19,2015 �WARNING-Veri/y deslgn parsmeters antl READ NOTES ON THIS AND INCLUDED MITEK REFERANCE PAGE MII-7473 rev.02H6/2015 BEFORE USE. � Design valid for use only wiih MTek conneciors.This design is based only upon parameTers shown,and is for an individual building componenf. �. Applicability of design parameters and proper incorpora}ion of component is responsibili}y of building designer-not}n�ss designer.Bracing shown is for lateral support of individual web member5 only.Additional temporary bracing to insure stobility during consiruction is ihe responsibillity of ihe MiTekf erector.Additional permanent bracing of ihe overall struct�re is ihe responsibility of}he building designec For general guidance regarding � � fabncation,quality con}rol,storage,delivery,ereciion and bracing,consult ANSI/TPIi Qualky CrMerla,DSB-89 and BCSI Butlding Component 14515 N.Outer Forty Suite#300 Safety Informotion available hom Truss Plate Insfi}u}e,781 N.Lee S}ree},Suite 312,Alexandria,VA 22314. Chesterteld,MO 63017 � . �� Z � m � � • � � "'v' �' c D m -p D oo � �° �� Z D X y �m n, `� m o II w � � f � c� W ,� N � � � ° � o Q o� cW�QZa D co A�= -D+ O v� •�p Q C � � � �.��'(Q� O Q � O Q. � � � � � �� y Z/� � � J � ^ z N �� ^�Q Q �C � ln J -r'Q �� V� C -1 (� Q n (D N N �O T �I \! D . �� o.: Q D�O �Q�� O'n � N�N O O 4 �_O �p Q' � � �Q N fcyD < N�� cD � � �� Q N X � Q cQ' m Q � �.m y � �� :-c, � Q3 0 ,�� O ° �'-°� a��, �� =' � m c a � c° �m a o o Q� � �o Q° 4�° � �<° Q �o�-� o �� o ° p-m �-� O 3 � Q � a' ° N P' � �� D•° ^' No� o � � CD � � � �D'� Z � ocm m � �D � :^ o � mo'mQ� � •�000 � � mo� ° o �� ° � � . Q�Q •o � �m �QQ� �� o - o � Q aQo• ' c�o'Q � ° �-��'Q�. � Qo��•� Q �Qa� � Q�o CD �� N � o � ° ° �°�Q°' Z �'� Q�p• nO y� � O � �. CDp 0 �� 3 A�i 03 �-0 3Q`��' � 00 3 cD < cD (Q n� � � � � O v� � � O c,� � CD N � cD�Q c � �.O O.� Q O.� v, � Q Q O � <p O CD O �Q O � �� . O Q N Q� N 3 � � � �� 30 N v� � �p � � m�m n � �_ =D�0 TOP CHORD " c:>� n O 3 O �O z °° �1-e J Z � OW rn v °m°N yv: c� �� A a�D D � C � f \ �1 A (D y rn � ~ m Z rnm �� P ,'O N � n y G y m n � N -i A � � NA N � A.�t A2 O � �/�! � W� .. 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(fl Q� � �p O O O 3 �� 7 N Q = � . c)fl °� �flo � ro� 3 �°.-Q om Q � �,� oN� Qo �0 3y c��Q � Q� N � m m�co� �� CD O` � =�7 �� n �N � N� 7 3 lD C 7 Q �n �p. '4(D Q(p (D`G S Q p-6 + fl �D O� Q(D � Q N G �,Q `3 � ofl- ° c� � am �0 3Q °-�c � QO- n a�o . �m � �� .a �;�, O � � � ;va �-oc c ''� Q fl° �o 03 �o c��ociQ i�N �3 °f, ffo � � �<.� 9 � aQQ�° Q � � n /��4 m <� � �,6 � � � °-° �a �� '° � o o �D c�"o �D � �c�o D Q ° � y� � ° ° �D� °m Q Q � OC i.f � (D� °� �+ m m c � o m c�o c�Q p�i�„ p� �� vZ—,Q� cfl �cQ �j' �Q Q Q ,�n -' � Q Q �'� Q Q a ° � � � � �-�0 9°n 3 �co"o m� ff� Z o v f � �' -o � 6� m Q s � `" C� y (O O �K �n 7 � Q C � � �nQ -Q Q � � � Q 3 � N � ^ � -6� N"O Q Q p O� - � fl (D� �Q (D O n � �� J(D (D � K 3 � O O�� C•� � Q ii a �� ,o � � 3Q � 3Q o 00 Q Q� �-o Q fl om Qj —om mm C � o �Q Nm a `° o� m7 � � o � -o� mQ o _o g� s � � n� P-� v> n (D . O �. - 2 O O -`N 7�' p fl Q"6 7 O ' (D O � O � C' y � �� n CD � � � � .� < m ,�3 �� -o � m a a m � m �,",/�' f °� °� � � ° � � ° ? ��' �Q 3 Q � � °cfl � � �� m� � \ 00 3n � o o� a m �� a • 3�, n � 3 �Q Y� -a 3 �� fl °- � �•� m� m o °- m �o �, � �Q �D o � a� o �a � �l CD Z 3Q . � �, � o � � � � � N Use BLUE or BLACK Ink r___----'---------j I For Office Use I C� � Permit#: /�� "'I ty of ��aIl � � _ �; �; ; I Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fau: (651) 675-5694 L Staff:______________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATtON Date: � �`�� Site Address:� �� CQ U �oc�� h��CP Tenant: Suite#: ` � Residen#1t��n►tlet' ' Name:,��e-� -�u.�� Phone: Address/City/Zip: —G1�� r Co� � Name: �� \S �c� +� Y License#: . COn#C8C#DY Address: � `t0�o P�y u �'�u.J� �y� City: r'�T.�� 1— 1��=. State:�-�'`� Zip: S�BO``� Phone: [� �Z `S.S� "�lC� / Contact: �:� Email: rrcr �� !x��ls ��' New �Replacement _Repair �`Rebuild _Modify Spa e Work in R.O.W. � ��pe�o��l+�r�C � � — �S � �.�yy��}� Description of work: � � RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/ PVB) P�r�� ` Add Plumbing Fixtures�Main J_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) 'Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 SeDtic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 onfy an application for a permit, and work is not to s without a permit; that the work will be in accordance wi h the approved plan in the case of work which requires a review and approval of lans. t x I�v c.�! X � Appl�cant's Printed Na pplicant's nat FOR OFfIC� USE ' Reyiewed By: Date; `Required Inspections: Under Ground Rough-In Air Tes# Gas Test Einal' lNeter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA141295 Date Issued:03/06/2017 Permit Category:ePermit Site Address: 4760 Dodd Rd Lot:006 Block: 027 Addition: Section 36 PID:10-03600-27-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kyle R Schmitz 4760 Dodd Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature For Office Use ® f �e ::::e. ' 7 7 34-/ RECEVED ED S2/171 Date Received: C� etcP 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JAN 2 92018 Staff: buildinginspections(c�cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/29/2018 Site Address: 4760 Dodd Rd. unit#: Name: Kyle & Dele Famodu/Schintz Phone: 612-578-1805 Resident/ 4760 Dodd Rd. Owner Address/City/Zip: Applicant is: Owner X Contractor F Type t Work Description of work:Finish the basement Construction Cost: $35000 Multi-Family Building: (Yes /No x ) a s Finished Basement Company - - - Y Company: Contact: �� ell& Contr�tr Address: 5600 Excelsior Blvd city: St. Louis Park MN 55416 651-224-7000 nscanlon@finishedbasement.com State: Zip: Phone: Email: BC461770 NA 7 -` Z2/ • License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: a z tn,.e• 7 6 C f Gti K i1/4-4-1,ed ? AA( 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: 0 .Pr and supportingdocuments t t you submit are to,be public information `'"0***, the information may be ci non = bile if =rovide Ile reasons that aoutd ftCI to conclude'that , ar^e trade secrets Vi 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.citvofeagan.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.gooherstateonecall,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 accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE L/7 7 &ea /r 773 SUB TYPES Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plexii#X Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building _ Reroof Demolish Interior ` " Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation x Occupancy MCES System Plan Review Code Edition '' %5 SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction viej Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) - ( Final/No C.O. Required Foundation Foundation Before Backfill 7( HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Ni 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath Brick EFIS X Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: �`� Reviewed By: ! ,,/ , Building Inspector RESIDENTIAL FEES Base Fee r Surcharge 9 ) 6 _ ,*- Plan Review q y ife- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Use C- Permit ff: I 0 - E , 0 0,,..... ...•,./ Permit Fee: ' „0„.........„ Date Received: 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Staff: buildinginspections(acitvofeagan.com 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2-14-18 Site Address: 4760 Dodd Rd Tenant: Kyle and Dele Famodu/Schintz Suite#: Phone: Name: Kyle and Dele Famodu/Schintz 612-578-1805 Resident/Owner Address/City/Zip: 4760 Dodd Rd, Eagan Servin Plumbing and Heating PC645794 Name: License#: Cit dd24752 705th Ave. Dassel Aress; y: Contractor State: MN Zip: 55325 Phone: 320-626-9224 Contact: Kirk Email: kirk.servinplumbing©yahoo.com Type of Work _New 6L Replacement _Repair _Rebuild 1.._/ Modify Space Work in R.O.W. Description of work: Add bathroom and bar in basement RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/ PVB) — Permit Type — 4 Add Plumbing Fixtures( Main/ V Lower Level) Septic System _ New Water Turnaround Abandonment _...... RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www,00pherstateonecall.orq 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.cityofeaoan.com/subscribe. 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 1 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 plan xTim Servin X . Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test __Gas Test Final Meter Related Items: Meter Size Radio Read- Staff: _ ____ For Office Use / 4(7, 11° - i aEAGAN ' C ::::e: 'LQ�� G� 11"f Date Received: J 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginsoections(a�cityofeagan.com L 0 2018 MECHANICAL PERMIT APPLICATION C4. ❑ Please submit two(2)sets of plans Gwith �all commercial applications.J ��l f Date: �f6//i Site Address: ` 7 �✓ d�r ''s /"•"c S-5/7,3 Tenant: / Suite/ #:/ esident/Owne Name: K)/10_._ C6'</ Z f� Phone: [� ! �2?-/ 2 -, , Address/City I Zip: 7�fv0 6Jd , 'd1 .',4:)1-1 2� 55/23 Name: License#: Contractor Address: City: -k--State: Zip: Phone: \t o c— Contact: Email: 44 f‘ 4 New Replacement X Additional Alteration ' Demolition 1-0'1/4 Ott Type,of Works; Description of work: Adcipj yo9c 1)L.cf-i-r 7� rUiYisis v NOTE:Roof mounted and ground mounted nfechani tepment is required be sc ., dt b ?} Code. Please contactnthe MechanicalIlns for for information-„T„ permItted.screeni ;* -thud ` ,` RESIDENTIAL COMMERCIAL it.. Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Permit,Type , Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_Install/_Remove) #.. Other -47N r40;t. files r Pvt:;‘lik RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge ow $100.00 Residential New, includes State Surcharge =$ 6o TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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.citvofeaqan.com/subscribe. 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 i 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. x R)d e SCh;i- x , Applicant's Printed Name A. ' 'cant's Signature •FOR OFFICE USE £ Required Ins ct� Date q pe oris. � � Reviews Y• / �� , � .. ��; Underground:, Rough In Air Test" Gas Service Test,, In flee est F ul HVAC Screenings PERMIT City of Eagan Permit Type:Building Permit Number:EA147956 Date Issued:02/23/2018 Permit Category:ePermit Site Address: 4760 Dodd Rd Lot:006 Block: 027 Addition: Section 36 PID:10-03600-27-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kyle R Schmitz 4760 Dodd Rd Eagan MN 55123 (612) 578-1805 American Home Remodeling MN LLC 466 Perro Creek Dr Bayport MN 55003 (651) 246-0731 Applicant/Permitee: Signature Issued By: Signature