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4300 Eagle Crest Dr
City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4300 Eagle Crest Dr Lot: 8 Block: 3 Addition: Sun Cliff 4th PID:10- 72978 - 080 -03 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: College Exteriors Inc 11315 42nd Avenue North Plymouth MN 55441 (612) 598 -0780 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: $90.00 Owner: David Hasselmann 4300 Eagle Crest Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA080546 10/18/2007 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature CASH RECEIPT ITY OF EAGAN VV P. O. BOX 21-199 EAGAN, MINNESOTA 55121 r> DATE 19 eeewsw ' FROM NY" AMOUNT $ I a: DOLLARS goo ? CASH ? CHECK roR L a J?? ?s??jl u BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 b1 1 C Hvuntaa: t. ? t ? ? 1? r. c?r 1t c,t 1` +_ NE' ,T DR PERMIT SUBTYPE: W- I f f N H '. I I I ?+II A 1] t+14 F ! NA1 ON RECORD ::u?? tt?a?t, PERMIT TYPE: ????, ; Permit Number: Date Issued: APPLICANT: . . TYPE OF WORK: N w w to r C K I PAM I No 1 ?Nt:f,VA$ 4. Permit No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. _ BSMT FINAL DECK FT?G ko pq -7 e.X3 DECK FINAL n? ?r? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: .allti I I ! -1111 PERMIT SUBTYPE: . i H, .11 I II PAM 1 Nil li'1i111iif IN I'I f:1, $ 1 1+1 it I II AV 111 RI MAkRS: '?f I'AI"A1l I't I;MI 1 Al,t I.t 111111.1 11 1 iilr AN'. 1'I 11Mi11N', 1114 t 11 1 IN III Al 116112!7. ON RECORD PERMIT TYPE: Permit Number: Date Issued: 1411 APPLICANT: TYPE OF WORK: I M,,LII II 11111-1 Permit No. Permit Holder Data Telephone 0 S/W PLUMBING HVAC ELECTRI 3 Jf o4 ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing y Q Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Mg. Orsat Test Final Pibg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan -illlg. Final n J ?J 4 C9(9+z r J all iJt Deck Ftg. OL ?? Li Deck Final !?? 5S I??L?? y Jr,y r Well Pr. Disp. CITY OF EAGAN Remarks Addition SUN CLIFF FOURTH Lot $ Blk 3 Parcel 10 Owner Street 4300 Eagle Crest Drive State Eagan Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1985 303.92 20.2 15 283-66 0010445 7-9-85 STREETRESTOR. 1986 1622,20 324.44 5 (pia. 20 - /o95`f 74;- GRADING San Saw 7:3t O 502.58 100.52 5 a •S9 C- v95 SAN SEW TRUNK 42-52 1.70 25 15-32 if - SEWER LATERAL 1985 218.56 5 1'/4.83 72-85 /030 582.46 116.49 5 5F,.7 p C-1695y WATERMAIN 1985 57-95 3.87 15 54-Ud WATER LATERAL WATER AREA / 1973 58-78 3.93 15 . 7.69 9 65 ZnE 1 185.27 9.27 20 46-22 7 9-8-5- STORM SEW TRK ?. J-905 9b.U3 15.41 15 89.62 " 7 9 85 STORM SEW LAT 946 1995 78-W 5.20 15 72.88 7 9 85 6 739.56 147.91 5 9, 56 C - /0 9 5!Z 16 - l 7-d" CURB & GUTTER SIDEWALK STREET LIGHT 198 29.15 105.83 5 7./ C- U 5 U-/7-k. QO -53523 7/11/85 WATER CONN. 500.00 rr It BUILDING PER. 10547 tt it SAC 525.00 PARK CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 rx DATE 19 R[CKIVKD FROM AMOUNT DOLLARS +oe ? CASH ? CHECK L.. S z - A POW . FUND CODE AMOUNT t Thank You • ?x White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee l Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date _S 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner - z z 5. 6. Address 1 10. Describe I 11. Phone No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? GI 1 T fill inn _ Type a 1. Date 2.Insta 3. Job Address 4. Owner %Hcnnan rierjes 5. Contractor 6. Address 7. City " State _ Permit No. Fee S/C Phone ract Mn. 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New © Add O 1 10. Describe 1 11. Alter ? Repair ? 9;V%d-1'4 Type 'f r No. Equppmen*- BTU - M. Ea. Forced Air No. Equipment CFM Air H dlin : Mfg. s g an Boilers 1 Mfg. Mech. Exhaust fh Unit Heater - ai! ha Mfg. Other Air Cond. Mfg. Gas, Piping Outlets ' "' ,.'1 ,.. ( . 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for _ r Rough F anal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Site Address ST DR Lot Block SeclSub. `' ! U`; CL I F T Parcel No. 49 Name )3?0S COtr'ET ( ?:i ii r r w n Address City Phone Name _ ` Address ?i City _ toe 1=W Name _ W I?3 Address w z ,... Phone Phone 10547 Receipt * )00 Dote 19 Erect 4 Occupancy i Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. Install El Approvals Fees Assessment Permit Water b Sew. Surcharge :7F ' Police Plan Review Fin SAC 5 Eng. Water Conn. i 0 0 . Planner Water Meter 63. Council Road Unit 1. a C5 Bldg. Off. 7 ? - ? ? - Tr. PI. APC Parks Var. Date Copies ?_ Total J / an the expren condition that to Statutes and City of Eagan Ordinances. I hereby acknowledge that 1 have rood 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 shall be done in accordance with all applicable State of Mirww Building Official Permit No. Permit Holder Date Telephone Plumbing H.V A.C. I 1 1-?? yV Electric Softener Inspection Data Insp. Other Footings 1 7/ Footings II VP/ Foundation Framing F??fjAr Roofing zz-e p Gr?A Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Final Cert/Occ. 7 ?'? Lc-' 6S^ Water Dewibe Location: Well Sewer Pr. Disp. OF EAGAN WATER SERVICE PERMIT Pilot Knob Road Box 11199 PERMIT NO.: i, MN 55121 DATE: No. of Units: Address .: 4-a¢y? ?_ iii Cr Sib Address; ?,? - - Plumber. ? - Meter No.: S??a Connection Charge: Size: Rea r No. c" Account . . of ra * wim Surcharge: i Total: By Dote Paid: Dote of Insp.: Insp.: 7--85 CITY OF EAGAN 3830 Pilot Knob [load WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning. No. of Units: Owner: Address: Site Address Plumber. Meter No.: Connection Char e: Size: g A D ccount eposit: Reader No.. Permit Fee: I emm to earepll W" the CUT of flyew Surcharge: asa- Mlec Cho By Dote of Insp.: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: 1. Plumber. t `- 1 agree to oeeglq whim the City of Iwo oralmeeoes. By Dote of Insp.: roes. Total: Connection Charge: Account Deposit: Permit Foe: Surcharge: Misc. Charom Total: Dab Paid: CITY OF EAGAN N°_ 10 5 4 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt g ?7?3 To be peed fee SF DWG/GAR E:t. value $56,000 pate JULY 10 to 85 Site Address; 4300 EAGLE CREST DR Lot 8 Block 3 aec/Sub. SUN CLIFF TH Parcel No. W I Name ZACHMAN BROS CONST Address 4620 W 77TH ST., STE 104 City edina Phone 893-0755 SAME o Name Address City Phone GW Name 0 Address 0 "W City Phone I hereby acknowledge that I the information is correct State of MinnesotWStBtut Signature of Permit4 A Building Permit Is i all work shall be done in ao Erect 12 Occupancy R3 Remodel ? Zoning R l Repair ? Type of Const. V Addition ? No. Stories Move ? Length 36 Demolish ? Depth 48 Int Imps ? Sq. Ft. Install ? Approvals Fees CONST Assessment Permit ?- 3-0 00 Water &Sew. Surcharge 28.00 Police Plan Review 150.50 Fire SAC 525.00 Erg. Water Conn. 500.00 Planner Water Meter 63- 00 Council Road Unit 280.00 Bldg.off. 7/9/8 5 Tr. PI. 132.00 APC Parks Var. Data Copies Total $1,979. 0 an the express condition Choi Iota Statutes and City of Eagan Ordinances. Building Official .65%T? REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 i [ , See instructions for completing this form on heck of Yellow copy.nqAq7q p " X" 8elow Work Coverod by This Request S tl );ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm t e peo y Other (Specify) th,..r poclfy _0Ter 01h., Compute Inspection Fee Below s : Fee Service Entrance Size d Fee Feaders/subfeeders IX Fe Circuits /U 0 to 200 Amps 0 to 30 AMPS Zz _ 0 to 30 Amps Above 200 Amps. 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above I00_Amps Transformers Irrigation Booms Partial/Other Fee Signs Special Inspection g TOTA -F 1 Remarks ? J13 L EE Rough-in Date I 1 I, the Electr ica 7 ne Pa. .:. eby certify tha t.tha above Final ?ite J J ( Is action has been made. This recuest void 18 months from This request void I nths from Dc) 054979 L? /5 l 7//U/ YLicensed Electrical Contractor LJ Owner 5w '- o Z.Z/ Inspection 17 nReady N n No I hereby request inspection of above electrical work installed at: Will Notify.lnspec- !or When Ready Street Address, Boa or Route No. 7M cvot D ' City ? - q 3 ea vi t- If a ecLOn o. Township ame or No. Range No. County I D a Occupant (PRI/NTI 29c?/lM Phone No. Pow uppll at g Q K e ?a Address ElectricaI Conty?eY?" o{pan amel Convector's License No. ' G 0 73 Mailing Address IContracto or Owner a// 6 king Installs ti 5- Y - AuthorI Si natu (Contracto n Mn 'n installation) Phone umber _ a rte. ? Nom... ? 3555 MINNESOTA STAT?/BOARD OF ELECTRICITY Griggs-Midway B g. - Room N•181 1821 University Ave., St. Paul. MN 55164 Phone (612) 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED By THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. gt1318!r s(//?/9? REQUEST FOR ELECTRICAL INSPECTION M See instructions for completing this form on back of yellow copy 0102532 'X" Below Work Covered by This Request N;K New Add Rep. Typeot 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 (spec,ty) Contrac/?tor's RemTaa1rrIks: l 1? win.", O r p? p0 O M 0,4 &I^roo.n-? Ih IeWer 'e Jt:li• Compute Inspectron Fee Below: # Oiher Fee # Service Entrance Size Fee # fslFeeders it Fee Swimming Pool 0 to 200 Amps A 0 to 100 Amps Transformers Above 200 _ Amps Abo 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms l (v., . ? r Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby f h Rough-in i o y t certi at the above inspection has been made. OFFICE USE ONLY This request void 18 months from F `? 6PV 3 2 ? s ag ? Request Dale ^ ' be No. Rau Inpsection Required (You must call inspector when ready) 1 Inspection Other Th Rough-in El Ready Now k Will Note, Inspector ` ® Yea ? No Date Read 1',] licensed contractor Xl owner hereby request inspection of above electrical work at: Job Address (Street. Box or pours No.) City 41 3DD 11r- -C rert &' ah Section No. Township Name J No. Range Nc. County SA k') t9 Occupant (PRINT) Phone No. -pa?L? gss?l Mann ??sa- o?' Po wer Suppher Address A ,v` S P Electrical Contractor (Company Name) Contractors License No. ling Address (Contractor or Owner Mak'mg installatronl y 3 8? c Aal ner Mrut srallation) A Phone Nu er . O ?._- Nsa- 7r7?7 MINNESOTA STATE ?ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT, B B L O C K : 3 APPLICANT: 4300 EAGLE CREST OR HASELMANN DAVID SUNCLIFF 4TH (612) 452-7087 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: BUILDING 023353 04/18/94 ALTERATION INSPECTION TYPE FRAMING .DATE INSPTA. INSPECTION INSULATION DATE INSPTR. ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F J PERMIT CITY OF EAGAN yl?y /y 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 3 3 5 3 (612) 681-4675 Date Issued: 04/18/94 SITE ADDRESS: 4300 EAGLE CREST DR LOT: 8 BLOCK: 3 SUNCLIFF 4TH P.I.N.: 10-72978-080-03 DESCRIPTION: BUildin9'_Permit Type rBASEMENT FINISH Building Work Type 1 l i ALTERATION I REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - HASELMANN DAVID 4300 EAGLE CREST DR EAGAN MN 55122 (612)452-7087 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 City of Eagan Ordinances. L- APPLICANT/PERMITEE SIGNATURE I I1}{1.(1 11z I I ! I?_ D B SI NATUR 73_S53 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 NIA Ittt 4 - I e s35, q 3^'J SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Valuation of work Date T ^ '? Site Address: y ? Fac/c Cre f)rryr_ STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. f pnt 4j /l ( F P.I.D. # Description of work: „ Aro ? irt ow r 12 a The applicant is: R1 Owner ? Contractor ? Other. (Describe) Name NnsG W-.a'n L?'o ,:d Phone 4S3-7087 Property _ LAST FIRST Owner 1 Address y30a ?a?v /P _rv5l 1 r. STREET STE # city ., State Yh? Zip SS/? 2 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge tha I have read this application and state that the information is correct and agree to com ly with all appl cable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE K 6V ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ,U sement nish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? I8 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ZI 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkl er Length On-site well Census Code -' 3 Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit . Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing P Final 0 Framing ? Draintile 123 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ SAC % SAC Units C:1tY OF i:P":'ida ,:'2:1.9 r?fY .. ...,,_ :1. Q00 H. ?4 '._. `??:I!]1. 4-300 lii:i't!„L..!`. fL...... .•. ..... .: `i`:) ?o?(;"i <?f?•:I:!. 4?3C10 !:!:Ai;;Lf_; C.:!`'.!'i _."iC! 00 .r7 ` .• i _._. ''.L',_?'4 (ii7!C7?,!r",1'. C :'"..'- ,. iii:4 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 0 9 0 7 Date Issued: 10/10/97 SITE ADDRESS: 4300 EAGLE LOT: 8 BLOCK: SUN CLIFF 4TH P.I.N.: 10-72978-080-03 DESCRIPTION: CREST DR 3 SF ADDITION NEW 434 ALT. RESIDENTIAL ?Aiq ? 1 i? REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Lic. Search Total Fee & DECK Brl ld 'n'4...-Permit Type Building LTOrk Type `Census ICod$ VALUATION $174.75 $113.59 $5.50 Fee $5.00 $298.84 $11,000 CONTRACTOR: HOMESTEAD SERVICES 11127 CARVER CT BURNSVILLE MN (612) 895-9443 - Applicant - ST. LIC 18959443 0008593 55337 OWNER: HASSELMAN DAVID 4300 EAGLE CREST DR EAGAN MN (612)452-7087 I hereby acknowledge that i have read =this ^apPlidation and, state, thafi ,the ; u in"Formbtion =is correct and agrees to q,omply ,wisth all 4PPl cable, Mate of Mn. Statul eo, and City of Eagan Ordinances,. APPLIC T/PERM E SIGNA URE ISSUED tn' SIG JATUR 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN m4 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reouirements Remodel/Reoair Reouirements • 3 registered site surveys • 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan If lot platted after 711/93 required: _ Yes _ No DATE: L ho 6 % CONSTRUCTION COST: DESCRIPTION OF WORK: 1'g v., k I!, K o d r t-/ STREET ADDRESS: y.3 o t) t e LOT o BLOCK SUED./P.I.D. #: PROPERTY Name: N,S S J w. a .N ` a a V, d OWNER MRAT Street Address:--'I 3 &0 fir, G /F C re City: ZAP State: CONTRACTOR Company: ta? P?liy?es Phone #: t-1S`;'--70e 7 Zip: 5S/ Z 7 Phone #: Street Address: 11) 2--j Ca "0,(r C?- License q7 3 City: ?u rn S y, ! IP State: ?M. Zip: Y, 5M ARCHITECT/ Company: ENGINEER Name: Phone Registration #: Street Address: City: Sewer & water likened plumber (new construction only): and lot change are equested once permit is issued. Zip: Penalty applies when address change 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. A - 117 -4 Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Yes No Yes No State: OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ? 31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building y? Engineering Variance ID Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: , Valuation: $ 1).0? t1'J A-I?DITION ?O'72,00 1= 4*7 t 1100.00 % SAC re", ? .I'• SAC Units •16o?c rs .. ,-. I Of 0 1- -Co ,#rII A ENERGY CODE 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET ///.2 1 Cc1rvPr ISu ruts.: ??P , ?? uilding Address: 4300 1'4?\1?F CrCs? ?f, '5^ ci cq n Y ?^"1 The proposed building design represented in these documents is consistent with the building plans. specifications, and other calculations submitted with the permit application. The proposed building has beep designed to meet the MINIMUM REOUIREMENTS for "Cookbook" nnfinn- Entry Doors l-3/4" solid wood w/ storm Ceiling with energy truss R-38** Rim joist R-19 door br equivalent (Min. 7'/2" top plate to sheathing) Foundation Windows* Insulated Glass w/t/2" gap in Ceiling with low heel truss R-44** Floor over R-24 wood or vinyl frame unconditioned space *Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. ,..n...u...n. a vt.vu.ra.rw at rr 111tVf UeSlgn t-onutrtons ?to ?, , ?cf 7 Window and boor Area { 100 it $, 2u =. 3 7 rr 30 WINDOW U-VALUE : iL,&W 43( As % of Exposed Wall Area Above Grade Window and Gross Wall Area Window/Door Area Source: NFRC or ASHRAE 1993 Handbook _ FoundationWindow/Door Area i .L MA VTMtTRA 11711VTl1i17 it it A r man Cheek Wall WALL TYPE MAXIMUM WINDOW A •w .• V-. ALV L`J ND DOOR AREA % OF EXPOSED WALL AREA Type Used " 12% 14"/e ."Y6% 18a/o 20"/e '22"/e 24% 26°le 2$% 30% 32"h 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 0.30 0.27 . 0.25 0.23 0.22 0.20 0 19 TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0 20 . 18 0 yam- TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.36 0.32 0.29 0.26 0.24 0.22 0.21 0.19 . I8 T . 0 17 TYPE D ' 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 0.22 . 0 21 . 0 20 i YPE E 20 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 . 0 19 . 0 18 TYPE I. 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 0.25 0.23 . 0.22 . 0.21 - This ta ble contains inlem.1minns of Ihr. vah..e in th. rn.rnv r ..a. n.., 741A nAIC Y this is a summary only. Other requirements may apply. Seethe Minnesota Energy Code. v , Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. 215196 Rap 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS !5loiOQO• cu To Be Used For: ?C Valuation: ?9H Date: Site Address: 43790 Glq ale ?POS I /(UU' OFFICE USE ONLY / Lot: b Block_ Sect/Sub S? Erect X Occupancy Remodel Zoning Parcel # Repair Type of Const Enlarge # of Stories Owner/?j yykp /() ( ?/??? A Move Length U Demolish Depth Address ?/ o 77 )f??5/ubZoft Grade Sq Ft City/Zip Code fpmq?j 4tz? ------_-- Phone APPROVALS Contractor Address City/Zip Code Phone Arch./Engr. Address Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off j ' Parks APC ( Treatment P Variance TOTAL 13 R_I 3& _48 150.5-° 525.°' Ste. °' A y.? W 1c?32g"-' City/Zip Code Phone # 2? x 3Co = °l 3Co x 54 = 5o-s;44 20 x 22 - 44c? 4,540 5`53 b 4- 0. 301 Co •+ 26-00+ 150.50 + 52_5.00 + 5;0.00+ 63•C0+ 280.00 + 132.00 + 1,979.50* E'lERGY REQUIREI;B1S ' his firm to be cn,pleird and sub:oitted with building permit applications EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OIJNER ___--Z z c/s; ov t%/G _: _,s ?=•? L?_,<> C / ?c SITE ADDRESS _ CONTRACTOR _DATE PHONE_ Determine working square footage of each. 1. dotal exposed wall a -ea .... /, 7S0 sq. ft. x 0.11 ----------- -- ---- - 2. Total roof/ceiling area sq. ft. X 0.026 _ _ _ ? ?• 7/ Total exposed wall area above floor a. Total wall window area .............. ....... ...... / O 7, /S b. Total door area .................................. <,?7.C c. Total sliding glass door area .................... C/c a d. Total fireplace l,,all area ........................ - e. Total wall framing area (average 10%) ............. fig.- p 9 f. Total net wall area above floor .................. r2/ ;77 g. Total rim joist area ............................. /6&7 Total exposed foundation area = $v h. Total foundation window area ..................... fJ i. Total net foundation area above grade ............ gjJ Determine "U" value of each wall segment. a. //J q,/.?7- X "U" 0.?f7 = 5/.3 b. Z/ 4, o X „U„ o, C. v0.? X lul p, s5 = zz 9- h. d. - e. f 13S,Gq 1zi5. 77 /6 0 X "U" _ X 'U" p p? _ / pB X lull O.GyY= X I'U" _ go X -'U- 3 ............................. ............... Total Tf ii-om ;94 ie thA earn ., -- 7.,« +t- ;t„•., Al ,,- 1 k- ,.,at i-},a i"t aat of .otal exposed roof/ceiling area = ---_-_ ?Z__.----- j. Total s%vli;.ht area ................... ............. Y,. Total roof/ceiling fram),.ng area (;,veraye 10%)...... _ 1. Total net insulated roof/ceiling area............" g20.91 ricten-[Lne "U" value for each roof/ceiling segM--nt. j' - x „u„ -- - ---- Y. q? a "u.. Q. Z I. x 'lull r 4.." ................". .Total = C? " y y If total of 4 is the satce as, or less than r2, you have met the intent of SBC 6006(c)i. . Alternate Bei'_:3ir.g Envelope Design To u`i_i: c the 1-otal erz? ol.oi>e s'dstc-n r:'jethod, the alun.s established } 5111; of it_'s '3 and 4 ....al-L r,ot he greater tlnan the su;a of its.- „i and F2. 1. / 17 3. /7y/8 + z G: 76. i ,p:::cr• •.:, 71 :u ca `or fr..: c U'uction I r I ? ? I ]C i.L _ `' - - r'IG. »1 iC_'d7ES U_ FIG. V Conn c;,%.t ion /4 QL/ IC-rOn/ r-v,1 nc e 1 . 7 3 r _ c ?_i_: __.; i f i l m i l m 0.63 2. r/z " G t3o4 ? o . 5's 3. ?%s i ncl:cs Sofr.._?c d _ 8 9 _31v?' Z=?e?? gxsti?A??/1yp_ - - 6, ov 5. 0,67 6. Er.tr.•rior air film > 0.77- ---------- -------------------- - Tot:al y_aOe -F 1. 6hvcc 2. f COY -3. 4. S. 6. , 7ntc:-ior air film 0.68 J1. 67 Fxterior :air film 0.17 ---- --- ----- ToCa /8.97 9' 1. 7n::cri?or air film 0.68 2 3. I?/O?rv?SfO/CQ--- -- ---- b. Exterior air film _0-17_ ---- - 'iote.l g,?r7- 6/ ?• 1. 2. 3. 9. 5. 6. SL7!B ON G?-?DE Interior air film O. 68 -!s?yPfQ?? l?s?r Ff?---S-aP rxtcrior air ilm -- --- Total 6,-q6 - u = p, i sus( ew. FiG. vq ' /rf /(l 6.• l //('? 5. Air Film n_a:-1u1 ion (O5?c for Item L) -- /?:• ?- 0.6 1 O - ?- 111, ,Total` 9 9/ .?• -- - ---- ?' u - 0.025 Ci G _ F i i:G (D_:e for Stan K) .,.ed III fJ.__ l? -rLt FtoW 1 0.61 J-- In`erior Air- fi-lm.- P 9 - - - 3- Ir,ci,es_=oft loood ? 3'?Z ••? ----_ _ -? ??py !iG. r5 d. IOCt'._5 _ir.sul_-_,O`Jd l J1 1-V up vented P1G. n6 s = ,? J1cGC +1.:_ up 1- 7_ (_ri0 _a-ir film 2. /? SUNG-rGN 0.611 7 U=0.032 (11 3. -- ----- - ------ S. rx'.erior .a-;- "ila: (still) --0'61 Total 0-61 1. Insid_c air film ---------_-- 0.17 S. l7ilLtilU•' sir .- . i-f mode c:i:',,e i? i'cltc: L, c - -- ):Ceded for and c. le :1:?fio. 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: 73Qc? ii7'l`x:P Cr)p Ct E0 LEGAL DESCRIPTION: h- - 8 AJ Of 'r A li 3 S( r , I'l ac (L ot/BiOCk/S vision or Tax Parcel I.D. N ) j IF WCi --:G STRUCIu ZE , DA,E Of ORIGINAL BUi?? ING P=1 IS?J iiC PRESL 1 =NISr/PT?OPOSED fJ R-1 SINGLE FA7,11i?? ? R-2 DUPT>; (TAO UNITS' ? R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ? R-4 APARLT,a-7T/CONDCMINIUM ( UNITS) ? COMMEFCCIAL/RETAII,/OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GOVE1:d,1MELFT 2) APPLICANT (PLEASE PRINT) NAME: ADDRESS: GSo I Cp S CITY, STATE, ZIP: YIOJ m n1 PHONE: I -j? uq ' 7 3) PLUMBER PLE ASE PRINT) FOR CITY USE ONLY NAME- `1CL'?i „""???- . ADDRESS: C' 0 fZ4 11 PL 116/ CITY, STATE, ZIP: kjtt) cl ? k !l "557 6 % v ed PHONE: 1-72 PLUMBER LICENSE # of Re ord i 4) OCCUPANT/OWNER IPLLAJt PN1NT) 1. NAME: ,y? ADDRESS: yb 2-0 CITY, STATE, zip: &h Y17? SS PHONE: `19 3 - o s S) INDICATE WHICH PERMIT IS BEING REQUESTED: ['CONNECTION TO CITY SEWER [KI`CONNECTION TO CITY WATER C] OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: B-IPLEASE H PP --- -- OLD A ROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 AB9,7E (Circle one) 7) SICLVATL'RE: (? 7 L?"? ? DATE: C -?C? ?J 8RAWom "worn jo 11 EmLsw>rw so mo ftimjw?:owVo a,'. F O R PERMIT # ISSUED I T Y U S E O N L Y FEES: $SL, $ $ $ /S oa $ $ o. U $ '- S SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TR]JNK WA ER OTHER $ TOTAL $ AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK.WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: L(// A. / ? TITLE: DATE : .mwmw/kw?w wluwwpasi*w"wlt?w OEMAwjm o?# R40wewseswt vla wcwissm w.. 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIOT KNOB RD EAGAN' MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMESIMND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL. SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET •? - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dakcty. lic. 20.00 I G. SPRINHI?ER • home under consc 3.00 J 'ERATIONS • to - wi _ 20.00 WAMER- OUND 20.00 STATE SURCHARGE .50 J TOTAL: bA SITE ADDRESS: - // awl Crec Drrv - Ap ---q-1(p r gaa OWNER NAME: ( T?)._u'od/ ??sSSe.I Ma?it INSTALLER: ADDRESS: CITY: a a q n STATE: Y)-.-. ZIP CODE:: &51 Z-2 PHONE #: (U 2 ) 1994 PLUMBING PERMIT (COMMERCL4,L) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE STATE SURCHARGE: $.SO FOR EACH $1,000 OF Man FEE MINIMUM FEE: $' 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN' APPLICANT H AT LOSS CALCULATION ° TEMP. DIFF.. Customer Name- Type Construction City - Windows Storm Sash Deeler Name . Walls Ins. Street City - Ceiling Flow _ Ins. Winnows and Doors-Gackao and Area No w'Oln n Pxnx X?.pm of PrnO No. 01 Lllwl h. L n Of It"x ArM M. It. .2 y0 ,2 ?2 Zz- / Cod. Btu Infiltration 40 1 52E Glass / y $z J?yo Exp. wall a Not exp. wall 3ry Int. wall Ceiling dD 3 3- Floor Windows and Doors-Gackap and Arse .23 yep NO. wfdM 01 M INlphl OI M NO of Li hn L~ It. Of emu ArM W h. - a 7 n/ hao 737 a ? o ? 2 sz a- Coe}. Btu Infiltration Glass ?;2 ,2_ 92 Exp. wall Net exp. wall J 5/ Int. wall Ceiling d 3 a Floor Total Btu. a2 $,7$ Total Btu. 22-2-417 _ ;-FI.I J Room I Length Width .5- Height ,2FI.1 ETA Room l L h Y Width 2-? Height Windows and Doors-Craekage and Ara Windows and Doors-Gaekage and Area No. M"ntn nl • NOpm nl OM No. Of 1.hn IWI h. f CHCL AIM q. N. r E Cott. Btu Infitration Glass Exp. wall Net exp. wall Int. wall Ceiling 3 I. low No. "0441 Of OM NO. Of L n Lind h. of yM11 AIM q. ft ff 32 Z 5-1 CDef. Btu Inf iltratbn v H7 Glen Exp. wall Net exp. wall 3 /.S Int. wall Ceiling b 3 ,S? O Flow Total Btu. 3 ?` II Total Btu. ?IFI.) / oomIL h a Width a H' t FI.I RoomILength o? Width Haight Windows and Doors-Gackage and Windows and Duns-Crm*ap and Ara 1 o A Ara N.. WMrn Wwlnt NO. Of nl w of woe U Im L.OMI if, CrKY Of Ar Yq. h. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 0 3d fl Floor Total Btu. 13 6 q Nn. W'Mh Of M Xoleht 0/ oM No. M L n LInxM h. N xtMx Aw 4• h. ? ? ? ??/ ( / S ? D sZ o b>z Colf. Btu Inlihrstion 2 /63 Glare Exp. wall Net exp. wall yy Int. well Coiling Flow Total Btu. 1125 6 d `/mil ??,? _ /3 9G e 15&V C. R. WINDEN & ASSOCIATES, INC. I4{? LAND SURVEYORS Tot 945-3646 1361 EUSTIS ST., ST. PAUL, MINN. 66106 FOR: ZACHMAN HOMES MOM NOTE: o[E o Denotes Wooden Stake [EW ??W[5cale: 11=301 Proposed Garage Floor R E1.=`116.2 a Denotes Iron (915.9) Denotes Proposed BY Monument Finished Ground El. DATE Denotes Direction Bearings Are Assumed Of Surface Drainage BUILDING PECTI0 T 1? 'cP Vertical Datum - N.G.V.D. 1929 W i? G \? I Dro.r?poP ?" L/f•:!!'y Easei,:e,?f J ` N 125.cx) I c)l3.ll 10 L! 10 I4? N c• 2( 0 W u ao O prop nSe 0 O 21.7 Cet•,t U 3 30 0 0 " ?DP ke ?N L-LJ -- g@{ I ?W N ?i 10 _ yy7Y`- 427. _ 7 e N U qG 0 L_ 1 tv 125.00 ? -'(9 W ml r.r 870 30' 25•,.? W bar P?® corcov c - Lot 8, Block 3, SUN CLIFF FOURTH ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF All BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND Doled this 2L'4 do), of t4a?)4_A, D. 1985 C. R. WINDEN 6 ASSOCIATES, INC. Svrvgor, Mmn*wte Ropntrohon No 7726 43oo qk o/ 9" FOR: ZACHMAN HOMES NOTE: 17 Denotes Wooden Stake Proposed Garage Floor E1.=416.2 (9i5.9) Denotes Proposed Finished Ground E1. .tea- - Denotes Direction of Surface Drainage Vertical Datum - N.G.V.D. 1929 L\LJ.f n!/ Ln? 1`r n v J U W L? CE w t` V m 9 0 C. R. WINDEN 8. ASSOCIATES, INC. LAND SURVEYORS Tel 646-5646 f39f EUSTIS ST., ST- PAUL, MINN. $5106 Scale: 10=301 e Denotes Iron Monument Bearings Are Assumed DrO.,i'iOrJP ? (/,{•,!%!L' ?O'SE'IJiE'IIf J _ 10 ?. 10 Cy m V 125"bo _?f9iAA -' Ln u 0 26 Vj ui w 'D ? N QI "- I - n X 17 _ 0 Z o- 21.7 O Q P L x SI a I N I -? N A27, j 1 1 ^ (g 125.00 ; N 87° 30'25,"Yv Lot 8, Block 3, SUN CLIFF FOURTH ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS. IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS. IF ANY, FROM OR ON SAID LAND. Dated this 23"54 day ofM"x_A.D. 1985 C. R. WINDEN 8 ASSOCIATES, INC. 7 Ity Surveyor, Minnesota Repotration No 9726 N??o City of Bain 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: oh/ 3'/I 2 Site Address: 43D0 C.res� O r . Unit #: Y � � Resldent! Owner Name: Wt,.SS, ,i, ��,�� Phone: b st • bvi - d s U 41 Address / City / Zip: (--17S0 b Ccs Gres "t l,r.0 Co,,5 &" S S) Z<Z \` Applicant is: Owner 1t Contractor T e Of i k , Description of work: R, r o 0 -� di Construction Cost: (o0 0 0 Multi -Family Building: (Yes / No ) Contractor Company: LEA 1,n.cb t Zoo ± RefrtotitAti45.Contact: 41 Address: el1(P ti iLA t City: ,ab6 d7.u1..�4) S1 • Z:7 '.' g U 4 State: ,A N Zip: J 51212 Phone: LSI License #: 1 ( S UV 14 Lead Certificate #:.,U'A If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and supporting documents that you submit are co rsidpie dhto lie public information Portions of the information maybe classified as non public if you provide specific reasons that,would permit the City fo ,eon lu le tha they are t adesecrets. 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.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. 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. lVGA Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137301 Date Issued:06/28/2016 Permit Category:ePermit Site Address: 4300 Eagle Crest Dr Lot:8 Block: 3 Addition: Sun Cliff 4th PID:10-72978-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Hasselmann 4300 Eagle Crest Dr Eagan MN 55122 (651) 452-7087 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature