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1997 Chipmunk CtCITY OF EAGAN f 3830 Pilot Knob Road, P.O. Box'21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDiNCARMIT Receipt # ! i- To be used for DEG!( Est. Value Date__?,Ep S , 1991,- Site Address 1997 Ctii tNrc rT Lot _1$. Block I Sec/Sub. NF?DOilt.AMros 1 f'i' OFFICE USE ONLY PefC21 N0. Occupancy - FEES Zoning _ W Name QO=VQ 1t I(J)E11L- (Actuaq Const Bldg Permit 5 Q() - - . o Address 1997 CllIP.MtC7' (eubwabie) - Clty -_$ACANL_ Phone 4412,.53" # of Stories _ Surcharge -?? Q Plan Review Length 1g, o t?ame KIM R?"? SSiN Depth ? $ ' sa c ca Z . . , , y OU ? Address S.F. Total - SAC, MCWCC ? City 1d1'1S Phone 861..2"2 S.F. Footprints - W F On Site Sewage ater Conn _ ? W W Name 6n Site Well w ?- Z - Water Meter = „ Address n?wcc syst? Deposii ?t a W City Phone City Water . _ PRV Required _ 51W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge iniormation is correct and agree lo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?---•. Treatment PI Signature o1 Permitee ?s -' ?jz? ? ?;,; .?•? APPROVALS Road Unit A Building Permit is issued to: Planner - park Ded. on ihe express candition that all work shall be done in accordance with ali Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building OlfiCial r Variance - TOTAL 23.50 ' Permit No. Pertnit Flolder Date Telephone # W4TER 9tWER ? PLUMBlNG H.V.A.C. ELECTRIC Inapection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plhg. Inspector - Notity Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. 9///GJ Dedc Final wen Pr. Disp. CITY OF EAGAN 454-8100 - , DEPT. OF BUILDING INSPECTIONS Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: . When corrections have been made, please call 454-8100 for inspection. Date - - - • Inspector City of Eagan DO NOT REMOVE THIS TAG cIrir oF EA"N , 3795 Pilet Koob Read Eagon, MN 55122 . PHONEe 454-8100 BUILDIN6 PERMIT Receipt # Te 6, wad fer Est. Volue Date : , 19 - Site Address Ercd ? Occupancy Lot Block Sec/Sub. /11ter ? Zonirq parcel # Repoir ? Fire Zone Enlnrpe ? Type of Const. W Noma Move ? # Storles ; Addross Demolish ? Length b r:.., m,.__ 6rode rl Depth Sa. Ft. zg Ov u? ? Assessment _ Woter 8 Sew. Police Firo Enp. Plannar Countil Permit Surcharpe _ Plan check _ 5AC Woter Conn. Woter Meter Road Unit - 1 hereby acknowledye that I have read this applicotion ond stote that Bldy. Off. the informotion is correct ond ogree to comply with all opplicoble APC Totol State of Minnesotn Stotutes and City of Eogon Ordinonces. Sipnature of Pertnittea A Building Permit Is issued to: on tfie expross wndition Ihnr oll work shall be done in acrnrdante wlth all upplicable Stote of Minnesota Statutes and City of Eapan Ordinances. Buildinp Offitiol Nome Addreu - Permit No. Permit Holdar Misc. Ps?mit No. Holder Plumbiny mumwwz? H.V.A.C. w.u Water aifp. S?wer Ekctrie Inipactlon Date Insp. Other Footinga Foundstion Framinq Rouyh Piby. Rough HVA ? Inwlation Final Plb¢ Ffnal HVdC Final Waftr Dpui6e Loptlan: VWII Somr Pr. Ditp. CITY OF EAGAN ' 3745 Pilot Knob Raad Eogan, MN 55122 NR 6473 ' PHONE: 454-8100 BUILDING PERMIT r- L. .....1 A.. Site Addi Parcel # 44 . t.r n Lot Block Sec/Sub. _ W Nome 3 Address 0 ?p Name F Address F' C'i+.. Pknne Name _ Address I hereby ocknowledge that I have read this application ond state that the informatlon is correct ond agree to comply with all applicable State of Minnesota Stotutes ond Ciry of Eagan Ordinances. Receipt # Erect ? Otcuponcy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move p # Stories Demolish ? Front ft. Grode ? Depth ff. Avvro vol@ Fees Water & Sew. Police Flre Eng. Plonner Counci I Bldg. Off. _ APC Permit Surcharge Plun check SAC Water Conn. Wnter Meter Rood Unit Total Signature of Permittee I A Building Permit ls issued to: on the express condition thct all wo?k shall be done in accordonce with ail appliwble State of Minnesota Statutes and City of Eagcn Ordinonces. Building Official Perwk # peft bpwd Poneiftw Plumbin9 ?2 -,7Q-// Mechanicol - IF/ INSPKTIONS DATE . INSP. Rouyh-In ? F(nol Fqotings ? ?j Dote Insp. Date Insp. Foundat' Plumbing ' j- Fr me/ins Mechanica ^ ? vT Final - G;-Q ?i •^f I I Remorks: cinr oF EaGaN 3796 Pilot Knob Road Eagon, Minnesota 55122 No. Phone: 454-8100 PERMIT Date: Site Addreu: Lot Block - 5ub/Sec. Nome g Address ? City Phvne: Name p. b ? Address e s City Phone: This Permit is issued on ihe express condition that oll work sholl be Minnesota Stutuies ond City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiai Multi Res., Comm./Ind. I New/Alter./Repair Cost of Instcllation Permit Fee Surchnrge Totai done in uccordance with all epplicable State of Building Official No. crnr oF EAGAN 3795 Pilot Knob Road Eagon, Minnesato 55122 Phone: 4544100 PERMIT Date: Site Address: Lot Biock Sub/Sec. Nnme Address City Phone: . 0 0 ? ? ? ? ? Name Address INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipf No.: Single Residentiol Multi Res., Comm./Ind. I New / Alter.l Repflis Cost of Instollntion Permit Fee SurcFa?ge n3v 2fwtt V I City Phone: I TotCl This Permit is issued on the express condition thot all work sholl be done in accordarrce with all appliwble State of Minnesota Statutes and City of Eogon Ordinonces. Building Offitial CITY OF EAGAN Remarks Addition Meadoviand lat-1lddition Lot 28 eik 1 Parcel 10 48050 028 01 owner??n..Pti`?;. `. ?;,)piiiia tI• rsi st,.et 1997 Chipwtink Conrt _ state Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREETRESTOR. MP• lb89.99 158.99 /y3/aD A010639 10-7- 1 GRADING SAN SEW TRUNK 7 1970 77.95 3.12 25 .63 A010639 10-7-81 * SEWER LATERAL i:,',^ A010639 1-7- 1 WATERMAIN ,t WATER LATERAL WATER AREA L' 7 38. 1.2 A010639 10-7-81 SEW TRK F 1971 282.92 14.15 20 a A010639 10-7-81 STORM SEW LAT IQRI * CURB & GUTTER SIDEWALK STREET LIGHT 0 22521 121221.08- WATER CONN. 5. 0 . OO 305 22S21 12 22 SO BUILDING PER. SAC PARK CITY oF EAGAN BUILDING PERNIIT APPLICATION .?D Zb Be Used For V-0\L`S h't>a 3f n1t n-?Valuation Site Addrnss: ?i 'ri ?7 (311?,???,?? Lot aK Block I Sec:/Sub. ?f a. j Parcei #: 10 4?0 ??O v Z R' c) Owner: r-. Adaress: I 4't -7 Ck , n,,,, ?,l k Include 2 sets of plans, 1 site plan w/el.evations & 1 set of energy calculations. /O C> 0 Date OFFICE USE OIVI.,Y Alter ? Zoning Repair Fire Zone Enlarge Zype of Const. Nbve # Stories Demolish Front ft. Grade Depth ft. APPROVAI..S FEES Assessments Pennit ? Wat,er/Sewer Surcharge Police Plan ChecJc ? Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC City/Zip Code :?,4 6,,4nl Phone #: y? z-.? 3 y y Contractor : Address: City/Zip Code: Phorve # : Arch./Ehg.. Address: City/Zip Code: Phone #: ..'Y OF EAGAN :795 Pilot Knob Road Fagon, MN 55122 Zoning: Owner. Address: Site Address: Pl umber: Meter No.: Size: Reader No.: 0 egroa ro aonfpiy wiN+ the Citr of Eagan 16rdinances. By Dote of Insp,: _ Connection Charge: _ Account Deposit: _ _ Permit Fee: Surchorge: Misc. Chorges: _ Totnl: Dote Paid: CI?'7 OF EAGAN SEINER SERVICE PERMIT ? 3795 Pilor Knob Rood Eogan, MN 55142 PERMIT NO.: DATE: Zoning: No. of Units: Owner: Address: - Site Address: Plumber: 1 agree to aomply with tM City of Eagan Connection Charge: Ordinaneas. Account Deposit: Permit Fee: Surcharge: By Misc. Chorges: Dote of Insp.: Totcl: Insp.: Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: • No. of Units: r17 This request wid , 18 months trom % - ... , ?I?,1$s__ 7 w ft A /Licensed Electrical Cont?actor . 1 beroby requsat iespection of ebova electrical work installed et: / te N o. Street Address, Box 5(am(A ? ) F- Cf City ^/t"V Sew-tton . owns iP Nellie or o. nge o. County Occupent (PRINT) Cz? f -?? L? ?? Phone No. 5 a? 5 3q Pbwer Supplier Address Elecirical Contracta IConvanY Namei .? ? Comractor's License No. kIailinp Address (Contrector or Owner Mekinp Instailation) nxl - - 7 ? / [A:t:hn' ipnature kinp Installation) cJ Phone Number - l ?Ct -? T i1NNESbTA16ATOsOARD OF ELEC7RICITY Gripos-MidwaY Bldp. - Room N-197 1221 Uniwrsity Ave., St. Paul, MN 56104 Phar 1612) 287-2171 iL A Cl7_q.fi e m Evn'-? .,?I.'BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. ? Eg_00001-04 CITY OF EAGAN ' 3795 Pilot Kno6 Read Eagan, MN 55124 N2 6473 PHONE: 454-8700 II i PE s l ? BUILD G RMIT APPLICATION Receipt # To be uced for SF DWG/GAR Est. Value 44,000 pate 12-22 19$0 Sife Address 1997 Ch1AIDitrik Ct. Erect g] Occupancy R3 Lor z$ Block 1 Sec/Sub. Meadowlands Alrer ? Zoning Rl Porcel # 10 4$050 028 Ol Repair ? Fire Zone 3 Enlarge ? Type of Const. V a Name John B. Mahoney Move ? # Stories ? Address Rt, 1, BOX 239 Demolish ? Front 62 ft, ° Cir 1'r10r Lake.Mn phone 447-3360 Grade ? Devth 24 ft. p Name _ ?Q Address z Name I hereby acknowledge that I have read this application ond state that the information is correct ond agree to comply with oll applicable State of MinnesWa Statutes and City of Eagan Ordinonces. Water & Sew. Police - Fire Eng, Planner Council Bldg. Off. APC Feee Permit_ 1L.?.?'V Surchorge 22.00 Plan chetk 62.75 snc 525.00 Water Conn. 305.00 Woter Meter 60.00 Road Unit 185_00 Totol 1 '285 25 Signature of Permittee A Building Permit is issued to: JahIl B. M3llOri2,y on the express condition that all work sholl be done in accordon wlth all a/p?pIlywble State of Minnesota /Siatutes ond City of Eugon Ordinances. Building Officiol ? ''? ??-?-?°-?'? ?f BUILDING PERMIT vol Site Address 1771 uLLP_s? ? Lot 28 BI«k 1 Sec/Sub.MeadWland Parcel # 10 48050 028 Ol w Name Roger Hi.1dPll ; Addreu 1997 ?t"`..""` ?'OLR't b _ c-._.... ca707 __ /.S9_S9G/. p Name _ 0?' Addrett H n... Name _ Address N9 7171 Receipt # Erect ? Occupancy "' '" Alter iN Zoning R 1 Repair ? Fire Zone NA Enlaroe ? Type of Consf. NA Move p # Stories ak Demolish p Length NA Grade ? Depth_la-Sq. Ft.- Aoerevals Feat Assessment Water & $ew. Police Fire Erp. Plonner CounNl Permit _ Surchorge - Plan check _ SAC _ Wafer Conn. Woter Meter Rood Unit _ I hereby ackrowledge thot 1 Fwve read this apPlication ond state that Bldg. Oft. fhe inlormalion Is corre ct un g ee to co ply with all opplicable ro APC Total $1 R_00 State of Minnew Statutes Ci of on Ordi nces. Slpnature of Permittee A Building Permif is issue to: on the expreu condition thae all work sholl be done in accord nce wlth all plicable Stote o innesoto Stotutes and City of Eagan Ordlnances. Building Offkiol a!, L CITf OF EAGAN 9795 Fllet Knob Raad Eogsn, MN 35122 PHONFs 454-8100 CITY OF EAGAN N2 19643 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8700 BUILDINC PE C? 7S ? ? / C) J v RMIT Receipt # ? To be used for DECK Est. Value Dale SEP 5 , 79 91 Site Address 1997 CHIPMUNK CT Lot 28 Block i SeGSub. MEADOWLANDS 15T OFFICE USE ONLV Parcel No. occupanoy - Fees Zoning - W Name RO .R H7 .D .N (nctuaq Const sidg Permit 25_ n[7 Address 1997 CHIPM[INK CT (Allowable) - - S!1 o Surcharga City EAGAN Phone 452-5344 xorsrories - 14' Plan Renaw length o Name KIM RASMUSSEN Oepth _1 snGCny Address 59513 PLEASANT AVE S s F rawi - City MPLS Phone 861-2461 S.F. Pootprints _ SAC, MCWCC Water Conn On Site Sewage - ?? ? ?+W Name on site wan - l W t M ?z- Address MWCCSyslem _ a er a er a W Gity PhonO City Water _ AccL Deposit i W P PRV Reqmred - S/ t e" I hereby acknowlege that I have read this application and state ihat the Booster Pump - gM! Surcharge informa6on is correct and agree to comply wnh all applicable Slate ot Minnasola Statutes and Cny Ea a ances. TreetmentPl Signature of PefmNee X IL-L-om+wn/ APPROVALS Road Unit A Bmlding Permit is issued to: KIM RASMUSSEN Planner - park Ded. on ihe express condition }hal all work shall be done in accordance with all Cauncil - applicaWe State ot Minnesota Statutes and C it y of Eagan Ordlnances. gld9 pff Copies ry y ? } ? Building Olficial \ -? Variaxe - TOTAL 25•$0 ?t This request void 18 m&ths from ' Date o?f equest ??_g?Sxr Fire No. S' 95291 I, as ElLicensed Electrical Contractor ? Owner, do hereby request inspection ot the above electri- cal wiring installed at: A • a . _e _ Street Address or Route No. `1 T Section Townshi? a Y Which is occupied by ame of occupant) Is a roughin inspect' required on his job? No Yes ? Ready Now ? Will Call gr? Power Supplier Address 41 cl, Electrical Contractor Contcactor' cense No. _ (COmp IVame) ? 1-3h Mailing Address / r(Electrical C tracto o? wrfa? Makin9 Thls Installatlan) Authorized Signature Phone No. (E ca Contracto ar OM'nef akin9 This Instal(atiOn) ? ?M This inspection request will not he accepted 6y ffie ?± V?a'rJ? ll State Board uniess pmper inspection fee is enclosed. _ Minnesota State Board of Flectricity Griggs Midway Bldg. - Room N191 gg_00001-02 ? 1R21 University Ave., St. Paul. Minn. 55109 - Phone 297-2111 ??? . TH S R QUEST ION a, S 95291 CHECK BELOW WORK CO ERED BYRICAL Type of Building New . Rep. Check Appliartcea N'rted For Check Equipment Wv?d Fo: Home ? ? Range ? Tempoiary Wiring ? Duplex ? ? ? Watex Heatec ? Lighting Fistures ? APt Blag El 1:1 El DrYes ? Elec[ric Heating El Commexcial Bldg. ? ? ? Fumace ? Silo Unloadei ? Industrial Bldg. ? ?1:1 Ait Conditioner 0 Bulk MJk Tank ? Farm ? ? E] List List p ? ? ? HeheTS $thers ere - Othei a,vivir v i .: .?.?, ,.;... Senice Ent[ance Size: ..... # . , ...., ... Fee ..,., .. Feeders$Subfeeders: # Fee C¢cuits: # Fee D ta 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200Amps. Above lOD Amps. Above lO?Amps. Transformers RemoteContiolCiic. Pamalocotherfee 5i ns Special lns ection Minimum fee S-00 Remarrks _ TOTALF _3 dv r 0 I, (Final) This request void 18 months from certiry gregthe ?W&t?`has been m?e? ? a i?'?+ ? Date t 4 _ ? ^ --LYA'(. SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 1991 BUI 1N6 P??? CATION CITY OF EAGAN ? ?LSTI.TIYLE DWELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL P1ANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APYLIES VHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WDRKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEFN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. To Be Used For: I,gCk_ Valuation: +?-^ Date: Site Address OFFICE USE ONLY Lot nf"' Block 11 Parcel/Sub Owner Address City/Z Phone Contractor Addres vw) 1 City/2ip Code ' V((] (5 W?,[ u?T? Phone Arch./Engr. Address City/Zip Code Phone # Occupancy Zoning Actual Const Allowable # of stories Length , IZ XtY Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC Syctem _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. b_TT7/-9/ Variance FEES Bldg. Permit .?S•?? Surcharge 7Y% Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Sewer/Water Licensed Gontr. agrees that all woCk shall he done in accordance with ( ignature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. • .? Y?(:137'^?'1`1. . ??? !•? I I ?II ? ?? ? DEEfV,AR H. SCHWANZ ? lAND1UPVEYOR UnO.. Lhwl ol TM Sl.u of M.nnewlo 2Y7{- 1"TM f?REET W. - BOX M ROSEMOUNT, MINNESOTA 66066 SURVEVOR'S CERTIFICATE CO. ?OAO ?lG. ?O ? ? 0 ? ? I d ? TO Ld c .Q d ? Z 0 Q i? zo .. ?. J 1 OG, u =. P.?°' ? a' Z 2? F_ `J ?o'c : - ? ? U rs+?m) wac ? ?{ ?.. ! ?- 1- -*--- - - - JL ---1 ( ,S B ? ? 13 ! I ??xiy ? AGCK D ;2 , ,, IIQ?•?? ay ? $MeP t1-, 0 t ) r 1? ir ? /)r? 4. I `I 10 - --? -t-- ? ---? Q 0 d.n tcx.oo s. a9° 29 2LG M (A \ \ ?HONE s/7 433-17N uI . / r o? n, o ? , . . . . ` - .- ! ... 0 0 SCAI.':: 1 inch ? 30 ft. r 0 . -- ,1!% i'? 1 /? ? .• • " i . ? ? r . , , •, ' / //,, ? ._ ? •? 1 ?? ? ? + ? ? r -- , ? _ CI-E1PM??N K 0 Ou?ci I nereby'certlfy that thls is a tr'ue an3 corroct rrpresentation of Lot 28, R:ockl , b:EADOWIA^II'i P?}iST ADDITTON, accordi.ng to the recurded plat thereof, Dakota County, Yirinesota. Dated: July 16, 1979 • ppprove?d? ?? n& CD?D `?earl E:;tare "?.?ge: en'?, Inc. . ,; C'fL? C'??- ,'`('? WPCPP- w lt-?+N' MJU ?----- ? ? by : ?^? MINNESOTA REGISTRATION NO 8625 ? uq-?aa ??--?- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslrudion Reouirements RemoOeVReoair Reauiremenls Office Use Onlv 3 registered site surveys showing sq. ft of lot sq. ft of house; and all roafed areas 2 cop'es of plan CeR of Survey Recd _ Y_ N (20% manimum lot ooverage allowed) 7 sel of Eneyy Calculatlons for heated additlons Tree Pres Plan Reod _ Y_ N, 2 copies of plan showing beam 8 window saes; poured found design, etc. 1 site survey for addtlions & decks Tree Pres Requiied _ Y_ N 1 sel of Eneryy Calwlatlons Addition ? irMicete if on-sRe septic system Onstte Septic System _ Y_ N 3 copies of Tree Preservalion Plan H bt platted after 717193 Rim JoSt Detail Opllons seledian sheet (buadings wiN 3 or less uniLS) Date Site Address 'Q rJ Construction Cost %(0 UniUSte # -S 12,Z, Description of Work Sl ? IA A"11 wt? Multi-Family Bldg _ Y X N Fireplace(s) ? 0 _ 1 _ 2 PropertyOwner Telephone#(?? ) ?S?a-- ?IIQS Contractor CTlll?,'IQ.S? l,x???(xs L?.C ? Zcs31 (O% Address ??O?lU1 ?T State (11KJ iI.JCI /-Jf L; Zip 455?0(4 City 5? •?v??. Telep6one#((p?Z) COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Cateeorv 1 _ Energy Code Category . Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pl i i the ca se of work which requires a review and approval of plans. A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted ? `Cl e'1 Applicant Printed Name 30 2005 RESIDENTIAL BUILDING PERNII'C APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucGon Reauiremenis RemodellReuair Reauirements Office Use Onir 3 registe2d sRe surveys showirg sq. R of lol, sq. R of house; and all roofed areas 2 capies of plan Cert o( Survey Red _ Y_ N (20% maximum lot cove2ge allowed) 1 sel of Energy Calculations for heated addi6ons Tree Pres Plen Recd _ Y_ N. 2 copies oF plan showing beam 8 window s¢es; poured fourid design, etc. 1 site survey for additlons 8 decks Tree Pres Required _ Y_ N 1 set af Energy Calwlalions Addifion • iMicete i/arsMe sepfic system Onaile Septlc System _ Y_ N 3 wpies of Tree P2servatlon Plan Nbt platted afler7M/93 Rim Joisl Detail Options selection sheet (buildings wAh 3 or less uniGa) Date 7 / I 6? os Construction Cost /0i 7Sa• Site Address cn [e a k - Uniuste # Z;?G- Description of Work 6j?N Multi-Family Bldg Y_l/N Fireplace(s) _ 0 _ 1 _ 2 SvC . Telephone #(6S1) go..(r - ?2TV Property Owner Contractor 63"Al , ) oo. Address ? ?' City G« . State Telep6one # &-/) _S9J' -? j 7f0 l- 77 -//eO ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissioniype) Submitled Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?? - -- ?T - ? ? r? ApplicanYs Printed Name Applicant's Signature          ÿñÿ þý ýü þýý   üÿüúú     ùýý ííÿï ÷ äâ ýìý äåä ÿ  þýø  û úùø  ð ó ûúùø  ö ôý    ø ó ûó ïûøýù ò  ñûý  íø ã í î îí íýù ñû í    ý  íêóîí ùëû íû ø  ø    ý  ý ê óý íé    ý  ñû  ùýì  ýíùîí ê ý ð çæçääêåäêäå öù  û îý çêå ê å èýûýüê  õíô ø óò øøý  ý Þýù÷   ßáêðý  ßóîøíûó ÷ ã âáååþý ýâáåå ÝåÜä î ùýì  îýîýã  ýîýøøýýý îýî  íý ýý íøùìîýýøøý   ý  â ý ýû ýóùþý ýï ý ê øøýë í   ýû û ù  ýû PERMIT City of Eagan Permit Type:Building Permit Number:EA115841 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 1997 Chipmunk Ct Lot:028 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-028 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Jay R Stien 1997 Chipmunk Ct Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature