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1342 Cosmos LaneCITY OF EAGAN Run 4th Addition Lot 5 Blk 2 Parcel 10 84353 050 02 Cosmos Ln. state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING AN SEW TRUNK 1973 163.26 8.16 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 11 TORM SEW TRK • lg$3 261. 3'j 17. 42 15 STORM SEW LAT _ CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $320.00 13171 4-14-75 BUILDING PER. #354 13173 4-75 SaC 171 4-14-75 PARK INSPECTION REC4RD I ..,I CITY F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? 1-r+ SITE ADDRESS: APPLICANT: 1 ? .,t J111 . I A P41 t ifi,l it,li, I 'iN n r ii ?41 - 11v00 \ 1 PERMIT, §UPT;PE: TYPE OF WORK: r4t r' A (0 1tt F+U()1- frnrif I No, ? i ----------------- iot •cr 1; 1i• tfi„, I ? ?1 Permit No. Permk Holder Date Telephone M ELECTRIC PLUMBING HVAC inapection Date Inap. Comments FOOTINGS FOUNO FRAMING RODFING RQUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL H BSMT R.I. BSMT FINAL DECK FTG ? DECK FINAL ? -?S- -..? CITY OF EIfGADT 3795 Pilot Knob Road Eagan, Rti.nnesota 55122 LJ .AE? fG PERMIT NO.: rc,7. The City oP Eagan hereby grants to TQV4- .,et--a Gy of lASd Gran.i Ave_ S_ Pan1 55105 A P7I7MRZNG - P2T'tt71't POP: (OWriBP) Tils n ConStTUntion at 13a2 ro?s rArP , pursuant to application dated E/5/75 Fee Paid: g20_00 dated this _Etb_ day oY T,n? p 1 79 ?5• .SO s/c Building Inspector Mechanical Permits: Bid Totala 5-.?--? w,P - PERNffT N0.• 705 The City of Eaoan hereby grants to Neil & Hubbard CI'L'Y OF LAQ:N 3795 Pilot Knob P,oad Eagan, A'Iinnesota 55122 ef St. Paul a HEr+TZrrG Permit for: (Owner) Ti s n Hom 1374-1378-1384 Amaryllis, 1371 Cleomet 3? Cosmos, 4378 Dunrovln, and at ;371 Svensk Iane ? pursuant application dated 7/15/75 Fee Paid: S140.00 dal;ed this 21 day of 7ulv , 19 75 . 3.50 s/c Building Inspector Uechanical Permits: Bid Total: (G CITY of EAGAN BUILDING PERMIT owne: ....... .'"...":.............. ....:.°.......`.:"U ..................................... Addeeu (pseeen!) ....._.. d-.? ._u "7? ......'-"' _-°--.......-' "........ _ Sullder Addrew DESCRIPTION 1/ . 1. N°_ 3544 3795 Pi1of Knob Road Eagan, Minaesota 55122 454-8100 ?? /5....?? Dele .... Blosiea To Be Uced For - F:ont Dapih Hsig6! Eal. Cost armlt Fsa Asmaslu p .................. "" -" "'_..? ....................................... Per .............................. 61-1?( _.e`izt',o? ?t.'........."........'-'-"......... . . . . . . . . . . . . . . ' ' ' ' . _ . . . . . . . . Mayor ?j Buildlag Impactor 1?9 This permit does aoi aulhoriae the use of sireafs, roads. alleys or sidewalks aor doee it glve the owner or LSa egaa! the righi !o ereale enp situazion whiah is a nuisenea or whieh presenis a hazard !o the beallh, safelp, coaveaienn aad general welfaxe fo anpoae in the eommunity. - THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROG. This is !o cer3lfY. !hal.--?1:?-?:.......................................... ?4?-hasparmission !o erea! °...... -.....:......... ........... ..................... _upoa the above described premise sssbjeei Yo the provisions of all applicable Ordinances for the C' of Eagam/ YlLipaE Cf EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: . 172$ . Eagan,MN $5124 pA'CG: 5[32/]5 Zoning: Rl No. uf Uni[s: 1 Owner: 'Ti1_Sg1L fiOIDES IIIC. Address: Site Address: _1342 Qo_s_mo8-L8ne WR Plumbec ?etera - Bey-Roc _ pd Meter No.--2--'? ;?,,F4?'`J Connecaon Charge: 320. 00 Siz.e: ?'-4?/? Accoimt lleposit: - Reader No.: Permit Fee: 10.00pd 1 j to compiy wifh the Villoqa ol Eogon Surcharge: • 50 ? O manoes. Q Misc. Charges: 60-. 00 Pd Total: . By Uate Paid: Date of Insp.: Insp.: _ iLLRaf OF EAGAN SEWER SERVICE PERMIT 795PilatKnebRood PERMITNO.: 2490 oqon, MN 55122 DATE: 5/12/75 bning: nj No. of Units: 1 )wner: Adress: :ite Address: 1342 Cosmos Lane LSB2 WR4 °lumber. Peters - Bey-Rnc 425.00 pd op.se to comyly with fhe Villaye ef Eagan Connection Charge )rdinaneas. Account Deposit Permit Fee: 10 00 od Surcharge: SO od 3y; Misa Charges: Jate of Insp.: Total: fnep.: Date Paid: ' I '4 Iz 2,16 3s-/y I? I i i M O ? v E:::? TY Li?vE =i ? ? N 0 M A?EqR- ooRooaeTr Lwz-? ?. U/ L N I \ v ti 17?u4t Yt uNE? ? 1311k Gos Mo5 tN L oT ? BLQG K? I ? ????fc-/- _- t% R , rRoni'T'_?QOi??fZTY.__ Lf_Nt ? I 1- LQT -PL AN Rpalel SZ.:- 71I(o MASTER CARD Permii No. Issued Issued To ConTractor Owner BUILDING PlUM61NG CESSPOOL - SEPTIC TANK ??/ 7? YJELL ELECTRICAL HEATING GAS INSTALLING ?D,5? ??. SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING ?' . SEPTIC FOUNDATION ? CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING ? DEPTH OF WELI GAS INSTALLATION SEPTIG TANK CESSPOOL DRAINFIELD PWMBING WELL SANIiARY SEWER - Violations Noted on Back COMMENTS: OWNER T/sr? STRUCTURE AND ??? IAND USED AS CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84353-050-02 PERMIT PERMITTYPE: gurLozNG Permit Number: 028689 0$/27/ 9 6 Date Issued: 1342 COSMOS LANE LOT: 5 BLQCK: 2 WILDERNESS RUN 4TH DESCRIPTION: REROOF Baii`'8"in?g Permit Type 5,;u3lding`-^Work Type Census-Cotl'e'?, f ? l S I l ? .. wi0.7... STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL r ? t3 1?2 ? i;i:! REMARKS: FEE SUMMARY: cant 890340 2001 7 CRbRTWPE-FING _ pPP111 1333 LARC INDUSTRIAL BLVD BURNSVILLE MN 55337 (612) 890-3900 SCHRi14TZ JACK 1342 COSMOS LflNE EAGAN MN (612)681-1589 ? I hereby aaknawledge that I haVe read.this,_applieation apd state.that Che inf'ormation is eorrect and agree t'o camply.wSth all applicable State of Mn. StaCuCes and City of Eagan Orda;nartces. APPLICANT7PERMITEE SIGNATURE ISSU BV: SIGNATURE -1 • CITY OF EAGAN 1996 BUILDING PERMIT APPLBI ATION (RESIDENTIAL) 681-4675 New Conatrudbn Reauiroments RemodeURaoair Reaufrements ? ? 3 reptstered eite aurveys ? 2 copies of plan ? 2 eopiea oi plans (Indude beam & window a@ea; poured fnd. design; etc.) ? 2 ske surveys (exterior addttlons 8 decks) ? 1 energy ealculetbne ? 7 energy ealculatione tor healed additions ? 3 eopiea of tree presenaNon plan H Id plaried aRer 711/93 requlred: _ Yas _ No DATE: c?S - Z?3 ` q(o CONSTRUCTION COST: DESCRIPTION OF WORK: '??? ?? ? ? Rt-LF- STREET ADDRESS: ? oZ12-- C051vO5 z-/J LOT BLOCK cD,_ SUBD./P.I.D. #: PROPERTY Name: ???A2TL J,*?K Phone #: OWNER M StreetAddress• 13y7- c0.501os G-/1/ City: ?G?6??44) State: Ati Zip: CoNrMcTOR Company: H0217t:%A) P-2?6?W6 Phone #: efi?'3?OD Street Address: /333 4412C /ND 8Z-1)P License #: 7-00Iz25- Ciry: -8410V5 State: .J LLAI Zip. 53i337 ARCHITECT/ Company: Phone #- ENGINEER Name: Registration #• StrogtpAdrQSs. City: State: Zip• Sewer 8 water licensed plumber: change are requested once pertnit is issued. Penalry applies when address change and lot I hereby acknowledge that I have read this application and state Mat the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates ot Survey Received No _ Yes Tree Preservation Pian Received Yes No CTTY USE ONLY LOT ? BL ? RECEIPT #: SUBD. Wj9W MILM- ?- T? RECEIPT DATE: MECHANICAL PERMIT # 3?a5 r 1999 M£CHANICAL PEfiMTi' (f;£SIDENTIAL) crrY oF Ensm 3830 eaoT xxos gn $A6AN MN 551 Y2 ? - wct (e51) 681-4675 . Dare• Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU $ 30.00 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge 50 $ Total Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or repair. _ New Alteration Repair ? Other ?-ep ia ce- Reminder: Ca11 681-46 75jorinspections. _ Furnace X Alr conditioning _ Air exchanger _ Other $ 30.00 State Surchazge .50 Minimum Total Due $ 30.50 SITE ADDRESS: I31a C QS MQS L nU67 F. r`G' A ?v OWNER NAME: V 6?,^ 1 1 T S G n v i ? R-T Z PHONE #: b5 *) - 6? INSTALLER NAME: ?'?`r ? PHONE #? 10 1 Z - d cYI ? ts 7? ? (AREA CODE) STREET ADDRESS: Q t? C ?1.? C. ?Fl CYo fY CITY: 6.+ 6 /J STATE: M J " ZIP: 0 0 r SIGNATURE OF PERMITTEE :? D I 3 ? , ? RESIDENTIAL p ?,J,,(? ?5i BUILDINC PERMIT APPLICATION ??`i" CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaulremenb RemodeVReoair Reauirements • 3 regislered site suneys shwring sq. R. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan (20%mauimum lot coverege allowed) . 1 set of Energy Calculations for heated addflions . 2 cnpies of plan showing beam & window aizes; poured found design, etc.) . 1 site survey for erterior addi6ons & decks • 1 set of Energy Calcula6ons . Indicate if home served by septic system for additions • 3 copies o(T2e Preservation Plan it lot platted after 711/93 • Rim Joist Delail Options selectian sheet (bldgs with 3 or less units) L?o DATE J- ? v- ? VALUATION 2I?(ov? 'f SITE ADC TYPE OF LTI-FAMILY BLDG _ Y _ N 'IREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ???VBIl@JI E7(O0f10f8? ?11C. 99??8,3,.?W STREETADDRESS Coo^PapktS+MN $5M CITY STATE_ZIP TELEPHONE # 93r- CELI PHONE # FAX # I(C5 --7.';5-5?ffi ,?5x PROPERTY TELEPHONE# I?? -?g I - I?0 ? -------------------------------------------- '-'------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATrCORY 1 MINNrSOTA RUI1.S 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechantcal Contractor. Mcchanical system includes: Sewer/Water Contractor. Phone # Phone # Fce: $90.00 ree: $70.00 ---------------------°---°--°---°---°----------------------°-------------------------------------- I hereby acknowledge that I have read this application, state th e information i orrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eag r' es Signature of Applicant ------°----_------°------------- ----- - ------ ------------------------ _-.-----------°--°°° OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ Water Hcater _ No. of Balhs _ Phone # Lawn Spi•inkler No. of R.I. Baths _ Air Conditioning Heat Recovery Syscem Updated 4/02 PERMIT City of Eagan Permit Type:Building Permit Number:EA117079 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 1342 Cosmos Lane Lot:005 Block: 002 Addition: Wilderness Run 4th PID:10-84353-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . jackie terrell 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 - John Schwartz 1342 Cosmos Lane Eagan MN 55123 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature 11101 City otEapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 6-7 l Permit Fee: e- V Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 9/28/2016 Site Address: 1342 Cosmos Ln. Tenant: J Suite #: Name: Juil Schwartz Phone: 763-276-1673 Address / City / Zip: Name: Sowada and Barna Plumbing License #: PC642639 Address: P.O. box 188 City: Cedar State: MN. Zip: 55011 Phone: 763-444-0292 Contact: Alex OR John Email: New _ Replacement _ Repair _ Rebuild ✓ Modify Space _ Work in R.O.W. Description of work: move kitchen drain and hosebib,new,D.W.,sink,fridge.water RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround 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.gooherstateonecall.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 Alex Barna Applicants Printed Name x Applicants nature Sep, 15. 2016 3:20PM City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No, 3492 P. 1/2 Use BLUE or BLACK Ink L For Office Use Permit #: i;8-7// II Par 'dI Fee: l¢ 6 Date Received: c 4 Staff: y 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Data; "/��/qP Site Address: 13LiL. asrno$ Lane Tenant: JVII MeXISsvi Sc}wJvvri7. RESIDENTIAL FEES: J ip.5Lill Suite #: Name: Vl -!• ' SSA S Z Phone:(I2) ZSZ` 7,9 is Address / City / Zip: Laitt 6 an M/V Ss12,3 Name: OSoto- ,a S(J�S ns License #: PC 70Z WG Address: 2.3 ,N River -�Rale City: tun sv State: MN Zip: ss33- 7 Phone: • ZSZ, ^ 2 2 Contact: Py M o..da (1 Email:.SYFO0Y1e, �1Spx�'1OSyk rts, corn New it_ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: _ RESIDENTIAL Water Heater Lawn Irrigation L RPZ / PVB) Septic System New ' Abandonment Water Softener 1�( Add Plumbing Fixtures (p, Main / _ Lower Level) Water Turnaround $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes Stale Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes Slate Surcharge) `Water Turnaround (add 6280.00 If a 3/4" meter is required) $115,00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali Gopher State One Cali 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. iopherstateonecall.orsf 1 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 ohly an application for a permit, and work is not to sten 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. 3iSnooAppllcanPrinted Name Use BLUE or BLACK Ink For Office Use (�( �{ ::::: 4i) City of Eaal 3830 Pilot Knob Road / .5.---74:,7! Eagan MN 55122 Date Received: __ Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� I '� Site Address: '2.)t✓+A Cs .. 17)to•S i,6toe, Unit#: Name: c, C„ . y�� J Jiii,Lt Phone 7 7 RESIDENTP- /�t /� OWNER ' Address/City/Zip: t 3('�� 1;Oc{7�'1 O S LGt.1/I>° Applicant is: Owner X Contractor TYPE OF WORK Description ofwork: t/ O 'l` ti our rHi4- Gil .�iiet /(i1') ileilw . I A1k Lci1, . cid Construction Cost: (,G 0 Multi Family Building:(Yes /No X ) Company: t(u;�C) l C, Contact: , CONTRALTO Address: C)0 a 1 I�I e( UL -e, City: 1/14 C 4 1jX if S State: MN Zip: Phone: (it') ''?-167, " ! ' 71'1 License#: BC318 3 6 0 Lead Certificate#: NAT 26342' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor Phone: NOTE:Plans and supporting,documents that you submit are considered to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to uH�, conclude that thr e `are'trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 St to Building Code must be completed within 180 days of permit issuance. \,..N)1;0,,LYV1 ,t,kit,(, :vt,Lii x `,9 .,e,7 ,,, j C ,fApplicant's Printed Name Applicant's Signature (t.v, U Page 1 of 3 t DO NOT WRITE BELOW THIS LINE 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 71" V Occupancy MCES System Plan Review Code Edition SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) y Final/C.O. Required Footings (Addition) r Final/No C.O. Required -rot /412-14.1 0412 Foundation x HVAC Gas Service Test Gas Line Air Test 11 r,� Drain Tile Other: ✓�G�'� Roof: Ice&Water Final Pool: Footings Air/Gas Tests _Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Rough In Air Test Final Windows ya Insulation Retaining Wall: —Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: IR Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review frs. / ( 7z-iyiziti6iv MCES SAC veteilf‘i I City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies9.-ti 0(9 0 TOTAL Page 2 of 3 I 3 ?' Fr; ` KITCHEN INSTALLATION WORKSHEET - USA Customer: Dare: Juil Schwartz 08/17/16 PO# Servl<e Provider: 13486566 Crew2 Pre-Construction,Demolition,Removal,and Haul Away Remove cabinets,laminate counter tops Installer to Haul away debris removed from kitchen and install debris(does not include appliances) Cabinet Installation Cabinet Installation(Per Plan.Including Handles,&Knobs) Alterations to cabinetry: Microwave Toe Kick Vent Panels,Skins,Decor Doors,Columns,Corbels Section: Install Tall End Panel to underside of fridge cabinet Molding Section: Molding,each layer priced separately:3 SBE8,3 ICM8,2 S3S3, 2 CM8 Installer to Carry in Cabinets includes Panels,Molding,Skins,Decor Doors Installer to Remove only the Cardboard from the packaging of the Cabinets. Electrical Install 4 Receptacles Install micro-hood circuit and receptacle Change 4 receptacles and 6 switches to new Install GFCI and wire for dishwasher and change existing circuit breaker to arc fault breaker Install GFCI,wire and arc fault circuit breaker for disposal Supply and install LED strip under cab lights and switch Install 4 arc fault circuit breakers on circuits being worked on for protection per code NOTE:Did not bid to update Smoke Detector/Fire Alarm system.If updating of this system is required by Municipality/Inspector,then customer will be responsible for bringing system up to code. If customer requests CREW2 to provide update to system,then a seperate bid will be submitted to customer.If approved, and payment applied,then work will proceed to update system by CREW2. Plumbing Cut and Cap kitchen sink,dishwasher and fridge Water line to fridge and hook-up. Fridge must be in place Install Dishwasher Hook-ups to undermount sink Appliance Installation • Did not bid Appliance Installation C� p �� ^�\ Install Microwave into existing duct. t �} v\\ Flooring and Backsplash Installation �V \ V" r \� v\1J, Did not bid Flooring ' V,� 1 � �� Did not bid Backsplash P ,�'7 \ �i\ �\N � \I off" , • Drywall Work& Painting •- L1( �' . w ("I\ Did Did not bid Priming or Painting v .\\1\1/4, e� Patch and Repair Sheetrock from demo and electrical/plumbing work : ► ` \ 8/1.7/2016' ... v 1 of 2 1-3 `) KITCHEN INSTALLATION WORKSHEET - USA ` Customer. Date: Juil Schwartz 08/17/16 POP Servl®Provider: 13486566 Crew2 Additional Construction Did not bid Construction Permits Electrical Plumbing Building Lead Safe Work Practices If the results of the Certified Lead Safe Test is Positive,there will be a change order for$625 to remediate the Lead that is in the Kitchen area.(This will need to be collected before the demolition of the kitchen starts) Asbestos Asbestos may be present in a home.Customer is responsible for all asbestos testing and abestos removal.Please refer to the EPA website. Installation Total $13,976.16 Customer Signature: Date: GC Signature: Date: HD Associate: Date: 8/17/2016 2 of 2 Use BLUE or BLACK In (a t {' �G� For Office Use �J ��.•� ' City of• Eaali ::::e:' : /_ : ��'(l/C/ 3830 Pilot Knob Road 'V-77-7/ /� Eagan MN 55122 Date Received: Phone:(651)675-5675 J Fax:(651)675-5694 J.wig Staff: •.a 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/16/16 Site Address: 1342 Cosmos Lane Unit#: Juli & Melissa Schwartz Phone: 612-282-2929 Name: Resident"— 1342 Cosmos Lane QWt1Lt' Address/City/Zip: Applicant is: Owner X Contractor ) Description of work: Bathroom Remodel Type of Work " . Construction Cost: $9312 Multi-Family Building: (Yes /No X ) Company: US Patio Systems Contact: Ray Madden Address: 218 N River Ridge Circle City. Burnsville Contractor-,!i State: MN Zi 55337 Phone: 952-314-9885 Email: asnook@uspatiosystems.com p. License#; BC66181 3 Lead Certificate#: If the project is exempt from lead certification, please explain why: /110 CSC i j I C.:r v* GZ z I COMPLETE THIS AREA ONLY IrCiONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: .NOTE•Flans and supporting documents that you submit are considered to be public information Portions°of the information may be classifieddas non public ff you provide-speak reasons that"would"perrm it the City t r lir ........ . conclude;that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. 46 Applicas Printed Name Applican Signature Page 1 of 3 `7 ( 0fn0 dWRITE BELOW THIS LINE ! 2 -- p 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_Plex Lower Level Pool Accessory Building WORK TYPES New ,tQ 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 7600' Occupancy .11:2-4--- MCES System Plan Review Code Edition 'Wi'i Zo1J SAC Units (25% 1000/$ ) Zoning !S, —'s City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction J) Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ,b Final/ No C.O. Required Foundation Foundation Before Backfill jo HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS Zp 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: Tt) 1G I N k , Building Inspector RESIDENTIAL FEES , Base Fee Surcharge Plan Review );n m,� M Fee_ 4, > MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA140892 Date Issued:01/30/2017 Permit Category:ePermit Site Address: 1342 Cosmos Lane Lot:005 Block: 002 Addition: Wilderness Run 4th PID:10-84353-02-050 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 - John Schwartz 1342 Cosmos Lane Eagan MN 55123 (651) 451-6835 X5 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature