4396 Hamilton DrINSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS:
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
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I,,?i-=
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Permft No. PartnN liolder Date Tetaphona !
ELECTRIC
PLUMBING ,
HVAC
Inspectlon Date Insp. Commenb
FOOTINGS
FOUND
FRAMING
HOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RDUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagarl, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS: ' , „ , ?
;?nhl l i I ?N i?1:
i ?. 1 lVc, i i,P; I'tI N I F b i.11
I PERMIT SUBTYPE:
rq rf`fw ?
? EiL ?t1 R
UN REC ORD
PERMIT TYPE:
Permit Number: -
Date Issued:
';YUVH & f'l.kFPLAt;E [ilil l FkV
th t:'? 114tt- 111A
TYPE OF WORK:
I.L •? ;• 1 i i i 11r•J
N I l.l
1 WtIf!f? wUkIM r N(.i )
INSPECTION DA • DA
?
aermn 14o. Pwmn Maae. wce rolepn«,8 #
ELECTRIC
PLUMBING
HVAC
InapecUon Date Insp. CommeMs
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE , /c,• • v1..5? /?J''.(?/ `?' L
FIREPLACE
AIR TEST
FINAL PLBO
FlNAL HTG
ORSAT
TEST
BLUG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAL
?vor?? 3 ?1
%P,
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE fR 24. 199 ,
OFFICE USE ONLY
METER # Z?.
CHIP # d a a(? DI 64?_ PERMIT DATE
PERMIT # 11954
METER SIZE t? .-?
B.P. RECEIPT #?-- ? ?
ISSUE DATE B.P. REGEIPT DATE
- PRV - BOOSTER PUMP
SITE ADDRESS 433,6 YA''' ?.TON DR
LOT ? BLOCK 2 SEC/SUB LEXINGTON POINTE 8TH
APPLICANT:
ADDRESS:
CITY, STATE
PHONE: ZIp
PLUMBER: 'AYMOND E HAr:G PLLTIBING i NC
ADDRESS: _;226 CFDAR AVE S
CITY, STATE
PHONE: KICHFIELD ?s'V
866-6092 Zip 5542 ,
OWNER: ``.RiAN P}IORSON EIOMES
ADDRESS: ``+bb ?. W?11'00D DR
CITY, STATE LAGAtd MN
;4.
PHONE:
PLEASE ALLOWTWO WORKING D,
SEWER PERMITS, CONTACT ENGINI
PERMIT REQUESTED
`- SEWER X WATER _ TAPS
COMM/1ND
X NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT 4e given for Deduct Meters.
f? .
I AGREE TO COMPLY WITH CITY OF
rTN ORDINANCES
?
.
ZIp 55123
SIGNATURE WHEN METER ISSUE
4YS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
'sERIN(i DEPT.
.?
?- .
_ • ? i i : 1 1 ? .
t . . ? r
(gtr#tfixaft uf (Orrupanry
Citp of eagan
. Bqmrtmptd uf %am,g imprr#imt
This Certi}icaate ?sar?dpursuanl 10 !he rOquiranents of Sation 306 ojthe Unijonn BuildiRg
Code aertifyin8lhw at du time of i.s=anctie rhisOructure xas in complrcRCe with llre uarious
orrlinanoer of tGe CkY regula!rg buildurg mnoucdon or usG Fcr tlre following:
Uwamm&miaa SF nvr_Ir,AR Mk pa NM 18939
Omupaocr TYW R-'A m_ t Zmiw nkad _ PD R-1 .. ,. V-N
.' n"C JUNE 26, 1991
o ?
POST IN A CpN3pKX1pUS PUCE
_ , ` • • F ..
I ? CITY OF EAGAN
' 9 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # = ? -?-- { ?
To be used for SF DWC;/GAit Est. Value :86.000 narP APt 24 , o Ot
Site Address 4394 NAMIL'!'OtQ
Lot 9_ Block 2 Sec/Sub.
Parcel No.
W Name BRLM ?MDRM HOWS
3 Address 4466 iiEDGBiJi00D Dit
0 Cit ?N Y Phone 454--0444
:kF Name g?
OU ` Address
? City Phone
Name
Address
I hereby acknowlege that I have read this application and state lhat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City..of-pagan ordin?ncers.
Signature ot Permitee '11 -•'`'?3 A
A Building Permit is issued to: ?? THORNN Ham
on the express condition that aIl work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
OFFICE USE ONLY
Occupancy1 ?3 -K--1 FEES
Zoning PD _61
(Actual) Const -VmN Bldg. Permit 577a?
(Allowabie) -V.Mm
Surcharge 0 .OO
* or stories -
Len9th ,411 Plan Review 175,
Depth -0-1 SnC. Ciy l OO.OD
S.F. Total - SAC, MCWCC 63o.00
S.F. Footprirns _
On Site Sewage _ Water Conn 660•t10
On Site Well water Meter 95,Q0
MWCC System x ?
Water
City _? acct. Deposil
¦
?
PRV Required - S/W Permit 30•00
?ter PunV - S/W Surcharge a?
Treatment PI 276•00
APPROVALS Road Unit 370•00
Planner
CounCil - Park Ded.
BIOg.Ott. --
_
Copies
Variance - TOTAL 3,206.
?
PermR No. Pe?mit Hotdc* Date Telephone #
WATER
SEWER
PLUMBING 09 ?
° °
H.V.A.C. 70 ' v?I
ELECTRIC
Inspectbn Date Insp. Com+nents
Footings I
Foundation
Framing
Roofing
Rough Plbg. - ? pl
Rou9h Ht
9• ; •
Isul. G (?
Fireplace
Final Hlg.
Orstat Test ?
Final Plbg. Plbg. Inspecta - Notify Wumber
Const. Metar
EngrJPlan
aldg. Finai
Oedc Ftg.
Dedc Final
weli
Pr. Disp.
? w
?2 a, t
,5 3 q .,...._..?_...._.......?,.?..._._._..._........_...._..__.._..__._......__.......___
I 11111111Illllill
* 0 4 L 6 2 1 5 2?K PLEASE PRINT OR TYPE
Reqvas? Dak y
9 RoogMn inspenion required2 es ? N.
ll Inspeclion Oiher ihan Roughln: ? Ready N. ? Wril
l Coll
D
d
J" ?
( I
' a
/ IYou most m
iha tnspecror when reodyl ?
ore keo
y:
a(? I
"I
I, ? li<ensed conhactorA owner hereby request inspeclion of the above elxhical work ot: C8
lobAddress(Sn?BO*,or?A iy)I1-IVJV ?I?-- C'ry E- IT(:, r-N tj Z'PS5I a3
Seclion No. Township Nome m No. Ranpe No. Fire No. Coony I r^
P?- T-lor
5SAr,l 1 £. l. . G(Z v N K L£ ? wpne
Power Supplier pddresx
DR- Et.,o ?- F LLC'-
Elechical Cmnoclor (Compvny Name) Conhacror license No. Moxtar Uc. No. (Phnt Eled. Only)
S A- tn ?. -?
Nwiling Address lConhacbr or G.ner Perlorming Inslollmion) -
?-
SignoN (COnh«br or Owne? Perfamirg Irtsnllvfian? Phone No.
SA- m
EBUOOOIA-11 8/96 STAiE BOAND COPY - SEE INSRi11Cil)NS ON BACK OF YELLOW COPV
, . CITY OF EAGAN N2 1893.
? 3830 Pilot Knob Road, P.O."Box 21-199, Eagan, MN 55121
PHONE: 454-8100 r?
BUILDING PERMIT Receipt # ?'??I
be used for SF
Est.Value $86,000
Site Address 4396 HAMILTON DR
Lot 9 Block 2 Sec/Sub., LEXINGTON POINZ
Parcel Na 6TH
I o I Cd`ydress EA4466 GAN?DGEWP O?DeDR 5454-0644 I
o Name SAME I
ON Address
? City Phone
?
?w Name
?? Address
aW City Phone .
I hereby acknowlege that I have read ihis applicalion and state thal the
intormation is correct and a r e to comply wit all applicable State of
Minnesota Statutes and Ci agan Ordin
Signature of Permitee
A euiiding Permit is issued to: BRIAN THORSON HOMES
on ihe express condition that all work shall 6e tlone in accordance with all
applicable Stale oi M,/i?nnesota Statutes and Cyity of Eagan Ortlinances.
Building OftiCial l?flflh??? , rnll
9
.
OFFICE USE ONLY
Occupancy R-3-M-1 FEES
Zoning PD R-1
(actuaq Const V-i Bldg. Permit 577.00
(Allowa6le) -y- Surcharge 43 _ nn
# ol Swries
LengN _41' Plan Review 3 7 5_ 00
Deplh 48.? SAC, Cily 100.0
0
S.F.7otal -
SAC, MCwCC 650.00
S.F. Pootprints -
On Site Sewage _ Water Conn 660.00
On Site Well - water Meler 95.00
MWCC System X
Ciry Water x_ AccL Deposit 30.00
PFV Required - ShV Permit
0
30.0
Booster Pump - g/yy Surcharge - Sn
7realment PI 276.0
0
APPpOVALS
Road Unit 370.00
Planner
-
Park Ded.
Council
BIdg.Ofl. _ Copies
Variance _ TOTAL 3,206.5
?
, HOUSE HEATING TEST RECORD
??? y ??i??"1 ? 1'T.r -?
ADDRE55 ° -?
APT.-FLOOR CITY SUBURB
dCCUPANT OWNER
HEAT 1055 DATE HTG. INST
? ?
.
SOLD BY Z L?Jqi'!>y INSTALLED BY
Eleciricol Work By Ges Line 8y
TYPE OF IiEAT GA _ FA 'HW -.STEAM SPACE HTR. _UNIT HTR. _OTHER
GAS DESJGN CONVERSION
MAKE MAKE OF BURNER
Model LQ (J7?-giL Modal
Serial ? ?,72,11 k Ma:. BTU Ratinq
INPUT MAKE OF FURNACE
Model
CONTROLS
y
?
a
THERMOSTA7
Heat P
l
ug ' ? Venf $iis ?
`
_
Valve a!?/?-4 t'4"e? KIND OF LINER SIZE NONE ?
limit X2X1 DroffHood.A/i+?z .4/ Rsyulator
LimitSettin9 Filfsrs Sizs Num6
-Fan Seefing ? Chimnay Locotion Inside Outeide
?
Pilot Type ??e%G- ?Ff l?sT ? y-y? ?
?j i?,.?•
Chimney ConsNUCtien
Pilof Make -??.7? '?.?y`?• } N./J ?
???
PilotModal . Smake mb Wiring????
? - .'.T._i
Pilot Timing ?5 ??[:? Draft??-j
L.W. Cue OfF Doer Pressure
Lighting Inst.
?
Prossuro. .-.L?? *_ -PsreentC0 r?
Daee Tsstsd
2
InputCFH Par<ent 02 Compony Tasting :
Smck Temp. ? pereent CO ? Nama ef Tssier
Form 235
Address: 4396 HAMILTON DR Lot 9 Blk 2 Sec/Sub LEXINGTON POINTE 6TH
These items wera/were not complete at the tima of tha final inspection.
Date: JUNE 26 1991 Ye$ No
-S
Tngpprtnr,
Final grade (6" from siding) Llll?
Permanent staps - garaga f
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass v'
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the builder the removal of roof test caps from the plwpbing
system and the shut-off of water supply to the outside lawn faucet befora
freeze potential exists. ;?j
w
PFMIEYWFR
White - City copy Ye11ow - Resident copy Pink.- Contractor copy
RFQUEST FOR ELECTRICAL INSPECTION
4 q,[? ? n R' C Minnesota State Board of ElecMCiry
1. ?J L 1 J 1821 UniversiTy Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Duplez Apt. Bldg. Ofher: New Addn
Commercial Indushiol Form I I
Remod Re ir
Air Cond. Hig. E uip. Water Hh. Load Mgmt. Ofher:
Dryer Range Elec. Heal Temp. Service
"X° o6ove Nre work covered by fhis requesf. nfer ar re ks in fhis spoce and on fhe back of the whife <opy only.
-4?; ,t sk Cs 4p?0?
lt n
Cakulate Inspection Fee - This Inspection Reqoesi will nol be accepfed wifhout the carrect (ee:
O[her Fee # Service Entrance Size Pee N Circuits/Peedere Fee
Mobile Home Park Stall 0 ro 200 Amps
1
0 to 100 Amps
Sheet Lig./Traffic Sig. Above 200_Am s Above 100_Amps
Transformer/Generator INSPECTOHS USE ONLY
(
'l TO -7-?
S
Sign/Outline llg. Xfmr. ,?
QY
1G ?
V
Alorm/Remote Conhol
Swimming Pool
I here6 cero ihof I inspected Me eleckkol inoalkrion dascribed herein on tha dmes siokd
Irrigalion Boom
efl) r
Roughln Dan
Spacial Inspecfion .. .??
? ?
Investigafive Fee F?? Donn / O (.1 W
TMIS INSTALLATION MAY BE ORDEREU ISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
70 °0
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 - FAX # 651-675-5694
`?'-? O (-
YJ
NewConsiructionReauiremenfs RemodeVReoairReauiremenis . e:3 regis4ered sde surveys showing sq. H. of lot, sq. ft of house; and all roofed areas 2 copies o( plan
20%manimumlotcovere eallowed ( 9 ) lsetofEnergyCakulationstorheatedadditions,
2 mpies of plan slwwing beam & windau sizes; poured found design, etc. 1 sile survey for additions & decks
isetofEnergyCalalations Addition - indicafeif on-sdesepficsystem M c
3 apies of Tree Preservation Plan if lot platted after 711193 -
Rim Joist Dehail Options selection sheet (Wdgs wifh 3 ar less unifs Date -qL/? Lu /?? Construction Cost o a p-
Site Address 439(o UniUSte #
-? 1?arR,1?
Description of Work ?Nw ,
?-l
Multi-Family Bidg _ Y_ N Ftireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (tpSl ) (a VQ, - lJ 0 D T
RENEWAL BY ANDERSEN
Contractor 1920 COi7NTY RD. "C" W.
Address ROSEVILLE, MN 55113 _ City
State 651-264-4777 Celephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(+1 submission type) Submitted Submiited
• Energy Envelope Calculatlons Submitted
Have you previously construeted a building in Eagan with a similar planB _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernut and aclrnowledge 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
appmval of plans.
ApplicanYs Printed Name
-?n o ?
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 -Foundation ? 07 05-plez - O, 13 16-plex--- ---- ? 20-Pool- - -
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04. 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33_Alteration ? 37 Demolish Building• ? 43 Reroof ? 46
? 34 Replacement `Demolition (Entire Bldg) - G ive PCA handout to applicant
Valuation Occupancy MCES System _
Census Code Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge ..
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-? 30 AccessoryBldg-
? 31 Ext. Alt - Multi
? $3 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED IN5PECTIONS
_ Final/C.O.
_ FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining V?all
Building Inspector
••°• ?e• ?••••+. iuv di.OV rtsa. ?oo OJ1 •4900 tSCd'USVIiL $Y`8IMl1tS!(t1lSl'1
?e a.l ??? . .
ama ?, aooI .
C* of Hapn .
3836 RiIot Sttob Road -
Eagen.IvN sslzz
To Whom It May Conoern:
Etder 7ones is authori2Ed tA pUU bniIding permits for Renewa] by Aaclc:sen_ Ptcasa xllow
Blder 7oncs to ptwide this seivioc for ns in Bagan. 'tltis enchorf2ation is vetid for sny
date beyond 6/6/01; wntii aMnawai by ??n Mansor aqxewy revokes it in wiidn$
to the City.
I rcquest this auttioiization bc accepted sxgeditlously, as tp not detay in the 'f
otrr baildiaS Paunzta emy fvrtEtcr. Plcaac caA mc if thcte arc en ?siqg o
conta? at 763-502-4746. Y 9?one.. I can be
Your immqdieaft atteattott to tbis mattcr is aLlecteAett. ° ..
Sinceiely, . I
ond R Rau
astatlarion Manager
Ronewstl bY Andastn Crnporativn
Wuuz
C'.c.: Karn-F.lt1x 7?nea
.SC??.,?..?c,? ?•Q?o...z ,s-E?
c3ff??
? fA*ftjft,f,um
Received Time Jun- 7. 1:07PId
c5ar-\a3
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constmction Reauirements
• 3 registered site suneys showing sq. k. of lot, sq. ft. of house; and all roofed areas
(20% marimum lol coverage allowed)
• 2 copies of plan showing 6eam & window sizes: poured found desgn, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preserva[ion Plan if lot platted aker 711193
• Rim Joist Delail ODdons selec6an sheet (61dgs with 3 or less uniGS)
DATE U a
SITE ADDRESS
TYPE OP WORI
iULTI-FAMILY BLDG Y ? N
FIREPLACE(S) az0 _ 1 _ 2
APPLICANT. I'bu42L"v, Z'_n?162 S
STREET ADDRESS ?z)hcX,kn fcin X.e CITYL-?^Ven/?,4re STATE ,!?kZIP?4K?yV
TELEPHONE #CELL PHONE # FAX # 9'?V-SS/-$5//
PROPERTY OWNER "? AL° /ro u/t Klee- TELEPHONE# lo.li/-( RYo -?g? g
--------------------------'-------'---°°---"'------------'------------------------°"'_".-
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSO'CA RULLS 7670 G\'l'6G0I2Y t N[IVNESO'CA RULLS 7672
(J submission type) . Residential VenGlatlon Category 7 Worksheet Submitted . New Energy Gode Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing systcm includcs: _ Water Soflcncr
Watcr Hca[cr
\'o. of I3aths
Mechanical Contractor:
Vlccliuiical systcm indudcs:
Sewer/Water Contractor:
Phone #
Phone #
Fce: $90.00
Pcc: $70.00
----------------------°---°-----------------------°...-----------------------------•----°-- "
I hereby acknowledge that I have read this application, state that the information is corre , and
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. B
Signature of Applicanf
- ---------------__ __- _-°------------------------------------- -------------- °__--°----_
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Plionc #
j.i1W11 S()RI1klCf
No. ol' R.I. 13atlis
-- :\ir Con<litioning
Elcat Rccovcry SysLcm
V27
?99.02 5
RemodellRenair Reauirements
• 2 copies of plan
• 1 set ol Energy Calculations (or heated additions
• lsilesurveyforextenoraddi(ions&decks
. Indicate if home served hy septic system for additions
VALUATION 95a SSOs. O(??
?
agree to
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-ptex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy -` MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length _ Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (oew bldg) _ FinaUC.O.
_ Foo[ings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
9324VL 97.25
C? ? o 0
Building Inspector
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euzLozNG
3830 Pilot Knob Road Permit Number: 026720
Eagan, Minnesota 55122-1897 Date Issued: i l/ 15 / 9 5
(612) 681-4675
SITEADDRESS:P'I•N.: 10Z45e9e-e9e-e2 APPLICANT:
LOT: 9 BLOCK: 2
4396 HAMILTON DR S70VE & FIREPLACE faALLERY
LEXINGTON POINTE 6TH (612) 898-1174
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DE3CRIPTION (WQ00 BURNSNG)
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued:
a+e.o 4 g 9 q-<.o
BUILDING
026720
11/15/96
SITE ADDRESS:
4396 HAMILTON DR
LOT: 9 BIOCK: 2
LEXING70N POINTE 6TH
P.I.N.: 10-45090-090-02
DESCRIPTION:
"\,._ (WOOD BURNING)
11 Building_Perm3t Type FIREPIACE
Building 4'12Yrk Type NEW
?
?xr 7<,:?3
.?- ?. - _.. ? . .
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$25.00
$25.50
CONTRACTOR: - npplicant - sT. Lrc. OWNER:
3TOVE & FIREPLACE GALLERY 18981174 20032080 GRUNKLEE DAN
1278 COUNTY ROAp 42 4396 HAMILTON DR
BURNSVILLE MN 55337 EAGAN MN
(612) 698-1174 (612)686-0889
Z hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City of Eagan Ordinances.
L a. _ _ j
APPLICANT/PERMITEE SIGNATURE
A (4e0 P.?iA [ n"I"?-
ISSUED B SIG TUR
I ??l()
CITY OF EAGAN f 4q5 ?rePl Rce z2rmi'f
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 651-4675
PLEASE COMPLETE FOR ALI, COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHBR MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CON7'RACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
lp?? S'e b l(.a, c ,?
FEES
1% OF POFEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ?MO FEE.
TOTAL $ 2 5'? 1-0
srrE ADDxEss: U96 gulyiI'?o-? D .
OWNER NAME: ?n cqC,ank\e TELEPHONE #:
TENANT NAME: (nMpROVEMErrrs oivi,Y)
TELEPHONE #: ",6- 11'?,q
SIGNATURE OF PERMITTEE CTfY INSPECTOR
CITY: ??s-.5????? STATE: AA. ZIP CODE: SS__03
7
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
IVEW C;vNSTRuCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
$ 24.00
6.00
GAS OUTLETS (MRVIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExrsTIIVG CorrsTRUCrtoN) $ 20.00
STATE SURCHARGE
TOTAL
crrF enDu?ESc
.50
OWNER NAME: TELEPHONE #:
INSTALLER:
ADDRESS:
CITI'. STA1'E: ZIP CODE:
TELEPHONE #: .
STGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN $5122
(612) 6814675
..•'rb < R.4 /< ;:'; ...?!.>'fA.h#
I .. .?. .
.,.?._,,
-,,
., ??_:!.,.?. ..,.. ...? ....,.. . . ?
i1
_ ... ... ...t, ... _ ..-' ...'...,.
?.
:...... ?::..;.
.nji:-?: '?i7:.?'r.rl. ?... •_ (.:;`'i.?? '
,.?:? ,... _.r-,?-,: F_?r.j.c? i_@i.,,;.,i _:.•u.? 'r'' '?,=?' ?_Ill
_. . .i i..._.._ . I .. ? ? . .... ..1 , r cr.
... .: . ,,?. . .?.. .. ,a... . r?
? ' . . ... . i'. G: ^ ..
A.'....i.Y rrv...? .
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z L o z N e
Eagan, Minnesota 55122-1897 Permit Number: 029418
(612) 681-4675 Date Issued: 01 / 17 / 9 7
SITEADDRESS:
4396 HAMILTON DR
LOT: 9 BLOCKc 2
LEXINGTON PqINTE 6TH
P.I.N.: 10-45090-090-02DESCRIPTION:
(NO BEDROOMS)
B.uildiyng->Permit Type BASEMENT FINISH
ls ul;Lding° Type ALTERATION
.: Census Gode 434 AL7. RESIDENTZAL
,
r
v r : .
REMARKS:
A SEPARATE PERMIT IS REQUTRED FOR flNY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
Surcherge $.50
Total Fee $50.50
?
CONTRACTOR: OWNER: - Applicant -
GRUNKLEE DANIEL
4396 HAMILTON QR
EAGAN MN 65123
(612)992-2315
I hereby acknowled'ge that I haveread this application and state that the
? information is coreeeC arwd agreg-to ct?mPly.witti -ail.appricable State of Mn-.
? StaCutes and City af Ee?gen Ordinances:' ?
AP LICANT/PERMITEE SI ATURE rSS ED B SIGTPATUR
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122 MQ,jQ
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6s,?s73 cn??'w?, P - {lo
New Cenflrueiien ReouiremeMs RemodeVReeair Reouiremenh
? 3 repisterod sila surveys ? 2 ropks M plan
• 2 aoproa ot piam pnduee eaom a window aizes; pound tnd. dasqn; ete.) ? 2 aNe suneys (ezterlor additiom b dedcs)
? 1 anerpy ealeulattons ? 1 ensrgy ealwlationf (or lroaled adddions
?! eepies of hx prosenatbn pkn N bl Oatled aller 711/93
isqulrsd: _ Yes _ Ho
DATE: 12- "(o' 2Io CONSTRUC110N COST: C00
DESCRIPTION OF WORK:
6n-f` f rnr5hr
STREET ADDRESS:
LOT' BLOCK Z-
i Dr;oe? Laa
6Y1N 551Z3
SUSD./P.I.D. #: 12 1(501a Lex?K P4 . 6?? ajA4?00
PROPERTY Name:6run k Ie.e -LlLnrel Phone #: J0`a154
ONMER ?••• •"•, cT 72- - Z3,15 PQj
Street Address• 43R16 gamilfan Drive-
Ciry: Eagurl State: MA/ 2ip: 55 ! Z3
CoNrw?cTOR Company: ?Zd ' Phone #:
Street Address: License #•
City: State: Zip•
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #•
Street Address•
City: State:
Zip.
5ewer & water Iicensed plumber. . Penalty applies when.8ddress ehange and lot
ehange are roquested once permit fa issued. • '
i hereby acknowledge that 1 have read this aWication and state that fhe inTortnation is cortect and agree to Comply wfth all
appiicable State of Minnesota Statutes and Ctty of Eagan Ordinances.
Signature of Appliqnt: ?? ?•
OFFICE USE ONLY
ED
Certificates of Survey ReceNed _ Yes _ No
'
7
Tree Preservatlon Pian Received Yes _ No _
E
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging .e' 16 Basement Finish
n 02 SF Dwelling ? 07 Mpiex ? 12 Multi Repair/Rem. 0 17 Swim Pooi
n 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New ,er'33 Alterations o 36 Move .
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const (Actual) Basement sq. ft. MCNVS System ?
(Ailowable) Main level sq. ft. City Water i
UBC Occupancy ' sq. ft. Fire Sprinklered
Zoning sq. ft. . PRV
# of Stories sq. ft. Booster Pump
length sq. ft. Census Code. 'q 3
Depth Footpnnt sq. ft. SAC Code ,01_
Census Bidg i
Census Unit o
APPROVALS
Planning Buiiding m Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNN Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
°k SAC ?
SAC Units
Valuation: $
. 1991 BUILISIIPIPERMIMICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS ' 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
iAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER !s WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. ApR 2 3 RECD
To Be Used For: //eu) Valuation: pG_ Date: (
Site Address
Lot ? Block _,?
Parcel/Sub /Ek ) 7
Owner
Address ?5??,/, /L?Pc?vu/d?c? %?,Pc4P
City/Zip Code ,tJ
Phone ?5h?-11C5?Y
Contractor S a.7)e -),s a 5 d?e
Address
„
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
it
OFFICE USE ONLY
Occupancy R-3 M -1
Zoning Pfp R -1
Actual Const V-N
Allowable V-K
# of stories
Length ?
Depth 46,
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit rf,00
Surcharge H3•00
Plan Review 325, DO
SAC, City lDo.00
snc, rcwcc bS-0,vo
Water Conn. Oi00
Water Meter 95,00
Acct. Deposit 30,00
S/w Permit 0,00
S/W Surcharge s 50
Treatment P1. 2176,0
Road Unit 3 0,00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL 'JaQu-60
(2,L& o J?Jt_• ? ia.o?? / agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
UaTZac?-?'
aoxz2= ?I`lo X IS'- 6600
9SM'7?
k4o= 560
I 2 ?c Z3 - z_ ??.
836x14= Il70L}
I sT ?'t,. oorZ
Lli g 26;, = laG(?
6Xq= 5'K
II'i2)? ?2= 138
? K 2- a ? 2
12'lo x53 =
85614 orc BG,eD?'-
. .-
o•M
577•00+
43•00+
3%5•00+
2) 211•50+
31206•50*
577•00+
43•00+
37ti•OOr
2>211•50r
3) 20o•S0*
P?A
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MINNESOTA 5512
LEGAL DESCRIPTION: LOT 9,BLOCK-2-, LEXINGTON POINTE 6th ADD.
ACCORDING TO THE RECORDED PLAT
N THEREOF nAKOTA COUNTY,MINNESOTA
SCALE: I"=30'
HAMILTON -? 5 -
ry S8 °55'48"E l?=I 41'24"DRIVE N
N
R=?y602.38 .. =
t
.
?
OD p ? w
-?
0 a
a? ?
,
m ? N ? i r,
? !(-.4'
J
wzo ? 9sr -
LOT 8
0
Z
CERTIFICATE OF SURVEY FOR:
THORSON HOMES
?y
LOT 9
5 RAINAGE 8 UTILITY EASEMENT
47
S89°59'17"W 75.00
, .;..
? LEGENO DENOTES IRON MONUMENT
o DENOTES WOOD HUB'SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
' ELEVATION
? DENOTES DRAINAGrL'DIRECTION
I hereby certify that this survey,plan or
`r,pport was prspored by ms or under my
direct supervision and thot I am a duly
,Raqisterpd Land Surveyor under ihe
'lows of the State of Minne:ota
LOT 10
0
0
0
Z
17?ZaFbSF.p SPUT Y14tK4,VT ?L? =4&3.3
INVERT ELEVATION AT SERVICE EXTENSION= *97$
PROPOSED GARAGE FLOOR ELEVATION= 7•0
PROPOSED FIRST FLOOR ELEVATION = •
a?
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE ? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradlay
Date
Mn. Rep. No. 15235
._ ??,.
' ? • • . .
nL nnL Z) v4 A a A ..,
r BASED OV CNA TE - :MODEL EPGY COD - O[TION__._`-'
i Adop:fun EEF*etlv l/1/ 4
)wner Phone ^a : ?I«s '
;. ;ite Address ? gLew Rl& TO Pi PO e0 5?s .(,.? Q?p y?o
f
?
d:ontractor C ?4:o c);?S?c???;c,? ?hone
? lufldtng Classlflcation: Type A1 (5lyle Fa:nily 6 Ouplex) ? Type A2 (Residentlal
? (3 stories or ess
(Other) (Over 7 stories)
iENERAL INFORMATION .
1. Buitdin9 PerimEter \ ?Co ft.
?. Watl hei9ht (ground to eave) \-4 ft.
2
3. 1. x 2. (above) gross Hall )pea ?o ?c4 ft.
3. 8uilding dimenstons (L) -4p x(W) Z(o • 1.'2?3? ft.Z roaf S floor area
i. 5quare fcot area of rim joist - Floor joist slze (2 x• ?o?? )
( x Perimeter = Rim j'ist aroea ? zo.o 1 t2
6. Doors - Arca '-l. '
Thtc ness ? 3I.q• n. actor
Type .
of Construct
t ?
o
n .
?--Ferimeter ?co•3z t V,-ft.
Nanufacturerl ?
7. Total door's perlmeter ? Z. Zft -
8. Nindows:. Manutacturer State approved
U factor
TVPE SIZE AAEA (F:.Z) 'JUMBER OF TOTAI FEET Z
EACH UHITS
?.% ?. V Z, l o C.>4 Ko
\q ?z
` So3c , Z l?•59
`- 5o4 o 1-4.14 -4X 4.??
g, Total ft.Z Gtass \`?5 Q1-) e a , i
106Fireplace area: Width x heiaht • s ?- Ft.Z ,
11.Exposed foundaCion: Height x Perlmeter '"7 1?j Ft.Z I
:)MPLETION Of THIS FORM IS REQUIRED FOR ALL NEU COFlSTRUCTION. MAJOR REMODELING AND BUILDINGS BEIMG
I)YED ?IHERE ENERGT, OTHER THAV THE MINIMr1l COOE ALIOHANCE. IS USED.
?,,?',?. :Ff?aing a?? •:itl? of:yrots wrtl ?rea: ?,f>
??;• Gross wall area Zo f*.•2
i?
Hindow area A
ft.2
U windows •
e?a
J x A¦
_
_
;; .
Rtm joist area A_ \??
Q tt.2
U rim joist ¦ . ??_ U x p e a•?
, Daor area A
,? --? -?-r
ft.
:J door area a U x A •
?
i
C
?a.
?.,
'.?
Fireplace aret A f:.2
?.
Exposed foundation A ?7 1? f*..'
Framing area A . T-p ft.`
net wall area A
U rireplace U x A •
U foundatiort ¦ ..\\ U r. A- g.
J framing aren •„ Og U x A¦?
'Jwdil U x A •?o .50
(1?3; ':;..L . . . . . . . . , . U x • ?
Grozs wall area x 0.11
(13. a6ove) ?
' x 0.23
x .23
a .28
(A-1 single famii.y S d?;,;=x = allowable Ux A/Code
(a-2 other resiCentia'.;
!Other buildingtl
(Over ; stor•?e-1)
TUH Must be larger than
a ?0C A x l: Ccde(gi138 above.
Ctiling framiny area (Af) aquals 10: of c?-itina drCB or the same as)
0}k 4
Gross ceiling area ? (L) .Q n x (?a ?'? ? ft.2
Joist erlia (Af) ¦ 10" ceiling area = ft.2. yet ceiltno area (AC) (15A - 158) -??! O?S_ 8 ft.Z
U cei 1 ing x A c¦ > t x'
U framing x A f- _ O??4
5D. ;QTAt U x A .......................................
6. Ceiltnq area (15A) x 0.026 (A-1 single `amily 1 duplex - code a1loNable U x A
, x O.C33 (A-Z other resida.^.tial)
• x O.C6 (other)
8Tt1H Must be largtr Lhan 150 (abuVe)
A-(?5A) x ILfc°riel: ..OZ(o, OF (or the same as)
0?
NOTE: Use U and A vaiuez abtaineC f-•om nps 1, 3 and 4.
,
? CITY USE ONLY
L _9 BL RECEIPT #: ?6
SUBD. (-,-2?", DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00
Floor Drain 3.00
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 :c =
Water 5oftener 5.00 x =
I'rivate Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to axisnng 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .SO
TOTAL C;N ' SZ
SITE AD
5512..3
OWNER NAME:-paq? ? ( 4. 6ru.4A1ee--
INSTALLER NAME:- 50_.'+ce as aG° ve
STREET ADDRESS:
CITY:
STATE: ZIP:
PHONE #: ( b«- ) 6$6 - 0 9%`( ??1PERN1fTT
L BL
SUBD.
OFFICE USE ONLY
RECEIPT #:
199?, PLUMBING PERMIT (COMMERCIAL)
, •, CITY OF EAGAN
3830 PILOT KNOB RD
? EAGAN, MN 55122
\ (612) 681-4675
Please complete tor: ? all commerciallind trial buildings.
? multi-family building when separate permits are = re uired for each dwelling
unit.
DATE: 7? 7-3 - q'7 C TRACT PRICI
WORK TYPE: Y
NEW CONSTRUCTION ADD ON
DESCRIPTION OF WORK: ??'S?`n asem?e??" ' rg•
IS WATER METER REQUIRED? _ YES XNO. IF SO, E
WATER FLOW: GPM. ARE FLUSHOMETE ?
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI'
WILL YOU BE INSTALLING A METER FOR A FUTURE
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. 0
FEE: $25.00 minimum fee or 1°/, of contract
$1,000 of oertnit fee due on all permits.
CONTRACT PRICE x 7% ?
STATE SURCHARGE
TOTAL
SITE ADORESS
TENANT NAME:
OVYNER NAME:
INSTALLER: -
ADDRESS:
ciTV:
PHONE #:_ 6S6 -O$$ `j
METER SIZE: DATE:
REPAIR
7 ROVIDE THE FOLLOWING:
E INSTALLED? YES NO.
A DELAY OF METER ISSUANCE.
ER SYSTEM? _ YES X NO.
whichever is
State surcharge of $.50 per
kw
e_
SIGNATURF:
OFFICE USE ONLY
STE. #
5T
INSPECTOR:
SSr
ZIP:
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E AG A N
%%0
3030 PILOT KNOB ROAD I EAGAN, MN 55122-1810
0C\
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspections(a�cityofeagan.corn
Commercial Plan Submittal: eplansna cityofeagan.com
For Office Use
l 5
Permit #: 3`i1
Permit Fee:
Date Received:
Staff:
(9 I L'2'
L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION d
Date: 930/19 Site Address: 4396 Hamilton Drive
Tenant: Suite*
ResidentlOwner
Name: Michelle Grunklee Phone 651-470-3776
Address / City / Zip: 4396 Hamilton Drive
Contractor
Name: Metro Heating & Cooling License #: MB005327
Address: 1220 Cope Avenue E city, Maplewood
State: MN Zip: 55109 Phone: 651-294-7798
Contact: Carley Email: invoices@metroheating.com
Permit Type
RESIDENTIAL
✓ Furnace
Air Conditioner
Air Exchanger
Heat Pump
_
Other
Type of Work
New ✓ Replacement Additional Alteration Demolition
Description of work: Replace existing furnace
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit, includes State Surcharge _ 61 .00
includes State Surcharge - $ TOTAL FEE
$100.00 Residential New,
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 is = o start without a permit; that
the work will be in accordance with the approved plan in the case of work which requ. es a - '-w . 'd •proval of plans.
CU�V' a
Applicant's Prin a ame
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground Rough in Air Test Gas Service Test 1n floor Heat Final
Reviewed By:
Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169594
Date Issued:06/02/2021
Permit Category:ePermit
Site Address: 4396 Hamilton Dr
Lot:9 Block: 2 Addition: Lexington Pointe 6th
PID:10-45090-02-090
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Amy J Marquez
4396 Hamilton Dr
Eagan MN 55123
(612) 207-1099
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature