The URL can be used to link to this page

716 Havenhill RdBUILDING PERMIT To be used for " - F7 i-' CITY OF EAGAN 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # $133,000 19 +': Site Address 716 Mi A V Y ti 411A FOA[1 LOt -" BIOCk 7 Sec/5ub. H.xLLS ar pFFiCE USE ONLY Parcel No. STOWERR1DGE Occupancy Ti=11 m --1. FEES W Name ?IE ?O7Y??? ? • Zoning (actua ) Const ? Bldg. Permit 1 ? 5?? . i, 'il ; AddresS P.O. AOx 3A1 (Allowahle) ?- Surchar e 6fi' S4 0 'City r}?'?EO PhOne i71'n-?04 # (f Stories _ g 8 3 ? Plan Review 7 • Length p Name Depth ?- City SAC 100 . f)? , z? ?a Address S.F. Total - , 57! ? ? City. Phone S.F. Footprints - SAG MCwCC - Water Conn 550g?1 On Site Sewage _ ? W W Name On Site Weil - Water Meter 90¦? ? x= Addl'eSS MWCC System ?- 30 W 0 Z Acct. Deposit _ a W City PhOne City Water x. SI1N Permit ? -? PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge ='00 information is correct and agree to compiy with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI g-on Signature of Permitee APPROVALS Road Unit 3 a 5• Ipo •-,'? R!1'[ij,Zjt?? ?;"•. A Building Permit is issued to: ' Planner - Park Ded. on the express condition 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 OHicial Variance - TOTAL -i 16Y6XJ i ? CASH RECEdPZ =:.... , CITY OF EAQAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r f1ECEIVEO FHOM , AMOUNT $ r & DOLLAR5 ,oo El CASH EJ CHECK ? ? _ C `y' I +_. ?. _ • %nnnn white-PaYers CoPy Yelbw-Postirg CoPY Pink--File Copy Thank You BY SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE AODRESS ' ? ! •?`??`???' L • ? ? t ?- LOT ,_BLOCK ? SEC/SUB APPIICANT: 7 ADDRESS: - ?? -P. ( 3 CITY,STATE_ :t 1:?ac c> ti?\, , ZIP '- - l! =! PHONE: -7 1 O 3 J y --? PLUMBER: ADDRESS: 610 CitEi?K L'V ?-? CITY, STATE JORDAN Zip `-53 52 PHONE: 492-2121 , OWNER: _ ADDRESS: PERMIT REGIUESTED ''- SEWER - WATER _ TAPS - COMM/IND -•' RE5IDENTIAL -ZNEW - EXISTING I AGAEE TO COMPLY WITH CITY OF EAGAm ORDINANCE$: , iSIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKtNG DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. - - - , . . -, ?v:i_ y • , - "• ?; - --j------- - - - - - -- - --'- - -_____,??_--- ?? ? OFFICE USE ONLY PERMIT DATE WATER PERMIT #q SEWER PERMIT # 11385 METER # 4//& / 7 g? 6' B.P. RECEIPT # 9 1) fi -) 2 #&ACJfR # 2Q6,f6S'0Lf_ B.P. RECEIPT DATE 1',,1 METER SIZE ?? RBO ISSUE DATE ? ?-? - PRV - BOOSTER PUMP SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 ft SITE Y L_? PERMIT DATE 1/ 2 41?49 WATER PERMIT # 1E124 6 SEWER PERMIT # 11385 METER # B.P. RECEIPT # 9063 READER # B. P. RECEIPT DATE Z'r` METER SIZE ISSUE DATE _ PRV _ BOOSTER PUMP CITY, ,STATE ? PHONE: ? ZIP - . f PLUMBER: 1 ADDRESS: ?10 CREEK LN ? CITY, STATE ?JAN ZIP PHONE: 492-2121 OWNER: ADDRESS: CITY, STATE PHONE: ZIP PERMIT REQUESTED ?? ? ?EWER -- WATER _ TAPS _ COMM/IND ' RESIDENTIAL ?L NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. _ CITY OF EAGAN ? R.?..?'...? ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est, Value Date ' =k >? 191._ Site Address Lot " Block ` Sec/Sub. `? L','l OFFICE USE ONLY Parcel No. Occupancy R°31?? ? FEES Zoning ' W N817t6 (AcTual) Const Bltlg. Permit ,-,; ? ?!a•3 ? AddC2$& (Allowable) Su ch r e 4 . g r a City ` Phone # ot scories a1) Plan Review Length , o t•,,•.; Name Depth .?.?- sAC, ciry 1c?0'.AO . ? zr 0 04 Address S.F.7otal ? 0 SAC, MCWCC ? City Phone S.F. Foocprmts - I Water Conn I -+xi On Site Sewage _ ti ww Name On Site Well - Water Meter ?•oo ' t i v- Address MWCC System :°. - ?? ? o Acct. Deposit • ¢ W City Phone City water +7L- S1W Permit 20 •00 PRV Required - I hereby acknowlege that I have read this application and state that the Boosier Pump - S'W Surcharge 1 '00 infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Qrdinances. Treatment PI ???.? Signature of Permitee APFROVALS Road Unit ?? A Building Permit is issued to: y0' Planner - park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Qopies Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER ?")cj 1/?(G s ? ?' 7 • ?'i ? ?5??,? SEWER PLUMBING -i q02 // L , H.V.A.C. ELECTRIC • Inepectfon Date Insp. Comments Footings I FoundaUon 3 / Q Framin9 c..r.r/zt?- - - Q Roofing Rough Plbg. - G?- fw„g, ri,g. Isul. Fireplace - ay Final Htg. - , ? Fnal Plbg. 444 Const. Meter Pibg. InspeCtor - Notify Piumber Engr./Plan Bldg. Final Deck Ftg. Oeck Final We{I Pr. Disp. " ?? ? ? (In#i#iraft nf (Orrupanry titp of (Eagan Dppal"bnFtif Df l1tdbt1t1J JWPttiDtt This Cern'fccate usued pursrranl to the requirements of Section 306 of the Unijorm BuiJding Code cenifying that at the time of issuance this slructure was in compliance with the various ordinnnces of 1he City regulating building canstruction or use. For the following.• Use C4aifiwtiom SF M/?'a? Blds. PCimit No. 16068 Oocupancy Type R3/M1 Zoning Disvict PD 7ype Comt. VN Owner of Hw7dinB 1ME RIJTMIND CO. Addm P.0 . BGK 383, OSSM 716 HA Lmlity 123, B7, HIIIS 0F S'ICi+M= o.,e: APM 11, 1989 _ s-mng oeficW POST IN A CONSPICUOUS PLACE Cities Diai itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 NTRACT PRICE: PHONE: 454-8100 Site Address '1 Lot Block ?7 See/Sub ? d Name ' ? Address ? - ? c Ciry ?- Phone ? Name ?- c Address ? 3 p City - Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: ITY OF EAGAN GRAND TOTAL: 's 1 PERMIT # RECEIPT k DATE: BLDG. TYPE WORK DESCRIPTION Res. x New Mult. Add-on Comm. Repair Other ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?O. FIXTURES TOTAL ? Water Closet - $3.00 S + Bath Tubs - $3.00 ` Lavatory - $3.00 ? Shower - $3.00 -4--Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ? Floor Drains - $1.50 ?Water Heater - $1.50 ? Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 = Rough Openings - $1.50 ' FEE: STATE S/C: PERMIT # MECHANICAL PERMIT RECEIPT # ' .'/n (t CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -' CONTRACT PRICE: ? PHONE: 454-8100 Site Address " BLDG. TYPE WORK DESCRIPTION Lot Block ' Sec/Sub Res. } New L Na Mult Add-on °-' Comm. Repair ?o Addre19303 outh Av v, ' Other c City _OID'den Vaiier, W. " 1 427 . FEES Name ` - RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City •r Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMI'T) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE FOfCed Alr M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M 8TU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ - BEYOND $1,000) Other $_} , FEE: . S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN DATE: 1/3W9 916 FlAVBRlii1LL QD., L23, B7, HBLS OF S3'ON6BAIDGE -? Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBIIC WORKS (4645220) FbR YOUR PERMANENT WATER TURN ON. ? - Y ur Sewer & Water Permit for the above property cannot be completed for the following ?'reasons: -i, Your Sewe? & Water Permit for the above property has been completed, but the meter cannot be pssuetl or occupancy allowed until further notice. -? COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be coflfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, bpLL LOCAL UTIUTIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building InSpections Dept. DATE: 1j24/89 RE• 716 [tAVEN8ILL RD., L23. 119, H1LLS? OF SYONEBRIDGE xx Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. -.-?Your Sewer & Water Permit ior the above property cannot be completed for the fotlowing * reasons: P Your Sewer 8 Water Pertnit for the above property has been completed, but the meter cannot ' be issued or occupancy allowed until further notice. r -!' COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, GALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITVMEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. NO. 01-3210 Bldg. Permit 013422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 203865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. e(/ ? TOTAL .. i'rivn - l .a E?/Ba?8Q? ` 7(-77V ,j ';? ? RequeslDate re No. Rou dnlnspection Re ? ? ReaOY ?w v !N NotiN Inspactor q es ? No When Reetly7 1 El licensed contractor:O owner hereby request inspection of above electrical work at: Job Adtlress (Street, Box or.Fiouie'No.) Ciry b E r? Section No. Toxnship; Fleine a No. Range No. Cou nry ! '?,??,?L Occupant (PRINT) Phone No. nd PowerSUpplier - Adtlress ?? EleGrkel Contranor (COm? Nama) ?ntr¢zyprg ?ynya ryo. t-i ?4l hic Malling AGtlRSS (COniraclor, of 'd!*r Makirg InslallaYwn) .: ?? ?1? rna.s rn?J 55q43 AWhorizetl SgnaWre iCoriVefAOr/Ovmer Meking InsWlletbn) P?orre Number c ? MINNESOTp STATE BOA 6'OFECEC7NCRY Grigge-MlEway Bltlg. - qoom 5173 1837 Vnlvenity Ave.. SY. PaW::67N 56104 vhare latsl e42-0800 .. _ . ,...... THIS INSPECTION REOUEST WILL NOT BE ACCEPTEC) BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee ooom-o7 ? See instructions (w compleling fhis form on back of yellow copy. ? ? 8 Z 8193 X°Be/ow Work Covered by This Request ew Atld Rep. YypeolBuiltling AppliancesWired EquipmentWired Home;:<<=' ' Range emporary Service Duplez: .[ Water Heater Electric Heating Apt.,$uilding Oryer Other (Spacity) Corrim:Llndustnal Furnace Farrr'r?:?;°:-?: ' qirContlitioner OtheF('speWry( Convactw5 Remarke: Compute Inspectio'n!FeeBelow: # Othedf'," - Fee # ServiceEniranceSize Fee # Circuits/Faetlers Fee Swimming PooC° 0 to 200 Amps o to 100 Amps TrdnSfofiner5 - - Above 200 _ Amps Above 700 _ Amps Signs ' Inspecta§ use oniy: 7p? trrigation Booms:,' Special Inspectbn ,<>. Alartn/CommunirtaUOn Other Fee - - I, IIl2 EIBC1fIC2I If!$PCC[Of, hBf2by certirythattheabo"ie!inspectionhas been made. ' RougMin Date o?e ' OFFlCE U8E ONLY This request wid 18 moriUis?lrom ???o?s r yr?? ; ? 02516 flequest Oaia Fire No. P h-in Inspection R ui ? ? Reatly Now II Nolity Inspeciof 3'? es ? No When Ready? I p licensed contrac[or ? owner hereby request inspection of above elec[rical work at: .bb Addrass (SYreet, Box or Route NoJ Ciy Qn Sedbn N0. Townshi0 Name or No. RangB No. County OA Vo-k-A OccupaM (PRIIYi) PhonB No. Power Supplier Atltlre% I?-? T?. ElecYncai ConVactor (COmparry Name) Comradwls Licensa No. . 39-)-) - Mailing Adtlres, (Contraclor or Owner Making Inslalla4on) s-3r as o =uq Authorized Sgnelure (COnvac[or/Owner Malting InsiBliatron) Phone NumEer 5C?x- _ MINNESOTA STATE BOAHD OF ELECTiICRY THIS INSPECTION REQUEST WILL NOT Gtlggs-Mitlwey BWg: - Hoam 5-173 BEACCEPTED BYTHE ST.4TE BOARD 18Pi IlnlversHy pve„ M. Poul, MN 55104 UNLESS PROPER INSPECTION FEE IS Vlione (812) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea00001-07 ? ? See InsWCtlons (ar compklfng this lorm on beck oi yelbw copy [P ID 25`16 X" Below Work Covered by This Request ew A tl Rep. Typeof8uiltling AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer O[her (Specity) Comm.Anduslrial urnace r Farm Air Conditioner m Oltrer (specHy) Conhactor§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntrance5ize Fee # Cimuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ro 100 Amps Transformers Above 200 _ Amps Abova _ Amps Signs Inspedor§ Use Only: TOTAL Irrigation Booms ga? - Special Inspection AlarmlCommunication ? Other Fee 1 $p • 50 I, the Electrical Inspector, hereby if Rouen-,n oa? ? cert y that the above inspection has been made. Finai oa? ? OFFICE USE ONLY ' --" . Thie requeal void 18 monihs hom CITY OF EAGAN N9 16068 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 15 ? BUILDING PERMIT Receipt To be used for SF DWC?i/GAR Est. Value $13 3,000 Date IbNUAR V 20 , 19-8.9-- SiteAddress 716 HAVEN HILL ROAD Lot 23 Block 7 Sec/Sub. HILLS OF OFFICE USE ONLV ParC21 No. STONEBRIDGE Owupancy R_/M-1 FEES s TAE ROTTLUND C0. Name zoning (ACluaq Const gg_ {(['? eldg. Permit ? 7$6.00 ? P.O. BOX 383 Address (Nlowable) VN- h e S 66.50 o City OSSEO phone 571-0304 s af stories - urc arg 'Z Plan Review ? 378.0 fi Leng F Name SAME DepN 36- SAQ City 100.0 ? i " ° Address S.F. Total - 575 00 v? ? CitY Phone S.F. Footprints SAC,MCWCC _ waier Conn S t?0 On Site Sewage _ , r Name On Site well - Water Meter 0 90.0 1-1 Address MWCCSystem x l A? DePosi[ n -nn a W City Phone cry water X- SNV P r it 7n nn PRV Required _ e m - I hereby acknowlege thal I eve reatl this appiication and state that the ? eooster Pump - 5/W Surcharge 1.00 iMOrmation is correct and iee io compty wit(i all applica6le Slale of Minnesota StatNes and City ?f1Eagan Or inance . Treatment PI 7 9 R_ O(1 Signdlure ot Permitee --?' 1-1A ??- x• , _ APPROVALS Road Unit 325.0 ? A Building Permit is issued [o THE ROTTLUND Q.O : • Planner - Park Datl. on ihe express contlition that all work shall be done in accordance wiih all Council applicable State of Mi ota Stat o Eagan Ordinances. uCilY gld9, pry. Copies ? ? BuildingOfficial v Vatiance - TOTAL $3119.50 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & rownhomes/condos when pelmits aze required for each unit Date Site Address Unit # P t O Tele hone#((Q?? roper y wner p Contractor ?? ? ?? ?? S[reetAddress Q ' ((J / J ! ? ' City St t Telephone # (09 Zi a e p Bond #• Expires: The Applicant is _ Owner ?ontractor _ Other Add-nn or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ?- airconditioner _New _\,_,-_Replacement other S[ate Surcharge $ .50 f 'So Total ll, 0 1 2004 I hereby apply for a Residential Mechanical Permit and acknowledge that ormation is comp ete an accurate; that the work will b nformance with the ordinances and codes of the City, of Eagan and wi the Mechanical Codes; that I understand this is not a pernut, ut only an application for a pernut, and work is not to start o t pemut; that the r will be in accordance with the ap? ed plan in the cao 'jwor?C which?requyres a review and appro al of p I _ ? n??? Printed Name ? Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dweiling unit Date / f Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Conhactor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interiorlmprovement _ InstallPiping _ Processed _Gas Nature of Work: ""When insfalling/removing underground fank, call for inspecfion by Fire Marshal and Plumbing (nspecfor Permit Fees: $70.50 IInderground tenk ins[allaUOn/removal $50.50 Mlnimum (includes Stare Surcharge) or Conuact Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 =:> $ State Surcharge IF ep rmit fee is over $1,000, add $50 for every $1,000 eo rmit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector ?0(?353 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /5: sa Date'? l -.?4l0 ? / Site Street Address 7?Co ! (,' ?v'P?Y1.? 'fib ?x wC/? ? Unit # Property Owner Telephone # Uj ) -f?V -3 baA Contractor W Lp AU;2oi, ) co _? Telephone # (/,r- ( Q/e5 -!3 5/O Address c xq4Q City ? State M2- Zip.S _61A3 The Applicant is: _ Owner Contrector _Other Alteretions to existing dweliing $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener V_-Water Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. l-4)q R 4 . I/L ?? ?fi" 16 ApplicanYs Pri ted Name ApplicanYs S nature ,f/5.50 Lo a 4-Y3 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 's'10 °a ?,zz, o/ l1124a3 New ConstruUion Reauirements RemodeVReoair Reaui2ments Office Use Onlv 3 registered site surveys showiig sq. tl. of lot, sq. R. ot house; and all rooted areas 2 copies oi plan Cert of Survey Recd Y _N (20%maximum lot coverage allowed) 1 sel of Energy Calculations for heatetl additlons Tree Pres Plan Racd Y _N 2 copies of plan showing beam & window saes; poured (ound desgn, etc. 1 site survey far additions 8 decks Tree Pres Reqd _ Y_ N isetofEneryyCalculations Addffion-irMicafe8on-sReseptksystem On-siteSepticSystem _Y _N 3 copies otTree Preservatlon Plan'rf lot plalted atler7/1193 Rim Jolst Detail Options seledinn sheet (bldgs with 3 or less units Date I 1 /n I O? ? Construction Cost C??c ?- Site Address ll d Na?e (, 11 " c UniUSte # Description of Work 6?-Y_ vkenl R c... nL ttI NId 1-no Uel foo? ) Multi-Family Bldg _ YX_ N Fireplace(s) 1C 0 _ 1 _ 2 Praperty Owner 6e-4{.. ja?65o.1 Telephone#qS I) L147 d" 30 )- 3 ?".Q??l-S l17 y? 0 ? i + ' Contractor ?ya Y`w CAP"}c, rd c..c ?cS... ??z? Address lq drtfp Cnc.f af?e- /?.e {G }j- li8 City /)//!ey vc?.l?eC/ State 61,v Zip Telephone#(JSd dsS4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672 Energy COde Category , Residential Venlilalion Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitletl Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber mm Telephone #( Mechanical Contractor NOV 182003 Telephone #( Sewer/Water Contractor Jile, I 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 se cif work which requires a review and approval of plans. n D&,: a SCL Applicant's Printed Name A icanYs Signature OFFICE USE ONLY 5ub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plez ? 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-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or ZN ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair IZ' 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demoiition (Entire Bldg) - Give PCA handout to applicant Valuation `j-0 o v Occupancy MC/ES System Census Code 1Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units 0 Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const S n/ Width _ Footings (new bidg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof lce & Water Final .b' Framing Fueplace _ R.I. _ Au Test _ Final ? Insulation REQUIRED INSPECTIONS FinallC.O. d- FinaUNo C.O. Plumbing d' HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retain¢tg Wall ApprovedBy ?00 -"3Buildinglnspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL , BUILDINC PERMIT APPLICATION -? - CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Canstruction Reauiremenb RemodellReoair Reauiremerrts • 3 registered site surveys slawing sq. fl. of lot, sq. ft of house; and all roofed areas • 2 copies of plan (20% maximum lot coverdge allowed) . 1 sel of Energy CalcWations far heated add'Aions . 2 copies of plan showirg heam & window saes; pou2d found design, etc.) • t site survey for e%terior additions 6 decks • 1 set of Eneryy Calculations . Indicate if home served by sep6c system for additions • 3 copies of Tree Preu(vaUon Plan if lot platted after 711193 . Rim Jo'st Dettil Options selectbn sheet (hldgs with 3 ar less uniLS) DATE ^c:) -,E!- SITE ADDRES iULTI-fAMILYBLDG _Y _N TYPE OF WO FIREPLACE(S) _ 0_ 1_ 2 APPLICANT SELAROOFINGBREMODELWG' 4,vffEaEE?+BR-3rVi, STREET ADDRESS ST. LOUIS PARK, Mni 554' CITY STATE ZIP TELEPHONE `E(O CELL PHONE # FAX # PROPERTYOWNER < ?? -??LS eY> TELEPHONE# ??n 'Z3 --------------------------------------------°------°---------------------------°------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission type) Plumbing Conhacto?: __ Plumbing system includes:, MINNESOTA RULES 7670 CATEGORY 1 . Residential Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculations Submitted _ Water Softener _ Water Heatcr _ No. oF Baths VALUATION & (e t R?O • 0-0 - Phone # Iawn Snrin} _ No. of R.I. Barhs Mechanlcal Contractor: Mechanical system includes: Sewer/Water Confractor: _ Air Conditioning _ Heat Recovery System Submitted Phone # Fee: $70.00 Phone # ----------°-------------------°°-----------------------------------°----°---°--°--------------------°°----------- I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ord'iances. SlgnatureotAppllcant P ........... « . . . . . . . .... _ ..... - " " "' " - _ ' ' "' . - . . " - " "' ' ' ' . . . . . . . . . . . . . . . - ' - " " " " " " "' "' " . . e . . --_ " "' ' " " " _ . . . . . . . . . - - ' ' ' "' - - . . _ . . ? . . . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_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)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg 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 (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit License Search Copies Other Total Building Inspector 1989 BIIELDING PfiRMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS /(Pod INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDAESSE:S FOR CORNER LOTS - CONTRACTOA/HOMEOTiNSR MIIST DFSIGNATE WHICH ADDRE6S IS DESIRED. NO CH9NGES WILL BE 9LLOWED ONCE Bi1ILDING PERMIT IS I33DED. M[TI.TIPLE DWELLINGS RENl9L ANITS FOR SALE DNITS i OF OHIT3 INCLUDE 2 SETS OF PLANSt CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO¢9MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS - - ,le) 3s)ooo To Be Used For: (i Valuation: ? Date: Site Address *?//D &"[.7t) 1116C OFFICE DSE ONLY Lot ;23 Bloek 7_ Pareel/Sub H,C.i-S C;F-- S7C?I(.?lJD[nE Owner ti1-'ct? 12??d'T-C?l?{JD Cr?. Address City/Zip Code fX? Phone /y Contractor Address City/Zip Code L--4-m=m Phone l?y>yf? Areh./Engr. _ ?rE Address S7?j1I? City/Zip Code GPIPIAL- Phone # 6we- Oecupancy Zoning Aetual Const Allowable 11 of stories Length Depth S.F. Total Footprint S.F. ? V,?i/ Y/v Sz 3 33 On site sewage_ On site well MWCC System ? City water ? PRV required _ Booster Pump _ APPROVALS Planner _ Couneil Bldg. Off. T? I?IB Varianee Couneil FES.S Bldg. Permit 9S6 Sureharge 64So Plan Review 3 7'?" SAC, City ?O SAC, MWCC S? Water Conn 5S G Water Meter ?0 Acet. Deposit 30 S/W Permit zU S/W Sureharge ? Treatment P1. z z Road Unit 3Z Park Ded. Copies TOTAL ..LI I Q z0 ? ? ? L? NOTE: 3ewer & Water Permit fees and account deposit fees rrill be ineluded in the building permit fee. Proeessing time for sewer aad water permits ia tvo daqs once a liaensed plumber has applied for a permit at City Hall. ???? gtfc/ 3p,}-/y = fzb_ ll7a ,,,r r3 ? / J5?0 3o,r/y ??3y ,r vs = S,s?G !l3`/.?49 = S?S?4 Ga? 7 z?r Z?. = Y? S' k 1 y= ?? ?` . ; _ ,.: EXTERI01C. h.v1!?LOPE AVERAGE "B" COMPUTATION j' r. . . ' ' , • . . _ . !S't _ . w o A•, ? il . ? .. . ? . ' . . . • ? OWNER I ^V ' i(10 G7C? ? b SITE ADDRESS CONTRACTOR idA mg DATE PHONE 57 Determine working aquare footage.of each. 1. Total exposed wall area ...... Zsq• ft. x•jl °. .? 2. Total roof/ceiling area ...... /,/80 . aq. ft. x Total exposed wall area above floor = 2'F 9 ro , a. Total wall window area ........................... .? , b. Total door area .................... . . ........ c. Total sliding glass door area .,..... ..... .. ..?•' .. d. Total fireplace wall area ........... ............. ? e. Total wall framing area (average 10%) .............. ?. , f. Total net wall area above floor ................... ./ ? g. Total rim joist area ................................ Total exposed foundation area ?. : .... ......... ''? ? h. Total foundation window area .......... ....,.? '- _ .. i. Total net foundation area above grade ........... Determine "Ui' value of each wall segment.. ? a. 253 x „U„? "5'ef b. ? 3 qU X „U,,. ?p 2.66 ; . C. 40 X „U„ . a. X alull e. x null D8 = /$?7 '' . ;' ,? f. 1930x.,,U„ . 04f2 = gI4-06. g. 312 X„U„ ?OY-0 a 12.4g.+'' , ? h, 7 X „v„ - i. X uUn. _=...7-91 3 .......................... .........Total 2 0.7 ,, , .. If item 1! 3 is the same as, or less than item 01, you have met the intent of SBC 6006(c)2. - . r Total exposed roof/ceiling area Total gross roof/ceiling area = ed j. Total skylight area ...........:........... ? k. Total roof/ceiling framing area ......::: Determine "U" value for each roof/ceiling segment. J • ? X IlUu r? = L? k• -71 X 'lull ?? /•9 2 1. ? ?a 9 xloull .92? = 27.73 1. Total net insulated roof/ceiling area 4 ..................................... Total IP total of 1l4 is the same as, or less than lfz, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items 1l3 and 114 shall not be greater than the sum of items Ill and U2. 1. 320.3s- + 2. 30.68 = 3,S-/.63 s. 2- 90- 79 + a. 29.65` = 32G654 it l -1 W/l_i,L ul''?;'1'ltn,_. luTE: Use 10% of Iopaque wall area for frame construction 1'ayc: J oP 4 Construction ', . R-Value 1. Interior air' film 0.68 .2. 'C?YP S3 R b 4 S_ . .3. , 9. 25/32 SN7',--- z.0<? 5. S/Gd'.riG+ vvClc FECT ? e?? 6: Exterior air film 0.17 Total 1. Interior air film 0.68 • 2. ?L"GY. P 13aZ D o Sl S. . 3. )-UGe cC_ ./.V5`G 4. _2 5?32 2 OG ' 5. 5/d/AiG- OVE.E' FELT J e2 ? 6. Exterior air film 0.17 Total 2 3,6 Z . 2 1, Interior air film 0.68' 2. 3. '2 X_ r2f 1`?l . /e-{?Sg 2 5/3 2 S H"r',i?,. 4. z a0(?, 5. S/(S7VC-lZ 16 2?c, 6. Exterior air film 0.17 ' Total 2 S.O S O`fU 1. Interior air film 0.68 . . 2• -// ./•?i5r/C. //, Up 3. 2,F! FuR 2i rtc, 4. /2 r?COw? /j COC (C 5. 6. Exterio: air film 0.17 xotal /30/3 .. . : • = s0, 7c:?? a . ? ^ ..?[=. ?-ns? ? • . . ?/ 4 ,? , y, . , , r: !f ( ? , V • , /C( • 'I . ? 6 . ' ?Ill = , ((l . ' . : ' • • - .- FIG. If9 - ' • - k . r • rlt ? ., o ? • ? ? ` • ?`//l s , \, • Ile • /l( _ I?r ? !rt ?• - ' ? . 1t3 y. `? . . . ? d ? ? f (L • ? • • _ . : . • ?3 RQMI'/CEYLTNG '• - • ? , .. (1 . • y'y^,TT /?II?I?IL:,hrSll)11111_,1JUi?IJ1? 7ented Hea[ flow ? up ' . ' i . , . 1.p ' . I . ? ?. • ?•, . • _ _ . i - u 1. Interior.air film 0.61 2. Yn C?, 2_D 5SS 3. /,vSCiL Or/E>iL r/2U5S ' ? ?e? a?. - . 4., Eaterior azi £ilm stillj- 'Z5-6r ' • . Total 36r74t ? - ,o-?:-r . 5I ?• •.??'••,'•?• . ? . K?Ll??? • . ?flow up ? . ? ' . , .. . ? F..T.r,. 07 ' . ConsirucL•ion ' R-Valae 1.Interior air film .0.61. ' 2. 5/f?" C?Y1? T3 RO .S8 3. 4. Exterior air film (still 061 •- Total 3 -r"j?? BO • : ' , U = OZS . ? ?' • • , , , 1. Inside ai.r film 0.61 ?.. . :i . . . 4. 5. Outside air film 0.17 Total :. '.. • ' • ' . Notc: Use additi.oinal siieets •iL• more spacc is needed for cietails and calculatians. ? Eaac flocr up ? ? . .vented . , i . • ' • • . . ,?., , ,FIG. 56:..1... ? :' . .. .' . • - . . ---.. _*_ : ,_ . . , ..: . . , ? . 'F PIONEER * engiyneering.. lV *T T i LwrvoPtwNNERS• Certificate of Survey for: ?aPO V? a?\ l?3yq? ? i 0 .-, i'IN!, NvB gl. s7y, f3 ?- \ ? ? ? ? ?s \ ? i a i i. i i ? ? ? 4b b7 1?, g. ? . ?° n?r ??t e f? o ft?u/1d Co?'1.09? ? ? g9g o NoarN V` ?lu8 EI= l9g./p , - a•°? 3 Nve s1:89j 74 z \ T-+??. a \ ? 0 0s °s6? \ ??. \\ \ = 900.0 Derrofes exrstin? flevafion . yoo.o Denofes propaHd Elevafion -----?DenofesDrorna4e?ufilily Easemenf denofes Orarna§e Flaw Arrows o Denofes monumen} B e4ri[-Ils shown ora assum ed c_ r =f-1- 2422 Enterpriie Drive Mendota Heights, MN 55120 (612) 681-1914 REWED av d.'° PRODOSEO_NOUSE ELEI/A710N5 Lowesf F/nor E/evafian = 89°•(0 Top or elockElevation = . sIs-Z CiarOga S/ofi E/evafrorj = 898_`F LOT 23 , BLOcK 7, NttLS oF STOIvEBRlDGf DakoTq COUNTYi MrNNF-50TL1 SUBJECr 7U EASFMENTS OFIZECOt7D 1 hereby ttrtiFy thst this is a true snd rnrreet reMamesrion oi s au.vey af tne bou-da.les o1 the sbove w:cribed land, srd of t1x location oAt aAll Ifuildingf. [he•eon. and dl visible encroachmmn. it any, irom a o? yiA Iana. Ae su.veYrd Dv ? tn,s?d+v o1?4. A.D. 19-L6. Sccrle ? lL26 ' 40 4id ? •al891 AOB pT 9. S ?K1 M L8.? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 716 Havenhill Rd Lot: 23 Block: 7 Addition: Hills of Stonebridge PID:10- 32990 - 230 -07 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Permit closed Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745 -1400 PERMIT City of Eaan thout required inspection(s). Letter sent to applicant on 1/7/2010. (pf) Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Owner: John E Jackson 716 Havenhill Rd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA090368 07/28/2009 ePermit 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA108347 Date Issued:12/03/2012 Permit Category:ePermit Site Address: 716 Havenhill Rd Lot:23 Block: 7 Addition: Hills of Stonebridge PID:10-32990-07-230 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 E Jackson 716 Havenhill Rd Eagan MN 55123 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117728 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 716 Havenhill Rd Lot:23 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-230 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 E Jackson 716 Havenhill Rd Eagan MN 55123 (651) 261-3315 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature ECEIVE JUL 2 2 2020 N 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionsCaacitvofeagan.com r For Office Use Permit #: Permit Fee: Date Received: Staff: 7770 2- 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/22/2020 Site Address: 716 Havenhill Rd Type of Work Unit #: Name: John Jackson Phone: 612-669-6741 Address/City/Zip: 716 Havenhill Rd, Eagan MN 55123 Applicant is: Owner ✓ Contractor ITS Is or coni)suleice Description of work: Replace concrete chimney crown and top section of clay flue liners. Construction Cost: 1 ,995.00 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Sela Roofing and Remodeling paE Contact: Ben Address: 4100 Excelsior Blvd Pi� qi� city. St. Louis Park State: MN Zip: 55416 Phone: 612-823-8046 Email: blang@selaroof)ng.com License #: CR001050 Lead Certificate #: NAT-25034-3 If the project is exempt from lead certification, please explain why: no lead in work area. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an emall update on the Clty's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 appro -f plans. x Benjamin Lang Applicant's Printed Name is Signa DO NOT WRITE BELOW THIS LINE -7/6 4fi-vceth gc.1 4D-770 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level _ Interior Improvement Move Building Fire Repair _ Repair Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Occupancy Plan Review Code Edition (25%_ 100% ) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (Deck) _ Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan _ Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous Accessory Building Siding _ Demolish Building* _ Reroof _ Demolish Interior Windows Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System 1 02-4,0 SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: , , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL n4.bvi )(7649/9-9-L. 1 If 0 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA162383 Date Issued:07/13/2020 Permit Category:ePermit Site Address: 716 Havenhill Rd Lot:23 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - John E Jackson 716 Havenhill Rd Eagan MN 55123 (651) 261-3315 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167960 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 716 Havenhill Rd Lot:23 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-230 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. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - John E & Beth A Jackson 716 Havenhill Rd Saint Paul MN 55123--165 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (612) 280-4807 Applicant/Permitee: Signature Issued By: Signature