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717 Havenhill Rd Use BLUE or BLACK Ink Fnr Office Use of Eap I Permit ~ City ~UU ~ I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 I I I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff- . - - - - - - - - - - J 2010 MECHANICAL PERMIT APPLICATION Date: Z +f ' Site Address: 7~ L ti-( ~C~f Tenant: to Suite RESIDENT / OWNER Name: D ph-1 Phone: Address / City / Zip: 1 9t CONTRACTOR Name: L cad L C-( Y-4f C /-4- License Address: iA- 5 E City: L 41 Ic' State: Zip: Phone:// Contact: Email: L L rnC-C r7h''- l "C14F"/ ~ Gar,, K TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: r~ I6w c 1 l411P P4 " C` NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE 111~ Furnace New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.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 t to tart 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. 1 x ~~S'Ti 4 e j,- x Applicant's Printed Name Applic is Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection K? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: t r ' „' t H+\V1 NII L 1 1 11114 Fi12 ID(iL PERMIT TYPE: Permit Number: Date Issued: ct(i tt cj I Nri 0",)•a79 I PERMIT SUBTYPE: ? ? 't: }'3 ' i i r•+ i ' ? If APPLICANT: t:i fit f)CF . {I 1i1li ;•,. t Id I 1',;' I IJ1, (6111) r3•+W 1.1 Ht, TYPE OF WORK: I i? li?r iI lirt INSPECTION , ,. .. . ? . ,..: DA ?,11?,t1 I Pf 1•t (??? ; r fl?, i I PE- MaP K "; : A ? T', I<toUIh'Ftl tnk ANY 11 11IM111 fNtI) Ilu 111'f:1kJ1;A1 I4l1kK ??? Permit No. Permit Holda Date Telephone # ELECTRIC PLUMBiNC3 HVAC inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFINO ROUGH PLUMBING nw PLBG AIR TEST ROUGH HEATING ? GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST . BLDG FINAL N ? BSMTR.I. G1F/?IfTT?7GY 1?ie?TF'iJ? S•L! /I1J BSMT FINAL DECK FfG DECK FINAL - - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P E 4 4 8100 R t2 HON : 8 - BUILDING PERMIT Receipt# , To be used for !?F DA'rl Ga.3 Est Value S134,: !?0 Date 1 5 Site Address 717 HAVEKUILL RD OFFICE USE ONLY ? ij 13 On Slte 5ewage Occupancy ?• 3 "'-1 . Lot Block Sec/5ub. Pi: R 1 MWCC System Zoning - Parcel No. l A C ?`•-p On Site well ctua ) onst ( a Name "UE RCTT1<?'YU CO, I24C C?ty water x (Allowable) Z Address VB-' PRV Required # of Stories ' ? City Phone 571-CJ3C;-v BoosterPump Length 4o ? Depth p Name S.F. Total , ? 6 Address Footprint S.F. ? City Phone APPROVALS FEES ; ? W Uy Name Engr./Assess. Permit 6`'' >• VCi S? ? W ? z Address Pianner Surcharge ? ? ?2 ? ? W City Phone Council Plan Review . 00 1W Bldg.Off. SAGCity • I hereby aCknowledge that I have read this application and state that the m ti t t licable St te f i f i d l ith ll Variance SAC, MWCC W 550•00 ssa•Q? app n or a on s correc an agree o comp y w a a o Minnesola Statules and City of Eagan Ordinarrces. : ater Conn. Water Meter 67.00 Signature of Permittee Road Unit 17 S.O? A Building Permit is issued to:__ .1°P%OTT'*-?UNh rC? _1,W- _ Treatment P1 _?iQfl on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL 2,889.00 Building Olficial-- --- - -- -- ------ --_- Permit No. Permlt Holdar Dats Telephone ft Plumbing H.v.'ac. ?7& 0 ,, ElectriC • ? ?7 ? 1s CT' 5ottener Inspection Date, InIp. Comments Footings I ; //?? fJs Footings II Foundation Framing : o_ ? Roofing Rough Plbg. Rough Htg. ?a 7 ! isui. se S' c S 1? 9 Fireplace Final Htg. Final Pibg. ?l • Bldg. Final t,[ Cert Occ. 3-2 Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ?-_- _ f 4 a A •4 (Itrtifiraft of COrrupan,?y Ctp of (tagan 18pparrtt.ettt of liuilbing JWrdintt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance thu sJructure was in compliance with the various ordinances of the City regulating burlding construction or use. For the fnllox+ing: u?ctmif=uoA_SF DWG/GAR Bmg.Pe„„;tKa. 15972 ooc„w„tr Type R31M 1 ua„g o;sma PD /R 1 1yIxcong VN owner of BwwimB THE RQTTLUND M. P. 0. BOX 383, OSSEO su;ia? Aaa= 717 HAVENHILL ROAD ?li?, L 13, B9, HTLLS OF STONEBRIDGI MARCH 28, 1989 ' 8???ing oacifll POST IN A CONSPICUOUS PLACE Cities DiLrital Oualitv 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. 't ' • PLUMBING PERMIT PERMIT # CITY OF EAGAN RECEIPT # . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ Block m Name `LJ < < ; m Address - c City W ? 4 Name _ 3 Address O C'h' - FEES COMM/IND FEE - 1% OF CONTRACT F E E TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.OQ MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF PE CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. x New .?- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $100 $ Bath Tubs - $3.00 ?-j-Lavatory - $3.00 f Shower - $3.00 I Kitchen Sink - $3.00 Urinal/Bidet - $3.00 I Laundry Tray - $3.00 i-Floor Drains - $1.50 1 Water Meater - $t 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: GRAND TOTAL• ? ..?... ?? . •? m ? ? Add c City L N8R1@ _ 3 Address p City TYPE OF WORK Forced Air Bofler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other r +~• _ • MECHANICAL PERMR CITY OF EAGAN 3930 PILOT KNOB ROAD, EAGAN, MN 55122 P14AIi1P au.aine Phone - ' ` M BTU M BTU ?- M BTU ? M BTU CFM . J $- ?- ? ? FEE - - S/C: TOTAL• ' RECEIPT # DATE - BLDG. TYPE WORK DESCRIP170N Res. New ' MuR Add-on Comm. Repsir Other FEE3 RES. HVAG 0-100 M BTU - $24.OQ ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CON3TRUCTION) GAS OUTLETS (MINIMUM -1 PER PEFiilA1T) - 1.50 EA COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWMHOUSE & CONDOS - RES. RATE APPIJES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARC3E PER PERMIT - .50 50 S%C IF PERMIT PRICE GOES " ADD $ ( . BEYOND $1,000) SICiNATURE OF PERMITTEE FOR CITY OF EAGAN 3830 Pilot Knob Ro d! PYO. Box 21C-1A 9, Eagan, MN 55121 ? rM?? ? PHON E: 454-8100 BUILDING PERMIT To be used for JWG!•.,A'? Est. Value 5 ].i4,(N,; SiteAddress 717 'iAVE:dIJiLL RD Lot 13 Block ? Sec/Sub. STOpikEat Parcel No m Name THE ROTTLUNb C0. UIC ; Address P 0 EiJX 383 ° City 0S5E0 Phone 571-0304 . o Name SA,'? z? ou Address P City Phone Name I hereby acknowledge that I have read this application and state that the iniormation is correct and ag?ee to comply with all applicable State of Minnes9ta Statutes and City of Eagan OrdinanCes. r. . Signatnre of Permittee . '_ k ` ' 't A Building Permit is issued ta_Tl1lr RO'I'TLiIND CQ. 1SiC on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otficial Receipt # ' Date DHC 15 ,19 OFFICE U5E ONLY a On Site Sewage Occupancy R?3 M-1 MWCC System x Zoning PD R-1 i On Site Well (Actual) Const v- H City Water ? (Allowable) v-N PRV Required # of Stories Booster Pump Length 4t ? Depth S(1' S.F. Total ' Footprint S.F. ? APPROVAIS FEES Engr./Assess. Permil t64•W Planner Surcharge 67.00 Council PlanReview 342•00 Bldg. Off. SAC, City 100•00 Variance SAC, MWCC 55C•00 water Conn. 550•00 water Meter 67.00 Road Unit 325.w Treatment P1 Z04.W Parks TOTAL 2,889.00 r CASN RECEIPT ?AlL. . 's CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 w DATE 19 ? r*crveo FnoM AMOUNT / & DOLLARS ? ioo p CASH d?CHECK 1"It G] 7? 1 I--? tS4 I.L. I I Thank You BY ? Nmrce-Peyers coPy ?. . • venow-Qosens CoDr PMk-Ffle Gopy ? (' TY OF EAGAIV Permit No: 10186 I2/20/88 ?s30 Pilol knoli Rbad Nleter No: a date: P.O. Box 21199 Size: 6 C Eagan, MN 5512?'? ?Daie: ?-Z-T- Owner. L,f)TTf.iIATn ?-n Aje- `''-) Site Address: B9 HIL?.,S OF STONE- Plumber. G $RZ nr_ r Conn. Chg: _ $550.00 ud Acct Dep: I5 pp Pa Permit Fee: 10.00 pd Surcharge: 5_ ? , Tr. Plant_ 90L 00 nd Meter. Zoning: _ No, of Units: i agree io comply with ihe City of Eagan Ordinances. , • _, ' 'i f 20 / 9A F EAGAN Permit No: Date: lot Knob Road g/ p No; Date: K 21199 M N 55121 :.O'ETLL"iD ::D ier: ? 717 IiA,YENI?ILL ,- Address: _?__ ZY PLBu r %50.rjd Qt' DC: Chg: .ft0 ad 15.50 nd . Dep: iit Fee: .L..?..... .-r ' • R-! No. of Units: I agree to comply wRh the City ot Eagan Ordinances. SEWER SERVICE PERMIT Misc.: B Y WATER SERVIC PERMIT _. a?s?s?9 5fa ; '5? c- ' ? 82791 Request Deie I?? Fire No. ' -in Inspection F' ui ? ? ReaCy Now ill NoHfy Inspeclor R ? W s ? No hen eatly 10 licensed contractor ? owner hereby request inspection of above electrical work at: ,bb Address (Street, Box w Route NoJ City '1 'l Na?.rzrhi l (Zd ? Un Secbon No. Township Name or No. Panqe No. County ' ' / y Occupent (PRIhlT) -I-Huncl Phone N0. Pavar Supplier Address DI ElccArIc, Electricel Contrec[or (Compairy Nartre) CoMredor's Licensa No. SLknn?-Lz E??r« 3??1?-y Mai5ng AECrese (Cqmracfor or Owner Making Instelletbn) qasb MR-5 1 rn . Avlhor¢ed SgnaWm (COmredor/Owner Making Installation) phorie Number _ 0 NINNESOTA SfpTE BOAflD OF ELECTAICRY THIS INSPECTION REQUEST WILL NOT Orlggs-Mltlway Bldg. - Hoom Stn BE ACCEPTEO BY THE STATE BOARD 1821 Unlverelty Ave., St. Veul, MN $5104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r EB-00001-07 ? See insvudions lor completing this form on beck ol yelbw copy. ti9Q95G rg 82791 'X" Below Work Covered by This Request e Atltl Rep. TypeoBuilding " AaliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm • Air Conddioner Olher (specify) CanVector5 Remerks: Compute lnspection Fee Be/ow: # D1her Fee # ServiceEnlranceSize Fee # Cilcuits/Feedere Fee Swimming Pool 0 to 200 Amps o to 10o Amvs . Transformers Above 200 _ Amps Above 1f1D- Amps ? SIgf1S lnepattor5 Uae Onty: TpTAL Cn Irrigation Booms 5 (? ? w Special Inspaction v Alarm/Communication Olher Fee Q, { I, the ElecVical Inspector, hereby R°?yn-in ? ?a `O certity that the above inspection has been made. oat P oMce use ot+p This requesl Poitl 18 monme !rom Vo S3 ? ? g 2 73 g 3 " " ,S j °i' 1, C rv?a( Requast Data Fira No. Inepection equ'rad? ? Reetly NOw ill NoHty Inspeclor s 0 NO When HeadyT I O licensed conUactor ? owner hereby request inspection ot above electrical work at: Job AdOreas (Slreat, Box or Route No.) Ciry (? S I1 I ?I KG ?Q Seclion No. Townehip Nama or No. Renga No. Co unty ^ - l..C 7.? Ocwparit (PRINi) Pham No. ?-J V-OH . .. ur C.1 Power Supptier AtlEress f?i.kz+c. ECc-c.-I'nc Elecitlcel ContrecYar (COmpany Neme) ntredor§ Licanse No. Co S ris..e. E:lkC-kr« 3qy Melling Address (COntractor or Danar Meking Inatellelun) 40gO SNza A-%e, Kk ma.s MrJ 55443 ANhorizetl SignaNra (COrtlredw/Owner Meking Nstallafion) ne N u mbet Plro j ? ? p? ?/? ? vC?l' OpW MINNESOTA STATE BOARD OF ELECTflICITY THIS INSPECTIDN REOUEST WILL NOT Orlggs-Midwey BMg. - Room 5-773 BE FCCEPTED BV THE STATE BOARD 7821 Unlvanity Aw., St. Poul, MN 5510C UNLE55 PROPER INSPECTION FEE IS Phona(81R) 642-OB00 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oaom-m N ? See instructlons br Gpmpleting .I»s form on b9Gk of yeilow copy. Pi 82738 'X" Below Work Covered by This Request ew Add Rap. Type of Building AppliancesWired EquipmentWired Home Range mporary Service Duplez Water Heater Electric Heeting Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm ' Air Conditioner Olher (apeciry) Conhechor5 RemeMS: Compute Inspec[ion Fee Below: /f Other Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee Swimming Pool to 200 Amps a to 100 Ampa Transformers Above 200 _ Amps Abo Amps SignS Inspector§ Use Only: /? OTAL ?.n Irngation Booms ? ??0 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough,in F;,,ai oaea a_ J^ OFFlCE USE ONLY This request voitl 1B moniha irom REQUEST FOR ELECTRICAL INSPECTION ee-aoqooi-o/g? 0p d' ? See ins[mclions for completing this brm on back at yellow mpy. ??7p( ??f-? "X" Be/ow Work Covered by This Request ?; Ne Add Rep. Type of Building ' Appliari es Wired Equipment Wired Home Ranga Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Othar (spaclly) ConVamoPS Remryarks ( (y '. Q Q/\ 1 1 r?v-?.?J?S.Q-C.?-? CA-iii -il- r-4 hA ?5 ?? Compufe Mspection Fee Below: 2, Pc -, ic %1x p?qYT # Other Fee # Service Entrance Slze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200.Amps 0 to 100 Amps 7ransformers Above 200_Amps Above100 -Amps $I 11S Inspector's Use Onty: OTAL ? Irrigation 8ooms . ?D b 5 ecial Inspection . Alarm/Communication SHIS INSTALLATION MAY BE O ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, Ihe ElecMcal Inspector, hereby i Rouyn-in / n oeie 7r cedify that the above nspection has been made. Fio81 OFFICE USE ONLV . This requesl voitl 18 months ham 0°? 7 58 Requesc ate ?l Fire No. Ro gh-In inspectio equiratl (?OU ? ? celnAS ctoren ready) I ection Other Th Roughln ' Ready Now WIII Nolify Inspector as 95 V as u No Dete Raetl I Qlicensed contractor ? owner hereby request inspection of above electrical work at: Job A E d ress (SVeei, Box ar Routa No.) Ciry ? - - 7 TI + V ) 4 6- G.A i Section No. Township Name or No. Range No. C ounty \ Occupan[(PRINT) ? P on No. ? , ?: . Q ,?a c_a ?? . OT:> ?' i0 ko Power Supplier AtlOres ?IA- Eleclrical Contractor (ComOany Name) 0 L I ' ConM1ector's Licensa No. u-2. E (L Mailing Atltlress (ConVacbr or Owner Meking Inslallation) - R ,c) Lo M k- L ij , lo?? r Au)X5,z94 Si nature (ConVactorlOwner Meking Installalion) Phone Numbar l? t-?/?.C?/?'ll/i'.?-_,? oZ°? ?--- MINNESOTA STATE BOAHU OP ELECTRICITV THIS INSPECTION REOUEST WILL NOT Griggs-Mltlway 91tlg. - Hoom 5?128 BE ACCEPTED BY THE STAiE 90ARD 1e21 Univerelry Ave., St. Paul. MN 55104 I I I I I I II I I l1NLES5 PROPER INSPECTION FEE IS Phone161Y) 692-080a ENCLOSEO. Gr BLDG. PERMIT NO. 159 )a SFora 6r rcl¢e - 7/7Ifci,,e - -t- I,?' 8 ? cQ . I-lrl1S 01-3210 G ? Bfdg. Permit e°Jy b0 01-3422 Plan Check 6b -/ ?` 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? 50 01-2155 Surcharge 105 LIO 75-3860 Road Unit CFC 20-2275 SAC Sqq SZ% 20-3865 WaterConn. ?5<j °a 20-3868 Water Trmt. `:?,?G Uc) 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. co 28-3855 Park Ded TOTAL • CASH RECEIPT • ' CITY OF EAGAN 3830 PILOT KJNOB ROAD ? EAGAN, MINNE?C1TA 55122 DATE AMOUNT 8 DOLLARS ?ro ? CASH [I CHECK i L 7 <u,?"C??lFUND, OBJECT AhOUNT / l U'CJ . , U -7 ? DG Thank You?G BY E TTo 90240 Whito--Payers Copy • Yalrow-Pmnng Copy Pink-Flle CoPY ? CITY OF EAGAN ?T 15972 3830 Pilot Knob Road, P.O. Box 21,199, Eagan, MN 55121 1?? PHONE:454-8100 BUILDING PERMIT Receipt# Y' To be used for SF DWG/GAR Est. Value $134, 000 Date DEC 15 ,19._8$_ SiteAddress 717 1iAVENIiILL RD Lot 13 Block 9 Sec/Sub. STONEBRID E Parcel No , Name THE ROTTLIIND CO INC z Address P 0 BOX 383 3 ° City OSSEO Phone 571-0304 a .O Name_ o a AddreSs V r Ciry_ ?w Name_ wW ? zz. Address U a W City _ I here6y acknowledge lhat I have read this application and state that the information is correct antl ree to comply w th all applicable State of Minnesota Statutes and Cit f Ea n rdman es Signature ot Permittee A Buiming Permit is issued to:__ "THE_LOTTLUND_CQ?LAIC-_ on the eapress condition ihat all work shall be tlone in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ .-'---- OFFICE USE ONLY On Site Sewage - occupancy R-3 M-1 MWCC System X Zoning PD R-1 On Site Well _ (AChaq Const V-N City Water R (qilowable) V-N PRV ReQuired # of Stories Booster Pump _ Length 461 Depth 50' S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 684.00 Planner _ Surcharge 67.00 Council Plan Review 342.00 Bldg. Off. SAC, City 100.00 Variance _ SAC,MWCC 550.00 Water Conn. 550.00 WaterMeter _527._QD Road Unit --32-rN.,_pQ TreatmentPt 204-00 Perks TOTAL 2$? 89 • ?() ? q-) 3 1 2005 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-b Date Jcin /?Lo ! n 9 Site Street Address ? ?? ?+aver h ? V I R4 Unit # PropertyOwner Da?iel LaV lin Telephone# ((051) 3LPs 1354 Contractor t+P PipI?worKS Telephone# (05()3tD5 (340 Address 3lo-10 DoCtd Rd City erkgUv, StateMN Zip 551`?-3 The Applicant is: _ Owner X Contractor _Other Alterations to existing dwelling _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section,if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener ? Water Heater _ new X, replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild - $ 30.00 State Surcharge $ 50 Total ' $ l5 .5 U 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. ?Ic.ulv% M nd ? t-leIu ? ? k Ui ? ApplicanYs Printed Name Applic Ys Signa re hi JqN 2 4 2005 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan (.o (o<Y-j ? 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -%-] o Pi New Construction ReauiremenLS RemodeUfieoair Reauirements ??s??? 3 registered site surJeys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies W plan ?, ?d? (20% maximum lot coveroge allowed) 1 set of Energy Calculations for heated addNOns ?,Eg? a• R? x.?. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additions & dedcs ?, ?u 1 set of Eneyy Calculations Add'k'ron ? indiwte i(on-site septic system ?P9?,?.?Y$te. 3 wpies of Tree Preservation Plan i( lot platted afler 711193 Rim Joisl Detail Options seledion sheet (bldgs with 3 or less units Date / O / Z5 / -A 0-t Construction Cost _O U O Site Address 7/2 hlu? 4 C 1 ? J Unit/Ste # Description of Work T- v R G??l11' 14,0 J S{ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? T., S Telephone # ( 65 O 34!rS - /3-?>o Contractor SELA ROOFING & REMQnFl ltir` iNr - Address State 4100 EXCELSlOR BLVD. City ID #0001050 Zip Telephone #( BjZ )'z'ta' 717 L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Caiculations Submitted Have you previously constructed a building in Eagan with a similar pian? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone #( II O Telephone # ( LI ? OCT 2 6 2004 I hereby apply for a Residential Building Permit and acknowledge that the informa{'roiri comp'1e?e and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's P nted ameI/ ApplicanYs Signa re OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 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 Ext. 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 Plbg_Y or _ N ? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement "Damolition (Entire Bldg) - Give 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 REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs _ Au/Gas Tests Final _ _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ InsulaUon _ Retaining Wall 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 Totat Building Inspector 1NSYE(:TION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122;1897 Date Issued: (612) 681-4675 SITEADDRESS:P'I'N.: 10-32990-130-09 pppLICANT: LOT: 13 BLOCK: 9 717 HAVENHILL RD CONCEPTS IN LIVIN6 HILLS OF STONEBRIDGE (612) 890-2106 PERMIT SUBTYPE: BASEMEN7 FINISH TYPE OF WORK: BUILDSNG 025978 07/13/95 ALTERATION INSPECTION FRAMING „ . INSULATION ,. ROU6H IN PLBG FINAL REMARKS: A SEPARATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK ? . ? ? CITY OF EAGAN 3830 Piioi Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-32990-130-09 PERMIT PERMIT TYPE: Permit Number: Date Issued: 717 HAVENHILL RD LOT: 13 BLOCK: 9 HTLLS OF STONEBRIOGE M01114'41-f- auxLozNc 025978 07/13/95 DESCRIPTION: Bu"ilding_.Permit Type BASEMENT FINISH Building Wa?rk Type ALTERATION -? ? - ? f ? < , . _.,. . ? U REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - flpplicant - ST. LIC. OWNER: CONCEPTS IN LIVING 18902106 20011265 FARNEY ALLEN 13108 GRANp AVE 717 HAVENHILL RD BURNSVILLE MN 55337 EAGAN MN 55123 (612) 890-2106 (612)687-9636 I hereby acknowledge that I have read this application and state that the information is oorrect and agree tp comply with all epplicable State af.Mn. L 5'tatutes and City of Eagan Ordinances. ? ? ?l/ G APLICAUWP RMITEE SIGNATURE UE BY: SIGI ATUFE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 Y511101 ?U U 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL) . ? .; f 681-4676 New Construc[ion Reauirements RemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (InGude beam & window saes; poured fid. design; etc.) ? 2 site surveys (exterior additions & tlecks) ? 1 energy celwlations ? 1 energy caleulations for heated addkions ? t tree praservation plan if lot platted aRer 71793 2quired: _ Yes _ No d . ? DATE: 4 I27 /?L CONSTRUCTION COST: --. / DESCRIPTION OF WORK: STREET ADDRESS: (V I T1"v EN H? LOT 1A_ BLOCK J_ SUBD./P.I.D. #: 70? u ' PROPERTY Name: N w?,`i stA Phone #: OWNER °"'* Street Address- \Ai1 1 V-02<1 City: _ State: ?l Zip: 5'5 CONTRACTOR Company: Cf'SnCejAS NiM Phone#: % -a- i? Street Address: Ault- License M a- f? ? City:?-) 0R1-ASU A 1 ? 2 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #Street Address- City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. I hereby acknowledge that I have read this applica6on and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certficates of Survey Received _ Yes _ No Penafty applies when address change and lot and agrq6 to comply with all JUN 3 D 1995 Tree Preservation Plan Reoeived Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 6)(--16 0 02 SF Dwelling o 07 4-plex ? 12 Multi (Misc.) ? 17 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 ? 05 SF Misc. ? 70 Multi (additional) ? 15 Deck WORK TYPE ? 31 New 40?- 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft, sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Basement Finish Swim Pool Public Facility Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Building _ Engineering Variance valuation: $ l?v 4 Total: -1---?- ?L D °k SAC SAC Units APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN ;_..,.....,._....._..R......?..?. bA1'E: PA1N'IIM OF FEE AT TiME OF R ? APPLICATiON DOF5 NOT CON- ? w Sf21V1E APPACiJAL OF PFFFIIT. ? w •y INSPDCTION OF SEFhR APD/OR WA1ER ? w. t INSlRLiATIO[1S WIIS, N(71' gE SCIDUI,ED ? ,*k l!NfIL PF72FIIT HAS BEN2d APPROVID. citwo :txairw????xwxxf.r+a+t??f:ai»z»ef++?f? OF Gagan (PLEASE PRINT 1) PROPII2TY ADDRFSS; 7 FY;Ai DFSCCtIPTION; IF EXISTING STRC'CT[]RE, DATE OF ORIGINAL BiJILDING PII2NLiT ISSUANCE: Nbnt Year PRESENT ZONING/PROPOSID C?SE: Q , CONA7EE2CIAL/RETAIL/OFFICE Q INDL'STRIAL a INSTI'ILrPIONAT,/GOVII2IZE,T7T ? R-1 SINGI,E FAMILY ? R-2 DC?PLEX (Iwc) Units) Q R-3 TOWNHOUSE (Three.+ Onits) Q R-4 APARTMENT/CODIDOMINIUM Units) ( L'nits ) z) NAME° vul?{' ?14 ADDRESS: . (n?U G?RCC?C C.•? CITY, STATE, ZIP: PHONE: ?Ya-aiai For City Ose 3) y`??? NF1ME: Pl?ers License: ADDRESS: Active i? Expired CITY, STATE, ZIP; Not recorded PHONE: MASTII2 LICENSE # (?1 -?. IU'? Sta Initi 4) NAME: ADDRESS: C. (3ox `3X3 CITY, STATE, ZIP: PHONE: 5"11- U 7 o U 5) s a `?• • n ??e ? CONNECTION TO CITY SEWER ? CONNECTION 'Ib CITY WATER O QTHIIt 6) ***,r****?*«********??**********+**?*+*****x************,?,r***,?**,r+***?***:r**:t******?****,r?*+??*,r*,r*** THE GOLD COPY OF TfE PERMIT WIIS. BE SEN'i' DIRECTLY TD PUffi,IC WORKS 770 FACILITATE NIE.'1'ER PIQt-UP. ? PI.F.ASE AIS,OW 1W0 WORKING DAYS FOR PROCFSSING. SOM70M FROM TfIE CITY WILL CONfACT YOL IF THE2E * * ARE ANY PROBLIIKS. ? ?******************,e**+?****?******,r***?x***?*?****?*****??+*++?***,r***?**?**?****?**?+??*?*x??**??y F4R CITY USE ONLY PERMIT # ISSDED Pd w/Bldg. Permit FEES: ? $ $ lo'S SEWER PERMIT (INCLUDE SDRCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ ? / $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ? $ ? S ACCOONT DEPOSIT - WATER $ S S? $ wAc $ ir )C.+ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRU[VK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ TOTAL 9?j RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC ROADWAY" MDST BE ISSLED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SU BJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: v TITLE: DATE: ? December 20, 1988 VALLEY PLBG 610 CREEK LN JORDAN, MN 55352 REa 717 EIAVENHILL RD., L13, B9, HILLS OF STONEBRIDGE 735 C$ESHIRE CT.v L47t B7, HILLS OF STONEBRIDGE WARNING: BEFORE DIGGINGO CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, G9S, ETC. - REQUIRED BY LAW XX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter ia pieked up. BE SURE TD CALL P[TBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ? Your Sewer and Water Permit for the above property cannot be completed for the following reason: _ Your Sewer and Water Permit for the above property has been completed, however, the meter eannot be issued or oecuoancy allowed until further notioe. Sincerely, Jan Severson Secretary JS ?" • . f 1988 BUILDI[dG PERR?ftPr[.ICATION - CITY OF EAGAN ? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ArD JEC l ?' 1g? To Be Used For: Valuation: ? Date: //--rL-2E Site Address l-A, Lot k-z?> Block CA_ Parcel/Sub pF Owner '-VO€ `{2 cs rzt L). oD r? 1 tr Address 5?21r). City/Zip Code Phone Contractor Address City/Zip Code ' f:5}t1'q_C-- Phone Areh./Engr. 1n4 tIoe- Address 15 wee I City/Zip Code Phone A OFFICE USN ONLY Y? On site sewage_ Oceupancy R? ikt-i MWCC system s,--Zoning On site well Actual Const V-N City water eI Allowable u_1! PRV required _ Ik of stories Booster Pump _ Length 4 L' Depth D' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 6jN'00 Planner Surcharge ?00 Council Plan Review 2,OD Bldg. Off. GJ"t?2/13 SAC, City 100i0o Variance SAC, MWCC ST0,00 Water Conn ' Oo Water Meter 69-00 Road Unit 2$ OD Treatment Pl D ,DO Parks Copies TOTAL ?9,Y,G.O0 GaRAC-C 22x2Z= y84 X !y = (,r)'7/ . ..? .? : .Bs1,T Z4 x'+2. _ l008 Au X 4= 56 a X 14 = ZB ?- 1132- X 13- 14?i?, gsrn?'= r 13 2 gAI = iAf 1141- X 4'1 = s??sy Z*J? Funk ? e7-7yni -)13Z x44= S??I bi? 1331rM L 49 BL CITY USE ONLY OO? RECEIPT SUBD.? DATE: V7 h`5 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permfts are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x Water Closet ' 3.00 x Bath Tub , 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal "` Dakota Cty, license 20.00 = U.G. Sprinkler * home under const. 3.00 = ?o ?ARe?ations to exi* stin 20.00 WaTer Turn un 20.00 STATE SURCHARGE .50 TOTAL DO• SU SITE ADDRESS: -7 / '7 14 ° ?{ - '14"11 ed OWNER NAME: y- INSTALLER NAME:-? STREET ADDRES9' HESSIAN PLMG. SERVICES, INC. CIIY: 9601 Jefferson Trail W. Inver Grove Heights, MN 55077 PHONE #: ( ) (612)681-82e2 C-?4 ZIP: OFFICE USE ONLY L BL SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUindustrial buildings. ? multl-family buildings when separate permits are pQ! required for each dwelling unit. DATE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: CONTRACT PRICE: ADD ON REPAIR IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: , INSTALLER: - ADDRESS: - cmr: PHONE #: RECEIPT #: DATE: STE. # SIGNATURE: OFFICE USE ONLY I METER SIZE: " DATE: STATE: ZIP: APPLICANT _ INSPECTOR: 1- ?*..*? .. * PIONEER IAND * .P..I1gi1n.P..E9riIICJ.• LANOPI' T L ?T T CNIL ENW NEERS RRCHITECTS ' 2422 Enterprise Drive Mendota Heights, K1N 55120 (612) 681-1914 Certificate of Survey for. e pe ye ? 0.A? ?i i? i i ? a \ 0^\ \\ \ °'•? ?,'a? ? k titi c i NO4TH i? \ \ \ \ z- ? ? 3 \ ?;° NUfS E/: $j]„?, R po. ? ?ye\\ ?S . \? ? 0 o Lko ?,? .\3` ?,d '?? ? . ?'' JSQ / l. 61\?l\= ? ? . 89?: ¢3 \ ? . ' . ; . JA J / ' `;. ? ; r , ? ....• / ro D k ¢- r 900.0 Denofes exislrn flpvafron . yoo.o Denoles propo d Elevotr'on ------'Denofes Drarna?de jutilrf?Y Easemenf - - benofes Orqmagie Flaw /?rrows o penoles monumenf gearrn,s shown ore assumed \ 0^ ot 2?0?\o W\, 4• ? 4PL4L q . ?j ? N 0 R V G ? DATE P170pOSED NDUS£ ELEVATIONS lowest Floor Elevafion = S'I a. 'k Top oi' 81oclt Elevafi-on = 6156 .?'iaro?z 51a6 Elfvah*on = 096•2- - - -- - - QaqoTA COUNTy, MINNE$OTA SUBJECr 7D Et15£MENTS OFQfCO17D 1 h?.ehy certily Ihar Ihis is a ttu^ arid co••°a represe-r,.inn of a surv,Y of the hounAZ••^s ef t`le a->ec A c•?h^d I???:3/? and c' th? !ocatioo e` ii', hwlrluips ih.-nn. a.+d all vislhle rnewd.mr-.e, d f.n, nl n., 11.0 I1ird As svrwyed Cr -• 1..<:.rv ofA.O. 19?. JC'L+p/EJ ? ? rnch , 40 fld 22- E_cl R. ci?t-C.< L5. P.rG. M.O. Ia871 1 c uZ.39 * * * AK * Pion * engir ?* ** LANOSVRVEYORS•CIVILENGINEEHS LANOPLPNNER$•LANDSCAPEARCHITECTS / -oz:--? ? TJO RTN ? 00 yy E ? ? ? ? \ \ \ ?\ \ n? cr° kitib? c ? ? ? z Nu8 ?/< g9x'6. . iL'° ? \ F? S •. a o Lke .' ? \ S ?S . ;eoPos ?° .-a? ? ? / Q? 9z•?3,? '??' ; r,.. ??ry p? ?W "? 1:.:.. ._ 7 ? i r, R yn. ?6•?. . 900.0 Denofes exrsiin? Flevafian ? Denofes propoMd Elevation ------'Denofes Dramaje f utrlif Easement brnoPes Drqrna¢e Flow ?+'rows ?qA ? 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 0^ ?o ae. / 4 / D ? 0 Bo,d?0 ??a aP PROPOSEO NOUSE ELEVATIONS Lowes t Floor Elevalion = 810- h Tap oi' Block Elevaf;on =615.6 o DCnoleS monUmEr7f Garp?z 5/ab E/evaf?on =?g•? g earrn?s shown dre assu m ed LOT 13 , 9LOcA11 19 , Nt[ts oF STONEBRlDGE QaKOTA COUNTy, MINNESOTA SU87E[j TO EASfMENTS OFRfYORD 1 ne.ebvi cerUfy rhTr this is a tru^ anA Co••"ct roprnertatinn nl a S:irvpy of 'ho M1ound?••^t nI t')P ahec^ A^• h^d lan, and C? thv Iaca-mn e' z" pu,?Nr#,.e, th.•con. and all Ws?ni^ nnCOaChmp-•,, ?f a??•, Irmm a, m, sn,! ta•,d ns sun,-yrd bv m• •:?..' a+ A.D. 199-'-?. Sca/e :1lOG?! c404e C HEc? !f.'.IK!C.' l 5. PrG NO 14891 Certificate of Survey for• rhe EXTERIOR ENVELOPE AVGRAGE "U" COMPUTATION OWNER THE- RpTTL(Jx--?U" CU SITE ADDRESS 1-0-f 13 'S Loc.K9 p'F S-R::)NET3R11aCaS CONTRACTOR SA+ne7 DATE PHONE 5'71-G30q Determine working square footage of each. 1. Total exposed wall area .... 293-7 sq. ft. x.//? = 32?,01 2. Total roof/ceiling area ...... / I 32- sq. ft. x r02 6 = 2?'ie`+3 Total exposed wall area above floor =2 a. Total wall window area . ............. 31? 60 b. Total door area ..... J :?,-?$ ?ST.? ... . .. c. Total sliding glass door area .?..?'.?5.......... y3d`/ d. Total fireplace wall area ............................ - e. Total wall framing area (average 10%) ................ 221 f. Total net wall area above floor .................... 1Q9 [) g. Total rim joist area .............................. 2j'r3 O Total expoaed foundation area = '7 Z h. Total foundation window area ...................... 6p i. Total net foundation area above grade ............... Determine "U" value of each wall segment. a- 3 l L4-. G g"U" ,. 5/ 7 (`+l e$?o b. 3 Ci x"u" o0 7 = 2073 zsy .Y2 /n,67 c. / 4f X r,Ull p?7 = f?...4 ?o d. -' X "U" e. 22 1 X"U" aU$7 =/`7`, 2- 3 f. 1°,90 x Itv" .oLf2 = S3eS?l" g. 2.O? !? x?,u" , dzI0 =//> 20 h. (o X,lUff 6 S 2 = 3, I Z. g „Ull ,, b7?i = So?2 3 ......................................Tota1 - 29 1.q7 If item 11 3 is the same as, or less than item 111, you have met the intent of S8C 6006(c)2. .? . Total exposed roof/ceiling area = II 3Z Total gross zoof/ceiling area = ? l 3'?- j. Total skylight area ........................ 61 k. Total roof/ceiling framing area ............ (oCI 1. Total net insulated roof/ceiling area ...... / G6 U Determine "U" value for each roof/ceiling segment. X flU° k. X "U" i. i??6U X ?lU,l . ?re.Z = ,71S2 PO27 ° Ia7/ sOZS = zG, S 4 ..................................... Total = 3C.?5c-" If total of 114 is the same as, or less than #2, you have met the intent oE SBC 6006(c)1. , To utilize the total envelope system method, the values established hy [he sum of items 113 and 114 shall not be greater than the sum of items #l and l12. 1. 326"0( t s. 29 1e4s7 + 2. 2.?0?-? = iss•?? 4. 3U?cf? - 3.2?, 7 ?-?? WNLI. ?iCC"1'.ltn..., NuT6r Use.101 oL opayue wall area for . irame construction 14ALL FIG. 111 i?TG. i'r2 L jScr, t:x- ?tie.-al II` ?,.. i. I )_f? ? J`fY)j t1ATI Ct? i • ? ?:= ?. 1I?-?I¶ .? •;? , r r --- ?-. I v J i-OO 0 • ?, . , . ?- • - • u . .,?no? , ,r• F ?.;.-- ? •,, :?•i.• . 113 . ?.y.?`r? ,. . ? .. `?? .. ?- ,u? i•..y? J ui q Const? n - - R-Value 1. Interior airi film 2. 13121? 0.68 S- 3. 1 x(? ?-r riv 5 9. ? 5/37 S hTC, 1 G?? 5. UVC.lG 6. Exterior air film 0.17 Total v? oo'7,-7 1. Interior air film 2 " t, 0.68 . 1 Gt'/? f3oz D • G ys- 3. ?[i! L ie,4e 9. 2-5 2 C? 5. 6. I'xterior air film 0.17 Total 2 3, 6 Z >Qy Z 1, Interior air film O.GS 2. UO 3. R'r r i( ? 4. 75 /32 SH Z e,O?o 6. Exterior air film 0.17 Total 2 S>O S ,o'7'? 1. Interior air film 0.68 2. ?-// ?.tiSGiC // UG 3. -'x`I FuR R r N V 9• /.l $ 5. 6. Exterior air film 0.17 Tot al /3e/3 ' - ' / [/ = eK3'7t-, ? 6 • r '' , - \ 4 ?r?? ` ., , _ , • 6 ? ? . ? ? 6 ?. ' ? I 1 1 = - ((( •? • . , ? _ /(/ FTG. ?}q ' , - ? ' • M Fr,nrIL 17nLL . . ,.., . _• . . ROOP/CEILING Venced Hea[ flow up , . . ? . ?., FIG. R5 i? . 1 - - • ' ConstrucLion I2-Vtilue 1. Intcrior air film 0.G1 2. S/p, GY 5 9 3. P?LOc.. XV /N S fi t ? r[',. (`c7 4. Exterior aii film (still) 0. -'- 2oea1 3`7,el) U ? v = o2s 1. Interior air film 0.61 z. 5/p, . g YT? I? ?U SP? 3. vvcu rrtuSS ?,??,? u 4. Ey;tcrior aii film sL-i 1 . r • • Tota1 3(o,-7cf , ? 1. Insi.de ai.r film 0.61 ?. 3, .. 4. ' S. Outside air film 0,7_7 TOtal . i ' •' . ? ? . HenL , • flov up . F.r.r,. A7 ' . , .. . ' • . . . . Notc: Use additional sheets if more space i, reeded for details and calculal•ions. . ? ? Y.eac flosr vp • i . : •vented . • i . • . FIG. 116...?... . ? „ .. ???b-2o 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Le'-q3, 46`' NewConstructionReauirements RemodeVRenairReouirements ffl-; U dn 3 re3istered site surveys showing sq. tL of lot, sq. ft of house; and all mofed areas 2 copies of plan showing footings, beams, joisis CMo15urv0y RgCd (20%mazimum lot mverage allaved) ise f Energy Calwla6ons for heated addNons 7ree Pres PIai1 RQaI ?. ?sY - N 2 copies of plan showing 6eam 8 window sizes; poured foun gEt?? 2 ?'v `?sR rvey (or addiGons & decks iree A?res Required ? Y? N lsetofEnergyCalculetions `Add" - rndicafeilon-sNesepficaystem dnsdeSEpqcS?'_te? ,. ^?-Y,!t? 3 copies of Tree PresenaEon Plan'rf bt pWtted after 711/93 RimJoiffiDetailOptionsselectionsheet (buildingswith3or Ini9UL `L 5 ZOOf Minnegasco mechanical venGlaGon fortn . ? (? /? p,(n JC t--J/91 X?t l Date ::?_ / ?? / ? Site Address ? y? ?j tr Construction Cost ,?,rCX.i7 { KD UniUSte # Description of Work ZOX ? Tll- QAU ci ? - Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner?Ila RZCx1 th, L?,ve?? 73 Telephone #( ) Contractor ????.q ???Y _ Address )pCK) State CitY ? L4p-4 Zip cE5695 Telephone #V3S'i ) 771t?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monlhs, has the City of Eagan issued a permiT for a similar plan based on a master planZ _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Pernut 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 app rO?ed plan in the case of work which requires a review and approval of plans. ?? ,'? tlpplicant's Printed Name ApplicanYs Sigiature DO NOT WRITE BELOW THIS LINE Sub Tvnes ? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous W rk T es 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demolition (Entire Bidg) - Give PCA handout to appliwnt D@SCript10n: WaterDamage_Yes Valuation 1 Occupancy MCES System t Plan Review x 1 0% or _ 25% Census Code - Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const T?rT Width - REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) F,inallC.O. _ Footings (addition) FinaUNo C.O. _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Fi nal -?K Pool ? Ftgs ? A'u/Gas Tests )(Final _ Framing _ Siding Ncco Lath Stone La th Brick _ Fireplace _ R.I. _ Air Test _ Final _ _ Windows _ 7nsulation _ _ Retaining Wall Approved By: i--• , Bu ilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?OdL POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: "? ?? ??A?Lfl Rd - Applicant Name: I f ?/';a.. LaVZmS ? ? L GENERAL INFORMATION U x o ? z ? a ? ? Applicant name and contact information ? ? ? Property owner name ? ? Address of property ? ? ? North arrow, scale (1" = 30' or 40') ;d ? Q Site Plan, drawn to scale showing locaYion ofhouse, pool, and other existing or proposed structures, including retaining walls. ,id ? ? Location and name of all streets adjacent to property 0 ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existin .,? ? ? House corners fa' ? ? Properfy corners ??? If applicable, ground elevation at each end of retaining walls and at walPs greatest height Proposed ,,{3 ? ? Finished poal deck comers ,Z ? ? Top of proposed retaining walls (if any) and at each different elevation (if it changes) ? ? Pool bottom (or max. depth) DIMENSIONS Existin ? ? All properry/lot lines ? ? ? All Easements on the property Proposed ? ? Pool ? ? Pool plus integrated deck/patio ;Zf ?? Shortest distance from outside edge of pool deplrto lot lines and house / J Reviewed: G:FORMS/Pool Permit ChecklisU02-13-07 443 Lafayette Road N. (651)284-5005 [�XNI`�ESt�TA C�EPA�RMEI�I'T t�F St. Paul, Minnesota 55155 �� 1(80 j DIAL-DLI www.dli.mn.gov TTY: 651 297-4198 #..r�•: CERTIFICATE OF APPROVAL PERMIT TYPE; ELV REMOVAL �_ __ SITE: _�-.--- ��; Address: 17 Havenhill Rd �� , City: EAGAN, MN ��.__________� ____ Approval is based upon the requirements set forth in the Minnesota Statutes, Chapter 326B.184 and Minnesota Rule 1307.0035. This approval is for permit work performed by ABILITY SOLUTIONS AND TWINCITY under permit number ELV1504-00239. If you have questions related to the issuance of this permit call: (651) 284 5071 Department of Labor and Industry Construction Codes and Licensing Div. Elevator Safety Section 443 Lafayette Road N. St. Paul,MN 55155 443 Lafayette Road N. �j�y��c,,,a,�}TA DE�''ART�EIVT C}F' (651)284-5005 St. Paul, Minnesota 55155 � 1-800-342-5354 www.dli.mn.gov �� T�� , 6/30/2015 REMOVAL Trisha Lavin 717 Havenhill Rd —___ EAGAN, MN 55123 RE: PERMIT# LV1504-00239 Project: Trisha Lavin Removal - ELV-1024666 Location: EAGAN, MN 55123 Address: 7 Havenhill Rd Dear Sir/Madam: Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts)before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, CONSTRUCTION CODES & LICENSING �"ll,,i��no��ct�s'� Brad Underdahl State Elevator Inspector cc:City of Eagan Building Official, BO, City of Eagan ABILITY SOLUTIONS AND TWINCITY STAIRLIFT E1FormCE2R This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer Use BLUE or BLACK Ink r----------------� ` I For Office Use � � � Permit#: ��s / j Clty of �a�� ; . . �_�� ; � Permit Fee. �(� I 3830 Pilot Knob Road Eagan MN 55722 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � # � r � �: �`�� D�vl N Phone: �r S�'��Cs��y „�� Name: ReS1d��i�'� �l��D {�W�� Address/City/Zip: '7�r] ��{L(r �:: �.��r �� `� . Applicant is: Owner �Contractor #- = Description ofwork: �I-�-�� <��-- T��o#Wor�C � � �"' Construction Cost: � Multi-Family Building:(Yes /No ) �� /� �� Com an �� ...F)�I-�S �S-T �►�� Contact: �'E �vYyt{'� P Y� �'. �� r� Con�r+��r� . Address �� \.�L ��L City: �Q� �.� � �t ��' /� " State: M� Zip: S� Phone: (,�Z 3�r��G�S� Email: �7��1'�� '�1� License#:� �031�3�� Lead Certificate#: If the project is exempt from lead certification, please explain why: j� � �� (.Q.>J�t �i� �. �O 1\�I�l�-'� 1 U!l ll`�DUt,U.S � C.�7�� COMPLETE THIS AREA ONLY IF CON RUCTING 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: 1VOTE P��r�s`and��r�Portir�gr dqcumen��:that you�ub�a�� s��o be;��Zl��t'c�rmation 1?�� s of : the rr��`ormation may be.class�fied as non-publr��u p►�ovide spec�fic reasons that an�t��d��r�� i�y�� v, �`. � � : �� s.xi� �� ° �� , �onclw�le��f�i�e are tr�a�le s�'��s� ' � � � �� 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.qopherstateonecall.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. X �-�'�1 E �cVVvt�e-� X Applicant's Printed Name ApplicanYs Signature Page 1 of 3 Glenn KlairPlumbing 651-388-8810 p.1 Use BLUE or BLACK Ink RECEIVED �-----------------� � For Office Use � • NaV � i � I Pertnit#_'?j�-1�� ty of�� . � � Permit Fee: (�O' � I 3830 Pifot Knob Road � C i Eagan MN 55122 I Date Reczived: F ` (�`�J Phone: (65'f)675-5675 � ,^ � � StafF: .� ►'J � Fax: {651)675-5694 � � ��_��_��J 2015 RESIDENTIAL PLUMBING PERMIT APPLiCAT�QN Date: � �'�� S Site Address:� �� "H p��EIJ �(LC.. � Tenant: ..._._......a..,.,.....__�.,�...,.._. .�..,..,,�..�._._.e.� �„ Suite#: ; �.�..�.._...� ; Resident/Ommer �. �ame: �N t 1^�T N�A ��Y�N phone: � ...�..._...,..._._.�..e.._..�,. Address/City/Zip: � � � �'��E��I LC. I�;J � }' ..�-'_-___ 5 + Nam e: T �IU FJ ��'� � ��-� . � t� �LA(� -��✓N�,g�IJG-`!� ��rN(`License#: �'11.1 (�1�-t 0� � � � a Address: �� i� j�2 � Contractor � ��h�� =-� 1n��1G ; � � � � state: /1/ N Zip:SJ o�� Phone:�,_�,_'S f� 3�— `� ! � � .....,,............__..�..�..�,._.._ R Contact:� N�'-j �j� Sn� F�nail: � C,.� -N tJ4t�.. ��V\. � _.. � a Type Of WO�k —N��^' —Replacernent _Repair _Rebuild _Modify Space _Work in R.O.W, ; /'� ; ....,.._....___.._�.._.�,.�....,�.. Descriptionofwork: �C�Tc�r{EN F�F'l�o�Jrr., � _^r_ � 3 s RESlpENTIA� f '��" : � Water Heater s '_. + h � � � Water Softene� � Permit Type � Lawn irrigation{_RPZ 1_PVB) � � _ � Add Plumbin Fixtures _ F 3eptic System a 9 (_Main! Lower Level) t , New � Water Tumaround � — � a .�.a,,,...,.,,�_..Yr,M,.._ .� —Abandonmerrt � � ._._,... � ' RESIDENTIAL FEES: ` $60.00 Water Heater,Water Softener,or Water Heate�and Softene��includes State Surcharge) a G $60.00 Lawn Irrigation(includes State Surcharge) � '3 $60.�0 Add Plumbing Fixtures,Septic Svstem Abandonment,Water Turnaround'(incl�des State Surcharge) � } ""Water Tumaround(add $210.00 if a 5J8"meter is required) ; $115.00 Seotfc Svsfem New(inGudes County fee and State Surcharge) � � ' '._�,.,...�.___��._,�„- - -- TOTAL FEES$ � � " a � CALL B�FORE YOU DIG. Cal(Gopher State One Call at(651)454-0002 for protection against underground utiJify damage. Call 48 hours before you inlend to dig to receive locates of underground utilities. wwNr.aooherstateonecall orQ I hereby acknowledge that this intormation is complete and accurate;ihat the work will be in confortnancs with the orcfinances and codes of the City of Eagan; that I understand this is nol a pertnit, but only an a�licalion for a permft, and work is not to siart without a permil; ihat the wark will be in acaordance with the approved plan in the case of work which requires a review and approva]of plans. X �t.��Y �,EGSd n� ��✓-�� Apphcant's Printed Name Applicant' Signature FOR OFFICE 11SE Reviewed BY= Date- Required Inspections: iJnder Ground �Rough-In Air Test Gas Test .Final Meter Related items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA138457 Date Issued:08/29/2016 Permit Category:ePermit Site Address: 717 Havenhill Rd Lot:13 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-130 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel G Lavin 717 Havenhill Rd Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164002 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 717 Havenhill Rd Lot:13 Block: 9 Addition: Hills Of Stonebridge PID:10-32990-09-130 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Daniel G Lavin 717 Havenhill Rd Eagan MN 55123 All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 Applicant/Permitee: Signature Issued By: Signature