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646 Hillside Dr??'^? ??• (gtx#i#irate of (Orxupanry Citp of eagan igp}uYU1Ptit Df WwlMltg.%"pdtQtt Tbis Cernf `iaate issued pursuant to the requirements ojSerdorc 306 of tlre Un?form Bullding Code cutijying ttiat at tIre tiw ojissuance drs sducture wns in rnm,pliaxm wttle tlre various ordi?mnaes of !he C+tJ' regxlakn8 buildin8 constrrrcYfon or rue For the follow}ng. use a..ificedo. SF DWGIGAR eft % xo. 159 Oac+qreeY 'fM 2ming Dimin R I 7ype co•r VN Owoer al e-eint ?•? t?$ ? Aee" 2500 WST CN !? 42, W'VMU DM 6/23/Q2 POST IN A CONSPICUOUS PLJICE ? INSPECTION REC4RD COntrol No. 0164 ,-- C ITY O F E A G A N P E R M I T T Y P E: FIUiLQ:c s s 3830 Pilot Knob Road Permit Number. ???169 : I Eagan, Minnesota 55123 Date lssued: w, /03/ 9 x j (612) 681-4675 SITE ADDRESS: ? ri t: ?a ct ? ac K: r APPLICANT: f r.aG HiLt?C#3E? hk 9EVEKSON HOMlS INc a`'/ Q (FS 12) 09 0.'r 47 44 ? PERMI??§,PBTYPE: TYPE OF WORK: INSPECTION •, ? ? I .. . FOOTxNG .. FkAMINti IMSULA7IUM r 4lAt I.Bt1AR1) FiNAi. ? F1FtkPLAC:E j CiF1lANk ; s aECExPT t # ?.. M.., ° _ :''T-. _ ?-=?• c ? ! ?` - ,?". r' ? '_ PRV SYAFt PLBG. ILd - Permlt No. PermR Holder Date Telephone Y SlIM PLUMSING HVAC ? k ELECTRlCf " ,,5 ?1J ?` • ??`f ?'o?-• ? ? ? ELECTRIC Inspectlon Dafe Insp. Commeirts Footings I //f/ Foundation Framfng Roofing Rough PIAg, ROUgh Fltg. 45-???.. dJ ?? rt J Isul. Fr?lace Final Htg. Orsad Test Fnal Plbg. vq_ ! Pfbg. Irispectar - NotHy Plumber Const. Meter Engr./Ptan sldg. Finai b$ Deck Ftg. Deck Final Well Pr. Dfsp. .?s?? 1.? a•i? SEDGWICK HEATING & AIR CONDITIONING CO. HE^Ti"c JOBNO 8910 WENTWORTH AVENUE SOl1TH • MINNEAPOLIS, MN 55420 •(952) 887-9000 TEST RECORD AODRESS w ? ? • ' ? ? D C'' 0 (2, CITY '--* Ar ',?u/? ?\ OCCUPANT OWNER • ""'?/? -"' ?`?v ? "'"V '?+'? SOLD 8V y Q! t INSTALLED BY MAKE ?-'' `t) v SERIAL NO t)?JlJ (l-jI In V? THERMOSTAT ? • ? xn) VALVE ? LIMIT ? LIMITSETTING FAN SETTMG PILOT TYPE IGNITION MODEL PILOTTIMWG v Jl.CS- - PRESSURE'n, PERCENTCO., INPUT CFH PERCENT Dp. n STACKTEMP PERCENTCO FORM 235 (REV 11I89) MOOEL (Ttol MPQ?>60-7; INPUT (ob0"D VENT S2E T1!`2 TYPE OF LINER LINER SIZE , FILTERS: SIZE -7? ?.... NUMBER WIRING ` ??P$C% TEST TAG LIGH7ING INST. DATETESTED I?? It ( ' COMPANV TESTING NAME OF TESTER FOFMOISTR18UTiON. WHITECOPV - JOBFILE YELLOWCOPV-CIN Addrass; Lot q Slk Z Sec/Sub gM ppK kID,Lg ZNp These items weze/were not complete at the time of the final inspection. D t: 9 Yes No Final grade (6" from siding) ? Permanent steps - garage Permanent staps - main entry Permanent driveway Permanent gas ? Sod/seeded grass ? Trail/curb damage Porch Basement finish Deck vo? Please verify with the builder the removal of roof test caps from tha plumhing system and the shut-off of watar supply to the outside Lavn faucet befora freeze potential exists. ? ucrueowren Whice - City copy Yellow - Resident copy Pink - Contractor copy ?95 9 ? 4d Reduest Date ? fire No Rough-in Inspaclion d' ? Reatly Now kWill NotAy Inspecror -72 Reqmre KYes G N. When Peatly'+ IKlicensed contractor 0 owner hereby requesf inspection of above electncal rrork at dob Adtlre/ss ! t Box or Fou Na I ? Ciry (Q / ? G .lG GT? Se0mn N. TownSNp Name or No Range No Cou O Omupanl PRINT7 Ph one No l es- ^ y/ +?-? iD - T Power Supplier qtltlress '" ? wAtPII ?1"v`at- Ele onvactor (COmpany Name) Contrada5 Lroense o ? ` e? ? 7g/ Maihng A ress IComrxmr or wner Making IpslellaLOn) ' tl L !J a nzed5i aWre iGortlractor/OwnerM Inslallationl PhoneNUmOer 4. 7J-. fDd17 , MINNESOTA STATE BOAHO OF ELECTRIC Y THIS INSPECTION REOUEST WILL NOT Griggs-Midway BIEg. - poom 5473 BE ACCEPTED 8V THE STATE BOARD 1821 Unlverslly Ave, SL Gaul. MN 55104 UNLESS PROPER INSPECTIpN FEE IS Phone (611) 642-0800 ENGLOSED -J1_5695 REQUEST FOR ELECTRICAL INSPECTION ? Sae mstmcvons lor romplating Ihs form on back o1 yellow copy ")C Below Work Covered by This Request 91F,0?7A1 %SY E8-00001-08 J'4.ww ? e Add Rep TypeofBuilding AppliancesWued EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apl Budding Dryer Other (Specity) Comm./Industnal Furnace Farm Av Conddioner i Olher (syemry) Convactor5 Remarks' //? ?? 2a $G r J / - 3?- /oa 7 = Compute lnspechon Fee 8e/ow. = # Olher Fee # ServiceEnlranceSze Fee # Circults/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amp Transformers Above 200 _ Amps Abo 100 Amps SignS Inspecror5 Use Only ! 1 TOTA ? ? Irrigation Booms ? 11 C? rj Special Inspection Alarm/Communicanon THIS INSTALLATION MAY BE RDERED DI CONNECTED IF NOT Other Fee COMPLETED WITHIN 78 S. ( I, the Electrical Inspecror, hereby f h h i -?/` ? certi y t at t e above nspection has been made. F,nai oate lf2 OFFICE USE ONLY i This reques[ wb 18 months Irom S 7'S 3 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NewConaWCtian Reauiremenb • 7 regislered site surveys shawmg sq. R. of lol, sq. R. of house, and all roofed areas (20% maximum lot crnerage allowed) • 2 copies of plan showing beam A wmdow s¢es, poured found desgn, etc ) • i set of Eneyy Calculations . 3 co0ies of Tree Preservation Plan if lot plattad aRer 711193 • Rim Joist Detad Options seletGOn sheet (bldgs wdh 3 or less umts) DATE 'tS_ I5'0;? Remode(lReoair Reauirements . 2 copies of plan • 1 set of Energy Calculatrons for heateC aCditions • i site survey for eztenar 2ddilion5 & tlecks . Indicate dhome served by septic system ior adCdions VALUATION i ? 7/O SITE ADDRESS /70Si c/L DY MULTI-FAMILY BLDG Y 4-14' TYPE OF WORK ? fJ- ? ?r-?rnfl FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREET ADDRESS I 710(`) /3 n m? CITYOV STATE Jf?N`LIP S L TELEPHONE # CELL PHONE # F A X # PROPERTYOWNER TELEPHONE# 651--6$8-(?618 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNlS01'ARUI.F.S7fi70CA"CEGORl'1 MIVVt:SO'C.-1R('LF_S'Gi4 (d submission rype) . Residenhal Venhlahon Category 1 Worksheet Submitted • New Ener9y Code Worksheet Su6mrtted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Plumbing sys[em includes: Mechanicai Confractor: b4ectilnical svs[eni includes: Sewer/Water Contractor: Air Condidoning Heat Rccovcrt' Systcm Phone # Phone # Fee: $90.00 ._---------°°-------•------------------------------------°---------------..__....-----•------°-------------°-----•-•- I hereby acknowledge ihat I have read this application, state that the information is correct, end agree to comply with all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE U5E ONLY _ Water Softener _ Water Heater No. of Baths _ Phone # Lawtt Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Pian Recerved _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt • Multi ? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF ? Oa 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower levei ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Impmvement ? 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 handaut 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 _ Foohngs (new bldg) FinaL'C.O. _ Fvohngs(deck) FinaWo C.O. _ Footings (addition) _ Plumbmg _ Foundanon HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal Pool Ftgs Au/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulanon _ Retaimng Wall ? Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tatal PERMIT ? CITY"OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 Control No. ?4 PERMIT_TYPE: BurLoiaG Permit Number: 000159 Date Issued: 0 4/ 0 3/ 9 2 SITE ADDRESS: 646 HILISIDE DR LOT: 9 BLOCK: 2 DESCRIPTION: B,oildirtg Permit Type SF DWG Ouilding"'tJork Type NEW U6C Occupariby.` R-3 M-1 Constructipn Type VN Zoning r R-1 Building Length ? 56 Building Width -, 50 „?' . . ? (% REMARKS: RECEIPT # ft72 (DI PRV FEE SUMMARY: Base Fee Plan Review Surcherge 3AC 3AC % SAC Units Subtotal VALUATION $101,900 STAR PLBO. MISC FEES Total Fee $643.00 $417.95 $50.50 ;700.08 100 1 $1,811.45 $1,610.50 $3,421.95 CONSTAffjgNR:HOMES INC ? RPP1?18904744 0081 06WJEMSON HOpIES INC 2500 W COUNTY RD 42 2500 W CTY RD 42 BURNSVZLLE MN 55337 BURNSVIILE MN 55337 (612) 890-4744 (612)890-9744 165 I Z hereby mcknowledge that Z havs read this infarmaCion is correCt and egrea to comply Statutes and Cq of Eagan prdinenaes. AP ICANTIPER EE SIGNATURE applfcatin» and state that Che w3th all appYicable State of Mn. ISSt1ED QY/ SIGNATURE . • , cinr oF EacaN 1992 BUILDING PERMIT APPLICATION 681-4675 *3 (? d / • ? s? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made ar lot chan e is re uested once ermit is issued. Date MAac?-i / ? / ga Valuation of work ?,77° Site Location: SiREET STE Y Tenant Name: LOT ? BLOCK SUBD. P.I.D. # 'Z? ?1Y]D 7 'j'\ qw) Descri tion of work: The applicant is: ? Owner 0 Contractor ? Other (Describe) Name 56VtRS-z? la?nt? 'j'Ne' Phone V910- y7qy Property LAST FIRST Owner Address 2-S,21o W Cnv,jv '2w:?o `40,, _Sv r`6 ] zS STREET STE # City 9jJQ4')1V9u.`, State mt') Zip s33 Company S 5_VQ2:Sz,., - - jJJMM_ Phone Contractor Address License #OQ01313" City State Zip Company nf VL"-r2[Ig? ?»??? _ Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ST A2 Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 1 appl' a State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING. PERMIT TYPE ? 01 Foundation 19 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H. ? 05 Apt. Bldg. WORK TYPE ? 06 Garage/Accessory ? 07 Fireplace ? 08 Deck ? 09 Basement Finish ? 10 Swim Pool 0 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comn./Ind. Rem. ? 15 Public Fac. ? ? 4 ] ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous Je90 New O 93 Remodel ? 96 Mave ? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations 0 95 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy I3NI-) Basement sq. ft. MWCC System YES_ Zoning ?_ lst fl. sq. ft. City Water PRV R i d ,res ? Const. (Actual) V-N 2nd fl. sq. ft. equ re Es (Allowable) V"N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ?6 r On-site well Census Code a/ Depth ? On-site sewage SAC Code o) APPROVALS Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final 0 Framing ? Draintile ? Insulation ? Fireplace wcc sac SAL X ?0c) x Fees: veimc;p,: : ld 1.oo n- GaRAGE; 32 K22=704 Permit Fee (?y3, 0p Zx12 ??y Surcharge 3o.SO -.1-- Plan Review 680 X!0 fs'ao city sAC ao,?a sac un;ts Water Conn. 6? -5 0 Water Meter 95,00 r Road Unit 3630100 rr Zreatmerrt-Pl. 300,00 . Read-444 Acei.3aGp. 30, o 0 ParlrBE+ct slLO I1t 30, oa Gep4es siw s1c. SD Other Total : 7..40 j X2 ?6 = -7 Z f 2oxas- sz= 6 x 4 =`aL 12-72xf5 = I?ja6o IST F?oo?¢: g?y_ i272 ' 1XUc q 1289,cs3= G794? 5?•pre?N ?--?'' loX/2= !'z-=X2Ss 3sae ) o09.i? 550195 ? SURVEYOR'S CERTIFICATE SEVERSON HOMES HILLSIDE DRIVE 0 m ? - 85.00 Ivay-Sa ?? t ? (854-5) /; o 0 1? ?85z,3? / o - , 0 5? PROPOSED / 5 O d m DRIVEWAY ? rciif ? -7 0 20.0 tiI°"/ s ?,o) i I S? 1?q GARAGE Lp C 8 N a+ N ? 24.0 0 O ? 10A --- m ? p Z Z 2 m ROPOSEO / N ? 0 i I two HOUSE I ?O.O ' I O 26.0 m o?ac?c _ is (p N J OD N c es?,s ) -?'? v_ I LOT 9 ? ?EDRAINAGE d VTILITY 5ASEMINi F'ER PLATl,,\ 5 o O - - 21.74 -- 6327 -' S8905105"W S89°38'13'W? L_I4IJ/-AlV i VL??.?` ?N Ir) r?r?i -i IVL riL?.i I i?•I?. NOTE: BVILDING DIMENSIONS SHOWN ARE FOR FIOF120NTAL NOTE: NO SPECFIC SOILS INVESTIGATION HAS BEEN COMPLETED'9 VERTICAL•LOCATION OF STRUCTURE ONLY. SEE ON THIS LOT BY THE SURVEYOR. TFE SUITABILITY OF ARCHITEGTUAL PLQNS FOR BUILDING 8 FOl1NDATION SOILS TO SUPPoRT THE SPECIFIC HWSE PROPOSED IS OIMENSIONS. NOT 7HE RESPONSIBILITY OF THE SURVEYOR. do - DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET 0 DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION SCALE: 1 INCH - PROPOSED GARAGE FLOOR - PROPOSED LOWEST FLOOR = P RO POSED,TjFJ•P,=.O15-BL-OC-K-= 30 FEET gs-7,3 FEET OSa•3 FEET 4357.'7 FEET- ? Q ?t)? ?-? ?-? WE HEREBY CERTIFY TO SEVERSON HOMES THAT THIS IS A TRUE AND COkRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 9, Bbck 2, BUR OAK HILLS 2ND ADDITION, accord"mg to ihe recorded plat ihereof, Dakota Counsy, Minnsscta. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH DAY OF MARCH , 1992. PROWSED GRADES SHOWN WERE SIGNE : JA R. HILL, INC. TAKEN FROM THE GRADING, . pRAINAGE 9 EROSION CONTROL PLAN FOR BUR OAK HILLS 2ND ADDITION PREP.ARED BY MERILA B ? 9 ASSOC., INC. DATED 2-3-88. JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 o < W D E S -> ?{ D z j m A p l l m ? N j James R. Hill, inc. PLANNERS I ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVIILE, MN. 55337 o 612-890-6044 EXTER.^uR TMELO?E nVER?,G'c °U" M!PU':F17iC\ G41NER Si=,.Cm 1)..) I-ncnCS 57E ADDRE53 (,{(o h1)<L-i1ocS, t?s3..tvC% i CO\7RAC70R j5c -Vey-;S? i.DA7"c 3-a5-92 rHONELl`1N "` Determine wor;cing square foota5e of each 1. Total exposed wal) area ...... sq. ft. x_:,_, 2. Total roof/cei l i ng zrea .... ..T/L5 sq. ft, x_'n?ti To•tal exposed wall area above i7ocr = z I S Z, a. Total wa17 window area .......................... /1 7- .e?,1 b. Total door area ................................. C. ?Di.al Si1dlA] cl555dD?t' uYco ................... 221 64' d. -ota1 f;replaca wall ar2z........................ - • z. "o?a7 wall ?raming area (averace lOw)............ J?. f. Total net wall erea above ??loor ................. 1&g2Z g. Tota] rim joist area .......... ................. oo • ? Total ekposed four,dztion area h. ioia7 faurdztion ?;;;rdcw arez..................... i. Toal net foundaticn area abov2 grade ............ --/-j ?O' . . 'Deternine "U"'value cf each wall segment. ? a. I1 z, c4 X „ull b. 37•77 X "U„ . c: 32. ? 84 'x 72 s = //, ??• d. X "U" _ e. 17 g, 07 X,,u„ X ?,U,l 9. I BO , op x„u„ h. ; .- 3 ................ I` item #3 is the of S3C 6005(c)2, p3 = ?? X "U" ?X uuu , m?.-. .....:...............TOtdl a? sare a;, or less than ite.-ii „l,,you hava met the intent . 7otal er.posed roo{/ceilino area j. Total sl:yliyht orea . .......... ....... .. , I;, 7ota1 roo-4/cei1',ng framing area (av:rage 1^uN).. 12S?o 1. 7ota1 net insulateG rooi/ceiling area..,........ 11 3?i,Ja_ Deterrriine °U" value rCT' each roof/ceiling S:poent. . j,y X I.W. k. I?SGJv X?U?? , 05 z /'i..Z o 1I11 ; . I .x 11V 4 .................................. 7otal 7f Lotal of 4.4'is the sar: es, or less thar r2, yov have net the in;.ent of S8C 6006(c)l. Aliernate io utiiize the total enveiop 3.: ?ZS,ZZBuilding Envelope Design ' sum of iiecs r'3 and ='4 shail a sys:e:? ??e;hod, tne values estabiished by tne r,ot be gra;ter than the swm, ol' ite.rs ?l and =2. + 2. 1F2,?? = z n, -- ? 4.. ?iZ, Zt?. • g?? ... . .. _. ?,.. ' ` , , L 9. B!, CITY OF EAGAN PIT SUBD. A14t_ &k /le& P(612)N661E4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # L DATE ? s ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: tJet.1?Cr SG`l`.1 IV40/'7! S SITE ADDRESS: !i ? f? °S i C'L 41e INSTALLER: 4/ Y Ik ?"h cl ADDRESS :fO t?o 14(i 0 i IN+--) Cj" CITY: pf i Q( LAit t ZIP: s s IS J Z- PHONE #:_`T`"1-7`CO-I 544' ? COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 ! WATER CIASET 3.00 / BATH TOB 3.00 3 1 LAVATORY 3.00 3 ? KITCHEN SINK 3.00 I LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 I WATER HEATER 3.00 I FLAOR DRAIN 3.00 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 ALf;C) OTHER WATER SOFfENER 5.00 _ YRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ W. TURNAROUND 15.00 STATE SURCHARGE .50 TOTAL: S '2_01OC7 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ $ (SIGNATURE) L r'7 B oZ ,/? J MECgA1VICAI, ERMIT RECEIPT # CO ??70 S? SUBD. (612) 681-4675 DATE -S / 9a- RESIDENTIAL PLEASE COMPLETE IIppEg ppRTION ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPLEI'E FOR TOR'NHOMFS/CONDOS R'HEN SEPARATE PF,RMT('S ARE gEQUIRED FOR EACH DVVELLING IINIT. OWNER: FEES STPE ADDRFSS: ADD ON/ItEMODEL (EXISTIIVG CONSTRUCI'fONONLI) $ 15.00 INSTALLER: HVAC: 0-100 M BTU DO PHONE ADDTfIOTTAL 50 M BTU 6.00 ADDRE55: GAS OU1'LETS - MINIMUM 1@ S3 EA. 'a10e CI7'Y: SURCHARG& $ SO SIGNATURE: TOTAL: COMMERCW, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MUL1'I•FAMILY BUII,DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNIT. WORK DESCRIPTION: CONTRACT PRIC& 146 OF CONTRACT FEE FEES STATE SURCAARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCFSSED PIPING - $25.00 MINIMUM FEE - $25.00 a OWNER: TOTAL: $ S11'E ADDRFSS: 1'ENANT: 3UITE #: INSTALLER: ADDILESS: CI1'P: ZIP: . PHONE #: CI1y SIGNATURE: SIGNATURE. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 646 Hillside Dr Lot: 9 Block: 2 Addition: Bur Oak Hills 2nd PID:10- 15501- 090 -02 Use: Description: Sub Type: e - Furnace Work Type: Replace Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S PERMIT City of Eaan ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Daniel J Martin 646 Hillside Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA081338 12/05/2007 ePermit cal Inspector, 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 Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 646 Hillside Dr Lot: 9 Block: 2 Addition: Bur Oak Hills 2nd PID:10- 15501- 090 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 $1.50 Total: $90.00 Owner: Daniel J Martin 646 Hillside Dr Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 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 Issued By: Signature Building EA092219 12/03/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA165707 Date Issued:11/16/2020 Permit Category:ePermit Site Address: 646 Hillside Dr Lot:9 Block: 2 Addition: Bur Oak Hills 2nd PID:10-15501-02-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Matthew D & Katie V Olson 646 Hillside Dr Eagan MN 55121 Anchor Roofing And Exteriors 101 Bridgepoint Way, Suite 140 South St Paul MN 55075 (612) 363-7443 Applicant/Permitee: Signature Issued By: Signature