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4362 Golden Meadow Ct Use BLUE or BLACK Ink l ' ForOffice Use , 1 61"q4"01 Permit#: 1 City of Ealan JW2310 1 6t) 1 Permit Fee: i 1 3830 Pilot Knob Road I i Eagan MN 55122 Date Received: Phone: (651) 675.6675 1 Staff: l Fax: (651) 6754694 I 1 2010 RESIDENTIAL PLUMBING APPLICATION Date: tQ l l Site Address: AAISIO Q / L`X~(~`~+ ► 1 1 ~.k aA O'U . Tenant: Suite M RESIDENT / OWNER Name: Nm~ & 01 o-0 Fes- Phone: I VSj 303 tDAI US- Address / City / Zip: -A~ " a-106V-e-' CONTRACTOR Name: t i (I License Oie S Address: lV City: rd State: Zip: S~; 35 a Phone: L V Q OLD 2-q I Da Contact: C) 6'-C' cm Email: TYPE OF WORK New _ Replacement Repair _ Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / __p PVB) Main - Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.60 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. It 48 hours before you intend to dig to receive locates of underground utilities, www.pccherstateonecall.ora I hereby acknowledge that this information is complete and gate; that the work will be in con ante with the ordinance and odes of the City of Eagan; that I understand this is not a permit, but only an application for a pemtit, and to s Ft without a permit; that the work will be in lot , accordance with the approved plan in the case of worts which requires a review and approva f ans. x x _ Applicant's Printed Name li s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-in Air Test Gas Test Final " . • CASH RECEIPT . CITY OF EAGAN ! P. O. BOX 21-199 EAGAN, MINNESOTA 55121 . ' ? DATE i9 c RtC=IVitp . , -• AOM AMOUNT DOLLAR$ ? CASH ? CHECK rOR FUND CODi AMOUNT _ ?• Thank You ' . , 5 3 61?; ,. BY r? J White-Payen Copy Yellow-Postinp Copy Pink-File Copy :L:C' JZC) -K?J CITY OF EAGAN Remarks ? Addition Sun et Third Lot 1 Bik 1 Parcel 10 72987 010 01 Owner' 4362 Golden Meadow Court ?„tP Eagan; TMIN 55123 ? - - --- - i r Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING L SAN SEW TRUIVK 514; 1981 3SSESS OII lOt 7 b OCiC SEWER LATERAL " ? ^-4• ' ? • WATERMAIN WATER LATERAL WATER AREA $?f+ 19$1 assess OII I.Ot ? b OCiC STORM SEW TAK ?pS 1985 SSSeSS oA lOt 7 b OCk STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT R WATER CONN. 500.00 BUILDING PER, 10,185 n n SAC 525.00 PARK - 3 CASH RECEIPT . CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ? 19 wucavm FROM w.. . . ' . AMOUNT $ ? a ooLLwns ,oo ? CASH ? CHECK FQR .5 . a?. % . . 1 i /`i, FVND CODE AMOUNT i ? -.l ) ? • y? c ,. Thank You 0 0 F n r; ? e v ?.? _. . . _. White-Payen Copy Yellow-Posting Copy Pink-File Copy Cities Di ig tal Quality 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. Rewipt } PLUMBING PERMIT ? Permh No. ; CITY OF EAGAN Fee ' Pill in nui»bered;paces S/C Type oi Prin[ lepibly Tot i. Date 2. Instsllation Cost 3. Job Address Lot Blk. i Tract i , 4. Owner ; 5. Contractor Phone 6. Address 7. City Stete Zip 8. Building Type: Flesidential O Commercial ? Institutional O 9. Work Description: New 0 Add O Alter ? Repeir O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs ra e sspoo n $e ti T k Lavatory p c an Softner Shower Well ICitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify ihat the above information is true and correct, and I agree to oompty with all ordinances and codes governing this type of work. ? Signad : ?. , ,- for Rouph ` Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 eU1LDING ?ERMIT T? w w? fa >.;=:'(;?,P, Receipf # 103$pi -7 `' Y49, Q00 1? 85 Site Addresf Lot ' Block ' SeclSub. Percel No. ? Neme iON C j ; Addreas ? City Phone 4 1 Z? Name _ o? Address u F Ctrv SAMF Phone Erect W Ocwpancy ? Remodel ? Zoning Repair ? Type of Conct. Addition ? No. Stories Move ? Length _ 6 Demolish ? Depth S 4 Int. Impc ? Sq. Ft. ? Instatl ? Assessment Woter & Sew. °` .- _, ..' Police Plan qeview 1 -d -7 . ? -A 52r 00 ?W I Z Name ,. Addrest Fin . SAC C, . 00 + '13 _ cc tW City Phone Enp. Plonrwr water Conn. ., . 001 Weter Meter Council Road UNt U. U?,' 1 hereby ocknowledpe thot 1 how rood this opplication ond storo thaf Bldg. Qff. C,-/ s Tr. PI. i?-2, . G Q tM infwmotion is correct ond ogree to tomply with oll opplicablo I Stab of Minnesoto Stotutts ond City of Eayon Ordinonces. APC Pe?k$ Var. Date ie8 Co Sipnature of Penmittee p `S ? 2 2 5 Y 1 ?i( ;.;:.= "i :: I? : A Building Permit is issued ro: ? . Total on the expros conditian Ihat ? oll worlc shall be done in acoor+donce with all appliaoble Stote of Minn esota Statutes ond City ot Eopon Ordinonces. 9viWinO Offidal I C1TY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Permit No. Pwmk Holdkr Dob TeIeDhons 0 wumbing V) " ? I 4/ H.VA.C. Eltstric SottenK Irqpsetion Dste Insp. Othor Foodnpsl Footings 11 Foundatlon Framing Rnoflng ? 4 s ?IJ Rough Plbg. ' Rou9h Hty. Insul. Fireplaq Final Htg. Final Plby. Flnel CO1'yOGC. W?N Oewibe Location: WO11 Sower Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# ' To be used for Est. Value Date Site Address `- r OFFICE U8E ONLY LOt BIOCk SeC/Sub. l On Site Sewage _ Occupancy MWCC System _ Zoning Parcel Na On Site well _ Type of Const Ciry Water {Actuaq a Name _ (Allowable) W * of Stories ; Address Length ° City Phone Deptn F Total S , p Name . . Footprint S.F. ?? Address APPROVALS FEES P City Phone Assessments _ Permit -' l- Q WatedSewer _ Surcherge yVj W Nam@ Police _ Plan Revlew ? z x - Address Fire - SAC, City c> Z <u, CitY Phone Engc Planner SAC, MWCC _ WaterConn. CounCil _ Water Meter I hereby ecknowledge that I have read this application and state Bidg. Off. _ Road Unit thattheinformationisCORectandagreetocompywithallappifcable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Signatufe of Permittee Copies TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagen Ordinances. I Permit No. Permit Holder Date Tstsphone s Plumbing H.V.AC. ~ Electric Softener tnsDectfon Date Insp. Commonb Footings I C,4 ,r Sd-6 k Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN WATER SERVICE PHtMR - 3830. Ilot K?tob Road P. O. Box 21195 PERMFT NO.: . Eagan, MN 55127 DATE: ? Zanirg: ? No. of Units: 1 Owner• Address: Slta Addross. 4362 1 t 1 SuntA:t ? Plurrkber: N,iter No.: 3 56 Q5o1 o f e I' -+Ewi?ection Chb'r? l Siz.:'?/? "?i?. HQ?,?-IEtc. Rsader No.: 50 3 ?1Q? _"• kj v"'" LAW I l?IM t0 00?1? N?1 ? ? C?1GFQ0: • ?i ??_ h ? . ong Mim c.horo". t 32•'!o r„1 Total• 63.00 nd w(-tc-.r By Dote Poid: Dote of Irnp.: irnp.: CITY OF EAGAN WATER SERVICE PHtMIT R d w 3830 Pilot Knob P. (3. Box 21199 p?y,?1T NO.: _ Eagan, MN 55121 DATE: Zordng: No. of Units: Owner. Addrem- SiM Mdress: , ?= r r.,_, ••- t t r ?. PlUIY1blfC r r . ? , Meter No.: Carr'wction C?wrm: . O i ?Siu: t: epoa Aowunt Rooder No.: Pemnit Fee: I Nme to mmpl1? wNh Nw Ckf of !mp¦ Su?choroe: . `:i Misc. Gnrgas: OriMgwas. , . .., ... Total: BY Dos Poid: Dota of Irup.: l^ap.' CITY OF EAGAN 3830 Pilot Knob Rosd P. +D. Box 21199 Esgan, MN 55121 Zoninq: Ownsr: < Address: Site Addrow: Plum6ar. 1som te eo?lp vrMh tw C11y oi MfoN Conrnction Charoe: osit: t D onsMmce& sp /loooun Pem?it Fae: Surchoroe: By Misc. Cho?Oex Dcte of Irxp.: Totd: I nsp.: Doft Paid: C'onat SEWER SERVICE PERMIT pERM{T NO.: DATE: . No. of Units: CITY OF EAGAN ? 3830 Pilot Knrob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt Ts M oae 1ar SF DWG/GAR Est, yalue $49, 000 pOte JU SiteAddren 4362 GOLDEN MEADOW CT Los 1 Blaek 1 Sec/Sub. S[JNSET 3RD Paroel No. Name SONS CONSTRUCTION CO ? qddms 4 3 7 0 RAHN RD City EAGAN pha„a 452-4721 o Nama SAME Addresi City Phone Name GEO MANSFIELD _? q?,m 9200 35W SERVICE RD ?E City BLMTN phana 881-9000 I hereby ackrawledye that I hova rood this cpplication and stote that th0 Inlormation is correcf ond a9ree fo wmply wifh oil oDDlicoble StoM of Minrosota Stotutet ond City of Eagan Ordironces. Siprroturo of Permittaa A Buildinq Permie Is issued to: OvLvO oll worit aholl be dona in atmrdonce with all Buildfnp Oificiol N° 10385 0(,-7 y Erect (0 occupancy R3 Remodel ? Zoning RI Rapair ? Type of Conat. V Addition ? No. Storin Move ? Length 36 Demolish ? Oepth 44 Int Impr. ? Sq. Ft. Install ? Aavrorals Fus Assessment Werer 3 $ew. Polica Fire Ma ror CounNl BId9. Off. 6/7/$ 5 APC Ver. Date Permit $ 278.50 surcnerge 24.50 Plan Review 139.25 sac 525.00 waterconn 900 - 00 waterMeter 63.-00 RoadUnit 290_00 Tr.PL 132.00 Parks Coples I rotei $1.942_25 on tM axpresi eorditlon tMi Statutes and City o7 Eopan Ordironces. CITY OF EAGAN N! 13 7 4 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # - ? ?S?' To be used for DECK Est Value $1, 000 Date JliNE 9 1987 Site Address 4362 GOLDEN MEADOW CT Lot 1 Block 1 Sec/Sub. StiNSET 3RD Parcel No. a Name CRAIG SCHOMMER z Address SAME 0 City Phone 456-5644 a Name SAME ?a Address , City Phone ¢ W z u _ w Name_ Address Ciiy _ I hereby acknowledge that I have read this application and state I that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Ea an Ordinances. i Signature of Permittee A Building Permit is issued to: CRAIG SCHOMMER atl work shall be done in accordance with flll appJleql State of M Building Official V OFFICE USE ONLY On Site Sewage _ OccupanCy MWCGSystem _ Zoning On Site Well _ Type M Const City Water _ (ACtual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit 20.50 Water/Sewer _ Surcharge - 70 Police _ Plan Review Fire _ SAC, City Engr, _ SAC, MWCC Planner _ WaterConn. CounCil _ WatefMeter 81dg.0(f. _ Foad Unit APC Treatment P7 Variance _ Parks CoPles TOTAL Z1.00 on the express condition that Statutes and City of Eagan Ordinances. ? RESIDENTIAL BUILDING PERMIT APPLICATION ,y arr oF E?cani 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 Naw Constructlon qeaulremants qemotleVNeoah HeauiremeMa • 3 registered site surveys showing sq. N. of bt, sq. tt. of house; and ?II rooied areas • 2 copies of plan (20% maximum bt coverage allowetl) . 1 set ot Energy Calculetans for heated add0bns • 2 coples of plan showing beam & wintlax sizes; pouratl found design, etc.) . 1 sile survey for e#erior addBions & decks • 1 set of Energy Calculatbns . Intlicate N twme served by septk system tor adtlaions • 9 copies oF Tree Preservatbn Plan M lot platled afier 711J93 • Rim ,bist Detail Options selectbn sheet (bidgs with 9 or less untls) DATE / Z VALUATION / SITE ADDRESS ?3 6 Z 1;:244.. MULTI-FAMILY BLDG _ Y _ N NPE OF APPLICANT FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS CIN __jL4?4 STATV"-`ZIP ST-Yto TELEPHONE #9R- 6ft Y9fZ CELL PHONE # FAX #f!re S_ 6 7 PROPERTYOWNER C-9& TELEPHONE# ?S'/- yosr i,/ 3 3 COMPLETE THIS SECTION FOR %NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (d su6mission rype) • Residential Ventilation Category 1 Worksheet Submitted •$ o. • Energy Envelope Calculatlons Submitted JUN 0 6 2002 Plumbing Contractor: Phone # Pluxnbing system includes: _ Water Softener _ L.awn Sprinkler ee: . _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contracfor. _ Mechanical system includes: SewedWater Confractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 -----°-------°----------------------------------------------------------------°---------------------------------------- I hereby acknowledge that I have read This applicatfon, state that the information is correct, and agree to comply with all applicable STaTe of Minnesota Statutes and City of Eagan Ordinance . Signalure of Applicanf ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool 13 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) 13 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex PIbg__YOr_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicark 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 W idth REQl11RED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation FNAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Srucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Suppry & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?D \1) PLUMBING (RESIDENTIAL) r 66 /'? I Permit Application `J ? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernuts aze required for each unit iz 9-?q 5q st rS ,_S-o m93'ED Date l..P / C?o / 2 Sit Add `7-3?O 9 2-7o fdz4 f C%L,4 U it # ress p e J n PropertyOwner OA.A(?L (D) 2Jt)7LA[_, p Telephone#((Q5/) Contractor pM(`nirc R 4nnC 605 - 12th AVe SO. Address city op ins, St te Zi T l h # 7? a p e ep one , The Applicant is _ Owner X Conhactor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing ?wetling Unit, Including $ 50.OD _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other. !.? ?7 \ _ RPZ _ new installation _ repair _ rebuild >? ?1 n ?k. $ 30.00 _ Lawn irrigation system . Water soft W h t t ? • ?.?,A= ? ?- ener er ea er a - ? $ 15.00 \\- replacement _ additional State Surcharge $ .50 P5• t a Total $ I hereby apply for a Residenrial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in conf`ormance with the ordinances and codes of the City oF Eagan and with the Plumbing Codes; that I understand tlus is not a permit, but only an applicarion for a pemut, and work is not to start without a permit; that the work will he m accordance with the approved plan in the case of work which requues a review and approval of plans. n n. L; Pil oLhy ' C Applicant's Printed Name Applicant's Signature OdS l RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ? 7/ 7 S 3830 PILOT KNOB RD - 55122 657-681-4875 New Constructlon Reaufroments . 3 registered sfle surveys showing sq. ft. of lot, sq, ft. of house; aiM ? roofed arees (20% masimum lot coverage allowed) • 2 copies af plan showiig beam &windaxsizes; poured found design, etc.) • 1 set of Energy Calculatans • 3 copies of Tree Preservalion Poan i( lot platted afler 711193 . Rim Joist Oetaa Options selection sheet (hldgs wBh 3 or less uniLc) DATE Z JOB SITE A6DRES? 5?36 a ? IF MUITI-FAMILY BUILDING, OW MANY UNITS? PROPERTYOWNER TYPE OF WORK APPLICANT 4-? ADDRESS PAGER # ZIP CODE .ST Ya a FAX # - ?S P S S67 NEW RESIDENTIAL BUILDING ONLY - fILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 n?C (check one) - Residential Ventilation Category 1 Worksheet Su ??te?p) - Energy Envelope Calculations Submitted ? _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Conhoctor: Air Condidoning _ Heat Recovery System Fee: 14 aa?? '?q SD $90.00 Phone # Fee: $70.00 Phone # All above iMormation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicabie State of Minnesota Statutes and City of Eagan Ordinance . ? / SignalureofApplicant ?/? a CeAificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 BgmodellRaoair ReauiremeMs • 2 copies of plan • 1 set of Energy Calculations Wr heated additions • 1 site survey for eAerior additions E, decks • IrMicate i( hane served by seplic system tor additions VALUAiION 6f"6 o v ? SU CELL PHONE # _ Water Softener _ Water Heater _ No. of Baths ? Phone #: Iawn Sprinkler No. of R.I. Baths FIREPLACE(S) _ 0 2 PHONE# 95L- cfk8_Y2'5Z OFF{CE USE ONLY ? 01 Foundation O 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 13 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) ? 38 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Leval ? 24 Storm Damage ? 06 04-pfex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addkion ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AReration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MG1ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. oflUnits Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Smne _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S&W Permit & Surcfiarge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1987 BIIILDING PfiRMIT APPLICATION - CZTY OF EAGAN SINGLE FAMILY DWELLINGS INCLDDS 2 SETS OF PLANS, 3 CSRTIFICATES OF SORVEY, 1 SET OF ENERGY CALCOLATION3 NOTE: 9DDEESSES FOR CORNER LOTS - CONTRACTDR/HOMEOANEH MQST DESIG9ATS WHICH 9DDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED OHCE BIIILDING PERHTT IS ISSDSD. MOLTIPLE DWELLINGS - RSSIDENTIAL RENTAL iTAITS FOR SALE OBITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SQRVEY - CHECg WITH BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COMPIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: A uk Valua Site Address 'q3lpa Gld2i'l /"(P?dU1 C Lot I Block ? Parcel/Sub ?? '5 ? Owner Craia w- Peaaie ehorn?me+? Address #J 6 z upIQen MeaAo w CT- City/Zip Code &? v? i SS/a 3 Phone ?-5 (o - ,?(o t/ ? Contractor Address e City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone li . -4o-? Date: ? - 5- y , On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const _ City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. 9PPROYALS ESFS <a 20 - Assessments • Permit Water/Sewer Sureharge 7EE Police Plan Heview Fire SAC, City Engr SAC, MWCC Planner Water Conn Couneil Water Meter Bldg Off Road Unit APC Treatment P1 Varianee Parks Copies TOTAI. o"? l, cr7J 0• * 278•5+ 24•5+ 139•25+ 525 • + 500 • + 63 ° + 280• + 13?_ ^ + 13 942°?_5* ` "z 1985 BUZLDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: I-le Ay 2 Valuation: Q qO00 • a Date: 8S + -?- Site Address: q 3 ?p ? 6 0 1 dGV? MC,adOI.J OFFICE USE ONLY G'?• Lot: / Block ? Sect/Sub Erect ? Occupancy Parcel 11 54 u 3 f-LAWW Remodel Zoning , ser 17 ie.l Repair Type of Const Owner SGNS C'cpr? ?e Enlarge Move If of Stories Length Demolish Depth Address c1370 (L?}/3,) Q?,Q Grade Sq Ft City/Zip Code EA(„t,V S S/z L. - ------------- -------------- Phone q5A - q7,1 / APPROVALS Contractor Sa,vs 07 6N3 T ea Address '437o ILAyN 12t,P City/Zip Code E,4(sAN Phone -/ S) - q7 ;k / Arch./Engr. C?- e & /ti}pps{ Address °1 ,1 o e, 3 r w St.r I2cV City/Zip Code !}164;,w1A.GroA+ Phone Il W- 9 0 o a Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council oad Unit Bldg Off Parks APC Treatment P1 Variance TOTAL K-1 Z-] 8. s-° 24-5v 13q Z5 SZS °° 5ao 29 200, °-° 132.? i, gLl a asJ I2x -)(o ?- 4-? z x s? ? -22 Zg ??,? ?(Co ' z88 K 4f = 41 '?ov Z1 x 20 ? 4Z? x<< ",_ ??° 46 3 (?-, G TRI-LAND eNc. SI7'E PLAN for: suRvEYeNG SERvICES DO1V OLSON Eaaan, Minnesota 55121 5G1,iS (!OlcS i d? . b ? ? ? ? J .] ? I w v ? J ? qa.s ? z ? ! i 3.0 C4• 4- /io o o dl' ct5°41 Ic j ? , J ? ' ' C??? ? 1_ _?_ ?-? - - - v' i • ? o 1 roa.o a t ^ CO ir ? o t? IrL0 .Uli I S89 0 4 , m coLoEr•i 141t.r,uc,ri 4Au r LEGI,L DE-SCRIPTION : LOT t, BLOCI< 1, SUPISFT THIRD ADDITIGtd, DAKOTA COUTdTY, rkCCUKD1iJ6 TO THE RECORUEU PLAT THEREOF uaraye ?iuor shaei be set 18" above top nf curo. --? DefIQLP,s rJrainage par:cerns I hereby certify ttat ihis survey, plan- or report was prepared hy me or under my direci supervision and That I qm a duly RegisTered Land Surveyor under ihe . e •1 - - C \1i??---M B rad ley wenson Mn. Reg No. 15235 Date• ShsolRf - BUILDINC: SITE ADDRESS; ANALYSIS BY;. ?.:__ . ?? ? .. . . ? _e: • Ae requiTed by Code: Code "U" ? Minimum: 1. Total expaeed wall area ..?.s_ Sq.Ft. x , ?q L* a 2?t0,; CT?? 2o Total roof/ceiling erea ...... ` f fc Sq.Ft, x_.?'LT? ° Ar??G? C7Ju s. Total wall window area ..... :................ I(`a O.O Sq,Ft. C. Total door area ............ .............?... ?{0,0 Sq.Ft. c. Total glnse door area ...... ................_.__? y-Sq.Pt. ' d. Total wall area F<,!.. ,3,D Sq.Ft. e, Total wa11 erea Sq,Ft. f. Total wall area ............... ?........ ,??.. - Sq.Ft. $e TOC6.1 W811 8T28 ..e...r..............???????? SCl.FC• }1• TOC91 foundetlon W8l1 window area ....0,0 SG.f'C, 1. Total net foundation area above grade ......... 01 o SQ.Ft. ("U" value of each wall segment calculated on nttached eheete.) e. I(aD CF x.. u^ p?a Q,4 BTUH b. 40 ?iL x??U" e7- BTUH C. Qr , S <{ x..U.. p 4 S Lp, BTUH - d. -a224, p 4F x"U" Og?2 BT1fH e[L(o'-) D 5(• x"U" j0(? 2(n, C t BTtI)i f. x "U" -- BTUN g? x "U" - BTUH h. - x "U" - - - BTUH i. x"U" _ v. pq1 (oi = "l, 5' I BTIIH 3. Building Walls: Total BTUH If Ttem t13 le the sume ae, or leee than Item 01, you hAVe met^the intenc of SBC 6006(c)2. . J. Total ekylight area .......................... Sq.Ft. k. Total roof/celling framing area (average lOX). -{(- Sq.F[. 1. Total net Ineulated roof/cetllnK erea ..,..... Sq.Fe. Detet7uine "U" value for each roof/ceiling segment; J. 4o 5F x „u" 0.05V2 2.24ti aTtrN k. x ..U" _ BTUH 1. l100 SF x "U" o, ?3.Q44 BTUH' 4. Building Roof/Ceiling Total = 'lL, la'L BTUH If tatal of O4 is the esoie ae, or ieee then 0'2, you have met [he inten[ of S8C 6006 (c)1, Alternn[e Bullding tnvelope Deeign To utilize Lhe total envelope ayetem method, [he values estebliahed by the eum oE I[ema M3 end d4 ahall not be greaCer than [he aum of Iteme #1 and #2. Code: 1. 72?40.? v,rw.i. + 2. 4X>, U Ciu µ e 5I 9 STUH riulldSng; 3. IpJ'1.5 ETJN + 4, 'LL,1 BTuu b '1 BTUN %r`JU L-rS. . . , _. . i ? . . .-? . of uM t Yve + . . _ , . • N0. I??S4 . TABIE 3.] U-Yalue Caltulattort EX ?d I DIZ CO Iv1 ?ON? ?S ?? ? II y ?? STvp N/#Uti Construction • Oiaqram Com onentf R-VeTue , Outside Air Film 0 ? I? • 4?p?rvfr U,S? .: . ??N ?N?i?? ??GPT?Ir(r ; INSU?i'3/p??1G?E?GMAv (O.o IS°,•o YoJ?s ??h.° D,loS? , pj/?y, S(? ? I I ? " gaTr ' ?65 /o NLvV 12 • 11 u ' ?'iS yLU o?4C Inside A1r Film . • Aren • ?133 S? aTotal ' 463 SF u RTotal • n R'f`TL 1C'r'-II1I0JCS ConsiruCtion Cpmponentf R-Vaiue Otagrem Ini CFM' Outside Air F11m l?l U, ' ?'?.----- . `. . _ - ? „ Ip°/p ?MIN?7" ??s O ?- ,. d ?Ms?-?l a,s" a,z3 qo% ??.+Sul. 11.?? 41 .?4 .aa G?G ?/,. G ?? o. 4 S Insjde Air Fiim p,i1 R Tatai 614 area •?? t U ' ."'71 . r ? . : Paga '?- Uni t rYpe-?= ,,,•, N0. __L14Lt? . TA9lE 3.3 . ' U-Yatue Calcuiatiort Constructton WfN?J0?N5 ? l?A'?LO ??Z'' Oiagram Com onents R-Vaiue ' - • Outside Air Film ??) '1rr • 5?g'? ?,+l?n,. ?u+ss . w ?nlooV?Z cKSFM 2, 04 -- P,a'(o ; Inside Ait Film • . ? ?$ ' (0 ? Area ¦ ATotal u . ? R .34b VSEt? 'U% q? -? :Tytal Construction ?bj^jO12.,f( lor.? WR'w -- Components R-Va1ue _ 01 a9ram ?------- i': ' - Outside Air Film INSvI.((? ; . , --?r IL" 6wGK. C??? ? JU Inside A1r Film R Tata1 ` ?0'ZA , • Area Total , o?. ?T?uorL 90a? = 7f??rLMa•T,?J 7?1?'c ?. ?= fS+ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) crrY oF EacArr ssao PII.oT xxos itn - 55122 (651) 681-4675 ( New Construction Reauirements RemodeVRepair Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window s(zes; poured fnd. tlesign; etc.} ? 1 energy wiculations ? 3 wpies of tree presarvation plan if lot platted after 7/7193 raquired: _ Yes _ No DATE: -? 'i2'-IJQ(? ? 2 copies M plan • i sife surveys (exterior eddftions & tlecks) ? t energy wlculations for heatetl adtlitions CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT: I BLOCK: I SUBDJP.I.D. #: 5 u 3k CJ Name: r" Y--+YYI 4 Phone #: PROPERTY Lwt First OWNER Street City State: Zip: I? IZ ? Company: Phone CONTRACTOR Street Address: t 0.? ( License # aQ13?'1U3 Exp. ? City State: j')`'\ n Zip: J`rs3?) ? ARCHITECT/ ENGINEER Company: Name: Street City Phone #: Registration #: _ State: Zip: Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is co ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. j Signature of Applicant: V'? -zl OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received ` Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition O 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/VU Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code SAC Code Census Units Census Bldg MC/E5 System City Water Booster Pump PRV Fire Sprinklered Building Engineering . Variance Valuation: $ % 5AC SAC Units r- i ' z/sa l 1 CITY OF EAGAN APPLICATION FOR PERMIT -` SEWER AND/OR WATER CONNECTZO.i (PLEASE P9INT) ' 1) PP.OPE.T"tY ACDRESS: ???. l'd,.?c?? iC'r- nr-? _ irt; z-' r.Fr=,L DES=TSC:I: (Ir?t/31ock Subdivisicn or Tak Parcei I.0, \unbei^j? STR[;CP^,LE , DA'IE G_' CRIGii:AL : iiIi^uL`:G P?_:.I^• ?cS?:.;C?.: P.°?...???,. ? ? a R?1 S:!,,GL: c. _tit1-r,.Y ? ? R-2 DUr^L,EX (?SCO LNITS) ? R-3 'IG[v1iIHCt;SE (TI-?::r, + LNRiS) I UwI^_"S) ? R-d ?ppRT.''?:^/CGi+?GLiIL:l ( ?'?TI.Si ? CIX111MET?C7AL/RETAII,/OFFICE ? 11i'DCSiRIAL ? SNSTIZUT-?O^:AI,/C-04'-u\TM?'?'P Z) APDLT= ?PLE,ISE ?RINi) bF?ME: ? Or? ?JG / - !?'r? PJDRESS: ? v. i CTTY, STATF.', ZIP: r PHONE: , 3) PI,L,'IL'?..'D. ?P_?ASE P I;1LJ FOR CITY USE ONLY ADDRESS: PLUMBEfiS LILE45E: =,AFt'ive CZTY, STATE, ZIP: /y35 ?j/7 ? Expired. PHOiVE: ? --1?uaicR rJC! ?J`.?% PLUMBER LICENSE p/??? Q /N t Record t? nt[ta 41 CX.'CUPA?VT/CfiTN-rR NAhfE lrLcaac rHtni) : ADDRESS; CITY, STATE, ZIP: PHO; IE : 5) ZNpIC"+TG WHICIi PEPMIT IS BEZ11:G REQUESTM: Q' CCiVi'VECTIOV 'Ib CITY SE7V7ER El CCmVECI'ICDI TO CIii 6dATER ? C7I'['?" (PLFASE DESC2iSE) ??I.:,SE F:OID P,PP?2pVEp pERMuT FOR PICK-LP BY ONE OF 73BWE ?°I.E=15E tiiAIL'APPROV'U PERMIT 'IO 1, 2,e'D 4 AELT7IJE ? (Circle one) 7) SIG.`.2cE: Dr1T'E: a/ oi srss:a:r am?:r1?3? S aa ?kl?aiiaaV a F O R PERMIT °- ISSUED I T Y U S E O N L Y FEES: $ /L). S? $ A). ?u $ $ $ $ i $ /J"ou $ So?.?;o $ .?.?1 l .i? r S $ $ $ S /.3z • ? u ?'JC.":LJ TJCA\fTi (-"iC.r.,....._. JZJID.CHl WATEI'. PEI2P4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OOTSIDE REduER WATS.°. 'i'aP (INCL'JDE CORPCRATIC:I 5:0?) SEWE3 mn? ACCOWi T DEPOSIT - SEWER ACCOUDIT DEPOSIm _ WAirR WAC St'1C T?2UNK [•7AT°R ASSESSMs.:IT TRtivF SETvER ASSv-SSMEVT LATERAL BENEFIT/TRUNK SESdER LATERAL BENEFZT/TRUNi: WATER OTHER $ TOTAL $ AMOU:]T PAID/RECEIPT ? ,5_je y ? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC ROADWAY" MUST BE ISSUED BY THE ?% NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLiOWING CONDITIONS: APPROVED BY: TIT?,E: DATE: .?• Sc4 - c.?,,.,,... AGREF.MENT •• PROJECT l418R GQLDEN MEADOW ROAD THIS AGREEMENS dated this ? day of 1985, by and Husband and Wife betaeen the CITY OP EAGAN, ca11eG Eagan, T80tlAS RICE and BONNIE RICE,/ called Husband and Wife Rice, and ARMAND LAURENT an >. ?_ LAURENT,/ called Laurent; WHEREAS, Eagan has prepared a feasiDility report for an imDrovement ? ' project for the installation of sanitary sewer and water laterals, utility 3 services, and street improvements on Golden Headow Road, lyin9 easterly of Dodd Road in the City of Eagan, and Rice and Laurent each own land abutting said road; and WHEREAS, the parties desire to enter into an agreement whereby Rice and Laucent will install utilities and street improvements on said Golden Meadow Road 2ying adjacent to property owned by Rice and Laurent at their sole cost and expense; and WHEREAS, Rice owns Lots 1 and 6, Sunset Third Addition and Lavre.nt owns property on the south side of Golden Meadow Road described in Exhibit "A" attached (I.D.No. 040-29). NOW THEREFORE, for and in consideration of the mutuai covenants herein contained, the parties agree as follows: 1. Eagan will proceed with Improvement Project #418R under normsl p:cCE'jL':e5 ECL the installatien af saritary seNe* an@ eestee ?sterals, utfllity servicNs and street improvements on Golden Meadow Road for tAat portion of the road lying easterly oE Lot 6, Sunset Third Addition, whicA addition has been subdivided and developed Dy Rice. 2. Rice and Laucent shall proceed to install sanitary sewer and water lateral improvements, utilities, services, and street imptovements adjacent to their property on Colden MeaEoW Road to tAe eaat line of Lot 6, Sunset Third Addition, according to City atanaards and approved by tAe City Pub11c Works 1 Department during 1985 at the sole cpst of Rice nnd Laurent, but only if the Eagan City Council approves the installation of the balance of the remainder of said Colden Meadow Road improvements contemplated under Imyrovement Project #418R. 3. Eagan will not assess Lots 1 or 6, Sunset Third Addition for such ' improvements, nor will it assess the land owned by Laurents, lying on the _ south side of Golden Meadow Aoad for such improvements. It is further understood that all other assessments for City improvements or assessments for other pucpo;es nay ue levied against the property drscribed above, owned 6y Rice and Laurents and that this agreement shall have no effect upon such improvements oc assessments. 4. The parties anree that this Agreement may be recorded with the Dakota County Recorder and shall affect the lands described above. WHEREAS, the parties have siyned tAis Agceement on the date first above written. CITY OF EACAN ppMV?A1h?.VuV l.' VYV..?N n.V.:: .:.V IuWJ• - S y? KOTA0.)" "rUBLIC•k.MxESOTA z `?•i??Y !l'::'::FIYrIL?M11Y Z Mr Comm. [?o??a+JW/ 20, 1990 • V W?'?W: W`/y?vlM^/?V V V?'?'?•W?1M1W a By:/--L • Its And: Its lerk Subscri ed and sWOrn to before me Subscribed and sworn to before me tA' P ? y ? v+e? , 1985. Notacy lic ?,,?..:.,??:?,,...?•?. ,,.:.: „ ,.. . <<; : `zlt. K?r NpTRp:' F9duC-MixnE50tA IIEN:.rVINf.p11nTT ? ? My CGmm. Eapbex iuly 10, 1950 3 [ V V VYVIn".'b': V WWVI^nP/eWV\M1'\'Wl^NNJ ? thi ./da of , 1985. Notary Pu c ? Thomas Rice ? pn ° R1CE C??.? Armand Laurent /?-? Laurent 2 .? ? J Y ?.. _ /. STATE OF MINNESOTA County of Dakos ss Oi'ice of Ca?ntq Recorder ? ThiS iS t0 CB!-11Py';hF.4 th!± 1+.1i'zllist ? instrum2nt was ;er rccarj in ? 2{lIS O!fiCc 24 HdSY'C??S, Oft iF:.° ?:ay ef- oD. 14?? , - , a c':x'.•c • M., a?u4 tiiai the sIMe was aG'v recor<+ed in Dekr,ta Cour,ty ftE:cc:ds. o JAMrS U. E'OWN _ Cour.ry R?:?,{corder gy ? 7'Y1 V\ 0-? Deputy I.V7 _ ?.n ? o ?e- ) u , ? . • t .; ?. J, E EXI-IIBIT A Rice Property Lots 1 and 6, Sunset Third Addition, Dakota County, Minnesota Laurent Property (Parcel No. 10-02500-040-29) All that part of the Northwest 1/4 of Section 25, Township 27N, Range 23 w of the 4th P.M., described as follows: Commencing at a point on the South line of said Nw 1/4 639.5 feet West of the Southeast corner of said NW 1/4 said point being in the centerline of Dodd Road as now laid out and travelled; thence along the centerline of said Dodd Road on an assumed bearing of N 10 12' 53" E, 226.5 feet; thence N 7° 24' 53" E, 265.97 feet co a point in the centerline of Do`cY;ROad which is 490 feet North of the South line of said NW 1/4 said point to be known as point "A"; thence S 891 44' 36" W, and parallel with the South line of said NW 1/4, 770 feet to the point of beginning of the property to be described; thence continuing S 89° 44' 36" W, 125 feet; thence 5 50° 39' 39" W, 777.24 feet to a point on the South line of said taW 1/4 2096.5 feet West of the SE corner of said NW 1/4; thence N 89° 44' 36" E, along said South line of the NW 1/4, 761 feet to a point which is 696 feet West of the centerline of Dodd Road; thenceN 00 00' 00" W, 190 feet; thence N 13° 06' 15" W, 153.85 feet; thence N 0° 00' 00" W, 150 feet to the point of beginning, containing 5 acres more or less: together with and subject to a 60-foot easement reserved for roadway purposes which may also be given to others, the centerline of which is described as follows: beginning at the above mentioned point "A";:thence S 890 44' 36" W, and parallel with the South line of the NW 1/4, 895 feet and there terminate. The South line of said easement is extended Westerly to meet the Northwesterly line of the above described parcel. T1II5 DOCUiIEN^t DiArTED B°: Paul H. Hauge Hauge, Smith & Eide, P.A. 3908 Sibley Memorial Highway Eagan, MN 55122 (612) 454-4224 NO STATE DEED TAX STAMP DUE fxempt from State Deed Tax ? y h&m.d V. no Dakota County Treasurer