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746 Golden Meadow Rd Use BLUE or BLACK Ink r For Office Use Permit ~ 0 j City of EaRd Permit Fee: 3 / 1 3830 Pilot Knob Road I y ` I Eagan MN 55122 RECEIVED Date Received:.. i I Phone: (651) 675-5675 Fax: (651) 675-5694 I I Staff: I ~UL- 19 2011 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C~ 7 I Date: Site Address: Unit M Name: T~ 4 13 k.r b Y-,-,-r r? S"+-ept Phone: Q -7 61 f RESIDENT 1 OWNER Address /City / Zip: l7' u C /►1 ¢ u otie~ Applicant is: Owner Contractor i TYPE OF WORK Description of work: 6L u -e- A- Construction Cost: 11-7 u i 0 - U J Multi-Family Building: (Yes / No z::K) Companyf " V' G~, -L1. Tw w 1i, 4 j n- c j-~- Contact./-,A rtltr.-A T w+t CONTRACTOR Address: G A L_ v- qr wJk o C-r- City: T- G- State:~N Zip: Phone: S 9 4 16 License 6 Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. _ . _ ....._...__...___..,__.--J 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 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. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 &B L HIS LINE /®Q Pq L SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family X Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* X Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy( MCES System Plan Review Code Edition J-7 SAC Units (25%_ 100%Y) Zonings °r S~o~(cuCity Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) \,eFinal / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests `Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control _ Reviewed By: I LL, Building Inspector ~ IV RESIDENTIAL FEES r Base Fee Surcharge Plan Review' MCES SAC fjq City SAC Utility Connection Charge n _ S&W Permit & Surcharge V x o ~ ~2 Treatment Plant Copies TOTAL Page 2 of 3 2 70. 00 I 1c Tccn JIM cJ F I 00 18 32 E--- X31 30 S o~~ ~ I i I i I I I 11 ~ ~I I_ I `i 1 rtl \IJ . I d , I i , 10, i rN) I 4 t 1 ,I r r b of ~ I ~ i I ~ , i r I i i i C--- r 1 :'f I ~ s - • I r - i f ' ' •j I I -fi- a I I I 1- i I i i I i l I ~ t C I , doe r- i ~ej ..4. _ T. I CITY OF EAGAN Remarks Addition Qvervieru Estates Replat Lot 5 eik 3 Parcel OwnerE«z;&+;..1.r, C' street 746 Golden Meadow Road State Eagan, MIId 55123 W31, Pmr.Lila v ' (ic,c(-.. Dr. iAo- Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. IID S 1981 3242.41 216.16 15 2377.77 A013958 5-30-84 STREETRESTOR. S9l 1981 1021.16 68.08 15 748.88 A013958 5-30-84 GRADING SAN SEW TRUNK 1981 300.00 20.00 15 220.00 A013958 5-30-84 *SEWERLATERAL 1981 5096.85 339.79 15 3737.69 A013958 5-30-84 WATERMAIN * WATER LATERAL 1981 WATER AREA 1981 300.00 20.00 15 220.00 A013958 5-30-84 STORM SEW TRK 1981 591.82 39.45 15 434.02 A013958 5-30-84 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT R 240.00 33811 1-5-83 WATER CONN. 420.00 " BUILDING PER. 7741 SAC n n PARK 7- INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. f Ea an, Minnesota 55122-1897 • f 9 Date Issued: • f (612) 681-4675 I , SITE ADDRESS: ` ,I ?.I,I uFht Mt ADnW Rfs , 1s',IhitV1FW e l,rA'iFs RcPi_ar APPLICANT: . ' , i', , 1141 ?t:??? ?.?t _?!?r?i ' PERMIT SUBTYPE: ' TYPE OF WORK: N F W i?1 ',? F•' 1 P1 I(IN f ti io'1F" ) DA • DA Pernit No. Permft Holder Date Telephone r ELECTRIC PLUMBING HVAC lnspection Date Insp. Comments FOOTIMGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST // FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FCCi DECK FINAL CITY OF EAGAN 3795 Nlat Kno? Raad Eagen, MN SS122 . PHONE: 454-8100 BUILDING PERMIT Receipt ?t Te be wed fer Est. Value Dute -, 19 Site llddrcu Eroct Oc n ? cupa cy Lot Block See/Sub. Alter ? Zoniny Porcel # Repofr ? Firo Zone E T f C nlarye ? ype o onst. 09 W Na^e - - Move ? # Stories z Addreu Demolish ? Length ? Ci phone Grode ? Depth Sq. Ft. ? ? Namm Approvals Foes Nome _ Address I hereby acknowledge that 1 have read this opplication ond state thot fhe information is correct and ogree to comply with oll opplicabla Stote of Minnesoto Stotutes ond Gty of Eogan Ordinonces. Asseument _ Water & Sew. Police Ffn Enp. Plonner Count11 BId9. Off. _ APC Permit Surchor9e - Plon check _ SAC Water Conn. Woter Meter Road Unit _ Total Sipncturo of Permittee I A 8uiidfng Permit is issued to: on the express condition that oll work shall be done in occordonce with all applicoble Stote of Minnesota Statutes and City of Eapan Ordina?yes. Buildirq Officiol ? ?0.C? ? Permit No. Permit Holdar Misc. Permit No. Holder Plumbing H.V.A.C. wau Water Disp. S?wer • Elsctric (.J'?S'Z 12-2Z-SZ WfS74q IZ-Zz-?SZ Inspection Dste Insp. Other Fovtings .?2 ?. , '. . 7 Foundatbn Framinq Rouyh Plbp. Rouqh HVAC Inwlation Final Plbp. Final HVAC , Final Water One?ibe Loution: YYell ' Sarnr Pr. Ditp. ' Reoeipt PWMBING PERMIT Permit Na CITY OF EAGAN ' Fee Fill in numbered spaces S/C Type or Prrni legibly Tot - 1. Date 2. Installation Cost 3 3. Job Address Lot Blk. Tract ;- :.? ?- 4. Owner ' ` ?- 5. Contractor ?'`•??4"; Phone ? 6. Address ` 7. City State Zip 8. Building Type: Residential 0 Commercial 0 Institutional ? 9. Work Description: New 13 Add O Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory / Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 i? Receipt.: 1. Date 2. Installatic 3. Job Address Lot 4. Owner 5. Contractor 6. Address 7. City Fill in number TYpe or Prini ?e, 8. Building Type: Residential O 9. Work Description: New ? IAIT Permit No. ? Fee - ' ce5 ? S/C V .rot. i ?i _Blk. 3 Tract Phone State Zip Commercial ? Institutional ? Add ? Alter O Repair ? 10. Describe Fuel Type ? 11. No. Eauinment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt # OF EAGAN Piloc Knob Roud r MN 55122 to aomply wieh the Citr of Eogon OFFICE USE bNLY Bldg. Permif 26.oo Surcharge Plan Review SAC, Ciry SAC, MCWCC Water Conn -?? Water Meter Acct. Deposil S!W Permit -? 5/W Surcharge Treaiment PI Road Unit Park Ded. Copies TOTAL Z S PERMIT < < n!; PERMIT NO.: ' DATE: _ No. of Units: 1 Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: bote Paid: , 3830 Pilot Knob RadTP,O, Box2GAN , Eagan, MN 55121 BUILDING PERMIT , PNONE: 454-8100 cITir oF . , nsa raec Knod Reaa • ' PHOlIE: 434 BUILDING PERMIT ` Te Aa urd IAN ssiii Recelpt # n_._ Sit° Addreu . ` Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning parcel # Repofr ? Firo Zone E l f ` n orye O TYpe o Const. W Name r N{ove 0 aqt Stories = ? Address Demolish ? Length Ci phone Grode ? Depth Sq. Ft. oc / ^ i, ) 1/1 5- Avprorab Fees zo Name.. v'j /lddress I here6y ocknowledge that 1 hore read this applicotion and state thot the inlormntion is correct and ugree fo tomply with all applicable Stcte of Minnesoto Statutes ond City of Eo9on Ordinonces. Sipnoture of Permittee A Building Pertnit is issued to: oll work shail be done in acoordance with oll appliwble State of Mir Buildinp Offfciol Assessment Permit Water 8 $ew. Surcharye Police Plan check Fim SAC Erq. Water Conn. Plonner Woter Meter Council Road Unit Bldp. Off. APC Totol on the sxpress tondition that sota Statutes and City of Eagan Ordinances. Permit No. Permit Holdsr Miac. Psrmit No. Holder Plumbiny 3( q 0l_.t) GZ? ? ?_ Z?( -?j7 H.V.A.C. J f?Ci???'1 1- ZS ?,3 w.n Water 1 Disp. S?wer ENctric s7?g K??1.?CC ? ?Z'2Z?'Z [? WIS'7A - I lt !I ? l It Inspection Da" Insp. Other Footinpt Foundetion Fnminp Rouph PI6q. I?$ G7 Rouph HVA ?-/7 If Inwlation Final Plb¢ 6AJ Final HVAC , Flnal ? wa"r Dmaibe Location: YWII - 5owrr ' Pr. DnP• . CITY OF EAGAN . 9795 Pibf Knob Road Eagsn, MN 35127 N? 7743 ' PHON[s 454-8100 BUILDING PERMIT Receipt # , ? -31? Te be uied fer SF DWG/GAR Fsr.vaI.e $91,000 o.,ra January 5 10 83 Site Address 140 221-aen rieaaow noaa Lot S Block 3 Sec/Sub. werview Eetates P„«i g 10 56210 050 03 RePlat a Name Thomss R. BLiCk9on W Z Address Route 3, Box 96 9 r«, Northfield M.,„_ 461-3444 o Name m e V UJ !L C_1s? Addres• 4040 Rosd _ ? ci E n 55? 122 pF,,,,? 9377 Gw Name F _z r-, Address I here6y acknowledgs thot I hove read this opplication and state that the iniormation is torrect and ogree to wmply with oll opplicable State of Minnewta Stotutes and City of Eagon Ordirwnces. Signoture of Permittee A Building Permit Is issued to: Cap oll work shall be done in cccordonte with Bulldinp Officlol . 4 Erect Q Occuponcy a-3 Alrer ? Zoning R-1 Repoir ? Fire Zone MA Enlarge ? Type of Const. v Move ? # Stories Demolish ? Length.61_ Gmde ? Depth --22-Sq. Ft._ Avvroval. Fees Assessment - Water 8 $ew. Police - Fire Enp. Planner - Council _ Bldg. Off. - APC Permit yvv.vv Surchorge 45.50 Plan check203.00 SAC 525.00 Water ConrV&20. QD Wuter Meter 60.00 Raod Unit 240.00 Totol 91R99,50 on the expreu condiHOO thm Statutes and City of Eagan Ordinances. CITY OF EAGAN . 9795 Pllef Keob Rood Eegan, MN SS122 N? 7706 VHONEs 451-8100 - BUILDING PERMIT ReceiPt # ??3 3 ?- Te M wed fer FOUNDATION ONLY Est. Vaiue NA Site Address 746 Golden Meadow Road Lot 5 BI«k 3 5ec,g„y,Overview Estates parcel # 10 56210 050 03 Replat W I Name Thomas R. Elickson z Addrcss Route. 3. Box 96 g Na,,,e CauP Homes Su Address 4040 Nicols Road ru.. Fnon? SS170 e?___ 047-Q477 Name _ Address 1 hereby acknowledge that I have reod this opplication ond state that the information is torrect and ogree to wmply with oll opplicable State of Minnewto 5t6tutes?Ond CiN of Eaaon Ordirwnces, a . 2 Erecr ? occuaancr R-3 Alter ? Zoning R-1 Repoir ? Firc Zone NA Enlorge ? Type of Const. V Move ? # Stories Demolish ? Length 65 Grada 00 Depth 29 Sq. Ft.- Approrols Fae. Assessment _ Warer & Sew. Police - Fire Enp. Plonner - Councii _ Bldg. Off. - APC - Permit 1 Surcharge _ Plan check _ SAC - Water Conn. Wnter Meter Road Unit _ Trnol $15.00 Sipnoture of Permittee I A Building Permit is issuad to: f T10ID88 R. Erickson on the expresf Condition Ihm oll work aholl be done in acmrdonce with cll opplimble tate of Minnewt tutes ond Ciry of Eagon Ordirances. Building Official ? pm ?ty: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUIIUiNG PERMIT To be used (or FIREPLACE Est. Value $1, 000 Site Address 746 GOLDEN MEADOW RD Lot 5 Block 3 Sec/Sub. OVERVIEW ESTATE: Parcel No. REPLAI w Name THOMAS E BRAY o Address 746 GOLDEN MEADOW RD City EAGAN Phone 736-4771 fF Name S°*rr? I ?a Address m `- City Phone Name _ Address Clty _ Phone I hereby acknowlege that I haveJ ad this application and state that the inlormation is correcl and ag? comply with all ay plica6le State of Minnesota StatWes and Signalure ot PermiteeCity o rya,w Ordingwces. r w?- ? a A euilding Permit is issued to: THOMAS E BRA on the expre5s condition ihat all work shall be done in accordance with all applicable Stata of Minnesota SfaWtes and Ciry of Eagan Ordinances. Building OHiCial Occupancy Zoning (ACtual) Consl (Allowable) M olstones Length Deplh S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System Ciry Water PRV Required Boosler Pump APPHOVALS Planner Council Bldg. Ofl. Variance N° 17336 Receipt # ` / ?d ? Date NOV 97 , 1989 OFFICE USE ONLY FEf_S 91dg. Permit Surcharge Plan Review SA4 City SAC.MCWCC Waler Conn Water Meter Acct. Depasil SNJ Permit S/W Surcharga Treatment PI Road Unit Park Ded. Copies TOTAL 26.00 .50 26.50 y? {' ? ?•`?? `F-J CITY OF EAGAN , Include 2 sets of plans, ?? ' " 1 site plan w/el.evations & , ? ? UILDING PERMIT APPLIC`ATION 1 set of e.nergy calculations. `lb Be Used Foi uation Date Site Addxess: '7 OFFICE USE ONLY Lot Block ? Sec. /Sub. f? uSLr t? i 2? f ErecCl4 OccupancY Parcel #: 10 J(pZ?? OGD o 3 Alter Zoning Repair Fire Zorne- Owner: T?CI??n W S ??i121 P?S DJ(J Enlarge _ 7yPe of Const. --? Ac7dx'ess: Move Deirolish # Stories Front S ft. Cit /Zi l C /U Depth N9 ft. y p oc e: O f Phone # : z-I ?o L ? ? 44 APPROVALS FEES ? _ Contsactor: Assessrents Pexmit Address: yC) q O Water/sewer 70 Surcharge Police Plan Check CitY/ZiP Cocle: ?? C'A V?t??L2L 4 QFire SAC . Phone #: 7- Cj> ?-7 -7 Eng. Water Conn. - Planner ' Waber Meter P,rch./Etig.: Council Roacl Unit - Bldg. Off. Pddress: ApC City/2ip Code: Phom #: la?o0 T= t ?{?-A CCTY OF EAGAN 'Jil/ - ?- Bi7ILDING PERMCT APPLICATION Zu Re Usea For e"Vaiuation &1, q/i O 0 0 -?-z.-r- .. . Site Pddress /'YC? ?"???y ???/?A..W? OFFICE USE. OfIT,.?Y Lot S Eloc-ac sec./sub.??) °ccul'ar'cy Parcel #: /d ? a/D c')S"U o 3Alter Zoning ':?;111 Repair Fise Zone pwner; Enlan3e _ Zype of Const. Move # Stories Address: 3 i' p Demlish Front (vS- ft. City/Zip Code: Grade Depth a 9 ft. Ptone #: r?s Contractora Addressc City/Zip Code: Pnone #: Arch./Fng.. Address: City/Zip Code: Phone #: APPEtQVALS Assessnents Pesmit ?- T4ater/Sewer Surcharye ? Police Plan Check ? Fire SAC 5'aS &? Eng. 6Vater Conn. y2 O ?- Planner Water Meter %„ ?j? Council ? Road Unit Bldg. Off. P.FC TrrAr. /, r 9 9. sa -? Include 2 sets of plans, 1 site plan w/elevations & • 1 set of energy calculations. _ Date J-S-$3 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?iri /O.(.Q§ C%_W?? to ll0I 03 New ConslrucUon Reauirements RemodeVFteoair Reauiremenfs Offce Use Onlv 3 regislered site surveys showirg sq. ft of lot, sq. ft. of house; and all roo(ed areas 2 mpies o( plan Cert of 5urvey Recd (20% maximum lot coverage allowed) 1 set of Eneqy Calculations for heated additions Tree Pres PNan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile suney for addPoons & decks Tree Pres Not Reqd isetofEnergyCalculations Addifron-indicateiJonsftesep6csystem _On-siteSepticSystem 3 copies of Trce Preservation Plan rf bt platted atler 711/93 Rim Joist Defail Options selection sheet (bldgs with 3 or less units Date l7 / ? / 03 Construction Cost 5 ?7 r/ "0 , 00 ^7 Site Address I?'( ?e Cj-(, L,. Q? Iv\-&wXa? ?a4 UniUS[e # Description of Work (4a u-A&t ?(3 &,-i ti Multi-Family Bldg _ Y,P N Fireplace(s) _ 0 Z)r1 _ 2 Property Owner (3w r h d-. "r6 a,,rN s4 er Telephone #( (3 LY Contractor ?f- G?--c,Ll. 14.r.?.es'1-',.,C, Address I 9/ c 4 L?"? y ?.: ri- w0.y City r- CL +4 State P"A /1/ Zip 5':r 077 '?-9q6 G Telephone#(6 SI ) 410 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Catecorv 1 • Residential Ventilation Category 1 Worksheet (J submission rype) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( Telephone #( -, ,.------I ?< <,, ? i N I! I ?? I hereby apply for a Residential Building Permit and acknowledge that the info'rmation isb plete an accurate; that the work will be in conformance with the ordinances and codes of the CikY0f=Eagan-aii8"the tate 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. tAtck weL ?•.•.-?2woh`, ApplicanYs Printed Name / ? ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ?K 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenfgazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous WorkTypes y ,?^ ' G ? L ?0?? ?r,?? $. ? 31 New ? ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 )< 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteretion ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs 1 Length Fire Sprinklered _ Type of Const V tJ _ Width ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) ?( Final/No C.O. ? Footings (addition) T Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final Framing Fireplace ? R.I. ir Test _ Siding Stucco Stone _yFinal Windows (new/replacement) Y Insularion _ Retaining Wall Approved By - ------ - Building Inspector ------ ---------- ------- ------------------- --- Base Fee ---- ---------- ---------- -------- ------------ ---------- ----- --- Surcharge Plan Review ?Ld o MC/ES SAC n4 7N N O 17 Co, City SAC Utility Connection Charge /? y sry U UV S&W Permit & Surcharge Treatment Plant License Search ?{2(13?r ? ^-? ? . , ` ?^-? _ ?C V Yf l7 Copies Ly rv 'Ir Other Total ?1p,,.C).4?w 1+47uSIE z.usc?r?, lC?Jo? / ???9?? Sa'd 1tl.!Ol MATcheck COMPLIANCE REPORT Ma.nriesota Energy Code MrTcYieak Software Versior_ 3.0 COU7STY: Dakota STA'CE= Minneaota ZON:3: 2 CONSTR?ICTTON TYPE: Sirig12 Family DF,`_"E;: 6-3-2003 CpMgI,I7aPTCE: PASSES P?.._.._.. Checked? ?byjDate I2equ.ized UA = 323 Your Home = 278 14.0%- 5etter Than Code Area or Cavity Cont. Glazinu rioor Perimeter R-Value R^Va1ue ------- U-Value ------- ___?-------- ..__--------------- CF?:LTVGS: Raised Trues 1740 180R ------ 38_0 0.0 2.0 19_0 1 WI?I,LS: Wood Frame, 16" O.C. 0' bg/8-0' ?.nsul 992 0' ht/8 9 0.0 1G.0 350 0 . ?3Sp2T: Conc. . 2NG: winclows or ?oors. Iabove Grade 142 Gyj?Z . 0.350 , DUc)RS ------- ----- ------------ ------ -------------------------------------- COMtLifiNCE STATEMENT: The proposed build:ng c ecifi design descYibed ations, anc3 ot!tier here is calculations . co::zsisr.enu with the building plans, sp The tion i proposed bua.].ding has been . ca su:omi- ted with the permit appl f tihe Minneeota Energy Cade. designEd to m°et the requirements o 111nA_ n a ce 6'S'-o 3 Builder/Designer T£:69 £00Z-b0-Nflf ? i ? . _ _ "_._ _ ' -_. ._ ._ 6 _- _ ? - .L r '" _ _ _ _ _ - i -I I? ? ? _ __ ___t_- _ _ - - '_ 1 _ _ -' - _ __ -_ I . . i ; ' ?r?, ?,'+??: I I iI ' ? I . J I ?L _.._1'_ I ` I __ - r - '-' -_ I ?: ? .{ . i I ? 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I. - _ ?? r' I ? . - I .. _ ? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ????0 3830 PILOT KNOB RD - 55122 651-881-4875 New Canahuctlon ReauiremeMa D J reglalered slte wrveya ahowinp aq. ll. ot lof, s4 H. of houae and gl roofed areas f20% mmcmum lof covemae allowedl : 2 copies of plaro (ahow beam & wintlow alzea; poured Ind. design; etcJ > 1 set ol energy cdculatlona ? 3 coples o1 hee Preaenatlon Plcm If lot Pkged aHer 7/1/93 DATE: DESCRIPTION OF WORK: srnEET nnuREss: 76f4,6 6 LOT: `? BIOCK: 3 -eh MetJa SUBD./P.I.D. M:OV2.d J ? moOaUReoalr Reaidremenri 113.15 Cqllec? 10'l3lb0 Re ? 2 coPies o/ Plan 1 set ol energy calculallons far heaTed addiMan t site wrvey ror exteAOr atltlmana A decka CONSTRUCTION C05f: /G, p,pD oc? -?`'?d? d5r- - ?70?( Name: dk V/o5?'? f l3 k?'b Phone #: 6St6 PQOPERIY lAef FIRf OWNER ? Sheet Address: c G,gl.d-e 1? W-? AiDLL- Rd. qy 1--6i4 State: ?l nP: -ss ? Z 3 companr pkvJ Phone u: ?S 2 ??A 3 2 2 Z (orea code) conmu+croe str«t Aaaress: Z 1-716 ueensa n 36 -o 7 Exp. 3 3//D ? srate: ? zip: SS D S/ 6( City ARCHIiECT/ ENGINEER Company: Name: Telephone M: ( ) Sheet Addreas: Regisfratlon CHy Stafe: Sewer/water licensed plumber (H installina sexrerhvater): P?? ? Zip: I herebY acknowledge that I have read Ihis applicatlon, dafe thaf the hifomwlion is carect, and agree to c PN w I B app6cable Sfate of Minnesofa Stalutea and CHy of Eagan Ordinances. Signalure of AppOeaM: OFPICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes No _ No - Not Required OOUCT 11 ` -c I OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New IZ 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex O 21 ? 17 Garege X 22 ? 18 Deck ? 23 ? 79 Lower Level ? 24 Plbg _Y or _ N ? 25 ? 20 Pool ? 30 Porch (3-sea.) Poroh/Addn. (4-sea.) Poroh (sc2ened) Storm Damage Miscellaneous Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)• ? 44 Siding ? 38 Demolish (Interior) 13 45 Fire Repair 13 42 Demoiish (Foundation) 0 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code ? No. of Units / No. of Buildings Const. (Actual) -5'- (Allowable) UBC Occupancy -.? Zoning -4LL # of Storfes Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Pianning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building 6'46 Engineering Variance Valuation: $ SDT lJO. ? 0906'4 T;ox% ?f,70,19,4,??y ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 36 MuRi ? SAC Units % SAC k h> o t ?.t.:?.?z:$Y( k n ?,.:-.>;:: . ,a??: ;a ;.M':? 1 i:),_ i';I..i._:i:(i:`.? 00 PERMIT `CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: BurLozNG Permit Number: 031043 Date Issued: 10 J 3 0/ 9 7 746 GOLDEN MEADOW RD LOT: 5 BLOCK: 3 OVERVIEW ESTATES REPLAT P.I.N.: 10-56210-050-03 DESCRIPTION: (sTOVE) BuiZding`:'Permit 7ype FIREPLACE ?uilding Wd,rk Type NEW rzCeCisUS Code wy?t 434 ALT. RESIDENTIAL f ,-.. ?5 i`.. . . ? ;i'? .. rb.. _. ^(? ? ?'{ Y?i I? ? S?Y'Y ?f ?^- [.`..f 'x?t'? £ i S +{? 3? 1`j•m?fi.t REMARKS FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 CONTRACTOR: - Applicant - sT. LIc OWNER: FIRESIDE CORNER'INC 16332561 2009091 HARPSTER TODD 2700 N FAIRVIEW AVE 746 GtlLDEN MEADOW RD ROSEVILLE MN 55113-0847 EAGAN MN 55123 (612) 633-2561 (612)686-0704 ?. I hereby acknowledge that.I havc'ro ad,'this.eapplicat3.an arid state`that"-then ' infarmation is correct' and-agre8'to ,comply,ai?th 611 appl,icable 5t'at0 of , . , StaCutea and Gity af EagarrOrYlirtAn ces.? , , _ ?. . . .. . ?a., , ` ...? M;a , APPLICANT/PERMITEE SIGNATURE -?SSU D B: SI ? ? A UR ?? DATE: __-[ D/3 O DESCRIPTION OF WORK: STREET ADDRESS: CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?1 1997 FIItEPLACE PERMIT APPLICATION V / 681-4675 ? PERMIT FEE: $50.50 s-?,?- ?i CONSTRUCT rLW FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTfER: - 6?1 oip c?? M -gop D o (.Aj o A LOT ? BLOCK SUBD./P.I.D. #: ????r ????/A? R?tI?.LU ? . ? APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: l obp ?'??`J?'?9> Phone #: 6 S6-27B T OWNER Signature: Street Address: 74,-6 o l--ocFn) 14 cA 1» AP City: ? t? G'R wZ State: VLl ;3 ZIP: 2 "-2- * ,633 -ZSti I FIREPLACE Company: Phone820 "0 7 INSTALLER Signature: v Street Address5BSb -w License Ci ?ll ?YZIti1 5-f t`. State: , Wl ? Zip?, GAS LINE ComPany; Phone #: INSTALLER ' Name: Signature: Street Address: Ciry: State: Zip: ****?***************?***********?? CITY OF EAGAN CASHIER: JS TERMINAL NO: 11 DATE: 04/24/00 TIME: 13:48:: ID: NAME: SELA ROOFING & REMODELING INC 3210 9001 746 GLDN MDW RD 139.2`. 2155 9001 746 GLDN MDW RD 3.5( Total Receipt Amount: 142.7` CR127279 USER ID: JAN ***********?******?*******x********+*+, 4q PLUMBING (RESIDENTIAL) Permit Appfication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 6' 5-t) _5b nece-%--/03 Si[e Address 7'i ?p ?o OG?k ??'??Q G? f2? Unit # Property Owner _IVA/Lp Z?A-- Telephone # ( ) Contractor p( K- p/[? i.t G¢ ffE?i A? Cr Address City ?/ Ed-!ff r` ??` D?- State M G? Zip 70T Telephone #(Gsn q3 The Applicant is _ Owner v Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alteratio To Existiog Dwelling Unit, Including " $ 50.00 Adding fiMures to lower levels or room additions, excluding water softener and water heater ie _ Abandonment of septic system _ Water tumaround (+ /8" meter if needed -$121.0 ) Other: CYA -?'1 _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional I D $ 50 State Surcharge ' C r 0 1 1.. -1 1 v Vy I II LL Total $ ] hereby appty for a Residential Plumbing Permit and acknowledge that the information u.complete=and-aecurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will in accordance with the approved plan in the case of work which requires a review and approval of plans. Appli anYs Pried Name ApplicanPs gna CQ ? a (,? "? MECHANICAL (RESIDENTIAL) ?p Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Singfe Family Dwellings Townhomes and Condos when permi[s are required for each unit Date Site Address Unit # Property Owner Z?L6? Telephone # ( ) Contractor StreetAddress ?, City State Zip 3)2_7_ Telephone# I The Applicant is _ Owner leoo?Coutractor _ Other Add-on, madiGcation or alteration ro eaisting dwelling unit $ 30.00 ?k furnace replacement g air exchanger ? air conditioner other State Surcharge - - _+ $ 50 ? I rp , Total ? $?? ? ?.??-- - _ _.Z., I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, bu[ only an applicarion fot a permit, and work is not to start without a permit; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. _&,( II QF_ ?h-1; d I I ? ApplicanYs Printed Name ApplicanYs Signatu e '. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4875 D 3 repislered sBe wrveya ilWwinp sq. ll. of lof. W. ft. of houfe pnd gQ roofetl dr6W f20% mtndrtnun lof Covaroae albwetll > 2 coples of plaru (show beam & wlnOpw tl:es; poured tnd. desiyn; etcJ 9 1!et of 6nerpy cdctAoHOrq > 3 eoples W hee preservaMOn plan M bt plutletl pfter 7/1/93 oATE: '7/- z DESCRIPTION OF WORK: STREET ADDRESS: /`-[ (c LDo 1 CC.Q/Y7 ! LOT: ? BLOCK: ? SUBD./P.I.D.O: 2 copiea ot plan 1 sef of eneryy cadd9oMOns for heated utldHOru 1 sile wrvey for exleAOr aWtl?ons d decka CONSTRUCTION COST: l1.Y10 I?? i T6 -f-4- ?ac? k?srcV1 Name: ??? -FeT O ?'I Phone #: ? ? ^ Q ? ? I PROPERTY lwt Flnt OWNER sfre.f naaress:(5avu!Z cnr srafe: zIp: SS? z 3 Company. SELA ROOFING & REMODELING, INC. phone #: (0 (area Code) CONiRACTOR ST. LOUI3 PARK, MN 55416 Sheet Address: ID#0001060 Llcense MLO Sd Exp. ARCHIiECT/ ENGINEER CNy Sfate: Telephone #: ( ) Sheet Address: RegishaHon ri: CHy State: Sewer/water licensed plumber (if IrmWllina sewerhvater): PFane #: I herebr acknowledpe nwt I have read mis applicalfon. dafe that tne Intomwnon b careci. ond of Minnesoto Sfahitea and CNy of Eapan Ordinances. Sipnalure of A OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required Lp: Name: _ LP: b comply wHh a0 appOooble Skite 1989 Bi1ILDIHG PEAMIT APPLICATION CITY OF EAGAN SINGLS F?MILY DiIELLINGS 2 SETS OF PLLNS 3 REGISTEAED STTE SQRVEYS 1 SET OF ENEEGY CALCS. MULTIPLE DWEi.GINGS BENTAL 11NITS COtR4ERCIAL 2 SETS OF ARCffi3ECTtJRAL & STEOCTQRAL PLANS 1 SET OF SPECIFIC9TIONS 1 SET OF ENERGY CALCS. FOR SALE IINTTS f OF UHITS BOTEt IDDRES3ES FOH CORNER LOTS - COATRACT08BOMEOHNEA MOST DESIGNATE iiHICH ADDRFSS IS DFSIRED. NO CHANGES iiII.L HE ALLOiiED ONCE BUILDING PERMIT IS IS3IIED.. SEWER 8 HATER YERMIT FEES AND ACCODNT DEP0.5IT F6ES NII.L HE ZNCLITDED WITH T8E BOILDING PERMTT FEE. PROCESSING TIME FOR SEWER AND W9TER PERMITS IS TWO DAYS ONCE A PERMIT H9S HEEN COMPLETED INDIC6TING A LICENSED PLDMBER. PEHALTY 6PPLIES b1iHEN: PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQOESTED. LOT CHANGE IS HEpUESTfiD OACE PERMIT IS ISSIIED. To Be Used For Valuation: Date: ?? a1 I C? Site Address T4(0 r4o4'?, th"cw OFFICE U3E ONi.Y Lot q Block j_ Parcel/Sub Owner 9ddress ?q(o Uooc,,. 61F/.1?a,f City/Zip Code zla '??'S (Z 3 Phone Lf-?-71 959'S??L Contractor ? Ck 'm e- Address City/Zip Code Phone Areh./Engr. _ Address Citp/Zip Code Phone N ) -13-), ?, MULTIPLE DiiELLINGS, 2 3ETS OF PLANS 9EGISTEHED SITE SDRPEYS - (CHECg iiTTH BLDG DIV.) 1 SET OF ENERGY CALCS. Occupancy Zoning Aetual Const Allowable B of stories Length Depth S.F. Total Footprint S.F. On site aewage On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Var iance FEES Bldg. Permit Sureharge -?b Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aect. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SIIBTOTAL Penalty TOTAL ,?C ? 5 0 CITY USE ONLY ? SUBO. UYerYieW Ria?deDla'' ? RECEIPT #: RECEIPT DATE: 11' Y' PERMIT # q3S5v 2000 PLUM$INEi P£fiMTf (RESIDENI7!!L) crrYog ensna 3830 Pu.ar Kxoa xn F.A6AP, b1N 551 EE 651-681-4675 Please complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIYTI IRFC EACH TOTAL Alterations to existing dwelling - minimum fee Describe: Gact.>o?y $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet 'minimum-1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ S0 tIC S stem newlrefurbished 'requires MPC Ilc. 75.00 X = $ Se tiC S Stem abandonment 30.00 x = $ RPZ new installatioNrepaidrebuild 30.00 x = $ ? Rou h o enin 7.50 x $ Shower 3.00 x $ Under round s rinkler if dvrenin is under conswcdon 3.00 x S Under round s rinkler if e:isun awenin 30.00 x ! $ Watercloset 3.00 x I $ Water heater 3.00 x $ Water softener if dwelling under consVuction 5.00 x $ Watersoftener fiexistingdwellfn 3000 x $ Watertumaround 30.00 x = $ State Surcnar e .50 -? ---? ----> $ 50 Total -> --' --°> Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------••----------•-------••---•-----•---•-----•--- -••--------•----?-------••----------------_..----•------------•-----•-•-- I hereby acknowledge that I have--read this appiicatlon, s[ate that Ne infortnation is correct and a9ree to comply with all applipble City of Eagan ordinances. It is the applicanl's responsibiliry to no6ty the property owner that fhe Cily of Eagan aswmes no liability for any damages caused by the City during its normal operational and maintenance actlviUes to the facilities consWCted untler this permil wilhin City propertylrighbof-way/easement. SITE ADDRESS: 7Z7? `= OWNER NAME:: tRar6 ¢ 7'-e<a1<ZI1?zv2sr?tv TELEPHONE #: 2!5;,l- (AREA CODE) INSTALLER NAME: TELEPHONE #: 9.5? - ?9a ? o? / yO , , (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: SS3SUZ SIGNATURE OF PERMITTEE 2004 RESIDENTIAI. BUII.DING PERNIIT APPLICATION City Of Eagan `7 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1?4 '70,O6 New Constructlan Reauiremenb RemodaVfieoair Reauirements 3 registered sile surveys slrowing sq. R M bt, sq. R of house; and a0 roofad areas 2 copies of pWn (20% mazimum lot coverage ailrnved) 1 set ot Energy Calculetlons for heafed eddifions - 2 copies of pian showing beam & window sizes; poured Tound design, etc. 1 sile survey tor additions & decks 1 sd of Eneryy CakuWtions Addition - indicafe flon-site septic system 3 copies of Tree PreservaUon Plan'rf bt pWked after 711193 Rim Jo'tst Detail Options selection sFieet (bldgs wBh 3 or less unils Date 7 / Zt_ Site Address J y 6 QM=L-005§ ? X)? 'etj°II truction Cost? / G` o j , G U _ UniUSte # Descriptlon of Work 6z E- 5:-? C Multi-Family Bldg _ Y? N btireplace(s) _ 0 _ 1 _ 2 Property Owner 13 --k r}- TiSk (^} ,?,, 42s 4-Q/ Telephone # ( 6 S () C 0 ?' 0 Contractor Address State /"k /L-' 'f 13 a,r Gw,A; City $ G- ??- Zip S 5-O 7 ? Telephone #(C-S() L/ U 1- C'/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tvtinnesota Rules 7670 Categorv I Minnesota Rules 7672 Energy Code Category , Residential Ventilafion Category t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residenrial Building Permit and acknowledge that the information is compiete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 3tate of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of plans. ApplicanYs Printed Name A plicant's Signature . . . . . . . 4/ . . . . . . . ? . . . . . ' . . . , _ . . _ _ . . . ~ ~ . t . . . . _ . _ . . .__,...e~.. >,...e.~. . ..r.,......, . . _ . . ~ . ; . . , . V . E ~ . ~ . . . . ~ ~ ~ . ~ i - ) r : A , !r~ ,A~F... . . . ! _ , - ' . ~ , , ~ ~ r ~ . _ . . ~ _ , , , .r.. . . . , . . . . , , . ~ ~ . . w~ - - F - ` ~1~ ~ ~ _ 1 _ : ; t ~ ! ~ ; , ' 1 , , _ _ :.d. 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' I . . . . . _ . . . , . , ._.~-~--ss^ - .`:°^2 u~. ~ ~ . . . . : , . , . ' , . , . , , . , I. . . . . ' i.._ , . . _ . _ . , . , 'jJ . . „ _ , . _ . _ _ _ , ' ~ ;aLIG` _ 4.~ j1 . _ . ~ ' . . . , ~ . , . , ,I , . . , . . . . . . . . . . _ , . _ . . . , . ~ ' . . . . . . . . , . ~ , , . , . . - . . . I ~ . , . . ~ ' . . . ' ' ~ . . ~ . . . , , . ~ . - , . . , ~ _ . . . , . _ . _ _ . _ . . _ . ^ _ _ _ . _ d~ . . , ~ . ' ~ . ' I, , ~ , . . . . I . . . , . . ~ . , , . . _ . , . . ' : i . ~ li5 ~ , . . , . . . ~ . y/ . - . . . . . . . . . . , ~ ' . . ~ . . , . . . . . . ' 1 _ ' ~ . . _ . . . . . . ~ . . . / , . . . . . _ . _ , . . . . . . . . . , . . . . ' ~ i ~ ~ ~ . . ~ i ~ / . . ~ . , . . ~ I . ~ _ _ _ . , . _ _ _ , . _ . ~ ~ . _ E t;:~ _ _ _ _ _ _ _ _ ~ . . ! ~ I _ ~ ~ _ _ ' ' , - ~ ~ ~ _ ~ ~ ~ ~ _ , , , ~ _ : , _...._R~~. , ~ _ _ _ : ~ _ _ . ~ . ~ _ . I ~ ~ ( ~ _ . ' P ~ _ _ ! A~, . ' _ _ _ e. ~ _ - _ _ _ ~ ~ - _ ~ _ ' , , _ _ - - ~ ' ~ ' ~ , _ _ ( _ _ . . . . . . I ' ~ , , _ _ _ _ _ . - _ . ,w, - _ - ~ , _ _ _ _ _ - k _ . _ _ ~ _ - - _ ~ ' ' . ~ ~ ~ _ _ _ _ _ _ _ ~ ' : , . ' , . - - , _ _ , , , , , - i ~ i _ _ _ _ _ . _ _ _ - ' ~ _ - , ~ . ~ , - - _ l ; _ ~ ' _ _ i ( ~ ' , : - ' ~ _ _ , \ ' I , ; ' ~ ~ _ _ . , _ ° . _ _ . . . , _ .r._m _ _ _ ~ _ _ _ _ _ _ _ . ! _ - _ , c, _ _ _ _ _ . , , , ~ I 4 ~ ~ _ _ _ _ - _ _ ._~..r_ t._ ~ . _ ...,.e~ , ' ; : , ' ~ I _ _ , _ , _ _ _ _ ~ - - _ . _ , , , F _ _ _ _ , , _ _ _ _ _ - , , ! ~ ~ ~ ~ ~ ~ ; _ . _ . _ _ _ - _ _ - _ _ - - i _ ~ ~ ' i REQUEST FOR ELECTRICAL INSPECTION +r? `- See instruc[ions tar completing [his form o n back of yellow copY. `? 157g8? " X'" Bsiow'Work Covered by This Request Ney, Add It¢p. Typ¢ ul Builtling APOlinnces Wirrtd Equipmenl Wired x Home Range X Temporary Service Duplex Water Heater Liyhtiny Fixwres Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air ConAitioner Bulk Milk Tunk Ferm Othor peci y 01er ISpecils'1 ther Soeci(y OL er Other ComDute lnsoection fee Below H Fee ServiceEnVance$iza # Feedars/Svbfeednrs 11 Fee Circuits 0 to 100 qm s 0 to 30 Am s 0 to 30 Am s 107 tu 200 qmps 37 to 100 Amps 31 to 100 Am s Above 200 A s Above 700-AmUS Above 100_Amps Transforioers Remote Control Circ. Partial -'OtherFee Signs Speciai biypection $ OTA F Rema?ks , 1 O. S O , ?? Rough-in /G ??" I, t e Electricel Insoacbq hereby Date-? cartify that tha nbova 'nsuec[ion has bean This request void 18 months tmm This reques[ vaiA '.Z _Z Z, 16 nwnths fmm 3 7F> lo I, ? 1D, OO nequestldate' rrte rvo. Houu???? Inspecbon Requlred? [?ReatlY Now ?N'iU Nntity InsOac- 19-9f1_A9 ?Ves [UNo IurWhenReady ? Licensed EI¢cVicai ConV:ictor 1 hareby requast insoection oi ebove ?O"'"ef LOT S BLK. OVERVIEW v' instaI ledat SVeei Atldress, Boa or Route No. Citv 46 GOLDEN MEADOW R AD EAGAN ectiun o. TownshiP Name or No. flanB? No. County DAKOTA Or.cupant IPpINT) Phone No. TOM ERICKSON Power SupOlier AAdress DAKOTA ELECTRIC FARMINGTON Electrical Conva<:tor ICompany Namal Conhactor's License No. JEMM ELECTRIC INC. A4011 - MailinB Address (Conttactor or Owner Making InstallaCion) ' 0480 JAC UARD AVE. W. LAKEVILLE MN 55044 Aufiorized Signature ICOMracwr O ar Making Installa[ionl Phune Number ? 4159 MINNESOTq SiATE eOARD OF ELECTPICIT THIS INSPECTION pEQUEST WIIL NOT Grigps-Mitlwoy Bldg. - Noom N•191 BE ACCEPTEO 8V THE STATE BOARD UNLESS PpOPEH INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Pn- 1612129].2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See inshuctions for tompleting this torm on back of yellow mvY. L5xq 9 ""X' low'4tfork Covered by 7his Request ?. ? 33(ooZ ew Atld AeO. TyVe ot Builtliny ApOliflnces Wired Equipment Wired Home Ranye Temporary Service Duplex Water Heacer Lightiny Fixwres Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank Fafm Omer oecl v thnr (Specify) 1 er ISUCCify iher Othor Compute lnspectian Fee Below ft Fee Service EnnancaSize p Fee Feeders/Subteetlers p Foe Circuits 0 to 100 Am s 0 to 30 Am s 5. 0 0 tn 30 Am s 12.00 101 to 200 qmps 31 to 100 qmps 31 ro 700 Am s Above 200 q ? j; qbove 100_Amps I Above 100_Amps Transio - Remote CoMrol Circ. • Partial-'Other Fee Signs Speciallnspection 5 ro AIL FE Remarks 52.5 o J V v - Rnugh-in ? - , / :J: D`31e ?(Y /? , th rica he?obiy nsoector C'^O?. '•??•"'/* ?' • , certify that ?he above Final Da«' 'nsoection has been ' tnin r ecr vnitl . IE .i. on[hs hom This rnqaest void 'Z - Z. Z-- 18 mon(hs lrom W 1 r,7QQ ' ? sa? o0 Reques[ Da?e • "' Fire No. p?oqAhe??lnsueriion ?R,aAy Now ?N'ill No?ify, InsUCC- 1Q-QQ-BQ ?YCS ?NO ???WhenFeady ? Licensed Elec[rical ConVactor 1 hareby request inspection of abova ? Owner elactrical work installed at Sueet Adtlress, Box tidTnf5NO'BLK.3,OVERVIEW ESTATE$ ? cirv 6 GO DE : ecuon u. 71wnship Name or Nn. Range No. ' Counly DAKOTA OccupantlPRINTI Phone No. TOM ERICKSON Power $upplier AAtlress DAKOTA ELECTRIC FARMINGTON, MN ElecVical Conhaclor (Comyany Name) Convrar,mr"s License No. JEMM ELECTRIC INC. A40117-5 Mailine Atldress IContracmr or Owner Making Installationl 20480 JAC UARD AVE. W. LAKEVILLE MN 55044 Authorized Sigriawre (COnxracmdpwner Making InstallatioN Phone Number ij? ? ? 1469-4938. MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION PEQUEST WILL NOT Griges-MidwaY Bldg. - Noom N•191 eE ACCEPTED BY THE STqTE BOAPD UNLESS PXOPEft INSPECTION FEE IS 1827 UniversilV Ave., St. Paul, MN 56104 Phone 1612) 29]-2111 ENGLOSED. PERMIT City of Eagan Permit Type:Building Permit Number:EA113244 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 746 Golden Meadow Rd Lot:5 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Eric Brehe Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Todd J Harpster 746 Golden Meadow Rd Eagan MN 55123 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature