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760 Golden Meadow RdCITY OF EAGAN Remarks Addition_ryervieW Estates Replat Lot ? Blk Parcel ?.- ??21n o3n n3 Owner61vavliPS K ? I(I Yi.?t r" Street 760 Golden Meadow Road Scate Eagan, h1N 55123 _ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF,.M 8 242 6-12-91 STREET RESTOR. S i 19g1 1021,16 68.08 15 GRADING SAN SEW TRUNK 1981 300OO 20.00 15 1 280.00 *SEWER LATERAL 9D 9$1 5096.85 339.79 15 4 7 0 6-12-91 WATERMAIN *WATER LATERAL 1981 WATER AREA 1981 300.00 20.00 15 28 STORM SEW TRK 1981 591.82 39.45 15 552.37 C007138 6-12-81 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 2251 2 2 WATER CONN. 305.00 22515 12 22 8Q BUILOING PER. SAC PARK e . BUILDING PERMIT CITY OF EAGAN 3795 Pilor Knob Rood Eagan, MN 53122 PHON E: 4548 i 00 Receipt # Ng sasa To be uaed ior ' Est. Value Dote , 19 Sne Address Erect ? onc Occu , p y Lot Block Sec/Sub. ? Alter ? Zoning Parcel # Repair ? Fire Zone E T f C nlorge Q ype o onst. W Name Move ? # Stories 3 Address Demolish p Front ft. 0 Ci Phone Grode ? Depth ft. Aocrovals Feas z Name ? -, , ?? Address . I hereby ucknowledge that I hove reud this application and siote that the information is correct and agree to comply with afl applicable State of Minnesota Stotutes ond City of Eagan Ordinances. Water & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Wuter Meter Rood Unit Totol Signnture of Permittee I A Building Permit is issued to: on the express condition thct cll work sholl be done in uccordance with oll applicable State of Minnesota Stctutes and City of Eogpn Ordinances. Building Officiol Pannk # DaM Iaa*d hrsHfM Plumbing ?? ? _??s<-G-' -q Mechonical ' tJ INSPECTIONS DATE INSP. Rough-ln Final Footings Date ? Insp. pate Insp. Fo dation Plumbing ._•.? Fram ins. ,?? - - r - Mechanical Final Remorks: _ ,E; _ /- $ ( l.i,z?- .oQre.c.? ?.. .,e-?..e?-r /???? ell • - . ` cirY oF EAGaN " 3795 Pilot Knob Road No. Eo9en, Minnesota 55122 Phone: 454-8100 PERMIT Date: ? Site Address: Loi 81otk Sub/Sec. Name . ? Addreu ? City Phone: Nome . ? ? Address 0 V City Phone; This Permit is issued on the express condition thot all work sholl be Minnesoia Stotutes and City of Eogan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiol Multi Res., Comm./Ind. I New/Alter./Repoir. Cost of Installotion Permit Fee Surchorge Total done in occordance with all opplicable State of Building Officiol CITY OF EAGAN 3830 P_ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 Receipt # To be used f? *Est. Value $1?000 Date_ Site Address ? • • "" '"r :,D014 P U Lot Block Sec/Sub. 0'0rRVI F+? f ST ,?T "S Parcel No. a Name 3 Address •:AC?01.' :iU ° City Phone , o Name ? ? Address ? City Phone 11,- CC U W W W ?_ z? ¢ = U W s Name _ Address CItY- 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. Signature of Permittee -- A Building Permit is issued ta ? ' • `?-- ' '?`'?FR. on the express condition that all work shall be done in ccordancewith all appiicable State ot M" e ot tat es and C' of gan Ordinances. Building Official_ ? ?/ O tf ? On Site Sewage MWCC System On Site Well City Water PRV Required Booster Pump APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance 15211 Occupancy Zoning (Actual) Const (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. FEES Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 2? . ?W Permit No. Permit Holder Datt TNephone s Plumbing H.V.A.C. ' Electric ' Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. .-zagg Deck Final Well Pr. Disp. 1 PE I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , , . , 11 i;t+ =-'I(lt iii!' ;;INIA1 ' PERMIT SUBTYPE: I I 'OH f 1d Ei l l 1 I il 1 A?'S?n 1 1 TYPE OF WORK: 1 I h1:11 ON RECURD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: 4 f.l .' j Fi'?47 i1!!,!S Permit No. Permit Holder Date 7elephone ?i ELECTRIC V-17197 D ? PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE ? FIREPLACE AIR TEST gi yJ FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL - r 7 IN ON REC4RD I CITY OF EAGAN PERMIT TYPE: ':" IIJ" Nc; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: `'' •'?' N i`? -' (612) 681-4675 SITE ADDRESS: APPLICANT: ?• ,?,?i ?, r, ?tiE HE???1:1 kfi •? -?ir??:??i.J?, a. ?.11?IN?i 1Nt '..' I f!! 1'. t A 1 1'. !• 1 P1 A I ? PERMIT SUBTYPE: TYPE OF WORK: ,? .i? i i; , ,1!?1MF?jIJ{Hq[?Wjf??.?OR) Pertnit No. PermR Holder Date Telephone N ELECTRIC PLUMBING HVAC InapecUan Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL dYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL No.: to oompiy wilh fhe City of Eogan WATER SERVIGE PERMIT PERMIT NO.: DATE: _ No. of Units: _ Connection Charge: Atcount Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Dote Paid: - Insp... SEWER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: a ess: ---- Address: agree to eomply witl+ the City of Eagan By Date of I nsp.: I nsp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Churges: Totol:. Dote Poid: 1 CITY OF EAGAN 3795 Pilot Kno6 Roud Eagan, MN 55124 PHONE: 454.8700 BUILDING PERMIT APPLICATION N° 6468 ReceiPt # To ba uced fo. Sk DWG/GAR Est. Volue 47,000 Date 12-22 , 19 80 Site Address 760 Golden Meadow Rd. Erect Ig Occupancy R'3 Lot 3 eiock 3 Sec sub. Overview Estates Alter ? Zoning Rl Parcg, # l0 5210 630 03 Repair ? Fire Zone 3 _ l E n T f C t V . n orge ? ype o o s . w Nome Charles Harder Move ? # Stories Z Address Demofish ? Front 46 ft. - ? Ci Phone Grode ? Depth ? ff. T l....A II{..l l.. A.....u..-4 E..a? o Nome _ Zu ?< /?dle55 u? E ? ':... Name _ Address I hereby acknowledge that I have reod this opDl ihe information is corred and agree to compl State ot Minnesota Statutes anA r:«„ .,f Fma Signoture ot Permittee _ A Building Permit is issued all work shall be done in c and srare thar all applicoble Water & $ew. Police - Fire Eng. Planner - CAUncii _ Bldg. Off, _ APC Permit - 13},VV Surctwrge ' 23.50 Pian check 66.50 snC 525.00 Water Conn. ?3 5.00 Water Meter 60.00 Roed Unit 185.00 Toml 1,298.00 on the express condition tfiat of Minnesota Stotutes ond City of Eagon Ordinances. Building Official CITY OF EAGAN N° 15 213 3830 Pilot Knob Road, P.O. Box 21 •7 99, Eagan, MN 55121 BUILDING PEPiMIT PHON E: 454-8100 Receipt #d?? ig x o, ? Tobeusedfor DECK Est.Value $1,000 Data JUNE 17 ,1988 SiteAddress 760 GOLDEN MEADOW RD Lot 3 Block 3 Sec/Sub. OVERVIEW ESTATES Parcel No m Name CHARLES HARDER I ; Address 760 GOLDEN MEADOW RD o city EAGAN phone 452-4599 ¢ Name .o ? a Addre. ? Ciry_ U¢ w w W Name F xza Address U a W City Phone I hereby acknowledge that I have read this application and state that [he information is correct and agree to comply with all applicable S[ate of Minnesota Statutes and City of an Ordi ?nce Signature of Permittee A euilding Permit is issued to: CkiARLES IIARDER on the express condition that al I work shal I 6e done in accordance with all applicahle State o.f( ?M?innesot?a Statutes and City of Eagan Ordinances. Building Official!J.(}1d??? OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ 2oning On Site Well _ (Actuap Const Ciry Water _ (Allowable) PRV Required _ # of Stories 8ooster Pump _ Length Depth S.F. Total Footprin[ S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge • 50 Council Plan Review Bldg. ON. SAG Ciry Variance SAC,MWCC Water Conn Water Meter Road Unit Treatment P1 Parks 24 50 TOTAL . 'I cz2^r oF- EAcav BUILDINC; P$RNII'P P,PPLICATION 'Ib S` Used For 5 V/ valuation pjP v Site Acldress: OFF: Include 2 sets of plans, 1 site plan w/elevations & 1 set of ener9Y calculations. Date yaa- /1? / 9R D lriy? CE USE ODLY I,ot Elocx sec./s,ab./-=75i&f'Erect OccupancY k' 3 Parcel #: ?O ?? Zomng Repair Fire Zone Owner: Enlarge - Zype of Const. , Miove # Stories Pddress: Dernlish Front City/Zip Code: Grade Depth Phone #: Contractor: ?? Pddress: City/Zip Code:.E'I?.`td> Phone #: - Arch./Ehg.: Pddress: APPROVALS FEES Assessments 7S Pexmit /J S, s v Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Surcharge a 1 , e G Plan Checlc G 1A . 60 SAC 4-s2.r. 00 Water Conn. js,r o 0 Water Meter G O.O 0 Road Unit / BS o a Gity/Zip Code: p Phone # : TDTAL / . ? ? a • 0 C) .? -77- 2006 RESIDENTIAL BUILDING rERMIz nrrr,icnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWctian ReauiremenLs 3 registered s@e surveys showirg sq. ft. of lot sq, ft. of house; and all roofed areas (200% maeimum lot coverage allowed) 1 Soils RepoA if proposed buildirg is to 6e placed on disturbed soil 2 copies of plan shovring beam & window sizes; poured found design, elc. 1 set d EneMy Calculations 3 copies of Tree Preservation Plan if iot platted after 711/93 Rim Joist DeFail Options selection sheet (buildings wBh 3 or less units) Minnegasw mechanical ventilation fortn 0 ke ? RemotleVFieoair Reauirements Office Use OnN 2 topies M plan showing foofings, 6eams, joists -' Cert o(Survey ReW i;'?Y N isetofEnergyCalwlationsforheatedadditionSNN SnilsRepaf?;:', =Y?N 1 site surveyforaddi6ons & decks ? Tree Pres Plar? Recd Addfion - irrdicate if on-site septic system Tree Pres Requi2d YA On-siteSepticSyslem ol`. Date q / (1- 1 _0 &- Cost 17 S ) • (f J Construction Site Address o L vz ?/ I 1 ? UniUSte # Description of Work k Multi-FamifyBldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #(10s ) 7 77- Contractor Address 6? ? 2 /4 L l i 0./' c.? &k j City ?' n -+-- G` State ;?^ Zip ? SU -71 Telephone # ( GSl) '?-/ U a - q ?b ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted fn the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber V 2,V" o #( ) Mechanical Contractor te%obne #? ) Sewer/Water Contractor o .phone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accor e with the approved plan in the case of work which requires a review and approval of plgLns. Al*licant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE = t Sub Tvpes ? Ot 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 Dt of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex _ ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage Q 06 04-plex ? 12 12-plex ? 25 Miscellaneous i7 &?7t G7y,?X7?7y Work Tvaes ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair ;< 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bidg) - G ive PCA handout to applicant • DeSCription: waterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code L4? y Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const 1/6_ Width _ Footings (new bldg) Footings (deck) _2? Footings (addition) ? Foundation _ Dnin Tile Roof _ Ice & Water _ Final X Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation REQUIRED INSPECTIONS _ Sheeffock FinaVC.O. FinaUNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total y9?? ??N S7 6 V i? -- ?J ?y?yv? ` -'Certificate for: Lloyd HJelle 1469YWhite Rock Road Burnsville, Mn. Phone 432-3546 DELMAR H. SCHWANZ LANOSURVEYOR Reqistere0 V nEer Laws of The StaU of Minnesob 2978- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55088 SURVEYOR'S CERTIFICATE ? JOO.oo 589-4-I- sJ -- [?J'? nP, ? - - - - ? v I ti , 0 0 0 N 34D ? q Z I ° N „ ? ? p,eo?agED . h NousE H LaT ? Ilti I N M i? I a ? ly ? ? ? ? Q O I ? ? I N ? Drainage & utility ? easement ? - -^^ - - - - -r /oo.oo sbq_.¢/ _ zgcJ Bk;46/49 PHONE 672 4231789 SCALE: 1 inch = 40 feet o Denotee Pound iron pi ? Denotea set wood hub I hereby certiPy tha.t this is a true and correot representation of I,ot 3, Block 30 OVERVIEW FSTATFS REPLAT, according to the recorded plat thereof, Dakota County, Minnesota. Als ` hou ??. ?•'? .? ;i ? ?. showing the location of a proposed as staked thereon. i'November 10, 1980 ? MINNESOTA PEGISTRATION N0.8625 5° 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ?Z:?(a 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canshuction Reauiremenb RemodellReoair Requiremenis Office Use Onlv 3 registered site surveys showing sq. R. of lot, sq. B. of house; and all roofad areas 2 copies of plan Ced of SurveyRecd _ Y _ N (20%maximum lol coverage allowad) 1 sef otEnergy Calculations for heated additians Tree Pres Plan Recd Y- _ N; 2 copies of plan showing beam & windowsizes; poured faund design, etc. 1 site survey for addidons & decks Trea Pres Raquired _Y _ N isetofEnergyCalculations Addfion - indicafeif on-site septic system OnsiteSepticSystem?. ._Y... _N 3 copies of Tree Preservation Plan if lol platted after 711193 Rim Jaisl Detail Op6ons selection sheet (61dgs with 3 orless units Date Construction Cost 7UC) SiteAddress __26?0 G(?'L06YJ ?,?(1 OpW ?Lp UnitlSte # Descriptioo of Work {1E57(Z006:' Multi-Family Bldg _ Y ? N Fireplace(s) _ 0_ 1 _ 2 Property Owner cH14(uw5 fLoE,?__ Te?ephone #((a 5() 95" Contrector {JgAp?S Rppt?lA1G Address [2_3o afcp6f/!1) f"t(L- eT- City UUr,'?1G6C State Zip 55T2S-7 Telephone It (4Pt2 )939' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672 Enecgy Code Category . ResideMial Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( ) Telephone 2 Telephone ? n aur, n 6 I hereby apply for a Residential Building Perxnit and acknowledge that the infor4iation is complete and kcurate; that the work will be in conformance with the ordinances and codes of the Cii R& 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 wor which requires a review and approval of plans. P9 Applicant's Printed Name Applicant's Si na e 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15 ^ 13 INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS NOTE; ADDftESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WfiICA ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED DNCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENT9L UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAtERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & 1 SET OF SPECIFICATIONS AND 1 SET To Be Used For: Derl, Site Address %Ff? he9/dQ? STAUCTURAL PLANS, OF ENERGY CALCULATIONS Valuation: ?CO Date: L7 -/ , yFCJ G+lo f v i a w ?s?a?f2?r Lot ? Bloek ? Pareel/Sub Dv p T l/J{? ),y Owner ? fl-( ( Address /v6 LaPm ?Qr]cPjb,u/ ll City/Zip Code Phone ? y Contractor ?? ? S'P ? - S2 (? Address /K?,O City/Zip Code Phone Y ? Arch./Engr. Address City/Zip Code On site sewage, MWCC system _ On site well City water _ PRV required _ Booster Pump _ APPROYALS Engr/Assess Planner Council Bldg. OFf. Variance Oceupaney Zoning Actual Const Allowable S of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 2L , ea ._sD Phone /k i; . O rh loo Clko-re,as Pccae 760 601da,,,, MPdde)w(24, 6?aj a n t Md'J5rla.? DvPrurPw EJJa.4(73 (,-o{ 3 el??,L3 Goldl e r? J'ne4-j&t&1 eoaj •- MICHAEL TUTEWOHL HOMES, INC. 8692 Alvarado Ct. Inver Grove Heights MN 55077 Bus. 651-687-9141 FAX 651-687-9141 "We Build Your Home Like Our Home" Jim & Susan Thelen 760 Golden Meadow Rd Eagan Mn 55123 To build a 12' wide 25'6" deep garage with 34' wide by 4' out in front of old and new bnrubc Remove wall between old and new garage Wall height to inatch existing Shingles to match existing as close as can Steel siding to mateh as close as we can Alum. Soffit and facia Excavate, for a 5 course block foundation 8" x 16" concrete footings 4 courses of 8` block 1 cotvse of 6" block 'h" anchor bolts per code Concrete garage floor (Yard will 6e left with a rough grade. Final grade and sod replacement/repair done by owrier) No driveway repair if needed New driveway 12' wide at garage front 0' a 35' down $1,600 allowance All Exterior framing labor for walls, roof, siding, soffit and facia 2 x4 sill plate with 2 x 4 studs 16" O.C. with double top plate on garage exterior walls 7/16" Oxboard sheathing on exterior of walls Common roof trusses 2' O.C. 4/12 pitch I S/32 Oxboard on roof Shingle roof 3 tab 25 yr (Owner to supply color and Style info to match existing) All windows headers per code Pemiit allowance $650.00 Sirlinv nPr ?n Allnwancr ,P1 5n.00 (Owner tn simnlv color and Stvle info t" match exisring) No drywall Reuse existing garage door New 9' x T overhead garage door to match existing as close as we can No survey No painting No Ele No gLrtters Excavation allowance$1,400.00 ,.. We submit a bid of $36.951.00 Add 8' out from front door past side wall 2'4 for closet. Re-pour front step Re-pour sidewalk as ueeded New gutters Wall height to match existing 4/12 pitch roof. Shingles to match existing as close as possible Steel siding to match as close as we can Alum. Soffit and facia FYC:!\';!te, fn?' ft S C(1IirGa blnrk fn>>nr[a,ti(1T! 8" x 16" concrete footings 4 cnnr,;PS nf R' hlor,k 1 cnnrse nPfi" hlock 1409 ar?nhnr hnl+c r?r?r nnrlo Concrete garabelfloor (Yard will he left with a roueh c=rade_ Final erade and sod renlacemenUrenair done bv owner) No drivcway rcpair if nccdcd All Exterior framing labor for walls, roof, siding, soffit and facia • 2 x 6sill plate with 2 x 6studs 16" O.C. with double top plate on house exterior wa11s Ins rim board 7/16" Oxboard sheathing on exterior of walls Hand frame roof 15 /32 Oxboard on roof Shingle roof 3 tab 25 yr (Owner to supply color and Style info to match existing) All windows headcrs pcr codc Reuse existing front door if possible ,.,_ ,.., ,,....... ....... No moving oi'gas line W e submit a bid of 9,757.00 Add 2' to fronY of 2araee $976.00 8/15/06 Michael "Iutewohl . . . 4 '..,Ln ( ... . . . . ... .. .... ?'-..r..y ?i,...,.T.....? r.. ....:.:`.`iA a'._.,, ?"?i"• . . . ... . .. . . .. '?V. . . (.5L Y;.'l::. i.?....?.iit.r,.... .....?,...,.. ?,c:"b...... ? • _): :•i :..?•. ?.• .'?,?. I..? ?...1'??. v nL??'".}•r??.• : .:U .:'f?"• _ . (... ? . ?..(.i .. .. .... r J .. .. .. . . _.?. ?... .::?n ?- ?.. . ?..-..::,;?.?,. . - .?.•. _.i. _ . ?_.. ......,.. `X ` CtTY OF EAGAN PEItMIT 3830 Pilot Knob Road PERMIT TYPE: s u z LoIN G Eagan, Minnesota 55122-1897 Permit Number: 029611 (612) 681-4675 Date Issued: 0 3/ 19 / 9 7 SITE ADDRESS: 760 GOLOEN M£ADOW RD L07: 3 BLOCK: 3 OVERVIEW ESTATES REPLAT p.T.N.: 10-56210-030-03 DESCRIPTION: FTREPLACE NEW 434 ALT. ftESIDENTSAL REMARKS: FEE SUMMARY: Base Fee $50.00 5urcharqe $.50 Total Fee $50_50 CONTRACTOR: -- Applicant - sT. LIC OWNER: HEAT-N-GLO FIftEPLACE5 18900758 0002960 HARDER CHARLES 3850 W HWY 13 760 GOLDEN MEADOW ftD BUtYNSVILLE MN 55337 EAGAN MN 55123 (612) 890-0758 (612)452-4599 '. q? 1? k v x " e b n z trerehp ??ate that- Che infarm;a'tscsn „Js 'F x.?,. APPUCANT/PERMITEE SIGNATURE Aowl CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERNIIT APPLICATION 681-4675 DATE: 45'7 AS DESCRIPTION OF WORK: ?Q CONSTRUCT nW FIItEPLACE _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTfIER: Name: {-1 A 12 '-l2 l".=G'.hAlZ L?' Phone #: 4rz- 4? 9 ' STREET ADDRESS: 74 ?7 O L c, 613 6UM LOT 3 BLOCK -3 SUBD./P.I.D. 4:(OAQ4444AJ APPLICANT: (cucle one only) OWNER CONTRACTOR I hereby acknowledge that I have read tlus application and state that the information is conect and agree to comply with a11 applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Signature: Street Address: l b o L'Poc City: EF f1 6 A u./ A ?..? t cEi!D r4 Company: ?ii ?s S < ?r PERMIT FEE: $50.50 ALTERATIONS TO EXISTING State: _ Zip: ?/ Z 3 S1/? Phone #090 -OVS- 62-MY Street Address:.3$,5-0 -u) ? ?S/ ? /'21 CihZQ12 Q SALl-& Statdf-Ld- Compa^^• Name: Signature: Street City: License #: /U 66 ziP: 6-,S--33Z Phnnn {t• State: Zip: CI7Y pF EAGAN CASHIER: S TEF:MINAI_ N(]e 3; DATE: 0.°i/2U/9i TTME: 14:25:31 ID, NAME: RYAN WINDOWS 4 SIDING INC 3210 `?30D1 760 GOL.DEN MDW 312,25 2155 9001 760 GOLI]FN MDW 1i..00 Total Receipt Amount,; 323.25 CiU i 4122 U5C.R ID; NANCY ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: BU I LnsNe Permit Number. 03001' Date Issued: B 5 J 2 Q f 9 7 760 6QLDEN MLADOW RD LOT: 3 6LOGK< 3 OVERVTEW ESTATES REPLAT P,I.N.: 10-S6210-030-03 DESCRIPTION: tsznzNSiwzNOQw/oooR> ErmiT. Type SF (MISC.) ?ar_k Type REAAIR 434 flLl'. RESZDENTSAL b. ? < ? 'a ?b ?V411?'?? REMARKS: FEE SUMMARY: VflLUATION 8ase Fee Surcharge 7ote1 Fee $312.25 .e,m $323.25 yG2qUCl0 GONTRACTOR: - Applicanr. - sT. LIC OWNER: RYAN WZNpOWS & SIDING INC 12816363 9008077 HARDER CHARLE5 P 0 BOX 5337 760 GOLOEN MEADOW RO /OOCMESTER MN 55903 FAGAN MN 55123 (?612) 281-6363 (612)452-4599 x t nerebv acKntrwlecf?? c ? rt ?5tatut?? art=f ? . . . . _ . .. .. . e.. . . e . i t ...a . ..... u. y . 5.... .. c m . APPLICANT/PERMITEE SIGNATUFE _ ..:.? ??. • ? h ? ??1? R???? rm,d ISSUED e :51 ATUR 500197 .9BUILDING PERMIT APPLICATION (RESIDENTIAL) ?32? ? CITY OF EAGAN 3830 PILOT KNOB RD - 65122 681-4675 BemodeVReoair Reouirements ? 8 registerod ske surveys ? 2 copias of plan ? 2 eoDies o1 plans (indude beam 8 window sizes; poured fid. deaign; eTC.) • 2 ske awveys (exterior additions 8 decks) • 1 energy celalatlons ? 1 ene igy ealwlatlons for heated additions ? 3 copies of tree preservatlon plan if lot pletted aRer 7/7193 `6 required: _ Yes _ No ai- DATE: S- 14F'? ?I7 CONSTRUCTION COST: ??j 536 DESCRIPTION OF WORK: STREET ADDRESS: LOT .J BLOCK .5 SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR 2r?`2 Name: Q-kd.w(BS Phone#: bjZ- 4/51'446f9 u.. ?,., StreetAddress: ?612 +Q?- City: Company: 5treet Address: State: IZ24) Zip: ..S-S/ Z.3 ^ Phone #: SD' 7 -c:)?6363 License #: ?=EQ 7 7 Ciry: State: /aJ t) Zip: v 5 0.3 ARCHITECT/ Company: ENGINEER Phone #: Name: Registration #: Street Address: Ciry: Sewer 8 water licensed plumber (new construction ony): and lot change are requested once permit is issued. Penalty applies when.addrees change I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with atl applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant _ Yes _ No _ Yes _ No - Not Required State: Zip: OFFICE USE ONLY !? ?-- • ,? ?, . BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex n 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) . (Allowable) UBC Occupancy Zoning ' # of Stories Length Depth 4PpROvALS Planning _ Basement sq. ft. MC/WS System _ Main levei sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Buiiding Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposft S/W Permit S/W Surcharge ? Treafinent Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ? CITY USE ONLY N L °? BL ? RECEIPT#: /?ase SUBD. U?jc¢,ut? RECEIPT DATE: ?? ? ? 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: . single family dwellings P townhomes and condos when permits are required for each unit , New construction X Add-on fumace -4- Add-on air conditioning ?r Add-on air exchanger, i.e. Vanee system, etc. Date: Z. 1 Z- l?'rl ? Minimum Fee: FEES Add-on/Remodel (existing residence only) 20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas '1 ? 5tate Surcharge '?-----? TOTAL 1 required @ $3.00 each) Ay, y - 24.00 6.00 .50 g- o SITE ADDRESS: OWNER NAME: PHONE#: INSTALLERNAME: ? A4Z-V?E ' ?c2 PHONE#: STREET ADDRESS: ic'v CITY: ?LT: ? • STATE: N ZIP: ??O-77 . . , _... ... . G?h U-4- SIGNATURE OF PERMITTEE ? ? ..?. ? ? ? ?'??/'? CITY USE ONLY ? v L ? ? li / BL RECEIPT #: sua . /?IlP,r6i??,,? 7 RECEIPT DATE: PERMIT # -! 1999 PLl1M$INfi PEftMIT (fiE.SIDENI7AL) crrYoF EasM 3830 Paor Kxos sn EAsM. MN 551E2 (651) 6$1-9675 Please wmplete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH N TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - t 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ -? Private Dis osal 5 stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 TOtdl --> --> ----? ----? $ . Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------. ------------------------------- ------ ---...--------------------------------•------------------------------- I hareby acknowledge that I have read this appliption, shate that the information is cortect, and agree to comply with all applicable City of Eagan ordinances. it is Uie applicanYs responsibility to notity the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the faciylies wnshucted under this pertnit within City propertyfright-o/,-wayleasement. SITE ADDRESS: OWNER NAME: : ( ?V I U f- (e i ,/Y(1 %/YP1 TELEPHONE #: INSTALLER NAME: ?1n?,r.Of TELEPHONE #: (AREn CoDe) STREET ADDRESS: CITY: 97 STATE: InItl ZIP: SIGNATURE OF PERMI E L"TT'Y C1F' CAGFtPd CA>N:LF:Fte J i 1'I":ht4:f.t:A1._ NCi: 340 Dr7JE.1 08/1E:r/99 TT.NiI": 0:U.°ln04 10 "t:!FlMl'_'- C:NARI_EGi lir1nl)F.::R 300 9001 i't,U GLD MFAD(7W 60.,00 2i55 90(:)1 760 GLD MEFlIJON 0.50 3c^..1? 9001 760 GLD hiE:ADOW 30.00 'r'i,`.'i`i 9001 760 GLD MI;ADON 0..50 'fata:l. F:ec:e:i.pt Flmour}t;c 90(70 rR;. i.5`':;C)F7 USF'R ZUu tAP' %FYF1:'MYk.?1;7?YRYF%Y?%?'M*>k?:Pi:?YFYFX?9riYt?%K7k,,%'Mh? M??fikk('MkiK>k 1999 BuILOiNc New Conshudion ReaNremeMs PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 !K b V.?v 851-687-4675 ? p / Remodel/Reoalr Reautremen F? - / L h ? 3 regisMred s7M surveysshowing sq. k. of lot, sq. H. of houae and ell roofetl areas (20°6 maximum loT eoveraae aliowed) D 2 coples of picm (show beam a window stzes; poured fnd dealgn; efc.) ? 1 oef of energy cakWaNOm ? 3 coples of kee preservaHon plan H lof plalled aller 7/1/93 DATE: I)/LU/_ !_ l DESCRIPTION OF WORK: !!Il /`PC%/ 1 K,F91? (n,Pt Name: `_,? 4 Phone #: Last ? F6af STREETADDRESS: :?W? C-Z&?L 122&?1'.tLfn! &a/,7 LOU64?- - BLOCK: BD./P.I.D. #: %11 CFi??7I71 ??? ? ? [? V -e Y ?/; -e,.t...J ? Si'c,c?-? PROPERTY OWNER CONiRACTOR ARCHITECT/ ENGINEER Sheet Cify ?{C4..<L T 1 State: /721 L1L- Ztp: ???d'-? Company: Phone #: (area code) Sheet Ci1y 2 copies of plan 1 set d energy calculafionf for heafed addBloro 1 sHe survey for exTerbr tiddkions a decb ? CONSTRUCTION COST: o?- ? /Ivr ?'4??n State: Company: Name: Telephone ik: area code ( SheeY CiFy Sewer i water Iicensed plumber [reauhed for new conshucNon onN1: State: Penalty applies when address change and lot change Ix requerted once permff is issued. I hareby acknowledge fhat I hwe read this applicaNon, state fhat the InformaNOn Is Sfate of Minnesofa Sfatutes and City ot Eagan Ordinances. Slgnature M OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Regishafion #: Licerne # Exp. Zip: Zip: and agree to compy wHh all applicabl 996 'LiLL__.- --- ??.__._ _ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. O 03 1 of - plex ? OS 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments?z 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-piex ? 15 Lodging 20 Pool ? 25 Miscellaneous WORK TYPE X?31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood 5tove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handa ut to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 4-~--- Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance 3? epL +7 Permit Fee Surcharge Plan Review License MC/ES SAC ; City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 635 o Valuation: $,3000-) SAC Units °k SAC CertiPicate for: Lloyd HJelle I4001'White Rock Road Burnsville, Mn. , Phone 432-3546 DELMAR H. SCHWANZ LANDSURVEV00. Reqistsrstl VnOar Laws of The State ot Minnasota 2879 - 716TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56088 SURVEYOR'S CERTIFICATE Bk;46/49 PHONE 612 423-1769 6oGDErY ` /YJff? Do ? /Zo/?D . o /?vc?? 7o/-T??Gaw \ I ? N, ? ? . I ° n yRvPoSED N /?auSE N 0 I OI 9 Drainage & utility ? easement f -- - -- _J /oo_vo ?jf37 - ¢1-z81? SCALE: 1 inch = 40 feet o Denotes found iron pipe o Denotes set wood hub ? N M ? ? 0 ? I hereby certify that this is a true and cornct repreeentation of Lot 3, Block 3, OVERVIEW ESTATES REPLAT, according to the recorded plat thereoP, Dalcota County, Minnesota. Alao ahowing the location oP a proposed ' house`as etaked thereon. FIgf ??'i } it p ? V'A al. ? 4 _t t . c f x8" MINNESOTA REGISTRATION NO. 8625 f a r ? - ?•.?-: ; . - Ptuu.tPS pux s$RVrcE ; tmoo L,na8ie nve. sa S 8loaaingtoa, MN 55419 ?-. EXTERIOR ENIIELOPE NYERAGE "U" COMPi1TATI0N . Suite/loe S n ONWER ' - • ? ? - Z'15 ? ? ?SITE ADORESS ? CONTRACTOR DATE f I- 19 -80 PHONE : Determine workin9 square footage of each. ; 1. Tota1 exposed Nall area ...... ?,2./. '7H. GG sq. ft. x .17 -? ; 2. Tatal rooflceiling area ..... ,flg0 sq, ft. x .05 ° S`? Q s , Total exposed wall area above floor e. Total wall Mindow area ........................... 21. b. Total door area ................................. . ' c. Tatal sliding glass door area .................... . . d: Total fireplace Mall area ........... .......... •• e. Total wall framing area (averagel0%)............ . f. Total net wall area above floor ................. ? g. Total rim joist area ............................ Total exposed foundation area = 1O(9J&62 h. Total foundation window area...................... i. Toal net foundation area above grade ............ .. Determine "U" value of each watl s.egment. a. X tiU„ n. 38. D x „u„ .55_ C. '?8, o x „u„ ? d. 20.0 X xUu .J(o ° 71 e._ 155.402. X olue,% = Z0.2(o . ? f. N03.28. x .0r n. - X .,uN • 55 = _ + ' t. 1040.64 x l'u„ ; zae ea?a..&.krf.i ? ................. ZI?I7 •.?4.°. . . . . ... . . . . •TOtdl ° L..aL L?` • va?- ? KL' Ti/GY, " .??:..., If ito /3 is the same as, or less Chan item il, you have met the intent', . '' of SBC: Gf106(c)2. ' . y... Y . ?? ...r.i ?e ? ?. ? total exposed'roof/cefil'ing area Total gross roof/ceiling area j. Total skylight area ........................ ? k. Total roof/ceiling framing area . 1. TotaT net insulated roof/ceiling area....... _102.2. ? Deter,nine "U" value for each roof/ceiling segment. j - l( 1*UPI k. I!8 X "U" .D? = S? 1. 106,2? x „u„ 4. ..............Total . ............ e If totaT of #4 is the same as, or less than #2, you have met the intent of SBC G006(c)1. 1 To utilized the totat envelope system method, the values esta6lished by the sum of items #3 and N4 shall not be greater than the sum of itens 91 and A2. +. ] , 369• (o + 2. 97, 00 _ `12-8• ? + 4. .?o.s"o - Nzz.SZ ? , ; MATERIALS Thera. Reaistance ! fixterior Air ? f SiQing Material 3heathing 1.? ? Insulation '. Sheetrock Interiot Air ? scues + Rim % Conc. Blks. ` . ? r6 kgv C1201-4z$ l-1?tse 16"0 60"-4 MPd.9owu Eaj a n ! rMdu S.?/a 011PtulPu/ j?ct,4C'S Lo? 3 d31or-L3 gald e r? ?J&W &c? mimresoca aiaca ooara or uecniciry , Griggs Midway 81dg. - Room N791 ES-00001-02 21 University Ave.. St. Paul, Minn. 55104 - PFqne 297-2111 EST FOR ELECTRICAL INSPECTION CkECK BELOW WORI: COVERED BY THIS REQUEST , ? 97513 Type of Building New Add. Rep. Check Appliancea Wired Far Check Fquipment Wited For Home ? ? ? Range ? 'Iemporary Wiring Duplex ? ? ? Watec Heatei ? Lighting FixWies Apt. Bidg. ? ? ? Dryer ? Electric Heating ? Commeccial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? 0 A'u Conditioner ? Bulk Milk Tank ? Farm ? ? ? List > ist ) L Other ? ? o p y Heie151 p } Flei?e?gf COMPUTEINSPECTION FEE BELOW Service Entrance Size: # Fee Fceders&Subteedeis: # Fee Ciccuits: s Fce 0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am etes 101 to 200 Amps. 31 to 100 Am ces 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Am s. 7'ransfot ers RemoteConUO1C"vc. Partialotothe[fee Signs '- S ecial Ins ection Minimum tee Remarks U a . iqTAL F , dd I, the Electric ' nsp " r, certify that the above inspection has been m . (Final) This request void 18 months from Date Bate l a- -?? ? ? This request void L3 1 153, 5-0 18. monchs from Date oF this Request_Qbe, j z 14fiC5 Fire No. S 97513 I, as g[.icensed Electrical Contracror ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 2,K-n GAf YJ,yn !14AQZC,P ko, ( City? Section Township Range County,rn7;A_ Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now V,, Will Call ? Power Supplier 04&?_-r:W. Address _ q A0C') ;ZZn-61_ ??t? 4 vc0s-? Electrical Contractor , (- ?LG-C,flC( Contractor's License No._ (COmpany Name) Mailing Address / ? {/?-?-/l,? ,dU?? (Electtical Contrattor or Owner Making hIS Install lon) Authorized Signature r,? Phone No. '? (Electrlcal Contr tor or ow er Making 7MS Inztallatlon) B?A ? D QOr? This inspection request will not be accepted by the State 6oard unlass proper inspection fee is endosed. • wau vi uvcancny Griggs Midway Bldg. - Room N791 EB-00001-02 1821 Universi[y Ave., S[. Paul, Minn. 55104 - phone 297•2117 ` REQUEST POR EIECTRICAL INSPECTION 6 CHECK BELOW WOAK COVERED BY THIS REQUEST S Type of Building Ne Add. Rep. Check Appliances Wited Foc Check Fquipment 'ved For Nome Duplex Apt. Bldg. Commeicial Bldg. ? ? ? ? ? ? ? ? ? El ? Range Water Heater Dryec Fumace ? ? ? 13 Tempocaxy Wiring Lighting Fixtures Electric Heating Silo Unloader ? ?` ? ? Industrial Bldg. Parm Other ? ? ? ? ? ? ? ? ? A'v Conditionei List / ?je1Cts} f ? Bulk Milk Tank Lis[ ) Oehers} H 1 ? COMPUTE INSPECTION FEE BELOW Service Entrance Size: it Fee Feeders&Subfeeders: » Fee Cacuits: n Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 14 ,'Od 101 to 200 Amps. 31 to ] 00 Amperes ,GI 31 to 100 Am eces Above 200_Amps. Above 100 Amps. Above I OQ_Amps. Transformers RemoteControlCixc. Partialor otherfee S' ns Special Ins ection Minimum fee $5.00 Remazks TOTALF E ?? fol l, the Electrical lnspector, hereby certify that the a6ove in???@n ?as been4n?e,0 lA....6:..1 . ;??? .... • ,j (Final) This request void 18 months from .,us request void 0 Uk&t)jtw 5,5t - 18 months from Date of this Request? I, as ? Licensed Electdcal Contractor cal wiring installed at: cn Street Address or Route No. ? Section Township Which is occupied by ? 133 Lot 3-0 Fire No. S V 6562 wner, do hereby request inspection of the above plectri- ? h'JPc ?,V &OIcicY??t64 n Range County?I Is a rouglun inspection reMeq on this job? No ? Yesper Ready Now O Power Supplier E ?Address Electrical Contractor Contractor's License No. MailinB Address ?OLL?. p an?vp , /1/ Authorized o. Will Call ? ?? n?L=d lS (? D? ???? D f1'?pM This inspection request will not be accepted 6y the l?, U State Board unless proper inspectlan fee is enclosed. nnna?w awiu ooaro v, uacmciry Griggs Midway Bldg. - Room N191 .( ?. 1821 University Ave., St. Paul, Minn. 55104 - PFwne 297-2117 , ? -' REQUEST FOR ELECT?iICAL INSPECTION ? e ? CHECK BELOW WORK COVERED BY THIS REOUEST EH-0000 1-02 66561 Type of BuOding New Add. Rep. Check Appliances W'ved Foc Check Equipment W'ved Fm Home ? ? Range Temporary Wiring 0 Duplex ? ? Wa[er Heater Lighting Fix[Ures Apt. Bidg. ? ? ? Dryer ? Electric Heating Commercial Bldg. ? ? ? Fumace Siio UNoader - lndustrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm List List ) Other ? ? ? ? ? 2thers1 ere Others} Here 1 COMPUTE INSPECTION FEE BELOW ServiceEntcanceSize: # Fee Feedeis&Subfeedus: u Fee Circuits: # Fee 0 to 100 Am s: 0 to 30 Am eres 0 to 30 Am eres O 101 to 200 Amps. p, 0 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. \ Above 100 Amps. Above IOQ_Amps. Transfotmers Remote ContIOl Circ. Pariial or other fee Si ns Special Inspection Minimum fee $5.00 Remarks '7'OTALFEE a.o I, the Electrical Inspector, hereby certify that ffieabovejnsp ctipn has been.ma .S LT (Rou?-?) ?,-'- ??? -q?) l- i? y! (Final) Date S- `J' This request void ? 18 months from This request void 17i3 j ] 8 months from Date of this Request /•s ? Fire No. S 66561 1, as O Licensed Elecrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township County 1Vhich is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier r?a l? ?tIY [r ieAddress JCi„Ly in-, / fnr?C- ? Electrical Contractor 6 ` Contractor's License No. _ Mailing Address J - 5/ (E ectrical Contracto or Own Making Tni nstailatlon) Authorized Signature ne No.L/?? (EI rical Controctor/o+r Of?n,?er Making ThIS Insta lation) s?j'??? (????D ?O`J? Thisinspectionrequestwillnot6e.accepted6ythe f? .N L4? t1U u State Board unless proper inspectian fee is endosed. /9 7 41.6-184 REQUEST FOR ELECTRICAL INSPECTION 7< ? Minnesola State Board of Eleciricity 1821 University Ave., Rm. &128, St. Paul, MN 55704 Phone (612) 642-0800 Hoe m Duplez A t. Bidg. Olher: New Add n Comm erciol Indushial Form Remod Re ir Air Cond. Hi . E uip. Woter Fifr. Load Mgmt. Oiher; J r (? ?- Dryer Range Elec. Heat Tem . Service 1/` ?QGti /?? fa?e TQl?dl? hIJ? "X" obove fhe »rork <overed by this request Enter remarks in fhis space and on the back o rhe white copy onfy. Calculole Inspection Fee - This Inspacfion Requesf will nof be accepted wifhouf fhe corrxf fee: Other Fee il Service Enfrance Size Fee fl Circuks/Feeders Fee Mobile Home Park Slall 0 ro 200 Amps 0 ro 100 Amps Sheel Ltg./Traffic Sig. Above 200_Am s Above 100_Amps Transformer/Generator iNSVEC7oN'S Use oNLV TOT Sign/Oudine Llg. Xfmr. Alarm/Remole Control ? Swimming Pool I hareb ceni +hat I in insro rion descnbed herein m tha dmes slm i Irfi9aliOn Boom Dare hln Special Inspe ction Inve Fee ative stig J ;? _ Da 'ri THIS INSTALLATI6N MAY BE ORDERED DISCONN IF NOT COMPLETED WITHI 18 M THS. 1 3 a7 9? OFFICE USE ONLV This requesfmid IB monihs han validalion dare prinled in ihis 6oz. pc ? '7/6, 9 3 ,4 IIIIII f?IIIIIIIII?I?III?IIIIIIIII III IIIII II ?3,Qd' ?NP?r'v`.e.`J-/?,?.e- ? o„ * 0 4 L 6 1 8 4 0* pLEpSE PRINT OR TYPE Req Rough:n inspectlon reqvired4 ? Yes ? No Inspecfion ONier Than Roughln: ? Ready Now ? Wili Call M ?1'ou mus? wll the intpecror when reodyj Dme Ready: I, licensed conhactor owner hereby requesl inspection of ihe above electrical work at: Job Address (SheN, Box? or 2W?8 No.) " Gy ?? ? I L ZI Cod,L,/? S Sec?ion Towns ip Nome or No. - Ra1e n Fire Na. Caunly/? U Occ nt Phone No- ^ PowerSupplier Ad ress Elecrciw nhocror ny me? Conkocroi License No. Masler pa No. (Want EkcL Only) Mniling Mdress (Conhaclor or Owner Per'wming InsNllorion? ANho?iz Sig e(Conhotlor er P insmllanon) /? Pho N o. --- ? ( / E6000QM1f1 8/96 ",,reh nnean mov _ sco iua?ucnnue nw necr no vs'i nw mov REQUEST FOR ELECTRICAL INSPECTION ee-00001.03 Sea instructions for completing this form on back o/ yell.w copy. "? 27582 "? ;. "X" Belo Wor_/ZCovered by This Request 31pq l[. n Add Bep. Type ol euildin9 APOli.mCBe, WIlBL Equipment Wirnd Home Ranye Temporary Service Duplex Wzter Heater ightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Otner Speu v Othersuecifyl tFei Suecity O[ ar Oiher Compute lnspection Fee Below - - - # Fee Servlce Entrence5ize # Fee Fxeders/Subteaders # Fea Circuits 0 to 100 Am D to 30 Am s 0 to 30 Am 101 to 200 Amps 31 to 700 qmps 5 31tolOOA Above 200 Amps Above 700_Am Above 100_Flinps Transiormers Remote Control Cir E Partia ' Signs Special Inspection ? 4ti T ? Remarks TAliIFEE ? ,L Si RouBh?. ° ? ? ?'yj ) I, the ncal ' nspactoq heraby cartity that the above Final f? ? Date inspestion has been Lv'?i<-a) l/? This request void iR - 111. F...,., . ThiS re4uer,L'uiA1lZZ 18 montM34rom " NJ 27582 ' 1 ' 2s- +o cl Request Date ` ? ? Fire No. Rough-in Inspeclion Reqm etl? ? •ady Now d Will Notifv Inspec- « Wh R . es ' ?Nn >r nn. eatlY E] LicenseA Eleclrical Con[ractor ' I heraby requast inspection of above ELP.11'ner ' eleclrical work instelled aC Sireet A tlAr¢? BOx Or RnUIe?? ?a C ?y O O T..,. ? ecLOn o. Townshi0 Name or No. ange No . Counry OccuO? i IPRINT) l Phone No. - . ? Q a-- I?na v§ P w r Sulier,J 7,? El Atlds LC.C7 /?' T 1 t. . .- Y?1 J? Elec ' ai Con?t?racator ICOmpanv Name) ? V Lf?'?- Contr tor's License No. Mailin AAdress ICon[r [ r r Owner ? kin Ins[ lationl 76 ? ? ? r A C a-e 0 2:5 Auth ri SipnaWr (Contracto wner M ki g Installation) Phone Number ??-a - 11i2o L 3 t 83, p v€. c v L% E.cj p- s f Q`1 6 MINNESOTq STATE BOARD OF ELECiIiICITY THIS INSPECTION NEQUEST WILL NOT Griggs•Midwev Bldg. - Hoom N•191 BE ACCEPTED BY THE STATE eOAND 1827 Universitv Aye., St Paul, MN 55104 . UNLESS PHOPEH INSPECiION FEE IS e....._ 1a11i onv i'li ENCLOSED. PERMIT City of Eagan Permit Type:Building Permit Number:EA117123 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 760 Golden Meadow Rd Lot:3 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Dan Sawicki Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James J Thelen 760 Golden Meadow Rd Eagan MN 55123 (715) 646-1300 Artisan Design and Construction 2181 192nd Ave Centuria WI 54824 (715) 646-1300 Applicant/Permitee: Signature Issued By: Signature „ . Use BLUE or BLACK Ink r________________� I For Office Use � � � � I . � � � I C�� O� n^ �� Permit#: � H�I � �"'� I y �,« I Permit Fee: v�� f 3830 Pilot Knob Road � � ' �� ,.,,.._ �` �Tl� � Eagan MN 55122 � �o�'�� F�;�� Date Received: � '' Phone: (651)675-5675 I I Fax: (651)675-5694 ��.�; ,� �. �a�5 j Staff: i �/ -------------��, r� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��a...�9� ,. / y� ,� `J� ,' � Date:� / S�� Site Address:� � � GO LJJR” ��a � w r ''� Unit#: ��`� �� 1 —�-� (, 1� -� a 2 � ��t � � ; � �- Name: �. �,�Q:�1i �T" Jt�`n�-- � � e -tn. Phone: � � � Residen�C �, �� `� -�G U G v t.. V�Q�, /`� e a,�;o�^- 1�- �� '. 4Wn�r '_= Address/City/Zip: ��, � �� ; A licant is: Owner� Contractor �: #x��. ��:,. - � PP� �� Description of work: �c � �S'`�l''�� Type of�:i�l�ar �_ � . � , �� i a°' � �;� ,��.�.�. Construction Cost: '7 $/0 Multi-Family Building:(Yes /No ) � �� "s ,y� � T � �� Com anyl:' �' �,�'`-w t�, �w�'�,�n/��l- ��,�.,eJ��n� Contact/ `�� 1`- �: t,w��,� , �� P �� r( 1 �� . : Addressd" � � ,� l.l/'�l� +�-�p C� City: ,� �� COtltC1G OI� c� ��. �� "�� Stat�/� Zip:�� Phone:l�� Ul Emailf'ITH,'�'ewo�1.�C �.,�...0 w5�'"'�/V� �_ �� " *.��k � �,�� License#: ��.. �� 7 U _� ��; Lead Certiflcate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) jjU/�..7` !-,/ g''� /��J 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: � IVQTE�PIans'ancl sctpporttng documenf"s#ha�you�uti' it are car�sider��a ��ubt��,tnfor atron��Poxtro��'of��' �� , � � � �s��e ��.w � � � �� the tr�forc�rat�on�nay e c/assrf�d as non�au��li� l��o�u�ro��spec�fic ;easo� '�ha w,� la�� m �the��r#Y�fa = u ,. .��.. ��,� _:�� .. .� . � _onciva►e,-that��hey�re,�r� e�s+�c��fs ��. ��, �.��: �� , , � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must l�e'completed within 180 days of permit issuance. X� ;C �a.c �- ��n,� 2 w�� x ` ApplicanYs Printed Name Ap i nYs Signature Page 1 of 3 �� cv.��(�,� �C�Q ��a��l�� °�� /�� i�..�� i ��i� , . = DO NOT WRITE BELOW THIS LINE S��TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) �'Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ 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 3lX� � Occupancy ,�2i —f MCES System �` Plan Review Code Edition oi� SAC Units � (25%_ 100%� Zoning /� City Water " Census Code y1i+ Stories ^ Booster Pump " #of Units � Square Feet ! PRV � #of Buildings / Length ' Fire Suppression Required "' Type of Construction ��'� Width � REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final � Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control � Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �/ g' Surcharge Plan Review 7G � MCES SAC City SAC Utility Connection Charge S�W Permit& Surcharge Treatment Plant Copies „Z � ,L3 TOTAL Page 2 of 3