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803 Golden Meadow Rd PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083081 Eagan, MN 55122 . Date Issued: 05/16/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 803 Golden Meadow Rd Lot: 5 Block: 1 Addition: King 2nd PID 10-41951-050-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Marilyn K Westphal 1920 County Road C West 803 Golden Meadow Rd Roseville MN 55113 Eagan MN 55123-1963 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087768 Eagan, MN 55122 . Date Issued: 12/11/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 803 Golden Meadow Rd Lot: 5 Block: 1 Addition: King 2nd PID 10-41951-050-01 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home Marilyn K Westphal 20802 Kensington Blvd 803 Golden Meadow Rd Lakeville MN 55044 Eagan MN 55123--196 (952) 985-6675 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. Applicant/Permitee: Signature Issued By: Signature f CASH RECEIPT , ?CITY 4F EAGAN ? t 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? AATE 19 RECEWtD FNOM AMOUNT $ - ? ? CASH r 3 ?? . & DOLLARS ?aa CHECK ? Ur?u,t FUND GOOE AMOUNT / f Thank You ?._. ? BY „ '• White-Payers Copy Yellow-Pofttiny Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3530 PILOT KNOB ROAD EAGAN, bdINNESOTA 55122 DATE 1 19 AMOUNT $ I & DOLLARE goa E] CASH Q CHECK PO ' 4A:3 --r-? , BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BLDG. P?RMIT N4. •?_ ; %-? ? ' • 1 // - 1-3216' ! ^ 4Bwlcig. _±.. _ . r / ?ertni/ ' T, 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep, 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL GOLD COPY PERMIT RELEASE FORM PERMIT 41 ADDRESS 2 0 3 PICKED UP BY . ? ?- ?? ? . •• PIUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 T PRICE: PNONE: 454-8100 Site Address Lot r J31ock ? Sec/Sub ? . t Name ? ro Address ' c City • l ? - ? Phone V Name - ? 3 Address, 0 City - :.1,_, ? U f s , Phone ?i FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNAT Q RiNI EE ' 'CITY OF EAGAN BLDG.TYPE Res. Mult. PERMIT # ty U RECEIPT # DATE: 7 WORK DESCRIPTION New Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Cioset - $3.00 s Bath Tubs - $3.00 :..Lavatory - $3.00 ? ?=?"rower- $9.00 -- ?Kitchen Sink - $3.00 Urinal/Bidet - 53.00 _41-aundry Tray - $3.00 = _/_?Floor Drains - $1.50 1 " -LWater Heater - $1 50 ? atlets - $1.50 ? - 1 PER PERMIT) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 " FEE: STATE S/C: v GRAND TOTAL: ' ; > ? -?--- .,.--9-----.?-.. . --T-----..? PERMIT# • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE ' PRICE: PHONE: 454-8100 m Name ? Address ? ' `•? [ r ? , , ?? c City Phone Name ? ; Address O City Phone TYPE OF WORK Forced Air Boiler Unft Heater ? Air Cond. Vent ? Gas Piping Outlefs # Oth@f M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION FtPS. ? NAw -" __- Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERi4111n COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 COMDaS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS $24.00 6.00 1.50 EA. 3 - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) A SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN . . CITY OF EAGAN - -• ''' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value Date ,19 Site GOLDEN MEAUOw RD Lot B1ock _ Parcel No. Sec/Sub. On Site Sewage MWCC System On Site Well City Water oc Name ' W 3 Address ° City Phone o °C Name . ? ? Address 1- City Phone Address City I hareby acknowledge that I have read this application and state that the information is correct and agree to comply with all apRliCable State of Minnesota 5tatutes and City ot Eagan Ordinances. Signature of Permittee AL 5IEBE:N A Building Permlt is issued all work shall be done in ac Building Official with all applicat APPROVALS Assessments WaterlSewer Police Fire Engr. Planner Council Bldg. dff. APC VarianCe _ Occupancy Zoning _ _ Type of Const (Actual) (A Ilowable) * of 5tories Length Depth S.F. Total Footprint S.F. FEES Permit _ Ptan Review _ SAC, City _ SAC, MWCC _ WaterConn. _ Water Meter _ Road Unit _ Treatment P1 TOTAL on the express ondition that . Permlt No. Permit Holdar Date Telbphona ie Plumbing ? H.V•AC. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundatian Framing Roofing Rough Plbg_ ? ,,7 Rough Htg. I5ul. Fireplace 7 Final Htg. ? , Final Plbg. ?p?'.$ /??- ?? •+ - ? Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ITY OF EAGAN Permit No: 8974 ? 30 PNot Knob Road Meter No: a2 3 /S .. .O. Box 21199 Reader No: 2 ? 4 Eagar?, MN 55121 Owner. ^1 Sie".;en. ;;oizsL. Site Address: 6 `?? ??den Meac?ow Road I. , R Chg: 525.00 Fee: Permit No: 4 ad Meter No: Reader No: 5iz54ri (;onst. 3 GOlde71 M.p9.4 nr_. Cffy of Eagan 67 0-T)a WATER CITY OF EAGAN 3830 Pitot Knob Rc P.O. Box 21199 ' Eagan, My 55121 Owner. AI Site Addrea- e ?, 0: Conn. Chg: ?25•100pd Acct Dep: .0t7pd zoning: _ Permit Fee: r. OOpd No. of Units: Surcharge: . ?'pc? Tr. Piant Z' 0. OOpc; Meter. _ 67 WATER SERVICE PERMIT -=•:-.:;Y._.,.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 PGot Knob Road P.O. Box211?9`? 'PERMIT,.NO.: it'1?? Eagan, I?,N? 55121 8 T . 77 Zoning: Rl DATE: Owner. A1 S iebert ?n8t ? No. ot Units: ? Address: SiteAddress: 3?S Cfllden ]?!e.a?dow Foad r:; ??Z. v?„ ?Z Plumber: Tle?r?4e TYp..nchino I _+11VS! ! agree to comply w!!h the Cityr oi Eagan Ordinances. - BY ' Date of Insp.: Insp.: Dat? 8-2?4 -•Fi Size: ' 1c Date: p 11. '21 Date: ? -24-8 7 Size: Date: - P1 I agree to comply with the City ot Eagan Ordinances. 1oo.o0pa Connection Charge: ' ? Account Deposit: Permit Fee: T n lnr 3 Surcharge: ?. Misc. Charges: TotaL• Date Paid: ? ? . . CITY OF EAGAN (v0 13 9 2 5 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, - MN 55121 PHONE:454•8700 --- s BUILDING PERMIT Receipt# cC? o Tobeusedfor SF DWG/GAR Est.Value $106,000 Date .TliLY 15 19 87 Site Address 803 GOLDEN MEADOW RD OFFICE USE ONLY 5 1 KING 2ND ADD Lot BIOCk Sec/Sub. OdSite Sewage Occupancy ? R3 MWCCSyatem Zoning R j ParcelNo. OnSireWell _ TypeofCoost v_ City Water X (ACtuel) a Name .TA@7ES WINTERS SR (Allowable) V w # of Stories z Address Length 57 o City EAGAN phone 454-5858 Depth 52 F Total S . . ,o Name AL SIEBEN FootprintS.F. ?Q Address 16190 LEROY AVE E pppROVALS FEES i- City HASTINGS Phone 437-9707 , qssessments Permit $ 521.50 5?00 fm Water/Sewer _ 3urcharge W w NamB Police _ Plan Review 260.7$ tz x- Addiess Fire - SAQCity lnn_np u= Engr. SAC,MWCC 525.00 w a City Phone Planner _ WaterConn. 595_n0 Council _ WaterMeter 67 !10 I hereby acknowledge that I have read this eppliCation and state Bldg. Oft _ Road Unit 305 _ 00 th8ltheintormationiscorcectanda9reetocomplywithallapplicable APC _ TreatmentPl 180_fl0 State oi Minnesota Statutes and City of Eag O r'nanc & Variance _ Parks . Coples Signature of Permittee ? TOTAL 2 ?. 5 A Building Permit is issued to: AL SIEBEN on the express condition that all work shall be done in accordance with all apBlieQ4i S te of M inn ota St tes and City of Eagan Ordinances l iL Building Official O RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 -1 851•681-4675 Naw CansWCtlon Reauirementa • 3 registered site surveys shawiig sq. A. af lot, sq. ft. of hause; and all raafed areas (20% mazimum lol coverege allowed) • 2 copies oF plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculatans • 3 copies af Tree PreservaUon Plan M lot platted after 111l93 • Rim Joist Detal Optians selectlon sheef (ddgs with 3 or less wiLS) DATE / -13 -02 m -r] p c) b RemodeVReoairReouiremenb ryfvtiL-,?? • 2 copies ot plan • 1 set of Energy Calculations for heated additians • 1 sde survey Mrextenoradditions &decks • Indicate if home served by septic syslem for addifions VALUATION ? ?i G 0 0 ? SITEADDRESS 663 ''QLbeu Mf:A0')WS MULTI- FAMILYBLDG Y N TYPE OF WORK DE6? AD190I &J FIREPLACE(S) _ 0_ 1_ 2 APPLICANT I HE Wir AND Qjc?2 co, STREETADDRESS_ 11632 AkiGW AUE c, CITY INVrR4&-+"t10kqTATE M")ZIP 55C,77 TELEPHONE # 0I-322-41GS CELL PHONE # FAX # Grl- 322' 7°?73 PROPERTYOWNER v1GY ANIJ A If?°I LYNI WtS7t'r?Nl TELEPHONE# GS'- `?52'?3?? COMPLETE POR KNEW" RESIDENTIAL BUILDIN6S ONLY Energy Code Category _ MINNESOTA RiILES 7670 CA1'EGORY 1 MINNESOTA RULFS 7672 (J submission type) • Residen6al Ven6lalion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Caiculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanieal Contractor. Mechanical sys[em includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes ond City of Eagon Ordinances. Signafure of Applicant OFFICE USE ONLY _ Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # . Lawn Sprinkler No. of R.I. Baths ? 'Fee: ?I 00.1?0 ? ill SEP l. 3 29DZ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 63 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding Lt7 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation f.?00 Occupancy MC/ES System Census Code Li 3q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. >0 Footings (deck) x) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall . Approved By Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total iia.o [.otw.?dfh a? 61.t s ? ? - , .....? . : I ?i ?IN , ? • a3? 1 . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 657•687-4675 New ConeVUCtbn Aeoulremente . 9 regiSterCd site Surv9yS Shpwing 6q. fl. of lot, Sq. fl. of houSe; aM ?II iWfBd arCas (20% maximum bt coverage albwed) • 2 coples of plan show(ng beam & wintlow s¢es; poured lound design, etc.) • 1 set ol Energy Cabulatbns • 3 coples ot Tree Presenatbn Plen il bt plafled atter 711/93 • Rim.bisl Detall Optbns selecGOn sheet (bldgs wdh 3 or less unBS) DATE _ '? I31 IdZ BemotleVPeualr Reaulremants :? r7' 7 S . 2 Copies of plan • 1 set of Energy Celcumtions for heated additions • isilesurveybrexterbradditions&dacks . Indipte A home sened by septic system lor additbns VALUATION /5,36.'Cj SITE ADDRESS 603 C?or??-ItmErt?.?aw ee.p MULTI-FAMILY BLDG _ Y I&N NPE OF WORK _S FIREPLACE(S) _&0 _ 1_ 2 APPLICANT STREETADDRESS 3oi3 Sz"W- L+.1 ti? CIN 13vsruff_-- STATE?ZIP 5 5 9 TELEPHONE #67(,31 794-974 7 CELL PHONE # ?76,3 l zPxp`3339 FAX # 61L3? : e4 - Z-s?- I PROPERTYOWNER P1/Ia-(erc,?w c,tJESrvfu? TELEPHONE# (0 st? A15 Z--73tiP, ----° --------------------- ° -------------------------------------°---------------------------- COMPLETE THIS SECTION FOR -NEW,• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhacfor: Mechanical system includes: Sewer/Wafer Conhcctor: Phone # _ Water Softener _ Lawn Sprinkler _ Water Heater _ No. of R.I. Baths _ No. of Baths Phone # Air Conditioning Heat Recovery System MAY 3 1 2002 Fee: $70.00 Phone # I hereby acknowledge that i have read this application, state mat The informati n is correct and agree to comply wiTh all applicable State of Minnesota Statutes and City of Eagan OrdinancJ?? Signalure ot Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 / ?? ? 798? BIIILDING PERMIT APPLIC9TIOH - CITY OF EAGAN SINGLE FAMI Y DWELLINGS ? IPCLi1DE 2 SETS OF PLANS, 3 CERTIFICATES OF SORYEY, 1 SBT OF ENExGY CALCQLATIOPS NOTE: ADDRESSES FOR CORNEB LOTS - CONTRACTOR/HOMEOANER MQST DESIGHATS i1HICH ADDRESS IS DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BDILDING PERMIT LS ISSIIED. RENTAL OPITS FOR SALE DHITS TNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIBVEY - CHECg iiiTH BLDG. DEPT.' ?t SET OF ENERGY CALCULATIONS --e4?.,??n%.r?y?P COMMERCIAL . INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND LcX??? oc?? To Be Used For: Valuation: ? 8'a3 OeL - n ? Site Address -4W OFF, Lot &.---Block On Site Sewage __ _ MWCC S stem ? Parcel/Sub On Site Well City Water Owner Addre City/Zip Code Phone 5 7''2r? APPROVALS Contractor Assessments Water/Sewer Address Police Fire City/Zip Code Engr ??? Planner Phone 7- Couneil Bldg Off Arch./Engr. APC Variance Address City/Zip Code Date : ?- ;E OSE ONLY Occupancy Zoning (L I Type of Const ? (Actual) - (Allowable) SC # of Stories Length S7 Depth 52 S.F. Total Footprint S.F. FEES Permit SZI. s' Surcharge 53, Plan Review ZtaO .?S SAC, City 100. SAC, MWCC S2.S. Water Conn S25' , Water Meter Road Unit Treatment P1 1 2:7. Parks C i op es TOTAL ? I ? LS Phone # l(c Ik (? x 2? X C? x ?2g Sb? 5's e :x ?.= 48?SL ? xSb - c0 ?- ?rz ? Il?z ?2;- I? = (?? ? ? ? l? ?? ?32 (0s nt q . . < , :r .. •. . : i:?:' . . . ? i:`? _ . . j.i.C ? ? qla.o ?? ri. Lo+w?d?h af tt,?a ?ine ? ?? ? ; _ .._.._ vz ' 99Bs . ?-, ?!i2IN°_SOTA STATE _\'ERGY r07° rALCULA?:OYS 3n5?J ON r,gaP;Ed 5 CF THS plp e.. EfiZ3GY COD7 - i.21 cD_TIOY dcoptioc affective i/1194 Owner cl ?kNi l.?,? Phane r.-?e Site Address Contractor A L S1 & ti ?,c $/- Phcne y37-970 -7 8uilding Clasr'rica:ion: Type A1 (Sinale Fzmily & Quplex) X iype A2 (Residential) (3 stories or ess (Other) (Qver 3 stories) GcNEK.4L INFORMATiON 1. BuilCing Ferimeter 20 6 ft. 2. 'dail height-(ground to eave) i g 3 ft. 2 3. 1. x 2. (above) gross wall gre3 I 8U1 ft. 4. Buildina dimensions (L) x('d) = n(/ ? ft.2 roof & floor area 5. SGuare foct area of rim joist - Floor joist size (2 x I'O ) ? x Perimeter = Rim joist area `tz 12 o_ CocrS - Area 63 Thickness in. U Tacb r_? Z, Type o` Construction Feri^eter Manuraczurer i? °Air In`iltration Rates-Res. Doors: CFM/sq. ft. of door area/Table Na. 5-1 . 'otal door's perimetzr 7 ft ? wGp',('y.e ll State approved 8. Windows: Manufacturer h U fzctor.,, Z 3"qir Inr"iltration R3tE: ChM/Ft- Or ooerable sash crack/Table No. 5-3" -YPE S?ZE AREA (Ft.2) NUM3ER OF TO?AL FEEi ? k/ 7- (Match U Value) 7- E;C4 UYI?S yfs. S ? 1n ? r ao ?- ?? i z s? / S. "e:cl -..? Window 7 `]J 2 G. c '..?,. C?.:aricC? cl'23: '?iC:^ ii C?1-_,•1L = :(?_ - _' il. Ex:esed -oun?a.icn: Heicn= x?er?re_er 26 x OZ / • ` ?:i AJJR 4_•.tC?.n ;'iu _- . __ " " .? ,c " ' ,v? -1 1 '^ ?^ n c ? - ; vrn•n, y? ' c :.;JE .L_ C 7 " `:??_. =_-_ie'= ='°`-. , 3 anc . . . ? 2. =rznir.e area = 10 ? o* cr?:ss ?na i i area. L ? ,_. Gr:ss wali area ? eL 12 W `,nct, x ar_a A ?! virdcns = , z? 701 yz 4 I 7 I * ? m ;oist area A n J . _ rir.. ;ois - ? 3 -- ? Ss- 12 " s = -I ? °? a w cor area A C . I U 0 ocr area . . ,, FirepSace area A 2'7 U °Tr2piac= = 10 7 g u Y A _ ?? ? 7 'cxposed founCation .4 rt.2 U rounda:ion = tU x A = /?, 75 1 PraTing area „ /Z `i.Z U frzming area =! ? J:< A : `!et wai i area A 10 3 U wal i °qy U x :. = y.Sl 7 (13B) TOTAL . . . . . . . . . . 10 x A _ / 37J?Z iC. Gross wa;1 area x 0.11 (13. a6ave) . x 0.23 x .23 x .2S (A-1 single fa-inity & duplax = aliowabie U x A/Code (.4-2 other res'dential) (OLher buildinos) (Over 3 stcries) TUH Mus: be larger ha x ? Code_ t?/ i 38 aecve /3?, K? Z 15. Cziiing `r_ming area (A=) equals 1C° of ceiling area '5;,. Gross ceilinq area = fll x(?) 6 o g r,.Z i:3 joisc arsaa (rtf; = 10, ceilinc area = I. ? r= Z i--- Ve: czii:r,c area lAt) (i5A 158) _ / y y 7 -:. 'JCeilingxAC= x l??Z 1,8"3 UrrzrqirgxA;=r.. x loZ lcu. T07AL U x d ........................................ ? ? 15, C2'''^C dYEd (I5n) x 0.07-5 (n-1 sincl2 fanity 3dupiex - code d1lOWd5iE u X X 0:48r !'cS?G9!1t?cij x 0.?5 (otrer) _ ? 10 Mu_t be lar;er :han /aee';e; y?- 6 (9 ? x " !..de) .. e_: ,... 'C5 CITY OF EAGAN APPL?CATION FOR PERMIT SEWER AND/OR WATER CONNECTION *iOTF: PAYMF,nTt OF FEE AT TIME OF AppmCAMON DOES NOr CONSTrffm APPROVAL OF PERMIIT. INSPDL`TION OF SEWQ2 APID/Ot MTER TnSrnr.ramrONS F7IId. NOT BE SCHED- ULED UNTII, PII2MIT AAS HFM APPROVID. ? w:x:xx,.xxx,.w=,.: P ease Print 1) PROPERTY ADDRESS: 803 Golden Mea.dow Rd. ... LEGAL DESCRIPTION: 5 B lock I KingR 2nd. Addition -- Lot B ock Subdivision or Tax Parcel ID ) IF E7ISTING STRCC,'ISJRE, DATE OF ORIGINAL HPILDING PEItMIT ISSL'ANCE: .. PRESENf ZCm1ID1G/PROPOSID L'SE: Fbn ear Q COhP7ERCIAL/Rh'1'AIL/OFFICE Q IPIDC5IRIAL n INSTI2LTIONAL/GOVERNMEDrp 2) Mffikp1R-1 SINGLE FAMILY Q R-2 DLPLEX (Ztvp C?nits) ? R-3 TOWDIIIOUSE (Three + Units) ( Units) p R-4 APARTMEV7P/COAIDOMINIUM ( Units) NAME0 A1 Sieben Cont. ADDRESS: 16190 Le Ray Ave_,:. C.ITY• STATE, ZIP' H astin?e Nn 55033 pHONE: 437 9707 3) • ?:"• NA,E; ??-?ierke Trenching ADDRESS: 660 Cliff Rd. CITY, STATE, ZIp; Eagan, Nn 55123 PH0NE= 454 3026 MASTER LiCE[vsn# oo3o91M9 4) •a • 11 i?• NAME: ' Same as ?applicant _ ADDRESS: • CITSt, ST11TE, ZIP: PHONE: . Active Ecpired Not recorded Sta?f"Znitial .5) 'a a? ' ?' : ? • a? - ?? 49 CONNECI'ION TO CITY SF,WII2 ZM CpNNECTION 7U CITY WATII2 rl OTFIERR '. 6) "' •' ?, PLEASE HOLD APPROVID PII2MIT F'OR PICK-UP BY ONE OF ABOVE --- ? PLEASE MAIL APPROVID PERMZT TO 1. 2. 3. 4, ABOVE (CiYCle one) 7) " -' . `..la.c.e?r?o FOR -CITY USE OIVLY PERMIT # ISSUED O % / T Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ E D WAT R PERMIT (INCLU E SURCHARGE) $ (,: ??Cr? S WATER METER/COPPERHORN/OOTSIDE READER $ S WATER TAP (INCLLDE CORPORATION STOP) $ $ • SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ ?j L S^•? 0 $ WAC $ °C1 o $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ Ia ??"?Yl $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ ? ?C)?7 TOTAL RECEIPT RECEIPT DOES UTILITY CONIVECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MLST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: 4dl?6 TITLE: DATE: 7 REQUEST FOR ELECTRICAL INSPECTlON es-ooooi-as L' / ? Seo instructions br comoletiery this torm on back ot Yeilow co0v. 7?F u! D 2 5 O 6 2~11/`Y/97 X"' Below Woik Covered by 7his Request 7,659,--1 FAtl flep. TypB oi Builtling qpDlianCes Wi,ad Equipment Wi,ed Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt Building Dryer Electnc Heatin Commercial Bldy. Fumace Si1o Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm otner pec. v .inerlsnnr.ify7 t n,r SpCCFfy Lher Oth, ompute lnspeciion Fee Below p Fee ServiceEMrenceSize # Fee FAAders/Subfeaders k Fen Circuits Oto200Ams 0to30qms 0 to30Am Above 200 qmps 31 to 700 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Am s Tianstormers Im ation Booms Partial.'Other Fee Signs Sueciallnspection $ ~ ? Be m?rks / (y / TOTAL FEE/? - r iL? / Hough-in v Final r Qat ` p f? / / ? I, the E` I_eehica? Inspector, hereby certify thet the ebove spaction hes bean mede. J mis repuast void 18 momhe Irom ! I ?a?°v This request voidp 76- 18 nwnths from "7(e-?C/y 0 25 2 6 2° Request Da e p? -?A ° 7 Fire No. - Rouph=in InSVer,tion fiequiretl? ' ReaAY Now ill Nntify InsPec- ? .r When fleadY O ?Yes No Licensed Elecincal ConVactor Owner I hereby repuasl in50?? ecl on oi?above '? eletlrical work installed et Street Address, Box or Rou[e No. ,f?JpLG 41, G(:' City ? 803 eclmn o. Townshi0 Namo or No. . ange o. CnwHy L? OccuUanI (PflINT) Phone No. ? Q O Power SuO? Adtlress AL-1-11 . Electrical c^C?n1M?ractor ICompany Namal d{? ? C--?ractor?s License No. T/? MailinB ?4dJress (Contrac?or or ?O?wner a inu ?ns^tafla[ion) J . Authorized Sie e(COntracmr ner Making talla?ionl O?i .. hone Number - 5 6 63-1 MINNESOTA STqTE BOARD OFELECTpICITY Griggs-Midwey Bldg. - Poom N•197 1821 Universitv Ava.. St. Peul. MN 55104 Phone 16121 642-0800 THIS INSPECTION flEQUEST WILL NOT BE ACCEPTEO eY THE STATE 90AND UNLESS PflOPEH INSPECTION FEE IS ENCLOSED. T 18 hiS request voitl 9j' //F ? 7 76? 7 ? 0 25868 .L5 y ,0/ ? Repuesi C4le ire RouAh-in InsVec,ion 9?A l? ? R puiretl? oHeady Nuw IRW4II Nutity Insuec- Yes ?NO TC mr Whxn ReadY Licensed ElecVical ConVactor 1 hereby repuast inapection oi ebove Owner electricel work inslalled aU Street ?AdAress, 9ox /or R?oute No. 1- /? a /I?1 [J O? (^ ?.c-K-o?ClW ' LK Cityn `? M/--, ection o. Township Name or No. Ranae o. . Cnunb '?i? OccupantlPRINT) vU- Phone No. Fower $upplier b? ?- AAdress Elec[rical Conhac/tor (COmpany Nram? 1 a ? Conhar. or's Licens 7o. - (JtAA?iN f Mailin9 A.ddress IContractbr or Owner Makinp Instailation) AuNorize na ure (COn tor'Owner M in8 In sWilatioN Phone Number MINNESOTA STATE BOARD OF ELECT0.1GIiV THIS INSPECTION REQUEST JIILL NOT Grie9s•Midway BIdB. - Moom N-191 BE ACCEPTED BY TME STqTE BOARD 1821 Universitv Ave.. Sc. Paul, MN 55104 UNlESS PNOPEH INSPECTION FEE IS Phone (612) 642-0800 ENCIOSED. 9/??-7 REQUEST FOR ELECTRICAL INSPECTION e.s-oooai-os p / See instructions for com0leting Ihis form on back of yellow copy. y / 7O ?1 7-25A 6 6 "1(" Below Work Covered by This Request MewJAddj NeD.1 TvPe of BuilEin9 ? APOliuncea Wired ? Enuiument Wired I Iyi I I Home Range - Temnorarv Service 1 Li ?ommercial tl1c1y. rurnace Jilu UnIOAtlCr Industrial BIAy. Air Conditioner Bulk Milk Tank Farm Othnr p?tci v nrher (S1111Av) p Fee Service EnfrenceSiza b Fee fexdars?SVbieeders M Fea Cirouits U to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qmpy, 31 to 100 Amps 31 to 100 q y Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Pdrtia6'Other Fee L I I „9"5 Aercv3rks Nou9?-in Final mfe repuesl roitl 10 mont ?F18 1BC?lIfli 3DBC y rtity thnt Ne above 3pec[ian has baen Use BLUE or BLACK Ink I For Offic eUse I j Permit CK / j Clt Of Eajan I Permit Fee: 14753 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f-C L Z"' o (J Site Address: 3 G~ c.~,(e•r el __J ~ Tenant: Suite RESIDENT/OWNER Name: Gu% dy' ~y byrA~J Phone: Address /City/Zip: '503 Gv4~z_ 10""_ /Ei 6XI" Applicant is: Owner /-,Contractor TYPE OF WORK Description of work: Lep/r ~ff' Construction Cost: 1:5) Multi-Family Building: (Yes / No 2 ) CONTRACTOR Name: ACCeon;.14 OLr1e o ~nc(~ y) License 0011 Zl SAs" Address: //01/ VIC S City: State: /V11~ Zip: ~~y_X Phone: 6,sl 21-11 Contact: A174 Email: l S~Gt 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. 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 - /e- K--'sS 0,G"SC-P h x . A Applicant's Printed Name i I w cant's Signa ure `J LI Page 1 of 2 1' C 3 1 7 Zulu DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ 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* _ 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 3 t10a - Valuation Occupancy /?C - MCES System - Plan Review Code Editions SAC Units (25%100% L/-N) Zoning ~Z I City Water Census Code y Stories - Booster Pump # of Units - Square Feet PRV # of Buildings Length Fire Sprinklers ' Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FE S Base Fee Surcharge _ pd?2 Plan Review 5 ~G MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 6 TOTAL Page 2 of 2 Use BLUE or BLACK Ink -For Office Use- Io bl ityo f E a n I Permit 1 Permit Fee: 6 r 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: 651 675-5675 1 Fax: (651) 675-5694 Staff_-------->---- J 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: - 0/ C) Site Address: `6c3 LG I ~P~ cC1 Q d() Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: " L,44 nse b (I GS - P M Address: f ~y(o C q4[i A V, M wl city: 41 State: 14 t3 Zip: 5: 3 30 Phone: 3 ~ ~j - t l Contact: Email TYPE OF WORK - New Replacement _ Repair VRebuild _ Modify Space W ork in R.O.W. Description of work: Cvn= in"S614k-1 PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) Main , Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 incase of work which requires a review and approval f plans. I/ 7V, G~ x / App ican rinted I4am A ~nt's.Sign e FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA100706 Date Issued: 08/23/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 803 Golden Meadow Rd Lot: 5 Block: I Addition: Kina 2nd PID: 10-41951-01-050 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Robert Boldt HVAC Tolarilyn K Westphal 4310 Trenton Tr 803 Golden 1oleadow Rd Eagan NIN 55123 Eagan NIN 55123--196 (651) 454-7760 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I Cit of NO PermitY Qll I I Permit Fee: ~ I 3830 Pilot Knob Road Eagan MN 55122 Date Received: / ~~U 13 Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 1 ~ I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: lQ - l3 Site Address: ~Fd 3 (J-vc.b,s~v Img4-fbd4✓ J?/S Unit Name: /24,t /,L Y/y (,JA 5'7(~)i14 4 Phone: 3o r7 D,2 G F Resident/ Owner Address/ City/Zip: a 3 6ocdr'/V 1",14kcv Applicant is: Owner Contractor Type of Work Description of work: h:_~fiC QFic Z I?iE/`Z0dF Construction Cost: hd a~ Multi-Family Building: (Yes / No A-) Company: yed FeC'ON TR ZLL ?yyo a$- 7- yc7'/OAI Contact: !JS Contractor Address: 27s, /)/AAPJ.JA e p- City: slL/COIO,E~ State: /M// Zip: 3`S3 7 Phone: G /Z G ~S fiY7 License A C ! 3 oZ 9 G Lead Certificate 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 they are trade secrets. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota Building Cod st be ompleted within 180 da s of permit issuance. x I 'fall) R "c'tsoN x App icant's Printed Name ppti is Sig e e Page 1 of 3