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807 Golden Meadow Rd. ? ? CAAH REGEIPT ? CITY OF EAGAN • 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? 1g necErvEO - --- I F" p AMOUNT $ 1f ? J & dOLIARS ,ro O CASH C? CHECK MR _fi" 1 ( ?l '? ]' (? . t t`• `? /`6 .?1? ? A i: ? ? ?. . FUND OB.IECT AMOUNt CITY OF EAGAN ? 5 2'? ? 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Sk' Site Address 807 GOLDIP-' 1',E"' Lot ' Block ? Sec/Sub. Parcel Itrt: ?ivI} ADD a Name rrF CARL50N Z Address 11' KIP1G?i.EY CIR $0 a cih, ',ENl?'TA HTS Phone 6-`?bC1i) , o. Name i,t:URCE KILLER o? Address ''45 C?1RTI.,AtiL l7R UCC City A.7• Phone 431-4635 yVjW Name ;xVALIT.' UESIGN IIiC _ ? Address OSq ' IB 14EM hWY gW Cityc '?<<1 +,'rPhone iol-.4374 I nereby acknowledge that I have read this appiication and state that the information is aorrect and agree to comply with all applipable State of Minnesota Statutes and City of Eagan Ordinances, Signature of Permittee _ 4 ?-' ?• - • A Building Permit is issued to: '?'. ? LLEk on the express condition that all work shall be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Building OfficialT ' OFFICE USE ONLY On Ske Sewage Occupancy "j MWCC System X Zoning On Site Well (Actual) Const Vn Ciry Water t (Allowable) Vn PRV Required # of Stories Booster Pump Length Depth 7L' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 656'00 Planner Surcharge 62.50 Council Plan Review 3213 • 04 BIdg.Off. SAC.City 100•00 Variance SAC,MWCC 550.04 Water Conn. 5 5e. - 00 Water Meter ?? ? •'?? Road Unit 1 •? Treatment P1 Z(1t+.00 Parks TOTAL ' 2,$42• 50i W RD Receipt Est.Value s 12 5, 000 Date JUNE 1;, ,19 L13 ? CITY OF EAGAN ' "• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHON E: 454-$100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 ? Site Address Lot Block Sec/Sub. Parcel No. ¢ Name W 3 Address ° City Phone ` °` Name 0 ? i Address ?°C- City Phone ? r? "W Name W y? ? Address . ?ZWCity Phone ? 1 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 to: on the express condition that all work shall be done in accordance with all applicable State of Minnesofa Sfatutes and City of Eagan Ordinances. Building Official ' On SRe Sewege Occupancy MWCC Syatem Zoning On Site Well (ACtual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length ` D6pth ' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ' - Permit No. Parmft Holdsr Date Telephone 7f Plumbing P-2 i H.v.ac. DZ?q/ Electric Softener Inspection Dats Insp. COmme11t8 Footings I Footings II Foundation ?AO )?V Framing ? Roofing Rough Plbg. Rough Htg. Isul. V7i ? Fireplace 8 Final Htg. ?/?. ,%? Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CONTRACT PRlCE: PERMIT # _ PLUMBING PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 SiteAd(Ar,ess 'z 07 Golden 'rieadvw Dr LotBlockSec/Sub ? ? Name 2;am 8on Plumbin ? ?o 12201 Mckg Rina Address c City vt kR Phone - 2 Name lEOrre `Siller c Address 845 Courtland 0 City AnnIP Va1leyPhone 431-4n35 FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMAA/IND FEE - $20.00 STATE SURCHARGE PER PERAi11T - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SI9NATURE'OF PERMITTEE OF EAGAN ... BLDG. TYPE? WORK DESCRIPTION , ? Res. Y New Mult. Add-on Comm. Repair Other , RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Nfl, FIXTURES ?Water Closet - $3.00 TOTAL $ Bath Tubs - $3.00 ! - _,?,-=Lava ory - $ . .. _ _Q?__Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?-Laundry Tray - $3.00 _ -' TFloor Drains - $1.50 ?Water Heater - $1 50 ' Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 ` ? (MINIMUM - 1 PER PERMIT) Softener - $5 00 Well - $10.00 Private Disp. - $10.00 u R h O enin s $1 50 p g . oug - FEE: t ? 3 00 ' c STATE S/C: GRAND TOTAL: -? `'• ' L' ' PERMIT # , ' . MECHANICAL PERMIT RECEIPT # --Y-- CITY OF EAGAN 383 P 0 ILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address Z Lot_? ,81ock 7,77 ` ! • Sec/Sub - ? ? -' ' gLpG, npE WORK DESCRIPTION ? ? Res New ? m Name ,. • Mult Add-on Comm R i ? Address . epa r c CitY ?- Phone Other . . . - ? - - - - - - - , _ . Name FEES RES HVAC ? . 0-100 M BTU - $24.00 Address ADDITIONAL 50 M BTU - fi pp 3 , O C?tY Phone (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA, TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air BTU -? ?i• ; }' APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPL.IES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. V??M BTU MINIMUM COMMERCIAL FEE - 20.00 : vc>nt STATE SURCHARGE PER PERMIT •.. - _50 Oth@r - - F? ? ,- FEE: S/C: SIG ATURE'OF PERMITTEE TOTAL• ' ?? . FOR: CITY OF EAGAN ? C1TY OF EAGAN Permit No: 982; '-28-8$ ? 3t30 Pi1ot Knob Road Date: ? Meter No> !S?O ?I ?OI 7 Size: P.O. Box 21199 Reader No: 3 5-7 ? Eagan, MN 55121 Date: ?? ? ? Sil@Addf2S5:_ 2117 ('.n1c lc+n MP.ad[OW ='C1c23 L3 131 uillp II Plumber._ T1 ?-m-QOn P7 „mhirr Conn. Chg Zoning: ACCC Dep: 15 No. of Units: -! Permit Fee: ? n n ,i Surcharge: '' Tr. Plant I agree to comply with the City ol Eagan Meter. Ordinanc . Misc.:?RV ?t?411sf ,-., .. t ' ' WA ?-- - - - TER SERYICE PE IT _ .? CITY. OF EAGAN Permit No: 7 ° 2 `' Date: 3830 Pllot Knob Road Meter Nm SiZe: P.O. 8ax 21199 Reader No: Date: Eagan, MN 55121 . Site Address: Plumber._ Conn. Chg: s-g1 (S(y,,a Zoning: -? Acct. Dep: ] S nn, ,' No. ot Units: i Permit Fee: r ?t cz??D-1 Surcharge: 5?1n-t I agree io comply with the City o1 Eagan Tr. Plant Ordinances. Meter. A? ?nn: a ; CITY OF EAGAN Permit No: -101« Date: A - 3830 Pilot K ob Ro 1+ 7-?? Date: '•- 1 6-99 ad B/ P No: , ` P.O. Box 21199 Eagan, MN 55121 • ? ? (P? Owner 'ste 24111 er . Site Address: ? 7= ('ol ?? D'??dorr P,•, ^ i s.' -i :, ^ T I Plumber. ' ' nbt:rbi^.F` MWCC: `, `11 ,11) n 1! ' Zoning• City Chg: 100•0' ) "? No. of Units: - Acct. Dep: ? 5 • ???"? I agree to comply with Ihe City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By • • CASH RECEIPT • CITY OF EAGAN '3830 PILOT KNOB ROAD EAGAN, OTA55122 DATE ? 19 r?csrvEo FqqA AMOUNT $ & DOLLARS ? CASH Q-C ECf? K <) J?7 FUND OBJECT BUNT ') ?7- I - ] O ? Thank You C:1? ay N° 86048 ??? '?? PY - Pink-File Copy BLDG. PERMIT IJaIi ? 01-3210 Bldg. Permit 01-3422 Plan Check ? ? 07-3445 Surch./Adm. ? 01-3446 SAC/Adm. 01-2155 Surcharge ? 75-3860 Road Unit 20-2275 SAC r 3 20-3865 water conn. 20-3868 Water Trmt. Il LJ 20-3716 Water Meter 20-2252 Acct. Dep. ? 20-3713 Water Permit ? 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. ?2 7 TOTAL %?- ', . CITY OF EAGAN . N2 15211 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 p q -7220 BUILDING PERMIT . PHONE: 454-8100 Receipt u U Tobeusedfor SF DWG/GAR Est.Value $125,000 Date JIiNE 16 1988 Site Address $07 GOLDEN MEADOW RD Lot 3 Block Parcel 1 Sec/Sub. KING 2ND ADD a Name JEFF CARLSON I z Address 1127 KINGSLEY CIR SO ° Ciry MENOTA HTS phone 456-9600 ,o Name GEORGE MILLER 0 a Address 845 CORTLAND DR ` City A.V. Phone 431-4635 U. Name QUALITY DESIGN INC I w i? Address 969 SIB MEM HWY aw City MENDOTA HTBhone 651-9374 I hereby acknowledge that I have read this application and state [hat ihe inbrmation is wrrect and agree to co ply ith all appli able Sta[e of Minnesota Statutes and City of Eaga rdSignature of Permittee ' !A Building Permit is issued to GE MILLER on the express condition that ell wo}k shall6e done in accordance with all applicable Slate of Minneso M Statutes and C^ty of Eagan Ordinances. Building Official_c- > OFFICE USE ONLY R3 On Site Sewage - Occupancy MWGC System X Zoning Rl On Site Well _ (Actuap Const Vn CityWa[er X (Allowable) Vn PRV Required X # of Stories Booster Pump _ Length 51 Depth 70 S.F. 7otal Footprint S.F. APPROVALS FEES $ 656.00 Engr./ASSess. Permit Planner Surcharge 62.50 Council Plan Review 328.00 Bldg. Off. SAC, City 100.00 Variance SAC,MWCC 5$0.00 Water Conn. 550.00 Waier Meter 67.00 Road Unit --3 2.`J?00 TreatmentPl 904_n0 Parks TOTAL pZ H42.50 903s ' 2005 RESIDENTIAL BUII,DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 "P?7oe00 New ConsW ction RequiremeNS RemodelrReoalr ReauiremeMS Office Use Onlv 3 registered site surveys showirg sq. ft of lot, sq. fl. of house; and all roofed a2as 2 cop'res of plan CeR of Survey Recd _ Y_ N (20% maximum btcove2ge allowed) 1 set of Energy Calala0ons for heated additions TieePres Plan Recd _Y _ N, 2 copies of plan showing beam & window s@es; poured found design, etc. 1 sfle survey for addflions & decks Tree Pres Required .-` _ Y_ N 7 sel of Energy Calculal'rons Addition • irMicete ifao-sde septic sysfem On4ile Seplic 5ystem '_ Y_ N 3 copies of T2e Preservation Plan if lot pl2tted after 717/93 Rim Joist Detail Options selection sheet (buildings with 3 or less unlts) Date r6, A?}C?/ Q Z os t l??S O-- nstruction C C o SiteAddress ?J J n _ ? y?" " ? I 11v1L;tS?X? K[_3l • UnidSte # Description of Work -Kn n l(a CDU LX?) M ?S 6AIK1 a_JXtS"?? CQ:k?? N,tQ Multi-Family Bidg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) The Home Depot A.H.S. Inc. Contractor _ 3200 Cobb Galleria Pkwy. nadress Atlanta, GA 30339 City State 763-542-8826 Telephone # ( ) License #20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category , Residenlial Venlilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building 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 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 accordance with the app4vedin the case of work whih requap rovalflans. Zje_? ? c.?c c?. ?-e.+n s o?n Applicant's Printed Name Signature • Installed Siding and Windows LIMITED POWER OF ATTORNEY COiJNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of F2MA Home Services, Inc., DBA Home Depot Installed Sa1es loca±ed at 660 Mendelssoh.n Avenue North, Cmle!en S7alley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawfizl attorney-in-fact and do authorize and grant said attomey-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Poweraf .Attorn.ey are limited solely to the express powers delineated herein and apply solely to the Work. This Limi'ed Power of Attomey shall expire and automatically be revoked on the 21 st day of May, 2064, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at airy time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. 1N WITNESS WEIEREOF this Limited Power of_qrrorney is e.lecurted thi5 21 st day of May, 2003 David . Katz \Ij S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. 1? ?-6P -.t+ ? C) Notary P ic in for the State o JfY'eorgia n4y Commission Expires: January 21, 2006 3968I6.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT c00•' 5?;E-SIDtNTIAL PLUMBING PERMIT APPLICATION ClTY OF EAGAN 38':0 P:Lll"; hyQ3 E20AD, EAGAN MN 55122 G51-675-5675 Please complete for rnodificatior,s to E:>rIsting residential dwellings. _ - 09 ?--. ? SUKHUN CHARLENE Date , 807 GOLDEN MEADOW ROAD Site Street Address EAGAN, MN 55123 Unit # --------J (651) 405-1412 ' Property Owner ? I elephone # ( ) - - NORBU ? Contrector(61?) 827•-4033 relephone# ( ) Aaaress_ 2905 GARFIFLQ .AVEo eclO. City state zip ? ? The Applicant is: _ Owner ? Contractor _Other i Alterations to 2Kisting dwelling $ 50.00 _Add fixtu.res ±o roorns, excluding water softener and water heatar i _Septic Svctem Abandonment i _Water-I'urnaround (add $121.00 f a:i,'D meter is required) _Other. - I - _ Water Softener ? Water Heater $ 15.00 i X replacement -- -- additional - Lawn Irrigation System - RPZ_ new _ repair _rebuild - $ 30.00 State Surcharge - --- $ 50 i Total _?_ _ -- $ 15". S? ? ? I hereby apply for a Residential Piumbing Permit and accurate; that the work will ba in confor Eagan and the piumbing codes; fhat I ur.d permit, work is not !e start witheut ? per ' I the event a pfan is reG:ltfP,CI t0 bP.. rE'vie, 'd a? ApplicanYs Printed Nc!me g45 acknowledge that the information is complete n the ordinances and codes of the City of not a permit, but only an application for a s? in accordance with the approved plan in Signature ' 1988 BQIL'DING FERMIT APPLICATZON - CITY OF EAGAN SINGLE FAMILY DWELLINGS e s 4a INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED, NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI•PIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS? 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS Jl1 N To Be Used For: SFD G49,, Valuation: t 25?p O a '?- Date: Site Address i?b 7 GoldcK e ? OFFICE USE Lot -3 Block _L Parcel/Sub a J _ AtT'1d i f"cJ OwriEi` __ 1P? JC a r?s o? 4F,+6 4.U Address //? 7 sly jf?'i rc% S, City/Zip Code MeK,1o4a On site sewage_ Oceupancy -3 M-1 MWCC system _je? Zoning f2 -I On site well Actual Const V- N City water Allowable v-N PAV required _ lk of stories Booster Pump _ Length Sf ? Depth ?D' S.F. Total Footprint S.F. Phone ?S6-9606 APPROVALS Contraetor 64:-v ? }441 11Cv Engr/Assess / Planner Address Council Bldg. Off. City/Zip Code Varianee Phone 5/G 3 f Areh./Engr. Address cityiziP coae lire-R &t¢ /-,< fs s-s // Phone U i? ? / ^ / 3 7 Y FEES Permit ( , o 0 Surcharge 62.So Plan Review 3 2+(.00 3 SAC, City loo, oo SAC, MWCC 55117,00 Water Conn Ssb, o 0 Water Meter ,oo Road Unit 37.,i. oo Treatment P1 yo y,ou Parks Copies TOTAL ? B ? V'`AL U A-j-jw1 ? - GA/Q,4vE . XZU = S?6 kt?l = ?Gy ' 51 K?y = Ir?3y -- /BsW x 1?3' ZyloZ. I-l o u,s F BSm-\ --? t&514 7 xL - iy r ? $ vy Iv"]? X 41:. ? 19z4 „_-?- tZyo?v .. _ ?? N o c- G?u 9?Fq,j ? ?w4, .? ? .... ? 1 i r LWU w89°58? lS 1s t U?`?t ?ay?M r ?. ? 9Q 0 00 N? 2 ??i} T? r 1 N? ? I ? I sA I ?M I n XI J ? ?,,,n 9'+ I 1 I ? I JS 0 ? qti^, 1 ? h . w? ? ? .-'_ DES?R:IPT?cN \9 -Lo7-73 F. _BCOe.Y-. _ i, Ki hi 4. S EGO N D -AD01T?oi.1 Tc EA4Aalj N Q b4V-c'YA cau.i,"rY? ~ . MiN?.lE9oTA_.. Z Aff ??VE? F?y Da e EAGAN I @ ? ? I?Ro?oScc uOvSE ot ? ry ?.0 , ? 999.? F? m ? ) . ? ` O r,?. 5730??0 94S,o5 3,?? pG°3eMo n q ?- DEF7' WRED R 93S•33 °,4D _ ?toR.TH ?c.qI? 8 i" = 30' ALL 6E4(LlM4S aS?UMED o06WOTE?. IR.eM. MohIUMENT I hereby certify that this survey was prepared by me or under my direct supervision and that I am.a duly Registered Land Surveyor under the laws of the State•of Minnesota. Date: Ofaf i2, rSoG LeRoy H. 13ohlen Registered Land Surveyor No. 10795 APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ity oF eagcsn . . t NpfE: PAYPffS7f OF FEE AT 7'IME OF : ; nMacaTTaa ooES exm coN- ; • SI'IN1E APPROVAL OF PER6IIT. ? f TNSPECPICN OF SDM ADD/CR hW7IIt i. ? rNSrrLuTTaNS wUi N(Yr Be .scEoUi.m ? ? ONPIL Pf]tPffT HAS BE@1 AYPROVID. •f?fr+?++?tt?frii:?<t?a++i+ae?>++aat?tw 1) PROPERTY ADDRFSS: - ?L7 f lV9+e4U,)( 11'r2Q&W&2 T,FYiAT• DFSCRIPTION; . . . . . . .. . . . . . . . . . . . . . . . . . I'. Lot B oc S vision or Tax Parcel ID ) IF EXISTING STRCY,"PORE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbnt Year PRESEPPf ZONING/PROPOSID OSE: y? Q CONMERCIAL/RETAIL/OFFICE ? JCJ R-1 SINGLE FAMILY r? Q INDL?STRIAL ? R-2 DUPLEX (TWO L'nits) a INSTITUTIONAL/G(7VERAIINENT Q R-3 TOWNHOLSE (Three.+;Dnits) ( Lnits) Q R-4 APARTMENP/CODIDOAIINIUM ( L'nits) Z) NAr'lE: G'ISS?'i NW -VX+'NaNNIW ADDRESS: . 4A18 tl71N013NNIW lOR? CITY, STATE, 2IP: .... I PHONE: :"Pm1b1RER, ADDRESS: -??p? Aq?NNETONKA BLVO . CITY, STATE, ZIP: MINNETONKA, MN T0533 PHONE: CJ '01:?MASTII2 LICENSE # rlimwers License: ? Active Expired Not recordec Sta Initia 4) ADDRESS: CITY, STATE, ZIP: PHONE: 5) b) 0, aW 01• •ao i a?e ? CONNECTION TO CITY SEWER ? CONNFCPION TO CITY WATII2 ? OTHER 6) _ Wrt - ****?*:r************?+***?*******?e***??*?«**+**?*****??****?*,r?*******??*??***,r*,r**??.??**??********? * THE GOID COPY OF 'lYIE PERNIIT WIIS, BE SIIJt DIREGTLY TO PU9LIC WORKS RU FACILITATE ME1ER PIQt-UP. ? * PLEASE ALTAW 'IM WORKING DAYS FOR PROCFSSIAIG. SOMEONE FROM THE CITY WILL CONPACP YOU IF'7RERE ? * ARE ANY PROBLENIS. + ?****?****:r**********+******+*,r*****???*****+*****r,***r?*****+,r?*****+*+?+?*:***?**???+********?*??; , i; FOR -CITY USE ONLY - PERMIT # TSSUED I I Pd w/Bldg. Permit $ S S C?7 OG $ $ S S $ ?,S G .rro S $ $ $ $ s $ $ R .CEIPT , FEES: $ ?C? • 5'Z? S $ $ $ /S rG G $ 57, S S $ $ $ $ $ $ RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SDRCHARGE) WATER METER/COPPERHORN/OOTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCODNT DEPOSIT - WATER wAc sAc - ?_.:.>. .. _. _.." .. . . TRUNK WATER ASSESSMENT TRLNK SEWER ASSESSMENT LATERAL BENEF,IT/TRLNK SEWER . : ? ?lnM'MI LATERAL BENEEITYWLNK WATER WATER TREATMENT PLANT SORCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: •• 1? CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION 06ftiER: ?/r 1?7 L- Gc Sau- , , SITE ADDRESS: F6 71 / _! / _ ?: , c= ? ?-? ???t .---r?.? : ? ?? COBTRACTOR: ZWi ??t ? ?- DAT£: ?;;--`PHONE: _ ` ? l /8- 9ss 8 Determine working square footage of each: 1. Total exposed wall area ... _ 2 Z Z,3 sq, ft. x.11 =2- 5 Z1 2. Total roof/ceiling area ... 1731-1 sq. ft. x.026 - ?Z9 Total exposed wall area above floor - l?/ ........... a. Total wall Nindow area ........,....... n. `?' 3 b. Total door area ................................... c. Total sliding glass area .......................... d. Total fireplace wall area .......... ..... e. Total wall framing area (average 10%).??.?'.?f:..... f. Total net wall area above floor/!i?: 3............ g. Total rim joist area .............................. 2 2- Total exposed foundation area - //0 h. Total foundation window area ....................... ? i. Total net foundation area above grade.!? .?:;?.... /f 6 Determine 'U' value of each wall segment: a, x 'U' b , x ' U' c. x 'U' d. x 'U' r? 1/ e , x ' U' f. x' U' D 5--- g. x 'U' , r'7_3? h. x ' U' rA?) i x ' U' ,. 3 . .................................................... Tota1\j If item 1!3 is the same as or less than item flt, you have met EFre-itrt-ent-Sf"-SBC 6006(c)2. Total exposed roof/ceiling area j. Total skylight area ............................... k. Total roof/ceiling fcaming area (average 10%) ..... 1. Total net insulated roof/cEiling area .............. p? _// OVER Determine 'U' value for each roof/ceiling segment: j• ? X 'u' k. 0 X IUI ? X u, . ? p 4 . ...................................................... Total = ( p ? If total of #4 is the same as or less than 112, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items U3 and 114 shall not be greater than the sum of Items p1 and Il2. 1. + 2. 3. + 4. 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies r-.R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. GUICELIUE TO (a) Fncroas reon fsim;,c 'iv,uunt _ or Tr riu,LLr usco rr.ouucrs . (R) (R) Interior Air film (tralls) 078 Gypsvm or v145ter board 3/8" 032 faterlor pir Flim (ualls) 0.11 Gypsum or ylascer board 1/2" 0.55 lntcrlor fir Fitm (Vcnced Ceilinn) 0.41 Gypsam or plasccr board 5/8" 0.56 Et[rrior Air il'lm (Ven[ed Ccilin9) 0.61 PlywooA 3/8" 0.47 Inlcrlor Air Filn (flen Ycnled) 0.61 Plyvood 1/2" 0.62 Exterior Air Film (Hou vcnted) 0.17 Vly..ood 7/4" 0,93 Sheathinq, reg. densf[y 1/2" 1.32 AIumInum Sidinq 0.61 Sheathin9, reg, densiry 25/32" 2.06 dl.minum wi[h Baeker 1.02 Nall-hase she:.[hing I/2" 1,14 ' Aluminum with Backcr 6 Foiled 2.96 . 1/2 x 8 Wp 5idinn (Itooa) . 0.81 Bui1[-un RooFs 0.33 -- 7/16 x 12 iiarEboare Sidinq 0.67 Asbescos-cement shinqk s 0.21 ' ' - /•sbeztas SiAinns 1/4 lapDed 0.21 Aiphalt roll toofinq 0.15 - ' ' Stacco (6ro.m and Finisn Loat) --• Aspahli Shingles 0.44 3%4" Wood Sobfloor or Sheathing 0.94 Insulation: 2-2 3/4^ Fiberolass 7.00 1/2" Plywoa0 '..hcathin9 0.62 Insulation: 3 V2^ Fiber9less ir.oo .- 1/2" Parciclc tlwrd 0.66 Insulatian: b^ Flberglass 19.00 MU005: . flLOVlllf. IJOOLS ' . . . . ilr, pinc L slmilar zafi tfaotlz 1 1/2" 1.89 Approx. )' • 9•DO - 2 1/2" 3.12 APProx. 4 1/2" .. 13.00 - ; 1/2" 4.35 Avprox. 6 1/4" 19.00 S 1/2" 6.87 Apprax. 7 1/4" 24.00 ' Approz. 14•' ' 30.00 ' Approx. 18" 40.00 . ' A11 other insala[ion ma[eriais meSl 6e Fllled verifled (R Facmr) - - (R) Vermiculi[e (oncre[e elock (5 L G Rey.) 1.71 1.93 ' 12" Concreie Blaek (S L G Reg,) 1,29 3,15 8" light Vcight 2.18 5.03 . . . 12" Lignt Wel9ht 2.48 5.82 - ' - - we••+exsaan•:xnr-annsenean<e NOTE: (U) x Arca Square Fect All Lllndows (w/Starns I° Ia 4^ SPacc) . .SG Removol DouCle Glazing (0.DG) .$$ Thermo ar welded 3/16" air yp,,c .69 1/4" air space .65 - 1/2" air space .58 (OCher windows tpecifically tested.can ase 6etcer ratin9s) I 3/4 Solid corc door ,45 w/itorm, wood ,31 . w/s[orm. mepal ,25 _ Pease StcelOaor Ins1R:/GL 7.45R ,1; . Slldinq Glass Uoar, Nood ,6$ . Metal .715 ' . 1 _ _RooF j C`I??NG (Y) VAL (D lt1TE71* AiR F??? ?.? t O S1s' GYP ED. ? O t?suLA?ior? y? ? • OO EX jE?;?(? AlR FtLP1 .?' ? tSTiLL? ? -[oTAI (R)= (1z) tilAL[: QQ IC? 1?P-10l= AIR ?ll?'l . ?? G) '12" GYP." BD.' 1NSUL.ATIoN siz'' /7 qO ys/?it ?0l%7 ?JTc ? . ,Z , o G ? .kTR Ftul .. , i7 ToTRL (F') _ ;73 ? . - • ? CR) 1??aCu: i? IffcI'-lo / qif, FlUq' ? 2 F4tz Rtt?j .?p1s'[ [ , ?? 105 N- N,F;spr?ITE stojrG aIP- ftLM J.:7 ?,.l}l' = ? t?R=._:, l? . ToTPL (R)= 93,Y7 --_- _?o?NDATiot?? . . . ? OQ VFlLU= 1N 1E17IDV- a?rl- FtLri ? ? - ? C ?t ??` ? /,•a? {'?"X cv?I c. 71cJ l 'a EXjcP?lo2 AIR FILM nV?? _ ??CL= yj?, Ta-[P? (Cc?=/? ? ,? Floors ove; unhez[ed spaces must have mininunn R-factor of R-20 (tu¢l-under garages). E2oors ov,.r outdoor air (ovcrhangs) oust tiave a r.iinimum P.-factor of F-33. . CITY OF EAGAN • PIINIrNM "U" VALUE Ai\TD R-FACTOR AT ROOF, WALL, RIPI AND CO`CRETE BLOCf: - o d i 18 nnnths irom E 13404 ?3 / °= Raquest Oate ` ? _ ? FIre N. RouPh-in Insoer,tinn RequlreA? T yyy Nently Now?W?ll Nmify Insoec- or when F d ? es ?No ea y ?Licensed Electrical ConVactor I hareby repuest inspection of ebove ? Owner electrlcel work installad at - Street ddress. Boa or Route No. 0 ? tv /3'l?Do rc1 6dlto CitY ? f9? ec on o. wnship Name or No. HanBa No. Counl y ? /J p /? ?/14 Ocw nt (PNINTI Phm?e No. KQ Power Suoaher 141ecT,e?? Ad ?ess ? w'? u! N, ? Electr a ` Con[ractor ICOmpan Name7 - ?` - Contrar.tor's License No. v 7 fl??z Mailing dJress IConuactor or Owner Ma mg InstailatinM Avthori Si namre (Cont t O r kinp histallationl Ph n Nu m bof ? J C?Q ? MINNESOTp STATE BOAMD OF ELECTRICITY TNIS INSPECTION PEDUEST WILL NOT Griggs-MidwaY Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAHD 1821 Universitv Ave.. St. Pxul. MN 55104 UNLESS PHOPER INSPECTION FEE IS aa,.nann ENCLOSED. 9//E? REQUEST FOR ELECTRICAL INSPECTION , ea-ooooi-os See instructions lor completin9 this form on pxck of yellow copy. ), r E 1a4 Q(+ "X" BeJow Work Covered by Ihis Request " No%y AAd Nep. Type ot Hwlding Ap0liancna WiraE EquiVmeiit Wired Home Ranye Teinporary Service Duple.x Water Heater Liyhtinp Fiztures Apt. Building Dryer Electric Heabn Cominercial Bldy. Pumace Silu Unloader InAustrial Bldy. Air Conditioner Nulk Milk Tnnk Farm Otnr, oeci y niner iSUediv) i er Syccily, Otner Oin¢r Compute Inspecrion Fee 8elaw p Fee ServiceENrenceSiza H Fee Fexders/Subleeders F e Circuits D to 200 qm s 0 to 30 Am s 0 tn 30 Ames Above 200 qmps 31 to 100 qmps 31 to 700 qm s Swimming Pool Above 100-Amps Ahove 100-nmps Transformers Irrigation Booms PartiaLOther Fee Signs Special InspeCtion TOT 4 EF Nemarks ?'1 /vla a?. ` / Z ? f? T ?-'v c f - - ? flou8h-in ? ih - • ??? Inspactoq heroby certily thet the nbove 1 Final ?/? -nspection has baen maaa. ?ni.....no.t vnm Ix monthe tmm PERMIT City of Eagan Permit Type:Building Permit Number:EA118095 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 807 Golden Meadow Rd Lot:3 Block: 1 Addition: King 2 nd Addition To Eagan PID:10-41951-01-030 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 . Robert Palmer 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 - Jeffrey R Blair 807 Golden Meadow Rd Eagan MN 55123 Us Patio Systems Inc 218 N River Ridge Cir Burnsville MN 55337 (612) 366-4029 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use ~j,~ I Permit I I Y55o ; City of Ea a~ ; 105a5 E Permit Fee. 3830 Pilot Knob Road I ' I I Eagan MN 55122 Date Received: f `T r ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~-lUnit Name: ~Ir Phon/dpa( y /!Oq Resident/ , Leg /I L/ g0 7 6o/d k Owner Address /City /Zip: T Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: l r0 V0 Multi-Family Building: (Yes / No X ) Company: co),.67i'Gt..1 /(/►~1 /J1 C_ Contact: L ilGv✓ Contractor Address: "r / / w4t, w City: State: Zip: 55 30 Phone: License C 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 maybe 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.goaherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. ` 144'V1 x x 111"C~14 L(I App ant's Printed Na a Applicant Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144954 Date Issued:08/17/2017 Permit Category:ePermit Site Address: 807 Golden Meadow Rd Lot:3 Block: 1 Addition: King 2 nd Addition To Eagan PID:10-41951-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Jean Blair 807 Golden Meadow Rd Eagan MN 55123 (651) 398-2650 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature f , r For Office Use +` Permit#: /` . E AGA N Permit Fee: f ECEIVEDate Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5ij t'Ay``i y E? l 2r0 Staff: buildinuinspections(a�citvofeagan.com " �' 2020 RESIDENTIAL B( IIT APPLICATION Date: 05/06/2020site Address: 807 Golden Meadow Road, Eagan, 55123 Unit#: Name: Jean & Molly Sanon Phone: (612) 730-6680 Resident! 807 Golden Meadow Road, Eagan, 55123 Qyyner Address/City/Zip: g Applicant is: Owner � Contractor � � / 6� .4 Type of Work Description of work: Repair existing patio deck & bring it up to code Construction Cost $90000'00 Multi-Family Building:(Yes /No ✓ ) Company: Chad Miller Construction Inc. Contact: Chad T Miller Contractor Address: 1104 157th st. East city: Burnsville State: MN Zip: 55306 Phone: 612 419-3633Email: chadmillerconstructioninc@yahoo.com Lead Certificate#: NAT-10487-2 License#: BC626572 If the project is exempt from lead certification, please explain why: The House & deck were built after 1978 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: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.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 la . xChad T Miller Applicant's Printed Name Appl ant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) Exterior Alteration(Multi) _ Multi x Deck — Porch(Screen/Gazebo/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 XReplace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy Tom,- ( MCES System Plan Review Code Edition gO.9 p SAC Units (25%_ 100%_) Zoning SZ-1 City Water Census Code q34( Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction S 6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: X Footings(Deck) Final/C.O. Required Footings(Addition) X Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final )( Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ../\/F/S c' , Building Inspector RESIDENTIAL FEES bee t IR,e..045,ce*we ni- Base Fee *Muer- pcc vv.: 3.t\e.X F°� Surcharge Plan Review - MCES SAC r�1��S City SAC A-- a/O -52.. F' • Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 )g '-.--? C01616-011 6-x1DLD rd , / 4/ V1 -_____ _,..., y" / zie . . %..., .1.• I: ‘,. ..c,./ t,.,, ,-0 Ale f ,4',A, So,00 +,169.58`iS E _: J 1s p h !.• P1... q>: /� ov-a'a ems , N' �� Ill z w j i' pcMN Nt it r 0i LI 1- . l� `1. a ```-Ler-5 .6t.ac4C.. -I, v cd ~ ' '' hs. W T Y ,� ADbt[tou% To EA41kxli z PRo PSS@c y,J is N o batG.GT* co 4Jt{r 1 %,F.sr o fin.fit,.• ' Y- - a i A L:: t 1 h D I 1 sA. 9 .� I £AGAN ENG E 'EKING DEPT fx . 5,1il 1 ;11V; 1 Pi...I 1 ..... I P�F.V. RE - LIMED .t z 573opdo_ JS j*I%;,Y � . 3� ` 4e` 35"e .k'' c4L%V � 9 833 fa''` AL. Sealitu44 A4UMED 0 OEMDD1s j. IRAQ MOKUMEI4T I hereby certify that this survey was prepared by me or under my direct supervision and that I am.a duly Registered Land Surveyor under the laws of the State of Minnesota. Dates//•y 'p, ,cf ,IPfec',,,a y,.-. LeRoy H. Bohlen Registered Land Surveyor No. 10795