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 ? $
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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 -_____
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y" / zie
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f
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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