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852 Great Oaks Trr tfTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: !i PERMIT SUBTYPE: ;coRD PERMIT TYPE: Permit Number: Date Issued: tl .-t, .? i 4> 41;12 Afu4. I to 1 tIuWt '.. . i: A TYPE OF WORK: INSPECTION D, . .. f 1-11 aA t<r•?;" , x, a.i ri i ? L 6- oN MA I 7 fif !J r,nra rf'i ?. J-i f:I -? Permit No. Pertnit Holder Date Telephono 1 ELECTRIC oO(p ? C? d dL0^ ? 3 '/v PLUM ? HVAC ' .,-t? Inspection Date Inap. CommeMa FOOTINGS (3 3/95 ?? T FOUNO FRAMING A ROOFING ROUGH P UMBING PLBG AIR TEST ROUGH HEATINa / C3ES SVC `??'??a?„ / INSUL GYP BOARD FIREPLACE FIREPLACE AIF TEST FINAL PLBG FINAL HTG _ ` ORSAT TEST r ? rJ BLDG FINAL %?s S BSMT R.I. B5MT FINAL DECK FfG OECK FlNAL L L INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: " I 3830 Pilot Knob Road Permit Number. -''i J" ? Eagan, Minnesota 55122-1897 Date Issued: j (612) 681-4675 ' SITE ADDRESS: ' ' r? I " ?' 0 " 1 ' `'' `' + APPLICANT' • ? fii I. i`l f;i A1 Ilnf fFr 4<N1 i: 1 141 1 61RkAt tlAt'. (r.,l.') b33 - 10 4.' ?d I PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION DA • D• I I i ? I I - *? Pertnit No. Permft 14o1dK Qate T•lephone # ELECTRIC PLUMBING HVAC Inspectlon Data irmp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP80ARD FIREPLACE //`-"r''v / 5-- FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTO DECK FINAL ? IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: `(612) 681-4675 10 SITE ADDRESS: , „, . ? ? •, ,; i ,,, ?, _ , APPLICANT: tl ( illiri, l5 ? :,kFAi uAk"; PERMIT SUBTYPE: . . +? : . I ,.1 , 'Al TYPE OF WORK: i ft R n 1 I rI N INSPECTION .. • DA , E f f MA1'? '. : F L .? SFPARRTV I'FF2Ni1'i F?F:QUiR1=U f0 R P IUMEtIFlri (IFt F 1I-l:l'f'fC'A1 41ilFill" ? _J Permk No. Pertnk Holdar Dete Telephone t ELECTRIC O F. 9 /'g 419 ' ? PLUMBING HVAC inapactlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINO PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FINAL PLBO FINAL HTG OFiSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK Ff(3 DECK FINAL g J( REQUEST FOR ELECTRICAL INSPECTION ?7 ??.I ? See instmctions for compleling ihls form on back at yelloov copY. ?t? 1\ o 1 979 "X" Below Work Covered by This Request ?<??• Nev AaJ Rep: Type of Building A pliances Wired Equipmenf Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management ? Comm./Indusirial Fwnace Other(Specity) Farm Air Conditioner Olner (specity) Contratlor's Aemarks' Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps Above 100 -Am s SignS inspecmr s Use Oniy: TOTAL ?. Irrigation Booms '? ?00 /l J0 Special Inspection Alarm/Communication THIS INSTALLATtON MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-m oare certify that the above inspection has been made. Finai oaie OFFIGE USE ONLY This request void 18 months twm 3,c?s/yS 0 061 979 1 S?c?O Requasl Oale Flre N. ough-In Inspecllon Required Inspeqion Other Than Rough-In (VOU must call inspectar when raetly) ] E) Reatly Now [-] Will Notify Inspector L Yag ? No pate Read IXlicensed contractor ?owner hereby request inspection of above electrical work at: Job Atltlress (Streel, Box /or?RoWe No.) p ` Clry ?.z l?eE/I-i- ?/frcS O. 0 /3r, i3N Section No. Touvnsmp Name or No. Ranqe No. Coun /JKv Occ n?l RINTI Phone No. c ??or omrS Powar ppller Atltlress ?x o 779, /y2in /.,y c? rD,v Eleclncal Conlractor (Company Name) ConVaclors License No. PiiASE ELECTRIC INC. CA 01432 Mailing Adtlress (Cnnvamne or Owner Meking Installetlon) Aulhori etl / ner Making Instzllalion) j ,QiJZR'o.0 ne Num 9634MHB MINNESOTA STATE BOARD OF ELECTRIdTY II nn II THIS INSPECTION REQUEST WILL NOT Gdggs-Mitlway Bldg. - Room 5428 I G III I II I I I YI I II BE ACCEPTED BV THE STATE BOARD 1821 University Ave.. SL Paul, MN SStpO UNLESS PROPER INSPECTION FEE IS PhoneJ612)642-0800 ENCLOSED. 5??/d5 .EDUIEST'FOR E PEC9 RICALanWSPECTdION ?? ee-ooooi-os c? 0 Q ?,7 ?.._.3 4 7 "X" Below Work Cc•refied by This Request Nem AGb Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Dupiex Water Heater Electric Heating ApL Builtling Dryer Load Managemenf Comm.Andustrial Furnace Other (Speci ) Farm Air Contlitioner Olher (specity) Confrecror's Remarks'. Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps " 0 to 100 Amps pei', Transiormers Above 200 Amps Above 100 -Amps SIgOS Inspemor's Use Only: TOTAL Irrigation Booms ? Special Inspection Q ' Alarm/Communication THIS INSTALLATION MAV 0 D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby cetlif th t th b i i Ro??qn ?o , oaro ?.? _?, y a e a ove nspect on has been made. F?nai I OFFICE USE ONIV ', This request voitl 1a monihs hom 'I , 5111105 ,,p , ,?/O ffG 0 o 6 2 :? 47 0,C19. /3/ J?.?.#? 1Oa.L (1ho °v Fequest Da e C ?y Fire No. RoL yh- n Insper.tion Require Inspection Other Than Rougn-in (Vou must call inspector when reatly) ? Reatly Now ? Will Nolify Inspeclor d?2 / J ? Yes ? No Date Ready IDC licensed contractor ?owner hereby request inspection of above electrical work aC I Job Address (SVae? x or Route No.) S 5 ? ? T ? City ' ? ,i r ,qKs / N Sectlon No. Township Name or Na Ranqe No. Counry? I Ocmp t(P INT) !? k' Phone No. -7-1513 ? ?, ,- • Power Supplier qddre s s . ?K tl !?4 ?L?-C•.T?= / C / - "/ Elntraztm (COmpany Nnme) ConUactor's License No. M= -cre.? 1N -4A3Z I Mailing dtlress (CjOJ acror or Ownar fdaking Irelallation7 ; ' •?: /?cqx .2YU6lo/ ? ll'r i?la l//3ctdy 5. F Aulhodz Ignature (CpnVactodOwner Meking Insuallallon) Phone Number I-53 6y?? MINNESOTA STATE BOAPD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT GrIggs-Midway Bltlg. - Room 5428 1111111111111111111111111 BE ACCEPTED BV THE STATE BOPRO 1821 Ilniversiry Ave., SL Paul, MN 55109 UNLE55 PFOPEfl INSPECTION FEE IS Phone (612) 662-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ?'yer?'4 eg???i-og 01f,' ScE inslmctions for completing this brm on back oi yellow copy. lJ 064 074 "X" BelowitWork Covered by This Request Ne% Add Rep. Type of Building Applianoes Wired Equipment Wired Home ange Temporary Service ? Duplex ater Neater Electric Heating Apt. Building l ryer Load Management Comm./Industrial urnace x Other (Specif ) Farm Conditioner Air Omer(specityJ Coniractor'sPamxrkcE'»?j-?ygf FLL///,Q/s'SCL?T L,/!c/fT/nFi /I/ .?oeur?e LE?c? Y .eoo.?r Tv Re- C-IsS. Compute Mspection Fee Below: ?is%r<y /iv 1.v,2? f-o? F,.P6 P?Cc ?# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100-Amps Signs insPectors use onry: -? OTAL Irrigation Booms %f 50 ?D Special Inspeciion ' Alarm/Communication THIS INSTALLATION MAY 8E OR SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elechical Inspector, hereby certify that the above inspection has been made. Ro.gi,;n F'"ai //- r ,; / , / J? Date 5a. • •7?,f? ." ?c OFPICE USE ONIV TM1is reqvest vaiC i8 monihs trnm /- 9/rs/r5 0 064 074 8 LIq ler AOn'? li Requesl Dale p Flre No_ ou -In Inspeotion Requiretl Ins aCtlon OtherThan Rough-In (VOO must call Inspedor when ready) qaedy Now 0 WIII NOtHy InepB0t0Y /?? Q S ves - ? No oate Feaay I?licensed contractor ?owner hereby request inspection of above electrical work at: Job Atltlrass (Slreet Box or Route No.) ? -?' Ciry .PE./ts N Section No. Township Name or No. Fange No. Count TlJ Occu/p,as+ I?INIHJ/ K?»• ?LG? ?Yia?fS- Phone No. ??????1? Power Supplier Atltlrasa k'UTW -L'eCT,E'iG :Pd//>roGe7N EIecK Conrrador(COmpany Name) Contrector's License No. .*?/??< ??C'???S? ?/?C ? ??1c7 ? Ma?ilin Address ( ttaclor or Owner Making Ingtslletlon) . // G L??? %Yr1eU?? AWho"i Slynamre fCOntractor/Owner Meking Installation) Phona Number Ge 99u Mve s?y Bldg. 8t ?Pau ?MNB 5104 1CITY T II II?II ? II IIII, gN ESS PROP EP NSPECTIONBOERD 11 vnnne 16121 eaa-nnnn - N ?? Address 852 cRF-nr oaxs rnnn. Zip 5512 3 I.ot ' ' ' 19 Blk 1 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 7 S y'S Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded gass TraiUcurb damage Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the ouiside tawn faucet before freeze potential exists. Contaci engineering division at 6814645 before working in rightof-way or installing undergroundsprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy ? Sub GTAT OAKS PERMIT ` CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: esz LOT: GREAT P.I.N.: 10-30950-190-01 PERMIT TYPE: Permit Number: Date Issued: GREAT OAKS 7R 19 BLOCK: 1 OAKS DESCRIPTION: Buildiriq-,PermIt Type @'ui;lding:, Wb,rk Type t .. - ? _ . p:$.... BASEMENT FINISH AL7ERATION ; ...n .., .. ? R p ? 1} t t REM" r?SRATE PERhIITS REQUIRED FOR PLUMBING OR ELECTRICAI WORK !i FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: KOT HOMES, R A 7901 UPPER ApPLE VALLEY (612) 657-9519 - Applicant - S7. LIC 16879513 0001506 HAMLET CT MN 55124 OWNER: R A KOT HOMES 7901 UPPER APPLE VALLEY (612)687-9513 Mp y7s39 BUILDING 026251 09/07/95 HAMLET CT MN 55124 I hereby ecltnowledqe that T' have read this information is correct dnd agree to comply Statutes and CiCy of Eagan Ord3nances. L r 4A- "-5 APP ICANT/PERMITEE SIGNATURE app2ication and state that the with all applicable State of Mn. ? ? ISSUE BY: SI NATURE J CITY OF EAGAN 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) B 681-4675 ? 3 repistercd site surveys ? 2 copies of plan ? 2 copias of plsna (include 6eam & wlndow saea; poured fid. design; etc.) ? 2 sBe eurveys (exterlor add'Rions & dedcs) ? 1 energy calwlaGons ? 1 energy calculetions tor heated additions ? 3 copiss of tree pieservation plan 'rf lot platted eRer 7/1/93 required: _ Yes _ No DATE: gIIA-/qS CONSTRUCTION COST: 4;wo DESCRIPTION OF WORK: STREETADDRESS: ' 0 JS2 ??E?"T nb--? ?A1 L- ? LOT ? BLOCK ? SUBD./P.I.D. PROPERTY Name: ?•?• ? ? 1 N ?. Phone #: ?g 1- 9 S 13 OWNER rweT StreetAddress• --Ma' !4E? +4A'+"? GaJie?r City: ?Or(,t,j?:4 State: VKtJ Zip• SS? 24- CONTRACTOR Company: 5krly= A-----> ket??C-- Phone #: Street Address: License #- Ciry: State: Zip• ARCHITECTI Company: C24?6IC-;aIJ Phone M LU- '?S21 ENGINEER r Name: 1?¢dGt.t, L6-0Registration #• Street Address• City: ELCfAd State: Zip: Sewer & water licensed piumber: 1M eh1 ? t7AN I9?LS Penalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the inMis nd ree t o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECED'VE@ Certificates of Survey Received _ Yes _ No AUG 13 1995 ---------- ----- Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging c::aG 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE 0 31 New cz- ?43 Akerations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATIQN Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) _ Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. v7 y Depth Footprint sq. ft. SAC Code Census Bldg ? Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ /SBfl Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNU Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ? CITY OF EAGAN 3830 Pilot Knob Foad Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 852 GREAT OAKS TR LOT: 19 BLOCK: 1 6REAT OAKS P.I.N.: 10-30950-190-01 DESCRIPTION: FTREPLACE NEW coOO BUILDING 026240 08/15/95 l 9 ti E ? r j l { I (GAS) Buildinj!,,,Permit 7ype 6uilding Wor,k Type r ? `,. , .., t?<..;.. , .w....s? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: - FIRESIDE CORNER INC 2700 N FAIRVIEW ROSEVILLE MN (612) 633-1042 aPPiicant - sT. Lzc. OWNER: 16331042 0001068 R A KOT HOMES AVE 7901 UPPER HAMLET CT 55113 APPLE VALLEY MN 55124 (612)687-9513 ? I hereby acknawledge that I have read this application and state that the information is correcC and agree to comply' with a7.} applicabl# SCate nf Mn. Statutes and Ci`ty of Eagan Ordinanctis. APPLICAN7/PERMITEE SIGNATURE PERMIT ISSUED BY: IG 7URE . I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 IL140 1995 FIREPLACE PERMIT APPLICA 681-4675 DATE: V/1/z V OTHER: DESCRIPTION OF WORK: - INSTALL NEW FIREPLACE: WOO BURNING - ini E.rrsr?1v?,??n? INSTALL GAS LOG ONLY IN EXISTING IREPLACE _ INSTALL GA5 LINE ONLY IN EXISTING AREA TO BE INSTALLED IN: JTIZCCT AVURCSJ. v ? LOT IQ BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER I hereby acknowledge that I have read this application and state that comply with all applicable State of Minnesota Statutes and City of E PROPERTY Name: OWNER FIREPLACE INSTALLER GAS LINE INSTALLER ;0? /T /s X' A?toT?s ZGAS information is correct and agree to 1 Ordinances. Signature: iIReT ??I-0 Phone #: ???- StreetAddress: ? 1-ij0)q5;C City: Company: !t- a)E State: ?vl?ci eo?/v&-?P, Zip: 63b'-33o/ Phone#: 63?-aslo/ Signature: Street Address: ?'70 d/(/O FA/,,Vl//E4//4'License #• 1191a P City:I S??/?//? State: ? ZipSS/{? Company: Name: Signature: Phone #' Street Address, City: State: Zip: ., C_ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 852 GREAT OAKS TR LOT: 19 BLOCK: 1 GREAT OAKS P.I.N.: 10-30950-190-01 BUILDTNG 025270 03/24/95 DESCRIPTION: Building`P_ermit Type SF DWG ,Building Wo•r-k Type NEW UBC tlccwpancy ;__ R-3 M-1 Construction 7ype V-N Zoning R-1 Building Larngth . 76 Building Width 60 Building stories 2 -S'qiFare Feet x .? 2,708 i b? ? t. t . " -';'... . _ . REMARKS: S& W PLBR - MATTHEW DANIELS PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % 5AC Units Subtotal $1.028.00 $668.20 $105.Sfd $850.00 10@ 1 $2,651.70 $211,000 MISCELLflNEOUS $1,892.50 Total Fee $4,544.20 CONTRACTOR: - qpplicant - ST. LIC. OWNER: KOT HOMES, R A 16879513 0001506 R A KOT HOMES 7901 UPPER HAMLET CT 7901 UPPER HAMLET CT APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 687-9513 (612)687-9513 I hereby acknawledge that I have read this app7.ication and state that the infiormation is correct and agree to cgmply with all applicable Stete of Mn. ? Statutes and City af Eagarl Ordinances. J APPLICANT/PEFMITEE SIGNATURE R.o1? .? rn?f 'ISSUED I51 UTURE CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (RESIDENTIAL) 1611995 681-4675 New ConsNuction Reauirements RemodeVReoair ReouiremeMs ? 3 registered site surveys ? 2 eopies of plan ? 2 copies of plans (inGude beam 8 window saes; poured fid. design; etc.) ? 2 ake surveys (euteHor addkions 8 dedcs) ? 7 energy celculetions ? 7 energy calculations for heated additions ? 3 copies of tree preservation plan iF IM platted after 7/7193 required: _ Yes _ No DATE: I`I c- CONSTRUCTION COST: I 8? DESCRIPTION OF WORK: -1W o STREET ADDRESS: ' '?= ? • LOT I i BLOCK I SUBD./P.I.D. #: Ar--S PROPERTY Name: ?T ? • b, • ?? 40AZS?,, i,-),Phone #: tc, E)l OWNER ""°' Street Address---M V?EZ R-P-^LE?: G EZ • City: State: Wl?" Zip: ?S 12 4 CONTRACTOR Company: AS A.6o\1E Phone #: Street Address: License #• City: State: Zip• ARCHITECT! Company: Phone #- -?SI 3 ENGINEER Name: C,)AP-00-j- Registration #• 5treet Address- ? Ciry: State: Zip: t)w.[3 i ri6( Sewer & water licensed plumber. Qpfm 1e'-s- ? penatty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that applicable State of Minnesota Statutes and City of Ea9an Ordinances. , OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Appiic YYes No _ Yes -,/-No and agree to wmply with all MAR 17 1995 OFFICE USE ONLY '` t ., ,.?na?. BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish k?-02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 5F Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous n 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE ?31 New 0 32 Addition 0 33 Alterations ? 36 Move ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ??-^/ Basement sq. ft. -7& MC/WS System ? (Allowable) 0-/,J Main level sq. ft. City Water UBC Occupancy 12 3 -l z u? sq. ft. G y?/ Fire Sprinklered Zoning 2-/ sq. ft. PRV # of Stories Z?B:MT sq. ft. Booster Pump Length sq. ft. Census Code. vi Depth bo. zt Footprint sq. ft. Z, 7o,0 SAC Code ei w? ?R e Census Bldg i Census Unit ? APPROVALS G 112- Planning Build ing Engineering Variance PermitFee Valuation: $ 7il?ioo0 v Surcharge i 5= s... Plan Review z.ZS x 1.7r License 73/ . MC/WS SAC Clhl $AC ?! x 53 = y"y' = ?3L Jby /, ?iti Kts = Water Conn. ` `l? - H??r 2?` 7x s Water Meter ' Acct. Deposit e, SMI PermR S/VI/ Surcharge 3•Lrx o,r = ZH 2?i r« ' Z g$ Treatment PI. sb7 X?b.s = > 2- 3a RoedUnit G X,s.s bi y.17. 13 > Park Ded. Treils Ded. zx 17- xsy Other Copies zN= F?.? --- - /J 2. 2f,? ?1.75 ° Z Z ?%/ aB0 TotaL• z x,s +v h zY ' z v - 2 `/o ' S/L % SAC ! m x 3 E 5-3t , Zy SAC Units - s? S3 69 ryppK Y - ? ? P.92 * R+10A6iFt * eno nawri ,k * * * Certificate of Survey for: 2422 Enterprise Drive Mendoto Heights, MN 55120 (612) 881"1914 FAX:681-9489 5• p'SL EN4111EFRS wiDSr.arc AnGbrecrs 625 Highwoy 10 N.E. Blolne, mN 55434 1 (612) 783-1880 FAX:783--1W3 R. A. KOT HOMES 652 GREAT OAKSTRAIL 14 ? ? 13 18 C" j ivC, S. c-f rt-liL 5 ?`* ? BENCH MARK 70P OF PIPE ELEV.=803. 2N a ? ? 2 y/ ( \ ? ti`' • ? 7 0?s6m ?-s. . ?oo 200? SE4qGE' ??• ? pnRq? NW =860.0 ?NT ?R p??TY / MNL=8640 ?AT 872.1 x87z.1 19 'vc874A J` 875. ?? ? Q $? ry -?Jx87a.3 J q? 4 X 876.0 / 6 , x 878.9 ?' ? .? c? ??'i•yf ? , 'V -,>,' ?O O/?C A F9? ? ?? ? U?PA? i r 87t?6??'?? / ? / 87117 ? i / / ?0 ? ?`ylE R0*874. v " o ahv. ? No 5? CP 8795 ELEC. ?7fl4 . PEO. \ C.B. '---BENCH MARK 7oP OF PIPE ELEV.= 879.98 PROPOSED GRRDES SHOWN FFR GRAUING PLAFI 8'f:---$Y! NOTE: BUI! bING DIMENCiDNS SHOW ARE POR NOP¢ONTAL ANO VERTICAL LOCATION OF SYRUCILIRES ONLY. SEE 0.FiCHITECTl1Al PLA.NS POR 9WLOiNG AND FOUNDA110N OIMENSIUNS. NO7E: CONTRACTOR MUST VERIFY DRIVEWAY OESIGN, N07E; MO SPEGfIC SOILS INVESTIGATION HAS BEEN COMPLEIED ON iHIS LOi BY THE SURVEYOR. 1HE SUIYARI4IN pF SOIIS i0 SUPFORT iNE $PECIFIC HWSE PROPOSED i5 N07 TNE RESFONSIOfLITr OF THE Sl1RbEYOR. x oaa.oo Denoles Existing Elevation ( aoa.oo ) Denotes Proposed Elevation Dennles brninoge & Ulllity Eas?ment DEnotes Orainage Flew Direction ---q- Denotes MonUment ---i}- Denote3 Offset Hub BY. ?lk ?y9 .`.55 LAGdtN REVIEbbEp 491-E ?? 16-WE D EAi=AN l;:i`dCU?1i;E:1i?G DEpf. THIS CERIIFICAIE DOES NOT PURPtlRt TO SHOW EASEA1ENi5 OiHER YMAN 7HOSE SHO"vVN ON niE RECORDEO PLAT. SCAIE : 1 INCH = 40 F'EET BEARINGS SHOW ARE ASS1N.ED PROPOSE HOU E FLEMAIION Lowest Floor Elevation: Top oi Blnck Etevation: ???•? Gorqge Slob Elevation: 363¢ WE HEREBY CERTiFY TO R. A. I<OT HOMES THn7 THIS IS A?RUE AND CORRECT REPRESENTAT10N OF A SURVEY OF TNE BOUNDARIES oF: LOT 19 , BLOCK 1, GREAT OAKS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROAChIMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECF Sl.1FERVISION THIS?97k1. QAY OF PdARCH, 1995?. ? ? P.A. IGNED?? PIUNEER E ??E?R1M', e . ? ? LOT BIIRVEY CHECICLIST FOR RESIDENTIAL Lu SIIZLDING BERMIT IIPPLSCATIOP7 PROP£RTY LEGAL: 9 4 < Data of Survep: ? ? _. DOCIIMENT BTANDA ns ?n 0 • Registered Lnnd Surveyor signature and company ? D 0 • Building Permit Applicant ?p 3 0 • Leqal description 0 0 • 1?8dress Y 0 0_ • North arrow and bar-ccale Li?D G • cplit v/o, split entry, House type (tambler walkout , , lookout, ete.) V D D • Directional drainage arrows with slope/qradient t. • Proposed/existing sewez and water services 0 • Street name J' D D • Driveway LLEVATIONS ?D 0 - Laistina Sewer service f? D 0 • Lot corners ? ? 0 • Top of curb at the driveway ? 3' II 0 • Elevations of any existing adjacent homes F?D D • proflosed Garage floor ? C) 0 • First floor ?YLI 0 • Lowest exposed elevation (walkout/window) 3? D 0 • Property corners 2,'?D 13 • Front anfl rear of hcme at the foundaticn PONDIN6 AREAS (if apolieable) 2"? W,'? n • Easement Iine . ? Y? ? • awi. 'J? 0 ,E1 • Pond ?f designation _? ? Q D • Emergency Overflow Elevation -?' D D • Lot lines ? 0 • Riqht-of-way and street width (to back of curb) ? ?J D 0 • Proposed home dimeasions includinq any proposed decks, overhangs qreater thari 21, porches, eto. (i.e. all ? stzucLures requiring permanent foot3ngs) D 0 • Show all easements of record nnd any City utilities within ? thoBe easements a D • Setbacks of proposed structure and setback af adjacent existing homes n D?0 • Retafning w 1 requirements, if any Reviewed:_ 1 // 7 /9 t? =?:.tober 1992 4 MH 16 HYDRANT ($$g-?. ) 887,15 i + 6 5 878.6 ? 36.8' ? o A MH ? -? 15 ss• T ?I 65 , ?.20 ? 175'W INT. OF & TRAILS END RD. I 60.5`- ".7Z PI C.0 . i 6,. _ 1? '. ? 19+33 879.0 65.8 JTO' '. 18+16 B,?ND C.O. 879.5 V? 19+00 39.5, 878.8 ? ? G R EAT 0* SERVICE NCTES 1. EXTEIvD SERVICES 15' INTO. PROPERTY 2. SEWER SERVICES TO BE 4" PVC 5DR' 26 3. WATER SERVICES TO BE 1" TYPE K COPPER B. M. 881. 15 ?oP 0F HYDRANT AT THE irl CITY QF EAGAN DOES riO"r (?UFSRA?J p"E^ OF THE CUL-DE-SAC pF '? EURACY OF UTILITX LCCATIO?'Ja R AtSiAff'?'?S. THIS D(:ii? 10 INFORNIATiON PURPOSES ,.- PpE?R?Sy,ONAS y U(?SING IT 9M0?'JlF; ? ?- -?,.- I IEF II ?'1i'':l P4I 1tJ Pd 0?d TNi JI q I L. ? . \ !. 7',.C' ? .? .\ ? 7(i54 0 1 ` \ \ ?^ 50.3" ? ? 37 . ? i O.il,? ,,. ? r T 1 \15 9' x \ 18. ? 54.6' 50.8' ? \ \ \ \ \\ \ 53.3' 17+1 883.4 \N6651-3' \ B ---? ? 16"x 16" TEE \ 16"x6" REDUCER 10' B.V. & BOX 6' G.V. & 60X 10"-1132 BEND 5 7. 3' ? 52.9' ?. ??/ . ? SE4VICE IVCTES 1 EXTEND SE,4ViCES ', 5' IN i 0 PROPLR-ly 2. SEW=.R SERVICES TC BE 4" PVC 5DR 26 3• WATER SERV!CES TO BE T`!PE K COPPER 8 ;v'. 881.15 T?° OF HYDRANT ,4T THE ctiD OF TNr ?UL-DE-SAC 0c:- G4EAT OAKS T,RA!L pHE eirv oF F _ THE ACCUI?AGY 0 DOES 14'?7'GUARAPdTFc AAlD I'?f? FLE?A7C61VS. ?rrLITY LOCATIO(VS ff?=???„a ,"ATrUfa PURf' Tlilg p:,ir? ?3 FOR 0 r?,ho G ir ` v o'11 MH- i& ? 7+60, 56',Ri. MH-15 878.6617+28, DrSiGN ? -8?878. 99 1.20? ? ?-- 5- gcp 220'-5" D!P CL 52 ___-- ? , 45' SOR 35 236' ' 0.40?P )9; ? SCR 35 ?$48% , !?V5'AL! WATER S7RV',,, ? I "? BE?OW SAN!TARY SEYVtR T ^ 1 ;NSTA' N ? B ?'? tNATER ,MAI?' I -- • ? ? - - , . i ? ? lObY SE'NcR ??rcVt?`? ? - . I I ?'`/ MH-13 MH-; 4 14+25, ? 14+95, q i?&? 885.33 $e8?06, i 5'R ? ? ?, i M ? A? 69'-g" P.,1C, , SDR 35 40.407 SOR 20 ?g ,. ? +i ? C r- cDi? ?? ?; EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION • OWNER R.A. KOT HOMES, INC. PLAN NO. SITE ADDRESS GREAT OAKS MODEL 4, LOT 19 CONTRACTOR_R.A. KOT HOMES, INC. DATE 9-0315-5 PHONE (over unheated enclosed areas) 4. Total floor cant. area 61 sq.ft. x 0.025 1.525 (over unheated exposed areas) DETERMIME WORKING SQUARE FOOTAGE 4967.27 1. Total exposed wall area 5031.59 sq.ft. x.11 553.4749 2. Total ioof/ceiling area 2102 sq.ft x.025 54.652 3. Total floor cant. area 264 sq.ft. x 0.05 13.2 5. Total exposed wall area above the floor. 4583.27 a. Total wall window area .................... 598.92 b. Total door area ........................... 55.6278 c. Total sliding glass door area ............. 53.36 d. Total fireplace area ...................... 0 e. Total wall framing area (ave. 10%)........ 458.327 f. Total net wall area above the floor....... 3417.035 g. Total rim joist area ...................... 384 TOTAL EXPOSED FOUNDATION AREA ................ 64.32 . h. Total foundation window area .............. 0 i. Total net foundation area ................. 64.32 9-0302-5 687-9513 Determine "U" value of each wall segment. a. 598.92 x "U" 0.5 = b. 55.6278 x "U" 0.06 = c. 53.36 x "U" 0.5 = d. 0 x "U" a = e. 458.327 x "U" 0.090334 = f. 3417.035 x "Ull 0.043215 = g. 384 x "U" 0.040683 = h. 0 x "U" 0.5 = i. 64.32 x "U" 0.076161 = 299.46 3.337668 26.68 0 41.40262 147.6679 15.62246 0 4.898705 6 . ......... .........................Total 539.0693 If item #6 is the same as or less than item #1 you have met the current energy codes. 2 MCAR 1.16008 A AND 0. TOTAL EXPOSED ROOF/CEILING AREA j. Total skylight area ....................... • k. Total flat roof/ceiling framing area...... 1. Total net flat roof/ceiling area.......... Determine ItU'l value for each roof/clg j. 0 x "U" 0 = k. 210.2 x "U" 0.025549 = 1. 1891.8 x "U" 0.021801 = 2102 0 210.2 1891.8 segment 0 5.370465 41.24264 7 ...................................Tota1 46.61311 • If item #7 is the same as or less than item #2 you have met the energy code. 2 MCAR 1.16008 A AND O. TOTAL FLOOR CANT. AREA (enclosed). 264 o. Total floor cant. framing area (ave. 10%). 26.4 p. Total net insulated floor/cant. area...... 237.6 Determine "U" value for each floor/cant. segment. 0. 26.4 x"U" 0.043879 = 1.158403 p• 237.6 x"U" 0.024254 = 5.762794 8 ...................................Tota1 6.921197 If item #8 is the same as or less than item #3 you have met the energy code. 2 MCAR 1.16008 A AND O. TOTAL FLOOR/CANT. AREA (exposed) 61 q. Total floor/cant. framing area (ave. 10%). 6.1 r. Total net insulated floor/cant. area...... 54.9 Determine "U" value for each floor/cant. segment. q• 6.1 x"U" 0.044346 = 0.27051 r. 54.9 x"U" 0.024396 = 1.339351 • 9 ...................................Total 1.609861 If item #9 is the same as or less than item #4 you have met the energy code. 2 MCAR 1.16008 A AND O. I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R" VALUES HEREIN AND THAT THE BUILDING HERE DESCRIBED MEETS OR EXCEEDS THE STATE OF MINNESOTA ENERGY CONSERVAT ACT. (signatur ) 3 (datb) ? DETERMINE "U" VALUES" THRU STUD WITH SIDING & S.R. Interior Air...... 68 0 • Sheet Rock........ . 0.45 Thermo-Break...... 0 Stud.............. 6.93 Sheathing......... 2.06 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value..... ....... 11.07 1/R = "U" Value..... ....... 0.090334 THRU INSULATION WITH SIDING & S.R. Interior Air...... 0.68 Sheet Rock........ 0.45 Thermo-Break...... 0 Insulation........ 19 Sheathing......... 2.06 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 23.14 1/R = "U" Value............ 0.043215 THRU CEILING MEMBER • Interior Air...... Sheet Rock........ Ceiling Member.... Insulation........ Still Air......... 4.68 0.58 4.35 32.92 0.61 Total "R" Value............ 39.14 1/R = "U" Value............ 0.025549 THRU CEILING INSULATION Interior Air...... 0.68 Sheet Rock........ 0.58 Insulation........ 44 Still Air......... 0.61 Total "R" Value............ 45.87 1/R = "U'l Value............ 0.021801 0 ? THRU CONCRETE BLOCK Interior Air...... 0.68 conc. Blk......... 1.28 Insulation........ 11 Sheet Rk. (opt.). 0 Exterior Air...... 0.17 Total "R" Value............ 13.13 1/R = "U" ..................0.076161 THRU RIM JOIST Interior Air...... 0.68 Insulation........ 19 Rim Joist......... 1.89 Sheathing......... 2.06 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 24.58 • 1/R = "U" ................ 0.040683 U'l value for window........ U" value for doors......... U" value for Patio Drs..... THRU CANT. @ MEMBER (enclosed) Interior air...... 0.68 Finish Flooring... 1.23 Sheathing......... 7.2 Plywood........... 0.93 Joist............. 11.56 Sheet Rock........ 0.58 Still Air......... 0.61 0.5 0.06 0.5 Total "R" Value............ 22.79 l/g - 'lUll ..................0.043879 0 0 THRU CANT. @ INSULATION (enclosed) Interior Air...... 0.68 Finish Flooring... 1.23 Sheathing......... 7.2 Plywood........... 0.43 Insulation........ 30 Sheet Rock........ 0.58 Still Air......... 0.61 Total "R" Value............ 41.23 l/g = "U.................... 0.024254 THRU CANT. @ MEMBER (exposed) ? Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Joist............. 11.56 Sheathing......... 7.2 Soffit............ 0.78 Exterior Air...... 0.17 Total "R" Value..... ....... 22.55 l/g = nUn ........... .......0.044346 THRU CANT. @ INSULATION (exposed) Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Insulation........ 30 Sheathing......... 7.2 Soffit............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 40.99 l/R - 'rUll ..................0.024396 ? CITY USE ONLY L ?2 BL ? ___RECEIPT #: SUBD. Le,,? (Qm-I`Ll? I ` DATE: 4??5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit ? New construction Add-on fumace _ Add-on air conditioning Fireplace conversion (to existing fireplace) Date: lb '021-C't '?) FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 \ Additional 50 M BTU 6.00 \ ? Gas Outlets (mirnmum of 1 required @$3A0 each) ?-bCI\ ? ? State Surcharge .50 TOTAL bl?) SITE ADDRESS: R?& 126bKx??__ \ OWNER NAME; P, P' - ? PHONE #: g?Cj\ '? INSTALLI STREET CITY: STATE: ZIP: PHONE #: ( ??? - ? SIGNATURE-01' P1_;IiM(71F_E-` LOT BLOCK -L SUBD.? J, RECEIPT # d& 90 DATE 8/?5/?S 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATION3: FORM MUST BE COMPLETED BY UCENSED PLUMBER Date: y -/s Commerciat Residential (boulevards) ? Existing residential GPM GPM Area/address to be irrigated- ?s'z- DqAs T/_ Installer: y" Welw PJd_9=. _ pwner ? Plumber -0?- Street addres?? ? 69ros S° ?hd City, state & zip code: jf,1n Phone #: ssi?/V'72 n ° s.+? Owner Name- ?'¢ • ? ''?" s' Street address City, state 8 zip code: Irrigation contractor, if different than installer: Phone #: -7-evr., -77r.-n_ Telephone #: -7s z- -1 yo -, 1 hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the appiicanYs responsibility to notify the property owner that the Ctty of Eagan assumes no Iiability for any damages caused by the City during its normal operational and maintenance activities to the facttities constructed under this permit within CIty property/right-of-way/easement. ApplicanY gnature Approved by: Date: PRV ? Yes ? No New service ? Yes 13 No Meter Size 8 Cost l Fees due: ? Calculated Title ? P. 9 A PROCEDURE FOR IRRIGATION SYSTEMS - 1895 An irrigation permit is required - please contact Protective inspections at 681-4676. Fees Commerclal project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee onlv if new service is instailed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 per connection - WAC. $372.00 per connection - water treatment facility. Existing residence: $20.50 ircigation permit to cover installation of backflow preventer -(not required 'rf backflow preventer previously instailed). Meter charge: If gailons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter wiil be soid before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. R.A. Kot Homes ?-<S52 Great Oaks Tra il ? ; -- . -- t . . ? Twin Town Irrigation Inc. 757--0405 ? i cinr use oNLY 3asL L /? BL RECEIPT #: ?o SUBD. ? (YU? DATE: ? 5 ??95 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 X i = 300 Water Closet 3.00 x 3 = q DO Bath Tub 3.00 x 61. 00 Lavatory 3.00 x ? _ /5 Gt5 Kitchen Sink 3.00 x ? - Laundry Tray 3.00 x 3. U Hot Tub/Spa 3.00 x = Water Heater 3.00 x _L = -300 Floor Drain 3.00 x 307 Gas Piping Outlet 4 minimum -1 3.00 x 2 = 6.00 Rough Openings 1.50 x 3 =?S? Water Softener 5.00 x = Private Disposal " Dakota Cty. license 20.00 = U.G. Sprlnkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 _ STATE SURCHARGE .50 TOTAL '!Iw SITE ADDRESS: ?952 CI°-,EM" pA(LS "f2a f L- OWNER NAME: IZ 44 .(Ck)r}WAtES INSTALLER NAME: 011A-(r?W "DA lu i 6l5 EIJG STREET ADDRESS: 15230 0%eroL4S?:(-- tt.)Ay CITY: {2ps6uo"-F- STATE: 61 K) ZIP: 6?0bg PHONE #: (&I Z) K2-3- f3fl j?k ?SIGNATURF- - 11TE 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 __p 7p -o 0 New Consiruction Reauiremen45 RemodeVReoair Reauirements Ofice Use OnN 3 2gistered site surveys showirg sq. 8 of lot sq. ft. of house; and all roofed a2as 2 oapies of plan Cert of Survey Recd _ Y_ N (20%maximumlolcoverageallowed) isetofEnergyCalculationsforheatedadditions TreePresPlanRecd _Y _N_ 2 copies of plan showing beam & window sizes; pou2d found desgn, etc. 7 site survey tor additions 8 dedcs Tree Pres Required _Y _ N lsetofEneyyCalculations Addition - indicatei(onsitesepticsystem On-siteSepGcSystem _Y _N 3 copies of Tree Preservation Plan'rf bt pWtted after 7/1193 Rim Joist Detail Options selection sheet (bldgs wNh 3 or less unifs Date 3 DLc\__ Construction Cost )IS SiteAddress '0 Sa CQtH--?- DAw-g T2 UniUSte # Description of Work f-C - SI DE Multi-Family Bldg _ Y k N N}replace(s) _ 0 _ 1 _ 2 Property Owner _ FNOQ£ U CoF? CV-- Telephone #(`j S J. )`a1 b- 314 ?j Contractor V(Z-Ecv, F?cT6JVO?S Address l3WCv-sNrR5- rft7\? State Zip 51'o -l N, City ?- 6-H Telephone # (1, S\ )- ? v°i- b 3 b`v' COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 • Residential Vendlation Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Y_ N If so, 25% plan review Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclnowledge that the inforn that the work wil] be in conformance with the ordinances and codes of the City is complete and M1V Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. ?E \?rj P\ vatf- ApplicanYs nted Name Applic ' ignature n`, ..... .. _ . .. 7/47a4 2006 RESIDENTIAL MECHANICAL rERMiT arrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit 30 -5-6 Date '? / v / ? 1' e 35ar? Unit # Site Address CM V I Pro er[ Owne arew l by rna hone#((y I d ) ? ?- -7 Tele L{c p y r p ? Contractor CI U nL` v' Add S D CI PULJ Y treet ress Ty St t M N Zi ? hone # (l r -US) 70- WV Tele a e p p Bond#: 06qq2,q 8ga_? Expires: I 07? The Applicant is _ Owner V\Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement _ New air exchanger air conditioner heat pump q ?j other ? Y?1 /'} 0-bY U eOSOY Sta[e Surcharge ? Q V ? $ .50 To[al IU) AUG 1 1 ?nnF ? v . $ I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and wi[h the Mechanical Codes; that I understand this is not a permit, but only an application for a permi[, and work is not to start withou[ a permit; that th work will b m accordance with the approved pla in,the case of wo which requires a review and approval of plans. ApplicanYs Printed Name Np-plicant's Signfftur'e r {?l ? 2007 RESIDENTIAL MECHANICAL rERMiT arrLicaTCOrr ? v City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete Cor. single family dwellings & townhomes/condos when permits are required (or cach unit Date0-7 . Site Address eyC"IPC4'F 0!o V G Unit # Property Owncr (a-) Teleplione # (/;,q Contractor ? Street Address 1L{-vrp C.n(1 c-¢ ?Lu_? 7 ?-6 14 ? City rJ ?• State Zip Telephone # Bond #: Expires: 'Clie Applicant is _ Owner X -*r Contractor _ Other Firc repair (replace Uurned out appliances, duchvork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwclling uni[ . $ 50.00 furnace _Additional ?Replacement _ New air exchanger ? air conditioner heat pump other Statc Surcharge D $ 50 $ Total I hereby apply for a Residen[ial Mcchanical Permit and acAnowledge diat the informa[ion is comple[e and accucate; that the work will be in conformance with tlie ordinances and codes of the City of Eagan and with tlie Mechanical Codes; [hat I understand tUis is noi a pernut, but only an application £or a permit, and work is not to start without aiatthe work will be in accordance with the approved plan in the case of wmk wliich requires a review and approval of pla g.??i.? ?? - Applicant's Pnnted Name App cant's Sign ire PERMIT Permit Type: Building City of Eagan Permit Number: EA105512 Date Issued: 07/18/2012 Permit Category: ePermit Site Address: 852 Great Oaks Tr Lot: 19 Block: 1 Addition: Great Oaks PID: 10-30950-01-190 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Able Restoration Group Inc. Constantin N Starchook 17316 Kenyon Avenue, Suite 103 852 Great Oaks Tr Lakeville MN 55044 Eagan MN 55123--243 (952) 378-5000 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 Use BLUE or BLACK Ink For ONi I City of Ea p ; Permit : J a d S- I a .S 3830 Pilot Knob Road Permit Fee. Eagan MN 55122 i Date Received: Phone: (651) 676-6676 Fax: (661) 676,6694 I Stan;- - - - - ^ ~ - 2/011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 W-~ H T Site Address: p5-4 eAr Unit 0: Name:C1riLM477/10a HAI (C, Phone,6)Z` 6-C).6 ° RESIDENT / OWNER Address / City l ZIp: O~AEW-eh'tt T/Z. Applicant is: .Owner ..Contractor ~ TYPE OF WORK Description of work: 0-moq-&C~- f't ~CsCe Construction Cost: Multi-Family 8 ilding: (Yes - i No Company:'-7-L-'6 A (f--GAeA~ ~ K GE, \ tleo ~ Contact: .1e S7z~ CONTRACTOR Address: -1k9>1 ~t/ RUC , City: /)?p Le, State: t~A)._ Zip: Phone:.. ucenae ~--~a 35- Lead Certificate 4447--_7 3 7.3 - l If the project is exempt from lead certification, please explaln"why: (see Page 3 for additional information) /V6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit fora similar plan based on a master plan? _Yes _No If yes, date and address of master plan: t,.lcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that yo.u submit are. considered to be public Information. Portions of the information may be classJfled as 90 7 pcibllcaf you pm..Yh16 spiq l06 reasons that would permit the City to 'conclua'A~thW4he ;arov 0.secrets: CALL BEFORE YOU DIG, Call Gopher State One Call of (¢dt) 4, . 002 for protection against underground utility damage. Call 48 hours before you IN" to dig to receive locates of undo round utilities, mwwm Qheretateonecall ora.., I hereby acknowledge that this Information Is complete and accurate;4that the work will be in conformance with the ordinances and cones of the C+;v D! Eagan; that I understand this is not a'permll, Wt only an appilcallon for a permit, and Kirk is,not to start without a permil; that the wont Y.Q Oc; in accordance with the approved plan In tha'case of work which requlres a review and approval of.plana. Exterior work authorized by a building permit Issued In accordance with the Minnesota $tate Building Code must be completed within 180 days of permit Issuance. Applicant's Printed Name Y - - J - Ap 2an s Signature Page I of 3 bc�� � �� � 1� � � ��.� � �b�- � Use BLUE or BLACK Ink � r�� ---------, ,-------- uc. I For Office Use � Cit �ij� � !�2 8�.ad ; iby O�1i���ll � Permit#: � ' .bo . � � 3830 Pilot Knob Road QCT Z g 2Q��{ � Permit Fee: � Eaaan MN�5122 f > � �J ��� Phone:(651)675-5675 � Date Received: � G Fax:(651)675-5694 _ _ i � � Staff: � �����������������J . ..... ... . .... ...... . ....... ....... ... .. . . ... . . . .. .... . .. ... ... .. .... . .. .. . .... . . . _ . ._ ... . ...... . ._.... .... . . . 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: ��a G��O�� �� Tenant: Suite#: ReSIdellt/OvV�12�.�a. Name:����\��� � ��,��' "'v� Phone:_ �(!I�^5�0 ��V�� �� �� � ��� � � �� �� � ,,;� � Address/City I Zip: � _ � � � ��, � , � Name: � � d- License#: � � � � `�'��� ,r� - � Address: i r ��� ���.,I��� 1 l l � � S� ���� � City: t�7..t�C'�"�Y1Gi� �: �����aetor �y � � ,���ff �_ p: �Q � ' � ��'� ��� 1 ��� State: �� Zi �����Phone: � �� a�� ,.�.° Contact: ifi Email: /l Cl � f1�kYC•I.PY C(�`� �,� �� � ` ��z' ` � a. ' °` � ~� � _New �Replacement _Additional _Alteration Demolition .,,��� T e of YV� Description of work: � YP x �'� " '` � � ������ ,�°�.�:��.� ���� : � I�OTE,�."R�„oof mo��Poed an figround�,ou�„n ed�chan,�cal e�qui�me��t��rec�u��r���s�creene�b �ity. � Coc�e P, ease co tac he`'ec.a caT Ins ecf�or�or nfio a ion on ermi e sc enmg ine ods f � � �,w.�,�.,_ .��.�<�,..�..�_ �..��.�. p �t �f �t .-;��.-....�,L.�....m_ .�,-,,.:�,"=w3.�as>-.-.,.��+T'�r+,va�.���x� ��.:�Y�.a=z,..P-...-- „��,:v ;^�:�;.-..� :�» ���'� '�'�`" � �` ' RESIDENTIAL COMMERCIAL � f ��� �� ��: �Fumace New Construction interior Improvement � ���«����w���-,� ` — — Air Condi6oner Install Pi in Processed P��m t Type �� — p g — _Air Exchanger Gas Exterior HVAC Unit �:.� — — _Heat Pump Under/Above ground Tank (_Install/_Remove) �� ,_Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) GU $100.00 Residential New(includes$5.00 State Surcharge) _$ �� � i'OTAL FEE � COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee � *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"` **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 _ *"*If the project valuation is over$1 million, please call for Surcharge =� �" TOTAL.FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conforrnance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x X Applicanf's Printed Name Applicant's Signature FOROFFICE SE � �,� ,� "� �� � � �� ��� ,�� � ���� ��,��'� ' [�eqwred�nspections <:����� �� � ,.� �.� .,. � � ��.;� e � ��Rewewe By„� .�>; � ���;. ��T.a Date.� •�� ��, �„`.� �.�� � .� ��—� _ _._ �s��.� � _lJn�c er rounc� ""Rou �i`n `Vir �es � �" Gas ervice es �N$.fi.� = oor ea x nai 'w .. V�Cr�c e in •"� 9,� — .�...9,. �.k �9,�. PERMIT City of Eagan Permit Type:Building Permit Number:EA161801 Date Issued:06/12/2020 Permit Category:ePermit Site Address: 852 Great Oaks Tr Lot:19 Block: 1 Addition: Great Oaks PID:10-30950-01-190 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Constantin Nicolaevi Starchook 852 Great Oaks Tr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170419 Date Issued:07/01/2021 Permit Category:ePermit Site Address: 852 Great Oaks Tr Lot:19 Block: 1 Addition: Great Oaks PID:10-30950-01-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Constantin Nicolaevich Starchook 852 Great Oaks Trl Eagan MN 55123 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171325 Date Issued:08/11/2021 Permit Category:ePermit Site Address: 852 Great Oaks Tr Lot:19 Block: 1 Addition: Great Oaks PID:10-30950-01-190 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Constantin Nicolaevich Starchook 852 Great Oaks Trl Eagan MN 55123 (612) 508-7014 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature