Loading...
4366 Livingston Dr? CASH RECEIPT W.,? I CITY OF EAGAIV - >> . 3830 PILOT KNOB ROAD ' • EAGAN, MINNESOTA 55122 ' DATE q- "?• y 19? AMOUNT $ ? /?}ry Lf (?.? 8 DOLLARS im ? CASH a??CHECK . ?/? . ./1{/ Wr Thank You ? BY C 7t? ?? ? ?,i,p ?yY Pink-File Copy CASH RECEIPT CITY OF EAGAN 1 3830 PILOT KNOB ROAD " EAGAN, MINNESOTA 55122 DATE q r? , 19 + ? RECUIm AMOUNT $ 3, & DOLURS 'w ? CASH ? CHECK - , C ??7s ?d? ?, Pink-File Copy Thank You BY '?/ _ X ? 08/20/91 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 PERMIT . SF (?4d:J[? Site Address ' lot 12 Block Parcel No. SeGSub."^j^Alur I hereby acknowlege that I have read this applicalion and state Ihat the inlormation is correct and agree lo comply with all applicahle State ol Minnesota Statutes and Ciry of Eagan Ordinane'es: -?'-SignaWre of Permitee A Building Permit is issued to: NILLIAM NUTTNER CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Stalutes and City of Eagan Ordinances. Building Official ? OFFICE USE ONLY Occupancy R-3 M-1 FEFS Zoning PD A=1 (AClual) ConSt V-IM , Bldg. Permit 664•00 (Allowable) V-N Surcharge 53.50 # ot Stories n 521 Plan Review 432.00 ' glh Le Depth ? ? SAC,City. 100•00 S.F. Total - SAC, MCWCC S.F. Footprints - On Sile Sewage _ water Conn 625.? On Site Well Wafer Meter .90• 00? MWCCSystem xx xx Acct. Deposit 30•00 City Water PRVRequired _ S/W Permit 30•00 Booster Pump - S/W Surcharge • 50 Treatment PI 252.00 APPROVALS Road Unit 355.? Ptanner nal Co - park Ded. u 81dg.Off. Copies Variance - TOTAL 39232.00 P4rmit No. Permit Holder Date 7elephone # ATER SEWER PLUMBING H.V.A.C. Y ?O ELECTRIC O g? ?,p #; ?? gO ? Inspeetion Date Insp. Comments Footingsl . Foundation j Framing S Z? G Ls ?Z 3 S'" - o? Roofing Rough Plbg. Rough Htg. ty (J ?? . Isul. Fireplace FinalHtg. Final Plbg. Const. Meter Engr.lPlan ? Bldg. Final Deck Ft9. Deck Final Well ? Pr. Disp. S ? CONTRACT PRICE: Site Address Lot Bbck ? Name ? Address c City PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use Only: BLDG. TYPE WORK DESCRIPTION Sec/Sub Fies. New _ Mult Add-on Comm. Repair _ Other 1!)lIP.... .... ..:.... ? Name < 3 Address , p City ? Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M 8TU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAI FEE - ALL ADD-ON & a REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN , PLUM6ING PERMIT For ; CITY OF EAGAN PERMIT # ONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT PRICE . Lot m Name 1J1Au ? Addre s? S sc ' i ? City /?9JU/7f Phone 23- Name e C? cf c Address uQ r it- 4, CU ? City C4 yyn Phone V5a7-308'8 FEES COMM./IND. FEE - 1%OF CONTRACT FEE : APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 " STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) BLDG. TYPE WORK DES CRIP710N M1 Res. x New /11- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ? N FIXTURES TOTAL ? Water Closet - $3.00 $ ? OD d 3 i ' Bath Tubs - $3.00 . o ? Lavatory - $3.00 ?'• VO ; Shower - $3.00 T Kitchen Sink - $3.00 ? ? UrinalBidet - $3.00 Laundry Tray - $3.00 --- ? ? I Floor Drains - $1.50 ? ? Water Heater - $1.50 71 T- Whidpooi - $3.00 Gas Piping Outlets - $1.50 ; (MINIMUM - 1 PEH PERMIT) ? Softener - $5.00 `-, _ Well - $10.00 T- Private Disp. - $10.00 ? I Rough Openings - $1.50 _ U. G. Sprinkler System -$12.00 s PERMIT FEE: _T3• u STATES S/C: '3D GRAND TOTAL: 33. ??° ? DATE: ? 04/30/90 ' RE: 4366 LIVINGSTON DR ; x . your Sewer & Water Permit for the above property has been completed. It will be held at the UWW Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ,,§W L PUBLIC WONKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer F. Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 04/30f90 ? RE: 4366 LIVINGSTON DR X Your=?ewer & Water Permit for the above property has been completed. It will be held at the Fublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO , SALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until.further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: ii I ,, I TYPE OF WORK: i i?_i;nriE0a iu (Iit0!)p Il3R I HRtiuM 1 INSPECTION D, ON TYPE DA I Pi Ml;kti:?J- A.`.i'1'H{iAI1 I! It PII I I', !t f 11f11{r{ 11 tUlt hP!'/ 1'I IlMli)Nli I II1- I L ? Ff-f(+ii'A1 IJURh: Permit No. Permit Holder Date Telephone S SNV PLUMBING HVAC EIECTRIC 110 ELECTRIC Inspectlon Da[e Insp. Comments Footings I Foundation , Freming Roofing Rough Plbg. Rough Htg. I6Ui. Firepiace Finel H[g. Orsat Test Final Plbg. Plbg. Inspectar - Notiy Plumber Const. Meter Engr./Plan Bidg. Final / Deck Ftg. Deck Final well Pr. Disp. 2 41 F t-er-7' DooRTrer No7i JNV ` Hcynft" %W I INSPECTION RECORD I C°"tr°' "°. 0971? CITY OF EAGAN PERMIT TYPE: HIl 1 L p 1 Mtl 3830 Pilot Knob Road Permit Number. 961310 Eagan, Minnesota 55123 Date Issued: mR/2119Z (612) 681-4675 SITE ADDRESS: tdl: 12 BLut; K t '3 APPLICANT: 4366 I.IVIN[iSTQN (7N CO% RUSSELL I 4EXIMA7RN P(IINTf. f,TlS (612) 663-9410 PERYIT PUBTYPE: TYPE OF WORK: ? L ? Permlt No. PertnH Holder Date Tetephone 7f S/1/H PLUMBING HVAC ELECTRIC ELECTRIC Inspwtlon Dste Insp. Comments Footings I Foundetion Framing ROOflny Rough Plbg. Rough Htg. Isul. Frepleae Fnal Htg. Orsat Test Finel Plbg. Pibp. Inspector- Notify Plumber Const. Meter EngrJPlen Bltlg. Final oedc Fig. Deck Finel Well Pc Dlsp. - ?g o - ciSTS ?- i?..r ? SENEP. 8 WATER PERMIT CITY OF EAGAN 3830 Pibt Knob Rd. Eagan, MN 55122-1897 DATE 70, METER # CHIP # METER SIZE ISSUE DATE ADDRESS 43?"G LaI:VGSTUN DR -BLOCK SEC/SUB LICANT. RESS: '. STATE - ? , ZIP NE 'i ZIP PERMIT DATE04j?ver90 PERMIT # t 13 5E: B.P. RECEIPT # -- 7476 B.P. RECEIPT DATE 1 12 0 X)STER PUMP PERMIT REQUESTED - SEWER - WATER - - COMM/IND - NEW Lawn Sprinkler Meters are to be Installed - Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF ? _ EAGAN ORDINANCES ? i SIGNATURE WHEN METER ISSUED CALL 454-5220 FOR INSPECTIONS. FOR STORM STATE ZIP . SEVYER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 , J DATE_ OFFICE USE ONLY METER #!?37 s6-7 -2? PERMIT DATE 04%3C j y'_ CHIP # dZ Sd 1/ 9D E PEAMIT # 11358 METER SIZE 7-*?o S B.P. RECEIPT # C 7 t, -„ ISSUE DATEA' ? ?70 B.P. RECEIPT DATE L "' ti0 BOOSTER PUMP ADDRESS 4366 LIVINGSTON DR - RLOCK ?L SEC/SUB LICANT: RESS: 96 STATE ZIP NE: PERMIT REQUESTED - SEWER - WATER COMM/IND EXISTING TAPS RESIDENTIAL NEW - EXISTING Lawn Sprinkler Meters are to be Installed 1ABER: ) r z e` ?lu ?u 'r-nA Ahead of Domestic Meters on Water Line. RESS: 1018 MUUND SPRINGS jL'r: ??P Credit WILL NOT be given for Deduct Meters. ',STATE BLOGtfIHGTOR ZIP =?5'v2G NE: 884-4149 , STATE ZIP I AGREE TO COMPLY WITH CITY OF _ EAGAN ORDINANCES SIGNATURE EN METER ISSUED i. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. r?? CITY OF EAGAN N 0 1776 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ??/GAR Est. Value $107 , 000 Date APR 27 , 1990 Site Adtlress 4366 LIVINGSTON DR Lot 12 Block 3 SeciSubLEXINGTON POINTE Parcel No. W Name WILLIAM HUTTNER CONST a Address 960 WATERFORD DR W City EAGAN Phone 452-3088 I o Name SAME OQ Address '- City Phone Name _ Address City _ Phone I hereby acknowlege that I have read ihis application and state that the information is correct and agree to comply wSth all a plicable State of Minnesota S1aWtes and City oj?agan Ordina ?`e _ Signature of Permitee ? l " A Building Permit is issued to: WILLIAM HUTTNER CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-$ H--_t FEES Zoning PD R=1 (Adual) Const V=N Bldg. Permil 664.00 (Allowa6le) Y--R Surcharge 53.50 x oi storias - 52 ' Plan Review 432.00 Lenglh Deplh 48' SAC. City 100.00 S.F. Total - SAC, MCWCC 600.00 S.P. Foolprinis - On Site Sewage _ Water Conn 62 5_(1(1 On Site well - Water Meter 90.0 0 MwCC system XX- 30 00 City Waier XX Acct. Deposil . PRV Required - 5/VJ Permit 30.00 Boosler Pump SIW Surcharge .5 n Treatment PI 252.00 APPROVALS Road Unit ? 5 5_ nn Planner - park Ded. Council BIdg.Ott _ Copies Variance - TOTAL 3,232.00 REQUEST FOR ELECTRICAL INSPECTION ? ? See in5iruciions for complefing Ihis torm on 6ack of yellow copy. K 2 3 4 2 8 X" Below WorN. Covered by This Request EB-00001-OB ew Add Rep. TypeofBuildinq AppliancesWired EquipmentWired Home F,iange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheK-(Spe 'fy) CommJlndustrial Furnace p Farm Air Conditioner Otner (speciry) Contrecror's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sigf7S Inspector's Use Only: TOTAL Irrigation Booms ?,5 U Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t h b i Rough-in Date y cer a t e a ove nspection has been made. Final Date ?„?? OFFICE U5E JNLY This request void 18 months hom . .n•j Q .s f- .i -r L ... . o^O C` ? " / eJ - Raq esl ate , ?? ?? _?? Fire No. Hough-in Inspection Required? . ?[ O!'Ready Now ? Will Nofity Inspector d 7 ?? ? Wh P G Ves No en y ea I 631icensed contractor p owner hereby request inspection of above electrical work at: ? Job Atldress (Street. Box or Roure No.) ' ? Ciry ri? 3C? i r S Q Section No. Township Name or N. Hange No. Gounty Occu t(PRtNT) Phone No. Power pplier ' Atldre . C6 6 . I I /17 Electr I Comrac r ICompany Namel ConlrectoYS License No. Mailinq Atltlress (Coniractor or wner Making Installa bn) . Q ' , uMOrized Signawre ICOmractor ner Ma g Instauation) P ne Number ?? - - - Cn -7`VVO MINNES&A' STATE BOARD OF ELECTRICITY Grigga-MiCway Bltlg. - Room 5-173 1821 Universky Ave., 5l. Paul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BYTHE STATE BOARD UNLE55 PROPER INSPECTION FEE IS ENCLOSED. ??yyREQUEST FOR ELECTRICAL INSPECTION ee•ooooi-os 10- §ee instructions for completing this form on back of yellow copy. .? .6 --X" Below Work Covered by This Request '"??? Ne% Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Buildin Dryer Load Management Comm./Industrial Fumace Other (S eci ) Farm Air Conditioner Other (specify) ContracWr's Remarks - Compute Inspection Fee Below.• # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Am s Transformers Above 200 Amps Above 100 _Amps Si f1S Inspectors Use Only: TOTAL Irrigation Booms y? • dU ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Otfier Fee COMPLETED WITHIN 7 NTH ., I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in , F'"ai ? Dat?_? ? oae 34-7-?T OFFICE USE ONLV This request void 18 month6 from 0-100=958 0 '[? `????? 1 a3 9? ?- i.z $-?ZO ° Reques[ Date ? ??3 ? Fire No. Rough• n Inspec on Required ecror ?hen read ) (You mV call ins Inspactlon Olher Than R ugh-In ins ector ? Read Now ill Notif ? y p ? y p y Yes No Dele Read I 1L licensed contractor 4wner hereby request inspection of above electrical work at: Job Atldress (Street, 8ox?" Route No.) f ' ? Gity _ 87?y) r, 'i C36 ? f-- 1 ?i Section No. Township Name or . Range No. County ant(PRINT) wSSP.I ( l?O k Phone No. Power Supplier Address Electri I ontractor (GOmpany Name) ConlracroYS Llcense No. ri eV w `-? Maiiing Address Contracror or Owner Making Insiallation) OV Authorized rmner Makinq Instellation) Pho/ne Number 4?9/ - L ?// ? MtNNESOTA C iCiTy I OT ? Rom Blg. v n B B 8 ty II III I I I I I 1 1111 1 j j?j j jj?j I (I I III P O F?E E 21 U vee/ A e. Sto Pu I MN 5 104 I R INSPECTION PROP S Phone16121642-0800 SE EN 5/r&/f, ? ?M,17 P) REQUEST FOR ELECTRICAL INSPECTION ? See instmdions for completing this torm on back of yellow copy. "X"^8elow°Work Covered by This Request a? ? ? Ea.o?o,-08 ?,(y?? ?/s5?63 ew Add Rep. TypeofBUilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner Other (specily) Contraclor's Remarks: Compute Inspection Fee Below: ???? ? ?mnc'? "'oC`d '+Ok # Other Fee # SarviceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Atove 100 _ Amps SignS Inspectrn5 Use Only: OO TOTAL s? Irrigation Booms so Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rouyn-in oate +?/? certify that the above inspection has been made. F;nai y OFFICE USE ONLY 7his request wid 18 monms from ??/& 5/ C'/j 4e?53 a ? ?13 56 - / ReqIfest Date S?/ Fire No. R •in InSpeclion q ? 7 ? Ready Now Will Notify Inspector h R tl ? Yes ? No en y ee 10 licensed contractor Kowner hereby request inspection of above electrical work at: Jo0 Adtlress (Strcet, BOx a Route No.) 3&( ? X Ciry - v ?/?) • n Seclwn No. Township Name or . Range No. Counry - M (PRINT) Phona No. ? ?.Ls s L/ Co ( 73 ' / S5 PoWer Supplier Adtlre55 Electrical Contractor (Company Namet Gontredor§ Licensa No. omE ow nf_/' Maiiing Adtlreu (Cantractor or Owner Making I n5laliation) Authorketl$gna e(GontractoU er Maki Ilati rt?` Phone Number / : l r L MIlF?SOTA STATE BOAHD OF ELV'CT?CITV ?THIS INSPECTION REOUEST WILL NOT. . Griggs-Mitlway Bldg. - Room S173 8E ACCEPTED BV.THESTATE 80ARD 1521 Unlvenlty Ave., St. Paul, MN 55106 - - - UNLESS PROPER INSPECTION FEE IS - Plqne(8/2)642-0800 ENCLOSED. . ? 0,4 5 81,Gioa Request 071W- ire No. ough-in Inspection Requir . ? Ready Now ill Notity Inspector es ? No n Ready? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No J ? Ciry C CA / ir P* /r'" Section No. ownship Name or No. Range No. County Occupant (PRIjJn Phone No. Power Supplier qddress , Electrical Convactor Company Name) ` Contra or§ License No. O ¢L Mailing Address (Coniractor or Qwner Making Installation) ` ? ? Authonzed Sig atur (CoMre or/Owner Making I tallation) Phone Number - v/T, -G-3- by MINNESO7A STATE BOARD OF ELECTHICRY THIS INSPECTION RE4UE5T WILL NOT Griggs-Midway Bldg. - qoom 5773 BE ACCEPTED BY THE ST.4TE BOARD 1821 UnWersity Ave., St. Peul, MN 55104 - UNLESS PROPER 1NSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ???/G? REQUEST FOR ELECTRICAL INSPECTION ? ? See instructions br completing Ihis form on back ol yellow copy. p ,pf"&?-tq 1 "X" Below Work Covered by This Request es-ooaoi-ot Acid ep, Typeof8vilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Olher (specify) Coniractor5 Remarks: Compute Inspection Fee Below: # Oiher Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 00 Amps f?,6 a / to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SIgt1S Inspeclor$ Use Only: •.rd TOTAL Irrigation eooms 3. 0 ? , Special Inspection Alarm/COmmunicaiion Other Fee I, the Electrical Inspector, hereby if Rough•in oat i ? cert y that the above inspection has been made. pinal r Date .gw OFFICE U5E ONLY This request voitl 18 months from ,, I Address: 4366 LIVINGSTON DRIVE Lot 12 Blk 3 Sec/SubI,EKR467W pOINTE 5IH These items were/were not complete at the time of the final inspection. DATE: EY'TOBER 25, 1990 Yes No INSPECNR: F.inal grade (6" from siding) ? Permanent steps - garage tz Permanent steps - main entry ? Permanent driveway Permanent gas Sod/seeded grass Trail/curb 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 outside lawn faucat before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy 7 (003 ?r 4; s ° 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION 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 Date ` /0 / v / 0 S SiteAddress e134 G i t ?j ?pn XJ7'' ?e Unit# Property Owner I?43J (?!ax Telephone#(6S/ ) 633' 4'Y/8 Contractor 12153 Nicotlet Avenue South Street Address City ?h006: 952- 4B-52O0 State s202 Tetephone # ( ) Bond #: - SRfl S467 Expires: The Applicant is _ Owner 54 Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditi oner _New >-Replacement other State Surcharge $ .50 Total g 3 u s-0 I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 appro n in t?ase of work which requires a review and approval of plans. - Applicant's Printed Name Applicant Signature ! ?)I1? ?I ! ?? ??? Cr 0 ? 2005 ? . . . ??.?.. ._ . . ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit IVumber: Date Issued: c"GoO auxLoING 625036 01/12/95 SITE ADDRESS: P.I.N.e 19-45074-120-03 DESCRIPTION: 4366 LIVTNG57pN DR L07s 12 BLOCK: 3 LEXINGTON POTNTE 5TH f"-?? (BEDRQOM/BATWROOM) t?.,lda,n???Permit 7ype SF (MISC.) riidi,ng 04rk 7ype AL7ERATION ?. Li M? REMARKS: A SEPARATE PERMI7 IS REQUIRED FDR ANY PLUMBING OR ELEC7RICRL WORK FEE SUMMARY: VALUATTON $3,000 Base Fee $54ee0 Surcharge $1.50 Tatal Fee $55.50 CONTRACTOR: - flpplicant - 5T. LIc. OWNER: R 0 CQNS'1` 14523575 0004988 COX RU5S 980 STpNY POINT RD 4366 LTUINGSTON DR EAGAN IHN 55123 EAGAN MN 55123 (612) 452-3575 (612)683-941e Ihef^eby acknowledge 'Chat I have read this applicatipn and st??? that -"-o infiqrmation is coi*recit ar[d agree tct eom{?:??r with a2I'a'p0?:.iC-able 5'?ate of Mn. StaCutss anr3 GSty af Lsga-n Ordinances. , , L J APPLICANT/PERMITEESIGNATURE ISS D SIG URE! INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L o r: 12 e Lo c K: 3 APPLICANT: 4366 LTVTNGSTON DF2 R 0 CONST LE7lING70N POINTE 5TW (612) 452--3575 PERMIT SUBTYPE: TYPE OF WORK: SF (PiI5C.) QESCRIPTION eusL oxN 0 025096 01f12/95 ALTERATION (BEDROOM/BATHROOM) INSPECTION FFtAMING .. . ROUGH IN PLBG .. ROUGW IN WTG FIMAL REMAf2K5: A SEPARATE PERMZT IS REQUIREO FpR ANY ALUMBING OR ELEC7RICAL WORK C?...,. . . _ _ ? , , • ? t ?, CITY OF EAGAN 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 iAm New Construdian Reau'rrements RemodeVReDair Reauirements ? 3 registered sfte surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd, design; etc.) ? 2 sRe surveys (exterior additions 8 decks) ? 1 energy calculetions ? 1 energy caiculations for heated additions ? 1 tree preservation pian N loi ptatted afler 7/1193 required: _, Yes _ No DATE: CONSTRUCTION COST: ZS?? op DESCRIPTION OF WORK: 1?*?4 P, -:,s4 STREET ADDRESS: 4 LOT BLOCK ? SUBD. ? j! J P.I.D. # PROPERTY Name: Cg± K IL5 S Phone 69;3' 9 y OWNER us* °IRST Street Address: q 3 6 6 L? ?, -? ? 17e r? City: ?as z K State: ?-•.? Zip: ss' ,)- 7 CONTRACTOR Company: Phone #: `151` Street Address: 9 S`4 //d K Y Pt ?Iat License #: qqgr? Clty. Ft G aLIX . A-t K. ti?/ 2- 3 ARCHITECTI Company: Phone # ENGINEER Name: Registration #• Street Address, City: State: Zip: Sewer & water licensed plumber: . Penalty applies if address change or lot change are requested once permit is issued. ' 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 Ciry of Eagan Ordinances. Z Signature of Applicant: OFFICE USE ONLY E Certificates of Survey Received _ Yes _ No JAJ1 10 1995 ? Tree Preservation Plan Reoeived _ Yes _ No ?---_---.---`----?,? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility a 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous OR? 05 SF Misc. ? 10 Multi (additional) ? 15 Deck WORK TYPE ? 31 New V 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code y3 # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. ? Depth Footprint sq. ft. Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Z Sdv Surcharge Ptan Review License MCNVS SAC City SAC Water Conn. Water Meter ? Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Tctal: °lo SAC SAC Units ? CftY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT Control No. o[] 71 .-a PERMITTYPE: auILoxNG Permit Number: 001310 Date Issued: 0 8 J 21 / 9 2 4366 LIVING570N DR LOT: 12 BLOCK: 3 LEXTNGTON POIN7E 57M DESCRIPTION: Permit Type Work Type DECK NEW R-3 1$ 14 REMARKS: C, () -';yC 'rm aw?g g% : :' k 1 ' hl '. ? ... _•;?i? . FEE SUMMARY: Base Fee $25.00 COPY $.50 5urcharge 1.60 7ota1 Fee $26.00 SUbtotal $26.50 CONTRACTOR: OWNER: - Applicant - COX RUSSELL 4366 LTVIIUG5TON DR EAGAN MN 55123 (612)683-9418 Z hereby acknawlsdge tMat I have read tha.?s ap plicatian and state thiat the information is cnrrect ,a"nd agr:e$ to eortrpXy with, all applicable Stete af Mn. Statutes 4nd Gity nf Eagsn Oretinan:ces. ?;GLs2-?? ? APPLICANTlPERMITE NATURE I SUED W. GNATURE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: Control No. 0971 BUTI.qING 001310 08J21/92 SITE ADDRESS: L OT : 12 4366 LIVINGSTON DR LEXIN6TON POIMTE STH PERMIT SUBTYPE: DECK ? .. i , e Lo c K: s APPLICANT: COX RUSSEI.I. (612) 683-9418 TYPE OF WORK: NEW ? ? ? ? PERMIT # REACTIlATE t31? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date 9 / -1-6 / qy Valuation of work ?'_)-049 Site Address: 4366 ?y- STREET SUITE N Tenant Name: (commercial only) IAT BLOCK ? SUBD. P.I.D. dk Descri tion of work: ?dd ?2L? The applicant is: (g Owner ? Contractor ? Other (Describe) Name C'v>>C ? ?S?elf Phone PrOpelty LASi FIRST Owner pddress ? 3 66 L? UIm 9 5 f?k, Dr STREET STE / City _ E?dcl a rn • 5tate A4/U Zip S?/2-3 Company _ < Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has een approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with 11 applicable State of Minnesota Statutes and City of Eagan Ordinances. o Signature of Applicant: /4 4:? OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation 0 02 SF Dwg. O 03 SF Addition O 04 SF Porch ? 05 5F Misc. ? 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck WORK TYPE f? 31 New ? 32 Addition O 33 Alterations ? 34 Repair O 35 Tenant Finish O 36 Move . ? 'D I6'BSsement Finish O 17 Swim Pool ? 18 Comm./Ind. O 19 Corren./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy -? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories footprint Sq. ft. Fire Sprinkler Lerigth ? On-site well Census Code W? Depth On-site sewage SAC Code APPROVALS , Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS ? O Site ? Footing O Framing ? Insulation O Wallboard PI Final ? Draintile ? Fireplace Permit Fee 25.010 voiuacion: g Surcharge . ,Sp Plan Review License MWCC SAC City SAC Mater Conn. Water Meter . Acct. Oeposit 5/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies , sp Other TGtal: SAC 9G SAC Units 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN ? SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UI3ITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORjHOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Se Used For: i3 /.2. rzm'(/yvaluation: Date: Site Address Lot i z Block 3 ?az Parcel/Sub ? yIl?' ? J t? Owner Address City/Zip Code Phone Contractor Address ?Q City/Zip Code S?12 2' Phone ?SG) ?G' ? / Z? Arch./Engr. /07j 000 OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories j Length ? Depth S.F. Total IlFootprint S.F. RJ m'' PD. R_ I y-N V- N ------7- 8 On site sewage_ On site well MWCC System ? City water 27 PRV _ Booster Pump _ APPROVALS IPlanner ?Council ? ? Bldg. Off. IVariance Address City/Zip Code FEES Bldg. Permit (70 Surch arge $ -, SO Plan Review (?Q "'r Z, SAC City _ . I U C),oL? , SAC, MWCC &0Q10D Water Conn r Water Meter ' 0100 Acct. Deposit 30.00 S/W Permit 30, OD S/W Surcharge r50 Treatment P1. ? Road Unit ?DO Park Ded. Copies SUBTOTAL Penalty TOTAL tO Phone 4 ... .n, ,,. V,A Li;S;,/.\T ? ?. .v : ... Z2X2z= y84 x /S=? r74 6n $sm*r-, __._.----- -2?, x S2 p - 12x ?o= I??Z 120 ISD4 X IH= Z1bSG 15oY. 12 ? 1 5? 8 K 5 I:'7 g?-F 3`r'3 Iv??Sy i , ?, • (Fc,zm De??eloped by thc Sca:e of ?:in?esota i.uilcis:& CGCC liiVisio:t) TO EE SU9:tITicD L,'II'3i IlUILDINC PiM`fIT APPLICATZO:i . ?j -? . • • ? ? fXTE?:IOR F:IVF.LOPE AVERAGE "U" C013UTATION ' pL_ t ? SZTE ADDRESS: ?nT 1'7 61, 3 Lz-,?4L /T _-- ?2' ? ?/ CONTRACfOR: ?,1.? ? Wrd??K?sr DATE: `T Z5"-/dq PFIONE: Ke °3,o F5 > CIC/? r az, Determine vorking square footage of each 1. Total exposed wall area......... Z Z /Z _ sq.ft. x s/ = Z, 2. Total roof/ceiling area......... / 3 o T sq.ft. x? 026 e 33, 94 3.• Total exposed wall area calculations: Total exposed wall area above floor ? 2107 a. Total wall windoW,a.rea.............................. b:' Total door area ..................................... S 7 c. Total slidfng g2ass door area ....................... 4/c? d. Total fireplace wall area ........................... - e. Total wall franing area (average 107.) ............... ZII f: Total net wall area above floor ..................... 14p7- g. Total riu joist area ................................ //o • Total exposed foundation area ? ?0 S h. Total foundation window area ........................ - i. Total net foundation area above grade ............... lor Determine "U" value of each wall segment . H. 7 g nuit 96, - b 57 X .,U„ , 3f _ 12, L 7 . . . ? ? qb X .,U„ 2 ?, -0 H• ?-- x Iltfll ?- . r Y ... - . . e . • Zr? x ,pU„ ,07 _ 1`1?J7 ' ? f. l?I 9 z X ,l„to . 59, 68 . S. ?! C) X flff ?V f i V . L lL ^ v A lIUII t! X IIUII t! V r ??? ] 34 • TOTAL ., . ? :707.7 ' . ?'. If item #3 is the same as, or less than item O1, you have met the intent of S8C 6006(c)20 • •' •' l 4. Total exposed roof/ceiling ealculations: ? Sotal e;cposed roof/ceiliag area a ?3U? 4' J. Total skylight area ............•...................... ~ k. Tota1 roof/ceiling framing area(averap,e 107.)......... /3 0 1. Total net insvlated roof/ceiling area................. 7? Aetemine "II" value foz each roof/ceiling segment " --_ J. X nIIn ? k. I 3 o R„U., 2e4 x„U„ 4. ' ?TOTAI. o v ? -._-- If total of A is the saae as, or•2ess than 02, you have net the intent of SBC 6006(c)1. Alternate Building Envelope Design •? . : . . . •.?.•, . .. .. . To uti2ize the total envelope system method, the values establislied by • the sum of itetas 03 and #4 shall not be greater than the sum of items #1 and 02. 1. + 2. • 3. + 4. , .` C£ R T I F I C A T I O N I hereby certify that I have calculated the "U" factors and R values herein and tha[ the building hera described meets or exceeds the State bf Minnesota Enezgy Conservation Act. . . . ?.f ?' ? (Signature)_ . (Aate) ' "i? : . 1JAT,L ' Ise ]U: of Tl7jyu^ Wi11 arc.i for :r.amc com:tructiun ll ?1 n ? A 4)AI,I, Constr»ction R-Valuc •, L l ' ` 1, inYerior air SiJm 0.60 2 , :.> g, ' inches soft wnnd •+."=? 4 .. ._ , _,... ,: . ., 6. Exterior air film : U.17 FZG. 41 TOPVIEI4 QF - . FRT.t:E i•;T.LL . { ? • . 1 ` . ? ll???' ' • ? FSG. ?? r.-I? --?- l --'' 31 "- 51[L 1Se.;L_=_ =riphr-ral i?a ] :t72iDATI0.1I VIl?_I.I: -?? --?V -?i --? ? ?• ., .-?* . . C . ,. . . .: -•. •.l .?:?? •... . ? U p . .> A Tw .Q o o._.d.! [. . ? . . ?t. , •d? • 1? • ? . . •r• ?; . l4 . 1 ' 1. Intcrior air filr.i 2. ,.. 3. 6. ??terior air filn : Total `1 f l" -7 ? v ' •? 0.6E3 . 0 . ].7 Zbtal ? % ? 1. IntcrSor air filni 0.68 3. 9. `'r .. . . , 6. Er.terior air film 0.17 TOtwl ' l. Interior air film 0.68 2. • 3, . . , 4. 5. ' 6. ExLerior air film 0.17 Total SI,71B O:7 G?2Alli. ?IG. #3 r!1 = %,?_ = /!! (?( ? ? • •6 ` o L? . • n . ? ' , ?s. • . ? . ? ? • . . P .• -/• . b ' ' f • ` ' r , ` . . e. p . • ?- ?: • .. • • ,a : ' • ?t' ?? r l f 'r • • ' ' _ ' ? I?! " ' • ' - ..t[i ? ?' . . . . /fI FIG. 04 1!t k 't? , •, p •'• ?r • %tr _ '< x ? ` ? l?? NoTE: Indicatr. iype, "F." Valun, derth and . placenent of insulatioii. . f / ? . .'P ' R001'/CEILI:7G ? f. ?. _ . FO ??? ?? I? ?} it •. ? I '_':}'?? • ? %i??ll\????7111?!I?:?.I?y ?' ?? , ` \??`? --------, 1???te3 Lcat f101: up PIG. #S ? -?.o?,?_? ? 4?' ?1'\e1 :T•.1_'?rL:t?.O-_?S'>,i C?r q?.? Y.? t -- --=---- =-- - _-.? ,. 1 2 3 I:eat flotl up C.on°tr.uction R-Value Interior ai.r f ila: 0.61 z. ?,. , „ .. . 3. ! ;" 9. T.xtcrior air film (5:t:i11) O.G '!•otal : . J ..,_ ..-.. .,y: • ? ? 1. InLcrior air film O. G1 2. t If ,... ? 3. 4. Er.terior air film sti11) 0. bT . 4'otal 4 _? , U _' ? . .vented ' . J a 1, Iriside air fil.m 0.61 2. :t . 9. S. Outside air film -0.17 Total ?? • t;0.3-VLt:'Tc.?D . . . .. . 6 .• , . Flcat ? . flov up . FIR. 07 Nntc: U_:c additional ::hects if morc: spar.c i! ncedcd for details aiid calculations. . . it # 1991 LINIPLITION CITY OF EAGAN SINGLE FAMILY DWELLINGS ?tiTLTIPLE DWELLINGS CO?II4ERCIAL 2 5ET5 OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 5ET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGX CALCUI.ATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST I5 MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A lICENSED PLUMBER. Valuation: Zf36 To Be Used For: Site Address Lot I j Block Parcel/Sub Owner &" & c_.a?C _ Address LL3 U b `-f t, ih q S I7J.? 1l?Y'i vQ City/Zip Code C?qati. 5'Sl L'a q Contractor 5-e4 Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # AVG 2 ': RECD Date: OFFZCE USE ONLY . FEES Occupancy Bldg. Permit Zoning Surcharge Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length /e ? Water Conn. Depth / y-1 Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit I 5/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System _ Park Ded. City water _ Trail Ded. PRV _ Copies Booster Pump _ SIIBTOTAL APPROVALS _ Penalty Planner Lot Change Council TOTAL Bldg. Off Variance ? Z x Se:RW sed Contr. agrees that all Frork shall be done in accordance with (Signat e of Contractor) all applicable State of Hinnesota Statutes and City of Eagan Ordinances. I p u ? 1991 LtIGNAII)TION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT I5 REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF HONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NaTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. AUG 19 19g1 To Be Used For: DEM FOOTINGS ONLY Valuation: N/A Site Address 4366 LIVIIiGSTON DRIVE Lot 12 Block 3 Parcel/Sub LEXINGT()N PpINTE 5TH Owne r RUSS CAX Address City/Zip Code EAGAN, MN 55123 Phone 683-9418 Contractor gaEOWNER Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL N/C Sewer/Water L" sed Contr. agrees Lhat all woik shall be done in accordance with ( ignature f Contractor) all appiicable State of Minnesota Statutes and City of Eagan Ordinances. LEGAL DESCRIPTION? LOTJ?L 9 BLocK-3-1 ""• ACCORDING TDAK4T? COUNTY,M NNESOTA THEREOF ? SCALE• 1 "=30' 2 ?K ? u3 66 1-tv1a)5{v1.. (?t7 6 ?3-9y9? ?97-5kq 9 A. V6 I Q i, ,24 °4S. 'p q? ?°i 39•?c ?° o-o- \\ `. ??? ? ? 3 '? ? / q 85 ? 00 ° d?' ?? ?40 ?o orz o / J .?u ` "? 9fP??' \ / J ? 978tssL 0 T 12 / N O to ? zo ii (? qO LoT u (D ? ? a ?u !7 ?A PROPOSED FULL BA5EMENT - WALKOUT ? S?I T LEG£ND IPdVERT ELEVATION AT SEF?VECE EX.TFNS10N=-- - , o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = '957 o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR' ELEVATION _ q79 0 DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR ELEVATION ELEVATI ON ??,? ?? ` q83. S OENOTES PROPOSED SPOT ELEVATION NOTE: VERIFY ALL FLOOR HEIGHTS WITH ? DENOT6S DRAINAGE DIRECTION FiNAL HOUSE PLANS I hersby certify that this survey,plan or rsport wos prepcred by me or under my '%- ?? Req. No. 15235 direct superv ision and that I am c duly ?erodiey J. S en , - . . __? .._-•-..,._ ....w_. •ti. . ,.,??'''?.._._ • L-/ A71 hT.l ?-. 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION (03 Z? ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremenis RemodeVReoair Reauirements ? 3 registered site surveys showing sq. ft o( lot sq. ft. oi house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculatlons for heated addilions TAW ?res .P1a?? 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ?? 1 set of Eneigy Calculations Addition - irMirate iion-site septic sysfem 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joisf Detail Optlons selection sheet (bldgs wiUi 3 or less units Date .< l/ I l ?.fJD Construction Cost "lG id Site Address ?/ 3??, L..1 ?? ? f 5?!v? ?f' _ Unit/Ste # Description of Work l.v Ca?tti-r?? i?r.:oe.,.l.ocl C-Prlr?? ?tn_ G-al-f Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?USv Telephone # ( (5( V'II? Contractor 5--e Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee appiies. 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 approved plan in.the case of work which requires a review and approval of plans. ?•?ii,4s el l C?-, Cox - Llt_y? q; 0 0 ApplicanYs Printed Name ApplicanYs Si ature OFFICE USE ONLY Sub Types ? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y orx N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 9 33 Alteration ? 37 Demolish Buiiding* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?eGG" Occupancy /20-.3 MCES System ? Census Code <-13 41 Zoning L)_ City Water - SAC Units ' Stories - Booster Pump - # of Units ? Sq. Ft. - PRV - ? # of Bldgs Length - Fire Sprinklered - Type of Const ? Width ? REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addirion) Plumbing _ Foundation ? HVAC Drain Tile Other Roof Ice & Water Ftgs _ Air/Gas Tests Final Final Pool _ _ ? Framing _ _ _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. Air Test Windows Final _ _ ? Insulation _ _ _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 6c)-C3? 3q 2004 RESIDEAITIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 5n.s-n Date 7 ! ? ! O q Site Street Address 3 6i? Z. /.r Ag- ?, ?v- Unit # Property Owner Cr. (?;X Telephone # fYl b' Contractor _ S Telephone # Address City State Zip The Applicant is: ? Owner _ Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) ?Other: L; c? ? hti- u.. 1-?/A pY/ 7??h $ 50.00 Water Softener Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved ? ? s-e /1 ?' 4?x - L?d ApplicanYs Printed Name Ap IicanYs Signature 2007 RESIDENTIAL BLTILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reau'uemenis 3 registered site wrveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum Iot coverage allowed) 1 Soils Report if praposed building is to be plated on disturbed soii 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculafions 3 copies oi Tree Preservation Plan if lot platted aRer 711l93 Rim Joisl Detail OpUons selectlon sheet (buildings with 3 or less units) Mnnegasco mechanical venblation torm 4160.60 RemodeUReoair Reauiremen4s Office Use OnN 2 copies of plan showing foo5ngs, 6eams, joists Cerf of Survey Recd _ Y _ N 1 set of Energy Calalafions for heated addi6ons Soils RepoA Y _N 1 sife survey for addiGons & decks Tree Pres Plan Recd Y _ N. Addi6on - indicafe if on-site septic system Tre e Pres Required ' Y _ N On-site Septic 5ystem Y _ N l0 • 29 Cck&-d- Plans are considered nublic information unless vou state thev are trade secret and the reason. ?? Construction Cost 7 Date / /?"' L-1 V ? r[ 6 v T Site Address ??? UnitlSte # Description of Work 'Tl N { Zv°„" 1n ? Se "T f Multi-Family Bldg _ Y_ N Fireptace(s) 0 _ 1 _ 2 Property Owner 'K Telephone # Contractor Address -702 ?tac?•w Ur.-i ? " t `? e ciri L ?- s State Zip (o Telephone # (6571 ) zb 0 /o yc? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 EnOrgy COd2 Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Su6mitted Submitted • Energy Envelope Calculalions Submitted In the last 12 monfhs, has the City of Eagan issued a permit for a simiiar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber ? ? Mechanicai Contractor Al L Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby app}y for a Residential Building Permit and acknowledge that the inTormation is comptete ana accurace; 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 approved pl/ihe ase of work which requires a review and approval of plans. W? 7?4 ,,e a Applicant's Printed Name Signature DO NOT WRITE BELOW THIS LINE Sub TYpes ? 01 Foundation ? 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? ? 25 Miscellaneous ? U ?A --?-? y ? 0-1 w * ti s ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation .? 45 Fire Repair ? 37 Demolish 8uilding* ? 43 Reroof ? 46 WindowslDoors •Demolition (Entire Bldg) - Give PCA handout to applicant DOSCrIpt10l1: Water'Damage _ Yes Valuation Plan Review 100% or _ Census Code Li ? I SAC Units # of Units # of Bldgs Type of Const Occupancy TRC ( MCES System 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final ?o Insulation REQUIl2ED INSPECTIONS _ Sheetrock FinallC.O. ? Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tests Final Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 5/ay? 2007 RESIDENTIAL MECHANICAL PExMI'r APrLrcATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & toumhomes/condos when permits aze required for each unit Date ?? Site Address `? Unit # Property Owner Telephone # ( ) Contractor S Add Cit treet ress y State Zip .S .? 3 7-2-Telephone # (lo l z Ex Bond #• z ? ires: ` 17 l v(?- 0 ? p The Applicant is Owner X Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional _Rep lacement _ New air exchanger air conditioner _ heat pump ?C' hJei-- other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand flus is not a permit, but only an applicati for a permit, and work is not to start without a pe ; that the work will be in accordance with the approv? plan in the cas fe rk which requires a review and approval of plans. ? ?. , l? ^ Applic Printed Name / ?p,p1i 's Signatuxe ? ao?q 2007 RESIDENTIAL PLUMBING PERnniT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 s o,o Please complete for modifications to existing residential dwellings.. Do not combine inside and outside. lumbin on the same a lication; se arate a lications and ermits are re uired. Date?//? / 0? /? Site Street Address r VUnit # Property Owner C US S 64) ? Telephone # (6JI ) 68 ? ZI19 Contractor Telephone # (6(;Z) 9A2 - 90 Address?c City jC,,e?:;h State ? Zip ? The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Sub it 2 sets of plans and MPC license Inclutles County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures to _ main level ? lower level. This fee includes installation of a water softener and/or water heater at the same time. !f you are insialling onlv a water softener and/or wafer heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and adcnowledge 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 piumbing codes; that I understand this is not a permit, but only an application for a perinit, work is not to start without a permit and work will be i accordance with the approved plan in the event a pla is equired tl??oy? reviewed and approved. AppqcanYs Printed Name AppiicanYs Signature ' TRI-LAND C0. SURVEYING SERVICES 1875 PLAZA DRiVE EAGAN, MINNESOTA 55126 CERTIFICATE OF SURVEY FOR: HUTTNER CONSTRUCTION LEGAL DESCRIPTlON; LOT-12,,BLOCK3 , LEXINGTON PDINTE 5th AQD, ACCORDING TO THE RECORDED PLAT ?r THEREOF DAKOTA GOUNTY,MINNESOTA L SCALE; I"-30' ?L":) ?i ? h- Lcr.E,yn o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATIQN OENOTES PROPOSED SPOT ELEVATI ON ? DENOTES DRAINAGE DIRECTION I hKSy certify that tAis survsy,p?on or report wcs prepcred by me or under my direct supervisian and that I om a duly Reqistered Land Survtror under the Laws of tha State ot Minnesota. M ? ?if) Cq 4 n f+7 Cl: (C PROPOSED FULL BASEMENT - WALKOUT %0 SRLI T 1NVERT EI.EIAYIQN AT SERVIrE ExTFNG!pN=_- _ PROPOSED GARAGE FLOOR ELEVATION = 9e>7 = PROPOSED FIRST FLOOR ELEVATION = 987, ? PROPOSED 9ASEMENT FLOOR = q79,o ELEVATION 1,k1.lCUT 5t.EV. _ NOTE'. VERIFY ALL FLOOR HEi6HTS WITH FINAL HOUSE PLANS AlU?i?.?Y_?- Br'ad?ey J. S enfsoaf, Mn. Rey. No. 15235 pate ' . TRI-LAND C0. CERTIFICATE OF SURVEY FOR: SURVEYING SERVICES HUTTNER CONSTRUCTION 1875 PLAZA DRIVE EAGAN, MINNESOTA 55126 LEGAL DESCRIPTION: LOT-2-,BLOCK3 , LEXINGTON POINTE 5th ADD. ACCORDING TO THE RECORDED PLAT ?ITHEREOF DAKOTA COUNTY,MINNESOTA I L SCALE; 1 "=30' M? i? /Q 9S` ?? , a ; \ q 4D ro /o (Z' ? \ ? .q o .. .C-) \ `. ? ? 9 ? ......... 4 06 ir• o \ ? 980 r 978+? O T '/? L? `? ? . ? ? Ee'BG+°Y111 E LEGEND o DENOTES IR MONUMENT a DENOTES WOOD HUB SET OENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hersby certify that this survey,plan or rsport was prepared by me or under my direct supervision and that 1 om a duly Reyistered Land Surveyor under ths Laws of fhe State of Minnesota. EERING DEPT 20 N? dcc nri - M? .? QD PROPOSED FULL BASEMENT - WALKOUT ig SP'LlT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION =?187 0 PROPOSED FIRST FLOOR ELEVATION = `j87• ? PROPOSEDBASEMENT FLOOR = `a`7`?•° ELE VATION V-1kL.l:ou7 G[.Ev = NOTE ' VERIFY ALL FLOOR HEIGHTS WI7H FIMAI. NOUSE PLANS 04?_. J. SveeniSOR; Mn. Req. No. 15235 Date I Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION • 16 1-3 Site Address: '/,3 66 L/ ut N6 S7-oisl 1)tL Unit #: Cc.. Resident/ Owner Name: AciS5 60 ( Phone: 6J'! 66.2 9E?1 b' Address / City / Zip: I-1366 GewriGs--0,1 Applicant is: Owner -✓ Contractor Type of Work Description of work: ' 12O0W 12-40 . rf -zr Construction Cost: ro..SDio . '• Multi -Family Building: (Yes / No ✓ Contractor Company: 6/710- Contact: ,o ,JTAncj/ Address: 26-3 s- Dg10 tenon City: l!1 inn ora-of-Ea6 State: /71n Zip: SSl 240 Phone: -.4 0 • JFb' - 76G3 License #: �G ‘1,5- 8$1 ( Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and the information supporting documents that you submit are considered to be public information. Portions of may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x �at.I.410 cf C£_y Applicant's Printed Name x Applicant's signature Page 1 of 3 Use BLUE or BLACK Ink r________________"'� � For Office Use � ' �I • i�� I Permit#: I Clt� of ����� � - ��� � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I i -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION S ` Date: � �� � �Site Address: ��C,r�(p L� �ld��'�G o�? �i�, Unit#: �� 4*-� 4� 5������9 °t� �rz��'� T�r� �* y Name: Phone: � � �� � � l Address/City/Zip:_� �Z� ��2 �� V t �-7 G s�pt� �9 l� ��Z Applicant is: Owner Contractor Description of work: �� ��� C��--�✓��� ��' Construction Cost:��`t� -� Multi-Family Building: (Yes /No�� Company: f�l� / a�'a �.-° 4'D►� Contact:�����G�"zy�a�/��" �� Address: ��� �� " `'�� �� City: �/��.� � ` ��.� } State��Zip: ��'�� Phone: Z�� ��` mail: � �, „ q t�t _A License#: G�P 2���0�2- Lead Certificate#: ���`— 7�. �1��'—� 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 peITnit 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: �� . _ !�,.,. _ _ _� _�-_-: _ _ 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.aoaherstateonecall.ora 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 ompleted within 180 days of permit issuance. X �Sfvr� � � X � Applicant's rinted Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170969 Date Issued:07/26/2021 Permit Category:ePermit Site Address: 4366 Livingston Dr Lot:12 Block: 3 Addition: Lexington Pointe 5th PID:10-45074-03-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Gary G Jr Sifferath 4366 Livingston Dr Eagan MN 55123 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature