4473 Fawn Ridge TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4473 Fawn Ridge Tr
Lot: 19 Block: 1 Addition: Fawn Ridge
PID:10- 25800- 190 -01
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391 -5514
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
$90.00
Owner:
Kevin K Piscator
4473 Fawn Ridge Tr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA087789
12/15/2008
ePermit
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN Remarks '
Addition FALJN RIDGE ADDITION Lot 19 Rlk 1 Parcel 10 25800 190 01
Owner Street 4473 Fawn Ridae Txail State Fa_aan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. y 1981 229 . 35 ' 11.47 20
STREET RESTOR. 19$4 499. 46 - 49.95 10
GRADING er 1981 61.26- 4.05 15
SAN SEW TRUNK `' 19$1 205.44 - 10.27 20
SEWERLATERAL r 19$1 33.07- 1.65 21
Sewer Lateral 1981 23.57- 1.18 20
WATERMAIN
WATERLATERAL 1981 43.67- 2,18 20
WATER AREA 1981 05.44- 10.27 20
Water Lateral 1981 27.68- 1.38
STORM SEW TRK 1985 57. 79 -
r 37.19 15
STORM SEW LA? ?''
?
D
+ 1984 222.51
- 22.25 10
ra
nage
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PAR K
CITY OF EAGAN ? p ,1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ??? vc`'r
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedf? ?F DWG/GAR FQ1 VAIIIFi $105,000 na+o WOVr:MBER 10 ?Q Hb
Site Address 4473 FAWN R I DGE TR - Erect px Occupancy K3
Lot 19 elock I Sec/Sub. FAWN R IDGI, Remodel ? Zoning R
Parcel No. Repair ? Type of Const v
Addition ? No. Stories
¢
Name ?;i:YLAND HOMES
Move
? 48
Length
=
l 3471 W 17 3RD Demolisn ? Depth 39
;
° Address
JORDAN
?
? ? ? r J _ 4323,
h
c Int Impr. ?
? Sq. Ft
ity
P
one nstall
= o Name ,A`E
?°, Q Address
~ Ciry Phone
ua
W W
? W
VQ
CC W
?
I hereby acknowledge that I have read this application and state that the
information is correct and a.gree to comply with all applicable State of
Minnesota Statutes and Ci{y of Eagln Ordinan?
Signature of Permittee ^ i? %,f'? r.c.? 1?T--•. ,=---r-- ?,,
A Building Permit is issued to: KE'1LAND F{O:"ES
all work shall be done in accordance with all applicable 5tate of Minnesa
Assessment _
Water 8 Sew.
Police
Fire
Planner
Bldg. Off. +i/sv/ v
APC
Var. Date
Permit q - - '' • ""
Surcharge 5,7750
Plan Review 22 2' 7 5
SAC ??0 0 '
500
Water Conrt. ' 00 I
Water Meter 63.50 J
Road Unit 290.00
r
'
Tr. PI. 156.00
Parks f
Copie I . Z ??
Total ?
on the express condition that ?
City ot Eagan Ordinances. `
Building
PormN No. PeimN Holde? Dsie TsNphone N
PVjjnWny
H.V.A.C. c-
d*eiric
3aMen*r
Inspectbn Oalo Inap. Commenb
FooGeps I
Footlnqs 11
Foundadon
Framinp l ?v
Rodlrp
RoupA Pibq. .Z '-,V?
Rouph Mtp.
Insul.
Fksplace ?
Final Mty.
FfnN Plby.
Bldy. FMaI
Csh. Oec.
77-
D*ck Fty.
Dmic F?my.
WNI
Pr. Dfsp.
CITY OF EAGAN ;
3830 Pilot Knob Road, P.O. 8ox 21-199, Eaga», MN 55121
PHONE; 454-8100 ?
BUILDING PERMIT Receipt#
To be used for ADDITj f 3F' Est. Value '° +? ?POW Date ?XTOBFR 1 f+ ,19tL$
Site Address 4473 f' ` °+' TIs
Lot 11 Block i Sec/Sub. r•-??? il' 110[• -"?
Parcel No.
a Name 3'?A?TK :"sA*: ;t ?. ??:
= Address ".E, TA
0 City Phone ? 54-'?7 4 f+
, o Name ?OD 4tEVIL2,
o? Address 7210 S i rth"'`"E1?'Y
U? Cit ST PAL`:. Phone 6'???101
Y
Name
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tafe of
Minnesota Statutes and City of Fagan Ordinances.
Signature of Permittee _-
A Building Permit is issued to: '`'t' •7?-'j' -
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
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Foatprint S.F.
APPROVALS
Engr./Assess. -
Planner
Council
Bidg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Cann.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R_3 ?
?
y-sd ?
v-;. !
lb' 1
1114.00 5.50
?
.Ri7.i7Q ?i
17 6. 54) A
Permit No. Permit Holdsr Dats Telephone #
Plumbing li
H.V.A.C.
Electric
Softener
Inspection Date Insp. COmments
Footings 1
Footings II
Foundation
Framing
Roofing '
Rough Plbg,
Rough Htg.
Isul.
,'.
C c/;'' % C ' ,0UUi E :?,T
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
WeU
Pr. Disp.
6
(gtr#ifiratp uf (Orrupanrij
titp of eagan
ar}otmptc# n# sudditcg 3wrrtimt
This Certlficate issued pursuant to the requirements of Section 306 of the Uniforne Building
Code certifying that at the tinte of issuance this structure was in compliance with tlte various
ordirrances of the City segulatrng building constncction or use. For the following:
UnQmifiwtioo ';F lTX1GAr Bfdg. Permit No. I2$+
Oocupancy 7ype R3 Zoning Dntrict Type Caan
Owner of &rilding 7'??`? t ?•? ? ' Addres
•.?• .i' .i? . • Li". 'i?. i'..??', ?..i:?.
glYbltl$ Amfeis ' LOpIl(y '
. •?. .l , t I "
Date: ?
Bwmm Offipud
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoriinp:
Owrwr: _
Address:
Site i' wd
Pluenbsr.
SEWER SERVlCE PERMR
PERMIT NO.:
DATE:
No. of Units:
1 prM to esmpir wMi !M C*y of l"Nw
Crdingwm.
By
Dote of Irqp.:
CorrNdlon Chape:
1laoourM Deposit:
Pem+it Fee:
5urcharpe:
Misc. Chorpes:
Totot:
Dote Pold:
crs?r s?F ?,?c??N WATER SERVICE PERMIT
3830 PUoI Knob Road 8214
PERMIT NO_
P.O. Box 21799 11-17 -8 6
Eagan, MN 55121 /
Rl DATE: 1
l
Zoning: ta:
No. of Un
Ke land Homes
Owner:
Address: R i r?oe
4473 Fawn Ridge Trail L19 Bl Fa?,? ? -
Site Addess:
D C Mechanical
Plumber.
s ? 2- Z Connection Charge:
Meter No.:
?J Account Deposit: 15 OOnd
Size:
Reader No.: 3
OO?d -
Permit Fee: 10 50nd
I agne to eompyr wp tl?e CNY of Ea9an Surcharge: 156 OIl
d?
? 7
? g
.
Mfsc. Charges: ?-
/
Ordinan 5/ Total• -- 5n? -eter
? Date Paid:
?
Da of Insp.: Insp"
CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15?2?
PHONE:454•8100
BUILDING PERMIT
Receiptu ?
Tobeusedfor ADDITION Est.Value $11,000 ? Date OCTOBER 14 ,ig88
Site Address 4473 FAWN RIDGE TR OFFICE USE ONLY
Lot 19 Block 1 Sec/Sub. FAWN RIDGE OnSiteSewage _ Occupancy R-3
MWCCSystem _ Zoning
Parcel No.
V-N
On Site Well _ (Actual) Const
a Name liANK HAMRICK City Water _ ?Allowaele) V-N
W
?
Address 4473 FAWN RIDGE TR PRV Required
- ? of Stories
o EAGAN Phone 4$4-$716
City eooster Pump _ Length 14'
- Depth 16,
,
o Name ROD NEVILL S.F.7otai
,
? a Address 2210 ST ANTHONY Footprint S.F.
¢ City ST PAUL Phone 644-6101 pppROVALS FEES
w Engr./ASSess. Permit 114.00
W Name 5
50
W Planner Surcharge .
i ? Address 57
00
Council _ Plan Review .
a w City Phone
eldg. OH. SAG City
I here6yacknowledge that I have reatl this application and sta4e f?at the
" Variance _ SAC, MWCC
e State ot
information is correct and a to comply with a?X appl' Water Conn.
Minnesota Statutes and Ci E n Ordinan e
!!
Water Meter
.?
Signature of Permittee _ _ -- Roatl Unit
A Building Permit is i5sued to:-_B ?E?!Il.J.-. Treatment P7
on the expres5 condition ihat all work shall be done in acCOrdance with all parks
applicable State of Minnesota Statutes and City o? Ea9an Ortlinances.
,/?
J '?
TOTAL
176.50
_.?•???
yy?
BuildingOfticial_.? I???J_?i4d.(A,_1?11_?._--
? ? \
3830 Pilot Knob RodI?P O. Box 2G-n19, Eagan, MN 55121 N2 1 Z 8 6 4
` .
BUILDING PERMIT PHONE:454-8100 Receipt p L?? `?i5?f'
Tobeusedfor SF DWG/GAR Est.Value $105,000 pate NOVEMBER 10 1986
SiteAddress 4473 FAWN RIDGE TR Erect C? Occupancy R3
Lot 19 Block 1 Sec/Sub. FAWN RIDGE Femodel ? Zoning Rl
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
a Name KEYLAND HOMES Move ? Length 4$
z 3471 W 173RD oemolish ? oepih 39
o Address Int. Impr. ? Sp. F1
city SORDAN phone 435-3323 Instau ?
o Name- - SAME Approvab
$ a Address Assessment
a
? ciry Pnone Water 8 Sew.
? ? Police _
F W Name HALLOUIST Fire -
o? Address 5005 W 80TH
g W ciry BLMGTN phone 831-1875 Eng.-
Planner
I hereby acknowledge that I have read this application and siate thatthe
information is correct and e to comply with all applicable State of
Minnesota Statutes and iry f Ea n Ordina s.
Signature of Permittee ? '
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all aoolioable Siate ( Minn so
Council
Permit $ 445.50
Surcharge 52.50
Plan Review 222.75
SAC 575.00
Water Conn. 5 0 0. 0 0
Water nneter 63.50
RoadUnit 290.00
BIdg.Off.ll/lu/25 Tr.PI. 156.00
APC ? Parks
Var.
Copies 2 p 25
r..•.,i •
on the express condition Mat
Statutes and Ciy of Eagan Ortlinances.
Building
??a??
2007 RESIDENTIAL MECHANICAL rExMiT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single Cumily dwellings & townhomes/condos when pennits are required for each unit
Date S / A lcn
Site Address U4-`-1 -_,) :FGkal ruGeQ. Unit #
Property Owner ?_Q?(N\ Tll? CcI w Telephone N (W ) "ur? ' ot`i b0
Contractor
Z5 ?
y\ja \ Aki Cit
Street Address v?
(, a --
0U y
State Zip Telephone#(?l
Bond #: Expires:
The Applicant is _ Owner 4L Contraaor _ Other
Fire repair (replace burned out appliances, ducrivork, etc.) S 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling uoit " $ 50.00
fumace _Additional ]LRepiacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
w E
Tatel - MRY 2 470m
I hereby apply for a Residential Mechanical Permit and acknowledge that the infortna[ion is complete and accura[e; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; tha[ I understand this is not a
permit, but only an application for a permit, and work is not to s[art without a permit; that the work will be in accordance with the
approved plan in [he case of work which requires a review and approval of plans. n n
?
?_5b
bku?.??r& , i
Applicant's Printed Name App irant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
5 30") I CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetructlon ReauhemeMe
• 3 registeretl site surveys showing sq. N. of bt, sq. tt. ol house; and AU roofed areas
(20% meximum bt coverage albwed)
• 2 coples o1 plan gwwing beam 8 wiMow s¢es; poured tound design, etc.)
• lsetofEnergyCalCUletbns
• 3 copies of Trae Preservatbn Plan N lot platletl atler 71t/93
. Rim Joist Detail Options selecthn shaei (hldgs wRh 3 or less un8s)
DATE 7//0 /0a`
flamotleVHeoah Reauiremenls
. 2 copies of plan
• 1 set of Energy Calf;ulatbns br heated additbns -f
• 1 sBe survey for Oerior atlditions 8 decks
. Indirete N homa served by septic system for atlditions
VALUATION A, L?oi)
SITE ADDRESS ??? fQuJ r1. ?, cI9Q ?cZ r? MULTI-FAMILY BLDG _Y ?N
NPE OF WORK FIREPLACE(S) _ 0Zz 1_ 2
-??
APPLICANT
.
,
STREET ADDRESS /aa Y7z A&Co //?e ?-'.Qde 5, CITY Ru.^vr s v, 'l (R STATii ZIP SS 3 3?
TELEPHONE # ?RSa)"?i?7-6459 CELL PHONE # fAX # (9Sa) SD 8- 88N,6
PROPERTYOWNER Aed,'n te /?a?-al !"`'s??g-Y TELEPHONE# (6S1) yOs'-`I1-?f5
-------°---------------------------------------------------------------°---------------------
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residentlal VentilaUon Category 1 Workaheet Submiried • New Energy Code Workshaet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Conhactor:
Pluxnbing system includes:
Mechanical Conhactor: _
Mechanical system includes:
SewedWafer Confractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. $att
Fee: $90.00
; ? ?T H d?
rn r.rui 12 nn?
Fee:
?[3y
Phone #
-------------------------------°----------------------------------------------------------
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to comply
with atl applicable State of Minnesota Statutes and City of Eagan Ordinances. nc
Signature of Applicant
Li
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
„ _.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
01110
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 25 ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS #i OF UNITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address
Apb 1'Y')A?
Valuation: I I d C) n
Lot lg Block ?
Pareel/Sub ?40,1? . ?_
Owner ,1f4k
Address
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
)Booster Pump _
City/Zip Code j
Phone y5 y- ? 714 APPROVALS
Planner
Council
Bldg. Off. 1? 10 11
Variance
Contractor Engr/Assess
Address
City/Zip Code 5 I , VOAA-x , ,"') D / U
Phone 7- 1-'10f
Arch./Engr. -
Address
City/Zip Code -
Phone 4F ?
Date: QGT ?
rtcc nnn v
Occupancy Q-3
Zoning
Actual Const ? -V
Allowable v_ fJ
ft of stories
Length 1`'1
Depth
S.F. Total
Footprint S.F.
FEES
Permit ?1'A, Do
Sureharge S,SJ
Plan Review 5'1,00
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P 1
Parks
Copies
TOTAL
S
? (
.
. • -
(ADD)-flOr7
2 Z ?I
C?1)
< y? ? ? p
/v cl-i(:;,
, r
N?AOBE (pH1ULTIH6 EH6INEEAS
ENG?NEEftiNG PIANHEAS und LAND ?U? COMPANYI INC. S
1600 G57 I461h STAEET, 6uRN5Y1LLE, YIHHESGU 51337 pH 4.2-3000
CeTZ Z}Z CGL?L V?-7"YeY \G?
L07- 19, BLOGK / -FAWN
RfDGE, DA.t'67A COUNTY, M//?NESaT.R.
3 0' FROA17" BU/L D/NG (q qQq3'
SET BAC.t' [/NE ?
: \ '?O 09
N \?
. a q?15???, ?o? ??
.
y ii sNO ? ?\ MIO.(??o
NoR TH
SCALE? l"=30 , ?? ? ??, a b? -y? N\
'000?
t* J ? b12?1 ?` p30? \ 71 s??' pU.
J??' ,?? ?
t
? \ `aD
z
\ 1•0 ?? ?P ZZ;pR16
,
4 2a ?1 ,?? :
??? 1?(.?? 1 \J
?
O?
m
•?'/ \C, Q ?? yr
i
(9oy_o? DENOrES EXisOXVG E4EY19r1,ON
,L
(911.3 ) OENOTES PROPaSED ELEYfJTiOiV
lNDiCATES D)RECTivN e,4'
"' = SURFACE ORf1 /NAGE
F/N/SHED GARAG£ FLDOR EGEVAT/ON = 9//.B3
rYahcertf amiand tdeacrib?d ihernon?•e AII d PrsP rnd y p m Q ° t thi? n o? a day cof f
land as
?vc.??3[? ? 19 $? . ? .v
Kinn. Eeg. No.?
$ 4 °{ - - " . ,t£'. rv '
y4 •
x ?.. rs . ..
a { i
?
F s ?'' a?` S - ` i hs
{e q^'9i r y. ? r° x . g
! v- ?§4F tJ ir. o a _ x . . . r
?R„??1? "1985 HUILAING PERMIT APPLICATIQN - CITY
3i? Y v*r? . s?`3? "? xy ?`'r
,? r,CO.. 4NTxRAC._ ".s r• .. ,.. . '.- ,- . , y `f??$"`?`?'':?t ..
?„?,?,?? NOTE: e;ALL r01tS; MUST. BE LICENSED:YITH THE..:CITY OF;.EAGAN
vI vu? ,.?yy . , LI <U4 ?/ V-ti,*. VliliY[121I1C.Y
Remodel =:?-.Zonipg%, ?10 v
Repair, ' i Type,nof Corist'
Enlarge of "Stories ;
-,
Move
- Alength'?i
A - ; „
fi
Demolish Depth
`
j €^3k
Grade Sq Ft
, . .
APPROVALS
?y..? Assessments - Permit-'
?
Water/Sewer Surcharge
Police:,: an ?Re
Fire , SAC
4 Engr , r
1;Water
`
Cpnn
r
,
,
,
r
?
'; ,? 'Planner`?. ,a'wWater??
Meter
`'
'? ?? ?<r n ?,
Council
Road
?
Uriit
i
: ,. „
?;:,
,.
,
Bldg Off "?PaCks ? ?° ?? '
'?i? APC .;? a,+ YTreatment Pl ?
Variance
, .
HS
? .
t
4 sY
lXo
s
?.? ,
.
k ? . N 1
fn
?
S
... . ? .,. f..,
l
? t
? t
a
r ?
rt
ts r
? . v ?.
? r
J
.
?}. wY...)::. .
w . ....e.....?.. _ • ? , .
. a.,..n. r .au?n ?eaZ..a..vi.... . .v.ur.
l2 x'zc- -- ?4e> ¢4- (D
2 ?1 x 'ao V `-'`?° y ? 2 ± (C/+8o
K 1 a = ( OCD x 8c- ?;,(D
2? x 2-& Z E, 4-?,'-- = 320 r?32
??- -)(, 20 = 2- 8)o x-4ci- ? 12- 3 2 a
4 K?5
lo4c?, -7 2
KEY(t7ND
,ROBE COHSilLTtHO EH61HEEflS
ENGINEEftING PIAHtiEAS nnd LAND iUNVEYOf15
COMPRNY, INC.
1000 LAST 14611 STREET, BURNSYILLE, 1lINHE50TJ1 5!337 p!i 4432-3000
Cerziv-z crzze
Z?val .DfocrjP8ion: Lor 19, 81-acK ; FAWN
R/OGE, DA,f'OTW CpUNTY, M/NNESOT•9, ? 25 ?? _
NoR rH
SCALE; /"=30'
c--
.
3 O' FRO&T BU/L O/NG
SET 6AC.t' [/NG
r?
? y)
-i?
? ll
Dik
?t
0 0 3 ??
? 22??
`q0
.40
9 ?
10
J
. Q
m
-?
?
S
\\ ?
\\ 0 R\
(9e)><:
/
,
00,
? .?
/r9
? \ ?\?? ? \,•
f N9??
\ \°o
- OJ
aT` \ \
z
?_y4 'L? Zg'•
Q_ .
c3
.A
?2. . :
?0)
Zq,
DENOTFS EX/ST/NG EL£P9T/G,ci
?
(5u.s ) OENOTES PROPOSED ELEY,9Tion/
-?--? /ND/CATES 0/REC710N OF
SURGACE DRA/NAGE
F/NISNED GARAG,r- fLDOR ELEI/AT/QN = 911. B3
I hereby cartify that thia ia e t:ue and carrect npraeentatioa of a tract of
land a: shown'and deacribed hereon.• Aa prnpared by me on this rd day of
?•?c3? , 19 ? . -
Ninn. llea. Ho.?
?? _ _.
' ' . 3W . k:i
. ., EXTERIOR ENVELOPE AVfRl1fE °U"_COMM17AT10N
• ?4•x
OWNER: ?4JEE`{L,6+Jfl NoMES _ _ nn7r:---4`ZZ-8( e E.`
PHONE
SITE ADDRESS:
?.
. ??
. • , . CONTRACTOR:
Determine working square foota9e of each
'•?1. Total? exposed wall area..... Z39a sq. ft. x.11
2. Total roof/ceiling area..... 1408 sq, ft. x.026 ='
? Total exposed wall arca above floor=_.__z3??
141 to
a. Total'wall window area ........................................... ?-
b. .Total door area .................................................
c.' .Total`sliding glass door area .......................... ...?••••• ? ' ????r
d. ?Total fireplace wall area ........................................
e. Total wall framing area (average lON).......... .•..••••••••••••
f. Total rim Joist area .. ..........................................
g. net wall area above floor ............................::..:....
h. wall area above floor ............................ t,
i. wa11 area a6ove floor .....................................
J. frame wall area at foundation ...................... . ..... .... ...
?
, Total exposed foundation area=
? k. Total Poundation wlndow area....................... 1. Total net foundatian area above grade .............. •S
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. t?9•(? X „u„ .3s = 5-z•`1 ?
-
' n. 38 X „ull ,3I = 11,8 ???ti.,
c. X ..U.- 35 =_ ? £4,??
.
d. ? X liull
?? ?? ??? •''.
e. K ? C??1 = Z1.?- ?.g • ,
X ltuil
f. _ ? I f
x liuii
. fl. X ltuu
' • ?7y'r
' j. X IOU,, = R
?? jI _ .:.,
J. K? -?' if item 03 isi'.?hB?? a
as, or less than?tte
k. 10.5 x ,?1 N1, you have me!"?the
X"U" 1ntent of SBC:;60?O?r(
Z7?1- 3
. {`
- ''
3 . ................................. Total
' ?'"{
?j ' ? _._ ....._-.. -- --...... >
; . . _--. _....
Envelopo Average "U" ComputaL•ion
Page 2 ?
Total exposed roof/ceiling area
,, -
Total skylight area ............................
n. Total roof/ceiling framinq area (average 10%)...
o. Total net insulated roof/ceilinq itrea........... ?
Determine "U" value for each roof/ceiling segment
M. g flu.. _
: %. n. x lou.,
,. ,..
.,?;?•.,?..,. o. ? g olUll ,OZ.-
-,
4 ........................... 7roLai
..?
If total of #4 is the same as, or less t:han N2, you have met the intent of
' SHC 6006 (c) 1.
Alternate Building Envelope Desig n
: 7b ut3lize the total envelope'system method, the values establishad by the s:un of
ftems N3 and #4 shall not be greater than tha sum of items Nl and #2.
1. ZCo ?."? + 2. Z8 -7
3. + 4. M1Z
I
I
• ? ?
i
1 . .
.
?
f., l'
j . .i. {
f .
I .
. ': . " .
.
rT4
'.,?;?
? ' , .
. . .
? . .
.
?. . .
?
i
t?n
?
{ . .
1 4?
?'+?? ?.
i ' .
?. ? ..
.,..
? . .
' •
? .
.
. .
. . '.{
. .
.
. . ,
i. ' .
?
? . . .. ?.
i
??
. . . ?
.. .
. . ' .
. .
. . . . .
. I I? . .. _
. '
' y?`'.
? . ? .
•
"
?
- , ' , . .. . . . F.q,.
?
j
?
i....
. ? ..
.
.
r?
, 5LOG W.; 140
? ", iC:?.l?E ;
. ,
? 4v
!40
;,;1Z 1 M : 140
;
` ?40
.?ICNE.E: .
. . . 4r V V .O ? J
t
?. !';PuLL f ; 140
Fu L L Z; i4o
?.1,M : 1 4O
.:{
PLAQ ??.
FT. FXposED wAL,C_ ..
Sk50SED WA LL AZE.A
x
X 5 - ,
xs =
x S= I I Zo .
k S
?C -
-
I 4D .
.?
r' . ; Tot?L = z3g?
? ¦sQ,?t. ?xaasg:.D GEI LIUq q Co8
.,
?y
woVXs ?
2 - Z43(o I'L
: .. • $-?-44? sf3.t?
3 -Zy?o ?v
;.. . 149
s Dooe?s
0 ?f4T10
?.
_? Ewf
:
. .,.?
pS ?V.
'? ?t??1EnA
? • ( i.`?
.?r ?Xte j
p
Ogs M4 U kJ i +5
4-Zlri4 -)O.S
;:
'3 9 (, 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ?(p U -?
851-681-4875 0."
New Constnienan QeaulremeMS Bemodel/Reoalr Reauire
menri
? 3 raqlsferetl We wrveY: showiny tq./4 of bt, W. B. ol houae
and gu roofed oreas ClOX rtwxlmum lof Covewae allowedl
D 4 COp16E d WCma (ahow beam a window tlua: Poured hxd d6siyn: etcJ
D 1 tef of NfBrpy cdculqHOnt
D 3 copies d hee pretervallon plan H bt plalfed aRer 711/99
DAiE: D ,-2 -I q - L)O
DESCRIPTION OF WORK: f'"//7/SI'Al-GE JL f'
sMEE'r,e,cDaEss: 4q 73 Fa.wo J2,
LOT: ? cA BLOCK: _I SUBD./P.I.D. i:
PROPERTY
OWNER
2 eoPiea OI Plan
1 set ot energy cdcWations !or heafetl atlc98ons
1site wtvBY for exleAor qddiHOns a tleeks
CONSTRUCTION COST: ?
7,30 /
e 7-ra.; / ?
?
Name: RjS CQ 7`D 12 ie V//?
lptl Flrat
S,r.et
73 Fd-Wn iL
CI}y
PhOne g:
e Qi/
/Z3
State: // ZIfi: 55/ 215
. Companr e C
? carea coy53 Fxp.
corrrnncroe ?
Sheet Address: C/'d6 /lJ ?/e Ilcense #
ciN Pa"i Sta,e: n ZiP: 55103
ENGIN ER / Company: CO?'!'77?QGAN me: 'JOA12l?
Telephone (b? > ?(87 zla as
Sheet Address: D6 NL 11-2 1/e Regisharion
CHy -.9- vAgi State: y??L_ ZIp: SS-7ZX3
Sewedyrater Iicensed plumber (If Insfallina sewer/waterl: Phone #:
I
I hereby acknowledpe ihat I have read Mb applicaHon, sfate Nwl the infomwlbn ia cortect, and agree b comply wNh 00 appAcable Stafe
of Minnesota Stalutes and CNy of Eaqan Ordinancea.
Slynalure ot Appifeant 4 LIP ? '(W)
-?
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
_ No
_ No
- Not Required
, ?I FB 14 2030
\W
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundatlon O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex O 17 Garage O 22 Poroh/Addn. (4-sea.)
O 03 01 of _ ptex O 09 07-piex O 18 Deck O 23 Porch (screened)
E3 04 02-piex O 10 08-plex ? 19 Lower Level O 24 Stortn Damage
O 05 03-plex O 11 70-plex Plbg _Yor_N 0 25 Miscellaneous
p OB 04-plex ? 12 12-plex O 20 Pool O 30 Accessory Bklg.
WORK TYPE
O 31 New O 36 Move Bldg. O 43 Reroof
O 32 Addition O 37 Demolish (Bldg)' 0 44 Siding
?33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) 0 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code o I
No. of Units I
No. of Buildings D
Const. (Actual) ?
(Allowable) S ?
UBC Occupancy 'P: 3
Zoning '
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building ch:?? Engineering Variance
?-
valuation: $
?,60r I-tNtSIt -vcoo 1S 0
Total: ` I irp
? 31 Ext. Alt - Mutti
? 33 Ext. AR - SF
O 36 Mutti
SAC Units
% SAC
?. l,ll 1 WE V1VL1
LOT ? BL PERM[T #: 7? 1
SUBD. 1?AW A ?I,P/ RECEIPT #:
RECEIPT DATE: 3-I- O C)
2000 MECHANICAL PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PIIpT IQdOB RD
EAGAN DIIi 55122
"] p
?u) 651-681-4675
Date: 0
Complete this section onlv if you are installing HVAC in a single femily dwelling, townhome or condo under
conswction and not ownedoccuuied.
• HVAC: 0- ] 00 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
$
.50
Complete this section onlv if you are remodelinA, addins to, or repairin¢ an existing singie-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New J! Alteration _ Repair _ Other
Fumace
_ A'v exchanger
Reminder: Ca!! for inspections
SI7'E ADDRESS: ? q -1 -?:::)
OWNER NAME:
W STALLER NAME:
STREET ADDRESS:
CI1'1':
i
m R
lq6
A'v con Other
n.?.
Fee $ 30.00
State Surcharge .50
Total $ 30.50
PHONE #:
PHONE f!: ??? DE) - l9 r) ?- 71[? /
(AREA CODE)
I1 ?
- R?' ??R f'? e- STATE:. IOIV ..-ZIP: s J I
?f
SIGNATURE OF PERMITTEE
L ji? BL CITY USE ONLY
SUBD.
RECEIPT#: l Q Z4-0SStp
RECEIPT DATE: ol - 4a -Od
PERMIT # --5? CP s ?i
1999 PLUM$INfi PEitMIT (RESIDENTIAL)
crrY oF eAsAx
3830 P1LOT KNOB RD
EA6AN, MN 55122
(ssi) 681-4675
Please complete for: > single family dwellings
• townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTU RES
EACH !!
TOTAL
6aih tub $ 3.00 x - 5
Floor drain 3.00 x = $
Ges i in OUtlOt ` minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water SOftBner if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --; ----> ----> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------- ---------------------- -- ------ - -..
I hereby acknowledge thai I have read ihis appliCation, state that the information is correct, and agree to comply wifh all applicable Ciry of Eagan ordinances.
It is the applicanl's responsibility to no[ify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activi6es to Ihe facilities constructed under this permit within Ciry property/rightof-way/easement.
SITE ADDRESS: 7'l-?3 FAWN
OWNER NAME: : 'P/d)P-- qf::5 TAE/LEPHONE #:
tlY?• (AREA CODE)
INSTALLER NAME: ? F TELEPHONE #: I y 7 53 °/° o 0
I X?Z? HGJ ? ?? ? ?i ?
STREET ADDRESS: (AREA CODE) rC'CITY: STATE: ry/\/ ZIP:? 3 Z-
G?G-??`?'
SIGNATURE OF PERMITTEE
L / / BL ?
SUBD. lqau?-?
CITY USE ONLY ?
RECEIPT#: O e!
RECEIPT DATE:
PERMIT# JV/I
199 9 PLUM$IN? PFitMIT (RESIDENTIAL)
crrYoFEAeax
saso Pu.or xNOa sn
f.f?fiAN, MN 55122
(651) 681-4675
Pleasb complete for. ? single family dwellings
> townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES
EACH N
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Mir:imum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ d J
Watef Softener if dwelling under conslmction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e 50 --> ----> ----> $ 50
Total --> --> ----> ----> S .?m
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------- ------------------------------------------------------------------------------------------------------------
I hereby acknovAedge that I have read this application, state that the informalion is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to nolify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activifies to the facilities constructed under this pertnit within City property/right-of-wayleasement.
SITE ADDRESS: iGi.-Ow lell?4
OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: lv/Z SS/ aSS 5-
n? (AREA CODE)
STREETADDRESS: ?OD iA??tit? f?
CITY: STATE:/-V ZIP:
!
SIGNATURE ERMITTEE
2006 RESIDENTIAL BUILDING rERAuT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4udion Reauirements
3 registered site surveys showing sq. R. of lot, sq. h of house; and all roofed areas
(20% manimum lot mverage albwed)
2 copies of plan showing 6eam & window sizes; poured found design, etc.
1 setof Energy Calculations
3 wpies of Tree Preservation Plan %lot platted after 717/93
Rim Joist Defall Options sel_cfan sheet (builditgs with 3 or less units)
Minnegasco medianrcxl venfilation form
RemodeVReoair Reouiremenfs
2 copies of plan showing footings, beams, joisfs
1 set of Energy Caiculations forheated additions
1 site survey for additions & decks
AddAion - indicate i(on-sife sepG'c system
It -?-o - 0-°
a*-
?141
orB e tYnY
GeAofSuney,ReW
TreePres,PfeiaR9c?i , Y ?N,
jre¢ Pres Fieguired ' :.3'',. 4••N
Orrsite,SepticSystem I.N
Date ? / ILA I ec
Construction Cost "W l0i 06G-
SiteAddress -IU7 ? ??wN 2l?Li 'TQ(- 4- LFm te #
,
Description of Work
DD1YicU ? Jljl ;
) ?n
Multi-FamilyBldg _
Y ? Fireplace(s) _
:
?
0 _ 1?=?-?•2?.?? ? I
Property Owner kE"i w ? M q4Y Pi 5 Cw'r-K Telephone #((,S ()
Contractor P?4 `cwrqNY
Address ?-1KKCw K1v15 l?. City J?)Ltp-G?G?? ?IElcs?
State ?A VJ Zip ??6-7-7 Telephone # (GSr ) G32- 2?1? fr ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Mivnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Eneryy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building,Permit and aclmowledge 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.
M 1)?t Vv p N o v( 'Z1
ApplicanYs Printed Name Applicant's Signature
DO NOT WR1TE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 08-plex -;PC 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
'91? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire BIdg) - Give PCA handout to applieant
DCSCfiptlOfi: Water Damage _Yes
)
0"0
Valuation ( Occupancy MCES System
Plan Review 100% or 25%
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const ? Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
? Fireplace _ R.I. _ Au Test _ Final
Insulation
REQUIRED INSPECTION5
_ Sheetrock
FinallC.O.
? FinaUNo C:O.
HVAC
Other
_ Pool Ftgs Au/Gas Tests Final
_ Siding _ Stucco I,ath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
r
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
??1ltj{L
0
j
KEYe-'
. AOsE ?OHSULTIN6 EHdlHffflS
?`\GINE"IING . PLRNNfAS nnd LRH? bRVEYOIlS
COMPANY, INC.
( 10a? G5T 146nt STREEZ, BUfiHSYII.LE, YINHESfliA 53M7 pH 4_2-3000
Z}'z c cLze S't-T'-Ye y
??aqal ? 1C}'?p?Ipn • ?or ?9, a?acK /, FAWN
• R/OGE DA.COTA CDUNTy, NJ/NNESOTi9. ? ?'? P
NoQ rH
SCRLE' 1"=30'
C\ '
?l
(.
3 0' FROi?r Burt ?i.v?
SET BAC ? ?(,Ci'e
i?
. ?
^ .t
r?•
< <?
0 0 ?3 03 0??
o)
?
\G_
?, \,O
0
?`? ?\6f .?-
?0 0 ?O
?-- ?
\ ? m
\ Q \
/?
9
q??? 571 ? ??\
. ,
77-
?
+ IVD'(
l
B
\y z?.
sr_
?? .
zcwN? ?(? % i 9D9_o i DENO)ZS EX/ST/A/G
y (9ii,s ) OENOTES PROPOSED ELEYfjT/o?
..t? IND/CAT£S DIRELT/oN DF
SURFiJCE ORA/NAGE
F/N1.SHE2) 6ARfi6Z- FLdOR FLE447-10N = 911.93
I heruby certify that thia ia a t:ue and correct npranentttian ot a tract of
land aa tho+rti and deacribed heraon•• Aa prnpnrnd by me on this r1 day of
?c?c..?3? , 19 g? . ,,..,, ?Ninn. leg. No.A
iJ U
101 10'. ?
' 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstructlon Reauirements
3 registered site surveys showiiy sq. h. of to4 sq. R M house; and p.l roofed areas
(20%maximum lot covuage albwetl)
TSods Report if proposed 6uiiding is fo ba pfaced an dishttbed sdl
2 copies of plan showing 6eam 6 wintlow sizes; poured fountl Oesign, ea.
i set of Energy Calwleuons . .
3 capies of Tree PreservaGon Plan if lot platted after 71l 193
Rim Joist Detall Opiions selection sheet (buBdings with 3 or less units)
Minnegasco mechanical venfilation fam
RemotleVReoair Reauiremenfs Office Use'C1nN
2eopiesofplanshowingfootings,baams,joisfs Catb(SuNey.Recd; _Y_N
-
isetofEnergyCakulstionsforheatedadditions Sals,Report _N
_Y
7 site,wrvey foraddiUons 8 decks TreePres Pian Recd ? - Y. _ N.
Adddiar-in6cete if mrslle septk system Tree Pres Requiretl .? - Y._ N
Dn-sde;SepbcSyslem. _Y _N
*?I'? aw?'"Z,Po 46,O1?
Date-?7- /-q
J V I ConstructionCost j3. q 86,M
'r
Site Address E1. 7 3 /J
ktA4,J?2 X UniUSte #
Description of Work
' U
Multi-Family Bldg _ Y_ N Fireplace(s) 0 _ 1 _ 2
Pro
t
O
1WV"?l hone #((qJ1) q6 5- W7? C1
Tete
per
y
wner p
` ?
Contractor
et.?
Address l
State / City
Zip t) 5 Telephooe
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmisslontype) Submitted Submitted
. Energy Envelope Calculatlons Submittetl
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, daTe and address of masTer plan:
Licensed Plumber
Mechanical Contraclor
Sewer/Water ContracTor
Telephone # (
Telephone #(
7elephone #(
I hereby apply for a Residential Buildivg Permit and acknowledge that tUe 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 whic D q}}?aeV €e,v? D
approval ofplans. < L? I?
L 1 2007
Applicant's rinted Name Applic ' S' ature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118302
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 4473 Fawn Ridge Tr
Lot:19 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-190
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rongqing Tu
4473 Fawn Ridge Tr
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA125498
Date Issued:07/24/2014
Permit Category:ePermit
Site Address: 4473 Fawn Ridge Tr
Lot:19 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Rongqing Tu
4473 Fawn Ridge Tr
Eagan MN 55123
(651) 452-0972
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature