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528 Fromme Ct_ * '?K * * PIONEEFt * engineeri IAND PLANNERS • • GNL 2422 Enterprise Drive Mendoto Heights, MN 55120 612) 681-1914•Fax 6e1-94ee 625 Highway 10 Northeast Bloine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: TI1e ROttIUClcj Company InC. House Address: Fromme Court, Eagan MN Model Name: Summit r? .? hco ti ^oh'o° c? ? ? JJ ?ih o • ? ? ?' J ? ilJ i N ?3e 5 / S22 7 8„ w ? -? ?'- ? ? I / i i / i I I ?l _Lzo0.@ `: N ?,` D J D v ? 39.65 ?- S arossa• E I 3 ? ao.oo ? PRa'OSED HOUSE 5 COf1RSE WALKOUT • `f 7 ? GARAGE P2.33 ? ? i s i ? ?. ., 64.35 ? ? ? /? - / \ SSO 23572 3is'• 894.6 F / ? ? i ? 2G.33 ? 897.0 ?-? I M I ?' 1 I \ . \ 'a DRIVEWAY \ ? a e 13 0 p = 107°04'36° R = 60.00 FROMME COUR=T I?o.oo ' ? ?o 894.2 \\?. _ .•d? ,.. `'? ?,. _ ? ????.?y ?. i :x,....__---- ..r:";?t?'r.' ?`i?.'•t ?i;f.??falilb - -- • 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION soo.o Denotes Proposed Elevation Lowest Floor Elevation:894.45 - Denotes Drainage & Utility Easement Top of Block Elevation:897.66 - Denotes Drainage Flow Direction --o-- Denotes Monument Garage Slab Elevation:897.33 --g- Denotes Offset Hub Bearings shown are assumed LOT 7, BLOCK 2 COVENTRY PASS DAKOTA COUNTY. MINNESOTA 3 R D A D D l TI 0 N I hereby certHy that this survey, plan or report was pre,pared by me or un er my irect supe rvison an t a1 1 am duly Regisrered Land Surveyar under the laws ol the State of Minnesota. Dated this I l .?'? ?.rA rday of M eerN A.D, 19q 7- . Inon= 5(I raet R NO. 14891 Q5 91194.11 1 ? CASH RECEIPT 0- CITY OF EAGAtI , 3830 PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 r-OATE RECENSo / FFIM lI? ??"', l s?: • I^. ? AMOUNT IL lb, o Cr,J ? CASH I ^,ll GHECK Bv , -? C, 13 819 wN,a--Pay- C-OPY YeAaw--PosUrg Copy ? PiNi-FMe C,opy d 1w OOLtARS Thank You ; To be used for SF Site Address 52a Lat 6 81ock _ Parcel No. W Name THM ? Address s2a Name LM Address City Phone Name ' 'Address City Phone y acknowlege that i have read this application and state that the ?tion is correct jknd agree to comply wi(h all applicable Stafe of j Signature of work shall be done in accordance with all atutes and Ciry of Eagan Ordmances. •n!.r , . . . . . .. _ , . CITY OF EAGAN b Road, P.O. Box 21-199, Eagan, MN PHONE: 454-8100 Receipl # ? Value s790,000 Date_ ?: • ??.. 19 15 2 :d is4! ? OFFIC E USE ONLY Occupancy &-3 -h=l FEES 2oning R- i (ACtual) Const Y"'N Bidg. Permit ? (Allawable) y? Surcharge # ot scories 0 I Lergth 43 Plan Review - Mw j DePth SAC, City tooe? 'i S.F. Total - SAC, MCWCC ?C?[!]O/ ! S.F. Footprints - On Site Sewage _ \Nater Conn 60,,QQ { On Sile Well Water Meter ?95l?pl MWCC System X City Water x Acel • ?Posit ?Qg PRV Required _ S!W Permit 30•? Booster Pump - g/yy Sureharge • 50 Treatment PI 276.00 APPROVALS Road Unit ,370tQQ Planner Council - Park Ded. BIdg.Off. ? _ Copies Vananm - TOTAL 3,130. ? Permit No. Permk Holder Date Telsphane A? ?OC/ td gJ r ? AC. - Inspectlon Date insp. Comments Footings I LtJ Foundation Framing 11-4l, / 7 171m Roo(ing Rough Plbg. ? Rough Htg. Isul. 7l? Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notrfy Plumber Const. Meler V EngrJPlan ?,. Fi?l ?e- Flg. Deck Ike Dedc Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •.' " ij }4 "' ?P ^ Eagan, Minnesota 55122-1897 Date Issued: h? (612) 681-4675 SITE ADDRESS: APPLICANT: I I I'v'f N I {,'( ! :, PERMIT SUBTYPE: I - i i W, i . ys6 os6 y TYPE OF WORK: I I NA) i r W ? Pamk No. Permk Holder Date Telephone 1? ELECTRIC PLUM8IN? HVAC Inipectlon Dab Insp. Comm enta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ? r? fr+2Ti c? - ? ? / /? ? DECK FINAL . ?r' ?? i, ??? ??? ?~O`¢? ' //?! ? ? -?? (g.er#i#trate of (Orrupaury Citp of Cagan Jopparbaptd !2f Wllly" 3wPtfWY[ Tkis Cend'fuate issue,d pursuunt lo tlte requirenrentr of SacYion 306 oJlhe Unifonn Building Code aatifyin8 that at the linre of issuanae thirsiruc[ure ww ix cosrpliame wilh the Hwious a?rlirrancxs of rhe G'ty rev&wz8 baldin8 conmucxion ar use For llre following: uwa-ff-w- _Sg-pW4C,AR eae- p.a xo. - l015?2 Oww-7Trae R3.&1 zmiq nim;a RI rnc Cow vtJ ..?°n"?[JAa''?Q') Aaama 52f1LF?.RIyFR RL1,E7rnrrv Buildiq Aearm s11-_rn,m: Lomuy -Lfi,rR2.? PASS 3M Daw- POST IN A CONSPIdJOUS PU1CE ,, T? :H by, Ck 1LFi YtKMI 1 urrm:c uac vnL. . OF EAGAN METEq # PERMIT DATE r'- Pilot Knob Rd. Z Zzpc 1, MN 53?122-1897 CH?P ?` PERMIT ? • METER SIZE B.P. RECEIPT # ?: 13u1? ^ Ob Ob 91 ? " Uh+ 3. 1941 ISSUE DATE B.P. RECEIPT DATE l SITE ADDRESS `'2?3 11FUhQiE CT' LOT FI BLOCK 2_SEC/SUB COVEnTRY FASS 3RL' ADDRESS: CITY, STATE ZIP ,STATE ZIP `'S.1S7 OWNER: THE ROT'YLUhD CO INC ADDRESS: 5201 E ltI1lFR RD CITY, STATE FRIDLF.Y r4d Zip 55421 PHONE: 571-0304 PERMIT REQUESTED x SEWER X WATER -TAPS - COMMIIND RESIDENTIAL X NEW - EXISTWG Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? . ..?? •r<-t.tt-rs _ I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED STORM . . . ,:,. - - - .: ., . . SEWER & 1NATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ? DATE : j1;v 3, 1 q91 OFFtCE USE ONLY METER # 41SC yb PERMIT DATE CHIP # (Ij 0 PERMIT # t ?_2aa i. METER SIZE B. P. RECEIPT # C 1 S i; l'' ISSUE DATE ' B.P. RECEIPT DATE _ PRV _ BOOSTER PUMP SITEADDRESS LS F120'114. L?"t' LOT 6 BLOCK ? SEC/SUB u-QVENTRY PASS 3RD APPLICANT: ADDRESS:_ CITY, STATE PHONE: - PERMIT REOUESTED X SEWER - WATER -. TAPS - COMMiIND ? RESIDENTIAL ZIP k NEW - EXISTING PLUMBER: VALL.EY PLl1MBING ADDRESS: 610 CRErY. LN CITY, STATE JORDAN 1?W- Zip 55152 PHONE: 492-2 S :' 1 OWNER: THE ROTTLUND CO INC ADDRESS: 5201 E RIVER RD CITY, STATE k'RIDLEY MN Zip 55421 571-0304 NATURE WHEN METER 16SUED INSPECTIONS. FOR STORM Lawn Sprinkler Meters are to be Installe Ahead of Domestic Meters on Water Line Credit WILL KOT be.given for Deduct Meters'I I AGREE TO C PLY WITH CITIf OF EAGAN ORDINANCES ,- DATE: AUG 6, 1991 RE: 528 FRQMM CT (THE &OTTLUND CO INC) X Your Seypr & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAyL•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. F 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. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. r CITY OF EAGAN No 1 91 52 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 p. PHONE:454-8100 ?> c 13?1 BUILDING PERMIT Receipt #?-/? nn Tobeusedtor SF DWG/GAR EscValue $79,000 Date JUN 3 1991 Site Address 5 Lot 6 Black Parcel No. CT SeGSub. a Name THE ROTTLUND CO INC W o Address 5201 E RIVER RD City FRIDLEY Phone 571-0304 o Name S? ?a Address ? City Phone UQ W w Name ? ??3, Address a W City Phone I hereby acknowlege thal I have read thi , pplication and state thal the IFep icable State ol information is corred )MM Minrresota Statutes anSignaNre of Permitee A Buildinq permit is issued t. THE RO TLiJND CO INC on Ihe express condition that all work shall be done in accordance with all applicable Stale o( Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Actuaq Consl V-N Bldg. Permil 545.00 (Allowable) V'N Surcharge 39.50 S ol Stories Langth 43' Plan Review 354.00 Depth ' 44 SAQ City 100.00 S.F.Tolal - SAC,MCWCC 650.00 S.F. Footprinis _ OnSiteSewage _ WaterConn 660.00 On Site well Water Meter 0 95.0 MWCC System X Ciry Waler X q?d. Deposit 30.00 PRV Requirad _ S/W Permit 30.00 Boostar Pump - S/W Surcharge 0 .5 7realment PI 276.00 AVPROVALS RoadUnit 370-0 n Planner - park Ded. Cauncil Bldg. Off. _ CoPies Variance - TOTAL 3,150.0 ? % Adl'eS3 : 528 FRQ+E rAIJ_RT Lot y Blk Z Sec/Sub CpVENTRy pp,SS 3RD f1'hese items were/were not complete at the time of the final inspection. 9/6/91 Yes No ,(J Final grade (6" from siding) i/ Permanent steps - garage Permanent steps - main entry ? Permanent driveway Ui Permanent gas Sod/seeded grass ? Trail/curb damage Poxch ? Basement finish ? Deck ? Please veri£y vith the builder the removal of roof test caps from the plumbing system and the shut-off o£ water supply to the outside lawn faucet before £reeze potential exists. ?6r •cueo r.rtn White - City copy Yellow - Resident copy Pink - Contractor copy 7/C?/C?/ REQUEST FOR ELECTRICAL INSPECTION Es-ooom-oe J? See insimclions ior compleling ihls lorm on back of yellow ropy M W 67175 "X" Below Work Covered by This Request ew Atl? Rep. •,_ Typeol8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Hea[ing Apt. Building Dryer Other (Specify) Comm./indu5lrial ' FUrnace Farm Air Conditioner Omer (specity) CoMraclor§ Remerks: Compute lnspection Fee Below: # Other Fee p ServiCeEntranCeSize Fee # Circuits/Feetlers Fee Swimming Pool 0 l0 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps SigflS Inspector9 Use Only: Irrigation BoomS Special Inspec[ion nlarm/Communication TNIS INSTALLATION MAY B DERE D1rOJJNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby RO19n-;" • ? ? (?? certify that the above inspection has been made. F??ei 4 oai -.7`E( OFFICE USE ONLY This reques[ voitl 18 monihs fmm / r/ yi a 717 5 4 . FeQUest Dete Fire No. Rough-i Require ? spectian ? ReaCy Now gWili NOtity Inspector -i - 421Ve3 ?No WhenReatly? I,Plicensed contractor ? owner hereby request inspection of above electrical work at: Job AOdrass (SVeeL B. or ROUIe NoJ Ciy $edion Na. 1 Township Neme or No- Fange No. Cou Occupa (PRINT) Phone No. Pawer SypWier l1\ I.i Atldress Elecm C vactor (GOmpany Namer CoMractor5 License No. Mailing AOGress (COnhactor or Owner Making Instellation) Authorixetl SignaNre IContrycl pwner a-ng Insallalion) POOne Number ' 463-38/0 MINNESOTA STpTE 60ARD OF EEGTRICITY ? a THIS INSPECTION FEQUEST WILL NOT GtlggrNlEwey BIOg. - flaom Sa73 BE ACCEPTED BV THE STATE BOARD 18I1 UnWernky Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(6/2)602-0800 ENClOSED. 138 rMi 397 ? /4 Repuesl Data - Fire No. o gh-in Inspeclbn Re uiretl? G y ? ? Fleady Now /Jill NWty Inspoclor When ReeGy'/ I p licensed contractor owner hereby request inspection of above elec[rical work at: . . Jo0 AtlGlracs (Slreet BOx or Pate No) ` S ?C & I?/"O T H? L. LT Ciry ?0. O? h Secuon Na. Townsilip Name or No. qange No. Counry Occy? M(PRIN ? Kc?ef? ? ?I..s?e.? Phone No. Power Supplier Atldress Ebclrical Contractor (Comparry Name) fqMre00r5 Licerrse W. Me'iling qtltlre35f(COntraCiM or OwMr /M?akirg In4t211B1ion) So? rrO...M G l.? - Q 1 ' Qh I/?,? /'rN . 5 S/1 ? Aumonzetl ign ure IC nVacror/Dxner Makin Installetion7' Phone NumOer . MINNESOTA$TATE BOqRD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT' GdyynMlUvny BIEq. - Room S173 BE ACCEPTED BY THE STATEBOAHD 1l21 Univopry Ava., St. Psul, MN 55104 UNLESS PROPER INSPECTION FEE I$ - Vlqne (llYt 642-0800 ENCLOSED. / C? 197 REQUEST FOR ELECTRICAL INSPECTION i Sae inslmctions For completinq this lortn on back ot yellow copy. '7(' 9blow Work Covered by This Request EB-00001-0e ??.??' C D%?o 35 b' ew Aad ep. TypeotBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elactric Heating Apt Building Dryer Other (Specity) • ? a ltk Comm./Industrial ' Furnace Farm Air Conditioner Otlier (specily) Contrecwr5 Remark;s7:?c C? r-w, 'YI? ??CJY/ T Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuils/Feetlers Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Transformers Abova 200 _ Amps Above 100 _ Amps Signs lnsPeaas use oniy: TOTAL Irrigation Booms ,?jo, 570 Special Inspection Alarm/Communication $CONNECTED IF NOT THIS INSTALLATION Ml%8? ORDq E DI Other Fee ? COMPLETED WITHIN 19iMME4NTH . I, the Electrical Inspector, hereby - ?' Rou9h-in i. . ° • Date 4'1 certify that the above inspection has been made. Finsi s? oa?e OFFICE USE ONLV This repuest voiE 18 months irom s-l I (_0 ? Ngw Construcllon Reauiremants • 3 registered site surveys shovring sq. R. W lot, sq. ft. of house; and all rooted areas (20% mazimum lot coveraqe allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Eneyy Calculations . 3 copies of Tree Preservatbn Plan d lot plaHed after 711/93 • Rim Joist Defail Optiorx selection sheet (Wdgs with 3 ar less unils) DATE SITE ADDRESS ??K_ R 0 TYPE OF Ceder Valley Exter* lnc. APPLICANT 8920 ZiIle $h6e1 FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS ' - CITY STATE ZIP TELEPHONE # _rE) CELL PHONE # FAX # -169 ".S-?9 0 PROPERTYOWNER LnlL?d 1'21XC,U1,0 TELEPHONE#I LI_? gl- 9(?lJ? COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'PEGORY I D (4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heal Recovery System I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant Phone # Phone # ??? • ? ? Fee: $70.00 • °-----------'---°---°---° ° ..... ........° information iy)correct, and agree to comply OFFICE USE ONLY RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 _ Water Softener _ WaCer Heater _ No. of Baths _ Phone # I.awn Sprinkler No. of R.I. Baths MULTI-FAMILY BLDG _ Y _ N RemodeVReoair Reauirements • 2 copies ot plan • 1 set of Energy CalculaGons for heated additiore • lsitesurveyforextedoraddNions&decks • Indicale if home served by sepfic system for additiom VALUATION Jurv o 4 2002 6? Fee: S90.( Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ?I CIT;Y G EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 528 FROMME CT LOT; 6 BLOCK: Z COVENTRY PASS 3Rp P.I.N.: 10-18402-060-02 DESCRIPTION: Type ldir+g Wbg?k TyPe n' ?: #f E ; REMARKS: {( 4E e ?P d € ts i ? Y& xr .?3 xli v`a'I ' '? f? PERMIT TYPE: Permit Number: Date Issued: DECK NEW rva ?_ & .y} rvt ? .?& OP .} C3 !? ?q ?+- ??-` ?A3 IIF t ?ij SuiLie ? 4Q5?39?`I BUILDING 025788 06/12/95 FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: OWNER: - Applicant - EINSTEIN RQB 528 FROMME CT EflGAN MN 55123 (612)561-4651 ap'p lication a,nd sta?e t $30.00 $.50 $30.60 INSPECI'lUN KECUItll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P•I•N.: 1e-1e402-06e-02 IOT: 6 BLQCK; 528 FROMME CT COVENTRY PASS 3R0 PERMIT SUBTYPE: OECK IFOOTINGS 2 APPLICANT: EINSTEIN (612) 561-4651 TYPE OF WORK: FINflL a ROB NEW BUSLDIN6 025788 06f12/95 ? ., _ . ? ? ? * .? LITY OF EAGAN ' 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reeuirements RemaAeUReoair Reouirements ? 3 registered sRe surveys ? 2 eopies ot pfan ? 2 wpies of ptana (indude beam 8 window sizes; poured fn0. design; etc.) ? 2 site surveys (exterior additione $ dedca) ? 7 energy calalatione ? 7 energy calwlations for heated additions ? 3 topies W Vee preservation plen 'rf lot platted aRer 7/1l93 requiretl: _ Yes _ No OATE: `S - 95 CONSTRUCTION COST: •.((i I. GoO °a DESCRIPTION OF WORK: ? STREETADDRESS: Sa? ?`fomn.? C? IF?ykr MIJ SS1J3 LOT ?v BLOCK J? SUBD./P.I.D. ?on•c - `?Slr oSb9 PROPERTY Name: Phone #: OWNER Street Address• Sa$ ?law.^K C'`c" City: State: k) Zip: coNrRac7oR Company: Phone Street Address: City: State: ARCHITECT/ Company: ENGINEER Name: License #: Zip. Phone #- Registration #• Street Address- Ciry: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and ag" to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ?EM?) Certificates of Survey Received _ Yes _ No i UN p 5 1995 Tree Preservation Plan Received _ Yes _ No ________..------ ,,: .%; - Plr?noE.r FnvlnAerina b9194R(a P.92 ?'? ??????c ? 242Z Eriterpriae Dtiva ,? tnnoeuwviTO?. c?n? anvm?aqs MrndoU HsighN? MN 681 pq ? ?P7? ?l?'?1? fl?..? '-w?w•t?«?s?w.?.r.e.cwft.waw.em ?* *9? (812) 881-1914 O(?a ?r ? R soc?.o iJcnoles E'xislin? El?valion „by? s? ??.? : oa.a Uena?es prq?SEd E/evr,Jion `'? [owes aor Elrvc? i? a??4 .?u. -- ?l7rraufes Drtirind?p j Uli/i?/y ?'osempnf T p or'B/oCk?/?volio? ??. s? ..-•--? ?J?na?rs Prain?+'? rlarv'Drrecfian Gar? ? Slab f/evafior7 gv?, ? ? D.+r?odts NPonuiYjtnf f?rin?s ?"wwn vre t?ssumpd app? cp se LOT?,?3L aC? z, CovFNTRY P?SS 3ra ,q?r?tTldrv d'qK°??q Lt7VNTYy MlNN£SOTR I Ae?eby eeH1/Y th?t thh ?orv?V. Plvn or ???f wn pr uw? 6y m? rM?r m? dlr?cl wP+rw?lon uM undo Ihe a?n 1• Sute vl M??exeb. Dated IM1M?d?v ol ?? ? m dulv ap?n•. lmM rw RFV: b,i1?9i v??r Me?rE A.O._t9??.. Scale :1;?s, ?p? ?. s,?? 9- ? x;:?. ??; __ ?? ?' I, ?¢ RO nTY.S?Hlf.lll4 RF,p.NO. ?l91 ?? M° a r , B' ?`briR \ '„?,-? . ,. t _. ej ? . ? c , 0? q? s?+?Q ? ??, r 7r. ? ? . •e .'?, _ ...._ r '?: , : ? • d . . .. .. (; ` ? ? g? . i? /? ` ?, •?+'a?t(J ? . •:? --?._s---..1l?,? e ?? . 8qZ`? Fti?,c??,r??.?:?r ,{rr?I?'?Ir?I • ?? ?v ,, . .. . ' C `, \ ?wtificete o1 Surrey tor: ??? ?OrTLVND (..OM/? /?? I/1/C ? g9.?. L ?!? NORtFI ??,e ? ?? a .?'' ,?,? P` $ ? ? ??? .h?,, ?F? 1??1?-. ___... . ,,???'`'b / ? ? ?.? ? p?' i' • ? ;? s. NnTG .,?.??, ? ? u o ..F?4 G4R6 P,,ultr( ? ??i.`9 ? I.i T 7r11? 'fYM?" L?? P I , ',,',? ? ?/ SBBnto ?4, o. ??'?gpt? . .•?, 2_, ?, , .? N ? ?,, ???'s '?' ? '? ? ? ?•? ? F?.wn / \_ ??? ?` ?ts? ,? ?aURT. -. _ ..::_??:... . - .:.?:.:?. p 1?. ~ ?\ _ . 1991 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTZPLE DWELLINGS 2 SETS OF PL4N5 REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULA7 _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PI- ?J'f ? OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS IS NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIRED. NO CHANGES WILL BE ni,i.owFn nur.x R1TTT.i1TNC vF PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ?Iho,v 4L,,,,,-k„ _ Valuation: ? Date: Site Address 5 2.e> MFZ 60U Lot 6? Block 2- Parcel/Sub Pjy,S?",gnD,no?j Owner 714--- F.?#l..-„/ Gn /.ac Address 6-,7cpj E. ,'&1 City/Zip code Phone ?/- p?•? Contractor Addres City/Z Phone Arch./ Addres City/Z Phone HAS BEEN CO Y,4Y 1 3 p•, IS ? 9' v 0' ? OFFICE USE ONLY occupancy Zoning (Z-? Actual Const V-r! Allowable N # of stories Length ?L 3 Depth yy S.F. Total Footprint S.F. FEES Bldg. Permit 5115i00 Surcharge ,SO Plan Review 3Sy,00 SAC, City /00i00 snc , Mwcc sa, o0 Water Conn. O ? t7? Water Meter $.Ju Acct. Deposit 30,aa 5/w Permit 30,OD S/W Surcharge .!;b Treatment Pl. ,?Q6.00 Road Unit 3r70, 00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL , .. n.(; On site sewage_ On site well MWCC System ? City water PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. 5'-1Y91 DS Variance z-,-1 Qe-V/ J- agrees that all work shall be done in accordance with (Signatur of Contractor) - • i Q'* 545•00+ 39•50F 354•00+ 2, 211•50F 3, 150•00* 545•00F 39•50F 354•00+ 21211•50r 3?150•00* all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? VALu??lr6i,- .,.. ., x9-0= '-4 0 0 x/s- ?ooo BsM r 12 X I 1 _ 13'z- 6 ?v62 ???I? iykv? I 5 T FLo,-L i3S-YnTc }pGZ ( xri = II ?--- 1??9 k s'?= s91 ?rr? , ?J ? 5 8 s d rz -7 1000 1991 BUILDING PERMIT APPLICATION CITY OF EACAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMTfERCIAL 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 #1 OF RENTAL UNITS # 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 IATS - CONTRACTOR/HOMEOWNER MUST DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PE PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: g5",9te ,",?„ _ Valuation: ? Date: Site Address 15Z8 FsQpqMe (ALA Lot 6, Block 2- Parcel/Sub Owner -TI-{n ??Fl?iw? Gn. /.7C-. Address ?vl E ?ic.vBS? ?C?e.-d City/2ip Code f'rk1jf2j? t? cyZl Phone pp?!j Contractor tz/q-jjj&, Addres City/Z Phone Arch./ Addres City/Z Phone [IGH-AAIlRfE'SS IIS. C HAS BEEN COMPLETE MAY I 3 !o^I - lin-6 \ 191 o0o,? OFFICE USE ONLY occupancy R-3 M -f Zoning 1Z-( Actual Const V-f'f Allowable ti - N # of stories Length Depth 44 S.F. Total Footprint S.F. FEES Bldg. Permit 51-15,00 Surcharge ,SO Plan Review 3i4L,vo SAC, City / OiOa SAC, MWCC ct $0.0 Water Conn. prJ? Water Meter -r/s Ja Acct. Deposit 30,00 S/w Permit 30,00 5/W Surcharge 19b Treatment Pl. ,2r)6,0 a Road Unit ?r/D,Oo Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL On site sewage_ On site well MWCC System ? City water PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off.S'iY9/DS Variance agrees that all work shall be done in accordance with (Signatur of Contractor) all applicabie State of Minnesota Statutes and City of Eagan Ordinances. , L/ALu-%--?nAV : ?' 'LO x?= ?ooo 8sr? r 12 X I I_ 13z ?v6Z ??N= ivkv? i s T ?w? r3SmTc 1 p6 Z I xr? : II 1??9 k s'3= ?rr? ??S 8s' 6 rz -7g ?oID t Pianeer En4ineerine 6919466 P_92 2422 thghuMiN 651p0 *' * ** IONEER LnnvsuevMram?avaC«?incm Mr.dou ? *ang*a+errrg.., ti?«.•L?.,«.?.?.»..?.. 1612l6e1•1914 * ?c aF Cert+licsta oi Surrey tor. K QrrLVND COiyPH hy INC. ? NORTN a9?.? ?•-`.?'y`?,+? . aP`? a"4•?r .n . _.. .hb -• ? ?. NoTG ? Q ? ? H o P1q C4R6 PSU1u7 /? 1 N T 'fHli TiMt? ?V . eb? 9? , , Ot ..- ? f??cYicc COUKT" :. , . . - :. : :_.. «?•. ? p ?s ?? ?,r ?' hl• ? ? ?? ? ss %. ? ?'T C ? a S °4s?:• aK ? 1)? .?'-?N'laaN?'.?.' ..? DEL,3 '900. o Denolps E'xisfin EIe valr'on P?avc?vsEa Hpusf E ELEVAI-IoAt • op.o Uux??es Pr?a?ed Elevalian ` Lowes lavr Eltvv ra7 $ y4 ,'-? _ . . _ _ _ _- Denofes Drni?e jUfilily ,?dsemPnf ` Top or'BIoCk ?lPVO?ti or? ? Dierno6?cs Monui)°1Flot?'Di ???s Aown rna-essu/n?rd /?pfCDlreio s q? ?e- o d LOT_?.__,BLOCW 2, CoVEIVTRY PASS 3VD ADDITION pq,qo7V Lt7UNTF, MINNfSDTA I h?rWy ebiify thi< !hN tumy, l?n or rWort wn pr .nd bY ? dmy dlr?cl ?uperddon md H1 m duly RWpryMr Lem) yar N.fn ?he h.R i• suee ol Mlineu?pu. Pa?ed Ing?d?v ol A.p. 19..?j._.. Rev: 6ji9?9i F+-jr Me,sE y?rS/W)?1 6W ?sl.e(;? . Scale :1irx6 40 fw ?'' 9¢ Ao nT U. SIKIGl S OF,? NO ??91 FXTEr,-on F.NVI:Lnt't. nvi•:rnr,t: 1111I ' currruTrrriCyi ST_TE ADDRESS Lprt-(,, `gLOC,k 2 COVENri?v IE)?4SS ?2D AD-DrT"fOq.I CONTRACTOF DATF PHONE Determin uorkinr; sqvare footare o1' each. 1. =ota1 exposed wall area sR. ft. x 0' 11 2. Total roof/ceiling area sq. ft. x 0%026 Total exposed wall e-ez nbove floor = ?14-tl6 c a. Total w211 GindoW arez ............................ b. Total door area .................................. . . . c. Total .., ._ ,::._ - sliding glass door area ...... ....::........... d. Total fireplace wail nrea ......................... e. Total wall framing area (average lOp) ............. P. Total net wall area nbove floor ................... . g. Total rim ,]oist area .............................. Total exposed foundation arca . h. Total foun3etion vindov 2:ea ....................... ? i. Tota1 net foandation area 2bove grade ............. 7. ? ? . ?eterrr,ine "U" value o: each wall srF^nent. 8. ( '5 Y „U„ b. 38,? I x,.U„ 0.138 c. 35 X,,,,,ll u3Z = If. Z d. Z O x????? e, xA,u„ 01 0 ?? r. 14i9,21 X „U„ (J,O¢'.? _ (Q1?t72 . s- X h. ` x 41 X„u„ l??i'Y . ?? 3. .................................. . ro r,:.) r. If ite:n N3 is the same as, or ies: ;.h;,n .iteva Nl, you nave met the intent o: sac 6ao6(c)2. (, , • Total exposed roof/ceilin? nrel = ?-) O( . . ? . ? .. . . . _ Total gross roaf/ceilin(; are:i = J. Totel skylight area .......................... k. Total roof/ceiling framing area .............. l. Total net insulated roof/ceiling area ........ C). Dete-mine "U" value for clch ruof/cci I int,, :,eF,?ncnt. X uUn ,• ? x: \\ O.? x„U,l 0. 02? OA\ ao. °\ X ,,,,,, o?o Zz _ 2 ?,.? `? 1• - k . ............ ................:. Totaz o?- If total oP N4 is the same as, or less than N2, you have met ttLe intent of sac 6oo6(c)i. . . To utilize the total envelope system method, the values establi_hed by the sum of iteas N3 and #4 shall not be sTeater.thKn the sum of iten,s N1 and N2. 1. + 2. - g', + . 0 . - .. o e y. _ --- -- ?1,?--?O??T: _:-- - r=APot:fEP} 712?; :_ I?C( -???--F?L?t i N( a'. ?IDINU-- ?Y-r???- ?f?M • ?'. ? G --- -- ---I?_? . ? ; a u` _?- , ??lND?c?IoN ? . O ? 0 ? O 0 ? O O G ?11 {? ??• '`?z?? [ZL?G:. o, oa7: ? i _? ? ? = a • i ?- -? :-Vl?I.U? GAl-GI.?-ATID? ?GaNT 1. -?J?-AML W?tL? G? I N?-I LA?I?N Lon-tpo H ?N?, .? ;U ?4, ?- ? a.u"r?DE AIF- HLM h? hIDIF-EC?. . - _ 5%z lNSU?A?I?• - . R-\lALU6 ---- D, I"1 - - - O,lo2 - 19,b ' o, 45 - -_---p;Cob - -FFAM;r wAu. & -!?,TOD _ Pl.vhta• vlrw. C L C C C5 C LaM PaN?NTS o_U'(,b]oE Aiiz pLA hH?A'(N t N l? . ItII?IID5 Adl?- F1LA4. . : F:--VALU5 2,oV _ - -7_1g ?-- . ? (v'(rk.=-? ?' ? ? ?L =G.?1?i P?. ° U= 0.12 X o. 8b X o•043 - oM) t(o, > = o.04- .1 ZZo,o ----? -----5?.0-- _ - ---.--- y?o CD ---5??? "p"--- -=-LVa= ===a`?='c!??? _•a?o?l.t?#? t=1- U-2;9- - 0 0 ? ? ? =S?N?1vqd11? i I - 4211Aklt1 , , , . ?q ??? R"'+ rt 1991 ILDING PERMIT PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MCTLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PiANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HDMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CNANGES WILL BE ALLOWED DNCE 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 Be Used For: llSchcA Valuation: Site Address ?-K G?- f- Lot ? Block ?. Parcel/Sub 6eUtll Owner 6fOC r l lU ??•- S C o? ? Address 4??.W r/`o.-•^-C C? City/Zip Code u^ S 7( /1. 3 Phone `JSL^ /Jl,qContractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Contr Signature of Contractor} ..-?- Date: 112 7 45 l 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 _ ARPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acet. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accoxdance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? CITY OF EAGAN FOR CITY USE ONLY? •; _ 3830 PIIAT KNOB ROAD • J EAGAN, MN 55122. :PERMIT M PHONE (612) 4544100 ' `RECEIPT M %fl`, . ? .. ? ? DATE: V71 77 ....M PLEASE COMPLETE QPpER PORTION ONLY FOR SINGLE F&ILY DWELLINGS t : TOWNHUMES/CONDOS --- WHBN PERMITS ARE REQOI&ED FOa EAGH IINIT,. , • -------- ------------- WORK DESCRIPTION ----- ---------------°°------ -------- ---- ----------- COMPLETE THE-FOLIAWING:,.` N0. FIXTURES `EA. TOTni NEW CONST ADD-ON HINIMUM 15.00 ADD ON SHOWER 3.'00 REPAIR WATER 6IASET 3.00 75_ I BATH TUB °3.00'. 3 - 1 LAVATORY 3.00 3 ih?11\,,.r? OWNER NAME: T KITCHEN.SINK 3.00 I IAt7NDRYTLtAsl 3.00? 3 SITE ADDRESS; Sa8 _ 1= ro.?,wc HOT-TUS/SPA :• , 3.00 • ? WATER HEATER' 3 00 IAT": ? B1ACK SUBD FLO DRAIN ` 3 '00 . ? ,. ? OR ;:.,' ?? GAS', PEPING `OUT ' INSTALLER: (MINIMUM '1)% 3 00`,` ROUGH OPENTNGS= 1."50 4?s o ADDRESS; Cs t OTHSR _ WATER SOFTENER 5.00 CITY: .??xP ? A..? ZIP: PRIVATE DISP. 15.00' U.G. SPRINRLER' 3.00 y _ PFiONE if : 51 - 1 1? t ` SUBTOTAL i. o ST. SURCHARGE.5C ---....__ .... ... .......?...... TOTAL: r,, AGi DI?ST@,IAL±.` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSI4RIAL SUIT:DI!NGS AN] MULTZ-FAMILY BUILDINGS 4IHEN SEPARATE PERMITS ARE NOT,RE;QULRED FQR EACI DWELLING UNIT. - - - - - - - - - - - - - - - - - - - - - - CONTRACT YRIGE. OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE ZIP: 1$ OF EONTRACT FEE.. . STATE SURCHARGE - $.SO FQR? _ EACH $1,000 pF PERMIT FEE.' $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $, TOTAL: (SIGNATURE) _ FEES FOR: CITY OF EAGAN p CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE (612) 454 8100 w w???2:; ??R4?I? FOR CITY USE ONLY PERMIT # RECEIPT # DATE: PLEASE COMFLETE UPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS:59\O 71?????J LOT: (.? BLACK -,,L SUBD. ' INSTALLER: nDnRess ?LRRE HTf?. & A/C. 4MG, cizY: Golden Valley, MN. 55427 ZIP; PHONE FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWI:LLINGS & $15.00 24.00 . 6.00 3.00 SUBTOTAL: $ 0%1' UU STATE SURCHARGE: .50 TOTAL: $. 50 LSI NATURE OF PERMITTEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BIIILDINGS, AND MULTI-FAMILY SUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SiTBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN - --- ----- , j Fvr09fI I Permn #: U O ? I ? ? Permit Fee: I I 1 pqp ? ? Date Received: ?ppacquuy I „? R s ? ? Staff: ___________? 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? U Site Address: 51?9 C Y n' r l? L? Vt - Tenant: Suite RESIDENTlOWNER Name: ?_ I 4 Phone: lY.? IOD Address / City / Zip: c-Q.V14 D dS CONTRACTOR Name: s)U?t?I,IXVIb 1\0 License #: to (X Address: a? lLC,K_U At Ud. City S]oy?U Q.d'1 State: LV40 ?- Phone: 101?;L 5?b6 ^1 ContaclPerson: TYPE OF WORK ? New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: ( PERMIT TYPE RESIDENTIAL Water Heater Water Softener ? Lawn Ircigation _ Add Plumbing Fixtures C__ RPZ / T1' PVB) (_ Main _ Lower Level) T SepticSystem _WaterTurnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater n?d Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledqe fhat this iMormation is complete and accurate; ihat ihe work will be in conformance with the ordinances and codes of [he City of Eaqan; that I understand ihis is not a permit, bul only an application for a permil, and vrork is n to start without a permit; that the work will be in accordance with Ihe approved plan in the case of work which requires a review and approval of S. x x ApplicanYs Printed Name Ap nTs 5Wature i FOR OFFICE USE " ? ^ r Reviewed By Date ? - di. !.?? ' '11f'? ? :? flAr?? `= ?fi' ''?"? Requlied Inspections _Under Ground„ =Fiough In FVir Test _Gas Test ., ?? r Office Use Ea11 Permit City of Ea 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 1 APR 2 12009 Fax: (651) 675-5694 i Staff: - - - - - - - - - - - - - - - - J 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: d Site Address: Sag( Tenant: Suite RESIDENT / OWNER Name: I )4 Phone: W ~ 009 3 Address / City / Zip: EA11 I U. S a U CONTRACTOR Name: c~Q~L,i~ T Il . lkywbi /No- License Address: ~~L.l l l D Y I oA( yd • Q City: S] mod" State: 140 . Zip: EL S ID- Phone: 1Q I -D- O hg ^t l 0, Contact Person: r_ TYPE OF WORK New _ Replacement - Repair Rebuild - Modify Space _ Work in R.O.W. Description of work: 'Ic6naLm PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) C- Main - Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ?L'- 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 n 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 n v x J(J., x Applicant's Printed Name Ap nt's S' ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test -Final V Use BLUE or BLACK Ink For Office Use j Permit `t 4/V j City of Eatan Permit Fee: C1 1) • In 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 j Staff. j 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 595 l Tenant: UD®c c.,tCo4_ Suite RESIDENT/OWNER Name: -5 W Phone: Address / City / Zip: ~5 01 C~ ~V_0(q&7C_ l SS Applicant is: Owner Contractor TYPE OF WORK Description of work: ynC YtCsC ~ C ~ Construction Cost: /Multi-Family Building: (Yes /No ) CONTRACTOR' Name: License 'E-5 - 7 Address: City: CIAc State: M Zip: ~S 3 l znj~ Phone: "ISo'~-7®~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr I of plans. X 0,0K N4 4ma4~ Applicant's Printed Name i ant's igna Page 1 of 3 d ? 7:3- 3 e 4 44 a o rl.3 `J a O C v Q t=q ~i d Eyl co O a H W in a.uaa.7 aaqua, a.... 1480 Park Road Chanhassen, MN 55317 952470-2001 952470-2024 2/11/2010 Estimate: 23-1,327-052 Claim Number: 23L327052 Insured: WOLLAK, JESSE J Policy Number: 23K103911 Property: 528 FROM M CT Type of Loss: Fire EAGAN, MN 55123-3953 Deductible: $1,000.00 Home: (651) 452-0083 Price List: M4MN8F_OCT09A Business: (651) 494-4495 Restoration/Service/Remodel F = Factored In, D = Do Not Apply Date of Loss: 10/2612009 Date Inspected: 10127/2009 Summary for Dwelling Line Item Total 8,382.92 Mad Sales Tax Reimb @ 7.125% x 2,916.65 207.81 Subtotal 8,590.73 General Contractor Overhead @ 10.0% x 8,590.73 859.07 General Contractor Profit @ 10.0°/a x 8,590.73 859.07 Replacement Cost Value (Including General Contractor Overhead and Profit) 10,308.87 Less Deductible (1,000.00) Net ayment $9,308.87 ~jl CX/7 Stier 952 470- ALL AMOUNTS PAYABLE ARE SUBJECT TO THE TERMS, CONDITIONS AND LIMITS OF YOUR POLICY. Preliminary estimate of repairs Thank you for giving Christians, Inc. the opportunity to serve you. If at anytime you have any questions or concerns, please feel free to call Sally Stier. i BOOfZOO•d L55# LOUL OLOZAL/M •3uI SUPTjSia43:a0aA Christians, Inc WOLLAY, JESSE J 2/11/2010 23-L327-052 Main Level -""--'P Garage Int Ceiling Height: 10' ` 788.33 SF Walls 388.33 SF Ceiling 1,176.67 SF Walls & Ceiling 388.33 SF Floor 78.83 LF Ceil. Perimeter 78.83 LF Floor Perimeter ~I s= F~ DESCRIPTION QUANTITY UNIT COST RCV 1. Clean stud wall 394.17 SF 0.49D 193.14 7. Clean the surface area 471.85 SF 0.23 D 108.53 Clean sheet rocked areas. 2. Seal stud wall for odor control 394.17 SF CASH OUT Will be using clear sealer on open framing and white on sheet rocked area. (WIII need to want till spring due to temps.) 3. Seallprime part of the walls - one coat (white pigmented 471.85 SF CASH OUT shellac) 4. Seal floor or ceiling joist system 194.17 SF CASH OUT 5. Seal truss system - 6 to 8/12 194.17 SF CASH OUT 6. Content Manipulation charge - per hoar 4.00 ER CASH OUT Remove and reset contents in garage for back spray. 34. Clean overhead (garage) door opener 1.00 EA CASH OUT 36. Detach & Reset Overhead (garage) door opener 1.00 EA CASH OUT 19. Clean window unit (per side) 3 - 9 SF 1.00 EA 6.60D 6.60 20. Clean door / window opening (per side) 2.00 EA 7.95 D 15.90 21. Clean door (per side) 1.00 EA 4.50 D 4.50 9. Clean overhead door & hardware - Large . 1.00 EA 38.001) 38.00 Overhead door inside panels will more than likely need to be replaced. If this is the case - it will be an invoice item. 10. Detach & Reset Ceiling fan without liglit 1.00 EA CASH OUT 23-L327-052 Page: 2 800/600'd L99# LV:LL OLOULUZO -3uI SUPTgSLa40:w0JJ Christians, Inc WOLLAK, JESSE 7 2/11/2010 CONTINUED - Garage Int DESCRIPTION QUANTITY UNIT COST RCV 11. Clean ceiling fan Wout light 1.00 EA CASH OUT Ceiling fan will need to be detached and reset in order to clean it as well as for back spray. 12. Clean with pressurelchemical spray 388.33 SF CASH OUT Unsure at this time if the block and floor will be clean enough after chemical wash due to porus material. May need to seal floor and block but will attempt chemical wash first. 13. Soda blasting 10.00 SF 1.58 15.80 We are going to be soda blasting the framing and block affected by the fire to try and eliminate the need for replacement. 14. Tarp - all purpose poly - per sq ft (labor and material) 50.00 SF 0.61 30.50 Will tarp off the interior side to avoid soda from traveling as much as possible. Note: No framing needed to he replaced after soda blasting as all charing/damaged was removed. Totals: Garage Int 412.97 Area Totals: Main Level 788.33 SF Walls 388.33 SF Ceiling 1,176.67 SF Walls and Ceiling 388.33 SF Floor 415.06 Total Area 78.83 LF Floor Perimeter 388.33 Floor Area 81.50 Exterior Perimeter 78.83 LF Ceil. Perimeter 815.00 Exterior Wall Area of Walls 788.33 Interior Wall Area Total: Main Level 412.97 Garage Eat Front Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT COST RCV 18. R&R Shutters - simulated wood (polystyrene) 1.00 EA 82.75 82.75 43. R&R Drip edge 23.83 LF 2.00 D 47.67 23-L327-052 ' Page: 3 800/000'd L99# BO U L D IOZ/ G G /Z0 •auI Supj jSjayD : W0jA Christians, Inc WOLLAK, JESSE 7 2/11/2010 CONTINUED - Front Elevation DESCRIPTION QUANTITY UNIT COST RCV The home has siders edge, not drip edge and I may need to adjust cost to reflect eiders edge and Xactimate does not have the proper line item. 22. R&R Fascia - metal, 8" 23.83 LF 5.43 D 129.40 Fascia is PVC pebbled, I will be looking into being able to match this. 23. R&R Soffit - metal 31.69 SF 3.53 111.86 27. Soda blasting 10.00 SF 1.58 15.80 28. R&R House wrap (air/moisture barrier) 226.20 SF 0.43 D 97.27 29. Clean window unit (per side) 10 - 20 SF 1.00 EA 9.43 D 9.43 30. Clean door / window opening (per side) 1.00 EA 7.95D 7.95 31. Clean overhead door & hardware - Large 1.00 EA 38.00 D 38.00 72. Overhead door weather stop 32.00 LF 2.50 80.00 Garage door stop was replaced due to soot damage 37. R&R 2" x 6" cedar - deck grade (1 BF per LF) 85.00 LF 5.79 492.15 Trim LF - includes garage door jamb. 40. R&R 2" x 4" cedar - deck grade (.667 BF per LF) 34.00 LF 3.33 113.22 70. Seal/prime the surface area - one coat 34.00 SF 0.33 11.22 41. Seal & paint double garage door opening & trim 1.00 EA CASH OUT 38. Seal & paint trim - two coats 34.00 LF CASH OUT I have added another coat - as the sealing will take care of the -back priming needed inorder to fallow Cedar Institutes Recommendations. (The line item for seallprime is for the back side) the front side will need to wait until spring. 39. Paint trim - one coat 85.00 LF 0.57 48.45 44. Remove Exterior light fixture - High grade 3.00 EA 10.45 31.35 23-L327-052 Page: 4 800/900'd L99# BOUL MOZ/ll/20 •auI SueiISia43:woad Christians, Inc WOLLAK, JESSE J 2/11/2010 CONTINUED - Front Elevation DESCRIPTION QUANTITY UNIT COST RCV 73. (Material Only) Light fixture - High grade 3.00 EA 53.42 * 160.26 NOTE: Material ONLY for line item above install is seen on Electrical Invoice Item. Price has been changed to reflect actual cost of $53.42 ea. At this time I have to remove and replace all three front light fixtures as they are matching and one is unsalvageable due to the fire for matching purposes. 45. R&R Siding - vinyl - Premium grade 226.20 SF 4.31 D 974.92 Siding has been located at Alside Supply in Bloomington, MN - premium grade Charter Oak - color to be determined by Christians, Inc. and Homeowner. Homeowner is aware that the color win not match 100% due to the fade and weathering of the rest of the siding on the home. 46. R&R Cap flashing 21.00 LF 12.08D 253.68 Flashing for garage door trims and window above garage door. Totals: Front Elevation 2,705.38 Left Elevation 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT COST RCV 47. R&R Gutter / downspout - aluminum - 6" 22.91 LF 8.67 D 198.63 48. R&R Gutter guard - one piece seamless gutter system 22.91 LF 24.29 556.48 Leaf Away Gutters are the original supplier and installer of the leaf guard system. They will be called upon again to replace it - may be an invoice item. 49. Detach & Reset Gutter / downspout - aluminum - up to 5" 13.00 LF 2.78 36.14 Detach and reset down spout. 52. R&R Drip edge 22.91 LF 2.00 D 45.83 23-1327-052 I Page: 5 800/900'd L99# BOLL OLOZALRO •3uj SURTjSLa43:a0aj Christians, Inc WOLLAK, JESSE J 2/11/2010 CONTINUED - Left Elevation DESCRIPTION QUANTITY UNIT COST RCV The home has siders edge, not drip edge and I may need to adjust cost to reflect siders edge and Xactimate does not have the proper line item. 51. R&R Fascia - metal, 8" 22.91 LF 5.43 D 124.40 Fascia is PVC pebbled, I will be looking into being able to match this. 50. R&R Soffit - metal 22.91 SF 3.53 80.87 55. R&R 2" x 4" cedar - deck grade (667 BF per LF) 8.00 LF 3.33 26.64 71. Seal/prime the surface area - one coat 8.00 SF 0.33 2.64 54. Seal & paint trim - two coats 8.10 LF CASH OUT 53. Paint trim - one coat 8.00 LF CASH OUT I have added another coat - as the sealing will take care of the back priming needed inorder to follow Cedar Institutes Recommendations. »»»NOTE«««« Painting will need to wait until spring of 2010 56. Clean door / window opening (per side) 1.00 EA 7.951) 7.95 57. Clean window unit (per side) 10 - 20 SF 1.00 EA 9.43 D 9.43 58. R&R House wrap (air/moisture barrier) 162.00 SF 0.43 D 69.66 59. R&R Cap flashing 3.00 LF 12.081) 36.24 Flashing for window 60. R&R Siding - vinyl - Premium grade 162.00 SF 4.31 D 698.22 Siding has been located at Alside Supply in Bloomington, MN - premium grade Charter Oak - color to be determined by Christians, Inc. and Homeowner. Homeowner is aware that the color will not match 100% due to the fade and weathering of the rest of the siding on the home. Totals: Left Elevation, 1,593.13 Area Totals: Garage Ext Total: Garage Eat 4,598.51 23-L327-052 Pagc: 6 8001L00'd L99# 8bUL 0LOZ LL20 'JUI SU1RTgST-q3:w0.1J Christians, Inc WOLLAK, JESSE J 2/11/2010 General Area 0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls & Ceiling 0.00 SF Floor 0.00 SF Short Wall 0.00 LF Floor Perimeter 0.00 SF Long Wall 0.00 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT COST RCV 63. Dumpster load - Approx. 12 yards, 1-3 ton of debris 1.00 EA 315.001) 315.00 64. Taxes, insurance, permits & fees (Bid item) 1.00 EA 90.00 *ED 90.00 Permit fee will be added to final upload at actual costs. NOTE: - The sprinkler system weather sensor was damaged in the fire as well as the wiring in the garage for it. The original system installer will be called back to the home to repair/replace any items that are non salvageable. This will be an invoice item. »»»»»>NOTE«««««< Extent of Damage IS ANY will need to be assessed in spring 65. R&R Soffit - metal 267.56 SF 3.53 944.49 66. R&R Fascia - metal, 8" 217.17 LF 5.43 D 1,179.23 68. Detach & Reset Gutter / downspout - aluminum - up to 5" 105.00 LF 2.78 291.90 »»»»»»NOTE««««««< Received prior authorization from adjuster to do additional work above. Totals: General Area 2,820.62 Line Item Subtotals: 23-1,327-052 7,832.10 Adjustments for Base Service Charges Adjustment Carpenter - General Framer 122.56 Cleaning Remediation Technician 84.50 Overhead Door Installer 111.40 Painter 95.00 Siding Installer 137.36 Total Adjustments for Base Service Charges: 550.82 LINE ITEM TOTALS: 23-1,327-052 8,382.92 23-1,327-052 Page:7 800/800'd L994 BOUL OLOZAL/W •3uI SUPTISla40:00JA PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA085235 Eagan, MN 55122 . Date Issued: 08/13/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 528 Fromme Ct Lot: 6 Block: 2 Addition: Coventry Pass 3rd PID 10-18402-060-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Jesse J Woltak 1920 County Road C West 528 Fromme Ct Roseville MN 55113 Eagan MN 55123-3953 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150898 Date Issued:07/27/2018 Permit Category:ePermit Site Address: 528 Fromme Ct Lot:6 Block: 2 Addition: Coventry Pass 3rd PID:10-18402-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jesse J Wollak 528 Fromme Ct Eagan MN 55123--395 (320) 249-2761 Hometown Restoration 1940 Serendipity Ct St Paul MN 55112 (763) 494-8695 Applicant/Permitee: Signature Issued By: Signature