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
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PRa'OSED HOUSE
5 COf1RSE WALKOUT
• `f 7 ?
GARAGE P2.33
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64.35
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23572
3is'• 894.6
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2G.33 ? 897.0 ?-?
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DRIVEWAY \ ? a
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13 0
p = 107°04'36°
R = 60.00
FROMME
COUR=T
I?o.oo '
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894.2
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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
??
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• ??
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?wtificete o1 Surrey tor: ??? ?OrTLVND (..OM/? /?? I/1/C ?
g9.?. L ?!? NORtFI
??,e ? ??
a .?'' ,?,?
P` $
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,,???'`'b / ? ? ?.?
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?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,-
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12 X I 1 _ 13'z-
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1??9 k s'?= s91 ?rr?
,
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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 :
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8sr? r
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t
Pianeer En4ineerine 6919466 P_92
2422 thghuMiN 651p0
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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`?,+? .
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..? 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
.
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- 4211Aklt1
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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
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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