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4363 Kaufmanis Way• CASH RECEIPT • ` CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE Recaiven 19 AMOUNT $ I & DOLLARS +oo ? CASH ? CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy T k You B Y % cinr oF EAw?N ` 3796 Pilot Knob Rood Eogan, MN 55122 N2 4886 PHONE: 454-8100 BUILDING PERMIT Site Address Lot Blxk Pnroel # w Nome W ; Addre: b _ 5ec/Sub. °C Nnme Zo o? nda? u ? ru., ok,..,e Nome _ Addross I hereby acknowledge thot I hove read this application and state ttwt the infortnation is correct ond ogree to comply with oll appliccble State of Minnesota Statutes ond City of Eagan Ordinonces. Siflnoture of Permittee Receipt # Ered [F Alter ? Repuir 0 Enlarge [3 Move ? Demolish ? Grade ? Occuponcy . , Zoning ? Fire Zone Type of Const. # Stories Front ff. DecTh ft. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Plan theck SAC Woter Conn. j Woter Meter ? Total A Building Permit is issued to: on the express condition that cll work sholl be done in accordcnce with cll applicoble State of Minnesota Statutes and City of Eagcn Ordinances. Building Officiol Ponnk # pate Inwed Prnnittu Plumbing Mechanical /.4 S i1 INSPECTIONS DATE INSP. Rough-In firal Footings -'? - pata Irap. Date lexp. Foundation Plumbing Frcme/ins. ?. 2S! r y p/ - Mechanical Final ? ? '.c?l' ,?-! >c'f I R ks. 7eeWs p r ? o ?? Pa r..17c /f / s , ?r f ? . ?tT 7 . . ; ._ i CITY OF EAGAN ? • '„ 9796 Pilot Knob Road ? Eoyon, Mlnnesoto 55122 Phono: 454-8100 HEATI NG Dote: Site Address: Lot 4363 Kaufmanis Way Block ? Sub/Sec 21td .. .... .. . „?.? _ .??. Name ? g Address O City Phone: liEf)Z??f jr c:'; Name . ? 14745 So . rtaber r- i rDi i P Address C ei se;noti n? City Phone: This Permit is issued on the express condition that oll work shall be Minnesota Stotutes and City of Eagan Ordinances. PERMIT 1?) No. 11315 Receipt No.: $ingle ? Residentiol x Multi Res., Comm./Ind. I new New/Alter./Repair Cost of Installation Permit Fee -- Surchoroe JV TOtal ? done in accordanu with all applicable State of Buiiding Officiol ? CITY OF EAGAN 3795 Pilot Keob Road ? - " Eagan, MinnesoM 55122 - P6aw: 494-8100 PERMIT Dote: -,.ar.is ;tiay Site Address: Lot Block Sub/Sec. , , „ Receipr No.: Single I Residentiol Multi Res., Comm./Ind. I Nome e(. ' i ' New/Alter./Repair yw . ? Address Cost of Installation _ City "iT1It1P.?`?_. . `` 2' Phone: ` , nr} Permit Fee ` Nome '-' S :'.vBT' Surchorge . Nddr ;o. Rohert `?'-. b ess e 0 v City ,:semount , -506`' Phone• . Totol This Permit is issued on the express condition thot ail work shall be done in occordonce with all applicable State of Minnesota Statutes ond City of Eagan Ordinances. No Building Officiol CITY OF EAGAN 3745 Pilot Knob Road Eagon, Minnesow 55122 Phone: 454-8100 GgQER 9CP'IENER PERMIT No. VS 282 23-1:1-?9 Date: ? ar ? _5 I',-ux5?s ?"1•.i , Site Address: ' c_?',r' ( 1? Lot v Block 3 Sub/Sec. _ ) P ? ?/ Receipt No.: Single Residential Multi Res., Comm./Ind. I Name -I'Yn Neem I New/Alter./Repoir ` 4: ti 3 ?ufr.Wi.s G7Wr 3 Address Cost of Installotion _ O City Phone: 4 54 - Y• Permit Fee Name ?7"u.::54.'J ; :8?'i:??' : ;::;• k?? T.1 ??. ? :: SurcFarge . ? Address 1147 RiVesx-': ? e 0 u ,` 4 - - City ' Phone: ' - ' Total ' This Permit is issued on the express condition thot all work shall be done in accordance with all applicoble 5tote of Minnesoto $totutes ond City of Eogan Ordinonces. Building Official CITY OF EAGAN Remarks Addition Lot 9 elk 3 Parcel 1 0 84251 080 03 Owner j ?! &F tI treet 4363 Kaufman ? s WSy State Ea??an , NIlV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL ? i ff WATERMAIN WATER LATERAL WATER AREA 1979 634.90 63.49 10 571.41 A007728 5-4-79 * STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Uni Char e WATER CONN. 250.00 BUILDING PER. SAC 500 00 11066 7-27-78 PARK . ities DiQital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 45 Pi lot Knob Road gan, MN 55122 lrd TY OF JE?.OAN ning: ner: dress: e Address: mber: ter No.: e: der No.: gree to comply witF the City of Eagon inaniaes. Connedion Charg2: Account Deposit; _ Permit Fee: Surchorge: Misc. Charges: _ Totol: BY - Date Paid: Date of Insp.: Insp.: ciTY ?'T LrAGaN SEIMER SERVlCE AERMlT 3745 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner. _ Address: Site Address: Plumber: 1 agree M eomplr witfi the City of Eagan Connection Charge: ' Account Deposit: Permit Fee: Surcharge: Misc. Chorges Total: Date Paid: - WATER SERVICE PERMiT PERMIT NO.: DATE: No. of Units: cITr oF E.?caN 3795 Pilet Knob Raud Eagan, MN 55722 N? 4886 ? PHONBs 4548700 BUILDING PERMIT APPLICATION Receipt .{k _ Te he uaed fer .SF' DWP_II.. & C,M_VNue -4;6 . 000 Date_ _nr?. 19---I9- Site Address 4363 Kaufmanis v7& Lot s BI«k 3 Sec/Sub. W Porcel # W Name _ ; Address 0 son, Inc. j Neme Gama OQ Address ? ?:... o?___ 463-4555 Name I hereby acknowledge that I have read this application ond state tfiat fhe informMion is correcc ond agree ro comply with all oppllcoble Stote of MinnesWa Statt pm! City of`Eog dinances. /\ Signuture of Permittee ?-•^"""-` Erect CK Occuponcy -?-?- Alter ? Zoning Repair ? Fire Zone _-?- Enlurga ? Type of Const. Move ? # Stories _ _.??- Demalish ? Front ft. ----- - Grade 0 57 fr. Depth Fees Assessment 7yL1 r,7 Permit _149 ?--- Water & Sew. Surchorge _Z 0 ,.$.Q.-. Police Plan check Fire SAC Snn n Eng. Water Conn. 25.0.Q.Q Planner _ Water Meter 6 0 ()? Council _ Bldg. Off. APC I Total - 1054Eio A Building Permit is issued t: - on the express condition thot all work shall be done in mrdance it 11 pplicable State pf Minnewta Stotutes and City af Eagan Ordinances. BWtding Officinl - P, Minnpsota State Board of Electricity ?1954 j)niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECdC BELOW WORK COVERED BY THIS REOUEST ? ? ;2 g S? 18582 Type oP Butlding New Add. Rep. Check Appliances Wired For Check Equipment Wired Fm Home ? ? ? Range ? Tempoiary Wiring ? Duplex ? ? ? Watec Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryei ? Etectric Heating 0 Commetcial Bldg. ? ? ? Purnace ? Silo Unloader ? Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List j?? C?? List Othex El 0 0 _ _ ?thexs? ere ) Rthers? ete COMPUTE INSPECTION FEE BELOW Secvice En[?antt Size: # Fce Feedeis&Subfeeders: # Fee Circuits: # Fce 0 to 100 Am s. 0 to 30 Amperes 0 ta 30 Am exes IOI to 200 Amps. 00 pe 31 to 100 Am eres Above 200 Amps. 'Iransformers Signs 1 p ote cial s ec ' Above I00 Amps. Partialowtherfee Minimom fee $5.00 O " Remarks TOTAL FEE ? BCr I, the Electncal Inspector, hereby certify that the above inspection has been made. ?, SO (Rougtt-in) Date (Final) 1 ) Date This request void 18 months from This reqpest void 18 months from 'Z (/'? 6 '_3 /'6? 9'4 ? ' ???? 4. R18582 Date of this Request2l' ? -7? I, as Licensed Electrical Contractor OOwner, do hereby request inspection of the above electrl- cal wiring installed at: Street Address or Route No. 6L360 Citytb:!.3a?, Section Township Range Countyk-&fc'e .?,p-n' ?' Which is occupied by ? (Name of Oc<u0ant) Is a roughin inspection required on this job? No M, Yes ? Ready Now?: Will Call ? Power Supplier l,a?t.'t1La ?zrLue Address Electrical Contractor Mailing Address Authorized eJVQ?? MUM or ar Contractor's License NO?W Phone No. This inspectian request will not be accepted hy the State Board unleu proper inspection fee is endosed. w est void 18 months from Date of this Request / 49 -42C I, as O Licensed Electrical Contractor cal wiring installed at: Street Address or Route No. ? Section Township Whic6 is occupied by Range County Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call Of Power Supplier /e4AL4'Ge- 4&Liet/ Address 744-Y?? 97 Electrical Contractor ? EnaeLU/ Contractor's License No.?V01/ (GOmpany Name) Mailing Address ;2.o 5??? Z&4z• Authorized (Elecbical CoMmctor or ON SVQVE o OQG°3D Q0ply Phone No. iai89 R 25437 , do hereby 6Nw.a inspection request will nat 6e accepted 6y the i Baard unless proper inspection fee is enclosed. Minnesota State 8oard of Electricity .,niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION C ECK BELOW WOAK COVERED BY THIS REOUEST Type ot Building New Add. Rep. Check ApplianF .' ed For Check Equipment W'ved Foi Home ? ? ? c x'? Temporary Wiring ? Duplex ? ? ?!?, • V? Ligh[ing Fi[tures ? Apt. didg. ?? ? R t Electric Heating ? Compiemial Bldg. ? ? ? Industrial Bidg. ? ?? Faxm ? ? ? Othet ? ? ? a1? ? Air Conditioner ? oListe}) Hecrs) Silo Unloader ? Bulk Milk Tank ? Lpist )} Hehels) COMPUTE INSPECTION FEE BELOW Seivice En[rance Size: # Fee FeedersB.Subtceders: # Fee Cixwits: n Fae 0 to 100 Am s. o 30 Am eres 0[0 30 Am eres 101 to 200 Amps. / o I00 Amperes 31 to 100 Am res ? Above 200_Amps. vc 100 Amps. L Above 100 Amps. Tcansformers oteConttolCiic. em Paxtialorotherfee Signs !al c inspection Minimum fee $SA '/n 0-0 Remazks ?? TOTALFEE I, the Electrical Inspector, hereby certify (Final) This request void 18 months from has been made. Yate Date This lyest void 18 months from Date of this Request I- a 8- 7? P 94071 I, as ;KLicensed Electrical Contractor ? Owner, do hereby request inspec{ti?on of the above electri- cal wiring installed at: L S- ?j "? (???? d QA,ux? %?? 7"o-A-P- j-T Street Address or Route No. Section Township Range Which is occupied by Is a rouglun inspection required on this job? No pg Yes O Ready Nowf$` Will Call ? Po%$er Supplier Za?r_," dC!-d-.?•xu'i Address - Z_, ?--?? ? t/ Electrical Contractor ??r?? LO,GLL?? Contractor's License No 3S714 (CO(m?panY Name) Mailing Address a D ?? o dg,? Authorized Signatuce (Electrical Contrattor or Owner NQVE 2000 COPY No. ?f 9- ?93P' This iilpecvon request will not he eccepted 6y the State Board unless proper inspectinn fee is enclosed. minnesota atate tsoara or eiectricity F954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST P 94071 Type of 8uilding New Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home ? ? Renge ? Tempoiazy Wiring Duplex ? ? WarerHeater ? LightingFixwres ? Apt. Bidg. ? ? ? Dryei ? Electnc Heating ? Commercial Bldg. 1:1 ? ? Fumace ? Silo Unloader 0 [ndustrui Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Farm ? ? ? List ) L is[ O[her ? ? ? } p Hehets) p HeheTg) COMPUTEINSPECTION FEE BELOW SeAGce Entrance Size: # Fee Feed ubi eis: # Fee Cucuits: e Fee 0 to 100 Am s. ? 0[. 0 0 to 30 Am eies 101 to 200 Amps. 31 t A_? 31 to 100 Am res f[bove 200_Amps. Abo 100 Above 100 Am s. Tianstormers RemoreControlCiic. Partialocotherfee S ns Special Ins tion Minimum fe Remarks TOTALF E,..?O ? I, the Electncal Inspector, Wreby certify that the*4abov inspection has been made. (Rough-in) Date (Final) Date r-6 This request void 18 months from 6?0 C? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 O? U New Comirudion Reawremenfs RemodeVReoair Regmrements 6fficetlse 04 3 regisiered siie surveys shwving sq. 8 of lot, sq ft of house, and all rooFed areas 2 copies of plan Caibf Stimi?y Recd ;. Y? N (20%maximumlotcoverageallowed) isetofEnergyCalculationsforheatedadditions TreePi2§P1tmRecd.? _ _1` N 2 copies of plan showing beam & window s¢es, poured found design, etc 1 site survey for addihons & decks TreePres Retguired ?,;,, M11 lselofEnergyCalculafions AddRion - ir+dicateifon-sdesepGcsyffiem Ws11ESBpYitSySlem _Y _N 3 copies of Tree Preservation Plan d lot platted aHer 7/1/93 Rim Joist Delail Options seledion shcei (bidgs wAh 3 or less units nate ? ? a Y Site Address L /cy_ / 3 C'i Construction Cost ?r ? Sz K a-'1 X liv. ??'?K' G? 11 Unit/Ste # Description of Work Ze ? S rd.e `E?-f 1 5 r 1`^!a 4 C? t?Y?'l ?d-?f}St' ? 0'e1"c? Multi-Family Bldg ? `tr????r I?Lva•ti? _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Pmperty Owner L i4 YLR H y- ?'11 A Rcr " P+ Telephoue #((, ? 1) Contractar 10 2 U v( 5I v ? Address t1 3?,? State A/\ ?s K A-i.i Yh A-+ 1 1; ?&J b--I Zip 3-,tF-(a-'3 City Telephnne # COMPLETE THIS AREA ONLY IF CON5TRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ ?esota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) SubmiKed Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o pian review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. mt? i P, 4-(-K-e ?e 4/2-41 6a Applicant's Printed Name ? ApplicanYs Signature OFFICE U5E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SFDwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch(3sea.) ? 31 Ext.Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext, Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Pnrch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg) • Give PCA handout to applieant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Staries Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundadon HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. _ Ai r Test _ Final _ Windows _ _ Insulation _ Retaining Wall Approved By: , B uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATICN CITY OF EAGAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 651•681•4875 New ConsirucUon Reauiremenls • 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies ot plan showing beam & window s¢es; poured found design, efc.) . 1 sel of Energy Calwlahons • 3 copies ol Tree Preservation Plan rf lot platted aker 711193 • Rim JoBt DetaA Ophans selection sheet (Mdgs with 3 or less units) DATE ;{aa 11i SITE ADDRESS TYPE OF WO MULTI-FAMILYBLDG _Y 41 N FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT G%llii (« STREET ADDRESS ?7CiY9 ? 3r )qp_ Al CITY_FSTATE ?!??ZIP -??? TEIEPHONE # 963 `Sy?"d3o? CELL PHONE # 6 t ?-6)8a-tla FAX # /k9e_c PROPERTYOWNER TELEPHONE# GS?+?IS?^Sfj ----------- --------------------- --------------------------------- ------------------------------ COMPLETE THIS SEGTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l MINNFSO`1'A RLIId?S 7672 (4 submission tyye) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calaulations Submitted Plumbing Contractor: Plum6ing system includes: Mechanical Confractor: Mechaiic:il system includes: 5ewer/Water Conhactor: Phone # -------------------------°----------------------°-------------------°---------------------------°-----------------°-- I hereby acknowledge that I have read ihis application, state That the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Sfgnature of Appllconf OP'FICF: USL ONLY Phone # = Water Softener - Lawn Sprinkl Water Heater No. of R.I. B S No. oF Baths I1 J UN 13 2002 _ Air Conditioning _ Heat Recovery System RemodellReoair Reaviremenri • 2 copies of plan • 1 set of Eneigy Calculations Mr heateC addNOns • 1 site survey for esterior additlons & decks • IMicate'rflwrneservedbyseplicsystemfaraddNons VALUATION -7r ;? 00 Certificates of Survey Received ^ Tree Preservation Plan Received _ Not Required _ Uptlated 4102 OFFICE USE ONLY 1 ? ? 07 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new hldg) FinaVC.O. _ Footings(deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Fina] _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Pian Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1 RESIDENTIAL BUII.DING Permit Application City Of Eagan ?U l+ 3830 Pilot Knob Road, Eagan MN 55122 ??- M? •?? ? Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCtion Reouiremenis RemodeUfieoair Reauirements OHce Use Onlv 3 registered site surveys showiig sq ft of l04 sq. ft. ot house; and all roofed areas 2 copias af plan CeA of Survey Recd (20% maximum lolcoverage allmved) 1 setof Energy Calculations for hea(ed additions Tree Pres Plan Reod 2 copies of plan showing beam 6 window sizes; poured found design, etc. i site survey for additions 8 decks Tree Pres Noi Reqd lsetofEneigyCalculafions qdd'rtion-ind'wateiJon-sResepticsystem _OnsiteSepticSystem 3 copies of Tree Pmaervation Plan if lot platted atler 7M193 Rim Joist Detail Op6ons selection sheet (bldgswith 3 or less units Date *1 / I 'A / o? c ?,,1 Cunstruction Cost ? `1-1 ?? ? SiteAddress Yvaq UniUSte# Description of Work os-o . 11 1 I`Ji?,o &D l, -?z?im ? Ylll? Multi-Family Bldg _ Y ?L N Property Owner Contrac[or _ Address _ State Fireplace(s) _ 0 _ 1 _ 2 RENEWALBY ANDERSE? ?ST 1920 COUNTY RO? D13 ROStiVILLE, MN (,51) 2644777 LICENSE # 20130983 Telephone # (tQrJi) "icek #( 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Perxnit and aclnowledge that the information is complete and accurate; that the work )&rill be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; at the work will be in accordance with the approved lan in the case of work which requires a review and approvp?of plans. n ! Ajiplicant's Printed Name "ApplicanYs Signature OFFICE U5E ONLY Sub Types J ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-p16x ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneous Work Types • ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) .? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish,(Foundation) Cy 45 , Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement ' •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water 5AC Units Stories Booster Pump Nbr. of Units . Sq. Ft. ' PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ brain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Franung Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ _ Final _ Windows (newheplacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ""•?••??••.. auv 1L.JV cna ?Od D11'4Y00 HtSCttfllltLd}1?dCIL?tflM ? ? 1-1('. w . ?r fLtil0'7s ZQ01 aty acf Bsgan : 3836 Piitrt $nob Road - Eft&4 MN 5.5122 To Whom u May cmeem: IIder Jones is authorlyed to pitII buildi8 permits Por Rettewal Stder 7onos w pmvide this ?? for us in EaM ?'?°?On• ??e aUow 'iie mahcrtizetian is vaiid for any date boYond 6/6/01: uutil a ROntewal by Anden . W the City_ ?Eea' ?pc+eeslY nevalcea it tn avcidag I raqueat this auNiorizacion be acoqced axpalldously. av 6o not delay in the proessietg of our bailding PcMLiwi eay fnzfhcr. Plcaac caIl mc lf thoto ara oontactod at 763-502-4706_ anY 9uesdona.. I cen txi : Your immqciiata atlcntion to thts matter IS a??. ` . Sinaft-ely. ond R Rau ascaltation Managcr Ronewul by t#ndcncn Corporadtvn C'.c: Karn-Fifdex Tonec G ` 7-a?aoj G3F p not,i,y ??hAAiC ?'a"10a•"^j&& „, zoea wuuz Received Time Jun. 7. AM ? SUILDING PF.RMIT APPLICATION 60 naTE C.?11 j, 4 Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. srd vo 7b be used far leC? `7. Valuatfon u- Site Address; / a.V' Lot Elock See Sub. 1-721c C+ 6wmer e")ZlllCtIL/., riddress F,-?( z 3 S a16? cbntractor Address Arch. /Ettg • r>"V/-z C Address Erect Alter Repair Enlarqe Move DemDlish Grade OFFICE USE Date of A,pproval & Znitial Assessment D j 717 "17ff' utater/Sewer Police Fire Eng. Plantter Council .-- Rldg. Off. A.P.C. Parcel Number /p 83,1,75-1 080 03 Telephone y'6-5' Telephone Telephone OFFSCE USE Occupancy ? Zoning Fire Zone Type of Const. $ of Stories Pront Depth FEES ( - I dO Permit --'fjf rlan Check SAC SQ7. M THater poan. a5D.?? t•later Meter ? /? • ? R ,I TomAi, r 6- ? j i? ? ? ? A ISS. /V r Gf?/ #4 -a t.L CZ,?li1N 1?Pmot? rNzrnq.,-rori Mn . 4?3 - ?s SS ?a i"=zo.o ?I l? ? 7-In-7a j 4 RESIDENTIAL BUILDING Permit Application City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 ,0 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstNdion Reauirements RemodeUReoair Reaulremenls ORice Use Onlv 3 registered site surveys showing sq. k. of lot, sq. ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20%mazimum lot coverage allowed) i set of Energy Calculations for heated additions Tree Pres Plan Reoi _Y _ N 2 copies of plan showing beam & wiMowsizes; Poured found design, etc. 1 site survey IoraddNOns & decks Tree Pres Reqd _Y _ N lseto(EnergyCalculations Add'rtion-lndicatei(on-sHeseph'csystem On-site Septic System _Y _N 3 copies of Tree PreseNalion Plan if lol platted aNer 711l93 Rim Joist Detail Op6ons seledion sheet (bldgs with 3 ar less uniGs Date // / ?? Site Address {(3G3 I ?/ ? Construction Cost t-n „4 ?-. 1's 4,J16 Unit/Ste It Description of Work ?S e D L A c. e y-t 3?"ti i ? PaK Multi-Family Bldg _ Y-LK' Fireplace(s) _ 0 2 Praperty Owner L t? /! p it4'JyR-A ?Z Telephone #( 4?) tJ 5'?Z^!) 5-4er Contractor Ego 01.5 )I 6 " 5 Address ti State YY\ 3'1 ? Y? _ K?1 ? -? vh !L w A ?) CitY ? p c n? Zip T 3 Telephooe #(({5'1) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Caiculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the inform that the work will ) tUUU? D NOV 1 2 200 > 'on is co and a curate; be m conformance wtth the ordmances and codes of the City of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. z/A )AS-_ Applicant's Printed Name Applicant's Signature L.a> S ?7 o? 34 ?-? 3 ?r? OFFICE USE ONLY Sub Types 6vi I'??t It-gyf ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex X_ 18 Deck 1-x 0 ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bidg)` ? 43 Reroof ? 46 ), 34 ReplaCement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant V l i ? ? -3 a uat on Occupancy MC/ES System _ Census Code Zoning /D_ City Water _ SAC Units - Stories J? Booster Pump _ Nbr. of Units Sq. Ft. 3 5? PRV _ Nbr. of Bldgs -- Length ?- Fire Sprinklered Type of Const ? Width Faotings (new bldg) ? Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation ? ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaVC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall ? Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?7e w? Building Inspector ??? ? --'--______-- _- - - _________-__ ? --?; - ---- ---- ?- - ? I > GARAGE x I DRIVEWAY ` a REPtACE EX OECK --- - ? b \ I - I E%ISTING REPLACE COVEREO FJQSTING i ENTRY CATWAL ? I f _--7 1 ? ? ? LI VING FRFA n.?oe ' II ? - ' --- -- - -- --,,,.,,. ?_ -- ? ? ? .N ? ? `--( ? ? 6474( 2004 RESIDENTIAL BLTILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 20 ° NewConsWCtion Reauiremems RemodellReoairReauiremenis bmTsivn .-r-,?er....,.? tl 3 reg?tered site surveys showing sq. iC of lot sq. ft W house; and all roofed areas 2 copies of plan urv?`1 .;?: I ' e allaved 1 set of Ene?gy Calculatlons for heated additions ?.€¢?? ` '. 20% maxonum bf cove?e 1 2 copies of pWn shmving beam & vnndow size5; poured found design, atC. 1 site surve for addltbns & decks Tf?eP'? ` i? iseto(EnergyCalala6ons AddN'on-mdicateilonsifesepticsystem S?`g'e 3 copes of Tree Preservation Plan'rf bf platted afler 7/1193 Run Jdsl0elail Opfrms selecUOn sheat (bW95 with 3 or less unHs Date ':21 /mt O I ? Construction Cost qr '1 S- Site Address 1 3 ?O?j TIQI?\ l„W ,S ????- Unit/Ste # Description of Work? Multi-Family Bldg _ Y.A- N Fireplace(s) _ 0 Property Owner Telephone #(1pSI )?S Z-?? 3 I RENEWAL BY ANDERSEN Cootractor 1920 COLTNTY RD. "C" WEST Address ROSEVILLE, bIN 55113 C'Ty 5tate 651-264-4777 _ Telephone # ( ) LICENSE #20130983 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catezoxv 1 _ Minnesota Rules 7672 Energy CAde Category . ResidenUal Ven6lation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submieed . Energy Envelope Calcula&ons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge that the infoxmation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an application for a permit, and work ' permit; that the work will be in accordance with the approved plan in the case of work whi ? a ? apCo, fplans. N O 8 2004 °Applicant's Printed Name pplicanYs Signature By f Sub Types OFF'ICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage Q 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazeba) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 5tortn Damage ? 06 04-plex ? 12 12-pleX Plbg_Y or_ N ? 25 Miscellaneous Wark Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration O 37 Demolish Building" ? 43 Reroof ? 46 ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ # of Units Sq. Ft. PRV _ # of 81dgs Length Fire Sprinklered _ Type af Const Width _ Footings (new bldg) _ Foolings (deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace ` R.I. _ Air Tes[ _ Final _ Insuladon Approved By: Basa Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treafinent Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ FinallC.O. FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector °???e?bvvy il[V tL.JV re al ?M,n rm roo 0?1 g4o0 lfr,lYtSRAL bL°BriUtSLG7lSlM ti . rune"?, Mol . City cif Eagan 3836 PiIcrt Saob gnad • ER80A MN 55-122 To Whom It May Conctrn: r IIder 7ones is authorized to pU1WIffing permits for Re,mwa! F1der lottes to provide this SoF'vicc for us in Bagan. `ntis anthor2atiac??i.a valid fo to tBe City r analIow daxe bcyond 61610 1; untii a?e•ua! by p,ad?n ??y ?vokes it tu wit? - I rcquest this authoxization bc accepted-expe,ditioasly. ac to not delay in thn- ovr building Poaita aaY fuzthcr. Ptcaac caIl mc if thcce ara my qac,xu[ons.. I ?beft ? contactcd at 763-502-4705_ Xour immpdiato aftatia? ? ft matt«, is sin6ekely> ond R Rau oxtallation Manager Ranawal hy Andcvsen CotRotation C'r.: Karn-F.l?iPr 7?naa r&-6?4 M2L,-? c - 7-,-tov, C3 p? ??? ; wuu; Received Time Jun. 7. 1:07pla -70((41 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date &) 9 / oC j l ?200 Site AddressI`<6 (A -?" 61 h/ 5 Unit # Property Owner ?QV'{'' v Q ?e f' 5?e. r Telephane # ( (p5( ?- ) ?S?" 5-5-51 Contractor Street Address City State ?N Zip Telephooe# Bond Expires: The Applicaot is _ Owner ? Contractor _ Other Add-on or elteration to existing dwelling unit $ 30.00 furnace _Additional xReplacement air exchanger air conditioner _New _Replacement other Sta[e Surcharge $ .50 Torai $ je930 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is comple[e and accurate; that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and with the Mechanical Codes; that I understand this is not a permit, hut 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 approyal'4fpWrzg. 1-?7 NQY1C? d(AVEY5017 /AkU1Dmt nG6' Appli ant's Printed ame II ?? I°= lJ? I} IJ 'J L? ? 2005 ? I I ?_ ? 2005 COMMERCIAL MECHAHICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family 6uildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owoer Telephone # ( ) Contractar Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ install _Remove **see balow Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Pfumbing Inspecfor P¢I'lllit F¢¢S: $70.50 Underground fank insfallatwn/removal $50•50 Minimum (includes State SUrcharge) or Contract Value $ x 1°/a = $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If pe rmit fee is over $1,000, add $.50 for every $1,000 oermit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry oF Eagan and with the Mechanical Codes, that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in aceordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs 5ignamre Approved By: , Inspector Date PERMIT City of Eagan Permit Type:Building Permit Number:EA107789 Date Issued:10/29/2012 Permit Category:ePermit Site Address: 4363 Kaufmanis Way Lot:008 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-080 Use: Description: Sub Type:e-Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry G Hoversten 4363 Kaufmanis Way Eagan MN 55123 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature C!ty of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Ioscig9 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _i_d 3( 67,Kc-u -7 *) AN/ - Unit #: Resident/ Owner Name: L. ,i:! Address / City / Zip: 11 3 '3 K C a Applicant is: Owner Contractor -11 Phone: 415 " 3 1 Type of Work' Description of work: Construction Cost: Company: iC'd,a etc Multi -Family Building: (Yes / No LI Address: 9 3 .7 i< A i1--Ctn \ 0 in o`er 6)4 City: Edi . 1 State: h" ,^ Zip: 6 j V)._3 Phone: 6 C/ % License #: C. L _` Lead Certificate #: 'i) t — 6 ) f!o _ % If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 7 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Ill -e1 '\4- Kp►� Applicant's Printed Name x ) 7125tRi _Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE / 0 8 9 ci9 SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building ;e Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ✓ ) Census Code # of Units # of Buildings 7©a2 A/341 Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy ,;go- 1. Code Edition Qtai7 Zoning P6 Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In _Air Test Final 4, Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEE' Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL pe- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control , Building Inspector ,,zot 440-10 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118968 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 4363 Kaufmanis Way Lot:008 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jim Mcevoy 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 - Larry G Hoversten 4363 Kaufmanis Way Eagan MN 55123 Norwest Contractors 8469 Zanzibar Ln N Maple Grove MN 55311 (612) 859-8517 Applicant/Permitee: Signature Issued By: Signature \ E AG Nr For Office Use -.. 11 f'� t� Permit#: �v�`�`� 7�-�i C/ .��� Permit Fee: 11'���E Date Received: joh 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C ""' (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569' I Staff: buildinginspectionsecitvofeagan.comfir7;234 ' t FEB 2020 RESIDENTIAL BU : a ' : II T APPLICATION Date: 2-3 - 2.0 Site Address: 4/36 4). / Unit#: Name: c.�, CT(Ji rt.'S/",�.L_ Phone: Resident! Owner Address/City/Zip: 413C.7 .S .57/ Applicant is: Owner Contractor / P-D ' CG, i(1 _ Description of work:/C,,,l/ `. f�(t� �� /='Kj'%r// �,c.� P Type of Work k �^ r Construction Cost: / Multi-Family Building: (Yes /No ) Company: Contact: 2 /l '.t. 4th41/ Address: '1f& .,�5�...-4 lh-e— City: Gdrtec4 ContraCtor State: Zip: SSU Phone l/ /` 1 f'/ mail: ,!Li4'Siuce_keitle Gc�v-- License#:6(..- �� S(1(�S� Lead Certificate#: If the project is exempt from lead certification,.please explain why: n,7,2t 0 -01 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: Fire Suppression 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 they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacran.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.ciopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance2* -' with the approved �fCplaan,in the case of work which requires a review and approval of pl s. 4l'/ �'(f' � X L� !,%l C✓/G Applicant's Printed Name Ap cant's Signature LI DO NOT WRITE BELOW THIS LINE -3•6-- )(�LA�rs Guy / et S� y SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) A.Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi — Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior )(Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION— /_5:29 g Valuation 71 Occupancy ,,Th,. '{,3,- ,MCES System Plan Review Code Edition (( SAC Units (25%_ 100%. ) Zoning t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Sticco Lath _Stone Lath _Brick EFIS "S' Insulation , l Windows i r`R 0 Sheathing / Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee l'. 72 )r i i N 11 )1 0 Cho Surcharge Plan Review MCES SAC City SAC Utility Connection Charge ) 7 6 X 20 'J 1 T 9 S&W Permit&Surcharge Treatment Plant Radio Meter Read ,,, 7, s i,-0 Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161632 Date Issued:06/05/2020 Permit Category:ePermit Site Address: 4363 Kaufmanis Way Lot:008 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-080 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Margaret F Hoversten 4363 Kaufmanis Way Eagan MN 55123 Hessian Plumbing Services Box 22172 Eagan MN 55122 (644) 651-6818 X252 Applicant/Permitee: Signature Issued By: Signature