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4364 Kaufmanis Way Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use, Permit City of Eapn I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Dater - 1 t-(- i, Site Address: o ~ ~ 5 ~r Tenant: Suite RESIDENT / OWNER Name: I:z -"P- t V i~~ f~ Phone: Address / City / Zip: l13 6 h ✓4~. Applicant is: Owner __L-Gontractor TYPE OF WORK Description of work: -e A c Z ~ P q e-5 ~J ~ Construction Cost: )Ob Multi-Family Building: (Yes / No ) CONTRACTOR Name: u t!L2,v License a~ 416 Address: 3 7 I~VQ L4 vn 0 .ti s L cl City: State: 4V~ r Zip: 6-1 3 Phone: & t # 4! 5 `r) Contact: Email: C v l z N, A r K eeA cti CO, c ref a VL 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.gopherstateonecall.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 approval of plans. x l~ r Y I-e ) 9 a=e 1G "rl x Applicant's Printed Name Applicant's Signature Page 1 of 2 CITY OF EAGAN Remarks Addition WILDERNESS PARK 2ND ADDITION Lot 22 Bik 4 Parcel 10 84251 220 04 Owner i--?c 1- ii ! $treet 4364 Kaufman; s Way siate Eagan, MN 55123 Improvement Date ount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING r SAN SEW TRUNK ? 11-16-83 SEWER LATERAL WATERM AIN N WATER LATERAL dt- WATER AREA 1979 S 4.20 S A - 42 10 213-68 AOI 11 R-1 11-16-83 ? STORM SEW TRK 1979 STORM SEW LAT CURB ffi GUTTER SIDEWALK STREET LIGHT Road Unit 21+0.00 34378 2-14-8 WATER CONN. 420.00 it BUILDING PER. 7795 SAC ?r n PARK r (gPrtifirtttr uf (Orrupttnry Citp of (eagan igrpttrtmmt nf Build'mg Jnappr#ion Tbis CertifiCQtL tI3Jtld pufJlfqfJl 10 1JJC fl9f(11tdiH11J Of Scction 306 of the Uniforrn Building Code ttsti f ying that at the time o f irtuarua thi.c uructurr wa.r rn coai pliancc witb the vasiau ordinanat o f the City rtgu/ating 6uilding connructron or ruc. For the f ollowing: SF DWG/GAR ' 7795 LL f`4.?14.r'.? wid?. 1?,arf Nn_ R3 ,..._--- V W. 110th St., rartc zna o? ?? ?: October 31, 1983 k"n .e. - -- - -- ?-._ v -- - _-_ ` urr.o1hu.s.w. ? CtTY OF EAGAN . 3795 'ilet Kwob Road Eogaw, MN 55122 :• "Y705 . , PHONEs 4544100 BUILDING PERMIT Recelpf # - To be o..d fe. S]' DitiG/GAP. Esr. Value sq9,0on Dore I'el-,ruarv 1,1 ._ 19?.; Siro Addreu 43(.4 }:aufm3nis 1ray E,ect ? pu„poncy F-3 Lar '= Btock `Z Sec/5ub.ldlclerness Park 2nd AIter ? Zonin9 u_7 Porcel # l ) SA251 2?,') 'lQ Repoir ? Fire Zone 1'•1 d W _ 9 ? ?? ~ W p kn I hereby ncknowledfle that I hove reod this applicotion and state that the informotion is w?rect ond egree to comply with all uppiicable 5tate of Minnesoto Statutes ond City of Engan Ordinonces. Sipnoture of Pertnittee /1 8uilding Permit Is iuued to: _ S. Petersor. COnst., oll work shal) be done in accordorxe with oll applicoble Stote o Mir Buildinq Officiel Enlarge D l410V! ? Demoiish p Grade f1 Assessment _ Water 8 Sew. Police Fire Enp. Plonner Council BId9• Off. _ APC Type of Const. Y # Stories Length ; ,2 Depth ??R Sq. Ft. Fees Inc. Permit 4 JIj,UU Surcharpe 49,51) Plon check -'' 1 S• n0 SI1C 525,00 Water Conn:? ? fr) Water Meter c r • 11 ^ Road Unit 212- 1? Total C193___ ? _ 5(1 on the exprcss condition thnr Stotutes ond City of Eogan Ordinor+ces. Permit No. Permit Hoidar Misc. Pormit No. Holder Plumbing H.V.A.C. w.n Wat?r Disp. Sftwer Eie?:tric ?osSqSq ?? ?rEx S-1 '{f3? InWsetion Date Insp. Other Footinpc Foundation Framinp Rouph Plby. - O ? Rouph HVAC Inwlatfon Final Plbp. ? Final HVAC jp.Q Finsl ? Wour Oqcribe Location: YVell ` Sewer Pr. Disp. - ? wr aTr oF II?cuN WATER SERVICE PERMIT . 3795 !°ilot Knob Road PERMIT NO.: EogaA, MN 55122 DATE: Yoni ' . ng: No. of Units: Owner; ? ite Address: 4""'4 Kaufryanis lumber: leter No.: ize: ender No.: agree M oompip with tie Citr of Eagoe I?dinoeKes. Y ate of I nsp.: wr,_. - .,. - , - . . .? _ Connection Charge: _ Accourrt Deposit: _ Permit Fee: Surchorge: Mtsc. Charges: `'. •> • ,"' Total: _ Date Paid: _ 1nsp.: t OF UGAN SEVIIER SERVICE PERMIT 379b RAoe Knob Roed PERMIT NO.: 6ogan, M!1 95122 DATE: Zoninp: - No. of Units: Owner: •., .,i _ . ?.. , ,.? , Address: Slte Address: ? - ' Plumber. _ r? •,> 1• It 1 agree Fo oonPy wlth tM Citi of Eagan Cannection Charpe: ; Ordlnanesr. . Account Deposit: Permit Fee: Surcharge: BY Misc Chor : ? e . g s Dote of Ir?sp.: Total: Insp.: Qote Paid: - -- - CITY OF EAGAN 9793 Vllet Nnob Rood Eagan, MN 55122 PHONE: 434•8100 BUILDING PERMIT re ee a.ea fa. SF , $99,000 N° 7795 ReteiPt # `??.?? d Date February 14 _ ly 83 Site Address 4364 ICaufmAnis Way E t R-3 O rec ? ccupancy Lot 22 Block 4 Sec/Sub.wilderness Pax'k 2nd qlter ? zonmg R-1 parcel # 10 94251 220 04 Repoir ? Fire Zone NA V Enlarge ? Type of Const. w Nome S. Petersen Const., Inc. Move ? # sto.ie: z Address 4701 W. 110th St. periwlc:h ? Length50 ci Mp13. 55437 phoM 884-5144 Grade ? Depth_1$__Sq. Ft.- p N DwneT ADVr"als Faes ? ome Address !'ie.. Name _ Address I hereby acknowledge thot I have read this a001icofion and state that the inlormotion is correcf nnd ugree to comply wifh oll opplicoble State of Minnewta $tatufes and City ot Eogan Ordinonces. Signuture of Permittee A Building Permil Is issued to: S. Petersen oll work shall be done in occordonce with all i d0 liwbl? Buildirg Official r? Ai< Assessment _ Water & Sew. Police - Fire Eng. Pionner - Council _ Bldg. Off. _ APC Inc. Permif `*JV.VV Surchorge 49.50 Plan check 215.00 SAC 525.00 Water Conn 420. 00 Water Meter 60.00 Road Unit 240.00 Torol $1939.50 on the expren condiHOn thai Statutes and Ciry of Eogan Ordinances. ': • l7Ty CF EAGAD7 Include 2 sets of plans, 1 site plan w/elevations & ? BUII,DING PEIMT APPLICATION 1 set of energy calculations. , f - i Be Used For ? Valuation ?? ?? %r? - Y -S site Pddress //?A y?//-7vo"Mdl?vi s ?:i?9 6rl: C D E?•vt ? s 7At v2? B10Ck SeC./SUb. v•- Parcel #: L 4 $?' ?S t ?7O o? 04JY12T7 ?• %7N ??,?.'S?7'? C.-l?fU.?ti" ? ?/<' _ Address: V701 ?- City/zip Code: /Y?'? s' ??-`S Y 3-7 Phone #: ?e'? 4? Contractor: ? ?ZN C-- Address: City/Zip Cocie: Pho? # : Arch./Eng.. Plidress: OFFICE USE ONLY ErE.C,'t QCCllPdtiCy J--?--?- Alter r? Zoning /i ! Repair Fise Zone Enlarge _ Zype of Const. Nbve # Stories Dacbl.ish Fmnt ft. Grade Y Depth ft, APPROVAIS FEES Assessnnents Perntit ?o Taater/Se,aer Surcharge Police Plan Chec34T l61" Fire SAC Eng, Water Conn. 4.20 ? Planner Water Meter ? Council Road Unit ? HO -- Bldg. Off. AFC City/Zip Code: Phone #: ?. ?. T7PAL P ?` r S 7?0 3 a ? ?9?sd? r_ _ ___ _ _ _ _ _ _ _ _ -__- ir ? Pertnit #: b f?a5 I I Permit Fee: I // I ? Date Received: I ? I ? I Staff: L -----------------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? &Zar Site Address: Tenant: Patricia Brit 4364 Kaufinanis Wav Suite #: E3gan, NIN 55123 RESIDENT / OWNER Name: - 6514526214 - Phone: Address / Cit CONTRACTOR Name: -Nurblliom License #: D lY I5Li( 2_ D5 6Q -fi ? o Address: _ ( Lt r rZ2U City: State: P" Zip: PhoneAYI2) TV ' 4'03 C VP son S S i t P . on ac er : TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description o{work: PERMtT TYPE RESIDENTIAL X W t H t a er ea er Water Softener _ Lawn Irrigation Add Plumbing Fixtures ?- ? ? RPZ 1 _ PVB) C Main _ Lower Level) ? ? _ Septic System Water Tumaround 3 1 - ?? ? FE NaW _ Abandonment RESIDENTlAL FEES: $SO.StI Minimum Water Heater, Water Softener, pr 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 Tumaround (add $136.00 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.) (inciudes $.50 State Surcharge) C,? O TOTAL FEES $ I hereby acknowledge that this infottna8on is mmplete and accurate• that the work will be in c nce with ihe or inances and codes of fhe City of Eagan; that I undersiand this is not a permit, but only an applicatlon for a permit, and o a permit; that fhe xrork will be in accordance with the approved plan in fhe case of work which cequires a review and appro I I sta ? X? e-ffi? L, • N arb! or? X Applicant's Printed me AppllcanYs Signature D 2007 RESIDEMTIAL PLUMBING PERNIIT APPLICATIQN ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existino residenfiaf dwettlnas_ Date 0 4/ 1 2/ 0 7 Site StrestAddress 4364 KAUFMANIS WAY Unit# Property Owner PAT BRITT Telephone #(bf )($7- 7r-vWZ Contractor Genz-Ryan Plumbing & Heatin Telephone# (952 ) 767-1e45 AdiJrggg 2200 W HWY 13 Citv BURNSVILLE State MN ZiP 55337 The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out Fxtures, etc.) $ 94.00 This fee a iies when extensive lumbin reairs are made to a buildin . Alterations to existing dwelling $ 50.00 x Add plumbing fixtures to ? main level lower leval. This fee includes installation of a water softener and/or water heater at the same time. !f you are installFng oniv a water soft'ener and/or wafer heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment n I? 2 Water Tumaround (add $136.00 if a 5/8" meter is required) = Other: u v ADD _ Water Softener _ Water Heater $ 15.00 _ new _ repiacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State 5urcharge $ .50 Fotal $ 50.50 i nereoy appiy ror a ttesidential Plumbing Permit and acknowledge that the information is complete and aCCUrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed d a proved. k a? ' - - Applica Ps Printed Name Applican's Signature CO( R6 i RESIDENTIAL MECHAIVICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are requ'ved for each unit ?$s o0- Date IZ2 / / 7 / p ?j' Site Address +3 6 4- ? A u. F mvt-n> > S w ? Unit # Property Owner ? ? 1=F Q rci rT Telephone #( ) Contractor H-OW'(,o 'C tu-1(? L Street Address Ln A'D I't Li;x ?+-vJ ko YL 1 fa- efau wr Ciry fLN ?a'x, 6W:n.1GF, ? State ? I'v , Zip ? 7 Telephone # ( (o f Z ) ? 8 (ci ' .?7_:3 7 3 Bond #: J$J`) J?-$ Z Expires: ? l Z6 0 ?- The Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to ezisting dwelling unit $ 30.00 )< furnace replacement air exchanger X air conditioner _ New X Replacement other State Surcharge $ .50 Total s ? . ? 2003 I hereby apply for a Residenrial Mechanical Permit and acknowledge tUat the ' curate; that tLe work will be in confomtance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; at I understand tlus is not a permit, but only an applicarion for a pemvt, and work is not to start without a permit; that the work rvill be in accordance with the approved plan in the case of work which requires a review and approval p n I E{Ow.a. S 1? ? ? GEN Nrtt?St'12_ ? ApplicanYs Printed Name ApplicanYs Signature ? COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please comple[e for: commereiaVindustrial buildings multi-family buildings when sepazate permits aze not required for each dwelling uni[ Date ID / 11 / 03 Site Street Address Unit # Tenant Name (if applicable) Previous Tenan[ Name Property Owner Telephone # ( ) Contractor Street Address C+ty State Zip Telephone # ( ) Bond #: Espires: The Applica¢t is _ Owner _ Contractor _ Other Work Type New construction _Install _ Remove Underground Tank Interior Improvement Schedule inspedion during installation or removal of tank Processed Piping Nature of Work: Permit Fee $5050 Minimum Fee (includes State Surcharge) Confract Value $ x 1°/a =$ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemnt and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a permit, but only an application for a permit, and work is not to start without a permit; that the woxk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signature Approved By: , Inspector Date: S. PETERSEN CONSTRUCTION, INC. 4701 WEST 11ftti STREET 884-5144 BIAOMIIJCTON, MINNESOTA 56437 1 L ?T ?7.1 ?IUC'K 4t (t1/L T J f? ?A,'?. 1S 1?ftla d?' ? r?'??? . O M \ t1G?? /-?t,VSC- ?g 10 .5 --- i ? ( a jCo 90 ?n py _. ffiav?rJ<f?vis ,:?/??y ?.?3 ?•?- OWNER EXTERIOR ENVELOPE AVERAGE "ti" COT;PBTATIOPI SITE ADBRESS 4z CONTRACTOR DATE, -osP Determine working square footage of each. 1. Total exposed wall area ... ,Ip 4R sq, ft: x.17 2. Total roof/ceiliizg area .... A o's, sq. ft. x.05 Total exposed wall area above floor a. TotaZ wall window area ................. /,5 6 b. Total door area .....a ................. d o C. Tota1 sliding glass area ............... ya d. Total fireplace vrall area ......... .? e. Tota1 wall framing area (average,1.0%)... ?o y f. Total net wall area above floor ........ y y g. Total rim Joist area . . , . . . , . . . a . , . Total exposed foundation area h. Total foundation winrlow area ..........? i. Total net foundation area above grade Determine "U12 value of each wall segment. 3 . 7C n uc: ?? .? `?"._ _ ? , b ,ryQ X? V A itTiti 4 _ `} C. 4V X PPU:: ? D.-? g voU:• e'. g 9:U„ cp , f. X ;=U`: C,.c) -19 = 9u 9 . /`'d. X 'U `? E?. c) q ' h. lv X ,1U" i. 1a2,2. g t;Uv, t?. ?f ? _ /O J2dE dp/V-751 V7 _ .50 3 ................................... . .....motal If item #3 is the same as, or less than item #1, you have met the intent of SSC 6006(c)2. i - k. i: Total exposed roof/ceiling area Total skylight area . ....... ..:. C)'- Total r_oof/ceiling framirig area(average 10) lp v lbtal net insulated roof/ceillng area ..,..:.. betermine '.'U' value for--eacb.roof/ceiling segment. X iiUi:: ?.. - IC. _ 1• 'f7 ? x . v, 4 .................... .?- .........:.:fiotal If total of #4 is the 5ame ass or less than #2, you,have met the intent of SHC 6006(c)l: Alternate Build3ng Envelope Design To utilize the total envelope system. method, the values established by the sum of items #3 and H4 shall aot be greater.than the sum of items t11 and #2. ° ' l. + ..2 ? 3. + 4. _ .. ? < Use BLUE or BLACK Ink � ForOfficeUse—r-------� /��/�/ • I ��J �� I Permit#:��`7 I Cit� of Ea��Il �� ; F . �� .�� -�� Perm t ee. �� 3830 Pilot Knob Road I � Eagan MN 55122 � Date Received: �� Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff: I .�. L-------____�___�I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � Mame: V�� - f � 1 1� � I� Phone: �+�Stt��1� ` ��;��'f` . �� Address/City/Zip: ��lr� Kl��.,t �w, w ti�� 3 G �✓}�1C1 vU 5�l o't� , r �� Applicant is: Owner ✓ontractor : .�Q J� —�oc,�� h y � --�'`Q �< � Description of�ivork: I � �fJ c-, t�C�P +'Y i 5 ��. � �'- � ^ ,✓t� �G�G � Tjf�O�VVQt`�C:.�' � `� �� Construction Cost. C� Multi-Family Building:(Yes /No� Company: 1" I 1 � U 1 �J�U ►'V C.�h S�� i;ontact: �'�" 1� � ��ITt�t�C�+D�` , Address: �I�t��l� YY�W-i�.��5 �`( City: �=-�� i��-�.. �c 5'► ,,/� ,(1 �8 Y`�C. $ � State:�Zip:�3 Phone: y 3 a--��7�Email: ��_ I f1�-�e.K�[ C•� , �..� License#: � _�IZ� ,�� _Lead Gertificate#: If the project is exempt from lead certification, please explain why: L,� ►�C e..� COMPLETE THIS AREA ONLY IF CONSTRUCTINC� A NEW BUILDING In the last 12 months,has the City of Eagan issued a pertnit 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: I�iG�T�`"Pf�/i��/1t7i v11�4�IIt��ii�(�tm'►L�'#�i�+�`,�fQ+�t:a�'�J�%��CIB C�$�f��@t�6NG��6�'�"��"'�#A"�#�� b#'�+�1#��, : #�!��l,�trt�t%trr:�,y`�+��r#��+�ti�•��pt�JY/�;=�cf��t'�`r"�$�C�s�t��t��f?��+��^� " ` ,w ; :�rrr►+cltyr�t��►��r `�r��1+��s_��s � , ` , � . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection ag,ainst underground utility damage. CaI148 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in confc�rmance with the ordinances and codes of the City of Eagan; that I understand this is not a permrt, 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 8nd approval of plans. Exterior work authorized 6y a building permit issued in accordance with the Minnesota State�Building Code must be completed within 180 days of permit issuance. x 1 ► I� � ��i-e ��-P ►2 x �� `"�� Applicant's Printed Name ApplicanYs�iignature Page 1 of 3 �/ --� `'l ��y �� n�'�'jt S �� ,__?DO NOT WRITE BELOW THIS LINE` _.i ,�j � �/ ` -� . . SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Mu1ti � Deck _ Porch (Screen/GazebolPe�rgola) _ Miscellaneous _ 01 of_Plex- _ Lower Level _ Pool Accessory Building WORKTYPES ►�I�u� U-P,�� Wr 3 Z�i� ��J�y� � � �-41�, �tn.C�v� P�I1'L� . � New _ Interior Improvement _ Siding _ Demolish Buiiding" _ 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 : � . � - � , Valuation �(,D, Occupancy �� MCES System Plan Review Code Edition 'f,.o��'�(Vt5(� SAC Units_ (25%0_100%�) Zoning �� City Water ' Census Code Stories- Booster Pump #of Units Square Feet PRV . #of Buildings Length Fire Suppression Required ' Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Siz�.: � Footings(Deck) Final I C.C). Required Footings_(Addition)_ _. ._ -__ _--�_FinaLL_No C.O.Required-_-.__ -____ -. -__ - Foundation - `HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water Final PooL• 1=ootings 'Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough ln _Air Test Final -Siding:`__Stucco Lath Stone �ath _Brick Insulation Windaws . Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Ca�ntrol Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Other: Reviewed By:_�� , Building Inspecta�r RESIDENTIAL FEES - . Base Fee _ ,2 Z� X �s:-f� � ' '' Surcharge , ` � � J� � � ` Plan Review �� 33�0 MCES SAC . - City SAC Utility Connection Charge S8�W Permit�Surcharge Treatmenf Plant Copies TOTAL Page 2 of 3 � ��lo�l �4�t.�'I��?i S ��GJ � � , � � � �� ' ` S. PETERSEN CONSTRUCTION', INC. 4701 WEST 11Q'rtt STREET 884-b:i44 BLOOMINGTfliV,MINNESOTA 55437 t i G Q 7` r�<' �l,��',�� Ct��L, T_� cf`= 6c�✓':�_ .�.� '/��+f� �'"'.� �'�� f I �"' ,� � �,�, �I � �� gl: � `� [)��e� = r----""` � -- � . � Eagan Bu6lding tir�spections piv��ion � � p ? .�,y �� 3�.. �o y G�� /-J'u u t�- �� .5 ��,�:��IJ. !° �a'� �� q.5 _ � l ,�-y ! `� �,� �� _._____ -- f — � ,� '� � � . , � o 1 "' � ��Q ��, 'n Q� __ �".��'�/'1,��,�,�s.�:_._..._..;;:�',�y� �.�-�.��_ � PERMIT City of Eagan Permit Type:Building Permit Number:EA179839 Date Issued:10/24/2022 Permit Category:ePermit Site Address: 4364 Kaufmanis Way Lot:022 Block: 004 Addition: Wilderness Park 2nd PID:10-84251-04-220 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Jeffrey R & Patricia Britt 4364 Kaufmanis Way Saint Paul MN 55123--186 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature