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4371 Kaufmanis WayCITY OF EAGAN Remarks 10 84251 090 U3 Additions WILDE ES -PARK 2ND ADDITION Lot 9 Blk 3 Parcel Owner p r ( Street 4371 Kauflrianis Way State Eagan, MN 55123 (A) 1.1 L 4 Pir I. h% i i 1 1 r) ( lilt. Ti Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 1 5it g 7. 1 20 107.95 COA)SISS-- 7-5-78 SEWER LATERAL WATERMA I N WATER LATERAL WATER AREA 1979 630.74 63.07 10 630.74 STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250 - Of) 107(,7 7-6-78 BUILDING PER. SAC 0 0 10762 7-6-79 PARK - Cities Digital 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. • CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE 19 AMOUNT $ DOLLARS Ino ? CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy T nk You ? /1? BY CITY OF EAGAN • - • 8795 Pilot Knob Rood Eagan, MN 55122 N2 4864 PHONE: 454-5100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories 3 Address Demollsh ? Front ft. Grade n Depth ft. s Name 0 u' Addre sc-me Name Address Assessment _ Water & Sew. Police Fire Eng. Planner Council Permit Surcharge Plan check SAC Water Conn. Water Meter I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official r Y t? f- Fe?M # OsM bweA hnMttee A Plumbing Mechanical - Z ?, . -q 5 4-a-7 t o - a -'7 r . w ?zc,?z z-Z?r _$-z s.,-.*- S, c INSPECTIONS DATE INSP. Rough-In Find Footing s Dote Insp. Date limp. Foundation Plumbing >l Frame/ins. Mechanical s-7 Final 7 ? n Remarks: w C T I'Yw ?? • gr 3 50wrwd off ff" 6 r?o ??? ??l ? a?7ri fwe to-c? 1W -rs ?"e x 7J b o? L' C-. 4( sG 0 glop ca !,t At 1 n011? a Xf 10 con c r01/r r Aloof to f o ci J, tare A, ^ Ti / dx77a^ • 2 0.0pR4 4re. le if 7-Poo 4k 4ax *if dnde e /Vea At/ • CITY OF EAGAN • 9795 Pilot Knob Road • Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 13 11-874 Date: Receipt No.: Single Residential Site Address: Lot Block Sub/Sec. 1 L Z _ Multi Res., Comm./Ind. Nome 3ar - New/Alter./Repair } Address Cost of Installation City " ou„t Phone: 423- Permit Fee , Name 2enz-Ryan ' Surcharge ddress '145 So. i?oJ City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official • CITY OF EAGAN 3795 Pilot Knob Road • - Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: s-28-78 Site Address: Lot Block Sub/Sec. _?F Name Address C City ou? ; r Phone: Z' Name ' -- l I--- i ' ''45 So, v? C Address 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official Receipt PLUMBING PERMIT CITY OF EAGAN I Fill in numbered spaces Permit No. Fee S/C / Type or Print legibly Tot. n Date G 2. Installation Costal Job Address !aI Blk. Tract 1A), 1. 3. 4. Owner 5. Contractor' ???7 Phone f ?l 6. Address 7. City State Zip 8. Building Type: Residential T Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/D field i Bath tubs p ra n Se tic Tank Lavatory p ft e S Shower n o r Well Kitchen Sink Urinal/Bidet Other Laundry Tray ?. Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all orpinances and codes governing this type of work. Signed : r for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 WATER SERVICE PERMIT CITY F EAGAN 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: - Connection Charge. Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Eli Date of Insp.: C;'t'Y %FF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: - Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: _ Site Address: Plumber: I agree to comply with the City of Eagan Ordinances. By Date of Insp.: I nsD.: Connection Charg Account Deposit: Permit Fee: - Surcharge: Misc. Charges: _ Total: Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION f CITY OF EAGAN ill {!'J 3830 PILOT KNOB RD - 55122 651-681-4675 Cu?(u? I JO law Construction Requirements RemodellReoair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan , I (20% maximum lot coverage allowed) . l set of Energy Calculations for heated additions ,,II,t}+t'„?'_I 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . Indicate if home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) )ATE 4I= 3 Cy- in ( VALUATION d? U IOB SITE ADDRESS ? 3 -7 r Kau ??„ -3, C? bA!l F MULTI-FAMILY BUILDING, HOW MANY UNITS? 'ROPERTY OWNER hi I I<,e 4 !fir L n /g' A t/ YPE OF WORK A eJ J S a4 e e r, & e, e IS FIREPLACE(S) _0 _1 _2 _3 APPLICANT /\ C,w ---- PHONE # ADDRESS / b 7 S o Z 4 t^ t4 ?r A? e 5 D ZIPCODE 5 s /2-6 'AGER # G t Abp I 'f C1 l CELL PHONE # C6 ?- 5 S 7 FAX #9 ?)S- 67 5^S NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System ? I i Sewer/Water Contractor: Phone # I? - 3 U (J kit above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is c B ree o comply with ill applicable State of Minnesota Statutes and City of Eagan Ordinances.. Signature of Applicant` ;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY s . ] 01 Foundation 1 02 SF Dwelling 3 03 01 of_ plex 7 04 02-plex 3 05 03-plex 3 06 04-plex IV 31 New 1 32 Addition ] 33 Alteration 3 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) X 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant /aluation ` dam- Occupancy K-3 MC/ES System _ ,ensus Code Zoning City Water )AC Units e C Stories Booster Pump Jbr. of Units Sq. Ft. l qo2 PRV Jbr. of Bldgs Length f (2 Fire Sprinklered ype of Const Width / a2 REQUIRED I NSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) Footin dditi _ Final/No C.O. gs (a on) Plumbing Foundation HVAC _ Drain Tile _ Roof _ Ice & Water _ Fr Final _ Other aming _ Pool _ Figs Air/Gas Tests Final - Fireplace _ R.I. -Air Test -Final _ Siding Stucco _ _ Stone Insulation - _ _ Windows (new/replacement) Approved By t-6 , Building Inspector case Fee surcharge 'Ian Review AC/ES SAC :ity SAC Hater Supply & Storage i&W Permit & Surcharge -reatment Plant 'lumbing Permit Aechanical Permit Jcense Search :opies ether Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or - N rI CITY OF EAGAN z 3795 Pilot Knob Read Eason, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION To he used for SF Dwel. & gar. Est. Value 46,000.00 Site Address ""- .... '°„sue Lot 9 Block 3 Sec/Sub. Parcel # 10 84251090 03 Name "' • .+aa ev,+ wu w. w,. au,.. Addr 12790 Dodd Blvd. o itosemoun 423-3459 g Name _ r U§ Address r;.,, Fleetwood Name Kz 6560 Brooklyn Blvd. ww IAddress x- < City Brooklyn tr. Phone - 1 hereby acknowledge to hove reps this application and state that the information is car ect a d ag to m ly wi all applicable State of Minnesota St es nd agon O i onces. Signature of Permittee A Building Permit is issued all work shall be done in a •rdan 'th of Building Official H° 4864 Receipt # ?02?Z Erect KI Occupancy 1 Alter ? Zoning R1 Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 50 ft. Grade ? Depth ? ft. Approvals Fees Assessment - Water & Sew. Police Fire -- Eng. Planner Council _ Bldg. Off. - APC ' Permit io Q. _ Surcharge 23.00 Plan check SAC 500.00 Water Conn. `250.00 Water Meter 60.00 .,. Road Unit 75.00 Total 1038.50 on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. Minnesota State Board of Electricity University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / ? oaf R 25427 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ?I ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace „,-;, ?, ? Silo Unloader ? Industrial Bldg. '? ? ? it Cbnitlone' . ? Bulk Milk Tank ? Farm ? ? ass[ b List ) Other E] _ 14 " Herers} COMPUTE INSPECTION PEE BELW- Remarks -?- _-e-- , _ TOTAL FEE 1, the Electrical Inspector, hereby certify ttlane aye 'fis fiction has been mad (Rough-in) i? ate /a - (Final) ir•E?l ?- This request void 18 months from This pgtiest void 18 months from ./ a oa4 I ` 'R25427 Date of this Request /®? Z - -7r 1, asALicensed Electrical Contractor ? Owner, d hby request inspection of the above electri- cal wiring installed at: y?? 77 ?d T ???d? ?? Street Address or Route No. City I Section Which is occupied by Range County Is a roughin inspection required on this job? No ? Yes,4 Ready Now ? Will Call Power Supplier AY /li/ G ";-Address Electrical Contractor ???ti SSE c «?.cc/ Contractor's License No 3s71/ (Company Name) Mailing Address ?L (1-ZLr ` ? 12 e4lc yi Authorized or Making This Installatlon) , Phone No. 0/5; ` ` 1-iy ?( a ?f This inspection request will not be accepted by the NAM Ma12ED 0 u State Board unless proper inspection fee is encosed. REQUEST FOR ELECTRICAL INSPECTION .r« ES-00001-03 5!e instructions for completing this form on back 01 Yellow copy. Wd27032 "X" Blow, ? Covered by This Request 3? f S N Add Re Type of Building Applmnce' ne Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Spemfy) ther (Specify) Other Other Compute Inspection Fee Below # Fee' Service Entrance Size # Fee Feeders/Subfeeders # Fee . ircmts 'r. 0 to 100 Amps 0 to 10A m s OGo 30 Am 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Amps Above 1O0_AmpS Above 100_Am ' Transformers Remote Control Ciro. Partlal:Oth e Signs Special Inspection $ T Remarks Rough-ur Data . I, the Electrical Inspector, lamb, certify that the nbove Final A, t rte// inspection has been de. i it •_J This request vatl This request void 7(z- O 18 mo nibs from F AI ZU 2 Lg g3, wl ?d,PK Zk\ 3(tryl5 1 S Request DAft Fire No. Rough-u, Inspection Requ rted? ?Ready Now D Will Notify Inspec- 7?16?82 Dyes ?No When Heady D Moonsed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at. Street Address, Be. or Route No. City 4371 Kaufmanus wa A4 Ea n ecuon Township Name No. Range No, County Dakota Occupant (PRINT) Phone No. (FU3lerton's) Lock Box: B Y Power Supplier Address N.S.P. 3000 Maxwell Ave,, r Electrical Contractor (Company Name) Cnntractor's License No. SOUTH Mailing Address (Contractor or Owner Making Instailation) ? " ? y ? / ? 1,51 SS4O Authorize nature (COntracto O r aW2g Instal uon) Phone Number r ° 722-6695 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N-191 BE ACCEPTED By THE STATE BOARD 1821 University Ave., St. Paul, MN 66184 UNLESS PROPER INSPECTION FEE IS Phone (6121 297-2111 ENCLOSED. (Infifiraft of (Orruvaury Citp of eagan Jgrpartmmt of NuAbing ,J upprtiun This Certificate issued pursuant to the requirements of Section 3o6 of the Uniform Building Code ratifying that at the time of issuance this structure was in compliance wub the various ordinances of the City regulating building construction or use. For the following: SF DWG/GAR 4864 U.. Cs.m' uoae. e.nm, ua. Rl OoFr rYD. I 'n'P Caowa" V Fim Zan 3 2rnuy fhuna[ Barton Const. GoAea 2790 Dodd Blvd.. Rosemount Huaave AddtrA 1'el vim.. i.nanic wav .jDt 9 Block 3 Wilderness n Park 2nd Lr K 0 f ?j f?, BY T 9 a A as .n..,.. C. -.s"" -- IT- N 5 n ? a-rtA--Jl J u? U170elk FF- 5 -)DIK RESIDENTIAL -75 BUILDING PERMIT APPLICATION 13 ' CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS 11371 C lJ? .S ?IrI MULTI-FAMILY BLDG _Y TYPE OF WORK T-60 FIREPLACE(S) _ 001 -2 APPLICANT 2 STREET ADDRES /Z9 ?? LIa Pn _T 4 ?T.PF CIS( a??Ak/ f ATE ZIP 5 ?, TELEPHONE # " 8_?_- CELL PHONE # ?L FAX # a' ? 1 - 7,1/1 9.;?-u PROPERTY OWNER 01 ( TELEPHONE #?'? ys?- 39? COMPLETE FOR "N w RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission type) - MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 Plumbing Contractor: Plumbing system includes: • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted :•`t Phone # Water Softener _ Lawn Sprinkler re- l? ieil 190 Water Heater _ No. of R.I. Baths No. of Baths JG 2 2 Z?02 Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or I nces. l Signature of Applicant ----------------------------------------°°-----------------°°-----------°'-'-------------------. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 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/Adds. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-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 Plbg_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 Rercof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City 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 bldg) Final/C.O. - Footings (deck) _ _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total CITY USE ONLY c p q/ LOT BL RECEIPT #: / 9 5 p u SUBD. (,l21U f?C RECEIPT DATE: 199$ MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3650 PILOT KNOB RD EAGAN RN 5512E (612) 6$1-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace X Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge 50 Total: $(::E? SITE ADDRESS: Q I ??I^V OWNER NAME: U3-71 KQ LA - OA Y)15 V?J6ty PHONE #: LA 5 Z-- 39 Z W INSTALLER NAME: i Wohlers Southside Htg. & A/C, Inc. STREET ADDRESS: (4732 Pennock Avenue fipple Valley, MN 55124 CITY: i PHONE #: +3 1- -7v9? STATE: / ? "Q - (t SIGNATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) - 1998 L BL _ SUED. APPROVED BY: 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (61£)681-4675 Please complete for. all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: CITY USE ONLY RECEIPT #: _ RECEIPT DATE: ($.50 per $1,000 of m mit fee due on all permits.) PHONE #: TENANT NAME (MPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: #: STATE: ZIP: SIGNATURE OF PERMITTEE z ?I 2004 RESIDENTIAL BUILDING PERMIT APPLICATION (v3 Z J y City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair ReauiremenLS __Dfiii'a3`fsa'- 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan W"! ge allowed) 1 set of Energy Calculations for heated addNons FR- (20% maximum lot covera y 11 2 co ies of Ian showin beam & window sizes, oured found des' n, etc. 1 site surve for additions & decks 1;,1 set of Energy Calculations Addition indicate if onsite septic system 0i, "Pir OWN 3 copies of Tree Preservation Plan d lot platted after 7/1193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date / JV l -l Construction Cost ? 30 6 - Site Address t}??7 ( ??} L- k- , ra 1<)4=,S Unit/Ste # Description of Work ?2 /X YL I-F YJ 7'\ CL ?? 9s e- 6'/ ncldas Multi-Family Bldg - Y li--N Fireplace(s) _ 0 - 1 - 2 Property Owner V11 K t e e {I r / Telephone # (4.Ar1 Contractor 2 (? v 1 ` 5 r o Address y a ?p ti / t rn. as w , -2; t.? +e c city l4 Cf State w- Zip 3-j / 1-3 Telephone # (L 51 c.e /( 4 Y 2- lea d '1-71 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations 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 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. p M 2 l 1? df ?-epz Ap licant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool J$( 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) (? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 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 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 X 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 ? 34 Replaceme nt *Demolition (Entire Bldg) - Give PCA handout to applicant ' / Valuation 512 12 Occupancy MCES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump - # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered - Type of Const _ Width - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water Final Framing - _ Fireplace _ RI. -Air Test -Final Insulation ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ?0 w 30W' ?? i=rn crvT Of q1 3Qo f Total 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 (oar j 651-675-5675 Please complete for modifications to existing residential dwellings. % c?n S7?) Date I I G Site Street Address F ?U l S Unit # Property Owner Telephone # ( ) Contractor a Address Telephone # ta} L7 V City /`1 21^ State Zip J 'r''q The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener - replacement _ Water Heater additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge D lUJ $ .50 Total L APR $ B I hereby apply for a Residential 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 reauired to be reviewed and aDDroved. Tfl,4 6d Applicant's Printed Name Appli nt's Signatur DATE BUILDING PERMIT APPLICATION Include 2 sets of plans, 1+d?site plan w/elevations and 1 set of To be used for ,, X Site AddresE; Lot Block 3 owner If`"`?tr; ` Address Y3'ZAddress Arch./Eng. Address calculations. /e ° 5'5Y:0J-'6-/ 690 -0.3 Telephone 46-T 3 Alter Repair Enlarge Move nemolish Grade OFFICE USE Date of Approval & Initial =? Assessment Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. OFZI Telephone OFFICE USE Occupancy I Zoning Fire Zone 3 Type of Const. # of Stories Front , o Depth y5 FEES l Permit Surcharge rian Check SAC .S-On Water Conn. Water Meter .- ?.tr??? T? '76` TOTAL, !0 3 8 s o b GEC Telephone ?``?? C c? f -?- 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ronssudion Requirements 3 regessed site surveys shoving sq. ft. of lot sq. ft, of louse: and a roofed areas (20% maomum lot coverage allowed) i Soils Report d proposed building is to be placed on disturbed soil 2 copies of plan shoving beam & window saes poured found design, ate. 1 set of Energy Calculations 3 copies of Tree Preservation Plan d lot potted after 7/153 Rim Joist Detail Options selection sheet (buildings with 3 a fees units) Mmnegasco mechanical ventilation form Remoddlieoas Requirements 2 copies of plan showing footings beams, joists 1 set of Energy Calculations for heated add'Aons 1 site survey for additions & decks Addition - indicate d onsife septic system Telephone # ( Plans are considered Dublic information unless you state they are trade secret and the reason. Date C / / } Construction Cost r' l aoi) Site Address h ?' k'M &1 Unit/Ste # .,, 5 1..-+ 1 J 1 I r at?./ ?R- ? 1?fl ? ? + ? ,, Description of Work p(S m,, ?? G Tl fr t2o-w Multi-Family Bldg - Y I(l l? Fireplace(s) _ 0 - 1 - 2 Property Owner 0, K2e OI He l .ur_ ARAi l1, _ Telephone #((r 3?o4' R ? Contractor zi u i S I d h Q•t S Address ?.-S '7 2.K d 44 -C &, w G.+ ?1 4 City F-7d 4.4, State 1M Zip .5'!FI-3 Telephone # ((-37) /6-,2 -- 37b 742 4. We COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code 1orksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I herebv annly for a Residential Building Permit and Telephone #( Telephone #( 90 - co f.r?llsedJWv t:eriotSurvaytlaed:?.._ ;-.Y:?,:.N Soifs:ffepnif? ?,:. .:.:. .??'•._? tYsaijmatgeglkpQ :. ::• ? :....P'_.t1 On.site9ejifid:Syrri that the information is complete and accural e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. M se L^ A eK-ele Applicant's Printed Name Applicant's Signs I ~~3 r r t ' - - 4 I I j I _ - ° t l`a ~ ~l ~ ~ - c ~ ~ ~ ~j ~ H ~ ~ ~ ~ , ~ ~ ~ k _ _ _ ~ R.. - ~ .w ~ ~ a~, ~ ~ ~ } a a . q~'~ } 1 C ~ ~ I '~I s II ~ 6r i ~ ~ ~ ~ ~ I i - I- - - j I 1G'~~ ~ ' "P;1"~'" ,w_ o, ~ ~ i. ~ i Lt 33 E f', ' ~ ' ~ 1 a 1 h*~~,JF"~'~'~~~w,~~1~..+' MINNEAPOLIS SALES DIVISION PNNcr mm ' ~ to~~YN BLVD. r ~ 6600 RR€ O! 1 r f BROOKLYN CENTER, MINNESOTA 5542 PHONE 612-560-6330 fN DRAWN ' ` ~ CHECKED BY Custom ConyPonpnt Rana nr Conventional Crn.-trur-tiop ÿ þýý üôüú ùýýÿ îë ýê ô ô þý÷ þýüûúù ñ ù õ ýûúù ûúù á ñ ù à íß ù õ ýõ ôðýù ú ó þòý ñ ëù î ë ï ïë ë ú òý ë ü ëèõïë úé÷ý ëýü ù ù ý è õ üëê òý üú í ÷ ëúïë è ñ æôåæèè öù þý ï ç ý æôåæèè ç ý ôÿè õôó ÷òñ ùù ö ï öë û ï äï ã ú Þâèñ î íî ôÞå ý÷ë ú ø î äâô äâô àÞìßìôôÙì ï üú í ï ï î ï ùù ï ï ÷ ë ëùúíï ùù ü þ ÷ä þ ý õú÷ ð è ùù é ý úþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA111618 Date Issued:07/03/2013 Permit Category:ePermit Site Address: 4371 Kaufmanis Way Lot:009 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-090 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Bailly 4371 Kaufmanis Way Eagan MN 55123 (952) 892-4165 Craftsmans Choice Inc 26219 Fremont Drive Zimmerman MN 55398 (763) 633-1390 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use 2 Permit#: ~J 411100 non City of Ea Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: Phone: 1-I rL 2 VI ( , Resident/ Owner j Address / City / Zip: 1 m r1 I Applicant is: Owner JZ'Contractor Type of Work Description of work: ~ ✓Lv c~ ~ l"f c~ ~ C~c,!~~ !'!i__-( Construction Cost: ~(w Multi-Family Building: (Yes / No Company: 4 Contact: V v 1 Contractor Address: 3 S, City: State: Zip: Phone: U License M QG, J Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: r_ _.._...w._ _ NOTE. Plans and supporting documents that you submit are con_sidered 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 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. 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 ~VA -e I Y~ A:& ,~=r x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138582 Date Issued:09/07/2016 Permit Category:ePermit Site Address: 4371 Kaufmanis Way Lot:009 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Bailly 4371 Kaufmanis Way Eagan MN 55123 (952) 949-7914 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature P* Duffy Engineering Oil & Associates —.9.4\111,miligerVIENtspirogrilk 10— 18— 16 Chris Overson Craftsman's Choice 5680 Quam Ave NE Suite A Rogers, MN 55376 350 Highway 10 South. Suite No. 101 St. Cloud, MN 56304 Telephone (320) 259-1234 Fax (320)203-1234 Re: Review of Modifications to Existing Screen Porch at 4371 Kaufmans Way in Eagan, MN Chris: I have reviewed your plans to convert a existing Screen Porch into an enclosed room with new windows etc. The plans call for replacing the existing a 2 ply 2 x 10 beam on the enffq the porch with new 3 ply 9 1/2" LVL as well as two new piers and post near the hfine. Based on these changes the existing screen porch can be converted to an enclosed space per ou plans. If you have any questions, please contact me. SincerFj.y 7 Terry W. Duffy P.E. President City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 rIt Use BLUE or BLACK Ink 64] For Office Use Permit #: 7.3q6 6 Permit Fee: Date Received. Staff: 1,0" -,6. 2016 RESIDENTIAL BUILDING PERMIT APPLICATION ,1 / 7% i%m44> S ' �i Unit #: Date: � �S®` /6. Site Address: `73 l � tkieii 9/�� Address / City / Zip: Resident/' Ownef'_:___1 Phone: 6S7' Description of work:j,s'/>/ d. s Construction Cost: ft O'7, .' Multi -Family Building: (Yes / No A' ) Company: ( �,tf'oh'T$rnaw�s-f`>�7c .��C_ Contact: 0'1,6S OI �SC+,rn If the project is exempt from lead certification, please explain why: Bo; 14- i'kt 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: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents`tt tt you submit are considered to b the information may be classified as non-public if you. provide specific reaso conclude that the ; are trade secrets. would pet 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.aopherstateonecall.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. (c h Ot- e- o i Applicant's Printed Name Applicant's Signature Page 1 of 3 '2 71 iltD/ S NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) 7 Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Siding Move Building Reroof Fire Repair Windows Repair Egress Window DESCRIPTION Valuation '� /47/59 2 — Plan Review (25%_ 100% 20) Census Code #of Units # of Buildings P Type of Construction V t3 /3,60/, Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy VC - ) Code Edition jytn 2<=3) (S - Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water _Final 1C Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Final 1C1 Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: To i'lA RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Building Inspector (or7 v627- 5 C j2e&•Y1 /t.)P 2+n/(' =t'1 Z s 9.Fr -57 )0.w../4 q Seu Page 2 of 3 G T TwED V B : / /L ENGINEERING CORPORATION nate: / - S - ' 86091yndaleAve#202 En•ineering & Forensic Bloomington MN 55420 ��! Buildn Inspections Division Services 952-933f161 info@guyengineering.com January 4, 2017 CHRIS OVERTON CRAFTSMAN'S CHOICE, INC. 5680 QUAM AVE NE SUITE A ROGERS, MN 55376 RE: Michael & Helen Bailey: 4371 Kaufmanis Wway, Eagan, MN 55123 Guy Engineering Corp File Number: 17-001-011 Per your request, our office reviewed photographs for the above referenced structure related to conversion of an existing 3-season porch into a 4-season porch. We understand work exposed a diagonal metal strap brace in the rear wall of the home which extended to the bottom plate into the space for the new door opening into the porch. We understand work will require cutting the lower approximately 1 foot 3 inches of the metal angle strap for the door opening. It is our opinion that the existing rear wall between the proposed doorway and corner of the porch is of sufficient width for installation of wall panel bracing. We recommend minimum 1/2 inch thickness plywood be installed full wall height from the side of the door opening to the corner of the porch. Nail with 8d nails 3" spacing at perimeter and 4" spacing at interior studs. It is our opinion that installation of plywood in this area will provide greater strength than the portion of angle strap bracing to be cut away at the base of the wall. The scope of this assignment is strictly limited to evaluation of the existing wall bracing at the exterior wall of the home. All other aspects of the structure and property are expressly excluded from the limited scope of this assignment. The evaluation and this report have been prepared within customary standards of practice in the industry for this type of work under the budget constraints and limited scope for this type of work conducted in this region for these types of structures in this time frame. The evaluation and report have been prepared for the purpose of assisting in valuation of a property damage claim. The report is solely for use by the contracted party and is not for use by any other party. This report is a copyrighted instrument of service. This report may not be used in any contract negotiations or contract. Unauthorized duplication or use is prohibited. We GUY ENGINEERING CORP. FILE NO. 17-001-011 PAGE 2 OF 2 4371 KAUFMANIS WAY, EAGAN, MINNESOTA JANUARY 4, 2017 reserve the right to supplement or modify opinions, conclusions or recommendations contained herein based upon review of additional facts or materials as may be appropriate. Recommendations shall be implemented by experienced contractors, in accordance with all State and Local regulations, and with valid building permits as required. The recommendations are general recommendations. Contractor/s are responsible to account for and consider all construction methods and ancillary or incidental items necessary to effect a completed project. Contractor/s are responsible for design and installation of any and all temporary shoring necessary to effect a completed project. Contractor/s are responsible for providing all safety equipment, training and supervision. Engineer has no responsibility for any safety measures. No investigation of radon, mold or other health related conditions is part of the scope of work of this assignment. We take no responsibility for either detection of or mitigating of radon, mold or other such conditions. Should the owner or client feel concerned regarding these or other conditions we recommend that the owner retain independent experts practicing in the areas of radon and or mold detection and mitigation and/or environmental concerns. No warranties or guaranties are expressed or implied with respect to any mitigating measures or recommendations made herein. These conditions shall apply to all recommendations made herein. We anticipate this correspondence meets your needs. I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State of Minnesota. Print Name: Nathan Prieve /0,k--, 5 1/-/ Signature: Date: kiz.. y, 2-47(9 License#46203 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142786 Date Issued:05/18/2017 Permit Category:ePermit Site Address: 4371 Kaufmanis Way Lot:009 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Michael J Bailly 4371 Kaufmanis Way Eagan MN 55123 (651) 452-3926 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154609 Date Issued:04/03/2019 Permit Category:ePermit Site Address: 4371 Kaufmanis Way Lot:009 Block: 003 Addition: Wilderness Park 2nd PID:10-84251-03-090 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Michael J Bailly 4371 Kaufmanis Way Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature