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4372 Kaufmanis WayCASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE- 19 NECEIV6D FROM r - AMOUNT $ f & DOLLARS ?oo ? CASH ? CHECK POR ?h.J_F •?J.? ? _' _ ..?'?'S4?Il J.? L L?.' .J `-?_ rl , FUND CODE y ; AMOUNT ?"'_" I ----r - - -- ? _? .--- _- ? f ? T ? Thank You ?. y ?1• ? White-Payers Copy • Yellow-Posting Copy 3 t: :i Pink-File CoPY .. . t , : . • BUILDING PERMIT ` Ts 6w oI" 4" cirY oF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 PHONE: 454-8100 Receipt # MM SitE Addf@SS Lot Block Sec/Sub. Parcel # oe Ncme W 3 Address o • Ci Phone ? Name ,o ?? Address Ci Phone u? WW Name PW 7: K Address , N° 5403 Erect ? Occupancy Alter ? Zoniny Repair p Fire Zone Eniarge ? Type of CConst. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Appeovols Fees Assessment - Wuter & Sew. Police Fire Eng. Planner Council Permit Surchcrge Plan dheck SAC Water Conn, Water Meter I hereby acknowledge thot I have reod this opplication ond state that Bldg. Off. the informotion is rnrrect ond ogree to comply with all applicoble State of Minnesoto Statutes and City of Eagan Ordinances. APC Totol Signature of Permittee A Building Permit is issued to: on the express condition thot oll work shcll be done in occordance with all opplicoble State of Minnesoto Statutes and City of Eogan Ordinances. Buildinq Official hewif # Qsft Issud rWMiKM Plumbing 1,5 ((?5' -"? c-h Q1L(CrQh - ryt,Q?t? Mechonical i / 7f p L-, - r, INSPECTIONS DATE INSP. Rouph-In Finol Footings Data Inap. Data Insp. Foundotion Plumbing ??- / ' j-el- Cj Frame/ins. Mechanicol ? •if Final I Remorks: EATING Dote: cirY oF EAcAN 3795 Pilot Knob Road Eogan, Mienerote 55122 Phone: 454.8100 PERMIT Site Address: 4 ?'. fT.^.ttTLt8 lffe,Y Lot Block 4 Sub/Sec. _• -- ? Nome "e1PiI1 R8Pke2' . S Addreu CnlfaY MY Ave. So. ? City Ch"ields 5A42.5 phone: Nome No. 1 ?75 Receipt No.: Single Residential Multi Res., Comm./Irtd. VFvi New/Alter./Repoir Cost of Instaliation Permit Fee Surcharge .50 . ? ? Address ? City Phone: - Total This Permit is issued on the express condition thot all work sholl be done in accordance with oll appliwble State of Minnesota $totutes ond City of Eagan Ordinances. 20.00 Building Official PT,S.MIrT CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT 11-rJ'-'7?3 Date: 437? Y,atvfn-vds Tf1av Site Address: si F?i_lcierriess Pelrk ?nr1 Lot Block Sub/Sec. _ ].?; ?2df?' ?? eaaName I 5z34O01f3r: AVE':. r-n. . .e ? ?. a Mpls 55423 St4te Phone: No. 1 71 26 Receipt No.: Single I y. Residentiol Mulfi Res., Comm./Ind. I New/Alter./Repair Cost of Instollation Permit Fee Surcharge . ?f1 o ?7 City Phone: Totol This Permit is issued on the express condition thot all work sholl be done in occordonce with oll applicoble State of Minnesota StoYutes and City of Eagon Ordinances. Building Official 3 tTater Softener Date: Site Address; CITY OF EAGAN 3795 Pilof Knob Rood Eagnn, Minnesofo 55122 Phone; 454-8100 PERMIT No. 301 , r. . , Receipt No.: Single Residential 3 Ka.uf4nanis Way Lot 6?30 Block Sub/Sec.ejLZZ&-,zZs- 1`L? Dougat,y Name o ?t•,•-,i c. Q-:1i ?,T?:: i `. . 3 Address City Phone: ':I1_I'hP_It CO. Name _ . F.Rarie Ave. ? Address e 0 G? ,= r 1 . 4' *" . City Phone: This Permit is issued on the express condition thut oll work shall be Minnesota Statutes ond City of Eagan Ordinances. J?? Multi Res., Comm./Ind. ? New/Alter./Repair _ Cost of Installotion _ Permit Fee _ - S' Surcharge Tota I done in ucoordance with nll applicnble State of Building Officiul iri ' F AN WATER SERYICE PERMIT r O EAQ 3745 Pi{ot Knob Road PERMIT N0.: Eodan, MN 55122 DATE: Zoning: No. of Units: Owner , - Address: S+te Address: - - Pfumber: N t Connection Charge: e er o.: ? e Aocourrt Deposit: : _ No.: eader Permit Fee: geee to eompty witk the City of Eagon Surcharge: di Charges: Misc l nanoes. . 7otal: Date Paid: te e of I nsp.: a I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eaqoe. MN 55122 DATE: Zoning: No, of Units: ? Owner: Address: _ Site Address: - Plumbes: I agree fo comply wirth fhe City of Eagan Ordinpnces, By - Dcrte of Insp.: Inso.: _ Connection Charge: Atcount Deposit: _ Permit Fee: Surtharge: Misc. Charges: ? Total: Date Poid: RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN W57 3830 PILOT KNOB RD - 55122 657-681-4675 //'? New Conslruction Renuirements I I ? ? • 3 registered site surveys showing sq ft of lot sq R. of house, and all roofed areas (20% maximum lot coverage ailowed) • 2 copies oF plan showing beam & window sizes, poured found design, etc J • 1 set of Energy Calculahons • 3 copies oi Tree Preservation Plan il lot platted after 7l1193 • Rim Joist Detail Op6ons selecnon sheet (61tlgs wiN 3 or less units) DATE fI-?'-o JOB SITE ADDRE: IF MULTI-FAMILY BUILDING, HOW MATIY U PROPERTY OW! TYPE OF WORK APPLICANT ? ADDRESS « PAGER # RosevilN, MN UM CELL PHONE # 651/633-2561 FIREPLACE(5) _OC _ PHONE # ZIP CODE FAX # NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Cate9ory _ MINNE50TA RULES 7670 CATEGORY 1 . (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESQTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plucnbing SysLcm Includes: Mechanical Contractor: V(cchanicil Systcm Includes: Sewer/Water Contractor: Air Conditioninn _ Hcat Rccovcry Systcm Phone #: Lawn Sprinkler No. of R.I. Baths _ Phone # Phone # _2 _3 P'ee: $90.00 Pee: $70.00 All above information must 6e submitted prior to processing of application. I hereby acknowledge that I have read this applicafion, state that the information is correct, pnd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant &'Zz- Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ RemudellRenair Reuuirements ? . 2 copies of plan . 7 set ol Energy Calculatbns for lieated addrtions , 1 site survey foreztenoraddi6ons & decks VALUATION (EXCWDING LAND) h Water Softener _ _ Water Heater _ No. of Baths Updated 1101 OFFICE U5E ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (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 Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) • Give PCA handout to appli cant Valuation Census Code SAC Units NBr. of Units Nbr. of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Foohngs(addition) Foundarion Drain Tile Roof Ice & Water Finat _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC MC/ES System City Water Booster Pump ??z...f? a.••ia PRV 1lAt^j FireSprinkle,&9,e,iti;;,,,i.,i ?n,,,. f1td°'. IoL'«•E i?',' . Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By 2ase Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total CITY OF EAGAN Remarks WILDERNESS PARK 2nD ADDITI( Owner WII t{? c. •fLkF1? Street 4372 Ik 4 Parcel 10 84251 230 04 state Eagan, ARV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. ' GRADING SAN SEW TRUNK ?Al 973 1$ ..,?` 7 0 92.53 A008841 80 SEWEFi LATERAL WATERMAIN WATER LATERAL iE WATER AREA 1979 584.2 58.42 iE STORM 5EW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11 i? BUILDING PER. 5403 SAC PARK ? r ciTr oF EAcaN 3795 Pilot Knob Road Eagan, MN 55722 PHONE: 4548700 N? . 5403 Recefpt Dare 9-10 , 1979 BUILDING PERMIT APPLICATION To be und for SF Dwlg Est. Value 57,000. Sire Addrew 4372 Lot -' Block ' Sec/Sub:?? ? -"--- Pa,cei # 10 84251 230 04 , Nome Me1V3II Aallli= -A? 3 Add6232 Colfax Ave. o ?c e p Name _ r ?? Address Name ph1113,pS P18A Service .,.____ 10900 Lmdale Ave. So. I hereby acknowledge that I have read this application and state that the informMion is correct and ogree to comply with all applicable State of Minnewta Statutes and City of Eagan O inences. 7 U Signature of Permittee`L ?ll7??--11?-'``.? A Building Permit is issued to: MBZYiII Racker' oll work shull be done in acwrda wifh'ol u licabl ate of Mii i ? Building Officiol ?. Pr / •n? f..a ? . Erect 7Q 'OccuPOncY - -R3 - I Alter ? Zoning R1 Repair ? Fire Zone 3 Enlar9e p Type of Const. V Move ? # Stories Demolish ? Front 59 ft. Grode {] Depth 46 ft, Approvals Feee Assessment Permit 1$1.00_ Woter & $ew. Surcharge 28.50 Police Plan check 75. SO Fire SAC 525.00 Eng. Water Conn.270.00 Planner Water Meter 60.00 Coundl RoBd llnit 75.00 Bldg. Off. APC Total 7 _185.00 on the express condition that w(o Statutes and City of Eagan Ordirwnces. ? CITY OF EAGAN m BUILDING PII2NII'P APPLICATION 'ib Be Used For Mew ?4omc . Valuati.on 06 site Address• 3 ?' - - - ? rat a3 siocx ?(_ ec." Erect Parcei #: Oaner: ??uYti h? 1? ??i1 Pddress: oZ3 I ?C6 K[ fio e S?. City/Zip Code: rrwne #: 8?c Contractor: el? Address• 122:c- City/Zip Code: _ Phone #: Arcn. /Eng. Address: U U C> City/Zip Code: L Pnone #: CJ N U? SU .5 SL'/ao Alter Repair Enlarge _ MDVe Demolish Grade Include 2 sets of plans, - 1 site plan w/elevations & 1 set of enerqy calculati.ons. Date 9-- -A - 73 OFFICE USE OI1LY Occq?ancy le3 zorunq Fire Zore ; Type ot const. # Stories Front ft. pepth .y ft. APPRL7VAIS FEES Assesmnents ? g/° ,?ermit /s/ Water/Sewer Surcharge a V' Police Plan Check Fire SAC glq, Water Conn. ? p].annPr Water Meter COl1I1CSl Road URlt ->S- ? Bldg. Off.?-?' APC ?raL 113 , ?S`??? ' s y??a ? ` `' ? ° ?-?i ?5 ?? 4? 3 ?" Minnesota State Board of Electr+city 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 - ? REQUEST FOR ELECTRICAL INSPECTION ; CfIECK BELOW WOAK COVERED BY THIS REQUEST .o !?? 73 5320 ? Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired For Home Q ? ? Range ? Temporary Wving ? Duplcx ? ? ? Water Heatec ? Lighting Fixtuxes ? Apt. Bldg. ? ? ? Dryer [a. F.lectric Heating ? Commercial Bldg. ? ? ? Fumace ? Sdo UNoader ? Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List Othei ? ? ? p Heieis p Heiers? COMPUTE INSPECTION FEE BELOW /)? \ Setvice Entrance Size: # Fee Feeders& e n Fee Circuits: # Fce 0 to 100 Am s. 0[0 3 m eie 0 to 30 A. eres 101 to 200 Amps. ?? 31 to 100 Am 31 [0 100 Am eies Above 200_Amps. Above 100 Amps Above 100 Amps. Trensformers RemoteCon[rolCirc. Pattialoxothertee Si ns Special Inspection Minimum fee 55.00 ? Remarks TOTAL FEE d -e 3 I, the Electrical Inspector, hereby certif ' the o/ve? ingpection has bee lna (Rough•in) , ??-?/?? Date - a? (Fina() /f? // ,i„ • r?, Date This request void 18 months &om This request void 18 months from .' / 6 -:z 73 R 5320 J)ate of this Request r c- i..7 ' 7 5p I, as O Licensed Electrical Contractor.Wwner; do hereby request inspection oC the above electri- cal wiring installed at: ?? ? ,? ,,,yJ?-•Fi ,L Street Address or Route No. Section Township Which is occupied by Is a roughin inspection required on [his job? No ? Power Supplier Electrical C Mailing Addrew Authorized Sigi SUM o UQD QM Yes 5r Ready Now ? Will CallO ?xSo a -? This inspection request will nat be eccepted hy the Stete Board unless proper inspection fee is enclosed. ontract? Contractor's License No. _ . ?0 Ok oao.=.m Trrtifirtttt vf Orrupttnry -- _ - ? Citp uf eagan --- JOP}it11'f1i1Pt[T Af g1Ii1hIltg litB}1PdI11ri Tbit Ctrtificatc iarutd Purrtissrtt to tbt nqui:emantr of Sntiors 306 of tht Unrform Bailding Code urtif ying that at ehe time of ircrutnre tbir shxrtare wat in rum(rliante witb the variout ordinaucct o/ tht City nguloring building rontt+uctiort or utr. For tlx /ollmueng: - u.csrc.um •,• ...._ ..___?_ o.?rTra R3 ?n? V F,nza Melv?ncRaeker ? OwarW BW dfo6 RATfIP III , **j??*:?+***x****************?????**xx? / CITY OF EAGAN CASHIER: JS TERMINAL N0: 775 DATE: 08/15/00 TIME: 14:44:13 ID: NAME: MEL RAEKER, INC 3210 9001 4372 KAUFMANIS 83.25 2155 9001 4372 KAUFMANIS 1.50 Total Receipt Amount: 84.75 CR135951 USER ID: JAN 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) cin oF Eacari 3830 PILOT KNOB RD - 55122 9 a 'j ' U ? 651-681-4875 ? s? Li- ? S New ConstnicHon Reaulremenh RemodeUReoalr Reauire menh 'R. I L-,--(? ? > S reglafered sIte wrveri showin9 sy. R. of bt, eq. rt. of house and,go rOOf6tl ar6as (10%mmdmum lof covetd46 adlowedf ? 2 coples of plans (show beam & wintiow sizea; poured fnd design: efc.) > t eet a energy cdcWaHOna > J coples of hee preservaHOn plan Il lot platfed alter 7/1/93 DATE: q ` I 5 - Uo DESCRIPTION OF WORK: STREET ADDRESS: f-dK ,,, n-? 1 "\ LOT: ? BLOCK: 'A SUBD./P.I.D. #: VJ Name: 4-2 ?\-P?(, hl-' ) .s?' Phone#: 4/ Sa? 577 'h PROPERfY tast Flrst OWNER Street Addreas: K 4 '-c yn City State: Zip: Company: e5 4,-f Phone #: _ (area code) CONTRACTOR Sheet Address: Lkense # EXp• CHy ? State: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Address: Reglshaflon #: City Sfate: Sewer/water licensed plumber (M irretalflna sewerhvaterl: Phone #: Zip: Zip: I herebY acknowledpe Itwf I have read lhis applicatbn, state ihat 1he infomwtion b cortect, and agree lo comply with al apPAcable Stati of MinnewM Statules and CHy of Eagan Ordinancea Signalure o( ApplicanY. OFFICE USE ONLY RECEIVED Certiflcates of Survay Received _ Yes _ No ' AU6 15 2000 Tree Preservation Plan Received _ Yes _ No _ Not Required y: B 11 2 copiea of plan 1 set of energy calculaMons for heated addlHOns 1 alfe wrvey tor exfedor addlHOrn & tlecks d 0? CONSTRUCTION COST. OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex O 09 07-plex ? i 8 Crecic ? 23 Porch (screened) ? 04 02-plex O 70 08-plex ? 19 Lower Level ? 24 Storm Oamage ? 05 03-plex ? 11 10-plex Plbg _Y oc_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex o 20 Pool ? 30 Accessory Bidg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interfor) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (FoundaUon) ? 46 Windows/Doors ` Give PCA handout to applicant for demolition permit GENERAL INFORMA710N SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq.ft. sq.ft. FootpriM sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ecc. an - Mum ? 33 Ext Ak - SF ? 36 Muki Permit Fee 25 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Suroharge Treatment PI. Park Ded. Trails Ded. Other Copies TotaL• g . ^1 Valuation: $ SAC Units % SAC cxrv Or rncANF (;t1 SHfE'F:d JS TERPiT?1.AI.. td0: . 7'39 Ch'rEr, LO/9,/'79 'fiT.tf':;• t7:=?c9.i ai?Cr SDe A!f-'it" ; N;I..i fiA1=:}"-?R; I:i.i'. 32:I0 9001 072 N.l§!1F'tir:N:f,S 9705 205 9001 4372 Kdil.lFPifaN7?i c?•OO 3210 9i:01 4q'v''2 liA:JEi1nMf.S 05.05 4370 KM11=MAN'rS 3,.00 ,. "t'akzil F'tocE=in+, Amoun„ 2c'7?;;t7 USF4 ?:R; ,!FN v,(?'I;k:hY:;g!d:4c ;;%F>`F?k; 'M?7."X:z'S?:kY,"a:? 7,.n'•%YYF',°i4??k#`ky?.yX?:;;4:? 1999 BUILDING PERMIT APPLICA'f?ON (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 • 651-681-4675 dew Conahuctlon ReaukemeMs Remodel/Renah Reaufremenfs D 3 regbtered ske surveys showing sq. tt. ot loi, sq. 8. of house and gq roofed areas (20°6 max(mum lot coveraae allowed) ? 4 copies of plana (show beam i window shes; poured Ind. design; etc.) ? 1 sM ot energy calculaNona D 3 copies W hee presenaflon plan tl Io1 plaMed after•7/1 /93 DATE: / 4)- / - 5 DESCRIPTION OP WORK: STREET ADDRESS: --l 1 a I\ KI c:j "V LOT: C;7113 BLOCK: ? SUBD./P.I.D. #: PROPERiY OWNER td 2 coples of pian 7 set of energy cakulatbns for heafed addNions 1 sNe turvey for extedor addMbns i decks ??r ;7b CONSTRUCTION COST: - ? ? ?UU ? / y V"26 ,?(c, 4S4' r//"O Name: ? 4 ?,? ?r ?iv?.??, last T? Firsf Sheet a City State: ? Phone #: 1V,, ,.. ziP: 5 7 i '2- '3 Phone #: (area code) CONTRACTOR ARCHITECT/ ENGINEER Sheet City State: Company: Name: Telephone #: area code ( ) Streefi Address: Regisfration #: CNy State: Sewer 3 water Iicensed plumber (reauked for new conshucHon onlvl: PenalFy applies when address change and lot change Is requested once permM fs Issued. Zip: Zip: I h,ereby acknowledge that 1 have read fhis appllcation, state thal the InfortnaNon is cortect and agree to compty wBh all applicabl Sfate of Minnesota Statutes and CHy of Eagan Ordinances. Slgnaiure of Applitant /? OFFICE USE ONLY Certificates of Survey Received Yes _ No Tree Preservation Plan Received _ Yes _ No _' Not Required llcense # OFFICE USE ONLY BUILDING PERMIT TYPE r- • ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling. ? 07 5-plex ? 12 12-plex ? 17 Garage 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OB 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ,X? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Buiiding 44 Engineering Census Code SAC Code No. of Units No. of Bldgs MClES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SiW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC Cities Diizital 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. _?. . . ? Co:fax Aae. ? Mr 554,.,-,DELMAR H. SCHWANZ ?nNDSURVEVOR 0.p i•e,na I?a*r LJwi of ihe 4tAb of MmnbOja 2976 - MTH STqEET W- BO% M ROSEMOUNT, MINNESOTA 95068 '?. ? ? i vi SUR VEYOR'S CERTIFICATE 30 PHONE 612 423-1769 57 u\ 3 ? o I? - ` ? -- - -O - - -- --? - ?. ? Lei - ? ? , NA ? 4- ; LL ? 1?.1 : -?, o. o 0 S 5-:' , 9 ` 57 - o ' 1.1J ? ? ?r <i 0 0 ?- U el ?. ? . ? -!'1:3 `.. :i tT^.it3 _.-.. _ .,^P';Ci, i' ?Li .. . r . t .._ ? __.. . _ .. .?i_ `?t?? . , . s•?r,' . . sn•?w :•,.. .;ed h ouse Aug•ist 24. 19i ? I? 3 ? CIL In 4b -aq ? Wi Fl MINNESCTA REGISTRATION NC 8679 CCTY :O P(:(iA^: t:,F'Si•C:t :••I ..7`i T[I;P`ilN^'_ \;!: 73"9 D1_'F:r. lOf:.t/99 P'AVE: t6EL. RAKEFty WC, 2010 'if10i ¢3!2 F;P'Th'U:'?, _'7„25 r^1.'_ - sC'n'I 072 E;PI.1, s1Rt.rU' &Cl '3Wt? 0201 'XG ?E:]„?5 2 5] 9:'fJ'I. 43i'2 i+P111'"t17j.f:i ',' P 7 rck:r? Po: a,pt F-rv,+ . -; i. ".'3C,;l`1 t.BIFf 7'D° JFl`J 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN ? 3830 PILOT KNOB RD • 55122 657-681•4675 ? 10'?-Qf New Conskuetlon ReauiremeMs Remodel/Reoalr Reauirements D 3 registered sife surveys showing sq. X. of bi, sq. H. of house 2 coples of plan and gq rooled areas (20% mmdmum bf eoveraae allowed) 1 set of energy cakulaliona Iw healad addHions D 2 copies of pians (show 6eam L wlndow skes; poured tnd. design; etc.) 1sNe suney lor exterlor addlHons 6 decks D 1 sef of energy calculationa ? 3 eopies of hee prcservaHon plan E lot platted alfer 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: a STREET ADDRESS: LOT: BLOCK: ? SUBD./P.I.D. #: Name:? ?V?-'L PROPERTY Ftrst OWNER C Street Phone #• - 14,191 ? City ? 40Q Gr State: ? ?-? CONTRACTOR Sheet City ARCHITECT/ ENGINEER Comp, U (•,?i i Telephone #: area Code ( ) Phone #: (area code) License # Exp. State: Zip: Name: Streei Address: Regishation #: Ci1y Sewer 8 water Iicensed plumber (reauired for new consfrucHon onN1: State: ? PenaMy applies when address change and lot change is re4uested once permR is issued. Zip: , I hereby aeknowledge thaf I hwe read this appllcaNon, sfate that the InformaHon Is corteet, and agree to comply wHh all applicabl State of Minnesota Statutes and Cily of Eagan Ordinances. ?- Signalure of ApplicaM: OFFICE USE ONLY Certificates of Survey Received J:?<es _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Levei ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 32 X Addition ? 36 , ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition pertnit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Building 4A Census Code SAC Code O No. of Units No. of Bldgs ? MC/ES System City Water Booster Pump PRV Fire 5prinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: 1 SAC Units % SAC s'.c '.:e rOr : _ Dunn -- C,zrry Fiel Racker _ 6232 coifax ave. soDELMAR H. SCHWANZ P•1pls., T.n. 55413 LANDSURVEVOR ApuUreC UnC6r Lawl aI The Sla[e 01 MmnaSOta 2978 - 146TN STREET W- - BOX M pOSEMOUNT. MINNESOTA 56068 ? ? ? SS' L 5 I? ? ? U SURVEYOR'S CERTIFICATE PHONE 812 423-1769 t°_,O.Op ? ..59057 2B"W 30 a( o zl ? w 0 vi . ?? ? ? Y I a?\ \•, ?y,°? ? V 0 J;) ? k? _J rJ ? o? ^,? --T- - - - - - - ,N J 3 ,o d a 0 3O 110.00 S 89`'5-7 2a" W U1 0 Sca Ie ^' o I hereby certify 'Ohat tnio in a true and correct rupr::scnt ,ti,1r , !• T.ot 23, 31ock 4, 'dIL,I1:7tN;SS :?A9K 5'.C^.AIn ADDI^_ION, acc')rc?_.ri? L-o +h! recorded pllt thereof, D2knta Cunty, P"inneoota. Dated: J;zly 27, 1.97D Approved for ?hann w Cur•ry Rcal E^t-Lte P'.an•jgement, Tnc. hy : Fevioec3 to show progosed houoe Auguat 24, 1979 ?? . MINNESOTA REGISTRATION NO 8875 i , EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATIOPJ Ot+rtaER IYI io_ l u v K K10.0 1(.e 12 " SITE ADDRESS LDT eL 3 ? L. ?_? Lt1l?dlK,hes 4ppe* CQNTRACTOR _ 5,9 isi„Q BATE?-I - 7jPHOiQE $G /-/! 8 SJ" Determine vrorking square footage of each. 1. Tota1 exposed wall area ... Q. ft, x.Z7 =G -8 j $ 2, Total roof/ceiling area .... )3(p5?' sq. ft. x.05 =-k&,P S- Total exposed wall area above floor = a. Total wall windova area .................gm b. Total door area ......... . ..... ....a (a C. Total sliding glass area .............. S/6 d. Total fireplace rrrall area ....... ..IL e. Total wall framing area (avarage•10%):.. ? f. Total net wall area above floor ...... g. Total rim ,joist,area ......... ....,,.. ? Tota1 exposed foundation area = h. Total foundation window area .......... I. Total net foundation area above grade .? Determine "W' value of each wall segment. a . ? x "U i: .- , 3 :?- _ bX "Us; •,a? c. SIa g erU:: D. ?re X "U" _ e. X l:U,: . ? _ f. ? X :sU?: ?', . . ?? Yi efU". h. X "U', --?- _ I. .? x EiUSt ' v 4 9 C K7 ? Z. 3......e.. ..................................Total - 1!;2...r.S- If item #3 is the same as, or less than item 1t1, you have met the lntent of SBC 6006(c)2. Total exposed roof/ceiling areS = 13 41' ToEa3 sk-jlxght area .. . . . . . . . . . . _,,? k. Total roof/ceiling framing area (aver?Lge 10 l:- lotal net'-3nsulated roof/ceiling.ar.ea .,._.e.... . a ? ? ^ ' ' - -- Determine-."U' va2uz for. each rooflceiling segment. '- J X ,,Uir k.X nUn 1. ta?? x.,;U,l 4 ............ ......... ........................ Tatial If total of k!I is the s'ame as, or less than #2, you have met the intent of SBC 6006(c)Z: Altrernate Building Envelope Design " To utilize the total envelope sqstem methoc3, the values established by the sum of items #3 and #4 shall nqt be greater than the sum of items #l and #2. 1 ' 1. + 2. 3. + 4. - , ,. .. , . Use BLUE or BLACK Ink For office Use _ _ _ _ _ _ I j Permit 6 j Cfla"--y of Eap I Permit Fee: V7 a I 3830 Pilot Knob Road I t Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2 013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ,O Unit Name: W .P Q e w (S 4 1~ ✓-)'t. 1C°f t Phone: 4, 51 - 4 S-a - 5 SI Resident/ Owner Address / City / Zip: ~ 31 A C< d ~l 4. , ~ Applicant Is: Owner enactor Type of Work Description of work: ~ o a 43 LL S`e d- c- aitra j Y Construction Cost: O U MuIU-Famlly Building: (Yes 1 No Company: P~ 0 ~J 1 I O 1:a C-© tit 7L4Contact: M'e Contractor Address: 'Y 3 7 f~ .4, 4 city L-; State: n Zip: Phone: License 6(::- v a 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. PPhone: Mechanical Contractor: Phone: Sewer S Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classifried as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BIFORE YOU Rig. Call Gopher Stets One Call at (651) 45440002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,gogherstateonecall.or 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 budkAng permit issued In accordance with the NBnnesota State Building Code must be completed within 180 Clays of permit issuance. x '1 'L-e I 41-C K x ApplicwWs Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA159092 Date Issued:11/20/2019 Permit Category:ePermit Site Address: 4372 Kaufmanis Way Lot:023 Block: 004 Addition: Wilderness Park 2nd PID:10-84251-04-230 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 - Melvin C Raeker 4372 Kaufmanis Way Eagan MN 55123 (612) 270-3146 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature