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4867 Knottingham CirCITY OF EAGAN Remarks Addition R.R.TTTANY $TH A N. Loc J+ Rik 2 Parcel 10 15007 040 02 Owner Street 4$b? Knottingham Cr. state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Reeeipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1976 12.23 1 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA /0 / 1 $Ej 536.oo 1 STORM SEW TFiK f0 fO 1986 2.00 62.80 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 't Poad $280.00 58179 12 1D 85 WATER CONN. ''jQa.QQ SUILDING PER. 113$4 SAC PARK CITY OF EAGAN ' 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDIMG PERMIT Receipt # SF DWG/GAFt Esc vaiue $119 , 00 0 4$67 KNOTTIN(UFiAA9 Site Address Lot 4 Block secisub. BRIT Parcel No. a 'POLLEFSO:J BUILDE, Name ; Address ? o - City EAGAi? Phone o Name SAl?,X P? = ?°, ¢ Address Assessment _ ~ Ciry Phone Water 8 Sew. ? a Police F Name Fi = _ re ? n Address Eng . i & CitV Phone Planner Erect Dv" Occupancy I:3 ? Remodel ? Zoning lt Repair ? Type of Const. u Addition ? No. Stories Move ? Length Demolish ? Depth 60 Int. Impr. ? Sq. Ft Install ? vvui I hereby acknowledge that I have read this application and state that the Bld9 intormation is correct and agree to comply with all applicable State of Minnesota 5fatutes and City of Eagan Ordinances. APC. Var. I Signature oi Permittee i'ULLE;FSON BUILDERS _ Surcharge _ Plan Review 0 - SAC - Water Conn. u ' o - Water Meter 63700 Road Unit? O? - Tr. PI. Parks _ Copies ` . 5 T..6n1 ti L , A Building Permit is issued to: on the express condiUon that all work shall be done in accordance with all applicrle State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official ,-, ;, ? ._ _ II IPa^mtt No. I Prrml1 Molder I Dds I TNipAone 1f I O Plbg. Htq. Plby. Fty. DIRP. ?,-?- ? • PERMIT # ?? S? RECEIPT # DATE CITY OF EAGAN PLUMBING PERMIT 454-8100 sAw- FEE SiC MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL 3?-? S t? MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: ResX, Comm Inst 2. NewX Add Alter Repair. 3. Total Bid Price 4. Job Address zf-G 7 //vG i?Lot ? Block z- Sec nh N`/ &,; 7-(f ' 5. Owner ?",( 'e ??? ?«N S 6. Contractor L--'???? ?/r?/?}?? 5- ':?. rt-, ?-.1 ,/iN7/_/q NV (Name) y (Street) (Cily) (Zip) 7. Contractor Phone # NO. FIXTURES --.-=-Water Closet - $3.00 -Bath Tubs - $3.00 ?Lavatory - $3.00 ?Shower - $3.00 NO. FIXTURES ?Laundry Tray - $3.00 Fioor Drains - $1.50 J-Water Heater - $1.50 -L-Whirlpool - $3.00 NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 _,I-Rough Openings w/o Fixtures - $1.50 -j--Kitchen Sink - 4i3.00 d _?_Gas Piping Outllts - $1.50 - -Urinal/Bidet - $3.00 -Softener - $5.00 COMM./IND. AATE - 1% OF TO AL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for / r J Approved Inspections: Date Rough Insp. Date Final Insp. ., : PERMIT# CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + =.50 DATE MINIMUM COMMERCIAL FEE - $20.00 +;.50 1. Bldg. Type: Res Comm Inst 2. New ?'+ Add - 3 Total Bid Price 4 J b Add FEE S/C • ? TOTAL ? ?- _ Alter Repair . . o ress , ? . ? - 15 Lot ? Block ? Sec 7- %A'?f ? 5. Owner 6. Contractor "- 'v ?-? x.y?. ? , , y'?=k' ?,??• cr _ . ?? • 'c_ ` .. ` _? (Name) ' (Street) (Ciry) (Zip) 7. Contractor Phone RESIDENTIAL H6TING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's vr fraction -$6.00 RESIDENTIAL COOLING - Ot -24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fea L HEATING VENTILATING HOT WATER STEAM AIR COND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATf - 1%.OF TOTAL BID PRICE PLUS $•SO STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. . PERMIT# PLUMBINCi PERMIT RECEIPT # D? CiTY OF EAGAN b _ ? ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Addreqs ?;z Lot ? - 'I Black ? Name ? Addre c City ' _ Name _ 3 Address p Ciry ? FEES COMM/1ND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMITTEE BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on ? Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 'I Shower - $3.00 Kitchen Sink - $3.00 , Urinal/Bidet - $3.00 Laundry Tray - $3.00 IFloor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ?Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE ' ? STATE S/C: ' ? GRAND TOTAL• ? r FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pi1Q; Knob Road P. O. Box 21199 Eagan . MN 55121 Zoninp; Owner: Addrcss: Site Addross; Plumber. _ ;:i.*tZ-1 rs. SEWER SERVICE PERMIT PERMIT NO.: DAl'E: No. of Units: 1? rfttSny_?M -i i 173 ? ?fwhbefw???, By - Dote of Insp.: Gonnaction Charpe; Account Deposit: Permlt Fee: Surdhwrpe: Miac. Chqrper Totof: Dots Paid: CITY OF EAGAN 3830 Pibt-Knob Road WATER SERVICE PERMIT P. O. Box 2 i 199 PERMIT NO.: Eagan, MIV 55121 2onirg; _ O^TE: Owner. ' - No, of Units: Address: Site /lddross: ? :?. 1-_ -?? C}• ' " ••' r ? Pltxnber. Mster No.: ConnedFan Chorge: Size: 1lcoount Deposit: Reoder No,; Pe?mit Fee: ' I olm h eoM* wkb !y C*y of Eqpn Surdhwrge: Onliwnwaw Misc. Chcrges: i" 8 Y Totol: '• -??? ? ? r • Dofe of IrKp.: t Date Paid: Imp.: CITY OF E P. C ,ox 21199 Sixe ae • " Reader No.: ? AGAN 3830 Pilot l Cnab Road Esgan, MN 55121 Zoninp: Owner: ?P, Address; 51fie /lddrons: Piwsrber: . , . Metar No. • ?0?7 , ?,? 1 NrM 10,,e6ii* wl& By Data of Insp.: T` WAM SERVICE PERMiT PERMIT NO.: - DAl"E: - - - No. of Units: I +lpcaanr ueposlt: rem,Er Fee: _ Surchorge; Mise. C?arpes: _ Totol: Date Roid: ?L _1 , v; , I '' zn. 071 11.3 13Li °p 63. C3L ? ?teter CASH RECEIPT • CITY OF EAGAN • P. O. BOX 21-199 EAGAN, MI ESOTA 55121 ?j.? DATE ?-?'?S 19 d' weeflveo PROM AMOUNT $ ? ef'?7 1-j ? FUND COO - AMOUNT ` ? ._ J L - 7 / ? ? Thank You ., BY N_ 60006 ) , White-PaVers Copy Vellow-Posting Copy Pink-File Coov & DOLLARS 0 ? CASN ? ECK CITY OF EAGAN N O 11384 3RRf1 Pilnf Knn6 Rmd PA iinv 97_i00 F.n.n MN SS19i PHONE:454-8100 BUILDING PERMIT Receipl# DECEMBER To be used for SF DWG/GAR Est Value $119,000 Date 7 - 10 85 , 79 _ 4867 KNOTTINGHAM CIR Site Ad ress I .t Erect L't Occupancy R3 R Block z Sec/Sub. $RITTANY Lot 8TH Remodel ? Zoning , Parcel No Repair ? Type of Const. V . AddRion ? No. Stones TOLLEFSON BUILDERS Move ? Length i Name NORWOOD DR Demolish ? Depth 60 o Atldress EAGAN 31- 100 Int. Impr. ? Sq. Ft Ciry phone Install ? o Name SAME APProvals Fees i o¢ Addres5 ASSe55m0?t Permit $ 480.50 ? city Phone Water&Sew. Surcharge 59.50 240.25 1- W F W Name z ? a Address a w City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree lo omply w all applicable State of Minnesota Statutes and City of ¢?ry?a Ordinnce,W. , n Signature of Police Fire _ Planner Council eldg. Orf. 12/7/85 Var. Date Plan Review 525 00 SAC . Water Conn. 500.00 waterMeter 63.00 Road Unit 280.00 Tr. PI. 132.00 Parks Copies 280 25 Z . Total . A Building Permit is issued to: TOLL$:FSON BUILDVIS? on ihe express condition that ail work shall be done in accordance with al lic le State of Min esota Stat tes nd City oi Eagan Ordinances. 8uilding Official REQUEST FOR ELECTRICAL INSPECTION . ee-00001.04 ck of yellow coOV• ,ry c ' See instruc[ions for completing lhis form on ba 9G 1oll f?l nn..,nn n '? Do _ (+ X -- 8elow Work Covesetl by fhis Hequest HdA Reo. Type of Bmlding Aaoiiancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industnal BIAg. Air Conditioner Bulk Milk Tank Farm thvr neci(v ther ISneciFyl t nr Suecity Other Olher ompute Inspecuon fee Below M Fee ServiceEMrance5ize p feer Feetlers/Suhfeeders P Fee Ciromis S` 0 to 200 Am s 0 to 30 qm s 0 co 30 Am s Above 200 Amps 31 to 100 qmps Sc2s? 31 to 100 A s Swimming Pool Above 700_Am s A6ove 100_Am Transformers rrigation Boonis 5?• Partial.'Oth e Signs Special Inspection ? $ ?G J, TOTAL E Pemarks r - ' w Rough-in I I Date p 'f'-2?7' I,the EI tric Insoector, ebv certify that the above I Final E?'e ?0?? ingpection has beB. mede. This request void 16 monthe trom Thts request votd ((/ mon[hsirom a 097324 ?y y Rcques ?ate Fve No. Rouph-in InsDert n Req ireA? .?-?/' ?Aeady Now ?grvill NotMy Inspev 3 3 Yes ?NO T?or When Reedy '?.rcensed Electncal Conuactor 1 hereby requast inspection of above ? Owner electrical work installed et: Sveet Address. ^Bo?x or Rou?te o. / i ? r , J Crty ? UC ecbon o. Township Nama or No. Range No. Counry Occupnnt(PRINT) ?-'G LC ? FsO? Phone No. yS - ?//' 9 73 P Suppher Address Ele tncal Conttact r(Comu ny Namel Contractor's License No. a? // S- . Madine <.tldress (COnvactor or Owner Making InstailatioN 76 Authon 5inture IContract Owner Maki g tallatioN Ph ne Number MINNESOTp STATE BOAXD OF ELECTNICITY ? THIS INSPEGTION REQUESTfWIIL NOT GrigBS-Mitlway Bldg. - Aoom N•797 BE ACCEPTEO BY THE STATE BOARD 1821 Unrveryity Ave., SL Paul, MN 55104 UNLESS PNOPEX INSPECTION FEE IS Phone 1612) 297.2111 ENCLOSED. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction RaouiremeiAs • 3 regislered sAe surveys showing sq. $. of lot, sq. ft. of twuse; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • t set of Energy Calculatlons • 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Deiail Options selection sheet (bldgs with 3 or less unAs) DATE kl -b-e-C' Ca 0?f1i1?c?J. ? - 1 SITE ADDRESS ?I 4W(.c-+ Ckf G\'Q. MULTI-FAMILY BLDG _ Y _ N TYPE OF APPLICANT STREET ADDRESS TELEPHONE # PELLA WiNL)OWS & UOORS 15300-25TH AVE. N. STE. #100 ' PLYMOUTH, M1V 55447 C 763-745-1400 1 LICENSCE #20165884 FIREPLACE(S) _ 0 _ 1 _ 2 STATE _ ZIP ? FAX # ?- - - -- _j PROPERTY OWNER SCZk} ?j?8tY0.. TELEPHONE#IOSI•13`r•U33a COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNI?SOTA RUI.LS 7670 CA7'EGORY l MINNESOTA RULr:S 7672 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submifled • Energy Envelope Calcula8ons Submitted Plumbing Contractor: PlumUing system includcs: Mechanical Contractor: Mechanical system includes: Sewer/Water Confractor. Air Conclitioning Hcat Recovery System Phone # ? P'ee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the infoFmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi fnces. Signature of Applicant OFFICE USE ONLY Watcr Soflener Water Heater No, of Balhs RemodeURaoair Reouiremenb • 2 apies of plan . 1 set of Energy Calculafions (or heated additions . 1 site survey foreztenor addilions 8 decks . Indicate if home served by sephc system for additions 00 VALUATION D? i l Phone # _ L,awn Spiinkler r?----Tee: $90A0 No. of R.I. Baths ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFPICE `iJSE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex 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 Reroof ? 46 WindoWS/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy ? MCJES 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 bl'dg) Final/C.O. ' _ Foorings(deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Frazning _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulahon _ 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 Total Building Inspedor Pella Windows 8[ Doors m Twin Cidea, Ina ? Iune 8, 2001 Ciry of Bagan 3836 Pilot Knob Road Eagan, MN 55122 Dear 7an: Wd9E:1 'uor amil paniaaay 15300 ZSTH AVE. N. STE. #100 PLYMOUTH, MN 55447 763/745-1400 WATS 1-800-462-5359 FAX 763f745-1401 Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors -"Itvin Ciries, Inc. Please a11ow their representative to provide that service for us in Eagan. Ttris authorization shall be valid until such time as the division manager expressly revokes it, in writing to the G`ity. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can be contacted at 763-745-1432. '4'our irrunediate attenlion to this matter is appreciated. cerely, ? Bryan . May Replacement Sales Manager EfT?E W.B? ? wo.??m.er.se? cc: Kaza - Eldcr Jones ???' Denna Krafly - Replacement Sales Process Coordinator Windows, Doors, & Skylights 7nnM enrrr? ?rur-srua hiar cai 7ro vwa IT'CT rva rnionion ':::[7V C)F !: P.GFtn l':r'35;i{IIrFi::; y (fEli7'31t4A1_. NQ: UF}1'Ea 04/20/99 T:Ct1t':a I.3%T.1O: i2; 7r;:, A!(-lM':w r.il?T1F:11 VnLuE r:xrE::F<:i:or.S SNC: 320 9001 4F,367 I:NO_f f CPdV?41M II67.2.5 2.t5c:l 9001 4067 i":N[)'!.T1NHAil $.,50 r , 'T'otal. f'tt,r_F:•i(?t Arota,.mi;:; 17:t„7; ?:R:LiJWt) U`iF:f2 TT?; NAN{.;y mY,;if #YF)XYd:?YF#?r?k.?:?%?F"<',,;:1:?Y5kk;ic:?:m`(:?"1F:icR+W>R$`:k:?F'?>Y??FW - J 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN - 3830 PILOT KNOB RD - 55122 651-681-4675 New Conshuction Reauirements RemodeVReoair Reauirements ? 3 registered site survays showing sq. IL ofloR aq. 1L olhouse ? 2 copies of plan and ?Il roofed areas (20% maximum lot covereae ailowed) ? 1 set of energy wiculations for heated additions ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 7 site survey for eMerior additions 8 decks ? 1 set of energy calculations ? 3 copies of Vee preservation plan if lot platted aRer 7!7193 DATE: 9?2 CONSTRUCTION COST: A/ DESCRIPTION OF WORK: TEtr2 erFF - (ZC t2c?pF STREET ADDRESS: L} S?o7 ?fJOTTI Nb NRWI ?' e- LOT: LV BLOCK: ?. SUBD./P.I.D. #: Namc: ?3 SL-2V A sr-o 4-'T Phone #1: ?'SI ^(p SG - PROPERTY ?t YME OWIVER StreU Address: City Statc: Zip: Company. r¢ODeTO V'R'[.uE EX7z-?T i?/1 S Phone #: (PS! -Y-5-3-9'/ 7 7 COA'TRACCOR StrectAddress:-#7 s/bN/+C I?l?-?-5 licensep o2q798y/4 Fxp.3 31 00 City Staze: LVLI.1 tiP: ARCHITECT/ ENGINEER Ciry• Phone #: Rcgist:arion N: _ State: 7Zp: Sewer & water licensed piumber (reauired for new construction oniv): PenaRy appiies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is cortect, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ?o ' OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE I r' I ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) Q 03 1 of _ plex ? 08 B-plex ? 13 16-plex ? 18 Deck O 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 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 GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traiis Ded. Other Copies Total: SAC Units Valuation: $ % SAC CLAIM VOUCHER - REFUND REQUEST CITY OF EAOAN;." _ . • a . MAKE CHECK PAYABLE TO: Added Valne E:teriors ADDRESS: #7 Signal HWs Wat St Psul, MN 55118 LOCATION: RECEIPT#/DATE: REASON FOR REF[1ND: 4567 Knottlngham Cir 106810/4-20.99 Should be storm dsmage N/C P.LDJLEGAL: VALUAITON: PERNIIT #: Lot 4, Block 2 Britfsny Sth $9,000.00 35244 TYPE OF REFUND: Elechdcal Permit 3211-9001 S Plwnbing Permit 3212-9001 E Mechanical Permit 3213-9001 $ Building Pe[mit Fa 3210-9001 $ 167.25 Plan Review Fee ' 3422-9001 S I SAC (MC/WS) 2275-9220 $ I SAC (City) 3866-9379 $ I SAC (Admin) 3446-9001 $ Weter Comection. 3865-9220 ? $ . Sewer Permit 3743-9220 S Water Permit'"' 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ WaterTrcahnent 3869-9220 $ Surcharge 2155-9001 S Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refimd 2253-9220 $ Conshucdon Meter Dep Refund 22549220 S Water Usage Charge 3711-9220 S Other a . TOTAL S 167.25 ,._ . I declare imder the penalties of law that this aaount, claim, or demand is just end that no part of it has bcen paid 3IGNATURE v DATE 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC?ORS NUST HE LICENSED YfITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF S URVEY 1 SET OF ENERGY CALCULA TIONS To Be Used For: SFD Valuation: ??q,ppO Date: LFC`.7 r tCp_o Site Address: 4,f?OFFICE USE ONLY ,.- --• r Lot: 4- Bloc k sectlsub gza/??lY4ect K Occupancy IZ•3 Remodel _ Zoning K•I Parcel ll Repair ? Type of Const Addition 11 of Stories Owner Length Move 'I co ? Demolish Depth (oo Address Int.Impr. _ Sq Ft Install City/Zip Code ? ----------------------------- ------ Phone APPROVALS FEES Contractor IO LL3LFarI?I UILDE-? Assessments Permit ? 4-?-? Water/Sewer ? Surcharge Sq. - Address police ? Plan Review 240 Z-'- Fire SAC SZS. City/2ip Code ED1E-'q z5LZ-7, Engr Water Conn Soo. ' Planner Water Meter L0 3. Phone Council Road Unit 2250. Bldg Offl Treatment Pl 132. Arch./Engr, pPC Parks Variance Copies Address TOTAI. a $-' =110 City/Zip Code Phone,p 2 Co 3 Cn 4 x S? ?- l 11 2 ? ? ? e s lz(G>o X ? = 73o8CD ?-/x22 ` ?9o K J`'b ' I14l64 24 x2? (? x ies ` l ; I ? ? 9 S-a- . . CITY OF BUILDINa DEPARTIAENT ' EXTERIOR ENVII,OPE AVERACiE "U " COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling 4-_ Owner All Other Contractor TvLC.a-?SoA1 $u1LvW Z?.' . PGAxu *- 9- 99(n LIPFEAL FEET OF E'1CF'OSED l'JALL ft. 0?AQUE WI;LL COD:STRUCITIOTi S "U" Value x Area Site Addrase Date Phone above grade = f?? UO. OD T? TOTAL r,XPOSED YYALL AR'r;A SQ. FT. Detail rK&WrZE „U.o43 X s2. reierence ^a?cs?? "U" 040 ? x 5G?. from - Ri? oIS "U't .o4D x SQ. attacned VOUlt X sQ . sheets nUu x Si. nUu x SQ. 'dJIPIDOWS: "Ut' Value x Area FT. J . Z. 55,7q (U) (A) FT.. 134.00= 13.13 (U) (A) FT. ,oo= (?.&a,(U)(A) FT. - (U)(Q) FT. _ (U)(p) FT. - (U) (A) Make & Type /ur vL• d5H7RT °Uft •¢$ x SQ. FT. 7,I1•33 = 101,¢3 (U) (p) 11 n uUu x SQ. FT. - (11)(A) n n nUu x SQ. FT. _ (U)(A) IT It npn x SQ. FT. _ (U)(A) IOORS: "U" Value x ATea ?Ia:ce & TYue ?C. iv?.,e?L I nUn u u YA'fl D uu ti n n uUIi n n _ njjn: TO' ,/4- x SQ, .48 x SQ. x sQ. x 3 Q. rtws 1400.0o sQ. AVERADE °UII TOTAI, (U)(A) VALUES 704-•dZ - DIVIDL;D BY TOTAL WALL AREA •07 l yoO.oo - AVERAC3E "Ull , 15 r less for 1&2 family dwellinge RoOF/CEILINa: TOTAL AREA: 1530.00 FT. 47,oo = (o.SCv M(A) FT. Z,OO = Z°,/(o M(A) FT. - (U) (A) FT. - (U)(A) r'T. zo4. oZ- (U) (A) Detail reference ifUlt OZ/ x SQ. FT. 8/ 30 (U) (A) from IVUll x SQ. FT. . (U) (A) attached sheets. "Ull X SQ. FT. e (U)(p) Describe onenings itUll x SQ. FT. _ (U)(A) in roof. ??U?? 8 SQ. FT. - (U)(A) TOTAL M(A) VALUES DIVIDED BY TrAUS 1,630 NfT 38•43 CuYA> t TOTAI, R00^/CE v'(} p12Ep I$3(J•pp • dZl AVF:RAGE Z?or ventilated roofe. I GJoP-K ?PWF-E.-r " ?'?a55 ExPasED cJ.9?.c_ coNe- , .(v7X ?s°?-5ot5ot,5D? _ ?i /11 lilS? lOiuJ>v cv ? ,7oX367 = 5•00 X Y. 3& _ &• oo x zq X a-s = s.C'o X q? ?o X&o = S. 33 X Z4 X lco = lO,ov x I Z= ect s 3°SrL q5.c Zg ytt • sE,e. b°- PAT{D - Zg. o0 = 21.0(7 - 42,op iUr,7 wm-L- Ec?v,4&s 1, qoo. oo 4v. l34: oo -?- 1(p(o. Cc) -J- S.oo 6', o0 7Z , op $.3?. lZO.00 z//.33 -lIk-- U)^(. f, 900.00 G?SS dove. /34.00 ?? ?r/t't !Iv[?.oo ?r ??"? Ll!• 33 -'(002• 33 'A-Va:5 . ?, 297&7-k op _ ?SX3Z = zx14= ?zXld = I S X ZS = 4xQ- _ ! Z/(o.ao zs,oo IZO, GO ?SO•oo I (v, o0 l, S3o. oo ?- k . - • --YlA.LL AMITI4ll-- Determinipg "Ulf valuae at Rnof, Wallp 'lifms und Ouua. ]11oa1c p00F/9FTT,7N(7 ,(R) VAi.OE 1.1 Tnterior Air e'ilm o.61 2.) 5/8,1 (IYP. Qd. .56 3. ) Ineulation 44- o0 !?. ) 5.) Exteriar. Air Film .61 ( S'PII.L ) uUn a 1/R= OZI i'OTAL (R)=-qs.79 , A1,I (R) VALUE 6.) Interior Air Film o,68 7.) }II oYP. Bd. .45 8.) Inaulution 17.4,o 90) ZS/.?4z:? BvuT-I??T?' 2•09- 10.) 1?luauuiCn 81d1u? .oJ 110 k;xCorJor Air Eilro .17 ??pu n 1/Ra ,p?3 ToTAL (R)=z3.oJ IiIM OP vai,uE 120 Inl:ui•for Air N'ilia 0,68 13.) Ltuul u lf on 19•p0 th.) 211 Va,, i+im ,roiut 1.88 190) Z+/5r!' K,H1:i 4i 1!, 2. oq 16.) MuuouiLu uldius .67 170 hxturlor Air V71m .17 1OU'I o. IINr •f74 10 TOTAL (R)=zj,gj ?FOIi?pATjOt (P VAI.UE 18.) Intorior Air Film 0.68 19.) • 20.) 21.) 1211 Oonorete Bloc{c 1.28 22.) ?ILIA IN5,4A1-• $.oo 23.) Exteri.or Air Filro .17 TOTAL (R) -?-_ TjIl'efson'Bi,dlders Inc, . - Scala• V'-30' JACKSON - SURVEYORS ? r Denotea Iron _ =Urs inaga 11[OIfT[Rt0 UMOiR LAWS 0/ /TAT[ 0/ MINNUOTA - -lDrainage 6 Utiltty Esstuen! 000.0 =Exlsting Elav. -. 3816 EAST 65th STNEET, MINNEAPOLIS, MN 66{17^ ... Propoaed Garage Floor Blev, / o/..r ¢ACbtpOt'1 ICtttt(f[ate ?, ? O9? ? \\ ? ?" \ \ S? `\\ ? 1 Mcr+EYY C[NTIrY THAT TMi AYOVi 11 Or,11682 188-22 .?. ?° ?\ „?-?_ ?• k ;y5 m ?a { J ? o? \ .? ? i ? LN_M . \\ / /? ?\ \\ • ?01 *4\ "? V • ?? ? ?/8 • V? ? I ? d_ . .o \';? ' 3q9v co1111ic7 ?wr w fuRvcr w I.at 4,Block 2,Brittany Sth. Additinn, Dakot• County,Mlnnesota. 2nd. As 6uPV[Y[C MY M[ TNIs-- OAY Dac. 1985 SION[ I ? / ?- .9 ' v. - F. C. JAGK80N, MiNN W w R[a1sTMT1oN.'NO. 3600 , ? 2/84 CITY OF EAGAN % APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PPIN7) 1) PROPIIZPY ADDRESS: T'FfAT' DESCF2IPTION:6072?/ (Lat /81ock/Subdivision or Tax Parcel I.D. N Y) IF STRLCI'[;TiE, DAi:, 0° ORTGi IAL nliIIDL'G F?'S; ISS?:NYC7: ? l `' or. _^.% s ear ) ? PRES-"'..T --.^.:IItiY;/PROFOSr.,?J C-Q,?: +.R-1 Si7GLE FANIILY ? R-2 DCTPIEX ('P.;O LtiZTS) ? R-3 TOWNHOiJSE (TH,REc + IINITS) ( UNITS) [] R-4 ivPP127T=/CCNDCMINIiM UNITS) p CONMEF2CIAL/REPAI7,/OFFICE ? IMUSTRIAL ? INSTIT[Ti'IO:IAL/GOV?T APPLICANT (PLEASE PRINT) NANE: / Qi??li?& 0 /,-9i? ADDRESS: Z2 (!?p / 2 CITY, STATE, ZIP: PHONE: 3) pLUMggR ?+ENa. ANPPO" FOR CITY USE ONLY NA t"IE: ADDRESS: ' 4-1• ' kOSERT A1! PLUMBEPS LICENSE: = Atti CITY, STATE, ZIP: .;L 'a? ° ve ? Expired PHONE: df?5-11w pLUMBER LICENSE Not of Record a nitia 4) OCCUpANT/a?IER NAME_ (PLEASE PRINi) ADDRESS: PHONE: 5) 6) IIv'pIGA'i'F. ON'E: 7) SIGqA'iURE: CITY, STATE, ZIP: INDICATE WFIICH PEFNIIT IS SEING REQUESTI:D: 326CONNECTION TO CITY SLIr7ER ?VgCOm=ION 'IU CITY WATEft Fl dPfIER (PLEASE DESCRIBE) r-I PLE'.ASE HOLD APPRWID PERNIIT FOR PICF:-UP BY ONE OF ABOVE PL?'1\SE MAIL PROVID PER.*jilT TO 1, 2,4?91 9 l1BWE ? (Circle one) DATE : lJ" !O . ? . . . .. . . . , ?O F O R C I T Y U S E O N L Y M` PERMIT '-` ISSUED FEES: $ /C 5 ?= $ $ ? 3 ?` J S $ $ $ $ r L G.-Z -? ? -' $ $ S $ « SEWE.°, PERMIT (2?ICLCDE SUP.CLIARGc) WATER PERII1IT (INCZ.UDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (ZNCLUDE CORPORATION STOP) SEidER TAF' ACCGUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSP4ENT TRUNK SETAER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER Gc?7? ??r.?_L $ TOTAL $ AMOUNT PAID/RECEIPT # ? ,?1/ J f 1 J'.S U i DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LZST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: /i ,:_ TITLE: DATE: masASwM "m:md MIUM Pa OMUMM Clty 0? ?apIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 ?----------------- ? Fo? Otfi___q? Use I ? Permit #: S ? Permit Fee• ? Date Received: I Staff: C?? I i ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite #: RESIDENT/OWNER Name: R?Qfda. (,QGOA-A" Phone: (9 12-4339 `(o33a Address / Cily / Zip: A-8 lv-t Kno? ?lt-? 5512.2 Applicant is: _ Owner Contractor TYPE OF WORK Description of work: ? 2 0.r Uan,? ? Construction Cost: 1000 Multi-Family Building: (Yes No ? CONTRACTOR Name:MNS}a}P???c1e 2crir94e-m?' =)License#: 20_* 5 1f'?315 Address: IJ(o 2."-4 IOU City: N odsor? State: \N 1 zip: Phone: -1lo7i-544 -«Z:O Contad Person: MaA+ tSUG1^?r?c?Yl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Su6mitted Submitted (4 SUbmission typC) • Energy Envelope Calculations Submitled 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 Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: P(ans and supporting documents that you submit are consfdered to be pubilc Informafion. Portlons of the informatlon may be classliled as non-publlc !f you provlde specific reasons that would permlt the C(ty to condude fhat the are trade secrets. I hereby acknowledge that ihis information is complete and accurate; that ihe work will be in conformance with the ordinances and codes of the City of Eagan; that I understand ihis is not a permit, 6ut only an application for a pertnit, and work is not to start withou[ a permiY that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl J11--, x / l GL4 p vG ?i'lr"!1 x ApplicanYs Printed Name AppllcanYs Sig ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundatlon ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3•season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multl Misc. ? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage ? 04-Plex ? 12-plex ? Mlscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish 8ullding' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demollsh Foundatlon ? Replacement ? Egress Window ? Water Damage ' Demolition (enhre huilding) -give PCA handout to applicaM DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (259/_ 100% Zoning City Water Census Code Storles Booster Pump if of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _AirTest _Final Insulation Reviewed By: RES/DENT/AL FEES: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock FinaUC.O. FinallNO C.O. HVAC Other: Pool: _FOOtings _Air/Gas Tests _Final Slding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector Page 2 of 3 Clty Of EBpIl 3830 Pilot Knob Road Eagan MN 55722 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 7/1/93 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel / Reaair Requirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions ? 1 site survey for additions & decks ? Addrtion - indicate if on-site septic system Office Use Only ? Certificate of Survey Received ? Soils Report ? Tree Preservation Plan ? Tree Preservation Required _ ? On-Site Septic System PERMIT City of Eagan Permit Type:Building Permit Number:EA161289 Date Issued:05/15/2020 Permit Category:ePermit Site Address: 4867 Knottingham Cir Lot:4 Block: 2 Addition: Brittany 8th PID:10-15007-02-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott B Bjerva 4867 Knottingham Cir Eagan MN 55122 (612) 839-6332 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature