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4875 Knottingham Cir ù þýü ÿþþ ùýûýüûû úþþùðóìî Þ ÷ß Þ ÿ ÿþö ûúùø÷öò îúø÷ö òø÷öò ñ ñõöè öðú îúîíéúö÷ ìý ûëúê èö è èëúèùèçôý öýüôôèý þ öçîôôöôç îùèæëúù÷ ýôè÷ èç êáíàáßßçßçß ÷ú ûú ýãúáíàáçâç â ãúíüç õô öòñ öö î òþûèö Þ ßàý èî ö Þþý åÞ ä ÞÞß ù÷ ý öö ôèýèö÷ ööùû ô ûúî÷ôþýéç ööñèûýúú÷ûýú CITY Of EAGAN Remarks Addition BRITTANY $TH ADDN. Lot BIk 2 Parcel 10 15007 060 02 owner Street 4$75 Knottingham Cr . state Eagan , MN 51)122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 197 12 • 23 15 SEWERLATERAL ?,. WATERMAI N WATER LATERAL ( WATER AREA Q l 1$6 536.00 35.74 1 STORM SEW TRK /Q,fo 1986 942.0 0 62 .$o 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Uni.t $280.00 57805 11/25/85 WATER CONN, rj00. a0 BUILDING PER. 11351 SAC PARK PERMIT # PLUMBING PERIIAIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-8100 Site Addr BLDG. TYPE WORK DESCRIPTION Lot ? Block Sec/Sub Res. n New ? am, Mult Add-on m ?o T AcMppking Mi Comm. Repair , RReS c City 938-i88o Phone Other Name NO. FIXTURES Water Closet - $3 00 TOTAL t 3 Address P? V . Bath Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 ? MINIMUM - COMM/IND FEE _ 20.00 STATE SURCHARGE PER PERMIT - .50 (ADO $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Kitchen Sink - $3.00 Urinal/Bidet -$3.00 Laundry Tray - $3.00 Floor Drains -$1.50 Water Heater -$1.50 Whiripool -$3.00 ?-Gas Piping Outlets - $1.50 Softener - $5.00 c Well - $10 00 ? - -2 '` 7, ,? ? ) , ,"? ? C, , ???, . Private Disp. - $10.00 Rough Openings - $1.50 ? SIGN R F PERMRTEt FEE STATE S/C: J FOR CITY OF EAGAN GRAND TOTAL• ' ` PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIINUM RESIDENTIAL FEE - $10.00 + $.50 DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst 2. New ? Add ? PIPING OUTLE ..? ? FEE 2--q• ? S/C ?- •? TOTAL Alter Repair --- - ---1r?..,,. rTiK? ? J ?5. Owner - `.?-- . N-- - ; .. L) ? (Street).. _ ICiryl R+PI ,. i,000 BTU's -$24.00. Each 8idditional 50,000 BTU's or fraction -$6.00 X10 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 minimum fee HOT WATER STEAM AIR COND. 3ED PIPING AIR HAND. EQUIP. RCFRIG. TANKS: L.P. UNDERGROUND OTHER PRICE PLUS $•50 STATE SURCHAR FOR EACH $1,000 OF FEE. J ' for 1 f` ' 7 / "'- ;pections: Date Rough Insp. Date Final Insp. Cities Diai itv 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. Receipt PLUMBING PERMIT Psrmit No. CITY OF EAGAN Fee fill in numbered spaces S/C TYpe or Print /egibly Tot . 1. Date - 2. Installation Cost ? 3. Job Address Lot Blk. Tract. =- " 4 " 4. Owner 5. Contractor Phone 6. Address 7. City State ? Zip 8. Building Type: Residential Q Commercial O Institutional O 9. Work Description: New Q- Add ? Alter O Repair ? 10. Describe 11 No. Fixtures Water Closet No. Fixtures i Cess l/D field Bath tubs poo ra n Se tic Tank Lavatory p S ftner Shawer o W e I I Kitchen Sink Urinal/Bidet pthe T Laundry Tray r T- Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets J 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : ., . for Rouyh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?J? PHONE: 454-8100 ' BUILDING PERMIT ReCeipt # SF DWG/GAp Est value $111 ,000 SiteAddress 4875 ICNQT'TIivGHAl9 GIIt Lot F' Biock 2 seclsub. BRITTANY 8TH Parcei No. TOLI,EFSON BLDRS INC Z o Name .. ? -c Address ~ City Phone w W yWj Name ? ? Address i W Citv Phone Erect Ox Occupancy R3 Remodel ? Zoning RI Repair ? Type of Const 3w Addition ? No. Stories Move ? Length 85 Demolish ? Depth 40 Int Impr. ? Sq. Ft Install ? ' ----.. _? r--- Assessment Water & Sew. Police Fire Planner Permit ? 4 bu.5u Surcharge 55.50 Plan Review 230.25 SAC 525.00 Water Conn. ? 0 0. 0 0 Water Meter 63.00 Road Unit 280.00 I hereby acknowledge that I have read th is application and state that the Bldg. Off. 11 / 2 86 5fr P I 1.32.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC PBrks Var. Date Copies Signature of Permittee Total $2. 2 4 6. 2 5 A euilding Permit is issued to: TOLLEFSOP7 BLDRS INC 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 ' PamM No. P.rmN Nolder Oab TNmphons / , Plumbina ? ` . H.V.A.C. ? , c. EMcW sonow Inspeetlon Daft Insp. Commenb Foodnps I I IS" S ? 1e- ?0 CJ Footinqa II 41 FounddWn I W D Framiny l/5 (v? Rooflny Rouyh Plbp. ? Rouph Hty. 1-2 a/o? Ze-k "41J. a,. Insul. <x,.f6- o11' FMepIaCe Find Hty. y ? Flnal Plbq. 11-2 &dy. Flnal Cert.Occ. ? ? - DocIc Ft9. ? Ooelc Frmp. WO11 DyeHbe Loestlon: Pr. Dlsp. ON CITY OF EAGAN PERMIT TYPE: ''"' `"' "e 3830 Pilot Knob Road `' Permit Number: ii r i yi•, ;„F. Eagan, Minnesbta 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: r ait I i I ?d(yliam 4. 1 V I'„M?. r. Ra1 1`11 ?,iri r.s I 11 4.• 'c .1009 ; ! PERMIT SUBTYPE: , 1-, 1 , , TYPE OF WORK: tl f ` , t ' i? l p I I O N nt i FP R'r i c?N 8A I ti AI1Cf i I iON INSPECTION .. • DA 1'??III?I; t t1 11 !?, ?! iltl i t?!•IIAN'K`:: ?,[Pf1FtAF€ F'! HMl I', kfi)UIKEIi l=OR AMV F! I L? ?At) ?. 0° ..???. Permit No. Permit Holder Date Telephone # ELECTRIC Uri03? /O 9 ? PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS 70 / FOUND FRAMING ? ug ROOFING ROUGH PLUMBING a r PLBG AIR TEST ROUGH HEATING ? d? GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TES7 FINAL PIBG FINAL HTG ORSAT TEST I 8LDC3 FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL te aeiaplp wMb tW CMy of fpan SEWER SERVICE PERMIT PERMIT NO.: Canrnctian Qwqe: Atoount Deposit: Pormit Fes: Surdharpe: Misc. Chorgm Totol: Doh Pa1d: ITY OF EAGAN WATEit SERVICE PERMff 0 P,;'Ut Krs2b Rosd . O. Box 21189 PERMIT NO.: agan, MN 55121 D/?TE: I^g: - ` No. of Un?ts: I r: $1c3T<3. m? /,ddf'!w ?S 67 r' S? l) tt' ? 1a2 B r i t t 7l CI-' unber. Ze: ??'? /Tdf?? .yun[UF • Gr• ?M • ?T- Rsoder" No.: 1 Gw• • tr*'jFet:r-' 1 arm !e ompy +?Nii IM rncarpe: Misc. Chorpes: ? Total: 70f Dot? Paid: - p. : Insp.: TY OF EAGAN 30 Pilot Krtob Road 0. Box 21199 gan, MN 55121 -11 meLet¦ CASH RECEIPT ' • CITY OF EAGAN • P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE / Z_?v 19" ? R6CpVEG PRCM ??C: ??? AMOUNT DOLLAR9 ? CASH FVNO COGE /1ApUNT y)v D Z ZD ZZS Q U i 7rF /J C) t 3 /D o c ) ) 7 Thank You ? BY N_ 59282 White-Payerz CoDY Vellow-Posting Copy Pink-File Copy CITY OF EAGAN ' -' 3830 Pil 1351 N2 ot Knob Road, P.O. Box 21-199, Eaga n, M ? N 55127 PHONE: 454-8100 BUILDING PERMIT Receiptp ? 7obeusedtor SF DWG/GAR Est.value $111,000 oate NOVEMBER 25 1985 SiteAddress 4875 KNOTTINGHAM CIR Erect C* Occupancy R3 Lot 6 Block 2 Sec/Sub. BRITTANY 8TH Remodel ? Zoning Rl Repair Parcel No ? Type ot Const y . Addition ? No. Stories TOLLEFSON BLDRS INC Move ? Length RS a Name 655 NORWOOD DR Demolish ? Depth?p 3 ? Address EAGAN 454-6873 Int.lmpr. Cit Ph I ? ? Sq.Ft y one nstall i o I Name SAME 0 < Address ? City Phone ?w W W F Z ? < W Assessment _ Water 8 Sew. Police - Name Fire City Phone I hereby acknowledge that I have read this application and state that the information is correct an bree to comply with II applicable State o( Minnesota Statutes an City of Eagin Ordinan es. Signature ot Permiflde f W G A Building Permit is issued to: TOLLEF N BLDRS INC all work shall be done m accordance with all applicable,$tate of Minne c Planner Council Permit 9 '3 O V. J V Surcharge 55.50 Plan Review 230.25 SnC 525.00 Water Conn. 500. 0 0 Water Meter 63 . 00 RoadUnit 280.00 BIdg.Otf. 11/1t3/??Tr.PI. ' 132.00 APC Parks Var. Copies Total S2•246.25 on the express condition that and Cily of Eagan Ordinances. Buildin9 Official 401-103 REQUEST FOR ELECTRICAL INSPECTION ?5 Minnesota Sqte Board oi Electncity 1827 Univarsily Ave., Rm. 5-128, St. Paul, MN 55104 Phqne (612 2-0800 Home Duplex Apt. Bldg. Olher: New Addn Commercial Indushial Farm Remod Re air Air Cond. Ht . Equip. Water Ntr. Load M mt. Other: Dryer Range Elec. Heat I Temp. Service "X" above the work corered by this requesf. Enter remarks in this space and on the back of fhe whife copy only. Calculate lnspection Fee - This Inspeclion Raquest will nof be accepfed wilhouf Ihe corvect fee: Ofher Fee # Service Entrance Size Fee 8 Circuits/Feeders Fee Mabile Home Park Stall 0 to 200 Amps 0 to 100 Am s p Sheet Lig./Tmlfit Sig. Above 200 Am s Above 100_Amps Transkrmer/Genefatot INSPECTOB'S USE ONLY ny? ? T?T/?. ?P Sign/Oudine Ltg. Xfmr. Alarm/Remote Conhol Swimming Paol I he.ab ?m Mar i daxdbad hare,.ontha dare.:miad Irrigafion Boom Ro,?yy,?„ pa? ci $peallnspeclion Invesligofive Fee Fiml ? Da THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 19 MONTHS. OFFlCE IISE ONLV This requasl vwd 78 monhs !rom wlidoiion dare prinled in ihis 6ox. /n < ^? -W? 4 I III II II II III I III IIIII II I I II II II II II III I IIII ??r?, ? 3 7 RINT oR nPE PLEASE OBS? ?O!,° Raghin mspecrion req?iredZ es ? No Inspectian Other Thon kwqAln: ? Ready Now iII Call ra m?, ?on t,a ;??c?. when .eady) ook rtsady: I, icensed <onhaclor ? owner hereby request inspectian of the above electrical work at: lob Afdress jSneet, Box, or Royre No ? Ciy bp Code 7 i ' g 4 ",' Sxnon N. Townehip Nome or N. Ranga No. Fire No Cwny / -L ?+d'JS O T ? m w P?%z3 - 3 d9 a Pawer Supplier Addmu O Ekdriwl Contr Pompwy Namej - 1 Conlracror Ucrose N. t:::net5 Masrer lic No (Plant Elect Onlyl 1 4 ' iling Add ankocmr or r Pedorming Insbllanm) o 5( ? nhocror er Pedurmi InsMl6 n) Phone No. 7 J` STI11E BOMD CYPY - SEE INSRiUCT10NS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION Sae instruclions for com0letine this torm on Eeck ot yellow copy. z ? X"' Below Work Cavered by 7his Request EB-OOW7-0-0 ? ? 5-,gS Adtl Rep. Typa oi euildine Apoliancae WireO EquiVmenc Wired Home Range Tempoiary Service Duplex Water Heater Ligh[iny Fixtures Apt. Building Dryer Electnc He2tin Commercial Bldg. Fumace Silo Unloader industnal Bldg. Air Conditwner Bulk Milk Tenk Farm Other Deci v ther ISnerity) t er ueufy Ot er Olher Comnute Inspection Fee Below N Fee i ServiceEnfreneaSixe % Fee ' Feadars /Subfeaders N Fee Circurts 0 to 200 Am s 0 to 30 qm . ' 0 to 30 Am s - Above 200 q?n y 31 to 100 qmps 31 to 700 qm s Swimming Pool Above 700_Am s Above 100_Amps Transtormer5 Irngation Booms ??? Pdrtial,'Other Fee Signs Speciailnspec[ion S ^ TOT Aemarks AL E _ ??? ? . This reQUest vond r? -L) 'cr6i? ?? ??9r7227 ?, ? ?-j- Renuest Oate /$J ?^ f Fire No. pough-in Inspection Aepuired7 . ?Ready Now ?W?II Nnufy Inspec- ( ? U 1? ?Mes ?No tor When Ready ,9Licensed Electrical Contr. clor I heraby raquast inspection oi abova ' ? 6wner elacbwal work instelled et ' SVeeI Addr ss, Box or floute No City ectwn o. Township Name or No. Hanee No. County Occnt IPRINTI Pho?/NO. Pow SuDOhe r Atld.ess ? / T\? ? Elec ical ConVactor (Company Name) -,7-Ivc'. I CoMractor's Lmense No. Manling ddress ICOnVactor or Owne.r Makinp Install 1 . c Au[hori i ature (ConNact wner Making n IlatioN Ph ne Number ? MINNESOTq STATE BOAPD OF ELECTHICITV THIS INSPECTIOfV PEQUEST WILL NOT Grie9s-Midway eldg. - Room N•191 BE ACCEPTED BV THE STATE BOAPD UNLESS PROPER INSPECTION FEE IS 1821 UniversilY Ave., St. Paul, MN 55104 Phone (672) 297-2711 ENCLOSED. cp q os () 2005 RESIDENTIAL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . b - 4'7o ° New Construction Reauirements RemadeUReoair Reauiremenis Ofice Use OnN 3 registe2d sile surveys showing sq. fl. of lot, sq. R. of house; and all roofed areas 2 coples of plan Cen of Survey Recd _ Y_ N (20 % mauimum lot coverage allowed) 1 sef of Energy Calculations for heated addNons Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam 8 window shes; paured found design, etc. 1 sde survey for additions 8 decks Tree Pres Required _ Y_ N isetofEnergyCalculations Adddion-indkatei/oo-sitesep6csysfem On-stleSepticSystem _Y _N 3 copies o( Tree PreservaCron Plan N lot platted after 717193 Rim Joisl Delail Optlons seledion sheet (6uJdings with 3 or less unfls) Date ( c? Constructian Cost SiteAddress 441975? 1k`'VZ P^1&MAs'r C/`. UniUSte# Description of Work k5 l /ILL r16 Multi-Family Bldg _ Y KN Fireplace(s) _ 0 _ 1 ??c 2 PropertyOwner (6110 4L'/`) 5/k'-1V3d/j Telephone#(6n ) 'fiz 1 1A?_> t c -' R tI ? Contractor I J t Address 3h?30 1.j- 6 /'11v'C City State dL+? Zip Telephooe # (?j>Z) ?fZ`?"d?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Su6mitted 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 conforntance with the ordinances and codes of the City of Eagan and the State of MN work is not to start without a Statutes; I understand this is not a permit, but only an application for a permit, an permit; that the work will be in accordance with the approve lan i c se of rk which requires a review and approval of plans. II' i Aln ' I ? ?UuS ' ApplicanYs Printed Name Appli ant's Signature IL I"i OFFICE USE ONLY Sub Types ? 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/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement "DemoliUon (Entire Bldg) - Give PCA handout to applicant Valuation 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 _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIREDINSPECTIONS _ FinaVC.O. _ Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Smcco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector , , ' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KN08 RD, EACAN MN 55122 ) 651•681-4675 ? New Construction Reauirementa . J registerea site surveys showing sq, ft of;ol, sq. R of house; and all roofe0 areas (20°6 maximum lot cove2ge allowetl) • 2 cooies of plan showvg beam 3 vnndow sizes; poured found desgn, elc.) • 1 set of Eneryy Calculatwns • 3 copies of Tree Preserva6on Plan if lol platted after 1/1193 . Rim Joist Detail Options selecuon sheet (bldgs vnth 3 or less units) DATE 10-Irl-D S?,IpiE / TYP? ULTI-PAMILYBLDG _Y -?- N PIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT AnJ C)D1L' • STREETADDRESS Ia.2q:Z i(A'C.ollce.4?'e 5• CITYF3urn5d_y/-e STATEAZA] ZIP S33" TELEPHONE #052.)403-,$S9CELL PHONE #. . FAX #(T? ?$'- SfS'f E, PROPERTYOWNER (A)"?'.ev, 'S t?YV1?58ri- TELEPHONE#C.6.50`ISC--S61? COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ %[INVE:S<)T.1 RGLES 7670 C:\1't:GORI' 1 MI\\ESO"1'.\ KCLL•'ti i(ii? (J submission type) • Residential Venfilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl . Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: NIcch;uiicad scstcm includrs: Sewer/Water Contraetor: _ Air Conditionina -- Hcat Rccover}- Systctn Fee: $90.00 --------•-°---------------------------------------------------------------------•-°------------------------------------- I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to compiy with alt applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofApplicant OFFICE USE ONLY Water Softener _ Watcr Hca[er No. of Baths RemadellRaoair Reauiremeats . 2 wpies of plan . 1 set of Eneryy CalculaUons for heated addihons . 1 sAe survey tar extenor addihons & decks . IrMicate if home served hy septic system for a0ddions n fl? VALUATION _ Phone # La«n Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY - .. ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- fvlulti ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning 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) FinallC.O. _ Footings (deck) FinaWi o C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tik Other Roof _ Ice & Water _ F inal Pool Ftgs Air,Gas Tzsts Final _ Framing _ _ _ _ Siding Smcco _ Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacemenq _ Insulation _ Retaimng Wall Approved By Base Fee Surcharge Pian Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: euiLozNG Permit Number: 0 2 8 0 2 9 Date Issued: 0 7/ 0 5/ 9 6 SITE ADDRESS: 4875 KNOTTINGHAM CIR LOT: 6 BLOCK: 2 BRITTANY 8TH P.I.N.: 10-15007-060-02 DESCRIPTION: BATH ADDITION Bu3lding..,Permit Type Building 4,qrk Type Cerasus Code °?°,, 434 _.? SF (MISC.) ALTERATION ALT. RESIDENTIAL ._...,i?`.?.I??`??...sEvl REMARKS: 3EPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $187.25 $93.63 $6.00 $286.88 $12,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: HANSON CON3T, RALPH 14232009 0003720 SIMPSON WARREN 2135 126TH ST W 4875 KNOTTINGHAM CIR ROSEMOUNT MN 55068 EAGAN MN (612) 423-2009 (612)456-5617 I hereby acknowledge- ttrat I have read this information is correcC and agrea"to comply Statutes and. CiCy o°t Eagen Ordihanees. ° ? _. APPLICANT/PERMITEE SIGNATURE applfcat$an and state tFtat the . witch a21 epplicabYe StaCe o,P Mn. ? ISSUED BV: SI CITY OF EAGAN * ? ,1830 PILOT KNOB RD - 55122 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 lqk uew Construdion Revufrements Remodel/Reoair Reauirements ? 3 registered sRe surveys ? 2 eopies ot plan ? 2 copies of plans (InGude beam 8 window sizes; poured ind. design; etc ) ? 2 site surveys (exterior additions 8 decks) ? 7 energy calculations ? 7 energy ealculations tor healed additions ? 3 coDies of tree preservetian plen H lol plaHed after'711193 required: Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: 414? 4°y?y`''y STREET ADDRESS: LpT Y BLOCK ?s ?'? ??• Z/ SUBD./P.I.D. #: G? S?lo??? ? PROPERTY Name: 51 h Zl" 4A-i"n Phone #: ys6 "S6? 7 OWNER ?m" StreetAddress City: State: A*. Zip: CONTRAC7oR Company: vL ?ok Phone #: y? ??? d g Street Address: ??? 3 $"? /?g ?.rv?. License #: 3?a 4 City: ? tN/* oue.. z State: Zip:??D ARCHITECTI Company: Phone #: ENGINEER I Name: Registration #: Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalry applies when address change and lot I hereby acknowiedge that 1 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. Signature of Applicant: ? OFFICE USE ONLY ?li% ?L p V L?- v ? I Certificates of Survey Received _ Yes _ No J u I\? Tree Preservation Plan Received _ Yes _ No ?---------=? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-piex a 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 6P4 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New :0*-33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAI INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg i Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ d? ?Z, Dao Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Pertnit SMI Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Total: % SAC SAC Units trol The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . e n?xtygrwa?• , rs Inc?•°. ` Or.11680 188-22 . • . ?3 ? ? .:?S:ijiF { .. CKSON -; SURVEYORS .__: . :. ?Iron? ?- ?.?w•`'??,:{??:.; . .- . - ?,y.%°3S ??. -i='r?'t.?;. ?.,5?.???:- :s' _ . . ; . . ?;"pV?,?p ? ,?fi" Y?"? 4 ? - ` 'g e '? a•x ' 4 • ? k in _ ? . ' , t ?.;?!..?,s'- RlOIfT[R[D NDOI Y s. IN:. -? a?4k's?=?• :{. 3618 EAST 66 h STREETMINNfiAPOLiB;MN 86477,;,? , .. " ? :•- . .?,`. ,. , ? . - ? . . r 7273484 ;o ??y rp"? t?. ?rA \ VR. Ci?f - zOraiiiage?,B?Utiiity;.Easems to U,':w;=['w??,?!'` q•.;?_ 0D0-Y,.?n'B' 0'?'t;$:BLlP??, ; ",-?.s':?i':r?'x>?;a.8';^le?, ,.._ 'i. e7 .?? -?'. r'v-a :, ? ?.G??.-p „?, ','" ••,:,. e$8.i,?.!.w ?.??I,?'?t •??..? 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' , ? , . „ ,? .,g:.Y -...•...: ??;.,..???' .1 :.?'?F,e.?.i.?'.'.nsr?•'.i:kaII?.?J°??=-:.:.:, ? .I - v.'FS.?i? ?. '-?R.:.? . ..?.;N? . ... . _ _ . _ .'. ??y^•r?;br'rq`: ._. . . _ ... - OA . . .:lt..,h?? 'v: . ' ' • ' ?.aIOM . t`I?: ? .. ..4 ?. ?' ? . . ??....,-... _ •':T:a;ff"r:xt,;N"z.r.? .?? . , ., . . . _ _ .. _ .» ..,,. . . .: . ' -,; a K60N. MiN1i/WT 'IiTM7ioN. No: 3600 - .... ' . "".. % ,...,e.... ?. . . . . .,...,-._? i:?: r, . :..? _.._ . __..._... . , ?. } . ? ?. ` .. . 1985 BUII.DING PERMIT APPLICATION - CITT OF EAGAN . !10?E: ALL COM'IRAC70SS MUST BE LICENSED fiIiH 79E CIiT OF EAGAN t INCLUDE 2 SETS OF PLANS CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS I ( I,ooo ' To Be Used For:..2xgh Valuation:Date: ?S u?/ Site Address: Y OFFICE USE ONLY ?A.'L Lot; ? Block ? Sect Sub Erect 7?, Occupancy Remodel Zoning ? • I Parcel 0 Repair _ Type of Const ? Enlarge _ # of Stories Owner ,? lAirl,, Move ^ Length ? ?? Demolish _ Depth o Address y/?-??.??;^-? ? // , Grade _ Sq Ft City/2ip Contract APPNOVALS Address Assessments Permit Water/Sewer Surcharge City/2ip Code Police Plan Revieu F1re SAC ?/.7y // Phone S_'??= Engr Water Conn Planner Water Meter Arch,/Engr Council Road Unit Bldg Off ?- - Parks Address APC Treatment P1 Variance ? Phone 0 Z? ?-- ; F ? f 70?AL ? 4? _? ? z.• _ .230.?s 52 S, s 2 (30, 132. -]??,r' q& 24 ° 14-4- x IZ - g??s 12 x I6 I? Z x t:xzo ?- -- - r ? ? ??6 Cities Di ital ualitv 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. Pi ILFfson Bliilders Inc. Or.116$0 188-22 ";cp1" '30' JACKSON - SURVEYORS ? I'-nntea i.rnn lr PEOIeT[NED UND[R LAWS O? OTATt 0? MINNCOOTA 3816 EAST 55sh STREET, MINNEAPOLIS, MN 65477 7273484 ZDreinage g Utility Easemeoe gyucbcpoc's ICcctificah ? 000,n=Exis[ing Elev. l i --- " I!ralnnge ,?? f''re or, .1 G ? ?' ar,7/nnr In? ?' i ? ? V 1 I yyyC i ? ? I m .J ? ? a Easements ? ??- a .- -- ? ? , I MEREBY C[RTIiY THAT TN6 ABOV! le A TpU[ AND CORq[CT PLAT OF A SURV[T Or Lot 6,Block 2,Srit[any 8th. Addition, Dakota County,Minneaota. As surtv[veo ev rit rHia- Stil• owr or NOY. A„p. LQgS 1 • SIowi F. C. JA?KSON. MOnNRw7?Isrrtwnow. NO. 3600 ° CITY OF BUILDINQ DEPARTMENT ' ?:XTERIOR ENVII,OPE AVERA(}& ??U?? COMPUTATION (To be submitted mith building permit application) One or Two Family Dwelling - lk ___ Oxner A.1.1 Other '. Site,Addrees CotttI•ACtoT Tou.e7rso1) ?VI ' :T • /.r - . LI.1!EAL F:E:T.OF F;Y.I'OSEU GlALL _Gl ? ??1 oe,14Yt. Date Phone above grade = I; 9viq• 00 ib TOTAL EXPOSED.WqLL ARE11 Sq. FT. o''Gf,UL 4VI:LL CUi:S'PRU:TIOt;: °ll" Value X APea n,? tr,il /Ilc14ir1E ,IUII .043 x Sq. r-, erence a" °u'f .09 X Sq, f c o in P? ?H o/ST s?p?? . ?4 X 3Q. nttached "U?1X $Q. ^hrCtS IlUll. ' X $Q• npn 8 BQ. 'd7JIiWSVS: "Ull Value x Area FT.-0.r,L. 9$•7q (U)(A) FT.- 134.00 = 13, I=( U) (A) FT. FT. .oon 6.(ot?(U)(A) (ll)(4) FT. _ (U) (A) FT. _ (U)(A) tlr!:e & n Type u hy?,VG. eSMT uUu •¢8 x SQ. FT. Z//•33 = 101,¢3 (U)(A) n it II Un 7[ SQ. FT. - (11)(A) n nuo x `3Q. FT. _ (U) (A) x Sq. FT. = (U) (A) DJOitS: "U" Value x Area ? il,,z„ & Tyoe 1 nUn .14° X l'A SQ. FT. .OO =- &43?e (U)(A) ? 7io upu •4B 8 ° $Q. F"P. 2.00 ? 20.! (U)(A) n n Uu x Sq. FT. 6 (II)(A) uUn x $Q. FT. _ (U) (A) ToTALS L J o ' SQ. r2. zc¢. oZ (U) (A) AVERp(3E IlUll 7'o'i'AL (U)(A) VALUES ?. IJI V1, DI;D BY TOT/1L 17pI,L AREA •?O? ? 1900.ot? ? '. nvl;ECnc3E Itulf , 15 r leea for 1&2 family dwellinge Rook'/CFILINQ: 'I'o'PA1, AREA: Pel:ail reference from flUit n .OZ/ X SQ. FT. 81 30 = 3?4? (U)(A) tt Un X SQ. FT. s (U)(A) a -tcited slieete. °Uit D b S SQ. FT. ? (U)(A) ^,cri e onenings nqlr i " x Sq. FT. ° n roof. nU?l (U)(A) '1'0'1'AL (U) (A) VALUES DIVIDED BY ?gJ •?? 183a ;?,? ` f 38•9'-3 u a .- '1'O'i N, R0o^/CE Li(i AkiEA ??7D•? • <' . bZ? AVF;RnGE " .025 or ventileted roofs. . ?' ? . .,.., , ,. C,Pcss EXPas?D WA? ... , .=-?:r`.•,;, ??. • , _ 9• arb X (5o+5O tsD? 50? -_ ? 9op.. ?o ?. ? ? ' _ . . Co 697,C : 2' <<< ::i = 5 00- _ a , , -• ? ,7oX3Cn - 5,00 X q ? (?, e ? v? . y. .. i ? I'? 14x48 = S.oo X 9 - 7Z,oo Z4xla7 = lo,oo x rz = Z//• 33 ,?(._,, ? t ? , . ..t:, . c? ?i '_ ? t..?.) . Fi? o•.? 3°sTL- 1^?S.G. - ZS.oo ?- ?€r) s. p-5? ?.; y ? PATto = 4z,oo Zs,oo . lzo.oo ? rr GJDw'S L1I?33 "(oOz•3?% µ - 91.ov X Zs' = ; 950•? , 00 ?-- . , --wA.L sECTIOH-- Determining IOU" valuea at Roofg Wallp* Rim, And Cottc. Block ROOF/CEILIN(i R VALUE 1.) Interior Air rilm 0.61 2.) 5/810 ayp. Ba. .56 3.) Insulation oo 4.) 5.) Exteriar Air Film .61 (STILL) truo _ 1/R= .OZ.j iOTAL (R) = *.78 r WAI,L (R VALUE 60 Interior Air Film 0,68 7.1 111 GYp. Bd. .45 8.) Insulation j9,00 9.) ?z'' BvfLT- 91T? 2•oel- 10.) Masonite Siding .07 11.) Exterior Air Film .17 IIUII _ 1/a= ,043 ToTnL (a)=13.01 RIM (R) VALUE 12.) Interior Air Nilm 0.68 13.) Insulation f4•o0 14.) 2" Fir Rim Joist 1.88 156) gv1t.T- ?TE Z•v4 16.) Masonite S1 ing .67 1760 Exterior Air Film .17 uUn = 1/R= .040 TOTAL (R)= Z4.4? FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 19.) 20.> 210 12" Concrete Block 1.28 22.) ,2r&lD lh75cx. $•oo 23.) Exterior Air Film .17 IMIN _ 1/R= 11098 ToTAL (a)= Io.13 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOrT (PLEASE PRINT) 1) PROPE.M ADDRESS: r,Frar• DESCRIPTION: iF E{IS== :G STRCCTL:tE, DA' u' 0_° OFcIGLL'i\1AL DiiIL,^;L`:G F=41T ISSJA1?=-: 1:-0P._,i ?2.:Y1 PP.ESy :' _':IL :r:/Pp9FOSc.?i LTS= R-1 SidGLE FPS?rr _v R-3 IDUP={ (T.%'O L,iITSr ? R-3 TCi?7NH0iJSE (TFfftEE + iJNITS) ( UNTTS) ? R-4 APAR7I'ENT/CON1)CMIINIiM ( LNITS) ? COMMERCTAL/RE.TAI7,/OFFICE ? I?i,'DUSTRTAL Q INSTITUTIONAL/GOVERNMIIN'P 2) APPLSGWT (PLEASE PRiILL ADDRESS: CITY, STATE, ZIP: ?j?'GE 7?/?GG?`Sl ?1hk) PHONE: //UO s) PLvcIBgz r+E: GEN?'?+'?"pR,H ADDREss: 14745 S0. R 3 ?5TRAM ?? cz?, STATE, zzP: ROSEMO?NT, PHONE: PLUHB R LICENSE fl ?p y9/J"f FOR CITY USE ONLY PLUNBERS LICENSE: Active / Expire Necord St/t ni ia 4) OCC[JpP,?•TT/a4NEFt NAP'E: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PIIONE: 5} INpIG'\TE WHICH P IS BEING RD?UESTID: ?' ION 'Ib CITY S?Ti7ER CONNF?PION TO CITY WATER [] (PI,EASE DESCRIBE) 6) 1NDIG,TE ONE: E HOLD APPROVID PEE111IT FOR PICK-UP BY ONE OF ABWE PLEASE MATT• pPPROVID PERi?1IT 'IO 1. 2.?4 AB(7VE ? , „ (Circle one) 7> 5??iATLRE: DATE: MR OlM:iUlll:wim irlrtlal:lCINkmf?Wk'l??? 0 R C I T Y U S E 0 N L Y PERMIT - . ISSUED ? F°ES: $ $ $ ?} aou S S $ 1- ' u c+ S S $ S $ /3.4 i ? SEri7EP, PERNIT_T (INCL'uDE SUP.CHP.RGE) WATER PERI1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (ZNCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SE54EP. ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSrflENT TRUNK SETAER ASSESSMENT LATERAL BENEFIT/TRUNK EWER LATERAL BENEFIT/TRUN WATER oTxER - TOTAL AMOUNT PAID/RECEIPT # 5_5J=d,i DOES UTILITY CONNECTIOIV REQUIRE EXCAVATION IN PUSLIC RIGiIT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE [-_] NO ENGZNEERING DIVISIO[V. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: ! DATE: ?s??wt'?s?'??•c? w?w?w?aw??a,a?asa???cw?+wE?sas?w?ancap?es?w? L If_ SUBD. CITY USE ONLY 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551::2 (612) 6814675 RECEIPT #: DATE: Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N-Q. TOTAL Shower 3.00 x `?' _ °'- F ---:?- Water Closet 3.00 x vutfi TSihi v.Ov Lavatory 3.00 x Kitchen Sink 3.00 :c = Laundry Tray 3.00 :< _ Hot Tub/Spa 3.00 ;c = Water Heater 3.00 Floor Drain 3.00 ;< _ Gas Piping Outlet * minimum -1 3.00 :c = Rough Openings 1.50 :< _ Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = "•?D. ?O Water Tum Around 20.00 STATE SURCHARGE .50 TUTAL -2U - 5O SITE ADDRESS: ( 1 w"` ? OWNER NAME: r r +? ??- "bso- INSTALLER STREET ADDRESS: 14-715 ?'70A? Uai'?I 42?. Lek CITY: use,? STATE:AAI ZIP: PHONE #: ( (,('y) L'll / ??? .51(3R1CT BL ? O ? L BL SUBD. OFFICE USE ONLY RECEIPT #: DATE: 1996 PLUMBING PERMIT (CC)MMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: , all commerciaVindustrial buildings. ? multi-family buildings when separate permits are B-Qt required for each dwelling unit. DATE: CONTRACT PRICE: WUKK I YF't: NtVY 1,1113j I I(Ul, I Il1IV Huu VIV 1Ztr%iiYf DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER!i TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of 12ermi1 fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE iOiAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: cirr: PHONE #: SIGNATURE: OFFICE USE ONLY METER SIZE: DATE: STE. # STATE: ZIP: APPLICANT INSPECTOR: ~l57 q,?-- Zoo6 RESIDENTIAL BUILDING rERvuT nrrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Requirements 3 registered site surveys showing sq. ft oi lot sq. ft. of house; and all roofed areas (20°6 maimum lot coverage allaved) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured tound design, etc 1 set of Energy Calculations 3 copies oi Tree Preservation Ptan if lot platted after 711193 Rim Joist Detail OpUOns selection sheel (buildings with 3 or less uni4s) Minnegasco mechanidlventilafionform IWo, OD RemotleUReoair Reouirements OKce Use Onlv 2 copies oi plan showing foo6ngs, beams, joists Cert of Survey Recd _Y _ N 1 setof Energy Calculations (or heated addNons Soils Repod _l' _ N 1 site survey for add'Aions & decks Tree Pres PWn Reoj _ Y _ N, Adddion - indicafe il oo-sRe sepbc sysfem Tree Pres Requi2d - _ Y _ N On-siteSepticSystem _Y _N O ? Date Construction Cost Site Address fZLZ2=) Unit/Ste # Description of Work Z - 4 Multi-Family Bldg _ Y--N Fireplace(s) _ 0 2 Property Owner Telephone # 0.) Contractor Address 9?Ci?? City State Zip - Telephone#'V0?3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Miunesota Rules 7670 Cateeorv 1 _ Mimiesota Rules 7672 Energy Code Category • Residenlial VenUlation Category t Worksheet • New Energy Code Worksheet (J 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 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. /-1'"? ??'? ?v?e? ApplicanYs Printed Name Apphcant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? ? 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous 30 Accessory Bldg 31 E#. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Repl0c0ment `Demolition (Entire Bldg) - Give PCA handout to applicant De5CriptlOn: Water Damage Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const 100% or _ Footings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundation _ Drain Tile ' Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Yes 25% Occupancy MCES System Zoning City Water Stories Boaster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIREDINSPECTIONS _ Sheetrock FinaUC.O. FinaVNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector ?. ? Clly of EaRafl 3830 Pilot Knob Road Eaqzn MD) 55122 Phnr.e: (651) 675-5675 Fax: l651;675-5694 Address I City I Zip: 2008 RESIDENTIAL PLUMBING PERMIT APPLICA 3Ye: 6_11_.9.?r Sife Address: inant: c51DENT! OWNER I Name: CONTRACTOR ?------------- I fo?Offce:l)se I J,f J ? ? Permit #: i Pertnit Fee? ? Ca[e Received. i - I ? Staff L_-____-_ M u ? ' SEP 2 4 2008 Suite #: ?--- Phone: J t)2 'Il ?69 ' Name: v License #: C?iampion - Address: 651-365-1340 3670 Dodd Rd.#100 Cily: Fanan MN 55194-1439 State: ZiP: Phone: Contact Person: TYPE GF WORFC I _ New V.-Replacement _ Repair _ Rebuild _ Mudify Space _ Work in P..O.W. Descriptionofworfc: ._ ?IYCU? - PERNflT TYPE RES! ENTIAL - Watr,r Heatrr Water Softener Lawn Irrigatior, Hdd Plumbiny Fixtures ? RPZ (_ PV8) ? Main _ Lower Levef) SepticSystem _WaterTurnaround New Abandonment c51DEN7lAL Fc'ES: ;0.50 Minimum VVater Heater, Water Scflener, or Water Heater and Soflener (inGudes $.50 State Surcharge) ;Q.50 La'rvn irri?,a[ion (inci(ides $ 50 State Surcharge) t0.50 Add Plumtiiny Fixtures, Septic System Abandonment, Water Tumaround" (incluAes $.50 State Surcharge) "\'Va?e%?urnaround (add $136.00 ii a 51II" meter is required) 00.50 Septic System New ($10.00 per as buill) (includes County fee and $.50 State Surcharge) ?D- S :O.SO Fire Rr.caii ;replace burned out appliances, ductwork, etc )(includes $.50 State Surcharqe) TOTAL FEES $_ : reby 2ci.r.owlea;7e mat Ihis informalion is complete and accurate. ihaf Ine work will Ge in conformance with the ordinances and cotles of the Crty ?;an, that I;irder;iDid ihis is not a permit, 6ut nnly an application for a permit, and work is not to stad without a permiT, that ihework will be :xdance'•r,ll: lLe ar^rovcd pian in the ca5e of work which reGwres a review and appmval of plans. ? 1 ? r x ? ?iic s ?nted Name ApplicanYs Sign re ,ft OF9CE USE ; Reviewed By `' Dafe ? ? luired Inspec£iors.' _Unc]erGround _Roagh In'? fluTest U?'as"Test Final ???? ?? PERMIT City of Eagan Permit Type:Building Permit Number:EA107477 Date Issued:10/15/2012 Permit Category:ePermit Site Address: 4875 Knottingham Cir Lot:6 Block: 2 Addition: Brittany 08th PID:10-15007-02-060 Use: Description: Sub Type:e-Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Warren E Simpson 4875 Knottingham Cir Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179825 Date Issued:10/21/2022 Permit Category:ePermit Site Address: 4875 Knottingham Cir Lot:6 Block: 2 Addition: Brittany 8th PID:10-15007-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Warren E & Camille B Simpson 4875 Knottingham Cir Saint Paul MN 55122--279 Applicant/Permitee: Signature Issued By: Signature