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4880 Knottingham CirCITY OF EAGAN Remarks Addition RRITTANY ATH nnnN _ Lot 10 Blk 2 Parcel 10 15007 100 02 Qwner street--4$$0 Knottingham Cr. state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN 5EW TRUNK 1C'7 ' 12 . 23 ?-5 ? SEWER LATERAL WATERMAIN WATER LATERAL V WATER AREA 0 18 536.00 35-74 1 STORM SEW TRK 1,21,0 1986 942.0 62 .$o 1 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK r? BIJfiDING PERMIT Receipt # N° . 12145 Tobeusedfor SP DWG/GAR Est.Valug $123,000 Date JUNE 19 19 Sb SiteAddress 4880 KNUTTIN GHAM CIR Erect in Occupancy A 3 LotI.LLBlock 2 Sec/Sub. 8Ri`i"I'rL: Y ti'L`fl Remodel ? Zoning gi Parcel No. Repair ? Type of Const. vvi Addition ? No. Stories °C TOLLEFSOii 3L '?a?:i INC Move ? Length 56 = Name 12 617 FAIR?'sR EL?N AV?: oemolish ? Depth ? 4 o Address Int. Impr. ? Sq. Ft Ciry ??• J- Phone 43 1-11OU Install ? a .o Q U U ¢ ? ? oc W Name u ? Address i W City Phone I hereby acknowledge that I have read this application and statethatthe iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all Building OTficial CITY OF EAGAN 3830 PUot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Assessment Water & Sew. Permit Surcharge 61.50 Police Plan Review 245.25 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63.50 Council Road Unit 290.00 Bldg. Off. b 19 f3 Tr. PI. 156.00 APC Var. ZNC Copies Total a ? - ` • 7 5 on the express conditlon that City oi Eagan Ordinances. PormR No. PormH Ho1dK W" Tsbphone M Wumbinp t) _-Ct"?', H.V.A.C. - I' /-O elecmc Cv3o- 912 I '(."?.?C`?'/ ,.2/ir,/??. ?,??"G C? SORMN Inapmtbn Dste Imp. Commenb FooUnpal ?S Footlnysll Foundatbn Fnminy U Roofin4 Rouqh Plbp. ? ?•? Rouyh Hty. Imul. FUeplsee /S 8'6 Flnal Htp. Final Pllfy. /-.2p''Q.7 Bldy. Finel Cort.Occ. a Dock Fty. Doek Frnq. w.u Dose?1be Lowtlae Pr. Dhp. , ' • MECHANICAL PERMIT CiTY OF EAGAN 3830 PILOT KN08 ROAR, EAGAN, 5ite Address -`4 [ " Lot ; , 64ock a? m ? c m c 3 O Name Address CIty MiJVN ? Name _ Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Phone l-3 7 Ju = M BTU M BTU M BTU M BTU CFM / FEE S/C: TOTAL: MN 55121 PERMIT # ?-7 Q 7 ? RECEIPT# `G y2 DATE BLDG. TYPE WORK DESCRIPTIOM Res. New ?? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ? ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S!C IF PERMiT PRVCE GOES 6EYOND $1,000.00) E ? SIGNATl14tE OF PERMITTEE FOR: CITY OF EAGAN • - - PERMIT # • ,.. PLUMBING PERMIT RECEIPT # ? CITY OF EAGAN ,y 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: I Site Address `•`r ??c- ? w? r. ]'7.'uf_ I Lot f'' Block 2-- m Nan ? Add c City ? Name 3 Addre o City = FEES COMM/IND FEE - 1 % OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/INO FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. Mult Add-on Comm. Repair FlXTURES ? TOTAL Water Closet - $3.00 / Bath Tubs - $3.00 ? avatory - $3.00 Shower - $3.00 _.L__Kitchen Sink - $3.00 Urinal/Bidet - $3.00 = Laundry Tray - $3.00 Floor Drains - $1.50 ?Water Heater - $1.50 ' L_Whirlpool - $3.00 LGas Piping Outtets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?ZRough Openings - $1;50 FEE STATE S/C: 5-& GRAND TOTAL ?? o, CITY OF EAGAN SEWER SERViCE PERMR ?3830 Pilot Knob Road ? P. O. Box 21199 pERMIT NO.: . Eagan, MN 55121 DATE: 2oning: No. of Units: n :O t, w ar. /lddress: -'SILQ AlbfQ55' ? -.--L' l3 i . i L Y' C ? e - 'Pl mb ee u {)l agm t'0 Omply Wi& dw Cby Of ls"¦ COfl/10C"Of1 Ch": pc:. " OrdIMlICM. ACCOW1t DEpOtIt: ' ti ! lr?h4 Permit Fee: 5urchorpe: : g Misc. Char'Oss: y D f Iris t : Totol: e o p. o Insp.: Date Poid: ? CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 , Yonlng: Owrwr. , Address: Sit/ Add1lSC :y r.? PllmblC Meter Na.: Reodsr No.: 1oem h eePh? wkh ty Gryr ri Eqo.¦ OrAw@aom BY Date of I rxp.: Connection Charpa: `••Dl? 0 Aooount DEposit: Parmit Fee: ., - Surc}wrpe: AAisc. Chor+pes: Total: :r Lr ; Doft Poid: CITY OF EAGAN WA?R SERVICE PE?tMIT 383''? Pilot Krwb Roa?i P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE: Zoniny: Ne. of Units; Owner. llddross: Site Addrcss; Plurriben - Metsr No.: iO" Cha?ge: Stze: 9L!-,'yQcIC . Readei No.: 0-1 ca1? 1 i nie1"? I •o?•• to eanoy, wit1? CT - ?! Or+it..ne.a. - BY Poid: ata Dote of Inso.: - ?-- - WATER SERVICE PERMIT PERMIT NO.: DATE: Na of Units: - l-??-,eJ REQUEST FOR ELECTRICAL INSPECTION ??voJ , ??Ri See mstructiens for mm0leti?q this torm on back o1 yellow copp ? 5 8 6 3 6 "X" BeloW Work Covered by 7his Request 47 JAtldJ Neo. Tvoe of BwlA, na Aoohancns Wned Equipmant Wirea ? I ' I I I Industnal Bldo. I XI Au ConAiLOner I I Bulk Milk Tenk _J I/P # Fee SarviceEnVanceSize A Fae Faxders/Subfeedere tt Fee Greu,ts 0 to 200 Am 0 to 30 qm s 0 to 30 An+ s Above 200 Atnlps 31 to 100 Amps 31 to 100 q y q Swimnung P Above 700-Am s Above 100_Am s Transtormers Irngation Boonis QlbaLFee Signs $pecial hiSpecLOn 5`e /f ? certlfy 1 et tM1e nDO% inspection has been mede. This ie.que5[ voitl 18 D 636 ; 12 42- , ? C7,6- Request D Fire No. qoaPh-i 1 ecbon ?O ?i Re9u red> OReatlY Nnw Q Wtll NotifY Insoec- lJ ?Yes ?No mr When Featlv Licensed Elec[ncal Conlractor ? Owner I he,eby reauest inspection of abova ctrical work instal Street ddress, Bax or oure No. Cit / e Lmn o. nship Name No. Rnnge No. C unty t c nt IPPINTI ? /' Ph.? O POw¢t SUpph¢r Atltlre55 Elec ical Comr c[or 1 mNu Conh .mr"s Lic e No. = ailin AdJress IConva tor o.O ner Makinq Instaila 1 . ' ? ' ?• ??/ ? Authonzed SiBna re (COnhac/[?jr'Own ak. Installabon) nB Phon u mber /?'? ' ? ! , ??/??4-??? l P ? / c7 MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT Gri09s•Madwey Bldg. - qoom N.197 BE ACCEPTED BV THE S7qTE BOAHD 1827 University Ava.. St. Paul, MN 55104 UNLESS PqOPER INSPECTION FEE IS Phone (672) 642-O600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION #Amk Ea-oaooi-os I, See inotruetiona lor completirq this fwm on baek of vellow copv. 6 -11 8elow Work Covered by 7hls Hequesf AAd Rep. Typg of Bwltlinp ApOliances Wirod Equipmenl Wlred Home Fiange Temporary Service Duplex Water Neater li htin Fixtures Apt. Bmldmg Dryer EleCtriC HeAtin Commercial Bidg. Furnace Silo Unloader Industnal BIAg. Air Conditioner Bulk Milk Tenk F8fR1 Ihxr peci V ? er ISOer,i?y? t r uoc y t or Othor ompu[e nspection fee Below N Fee ServlceEntrenceSi:a q Fee fexdera/SuOfeedera % iee Circuite U ta 200 qm s 0 to 30 Am s dPO 0 tn 30 Am Above 2_qmps 31 to 10 Amps SCO 31 to 100 A y Swimmin Pool Above 100_Am s Above 100-Am • Transformers rrigation Booms Partial'Other Fe Signs pecial Inspection 1 0 TO e merks 6 ? TAL FE ?j Rauph-in ? /01e? I,ehe Elaculee` a ? Inapector, hereCy / Finel D certify ihet Ihe above ?te inepaetion hea bean ?,? ? mae. T11b lpuut voI418 montlle 1 rom rnis 1ewest wia 18 months from `C 63041 z flequeet Dete L` Fire No. ?ou0h-in7In4qecnon equned OHeatly Nuw WVIII Nmify Inspec- tor Whan Featl F/ Yea ?No y Plicensed Electrical Contrxctor I hare6y requeet innpeeqon of ebove ? Owner •lectrical work inatelled at: $treei Atldmss. Boz or flou C' y ection o. ownshi0 ema or a. enpe o, County Oecu ant IPRIN TI PAone No. - / ?(--il•f"??I?.-/ y / -JI ? ?/0? Br Suppher Atl7re9s ? e tricel Contract ompany Namel ?` 7 Cantrector's Lmense No. - 5 a, tic_-? 04/7?S 1 Mailinp Addresa ICOntr ctor or Owner Mekine lnstal tionl -7 _ ? S-3-79 Authorizef?' ?/iQnature Contr ctor O ?r?a/fi/ln?p Ins?tallataion)^ 1 Phona?n,N.}u`m'?bar /- 1 V- lLI ?? MINNEBOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION pEQUEST WILL NOT Oriyps•MfAway Bldp. - Room N•781 BE ACCEPTEO BY THE STATE 80AND 7821 Univarstev Ava.. St. Peul, MN 68104 UNlEBS PROVER INSPECTION FEE IS PMna IB121 8620600 ENCLOSED. This reQUesi voiE (?%2 0//2%(? 1g rtwnths trom ? C ??? C 4 3 0 31 L / n A ???, ` ? c3 r; A2 o e Reque Da[e Rre o." flouph-m Inspecuon Re wred? ' ?ReaAy Nuw?W,ll Nntify.lnsAec- es ?No tor Wh¢n ReaOy ? lwensed Electncal Conhactor I hereby requast inspaction of above Owner elecirical work installed at: $ireat Address, Box or Raut No. . G ? 14 ct 1 1 , ection a. Township Name or No. anBe No. County Occu antl IN . (S Phan No. er Supplier Adtlress 1 Ce tncal Contractor pany Name) ^ ? Tect L ` i D ? C ha tor License No. ? s- t . r? L Mailinp Address IConir cmr or Ownor Making Ins ilavonl ,[? ?/ V??J / Author, zeA-Sipnamre IC t?/Ow?ner?iM a/ky/±g ,In?stallauon) /. / . PJopna,NUmber C?-?Y \J MINNESOTq STpTE BOARD OF ELECTNICITY THIS INSPECTION REUUEST WILI NOT GriB9s•Midwey Blde. - Noom N-791 BE ACCEP7ED 0V THE STATE BOAflD 1821 Unrversiry Ave.. St Peul. MN 55104 UNLE53 PNOPEN INSPECTION FEE IS Phone 181212972117 ENCLOSED. o/ REQUEST FOR ELECTRICAL INSPECTION E8-00007-04 •/? ?~ ?l? 0 Sea inStrucliOnB fof cOTPIBiing thrs fo,m om OeGk OI VBllow COpy. e 43031 X" Below Work Covered by 7his Request iftJFtl Tvoe o1 9uiltlina Aoolmnces WveC EquiVment Wvetl I 10 I I I 1 InAustnal Bldo. I I Av Condrtioner I I Bulk Milk Tenk I N Fee ServiceEntranceSae tt Fee Feeders/5ubfexders # C?rcwns 0 to200qm s 0 to30Am s 0 to30Am Above 200 qmps 31 to 100 qmps 31 to 100 A s Swimming Pool Above 100_Am s Above 100_Am 5 Transformers Irngation liooms Pertial-'Other Fee L I ?Signs I I ISpecialinspecuon + ?? TOTAL FEE ems?ks ? ?7 ?I •xi 1, the Elecbicnl Inspector, M1ereby cerbty thet tpe abave hnsaection hes been CASH RECEIPT ? C1MbF EAGAN ? ? 3795 PILOT KNOB ROAD MI ESOTA 55122 ?"' 6 19 d'? * 13 ,dvI uo C] CASH [1.C-r1ECK O FUNO COOE ? qMOUNT ? V U N? Thank You ? N_ 64754 ' - . White-Payers Copy Yellow-Pasting Copy Pink-File Copy CITY OF EAGAN A N2 121 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 Y PHONE: 454-8100 BUILDING PERMIT Receiptp 0`? 3 Tobeuaedior SF DWG/GAR Est.value $123,000 Date JUNE 19 1y 86 SiteAddress 4880 KNOTTINGHAM CIR Erect ;J Occupancy R3 Lot 10 Block 2 Sec/Sub. $RITTANY 8TH Remodel ? Zoning R1 Parcel No Repair ? Type of Const V-n . Addition ? No. Stories TOLLEFSON BLDRS INC Move ? Length 56 w Name 12617 FAIRGREEN AVE oemolish ? Deptn 39 o Address A. V. 431-1100 C Int Impr. ? Sq. Ft ? iry Phone Instau a g j.?jyE Approvale Feea o Name i oQ Address ASS¢ssmBflt Pe?mit $ 490.50 ? ciry Phone Water & Sew. Surcharge 61.50 Q Police Plan Review 245. 2 5 u ? W Name Fire SAC 575.00 ?z r3 Address Eng. WaterConn. 500.00 <W Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 6/19/8 Tr.PI. 156.00 information is correct and agree to comply with all applicable State oi Minnesota Statutes and Ci f Eagan Ordinance;. APC Parks g // /J? /, Si nature of Permittee ?/? ?4«?'? Var. Date Copies 2 $1 ? 5 - . Total TOLLEFSON BLDRS INC A Building Permit is issued to: on the ezpress contlition that all work shall be done in accordance with all applic a ot Minngsot St tutes nd City of Eagan Ordinances. Building Otticial {6 s[ e[ , ? gP IC&50y 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 76 o0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauiremenls 3 regislered site surveys showing sq. fl of lot, sq, fl of house, and all roofed areas RemodelRteoair Reouiremenis 2 copies oiplan ... , .. -(fi' eo ?????e?? ? ... .,.. (20% matimum bt coverage allowe? d d t d f t set of Energy Calalafions for heated adddions t sile survey for addi6ons & decks 7tag P1'23 N. oun esign, e c. 2 mpies of plan showing beam & window sizes; poure isefo(EnergyCalculations . Addi6on-iMicate'rfonsResepliesyslem D?5?te3e'ptit5y'StBat';:? ='_:Y.=14 3 copies of Tree Preservation Plan if lot platled afler 711193 Rim Joist Delail Options selection sheet (bldgs wtlh 3 a less uni6 Date C?30 / 0 L( SiteAddress qnz) Ga"??? v)? ? a wd, o 0 Coactruction Cost C - UnitlSte # Desc»ptionof Work Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor Address Q 65 5 State T) N 3?uo w..??-y.?to h fkJ ¢- S City Zip 5 !53 q1 Telephone # (15a ) 315 5 -1"a-UO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Caze¢orv 1 _ Nhnnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Confractor 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( c ? ?l ?nan.. ? tY? ?//R,L•t???.sr° - ApplicanYs Printe ame Applicant's Signature oFFIcE usE orn,Y Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mufti Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 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 ? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (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 Bidgs Length Fire Sprinklered Type of Const Width _ Fooungs (new bldg) _ Footings (deck) _ Footings(additlon) Foundalion Diain Tile Roof Icc & Water Final _ Framing - _ Fireplace _ RI. _ Air Test _ Final Insulatlon Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit 8 Surcharge Treatmenf Plant License Search Copies Ofher Total REQUIRED INSPECTIONS _ FinallC.O. _ FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Sione _ Brick _ Windows _ Retaining Wall Building Inspector 65cl 37 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 \, ?d °_ New Constructwn Requiremenls 3 reglstered sile surveys showmg sq fl. of lot, sq. ft. of Iwuse; and 211 mofed areas RemodeUReoair Reauirements 2 copies of plan Cedd tAKvgYReod - , --Y-N " (2CNh mmcimum lot cwerege allowed) t d f d d i i 7 sel of Energy Calculalions br healed adcL4ons 1 sde survey for adddions & decks Ir2§:PfE5;Pl8r{1R0cd'.: 7(eePre's:t2eqhired _Y: gn, e c zes; poure oun es 2 copies of plan showing beam 8 window s lselofEnergyCalculations AddRion - mdicaterfon-sttesepticsystem Dtrsite_SeptieSystem -f -Y: -N 3 copies of Tree Preservation Plan if lol planed afler 711F93 Rim Joist Oetail OpUons selection sheet {Mdgs vnth 3 or less units Date dU ConstructionCost Site Address 4B$o K?^o N+`^ ? rv^ C J" - UniUSte # DescriptiouofWork T? o? 2x'5??., g td. -^a g reiP?r.c? .,J? N?,cltc 1?Iw?.k S:A,--y ? Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1_ 2 Property Owner ? e. Q,55 Telephone #( 4.5I )? m"19 -Ua V't ContraMor `T"'c Address `?SS 5 Js'.w? 4vc S. So-1c a.2-8 City State ?'1 o Zip SS << 3 ? Telep6one # (C(5a-) 5S c? " ? aOo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worl • New Energy Code Worksheet (Jsubmissiontype) Su6mitted ?(? Submifled . Energy Envelopef,ala? Rrys*b?itt? ? ?r, Have you previously constructed a buiiding in s i 4ar U ?_ Y _ N If so, 257o plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. NO(?,... T?u Applicant's Print Name App]icanYs 5ignatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 08-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 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscelianeous Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water ` SAC Units Stories Booster Pump A 1 # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundalion HVAC Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Frazning _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total PERMIT # RECEIPT DATE: r? ? 8008 RES1DEftTLkL PLUM$1Rfi PERM1T APPLICATION crrY oF EAsM saso Pv.oT Kros Rn p??? ? d[? I EAHAR. E!A 55122 651-681-4675 APR 12 2002 Please complete for: single family dwellings, townhomes and condos when permits are required for eac unit, backflow preventer for irrigation system By SITE ADDRESS: 4%`6? I?o?Cre?? C -? OWNERNAME:: 3nr;-, vn7?Pr" TELEPHONE#:?oC1 InR(n- L?S?? (AREA CODE) '31 INSTALLER NAME: TELEPHONE #: o1- 3 McG11IRE $ SON3 (AREACODE) STREET ADDRESS: _605 129i Avefitit Se,,,, ciTY: HopWns, MIV 5:5343 STATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires lwo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - e:cistino dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ? water heater $ 15.00 State Surcharge $ .50 t l F $ ? ?? o a I herebyadcnowledge that I have read this appliption, state thatthe information is corred, and agre to compiywith all ap Cityof Eagan ordinances. It is the applicanPs responsibllity to noGfyihe property owner that the City of Eagan assumes no lia l' for any damages caused 6y the Ciry during its normal operational and maintenance activities lo the fadlflies consWcted under this permit wilp?City p p /righkof-wayleasement. SIGN UR OF RMITTEE 1l02 NOTE_ ALL 1214S MUST BE LICENSBD iiITH THS CITY OF E9GAH 3IAGLS FAlQLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiE[.LINGS - ESSIDBiTIAL RENTAI. 08ITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CSATIFICATE OF SDBVEY - CHECg WZTH BLDG. DEPT.9 1 SET OF BNERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE HOND To Be Used For: aWdkValuation: le366,30 • Site Address C OFFICE 0 Lot ? Block 2,_ Ereet ? , Remodel _ Pareel/Sub Repair _ Addition Owner Move _ Demolish _ Address Int.Impr. _ Install City/Zip Code Phone Contra Addres City/Z Phone Arch./Engr. _ Address City/Zip Code Phone # Date: ? Occupancy If 3 Zoning ? Type of Const # of Stories ? Length Depth Sq Ft APPROVAIS FEES Assessments Permit //Ydl Water/Sewer Surcharge Police Plan Review ztT, Z? Fire SAC Engr Water Conn Planner Water Meter ? Couneil /Road Unit O Bldg Off 5 /?bTreatment P l /SZ_ APC t ' Parks Varianee Copies ?OTAL NO?E: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGNATS WHICH 9DDRSSS IS DESIRED. HO CHANGFS WILL BE 9LLOWED ONCE BIIII.DING PE&M IS ISSIIED. ??? Z?= . 5/?? S? ??Z?C? . a. , 3 */zz??0o CO , ,, . •M ' CITY OF BUILDINf3 DEPARTMENT F:77CfERIOR ENVII,OPE AVERA(iE "Ulf COMPUTATION Or (To be auLmitted wlth building permit application) One or Two Family Dwelling Owner All Other Site Addrese Contractor Tu.??yoN ?vILD??e,i ?i?C, ?? --?-?-1 -.-?a,?-'-•..?? - LINEAL FEET or- ? EXPOSED CrALL SEa 0oR4 yWEa?711 Yt. Date Phoae above grade = 1j;?18•9(0 th TOTAL E)L°OSED 4YALL AR'r'.A SQ. FT. 0?AG,UE Wl:LL COA:STRU-ITIOt;: "Ull Value x Area Detail apm,5?- 'iUll •0¢3 x SQ. reference A+?ADtr . IIuII • 698 x SQ. from Pam Sa)ti"r liUll , o4b x SQ. nUn x SQ. attached nUll x SQ. sheets uun x SQ. WINDO'NS: "Ull Value x Area FT. 1 5$, ._ 7S_37 (U) (A) FT._ 43,190 = 9•!Q (U)(A) FT. Zo . l(o = R.3lo(U)(A) FT. - (U) (4) FT. _ (U) (A) FT. _ (U) (A) Make & Type _lubvG• CsNJ'T 'lUll • 45 x SQ. FT. &S•10 = 79•z4 (U)(A) " " IIU" x Sq. FT. _ (U)(A) n u nuu x SQ. FT. _ (U)(A) n n npn x SQ. FT. _ (U)(A) DOORS: "Ull Value x Area t•iake & Tyne ,?ktEE1. )IaWL. 'iUll 114 x SQ. it of pA7?r? liu" .4a x sR. ti It lifUll X sQ. of of _ npn X gQ . ToTnLS 7-310.7(0 sQ. AVERA(3E "Ulf TOTAL (U)(A) VALUES z00.1$ _ ?? , D$ FT. S(O•CO = 7•84 (U) (A) FT. FT. rO -?112(u)(a) FT. - (U) (A) r,T. 20C7./g (U) (A) DIVIDLD BY TOTAL P1ALL AREA Z3I8•9O AVERACfE 11U%? r lesa for 1&2 family dwellinga TOTALCAREA : Na II W ZtT Detail reference flUts .0?I x SQ. FT. i17(o = 2169 (U)(A) from itUfr x SQ. FT. . (U) (A) attached sheete. IIUII x SQ. FT. ? (U)(A) Describe openinga "Ull x 3Q. FT. _ (U)(A) in roof. frUff x SQ. 17. - (U)(A) a9-CUYA> TOTAL. (U)(A) VALUES DIVIDED BY Z4,a9 II71O ?.? Z44 ?r? TOTAL ROOF/CEILIN(} AREa ??r(p •ozl AVERAGE "U" , 25 r ventilated roofa. i„ 11 woF-K 54Er // m? E? WAu? 9.5a X (9t+4t +-?BtZg) = 1330. o0 883 X(ZStZ$ t ZSttg) = `jSQ?. 9?P z3r$.?? -?- CoN?• .(e1x(4tf4z+28+zj5) = 93.50 4- ? ?t.?. , s3 X (a4+s? + 5?+?? = Zoq. ?? ,' WU4Dow S 70 X3fo= 5.o X 3 ? lS.oo ?4xz4 = 9•v x 1 = . 4•vo 1ax 60 = S• 3 x 7 = 58. !o 2-1 X48 = $. o X 11 = $o, pd 1l?5. /D -?-- ?nRS_ 3Q s7L• ?/t ?c; ? 35,aD z$srL. s?2. - Zr,oo & 0-' Ps+.-r? v 98. ?O ?- HF-T 5?? 45*VAZ-?, L'v1:oy5 wqu,?, Z 31 g A!v csss en,?. 9a.8? or ? Lo9,/!0 r' ?S -5?do. o(c lbs.?a ri DvnR?s 98,ob l, 75z.9ok v0 l4xza ? z8 xzs = 39 2 l? 17lv, oo -k .. ? ' , . --WALL sECTio -- , , Determining "U" vaJ.ues at Rooft Wall, Rim, and Conc. Block ROOF/CEILIN(i 1.) Interior Air r'ilm z.) 5/8t' ayp. sa. 3.) Inaulation 4.) 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 4S.oa .61 nUu o IIR= LOTAL (R)= ITP•78 ? WALL 6.) Interior Air Film 7.) 1" GYp. Bd. 8.) Insulation 9.) Vz" Sww-r--J?rTE 10.) Mc+sonite Siding 11.) Exterior Air Film (R) VAi,UE 0.68 .45 17,00 Z•o4' • b7 .17 upu _ 1/R= .043 TOTAL (R)= Z3.o/ ? RIM 120 Interior Air rilm 13.) Insulation 14.) 211 Fir Rim Joist 15.) >?t >? gv??T- R?r5 16.) ?Iasonite Siding 170 Exterior Air Film (R) VALUE 0.68 19,00 1.88 z.C4 .67 .t7 nIIn = 1/R= 040 TOTAL (R)=74.44 FOUNDATION 180 Interior Air Film 19.) 20.) 21.) 12" Cottcrete Block 229) l&,lD luyLy" 23.) xterior Air Film (R) VALUE o. 68 t . 28 9,00 17 IIUII _ I/R= .oyg ToTnL (R)=/4•/3 i'? . • ?K ?f? P?E zs RO BE ' FeNGINECERCOMPRNY,ING pLAHHEAS andLAHII fUNYEY08 5 INC. 1000 EAST 1461A STREET, Bl1RN5VILLE, YlNNE50TA 65337 PH 432'5000 Cer?ificcz?e,?' u?crv?ey ?val .Ue.fcr4p2l0sz: LoT lo , BLOCK Z, B1z17TRnIY 8T14 ADOlTIONJ DAK07A COUIUTY, MINIJESOTA MORTH SCALE: I" = 50' cUjq-? DE/t/oTES EX157/N6 El.EVFITION ( qsz.-i) DEiVOT55 PROPOSED ELEVATION .?? lAlDI CATES DIRECT/ON OF SURFACE DRAl1JA6E VC',K? pWNe (et-,,el) (P? ?? F?uu.`?? • 'a3;.q; yEof1Q. G ? a? . ? ,;, oP ati J ° o , ?'Rop? O2 N116 a. oJ .? n : '? a ' o b •4 ? i 95 4s ? aS I, Oz) = F/N/SNED 6ARA6E FLOOR ELEVyTION q39.1 = N?G?+ WATElZ l:.Ltll. =,F Pbhtf) i?rJ•? ° 12T FCTX,-K ELEV. ? ej 4?•3 - BSMT. FLc? ELEv CMUST BE A MI14INIt1M OF Z PPBOC/E Hi(jH WArM ELEV. cr DRAINAGE AND 939.7) - UT/L/TY EASEMENTS 5 8/° /o' 4/ ,. E o0 ?4?,? ? o r o 1 ? 0.0 3z2 a?, 3' ? C; . ,i d = 910 -b L 20' FRO,VT Bu/LDIN6 ?s.? ?y, • SET$ACK LfNE 4, ? y K?lIOTT/N6NAM C/RCLE I herYaby certify that thia ie a true and eorrect rapraeentation cf a traat of land aa shown' and deecribed herean.• Ae prepsred by me on thii 16-4 day ot 14?? Ninn. 1le6. No. /lO?s lol I Y Vt' tHtaHIV ' APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?+ iu•u: .u APPLICAIZON DOFS N(7r OONMZU1F APPROVAL OF PII2NIIT. nvsrncriorr oF sEWM Arro/ox MM TTSrAi.7.ATTONS FTIIS. Nl7P BE SCAFD- UI.ID UNiIL PIItMIT HAS BEFSI APPRWID. ' XYt'IYYXY'K'R'A'A'Y!]F!!]I'K'RfIFltYtY[Y]?![XY}"X1'Y][X?** P 1ea;e Print . ? o i . . 1) PROPERTY ADDRESS: 0 " LEGAL DESCRIPTION: AoT /o _ iLOr.irsiocx/SUbaivisiori or Taz-Paic?1/"I? ., l/ IF EXISTZNG S7RCCI[IRE, DATE OF ORIGINAL B[,'ILDING PERMIT ISSL'ANCE: " ' - PR£SEbTr 7ANING/PROPOSID LiSE: (Nbn Year Q COD'fNEE2CIAL/I2ETAIL/OFFICE C] INIDL'STRIAL n INSTIZVTIONAL/GpVEE2N['N]? X.,R-1 SINGLE FAMILY Q ft-2 DC'PLEX ('It.o IInits) ? R-3 'IUWNHIXJSE (Three + Units) ( L?nits) p R-4 APARZMF'Nr/COAIDOMINILTI ( Units) 2) ? NAME: TOLLEFSON BUILDERS, INC. ADDRESS: 12617 Fairgreen Avenue CITY, STATE, ZIP: Apple Valley, MN 55124 PHONE; 431-1100 3) u ?: ?• ?: For City L?se .. GENZ-RYAN PLUNIBING & HEATING COMPANY Pliunbers License: ADDRFSS: 14745 South Robert Trail Active CITY, STATE, ZIP: Rosemount, MN 55068 ' Exp1red Not recorded PHONE: 423-1144 MASTIIt LI(ENSE# 1849M St?t al e'i) oe o ia?• , . . NAP1E: ADDRESS: , . CITY, STATE, ZIP: ' PHONE: • -5) ? ? ? ? a: ?• : ? • oe • ?? ? CONNEC.TION TO CITY SEWII2 CpNNECTION 'IO CITY WATER Q p2'FIER '. . 16) ?" •" o?" [? PLEASE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF AHOVE -' --•- --- ? PLEASE MAIL APPROVID PERMiT TO 1, 2?,J ¢, p?g . B j • (CircYone) ' 'Ij r. r• rm?,. FOR CITY USE ONLY PERMIT # TSSUED Pd w/Bldg. Permit FEis: ?. ? $ $ SEWER PERMIT (INCLIIDE._SLTRCHARGE) $ WATER PERMIT (INCLODE S'URCHARGE) $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATZT)N STOP) $ S SEWER TAP . $ ACCOUNT DEPOSIT - SEWER - ' $ $??-?? _ ACCOL'NT,,.DEPOSIT - WATER:,t:'n• .--° $ $ WAC $ StlZ) $ SAC Y.. ~ TRL?NK WATE$_-ASSESSMENT $_ __ ' $ TRUNK SEWER ASSESSMENT $ _ $ LATERAL BENEFIT/TRLNK SEWER $ S _ LA'PERAL.:SENEFIT/TRLI3A"WATER ' $ WATER TREATMENT PLANT, SURCHARGE . $ S OTHER:. - S I7i1 V. S TOTAIi'- --- RF CEI -, , PT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF ;tiAY? Y_,ES j° IF YES," THEN A"PERMIT FOR WORR WITHIN PI)Bf,IC ^-? U NO ROADWAY" MOST BE -ISSOSD BY THE ENGINF.ERiNG DIVISION LIST AS O . A C NDITION. SL'3JECT TO THE FOLLOWING CpNDITIONS: AF ?ROVED BY: AX e ?r'j??' ?" ?g?CJ7?J -?. ?, TITLE: - , DATE: 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion ReouiremenLS RemodeUReoair Reauirements Olfice Use Onlv 3 registered site surveys showing sq. ft. of lat, sq. fl. of hause; and all roofed arees 2 copies of plan Certgf SuNo Recd._ ?' Y (20% maximum lot coverage allowed) 1 setof Energy Calculations for heated additions Treei?res Plan Rec&' '?2Y _N. 2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for additions & decks iree Pres Required YN 1 set ot Energy Calculafions Add'rtian - indicate if on-site sepBc system On?e 9epkSyst?it-'! 3 copies of Tree Preservatbn Plan rf bt platted aker 711/93 RimJoistDehailOptionsselectionsheet (bldgs with 3 or less units Date o44 Construction Cost SiteAddress z-/ / p , ?-,y AxQ a&l Cl'fl- Unit/Ste # G a Description of Work , OI? 0. a ?h f c % ee, P '? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ Z Property Owner r O Z 1 Telephone #(OP )696 + 09W .M 'a'4e /- j S4 ' c ? Contractor r , _ vt . K Address 91 9 kj City State ? Zip sd I Telephone # (612) 18q COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I I hereby apply for a Residential Building Permit and acknowledge that the inform 'on is complete and ac urate; that the work will be in conformance with the ordinances and codes of the City ? f n'1N 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. su??L Applicant's Printed Name Ap icanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwel ling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex Y 18 Deck ? 23 Porch (screenJgazebo) ? 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 x 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 RepleCement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation UL06• C?o Occupancy e- ' 13 MCES System Census Code 421_ Zoning de-/ City Water SAC Units -e5 -' Stories Booster Pump # of Units ? Sq. Ft. PRV # of Bldgs ? Length Fire Sprinklered Type of Const v Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4880 Knottingham Cir Lot: 10 Block: 2 Addition: Brittany 8th PID:10- 15007- 100 -02 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124 -0000 (952) 891 -1919 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Deanna L Bass 4880 Knottingham Cir Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA084495 07/21/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature y ~ N Use BLUE or BLACK Ink For Office Use I ro I 1) 1~5 I Permit City of Eap ~ Permit Fee: ~ i 3830 Pilot Knob Road I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 i Staff: Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite Resident/Owner Name: Phone Address / City / Zip: PA) , Name: MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC Address: 1801 50111 STREET EAST INVER GROVE HGTS Contractor City: State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: Type of Work - New eplacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of ork: RESIDENTIAL Water Heater Lawn Irrigation L RPZ PVB) 70 ater Softener Permit Type Septic System Add Plumbing Fixtures Main Lower Level) ' New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $.105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ C61-1- BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro ~ 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 Z 11, proved plan i e case of wor ich requires a review and approval of plans. x Applicant's rinted Name Applicant's Signature FOR OFFICE USE Reviewed By s'Datel~ $3 w Required Inspections.` ~~:Undefy,„ ~,n _RoUghTltl' _Air Test' Gas,Test ,a Final 4 r � �� , Use BLUE or BLACK Ink `' r----------------� I For Office Use I I �/ I C�� O� j1� �� j Permit#: ! �7'�� Y L� � / � RECE4VED I Permit Fee: ! / � I 3830 Pilot Knob Road � �f � Eagan MN 55122 � Date Received: �� ) � Phone: (651)675-5675 ��N � � 2dt� j �l j Fax: (651)675-5694 I Staff: � I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ,,� �` Date: Site Address: Unit#: Name: ��i'"�v1✓�� 0��S� Phone: Resident/ � Owner ` Address/City/Zip: �� ✓��V1 v��1�14x�-, �@ �!�, Applicant is: Owner Contr��tor Type Of Work . Description ofwork: ��t..� - ' Construction Cost: ��, ``-'�" Multi-Family Building: (Yes /No �C ) I Company: �;n--.s �b�+:•wr �L.,.�r�f��•,�,,.� Contact: �K1L�, f��s �f��rr[ "4 'I Contractor Address: �`��S� �� l� k.1 City: �C�s�✓`'tG'�� I, State�"'�° Zip.�S�'� Phone�S 1 3-�i��` 1''l�$�} Emai1: ��a-at�i �t�I ►'�� , ��)w.. I License#: ��`��b�� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ��J� � ��:�, �� { �. -�' �3lIt�.7 l� $G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: - Sewer&Wate'r Contractor: " a Phone: NOTE: Plans and supporting documents that you submit are con�idered to be public informafion. Portions of the information may be classified`as non-public if you provide specific reasons that would permif the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil ing Code must be completed within 180 days of permit issuance. X��'�� tA� �1��S�Ck�(��.. 0 � X � � - ApplicanYs Printe Name Applicant's Sign ure Page 1 of 3 ��f'�� i` ��;�► �`� �^, �' DO NOT WRITE �Ei��W THIS LINE �� `-��'� �` SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration (Multi) _ Multi � Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �r ._„ Valuation �D�Ad Occupancy �jtG- MCES System Plan Review Code Edition ;�,0�07 SAC Units — (25%_ 100%� Zoning --/ City Water -'�" Census Code y3H Stories Booster Pump � #of Units � Square Feet 1 y,'� PRV -r' #of Buildings � Length ,2'I Fire Sprinklers — Type of Construction � Width �_ REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) �G Final I No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES f y,Z, � V �i�l � o�� Base Fee � � Surcharge Plan Review e 7r- MCES SAC City SAC Utility Connection Charge S&W Permit 8� Surcharge Treatment Plant Copies Q- � TOTAL Page 2 of 3 S . •, . - ... £�� P�E zs .� . . . �tC�BE ., ��.��N ' �NG�HE�I�ING �p�ANH'Ens° �nd�LAHG 3��aVEYO!!S '�`'„�'�-`' CoMC�r�NV tNc. - � . L t000 f,�,ST 146�t STR£ET, Bt�RNSVILLE� 111HNE�GIT� SS33T P!i �'�2•SOQQ C'��r� �`�� ' . 2tosZ; Lo7 10 � BLOCK 2, •BRl7TANY 8TH qDD1T1D�L/� • DAK07A COUIUTY, N(f1UJUE50TA q`� �� ` n�� Aan�;� �" `°`' `'i� �� rt,�� Y: .:_______ � � _7/.�/�� _. � ; � , •.,�,; �`;i�!'�:"' `" .s. . .��°� 1�1 Q RT H � 5CA[..� = 1" = 5d� ��_�.� DEn�1oTE5 FX1571N� �r.�VAT10�v � (qsz.-� } DE�VaT�S PRpP45E0 ELEV�ITlON .�-� INDJ CATES DIREC710ti► D� SuRFACE DR41AlA6E Cj�,�,p Z7 = F/N/SHED 6ARA6� FLDOR �'LEVl�7lON CI�S9.� ' �IGt-�l G1A�TC-�Z t=,LClt. QF Pb�� For Office Use i la ""* " + 8�� ::: I 063 ,,,„ : LO Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(acityofeagan.com L 2018 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: Ua / 'a1 I ( (6 Fee: $65.00 City Sewer City Water V Repair Disconnect Description Of Work: Q,1'100f qe _ \iALX\ 1rUUt ( U U Rtp itk_L Z, c tviSi d e wt oc-F U a C Yvtp ey- h.Ov n Street Address for Proposed Work ` )R)O i._y n c Y 1 ct-rn CA\ . Name: 1. 2e, C>C1. Phone: LQ 1,D 4.24,1 Owner information ; Address/City/Zip: qabO 11cyj ►C&m e- -(J(AX I I M.\ 6sl a a Applicant is: Owner \/ Contractor Licensed Pipelayer Master Plumber Property Owner Name: X)(Amir n( Phone: L.Q.1 -ba-o -5o�l°la Address/City/Zip: S-1 ig, �1`l (X 1 R.-t if)11Ctj k..LUIJ6 (-k' f) l 11 C 5(J' Pipelayer Training Certification Card#: or Master Plumber License#: P W("1310 3 I acknowledge that the information is complete and accurate and 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. r-i+a.n G oaA L a GA'[ Applicant(PrintiVame) Applicant's Si rature You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq \0 }- ALN , CvIc. C bt.r�-V-rct.rYk.1.in 1vLrnlea N rnn , CO , For Office Use • • 4�% % O f,, Permit#: \SIDI S „, EAGAN '�•' ••�� 12-0 • Go Permit Fee: Date Received: " '2!1' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 Staff:_25:6 buildinginspectionstc'Dcityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: l'V/l� - f?4s3 Phone: Resident! Owner Address/City/Zip: ! s'Op.0 ��ja KI°6-11%PSA 4-k C 1P - Applicant is: Owner t/Contractor Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes /No ) Company: ( 5 /4. le. Ukl ht Contact: 6631/41e SrZ e"-' Address: ( V�? 6O14J"ttryL CityContractor State:0AI) Zip: cs a V4/4 Phone: 6a' ' 60(00Email: 1/ License#: 6C— Lead Certificate#: �s If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression uppressions Contractor: Phone: NOTE:Plans sW documents that you submit considered to be public information. oh. ofInformation may be classified as nOit-pUbilb if you provide Specific MOORS that would penult the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00aherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl . x Ce JT��k"ja*—) App1' nt Printed Name A icant's Signature `` PERMIT City of Eagan Permit Type:Building Permit Number:EA167641 Date Issued:03/24/2021 Permit Category:ePermit Site Address: 4880 Knottingham Cir Lot:10 Block: 2 Addition: Brittany 8th PID:10-15007-02-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Deanna L Bass 4880 Knottingham Cir Saint Paul MN 55122--279 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature