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4627 Manor Dr
401°' City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 1 1 2014 Use BLUE or BLACK Ink For Office Use C� Permit #: a / e ! Permit Fee: 197.53 Date Received: CI 11 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4 b- 1 Site Address: "tit? a! Man 0 r D r1 v Name: Ti 6 r'ci,1 Address / City / Zip: 6 Applicant is: Description of work: Lk y ,. p.. j)1- c, R,Z lis," iiiisi'i*t✓' Construction Cost: Multi -Family Building: (Yes / No ) %t Unit #: Phone: Lc – 454 -18042 Company: ([5h)ivI ChitMi e Sfei, r ctqe_ Contact: Address:.20 .Z_(p /2,844 City: State: AV1 A Zip: „57 5-06 Phone: O5 -t f'J7bt, n� tact- 0-2_ License #: is 5 7L ,5 4, 0 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of e information may be classified as non-public if you provide specific reasons that would permit 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.goDherstateonecall.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 Minnsota State Building C�d 1(:�ai le --d within 180 days of permit issuance elit e eirile.5-re,-,9 /.. A phcant s Printed Na e [want ''; Signat Page 1 of 3 M�r Ov)y4/ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration A- Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% V ) Census Code # of Units # of Buildings Type of Construction Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair 3000 eo REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) _ Miscellaneous _ Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant / 70 /° /2 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final /No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies (i e ,1.5-¢ TOTAL 57 33 /7v nue& /51246 Page 2 of 3 BENCH MARK TOP OF PIPE 934.08 01 W \--DRAINAGE EASEMENT PER PLAT` LOT I1 '. WATER ELEVATION = 912. 1 POND �NIO°1937 E--- NI8'42'20" "25.90"vx 85.00' 911 DRAINAGE a UTILITY2.!' EASEMENT PER PLAT-•.,, 929.9 x� 9 —V- CO I r) D) ▪ O CO ?I0) I �v �1933. • 51,ti 0 7.8 3 GR. 10.34 q N 19.3340 29.9/0 g DECK RCH 6 5.0 PROPOSED HOUSE , :3:3.: 933.3133312.51� OSPRED HOU 928.1 h W) ,o. �v; 1 coIO I 16 I 1 • 1 10 • • (b In to 928.4' M w 0 o BY: DATE: EA:^/=kf J REVd.y'aWWED BUILDINI, ,z TIONS DIVISION x927.2 zw fn n. -0 xi w x934.6 BENCH MARK _TOR OF PIPE O 933.83 9/(933.4-) /(933.4-) 2.J%. 3 J 93.3 x 1 M 1932.7 X932.18 N18°I 1 OnE 65 32 g33.2p I A/' [� MANOIT _ DRIV`' E 933.3 o\+ mo 0 33.T DENOTES PROPOSED SURFACE DRAINAGE DENOTES IRON MONUMENT SET fICAVITCC IDt M 11AnKII RRACAIT CCI min PAINTS[ OCT 2 3 199: Dae EAGAN ENGINES; P.R.V. REQUIF SCALE: 1 INCH - 40; oonDncn r,ct .? . . ? .• lKertifCCate nf cccupanc4 40t? of Cfagan ?e?artnce»t af VuOi»g 3860ecttox This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the foUowing: use classificau«n: S F D W G slag. ra,nit ro. 1704 -^`-^"' 0-urancr TYPe R3 ' zoning Distri« R, Type Caast. VN Owner of Suilding ???M BECUMS Address 785 ??9 E'M L I, B I, S`1C]fA T_?APP Bui '' naa? 4627 MAMR.;DRIV: Locality , ,? ? ?, ,?•` . . ?' ' , i? n?: 12/24/q2 euiwing Official " POST IN A COM3PICUOUS PLACE _INSPECTION RECQRD COntral No. 1237 - CITY OF EAGAN PERMIT TYPE: "l+i !t" Nt' 3830 Pilot Knob Road Permit Number: 001104 Eagan, Minnesota 55123 Date Issued: 10128/qz (612) 681-4675 SITE ADDRESS: 461,11 MAMAIt ON S TOOU f7RpP PERMIT SUBTYPE: ', r Owr, APPLICANT: NxrTEisraEot eRoTNERs (692) +156--9126 TYPE OF WORK: m INSPECTION F'Ulat I ryl, .. . . FRAl1INH . iNS11111 A I iiit4 FINAL j i'I RU f'1. Af.r R#=lIARK S t plkV s s w cowIR+4cTOlk •- McnoMALu rLBa ? ?? ?" permR Na. Permit Holder daM Teleplwrw t S/VN PLUMBING HVAC ? ? ? ;?r 9? G?tJ ELECTRIC ?' ? -'? ?%4, h? ? , ELECTRIC Inapacdon Dete Insp. Comments FvaQings 1 7 Foundation f? G Frdming ? Roofing Rough Pibg. ! Rough Wt9. //_ Isul. - I Fireplece bP l - 2 Z Flnal HV. Qtset Teat /v Final Plbg. ?- Pibg. lnspector- Notifij Plumber Const. Meter EngrlPlsn Bidg. Final 'arYlqz °ea` Ftg. I ?7 L Deck FiRal weir Pr_ Digp. ? Address: 4627 MANDR DRIVE Lot I Blk I Sec/Sub S IODn RApp These items ware/were not complete at the time of the final inapection. 12/24/92 ' Yes No Final grade (6" from siding) LX Permanent steps - garage ? Permanent staps • main entry 4*, Permanent driveway / Permanent gas Sod/seeded grass Trail/curb damage ? Porch ? Sasement finish ? Deck Pleasa verify with the builder the ramoval of roof test caps from the plumbing system and the shut-off of vater supply to the outaide lawn faucat bafore freeze potential exists. m 17:16 - White - City copy Yellow - Reaident copy PLnk - Contracior copy K24793 Fequest Date Frte o Rougn-in Inspection R mretl? ? Reatly Now ???/// ?` W01 NotiFj Inspecta ves ? No ? When Reatly'+ flicensed contractor .rJ owner hereby request inspection ot above electrical work at: Jo /Atl?/tlress (SVeet. Box or Poute No ? ( VJ a Gry Secoon No Townshi0 Name or No Range No Counry Ocmpe t IPRINT) / 5'T?? ? S Pho? No ?S6- S Power Supplier Atltlress G D?? EV rila? ConVacior iCompany Name) ConVactor§ Lcense No aibnq Atltlrass (COnlractor onr OWner Making Insisllslion) Autnonz SgnaWre ICOnUactonOwner Making Ins1a1letwn) Phone Number MINNESOTA $TATE BOAND OF ELECTNIqTV THIS INSPECTION REQUEST WILL NOT Grlggs-MlEway Bldg. - Room 5-173 aE ACGEPTED BV THE STATE BOARD 1821 Universlty Ave.. St. Paul. MN 55104 UNLE55 PROPEP INSPECTION FEE IS Phone(814)BaY-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION K 2 4 7 93, ? Sre ?n+?mcnons br campieong mis form on back af yeuow copy "X" Below Work Covered 6y This Request ff? ee.ooom-oe ?? ew Mtl Rep ? TypeofBwlding ApphanCeSWired EqwpmentWired Home Range Temporary Serwce Duplez Water Heater Electnc Heating Building Dr yer Other(Specity) mlintlustriaf Fumace I Air Condinoner r (syemry) ConVactor's Remarks Othe Compute Inspection Fee Befow # Other Fee # ServiceEntrenceSize I Fee # Crtcmis/Feetlers Fee Swimming Pool 0 io 200 Amps ,? ? 0 to 100 Amps / 7ransformers Above 200 _ Amps ve 1 Amps Signs insaeaors use onry ? 70? Irrigation Booms ?? 6P Special Inspection Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETEO WITHIN 18 M S. I, the Electrical Inspector, here by Rougn-in ( f•= , _ oa?a ?ir ? J cenify that the above inspection has been made .- - Fnal at il OFFICE USE ONLY TMS request vad 18 moMhs Vom ? 1? 14 --1.f?) RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWetlon Reaufrements • 3 registered site surveys showirg sq. R. oF lol, sq. ft. of house; and all roofed areas (Nl% max'vnum lot coverage allowed) • 2 copies of plan showing 6eam & window saes; poured found design, elc.) • 7 set of Eneigy Calculations • 3 copies af Tree Preservatiai Plan it IW platted aRer 711193 . Rim Jokt Detail Optlons seledian sheet (bldgs with 3 or less unRs) DATE A L SITE ADDRESS ?L,? -7 h'14 PJ 0 419- TYPE OF WORK (2 E- S MULTI-FAMILY BLDG Y ?-N W7 S4S , FIREPLACE(S) _ 0_ 1_ 2 APPUCANT A,6C STREET AcD?DRESS /??L/-7 !UI C p L L? T -'al?Sc? CITY g4Pn? Li/.L?TATE? ZIP '?5337 TELEPHOWE #Z _707' 6y0 CELL PHONE # JP 9C2 'a y? '44?31F FAX # gSZ -?107 -992 !?_ PROPERTYOWNER 7-I m GM)/ TELEPHONE# 6!P '4-1?4?2940/ ------------°--------------------------------------°°------°------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'f'A RUI.ES 7670 CATEGORY 1 MIIVNESOTA RULES 7672 (4 submission type) . Residen8al Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includcs: Mechanical Conhactor: Mechanical syslem includes: Sewer/Water Contractor: Phone # Phone # Fee: $90.00 Fee: $70.00 ----°--------------------°----°---°---------------°------------------°--------------------------°------------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances? Signature of Applicant 044n'' OFFICE USE ONLY Water Softener _ Water HeaLer _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System RemodellRaoair Reauiremems . 2 copies of plan • 1 set o( Energy CalcWalions for heated additions • 1 slte survey tor exterior addihans & decks . Indicate A home served by septic system for additions VALUATION I7., J I S• au Certificates of Survey Received _ Tree Preservation Plan Received _ Nof Required _ llpdated 4/02 INSPECTION RECORD Control No. 1237 CITY OF EAGAN PERMIT TYPE: Bu 1 i_ n r Nr., 3830 Pilot Knob Road Permit Number: 001704 Eagan, Minnesota 55123 Date Issued: 10 / 2 8/ 9 2 (612) 681-4675 SITE ADDRESS: i. n r: 1 BLOcK, 7 APPLICANT: 4627 MANOR DR MI77ELSTAEDT BRQ1"HEftS S TQOD RAPP (612) 456-9125 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOT.LNG D. . FRAMING .A 7NSULATION FINAL FIREPI.ACE REMflRK5: PRV S& W CONTRRCTOR - MCOONALD PLBG ? ? A"' CI.TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 1237 PERMIT TYPE: Permit Number: Date Issued: 4UTLDIN6 001704 l0/28/92 SITE ADDRESS: 4627 mANoR i7R Lnr: 1. BI_ncK; 1 s Tono RAPP DESCRIPTION: ;-Buildf,'nq Permit TYpe SF DWO ` BuiYdingh?W,ork Type NEW UBC 4ncupan`c,y R-3 M-1 Cansxructian 't,yos V-N 2nhing R-1 QijiSd3ng Length73 Bui.lding Wiclth 36 , REMARKS: 44N I1? PRv s& wCoNrraAcroR - mcoOn!NLD Pi aG FEE SUMMARY: VAIUATiON Bas2 Fee Plan Review Si.archarge SRC S/1C o SAG Units S ubToCa1. $500.58 $620.;33 $73o0m $700,00 100 1 $2,093.83 $146,000 MISCELLAIVEOUS _ 1.610.50 Tora1 Fee $3,704.33 CONTRACTOR: - Applir_ant - ,7. I_ICOWNER: MITTELSTAEDT BROTHERS 14569125 0603443 MZTTF.L.STflEC1T BR05 785 5UN5ET fJR !85 SUNSET DR FAl;AN MN 55123 EAGAN MN 55123 (612) 456-9125 (512)456-9125 ? S hereby acknowledge that T hdve N2ad this apRlisa.t:3c3n anct state that the informatsOn is correot and agree tn cainply s.rith a11 applicable StAte oP Mn_ StatuLes and Gity af Eagan Qrdinances. APPLICANT/PERMITEE SIGNATURE -- ,j??? a; i rn ISSUED Y: GNA E PERMIT M CITY OF EAGAN eEacTiva7E _ 1992 BUILDING PERMIT 681-4675 APPLICATION 3)' rf?4'33 rQG7 2 s/,ll AneCu - P llN..' 1 y? II 1 A I I ^ '( SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAI 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last workfng day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date /fJ / a_? / .92 Valuation of work 1j0jrcst2`00 Site Address: ylo2'7 ?2 SiREET SU[TE / Tenant Name: (commercial only) LOT ? BIAC& _L SUBD. ?• ? P.I.D. M Descri tion of work: The applicant is: O Owner EdContractor ? Other (Deseribe) Property Name LA:, FIRST Phone. Owner pddress STREET S7E A City State Zip Company 7-- 451,gr;2 Phone 4/f54i,/;2 5 Contractor Address -7e-,,5 5uA,,,? bji. License # 3s?V3 Exp.9_54 City Z?Av.?J State /1?0_ Zip S?Sr7 '3 Company Phone Architect/ Engtneer Name Registration A Address City State Z;p Sewer E water licensed plumber /&_ &.14c.d JoLUdYt6.? . Processing time for sewer 8 water permits is two days once area has been approved. 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. Signature of Applicant: ?? ? - OFFICE USE ONLY BUILDING PERMIT TYPE 11 01 Foundation ,A?i 02 SF Dwg. ? 03 Sf Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ?K 31 New ? 32 Addition O 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION . ?.? k ? 11 Apt./Lodging ?6 Basement Finish ? 12 Multi. Misc. 0 17 Swim Pool ? 13 Garage/Accessary O 18 Coimn./Ind. ? 14 Fireplace 0 19 Comm./Ind. Misc. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolish ? 36 Move Const. (Actual) V- Basement sq. ft. (Allowable) _V__jT_ lst F1. sq. ft. UBC Occupancy - M-I 2nd F1. sq. ft. Zoning R-I Sq. Ft. total # af Stories Footprin t 5q. ft. Length q3 On-site well Depth 36, On-site sewage APPROVALS Planning Building ?? LD,ZvSZ Engineering Yariance REQUIRED INSPECTIONS ? Site ? Footing 0 Framing ? Wallboard O Final ? Draintile Permit Fee Surcharge Plan Review License MWCC SAC City SAC 1later Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. COpies Other Total: sac x IoD SAC Units ::? v.tuac;a,: S /9?, Doo ? Insulation ? Fireplace ? x I r = (z z) '?- y_3 a_ ? IaFIZ: I2c>?S 61?x I =q ?s?. " A5M7 S ? 'ND ai'/t tx,u = -3oI ?? 30 = 3 a?A'Ia'/-z = 3'7 ar I x ??= I? ? a4 = I9z 13 x .'tb = 338 lUK ?3,?_ 13? ? J341 X is ?' 2oj//S - (sr -F?vo Z 1 /2 X g?2" 1 1 3s'N x.1?T =`? t ? 6 MWCC System City Water 17 PRV Required Z£5 Booster Pump Fire Sprinkler Census Code ? 5AC Code -0 / Assessments 00 ?- '7 3 1 X53= ?3?,7y3 , ?? DATE_ /4Z2 . , , . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION : °wxEx ? . d 4x , .r B ZIL six$ annxESS -zfc? a-7 lWq•.ZK_ Q,,r>,? ? CONTRACTOR? ADDRESS_7'gS 9t!n7t1=-r [A TtRC,/f,d PHONE LJ 6Ca 412 +S' DETERMINE WORRING SQUARE FOOTAGE OF EACH. 1. Total eaposed aall area ... 9_ 2qp aq: ft. x•11 .? 2. Total roof/cetling area ... I'Z'7 S sq. ft. x•026 a 33•Z Total eaposed wall area above floor ? 22 0'7.'fS , a. Total wall window area ......................... 2 9 S b. Total door area ................................ y 0. 0 c. Total sliding glass door area .................. y y,o d. Total fireplace wall area ...................... p e. TotaS wall framing area (average lOx) .......... 224.0 f. Total net wall area abone floor ...........:.... / 5 5 3. o g. Total rim joist area ........................... 12 S.o Total expoaed foundation area Z 5 ` h.. Tot4l foundation window area ................... 11 1115 ? i. Total net foundation area above grade .......... 71 ,0 Determiae "U" value of each wall segmeat. a. 21 , 7 %elIIor _ (45 b. qo x „Ull 2. S - x"II" . 4-2 - 1 S. 5 g, ? x nIIn e._ 22,q.0 R,rU" f• I553.o x "v" ok3y - 6 '7,y S. r 2 g x"u" > h. it,25 x ,fUll g rtUn OqN - 5.[s , . o4i2 . 3 . ...............................Total If item 03 is the same as, ar Iess than itea of SBC 6006 (02. -1- intent t Page 2 of 2 Total exposed roof/ceiling area - 1117 5 J. Total skylight area ........................... O k. Total roof/ceiling framing area (average IOX).. ' 1. Total net insulated roof/ceiling area ......... 1/ 4 5. 3 Determine "U" value for each raof/ceiling segment. , j • O x "U'r p ' ? k._ r79.'7 R uU° 4 :...................................... .Total ? c If total of 44 is the same as, or less than 02, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total eavelope ayatem method, the values established by ' the aum of items 93 and 94 sha11 not be greater than the aum af items , C1 and 62. , 1. + 2. ? 3• +4.. r• -2- a. ? L V• BL CITY OF EAGAN SUBD.??P?G*" l?PLUMBING PERMIT (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAPfILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT ? C D o7 DATE J/-(,2- 0 ALSO, FOR TOWNHOMES AND CONDOS WORK DEIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: ???alb&o SITE ADDRESS : _ qb aq 7 a/?l,?? Dn • INSTALLER: ? All?? ? ADDREss: CITY:L p4&74 ZIP: J 4g ? COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 1 SHOwEa 3.00 ? 3 WATER CLOSET 3.00 ? . j?, BATH TUB 3.00 ? ? IAVATORY 3.00 - ?? / KITCHEN SINK 3.00 3-_ % IAUNDRY 1RAY 3.00 3? HOT TUB/SPA 3.00 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 ? GAS PIPZNG OUT. ? (MINIMUM - 1) 3.00 •?=' ? ROUGH OPENINGS 1.50 OTHER ? WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 _ Ll2vz STATE SURCHARGE .50 TOTAL: S ? 2061 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDIN6S WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALLER: ADDRESS: CITY: PNONE FOR: ZIP: CONTRACT PRICE; 1% OF CONTRACT FEE. . STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN 5??39 L_L B? ? MECHANICAL PERMIT RECEIPT #5 SUBD. F , ? (612) 681-4675 DATE ? RESIDENI7AL PLF.ASE WMPLEl'E UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEfE FOR TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQUIItID FOR EACH DWELI,ING UNIT. OWNEYL: ADD-ON A/C ADD-ON FURNACE ? SI1'E ADDRFSS: c? r Y-; Ve_, ADD ON/REMODEL (EXISTING CONSTRUCTION ONM $ 15.00 INSTALLER: nIr AVAC: 9-100 M BTU 24•00 rHONE 12481 Rhode Island Ave. Sa. ADDrr[o1vAr, so 1H s'r[r 6.00 auDRESS: , 894-0005 Gas oUTLEIS - MINIMUM i Q $3 En. a 40 CTI'P: ZIP: SURCSARGE: $ SIGNATURE: TOTAL: r ? c4s;b'?' -r,?• ?F-P NO PEBMIT REQUIRED FOR DUCTWORK ONLY COMMERCIAL PLEASE COMPLE'fE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTIiER MULTI•FAMILY BUILDING3 WHEN SEPARATE PF.AMiTR pRE NOT REQUIRED FOR EACH DWELLING UNTf. WORK AESCRIPI'ION: r CONTRACf PRICE l% OF CONTRAC7' FEE. FEFS STATE SiTRCAARGE I5 $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCFSSED PIPING - 525.00 MIIdIMUM FEE - $25.00 $ OR'NER: TOTAL: $ SI1'E ADDRFSS: TENAN'i': SUITE INSTALLER: ADDRESS: CI1'Y: ZIP: PHONE #: CTPP SIGNATURE SIGNATURE: ~ ~ ~ r~ e~ ~ ~ ~ ~ l~,l z ~ ~ . ~ ~ w , G ' ~ J ~ s J 7 ~A ~j ~ i7 ~ ~ l~ ~ ~ - `1 ~ ~ m . ~ o ' N ~ ~ ~ ef' 2 n0 fn O \~v \ ~ _ op N x ~ ~ ¢ LL i6! ~ n ~ ~~V ' , I r ~1" 6d.a V O CD i ~ ~ ~ ~ ~ ~ O ~ __~~1 O N ~ ~ ~C7 ~ / / N CO / ~ C~ ~ W O ~ ~ 0 =o~~-~~~o _ ,,o~~=~~o° z ~ d, . _ w ~ v _ -.y~.:0 T ul ~ .N -..__Q~ 0 - ~ ~ ~ O~~J 3 ~ ~ ~ ` ' ~ ~na~o~oo~ ~ AN ~ C C . O . ~ ~ ~ ~ 7 0 ~ ~ L O \DRAINAGE EASEMENT ° 3 N} ~ PER PLAT\ ~~o°a~p°w'a~~ n~ v,°~nE°.~ca o ~~'ENOa~cn p \ , }7 C a C,, ~ 0 LOT I ~ I- W I , ~Z ~J I , _I_ f L L_~ / ~ ~ .o g ~ ~ Q H I LI. ~ Z o ~ _ - - _ ~ = _ _ _ _ _ . _ _ _ _ ~ ~ _ _ _--U-- - _ _ _ _ _ _ _ ~ ~ ~ Q N Q ~ WATER ELEVATION Q 0 = s ~ 2. ~ ~ o Y 0 ~ ~ Q ~ P p N ~ ~ ~ i1. o ~ - ~ i ~ Z NIO°I937~~E---,. N18°42~20~E ~ ~ O . 25.90 x 85.00 W ~ ~ ` ~ 912.-i ' ~ 5 DRAINAGE ~ UTIUTY ` ~ ~ EASEMENT PER PLA7=~ 5 ~ ~ ~ Q ~ ~~.~C.,.S1 ' z92Z2 ~ ~ a 929.9 z 929.9 r ~ ~ ' • - I °ecK aoKa, 928.I / ~ ~ a. X 9284 Q : m ~ 65.0 ~ - ~ w - i0 N ^2 PROPOSED , M ' ZW ~ ~ ~ ~ , ~B3 - HOUSE m io.o ~ m ~ N~ ~ 0 ~o~ ~ / mI GAR. ~ ,t33o I c~ p~ x2 BENCH a 13.33 I m W ~ Q TOP OF P PE ~ iz.5~ O = 9~.08 io.~ a ~s~s Q `+3G. ~ ~ 933.3 ~ ~~x ('~3a,<t~ x ~3.~_'_"~---~~- x934.6 ~ ~ ~ ~ J pROPOSED ' I ~ 1~ ~ ~ 5I tl ~+'ar,~ ~ 0 BENCH MARK ~ N 1~ L~ , ~ \:TOP OF PIPE ~ 5 ~ t ~ , ~ o o ~ - 933.83 ~ ~ I 93 3x i ' ~ ~ '~/~q~~,~.~ r o ~932.7 ~2~ N18_I9 2p E~ 33.3 Y iv ~ o ~Q 933.2~ ~ ~ ~ m= e~ V MANOR DRIVE933.3 OU~ 2J IJJ~ ~ o ~9,~,~2.9 --_____--X- - ~ y' a o~, ~ ~ Blll lN~. r F ~~o°~~ o ,,h 'J Da ~ ~ ~.~G~i~' ~~tC~~'~~RII~G DRAWN BY S W K DATE ¦ ¦ ~ 10-19-92 NOT E PROPOSED 6RADES SHOWN WERE a DENOTES PROPOSED SURFACE DRAINAGE TAKEN FROM THE EXISTING REVISIONS GRADING ~i DEVELOPMENT PLAN 0 DENOTES IRON MONUMENT SET SCA~E. i INCH = 40 FEET FOR. S. TODD RAPP ADDIiVON ~`DENOTES IRON MONUMENT FOUND PROPOSED GARAGE F~OOR = ~~35. 2 FEET PREPARED BY NEDLUND ENG. X000.0 ' DENOTES EXISTING ELEVATiON PROPOSED LOWEST FLOOR = q Z~, FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = q 3,, , c~ FEET WE HEREBY CERTIFY TO MI7TELSTAEDT BROS. CONST. THAT TNIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: BOOK / PAGE Lot I, Block i, S. TODD RAPP ADDITION, according to the recorded plat thereof, NOTE NO SPECIfIC SOILS INVES'fIGATION HAS ~EEN COMPLE7ED ~QkOiQ C0U(l4y ~ Mi~nesota. ON THIS LOT BY TNE SURVEYOR. THE SUITABILITY Of o r., r~~~r,~,nT cne-r~r~~ un~icr oononcen ic iT nr.rn r.inT'~ni innnn~r rn e~i in~e~ i~annn~ir~er_niTC r~n ~nino~nruAn~nirc CV!`CDT AC CLll11A/AI AC n~n irn-r ~~n ~VIL~ ~ ~urrvn nC nvwc , v - II wco ivvi:runrvni IV JfIVYY IIVIrf1VVCl I IJ Vfl LIVVIIVftl~iilVluv1,t, ~n~u i n~ ~7 ivrvIv. n~7 r~UJt~ ~ ~VU. NoT TNE RESPONSIBILITY oF THE suRVEYOR. SURVEYED`BY ME OR UNDER MY DIRECT PER ISI N THIS 19TH DAY OF OCT. ,1992. 92616 SIGN D: J E R. HILL, INC. ~ FILE N0. NOTE BUILDING DtMENSIONS SFIOWN ARE ~ FOR HORYZONTAL 9 VER7V;:AL LOC- 1-92-169 ATION OF STRUCTURE ONLY. SEE ARCHITECTUAL,PLANS RN? BUILDING s FouNOaTioN oiMENSioNS. ' JOHN C. LARSON, LAND SURVEYOR SHEET I OF I MINNESOTA LICENSE NUMBER 19828 01/25/2010 NON 9:59 FAX 6514378831 Q002/002 Use BLUE or BLACK Ink l - - - - - (~i I Permit City of 11alan Permit Fee: 3830 Pilot Knob Road I t Eagan MN 55122 j pate Received: Phone: (651) 675-5675 l t Fax: (651) 675-5694 Staff: I 201©MECHANICA PERMIT APPLICATION Date: Site Address: Tenant. Suite RESIDENT OWNER Name: n'1 Phone: k454-"' IMP ! Address / City I Zip: iV10 !maw " ,C CONTRACTOR Name: LSTon 1` oy Pl U.i'It of n q C{ 'p tense _ t` _ Address: 19 City: U P_Vb'1 I ~ Ltlig State: ~80 Zip: Phone: Contact: t eCd_ni1 Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: na PERMIT TYPE RESIDENTIAL COMMERCIAL Fumace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install Remove) ` When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ a Z9, COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit j is less than $1,000, surcharge is $.50. - If Permit Egg is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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.eoaherstateonecalllofg I hereb acknowledge that this information is complete and accurate; that the work will be conforrnance twithinances /City of Eag at I understand Is t a permit, ut only an application for a permit, and work .s to start withordance wi th approved pla in th of wort ich requires a review and approval of plans., x x AAP c nt's Printed Narrib re i s i A atu Pp ca 9n .i.,u.. 20 Ear~5r'.':'. I~ - t °z- ~ ~i~,,4 ?at z ; - ,;BI=B • ~ri~ 4 rJ.f xk.'i x i e- ~r. c" ' NOVOM, Rh Ynr rt Iris e~ti~~ns. I fnder Ground i v~~ t~ cl c3tigfl iR 3 t C ~Ti§~x~C1 t i,.< 4:'3~s.~ Onn I PERMIT City of Eagan Permit Type:Building Permit Number:EA113551 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 4627 Manor Dr Lot:1 Block: 1 Addition: S Todd Rapp PID:10-65795-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jarrod Stenzel Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy R Gray Tste 4627 Manor Dr Eagan MN 55123--216 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------- S 7 9 e L~ A'ey )DY i For Office Use City of Eat am- Permit oZ f (nl I Permit Fee: V i 3830 Pilot Knob Road I J Eagan MN 55122 Date Received: / 4 /QJ L✓ I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: I - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: +6,,).-7 ioiy ( D Unit Name: -I PVVN Phone: Resident/ Owner Address / City I Zip:164►pPC De , ["1V Applicant is: Owner X Contractor Woti Type of Work , Description of work: reni 1MCA ~o ~o vdcr ~cAmA `rtAw6 (e54 !fel9lc d,~L}~ Construction cost, 1 000 Multi-Family Building: (Yes / No ) lgt%,~~►eyt Company: kl' IIIA VL-.tJt9 i'lll Contact: d5i alg~ Contractor Address: ! J City: Afl r S Vd k-, State: Zip: 6,535.7 Phone: License #:12Z 17W Lead Certificate A !T- 042-71 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: = NOTE. Plans and su of pporting documents that you submit are considered to be public information. Por ti~onso the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qog)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ode m e completed within 180 days of permit issuance. x x A lic nt s P nted Name Appli nt's Signa Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115908 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4627 Manor Dr Lot:1 Block: 1 Addition: S Todd Rapp PID:10-65795-01-010 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy R Gray Tste 4627 Manor Dr Eagan MN 55123--216 (651) 454-1806 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r --,(1 - For Office Use :::::e:' 4* City of Eaal �L 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: �,�P m � 7 , ..pe.o a�_ Phone: S N..y Sy "! d S� 1 Resident/ 1�� Owner I Address/City/Zip: U 7 l/4'\ 4-i.--°-r 1 f 5 L'h S�S j Z3 s Applicant is: Owner 1. ontractor Type of Work , Description of work: i Construction Cost: �i 7 cs Multi Family Building: (Yes �/No ) Company: /- 9.-- 1.�--.4es Contact: Contractor I Address: g- ?- a T.-. .,(.4 (,r - -� Pk > City: , . 4}�� S g Stater-‘A-- Zip: C.3 ?4'hhone: 2/2._-zoi -ez 3t`Email: a--.. S /1,,moi.-% c,rleer o,S; Col-, License#: /3 L.37 8- ' `( Lead Certificate#: 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 Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to � ,,,„ ,. ..., , ., , ... , conclude that the are trade secrets. �.. CALL BEFORE YOU DIG. Call Gopher State One Call at�ii(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 Building Code must be completed within 180 days of permit issuance. x 3 L S /� ... -2-a Applicant's Printed Name Applica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA165668 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 4627 Manor Dr Lot:1 Block: 1 Addition: S Todd Rapp PID:10-65795-01-010 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 - Robert J Krejchi 4627 Manor Dr Eagan MN 55123 (651) 558-7583 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature