4645 Manor Dr
Use BLUE or BLACK Ink
For Office Use I
j Permit
City of Eajan Permit Fee:
3830 Pilot Knob Road afi I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: tX4' S- .~.yrav t~~
Tenant: Suite #
RESIDENT.`/=OWNER ` Name: 11th, .Ne~i~i9«~S Phone:
Address / City / Zip: Z
Name: dZ1~? r1?'~`,~~ License
CONTRACTOR' Address: ,//r_ -:!f. City: 5 >
State: Zip: Phone:
Contact: l z,71- ~ Email:
New .`Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOtE: Roof mounted and ground,ntounted'mechanical equipment is required to he acreenedaby City
"Code. Please`ciontact the Mechanical inspector forr,information,on permitted-screening methods
RESIDENTIAL COMMERCIAL
Fumace New Construction _ Interior Improvement
PERMIT TYPE -Air Conditioner Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank L_ Install Remove)
Other
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ J TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Ege is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit F~eg is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a$ 5.50 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.aopherstateonecall.ora
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.
x
Applicant's Printed Name Applicant's Signature
FOR OFFICEUSE
-
Required Inspections: -R6410' Wed By: Dater T_
Underground Rough In Airiest Gas Service Test' "In=floor, Heat Final HVAC Screening-,- -
CASH RECEIPT • CITY 4F EAGAN
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
r
DATE
RECEtveo
FAOM -7 l?; } ??- ?. ?j? •
AMOkiNT
oC
& DOLLARS
+ao
p CASH CHECK
C 8757 wnna--Par? ?v
velaw-Posting Copr
Thank You ? .
BY c- r (•'
PERMIT OFFICE USE ONLY
. ?
. ."DATF, JU1,Y 2, 1990
METER # -
CHIP # -
METER SIZE
ISSUE DATE
PERMIT DATE 109/06l90
PERMIT # 11621
B.P. RECEIPT # C 8757
B.P. RECEIPT DATE 07/07 90
-1 PRV - BOOSTER PUMP
SITE ADDRESS 4645 kiANi?R DIt
LOT 3 BLOCK 5 SEC/SUB i'tANQR L-"-KE 2ND
APPLICANT: ADDRESS: %
CITY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS: A tuNfmur.o "1' •„ ,,. -" , ?to
CITY, STATE jbr-: ;F -2,.-14 ,: I ZIP
PHONE: -7 3 3 - 771 7
OWNER: PARAGON $4l•1ES ;:0::i'
ADDRESS: 14824 AWTUbI14 pL
CITY, STATE
PHONE: = ?'?VILLE,
'.32-1054 Zlp 55337
PERMIT REQUESTED
•'A(_ SEWER X WATER -TAPS
- COMM/IND
X NEW
X RESIDENTIAL
- EXISTING
Lawn Sprinkler ?rleters are to be Installed
Ahead of Dopxestic Meter,s on. Water Line.
Credit WILL fJOT be giverrfor,Fleduct Meters.
.-V14?A14.12. ?_'le ., t?
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
, CONTACT ENGINEERING DEPT.
SEWER 8 WATER PERMIT
CtTY OF EAGAN
3830 Filot Knob Rd.
Eagan, MN 55122-1897
DAT? 3ULY 2, 1990
OFFICE USE ONLY
METER AWy041 E-5 PERMITDATE (CHIP # PERMIT # i 16Z 1
METER SIZ -h44?B.P. RECEIPT # C$7 57
ISSUE DATE )4' qe B.P. REGEaPT DATE (WU`J 90
r PRV _ BOOSTER PUMP
SITE ADDRESS 4645 to_vOri u;.
LOT ? BLOCK 5 SEClSUB MANOP, LAKE 2ND
APPLICANT:
ADDRESS:_
CITY. STATE
PHONE: _
ZIP
PLUMBER: &ML
ADDRESS: AIwF'E Tt]kK/7 _' r.;.?tT r.? rt c BLUE,
CITY, STATE Avrc-rew w.f i ZI P
PHONE: ??-a - 7(71 ?
PERMIT REGIUESTED
X SEWER X WATER - TAPS
- GOMM/IND k RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler AAeters are to be Installed
Ahead of Do? stic Metefs on Water Line.
Credit WILLfVOT be giveri for E'feduct Meters.
I AGREE TO COMPLY H
OWNER: PARAGON HOIff.S C0: i' EAG :0'RDINA
ADDRESS: 14824 AUTUASN PL _
CITY, STATE BL'i,I:SVTLLE, i`'iN ZIP
PHONE G 3?'- i{? 54, GN RE WHEN METER I
r1!, , ,• i ? 4' ?i:...;.,, Y,?.. •?
PLEASE ALLOW TWO WORKING DAYS 00R 'PR6CESSING. c"./T?.L 454-5220 FOR INSPECTIONS
SEINER PERMITS, CONTACT ENGINEERIMG DEPT. ,Y •-.1 ?7-9D
CITY OF
?
FOR STORM
.. .. . :.. .. ..
??»?. -?yl, • CITY OF EAGAN
3530 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
` BUILDING OERMIT Receipl #
:131 ,000
?? ?/GAR
A JULY 2 90
To be u
d for
Est. Value Oate , 19
: 4645 lIAIIOR D8
Site Adlv ss OFFICE US E ONLY
Lot Block Sec/Sub. RP-3 M-1
Parcel No. occupancy FEES
PABJIGON 80!!63 tARPMTIOM 2oning
Y-M 7?.00
Name (actuai) const Bidg. Permii
= 65
30
AddfesS (Allowable? - har
Sur .
o
Clt}I BURNNV hone 432-1034
# of Stories ge
c
?6.00
Plan Review
? Length 3V 100000
o Name pepm - snc, ciry
,
v` Address S.F. Total - SA
MCW b???
C,
CC
? City Phone S.F. Footprints - 6+js.00
Water Conn -
On Site Sewage 90
00
W W Name on site wen water Meter .
_-2 Address Mwcc syslem 30.00
U i ? ACCI. O2Q0SI(
gW City Phone Citywater ? S!W Permil 30.00
.
a PRV Required - 50
.
` I hereby acknowlege that I have r adthis application and statg, th
t the Boosfer Pump - gryy Surcharge
infortnation is correct and agre 'o comply wit ,"all.applicabl"e State ot
? 252.00
Minnesota Statutes and Ciry?ag?n Ordinanc,
s j.- Treatment PI
Si gnature of PermiteeCr APPROVALS Road Unit 355. 00
A Building Permit is issued to: ??" HOM CM Planner - Pa?k Ded.
on Ihe express condition that all work shall be done in accordance with all Ca^cil --
applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg' pry, _ CaP185
Building OffiCial
1 Variance
TOTAL
?
/
• Pe.n,n No. Pe.mn Holda. D91te relepnons x
WATER
SEWER
PLUMBING l7 rj r?
H.v.ac. 7 90
ELEcTRic
Inspection Date Insp. Comments
Footings 1
Foundation
Framing
?ing G
Rough Plbg.
- - D r
Rou9h Htg.
Isu1. ?? -i ?
Fuepiaoe
Final Hig.
Fnal Plbg.
Consl. Meter Pibg. Inspector - No61y Plumber
Engr.lPlan
Bldg. Final / T- ZC,-St'J GV
Oedc Ftg. ?? !l
Oeclc Final
weli
Pr. Disp.
' .•
Ter#t#rra#t of (Orrupaurn
Citp of Cagan
arprwtrid of iwbinq itiaprrtian
71ris Cern'ficate issuad pursuan! 10 tJu reqrrirerreenls of Sacrion 306 ojlhe Uniform Building
Cale certifying lhal a11he titrre of issuanae rhrs srrudure xm in wrnpCrance with the w%*ur
ordinartas of !he Cr1Y Te8'uladnE building consiwclioa or use For the followutg.
use Qaufiatioa &Z-?'.," sldg. Pamit Wo. 1 s1R5
0-pa°LTType A3MI zonieC Diwia Ri Typr, r? VN
o-ot s-lcrwsFARA6yA?HMa-OW. Aea= 1AR24 atmtrt,t Pr.., B' VIL E
POST IN A CONSPI(xJOUS PU4CE
PLUMBING PERMIT For C
C1TY OF EAGAN PERMIT # _
CONTRACT. 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE . . PHONE 4548100 DATE: _
Site
Lot.
Res, New _
Mult. Add-on
Comm. Repair
Other
DESCRIPTION
5 A dl
c City
? Add
c? cRy
Phone
FEES
COMMJIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.INO./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(AOD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQr
? FIXTURES
Water Cldset - $3.00,. T?TAL
$
-?
? Bath Tubs.,--$3.00 `- L
• ?
Lavatory - $3.00 1
CZ)
-? Shower - $3.00 ?
Kitchen Sink - $3.00
?
' UrinaUBidet - $3:00
Laundry Tray - $3.00
Floor Drains - $1
50
-'
-T . " ?
--? Water Heater - $1.50
Whirlpool - $3.00 •
?- Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00 ?
wen - $10.00
' Private Disp. - $10.00
? - ?%
- Rough Openings - $1.50 -
PERMIT FEE: f `
D
STATES S/C:
y f
?
GRAND TOTAL: .
'
. ' ' MECHANICAL PERMIT
' CITY OF EACiAN
3830 PILOT KN08 ROAD, EAG/tN.
Site
? Name
3 Addre
p CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? M BTU
M BTU
M BTU
M BTU
CFM
?
1
PERMIT FEE:
S/C:
TOTAL:
PERMIT #
RECEIPT #
MN 55122
DATE: _
BLDG. TYPE
Res.
Mult
Comm.
y Other
WORK DESCRIPTION
_r
New >=
Add-on
Repeir
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RE5. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMin - 1.50 EA.
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TQWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUTA RESIDENTIAL FEE - ALL ADaON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT 0
- .5
? (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
` 3
,?' tl+ ' '"?"?
?J/.,i'dxli• -.? - ' : ?^?" f
? SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
:
DATE: SEP 6, 1990
RE: 4645 MANOR DR (PARAGON HOMES CORP)
x Yp ur Sewer & Waier Permit for the above property has been completed. It will be held at the
?ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
GOMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 4645 MANOR DRIVE Lot 3 Blk 5 Sec/Sub MANOR TAKE 2ND
Thase items were/were not complete at the time of the final inspection.
DATE: DEaAffiE.R 20, 1990 Yes No INSPECTOR: ,S
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch V
Basement finish ?J
Deck
Pleasa verify vith the builder the removal of roof test caps from the plvmbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential ezists.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN Np ' 808?
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
?---y
BUILDING PERMIT PHONE:454-8100 Receipt # ?
To6eusedfor SF DWG/GAR EstValue $131,000 Dale JULY 2 , 19._90_
Site Address 4645 MANDR DR
Lot 3 Block 5 SeGSub. M1NOR LAKE 2ND
Parcel No
.
Name PARAGON HOMES CORPORATION
w
3 Address 14824 AUTUMAI PL
° citY BURNSVILLEphone 432-1054
o Name SAME
:.
a
0
Address
,
?
City
Phone
Ww Name
Address
sW
a City Phone
I hereby acknowleqe Ihat I have
informaAOn is correcl and agreMinnesota Stalutes and City o
Signature ol Permite '
A Building PermR is issued ta
on the express condihon that
applica6le S[ale ol Minnesot t
Bwltling Offiaal - * I
[he
0f
;hall he done in accortlance with all
and City ot Eagan Ordinances.
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
2onmg R-1
(ACtual) Const V?N Bldq Permit 748• ?0
(Allowa6le) V-N
Surcharge 65.50
F ol stories
75'
PlanReview
41 -n0
Length
oePm -11-1 snc.cay 100.00
S.F.7otal - SAC, MCWCC C]OO.OD
S.F. Footprims -
On Sde Sewage _ Water Conn 695- n0
On SRe well Water Meler 90.00
MWCC System xx
acc'. oeaasn
30.00
aty water XL
PRV Requaed xx SM PermM1
Booster Pump - $IW Surcharge - 50
Trealment PI 9 52 _ 00
APPROVALS Road Unrt 4 5 5_ OQ
Planner - park Dad.
Council
Bldg Otf _ CoPies
Vanance - TOTAL 3+382.00
?a
?
1073 ?1
3 ? ?
?
R Dale Fire No Fough-in Inspection
ReqwreE'+
? Ready Now
? Will NMity Inspedar
• ? ? Ves G Mo When Reatly9
I ensed conirac[or ? owner hereby request ' cti n of above electrical work at :
JaG r ea te
fV4 Cily
S ro me or N.
W Pa e o
O A) Caunty
t ( I Mone No.
P er uppler PAtlress
I ?
EI I ConVact fCOmPan ame) Co Lc
? •
MaN g res ? n ctw ner Makmg Nstallat
<
,
Aut rzetl SignaI r ?COnv p wn r Making Installa0on
P n =&36
MINNES TA TATE BOARO OF ELECTRICI THIS INSPECTION REOUEST WICL NOT
Criggs-Mldway BIOg. - Noom S1]3 8E ACCEPTED BY THE STATE BOARD
1821 Univerelly Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
VMM(B11) 602-0800 ENCLOSED
?J/REQUEST FOR ELECTRICAL INSPECTION
M 0, See mstmcLOns for compl¢Ang this lorm on Cack ot yellow wpy
H10731 "X" Below Work Covered by Thrs Aequest
??.? .
dEB?d
ew A ep. TypeofBwlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Other (Specity)
Comm /Industrial L rFSrnace
Farm Air Condiuoner
other (speciry) ContractoYS Remarks'
Compute Inspecbon Fee Below:
# Other Fee # Service EniranceSae F e x Circuits/Faeders ee
Swimmmg Pool ? 0 to 200 Amps 0 to 10 mps
Transformers Above 200 _ Amps Ahove 10 Amps
Sgns Ihspectwk use omy. ! i' 70 L ?'Q
Irrigahon Booms U!? ? s
Speciallnspedion
AlarmlCOmmumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Electncal Inspector, hereby Rou9n-in oa
certify that the above inspedion has
been made. F,,,ai ? oa •
OFFICE USE ONLY
This request voitl 18 months irom
-----------------
I F v? :' ??e /9 ?
j Pertnit#:
? Permit Fee:? G ?r' I
I l.?"' I
? Date Received: ?
? I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S'2-0S SiteAddress: q(O45 ( u.tv10'1 Nitle-
Tenant:
Suite Jl:
RESIDENT I OWNER Name: G?MW t_tIGAG1.l.1A Phone: ??Jl' ??b ?54d Y
Address / City / Zip: '5xK1.e_
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: 411 vYCR P( License#: 20(oo`x% Y57
Address: q3i? 1?6* 4vC NF_
City: C?J(.i.N.t,?IIQ CtCf?11+S _ State: t t • Zip: .r'?Jr q2 ?
Phone: 763'7QrO-cnI? ContactPerson: ZlAf1k /1trCd,?W3t64i?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 SubmissiOn type) • Energy Envelope Calculations Submitted
In the last 12 rnonths, 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:
?-NOTE::Plans andsupporfing'documents that you submif are co?isideretl to'be public infarmatiori: F_bitions of.,
the informatron rrray be classified as_non publlc if you provide specrfic reasons ihat K%o'uld perrrtif the Crtyzto -"
concludeihat tlie aPe trade'secrets itI hereby acknowledge that this information is complete and accurate; that the Jaoik will be in canformance with the ordinances and codes of the
City of
Eagan; that I understand this is not a permd, but only an application for a permit, and work is not to start without a permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X ?RA6 J` X
Applicanfs Printed Nime A li nY Sig a ure Page 1 of 3
. • RESIDENTIAL
' BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constmction R9amremants
• 3 registeretl sae sur?eys showmg sq tl, ot!oC sq ft of house; and an roofed areas
(20%mavimummtcove2gealloweA) • 2 mpies of plan sfwwmq Geam S wmdow saes, poured found desgn, etc )
• 1 set of Energy Calculanons
• 3 ropies of Tree Preservaban Plan if lo[ platted atter 711iB3
. Rim Joist Detail Options selectwn sheet (Cidgs with 3 or less uniis)
DATE 1 O ?
RemodaUReoair Raouiremenb ?? n !1 nA , `
• 2 cGpiBb of pl2n ?-?
. i sel of Energy Calcula[rons for heated addillons p_ f f p„
. lsitesurvey`orentenoradditions8decks < <?
. InQicate d home served 6y sep[ic system for addibons
VALUATIO &'1 D!q d
SITE AODRESS IM45 MAALl DOVG MULTI•FAMILY BLDG _Y ?l
TYPE OF WORK FP-DNT L)EL?kGI?' FIREPLACE(S) _ 0_ 1?2
APPLICANT,'-)-FF'VL E* ? t KKf M t C ti fi'?f L)
STREETADDRESS T?1S?t?A?? CITY? /tAl STAT?ZIP,?L-
TELEPHONE # I ? LL PHONE #S'61Z-7r9-Yo3.5Fax # ?cl 5reZ?
Wavic ae„e;S+evc :95?-9g - Go1 -? T? ? ?(J?-
? ?5?-3a4-gsd`/
WovV. Fhoae : 'revf ? !e5! - 2R? -?{Sq ?
PROPERTY OWNER ( SC F Ol 6OVe - TELEPHONE?651 -5 ir/o /
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M[NNp;y{yr,+ RUI.N:S 7670 G\"FEGURI' l NIINVLSO'C.1 RliI.t:S 7672
(,Jsubmission type) • Residential Ven6lation Categary i Worksheet Submitted . New Energy Code Worksheet Submitted
. Energy Envelope Calculations Su6mitted
Plumbing Contractor: ____
Plumbing system includcs:
Mechanical Contractor:
Mcch.uiic:il st'slcm include,:
Sewer/Water Conhactor:
-- :\ir Conclilioniiig
-- C-[cat Rccovcry Systcui
SEP 0 9 2002 Il
Phone #
i8y
I hereby acknowledge ihat I have read this application, state that t e informa 'on is corr t an agree to comply
with aN applicable Sfate of Minnesota SSatutes and City of Eagan ' an ?
Signature of Appllcant
? V\,-
OFFICE USE ONLY
_ Water SoRcncr
Water Heater
?o. of Badis
Phonc R
L,arvn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Certificates of Survey Received - Tree Preservation Plan Received _ Not Reqwred _
Updated 4102
OFFICE USE"ONLY
?
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 78-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex g 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex P16g_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
,x 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (lnterior) ? 44 Siding
IVL 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 48 Windows/0oors
? 34 Replacement 'Demolition (Entire Bldg anly) - Give PCA handout to applicant
Valuation -_.A?,J,2/?p Occupancy /?J3 MC/ESSystem ?
Census Code ZY 3y Zoning City Water -
SAC Units - Stories ^ Booster Pump ?
Nbr. of UnRs --, Sq. Ft. / 7rh PRV
Nbr. of Bidgs - Length ? Fire Sprinkiered `
Type of Const
?
Width
o2-?-
REQUIREb INSPECTIONS
Foohngs(new bldg) . FinaUC.O.
,X Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundafion . HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulauon _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
Approved By
Building Inspector
/a79 e 3o`?/y = 3.2--10
e?
A
? . ,
925, /Z = gqSEMENT FLOOR ELEVATIDN
39 3. Ito = TOP OF BLOCK ELEVATION ?{
'?"?
SC,4CE
GRA/nI9GE ANU ?S?TBqGK
? UT/L/7'Y F.?SF?V/ENT \
I\
? U
) ,?+
5a1
gl'/
L /it/E
^ 22g ? ?,, G _.? i L_
/7'
32.97 :! ?, ?cv. : 9/9.3 ?o/,t??n?,I ? - ?-?z?-?? ,? 2 m ? -
/ p
?
4?0 D
. r .
?b
oaK ? -?
1. : ti ? ? ? ? . ? .. . • ?` ry ?? ? ?
cin?'
i
i
1 Iaereby ceriity ll?at tbis is a lrua and carrect teptesenlalion o( t+ troct of Iand as.
and described hsr.o% At piepated hy me on tliia 6'" ?ev ol './/vNe
?S
??
O
I
s'
?
;
?
_ v
l?
_7 ?
I
- ?
I ?? I
. ?.?__._ . ' ' . I
- -- -- - a ? ?--- -----
-- - -- ;i
PflOBC
ENGIIV6EflING
COMPANM, I[VC.
CONSU4TIN6 4N0INfEflS
PIRNNEHf and LAND 9I1fIVEYURS
f:9R4,G0N //om,
6,,,`3004. o/
? 144-
. pr? ia
/NG,
%?IUUU EABi 1481h 8TR6ET, BURNSVILLE:, MINNESOTA 6633T PH 432-30U0
Certificate of Survey
Legal Description: Z?vr 3, PLOCK s M??Nt9k iIIkI---
1)4KU7;4 '-'f)uNTY, Miivit/?7joTA.
?EConi; ? 4do17-101v
C93z, c? ) DENOTES EXISTtNG ELEVATION '
(j3z.5) UENOTES P(tOPOSEU ELEVATION
--INUICATES UIfIEC'I'IUN Or SUnfACE URqINAGE
932,,53 = f-INISI-IEU GAIiAGE FLUOR ELEVATION
925, /Z - BASEMENT FLOOR ELEVATION
33, 11- = TOP OF BLOCK ELEVATION
SClJLE : / " - .a/j '
228
/L 620 33?N
))O/JlA/Ar./ ?
sa `?9 ?C
"Oo
-L
T2vvir Sfeue k.ic?auap
y-loy ? MGi ko y
,lii l) SS? Z?
30 16:?20.N7- ?1l,11L [J/N(7
s? 7-696K G /it/E
Minn. fleq. Fdo. 140 S.?
1 heraby certify thal Shia is a true nsid cnrrect represenlalioei of a tracl of Imid ss slwwn
and dasctfbed heveon, Aa prepured hy me on 6his (7N daY of ?11920-
1990 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIYLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS HADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
5Fn/C A R kliti 2 O RECD
?
To Be Used For; ?? Valuation: ?r,??? Date:
.
Site Address L{-Ll?.? rn?m.N° 11A,
?-'---
Lot 3 Block S
Parcel/Sub
04.114» eirc- <?
Owner //?j'?f?"/e c7'-,/
Address /dw? el';"' L'-
CitY/ZiP Code ?
Phone ?Ol -
Gontractor /2qr,',, /z?s
Address /?'j/9q'
City/Zip Code
Phone - /p?¢
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
13"007-
FEES
Dccupancy R'3 M-I
Zoning R-I
Actual Const V- N B1dg. Permit a ,OJ
A1lowable V- N Surcharge
Su
(057,
# of stories Plan Review 4JB6.oo
Length SAC, City /on,a o
Depth 3r' SAC, MWCC 600.00
S.F. Total Water Conn 6 Si01'J
Footprint S.F. Water Meter 0.0O
Acct. Deposi t 30,00
On site sewage _ S/W Permit 3D,oo
On site well S/W Surcharge .Sd
MWCC System V Treatment P1 . Z$2•00
City water C/ Road Unit 35$??
PRV ? Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off. (, j16
Variance
VA L c.k ATlal?
CA RA6re
3! K?.?- = G?z
?Z y xiS-
?
ek ;
Io g Lv
eiSM 1
_.---
c2(? x y3 = Ifl S
Y G = (42)
?x?xyz= ? ati .
?
lloo x?4= isyop
IST F:Lpc>r.?,
F-Ya5n T = I ?DD u,5f? 56/0?
130?0??
*1.
:
I?flOBC
?NGINECflING
COMPANM, ItVC.
l?R,PA6oN /E
?`.CONSUI.TINO 4NOINEEflS
PLflNNEflS and LANU il1flYEYpRS P6 ,$
w IUUU EA9T 1461h BTflEET, BURNSVILLE, MINNESOTA 66331 PH 432-3000
Certificate of Survey
Legal Description: Lo7 3, pLacK 5, MAnioR LAKE"
L24K07A co(,11V7Y, MiIvA45?5oTf1,
SEGnnio 40,91T/01V
( 93?, o) DENOTES EXISTING ELEVATION
C V3Z..5) UENOTES Pf'iOPOSEU ELEVATION
--r INUICATES UIllECTION OP SURFACE DRAINAGE
932,83 = f-INISI-IEU GAfiA(GE rLOOR ELEVATION
925, /2 - BASEMENT FLOOR ELEVATION
933, 1to = TOP OF BIOCK ELEVATION
5C4Z6 30" ?2oNT Bu/GpilVG
Iin/.9GE AND
UT/L / 7-y 6qSEN/EN7- TP'qGK L//i/E
`? t",. ??T's? ?1 ?? 87° ?6?/7? l?l? 93/.9? 30,OD
2 t?i /?O? D
J m r vO
EcEV = 9/9.3 ( b 1 ? ?2zg,?,%1 ui - a?? t"?
?•- '? ? ? i ? ? ? ? o° ?P ? ? ?i
v
Q
w@-
J OOS\ ?% \ O ?.
.L'!L li ` ^-.•. G dJES d
R-1 E 0
,M,?,
I Iiereby certify thal tliis is a true and correct repreaenlalion of a tracl oF lond as shown
and described heroon. As prepared by me on ihis'?_N day of _10Ne ,1920 ,
J'IiCC?4? AwL-ic". A10.
Resideniial Designe;s & Piar.ners D
14530 °ennock - Apple Vallcy
a322oaa ? ?,? ? ? Q o D
EXTERIOR EA?VEI,OPE AVEP,?.C,E uU" COi+1PUT:?T?1•'-.--?-?='? '-"_ -
NAME P?V VrIT'•r'LhF,t'Z'
Detes*.nine :acr.tdng souase footage c° each.
1. Total exposed v;all asea...... . q¢y.s sq.ft. Y. . 1( _
2. Total reof/ceiling a.rea...... I p71:?, so.it, x ,0;2? _
Total ex-josed wal' area above iloor = 2-7-?>5
a. Total wall arindcw area ................. 7_.5'a.6
b. motal dco^ area......................... 5'i
c. Total slidir,P; glass door ?sea........... 'jG
d. Total i fireplace wall area ............. 1&,
e. Total wall fra*ning area (average l0y) ,,, Z 7 3, ?
°. Total net wall area above floor......... Zo 7 4.1
g. Total rim Joist area ................... I?{'1
lotal exposeed io,:rdation axea =
h. Total foundation windoti•; area...........
-
i. Total net four.dation ?area abcve grade.. 6e, ?
Deternine
I "U" v?ue cF each ??,*zll se?ent.
a. Z59. ? X rr,Jn . 52 = I 3'-I •c1
b. _ 5g x nU<< ,.Lqg = 7.r
x f,U,t .52
a. x IIUII .68
=
I ?. B
e. X „ii,r .096 = ZE,.Z
1. _Z074.1 X "U" .049
9. 15'/ y "U,r .041 = 5, 7
(1. x ttUtl .5,? _
i. x iIJ,i .082
3. 1V1nL................................. -
Tf iti #3 is the same as, or iess thar: itern Hl, you haue *;.et
t^E'. '1.Ylte.'it Of, v.?Ri..r` 6G06 (c) 2.
Total exposed roof/ceilLng 2rea = } O 7?
Total gross roof/ceil;s?.g a.rea = -?
j. Total skylight area ....................... -
k. Total roof/ceilirtg frzrrdrg area............ IC'7&n
l, Total net insulated roof/ceilin; area...... 9 6. 9?,q
Determine "U" va_.ue for each roof/ceiling segment.
4
X vUii _
k• x ,ILr21 naL = Z. S
1. cj xitUrt oa? = ZI - 3
mr;L ................................ _
If total o° #4 is the s2me as,, cr less thar. #2, you have met
the intent oP SBC C006(c)' 1.
To utilize the total er.velo.-e system method, the values established
by the sam of items '?'3 and #4 shall not be greater than the stun of
iterns #1 ard #2.
l. + 2, _
3. + 4. _
P?aterials 'L'nermal Resist2nce "R"
Exterior air,,,,,,,,
Siding material,,,,,
Sheath.ing...........
Insulation,,,,,,,,,,
Sheetrock,,,,,,,
Interior 2ir........
Studs ..............
Ri'" ................
Conc. Blocks........
-2-
HEAT LOS,S CALLUI.ATIONS DEPARTMENT OFBUILDINGS? ?
Weatherslrips l1•S.H.V.E,
Cuide Conslruction No.
?indo?S; Doors
I Referente I Out. Wall Int. Wall Ceiling RooF Fl II
tes-No
Yee-No
I9_ oor
_
?F?•? /` p Roo Leneih I Widih H?ieht L6 FI.I
Windows and Doors-Crackage and Area
N
R9aui
Ilelpb!
Nn. ot
Llneal !I.
Ares Windows d Do
o.
nt Dane
o? pane
hRhea
of crnak
ep It.
•
WItl H
'boe o
- _5t 1 /9.3 ao
6-1 1 /sc_7 ,Q •
In6ltration
Glaas
F.xp, wall
n?<< <xP. W
?,.all ?
Ceiling
Fdaor_ ,
Keqvired sq. (t.
? -
Windaws a
Coef.I Btu
?.R. or sq. ins. W.p, ?ader area
Koomf Length/ Width /y
?or%--
-Crackage end Ares
a? INZI-E-1a.-I !. Arca
4 ?o,y
fnfiltrstwn -??
;,laas
?P.Wen t?t9x
Vet exp, wall
sk'weN I'- m A7
?eJing 15 x iy
?leer?
towl ?
tt. E.D.R. or aq. ine. W.A Lesder area
Room JLength /4) Width O Height a d Doort-Cnckage snd Area
Ne. e[ LIMaI tt. Area
th4 ot enck
Aw .. .._ Wtl. .
nfiltration
Insulalion
1 How Applied
l.ength Width /Cr Height
ac?caee ind Aoa
No. IM1
of Dane
N[?l
a! Cane
No of
IIRM1U
Llne?l ft.
of track
wrt?
eQ. Il.
D o o 44.4 3a
CoeL Blu
Infiltrelion
Glas 3ai4 50 / O
Exp. wall /S f I k
Net e%p. wall
_4"S-W4 /1o m d4 I?
Ceiling / ? x 1 <I a (. O
;6er-?
I otel tltu. yqo
Required sq. ft. E.D.R. or sq. iro. W.A. Leader eres
sPTF1•IW- Qyn RoorqlLength /G.LWidth /? HeiQhtS!
Windowa and Doors-Cneka gt end Ares
No. wiaen
er
y?n? Hel?ht
at D??? No. ot
11(hU Llneal ft.
of waek Arem
sp. ft.
1r
ef. tu
Infiltratan
Glaa / l 0 3
Eacp, well / 3?F• 3 X'? /a
Net cxp. wall tIL -?
=". Wu r i(a /
Ceiling (oy
-Flaor
I ocel ocu. 4q3
Required sq. ft. ED.R. or eq. im. W.A. L.eader eres
??•? I3ta • U052+ Room I L.ength / 7. (m Width / S Heieht ?
Windowa and Deers-['..'4.e. ...i e...
No. R'IA1h
ot0an, Nalgh!
efDang No.ef
IIfhN Lln.dll.
aterae4 Arci
eO.ft.
' O
? Coef. Btu
Infiltration ? vy //
CI.I. /4,7 t7
Eep. well /") C+- J$"x fo0
Net exp. wa11 3 ?
.tntrw.U R„n ?:?? ' ?,5 (0 9S
Ceiling )
.Fleer?
:Isa? , ?l a aJOL1
:?p. wsll d k p
let exp. wsll 5- 0
Recmatl / p 0 ?..-
'eiling
?ovr
°'°i B'°. 60 o Totd Btu.
eq'x+?-d eq. ft. E.D.R. or aq. ine. W.A. Lcader aret
- r ??? -
-- --- _.?... _. Feqvired ty. h. E.D.R. or sq. ins. W.A..Leader strca
n'J ?Z ? ? - • ? ?J - L ( C ?l 7 Y Grf`f tl. 0:.' l r.s?s,?1 --
*aX
3
HF..AT LL?SS CALCULAT10N5
Weatherslrips A•S.H.V. ,
Cuide
Vindo?a' Doorso Reference I Out.Wall
i'es-No ') Ya-N 19_
I.? A fC Rc?m Lengih /N Width
Windowe and Doore-Cr.,4ae. ...a e.._
DEPAR7MENT OF BUILDINGS
Construction No.
Well Ceiling RooF floor ( Kind
Hdght
No. ???'????
ef oane ????Rh?
of Cane Nn of
bRh'a VLlneal ft.
Of cr
uk Arts
ey ft
•
? 14 0 1
/
Caef. QW
Infiltration
? , y
Glaee
Exp. wall ! f II N k?
oD
Net eap. wall
!nlrnsH
I ?
Ceiling IlXlq
ea
,?
T .
Required aq. (t. E.D.R. or eq, ine. W A l.eader sres
-1 (jA 3 {1 Room Length ) I Width 1 p Height ?
Windows and Doers._C..lk.e. ...a e.__
Ne. WIEIh
of Oan* Nelght
Of Dane Nv.ot
lIgAts ?6lnaallt.
Of <rack Ana
so. ft.
Infiltration Coef. Btu
Glsss
E?cp. wall p ? Q -
Net exp. wall a L 00
??=
Ceihng
1 O 0
wiOl OIU. •-?19a
Required sq. (t. E.D.R. or aq. ina. W.A. Leeder aree
F?• n5erw ? Ronm I l,ength Width Lt Height
Windowe snd Dmro-C..A... ...J e.__
4& W Idth
of Dant, Heltht
Of Yano Ne. e[
11gMs Llmsl fl."
et craek Area
p. ft.
o
C«f. Bw
'nfiltralion
O ?? t D
,lase
? 1$,7 L 160
?P.WS?? a??tab+a? ,
Vet exp: wall
+?-walh ?, a 4
?
? .??I x df.
._? n.._ ?N ?'a.
_.... ...... q/?
?erl,?.. f ?r1? ?' I ItY
... . -._ ._ . .. . "?" . .. .
FI.I ?'jftWj%J. Room I Length
Windows and Doors---Crackage
ef
lasulation
}{oN.
? Wfdih O
Area
Btu
Infiltration
Exp. wal <
Net eap. wail
,puoo
Total Bw. odu
ReQuired tq. ft. E.D.R. or sq. ins. WA. L.esder stes
F7.1 Room I Length Width Heighl
..?• ,
.. PH.,U..a .na voon-?.raeea ge ana nrea
Ne. Widlh
ef pLne Helghl
Of O.nO No. of
UghU Llnal fl,
ef er?ek Aro?
p. fL
Coef. 1 w
Infiltration
Glus ?
Exp. wall
Net eip. wall
lnt. wsll
Ceiling
Floor
lotsl tltu.
Required sq. ft. ED.R. or sq. ins. W.A. Leader ares
I F1.1 Room 1[.ength Vflidth Height
Windowe end Doan-Crscka.e end Are.
Na WIAIh
ol ymna NoIght
et wno Ne, Of
IIfM% Llnaal [l.
o[ <ra<k Ara.
p. tt.
Coe(. Btn
Infiltwtion
Clsff
Exp. wsll
Net e:p. well
Int. wsll
Cciling
Fkcq
loie? r.rn.
... liaq??irr?f r•? tt I:n I?_or vq. i..i. 1'r?.A. Iiw•6r trc•
MAR -14-2013 01:38A FROM:
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 676-5694
TO:6516755694
P.1
Use BLUEor BLACK Ink
For Office Use
Q (�
Permit*: 0.9 1
Permit Fee:
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with alln
all commercial�applications.
Date: �� 13 ) 3 Site Address: L(011 S I V t an -0/e- It
Tenant: -ephlin j Y l,(. (,,Qii
Suite 0:
Resident/Owner
Name: 5k ! V I IC.V► cw-S Phone: t[�J --1.0t -) V Y�
Address / City / Zip: tY)N 55173
Contractor
Name: r X/l1 J- s 1-Qei.+t 1� ( License #.
City: .01,1XL_ Hat:lel,"
Address: I Le° I 3111 � 4 , ' kl�
State: nA IV Zip: ,' 4 2-I Phone: '? 63 o I — L09 b l
Contact &ci 1 Email: c U.v€ e 016. -v -es lekta t:n. . ca
Type of Work
New x Replacement Additional Alteration Dem
lition
Description of work: 4% igis-i-tel Afc. "1 Lisvtow )3196x-0/0
NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened
Code. Please contact the Mechanical inspector for information on permitted screen!
by City
methods.
Permit Type
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improveyh
ent
Air Conditioner
_ _
Install Piping Processed
_ Air Exchanger
Gas Exterior HVAC !nit
Heat Pump
_
Under / Above ground Tank (_ Install 1 Relieve)
Other
_ _
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge) w
$5.00 State Surcharge) = $ lUv TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
$55.00 Minimum
$1 million, please call for Surcharge
Contract Value $ x 1%
= $ Pern
it Fee
FEE
if the project valuation is over
= $ 5.00 SurCharge`
=$ 10D.°' TOTAL
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.aoohersteteonecall.orq
I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and es 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 wi be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
{maw, fi
X
Applicant's Signature
x "k &d P-602
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Reviewed By:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
Date:
~C-
~ ."d
1
Use BLUE or BLACK Ink
For Office Use I
I I I
j Permit City of Wd ~ j
1 ~aV
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: 461 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9 3 Site Address: (J(~1 T "C,n 0r Unit
r I
( Name: -P ye,
1 C lc Phone: 60S 6 00 - Is
JM'bA
Resident/
Owner i Address / City / Zip:
Applicant is: Owner 42 Contractor
I
Type of Work i Description of work: Te~°Vr K- _rw -
i
t~_ - - Construction Cost: Multi-Family Building: (Yes / No--1410 o' o Company: 41~M C0'1S CL nrContact: I I,GC1
` 5(6 l Md'iYt 0-1 ►~1 4rC' N Ci
Contractor { Address:M _ t f ty.
? State: I I N Zip: S5Oa2 Phone: 105 I - "29 - 9-j 9Q
License Lead Certificate #:NPT- ( nss5.) -
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:
Mechanical Contractor: Phone:
Sewer & Water 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 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.gopherstateonecall.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 Building Code must be completed. within 180
days of permit issuance. 0.
x , Llr\ lr d~A x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139973
Date Issued:11/16/2016
Permit Category:ePermit
Site Address: 4645 Manor Dr
Lot:3 Block: 5 Addition: Manor Lake 2nd
PID:10-47276-05-030
Use:
Description:
Sub Type: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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin Michlewicz
4645 Manor Dr
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142953
Date Issued:05/25/2017
Permit Category:ePermit
Site Address: 4645 Manor Dr
Lot:3 Block: 5 Addition: Manor Lake 2nd
PID:10-47276-05-030
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 8,000.00
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 -
Kevin Michlewicz
4645 Manor Dr
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147166
Date Issued:12/14/2017
Permit Category:ePermit
Site Address: 4645 Manor Dr
Lot:3 Block: 5 Addition: Manor Lake 2nd
PID:10-47276-05-030
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
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 -
Kevin Michlewicz
4645 Manor Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167190
Date Issued:03/01/2021
Permit Category:ePermit
Site Address: 4645 Manor Dr
Lot:3 Block: 5 Addition: Manor Lake 2nd
PID:10-47276-05-030
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 -
Kevin & Jean M Michlewicz
4645 Manor Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174273
Date Issued:01/13/2022
Permit Category:ePermit
Site Address: 4645 Manor Dr
Lot:3 Block: 5 Addition: Manor Lake 2nd
PID:10-47276-05-030
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 -
Kevin & Jean M Michlewicz
4645 Manor Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature