4649 Manor Dr• r * ??
O ? ? ?
o;emficate nf.cccupanc?
?? ? paegm
77eis Certifzcate issued pursuant to rhe neqsinements of the Uniform Building Code
eertifying rhat at the timw of issuQnce thes structure was in compliance with rhe mrious
ordinances o}'the C'ity regulating buildirig cwrstructian or use. For the follawing:
use elassificarioo:_ 'F DWG _ BWg. Perniit xo. 20341
Oc-pancyType _
/R l- VN -APM P.O. X xy? Z4329 VAL EY
Owoer of 8idlding
ltn
u?g Add?as.
_ Addiess
_ I.ocaliry f ?
astoblq3
POST IN A CONSPICUOUS PLACE }
• GITY bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
? (612) 681-4675
SITE ADDRESS:
? PERMIT SUBTYPE:
I IT I
MANfIt? (ik
/t 1 11
ON
TO R1J
PERMIT TYPE:
Permit Number:
Date Issued:
r;?t I i I, l P1r
4s:•H341 I
ca-s/0q14.
APPLICANT:
i
, TYPE OF WORK:
t i;Aht f N?, i
1 1'.3'.(1 ( f? ? I tt? ? ! 1 C11; (
p f11?
I MAEtf ', , a,?
i?
?
i
L ? --
--- - - -
ld {'1 Eii? 11141-,':NfFt [:'t('(E`J}ii IN6 Pi7'V
?
Permit No. Pennit HvWer Dab Telsphone #
S/W
PLUMBING i 1• ?(?/>? ? ? ;? ' j ?
HVAC
ELECTRI 13 9 ? J!/ g ?
ELECTRIC ?
Inspect{on Date
insp. ?
Comments
Footings I 3-d -53
Foundatfon j- 3
Framing
i
Roofing
Rough F4bg. 41Y
Rough Htg.
Isul. ?
Fireplace
Fnal Fltg.
Qrsat Test ?
Final Plbg. Plbg. Inspector - Notlfy Plumber
Gonst. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
/ ?
?
d
rol1372 I
«>
Request ate
3 Fi
1 o ough-in Inspection
Requ d?
? ? No
? 7eady N.
i I NOnfy Inspector
When Reatly+
Iicensed coNractor O owner hereby request inspection of above electrical work at:
Job tl e s ISV? or Rout N) Ciry ail)
Seclion No Townsnip Name or No Range No Co
Oc pant PjiINT? Pho
? 0 5
Power SuDOile? (1
C • Atltlress
•
Ei cin al Gomraaor GomOauy Na e) Irad
C r5 Li N
M dOr s 1 n dor or ner Making Installauon
Aul r2e;5i aNre ?Con re o?'?er Makmg?ll?ynry ? P b ?
MINNESOTA STATE?BOARD OF ELECTRIqTV THIS INSPECTION fiEOUEST WILL NOT
Grlggs-Mitlway Bltlg. - Room S-173 8E AGCEPTEO BV TME STATE BOAPD
1821 Unrvarsify Ave, SI Paul. MN 55100 UNLESS PROPER INSPEQION FEE IS
Phone (612) 644-08D0 ENCLOSED,
Ee
REQUEST FOR ELECTRICAL INSPECTION -ooaai-os
J ? See inslructions for completing ihis form on back oi yellow copy ???% ? 6 O C
J 61 372 "X" BeTOw Work Covered by Thrs Request ?.,"`•
e RPj.j TypeofBwlding AppliancesWired EquipmentWrted
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dry Other (Specity)
Comm./Indusinal rnace
Farm Av Condihoner
OlnerIsyecdy) ConVacrors Remarks
Compute Inspechan Fee Below
N Other Fee # ServiceEntranceSrze Fee # Qrcuits/Feetlers Fee
Swimmmq Pool 0 l0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SfgnS inspemoB Use Only 7p
Irrigation Booms / [ ; ry(1 dX?
?
Special Inspection « V
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electncal Inspecbr, hereby
tif
th
h
b Rough-in oa? ?? ?r y?
cer
y
at t
e a
ove inspection has
been made. oate
OFFICE USE ONLV
This requesl vatl 18 monlhs irom
AddICSS 4649 MANOR DKIVE ZIp 5512 3
IAt T_ Blk 1 Sub _ MANOR LAKE 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 0 9 Yes No Inspector.
Final grade (6" from siding)
Permanent steps (gatage) v
Permanent steps (main entry) Lll'
Permanent driveway ?
Permanent gas v
Sod/Seeded grass ?
TraiUcarb damage ?
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Capy Yellow - Resident Copy Pink - Contractor Copy 9
RESIDENTIAL BUILDING
Permit Application
?ri `J f? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodellReoair Reauirements Offce Use Oniv
3 registe2d site surveys showing sq, ft. of lot, sq. il of house; and all roofed areas 2 copies at plan Cert of Survey Real
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan ReW
2 copies of plan Showing beam & window sizes; poured found design, etc. 1 site survey for addihons & decks Tree Pres Nat Reqd
1setofEnergyCalculations ' AddNon-irMiceteiJarskesepticsystem _On-siteSepticSystem
3 wpies of Tree Preservation Plan d lot plaHed afler 711/93
Rim Joist Defail Options selection sheet (bldgs wilh 3 or less units
Date S / po3
Constructian Cost
?
Site Address 4(? ¢ -/ N J?
4h dh (4h Unit/Ste #
/
- ( "
Description of Work -C pj ` D r Q. O6
-C ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Owner ?
P
t / p?
<
?
?
d LS/
hone # Am) 4-s4- / 6 4
Tele
3
i
roper
y h q j d e U
! ? p
,
??
Contractor -
Address ? 0 > '? " ! ? 4?1 City 731DOd'7 / 7 46N
State t? Zip .$"SQZ U Telephone # (&W) °jSz- 0 91'2 GSf
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate¢orv 1
. • Residential Ventilation Category 1 Worksheet
(+1 submission type) Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the i
that the work will be in conformance with the ordinances and codes of the
2
2MRLet,gza d accurate;
and the State of MN
Statutes; I understand tlus is not a pernut, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
appr al of plans.
Apphcant's Pnnted Name Applicant s Signature
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Numher:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
8 L oci; i
=i6 'a=_' r?nNOU uFt w?_raoWonu ca 1n!c
11Arior i_At:t 4Tii (Cl _) r,91-aosOb
PERMIT SUBTYPE:
51= f1WG
TYPE OF WORK:
iVEW
suri_!) L rac
7?„'sq i
0;/04 /9:i
INSPECTION
F 0 0T7:piG „ •
?RANISIVG .•
Cr.!SULIaTli7H FTPdt1L
f I'2c' PLAr? F
i?EcINf1RI:S; S fi, 6J RL8 R OFESHFI: C'Y.CAVidlfld0 W17'J
?
? - - ---
? CITY OFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
1I0 1!9 MRhIUR Uf?
1-01-: 1 P,LOCKe
hlniVOr> i r?I<e ;l Ft
P. J .iV. : 1.0-4/2 l8-0 lV -[-l'1
PERMIT TYPE:
Permit Number:
Datelssued:
1
3%?
? ?/?
E' uf 1 t; i N,;, ?
0 ? 41 :i •; 1
v,J/21 ; 9s
DESCRIPTION:
"8utldir.g niii- lypw sf UwG
Esui)dinG7"Woi k I"YPs, N F'.J
U6C Occupdni-.Y R-'j hl-1
Cnns tructian V--hJ
`Lorting
Builclinq t_a nq tPr ? ti9
t3u...1 dzng Width 31
y.
r'
.1
f
. _ . r , :.REMARKS:
„ l11 ri i>1r
otrrsi iF R , xcr;V A -r1.rdr, r, rV
FEE SUMMARY:
vA 1- unrr0 N1
0'_ ,, i`? s,
?lh
vi:r??hara?Jfi?
SAC '<.
; a4_ s_')
CiV6
!,155,19ti
.+ongrd .
;j,G6 S?
?7 5 0 00
1 41 ?t
0 6?.z5
,"y 1. :i -.• . i'1 0 Ql
M lS C[L1G1P L"-UU5
1 o L. c, J i .z a'
CONTRACTOR: - apF?1.i:?ai,t i_rcOWNER:
??rNni,?ioot? r.n ;n!r ic91 ?-;s?5 e,va+r?11 zwtrdowoon iaorvi?:?
i n HoX, 1' u t5ux 1)4329
Itl'PLh A/f1LLE.`f PiN 551l4 APPLF VALLEY 14P' 56121
(S1: } 891-. 1. G0 5 f,?7.;')RS1-1 h0 G
I
1 hereby achnowJedy: th,3t 'C hevP rcad thts appliev[iern .znd strrta tiiaC 1hP
inFormat.ion i., correui. ani1 ?,??;rae k.a cainply i:it.lt all e,pE,licahle st?t?of Mn
StaT.uCas and City o( Eayan Drdinances.
? cv?
APPLI lPER ESIGNATURE I SU DBV:SG U Ei
REACTIVATE _
PERMI-T '# Lo's
CITY OF EAGAN ?.3, 3,
1993 BUILDING PERMIT APPLICATION
681-4675
?? IQ z-z z
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date G 3 Valuation of work jo?
Site Address• K"6#- UAva-
STREET SUITE /
Tenant Name: (commercial only)
LOT ? BIACK ? SIIBD. 113A-'? 4? P.I.D. 0
Descri tion of work:
The applicant is: Owner Contractor 0 Other coecorteo>
Name Phone
Property LAST FIRST
Owner
Address
STREET STE N
City State ZiP
Company 140 Phone
Contractor Address p0 ? 3?1 License # 7497 Exp. 3 3?
City State W Zip `astZA'
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber 9ni?S0 . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I hav ad this a plication and state that the information is
correct and agree to comply wit a le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
w
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
0 10 Multi. Add'1
WORK TYPE
b? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
;? M
?
11
Apt./Lodging
-16- •
BAseilint Finish
? 12 Multi. Misc. ? 11 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Cortm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant finish ? 37 Oemolish
? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N
-
- Basement sq. ft. MWCC System YES
(Allowable) V
-N lst F1. sq. ft. City Water ?
UBC Occupancy R-a m-1 2nd F1. sq. ft. PRV Required ?
Zoning rz-? Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code -
Depth aov: On-site sewage 5AC Code
G?ySus 6?. d/
/
APPROVALS
un3t ?
Planning
Building ?
Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site O Footing J@,Framing ? Insulation
O Wallboard IP,Final ? Draintile ? Fireplace
Permit Fee wiwc;d,: g I 33, ?? ?
Surcharge
Plan Review GARAGExZ
=8`148
License
MWCC SAC $sMT:
Z y X 4'7 r ? ? 2 a ,
City SAC
Water Conn.
Water Meter W?/Zx2?{ ? ???
Acct. Deposit ??-
S/W Permit ???7X ?5^ Ig??oS
S/W Surcharge
I ST Fi
Treatment P1
. .ovF2.; .
.
Road Unit
Park Ded.
3Smr- 17-4t-)
Trails Ded. Z x9I`a
Copies
Other 12/05 X,?i3 =
GQ, oZI.S
Total: 2ND Ftoo1'l;
-?
SAC % 101, 29'/2 X2N= r?Og
SAC Units 60
_ fEb 09 '93 15:10 TO 8915674
-?,- .
? FROM PROBE ENGINEERING T-774 F'.02
. • ,R,.+..-.-?.n
WlNDw?D NoMES
A00 E COHSULgINd
PIRN ?RS tH01NtlRS
ond IAND 3UBV6YQHS
? 55f5.0!
N
G?US
/BB
BK
?N3tNEEA1Nt3 ,
P6.33
COMARNV INC.
2'3000
?
L 1000 [A8T I461A 87NEET, BURNSVIILE, 1AiNNC80TA 55337 PM 43
CERTIFiCATE OF SURVEY
Legal Description:
SCALE : 1' mAEY
I?
ti
DENOTES EXISTING EI.EVATION
(932.0 ) DENOTES PROPOSED ELEYATION
INDICATES DIRECTIOtJ OF SURFACE DRAINAGE
32. 35 = FINISHED QARAGE FLOOR ELEVATiON
9Z¢ 62 = BASEMENT FLOOR ELEVATION
939- Do = TOP OF FOUNDATION ELEVATION
s
L
? PON D
Top oF rce EtEV. = 411.82 ?
(2-8•95) %%
\WL • 416.0 %
,.•C-
????a
BY ?
-^z?y.s i - -
$,AGAI?P R?TGYRTEERING DEPT
; \`? Jf ? ? .\
/
\\?\00
s
..
<
_.?
,, ?
C?
?
,99411V,46E ANO
UT/L / T y EASE/NENT
?r
>F51e
o
,
?CIwK: / Q?o
.//
30 F! F.eoN7 BviGOi?
SETB?? ??NE --?'J
RRV o ?EQUM-011ED
i hereby certify that this is
land as shown and d19a9 lbad
? voi.ePV - I
/o / , I
1.
?-
v
a true and correct represena-?ion oE a tract
hareon. Ae prepared by me this 97N day
Minn. Reg. No.
?
?
?p 0
? 0
G OL'1' 0
GY 0 0
D V D
6Y 0 0
LOT •IIROEY C8ECICLIST tOR 1tLBIDEliTI11L
SIIII.DIIIG pEAMIT "PLIGTIOlf
pROPERTY L971Li
aat• ot surv.p:
D9CII!(ENT 8T nnc
• Regfstered Land Surveyor siqnaturs and company
• Suildiag Permit 1?pplicant
• Leqal description
• 1lddress
• North arrow and bar scale
• House type (rambler, iralkovt, split v/o, split
lookout, otc.) • Directional drainage arrows vith siope/qradient f.
• Proposed/existing sewer and watar aervices
• Street name
• Dziveway
zs.avATioxs
Existina
v • Sewer service
0 • Lot corners
m B??D • Top of curb at the driveway
n e? 0 - Elevations of any existing adjacent homes
YrofloseQ
?"/D 0 • Garaqe floor
Q' 0 0
? • First floor
,O D
I+T • Lowest exposed elevation (walkout/vindow)
Y?? ? • Property corners
CI p 0 • Front and rear of home at the loundation
FONDING 71REA8 (if aDOlieable)
EI D 0
• Easement line
? NwL
8
O 0 , HWL
0 • Pond i desiqaation
D p • Emergeney overtlow Elevation
?
entry,
D • Lot lines
0 • Right-of-way and street width (to back oi curb)
D 0 • Proposed home dimensions iacludinq any proposeC decks,
overhangs qreater thnn 21, porches, etc. (i.e. all
structures requirinq permanent footings)
0 0 • Show all easement6 of record and any City utilitiec vithin
those easements
Setbacks of proposed structure and satbnck of aCjacent
? existing homes n[f p • Retaining yAla-::?requipemente, if any
• Reviewed
Cctober 1992
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT 1(NOB RD • 55122 ?j L U.
651-881-4875
New Conshuctlon ReaulremaMs ?? 2?r ?? I?j?? ?j aamoaav?oo keawea?re ? ?? I C? ? U?
a 3 reylstered site wrveya ahowing aq. M. W lot, aq. 8, of house ?j 2 copfea of plan
and gl( roofed areas L7416 maximum lot covemsAS ollowetl) 7a ('o t aat of anergy calcWations (or heated dddi8ons
n 2 copiea of plana (ahow bepm d wlndow sizea; poured Ind. deslgn; etc.) 1 Qte wrvey for exledor adtlitlm & decks
D i set of energy calculationa
> J copies of hee preservaHon plcm If lol platletl qHer 7/1/93 &0
oaTE: ?,130 jDO corisTRucnoN cosr: 3c?15 5 Z-
DESCRIPTION OF WORK: F11V iSI4 LOw£2 Lr-U4t- " ND E?CrFRloQ. ppp,Tioa
STREET ADDRESS:
M PrNo p, Dp,
LOT: BLOCK: SUBD./P.I.D. #: ?[?YLQCZ- ? A?
PROPEStTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:_ _K 1 cy- CT !«S5? Stvn Pnone u: & S I' 1I5L - 9'7 9Lo
last Firel
Sheet Address: y(o'49 MRN 0 p- DQ
Ciry C?9 P,^) state: I?'1 IJ zip: 5 S l 2 3
Company: V 1q2-1 FT`t' I, lov?1 ES Phone N: 1, S l L45 y-$3 3 8
(area code)
it zoo 393W 3 ?
snaet naaress: q l 3D 3Lrr4,mjic- 12 I t 1N ucense a EV. 3 01
city Eej?t r-tJ srare: VY?N nP:
Company: Name:
Telephone t: (
Street Addreas: Regishatlon M:
City
State:
Sewer/water licensed plumber fif iristallina seweNwater): Phone #:
Lp:
551zz
I here6y acknowledye riwt I have read this applkaNon, stafe that Ihe InfomwHon is cortect, and agree fo comply wilh an appUcahle State
of Minnesota Statufes and CNy of Eagan Ordinances. \
Signafure of Applicant
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No JUL _ 5
Tree Preservation Plan Received _ Yes _ No _ Not Required -SZE)
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex
? 02 SF Dwelling O OS 06-pfex
? 03 01 of _ p4ex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex O 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
C 31 New
? 32 Addition
? 33 Alteration
O 34 Repair
OFFICE USE ONLY
,
? 13 16-piex ? 21 Porch (3-sea.)
? 17 Garage ? 22 PorGh/Addn. (4sea.)
? 18 Deck ? 23 Porch (screened)
? 19 lower Levef ? 24 Storm Damage
PIbg?K-Yor_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
13 37 Demolish (Bldg)' 0 44 Siding
0 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 WindowslDoors
' Give PCA handout to applicant for demclition permit
GENERAL INFORMATION
SAC Code ol
No. of Units O
No. of Buildings
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building ,&n!!S_ Engineering Variance
Valuation: $ /0, 8,00
? 31 Ext. Alt - MuHi
Q 33 Ext. Att - SF
0 36 MuRi
5?3
/ 0 8,0.,yT' K/ 0 - /tl ,g0'
)-`a V
SAC Un(ts
% SAC
PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
? SHOWER 3,00 3 20
WATER CLOSET 3,00 9. o 0
1 A`I'F-I 'PJ3
R 3.00 3. p D
-
-
LAVATORY 3,00 T-t - ou
? KITCHEN SINK 3•00 3• 0°
?I- LALTNDRY TRAY 3.00 3. o 0
HOT TUB/SPA 3•00
= WATER HEATER 3.00
ZL FLOOR DRAIN 3.00 . .3 0
?- GAS PIPING OUTLET • minimum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVAT'E DISP. • neway. uc- 15.00
U.G. SPRINKLER • eome ueaer coost- 3.00
ALTERATIONS • a ?iiog 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
.50
Lf y• Su
SITE ADDRFSS: y?f?? Ch o_ v?u ?r ?•
0`.:'NEF. PIA.ME: VJec[
INSTALLER:
ADDRESS:
CIT'Y: _R 0 5 eft--' ?.r STAT'E: ZIP CODE: S S b? Y
PHONE #: (UZ )42-3 - '>-13a
SIGNATURE OF P MTI'IBE
PLUMBING PERMTT (RESIDENI7AL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADL,-ON A/C
ADD-ON FURNACE
DATE 4-
HVAC: 0-100 M BTU
ADDTTIONAL 50 M BTLT
GAS OUTLETS (MINIMUM i@ Ss.oo Ep.CH)
ADD-ON/REMODEL (FMsnNG CoNSTRUCr[oN)
STATE SURCHARGE
TOTAL
SITE
OWNER
FEES
$ 24.00
6.00
$ 15.00
.50
?
?
CITY:
TELEPHONE #: _ZW_1?575 /
I ZIP CODE:
MECHANICAL PERMIT (RESIDE1V17AL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
' I I cirr use oNLr
L Bl I I RECEIPT#: ?? ? &:?)
SU80. l`?+nCr'4i?Y• ( a KP? ?1-tV? RECEIPTDATE: -7-D7, GO
PERMIT# UIq?"'
8000 PLUM$IN? PEiiMIT (RESIDENTIAL)
ctTYoF E?snx
3930 Paor Kxoa Rn
EA6AN, MN 55122
651-6e1-e675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
CIYTI IDFC
EACH
#
TOTAL
Alterations to exifting dwelling - minimum fee
Describe: '
$ 30.00
30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x $
Ga5 i in OUtlet ' minimum -1 3.00 x $ ?
Hot tub/s a 3.00 x = $ ?
Kitchen sink 3.00 x = $ ?
Laund tra 3.00 x $
Lavato 3.00 x ,-
Se tic S stem newrrerumisned • re wres Mx uc. 75.00 x? _ $
Se tic S stem abanaonment 30.00 x =
- $
$ ?
?
RpZ new installadonlre aidrebuild 30.00 x
Rou h o enin 1.50 x
_
$ ,
$
Shawer 3.00 x . _ $
is unaer conswe??on
Under raund s rinkler if dwellln 3.00 x/ $
Under round s rinkler if exisUn dwenin 30.00
= ?
Y
Water closet 3.00 x = $
Water heater 3.00 x $ ?
Water softener if dwellin under construction 5.00 x = $
Watersoftener itexisnnedweutng 30.00 x _ $
Waterturnaround 30.00 x ,
< --- ? 50
$
State Surchar e .50 --> ---> -- -.
Total
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------•-------....-••---------=-.-------
---------------•----•--••----....--•-•----....---•-••---• •---•--- - ---- - -- -- - - ---- -
1 hereby acknowledga tl?at I have read°this applicatlon, state that the infortnation is correct, arxl agree to comply with all applicable City ot Eagan ordinances.
It is 1he applicanPs responsibility lo notlfy fhe property owner that the City of Eagan assumes no liabiliry for any damages pused by the Ciry during its nortnal
operational and maintenance activities lo the facilitles mnsWCted under Oiitpermil within City property/righl-obway/easement.
SITE ADDRESS: `T ?' "-" - /?
OWNER NAME: : rn TELEPHONE #: (42
(AREA CODE)
4XAR INSTALLER NAME: TELEPHONE #: : ?
DE)
STREET ADDR SS; /gsj r
CITY: ??i'i3 STATE: ZIP:
SIGNATURE OF P EE
? CITY USE ONLY
LOT / BL ? PERMIT #:
SUBD. l " I E(IW /GYk, Llllk " RECEIPI' #: ) 3 --D& 7?
RECEIPT DATE: 7" 5- U 0
2000 MECAANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQ708 RD
EAGAN AIII 55122
651-681-4675
Dste:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo uoder
construction and not ownedoccuuied.
• HVAC: 0-100MBTU
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you aze remodelina, adding to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration _ Repair /Other
_ Furnace
A'v exchanger
Reminder: Call
SIT'E ADDRESS:
OWNEft NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
Auconditioning ?Zc.TW?'
? Other ?b ??
PHONE #: W - 46& -/
( A CODE)
PHONE #: i?J?
(AREA CODE) -?
Fee $ 30.f!0
State Swchazge .50
Totat $ 30.50
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA088943
Eagan, MN 55122 . Date Issued: 04/29/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4649 Manor Dr
Lot: 1 Block: 1 Addition: Manor Lake 4th
PID 10-47278-010-01
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Apex Energy Solutions Curtis M Roe
1509 Southcross Drive West 4649 Manor Dr
Burnsville MN 55306 Eagan MN 55123
(651) 688-2739
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095421
Date Issued: 08/13/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4649 Manor Dr
Lot: I Block: I Addition: Manor Lake 4th
PID: 10-47278-010-01
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
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.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
New Life Contracting Inc. Curtis 1\1 Roe
2478 Hill wood Dr E 4649 Manor Dr
Maplewood NIN 55119 Eagan NIN 55123
(61)274-6943
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
I For Office Us
I
I
flan I Permit ~~o ~ _ I
411b~ I
I
City 0 EaRa
- - t ' - I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 f
~j R, 2~f I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i staff: 1~~--
2012 MECHANICAL PERMIT APPLICATION
Date:
1_5400~ Site Address:-44 %?1_ _I I4_4 n- Q~
Tenant:------------------------
Suite
RESIDENT / OWNER
Name: CjnA4*____-~fV_j Phone:
~ - US,--1
Address / City / Zip:
Name: __,kiviiammConnections Inc--License -
CONTRACTOR Address: 1 313 Danita Cr City:
~hakopee, MN 55379
State: ip: _ hone
Contact: Email:
_
New eplacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
s Code. Please contact the Mechanical Inspector for information on permitted' screening methods.
C RESIDENT/
AL COMMERCIAL
Furnace New Construction _ Interior Improvement
PERMIT TYPE -Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
€ i Heat Pump
- Under /Above ground Tank Install/-- Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 1)0
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value x1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - Surcharge
(i.e. a $10,010-$11,010 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.gopherstateonecall.oEg
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
wIthem- appr oved plan in the case of work which requires a review and approval of 0
p' I _
e~~
t -
Applicant's Printe Nam Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
r
For Office Use I
I/
~
non
City of Ea ,Permit#:
I Permit Fee:
5a
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
c 2013 RESIDENTIAL
//BUILDING PERMIT APPLICATION
Dat%O~ Site Address: y/S `7 F 22Q L 1-)r I/ a Unit
Name: C Phone:
Resident/
Owner Address / City / Zip: yi~ Lnl3✓~
Applicant is: Owner _ Contractor
Type of Work Description of work: ~Cq G'hr~
Construction Cost: ,®,Q4 Multi-Family Building: (Yes / No )
Company:22k.3- Contact: / 4
Contractor Address: City: 5~~ ~rJGL✓
State: Zip ~~-43 Phone:
License #:/S ~b.-G%~,/.2 f 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:
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.
Applicant's Printed Name pplicant's Signa
Page 1 of 3
Use BLUE or BLACK Ink
r -V
For Office Use
Permit#:
City of EaQall '
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 Staff:
Fax: (651)675-5694
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SI-18- ( T Site Address: LI 6 [ "1 "1 a Unit#:
Name: Gv rl �- �`''��` �d �?- Phone: 61 t ' 'j® -C1178
#,S1,04W
Address/City/Zip: Y6 Y9 /414 n e r r- ea o e`•-► 1/11
Applicant is: Owner , Contractor
Description of work:
Construction Cos (9 r Multi-Family Building: (Yes /No >C")
Company: 15-'• ► sem'"L C"1 C Contact: je)Lt
,� aA
on �� Address: I3 -1 4 l-e , 47'- Pot
City: {-„
G
State:01''W Zip: 1/7 Phone: 4F—/—Lt 7d Email: )CCe -453—'# ± i'�C__�.44(• Co^19
t License#: 31 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:
Nt T� PIa :a �, W d o u n that you subm ark rdered to�� o tir o
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
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 Stat Building Code must be completed within 180
days of pe t issuance.
x JOkil (u
Applicant's Printed Name Appli ant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143292
Date Issued:06/12/2017
Permit Category:ePermit
Site Address: 4649 Manor Dr
Lot:1 Block: 1 Addition: Manor Lake 4th
PID:10-47278-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
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 -
Curtis M Roe
4649 Manor Dr
Eagan MN 55123
(612) 790-4178
Angel Guard Contracting Inc
3105 83rd Ave N
Brooklyn Park MN 55443
(612) 567-2574
Applicant/Permitee: Signature Issued By: Signature