624 McFaddens Tr4 • •
. - w.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIOr
REACTIVATED FOR DECK 07/29/93
DAIVIEL MASON 454-0859
PERMIT TYPE: ' I 1 11 + Nk,
Permit Number: • '-j 48b
Date Issued: ! ?" I43
I SITE ADDRESS:
? •-? i,i?: ?,', ff
PERMIT SUBTYPE:
.11t11tltitlly IioMF: F+ f N
r . I !I... i)t} ;
TYPE OF WORK:
I+,+WA 1 1t
INSPECTION .. . .•
, ? . , ,•r: ?? '?
f?1 MA1?'1?'?' S 1, l.! F'1 ttft - c,f 141' rl1 •,tI?V {'ii'?
7
PermR No. PermR Holda DaLa Tel"ham If
S/1N
PLUMBING
HVAC ' /•S? !.? O'CjJ?' (??
ELECTRIC
ELECTRIC
Inspection Dats Inap. CommeMs
Footings I 3 Z/??
T S
Fourwatior, ? - Z(p ?3 •r ?
Framing
Rooffng
Rou9h PIb9•
!
R-g,Mg. ?-
Isul.
v
F?eplace
F?l Ht9. ??3?3 ps
orsat Test ? -? 7?3 PS .
Final Pibg. Plbg. Inspec,tor - Notify P1um6er
Const. Meter
Er?pr./Plan
BkJg. Fnal ,3 _p 3 S
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
? - • - .
?
_` . .
wemticate nf
Wtti) of ?agan
?tnust of on"
This Certificate issued pursuant to the requir+enunls of the URiform Building Code
certifying that at the time of issuance this stnrctwe was in complrance with the varioirs .
orriinances of the City regulating building construction or use. For the following:
S'ED WG 20486
use c?usificacion: amg. Pmmit xu_
Oc-pa-Y TYPe ? ? g? DE
F1AGAN
" naaR? ,
6 M?'?'AiDFM
9-
1RAIT.
L 16, B 1, IAi??VIH+T 1RAII.
sw?yse naa? ?? 06/03/93
nam
eWMing offic;au
POST IN A CONSPiCUOlJS PIACE
Addtess 624 NCFAnDINS r[tAu. Zip 5512 3
I.ot 16 Blk I Sub IA<E? rRaII,
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 06/03/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potentiai exists.
Contact engineering division at 651-4645 before working in rightof-way or installing underground sprinkler system. ?
White - Ciry Copy Yelbw - Resident Copy Pink - Contractor Copy
d 287 6 6Vr41Pa- Y/)o i?
?
Paquesl oate Fl No Fougn-in Inspecbon
Feqwred9 ...J..//
? Reatly Now ?wJl NoLiy Inspactor
R
tl
'+
W?
r Ves C No en
ee
Y
I*11icensed contractor ? owner hereby request inspecUOn of abDVe electncal work at:
Job A/tldress (SJtree . Bae or yR you/te Na,
(9 / "? G ?4,vG h.,( f/?Ai I Pry ,/
?? ?'A ^l
Section No TownsNp Name or N. Range Na Coun
1?J4 Ka7`a.
Occuoartl WqlNTp
oW 7 oi`i-ror. e &. ?j Phone No
}/,S'(. --ao3
PowerSuppber Adaress
Elech¢hal Gomrector (Compan-y Na/me)
y ?`??O' C0, Conhaclor5 License No
MaNnq Atltlress ?Coolractor or Ownar MaWn Installallon)
`z? /Zz' ",,. y' W.4,y lea? ? ?? ?-4 A*I g.m6 2'
Auth e awre tCOncacl wne: M g In allaUOn) Pbone Number s
V2?,' Y!3 ---'
MINNESOTA STATE BOARO Of ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Gnggs-MlOwey BIOg. - Room S173 8E ACCEPTED BY THE STATE BOARD
1841 Universdy Ave, SL Peul. MN 55106 UNLES$ PROPER WSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
?? t ST FOR ELECTRICAL INSPECTION ee-oooai-oa
insimc[ians lor compleLng Ihis form an beck ol yeltow copy
?l¢?'7
?+?See ? b uY J
H 7 6 U "X" Below Work Covered by This Request ?-?.-
Add Rep TpeofBwlding AppliancesWiretl EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Eleciric Heating
Apt 8uilding Dryer Other-(Speafy)
Comm./Indushial FurnaCe
Farm Av Condinoner
Olhee(speoily) Gontrgctork Pemarks,
Compute Inspecfion Fee Below:
# Other fee # SerwceEniranceS¢e Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps •L70 0 to 100 Amps o0
Transformers Above 200 _ Amps ?- Rbove 100 _ Amps
Signs tnspectors Use onty TOTAL
Irrigation Booms -2
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
1, the Elecirical Inspector, hereby
certify that the above inspechon has
been made. RougM1-in
F,nai oate
OFFICE IISE ONLY .
This request vod 18 moMps Imm
RE5IDENTIAL
BUILDING PERMIT APPLICATION -?
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
651-681-4675
New Construction Roauirements
. 3 registeretl site surveys showing sq N. of lo[. sq, ft, of house. and all roofed areas
(20 % maximum lol coverage allowed)
• 2 copies of plan showing beam 8 windax s¢es: poured found desgn, e(c.)
• 1 set of Energy Calculanons
• 3 copies of Tree Preservation Plan d Iot Diatted aNer 7/1l93
. Rim Joist Detad Options sNection sheet (hldgs vnth 3 or less umts)
DATE Id-/?7 /? -z--
-?
RemodeUReoair Raouiramenls
. 2 copies of plan
. 1 set of Eneryy Calculatans for heated addilions
. i sAe survey for extenor aCdiGans & deck5
. IrMirate d home served 6y sepfic system Por addi6oas
aC
VALUATION
SITEADDRESS ?a.q MC f-ftidPn MULTI-FAMILYBLDG _Y ?N
TYPE OF WORK `t& R2'f`00 (9 FIREPLACE(5) _ 0_ 1_ 2
APPLICANT 6Vie-
vlc, ( ZLcIC
I I
STREET ADDRESS aA 10 -14.C'C'a (' Qu L° 56 CITY GRew Grouc STATE?'? ZIP
TELEPHONE #qSS-4 L3CELL PHONE #?5I-Z3S`s'S-7 35 FAX #
PROPERTY OWNER ??l '" l 45o? TELEPHONE #? ???57 ?? Sg
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ SIIVNk;tiO'1':1 RI:1,1:S 7670 CATEGOI2Y 1 MI\NESO"G\ RCLES 7672
(v'submission type) • Residenfial Ventilatlon Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted fr
Plumbing Contractor:
Plumbing systcm includes:
Mechanical Contractor: _
NIcchviicsil systcm includcs:
Sewer/Water Contractor:
-- .air Conditioning
-- Hcal Rccovcy Systcm
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Stotutes and City of Ea
Signature ot
Fev: S90.00
is correct,
? '?
V ,
Fec: 570.00
SSo / (.
to comply
OFFICE USE ONLY
_ vVater Sof[ener _ Lawn ?
W:iter Heater No. of
No. of Baths
Phone #
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required ,_
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 76-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 6ct.Att- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Sidfng
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraUon ? 37 Demolish (Bldg)" ? 43 Reroof ? 48 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings(new bldg) FinaUC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion I-NAC
_ Drain Tile pther
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tesu _ Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Suppiy & Storage
58W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 020186
Eagan, Minnesota 55123 Date Issued: 03 J 1 5 J 9:z
(612) 681-4675
SITE ADDRESS: Lo.ro I,_ BLOC^ a APPLICANT:
6'?4 MCFAD[7ENS TR .7016iVSON HOMES INC, UONALD
IAY.FVIEW TftAIL (512) 456-0039
PERMIT SUBTYPE:
SP DbJG
TYPE OF WORK:
NEW
INSPECTION
FUOTSNG D. .
FRRMTNCi .•
:CN5ULATION P7Nf1L
FaCc
REMARKS: 5& W PLBh - 6ENr OLSON PRV
?.
?' CI1'Y OF EAGAN
3830 Pildt Knob Road
Eagan, Minnesota 55123
(612) 681-4675
; ?-_.
Buildila.,g Permit l-ypa k.,
S1= OWG
6uiLdingai?lork 7ype NEW
UBC OcuUp antr,y R-,t M-1
Cpnstruction'f,?pe V-N
7oning --, R-1.
F3uiltiding Lengtli .? 58
Bu3Shcnq Width °a 36
SITE ADDRESS:
6241 MCFF,qilk:Ns, 1"67
L07: 16 BLOCK: 1
I_AKEVIEW 7RA1L ?
P,7.Pl.: 10-44330-160-01
DESCRIPTION:
,y
REMARKS:
PERMIT 0/6.) 3D, i
PERMIT TYPE: 3a G?? a?r! r,
Permit Number. 020486
Date Issued: 03/ 15 / 9 3
zlkV oF acI
.
:, E. W f'Ll'R - UI_NE pLSUIV
FEE SUMMARY:
f3ase Fee
I' lran 12e?iew
Surchur_n,e
SAL'
awc o
8AC unies
1_ic. Search Fee
SubtoCal
PI2V
VALUATION
$709 . 60
$161 . 18
'y',60.00
$750.90
100
i
?!! lA
?•'vSo`)85.60
$120 000
MISCELI.AiVE0U5
COPY
Tntal Fee
$1 , 744.50
$3,730.68
CONTRACTOR: - FlpNiI.car,t - ST, i_rcOWNER:
JOHNSON H0ME5 INC, pONALG 14560034 0001603DONA40 JOHNSQN HOMES IDlC
?639 PflftK RTDGE DR 4639 PAkK RIOGE DR
GflC;F1N hIIV 55123 EFlGFiN MN 65123
(612) 955--0834 (612)456-0034
I hereby ac!cnawledge L'hut I have reLgd this applLCatien and stiat? that tha
information iw correcs: and agrsF? to eomply with all -,pplie:able Stat? af t9ite
Statutns and:CSty.of Eaigar7 4rdinancos. „ %
1 APPLICANTlPEiiMI EE SIGNA7URE ISSU D BV: SISAMAI -URE
REACTIYATE _
PERMIti ,N '
jw
CITY OF EAGAN $3 93?•'?
1993 BUILDING PERMIT APPLICATION '
681-4675
MAF 0 g Reco CO&3-15
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 03 Yaluation of work 96,0
Site Address: !?!2g /1)eF4,baE.vSTi?-iG
STREEi SUITE 0
Tenant Name: (commercial only)
LOT /& BIAC& / SIISD. L.4KEViEw T/I.,4,ec. P.I.D. N
Descri tion of work: AJ&A) 0oA1S ,er.-cTiowl
The applicant is: ? Owner Contractor 11 Other (Descri6e)
Name Phone
Property .AST FIRST
Owner
Address
STREE7 STE p
City State Zip
Company oml? A4oHAISON 14A4ES lk/C Phone `Fa-oo !?
Contractor Address 4&-A9 44,e'e/iA&Lh2ivE. License # /bQ3 Exp.-*A193
City b laRN State MkK Zip 5<1Z3
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber 4p-nc Processing time for
sewer & 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
? 01 Foundation
Xr 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 5F Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
b ? ;?
R * ? ' S •
? 11 Apt./Lodging qLi, 18 BA?A Finish
? 12 Multi. Misc. 0 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
0 15 Deck ? 20 Public Facility
? 21 Miseellaneous
O 35 Tenant Finish ? 37 Demolish
0 36 Move
Const. (Actual) v- N Basement sq. ft. MWCC System Yes
(Allowable) q _ H lst F1. sq. ft. City Water YF-S
UBC Occupancy 2nd F1. sq. ft. PRV Required YEY?..
Zoning R-I Sq. Ft. total Booster Pump
iY of Stories Footprint Sq. ft. Fire Sprinkler
Length 58, On-site well Census Code
Uepth On-site sewage SAC Code
caa..e, 81c1?, T
APPROVALS CAftAMA.-) "nI+ t-
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
0 Wallboard
? Footing
0 Final
? Framing
O Draintile
? Insulat9on
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % /DD
SAC Units /
.2ND ?i.oo2
?3X2? 2? s
v.Luac;a,: S IZo
,0ov ?
`AAR4(aE; 20X12= ,240
20K2Z= y?
650x16= l0980
1.6xZb= 6'7
Z2 x+4= 3 08
9 S x 5= I 4,?I bo
IsY Fi.ooZ
a?= q fi v
G
Yq, 53,6Z2
tiRR 12"93 14:26 TO 612 fiBl 4612 FR04 PROBE E1NCIFEIItING T-4338 P.02
T?p tllf ??? ?
IAQOE "OPINIp?NNl1pIISp and!HOIR?D fUAV/YOllf ?554% D/
:NGINEERINt3 B ??
' COMPANY, INC.
? 1000 EAST N!M l711E97, BURNBVIILE. MINNElOTA 66337 PH 432-3000
CERTIFIC
Legal Descrlptlon:
acnLe : r - sa
p941,41440E ANO
Ur1417Y EA9F.ftNr
f 6/'Q9'p7°E
.IOf7,' FsQuN7' BV/GO/N6
.5r/'B4Gt' L/NE
myo [R r?,-QuffiD
I hereby certify that thie is a true and corrset representatian oP a tiraot of
land ae ehown and deecribed hereon. As praparsd by me this 97W dnY of
Maa H _ ? 19?. . .
R6yiS?p 3-/2-9g ;,c9?sso DAYLiLHT W/MR76ij Minn. Rag. No. /?5
0.5Fr, (aw? 6tACE Ar N?r'LY ?'SE C1?+YFX
/.SFT., foaAFVBD 6AP+t66 Ff.roR QA9AL ........^.....
)F SURVEY
(3?? ) DENOTES EXISTING ELEVA710N
( 9¢/, o) DENOTES PFiC1POSED ELEVATION
? 4 Q FINISMED OARAQE FLOOR BLBVATIONRAINAQE
936. /5 a BABLMHNT FLOOR ELEYATION
944: ?= TOP OF FOUNDATION ELEVATION
,"'?" 612 632 3723 03-12-93 02:18PM P002 ?t33
?-". ..'
iAT BIIAPLY CEECICLIlT 70R U8IDL1iTI71L
? BIIILDIli3 ZERIIIT "PLIC I N '
pROFLRTY .tRir.= -
nite Of`? i
i
DOCtaMrrr aTAxn 4re
? 0 • Registered Lnnd Surveyor siqnstur* and eompaay
0 • Building permit 1lpplicant
D • Legal deacription `
0 D • 7lddress
D 0 • North arrow and bar scale
?D D • House type (rambles, ralkout, split r/o, split
lookoyt, •tc.) ?D- ? • Direetional draiaaqe arrows rith slop*/qradient ;.
fl ?' ? • Propoced/existiaq sswez and ratar services
rv? D 0 • Street aame
D115 0 • Driveway
zs.Zva?Tioxs
EYistinc
D ?0 • sewer service .
0 D • Lot corners
0-?? ? • Top of eurb at the driveway
? n D • Elevntions of any existinq adjacent homes
proeosed
2r?'n D • Garage floor
E' D ? • First floor
E^ D D • Lowest exposed elevation (valkout/window)
D' 0 D • property corners
D--G 0 • Front and rear of home at the loundntion
r
0 EY' ? • ?Lement line .
.
0 )0' D HwL 0 P?r 0 • Pond t desiqnation
D 0 0 • Emergency Ovazflow Elevation
DS?SENSION6
atstry,
E? 0 D • Lot lines
CI?D 0 • Riqht-of-vay and stroot vidth (to back ot eurb)
P?0 0 • Pzoposed home dimencions includir,g any proposed aecks,
overt,anqs qzeater thnn 21, porches, stc. (i.e. all
struetures requiring permanent iootings)
? 0 0 • Show all easementc of secord and any City utilitits vithin
those easemente
'S 0 0 • Setbacks of proposed ructure and sttback of adjaeerst
D _ / ? existing home
B" Retainin *IDShts, if any
• Revieved • .? /L-
Na e / Dnte
n^'-'-- ----
"Donald L. Johnson Homes, IIIC. C:?123?BIDSIENERGY.WK1
Energy Code Worksheet 12:48 PM
Owner - Mason, Dan & Debbie
Address - 624 McFaddens Trail, Eagan
Contractor - Donald L. Johnson Homes, Inc.
4639 Park Ridge Drive
Eagan, Minnesota 55123 Phone 456-0034
Building Ciassification: Type A(Single Family & Duplex)
General Information:
1. Building Perimeter - See Worksheet
2. Wall Height - See Worksheet
3. Gross Wall Area 2457.01
4. Square Foot Roof Area 994.00
5. Square Foot of Rim Joist 161.00
6. Doors - Area 20.01
U Factor 14 &.47
7. Total Door's Perimeter
8. Windows - See Worksheet
Vetter Insulated Casements
9. Total Square Foot Glass 143.50
10 . Fireplace Area -0- Clearance
11 . 6cposed Foundation .67* 161 107.87
12 . Framing Area = 10% Of Gross Wall Area
U Factor
13 . Gross Wall Area 2,457
Window Area 144 0.360 51.66
Rim Joist Area 161 0.041 6.60
Door Area 20 0.140 2.80
Other poor Area 0 0.470 0.00
Exposed Foundation 108 0.140 15.10
Framing Area 246 0.095 23.34
Net Wall Area
------- 1,779 0.043 76.49
176.00 Acrnql_
14 Gross?4lall-AKea- 2,457 0.110 270.27 A"owasLF-
15 . Gross Ceiling Area 994.00
Joist Area 99.40
et Ceiling Area 894.60
U Ceiling 895 0.024 21.47
U Framing 99 0.023 229
W.7B A'GTLI FIL-
16. Ceiling Area 994 0.026 5:8 ?u,ow?rs?e
09-Mar-93 Page 1
"Don Johnson Homes, MASON
Worksheet
8.17*48 392.16
9.67*48+26+14+26 1102.38
8.83*26+27+26+30 962.47
2457.01
Roof 994.00
Windows
2636 2*5.01 10.02
2036 2*5.01 10.02
2050 6*8.35 50.10
1636 1 *4.00 4.00
2640 2*8.00 16.00
2650 1 * 10.00 10.00
3046 1 * 12.00 12.00
2046 2*6.68 13.36
Half Round 12.00
Octagon 6.00
143.50
Doors
3'0 Atrium 20.01
20.01
09-Mar-93 Page 1
REACTIVAI'E? ???? ?? CITY OF EAGAN
Ptw?tiT # 1993 BUILDING PERMIT
681-4675
APPLICATION
w Aquy'?., q -14
;gd dAcj
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i 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 Yaluation of work 7 dvD '-
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SIIBD. P.I.D. M
Descri tion of work: i::)?ZIL
The applicant is: Owner O Contractor O Other (oes«ibe)
Name Phone
Property ?ST FIRST
Owner Address ?z sG U'tCA:r* aa s lY-
STREET . STE I
City ??5q, 5tate Zip ?
r
Company 1k&A9_- Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this-aPptication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eaqan Ordinances.
Signature of Applicant: ra?-----°"
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Oi Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
woRK rrPe
t 31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Lonst. (Actual)
(Allowa6le) ?
UBC Occupancy ?
Zoning
N of Stories
Length ?
Depth rt. / ?
f?-
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Wallboard
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee •
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
e°° ,
^ q.1,6 Basement Finish
[2-17 Swi m' Poo]
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 11 Apt./Lodging
? 12 Multi. Misc.
O 13 Garage/Accessory
? 14 Fireplace
0 15 Deck
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
ILfooting
I& Final
U'4L. v.tu.c;n,: 8
? 37 Demolish
MWCC 5ystem
City Water
PRV Required
Booster Pump
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L1& B/ • ?-' ME HANICAL PERMIT RECEIPT #?L5Ao
(612) 681-4675 DATE
/
RFSIDF"IV'1'ZAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAAif%Y DWELLINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING iTNIT.
OR'NER C ,
a?? /' ?
FEE,g
SITE ADDRFSS: '? /?
? ??-?J ADD ON/REMODII. (E7IISTING
CON9TRUCI'ION ONLI) $ 15.00
INSTALLER: A,r)-aAG?' ' d A-, HVAC: 0.100 M BTU 24.00
PHONE #t: 6- 031 t} ADDTI'IONAL 50 M BTU 6.00
ADDRFSS: j C-, ??. GAS OUTLETS - 11IIN7MUM 1@ $3 EA. 3;60
CTl'P: f]Cj? ZIP: e?q?l SURCHARGE: $ .SO
SIGNATURE: TOTAL: $33,60
J?
COMMERCIAL
PLEA.4E COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
R'ORK DFSCRIPTION: CONTRACT PRIC&
196 OF CONTRAGT FEE. FEFS
STATE SURCAARGE IS S.30 FOR EACH
$1,000 OF PERMTf FEE.
$
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
$
OWNER: TOTAL• $
SITE ADDRFSS:
TENANT:
SUITE #: .. .
-, :
INSTALLER: . ,..._
_ _.
ADDRESS:
CITY: ZIP:
PHONE #: CT!'1' SIGNATURE:
SIGNATURE:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
2 SHOWER 3.00 ''J,o 0
WATER CI.OSET 3.00 _- °°
BATH TUB 3.00 3, o n
? LAVATORY 3.00
? KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 '3.a O
HOT TUB/SPA 3.00
WATER HEATER 3.00 3,o v
FLOOR DRAIN 3.00
? GAS PIPING OLJTLET • m;,,imum - 1 3.00 -00
ROUGH OPENINGS 1.50 a
WATER SOFTENER 5.00
PRIVATE DISP. • neiLcry. ur. 15.00
U.G. SPRINKI.ER • home under cone4 3.00
ALTERATIONS • w wsung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
/ -`? ?/ MC ?_/' l /_ T_
STTE
OWNEP. P;
- / 33
CTTY:
STATE: ti, ZIP CODE: 5
PHONE #: ( 6 /2--) r VS - yL 7 Z-
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLUMBING PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMNIERCIALJINDUSTRIAL BUII UINGS. ALSO FOR MULTI-
FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCI'ION
ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACI' FEE.
STATE SURCHARGE $SO FOR EACA $1,000 OF OW FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1°/0
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN AppLICANT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118972
Date Issued:11/13/2013
Permit Category:ePermit
Site Address: 624 Mcfaddens Tr
Lot:16 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-160
Use:
Description:
Sub Type:Reroof & Siding
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.
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.
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 -
Daniel J Mason
624 Mcfaddens Tr
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126963
Date Issued:09/17/2014
Permit Category:ePermit
Site Address: 624 Mcfaddens Tr
Lot:16 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Daniel J Mason
624 Mcfaddens Tr
Eagan MN 55123
(612) 723-6345
Gates General Contractors, Inc
3500 Vicksburg Lane North, Suite 400-351
Plymouth MN 55447
(763) 550-0043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172907
Date Issued:10/21/2021
Permit Category:ePermit
Site Address: 624 Mcfaddens Tr
Lot:16 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Daniel J & Deborah L Mason
624 Mcfadden Trl
Saint Paul MN 55123--217
(651) 248-4081
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature