641 McFaddens TrCITY OF EAGAN
I 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I+ t ftiti. ' ,,,II
PERMIT SUBTYPE:
TYPE OF WORK:
<Q 1
! A P1
INSPECTION .. . ..
FI
Iri .'t I I'?;! ? I:
KS . ., F.14 c' U N"TitAC. f 1.11
PECTION RECORD
PERMIT TYPE. •
Permit Number:
Date Issued:
? „ ? ; •? rt ? ,,, , APPLICANT:
t ?? l .' 1 ,•iq ;•r,'}
LL-
Permft No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELEC /I?G7 o?f! 3 /D ?
ELECTRIC
Inspection Date Insp. Comments
Footings I ??v 444
Fotmdaiion ?
Framing /
?
Roofing
t
Rough Plbg.
,t&
i,; / ? ?f G P
Rough Htg.
Isul.
,
Fireplace /(,- ?. S' ?1.?,s N7 , Sf ? •1!r !rT
'
Final Htg.
Z-/ 2,911 3" IIP
orsat rest --5
Final Plbg. y-7?, SS Pibg. Inspector - Notlfy Plumber
Const. Meter
Engr./Plan
81dg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
A",-? q
? ?.
. a _. . .,, .
?
Wextificate vf Cccupancv
ORM o f Wagan
Ttpartmenr ? Zxfting 3«Opecr;an
This Certificate issued pursuant to the requrrements of the Uniform Building Code
certifyiRg rhat at the time of issuance this strucmre was in cornpliance with !he variaus
orrtinances of the Ciry regulaling building eonstruction or use. For rhe following:
Use Classifa"ac SF M Bidg. Permit No. ?? ?
0--P-Y TYPe R3M I Zoning Disuia R1 TYPe Cons[. VN
14450 B'VIIIE AW, B'VII1E
ownrioreuilding KEYIAM HM Add,,,
euiwing naams 641 MYAWM IIiAII. Lra;h,13, B2. UIEVIM IREIIL
y f+'' ,`} : i" ' 11;.; , Daw JAMARY 21, 1994
euddins ofreW--? . '
POST IN A CONSPlCUOUS PLACE
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
a ti ! t r 4,
SITE ADDRESS: ,: ; .,, ; APPLICANT:
EiA 1 Mi I At±111 N'. 1 1:
! Akt:L'ilU IltAtt I
PERMIT SUBTYPE:
d' °' I r. t MrW; -.
F
L
I I ?Jlh}
f ?. 1 .' 1 ??!
TYPE OF WORK:
I 1 t1l11
'. 11 VI N
- - - - - - - - - - - - - - - - - - -
?
?
Permit No. Pertnk Holder Date Telephons N
ELECTRIC
PLUMBING
HVAC
Inapection Data Insp. Commanb
FOOTINGS
FOUND
FRAMINd
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAI y?
Address 641 W-FAvnINS r2nrr Zip 5512 3
I.ot 's Blk z Sub LAKEvIF,W TRAIL
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: JAN 21, 1994 Yes No Inspector: ?
Final grade (6" from siding)
Pertnanent steps (gatage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch
Basement finish
Deck
Plcase verify with the builder the temoval of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof•way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
Bd
13 6 7 a1°3 - ? ???--
r_
Request Date
?7 Fre No Rough-m Inspeclion
fleqmretl? NOTICE: Vou Musl Call Eleclrical Inspecror
Ii A Rough-In Inspeclion
P
e5 G No Is
eq mretl
censed contractor ? owner here6y request inspection of above elecirical work at:
,bb M ss (Stree6 9ox ar Roule No City
Sectlan No. Township Name or No Range No. Coun
Occupanl( RI Phone No
_JEI
PawerSuppher Pdtlress -
Electr al ConNaqor (COmpany Neme) CopVactor5 Lic¢nse No.
l?
Madrtg Adtlre(Contrac[Or ar Owner Making Installa[io
Avthonzed 5 naWre (COntraclor/Owner Making Installatw Phone Nu r
8 r'O- l03 6
MINNESOTA STATE BOARO OF ELECTRICITV v l THIS INSPECTION REOl1EST WILL NOT
GrlggsMiCwey Bltlg. - Noom 5-113 BE ACCEPTEO BYTHE STATE BOARD
1827 UnNersHy Ave., SY. Paul, MN 55104 IINLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCI.OSED
REQUEST FOR ELECTRICAL INSPECTION
See instmclions for completirg this lorm on back ol yellow copy
_ 71367 - ''X° 8elow Work Covered by This Request
y_ S
? fE7??
e Atld Rep. TypeofBuiltling AppliancesWued EqwpmeMWVed
Home Range Temporary Service
Duplex Water Heater Electric Heanng
ApL Building Dryer Loatl Management
Comm./Industrial Furnace Omer (Specity)
Farm Air Condi[ioner
Other (specify) ConVactor§ Remarks
Compute Inspection Fee Below:
# Other Fee # Service Enirance5rze Fee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps '
Transtormers Above 200 _ Amps Above 700 _ Amps
Signs ?nspeclor5 Use Ony. TOTAL SQ
Ivigation eooms 7/?
? 0?
Special Inspection !v
Alarm/COmmunication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONTM.
I, ihe Electncal Inspector, here6y
certifythattheaboveinspedionhas
6een made. Rough-in
Final oatl y/?3
v?
Date?
d
OFFICE USE ONLY
This request voiG 18 months fmm
PERMIT #
? ? 7F(
RECEIPT DATE:
SOOE RE.SIDENT!!kL PLUMBIRe i'EfiMiT APPLiCATiON
crrY oF EAeM
3$30 PILOT KAOB RD
RAfiAN,MN 5512E
ss?-sg?-aa?a
? -.iAN 2 s 7002
D
Please complete for: single family dwellings, townhomes and condos when permits are required for eac
backflow preventer for irrigation system By C?/?vJ
SITEADDRESS: ?LI I 1`Y)c F,?3.,",
OWNER NAME:. bcavc, STELEPHONE #: (aS j LlS(v - S?? U
(AREA CODE)
INSTALLER NAME: S¢.;+z 2)reis. ?I a?i TELEPHONE #: 7(0.3 oo
(AREA CODE)
STREET ADDRESS: 8?OO X„ I c.. quc, N- ? 10 8
CITY; -R)ro4!?k1 i., ?ar1C STATE: Mr, - ZIP: s5`/`/-'?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of pians and MPC license) $ 100.00
incVudes $40.00 Couniy fee
Note: Additional consultant fees may apply
• MOOIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
1 Adding fu3ures to lower levels or room additions, excluding water softeners and water heaters. 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelfing unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater 15.00
State Surcharge .50
T
t
l 6
$ ?
o
a
I hereby acknowledge that I have read this application, state that the information is wrrect, and agree to complywith all applicable Cityof Eagan ordinances. It
is the appficanPs responsibility to notiry fhe property owner that the Ciiy of Eagan assumes no liability for any damages caused by the Gty during its normal
operational and mainlenance activities to the faCilities constructed under this permd withi?J2Jty p?9pe/' ht-o ayJeasement j 2g??
-P c?...?G
SIGNATURE OF PERMITfEE 1l02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo'r : s B L 0 C K: 2 APPLICANT:
641 MCFADDENS TR KEY LAND HOMES
LAKEVIEW TRAIL (612) 894-2636
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUTLDING
022341
10/28/93
INSPECTION
FOOTINGS ., .
FOUNDATION .,
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S&W CONTRACTOR - D C MECH
PRV
?-- - ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PrRMIT
PERMITTYPE: auzLozNe
Permit Number: 022341
Date Issued: 10 / 2 8/ 9 3
SITE ADDRESS:
P.I.N.: 10-44330-030-02
641 MCFAOpENS TR
LOT: 3 BLOCK: 2
LAKEVIEW TRASL
Ci / ? •?s'?
DESCRIPTION:
r-?
Bu'ildi`ng, Permit Type
SF DW6
Buildi.ng Wnrk Type NEW
jUBC Occupanojh, R-3 M-1
Construction T"yp"e
Zoning vN
R-1
8uilding Length j 68
Building W3dth 36
?
t
'i
\ i
??
'`
1_V, E?
?
REMARKS
3&W CONTRACTOR - D C MECH PRV
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$853.00
$554.45
$80.50
$750.00
100
$2,237.95
$161,000
MISC FEES $1.744.50
Total Fee $3,982.45
CONTRACTOR: - Applicant - sT. LiC. OWNER:
KEY LAND HOMES 18942636 0001553 KEY LAND HOME5
14450 BURNSVILLE PKWY 14450 BURNSVILLE PKWY
BURN3VILLE MN 55337 BURNSVILLE MN 55306
(612) 894-2636 (612)894-2636
I
I hereby acknowledge that I heve read this application and state that the
inPormation is correct and agree to aamply with a11 applica6le Stata of Mn.
Statutes and City of Eagan Ordinances.
APPLIC PERMITEE SIGNA URE ISS ED B SIG ATU E
REACTIVATE IOCT [s(??
PERMIT M 1 5 ?93
3 ED
/ -------------
CITY OF EAGAN ;
1993 BUILDING PEF;(NIT APPLICATION
681-4675 ? , 1?'
124.t" I dt2-.
INGLEl MULTI-FAMIIY
( 2 sets of plans, 3 registered site surveys, 1 copy of ener9Y
! 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 nG'C / 14 / 9,3 Yaluation of work ? ?4o,? ?
T':AL L
4
'l l MG
L
-- -
D9,4
?
Site Address:
o
STREET SUITE #
Tenant Name: (commercial only)
LOT ? BIACK L-- SIIBD 72M` P.I.D. N
aDG t'Tid1•l
Descri tion of work: Cvl L Fic?m il.. o%c. 4D?tia
The applicant is: 0 Owner 1IR:Contractor ? Other (Deaeribe)
Name Phone
Property L.ST FIRSi
Owner
pddress
STREET STE t
City State Zip
Company Vleq Lfl45> V?oMr_.S _ Phone ?344-ZC?iCo
Contractor Address 14450 Bv¢.1#f.AI1LLE ?Kwy. License # IS53 Exp. 3 3
City gutLl??SUILI,__ State M4 ZiP ?v5'>0Co
Company Phone
Architect/
Engtneer Name Registration M
Address
City State Zip
Sewer & water licensed plumber D•G 1`? ,- F?At-L164L . 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 af Applicant: z°
??a?s
? OFFICE USE ONLY
BUILDING PERMIT TYP E
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
W02 Sf Dwg. 13 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
13 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) \!-N Basement sq. ft. MWCC System y?
(Allowable) v- N lst F1. sq. ft. City Mater
UBC Occupancy
2nd F1. sq. ft. ?
PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq, ft. Fire Sprinkler
Length On-site well Census Code !o/
Depth 3 6 On-site sewage SAC Lode ?
APPROVALS _
T
Planning Building Assessments
Engineering Yariance
REGIUIRED IN SPECTION S
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.iu.c;«,:. . g 161 000
Surcharge
Plan Review GAaa6E, ao z2,-
X -?6D K ?6=
l+?,S6o
LicenSAC RsmT: 38x28= 1064
City SAC C11t 90
Water Conn.
Water Meter II x ??f = I?
Acct. Depasit ? 6 Zn
S/W Permit ?g?2', ''g5yy17? I3o?v
?
S/W Surcharge
Treatment Pl.
Road Unit iiL ?tSN % 71? 60y
Park Ded.
Trails Ded. 2tio F?ourl.t
38XZB s la6y
Copies Oxx 13 s 20
Other
Total : I?t'y K !54 = 58?536
SAC % Ov
??'?
SAC Units ? ?
10/14/93 67:13 605
, .
L
auRvEvoR's cER-r??ICATE
n
r?
r-
i? •
?i
1 '
? J
BE?V..93'3,49
KEYLAND HOMES
?
?
' ?IEV:. .68
EAQx'A14 ENQ'aMEMG DM.
BV6.DIN6 0I1VIFTIStqr48 3MOwN FCR ?p R
B yE 97'?yAL LOCA'tYON OF 8 UAE OM.Y. '?i0T8I NO BP?CPIC SOILS INVEB'f?6ATIOH XA9 BFPN COMPLETE
;q19p11?CfUAL PI.Ai15 FUR 8U11. 6 9 F? ?/' ON 'fHl? IAT BY TIIE SUAVE70R. 7fE SUI'{A911.ITY OP
GIMfi1Jg?F?S. SOILB TO 8UPADRT TNE SPFGf1C Hq/8E PAOPOBED IS
= DENOTES PROPOSED SURFACE DRAINAGE NO7 T14E t168PONSI611.ITY of TME SURVEYOR.
O DENOTES IRON MONUMEN7 SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 35. '3 FEET
XOOU.U DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = qLfd, I FEEf
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= 95(v,2 FEET
WE HEREBYCER71FYT0 KEYLAND MOMF?S THATTH?S A TRUE Nf7 GORRE T?
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Loi 3, BI OCk2 LAKE'VIEW TRAIL Af7pITION, ooCOrdJng to the reeorded
plat thareof , 606to County, MlnOasoto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IXCEPT AS SMOWM. AS
SURVEYED BY ME OR UNDER MY pIRECT SUP RVISION TIiIS 30TM DAY OF SEPTEMBER . 1993.
SIGN D:A?S R. HILL, INC.
pqOP0860 ORADE8 sNqNN W TA14EN
rnoM TS c???orao e o?r? .
PLAN PN4Y10$Q bY PIONEER ENO. JOHN C. LARSON, LAND SUAVEYOR
MINNESOTA UCENSE NUMBER 18828
x ? o 2 ? ? ?> Hill
inc
James R
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9 °
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?'m PLANNERS / ENGINEERS 1 SURVEYORS
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m ? ?' w z? BURNSVII
7 o
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880
8044
E
MN
-
L
,
. 5533
8
2-
2500 W. CTY. RD. 42 0
? LOT BIIRVEY CHECRLIST FOR RESZDENTIAL
J N BUZLDING ERMIT APPLICATION
m
m -C ? PROPERTY LEGAL:
? w
? ? m Date of Burvey: /tge
?
? DOCUMENT STANDARDS
0''? ? • Reqistered Land Surveyor signature and company
p? ? ? • Building Permit Applicant
p?fl ? • Legal description
av- ? • Address
?? ? • North arrow and bar scale
9--0 ? • House type (rambler, walkout, split w/o, split
lookout, etc.)
ErIp 0 • Directional drainage arrows with slope/qradient %.
0 9-- 0 • Proposed/existing sewer and water services
O- 0 0 • Street name
B?D p • Driveway
ELEVATIONS
Exiatina
p Er?? • sewer service
Ca' 0 ? • Lot corners
g? 90 Top of curb at the driveway
p?? ? : Elevations of any existing adjacent homes
Proposed
? ? 0 • Garage floor
p? ? p • First floor
Er' p ? • Lowest exposed elevation (walkout/window)
[Y ? ? • Property corners
?? ? • Front and rear of home at the foundation
PONDING AREAS (if applicable)
? .0?11 • Easement line
0 H? ? • t1wL
? ,8' ? • HWL
? 0' ? • Pond # designation
? ? • Emergency Overflow Elevation
'u'0 ? •
4Y- ? ? •
Er, 0 0 •
?0 13 n 0'4 •
I
entry,
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Ret
Reviewed;
October 1992
CAIGR IVi\ "I???v?? .-.--
i
0'n' N E2 : ?_ ----- -------
ST_Tc ADDRESS: COA I MG?nn,?c?15 CONTRACTOR: kC Lb?N?
t
2
L y(Q
nnrr : 1 z--13 -g ?
PHONE: ??C?-??7Co
Ptt,N R R - 3 y 3 -Z-
Determ-ine working square foota9e of each
Total exoosed wall area..... 3 1 ZC" S 5q
Total roof/ceiling area..... sq
ft. X i1
?
ft. x .026 = 3 Z' Z?
ictal exposed a:all area above.floor=__ 7_7Zn
............. Z
h.
c.
d
e.
P.
g.
h.
i.
j. Total wall tiaindow area ..........................
Total door area ...................
Total sliding olass docr area ..................:
Total firePlace wall area ............ ..........
To-ual wall framing area (zverage lON)...........
...............
iotal rin joist area .............
net wall arez a5ove floer ....................
wall area a6ove floor ...............• . . . .
wall area a6cve ?loor ....................
s'rzme wall zrea a7L :oundat=on ..................
Total exposed Toundation area= ....
:::::::::::?_::::
.................
.................
.................
....... . .
. . . .. .. . . . . . ..........
....... .........
. •
?_ . ?ro
>
?
.
3 I S
7-14 4"6
,
.
k_
l. Total
Total foundation windosa area ..........
net Toundation area above grade• .........
••••••••• .... -7
•• " $? 7
Determine "u" value of e
(e,g, window, door, each ach wall
separate segment
wail section)
ZI ? ,'_]
a.
,
? „
b. S ? X u„
c . X. „u.,
<{.c1
?
= I ? ?? "]
- X "U,l
d.
-
_
:
"1 X „u?,
e . Z Z- va? _ ? `?'04
r.
X „U" ? Q 4 = 12'Co ei- X V. - 7'Q1_
h X glut. _
X
i. 11 ull - _-----
j X
. k
l x
. -
???
I.0q
!
L1
Z, L( ? If item
as, or
gl, you
intent §3 is the sa
less than ite
have met tfiE
of SSC 6006 1
3 . ............................. ...
Total
Total eaposed roof/ceilin9 area Z?I D
,_ • - . .
. ?
?. =b?z1 skyli.sht area ............................
„^otal roo`/cc:lin, f_•aming arca (:ricrage lOz) ,. 1 7-9
o. ^otal net i^s::lated roof/cciling nrea... _...... ' II1(o
9etermi±te "U" value for each roof/ceiling seqnent
14 r _]l 1 .
ri. x
.. ? Z a 1.U..
?(J X „U" Io7i = 2-Z'3Z ..
Z
........................... To?al Z S'?"J .
-
0_ '- 's t?;z 5a-ne as, or less t_han ti2, you have met the intent o•` ?
Sy^_ 50?5 ic?
A1`e-n=`e Building Enve:.ope Design,_ . .
^o _'; liz2 t^.e tocal envelooe 'system method, the values es tablished by the s'._*a o?
items z^.d -4 sha11 -^-ot be greater than the sum of items vl and n2•
13Y+2. zy = 37 4e 1 ?5
--?
Z? o S. .
3. Z?U Z L + 4. Z's-,
use ?ta, of cpnque wa t i area ivr
. . • . fY'ame. CCxw`+truCf ion
pRAME Hr.tt
CONSTRUCiTON-•- FRAMING
1. INTIItIOR AIP, FILM R- VAIZJE
- -
0.68
2. 2 .4
3. S 1 2 SOF'P WOOD 6.87
-
4• ?F? 1Z?l?.I'P*ftNEA'fHxNtaV ?.79u?1 S,.Q
5. SID G .B
6. EXTERIOR A'IR F LM .17
-
TOYA
L = 1 . i 9
U= .o-7
NET
1. INTERIOR AIR £ILM 0.68
R. ' i2 GYPBD .45
3.
4. /' ?i4,,l3;1 5.4 _
5. S ING .6Z
0.17
6. R R LM
TOTAL 3a
U
. o -1
s??ti ISe??s?
{d-NDRTICA
WALL
.43
G ?
i ' o -? • r u" ?
? , .
1. INTERIOR AIR FIIM 0.68
2. 6 INSUL. 19.00
3. x JO • 9
4. °' ? ? tnl5ut? ZN?A.fH?wrU ?. ?-
5. IDING •62
6. EXTERIOR AIR FILM 0. 7
TOTAL
U= • °`?
BLOCK
1. INTERIOR AIR FILid 0_68
2.
3. 0 . 0
4. PROTECTZVE BARRIER
5.
6. F
TOTAL R= 7.13
U= .lk
SLAB ON GRP,DE
!1!
. ?
/tl
?
(ll
0 =
: ?
?
S
? D a
?
^ y . \
,
,
.
. ?
, ?
S
.? _ a
= frf ? Il ? ?
{
1!1-
tl - !11
lll ?rl
?
?
NOTE: ZNDICATE TYPE, "R" VAIIJE. DEPTH AND
PLACIIMENT OF INSULATION.
_cwr Liivv
? .
3 r-?
4--
yJ ?
?
lA
NEEaTI r-M<<;
'Lip
FTC. a5
CONSTRUCTION ' R-VALilE
1. TNTERIOR AIR FILM 0.65
2. S78"'-C?P_._BDY- -aa
3. -
4.
'InTA!. -
U = .02
FRAME
1, INTERIOR AIR FI"LM 0.61
2. ST8'r . . . ?
3. ?x t?IASD -
4. -
Ai. u . 5
U = 0.024
CONSTRUCI'ION
? SEAT FI.OW U?
FIG. # E
rrG. 97
NON-VEtd'I'ED
HEAT FIAW
IJP
VENTED
?
1. DISIDE AIR FIIII O.fil
2.
3.
4.
5. ,, _ -
FRA
1.
ME
INSIDE AIR FILt4 U =
? 0• 61
2.
3.
4.
5. ouT '
1,
.INSIDE AIR FILM U
0.61
2.
3.
4.
5.
T?
U =
NOTE: USE PDDITIONAL SHEEfS IF 2"ORE SPP.CE -TS
NEEDED FOR DEI'AILS AND CAiLUTATIONS.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: ryLoT:
641 MCFADDENS
LAKEVIEW TRAIL
-'IY33G^103b-bL
3 BLOCK:
TR
z APPLICANT:
LEVIN
(612) 456-5660
PERMIT SUBTYPE:
DECK
?
?
TYPE OF WORK:
STEVEN
NEW
BUILDING
025831
06/19/95
7
I
I
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT cK4-'L??3
PERMITTYPE:
BurLozNG
Permit Number: 025831
Date Issued: 0 6/ 19 / 9 5
SITE ADDRESS:
641 MCFADDENS TR
LOT: 3 BLOCK: 2
IflKEVIEW TRAIL
P.I.N.: 10-44330-030-02
DESCRIPTION:
Building Permit Type DECK
6ua.lding Wo,rk 7ype NEW
-,
;
?. i
?j
tt `
. ? °:.:'." . r. . .. i
..?..j ? ..i ?.? ? "? _.. 1 ?. i..
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
7ota1 Fee $30.50
CONTRACTOR:
OWNER: - Applicent -
LEVIN STEVEN
691 MCFAOOENS TR
EAGAN MN 55123
(612)456-5660
?
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable StaCe ofi Mn.
Statutes''and CiCy ot Eagan (7rdinences.
APPLICANT/PERMITEE SIGNATURE
10 Q? 1I ?l,
?---?.i
ISS INATUFAE ?
I
15131
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered site aurveys
? 2 rapies of plana (fnGude beam & window aizes; poured fid. design; Mc.)
? 1 energy cakulaUons
? 3 wpies of iree preearvation pian H lot pletted after 7/7/93
required: _ Yes _ No
DATE: E- 7 ' 719? CC
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT -3 BLOCK -:2
SUBD./P.I.D. #:
? 2 copies ot plan
? 2 sRe surveys (euterior atltliGona 8 deeka)
? 1 energy eatWladons for heatad adtlitbns
iTRUCTION COST: p';Z460 '
-,L- L /3'x /' k 3y I g ''
PROPERTY
owNeR
%
Name: -??r'? ST&VEW Phone #: ?S6- S??D
?y? iMBT
I
City: z?-Y46?"i./) State: ?,(f Zip; SYf oL.3
Street
CONTRACTOR Company:
Street Address:
Phone #:
License #-
City. State: Zip.
ARCHITECT/ Company:
ENGINEER
Name:
Phone #-
Registration #•
Street Address,
City:
Sewer 8 water licensed plumber.
change are requested once pertnit is issued.
State: Zip:
Penalty applies when address change and lot
1 hereby acknowledge fhat I have read this application and state that the intormation is corceG and agree to comply with all
applicable State of Minnesota Stawtes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE U5E ONLY ?ECE0 ' E , ?
Certificates of Survey Received _ Yes _ No J U N 0 7 1995
Tree Preservation Pian Received _ Yes _ No ---`--"---?----
6
OFFICE USE ONLY
BUILDING PERMIT TYPE
? ? , ?u • ?Y
. s
? ..,M.
n 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
a 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex o 14 Firepiace o 21 Miscellaneous
o 05 5F Misc. o 10 = plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq, ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
Cities Digital
( Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
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ll7/14/7J 17(:13
005
fL '4
VeYOR'? ??RTii???ATiE KeYLawu Monnes
r? 11-*?
/\ •
?
V..83?.49
R839K
?
~ ? ENCH
EAGAN ENGYNEERNG DEPT.
NOTE: aU6.OING pIMONBIpFl8 $NCJM?? q )pR HqR L
B? TfCAG LOCATION OF 87Yi1 Y?R' OWLY.? L. ?NOTSt NO 8?CCF7C SQILS INV&tY?6AT10N MA9 BE£!d GOAM1PL.Efi
q, 1 UAL PI,ANS FOR BUIL 6 Q FOtfNaA 1fl1 ` ON TH1$ IA? ?Y TME SURYEYOR, Tf? 8U17'ABII.ITY 01
.'DIM AfdNS. g01L3 SQ SUPPOAT TAE SPE'CIFIC N6:1SE PROPOSEO I5
?= DENOTES PROPOSED SURFACE DRAINAGE N4T Ti9E RtSqONSISiUTY of TMf SuFtYEY00.
O REIVOTeS IRON MONUMENT SE'f ' SCALE: 1 INCH 6 30 FEET
* OENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 3S.$ FEEf
XODU.O DENOTES FXISTING ELcl/ATION PROPOSEb LON/EST FLOOR =gZfd.) FEtI'
(000.0) DENO 7iS PROPOSEJ ELEVA-ilON PROPOSED TOP OP BLOC6C = 9 Sra. c- FEEi"
pa?.?o R?.Q C?I.n ??
WE HEftEBY CERTIrY TO KEYII+ND hN?MEu THA HIS IS A TFtUE AND GORRECT
FEPRESEN7ATION OF A SURVE^( OF i HL 30UNDAAIFS OF:
L.ot 5, ii oCl(2 I.AKE'f1EW TRA1L AflpITION, accordJnq 9o the racurded
plat tharaoi , ba&oto, CounPya Mint9esato.
IT DOES NOT PURPORT TO SHQW IMPROVEMEN7S OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
5URVE1"cD BY ME OR UNDER MY DIRECT SUaRVI&ION TNIS 30TM DAY OF SEPTEM3ER , 1993.
,AV6P08S0 ortatflSa 9Nfsiwr wBrr, TAK£H
t'Rm7A YJ?& OP1AOfpO 9 9$V1?4.dP#db?tiT ,
?WLAN WiDYIi?T$@ ?$Y PIONEEft ENO.
R. HILL, INC. /'" /• -
JOHN C. LARSON, I.AND SU.FVEYpA
MINNESOTA UCEPdSE NUMSER 18628
James R. HI lI, ir%Ic.
PLaNNERs i ENGiNEERS I suRvEYoRs
2500 W. CTY. RD. 42 a BURNSVILLE, MN. 55337 0 612-890-8044
C.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNT!'•
- --------------
??7?T7RES F2?4,f.H TOTAL
? SHOWER 3.00 3. 4v
WATER CL05ET 3.00 9 ?
BATH TUB 3.00 ?3 , "
S LAVATORY 3.00
KITCHEN SINK 3•00 0D
1 LAUNDRY TRAY 3.00
I-IOT TIIB/SPA 3•00
t WATEFt HEATER 3•00
FLOOR DRAIN 3.00 3. O U
GAS PIPING OUTLET • m??? -1
1:3
ROUGH OPENINGS
1.0 ?L So
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cty. lic. 15.00
U.G. SPRINKLER • home uneer eonsc. 3•00
ALTEt2ATIONS • io aosang 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
? ec)
TOTAL:
SITb
OWNER NAME:
INSTALLER:
• r.r?n ?cc. ? I ? ? ? I 1 I J-1 / ? .-Yt
CIT1'' 3& 1 CI T c_- -
-
STATE: V1l ?-? ZIP CODE:
PHONE #: ((, 0Y) ft - or)a-?7' -
0_e'-? _?-CJu
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR AI.L COMIvERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING Ui:;T.
_ NEW CONSTRUCTION
_ ADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE 19E OF CONTRACf FEE.
STATE SURCHARGE 5.50 FOR FA!'H S1,000 OF p?MI!' FEfi,
MINIMUM £EE: $ 25.00 " . . .
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENAIVT NAh4E: STE, #
OWNER NAME:
INSTALLER:
ADDRESS:
CI1Y:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN AppLICANT
? 1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
RESIDENTIAL
BUILDINC PERMIT APPLICATION
V ? 3830 PILiOT KNOB RDN 55122 <3 -] Q.0 0
651-681-4675
NewConsWelion Reauiremanh RemodellR alrR ulremen a
• 3 registered site wrveys showing sq. ft of lot, sq. ft. of Fwusa; and all moted areas • 2 coDies of plan -0 a-
(20% mmcimum lat coverage allowed) . t set of Etrergy CalcWatiorts for heated additrons
. 2 copies af plan showing beam 6 window saea; poured found design, etc.) • 1 srte survey kr eMeriar addigons 8 decks
. 1 set o( Errergy Calculetions • Indicate M home xaved by uptc system fw addilions
. 3 capies of Tree Preservatlon Poan if lot platled aRer 717193
. Rim Joist DetaB Optiare selecdon sheet (bldgs wtlh 3 or leas uniLa)
DATE ? - 2' Z - d ?i VALUATION ?? (?Od
JOB SITE ADDRESS lv ?( ?l-1?5???? S?P-?- r L
IF MULTI-FAMILY BU?ILD?ING, HOW MANY UNITS? ,
PROPERTY OWNER (Sl4v?JC(G4'
TYPE OF WG
APPLICANT
ADDRESS _
PAGER # _
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#Z,.S/-V5-Y-S^1 9 /
r-r-
CODE ?-2-
xEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ NIINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentiai Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Piumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Corrtractor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application. ?
'a-
I hereby acknowledge that i have read this application, state that the information is correct, andto comply
with all applicable State of Minnesota Statutes and City of E Ordinances.
Signature of Applicant a
Certifcates of Survey Received _ Tree Preservation Plan ived _ Not Required _
Updated 2002
CELL PHONE # kl_ - 3-_Z9'_ `V63 -7 FAX #
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ezt. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 70.plex Y-4 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?( 33 Alteretion
? .? ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliHon (Entlre Bldg oniy) - Give PCA handout to applicant
Valuation ozt_? Occupancy MC/ES System
Census Code - L-?31 Zoning City Water
SAC Units --Lq- Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs _L Length Fire Sprinklered
Type of Const VA/L Width
?
-?C
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace Y R.I. Vir Test Y Final
Insulation
Other
_ Pool Ftgs AidGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By 7 , Building Inspector
-
ease Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
REQUIRED INSPECTIONS
? Final/C.O.
FinaVNo C.O.
Plumbing P6 yy)Z-r ??4WA1U3
..< ?
IV .;.?;
1993 MECHANICAL PERMIT (RESIDENTiAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
?NEW CONSTRUCI'ION
ADD-ON AlC
AD37-ON FURiVACE
DATE /a/a'/q3
FEES
HVAC: 0.100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6•00
GAS OUTLETS (MINIMUM 1 C 53.00 EACH) ? .00
ADD-ON/REMODEL (ExisT[NG CoNS'i'xUCTION) $ 15.00
STATE SURCHARGE .50
TOTAL 0-33• Sd
SITE ADDRESS: ? Yl md ??? T?-•-?
OWNER
TELEPHONE #:
INSTALLER: /
ADDRES3: /6 9,Yo (? J D-?,--? ?? b?
CITy; STATE: '7Y?-• ZIP CODE: SS 7a--
TELEPHONE#:
SI ATURE OF P M E
?Fyj'„ ?
?F?... . . . ....
PLEASE COMPLETE FOR ALL COMAIERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE Iv'OT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INT'ERIOR IMPROVEMENT
WORK DESCRIPTION:
CONTRACT PRICE:
FEES
1% OF CONTRACI' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF pj?RiUITi' FEE.
TOTAL $
Si TE fwDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL7)
INSTALLER:
ADDRESS:
CITY
TELEPHONE #:
STATE: ZIP CODE:
SIGNA'TURE OF PERMITTEE CITY INSPECTOR
1993 MECHANICAL PERMTf (COMMERCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
Use BLUE or BLACK Ink
For Office Use
I I
City (f f ~fy a Permit D I 1 -9
I
Permit Fee:
3830 Pilot Knob Road I - 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address I~ ~r Unit
I i Name: 1 9 C -t /
I ~(\I l t - l o ~t'_ lv -"~3
Resident/ Phone:
1 Owner Address / City / Zip:
f
Applicant is: Owner ~ Contractor
Type of Work j Description of work:
t- _ Construction Cost: ` Multi-Family Building: (Yes -/No-
Company: '~q L^ fL'~ (-0nS . nr Contact: I t ct..,
Contractor {Address:5( a "1 1 (~c c~ t~(~} City: "r ka4e€
1 State: I Zip: J` 500 a Phone: 605 I - L! 29 - Ll 'j 9 0
4 i rr
License Lead Certificate NP"- I Qss.5') -
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.aooherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed. within 180
days of permit issuance.
x +L1 x
Ap Ircant's Printed Name Applicant's Signatu
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118646
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 641 Mcfaddens Tr
Lot:3 Block: 2 Addition: Lakeview Trail
PID:10-44330-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Beth A Sawicki
641 Mcfaddens Tr
Eagan MN 55123
(651) 456-5660
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130166
Date Issued:04/09/2015
Permit Category:ePermit
Site Address: 641 Mcfaddens Tr
Lot:3 Block: 2 Addition: Lakeview Trail
PID:10-44330-02-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Beth A Sawicki
641 Mcfaddens Tr
Eagan MN 55123
(651) 456-5660
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink ,
For Office Use
�/ r
111!!Ill'b Cit of Ptj (]jj Permit#: /(� pfd
3830 Pilot Knob Road Permit Fee:
70-5:
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildincinspectiansC+ citvofearian.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/13/17 Site Address:..bL t C.wel^'47 7171 1 C(/1V Unit#:
/. • cy /
Name: Pa.✓e.. 5cWV{ G " ! Phone: (O l Z ` / !0 - 6 3‘6
Resident! / ! J�
Owner Address' /City/Zip: l 1 L y(/C�.yi J / ` 1 Ll�.�a.,G�, 5-3—(
_5( Z.
Applicant is: T Owner Contractor
Type of Work Description of work: /Z - £b o 74.'
Construction Cost: /1 0 0Q Multi-Family Building:(Yes /No )
Company: L r 1 f(1416 65fri,51YVG7'CI) Contact: JO 117 5-44".L1
Address: Z 3 q0 Z"9 51 �°v A Cit ✓�
Contractor ' y
State:Ma Zip Phone: 6iZ-z5I-5 1 Cit
Cont
I i fe-l-1
1i4C,ConS1UC QIV, vS
License#: ,(S c b, L Oki tea �rtificafe#: 409-7- / 2 e&'S1- -a-
If
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as nonpublic if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofearian.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.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 tcy%ta '•o t a permit; that the work will be in
accordance:ith :oved
t e aplan in the f work which requires a review and approval of pia p
x 93 �x —!�'
Applicant's Printed Name App is Sig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163586
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 641 Mcfaddens Tr
Lot:3 Block: 2 Addition: Lakeview Trail
PID:10-44330-02-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Beth A Sawicki
641 Mcfaddens Tr
Eagan MN 55123
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165056
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 641 Mcfaddens Tr
Lot:3 Block: 2 Addition: Lakeview Trail
PID:10-44330-02-030
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 -
Beth A & David A Sawicki
641 Mcfaddens Trl
Saint Paul MN 55123--217
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171685
Date Issued:08/26/2021
Permit Category:ePermit
Site Address: 641 Mcfaddens Tr
Lot:3 Block: 2 Addition: Lakeview Trail
PID:10-44330-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Beth A & David A Sawicki
641 Mcfaddens Trl
Saint Paul MN 55123--217
(651) 402-2983
Urban Pine Plumbing & Mechanical
13860 Newland Ave
Lindstrom MN 55045
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178387
Date Issued:08/15/2022
Permit Category:ePermit
Site Address: 641 Mcfaddens Tr
Lot:3 Block: 2 Addition: Lakeview Trail
PID:10-44330-02-030
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 -
Beth A & David A Sawicki
641 Mcfaddens Trl
Saint Paul MN 55123--217
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature