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4138 Ethan DrI 2y?? c? 1999 BUILDING PERMIT APPB.ICATION (RESIDENTIAL)?s?' I4I- ?3 ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Canskuctlon D 3 regisfered sMe surveys showing sq. R. ol bt, sq. H. of house ??nd gll roofed areas L209. maximum bf covemae allowed) a 2 coples of plans (show beam i wlndow slus; poured fnd. design; Mc.) D 1 se1 of energy ealculaHona ID 3 coples of hee presenaflon plan 91of platFed affer 7/1/93 OATE: DESCRIPTION OF WORK: STREEf ADDRESS: LOT: -2-- BLOCK: ? SUBD./P.I.D. #: Name:K?bl..'li ? W 0-? r Phone #: Lasf flrtt PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER . Street City StaFe: *229;0 00 ? Zip: Compony:,?fl .? ?1 `t(a U? ? 4 Phone #: `? tZ l?? (area code) Sheet Address:?;3 N bMA1 M / , U ' J • License # DI-C,43 Cffy Q? A? ? State: 4At__A Zip: 1334N Cify E a 04? State: ?_IUA11 ZiP: 9?I 22 2 copfes M plan i seT ol energy cakvlaHons for heated addiNons t sMe survey lor exleAor addlHons a decW CONSTRUCTION COST: _ C" " I P . 'P70 i Name: Telephone #: area code ) . ` U t ?_ 1 ' Sfreet Address: Regishation Sewer i water Ilcensed plumber Penalfy applles when address change and bt change ia requezted once permN Is luued.(p (-? '-f V 0 --?) % 1 hereby acknowledge that I have read lhis appllcatWn, state fhal the Info io 11a cQrtecf, nd agre ? to comp?wffh all applicabl STafe of Minnesota Sfatutes and City of Eagan Ordinances. ??? 11 , Signatvre of Certificates of Survey Received ? Yes Tree Preservation Plan Received _ Yes OFFICE US LY No lll; I _ No ?1ot Required r, OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) Of 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ;W 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Sofrits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." O 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Svf/ Basement sq. ft. )-S'i t Census Code /v l (Ailowable) ? Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories a sq. ft. MC/ES System Length Width S? T sq. ft. City Water Footprint sq. ft. ;Z3 6 _S Boostet Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding Engineering Variance Permit Fee Valuation: $ oo O Surcharge 7- Plan Review Li cense l J?61 MC/ES SAC City SAC ; Water Conn. Water Meter / ° ° - - 5 Acct. Deposit S/W Permit ? S/W Surcharge 7 Treatment PL ? Park Ded. Trails Ded. Other 4c Copies 1 ? K /G Total: 7? SAC Units % SAC .? t A ONE- & TWO-FAMiLY RESfDF.NTIAL 13U1LDING PRESCRlP'I'IyE (COOK-800K) nPrxoncH MAX(MUM WINDOW qND DOOR AREA AS A PERCGNT OF OYERALL WALL AREA From Mlnn Rul s Fart 767 ,047S, aLbprt 3. :!_m r Frsm Extarior Sheathin Window U-Factor 0.49 0.36 0,31 0.27 STq S R: Z R -7 13.4°°e 17.8% 21.3°k 24 3% STA R- 5 12.4% 16.4% t9.7% . 22 5% STA > R- 5 12.496 17.!% 20.1% . 23 4% STANpARD R-18-19 < R- 5 12.190 16.0% 18.8°n , 22 0% STANDARD R-18-19 R- 5 14.096 18.61%, 21.8% . 25 3% ADVANCED R•18-19 < ft- 5 12.9% 17.1% 20.1% . Z; q"a ADVANCED R-18-19 > R- 5 14.5% 34.29'0 22.5% , 26 1% STANDARD R•21 <R- 5 12.8% 17.096 19.9% . 23 1^,6 STANDARD R-21 > R- 5 14.5% 19.396 22.5% , 26 71k ADVANCEQ IZ-21 < R- 5 13.6% 16.1% 21.2% . 24 6% AfjVANCED R-21 R- 5 15.09'0 14.9% 23.2'Yo . 26.9°h AAd1t10na1 talru(ated valM STANDARD R-17 < R- 5 11.9% 15.79'0 18.4% 21 5°/0 STANDARD R-17 ?- R- 5 13.896 18.4'/0 21.5% . 25 0% ADVANCGD R-17 < R• 5 12.6°h 16.8% 19.6% . 9% 22 ADVANCED 12-17 14.396 19.0°/, 22.29'e . 25.79'0 Notea; Wlndow area equals rough opening minus inatallatlon clearancea. Wlndow U-factor must be determined by either the Nationa! Fenestratlon Rattng Council etandard 100-91, or ASHRAE 1993 Handbook oE Fundamenlals, Chapter 27, Table 5. P0s4M' Fax Nole 7871 Co. nwn . nnon.. r«• ? a ? ,• LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION PROPERTY LEGAL. Z r" ?'-?t9L &FF-I' DATE OF SURVEY: S'Z? ? 99 LATEST REVISION: y Z?I ? 9 DOCUMENT STANDARDS cl/o ? • Registered Land Surveyor signature and company a/ ? ? • Building Permit Applicant or' ? ? • Legal description m/ ? ? • Address 31/ ? ? • North arraw and scale V/ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc ) rY ? ? • DirecUOnal drainage artows with slope/gredient % M? a ? • Pfoposedlexasting sewer and water services & invert elevation b' ? a • Street name V ? ? • Drrveway mi ? ? • Lot Square Footage cj'? ? ? • Lot Coverage ELEVATIONS ExlStinq m? ? c • Sewer service (or Proposed) [a? ? ? • PropeRy cornere r? ? ? • Top of curb at the driveway ?R/ ? • Elevations of any existing adjacent homes ? r+? ? Adequate footing depth of shuctures due to adjacent utiliry trenches Proqosed p? ? o • Garagefloor e? ? ? • First floor w? ? ? • Lowest exposed elevatlon (walkouUwindow) y ? ? • Property corners m/ ? ? • Front and rear of home at the foundation PONDING AREA ('rf apolicablel ? rral ? • Easement line ? ? - NWL ? qi ? • HWL ? ra/ ? • Pond # designation ? E!r, ? • Emergency Overflow Elevation DIMENSIONS m/o ? • Lot lineslBearings 8 dimensions r1-/0 ? • Right-ot-way and street Hndth (to back of curb) c? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', parches, etc. (i.e. all structures requiring permanent foo4ngs) ?o ? • Show all easements of record and any Cfi/ utiUfies wRhin those easements M? ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsOng structures agr' o • Retaining wall requirements, if any Reviewed: March 1999 CRFIGIBLDGPRMT.FM ,04( * * PIONEBR * eng neeri * * * * 2422 Enterprise Drive Mendota Heights, MN 55120 (851) 881-1914 FAX:681-9488 LANO SURKYIXiS • CINL CNpNEERS E-moil: PIONEEROPRESSENTER.COM uno vuNxens. uHOSCAvc Certificate of Survey for LOT AREA =14,558 SQ. FT, HOUSE AREA =2,418 SQ. FT COVERAGE =16.6% HOUSE TYPE-2 STORY W.0 625 Highwoy 10 N.E. Blaine, MN 55434 (612) 783-7880 FAX:783-1883 E-mail: PIONEER2@PRESSENTER.COM MANLEY BROS. CONST. 4138 ETHAN DRIVE $ ?[? ? ? 884.0 BENCH MARK TOP OF PIPE '-- ELEV.=901.46 ? ? r3, Et3?.A21 ETRTGINE"'F{.ING DEPT. N89'55'54"E 108.38 ? ; ' I T( . '77q.-z) a DRAINAGE & UTILITY ____--' o ? EASEMENT PER PLAT ? -? ^ 5?------------?- 7 40 p' / 894.2 ? ?? ?°j . x z ' ? x ? oo S, / ,_TREE LINE .- a? ?ry ? l3 ?0?40? 0, 0 888.7 •?? . .??1 1 ol\P.11 z-- ? - ?: PROP g/ DRIVE o - ? %O O v i? 4i , 4e9,s ° J% ? ?--d sss.4?, T//900.65N 3 S?? 4 902.5 °? 90,_8 ??oo'? ORl1/E ? T \ ?? ?l/ NOTE: PROP SED GRnDES SMOWN PER GRADING PLAN BY: E.G. RUO NOTE: BUILOING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING ANO FOUNDATION DIMENSIONS. NOTE. NO SPECIFIC SOILS INVESTIGATION HAS BEEN GOMPLETED ON THIS LOT BY THE SUF7VEYOR. THE SUITABILITY OF SOILS TO SUPPOftT TNE SPEGFIC HOUSE . ? ? ? , ? i ? ?BENCH MARK ?TOP OF PIPE ELEV.=903.71 PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: _5_43CD?l TOP OF BLOCK ELEVATION: goy' g GARAGE SLAB ELEVATION: id y• y TOB 0 LOOKOUT ELEVATION: PROPOSED 15 NOT THE RESPONSIBILITY OF 1HE SURVEYOR. X 000.00 DENOTES E%ISTING ELEVATION NOTE: THIS CERTIFICATE DOES NOT 7UkPORT TO SNOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSED ELEVATION THOSE SHOWN ON THE RECOROED PLAT. --- DENOTES ORAINAGE AND U71UTY EpSEMENT DENOTES ORAINAGE FLOW DIRECTION NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN 0 DENOTES MONUMENT NOTE: BEARINGS SHOwN ARE BASED ON AN ASSUMED DATUM -9 DENOTES OFFSET MUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE A ND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: BLOCK 1, OAK BLUFFS LOT 2 , DAKOTA COUNTY, MINNESOTA THIS LEGAL WILL BECOME VALID_UPON FILING THE PLAT VEYED B E OR IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT S 0 , AS SUR UNDER MY DIRECT SUPERVISION THIS 2 DAY OF AUGUST, 1999. SIG D. IONEER ENGINE ING, .A. SCALE : 1 INCH = 34 FEET ` REVISED 9-29-99 RESTAK D BY 19828 No Re L S L 56 99419.00 . g. arson, . . John C. RtCEIVED 3Fp 3 O ?O ?'? 00 ,°??A)'. s ? +4w 3 1 ? ,? ?AD •. % / • J ^ h W/ ? i / I CITY USE ONLY L BL i RECEIPT#: p, SUBD. C) RECEIPT DATE: " PERMIT # U ? 1999 PLUM$IN6 PEitMTT (RESiD£NT1AL) crrY oF e,a?sax SASO PILOT KNOB i{D EA6AN, MN 55122 (651) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIIRES EACH # TOTAL Bath tub $ 3.00 x a- - $ G, 00 Floor drain 3.00 x $ 3-? Gas i in outlet ` minimum - t 3.00 X $ 3. ? Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x 1 = $ 31 ev Laund ira 3.00 x = $ 3.L'?a Lavato 3.00 x 3 = $ °/. eD Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ I- 50 Shower 3.00 x 1 = $ 3- ?o Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x 3 = $ Water heater 3.00 x = $ 3•? Water softener if dwellin under construccion 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround ' 30.00 x ---- 1 _ $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> °--? $ . Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - --- --- --- -------- - • - --- --- --- -- ------ •------- --- ------------------------ --- --- --.. _..-- •------ ---------- ------------------- ----------- I he2by adcnowledge that I have read this application, sfate that the infortnation is cortect, and agree to compy with ali applipble Ciry of Eagan ordinances. It is the applicanPS responsibility to notify the property owner that the City of Ea9an assumes no liability for any damages caused by the CiTy during its normal operatlonal and maintenance activities to the faciliGes constructed under this permit within Ciry property/right•of-way/easement. SITE ADDRESS: zgc'cSGL.? OWNER NAME: : TELEPHONE #: (AREA CODE) . INSTALLER NAME: C YJU?f7t, l"YLzc??z -, ?.? C_ TELEPHONE #: kl?` %# ' gl"'3 / (AREA CODE) STREETADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE OAZY LOT BL ? RECEIPT SUBD. 0 ay? RECEIPT DATE: MECHANICAL PERMIT # ?Ql I U SJ 1999 MECHANICAL PEiMTf (ftESIDENTIAi) CfI'Y OF £AfiAN 3$30 P1I.OT KA06 ftD f.AfilkN MN 5312E (651)6$1-4675 Dare: Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occuuied. . uVAC: p- tOn*qpTrJ ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Totai $ 34 00 6.00 51 60 o $ 339= Complete this section oi(v if you aze remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or repair. New Alterarion Repau _ Other Reminder: Ca11681-4675 for inspections. Furnace _ Air exchanger SITE ADDRESS: 4/4 _ Air conditioning Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 OWNER NAME: PHONE #: (A CODE) / INSTALLERNAME: PHONE#: Y? STREETADDRESS: (A?'CODE) ciTY: sTnTE: /,uc- ZIP: ?/G. /?Gli? c?G /t?-•'r-?? SIGNATURE OF PERMITTEE jr, - (' i I Date 05/30/2000 Page Permit Inspections Entry Comments [deotification: EA038279 - 4138 Ethan Dr Comments: 1. ADD BLOCKING AT ALL WING RAFTERS ON GABLE ENDS, (SIDERS WILL DO). 2. PRO VIDE ENGINEERING FOR CUT TRUSSESIN GARAGE AND FRONT ROOM AREA. 3. ADD 1 . METAL STRAPS ON ALL THREE PLATES AT NOTCHED BEARING WALLS. 4. FIX BROK SHEETROCK ON BACK WALL OF FIRE PLACE CHASE. 5. ADD PARTITION NAILING BLO S AT EITHER SIDE OF F[REPLACE CHASE FRAMING. 6. ADD ST[7D UNDER CORNER OF I TERMEDIATE LANDING NEAR FRONT ROOM. 7. ADD SQUASH BLOCKING TO ALL OPE OUR FT. OR GREATER AT BASEMENT LEVEL. 8. ADD BLOCKING IN TWO JOIST BAYS A D D SPLICE BLOCKING AT BASEMENT BOTTOM PLATES WHERE BOLTS ARE MISSING. 10 16 GA. METAL STRAPS AT NOTCHED STAIRWAY WALL AT BASEMENT LEVEL. 11. FIR TOP LID OF FLUE CHASE ON MAIN LEVEL. 12. CONTINUE LOAD POINT BEARING ALL T E WAY TO TfE BASEMENT AT 14" MICRO LAM IN FRONT RM. AREA. ON 1-6-00 A FRAM G RE-INSPECTION WAS DONE, AT THIS TIME SOME OF THE CORRECTIONS WERE CROS N SPECTED. TfIESE CORRECTIONS WII,L BE INSPECTED AT THE INSULATION INSPECTIO - CRAIG - ?Oj ? ?'o??? ? "? 0 ?c ?L ??i 5 CITY USE ONLY / I/ q L _ BL ? RECEIPT#, r ?7 / ?? / -00 SUBD , 1 ( i ? ) • ?A ; ,Z; RECEIPT DATE: -7 ?IIn , q101 PERMIT# ? 1', / 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, MN 55122 651-661-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTIIREi fri -9-- TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newlrefurbished ' requfres MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installation/repairlrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under round sprinKeL- if dwelling is under construction 3.00 X = $ Under roundsprinkler ifexistingdwellin 30.00 x = $ ? Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under constructlon 5.00 x = $ Water softener if existlng dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge 50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----- -------- ------------------------------------------------ ------- • --------------------------- •---------------------- ---- -- -------- ----- • • I hereby acknowledge that I have read this application, sfate thal the information is cortec[, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibilily to notify the property owner that the Ciry of Eagan assumes no lia6iliry for any damages caused by the Cily during its normal operational and maintenance activities to the facilities conshuded under this permit within Ciry property/right-of-wayleasement. SITE ADDRESS: 7 I ? 9 `? +? ?-ve - OWNER NAME:: Vf e-c, ?yC'rzq? TELEPHONE#: bS? ?OS- I 7? ? (AREA CODE) INSTAILER NAME: STREET ADDRESS: ?Tl-Q EACH # TELEPHONE (AREA CODE) CFn: ") ?j Z,P: ss?a3 » i ` PLUMBING (RESIDENTIAL) Permit Application City Of Eagari 3830 Pilot Knob Road, Eagan Mn 55122 ? Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date t / o cl / (3 3 Site Address 1-11 3 % E A ym_ Unit # Property Owner uc f p Telephone #( ) Contractor Hessian Plumbing 5ervices, Inc. Address c;t y Eagan, MN 55 1 22-01 72 Zip State Telephone #( ?a S? The Applicant is _ Owner ---?Contracror _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Eaisting Dwelling Unit, Including $ 50.00 j? Adding fixtures to lower levels or room additions, excluding water ftener and water heater ??? _ Abandonment of septic system Water turnaround (+ 5/8" meter if needed -$121.00) = athBr: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ addifional State Surchar e n $ .50 g ?° p??r 2? 2CC3 i??? s S o, so Total ? i I hereby apply for a Residential Plumbing Permit and acknowledge hat the informat,_ion is co?flete and accurate; tuat tne worx wui he in conformance with the ordinances and codes of the City of Ea Yatid-with=the'PI bmg Codes; that I understand ttus is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wiffi the approved plan in the case of work wluch requires a review and approval of plans. ? ? IX e- S C ? " ) Applicant's Printed Name pp canYs Signature C? RESIDENTIAL BUILDING qJ Permit Application City OfEagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $? 0' 00 New Construclion Reauirements RemodeVReoair Renuirements Office Use OnN 3 registered site surveys showing sq. ft of lot, sq. ft of house; and ali roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20%maximum lot coverage allaxed) 1 set of Energy CalcuWGOns for heated additbns Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 stte survey for additions & decks Tree Pres Not Reqd _ Y_ N 1 set of Eneigy Calculatlons Addition - irMicate if on-sde septic sysfem On-site Sep6c System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selectan sheet (bidgs with 3 or less unils Date O / M0 / 03 ConstructionCost ? Site Address S5'113 UnitlSte # Description of Work of vi' ;-(500 1?? Multi-Family Btdg _ Y? N Fireplace(s) _ 0]? 1 _ 2 iou :?' Property Owner Telephone # ( G5 1) 10S- if 6a1 6s8- 9a Contractor c??T TZ.•- Address CitY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventiladon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submiked Su6mitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan$ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Tel one#(6s1) 671- sasa JA'YTelephone#Q':)? J ?? ?.'? 3$b, -- -? ?? ??u???? Telephone#( ? ? n i ? r,. _ _ ( ,. I hereby apply for a Residential Building Permit and acknowledge that the informat5lon_is_com te and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan an lie St`ate=?f IviN Statutes; 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. ?7? oc Q S C/4Q. ApplicanYs rinted Name OFFICE USE ONLY Sub Types ? 01 Foundatlon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Le vel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? PIbgXYor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair R( 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demolition (EnUre Bidg) - Give PCA handout to applleant Valuation a-o o O Occupancy R-?7 MC/ES System CensusCode 'Ll34 Zoning 2_1 CityWater SAC Units ? Stories Booster Pump Nbr. of Units (J Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const S/N Width _ Footings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing ? F'ueplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. g? Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By 60 q-g-? 3, Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Utiiity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA117773 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 4138 Ethan Dr Lot:2 Block: 1 Addition: Oak Bluffs PID:10-53400-01-020 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Jarrod Stenzel 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 - Gregory W Byrne 4138 Ethan Dr Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature