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4158 Ethan Dr40' 51195 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Constructlon Beqpiremente • 3 registered sNe surveys shaxing sq. fl. ol bt, sq. tt. of house; and jo roofed areas (20% maximum bt coverage albwed) . 2 coples of plan shovring beem 8 rrin0ow sizes; pouretl fouM design, etc.) • 7 set of Energy Cakulatbns • 3 coDles of Tree Preservatbn Plan B bf platled aller 7l7/93 • Rim JoA Deteil Options selectbn sheet (DMgs witti 3 or less unXS) DATE _ C j t`i`=,9 SITE ADD NPE OF 7ULTI-FAMILYBLD6 _Y XN FIREPLACE(S) X 0 _ 1 _ 2 APPLICANT ? ) 7 STREET ADDRESS VC)aLV CIN ? STATE 41VLP 5--531 TELEPHONE #?59'Y70 -0061 CELL PHONE # Co(ra- y96 -Sf1S5 FAX # QSV- 1(70 '2X? PROPERNOWNER I (7M ?ft ?b'? TELEPHONE# ??S1'3C'OS"?ZS --°---------- °-----------------------°------------------------------------------------------ COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission typa) • Residential Vantilation Categary 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalculaUons Submitted Plumbing Conhactor: Pluxnbing system inciudes: Mechankal Conhactor. _ Mechanical system includes: Sewer/Water Conhactor: JUN 11 2002 Phone # ----------------------------------------------------------------------- I hereby acknowledge that I have read this applicatlon, state that the information is with all applicable State of Minnesota Statutes and Cliy of Eagan Ordinapces. _ 1 Sigrwture of Applicant OFFICE USE ONLY $70.00 agree to comply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System 2qp .iq o RemotleUReoair Heaulrements . 2 copies of plan . 7 set al Energy Calculetions for heated addHions . t sile survey for e#erbr adtlitions & decks . InOloate M home servetl hy septic system tor atltlNbns -?9sa ?. - VALUATION Fee: $90.00 Updated 4/02 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? bU. 50 cinr oF eacaN 3830 PI851-G81-48 5- 55122 rj411ea IQ'q"'Qp New CorotnicMon Reauiremenh BemoOel/Raoalr ReaWremanh ? ? J reylstered We wneri showlnp p. IL of bt, sq. lt. ol house 2 copies d plan and pj( roofed areas CM94 maximum bf covemoe allowed) t set W energy oalaAaHwu fOr heated pddiXona D 2 caplea of phns (show beam & window tlzea; poured Md. tleslpn; etc.) 1 s(te wrvey lor exteda addlMOns e tleeka ? 1 tef of anetpy CodCUlatlons n J eoples ol hae preservaMOn plan H lot plaltetl alter 7/1/93 ? DATE: / V hIW CoNSTRUC„oNCaST: ys?DESCRIPTION OF WORK: f! &ck aq /Sfea u7" hWSG STREET ADDRESS: `i 15 K b"rk+ah 1"J /. LOT: --7- BLOCK: I SUBD./P.I.D. t: PROPERiY OWNER CONTRACTOR ARCHRECT/ ENGINEER Name: ? kQr?CI? To v? Phoneu: ?05 ? - ?bS?-?375' Last Firat Sheet Address: Et`n A 1 br. cny C?a O store: ziP: 55 ( Z el6z&-,Ef? , Phone W: ?.?" (area code) Sheet Address: Ucense # Exp. CNy Telephone #: Sfreef Regishafion #: CNy Sfate: Sewedwater licensed plumber (H installirw sewer/waterl: Phone #: I hereby acknowledye fhat I have read Ihis applkalbn, alafe 1hoF 1he in(ortnalb cor and agree M comPly wHh a0 applicable State of Minnesolo Stalufes and Cify o} Eagan Ordinances. Signalure of Applicant OFFICE USE ONLY SMte: Zip: Name: 1 ??s <SO Certificates of Survey Received = Yes = No ? I ix?-?".:? Tree Preservation Plan Received Yes No Not Required OCT 0 2 2000 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex O 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 W-plex O 04 02-piex ? 10 OB-plex ? 05 03-plex ? 11 10-plex ? 06 04-piex O 12 12-plex WORK TYPE ? 31 New 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage O A7 18 Deck ? b 19 Lower Level ? Plbg _Y or_ N O ? 20 Pool 13 21 Porch (3-sea.) 22 Porch/Addn. (4-sea.) 23 Poroh (screened) 24 Stortn Damage 25 Miscellaneous 30 Accessory Bidg. O 36 Move 81dg. ? 43 Reroof ? 37 Demolish (Bldg)' [3 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0 / No. of Units 1_ No. of Buildings Const. (Actual) ? (Allowable) ? UBC Occupancy ? Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building 6ele Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 31 Fxt. Alt - Multi ? 33 Ext. Alt - SF ? 36 Mutti 377,757 SAC Units % SAC ? ?CyXt%??kn4?*%???k?KYFkY;?Xa?:ki<??X?rkae?K?C?CXtv? CCiN1'INL1F CITY f7F E:AGAN rASHTE'Rr, JS TERi°iINAI_ N"O: 003 OP'fEn 02/16100 TTME: 10:2005 IV: tJfi,Me:e ItFlNL.L:V Nh(lT' I-IEFi i CCIN'CF.Uf'.TION 2275 92Rn 667 i_Fxzf:: cr qoasooo ;b.FSL- `;QO.I 667 L,=X:I:E. (:T I..l.(1O `r?155 grJ01 667 Lf:::X:I:F_ C7 (:)•50 04:3 92::0 f.G-r' LE_X'f.E (;`( 50„00 2105 9001 6E7 LC::Xti' CT 07.00 2.368 9i?20 (:,E,i !.E.XTE Cl' 492.00 306 92'r.'.O 667 I..(::X:LF CT 114.00 2713 922O bF.i' LEXIE Cl' 50.0f] ;;E;E;:'.i `.Ji?i:.0 667 LE:X:I:E f:T £140.00 fol;al. Fieceip?i; Amaurit;, 16793409 CSic3E,1.9 USi=:Fi III: _IAN YF?YFYF?Y,<Y,C:n??(mY+%n?)."•%1.::;"5.:7:(';C)F);s?'n?(i't.n?,?; :'?:7:Y„YnX;'.'F?F?M?"n;? C:t7td7TNL11- C.T.TY CiF i=.AGFlN CA`:iHlE.h:: JS -ff_F'MINAL td0a 003 06iE- p?/i.r-lp0 T'.T.MEa i.0^c?8?23 zn: NAME.: rsr,Ni._.r:.v r,r,ari;Er;, !;ON'rhUC'('ION 37i.b 9220 4:i.r;2 JACOFI CT i.i.a.on 37:13 9220 416i'_ JR(;f)T.: Ci 50.00 3865 9220 4162 JAf,UL CT 840.00 2252 3220 415[? ETNAN f.iR 30.00 8210 JOOi. 4158 .F..1'HAN D4? 17E',fi£i,15 066 9379 058 E'f}ii41`: UR 100.00 3422 9001 05F3 ETHAN Lil; 1.y097.30 2275 9220 406 F.'1'HAN i:tl; 1,009.00 3441 3001 408 Eri-iaN nr, it,.oo 2155 =)OfJ:I. 4d5EI ti.Tl9AN tpi 0.50 CRi23619 0 CnNTTNUf:: iJSFR :r[ia JAN 0 Cf)tlTIi.ILt[- ?k.k>K?F?k'? CCiN7TNUf= CTTY UI=' E:AGf-1N Cf,f>H:CfTt: JS T'I:RHINAI_ NCl: 003 DatE? 02iir,ir.7n rlnr_e M.M24 ID: NiAMf.-.:s i 1hl_CY BROiHE:fi'o L'tJNl"I;L!r".'1'TON 8743 '9'r?20 A1;i0 I."'f"+L4N PR .r`?C1.00 2155 9001 415Li Ll f IAP! T!F: i i 2. 00 ^uBE.$ 9220 4 159 LTFIAN L'Ifi A.` .(]p 37:1.6 9220 4 i;B 1-1'HliN Dli 114 °i1D :3i 1.3 9('20 4 I.JEI 1-THAN DR SO.f.IQ 3865 ?i'i?f.) 4:!.5q 1='t'FIA1J DR 840.00 ReP 9220 66? L.r-xiE cl l3n.00 3210 900 1 tA,7 L_f_'X..T.L Cl' i. y i'k 4. i` '3866 9379 667 I.E:X:I.E: C7' I.00,00 34F?? 9001 t,F,; LEX:I:E. CT 1 ? 133.70 CRi.?3E,i.`.3 0 CQNTltdUl: lt;;ER Iii: JAN *A Cf1NT.T.NUI': *Y<>k',N.Y,tA* X«okW.mY,t?,:*k:".`X%%5&* >k>k ,?>ksk>k ??h ),t?Y?Ck;?X'MXC:?.:iY,;Y,:,:i;;i,:::i;:r,:): y.:l;•;::;:r?Y,M?k?%hY:.o;::krri<k?M CITY tll= EAGRr 't_i1SH:[I:i:F': JS TFRM7.Nr,L NUn 00:3 ?Al'E: 0206!00 TIME: 10a28:22 :Ii ;: NAMLa MAN9_EY ER0711ERS C;ONTC;LCTTUO 2252 3220 4 i s2 Jral:;f.1B C.:'T' 30.UQ 3210 53001 4z62 JACOB CI II.9W.75 3866 9379 41t2 aai:oB r.,r 100.00 3422 9001 WE JACOB cr 1,020.14 2275 92Hn We Jr,i:c:,L; cr t,ons?.na 3446 9001 4d.E,2 JACOB Gl' 11.00 205 9001 4162 7ACflE CT Q..°,D 3743 9220 Qt:,e JACOB cr e;o,c,o 205 9001 Q62 :ir1Ci3T; C'i' 1[]2.50 3868 `?Eal') 4162 JACOB CT Fr92.OCI CFi 1.2 ;ti.L9 f'flt!'tIN1Jl= l.lEil::RlTD: tAia MX? CilN1'.l'NIJE: Y,:?>k>K`f,:%i, kYF%nytX?.4t7XWktY,<.?k7;(Y? ?kk:'?' 'M>F t!:$?%F?k?FYF>'F ?(1K%?JF???k City of Eagan Cash Receipt Receipt Uate 10l4103 TimE Prinsed 14:21:34 Receipt Number 1102 KRISTINE p OR THQ14A5 SHEREK 90?1.2195 ' .5@ BF 43132 9801.4085 60.00 BP 43132 Taial Receipt Hmount 60.50 User HHGGkAkI * * * * PIONI * en ng *,? ** ? ? N ?o:? ?cnc, sio.s r \ I \ \ I m I 1100 Certificate of Survey for LOT AREA a 15 482 SF HOUSE AREA =?,722 SF COVERAGE =17.69> HOUSE TYPE=2 STORY W.O. a? \ ; ?O A 0 Stfj+,, Lii ? r t ? I ^ ? Z 1 Ln Q c) ( _ 11.01 W ' 911.9 I I wm .uxxws. 90a.3 BENCH MARK •? . . ??"??Q TOP OF PIPE ?`- EIEV.=912.94 , C.1.4;(sF,I`? )??dc_,1N?MB.ING DE, E'7.: ? ;. t ' l , ? ? ??-- ? j ? ?4.( ia" I ? 2.( I °o .912.9 2422 Enterprise Drive Mendoto Heights, MN 55120 (851) 681-1914 FAX:881-9488 E-mail: PIONEEROPRESSENTER.COM 625 Highwoy 10 N.E. Bloine, MN 55434 (812) 783-1880 FAX:783-1883 E-mad: PIONEER20PRESSENTER.COM, I1 ?6ro.5O . ' 110 TREE IINE I O / ? N c- x ? r ? 901 I/ ? ? i ?W ? ?3'?0 0 a ? ? 911.5 ? ? 2A aO I 10 ?? lz? ol L.P. N 30.00 51.33 S rv / 913•8 HSE 906.6 ?. i 13.201N89'56'46"E ? ? 1 l BENCH MARK Q TOP OF PIPE ELEV.=913.51 N01E: PROPOSED GRADES SMOWN PER CRnDING PLAN BY: E.G. RUD N07E: BVILOING DIMENSION$ SHOWN ARE FOR HORIZONiAL AND VER7ICAL LOCATION Oi $lilUCNaES ONIY. SEE ARCHITECTUAL PlANS FOR 6UIlDING ANO iOUNDA110N DiMEN5IUN5. I ? ? la IN yi 'f 906.3 I I s 905.6 }' Q ? W a 7 JJ I ? = w I ? wal O I Q ? w 903. zw ? O Ow110 - ---J - - ,n 900.8 'Srt-r Ferrcl? 157.07 PROPOSED HOUSE ELEVATION_ LOWEST FLOOR ELEVATION: 40' y TOP OF BLOCK ELEVATION: % 15 r.eaar.F SLAB ELEVATION: 9/Y• 7 rqi[; Mp y[caC sons wVcsncAna+ Nn5 BE[N CWRETED UN na5 loT eY ME TO8 O LOOKOVT ELEVATION: bVNVC'ION. iM[ SUtAg411Y 0r 5045 TO SUPPORT iME SPEC61C MWSE , ""`?''<`Sv; "?IIOi06IC.6°MOf+AR' . :IK7P}OAA'YyfT,.OS.,,M[ iURKVON. ;t . _ _ ..t' ?t: ? ? .-•._ .- "+,•.'.,' . C sH. k x . . _ Y XOOOM?f00?1???w'-.vp., r' NOIE: lle9 URfI11CA1E OOES N07 PUNOORT t0 AIOM LAS[11EM3 0111pt iNAN OD0.0G ) OGqT[E iNOVOlCO RLYAiION ',..?`. j. 1110SE 3ilOM1 ON iNE RECONDCD PUT. t _ OENOI[S MAMACC Ji11D V1UtY LAf[ANi : Np1E: GONTNAC70R YUST VERIfY DItIVEWAY DE4GN. '- OEµOT[S QRIJNAG( iLOIY dNCC1ION ? - OENOtES MONWEN7 NOTE: BEANINGS SNOwN ME BASED ON AN ASSUMED DnNN _(3 DENOTE$ 0?/SCT NUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 7, BLOCK 1, OAK BLUFFS DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY M OR UNOER MY DIRECT SUPERVISION THIS 20 OAY OF JANUARY, 2000. 51 NED• PIONEER ENGI E . P.A. SCAIE : 1 INCH = 30 FEET ? _ RECEIUE[] .tL??j 3 j 1?? B John C. lorson. LS. Reg. No. 19828 MANLEY BROS, CONST. 4158 ETHAN DRIVE : 3 ?t c L•, 99419.21 JMM .3 9.560 • ? ocD p •_"9=BUILDINC New Conshuctlon Reaulremenis PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 i 3 regisfered sXe suneys showing sq. N. of lot, sq. R. ol house and gll roaled areas (20% maxlmum lol coveiaae allowed) a 2 coples oF plans (show beam a window skes; poured fnd. design; etc.) ? 1 sef of energy calculationa ? 3 coplea of Nee preservation plan H IW plaMed a(ter 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: r7 BLOCK: I SUBD./P.I.D. #: Da? 45? (RESIDENTIALY Q odel/Reoalr Reauirements 2 copies o} Plan 1 set ol energy calculaHOns (w heafed addiHons 1 sMe survey tor exterbr addNbm 3 decks CONSTRUCTION COST: Phone #: PROPERTY OW NER Lasf Street City State: Zlp: Company: l?l??1??r(7t Phone #: /n Sj , `I 1 (area code) CONTRACTOR )O l l Il ?T / ??yl W(,C(?+ License # ctw5 y3°?'7 Exp. ?J 3f (? . Sfreet Address: ' city.-"'IU?%?' state: l???ll zip: `'?5Z)?77 ARCHI7ECT/ ???1 nr/? Name: ENGINEER Company: Telephone #: area code ( (Q 5[ ) q5R - 2?2q Street Address: 34?5 Yl ?G.??1 /nlXlvh `^ • RegishaHon #: _ C r'Q CU? State: rplU Zip: 5/ ?? 3 f0(a 4Y7- ?? Sewer 8 waTer Iicensed plumber (rpaulred for new consiruction onN): , penaNy opplies when address change and lot change is requested once permM is issued. I hereby acknowledge that 1 hwe read Thls appllcation, state fhat the IMormatlon Is correct, and agree to comply wMh all applicabl State of Minnesota Statutes and CHy of Eagan Ordinances. . Slgnafure of ApPlicanf: 4) _p - OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes F(rst - "° ?IP4 3 I _ No _ Not Required l ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?k02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 1k--31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bidg." ? 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) Basement sq. ft. 1`sG 6 Census Code 1 oi (Allowable) A,1 Main level sq. ft. 15r5 G SAC Code v i UBC Occupancy ? ?s u- ? 2- ?t ?? sq. ft. I55 6 No. of Units i Zaning P0/V_1 sq. ft. ?-1.S No. of Bldgs ? # of Stories 2 sq. ft. MC/ES System Length sq. ft. City Water Width S 1 Footprint sq. ft. Booster Pump PRV - Fire Sprinklered • APPROVALS Planning Bu ilding (RG Engineering Variance ? Permit Fee Valuation: $ ?T ) Surcharge Plan Review License ZI.SA Zi 1..?,?5 :kt ? 1CSU6 ?3 'zq?GtiG MC/ES SAC z ,61 City SAC 13.5 rL ` z7 water Conn. ,,.\„; „\ ,,,tl Water Meter y()x;" :: i z frp 32 x 22- = 70`I ¢ z = N( = ?rIS,-(6= Zv s Acct. Deposit , k 3G ,r =ly S U 70 Sy = N S/W Permit x .- z= r ?skz? ;4frb ?y U 3 S/VV Surcharge i = 3? -? Treatment PI' 2 Y? s; 17 Park Ded. t? TrailsDed. 32x4/0 = 125r0 Other 15;.2s xz = 91 ; is S 6?stl =?? `-I UZK Copies ? -7 ? Total: Kc?z.zs _ zzl SAC Units % SAC ? ENERGY CODE WORKSHEET FOR 1& 2FAM_LY DWELLINGS?'?II2 SIT& ADDRESS 7 5 CITY COdPLETED BY: ?AwL? _pHONg # DATE BIIZLDING CLASSIFXCATTON: ? catogory 1(etandard) or category 2(muet includa vantilation) 2fINIMUM CRZT2RTA foundaeion SnsulaCion-R10 Ylalle F Windowo Roof A[tic Inaulation: (See lable on reverse sida Slab on Grade Inculaeion-R10 for allowablz perczncagzs) R44-With Actic No Heel iloor over unheated cpaces-R24 R38-With Actic Raisad Heel I Foundation Windowe 1/2" R38 6 RS-Solid RaElers ineula[ed Glass. -F7ood or Vinyl Frame ST6P 1 Window 4 Door Area . STHP Z Calculata area aa a percent of wall A. Total Nindow & Door Azea in sq. Feet ? i WINDOHS (Including Found3ticn WIIICIOWS). }fI:7DOW MAkNPACT[7RL' NA:!3: C. P-cm Scep 1 dlvtda box A(4itr,dow & Coor i ca) 6y Lox 0(toCal wall ai'ea) Lirtie. 100 ? A'ZNDOW LfAtNFACTORE TY?S:(./,? zqua:s Chc windcw ani doot- area ao a TOR :?? F2rc2:::. OE Wdll d:2o (bJri C) . :? HZt7DOW MASNFACTURB U FAC R O QuantiLy eq C?.;:ea ? P.OX aX lOG = C ?(^ L F ? Dimensions • "x. X _W'1 .ITI1 ,K11 I??? ST22 J Dzeigr. Peatuceo X ?'U/" ??• ? 'SSc:tleL'. IZ ? ?? X T':?E: p O x f_? IJI X ? ST1t:G.aRD FR?.MItlG _-y-cCiids 16" O.C. ? lY V x 1 ADVNICED FR7vMIHC r,[ude 2a" o.c. - ? ? TSULATIGN II X? ?? CF.VITY IP X SNEATH:tiG TYPS: L{ - ? LESS THAN < R-5 i X .Q' 7I& R-5 > OR MOR° -C) X U x r_OI +r ? U-FACTOR a i DOORS a ? From the table, (reverea sidz) determine the : maximum percant window & door a:ea for the t value i l d 3 h ? ons se ccte e design opt an enter t ?I?? X ??u I MQ in Box D below Uaced on Che window mE4. U- faccor: x D '['oeal Area oE A=? oq.fe. Hindows & 6oors H. To[al Y7a11 Area in Sq. Fc. The : value Erom tlie cabla in Box D shall b,? equal to or greater than the t in Box C Wall Total Heiqht Area Perimecer :4? Le t " - J . . V ?D'? Z ??•? Total Area of Nalle D= q.Et /O 0 ONE• & TWO-PAT.ffLY RFS[DENTIAL DLlI"LDING PRESCRIP7IVE (CdOK-HOOK) APPROAai MAXIMUM WINDOW AND DOOR AREA AS A PERCEtJT OF OVERALI, WALL AREA From Mtnn Rult.9 part,7670 4475 Qubp,pIt 2 jtem F Cavl! £xterior Wlndow U-Factor Fremln tnsulation 5heathin 0.49 0.36 0.31 0.27 STANDARD R-13 Z E2 • 1 13.46Ye )7.8°/0 21.30/a 24.3% STANDARD R•]3 ? R• 5 12.4% 16.4% 19.7°/, 22.5q, STANDARD R-15 > R- 5 I2.4°h 17.1% 20,1% 23,4% STANDARD R-18-19 < R- 5 12.1`Yo 16.096 18.8°/0 12,0% STANDARp R-18-19 R• 5 14.0% 18.6% 21.8% 25.3% ADVANCED R-18-19 < R- 5 12.9% 17.1°'0 20.1% 23.4°/0 AOVA(VCED R118-19 > R- 5 14.5qe 19.2Yo 22.5% 2 6. 1 % STANDARD R•21 < R• 5 12.8% 17.0% 19.9% 23,1% STANDARD R•21 > R- 5 14.5% 19.3% 22.Sqo 26.1% ADVANCED R-21 < R• 5 13.6% 18.1°/a 21.2% 24.6°'0 AfJVANCED R 21 z R- S 15.0Y, 1979°6 23.29'0 26.9ia Additlonal calculate vaI uea SZ'ANDARD R-17 < R- 5 11.9% 15.79'0 18.4% Z1.5% STANDARD R-17 > R• 5 13.8Yo 18.9ye 21.5% 25.09'0 ADVANCCD R-11 C R• 5 12.6% 16.8% 19.69'0 22.9% ADVANCED R•17 > R- 5 14.39', 19.06/9 22.29'0 25J9'o Notea: Wlndow arca equals rough opening minue Installatlon clearances. Window U-factor must br determined by either the National Fenestration Rating Council standard 100-91, or ASFiRAE 1993 Handbook of Fundamentals, Chapler 21, Table 5. / L BL CITY USE ONLY ? /' SUBO. fi?I? 17II/f7(? t ?o,oo RECEIPT #: IPC4??5 aI RECEIPT DATE: ' E PERMIT# q 039J1 8000 i'LIJM$INfi PEiMiT (M1DENTLA1-) crrYorr.Asnx 3830 Pu oT Kxoe sn £f?sI4R, 611Y $51 EE ss1$a1-aa7s Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system CIYTI IDFR EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x I = $ Floor drain 3.00 x = S G8S i Ifl OUtIEt ' minimum - 1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ 00 Laund tra 3.00 x = $ Lavato 3.00 x 15 = $ M.oo S0 IIC S StBRI newlrefurbished • requires MPC Iic. 75.00 X = $ Se tIC S Stem abandonment 30.00 X RPZ new installation/re air/rebuild 30.00 x = $ Rou h a enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwening is under wnswctian 3.00 x = $ Under round s rinkler irexisun dweuin 30.00 x = $ Water closet W ater heater 3.00 3.00 x x = = $. C? $ 3 W ater softener If dwelling under eonstruction 5.00 x = $ Watersoftener ite:isem dwemna 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 --> ---> ----> $ .50 Total --? --? ----> ...a $ , Reminder. Cail for inspections of alterations, i.e. water heaters, water softeners, etc. --------------- •------------------------- •------------------------------------•-----•--------------------------------------------•--.... I hereby acknowledge that I have read this application, state that the information is cortect, and agree W comply with all applicable City o( Eagan ordinances. It is the applicanfs responsibiliry W notl(y the property owner that the City of Eagan assumes no liabiliry for any damages caused 6y Uie Ciry during its nortnal operational and mamtenance actlviUes to the hacilities consWCted under this pertnil within Ciry pmperty/right-of-way/easement. SITE ADDRESS: ob&n OV-• OWNER NAME: '\?TGS . C3'C\4`Cl1C-\ 1pCVELEPHONE #: ? (AREA CODE) INSTALLERNAME: SC?o-C("C STREETADDRESS: 'l?b?O ?CfC\Qt"'? C?CC1?2 SrC-. TELEPHONE #: 1w q Sa • yun - (AREA CODE) CITY: `\\0? ?q,? STATE: A' ? zIP: 553?1-L. G?F; . %OOL SIGN TURE OF BY: PERMITTEE CITY USE ONLY LOT ? BL I PERMIT #: SUBD.- u ?I RECEIPT #: qva7' I Mm la5(cl1 RECEIPT DATE: Date: 4! - 3 '0v Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occunied. • HVAC: 0-100 M B T U ADDITiONAL 50 M BTU • Gas outlets (minimum of one required Q$3.00 ea.) $ 30.00 6.00 (n.(D 0 State Surchazge .50 Total $ 'y'-) .5U Complete this section onlv if you are remodelins, adding to, or reairin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Furnace Air exchanger ? -S- ob Air ccnditioning Other Fee State Surchazge Total Reminder: Call for inspections SITE ADDRESS: _ Repair _ Other $ 30.00 .50 $ 30.50 OWNER NAME: /'x /YI A??.I J?-CJ PHO? #' ?p?EA CODE) INSTALLER NAME: ? PHONE #: - C°°E, STREET ADDRESS: LO FG R EN Heating 8 Air Conditioning CITy; 20108 Calgary Tr. STATE: 480183t3 C'S1 CITY OF EAGAN 3830 PILOT IQ70s RD EAGAN NIIi 55122 651-681-6675 2000 MECHANICAL PERMIT (RESIDENTIAL) ** * * PIONEEFI * Bflg flBBP * * 7f #' Certificate of 5urvey for: LOT AREA = 15 482 SF HOUSE AREA =?,722 SF COVERAGE =17.67 HOUSE TYPE=2 STORY W.O. VD SURYEYORS • O'AL ENfiNEERS GL'11NEN5• lMDSCME ANWIiEf 2422 Enterprise Drive Mendoto Heights, MN 55120 (851) 681-1914 FAX:681-9488 E-mail: PIONEEROPRESSENTER.COM 625 Highway 10 N.E. Bloine, MN 55434 (612) 783-1880 FA%:783-1883 E-mail: PIONEER20PRESSENTER.COM, MANLEY BROS. CONST. 4158 ETHAN DRIVE v BENCH MARK TOP OF PIPE ELEV.=912.94 GDEFT. o r O • ? ? ? ? Lo? Z LqI 1 Q 04 = w N ?? ? ? , y? 7 LCt1C? Su w . 3 910.9 ? <? 10 ? ? >m ? 911 ? 10l ? ?. ? ? ? ? ? i 904.3 Ni 4 3?53?5 , -? .. / f ??-- ? ?i- I ? a . z.c I °o !972.9 ?2 or wa 03 a?! &Qf ao 7 166? 3? , I t ?„%.r ? -I ? ' Iio ? TREE LINE I , Y i? ?I ? a- } ? I ?a 7 , Ja JI - > 1 Do? ( LL) N ?dl Y F- O ? I i a l Z:2 y. w 10 ?. --- ow --j .4" 0 N ' N yi. "f 906.3 X , i so, ii I i? i? u 1 5 ?i L P. N 30.00 ? 51.33 ? 905.6 m ? ? N ? si3.a H5E 906.6 3 isz i . ' ,? I N89 56 46 E I I I 1 BENCH MARK Q TOP OF PIPE U ELEV.=913.51 NOTE: PROPOSEO CRADES SHOWN PER GRAOING PLAN BY: E.G. RUD IZONTAL AND N07E: OFBUILDING STRUCTURES DIMENSIONS ARCHITECTIIAOLRP ANS FOR BUILDINGAAND CATION FOUNDATION UIIAENSIONS. NOTE: NO $PECIFIC SOILS INVES7ICATION HAS BEEN COMPLE7E0 ON THIS LOT BY THE SURVEYOR, THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOVSE PROPOSEU t5 NOT 7HE RESPONSIBILITY OF THE SVRVEYOR. w d' ? • ? O soo.a 'Sx6r FnaCi? 157.07 PROPOSED HOUSE ELEVATION LOWEST FLOOR ELEVATION: 4(0' y TOP OF BLOCK ELEVATION: % / 5' / GARAGE SLAB ELEVATION: 9/Y.7 TOB @ LOOKOUT EIEVATION: X 000.00 OENOTES EXISTING ELEVAPON NOTE: iMIS CERTIFICATE DOES NOT PURPORi TO SHOW EASEMENTS OTHER iHAN ( iHOSE SFIONN ON THE RECORDEO PLAT, 000.00 ) DENOTES PROPOSED ELEVATION DENOTES DRAINACE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY OESiGN. = DENOTES DRAINAGE FLOW DIRECTION ? - DENOTES MONUMENT NO1E: BEARINGS SHOWN ARE BASED ON AN ASSUMED DpNM DENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 79 BLOCK 1, OAK BLUFFS DAKOTA COUNTY. MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY M OR UNDER MY DIRECT SUPERVISION THIS 20 DAY OF JANUARY, 2000. P A 51 NED? PIONEER ENGI E ? SCALE : 1 INCH = 30 FEET B John C. Larson, L.S. Reg. No. 19828 RECEIVED .4Ap? 3 1 2?DQ . ,56 99419.21 JMM 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20Yo maximum lot coverage zllowed) 2 copies of plan showing beam & window sizes; poured found design, etc. t set of Energy Calcula6ons 3 copies of Tree Preservation Plan'rf lot platted after 711193 Rim Joist DetalOptions selection shee[ (build'mgs wilh 3 or less un'rts) Minnegasco mechanical ventilation form a-e RemodeilReoair Reauiremenis Office Use Onlv 2 copies of plan showing foolings, beams, jo'sts Cert o( Survey Rerd _ Y_ N 1 set of Eneyy Calculations for healed additions Tree Pres Plan Recd _Y _ N. t site survey for add'Aions & decks Tree Pres Required _Y _ N Addrtion - indicate 'rf on-site sep6c sysfem On-site Septic System _Y _ N Date Io(z) Construction Cost "zw- Site Address L// U2?V?-? UniUSte # Description of Work /,\) S/ Multi-Family Bldg _ Y _ N ?/V ' &Lli Fireplace(s) _ 0 X 1 _ 2 Property Owner 2QI' 1 lA IL /` Telephone#(0/) X'S -U.37j Fireside Hearth & Home Contractor 14399 Huntington Avenue Address Savage, MN 55378 State 952.736.7761 - License#20512060 _ Telep6one # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission lype) Submitted Submitted • Energy Envelope Calculations SubmNted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N if yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Woter Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances azid codes of the City of Eagan and the State of MN 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 wiil be in accordance with the app4Applli vn the c e, f work which requires a review and approval of plans. Applicant's Printed Name Ys Signature City ? 2?Toti 2006 RESIDENTIAL PLUMBING PeRmiTaPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?# Sa.s0 Date 6' ? / Z Z. 1 CG, Site Street Address `WSk- ' q„ /11 n.? SSI Z 3 Unit # PropertyOwner %c? Telephone# ..-l r Telephone #(GS1 ) 3L?5 -0375 Contractor / ?sI SG'k ?tG-? n Address !-( r 'Q? 1?'(2,..„ City ?jc;t;lan State Zip f Z The Applicant is: ? Owner _ Contractor _Other Refurbished Submit 2 sets of plans and MPC license Septic System _ New Includes County fee _ $ 100.00 Per asbuilt $ 10.00 Alterations to existing dwelling $ 50.00 4/, Add plumbing fixtures. This fee includes installation of a water softener and/or water a heater at the same time. !f you are installing onlv a wafer soitener and/o ? ? heater, do not complete this section; move to the next section and ch 20n„ appliance(s) you are installing. ? _Septic System Abandonment AP 0 s 2006 " meter is required) _ Water Turnaround (add $130.00 if a 5!8 n Other: L?+W-tl, l,P"?cX Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accurate; tna[ tne work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requ' e to bere 'ewed and approved. ApplicanYs Printed Name ApplicanYs ignature ? a9 0'? $ ?10. ? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslrudion Reouiremenls 3 registered site surveys showing sq R of lot, sq. fl ot house, and all mofed areas (20% maimum lot coverage allowed) 2 copies of plan showing beam & window sizes, poured found design, etc 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platled afler 7/1/93 Rim Joist Detail Oplions selection sheet (bmldmgs with 3 or less untls) Minnegasco mechanical ventilation form RemodeUReoav Reauirements OffiCe Use Ohlv 2 wpies of pian shaxing foohngs, beams, joisls Cettof$FUVey Resd" Y. TA7 1 set of Energy Calculatwns tor healed addihons 7t2E PreS,P{an Rectl . Y. -_N 1 stle survey for addifions & decks TreePres'Required _tl' N Addifion - indicate i1 on-sile septic system Orr-siie Sepiic S)^siem , Y._ - N Date U 3 / 2 Z/ CiG Construction Cost Site Address L// 5k cZ 1 G,« v, ?%. ?G??fC n ry1N 5?7 Z3 UniUSte # Description of Work 113 (i ?e.r c? it kn S Lj Multi-Family Bldg _ YV N Fireplace(s) _ 0_ 1 ? 2 Property Owner ?/GV+-i J L1 E' !GG=- Telephone #(40<O Contractor /Zel„ Addreas City State ' ) 5 f Z 3 Tele 1) COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submissiontype) Su6mitted li. Energy Envelope Calculations Su6mitted ??? n/J? D In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a mas e p14PR Q 6 2006 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 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. ? ? 1Ov?r ,11?? ?cl? / aw Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SFDwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch(3sea.) ? 31 Ext Alt-Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex F5 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New 0 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemolRion (Entire Bldg) - Give PCA handout to applicant D2SCfipt1011: WaterDamage_Yes Valuation -2?•0'a Occupancy R -3 MCES System Plan Review 100% or 25% Census Code q 3 q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const uo Widih REQUIRED INSPECTIONS _ Foohngs(ncw bldg) _ SheeVOCk _ Footings (deck) FinaUC.O. _ Foolings (addition) FinaUNo C.O. _ Foundation ? HVAC Dnin Tile Olher Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final cYJ Framing _ _ Siding _ Stucco Lath _ Stone Lath _Brick - F?e lase b R T z- e?st -Fiis?1 ??\ Windows ?c Insulation = c ? S?-Zbu?? Re[aining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r 1?7 ? e? ?o0 3? 2007RESIDENTIAL BUILDING rmalarrucnnoN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenLs 3 registe2d site surveys showing sq. ft of lot, sq. R of house; and all roofed a2as (20% maximum lot coverage allowed) 1 Soils Repod if proposed building is to be placed on disWrbed soil 2 copies of plan showing beam 6 window sizes; poured found design, etc. 1 set W Eneyy Calculalions 3 copies of Tree PreservaGOn Plan if lot plalled after 711193 Rim Joisl Defail Options selechon sheet (buildings witli 3 or less unifs) Minnegasco mechanical ventilalion fortn RemodeVReoair Reauiremenfs Office Use Onlv 2 copies of plan showing footings, beams, joists Cert of Survey Recd ._ Y_ N i set of Energy Calculafions for heated addNOns Soils RepoR -- . Y---N i site survey for additions & decks TreePres Plan Rectl . __Y _ N. Add'rfion - indkafe if wrsfle septic sysfem Tree Pres Required -_ Y_ N On-sdeSepticSystem - Y _N Plans are considered nublic information unless vou state thev are trade secret and the reason. Date ?/ ? Site Address !?J6- /?_ 9 i ?° Conshuction Cost 7? O fl Unit/Ste # Description of Work 6e-r1i4 )- R? ?Pd D4:7- Multi-Family Btdg _ YA N Fireplace(s) ? 0 _ 1 _ 2 Property Owner Telephone #(GSI ) 36S r 03 ?? Contractor Address 141 State g;/v Aaa'Z/.-- el? Zip , city G4Y-g PA?,fk) Telephone # Y--710'c7dd l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mimmesota Rules 7672 Energy Code Category , Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculatlons Submitted In the last 12 months, has the City of Eagan issued a perrnit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I herebv anplv for a Residential BuildinQ Permit and Telephone # ( Telephone # ( Telephone #( the information is complete and accurat e; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?2Iee- =0 A?,vsp ? Applicant's Printed Name Ap ic nt's Sign re Use BLUE or BLACK Ink r------------------, I For Office Use of City O1 T EaV Permit 11 I IPermit Fee: 10C a I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: ® (Q Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: L Phone: o 1 - S L,' Resident/ ~i -7 Owner Address/ City/ Zip: 1Ay_Applicant is: Owner ~'c Contractor Type of Work Description of work: ~~f1C CD4 Construction Cost: Multi-Family Building: (Yes / No ) Company: kZ=lP%TV_ Contact: V S Contractor Address: <oo U e~ City: e c„ dg~~-~ State: _LN, Zip: I Phone: License ~~I 3 Lead Certificate \V ~2 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 Bull ing C must be completed within 180 days of permit issuance. x~ x Applicant's Printed Na a Appl cant's gnature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA117851 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 4158 Ethan Dr Lot:7 Block: 1 Addition: Oak Bluffs PID:10-53400-01-070 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 - Thomas J Sherek 4158 Ethan Dr Eagan MN 55121 (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:EA165481 Date Issued:11/03/2020 Permit Category:ePermit Site Address: 4158 Ethan Dr Lot:7 Block: 1 Addition: Oak Bluffs PID:10-53400-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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: 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 - Thomas J Sherek 4158 Ethan Dr Eagan MN 55123--490 (612) 865-6776 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature