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4189 Ethan Dr*dtV oF eagan P.4TR[CIA E. AWqDA Mayor PAUL BAKKF.N PECCY CARISON CYNllEE FIELDS MEC TIllEY Council Members THOMAS HEDGES Ciry Adminis¢ator Municipal Center. 3830 Piloc Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 65I.454.8535 Maintenanw Facility: 3501 Coachman Poinc Eagan, MN 55122 Phone: 651.681.4300 Fu: 651.681.4360 TDD: 651.454.8535 www.ciryofeagan.com THE LO[VE OAKTREE The sym6ol oFstrcng[h and growth in our communiry lst Notice Letter Apri15, 2002 MANLEY BROS CONSTRUCTION 4179 ETHAN DR EAGAN MN 55123 RE: PERMIT #:36515 ISSUED FOR: NEW SINGLE FAMILY, ON JUNE 25,1999 SITE ADDRESS: 4189 ETHAN DRIVE Dear Kevin: Our records indicate that required inspections have not been completed on the permit listed above. Inspections aze necessary to ensure that the work for which the permit was issued meets all life safety requirements of state and local codes. Please call 651-681-4675 within 30 days of this notice to schedule an inspection. Be sure to provide the permit number at the time of scheduling. If, for some reason, your records indicate that inspections have been completed and approved, please supply us the date of the inspection, as well as the initials of the inspector who approved the inspection. We want to thank you in advance for your anticipated cooperation in this matter. Please do not hesitate to call if you have any questions or concerns. Sincerely, Inspections Deparhnent cc: Property Owner: Gazy & Barbaza Hazbo, 4189 Ethan Dr, Eagan, MN 55123 r 4y ,. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PII.OT KNOS Rn 55122 (651) 681-4675 i1 Il ? ???- q Q, C?XA ( Naw Construction Reauirements RemodeVReoair ReauiremeMs • 3 registered site surveys • 2 wpies of plans (inGude beam & window sizes; poured tnd. design; etc.) • 1 energy calcWabons ? 3 copies of Uee preservation plan'rf lot platted after 711/93 required: _Yes _ No DATE: ?? • ? /? ? DESCRIPTION OF WORK: STREETADDRESS: 11 ?? 9 ?- `E"ko- h LOT: _ C BLOCK: a SUBD./P.I.D. #: Name: Lazt City PROPERTY Street Address: OWNER First ? 2 copies of plan ? 1 sRe surveys (exterior additions & decks) ? 7 enargy calcula[ions Tor Aeated additions CONSTRUCTION COST: State: Zip: Company: Phone #: llY, 41 cJ J? CONTRACTOR -I ? / Sueet Address: ?? l1 ?Aj I , ?h G-?i License # Exp. City Stat? Zip: ??V ?ll ARCHITECT/ G ENGINEER Company: /'p ?? / ) G? ? ?t ? i.r..?... / C f/ n . . ? Street Phone #: Phone #: 65/ 11 Regisuation #: City t4- State: hi ?J Zip: t)'s- Sewer & water licensed plumber (new construction only): Jk . Penalty applies when address change and lot change is requested once permit is issued. (' I --.), L-4 l4°l - (? --? 3 -_I I hersby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State,of Minnesota Statutes and City of Eagan Ordinances. Y OFFIC Wes Certifcates of Survey Received Tree Preservation Plan Received _ Yes Signature of Applicant: No (i n _ No Not Reqed Ilr V i ? I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish X02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Firep4ace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move "d32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width ? •Jj Basement sq. ft. ?i n ! Main level sq, ft. 2`° w sq. ft. ?2• T 8WL6-j&4 sq. ft. C-4AI& sq. ft. 6 ? ? sq. Footprint sq. ft. ft. I 0 CJ ? D 7 b 05 Census Code SAC Code Census Units Census Bidg MC/ES System City Water Booster Pump PRV Fire Sprinklered (o) APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 6oU? Surcharge Plan Review License ?60Ox (s = jLr7 ? bOV?- MC1ES SAC pp X 5/.F ? 617,2RV City SAC Water Conn. 7t?-o x'?Q - 40i sw' Water Meter '151( S'-t Acct. Deposit S/W Permit 6x < <O ? I 2 -2-?iF, S/W Surcharge Treatment PL ^ ?6(J Park Trails Ded. Other Copies Total: -5? L( .-L 9 3 % sac SAC Units ? roNTiNuE CI'fY CiF E:FlGAN CASHIC_'h: S i'I_:RMINAI_ NC?- 'Erf:, DtiTEg 06/28199 rr.nE: 005808 zc . . NFlME: nANi_e:v BhorHEr;s r.:oN.,TfiucrroN 306 9220 4189 f::Tl-IAN Dfi 114.00 3713 3220 089 k:il-IAN DR 50.00 3865 9220 089 ETHAN DI't ES4 J.00 Total F:er..Pi.pt Arvrounr,: 57360„33 CR1. t?336 USEfi TI?. PdANCY cr'rv oF- EaeAN CASNIE".R: Ei iEfii''iLtdAL rl0. 7E6 PA'fE: 06l28/99 TTME: 07: 5H:: l i IU: NAMf=,; MANL.f•_'V I3RQTI-iEF7:i CONS'PfiUG'i]:ON 2252 9220 4189 ETHAi`! DR 30.00 32 10 ^f.ll]l. 4489 El'1-I(aN I11i 1755>.3`i 3866 3379 4:L89 E1NAN DF i0f.l.00 3422 9001 41S9 k:.7HAP! DR 1y013.,`:;8 22 75 3?20 4te9 F_rfiAN rn, 1yC139.50 3"6 9001. 4143 ETI-IAh DI; 10.50 21.55 9001 4189 ETH61N AI; 0.50 .3'i'43 9220 4:I.EI9 [1'HAN L1ft 50.00 21°.;:, 3001 41Ci9 ETI-IAN DR 10(:1.50 3F.S68 9220 41.E33 F'TFIAP! Uf; 468.00 CF:1.1213E, CCJNTTI`ll1E 415r:r. :r.D„ nANcv CiJN'1'1'NUE: \ R PROPERTYLEGAL. DATE OF SURVEY: lo -/ft? " LATEST REVISION: 4:?' ° IY- DOCUMENT STANOAROS / ? . Registered Land Surveyor signature and company licant P it A B ildi ? •? ? pp erm • u ng ?? ? • Legal descriptian 0/ ? a • Address u--'? ? • North arrow and scale cb"p ? • House rype (ramblar, walkout, split w/o, spBt entry, lookout, etc.) P? ? ? • Directional drainage anows with slope/gredient % ?? ? • Proposed/ebstlng sewer and water services 8 invert elevation Er' ? ? • Street name mK ? ? • Driveway 02"? a • Lot Square Footage iy/o ? • Lot Coverage ELEVATIONS Exisbna t' o ? • Sewer service (or Proposed) ua-? ? ? • Property comeis q? ? o • Top of curb at the driveway M- ? a • ElevaSons of any dds6ng adjacent homes E] 4- ?o Adequate footing depih of struclures due to adjacent uliHty Venches Proooaed p-, ? ? • Garegefloor a, ? ? • First floor Ek ? ? ? Lowest exposed elevatian (walkouUwindow) cr' ? ? • Property comers 'L? ? ? . Front and rear of home at the foundation PONDING AREA L aPO6caWe ? cv ? ? ? ? a r,z/ ? :1 r? a a 7e' ? V? ? rB? ? o ? ? ? ?? ? m' a ? lOT SURVEY CHECKLIST FOR RESIOENTIAL BUILDING PERMIT APPUCATION • EasemeM Gne • NWL . HWL • Pond # deaignaGon • Emergenry OveAlow Elevatlon DIMENSIONS • Lot Iines/Beanngs 8 dimensions • Right-of-way and street widtli (to back af curb) • Proposed home dimensions indu?ng arry proposed decks, overt+angs greater than 2', porches, etc. (i.e. all structures requinng permanent faotinys) • Show all easements of tecord and any City uCliOes withm those easements • Setbacks oi proposed structure and sideyard setback of adjaceM ebstng structures . Retaining wall requirements, ` ' - Reviewed: March 19BB CRAM31BlIXiPRhR FM I CITY USE ONLY LOT ? BL ? RECEII'T ii: 1 I? D? I SUBD. C A,L 7?? S RECEIPT DATE: MECHANICAL PERMIT # 1999 MEcHMicAL ?ERMrr (REsinExTIAL) crrYoFEAsm . 3830 Pu.or Kivos ttn gAfiAN MA 5518E ? (651) 691-e675 Date• Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under wnstruction and not ocvnerloccupied. • HVAC: 0-100 M B T U ADDITIQNAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) Complete this secrion onlv if you are 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 Alteration Repau _ Other Reminder: Ca11681-4675forinspections. Furnace _ Air exchanger SITE ADDRESS OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: ?l $ 30.00 6.00 ?00 State Surcharge .50 Total _ Air conditioning _ Other 30.00 State Surcharge .50 Minimum Total Due $ 30.50 PHONE #: (AREA CODE) !? _ PHONE #: ?_- YG? 'R??r (AREA CODE) STATE: ? SIGNA TR E 0 E ITTEE R CITY USE ONLY Iq / L ? BL D- RECEIPT #: SUBD. Oa ?X ti.?V lA? RECEIPT DATE: PERMIT # !j 1999 PLUM$IAIC PEt14IIT (i$ESID£N1'lAW crrY of EAeAN 3830 PI.oT KNoa Rn EAfiAN, hiP155122 (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit i backflow preventer for underground sprinkler system FIXTURES EACH k TOTAL Bath tub $ 3.00 x l = $ 3 Fioor drain 3.00 x 1 = $ 3 Gas i in outlet ' minimum -1 3.00 x = $ 3 Hot tub/s a 3.00 x $ Kitchen sink 3.00 x i = $ 3 Laund tra 3.00 x I = $ 3 Lavato 3.00 x d = $ q Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ` reuires MPC iic. 75.00 x, _ $ Private Dis osai 5 stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ ROU h D .aiinn ' ?.n. _ -P !?/• SC? Shower 3.00 x 1 = $ 3 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 = $ Water heater 3.00 x I _ $ 3 Water softener If dwelling under construchon 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- State Surchar e .50 --> ----> ----> $ .50 TOtal --? --> ----> °--> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. 1?1• Dd ----•---•---•-•-••--------------------------------------------- ---------------------------- --------------------------------------- I hereby acknowledge that I have read this applicadon?, shate that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanPS responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City dunng its normal operational and maintenance activihes to the facilihes constructed under this permit within City properry/right-of-way/easement. SITEADDRESS' OWNER NAME: : TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: Lo/ 2' SlV7-40 '/dp STREETADDRESS: 4?-GCJ 4-h?/'4- (AREA CODE) C?--`•- - CITY: Prlo1 ??? STATE: ZIP: 5-S3-7d- SI A RE F PERMITTEE ` 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4875 BLOCK: D J roylslered sHe wrveya ahowiny sq. fl. of lot. sQ. ft. 01 house cnd gLI roo(ad areas (2096 nwzlmum bf covemae atlowedl D 2 coples of plpns (ahow beam & wintlow fizea; pouretl Ind Aealpn; etcJ 9 I seI of 9n9tpy calWlallons a J coples ol hee preserv~ Plan H lot ploMetl oMer 7/1/93 DATE: _ ?I 3 ? DESatIP110N OF WORK: Lx(?L STREEf ADDRESS: LOT: q PROPERTY last OWNER Sheef Address:_ aN (fi 1 O Remodel/Reoalr Reaulremenh ? flai A 6 (? 7? 2 copiea of plan 1 set ol enetgy cdadaHOns for h6ated adWHOns 1 Nte wney lor exleAa addlHOna 3 decka CONSTRUCTION COST: Stafe: Phone q: Lp: , CompanY Pnone A: (1J l '`7?'7' ??e,33 (area code) CONTRACTOR ??' G l(? IRX.!/-w Y1 w?I Sheet Address: LlCense #Exp.31i? CIN state: zlp: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheet CNy RegtstraHon #: State: Zip: Sewedwater licensed plumber (N installina sewer/waterl: Phone #: (? I hereby ackrwwledpe ihat I have read Ihis appiicaFion, atafe thaF Me Infortnatio is cortect, and agree b comply wNh an appAcable Siate of Minnesota StaluFes and Cify ol Eapan Ordinances. Signalure of Applicant ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No _, Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? W 05-plex ? 02 SF Dwelling p OB 06-plex ? 03 01 of _ plex O 09 07-plex 0 04 02-plex p 10 08-piex Q 05 03-plex O 11 10-plex ? 06 04-piex ? 12 12-plex WORK TYPE ? 31 New O 32 Addition ? 33 Alteration ? 34 Repair ? 13 1&plex ? 17 Garage ? 18 Deck 19 O Lower Level Plbg Yor_N O 20 Pooi p 21 Poroh (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) O 24 Storm Damage ? 25 Miscellaneous O 30 Accessory Bldg. O 36 Move Bldg. 0 43 Reroof ? 37 Demoiish (Bldg)' O 44 Siding ? 38 Demolish (Interior) O 45 Fire Repair ? 42 Demolish (Foundation) O 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code o f No. of Units o No. of Buildings ? Const. (Actual) (/Ulowable) UBC Occupancy 2-3 Zoning # of Stories sq. ft. Length sq.ft. W idth Footprint sq. ft. Basement sq. ft. Census Code Main level sq. ft. MC/ES System sq. ft. City Water sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucea/Stone APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC Building cAt Engineering Variance ccQi Valuation: $ "Ua? , ? 31 Ext. Ait - Muld ? 33 Ext. Alt - SF O 36 Muid 7^l4 ? r . cORrIFic1atO oF: sURYSY For.- Man/ey Brothers Construction 4181 ETriaN DR=V'E Description of Original Property / ? The North Holf of the South Holf of the Southwest Quarter of Section 24, Township 27, Range 23, Dakota County, Minnesota lying east of the easterly right of way of C.S.A.H, No. 63 (Dodd Road), which lies south of the North 313.63 feet and which lies wast of the East 111.30 feet thereof. AND The North 313.63 feet of the North Half of the South Half of the Southwest Quarter of Section 24, Township 27, Range 23, Dakota County, Minnesota, lying eost of the eosterly right of way of C.S.A.H. No.63 (Dodd Road). Together with the Eost 111.30 feet o( soid North Half of the South Half of the Southwest Quarter lying south of the North 313.63 feet thereof. AND That part of the North 26 rods of the Southeast Quarter of the Southwest Quarter of Section 24, Township 27,.Range 23, iying Eost of the eosterly right of way of C.S.A.H. No. 63 (Dodd Road). AND That part of the South 14 rods of the Southeast Quarter of the Southwest Quarter of Section 2, Township 27, Range 23, lying East of State Aid Road #7, now known os County Highway No. 63 (Dodd Road) and lying Nonth of the northerly right of way of C.S.A.H. No. 30. ? HOUSE COVERAGE SF = LOT SF = 13,857 c4. {'+. K01 A A , Utility E°Sement N12oo1 10 ?„W aw Cp()D L?I vb f !OPOSED ELEVATIO NS: 1011.2 DENOTES EXISTING ELEVATION. ? J=AGANESIGIIVEF RI?GDE GARAGE FLOOR = 928 y / DENOTES ? DENOTES , px DIRECTION OF ORAINAGE. ? WOOD HUB AT 11 F00T OFFSET l^I TOP OF BLOCK = g28 S . ? Diag.: 80 X 54 47 =96.52 LOWEST FLOOR = 920, p ? X TOP OF FOOTING= qi 9• 7 ? '?? ? 13 CRS LOOKOUT BASEMENT The plat of OAK BLUFFS has not been recorded LOWEST FLOOR ELEV=920,0-' as of this date. Lot 9, Block 2, OAK BLUFFS, Dakota County,Minnesota .? 3 .? ?t r? t: ,y I Scole 1"= 30' 1 O Denotes Iron Mon] Bearing Datum:Assumed lJob No. 99320hs IDrwg By BAO ? I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota E. G. RUD 8 S?vC ? Date 4;-15'22 Registration No 08 E. cx. RUD 4 SONS, ING LAND SURVEYORS 918O LEXINGTON AYE. NO. GIRCL6 PINES, MINNESOtA 56014-362b TEL. 186-6656 9-2 Sz-r FE N11E zs ? - "f C ? - Contract No.: ' Project No.: ? CITY QF EAGAN Submitfal Date: i-& SF $8e WATER P. tuTT F. / EAS . FORM PRO.TECTDESCRIPTION: LJL9lG?/Trc>?ic-5' ' Substanaal Complerion of Sewer & Water 9 51 STEP I: Date of Occuaence PERMISSION TO iiOnTC iTP SAZ?UARY SEWER Lines Lamped and Acceptable ? WA?'ER MATN Properly Chlorinated & Flushed Deflection Mandrel Test Passed ? Enrire System Pressure Tested Manhole 5tructures Properiy Entire System Condnctivity Tested Constructed (Cstg. & Cover, Rings, Cone, ? AlI Vaive Boxes Accessible, Straight 1 R. Sections, Final Rim Setting, & & Keyed / Build and Invert) ? All Valves Opened or Closed as Approp. v Tnfiltrahon Test Bacteria Test Completed SERVICES ? All Wye Locations Confrmed ? Ail Curb Boxes Exposed, Set to.Proper Grade & Mazked with Fence Post Required Service Risers Televised COMMEN TS: L//K 146A, ,° ,-e{ObKc?PS Q ? g1-/- •COTS , . ?- S P IL• n. . r. p Nrrr (O CUm N Yl STORWER Lines Lamped & Acceptable STREETS Materiat Tests Checked & Passed CB Struetures Properiy Constructed (Conc. Compressive Strength & Air (Cstg & Cover, Rings, 1 ft. Section, Content, Biium. Extract & Gradatioa, Invert, Final Cstg. Setting & Build, Gravel Base Gradarion). DL-BR Correctly Set Rings & Cstg. Utility Struchues & Lines Clear & Free Set in Full Bed of Mortar) of Bebris & Crravel (Gate Valves Keyed) COMMEN Aprons, Dissipaters & Rip Rap Properly Installed i'3: RECOMM ENDATTON: I herein verify that the tests and inspections indicated above have been successfully completed. My deviations or exceptions are described in my comments. With this considered, I recommend that permission to hook up or permission for occupancy be granted a fia ro riaL to e ove indications. _ Signe Proj ns Confirmed by: Pubiic Works partment GFurms&Li 'Sew&Wat ¢elForm.doc C. g? ?- --- - - ? : 4pr ? CERtIFIC,4tE OF SURY0Y For.• Manley Brothers Construction ? A? 'i 18°t ETmAm D??Vi Description of Original Property f k ; ; 7he North Half of the South Half of the Southwest Quarter of Section 24, Township 27, Range 23, Dakota County, Minnesota lying east of the easterly right of way of C.S.A.H. No. 63 (Dodd Road), which lies south of the North 313.63 feet and which lies west of the East 111.30 feet thereof. AND The North 313.63 feet of the North Half of the South Half of the Southwest Quarter of Section 24, Township 27, Range 23, Dakoto County, Minnesota, lying east of the easterly right of way of C.S.A.H. No.63 (Dodd Road). Together with the East 111.30 feet of said North Half of the South Half of the Southwest Quarter lying south of the North 313.63 feet thereof. AND That part of the North 26 rods of the So.utheast Quarter of the Southwest Quarter of Section 24, Township 27, Range 23, lying East of the easterly right of way of C.S.A.H. No. 63 (Dodd Road). AND That part of the South 14 rods of the Southeast Quarter of the Southwest Quarter of Section \2, Township 27, Range 23, lying East of State Aid Road #7, now known as County Highway No. 63 (Dodd Road) and lying Nortth of the northerly right of way of C.S.A.H. No. 30. \ HOUSE COVERAGE SF = 2700 sq -F+- LOT SF = 13,857 c?. 4. ?tllity ?7dsement -- - Gv' `- I Da?? y --4F - -1F' CuIve.f ? x a:7 D-7 / . _ ROPOSED ELEVATIONS: 1011.2 DENOTES EXISTING ELEVATION. ? Et1GARJ EN(u'RiMMWG gyEPT. GARAGE FLOOR = 928. y / DENOTES DIRECTION OF DRAINAGE. TOP OF BLOCK = 928 8 ? DENOTES WOOD HUB AT 11 FOOT OFFSET. LOWEST FLOOR = 92a, p Diag.: 80 X 54 =96.52` I ?4; TOP OF FOOTING= 119.7 ,_- ? 13 CRS LOOKOUT BASEMENT The plat of OAK BLUFFS has not been recorded LOWEST FLOOR ELEV=920,0,'' as of this date. Lot 9, Block 2, OAK BLUFFS, Dakota County,Minnesota .? ? ? ? f ; \ .? I Scale 1"= 30' 1 O Denotes Iron Moni Bearing Datum:Assumed I Job No. 99320hs I Drwg By BAO I I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota ?. RUD S2 VC Date 9 gistration No 9 48 ST ?T FE NCE Dfa.?o9e orxd ??''?122 ss ? - ?' D PK?? A E. ex. RUD e°vON°v, ING 1.14ND SURVEYORS 918m LBXINGTON AvE. NO. GIRCLE PfNES, MINNESOTA 65014-3625 TEL. 7186-6b66 -- 9-2 CityOfEflQall 3830 Pllot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION j L i t91 C.LVA -�c Date: I Site Address: Si t t Suite Ci 01) Tenant: �%C ■K Phone: TYPE OF WORK CONTRACTOR Description of work: Construction Cost: RESIDENT OWNER Name: .1.( (\T Address City Zip: t A I t C`n Applicant is: Owner Contractor Name: Address: y t CP Minnesota Rules 7670 Category 1 Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer Water Contractor: x 6,VA can Applicant's Printed Na Multi Family Building: (Yes No License City: Phone: c c 5�_� 4 �I y Contact Person: C S gnatu Permit Fee: Date Received: Staff: Energy Code Category (4 submission type) In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? State: 41__ Zip: COMPLETE THIS AREA ONLY W CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 New Energy Code Worksheet Submitted J Phone: Phone: Phone: 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City o 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 it accordance with the approved plan in the case of work which requires a review and approval ans. Page 1 of PERMIT City of Eagan Permit Type:Building Permit Number:EA117771 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 4189 Ethan Dr Lot:9 Block: 2 Addition: Oak Bluffs PID:10-53400-02-090 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 - Gary L Harbo 4189 Ethan Dr Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121377 Date Issued:03/27/2014 Permit Category:ePermit Site Address: 4189 Ethan Dr Lot:9 Block: 2 Addition: Oak Bluffs PID:10-53400-02-090 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 - Gary L Harbo 4189 Ethan Dr Eagan MN 55123 (651) 451-3112 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature