Loading...
4340 Hamilton Dr? CASH RECEIPT 9 CFTY DF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 aecervEn FROM AMOUNT $ & DpLLARS iao •'? D CASH C? CHECK ' ?,/ f , JL w+," L?. /:j SCL -r I; i i i I;@rr-? Thank _ 1?, wnila--Peyers coav vellow Posung copy Pink---Mle Copy - - BY PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC ?0-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. ? TOTAL ?''?, CITY OF EAGAN # r 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 "PH ON E: 454-8100 , BUILDING PERMIT Receipt # t? - To be used for , .. Est. Value Date ,19 Site Address '}34? , Lot Block `?rrr?, Sec/Sub. - - ? n ? Parcel No. . ., oc Name S(3L'S ?•. `-:11 ? :l- ,, .> Address 1311 `=g Ai??D'r 14 3 ? City ; F' c;` Phone 452 .:35.. °Co Name . z o Q AddrRss ? City • Phone ?Q ? W NarAe W y? f ? ? Address cc zW City Phone a - 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. Sipnature of Permittee A Building Permit is issued to: L;.: on the express condition that all work shall be done in accordance with ali appiicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY OnSite5ewage Occupancy H-3 tf-f MWCC System Zoning Pl7 R-1 On Site Well (Actual) Const V-j'' City Water (Altowable) V-N PRV Required # of Stories Booster Pump Length 53 # Depth ?3 ? S.F. Total Footprint S.F. APPROVALS FEES ? LU'00 Engr./Assess. Permit 42.00 Planner Surcharge 25'"00 Council Plan Revfew 100.00 Bldg. Off. SAC, City 553'00 Variance SAC, MWCC Water Conn, 5, 50• 00 Water Meter 0• 00 Road Unit 125.00 204'OU Treatment P1 Parks TOTAL 2' JF Building CITY OF EAGAN • r : » ? • ' 3430 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .. { , PHO N E: 454-8100 BUILDING PERMIT Receipt ? To be used for Est. Value Date ,19 Site Address OFFICE U5E ONLY R? 1'f`, i;•','_ Lot Block Se /S b On SNe Sewape Occupancy . c u Z ' MWCC System Zoning ParCel No. i l l t On S te Wel ) Cons (Actua City Weter (AllowaWe) m Name W PRV Required # of Storiss Address • ; 0 a City Phone Booster Pump Length Depth o Name d' S.F. Total , ? ? Address Footprint S.F. ? City Phone APPROVALS FEES ? a Engr./Assess. Permft W W Name y, ? _ z Address Planner Surcharge a `W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree 4o comply with all applicable State of Ordin nce Mi t St t t d Cit f E Water Conn. s. nneso es an y o agan a a a u Water Meter Signature of Permittee _ Road Unit A Building Permit Is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL " Permit No. Permit Holdar Dste Telephone # Plumbing H.V.A.C. Electric Softener Inapaction Date Insp. Comments Footings I Footings II Foundation 12,- . -S- Framing Roofing Z_?? Rough Plbg. •/d-l ? - L•• ? ? - ?? Rough Htg. Isul. ? 44, ,f?/O,r.t: f 7CSSwGc Fireplace `7-c- - - S .. ? Final Htg. O1l ,?? l?' ; t? $ .? o?/' F .• ? sa vi, Final Plbg. ??`_ QA? Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . . . . _ . . . . ., r . . _- . % / ' ?.. . PERMIT # " =7 . - ~ • MECHANICAL PERMIT ,? _ . . CITY O F EAGAN RECE{PT # 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: AYJ'UST 2-2, 1988 GONTRACT PRICE: PHONE : 454-8100 Site Address ? ' " ? ve BLDG. TYPE WORK DESCRIPTION Lot Block ,g Sec/,?St1b . , ?_ ? _ Res. ??' New ?x C c -,.. enz-Ryan P& H Mult Add-on ? Name . ? ? er„t ? Comm. Repair ic Address IYII+I :to?oun 23 Other c o . City Phone 8 - 'l 5506 Son s Constr uctibn FEES Name 370 h RES. HVAC 0-100 M BTU -$24.00 c n Ro Ra Address ad ADDITIONAL 50 M BTU - 6.00 ? 9.? Ra5sn 1?9 City., ? 452 Phon J -5355 (RES. HVAC INCLUDES A/C ON NEW _CONSjflUETFON) GAS QUTLETS (MINIMUM 1 PEA PEkMIT - ) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ' Forced Air 75 M B7U 2'?'•?? APT, BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDaS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BYU REMODELS - 12.00 Air Cond. M B7U $ M1INIMUM COMMERCIAL FEE - 20.00 STATE SURC4IARGE PER PERMVT - ,50 Vent. CFM (ADD $.50 SiC IF PERMIT PRICE GOES , Gas Piping Outlets # 1 1.50 BEYOND $1,000) Other FEE: 2'?. 50 50 S/C: ? SIGNATU E OF PERMITTEE TOTAL: 26.00 • FOR: CITY OF EAGAN , . . PERMIT # y . . - , PLUMBING PERMIT RECEIPT # g? CITY OF EAGAN ,? • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE VTRACT PRICE PHONE: 454-8100 m Name ? Addre c Ciry _ - Name ? Addre 0 Cib - Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCAIPTION Res. New Mult Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAI Water Closet - $3.00 s ? ?Bath Tubs - $3.00 -? ? Lavatory - $3.00 1--1 ' i Shower - $3.00 3 -' KitChen Sink - $3.00 ' UrinaVBidet - $3.00 ? Laundry Tray - $3.00 - Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping Oudets - $1.50 ? (MINIMUM - 1 PER PERMIn Softener - $5.00 well - 5t0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: - STATE S/C: GRAND TOTAL: y r J (Urtiftrate uf COrrupanry Citp of (Eagan aPpa1"bttplt# Df I11i1ding 3ItB.pPtYtDt[ TI?is Certifrcare issued pursuanr to the requiremenls of Section 306 of the Uniform Buildirrg Code certifying that at the time of isseeunce this structure was [n compliance with rhe various ordinarrces of ihe City regulating building construction or use. For the following.usc c.saGUOn ,?r M/GAR eiag. Paniie tao. 7 541'r ,? ;r,- • Owuwmcy Trve R3/M1 ZnauiB DiNiu Type C- y;, o,wm or sWiaing =!E7N.5 0ONSIRJM.70N Aaarm i ` o..,.:? ...._ +0 FiAt,fl.iW IIIIVE f E;' . A3. iF.UR1Mtu R7INM 2Iv1) Dau: 'r,,TOM POST IN A CDNSPICUOUS PLACE _ , ,, .. : - --- - -- - p F EAGAN 'ermit No: 11006 Date: 8- t 9-88 lot Knob Road B/P Na "656,5$- Date: ' "K 21199 , MN 55121 Site Address: Plumber:- 4340 CC: 550.OOvd Chg: 100 . OOpd :. Dep: 15 .OOpd nit Fee: i ?' ?,'? p d RI Zoning• No. of Units: I agree to comply with the City of Eagan Ordlnances. j Misc.: By ; SEWER SERVICE PERMIT ? ' CITY OF EAGAN Permit No: 9? h? Date: 3930 Pilot Knob Road Meter No: !/-0- UQ a- 4Z l Size: !?/g /4dGK P.O. Box 21199 Reader No: 41 '7 z? Date: 10 Eagan, MN 55121 Owner. Snnc CnaRt. I,4 n' Poi??*e 7 SileAddress: l tnn '':-rive Pfumber._ , j- rl , ??- •-?g Conn. Chg: 550_ (lClnj AcCt. Dep: 1 5_ i)l1--T Permit Fee: ? •? . n'lr,d Surcharge: _ _'ifln:l Tr. Plant__ 704 _ Qf}Etri r Meter - Zoning: _ No. of Unils: 1 agree io comply with the City o1 Eagan Ordinances. nnisc.: er gak' AYT?,(Re PIhy) WATER SERViCE PER{IAIT????` CITY 0p EAGAN 3830 Pilot Knob Road P.O. 8ox 21199 Eagan, MN 55121 Conn. Chg: Acct Dep:_ Permit Fee: Surcharge: Tr. Plant_ Meter. _ Permit No: ?0164 Meter No: _ Reader No: Zoning: _ No. of Units: Date: ' - Size: ? Date: ? t Al I agree to comply wilh the City uf Eagan Ordinances. Misc.: By WATEA SERVICE PERMIT _.J lot Knob Road z 21199 MN 55121 Permit No: B/P No: ". z; ier. Sons Const. Address: ? ?iltc?a Drive 9 B .ez gt:)n o.r,t:.: nber Johnwn C . .. g ?t?.MFd CC: Zoning• Chg: 100 """p No. of Units: Fee: 1 agree to comply with the City of Eagan Ordinances. By SEWER SERVICE PERMIT CITYOFEAGAN No ? 5448 3830 Pflot Knob Road, P.O. Boz 21-749, Eagan, MN 55121 / PHO N E: 454-8100 BUILDING RERMIT Receipt? To be used for SF DWG/GAR Est. Value $84,000 Date AUGUST 15 ,19 $$ Site Address 4340 HAMILTON ?R Lot 4 elock 3 Sec/Sub LEXINGTON POINTE Parcel No. QlName SONS CONSTRUCTION CO I Address 1311 ST ANDREW BLVD City EAGAN phone 452-5355 p Name_ oa Address ?0 City- Name Address City Pho I hereby ecknowledge th I have r this ication and state Ihat the information is correct a d agre o o p i all applicable State of Minnesota Slatutes and ' y of n es. Signature of Permittee _ - .4 Building Permit is issued to ONS CONSTRUCTION CO_ on the express condi4on that all work shal I be done m accordance wdh al I applicable State of Minnesota?S?t-Iatutes and Ciry of Eagan Ordinances. ewlding Official?.l?d6?.? ??_r OFFICE USE ONIY on Sita Sewa9e - occupancy R-3 M-1 MWCC System X Zoning PD R-1 On Site Well _ (ACtuaq Const V-N City Water x (Allowable) V-N PRV Required - # of Stories Booster Pump - Length 58, Depth 33 ? S.F.TOtal Footprint S.F. APPROVAL5 FEES Engr,/Assess. Permit 510.00 Planner Surcharge 42.00 Council Plan Review 255.00 Bldg. Off SAC, City 100.00 Vanance SAqMWCC $50.00 Waterconn 550.00 water Meter 67.00 Roatl Unit 325.00 Treatment P1 204.00 Parks 603.00 2 TOTAL , Ee?-o/poooFo)s REQUEST FOR EIECTRICAL INSPECTION J?W See ms<ructions tor completing this torm on beck oi Vellow capV. •?/ E ?'coraan 8 "X'" Be/ow Work Covered by 7his Request Adtl Xep- TVPe ot 8uiltlm9 Aaolmnces Wnretl Equipmant Wved Home Fiange Temporary Scrvice DuplFx Wa[er Heater Lighbny Pixtures Apt Bmldmg Oryei Electnc Heatui Commercial Bldy. Fumace Silo Unloader Industnal Bldg. Air Conditioner Bulk Milk Tenk Farm Otner nea v OthFr (SUri_ify) ? ,r SncufY Other O, h,r Compu[e InspecUan Fee Be/ow p Fea ServiceEMrance5ize fl Fee Fenders/SuGieaders N Fee Grcwts ?08 0 to200Ams 0 to30Ams 0tn30?ms A6ove 200 qmps? 31 to 100 Amps p 31 to 10 0 Am s Swinttning Pool Above 1 W-Amps Above 100_Am ? Transtormers Irngavon Booms , SQ ParLalOthe e Signs Specialinspection ' TOTAL ) ?rks A j ?o 0 EF? ICY h \ n flough-m 1, tha Elec I - V Z-?` Insoecio., nereev certify that the above Fnal P DIdte ?nspection hes baen meAe. n L? ay 'rhla reauest voitl 19 months imm This request void/?/?/?? 18 months fmm E 2,78_8_.8 F791.vZ- Street A dress, Box or Route No. 3 O I44VI`I I+d'U 1) K. Gry ectwn o. Township Name or No. Fange No. Count y ? a '/ -?•e J.? `?' 1 1?"'?' ! l/7 OccuOant (PRINT) Phone No. S O/l?. C D- Sj' Power $upplier Atldress ' ' / ?? ? A?-or A ? ? e m? •e 6 r ?•9? Electn`?Contraclor (Campany Ndmel Cnn'raciqr s Lmonse No. l?„ ., w?ae '_?P?.?-?r; ? r?-S os o MailinB Ad ess (CoMractor or Owner Makmg Installation) 8 8l (Scaf Pa.v I, E__a? Authon eA S,grtature ICo ractor/Owner Making Installation) Phune Number 4rZ-41?f 7 MINNESOTA STATE 60APU OF ELECTNICITV THIS INSPECTION REQUEST WILL NOT Grig9s-Midwey Bldg. - Boom N.197 BE ACGEPTED BY THE STATE BOANO I821 Universitv Ave.. 5t. Gaul, MN 55104 UNLESS PFOPEN INSPECTION FEE IS ENCLOSED. pF??e19,,, .a,-..n `?Licensed Electncal Contractor I hereby mquest ine0echon of above ? Owner elecvicel work installed at ? CITY USE ONLY L? BL d RECEIPT#. So?(pQ? SUBD.C?'G, RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . singie family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES FAM N4. TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = o Water'Heater 3.00 x = 1 Floor Drain 3.00 x = Gas Piping Outlet ' minimum - t • 3.00 x = Rough Openings 1.50 x = WatBf SOftBnef ' for dwellings under consVudlon 5.00 x = Water Sottener ` tor existing dwelling ? 20.00 X = U.G. Sprinkler ' for dwentng under const. 3.00 = U.G. Sprinkler ' for existing tlwellirg 20.00 = Alterations ' to exlsHng residence 20.00 = Water Tum Around 20.00 = Private Disposai System • Dak Cry iic. 75.00 = (new antl refurblsM1ed syxtems) Private DiSposal Systems • AbarMonmeM 20.00 = STATE SURCHARGE TOTAL .50 ?• ??.; ; 1 hereby adcnowletlge that I have read this eppllcadon, stale of Eagan ordfnances. k is the? damageseausedbytheCityc PETERSON,GLEN City propertylright-of•way/e? 4340 HAMILTON DRNE EAGAN, MN 55123 SITE ADDRESS: (612) 687-0453 OWNER NAME: INSTALLER NAME: STREETADDRESS: 17H1v-I cirr: NIPLSI rmd, and agree to eompy with sll epplieable Clly hat the City of Eegen assumes no Ifabilfty for any to the hedfts constnKted under this permG wRhin TELEPHONE #: 67,74033 ? , ; =_ ??(Il?'N , , --trJ r /?G, RESIDENTIAL BiTILDING .5 ?? `t? ? Permit Application oo c f C5_2 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Conshudion Reauiremen4s RemodeVReepaair Reauirements Otfice Use Onlv 3 regisfered site surveys showing sq. ft of bt sq. R of house, and all roofed areas 2 rnpies of pWn ' Cert of Survey Recd (20%a maximum lot coverage allowed) 1 sel of Energy Calculatlons for heated addlUons _ Trce Pres PWn Racd 2 copies oi plan showing beam & window sizes; poured found design, etc 1 site survey for additions & decks _ 7ree Pres Not Reqd 1 set of Energy Calculations Add'NOn - indicete if onaife septic system _ On-sde Septic System 3 copies ot Tree Preserva6on Plan if lot platted after ll1153 Rim Joist Oefail Options selection sheel (bldgs with 3 or less uniGs Date D? 9_ /-a 6- /-0-a -?-- Construction Cost i k7,C?J Site Address? g y? ?1 r? 4 /p , ? I6 &}-1:)k i y' Q, UniUSte # Description of Work I fJ d , V Multi-Family Bldg _ yj/ N Fireplace(s) _ 0_ 1 _ 2 Property OwnerTelephone # (??) (Z' -7 ? DyS .3 Contractor 1679 University Ave aadress t• aU , 55104 ?ity State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residen8al VentitaUon Catagory 1 worksneet • New Energy Code Worksheet (J submission type) Submittetl Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( ) Telephone #( "' accurate; I hereby apply for a Residential Building Permit and acknowledge that the infok'm?,tion 't?s ?oj that the work will be in conformance with the ordinances and codes of the ?ity g??agan te of MN Statutes; I understand this is not a permit, but only an application for a permitp?and work is without a that the work will be in accordance with the appmved plan in the case o??ork wh* eview and permit; approval of plans. -7 4tr ?plicant's Printed Na11e v cc y A- rv d?f' S o+J A ic' a?ture UFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool_ ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 OS 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Remof ? 46 WindowslDOOrs ? 34 Replacement 'DeMOlition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ` Footings (new bldg) _ FinaUC.O. ? Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Dxain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ F'ueplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement) _ Insulahon _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION Ll ?-ya? ?.- ?? tirr oF Eacau 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4875 New ConeVUCtlon Reaulrememe Namoaeuxepeu xeamremema • 3 registered sBe surveys shawing sq. fl. of bt, sq. tt. of housa; and all roofed arees • 2 cnpies of plan (20°/< maximum bl coverage albwed) . 1 set ot Energy Cakuhatlons br healetl addkions . 2 coples of plan showing beam 8 windax sizes; poured founC design, etc.) • 1 sBe survey for exlerbr a00dions 8 decks ?y ?S- • 1 set of Energy Cakuleffiais • Indicate'rf home served by septic syslem lor atl0itions ? • 3 copies of Tree Preservafron Plan if Wt platled after 717i93 . Rlm,bisl Detail Options selec[lon sheet (bWgs wilh 3 or less unMS) s-/ 3'0 Z VALUATION 3f g°O ? DATE SITE ADDRESS qj 40 MULTI-FAMILY BLDG _ Y _& NPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT R?'k C?? ?GT oCi STREET ADDRESS ?'?O w?, - 6,14100, CITY STATE _"tqIP TELEPHONE # Ys2 - 707 /2'r& LL PHONE # 0'12 FAX fi %S z` 7d -7 PROPERTY OWNER TELEPHONE #i 6 87- ----------------------------------------------------------°---------------------------°------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS OIdLY Energy Code Category _ MINNES01'A RULES 7670 CA1'EGORY 1 MINNESO'1:A RULFS 7672 (4 aubmission type) • Reaidential Ventilation Category 1 Worksheet Submitled • New e y Code Worksheet Submitted • Energy Envelope Calculations Submittad Plumbfng Coniracfor: ___ Plumbing system includes: Mechanical Contracfor. Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Phone # U ? ?MAY 1 3 eag,? Fee: $30. Fee: $70.00 --------------------------------------------------- I hereby acknowledge that I have read ihis opplication, state that the information is correct, and agree to comply with all applicable State of Minnesota StaTUtes and City of Eagan Or e?s. SlgnalureofApplican?`!? --°-------°----------°-------°--------------------?. _...r._ ?..._. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ? Updated 4102 _ Water Softener ? _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of RI. Batk OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ plex ? 09 07-plex O 17 Garege 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mulli ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous ? 31 New O 35 Int Improvement O 38 Demolish (Interror) ? 44 Siding O 32 Addi[ion ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolkion (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTtONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) Final/No C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finai _ Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Pertnit License Search Copies Other Building Inspector Total Cities Di gital Quality 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. U • :;: `_?!U•U.j + ?. ;> . J U -,- ? 2a!'UU ? ,l' . ii)* ?nF ?IU•U'.) * U Ij + ?•JU+ I ? ?1 ? ?' ' •? i + :? ? ?,'1 -: • ? i i; . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLING3 I 544% INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MOLTIPLE DWEI,LINGS RENTAL UNITS FOR SALE IINITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATZONS COf41ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ? ? !Y SF.DGst P., : .. To Be Used For: 1 famlv Xtad-jed Valuation: Date: 7-18,gg Site Address AW n.-;,,, Lot 4_ Bloek ? Parcel/Sub iarirgr„ q.,;,,i.A ,cnoyva A+-h_ Owner Sa-0 Ca-ot,m, - -?----lddress 13ll St.?a ffi?x3. ? City/Zip Code Fagn N1n- 55123 ? ?? ' O si s ewage_ Oceupancy R 3 M-1 MWCC system _?/ Zoning ? On site well Actual Const V-N City water Allowable v-N PRV required _ Ik of stories Booster Pump _ Length 5 = " Depth S.F. Total Footprint S.F. Phone 452-5355 Contractor Sans anst• OD• Address 1311 St•An:1w ffi.d- City/Zip Code EbgE1 M'i• 55123 Phone 452-5355 Areh./Engr. Brian Amtin3 (&aft41A1') Address 1311 St•A'Elw Blvd- City/Zip Code Eaga't. Nn. 55123 Phone # 95215355 9PPROVALS FEES Engr/Assess Permit 5/0,00 Planner Surcharge 20 Couneil Plan Review Bldg. O£f. Variance SAC, City SAC, MWCC fon, 0 5s0,60 Water Conn ` 6L1 Water Meter 67T Road Unit 32S,oo Treatment P1 7 cAj.no Parks Copies TOTAL 2,Ln.00 AVA?u}?t?o ? G ! ? IR A -G-c- 3ox Z2?;: (,O(so c+2) ?48 x?yw 90?2 Bsm-r 3ok2?= ??St? SG K13 L q 828 IsT FLnOTe, ----?_... h't • I I _ f'.? • - _i 4 z"lx Z? -= r754 ??'?2 X ly = 2- 99 i oz5 x 4q ? 5az2? z N D ?L oop, z 8 >c2'7 = `7?.6 z X <y = z- y z9SY yi= ?y45s 8 35Yo EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION` " C • Our![R: WIL_4_IAM A r/-EB2A 1PSEo i` TE ADDRESS: 4346 IaGtMI1?T01.1 1221yE FAC44 Mtj J5123 tONTRALTO 1. TOTAI 2. TOTAL 3• TOTAL a) Total wall wlndow area: glazed,,,,,, 232,0 sq ft x"U" ,50 '- glazed,,,,,, - sq ft x"U" - e ^ b) Total door area ,,,,,,,,, 210 ,2,5 sq ft x"U" ?}Lo ? , G•3 c) Total slidtng glass door area: . - qtezed.:.,:. .40 , 7S hq' f.t x-f,u" `.? - 9:lazed....... - sq, ft xy.???l!f_ d) Tota?i f;l,riep,l;aae ;waal?l, a?ea. ' ; ? ? ? ? ? T" • .. - e1 To,t_ail, waV111, fna tefn,War[ea-' ? .?? ? ` ? ? "??''? M "?`.,:,, . -: # sq f't x ''U?'' - f) Total nsEt=-wa?l?l area above ? s .,.q : , , ?' oor°- (4,nsuitated)..?. +?;;?_s''?`' ; ^ ? ^r= ' ) ota) rim Joist area...... . . , . 22? q t - =?= s ? - i? ,.. ... _k -.:? , .,.. .. .. . . x"u" , . Total foundation area (Exposed).......... I I 7 sq ft h) Total foundatton ' wtndow area ............. - sq ft x"U" t) Total net foundation area above grade........ 11 '7 sq ft x"U" . 07 ? g. Z y' TOTAL a) thru I) ? 2.Ofj•i0 ? If ftem N3 is the same as, or le ss than item P1, you have met the Intent of 2;ICAR 1.16008 A and 0. Page 1 R . , . ,?t.. y . • , . _ h. TOTAL €%JCEi?i1?????z? ?. 3?T?o???? . :? ... _.r. ....A.Y.W..?w3n.? ? t. se,d Tetal exQP , "i'y,l r . ?. k) Total roof/celllnq framing area (Averaqe lnq)...... sq ft x"U" •OZ ? 2=?}-2... 1) Total net insulated roof/cel l tnq area...... (Ob9 sq ft x"U" . OZ TOTAL ,1,) thru 1) 24.Z If eotal of db is the same as, or less than N2, you have met the intent of 2 MCAIt 1.16008,A-and 0. , _. . , ., . - . , „ . ,k ; . . ALETE?RNATE BUdiLDUNG EN?Y,E?LORE•-QE?StiJ6M1.r To utilize the total envelope system method,, the va,liues es1a-011;s.hed by the sum of items M3 and #4 shal,) not,be greater than the,sum of iltems ,N+I and #2. 1, L-CG[L ,& 4 Z. 51.4 3. ?-, Olb•1D + k. 2412. ° L 2, 3 C E R T 1 F I C A T 1 0 N 1 hereby certify that I have calculated the "U" factors and "R" values herein and that the bufl.d.inq heca described meeCS or exceeds the State of Hinnesota Eneray Conservation Act. S gnaCure'' •7- (Date)). Page 2 ., . .,...':?? ? .,.. . ,.. A NSTRUCTION AMING SECTION: wALL SECTION (INSULATED) ? I? FOUNDATION INSULATION REQUIRED: Min. R-5 on entire wall OR Min. R-10 down to frost d'epth TOTAL R = •? .0" u - i/e - a4 r `v 1*1 3 4 5 A p "'A A. e: . . •. . , •,s 0• 4 ' • 4 a A ',A;,' U - 1/R - .tj-( SLAR ON GRADE ?-"4 ,a.;,4-, . , - C ,4,•ti4 .. . ,A. R YALUE -{1 Intertor alr fllm f1.6R -A12 D2 YYJAU. 145 -{3 _1nlS??A -T?rr.l 20.00 -0 ?•1???'+ iinlC? •?.Gr.: --{5 --{6 Exterior air fllm • 0. ) RIM JOIST SECTION: -{1 lnterfor FOUNDATION SECTION: U - 1/R - -04 -?1 Interlor alr fllm 11.66 -42 _ I?:•:i43: A.1' ?(;n; 12.4s --(3 l.Lcs -14 Exterfor a r ilm 0. 7 (5 (F TOTAL R a ;.?., q? ?. . u p w; *-H , ? . A, -r i; Heated Slabs: Minimum R = 8.5 10 As ' &A? Unheated Slabs: ?• '? . ; Minimum R - 6.2 C. .q • q`• • ,•,`, . . -,-?; ° ; •4 •,, u.,.,4 . ? 4= ' ' Q,•,,.?? " ;.? ¢ '1 v .• • d',. . • •..a ? • . , ,. . . •• ? + ? " 4. . 4 ' . ? ' ; q? ?I , .' •? ? ? ' [t ,:a. „ a :? •.. 4. : ? ? • • A , , • :d•. ' . ' 4' ; '? ? ;. Page 3 u - ,/R - io F AIR FLOW CONSTRUCTION R VALUC• CEILINfi SECTION (INSULATED): I Interlor air fTlm ?.F1 AIR 2 ' Yw+AU, ' .510 CHUTE y Exterlor alr film stlll n.Fl TOTAL R ..,V'm, '1f?R'?'• , _? CEI.LING FRAM6NG SECTI,ON: 1 Interloc aitir flillm 0.61 5 0 ? ' U- i/Ra .02 G VENTED ,,,. .. ?,.. .;; H CEILING SEf,TION (INSULATED): 1' Interfor alr film 0.61 2 3 4 Fxterlor a r itm still 0. 1 TOTAL R - _ U- 1/R- CEILINr, FRANINf SECTION: 1. Interior atr film 0.61 2 3 4 Exterior air Im still o. I S Inches so t wood TOTAL R ? ?,.. t- .?a, . ? r . . ? . .. .r,??_?- ? •??:. • - • ». . , . , ?. .. . ? . , '?,. ?-? . ,., , . . . . .. e. ,_?_, . a?.: ?• _ ? ? . ?`?"?° ? 5 m U - 1/R - Page 4 GUIDELINE TO (R) FACTORS FROM ASHRAE MANUAL OF TYPICALLY USED PRODUCTS - = AIR FILMS (R) SHEATHIN6 ? Interior Air Film (Walls) 0.68 3/4" Wood Subfloor or Sheathing 0.94 Erterior Air Film (Walls) 0.17 112" Plywood Sheathing 0.62 Interior Air Film (Vented Ceiling) 0.61 1/2" Particie Board 0.66 Exterior Air Film (Vented Ceiling) 0.61 Gypsum or Plaster Board 3/8" 0.32 Interior Air Film (Non Vented) 0.61 Gypsum or Plaster Board 112" 0.45 Exterior Air Film (Non Vented) 0.11 Gypsum or Plaster Board 5/8" 0.56 Plywood 3/8" 0.47 Plywood 1/2" 0.62 BLOWING WOOLS Plywood 3/4" 0.93 Sheathing, Reg. Density 1/2" 1.32 Fpprox. 3" 9•00 Sheathing, Re9. Density 25/32" 2.06 Npprox. 4 1/2" 13.00 Nail-Base Sheathin9 1/2" 1•14 Approx. 6 1/4" 19.00 Approx. 7 1/4" 24.00 Approx. 14" 30.00 ROOFS Approx. 18" 40.00 guilt-up Roofs 0.33 A11 other insulation materials must Asbestos-Cement Shingles 0•21 be verified (R Factor) Asphalt Roll Roofing 0.13 Asphalt Shin9les 0.44 INSULATION Insulation: 2-2 3/4" Fiberglass 7.00 SIDING Insulation: 3 1/2" Fiberglass 11.00 Aluminum Siding 0.61 Insulation: 6" Fiberglass 19.00 Aluminum with Backer 1•$2 Insulation: 3 5/8" Fiberglass 13.00 Aluminum with Backer R Foiled 2.96 Insulation: 9" Fiberglass 30.00 112 x 8 Lap Siding (Wood) 0.81 Insulation: 12" Fiberglass 38.00 7/16 x 12 Hardboard Siding 0.67 Insulation: 8" Cellulose 29.00 Asbestos Sidings 1/4 Lapped 0.21 Insulation: 10" Cellulose 37.00 Stucco (Brown and Finish Coat) ---- Insulation: 12" Ce11u1ose 44.00 insulation: 1 1/2" Thermax 12.00 Insulation: 2" Thermax 16.00 DOORS .(U) 1 3/4" Solid Core Door .46 :400DS w/Storm, Wood .31 Pine & Simi'lar'Soft Woods° Fir ^ w/StormhtMeta+l? .26, , 1 1/2" 1.89 Pease Steel Door Insl/N/GL 7.45R .13 2 1/2" 3.12 Sliding Glass Door, Wood .65 3 112" 4.35 Metal .72 5 1/2" 6.81 CONCRETE BLOCK WINDOWS 8" Concrete Block (5 & G Reg.) 1,11 A11 Windows (w/Storms 1" to 4" Space) .56 (Filled with Vermiculite) 1,93 Removal Double Glazing (RDG) .55 12" Concrete Block (S & G Reg.) 1,28 Thermo or Welded 3/16" Air Space .69 (Filled with Vermiculite) 3.15 1/4" Air Space .65 8" Light Weight 2•18 1/2" Air 5pace .58 (Filled with Vermiculite) 5.03 (Other windows specifically teste d 12" Light Weight 2•48 can use better ratings) (Filled with Vermiculite) 5.82 Page 5 APFLiCATION FOR PERMIT - ? SEWER AND/OR WATER CONNECTION OF eC1gC9n 1) PROPERTY ADDRFSS: 7 FY;AT DESCRIPTION; or O IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMLT ISSUANCE: Mont Year PRESEDPI` ZONING/PROPOSID LSE: Q COMN1EFtC2AL/RETAIL/OFFICE Q INDL?STRIAL Q INSTITUTIONAL/GO`7ERNN]ENT 2) ' "''10 NAME: ADDRESS: I?R-1 SINGLE FAMILY ? R-2 DDPLEX (Ttvo L'nits) Q R-3 TOWNHOLSE (Three + Units) ( Units) Q R-4 APARTMENT/COAIDOMINIUM ( Onits) CITY, STATE, ZIP: (9 Yo vE± PxorE: Lno4? --- ,..... „ ? NOTE: PA3MENP OF FEE AT TIME OF ? ? •y APPLICATION DOFS N01' CON- t ? STiNIE APPRCJAL OF PER6IIT. ? ? i INSPECfION OF 56FIIgt APD/OR 4UA7IIt : ? INSPALIATIONS WILi. N(r BE °rF7xn.cn t t lTll'IL PIItPIIT FIAS B@1 APPROVm. a*. a++++?tWt+i??xfyfteer?ftt+i»tww++f?M+ S'S-D 7f-- 3) ? :?• tvAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTII2 LICENSE # NAME: ADDRESS: CITY, STATE, ZIP: PxoNE: S3ss? Ptwnbers 1.icense: I? Active Expired Not recordeC St Initla 5) s . d ?• • oo . i?? CRCONNECTION TO CITY SEWIIt E?R CONNECTION TO CITY WATEF2 O QTM 6) e -dqy, ***?***+*??**?«***?*:r**+*******,M,(?****,r+*******:*****«****************?**??*:r**.*****:?*****?*?****? * * THE GOID COPY OF THE PERMIT WILL BE SEDTr DIRDCiZ.Y TO PLBLIC WORKS TO FACILITATE MEIER PICK-LIP. x * PLEASE AISAW 'IWO WORKIM DAYS FOR PROCFSSING. SOMEONE FROP4 TfiE CITY WILL CONfACP YOD IF TI-IERE * ? * ARE ANY PROBU21S. . + ?*****?**?***?*?+*****,r*+?+*++*?****?***+****?:?+*************,+**********?***#+??**,r+*?************; FOR CITY USE ONLY PERMIT # ISSL?ED Pd w/Bldg. Permit FEES: $ $ /D - 6-z) $ $ A) ',$-D SEWER PERMIT (INCLIIDE SURCHARGE) WATER PERMIT (INCLLDE SORCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCL['DE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $_ $ WAC $ ?P s--,g `CJ 1? $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S 7/'0--O TOTAL k1?6 ?-k RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PDBLIC Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING [VO DIVISION. LIST AS A CONDITZON. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY; TITLE: DATE : ?? 8&124. TRI-LAND C0. SITE PLAN FOR: SURVEYING SERVICES SONS CONSTRUCTION 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 ESCR f PT?@ , 3 ;-?EXINGT6N-POIIY [ ?LTI , ACCORDING TO THE RECORDED PL'AT THEREOF nAKnTA COUNTY,MINNESOTA ? ". () J 1(98642) N 84004'10" yy Zs , ?? (982"9) ? 10 Q, / ? ? • o e ? N 4 ? ? M / ?9ask 3j Q , v .? 5 0 ? I 2 ? ?3r °?0 3 6/0 \ N 4 205•"? \ o i 0 h ? ,SQ DO\ ? M Us . 3 ,9e s . % Lp ? ` l SCALE:I"=30' !1 ? ?, M1? ?'' `?O \ ?8 LEGEND o DENOTE$ IRON MONUMENT INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= 98840 * DENOTES WOOD HUB S E T sao'o DENOTES EXISTING SPOT PROPOSED FIRST FLOOR ELEVATION = PROPOSED BASEMENT FLOOR = 9e090 ELE VATION (eeo'o) DENOTES PROPOSED SPOT ELE VATI ON ELEVATION ? DENOTES DF2AINAGE DIRECT ION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS 1 hereby certify fhat this survey,plan or /report wcs proporod by me or under my diract suparvision and thaT I am a duly Bradley J. S?renson, Mn. Roq. No. 15235 Reqistered Land Surveyor under fhs Laws of tha State of Minnesota. Oote : For Office Use f City of Eap I Permit ~0 1 I I Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 i Staff: 1 - - - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -T ! Site Address: Tentint: Suite RESIDENT / OWNER Name:._ Phone: _7 Address /City /Zip: Applicant is: Owner ontractor T'Y'PE OF WORK Description of work: . Construction Cost: Multi-Family Building: (Yes -/No ) CONTRACTOR Name: (20 License Address: _q9 0' C 111=1 City: CIQ State: ip:~ o~ Phone: C?7 ° Contact Person: PIN r\-e- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('V submission type) Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? __Y'es _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 he classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 a work will be in a'ccord'ance with the approved plan in the case of work which requires a review and approval of plans. 'I X d17, Q_ Applicant's Printed Name r A ant's Signature Page 1 of 3 01/06/2010 WED 8:52 FAX 6514378831 [{7.]002/002 ' I`------------ r For.?Offtce Use I ~ Permit City of Ea aIl t S € Permit Fee: ~ 830 Pilot Knob Road i I Eagan MN 55122 t I € Date Received: I Phone: (651) 675-5675 € Fax: (651) 675-5694 Staff: 2009 2009 MECHANICAL PERM OT TION Date Site Address: ~ "(t ~Lm ( r Tenant• Suite RESIDENT / OWNER Name: ` Phone: Address I City ! Zip:, f Aiy\ Name: N•r1c~~ «en.0 CONTRACTOR / um6; cnsS ~-/rr✓1-Ti,,,/,- license'Vc~#: Address: /JJ e v L-LLU J S7 City: I ~7iN9S State:A U _Zip:.r36`:53 Phone: ~S! ~f `7 111-7-7 Contact Person: ✓L/~ ~/C? y1(~j TYPE OF WORK New Rep€ cement Additional A terat€on Demolition Description of work: LQ ° IV4T `Bo'th rpomor ed ar:d urrd iioc~nted rneclanr~al:equrr3~nifs requited tt~ e screenel 6y Crty Gv_de P ".ase.conta>rt ffte IiAeciar~rcal lnspeetor, or.`nne 6- iie < I?lannrs fc~r.,rrtarrnatrorr,on ermrtfed_. screernrr rrteto.,s 7 RESIDENTIAL COMMERCIAL PERMIT TYPE AL X "Furnace New Construction Interior Improvement Air Conditioner Install Piping - Processed Air Exchanger - Gas Exterior HVAC Unit Heat Pump - finder / Above ground Tank Install / _ Remove) - When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $56.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TU t AL FED COMMERCIAL FEES: $70.50 Underground tank irrstailation/removal OR Contract Value $ X11% $50.50 Mir_ imunq (includes State Surcharge) - if Permit Fee is less than $1,000, surcharge is $.50. ° $ Permit Fee - If Permit Fee is > $1,000, surcharge increases by $.50 for each v $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1,00 surcharge). $ TOTAL FEE l hereby acknowledge that this information is complete and accurate; that the work will be in confor ante with the ordinances and ~d,s of the City of Eagan; that I understand this is not a permit, but my an ap i ation for a permit, and work is not to start wit permit; that the work will bd' accardan with the approved p'an in the case of work which re a review nd approval of plans- ; x _ x Appli a rinte Name App ica s Signature cO30 FI €C 'I` =USE ; Reviewed By Date _ r,ecjuired inspections: Und.ar ur~unU Forfgt jn a Tr:st Gas Benito Test €n-floor Neat ";Final " 999 E ter a_ HOP ~Gre nrng insertion PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA096349 Date Issued: 10/07/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4340 Hamilton Dr Lot: 4 Block: 3 Addition: Lexington Pointe 2nd PID:10-45071-040-03 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Glen J Peterson 3670 Dodd Rd., =100 4340 Hamilton Dr Eagan NIN 55123 Eagan MN 55123 (651) 365-1340 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA104553 Date Issued: 05/29/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4340 Hamilton Dr Lot: 4 Block: 3 Addition: Lexington Pointe 2nd PID: 10-45071-03-040 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Window Concepts NIN Glen J Peterson 990 Lone Oak Rd =114 4340 Hamilton Dr Eagan NIN 55121 Eagan NIN 55123 (651)905-010 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature