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4100 Havenhill CirC) CAShI REC61pT CITY; QF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ? AMOUNT 8 OOLLARS 'OD ? CASH *CHECK 8Y C 4743 ?^n??„ Pir*-Fde copy Thank You SEWER & WATER PERMIT CITY OF EAGAN ` 3830 Pilot Knob Rd. Eagan, MN 55122-1897 METER # CHIP # METEA SfZE ISSUE DATE OFFICE USE ONLY PERMIT DATE i l/22f 89 WATER PERMIT f 11113 , Cx74? B.P. RECEIPT # B.P. RECEIPT DATE _ PRV - BOOSTER PUMP SITE ADDRESS { ' _«..` •°,__t_ ?r?- ?tz, PERMIT REGIUESTED LOT BLOCK SEClSUB -`( :- ? r APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: CITY, STAI'P_ j ' - ZIP ` PHONE: A'-SEWER _k?_WATER _ TAPS - COMM/IND ? RESIDENTIAL -,d- fVEW - EXISTIAlG I AGREE TO COMPLY WITN CITY OF EAGAN ORDINANCES: OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHON E: PIEASE ALLOW TWO WORKING DAYS FOR PROCE5SING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT 1S PROCESSED. SEWER & WATER PERMIT CtTY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 FFICE USE ONLY METER# I q I ? A(fl ? PERMITDATE 11/22/8 CHIP #WATER PERMIT # 11113 METER SIZE S omi B.P. RECEIPT # ISSUE DATE o1 129 0 B.P. RECEIPT DATE _ PRV - BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT ._'.: BLOCK-1 SEC/SUB,-?,??? ? SEWER ? WATER - TAPS APPLICANT: i: ?= ttr -;? i?r•_t? c.:? . ADDRESS: ?? t ? • !'i r?F'. L ;?--? - COMM/IND Aff,_ RESIDENTIAL CITY,-STATE ??.t u ?-?? , ??`•. `?= ZIP L ?]?-qc PHONE: NEW - EXISTING PLUiOBER: ADDRESS: Uflr- C--KJP_ I AGREE TO COMPLY WITH CITY OF CITY, STATE x?- ALL- ,L1'• F'J . Zip EAGAN ORDINANCES: PHONE: -- ` ?Iz- OWNER: _n",C_-- < r_ :?? •+L,c.? r. f? C_'c?. ADDRESS:_ CITY, STATE PHONE: - ZIP PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SE1dIER PERMITS, CONTACT ENGINEERtNG DEPT. APPLICANT AND PLIJMBER W14L BE NOTIFIED WHEN PERMIT IS PROCESSED. '? . PERMIT # . ` MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ' . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: rA , PHONE: 454-8100 For Office Use Only: Site Address ' BLDG. TYPE WORK DESCRIPTION Lot • 1 Block Sec/Sub New Res . Mulc Add-on ? °-' Name • - Comm. Repair c Address - " City Phone Other •; ' -r Name FEES RES. HVAC 0-100 M BTU -$24.00 ? Address ADOITIONAL 50 M BTU - 6.00 O Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 50 EA , MINIMUM - 1 PER PERMIT) - 1 GAS OUTLETS TYPE OF WORK . . - ( COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES : TOWNHOUSE 8 CONDOS - RES. FiATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON. & Unit Heater M BTU REMODELS - 12.00 Air Cond. ?M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1 00) Other FEE: SIGNATURE OF PERMITTEE ; S/C: TOTAL• FOR: CITY OF EAGAN ?' ? ?. ? n" ?Hl?' .k?'' ??,?il,t , ;?r. •?t-1?: , , . •? PWMBING PERMIT Fnr flffira 11_¢e Anlv ' CITY OF EAGAN PERMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT PRICE PHONE 454-8100 DATE: _ Site Address o V a./ e? 'It C. Qc?%e BLDG. TVE V ess V?u CRc?r L? ordA- phone ?IAddress ?a?? ? ?,,,,, ,?,? ? City r. 141 Phone 5??-u3?,t FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - GOMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $,50,,S/C PER EACH $1,000 OF PERMIT FEE) Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES ? JOTAL ? Wafer Closet - $3.00 ,? Bath Tubs - $3.00 $ -?- -4 Lavatory - $3A0 Shower - $3.00 ?- Kitchen Sink - $3.00 ?- UrinaUBidet - $3.00 i_ Laundry Tray - $3.00 Floor Drains - $1.50 -? Water Heater - $1.50 -? Whiripool - $3.00 ?- Gas Piping Outiets - $1.50 ' (MINIMUM -1 PER PERMIT) Sohener - $5.00 weu - $10.00 Private Disp. - $10.00 ?- Rough Openings - $1.50 PERMIT FEE: STATES S/C: '' GRAMD TOTAL: ti 5- 5 .y . 4 ? 7 (Strfifirate of (Arrupanry titp of (tagan Op}iarbritPttY Af iltntltg jlBpPtfiDtt This Certifccate issued pursuant 1o the requiremenls of Section 306 of rhe Unifon?t Building Code cerlifyrng lhat at the lime of issuance t/tis structure was in compliance with the various ordinances of the Crty regulating buildrng constrecclion or use. For the following: U. c,.?.&.Iio4 _ SF AJG/GAR 81ft. Ptrff,;, ro. 17322 o-a„Y Tnx R3/111 Zoning Mu;a PD/Rl rra c? VN oW. or e?aaing IIM RTTIIM 00. Ad&. 5201 E. RM RD. , FRIftEY s.ai- are? 4100 AAVENiII.L G.le. 1.262 B7, MII1S OF SIaCRUIM , MdIAiZY ?A, 1990 , au? oer ". ? POST IN A CONSPICUOUS PLACE , ? --1--.. CITY OF EAGAN ' iQ 17322 w 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 PHONE: 454-8100 ? BlJILDING PERMIT Receipt # e-- To be used for SF I?WG/CAE Est. Value $131,000 Date NOV 20 ,191-9-- Site Address 4100 lU1VENklILL CIB Lot -? Block 7 SeciSub. ?iI1.LS OT OFFICE U SE ONLY Parcel No. STOtlEnRIDGE pccupancy R-3 M-1 FE FS pD R-1 Zoning ¢ Name ? ROWZUNb CO (ACtual)Const y?N Bldg. Permit 7?•? W ; Address 5201 E RYVE[t RD (Allowable) V?'1 6S SO p Surcharge • City FRIflLEY Phone 571-0306 a of slories 36' Plan Review 374•04 Length p Name SAME DePih 501 City SAC 100.00 Z . O Q AddreSS S.F. Total - 575 00 U m SAC, MCWCC • City Phone S.F. Footprints - Water Conn s?.? On Site Sewage _ ? ,u W Name On Site Well - Water Meter 90•00 ?? AddfBSS MWCC System ? ? ? JCX Acct. oeposit . a W Cit Phone y ciry water NV P i 20 00 PRV Required erm t S • I hereby acknowlege that I have read ihis application and state that the Booster Pump - SrW Surcharge 1•? information is correct and agr e to comply with all applicable State of Minnesota Statutes and City of ?agan Ordinances •? , ? ? Treatment PI 228 • 00 ?}.) 1 ! '? 1 I ?? 'I ? Signature of Permitee - J? .? APPROVALS Road Unit 3(0? • A Building Permit is issued to: THE pfyTLmm CO Planner - park Ded. on the express condition that all work shall be done in accordance with all council -- applicable State ot Minnesota Statutes and City of Eagan Ordinances. gld9, pff. _ Copies BUIIQIng OffFCIal - Variance - TOTAL 3,1 s i.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC `JV Inspectlon Date Insp. Comments footings I l ' 1,) FOUndation ? Framing ?- _ Roofing Rough Plbg. Rough Htg. Isul. Freplace Fnal Htg. z' q- Q Fnal Plbg. Const. NFeter Plbg. InSpector - Notify Plumber Engr./Plan Bldg. Final ? Deck Ftg. Deck Final Well Pr. Disp. '- CITY OF EAGAN , ?. _A ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1?`? `t ? PHONE: 454-8100 f BUILDING PERMITJ • Receipt # Site Address ? Lot 12 6_ Block _I Sec/Sub. K; LLS Cls OFFICE USE ONLY Parcel No. STONEE?IDGE Occupancy - FEES Zoning _ g Name CTRVE A IkF'1'it HIMp(rR12 (Actuat) Const _ Bldg. Permit ? S-?'? ? Address ilM NAVZMii_I_ [`To (AlbWab18) City ?rAU Phone bal-at ?7 # ol Stones - Surchar -? _ 9e Pl R i Lenglh an ev ew _ Name SAME Depih _ SAC, City Address S.F. Total - SAC, MCWCC Clh/ PhOfl@ S.F. Footprints - ? On Si1e Sewage Water Conn t= Name On Site Weil - Water Meler ?- Address MWCC System _ 5w City Phone citiwaier _ ?. ??'t PRV Required _ S!W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - infortnation is correct and agree lo comply with all applicable State of SNV Surcharge Minnesota Statutes and Gity of Eagan rdinances. O Treatment PI ? Signature of Permitee L , ! - _v? APPROVALS Road Unit ? A Building Permit is issued to: STEVE OIC i&LZ'H liOpppp!3s wa^^er - PaAc Ded. on the express condition that ail work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pN, _ Copies Building Otficial ? Vanance ? - TOTAL 25.50 ? Permn No. rermn ?+oide. Date Telephone 8 WATER SEWER PLUMBING H.VA.C. ? ELECTRIC InspscNon Date tnsp. Commenis Footings I Foundation Framing Rooling Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notily Plumber Const. Meter Engr./Plan Bldg. Final Dedc Flg. Dedc Final 30 Well Pr. Disp. 11/22/89 DATE: 4100 HAVENli1LL CIRCLB, L26, B7, HZLLS OF STONEBRIDGS RE: xx ---? Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: • } ?i '. YoOf Sewer & Water Permit for the above property has been completed, but ihe meter cannot trVzsued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTII.ITiES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 11/22/89 AL RE. 4100 HAVEhHil. 6, B7, H1LLS OF STdNEBRIDGE xx Your Sewer & Water Permit for the above propertyFias been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERIYIANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following s*' reasons: Yoer Sewer & Water Perrnit for the above property has been completed, but the meter cannot "SUed or occupancy allowed until further notlce. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. BUILDING PERMIT To be used for DSCK CITY OF EAGAN ND 19550 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-6100 0 t i 1 q 4R) Receipt # EsL Value Date AIIr 14 , 7991 _ t Site Address 4100 HAVENHILL CIR Lot 26 Block 7 Sec/Sub. HILLS OF Parcel No. STONEBRIDGE I,a? I Name STEVE & BETH HOEPPNER I ? Address 4100 HAVENHILL CIR City EAGAN Phone 681-9137 Name 'iulm Address City Phone Name _ Address Phone I hereby acknowlege lhat I have read ihis application and state [hat the inlormation is correct antl agree to coinply with all applicable State of Minnesota Statutes an ity o agan O dinanc . Siqnawre of Permi[ee A evilding Permit is issued to: STEVE OR ETH HOEPPNER on the express wndition that all work shall be done in accordance with all applicable State of Minnesota StaNtes and City ot Eagan Ordinances. Builtling Official OFFICE USE ONLY Occupancy - FEES Zoning _ (Acfuat) Cons[ _ Bidg. Permil 25.00 (Nlowable) - Suroharge .50 e of siones _ Lengih _ Plan Review Devtn - snc, aiy S.F. Total - SAC, MCWCC S.F. FootDrints - On Site Sewage _ Water Conn On Site well - water Melar MWCC System - Acct. Deposit Ciry Water _ PRV Required _ SPN Permil Boosler Pump - SNJ Surcharga Treatment PI APPROVALS Road Unit Planner - park Detl. Council BIdg.Off. _ Copies Variance - TOTAL 25.50 ? 71756 Request Date ' Fire No. gli-in nspection . equiredT ,,,?t O ReaGy Now pvrili Notify Inspectm - a ?.]'Oea ? No When ReatlyR I p licensed contractor ? owner hereby request inspection of above electncal work at: Job Address (Street, Box or RoNe No.) City 4 Na hi ( ? Gn Seqion No. Township Name or No. Ranqe No. Counry L...U Occupani (PRINT) Piqne No. ? 1.7171 PowerSUpplier AOdress Elecincal Coniraclw (COmpeny Name) ConGactor5 License Na. 3qneig-4 Mailing Atltlress (COntteclor or Owner Meking Ins isllatIOn) ` '_ ? r'1VC.., IVIi Mrl..a.J. I+'M 52A4. ANhotlxed Sgnalure (COniractor/Ownar Making Instella6on) Ptroire Number ^^ - -?,1? MINNESOTA STATE BOARU OF ELEC7i11CITY THIS INSPECTION FEQUEST WILL NOT Griggo-MiGray Bltlg. - Room 5113 BE ACCEPTEO BV THE STNTE BOARO 1821 UnNarsiry Ava, SL Pauy MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. 41 REQUEST FOR ELECTRICAL INSPECTION ? Sea insWNbns forcompleting this form on back ol yelbw copy. P 71756 X" Below Work Covered by This Request E8-00001-0] ew Atld Rep. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Lo? Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other(speciy) Convactor5 Remarks: Compute lnspectian Fee 8elow: # Other Fee # ServiceEntranceSize Fee !f Circui4S/Feetlers Fee Swimming Pool 0[0 200 Amps 0 to 700 Amps Trensformers A6ove 200 _ Amps Above 700 _ Amps Signs Inapectors Use Onry: - TOTAL Irrigation8oom5 7 ? Special Inspedion Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in _• ?e _ 36•fr9 certify that the above inspection has been made. Final a? ,. ?2:;" OFFlCE IISE ONLY This requesi witl 18 monihs trom . ' CITY OF EAGAN NO 17322 3830 Pilot Kr;ob Road, P.O. Box 21-199, Eagan, MN 55121 p 4-7/i-3 BUILDING PERMIT PHONE: 454-8100 Receipt # ?f- 6e used for SF DWG/GAR Esc Value $131,000 Site Address 4100 HAVENHILL CIR LoT 26 Block _7 SeGSub. HILLS OF Parcel No. STONEBRIDGE W IName THE ROTTLUND CO o Address 5201 E RIVER RD City FRIDLEY Phone 571-0304 o Name S? g¢ Address ? City Phone ?w Name 'R? Address aW City Phone I hereby acknowlege that I have read ihis application and state that Ihe information is correct and agr e to comply with all applica6la Siate of Minnesota Statutes antl City of agan Ord' ance SignaWre of Permilee C A Building Permit is issued to: 2!klR R9T'FLIJNP CO on the express condition iha[ all work shall be done in accordance with all applicable State of Minnesota Statutes and C{it?y ol?Eagan Ordinances. Building Oflicial jolv?pJ- + J! I?Lf OFFICE USE ONLY acupancy R-3 M-1 FEFs 2oning PD R=1 (AcluapConst V=N BIdg.Permil 748.00 (Allowable) V=N Surcharge 65.50 ; of Stories Lenglh 36' PlanReview 374.00 Deplh 50' SAC,City 100•00 S.F.Total - SAC,MCWCC 575.00 S.F. PoOtpnnis - On Site Sewage _ Water Conn 580.00 On Site well - water Meter 90.00 MWCC System .M Accl. Deposit 30.00 Ciy Water XX PRV Required _ SNJ Permit 90_ nn Boosler Pump - SiW Sumharge i_ nn Trealment PI 0 228.0 APPROVALS RoadUnit 340_00 Planner - Park Ded. Council BIdg.Off. _ Coples O Variance - TO7AL 3,151.5 ?? lU v 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Requirements RemodeVReoair Reauirements . Office Use Onlv 3 registered stte surveys showing sq, tt. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lot coverage allowed) 1 set of Energy Calculations for hea[ed additions Tree Pres Plan Recd _Y _N_ 2 copies of plan sMvring beam & window s¢es; poured found design, etc. i sRe survey for addNOns 6 decks Tree Pres Required _ Y_ N 1 set ol Energy Calculations Addifion - indicate if on-sde sepNc system Onsite SepUc Syslem _Y _ N 3 cropies of Tree Preservation Plan It lat platted after 711/93 Rim Joist DeNatl Options selecGon sheet (buildings wilh 3 or less units) Date 5 C) o/ G s Construction Cost ?c Ci 0g Site Address 910[ kQSyP"'?.W.'ll C i(C(--(_ UnidSte # Descriptioo ot Work Multi-Family Bldg _ Y _ N 1'?GwS C.J)??-e?crs?? Fireplace(s) _ 0 _ 1 _ 2 Property Owner COT?' ?( u..p in SQY1 Telep6aoe #((y$ i )LiQS - 40,95 Contractor Renewal By Andersen - 1920 County Rd. "C" West ndaress _ Roseville, MN 55113 State 651-264-4777 License # 20130983 City. Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) , Submitted Submitted . Energy Envelope Calculations Submiried Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee appiies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infotmation 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 f plans. p ? 6-co. c App icant's Printe Name Appl'cant's 5ignature I By-- OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 0 t of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 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 WindowslDoors ? 34 ReplaCement .'Demolitlon (Endre Bldg) - Give PCA handout W applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ••?.?s.s..•.i iuv t<.ov rna, toa 011 448D H?1'll511AL ?Y81YU13l4YtSlY . re al - ??. . . . fmat 2001 3836 PiIcrt Knob Rond EaM MN 5.5122 To qVhom 7t May Concxrn: r Eldor Jones to gwhodzed to ptzII bnildiug pennits for RenewAl by Andezsen Pleasc allow Prm'idc ttus Seivice for ns in 8agan, 'tAia entho[izatirm ts valid for any date bcyond 616101: unti[ aIGngvral by Andmun mmm= expraWY n°vokas ft in wiidng W the ary. I reqnest this? rizaSan be $eccpted'ap?i?ousl , as W no[ defaY . the pro?essi ?tg of our buildin y fuzthcr. Flcasc cari mc if thcac as+o nn m contact?d ai 763-502-4706. Y 9a?ona., I can Ixi . _ ,: Your immgdiate attcatton to this mntter is ??atm. ' . Sinociely> 4?4m R, Ita? stallarion Manager Ranowa] bY AIItlcrsen CorpotatioII C'r.: KArn_Fir{er7?nea ? ?K=-i??.?`•?4 .C?C ?os.?z 4;,? G - 7-?,?j . n ? . MY.n,.,,,ZOn, -- ;, ? j ; wtuu Received Time Jan. ]. 1:01PM ?? 1?? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. n Date 23 ! US Site Street Address 41 C)n +A?VCV)hl CIVI Unit# Prope?tyOwner ?CCA' S(veV1SUrl Telephone# ( (?`S?)4US GOSLj H.P. PIPEWORKS Contractor 3670 DODD ROAD Telephone #( ? EAGAN, 551Z3 BeG Address n City State Zip The Appiicant is: _ Owner _ Contractor _Other Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener ? Water Heater $ 15.00 1 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 y ?•5U Total $ I hereby apply for a Residential Plumbing 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 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 required to be reviewed and approved. V1y)1, i4e-u ApplicanYs rinted Name ? i Applicant's ignature` :".'';Y 2 6 2005 ? i ?- _-- - -- - RESIDENTIAL BUILDIIVG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements . 3 registered site surveys showing sq. 8. af lot, sq. ft. of house; and all roofed areas (20% mayumum lot coverage allowed) . 2 copies ot plan showing beam 6 window sizes; poured found desgn, etc.) . 7 set of Energy Calculations • 3 copies of Tree Preservation %an if lot platted after 711/93 . Rim Joist Detail Options selection sheel (bldgs vAth 3 or less units) DATE SITE ADDRESS `?T `CX?) TYPE OF WORK r11'?eheuuy I??onua? a ggflog, lluuT. APPUCANT 49 Sonih Owasso Blvd. STREET ADDRESS ? Linie canaaa, MN 55117 TELEPHONE#? Ctf???4'?s U( _(y(C' (4 FIREPLACE(S) _ 0 _ 1 _ 2 RemodeilRenalr RenuiremeMs • 2 copies of plan . 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions & decks • Indiwte if home served by sep6c system for additions C5d VALUATION419 MU4TI-FAMILYBLDG _Y _N CITY STATE_21P Q- PAX # \ Sc?? PROPERTYOWNER TE4EPHONE# S ?O?E)- 9 SV COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RUI1;S 7672 (J submission type) • Residential Ventllatfon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _____ Plumbing syslem includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Hea[ Recovery 5ystem I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of OFFICE USE 1, aS Fee: $90.00 ? 3 0 7?'(J2 ?i Fee: $71 # r . i r1u Phone # is correct 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 agree to comply Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06•plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors t] 34 Replacement "Uemolition (EnHre Bldg only) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco 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 Permit License Search Copies Other Total Building Inspector 1989 BG'ILAING FfiEMIT APPLICAfiION = CITY OF EAGAN SINGLE FAMILY DWELLING5 11311 -, MRY 0 $ 1989 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET DF ENERGY CALCULATIONS NOTE: ADDRFSSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MfJST DESIGN9TE TdHICH ADDRESS IS DFSIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT I3 I330ED. H[TLTIPLE DWELLINGS EENTAL pNITS FOR SALE UNITS # OF ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SUR4EY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONJMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS -lov 13 m To Be Used For: +?? ?`' Valuation: ? Date: l ? ?i r• Site Address 41C? 1-?AvFn?? i?: Lot ZCo Bloek '1 Parcel/Sub n?F Owner -a-k&-z Address SZOI 'F City/Zip Code Fy,pe Y !?1 j Phone 6gag?'* Contraotor '5V#'/C7 Address City/Zip Code (I Phone ft Arch./Engr. Address /I rl City/Zip Code (I Phone # /I 131 ? OOD? OFFICE QSl Oecupaney (Z3 M- 1 Zoning PD fZ-1 Actual Const V-N Allowable V-N # of stories Length 3 GDepth So' S.F. Total Footprint S.F. On site-sewage_ On site well MWCC System ? City water PRV required _ Booster Pump _ APPROVALS Planner _ Couneil Bldg. Off. 11/1"7 Varianee FEES Bldg. Permit r?q{j,0? Sureharge 65,5n Plan Review y,oa SAC, City 00100 SAC, MWCC "Ms' Water Conn 5s7,00 Water Meter oioo Aaet. Deposit 30,00 S/W Permit ?0,00 S/W Surcharge. I1oo Treatment Pl. adB, 00 Road Unit 3yp,Da Park Ded. Copies TQTAL S;t /? ? " NOTE: Sewer & Water Permit fees and accouat deposit fees will be ineluded ia the building permit fee. Procesaing time For serrer aad vater permits is two days onee a licensed plumber has applied for a permit ab City Hall. VALIA AT•l O N• , zz xzz? Li e4x 15=r12Gv ` '? "' C35?T 2?xae?- u k ly = lo??(a ?Iowh? - 8ym-}"' .- ?fs?( z-z,c??l 3oa 2 ?-2X7? f`f _?- I ?? yc1oC t 1 J Z.e? ea ..?-- 13d,23? ?? ** Pion * engin 4r4, ** I . LANbPI,qNNERS•LANflSf.A{'EAPCHITEC15 /-fAV CA10416L e°4 0 ? n/y 3G.33 Oxfvc W, ( r R = i ? N i2f • i t8•ii CPrt,ficate o? Su,veY ror: TNE IQOTTL UND CpMPANy f NORT41 S F,,f- ?:,L•3z'ts" ° 15.00 ? 1021I ., , ie`I a o ? d?t?•3 ?9 j----'- -------?- -, i ,o 04 ? ? -C O . ? , 01 S? C1$o ? 8 VILENGI NEEFS \ ? ¢=4 -91 3 1 / ?x 2,122 Fntcrprise Diive Mandota Ileights, MN 55120 (siz) 681-1914 ?? I ?N 1 1 O I -----------' `30.0? ?-3t,•3s_- 681.74 140.00 -- Wes+ r 900.0 DP.RptfS fX1W1'no flevafion E900•o Utnoles propoOd Elevat%on - --- - - Uenofes Oraina?e j Ul-ilrl Easemenf -?-- Uenotes Utr?ma e Flow rrows /dga. 3 \ ?i?? D PRUPUSED NUUSE ELEVATIONS -------------- Cnwesf Fleor• flevafion = 879,e Top or'8/acls Elevafion = aa?.s _ o penoles monumenf C?ivra4e Slo6 Elevafiot) _e3S(.•z _ BeQrin1s shown at•Q assumed LOT 26 , BLOCK 7?141LLS oF STO NEB0dGE DAKoTA COUNtY, MrNNESOTA SVBJECT 7U EllSEMENTS OF afCVRD I hnrMiY rcrtlly Ihat thix SurveY, plan or rePmt was pr.Pered bY Inc or under mv diier,r xupeivision and Ihat I aln cfulv floqislsred Land SnrveYnr under thrt Inws o( the Sfa1n ol Minnesota. Oared this day af.??LA.D. iga /l i ? ? / Scale = rincil : ?+? ---?? ? Pi1lIL. Pel rtnnen i n. su<irn i_S. I!?. w??. tn ?t?- -- I ? .. •? ., ? . _l-?:-r.ri'?.Esr?<p •_ EXTERIOR' h,ivl:LOPE AVERAGE "t3" CUi•IYUTATION OWNER T/ta , °''? -? X1'4r?•iiL' ?J? r3/i'Yl! SITE ADDRESS 1-0-T G(o S7&WEZ9#CSE ? •- --------?------- • CONTRACTOR d.A M' DATE PHONE 57I- .C)??C1 y Determine working square footage of each. 1. Total exposed wall area ..... 7- ?38& sq• ft. x •ll/ = 2. Total roof/ceiling area .... .//8D sq. ft. x s0267 _ ?.(o Total exposed wall area a6ove floor =21f 9 (a a. Total wall window area ............................. ? b. Total door area .................................... c. Total sliding glass door area ...................... ....... Total fireplace wall area ......................... ? e. Total wall framing area (average 10Y) .............. Z%? f. Total net wall area above floor ...................... d g. Total rim joist area ............................... 3 12- ? Total exposed foundation area = `] ffi h. Total foundation window area ................ ....••?• -7 i. Total net foundation area above grade ...............? Determine "U" value of each wall segment. a. 253 X "U" &-,t/ _'1X,6Z b. 3"6 x "vit. ,07 = ;2.e? C. 40 X „U„ a 6 = 27- 60 d. X "Ulf e. 215- g liUll ? 087 _ /gr7l f. 193o x Iloit ?o?Z = 1? .06 g. 3/ 2 X „U„ h. 7 X 'lUll ? SJ = 3«9.S X nU° •/ / = 1-Vi 3 ......................................Tota1 2 0.79 If item 11 3 is the same as, or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = // 80 _ Total gross roof/ceiling area = Cd j. Total skylight area ........................ ? k. Total roof/ceiling framing area ............ _L 1. Total net insulated roof/ceiling area ..... )-? Determine "U" value for each roof/ceiling segment. j ? x nUn k. / / X .,U„ /.q 2 1. / ia 9 x?,U,, ,025 = 27,73 4 ..................................... Total = If total of 114 is the same as, or less than 112, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items #3 and 1i4 shall not be greater than the sum of items 4I1 and #2. 1. 320.35 + 2. -30. 68 - 3S/,a3 3. 290. ?7 9 + 4. 29.65- . xoor•/cciziNs ? • ? /ented up ConsLrucL•iatt 12-Va1110 ?. Eiea[ flow 1.Interior air film 2. 3. 4. Exterior air film (still 0. -? Total 3?. BO • ? ' V = .C)2.57 FIG. #IS i ' , \ . ' . I ?? • I ? ? . . . 1. Interior air film 0.61 2. S/r; . vYT? ?? D o S'S 3. 1,v5rit ovFit . 4., Ehterior aii film sti1I) Q. b'r ? . Total • . ? . ? i . . 1 Y.eac flocr up • i, •vented .?. . . . . • :?;'... . .FTG. 1k6'..i... • ? '' .. :' . ---•- -?-, . ._ . . _ ' i ,' '., .?' • :.•' ? . • xa,r-'v?^rm ? . . -, i' .. • '. ? • HenC ? ' ?floW up . ' . F..T,r,. ?!!7 i ? . , • .. . •? i ? 1. Tnside ai.r film 0.61 ?.. 3 . ' .. 4. 5. Outside air film 0.17 Tota1 : ' . Notc: Use additioiial slieets •if more space is needed for deCails and calcu2al-ians. , ? _ .... .? __...... . _ , -A - " ' WiSi,L :ih;C'1'lv, IuTG; Use 10% of opaque wall area for frame construction i'uyu J UL n Construction 1. Interior air' film , . R-Value 0.68 2• C?YP 139- U) ?4S 3. 2xSTridS ' 10088 .. . 9. 25'/32 Sh'TC, Z..OC-7 S. $?p/tiC+ UVC/G FECT ? a ? ? 6: Exterior air film 0.17 Total v? eog-7 1. Interior air film 0.68 2. ?L'?G'r.'f? I3aZ D o S!S 3. FUG L u/!u- e-?.fi5?c 4• 2 S?3L 5h'TCr 2 06 ' s. s?di.c.c- ovE.e FEL-r- 712 C? 6. FSCterior air film 0.17 Total 2 3, C. Z 1, Interior air film 0,68 z. 3. '2 X_ tzr rn /`?8 4. ! 2 57/3 Z S 1-I T'f? Z oO?o 5. S/d/.vL? ? l/?/z /=' E2T . / 6 2(o 6. Exterior air film 0.17 ' 1. Znterior air film Total 2 5.0 S 0.68 2. 3. 2A FtIR R I N v 9. 12+?GO.wc, 13 COCfe /.LFS 5. 6. Exterior air film 0.17 • . 1 Tot'a/l (/= /3e// e0'7f0 . 1 A • f- ?' • ? ` .?- /?` . ?r? .• ? . Fxc. . .= • • II( c !rr ^ r?r 6 . , ` . . V ? r . o . ? w . . ? < < , • • ' . o- n 1" rl%\? ?>7.0p1? C? U- 50F 25 '70-1= 1991 BIIIAI!WT RICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PIANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED. NV1G: ABLRLSSES FOR CORNE.4 IATS - CQNTRACT_QR/HOMEQWNER KUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: I?P-el Valuation: &Ooo Date: S,J g/ Site Adciress 41po L}u..;Uj Lot 2(, Block 7_ Parcel/Sub Ow[3eY Address City/Zip Code ?L-l rt.„ Phone 1?9Z - 513 -j Coutractcr Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Sewer/Water Licensed Contr. Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ Mk'CC Systam _ City water _ PRV _ Booster Pump _ ONLY FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit 5/w Permit y S/W Surcharge,, Treatment P1.'-. Road Unit Park Ded. Trail Ded. Copies 2S ??. SIIBTOTAL Penalty Lot Change ' TOTAL 2+?. ? O APPROVALS Planner Council Bldg. Off. Variance agrees that all vosk shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. U7/11J/?41J 1V:51 F.aX 350 4PJvu:.'. T'f&A• * * * .19 pion engi* I ...? ? * ? .••-'•yi.nNn vILnNncns • lAnneCAPE nnCwn ECIS ?? . 2•122 F.m+"vrisr Diiv? mtendo?a n???i,«, 1?n! 551:n (612) 681 1914== - - ? Certiticate af 3ur?e? for: ?f ROT7"L UJ11D COlrlPQ! ? Y tJorzT?a Y?.q ...?.. , ?-? ??avc?vNIC? ?- a ? ??Y•3? ? O \ fo ' ?.?,,,• H ?? oa A=1t°3t't5„ ?_ 102•zl 0 ? ?o o? e Qi ci ervc _ I ttr- a.o' I? o ?g U% Y? ? m M i a- t8.33 `? s 0 e'4 (?az? ?eAy. 3 1 t ? 1 , t 1 ? 4 ? 1 ` J o ; ?r '? - w s, ' h "?- ? --- -?- -?? -.r - --- -----v, ?$a,? 36.3s-- eBr.7 l40,00 - w,es+ 0900.o Dena/es ezislin flPVa`flon • 900,0 (.)enoles propd Eler?i?.fr'bn Lienoles Oralrta e f Uf') EasPmenf Uenoles O+r?ina?e Flaw rows 0 c ' Pf?? S manunr F+)Vv 8ecrr,?s shawnnrQ ?r ?ed PRUnUSEU_E-IUUSE Etf?:'iT1UN5 Lpwesl F/rvv l:Yevdl/v!) 70p c-,i 'B1nClSf7fValr'n;t : 8aG.:. - Cv'•a+, Slnb_Elevalioi1 : L O-1" 26 ? B CK 7 i/41 CC S OF STU NEBR1bGE .. L)? nrn CouNTY, MrN orn SileJfcT 7a EnSFMr-N75 orr7rcoan i horrlrv •n.tilY Ih.v Ifqt gulvrV. Pi.iii if vqp5 p npo'n.1 bY '11n rn nnAnr inY rliur.l e•i?r??d.l.,n ?nd ?I?ql ? ?ui Anly R11;1 -n.l Cnnd $?uv?ynr u...lrr 11'n Im" nf thn Sbrr n( fAinur"n!?. tIn'i pf _4W. A(1 IIL. LI Scvle :1,nc': 400<< --- --- ---. I K/)? ? 'Q 1 9 Dea ?I00 4Cir IWO Ll? , Bl ?1-14 or ?rwr,d9e 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New ConsWCtian Reauiremenfs RemodebReoair Renuiremenls Office Use Onlv 3 registered sife surveys showing sq. fL of lot, sq. R. M house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lotcoverage allowed) t setof Energy Calculations for heated additions Tree Pres Plan Recrl _Y _ N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addi6ons 8 decks Tree Pres Requlred Y _ N 1 5et of Energy Calculafions Adddion - irMicafe ilonstte septic system Onsde Septic System _ Y _ N 3 mpies ot7ree P25ervation Plan if lot platted after 711193 Rim Joist Defail Oplions selection sheet (bldgs with 3 or less unAs / Date Construction Cost SiteAddress \ + ' ? ,CL? UniUSte # Description of W ork Mulfl-Family Bldg _ Y'4,_N Fireplace(s) _ 0 2 Property Owner ,_,c-v-ry Telephone # (&Sl Contractor Address #,,/"f City r7 !(Jl Ci State th^-? ziP 63 ) Tetephone #(5QL)?i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota RuIes 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan6 _ Y N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone Telephone Telephone 'L? 6AY `L 5 2004 11111 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 5tatutes; 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 of4ork which requires a review and approval of p s. , W ` w? C)i 44-? Applicant's nnted Name Applic 's Signature OFFICE USE ONLY Sub Types ? 01 FoundaUon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Mlsc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 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 Wiridows/Doors ? 34 Replacement •Demoiition (Entlre Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile pdier Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final _ Framing _ Siding _ Stucco Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ _ Windows _ Insularion _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector P For Office Use j Permit City of Eantoffi I I Permit Fee: ~ r 3830 Pilot Knob Road Eagan MN 55122 i Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: - - - - - - - - - - - - - - - - J /~BUILDING PERMIT APPLICATION =8 RESIDENTIAL Date: I 14- Site Address: l tVo 1_j-~cA. v e h ke1 1 k ` (rc f c_ Tenant: "'k"' Suite RESIDENT / OWNER Name: e-n .5o n Phone ~n&~D o yan Address / City / Zip: y[UOr/ / / / / I r'~ ~G Applicant is: Owner W -Contractor 14& le 2- V _S-6 TYPE OF WORK Description of work: ,~~OQ Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: t~►.trLlo..r✓► O t License#: QotQ r, noWo Address: City: l- T~ f ` Q rWU-.,j e c State: NffZip: 5t~2w 7 Phone: &g V!~W Contact Person: lit --,,=32 OL 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 (d 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? _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 N you provide specific reasons that would permit the City to conclude that theey 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 12 Cc it % x Applicant's Printed Name Applicant's Signature Page i of 3 r For Office Use Permit#: E AG N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsacitvofeacian.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: \ t Site Address: l D 6 1'Iy4' Unit#: Name: C--LOT‘ vvG' SS °v Phone:VS\ . 44K . 073O1D Resident owner Address/City/Zip: 4A 0 0 -t ` V t%1 0111.r CA.1�-�'L-� Applicant is: Owner 4g Contractor Description of work: w".Q D K_ 1 e- kAIL= T Type of Work Construction Cost: v�0v • ( Multi-Family Building: (Yes /No V.) Company: w -B(v_c_C\ tEt W' t'- -contact: tcP1�61 Contractor Address: \S1,35 C5/ 1-1--M3- CA- City: 4 r t e State: t-V4ip:SSt24 Phone:1 .3'LO mail: C'1A-0\se &v.,lAA Ve-k011rC.LipteSci1A`AC• Oriv License#: ;(0,U ' Lead Certificate#: If the project is exempt from lead certification, please explain why: to W' nc)10 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons thatwould permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance ith the approved plan in the case of work which requires a review and approval If plans. kA.PAtlik. 411-b Applicant's Prin ed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167360 Date Issued:03/10/2021 Permit Category:ePermit Site Address: 4100 Havenhill Cir Lot:26 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-260 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Scott O & Carol J Swenson 4100 Havenhill Cir Saint Paul MN 55123--166 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature