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4107 Havenhill CirSEWER & WATER pERMIT CITY OF EAGAIV 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY 10/24/89 WATER _ METtR SEWER PERMIT # B.P. RECEIPT # C 4284 B.P. RECEIPT DATE 111 11441 Rt) METER SIZE !5! D- 1S oc01 ISSUE DATE I- ZO -;?d PRV - BOOSTER PUMP SITE ADDRESS ' 1 ' ' - t+ •Av? 10t41c C_ -- PERMIT REOUESTED LOT " BLOCK .i. SEC/SUB *-? ' L? L ` ,' *- ? • ' ? ; :_ 'Y- - <-,. APPUCANT: ` ?--??' - -?-z ?_t?. ?. ? r? ?-„ _XSEWER _kWATER _ TAPS ADDRESS: ' ? ?? ? ?????'1'- '?• _ COMM/IND y? RESIDENTIAL CITY, STATE ZIP PHONE: 7'4 NEW - EXISTING PLUMBER: L E •r I •if?,?,?: ?ADDRESS: F'c I AGREE TO COMPLY WITH CITY OF CITY, STATE T t= P+1iz 1. Zip EAGAN ORDINANCES: PHONE: I,' " <' ;e? i OWNER: "? METER ISSUED ADDRESS: 7=*_f4 CIIY, STATE ? ?J 1/,_•? r i?' I,? ' 21P '- r 4 t/ PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, C NTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAIQ 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE ' 1 / - ' " % ; y WATER PEI3MIT # 110 e! 3 SEWER PERMIT # METER # B.P. RECEIPT # ??'''4 READER # B.P. RECEIPT DATE 10119L METER SIZE ISSUE DATE - PRV _ BOOSTER PUMP SITE ADDRESS LOT BLOCK SEC/SUB " T ? ? ? ` _ • APPLICANT: ADDReSS: r- - - - CITY, STATE - ZIP PFiOIQ%. ?. PLUMBER: , _, ? ;. ?, •, r E-r . ADDRESc' CITY, STA ZIP - - -- PHONE: OWNER: - - ' , ?,. •? ADDRESS: ' • CITY, STATE ' ZIP PHONE: ' PERMIT REQUESTED ?C SEWER ? WATER - TAPS _ COMM/IND X_ RESIDENTIAL 'Al- NEW EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . ? l , 38: CONTRACT PRICE: Site AddrESS L t Bl k o oc Sec m Name ,v Address ' R c I i City Phone f ? Name Address o City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # M BTU M BTU M BTU M BTU CFM FEE ? S/C: TOTAL: ? PERMIT # _ MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN r KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 For Office Use BLDG. TYPE WORK - Res. New _ Mutt. Add-on , Comm. Repair. -rr..c, r_ FEES RES HVAC 0-100 M BTU - $24 00 . . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OU7LETS (MINIMUM - 1 PER PERMIn - 1 50 EA f . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 ADD $ 50 S/C IF PERMIT PRICE GOES - . ( BEYOND $1,000) ? . . y SIGNATURE OF FOR: CITY OF EAGAN 4 , S. ' 'W. (ter#i#iratt of Mrrupttnry Citp of (Eagan OPp1'WIPttf Df I1tDiM JI[SpPtftati This Certificate issued pursuant to the requirements ojSecNon 306 of the Unijorm Building Code certrfying that at the time of essuance this structure was in compleance with the various ordinances of the City regulating building construclion or use. For the following.• Use Classi6atioo SF M/GAR &dg. Rrntit No. 17211 0-uw-r Tyx R3/14I zooi,s nsm R 1 Tya co„n VIV o„na of g„ild„g IIHE RDTIIIM 4D. Add,,„ 5201 E. ME,.' RD.. FRITJI.EY 8,,;?; ,? 4107,1?A3(FT?L ROAD ?, L4U, B7, HII1S ?' SPQMBRIDCE ? Z` - o.p: JAt?]Ai? 24, 1990 , eodd;ng ofrca POST IN A CONSPICUOUS PLACE ities DiQital Oualitv 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. PLUMBING P CITY OF EI CONTRACT 3830 PILOT KNOB ROAD, PRICE /,//? -7 PHONE 454 Site Add??s ?? '' ' Lot lock Sec/Sub _ ? , I-- Add c City ? I Add ? City L MN 55122 PERMIT # DATE: New Add-on Repair RES. PLBG. QNLY - COMPLETE THE FOLLOWING: Phone NQ, FIXTU R E5 TOTAL ;? s Water Closet - $3.00 $ ? ?. , . Q c Bath Tubs - $3.00 ?- Lavatory - $3.00 PhnnA -T Shower -'$3.00 ?? r- FEES COMM./INO. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 ? STATE SURCHARGE PER PERMIT .50 I (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) e 4,2-- Kitchen Sink - $3.00 UrinaUBidet - $3.00 -? -? Laundry Tray - $3.00 -? Floor Dra+ns - $1.50 -T Water Heater - $1 50 . -T Whirlpool - $3.00 - - Gas Piping Outlets - $1.50 7 (MINIMUM -1 PER PERMIT) Softener - $5.00 weu - $ 10.00 Private Disp. - $10.00 -r Rough Openings - $1.50 PERMIT FEE: STATES S/C: GRAND TOTAL: Li V` CITY OF EAGAN 172 1' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILDING PERMIT Recei t # ' p . To be used for S? ?/GAR Est. Value $136, 000 Date «.`"r 1 8 Site Address 4107 ttl1VSNNILL CIR 7 OFFICE USE ONLY Lot Block Sec/Sub. HI? OF Parcel No. occupancy R-3 -Hni. FEFS ?'t W Name ?E ??D ? ` Zoning (Actual) Const V? Bldg Permit 7??00 ; AddfeSS 5201 B RTVER RD (lubwable) v"K . h S ? .? ° City FRIDLBY Phone 571-0304 # of Siones 741 urc ar ge Plan Review 383?? F Name s? Length t?in 3? snc cit 104600 = Address S.F. Tolal - , y SAC, MCWCC 579.00 '- City Phone S.F. Footprints - W s?•? ? On Site Sewage _ ater Conn ¢ u?i W Name On Site Well ?•? W Water Meter ? y ¢ z AddfBSS MWCCSystem ? ? Acct. Deposit ?,? `W City Phone cay warer Z??? PRV Required _ S/W Permit I hereby acknowiege that I have read this application and state that the i f i i Booster Pump - S/W Surcharge 1?? n ormat on s correct and agr lo comply with, all applicable State of Minnesota Statutes and City of?+ayan Qrdirtanc?s, 228•00 ? ? Treatment PI Signature of Permitee t? f=?. ??` ? t APPROVALS Road Unit 340•00 A Building Permit is issUed t0: Ta RMLM CO Pianner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ CoPies Building 08iCial -- I Variance - TOTAL 3? ?81'? . Pennit No. Permit Holder Date Telephone ?Y 1Q/ATER SEWER PLUMBING H.V.A.C. (? ? / /? SG7 ELECTRIC Inapection Date Insp. Comments Footings I ?/?y' Foundation Framing ? .S Roofing RoughPib9 Rough Ht9. Isul. ? - - - Fueplace Final Ht9. ?C - /?D ,? l Z ? !Y? _ /? C^?S'crCr C¢C - Final Pibg. i./ Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final 9D Deck Ftg. Deck Final Well Pr. Disp. :v-_-." CITY OF EAGAN N2 17211 3830 Pilot Knob Road, R.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 Receipt# ?_`U l?,`? BUILDING PERMIT ? • ` To be used for SF DWG/GAR Est. Value 000 Date OCT 1R 79$9-- Site Address 4107 HAVENHILL CIK Lot 40 Block 7 Sec/Sub. HILLS OF Parcel No. a Name THE ROTTLIIND CO o Address SZOl E RIVER RD City FRIDLEY phone 571-0304 a Name b? I Address ? City Phone Name _ Address Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agr to comply with all applicable 5}ate o( Minnesota StaNtes and Ciry ol agan Ortli an Signalure of Permitee A Quilding Permit is issued to: THE ROTTLUND CO on the express condition that a11 work shall be done in accordance with all apPlicable State of Minnesota StaNtes and Ciry of Eagan Ordinances. 8uilding Otlicial OFFICE USE ONLV OcCUpancy R-3 -X-1 FE FS Zoning R-1 (Actua1) Const V-N eldg.Permit 766.00 (Allowable) V-N Surcharge 68. ?0 R ofStories Lengih 74 Plan Review 383.00 oePm 36' sa0. ary 100. 00 S.F.TOtal - SAC,MCWCC 575.00 S.F. Faotprints _ On Sife Sewage _ Wa[er Conn 5$o. oo On Site Well water Meter 90.00 MWCCSystem xx 30 00 City Water ]{]( Accl. Deposit . PRV Required _ SIVJ Permit 20.00 Booster Pump - SM! Surcharqe 1.00 Treatment PI 228.00 APPpOVALS qoad Unit 140_ np Plwnef - Park Dad. Council Bitlg.Ofl. _ Copies Variance - TOTAL 3.181.00 DATE: -- 10[20/89 RE: V4107 HAVENAILL C1RCLE L40, H7, H1LI,8 OS S7?ONIIBRIDGB ? ?Et?11}?1? OHD, L9 R'l - Your Sewer & Water Permit for the above prIoperty has been compleled. It wilt be hetd ai ihe Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. ?0 It -JP ? d ?Your Sewer & Water Permit for the above property cannot be completed for the following .reasons: ,Y.our Sewer & Water Permit for the above property has been completed, but the meter cannot b?'issued or occupancy allowed until further notice. COMMEHCIAL 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 UTIlIT1ES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICV. Secretary, Building Inspections Dept. ? CASH.REC FIPT .0 CITYArF,-EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 /D??; ; • onre AMOUNT E 7/) ti-f? .+ (J ? (J a nowws O CASH CHECK C 42P4 Y?,, PWA--F" C. Thank You ? BY ? 717 2 5 Fequest Date (7?{ Fire No. h.in Inspection . equiretl7 I ? Ready Now ?ill Notily Inspectar R tl 7 Wh s ? No I en ea y I O licensed contractor';f] owner hereby request inspection of above electrical work at Job Mdress (Streel, Boz or Rairte No.) Ciry 4 10-1 : GrGtk r? Seclion No. Township Nam9 or. No. flarge No. Coumy Da Occupam (PRIM) Plrone No. ^ PowarSUpp6er Atltlress Eleclrical Conhactor (Company,Ft9hna)!` COnhactor§ Llceise No. Meiling AdtlrBSS (ConVacbr ot Owner IAaMng InsiallaGOn) 4bgb-83r Au2. MPLSV rJ 3 Aulfwrizetl SIgmWre (COntradloi/Ownar Malting Insfallation) Phone Number MINNESOTA STpTE BOAqD OF:ELECTpICRY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bltlg. - Poom 5t]3 BE ACCEPTED BV THE STATE BOARD 1821 Unheniy Ave., SL Peul,.lAN 55 04 UNLESS PROPER INSPECTION FEE IS Phore (813) H42-0800 ENCLOSEO. REQUEST FOR 'ELECTRICAL INSPECTION ? See insWCtionSfw c^4ng ihis form on back of yelbw copy. IY 71725 X" 8elow Work Coverea' by Thrs Request EB-00001-01 ?'? 9.;?r?,4 7 e dd fieF TyjteofBUilding AppliancesWired EquipmeniWired Home "'. Range Temporary Service Duplez;> Water Heater Electric Heating Api. BullAing , Dryer Other (Specify) Comm.llndustrial Fumace Farm +,`:: AirConditioner Olher (specfij)Conhador5 Hemarks: Campute Inspection Fee-Below: # Olher Fee # ServiceEntranceSize Fee # Ciraits/Fceders Fee Swimming Pool to 200 Amps 0 to 100 Amps Transformers - Above 200 _ Amps Above 100 _ Amps Signs j^'?:4,? Inspeclor§ Use Only: TOTAL ? Irriqation Booms ,?'. Special Inspection'.'- Alarm/Communication`> t O[her Fee I, the Electrical Inspector_hereby certify that the above in5pection has been made. R°Lign;n /? P - 1-4 F;nel ^ py. o?er? ?-? ? C OFFlCE USE ONLY ? ? y ?.ti„ ? This request wltl 18 manihs irumd RESIDENTIAL PLUMBING Permit Application City Of Eagan ? a- 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit nate!,?, ?13 163 Site Address VA) 7?/A VE?' h?( Ci J'C /c , 62va ?t??/`? SS?? Unit # ? Property Owner 7 D t-kc Gt 5 -Y ?i a Telephone # Contractor Address City State Zip Telephone # ( ) The Applicant is X_ Owner _ Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes County fee. Additional consultant fees may apply. Alterations to existing dwelling $ 50 00 ? Add fiutures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system Water turnar/o n} ? d(+ 5/8" meter i f neede?$1 1.00) = ? _ & Other. !_?C1_?_0 YV`?.? J CSfS w-\ _ RPZ _ new _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional fr: :--------- --_. 9 ?? i ° I $ .50 State Surcharge II I? ^ .? $ Total )BY I hereby apply for a Residential Plumbing Permit and aclaiowledge that the information vs co Yete'a? accurate; that the work will be in conforxnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlus is not a pemut, 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 wMch requires a review and approval of plans. „ TLran,q a,s J. LQ'-sc," r Applicant's Printed Name ApplicanYs Signa e c?g33 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construclion Reauiremenh • 3 registered site surveys showing sq. ft. of bf, sq. ft. of house; and all roofed areas (20%maximum lo[ coverage allowed) • 2 copies of plan showing beam 8 window skes; poured found design, etc.) • lsetofEnergyCalculations • 3 copies of Tree Preservation Plan d lol platled after 71153 . Rim Joist Detail Options selection sheet (hldgs with 3 orless units) DATE -4-nI - Q2 SITE ADDRESS TYPE OF -# 985q V3r?- 25 RemodellReoair Reauirements • 2 copies of plan • t set of Energy Calculations for healed additions • 1 site survey for extenor additians 8 dechs . Indicate if home served by septic system for additions VALUATION $'21 (BGO . yQ Y BLDG Y ?N FIREPLACE(S) _ 0 _ 1 _ 2 APPIICANT??[jhud-)w STREET ADDRESS qL*& tl )a9)Ir1Gt0V'1 A"1?Zf. CITY bCleYl 2'QiYle STATELIQ ZIP__M?1? TELEPHONE #052,)`28I -A2'Y?CELL PHONE # FAX #(9D_Z)_ ?XB I_ 1 PROPERTYOWNER P a TIFY',WYlaS (_&J2S0 I"1 TELEPHONE#r(.--)I ---------------------------------------------------- ------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ypNvl:SO"f:\ RtiI1!S 7670 CA"I'L:GORY I y[I\NESO"f:l RGLIS 7674 (J submission type) . Residenlial Ventilatioa Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submilted Plumbing Contractor: _____ Plutnbing systcm iiicludcs: Mechanical Contractor: Vlcch:uiic.il scstcin includcs: Sewer/Water Contractor: Phone # Fec: $90.00 Pcc: $70.00 --°--°---°--...•----------------------------------------------------------------------------------------------------°- I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Applicanf Watcr Soltcncr Wa[cr Hca[cr No. of Baths _ Phonc # I.awn Sprinkler No. oF R.I. 13aths -- :1ir Conditioiiiiig -- Elcat Rccovcry Sy,tcm Phone # OFFICE USE ONLY ?iZOOZ Certificates of Survey Received _ Tree Preservation Plan Received _ Not ired _ OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 ExL Alt - Multi ? 03 01 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 (screened) ? 36 Multi ? 05 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 Windows/Doors ? 34 Replacement *Demolition (Entire 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 INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinaUtio C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ 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 ? ? , , ' SIIiGLE FAMILY DWELLIRGS 2 3E'!S OF PLANS 3 HEGISTERED STTE SORVEYS 1 SET OF ENERGY CALCS. 1989 BIIB.DIAG PfiIElSIT APPLICAlION CITY OF EIGRN ltieti I MULYIPLE DiiELLIN63 2 38T3 OF PLAN3 AEGISTfiRED STIE 3IIRVETS - (CBECH W'!TH HLDG DIY. ) 1 SET OF F.BSAGI C?LCS. ? COTmRC2AL 2 SET3 OF ARCHIlECTURN. & 3TEOCT[JRIL PLlNS 1 SET OF SPECIFIC9TION5 1 SET OF E9ERG1 CALCS. !lULTIPLfi DiIELLINGS HENTAL Dl1ITS FOR 31LE IINITS # OF D6ITS 110TEt 1DDAES3FS F09 COENEH LOT3 - COATIUCPOA/HOMEOiiAEA lIOST DESI(3NASE UHICH iDDRFSS IS DESIRED. 80 C91AGS5 YII.L BE kLLOiiED ONCE BiIII.DIPG PERMIT I3 ISSUED.. SEi1ER 3 i19TER PEAMIT FEES AliD ?CCOIIAT DEP03IT l6CLS UTII.L 81 INCLDDfiD iRTH SSE HIIILDINQ 4EflMIT FEE. PROC£SSING TII+M FOR SSiJEA 11QD NATER PERMITS I3 TiiO DAYS OBCE A PERMIT HAS BEEA COZlPLETED INDIC?TING A LICEASED PLDlBER. PENALTY APPLIES HfiENs PERMIT IS NOT PAID FOR IN 39ME MONTH IT I3 AEQUESTEb. LOT CAANGE I3 REQOESTED ONCE PERMIT IS ISSi)ED. / D? 00 P-rT I 3 !Vaa To Be Used For: Valuations ? Date: lo- l\,- IE59 Site Address LoL 40_ Bloek -7_ Parcel/Suh Owner 'TXae. Address SDLol e-_ PivEe. ? City/Zip Code Frzllot_,t-^r % 435e4Z1 Phone SL 1- o?'? ConEractor ISA/rl1=1 , Address Occupancy P--l /W-/ Zoning K-/ Aetual Const ?- Allor+able V/Y # of atories Length Depth S.F. Total Footprint S.F. On site Dexage On aite xell lSWCC SyaLem ? City vater L/ PRV required _ Booster Pmp _ Citq/23p Code " ? 1PPAOVAIS Yhone Planner _ Council Arch./Engr. Bldg. Off. 9arience ? eddress City/2ip Code It Bldg. PermiL 26 tI, Surcharge Plan Review 702 ? SAC, City SAC, HWCC S9S ilater Conn Sda Water Neter -70- Sect. Deposit 130 S/li Permit zo S/ii Surcharge / Treatment Pl. Z ? Aoad Onit 3 VO Park Ded. Copies SQBTOTAL Yenaltq SOTAL 4 w Phone 0 if . 2,?* 2P = I?y iy,r ?z = 302 ????? - ldyz?? `/ - J ? j.. -z P'?- Z e 1 y? ZZ ; ?o? ? ?zk ?z = ya? l3? ?y8 . '? *** 4 * pion -0 engiyr 1 ?T 7L T 2422 Enterprise Orive Mendota Heights, MN 55720 LRNDPLANNERS• Istzl 681-1914 Certificate of Survey for: TNL QOT T L U/ Y D CQMYQ r r 1 ? N0RTH .M I-------yrr 1 ago• iV •? !? o ? ! -------??- g1'7 ?'i Easf /6,o. 24 ?4.sz ? t 41 ? o riL 0 h ?;o M ?Z N /4T,/Sl ,y0 E-as-/ ?gY 900.0 Denofes existin? Elevafion . yoo.o Dtnofes propaHd Elevation ---- -- Denofes Drai?aje jUfrlr fy Easemenf T denofes Drarna?e Flow Arrows N o ? C?vqy ?,'?? 11, .3 s.. r / ? ?n ° ?ba A ;- g G6? - ? ?`.ixiGi3N i.1\?7??.F?r`•Ri??G Dr?. ?. PROPdSED NDUS£ ELEI/A710NS Lowesf Floor E/evalion = 873.1-2- Top ar e/ock Elevafion _ 881.4 • o Denofes monumenf C'ioragz 5/ab Elevafiorj ° 1681'13 g earins"s Shown dre assu rn ed LOT 40 , BLOCk 7 , I4lLt S oF $TOIVEBI?1DGE DQKOTA COUNTy, M/NNESOTA SUBJECT 7D EASfMENTS 0FRE'C0t7D 1 Aere6y certify that this is a[roe end conect rep.nemation of a wrvry of tne boundanes o1 Me above ncriMd lan , e A of tne Ixafio1 of dl buildings, the.eon, snd a11 visible enooechments. II sny, irom or an taid land. As fu.veved bv me th,iAav at A.D. 19a. rnch . SCQIe : 1 40? .,1 ?1 81112." ROBEAT B. SIKICN L.S. AEG. NO, 14591 I I , . <.:_. -- _;.. .. - .;. S; ti_ ;;•r ? ' EXTERIOR 'LrvP.WPE AVERAGE "13" CORPUTATION r? . . . -. . OWNER Tto- - SITE ADDRESS CONTRACTOR t7.?Q??? DATE PHONE S7 Determine working square footage of each. 1. Total exposed wall area ..... ZSH& sq. ft. x •I// = G'1•3? 2. Total roof/ceiling area ...... //80 sq. ft. x 42(eg Total exposed wall area above floor =2t 9 (a_ a. Total wall window area ........................... b. Total door area .................................... c. Total sliding glass door area ...................... d. Total fireplace wall area .......................... e. Total wall framing area (average 10%) ............... f. Total net wall area above floor .................... g. Total rim joist area ............................... Total exposed foundation area = `] ffi h. Total foundation window area ...:.................... -7' i. Total net foundation area above grade .......... ....,.7- _ Determine "U" value of each wall segment. a. .253 X loUll "54.1 _•/36,62 b. 316 X „U,, 007 = ;2.6G C. X „U„ a? 6 = 27. 60 a. ,/ X ,lU?l V-? e. 2/5- g ilUii f. /930 x. ,,U„ ?0 `?2 g. 3/ 2 x "U" 12,4 $ h. 7 X liUll 3,85' i. 71 X liUll •/ ? = 7&91 3 ......................................Tota1 -Z 0.79 If item # 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 = j. Total skylight area ........................ ? k. Total roof/ceiling framing area ...........: ? i. Total net insulated roof/ceiling area ..... Determine "U" value for each roof/ceiling segment. J 1?-/ g ?FU?l 1'? k. -71 g' 'U" -, 02,7 = 1,9 2 i. Lla9 X„U„ s02-5 = 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 ll3 and 114 shall not be greater than the sum of items I11 and ll2. i. ?2o-3s + z. 3d%68 = 3S/•lQ3 s. 290.79 + a. --- - ---.. .__?_.? ..... . . . ... . . ... . . . . .. . _ . . .. . ,-, ' WA1UL JEl..Tju11J IUTE: Use 10% of opaque wall area for irame construction IIAI,L L??. f'?_ ? '• ? FR7tME 17nLI, rT. . , '.: _ . . . t'ayc d Ot 4 Construction . 1. Interior air'film ' , R-Value 0.68 2• 2 9- 17 o4S 3, 2x(? 5-r6/65 9. 2 5-132 S h'TG 5. $/O/AiL+ UVC/< FEGT / a 2?o 6: Exterror air film 0.17 Total v! °os-7 . 1. Interior air film 0.68 2. ?L"Cat" I-- f3aZ D o S!S. . 3. Fvz e- "141A z L• bU 4• 2 5?32 5?'>,TCr 2 06, ' 5. OVEK FEL'?" ) e1 6 6. Exterior air film 0.17 Total 2 3, 6 Z Z . 1, interior air film 0.68' 2. 3. ' 2 X- 12I f` /l 4 . , 2 S?3 2 S F-t T'U 2 aO?o 5. 5/O/.[i6, PJ l/E?/z '/= 6ZT, 6. Exterior air film 0.17 ' 1. Total Interior air film 2 $.O 5- 0 0 .? 0.68 2. _/1-// J.IiStiC: // UO 3. 4. 5. 6. 2A FuR2iNv I2??Cp,?r, BCoCt? ' Exterior air film /.LFS 0.17 Totai /3si3 . . . :, ? .. _ ,?•7(0 -•? f=.?"T?1? X 6 • , ' ?,a ? ? ? ?? ' 4 ? .?- ??? ?(r? ; .. ? ? ' , •f6 .` l ? f II! =_1 _ (l( . •? , • - = r? t ? ? ? • . i /(/ ' FIG? #9 f!i ? •? ? •. 1 ? -' I?l o = • ` ' }? // f ?. Y- ' • ?/?? ??( ? !/f = ! --. . o ? ' e,? • _ . • ? ` ? • . .? ,.. ? ? , xoor/eciLiNC . . ..). r ? ? ? . • . ?' ('_FY??. ? Vc^,1T Const•rucl-ion ' R-Value 1.Interior air film , 0.61. ' 2. 5 ,? v 1? 13 RO . S$ 3. QLou-,x/ i.v5v<. ?j,0[? 4. Exterior air film (sti11 0.61 -'? motal 39.80. ? ?? ' 1 [:..?j1 .. ° , ? . : ' U = •(12S \`J Jenced Heat flow ' ? . ' ' • ? ? uP ? ? • ' . . ?? ? . I i ? . ' . ? . FIG. #{5 . i' • . . . • , I. Interior air film 0.61 1n;el.•. :.+-:',1e?!.+Lut^-.>-?.itct ^.e..?n?-t:c . z. , . -"?"'T"'i7 aa?""'-1? 3. I??5liL O?IE/L rIeU55 4., Eaterior air film sti-ITT--ki. bI- To ? ? nu tal , ?. . . . , `?J `??J 3 ?- • .. . . . ? ? . ? , • . ? . • ,. . Y.eat Elowup . ? , •vented • . • ' ? ' , . ... . • ? . . ? . . • . . • ' ; ? .. , • , ,FIG_ $6...J... ? ? ;?. .. .' . . ? 3 F'? 1. Insi.de air filirt I 0.61 z. • ???.?,S, ??>?t !-•S.?-..?.?.''oS':.,? :.t 3. ? . . • 9n?.QJ7.la?!?'-,••'::•..•:.::?:?•?:?,?:. ?..?yi?'y:...?•' 4. S. Qutside air film 0, 17 To t31 ?'( • ' ? . . . 1 ? 2 .. . .. . .. . ,. . . . , ? , ...• , . . ? , ? . • ; • tiOiJ-VI'?r'TEp?. ,' ' Note: Use additioiial sheets •if more space is • ???• ' ? needed for clet-ails and calculatians. ? . HenC ' . ' ?flost uP ' • . t . . . • • ' fi.T,r,. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 o (J 651-681-4675 New Constructlon Reaulremenfs Remodel/Reoalr Reauirements > 3 regtstered sMe surveys showing sq. fl. ol lot, eq. N. ol house 2 coples of plan and al roofed areas (20% moxlmum lot coveraae allowed) 1 set of energy calculaNOns for heated addfllons ? 2 coples of plans (show beam 3 window stzes; poured fnd. deslgn; etc.) t3He survey lor exterbr addNbns 3 decW ? 1 set of energy ealculaflom > 3 coples of hee preservafion plan H lof platFed atter 7/1/93 DATE: / 4r4_ _ CONSTRUCTION COST: DESCRIPTION OF WORK: V "- STREET ADDRESS: ?//G-j C-? LOT: '-i 0 BLOCK: ? SUBD./P.I.D. A " ` PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER i ? Name: "?"fu ?7 ?nrg Phone#: 6Sl Fh?-?/sr " last Firsf Street Address: ?m zi Ci1y State: /MI Zip: Company:??7`?v? Phone#: 6S7 (area code) Sfreet Addreu:-? ?/?? ? ? s License # ExP• ? Z?EQ Ciiy d W on State: ?),I Zip: S3iO 1 Company: Name: Telephone #: area code ( Sheet Address: Regisiration #: City State: Zip: Sewer S water Iicensed plumber (reautred for new conshucNon onlvl: penalty applies when address change and lot change Is requesfed once permR Is issued. I hereby acknowledge that I have read this applicaHon, stafe thaf fhe InformaH is conect, nd agree to comply wifh all applicabl State of Minnesota Stafufes and City ot Eagan Ordinances. Slgnafure of Applicanr OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 2'? ? Tree Preservation Plan Received _ Yes _ No _ Not Required -? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 SidinglSoffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to appli cant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning _ easement sq. ft. Census Code _ Main level sq. ft. SAC Code _ sq. ft. No. of Units _ sq, ft. No. of Bldgs _ sq. ft. MC/ES System _ sq. ft. City Water _ Footprint sq. ft. Booster Pump PRV Fire Sprinkiered Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC ciry s,ac Water Conn. Water Meter Acct. Deposit S/W Permit S/V11 Surcharge Treatment PI. Park Ded. Trails Ded. Other Capies Total: Valuation: $ SAC Units % SAC tQ ;? Iq / RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conslruction Reauiremenls RemodeVReoair Reaui2ments OKce Use Onlv 3 registe2d site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lot coverape allowed) 1 set of Energy Calcula6ons for heated additions Tree Pres Plan Recd _Y _ N 2 copies otplan showing beam & window sizes; poured faund design, etc. 1 site survey foraddfllons & decks Tree Pres Reqd _Y _ N lsetofEnergyCalculations AddiUon-intlicatei/on-sifeseptlcsysfem On-sReSeplic5ystem _Y _N 3 copies of Tree Preservation Plan'rf lot platted afler 7/153 Rim Joist Detail Options seledion sheet (61dgs with 3 or less units Date 10 / _2 / / 03 Construction Cost Site Address a /O 7 Na v e o ir C IC UnidSte # ?L uy ?1 N ss?a 3 Description of Work il-i N S? CA- r ? O loaI-,plL L4 ` Multi-Family Bldg _ YK N Fireplace(s) '? 0 Q? Property Owoer GiD ?a 5 A. ( ?/' C:? /'S O I/L Telephone#(6 51) L88r? 1J`-' Contractor JaYYtie- Address City State Zip Telephone # ( COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructe "ding in Eagan with a similar plan? _ Y _ N fee applies. DS (?n 2 0w ? ?? LS Licensed Plumber Telephone #( 003 Mechanical Contractor Telephone # ( Sewer/WaterContractor Telephone#( If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. " ? % Lt o?l2 a s f L cc, ? Sd "1 ?.?? Applicant's Printed Name Applicant's Signatur OFFfCE [JSE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 70 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex &U 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Misceilaneous WorkTypes rrc I-DeS 9 ? ?j-yi2vn ol, a F;, ze Qloce ? 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 Windows/Doors ? 34 Replacement •Demolkion (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy 12 -3 MC/ES System Census Code 3q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const 11 411 Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinallNo C.O. _ Footings(addition) _ plumbing _ Foundarion HVAC _ Drain Tile O[her Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final i Framing Siding Stucco Stone 4 Fueplace ?0 R.I. ?°AirTest?n Final Windows(new/replacement) LQ Insulation _ Retaining Wali Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI '7S7q?- 2006 RESIDENTIAL PLUMBING PERMITAPPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ` 651-675-5675 Please complete for modifications to existing residential dwellings. 16 ; s-zJ Date!(e? ! ? ? '_! '?Iv? r Site Street Address "t1dn rl V2E'1 il?0 Unit # PropertyOwner C 1(, UrSO Telephone# ((AY') gU N.RNerR?a ERVICEs e i ??l? a r • M Contractor Telephone # (6sI (1 34 Address Ctty State Zip The Applicant is: _ Owner ?CConVactor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-bnilE - $ 10.00 Alteretions to exfsting dwelling $ 50.00 _ Add plumbing fiMures. This fae includes installation of a water softener and/or water heater at the same time. !f you are installing on a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Ahandonment _ Water Tumaround (add $130.00 if a 5/8" meter is required) Other: Water Softener ?c Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge ] El T t i I $ o a 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 ttie City of Eagan and the plumbing codes; that i understand thi5 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 pian in the event a plan is required to be reviewed and approved. rr&,«-e?-k- ( o " (? ? ? ? u s n 7ApplicanYs Printed Name 5 A plicanPs Signature JllL 1 1 20= 30 lf p PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA117016 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 4107 Havenhill Cir Lot:40 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-400 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J Larson 4107 Havenhill Cir Eagan MN 55123 (651) 688-6158 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use Permit#: /2 6.//� E / C-c City f Eayli Permit Fee: �`�� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L_ 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 11107 14aV'QA1h,1t1 G(t✓\e,1 Ea jan M JSIPZ._� Tenant: (( Suite#:Q Name: T(7m } Po rlc2 L O,rSo Phone: 6I 2$Z- Z°I 2.01±Resident/Owner t. Address/City/Zip: 410- ]�onh►II Cirdc, c& r i I'IN- SS 12,3 Name: OS r a4tt ✓jS 1e1fl"1s License#: PC /O$2oC, Contractor . Address: GID N River—R ge City: 6UI' SVI1)2 State: KM Zip:S7SS / Phone: CG( I�. (ADZ- Z-17_01 MContact: l�/ ('AUl(�go Email: SnoO1(l��5 �`,osjskirro•c0 m T e of Work New l'-'"-----Replacement Repair Rebuild _Modify Space Work in R.O.W. Yp f (' (� �((� y I i Description of work: �1 J N, ` 1 l it 1 xje I RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/ PVB) � Permit Type Add Plumbing Fixtures Main/ Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ / CA'TC 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 with the approved plan in the case of work which requires a review and approval of plans. Ap �/ 0.0_,I x �Apphcam`t s Friryted aApphcan s ignat FOR OFFICE USE Reviewed By Date Required Inspections Under Ground ,Rough`;In Air Test - <'.Gas Tesf Final 'MeterRelated Items Meter Size Radio Read . Manometer Staff Use BLUE or BLACK Ink For Officeffice* . ::::ee' ' I o a all. : ,c,;' 3830 Pilot Knob Road Eagan MN 55122 Date Received: "/4 j-/ Phone:(651)675-5675rrf •Fax: (651)675-5694 Staff: its 6_ J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/17/16 Site Address: 4107 Havenhill Circle Unit#: Name: Tom & Patrice Larson Phone: 612-282-2929 Resident/ 4107 Havenhill Circle, Eagan, 55337 Owner - " Address/City/Zip: g PP A licant is: Owner X Contractor 7<7.1 Description of work: Bathroom Remodel TypeOf Work Construction Cost: $5407.60 Multi-Family Building:(Yes /No_X ) US Patio Systems RayMadden � Company: y Contact: 218 N River Ridge Circle Burnsville Contractor Address: City: MN55337 952-314-9885 . asnook@uspatiosystems.com State: Zip.. Phone: Email., License#: BC 661813 Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 may- be classified as non-public if you provide specific reasons that would per mit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must •- .mpleted within 180 days of permit issuance. x Wendy Rache x G 11 A / • Applicant's Printed Name Applican •na Fre Page 1 of 3 #1,16-4(I /_//0 DO NOT WRITE BELOW THIS LINE l SUB TYPES Foundation Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New ( Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION fi Valuation , �r� �'� Occupancy _vcMCES System Plan Review Code Edition in 1) 7D( c SAC Units (25% 100%( ") Zoning 72•- ( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction / Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) ,O Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS TO Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ( 0 61 Pt) ��`-f , Building Inspector RESIDENTIAL FEES Base Fee 8 9- 59 , it Surcharge Plan Review A,tj7//)9' e r66E)- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA156612 Date Issued:07/09/2019 Permit Category:ePermit Site Address: 4107 Havenhill Cir Lot:40 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-400 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas Tstes J Larson 4107 Havenhill Cir Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168952 Date Issued:05/10/2021 Permit Category:ePermit Site Address: 4107 Havenhill Cir Lot:40 Block: 7 Addition: Hills Of Stonebridge PID:10-32990-07-400 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Thomas J & Patrice J Tstes Larson 4107 Havenhill Cir Eagan MN 55123 (651) 688-6158 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature