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4210 Heine Strasse Use BLUE or BLACK Ink r For Office Use City l~iJ- Ol nan~Permit#: I Permit Fee: ,35 3830 Pilot Knob Road I I RECEIVED Date Received: Eagan MN 55122 y Phone: 651 675-5675 I I Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit _.~.~_r.: ~ ~ 4tr( 17 116 4r- ~6i/1f~ Name: ~ Phone: 6 5~ -k~5 Z-753_7 I RESIDENT/ r `~sSe OWNER ~ Address /City /Zip: l 1Yt e 5 i Applicant is: X_ Owner Contractor TYPE OF WORK Description of work: 4 -y,-o re~4U/" 4a ce 1 Construction Cost: Multi-Family Building: (Yes / No ) Company: "A Contact: CONTRACTOR ?Address: City: a State: Zip: Phone: i. License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~A x ?a- /7 x Applicant's Printed Name Applicant's Signature Page 1 of 3 < k-F , I. Al RI W HI Z`Cpq SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _4Y Lower Level _ Pool _ Miscellaneous 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 Valuation y> Occupancy MCES System Plan Review Code Edition 4 a`7 SAC Units (25%100% ) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction ~j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) ,Final / No C.O. Required Foundation ~HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill - Final Sheathing Radon Control Sheetrock / Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee C Surcharge Y t- Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 cIrir oF EA"N 8795 Pilot Knob Road Eosan, MN 55122 No 4822 PHONls 454.8100 BUILDING PERMIT , Receipt # Volue Date To be und for ' Est j? ' - - 19-- . Site Address Erect GJ Occupancy ? Lot Block Sec/5ub. Alter ? Zoning Porcel # Repair ? Fire Zone Enlarpe ? Type of Const. 0: Name Move ? .# Stories Z Addross Demolish ? Front 52 ft. t ^,-- .,?--- Grade n Dernh 43 ft• °C Nome LVLiCL3V11 0 Uo< Address 1 'A? 6 Pn7 E>_,tce Lr_ ;., ? Ci Phone 4 54 - 68 bee W Name W I hereby acknowledge thot I have read this opplic the infortnetion is correct ond agree to comply State of Minnesota Statutes cnd Ciry of Eogan Signature of Permittee _ A Building Permit is issued all work shall be done in c Building Official and all State of Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit I. v?' Surcharge 21. St? Plan check SAC ' ' . ?70 Water Conn. Water Meter `'`?-? • 0 Total 954.50 I n` ` on the express condition that esota Stotutes and City of Eognn Ordinonces. ??. Peewk # Deh Ifw*d PWMIMw Plumbing - .7f - ? Mechanical " ?y ? ? ;f INSPECTIONS DATE INSP. Rouph-In Find Footings Dote Inap. Dote Irap. Foundation _ Plumbing . . e,t ?• Frome/ins. [t -;lF- ?? Mechanical Final ? Remarks: ? PT Date: Ap x' i 1 10, 19 7 CITY OF EAGAN 3795 Pilot Knob Roed Eo9an, Minnesoro 55123 Phone: 464-8100 PERMIT Site Address: '?10 Heine St£dS8(3 No. ? -181 Receipt No.: Single I Residential ' Lot Block Sub/Sec: _'!'-'' Multl Res., Comm./Ind. ? Name New/Alter./Repair. ' . ? Addreu Cost of Installation ? City Phone: Permit Fee Nome - , • i ?} i? ; r?; t? 1. - Surcharge • . ? = Address ? V City - ' Phone: Total This Perm?p is issued on the express condition that all work shall be done in accordonce with all npplionble Stote of Minnesoto Stotutes and City of Eagan Ordinances. ?` Building Officiol CITY OF EAGAN 3795 Pilot Knob Road Eagan, Mlnnasata 55122 Phow: 454-8100 PERMIT Dote: 612 1/78 Site Address: Lot 4210 Heine Strasse 1 Block Sub/Sec Hpine StrassP Mddn Receipt No.: Single Residential No. 1 • 10574 1ollefson Nome New /Alter. /Repair ? ? .i?:l?'J H01m:r ; Address Cost of Instullotion _ O 1.,Pnle YallPy 4 54-i.:??:- Ciry Phone: Permit Fee Nome r SurcMrge . HabPrt '!:rai I g Address Qe ,,,OUilt City Phorie: Total This Permit is issued on the express condition thot all work sholl be done in accordance with oll applicoble Stote of Minnesoto Stotutes ond City of Eagan Ordinances. V Building Officiol CITY OF EAGAN 3795 Pilot Knob Road Eogon, Minnesoto 55122 Phone: 454-8100 ;•,'?.'I'?Z . ' ?`?II?Z ;'?? PERMIT No. i- 2ST79 Date: Receipt No.: 42; ^ T J?inf, s I Site Address: dential Re iSC ? I Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Nome ???xrlrz New/Alter /Re air . p . ; Address 421n T*'-i?-' stras??-" Cost of Instollation O .? City "111aT'+ Phone: Permit Fee Name (?'-Z"`; C-10it rlftteI' Surcharge . ? Address 1,40 1 Cal.ifo-ni.n 0 V - ?,, ?o• _?-,? -; City ` Phone: Total This Perrnit is issued on the express condition thot oll work shall be done in accordance with all applicable Stote of Minnesota Statutes and City of Eogan drdinances_ Building Otficiol CITYOFEAGAN Remarks Addition HEINE FIRST ADDITION Lot 16 Blk 1 Parcel ? owner rz! '.• -street 4210 Heine Strasse stete Eagan. MIIJ 551 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. , : STREET RESTOR. 1i GRADING SAN SEW TRUNK j 1973 190.00 9.50 20 SEWERLATERALe yFat 115 1978 1307.22 87.15 15 Y WATERMAIN * WATER LATERAL 1 135.36 15 /, 42 6? WATER AREA aa7 1976 66.00 ? * services 1978 * STORM SEW TRK 1978 * STORM SEW LAT 1978 ?I . O d CURB & GUTTER SIDEWALK STREET LIGHT 1981 81. 75 16.35 5 70 WATERCONN. 250.00 10115 5-26-78 9UILDING PER. #4822 sac 10115 5-26-78 PARK . 7680 10-12-77 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE 19 AMOUNT ? I Ae DOLLARS too [:] GASH [] CHECK ? ? HY ? ? f ?. .: NUMERICAL FILE COPY ` _. ^ .-. .___ : ? CITY OF EAGAN 3830 Pilot Knob Road I Eagan, Minnesota 55122-1897 ` (612) 681-4675 SITE ADDRESS• CTION RECQRD PERMIT TYPE: Permit Number: Date Issued: I • I INr •, ? rrn•,•:t :II JFif I'.i PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: lov',l'17 Li' 1 TCip! ? . ere'PAN F1i1'i1 11INi A'i A 3'1 ri nr I a??1,9 Al li RA'iTnM ! '; r f? i N1314.Of F C F/fJ.t Nf)nW , INSPECTION .• • DA ? PartnR No. PermR Holder Date Telephone N ELECTRIC PLUMBING HVAC Inapectlon Date Insp. Comments FOOTINGS FOUNO FRAMINQ ROOFING ROUGN PLUMBIN(3 PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINA! PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL .OW -7'ZS /1.+$ a- 2 S-47 /?3 T?f ?? w?se? Vj....,?.i, S.' ?s - ------------- INSPECTION 1ECORD ?CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: e -'. f Eagan, Minnesota 55122-1897 Date Issued: ?? ?/ t? 1 g R (612) 681-4675 I SITE ADDRESS: I? ?E ) N[ `> 1 FtA iSf I NI 1 Nf t L F?'? I APPLICANT: ' PERMIT SUBTYPE: I i f I I+i fl ?OrMARKS: Pt aN aEvIrI ifn Rv lot vc,i F, TYPE OF WORK: :4 PAlf 'r1i V/llli ? I - - - - - - - - - - - - - - - - - - - - Pertnit No. Pertnfl Holder Dete Telephons • ELECTRIC PLUMBiNG HVAC Inspeedon Dats lnsp. Comments FOOTINGS FOUND FRAMING ROOFING _ZZ ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING Gas svc TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL crri OF EA6dN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: ' Address: ? Site Address: Plumber. ? • r Meter No.: Size: -_- Reader No.: I agree to eomply with the Cily of Eogan Drdinances. tsy Dote of Insp.: WATFR SERVICE PERMIT PERMIT NO.: - DATE: No. of Units: - ;.-,yr -_ . Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Date Poid: ' N SEWER SERVICE PERMIT 5795 Pilot Knob Roud PERMIT NO.: Eogan, MN SS122 DATE: Zoning: No. of Units: Owner, Address: Site Address: Plumber: ? r•. - ' I 09ree tO COmpiy wilh tRe Cify of Eogon Ordinanees. By Date of Insp.: I nsp.:- Connettion Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Date Poid: This request void .11,11817 ?5? Y ?' 18 mooths fmm . C 44352 ???? ?/ ?/%„, , , i L4 Bequest Date ' i.re No.' Pough-in Insuec[?i n Required? ? Insoec- ?Ready Nuw ' iil Not, ity ?Yas No ?or When Feadv cansed Elecvical Contrector I herebv requesl insoection of ehove Owner elecbical wark installed aL Street Atldress, Boa or floute No. City ! P ? - L 0- ? ection o. ownship ame or No . qanBe No. County ' Occupant IPpINTI Phone No. . ? ` . q/?^-? Power Supplier Adtl,ess .-. T I 1 ry ElecVical Contractor ICOmOany Name) Concrar.tor's License No. ? l. • v. MailinB ?ess (Contrector o w' r M kiny I s?ailalioN . A[ orized i n ur (COn[rac r ner Ma ing Instalidtion) Phone Number , 4 T 2 4 L? 7 6 MINNESOTq STATE BOAPD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT Grigge•Midwey elda. - Moom N-191 BE ACCEVTED BV THE STqTE BOAHD 1821 University Ave., St. Paul, MN 55104 UNLESS PROVEfl INSPECTION FEE IS Phone 18121287-2711 ENCLOSED. 711 17167 REQUEST FOR ELECTRICAL INSPECTION ECB-00001-04 1 See inslructions for completin9 lhis lorm on beck ot vellow coOY. 443 52 "X" 8elow Wark Covered by lhis Request AAa Nep. Tvpe of BuilEine .4ooliancea Wired EquiVnient Wlred Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric HeaUn Cominercial Bldg. Furnace Si1o Unbader,. Industrial BIAg. Air Conditioner Bulk Milk Tank Farm Omrr nec,v tno, (s,ac,fy) t >r uocity ther 01hor Compute Inspection Fee Below k Fee SorviceEnhance5ize tt Fee Feeders/SubtexAers ? Fnn Circuits 0 to 200 qm s 0 to 30 qm s 0 tn 30 Am u Above 200 qmpy 31 to 100 qmps 31 to 100 q Swinuning Pool Above 100_Am s Above'100_AmUS Transrmers 4 Irn ation Booms Partia6?Other Fee n1 Specialinspection 5 J TOTAI F Pemerks 'h, ' Nough-in Oate 1, tha Elact ' InsPector, hereby Final , Dp)e cerfity tFqt the above 1 inspaction has been reaaa. Thie reoueet voia 18 manihs irom This request.,void 18 months from fr ??3QO '/?a o?? 0 3a,? 8 3 Date oi`tliis Request i -P I, as In Licensed Electrical Contr or OOwner, do hereby request inspection of the above electri- cal wiring installed a[: ,,, Street Address or Route No. Section Township Which is occupied by Range County ? -- • - Is a roughin inspection required on this job? No ? Yes ? Ready Now O Will Call Ld'/ L?? • Power Supplier ? C?Ec?r-? ,l?ur/pddress Electrical CoKEsNORICKSI EC i R M Contractol' zo. _ (COmpany Name). t*w . Mailing Authori ? This inspection request will not be accepted 6y the Q?? Q?l ?, p? Q(\ ?Rn ? State Board unless proper inspectian fee is enclosed. Minnesota State 13oard ot tlectricity , 1Q hiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 "? QUEST FOR ELECTRICAL INSPECTION CHEC6: BELOW WORK COVERED BY THIS REQUEST /e3a3 P 80133 Type of Budding New Add. Rep. Check Appliances W'ved Foc Check Equipment W'ved For Home ? El ? Range ? Temporary Wiring Duplez ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? NERO Electric Heating .`•` ? Commercial Bldg. ? ? ? r !` Silo UNoader ? lndus[rial Bldg. ? 13 ? J c - Bulk Milk•Tank Farm ? ? ? List :? ` Other ? ? ? ? p Heie?s Her?ers? COMPUTE INSPECTION FEE BELOW ServiceEnvance Size: # Fee Feedecs&Subfeeders: ' # Fee C¢cuits: # Fee D to 100 Am s. 0 Am res 0 to 30 Am eres 101 to 200 Am s. 00 Am eres 31 to 100 Am e[es Above 200 Amps. 00._Amps. $ Above 100 Amps. Transfoimers Rc?tdControl Cixc Partialorothe[fee S ignS nspection Minimum fee $5.0 Remazks - TOTAL FEE a I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough-in) 44 / r Date (Final) • ) Date This request void 18 months &om This request void 18 months from / O R 0726 Date of this Request 0'/ d I, asx Licensed Electncal Contractor Owner, do hereby request inspection of the above electri- cal wmng installed at: Street Address or Route No. .,t," ? City? Section Township_ Range County-8? Which is occupied by Is a roughin inspection required on this job? No ? Yes (Zl Ready Now O Will Call Er Power Supplier 4?? ??X'.GI:C/t.GCJ Address 4 Electrical ContractorKEN{AR ?-CK ?l TRIC Contractor's LicenseA3? , - ? (COmpany ?Sa?ie Mailing Address 13R (I h\/ 1? C 1 1 C H II'???la??€ AuthorizedSignature GARY KFNnRIC'I[ PhoneNo. e32 503c (Electrical Contractor ar Owner Makinq Thls Installatlon) 9- (??? ?jj Itl 1? 't .b: .? /1 ?? ??.n? This inspection request will not be accepted 6y the c? ??l fr,2 y ??- State 8oard unless praper inspection he is enclosed. Minnesota State Board of Electricity ?9??University Ave., St. Paul, Minn. 55104-Phone 645•7703 REfIUEST FOR ELECTRICAL INSPECTION ?p 0726 CHECK BE.LOW WORK COVERED BY THIS REQUEST dl Type oi t#Iding New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range Temporary Wiring ? Duplex ? ? ? WaterHeater ? LightingFixWxes B Apt. Bldg. ? ? ? Dryer ? Elecvic Neating ? Commercial Bldg. 0 ? ? Fumace . 0 Silo Unloadei ? Industrial Bldg. ? ? ? A'v Conditio r ? Bulk Milk Tank ? List ? List Other ? ? ? Q HeieFsI . / - • Heherg?_ COMPU'CE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: u Fee C'vcuits: # Fee 0 to 100 Am s. 0!o I-fLkA 0 to 30 Am eres 101 to i00 Am s. 31 to 0, m 31 to 100 Am ces A6ave 200 Amps. Abov 0. Above IDO Amps. Tcansformexs Rem E Con ICi . Pa[tialorotherfee Si ns Special Ins ection Minimum fee E5.00 Remarks TOTAL FEE ?Q ?Q I, the Electrical Inspector, hereby certif j 4 the?tr 'ns(?ectio has been a.?ymp (Rough-in) Date cok.;z (Final) c? ) Date lU - ,2 ?- 7 ? This request void 18 months from (oqSo-? 2005 RESIDENTIAL BUII,DING PERMIT APPLICATION City OSEagan 3830 Pilot Knob Raad, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Ca(Ad ?/zz .10 New Constnudion Reouirements RemodeVReoair Reauiremenfs Oifice Use Onlv 3 registered site surveys showing sq. ft. ot lot sq. ft, af house; and all roofed areas 2 copies of plan CeR of Survey Recd Y _N (20% maximum bt coverage allowed) 1 set of Energy Calculalions kr heated addfions TfcePres Plan Recd _ Y_ N, 2 copies of plan showing beam 6 window s'¢es; poured found design, etc. 1 site survey for eddflions & decks Trce Pres Required ? _ Y_ N lsetofEnergyCaiculaUons . Adddion-inro'icatei/on-aResepf7csysfem On-siteSepOcSystem: . _Y_N. 3 wpies of Tree Preservatlon Plan if IM plaHed afler 7/1193 Rim Joist DefaH Qptions setedbn sheel (4uildings wAh 3 or less units) Date Constructioo Cost ??vJ SiteAddress 42-10 WNC- -i / ?SG? UniUSte f! _1Aj Description of Work e? V??' G,V? F il Bld M lti YK N 1 2 ?- Fi l ) 0 am y u - g _ _ rep ace(s _ _ Property Owner 66/20 C,1fj7?,_-Prj Telephone # ei-I ) ?.?" 7J J ( (? 4"'r Contractor ?()?T? ?• ? O Gv 15 T ?. / Address b? C'ity ? r^" ry'?' State !1"? _;i `? r> n Zip 5J~v'Z? Telephone #1((;)7 )?-'?'$°lpr8 L y? 4b 1-.i16 ? ?JUN 2 2 ZUUS N COMPLE?E T AREA_C Y IF CONSTRUCTING A NEW BUILDING , ? ?- MinnJesota Rules 7670 Categorv 1 _ Minnesota Rilles 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constrxted a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone #( Telephone #( I hereby apply for a Residentiai Building Permit and acknowledge that the information is complete and accuxate; 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 far 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. Applicant's Printed Name .4rzg. zs p canYs Sigri ture OFFICE USE ONLY Sub Types ? 01 Foundatian ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi 0 03 01 of _ plex O 09 07-plex ON 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 MuRi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 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 ,?Z 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - G ive 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 _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final V/ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick W indows _ Retaining Wall Approved By: ?? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ti.. ? 9 -3Y / RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construcdon Reauirements • 3 registered sfle surveys showing sq. R of lot, sq. ft. of house; end ell roofed areas (20% meximum lot coverage allmaed) . 2 copies of plan shawing beam & window s¢es; poured found design, etc.) • lsetofEnergyCalculatioix • 3 coples af Tree Preservation Plan'rf lot plaked aiter 711193 • Rim Joist Defail Options selection sheel (bldgs with 3 or less unit,s) RemodellReoair ReauiremeMs . 2wplesofplan 1 C) -7, LS • 7 set of Energy Calculations far healed addiUons • 1 stte survey (or ezterior additions & decks • Indicate if home served by septic system for additions DATE VALUATION Ti D ?O ? JOBSITEADDRESS 4alt? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER _%tv k C c.t ?An '1 TYPE OF WORK?cQ 4\?.?,aa?..^?t fIREPLACE(S) _ 0_ 1_ 2 APPLICAP Ne# ?(03502•4???- ADDRESS PAGER # ZIPCODE NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULFS 7670 CATEGORY V4WAR2 (check one) - Residential Ventilation Category 1 Worksheet 5 - Energy Envelope Calculations Submitted 5 ZOOZ ? J _ MINNESOTA RULES 7672 - New Energy Cade Warksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ L.awn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor. Phone # Fee: $70.00 All a6ove information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. Signature of Applicant -? ?Q?lYL/Y 1 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 Air Conditioning Heat Recovery 5ystem Phone # S? Fce: $90.00 CELL PHONE # FAX # OFFICE USE ONLY ? 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.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - 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 O 32 Add'Aion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire 81dg only) - Give PCA.handout to applicant Valuation Occupaney 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 hldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addirion) Pluxnbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Fina1 _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ P/indows (new/replacement) _ Insulakon _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector •.•••••,•.?,i iuv ie.u? rm roo ori 4saa 1tC1VCttAL riYAlVlll3K?M:1'1 re al Wa 7una 7, 2001 City of Eagan 3836 Pilat Knob Road Eagan, MN 55122 To Whom It May Concern; Elder 7ones is authorized to pull buiiding permits for Renewal by Andersen_ Ptease allov,, Elder Joncs to proyidc this service for us in Eagan. 'lTtiR authcniysticm is valid for any date beyond 616101; unti.] a Xenawal by Andersen manager ezpressly revokes it in wricing to the City. I request ttus authorizafion be accepted axpeditious)y, ag to not delay in rhe processing of ovr buiiding Qctmits any fyrthCr. Plcasc caIl mc if thcic arc any questions. I cazt 1ie contacted az 763-502-4706. Your immc,diate stteation to tbis maUcr 3s appreeiated. Sinceiely, ymond R. Rau ostallafion Manager Renewal by Aadpsen Corporatitan WI OU2/ UU'L Cc: Kara-F]der 7nne¢ ?-?4 ?•?? ? M ?? (3,qMqL a:GIMADA7. Gubtlp ?M9 ?n.71?2U0.9 Received Time Juo. 7. 1 :O1PM ;?hi'k#':i?$i:;..?yiYcYA$O;:n:'FYiY,tiYY,tY,.':';.),°:?;($:?q,n":;FHF?$9S:$)};Y?:): ,°• {?r'Y:? C.T.TY OF I'-"A.r..,AN CASH:i:Ei•.. S r'f::'.RM:f.:NA1.. NCI;; 733 D;1TEe rt';ii.F>!`.)(l `f:f.M!::; 00002 ?D;; t,!h-,ME=. i:RYAt.! iJ titl:Li:;l;r 3:?:LtJ 9001 420 FiE'.:f.NfiC STR(d 99..75 805 9]01 4210 FIk:.7"r!I_: SII+A ,....`..i(i e TOtnl ReaCe?.p+ (iiP')i,"vl;;l 02.35 (;F'f)92008 t.JS:..I;: 7.D: f,'ANCY ,? . &Y OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: BUILDING 032025 05/18/9$ SITE ADDRESS: 4210 HEINE STRA55E LOT: 16 BLOCKe 1 HEINE FIRST P.I.N.: 10-32300-160-00 DESCRIPTION: REROOF ermit Type 5F (MISC.) ?r?lc Type REPAIR 0.34 ALT. RESIDENTIAL REMARKS: PLAN REVIEWED BY JOE VOLES FEE SUMMARY: ?y ?„?'p?y?,%g?? ?? ??? ,?{ ?tr. ?-rc'3£a'i ?I '^?A? @i% IlBi? ? ??$/? z °. ? ? f ?YL ? a VALUATION $5,060 Base Fee $99.75 Surcharge $2.5e Tota1 Fee $102.25 CONTRACTOR: - Applicant - sT. LIC OWNER: VOIGHT CONST, BRYAN 14632163 0006251 CARLTON PAUL 160 210TH 5T E 4210 MEINE STRASSE FRRMTNGTDN MN 55024 EAGAN MN (q12) 463=2163 ? APPLICANT/PERMITEE SIGNATURE ? -?998 BUILDING PERMIT APPLICATION (RESIDENTIAL, CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 ..? G81-4675 New Canstrudion Reauirements ? 3 registered ske surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 1 energy calcutstions ? 9 wpies of tree preservation plan H IM piatted after 7/1193 required: _ Yes _ No DATE: ? (57-? ?2 DESCRIPTION OF WORK: RemodeVRecair Reauirements ? 2 copies of plan ? 2 ske surveys (exterior additions 8 decks) ? t energY calaledans for heated addRions CONSTRUCTIONCOST? 4?1c3 r STREETADDRESS: 4"2-0 LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER Name: (f 4P"-Tz)``? IWA° PPrtAL- Phoneti: 45-a^75:52 Last First Street Address: 4O# C) 571'L?ISs?=? c,ry 67?? srate: zsp: SOO -z??,-22- Company9479hJ ` lcz?? ('i0,•r51 Phone #: CONTRACTOR 62d5 Street Address: License # ? City State: PI°'l Zip: ARCHITECT/ ENGINEER Company; Phone #: Name: Registration #: Street City State: Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the intortnation is correct an gree piy with all applicabl Stats of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes No RECEIVED _ No _ Not Req __, ;?_ jk 1 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 13 04 SF Porch ? 09 12-plex ? 85 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging O ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq. ft. sq. ft. Footprint sq. I Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies ? ?9, 7S 7 5 Total: /0 O? 1?2 S Engineering Variance ? y351 Di / ? ?-- valuation: $ .?00 16 Basement Finish 17 5wim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % 5AC SAC Units C:[7Y GI- E:(-tf;Att CASI-I:I:f:i:Fi: i iGi:F'tM:EN6al._ N(:1;: 74 DATtr 07/09/97 T7:hiE: !4;65;31. ICt a n!nnE- ;; riRv.o,N D Up:I:GI-fF 32:L0 9001 42:LCl hiF7:Pl1- SlRA 287.25 R:I.fS.; 90[:11 Ai_1.0 IiG::I:NE: S'I'h'(1 1!7.00 . ? TO'F,a:1. Rc.,rF2:lp+.:. Aiiiouni:li Egi „i:.'."i CRO r'[;'339 USER zn2 NnNCY -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: auzLozr+s Permit Number: @ 3 0 3 9 5 Date Issued: 0 7/ 0 9/ 9 7 4210 HEINE STRASSE L07: 16 BIOCK: HEINE 15T P.2.N.: 10-32399-160-00 DESCRIPTION: ? Y' IP P. ? 31?g' PERMIT SIDTNG/SOFFIT/WINDOW ermit Type 5F (MISC.) ,,rk Type ALTERATION h 494 ALT. RESIDENTIA.L { 9? 3 ?° `h£ bMi a`i a?? L' N r$'„ j ?+31? }@? '`.?- ?- { REMARKS: FEE SUMMARY: Base Fee 5urcharge 7ota1 Fee VALUATION $287.25 Y_ $10.00 $297.25 S20omm0 t,vrvirsM.ivr[: - wpplicanc - 5i. LlL, UVIlIVtFf: VOIGHT CONST, BRYAN 14632163 0006251 CARLTON BARB 1650 210TM ST E 4210 HETNE STRASSE F,ARMINGTON MN 55024 EAGAN MN (?614) 463-2163 (612)452-7557 ? Z hsreby -aCkh:tsw10dge 5tatutes.ar t?#°?Pf Mn . _ . . ? . ., ? =ESIGNATURE ISSUED ;BV: NATURE V?= ;? . a 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL? ?9 7 ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Con trudion R a i nt< flemodaVReoair Reauirementa ? 3 rcgistered site surveys - ? 2 eopies of plan ? 2 copies of plana (inGude 6eam 8 win0ow s¢es: pouretl fid. design; etc.) • T sfte suneys (exterior additions 8 dedcs) ? 1 energy calalatlons • t energy ealalatlons Por heatetl a0dkiona ? 3 coPies M tree preservetion plan if lot plattetl after 711/93 required: _Yea _, No DATE: ?9'?I ? CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: S'?CJRL!ig? LOT /(P BLOCK ? SUBD.lP.I.D.#: PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER /0i?l- S10"i c, j 5D r-?fr, 3 r,., zw st /ek;?'u -o«o2 Name: 04,917vI) Phone #: 2ST"7 Street Address• '21-2`o /S(°,he S'7S'PSe. City: State: Zip: Company: WIL42 V2 16rf1- C?l Phone #: ? ?- L6-7 Street Address: 165U dl0 License #: City: ?rr???r67?"' State: 17?40?1 Zip: Company: Az - 4, Name: Ph'one #: Registration Street Address: City: State: Zip: Sewer & water licer.aed plumber (new construction onty): . Penalty applies when address change and lot change am ,Bquested once pertnit is issued. I hereby acknowledge that I have read this applicaUon and state that the infortnation is correct and agree com I h all applicable State of Minnesota Statutes and City of Eagan Ordinances, ?] /\ 1 Signature of ApplicanY: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Trae Preservation Plan Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscelianeous ? OS SF Misc. 0 10 = piex o 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move n 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Buiiding Permit Fee Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: MClWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Valuation: $ y % SAC SAC Units cirr oF EaGaN 9795 Pilot Keob Road Ea9an, MN 55124 N2 4822 ' PHONE: 454-8100 Receipt BUILDING PERMIT APPLICATfDN 43 000 # 10115 - $ . , To bo wed fer SF Dwlg. d GargFt volue Date May 26, , 19 78 . -- Site Address 4210Heine Strasse Erect Occapancy I 9 Lot ib Block 1 Sec/Sub. Heine Strasse AA(}g rl Zon;n9_ Rl 10 32300 160 OL Re air ? Fire Zone 3 Parcel # p E l ? e of Const T V . n arge . yp z Name DouB Herschback Move ? #k Stories 3 Addrea Demolish ? Front 52 fr. ? CI Phorre Grode ? DePth 43 ft. ? Tollefson Bldrs. Approvak Faes o Nome qddress 13816 Hnl)znkn Ln r r:«. Snole Vallev o?.,- 454-6873 Name _ Addreas I hereby ackrrowledge that I hava read this application and state that the information is correct and agree to compiy with all npplicoble State of Minnesota Statutes far(,(d Ciry of Eogan /Ordir,wn/Jces. Siynoture of Permittee ?? //-??-?L?• [/?--r" ?' k A Butldinq Permit ts issued eo: Tollefson Bldrs. all work shall be done in accoPdance withcoll o ic ble State of Mii Assessment _ Water & $ew. Police - Fire Eng. Plonner - Council - Bldg. Off. _ APC Permit 1LJ.VV _ $urchurge 21.50 Plon eheck g,qC 500.00 Water Conn. 250.00 Water Meter 60.00 7otcl 954.50 _ on the express condition that and Ciry of Eagan Ordinances. Building Of4icial ? ?, ? ,q . C/ IIUILI)ISdG PFF34I'?2iP!'r,ICA^.'IQrt Znclucte 2 sets of piaqs, 1 site p2an w/elevations and 1 set of energy calcu2ations. u-o 413? e 6O To be used Lor Valuation Site P.::lr.rs,:. ya/d une S r'ass"e ^_c.!sur. N,? ??: ''' chwner resc J Crontractor -J? //p.-Jsd ,J Address f.Z_A,>i_ ur?r/-21 t?sch. /Fng. P.idress .? , v ?•ce• ._ !_e_ /D 3.1300 /GO DI m^lep';cne Telephone Tcleph<)ne hrs? G s' 7 3 OE'FICE USE EreCt ALCGT Repair Lnlarge Move GL3(32 V OFFICE USE fate o_ f ngproval & Initial ...,sess,.??-:nt -!.f•.rE? --?///l? ? P7aterlSewer. Police Fire png. Flanner Ccunc i i Rldg. Off. A.P.C. _-- Cccup<.nc« ;nin,! Fire 7one Type of Const. V fi of Stories r•ront S,2 FEES S ?irc1; ?,sg c '? / P1an Check SAC rs Oo ..ater rci;n. Si?Z7 ? t'?xter tsteter -- --- - -?.aa-?? _ TOTAL t 3??6 -*? y?3?? 7ollefson Buildere Itic. F. C. JACKSON LAND SURVEYOR REOI9TFRE0 UND[R LAW6 O? BTATF OF MINN[BOTA LIG6N6eD RY ORDINANCE OF CITY OF YIMNEA'0619 3818 EAST 367N STREET 55417 727-3484 burbepoc'o Certfficate ? ? ? ? Q? ? I HFR[BY CERTIFY ?` = 3a • - ?'--???- /?? - ---- - ? ---- - -: ? i o r - - - - - - - -? ? - ?: I e?Q I ? ' ?-17% ? ? 9 ^ .? n \: . I ? ?f o?a ore? . 43' -1- - - - _ - 3a ?_------ --- -?a ? - - MAT N6 ABOVH If A TRU[ AND OORRBCT PLAT OF A SUNV[Y OF Lot 16,Block 1,Heine Straeae, Dakota County,Mtnneeote. AS 6URVEYEO BY M6 THIB-318t. DA,, OF March A D_ ? ? i O O ' ? ._. ? - ???.:? ?, ?.? ? -- ? Or.10824 183 19A & , 07?x/ Cities Digital 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. ? ? r , ' ? _ ? p??. F? ?J . . ? / .. •._ E . , \ ? `i- ? ? 1 :. v; .. :'? ? ? ? , I 5 !S`- ? ?, ?? rio,to E ':"J.?t-`d ip;? . Pi9ii f;lIESI'?? , - .... - F` n` i SP. : ?+ . . . x , n , '--'f '4• :`_?"? ,?-,. _ .... ? C . . nn . . ... . . . .. .. . , ? . . Clil!"'? ?l S ._".?.? 1?.•I? .<.. . .i f.?.?dLi eoZ", ME, 02 IL9.77, ? .. i3 ? 2 ? , • ' .. . . ? .,_ ? .. ., .? .: :. ? ' -t::.'_i?a ei':n ??5?0 ??:' ?i??L•l ? ??. Y _??av .? ?,?ae ?? oo, ??? ?,T?;,z,•.? ; . . °, !.• c'i r' . .. TZr'' CT7' YE?JLUi1L?T7 \Li C'C17_{+e tiLn,. ' 'N c'I £ v C!t . r- -: R lui.'?.1.? Yr.:0J?'-1?...?_ .. L?.9 t' r,-] ,'J f'I vv -•,. __..__ __.. [Ipt77C:7''FI t!? .22;:E°0R AYb, 6-?.r,2 13iJ'P)aIX's ? ? ... ? r . , . . . , - , . . . ,. . . . .' , . . . . . .. . , . ... . .. . . ? . . . . . . . .?. ? I. .. tv . .. ? . . ' . ' . . . Y S t . t r.+ ? > l k ? ` ? >? ? 9 t3 ?f L f?"?p? • t f.m "w?+t'?r{v?a+??Ao iS??l p : ?'?ii 4 > ? l?F' ' G9v y a i ??Y t i ? ie v?t f ? r y F ? ; J , } i. ? '?l(j}/,£?{py, ? •e v ?.?? l1 1 .. .. . l?'I ? . • -...? / . .: __._ . ,'t ?. ' ? . • , (?? f?? .. . - r;;i ? `.? ? ...- . .f_ti? ; -`._..ir'; e?? .. l.,, . ?- . 5. `,-'I -4 1 f C'"°" { s . ? ? rc-- ? _ 4 rtT ??i?L? : ? , a n a .?..:-....-. ,. ^Y-•^-?. ? _ ..? r„ ?. _. ?- ?? 7-7 L.L?.?? ?? l ` ,: ? 4 , ?',j` . ,; •:. ``? .i ._.,. i ? r .,- ? . =i ?.1 J r T. \ J ? . ? ?.,? rf G.<v 7s -Z) CITY USE ONLY L gL no RECEIPT #: SUBO. 14P I VI -P I Sl- RECEIPT DATE: ! O-z J"`O l J PERMIT i{ 4!y_'1 ? -1 '7 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OE EAGAN 3830 PILOT YINOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventerfiorunderground sprinklersystem FIYTtIQFS EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refur6ished ` requires MPC Ilc. 75.00 X = $ Septic S StBrtl abandonment 30.00 x = $ RPZ new installatlonlrepaidrebuild 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Undergrounds rinkler ifdwellingisunderconstrudion 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under constructlon 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e 50 -> -> ---> $ .50 Total Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------e ----that - I - ---•have -------------------....-------------- - - •---- -------------•-iry - --------• ------ - anoes. - Eagan - ordin - I hereby-adcnowledg read this applicatian, state that fhe informstion is - correct, snd agree to compty - with - all - applicable C - of - It is the applicant's respansi6il@y to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused 6y the Ciry during its normal operational and maintenance activities to the tacilities construc[ed under this permit within City propeRylright-of-wayleasement. SITEADDRESS: LbI C7 Nij NS .4WZ44Q-S5 OWNER NAME: :-hp2akp a)2,LTt*) TELEPHONE #: laSl - i-1??-'7SS7 (AREA CODE) INSTALLER NAME: fwC2 kccyrSlz STREET ADDRESS: CITY: SIGNATURE OF øø ÿþ ýüü ûþúûúþ ùüüúþîùüü ä óó ýüõ ýüûúùøêü ÷úùãé ùåø åýÙåúùåüëüýãüïûÞïãüïûýÙ ü ê ðê õþåã ç í íô ß ôù ýüÿøêçí í èüßí ó÷÷ò õñð ùù ýé ûäõ ô äý õåã ÿåã áßóàôôô ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü PERMIT Permit Type: Building City of Eagan Permit Number: EA105815 Date Issued: 07/31/2012 Permit Category: ePermit Site Address: 4210 Heine Strasse Lot: 16 Block: 0 Addition: Heine 1st PID: 10-32300-00-160 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Kara Benson Comments: 9533 - 367th Street North Branch, MN 55056 651-674-1766 BL - Base Fee $500 $40.00 0801.4085 Fee Summary: Surcharge - Based on Valuation $500 $0.50 9001.2195 Valuation: 500.00 Total: $40.50 Contractor: Owner: - Applicant - Renewal Andersen Barbara A Haleen Carlton 1920 County Road C West 4210 Heine Strasse Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use I ~a1Sol City Of l N EdPermit lj I f P5~ 1~ I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: J J Phone: (651) 675-5675 I I Fax: (651) 675-5694 I I I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone:, ` L-5- Resident/ Owner Address / City / Zip t~ ail QCt 3(L Z Applicant is: Owner ontractor Type of Work Description of work: Construction Cost: c3©c~ Multi-Family Building: (Yes / No CompanyA~, Contact: Contractor Address/b-SZ) l y q~ City: State: Zip: Phone: b) ( Z Cam) -463- License Lead Certificate 0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of formation may be classified as non-public if you provide the in e specific reasons that would permit the City to conclude that-they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the dinances 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 witho 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 Minnes t ild n must be completed within 180 day f permit issuance. x G4 G Appli nt's Printed Name x App' nt's Signat Page 1 of 3 _ , . . _ _ . : : �d� .._,.-�4�� _ _ ;�'`�. ��t `5' _ � ��_ __ .�.__ - _ — ___ _ - _ _ �',` 3 L �,,,'__..,. �., f�� .� � , ; � `� ____ � . y�a,� � b .�._. �� '"r � � �� ' �� / � 4 ! 2 Z� � � r—�1?�` � * ` I ` � �� j��t �s rV{ __ � � !nl t% . c''1 +��,��-r,.« J�, � � � . �} r o M . �.^ 4 � p �►E m /�i- 9'�:�t�", � �>r �` _ \� ,�' � ,Sc: �l.�.; /��..3 G N = q� � �f•-o�o c r�-� v � �- : � � . � .�r�t, A ''� � l�wt"'/�r� � `'� . j!3 }r o• 3• �o•� -�� cd�� - � { ._... ,_._._. " ,��'''�10�y N c ._ : ( o �ctK '� �� ,--- t��a ��t;��-�� J w � I ' � � „ . ��f.'� �.;�_ k�,� , ,, � , .�� ;.�...P._.. �� t ,.. ,.�. _. ,�.. � , �v�� --�'�v �.�.�' . r _ __._____� �__ .� � s��-, __ � � �� , �. �....�. 4 'NiR�1/ C�Ttf'1/ I 4 �iEi/►a01tf �A 'tltt/��lMO� lRAT C�A �iRYSY O� � _.-_...-.-._.-,-.__ -- - - __ _ _;. ,.. � _ _ . _ . . .__ . e f,g,,� ��`}^��:��s< ��.��_.�, ��.�",.-�: r.�.+�..� t�-� �.��'"� I. -'� _ _ _ _ �t �} .,. _,. �, _ _ t�� X 1.,Z.-j�rE � . _:. r_ .. . �lr�'�' ,.. ,;i. ._.,. ... ... _.. �, � ,.. ' ��,�g : �_,. �,. . . . _ _ , . m _ _. �„��, ,a1.�:?.�q�<''' �� 'd..�ti..�.c2; ,.�A��a-��_.��sr�''"�.,�. �,ej��^'1�°l- :�L�:: '�_ �''�,a,�t'�_�?�'.��- f � a �_ - - . _ � _ -�- ,1�� ,� �,��..,�` - s,��§� '''� ^�`��_ , _ ��.c� _ �°�°�'.___ '�, _ � � _. _ , __ . � r __ � - - .. , , ,,�- . � _ �- � �' , �� .. � � _ _., n � . _ _. _, _� � � � __ _ � _ . � _ _ _ �" �`�� _. a —.. _ '- � . � ;��,��_ , _ _ _ __ / % � �� " Use BLUE or BLA �. G�� O/ I � CK Ink � ` r for Office Use I � (A� /� � I ,`7� V�� O��U ll� Permit#: � I I � Permit Fee: � 3830 Pilot Knob Road ` I `;� I Eagan MN 55122 � Date Received: C�� /� Phone:(651)675=5675 REG�� I I Fax:(651)675-5694 I Staff: I �� 3��k i _i 2015 RESIDENTIAL $UILDING PERMIT APPLICATION ' Date: �y��`�'S SiteAddress: ��rC l7�i�.1� J1�Y'ctSSG-' .�y'�e'� Unit#: �.�� -��.�� Name: �'�,QY'c� �R�I� Phone: G�`�f-�SZ`75"S� � �� r �� '�� Address/City/Zip:- '+�Z�O /��e -�'�25$'°�,�� ' �� `;- � � � �"x' Applicant is� X �Owner> ContraCtor � — `y Description of work: /L�at.�•rc� ,qparr� [�u�tQ,�-� C�i��'�q �'y�e��'�I�/�D�c°; —T-- ., , n i u Construction Cost: Multi-Family Building;(Yes /No 3C ) � „ �� Compariy: �� iQ �� Contact: Address: �t�l�ti'��t�1' City: ' State: Zip: Phone: EmaiL License#: � Lead�Certificate#: If the project is exempt from lead certification, please ex�ain why: y � �j n � �} /� . ln�� <�. %S � !!tii �k�Q ��'�e°� S �t-c.�.�o t�tirttt�t. �cr��-o.�vit �t�c �� /�///.� �'4.9 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: IUU,�F��J�ns�r��1 supporting�locuments t�i�` ou s�rbrn��are c�r�si�lered#��e�u►�b�i��n�Crr��t�o� �?s�rtio�i��f r �t�i�e�r�for»�a#�o��y�e clas�►fisa►�s ndn'..��`��f�ou pr�vitle specific�easons�`haf�+ira�al��r�3f:t�ie��ty�v . �'�, �� .. .� .: , , �� ..� � � �1 _ -�4�► #,tl�� :�re�#ra�e.�e�ret�. �;' CALL BEFORE YOU DIG. Call Gopher State One Cail at(651)4540002 for protection against underground utility damage. Call�48 hours before you intend to dig to receive locates of underground utilities. www.qoaherstateonecall.ora � I hereby acknowledge that this information is complete and accurate;that the work will be in wnformance 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 be completed within 180 days of permit issuance. x �Q'V W Q f� `Q�/Tc�y� x �Q.t Cz C.G�t� Applicant's Printed Name A plicant's Signature Page 7 of 3 � V V ��Y� �t�l��f� YL4V A! •1��V 4��1F. ��r. - sue�rp�s 131 �-1 � _ Founda#icn _ Fireplace _ porch(3-Season) _ E�cterior Aiteration(Single Famity) � Single Family Garage � Porch(4-Seasonj T E�cterior Alteration(Multi) � Multi `?o Deck � Porch(Screen/�azebo/P�srgola) ` Miscellaneous � Q1 cf_„�ex � Lower Level � Poot � AccBssary Building WQRK TYPES � New ^ Interior Improvement _ Siding _ t?emolish Building* _ Addition _ Move Buitding � Reroof Demolish Ir�#erior Afteration � Ftre Repalr _ Windows � Qemclish Foundation �( Replaee � Repair � Egress Window � Water Damage � Retaining Wall "DemoUtion of entire bui�ding-gfve PCA handout to applFcant DESCRIPTION Valuation ��- �$'v .�� Occupancy C� 1 MCES System ________ Plan Revlew Code Edition �nr z�i.S"� SAC Units (25%�1 QO%�,) �oning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #af Buiidings Length Fine Suppresaion Required Type of Construction �_ Width �iEQUIRED INSP�CTI NS Foatings(New Buiiding) Meter Size: Footings(Deck) Final/C,O. Required Footings(Addition) � Fina1/No C.O. Required Faundatian HVAC Gas Service Test Gas�ine Air Test Roof:_,_,_ice&Water _Final Pool:TFootings _AirlGas Tests ,_,_�inal 10 Framing Drain Tile Fireplace:_„_Rough In Air Test _Final Siding:�Stucco Lath _Stone Lath _Brick insutation Windows Sheathing Retaining Wall:_Footings�Backfill,_,_Finai Sheetrock Radon Controt Fire Wails Fire Suppression:�,,,Rough In.,_Final Braced Walis Erosion Contral Other: Reviewed By: I� Y1n V►� i K-�y 44- ,Building Inspectar RESIDENIIAI�FEES Base fee Z 7 a Sq • f T x � /�: o o ��j . P� . Surcharge - Pian Review p e Q��.G 2 � �'C�t. i��i`� � �,�F u��R-�: � MGES SAC � City SAG ,(A"�7 S i�'� f� l,� t� Utility Connectic�n Chargs S&W Permit��urcharge Tt�atment Plant Copies TOTAL Page 2 of 3 RECEIVED MAY 16 2019 r For Office Use / : "oi ::::ee: : / � S) l .° .0 EAGAN 0?9(k. 5� Date Received: ( C, 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: rte' buildinainspections c(�.citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION r Date: ,-7 OP Site Address: 4J a HE7E 57i /455 Unit#: Name: PAUL -f,4J3AP-et- A a L T&V Phone:Ao 7 4Sa - 7557 Reside* - _ owner Address/City/Zip: 401/6 FiE/l1/e— ./ 7p Pc5,5 Applicant is: Owner Contractor Description of work: REP/i44,6' 14/4701, )9A/446e70 sit big?Eoek, R077 bsfi rkeiefr Lkc. TYPO, InfOlW Construction Cost. /Q/066 '' Multi-Family Building: (Yes /No)<- ) _'; Company:RVINI 7P-(1G 144// 71/G , Contact: mirk E4 -76,141 Address: cf ckt C Y 74.._ L,4 ,€' a City: 13d/J/1/,51,IAZ, ContrectOr State:j''1fZip: Phone:Zq5)-3 2-4/3 Email:/U/ i /1P-0471P2 /1/61 License#: B G3� l�,�S Lead Certificate#: V47 —10/333—a If the project is exempt from lead certification, please explain why: C.11 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: more,Ohms and a d # tr submit antconsidered to be public,nfotmatlon. liorilnrs oftheInformation maybe doss as. , if Ay reasons that would ` it the to conc that.. . array so 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.citvofeaoan.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.00pherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv. ofplans. x rn(C tiA .. b57 -' x //, �1 / y -% Applicant's Printed Name Applicant's � re `. IO 1ieine S-k-cCLs52 e /S5-»C DO NOT WRITE BELOW THIS LINE ,SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ye 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 !! Nater Damage Retaining Wall *Demolition of entire building-gggive PCA handout to applicant DESCRIPTION // Valuation gl-UL° Occupancy SY MCES System Plan Review Code Edition ( SAC Units (25%_100% ) Zoning 4iftv__ 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/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final r 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 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: RJ , Building Inspector RESIDENTIAL FEES Base Fee p " '" yAi „, .T f Surcharge _4011( c ��1 Plan Review -0 ) MCES SAC City SACzi � / � � Utility Connection Charge l / 6 b S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156280 Date Issued:06/24/2019 Permit Category:ePermit Site Address: 4210 Heine Strasse Lot:16 Block: 0 Addition: Heine 1st PID:10-32300-00-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Barbara A Haleen Carlton 4210 Heine Strasse Eagan MN 55122 Mr Rooter 5155 East River Road, Suite 418 Fridley MN 55421 (763) 551-0555 Applicant/Permitee: Signature Issued By: Signature