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4235 Heine StrasseCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r DATE - 19 wcceIvec FROM AMOUNT $ I & DOLLARS ?oo ? CASH F?CHECK FOR e??' FUND CODE A/AOUNT » ?. " ..? .. Than ou , BY White-Payers Copy Yeliow-Posting Copy Pink-File Copy CITY OF EAGAN , . 3795 Pilot Knob Rood Eeyon, M!1 55122 PHOAIE: 464-8100 BUILDfNG PERMIT aeceipc # tA L. ....a #.,. ," •11.4r/rpp S114,0o0 n...e ? SiM Address _ Lot 3 BI, Parcel # 99 W Name _ z Address - ? ?:.._ St. 5ec/Sub. lleine lat 030 01 Erect %Q Alter ? Repoir p Enlorqe p Move p ' Demolish ? N `: 521,11 4 ,ugust 1. , 19 ;3 Octuponcy Zonin4 1 Fire Zone Type of Const. 'V .# Stories ? Name •ca,??.caa a? cavova... ? i?,?.. ?+vrv..... z? " ,718 W. 64th St. Assessment O? Address C, ?iczfield Ph? 861-1539 Water&Sew. 1t? Police W 12- Nome pim ?? Address Enp. iW Ci phona Plonner Council I hereby acknowled9e that I have read this application ond stote that Bidp. Off. fhe informotion is torrect and ogree to comply with oll appliceble APC Stote of Minnesota Stotutes and City of Eagan Ordinonces. Sipnature of Permittee .. 2a , . , .LlC. A Buflding Pertnit is issued to: oll work shall be done in accordanee with oll opplicoble State of Mlnne Buildinp Officiol I 5q. Ft. Fees Permit `"'o• Jv Surcharqe 57.00 Plon check 214.00 SAC 525.00 Woter Conn.45n. () Q Water AAeter 60.00 Rood Unif -lt' Totol v1794.00 on the express conditlon thnt Stotutes ond City of Eepon Ordinance:. ? • ..... Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3`7 ? c ( ? 0au ?j H.V.A.C. Well Water . Disp. Sewer Ekctric ? z 7 6ss pw nE-r' q--l 5$3 11 . Inapection Date Insp. Other Footinys ? FoundKion Frsmin9 ? Rouph Plb¢ Rouyh HVAC Intulatfon Final Plbp. Final HVAC Final Watsr Dftcribe Location: 4Vell ... Sswer Pr. DbP. .. Receipt PLUMBING PERMIT Permit No. ?CV , CITY OF EAGAN .1 Fee ? Fill in numbered spaces S/C Type or Print /egib/y Tot. 1 . 1. Date Y 3 2. Installation Cost ' ?-l l• n? : tr q;. . 3. Job Address 4?, 1!r LotBlk. Tract ; ?A t- 7 , ? ? j s =r 4. Owner h!2' pa y tt --'C, r Phone '? 3 S- /OK) S ? 6. Address v l??i 1e o- ?ry .s 7. City ?? ??7T(.r State Zip 8. Building Type: Residential JR, 9. Work Description: New fR 10. Describe 11. Commercial O Add O Alter O Institutional ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Softner Shower Well Kitchen Sink ' Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordin ces an codes,96verning this type of work. Signed :A ?G for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ,. CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost ? 3. Job Address 112 Lot = Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City Siate Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Epuioment BTU - M. Ea. Forced Air No. EquiPment CFM Ai H dli Mfg. an r ng: - ? Boilers Mfig. Mech. Exhaust Unit Heater Mfg. Other Air Cond. , ?- Mfg. " Gas, Piping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type ofi work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 10 ' ' CITY OF EAGAN Remarks Addition HEINE FIRST ADDITION Lot__ 3 Blk 1 Parcel 10 32300 030 00 Owner'? c(</ ?? ?%f, ; ? str?t 4235 Heine Strasse state Eagan, tIi 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSUFF, 395 , 1012.47- 101.25 10 101,31 STREET RESTOR. GRADING ] SAN SEW TRUNK I I90. 00, 9. 50 20 $ • O ?? L rJ SEWER LATERAL j307.22 87.1$ 15 .5?.? water lat. 15 WATERMAIN ** WATER LATERA 1978 24 . 163.27 1$ ' 9.IiL L??///?i / /I 6 r WATER AREA 2-7 ? 1976 66 00 - * S rvi es 1978 ** STORM SEW TRK 81 1978 _-? =?;?, rt* STORM SEW LAT 1978 /aod.oo C?'/I/ G ?1 G J CURB & GUTTER SIDEWALK STREET LIGHT 1981 $ 81,75 16, 35 _ WATER CONN, e}?Q;Q? 37589 $-1-83 _ BUILDINGPER. 8299 ?-- . SAC Z? S " PARK 1LO. O 76 ? -I:1 - y ? I CIT i? JF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 pERMIT NQ.: Eagan, MN 551 21 DATE: ? Zoning: Na o4 Untts: ? :.er. t z en ; As soc Owner: Addresr. t„ ?.e Ist Site Address: . Plumber: n., Meter No.: Connection Chorge: Siu: Acwunt Peposit: i . - Reoder No.: Permit Fee: _ .: i 1 proe [o aompif wilb lM City of EoYen Surcharge: . . . ..;o tCr O?dinenas. Misc. Chor9es: Tota1: B Date Paid: Y Dote of Insp.: insp.: CITY OF EAGAN SEINER SERVICE PERMR 3830 Pi1ot Knob Road i: P. O. Box 21199 ' PERMIT NO.: Eagan, MN 55121 DATE: ? • s ]. Zaning; No. of Units: Owner: uentLan (; ASSOC Address: Slte Add. Pl umber: 1 sgree to oosptfl wlth !Iw Cily of Le"s Ordinences. By Date of Insp.: C.onnecNon G,arpe; 425.00 pd Acooui+t Deposit: Permit Fee: Surchor+ye: ? Misc. Choroes: Totol: Dote Poid: . . ?.?... .. s .: . ' ...-e..??':_i:..,.J-' (Err#ifirtttr af (?rrixpttnry Citp of (Eagan Elrpbrftnrnf nf BuilAing 3nsprrtimt Thir Certificatt iccuul purtrutnt to the reqairemenu of Section 306 0/ the Uniform Buildrng Code «rtifying that at tlx tinu of ittuumt thit ttructure wut in compliunce with the vatioat ordinarurf of the City nguluting building roattruction or stt. For tht (o!louvrig: U. clr um '7 DwVGAR Wa,.N?,,,a. 8299 ?w-crTYp 1?3 ryWc?? V FiRS N/A zm, m.t.n Rl OwrcrofBUONne ?CEAM THUL AM. 1962 MARXI.APID AVE.E.,ST. BugdWgA? 4235 HE]IE STRAS: eww?BO? j s L 3, By i u.t.: u.9.e. This request vcV Q`z\ L--2,l .p I t-2j?? 18 mon[hs.from -? ..- . _" ?? 27660 3gzs1 3p .od Request Uate /q ? Z Pire No. RouHh-in Inspection Fequ red? ?fleady Now ?'iNill Nolify. Inspec- _ l ' f[1'es ?NO ?or When ReadY ?g?Licensed Elecvical Contractor I hereby request inspection ot above q).Owner alectrical work ir„talled at SVeet Address, Bax or Route.NO. - ?1a3?'HEZAJE 57Rf}5SE Ciry ???r?/'I? er.LOn o. Township Namo or No. RanBe No. County ?,CoiA OccupantlPRINTI Phone No. c•, TH L 7;7I-?yoc> Power Supvlier M KO74 G? Atltlress M7?1J6l0,V Elecvic CV actor (Company Name) ' Conirar.tor's LiCense No. ? Mailing AtlJress (Convector or Owner Making In tailationl au,1 5 2'? u? s Author' Sign ure 1 r r Making Installation) ? P?ho7ne? 7Num6er ?/? . . / / 1 ^ / c-/V MINNESOTA STATE BOAND OF ELECTqICITY THIS INSPECTION FEQUEST WILI NOT GriB9s•Midwey 61dg. - Noom N-197 gE ACCEPTEO BY TNE STATE BOAPD 7827 Universitv P.ve., St. Peul. MN 55104 UNLESS PROPEN INSPECTION FEE IS e.___ Ia." 1ne o.« ENCLOSED. EB-00007-0" REQUEST FOR ELECTRIC0.L INSPECTION 0 ' See inatructions for tompletin9 this form on bock o( yallow copy. ?7ss? "'X =&e;ow'Work Covered by This Reyuest . . 3g -7 S ? ew Adtl Rep. Type of Builtling Appliances Wired Equinmeni Wired Home Rangc Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. fumace Silo Unloader Industrial Bldg. Air Condi2ioner Bulk Milk Tank Farm ther ne,v iher ISUecityl t er peci y Other Othiir Cnmpute lnspection fee Below N Fee ServiceEntrenceSize p Fee Feeders/Subfeaders !! Fee Circuits 0 to 100 qm s ' 0 to 30 Am s CLb 0 tn 30 Am ? 101to 200 Amps 37 to 100 Amps 31 to 100 Am s Above 200 qmps Above 100_Am s A6ove 700_Amps Transtormers Remote Contml Circ. ?ffC ,°0 Partial%Other Fee Signs Special Inspection S?? TRO Remarks . ? ? qL FEE 7 Rough-in /?)] y ?y" I, the rical ( (l O Inspectar, hereby certify that the ebova Final a Ff./Ye/?jL(? a This reQUest voiA tion has been r_ . te,.,,,n,n?G«,m ? This request vnid 18 nwnffis tmm 'TJ 27658 L a, 8 1, 4Ervt.¢_ ( s±- 3 8 (00(a Request aate Fire No. HouPh-in Inspection Repuiretl? OReady Now Q Will No[ity, Inspec- 3 ? ,f21'es ?NO mr When Ready ? LicengeA Eleclrical Conhactor 1 heraby request insoection of ebove 1?0wnei -' elaclricel wark inslallad at: . Street Atldress. Box or Route No. Citv „235 E..t?L'E S TRA SS E G-A/V ecuon o. Township Name or No. anee No. Counry ro7,4 OccuO,ntIPftINT1 Phone No. z? < "?uL Power Supplier AdCress - ' 119(?0 7-i4 La urv7 6 GT ?' GTO Electri I Conn acior ICompany Namel Contractor's License No. ^ Mailine AdJress (Convactor or Owner Makine Instailation) - Authoriz Sie^a re y(Com tor ner Making Installationl Phone Number MINNESOTA STATE BOAflD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT 6rip9s•Mitlwey BItlO. - poom N481 , BE ACCEPTED BY THE STATE BOABO 1821 Univeraity Ave.. St. Peul, MN 66104 UNlE55 PROPER INSPECTION FEE IS nk...,e Mtli 1977111 ENCLOSED. REQUEST POR ELECTRICAL INSPECTION EB-00001.03 , See instructiaus for completin9 this form on back of yellow cooY. O17 e 1658 fQe:oc:jVork Covered hy-Ihis Request 35r(00 (p ew naa Rep. Type oi Building nnouances wiraa Equipment Wired -Iii1ome Range - Temporary Service . Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tunk FBrm lher per,i y thpr (Specify) t er Gecify t er Other Compute lnspecvon Fee Below ' # Fee Serv{ceEntrence5ize #' Fee Feetlers?5ub(exdera ?? fae Circvits Oto100Am s Oto30Am s Oto30Am .2.00 101 to 200 qmps 31 to 700 Amps 37 to 100 Am Above 200 qm s Above 100_Am s Above 100_Am s Transformers RemoteControlCirc. ? Partial%Oth Signs Special Inspection ( ?P6 P ,d? ? Remarks OTAL FE Houyh-in a ?'L s Date I. t?e Elacvicel ??s ector, hereb final ?? a... pection,has beentl I This request void 1 R ,.,..,.th? o- \ . . " ? ... . . . AAPLfANr_F . PEAFOFiM-pN? ZEcT Aftaiih to gas kne 8d/acepl'ro rBgulator ` HeaUng Contraclor conlruriea,?air Hiy`g ? Name. of Teater ?.? Date _???_ = ------------° °-^ ?--- ' °---_? Job Address ? 1-ki? Heating Contraclor _ ControlledAir ? `?-- Name of Tester oate Percent OZ ` Fercent COZ Percent CO n ? -?---- I Stack Temp. ? ? 0 ? 0 r m c r z I o i o + ? 5 ao`1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New ConStruttion Requirement5 • 3 registered site surveys showing sq. ft. of IoL sq, ft. oi house; antl ali roofed areas (20% maximum lot wverage aliowed) • 2 copies of plan showing beam & window s¢es; poured (ound design, etc.} . 1 set of Eneryy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 * Rim Joist Detail Options selection sheet (bidgs with 3 or less unks) DATE SITE ADC TYPE OF APPLICAN7 ULTI-FAMILY BLDG _ Y ? N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS r/ /V/Ca 14 ' f ?Uf CITY TELEPHONE # IS?-?OJ-6959 CEII PHONE # L614 STATEh4vl ZIP FAX #06-2--'9)C6 -PP.Wy_ PROPERTY OWNER TELEPHONE # 65? ? ysy- Y270 COMPLETE THIS SECTION FOR "NEW°" RESIDENTIAL BUILDINGS OFILY Energy Code Category V-IIVNl:SO'CA RGL1:S 7670 CA"1'h:CORY 1 mIN S? 7 submission type} . ReSidentiai Ventilation Category 1 Worksheet Submi[[ed • N ? ?rkSMe? • Energy Envelope Calculations Submitted JUL 11 2002 Plumbing Contractor: _ Phonc # Plumbing systcm includes: Watcr Sohcncr Iamn Sprinklcr ?cr.- (. Watcr Hcatcr No. of R.I. Ba[hs No. oF Baths Mechanical Contractor: Mcchaiiic:il sN,tcm includc,: Sewer/Water Controctor: Phone # Phone # P'ce: $70.00 ------------°--------------°----°--------------------------------------------°•--------------°-----•------°°--°--- 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 Ordinances. SignatureofApplicanf?l" OFFICE USE ONLY _ Air Couditioning Hcat Rccovcry Sy'slctu RemodellReoair Reauiremen[s ? x . 2 copies vf plan . 1 set of Energy Calcula[ions for heated additions U LV . i site survey for extenor addiGons & decks . Indicale if home served by septic system for additbns VALUATIONtPIJ ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4f02 OFFICE USE ONLY ? ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06•plex ? 16 Fireplace ? 21 Porch (3-sea J ? 31 Ext. Alt - Multi ? 03 01 of_ plex O 09 07-plex ? 17 Garage ? 22 Porch(Addn.(4•sea.) ? 33 Ext. Alt- SF 13 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 Demofish (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 Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/Nio C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile J Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tes[s _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ W'indows (new/replacemeni) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC ciry sac W ater Suppty & Storage S&W Permit & Surcharge Treatment Plant Ptumbing Permit Mechanical Permit License Search Gopies Other Total Building Inspector CITY OF EAGAN NO 8299 3793 Pilot Knob Road Eegen, MN S5141 1114401149s 454=8100 ?3 7S? BUILDING PERMIT Receipt # Te 6s umd Mr SF DWG/GAR Est yolue $114,000 pme August 1 19 83 Sih Address 4235 Heine Strasse E t O R-3 rec 19 ccupancy Lot 3 BI«k 1 See/Sub. Heine lst Alter p Zonirg R-1 10 32300 030 Ol Repair ? Fire Zone NA Parcel # E l T f C t V n orge ? ype o ons . w Name RiChard Ttlul Mpve Q # Stories Addross 154 W. Winifred De,.?olish ? Length $8 ? r:.. St. Paul ___ 291-2658 Grode n Depth 42 Sa. Ft.- ,o Zu ? Nome Bentzen & Assa Address 508 W. 64th St. ,..__ Richfield e1 ___ Nome _ Address 861-1539 1 hereby acknowledge that I hove read this opplication and state that the inlormation is correct ord agree to comply with oll aDDlicable Stote of Minnewfo Stofutes and City of Eagan Ordinances. Assessment Woter & $ew. Polica Fire Eng. Planner Council Bldg. Off. APC Permit 400.1.11.1 Surcharge 57.00 Plon check 234.00 saC 525.00 Warer Conn .450.0(1 WoterMeter 60.00 Raod Unit NA Torol $1794.00 Sipnoture of PermiMee I entzen & Assoc., Inc. A Building Permit Is issued to: on the express conditlon thnl all work shall be done in accordorxe-with all opplicable?Stote of Minne Statutes and Ciry of Eapon Ordirwnces. Buildlnp Offlcinl ?d A p ??' "?^ e, ITy pF EAGAN '?F` ' Olude 2 sets of plans, ?? . . ' p an w elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. 00 C> Tb ae vsea For valuation Dat.e Site Pddress -3S -F i ylt 5-t(`QSSf- pFFICE USE ONLY Lot ? Block ? Sec./Sub.'y 5?C tJ Erect ? Occupancy ?A2 3 Parcel #: ?p 3? 3 Oc) 03 a o? Alter zoning 41, ? Repair Fire Zone J ,V Owner: ?CfiR/00 7FiIJL- Enlarge _ 7ype of Const. V-l Address: _ P'bve # Stories - Demolish Fmnt ft. City/Zip Code: ST- Grade Depth /?Z?7- ft. r- - Phone #: --------- .,,?,? Contractor: /JCNTZGl,) ?HSs'?C, hy? Assessments Permit h??$ Address: ?9ater/Sewer Surcharge Police Plan Check 3 1 ' City/Zip Cocle: I'ClCff ?lC-60 ? /VIA406Y,?23Fire SAC .Sa 5? water Conn. y 5- o Phone #: ?er r Water Meter frU Plann Arch_/Eng._ ? Council Road Unit -?- ? Bldg. Off. Adclress: APC City/Zip Corle: Phone #: Torra., ? ? ,? ?3` ? ??l??o ?o`? ??? ?A . ?? ? ? ?o? ? , ? ?33 ? r ? y • 8 i G MA SUFlVEYING Survey Cerfificate for: ? S E F3 V I C E S Mr. BA RRY BENTZEN 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 Mr. a Mrs. Richard Thul - Residence - ( e_ ?J i ? Eagan, MN Easr 265.00-- -• io.9 __ ."C.B. U?iIkt, Easen.wt • ' M ?o.aa " ' ? I \ N IV O / 1 ? S`Ac , -{? / /?/M P?epes+d ?o- 0 `?• o.> ; l? ? R o???.? ?? 1 8 J.?I'• IA `? ? 1.0 / I ll ? I? N tw a14ft 3 n = v ) g \' W, 4 at $° ? a ? ? + J \ o ? ° ?? ?' `' ? c? F- ? / / 3 s ? L 0 ? T 3 ?a ? o n'M' r ' W I1J Y at, ,., l I , d L ?•"?.,,nu,r c /_? - " .Yy? ? ? .`w.M'"_aa.• '1- __?i ? ? . P . y' - -'? oiuse.n.?t ,. ?+• ._ n ao-oo ' • I WESr, 26a00 30 # ( ! ? -N1- SCALE: 1 inch = 30 feet ? 0 Denotes Iron Monument Found o Denotes Iron Monument Set *BEARINGS SHOWN NEREON ARE BAS6D ON ASSUMED DATUM * a Denotes Wood Hub Set' PROPERTY DESCRIPTION Denotes Existing Spot Elevation' Lot 3, Block 1, NEINE ADDITION, ?- Denotes Drainage Direction Proposed according [o the recorded platthereof, Dakota County, Minnesota. PROPOSED GARAGE FLOOR ELEVATION =<897 2-' - PROPOSED TOP OF $LOCKELEVATION = 897.5 ` PROPOSED BASEMENT FLOOR ELEVATION = 889.5 I hereby certify that this survey, plan or report was prepared by me, Chat I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Wayne Ifl. Cordes Minn. Registration No. 14675 Use BLUE or BLACK Ink 1 For- Of fi-ce-la-s e I Cot 1 lI of Ea an Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: rr j Phone: (651) 675-5675 i staff: (f`C 1 Fax: (651) 675-5694 1 1 - - - - - - - - - - - - - - - - - J 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Lad'e d Date: Site Address: Tenant: r Suite M RESIDENT/ OWNER Name: Phone: ~-931 Address / City / Zip:'~o1c~`~ Applicant is: Owner X Contractor TYPE OF WORK Description of work: Mt L-~e z N~ Construction Cost: Multi-Family Building: (Yes No CONTRACTOR Name: M~ `~Z(JFr~jC~ 1- License#: X151` Address: c C tee Q~ r City: State: Zip:SJaN,`1 Phone: (~S9Contact Person: C•-~ 1 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544)002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi ordi ces 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 rt witho permit; th q w1rW.11 be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ant's Signatu Page 1 of 3 DEC ~ 2009 Ll::2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Stone Damage _Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) T Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES ~ll/113'Gf arm U 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 7 Occupancy MCES System Plan Review ~~~~tttt Code Edition SAC Units (25°l°_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 Backfili _ Final Meter Size: Radon Control Erosion Control Reviewed By: T , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (4r //J- j2 r5-A 1 19,5~' Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA092262 Eagan, MN 55122 . Date Issued: 12/08/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4235 Heine Strasse Lot: 3 Block: 0 Addition: Heine 1st PID 10-32300-030-00 Use Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Wendy Nelson 3095 162nd LN NW Andover, MN 55304 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 2,000.00 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Larson Plumbing William G Mckeown 3095 162nd Ln NW 4235 Heine Strasse Andover MN 55304 Eagan MN 55122 (763) 427-7680 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 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA081149 Eagan, MN 55122 . Date Issued: 11/19/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4235 Heine Strasse Lot: 3 Block: 0 Addition: Heine 1st PID 10-32300-030-00 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Furnace & Air Conditioner Comments: Expired Permit - Closed w/o Required Inspections. Letter sent. 12-12-08 pf Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air William G Mckeown 21210 Eaton Ave 4235 Heine Strasse Farmington MN 55024 Eagan MN 55122 (651) 460-6022 X253 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA116003 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 4235 Heine Strasse Lot:3 Block: 0 Addition: Heine 1st PID:10-32300-00-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Eric Brehe Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William G Mckeown 4235 Heine Strasse Eagan MN 55122 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES. EXISTING POCKET DOORS SHOWER Sv-nOKE DETECTORS ARE REQUIRED ON EVERY LEVEL OF THE HOUSE AND IN EVERY SLEEPING ROOM AND IN EVERY HALLWAY LEADING TO A SLEEPING ROOM 'RON MONOXIDE ALARM MUST BE INSTALLED IN ALL NEW SINGLE FAMILY AND MULTI FAMILY DWELLING UNITS. BATH ROOM PROPOSED BUILDING INSPLCTI • NS DIVISION HUTCH LINEN CABINET DOUBLE LAV TOILET 9x33-7 0 ogt EAGAN, MINNESOTA PERMIT City of Eagan Permit Type:Building Permit Number:EA123220 Date Issued:06/02/2014 Permit Category:ePermit Site Address: 4235 Heine Strasse Lot:3 Block: 0 Addition: Heine 1st PID:10-32300-00-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William G Mckeown 4235 Heine Strasse Eagan MN 55122 Tradition Roofing & Exteriors 1032 Cleveland Ave S St. Paul MN 55116 (651) 325-1548 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170930 Date Issued:07/23/2021 Permit Category:ePermit Site Address: 4235 Heine Strasse Lot:3 Block: 0 Addition: Heine 1st PID:10-32300-00-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Ronald L Dorendorf 4235 Heine Strasse St Saint Paul MN 55122 (612) 599-6883 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174463 Date Issued:01/28/2022 Permit Category:ePermit Site Address: 4235 Heine Strasse Lot:3 Block: 0 Addition: Heine 1st PID:10-32300-00-030 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Ronald L Dorendorf 4235 Heine Strasse St Saint Paul MN 55122 (612) 599-6883 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature