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4250 Heine StrasseCITY OF EAGAN 3830 Pilat Knab Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt #t To be used for Est. Value Date ? ,19 Site Address OFF ICE USE ONLY Lot y Block SeC/Sub. ••• , ' On Site Sewage Occupancy • MWCC System Zoning Parcel No. i W ?I l t C On S te e ons ) (Actua a Name Clty Water (Allowable) W = Address ' PRV Required * of Stories 3 ° City Phone Booster Pump Length Depth a Name S.F. Total , o u 4rlrirPCC FoOtprint S.F. ? t'ity rnone APPROVALS FEES ? cc Engr./Assess. Permit ? W W Name W ? Planner Surcharge Address Council Plan Review ¢ W Ciy?? Phone `7 ? Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permiltee Road Unit A Building Permit is issued to: ` Treatment P1 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. j.; TOTAL Building Official r Psrmit No. Permit Holder Date Tolephono i Plumbing H.V.AC. Electric ° C) ? Softener Inspectfon oate Inap. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace ? Final Htg. Final Plbg. Bldg. Final -,j.? ZS- 93 q Cert.Occ. Temp. LP • a, DeCk Ftg. 04 w? n n??,c Deck Final 1f, ke- 4 ?. ?e Q Well ? a f Hew Pr. Disp. j ee" D CQr` , ? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Lot. m Name _ ? Abdress c City Sec/Sub Phone Name ? Address ' { ? •-, • ? . ? . ?? ? r - p City Phone • ? ; FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMIIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF PERMITTEE FOR: CITY OF PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New Muit. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 $ Bath Tubs - $3.00 ' Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $i SO Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - i PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: CITY OP EAGAN . 3795 Pikf Knob Road Eagon, MN 56122 PHOtdE: 454-8100 BUILDING PERMIT Receipt # To be 1q4d 4os ' Fet Vnltm nnrn Site Address Lot Block Sec/Sub. "„ - • Parcel # oc Nome _ Address ? ci l4- lE ? Name t? o? Address u H r:... n?--- Nome I hereby acknowledge thot I have reod th the intormution is torrect nnd ogree to State of Minnesota $tatutes ond City o1 Sipnoturc of Permittee A Building Permit is issued to: oll work shall be done in occordonce with all 8uiidinp Offlciol Erect ? Octuponcy Alter p Zoning ? Repair ? Fire Zone Enlarye ? Type of Const. Move ? * Stories Demolish ? Length Groda ? Depth Sq. Ft. Approvals Fees Assessment Permit Water 8 Sew. Surchorge PaVice Plan check Firo SAC Eny. Water Conn. Pionner Water Meter Countii Rood Unit Bldg Off . . APC Total on t he expreu condition Ihnt sota Statutes end Ciry of Eayan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? Cj I ? lti {'?t? 1-G7 -D 2-- N.Y.A.C. 25 ?a? ?? / / ft ? ? Well wate? Disp. Sewer Electric `71?vSg Du??'L?.?' 1(-l8'-S'? Impection Dato insp. Other Footingt -3-gf Foundation ?. Framinp Rouph Pibg. Rough HVAC Insulation Final Plbg. Final HVAC Final / Water Describe Location: VYall a• Sewer Pr. Disp. ? Receipt MECHANICAL PERMIT Permit No. • CITY OF EAGAN Fee ' Fill in numbered spaces S/C TypB or Prrnr legi6ty Tat. 1. Date ' 2. lnstallation Cost 3. Job Address Lot Bik. ? Tract 4. Owner 5. Contractor 6. Address ? Phone i- ? Q? ? 7. City State 8. Building Type: Residential 0 Commercial ? 9. Work Description: New ? Add ? Alter [ I 10. Describe 1 11. Zip Institutional ? Repair ? Type No, Equipment 9TU - M. Ea. Forced Air No. Epuipment CFM Ai H dli Mfg, r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 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 of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT ' CITY OF EAGAN Permit No. Fee ? Fill in numbered spaces S/C Type or Prinf legibly , Tot. 9. Date ? 2. Installation Cost 3. Job Address Lot ^ Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New O 1 10. Descri be I 11. Commercial 0 Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cess l/D i fi ld Bath tubs poo ra n e Septic Tank Lavatory fi S Shouver o ner Wel I Kitchen Sink Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and t agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EqGAN 454-8100 { CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ eecetveo FROM AMOUNT $ I DOLLARS +oe ? CASH ? CHECK Z7 e FOR ,a FUNO CODE AMOUNT .?...? Thank You Bv_ LZ-Cl, . Z White-Payers Copy Yellow-Posting Copy Pink-File Copy ..? ? r UF EAGAN Remarks Addition HEINF. FIRST ADDTTTQN Lot 12 Blk 1 Parcel `3?.23Q0 Owner 5treet 4250 Heine Strasse State Eagan, h?Il. i Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 3 1978 1012.47 101.25 10 405.03 A012531 8-1-83 STREET RESTOR. ' GRADING SAN SEW TRUNK -W 1973 190.00 S 2 85.50 A012531 8-1-83 SEWER LATERAL & Wgt.:?y 197$ 1307, 22 $7,15 15 7$4.3$ it of WATERMAIN * WATERLATERAL& Sew3g 1978 2086.39 139.09 15 1251.85 A012531 8-1-83 WATER AREA 3.27 6 66.00 6.60 10 13.20 « It * Services 1978 * STORM SEW TRK 197$ * STORM SEW LAT 1975 Stonn Sew Lateral?y 1982 00 100.00 15 1300.00 A012531 8-1-83 CURB & GUTTER SIDEWALK V STREET LIGHT 1981 7 1 32.70 A012531 8-1-83 ?i WATER CONN. 335.00 26411 8-20-81 BUILDING PER. 6$37 sac 525.00 PARK 120.00 7680 10-12-77 ' Ea9on, MN 55122 . DATE: Zoning: No, of Units: ` Owner: Address: Site Address: ") ,;"?_r-, '- ;- : • _,- L12 $1 lIB11te .:ist Piumber. Meter No.: Connection Chorge: Size: A t D c?ur? e poslL: Reoder No.: Permit Fee: { egme to wmPly wiN+ !he City of Ea9an Surtharge: Ordinaeess. Misc. Chorges: Totol: BY Date Paid: CiTY OF EAGAN SEWER SERVICE PERMIT P5 Pltot 1[nob Roe/ PERMIT NO.: Eogen, MN 35722 DATE: Zoning: No. of Units: Owner: Address: Site Address: , c L , • ; .; .?' .. _ P4umber: 1 egrae to eompip with fbs Ciryr of Eogon Cannection Chorpe: Ordinoeeet. Acoount Deposit: Permrr Fee: Surchorye: BY Mi Ch sc. orges: DcLe of Insp.: Totol: I^sp" Date Pcid: G1TV OF EAGAN WATER SERVICE PERMIT 3795 Pilof ICoob Road PERlytIT NO.: 0 wirtifirate of (Orrupanry Citp of (Eagan Br}rarttnmr vf Baitaing lnspprnmc Tbir Certi(iccte itrutd Pwrtraru ra the reqairrnuntt of Sation 306 0/ the Uni forrrs BaildiAg Cadr rcrtifying tbat at the timr of issriamr tbic strurtrere war in'rompliana with the varioru ordinunar of the City ngnlatin8 brdlding ronterattiox or ax. For thc f ollowing: U. cb..Umw SF D4JG/GAR &??I No 6837 0-?'4w R3 TYwc?ene Vn einZ.,... NA Z..iqmuia Rl ?dDmHdI, Kerry Olson Aad.12698 Pilot Knob Road, A7 Mdb?,,d&, 4250 Heine Strasse -,.yLot 12,Block 1,Heine lat ? Rzhr?-,1 By: - .o., 015,,, .: October 28, 1982 ?m w ? oswcwu? wau This reques[ iA I I/'x ?8nioi71658? LI.2/_&1 4EC'vlF- (S} 3-7 [OcD '2Z 8"30 Retwest I)nte ?l ?11 ` Fire No. Naugh-in Insuecuon R q red? ? ?ReaAy NuwXWill NoLfv InsPec- t Wh t \ Ves ?No or en Rently ?Licensetl EIe,cGical Contnctor 1 herohy reyuns[ inspec[ion of above Owner electrical work insialled at: SUaet Adtlress, 6ox or poutr, No. !??z ? o ?V.+- ecUOn o. TownshiD Name nr No. Range No. Couniy ? ji'AzC' Or,cuynM IP INTI c9J3'rN? Phone Nn, C/1 -s -- Power SuOVlier AtlAress f}I4T A Cx, N i Eleclrical Con[rnctor (COmpany N e) Cnntrar.tor?s License No. OLO A-F- IK- Mailme AdJress (COnVar.mr or Ow/ner MakinN I?ns[allation) ( _ • ? ?`?' ? K!'?? 3 Authorieed Snatura (ContraclodOw akinN lnstill tion) Phone Nu ler ! ? MINNESO qTE? ANO OF ELECTRICITV , - THIS INSPECTION.REQUEST WILL NOT Griggs-Midway BI - qoom N-191 BE ACCEPTED BY THE STATE BOARD 1821 UniversityAve..SL Peul, MN 65104 -UNLESS PflOPEfl INSPECTION FEE IS pA- fF121 797_2111 . ENClOSEO. 4EQUEST FOR ELECTRICAL INSPECTION ?-? EB-00001.03 ? See instructions for completing this iorm on back of yellow ropy. lJ "X" Below Work Coverecl by Tirrs Request ?30 Ne AtlA Rep. Type of 9uildiny Appliancas Wired ' Equipment Wirad Home j( Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Buildiny Dryer Electric Heatin CommerCial Bldy. Furnace Silo Unloader Industrial Bldy. Air Condi[ioner Bulk Milk Tank F??m Othtrr Sneafyl ihur ISUeciPyl ther Suecity Other 01her Campute lnsper,tion Fee Below N Pee ServiceEntrence5ixe # Fee Feetlers/SUhfeedera A Fae Circuits 0 tu 100 qm s 0 to 30 Am s 10 2-7.5,00 0 tn 30 Am s ?pQ 701 to 200 Amps 31 to 100 Amps 37 to 100 Am s Above 200 qinps Above 100_Amps Above 100_AmVs Transiormers Reinote Controi Circ. SC , , b Partial/Other SIgitS $pP.Cidl IItS{]2CTipil 15-0 09 TOT Renrarks t AL FEE . RouBh-in Final D.1e Date I,che Electricnl In=aecror, haraby certi(y thal the nbovx suection has hean This request void 18 monNs irom This revuesl void 18 mpnths Irom 7 O O 0 - 66192 ?- CJ ?? a a Renuest Date Fire o. Rouph-in Insuer.tion Fequired? DReaAy Nuw Q Wiil Notifv InsPec- ? ?1'es ?No [or When Peady Licensed Electrical Conlractoi 1 hareby request inspection ol above ? Owner eleciricel work installad et: Sueet AAdress. Box or Route No. c i R/ks $c v F CiW E4GVj I"v - S ecuon o. Township Name or No. flange No. County OccuV:ini (PR NT) ^ ? Phone No. ^y S Q Y` v v._ `/ ? ?GJ 1 Power Supplier AAdress Electrical ConVactor (COmVany Nnme) Cuntractou's LiCense No. ?r Li? MailinB ?+dJress 1 ontractor or Owner MakinH lnsiaila[ioN Authorized SiBtur ConVac[or/0 er Making I Ilationl ?v. Phone Number MINNESOTA STATE-60AP0 LECTRICITY THIS INSPECTION HEQUEST WILL NOT Grie9e-Midwey Bldg. - Hoo 191 BE ACCEPTED BY THE STpTE BOAflD 1821 Universitv Ave.. St. Peul, MN 55104 UNLESS PqOPEH INSPECTION FEE IS Phnnef619 642-0900 ENCLOSED. Z,J i,! / 5?' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os A , 5¢o4nslrvctions tor romDletinB this torm on back oi Vellow co0v. 41 6192 - 'X" Below Work Covered by 7his Request Add ReD. 7vpe ot 9uiltlinp AaDliantee Wirotl Equiumenl WireA ? Home Ranye Temporary Service Duple.x Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader Industrial 131dg. Air Conditioner Bulk Milk Tank Farm Otner peci v .?hor ISi?o?:llvl twr u?dfy ther Other (q?Cf ompute lnspection Fee Below p Fee SarviceEntraneBSixa tl Fea Fexdors/Subfeeders tt Fee Circuits U to 200 Am>s 0 to 30 Am s 0 tn 30 An Above 200 qmps 31 to 7 00 Amps 31 to 100 ?Am s Swimming Pool Above 100_Amps Above 100_A??>5 Transiormers Irrigation Booms Parti th e Signs SUecial Inspection ?,? s ? • TA ertiarks ? (,/? ??.6r' 1 /TV Fough-in ? r Date 7 the Elecvica I Oeclar, h by cer' the above Final ? inspection has been P areae. ThlerepuestvolAlBmonitretmm ?? vC//,?i(/`L.w (?? ?O - 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reuuirements RemodellReoair ReauiremenLS Office Use Onlv 3 registered sile surveys showing sq, ft. of lol, sq. R of house; and all mofed areas 2 copies o( plan CeR of Survey Recd _ Y _ N (20%maximum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y _.N; 2 copies of plan showing 6eam & wirWow sizes; poured found desgn, etc. 1 sile survey for additions & decks Tree PresRequlretl _Y _N 1 set of Energy CalcuWtions Addition • indicate if onsife sep6c system On-sile Sep6c System _ Y _ N3 copies of Tree Preservation Plan 'rf lot platled aRer 7/1193 Rim Joist Detail Oplions selectian sheet (6uildings wRh 3 orless units) Date CF /47/ ds Site Address i{a 5(') 6Qa yL L-500. -?- ConstructionCost (,e p SFYASS e Unit/Ste # Description of Work P-2 12jCi('a j (' (01'Y) l?DU7 S 3 ? [^ACk'9 PZ Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 14 eyy-y 5 SQ m Ol5on Telephone#((p5() 4.-ria??'ja.lgl Contractor ? m =jn e- • Address !bl? State 10 / 50 Cj.o. (?;1 v • ?31 05 Zip5S3[°q ciry{'YlQnb Q'le.bUC Telephone#r7&3) ?!S^g4? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted 7d ? ? Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( 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 re uires n approval of plans. D??T 0T ? Flb ?tO??kY1eS ajz?? JUL 0 6 2005 Applicant's Printed Name ApplicanYs Signature LI U OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool 0 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 08 04-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units' Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) FoundaCion Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Aporoved By: _ Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaVC.O. FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ;: 4` qzI z-- ;' _?_O. 61 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 TelepLone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoair Reauirements O(fice Use Onlr 3 registered stte surveys shaxing sq. R. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum bt coverage allawed) 1 sel of Eneigy Calculatbns for healed addNOns T2e Pres Plan Recd _ Y_ N, 2 copies of plan showing beam 8 window saes; poured found design, etc. 1 site survey for additlons 8 decks Siee Pres Requlred _ Y_ N 1 set of Energy Calculations Addifion -indicafe Honsife sepfic sysfem On-site Sepfic System _ Y_ N 3 copies af Tree P2servation Plan if lof platted aRer 717193 Rim Joist De1211 Options selecdon sheet (buildings wiUi 3 or less units) Date 5 /?( S l OS ConstructionCost u. a 83. ? Site Address UniUSte # Description of Work ?..QW Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1?E' V Y V 3 S(,Z V(L l )'.C f17'1 Telephone #((ps1 )4t5,?) -R-2 6,9 Contractor S m !"T i Address 'O (o .c7n 019. ?krj City > _ State My) Zip_f5 36,41 Telephone#(7?j) COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mirin ota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet ', • Ne.w Energy Code Worksheet (Jsubmissionrype) Submitled :;I f Submitted • Energy Envelope Calculations Su6mitted' Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. - - - _? Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Buiiding 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. FI[) N?Iw?e? Applicant's Printed Name a IM O ? Applicant's Signature OFFICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 48 ? 34 ReplaCement 'Oemolt8on (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 _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector ? 30 Accessary Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors w 'CITY OF EAGAN N! 14 7 8 4 3830 Pilot Knob Road, P.O. Box 21-799; Eagan, MN 55727 BUILDING PERMIT PHONE:454-8100 Receipt# n J?? To be used for BASEMENT Est. Value $1 , 500 Date APR I L 6 ,7 g 88 SiteAddress 4250 HEINE STRASSE Lot 12 Biock 1 Sec/Sub. HEINE 1ST ADD Paroel No ? Name KERRY OLSON zAddress 4250 HEINE STRASSE 0 City EAGAN Phone 452-8269 o Name_ ?.nQ ? Address U f CIfY_ ? ww W Name F x g Address aW CityPhone I hereby acknowletlge that I have re d this application and state that the information is correct and agree t comply with ail a licable State of Minnesota Statutes and y of n Ortli ance . Signature of Permittee - _ A Building Permil is iss tl to: KER OLSON on the express condition that all work shall be done in accordance wi[h al I applicable State of Minnesopta S?t?aWI,tefs -a?.n,?d City of Eagan Ordinances. Building Official?-1.\?I L OFFICE USE ONLY On Site Sewage _ Occupency MWCCSystem _ Zoning On Site Well _ (Actuap Const City Water _ (Allowable) PRV Required _ # of Stories Booster Pump _ Leng[h Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 34.00 Planner Surcharge 1•0? Council Plan Review 81dg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Roatl Unit Treafinent P1 Parks 35 00 TOTAL . a? . : 1988 BUILDING PEAMIT 6PPLICATION - CITY OF EAGAN # 141 4 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CEHTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI4fERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS -1 N(,'p APR 4 ?d8 To He Used For: ?U?laluation: ?,?0? Date: Site Address q O?Eo Lot I Z _ Block I Pareel/Sub ? 8 Owner -Lt? Address 4aJo H,Q,(/}1P ??(,??,Q? City/Zip Code 'vUbl ?0-) Phone dsa- a 9 Contraetor (?1J(?'?? Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council Hldg. Off. Variance Dceupancy Zoning Actual Conat Allowable lk of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 39,00 !s 00 3S. o0 CITY OF EAGAN 9795 611ot Keob Road Eegen, MN 55141 ` PHONE: 434-8100 BUILDING PERMIT Receipt # T. 6e med Fe, SF DWG/QR Fd Vnl"e V60f000 nnen Site Addreu `,°/`/ aaeiaae +o+oooe Lor 12 Block 1 Sec/s„y. xeine lst add. Porcel # 10 32300 120 Ol a Nome Neriy 0180II ? Addreu 769 W. Csl3forn3s 1:_. At. Paul 5511'b.___ 489-3747 p Nome _ ? i< Addreu ? ri... Nome _ Address I hereby ockrwwledge thot 1 have read fhis apPlicotion ond stote that the intormation is correct ond agree to wmply with oll upplicable State of Minnewta Statut s?City of E 9o Or Sipnoture of Permittee ? A Building Pertnif is Issued to, 2TY OZSOII oll work shall be done in accordance wlt all oppliwble sioA ?of Mir Buildirp Officlal Erect 11 Alter p Repair ? Enlnrge ? Move ? Demolish ? Grade fl Assessment - Water 8 Sew. Police - Fira Eng. Vlonner _ Council _ Bldg. Off. - APC N° 6837 -2f. ?1// Occuponcy R-3 zoning R-1 Fire Zone Type of Cons1. Vn # Stories Sq. Ft.- Faos Permit Jl).VV Surcharpe 30•00 Plan check 156.50 u,C 525.00 Water Conn. 335.00 WoterMeter 60•00 Road Unit MA Taal 2' _ on the express conditlon thnt ond City of Eegan Ordinances. r/? ?( CITY ?' EAGAN " Include 2 sets of plans, " ? ??BUIIDING + 1 site plan w/elevations & PEFMIT AP LICATION 1 set of energy calculations. Zb Be Used For NOM C Valuation 00 O Date 00- Site Pddress OFFI(E USE ONLY Lot f? slocx ?sec./sub. £(?? L Erect ?OccuP?cX ;? Parcel #: / U 3 2Sv O O? Alter Zoning /? a 1 Repair Fire ne Owner: gi7-?qe _ 1ype ?f Const. ?, Move ies Address: # S Deroli? _ ? ft. City/Zip Code: g 1? Phone a: N F1- Contractor: 1 Pddress: City/Zip Code: Phone #: Arch./EixJ. . Addres5: . /&SO LyoM o AVE city/ziP coae: Si fAclL Pnorie #: (0 4S- 033 J Grade Surcharge _ Plan Check SAC ? Water_Conn. Water Meter Roa? Unit aPc ?rrw t ? -o , , 1 ? ?l , ? ? ?,?,?.? ?fi?? ss P ?? 5 . PRELPB.[ONdARY PLA1T DF , HEINE FIRST ADDITlON ?.: ?:. . . I ...C Ll.t !inPti.eaat Q??r1.r• .-.f :?r,c!.f,e. .!?, ?L,?:.:::1p. l'. k:u:CC .'., _: :;-rl:?cn .:: io::o?.:n: ..:e.r..?ir. .t a 4n1i,t a. Ine nwnLi. :I ne nP znCe '.,.arn:r ....Irh, L?dcF 990.11.; f^et ' 1P°pOXi'F16T9 dPuhS weJl ?..?8 44ItY-- E u.l' ¢C >I .•i1.] !G" h ilSF, QWy:bfpi OOtll:l:?i' ' L 1} •?U.;j] tlal9 t T 1- z(a%O(1 'y. ft. 1, •,rPLt Ilte y ry tin_C Of < ?.Nl Y!¢C{ tl:.t d 80Ubt?'Cly 3L rient dl:gleJ Y. LI'.l uaCLh ]1t12 u aJ lZ? Sy p J1.:,tan.?° :.P iC??2.13 P.eey tner,ne defiecr.L.G 90 tleFre,+y aeft a tl10ta::. of !4.32 fac, v.ore er fut ? . i_ 31.900 sq, ?? ft., q :r.11, Lo vne westn?ly Itr.e of ' oi'it. cf SJE;i',SHLi:I! Pd[iA, ae on P11e ae•: ?1' cn-ord; [pebce ic[ i_ /9,190 ay, ft. 66 ecv:neastaily nl,+ng t .Ye aestuily L! :4 n_a* l.1ne pe FY!if.Qltl?F.F! Yf.P.F: and rAPL`:otl Ac1iEz: u Ilstance of ?C .`._ 23.iC6 Dy, , ft„s? 111 . fBtl2, 1110Yf• OC 1P.tl9, lD L F. f•OLnl oP Leglntitr.g. [qt (?_ - :3.lua :?' ^t..S4 ?o.o wc ?_ ioo :: re..? . ` mc e 30,5 jo . ft. .. . it 001[tP AGFINLTUNAL PpOPoSEO 20NING: H-I ( SINGLE FCMIIY RESIDENTIAI] 't 9- L. ?J ft. ,'I` [ut 11- 16,3 . ai fc.y1 - .. _ C,1t1 u.•n.. O:f1ce 'fela. 6++ 6>N Furt Our..?-: 6¢•a. L. Pl Iut 11- 17,600 sq• 1't.,yc f ?w %Rte oYk-1 iql 12- 11.9.1 a. , ft. 0 . .ol, m1 ii f ` . nq"? . P: _t Sh eeuer 3r.i vn?-r. Cot i3 1,uo0 a. ft„1 .r....? ,? L.. ?.. ._.. ,. S ... .,.i. .....xlm.,w et n.Q:, mfntx.:: t,.t qraai,•. ft.t 14- ir,:e. iaC li- li, 4d? d;b .. S3 .p,. . . ?,?. .... [nt 16- 1i.i00 0,:. i'-.. (y? • ?.v. P. . reI_.rt w: I..reYxictl oY ¢e i i v .l^,•t avpervl::f;.n rr, ..r.i Ci _y"f£.:9 ?Calrzar N. 51nn::anr.- Late: Junu'sr+' 21, 15/I/ ? . 7!eF• nu. 862'• ' 1'.evt9Bd .t:nu=rJ Jl. 157/ NEV6[D Ytq(M 1,1911 PEVISEO M4PCX 1..19}i <- We?, SCALE: I INCM - 100 FEEi RL 495.00 '`Ki. ?i! ? - _ g PROPOSED 00. " RD. N0. 30 g „ ? - 6! Ni0Po5E0 ORY , _?H_ ? f I? xnGE B YfLL?tY OCO E15ENENT OI l `^ _ $ W o ? .V?i Q ? L _-' %n%LSO,'J ------ -? . ' r-- -i . . \ \\..,,a I a?R cs . , . .__.f .. .. o a 15 . L-- -`lzss ?f--J S IZ ?i3 0 La---x"--- -'? r ----r-- --? INIGN "TE. oManK-en.o iI4 I o 7 ; oi-- -2:5--- ° ?5 2r-Y- ? - - - ? ?J s¢reacx I l ? 6 uxe ?y I r? z`o__ • dO`si- I '2C?me ?m / 7 I I r xt*e.c. ?; ? uxe ? ? 8 I ,AaQO° L F,sQ ? r---- l ? p 14 ° ?. I L - izs- J i ?-- nr? _ .13 I I~ ?1 q' ?---7 _ I ^ - 1 h a ? tp I o 3 ? i ? r- . S a - /to?.? !6 _ 1 ? \? ? y_ ?• v z ? a ... . ? ;9? - NOTE: ALL DIMENSIONS SCALED CON. Of /a aaz - " F.XTERIOR ENVI;L.OPIi AVIiRAGI: "U^ COMPUTATION OWNF.R 1CE.RFr( 0 L610N SITE ADDP.ESS CONTRACTOR DATL•' 8-4'91 PF10NF. DeCCrrui.ne woricing square iootagc ot each, 1. Total exposed wall arra...... 2. Total roof/ceiling <irea...... sy. rc. X .04= -11 •5a Total exposed wall arca above Cloor= 118'}•0 a. Total wall window arca ...........:........................ q9.'17 b. Total door area .... ............. <......................... c Total sidin lass d . g g oor area .............................. 3 8•0 d. Total fireplace wall area . ......... ..................... e. Total wall frami.ng area (avcrage 70"/,),,,,,,,,,,,,,,,,,,,,, le4•"IZ f. Total net wall area al;ove Ilnor .......................... 4 q.Z•51 g. Total rim joist area ...................................... 14 5-04 Total exposed foundat:ion area= 3l4•3Co h. Total foundation door area 3"1•'70 .....................e......... i. Total foundation iaindow area (includes sliding doors) .y-l o(v ..... . j. Total net foundation area above gradc ................... t51•0 k. Total wall framing area (averagc ].0%),,,,,,,,,,,,,,,,,,,,, 13•8co 1, Total neE wall framing arca .............................. IZ4.'7¢ DeT.ermine "U" value oi each wal7 segment ' a. 98•-17 X"U" .43 = 47-•47 . b. - X"U„ - _ c. 38•o K"ll" •5Z = 19??? d. - X"U" Q. 104•17- X^U" .og = $.37 f. 94Z.51 X^U" •048 = 45•Z4 r,. 145•a¢ K,,tr- .o4S = Co •SZ h. 3-1•'70 X"Ull .14 = 5•7-7 i. 41.0y x??lp .43 ! = ".65 j. 15'1?0 X"U^ . 47 = "13."79 k. t3•S&;p X,-Up, .08 = 1.10 1. 124.1q- X?U^ .oq-$ = 5•98 I'103.40 sq, ft, x .185= 3I5•Q- 1'7 89 • 58 3 ........................... ......1'otal. = 7-7-lo.15 If item 113 is the same as, or less than item #l, you have met, the int:ent of SBC 6006 (c)2. Total exposed roof/ceiling arna = I164•SS ? M. Total skylight area .............................. n. Total roof/ceiling frarning area (average '],%)...... IZS•Z7 o. Total net insulated roof/ceiling area .............. I CO(O4.31 Detennine "U" value for each rooL/ceiling segment. m. •? X"U., n. IZ.S•Z7 X•'U„ .03 = 3•115 o. 1 ??4.31 X'•U" .oZS = 41.4bo 4 .................................Tota1 = H-5- 35 If total of ll4 is the same or, less L-han t12, you havc niet the inteat of SIIC 6006(c)1.' Alternate Building Envelope Desivri To utilize the total envelope sysLem method, the values est:at;lished by Lhe surn of items Il3 and fl4 shall noC be greater than [hc sum ot itern /;1 ai.d Ik2. 1. + 2. - 3. + 4. _ iii?q Frame . R 12" Tnsulati.?n It nterior Air Film .61 1-Int.rior niL 1'ilm .61 Sheetrock .45 2-;" Sheetrucl: .45 ?" Soft Wc?d & 8'z" Insul. / 31.30 3-lz" 1r,uul?LLiun s£5.00 Air I'i1m 4-rxterior .61 4-Lxterior Air 1'iLn .E1 Ibtal R 32.97 '1bta1 R 39.67 ? Total U .03 '1bCa1 U .025 ? ? e p ? ? - - & - - 3 k ? a 6 1•'rame Lva11 R p 3 1-Interior Air PiLn .68 y 2 2-?"Sheetrock .45 ? 3-3?" SofL Wood 4.35. ? 4-3/4" PoEun insulation 6.00 5-7/16" Med. llense Hdbd .67 ? G-Lxterior Air Film .17 ? ? 3 'Ibtal R 12.32 5 'Itotal U .08 4 ? lnsulatcd Wall 12 -- - --- 1-lnterior 11ir PiLin .68 ? Z-?" Sheetrock .45 , 3-3?" Insulation 13.00 4-3/4" lbam Insulation 6.00 5-7/16" Med. Dense Hdbd .67 ° 6-Exterior Air Film .17 b `Ibtal R 10.97 '1'otal U .048 Rim Joist R 1-Interior nir r'ilm .68 "l-3`2" Insulation 13.00 3-1?" Solt Woa`i 1.8£3 4-3/4" Pban Insulation 6.00 3 5-7/16" iv1ed. Dense Ilclbd .67 4 2 6-lixterior Air Film .17 5 Total R 22.4 'lbtal U .045 1-A 1-A Conc. i31k. Uninsu]_ated 7bta1 1: 2.12 `Ibtal U .47 1-B 1-[3 Conc. 131k. StripE>irn.7 & 3/4" 1'oam Insu1. & ;" Sheetrock O Z z V ? J J M 'a W?q ` y/ O N 0 L!'? ui ¢ co 8 W v ? v c ? `Ibta1 R 7.91. 'lbta.l U .13 ti= K__2 32 .,?.........?.?.??.., „__.__,... 16x16 3.55 20x16 4.43' 24x16 5.32 28x16 6.21 32x16 ' 16x20 4.46 20ac20 5.56 24x20 0,68 28x20 7.8 32x20 16x24 5.34 20x24 6.66 24x24 8.0 28x24 9.34 32x24 10.a6 16x28 6.22 20x28 7.76 24x28 9.32 28x26 10_88 32.K28 12.42 16x32 7.13 20x32 8.89 24x32 10.68 28x32 12.47 32x32 14.23 16x3o 8.01 20x36 9.99 24x36 12.0 28x36 14.01 32x36 15.99 !5x40 8.89 20x40 11.09 24x40 13.32 28x40 15.55 32 t40 17.75 i6x44 9.8 20x44 12.22 24x44 14.68 28x44 17.14 32x44 19.56 16x48 10.68 20x48 13.32 24x48 16.0 28x48 18.68 32 {qg 21.32 UNIT SO.FT.OF CLASS LtiIT S9.FT.OF GLASS UNIT S O FT Or^ GLAS S PATZO DOORS 10-32-16x28 12.42 20-40 -20x28 15. 54 24-48-24x28 18.64 UNIT S Q.FT.OF C:IA.SS 16-32-16x32 14.23 20-40 -20x32 17. 81 24-48-24x32 21.36 hP57R 29.56 16-32-16x36 15.99 20-40 -20x36 20. 01 24-48-24x36 24.0 wP67R 35.89 ' 16-32-16x40 17.75 20-40 -20x40 22. 21 24-48-24x40 26.64 WP87R 48.55 16-32-16x44 19.56 20-40 -2Ux44 24. 48 24138-24x44 29.36 16-32-16x48 21.32 20-40 -20x48 26. 68 24-48-24x48 32.0 ;lQ.fi'.UF SQ.F^_.OF SQ.Fi,OF SQ.FT. Oi SQ.I=1'. GF ULVIT C:lr-.SS LNIT G? UNIT GLASS Li:IT Q_ASS UNIT CL%SS C11-1628 3.1 C21-1629 6.22 C31-1628 9.32 C41-1628 12.42 C51-1628 15.54 C11-1632 3.35 C21-1632 7.13 C31-1632 10.68 C41-1632 14.23 C51-1632 17.81 Ci1-1636 3.99 C21-1536 8.01 C31-1636 12.0 C41-1636 15.99 C51-1636 20.01 C11-1640 4.43 :21-1640 8.89 C31-1640 13.32 C41-1640 17.75 C51-1640 22.21 C11-1644 4.88 C21-1644 9.8 C31-1644 14.68 C41-1644 19.56 C51-1644 24.48 C11-1650 7.55 C21-1650 11.13 C31-1650 16.68 C41-1650 22.23 C51-1650 27.81 C11-1658 5.42 C21-1658 12.9 C31-1658 19.32 C41-1658 25.74 C51-1658 32.22 C11-1668 7.34 C21-1668 15.14 C31-1668 22.68 C41-1668 30.22 C51-1608 3%.82 C11-2028 3.89 C21-2028 7.76 C31-2028 11.65 C41-2028 17.87 C51-2028 21.74 C11-2032 4.46 C21-2032 8.80, C31-2032 13_35 C41-2032 20.48 C51-2032 24.91 C11-2036 5.01 C21-2030 9.99 C31-2036 15.0 C41-2036 23.01 C51-2036 27.99 C1I?2040 5.56 C11-2040 11.09 C31-2040 16.65 C41-2040 25.54 C51-2040 31.07 C11-2G44 6.13 C21-2044 12.22 C31-2044 18.35 C41-2044 28.15 C51-2044 34.24 C11-2050 6.96 C11-2050 13.89 C31-2050 20.85 C41-2050 31.98 C51-2050 38.9 C11-2058 8.07 Q 1-2058 16.08 C31-2058 24.15 C41-2058 37.05 C51-2058 45.06 C11-2068 9.47 C21-2068 18.88 C31-2068 28.35 C41-2068 43.49 C51-2068 52.9 C11-2428 4.66 C21-2428 9.32 C31-2428 13.98 C41-2428 18.64 C51-2428 23.3 C11-2432 5.34 C21-2432 10.68 C31-2432 16.02 041-2432 21.36 C51-2432 26.7 C11-2436 6.0 C21-2436 12.0-= C31-2436 18.0 C41-2436 24.0 C51-2436 30.0 'C11-2440 6.66 C21-2440 13.32 C31-2440 19.98 C41-2440 26.64 C51-2440 33.3 C11-2444 7.34 C21-2444 14.68 C31-2444 22.02 C41-2444 29.36 C51-2444 36.7 C11-2450 0.34 C21-2450 16.68 C31-2450 25.02 C41-2450 33.30' C51-2450 41.7 C11-2458 9.66 C21-2458 19.32 C31-2458 28.98 C41-2458 38.64 C51-2458 48.3 C11-2468 11.34 Q1-2468 22.68 C31-2468 34.02 C41-2468 45.36 C51-2468 56.7 IaNDLRSON WIM)OW Wi I'15 o m ( Z z Sq. Ft. Sash ? = g Q Opening R U Lin. Ft. Crack o o Baemnt nit 3.11 1.92 .52 8'-0" 5.81 1.92 .52 10'-47/16" 6.88 1.92 •52 11'-6 13/16" C15 8.71 1.92 .52 13'-6 9/16" C235 11.62 1.92 .52 20'-8 7/8" C24 13.76 1.92 •52 23'-1 5/8" C23 17.42 1.92 .52 27'-1 1/8" C',t235 14.25 1.92 .52 22'-1 7/8" IX24 16.88 1.92 .52 24'-6 5/8" LL *C7C25 21.38 1.92 .52 28'-6 1/8" 0 C335 17.43 1.92 .52 20'-8 7/8" Z ? C34 20.64 1.92 .52 23'-1 5/8" w w C35 26.13 1.92 .52 27-1 1/8" W o ¢ C235-2 23.24 1.92 .52 41'-5 3/4" ¢ a 4 C24-2 27.52 1.92 .52 46'-3 1/4" . C25-2 34.84 1.92 .52 54'-2 1/4" O ? C15-CP25-C15 34.84 1.92 .52 54'-2 1/4" (> ? Patio i)oor ? 6068 38. 1.92 .52 181-11" -? ? < LLi M ' Pease 30 x 68 20. 7.10 .14 19'-4" Pease 28 x 68 17.7 7.10 .14 18'-B" _ Lo a " ? Side Lite 7.7 1.92 .52 15'-8 ? g W c°+ W ? *NOt Stanclard ? d o y W J J W F 1- U N I N . I, ? ? . ? r?. U R Double Glazed _56 1.78 Triple Glazed .43 2.32 WFA'lHER.SHTFT•n WINLYX+IS (Continued) SQ.FT.OF SQ.FT.OF SQ.FT.OF SQ.FI'.OF SQ.FP.OF iJNIT QASS UNIT C-[,ASS UNIT (LASS UNIT GLASS UNIT GLASS -11-2828 5.43 C21-2828 10.88 C31-2828 16.31 C41-2828 21.74 C51-2828 27.19 C11-2832 6.22 C21-2832 12.47 C31-2832 18.69 C41-2832 24.91 C51-2832 3a.16 C11-2836 6.99 C21-2836 14.01 C31-2836 21.0 C41-2836 27.99 C51-2836 35.01 C11-2840 7.79 C21-2840 15.55 C31-2840 23.31 C41-2840 31.07 C51-2840 38.86 C11-2844 8.55 C21-2844 17.14 C31-2844 25.69 C41-2844 34.24 C51-2844 42.83 C11-2850 9.71 C21-2850 19.47 C31-2850 29.19 C41-2850 38.9 C51-2850 48.66 C11-2858 11.25 C21-2858 22.56 C31-2858 33.81 C41-2858 45.06 C51-2858 56.37 C11-2868 13.21 C21-2868 26.58 C31-2868 39.69 C41-2868 52.9 C51-2868 66.17 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CON3TRUCTION ADDAN A/C ;^D-ON FURI+fACE ? FIREPLACE INSER DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING CoNSTRUCrION) $ 20.00 STATE SURCHARGE .50 TOTAL ?D • 9D 7 STTE OWNER NAME:. lefya4 TELEPHONE #: LIC50 - C?to? TELEPHONE #:?qq0 - d--) s-8 SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTfAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CTI'Y:EL?2i )1.e STATE: ZIP CODE:SS)-,?;,a PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DE3CRIPTION: 1% OF CON'"RAFEE ?;?> ?.s?., .......T....??> PROCESSED PIPING: MPNIMUM FEE: STATESURCHARGE TOTAL CONTRACT PRTCE: FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF RPM FEE $ :u''"i E tDDrZESj: OWNER NAME: TELEPHONE #: TENANT NAIvIE: (IMpROVEMEN1s oNL1) INSTALLER: ADDRESS: CTI'Y: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CTTY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PERMIT City of Eagan Permit Type:Building Permit Number:EA113765 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 4250 Heine Strasse Lot:12 Block: 0 Addition: Heine 1st PID:10-32300-00-120 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 . Michael Yoakam 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 - Kerry W Olson 4250 Heine Strasse Eagan MN 55122 Great River Remodeling 15703 - 93rd Circle NE Elk River MN 55330 (763) 241-9596 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172335 Date Issued:09/27/2021 Permit Category:ePermit Site Address: 4250 Heine Strasse Lot:12 Block: 0 Addition: Heine 1st PID:10-32300-00-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Kerry W & Sara K Olson 4250 Heine Strasse Saint Paul MN 55122--180 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature