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3853 Gibraltar TrCITY OF EAGAN Remarks ?1 13 ''- j, -` ?', `°= _ Addition LEXINGTON SQUARE Lot 12 Rlk 1 Parcel 10 45075 120 01 owner Street 3853 Gibraltar Trai 1 State Eatsan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1 85 254.53 16.97 1 254.53 C009685 10-12-84 SEWERLATERAL ben trk 1986 173.6 11.58 15 173.65 C010029 1-28-85 WATERMAIN 1986 68 68.33 C010029 1-28-85 WATER LATERAL WATER AREA 286.43 C010029 1-28-85 STORM SEW TRK 1986 501.2 33.42 15 501.29 C010029 1-28-85 STdRMSEWLAT 1986 513.8 34.25 15 513.81 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 SUILDING PER. SAC PARK CITY OF EAGAN 3830 Pitot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor 5F 'UZWGAR Est Value $ 61 ' 00 Q Date- Assessrnent Water & Sew. Police Fire Eng. Planner 3$53 G1BRAi.``AR TR Site Addres LF.XINCTON 1? I Erect SQ R odel ? ? R3 Dccupancy R1 Zonin Lot Block Sec/Sub. em g Parcel No. Repair i ? ? Type of Const V i S on Addit tor es No. a METRO CUSTOM HflPAFfi INC Move ? Length dd x Name P.(? . I30X 1 049 Address -- - Demolish - I I ? ? Depth Ft S Q city DURiNSVFlh?dkii 454-9383 mpc nt. ?nstau ? q. = o Name SAA?IE 0 a Address ? rtti, oti...... F W Name- ? ? Address z i W CrtY - 1 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 Ordinancge. -- Signature of Permittee --- ' MFVRO CtJSTQf•9 HOMFS A Building Permit is issued to: Building Official Bldg. all work shall be done in accordance with all applica?e State of Minnesotz Var. Date IB ,,, ES Permit 31-6• "u Surcharge ' 50 Plan Review-13T' 0 0 SAC 5-2y• Oa Water Conn. 500.00 Water Meter - ST' 00 Road Unit ?2B-T' Oa 5r. DI 1J6 ? 0 0 Parks Copie 5$2,Oufi. so - on the express condition that Eagan Qrdinances. PermR No. PemNt Nolder DeN TNephone M PlumWnq ? , H.V.A.C. C ---- $ofte,er InspecUon Data Insp. Commenb Footingsl YI7p Footinys II Foundatlon Framing Rootinp ? -10 Lt?[3 Rouyh Piby. ?D"?, ? ? - ?? J/'/S!!*!L, vcG,B?rc.?U ?• ?. Rough Hty. Insul. Fireplace Ffnal Hty. Flnal Plbg. Z -7-? Bidy. Final d - .Z c.rt. Occ. 4 i3 Deck Fty. Deck Frmq. Wep Deserihe Locatbn: Pr. Dhp. ? Rooaipt MECHANICA4 PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered specas S/C Type ar Print legibly Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor ^ . . , PAone . f B. Address ?` - r ` 7. City State 2ip r 8. Buiiding Type: Residential ? 9. Work Description: New ? 10. Deacrihe 11. Commercial ? Institutional ? Add ? Alier ? Repair ? TYPe No. Fpuioment 9TU - M. Ea. Forced Air No. EQUiament CFM Air Handlin : Mfg. ' g Boilers Mfg. Mech. Exh,aust - , ? • .,. ,,_ 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 camply with all ordinances and codes governing this type of work. Siyned : Rouyh Inspections: Date Insp. for Final Date lnsp. Th9s is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. : CITY OF EAGAN , Fee ? Fil1 in numbered spaces S/C Type or Print legi6ly Tot. 1. Date ' 2. Installation Cost 1 3. Job Address ? - Lot Blk. TraCt 4. Owner 5. Contractor Phone 6. Address 7. City - State • ' Zip 8. Building Type: Residential Commercial ? Institutional O 8. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well ? Kitchen 5ink 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 ordinances and codes governing this type of work. Signed : for Hough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ., . , I i:a.h i i As? PERMIT SUBTYPE: ii( i f ! IUI+•, . ....?,?...?,?. _ _...?_.; ?.?. ? [NSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ?•' ? ? ? • :` ? ? APPLICANT: I f i ftp, .(I rj .. Ai.,ilf+l :>uN f{ljiji ra k,., 1.' ) 441 J1' 4}') i? TYPE OF 1NORK: t 1 tJlE! ?,?` Nrii Permit No. Permlt Holder Dete Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notiiy Plumber Const. Meter Engr.lPfan Bidg. Final Deck Ftg. AA Deck Final weu Pr. Disp. CITY OF EAGAN SEWER SiRY1CE PERMIT ' 3830 Pilc.t Knob Road p??T NO.: P. O. Box 21199 Eagan, MN 55121 DAT?: Zordng: No. of Units: Owrnr: ' " AddfESS: t?r•:1 r.- 'i r y,i? ? ? ? i.:l'-i?y,? rJt; - S{tQ ?1?fQii: 1953 - InlNmiblC _ r?:„ _J i I Mm to oeaVi! M/h It !W C1y of alOA COr1MOlOf1 C}f01'0e: ?IIOM? ACOOYItt DOpodf: P'ffR'1ft Fee: St11'ChOf'Q0: By AmfC. CF10rom Date of Imp.: Totol: Insp.: Om Poid: ? WATER 5ERVICE PERMIT 30 Pilo Krab Road pFRM1T NO.: 0. Bflx 21199 igsn, MN 55121 D/?TE: ninp: _ No. of Units: ldress: re Address: _ N1urrber. - •• `' Meter No.: ConnecNon CFw?pe: Accourit Deposit: Size: Pem+it Fee: ??r ?.: I Mno N m?r/*I wO Ilr Cih ef EMPI Surchorpe: Miac. CMroes: _=i L c: r Totol: poft Pofd: By Date of insp.: i.sp.: 7EAGAN ?.? jc) WATHt SERVICE PERMR .ot Knob Road sox 21199 pERMIT NQ.: an, MN 55127 DATE: Zonirq: _ No. of Units: :'et.ro Custo-. Momes O'"'^°r' - - -.. ? w '?" 5 . c ?b r uryl?r ?•` ?'- No.: rr rNo/D?_ ofm to aewsply wNb MM Ciry of !MPN M110m + Data of Insp.: pblln6eerors vwro.? ? li}< rmit ee: , •! ;,? Surcharpe: 13 Misc. Choroes: 6 2.00 3.00pd me t er Total: Date Pald: Insp.: o1 ?7 - O' t0 ? ?? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512, N2 11306 PHONE: 454-8100 BUILDING PERMIT ReceiptN 6 < To be usetl tor SF DWG/GAR Est. Value $ 61. 000 Date NOVEMBER 18 19 85 SiteAddress 3853 GIBRALTAR TR Erect IN Occupancy R3 Lot 12 Block 1 Sec/SubLEXINGTON SQ Remodel ? Zoning R1 . Parcel No. Repair ? Type oi Const y Addition ? No. Stories Name METRO CUSTOM HOMES INC Move ? Length dd z P.O. flOX 1049 Demolish ? DepM5T o Address Int Impr. ? Sq. Ft City BURNSVT4" 454-9383 instan ? i o Name SAME Approvals Fees $¢ Address Assessment. Ciry Phone Water & Sew 1- m ? W Name ?a Address i w City Phone I hereby acknowledge that I have read this application and stale thatthe information is correct and agree to comply with all applica6le State of Mmnesota Statutes and City of gan Ordinan es. i Signature of Permittee l ,. ? OCUSTOM HOMES A BUilding Permit is issue M R d to: all work shall be done in accordance with all agpljcoa State of Minne c Police Fire Eng. Planner- Permit 316: UU Surcharge 30. SC Plan Review 158.0C SAC 525.OC Water Conn. 500 . 0 C waterMeter 63.OC Council Road Unit 280.0( BIdg.Oft. 11/18/8 Tr.PI. 132.0C Parks Var.Date I Copies $2, 004.5 C Total on the express condiLOn that City of Eagan Ordinances. Building ? City of Eapn February 8, 2007 Mike Maguire Mavon Paul Bakken Peggy Carison Cyndee Fields Meg Tilley COIINCIL MEMBEHS Thomas Hedges CITY AOMINISTPATOR MUNICIPAL CENTEP 3830 Pilot Kno6 Road Eagan, MN 55122-1810 651.675.5000 phane 651.675.5012fax 651.454.8535 TDD MAIMEN/1NCE FACILRY 3501 Coachman Point Eagan, MN 55722 651.675.5300 phone 651.675.5360fau 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TflEE The symbol of strengih and grow[h in our community. SELA ROOFING KATHY DEUTCHMAN 3400 48TH AVE N BROOKLYN CENTER MN 55429 Dear Kathy: ?. In response to your request dated February 8, 2007, please be advised that building permit #71697 issued in December 2005 has expired; therefore, a refund will not be issued. If you have any questions, do not hesitate to contact me at 651-675-5671. Sincerely, Sanlce D. Severson Office Supervisor ? Feb., 8. 2!07 11:13AM Main # 952-929-9128 Fax # 783-537-6376 3400 4e Ave. N. Brooklyn Center, MN 55429 ? No.4425 P. 1 Tw Building Inspector F.om: Kaft 0 sOIa cutWr Cawm'o" pwc (851)675-5694 Wqnee (851) 675-5675 Pago= 3? ootm ?l8Y2007 RG CoMirrnafton of work canPWWd CC: ? Urgeet 0 im Rowisw ? Ohas. Com?nant ? Pleasg 1teplY (3 Pleaae RecYcle • ComnmiAs: A permit wss issuecl on '1 zrotros ror 3853 Gibranar r.aa, but u,e custa?er canoelea 1F,e iob so me vvak as nerver done. I am faxirg You ?? P?? and a?PY ?? canoellatian I? fran tlie custamar so Yw ?n w dose the file. We woWd aPPreciate lf the $70.00 perrnft fee would be refunded to: Sela Gutter Conrecto^ Thank you so much. 340p 48°i Avenue NoAh gcoo{dyn Center, MN 55429 Kathy De,utrl4man GlTCl'ER CONNEC'[70N Somnkss 6=vw" Feb, 8. ?007 11:13AM No.4425 P. 3 Mrs_ Amanda Nurmcm 3909 Robdnwood Terrace Minnetonka. MN 55305 January 17. 2006 Mr. Gury Webh Se1a Sales Sela (`runer Connectiwi 3400 4e Avemue NorYh Brooklyn Center, MN- ssazv pem- Sela and Mr. Webb. I arr+ writing tlus tetter in order to discontimue !he window replaceMeni ctmfraci, effecYively immediately, at 3853 Gibraltm Trail, Eagcm. MR? 55123. Please retur'n tbe initial down payn+ent io Mrs. Amanda Normarr at the aforernentivned riddresS. Ifyou have any yuestions, please pho»a me ar 952-201-321 U. RECENED JAN 1 9 ZM 7yrank yau. ?- 4?L Mrs. Amanda Norman OP kD° ? -? I b I1i- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Koob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _?k -?-p . e-o New Conslrudion Reauirements RemodeURenair Reauirements Office Use Onlv 3 registe2d site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed a2as 2 wpies of plan CeR of Survey Recd _ Y _ N (20%maximum lot coverage allowed) 1 set of Eneryy CalculaCans for heated add'Nons Tree Pres Plan Recd _ Y _ N_ 2 copies o( plan showing beam 8 windaw s¢es; paured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Required Y N lsetotEneigyCalculalions Addition - indkafer/on-sifeseptresystam On-sHeSepticSystem _Y _N 3 copies of 7ree Preservation Plan if lot pladed a8er 711193 Rim Joist Detsil Optbns seleGion sheel (6uildings with 3 or lass unils) Date -ti- / ?/ / _4;,5 Site Address ? D J ??tl bra 14ar ?/+ Constructian Cost YQ J, UoidSte # Description of Work Multi-Family Bldg _ Y_ N : irepiace(s) _ 0 _ 1 _ 2 Property Owner Q Y )dS VO Telephone #(%fe') q G&- 45 g S' Contractor 5PIA ?/ Address fYpU p ve? State Zip SS01 City. .,?. Telephone #(gSaj 9a4 9i? g COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minneso[a Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code WorCSheet (Jsubmissiontype) Suhmittad Submitted • Energy Envelope Calculations Submitted Have you previously construcied a building in Eagan with a similar plan2 _ Y _ N fee applies. Licensed Plumber Telephone #( Mechanical Contractor iL / J Telephone #( Sewer/Water Contractor - Telephone # ( If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plin in the c.4xlfft?rk which requires a review and appr val of plans. n U) tt Applicant's Printed Name CITY OF PERMIT G? s?g3? g -?? ? ?AGAN 3830 Pi1o: Knob oad PERMIT TYPE: e u r Lo z rv G Eagan, Minnesota 55723 Permit Number: g Z q 41 q (612) 681-4675 Date Issued: g g/2 Z/g q SITE ADDRESS: 3853 fiIBRALTAR TR LOT: 12 BLOCK: 1 LEXINGTON SQUARE P.I.N.: 10-45075-120-01 DESCRIPTION: REMARKS: ._- ?''?C i ? ???EF? B'M:iXdiny'-.Permit Type DECK Duflding Wo't-k Type NEW `. _ t ? ? ? .? ?•? FEE SUMMARY: Base Fee Surcharge l.ic. Search Total Fee $30.00 $.56 Fee $5.00 $35.50 CONTRACTOR: - Applicant - 5T. I.IC. OWNER: JOHNSpN 5 JpWNSON BLDG CO 14471205 0001294 SCHIR00 JERRY 14750 W BURNSVILL£ PKWY 33 3853 GTBRALTAR TR BURNSVILLE MN 55306 EAGAN MN 55123 (612) 447-1205 T hereby acknowledge that T have rea•d thi5 information is correct and agree to comply Statutes end City of Eagan tlydinances. L APPLICANT MITEE SIGNA7URE application and St&tE that ths w3th all $Rp3.icable State nf Mn. -1 .-hm W.1 r? ISSUED 6 SIG URE r INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 12 gLOCK: 3653 GIBRALTAR TR LEXINGTON SQUARE PERMIT SUBTYPE: qECK PERMITTYPE: suzLaxNG Permit Number: 024414 Date Issued: g g/22/g q 1 APPLICANT: JOHNStlN & JOHNSQN BLDG Cp (612) 447-1205 TYPE OF WORK: NEW INSPECTION .. . „ FOOTINGS FINAL r- L n, . ? ? . ? ? ..? -. . . . i •l ? . . ?? , ? ' . ? ' .J ? ? 14414 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION $ .?< ol 681-4675 { , n ?• 'e'' l',f; •;-1.? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site urveys, copy of nergy calcs. 7 1?y? COMMERCIAL ?lans,_1 set of 2 sets of architectural & structura _ specifications, 1 copy of energy ca ? nalty applies: 1) when permit is typed, but not picked up by last working day of month F which request is made, 2) address is changed or •3} lot change is requested once permit s issued. Oate Z_ / ? / ? Valuation af work Site Address: S Us-3 G i b l??9? STREEi SUITE # Tenant Name: (commercial only) LOT J L_ BLOGK ? SUBD. P,I.D. # ? JIFi Descri tion of work: -I f1 5_?P D [--t-- K 7he applicant is: ? Owner gContractor ? Other (Describe) Name Sc St OE!f,`-/ Phone Property LAST FIRST Owner Te A 11 ?'- C - Address 3 S 7 SiREET STE # ?? /als ?/9- ?fl? City State Zip CompanY ?r? n So.ti °r ?'Lsc>-?- ?31d• Co, Z^?hone `7'L7'7 aGS Contractor Address 19'750 w'/-? ioc f"k?y#33 License #0001aN Exp. City ? r(?? VLF- State M /-L- Zip SS??b ?a Company Cd Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap lication and state that the information is correct and agree to comply with all applicab Sta of Minnesota Statutes and City of Eagan Ordinances. ' ? Signature of Applicant: ? &pC 33 FhGE 7G WWaOKE ENGINEERING CONSUl7IN6 EH61HEf11S pIFLNNEliS and LAND fURVEY0115 COMPANY, INC, ? 1000 [AST 1461h STREET, BURNSVILLE, FIINNESOTA 55337 PH 432-3000 CerzzAcuzg q? 641.7-Ye c ?Qat J2r:s?7"?2Zan-- L07 12, BLOCK I! LEXINUTON SQUqRE, DAKOTA Cou""v; Miti1ME50TA DEN/J7t'5 EX157-/A!6 E_EVAT/Dit! DEtiloTES PROPDSEG ELEVf1T/CIJ '?-- /ND/CATES O/RECT/Ce? OF Sv2FZ1CS ORqINAGE NoRT+ f SCAtE :/" = 308'?2,?cp = Fl,l//SNED ?AKq6? FLOOFZ F_ LEVAT/ON O/2lJ1n/4E,- i1.uA 3c' FRO1.1T BUILDiNG uT/LITY 6?A?JW QT SET8A CK C /AlE ?ql, l? ? --I 5 89° oa' ao" E ?8L'?_3? ??ly i32.66 ? 5 ? ?gqz.z] N 99z.w? '?,? o' r?_ ?c N 3t.,e ? ? ; m Q ? N I _ ? ) a ? N r ' 92,L I O ? p ? \-' ? ?5 o 'EJ3a O -, Q kn I o ?_ . P i GsR.bE ? N ?/ r'-. Q < Q rJ I LLi tO ? /,,?i ` ? rtv ? ?? '? 89° DD' cb" E ? __ 1 ?8?l.0) I ; i ; } Q? /5 =!D'r I hereby certify that this ie a true and correct repreeentation of a??4ent o£ land as Shovn'and described hereon.• 11a prepared by me on thia 14r,? d{x of .U??es sre?? , 19 a5 , ? }finn. Roa. d?o. /GoBs~ • i ? • ? • ? • i • • • i?• • u ?. • ?. •?• s •a? •?? ? • •• ? ?? ? ?? ? • • CITY OF EAGAN APPLICATION F'OR PERMIT SEWER ADID/OR WATF?2 CONN}??LTION (Please Print 1) PROPERTY ADDRFSS: LFlGF1L DESCRIPTION: IF EXISTING STRCCTLRE, DATE OF ORIGINAL B[)ILDING PERNIIT ISSC'ANCE: (Mon Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DLPLEX ('Itao L'nits) R-3 TOWNII30L'SE (Three + L'nits ) ( Lnits ) IR-4 APARTMENT/COAIDOMINIL'M ( Dnits) COb4HEE2C IAL/RETAI L/OFFICE INIDL?STftIAL INSTI'IUTIONAL/GOVERN,']ENT NAME: ADDRESS: pgTNG?z TD,-,j T7?_' CITY, STATE, ZIP: FoQ'C4A1"j PHONE: 3) • r?• /? ^y-? For City Ose NAME: ?l47T/?Fi,J ./?.viE_LS Plinnbers Licens( ADDRESS: lC/k?- C'*"ou54.cJ 6(.)¢Y ('?.?/" Ac ? e CITY, STATE, ZIP: ired PHONE: c.?z 3-?? '7"Tj C MASTIIt LICENSE # 3099 t Recori St ltial ruArE: S? a?- ?. P,DDRFSS: CITY, STATE, ZIP: PHONE: i? ?• : • s• ?s 5) ? CONN ECTION '1C) CITY SEWER CONNECTIO[V TO CITY 4?1TEEt Q OTHER (Please Describe) ? 6) ? • ? PLEASE HOLD APPROVID PM2NffT FOR PICK-[!P BY ONE OF AEOVE C? PLEASE MAIL APPROVID PERMZT TO 1, 2, 30 4, ABOVE ? (Circle one) 7) F O R C I T Y PE'1:?MIT °- ISSUED S E O N L Y F°ES: $ fQ'S-U $ 4P SU $ $ S $ ?S- uv $ $ $ SaC:?o S . $ S $ .$ ?J SEi'iLD T_?FcRl71'i' (INCLUL: .iUACcl?P.GG) WATER PEZU4IT (INCL'JDE SliRC::ARGn') WATER METER/COPPERHORN/OUTS= READER WATER TAP (INCLUDE CORPORATIO:I STOP) SE:dEB TAP _r??'i:::_ ?...?C•Si: - a_..??2 ACC:OUNT DFPnSIT - WATER wac SP.C TRli'NK WATER ASSESS:?E:1T TRli:JK SE:vER ASSESS.IE:iT LATERaL BENEFIT/TRUNK SE:•iEB LATERAL BENEFIT/TRU.IK (QAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL Ab10U\T PAID/RECEI?T i? DOES UTILZTY CONNECTZO[V REQUIRE EXCAVATION IN PUSLZC RIGiIT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISIOIV, LIST AS A CONDI- TION. SUEJECT TO THE FOI•LOWING CONDITIONS: APPROVED BY: TITLE: DAT°: /A_ plp? 3 ??a y L I? SUBD. t CITY USE ONLY M rJ4f-?-? ? RECEIPT#: /D ZOSS RECEIPT DATE: 2S 1c : -; -" T999 PLUM$INfl PERMIT (MIDENI7AL) crrY oF Ensax 3830 PaoTtc[roeitu ; E4fikN, MN 551E2 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH _#_ Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/S a 3.00 x = ater Heat 3.00 x Z = F oor ram 3.00 x = Gas Piping Outlet " minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellin9s under construction 5.00 X = Water Softener ' for existing dwelling 30.00 x = U.G. Spflnklef ` for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 30.00 = Alterations ' to existing residenee 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE Reminder: Call 681-4675 for inspections of water heaters, water softeners, alteretions, etc. TOTAL .50 ? 3.? s- _._. """""""'_""""""_"""""""""_ ""' _' _"""_""""""' _ _ _ _""' _ _ _"" I hereby adcnowledge that I have read this appliption, state that the intormahon is cortec[. and agree to comply wifh all applicable City of Eagan ordinances. It is Ne appiipnt's responsibiliry to notiry the property owner that the City of Eagan assumes no lia6ility for any damages pused by the City during iis normal operatlonal and maintenance ac6vities to the facilities cons6vcted under this pertnit within City propeRylrightof-way/easement. SITE ADDRESS: 3?5? ?/??P?AGTf? Ti9lL OWNER NAME: e?w'e?e ?L'?/?aPO D INSTALLER NAME: ?? DT46T? ?•Lt?moi.?G TELEPHONE #: STREETADDRESS: ??IJG C'/dm?u? O.Q ??/T? ?6 cirr: STATE: ??-? ZIP: OF CO/PERMIT FORMSlRPLBG PERMIT (RES) - 1999 t i4 1506 1985 BUILDING PERMIT APPLICATIOH - CITY OF EAGAN NOTE: ALL CONTRACTORS FNST BE LICENSED IiITH THE CITY OF EAGAN COl4fERCIAL SINGLE FAMILY IriiELLINGS ' ?. INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATZONS $2,000 LANDSCAPE BOND (?, Co1,LL"X' / ?j To Be Used For : Si h G' ah,i `4 Valuation f-??vvc? - Date : "T Site Address 39,3 j 64rQljL Lot /?- Block ? Parcel/Sub Llj7-d Otmer Address P0.A;'PC1oyq City/Zip Code _/3lJrhS1iiL/e' Phone 93s2 Contractor S4Z-7-? Address City/Zip Code Phone Arch./Engr, Address City/Zip Code OFFICE USE ONLY Erect X Occupancy Remodel ? Zoning I Repair '- Type of Const Addition r ll of Stories Move ' Length Demolish ? Depth S3 Int.Impr. ? Sq Ft Install ? ----------- ------------- ------ APPROVALS FEES Assessments Permit 31(0. Water/Sewer ? Surcharge 5° Police T Plan Review 158. Fire SAC 525. Engr Water Conn ycb. Planner Water Meter (03, Council Road Unit 7-80. Bldg Off lL/9-B5 Treatment P1 132. APC Parks Variance Copies TOTAL ' D o . 5() Phone # . )ROSE ?. 33 fAV-E 7Co ENGINEERING COMSUITINO EH31NEE115 PLANNEAS and LAHD k11AVEY0115 S 6, COMPRNY, INt. 1000 EAST 146M STRFET, BURNSYILLE, LIINHESO7A 55337 PH 432-3000 Z.+?9aI Crt-022oZL: LO7 12, SLOCK I. LEXINGTON SQUARE, DAKOTA cou?J-Y, MiNrvESOTA DENOTES EXlST/i(!b EI.E(/qT/Dit/ (?Ao.o) DENOTES PROPDStD E4EVf1TlCN '?'-- /A/D/CATES D/l2ECT/Gd1 OF 5vRFAC6' ORA/NA6E NoRTH SCALE :/" = 30' 892,-50= FrN/SHED GRRqG6 FLOOfZ ELEVA77101L1 PRA/A1A4595 A.UD 30' FRD?JT BU1LDlNG uTIL/TY 6ASE:NE1./T 5ET6ACK L /NE 1 _? L'-? ; ..: 25 ? ?--i 89°DD'oo"E (ge931 5 ? - - - a.- /$qt,.Z? ?n 94t?'1? ?D i0 ? , ?' r ? '•? c?' ° pp-OADSED ? - - N ' ? ? N n 9i.z I o ? p ? I ?'' 1 N b" 'fJ3e.o PO ? ? __? O ?;? .•N ' ?'? N ?- ?I'? z ? y \ ???) li.e d LLe ? ?0_7 to i qp?g. Gd 5 89• oo' av°E <ET'Z (00 S? L_i _, ?- i i (841.0) ?= I I I hersby ceMify that thia ie a trac and carrect ftpresentation of a 4racL•of land as aho+m'and daacribed hereon.• Ae preparad by me on this /4rwl day of .Uo?MrBEe- , 19 ss. . ? 1linn. ]teg. Mo. /GO8'S- . - 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) q. CITY OF EAGAN 3S ?g ri 3830 PILOT KNOB RD - 55122 U 651-681-4675 ? Naw Construdion Reauirements ? 3 registered site surveys showing sq. fL of/o4 s4• fL ofhouse aiW all roofed areas (20°h maximum lot coveraae allowed) ? 2 wpies of plans (show beam S window sizes; poured tnd. tlasign; etc.) ? 1 set of energy calculations i 3 copies of tree preservation plan it lot datted aNer 717/93 DATE: _ ? Hl? - ` \ DESCRIPTION OF W STREET ADDRESS: LOT: I ?- BLOCK: RemoEel/ReoairReauirements ^? ? 2 eopies of pWn ? 1 set of energy Calcula6ons tor heated additions • 7 site survey for eMerior additions & decks CONSTRUCTION COST: lcs?M Name: ':?-? RP"'?r Phone fi: PROPERTY L?t Fmt owrrEtt 7j? ? Saeet Address city state: ?N Z;P, SS 1 ?3 CONTRACL'OR ARCHITECT/ ENGINEER Company: RIGHT-WAY ROOFING 1200 E.79th Street StreUAddress: .,I ___ - --.__ .A .I ? .,? CiTy Street City S;aze. Sewer & water licertsed plumber (reauired for new construction on{vl: Penaky applies when address change and lot change is requested once permit is issued. Zap: I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplicant ??? - OFFICE USE ONLY CeRificates of Survey Received _ Yes Phone tl: _ I.icense tYC,?_Ezp. -[ l[ ) 4 y State: _ Zip: Phone ReAstration R: _ No ? \ 1 ? ? rt?? MAY z o 1s?s i r All III Tree Preservat(on Plan Received - Yes - No - Not Required _ I SUBD./PJ.D. #: ?`{?Y,-l v-,, o ?TJv-,, Sq &Ox n , a reques[ vmC ?? -) 9 /, / ? 18 rtwnths trom W ?-? o 081751 Ll aZ /! -.?-? - CS -,qq c b-z ? - Rxquest Date Fve.NO. Rou'h-in I s ecvon Weq?Aretl, []ReaAV Now Wili Nobfy Inspec- ? • es ?NO mr When ReatlY icensed Elec[ncal ConVxctor 1 hereby request msoecLOn ot above Owner eleUrical work installed ar SVeu[ Address, Box nr Route No. ? Gt ? r - - i I ecnon o. TownshiD Name or No. R.inga No. nly Oc u ant IPftINTI +r Lws?-jnjii-k ha es Phm? o. ?s?f -9383 P r $upph .r Atltlress ] t /O/V El llllC3l?C0 ICIO! (COrtpany 1Q) ? (a l('CI(11?LICC)jSE=O. ? 1 U Mailin Adress IConVaccor or wner abng InstailaYoN .4 Non d Signa[vre IC t odOwner M, inp 4istallatiowl Pho e umber Z z MINNESOTA STATE BOAND OFELEC CITY Gr,ggs-Midway Bidg. - Raom N•791 1621 University Ave.. St, Pxul, MN 55104 THIS INSPECTION HEQUEST WILL NOT HE ACCEPTED BY THE STATE BOAND UNLESS PROPER INSPECTION FEE IS ENCLOSED. P) )`C (G O REQUEST FOR ELECTRICAL INSPECTION EB-00007-04 W: ' See instmchons for coMO:aunS-?his form oa beck o/ yellow copv. ? ??? ?5 ? "X" Below Work Covered by This Request J Adtl 0.ep. Type ot Bwldmg AoPboncea Wired Equipmenl Wired Home Fanye Temporary Seroice Duplez Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric HeaUn Commeraal Bldg. Furnace Silo Unloader Industrial 81Ag. Air Condmoner Bulk Milk Tani< Farm o!nr.r pe0lv Otner ISnacilVl t ar Vecily O[ er Oth, Compute lnspection Fee 8elaw N Fae ServiceEnhence5¢e A Fae Fentlors/SubleeAers # FFlO Cimwte 0 to200Am 5 0 to30qm s 0 to30Am 5 Above 200 Amps 31 to 100 Ainps 31 to 700 Am s Swmmung Pool Above 100 _Amps A4ove 100_Am s Tranyiormers Irrigation Buoms Partial/Other Fee Signs SUeciai Inspection S ?-? T Hemarks /?, S OTAL?FEE / n_uU Frnal I, ene Etecv.w91 Inspectoq heroby ylMty that the above j,nspec4ml has been This reQUest voitl PERMIT City of Eagan Permit Type:Building Permit Number:EA160774 Date Issued:04/13/2020 Permit Category:ePermit Site Address: 3853 Gibraltar Tr Lot:12 Block: 1 Addition: Lexington Square PID:10-45075-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert M Eidsvoog 3853 Gibraltar Tr Eagan MN 55123 American Independent Remodelers Llc 13055 Riverdale Dr NW, Suite 500 Coon Rapids MN 55448 (763) 753-0732 Applicant/Permitee: Signature Issued By: Signature