3873 Gibraltar Tr? CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
' • EAGAN, MINNESOTA 55122
DATE 19 r6
RECE1 V ED
FROM ?-C•??/ '
AMOUNT
Q DOLLARS
? +oo
, ? CASH aCiRGK
FOR ? •?
j ?? ° ?.?rc,_.?. j? ?
RVND C006 qMOUNT
?
O?
Thank You
?2 63$44 BY
?
I
?
?
?
T7L'S ? ?
White-Payers Copy ?
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN ?I r?
?..., ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ``•?
` ` • PHONE: 454-8100
BUILDING PERMIT . ? Receipt 1l To be used for S r 0W"/GAP, Est Value $ 79,000 Date APRI L 30 19 db
Site Address 3373 G I BAAL'i`t+..t 1'it Erect C? Occupancy R 3
Lot 24 Block 5 Sec/Sub. 'lhti: 7"4G 1ON SQ" Remodel ? Zoning
Parcel No. Repair ? Type of Const y
- ., .? Addition ? No. Stories
W Name Move ? Lengfh J
7 614 16 5`1' ? i Demolish ? Depth 52
# Address Int Impr? Sq. Ft.
° city 3,AKEV I",6 131-12 0i1 ??• install ?
=o Name ?f'V!. 431-3030 Approvals
? Q Address Assessment
City Phone Water & Sew.
? Q Police
LU = Name Fire
Address Eng.
< W City Phone Planner
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature of
Permit is issued to:
all be done in accordance with all
Surcharge 39.50
Plan Review 1$S _ OU
SAC 575. bG
Water Conn. '300 _ 00
Water Meter 6 3_ S 0
Road Unit 29D _ 013
BIdg.Off. 4/3U/63 Tr. PI. 156_d0
APC ? Parks
Copies
Total S2.179 . 00
on the express condition that
Ciry ofEagan Ordinances.
PwmM Na PerndM Mo ldn Dau TMMphorM M
Piumbing ?a3 c? a ?
N.V.A.C.
/
Eleeble-
7
S3 ?
19 4 ? L ow
SoftenK
Impsctlon Date Insp. Commenb
Foolinqs I
FootlMys II
Foundatbn
Framinp
Rootlny
Rouyh Plbp. -?/y,T(v F%. ? 9
Rouqh Hfq. g ?
Imul. ? f A6.1
Flreplaeo
FinM Htp.
FinN Plbp. - lp
&ag. Fi,.l T;
C.d. occ. ???-?? ?. . ??o ?. a . ?S?E
Dedc Ft9.
Dock Frn?p.
w.li
Pr. ai.p.
PERMIT # ?
, MECHANICAL PERMIT
• CITY OF EAGAN W 4_r RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: s_(7)
11CE PHONE: 454-8100
SiteAddre" JX i
Lot C--?`1 Block
/U
?
a?
c
3
O
Name ±
Address
Gity _
Phone
TYPE OF WORK
Forced Air ` - M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outiets #f
`
:;)
4-
Other ,
BLDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New >',
Add-on
Repair
` FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
! ADDITIOtVAL 6 M B7U - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - i% OF CONTRACT FEE
MINIMUM - RESIDENTtAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
? o0 BEYOND $1,000.00)
FEE
S/C:
TOTAL•
--
SIGNATURE OF
OF EAGAN
-W
? Name
? Addre
c City ?
, Name
c Addre
p Ciry i
,. .
PERMIT #
PLUMBING PERMIT RECEIPT # ?? 3aG 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Sec/Sub.
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIM:JM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
,??----
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. " New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES , TOTAL
?
*-1_Water Closet - $3.00 S s
-LBath Tubs - $3.00
-1-Lavatory - $3.00
Shower - $3.00
`
I_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
i Laundry Tray - $3.00
% Floor Drains - $1.50 ? -'-
• Water Heater - $1.50
Whirlpool - $3.00 _
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
` Private Disp. - $10.00
_..?__Rough Openings - $1.50 ' - -
FEE
STATE S/C:
GRAND TOTAL• ?? ??
CITY OF EAGAN SEWER SER VICE PERMIT
3830 Pilot Knob Road
P. 0. Box 21199 PERhAIT NO.:
Eagan, MN 55721 DATE:
Zaninp: No. of Units: -
OWMr:
AM?ESS:
Site /ltidi
Plumber.
! Kew te eowi* wilk tM Ci1y ef lysw CornattScn Cl+arpa: `' 7 r•?`?'
OrdiMSeN. Acoount DepOSift 15 . 0 0 p d.
PermR Fee: yn
SurcFwnpe:
By Misc. CFwrpex
Dote of Insp.: Totol:
Insp.. Daft Paid:
' CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
_
P. O. Box 21199 PERMIT NQ.:
Eagan, MM 55127 D/1TE:
Zo^i^D: No. of Units:
-
Owrwr, ;?x C,:•_n.. , r?'?: ; ? "' ?C i
Addmss:
5lte /\tfdrcas:
Pluntber.
?
Meter No.: Conrwiction Chorge:
Slze: /kcount deposit:
Reader No.: Pemtit Fee: -
I ytw te eoffitift wieh NM Cky of Eoos¦ 5urdharge:
OrAwnw. Miac. Chorpea: -
Totol: - r ?
BY Dote Poid:
Dote of Irup.: IrAp,;
CITY OF EAGAN WA?ER SERVICE PERMR
3830, ?t Knob Road - -
P. O. box 21799 PERMIT NO.: ?
Eagan, MN 55127 DATE:
za+inD: No, of Units: `
Ouietir-
Add1lSf: - -- -
SILQ ?dfCSt: .?.'.:ti2' r ... _.? ?F ?: 7 T, 'tGIZ ?.Q .
PltJfl1E1Qf: , . _ . . .
Si No.: o ?q?°' !} 5.`) ij _
Reoder No.: !??? Q??1?1 . i?;F? i l n'' -- _? IG _?
1 =r,d
1 Mrr to eei-m- ,-wilb !iw G[tn Surcham.4
Totot: -
BY Qate Paid:
Date of Insp.: Intp.:
RMA ROME SERVICES INC.
IiomeDepot Installed Sales
3200 Cobb Galleria Pkwy., Ste. #200
Atlanta, GA 30339
763-542-8826
BG20268257
New Construction ReaufremeMs
• 3 registered sile surveys showirg sq. fl, of lot, sq. ft of house; and all roofed a2as
(20% mauimum lot coverage allowed)
. 2 copies of plan slwwing beam & window snes; poured (ound design, etc.)
• 1 set of Energy Calculations
• 3 copies W Tree Preservation Plan iF lol platted after 711193
• Rim Joiat Detail Options selection sheet (bldgs with 3 ar less uniGa)
DATE iR , Suly • d 1
RESIDENTIAL
3UILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
-- 651-681-4675 NZ ,ir
JOB 51TE ADDRESS 3113 G'00Co.1+an _Sca k1
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY 0
TYPE OF WO
APPLICANT
ADDRESS
PAGER # _
CELL PHONE #
PHONE# `1S,3-345•U6Y'*
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Tncludes:
Sewer/Water Contractor:
Phone #
Phone #
I'ee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Appllcant xl? &4'6L101'L
Waler Softener
_ Water Heater
_ No. of Baths
RemodellReoair Requirements
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey for exterior addilions & decks
. Indicate H home served by septic system for addNons
VALUATION
Phone #:
Iawn Sprunkler
No. of R.I. Baths
_ Air Condirioning
_ Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
ZIP CODE
PERMIT# ?GIno
RECEIPT DATE:
2002 RESIDEIVTIAL i'LUM$INfi PEiiMiT APPLICATION
CtTY og EAsAv
S$SO PILOT KNOB RD
$AHAA, E1N 551 EE
651-6$1-4695
Plsase complete for: single family dwellings, townhomes and condos when permits are required for each unit,
.har.kFlow_nreventer for_irriaation.svstem
i
SITE ADDRESS:
OWNER NAME: :
HAAKENSON, DENNIS
3873 GIBRALTAR TRAIL
EAGAN, MN 55123
(651) 456-0078
`` 1-1-
INSTALLER NAME: N O Y' 10I b Yn
STREETADDRESS: 2°1O5 Garfit'd AW,Kµe-
CITY: AAPIS.
TELEPHONE #:
(AREA CODE)
TELEPHONE#: (D12 "$z-7 ' 'Lf d53
SO Ktil (AREA COOE)
STATE:
Mn) ZiP: 5540$
_ SEPTIC SYSTEM, new/refurbished (requires lwo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING
_ Adding fixtures lo lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
? n r (
?
??
'' ??''?? I? I
'
_ lawn ircigation system
?
•
? i
,
?
I
OCT Q 8 2002 i? ??
f? v
ReplacemenUadditional: _ water softener X water he6ter $ 15.00
i-?- -
State Surcharge $ .50
Total $ 15 .50
i hereby acknowledge that I have read this application, state that the Informatlon is correct, and agree to complywith all applica6le City of Eagan ardlnances. It
is the applicanYs re&ponsibilityto nofify the property owner that the City of Eagan assumes no liability for any damages caused bythe City during its normal
operetlonal and maintenance adivities to lhe facilities constructed under this permit withln Gitypro rty/ri ht-of-way/easement. cr/30??2 SIGNAT E OF PERMITTEE 1102
c,
,a-
?..
?• ?'1Ga.,.?-?-???
9 ?
CITY OF EAGAN N? 118 51
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE:454-8100 ?
BUILDING PERMIT \.- Receipt#
iobeusedlor SF UWG/GAR Estvalue $79,000 Date APRIL 30 19 86
SireAddress 3873 GIBRALTAR TR Erect C? Occupancy R3
Lot 24 Block 5 Sec/Sub LEXINGTON SQ aemodel ? Zoning Rl
Parcel No. Repair ? Type of Const. 17
Addition ? No. Stories 5 4
$ Name BARSNESS COIJSTRUCTION nnove ? Lengtn
7614 165TH oemolish ? oepth 52
o Address Int. Impr. 0 Sq. Ft
City LAKEVIlp(&e 431-1240 or Install ?
o Name SAME 431-3030 Approvale Fees
.
$ i Address
a
?
City Phone
F W Name
?a Address
a W City Phone
Assessment I Permit
Water 8
Police _
Fire _
Eng.-
Planner
Council
Iherebyacknowledgethatlhavereadihisapplicationandstatethatthe B?d9
information is correct and agree to comply with all a p able State of
Minnesota Statutes and Ciry e?an Ordinances. APC.
Signature of Permittee?-??-?'J? Var. [
A Building Permit is issued to, BARSNESS CONSTRUCTION
allwork shall be done in accordance with all ap,pkca tate of Min esota St t
Surcharge 39.50
Plan Review 185.00
SAC 575.00
Water Conn. 500.00
Water Meter63, 0
Road Unit 290, 00
Tr. PI. 156. 00
Copies
Total $2•179.00
on the express condition that
Ciry of Eagan Ordinances.
8uilding
_ ?..vAN Remarks ' j . . - '
Addition LEXINGTON SQUARE Loc 24 BIk 5 parcel 10 45075 240 05
owner Street 3$73 Gibraltar Trail or State Eagan, MN 55123
1074 Savannah Road
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
, GRADING
?
SAN SEW TRUNK 25E+.53 C009789 10-12-84
SEWERLATERAL 173.65 C010134 1-2$-85'
WATERMAIN 1996 68.13 4-56 15 6$.33 C010134 1-28-85
WATER LATERAL i
WATER AREA 286.43 C010134 1-28-85i
STORM SEW TRK
1986
501.29
33.42
15
501.29
C010134 ?j_S i
1_25
S70RMSEW LAT 1986 513.81 34.25 15 513.81 C010134 1-28-85
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER COfdN.
BUILDING PER.
SAC
PARK
?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTE: PAYM"TS' OF FEE AT TIIE pg
aPrLIcATIoN ooFS NOr ooNSriTcrTE
r,praovat oF rERMIT.
INSPDLTION OF SEWER APID/OR FTATII2
IDZST1LLaTTONS WiLL PiOT BE SQHED-
t7i.ID oNtzr. PEtnuT xns sEEN
a?rPxo?vFn.
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF F.XISTIM STRL'Cii?RE. DpTE OF ORIGINAL HC'ILDZNG PERMIT ISSL'ANCE: ' .
(MOn ear)
PRESIINr 7ANING/PROPOSID L'SE:
0 CQ`RAMCIAL/REPAIL/OFFICE
Q IPIDCSTRIAL
a INSTII[;TIONAL/GOVII2DIINEP7T
2)
? R-1 SINGLE FAMILY
? R-2 DCP7EC (7tao Dnits)
R-3 TOWNHOLSE (Three + Units) ( Lnits)
Q R-4 APARTMENT/COAIDOMINIUM ( Units)
euaNE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) ?NAME:
ADDRFSS:
? CITY, STATE. ZIP:
PHONE:
- ?- ' riLuwers i,icense:
0 Active
EScpired
Not recorded
?MASTER LICEN5E# 6t) 13.t7A o Sta Initial
4) •Xr • 5•
PiAME:
_ aDDxEss:_'2
CI1R, STATE, ZIP: ?` L/ ,. ?? c`- S5 dZ en
PHONE: •
5) ?? v ? ??: •?• : a • a• • ?.
nCONNEC.TION TO CITY SEWII2 0 CONNEC'pION TU CITY WATIIt Q pii'HEEt '
6) ? «• -• r ? PLEASE AOLD APPROVID PEftNIIT FY)R PICK-PP BY ONE OF ABOVE ---- -
PLEASE MAIL APPROVID P T TO l, 2, 3, 4, ABOVE
/ A 7??- .. , ? 27 i e one ) .
7)
FOR CITY USE ONLY
PERMIT # ISSC`ED -
73-lf ;7 G-- 1f
Pd w/Bldg. Permit FEES:
$ $
SEWER PERMIT (INCLDDE SURCHARGE)
$ $ WATER PERMIT ( INCLUDE SC'RCHARGE )
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $
? ACCOC'NT DEPOSIT - WATER
$_ ?? O O , r7 !7 $ WAC
$ -57s-n d $ sr.c
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
/:57
$ $ WATER TREATME
- NT PLANT SORCHARGE
$ $ OTHER:
$ 1-5? ?lx 'S L7 $
TOTAL
C?o 3 2 ?3 Fy?l
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISI
ON. LIST AS A CONDITIO[V.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
i;:i:TV OF HA(;Atd
CA'iN:l:l:f?" JS 1l=F'tP1INPl_ NCI: 763
Dr•il"2::; 09/02!93 'rTMi":; j.WW5,
ID ;
P!AMca AF3(:--f'F_'P;M1:T'8
32:Li) ^GUt :487u1 G.I.BI'11YL,-AR 03u2J
^ct.`':;5 `}']O:I. 3873 G]:Ri:FaI.:C'A.': 4„05
32,
.(?
L ?a ..?, . .JI i ;
?4E:, ?
I?U?+I:.NGTI?Pt .? ?.?.
t.J.C`.J
2,.55 200J. 194, l20,NL;T09 ^.C;O
t
.
Toi:a.l. fieC:E7.p1: Afnpumi_ z 280.50
C:i'1.7 b47'C3
L'3UR TDa 7At!
?•r;;; %?;Y,t)$;Y/F>nPnY;',:??:; >'FK$; ;:iX;nM:<9r.Ys>': "M)yy;X:?r.Yh;?'!„7't#:Y?#?f
51 I_ 2Q 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
l0 CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ,?
651-681-4675 ?"
New Constructton Reauirements 4 4k1? Remodel/Reoair Reaulremenh
? 3 regisfered ske surveya showtng sq. H. of lof, sq. H. of house 2 coples of plan
and QU rooted areas (20% maximum lot eoveraae allowed) 1 aet of energy calculafions for healed addNfons
? 2 copiee of plans (show beam A. wlndow siZes; poured ind. deslgn; etc.) 1 sHe survey for exterlor addiHOns d decb
? 7 set of energy calculatlons
? 3 copies of ee eservation plan M lot plaHed alfer 7/7/93
DATE: 9/ IQJ CONSTRUCTION COST: ?
DESCRIPTION OF WORK: 11Y4v- O!-
STREETADDRESS: C `bLr=?L Z1-fCr
LOT: -21- BLOCK: SUBD./P.I.D. #: 4x(?'?-? A ?
Name: ? ?./k1j (-S phone #: '?'I S? ?78
PROPERTY last Pirst
OWNER StreetAddress: -%t° 73 ge4art-T? 2i4rL-
city w-,,.J state: Mkj ztP: s s? 2-3
?/ 6 / Z-- c?
Company:?Q/iLa.)n lfw/i1g 6%?6GL?S Phone ? ?d???? ? r
(area code)
CONTRACTOR
Street Address: I"L'?-H7 /???'c ol? /avz- s license # u16`13B' . Exp. '2-eO°
Ci1y X11r5V"1+0- State: /vl?? Zip: i ?337
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street Address: Registration #:
Ci}y State:
Sewer 8 water Iicensed plumber freauired for new eonstruction onlvl:
Penalty appUes when address change and lot change Is requested once permif is issued.
Zip:
I h?:eby acknowledge that I have read thls applicaHon, atate that the InformaHOn Is correct, nd agree to compiy wHh all appiicabl
St64e of Minnesota Stalutes and CHy of Eagan Ordinonces.
?
? Signature of Applicard: -- -
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
No
_ No
_, Not Required
5EP L
198 5 iSUTLUTNG PIiRl11T RPPLICJ'+TTOM __ C!TY OF EAGAN
NU'1'E: ALL CONTItAC'CUHJ 19U;"P ill? l.ICI:NSEIl WL'fH TtIF. Ci7Y UF EAGAN
Site Address.
Lot: & Block _15? sect.; : i.ih
Parcel If
ihlL'LUt?E ?_ SF.TS OF PLANS
3 CEHT1fIC!lTES OF SURVEY
1 ?I•:T :lF F.NrStiGY CALCULATIONS
'Co Ete Used For: ?t11J_?/,,L€ Val.uat,ion: DatP-
UwnA>r
Address ,??¢QQ
City/7.i.p Code .---
OFF7CE USE ONI.Y
'Ere ct AK Occu;»r.cy ?.3
itr:r:c:;lel. Zoni.n?,
Rc;pnu - ?.
'-- '1'Ype of f..nn,t
L'rilarge. It o` `]taries
hiove r.ength S?
Lcmolish liapth
Grad:? Sq i C
Phone APPHOVALS
ConLracLor As:>E:;:;ments _ PermiL
Water/Seuer Suraharge
Address -7?? Nolice
? I'lan seview jR.
'
Fi re SFlC ?.
?.
r?
Cicy/"Lip Code ?L?J/LL?
,?r??'a1 i-i i %r Ldater Conn (?O
_
! ;nner Wacer Meter
Ptione CO ur.r:i1 Road Unit ?QCJ
731(ig Off.f_?. Parl<s ?
-?-^`---_---•_
Arch./EnE;r. - Ai'i: ? 1'reatment P].
-- L'ari anae
TO'f4L ^?
Addre ss i--- ---_.. _
City/Ztp Code _---------------..?_
Phone It ..
?
?
? 72?3
--?-?
`
JUK7-2001 15:43 fROM-RMA HOME DEPOT AHS
T635428227 7-828 P.001/001 F-768
LfiUTED PO'WER OF ATTORNEX
courrrY oF NgatJ, p,E,?)
STATE OF MINNESOTA
KNOW ALL PfiOPLE BY THESE PRESENTS:
'C'FTAT I, Todd Daniel Lewis, a resident of 9R1n,-eY County,
Minnesota ("Princigal"), and a licensed con"csor of RMA Home Services, Inc.,
DBA Home Depot Instailed Sales locased at 646 Mendetssohn Avenue Nor[h, Golden
Valley, MTI 55427, having a license mnnber of BC- 20268257, do hereby appoint,
name and constirute Elder-Jones Building Permic Service, Inc. ("Agenc") as my true
and lawful attorney-in-fact and do authorize and granc said attomey-in-fact for me and
in my name, place and stead the power to execute, acknowledge, sign and deliver (ut
such form az may be required by the municipaiity) a germit application, or any other
insuvment(s) wYtich may be necessary and appropriate, in order to obtain the proper
permit(s) from the Ciiy of Eagan, Minnesom for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Anomey are
limited solely to the express powers delineaxed herein and apply salely to the Work.
This Limiced Power af Artomey shall expire and automatically be revoked on the (G
day of, j L1U? , 2002, which date is one yeaz from the execution hereof. Furdier,
che powers conveyed by chis Limited Power of Artorney may be revoked by Principal
at any time by express revocazion and shall also be revoked by che Principal's death,
disability, incapacity or incompetence.
IN WITNESS WFiEREOF rhis Limited i'ower af Attomey is execuced this
0= day of 7?A,?- . 2001.
Todd Danie! Lewis
WORN TO AND SCIBSCRIBED BEFORE ME by Todd Daniel I.twis on
this day of -?J-, r,? Q
. •w.•?^n^^•
y ub ic in forq e Srate ofMinneso gURTON T. BROWN ?
NOTAAY PUBUC•MINNESOYA
My Commission Expires: w4""e°°"
. "
J96816.r]
Received Time Juo. ?• 2 56PM
zn c,;, a-
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651fi75-5675
Pleese complete for sngle femily dwellings & townhomes/wodos when pemits aze reqwred for each mit
,?rq, 6?)
Date I( / _9 / O 6
SiteAddresa 32? 73 ?r UeitN
Property Owoer `Son ?p, P
1 Telephone # ( ?p? ) c??-9-
Contrector THE SNELLI(JG COMPANY, INC.
1404 COiVGORDIA
Street Addreaa ST. PAUL, MN 55104 City
651-648-7381
State Zip Telephone q ( )
Bond N: 35 - I I? ! 't / J Espirer Uo
T6e Applicaot ie _ Owner Contractor _ Ofher
Addon or sltersNon to eaisting dwelling uoit $ 30.00
? furnace _Adddional ?-Replacement _ New
air exchanger
? air conditioner
S
_
heat pump
other ?U N(1V 1 2 7_006
State Surcharge a .50
T
t
l $ ? D
o
a
I hereby apply for e Residential Mechenical Petmi[ and acknowledge thet the infoemetion is complete and ewurate; that the work will
be in conformance with the ordinarces and codes of the City of Eagan and with the 6anical Codes; thet I understand this is not a
pennit, but ouly an application for a permit, and work is not to slart withoid it; e W&k-vnlljp ' e we_the
a roved plan in the case of work which requires a review and approvel of p
???uD
ApplicanYs Printed Name • Applicant's SignatWe
AbL_
10
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 675-5675
Fax:(651)675-5694
48 -06 c+cdb-CL
?-----------------
I Fok?tijfioa:Use
? Pertnit#:
? Permft Fee:
I I
? Date Received: ?
i i
? Staif: I
I ------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?-"?I`?°??? SiteAddress: Jf ! 3 G? ?1'LZ?/ u'? I(?.
Tenant TUMe.S Qv' ?e-?1ny C-t sper suiteu:
RESIDENT/OWNER Name: -_hrhe?ScV-Jeyi»Y CqtPer Phone:65-/-a ? ! - la 70 7
AddresslCity/Zip: `? 2_4 6fbr,/70_r /Y'- ?C(???? MIV .?/aA
Applicant is: _ Owner -4 Contractor
TYPE OF WORK Description of work: P,'?i r-/ Tql 816--MehT ? /&5°'1
Construction Cost: 421@00, 00 Multi-Family Building: (Yes _ I No/-L
CONTRACTOR Name: ? 10 h i Id ir1 ?'?5? YI ??• License #: XZ? OVlC/ 45-
Address: ?`°U? ?r ?L? Q
C;ty: State:
Phone: Contact Person. __7_';?M
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted -
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan9
TYes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Pians:and supporting documents=thaf yousubmit are considered to be public information. :Portions of
the information may be classifiied as non-public ;if you provide speai7G reasons that would permrt the City to
conclude fiiat tBe are trade sec'rets.
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permil, but onty an application for a permit, and work is not to start without a permit; that the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
,A4bJ&,Wiot ?l?T.Df I m?5l??ir?,aw?er X??i,?r?Gr G
C??v ?(1 ? D ApplicanYs Sic ature
ApplicanYs Printed Name R E
?S Page t of 3
JUL 2 9 2008
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Single Family
? 01 of _ Plex
? 02-Plex
? 03-Plex
? 04-Plex
? 05-plex ? 76-plex
? 06-plex ? Fireplace
? 07-plex ? Garege
? 08-plex ? Deck
? 10-plex 11- Lower Level
? 12-plex
Sheetrock Meter Size:
Final/C.O.
? Accessory Building
? Porch (3season)
? Porch (4-season)
? Porch (screen/gazebo/pergola)
? Storm Damage
? Miscellaneous
WORK TYPES
? New ? Interior Improvement O Siding ? Demolish Building*
? Addition ? Move Building ? Reroof ? Demolish Interior
Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
" Demoldion (entire build ing) - give PCA handout to applicant
DESCRIPTION:
Valuation ? ?l 7 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% ? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drein Tile
Roof: _Ice & Water _Final
$ Framing
Fireplace:_R.I _AirTest _Final
4 Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
? Final/No C.O
Building Inspector
? HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
? Pool
? Ext Alt. - Multi
? Ext. Alt. - SF
? Multi Misc.
3,(,2 ZIP 1)
Page 2 of 3
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' ?2 hereby certitq that this survey aas prepared by me or
under ntiy direct superviaion and that 2 am a duly Regiatered
Land Surveyor under the laws of the State of Minnesota.
D&t@tTiu?i/
. Le oy H. Bohlen
Regietered I,and Surveyor No. 10795
, . ..... ?. __ ? ..? . . . , . ? - ' .?. ? ' `? ?
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EXTERIORkE.*NELOPE AVERAGE "U" COMPUTATION ?
OWNER 7)A al?, LlEr,2S C@djS? I
SITE ADDRESS La-i ;7. R „C S 0 Ecz?A^i
CONTRACTOR EQ,Q?, )= ? 51 7, DATE Z,??(` pHONE
Determine working square footage oP each. ' ?l
1. Total exposed wall 'area .... 6? Lf'L sq, ft, x - _y ,
2. Total roof/ceiling area yO$ aq, ft. x??DO #Fm
Total exposed wall area above floor = ?-71-4 -L-
a. Total wall window area,,,,,,,,,,, ,
,,,,,,,,,,, 00,05
' b. Total door area ..............................
c. Total sliding glass door area ................ -
d. Total fireplace wall area ....................
e. Total wall Praming area (average 10?)........
P. Total net wall area above floor ..............
g. Total rim joist area......................... .
Total exposed Poundation area a 7CP
h. Total foundation window area ................. -
i, Total net foundation area above grade........
Determine "U" value of each wall segment.
8. X °U°
b. S?: rb X ^U" , S? q 2j 2? S`?
C . g nU n
a
d. /e X "II"
E.1-74, Z X nU ° . 1I
r. I??e.-7 x nu^ .oq v s2..-7
X "U"
h. X "U„
3._ zL x ^u^ :0-7 ? S.3Z
3 ..... ........................ ..... Tota1 ' L?
IP item N3 is the same as, or
intent of SHC 6006 (c)2, less than item M1, you have meL the
?
?
-?-- - -- - .._ - . _ . . . -.
-- =_--; - -?-- ,
l ?/ ? • 1 ? '
Total exposed rooP/ceiling area ? f`io,6
J. Total skylight area......:................... --
k. Total roof/ceiling Praming area (average 10%)
1.. Total net insulated rooP/ceiling area...... .. 12 ??r,'t.?
Determine "U" value for each roof/ceiling segment.
J-
_ X nUn
k. 140 -8 x °u"
" 1. 1 ZL 7. z., X"U"
.
. o z?7 ' ?
,OZs • 3!. `?
4 ..... ......... .................. .........Tota1
IP total of 04 is the same as, or less than B2, you have met the
intent oP SBC 6006(c)1.
Alternate Suilding Envelope Design
To utilize the total envelope syatem method, the values established
by the sum of items N3 and d4 shall not be greater than the sum of
items 01 and N2.
1.
3.
+ 2. 0
+ 4. n
A
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07 V y`-y??
Request 08 e Fire No Roui In clion
Fepuned'
Reatly Now ? WA1 NoLfy InspeIXOr
P
tl
7
Wh
? Ves No en
ea
y
Ix licensed contractor I] owner hereby request inspection of above electrical work at:
Jo0 Adtlress (SVeet Box or Foute No I
?j?9? Q4b rcr-L-1-a.r- 7r. Ciry
Secaon No Townshi0 Name or No, Range No. Counry
.GQ7"4/
OccuOantIPRINT?
?i7n; S ? a,lC.en?o r? Phone No
.
Power S oplier
7"3L, Aatlress L,
)1 /Vn
Elecuical Gomracror ICompany Name) Conhaclor's Lmense Na
Malmg Adorass (COnirector or Owner MaWng InstallaM1On)
/7Y? 53-L
2?i3 E
//
T
at
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mmnon Signafure iCOmranov0 e?r mg Innallaeon) Pnone Number
f1J?-- fiJ1? Qi.rlSa-7).?43 -306
MINNESOTA STATE BOA RD OF ELECTRICITYU?- THIS INSPECTION PEOUEST WILL NOT
Griggs-MlOway Bltlg - Raom 5473 0E ACCEPTED BV THE STATE BOARD
1831 Univeralty Ave., St Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS
Phone(8t2) 862-0800 1 ENCLOSED
jFFPRrrequesi vmd 617r3
18 months from ?^a o 3,8 7 83 6 q , R -5:D
Rnpu?sx Date
? ?? l
0 ? Rre No. pouyh-in Insoecuon
quireA,
Re
Feady Now Q Will Notify InsOer
1or Wh
R
d
V ?
?
Yes No en
ea
y
oj?Licensed Elec[ncal Contrector I hereby requasl mspecM1On ot ebove
? Owner electncal work instalied at ?
Street Address, Bax or Route No. Ciry
s- 73 G/,(-,& R•5, c.7'oie F-- G
ecLOn o. Township Name or No. Hange No. County
r & /I 0 Y-
Occupant (P(iINT) Phone No,
? ly,--r s c L-1 3i-/?z y
Pnwe1 $uOPller AdOress
li o t c.OE ? hly i/,il./ e' ran.
Electncal ConVactor ICompany Namel Contracwr's Ltcense No.
E c, ' (- - c 7-R. ?'c? o S? n a? i
Mdilmg Address IContractor or Owner Makmg Instailatwnl
- f 6 v?-?c?van?
12
Authoraetl Sienature (COnVactor/Owner Making Ins[allatmn) Phone Number
'?
MINNESOTA S7ATE 80AflD OF ELECTRICITV THIS INSPECTION flEpUE57 WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTEO BV'IHE STATE BOARO
1921 Vniversity Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phpne (812129]-21'11 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa
w:
O See instrocbons for compleLry this torm on beck of yel low coOV.
. c_ n?,7 R? "X" Below Wak Covered by This Request
RJevAAdAl ReD.I Tvoe of Builtlina I Aooliances Wiretl I EQUiument WireA I
I I I I Duolez 1 I Water Heater 1 I Lmhtina Fixwres I
? ? ?.ommeraal tsldg. 1 1 rumace ? ??iio unioaner ?
1 1 ? Industnal Blda. A?r Condrtloner ? Bulk Milk Tenk ?
M Fae ServiceEntrance5ize p Pee Fexders/SUbleeders k Fee Cvcuits
0 to200Am s 0 to30Am s 0 to30Am s
Above 200 qmps, 31 to 100 qmps 31 to 700 A s
Swimming Pool Above 100_Amps A6ove 100_Amps
Transtormers Irrigation Boorcis Parbal.'Other Fee
aigns apec?ai inspectwn
.OQTOTALF
flemsrks E?-,E SQ
l?,SO
--` .. ---' 1. tha E ctn I
Inspactor, eraby
certity that the abova
F?nal ?gpection has been
de.
This repuest vold 18 month6 irom
This request wid
.?0 8r7 8 3 7? La y, 6
S, oy'
?vi 7S3
%53-
Reques[ Oate
` Firx No. ftnugh-in InsUecuon
R
equired7
Ready Now gWill Nmity Inspac-
/L
?y (AYes ?NO tor When Ready
54 LicanseA ElecVical Conlractor I hereby raquest inspecbon ol above
? Owner electricel work installed ah.
Street Address. 9ox or Roate No. City
7 3 6/ f?.e A L7'd R ?i vor- F_ G
ection o. Township Namn or No. Hnny. No. Couiity
jp ol ro f
OccuOdnt (PRINT) Phone No.
? ?o ,? Y3 ?-?ayo
Power Supplier Atltlress
U A' A_ a 7` F_ c,? c G,9 04 /-'f i? 6 To
Electncal Con(ractor (Company Name) Contrar.tor's l.icense No.
Ec.r? Ec.'6? c oS?oavi
Madmg AdJress (ConVacmr or Owner Makiny InstailaUOnl
a I V 6 ?IC /e- ivarx
Auffior¢ed Signature ICOnvactodOwner Making Installationl Phone Numbcr
y /-? Y 6 D
MINNESOTp STATE BOARD OF ELECTflICITV THIS INSPECTION REQ4EST WILL NOT
Griggs•Midwav 8lde• - Aoom Nd91 gE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (812129]-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?;.
? See mstmctions f?completing INS form on back ol yellow wpy. y?
. X" Below Work Covered by This Request ?r ?.ti??? `/ 7.2-
ew Atld Rep. TypeofBUilding AppliancesWiied EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electnc HeaAng
Apt Building Dryer Other-(Specify)
Comm.llndusVial Furnace
Faim Air Conditioner ?
Other ayeatyj Can?h/?clork Remerks
Compufe Inspection Fee Below: " r?l
# Other Fee # ServiteEntrance5ae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transiormers AbOVe 200 _ Amps --- A6ove 100 _ Amps
SignS Inspector5 Use Only ? TOTAL
Irrigation Booms
Spedal Inspection ? ?SO
Aiarm/Communication THIS INSTALLATION MAY BE OR ED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS. ?
I, the Electrical Inspecror, hereby R°ugh-m , oate
cerldy that the above inspection has
been made.
2
F,nai a r,`
OFFICE USE ONLV
This requesl voitl 1B monins Irom
l/ REQUEST FOR ELECTRICAL INSPECTION
.? ??????ainstmcfionslorcompleLngthis4orm?baekof?llowcopY.
""X" 8elow Work Covered b This Re uest
0 EB-OU001-O4
617,,-3
Navy, Fdd fleo. Type ot Bwlding Apoliances Wired Equiymenc WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldmq Dryer Electnc Heann
Commercial dg.
Bl Furnace Silo Unloader
Indu5tnal BI
Ag. Air Conditioner Buik Milk Tank
Farm ou,e, orc? v otnE:r (spe,,rv;
thqr SVeuly ther Oi),"i
Compufe Inspectron Fee Below
M . Fee ServiceEntranceSize tt Fea Faxders/SUbfeeders b Fee Cucufts
0 Q 0 to 200 Am s 6.0 d 0 to 30 Am s 0 to 30 Am s
Above 200 Amps ,UO 31 to 700 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irngation Booms • 0 Parual-'Other Fee
$igns SUecial lnspec[ion S '1
T
RernTrks / i'Y S'r f?GC Ct //Z _ //`/ 6? O /1[ ? ll/ 53 S? OTAL `/? V(J
V lil p -
flouBh-in Date ?}he ectnca
r InsDect aby
certltV ihet the above
Final ? Dffte/? L_ insOeclion has been
(Q. A.C? rtada.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116786
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 3873 Gibraltar Tr
Lot:24 Block: 5 Addition: Lexington Square
PID:10-45075-05-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
William Krech
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 -
James R Casper
3873 Gibraltar Tr
Eagan MN 55123
(651) 249-6907
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
�-----------------f
� For Office Use �
� I
� � I
�� �� I Permit#: � � � 3 I
� �a aIl � � /��, ,
� � Permit Fee: (.� �
3830 Pilot Knob Road i i
E�gBn MN 55122 i Date Received: �
Phone:(651)675-5675 � i
Fax: (651) 675-5694 � Staff------- �
-------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �,�� �� ) S Site Address:
Tenant; ' Suite#:
R�S[d@i1'tlOWtl�r ' Name: �e n''� ;`-�.r e--'�S �e-Y" Phone: (, ff 2 '�� � �o�
� Address/City/Zip: � �� � �'��r`� � '���7 rd + (
Name: N 2ss i�n �}� `�'�.�v i c�P �'� License#: h�4' 3s��`
C4Mi'�CfOC Address: 'I'• C�� IJ�� o�a I'� 01 City: �Z��c�
State: �� Zip: S..S' / a� Phone: (o-�/ �n �/ �Zs Z..
Contact: i�" `�- Email: �'�►-� � �1 c.!'J'iQ� ) r.-S;�
� ��:n
T������,� _,New �placement _Repair _Rebuild _Modify Space _Work in R.O.W.
' Description of work:
RESIDENTIAL
�er Heater
Lawn Irri ation Water Softener
P@t'1f11�T� g �RPZ/_PVB)
Septic System Add Plumbing Fixtures�Main/_Lower Level)
New Water Tumaround
Abandortment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment, Water Tumaround*(inctudes$5.00 State Surcharge)
*Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.Q0 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /
TOTAL FEES$ (� � • �
CALL BEFORE YOU DIG. Call Gopher State One Catl at(651 j 454-0002 for protection against underground utitity damage.
Calt 48 hours before you intend to dig to receive locates of underground utilities. www,aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x _ 1'''� �ti�e �'' c 1, ,' ) X ���
Applicant's Printed Name Applicant's 8ignature
F4R'C1F�tCE USE ' Rev�sw�d By. ' t�afe.
Requiretl l�spections: �„tlnder Grc�unr� Ftough-In Air l`est ,��as.�`est �ina! '
Meter Related It+�rns: Metee�ize Rad�o Read Ma�om�ter ' �taff: