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3921 Gibraltar TrCITY OF EAGAN Addition ZEXINGTON SQIJARE Lot 16 Blk Owner streec 3921 Gibraltar Trail improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN 5EW TRUNK 1985 254.53 16.97 15 254.53 C009781 10-12-84 SEWER LATERAL 1-28-85 WATERMAIN 1986 68.33 4.56 15 6$.33 C010126 1-28-85 WATER LATERAL WATER AREA 286.43 26 C 1-28-85 STORM SEW TRK 1986 501.29 33.42 15 501.29 C010126 1-28-85 STORMSEWLAT 1986 513.81 34.25 15 513.81 C010126 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ? CASH RECEIPT ? . CITY OF EAGAN ' 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 J ,? • DATE 19 RECt1YEO FRdM. ? • . E ' . . ' AMOUNT $ I ? DOLLARS +oo ? CA CK ? V Ml_' `'? ' ? Cr / .r .. / r - .f FUND CODE' pMOUNT ) l ) •? _ (?' i 'l_. - ? ? .L ? ??L;? l t S c? ` Thank You ? BY . ' . , 65792? _ -,_ - White-Payers Copy Yellow-Posting Copy Pink-File Copy . , , . . ._. . . . .. .., . .!' .?;... , . .. . . . . . . ., . ., .. J A CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 681-4675 BUILDING PERMIT , Receipt # . To be used tor FIAEPI.ACt Est. Vajue Date NOv 2 3 , 1991_ Site Address 3921 GIBRALTAR TR LOt 16 Block ? Sec/Sub.?i? ?? OFFICE USE ONLY FEES Parcel No. occuPar,cy - Zonin Z s.00 ?? ?? g - Name 3OHN P Ct7TTFBl.L (Actual) const - surcnarge .50. W Address 3921 G1WLTAR TR (Allowable) - Plan Review , city FA4AN MN ZIP # of Stories Ler tn Lk)ense ? g - Phone 688-9272 oePCn - sac, cicY N? SAM S.F. .F. Total - SAC, MCWCC 0 S.F. Footprints l!- Address On Site Sewa e Water Conn _ g Clty Zip On Site well water Meter ? Phone = MWCC System nooc. oeposit ? _ City Water Vcerw # PqV Required _ SJW Permit i hereby acknowlege that I have read this application and state thaC jhe Booster Pump - gNV Surcharge .? iniormation is coRect and agree to comply with all appiicabl? S4atQ of Minnesota Statutes and Ciyy-ob. Eagan OrdinanSes.; ;? % Treatment PI •? $igneture of Permiteey`; -?` - ' ! APPROVALS Aoad Unii A Building Permit is issued to: JOHN p C??RELZ' Planner - Park Ded, on the express condition that all work shall be done in accordance with all Council applicabie State of Minnesota Statutes and City of Eagan Ordinances. gldy, p{f, _ Copies Building Official Variance - ZS TOTAL •? ? PermR No. Permit Holder Oate Telephone # slw PLUMBING HVAC ELECTRIC " ELECTRIC Inspection Date Insp. Comments FoWings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace ZI- Final Htg. Orsat Test Final Plbg. Plbg. Inspector -Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. 38'.??0 PUot Knob R a? P o. so?GASS, Eagan, MN 55121 12473 PHONE: 454-8100 ? ? - ,.- BUILDING PERAIIIT . . Receipt # To be used ior SF llWG/GAR Est value $89,000 Date AUGUST 19 ,198 6 3921 GIHRALTRR TR Erect CIc Occupancy R3 Site Address Lot 16 Block 5 Sec/Sub. LEXING`I'ON SQUARAmodel ? Zoning pn Parcel No. Repair ? Type of Const V¦+ Addition ? No. Stories a Name ??3VIN GEORGE HI,7RS I??TC Move ? Length 56 _ P. O. BOX 4 2$ Demolish ? Depth -48 ; Address Int Impr. ? Sq. Ft O _ li13 TT.1?vTnwi ZR0?77A1 o Name SAME Approvals i o¢ Address Assessment ~ City Phone Water & Sew. Police ? = Name x Fire Z Address o Eng. i W City Phone Planner I hereby acknowledge that I have read this appliCation end state that the Council 8/18/8( Bld Off information is correct and agree to comply with all applicable State of g. . Minnesota Statutes and City of Eagan Ordinances. aPC A Bwidir all work Signature of Permittee -^----- `- issued to: MARVIN GEOHGE BLDRS Var. INC Surcharge '`? •'"' Plan Review?o• 00 SAC ?00 Water Conn. 500.00 Water Meter 63.50 RoadUnit 290•00 Tr. PI. 156.00 Parks Copie . 0 TOtai '? ? on the express condition that Gity ot Eagan Ordinances. Building Official ? ? PsrmH No. ftrmN Holder Dato Tdephona N Plw^bWg 7 93 QaA? P 1 b q H.N.A.C. EWCh1C L)?9?c:0 $ORMN InspecUon Dab Insp. Commenb Foodngs I (? ??.70 86 Lc.? .O Foounqa U Foundatbn Fnminy RooNny Rouyh Plbp. D -3I I? ?(J 'd WS. Rouyh Hty. 11 w ,B FhsplAes Final Htp. AV Final Plbp. ? Bldp. Final / Grt. Occ. Deok Ftq. Deck Frnp. WNI Pr. Disp. 'a '' r ?.. ' CONTRACT PRICE: ? Site Address Lot Block - ? Name a? ? Address c Ciiy ? Name c Address p City TYPE OF WORK ? . Forced Air' M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # ? Other FEE $/C: TOTAL- L . - .. _ . -. . . . ' i . . ----- .. PERMIT # MECHANlC4LPERIVAIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ? PHONE:454-8100 ? - "' / !f-,, I / BLDG. TYPE 5ec/Sub• : ReS. 1i' .. _ Mult - Comm. .;.5, e ? ::.;16 otner ? ??ll 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 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? d - ,• , '-?o?Ll?.C?ft SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # PLUM8ING PERMIT RECEIPT # `" • qTY OF EAGAN ` 3830 PILGT KNOB ROAD, EAGAN, MN 55121 DATE: Site A?ess 3 'i j I I?. i ? Lot? Block Sec/Sub _ m Name "' ,? "j ` ? Address Ou c ? (LV L- c City Phone y 12-A1 )` ? ? Name ? Addres? p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMfJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) C?x_ rz-, II SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLOG. TYPE WORK DESCRIPTION ? ? Res. New Mult Add-on Comm. Repair Other NO. FIXTURES .70TAL ' L Water Closet - $3.00 ? Bath Tubs - $3.00 ? T_Lavatory - $3.00 Shower - $3.00 T-Kitchen Sink - $3.00 Urinal/Bidet - $3.00 -T_Laundry Tray - $3.00 -?Floor Drains - $1.50 =Water Heater - $1.50 ,_Whirlpool - $3•00 , Gas Piping OuNets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 FEE a '4 _ STATE S/C: S L GRAND TOTAL• ? ? ? 4i16"4E6GWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD i ADDRESS CITY OCCUPANT ma r ?N OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BYSC Electrical Work By 8<Gas Line By SF'? TYPE OF HEAT GA_ FA.)?-- HW_ STEAM SPACE HTR. UNIT H' GAS DESIGN MAKE ?r ?)91\j ? Model _ S 9 V & i4 WC; =;n O -7 Serial Z VYGR q -7'1 S Z INPUT 7`;,U0 ' CONTROLS • THERMOSTAT? 00-S ( f Heat Plug Valve J'?6 A X- f Limit a?T c rcr) Limit Setting _ -z U() f Fan Setting /UO ° /- Pilot Type -? c Pilot Make ??Qr y,-- • ?? '' Pilot Model Pilot Timing - I115 Q N? L.W. Cut Off Pressure Percent CO Input CFH 7 Percent OZ Stack Temp, Percent C0 IJeNe 2 ?• MAKE OF BURNER Max. BTU Rating MAKE OF FURNACE _ Vent Size KIND OF L1KEk SIZE NONE Draft Nood ? % • ?« < ?- ??' Regulator Filters Size Wmber d' Chimney Location Inside X Outside Chimney Construction =- i 7.5 Smoke Bomb Wiring ? ) K Draft Test Tag Door Pressure -` Lighting Irist. Date Tested - ? 3 Company Testing ` e d a,r Ic" Name of Tester 3sss2 cu,< k ?, OTHER_ CONVERSION Form 235 CITY OF EAGAN WATER SERVIC E PERMIT 3830 Pilot Knob Road P. O. Box 21189 PERMI7 NO.: ' Eagan, MN 55121 DATE: - - ZO^j^0:- No, of Units: Owner: /lddress: Site Addrcas: ? - i : ibr? Piumber. Meter No.: Cohnection Chorfle Siu: Acoourvt Depoatt: i Reodsr No.: Permit Fae: , 1 pme to emply wNU 1w Cier of bPE Surcharge: Odiweeam Miac Charyss• ay Dote of Insp.: ; CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eegan, MN 55121 Zoninp: Ownsr, r'arv" -.eOZ'p Address: Site Address: Plumber: uz 1 Total: - Dote Poid: Irop.: SEWER SERVlCE , PERMIT NO.: DATE: ? No. of Units; LIb B5 ;.axinot qlw t0 OOn1* wllU trt C" of aw/asp GOn/NCHon Cildrpe: c-; c41 :• •-t' On/tmewea. Aaoount Deposit: - - ?t' PertnM Fee: 5urcharpe: By Misc. Chorges: Dote of Inap.: Total: Inap" DcM PoM: ? • ,GAN 3830 r... .KnobRoad WATER SERYICE PERM P. Q: Box 21199 PERAAIT NO.: Eagan, MN 551?1 DATE: -' Zoninp: _ ?lo of Units: Owner, -.ei 11ddr+eas: $iN AddflSS: ir P Piurnber: MOW No.: 1? - ; i? c? SiZQ; Reode? No.: n 1 o0" !+o ooeplp wtllr ilw Cihr Su?Q .eNen., By CITY OF EAGAN - 12473 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np BUILDING PERMIT PHONE: 454•8100 Receipttt ?? / /' ?l yl,?,/ Tobeusedfor SF DWG/GAR Est.value $89.000 oate AUGUST 19 19 86 SiteAddress 3921 GIBRALTAR TR Erect 121 Occupancy R3 Lot 16 Block 5 Sec/Sub LEXINGTON SQUARBemodel ? Zoning Pn Parcel No Repair ? 7ype of ConsL ITD . Addition ? Na. Stories a Name MARVIN GEORGE BLDRS INC Move ? Length 56 z P BOX 428 O Demolish ? Depth 38 o . . Address Int. Impr. ? Sq. Ft City PRINCET94ne 389-3201 Install ? a SAME APProvals Feea i $ ¢ Address ? Ciry Phone w W Name . z x Address i W o Name City Phone Assessment I Permit Water & Sew. Police Fire Eng. Planner- Council- Iherebyacknowledgethatihavereadthisapplicationandstatethetthe gldg.OH information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC- Surcharge ?° •'"' PlanReview 200.00 SAC 575.00 Water Conn. 500.00 WaterMeter 63.50 Road Unit 290.00 7r. Pi. 156.00 Var. Date Copie?'?7?? ? Signature o( Permittee Total. _' -' --- - - A Buildin9 Permit is issued ta: MARVIN GEORGE BLDRS INC all work shall be done in accordance with all applic St@te of Min esq Stety on the express condition that and Ciry of Eagan Ordinances. Building CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 19 912 PHONE:681-4675 L (? I ?t BUILDING PERMIT . Receipt # To be used ror FIREPLACE Est. value Date NOV 25 , t9 91 Stle Address 3921 GIBRALTAR TR Lot 16 Block _5_ Sec/Sub.I,EXINGTON SOUARE OFFICE USE ONLY FEES Parcel No. occupancy - Z i 25.00 Bldg. PeimR on ng _ N2fi18 10}IN P COTTRELL (qcwal)Const - Sumlaige .50 W AddfeSS 3921 GIBRALTAR TR (Albwable) ? R?,? F of Slones _ ? ? EAGAN MN Zlp th Len ?? g - Phone 688-9272 Depth - SAQ City N2R18 SAME S.F Total - SAC, MCWCC 0 S.F. Foolprints - F Addf25S On Sile Sewa e Water Conn ? g _ Cjry ]jP On Site Well Water Meter ? PhOf1B MWCC System = Acct. Deposil 8 Ciry Water _ Ucense # PRV Require0 _ S/W Parmit I hereby acknowlege that I have read this apphcation and stata th t e Booster Pump - SMI Surcharge mtormation is correct antl agree to co ly wich all ap hcabl S t of Minnesota StaWtes and Cit aga Inan s. 7reatment PI Signature of Permtlee ' APPROVALS Road Umt A 8mldmg Permit is issued to: JOHN P COTTRELL Pla^^a' - Park Ded. on Ihe express condition ihat all work shali be done in aCCOrdance wRh ail Council - apphcable State ot Minnesota Statutes and Cily ot Eagan Ordmances. gidy, pff, _ Copias BuiltlinqOtf¢ial?NJq1 t?,pl,f??' Variance - TOTAL 2$.50 oC?yl ? ?$ Sa. SU 2007 RESIDENTIAL MECHANICAL PEItMTT APPLICATION City Of Eagao 3836 Pnot Kanb Buad, Eagas 31'LN 55122 Telephone #E 651-675-5675 -? OCr 0 9 zoo? Please cmnplete fai: single famify dwellirws & townhomes/cotdos when permits are iequired 1ur exh mit Date j(D_ / ,017)_ / 2oO ? Site Address 3 F 2- 1 ( 2?; KJ C Q' ?0 r?f ? Unit # Property pwner SO E R? J? C? r? C? S 0 V1 Tetephane #( G7S-? )'?I ? S`? J I p Contrector OLL1 °L r Re?l7 i VlQ (1J1C] l OD fiYI Q .L VI C saeeca.aaress SCo` ? N Lake i c;ty Z-akf' State ,N?Al Zip 5509J_ Telephone # { Bond #: ?? ((oc'j L4 J+ Expires: SC'?.i 21 ,OS The Applicant is _ Owner ? Contractor _ Ofher Fire repair (replace bamed out appliances, ductwork, eta) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelliog unit New f Addi i l l R $ 50.00 V urnace ona acement _ _ ep t air exchanger / V air conditioner heat pump other State Surcharge $ .50 Total 0 $ SO. S- I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wilt be in conformance with [he ordinances and codes of the City of Eagan and wi[h the Mechanical Codes; that I undersbnd this is not a permit, but only an application fw 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. CuYW)1n6f?(.-vi _ Ores 11N? ApplicanPs Printed Name plicant's Si ture ? 6ftmw co L7 7?g 2005 RESIDENTIAL BUILDING PII2MTI' APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 TelepLone # 651-675-5675 FAX # 651-675-5694 'e -;7o, OV New Constructton Reauirements RemodellReoair Reauirements OHice Use Onlv 3 registered site surveys showing sq. ft. af lol, sq. ft. of house; and all roofed areas 2 wpies of plan CeR of Survey Recd _ Y_ N (20% maximum lot coverage ailowed) 1 set of Eneigy Calculations for heated addNOns Tree Pres Plan Recd Y' N 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site swvey tor addiGons & decks TBe Pres Requxed ' _Y _ N lsetofEnergyCalculalions AddiUon- indicaterfon-sifesepfksystem On-siteSeptlcSystem _Y,N 3 copies o( Tree P2servalion Plan if lot plaried after 711193 Rim Joisl Detail Op6ons selectan sheet (buildings with 3 or less unfts) 0. V?- Construction Cost Date T /361," / 0rJ SiteAddress 2^ q ` J f OV . Unit/Ste # Descriptioo of Work ?o` SlOI ? D C/. ?I1??M?cJ w ( ?? ?(A; 5'll nV4 Q.@mjr Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 t Q P --s o c hone # 1 ^' 7 p ? S Tele wner roper y - p The Home Depot A.H.S. Inc. Contractor 3200 Cobb Galleria Pkwy. Address Atlanta, GA 30339 ???Y State 763-542-8826 _ Telephooe # ( ) License 920268257 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 (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan? _ 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 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 appraved plazyin the case of work whic -?qui?s - apTIr of plans. i i 2005 cc? ? A plicanYs Pnnted Name AppficanYs Signature Installed Siding and Windows LIMITED POWER OF ATTORNEY COC}NTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home Depot Installed Sales loca±ed at 660 Mendelssohn Avenve North, Go':den Valle;r, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary arid appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Attorriey are limited solely to the express powers delineated herein and apply solely to the Work. This Limi*.ed Power of Attorney shali expire and automatically be revoked on the 21st day of Muy, 2004, which date is one year from the executioii hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at aily time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI"INESS WHEREOF this Limited Pokver ofA?torney is ?._Xecizted thic 21 st day of May, 2003 . David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 200 NCci%Q QiA*00 Notary P ic in for the State o eorgia b4y Commission Expires: January 21, 2006 ?96816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWction Reauirements • 3 registered site surveys showing sq. R. of lol, sq. ft. of house; and all roofed areas (20 % manimum lot coverage allowed) • 2 copies of plan showing 6eam & window saes; poured found design, efc.) • 1 set ol Energy Caiculations • 3 copies of Tree Preservahon Poen if lol platted after 7!1193 • Rim Joist Detail Oplions selechon sheet (bldgs with 3 or less umts) DATE -v?- _ Water Softener _ Waler Heater No. oF Baths SITE ADDRESS MULTI-FAMILY BLDG _ Y ?'N TYPE OP WORK FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREET ADDRESS I/??a ??° k,`c .4??• CITY SiATE e-'"A'ZIP ffl?? TELEPHONE # CELL PHONE # PAX # , 0 - -' ` `r31-J"yCd PROPERTYOWNER 6_°'7'?1110- TELEPHONE# lef?'Ge'I'9d'?'?1 ----------------------------- ----------------------------------------------- -----°------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE50TA RULF,S 7670 CATEGORY 1 MIVNESOTA RtiLES 7672 (J submission type) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worhsheet Submitted • Energy Emelope Calcola6ons Submitted Plumbing Contractor: _____ Plumbing system includes: Mechanical Contractor: Mechanical systcm includes: Sewer/Water Conhactor: Air Condi[ioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 -----------°°---°----°-----°------------------------------°-----------°------------------------....__.....-°...... I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances._._..-- ?" ? Signature of Applicant ------ __..__- .._-------__......__------- - ------ --------- __---------------°---------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4(Q2 RemodeURepair Reauirementa . 2 copies of plan ? • 1 set of Eneryy Calwla6ons for heated additions . 1site survey for exteriot addilions & decks . Indicale d frome served hy septic system tor addNOns VALUATION 3?_?r`7 v`7 Phone # lmm Sprinkler _ No. of R.I. Baths . . 673q ?3 1986 BOILDING PSRNIIT APPLICARION - CITY OF SAGAN BOYS: ALL COATRACfORS MOST BE LIC6NSSD IiITH THB CITY OF EAGA9 SZAGLS FAlMY DiIEI.LIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 7 SET OF ENERGY CALCULATIONS MOLTIPLS DiiELLIRGS - HESIDENTIAL RBNTAL DHITS FOR SALS ONITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SQRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCAITECTURAL 1 SET OF SPECIFICATIONS AND 7 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: & STRUCTURAL PLANS, SET OF ?fn?o - ?; Valuation. e: s f ly l$(o Site Address 39al Vdsty?, Lot IIP Block ? Pareel/Sub /? Owner lf?Gn Address 42 &p/ City/Zip Code ///,s[(??/Nt.7,,, ? Phone .38 9 3o`ZO i Contractor 54np- ad Bddress City/Zip Code Phone v ? Areh./Engr. L?- Address City/Zip Code Phone # t/ Erect X Oecupancy Ir5 Hemodel Zoning Repair Type of Const ? Addition N of Stories Move Length T?w Demolish _ Depth SIP>_ Int.Impr. Sq Ft Install 9PPROVAIS FEBS Assessments Permit Water/Sewer Sureharge Police Plan Review nX-2 Fire SAC s--,r Engr Water Conn Planner Water Meter "7-0 Council Road Unit Bldg Off :2?f Treatment P1 APC Parks Variance Copies iOTAL ? NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOFIfiOWNER HQST Dfi5IGNATE ftHICH ADDRESS IS DESIRED. NO CH9NGFS iiILL BE ALLOiiED ONCE BOILDING PERMI2 IS ZSSDED. i ' EXTfR1QR fNYElO?E ?llff7W 1 SMiT111NCC pAGE •?' ,? stnxuuRO uaaxsrttt? i r ' ?r?er??? ' 3? x 3y w l a3 a ?v S14s Aderess Nir,e, ? , Coatract?ra ' : :?A? ?,c,?- ?,? r,cpt Waoe]L+yT2,. 1 t?ata 1 2Xfsa.rd?fsl,6. .. . 0u11Qing Type (cAeck prtr) u Ooe md Tvo ?m11y Uull ing Otber ?t,4 C ?? 9 AtSOmbly at C"rA) (Deseriba tyDe trao Table I or T. !m. cJiedora ?1'Value (J xA shw ulculatio, : on Pa e 2 .?.?.__ ic? f 1 _ . ..-- lnsul+ td Area 93 ? oZ? {?•?? Fra?in Are ? 33 ` -- ? - Sk 1taAtf 1 a ? th r (descrtbe) ? Y tI ther Oescribe Totals Avere e U-batue u.A a rro?w t1f:• , ?LLL-------- - aaa J - 1-ed U-Valve (frnm tcxt . i ? ' -- ", ' D?1 --- -= -? - ____ -- __ - ?-- ins lat d Area i`'? ? Qqt? - - irmotnq Area ----°- •--- --,---- -?? Og ly•l Co Yin@ous T e LRAD?CA ??_???!aF•--.-• `?t???T ,?_ laa.D, 21 elll-] EIOCT4 T B JAJAUL.. a _??,?) q(,p R1m Joist Rres 99 • O ?t ? `. ? ' F1 lo e vait ? _---•--- '"?_ - ?' ? . ioimd ton Ualt aSorr radi•L ? ?y ? 1 .Ob (p ? _ ._____._ t at4on 9dlndows T 'e dsscribe 3• g'CG r dpf rfbt OtMr ascrtbe ?,ra.73 5 re R U-Vatna UxA CtLtro:n Une 4 ,?v? 8 tr d lf-Yatete froti teatk, __ a 7 1f ?4tN 2 1S qnater tMn line 7, or lint S qrcadrr thaei tlro 6, templetv !'Le 1 1n de'crwlnr slvrnaNve U-±alce for tot4t exttrlor eavelo . ? 7 Area (tlns 1) + Area (11ne 4). ? T• • 3t S UaA (tiat 1) • UrtR(L1ne 4). • • •RM4tR Area (:1ne t) x U-1&tur (lfne ]) . _ ? J ' ^ ?*+?r• ? 10 Area (ttno 4) a U-Yelur (t 1ne 6) ? a e •A*4o? ? 11 'Bvdtet', lSne 9 • IIqC 10 _•'____.-._ __.?.?.._ }??k?4 _? ?' 17 Alternntire U-Ytlue. I.for i1/11n, 7 •i?*'?o lf llna 8 Is greater tAon L1ne 11, flie.r assenAlie; as reyulreJ sa 11ae B 1 does pot excead Une ll. ----V-,-------^---•, • - i - ••..u..c.^e _..??.,__ ----._ ??.,. _ . _ ? ? ? ? , ? ? ? -? P i ? _ .... ? , , .N•, ?td ? Ti` _ ... ..? , ',1 •. i??-?a???' . • , i i'L ANUARIi 11f)riYSflf''i .., - J }""l.'UN/?AI.• ' ..... -. ¦ "_'.. _ "?/IS'.il ? 'I ?' i ckness It - V,,l u? . ? ! `-?-a?"• E, d tCri! - - - . -- -- 1--- A- ?---- _'-_.-'--' --- --'- ? "- - =71" -- -- ,'An r ---'- -- or f-Value see Tae or -Value see T?ble 2 - -- ?---` - Assembl hermel Resistance 1y U-da ue see Table 4 ?___.,_., ?nur on vaqe 5 dLCr ? ^T?r Ez ertor f_Va Total A ? Assem I ssemb] ?taterial descri ? ?- ? r-?'U^ .?T . d - ? nterior f-Va ue s e Tab1e 2 ---X z ? Exter or f-Vaue -seeat+le 2 - 7otal?' s?bj Thermal Resistance ? -- F Assemb? jy`U?ya?ue see able ? f Enter on Paqe i ?{- ssemh v - ?-- ? Hateriai describe ? hicknest Ii-V,i?e - ' - -- -- --- ? ? t Cerio f-Value see L u?_ lc asee1Tahle 2 ' Tota?sem?,lv Thermal RtSiSL , Assembly U-Va1ue see Table 4 EntPr on Paat 1 bly describC Thi?kness k_V,i ???. D 3 z ?,M1I< ? +Y ' % i/ . . or f-Ye uesH? T a bl ue scc la i -?- - --- ? ? -- _ - SSemGlv Thertnal I?csit,tanc?? ly U-Yalue ?st?c Ta !?i c q ? ? :. ;i3. `4.. ` Enter on Paqe 1 _ --- - -- ?!!. -- - -? _ G? Thic?nrss ' G ? k, t b - Va lur ^ a u R-a3 0 tLG M vri,il ?d??si:?ibr? IIiltAnr51 Va?lu?? ,tc iabl? ?T _ Extrrinr i-Vaiur ysee TaGle 2? - - - ------ ? _ Total ;.vmbly. Thermal P.esiS?an A,srr;?I,ly?U-Uatue (;ee iuble 4j- ------ Cnter rnl_ Pa1e 1 -T•.se,?j,l , - _ _P,it.cri,:l dcscriGu fhici,nN -- ----- ---- ?--- - ?i ? ?/? ' ?' '!?,_??'??--- ..?? ?rI zs ? _ /' ??\?iI( J ?Td i• fnt••?-i?,? ?f-V?tlu?? sty?Teblc Z?- ix!?,i i;,i t-Va1 fable ! lo( ?I f?r_??cu?,bly Ih?•r??i,il keSiSt?nc A,,?r.,?!,lY U-b',,luc (src Table-7 -- ---`-n-t er on P,a?e 1, Pssec?!,lJ - ' ' ------- ?_ ---„-- -lnt( _ri.>r f-Va1u[? See Exterior f-Valiie see _ Total Assrmbly Thcrmi ?.? . A?semblY U-ValuE see Enter on Pa?c e ?S S FmCt } V N,itf?ri,il Acscrihc Y' - -- -- - . T- -- ` -)- - --- ----- ----- -----11 .. -- - ....._....J? ._ - ---- ?- --- -- ?` ?,cr Tahle? tee TablP 2 ce -- - --? ------- _. 1!irrm,?1 ReSiSi A;?,?•n?hlv U-Valu?? tsce? Tahle 4 able _a't-Z Co L ?' o?• C 4 . , /f i ?, . '?. ; ?..; i? s_ ? R TOP Clqi70 2%8 1950F-1.SE MSH S.PTHE BOT ClfORD 2X8 1950F-3.5E NSR S.PTNE YEBS 2%1 03/57UD S-P-F WEB H IS 2%A !1 OFt WEB ?2 IS 2X8 1800F-3.6E MSN Fi-P-F MEB f9 IS 2%4 #2 S-P-F WEB 04 TS 2XA fi OF-l MEB " IS 2%A IS DF-l ME9 19 SS 2%4 02 S-P-F NE fi1 IS 2X2XB 4 %S ?{'6E MSR S-P-F ? B BEAPIN6 HEQUIHEMEPTS nLl BEAPINGS SMONN ARE 1.5 EXCEPT AS NOTEO: BEARIN6 Q B 1 6.27 fiEOUIPEO BEMIN6 ! TFUSS lOM2N6 (CAWIPE? HEMOEP FOflCES FNOM LEFT TO iiTGHT: TOP CMDNO BOTTOM CNOfiO MEBS REACTIDNS T 1-16534 0 1- 0 N 3^32980 M 7- -440 FEAC7ION P B 1- 15948 r z-zaeoi e x- 16534 ` 24801 N 2- 20685 M B- 10449 aEAcr:or+ a a s- sss+e N 3- -6820 M 9- -6820 COMPLETE TRUSSES RE?UIRE?! 3 T 3-^E<801 7<-24801 8 3 0 4- 16531 N 4- 10843 X10- 20885 cpwEcTIpN ryEqMppng T 5-16534 B 5- 0 M11-32990 ? -440 T.C. 160 W1IL5 STAG6ERED AT 12' O.C. ? N C. 1/2' BOLTS AT 3' O.C. B . NEgS SBD fUA-3 AT 12' O.C. THROUGHOUT AppllYOtuL LOAOING . !IRtIF: 7C NFFAT i00.01 80.OL9 PtF FR 0.0 TU 22.0' .OLL iWIF: BCL? VERT B4INCPEASE ?.60 0.0 70 22.0' C/.TEO/' LMATE 2 L!f]iE5 F?ROM EI1M1Fii SPLTCES OF TTHE4PAN?ELLI1i 226TM 1 • CrnnnR vLd"c [WE svaum: MULTISPIKE UBC O.DO ' O.C. 7/21/86 AN ANYTRUS@ DESIGN ?. C202E001 riLE. VILL, ,"1N. 1 OF 1 M. S. SOX12.50H 7.0X 7.2 2 4 0 m 1 3 c 2.6X 9.0 ? 10X12.50N 'd hA' Its' b6. ? ??o?_?? sYSr?urs SYMMETRICAL ABOUT S.BX 7•2 4.57C 5.4 1.9% 3.6 7.ox 7.2 7.030.e 9.OX 9.0 MYiVIH STIIZYLEW9a Ic2o2eooS CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *rorw,: PAYMTrr aF ? AT MM oF APPT.TCATION DOES Ld7P CONMTiTrE APPROVAL OF PERNIIT. IN.snECrIorr oF sMM nrID/oR MTEz INsTrUAzzoris wn,t Nar BE sCHED- ULID pNTII, PERMIT AAS MM APPRC7VID. P ease Print ^^ ^ ^ ^ 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EKISPING STRCCIL'RE. DATE OF ORIGINAL BL'ILDIN;, PERh1iT ISSL'ANCE: - ! PR£SENP 7ANING/PROPOSID LSE: (?"bn ear) ? CCM`ERCIAL/RETAIL/0FFICE ? R-1 SINGLE FAMILY Q INIDCSTRIAL Q R-2 DCPLEX (1t.o Dnits) ? INSTI2L'TIONAL/GpVII2NMEN'p ? g-3 TpWNHppSE (Three + Units ) ( L?nits ) . [? R-4 APARTMEN'p/CODIDUMINIOM ( Units) 2) ? NAME: ADDRESS: CITY. STATE. ZIP: PHONE:__3 11 3) u r a• NAME: ADDRESS: CZTY. STATE, ZIP: PHONE: Z-/ `9' D _ 0 ?' J ?? LICENSE# 4) •?• ? i?• AIAME: , ADDRE$S: CITY. STATE, 2IP: PHONE: Pliunbers License: Active Expired Not recorded Sta?Initial 51 ? «• ? ? a• •?• :? •?. - ?? - ? CoNNECTION T0 CITY SEWER ig CpNpgx,TION To CITY WATIIt ? oP[1ER 6) ? • • i? pr.FnSE gpLp ApPROVF9 PERNIIT FOR PICK-UP SY ONE OF ABOVE PLF.ASE MAIL APPR PERMIT TV 1. 2. 3, 4, ABOVE ??(Circle one) ' 7) r n u• - FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ lC/) _ ?-p $ $- - 1/ S $ $ $ $ $ $ / S0D $ $ A-1 C? $ .7b0-C?C? $ s 7 ss?o $ ? S $ S $ $ $ $ _ $ •oC) $ SEWER PERMIT (INCLUDE SCRCHARGE) WATER PERMIT (INCLODE SPRCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCODNT DEPOSIT - SEWER ACCOLNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRC'NK SEWER ASSESSMENT LATERAL BENEFIT/TRCNK SEWER LATERAL BENEFIT/TRONK WATER WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S S-a) $_ ..5?• ?/'? TOTAL R?T It RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY? ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: l C4 sL CITY OF EAGAN PLUMBING PERMIT SUBD._ (612) 681-4675 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FEiKILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY aECSrPr # CDI DATE?,? ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST _ ADD ON ? REPAIR _ NO b.k. ? OWNER NAME: C) r`C-L SITE ADDRESS: INSTALLER: /"/? GI Lrl- ADDRESS: CITY: PHONE # ZIP: G:VRPISICV lAL COMPLETE THE FOLLOWING: FIRTURES EA. REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FiAOR DRAIN 3.00 GAS PIPIN6 OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TORNAROUND 15.00 5,TATE SURCHARGE TOTAL .50 j::9- ? S l? • PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI./INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT R.EQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRAGT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) $ $ 1991 BIISIVILCATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COPAfERCIAL 2 SETS OF PIANS 2 SETS OF P1.SIVS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES iTEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTFI IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: - Ce Valua Site Address Lot 1(, Block ?_ Parcel/Sub Owner Address ? City/Zip Code ? f Phone "igg `•Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code ?? 1,9-3 Phone # Sewer/Watex Licensed nace: A OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWGC System _ City water _ PRV _ Booster Pump _ AYPROVALS Ylanner Council Bldg. Off. Variance _ FEES ? Bldg. Permit Surcharge • Sa Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct, Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park'Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change ? TOTAL agrees that all woik shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. // I 4Wvi,v Gy?onw? ??r?r,'? 41'?551 ,?-u HEATLOSSCALCULATION$ HEAYING&AIR CORBDBT90RIIi19G CO. MINNEAPOLIS,MINN. Weatherstrips A.S.H.V.E. Construction Na. Insulation Windows Ooors Guide Reference Out. Wall Int. Well Ceilinp Roof Floor Kind Haw Applied Yes-NO Yas-No 19__ FI. 'ritoom Length Width ,3y Height ? ? FI. Room Length ? Width HeigM YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea 1' No. ??Arh o an Meipht ol ane Na. ol h hta Lineel it. al ?re Area •. ??. No' WrA?h ol ana No?O?? ol ene Nn. 01 li hla l?nael fl. o/ creck Aree ••It• t73 . / L ciee, Coef Btu Coef Btu I?filttation 71 1a Intiltration 1 Glass oi25 -56 A?25o Glass 1 50 Q Exp. wall Exp. wall Net exp. wel I Gj Net exp. well /OO Int. wall Int. well Ceiling Ceiling / Floor Floor 1 5 Tmal Btu. s Total Btu. qQ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ( FI, ? Room Length a(p Wid[h Height FI, ? 'Baan Length f3 Width /a Heiyhl Wi ndows a d Doors- Cracka ge and Are a +16 ? Wi ndows a nd Doors- Cracka ge and Ar ea - NO' W?tlr? ol ene Me?qM ol ane No. al h Ma Lmeel It. al creck Area oq. tl. NO? y/,Mh al one Hx'qhl n} q?a No. u? li hts Lmeal h. oi aeck Aree •. fI• X 47 a ? (2) 9 f) 1 / , Coaf atu - Coa, etu Infiltretion a0 Infiltreti0n Glass ? 0 GIas6 p?Q 5p Exp. wall EKp. wal I Net exp. wall ?O a/ci? Net exp. wall ?o Int. wall Int. well Cailing y Ceiling Floor ? Floa Totel Btu. 6 77 Total Btu. Required sq. ft. E.D.R. or sq, in5. W.A. Leader areA Reqwred eq. ft. E,D,R. or sq. ms. W.A. Leader area FI. Room Leng[h Q Widch 7 Height FI, M, -BE Roam Length ' WidtA Height Wind ws and Dows-Crackage an Area Wi ndows a nd Doors- Cracka ge and Ar ea Nn. Witlth of ane Haiaht o( nne No uf li hta Lineal It. ol creck Area E0. 11. NO' ana 'U ahl uf pnn Nn h 'o n Coef 8tu Coef Btu Infil« a Inf;lt.rt,an 4417 Glass Glass Exp, wall Ezp. wxll Net exp. wall S Net exp. wall Int. wall Int. wnll CeiImB Q ? Ceilmg ? Floa ' flo?x Total Btu. 55 Total Btu. _ Re4uired sq. fL E.O.R. or sq, ms. W.A. Leader area RpquireJ Sq. It. E.D.R. or sq. ins. W,A. Leader area HEAT LOSS CALCULATIONS ?• HEATIR9G&AIR ei? t'r0NDIT60N11VC7 r.0. MINNEAPOLIS, MINN. Weatherstrip5 A.S.H.V.E. 'Construction No. In6ulation Windows poors Guide Reference Out. Wall Int. Wall Ceilinp Rool Floor KuM How Applied Yes-NO Yes-Na 19 FI. r Length fir x Wid[h /0 HeiBht FI. Roan Lenqth Width Height Vlindnws and Doors-Crackage and Area Windows a nd Doors- Cracka ge and Are a N?' wrmh ol ana Ne'Oht ol pane No. of I- htg Omeal fl. ol clack Area 34, ft NO' Witlth o} an! MniOht o} ane Nn. of 11 ?le Lmeal q. OI Creck Aree 6. It. COef Btu Coef Btu InliltraUOn In1iltletlm Glass Glasa Exp. well Exp. well Net ezp. wall (0 s Net axp. well Int. wall Int. well Ceiling ? Ceiling Floor 61 Floor Total 8tu. 0561 TOtel Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leadar area Pequired eq, ft. E.D,R. or sq. ins. W.A. Leader aree ? FL p ? Room Length 1 Width HeigM il. Room Langth Width Height Windows and Doors-Crackage an Area ' Wi ndows a nd Doors- Crecka ge and Ar ea NO' W,d,h ol a ne Herqht ol ane No, o} li hte Lineel iL ol erec k Aiea ?9i?. No' WrtltO e1 ane Hn?qh1 al xnu No. uf b hte L.neal 11. ol crecM Arlp s. f1. I' e2Y' ` /ov Coef Btu Coef Btu Infiltratian 5 1175 Infiltrauon Glass ? Glass Exp. wall Exp• wall Net axp. wall Net exp. wall Int. wall Int. wall Ceiling Ceilinp F loor F lOOr Total 6tu. 0 Toial Btu. Required sq. ft. E.D.R. or sq. ms. W.A. leader area Reqwred sq. h. E.D.R, ar sq. ins. W.A. Leader area FI. Roan Length Width Height FI. Room Length Width HeiOht Windows and Doors-Crackage and Area Wi ndows e nd Doors -Cracka ge end Ar ea No' Witlih ol dnd He.pnl of pPne No, ul ?? ht3 Lmeal h. Ot crack Area %a• N• No. wimn U? x??B ?1«i9??? ul Pnn No. n1 ?!?h?s Lmeal 4. of [raek 4ree e. ft. Goef Btu Coef Btu, Iniilttation Inhltrntron I Glass Glass Exp. wall Exp. walt Net exp. wall 'Net awp. wall _ Int. wall Int. wall Cefl-ng Ceiling ' Floor _ ??oor Total Btu. Total Btu. Required sq. !t E.D.R. or Sq. ins. W.A. Leadar area Roquired Cq. ft. E.D,P.. or sq, ins. W.A. Leeder area ? . OF 3830 PIIOi KNOB ROAD, P.O. BOX 21199 PFA BLOM9NST EAGAN. MINNESOTA 55121 Mbyo, PHONE (612) 454-8100 THOMAS EGAN JAMES A SMIiH VIC ELLISON iHEODORE WACHTER Special Assessment Search c°°""'"'a""e" . THOMAS HEDGES QryAdmimslioloi Date: A1Q 5, 1986 EUGENE VAN OVERBEKE CiN aerk Requested by: Re : Le'xi-n9ton Srn,are , i10-45075-160-05 Universal Title Insurance Co 14031 Burnhaven Drive Surnsville NIIJ 55337 On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council if there are any on this parcel. The City's policy is to levy assessments based upon the current or existing use of the parcel, as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, that parcel shall assume an additional assessment obligation as a condition of development approval. The City Engineering Division can provide further clarification of this policy if you desire. WAZVER: Neither the City of Eagan nor its employees guarantees the accuracy of the information which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereo£. In consideration for the supplying of the indicated information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly waived. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSESSMENT Attachment THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMt1Nltt ! TRFfJSACTION II]: P763 SPECIAL ASS.F.SSMF.NTS SPECIFiL A55ESSI`1ENTS SEA(iCH SUMMArY F'R01='ER7-Y I.D. TODAYS DATEe 08/04/86 ---SFFCIAL FLAGS--_- ? T p 1-2-3-a'-5-6-7-•t3-9-Y 0_ SV^`FJV/S-IEJU-UJ S.A.l++ ASSESSMEN7' DESCIi. YP Yr5 rATE 70TAL ANN.FrIN. F'(yYf1FF CQMMEN'P 100977 SlLATE+EN44) 85 15 ?l.i_'rU? 173.65 .0u0 .00 PREPAY 100978 SSLAT401 85 15 i.t.00"/. 513.81 .iiCa .00 PREPAY 100979 SSTRk;401 85 Y S 1 2.0t>`J, 501.29 .00 .00 PREPAY 100987 4IATEfiARA39 85 IS S 1. UO'/. 286. 4;', .00 .00 PREPAY 100980 W/L^nTBIV395 S'S 1F.3 11.00% 69.:3:= .40 tiO I-'IiE1='AY SUMMARY OF AC"1'T VE .00 .00 .00 e?rt+irr THIS YEAfi'S TOT P&I .OCi Fr-ess FY or F2 (Hea<ier Form) or F7 (Restart R760? ? ¦e?r?aw?re ??==-.?--- --_-- --------- --- - ------ I --1 rr?o??.. eii?ar r.,?,,,?.. ?.,,,??. es.n ------- Suu?n411?u rpr10 , ??W ? MrW lM+??rI ?.V Tn?w ? Ir/ ?r?+r W? 1?Y Y? WM.lb. ? KXI) ,•Certi!!oa?t• o! 6urvoy tor MAavrAI GEOacE BUILDER ? N ORTN S. 99°00'00" E. 130.68 .o I q 15--- - --? - - ? ??- C) ° Q) ° i6,o I ce'' t I Q) o ? ? ? I - PuoPOSEO o ?" ? ' z I UO U S E °? ? 10 ? ?C I 18.0 - I m L- ------ti -?-M?-? ? 3l, o 129. 70 N.89°00'00° 6wMnqs Slwown ati AssuMd. c Dmtts ]ron lbn%mnt. o Qlnpttii 'm foundatlon Corner Stake. ,4oo.o0Mqtes Exlsting Elevatton. ..-- 4eata 0lraetlon of Surfau Dra1naqe. Denofee D?ninai e ? Utiliy Eosemen} PIbVOSEO ELEYATIONS Top of Block lowst floor 6anye Floor 99/. LoT rG , Rocu ? LExrNGroN SQuARE, DaKOTA Couwrr,e+iuN. 6ub1ec{ fo Qlrqlnq?e ? Utilifi earements I 1 MrOby wrIUy 'M' "b 4* bw OW unul Iyib??N11N M- &r'vq N 1b Yw?dWlo dtM 4*0w MwI1bN Iod, sw d*V IMoU" d dl ?rll/1 Ihorw. w1 dl r7 1 M 11 ?, I1N W ? NI/ I?o/. M w.ry"d ?r r Hls?q d •.a. N? 1 « u? ?«...uaG w ?Maw a iM ?'cale: ?^? =. ..,.. ,30 M Na/udiMM. A1111MuRowwO SS64 Z L /I?'7SI REQUEST FOR ELECTRICAL INSPECTION 'Or!""?? ee-0owi- {? ? ? ?- 4 Z 8 2 • See inslructions for corypleting this form on beck o1 yellow copy ?;&}?I C' a/8` Sj I ?7(" Below Work Covered by This Request ew Add Rep.,L, Typeof8uiltling ApplianceSWired EqwpmeniWued = Home Range Temporary Service Ouplex Water Heater Electnc Heating Apt. Bwlding Dryer Other (Specify) Comm /Industrial Furnace Farm Av Conditioner Olber(syecily) Gonkaclor5 Remarks o0 ?r ,s? !1 ?dlh? Ip I i 6 Compute Inspechon Fee Below ?k - Other Fee k SerwceEniranceSrze Fae # Circmts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers A6ove 260 _ Amps 00 _ Amps $19n5 Inspector's Use Only. Irngation eooms Special Inspection AlarmlCommurncanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHI ONT I, the Electrical Inspecror, hereby Rough-in oat . ? certify that ihe above inspection has been made. F,,,ai 0, oaa-, OFFICE USE ONLY This rtqvwt voitl 18 months imm ? ?2? 3 O?dY» ? Requesl OaiB / - L? A A Cf. h Frt0 No flough- Inspeclron u res ? No ??yy ? Raetly No,y'/t?ill Nobrty Inspaclor ? Ouhen Reatly' I C I censed contractor XQwner hereby request inspection of above electricel work at JoD Adtlress (Sheet Box or Route J ?/ 6i?ra(f - r City Section N. TownsM1ip Name or No Range No Couny ???oNT)i?l ? ?Q Pno( ??9 - 9a Power Supplier Atltlrew Electncal oNreclor (Compeny Name) om?' aw n?r' CoMractork L?cense No Mamng Atl s IGOnvatlw or Owner Makpng Installanon) ?V E- Authonzeo Signalure 'Convac , ner f?Amg I Phone Number MINNb90TA STATE BOAqp OF ELECTHICITV THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlway BICg. - Room 5413 BE ACGEPTED BY THE SiATE BOAFO 1821 Umversiry Ave., St Paul. MN 55104 UNLE$$ PROPER INSPEGTION FEE IS Flwne (612) 692-0800 ENCLOSED- 10 /0/03 /8Ca REQUEST FOR ELECTRICAL INSPECTION Ee-00001-09 ' Sea instrucxions for completing this Irtm on bnck af yellow copy. 029683 :'f." Be7nw Work Cavered by This Request ?. PIWAAAdIRep.] Typa ai Builtling I ApotiaMea Biree I Epafpmenl Wi,eV ? Buik Milk M Fea ServiceEntranceSixe fl Fea Feetlers/5ubieetlers p Fe lrcuits ' 0 to 200 Am 0 to 30 Am Q to 0 Am Above 200 qmpy 31 to 100 Amps 31 to 100 Arnlis Swinvning Pool Above 100_Amps Above 700_Amps Transformers Irtigation Boorrtc Parhal-`Other.Fee-, Signs Special Inspection ) Bemarks TQL P 0 ?/ RouOh-in ?TQ 1, tM Elect ' i ? a ?flSOBC?Of? ?1Cf0?? cartiiY lMt Ihe abpvB Final r i?paction I?as bcen y de. w i e /U/631St? 0 3 t- ,?-L? t,'7ly3 ?.?.?. sq-. Iv?.o6 /y , /ry Nequi PReaAy Now ill Notify InsUec- ?7 - ? 'T , '` 1, es nNo br When Rcady ?J Licensed Elec[rical ConVaclor 1 hereby requast inspeetion of above ?j Ovyner electrical work ireralled ai: Straet Aadress, eox or Route Nn. 3e/.2, ??b?'n.lf-?r Glv ca cUOn o. Townshiv Name or No. RanBe No. County 1- OccuuantlPRINTI «e-vi n Phone No. 23a - 603 ? Power SuDPlier ? Address Electrical Cnnlractor IConryaay Namel , V V I ?' ? Contraclor"s License No. C-I ?? 2 , i 1 -1 Mailing Address Conlractor or Owner Making Instailationl ' r).??x 3 e )3u.r-?,s ?? l(? r?'1 rl AuM riz Signawre (ConhactoJOwner Making Installatian) Phone N?unOer '/ D ?T YINNESOTA STATE BOARD OF ELECTflICITY TMIS INSPECTION REQUEST MIIL NOT Griyys-MiAwer Bid9• - Nuo.n N•191 gE ACCEPTED BY TNE STA7E BppRD 1821 Universiry Ave., St Paul, MN 55704 UNLESS PROPEq INSPECTON FEE IS Plrona 16121297-2111 ENCLOSED. PERMIT City of Eagan Permit Type:Building Permit Number:EA120428 Date Issued:02/10/2014 Permit Category:ePermit Site Address: 3921 Gibraltar Tr Lot:16 Block: 5 Addition: Lexington Square PID:10-45075-05-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Yumi Ogawa 3921 Gibraltar Tr Eagan MN 55123 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140556 Date Issued:01/03/2017 Permit Category:ePermit Site Address: 3921 Gibraltar Tr Lot:16 Block: 5 Addition: Lexington Square PID:10-45075-05-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Yumi Ogawa 3921 Gibraltar Tr Eagan MN 55123 (218) 251-6937 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature r For Office Use Ia ° + i f Permit#: S `7 �` `*t*�e ;`rot E AGAN . • • 4.1,'-" "'It EAGANO Permit Fee: /c:?c• ` ,,,,, 4 ""` ."'E', Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 rd p (651)675.5675 I TDD:(651)454-8535 I FAX:(651)675-56 ApR 0 Z�19 Staff: .i_ bUildinqinspections6/CitV0feaclan.com ' ' _1 2019 RESIDENTIAL BUIL i - - 7 APPLICATION Date: 4/8/19 Site Address: 3921 Gibraltar Trail unit#: ,3�i L 1:` i ' 651-815-8979 , at f 44 ; Name: Ogawa, Yumi and Andy Phone: ,.'4;1.-'4-,,-1.4.',4,i,.. ;;,iAddress�City Uzi 3921 Gibraltar Trail ty p; ,, 1,fm414,411Fi Ill ",, Ailly i "p ;?. Applicant is: Owner / Contractor Allifirj= lit E - ,':' 4'T Bath remodel ,y„ -c-- -: Description of work: ` $9 .00 o'er!i:,1",,,10.,1''-?";'ST { •Construction Cost: ,600 Multi-Family Building:(Yes---/Nom) `. .a ii l `. '° '' ,E , ;Y company: K2 Bath Design and Remodeling Contact: Damon Lee y ' ci +W '71,,,I t � I � �� !{ ; .?.{ 2010 East Center Circle#100 Plymouth L'f,,,-,',.. .:!._,,r,,,.-.....f...,',' Address; tY- "4 .`"s-',14!i::! a " -��. MN . 55441 612-226-44 dies k2bathdesi n.COm lti, �."rT; , , %) State: Zip. Phone: Email: g '' ' ' NAT 120063-2 1' I'r 'h, ,�,I'.0� e'' License#: BC638895 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date end address of master plan; Licensed Plumber. Phone: Mechanical Contractor. Phone:- Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: .171.r rra �Y,,,, r.; l . ,i_7':,,11-,Y-Y..':°ll il4 4 I !�� ti-77r�' i ,/ —BI A. ._ , 7 L F _tedJ.-r�i, C3.-.--_.::d-�'tl', f � 'i'....t � ..i.f ef r . :11.r--_•....--:"._L.�.E.....4-i'.C�...7 I :r.R% ,Sf(1,L�..(, „+ri. =1�. �'—L�..: . i _�. ..��, ll.,:, .. r:L �..Tt . ,--:L:— ,. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvafeaoan.00misubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464.0102 for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utilities. wuw.aoaherstateonecall.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 tits 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 appr p a . x Damon Lee x Applicants Printed Name Ap Signature .Q_. 1 6;b12,911.6g_ T /...._ qg ig DO NOT WRITE BELOW THIS LINE ' SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family __ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous 01 of_Plex ^ Lower Level — Pool _ Accessory Building WORK TYPES New — Interior Improvement Siding _ Demolish Building* _ Addition . _ Move Building _ Reroof Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation 4 Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ()10(.9'0 Occupancy MCES System Plan Review Code Edition A , < SAC Units (25%_100% Zoning 4, City Water — Census Code Stones Booster Pump #of Units Square Feet PRV #of Buildings _ Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) Final I No C.O.Required — Foundation Foundation Before Backfill X HVAC_Service Test Gas Line Air Test_Hood Roof:,_Ice&Water _Final Pool:_Footings Air/Gas Tests ,Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:__Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall:_Footings—Backfill_Final — Sheetrock Radon Control — Fire Walls Fire Suppression:_Rough In!Final — Braced Walls Erosion Control — i, Shower Pan Other: Reviewed By: ' `\ ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review ( � MCES SACli.f I,./ City SAC c\f° " ( Utility Connection Charge �� S&W Permit&Surcharge Treatment Plant ( C , Radio Meter Read irj Copies 1 TOTAL (1/1C\S(1/ , Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155763 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 3921 Gibraltar Tr Lot:16 Block: 5 Addition: Lexington Square PID:10-45075-05-160 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Yumi Ogawa 3921 Gibraltar Tr Eagan MN 55123 (651) 815-8979 K2 Bath Design & Remodeling Llc 2710 Urbandale Ln N Plymouth MN 55447 (952) 393-5712 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162975 Date Issued:08/07/2020 Permit Category:ePermit Site Address: 3921 Gibraltar Tr Lot:16 Block: 5 Addition: Lexington Square PID:10-45075-05-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Yumi Ogawa 3921 Gibraltar Tr Eagan MN 55123 (651) 815-8979 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164895 Date Issued:10/12/2020 Permit Category:ePermit Site Address: 3921 Gibraltar Tr Lot:16 Block: 5 Addition: Lexington Square PID:10-45075-05-160 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Yumi Ogawa 3921 Gibraltar Trl Eagan MN 55123 (651) 815-8979 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165214 Date Issued:10/22/2020 Permit Category:ePermit Site Address: 3921 Gibraltar Tr Lot:16 Block: 5 Addition: Lexington Square PID:10-45075-05-160 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 - Yumi Ogawa 3921 Gibraltar Trl Eagan MN 55123 (651) 815-8979 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature