4351 Golden Meadow Ct
? ,.
CONTRACT
PRICE
Sfte Addless
Lot -?
?
? Name _
? Addr?s
c Clty _
Name_
?
'c Address
8 City _
Sec/Sub Res. New_
Mult. Add-on
Comm. Repair
_ . . , Other
Phone
Phone
FEES
COMM./IND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAI FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
PLUMBING PERMIT For
CITY OF EAGAN PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT;
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1_50
Whidpool - $100
Gas Piping Oulets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
_T gh Openings - $1.50
PERMIT FEE:
/ ?
-
? STATES S/C: ??
GRAND TOTAL: 77
CITY OF EAGAN 1 3 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # ? 406 19
To be used for LASEMM FjKisH Est. Value ;i 0500 Date OCT 3 19 84
Site AddLess '»a "?n'"r'j' eas+??^^< <'A
Lot s Block Sec!Sub. ET 3RD
Parcel No.
cc Name
W
? Address
0
City. Phone 454-0274
Name -
Address
Phone
Address
ciry -
Phone
I hereby acknowlege that I have read this application and siate that the
infoRnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee ' .
A euilding Permit is issued to: TOM JOACHIM
on the express condition that all work shall be done in accordance with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFIGE USE ONLY
Occupancy - FEFS
Zornng - 3b•00
(Actua!) Const - Bldg. Permil
(Allowabte) - Surcharge 1.00
# ot Stories -
Lengih _ Plan Review
Depth - SAC, City
S.F. Total _
SAC, MCWCC
S F. FootpriMS -
On Site Sewage _ Water Conn
On Sde Well - Waler Meter
MWCC System _
_
CIry Water Ac
cl. Deposit
PRV Required _ S!W Permit
Booster Pump - SNV Surcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council
BIdg.OH. _ Copies
37.00
Variance - TOTAL
?
Permit No. Permit Holder aate Telephone #
WATER
SEWEF
PLUMBING n;2 J '!.2 c.ti• ? ??'.?/p ?/
H.V.A.C.
ELECTRIC
Inspection aate Insp_ Comments
Footirgs I
foundation
Framing
Rooling
Rough Plbg.
Rough Htg. p -
Isul.
Fireplace
Final Htg. ? 71y
Rnal Plbg. ?/j A C?)
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final '?d7 711,91 ec. ;X
Deck Flg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for -Est. Value `.1 , c)U6 Date ,19
SiteAddress
Lot Block
Parcel No. L `?1 ? ? ? ' • ???LR'i
1 Sec/Sub.
ac Name 'I'HOMAS .ibAC}ll't
= Address 4351 F,4 01 ?v tWaDi;., Ctlt'i%`:
O
City A
Phone o274
¢o Name 5??4 E
.
? i
Address
P City Phone
?
"W
W
Name
W
_ g
Address
Q W City Phone
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 Permittee
A Building Permit is issued ta '?? ???'{
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Official _
pn 51te 5ewage
MWCC System
On Site Well
City water
PRV Required
Booster Pump
APPROVALS
Engr./ASSess.
Planner
Council
Bidg. Off.
Variance
Occupency
Zoning
(Actual) Const
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge • T?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks ` i ?' e
TOTAL ? • VU
?
Permit No. Permit Holder Date Talephona i?
Plumbing
H.V.AC.
Electric
Softener
Inspectlon Date . Insp. Comments
Footings I A
Footings II
Foundation
Framing F
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Oca
Temp. LP
Deck Ft9•
Deck Final ?so
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Sunset Third Loc 5 eik 1 Parcel 10 72987 050 01
Owner st,eet 4351 Go:ld,sn 14,eadow Court State Eagan MN 55123
dp.Qzl? or
Im dv6rvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK S?s 1981 e ed O 7 1]1 CZC 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA s'1L
STORM SEW TRK q*" 1985 3SSeSSe oII 10t 7 bl CIC 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. of to
HUILDING PER. tt
SAC rr n
PAR K
Ra=
r'?,, • CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 1g '
aeeaIv¢n
FROM r
AMOUNT $ I
& DOLLARS
ioo
C] CASH ? CHECK
? -
FOR -
fr - .
r=-
? i
? FUNO CODE AtAOUNT
l
Thank You
&?a
Bv
,
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
.
sU1LDING PERMIT
ii, Sn^
Receivt #
To w w"d fW ' Est. Volue Oate ? 19
Site Addreq ' Erect ? Occupancy
Lot Block +ec/Sub. Remodel
R
i ?
? Zoning
T
t
f C
eps
r ype o
ons
.
Parce! No.
Enla?ge ? No. Stories
Move ? Lsngth
Name Demolish ? Depth
?
? Add?eta Grade ? Sq. Ft.
City Phone Irntall ?
Name _
? Address
F cin, ---
5u-0274 ($)
Phone
Name
Addroaa
City Phone
Assasament
Wcfer 3 Sew.
PoUu
Fin
Enp.
Plonrwr
Council
Plan
SAC
Rood I
_i`}: I
I hereby xknowledpe thot I how reod this applicotion ond state thot gldg, pff,
the iniormation is corred and ogree fo comply wifh oN applicnble
APC Tatal
Stah of Minnesota Stotute: ond Ciry of Eaqan Ordinonus.
Var. Data
Slprwtum of Pcrtniftp
A Buildinq Perr?it Is iuued to: _ on tho expnss aaditlon that
dt work sl,oll be dorw in oooordontt with oll oppliaoble State of Minnesota Statutea cnd City of Eayon O?dinonces.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eapn, MN 55121
PH ON E : 454-8100
FW=it w lrmit NdYw DMr T s
PkNWA*. ? C c,
*LVAX- L-
Ebc&k L I
sda?..
Iwaetion Dor Imp. Olhm
F°-Iw
Fowmktion
F?aniN ?
r
RooMq
RoMO POa -t 9- f? - d • ? - `,
I?Ntion ? f:.•
Fltil PIbw
FinN HVAC ?
Fh+d 7
drt/Oere.
?M OMa*n Loeatiow:
IM?p
emw
Pr. 011p.
?
? -
Receipt PLUMBING PERMIT Permit No. >> ? i
CITY OF EAGAN
Fee •
Fill in numbered spaces S/C '
Type or Print legibly Tot. %? ' )1. Date 2. Installation Cost
3. Jab Addressq3 i_( !' Lot `. Blk. ' Tract
4, pwner TO M ? O f? G,N i M
r,
5. Contractor M Phone
, c7q
6. Address
7. City t State Zip '
8. Building Type: Residential ET Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe /
? 11.
No.
- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfiield
Bath tubs Se
tic Tank
L.avatory p
$oftne r
5hower Wel I
Kitchen Sink
Urinal/Bidet Qther
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 : far
Rough F{nal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt MECHANICAL PERMIT Permk No. r -
_ CITY OF EAGAN FN • ? i
i
FI!l in numberod wecea S/C ?
Typa or Prirrt laglbly Tot.
1. Date 2. Installation Cost
. ? , •?__
3. Job Address Lot Blk. Tract ?
4. Owner '_3
, . .s
5. Contractor ? ?- Phone
8. Address
7. City Stata Zip -
8. BuildingType: Residential CY' Commercial 0 Institutional ?
9. Work Description: New O Add 0 Alter 11 Repair ?
10. Desaibe
11.
Type
No. Eainment BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
TY OF EAGAN
130 PilofKnob Road
0. Box 21199
bgan, MN 55121
No.: (I !9 L ;,L :? / 7 ?f
h oe-Viy w11h 11a City of Eagow
WATER SERVICE PERMR
PERMI7 NO.:
DATE: '-- : '
No. of Units:
Connection Chorge: ?)U U.'J'J p d.
AGCOUM DepOSit:
Permit Fee:
Surcharge:
Mlac. Charyes:
Total:
Date Pcid:
kte of I nsp.: ? nsp,;
7//7jPs
CITY OF EAGAN WATER SERVICE PptN{IT
3836'Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MOV 55121 DATE:
ZO^i^D: x i No, of Units: 1
/lddrcss:
Na.:
No..
!o wnPFjr rrkh the Cihr of Eayan
of I nsp.:
.? . , __ .. _ ._._.
? CITY OF EAGAN SEWER SER
f 3830 Pilot Knob Rosd VICE PERMIT
; P. O. Box 2119.9 7??7 7
PERMIT NO.:
? Eagan, MN 551il pATE: '?- -
ZO^i^g: No. of Units:
Owner: 8 o8C
/lddress:
g;? q???; 4351 en Me"
o?+ ,ourt unset
Plumber: . ° • ?
-7.r?rr ?
-
1 yr" to eo-Ph' M'iN+ tM Ckp of Eagan
Ordissnoss.
Bv
Dote of Insp,;
Connection Charge:
Acoount Deposit: _
Permit Fee:
Surchorge:
Misc. Gwrpes: -
Totol:
Date Poid:
Conrocta, Charge: 425.00 pd
14iCOUrM DepOSlf: 1-1. vv Ent
Permit Fee: U. P
Surcwrfle: '
Misc. Chorpm
To1nl:
Dbta Peid:
t
WT? `'ALL CONTRACTORS MUST BE LICENSED WITH THF. CITY OF EAGAN
:rNCLUDE Q SETS OF'PLt?,1!2S,
U? Q CERTIFICATES OF SUYfVEY
? SET OF ENERGY CALC LATIONS
To Be Used For: ?v? (-CCivs? Valuation: -14,OOo- ? Date:
Site Address: 1135 ( Cao?oEti r/I??DOw Cwru • •
Lot: S Block: I Sect/Sub: SoNSEr 3IL Erect: ? Occupancy: ?-3
Parcel #: Remodel: Zoning: ?-?
Repair: Type Of Const: S?
Owner: TF{-pMqS ? ?foq-?p+-?,.? Enlarge: # Stories: _
Move: Length: (02-
Address: Zo fo I Evn?rcqL-o LN Demolish: Depth: 40
City/Zip Code: EAAA??iYrlN SSiZZ Grade: Sq. Ft.:
Phone #: 1I5-9-OZ7'-1 q - l.J 7% --70Q9
Contractor:?Sf?.? MAU
Address: Assessments: Permit:
City/Zip Code: Water/Sewer: Surcharge:
Police: Plan Rev. :
Phone #: Fire: SAC: S25.s
Engr.: Water Conn: SoO.°u
Arch./Eng: Planner: Water Meter (o3.pO
Address: Councilc Road Unit:
Bldg. Off.: ??Pafrs: TF? 132.°=
City/i:ip Code: APC:
Phone#= Variance: ? 0,
? ? •SD
CITY OF EAGAN N2 1010 3
3830 Pilot Kmb Road, P.O. Box 21•199, Eagan, MN 55127
PHONE: 4548100
BUILDING PERMIT
r_ ?. ....a 6... SF
Reteipt #
$74, 000 p,t. APRIL 16 19 85
sitepddeu 4351 GOLDEN MEADOW CT
Wt 5 slock 1 5ec/Sub. SUNSET III
Percel No.
W IN,,, THOMAS R. JOACHIM
? Addres9 2061 EMERALD LN
aav EAGAN pnone 296-7099 (W)
E? Name SAME
Addresa
City
Phone
454-0274 (H)
Name _
Addresc
City -
Phone
Erect M O«upency "-'
Remodel ? Zoning R1
Repair ? Type of Const. V
Enlarge ? No. Stories
Move ? Length (Z
Demolish ? Depth 40
Grede ? Sp. Ft.
Install ?
Ay0•ovola Feas
Azsessment
Water S $ew.
volfce
Firo
Eny.
Planner
Council
Permif Y J J J*V V
Surcharya 37 _ 00
Plan Review 17 7 • S O
gpC 525.00
Waror Conn. 5 00- 00
warerMarer 63.00
Rood Unit 280 _ 00
I hereby oeknowledpa thot I haw read this opplicotion ond state that eldg. Off. 4 12 85 - P. 132.00
fha inlormotion is correct and ogrea ro wmply with oil aoGlicoble qpC I`PTotal $2. 069.50
Stah of Minnewto Stotutea ond Ci?y ol Eoyon Ordinancas.
Ver. Date
Sipnoturo of PermilTea
A Buildinp Parmit Is issued to: THOMAS R JOACHIM m the expren cp???? ihat
oll work shall bs dons in acaordance wifh all o,q? pli}mbla Stu(? ?of?!1 innewtu StWucea and City of Eapon Ordinorxet
BWldfnp Olfkial itil!S 1 e u?? ?
? CITY OF EAGAN NO
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # e ?
To be used for BASEMENT FINISH Est. vaiue $1, 500 Date OCT 3
Site Address 4351 GOLDEN MEADOW CT
Lot 5 Block 1 SeGSub. SUNSET 3RD
Parcel No. _
, Name TOM .IOACHIM
o Address 4351 GOLDEN MEADOW CT
City EAGAN Phone 454-0274
a Name SAME I
ga Address
? City Phone
Name
Address
Ciry Phone
0I hereby acknowleqe that I have read this application and state thal the
information is correct and agree to compry wich all applica6le State oi
Minnesota Statules and City ?of Eagan Ordinances.
Signature of Permitee ?? ??vy..
A Building Permit is issued to: TOM .10A HIM
on the express condition that all work shall be done in accortlance with all
applicable Stale of Minnesota SlaWtes and City ot Eagan Ordinances.
Building Oificial YJ.m+n 601"I'l
17132
19 89-
? OFFICE USE ONLV
? Occupanry - FEES
Zoning -
(ACNaI)Const - BIdg.Permit 36.00
(Allowa6le) - Sumharge 1.00
A ol Stories -
lenglh _ Plan Review
Depth - SAC, City
S.F.TOIaI - SAC,MCWCC
S.F. Foolprinls -
On Site Sewage _ Waler Conn
On Sile Well - Waler Meler
MWCC Syslem -
Acct. Oeposil
City Waler _
PRV Required _ S/W Permit
Boosler Pump - SrW Surcharge
Trealmenl PI
APPROVALS Road Unil
Planner - Park Dea.
Council
BIdg.Ofl. _ Copies
Variance - TOTAI 37'00
CITY OF EAGAN N2 15 0 3 4
,. '' 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt O6- 4-Y
# p? p
To be used for DECK Est. Value $1, 000 Date O
?-? D- 1 ,19
Site Address 4351 GOLDEN MEADOW COURT
Lot 5 Block 1 Sec/Sub. SUNSET 3RD ADDITI
Parcel No.
: Name TNOMAS JOACHIM
? Address 4351 GOLDEN MEADOW COURT
° City EAGAN phone 454-0274
o Name_
,
o a Address
i City_
?
W
w $AME
Name
w
F
i g I
Address
u
a zw
Ciry Phone
I hereby acknowletlge that I have read this application and state that Ihe
information is correct and agree to comply with ail applicable S[ate of
Minnesota Statutes and City onf Eagan Ordinan{c?es?.,,,,
Signature of Permittee Co1Vm•-
A Building Permit is issued to: CATHERINE & TQ13_JOACHTM
on the ezpress contlition that all workshall be done in accordance with all
applicable State of Mi,npng.sota Statutes and City ot Eagan Ordinances.
Building Official - /??LA??p? _
?
OFFICE USE ONLY
,Pn Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (Actual) Const
City Water _ (Allowable)
PRV Required _ # of Stories
Booster Pumv - Length
Depth
S.F. To[al
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit .24.•00
Planner Surcharge .50-
Council Plan Review
Bltlg. Off. SAC, Ciry
Variance SAC,MWCC
Water Conn
Water Meter
Road Unit
Trealment P1
ve«ireCopies 1..00
TOTAL ZS.SO
?b
bla 5(1 RESIDENTIAL MECHANICAL
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please comple[e foc Single Family Dwellings & Townhomes and Condos when pertnits ate required for each unit
43bsz
D
t
a
e
Site Address 143S S ejc?o=l mro-b-cl-o LGt- • Unit #
Property Owner um CTc??i (-{1 Telephone #(1.s5?
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St., #106
Street Address Apple Valley, MN 55124 C'Ty
State (952) 431-7099 Telephone # ( )
Band #: P, L-Z-. OS?-E r19 9 Expires:
The Applicant is _ Owner _X, Conhactor _ Other
Add-on, modification or alteration to eaisting dwelling unit ?
?
? $ 30.00
furnace replacement p1 ? ?
u " ?
u
_ air exchanger
, ?F ??? Z003
air conditioner _ New ? Replacement
other
-
Y
State Surcharge $ •50
T
l $
ota
I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is complete and accurate; tUat the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanica] Codes; that I understand this is not a
permit, but only an applicarion for a permit, and work is not to start without a perxnit; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of plans.
17 I -il,. kke ,,..', l_.
ApplicanYs Printed Name Applicant's Signa etur
PLUDZBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilut Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Faxnily Dwellings
Townhomes and Condos when permits are required for each unit
Date 1 I / )0 / 0 3
Site Address Ll 3 5 ? G 0 L b l? /J {M Pa tl a C f Unit #
Properry Owner ?p M ? 0 4 L k 1 n./\, Telephone #((o SI )?I S U' ?? 7?
Contractor S T E! N r)2 A V S Pc tJM n IN G
Address ) I Z e St, J T, S'ft ? 0 ? City C14A S kA
State 1A /If Zip S$ 3 1 y Telephone# (qA7).
The Applicant is _ Owner ?kl Contractor _ Other
Septic System New ,_ Refurbished Su6mit 2 sefs of plans and MPC license $ 100.00
InGUdes County fee. Addltional consultant fees may apply.
Alterations To Esisting Dwelling Unit, Including
di
f U $ 50.00
ng
Ad
iMures to lower levels or room additions, excluding wate
Abandonment of septic system
"
'
Water tumaround (+ 5/8
meter
rf needed -$121.00)
Other:
-
?
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener ? Water heater
-
$ 15.00
? replacement _ additlonal
State Surcharge $ .50
Total 15-50
I hereby apply for a Residential Plumbing Pernut 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 with the Plumbing Codes; that I understand this is not a
pernut, but only an application for a pemut, and work is not to start without a perxnit; that the work will be in accoedance with the
approved plan in the case of work wluch requires a review and approval of plans.
LV LYf Si -A J. F6 S l.° // ?
Applicant's Printed Nanie Applicant's Signature
' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55922
?J 651-681-4675
New Conetrudion Reaulrementa
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas
(20% mazimum lol coverage allowed)
• 2 copies of plan showing beam 8 window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lol platted after 7l1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less uniGS)
DATE ?J • 61 • C'J?L
2sls, -?C5
RemodellReaair Requirements
. 2 wpies of plan
• 1 set of Enetgy Calculations for healed additions
• lsitesurveyforexRerioradd'N"ons&decks
• Indicale it home served 6y septic system for additions
VALUATION I 5?01nU •010
51TEADDRESS MULTI-FAMILYBLDG _Y _N
TYPE OF WORK_5?&4% _? R-E??ivL O FIREPLACE(S) _ 0_ i_ 2
u'mclgelup 200?uuug & §u?ug, Q?c.
APPLICANT 49 SOIlIh OW05S0 BIVU.
STREET ADDRESS , Li[IIC C8paU8, iIN 55117
TELEPHONE # ??? ?? ?? I t-ICo?p
Water Softener
Water Hea[c;r
No. of Baths
PROPERTYOWNER TELEPHONE#, r?? 5 ??77
-?
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672
submission type) ' . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbtng Confractor: ____
Plumbing system includes:
Mechanical Contractor:
Meclianical system includes:
Sewer/Water Contractor:
Air Conditioning
I-IeaC Recovery SysLem
Fee: $90.00
Phone #
ree: $70.00
Phone #
-------------------------------°-------------°-------------°--------°---------
I hereby acknowledge that I have read this application, state that the inforrr
with all applicable State of Minnesota Statutes and City of Eagan Ordina
Signafure of Applicant C?
?
'_-------- --°----------------------- _---- °------------------------- --------------""-°"""'.........
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
CITY STATE ZIP
FAX #
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
is correct,
Not
to comply
Updated 4/02
r
? 1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN
?so3
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF
NOTE: ADDRESSES FOR CORNER LOTS -
IS DESIHED. NO CHANGES WILL BE
MITLTIPLE DWELLINGS RENTAL
INCLUDE 2 SETS OF PLANS,
1 SET OF ENERGY CALCUC?
CONAtERCIAL
p 1 SET OF ENERGY CALCULATIONS
'HOMEOWNER MUST DESIGNATE WHIC$ ADDRESS
;E_BUI_LDING PERMIT IS ISSUED.
/ FOR SALE UNITS # OF UNITS
TE OF SURVEY - CHECK WITH BLDG. DEPT.t
INCLYEE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 ET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 5v.R-CK Valuation: 16e"4PO f Date:
Site Address g35t Go(&en.
Lot s Block I
Parcel/Sub SahSe'F QA,Q-,+ioh
Owner T?o M(n. S 7o a c?n. Yv?
Address 43S I&olksm rnjw C_+
City/Zip Code F'aoMn Yf1n) S$113
Phone 4 .S -I
Contractor -T 6 vvi a s ? , . c?6 vy\
Address S an,vx a,,, c? ?oo ue _
City/Zip Code ?C .,,,,,a. a c "oU-?
Phone 2 nr„k_q roo a?4 oue-
Arch./Engr. _
Address
City/Zip Code
Phone 1i
gn MAY 19198,9
On site sewage
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
I APPAOVALS
Engr/Assess
Planner
Council
Hldg. Off.
Variance
?
•50
, p t7
40 a-k? 'ti? i?s??,-J'k oY, `,-pY,'Morr°W
SO ?. CQM W os 1? O?n ?? `t?
Occupancy
Zoning
Actual Const
Allowable
lf of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTbL
SINGLE F6MILY DWELLINGS
2 3EPS OF PLANS
3 REGISTERED SITE 3IIAVEYS
1 SET OF ENEHGY CALCS.
1989 B[TI1.DI8G PERMIT dPPLICATION
CITY OF EAGAN
r?
?
M[TLTIPLE DiIELLINGS
2 SS"fS OF PLANS
HEGISTERSD 3ITE SD&VEYS -
(CHECB WITH HLDG DIV.)
1 SET OF FNERGY CALCS.
COMMERCI9L
2 SETS OF 9RCHISECTURAL
& ST&DCTQRAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF EHEEGY CALCS.
MULTIPLE DWELLINGS RENTAL i1NTT3 FOR 3ALE DNITS i OF DNTTS
NOTEt ADDRES3ES FOH CORNER LOTS - CONPRACTOR/HOMEOWNEA MOST DESIGNASE iiHICH ADDHFSS
IS DFSIRED. 80 CHANGFS iiILL BE ALLOiIED ONCE BDILDING PERMIT IS I53IIED..
SEWER & iiATER PERMIT FEES 9ND ACCOiIAT DEP03IT FEE4 HII.L BE INCL9DED ftITH THE HUILDINfi
PERMIT FEE. PROCESSING TIME FOR SEWER 9ND N9TER PERMITS IS TWO DAYS ONCE A PEAMIT HAS
BEEN CONIPLETED INDIC9TING A LICEN3ED PLDMBER.
PEN6LTY 6PPLIFS HHEN: PERMIT IS NOT P9ID FOR IN S9ME MONTH IT IS REQIIESTED.
LOT CA9NGE IS HEQUESTED OD1CE PERMIT IS ISSIIED.
To Be Osed For: B,5"1 T. F/N/51'( Valuation:
Site 6ddress 43sI &,Ic(W,?, kt,)1jw c$"
LOt ?A BlOek I_
Pareel/Sub JUmJ,n,fi lyd,
Owner 1 e, v?? Tcu c. ? ? 1m
Address q 3E I (;,?(d e ti [llA io ?
City/Zip Code Laq m? SS 1,? 3
-?
Phone Li O
Contraetor -'?? 7d c-c1A'0'r.
Address -S! QA-e\Q ai-s "o v p
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
I S O c?) -
Date: / U - 3 - o ?
Oecupaney
Zoning
Actual Const
Allotrable
4 of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
APPROOALS
Planner _
Couneil
Bldg. Off.
Varianee
FEFS
Bldg. Permit G, vo
Sureharge i , vD
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Sureharge
Treatment P1.
Road IInit
Park Ded.
Copies
SOBTOTAL
Penalty
TOT9L
Phone #
TRl,-LAND INC. Certificote of Survey for :
' SURVEYING
SERVICES TOM JOAC H I M
Eagan, Minnesota 55121
?
N
I
SCALE I°=40'''
LEGAL DESCRIPTION:
LOT 5, BLOCn 1> SUNSET
THIRD ADDITION, according
to the recorded plat thereof.
- Denotes proposed
elevation
Denotes nrooosed
drainage patterns
Garage floor shall be set 18"
above top of curb.
;?.
?
? f \\
?l \
i _
i ?
/
i
F-
` U
l O
0
Q
w
2
r1? 5 -
? W o
N
o
C's
N I 1 m D
o
z ?
si ------?---•?
,,?° N874436'E I22.65
?
?
I hereby certify ihat fhis survey, plan
or report was prepared by me or undar
my direct supervision and that I am a
duly Reqistered Land Surveyor under ihe
Laws of the State of Minnesota.
Z
W
0
J
? O
? 0
Bradley . wenson Mn. Req No. 15235
Date: ?
l ` •?'
CY. ? l f ``r
C?12.oSS l.JAi..t_
i I 3` x? Iy,Z?? = I fc 1 l?',z?? s? F-,--
?-? r?-
? y
• ?/ ?C. 3 ?'
-
,.
------- ? --.. . -- -- ---- ..
F=-1_
? ?.
?
f
%
I%? x c TR ?,/?
?r--
Z.
= I I ? , ?? S ?a ,?'-t' P...???-, -?I o ? 57--
? . RXTERIOR I:NVELOYF. THKRMAL 'I'RIINSMTTI'ANCG
RULES FOR F.NERGY CONSERVATION ALTERNATIVES IN CONSTRUCTION
2MCAR §§ 1.6007 - 1.6008
(ADOPTS 1983 CABO MODEL ENERGY CODE BY RF.FF.RENC )
296-709?
Q.mer -??Pt-cw /i'l Phone 45S-QZ74/ Dnte t6`g?
Site Address
Contractor J*?-GEf7i'i phone y5-Z/-6 27y
Building Classlfication: Type A1 (Single Family & Duplex) J Zype A2
- (Residential 3 etorles
or less )
(Other) (Over 3 stories)
GEFVERAL INFORP9ATION -
?
l. SuSlding Perimeter
2. Wall hei ght (ground to top oP top plete) ?. ' f't.
3. 1. x 2. (above) groas vall ares Z06 `-/ sq. tt. ? 28°+ 5(0_ 139
CSE= SF;'?.
9
$. Buildiag dimeasioas (L) x (W) ? ??J H Li aq.. fL., rooY 8 floor ares.
5. Sqvare toot area of rim joiat = Floor joist v plate % perimeter
Y(1) ?
$?tf ? ?. ?
eq. PE.
I 6., Doors _ Ares Z rU factor Model =,n
- pr•ea U, factor Model
Dlanufacturer
7. Liindows: Manufacturer ?'?A.ZF •
Type U Factor. S1ze Area Sq. Ft. oP Es. Ao. of Unita Total Sq. F't.
cc/ v? • ,yZ :z!9'K3,S'? %y1 ? 37,6Y
r zz
c<_?u?r ,?1z z?S,:x??, - q.???; ( 9•G8
?c7 x.?
?
I
0 7 ? 07
cc., tjj
? 7,aZ
9• Pireplace urea: Width x height = x sq. ft.
1.0. Exposed Foundation: Heip,ht X Perimctcr X =26? r R, ft
i
l lA
11B
12.
?
13.
13A.
rror::: vn1l nrvn 16" o/c or 87 or Y,ra?:: wri].1 nrca 2h" o/c. -
Crnc;:; u:ill ,irc:t (3) 4'? sq, ft.
windou arca I 96.
?, 09 r
?`?'??
sq. ft. U vindovs U x A=
Rim ,joist area //Z, (? %
sq.
ft.
U rim joist
U e'
"
85
_.
- -' x A= (4
Door area ?
.
sq. ft. ..... __,,.
U door area U x A= S? 7
Fireplace area sq. ft. U fireplace = U A=
Exposed Fdn Area ?/Q-- Sq, pti, U foundation = U x i ?
x A=
Framing area 2 C C-. ?-? sq. ft. U framing area =• ??= U zG
(
x A= o
,
Net wall area 14 f _ t t7 rt. U wall
U
2S
(
xA= o
Total - Must be less than or equal to (12) .,,,,,, u A ZC?.?.?
, ,,., X
a
Gross vall area x 0.11 (A-1 single Pamily 6 duplex)
(A'2 3 stories or less)
(other tuildinga 3 stories ar less) Fill i n "U" Valuea
(All buildings over 3 atories) Based on Degree Days &
A
(11A}
%'U/code • ??
ZZ7
?'? Figure
E No. 4 in Model
C
= ,
g? nergy ode
Ceiliag irnmlag at•a aquais lOx or ceiling ares 16 o/c or 8x of ceiling aren 24" o/c.
Gross ceiliag ara e(L) x(N) e i ? y ?.
sq. ft.
138. aet ceiliag ares
?
u cesung x,?
5 C? x
.6_. ? e
.> 1
U ceiling x Aic
-U rk'SID1Ag X 4as, iX
J V i {? x , G Z? e
? C. '-j ? - a ? 5,$- 0
z . B ? ' .. . . . .. . , _ .. .. . .
U fYaming x Afc
X . :. _
3, e? E?
13C. TOTAL U x A .... ............. ..... .?
. • J ?? 3 t? .,? ; ,..
must be _ess than or equal to (14).
14. _Ceiling area (13A) x 0.026 (A-1 single family & duplex )
x (A-2 3 stories or less)
Fill in "U" Values Ba,sed
X (other) on Degree Days and Figure
• iJ z7l? No. ;5 in Model Energy Code
? n( i3a) x u(coae)= 341"QS; Bruu _
15. Alternate Building Envelope Design. . ..
15A. `Potal envelope:to code = (12) ZZ-7, ay + (71+) ?jy, /57
1'Ai. 'Pnt;tl Cnlt•nlnt.otl = (llft) + (13C) 3 1,3p = Z31, 57
_ mu:.t, bc lcas Lhnn or
Page Two or oqunl t.o (15A).
s
STUD
SECTION
2ND WALL
SECTION
RIM
JOIST
FOUNDATION
WALI, ABOVE
GRADE
CiItAllL'
Pnge 3
U VHLUP. GHLCULII'1'lU11:i
R Value
Inside air film .68
Interior wall . ?.?,
Insulation
Sheathing -- ?• 2 <'
Siding
Outside sir film .17
R Total ? z
Inside sir film .68
Interior wall `1S
stud 4.38 • !?, B=
stud 6.88
Sheathing
Siding . • '., i
Outside sir film .17
R Total %
Inside air film R = .68
Interior wall
Insulation
Sheathing
Exterior wall covering
Exterior air film R = .17
R Total
Tnterior air film R = .68
? q, o D
isulation
13g inch soft wood R = 1.88
? ? 3 Z
leathing
cterior wall covering ??o D
cterior air film g = .17
R Total 2? ; -
rterior air.film
isulation - inside
or outside
?undation
cterior air film
R Total
R=.68
R=.17
U Value
(Wall)
U = 1/R
_ .OL-I 5'
(Framing)
U= 1/R
_ •??
(Wall)
U = 1/R
(Rim
joist)
U = 1/R
(Fdn.)
U = 1/R
A
(1,??`?~
Framing
_ -`
Insulation
Ceiling
-?
Air film .61
r ?' ? z'
Total R
D °
U = 1/R
INSULATED AREA F'RAMING AREA
TRUSSED CEZLING WITf( VLNTCD ATTIC SPACE ABOVE
.17 Air film
?- Roof
Deck
Framing v
Insulation
Framing
?-r
Ceiling
Air film .61
0 .61 -?
Total R " Afc
U = 1/R ' -?
Area of Framing.'
Center of Roof
Air film •17
Insulation '?=•"''
Ceiling
Air film •61
Total R Aic
U= 1/R [rea of Insulated Roof
Center of Roof
Zy
FI.AT ROOF OR CATHEDRAL CEILING
.17 Air film .1
Roof
Deck
Page 4
?
?
Area of Framing
Edge of Roof
Area of Insulated Roof
Edge of Roof
' •VL
?
7LI
, 6 L !?
?
?.t
?????,,?? ?
?
?5?
L„ Sl
• ?
?_.
? ??? CITY OF EAGAN
?
?-
aPPLZCATZON FOR PERiMIT
[i111
-' SE:VEB AND/OR WATER CONNECTION
(PLEASE PRIHT) _
1) PP.OPERP!' ACDRESS : (351 G o OE4l MFfl D p P„tJ ' 7-
rFr:,z, DEscRI_rr?cv: L,oT 5, .36-ff I, S4N SZCT :3 R/7
(Lpt/cslocfc Subcl,_visicn or TaX Parcel I.D. Nu^ber)
iE{I:_ST_=::C=W, C?. I-_- G'_-' CRIGi. ---r- -•t-m IS?•-i,?^.
::AL
---==- -_- •
..-C°CS"' -
:_,??l_.?'VP.? iSE: pd _ - _ ? 1 Sl.,aGY. rA:? II.Y .
? P-? DUP= ('!tico L?rIis)
? R 3 Trt.vrHCrsE (T=? + ti?rzTs) ( U?'?^s)
o R-4 ?p?.???:?/c?a?•L?r?:i c L?;l.s;
Q CCM_llElQC?",L/'RETAIL?'OFFT_C::
? ?us?saz
? rasTITTUzzcNAL/cc=Nn=-T
2) A.TIPLI= [PLEdSE PRINi)
rWIE- R
C PLa MSi G '
Lff
4/ip NYoo?
.
,
ji
P.CD_ti55: L79
CTT:, STyTE, ZI?: Q L n
Pf:ONE:
j} pu.s=., (PLtASE PFINi)
r??E: 12 C, 1?La M13 IN G. FOR CIiY USE 09LY
,
ADDRE55: ? at? . ?OX ryq
PIUM?ERActiYeASE:
?
CITY, STATE, ZIP:
?lo,?rHr-,F?D N o ExPired
Cf
PFONE _
PLUMBER LICENSE /f? yy? Not af Hecord
1:7_?
arr inttia
¢) p?7pn?/Cr,y?? (PLEASE PRtNt)
AME
'7'
N
:
o M ?J oA c N ?i?i
rDDREss: I?ALD L-4N
CITY, STA:'E, ZIP: ? A G 44/ tq //V N
PHO:IG:
5) INUIC,'IE WHIC:i PEF'?LI?.' IS BEIiG R?UEST'?:
/
/
M\rECT.aN TO ciTr s?,JER
r
:'VECPIG:7 'Iq CZT'i IqA'PER
cc
? 0T (PL:.ASE DESC2IBE)
6) I2:DIG,::. C:u.:
? PT..E`SE f:OLD APP??WE?J PERMiT FOR PICi:-UP 8Y O*IE OF AB(7,'E
1
P? MSL ti*:IIL APP.4O\7M PEP_-tIT TO 1, 2. ?. 4 A&T1E
6
(Circle one)
7) ?IC,??E: DnTE: ??jllpL ?_ ?'7 0?
MM M! O4a1a1?A ? 01 :?c?:=?ea! s
_r
R C i T Y U S E O N L Y
PER%?IT-'- ISSUED
r..
_.._. .
/d --v- d.
S='.':LR
$ WATER PEI2P1IT (Ii7CLUDE SURC::ARGE)
$ G.3 • °? WATER METER/COPPERHORN/OUTSI--E RE"CER
$ WaTER T.1P (I.1CiiiDE COR?0:2ATIO:i STC?)
$ SE:•7E3 m*n
ACCOUNT DEPOSZT - SE;dER
ACCOUNT DE°OSIT - S4ATrR
$ WAC
$ Sr:C
$ _ TRUNh ?•IATER ASSESS.-SEi7T
$ TRGC1:: SE:dER ASSESSME\T
$ LATEP,tIL BENEFIT/TRUNK SE;%'ER
$ LAT'r::ZAL BENEFIT/TRUNK WAT°R
5 /3a?. ?-?a oTzER
$ TCTAL
$ AMOU:]T PAID/RECEIPT
DOES UTILiT'L CONNECTION REQUIRE EXCAVATION IN PUSLZC RIGHT OF SdAY?
C YES IF YES, THEN A"PERMIT FOR WORK 6JITHIN
?PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISZON. LIST AS A CDNDI-
TION.
SUIIJECT TO TFIE FOLLO?4ING CONDITIONS:
APPROVED BY: pYG?? TSTLE:
./
DATE:
on imo.-rR±
ee•ooooi.oa/
5 a5? ? REQUEST FOR ELECTRICAL INSPECTION dft
? See i?ati4qtio?s for'completinq thie form on back otyellow eopy.
?-A-?- n621R7 '"X'" Below Work ?"nvered tiy This Request , -? -?
wiynad Re0. Tvpa of BuilUinB AoClianeet Wirad. Equloment Wirea
Ca
p Fea Servl neeBize q Fee Feetlars/Subfeetlere M FAe Cireuite
0o Ut 00 s Oto30Ams 3' Otn30Am
Above 00 qm • 31 to 700 Amps ( 1 31 to 700 q 5
Swimmin Pool Above 100_Am s Abov 100_Am '
Transfortners Irn tion Booms ? Partial%Otber_
Signs Special Inspection
I TOTAL `E@' 3,UJ)
emarks
?P /
7?^+' Inepactor, haraby
t y thet the Above
L nepection hea been
, 3 ?" ,,..e._
A 0621675 L 5 /3 / (D
Request Da e ?7 Fire No. I poug ?n Inspection
? / '? Re?Vos 7 ?ryo ?AeatlV NowA,] ?irl'When?tReudYUeo-
v?` ? _
censetl Electricel CanVxctor 1 hereby rapuest Inapeetlon of above
Owner ' eleetrioel work inetalletl at:
Street Address, Box or Houte No.
jof?v
y3Sa G City -
o
ection o. ToWnehip emeor,,,o. xnee o. ounty
/? ??../
Occupant (PpINT?
/-6, Phone No.
a96->sZ?
. rm -o e
rower suocrw
D?a?
r FLE
r
;c naaress ?G3 -??3F
?
?
,
o
Elecirica
Conhescmr (Comvany Neme)
? ConVacwr's Licanse No.
y
y?
O
G
9 ? on-
Mailinp Addree8 IContreCtor or Owner Making Instalj ationl
os' w.s`4 i1u Gr^,C; h urr
AuMorizetl Sip ture lContractor 0 er M k' g Instellation Phone Num6er
d
MINNESOTA BTATE BOARD OF ELECT111CITY THIS INSPEGTION flEQUEBT WIL"'
Orippa-Midwey BId9. - poom N•181 BE ACGEPTED BY TME STATE.P
7821 Univeralty Ave., St. Peul, MN 66104 UNLESS PROPEX INSPECTIO"
Pirone (812) 287.1771 ENCLOHED. ?
ee
REQUEST FOR ELECTRICAL INSPECTION -ooooi-os
1 See insbactions lor com0latin9 thig fwm on back ol yellow copVO c
6143 "X" Below Work Covered by 7his Request
FAd NeD. TVDe of 6uiltling ApOlinnces Wired Equiuiaent Wired
Home Fange Tertiporary Service
Duplex Water Neater Ligh[iny Piatures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm O+hcr necitv .inFr ISneciivl
t er uccify Olhor Oinee
Compute Inspection fee Nelow
k Fee SarviceEntranee5ize M Fee Feaders/5ublexders
N
Fee Circuies -
U to 200 qm s 0 to 30 Am s 0 to 30 An s
Above 200 qmpy 31 to 100 Amps 31 to 100 Am s
i
Swinming PooF Above 100_Amps AAOVe 100_F+mPS
Transiormers Irrigation Booms Par[ialOther Fee
$igns Special Inspection
$
TOTAL7CE ?
Nerrvnks /A .s
Roug?-in Oaie (? 1^the Elec rical
? --- ?7? ( I spectoq neroby
certily thet the above
Final ? Oate 1?y '?ypeelion hes be¢n
mnde.
This repuesl voitl 1B montns iram ?
.?
This request voiC /, ,/?G 51 ?/
18 nwnths from .J?-.'1?2/j ?• ? p--?
D 66143 a'
Feques? Da?e Fire No. Nouph-in InsVection ?
Requir tl? . ReadV Now ? Will Notity, Inspec-
o ?I - ? lor When fleadY
I O `q Q {QYes
E] Licensed Elecvicai Conuactor I hereby request inspection ol above
niortrinnl wnrk instdlled aC
U Uwner ? -- -
Ciry
Sveei Atldress, eox or Foute No.
4351 Golc4en. Thkk,.) ct E`A'`g
ecU o. Township Name or No. flange No. Covntv I
OccuVem IPflINTI Phone No.
a C?:, m y s y-a ?? y
Power Supplier AOdress
A-
N
Q cx
?
o.
s Lfcense
C????vactor
'
Elechical CnnVac.tor ICOmpany Name)
Mailinp Address (Convac[or or Owner Making Insta11a1ion)
Authorized Signature (Convactor?Owne! MakinB InstallatioN Phone Number
4s y -oa"7
rw ?s wRPFCTION REQUEST WILL NOT
MINNESOTq STATE 80AHD OF ELECTAACITV BE AGCEPTED BY THE STATE BOARD
Griggs•MidwaV Bldg. - paom N-191 l1NLE55 PAOPEP INSPECTION FEE IS
1821 Universitv Ave.. St. Paul, MN 65104 ENCLOSED.
cn.,nw f6121 642-0800
/?/?/?y? REQUEST FOR ELECTRICAL INSPECTION eaooom o7
? See instructions for completing thle form on back of yellow copy.
P 6 6 3 7 9 - X" Beiow Work Covered by This Request
ew 0. r. Typeoleuilding AppliancesWired EquipmeniWired
n? Home ge Temporary Service
Duplex r Heater ElecMc Heating
Apt. Building ?
l Other (Specify)
Comm./Industrial ace
Farm onditioner
Air
Othe r(specily) ConVaclarkRemefks: isAGTY`?I
.JGI?I rIl
Compute lnspecNon Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above 100^ Amps
Slgns Inspector9 Use Onry: ? TMA
L
Irrigation Booms /
1 3?. ?8
Special Inspection ?
Alartn/Communication
Other Fee ?
1, the Electrical Inspector, hereby
h
tif
h
b
i
h Ro?n-,n
?
ove
cer
yt
att
ea
nspedion
as
been made. Finai o a
OFFICE USE ONLY
This reQUest void 18 moMhs iram
/z7 3/cr y ? 111:2 & ?
m'
? 6379
Request Date Fire No. Hough-in Inspeclion
Requiretl? '
? Ready Now?Will Nmity Inspector
Wh
R
4
Q qy ? ry? an
eatly
10 licensed contractor ??
I?owner hereby request inspection of above electriral work at:
Job Adtlres9 (Sheei, Bwc or Roule No.) CHy
3s? ?o?ae
? ,
Seclbn No. Township Name or No. Range No. Counry
E a a..r\ Q c?Ko1-c`
OccuperO(PRIIR) Ptwne No.
45y-ba7?
Poxer Supplier
D Ko f e , Mtlress
C:#-
Eleclrical Conirector (COmpany Nama) CoMrac4orS License No.
Mailirg Atltlress (COMrador or Owner Makng Inslallatbn)
43511, G,.I &.&-, ?v e1+-
A ar2etl Signeture (Contra
ner Making Installation) Pirone NumCer
TZ
MINNESOTA STATE BOAPD OF 4CiqICiTY TMIS INSPECTION REQUEST W ILL NOT
Origge-Mitlway Bltlg. - Room 5173 BE ACCEPTED BV THE STATE BOARD
1821 Unlvenlry Ave., SL Poul, MN 55109 UNLESS PROPER INSPECrION FEE IS
Plione (612) 84241800 ENCLOSED.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135998
Date Issued:04/18/2016
Permit Category:ePermit
Site Address: 4351 Golden Meadow Ct
Lot:5 Block: 1 Addition: Sunset 3rd
PID:10-72987-01-050
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tygar Bopha
4351 Golden Meadow Ct
Eagan MN 55123--209
(651) 785-5252
Sears Home Improvement Products
1024 Florida Central Pkwy
Longwood FL 32750
(407) 551-6000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136077
Date Issued:04/22/2016
Permit Category:ePermit
Site Address: 4351 Golden Meadow Ct
Lot:5 Block: 1 Addition: Sunset 3rd
PID:10-72987-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Tygar Bopha
4351 Golden Meadow Ct
Eagan MN 55123--209
(651) 785-5252
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature