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4352 Golden Meadow CtINSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 0,+ 12 7/ A m (612) 681-4675 SITE ADDRESS: , (, , . ? -t OEN MF.{iflUW ('1 tifiN`.f 1 3ic11 PERMIT SUBTYPE: APPLICANT: r,l:? ) H ycA 1811 TYPE OF WORK: t;i PAiR I liri r,.a. & RF-ROoF/srOuM i -INSPECTION .. . D. i ? I I I ? ? I?-- - ---------- - - - --- --- -- Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ! C/ ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Addition Sunset Third Lot Z Bik 1 Parcel 10 72987 020 01 Owner street 4352 'Golden Meadow COUrt State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK S79 19$1 B.SSeSS@ Ori ZOt 7 b OCiC SEWER LATERAL - , ? - - WATERMAIN WATER LATERAL WATER AREA 71r 1981 3S3eSS2 OII lOt 7 b OCk STORM SEW TRK qDS 1985 3SSeS3e oII lot 7 b OCIc STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 11 BUILDING PER. j0862 +t " sAC 25.00 " " PARK CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 ' wecaIveu FROM AMOUNT $ I ? CASH ? GHECK / _. POR 1 r ??" ? , r? - ? 7l ? L`/''.? : : _•.? ? FUND CODE AMpUN1 ? Thank You 1r1U - BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Q DOLLARS ?oo Reaipt_ - PLUM8INGPERMIT PemiitNo. _ ,?, ,. cinr oF EAGAN fill in numberrd t,psc+t " rrve o. PriRr lsplay 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 6. Contractor • Phone 8. Addres: 7. City 8. Buildin9 Type: Fiesidential El Commercial ? 9. Work Desaiption: New ? Add O Alter ? SUte 10. Deacribe 11. Institutional ? Repair ? No. Fixtures Water Closet Noi Fixture Ces l/Or infield Bath tubs spco a Se tic Tank l.avatory p Soft Shower ner YVeI I Kitchen Sink Ufln81/Bldlt Other Laundry Tray Floor Drains Orinkiny Ftn. Slap Sink Gas Piping Outlets 12. I hereby cartify that the above information is true and correct, and I agreo to comply with all ordinancea and codes governing this type of work. Siyned : for Rouqh Finsl Inspections: Date Insp. Date Insp. This is Your psrmit when numbered and approved, Approved CITY OF EAGAN 4644100 FN _ S/C Tot. Cities Digi The following image represents the best . available image from the original page. Every effort was made to capture the content from the original page. R"pt ' MECHANICAL PERMIT Psnriit No. CITY OF EAGAN Fee FIlI in numbered speca S/C Type or Print Jeg/bly Tot. 1. Date 2. Inatallation Cost ?- 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential El Commercial ? Institutional 0 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. Epuioment 9TU - M. Ea. Forced Air No. EQUipment CFM Mfg. Air Handling: 8oilers Mfg. Mech. Exhaust Unit Heater Mfg. O h Air Cond. t er Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : i. for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 eU1LDING PERMIT Receipt # T- V r??A iw? ? ' ??.:'/? l.l' ? Fd VnL ?? . i. • : ) ? (..f ?.? '.. Anfw 19 ? Site Addrsu Lot ` Block SectSub. Paroel No. W Niiifrie , . ' . . ? Address ? - City Phone Erect 0 Ocwpancy Remode! ? Zoning Repair ? Type of Const. Enlarye ? No. Stwiee Move ? Lenyth Demolish ? Oepth - Grade ? Sq. Ft. Install ? Aaeeora Is Eus NMIR Addre. 0- City Phone Name Addreu City Phone Asmssmenr Woter b Sew. Poliu Fin En0• Ccuneil I hereby acknowled9e that 1 hove rood this opplication ond state that Bldg. Off. fhe informotion is corcect and ogree to comply with oll opplicoble APC Stob of Minn?sota Stotutes ond City of Eayan Ordinonces. Var. Date PlRTIIt . ` • v v Surchnrye . 5p Plan Review s^c uc? Woter Conn. - ? Q Woter Meter _?-00 Rood Unit ?ti`O .?' :?.. ? 1 .. V t) Total , i Sipnotun of Pamnittes I ,. ? A Buildinp Permit Is issued to: on the express condition ttwt all work aFwll be done in ocoordonce with oil oppliooble Stote of Minneaota Stotutes crd City of Eopon Ordinanoes. Buildinp Oificiol Pwmit No. Pwmk HoMkr Dsft TeN hone ? Plumbinp 5? (A H.VA.C. Ebetric ? 56 hf, 5 V,>) 8ofterNr InWection Date Inep. OthN Foo«ngs 1,67 i4- Foundstion Fnmina ?t - Roofiny Rouqh Plbq. -?-? Rouph HVAC Inwlation ? Firul Plbp. ; Finsl HVAC Final Cwt/Occ. Waar Dac?ibe Loeation: MWII Sawor Pr. Disp. CITY OF E4GAN WATER SERVICE PERMIT 3830 Pilot Knob Rosd P. U. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Na. af Units: ? Umer. ?'•c?d ? :?lr?{{,. Addrcss: 1 ? 2t : ) GO1d2T7 B l S Li:13 7 A ? _ ? ` ddress: Site ;+. n ber: .? r No.: 3 °25 s ? ?. ??7.:7•.I ? ? Connection Charge: ` size: " a?- Nccounc Deposit: 13.0 o na 4??, 1?',• D 9 o?D ? q4 Permit Fee: ?? I pne to comph wkh the Gh oF Eagsn Surcharge: Ordim Misc. Chorges: i:1 2 . 70 '.>ci - C') n.r? -4 ? ? Total: 1..? gy Dote Paid: 0?8 Insp.? - Insp.: 5F3S 5 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Kpob Road P. P. O. Bbx 21139 J PERMIT NO.: Ea an MN 55121 DATE: g , Zonina: Rl No. of Units: I Ske Address: 4352 Golden Nlado`! CoRart L`' L:] Sunse Vtille Plum6er ?- °Iu?'tbir.t' . ? ster No.: M Connaction Cfiarfle: 504.00 Ad I Size: ^ccour+t Deposit: 15.00 pd Reader No.: Permit Fee: 10.01) I i agrM te oen+vh v?MM Iw Cirr oF Eagew Surcharge: .50 Oeriuenaa. Misc. Charfles: 132.00 c l Totol: 63__00 - d n,ercr gy Date Paid: Date of Insp.: InsD.: .._.J, ---- CITY OF EAGAN ' SEWER SERVICE PERMIT 3830 Piiat Knob Road ,, , . , P. O. Box 21199 ; 3 PERMIT NO.: i Eagan, MN 55127 pATE; „. Zoning: .` No. of Unlts: I ? ? Grand Oa'_.s pwner. '. Address: ? Stte Address: 4352 Gol:len "teadow Ccurt T.,'_' 1?1 Sunset 3 ? Plumber: Va? ley P.livttbiny 4-I0-c :5 5n745 luc .,, p ? I dono ro esnwiv willi e!N Gly of Eegsw Connection Chorpe: 4 25 . CO pd O.dieanes.. Accounc Deposit: 15.00 pd ? Permtt Fee: 16.65 ; Surcharye: - , BY Miac. Charpes: i ; Date of Insp.: Totol: I^gP•- Date Poid: OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garege ? 10 08-plex 45(18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex PI6g_Y or _ N ? 20 Paol ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg O 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 1K 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof q 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg only) • Give PCA handout to applicant Valuation ? Occupancy MC/ES System Census Code ? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPEC'f10NS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows {new/replacexnent) Approved By 7- Z. , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. ?. HVAC 701 ??ot-vo p ? ol, RESIDENTIAL " BUILDING PERMIT APPLICATION CITY OF EAGAN 1-? 3830 PILOT KNOB RD • 55122 651-6814675 Naw Construction Reauiremenb . 3 registered site suneys showirg sq. R. af lol, sq. ft. of house; and all rooled areas (20°h mauimum lot wverage allowed) . 2 copies of plan showirg beam & wlndow sizes; paured found design, etc.) . 1 sel of Eneqy Calculations • 3 copies of Trea Preservation Plan it lot platted atter 711(93 . Rim Joist Detail Options seledion sheet (bWgs with 3 or less units) DATE .? `ZZ?v_?/? JOBSITEADDRESS ?I3S?t)U',?A/ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _ PROPERTY OWNER RemodeUReoairReauiremanis . 2 copies of plan . 1 selof Energy Calculations torheated additions • 1 sRe survey for exterior additions 8 decks . fndicale if home served 6y sepUc system for additions VALUATION TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT SLI/rE PHONE# ADDRESS SAIvi:? ZIPCODE 6_SJ?? PAGER # CELL PHONE # fAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Conhactor: _ Air Conditioning Heat Recovery System ? fJ lJ ? IU Fee: $90.00 Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. 1 hereby acknowledge that f have read this application, state that ihe information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated t/01 _ MINNESOTA RULES 7670 CAT'EGORY 1 - Residential Ventilation Category 1 Worksheet SuE - Energy Envelope Calculafions Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Water Softener Lawn Sprinkler Water Heater No, of R.I. Baths No. of Baths 513 ? S? REQUEST FOR ELECTRICAL INSPECTION Ea'00001'04 q q S. instruetians fa completinp this ircm m hack oi yallow copY. 61 7 4 7.1 ..X"' Be/ow Work,Voveied by This Request Rep. Type p1Buildielg Appliemaa NifW EquiO?t Wired Home Iiange Temporary Service Duplex Water Heater Lighting Fi#ures Apt Building Dryer ElecVic Heatin Commercial Bidg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk iank Farm otner Sacuty otncr ISOer.ilyl other 154ecify Olher Othier COmpUfB /nspeCt/Oq F8@ B@/Ow M Fee ServicaEnVaneasize k Fea ieetlers/subieeders N Fee Ci,cuits /G 0 tp 200 Anips 0 to 30 A s .2? 0 to 30 Am s Above 200 qmps 31 to 100 Arry? z,+ - 31 to 100 Angx; Swinmi Pool Above 700_M?urs Above 100_Amps TransTOrmers rtigation Boorrs y Partial:'31her-PE161 Si?s Special InspeC.ion E pare.ks /1J ? ? ? A.. S y3 •` T TAV "f ,-? ? Rpuph-in Dpte l 1 ?. ??e EIec4 ral InspecWr.hereby mrtih tiet the above final ction Ms been n ?jH ?de. tNi 1aplest voltl 18maNB Imm w,d 15(3 ? ? ?? 0 ....._.? ..?..... .....x..-..??..?w.:....?? Inspe?r ?/o Required. C]Weady Now?Mill Notify. ~• y/?//p j ?es ?NO lor When fleadY ?C( Lfcensed Electncal Contractor 1 hereb y repuast inspection of ebove ? Owner alec4ieal work i.telled at: SVeet Adtlress, Box or Noute'NO. City 5?3 5-? C- "? / ?F e2v 6 ti ? c i clmn o. Townshi0 Nam or No. a Ranpe No_ Com?ry Occupant IP111NT1 Phane Nn. Fr? ?< ?y y5;? -89 ? < . rowe. SuDDlier f ' ?k / nae.ess y?` 2 ?f f 2. q Ssre -c ui ? c S Elechiral Contractm (Compam Name) - /1/1 EI 70 ? ' -/- Con[ractdr's License No. e 4 5 c/ r/e & e Mailin8 Atldress IContractor or Owner Makinp Imtailationl ?? gm/ Authw eA Sig?a ure (Co racror Ow?r Makine Instnlla n ? Phone Nwnber 51 YINNESOTA gTp E BOAflD OF ELEGT111CITY ' THIS INSPECTION REQUEST 111L1 NOT Gripps-Nidway Bltlg. - Room N-191 0E ACCEVTED BY THE STAIE 90ARD 7821 Univarsiry Ave.. SL Paul, YN 55106 UNIESS PROPER INSPECTION iEE R PM..o 16121 2972711 " ENCLOSED. CITY OF EAGAN No 10 0 6 2 3830 Pilat Knob Road, P.O. Box 21-199, Eegan, MN 56121 BU1lDING PERMIT PHONE:4648100 Recetpt * St ld _r SF DWG/GAR $65,000 1 sitenddreu 4352 GOLDEN MEADOW CT Lm 2 gI=k 1 c,,.isub. SUNSET 3RD Percel No. W IName GRAND OAKS DEVELOPMENT CO ? A??tts 1881 SUNRISE CT Citv EAGAN phone 452-8934 Name SAME ? Address ? City Phone G W Name W x3 Addresa ?W City Phone 1 herabv akrowladye that 1 hove rcad this applicction and state thot fha information Is correct and agrea to wmply with all applicabla State of Minnesoto Stotutes and iry of Ea an Ordinancas. $Ipnoluro of Permittas A Buildirp Permit Is issusd to: GAN pll work shall be dona in occordonee wieh all npplieobljelState af Mir Erect 0 Occuuenav R3 Remodel ? Zoning Rl Repeir -? Type of Conrt. y Enlarge ? No. Stories Move ? Length 4 6 Demolish ? Depth 48 Grede 0 Sq. Ft. Inswll O Appwab F"s Assessment - Water S Sew. Police _ Firc En0• Planner _ Council _ Permit 328.0( Surchorpa 32 _ 5f Plan Review 164 - 0( y,C [0S OI Water CAM, rJ 00• O( Woter Metar 63+01 Rood Unit 280-01 eldg. Otf. 4/ 1 0/ 8 5 I2sr1oT P_ 13 2. 01 ppC Tatal $ 2. 0 2 4. 51 Var. Date F-I PMF.NT CO on the axpress condttlan 'hat we,wta Statutes and Ciy of Eaflnn Ordinancea Buildirq OffiGol RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construc6on Reauirements RemodeVReoair Reouirements Otfice Use Onlv ' 3 iegistered site surveys shaving sq. R of bt sq. R of house: and all roofed areas 2 copies of plan CeA M Survey Reoi (20% maximum lot coverage allaved) 1 set of Energy Cakulatiais for heated additions _ Tree Pres Plan Recd 2 apies o( plan showing beam 8 window sizes; poured found desgn, etc. 1 site suNey for additiom & decks _ Trce Pres Not Reqd i set of Energy Calculatlons Addif'ron - irMkate 'rf on-site septlc sysfem On-site Septic System 3 copiw of Tree P2servation Plan rf bt pWtted aNer 1/1/93 Rim Joist Defail Options seleclion sheet (bldgs wiU 3 or less unRs Date '?) / 21.0 Site Address Construction Cost "rJCbb UniUSte # Description ot Work T/ P-, Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner M r' -i- M rc?) 1L4'+- v -41? Telephoue 301 O Contractor Address AC1 g f> `??^?c?i, State 1-1 (l k> 1 v c,l City Li F-1 IP- CdIrl4i rl ?, Zip 6?1) 1 1-l Telephone # ( ) -445 zl 14 l o l o COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Vendladon Category 1 Worksheet (Jsubmissiontype) Submiked • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Cade Worksheet Submitted ? Telep ? J?/? ??; q t7 Teleph?one # I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulfi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuRi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 MiSCellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteradon ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors CJ 34 Replacement •DemoltHon (Entire Bldp) • Giva PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Reraining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Buiiding Inspector -7 7 W 7 -2 a S ba?. ? RESIDENTIAL 7 5 as ? iz: ? BUILDING PERMIT APPLICATIOIJ CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 'J?107 J Naw Conetruclbn Heauhemams • 3 regislered sAe surveys showing sq. N. of bt, sq. fl. ot house; anW gp roofetl areas (20% ma)imum bt coverage albwetl) • 2 coples ot plan showing Ceam & w'vidow sizes; poureC found deslgn, etc.) • 1 set of Energy Calculetbns • 3 copias ol Tree Presenatbn Plan if bt plebetl after 7/1/93 • Rim Joisl Detail Oplions selectan sheet (bbgs wNh 3 or less unils) ? t?4 7G?'`?? DATE .2 VALUATION , SITE ADDRESS // %?,5 _7O` 60 1a f T'"//v?`?'? ' MULTI-FAMILY BLDG _ Y _ N TYPE OF _ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT t? CA_ A??ui ?zj STREET ADDRESS 11,9 9 F, CITY 1A'f11 STATE &LP ,55_-?-?7 TELEPHONE # ? ''70& ftELL PHONE q 6l/,)- -? 70-/W2- FAX # ?Sa • ??a - 9a ?i PROPERNOWNER k-0 `"'e4c? TELEPHONE# L;-322 ..7ayf ---------------------------------------------- ----------------------------------------- ----°-- COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential Ventilatlon Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contracfor: Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Wafer Conhacfor. 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 _ Water Softener _ Water Heater _ No. of Baths wof' r<. BamotlaVHeReh Heauiremenls • 2 copies of plan ? • 1 set of Energy Cekulatlons for heated additlons ? Q,rm ?•4 • • lsttesurveybrezlerbraGdilbns&decks • IndicataBhomeservedbysepticsysfemloratldilbns Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSPlex O 13 16-Plex O 20 Pool cc85sory Bld . ? 9 i ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace . ? 21 Porch (3-sea.) ? i 31 Ext: Aft - Mu* i ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex O 18 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex 13 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reraof ? 48 WindowslDoors ? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector . • CLAIM VOUCHER-REFUNDREQUEST CITY OF EAGAN MAKE CO TRACTORS LOCATION: RECEIPT #/DATE: REASON FOR REFUND: ODELING CHECK PAYABLE TO. AMERICAN REM N ? ADDRESS: 1129 E CLIFF RD BiJRNSVILLE MN 55337 774 GOLDEN MEADOW RD & 4352 GOLDEN MEADOW CT 8/OS/02 OVERPAYMENT PERMIT #: 53916 & 53917 ? TYPE OF REFUND: Plumbing Pemut 9001.4087 Mechanical Pernrit 9001.4088 Building Permit Fee 9001.4085 $ Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (Ciry) 9379.4681 $ SAC (Adruin) 9001.4246 $ Water Commection 9220.3865 $ 14.00 Sewer Pemrit Water Permit Account Deposit Water Meter Water Treatment Surcharge Oveipayment C1ub Box Deposit Refund Construction Meter Dep Refund 9220.4532 9220.4507 9220.2252 9220.4509 $ 9220.4685 $ 9001.2195 $ 9001.2250 $ 92202253 $ 92202254 Other $ TOTAL $ 14.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 4"?? 8/OS/02 SIGNATLiRE DATE 11 city oF eagan PATRICIA E. AWP.DA Mayor PAULBAKKEN PEGGY CARISON CYNDEE FfELDS MEGTILLEY CounalMembers THOMAS HEDGES CiryAdministramr Municipal Center. 3830 Pibt Knob Road Eagan, MN 55122-1897 Phone: 65 L(81.46U0 Fax: 651.68L4G l2 TDD: 651.454.8535 Mainttnance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fvc: 651.681.4360 "CDD: 651.454:8535 www.cityofeagan.com THE LONE OAK TREE The symhul uf sttengrh and growch in uur communiry August L, 2003 TOM & MICELLE ROWEKAMP 4352 GOLDEN MEADOW CT EAGAN MN 55121 RE: BUILDING PERMIT #53917 TEAR OFF AND REPLACE ROOF Dear Mr. & Mrs. Rowekamp: Subsequent to our conversation, a site inspection has confirmed that the shingles applied to your roof do not meet the terms of the manufacturer. The shingles were not applied with the mandatory overhang of 3/8" past the drip edge. This application, therefore, does not comply with the Uniform Building Code. If you have any questions or concerns, please do not hesitate to contact me at 651-681- 4699. Sincerely, Dale Schoeppner Chief Building Official D.S/jS cc: Four Seasons Roofing, 2107 1/2 W. Burnsville Pkwy., Burnsviile MN 55337 o• * 326• + 32•5+ 164• + 525 • + 700• + 63 • + 280 • + 132 • + 2, 024•5* 1z S C? 7985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN NOTE: ALL CONTRACTORS MOST BE LICENSED iiITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To 8e Used For:s/n (t Valuation : ? Date: Site Address: 3s a ?'nt?W ? OFFICE USE ONLY Lot: ?- Block J- Sect/Sub Sv? Erect X Oecupancy R-3 ?- Remodel Zoning Parcel 4P Repair Type of Const ? ?. Enlarge 11 of Stories Owner ( d ? Move _ Length ? Demolish Depth 4 8 Address Grade Sq Ft City/Zip Code Phone Contractor b Q. (? N-D 0-4 Ls Address 1IS F C° City/Zip Code Phone 3 Arch./Engr, Address City/Zip Code Phone 0 A q lo APPROVALS Assessments Permit °?' '728. Water/Sewer Surcharge 32.5= Police Plan Review 1b 4.°° Fire SAC SZS. °-0 Engr Water Conn 500, ? Planner Water Meter (93,°? Council Road Unit 2gp. Bldg Off 9-10•85 Parks APC Treatment Pl Variance TOTAL ? v ? ? S b EXTEkIOR EN GRAIVD MODEL REQUIRED i. 70TAL 2. TOTAL ACHIEVED JELOPI OAk::S Q WALL Ft00F AVERAGE 'U' COMFUTATION DEVELOFMENT L'(]MPANY AREA U U X AREA AREA 1800 X .11 198 AREA 1196 X.026 31.096 AREA U U X AREA A. WINDOW AREA 186.66 .5 93.:3' H. DOOR AREA 39.8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIRFF'LACE AREA U U V E. WALi._ FRAME AREA 18O .041 7.38 F. NE7 WALL AREA 1164.1 .049 57.0409 G. RIM JOIST AREA 119.52 .6436 5.211072 H. FOUND WINDOW AREA U 0 0 I. FOIJND AEOVE GFtADE 96.48 .135 13.0248 3. TOTAL,WALL AREA 180c) 1135.5026 J. sKvLirE V U 4) K. ROOF FRAME 119.6 .032 3.8272 L. IVET ROOF AREA 1076.4 .025 26.91 4. T07AL ROOF AREA liS'b 30.7372 SUM 1.+2. 229.096 SUhI 3.+4. 216.2398 ,.. SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0. #267 I ? Q Z g ,. X 4904 4! Cj O O __.? ... .. _. _.. rj \r , ? ? i /i 9303 4301_(A3 ^ po to (D ^co ? II 'o .` -+- DENOTES O DENOTES • DENOTES X000.0 DENOTES (000.0) DENOTES ? ? o??\ 56 . ? ? ? ., ? / S° / pl J ? I 6 ? 4 9z9,1 n 22.33 o r z9,r -- ?k9? ?, D OSED, 25.67 0 9? + en nj GAR. \\ RI Y 22.0 30. I 9t5,3n vwi vWi?N? c'. a?? a Q \4 p I N o N a o O a I ' I 26.0 w93t?q . / .?? ? ?Lx929?II C432? I O? P I NI .. - IN J - - .- ? h 46.20- -- -- -48.00 -^ 933,1 ? 121.19 S 89°4!'28" W ` r i?-7- ? t_ ti i r PROPOSED SURFACE DRAINAGE IRON MONUMENT SET IRON MONUMENT FOUND EXISTING ELEVATION PROPOSED ELEVATION l , ? r- c? bV r'- W ?r (f? O ?IJ 0 Cj Q ? \ .? r,- ? ?? , ? ' 933,z ? i N SCALE: 1 INCH = FEET, PROPOSED GARAGE FLOOR = 3 2, FEET FROPOSED LOWEST FLOOR = 9 Z9. 5 FEET PROPOSED TOP OF BLOCK = 93 2.1 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block 1, SUNSET 3RD ADDITIOfd, accorc;ing to the recorded plat thereof, Dakota County, Minnesota AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS,.IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS STµ DAY OF Af'RtL- , 1985. SIGNED: JAPE-$ R,l HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR PIINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85495 105/4-9 planners / Engfneers / Surveyors FILE NO.. 8200 Humboldt Arenue South• FOLDER sbomMgton, Mn. 55431 812-884-3029 FERMIT CITY OF EAGAN 3830 Rilot Knob Road 'Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-72987-020-01 DESCRIPTION: REMARKS: PERMIT TYPE: Permit Number: Date Issued: 4352 GOLDEN MEADOW CT LOT: 2 BLOCK: 1 SUNSET 3RD BUILDING 033842 08/27/98 T.O. & REROOFJSTORM Bua'Jdinq'?" Permat Type STORM DFlMAGE B,[iilding Wo'r,,k 7ype REPAIR t'ensusrCode , 439 ALT. RESIDEiVTTAL ? , <.? •i :_i -. _. j`.. l FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIC. OWNER: FOUR SEASONS ROOFING 18901899 20138780 ROWEKAMP TOM 2107 112 W. BURNSVILLE PKWY 4352 GOLDEN MEADOW CT BURNSVILLE PiN 55337 EAGAN MN 55122 (61,2,) 890-1899 (651)452-3010 ? Z hereby acknowledge that I have read this information is correct and agree Co comply Statutes and C3ty of Eagan drdinances.. APPLICANT/PERMITEE SIGNATURE appiication and state that the w3th ai1 app2icable SCete of Mn. IS?j?D BY: SIGNATURE J Ci C-a-7S, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ` ' 3830 PII.OT KNOB RD - 55122 _9? 33 0 ?f ?--- 681-4675 New Corrstrudion Reauirements ? 3 rogisteratl site surveys ? 2 copies of plans (inGude beam & window sizes; pourad fiA. design; Mc.) ? t energy calwlatlons • 3 copies oitree preservation plan if lot plattad after 711/93 required: _ Yes _ No DATE: DESCRIPTIO F WORK: ? STRE ADDRESS: Q3-Csr-? C-.c-An`p.r, Yv?,?p RemodeVRenair Reauirements • 2 copies oi plan ? 2 stte surveys (axterior addkions 8 decks) ? 1 energy ealalatlons for heated addkions CONSTRUCTION (20- LOT: ?- BLOCK: ? SUBD./P.I.D. #: s PROPERTY O WNER Name: yZ»QLxmiJ 10WYY)`tCk2??P P6one#: "??Z-3d lC1 LaSt r- First StreetAddress: J4?jn-a Cy'-rjCj p, City n State: (?1??• Zip: ' ol- n_ _ i r" CONTRACTOR ARCHIT'ECT/ ENGINEER Phone #: Registration #: a: Sqo- I g99 Street Address:,-,)1(?'? License # City ?\.i .?.?- r,d I ;?,C..CP State: a" t`;1t? . Zip: 533??--- Street City State: Sewer & water licensed plumber (new consdvction onty): and fot change is requested once permit is issued. I hereby acknowledge that I have read this appliqtion and state that the intortnation is State of MinnesoW Statutes and City of Eagan Ordinances. n OFFICE USE ONLY Certficates of Survey Received _ Yes Tree Preservation Plan Received Yes Signafure of Applicant: D ? _ No _ No _ Not R qt Zip: Penalty applies when address chang ? -------? with all applicabl GFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 GF Addition ? 08 8-plex O 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE O 31 New ? 33 ARerations D 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging 0 O 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MCNVS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bidg Census Unit Building Engineering Variance Permit Fae Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuafion: $ % SAC SAC Units i , j CITY Or EAGAN 2/84 AP9I,ICATION FOR PERMIT ? SEWER AND/OR WATLR CONNECTIODi - (PLEASE PRIHi) 11 PROP= ADDR:.SS : n ?c 0/??&q d a'ti, r.FrAr. o?Przm cc?4 _9 9 \ o x c s?d-7 s-f -3 Y ? ? ? (Lot/Block/Su:aivlsicn or :ax rarcel I.D. N=zer1 . STRi;C^^E , D?.'_l_E' 0F Oi2TGuIaL uiIi.DL:G PFESL'?' R-1 Sin= rPuSLi' . ? 3-2 DUPL_..`'Y (2S3D tJNITS) ? r-3 'IC:ti?Frr,TCE (TFT= + C=S) ? rN;^•?) ? n -l Ai^-?uc'?`=IT/CC_DC1-.I`Ti.?,l ( UNI ? CCvfiE.°.CLU/RE:AII,/OFc^IC: Q ?MU s?,sai ? .r.asTZ=zoN.aL,/co=?n=-T 2) AppT.T?,_.?Tj? ?PLEFSc PRllii) G ACDRESS: I15SI C- crrY, s:a=_, zzp: Q? d27n, PxGNE: y 9 0`? -- ?/? J 3} Pi,j„LPE,? EASE PAI TJ ,s .--? FOR CITY USE OYLY PDDRESS. ` { p L?pG•??'?€ ?Gj?7 l° ' PLU!!BERS LICEBSE: i ? CITY, ST?.TE ZIP: . - O Y` d'? ve Expired . ? PHOiVE: ?!« vgr-? J ? PLLMBER LILENSE H? Not Necord ?' arr ni[ta Vl ?z.LUY[li?:l'/C.?vi1t.['2 ?ac rKlr??) i NF1ME : 7ADDftESS: CITY, STA'IE, ZIPc PHC:IE: 5) INDICATE tvl-IZC'ri PERi•LIT IS BEZI`:C RECUESTED: * C0%^IECI'IOV 'IO CITY SETrIEft ? WC.-mCTIC:I 7o CITY 64ATER ? dPE!Et (PLG'15E DESCRIBE) ol 1:.u1C.?:i: Ci:+?: • Q pI= %SE E'.OID APPF.OVID PER."^.IT FOR PICi:-L'c BY O:v'E OF ASCUE L_?_PI£??SE :?`1?t_L_APP?20VED_PEP,'ALLT T'J-1. 21 *,- 4 A§CA/E .`; (Circfie-one)'- 7) SZCaTC,TW: DATE: ? ? w a?aw??s ? ar a r?:a?as ?r .a ne ?saa as s s.?ss?:? a a? .?.urr..a?a ?r +a ra ? a?a. . F 0 R C I T Y U S E O N:. Y PEpMIT - 2SSUED =s: g A $ 10, Sd $ $ S $ $ $ $ $ $ $ $ S SE.,iE.°, nrR•.1Tm (I. r .;?.. SU......?. ?) WAT^? PEtP1IT (INCiliDE SliaCHAiZGc,) WAT°R METER/COPPEqHORN/OUTSIDE REF,DER WAT°R TAP (INCLUDE CORPORATION STOP) SF;•iER T.'iP ACCOUNT DFPOSIT - FiATER WHC Sr? C TRliVK WATER ASSESS'fE2IT TRi:iQK SE[dER ASSESSb1E.IT L'n:E:2nL BE:vEFIT/TRliN:C SE:`:ER LATr.RAL BENEFIT/TRUtiK j•7ATz'R OT3.=R TOTAL $ ?%'U!J AMOC..T PAID;'RECEI'?T R 11 DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES ZF YES, THEN n"PERMIT FOR W013K WITHIN PUSLIC RCADWAY" MUST BE ISSL'ED BY THE t"? D10 ENGINEERING DIVISION. LIST AS A CONDI- TIOLV. SUSJECT TO THE FOLLOi•7ING CONDITZONS: APPROV£D BY: TI;LE: j DAT°: oF e?aeaczn 3830 PIIOT KNOB ROAD. P.O. BOX 21199' • EAGAN. MINNESOTA 55721 . PHONE (612) 454-8100 DATE: Febxuary 26, 19$6 PIaI. ASSESS=VT SFAI UNIVERSAL TITLE INS CO 14500 BURNHAVEN DR 4159 BURNSVILLE MN 55337 BEA BLOM9ULSi ee? TqMAS EGAN JAMES A. SMIiH JERRV TY.O!V1F5 " 7HEpp0r,e';JqCNTER ecvc. '.iemce+s 1NCMn5 NcpGES GIY AGnnfrtOt= EUGENe VaN OvEQBEKE C-4 C'e.. RF= Stxnset Third Additi?on Ipt 2 Block 1 4352 Golc3en Meadaa Court _ i Enclosed herein is the search which you requested made on the above described prooertc Kind oi Innrovement yPL;._- Beoinnin2 Orizinal Amount Balance Due IVONE I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved and are now in the proces of planning or completion. Kind of Imorovement Annroximate Date of Comoletion Avoroximate Cost NODIE WAIVER: heither the .^.ity of Eagan nor its employees guarantees the accuracy of the 3bove infor mation uhich was requested by'the oerson or persons indicated. Nor does the City or i employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in [he above form and for all other considerati of any nature whatsoever, any claim against the City or its employees rising there£roa is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. ' .Very.truly yaurs, • , ' /? ?°<' - '?'Z,?a"`'?`j • _ . _ • ' ? SPECIAL ASS£SS:fENT DIVISIaN - • iHE LONF OAK TREE...THE SYMBOL OF STRENGTH ANO GRON/fH IN OUR COWtMUNITY 737i4--- zoo6 RESIDENTIAL BUILDING rERMIT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot wverage ailowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if bt platted atter iH193 Rim Joist Detail Options seiedion sheet (buiidings wiN 3 or less units) Minnegasw mechanical ventilation form RemodeUReoair ReauiremenLs 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 sfle survey for addifions & decks Addition - indicate if on•sde septic sysfem Telephone # ( / D t 6111( lok? ? i C 1?? a e n Construct on ost Site Address y 7? )'}'e2?e?-?.c? ? UuiUSte # Description of Work ,?)-r.?•?c,..c.u? ,e?,@ c ?- ? Multi-Family Bldg _ Y_ N Fi place(s) _ 0 _ 1 _ 2 Property Owner 4-v? Telephone # (651) !'{ 5 gc°az?&??o01 7 Contractor Address Ci ? ty State Zip 4/,,R Telephone #(;5,-3) 3 7- 7'7Y- I , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet (^1 submission type) Su6mitted Submitted • 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 plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor 7O • 0 0 Offce Use Onlv CeAOfSurvey?.Recd _Y _N Tree Pres Plan Reoi _ Y_ N. TreePresRequ'ved :Y N 06-site5eppc:SysYem _Y N Telephone #( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved lan in the case of work which requires a review and approval of plans. C, A E7 P`1- L A l<,a? Applicant's Printed Name ApplicanYs Signa re DO NOT R'RITE BELOW THIS LINE Suh Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 Di of _ plex ? 04 02-plex ? 05 D3-plex ? 06 04-plex Work Tvpes ? 31 New O 32 Addition ? 33 Alteration ? 34 Replacement ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 12 92-plex ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demoli5on (Entire Bldg) -G ive PCA handout to applicant Description: WaterDamage_Yes Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const _ Foorings(new bldg) _ Footings (deck) _ Footings (addition) ? Foundation _ Drain Tile Roof _ Ice & Water _ Final _ Framing ? Fveplace _ R.I. _ Au Test _ Final _ Insularion Approved By: 6ase Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 100%Of ZrJ% Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth 12EQUIRED INSPECTIONS _ Sheetrock _ Fina]/C.O. FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tesu Final _ Sidittg _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall - Building Inspector Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - I For Office Use i Permit { 1 City of En ( Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: RECEIVED ~ Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 l MAY 0 Z 2012 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address Unit Name: AN dicend„~%~ Phone: (0 RESIDENT I 1 OWNER Address / City IZip: -P•ti Mot, gjcl Applicant is: Owner _ h;._ Contractor : TYPE OF WORK ; Description of work: j ut7✓ Construction Cost Multi-Family Building: (Yes / No~ Contact: rr Company: (0/v ' CONTRACTOR ' Address: f, t 4,z r ~ / City: tpr i lpY f L State: Zip: Phone: s License k 4 J Lead Certificate ll~ -/4- ",e- C If the project is exempt from lead certification, please explain why: (see Page 3 for additi nal information) Cam,/ ~~~5 COMPLETE THIS AREA ONLY I 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 and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of' i the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secret CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-4002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. ~a ui~e stateer=erill.crq i hereby acknowledge that this information is complete and accurate; that the work will to in conformance with, the ordinances and codes of the City of Eagan; that I understand this is not a pennit, but only an application for a permit, and vrork 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. Exterior work authorized~y a building pemtkt issued in accordance with the Minnesota. State Building Code M be mpleted within 180 da of permft'Is n' cF } J / X y ♦ i t 1 s! 1 d F j+. G-r x Ap" icanf's Printe Name Appt~ts Signature Page 1 of 3 • DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior 7 Alteration Fire Repair Windows Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 V 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 Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review y" °t MCES SAC City SAC, 1` f 3D Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 2 5 C TOTAL Page 2 of 3 ~/z SURVEYOR-qS:. CERTIFICATE ` : GRAND OAKS DEVELOPMENT CO. #267 i 930.0 v s ~ i 5 r- ti 56 56 i I ~ n, A~ L0i w (0 qV NI 4 66 N L1-j A ' O W I ~ 3 co /i of ~ O ~'b M j to o C I ,~9 291 ~ I O ~ ~ Q 9304• 929.1 ~c f 10 22.33 O z9o Q TIC, t RR0 POSED rO o \ 25.67 J \ I(f 930.3 K 'Jh N GAR. 1 J T• C. DR! Y aN c 30. 22.0 o O ~ O- 9 axe %1-3n o~Uj\a 1 Q x O ~I~ o CL o Z I l 1 930.3 J (0 t0 O X \C, • ~N a LU V ~~oo I ---X 26.0 x 932.Q O Q Q of ~O ( I I` J TIC, /p NI IN I 1,5 r0~ 9t9 r. L U) U) 9tiQ ` - 46.20 48.00 _ x433,2 9 121.19 S 89°41 X28° W ~ 1-7 L_ l./ DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = FEET. • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 32 , FEET 1000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9 Z9,5 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 95 -4,'7 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Block 1, SUNSET 3RD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS. OR ENCROACHMENTS,.IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 514 DAY OF Ax'tz1L 1985. SIGNED: JA R HILL, INC. BY AROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 85495 ~os~49 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South. FOLDER Bloomington, Mn. 55431 812-884-3029 PERMIT City of Eagan Permit Type: Building Permit Number: EA107421 Date Issued: 10/11/2012 of 3 a R Permit Category: ePermit Site Address: 4352 Golden Meadow Ct Lot: 2 Block: 1 Addition: Sunset 3rd PID: 10-72987-01-020 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Tim Schenk Elder-Jones Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Pella Northland Andrew Dinger 15300 25thAve N #100 4352 Golden Meadow Ct Plymouth MN 55447 Eagan MN 55123 (763) 355-1300 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � r————————————————� I For Office Use � I � �L I C�� O� �ln n� i Permit#: � � y L''d�u � s.�� Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I � -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �—�� Site Address: �� `�'�' �Q��""`" C,� Unit#: ; ��fi� �� ;��.� '�i Name: ✓1CA� �J�r�RG'� Phone:��s�'��`1 � S13� � Res� entl � (� � ;��Owner �� Address/City/Zip: `t� S Z �o��,n VV�'��C�Q� C`f' � �� - � �.:��`��,r� ' �� ' Applicant is: Owner �ontractor � ��' ��` `� �� {�� " � Description of work: �,2 �� Y�L � �TYpe of Wo�k : �� .#�� y ;�, �� Construction Cost: Multi-Family Building:(Yes /No ) �� : � � � : � � : n �� E � ' Company: ��1� �n� Contact: �� , � `�� ; Address: l��Z� ��'� � City: ��r°M ��Contractor � �`��' � `�� State:✓Y�-�Lip: ��' v3 Phone:(p/Z '�� S�Z�O Email: �� 5� � �:�� ' License#:�'"`i��Z ( Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � NOTE Plan`s antl support►ng tlacuments t at�rou submrf�,ar�consider`�`to b��iubl��f�mrratc,�n� _ ` rfrons of '�' F.':' ��.., •}';.,��FA 3 t:, �'�'z� 7'� `;�`'�, '`*,�` ^ 'r.; .`"a� °�g�s �? �°° :L:i �` ,�.��.. ,� a, µ' a r.,.�>z'a 4�.g r '. =� t e r format�on ma �be�ciass►�ed a�s�'r��n`�ub/rc�f you�pio�� e sp�ecr�f�reason�hat wau�'a1 perr�►Ef#he�C� #a ��' . � �„ � �� . �_ ��,, , �anclude that.ttre are;1 r,ade�+e�rets , �,., � �' ,��.�� , . � . ..... ..:: ,_. .� . �� .,. � �... . ... . „� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must b ompleted within 180 days of permit issuance. x �/'Gn�( �� e S x ApplicanYs Printed Name Appli nYs Signature Page 1 of 3