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3797 Linden CtINSPECTION RECORD CITY OF EAGAN RFACTIVAT£D FCIR BSMP FINISH 03/02/93 PERMIT TYPE: , 3830 Pilot Knob Road LIFESTYLF' HCHES INC 454-7856 Permit Number: Eagan, Minnesota 55123 Date Issued: II (612) 681-4675 Control No. 1146 }M I I P I pft 004 ) 1,64 10 jws/n: SITE ADDRESS: t r , r ; 44 e t?, APPLICANT: 1 iNnrN C'f 1 1. I t', 1 Y 1 t NOME ; ING 1l:I Ifni?lil AhiIi', ,I+p 1 1: !4'•R- 1 H614 PERMIT §,YBTYPE: TYPE OF WORK: NEW INSPECTION . . .A } ricii iNii F kANiNCi fN'sU1 AttiiM t iNAI Frs?fP?F?rI 4;{ MAkt', ! k 4J f iiN fNAI I nk I IttiMN?3nq v 1 i+ti PermR No. Permft Molder Defe Telephone It S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspktbn Dab Inap. i CommeMs Footlngs 1 Foundetion Framing 11-12. 2 LS ??s17 nlj'LAI?- RooNng Rough Plbg. fiough Hig. l8ul. '?aal?a-?y tA.?! Rrewac° Fnel Hig. Orsat Test Flnal Plbg. Plbg. Inspe.tor - Nolity Plumber Const. Meter EngrlPlen Bldg. Fnel Cq?` e S Deck Ftg. : x DeIc Final Well ? f? Pr. Disp. V REQUEST FOR ELECTRICAL INSPECTION o r? n? See instmctions lor complefr!R,?is form on back of yellow copy. b? ?? `? `? "X° Below Work Covered by This Request ? Ee-00001-08 ew Add Rep. '-'Typeof8uilding AppliancesWired EquipmentWired Home Temporary Service Duplex ter Electric Heating ApL Building t Other-(Specify) ? Comm./Industrial Farm AirConditioner Other (specity) Contraclor's Remarks: NSFM.'F7T Compute Inspection Fee Belaw: # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee SWimming Pool 0 to 200 Amps 0 to 100 Amps Trensformers Above 200 _ Amps ve 10 Amps SignS Inspedor5 Use Oniy: Ov TOTAL ' 9rrigation Booms ?ir O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR RED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, the Electrical Inspector, hereby i h Rough-in oate ^?Z?3 cert fy t at the above inspection has been made. F;nai Date OFFICE USE ONLY This request void 18 moMhs irom ? 05849 -? ? c'2??' ? ? 41 Ad ? - ' _ ? ' t' Request Date ? Fire No. Rough-in Inspection Required? ? Ready Now ?Will Notity Inspector +? _J ?J 53 :.KY.es r, No When Ready? I_.' licensed contractor ? owner hereby request inspection of above electrical work at: Job Andress (Street. Box or Roule No.) Gity L Ir- 1='A(mA.y Section No. Township Name or No. Range No. Counry _ rA OccuoantlPqlNTI Phone No. L F -T m `ISy Power,$uppiier Atldress Elecincal Comr pany Name1 ? ContractorS License No. Z i? c. C 7a O E iF ?? Mailing Address ICOniracror or wner Making Instelletion? ? ? i o/7 --4n ,S'S1.2Z AuNOnzed Si ure (Contractor,Owner Ma' InStallation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Griggg-Mitlway Bld9. - Room 5473 BE ACCEPTED BYTHE STATE BOARD 1827 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS 7hone (612) 642-0800 ' ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 95807 ? See insiructions for'COmple6ng this form on back of yellow copy. `X" Below Work Covered by This Request eTM°'?a Fy. r.'fQ EBp-0000I-08 ew Add Rep. Type of Building AppliancesWired EquipmentWired ' ? Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer Other-(Specify) CommJlndustrial Fumace Farm Air Conditioner r st eh (pecify) Comractork Remarks. , Compute Inspecfion Fee Below: # Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee wimming Pool 0 to 200 Amps 0 to 100 Amps $ Trans(ormers Above 200 _ Amps Aboye 1p0 _ Amps SigOS Inspector's Use Only: TOTAL ' Irrigation Booms (f 6 ? ? Special Inspection g Alarm/Communication THIS INSTALLATION MAY BE O ERED PMONNECTED IF NOT Omer Fee •,jp COMPIETED WITHIN ONT ( I, the Elec4rical Inspector, hereby tif th t th b Rough-in . Date ? y cer a e a ove inspection has been made. Final / OFFICE USE ONLY .-This request wid 18 moNhs from ? 5807 5?// ? ? Request Date Fire No. Rough-in Inspaction Required? ? Ready Now $a+Nill Notify Inspector 92 Yes ? No 'Nhen Ready? I ' licensed contractor O owner hereby request inspection of above electrical work aC Job Adtlress (Street. Box or Route No.)/ 997 G n C • City JFA&s?^ Section No. Township Name or No. Range No. County -I AKoTA Occupant fPRINTj 1 Phone No. :s -frES7yLE oylf,F_ Power Suppli AdtltCSS ? r4z07"14 ?LEtTLtL L !-i4Q?+n?.'1GT0/? Electrical C tor (Company Name ? 5E ?c.?cTe? Gomractor's License No. cR 01 LeB Mahng Atltlress iContractor or wner Mabng InsiallaLOnj vrn`ro ,?n ssiz Authorizetl Signat e iCOniractor%Owner Making Installalion) Phone Number MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 8E ACCEPTED BY THE STATE BOARD 1821 Universily Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Addk,ess 3797 I.TNDF.N ^T IAt 34 Blk 1 Sub THE WOODLANDS 3RD Zip 5512 THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 1/ 29 / 93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass p? TraiUcurb damage Porch ? Basement finish ? : Deck ? ? &C l Please verify with the builder the removai of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy qaRS RESIDENTIAL 'A ?' 4? BUILDING PERMIT APPLICATION 6CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. fl, of lot, sq. fl. ot house; and JLI rooted areas (200/o maximum bt coverege aibwed) • 2 copies of plan showing beam & wlndow sizes; poured found design, efc.) • 1 set ot Energy Calculatfons • 3 copfes of Tree Preservetbn Plan A loi pletted after 711193 • Rim ,bist Detail Options selectlon sheet (6idgs w(th 3 or Iess units) DATE SITE TYPE AULTI-FAMILY BLDG Y AN FIREPLACE(S) ?0 _ 1 _ 2 APPLICANT A 8L , i.Px. STREET ADDRESS I aQ4.7-41L'C-o I jd'Aw e S• CIN 6u,Y"dv?jLC STATE /ntJZIP ?;:5'-?3f TELEPHONE # Q5,1I -tO 7 -69 ?LL PHONE # FAX #( ?s? 90 FS''alF<- `f.6 PROPERTYOWNER s?? 2?r J-0 TELEPHONE#i L6 S-t16gg- COMPLETE THIS SECTION FOR ••NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiILES 7670 CATEGORY 1 n (4 submission type) . Residential Ventilation Category 7 Worksheet Submitted • • Energy Envelape Calculations Submitted JUL 16 2002 Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the inforrnation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordlnances, Signalure of Applicant,l? OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths RemodeYReoalr Reauirements I ? ? ? ? • 2 copies ot plan • lsetotEnergyCalculationsforheatedadditions • 1 site survey for exterior additlons & decks • Indicate if home served by septic systam for additions VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/D2 ? CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: control rvo. 1146 BIJILCJING 001564 10J05/92 SITE ADDRESS: DESCRIPTION: 3797 LINGEN CT LOT: 34 BLOCKc 1 THC WOOCILRNC]S 3RD Buil,di:n,.9 Permit T.YPe Building--Work Type UBC nccupanoy Canstruction 'T,ype Zaning '._.., , 6uilding Leng'Ch Buil.ding Wadth ? ... . \ i.o.?? SF DWG NEW R-3 M-1 V-N R-1 69 30 L? [.,; i.J U REMARKS: c' 0':4 1IqS S& W CfJNTRACTOR - TNOMPSON PLBG FEE SUMMARY: Base Fes Plan Review Surcharge 5AC SAC ? 5AC Units Subtotal VALUATION $804.00 $522.60 $73.59 $700.00 irae $2,100.10 $147,000 MISCELLANEOU5 _ 1 610.50 Total Fee $3,710.60 CONTRACTOR: - Applicant -- sT. Lz pWNER: LIFESTYLE HOMES INC 14547866 000125 LIFESTYLE HOMES INC 1489 LAKE PflRK CIR 1489 LAKE PARK CIR EAGAN MN 55122 EAGRN MN 55122 (612) 454-7866 (612)454-7866 I hereby acknowledge that T have re.ad thi.s app7.icatian and stats that the informatinn is cnrrect and agree to comply with ail appiicable State nf' Mn. Statutes and City pf Eagan (irdinances. L o)fl I\ w I I ED B : I NATO E'? I PERMIT # r - ' ? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 213 RECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural_& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 9 / 23 / 92 Valuation of work Site Address: 3797 LINDEN COURT STREET STE t Tenant. Name: (commercial only) Lor 34 sLocK 1 suso. WOODLANDS 3RD P.I.D. #1075878-340-01 Descri tion of work: SINGLE FAMILY DETACHED The applicant is: ? Owner 13 Contractor ? Other (oes«ibe) Name LIFESTYLE HOMES. INC. Phone 4s/.-7R6h Property uST F1RST Owner Address 1489 LAKE PARK CIRCLE STREET STE N City EAGAN State MN ZiP 55122 Company LIFESTYLE HOMES. INC. Phone 454-7866 Contractor Address 1489 ALKE PARK CIRCLE LiCense # 1288 Exp. 1/93 Clty EAGAN St8t2 MN_ Zlp 5519? Company SAME AS ABOVE 0 Phone Architect/ Engineer Name Registration ?Y Address City State ZiP Sewer & water licensed plumber THOMPSON PLUMBING . Processing time for sewer & water permits is two days once area has been approved. 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. LIFESTYLE HOMES, INC. Signature of Appl icant: TFRESIDEN OFFICE USE ONLY BUILDING PERMIT TYPE A O 01 Foundation 0 05 Apt. Bldg ? 09 Basement Fin ? ish ? 13-Co47I4 N 0 02 5F Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 CommJlnd Add E3 03 Two family 0 07 Fireplace O 11 Res. Add. O 15 CommJInd Rem E3 04 Multi-fam. T.H. ? 08 Oeck ? 12 Res. Porch ? 16 Public.Fac. _ O 17 Agricultural WORK TYPE tf 31 New O 33 Alterations O 35 Move ? 32 Addition ? 34 Tenant Finish E3 36 Demolish GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System YF-s (Allowable) V- N lst F1. sq. ft. City Water yes UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRV Required Zoning Q-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. ' Fire Sprinkler Lenqth 4w On-site well Census Code Depth 30 On-site sewage SAC Code 0/ APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS O Site ? Footing O Framing E3 Insulation 13 Wallboard ? Final 13 Draintile ? Fireplace Permit Fee vatwc;a,: : 14"1 ?000 Surcharge P1an Review Gc,Ra?a?' License ??Xez???`? 32x3S= II?.o MWCC SAC City SAC . I 9ELX;t3 =Aq ?Z Water Conn. ?. x b= :- Water Meter *I25 x/6 a? 1(0 o 0 Acct. Deposit 13-SMT; ' .. S/W Permi t Surchar e ? 35 N3o:l u 50 . Treatment Pl it R d U n oa e ? ?a X 19= Ded. Trails 1 "15r Copi es IsT Fi.cr?a . Other Total : ,?sMT = 1?92 SAC SAC U% nits ? ? ?x?2 ^ 11?o .' )KJ,r3- 5g"30 ?:-:ePA24-42 THI_ r: p_S BEFJNETT P_@ 1 rww - - ? E7CTENlOR EitYEIOPS AYEltAGE "ll". C0MPUTATION QuftEK: ..._._...,,,..,.._,....?...,?.._...?...,..??_..,.,..,..?,,.,_....?.,_..a.:,_, ...,.._ ,y?.....w?? .v,._.??>...?,?.,?,. s?,rE Aone,Ess. ??aT3q. .___ caNrrcnr,•raa: .,..r.?_ +?-e?i_?.`?.M.`•?':c°? .._,.??: .?z.'?°?'`' .,? ? '°?? ??.?.?..?... rY., ??.,.....?'????: ? a,i)i;ARr qfOS':''TMF RAftl, I. 'TOTAL EiGr:. . ,_,? :? ?$,n, - • ' . . f •3?R . a Iti '" tr au<uwvyW.? i ? ?4? }? i. 1 4i' 1 T4L RV sf' I;. E11k. /'T LA AS' g+bi ' , , ... Ao ft ?. "u" hl r 1) 3. . ? ? 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S ?Ex t e r i n r-e 1 r#(-lm: """. ?..0.17 TO AL ¦ ? 1.? p U 0 I/R • W._.._.,.. - ?-•?°??-- RIH JDfST SEC71C3N: 1 Intertor aIr flim k Z ? ; s , ?.? ? ?. '??+. lw.u o x t e r i a ra! t f m_ _ FOUHi1ATIUN 1rV5Ui.ATIOt{ REqt;IREDt TO7A t?? Min.'R-5 ow? enttre wali OR U? R r 4I ,q p,a•;?,4 Min, R-10 down to frost Fepth .? A.. PGU190AYIoH SECTtON: i 'A ' • ,ar 8tr fllm --f-n--t-er- A,FR ? • -' , a? 66 ?. Q' •, '? ' •• r •• ti°'"..'..-?-,? 3 ?? 4 a•4.•. E ta t e r o r a r --- "' ?1. 7 ,? Q . ? • ? . -a -?-- ,??I /!/ ? ? ? ?? ..:.?..:.?_,.....?.. , TOTAL R i+ , ??. U = I ?'? » ?;,5? e-! i.3 S€.AR SJ r GkIAuE , .-,. ;4, - :,??q?;'((••?? ? +.. ? . , ?! '„(J ,•? Q a?', r ru A „., .a , ?,. ,.- ? p ? Heeted Slabs: ??a''??•''?? Minimum R ¦ 8,5 • • • • ; 0Ilnhea ted 51 ahs : - .., ? ? ,?: , .?? 4?? ip,• ? Minlmum R¦ 5.2 L 4 ; W+ ,q., . ? ? ?? ? • •?' • ? ? i ?1 ? ? ?i ? ?? ? QI • ? . ? 1 ? P _ 03 ? ?. .. ? ?6,.. a , . st ? ? .; , r' •? 04 p'+•..''' " ,-d??c? . i • ?r? .• ? ? ? ? ??? • ? 1 ?• .? . ... , + :. . ? f 1 0 , q 1 ? ? ? 1 • ?? ? ? • p ? ? . . , , , , d, +• .? d?, . M? ?401D . ' ' Page 3 t ?.E F- 2 4- 9 -2 ? ? ? T H I_I ; _ 4D ; .t I , ;. "Ei&'v-rw.D EENh-aETT F' _ R4 ` ?; , ' COPi57RU?FtC7N RVALUC g CEiL9Nr 5£C! EUN ,( iN5UlA7ED) .? Inttran_r elr fIim ,?„ __.._._ -?? ? Ext?ri?or alr film ?seili? n,?t . 7araL s a -- ,, --- ? U? 1/Ra CElLtNCx FRAr?lNq SECTION: Irscerdtrr air fOlm n,Ft ?'...'".?..q°7 C, y. a a e? kc, 2. ...?_._. ?+ ?Wr?t? ?t a? m st 'iT-.n. ? ..Y.._ ?nCheS?So t woed 35- rarpr. a 0, " 2IR + 4P1 ; 5}i;Yi:!xi ON51,;"s.A"k'E„i - 1' Bntcrfor efr fifm i ? 2 :.. . A F: K t`.` rTo r a r ms TtTfT_ ... ._? ? ...rr OTW? R ? 3?, £i\4 . U???`?? CE IE,EW; V'RAF'lltisi SECT'9Ot1i e 1nt??°la? n! r f! Ir, n>.; ,?._,?_e.?...._? ?._..?,?.... _ .?...?..,.., ? ??lce PI'13C? E?1 i iT iP'1?5e- _1?.,=•..•.•.,'-;_.__.... u -. I / ,r,, :d h^- ? ,?T15?2?? !1{1' ??111Y fl.{+1 ? .?.?.-r....? .rl OLItSlile m ??• ? ? ? TOTAL il U • 1/R a ? Page 4 L / CITY OF EAGAN CITY USE ONLY /? PLUMBING PERMIT ? SUBD. i1 l?(?¢ (612) 681-4675 RECEIPT DATE RESIDENTZAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION T COMPLETE THE FOLIAWING• NEW CONST )4 ADD ON REPAIR OWNER NAME:('??-i????_ SITE ADDRESS:??]`?G ?I Q/d?1rO,1M INSTALLER: Y1 lA u ADDRESS: CITY: yxx_ ZIP: PHONE #: 1 :?)?L-) - I rI ( ~I ?hi,n? SIGNATURE OF PERMITTEE STATE SURCHARGE TOTAL COMMERCIAL ? ?do PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: Ck'1@F.i: NA.'4E : SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN N0. FIXTIJRES EA. TOTAL REPAIR/ADD ON 15.00 SHOWER 3.00 WATER CIASET 3.00 , BATH TUB 3.00 QUO LAVATORY 3.00 r aR . °o ? KITCHEN SINK 3.00 -Z.Do _ LAUNDRY TR.AY 3.00 HOT TUB/SPA 3.00 T WATER HEATER 3.00 ? FIAOR DRAIN 3.00 ? oo ? GAS PIPING OUT. ? (MINIMUM - 1) 3.00 J 'ao ROUGH OPENINGS 1.50 ? OTHER b?lptpe.Nrtr 3.0?1 ?.pp WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLEit 3.00 _ W. TURNAROUND 15.00 CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN L-2L B D? MECHANICAL PERMIT RECEIPT #/D F ?5 SUBD. /.cov?7i?'Aiwo? :L- (612) 6814675 DATE // Cv 902. RESIDENTIAL PLEASE COMPI.ETE UPPER PORTION ONLY FOR SINGLE FAMILY DWEI.LINGS. ALSO, COMPLETE FOR TOWNHOMESlCONDOS WHEN SEPARATE PERMTfS ARE REQUIRED FOR EACH DWELLING iTNIT. OWNER: FEFS STl'E ADDRES S: y? 1 ? ? OKIREMODEL ADD ?ST1NG $ 15.00 ? ? r ?--? ? O CONSTR U > HVAC: 0.100 M BTU INSTALLER: ADDITIONAL 50 M BTU ADDRESS: '77L GAS OUTLETS - NIINIMUM 1@$3 EA. ? CITY: ? , ; . ZIP: ,?S Z Z SURCAARGE: $ .SO SIGNATURE: TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRLIL BUILDINGS. ALSO COMPLE!'E FOR APARTMENT BUILDINGS OR OTIIER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNI1`. ? WORK DESCRIPTION: OR'NER: STfE ADDRESS: TENAIVT: SUITE #: INSTAI.LER: ADDRESS: CTTY: PHONE #: SIGNATURE: CONTRACT PRICE: 196 OF CONTRACT FEE. STATE SURCHARGE IS $30 FOR EACH $1,000 OF PERMTT FEE. P.?vCEBnED F;P:;:G - $2540 $ $ MINIMUM FEE - $25.00 TOTAL• < $ CITY SIGNATURE: ZIP: REACTIVAI-E -,A, PERMIT #00 15 6 q CITY OF EAGAN 1993 BUILDING PERAAIT APPLICATION 681-4675 MAR fl 1 RECD_ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Jt Valuation of work Site Address: ?'A 6ePn eve" STREET SUITE N Tenant Name: (commercial only) LOT 7 BIACK ::? SUBD. P . I . D . N Descri tion of work: 4- The applicant is: ? Owner Contractor O Other (Describe) Name Phone Property LAST F1R5T Owner pddress STREET STE X City State Zip Company L ?'r- N _e4N /e Phone ?{S Y?? '? 6 C011t1'eCtOt' Address License # Exp. City ? ??Lk-.-, State /1-1? Z i p 2z Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber /+104- . Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE I . O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage /Acce s sory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE V? 31 New ? 33 Alterations ? 35 Tenant Finish O 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION 0 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 DemoTish Const. (Actual) ' Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total 6ooster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPRt7VALS Co??U 45 Planning Building Assessments Engineering Variance REQUIRED INSPECTION S 0 Site ? Footing ? Framing ? Insulation ? Wallboard fp Final ? Draintile ? Fireplace Permi t Fee 35 .oo v.Luac;on: 8 Surcharge • sn Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ? SAC % SAC Units ? OCT-92-192 FRI 13:27 1D:JRMES R HILL INC w TEL N0:612 890-6244 #668 P62 $URVEYOR'S CERTIFICATE xe97.r 897.9 s_ ? ? z .j BENCH NtPA?RpK ? ELEV ? 839.584 / •,- ? Zl aasnEG Ll ? ? ?o?_s 156.09 = =~320o Q33 _ 9001 10 899. ILa o! W ? $I"7 I U " I W ? L (??? 5) r8951.4 i ?I ?896.8 IA(V - 9S6 8 / ?o>'11 4sr BENCM MUpR?f / ?E E?B98 61 ? 89917 -.- ?_l? i LIFE srrLE HOMES 30643'07"W I ? ? • ? I ip LOT ? 3 4r F J? I ?I O d) ? W . W M ? ?'°3 ? -- ? ?FRTl?? Df?g ° - so MOTE: BUILDIM3 dMEN970NS SFIOWlJ ARE • POp MORMNTAL 6 VEYiTICAL Li)C- ' ATIOH OF STRUCT1tRE OE11.Y. SE8 ARCHITgRUAI, W.ANS YO2 BUILDING , 0 FVJX0ATION QNEMSIONS. ' do-- DENOTES PROPOSED SURFACE bHAINAGE O DENOTES IflON_MONUMENT SET SCALE: t INCH = 30 FEET • DENOTES IRON MpNUMENT FOUND PROPOSED GARAGE F1pQR - 902.Z FEET X000.0 DENOTES DUSTING ELLVATION pROP03ED LOWEST FLpOR -''d°1509 FEET (O00.0) OENOTES PROPOSED ELEVATiaN PRaPO5ED TOP OF BLpCK= g64•0 FEET WE HEREBY CEfRTIFY Tp LIFE S7YLE HOMES THAT 7HIS IS A TRUE ANa CORREC7 REPRESENTATIQN OF A SURVEY pF THE BOUNDARIES OF: 4.ot 34,BIock I, THE WOOpLANAS TWIRD ADDfTION, acconding to me rearded qat •tliereof, Da1Dta Cau nty , MMnesota . IT DOES NpT PURPQRT TO SHOW IMPROVEMENTS OR ENCRQACHMENTS. FJCCEPT A5 SFIOWN. AS SURVEYEp 8Y ME OR UNDER MY pIRECT SUPERVISION THIS 24TH bAY OF SEPT. , 1992. NpTE: HO sPeciflc 901.s IMaESYIcnTiON 51GN ;JOHN J M RHILL, INC. HA5 BEEN C?AiM.ETP1) ON TF04 WY BY TME 8URV6Y?R. 7HE sW7aBtl.itY oF SqLS 70 supPOqr THE SPECIFlC HOUSff PDPOSFD i$ Mar Tr9 ?°?BLmr °F C. LARSpN, LAND SURVEMR THE $UR49YOR' MINNESOTA LlGENSE NUMBER 19$28 ? rtl ? '?l T Q N ? Q 0 am7 O ? t?i r ? ? C O (h O p ? p z x Q p) m ? ? James R. Hill, inc. PL.AIVNERS 1 ENGINEFRS / SURVEYQRS 2606 W. CTY. RD. 42 o gIIRNSVILLE, MN. 55337 0 612-890-6044 R-95% JAMES R HiLL INC 10-02-92 01:29PM P002 #23 f, For Office Use C ity of Ea Permit I I I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U 0 9 Site Address: '3 7 L ,11 ~4 Tenant: Lc-, i~r C l2tlf? ►t9gg 4t Suite RESIDENT/OWNER Name: PcXcl_L 14 Dae Z./e Phone: ( j y 57,4 - ff 0 a Address / City / Zip: 3 y 7 L-,,Ac" 6 Applicant is: Owner _X_ Contractor TYPE OF WORK Description of work: V~ e_ I,& If Construction Cost:/ (a ~ - 6) Multi-Family Building: (Yes No ) CONTRACTOR Name: -3C License Address: ryCJ'rter 4 tin. City: Z )c( State: r1✓ Zip: Phone: U > eo Contact Person: 7e n CrerK c~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master 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 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x V,JtI(a`f ,(,N { ~PC►1J i~ x ~Applicant's Printed Name Appli nt's Signature Page 1 of 3 cZ, o D I For Office Use Permit City of EJUN ] 0 2009 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: ; Phone: (651) 675-5675 I' I Fax: (651) 675-5694 ; Staff J 2009 MECHANICAL PERMIT APPLICATION Date: LO' Site Address: L-Z&LZ2I/ CT Tenant: Suite RESIDENT / OWNER Name: ~AU~ f~OPErn/EL[. Phone:&5 / 452- 092- Address / City / Zip: _ S gm / CONTRACTOR Name:0 [ a) "Imol 5 a6 1 LK _ License " 5 g z,4oZ Address: O d V 6e41'IILL/U~ J 772 T City: _/7~v% State: Zip: Phone: &S/ -/-37 Contact Person: t/ 6^45`47- TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: i Ce aC& vd,~! NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement )CC Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit T Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 2Q, 60 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: .Under Ground - Rough In -Air Test _Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK ink j ForOfiiceuse ^-------�������`C� �t �• � ��►��: �����CjS .�.�:,�'l� `� O������ t Permit Fee: ���1, �� I 3830 Pilot Knob Road i � Eagan MN 55122 � Date Received:���J�� � Phone:(651)675-5675 � j Fax:(651)675-5694 � Staff: i L----------------- 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � 9 Date: � • ��{ ° �� Site Address: 3��� c-,I n���N �'� Unit#: s � f k �l ' ' : � � �� Name:� �t,+�LL.0 �FEc��� Phone:�o I�a ��`���.,�30�3 �� t � �� ��,:� Address/City/Zip: ��� O r; ,r�t (� � , �a Applicant is: , Ovmer Contractor _ � � ; � �: , c-\ `` „����,��� ; Descriptionofwork: ���L�1�c ��1E��E�A'G �A�,. �..scc�- '� }{E.A`C�� ` �� ` Canstruction Cost: Multi-Family Building:(Yes /No_� � j�� /'� -(� � b � �v � : Company: l;���"�"E:�.'� �C`a .���v`�,�C."Si t�11.--Contad: �'tfi:�r'�cv1 c�i���i�."C" /'�� /�} � ' Address: �ils �;. �,iv'�,����C.� L..��-. City: �Cl..s�'_c�av�l..l.E: � a r � � q ' � ' State:�\aJ Zip:� Phone:�t"v����a y���EmaiL i�c�M�'.��"a��G���i:.���_�:vv� � `' `` � ' � ; License#: ������ Lead Certiflcate#: 1� ' . � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �a v•�r" i,v� ��=�L;T \w ��'l� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ; In the last 12 months,has the City of Eagan issued a permit for a simila�plan based on a tnaster plan? I' Yes �No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer 8 Water Contractor: Phone: � ����������1 t������ ' „�. , �„ k �� i'�. �'i�a �i� Y �C.� � � �r ���� ��� ,� ����� ,a�, � a � �. �k �` �, z, �� � � �� � � � � � «.� � �r � ,�� � �,-c � i .�. �'� ri,� �; �'.;as�-.°,„�f-�,z�"��'`�z�"�,:4,..�-M� � ���f. ��# ,` .�.�;��- ,y�' CALL BEFORE YOU DIG. Call Gopher State One Call at(6.51)454-0002 for protection against underground utility damage. Call 48 hours before you irrtend to dig to receive locates of underground utilities. www.aoaherstateonecatf.ora I hereby acknowledge that this iMormation is complete and accurate;that the wa�k will 6e in confortnance with the ordinances and codes of the Gity of Eagan;#hat I understand this is not a permit, but only a�application for a permit, and wodc is not to start without a permit; that the work will be in accordance with the approved plan in the case of wrorlc which requires a review and approval of pians. Exterior work authorized by a buiWing permit issued in accordance with the Minnesota te Building C f comple within 180 days of permit issuance. (� �� X �'1C3w"�ColL �'�Ev.32t�''-'.c x Applicant's Printed Name Appli s Slg�atur9e n Page 1 of 3 { I ' • � ��� �_. ��•`�.���� ��• � ) ���. DO NOT WRITE BELOW THIS LINE ���!/�.� SUB TYPES , Foundation _ Fireplace � Porch(3-Season) _ E�cterior Alteration(Single Family) � Single Famfly _ Garage _ Porch(4-Season) _ Exterior Alteration(Muki) ` Multi _ Deck _ Porch(ScreeNGazebo/Pergofa) _ Miscellaneous _ 01 of_Plex T Lower Level _ Pool _ Accessory Buiiding 1�VORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* � Addition � Move Building _ Reroof _ Demolish Interiar �p Alteratlon _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Oamage _ Re�ioing Wall 'Demolition of entire buildi�g—give PCA handout to applicant QESCRIPTION Valuation �Z���• "'" Occupancy �(Z�^ f MCES System Plan Review Code Edition yYl,r Zo SAC Units (25%_100°�� Zoning �L.�_ City Water Census Code Stories 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/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Finai Pool:_Footings AidGas Tests _Final � Framing Drain Tile Fireplace:_Rough In ^Air Test _Finai Siding:____Stucco Lath Stone�ath _Brick Insulation � Windows �-flR�Pr(r� ��aE� Sheathing Retaining Wall:�Footings�Backfill_Finai Sheetrock Radon Control Fire Walis Erosion Control Braced Walls Other: Reviewed By: �''� ►'✓1 ✓Y1 :k 1--�,� , Building Inspector � RESIDENTIAL FEES Base Fee ��-D�iz �-n� D�r� �I Surcharge I Plan Revisw MCES SAC City SAC Utility Connection Charge SSW Permit�Surcharge Treatment Piant Copies TOTAL Page 2 of 3