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3986 Fawn Way Use BLUE or BLACK Ink r Fur Office Use Permit ~!J I non City of EaEd f I Permit Fee. . a9l~ I 3830 Pilot Knob Road Eagan MN 55122 Date Rec ived:~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address/ City/Zip: _398 Ar-u.y fc)14 y J SS/ 2 Z Applicant is: Owner Contractor TYPE OF WORK Description of work: 919Construction Cost: U-0 o 6 ` Multi-Family Building: (Yes k__ / No ) --.Qe Company: ~/ttaciC Contact: _ ",3E RO.-M,E-s CONTRACTOR Address: 9 /5/City: 2*cg State: M IJ Zip: !a5,2)-7 I Phone: _7 92-0 Z10-2 License Q015-912 17 . 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: 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 'they 'are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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, 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 proval of p X 1 Wy~t'"~~ x\\~,, Applicant's Printed Name Applica's Si ture Page 1 of 3 INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ? SITE ADDRESS: ' I i ??? i?l F f;1.1?1t?t? 1 f,/4JMII?rMt ?: ? PERMIT SUBTYPE: APPUCANT: re71.•1 i10, "/<IS TYPE OF INORK: tIi •.rr 111 f 141H ?St1 I { Il 1 Nf3 0llF,OlE? N6/?A19?S ?:•rizr? I o -r tI aE? INSPECTION .A . .ATE INSPTR. . .; ? t '0i . i . 1 1 ( . 1 1 I ' . i f 1?',I?l r? 1 1 ?ifJ I 1 i'S I'! ??? ! I•?JIIi.{1 C rJ ! I tct? ;;it?r?ll 1 f1 1! ; t? - !9AFTk'; r 01)t111 x LI1 1 FI 1911t, h,ISLIN Wf1'( r IO ( I11 1 L A, l-1 11 t FiR vA 1 I FY F, l M11 ?h ? Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC lnspection ate Insp. Comments FOOTINGS /' KJ ??0i FOUND FRAMING RODFING PLOUMBING PLBG AIR TEST ?? ROUGH HEATIMG 6- Z/- 9G GAS TE T vC INSUL . GYP BOAFD FIREPLACE FIREPLACE AIR TEST 7-2,1-t FINAL PLBG ?/-?7 - ? avz•? w?? ? FINAL HTG - ORSAT TEST BLDG FINAL -21 l 7 BSMT RJ BSMTFI?,',? -- - i - - OEGK FTG DECK FfNAL teq- INSPECTION RECORD CITY OF EAGAN PERIUIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: : APPLtCANT: i ?? ? i?? ?? t ??? ? ? . . ,, ; PERMIT SUBTYPE: TYPE OF WORK: ?+, . , ?, ? ,,.?•E r ?:_ r. It['.FtAOF INSPECTION . . . F L --------------------- Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING RpUGH PLUM8ING PLBG AIR TEST RDUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTQ ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION MEfER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. 65MT FINAL DECK FTG DECK FINAL • y ? CiTY OF EAGAN ' 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ' . , I r,un ian ?? ? kkbl??r?I? FIFt?N11??M1 •. PERMIT SUBTYPE: CTION :CORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ... !. „: 11, 1!"P1; t 1, Y ,' ) `!.!._ ?aJ 1:4 ; TYPE OF WORK: I+l i 1,11 ' I t-iri "i,rc.urni; fb;'Ih0 A 06J: A/y6 NVU t:'fFu ttfl t TN?) INSPECTION TYPE D• • DA I{: AM I I'4rr ??t?? 1 1 fJi? t fl' ?? 1!? S 1 ?? t•I i i t• t 1• I rl i I 1• + i ro?,i . i?? ?,?, ; i r:?r?? WARF •. llFtf'l F., Wt i it uFiH 1 Al1M IJAY (!+? t .'N } ? ? - - F . W f , I RN V A I I 7 ' Permit No. Permlt Holder Date Telephone N ELECTRIC ,6D 5?5 • ry O PLUMBING HVAC Inspection ete Insp. Comments FOOTINGS 413 • FOUNO FRAMING 3.2 6 IQ/ ?Y/ ROOFING ROUGH PLUMBING ZG r?, G?'- 5 r? 41"'6 PLBG AIR TEST -2 C- ROUGH HEATING ^ ? a?? GJ' ?- ZI ? GAS SVC TEST INSUL / GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ,r74?r/ ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL -- - -- - - ? - - ? I I?I II I? I II??I IIr RinnesMaEQUEST FOR ELECTRICAL INSPECTION &/Y? M State Board W ElecUicity .,Rm. S- 28, S Paui, MN 55104 1821 s??? Phone (612_ 1 ome Duplez Apt. Bldg. OMer: ew Addn Commerciol Indushial Farm Remod Re air Air Cond. Hig. Equip. Water Htr. Load Mgmf. Ofher: D er Ran e Elec. Heot Tem . Service "X" obove fhe work covered by this request. Enter remarks in this space and on fhe back of the whife copy only. tG_ cYV ?'7 ? (---'v Calculate Inspecfion Fee - This Inspection Request will not be occepted without the rorrecF fee: Olher Fee tP Service [nkance Sae Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps ? 0 to 700 Amps $treet Ltg./Traffic Sig. Abave 2 mps Above 100 Amps Tfans{ofiner/rienela}of INSV R'SUSEONLY TOTAL !?D Sign/Outline Ltg. Xfmr. ? . Alarm/Remote Control $wimming POOI I he ins ?ewnml' tion descnbed herein on ih<datez ?ed Irtigafion Boom Raugh-ln ?oVJ peciol Inspedion ? Investigative Fee ?. Fnn ? D. THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 6 0- 7 9 5D °???a"Q /Thi, _reqvrst void IB monfhs (rom .alidafion dote pnmed in ? ? 9?? / (0 ? y &?ii?97 ??0 9// PLgASE PRINT OR TYPE Requast Dah Ro?gh-In InspMion re qoired2 s ? Na Inspedion Olher Than Rough.in: ? Reody N?J?OViII Coll r_ 6_ C3 b (You mosr call Ihe Inspedor when ready) Oote Ready: ? I, Wicensed contmdor ? owner hereby requesl inspedion a the above el ical rk . ? Job Address (Sheel, Bos, or Routv No.) Ciry $etlion Na. Townzhip Nama or No. Ran9e No. Fire No. Counry / Ocmpant Phone No. l6aod Pa.wrSupplier Pddren Eledncal Cormacror (Company Name) Confmcmr Li«nse No. Master Lic. Na. (Plonl Elen. Only) 5on E- an A c: qa MoiliN Addresi (Conhatlor or Owner Performin9 Insmllation) rfv,) 443 AvMonzad SignoWre (Conlmclor or Owner Pedoimiig InstalloHOn) Phone No. ??W' IW? 1 - EB-OODDIA-IO 6/95 STATEBOARUCOPY-SEEINSTRUCTONSONBRCKOFYELLOWCOPY III I IIIIIII II I II 1111111111111 I I I uI??I REQUEST FOR ELECTRICAL Ip?lOt?*""`G? ? ? ? Minnesota SWte Board of Electricity 9?i ?? Univer s 0 2 8 0 1 7 0 2* phone (812)s?z?? m. 5-128, St. aul, N 55104 ome Duplex Apt. Bldg. Other: ew Addn C3mmercial Indusirial form Remod Re air Air Cond. Ntg. Equip. Water Htr. Lood Mgmt OMer: D er Ran e Elec. Heat Temp. Service "X" a6ove fhe work covere_ d 6y lhis requg,st. Enfer remarks in this spoce ond on the back o( tbe whife copy only. l Calculafe InspecNon Fee - This Inspection Requesf will not be accepted withoof fhe mrrect fee: ONier Fee ;V` Service EMrance Size Fee # Circvik/Feeders Fee Mobile Homa Park Stall 0 fo 200 Amps ? - 0 to 7 00 Amps - $freet Lig./Troffic Sig. Above 200 Amps Above 100 Amps Transformer/Genera}or INSPECTON'SUSEONLY TOTAL Go Sign/Outline Lig. Xfmr. ? O J Alarm/Remote Control ! $wimming Pool I her<b em t I In: cled ml installalion de: ' ' en fie doro.: t Irrigafion BOOm PW,h-In Dab [ Speciol ect Inspion Investigative Fee Fjnei / / THIS INSTALLATION MAY BE ORDERED DItCMNECTEd) IF NOT COMPLETED WITHIN 18 MONTHS. 2 O O s?? O ? ? OFFI? USE NLY Thia reqoest void 18 monlhs hom volidmion date pnnkd in this box cj/hg'97 PLEASE PRINT OR TYPE d 1 Req at OaM Rough-In Iropetlion required2 es ? N. Inspecnon OMer Than Roogh.lm ? Rmdy Now 134ill Call 5 I- qb lYoo mosl call ihe impectar when reody) Dote Read ? I, &Ilicensed conimdor ? owner hereby request inspedion of }he abov ledrical wor ? hb Addreu (Shmr, 9os, or Roote No.) Ciry X C de ' 4S8 Fa?:n U)G- r, ? Setlion Na. Township Name or No. R.N. No. Flre No. Caunry Occvpanf Phone No. Po"r $applier Pddren Q ElMnml Conhatlor(Company Name) Canwtlor Liwme No. Maeier lic No. ?Plant Elea. Only? r Elrz.&ln 5 rnI A Nwilirg Mdn:s (Conrvodor ar Ownx PeAoiminq Insmllorion) ?^ q ()g(-) -?? ? ?Ll n ? ? ` N ?? lwMorixM SigwNm (Conhoaor arOrnm Pedofming Installotion) Phone No. S_f5afm-na 51 EB-OOOOIA-10 6ro5 STATEBOARD COPY-SEEINSTXUCTIONSONBACKOPYELLOWCOPV ' Address 3986 FAWN WAF Zip 5512_ I.ot 19 Blk 1 Sub DEERWOOD TOWNHOMES THESE ITEMS WERE / WERE NOT COMPLFTE AT THE TIME OF THE FINAL INSPEGTION. Date: jq? Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway j? Permanent gas ? Sod/Seeded grass ? TraiUcurb damage Porch Basement finish Deck ? Please verify wi[h [he builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn fauce[ before freeze potential exists. ContaM 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 ?---------------- I A ? - I g??V I ? Permit #: ? Permit Fee: I ? Date Recelved: FEB 6 2009 I 1 Staff: L----------- 2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION Date: gq 'q I o Site Address: Debra Jergenson Tenant:. 3986 Fawn Way Eagan, MN 55122 RESIDENT I OWNER Name: 6514523515 Address / City / Zip: _ suite #: ie: CONTRACTOR Nam Addr City: Phon TYPE OF WORK _ New _ Repiacement _ Repair _ Rebuiid _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL X Water He t a er _ Water Softener Lawn Irrigation Add Plumbing Fixtures ? RPZ /_ PVB) ? Main _ Lower Level) _ Septic System Water Tumaround New - Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $3D.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State 5urcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (repiace burned outappliances, duchvork, etc.) (includes $.50 State Surcharge) 50 TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work wili be in conf ance with the ordinances and codes of the City ot Eagan; ihat I understand th(s is not a permit, but only an appllcation for a permit, and wo s not to shart wi ut a pertnit; that the work will be in accordance with the approved plan in the case of work which requfres a revlew and approv of pl X l 1?fi6? L• NI OI'b1 6YyL. X ApplipanYs Printe me Appli anYs Slanature -A? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT 3988 FAWN WAY 10T: 20 BLOCK: 1 DEERWOOD TOWNHOMES P.I.N.: 10-20200-200-01 DESCRIPTION: PERMIT TYPE: Permit Number: Date Issued: }(ZERO LOT LINE) 0uildinqk>„Permit Type SF DWG Buikding 4o,pk Type NEW t' UBC Occupan y,•, R-3 U-1 ?f Canstructian Type V-N Zoning R-3 Building Length ' 28 Building Width 66 Builtling "stor3es 2 ..i`v` . n r srr? b... ' - Csus Cad'ee=. 102 1- FAM. ATTACH t i?E?????'? ? tjll s?l:% ???rj!,•- ...??i 04057a34Cv ,5/aJ/f 40 BUILDING 027605 05/20/96 REMARKS: DUPLEX WITH 3956 FAWN WAY (L07 19) S& W PLBR - VALLEY PLBG FEE SUMMARY: vALuaTroN Base Fee Plan Review Surcharge SAC SAC $ SAC Units Subtotal $962.25 $481.13 $57.50 $900.00 100 $2,400.88 $115,000 MISCELLANEOUS $1,923.50 7ota1 Fee $4,324.38 CONTRACTOR: - Applicant - s1'. LIC.OWNER: GOOD VALUE HOMES 17559793 2005498 GOOD VALUE HOMES INC 9445 E RIVER RD 9445 E RTVER Rp COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)255-9793 S herehy acknow7.edge tha,t T havo re'sd'this application and state that the in'Format'on s correct and agree to`comply with all applicahle State of Mn. St?tu , s a City 0 :f Eagan QCdinanass. L ,: . . _ ., :.. :,. 7. APPLICANT/P ITEE SIGNATURE ISSUED BT. SATUFE r4l- J 14C ki CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 -e j??iG 6(?::r1 ? :6 n oti G.z-? 5/ ? 3 registmed s8e surveys ? 2 copies of plan ? 2 copies ot plana (include beam 3 window sizea; paured tnd. design; etc.) ? 2 site aurveys (exterior additions 8 decks) ? 1 energy ealculationa ? 1 energy celculations tor heated addilions ? 3 eopks of tree preservation plan H bt platted afler 7/7193 roqulred: _ Ves No DATE: CONSTRUCTION COST: -?r ka X6,• 6r' DESCRIPTION OF WORK: 4 NP.> s`f STREET ADDRESS: LOT BLOCK GCX ?/ cor - / 7 RemodeVReoair ReauiremeMs , ,A,-1, LJo SUBD./P.I.D. #: PROPERTY . Name: ? ., ?. Phone 3 OWNER uS, rias. StreetAddress* p`v' r City: c?.'?_,.J State : ,?"ti' Zip: CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer 8 water licensed plumber. 1?a &VP?u;i; _n,_? . Penalty appiies when address change and lot change are requested once permit is issued. ri 1 hereby acknowledge that I have read this application and state that the infortnation is corcect and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY ? Certificates ot Survey Received V Yes No Tree Preservation Plan Received _ Yes _ No ? =? -- MQY9i9y6 _ OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation a 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ,,W 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o OS 8-plex ? 13 GaragelAccessory o 20 Public. Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = piex o 15 Deck WORK TYPE .42e-?'31 New ? 33 Alterations o 36 Move o 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuaq ? Basement sq. ft. MC/WS 5ystem ? (Allowable) Main level sq, ft. 3.?5 City Water UBC Occupancy -N/ Z"b sq. ft. ? -6-rl6r Fire Sprinklered Zoning ,C-3 sq. ft. PRV # of Stories 2 sq. ft. Booster Pump Length 216•11:1.4 sq. ft. Census Code. /oa Depth (Q(e_ Footprint sq. ft. SAC Code or Census Bidg / Census Unit i APPROVALS Planning Buiiding Engineering Variance Permit Fee Valuation: $ Ooo ? Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit Slw Surcharge ? ?,gGGS• Treatment Pi. G? Road Unit Park Oed. Traiis Ded. . /s Other Cof Copies ??GM ,?z,c ?S = lYDxsy' 9i ? z o Total: % SAC SAC Units . ,. ? CITY OF EAGAN 3830.PiJat Knob Road Eagan, Minnesota 55122-1897 (651)681•4675 SITE ADDRESS: P.I.N.t 10-20200-190-01 DESCRIPTION: PERMIT PERMITTYPE: aur.LoINs Permit Number: 033971 Date Issued: g 1 /09/g g 3986 FAWN bJAY LOT: 19 E.iI.C1CK? 1 DEEhW0011 TOWNHCIhIFS T.O. a HecaooF REMARKS: INCLUDES: FEE SUMMARY: ? I f s 1` i j,.i• -- Bua.ld.in q'-P?erm3 5F (hiTSC. 1 E3uildi.ttg Wot°k" T ype REPRIR r'CenrtUS corle ? 1134 AL'I"e f2t5'LD EMI"fAL 3988 VRLUAI'7(7N Base Fee Surcharqe Total Fee $162.25 $167.25 $10.0@m CONTRACTOR: - Rppiicant - s7. LiC. OWNER: SUBURBAN EXTERIORS 1881$232 4289 pEERWOf1t7 HOMES flSSOC. 9701 PENN AVENUE S 3985 FAWN WAY B400MTNGTON MIV 55431 EAGAN MN 55123 (651) 851--8232 ' I hereby icknawledge that S have raad this application and statQ that .Zhe infiormstion is correet and agree ta comply with all apRlicable State afi M'rt. Statutes andCity ot Eaqa.n Ordinanees. ? APPLICANTlPERMITEE SIGNATURE ED BV: SIGNAT RE I 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) -?? 9 CITY OF EAGAN 681-4675 Su6mit following to obtain necessary permit Foundation Only New Construction Interior Improvement struaurel plans (2 sets) arch@aGurel plans (2 sets) arohkectural plans (2 sets) civil plans (2 sets) struGUrel plens (2 sets) code anatysis (1) " code analysis (t) ? civil plans (2 sets) project specs (7 set) soils repoA (t) landscaping plans (2 seta) Key Plan projedspecs (1) codeanalysis (7)? energycalculations (1)notaNrays° . Special Inspecfions & Testing Schedule " soils report (1) Electnc Power 8 Lighting Fortn (7) nat eMays " SAC detertnination letter from MCNJS - SAC detertnination btter from MCANS - SAC detertnination letter from MGWS - call 602-1000 call 602-1000 ca11602-1000 Special Inspedions 8 Testing Schadule (t) " Prolert $Peas (7) energy wlwiations ° (1) Elactric Power 8 U htin Fortn (1 ° -- Contacz owiamg mspeawns ior sampie Food 8 Beverage or Lodging facilities: Plan must be su6mitted to Minnesota DepaRment of Health. Cell 215-0700 for details. DATE: 1,?J3 WORKTYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: I?1C?"jU' V SfTE ADDRESS: SUITE #: LOT 1\ BLOCK I / SUBD. (SL --n t P.I.D. # PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Phone #: Last First Street Address: 3G (@G4 3?°l?P e CitY State: Zip: Company: Sa.C.J"A>0.4/'? 54?"C1Y'r Phone #: StreetAddress: G ?JI P.V, AC.? CitY `J =NVl State: Ak," Company:, Street City Sewer 8 water licensed plumber (only iT installing sewer 8 water): _J/ Zip: <3S z-, Phone #: Registration #: _ State: Zip: I hereby ecknowledge that I have read this epplication antl state that the infortnatio rrect and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: TENANT NAMEv ???? TC7wt? V)X-W"4 C- ECOS Z3 Z 11-License # ? f . I PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55722-1897 Permit Number: 027604 (612) 681-4675 Date Issued: 0 5/ 2 0/ 9 6 SITE ADDRESS: 3986 FAWN WAY LQT: 19 BLOCK: 1 DEERWOQp 7QWNHOMES P.I.N.: 10-20200-190-01 DESCRIPTION: o?V (ZERO LOT 4INE) Permit Type SF DWG ?u,?ld?h? ?k Type NEW ?? llBC=gt3c?'up?nC?*e R-3 U-1 ?" C`tsnstruc??.ssn e V-N 2nrr?t3? , ??? IV R-3 kng` [enoth = g 28 ?4I?????9 4#?d?h 2 i " 66 6 $a 8.{q s?t^v;... 2 102 1 - FAM. ATTACH & x5y?„flp?. xFiBd ?{m c?mq ? E& TL'8s? aisT 5 ' ?1? NI k. ?dry??Et 19 REMARKS: DUPLEX W27H 3988 FAWN WAY (LOT 20) FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC & SAC Units 5ubtatal S& W PLBR - VALLEY PLBG $105,000 $912.25 MISCELLANEOUS $456.13 Total Fee $52.50 $90@.@0 100 $2,320.88 $1,923.50 $4,244.38 CONTRACTOR: - Applicant - s7. Lzc.OWNER: G000 VALUE HQMES 17559793 2065496 GOOp VALUE HOMES INC 9445 E RIVER RD 9445 E RIVER RD CpON RAPID5 MN 55433 COON RAPSDS MN 55433 (612) 755-9793 (612)255-9793 ?. 1 nf qj A 10 R4al mi SSUE SI NATUFi?? CITY OF EAGAN AA. 3 ? 3830 PILOT KNOB RD - 55122 GA 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ??6 ? ?n ?CfC(F New ConsUUClion Reauirements Remo1ellReoair.Requirements 1 3 registered sfte surveys ? 2 coples of plan ? 2 copies of plans (includa beam 8 window sizes; poured fnd. dasign; elc.) ? 2 site surveys (ezterior additions & decks) ? 7 anergy calculations ? 1 energy calculations for heated addilions ? 3 eapies M tree preservaHon plan if lal platled after 7/1/93 required: _ Ves No DATE: ? /9to CONSTRUCTION COST: ??, 6t?) DESCRIPTION OF WORK: -- STREET ADDRESS: ? LOT ' BLOCK ? SUBD./P.I.D. #: Ae`'r ?? ?w•J?inF:rls '_VZor - ZO _ PROPERTY Name: a"'T? L.alue 4:7?s Phone #: OWNER ' us* rins+ Street Address: 91/y X CLY p`s'r PU City: )?a'r?Is State: MA) Zip: ?-S 3, 3 coN7w?c7oR Company: s'a<,ze-- ' Phone #: 5treet Address: License #: 21Z 119X l City: State: ARCHITECTf Company: -5Aw-er- ENGINEER Name: _ Street Add City: _ State: Zip: Sewer 8 water licensed plumber. /s ;('Iv Penalty applies when address change and lot change are requested once permit is issued. ? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. „ , / Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received ? V Yes No Tree Preservation Plan Received _ Yes _ No ???FEWED t?AY 9 Iyg _ ----- Zip: Phone #: Registration OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ,002 SF Dwelling ? 07 4-plex , ? 03 SF Addition o OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ?'31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) ? (Allowable) UBC Occupancy -3 / Zoning ,e•3 # of 5tories Z Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace 0 ? 15 Deck ? 36 Move ? 37 Demolition ? . ?T / 16 Basement Finish 17 Swim Pool 20 Pubiic Facility 21 Miscellaneous Basement sq. ft. MC/WS System ? Main level sq. ft. 30 City Water Z"o sq. sq. sq. sq. Footprint sq. ft. ft. ft. ft. ft. SS'"G° Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg oZ O? / Census Unit i Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 51W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: -- oa Valuation: $ l dsi eco ?O? - 1S /3 % SAC SAC Units -? LOT SURVEY CHECKLIST FOR RESIDENTIAL B ILDING PERMIT APPLICATION ? PROPERTY LEGAL: DATE OF SURVEY: ' LATEST REVISION: DOCUMENT STANDARDS ?? ? • Registered Land Surveyor signature and company M" ? ? • Building Permft Applicant ? n ci • Legaldescription a,' o 0 • Address C' ? ? • North arrow and scale ?0 13 • House type (rambler, walkout, split w/o, split entry, lookout, etc.) Ca? ? ? • Directional drainage arrows with slope/gradient % ?a o • Proposed/ebsting sewer and water services & invert elevation a,' cl 0-1? ? 11 ? • Street name • Driveway ELEVATIONS 'stin M", 13 Cr'? ? o ? • Sewer service (or Proposed) • Property comers cl • Top of curb at the driveway o 0-? o 0 Elevadons of any ebsting adjacent homes Ero'? ? ? • Prooased Garage floor C3'o ? • First floor W'*?[] 0 • Lowest exposed elevation (walkoutlwindow) ? rr' ? • Property comers 2"?'[] 13 • Front and rear of home at the foundation ? 2-'? • ? ?? . ? f3?? ? . ? C3 /? . ? ?? . ? ? . ? ? . ?? ? . CT 0 ? ?? ? ? O,-'O . PONDING AR fif annlicable) Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot IinesBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', parches, etc. (i.e. all structures requiring permanent footings) Show all easements ot record and any City utilities within those easements Setbacks of proposed sVucture and sideyard setback of adjacent ebsting sVuctures Retaining wall requirementwony Reviewed: January 1996 CRA07 BYBIBLDGPRMf. FM .:NCnuY i.ON__RV hi 117N i0 5:iT-1'--:hu PLrtM: 7 nDDI i Z-ni iON :his supplement is provided to assist the applicant in compu:ing EZTT?'&IOF ENITL0°E AVER"M "L"' FA^T'OR ITFORM.ATI0N. Ttis informa- _ Lion is required so trte BUILDING OFFICIA:, can determine that suomitted plans comply vith the ENERGY consspvti:ios D£.SIGN CRZ:ERIA of tne S:ATE BL'ILDING CODE (Se^_tion 6000). 1: is the /LpD:.ICPXT'S responsibil::y to accurately campute the data; reflect tne proper DL'SIGT CF.iTEi.IA in the plans; subait produc: cpec::ications, i: needed to support the °n' and "ti" :actors used; and [o assure coasz:uc_ion is per approved plans. Jos ! o"T'or; ' Tr+C " DWNtR(5) 6rGY?Z) \/QI.Ua :-.lc>c.-1a5 PHON?- 9-1q3 COt,TRACTDR _ 4SLt-"tiG PHDN= A. Uetermine the Total Exposed I,all krea as TDllDN'S: 1. Total wall window area I64.16 2. Total door area S-7.?C3 3. Total siidino o;ass door area ? ?f4 4. Total fireplace wall zrea tZ?_ 5. Total wall framing area (averag_ 1CA) Zlt. Z 6. 7ota1 net well area above floor 1/A 0?'?,G? 7._ 7otzi rin jgist_ar.ea: IZ .? SU6TOTAL: Total exposed wall area abov_ rloor Z?'Z E. 7oza7 ?oundation winoow area k? Ii? P. Total net r'oundation area abov>_ orade SUSTDTAL: Total expesed `ounds.ion area 1J/ A i 6RAqD TOTAL EXPQSED WALL AP,EA ... Nultipiy -ne GRAND TGiAL cX°QS=D WALL ?=.R?A A.? :t=m i Z3'Z .3 Z C. .D=termine the Total Exposed P,ocf/Lei7ing Area es `o7lov;s: 20_ Total sl;yiignt area 11. 7oia1 roor/ceiling llraming area , I Z4.(6 12. Total nei insulated roof/ceiiing area 112 3_'Z ,. uRAND TGiAL E1;PQ5cD ROOr C=ILINu AP,r-A 2 d, D. Muitiply the GRAND T07AL 'cY,?DS=D R00=/CEILINc: AF?EA x•clz-o= item ?I _ 3?.. S =., Letermine the "U" valua of each segmen: (1-9) anC rtultip?y by the area as fo?tows: 1. ? a4 . g X ? S7 , 8 z 3. X MU~ •41 = 90, ? = 7. S - = 11 ?,?. 4. 1 z S ? „U., . os = 6.4 5. X „U„ 6. X ,.ull ?ti43 = ?G.(n 7. X ?. X „U,l ?yl A ? ?a ?A X e.Ull ADD 1- 9 FOR T6TAL WALL 5E6KE-_NTS = Item III ? F. Determine the "U" value of each segment (10-I2) and multiply by the area as follows: 10. N I ?_\ X „U., ?4 I 4 _ ?'A 11 A X „U„ .0 3 0 = 3_7 iz. i 1z 3.-z x „U„ , o z z = Z4, -1 ADD 10 - 12 FOR TOTAL ROOF/ CEIL ING ScGNcNTS = It=m IV G. Ir I t=m No. iII is the sartw_ as, or less than Item No. 1, you have m=_t the intent of S tat=_ &uilding Code 6DO6 (c)2 . --H. IT It=_m No. IV is the sam_ as, or less than It=_m ho. II, you hav> m=t the inten: or' State Bui7ding Cofe 6006(c)1. 1. kdd Item No. ? Z 3 Z.3Z =?=em No. II 7)_2 J. Add ?tem Nc. ?II IS9•? + Item No. IV K. IT- tne:.sum or Items III and IV are less :han Items I and II, you - of the code-for tota7 en4elop? SySi.?IR (5tate Building Cod> oDDD Dvera7l S±ructure Aerfonr?anc_ Alt_rnative). = Z64. (c _ -2 17-5 have met the irtent and M°5 607-3_5 The undersigned, as applicant for a BuSlding Permit, h=reby affirms the above information hzs been preaared and submitted by himself or under his direction, hereby acknowledges tne information to be correc?; and accurate; and hereby pres_nts the information with required plans in support of the Building .Permit kpplication. ?- Signature Bate FU ?tTE Room ? ?NIL Rdeorumma 19, Lcnab n 4 R'diL }iws1a 8 A -""wmoo....nd Doen-G.c.koe .ed A?ca -5 Iz -I 4g zo z I ? I ? ? ? ? ?Cocf.? &c ]nfiluatioo + -zp s-O Glau ? Z? 4l•? :sr.W>Il Net cv. waU Int wall i ? s5=m 2z4 91 -z I c{ ¢? CciL I ( ;ow Bm ncrn:ircd sq. ft. EaD.R. o- sa. int Ct'.A Luvrr erca ? cnF MGLn?s /itlSFoaz: I Lcr.ztn Zp 7al 13 ?i=i; ht S ?i ;ead>wi cnd Doon-Gacka;- aad kr ca '+'laae A.irnt na ei ? Lb.?l cL. Nr cfeaw.l ais?n. I prhu ctcse[ l am np.i_ ? I 1 I I I I I 1 l ? i I I ! cs,t:T isG!yntinn ? + ? Clzsz I ( hG =:p- x-a I (,O I .Z IG7 Z IULwa I I F'°°` I Z60 M z I 5Zo cwl_ ?-51 Z, 1 ? ow : tu. I I3C? 1 fi=qL-1_4 or iG. ins WA Lcao_r rrca + 41;:' F-IuYL /.le?L Rooa I1..=nKh 7 W,etb wmc0rrs and Doot+--Csacia se aad Eu? wwas nu?ni ncci T1a ? v2 ear.? el ti?w I Lena? Lw??tii nr.? ?! v.ek I.c. xt ' .. ? 13Z I 8c? I 1S.1 I??.a I I I I I I I I I I Ic?:.l °.? n 1 1 ?j I I`? 2? 1 4-791 ?352 (o -?- wall f h" =:p. '"`U I ?4z? I ?! Z I q`I 2 snL wslj I I I ?'°°? ? ?t l I Z I 8z ct? I?t i z t ? a 2. "`.. `.?. i Z(:48 .fl Reouircd s:? k. :?P. or s;,. ini RYA Iu¢r srw ? Lwta.tica Fz f:;da Ha- MF fLl K?T'I IWtF.nmils.rtk zz wdcn i j? tiY mdown atd deon-Q?[kaR a-d AJ u NL MYU M??P? M r LWI {L ?1 NM If ?? b??V ?1 ???\ ?l. fl 30 3Z 1? C . z o `a d o 6 I i3 1 io I I I Ic?c.? a: Iafilattiee ??? -3 ? ? Sp ? 7?b ? ?au I _/ Jb' 1 d1p ._I ? i-) J I, Ex,, M.u I ? I I F:et cy. -all IAL ...u i I I Fi.r I z831 Z I 56 ? c-2. I z831 Z I 566 Tot.l &a • ? 5??3.' Reoaircd +a. f- E-DR or .p. mL_ 'WA Lcadcr arca Anc P IL;>c1r RneL11Lar..6 17 widt6 1s Hoi-.hq' C,rin.n,vs and i.oarr--Cnckcge snd Aru Mlali lanrkl f no ol L?n.?l tL Na. ( al p?w I e! Yaw +??T4?! eS C??Ct I ro. [L . I ?O Z I I 1-.O I ? L 3 I ol2 I I Iw 1 ?5 I i? I`^?U I 1 I-f.? I Za IC.oc:.? Et Lvl:rari:a 1441 ? C', ? 1 : ."F waIl ? 11 1 r;ec 1 ---?Ys 1 4- ,21 17 'x t?L..?u • I 1 I Fwm z 1.?? L ?. Fz 139? ;,W g= IIIS bz Reonircd sG, it. t DR ar :4. izi? W?L.. ?o=r.aree i wAG. ^l I 1..1 /.i Rmm I Isn--tb i , ticie^lii` Wiacows and Doar.-Crac?asc and Arca w?u?e Hw I?f MwI wa?[n[ ?? Lw..l t? w?w 1 1361 go I I ??e.3 zo t I1z1 3(e,1 I 8 13 1 ? I I ! I I I' ' I I I Co==•i B Glass 1 Z; 1 ,4-7 P) 101 :sp, M•aU I ( Nctcxn.waU -240. Fnt .n.21 i?. II (,, I 2, IZqZ cel _ i I I 1 o:al Esss. Reqraizcd :G fL Z.D.R., ar aq. iat QIA. lsaacr aru ? .• S?ra.tio. Wn ? C..mr.m.?. t4 ?:maa.. 4.• Referawm oWL V,R I cA, w.i czzmr t6- A," I=;; I 24_ S FU LaFf Rmm Lenvth ( I L a-AL Fici.bt ?s, o Fl) si?em t Lcest6 T-.aah Fieeshs .:moo.n ¦nd Aoo..- -ts,ck.n aad A rea W Ml- ?1? ?I NN b-"? of IrY M. .1 Y? 16 1.{1N1 .I ? ?9 A. M1 ' 4 o I I I ( ? ? ? ICocf.? &n lnhltratioa ( ?j ?p ,?Od Glat1 ? ZO 'F?.?t ??7 `C? ,•'sp. wal) 'Z I I 1 Nsl etP. waU IC(Z ! ?-ZI SO!o .ti Fni waU Fl°er I I I CeiL 1,7ZST Z I 1 otal eta Rrcuircd sq. ft. F D.2. c: :o. ias. C1:/t lrs.ocr eru 13CD Z. Rooc f Lcc; th I S ??.6 4 w:adom snd Doarr-_raclnF- cnZ ktca 1?'lLL4 h?Hnl l?caf Lr?ItL. Ytq T16 f 2( 9iw? I OI T?n? I IICT(?' O[ GRCY. I R', C Z? _L--/4-1_ r2l 1 1 20 Z ?r, _-T-,'' zz I ? he ez:r? "'ll t?l?1.z I 43 0 FaL will F?°°' I I I _r-'- 1 i?c s I I 3? o t aW E:a 1 33-1q•? ReqrYr--a ac. f: : DA or q. ins ?,^l,. Luaz azca I jr- Fl.I ?S ST. Fwom !l..cninh I j C'r'reth I? ?.-ht Qj Wmco?rs aad Iloen-['.rs-:• gz and A}u A'WI.C hy?pt h40I Nn ef r+w I et wa I h[nu ( 'J?Yliy I /??t at v?et .?„ {? ? i ? ? i ?co?t.i B= ??'°° ! I ! I ?? 1 I ?r. wtli ? 26 r?I ' '`ei =r, Wxu inL wsll I wb ? ? a? I ? i z s. flonr I + ? C'el 3q0 Urmdo. sod daer?ZiackaR asd .Uu Ma FN?\ MM??? ?! ?r ?f ?r M?( ?IIL ?rr I?I?Y N ?w?t ?c. tl I ? I I ? Iabl[ratioe ? ? ? ?au ? I Fxp- MiII I ? reI C= M.u I i I tn2. wall F+?r ( I I C 7. ( I 7w.1 Fxa • I Requircd ac. fl. :DR or sq. mL ??.F.. ??r arca L11 A?r- f 11nr.tb Width HciFhs WmioKa and i.+oor.-r'.sackegt cnd Arcc K161? N?IfCI hsYl Le??11L Nc. I OI O.r I a! uaue 1IT?v n1 MCt ( K. SL 1 I I I I Ica_KI E: 1 =-F wax i I I het ci'P, wtII IZL ..an . I I I Y.?a i I I ca i I I i otal fltc Recuizcd sp. it E-D.R. o: :r, ii Ql.k_ Lcacer arce 38aQ,a .S rAL ?3Tv5 is n rvct cxp. w•:u 1 I I Fnt .vztl flnvr ' ? I Cc3. _ ? ? ? .-- -.' I t Total Bta I Rzavirrd :?. fs- _DR or u,, mi, WA Irac'tr s}w I Fiec:ircd an. ft ' D.R. or sa inL W-A. llseer aru I ` CITY USE ONLY sy ?/ L ? BL / RECEIPT #: SUBD. ?iQQD?i?IfF?1f?'l ;//61<h+Q??p? DATE: °0 1^4-/ 1996 PLUMBING PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos whc;n permits are required for each unit FIXTURES EACH Shower 3.00 x ? ? = Water Closet 3.00 x ? L Bath Tub 3.00 x Lavatory 3.00 x Kftchen Sink 3.00 ;c = Laundry Tray 3.00 x Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c 1 = ? Floor Drain 3.00 :c Gas Piping OUtiet ' minimum -1 3.00 x Rough Openings 1.50 ;c = Water Softener 5.00 x - Private Disposal " Dakota Cty. license 65.00 = (new and refurbished systems) U.G. SpriRklet • home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 d TOTAL -3b s? SITE ADDRESS OWNER NAME: INSTALLI `r A..j .) f ,J a . CITY: ? ?? STATE: ?l ZIP: ,'?535- Z?' ? PHONE #: t b5 z-) ?/?i Z- L/? I /3? , I ?? Gt??`'' 3TGAATOFtEUF PEKM1TT F-I cirv use oNLY L ?q BL 1_? RECEIPT#: Sza? SUBD. AV?? ?O?d?H24 DATE:Jlkln(e 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit __?< New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: n-11 -Gl? FEES ? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) L'I ? State Surcharge .50 TOTAL ?M? SITE ADDRESS OWNER NAME-G=1 Uc?It ja 4_YY)2°1 U PHONE #:-7 ' c79.3 INSTALLI STREET CITY: PHONE #: ((o?'a ) ?33-y3SJI n rm1Cl?,to Qr4rK STATE: Cnn ZIP: ?Sy?)B CITY USE ONLY ?? pq L o2O BL L_ RECEIPT #: SUBD. LaYW2? i/G'"Ceo DATE: °S E9 1986 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 ° (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH RQ TOTAL Shower 3.00 x 1 3 Water Gloset 3.00 x 2?1 Bath Tub 3.00 x 1 = Lavatory 3.00 x ?i ? Kitchen Sink 3.00 :c = Laundry Tray 3.00 ;c Hot Tub/Spa 3.00 :c = Water Heater 3.00 x ?_ = 3 Floor Drain 3.00 ;< Gas Piping Outlet ' minimum -1 3.00 x Rough Openings 1.50 :< _ Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 D 70TAL .3 SITE ADDRESS: ? 9 v 8 r Aw ?j OWNER NA INSTALLER STREET? CITY: a,o d ?tiP-v e- :t/i STATE: kl-M ZIP: c • ? PHONE #: 7 CITY USE ONLY L .:20 BL / RECEIPT #: 4!?V&5q SUBD. ?/?(?92ssy?,co DATE: ? Lf G 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit X_ New construction Add-on furnace ' Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. --, Date: - ? f ` ; i : ? - , ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge 50 , TOTAL SITE ? U OWNER NAME: ? C-('?I ??r_?h f? PHONE #:7rw7 cl.->) INSTALLER _v STREET ADDRESS;_ ll CITY: STATE: ZIP: -? _5 ?F': ? PHONE #: ???. v rEW &ECEIPT ! 'VI /1 ECEIPT DATE 1'a J? V11 ic nA2'E - .. FLEISS BS ADVI58D THAS TlWE IS A FEE SHCRTA6E OH THE AHOVffi II.F.CTRICAL ZISTALI.ATZOH IN TFE AMOUNT tlF S ? SxORTJ1G& MtST BE PAID YIiITIi.i2f 14 I7AT5. REMAAI6 PERMII! ORIC. B 3ECEIPT _ RETURN A COPY OF THZS FORM iiZTg REMZTTppCg. v .. . _.. .:? _ Tmrir. Fc'F Sx?RTa?F•?? 21, ? E41 RECEIPT 0 '*2OSII ECEIPT DATE m JOB OWN] I n,n - PLFA3E BE ADYIS^aD TFlAT 'IME yq A FEE SHOATAGE ON THE ABCYE EI.r?.CZRIGL I2STALLATZON IN T'FE AMOUNT OF j SHORTIIGE MZST pE PAZD WHZTHIN 14 ?AYS, RENAAI6 TOTAT vc ,-. ?_ . .. P£RMZIB ORIG. RECEIPT! RECEIPT DATE RETURN A COPY OF THIS FORM WITH REMITIANCE. ...?. , ?.....,-- ?- _ _ _ ,? WAIVER OF HEARING #515 Special Assessment Authorization UWe hereby request and awhorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned by me/us: Lots :1 duough 30, Block: l, . Deerwood Townhomes ($2,89535/I,ot) ($86,860.47 divided by 30) for the benefit received from the following improvcments: TTEM QUANTITY RATE AMOUNT Sanitary Sewer Trunk 6 Lots $800.00/Lot $ 4,800.00 Water Trunk 37 Lots $835.00/Lot $30,895.00 Storm Sewer Trunk 358,712 sq. R .02Jsq. ft $ 7,174.24 Storm Sewer Trunk 195,128 sq. $ .076/sq. ft $14,829.73 Lateral Benefit Water 899.51 f.f. 25.50/f.f. $22,937.50 Lateral Benefit Stortn Sewer 1 Lump Sum 6,224/L.S. c K 6 22 . 0 TOTAL $86,860.47 to be spread over five (5) years at an annual interest rate of 70/o against any rema;,,;,,g unpaid balances. The undersigned, for themselves, their heirs, executors, a[lmini.ctratpIS, successors and assigns, hereby consent to the levy of these assessments, and fiuther, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appeal from these assessments made pursuant to dus agreement. DEVELOPER AND OWNER GOOD VALUE HOMES, INC., a Minnesota Corporarion By: Betty R. Hardle Date Itst Cluef Executive Officer By: Its: „ ? RFr.Fivrn Al1G 2 1 1995 • emp f O?! siuws RECEIVEJ AUG 1 1 ts95 STATE OF IvffNNESOTA ) ) ss. COUN'TY OF DAKOTA ) ? 1995, before me a Notary Public On this ??Y of JOHN R. widun and for said County, sonally ,appeazed a?r1l-?'r""' lmown, who being each by n?e dulY Svvorn, each did say that pETERSON to me personally of Good Value Homes, Inc., they are respectively the Chief Executive Officer and President the corporation named in the foreSou?S ?io?d of D'u'ectors and s?d Chief Ex?ecuti e behalf of said coiporation by authority Officer and President aclmowledged said insmiment to be the free act and deed of the corporation ? Notary Pu 'c ? APPROVED AS TO FORM: ? rrycam?e????•?D Aat E?L tOTII S ? v ? d: APPROVED AS To CON'TENT: ?w-d I V ?? Pubfi Departinent Dated: S¢ n f 22 /y9'? - THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WII-COX & SHELDON, P.A. 600 Midway National Bank Bldg• 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGDJwkt 206-12870 ? WANER OF HEARING #515 Special Assessment Authori7ation UWe hereby request and authorize the City of Eagan, Minnesota (Dakota County) to assess the following described property owned iry me/us: Lots 1 through 30, Block:;l,. , Deerwood Townhomes ($2,895.35/Lot) ($86,860.47 divided by 30) for the benefit received from the following improvements: 1TEM QUANTITY RATE AMOUNT Sanitazy Sewer Trunk 6 Lots $800.00/Lot $ 4,800.00 Water Trunk 37 Lots $835.00/Lot $30,895.00 Storm 5ewer Trunlc 358,712 sq. ft. .02/sq. ft. $ 7,174.24 Stoim Sewer Tnmk 195,128 sq. ft .076/sq. ft $14,829.73 Lateral Benefit Water 899.51 f.f. 25.50/f.f. $22,937.50 Lateral Benefit Storm Sewer 1 Lump Sum 6,224/L.S. c K $ 6 22 . 0 TOTAL $86,860.47 to be spread over five (5) years at an annuai interest rate of 7% against any remaining unpaid balances. The undersigned, for themselves, their heirs, executors, administratois, successors and assigns, hereby consent to the levy of these assessments, and furthcr, hereby waive notice of anY and a11 hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further waive the right to object to or appea( from these assessments made pursuant to dris agreemenc. DEVELOPER AND OWNER: GOOD VALUE HOMES, INC., a Minnesota Corporarion By: Betty R. Hardle Date Its Chief Executive Officer By: R. Peterson Dat Its: sident iti A .A A..? A- -0.? _A Yl RECEIVEU AUG 2 1 1995 „ ? RFr.Fivrn aIJG 2 1 1995 • STATE OF MINNESOTA ) ) ss. COUN'I'Y OF DAKOTA ) 95, before me a Notary Public 19 pn ?day of JOHN R by within and for said County, onaappeazed pETERSON to me personally lmown, vvlw being each by me duly swom, each did say that they are respectively the Clrief Executive Officer and? esen?d ins ?tument asosm?igned on that the corporation named in the foregoing inslruu?ent, behalf ffic? oand Pr sident acla?owledged said l?instcument w b?the free ac t and deed of the O corporation ? Notary Pu 'c eea?ee APPROVED AS TO FORM: ? uyca ?e?? ?.? ' Attom s ated: ` ' APPROVED AS TO CONTEN'T: ?-W-d J Public WorksDeparnnent Dacea: se L t- 2;z THIS INSTRLJIvENT WAS DRAFTED BY: SEVERSON, WII-COX & SHELDON, P.A. 600 Midway National Bank Bldg. 7300 West 147th Sireet Apple Valley, MN 55124 (612) 432-3136 MGD/wkt 206-12870 CERTIFICATE OF SURV tot GOOD VALUE HOMES ?„48 oN GQAOc PROPOSED BUILDING EIEVATIONS Top of foundotion 900. 0Front of house 9o5_a Garage fioor _- -05 -Rear of house Lowest floor 1(/_.?[Q______ Walkout Ad?______ ?-- arrow denotes drainage direction per development plan. 890E denotes existing spot elevotion 890P denotes proposed spot elevation ? BENCHMARK USED: TOP ?1UT ti1Y OepNT LC7Tg I t? ?() EAGAN .. REylE1NED ?Q ? .? ...?.. ?? ?pG ?- q. ,5' o? t> BuOdMg Envdope P q04r qA Q .oa Q CF UUa°' ? 15' 0/5 to Butldhq Enwlopa ? Ak ! ? y$e ? ?? ryooo 19 65 g d) ? ? 'LO ?o o O `?9 ? V, a A 9A ??0?0 "o?oq `?yo? ?yF a?'s ? .1 e ?+? o i e??'?a? Detall (typical) Not ko Scale s ? O ?. ? tp `-'p 4y ?O o? 6C39 40 00 tio• ? '?. b ?] 6 66?? T?ygL?O L O \ yc?`? CT F 9 °? ? _ 1?'S/ T 2 , o '7. 0O ao?2 ° ? 410 'A° -9 / 5 . . 1' J'a ?ov kO O \ aa? . ? ? ? ' ts' 0/5 to 23'y BuAding Enwlapa j y$ °`K t? ? o/s co q Enr:lope E D ]EAGAYd ENNdIlVEER%IVG IDEPT. LEGAL DESCRIPTION NOiE: ALL DIMENSIONS ARE FOUNDATiON DI STANCES Lots 19 and 20, Blook 1, DEERWOOD ( )= RECORD INFORMA710N TONMNOMES, accordtng to the plat of O DENO7ES 1/2" IRON PIPE de CAP SE7 record thereof Dakota County, Mfnnesota. L.S. # 23945 N I hereby certify that this survey was 0 DENOTES IRON PIPE SET prepared by me or under my direct FOR BUILDING OfFSET supervision, and that I am a duly C3 DENOTES WOOD LATH SET Licensed Lond Surveyor under the FOR EXCAVATtON ONLY laws of state of Minnesota. , PA88E EN(11NEERINU INC. REQI9TERED PROFE9910N L?LAND 8U VEYOR9 Donald E. Si et MN L c. 23945 9 Y+ 9446 EA9T BIVER ROAD, BUITB SOS ,? / -? 5 /?¢ Jq? (;S I q D t COON ftAPID9, MN 66488 ? ??p , e: 7 ( 1 1 a Tel. 1812) 766-8240 Fez. 1812) 766-1882 JOB N0: 93-34 I SCALE: 1 INCH =__?0__ FEET FIELD BOOK:/Q PAGE: DRAWN BY: CKP ? DEERCRTI.DWG Use BLUE or BLACK Ink r For Office Use I I ifth Permit I Inan City of Ea I Permit Fee: 9< I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: ri I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 L L7%[3 Site Address: -3 l /?I ~q' t" ~l Unit Name: Li P lJc~D /QLJ<AJ t(-dF-k~ Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor i)y~~`lit~-c~✓i - Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: ICtK~ ~~`t Contractor Address: r1 r` - 5 464 City: 1 7 State: fv Zip: ~ ;5 //V Phone: ? -4-120 License ~ 0Q/ L Lead Certificate 5 9-if 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: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.org 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 autho ized b a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of per s ance x x Applican ' nted Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink r-------------- --1 For Office Use I • Permit l bit Y of Eamalft I~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: l Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff. L - l 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I b Site Address: I W Yl \N PAkA Tenant: brU1 ~Ae Y-C1 g n So Y -A Suite # ~ Name: Phone: LQrJ 33 Resident/Owner SS I~ F Address /City /Zip: Name: C~>N. C Q l X \1GLLUAA -,COW G Ag1- License* C QLqCl-'j VU(, CRY. 3~1 W 0 at 94 Contractor ;Address - la LAC t State: - Zip: 5 ~ jD ([,g Phone: -115 3 bLA g(.$LLI Contact: A 1M Email: Type of Work s - New Replacement _ Repair - Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation RPZ PVB) Water Softener. Permit Type I Add Plumbing Fixtures Main / Lower Level) i Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ LQC~ CALL BEFORE YOU DIG. -Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qo2herstateong2ga org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 p ns x y C.Y tt) C.~ .Y' x Applicant's Printed Name Appli nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In -Air Test Gas Test -Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA115222 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 3986 Fawn Way Lot:19 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Beth Janohosky 207 150th Street W. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Debra J Jergenson 3986 Fawn Way Eagan MN 55122 (651) 452-3515 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink , r________________� , I For Office Use I � � � Permit#: /O( l/ �Co I I City of �� ; . — ; �� Permit Fee: � , 3830 Pilot Knob Road I� Eagan MN 55122 � Date Received: �'�'l —�� I�I Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: -- w Unit#: ' Name: ��'i��5�� Phone: .Residentl Owner Address�city i z�p: � �Z�� .,� Applicant is: Owner �Contractor Type of Work' ; Description of work: �e Srr/l� rb 1nrt�nG��wS Construction Cost: � I.S-GG�/ = Multi-Family Building: (Yes /No� Company:__ �ihc�,21� �q,Ie Contact: �y,� /-�rt�Pl Contractor Address: �j 7� �� City: �.✓h�� h� �,� ' State: �'1/lOZip: Sy�� Phone: �v� �ljG�'JyG3Email: License#: � � �� 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:Plans and supporting documents that you submit are considered to be public information.'Portions of the informafion may be classified as non public if you provide specific reasons that would permit the City to conGude that they are trade secrets. � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 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 be completed within 180 days of permit issuance. x / lr�dt�� Co, X � ApplicanYs Printed Na Applican Signature Page 1 of 3 Use BLUE or BLACK Ink r----------------i I For Office Use � � I `� � � � Permit#: � � ✓�� I Clty of ��0a� ; . /�^ �— � b Permit Fee: W� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 i � Fax: (651) 675-5694 I Staff: � �-----------------� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: `� �/ Site Address:_3�8� �a.w�t, �oe,L/ Tenant: Suite#: #�esidell#/�alVll�t' ' Name: �e�O br'� ��er�.�.�so�t Phone: Address/City/Zip: Name: J5 ��v v1ti b�ny License#:��/03�(g Address: S} �'e la �Oi��t'�C�OT ' �� City: � U f�°�' State: ��" Zip: S �� Phone: �� ^`7 �� Contacfi �eV'� Email: cs v�Gl��►'� `lt GG�a� � •�Q�''t T e'Of�l�l�r�C —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. �A. Description ofwork:R�,c oq�l � Iz�f'�l, �'"O1{S RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) P�T�1it T'�//�e :; Add Plumbing Fixtures(_Main/_Lower Level) Septic System New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround'`(includes State Surcharge) "Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 Septic SVstem New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance ' ' ances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and w ' no e 't; that the work will be in accordance with the approved plan in the case of work which requires a review and app al of pl x `-�'GYkU �!'�K.�/'1Cl�l X Applicant's Printed Name App ant' nature �aR OFFICE USE Reviewed By: Date: Required �nspection�: Under Ground Rt�ugh-!n % Air T�s# Gas Test Fir�al Nleter Related ltems: Meter Size : Radio Read Manometer 5taff: