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3989 Fawn Way Use BLUE or BLACK Ink r For Office U I City of Ea~d~ j Permit ~ I I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: ro' Phone: (651) 675-5675 ( I I Fax: (651) 675-5694 iv I Staff: I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: RESIDENT / OWNER Address / City / .32 A w,,J W 4,9 ,'574 OA A-) __~CE/zz Applicant is: Owner 1L Contractor TYPE OF WORK Description of work: 1,~& ga~- Construction Cost: 1 .2, b a 6 r Multi-Family Building: (Yes / No ) Company:~/1 W / l~G a texfA fI&#, Contact: yE ^/Yl Address: ~~~f~~~aurR~ ot2. F City: R CONTRACTOR S State: M tJ- Zip: 15~Z`7 Phone: 7 (.e_ " 42.6 3 10 License 90I 529 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 the are trade secrets. CALL BEFORE YOU DIG. Cali 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 I pd-! accordance with the approved plan in the case of work which requires a review and proval of p x x Applicant's Printed Name Applica 's Si ture Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 b339 `"1 a- SITE ADDRESS:' r - N?t 10 - 267e t4' APPLICANT: 1011 ? ?p v nr.r, 3g? ?.?iFi s.???,?• . ? ? ,. PERMIT SUBTYPE: TYPE OF WORK: M nRM f: IMrl Or?r , tFPAIR I.i) & RFfennl ?1.?? `?'1\po I ? J Permft Holder Date Telephone N SEWER/ WATER PLUMBING HVAC Inapectlon Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PI.BG AIR TEST ROUGH HEATING GAS SVC TEST INSUL QYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION MEfER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG DECK FINAL ? -? il \ IJ1 . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 : ADDRESS: ?MIT SUBTYPE: 0s , PERMIT TY Permit Number: Date Issued: rimlll Va1.1+1 340MI ; . I , i i , #, •1', TYPE OF WORK: i : ? { i -0 ?0 1{! 1111 1?) R 0:'t.1d i'• A/ / fo N f 4J Ilt"R+7 101 I 1Nf=1 INSPECTION ,. DATE INSPTR. INSPECTION TYPE ,.. ?. D• i 1, 1Itt I Ntl J ? tl'JP1I I P' f fN lh !t K'-?. r 1 I.i F.' t) N 1 i', I1 1 , . - ? ? Permit No. 1.2 Permit Halder Date Telephone # ELECTRIC . PLUMBING HVAC 9(p ? ?7 Inspection 66ate Insp. Com ments FOOTINGS ?a FOUND FRAMING ROOFING ROUGH PLUMBING jo^I!* PLBG AIR TEST (( it HOUGH MEATING ? GAS SVC TEST k H ?O INSUL ZJI p j •?j r--ii CYP BOARD FIREPLACE !yJ _ FIREPLACE AIR TEST (t FINAL PLBG ? 7 ----'? - FINAL HTG _ ? ORSAT TEST 9LDG FINAI Gl BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I H ? - ` CITaY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , ..t,., t .. r ?t i I:IJ?•ttr t ?iilPJtiErttt '. ,. PERMIT SUBTYPE: tt ? ? ? I V I. Ni 0.-H41a N113@/'?+I F# F' 41 t1f:RU l0 f I 1Nfl INSPECTION D. . D. I, i TION RECORD PERMlT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: ?', A. i r i I ? i? lry ? ? .? .? ?'•? ? ... . . :.. , r Permit No. Permit Holder Date Tel6phone # ELECTAfC cr PLUMBING /9 ? Av.. w HVAC ' 96, - &7 Inspection ate Insp. Comments FOQTINGS /?! b!O FOUND FRAMING ROOFING ROUGH PLUMBING 4 PLBG AIR TEST y ?I ROUGH HEATING ?-? ? GAS SVC TEST INSUL vJ ti GYP BOARD - -- -- `--- , r? FIREPLACE , •. FIREPLACE AIRTEST FINAI PLBG / ?? ,,? ?• ll .;??- ?- -- ' FINAL HTG • ? . ORSAT TEST A"K BLDG FINAL BSMT R.I. I _- . _ _ ? BSMT FINAL . _ 'MiS1I•'.. ?" .. DECK FfG w DECK FINAL ;.. ' - - - - - - - ? -- ; ? ?X ?'i}f f?ki'?'?Plk '- '?? =--- --?-=` --- 319- 6 6 6A PLEASE PRINT OR TYPE O?d?7JrFFlCE USE NLY This reqoesl void IB manths (rom validafion dale pnnled in Pois box. Request Oale $? q?Q Rough.in inspeclion reqvired2 Yes ? No (You movl wll the inspedor when ready) Inspetlion OPoer Thon Rovgh-Im. 0 Ready Now 0'?4ill Coll Date Ready: I, Wicensed con}rndor ? owner hereby requesf inspedion of ihe above elecfriml work at: Jab Pddress (SVeet, Box, or Roob No.) n CiM E Zip Code Secfion No. Township Name ar No. Raye No. Fire No. Counry Occupont Phone No. Power Sopplier Pddress Eleclnwl Cammdor (Compony Name) nr lu.c?tc Camrodar Limnse No. CiciOl-1 MoxIn Lic. N. (Plom Eletl. Only) m l Mailing Aildrea (Connocror or Owner Padomning InsMllalion) 08 -$v flue, rJ n MrJ 554 AuManzed SignaNn (COMmdor or Ownaf Performing Insrollalion? 'T Kovv-?cx - Phone No. b6- O EBODOOIA-10 6/95 x STATEBOAROCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY 319 - 6 6 7 ?2 / ONLY This request void 18 monPos fiam validatian dore priMed in Mis bo? 5, ? O ? /? ? ? 9? PLEASE PRINT OR TYPE Requast DoM Roogh-in inspanlon mqvired2 Ckles ? No Inspeclion Other Than Raagh-In: 0 Reody Now 0;.I1i1l Coll 9-5_ Q? ('(ou musl mll the inspecfor when ready) Oaie Readr: I, [y ucensed controdor ? owner hereby request inspeciion of Ihe obove elechiml work aF. Job Pddrcss (Slreel, 6ox, or Route No) Clry Zp Codv 3qq l r? -f-a Setlion No. Tawnship Nome or No. Range No. Fire Na. CounN Ca ri Orcupant G;c0d PMne Na. Pov.er5upplier AAdresz Elechiml Convadar (Company Nome) . Conlmtlor License Na. Maskr Lic No. (Plant EIM. Only) ri ? O An'lo 15gol Mailiig PEdrtss lConhacbr or O..ner Pedo'ming Inswllafian) 'Br n ,)'G- mn? 5543 AWhonzcd SignaNm lConhanor or Owier Pedorming InswlloHOn) Phone Na. T 5b6-&;W EB.OOOOIA-10 6/95 STATEBOABDCOVY-SEEINSTRUCTIONSONBACKOFVELLOWCOPV II IIII IIREQUEST FOR LECTRICAL INSPECTIO Q I I? I?III II I I I II 1 I I I I I I ? 1 II Minnesota State Board of Electricity * ? 3???a i 6 4*1821 University Ave., Rm. 5-128, St. Paul, MN 55104 4?° mY? Phone (812) 642-0800 ome Duplez Apt. Bldg. Other:- ' ew Addn Commerciol Indvsfrial Farm Remod Re air Air Cand. H}g. Equip. Wafer Hh. Load Mgm}. Ofher: D er Range Elec. Heat Temp. Service '7C' above fhe work covered by fhis request Enter remarks in }his space and on the back of /he white ropy anly. Calculafe Inspecfion Fee - This Inspection Request will nof be accepfed without the rorrecf fee: Other Fee # Service Enhance Sae Fee # Cirails/Feeders Fee Mobile Home Park Stoll 0 fo 200 Amps (5 9 0 l0 900 Amps 35- Street Ltg./TraHic $ig. Above 200 Am s A6ave 10a Amps Transformer/Genera}or INSPEC70R'SU LY TOTAL ?^ Sign/Outline L}g. Xfmr. ? ?JV Alarm/Remote Control $wimming Pool I h b cem rha11, 'ml ins lallon described hereln on ihe dafes smt Ircigation Boom go„yh-n ooter/ Q. Speciallns edion p nvestigotive Fee F,?o1 oo,e7 THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. IIII IUI 11111 I F I I I I I I I I) I1 ? II REQUEST FOR ELECTR CAZINSPECTION ?-v*a5 MinnesoW State Board of Electriciry J?? 1621 Universiry Ave., Rm. 5428, St. Paul, MN 55104 * 0 3 1 9 6 6 7 2 s phone (612) 642-0800 ome Duplez Apf. Bldg, Other: '- - New Addn Cbmmerciul Industrial Farm Remod Re air Air Cond. Hlg. Equip. Wafer Htr. Load Mgmt. Other. D er Ran e Elec Heaf Tem . Service "X" above the work covered by }bis request Enter remarks in ffiis space and on fhe back of the white copy only. Calcula}e Inspedion Fee - This Inspection Reques} will nof be accepfed without the corred iee: OIF1er Fee # Service Enhnnce S'ae Fee # Circvifs/Feeders Fee Mobile Home Park S}all 0 to 200 Amps ? 0}0 100 Amps ? Stree} L}g./Traffic Sig. Above 200 Amps ? Above 100 Amps Trans{ormer/Genemtor INSPECTONBUSEONL??? TOTAL J t? Sign/Oufline Ltg. Xfmr. ? / . qc) Alarm/Remote Confrol Swimming Pool ' /I hereb mti that I im eeed i ml msallation d fha da?s f Irrig6fion Boom Ro.gh- . te eciallns edion p p Inves}igafive Fee ? F???? BE ORDERED ISC NECTED IF NOT COMPLETED WRHIN 18 MON H5. THIS INSTALLATION MAY 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 339`1 a- 681-4675 le? Submit following to obtain necessa permit Foundation Onl New Construction Interior Improvement sWCtural plans (2 sets) archRedurel plans (2 sets) archkectural plans (2 sets) civii plans (2 sets) structural plans (2 sats) code analysis (7) " Wde analysis (1) " civil plans (2 sets) project specs (t set) eoils report (7) landacaping plans (2 sets) Key Plan projed speca (1) code enalysis (1) " energy calwletions (7) not aAveys " Special Inspeetions 8 Testing Schedule " soils report (1) Elec[ric Power 8 Lighting Form (1) not alweys " SAC detertnination letter trom MCANS - SAC detertnination letter finm MGWS - SAC detertnination letter from MGWS - pll 602-1000 wll 802-1000 pll 602-1 D00 Spedal Inspee[ions & Teating Schedule (1) " project specs (1) energycalcuiations (1) ° Electric Power S Li htin Form 1 " Contad Building Inspections for sample Food 8 Beverage or Lodging facilities: Plan must be su6mitted to Minnesota Department of Health. Call 275-0700 for details. DATE: ' I'---3 -,Z? ou- WORKTYPE: NEW REMODEL DESCRIPTION OF WORK: F4;??cS Y CONSTRUCTION COST: I C7e CX3?1 TENANT NAME: SITE ADDRESS: r? SUITE #: LOT?)-- BLOCK ? SUBD. P.I.D.# NameDt-lax Phone #: PROPERTY Last First oWNER Street Address:`?9H 9r 3<?Co viims wQ,-? Ciry Q? ? State: f?(A? Zip: Company: kQr iUJS Phone#: CONTRACTOR o ` n? ?? ,(??ec Street Address: ?? t?'« > License # ciry NC3zs? srau: ,/`? zp: SS `4 3/ ARCHITECT/ ENGINEER Phone #: Name: Registration #: Street City Sewer 8 water licensed pNmber (only if installing sewer 8 water): State: Zip: 1 hereby acknowledge that I have read this epplication and state that the infortna %7\ e et and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinences. Signature of Applicarrt: --' ? -CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number 0 3 3 9 7 2 (651) 681 •4675 Date Issued: 11 / 0 9 j 9 8 SITE ADDRESS: 3989 FAWN WAY LO7: 2 BLOCK: 2 DEERWOOCI TLiWNHOMES 2Nf] p.T.N.: 10-20281-020-02 DESCRIPTION: T.O. & REROOF BuildinqP,ermih. Type 5F (MTSC.) Building Wolek Type REPAIR 'Census Code 434 ALT. RES7DENTIAL j REMARKS: INCLUDES: 3991 FEE SUMMARY: VALUATION Base 1=ee Surcharge Total Fee $162.25 $167.25 $10.000 CONTRACTOR: - Applicant - sT. Lcc. OWNER: 5UBURBAN EXTERIORS 18818232 4289 DFERW000 HOMES flSSOC. 9?01 PENN AVENUE S 3989 FAWN WAY 6LOOMINGTON MN 55431 EAGAN MN 55123 (651) 881-8232 I hereby acknowledge that T have read this applicatian and state that the Sn1'ormation is correct and agr•ee to nomply with a11 applicable State af Mn. Statutes and City of Eagan Ordinances. ? - APPLICANT/PERMITEE SIGNATURE qS UED BV: SIGNATUIiE - l? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: (ZERO LOT LINE) uild164 Permit Type SF DWG Building Work Type NEW IiBE-Occu.??anc? R-3 U-1 Con?truc'Cion ?Ype V-N 2onin9 `--? R-3 SuiltlingLength --r? 28 Building Width 66 Building,.,staries .r' 2 ?`?nsus C?i??e 4 162 1 - FAM. ATTACH ,..?- ti: 3 ti. (,Ro4p,2 5,2 g BUILDING 028415 07/30J96 DESCRIPTION: REMARKS: 1 OF 2 UNITS FEE SUMMARY: Base Fee Plan Review Surcharge SAC 3AC % SAC Units Subtotal PERMIT PERMIT TYPE: Permit Number: Date Issued: 3989 FAWN WAY LOT: 2 BLOCK: 2 DEERWOOD TOWNHOMES 2ND VALUA7ION $105,000 $912.25 $456.13 $52.50 $900.00 100 1 $2.320.88 MISCELLANEOUS $1.923.50 Total Fee $4.244•3$ CONTRACTOR: - Applicant - 5T. LIC.pWNER: GOOD VALUE HOMES 17559793 2005498 60tlD VpLUE HOMES INC 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIOS MN (612) 755-9793 (612)755-9793 55433 I I I hereby acknowledge that I= have read this application and state that the informatisin is correct and agree tn comply wath all ,appliaable SCate pt Mn.. Statutes and City of Eagan Ordinances. ?N.tn UA I ll APPLICANT/P MITEE SIGNATURE ISSUED BY: SI ATUREJ - ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 ew Conslructian ReoulromeMS RemedeUReoair ReaulremeMa ? 3 registered aite surveys ? 2 copfes of plan ? 2 copka of plans (Indude beam & window s@es; poured tnd. design; etc.) ? 2 site surveys (exterior addklons 8 dedcs) ? i energy ealaleUons ? 1 energy celeulations for heated addilions ? 3 copies o/ hee preservaUon plan B bt platted afler 7/7183 reqWred: _ Yea _ No DATE: 3?? . CONSTRUCTIDN COST: DESCRIPTION OF WORK: k4w STREET ADDRESS: 3 91ff 9 G-'at?I LOT ?- BLOCK ?- SUBDJP.I.D. #: JUPLCK ?'3-Z PROPERTY Name: (??Oe.o 4'?'lF IA&?. ?c. Phone #: OWNER ""° Street Address• 9Wf 4F 21?712' 'eel City: <?ZW4 5tate: /)")AI Zip: --23?33 CONTRACTOR Company: t7enr>c! 116/? 114'ryrS Phone #: Street Address: License #: Ciry: State: Zip• ARCNiTECT! Company: 4oocl ?alae Aqen? ENGINEER Name: Phone #- Registration Street Address• City: State: Zp:, Sewer & water licensed piumber. c `x'N SC" t°j' . Penalty applies when address change and lot change are requested once pertnit is issued. i hereby acknowledge that I have read this applicaGon and state that the information is correet and agree to comply with ail applicable State of Minnesota Statutes and Cily of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Pian Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ?? ? 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging a ifi Basement Finish ? 02 SF Dwelling o 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool o 03 SF Addition o OS 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous a 05 SF Misc. ? 10 7plex o 15 Deck WORK TY E ?? /2p - Cor - C//v?c f61 New o 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 't>-r/ Basement sq. ft. ?_ MCNVS System ? (Allowable) Main level sq. ft. /, z90 City Water UBC Occupancy ? ? sq. ft. SJ-? Fire Sprinklered 2oning sq. ft. PRV # of Stories z- sq. ft. Sooster Pump Length Zg•os sq. ft. Census Code. Oz pepth /k? Footprint sq. ft. SAC Code or Census Bidg ? Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee Vaiuation: $ ?19S o`'o Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/VN Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: J s, Ap?. lt ? of ?S (01, % 5AC SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUTLOING 02$414 07/30/96 SITE ADDRESS: ? 3991 FAWN WRY LO7: 1 BIOCK: 2 DEERW00D TOWNHOMES 2ND DESCRIPTION: ?%? (ZERO LOT LINE) 8L'ii1;„d1, z???Permit T y p e SF DWG j6y 3J`'d±tl,ork Type NEW , UBC R-3 U-1 ? CUiS,s,tHktC?I,5t1 l?e V--N R_3 ze -i'?3 . B?t13.?? .?tt? 66 } p.? y?? a'b'wcF p . 4ur? ?'S'°"S.MQ?.0.'G't?^` 2 , 7 ? 102 1 - FAM. ATTACH "w'a? a ?i °'- . i ??? v?,.. ?C?ra ?uikT ?i? ? ? "?°,ia?€.? ? ? t° ?s?? M.s ai ??m i4 »?.?'? nr .? rp REMARKS: 1 OF 2 UNITS FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC & SAC Units 5ubtatal VALUA7ION $912.25 $-0ss.ss $52.50 $900.00 100 $2,320.88 $105,000 MSSCELLANEOUS $1a923.50 Total Fee $4,244.38 CONTRACTOR: - Applicent - sr. Lzc.OWNER: GOOD VALUE HOMES 17559793 2005498 G00O VALUE HOMES INC 9445 E RIVER RD 9445 E RIVER RCI COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 T Hereby a, infarmatiai ?a4acuu,!R s .art,a_+.ic?*r0t ca9 APPLICAN ERMITEE SIGNATUFE ?m 8j'A fm? ' ISSUED B : SI ATUR CITYOFEAGAN " 3830 PILOY KNOB RD - 55122 3 4 1996 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681-4675 Ntmw RemodeVReeair RequIremeMs ? 3 reglstered aRe surveys ? 2 cropies of plan ? 2copiea oi plana (fndude Deam & window s@es; poured tnd. deslgn; etc.) ? 2 site surveys (exterior addklone 8 decks) ? 1 energy plqAatlons ? 1 energy calculations for heated additions ? S cropiea M Irle preaenetion ptan H bt platted afler 717/93 requircd: _ Yes _ No DATE: DESCRIPTION OF WORK: CONSTRUCTION COST; g?? ?? ? e?- STREET ADDRESS: ??91 Zt)a,V LOT / BLOCK Z- SUBD./P.I.D. bu,occx !'Z C6r -2 . !i - 2. PROPERTY Name: Phone #: ZE"27f2 `" OWNER " 5treet Address City: G00M 4'do'A State: XAW Zip: 5?`'l33 CONTRACTOR Company: 4Oo?J UA?CUE A11/&u Phone #: Street Address: License #: City: State: Zip• ARCHireCTl Company: /Alcr.s Phone #• ENGINEER Name: Registration #' Street Address: Ciry; 5tate: Zip, Sewer & water licensed plumber: 6-94'Al Penalry appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this appiicaBon and state that the information is correct and agree to compiy with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. /? Signature of Applicant: ??" - 2 /R ` OFFICE USE ONLY / Certificates of Survey Received Yes _ No Tree Preservstion Plan Received Yes No ? BUILDING PERMIT TYPE n 01 ,pe-102 0 03 0 04 a 05 WORi ?31 0 32 Foundation o 06 SF Dwelling o 07 SF Addition o OS SF Porch o 09 SF Misc. 0 10 C TYPE New o Addition o 34 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Buiiding Engineering Variance Permit Fee Surcharge Plan Review License MCMfS SAC City 5AC Waier Conn. Water Meter Acct. Deposit S!W Permit S/W 5urcharge Treatment PI. Road Unit Park Ded. 7rails Ded. Other Copies Total: OFFICE USE ONLY Quplex ? 11 4-plex o 12 8-plex ? 13 12-Plex o 14 = plex o 15 -Ake? ' Repair o 37 Apt./Lodging ? Multi RepaidRem. ? Garage/Accessory ? Fireplace ? Deck -Move Demolition -, ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceltaneous ? Basement sq. ft. A/? MC/WS System ? N ' Main level sq. R. i, a 3* City Water -? 41 2^o sq. ft. 53-0 Fire Sprinklered 2-3 sq. ft. PRV z sq, ft. Booster Pump sq. ft. Census Code. oz ?o Footprint sq. ft. SAC Code 10i Census Bldg ? Census Unit / ? Valuation: $ loS S,' /0n" , ? % SAC 5AC Units U ? ? ? y R' ? ?o L9--? ? ? 9 ? m ? 0 ? ? ? ? ? ? ? ? ? PROPERTY LEGAL: DATE O'F SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building PermitApplicant • Legaldescription • Address • North arcow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/ebsting sewer and water senrices & invert elevation • Street name • Driveway ELEVATIONS Ew'stina ? • Sewer service (or Proposed) 0 Property comers ?? ?? • Top of curb at the driveway C3 dE3 • Elevations of any epsting adjacent homes Prooosed 1a "?El 0 • Garege floor Z?"El 0 • First floor ? 0 11 • Lowest exposed elevation (walkoutMrindow) 1, ? ? • Property comers ? ? • Front and rear of home at the foundation PONDING AREA fif aoolicablel ? RT-- ? • Easement line ? o'? • NWL ? EK, ? • HWL o d o Z • Pond # designation ? ? • Emergency Overflow Elevation Ge ? ? • Lot IinesBearings & dimensions ? • Right-of-way and street width (to back of curb) ?Y ? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) of ? ? • Show all easements of record and any City u6litles within those easements ei' ? 0 • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? ? ? • Retaining wali require7;? Reviewed: -71' z January 7996 CRAIGt G7BIBLDGGRMf. FM LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION . ' =N=Ru'1' CONS=R1`i,I-iDN SU+"-PLEW-EtCT TO SJILDihG PEERM;i :,PDLi::,TIDh :his supplemen: is provided to assist the applicant in compuzing T_'::?£FIOA EhPr_1.0?P AVmRAZ "L"' FAC,2'DR ZhFORY.6TI0N. Ttis informa- _ cion is required so the BUILDING OFFICIAL can dete:aine that sucmitted plans comply x•ith the F.TdERGY CONISERVATIOh DESIGN CRITERIA of tne SihTE BUZi.DING CODE (Section 6000). :t is the A°PLICAt:T'S rerponsibiliry to accuzacely coapu:e tne dzta; ze_'lect the prooe: D*Sl.-tt CF.ITEi.IA in the plans; subcit product sneci`_icacions, i: needed to supoo:: tne "n" and "li" facLOrs used; and to assure cens::uz=ion :s ner app:oved plans. JDB LDC:,T1DN "TF{C '?TErZLI N ? ? Dk'NER(5) 6r?jE> 1/4L.Us PHONE _ "7S_S" ?193 COiJTRACTDR _ S21t?(E PHONE A. Uetermine the Total Exposed 4Ja11 Area as rollows: 1. Total wall window area (g4.Q;, 2. Total door area S-].g 3. Tozal siiding g7ass door area 4. 7ot a1 fireplace wall arez lZ 5. Total wall framing area (av=rage 10A) Z) l. Z 6. Total net wall area above floor 140 cb.(z, 7. 7ota i rin joist_ zr.ea SU'DT07AL: 7ota1 expos=d wall area above floor Z Il 2 B. Total ;oundation winoow area ?A I (-\ °. 7ota1 n=t foundation area zbove grade t4 A SUBTOTAL Total expesed Tounda.ion area ? 1J 1? GRAPlD TDTAL EXP05ED WALL AP,EA E. Multiply tn=_ u"RA1dD iGiAL =XPDScD WALL ARcA ;; ILem i Z 3'Z .3 Z C. .De==rmin= :h= Total :XDDS_d Rooiz/Ceiiina krea zs fo]iows: ?D. iotal skylight area 21. 7oia1 roof/ceiling rraming area , I Z d,`b 12. Total net insulat=d roof/ceiiing arez 112 Z „ 6RAND TOTAL EX?O$_D RDO1' CEILINu AP,cA L24 Q2 D. Multipiy the GRAND TOiRL EY.POScD ROOF/CZILINu AREA x-o 2 b= Item Ti ? 3, S-? ? -• Let ermine the "U" value of eac rrw h segment (1-9) and 7:i ply by the area as iol]ows: 1• le54 .8 x "U' •49 = RO, h 2• 5-7?5 X "U" ?13 = -7? s 3. NlA X "L"' a. tiZ8 z °u° .os = 6.4 5. 21 x „U., . a9 1 = ? q-Z 6. IA Ue),? X .,U„ 7. 1-2-1 fo x lUll _ s. x ,lull n?A = N I A _ z lU„ ADD 1- 9 FDR TOTAI WALL 5'tGA':NTS = Item III F. ii. i zd. 6 X 0,U„ ,CD 3 a = Determine the "U" valu= of each segment (16-I2) and multiply by the area zs follows: 10. NZ4 X 1. U" t? 14 -?4 11 4 Z 4 12. i 1 23.Z x ??Up, ,ozZ = .? ADD 10 - 12 FOR TOTAL ROOr/CEILING SEuM-"NTS = It°m IV 1.-7 E. Ir Item No. III is the sam= as, or 1=ss than Item No. 1, you have m=_t the ir,tent of Stat= Bui7ding Code 6066(c)2. - H. ir Item No. IV is the sam= zs, or i=ss than Item No. II, you nave m=t th=_ intent or 5tdt= Building Cofe 6006(c)1. --.. I. Add Item No. I Z 3Z .3Z + Item No. II 3Z .?Z = Z- ?? ??O J. Add I*=m No. I?I ?2? .` T I;.=_m Nc. IV ??• ? = 7-'5' K_ Ir'- tne_sum oi Ii>ms.iiI and IY are 1=_ss than I*ems I and II, you hav< met the ir,ient . ------= of_.tha cod=_-TOr total enGe}ope system (State Building Coo= 0000 and Nc°S 607-3.5 -- :. Overall 5tructure P=_rformanc_ Alternative). _ The und=rsigned, es applicant for a Bu,ilding Permit, hereby . affirnis the above iniormation hzs been prenared and submitted by himse7f or und=r his direction, hereby acknowledges the inTOrmation to be correc,; and accurate; and hereby pres_nts ihe inTOrmation with required plans in support of the 8uilding _Permit Anp7ication. Si gnature ? I J - -----... ._ _-- -- _.."- -- --- -- Date ? :.e.m.,. ?:. ? ._. . ? C? mde.. ? Deor, ? Rcfw.a Ue. P1.Il ( lal G.P Caumr R.ef Fwr q ? v .. y 19_. MF F1J tUtTE- --Reom I Lrectb i, 4 R'? k --, fi?i6t 704ew5 and I1oon---CracI&P ud Ana t MMt1 htlfY w. f rt r.. •t r« M??( y??q ??sw?. .? e.M? .?. n 3 I z -I48 zo Z I I I I I ? I ? ? ? ? I ICocf.? &e ]cfiluauoa ' 2o SO Glau ? Z4 ' 4l •Ui zsP. ..?.1I I Z? ? TJtI exP. w?x (7,It3.? ?.7. (? l1 . 3 Fnt wall }lem cez. 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N?w .».? ]....116 of .tit ..« w. tL 30 to. Ca. ? ? o) 8 zO I o d`b I i i3 I ?? I I I I I ?:.I e: tnfilvuioo I?\ .? I I SD I?b S ?!4 / I ?b, l 1 41.-I' n 5-1, 'E",. M.u I 2-iZ I I Net CrIL ...ll ;nL ...n I I I F?.or i 2831 z I 576 ? C 1. I z831 Z I S6G I 7oe.l &a • 15943: Acauircd sc. fLDF or sp. cL C.l A lcsocr a:cn ? Vnd?, y. S H=?Fhck' ? x nc «l I / ;' I1r 1 Lract6 17 " G?u?xxa xnd i?n--?lac?ege z?d Aru MIpIL Nl?tOl I?> OI I?n?\? IL I Ati\ Ne. I el ??? I e ? I?tFN ai o.c? ?c. [L ? ' I I I ?' CJIJ +? `? . I ? Z ' ' tQ I t Z 3 I ol2 I I?C4 I 1 i>>01 i'Da 1 ?S z_D I E: [?'•.tsy ' ? ? ? I ?i1.? I :.i.t'?:,.-, int. vmE F,ow IGS I Z 1 3yo ?,. I?"?S I Z 1 3?0 I otr{ g? I1158? Reoui=d IL. n. =ItR o: :Y. iaz r.'?k: ??so=f aree ? N?F'1-? !7 ? FoY RcoalLcn-tb 1 ? C?vidin \ rA ?'vincoxs :ad I?nars--Lr+cka8t and Ar.t W?u?n N? I?S M??I l?uRe? Mro: e?.r? I I?f?Y I 3Jer1lL A? ?i mt[ ?c. tL 1 I 36 1 8c? I I ??C.? I Zn t I?zl 3cpl I i3 I I I I I I I I' ' I I t ??=•I n l:.b?crat?on ( Z-7.3 ? ? S`O 1 1 j<? Giass 12 ' ??7 ?' ? I OI • E= M'xu lIO I I ltct c= waIi Ini wall :w, li4(c? l ? 12az ca. _ I t I 1 0:1I DtL ? N ?"• Rcq:ircd :;_ f:. EDA. ar sa. iaL ?L?.?4. 1lsocr aru ' ,,,n+v,w •,•? ?•••? c..?tr,me. 1vs • 4 Cr.d ` R'mdu.? ? Deon Rtfrsea O?C. PraIl I lat. Y.'.T Csumt S Fl.? ly?'r'( R?m I l.enrt6 I {L'Ah I S finc6t 5L, 0 wlaov.t atd Dloon--?&Ckt1c asd 11rri bMl? b?HN M? ?f ??« ?1 w '" Hw ?I I?ti14 Ii?MI?' ?1 ??? ?n? N. fL _? 4 ?g zo I S??u.?oa i t3 I sG G o0 CJ•u I zo ki,ql G52> :.mp. ,,,.n E z i 1 1I J'1 LI CSG• Ww ??Z I A •?+ I n S V(e .4 Sne..:.u ? I I I flem I I I Ccsl. »ZSJ Z ( ?°W E= 1300=? . 4 neocircd sp. :o. im. G'A l.neoer etca ? ?E r-IJ 13CD Z.. Fioos;IL.ca:ib I S wa....7tb W.:II7JK3 2[Id DDOt?-J,C6p- LLa Mufnl N6 ?214 •I CIT?n ?? h? ?1 ?+?r?! tY I )I{'Tt? ?..C1C?RCY. .I ifY R?'.L? Iz id I Izo Iz ! I I I ! I I I t?ciVassoa ? 2 U ? 5?? IOOo °=u I ?4 I ?l, i l44 . =? "''u I z I i h? ?- ?? I zr.x?l ?1 z I <d o Fu:- `°.n f I I ?'°°P f I I ?_, I ia S I ! 3a o i o? zrm I 33?9 . ? Rem=:rtd se. ft ' DR o- zG. in_ Wl.. Iuocr aMn ? ? F?.I 3?ra s r. R?s !L..-ta i S V-,itL i 3 .?"+'mcvws and L"ocrs-Crac'u ? aad kru w.uas wurw? n? a N> et?r I, el e?w I Ilrnu I L.w si ?.? ?Im?et I t,i? I I I i _ I I I I I t ( I i I i I I I t I ?: I ?-? '?^r MiU I?b V I f Net c? wall tnL wtjf r?wc I ? I C=- ?IaS Z I 340 a o[u z.= .... I t S 17. (O Rtaairr3 s.?. :t E DR or v,;, inL T1A Irssz :m. I t99f.t6. ?t F-. I ? t-b,. Avama- I ? n i A- t ??..16 Z'ach FieiTht 7mdm aud Doem-CrackaR .ad Aru %l ?t w?? •I ^? 1?I\Y ?1 ???t A! (L I I I ? ? I I_ I I Ic«E.? ?: lnfilvation a14 I I ? r,...,u I I I N[t cA• -tu ins. M.n I ( Fleer I I I C1. Ta.? Bt? I Rrauircd .c. fL LDA cr ?q. mi R?.,?.. Leadcr arca ? :11 R? ILrnr.tb Viidtb KciFhi C1'fndnns iALr ?Tr??-faC.kLgG tnd ASCi M161\ l??IlpL hoOl LJO??IIL I A-, „.. I OI P._ I e. qak I Slf`Y I 6I ?..Ck .?. fL I I I I ? I t I I I ! I i CLIxm i I I wxn Net cip. wall IMt ,Mn • I I I F.,w I I cs. 1 I I Rmuircd ap. r' DR or s^ i? W.f- Lc+?=r arca ? ric;Fht qo 389?g .S To-rAL Nct c=R. wilk Int Wsll 1 I I Fieor ? ? I cem. I I I 3'otal Bta I Recr:i:cd :r, fi =I?.R.ot ac. inL VA Lrseer aru ?_ CITY USE ONLY L ? BL o2 (? RECEIPT SUBD. k42AU.i? DATE: D? 9 S 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit FIXTURES ggC,b ZLQ LOTAL Shower 3.00 x `v'vaiEi C,i'vSEt 32.10 0 Y ?_ = t a- Bath Tub 3.00 ;c Lavatory 3.00 x 3_ Kitchen Sink 3.00 :c 1 = ?- Laundry Tray 3.00 :c I Hot Tub/Spa 3.00 ;c = Water Heater 3.00 x T = 3- Fioor Drain 3.00 ;c I = 3- Gas Piping Outlet * minimum -1 3.00 :t I = 3" Rough Openings 1.50 :< _ Water Softener 5.00 r = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Aiterations ' ro exisnng 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 33 ?J TOTAL SITE ADDRESS:_ 3 ? ? "ll T Aw,.? L..I , . i OWNER NAME:_ GU4 „f V/, 1?- INSTALLER NAME: C-C: i' - STREET ADDRESS: CITY: ?" c(„? STATE: ZIP: S S 3;? PHONE #: ( ) -F`1 a- a I a ' ?T?R'ATIIAEOt- FER1MfTT F-F L? gL O? CITY USE ONLY SUBD. I&rC/t_m_et_A! s+,/mi>,, o "91"- RECEIPT #: DATE: a ? 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 ? New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. /1,)nlv Date: (a / - ? 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 A- J SITE ADDRESS: OWNER NAME: INSTALLI STREET CITY: STATE: ZIP: -=f55L PHONE #: ((pW CITY USE ONLY L BL ?- ? RECEIPT #:? 0?3 SUBD. hWo?v., /' t}t•_? Y(oia•A? ??' DATE: f r 1996 PLUM8ING PERMIT (RESIDENTIAL) CITY OF EAGAM 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 L+?Q, J9TpL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x '3. Lavatory 3.00 x ?- Kitchen Sink 100 ;c ?- Laundry Tray 3.00 x Hot Tub/Spa 3.00 ;c = Water Heater 3.00 ;< I = ? - Floor Drain 3.00 :< J_ = 3- Gas Piping Outlet " mintmum -1 3.00 x Rough Openings 1.50 :c = Water Softener 5.00 x = PfiV8t2 DISpOSaI ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alteretions ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 33 J ' SITE ADDRESS: °I I t Awr Wa-/ OWNER NAME: Go? rJ INSTALLER ?N c-t) -T-.. STREET ADDRESS: Lt) Q?2fe, !4,, CITY: _ 73-d r/ 1,3 , STATE: ?' ZIP: S53 )-,I PHONE #: ( ) y ?i ? - ? i a ' CITY USE ONLY L ? BL ? RECEIPT #: SUBD. iv_ir s.re( /,(p[?fitLC..?aJO?%J DATE: O &_ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please comp(ete for: ? single family dwellings ? townhomes and condos when permits are required foreach unit __tX_ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: Q Q Fi-EW ? 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 @$3.00 each) ( el) v ? State Surcharge .50 TOTAL ? SITE ADI OWNER INSTALLI STREET PHONE #: cirr: 'r, STATE: m1"\ ZIP:'5S 14 ar PHONE #: ((Ola,) r, SfGAATDRE OF-FEKIRI CITY USE ONLY p L ' BL o2 RECEIPT#: ?q SUBD.ffi?C11080?'i1?d?u.Fa RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: . single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkier system FIXTURES EACH NO, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Soft? ' or dwellin s untler co st ction r 5.00 X = ? t?8i? 2 or w? e I ng 20.00 X .r$?`i Sp??nkle? "Pordwe?lingunderconst. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and refurbished systems) Private Disposal Systems"nbandonment 20.00 = STATE SURCHARGE .50 S° TOTAL P ?1 ?? I herebyadcnowledge that 1 have read thia application; stala thatthe InPormation is wrrect, and agree to compry with all applicable.City of Eagan oNinances. It is iheapplicenPs responsl6ility to natiry the property owner that the City of Eagan assumes no liability for eny damapea eaused by the Ciry during ks nomial operational and maiMenence ed'ivitles to Netacilkies anstruded urMer this pertnit within Ciry propertylrightof-way/easement. SITE ADDRESS: OWNER NAME: INSTALLERNAME: STREET ADDRESS: ecirv: S7• <<,u?s• ?i?.-K Gf/ylJ TELEPHONE#: X? 71, 5:,y STATE: Mn/' ZIP: G SIGNATURE OIt/PERM`ITTEE CERTIFICATE OF SURVEY for GOOD VALUE HOMES PROPOSED BUILDING ELEVATIONS Top of foundotion _ 0 Front ot house _ 907 3 Garage iloor Rear of house `_ra!' 0 Lowest floor _.GUJp _____ Aqe,?-l SLAB ON GRADE ? orrow denotes drainage direction per development plan. 890E denotes existing spot elevation 890P denotes proposed spot elevotion BENCHMARK USED: '?r,pT19 cpoufiv P• O,uJ rno"umoY,°t- So. 5)DG- dR ?(-wooO r, 6A51- Pt,AT (.=,m\jcGO E.t.C\l •= G CA • 13 15' 0/S to Building Envelope ? o-) 9 Q ad' ° Q .? 15' O/S to Building Envelope w ?o Q 1j to ?Oo ?(? ?1% 6g??fg . < S P ? ?p. s 2 5"oNF` 66 2 'V / 2 ?'1 \ caL Q 4- PO 4 EA?a A44 ? 99 D? R E Y WY..?of? 15'? ? EAGAN Building Envelope NOTYE: A ENSIONS ARE FOUNDATION DISTANCES DEPT. A? Z(a 16 ? LEGAL DESCRIPTION RW D TOWtJHOMES ( ) = RECORD INFORMATION ?ouuD • DENOlES 1/2" IRON PIPE dc CAP ?i L.S. 1¢ 23945 * DENOTES IRON PIPE SET FOR BUILDING OFFSET o bENOTES WOOD LATH SET FOR EXCAVA?lON ONLY PASSE ENGINEERIPJG. INC. REGISTERED PROFESSIDNAL* IAND SURVEYORS 9445 EAST RIVER ROAD, SUITE 203 COON RAPIDS, FAN 55433 Lots 1 and 2, Block 2, DEE 00 2ND ADDITION, according to the plat of record thereof Dakota County, Minnesota. N I hereby certify that this survey was prepared by me or under ?ny direct supervision, and that I om a duly Licensed Lond Surveyor under the lows of e stat of Minnesota. Donald E. Sigety, N Li . IJo. 23945 Date: _? /aa?Q(.e Te1. (612) 755-8240 Fax. (612) 755-1362 I JOB NO: 93-34 SCALE: 1 INCH =__20__FF_ET FIELD BOOK: ?IC) PAGE 0 y cq'p '? 0 99 O tA \ %51i9 / \ I d?e eJNar9 y! ? G Jn `g ?1? ?. J Q o?q oSE? w ^i- ? 5 ? ao?. Lo Z? ? 3 O S. ? ?OO y? 9a0-o v?,?o??o ? ? ?F ? • ? ID ka ? ---?5 -- p goL/.-7 \ 9 ?15' 0/S to Building Envelope 4 ? O?Zy?% CP ? o a?? \g0?\? 6ZOR?"p ? o ,y DRAWN BY: DEERCR11.Dw( PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110393 Date Issued:05/09/2013 Permit Category:ePermit Site Address: 3989 Fawn Way Lot:2 Block: 02 Addition: Deerwood Townhomes 2nd PID:10-20201-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Jeanette F Degenaar 3989 Fawn Way Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use I I~ ~ I Permit S City of Eap I Ds- I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: - 2-3-1 Phone: (651) 675-5675 I ~l I Fax: (651) 675-5694 i Staff: - 2013 RESIDENTIALp BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: L 1 1~ ~J TQzJ J ff-P f- 64~ OU-/9'I 71~0Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner _X Contractor Description of work: ~.0y ftr-7JC1- 961O'4 C 1~tl-c t i✓_ Type of Work Construction Cost: Multi-Family ~Building: ((Yes / No ) , HO b,, 6- . 'p-f pt"~C~"~Tv Y Company: /q-/t-t a_[& ~ Contact: tom G~7~a„I Contractor Address: 17-1-1 ? U s'4,4 S ' rm City: L~lf fi~ 8 t'~ State: Al/t--' Zip: ~(/V Phone: 76 / License Z C g d/ 0 Lead Certificate M S 97C / Gam If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Lt- l g ((7 96 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 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.gopherstateonecaEgm 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 .zed b a building permit issued in accordance with the Minnesota State Buildin de must be completed within 180 days of per s Ice x x P pplican ' 'nted Name Applicant' ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122028 Date Issued:04/22/2014 Permit Category:ePermit Site Address: 3989 Fawn Way Lot:2 Block: 02 Addition: Deerwood Townhomes 2nd PID:10-20201-02-020 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 - Jeanette F Degenaar 3989 Fawn Way Eagan MN 55122 (651) 905-0628 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#: /��" � C1ty of �� . . � a� � Permit Fee. . I 3830 Pilot Knob Road � , �/ Eagan MN 55122 � Date Received: � �� Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: �1�'f �Unit#: ' Name: ►'/� � �/1� t/ Phone: Residentl ' Owner Address i c�ty i z�p: �y� -�� , ' Applicant is: Owner �Contractor Type Of WOCk � Description ofwork: �e Sr�� b in�i n��wS Construction Cost: � I.�GG�� Multi-Family Building: (Yes /No_) Company: /Tihc�,�-,n �A,te Contact:--,��,� /��e� : Address:__�f 7� �� City: Z,/h�� /�P�,� �,� Contractor State: �'I/�OZip: SY�� Phone: v� �fG�'JYGjEmail: 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 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.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 / �r'G�hl�� C�, X � __ ApplicanYs Printed Na Applican Signature Page 1 of 3