4317 Fox Ridge RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4317 Fox Ridge Rd
Lot: 12 Block: 3 Addition: Sun Cliff 5th
PID:10- 72979 - 120 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Pamela Anderson
4317 Fox Ridge Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA085426
08/20/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
CITY OF EAGAN Remarks
Addition SUN CLIFF FIF'TH Lot 12 Bik 3 Parce, 10 72979 120 03
owner Street 4317 Fox Ridge Road State Eagan, MN 55122 ?c
Improvement Amount Annual Years Payment Receipt Date
STREET SURF, a 357.37 23. 3 5 33-55 -/ia ?' a.3-?s
STREET RESTOR, rn 9 9198
6
1622.2
324. 44
5
?, ?D
-///
GRADING
D 5 , 502. 5 100 . 52 5 65 -1,1Y -?
SAN SEW TRUNK &ZI 1970 4, 2.00 /?,OO. 0 _ / ?
SEWER LATERAL oZOS-jpp /
?., al! 3 iRS 582.46 116.49 s Ba,'f C -/rta
WATERMAIN 1985 4. 55 4. C-?// a ?
WATER LATERAL
WATER AREA , lq 0'4'
D l.OoZ C.-/ /
STORM SEW TRK 1 I S 3, 4J C'_ 02
?
STORM SEW LAT 1$ el, 1e,
v
5 tirm.'S ` t!C) 1986 730.56 147.91 5 , 5
CURB & GUTTER
SIOEWALK
STREET LIGHT
,574rvi,,qW 10 1986 529.15 105.83 5 S?`?• 15
Road Unit 280.00 54710
WATER CONN. 500.00 11 tv
BUILDING PER. LOHZ] If
sac 525.00
PARK
CITY OF EAGAN . i ' r 0 ; ?; ;'
3830 Pilot Knob Road P O Box 21-199 Eagan MN 55121
. . .
PHONE: 454-8100
BUILDING 'ERMIT Receipt #
SF
7,000
5ite Addresa ' ; 1},,' E RJ Erect Occupancy F? ?
Lot 1' 2 Block ' Sec/Sub Remodel ? 2oning .;
. Repair ? Type of Const. ?
Parcel No
.
Addition
?
No. Stories
•"?i? nh"s_FS
Name - Move
h
li
D ?
? Le th
? 4 C.
h
? 7 7 3':
Address emo
s
Int Impr.
? Dept
t.
Sq. Ft.
City Phone - -`} ='= - --- Install ?
435--332
Address
Name
Address
I hereby atknowiedge thot I have rend this opplicction and stote thct
the informotion is correct and ogree to tomply with oll appliccble
Stute of Minnesota Stotutes and City of Eogan Qrdinonces.
Assessmenf _
Worer & Sew.
Pol ice
Fire
Enfl.
Plonner
Council
Bidg. Off. :? / 1 ; ? ?• ?
APC
Permlt ;. ~ Cl .^. . ? %
5uroherge
SAC 5=5.
Water Conn. 5rio .
Water Meter k3,
Hoad Unit > 80
.
Tr. PI.
-'
Parks
Var. Date
Sipnature of Pem+ittea I Copies
"'• ,`? . 5 Q
- , ;; Rd L` Total
A Building Pem+it Is issued to: on the exprcss corulition lhoi
all work shall be done In cccordonce with oll ;opplicablQ State of Minnewto Stotutes and City of Eaqan Ordinancea
Buildinq Officiol ?
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Receipt ?,? y? MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill !n numbered spaces S/C • ?U
Type or Print /egib/y Tat. ab
1. Date 2. Installation Cost ,
r---
3. Job Address 413r7 FoX IQ Al Lot I ? Blk. -i Traci?,
?
4. Owner
5. Contractor AtL4 t u A '. t2 Phone yy ? 84 a y
6. Address (44 01 &-br erqNA 4( e- K-1
7. citv ir?? c- L-a 1L- stete m 1. A I, ziP 5:; 3)z
8. Building Type: Residential3. Commercial O Institutional ?
9. Work Description: New M, Add ? Alter ? Repair ?
10. Describe Fuel Type tJa"E u,
11.
No.
? Eauipment 8TU - M. Ea.
Forced Air 1 S i (3 10 No. Equipment CFM
Ai
H
dli
Mfg. Cd rr"-K' r
ng:
an
Boilers ?
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wi all o ina s a odes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
_ L f
Receipt PLUMBING PERMIT ? Permit No.
CITY OF EAGAN '
; Fee
FiII in numbered spaces S/C ?-'
Type or Print legib/y .rot.
1. Date ? 2. Installation Cost •
3. Job Address tot Bik. Tract `
4. Owner
5. Contractor - Phone
6. Address
7. City State Ziq
8. Building Type: Residential '0 Commercial ? Institutional ?
9. Work Description: New [D Add ? Alter O Repair ?
10. Describe
11.
No.
F Fixtures
Water Closet No. Fixtures
Cesspool /D rainf iel d
? Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other "
Laundry Tray ?Y .
Floor Drains
Drinking Ftn.
'
Slop Sink
Gas Piping Outlets -
?
'
I
I
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - ' ' for
?
Rough F inal
Inspections: Date Insp. Date Insp.
This is yaur permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address ?
Lot 1;?_
- Name ^ ' .'
m
Address
? City Phone ? %• 1 -'??
Name
c Address
p City ? Phone FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESIDENTIAL.FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New _
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
- ' Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
?Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL SD
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: "`"' ?+' ? N',
i 3830 Pilot Knob Road Permit Number: '? ?`? `? `? ?'
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: , „ ? , , ?, ,,, ,,, ; APPLICANT:
?1 ' I• r?? , ? 1 i?i,? i;l? il??r•ti • tJ4lfil'?? t I; , 1 N? ?
I ,I?YI + i I 1 t ', I lt ?:. ).' ) ?t?l?l r,l N.' ,
PERMIT SUBTYPE:
,. ? ,a
TYPE OF WORK:
PJ t 1..1
?; t??? i 1 NI,'?
Vlf [NFli
I f?AM 1 r???
F1F MAI?f4'3 ; A'?.t 1>pltlll f i'1 ItM I I t': 1: C Rlt? 1 E?! !? I??I? itMY f 4 f? I t; I t r?! 4J?)f:F
? ?? ?? ? %?:.?3 ? ?' ?.:.. ,? ????? . t ?. ' . . . ? _ _ ,a{.? I.I'..0if? .. ? ???
?. _ . . . - _ F? ? ?-.?.. "'t = .2 ? ...: .... -? _. ??-_?.4? _ . ?.
?
i
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f
Pertnit No. Permit Holder Date Telephone N
Sl1N
PLUMBING
HVAC
ELECTR
ELECTRIC
Inspection Oate Inap. Commsnts
Foatings I .7 G
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
isul. ' G
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plhy. Inspector - Notify Plumber
Const. Meler
EngrJPlen
Bldg. Final /
Deck Ftg.
Deck Final
Weii
Pr. Disp.
CITY OF EAGAN
3830 Pilot Kiiob Road
P. O. Box 21199,. -?
Esgan, MN 55121
Zoniny:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
Addrom
Sits Add,ou; 4 3 2 7?bx R idcfe
Plumber. ?? - • -''-? i^?a?
MNftr No..
Size;
Rsader No.: _
I yrw te ee?yli wMh Iw Qfp of Eypn
OrJlMnar.
By
IIIIIIIII
; CITY OF EAGAN
3830 Pilot Knob Road
I P. O. Box 21199
Eagan, MN 55121
Zoninp: '
Ownwr:
Add?rK.
SiM Addross:
Ptum
Connection Chorpe:
Acoount Depostt: _
Permtt Fee:
Surdharpe:
MIac. Choryges; -
Totol:
Daft Poid:
SEWER SERVICE PERMIT
PERMIT NO.:
W1TE:
No. of Units;
I "Pw te eo?wPIq N" fiw phr Oi io"a Connacfion CJ»mns: '25• ^";"
"MOaM. ACODUnt DlpOwt: <i•,;
PIRI'Ih Fe!: l
SYICE10fQl: ..
ey MilC. ?10f?Qli?
Date of Inap.: Totol:
Insp.. Daft Pold:
warO sERVicE PEwur
PERMIT NO.:
?
nerc- . , . 1%•- .. ?.
OWrNr: - '1 _ :1CI tfGiT19S
Addrosi: -Tfij
Slta Address- 1317 f`3x c'I'ei? ?I?
-- - ?'7 e c '- - -
Plunber '-?. _•ieC'.?ct?]??r: ' '
Meter No.: Connection Chorye: U
Siu: Aeaount Deposlt: •';."',
y (n 5 '
r ?.. ?,1 D
??
Permit Fee:
1a!M 1o aom* wMr 1y CiFy af Eeven SurchorQe:
Orriwenor. Mlst. Charpes: 131. VU'.xl 'lp
Totcl: J_].U? ..??
gy
? - ? DoU Poid:
Dete of Insp.: Irop.:
? tVl 7/ 9 S
xenewal ByAnaersen RESIDENTIAL
350-73raa.ve.NE
Fridley, MN 55432 ?/l?,j3l LDING PERMIT APPLICATION
763-502-4777 ?? CITY OF EAGAN t7 C3
#MN20130983 3830 PILOT KNOB RD - 55122
'-- 851•681-4675
New Construdion Reauirements RemodellReoair Reaulremenls
• 3 registered site surveys showing sq. fl of lot, sq. ft. of Irouse; arW all roofed areas • 2 copies ot plan
(20°k mazimum lat coverege allowed) . 7 set of Energy Calculations for heated addifions
• 2 copies ot plan shovrirg beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations
• 3 copies of Tree Preservabon Plan if lot platted atter 7!1193
• Rim Joist Oetail Options selecton sheet (bMgs wiN 3 or less unAS)
DATE ??lo •N0U •O k VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS_4 31? ? nx '4?:dac. ?.nod
IF MULTI-fAMILY BUIIDING, HOW MANY UNITS?
PROPERTY OWNER ^'iarn A?h.?_tsoN
TYPE OF WORK `Ree.plorn 1 u,Ar&? Q ;tb FIREPLACE(S) _0 _1 _2 _3
APPLICANT Lca Qe ftd?c 3rn.sp PHONE# 959•3454004-4
ADDRESS
PAGER #
ZIP CODE
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
Hea[ Recovery System
Fee:
I" ???r IC ll LI ?
?jD1I (q -on/
OJ
$90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Appllcant ?AA dS2?i?1'?n
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE #
_ Water Softener
_ Water Heater ?
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Updated 1/01
CITY OF EAGAN
N° 10827
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100 /U "
BUILDING PERMIT eeceivt ?
#
Te M wed Mr SF DWG/GAR Est. Va1ue $57,000 pOTe AUGUST 20 19 85
SfteAddresa 4317 FOX RIDGE RD Erect E]{ Occupancy R3
Lot 12 elock 3 Sec/Suh. SUN CLIFF STH Remodel ? 2oning Rl
Parcel No Repair ? Type of Const. V
. AddHion ? No. Stories
KEYLAND AOMES
Name Move ?
li
D
h ? Lenqth 40
?
3471
W 173RD emo
s Depth 46
Address InLlmpr. ? gq.pt,
City JORDAN phone 492-6646 Install ?
435-3323 Aoorovola iees
o Name
r
u? Address
cirv
Phona
Name _
Address
City Phone
1 here6y ucknowledge fhat I have read this apDlication ond store thaf
the inlormation is correct ogree to mmpj? with oll opplicable
Sfote of Minnetota Slotu s nd Ic' y o a irwnces.
Z,j Slpnature of Permittee -
A Buildinq Permir Is issued ro: KEYLAND HOMES
oll work zholl 6e done in acwrdance with oll anolicable Std?o'h Mir
Assessment _
Woter 8 Sew.
Police -
Fire
Enp.
Plonner _
Cauncil
Bldq. Off. 8/19/85
APC
Var. Date
Permit 3U4.U1
Suroharge 28.5(
Plan Review 152.011
sac 525.01
WaterConn. 500 .0I
WaterMetar 6-1.0I
RoadUnit 280.0(
rr. Pi. 132.0(
Parks
Copiea
' Total
on tha expresa candifion thai
Statutes and City of Eogon Ordinonces.
Buildirg Official
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
w:
? , See instructions for comoletin0 this torm on back of vellow copy. I ^ ? L
"X" J9efow Work Covered by This Requesl ' a`1 5
-,? 5 9
6 2
Fdtl Bep. Typa of Builtline PouanCes Wired Equiument Wired
Home Range Temporary Service
Ouplex Water Neater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Indusirial Bldg. Air Conditioner Budk Milk Tdnk
Farm ther oeci y ther ISnerity!
[ er pecity Ot er Diher
Compute lnspection Fee Below
M ea Service EnvenceSixe p Fee Feedars/Subiexders N Fae Circults
,00) 0 to 200 qm s 0 to 30 qm s ? t? 0 to 30 Am s
Above 200 qmps 31 to 700 Amps ;,,)? L/ 31 to 100 qm
Swimmin Pool Above 100_Amps Above 100_AmNs
Transiormer5 irrigation Booms Partial-'Other Fee
Signs Special Inspection S ? TOTA
E
flemarks L?PE
?
7
RouOh-in 0 t/ I, tha lacvic
? Inspect ereby
Final Date ifv thei the abova
?nsoection has been
i Ar matle. ?
This reauasl vold 18 montN fram
This request void y / (/ ?
18 months from o 7/ u
Doo 0591B2 Lia63 S(__cQ„ffS Yv-W
Request Da
I Firr. No. qoagh-in I ttion
Fequ r
oReady Now' 1 I Notity Inspec-
q
I ?No [or When Reatly
ense?leclnca Conhaclor 1 hareby raquest insPection of above
? Owner . elecirical work inetelled et:
Street AdAress, eox or Houre No.
y City
'
ectlon o. Township Name or No. Hange No. County?
Occuuant IPHINT ' Phune No.
Power $u lier AAdress
/ / /?/YJ) .I?r 7 4J
Elee r' a Cnntracmr ICompany NapfCl
' oP4 tor " Lic.nse/ d
o.
?
,r?w ?..- .c /
/
L ? i
M li . g AdJress (COnhactor o Owner Mak g Insta ationl ?
A t orize Bne
on
t
actor? ner Makinn5 ??ationl Phone um ber
'
7
/ h
MINOTA ST{yTE BOAND?LECTRICITY THIS I(SSPECTION PEQ?EST WILL NOT
Gri s-Mitlway91d9. - Noom Nd91 BE ACCEPTED BY TME STATE BOAFD
1821 UniversitY Ave., St. Pevl, MN 65106 UNLESS PHOPER INSPECTION FEE IS
Phone 1812) 297-2111 ENCLOSED.
9/??'/9 ? REQUEST FOR ELECTRICAL INSPECTION ee-ooom.o
/ See iq5in.cfions ;V campleting Mis fo/m on Oack of yellow copy, ?5 /3 7 5 o"??11 `
?
` k ,...
Covered by This Request
ew Atltl Rep. Typeof8uiltling pliancesWiretl EquipmentWired
Home Tem
Duplex ter
i Electric Heating
Apt. Building Load Management
Comm./Industrial
Farm ioner
otner (sueny) fqnlractof's Remarks'
Compute Mspection Fee Below:
# Other Fee # ServiceEntranreSize Fee # Circuits)Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSfofinerS Above 200 _ Amps Above 100 _ Amps
Signs InspeGOr's Use Only: 70TAL_ --`-'-
Irrigation Booms
Special Inspec[ion ?
i
Alarm/Communication THIS INSTAILATION MAY B RE DISCONNECTE6IF NOT
Other Fee COMPLETED WITHIN NTH. f
I, the Electrical Inspector, hereby
tif
th
t Ih
b
i
i pouqn-m oste F-
cer
y
a
e a
ove
nspect
on has
been made. Final ? L-W
Oate . I f
7
'
OFFICE USE ONLV
Thls request voitl 18 monins Irom
5 3 5 5 -A-A
pepuest Date
?? ire No. Rough-In ction Required
(VOU mu cell IneOecMOr n reatly) Inspection OtM1er Tnan RougM1-ln
? Reatly Now ? Will Nolify Inspeclar
JL) G No pate ReaE
I Lc}.ueerfsetl conhactor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet. 6ax or Route No.) C!ry
-:V31'7 /:5 .!f
Seclion No. 7 ame or No. Ran9e No. Counry
Occupant (PRINT) Prone No.
1014/ilt
PawerSupplier Aaaress
Electtical GonVactor(COmpany Name) ,y GonVector5 Gcense No.
s IE?6
Mailing Atltlress ICamramor or Owner Meking Installation? ? ' -
'
Awhorizetl Signatwe (Conhactor/Owner Making n tallation) Pbone Number
MINNESOTA STATE BOAPO OF EIECTRICITY THIS INSPECTION FEOllEST WILL NOT
Grigga-MlAway Bldg. - Poom 5-113 BE ACCEPTED BV THE STATE BOARD
1821 Unlverslly Nve.. SL Veul. MN 55106 . UNLESS PROPER INSPECTION FEE IS
PM1One(61Y)66P-p800 ENCLOSED.
yq 3ys
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
New ConatNetion ReouiremeMs RemadeVReoair RanuirameMs
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all rooted areas . 2 copies of plan
(20% maximum bt caverage allowed) . 1 set of Energy Calculations (or heated addilions ?
• 2 coples ot plan showiig 6eam 8 windax sizes; poured found design, etc.) . 1 sRe survey for exterior additions & decks g?.
• 1 set of Energy Calculatiore . Indipte if home served 6y septic system for additions
• 3 copies of Tree Preservation Plan'rf bt plalted after 711193
. Rim Jaist Defall Op6ons selection sheet (bldgs with 3 a less unils)
DATE
JOB $ITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER?q?m.A'?t-C?tc.?n?
TYPE OF
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT C?W'r-iir4p•
?-- -_
ADDRESS Z5b-_+3c4 4?U.a .M, `C . : ?t:Al[u . YYIN_'? SS?I?ir?.
PAGER #
CELL PHONE #
CODE
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGOR
(check one) - Residential Ventilation Category 1 Worksheet
- Energy Envelope Calculations Submitted
MINNESOTA RLTLES 7672
Pfumbing Conhactor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
Signature of Applicant
New Energy Code Worksheet Submitted
_ Water Softcner
_ Water Heater
_ No. of Baths
VALUATION aF9S0 'e'
PHONE# +14 3- SOP -y Il'4
FAX #
Y rBy"VAR2 C?
s 2 D
?
Phone # :
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Elder-Jones
Building Permit Service, Inc.
1120 East 80th Street
Bloomington, MN 55420
Phone: (952) 345-6047
Falc: (952) 854-4909
To whom it may concern:
We at Elder-]ones Building Permit 3ervice, Inc. are acting as an agent for Aenewal By
Anderson. If there are any questions, or if the permit has to be picked up in person, please give
us a call at the number above. If the permit can be mailed back to us, we have enclosed a
self-addressed envelope for your convenience.
Thank you,
Kaza Benson ext. 147
Elder-Jones Building Permit Service, Inc.
1120 East 80th Street • Bloomington, Minnesota 55420-1498
952-854-2854 •FAX:952-854-4909
- ? ••.-,.+. iuu ae.?v riyp IoO dI 1 4480 lSr,11ERHL iflsdlVllCHJC;IV - 10 UULlUUZ
rep 9 al
BY ANDSS56M
7une 7, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Concern;
Eldcr Jones is authorized to pull building permiLc for Renewal by Anderseas. please allow
F1der dones to provido this service for us in Eagan. fihis auchorizaticm is valid fnr any
date beyond 6/6/01; untiI aRenewal by ,4ndersen manager expressly revokes it in wriring
to the City_
I reqncst this authorization be accepted exgeditious]y, as to not delay in the processing of
our building pcrmits any furthcr. Plcasc call mc if thcae arc any queations. I can Ua
contacted at 763-502-4706.
Your immcdiate attention to this matter is appreciatecL
Sinceiely,
Ok
7211 ajio?
Rau
anager
Renewal by A.ndersen Corporation
C'r.: Kara-F.ifler.Tnne?
`K--?/??'-e?4 LL ??G3/ pe•yy q? .
O
GHaoa M. e? aa?r?
Notay Fu61ic
Ms Camm MinrlE9p}e
ncmn 6DinlJen. at, 2005
Received Time Juo. 7. 1:07PM
Eider-JoneS
Building Permit Service, Inc,
??q ?? . ' .... .
1120 East 80th Street
Bloomington, MN 55420
Phone: (952) 345-5047
Fax: (952) 854-4909
To whom it may concem:
We at Elder-Jones Building Permit Service, Inc. are acting as an agent for Renewal By
Anderson. If there are any questions, ar if the pern-rit has to be picked up in person, please give
us a call at the number above. If the permit can be mailed back to us, we have enclosed a
self-addressed envelope for your convenience.
Thank you,
Kara Benson ext. 147
Elder-Jones Building PermiC Service, Inc.
1120 East SOth Street ' 8loomington, Minnesota 55420-1498
952-854-2854 0 FAK 952-854-4909
a!y 4460 R1:LVL`ifHL HYALVLL'1tZL"1V - 194 UU2/UUL
r e al
SYANDBA36N•
June 7, 2001
City of Bagan
3836 Filot Knob Radci
Eagan, MN 55122
To Whom It May Concarn:
Elder Jones is authorized to pull building permits for Renewal by Andersen_ Please alIow
Elder Iones to provide this service for us in Eagan. This authorization is valid for any
date beyond 616101; until aRenawal by Andersen manager expressly revokes it in wridng
to the City_
I reqnest this authorization be accepted expeditiously, as to not delay in the prvicessing of
our buIlding pcLmits any furthcr. Plcasc ca11 mc if thcrc azn any queations. I can be
contacted at 763-502-4706_
Your immcdiate attention to this matter is appreciated.
Sinceiely,
0 ymond R Rau
nstallation Manager
Renewai by t#ndersep Corporation
OaGHAi))A??GkJ4AAAL
Sp}g
?9,lan.3l?pp?j
Received Time Juo• 7• 1:07PM
. .. PERMIT OK a9oo 3
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u z Lo z NG
Eagan, Minnesota 55123 Permit Number: 0 2 4 0 4 9
(612) 681-4675 Date Issued: 0 7/ 0 6/ 9 4
SITE ADDRESS:
4317 FOX RIDGE RD
LDT: 120 BLOCKc 3
5UN CLIFF 5TH
P.I.N.: 10--72979-120-03
DESCRIPTION:
?%.
F
/J
I
\
l.
Bu3ldzng Permit Type
$uilding Work 7ype
ti
1
(3
. . . ./? ..... ???..v.
5F PORCH
NEW
? o ri
REMARKS
A SEPARATE PERMST IS REQUIRED FtlR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $5,000
8ase Fee $72.00
Surcharge $2.50
Total Fee $74.50
CONTRACTOR: - Applicent - ST. LIC. OWNER:
HOME ENHANCERS INC 18846102 6001449 ANCIERSON FAM
8609 LYNDALE AVE 5 281 4317 FOX RIDGE RD
BLOOMINGTON MN 55426 EAGAN MN 55122
(612) 884-6102 (612)452-8125
Z hereby ac-knowledge that I have read this applicatian and stste that the
information is correct and agree to camply with alk applicable State of Mn.
Statutes and City of Eagan Ordinances.
PLICANT/PERMITEE SIGNATtJqE I SUED BY, JIGN UR?--Z
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knoh Road Permit Number:
Eagan, Minnesota 55123 Date Issued;
(612) 681-4675
SITE ADDRESS: Lo T: 120 B L 0 C K: 3 APPLICANT:
4317 FOX RIDGE RD HOME ENHANCERS SNC
SUN CLIFF 5TH (612) 884-6102
PERMIT SUBTYPE: TYPE OF WORK:
5F PORCH NEW
BUILDING
024049
67/06(94
INSPECTION .. . ..
FOOTINGS FRflMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICqL WORK
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. ,. i4649
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
s
r? P ?.;i
f??C???N/I?[[?3
. . ?. ? (! faa??
-------- - ------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i 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 3e-D / _2Y_ Valuation of work _ff0. 41DO .
Site Address• 6,1317 /C:;
x
,
STREET SUITE tl
Tenant Name: (commercial only)
LOT BLOCK d
I
SUBD. 'A411
l?•
P.I.D. #
Descri tion of work: rc.? ,L ? t„rjr S
The applicant is: ? Owner Contractor ? Other (Describe)
Name /son F!-r" Phone 81,Z S
Property LAST F,RST
Owner qddress _1-1317 ?o?.e?dcr Koa-d
STREET STE #
C i ty State Ar, Z i p
Company Phone ?8r{- 6!O 2-
Contractor Address 860`? 1? lL.?.s5 "?ao/ License #495/T Exp.93"
City Z/aa.ti...'..,?? State Zip
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Process9ng 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 applica6le State of Minnesota Statutes and City of
Eagan Ordinances.
• ,
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icant
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OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg, ? 07 4-Plex ? 12 Mult1. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory
C8b 04 Sf Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
n 31 New ? 33 Alterations ? 35 Tenant Finisfi
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECT)ONS
?.5ite
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Foatprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
J-73fFraming
? Draintile
a Insulation
? Fireplace
Permit Fee
Surcharge
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:
vetLisc;ori: g E OCJo
?
l2 0 ,? yo ; ? ^G o 0
?
,•k. ? -' YY ..r »
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code U i
Census Bldg i
Census Unit ?
Assessments
SAC X
SAC Units
.. , .?
v
1k; KEY-LAND HOMES
NOTE:
O Denotes Wooden Stake
Proposed Garage F1oor SI.= 919 B
(919.5) Denotes Proposed ?
Finished Ground S2.
_,sq- Denotes Direction
Of Surface Dralnage
Vertica2 Datum - N.G.V.D. 1929
k5% ?
Ci
?vr
q d ?
C. R. WINpEN A, ASSOCIATES, INC.
IAND SURVEYORS fol 610•3946
1381 EUSi1S fT., ST. PAUI, MINN, b610•
Scale: 1"=30'
O Denotee I[On I
Monument
Beacinge Are Assumed
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rLa 14? 006.,?
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h
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14, ,- .o?
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Lot 12, Block 3, S[lN CLIFP FIFTH ADDITION,
Daicota County, Minnesota.
WE NE11E1y CERTI?Y THAT THIS IS A TRUE ANO COIIECT RE?RESENTATION Of A SVRVE1 OF THE
WUNDARIES OF THf IAND AIOVE DESGOISED AND Of THE IOCATION Of All 111.1ILOINGS, li ANY,
TNERlON, ANO All VISIOIE ENCROACMMENTS, If ANY, FROM OII ON SAIO IAND.
Oorsta! rAis gth /ey *1 Qu,,s?1 A.D. 1185 C. R. WINDEN i ASSOUAiES, INC, JZ e v;s e d b-/ 3- B 5 ---7
Swrworjr. ne.ora Ggistration N// G 7 9
43/7
!e?l ?9 e, ,Povc),/ , ? _ .
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2
43
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1985 BUILDING PEftF1IT APPLZCATION - CITS' OF EAGAN
NOTE; ALL CONTRACTORS XUST BE LICENSED 1lITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
57, ocr? . °°
To Be Used For: 4f Valuation: ? Date:
Site Address: ? OFFICE USE ONLY
Lot:ji Block -3 ect/SubErect K Occupancy
Remodel Zoning
Parcel # ? Repair Type of Const
Owner Addition # of Stories
Move ? Length
Demolish Depth
Address ? e i.,u _ ) 7 Int,Impr. Sq Ft
? Install 'i
City/2ip Code ??3 Z ------- --------- ------------
Phone 6ppROVALS FEES
?3f- 33 a-3
Contractor
Address ?iyy?Tp
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
-?-
Assessments Permit
Water/Sewer Surcharge
?
Police plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council ad Unit
Bldg Off 17, • Treatment P1
APC Parks
Varianee Copies
Toru.
...Pi.'3
K-1
?
40_
,+(p
>o
?. ?
I S2
(n 3. °-`
280.
132.?
J9A?1' Sb
Phonej P,3/ rle 7 c
Z4x 4-? .-. ??o n s4
ZDK2Z " 440 x1 ? - 4840
s ?c??
-li3/7 FoX ?dyer,Poocd
POR: KEY-LAND HOMES
NOTE:
O Denotes Wooden Stake
Proposed Garage Floor 81.= 919,18
(919.5) Denotes Proposed
Fintshed Ground EI.
...sI-.Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
lS
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Ng?? ??6 W
C. R. WINDEN 8 ASSOCIATES, INC.
lANO SURvEYORS T&l •48-3646
1301 EUSTIS 5T., ST. ?AUIO MINN. 6610•
Scalet 1"=30'
o Denotes Iron
Nonument
' Bearings Are Assumed
?
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'? -?' ??
'Pti. 3
0. ? ? .
A p? 1? ?_~ p 0 N
\ a ?, 0 v
? a h
=, 2Q y
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Lot 12, Block 3, SUN CLIFF FIFTH ADDITION,
Dakota County, Minnesota.
WE MERESY CERTIfT TMAT TMIS IS A TRUE AND COlRECT RE?RESENTATION OF A SURVEII Of TNE
DpUNDARIES OF TME IAND AIOVE DESCRIBED ANO OF TME IOCATION Of All WIIDINGS, If ANT,
TMEREON, AND All VISIOtE ENCROACNMENT3. If ANY, FROM OR ON SAIO IAND.
w ted 71Ais1=10y dAU90y-1A.D. 1185 C. R. WINOEN & ASSOCIATES, INC.
ged B-/3-85
3u..0"•. Mien?Nr? R?yiUntiee ?h. /! G ry9
.
, OWNER
[XTERIOR ENVELOPE FlVERAGf "U" COMPiITAI"1pN
S1TE ADDRESS:
CONTRACTOR;_? I v -..
nnrr;
PIION? ;
ruye 1 07 4
t'* ?-3 2-2L
Qetermine working square footaqe of each
1. Totai exposed wall area...... /F3 2, ¢- sq. ft. x.11 = 2,? 0, 6?-
2. Total roof/ceiling area..... sq, ft. x_.026 = Z4 ,J??
7ota1 exposed wall area above floor= 1i5_&
a.
b.
c.
d.
e.
f.
9.
h.
J-
Total wall window area......
Total door area..._
_ .............................................
Total sliding glass door area........................
.........,..
otal fireplace wall area.......................
................
otal wa1T framing area (average 10%) ...........................
..
Total rim joist area ......................
.......................
net wall area above floor ................
....................
wall area above floor ................... .................
..
wa area a6ove floor .......................
..............
rame wall area at foundation ................................... `--
7ota1 exposed founda£ion area=__/1V_(e
k. Total foundation window area ..... ........
...:::?:.,. ,._
1. Total net foundation area above grade ,,,,,,,,,,,,,; 60 40- -
Determine "u" value of each wall segment
(e,g, window, door, each separate wall secCion)
X
b. X
?. 9 9(e, x
d
e, frl_°S 8`_ X u„
f. ! 3? Xu?,
s• 'l 24? 1. I x liU i,-_-?2 ?f- °ySo ?-
h. X „ull _
x ??u"
J , X 'lull _
k. X t(Ull _
Xiluji._--« -? z4
3 . .................................Total h? Z'(P(?
If item #3 9s the'san
as, or less than^',tep
# 1, You have met.?tr?;uu
intent af.SBC 600 ,:.
kl (?f3'
Yp
Gx prior Envelope Average "U" Computation
;
;-
5?' Total exposed roof/ceiling area
Page 2 of 9
e-3zai-?
m. [Ibtal skyliqht area .................. ..........
n. TotaJ. roof/ceiling framing area (avera yc 102)...
2
; !? 5
o. Total net insulated roof/ceilinq area. I
4
.......... Sle R
Determine "U" val.uc for eacli roof/ceiling segmeizt
M. X ..Ul. _
x
o. & °SCo, R x 'lUll
,O 2.. _-
n ........... ............. ... Totai
If total of ft4 is the seun e as, or less i:haii Ik2, you have meL- the intent of
SriC 6006 ;c.) 1.
Altenlatc Building Fnvel.ope Desiqn
'ib uT.ilize t:ie total envelope 'systcm metlzod, the values establishecl by tlle s,un of
i.tems 43 and if9 shall not be greal-er tlian The simi of i.te?ns f{l and Ik2.
1. )a b4 + 2.Z9 ? 75 ? 22JI 35"X---
3. -?6_ + 4. 1 G'/? 9 ?L .G• (
?.;
--??
?
i'i
L i&jEAL FT, EXposEC)
BLOG k ;? -r z4 -?- 38 l3 z
3? 4 z ?- 4
W,p,, ,
?
PLAQ M?
WAL C_
+-ULLI ? ?/?--
??M- , 3?t?4?-t38 f24a-P = l3?
Jc?t. . ?T, ?)CI?oS?D WA l...l..
K.tiEE' ??4 K S_ sna
• . % ?- ?
PulrL ! X g = ?os?
,
.-
Ri??
-tA L. 7` sA__-
! -9-
5 Q,rt .
z4.a?
i'4- z444
?Kp osE.D
z4 ?( 3g =
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.q-D
Z?
95z-"
AZEA
Doos?.5 ?
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_. ___,. •?.
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_._. ,..._:._
, r.porjcezLZVC . -
ConsCruction R-Valuc
Intcrior air film .0.61
s. 13P ? . sR
3_ I,uSUC.J_ • 44:On
4. Sxtcri.or air filn (still) 0.61
- Tatal 2 4s8o
U= .02 .
znted
HeaC f.tow
- up
Fti°4+?'f eo-
1. Interior nir fil.m 0.61
2 -
3-
4. I:xtcrior air Liln
&'ZG. 95 .
Y .V1:?1?;1'^: . ?/Lf`_?rM?`1i?i1\.Lti)Tnl
...?.J?.. _ ?-- _?- _---•
COd- STR,VC r-/ vY?.., ? 1_ Insidc ,?ir. f9lm 0.61
2_ .
3. " .
4. - -
Out.idc.oir - filtn
?Yacc flov up • . , '. ,'ventea
. . _YSC. A6.. . __ . •-• . . .
-.. .. .. ?3 -? . ? u
. . • ? ???y..?_.t.S?
L??=-s?e? a.1:-_:'???'•" - /?
xr.::_c:?;;......:•.??????'_'i" ,! /_4,-rri
? ????,?" , ? _ ? ? • ? ? .
kQ:I VP1:P? .
' ' - . , • flov up • -
. . • . .. •
' $'I ,. 07 . .. r•
Totat
17
1. Ynslde ai.c Pilm 0:61
2. .
4_
5. Outsidc lir fil:n 0•17
To ta1
' . ,..
j_ Xnside air zit.tn --
2. . _-
3. ' ?.
4_
Cutside aic fi.lm 0.17
? Tota1
Ftote: Usa additional sheets if more spaco i:
31ecclecl for cletails and ealeu?atians.
- o
I 11
. 41ALt, fCr,T70Nfl
? PI?, UPr 'af oli?i?iw) Wnll nrca for
" framo cc,nr; Frucl lun r_Vnlu,:
t'?1GI r I i?ni .. ...9.,ri
, .e,,.. .
---? ,. ??'t???,,i?cs ::?i? .,.,,, _ .. ?5
------- -- .... - -- -- '??
..? . _ _
u??_-rldirl .q?
$7C 6. }:v,lcrii,Y ii[ (i.m .? 0.17
?l.l. __..-•----? Pni,?l R6 r?.?'ryj
FIC. pl TGPVIFS,I OF IPI.?L.
PIINtE IJALT, 1. inCrrlnr ni:? 'ilc? O.GII
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( -- "-----? G. F.x-cr or , ir Ci_li.i,.----?--_
FIG. 02 7'ul.ol R'' 7t.°l
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1 trii??}-.n!r tilin ?.fi'I
_ .._....??.?.
3.
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?tia.-al CD 5. . !S rDl.NE2------------
F.----_--?5?'L
--- , l.7
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,? ? • ?.`?/ 9'oC:il ?C'Z„4.g'
u=
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' pl.icencnt of im.;ulaCion.
C. 13
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?
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2/$4
? CITY Or EAGAN
p`ti l
APPLICATION FOR PERMIT
• SEWER AND/OR WATER CONNECTZOrT
(PLEASE PRINT)
1) PROPEk7rY ADDRESS: 430 P-Q
TEJMT, oESCzzprzcu: _ L o !- i Z P,1 x 3 s n IAF
F
-
(Iot/Block/Subdivision or Tax Parcel I.D. Nlunher)
STRL'..^TU£2E, DAT :' 0° ORTGuIAL 'ciiILD2:IG FE7:?S1. ISSuA,?C.:
_=;
PPESENT --,^,=/P??OPOSf?J L'S• L4 R-1 SLNQ.E FPNSLY
? R-2 DUPL...t'Y (TVO LTiVITS)
? R-3 7Uo.-1?II4CIISE (== + L':1ITS) ( LNI'^s)
? R-4 AF?n?_1E`]T/CO.DG=]I[J.',1 ( Wi IT_S)
? CC1^2 IE.RCLAL/kE"-P.ZI,/OFFIC:
Q ?.'oL'STRIAL
II ?:`1S'I'IT[,'TI0NAI./G0VE.R?NPff.NT
z) p,ppLI?,.? (PLEAJE PRINF)
e
AnDp.Ess: 3y 1 i+13 F' 1).
crrY, srATE, zzP: _Torrlc z?n m;nn Cj??
PxoNLE: ?-192 - ? i? tii
3) P117.IBER
rtr?r?_
Dl?. N PLEASE PRINT)
P4 hcu,, a.? FOR CITY USE OHLY
ADDRESS: -
-5L)06SP Ak/e PLUMBERS LICE&9@?
- ctive
CITY, STATE, ZIP: Prlo(? I p,,,k,P- m'?n c?S?'?Z Expire
PHONE.
'
?'?T"S ?F'?
Io'S) PLUMBER LICENSE {? 0 f Reco d
q) OCCfJpjaNr/aVL•IER tYLtNSt PNINTJ
ru?r?: S rn a- c. p p 1 t Cn i-.',-
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICATE WttICH PERMIT IS BEING REQUESTED:
9 CONNECi'ION R"J CITY SE^]ER
cocvNEcrzeN TO czTr WATER
? d71E'R (PLFASE DF.SCRIBE)
b ) aJDIG,':E C:+c.:
[:1 PLF-2?SE E:OID APPRWID PEnMLiT EOR PICF:-GP BY ONE OF 11BOVE
? PI.E4SE DAIL APPROVED PMMIT M 1. 2, i 4 AHOVE
fl .,, o (Circle one)
7) SICZT?TL'RE: /?, ?i/L? ?? 4?AJ DATE: 9 c;' S/jr-
, .
" . .
MR Wa+Eiw?im a?m? :esasaar? s?a?saca:aaaas?wiesw?rara
oc?r r
FOR C I TY US E ON;,Y
PE?2MIT " ISSUED
FEES: $ 'C!SC%
! nc r, - o?
Sz?_.ir.:ER B_ta_T _T (I_. ICD" ? ? ?U.,? :ARCE)
$_ /G, -SG WATEcZ PER^1IT (INCL'JDE SliRC.iARGc,)
$ WATER METER/COPPERHORN/OUTSIDc REAOER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE:vER TAP
$
$ ACCOUNT DFppSIT - WATER
$ L'.& WAC
$ SP.C
$ TRliNK WATER ASSESSI^.ENT
$ TRliNK SEti4ER ASSESS:IEDIT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATE?2AL BENEFI TRUNK WAT°R
$ OTHER
$ TOTAL
$ 1 y?' G AMOLTNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY?
? YES IF YES. THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SUH.7ECT TO THE FOLLOS9ING CONDITIONS:
APPROVED BY:
TZTLE:
DATE: `-fiv4S,
t
.?
5O 13 Z, . RESIDENTIALBTJELDING
Permit Application
City Of Eagan
• 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construc6ai Reauirements RemodeVReuair Reauiremenls INfice Use Onlv
3 registered site surveys showirg sq. R of bt, sq. ft of house; and ag roafed areas 2 copies of plan Cert of Survey Recd
(20% mwimum lot coverage allowed) t set o( Eneigy Calcumtlons for heated additlons Tree Pres Plan Red
2 copies of plan sfwwing beam & window sizes; poured found desgn, etc. 1 site survey for addifions 8 deGa Tree Pres Not Reqd
lsetofEnergyCalculations Addition-indreffieNon-sifesepticsystem _Oo-sileSeptlcSystem
3 copies of Tree Preservatlan Plan rf bt platted after 711193
Rim Joal Detail Options selectian sheet (61dgs wBh 3 or less units
nate L_
Site Address
Description ot Work
Multi-Family Bldg _ Y _ N
Constructioo Cost C01°c a0°9
UniUSte #
Fireplace(s) _ 0 _ 1 _ 2
Property Owner 'T??)(Yl Telephone # (cgl) 7S3 ' %
Contractor PENEWAL BY ANDERSEN
1920 COUNTY ROAD "C" WEST'
Address ROSEVILLE, MN 55113
State LICENCF, #20130983
City
Telephone # (
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residentlal Ven6lation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Wpter Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheat
Submitted
T7'L?T ,RIP.
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
d?o.ta?exz??? C? fJ?'??
Applicant's Printed Name Apphcant's Signature
.
? "?•?..ie?.a iuu aa.uv cri4. IOJ Ofl Y4b4
re . ?, .
?? .
Jun e 7, zoor . aom
38 ? ?t 'Road -
&8n. MN sgizz
Tu whom It May eonoern:
Elder 7ona is atzthorized to ptffi
Slder Joncs to pmride this sesvi<
date bcyond 616101: unaI a?'onc
to the Glty-
I request tais authoxyzettion be ac
our baildinS Pcanib mty fiaxthct.
? oontactcd at 763-502 4706.
Your immpdia0c a??a to ft
Siu&akely.
Knd'FL Rau ion Managor ?I
Renowal by A.ndascn Corpvrativn ?
2A2L ,i.(?,
oK a . ?
MYa?„?
L BY RC(UlSttnt?l
an8 permits for Renawal by Mdaisan. Please qiIow
u' us in Hagaa. 'Ittts e?thatl2etirni ia valid fvr eny
bY Andatgan manaprdr wcPms1Y tevokes it in wiiting
ed axpedi@ousiy, av W not delay in the procassing of
mac oaII ID.c If thcxo at+c 4uy qtteatEotus. _ 2 cen he
- ?:
tca' i5 a?qrec}ated_ a . .
cuux
Received Tiroe Jun. 7. 1,01PM
03272006 16:20 ERGRN ENG+C01`1 DEV 4 99528665554 N0.435 001
+ ? .
?d
2006 RESIDENTTAL BTJILDING rExMrr nrrLtcnzioN
city Of Eagan
3830 Pilot ICnob Road, Eagan 1HN 55122
Telephone #651-6755675 FAX # 651-675-5694
?
?
d areas
nd
p raat
n
t b
A
e
o
iss ef dsn shoxnng teollnpe, beams.Idsb
2 co
Cdf101SWVeYiFt?.::
, ..,......
Y.'._
g
a
. af
ous
; e
?. sq
3 tagisrefed si eq. lf. a
Ymrum m u bt corerope elloae?
('M p
mrpyCalMatiamlorheakdeddtans
lselotE
2 tapies of plen thoriig 6eem 8 Window arzes; Pouted tound OaBign: ete. . .
-
' 1 site sunref fot eddAlone 6 tleeks
Addlfien-ind'mateBarsihsepficeyalem
.... . . . ... ...
t'e
...: ??'
Y: N
.
t BBI OIEIIB/gy ClkNoOM ..
3 wpias e1 Tree Preservatim Pmn if lol platlW after 711r93. : . -
Rim Jaisl DenB Options xlecibn sheat ?buiidngc otA 3 or lais uniMl
Mumega= ma:lwnical vaailetion foffn
Date
/ 6 (o
2 1 Consttucdon Cost
-
-
SitcAddress %-131-7
't/o -F necmC tb?sca 6'aro??
Acaeription of Wark
Mu1G-Famlly Sidg ` Y ? Ftireplacc(e) 0_ 1 _ Z
PropertyOwner -3?4m P?oersa?? Telepbone#( )
Contractor
Addl'Cee g'i?2I E zrQIVR City Ig\oom.n??o-•
State Zip
_ SS5' o.
5sy?26 Telephone #v;?ta )
COMPLETE THIS AREA ONL1C IF CONSTRUCTING A N,El.II BUtLDING
- Minnesota Rules 7670 Cateeorv 1 Mionesota Ru1CS 7672
Energy Code Category , ResioenYisl Venulmlon Cacegory 1 Worxsneet • New Energy Code Wmlmheel
(Jsubmissionrype) Sudmittea 5ubmltted
• Energy @nvelope Celculatlons 6ubmlHed
in me iosr 12 monms, hqs the Cify of Eagan issued a permit for o similat plan based on a master plpn2
_ Y , N If yes, dore ona address of master pla ?:
licensed Plumber Telephone #( 1 ^
Mechanical Conhactor
SewerlWater Coniractor
Telephone #(
I hereby apply £or a Residentitil Building Permit and acknoivledge that the information is complete and acpuate;
that the work will be in confonnance with the ordinanees and codes of the City of Eagan and the Stste of )V
Statutes; I understand chis is not a peanif, but anly an application for a permit, and work is not to start witttout a
pernut; that the work will be in sccordAnce with the approvod plan in the ca8e of work which requiCes a review and
approval of plans.
"%ti Telephone #(
ShoKo r. Y%X(N ?-?-•? ?-? ,,
Applicant's Printed Name Applicant's Sign ?ure