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4322 Kaufmanis WayCity of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2/07 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Type of Work Contractor Name: Unit #: Address / City / Zip: 3aa k�F�40'� Applicant is: Owner Contractor Phone: I\��r' Description of work: 1r(1 Construction Cost: 1 `5'((%), ('L' Company: '�� 1`j(OV1 O 117\c) aoL_ Multi -Family Building: (Yes / No Address: State: Zip: -\ 3 7� License #: tj� 1-13 Contact: Phone: City: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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 pllans./^^ Exterior work authorized by a building permit issued in accordance with the MinnesotaSt�te4uuilding Code must be completed within 180 days of..permit issuance. x t O1`,ss '-7 Applicant's Printed Name Appli ant's Signature Page 1 of 3 CITY OF EAGAN Remarks WILDERNESS PARK 2n? AnnT?'mnr ,. 17 , 10 4251 30 04 state FaaanT-R'lN 55133 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING - SAN SEW TRUNK 1973 I54.oa-I 7J1 ZO 107-95 -8-78 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1979 762.69 76.27 610.17 A008585 11 5 79 ?(- STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER SIDEWALK STFEET LIGHT 75.00 14156 5-10-79 WATER CONN. 270.00 14156 5-10-79 BUILDING PER. #5209 SRC PARK CASH RECEIPT ? CITY OF EAGAN ? 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ ? ? DOLLAR5 toe ? CASH F-I CHECkG . ? /t ??"?? ?t??- t,1i1 /( n s., . ?.[_/? .. . FUND CODE AMOUNT ? - A -. 7? / ??... . i? Thank You - O?CJ r ?i .., BY' White-Payers Copy Yellow-Posting Copy Pink-File Copy ?._. . ... _.... :....w.--... . ,.F . . CITY OF EAGAN " ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 . 12348 I PHONE:454-8100 ?; - BUILDING PERMIT Receipt# ??; d U /-.j To be used for ?ECK Est Value $2' 600 Date JULY 28 19 EiE Lot 1'-3 Block Y Sec/5ub. Parcel No. 2ND W Name 3 Address 0 City Phone MzowEsT FENcE Erect IN Occupancy ? PK Remodel ? Zoning Repair ? Type ot Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft Install ? Permit '--"-- I hereby acknowledge that I have read information is correct and agree to co Minnesota Statutes and City of Eagan Signature of Permittee " " !it (_ l i r A Building Permit is issued tb: MIDW'$ST all work shall be done in accordance with all applic< _ Water & Sew. Surcharge - Police Plan Review Fir SAC - e E t W C ng. - er onn. a - Planner Water Meter Council Road Unit o? Bldg. Off? ? Tr. PI. Copies $40.00 - on the express condition that f Eagan Ordinances. I I I PormH No. I PsrmR Holder I oot. I Telsphone # I Illnsaection Ost* I lMD. II Commente 1 Plby. Htp. Final Oisp. Site Address Lot Bixk Sec/Sub. Paroel # oc Name W 3 Address o _ __ f -. , . n Q? Nome ,o ?? Address hlame _ Address Erect ? Qccupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvols Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council Permit Surchorge Plon check SAC Woter Conn. Woter Meter I here6y acknowledge that I have read this application and staYe that gldg. Off. the informotion is correct ond ogree to comply with all applicable State of Minnesota Statutes and City of Eogon Ordinonces. APC Total Signature of Permittee A Building Permit is issued to: on the express conditian that ofl work sholl be done in ucrnrdance witfi all applicable State of Minnesota Stotutes ond City of Eogan Ordinances. Building Official ? cirr oF EAGAN 3795 Pilot Keob Road Eagan, MN SStZ'l N2 5209 ? PHONEs 454-8100 • B?JILDING PERMIT Rece?pt ,# Ponni! # pote 1»wd Pa Ii!!N Plumbing Mechanical ? f= 'f'f9i a 6-i3-?S' INSPECTIONS DATE INSP. Rouph-In Pinal Footings - ll Date Insp. Date Inap. Foundotion Plumbing rc9? ?s? Frome/ins. Mechanical Final Remarks: CITY OF EAGAN 3795 PiloF Knob Rood Eagas, MN 551 Z2 N2 5349 PHONE: 451-8100 BUILDING PERMIT , Receipt # To be uad for Est. Value Dcte , 19 Site Address Erect ? Occupancy Lot Blxk Sec/Sub. Alter p Zonlnp parcel # Repair ? Firo Zone Enlarge Q Type of Const. JC:Address ame Move p ?jE Stories Demolish ? Front ff. Phone Grude ? Depth ft. ? Ncme Approvols Fen ?0 ? Addresa ? rst.. Nnme _ Address Assessment _ Woter & Sew. Police Fire En9• Planner CAUntil Permit Surcharge Plan check sne Woter Conn. Water Meter I hereby acknowledge thot I hove reo this npp 'cotion and stOte 9t Bldg. Off. the information is correct and agree to comply with ull applicable APC Total State of Minnesota Stotutes and City of Eogan Ordirwnces. Signature of Permittee A Building Pe?mit is issued to: 40 on the express condition that ail work sholl be done (n accordance with all applicable Stote of Minnesotn Statutes und City of Eogan Ordlnances. Building Officinl t. rwmit # oa+e i.a.a r«.xt. Plumbing Mechanical INSPECTIONS DATE INSP. Raqh-In Final FoDtings Dafe Insp. DoTe Insp. Foundotion 9 ?. d Plumbing Frame / ins. Mechonicol Final T- Remarks: CITY OF EAGAN .,. ? . 16259 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for `?? _%?;Y : Est. Value ? I. -wo Date AEL-6 19 Site Address ? i32 LArJ' '!' ? ? ?• AY Lat 13 BIOCk 4 SeC/Sub. '?-? ?i?Ea•`_' r? OFFICE USE ONLY P8fC81 NO. Occupancy FEES Zoning - W Name i' `" ?*3 LTI:?v (Actual) Const - eldg. Permit j6• 3 Address 4322 KAL II'FANS t; (Allowable) - 5 I • C.( 0 urcharge City F+^,Phone 452-5635 #otstories - Plan Feview Length _ o Name BOB ??`r?t??•l Depth - City SAC ?Q Address 51`+1 Li 14!?T'?; ?? S.F. Total _ , cc SAC. MCWCC ~ CIh/ Ap?? ????-y Phone 423°5494 S.F. Footprints - Water Conn On Site Sewage _ ? F W Name On Site Well - Wate Met r r e Addr2SS MwCC System - ?= a W City PhOt12 City Water - Acct. Deposit d SiW P PRV Reqwred - erm I hereby acknowlege that I have read this application and state that the Booster Pump - S.-'W Surcharge infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROYALS Aoad Unit A Building Permit is issued to: ?? ?URASsA Planner - park Ded. on tfie express condition that all work shall be done in accordance with all Cou^cil - . SG applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pti. _ CoPieS Building Officiai Variance - TOTAL 3 ?. S? PermH No. Permh Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Commenta Footirgs I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. ??- ; Freplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector- Notily Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Wall Pr. Disp. 41Oh1TfZAC-'TOG NE7-IT &-IT oF Bu`.rNESS. WOM6q.ruEYC rrWlf---? k/Or-IC , ViO (kSP6r.TOf,13 • Meuo -r- 'RH 6. C-.c.LG7KJcAf- F*.uet), t CITY OF EAGAN 3795 Pitot Knob Road Eogen, Minnesota 55122 .. P6one: 454-8100 BEATIM PERMIT ?b"1'IQQ AtR ROM Dute: 6-12'"79 Receipt No.: Single Site Address: 4322 rumi`'?fli``?'s kW Residential No. ]„466 X Lot 13 Block 4 Sub/Sec? PArk 21Y-? Multi Res., Comm./Ind. I Name S `it Kin4w New/Alter./Repeir S 0 Address ? ?? ?? Ave• ?`• Cost of Installartion City ilivex ??its• Phone: 4'"5-- ll?'O Permit Fee 20.00 t'j.ru?s tieati.Ig ;. ` Name j`'? 5urcharge i Address 15963 Fc7M A-JM-ti!- ? e c? :>?c?- ?r.,?-t? .t?'7-- - •, City Phone: ` Totol ._` . This Permit is issued on the express condition that all work shnll be done in accordence with all applicoble Stote of Minnesota Stotutes ond City of Eagan Ordinances. i Building Official , cirr oF EAc,AN 3795 Pilot Knob Road Eogan, Minnesoto 55122 Phone: 454-8100 ? MMLW' PERMIT Dote: 6--I1-79 _ ?,-?•?.?;?an?_:> `?°r?.I Site Address: 432 Lot ? .? Block 4 Sub/Sec.WP 2nd :•az . I Nume iiwen e° Address ^319 Cle Ave. E. ? Crty Z?r GY? Hts . Name t. . ? ? a u Phone: 455--1I80 Address 14746 So. Pbt*2ft 1.-.il No. 13?3 Receipt No.: 14675 Single I Residential ? Multi Res., Comm./Ind. ? I New/Alter./Repnir ' Cost of Installation Permit Fee Surcharge .50 AV% Ci? Phone: - . . ? Total . ? I This Permit is issued on the express condition that all work sholl be done in accordance with all appliwble Stote of Minnesoto Stafutes and City of Eagan Ordinances. Building Official 20.04 i r ITY pp ?p,?N WATER SERVIC E PERMIT 795 Pilot Knob Rood PERMIT NO.: MN 55122 DATE: Zoning; - . • No. of Units: t _ . Owner.._ ,.. Address: Site Address; "'il2?t:,?y?,?,* ' " r•; •r Plumber. ' Meter No.: Connection Chorge: Size: _ Account Deposit; Reoder No,: Permit Fee: I agree to eomplr wieh tBe Ciry of Eagon Surchorge: Ordinanees. Misc. Charger. Total: BY --- Date Poid: Date of Insp.: I nsp.; CITY OF EAGAN SEVI/ER SERVICE PERMIT 8795 Pilot Knob Rood PERMIT NO.: agun, MN 55122 DATE: Zoning: No. of Units: Owner. t- - ?. - - Address: Site Address: '3?^ ' .;j-. • ;:? ?,.r,K i]. Plumber: 1 agree !o wmplr with !he Cky of EQyan Ordieancos. By Dote of Insp.: I nsp.: _- }, , • Connection Charge: AccourM Deposir: Permit Fee: Surcharge: Misc. Chorges: Totol: Dote Paid: RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN }? I S,?/ ?5 3830 PILOT KNOB RD - 55122 `H 651-681•4675 New Construction Reouirements RemodellReoair Reauirements • 9 registered s¢e surveys showing sq. ft. of lot sq. fl. of house, and all roo(ed areas . 2 copies of plan (20°/, maximum lot coverage allowed) • 1 set of Energy Calculadons for heated additions • 2 wpies of plan showing beam & window sizes; poufed found desgn, etc.) . 1 site survey for extenor addiGons & decks • 1 set of Energy CalculaGons • 3 copies of Tree PreseNahon Plan if lot platted after 717193 • Rim Joist Detail Ophons selec6on sheet (bldgs with 3 or less umts) DATE 1 ? VALUATION (EXCLUDING LAND) 4 JOB SITE ADDRESS 3 Z2- ?1'rfY?ccrot S Wac-L/ IF MULTI-FAMILY BUILDIN , HOW MANY S? PROPERTY OWNER ?- 71 k TYPE OF WORK '"r o o-b "Jqwagf_l 60-4e.rS FIREPLACE(S) _0 _7 _2 _3 APPLICANT SELA ROOFMQ & REMODEUNG. ??- PHONE # (p(Z -Sz 3 - ?a 5/;C 4100 EXCEL R BLVL). ADDRESS gT I (1? PARK MN .r,5d1f ZIP CODE PAGER # CELROW10 FAX # NE1V 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 _ MINNESOTA RULES 7672 New Energy Cade Worksheet Submitted Plumbing Contractor: Pluinbing Syslein Iucludcs: Mechanical Contractor: Vicchsmical Systan Includes: Sewer/Water Contractor: Phone # Phone # Fee: 890.00 Tec: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this apptication, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signalure of Applicant,? ??,(A_L? / /G.? 1'fYl?AXid? ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 _ Water Sottcncr Water Heater 1V0. Ot B1I}1S Phone #: L.awn Sprinkler \o. of R.I. Badis Air Conditioning Hcat Rccoverv Svstcm OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS•plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foo[ings(new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundahon HVAC Drain Tile Roof _ Ice & Water _ F inal Other _ Framing _ Pool Ftgs A's/Gas Tests Final _ Fireplace _ R.I. _ Air Test _ Final _ _ Siding Stucco Stone _ Insulation _ _ Windows (new/replacement) Approved By Base Fee Surcharge ?lan Review MIC/ES SAC City SAC 'Nater Supply & Storage S&W Permit 8 Surcharge rreatment Plant ?lumbing Permit Vlechanical Permit _icense Search ::opies Dther rotal Building Inspector crrr oF ??r??N . Z, 3795 Pllot Kno6 Reod Eagen, MN?55122 N? 5349 R ?' PHONE: 454-8100 ???? BUILDING PERMIT APPLICATION $8000. Receipt # --L??'? 70 6e u.ed fors?"?ing Pool Fen? ya?ue oareAug 3 ?q 79 S?re Address 4322 Kaufmanis W. E,?r ?x p«„pa„?y R3 Lot 1381ock 4 Sec/Sub. ?8rk II Alter ? Zoning Ri pa?? #. Repoir ? Fire Zane 3 Enlarge ? Type af Const. V w Name Mike H11tOi1 µo?e ? #' Srories ?- 3 qddreu Demolish ? Front fr. ° Grode ? Depth 35 ft. CI Phone Minn Pk Pools Prod Avv???s Fee? p ? Nume g 6922 SSth St. N Assessment ? Addreu ' ? ?? No St. Peul phone 770-1313 ater & Sew. ?'? Pol ice ? W w Name Fire ?? Address Eng. <w CI Phone Plonner Council I hereby ocknowledge that I have read this application nnd state thot gldg. Off. the informotian is correct and o9ree to comply with all opplicable State of Minnesota Statutes and Ciry of Eogan Ordirwnces. AP? , ? ? ti `m ? P 2 ` -?. . ?.? ?.., 1 ?, - ? ? . Q SignMure of Permittee Permit Z/_UU Surcharge 4.00 Plan check 13. 50 SAC Woter Conn. Water Meter Totol 44. 50 n e??id?og Permn ?s ?ss?ed eo: Minn P1cg Product?' _ _ _ on the express condition thof oll work sholl be done in accordanc?/oll appli le State o/f M?innesota Statutes and Ciry of Eagan Ordinances. Building Offidal x??<????f?,/? CITY OF EdGA.V . gUILDING PERl1I'i APPLICATION? To be used •for?WlM ee,,oo, / V?aluatfon Inciude 2 secs o[ plans, i ite plan w/elevations S Net of energy calculations.+ Site Address ? Block Sec./Sub. -•? Lot ? Erect ?,_ Occupancy t _ Alter Zoning Parcel D Repair. Fire 2one ?,_ • ? Enlarge Type of Const. I? ?loN - Ovn: ??. Move i Stories ft olish D . Front S/f?MC? - Address• em - th 35" f[. De Gtade p Phone $: Co`ntracta Address: Phone 6: Arch/Eng.: Address: Phone f• Appzovals Fees Assessment Water/Sever Yolice Fire Eng. Planner Council Eldg. Off. APC Permit ? Surcharge? Ylan Check SAC Water Conn. Water Meter Road Uni[ TOTAL e CITY OF EAGAN I1T? 16258 3830 Pilot Kno6 Road, P.O. Bax 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # C, To be used for SASEMENT Est. Value $1,500 Date APR 6 , 19$9 SiteAddress 4322 KAI7FMANIS WAY Lot _13 Block _4_ Sec/Sub. WI?•DF.IZNESS PARK Parcel No. 2ND I w I Name MIKE HILTON I a Address 4322 KAIIFMANTS City F.A(:AN Phone 452-5639 o Name BOB BOURASSA g? Address 5151 W 148TH ST City ApP -? VA1,I•FV Phone 423-5994 Name _ Address Phone I hereby acknowlege that have read [his application and state ihat the mformation is correct d a ee to co pl'p?yith all applicable State of Minnesota StaWtes a Cdy o Eag n rtlma bes SignatureofPermite"`'"?`1'? A emldmg Permrt is is? -?--? d ro: BOB BOURASSA on the express conditwn Ihat all work shall be tlone m accortlance with all applicable State of Minnesota Statures and Crty,of Eagan Ordinances Building OHiaal OFFICE USE ONLY Occupancy Zomnq (ACtual) Const (Allowable) # of5tones Length Depth S F. Total S.F. Footpnnts On Site Sewage on Sne wan MWCC System City Water PRV Required Boos[er Pump APPROVAIS Planner Council Bldg Off Variance 81dg. Permil Surcharge Plan Review SAQ City SAC,MCWCC Water Conn W atar Meter Accl.DepoStl SlW Permil SIVJ Surcharge Treatment PI Road Umt Park Ded Copies TOTAL FEES 36.00 1.00 ..')U 37.50 r .`, BUILDING PERMIT APPLICATION SF Dwle & 000. Site Address 45L.L AvsIFEEFRER? K 4?_ ,?t„/, l Lor 13 el«k 4 Sec/Sub.Wilderness Pk. p„cel # 10 84251 130 04 rc Name Pat Kirwan ; Address 7319 Cleve Ave. ° Ci Inver Grove Htspho„ o Name Same ? Address Ci Phon f ?w Name z Addreu I hereby acknowledge that I hove read this application and state that the information is correct an grc to comply 'fh all applicoble StaM of Minnewfo Statut and City f ga rdirwnces. Signature of Permitte A Building Perrr,tt is iu d ro: Pat K rwan oll work shall be done in occa a?b wifh all ' I?Stnte?f Mir Building Official .-6 A",`--/;? cirv oF enGAN 3795 Pilot Kna6 Road Eagvn, MN15122 PHONE: 454-8100 N4 5209 Receipt # ? Erect M OtcupancY K3 Alter ? Zoning Rl Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move 0 .# SMries Demolish ? Front 53 {t, Grode ? Depth 44 ft. Approvab Fees Assessment Permit 162.00 Water & Sew. Surchorge 32.50 Police Plan check $1•00 Fire SAC 525.00 Eng. Wafer Conn. 270. 00 Planner Water Meter 60.00 Councli Road Unit 75.00 Bldg. Off. APC 0 Total 1,205.5 on the express wndition that aota Stotutes ond City of Eogan Ordinances. ? --? CITY OF EAGAN 3830 Ptlot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N o 12348 BUILDING PERMIT PHONE: 454-8100 Raceipt p z5-0 7Y Tobausadfor DECK EsLValue $2•600 Date JULY 28 19_ SiteAtldrass 4322 KAUFMANIS WAY Erect 99 Occupancy Lot 13 elock 4 SeciSub. WILDERNESS PK Remodel 1:1 Zoning Parcel No. Phone i`o Name MIDWEST FENCE $i Address 525 E VILLAUME AVE ? c;ry S ST PPA;;ne 451-2221 Repalr ? Type oi Const Addition 1:1 No. Stories Move ? Length Demolish ? Depfh Int. Impr. ? Sq. Ft. Instell ? ApprOY818 F868 Assessment_ Water & Sew. Permit q'O --'V Surcharge 1.50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Police Neme Fi re ? ? Address En g. W `a ciry Phone Planner- I hereby acknowled information is corre Minnesota Statutes read this to como Council andstatethatthe Bid off. 7/28/86 )pJjcable Siate of 9' Signature of A Building Permit is issu, all work shall be done in Building Official MIDWEST with all appliq Date i Copies-.-? ? Total - on the express condition that Eagan Ordinances. Minnesota State Board of Electricity 11154 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOKK COVERED BY THIS REQUEST ,R44912 Type of Building New Add. Rep. Check Appliances Wired Foi Check Fquipment Wired For Home ? ? Range ? Temporary W'ving ? Duplex ? ? Water Heatei ? Lighting Futures ? Apt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Furna ? ? Silo Unloadet ? Industrial Bidg. ? ? ? Aic C er ? Bulk Milk Tank ? Fazm List rs List h ts? Oth c ? ? ? ?ere e ?e COMPUTE INSPECTION FEE BELOW Remarks TOTALFEE ZSF m I, the Electrical Inspector, hereb cer at th b e}nsPection has been (Rough-in)_ _ Y ???75 Date -/?' ?iCO ? (Final) , rDaten; ? ? 7 y This request void 18 months from (/cJ. C.(i'/`??`? This reauest void 18 months from 1 R44912 Date of this Request ?-"] LL 1, as l? Licensed Electrical Contractor ? Owner, do here y request inspection of the above electri- cal wiring installed at --- z Street Address or Route No. ! o /o c rE ? t/, &&4,otS Section Township Range County Which is oby P„k I4 (Name oi OccuDanq Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will CaWV PowerSupplier ba?, o?r.-Address Electrical Contractor r Jis,J ?Contractor's License No. _ (CO?m7p/any Name) ?7 / ?1? MailingAddress ?.0 1 '7 S /lhn?.4 FF? ?iL?.a_/L. /l?l.? SSc??9 AuthorizedSignature ,? p!?w?- PhoneNo.Y3 2"`K(/'7 (ElecKica) Cantractor or wner Making Thls Inztallation) ?C' ?i' /??? ??=? U5?? +s O?(p?? (j' n, .?.J This inspec4an request will not be accepted 6y ffie e? ? ?y( \z? V State Boerd unless proper inspection fee i: endosad. 1 ' ' , ' . - one 645-7703 Rf'flUEST FOR ELECTRICAL INSPECTIONc CHECK BELOW WORK COVERED BY THIS REQUEST 0, ? y r Type of Building New Add. ep. Check Appliances W'ved For Check Equipment W6W Fo[ Homy ? ? Range ? Temporazy W'ving ? Duplex ? ? ? Water Heatei ? Lighting FiacWies ? Apt. Bldg. ? ? ? Dryef ? Electric Heating ? Commeccial Bidg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'u Conditionec ? Bulk Milk Tank ? parm :1 11 11 List ) L ist Other ? ? ? p } Hehelsf p Aerers ? COMPUTE INSPECTION FEE BELOW A RVA IL A ' (Final) _ This request TOTAL This request void 18 months from r' ? -' ?p ,? / Date ?off ?s Request /4 . S ?? o I, as ? L i censed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: 4 13, 9'/- f??f/, G n ? Street Address or Route No. ?"?O?? Gt?Gf2Bh 4 J? Cit ? Section ' Township ' Range County ftO A, ,Tt,? Which is occupied by ? Is a roughin inspection required on this job? No ? Yes,R I Ready No?je Will Call ? Power Supplier Electrical Contractor j?e/? AJ?Vr& Nam Mailing Address 3'co?7a7rty(- (Elettrital Contr orJ Authorized Sienature /p( . XJAIIO [Elfctrical Contractor or OWn SIM o OMD QOPY ?- Contractor's License'No. q!?-fs No.? This inspection request will not 6e accepted by the State Board unless praper inspection fee is enclosed. ,-31bM/SS9 REOUEST FOR ELECTRICAL INSPECTION ea-ooom-m ?$ee instmcLOns for comple0ng this lorm on beck ol yellow copg ?/? v % [? g 5 898 "X" Below Work Covered by This Request '4e% Add Rep. TypeoiBuilding AppliancesWiretl EquipmenfWired Home Range , Temporary Service Duplex W Electric Heafing Apl Building Dryer Other (Specity) Comm./Industnal Furnace ? Fartn ' AirConditioner .j. Other (spenryJ CorilraclorS Remerks. Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 700 Amps Transtormers Above200_Amps Above.t00_Amps SIgnS Inspectorg Use onry: ? T07AL ? IrrigationBooms p7 ??/ Special Inspection ? Alarm/Communication Other Fee ? ? I, the Electrical Inspector, hereby it h Rouen,n o yt cert attheaboveinspectionhas been made. Finai oa OFFICE USE ONLY Tliis request void 18 mOnihs Imm 3;6;W/ss? ?i? . ? ? ? 958 98 ?? Request Dale ` Gre No. Rwgh-m Inspactron R ulretl> ? Ready Now AI Notiy Inspecror Ves G No an Ready? 10 licensed contractor *owner hereby request inspection of above electrical work at: Job Pdtlress (Street, Boz ar Raute Na.) Ciry i? &)Gl.4 ?^ G Jv Sectlon No Township Name w No. F)finga No. Counry 114-4-6 rh OccupaM (PflINT) Phone No. 14 56!3 9 PowerSupplier ? Adtlress EleWipl CoMracta (COmpany NBme) ContraclorS License No. Mai6ng AGEress (Conirector or Gvner Mekmg Installallon) ANhonzetl 5ignature (CoMradar/Owne 'ng Ir?sJal?l <Y PMm Number MINNESOTA STATE BOAqU OF E TPICITY THIS INSPECTION REQUEST WILL NOT GrlggsMldway Bltlg. - Faom S1 BE ACCFPTED BV THE STATE BOARD 1821 University Ave., $t. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (672) 612-0800 ENCLOSED. .; Address "7 3 -9`9 /r!? ? /3 '?3 "Y e GU CORRECTION NOTICE R ta- DATE: / v Site Name Owner/Agent Telephone Owner/Agent Address Ordinance Nos. and Corrections - Correct By for reinspecvon Eagan Dept. oi Inspection InSpectOl': 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Dept.: 1/ RESIDENTIAL BUII.DING Permit Applicatiou City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWClion ReauiremenLS RemodeVReoair Reauirements Office Use Onlv 3 registered sile surveys shovnng sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 sel of Energy Calculations for heated additions Tree Pres Plan Reod _ Y_ N 2 copies of plan showing 6eam & vnndow sizes; poured found design, etc. 1 sile survey for addNons & dedcs Tree Pres Reqd _Y _ N lsefofEnergyCakulations Addifion-indicateilon-s8esepticsystem On-sAeSepticSyslem _Y _N 3 copies W Tree Preservation Plan if lot platted after 1/1193 Rim Joist Detail Options selection shcet (bldgs with 3 or less uniis Date 63 Construction Cost 6t Z Site Address Unit/Ste # DescripHon of Work mjS mL(. 6.45 /??`?LLr /_',? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ( 1/_ 2 ?/ Property Owner /V-C)Q / Telephone # ((pV ) /a,hG>'cgy 4 ? Contractor Address Ay,)'7 r3 City (3?n?"? State Zip 5;33-7 Telephone # ( gSL ) ?% ? " '?? ?? COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionlypa) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete that the work will be in conformance with the ordinances and codes of the City of Eagan and th Statutes; I understand this is not a permit, but only an application for permit; that the work will be in accordance with the approved plan in t approval of plans. A`- ) ApplicanYs Printed Name ApplicanYs $ t) 6 °?° and accurate; e State of MN is not to start without a ;h requires a review and OFFICE USE ONLY Suh Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Glve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other RooF _ Ice & W ater _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector L( ? RESIDENTIAL ? I BUILDING PERMIT APPLICATION J? I? S cirr oF E?GaN ? 3830 PILOT KNOB RD, EAGAN MN 55722 651•681-4675 Naw Conekuctlon Reautrememe PemodeVHaceir Heaulrements • 3 repistered eNe 5urvey5 showhg sq. ft. oi bt, sq. ft ot house; antl p!I roofed areas • 2 eopies ot plan (20%m"mumlotcoveragealbwed) • 1 setofEnergyCalculatbnsforheatetla00itbns 2 copies of plan showing beam & wndow s¢es; poured tound tlesign, etc.) • 7 sne survey br exnedor atltlilions & decks • 7 set of Energy Cakulatbns • Ind'Cate il home servetl by septic syslem for additbns • 3 copies W Tree Preservetbn Plan B bt platted afler 7/1193 . Rim Joist Detail Options selectbn sheet (bldgs with 3 or less unAS) DATE C0- ?6 " d Z VALUATION SITE ADDRESS q 3 ZZ ?Q v?fvin.v? c t (MULTI-FAMILY BLDG _ Y _ N NPE OF WORK? fiC L mrn4- {2.nj4p FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING, INC. APPLICANT 4100 EXCELSIOR BLVD. STREET ADDRESS ID #0001050 CITY STATE _ ZIP TELEPHONE #CukZ<dZ3-9-041?CELL PHONE # FAX # PROPERTY OWNER ?rk- I-41o L TELEPHONE #(,Sla -------°----------------- ° ----------------------------------°----------------------°- COMPLETE THIS SECTION FOR °NEWH RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 M ??I{? (J submiaaion type) • Residential Ventilation Category t Worksheet Submitted • ne e??V s t? • Energy Envelope Calculatlons Submitted ? JUN 1 0 2002 I Plumbing Conhactor: Plumbing system includes: Mechanicai Contracfor. _ Mechanical system includes: Sewer/Wafer Conhactor: _ Air Condirioning _ Heat Recovery System Phone ri Phone # Fee: $70.00 --------------°------------------------------------- I hereby acknowledge that I have read this application, state That the information is correct, and agree to comply wtth all applicable State of Minnesota Statutes and CiTy of Eagan Ordinances. Signafure of ApplicaM x?,-"? - ?Vv' y OFFICE USE ONLY Phone # _ Water Softener _ Water Heater _ No. of Baths Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ uPaaeed aio2 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level 13 24 Stortn Damage ? OB 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Ihain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wal] Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector ToWI _.. ? 1986 BIIILDING PE1MT APPLICATIOg - CITY OF EAGAN HOTE: ALL CONTRACTORS MOST BE LICENSED fiITH THS CITY OF EAGAN SIAGLE FAMII[,Y DTiEL.LIliGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[II,TIPLS DWELLINGS - RSSIDSNTIAL INCLUDE 2 SETS OF PLANS, CE@ 1 SET OF ENERGY CALCULATIONS COHAIERCTet. RENTAL iJNITS FOR SALB DNITS OF SDRYSY - CHECK flITH HLDG. DEPT., INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To He Used For: C ? Valuation: Date: G{!???'/ C?S S1te Address /)9u -/-y19f{his W64Vl OFFICE DSE ONLY , r Lot -L]? Block ? Erect x Oeeupancy Q Remodel Zoning Parcel/Sub Repair _ Type of Const '/ Addition 4k of Stories Owner y?' /r1i ?hen ? fF ?z)n? Move _ Length Demolish Depth 9ddress 43aa Ru 3 Int.Impr. _ Sq Ft //?, Install City/Zip Code ?F15'?Ivl ?,lh Ss/lz Phone 4-5- ? - 56 3 9 APpROoALS ?? /y? Contractor /?/,cf i ?,q 5- Assessments Perm3t ? ? , Water/Sewer Surcharge I, z Address 52$ E Ur AL<iMP ? Police Plan Review City/Zip Code f7)o .??, ?aA-? 5~Ja7,? Fire Engr SAC Water Conn Planner Water Meter Phone Council Road Unit Bldg Off -? Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOT9L 40. City/Zip Code Phone # ROTE: ADDRESSES FOR CORNfiR LOTS - CONTRACTOR/HOMEOHNER MDST DESIGN9?fi WHICH ADDRESS IS DfiSIRED. NO CHANGES WILL HE ALLOiiED ONCS BDILDING PERMIT IS ISSIIED. t ? BL'II.DItiG PER`!IT >P.°LTCaTIO': ? ? 7 . DATE ?/ Include 2 sets of plans, 1 site plan w/elava[ions ar.' 1 set of energv ca?.:ua ' [ions. ? To be used fur •• Valuation akJ Site Add:ess: .[?3?? i-=?+'- ??1??n C'S Lot Block Sec.!Su6. Parcel Nurber /31 D CJ, 0+.nar Telephone Ad,irass ?ig/?F Phone Con[ractor Tele aL'=tes5 i 25: ?- Arch/Eng. Telephene pddrzss OFFICE CSE OVLY Erect I/ Occupancy ir3 i? 2oning p .er Rzpair Fire Zene v Type of Const. Enlarae 9 of Stories !tove Dec+olish Front Grade Depth ? Date o.' Anpro 1 and Initial ' s r ? ? y/7 -r/ sessm Watar/Sewet Police Fees ? Permit a Surcharge ,3 Ylan Check SAC . Fire En3lneer Planner Council Bldg. Off. A.P.C. Water Connection 'g 70 ? / c Water 'feter TOTaL t aos"15I) . EXTERIOR ENVELOPE AYERAGE "U" COMPUTATION r ONNER M&tiJ4 E-t 1 N i 1-76 ni _ d/4 • F?e.c SI7E AOORE55 .4c-11.3 e:?-?/-,c.l CONTRACTOR f% DAiE PHONE `r'57. 116 p Determine working square footage of each. 1, Total exposed wall area .,.,,.-L ???J sq..ft. x ,17 2. Total roof/ce;ling area ....., ('Q72.od sq, ft, x ,05' • 7?66 Total exposed v:ail area above floor • Iy6-60 a. Total wail window area,,,,,,,,,,,,,,,,,,,,,,,,,,, .S nc? h. Total door area ................................. c. Total sliding giass door area ................... rzo.oG d. Total fireplace wall area,,...., .,,.,, e, Total watl framing area (average 10%)...,....,,., f, Total net wall area above floor ................. ?/5?1 l? S g. Total rim joist area ............................ _IG 3-z0 Total exposed foundation araa =( eq,d h. Total foundation window area,,.,. ............. 3> I. Toal net foundation area above grade g.? Determine "U" value of each wall segment, a. P- Op X Run b, S3- 40 X ??o C._ tz O. 06 x pull . 5-? • ?f4-(- • /7 a 6 7 Sl a. --- z Alun I . ? @. X "(J° .(Z y -.-J-L:? r, 90- 3o x °u° . 07 • al :73 x °u° .oG • -7 n._ z °u° .67 ._/D-it' t.. X ^u° .- y7 • e") 3............ e.?(.Vr,J?f ..............Total • Z7?- £ lf item 13 is the same as, or less than item /1, you have aaet the fntent of S8C 6006(c)2. . ... y ? ?otal exposee roof/ceiling area = g72.nv ? j, Total skyliqht area............................. k. Tota; roof/ceiling framing area (average 10%)... ? i. Total net ir.sulate6 roof/ceiling area...,.,.... Determine "U" value for each rooflceilirtq segment. X Mull e k. X "U" ¦ ,. t. (U7Z-d0 x „U„ ,or = 7 -6-o ...'..... 4 ..................../ V ` Total If total of 04 Ss the same as, or tess than 12, you have met the intent of SBC 6006(c)1. Alternate Buildinq Envelope Design To utilize the totat envelope system method, tne values established by the sum of items A3 and 44 shall not be greater than the sum of items !1 anA B2. ,, 33a-7y .--' z. 4c4.7 ?7, 3. Z 7S g? + 4. 7?.GD =? 4rr/'-Y? $804 Melody lane Bumsville, Minnesota 8963063 WEP/A CO. PLAN SERVICE ED ANOERSON ARCHITECTURAI DE9IGNING ANO pLqNNING 01fICQ: 1129 Cliff qoad Burnsrille. Minnesota Office. 8944636 .? ?k 1989 BIIII.DING PSBlIIT APPLICATIOA - CITY OF EAGAN 3INGLE F6MILY DWELLI9GS I 2,? 4 INCLDDE 2 SEPS OF PLANSP 3 CERTIFICATFS OF SIIRVEYp 1 SET OF ENERGY CALCULATIONS NOTEs ADDHESSES FOB CORNSR LOY3 - COATRACTOR/HOMEOWNER MOST D£SIG89TE OHICH ADDRffiS IS DFSIHED. HO CHANGES iiILL BE ALLOfiSD ONCE SOII.DING PSAMIT I3 I330ED. MQLTIPLE DWELLING3 HSP'!9L D9ITS FOH SALS DHTTS i OF DHIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3UEVEY - CHECB WITH BLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COt9dERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSo 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCIILATIONS To Be Used For: -R7P'Fr161?1" T«11S# Qaluation: f S°? Date: S, L' Yot Site Address ?? Z ?akTjv?a.J %S" U1q4 Lot 13 Bloek y Pareel/Sub Owner e ., . H e Jy? -I7 2 , Address ?1322- City/Zip ss?Z3 Code ?/4-.i -? Phone ?SZ- }G3?J Contractor /s o ?i /? c..-w st ? Address City/Zip Code Phone -V 23- 5'?i g'/ Oecupancy FEIs'3 Zoning Aetual Const Bldg. Permit 3.L.oa Allowable Surcharge /,o 0 S of stories Plan Review Length S9C, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Aect. Deposit On site sewage S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Onit PRV required _ Park Ded. Hooster Pump _ Copies ,Sd TOTAL 3ry,5? APPHOIIAI.S Planner _ Couneil Bldg. Off. Variance Arch./Engr. Address City/Zip Code Phone 0 NOTS: Seaer & Water Permit fees and aceouat deposit fees rrill be included in the buildiag permit fee. Processing time for sever and xater permits ia two daya onae a licsensed plumber has applied for a permit at City Hall. ?. • 11 i et 3 O ? ? a 0 ? N Q; 1 KR(?? MA?llt? ?.vK`( ? ? L,o-r %3,3t-k.a u,iL.Ompirx r1p,c Pt.oT OLAPJ S lTLO?n t TW(kq nY)x, O'_O' E7C,iA? , MN. 0 1 ? P O ? N i j ? ? ; ?- i .(j?,, ? • . . ? `- .. / G e `Zs /`?? iJ :? : . ?. g ? ?' ? 3 1Zq 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION *5-0s-n CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Gt 1 0°l ! ?6 ? Site Street Address ?3?- L Unit # PropertyOwner ?-4- Q C-y?k6 co? Telephone# &51 )la&v' WY5 Contractor?A?..r-}- ?,tCsJ? Telephone# (??)68(0-N(45- Address t-L37?- ?? City } F. oa,n State ?N Zip 551Z3 The Applicant is: ? Owner _ Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: r2vv.c??v??abt??aex ravN?. hw?iv??yu??c. ,'!? $ 50.00 _ Water Softener Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $5D' ? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 1 1"1 ? 1 i c r1k ApplicanYs Printed Name Ap li anYs ignature ? Lo31a3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-56?75 FAX # 651-675-'_ ?I?'Ce.LS i lolf NewConsWCtbnReauirements Remodel/Repair rReauirements : s On1 3 regislered site surveys showiig sq. R ot lot sq. N. of house; end all roofed areas t xrt of$urve:Recd ?Y (20%maximumlotcoverageallowed) i f l h i b i d i d f d d i = Calculationsforheatedadditions dditions & decks [f{eeP?PWn ,E?ecQ ?'t9'8'P res Req?iiAd ?vf? es o p an s ax ng eam 8 w n ow s zas; poure oun es gn, etc. 2 cop a . S ti ? _Y isetofEnergyCalculations teilon-sdeseptlcsystem Onsfte ep nSys em_ ?H 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Dehail Options selec6on sheet (bldgs wdh 3 or less units Date 1?31 / 09 Construction Cost UCY) Site Address UniGSte # Description of Work Kco r(x? 1 Y? ?'la S ??2v? arcy.. i r.?a w?-? ? v aa '? \`'? ?' e?ci s?i n Multi-Family Bldg _ Y-X N J Fireplace(s) _ 0?0 1 _ 2 Property Owner Telephone #((05 t ) b&G -+?5 ? Contractor s ,4- Address t-k%ZZ City LC?q1, State l\A N Zip ?S ! Telephone # (Co51) l¢g1a -$? ?(.S COMPLETE THIS AREA ONLY IF Energy Code Category Minneso[a Rules 7670 Cateeorv 1 - • Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( N, If so, 25% plan review 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 wark 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 ofplans. A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted I<r 4 A,.- 9-C O k ApplicanYs Printed Name App il anYs ignatltre OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-pleX ? 12 12-plex Plbg_Yor_N ? 25 MiSCellane0U5 Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bidg) - Give PCA handout to appliwnt Valuation /D R?O Occupancy MCES System Census Code Zoning ? City Water SAC Units Stories '- Booster Pump # of Units Sq. Ft. PRV l- # of Bldgs Length -' Fire Sprinklered ? Type of Const ? Width ? REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) • Plumbing ? Foundation- ca29 !•'?« ?Y's"?S ? HVAC _ DrainTile 3 1elck Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing Siding Stucco Stone Bri ck Fireplace R.I. Air Test Final ? Windows bj'r7r _ Insulation y _ Retaining Wall Approved By: Building Inspector Base Fee ? Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI f ? Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheck5oftwaze Version 3.5 Release ]d Data filename: C:1Program Files\Check\REScheckUiicokmk PROJECT TITLE: Hicok addition COLJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 02/12/04 DATE OF PLANS: 2/9/04 PROJECT DESCRIPTION: 4322 Kaufinanis way DESIGNER/CONTRACTOR Home Owner PROJECT NOTES: Closing in existing screen porch for 4 season space COMPLIANCE: Passes Maximum UA = 323 Your Home UA = 312 3.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont, or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1677 11.0 48.0 29 Wall l: Wood Frame, 16" o.a 1488 11.0 2.0 102 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 92 0.310 29 Window 4: Above-Grade: Wood Frame:Double Pane with Low-E 60 0310 19 Door 1: Glass 40 0310 12 Door 2: Solid 17 0.280 5 Door 3: Solid 17 0.260 4 Wa112: Wood Frame, 16" o.c. 184 19.0 2.0 10 Door 4: Glass 10 0310 3 Basement Wall 1: Masonry Block with Empty Cells 1096 11.0 0.0 65 Wall height: 8.0' Depth below grade: 7.0' Insulation dep[h: 8.0' Window 2: Basement <= 5.6 ft2:Metal Frame:Double Pane 13 0310 4 Window 3: Basement> 5.6 ft2:Wood Frame:Double Pane 13 0.560 7 Floor l: All-Wood JoisdTruss:Over Unconditioned Space 120 30.0 0.0 4 Crawl L Masonry Block with Empty Cells 196 0.0 10.0 19 F?2i OM :*BRUC B I RKELRND Depth bclow grade: 3.0' ]nsulation depth: 3_0' Furnace 1: Forced Hqt Air, SO AFUE Proposed and Marimum Lt-Factor Averages Abo+re.Grade Windows and Glas, Doors lacludes Foundation Windows> 5.4 ft2 Foundation Windows <= 5.6 A2 Ftonrs Over LJncanditioned Space FFIX N0. : 6129258286 Feb. 11 2004 08:00PM P2 Prpposed MBximuM Average LI-Factm Aliowed U-Fador p325 0370 0310 0.510 0.033 0_033 COMPLIANCE STATEMEN'F: 'Che proposed building desigi dcscribed here is cafsistent wi[h the 6uilding Plans, specificaY1°°s, s¢d otha calcutatioos sutnnitted with thc nermit applicalian. The proposed building has been designad to maet flxe 2000 N1i»nesota Energy Code requirements in ItEScleckVcrsion 3.5 Release I e(frnmerly h1ECchecA snd to comply with the mandgtory on Checklist. requiremeuts lis6ed in th5IREScheckln WOM Builder/I7esigner?/?,?, PAGF/C POOL e PAT10 . . . . MINNESOTA PACKAGE PRODUCTS, INC. 6922 55th Avenue North NoMh St. Paul, Minn. 55109 Phone 770-1313 CUSTOMER POOL SI2E_ Directions to job Yes ? No ? DATE TYPE 1 Diagram pool site in relation to house, garage, property line, and wirea (Allow 3" variance) J?}. /J ? ? f? R {, ---X ? ? l#i,, ,;/," :V 141ef/a 1. Indicate deep end by (X). 2. Mark location of filter and/or heater by (#2). 3. Indicate approx. elevation of pool in relation to a permanent fixture on the property. If there is no permanent fixfure, mark the diagram with the rymbol (A) at grade point. , 4. Will trees, clothes poles, power lines or any other obatruction be encountered? If yes, explaiw 5. Does customer wish to retain any or all dirt from pool excaration? Yes ? Nv ? If yes, explain ? r ? 6. 01icate and explain any special instructions not covered above. 7. Pacific Pools recommends that the customer construcF a retaining wall as soon as possible cfter the pool is completed. Yes E] No ? Show in diagram. 8. Customer understands that wme damage may be done to the yard and/or driveway while entering and leaving the yard during construttion. Initial here . 9. Customer acknowledges receipt of grounding instruction sheet, and is responsible for grounding and electrical wiring of the pool. Initial here . 10. Customer acknowledges the fact that he is responsible for the gas installation for heater if opplicable. Inifial here Crew Chief Use Only Inspection Required SPECIAL NOTF 70 THE CUST4MER: l. Walls ? 2. Plumbing ? If you wish to change: filter position, slope of land, extra concrete, or anything 3. Footing ? else stated in this outline, please call your salesman at the office - 770-1313. Crew 4. Electrical ? chiefs are not authorized to change anything on the job or make any promisea for 5. Other ? work to be done by them. Any changes that are not authorized by the office will be charged at a standard rate - no exceptions. Call Mr at Phone Seller Signature Customer Signature Date: CityEaanof 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 0 31014 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ) 10 Co Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: i } jj� Name: )V`-" (..,/U1 Resident/ Owner Address / City / Zip: '.4 Applicant is:! Owner r Unit #: Phone: Contractor Description of work ` .4�v-Yrl ) j j ✓ 1 t Type of Work Contractor Construction Cost: Multi -Family Building: (Yes / No 1 �9 /� i r n Company: Address: City: State: Zip: Phone: License #: (1 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.gooherstateonecall.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 Minnesotte Build Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 MAY -19-2016 10:34 FROM:TREBILFOUNDATION SYS 3205938720 TO:16516755694 P.2 410`City otEagan Date: 9830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (661) 6755894 ,,'" 2L)16 Use BLUE or BLACK In For Office Use Permit #: /3673 ) Penult Fee: /‘0 - v Date Received, 1 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resldenv��%% Owner Name: di It l eo2e_ntz G Phone: , ///r Address / City / Zip: 43;za � a 11" PD Applicant le: Owner X.,_ Contractor TypeofWorkDescriptinofwort ut�Gi%SLI'!✓W1 £3uh_Z& P Construction Cost: M I Multi -Family Building: (Yes / No _, Contractor _ Company; fQ 1 / d l t U ' Klilm ontact: O/iarjt Address: it d ?sr iJ .y 4 /( t /aLi``Gity: L , r State: /gill Zip: ;76-36-5--- Phone: ?19 0 r A 3 , 9 ?% License #: «« iiirbetic Lead Certificate 0; '" / OG gal A If the project is exempt from lead certification, please explain why: (see Page 3 fadditional Inform tion)] M/ ►J In the feat 12 months, Yes No if yes, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING hae the City of Eagan !bawd d a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Mechanical Contractor. Sower & Water Contractor: NOTE: Plans and the information Phone: Phone: Phone: supporting documents that you sutimit ere consld®red to be public lnformnoiion. Portions• oP may he classified as non-public if you provide specific reasons that would permit the City to . conclude that they are trades secrets: CALL BEFORE YOU DIG. Can Gopher State One Call at (851) 454.0002 for protection against underground utility damage. CaII 40 hours before you intend to dig to receive locates of underground utilities. wwwg9onerstateonecall,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 1 understand this Is not a permit, but only an application for a permit, and work is not to start without a penny; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pians. Exterior work authorized by a building permit Issued •In accordance with the Minnesota Stab Building Code must be completed within 180 days of permit Issuance, Xl%i414'4'DO NbT WRITE BELOW THIS LINE SUB TYPES sr, Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ' ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Interior Improvement Move Building Fire Repair Repair V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: 7. 401 %t ), (7/& t RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final _ Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant 'r' j1 L. -vito MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required w Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Page 2 of 3