4311 Kirsten Ctr-.. CASH RECEIPT %
?
,
? CITY 'OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RtCEI V ED
FROM
AMOUNT ,$
R DOLLARS
?oo
E]CASH EICHECK
FOR . : / '. . _.j
FllND COOE AMOUNT
Thank You "
?vv BY
?.-
- ':? ,: ,
White-Payers Copy
Vellow-Posting Copy
Pink-File Copy
CITY OF EAGAN AT
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 8995
PHONE: 4548100
BUILDING PERMIT
Te be uNd he >P M4G/G
Site Address 4311
Lot ? Block 1 Sec/Sut
Parcel No.
et Name OXFORD CtIT!;
? Address P.O. B:!X 29
9 City F3RnnKLYPi Cne
O Name `,AT'r
?? Address
? City Phone
?
WW Name
?
_? Address
Erect ? Occupancy 3
,, SUNSET 211D AIter ? Zonirg F,1
Repoir ? Firo Zone
Enlorpe ? Type of Const. ?
P. I CIC . Move ? # Stories
2 "7 Demolish ? Length
5 71_-- f' 2 5 7 6rode ? Depth Sq. Ft.-
Apprmols Fees
I hereby acknowledge that I have read this applicotion and state that
the information is correct ond ogree to comply with oll cpplicable
Stote of Minnesoto Statutes ond City of Eagan Ordinonces.
Sipnaturc of Permittee
Assessment
Water & Sew.
Police
Fire
Enq.
Planner
Council ?
Bldg. Off.
APC
Permit • 0 0
Surcharge 30.00
Plan check 156.50
SAC 525.00
Water Conn. 470.00
Water Meter Ei 3. 0 C
Rood Unit 2 60 . 00
Tota I Y 1, Fi 17 . S 0
A Butlding Pertnif Is issued to: `A' • on the express rnnditbn thm
all work shall be done iIi accqrd4nce with all appliujble.$toM of Minrxsota Statutes cnd Ciry of Eapan Ordinonces.
Bufldiny Officiol
Permit No. Parmit Holder Misc. Permit No. Holder
a
Plum6in Y
H.V.A.C. 'J?J C ? 1 P y
Well
WMer •
•
Disp.
Sewer
Ekdric LA2-?W ,?156'? ?{7?JV •
Inspection Date Insp. Other
Footinqs --/?- ?
Foundation
Freming
;i
_ ? -
., f ...i
Rouyh PI6p.
Rough HVA ?
Inwlation
Final Plbg. •' /^?y rw-)
Final HVAC
Final _
Watar Describe Location:
YYell
Sewer
Pr. Disp.
l
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
`1 Fee Lt
5
Fill in numbered spaces S/C
Type or Print /egibty
Tot. ??
7. Date 2. Installation Cost
?
y 3?? ^
? T
f '
Lot
Bik.
3. Job Address rac
4. Owner
5. Contractor ?k•?? ?? Phone
6. Address
7. City State ?' --- Zip 5 S C??
8. Building Type: Residential 8r Commercial ? Institutional ?
9. Work Description: New ff'? Add ? Alter ? Repair ?
Fuel Type
il.
No.
I Equioment BTU - M. Ea.
Forced Air .- :- No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
72. I hereby certify that the above information is true and correct, and I agree to
comply with all ordi ances and cod,s g?ov n ?g is type of work.
Signed: ??4- ' r
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit Na
CITY OF EAGAN 'J
Fee
Fill in numbered spaces S/C ?
Type or Print /egibly Tot.
1. Date 2. Installation Cost
/V
3. Job Address ? T. Lot ? Blk. Tract ---?/rL; ? ,1,. ,
---.?-ik
a. o wnefrk r? ')i, v?cAxS T.
5. Contractor Phone LfZ 3?//?/y
6. Address D • ^
7. City State /LJ,v 2ip
8. Building Type: Residential Q- Commercial ? Institutional ?
9. Work Description: New 4a- Add ? Alter ? Repair ?
10. Describe
Il1.
No.
_ Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
-? Lavatory _ Softner
1 Shower Well
Kitchen Sink
Urinal/Bidet Other
L Laundry Tray
? Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and cod'es governing this type of work.
Signed : , . /-
, for s 9? ? ; . /vfiJ?liJJ
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OP EAGAN 454-8100
Recaipt
a
PLUMBING PERMIT
CITY OF EAGAN
Fil/ in numbered spaca
Type or Print legibly
1. Date 2. Installation Cost
.
3. Job Address ' Lot Blk.
Tract
4. Owner
5. Contractor _ _ „-• ?. ?j rF < <c. ?PhaneS,? _
6. Address t . _ ..., ? ?- •
G?1\IIIJi I....:? .JYd
7. City $4* i iSi„1 Zip
8. Building Type: Residential [3 Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ?
10. Describe
11.
Repair 0
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
_ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes gaverning this type of work.
Signed: for: ?
Rough Fioal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CtTY OF EAGAN 454-8100
Parmit No.
Fes
S/C
Tot.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: (612) 681-4675
i SITEADDRESS: APPLICANT:
I PERMIT SUBTYPE:
TYPE OF WORK: „11 41
1. i . !.4
1 ) ?
i
INSPECTION DA • DA
Permit No. Permft Holder DMe Telephone #
S/W
PLUMBING
HVAC
ELECTRIC .?9--h/9
ELECTRIC
Inapection Date Inap. Commenta
Footings I
G,
FourWation
Framing Ai
Roofing
Rough Plbg.
Rough Htg.
lRIII_
Fireplacs
F
(
F
C
Engr/Plan
E
C
C
well
F
TY OF EAGAN SEWER SERVICE PERMIT
30 Pilot Knob Road
0. Box 9"199 PERMIT NO.:
gan, MN 55121 DATE:
ninp: No. of Units: -
mer.
ite Address: 4311 Ri rFtat
lumber: reII2 R SII
p?w ro eanOy wieli tM Ci1y ef Ea,s.
rdinenac
v
ate of Insp.:
tsp.:
rj,i,< T.
--...?i.,
+ • .. r• _ -
COf111lCf10/1 afOlyl: '. .. _ . .
Accourff Deposit: -p
PermM Fae: '
Surcharpe:
Misc. Charpes:
Total:
DaN Poid:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box, 21199 PERMIT NO.:
Eagan, Miv'55127 DATE: ' "S
Zoninp: ? I No. of Units: '
pN,ner. wXfOrc: Construction Inc
Addross:
sire /lddress: 4311 Rirsten L? A1 Su: set IT
Plumber. .:iriz yaA
hbter No.: Connection Chorge:4 70 -0 'J
4
$iZl: 14CCAUnt D2POSIt: .
Reader No.: Permit Fee: U. 00 P
1cgm fo wmylp wuh fM Citg sf Eagan Surchorge: .50 p
O.dinesoa. Misc. G,oroes: 63.00 Tnc'. retc
Total: & horn
eY Dote Poid:
oure cf Insp.: Insp.:
CITV OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road ° ??
P. O. Bo-,2119y PERMIT NO.:
Eagan, MN 55121 DATE: ' SzF
Zonlrg: No. of Units: ,
Owner: „l I n C
llddress:
ite Addrcss: rstEIl _ 3 T'1 Sur,sf.t I:I
4 lumber: ? -:: z ;'.t•_,?:
? AAeter No.: %/ Connection Charge: c?1 S. Q n d?
Siu: ? ? . Account Deposit: ?
Reader No.?d L Pertnit Fee: 10.?0
P'
ef?-i ?R! vi':. ?9s:
o.elneea..l `L,vit4e}. C ?aChorpes:
B - ? l.lr(;?•?a5 p
i? ?/Z e ,.a .J ?tTO?O?: • 1` n r n
gy Poid:
CITY OF EAGAN Remarks
Addition SUNSET 2nd ADDITION
owner
Street
_Lot ? Blk
4311 Kirsten Court
10 729
State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SANSEW TRUNK ;•s 1981 196.67 9.83 20 aid unde ori inal par el
SEWER LATERAL
WATERMAIN
WATER LATEAAL
WATERAREA 1981 196.67 9.83 20 aid unde ori inal par el
STORMSEW TRK 1985 668.45 44.56 15 668.45 C009430 9-7-84
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. 470.00 It
BUILDING PER. it
SAC
PARK
? CITY OF EAGAN AT. ?
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1r 8995
. PHONE: 454-8100
BUILDING PERMIT Receipt .# 12 7(. /?
GQ
Te bs used for SF DWG/GAR Est.Value $ 60, 000 Date APRIL 24, 19_3.4
SiteAddress 4311 KIRSTEN Erect ? p«„pancy R3
Lot 3 Block ? Sec/Su6. SUNSET 2ND Alter ? Zoning R1
Parcel No. Repair ? Fire Zone N/A
Enlorge ? Type of Const. V_
W Name OXFORD CONST. INC. Move p # Stories
Z
9 Address P• O. BOX 2 9 2 8 7
B Demolish ? Length
City ROOKLYN Cne 571_-8257 Grade ? Depth Sq. Ft .-
SAME
Approvals
Fees
o
ou Name
Address Assessment_ Permit 313.00
u§
t-
City
Phone
Water & Sew.
SurchorAe
3 0. 0 0
Police Plan check 156.50
?
,u ,?W Name Fire SAC 525.00
~
i?
Address
Eng
Water Conn.
470.00
City
Phone
I hereby acknowledge that 1 have read this appiication and state that
the information is correct and ogree to tomply with oll opplicoble
Stote of Minnesota Statutes and City of Eagan Ordinantes.
Signoture of Permittee
A Building Permit Is issued OXF
oll work sholl be done ' acc nte wit all
Building Official
Plonner
Council --j??
Bldg. Off.
APC
Water Meter 63.00
Road Unit 260- 00
Total fi1_-, RI,7..50
' 1NC. on the express condiHon thnt
of Minnesotc Statutes and City of Eagan Ordinances.
REQUEST FOR ELECTRICAL INSPE(:TION jt% EB•00001 OA
' Sea Instruations for comple'iug this form m baclc uf yellow eoPV•
?- ~ X"" Be/ow Work??-?vered by This Request
'?} ?? '
vyqAdd NeD• Type ot Building Appliames Mirad Equipment Wired
FITA f
p Fee Setvfce Enlrenoe8ize # Fee Feeders/Subfeeders N iee Circuits
g 0 to200Am s 0to 30 0 to30Am
Above 200 qm - 31 to 100 Amps 31 to 100 q S
Swimmin Pool Above 100_ Above 100_Am •
Transformers Irrigation Booms
_SM Partial-'O ee
Signs Speciallnspec[ion \
e?rks . T AL F
.t.%E
aU ?
Final
r
or, nerehv
thet the above
:ion hes been
Tlqs requM vNA 18
This request void (?3 I$ Q .
18 months from ? 9
p'?.,• J)56O3O L3
?
h-I(-8'/
q-)•SU
Request Date
¢ Fire Na. IiougMin Impection
Req ired?
?Ready Now ill Notify, inspec-
Wh
U Yes ?qo or
en peedy
Licensed Electrical Comractor I hwepy rayu?t impection o1 a6ove
Owner ' elecirical war4 iMtallod at:
Saeet Address, Box or Rou No.
? City
r ?J
ecuon o. TownshiD ame or No. nW No, County
Occupa 1PR1 Phone No.
P u I i r ? Address
Electric ntractor (Compa Name) /
1 Contractor's License No.
?
41ileffling /A' s IContract or Owner Making Imtailation) `
0-
2
- do
Authori Sig ure (Contractor Owner Making Insbilation) orre Number
a ?
MINNESOTA STATE BOARD OF ELECTRICITY
Grigps-MidwaY Bide. - poom N-187
7827 UniveraHy Ave., St. Peul, MN 55704
Phn.re 1812) 297-2717
THIS INSPECTION NEQUEST WILL NOT
9E ACCEP'fED BY THE STATE BOAND
UNIESS PROPER INSPECTION FEE IS
ENGIOSED.
`p? REQUEST FOR ELECTRICAL INSPECTION
/p/ ? See instructions for completing this torm on back ot yellow copy.
d 3 O 9 4(? 7 _ :?Ra>u?v Work Covered by This Aequest
EB-00001-08
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Tempoiary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm.llndustrial Furnace
Farm Air Conditioner -
Other Ispecifyj Contractor5 Remarks:
3 ?c ?15v •./ p., .2 c h(
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Sigf1S Inspector5 Use Onry: TOTAL
IrrigationBooms •? SC7,5-0
Special Inspection v
Alarm/Communication THIS INSTALLATION MAY 8E ORDE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn•in ?
Final t oa?e
OFFICE USE ONLY
This request void 18 months irom
?
IL ?
. a ? 1/ss
?000
Peques Date ?
I d Fire No. Rough-in Inspectio
n
Required?
Yes 7 No
Reatly Now ill Notify Inspector
1-3
When Reatly?
I] licensed contractor Kowner hereby request inspection of above electrical work at:
Job Atltlress (Street. Boz or Route No.)
4?11 }<<`??? Cr+ Ciry
Eatgil
Section No. Township Name or No. Range No. Counry
Occupam (PqINT)
?OkA C,( I?Z Phone No.
Power SuppBer AtltlresS
Elearical Contractor ICompany Name) Contracrork License No.
Maihng Atltlress IConiractor or Owner Making Installation)
- 4-311 K«.s?h L?a7'`' ?
?? ?yfn
Authonze gnature IContractorrOwner Making Installation)
"',zz-& Phone Number
5.2- -7 9 sv
MINNESOTA STATE BOARD OF ELECTRICITY
Grigga•Mitlway Bltlg. - Room S-173
1821 UnWersity Ave.. St. Paul. MN 55104
hone(61Y)642-0800 THIS INSPECTION REQUEST WILL NOT
' BE AGGEPTEO BY 7HE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
S-? 7 b? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122 '] n ?
651-681-4675 / ?f
New Construction Reauirements
• 3 regislered site surveys showing sq. ft. ol lot, sq. fl. of house; and all roofed areas
(20°k maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• i set of Energy Calcuiafions
• 3 copies af Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail OpUons selection sheet (bidgs wilh 3 or less unds)
DATE ? 111Iz)z'
RemodellReoair Reauiremenb
• 2 copies ol plan
• 1 set of Enertgy CalculaUons for heated additions
• 1 site survey (or exterior additions & decks
• Indicate if home served by septic system tor additions
VAWATION
SITE ADDRESS oY,311 ki'kS?°??/ Couhf MULTI-FAMILY BLDG _Y _N
TYPE OF WORK Cro_s-
FIREPLACE(S) _ 0 _ 1 _ 2
w?-
APPLICANT
r9k STATE 1171U ZIP
STREET ADDRESS q211 f['>hS7F'c?h ocrkf CITY &!q-
TELEPHONE # -'-/3_-,2°7y5U CELL PHONE #
PAX #
PROPERTYOWNER ?00rl,41d ??C_/i uIfL TELEPHONE# 465-Z-72$0
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ _N1INN1:50'l'.\ RC:I.1:5 7670 C:\"I'EGORY 1 IMINNESO'C:\ RC: LES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Mcctiaiical svstctii inclucirs:
Sewer/Water Contractor:
A-ir Coiiditioning
-- Hcat Rccovcry Systciti
Phone #
I hereby acknowledge that I have read this application, state thai the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi n es.
Signature of Appi(cant
OFFICE USE ONLY
_ WaCer Softener
Water Heater
No. of Baths
Pl IOne tt
Lawn Sprinkler Fe?: '-'596.04
No. of R.I. Baths ?i
i .. I ,
Phone #
- Fcc: S70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
. OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
0 08 06-plex O 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-piex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
0 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
O 33 Ext. Alt - SF
0 36 Mutti
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
0 34 Replacement 'Demolition (EnUre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES 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) _ FinaUIvo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain 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 Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
NORT
C LEARANCG
H EA RTH= I 9?/2 X 2.5 % I? FI-AG STa ME/'N°ob 7'RIM
?
z
PoJ?cH
_ ___----
,
_TOTAL VENT' _ ?0
- DRECT-VEw" TERt`rEEtJPtTtON CA_P = 2?
-THRU-RdoF CATHEt3RIAL Bax CµiMNEy L?Nr=R
- $ECURE VENT DIRECT VEN't" SYSTEM
- GeKZ PIa?. To ContNi?-T GI?S I.INE
HOuSE
. ? (o ?
i.?
Compact cabinet -
Requires litde floor space; heat
ou[put fits smaller home areasi
?-? Large fire viewing
area; realistic logs
and flame picture -
A perfec[ focal poin[ foi relaxation and enjoymen[.
-- -------.__.___.____...__.__.
Adjustable heat output -
All the pleasure oE fire viewing ar.ibiance,
even when litde room heat is reouuecl.
Certified room heater with
double heat exchange system -
lncreased >[ove eEficiency; less heae lost up the chimney
means mnre usable heac For less money
_ ............ . ..... ...__ ,. .._.__. ? .. - _._.. .._.
Millivolt ignition system -
Stove can operate without electncity; exczllent source
of heat dunng power oaiages.
WaII thermostat -
Ihermostac mrns'stove on and off; maintains the
home a[ presec comfortleve!; desired heat is
mainLained automa[ically. Optional programmable
[hermostat is also available.
?--
TuCSOn GaS-Ffreci
- zi- •?
iaaooooaooaoooaooaao
? i
25
I
.
Direct-Vent
Stove Pipe
CenterLine
Refer to puges 31-34 for
venting canfiguration and
technical specificntions.
Direct-Vent D-Vent Vent??tee
Burn Rate Range: 13,000 - 26,000 BTUs / hr. 000 - 6,000 BTUs / hr. 13,50- 20,0 0 BTUs / hr.
Steady State Efficiency: 75 - 88% 80 - 990/0
Heating Area: 1,200 sq. Et. 1,200 q. . 1,200 sq. ft.
Stone Finish: Polished Grey Soapstone, Aztec Gre Marble, Brown, \
Dakota Red, Misty Mauve, Orion B ck Granite
21 Casting Finish: Cast iron available in a variery of earthStone enamel & matte finishes
HearthStone Quxlity Home Heatfng Produc[s Inc
SPECIF'ICATI0NS:
TuCSOn Model #8700
LISTED: DIRECT-VENT GAS HEATER
Listed: Gas-Fired Direct-Vent Fireplace Heater
Model: Tucson Direct-Vent Gas Fireplace Heater
TesEing Agency: Intertek Testing Services NA Inc. (ITS)
Tested to: ANSI Z21.88-1998, CSA 2.33-M98, CAN/CGA2.17
Certified for Canada
Approved for
Mobile Home Installation (see page 7)
?
0
U U
18"
20"
CCOOo(OOOOOOOOOOOD000
' 25„
- ?i
?
Figure 1: Tucson Dimensions
NG LP
Input rating (Btu/hr) 0-1370 m 26,000 26,000
Maximum output (Btu/hr) 0-1370 m 19,000 19,700
Minimum input rating (Btu/hr) 14,500 14,500
Orifice size DMS 0-1370 m 40 53
Man. pressure- Ht setting (in.w.c./kPa) 3.5/0.87 10.0/2.48
Man. pressure- LO setting (in.w.c.;kPa) 1.2/0.30 3.3/0.80
Inlet pressure-Lo (in.w.c./kPa) 5.0/1.24 11.0/2.88
8
pui ? iu
4 NAIIS MINtMUM
SVOAC
(FOR CELLULOSE INSUV,TION)
6 SCREWS
INSULATION
6 BfACK SCREWS ? •
CATHEDRAL 80% •
SVmC56 MIN.
CATHEDRAL BOX COLLAR
Figure 11
CATHEDRAL CfiiLING
HEARTH REQUIREMENT/F'LOOR
PROTECTION
The Tueson may be placed on a non-
combustible surface or wood floor. For
placement of the Tucson on carpeting, vinyl
tile or other combustible materials, the
appliance shall be installed ou a metal or
wood panel extending the full width and
depth of the appliance. Installations must
meet local codes.
_ L.
Figure 5: Minunurtt Venting-Wall Clearance To
Combustibles
earthStone
7 *vr'?%1 ?%'•r..y ) j-
?-LZLy??ZLVLL,??'3 !.U'.LZLGv?
317 Stafford?.venue, tVforrisville, VT 05661
z-mail: inquiry@heanhstonestoves.com
On the web: cmhnvhearthstonestoves.com
TABLE II
ROOF PITCH MININNM HEIGHT (H)
FEET METERS
FLAr TO 7/12 1 03
Over 7112 to 8l12 1.5 0.46
Over 8/I2 to 9112 2 Q,61
Over 9/12 to 10112 2.5 0.76
Over 10/12 to 11/12 3.25 0.99
Over l l/l2 to 12/12 4 1.22
Over 12/12 to 14/12 5 1.52
Over 14/12 to 16/12 6 1.83
Over 16/12 to 18/12 7 2.13
Over 18/12 to 20l12 7.5 2.29
Over 20/12 to 21/12 8 2.44
Figure 9
.?.---?
SECURITY VENTING INSTRUCTIONS
j-110CHIMNEYS
SECURE VENT TM
DIRECT VENT SYSTEM
FOR DIRECT VENT GAS BURNING FIREPLACES AND STOVES
. . O
The SECURE VENTT"'system (4"- 6 5/8" & 5"-8") is certified with ?
WARNOCK HERSEY Mark by Intertek Testing Services NA LTD.
The SECURE VENT"'has elso been tested and listed in combination
with a direct vent gas appliance by a major testing agency such as ITS,
UL/ULC, CGAlAGA/IAS/CSA or OMNI. Check the manufacturer's
rating plate and insliuction manual to confirm that the SECURE
VENT TMSystem is approved for use on the appliance you have selected.
IMPORTANT
Read all instructions carefully before starting the installation. Failuze to
follow these instructions may create a fire or other safety hazard, and will
void the warranty. Be sure to check the appliance manufaciurer's
installation instructions for specific venting and cleuance to combustible
requirements, which may vary from one appliance to another.
•. The installation must conform with local codes or, in the absence of
local codes, with the Narional Fuel Gas Code, ANSI Z113.1, or the
Canaclian Inssallation Code, CAN/CGA B149.
• It is of utmost importance to maintain the required minimum clearances
to combustible materials for the unit and the chimney system. These
spaces must be unobstructed; do not fill them with insulating material.
• For a horizontal installation, it is imperative that the vent termination be
located observing the minimum clearance to window or door, balcony,
soffit, meter/regulator assembly and paved sidewalk. For more details
consult the appendix A of tlus manual and the Building Code.
• A D'uect Vent Gas appliance must be connected to a separate venting
system. Multiple venting into a common flue is prohibited.
RECOMMENDATIONS
• For your safety, always wear goggles and gloves.
• Make sure to locate the electric wires before drilling through the wall.
SECURITY CHIMNEYS INTERNATIONAL LTD Wamock Hersey
2125 MONTEREY ST -? ' rSO S?OO?
LAVAL, QC., CANADA C? US
1171, 3T6 cEanFicanoN 061195
LAVAL: `$' (450) 973-9999
PLEASE KEEP THIS MANUAL FOR FUTURE REFERENCE
PRINTED IN CANADA APRIL 2001 / REVA2 PISECURV
.-? CITY (* EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
C? ? ? -S3
B ILDING
022189
10/06/93
SfTEADDRESS: 4311 KIt?57EN cr
LQT: 3 BLpGK: 1
SUNSE7 2Np
P.T.N.: 10-72986-030-01
DESCRIPTION: (16'x 23' DECK zNCL)
Bul.:T"n,% Permit Type SF PORCH
B411dzng"?,Wprk Type MEW
.??t OccuAa"V,. R-3
??.r
?
r ? r
REMARKS:
14
14
£?',
?
FEE SUMMARY: vA LuArsoN
Base Fee $117.00
Surcharge 5.00
Total Fee $122.00
CONTRACTOR:
$10,000
sqFfULTZ' nNNiicariu -
oar?aLp
4311 KIR57EN CT
EAGAN MN 55123
(612)452-7350
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LoT :
4811 KZRSTEN CT
SUNSET 2ND
PEqVIT*RTYPE:
3 aLa c k: 1 APPLICANT:
SCHULTZ
(612) 452-7950
TYPE OF WORK:
DESCRIp7IQN
suxLazNG
022160
10/06/93
DONALD
NEW
(16'x 23' DECK INCL)
INSPECTION
FOOTING .. .
FF2AMING ..
INSULATIQN FIMAL
,
.
?
, , . ;?., ;•; ? ?
tl- . . . ILI'? ,'? I
;1 ;^f' i? _.:irii;? h1 C•! ?' 1
? , • ? . . . ? I' i , ? .i
1. ] I P ?ss?. A!?''I tI
?
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
REACTIVATE _ ?????? CITY OF EAGAN
PEwMiz f - 1993 BUIlDlNG PERMIT APPLICATION
• , ? 9 681-4675
' -0
, SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 capy of energy calcs.
Penalty applies: 1) when permit is typed, but not picke(i 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 9 / 28 Valuation of work ??0O?
Site Address: ert
STREET SU17E 0
Tenant Name: (commercial only)
IAT 3 BIACK ? SQBD.?h5?? f' P.I.D. 0 .
Descri tion of work: o?ed? .deck 14ddi,
The applicant is: B Owner ? ContracLor ? Other (Describe)
Name Scl,u ffZ nv41 azd Phone
Property LAST F1RST
Owner Address 4-311 A"?',Sheiti ?l- Y-
STREET STE M
City F-acrah State fV,;, Zip SS??r3
Company S E LF Phone
Contractor Address License # Exp.
City State Zip
Company Pla14 eo _Zvt c Phone ¢5.2 -6 7Z4
Architect/ N
P
k R
i
c/C M
#
Engineer ame
,
Ea
egistrat
on
Address a 4 _35 //vcr.t?i
V
City ?Gaa State fd-/h Zip 55/-2Z
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been dpproved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? OI Foundation
? 02 SF Dwg.
Addition
;1F
Cl
Porc
Misc.
WORK TYPE
31 New
dditian
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
n
? 16 Ba, sqp ep t Finish
17 Swim Pool
? 18 Comm./Ind. ,
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 11 Apt./lodging .
O 12 Multi. Misc.
? 13 Garage/Accessory
0 14 Fireplace
9 15 Deck
? 35 Tenant Finish
O 36 Move
Const. (Actual) !ri Basement sq. ft.
(Allowable) ? lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of 5tories Footprint Sq. ft.
Length ??- On-site well
DeFth ? On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS qLga 16'x 23' DEXK
O 5ite `Z Footing 6eFraming
? Wallboard 9 Final 0 Draintile
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
?f?-
?
^
0
PrInsulation
? Fireplace
Permit Fee 1"7.00 r.Lwc;on:
Surcharge 5.00
Plan Review /6 XZ3 D?ZK 4:)
License
MWCC 5AC 1,4 1C1 t/ Paj2cM X ysr =
City SAC
Water Conn.
YJater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Qther
Total.
SAC %
SAC Units
TR'u??ND INc.
. . EYItvG
sERvicEs
Eagun, Minnesota 55121
ITE LA for. :.
.
OXFORD CONS1'.Rl1CTlON I
t . ?
?
;
? / .
N89-46-05E w /
16C73
tu
'v ??1(L• . ?yr ?H a z
. o 1 3 ? K
(O o' VO L;
?
?
N-
?
Scqt,E l"- yo'
0
179.18
N 89-35- 42 E
...r. .
I hereby certify that ihis survey, plan
ar report was prepcred by rrse or under
my direct supervision and 4hat I am a
duly Registered Land Surveyor under the
Laws of the State of M inn esota .
»
a
.?
e zx.o ? . ? ' .
30? O +l
ao -
aa . . p 111
D n1 'Z .
W
M /\
.,
0 0
?
8 rad ley J?'?cn / Mn. Reg No. 15233
Date; / / 12,193
CITY OF EAGAN Include 2 sets of plans,=
1 Certificate o£ Survey &
BUILDING PERMIT APPLICATION 1 set of energv_cal.culations.
To Be Used Fo ? Valuation ? •pate
Site Address: -431 1 tAS /F !a OFFICE USE ONLY
Lot ?:3 Block sec./sub. --?),nu)4 f)kDA/ Erect x OccuIancY
Parcel # : A-LteX Z°ning 1?' 1
Repair Fire Zone AUA
Owner: ?,?`'?F'?n C7 Enlarge Type of Const.
(L_? //CT/CJ?t )./!/Gvr
t ?--- Move # Stories ft.
Pddress: Pa,--? Deirolish _ Front ft.
City/Zip Code:,?pOk Grade Depth
Phone # : J? r'// - ?S'?Srl APPRfJUALS ?S
.`?
Contractor: 0X F'RJi4(l g2ClAJ:`"s i_Qu &?_T/F1 Z ./NtJssessments Permit 313
Water/Sewer Surcharge ,30
, Address: ?L). --R(JX?Q? k'.r Police Plan Check ?6-6&- ?-
Gity/Zip Code: zie,r1n.E'c.Yn/ Fire sac ;5 ar 00,
g? Water Conn. y ?a ?
Phone #= S`?// -????? pi?er Water .Meter
Arch Council ? /T ? Road Unit ,??..??o ?•--a
.?g•' Bldg. Off.
Address: APC
Gity/Zip Code:
Phone #:
M"
TOTAL ? 917, 5 ?
. ,:
51 3 e'Q J 4
1 56•.`.
525qUn.F
4^r0•OG+
53sOCt26 0
so;?m
.1
,
?
??? ? S ?
,.
TRI-LAND INC.
SiJRVEYING
SERVICES
Eaqan, Minnesoto 55121
A
? ^yQ
i ?
? %o
Certificote of S urvey for :
OXFORD CONSTRUCTION
9?2 Zd
9904s's6"E ?
Ib7.03 -?,o ?r
W
?
p 0 O
QO? / 0 ? `
129.00 y? a w 0
a
.
y - s• -
ses as4 E
uT L?ITY4F 1
Fi?s EMEN r
?
ro ? ?
I ?
9C/t1E: I "s40'
o DENOtEf /RON MDNI/Me-mT SET
93-0 OENOTfS ASwMEO EX/ST/Na ELEV/IT/ON
935- DENOTES PROPOSEO A,100iZ ELEVAT/ON
PWoPOSEO SANiTARr SEWER SERVjGE E[.EvAT/oN 9/9.00
LEqAL Df9CRiPTibN : LOT 3, BcocK i, suNSfr sA-CoNO AoorTioN
1 hereby certify that this survey, plan lL. _
or repori wos prepared by me or under ?'? ?a
my direct supervision ond thct I am p Brad iey
duly Reqisfered Land 5urveyor under the Date:
Laws af the State ot Minnesofo,
Mn. Rep No. 15235
/
.. .
WALL AFtIRAB
O iNT. AIR NLM - - .N
iNR WALLIIOAPIm .40
a 1/f! MtlIJLATION 11-OD
S!f/vY 4164111AT04WO YAM
. lAP lfO1N0 .OD
¦XX AW i1LM Tf
w? w.u u-Ma77
O AqYA oikb TCTAL '14.M
Lcss L..,o sw4Wo .so
sti w.vwooo suando .47
C nwen 'n? tvrwL +a."
L/M 1.AP OMM? Am
14 IUA 6PM?Ci .M
Ar mRICK- NMitM .44
vcrrAL 16A1 {N .?
O AREA uAB TOTAL 1A:m
L1" MRiLILATIONI 11im
a +? soRTVVaao dLMS
? AABA pOa TOTA1 38.?
1.888 40Y116tA.AT101H 14.E0
3 1/D ?oi'TM[OAQ e-?
TOTAL 11111-40 y A?
Rm .JCIST AJWA
E srz w..i ,wLM AIs
! 1At MOMULATION 4Lim
i %mr SCWVT%il? - ??
Om sm=Wgo ?
E]CL A# 04A.M ?
7p? _?Y- .C?
Prxjw%mmmaioN AAEp?
oOWK AdOm VELAW ?.
4=0 C+O aM.+c- ?.s
tac: A+w anw T?
tvo? ? v--
??? ?
? il/L AM OW&Y -00
aim ik/vJ.iO1Nm A0 .
IW OLONO" ??? 1?1JOO lilCt rIt -!?ii ??_
7??1
omm aum pa= MINE
gove wYtt rm oa?
- A! lLll"?? AM .
? ??n? U1600
!M
SLIZ ?? .87
MoLVIII Yam--oall
. . ?rucirsfi+ve
TOTAL EXP03E0 WALL AitEA 197t .9 5f :'llt .1'9 ?':5-74'•G
VIOMCMMWIFS
` .? = 9z .4
.
oMOWo ooDRs 4p _ 436 22_
s
oS
•xTUuwa ooons 38- -aaa
ns7 .
a s
8
saCTioNr A a•
sec'r'raM c 1?.S I-
g9 Sss .
5 ?8
Sucsronr o _
15z-
8 -'a
7
$?
tonc-ri0ft -s
sectlcur t 112 . ?D7 .
-
s_ S
ivrw& w.mmr.n 1017 I. 9 v ais". *Aow%+? w* Z79.°i
TOTAL EXPOSED ROOF/COL.irG AltEA I047-. S'F 41 .1t.
aeeTKn+r o 2- s uN.0 3. l• 7
uncrrq,,, o q?}o _ .rmr z 4_ 54
pICT!ypM 'p . .O?s . -
VCWTAIL AIMMIA I o 4 L. inamm "imrom a?-Z 8- Z I
. i .
,
i 2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
' SEWER AND/OR WATER CONNECTIOPT
(PLEASE P3INT)
PROP=_ ADDRESS: y311 ??5?1 C?a?2r
LMAI. DESC'i2IPTIG:1:
- (Iot/Block/SubcLivision or Tax Parcel I.D. Ntunber)
ir STRUCTL:2E, Drl'I?.',G^CRIGii.TAL -Zi:iZLDD-:G FEF;>ST TSS?z??C°_•
?_g/R-I SINGLE-ipy?iLY ' y--=-• -__ ,
O R-2 DUPLE{ ('IitiO CNITS)
0 R-3 TUvTII 3O[:SE ('I'f I2F." + CIn]ITS )( Wi ITS )
? R-4 PipP.R1R'?'`:T/CO,\Da?L.Ti1IU:1 ( tNITS)
? CCM=IAL/RETAII,/OF'E'ICE
p L-ML'STRIAL
? INSTITUTIO:VAL/GG?tarzL,&=
2) APPLIGAV'P (PIEASE PRINT)
NAME:
.
ADDRESS:?_ /
CI'1'1', :ST=. Z, ? -
PHOiNE:
3) PIV,lBER p PLEASE PR1NT)
(2;
' FOR CITY USE ONIY
NA
vT:
&til Z. - I??/AnI
ADnREss:
14745 ?o ??r? T,?•
• P?RS LICENSE:
? , Active
CITY, STATE, ZIP; f__] Expired
bit
PHOiVE: PLUMBER LICENSE H 191,Aa yot? f Recasd
Sit atr initia
4) OCU,'I'??'VT/C?'T 1E.R
NA[SE:
ADDRESS:
CITY, STATE, ZIP: ?_A!l.-y`{/_ ---7e? Sto-zF
PHOM:
5) ZNDICATE WHICH PEP,h1IT IS BEIiCG REQUFSTEp:
?CONNECTION TO CITY SaIEFt
jErCO:.'NDCTIG.1 'IO CZTY WATER ?
? OTI'.ER (PLFASE DESCRIDE) b) l:0iU?=E c:::.:
? PLE`,SE I:OLD APPROVID PERVLIT fiOR PICi:-UP BY ONE OF AECi`.'E
?WPI.F.ASE :•*.kIL "M PE2,LIT 1, 2, b. 4 AB(JVE
(Circle one)
7) SZG:AiL:ce.: DATE •
?e ? a?:? a+??s i+ sr ?.a ?t ?_?ra?:? a? :? s:ss-a ? s a+i ??: ss: a:a a a? anwr.? ? r?:s? s? ? ac ??a s^saac a
F O R C I T Y U S E O N L Y
- PERMIT " ISSUED
1- 1
. _. ..?,
FFrs: $ SEi? ArD%IT'y^ (T'_lC.T...;D: ,r,.ilPCu:,: =?
• IIATER PERP4IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE REaDER
$ WATER TtaP (INCiUDv. CORPORATIO:I STOP)
$ SE:4ER TAD
$ /S, o--? ACCOUNT i'iEPOSIT - SEINER
$ ACCOUNT DEPOSIT - WATER
$ Wr'1C
$ sac
$ TRUNK ?dATER ASSFSSi4E;]T ?;.
$ TRli;IK SEtdER ASSESSMEUT
$ LATE°.AL BENEFIT/TRUNK SEt4ER
$ LATERAL BENEFIT/TRUNK I4ATER
$ • OTHER
$ TOTAL -
$ .?o G_sd A.MOUNT PAID/RECEIPT '? ??G p G
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
/ PUBLIC ROADWAY" MUST SE ISSUED BY THE
L? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION. SUBJECT TO TfiE FOLLO:aING CONDITIONS:
APPROVED BY:
TITLE: ??,e
DaTE: ;" --Z 7 _ 8---L
Me sw wtsW oa r ir INcs ?m MR slin EtM I" m w sia wps R.w rtw sq w A" spq rW-+r Pt ts ve fr pqa wt.w ra m pa we M
CITY OF CAGAN
CABHIER: 1S TERMINAL NQ: 690
DA'fEe 12/07/99 TLME: 10.07,54
ID:
NANfE. 5Ct]TT RISE
320 3001 4311 t:IfiSTEN CT 1255.25
2155 9001 4:311 k.IF{STEN CT 3.00
,
a
,
r
Tota.l Receipt Amo,lnt e 128.25
CkI.20409
USER ILi: JFlN
- 7Enr: . .; . ?
. . _ .- . > . .. . ?. _.
,.IS,;.a `.,.
... . . ..,215
.. ..f2
r
rS
.. . .. ?j' .r.?S if ?., .. _..
._ ..... . SLva?_
,!%.?
1
il.? . •,, .I?'..
.. _; ._.__.:. . .. .?.._
fI1_E
1? .
1999 BUILfl1NG PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
? 3830 PILOT KNOB RD - 55122
651-681-4675
w Construciion Reauheme
? 3 registered site surveys showing sq. tt. of lot, sq. H. of house
and all roofed areas (20% maxlmum lot coveraae allowed]
? 2 copies of plans (show beam a window sizes; poured fnd. design; etc.)
? 1 set o( energy calculatioru
D 3 coptes of free preservaHon plan if lot ploifed aHer 7/1 /93
Name: (Jd k, J GA cA / IZ
lasf Firsf
DATE: Io2- G- ? C( CONSTRUCTIONCOST:
DESCRIPTION OP WORK: YGO -I'-
STREET ADDRE55: 43 ? j ICt r Sfe v, C f
LOT: J BLOCK: I SUBD./P.I.D. #: ^
PROPERTY
OWNER
Remodel/Reoair ReauiremeMs
/a C? a'
2 copies of plan '
1 set of energy calculations for healed addkions
1 site survey for exferior addHions 3 decke
? OG
DL
Phone #: 1S1- 1 S2 - 7 ?1 SO
Street Address: 43 // Xt r Slt h G f
City FG Cah State: r/! Y Zip: SS ( 2 3
Company: lop 1In -c ?GhS7_ G. ? aa?i Phone#: G l? g?l-?OSS
(areo code)
CONTRACTOR
Sheet Address: O L?rs?- gAf' S f Sk„ YLicense # 201o22 42 Exp.
ctty _ 13/ov h, e n?; 4vn state: I"! /?/ Zip: SS q2 U
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street Address: Registratlon #:
City
Sfate:
Zip:
Sewer 3 water Itcensed plumber (reauired for new construcfion onlv):
I
'Penalfy applies when address change and lot change Is requested once permff Is issued.
11 hereby acknowledge thaf I hdve read this applkation, state that the Information is correct, an agree to comply wRh all applicabl
State of Minnesota Statutes and Ci1y of Eagan Ordinances. 0 z-, 1"-?
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received ? Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex . 0 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex O 14 Apartments 0 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous
WORK TYPE
? 31 New - ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert O 44 Windows/Doors
O 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair O 38 , Demolish (Interior) 0 42 Reroof
* Give PCA handaut to appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC :.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. '
Trails Ded.
Other
Copies
Total:
Valuation: $
I
!
{
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163861
Date Issued:09/15/2020
Permit Category:ePermit
Site Address: 4311 Kirsten Ct
Lot:3 Block: 1 Addition: Sunset 2nd
PID:10-72986-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donald G Schultz
4311 Kirsten Ct
Eagan MN 55123
(612) 718-8293
Keystone Builders Inc
11670 Fountains Dr, Suite 200
Maple Grove MN 55369
(763) 280-0568
Applicant/Permitee: Signature Issued By: Signature