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4177 Knob Dr? INSPECTION RECORD : CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 a ?--r?1 4 SITE ADDRESS: APPLICANT: PERMIT SUPTYPP; . TYPE OF WORK: R1111 UINfi e:ac?.•t.; Hti/f."?/97 IIM INSPECTION D• . .• I` I t MAF?k?,? ';f t'ARATF f'F'Rlq]T`, N[:1,1117kFD FOk 1 I Cf'TklI'A1 nR PI UMHINS 1?1c ,? }, uo Permk No. Pormk Holder Date 7elephone S ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL IN CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 2ss ?.? SITE ADDRESS: "' APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: 1,41 1 { 7 PertnR No. Permit Hoider Date Telephone M ELECTRIC PLUMBING HVAC Inspeetion Date Inap. Comments FOOTINGS FWND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? ? 0? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I i?rCl;:i I ?+fitl PERMIT SUBTYPE: ,.r TYPE OF WORK: uurtnsnr; 4f .A 1614 0/ J 104 /J 4 INSPECTION s DA . .A ,..? INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: _, ;.i?nlr.?. 71; i: ?.I . i •1'.r? . .. ?? Permit No. Permit Holder Date Telephona # SNN PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dete Insp. Commants Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Finaf Htg. Orsat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bidg. Final Deck F[g. Deck Final ? Well Pr. Disp. " C,ffY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: . Ii;ol itt! td i PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: INSPECTION .. . .A ikE Mfftik'`.i: S& 61 E, I ?, F _ ` L- Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ' ,. ? ? 9 ?3y 9yo/ ELECTFII ' 10 ELECTRIC Inspection Uate Insp. Comments Footings I ?*/?r ? Foundation Framing Roofing RoughPlbg. ?.?_9Y?-G ro flough H[g. qzl Isul. ? . Fireplace Final Htg. ??g /y C ?` . • r OrsalTest 4.1? FinalPlbg. ! Plbg.lnspector - NotityPlumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. O Deck Final . Well Pr. Oisp. ? k ir -„fA , WCL'tiftCRte 0f CCCIioQnCv Witv of Wagatt Zeo?aea: ef 13xiIbhtg aaooection This Certificate issned pursuant to the requireneenrs of the Unifornr Building Code ceriifying that at the time of issuance this structure was in campliance wrth the various osdinances oflhe Ciry regulating buildirsg construction or use. For the fo[lowing: uu cla?iecation: SF DWG Bldg. Permit No. 23224 oc,pawy Tya R3/M 1 Zoning Disbict RI Type const. VN o...rewuiog S1F.PH-AN HCPMES waj.. 4130 BLACKHAWIC fD. 6WM a.;aing nm. 4177 IM 17R.IVE _ i.aw;cyl.2. BI. SI(?VAL POINf ? - Dwe. euiming ? POST IN A CONSPICUOUS PLACE REQUEST FOR ELECTRICAL INSPECTION ? See ms?t`ons for completing ihis torm on back of yellow copy. ? 11953 4 `X° Below Work Covered by This Request EB-00007 rB?e%-h ??? aaa?-08 ew 7{dd , f TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management . Comm./Industrial Furnace Other (Specity) Farm Air Conditioner Other (specify) ConlractorS Remarks: Compute Inspection Fee Befow: # Other Fee # ServiceEMrenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 20, 0 to 700 Amps Transformers Above 200 _ Amps Abovg 100 _ Amps Signs Inspector's Use Oniy: ? TOTAL Irrigation Booms ?j?,1, ? Special lnspection ? ? Alarm/Communication THIS INSTALLATION Y 8E O? Ep DISCONNECTED IF NOT qther Fee COMPLETED WIT MO , I, the Electrical Inspector, hereby if h h Rough-in ? oete y t cert at t e above inspection has been made. F;nai oale OFFICE USE ONIV - ' This rgquest voia 18 months 1rom ?t,' '? 1r//-l y? . ' c1??'7 Request Oate 4/ I3 / 94 Pire Noj Rough-In Inpsettion Required (You must call Inspector when ready) Inspection Otner 7hen Rough-In 0 qeatly Now ? Win Notity Inspector [B Ves ? No Dafe Reatly I glicensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sireet. Box or Route No.) City 4x77 Itnob Drive Eagan Section No. Township Name or No. Range No. Counry I Dakota Occupant 1PRWT1 Phone No. Ste hAn Homes 681-9777 Power Supplier Adtlress Dakota Electric 4300 220th St. W., Farmington Electric3l Contractor (Company Namel Contractor's License No. Joos Electric Co. CA 00961 Mailing Atltlress (Coniracbr or Owner Making Installation) 3980 Beau D' Rue Drive Ea an, MN 55122 Aufhorixetl SignaWre IConiractovOwner Makin a -on? Phone Number 588- 6180 MINNESOTA STATE BOARD OF ELECTRICIL? 7H15 INSPECTION REQUEST WILL NOT Grlggs-Midway Bltlg. - Room 5-173 . BE ACCEP7ED BYTHE STATE BOARD 1821 Univenlty Ave.. St. Paul. MN 55104 UNLESS PROPER INSPEGTfON FEE IS Phona(812)642-0800 ENCLOSED. 416-222 HERUEST FOR ELECTRICAL INSPECTION 700 91 Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612)642-0800 Home Duplex Apt. Bldg. O1Vier: New Addn Commercial Indusfrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Ran e Elec. Heat Temp. Service "X" above th work vere?y this request. Enter remorks in this space and on the back of the white copy only. C 8 ?b N? ? AS?m? NT Fi,nlit S N Colculate Inspection Fee - This Inspection Request will not be accepted without the correc7 fee: Other Fee # Service Enfrance Size Fee # Circuits/Feeders Fee Mobile HomE Park Stall 0 to 200 Amps 0 to 100 Amps Sheet Ltg./TraRic Sig. Above 200_Amps Above 100_Amps Transformer/Generolor INSPECTOR'S USE ONLY TOTAL ya Sign/Outline Lfg. XFmr. 9-kr ?tf&77G(e U Alarm/Remote Conhol Swimming Pool th d f t d I h i fi d i6 d h i t Irrigafion Boom ere n on ns o on escr e ere ce ns ¢a Ro?gMn ? e es s a e o Dur? Special Inspecfion 7 Invesfigative Fee Final . Date THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. OFFlCE USE ONLY This request void 18 moNhs from validofion dole prinkd in fhis boz. I IIII II III II III II II? II ?II II III II III II III II III I III??? /? V ?? ?? oL /? * 0 4 1 6 2 2 2 8?K PLEASE PRINT OR TYPE ? Request Date ' ?- - Rou Irin ins tion r uired? ' es g pec eq ? No ' ? Rea Now Will Call Inspeclion Olher Than kougMn: dy ? ? R d ' 3 17 (1 ou musi call Ihe inspeclor when reody) ? U /! eo y. Date I, ? licensed conhac or VI-qwner hereby requesf inspection of the above elechical work af: C6 ? 1ob Address (Shcet, Box, or Roate No.) 17?1 nol? ?r??? Ciry ?+AU?, ip sSl ?- $eclion No. Township Name or No. Range No. Fire Na. Cavn ' -) 91 / _ . 6 Oscuponf , Lor-i ??-h ?..n'?aC'1hcu? Phone No. ? r S5a Power Supplier Address Elechical Conlmclor (Compony Name) Conhaclor License No. Master Lic. No. (Plant Elect. Only) S ?? n-, ? Mailing Address (Coniraclor or Owner Performing InsMilafion) Sv\rr-)? Au riz Signy?ure ad r or Owner PerForming InslallafionJ Ph y'? '5 5:)(7 tWJVNAIA-I I e/96 V STATE B06Hn COPY- SEE INSTROCTIONS ON BACK OF YELLOW COPY Address 4177 IMs nxzvE Zip 5512 2 Ldt - 9 Blk ? Sub szaraT Poarr TfESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FWAL INSPECTION. Date: (? ?p Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) r/ Pecmanent driveway ? Permanent gas ? Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before &eeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas (20°/a rnaximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, elc.) • 1 set of Energy Calculations • 3 wpies of Tree Preservation Plan'rf lot platted afler 7l1/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less uniks) DATE (L_- a` - 0'.)-- ' tiSTATE`LOr'J ZIP 52420 jtv FA # '76,;) - QQ SITE ADDRESS yf _T -7 6 I?.r • MULTI-FAMILY BLDG TYPE OF WORK v'4 <4 ?t FIREPLACE(S) _ APPLICANT t-es 0i(_e5 oo- STREET AD RESS "I4(I U-) • gO? s?c TELEPHOVgW-)?"( CEII PHONE # VALUATION 1119.1 .(PO $ •CX?) PROPERTYOWNER`J iru- -4 L-ori 5Ch.t4-&La?' TELEPHONE# (25/- 'f5?I_55?c)" COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ VIINNI:S07'A RULES 7670 CATI:GORY l MINNLSOTA RL?Li:S 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: _ Vlechanical system includes Sewer/Water Contractor: Air Conditioning Hcat Rccovery Systein I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applicant Fec: $90.00 Fce: $70.00 Phoae`#? ? ? ? r., `, .? Q ?Op U ?,?? ? mation?ect, and agr ' o comply ------------ °------------ ------------- _------------- ------------ ----------------------------- OFFICE USE ONLY Water Softener _ Water Heater _ No. of Bachs RemodellReuair Reaufrements . 2 copies of plan • 1 sel of Energy Calculations for healed adddions •_ 1 site survey tor extenor additions fl decks • Indicate'rf home served by septic system (or additions Phone # Lawn Sprinkler No. of R.I. Baths Phone # _10k a _ Y L-N 0_1 _2 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace E3 21 Porch (3-sea.) ? 31 Ext. Alt- Muiti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 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 ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC1ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) Final/No 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) _ Insularion _ 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 Plumbing Permit Mechanical Permit License Search Copies Other Total 3430 `.'Jf?01. 4 i i i' 1:IRF;I+I(:)C!LF t;]:Ftf:l^!OC1U 2 45°,:i 900:1. 4177 {;IF:.I''Wt.:lf7[1 4 roM a:l r:ecfa:i.,-,+, { ??-?. ..?t...l.7, CFi ?) r t.7wF_R 111: NAN"::Y ?r? „ [tn ` PERIVIIT [J.`;0 92„03 I<NQB Dft BL OCK: 1 iZN7 ? ?X?m?XY?%C?X1f?F?Yt?k?X?Yd?k??t?KX???r::?c?k?Y?kh?iXA:?k:'r;%it?!Kw?KYn?k?F 7ype y,ti?ui.i,d.3.it/?(•.W}prk Type '£ \ z,, z g=.-,f R h? a.`?'wP ?i t PERMIT TYPE: g u z Lo r rv G Permit Number: 030217 Date Issued: 06 /13/97 FiASEhIEN7 FINISW flLTER(;TION 434 ALT. RES:CDEN7IAL PI'x, 'FA? ?''i'A?? ?4?'a p r'??, vKn REMAf6?RArE PERMITS REQUIRFO FQR ELECTRTCAL OR PLUMEiTNG FEE SUMMARY: Base Fee $50.08 5urcharge 5o Tatal Fee $50.50 CONTRACTOR: - H p pii c a n z- RME? 11 F R Jz m 4177 KNOE UR r-_A 6 A N m ni t {612}454-5525 ? aI hereby a?kn??.;+,•1??.?3? ,'?h.???..? 1-w?v?f ???!?r 47ha.4api1v4,t1q)?n d.i s, t 6 t,a t h a t t,h infiarmatian is correet ?apd agre? ?.c?;-cotpp?.y wi't?i A ?.r 'o?icaLle 'S t?tte o`? '?3;t?. °Sta'C-uteb a:nd 0-?4,r.rl?+??crr-u<?s. ,m . < < , .. 3? Qe >F J , m . -. , ? . . A4PLMPPERMITEE SIGN4TUf7E ISSUED BY GNATURE C:1:7V OF E:FlGAN CASH.T.EF. S TFI"ii"fINAI._ NC1e 46 D(t7E'.r, 06/13{97 T'tM17-2 15 c:1.:l.e26 II7 0 NAMEs i_nr,I 7?:'3f•:A SCHUMACf-IE:F: 32:i.i 9001 4177 tcIRf:HC10T1 40.00 21. i5 900l. 4177 h: f f'tKWO(JT'1 CI. 5CI :3430 9001. 4477 t:Ii",1=I00Tt •1.00 3210 900J. 41.77 F; l:l;F;M{C1QLi 50.00 M. 5::; '3001 4177 KIhI:Wt:)ClX1 0.50 ? '1'otal Rer..eip+ Arrtaijrii;. 132.00 CFi07:72]."r" USl*-"fi :LDe NA.N.t'4 ?rCITY OF EAGAN ? ?• 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.T,N.: 10-68055--020--O1 PERIVIIT PERMIT TYPE: g u TLo z Nc Permit Number: 030217 Date Issued: 06/13J97 4177 KNflE3 DR L07a 2 3Lf7CKo SIGIVAL P()INT DESCRIPTION: BAsEMEN`r Fr.NxsH ALTEftA7ION 434 F1L7. RESIDEN7IAL ? R v pHktSi T 4}??e ??e. ? ??y' ? ? ?? n?rc n ??i ?+d? 3!i ? REM???ATE PERMirs RE4UrR;:D FnR ELecrR:rcAL nR PLuMBxNG FEE SUMMARY: Base Fe? $50,0e Surel-iarge It, 5a Total Fee $50n50 VVIV 11'fHl.l VP'f: `t'?."?1JWAt; H E R Jr M 4177 KNoB pR EaGaN MN (612)454-5529 PLICANT/PERMITEE SIGNATURE ISSUED BYJ GNATURE 1997 BUlLDING PERMIT APPLICATION (RESIDENTIAL) 30;)t v 7 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4678 New Conshudion ReauiremeMs RemodeUReoair Reauiremerft `4-'? ? 3 regisiered site surveys ? 2 copies of plan • 2 copies of plans (Indude beam & windaw sizes; pourcd fid. deagn; etc.) ? 2 site surveys (extetior additions 8 dedcs) _ • 1 energy calculaUons ? 7 energy ealculations far heated addkions • 3 copies of tree preservetion plan 'rf lot platted after 711193 required: _ Yes _ No ' DATE: / - i/J -5'7 CONSTRUCTION COS?: °5•ago ? DESCRIPTION OF WORK: /fis STREET ADDRESS: /Z "Z LOT ? BLOCK _L SUBD./P.I.D. #: PROPERTY Name: Phone #: OWNER u.. ? Street Address: "9y,71 %Swl City: State: 4?W Zip: s??zZ CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECT! Company: PhOne #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction onty): . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge tFtat ! have read this application and state that the information is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ---- OFFICE USE ONLY ? C-EIVED Certificates of Survey Received _ Yes _ No JUN Tree Preservation Plan Received _ Yes _ No _ Not Required 6 OFFICE USE ONLY .. w.r BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex n 02 SF Dwelling o 07 4plex ? 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. 0 10 = plex WORK TYPE ? 31 New X, 33 Alterations n 32 Addition ? 34 Repair GEIdERAL INFORMATION Gonst. (Actua!) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS a 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi RepaidRem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous 0 15 Deck ? 36 Move ? 37 Demolition Sasement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building /:?M7 MC1WS System City Water Fire Sprinklered PRV ' Baoster Pump ? Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Vafuation: Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: $ t % SAC SAC Units ?, ? J?? CIl"Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4177 LOT: SIGNRL P.S.N.: 10-68055-020-01 PERMIT KNOB DR 2 BLOCK: 1 POTNT PERMIT TYPE: Permit Number: Date Issued: BUIL ING 025552 05/09/95 DESCRIPTION: .,x BU`ildi:ng?Re rmit Type DECK , &uilding Wo-r.k Type NEW ? ,? . ?`b "T$ enI . . rd D ` . T l.. ? :'F3•+? ? ? t E ) r ?* Y ) ,? t):! p ?-ga / LL {} Et"t,Y v?` ? ?"? &! NCP > W?'?A A LG.£.'2F £Y »`thel. d.C° ia.??? REMARKS: FEE SUMMARY: Base Fee $30.00 COPY $.50 Surcharge $.50 Total Fee $31.00 Subtotal $30,50 INSPECTIDN RECORD CITY OF EAGAN PERmIT TYPE: Bu z Ln I N G 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 025552 (612) 681-4675 0 6/ 0 9 J 9 5 SITE ADDRESS:p • I. N.: 10-68055-020-01 APPLICANT: LOT: 2 BLOCK: 1 4177 KNOB DR SCHUMACHER JIM STGNAL POINT (612) 454-5523 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW ? ,. ,?. `- v E ? . ??/' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements RemodeURepair Reauirements ? 3 regiatered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etcJ ? 2 site surveys (exterior additions & decks) ? 1 energy cakulations ? t energy calculations for heated additions ? 3 copies M tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No _- DATE: DESCRIPTION OF WORK: CONSTRUCTION COST: STREET ADDRESS: LOT Z2 BLOCK I SUBD./PJ.D. #: aUJ PROPERTY Name: Phone #: OWNER W* Street Address- City: State: WIJ Zip: CONTRACTOR Company: Phone . I ?-z //j Street Address: License #: City: State: Zip: ARCHITECTI Company: Phone ENGIPIEER Name: Registration #• Street Address• City: State: Zip: Sewer & water licensed plumber. . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aif applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ?[E Q`UJ E D Certificates of 5urvey Received _ Yes _ No MtAy p 2 1995 Tree Preserva?tion Plan Received Yes No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 _-plex WORK TYPE c:w41 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? c5z'?15 Deck ? 36 Move ? 37 Demolition APPROVALS Planning Building ,?. ... ? .. ? .s y,?.. .>w a 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit _ Engineering Variance Valuation: $ /Zoo Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trai4s Ded. Other Copies • So Total: Y?Y ? % SAC SAC Units ; CITY OF E?'?GAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 31TE ADDRESS: P.I.N.: 10-68655--020-01 PERMIT 4177 KNOB DR LOT: 2 BLOCK: 1 5IGNAL POINT PERMIT TYPE Permit Number: Date issued: BUILD N6 024168 07/18{94 DESCRIPTION: Efi?llding:w.,,Permit Type pECK Bui?,?fi;ing W4Wrk Type NEW _. .. ? , .•, ?..,. .. . ?. ? . ,...,?,,?. ,;3 ? ... ?,. , .%w . .. . ?:-.-.. _ .` f . I ? 1 ??r \ 1 r... .. .. t . 6D R ??? REMARKS FEE SUMMARY: Base Fee $30.90 Surcharge .50 Tatal Fee $80.50 CONTRACTOR: OWNER: - SCHUMACNER 4177 KN EaGAN (612)454-5529 Applicant - JIM OB DR MN 55122 . I hereby a:cknow] esige that -;I have read this application and state that the infamation 16 correct and :agree tv cumpl} with a`].1 app?.ieable State 0? Mn. ; L 5tatutes and Ga,ty pf' Eagan Ordinaooes.» . . _..J APPLICA /PERMITEE SIGNATURE IS ED B SIGI TURE. ?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LDT: 2 BLOCK: 1 4177 KNOB DR SCHUMACHER JIM SIGNAL POTN7 (612) 454-5529 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW aurLnTNG 024168 0T/1$/94 INSPECTION ., . .. FOOTINGS FINAL ?- _ . ? ,? w CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 43 0 ..5 0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su eys, 1 copy o en rgy calcs. ; ij, 9 13 11994 COMMERCIAL 2 sets of architectural & structural lsws.,_L.W_Qf specifications, 1 copy of energy calc . 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 Valuation af work Site Address: 41177 rZtN STREET SUITE N Tenant Name: (commercial only) LOT BLOCK SUBD. ?? ?'?4 P.I.D. # Descri tion of work: i r d r?pf fcYk The applicant is: Owner ? Contractor ? Other (Describe) Name 1z? Phone ys'v-ss?: Property LAST FIRST Owner Address -'1177 ??,,.a? 1_1,?-,C. STREET STE # City i/'?State /W Zip S3"/A.2 J Company c l . Phone Contractor Address License # Exp. City 5tate Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip 5ewer & water licensed plumber Processing 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 applicable tate of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ca OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 5F Misc. O 06 Duplex ? 07 4-Plex C] 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. O 11 Apt./Lodging ? 12 Multi. Misc. O 13 6arage/Accessory O 14 Fireplace 113115 Deck WORK TYPE M 31 New O 32 Addition ? 33 Alteratians ? 34 Repair ? 35 Tenant Finish ? 36 Move '? ?? •? R , ,. .? :;. . °.:?, ., ? .?.. ,? .?• ? 16 Basement Finish ? 17 Swim Paol ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP # of Stories Footprin t Sq. ft. Fire Sprinkler Length On-site well Census Code 3k, Depth On-site sewage 5AC Code ? f Census Bldg ? APPROVALS Census Unit ? Planning Building Assessments Engineering Variance REQUIRED INSP ECTIONS ? Site 0 Footing D Framing 11 Insulation ? Wallboard Fk'Final ? Draintile ? Fireplace Permit Fee veiuat;«,: g 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: SAC % SAC Units ? CITY OIF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-68055-020-01 Bu11d'fftg-4.Perrnit Type Build3ng'Wv,rk Type ; ,,IJBC OcCUpan&':y?,N Canstruction 1'?.-pe Zoning ?8uilding Le=ngth } 8uilding G,tidth 8uilda;nj,-2?to ries . i .A 1. 023224 04/06/94 DESCRIPTION: PERMIT 4177 KNQB DR LpT: 2 BLpCK: 1 5IGNAL POINT ' REMARKS: S & W PLBR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % 5AC Units 5ubtotal VAIUATIpN $1,031.50 $67@.48 $106.00 $800.69 100 1 PERMIT TYPE Permit Number: Date Issued: S F DWG NEW R-s M-1 V-N R-1 65 50 2 $212,000 MISCELI.ANEOUS $1,528.56 Tatal Fee $4,436.48 $2,607.98 ??A??an7T?rc??ES App1116819777 0ee1457 OWNER? HOME5 4130 BLACKWAWK Rp 114 4130 BLACKHAWK F2[l EAGAN MN 55122 EAGAN MN (612) 681-9777 (612)681-5777 ? T hereby acknowledge.that 'T,htave read- this apPiication and stata that informati4.n is corroG,t and agree to compl,y Uith a3.1 appLacable State of Mn,, _ 5tatutes and City qf Eagan 'Ordinances, APPLICANT/PERMITEE SIGNATURE . ISSUED 8)1 SI ATURE -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lo T: 4177 KNOB DR SIGNAL POINT PEMITAUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 2 B L 0 C K: 1 APPLICANT: STEPN-AN HOMES (612) 661-9777 TYPE OF WORK: NEW auxLnxNG 023224 04/06/94 INSPECTION FOOTTNGS ., . FOUNDATION ., FRAMING R04FING INSULATIQN FTREPLACE ROUGH IN PLBG ROU6H IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - ? ;?;? ? ? <? ? - ,.. • , , . ? .. ? . , . , ' ? , . CITY OF EAGAN ,..__-.. BUILDING PERMIT APPLICATION JjC1994 681-4675 . A,l 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 copy of en.ergy 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 Valuation of work Site Address:_ STREET SU[TE # 2 5 a?•.?d? ? iJ. Tenant Name: (commercial only) 1 ---------------! LOT ? BLOCK SUBD. P.I.D. # Descri tion of work: S? ?e 4p-ti / The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LAST FIRST Owner Address STREET STE # City State Zip Company Phone Q/' f ? 2 7 Contractor Address 4//3 6 /.?/f??7/??? License #? Exp. 3rF City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing 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 wi all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ,0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Parch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ?'I 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ? (Allowable) UBC Occupancy Zoning ? # of Stories 2 Length ?0. Depth ? APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard ?i . ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. O 19 Camm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. J230 MWCC System .? _ - lst F1. sq. ft. ,)zz City Water 77 2nd fl. sq. ft. /V?1 PRV Required Sq. Ft. tatal Booster Pump Footprint Sq. ft. Fire Sprinkler On-site well Census Code 16111 On-site sewage SAC Code ? Census Bldg / Census Unit / Building Assessments Variance 0 Faoting El Final 10 Framing ? Draintile 0 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: SAC % SAC Units vatuecion: S - ? sn,f ? 3 t 7A'( & l y,l` a ? z 8' 1/.? // f? s ?8 %S o ? Z3 Ist ?6,?5? =1ysG 2f. llx I? ? ?zl ? 2?OkS?? ? (S?SbkSy= Qar 3?-? zyk?G = /?Pz`f - ?? ?N ? I ?O ? O ? ? n. n - a • O • 0 • D • e' a n • ?JO O • e' 0 • D 0 • zos slmvtY esncu.zeT FoA szazazxrzaL sIIII noPERTY Z na+._ nat• e! survty: _.T11.2 RMHUM Aeqiste=ed Lnne survsyoz aiqnature aad oompany • nuiidir,q ptrmit 1lpplieant Uqai dsscsiption . Address Ncrth arrov and bar saals . 8ouss typs (rambier, vaikcut, spiit r/o, spiit aatry, Iockout, etc.) Directicnal draineqe ssra++s vitD siope/qradisnt t. Proposed/ex3stinQ sawar and water sorvicss straet name • Drivevay ? o B'? • ?LL?7?T- Z-.?.? tr??.i?Q 8ewer aerv3ooaZ & butL-,-.r SU..J -Uy ? 8'' 0 0 8'`D 0 . Lot ccrnors Top of rurb at the drivevay • Elevations oZ any :xistinq adjaesnt boaiss eO 0 • Garaqe ilooz P • First iloor -D G 0 • • Lcvest txpass0 010vation (valkout/window) G D • Froperty corners Fzont and roaz of Aam* at t?u taundat3on D ??D r • pCNfliNG 7?REl1B tif asalieabi•1 Ea:ement line 0 D' 0 • Nwt, 0 8? O • ?w=, ? ??? • Pond f desiqnation " D o'' D • Emozqaney Ovarilov 2levation V"'A D • n=xrxeio?a . I,ot 2inss _?O D ? Riqht-oi-vay ane street vidtb (to baek of entb) a? a Proposed home dimensioas inclvdinq any proposed 4aeks, overAanqs qreater than 21. pczches, ste. (i.*, all r? D 0 0 • structures requirinq permar,ent toetirQs) Show ail •aiements oi seeord and any City utSiities within t?,coe aasements 0 G • Setbncks of proposed strueture and setback oi sdjacent existir,q homes n O • , Retaipinj??all sequiremants, it any lft_•-? -- ---- rame I ? i MTNNESOTA STATE ENERCiY COpE CALCULATIONS BASED ON CIiAPTER 5 OF TIIE MOpEL ENERCY CODE - 1483 EQITION . Adoption Effective owner Site Addres contractor Building Classification: Type A1 (Single Family & Duplex) e 4el- 9 27,7 Typa A2 (Residential, 3 stories or less) (Over 3 stories) (Other) H0T E: Complete paqeg 3 apd 4 first. 9Ed EII&I.-IriE-ORMATI.oN ??.j, 6? 1 - 1. Building Perimeter G Vlv???? ft. 2. Wall hei ht ?? g (ground to eave) ft. . 3. 1. X 2. (above) gross wall area ? sq.ft. 4. Building dimensions (L) ---? X(W) ??sq.ft.roof & floor area 5. Sq. foot area of rim joist - Floor joist size (2 X?L ) .11, X .??(Perimeter) _ ft. 6. 12 Doors - Area ?j ? ? ?? ? ? . Thickness in U. / ,J1?L factor_i Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. 8. Windows: bfan fzcturer,h)SoI.-• L VtA'T State approved U factor , ? TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL I ?A- {t ? /?? ?? EACti UNITS SQ FEET G ? , 9. Total sq.Et. Glass `10. Fireplace area: Width X Eleight = X = sq.ft. 11. Exposed foundation: lleight X Perimeter I& X?=?sq.ft. -COMPLETION OF T11IS FORM IS REQUIRED FOR ALL NEW CONSTRUCTZON, MAJOR REMODELING AND BUILDINGS BEING MOVED WE[ERE ENERGY, OTHER THAN T1iE MINIMAL CODE ALLOWANCE, IS USED. -1- . ? 12. 'Framing area = 10% of groes wall area. 13. Gross wall area 3ct sq.ft. Window area A sq.ft. U windows UxA =? Rim joist area A?L! sq.ft. U rim joist= •[lT? UxA = Door area A 5I11y` sq.ft. other doors area A-210 sq.ft. Exposed fndn A?sq.ft. Framing area A??- sq,gto Net wall area A ne sq.ft. 14 (13B) U door prea=. UxA = U other doors=tdz UxA U foundation= •?? / (?J UxA U framinq area= ? OC UxA =_ 0:;r-,/ u wal l= , l9 'T'3 vxA = TOTAL . . . . . . . . . UxA = --? 14. Gross wall lrea x 0.11 (A-1 eingle family & duplex) = allowable UxA/Code (13. above ) x 0.23 (A-2 other reeidential) x .23 (other buildinge) x .28 (over 3 etoriee) 7 11 --???BTUEi must be larger than or same Ax U Code ,l I = °F. as 13B abave 15. Ceilinq framing area (Af) equals l0$ of ceiling area 15A. Gross ceiling area =(L) r- x(W) _m sq.ft. 158. Joist area (Af) 15C. Net ceiling area u ceiling x A c U framing x Af a lo% ceiling erea sq.ft. (AC) (15A - 15B) _ 40i6!5? sq.ft. = J?,? X, c? Z3 = 3 15D. TOTAL U x A ..................'a..........IC? 16. Ceiling erea (15A) x = allowable UxA/Code x ` x A(15A)x U Code NOTE: Use U arn.f A value 0.026 (A-1 single family & duplex) 0.033 (A-2 other residential) 0.06 (other) BTUH must be larger than or same ! = lU °F. as 15D above s obtained from paqes i, 3 and 4. CEBTIEICBTLQU: I hereby certify that I have calculated the "U" factors and "R'I valuea here.Ln and that the building here described meets or exceeds the State of Minnesota tnergy Conservation Act. Qate Signature - 2-. /E PLEASE COMPLETE FOR SINGLE FAMYLY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. - - ---- - - - -------------- - - -------------- - ----- - --- - ----- - - - --- - -------- - -- -- - -------- - ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL SU M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACF) ; (.=:I_ ADD-ON/REMODEL (EXISTING Co1vs'rRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL 3Lo ? STTE ADDRESS: VI 2 7 16 DJ- OWNER NAME: TELEPHONE #: INSTALLER: 0k4tv?,eKq??c-l f ? L' (?r ,`CV,.?I`o K?)?L- fi-L _r_?? L? ADDRESS: I 8 aL/ o L) Le..- CITY: 5 STATE: ZIP CODE: SSa 3_3 TELEPHONE #: Z3 7- 9s0 ! i ' SI NATURE OF PERM 1994 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 . PLEASE COMPLETE FOR ALL COMNERCIAI.,/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - ------------ - ----- - -------------- DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF :3`i?i; FEE $ .;o:a:;o:;no;...c;:zv::.::::::.,:.: .;x PROCESSED FIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (wROV$MErrrs otvt.y) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 , (612) 6814675 _ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSQ, FO:R TOWNHOMFS AND.? CONDOS Wi=IEN PERMITS ARE REQUIRED FOR EACH UNTf. NO. FIXTURES EACH TOTAL -.; ? SHOWER 3.00 3o 0 WATER CLOSLT . 3.00 5 - 0 2> BATH TUB 3.00 7- LAVATORY 3.00 ! l? . .?., KITCHEN SINK 3.00 (o ? -a ? LAUNDRY TRAY 3.00 ? • ?? v' HOT TUB/SPA 3.00 . WATER HEATER 3.00' • c? V, ? FLOOR DRAIN 3.00 (o , v v= GAS PIPING OUTLET •?njmum - i' ? 3.00 . >. ? ROUGH OPENINGS 1.5Q. ? ' / WATER 50FTENER 5.00 PRIVATE DISP. • Dax:cry. u?. 20.00 _ U.G. SPRINKLER •,Rome'unaaconst 3.00 ALTERATIONS • w ad.,uog 20.00 _ WATER TURN AROUND 20.00 STATE SURCHARGE .50 . TOTAL: ?S • v ? srrE ADDREss: y 1-I-) DY- JWNE?? NA • . INSTALLER: .4DDxESS: CITY ' ' V?• ?- : STATE: i ZIP COD:E: PHONE #: ( bl Z ) ? L3 , ?j "l 3 c? . SIGNATURE ` .ERMITTEE ,' PI.;EASE COMPL.ETE FOR ALL COMMERCIALJIMDUSTRIAL BIIII.DINGS. ALSO, FOR•MiJLTT- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQiJIRED FOR EACH DWELLING LJNTT. NEW CONSTRUCTION ADD ON REP-AIR ' WORK DESCRIPTION: f CONTRACT PRICE: FEE: 1°lo OF CONTRACT ?FEE. 1 STATE SURCFIekRGE: $'10 FOR EAGH $1,000 OF FEE. ? MINIMUM FEE: $ 25.60 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: PHONE #: , FOR• . CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMEI2CIAL) ' CITY' OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612).681467'S` & q9 // 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit 30- sa Date / D?(.iU? Site Address q ! 7 / 4no 6 e- Unit # Property Owner 'an (? ra Telephone #(?o si) 1.? 7` CS? J O / Contractor J ? Street Address /`/ J ST ?-?/ • City C-), State ! / I !v ' Zip 1515 (.lO (1 Telephone # 3:?? ?/otlQ Bond #• Espires: The Applicant is _ Owner C-ontractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 _ furnace _Additional _Replacement air exchanger 2=?5?air conditioner _New N_.,?acement other State Surcharge ?? .50 ? Total $ ? -s6 8 I hereby apply for a ResidenNal Mechanical Permit and aclmowledge ormation is complete and accurate; that the work will be onformance with the ordinances and codes of the City of Eagan and wi the Mechanical Codes; that I understand ttris is not a emut, ut only an application for a permit, and work is not to st u a pernut; that rk will e in a cordance with the appo d plan in the ca o wor wluc req ' s a review and appro al oflplAna, / UD Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase complete for: commercial/industrial buildings mul6-family buildings when sepazate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢rI[llt F¢es: S70.50 Underground fank installation/removal ,., $50.50 Minimum (includes State Surchazge) or Contract Value $ x 1% _ $ Pernut Fee • If uermit fee is $1,000 or less, add $.50 => $ State Surcharge If pemut fee is over $1,000, add $.50 for every $1,000 pcrnut fee $ Total Fee I hereby apply for a Commercial Mechanical Pertnit and acknowledge that the informarion is complete and accurate; that tne worx will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernrit, but only an application for a permit, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Inspector ? . ' • •f Y , H ? ..' ? a ? ?...: ?. , ... .:t?. 61:?04010 ?02E 5°S_t ¢1'{T K?i06 DR1Y1E. 713 P01 APR 04 194 14:34 o?, • - ' m IS AwAi?0 oF .KIftFD :. FY1R.... A• 6W4EctmFi Fn*- .: "'S&•ttTe+vy SCw'iia. Pkmi'b"fi. ?Gze's ? A '1se.d , . .v ? R,• T~r, ? \ *,s` \ I . ??. y4 v ????1 J?` \ . ?:? . ?•, 9`'?, ?INN` , /` GwhT N?ovSt ? ,s..*;: Tnp &.dc.W 121.. 939.3 bA?M1ENT 6L. 9?t,2 4 . s .F' Ji R •?4* ?o" ?AP x 4 Y ?' ? 3%4? %, _- , fRY1C.Q • ? J ,^ 0 7f1? ?O*3 -- .0 t! . hP? F ,. . :., ?.? .,.; ,?.. ? Y • f. .?. . .. ? Z4 e?L - I E-AC-AY G Drn. ? ` Y EAGA.iv . ? . . 5c. DrI? 1"= 'Sea` R E V IEV`J E D :-.Cy L MA.RtM45 p.'?1?M??D . • L?? . ? ..+o?"ac ? "l?+Erc.1?.• 1 ? aot?s ?Ro?,? MoN1?1,?1+L?Y SI'fsNAd.r • •??li:l"'?"? • • j oAl'? 1_...?=-•y -=- D AKoT^? C.c?v tA?"i . ' MIN NSSOT? , I hexeby eertit'y that this surveY wae prepared.by me pr under xy direct supervision anfl that I am a duly Regietered ' Land Surveyor under the laws oP the State of DGinnesota.• Date t M"o4 / ' lov 21lV. 4•V-P,/ _ . e oy . . ,o, en Y • . - . ..-------°' %._ nnnt Ai? ? .?. W4% ? k? '?1? r •. r ?O0DO?i N r ?+ '+ r' O b 00 V Ch b? c o o = J W .? . .. a C3 ? 6, -- + 'SI :IaRe 41" KVioa DRtv1'r i 713 P01 APR 04 194 14:34 F;bW.. /? 6U?iEc't?s?f? ?# . : -•+Se'?att,s.??( S?vu?t. P???? . 60 ToP 6t.eC,yc. 4k diza.1 ?&41LIL M* NT n? ?/ ^ a 92o.b t? go? 'Oor . ? ?-4, N11:4 s,?`±??. r ?w'? ?'? J4 ` •?{ ? ? R«? s? • . , . ? . / li?rti'? r?o?sac 4.*?. , .^_ . M... ? Y ?• . . EAGAN , ,. .??,. . ?? . 01 100?G??q 4if ss ?. \ S??? \ DEPr ` Z ? ? ?` Y ??I E A G A.;v `? . EAC• g?Ls 1"= 50' R E V IE1hi F-D .?+GS?'.+?+=lri?.;T?t?lt•t . SmP.R.i?![IS ap"MS IRowl MoN??N?Et+1?'Y " SIYeNAr4.. •??1M"'?? . oA7??:-?--y -?"' . DAI?•oT?: Ge?KT'1'j MIN N?'?3T?? 0 I hereby certify that this eurvey was prepared .by ma 4r under my direct supervieion and that I am a duXy Registered Land Surveyor undex the laws of the State oi Minnegota. Date= N4.e i ? /0 REV, 4-4-9y e oy . ohlen Registered Land Surveyor No. 10795 RL., 939.3 El.. 9bt,Z a?Zz? ?. ?811 q r4OF 1 ?41 ? m Q'? QN??,? i ? d*b 049, ?? ? . ? • ?' ? .? •. ?_ ? 94?? ?•? ?j?`"•t ?Ga OZh? M ? • Q ?a '• jr. ? ? . , .Ne. . t?/ . , a 713 P01 A'R 04 194 14:34 . , .?. t?_.•%' . ? 45?? ?RE 59_ =- I't'T KVAOg DRtYF : ' Cd'e1TR.P4C..'CaR 1S AwA& cF _ /.t .r,teeti:. F7?.. A 4u4EcTOR F4AI- "s+iiatav.-( Sawsz R" df to-'?o1G 6c1.% 939'3 4x MS NT EL, 9S1,Z ? y . ?, P ga" .??p" / Z. z? '3ls, k/ a 13 m O??? `Sb `, `v9?g ? qitl • ?If???Q ?'k ". . ? ?`?.? , ' ??" ` ' ?r?.° ,?•. ?- ' `?? +t t '& •s.. ? / ?/' • y ; . ?, +4 ' . ' 40 ? ?,?yy'? S • , ? "??? • 8 ?s • k' ? ' . . ?- .. ti AD ' '?, / ?/ • ? ? ?? .` '• i?- .? . , ? : •?, , . sRV?e.E `• ;?, . . y ?? w0?+ ?' '• . rt? . :? . ,?x 9?+'? '• ?? 7?l??RT 1?TGWE]E lVQ'a YDIEP!C E A °? A_R? {"_ 5ca' R E V 6 E V6 E. D ? :r Cs ?s?cP'Tt?M . ,..r.._...., ?-- ki..L MePAi?tC4s A,14tWNWfl :0 1 "2.4.xiba4w A: c.aavt?.t?t`?; . b,w&T MI N N Eso'T? I het'eby certify that this survey was prepareQ.by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota.• Date : N'?cx / . 14 QEV. 4-4-4y eRoy H. ohZen Registered Land Surveyor No. 10795 ' r -. na.a.%(r K?a%3flsEH - C?\7t-4 OC- -E?Aoah....? ? FAX 684 - 44.tZ . ? ? ? .. ? ....: ... ?.? . PERMIT City of Eagan Permit Type:Building Permit Number:EA115101 Date Issued:09/23/2013 Permit Category:ePermit Site Address: 4177 Knob Dr Lot:2 Block: 1 Addition: Signal Point PID:10-68055-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Chris Anderson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - James P Schumacher 4177 Knob Dr Eagan MN 55122 Les Jones Roofing Inc 941 W 80th St Bloomington MN 55420 (952) 881-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121635 Date Issued:04/10/2014 Permit Category:ePermit Site Address: 4177 Knob Dr Lot:2 Block: 1 Addition: Signal Point PID:10-68055-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Chris Anderson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - James P Schumacher 4177 Knob Dr Eagan MN 55122 Les Jones Roofing Inc 941 W 80th St Bloomington MN 55420 (952) 881-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157357 Date Issued:08/15/2019 Permit Category:ePermit Site Address: 4177 Knob Dr Lot:2 Block: 1 Addition: Signal Point PID:10-68055-01-020 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - James P Schumacher 4177 Knob Dr Eagan MN 55122 (651) 285-0267 Les Jones Roofing Inc 941 W 80th St Bloomington MN 55420 (952) 881-2241 Applicant/Permitee: Signature Issued By: Signature