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4181 Knob Dr City of Eagan 4 14 Use BLUE or BLACK Ink I Ann City of Ea Rd l~ off, 1 Faprnlt Fee: 3830 Pilot Knob Road ~ I Eagan MN 55122 ~ gate Rece3lyad Rhone; (651) 675-5675 I Staff;_ Fax: (651)675-5694-_-____ 2010 RESIDENTIAL, PLUMBING PERMIT APPLICATION Date: ?-9 site Address: ~ _ 17 k Tenant: - /01- Suite 0: RESIDENT / OWNER Name: ` r rn -rjar~ 'hone: Address / City / Zip: 4tb C>`ONTRACTOR, Naine: _ L..-S 62!) PLC p~~•~' - License Address; Cif y: State: IN) Zip: Phone: Contact: TYRE OF WORK -1-49w - Replacer exit __Repair Rebu ld _ Modify $pace _ _ 4tl+ork in R:C}.4fd, Descri tSorl of work: JILU~L _ Y` * 1 L t Z7 PERMIT ARE &ESIVENTIAL bNatAr Softener ~ F L' t0 a kNater Neater I- Lawn Irrigation RPZ PVB) Add Plumbinsj Fixtures Main i _ Lower Level) Septic System w.. Ulster Turnaround New Abandoninent RESIDPAITIAL F85S a $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.51) State Svcharge) $50.50 Add Plumbing Fixtures, Styptic System Abandonment, Water Turnaround* (includes $:50 State Surcharge) 'Water Turnaround (add $166,00 if a 6Z' meter is required) $100.50 Septic System New 1$10:00 per as built) (incluri.,, County fear and $.50 State Surcharge) $90.50 Fire Repair (re:piac.o burned out apps ances, ductwork, eta,) (includes $.50 State Surcharge) TOTAL FEES $ CALL 81 FORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal! 48 hour:S before you intend to dig 1c recelve locates of underground utilities. !nLn .gonherstateonecail.orq 1 !1 ~8by acknowledge that this information is complete and accurate; that the viot< wilt ba In ronkomanGo with fie vrdi:ianoes and codes of the City of Eagan: that i understand this f, not a t+errnit, trot only an application for a permit, arid, work is rct to start without a permit; that the,,work wN be in accordance with the approved plan in the case of work whir~h requiros a ravlwv, and approval of plans. Applicant's Printed Name LP-P ant's Signature` FOR OFFICE USE Reviewed By:.,~ Date: Required Inspections: Under Ground Rt~uyh-Ire Air Test Gas Test Final Use BLUE or BLACK Ink I` - ' r U Qty of WaPelt -~0 1 3830 Pilot Knob RpdCt ~ Permit t=ee, I Eagan MN $5122 Date AUG ~ t Phone: (651) 675-5675 - 2 1~ I Recei Fax: (6.61) 675-5694 5tatf j - a 2011 MECHANICAL PERMIT APPLICATION Date Site Address: Tenant- ( _ suite M RESIDENT I OWNER Name: Phan: Address /,City,/ Zip: CONTRACTOR Name: ~4 r Q AaC S LL }L_ Uoens Address: City: State• Zip: ` - Phone;~_`C - Contact: iNii ° " ~ e Email TYPE OF WORK New - Replacement ~ Additional ~ Alteratipp Demolition Description of work: 5 F . C.. NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Cade. Please contact the Mechanical Inspectorfor information on permitted screening methods. PERMIT TYPE F?EStDENTIAL COMMERCIAL Furnace _ Now Construction Interior Improvement _ Air Conditioner Install Piping Processed `Air Exchanger , Gas `Exterior HVAC Unit _ Heat Pump -Under /Above ground Tank ( lristall I - Remove) Other When installing/removing tank(s), call for impaction by Flre Marshal and Plumbing inspector RE'SIDEA MAL FEES: $55.00 Minimurn Add-can or alteration to an existing unit (includes $5.00 State Surcharge) ~ $9500 Fire repair (replace burned out appliances, ductwork, etc,) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ X11% $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - $ Permit Foe If the Permit Fes is > $10,010, surcharge increases by $.60 for each $1,000 Permit Fee Surcharge (i,e. a $10,010-$11,010 Permit Fee requires a $ 5.50 sur rge) $ TOTAL. FEE CALL BEFORE YOU DIG. Cati Gopher style One Cali at (651) 4.54.0002 for protection against underground utility damage. Call 48 hours before you internd to dig to receive locates of underground utilities. Www•pOphorstateone_ call.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances aml codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n t to start without a permit; that the work will be In accordance with. the appravpd pl in the case of work which requires a review and approval of plans. Xi Applicant Printed N me A cant's ture FOR OFFICE USE Reviewed By. Hate: Required Inspections: -Under Ground Rough In F1ir Test ,_Gas Servioe Test `In-floor,Fleat `Final Exterior HVAC Screening •Inspection ~i~c d i769SS191S9:01 S2692St7IS9 NU9U3 -1U3INUH03W dIH:W0dJ 92:eo IIaZ-z-gnu Use BLUE or BLACK Ink r For Office Use Permit#: City of Eap I I Permit Fee: /-n 3830 Pilot Knob Road I Received: -7-1 / r J Eagan MN 55122 Date ~ I I I Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 JUL. 9 2011 2011 RESIDENTIAL BUILDING PERMIT APPLICATION . t Date: - L.O I 1 Site Address: R 11in 6 Z)17l\/Q, Unit Name: Phone: (61-46(.0-D17-0 RESIDENT / OWNER Address/City/Zip: Los ~ Rnyb --)r1\/Q_, 1515 Applicant is: Owner _ Contractor (,n Description of work: 1,41 TYPE OF WORK Construction Cost:: zoo Multi-Family Building: (Yes / No r----- Company: IALAAn S -in(" Contact: tai ~ CONTRACTOR Address: L4 ~ 40 (a City: EG2G GC6zs_ State: r IJ Zip: S ~ S_1~3 Phone: (,I 2 -R l l~ " ~~t -7 License M 131 :3 Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, 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. x nI ,rl-o i a~, -dalasw x Applicant's Printed Name Applicants Sign Page 1 of 3 DO NOT WRITE BELOW THIS LINE . SUB TYPES l 1 ~I n V,Qpl./ ~(JOr/`Zp _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage x Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous _ Accessory Building WORK TYPES 1-f ~ `)LW, bn n Ill) m New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition A4 A/ .'app SAC Units (25% 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: ^Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC O I Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies LA 0 TOTAL t 01p~ D PAK ( Page 2 of 3 © ® 526 P01 OCT 4 ,ms`s 4 ql~l ep to. IAHt'i'A~-"t ri ► Ai M t a N / ti l . eta / + I ~ ° • v 6A l~ X08 933.S r-c 93V.3 930,3 _ 1% -irk .2, 01 A/ ER,ING DE h1~1 N r,(E1jp 1 A.~+y ` ' ~'r~N r'iNG 110 s}~ _ { Q C{v Il~b1 1 I"`p~tl.~M~ T i I hereby certify that th s survey was prepared by me or under my direct supervis on aTid that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota, Date C~..fa~,►~ ~y. ~~~--~---r' - - J KLEV i4 -Z~-43 LeRoy , Bohlen Registered Land Surveyor No. 10795 . l C= ~-t C. t fi,~ (a t u~a -r S os~} F P► X lo$ t - 4W-Z, R=9736 10-27-93 04:31PM P001 #28 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use. I s City of Ea an Permit#: I Permit Fee: I 3830 Pilot Knob Road P Eagan MN 55122 i V E ~ , ~ Date Received: I Phone: (651) 675-5675 j Fax: (651) 675-5694 MAR 3 1 2011 I Staff: 20110 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: ±19 Tenant: Suite RESIDENT / OWNER Name: 5-z' Y> i C) ~'~l 6-Al Phone: Address / City / Zip: 4) ~b ) v a ~ f CONTRACTOR Name: &L-S tjjV 1- `-)Q le nLC yC-~~ License 1 ~ D 5 ~ 1'YL Address: City: In-/ State: M J Zip: 5>5 4 Phone: 7G~) 2 Contact: C t,)& U 5 r-j Email: TYPE OF WORK - New 71~- Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Y71 Description of work: r I-Ty PERMIT TYPE RESIDENTIAL Water Heater Water VVee-e Lawn Irrigation RPZ / PVB) Plumbing Fixtures Main / - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES 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.aooherstateonecall.o[g 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. x G ~ IJ~ 6 L,56-y x btp~ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 12111 2010 03:46 9529432653 #2399 P.001 /001 Use BLUE or BLACK Ink My ~~17 o Eap i Permit Fee: ✓ ✓ ~ v j 3630 Pilot Knob Road Eagan MN 55122 pate Received: Phone: (651)676-5676 I l Fax: (651) 675-5694 Staff: I 2010 MECHANICAL PERMIT APPLICATION Date: 11-12=-10 Site Address: Tenant: Suite RESIDENT I OWNER Name: C. a Vern-e, r+5 ! 17' onsayi Phone: 06,' 45b-0120 Address / City / Zip: K 1 k I 4bj- M A 65101 . CONTRACTOR Name:Ikti9C#c~ ,+T Fitt{-` ~ioense Sri Dap'- 1c-ernX#tV'+R'i;' Address: k-1-94' Xi r lp4m br Citys:~ Eden ~1l~c 4yl ~ State: hII_ Zip: e Phone: I' tSi;1l :1 Contact: k r" Email: MiZ i 1 ,4f! W. K& Von TYPE OF WORK _ New Replacement _Additional !Alteration Demolition Description of work: I! l`lt/ •f~r 3 1 n,ser f `►7 f" co, NOTE: Roof mounted and ground mpunte- mgtw~ranicaf equipMerit is requ(retl tb *(scteene'd by city :Ctade. Please' 4t1 ct Ehe Methal ea(16440df r for informatiorf on permit d screening me,thgdsr RESIDENTIAL COMMERCIAL ; PERMR TYPE Furnace T New Construction - Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas - Exterior HVAC Unit _ Heat Pump -Under/ Above ground Tank Install / T Remove) Other " When installingiremoving tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork; etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTALFEE 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.oopherstaWonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that runderstand 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. x DUB, J.► x X ln~ Applicanrs Printed Name App is s Signature 17 FOR"OFFICE PSE X _;j Rev! i4ed R)l Required Inspe,r~tionS _Under_Giround F~"g4 In %ljrr $t i;.~,~sS~ervice Test r!'1nfooc:Heat kinal xtendr NVA Sc~eenln H I ~ CJpe C4Qn.. Use BLUE or BLACK Ink For Office, Use I Permit 1 , 17 City of EaEd I Permit Fee: I 3830 Pilot Knob Road 1 Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I 1 Staff: Fax: (651) 675-5694 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION I s} / Date: J U Site Address: V' Tenant: Suite M RESIDENT / OWNER Name: - , )IJ Phone: Address / City / Zip: CONTRACTOR Name: t) L_5 0,J License Address: L> r City: j TcZJ L ~L p~ State: 1'h l/ Zip: S5 ► Phone: rc.) -7 b ) Contact: (%-Fa! U L_~ t-J Email: TYPE OF WORK _ New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: I~ A C f ,frj-Ja l k PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing F ures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 5,5-et 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.gol)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i he case of work which requires a review and approval of plans. I; V 6,0 x ti x'.. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test -Final ? . ?CITYOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: INSPECTI i t,i 1i1 t ON RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: , TYPE OF WORK: . INSPECTION .• . .. tf I{-1 I?f Yi' i? ?iil,.il ! N I?, •? ? •? t' ? t;?? ? I 1 I:'? f ? 1?f I'+T11iks;: ? 1=fHti 61fN.'t1 I ii: .? Permit No. Permit Holder Date TNephorre A SNV PLUMBING ?I HVAC ?S ELECT 5a , ?/,f 93 a? ELECTRIC Inapectlon Date Inap. Commenta Footings I 04,Q/?f ? Foundation Framing Rooting Rough Plbg. Rough Htg. isul. Fireplace )a Finel Hig. ? . OrsatTest Fnai Plbg. 22W-72Y Plbg. Inspectw - Notily Plumber Const. Meter Engr./Plan Bldg. Final ? ?r cf3 ? Deck Ftg. Deck Final well Pr. Disp. Ll??, /Q? °L , , 4j#'J ufu x ?` •? :? as WCL'ttftCQte 0f cCCIipQItC? wi" of Cfagatt Tepartmcat oF Zxi[bing 3x4pecrion 77eis Certificate issued pursuant to the requrrements of the Uniform Bui(ding Code celtifyirtg that at the time of issuance this stracture was irt compliance with the various ordinances of the City regutatirtg building construction or use. For the following: Use Classification: SF 17d: Bldg. Perniit No. 240 Occupaicy 7ype ?'All Zoning Distria R I Type Const. VN Ommr o( Building CIFPFT-AN fYWIF'S nedrcts 1754 AKF: TIRTVF, F.A(`J1TI BuriWiog Addrcss la 1fS I K111R 11RTVF. l.ocality 1 B 1, IORILMIUUW 1 i ouc' ! f/j?' ?c . BIIIb111g OffiKIA',-? POST IN A CONSPICUOUS PLACE REQUEST FOR ELECTRICAL INSPECTION ? See instmc[ions for completing Ihis fortn on 6ack Of yellow copy. M 5 2 4 7 8 "X" Be,lqw Work Covered by This Requesf EB-00001-08 41 ew dd ? Type of Building AppliancesWired EquipmentWired g Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Load Management Comm./Industrial g Fumace Other (Specify) - Farm Air Conditioner Other (specity) Conlraclor's Remarks: Compute Mspection Fee Belowr # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps . Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspecror5 Use Onty: T TA 50 ?82 trri9ation Booms • ?'?' G U ? Special Inspection ? ?7R?'???, ,, w Alarm/Communication THIS INSTALLATION MAY BE ORDERED D SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. t I, ihe Electrical Inspector, hereby if . ` Rough-in cert y that the above inspection has been made. Final ? Date ? OFFICE USE ONLY This request void 18 months from v19f 67lo'l ? /_5s 754 5247 / ?? °D, Request Date 11 / 01 / 9 3 Ftre go. Rough-in Inspecbon NOTICE: You Must Call Electrical Inspector Required? If A Raugh-In Inspection ? x f1 Yes ? No Is Required. IX1 licensed contractor ? owner hereby request inspection of above elect' rk Job Address (5[reet, Box or Roule No.) ily . 4181 Knob Dr. Ea Section No. Township Name or No. Range No. Gounty . D Occupant (PRMT) Phone YJO. StephAn Homes 681-9777 Power Supplier Address Dakota Electric 4300 220th St. W., Farmington Eledrical Contractor (Company Name) Contrecto05 License No. Joos Electric Co. AM01895 Mailing Address (Conlractor or Owner Making Installation) 3980 Beau D' Rue Drive, Eagan, MN 55122 Au[horized Signature (Conlractor/Owner Making.lnstalfatfon) 1 Phone Number 688-6180 MINNESO7A STATE BOARD OF ELECTRICX / ! THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - Room 5-173 8E ACGEPTED BY THE STATE BOAFD 1821 Universily Ave., St. Paul, MN 55700 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. Address 4181 HIQOB DRIVE Zip 5512 Z Loc " 1= Blk 1 Sub SIGe1At. PoINT THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date:Io2 Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass j? 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 freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy Qv ? a (? 3 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 roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculffiions • 3 copies of Tree Preservafian Plan'rf lot platted after 711193 . Rim Joist Delail Oplions selection sheet (hldgs with 3 or less units) RemodeVReuair Reauirements I Lj ? ?-,S . 2 copies of plan ' . 1 set of Energy Calculations for heated additions . 1 site survey ior exterior additions & decks • Indicate if home served by septic system for additions DATE ? =l L/- a a d2- 61 SITE ADDRESS TYPE OF WORK K-2-u O? sGt ;?-• VALUATION / ,, / Q0' D ? MULTI-FAMILY BLDG _Y _N _ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT PD ??SGI?40 h1$ ?-f( ^ C 'o STREET ADDRESS I1050 Z 4-1V"!'Ie, 51 /b. W CITY A??fY STATE,00yZIP 553d3 TELEPHONE #76 3-911-yaoq CELL PHONE #6 51"6-D j..4/0(r0 FAX # PROPERTY OWNER h 0. VQY' vA.Q,. Q 4.4t d" S e h TELEPHONE #?PS? -??--d /aD ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672 (4 submission type) • Residential Ventilation Category i Worksheet Submitted • mitted • Energy Envelope Calculations Submitted aT_ MAY 14 "C0?01„??? r Plumbing Contractor: Phone # Plumbing system includes: _ Water SofCener _ Lawn Sprinkler rce: $90.00 Water Heater IVo. of R.I. Baths L--. R _, No. of Baths Mechanical Contractor: Phone # Mechanical syslem includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # ----------------------------°------------------------------------°------------------------------------------------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. SfgnatureofApplicant ???' i OrTICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - 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 ? 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 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire 61dg 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 _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaUNo 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 Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & 5urcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector PERMIT Cri'Y CjF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 022401 10/29/93 SITE ADDRESS: P.I.N.: 10-68055-010-01 B,u-i ldirfg; Permit 7ype SF DWG Ouilding?Wprk Type NEW UBC Qccupancy, R-3 M-1 CtsnstrucCion -r ?e V-N Zoning 1 R-1 Building Length ? 70 Bu3lding Wictth ? 52 V ?? DESCRIPTION: ??V? ?? g(??t??[?'tn REMARKS: S& W PLBR - WENZEL PLBG FEE SUMMARY Base Fee Plan Review Surcharge SAC 5AC ? SAG Units Subtotal 4181 KNOB DR L07: 1 BLOCK: 1 SIGNAL POINT VALUATION $776.00 $504.40 $69.50 $756.00 1@0 1 $2,099.90 $139,090 MISCELLANEOUS $1,744.50 Tatal Fee $3,844.40 CONTRAqTOR: - APPlxcant - 57. LIC. OWNER: S7EPH-A HQMES 16819777 0001457 STEPH-AN HOMES 1754 DRAKE DR 1754 DRAKE DR EAGAN MN 55122 EAGAN MN 56122 (612) 681-9777 (612)681-9777 I hereby acknowledge that I have read this applieatinn and stats that Che information is torrect and agres to c€rmply wi.t,h all,applicable`State of Mn. Statutes nd Cit of Eagan OrdinanGes, ?r,?., I AP LICANT/PERMITEE SIGNATURE 'ISSU?BY: IG ATURE REACTIYATE _ CITY OF EAGAN PzRMIT # , u'ECiWED 993 BUILDING PERMIT APPgICATION $3'? 2 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site 5urveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date /6 /a2? Yal uati on of work /,Vv Site Address: STREET SUITE 0 Tenant Name: (tcmmercial only) LOT _L BIACK ? SUBD.?! 71 P.I.D. M • ? Descri tion of work: The applicant is: ? Owner 04 Contractor ? Other (Desoribe) Name Phone Property IAST iIRST Owner Address STREET STE N City State Zip Company -'4yn e's Phone L? ° ?el Contractor Address ?7??5? +??.? i?rlZL License #1V5-1-7 Exp.3-A--45 City" State 1*21 Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber c 2cl Processing time far sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a lication and state that the information is correct and agree to comply with a applica e ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 1:64apm6nt Finish 002 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Poo1 ? 03 SF Addition ? 08 8-Plex 0 13 Garaqe/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility 0 21 Miscellaneous WORK TYPE ,W31 New ? 33 Alterations ? 35 Tenant FiniSh 0 37 Demolish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Y-0. Basement sq. ft. MWCC System Y4FS (Allowable) v- N lst F1. sq. ft. City Water UBC Occupancy k3M-I 2nd F1. sq. ft: PRV Required Zoning Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire Sprinkl er Length . ?0• On-site well Census Code o/ Depth 5z, On-site sewage . SAC Code !a/ I APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site ? Wallboard ? Footing ? Final 0 Framing 0 Draintile ? Insulation 0 Fireplace Permit Fee Surcharge Plan Review license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % lDO SAC Units _-7- YsLusti«,: s 13544)oa ? 70')c/fl :r Z.va . ZZx2t ? 4?y 8SN1`t'? ? ?$4 X Ib9ytl Z?xy?yc?2oy ? 2 ? 7 - Cgy? 2??r 3a_ ?$a I S y ?x15 : 1 ?S zx .cV-° ar,6aJ , ?. m ? ? a m 4K l3? O ? 4-'M ? o Gl--?b ,B'" ? 0 ck-?D ? ?0 D I LOT SURVEY CHECRLIBT FOR ItESZDENTIAL BUILDING PERMIT_APPLIVATIGN PROPERTY LEGAL: Date of 8urvey: l0 // / 9-3 DOCIIMENT STANDARDS /4-rr,- 7 /2J • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and bar scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient $. • Proposed/existing sewer and water services • Street name • Driveway ELEVATIONS Existinq ? 9-? ? • Sewer service [? ? ? • Lot corners ?? D • Top of curb at the driveway ? ar*?0 • Elevations of any existing adjacent homes Prouosed B? ? 0 • Garage floor [}? ? ? • First floor C?' D 0 • Lowest exposed elevation (walkout/window) 0' D D • Property corners ?0 0 • Front and rear of home at the foundation PONDING AREAS (if aDplicable) 0 6? 0 • Easement line 0 t? ? • rrwL 0 ?r 0 • HwL ? 1??/? • Pond # designation D ? ? • Emergency Overflow Elevation DIMENSIONS t?? ? • Lot lines ??? 0 • Right-of-way and street width (to back of curb) ?' ?? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ?? ? • Show all easements of record and any City utilities within those easements 0? ?? • Setbacks of proposed structure and setback of adjacent existing homes DR- '[1• Retain7;7 11 irements, if any Reviewed% n OCtober 1992 t ' I EX7ERIOR ENVEIOPE AVERAGE "U" COMFUTATION Ql1?IF f?: ? . $ITE ADDRESS: CONTRACTOR:. ;4,oi/ ?fl?s DATE: PHONE: DETERHINE 4IORK1tlG SOUARE FOOTAGE OF EACH: 1. TOTAL EXPOSED UALL AREA, , , , , , , , 3s ?Z• 7'G?' sq ft x "U" .11 2. TOTAL ROOF/CEILING AREaZW'p ? sq ft x"U" .026 e 3. TOTAL EXPOSED IJALL ARE.4 CALCULAT10N5: Total exposed wall area a6ove floor,,,, sq ft t a) Total wall window area: 6L-- qlazed...... Gr4-7, $q ft X tlUit glazed...... sq fi x "U" _ b) Total door area ,,,,,,,,. ZL sq ft x"U" -/?__ ?•70 c) Total sllding glass door area: *i glazed...... •--Q? sq ft x "U" qlazed...... sq fL x "U" d) Tota) ffreplace wall area ?"- sq ft x"U" = N ,!? e) Total wall framing area G(Averaae 10g) . . . . . . . . . . ,-C/?• sq ft x ??U" f) 7ota1 net wall area above floor (Insulated)....... sq ft x "U" ? Q g) Total rim joisi area...... sq ft x"U" 0-4 _ 764 Total foundation area (Exposed)......... sq ft h) To[al foundation , window area......... .. sq ft x"U" Z-04 i) Total net foundation . area above grade........ ZZQ? 7? sq ft x"U" 3' TOTAL a) th ru i) if ftem N3 ts the same as, or less than item F1, you have met the intent of 2 htCAR 1.16008 A and 0. Page 1 1 I • 4.- TOTAL EXPQSED RQOF/CEILItIG CALCULATIOtIS: Total exposed roof/ceiling area........ zQ?p sq ft J} Totai skyliaht area....... sq ft x"U" /¢- k) Total roof/ceilinq framing area (Averaae 1()9:)...... 2id69, 3 0 sq ft x"U" ,03 °69 1) To[at net insulated roof/ceiltnq area....... ? . 0 sq ft x"U" y. , TOTAL j) thru 1) if total of °G (s [he same as, or less than K2, you have met the lntent of 2*SCA'2 1.16008 A and 0. ALTERNATE BUILDING ENVEIOPE DESIG"1 To utilize the iotal envelope system method, the values established by the sum of items 93 and shall not 6e greater than the sum of items Hl and 92. ?. ?OVr+ 2. ? ?05? + u. 5?-?e f = L E R T I F I C A T I 0 N I hereby certify that I have calculated the "U" factors and "R" values heretn and [hat [he huildinq here described meets or e?e?qeds the State of Minnesota Eneroy Conservation Act. // ?Slqna'turel ? P int name s?/q? (Da[e? paRe ? ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. - - - --- ------------------------ --- -------------- - -- ---- -------- ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DA1"E I I ' I 1 EEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OLTTLETS (MINIMUM 1@$3.00 EACH) 3•Uo ADD-ON/REMODEL (EXISTING CoNSTRUCTioN) $ 15.00 STATE SURCHARGE .50 TOTAL ? a.sU SITE ADDRESS: -I P?dl knvio 1? Y' i U.:2 OWNER NAME: 5r-2 Q?-) -14n CAbrYLA 5 TEI.r;PriGivE #: TELEPHONE #: OF 1993 MECHANICAL PERMIT (RESIDENTZAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 CITY: Lck22r--?, ?rc.? ,x r LQ STATE: 1`(l?l.) ZIP CODE: SS3?-I r 1993 MECHANICAL PERMIT (COMIVVIERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCL4LJINDUSTRI4L BUILDWGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR O'THER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTKACT FEE $ PROCESSED PIPING: MINIMUM FEE: STA'TE SURCHARGE TOTAL SITE ADDRESS: $25.00 $25.00 $.50 FOR EACH $1,000 OF , ' ' , ;; FEE. $ OWNER NAME: TELEPHONE #: TENAI`TT NAME: (IMPROVEMENT'S ONL1) INSTALLER: ADDRESS: CI'I'Y: TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CTTY INSPECTOR PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UN1T. NO. FIXTURES FACH TOTAL f SHOWER . 3.00 • ? JJATER CLOSET 3.00 Lda BATH 3.00 ,00 ? LAVAT RY 3.00 7, Od KITCHEN SINK 3•00 DO LAUNDRY TRAY 3.00 3,00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 3• od ? FLOOR DRAIN 3.00 3,60 GAS PIPING OUTLET • minimum - 1 3.00 ,UG' 3 ROUGH OPENINGS 1.50 - 0 WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry. tic. 15.00 U.G. SPRINKLER • eome under consi. 3.00 ALTERATIONS ' to adsting 15.00 WATER TURN AROUND 15.00 5?l0, s? STATE SURCHARGE . .50 417,00 TOTAL; SITE ADDRESS: ::Z/;?/ el'?,_/ A, OWNER N WSTALLER: ADDRESS: ?iAn2a. K/ CTl'1': CO ?in? STATE: /h /l) ZIP CODE: PHONE #: ySa-ls?s ' ?C/?o? `? •?_!'? - S GNATURE OF'PERMITTEE 1993 PLUMBING PERNIIT (RESIDEIVIZAL) CI1Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 1993 PLUMBING PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMP'LETE FOR ALL COMIvIERCIALJINDUSTRIAL BUII.DINGS. AISO FOR MULTI- FAMILY BUP..DINGS WHEN SEPARATE PERMTT'S ARE NOT REQUIRED FOR EACH DWELLING L':::I'. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1°h OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE MINIIMUM FEE: $ 25.00 CONTRAGT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NAAZE: ' S"I'E. # OWNER N.4ME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE• PHONE #: FOR: CITY OF EAGAN APPLICANT - ! ? . ! _. n n _ , .-. _w • _ ` .? 0 0 o m o a ? In 1D V O ? N/64 NAiIS @ 1.5" U.C. IN A RED MEMBERS ,. ? (S711GGEREU) FROM EACN FACE, DISTHIWTE'FtAli,S -? G?o ^!?? G/??( f yujv E E Y b AYUID SPLfTTING THE LU?1BER. G? .?l?? ?TEIY REPAIR IS 1 r 370 011 '? ? CtAtNPLETE . (APPI. Y A 3/8" BEAO OF Pl-Z ?,/? -? ?.r?'_' JJ "2! -LSTRtICiURAL GL L? l. C9VE:RED P1Eo-1BER5 1N --t 10?p' ? f?. A?41TIQpl TO NAI lS. ? m .. ?° .. ? . ? .. n ? ? , m i i tu w a m ? iv _ w n w o m ir m ?J o vii rv w o v. w / ? YI N ? N .--i C7 ? } Q \ ?--? ? ?--? C \ \ a--t ? r 0 A? ` ?r ? ? 3,so • -7.50 ?t ilgG6VMBF-l N pil?3'F£5Sf0?! f "SiNEER P,EF: 305 42I-6 p °°"br;e `FV*8'• o . r . °fi`f/ i/ - (L'-Y:3A1A (YJ / /?Lu ? --? i IA w rrow Ar?it_ r OC - GENEIIA! kOTES 41ENDEN Fp1CE LEF1 10 PIOMI - CU. G1M1. 1 I Y A 208 W 21tO C011tINUWS NI/BOp iU T11E lN01? OF 11IE nu65 TDP ClIORD Yi9N T 447 B I- Ct10N0 0 YF9S M f- ]5 H B- pEAf 110 364 iVIi1 f- R6 1LV p101iU I N 4R2 11lf2 CAlI. S-P-i 17)? . ?5 T 2- ea) B?- 1289 M?- -501 N D- -250 Ovi a z- 1 1?3 eDrIoM crORu: IIi 4N2 1650F-1.5E NSR S-P-F 104) ME9?BaE5 pE INOICAsEO BY AN ASiEni9? Iw. 4 B 0 l) 0 I1. 4 Q11A 1. OF-L 0? x2 3 3. ?? ? On. ?2 r= t ' '25)2 - I 4 f • -702b M ? -779 bipMlFi YfB lEM6i1 33 f3 116 /NC:HES 5?1: W! f 5• -35UB B 6- 14R0 N 5• f60B M 12• -750 S)1dIC1A61) MEB RNULE: 30 2 i1fflREE5 54: 1?1?32l0? {L? rtV 9 -3: {I B3210? f 6• '3398 i 7= -2$77 N N -290 H 13. N 7• -(iA0 M 19= - Fa41 L19B . , 11Epp101Ehi?ED CRMBEp: 3/16 INCNES v 9-a: I I 8° '2frJ7 H 15° -112 MIM3L11 IfF IIiF755ES 5 ?I O$ ON IOE9 1 9' U i3721 N312S ON FLA1 lUP L1101X7 PANRS: Z6lDS d! SIIIES I.IYE IUAU.... , .5.7 1. L5F6 IAiI I.,Y'Eil fIfR Sf1:IlIN1 4.2.3.P 19.5 m_B 30.v 90 0 30.0 W,0 30.0 lo.0 27.6 SPLLCCS 8-4 MID S-8 P[WIN! ? 4M21112' Ml. 2 PLO[rc Uf IiIE OEA6 1_OA?_ ._. , B:f, pF (HE NIiS BO111M1 GMM1n PulEISS ? 31NE SPECSES A$ T11F L'1M16 NAtENSAL . IILGlIEA SPLICt NWBEI6 NA Y BC SYMKI I IINUI I 1'1I t[tlllu V9 iCl CF7I.4I13, [I.I f- . illl kl LI IUH CHf If I?tA Pi.!, fW N fi0 0 60.0 !17.u 1! i(,?i 11/ Mai I:FHI 1 _ WpplCpS ai IfE FABpICAIOR'S OP110N. [xA"rtE? 5,5 Wr ? IUTAL - . y.? - StIHBTIIVFED FOR 6-4 , L.DO OUR41 l01/ itC hAL[6 AP[ 10 NE AirClEO ro BOiH FhOES OF 17f qIOnD. - ' C,9dLM Of 9PL1CC PEA CIIORU 18 A1.A_011[P fltl EAfI1 fildE tlf 1lM / ? ?- ?S sic as1ea viO""uaErea to S.E.B.O. ncsfAncn aerom A16a7 ?. Loee tws Trws3? ost&?so Ja Aceowo.wce witx ?' , f I'htlBLEM 11 5 .5 !?EEDS T? DE CU7 flF? OF ON lC90 NE9E?RCN 1R 1607. 00 IIOLOFNG V+LUES zm INtiJN-rSOUIYE?1iEEn???As riq-i-Anc?l ur? APi'l_Y APA, GROU P 1 CD7( 1'1_YIIOOD f,USSFT(S ! i A F LORTRUS@ DES:[ G 324 043 co ? ? l^ ? ? n2uswnt svsiEMS CORFOqtnrKiN ? N . • - F. b?+3? s.?ew wlpu1 u+se.w?orsaWinwbaeOPeeK ?E MARpp?w?lq.apr.yNNM??wcrynw 4pryd??eMwlaadh?nes? Nw Mwuet ? niw pee?wkp?d?wwa ta.e+.ksoly4inVM?u+c.tMnn??rpramir?? o?baM?na?ew Mausp?n al?idnYMi??UMhWw9?dRd IhbMalnaNnaA19M41?1?M6?uE?llelNVe.od4?Mip dtWlOmtlal6NNMbY1?? bKeOle?qlrtl?.yw??A.>IlyNblrt?O? FWSCaas neMW.V?w06rohYI?INfbiqlNn?OWhinlfslA9p160'?I loMrnrodwl .R.a?w ?aea?.w?pallknnqryrqnp yrflsP+?ro'SUi WryY1.ee.viYn hMWryEdhb/yK?Naa?r.0.MM10Cs1 MM?es fpinsR?U1f 0 vdall! 0 oa iwilli0C11(N?+16P Mba?rylp2fall?IniM??Ib01 ?yiMb/a?bilsaCA?ba1?4M10ntlK6Y? hµwp sM ?Im?.i[Y pq?p rt9i M OIYp? 1paUb?l le Ibql fllk?-ww?7 viM{q?OM'pq? I?y?r.IC I? py ff iqpiMe Im??M MF? ?V?IwYriw?.?Ilwer?qPM?beMfM?aaaY?NruN??W???M?rY?KflYe?[??MWf ?-04tWadM??m?lePae?1^PPwrnMFAMI! ?1 II? ?lqniS??ry dYllen M Yil1wlW IIN 0!M/?MM?I?l0?Op11MyAIY?QXEKp?lM?MM ILIW 4L?OINtf r?0ynl4?F?{Frt1Y! Y?M Oiq wom?e W oei ??iwkY? rad w nws[Y ea?». wa?? . _ I 0 y ? vILL4iAE ?11-656 3. 03 I 3 .02 526 P01 OCT 27 193 16:24 h ?- rs+ R'-`•1? ? ? ?,.. ? .R.?.. : ? • S ?-'.9?1??14??,/? l6?,,4,? - ,1 ; . V• •? ?'? ? `' -??a M ; oL 9 ? ?`J s / {1- 933.5 °0 ?l:? 41 4 r4w ; - ? a A), ? ?. . ? a I ? -•t- , ? .ry i ?• ? $?`??? ;I-Pr 1 y l5l.ot.'d- I? ? 516? N A 4 Po ? w? 'C ? ? \ ? ?? /Q ? !A ' ? Ax.o-ro. Coa r-1 ; ,C 6 • ? . EA2aAN LN? ERING DE ? ? • \ f 4"1 r..a 1° 1S' 3!0" ?'?/ A cN?iN! ?RetJ M?N?hAt"1•1-?' ? ? I hereby aertify that th asuxvey was prepared by me or ; under my direet superv'3.8 on ajid that I am a du]..y Regigtered Land Surveyor under the Laws of the State of M3.ru7esota. D8.ti@ s Qa"fa"r r''/' j4 ?? ??._..? ?zEV ?e •a?-43 e?y"' . Bo 110795 Registexed Zand Surveyor No. ',??1 ?`?1 r?(= ?{a.?J??-1 ^- C.JI?1?la K4.i.v'rSo?„? r f?P?X bPl?? 4??t%. x=97% 10-21-93 04:31PM P001 #28 l 40 L lt/ Use BLUE or BLACK Ink For Office Use • j Permit fit of WE I Permit Fee: r' I 3830 Pilot Knob Road i I Eagan MN 55122 RE%' EWEO I Date Received: ~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 MAY 18 2g12 I Staff 2012 MECHANICAL PERMIT APPLICATION Date: Site Address: 4,1121 / 11 O tJ ]71- tCicvr 56_1 ZZ Tenant: '4A V-1-1~7 Y'kt %rn C kt e ^ Suite RESIDENT / OWNER Name: L.a_il-e -4 Jt F rrn -5^-y7 Phone: ~5( Sao - ~/Z D I Address/ City /Zip: 2.11V /kko& -DI'_ 0.4 ti 5 Z r- Name: 1 2C r ~4lt41~' hG 4-e-_ License CONTRACTOR Address: 1'f y /-/LV ze City: 11 State: tIA) Zip: SS12 Phone: &)5_( g1 w - gey? Contact: L ecM LEA 11 u L, Email: ~a l ~e ~n 4t~ Z~' V New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: f42 IQ 1,r-Ce 6- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement PERMIT TYPE Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank C_ Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 6,-),,91- TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, 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. x 1215l- K_ ~a. t I W_. 11V x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink I For Office Use I I I Permit - 77 City of ! Eap Permit Fee 3830 Pilot Knob Road 7 Eagan MN 55122~iE rfi I Date Received: j t~ ' I I Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 I V 14 I -------------'"---J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION- Date: Site Address: Unit Name: Jq ~~.~►~Ir1,~iK.~ Phone: RESIDENT / L OWNER Address / City / Zip: Applicant is: Owner x Contractor Description of work: S L'a A4N ^~'J G -O%) N^ TYPE OF WORK . Construction Cost: 30, Odd Multi-Family Building: (Yes _ / No ) Company: V .NS.rn~- Rio Contact: qJL C~~SN✓L. CONTRACTOR ! Address: /0761 q30 Aw.. )d Sh= City: IMRP+x bitaye State: MN Zip: 55 3(041 Phone: G51' 7r- F95Y License N J^ Lead Certificate N /A If the project is exempt from lead certification, pleaswal, lain why: (see Page 3 for additional info atio ) q 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer & Water Contractor: Phone: considered to be public information. Portions of I NOTE: Plans and supporting documents that you submit are p the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that their 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,gopherstateonecail.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordin s 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 rt without that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota tate u' din ode st be completed within 180 days of permit issuance. x N %tx 0 )yC v~ x Applicant's Printed Name Ap I' nt's Signature Page 1 of 3 ' w DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 30 Aro y- Occupancy ' MCES System Plan Review Code Edition tom 7 SAC Units _ (25%_ 100%-~ Zoning City Water _ Census Code ~(3y Stories Booster Pump ` # of Units ! Square Feet 810 PRV ' # of Buildings Length -I di Fire Sprinklers Type of Construction Width ZO REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: ALFooti ngs Air/Gas Tests JtFinal Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ~LG Surcharge Plan Review -.3 3 21 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS /1i Address: A:m~ Applicant Name: N U GENERAL INFORMATION ~ ¢ b o z ¢ ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ,aT ❑ ❑ Address of property ❑ ❑ North arrow, scale (1" = 30' or 40') ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. ❑ ❑ Location and name of all streets adjacent to property ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing ❑ ❑ House corners ,Ld ❑ L1 Property corners ❑ fJ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ A ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) , J ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines ❑ ❑ All Easements on the property Proposed ,Z ❑ ❑ Pool ,0 ❑ ❑ Pool plus integrated deck/patio ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: 7 Nam Date G:FORMS/Pool Permit Checklist/0243-07 526 P01 OCT 27 193 16:24 /D Z-A Ito . O / oN Alk, Ml 14 N Co 6o i G u, I-Pr I , TSL6-e_ 'e- I, ss~ \ 9 SO FWNGDE EAGAN EN Mlc+rnlE~oTR*. /Vo 7-. 7G Ito A. µ~g MALCb I hereby certify that th a surv@y was preyed by me or ` under my direct superv'ie on gild that I an a duly Registered r sand Surveyor under the Laws of the State of Minrlnesota. Date LeRoy . 80 len Cxev ,s -a,-4; Registered Land Surveyor No. 10795 ';'C ~ y ~ '~~s+~J'a-1 C..'i~~~+ iC ~.►.c~'~Sn~.,.~ t~ A+`~ ~ ~~t7. . R=97% 10-27-93 04.31PM P001 #28 PERMIT City of Eagan Permit Type:Building Permit Number:EA113029 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 4181 Knob Dr Lot:1 Block: 1 Addition: Signal Point PID:10-68055-01-010 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 . Vladislav Fogel 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 - Laverne Simonson 4181 Knob Dr Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119673 Date Issued:12/12/2013 Permit Category:ePermit Site Address: 4181 Knob Dr Lot:1 Block: 1 Addition: Signal Point PID:10-68055-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Laverne Simonson 4181 Knob Dr Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature l ' , For Office Use (� Rq% R I �0 Permit#: /4 1--/20-- 4.P A® q� : E A A N _ Permit Fee: :39x ,90 RECD '- ' -° Date Received. /� ( S 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 40 i (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: if�.�/ buildinciinsoections c(�cityofeagan.com IRI 2018 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: •S'-'114-101$ Site Address: 4181 )4,10b. Unit#: Name: Phone: (4, 1-3 -Ni' Owner Address/City/Zip: L1 I + E I A /1• Applicant is: Owner Contractor / F fWk „ Description of work: a'C.04 - 046,r . W ht--s. F rQztG CA- ,l,yp oOt __. Construction Cost:di I7, GOO Multi-Family Building:(Yes /No ) r—� Company: 1 InCir v t40~4.J Contact: ►GSC._ FAddress: LILA La(a 1...1„.h?A M.�ca ci City: r -sv+, State: _Zip: SSIZ3 Phone:651-4.154- ft mail: F OrriAA @bYVIesol„e License#: I-N-7 Lead Certificate#: If the project is exempt from lead certification, please explain why: 3w i-1- Acker-te- fl-r$ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NO Plans arra s ppo+ r mom n 'tha rsu f vvns`fd d' ullic of ation_.mo rns of � tion r class asp r " v a1 � thatuld.p r ` cis fi it they; :tra re . ... , M ... You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.00pherstateonecall.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 plan ., x 4, Lkr],Gaej Ib tld�` sV� x i Applicant's Printed Name Applican s Sign ,, /7/g de . /q9Z7 r DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation — Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) — Exterior Alteration(Multi) ___ Multi _ Deck yc,Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement Siding _ Demolish Building* x Addition _ Move Building _ Reroof — Demolish Interior Alteration __._ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window — Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy p\k_,I, MCES System Plan Review Code Edition LA)11.....0,0 IS SAC Units (25% 100%' ) Zoning i2-1- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction yi5 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) i< Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings Air/Gas Tests _Final y Framing A 30 Minutes 1 Hour Drain Tile /R Fireplace: Rough In Air Test Final Siding:^_Stucco Lath _Stone Lath _Brick^EFIS Insulation Windows Sheathing Retaining Wall:_Footings—Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ( 'L ,Building Inspector RESIDENTIAL FEES Base Fee Surcharge _ .-„, Plan Review ' `` v r MCES SAC City SAC -3 3 30 Utility Connection Chargeprt,LA X .. /S&W Permit&Surcharge 111 Treatment Plant II 2, 3 D Copies TOTAL Page 2 ot 3 526 Pot OCT 27 '93 16:24 4-I g i \IVIOb 62 i .i, 44864/ vs • iv:, ilo vi,.4 k :,......_._ 1 a : A* 10,70/4/i4P ''''' qqPilir .e.. 4 . ,, iliF S" toPrifr'' '.‘ _? / swa„,,e.% I —-64 J� , 1/'i"a / '-. I4? 41 d / i� rte' .', Id 0 4' '1 Z1 V It a ,: 4ir \,-, 4-* 44gr N 4 14 tIN o. . i (je \ .0 ' At. et .�� p. •�,1 i ; 4 % • !4�$ 11rA. / 4a. .0g ,t A,/i ' vbx. c,. Ra .1 c--K 93 a,P A t a Ario 1, ° tit 1 ../ * qv` -14),:t. 41 -: , d 0/ ' i /' 1 • / 4S , ` ,� 9/1P•3 / i t4N • .'/ G t a t e`9 zo 'a'' ,s, 70 ' 1 . . z e g ' 6 �, . 6 VI z WE * - ,., e P'`'e* . .R1-- . .-2/Z--7//z: ; b 1-N 4.4 ero i ., \ _____ 0-11. % . g - 1 k.A(MN 1rv�,uvr .- 0 ris at \ I da - t 1RE\1 LEV\! E1*�tP �� • ' ' Ts, `- 9 . sm.:1`i D.1- Poi 'C , .s \\ % /4 1 � I to ' b. -rQ caN t-4;- ., �4 N. \ I�, EAGAN ERG'', ' EAG DE a- ,41 ' MtN14E-' 0 TA \ • Nor V 516/94-t I� ' ; • 41 .....�..= \ r - i r1`11=' 4"t t o 1 " 1 "1 -'- a•. plo MEb 4 "9 4 47007titch- CtiOmt1.s 1' ' I hereby certify that the survey was prepared by me or ` under my direct supervi8 0n aid that I rim a duly Registered Land Surveyor under the Laws of the estate of Minnesota. r ...M • Dates e6m EY, �1 t �! o encL e! 1. -a1� 1,`3; a 0, Registered Land Surveyor No. 1.079 ';!c-- 7-1 to(:. .e.t-i C.i4#hi4a K kL TS f:244 r NY, h EA- 11.catx- . R-97% 10-27-93 04:31PM P001 #29 PERMIT City of Eagan Permit Type:Building Permit Number:EA150354 Date Issued:07/03/2018 Permit Category:ePermit Site Address: 4181 Knob Dr Lot:1 Block: 1 Addition: Signal Point PID:10-68055-01-010 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Laverne Simonson 4181 Knob Dr Eagan MN 55122 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature