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3661 Kolstad Rd• CASH RECEIPT • VCITY OF EAGAN 3830 PILOT KNOB ROAD .. EAGAN, MINNESOTA 55122 •• DATE tg _ RlCEIVED AMOUNT $ I & OOLLAR$ ioo E] CASH CHECK BY -1 YVhite-Payers Copy Yellow-Posting Copy Pink-File CopY Thank You r ,. . CITY OF EAGAN 3830 Pilot Knob Raad, P.Q. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT (`a.r. ! To be used for 6 F 'tA{;/(;Ak Est. Value $69•OOC Receipt Date OGTUBBa 14 19 2- , 7 Site Address 3661 iUOY.bTAU itOA-0 Lot I Block t Sec/Sub. PINE RIDGa ADU Parcel No. oc Name CaNSiiLIFORl1 HtklES LT[3 z Address ( `I RR Ayg ' 3 0 Ciry iii:: •,?`?? Phone - ? , o Name •5AME 825-292:1 ? Q Address r¢- City Phone Name Address ;, City Phone I hereby acknowtedgethat I have read this application and state that the informfition is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ? Signa2ureofPermittee A Building Permit is issued to: CUNSCLFOR4 WMY;S L'tD on the express condition that all work shall be done in accordance with all applicabte State of Minnesota Statutes and City of Eagan Ordinances. Building Official -j ?• t OFFICE USE ONLY On Ske Sewage Occupancy K 3 MWCC System x Zoning k1 On Site Well (Actual) Const Vn City Water x (Allowable) Jn PRV Required * of Stories Booster Pump Length gU.3 Depth S.F. Total Footprint S.F. APPROVALS FEES I EngrJAssess. Permit ? 395•0o? Planner Surcharge 94• 50; Council Plan Review 197.50 BIdg.OH. SAC,City 100.00 Variance SAC, MWCC 525.0011 . WaterConn. 525,00 Water Meter 67.00 Road Unit 305.()0 160'00 Treatment P1 Parks TOTAL 42,329•00, BLDG. PERMIT N0. s01-3210 Bldg. Permit ?- 01-3422 Plan Check 1i' r 01-3445 Surch./Adm. (r' ? 01-3446 SAC/Adm. 01-2155 Surcharge '.? ( 17-3860 Road Unit 20-2275 sAC 20-3665 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3$66 Sewer Conn. 11-3855 Park Ded. TOTAL -=-? J Cities Digital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MII#VF-90T?4 55122 DATE 19 _T wacP:Iveo FROM AMOUNT $ I ? & UOLLARS ?oo ? CASH ? CHECK I .._ BY - White-Pavers Copy Yellow-Posting Copy Pink-File Copy Thank You . • ? ? CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 i BUILDING PERMIT ; w. ?.: ReCeipt 4k To be used for Est Value Date Site Address O FFICE USE ONLY Lot Block Sec/Sub On SRe Sewage Occupancy . MWCC System Zoning Parcel Na On Site well (Actual) Const LT ij City Water (Allowabla) c Name `A PRV Required ? of Stories z Addfess Booster Pump Length ? City Phone Depth p Name ` S.F. Total , ? ? Address Footprint S.F. ? City Phone APPROVALS FEES ? a Engr./Assess. Permit W W Name ? Planner Surcharge _ Address ? Council Plan Review ¢= Q u, Cit Phone Y Bldg. Off. SAG City I hereby acknowledge that 1 have read this application and state that the Variance SAC, M WCC information is conect and agree to comply with all appiicable State of Ordinancas d Cit f E a t Mi t St t Water Conn. ag n . nneso a u es an y o a Water Meter Signature of Permittee ---- Road Unit ' A Building Permit is issued to: Treatment P1 on the express condition Ihat all work shall be done in accordance with all Parks applica6le State of Minnesota Statutes and City of Eagan Ordinances. TOTAL . Permlt No. Parmit Molder Dete Talsphone Plumbin9 ? ? ,:? ' ?? •?;, ??;?"7 H.V.A.C. ?? 2-2 (?^ f ??i?? •???5 ? ?-2 Electric -79' _ ?.t?.? {'. / 9 '•-??/ °z7 Softener Inspectlon Date Insp. Comments Footings I Footings II Foundation AO/k ? Framing ? Roofing Rough Plbg. % U--) Rough Htg. `l Isul. Fireplace Final Htg. ?' Final Plbg. _ _ ? • ?? Bidg. Final ? Cert.Occ. %8 ? ' • Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address ? Name A Addre s ' - c City Phone ? Name 3 Address h W i? p City ?J.'o bM - Phone I FEES ? COMMIIND FEE - 1% OF CONTRACT FEE ? APT. BLDGS - COMM FiATE APPLIES i TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF PERMIT # RECEIPT # DATE: '' I FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. _X, New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _J___Water Closet - $3.00 $ I_Bath Tubs - $3.00 __1__Lavatory - $3.00 " Shower - $3.00. --l_Ki?chen Sink - $3.00 Urinal/Bidet - $100 --L-Laundry Tray - $3.00 _.I-Floor Drains - $1.50 1 ? Water Heater - $1 50 Whlrlpool - $100 :::VGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _3-Rough Openings - $1.5U FEE: -- ? ` ` STATE S/C: GRAND TOTAL• ? Pr PERMIT # = - MECHANICAL PERMIT CITY OF EAGAN RECEIPT # / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7 TRACT PRICE: PHONE: 454-8100 ' Site Address ,>'' ?' ? K 0 L 'I-, TA ? [ Lot Block Sec/Sub BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New i` Add-on Repair Name City ? Name 3 Addrp p City? TYPE OF WORK ;• - .v ." r ?' ? ? ti. Forced Air M BTU Boiler M BTU Unit Heater M 6TU Air Cond. M BTU Vent. CFM Gas Piping Outlets # Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) _ GAS OUTLETS (MINIMUM - 1 PER PERiYIIT) - 1.50 EA. COMM/IND FEE - 19'o OF CONTRACT FEE .?r APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 FEE S/C: TOTAL: FOR: CITY OF EAGAN ? ? w . .. (ger#ifira#t nf COrrupanry Citp of (Cagan ioF}tal`ftPttY Af lltdbfmg jwPCtiMt This Certificate issaed pursuant to the requirernents of Section 306 of the Unifonn Building Code certifyrng that at the time of issuance this structare was !n camplrance with the various ordinances of the City regulating building construction or use. For the following: ! ux c7as"w6oo / GP.'? Bldg. Rrmit No. !430 Oocupaoi.y Type R3 7Jomne Oistrip RJ TyPe Comt. Vn o,w orMaing-'')1SULECFM131f'?S :.:?? Am,,. 8516 {7U1207 AVE K-tC:IV BuadW AM,m ;F 51 ?DUS?'Ai_' IOCal;ty L!,B1, PTlv'E o.m: - ? &W&nS officw POST IN A CONSPICUOUS PLACE PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE: r - PHONE:454-8100 Site Address ? Name ? Addre c City r ? Name c Addre o Ciry _ FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES . MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 {ADD $.50 S/C IF PERfiT PRICE GOFS SIGNATURE PERMIT # RECEIPT # DATE: &,&,5- ') a r ' r. ' BLOG. TYPE Sec/Sub Res. WORK DESCRIPTION New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $100 $ Bath Tubs - $3.00 Lavatory - $100 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - S3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - $3 00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) _ ? Softener - $5,00 well - $10.00 Private Disp. - $10.00 Rough apenings - $1.50 Phone FEE: - STATE S/C: " FOR: CITY OF EAGAN GRAND TOTAL: ' , INSPECTION RECORD ? ? CiTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. ` Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 St7E ADDRESS: APPLICANT• , ?i ? . • r ?bl ?fr r , • Nrd t rli r,1HF •I I' I NE' k 1(l14f_ 1? fs f. i'', ) E?3E:+?•}, :S$3 PERMIT SUBTYPE: ; 1: t 1 TYPE OF WORK: Ni w r r 4 1 r11 iN ': . f l 4 1 1 14 ai IL Permit No. Permit Holqer Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp, Comments FOOTINGS .? FOUND FflAMING RODFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIFiEPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLPG FINAL BSMT R.I. BSMT FINAL DECK FTG a-ZZ-? C> DECiC FINAL 7b ro•o 1- T -7 CITY dF EAGAN 3830 kot Knob Road _ P.O..Bax 21198 Eagan, MN 55121 Owr Site Plun Permit No' Date: ; i t-' .i-97 B/P No: Date: MWCC: 5 -5.000 Zoning- CityChg: ijo-o?'Pd No. of Units: ? Acct Dep; =5. c'opd Permit Fee: i ?. ?'t-,c' I agree to comply with the City of Eayan Surcharge: Ordinances. SEWER SERVICE PERMIT CITY OF EAGAN 0- it N• ? 167 3830 Pilot Kr?ob Road P.O. $ox 21199 Eagan, MN 55121 Site Address: .? ? - . HOfttei Date: Siz? Date: Conn. Chg: 525.00pd Zoning: Rl Acct Dep: 15, OM No. of Units: Z ? Permit Fee: 10.0O?d 3 Surcharge: • 50pd I agree to comply wifh the Citr of Eagan Tr. Plant 130• Q?d Ordinances. Meter. ? ?-.-? ? Misc.: By WATER SERVICE PERI4AIT c_ CITY OF ElkGs1M Permit Na Dat? 1??-2 ^'-•"7 3830 F:lot Knob Road Meter No: 3 s Size: ? P.O. Box 21199 Reader No: Dat? L- 7- 2-p' 7 Eagan, MN 55121 Owner. ?4isulf??- s Site Address: ' r'' Z?'??' ''??? ?? Ll P.1, n1-; e i' i^ c? & K P Conn. Chg: ?=' 7.1? Ll Acct Dep: ^ o(WOfe i$'bi?tC. Permit Fee: lcl. OC7?fc?EPHaM - Surcharge: " 1 ?*e ?J?? l y wfth tM City ot Eagan Tr. Plant i aO-?? Ordinances. „ Meter. 44. Misc.: By WATER SERVICE PERMIT rm o._ Merer No: _ Reader Noa. • CASH RECEIPT • ° CITY OF EAGAN 3830 PILOT KNOB ROAD , EAGAN, MINNESOTA 55122 y{' ? D?l/.. a?--? 9 ?7 weeeIvEO .?--- ? , AMOUNT DOLLARS ? CASH CHECK ?oo " t 21 POP ? PUND COOE AMOUNT r-4U 7 /V G l ° `'v v / •- "?, ; y Thank You B Y YF? N° 78445, White-Payere Copy Vellow-Posting Copy Pink-File Capv CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199 PHON E: 454-8100 BUILDINGPERMIT (W.F.) To 6e used for S" OWG/GAR Est Value $69,000 Site Address 3661 KOLSTAD ROAD lot 1 Block 1 Sec/Sub. PINE RIDGE AD? Parcel No ? Name CONSULFORM HOMES LTD z Address 8516 QUINN AVE SO ° City BLMGTN phone 831-6019 olName SAME 825-2922 ?a Address 1- City Phone ? Ww Name_ Fw i z. Address aw CitY_ I hereby acknowledge that I have read this application and slate that the information is correct and agree to comply with, ,Pll applicable Sfate of Minnesote Statutes and Cit fEagan'O/rdinandes. Signature of Permittee A Budding Permn is issued to: C NSUL' OMES LTD on the express contlition that all work shall be tlone in accordance with all applicable State oi Mmnesot tatutes and Cit ofy? Eagan Ordinances. v_ n BwldingOHicial ?-?- ?-?-?? N_ 14301 Eagan, MN 55121 Receipt 4 Date OCTOBER 14 19 87 OFFICE USE ONLY Onsitesewage _ occupancy R3 MWCC System X Zoning Rl On Site Well (ACtuaq Const Vn City Water X (Allowable) vn PRV ReqUifed - # of Stofies 48 Booster Pump _ Length 50.3 Depth S.F. Total Footprint S F. APPROVALS FEES Engr./Assess. Permit $ 395.OC Planner Surcharge 34. SC Council Plan Review 197. 5C Bldg OH. SAQCrty 100.0C Vanance SAC,MWCC 525.OC WaterConn 525.OC water Meter 67 _ OC Road Unit 305.0C 180.0C Treatment P1 Parks TOTAL $?,324.oC ;EQUEST FOR ELECTRICAL INSPECTION L, EB-00001-06 , See instructions lor completirg this form on beck ol yellow co0v. ? ?? 4 '"X" Below Waik Covered by Thrs Request FAd Nep. Type ol BmiAmg Aoaliancee Wired Eqmoment Wired Home Range Temporaiy Service Duplex Water Heater LiyhUny Fixtures Apt. BwlAmg Dryer Electnc Heabn Commeraal Bldy. Fumace Siio Unloader Industnal BIAg. Air Conditioner Bulk Milk Tank F3lm Other Ue?i y .iher (Snci.ify) t ar Succi(y Othcr Othor ComOUte lnspecbon Fee Below p Fee ServitaEntranceSize tl Fee Fexdars/Subfeeders N Foe Crtcuits 0 0 to 200 qmps 0 to 30 Am s Z' O 0 tn 30 Am Above 200 qm ?s 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Am s Above 100_Amps Transiormers IrngaLOn &oorcis s Part?al.'Other Fee Signs Special InspecLOn S ?Q T Ae,rv?,ks .?... ? OTAL F z flough-in D,ne ? I, tha Electncal • ?O-3o I^soector, herebv certify that the abova Final ? D 1te spechon hes been da. . fhie reauesl voltl 18 monlhe Irom ? ? 2 62 3 r Requesl ?ate Fire No Rough- Insp ion Re,muredl NOTICE: You Must Call Eledncal Inspecror II A R h I I l ? Ves No oug - n nspec mn Is Required IEIP&nsed conhactor ? owner hereby request inspedion oi above electrical work at: Job Atldress (Sheet, Box or Route No.) Qty .? l`) l Sechon No Townstlip Name or No Range' No County X / OccuRant(PRINT) •' Phone No a' Power SupPlier AdGress ? 0- (::? Electncal Con[roctor (Company Ni ,'?I? ? A4E FRANd EI.EC Contractor's Lice af: D ?: Mailin Address Conhactor or Owpbl?a in lahon APPLEVAlLEYMN55124 9 tW ??? ??w? ?j _, ?__. AuthonzedSignat -(GbntreotoAOwner-Making Installalion) L., ?7 Phone Numba ti"det?? w11 f MINNESOTA STA OAflD OF ELEC`T C TY THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway Bltlg. - Faom S-173 BE ACCEPTEO BYTHE STATE 80ARD 1821 University Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(812) 6,12-0800 ENCLOSED ???/?? REQUEST FOR ELECTRICAL INSPECTION ? See ins1mc1ions ftr completing Ihis brm on back ol yellow cppy M 21623 'X° Below Work Covered by This Request .? EB-00 1-OB ` ay??o ew Add Rep. TypeofBuiltling AppliancesWired EqwpmentWiretl Home Range Temporary Service ? Duplex Water Heater Elearic Hea6ng Apt Building Dryer Load Management Comm.Andusinal Furnace Other (Speci(y) Farm Air Conditioner Other (spacly) ConVaMOrS Remarks Compute Inspechon Fee Below: - ? ` # Other Fee # ServiceEntranceSrze Fee # Crtwits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A4Qve 100 _ Amps SIgf1S Inspecror5 Use Onty 7'pTAL Irrigation eooms `l 00- Special Inspec[ion ? Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fea COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oWe certify that the above inspection has been made. F,nai o ?e OFFICE USE ONLY Thig request void 18 months iram rnis request voia 18 months (rom D 285841 / r?/K.J Request Uate / / Fire No. flouph=5n Insper.t?nn Peqme d? ?Feady Nuw ill NoGfy Insper lor Wh?m R d ?? /? 9 7 ?NO ea Y ETlicensed Eleclncal ConVac[ot 1 hereby reques< insDectwn of ebove ? Owner elec[ricel work mstelled aY Street Address. Boz or Route Na. Cav ecuon o. I Townsmp Name or No. RanBe No. County Oceupam IPRINTI Phane Na. (2i ?Q Power SupPher AAtlress,i y??^/n?rx fC?, Elec cal C,ponVacj? (Company Namel n ? ?°?2c,cJ ?i. Conlrar.to,'s Licens?No. „ d U ?5S Mailme ?+ddress ICOntractor or Owner akvip Ins[a' aUOnl g InstallaLOn) Aut?orrzed Si ture ctor/Owne P??one Nwn Oer e7 / ? J ?;g MINNESOTA STATE BOOF ELECTpICITV THIS INSPECTION NEQUEST WILL NOT Grig9s-Midwey Bltlg. ?Room N-191 BE ACCEPTED BV THE STATE eOARD 1821 UniversAV Ave.. SL Peul. MN 55104 UNLE$$ PflOPEH INSPECTION fEE IS Phone(612)642-0800 ENCLOSED. ];,-0 2007RESIDENTIAL BUILDING rExNUT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 registe2d site surveys showiig sq, k. of IoL sq. R of house; antl all roofed areas (20% maximum lot cover.ge allaved) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree P2servation Plan N lot plailed aMer 711193 Rim Joist Detail Oplions selecUon sheet (huildings with 3 or less uniLS) Minnegasco mechaniol veniilation form RemodeUReoair Reauiremenls 2 copies of plan showing footirgs, beams, jois4s 1 set of Energy Calculations Por heated addiEons t sde survey for addNOns & decks Add'rtion - indicate ifonsde sep6c system Telephone #( Plans are considered oublic information unless vou state thev are trade secret and the reason. Date ConstructionCost ?JZ`GG? Site Address /? I)U • UniUSte # Description of Work 2rr='WGw. d- J2G/got cL s'Q rti G Multi-Famity Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner J ? M ( ? ? hN? ?? ??'^?? •"'G Telephone # (65 -53 G ! Contractor --r.-LjiF"So-.? 6'?l?ds. A/G . Address J!'?rQ1 / 6i2MRN641f 131 vp -4-1 /G ? City State A"A-1? Zip ?s u 3 ?J Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING -, Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Mechanical Coniractor Sewer/Water Contractor I herebv apply for a Residential Building Telephone # ( Telephone #( q '0-ob Office Use Onlv Cert ofSurveyRecd _Y _N Soils Report _ Y _ N Tree Pres Plan Recd _ Y_ N, TreeP2sRequired _Y _N On-site5epficSystem _Y _N that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? /o LC Gisa? Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" O 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (EMire Bidg) - Give PCA handout to applicant DBSCrIqtl011: WaterDamage _ Yes Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. _ Foundakon - HVpC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Re[aining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total F?ri SIDENTIAL BUIL ER MIT APPLICATION ITY Y OF EAGAN ? U 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4675 New Consvuction BeaulremeMe • 3 registered sHe wrveys showing sq. fl. ol bt, sq. ft. of house; and @II roated areas (20% maximum bt coverege albwed) • 2 copies of plan shaxing besm 8 wind(yw sizes; poured faund design, etc.) . 1 set M Energy Cakuletans • 3 copies of Tree Preservatbn Plan M bt platled afler 711 /93 • Rim.bist Detail Options selaAbn sheet (bMgs wtlh 3 or less untls) DATE 13) 6 Z SITE ADC NPE OF APPLiCANT . SReJ-wv?? ? BemotleNleoeir HeauiremeMs • 2 copies of plan ?. 1-S . 1 set ot Energy Cakulatbns for heated addttbns I12 • 7 sitesurveyforexlerbradddbns&Cecks • IndicateHhomeservedDysepticsyslemforadditlons VALUATION * Lfcl9 -7 cl- -S, 4ULTI-FAMILY BLDG _Y )CN FIREPLACE(5) _ 0 _ 1 _ 2 STREETADDRESS 2Z 32 HC&Icevc, -Dr. CITYVr,?W,-k?STATE?!? ZIP? TELEPHONE #Itt CELL PHONE #te, z- aar -?r5 FAX #q,?y z- 3s z-% 61 PROPERTYOWNER ?c- ?? !- -,-- Pr-w-^ ?, TELEPHONE# LoS-r -4SZo-5Z"o 1 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIiNNESOTA RULES 7670 CATEGORY 1 r (J submission type) • Residential VenElaBon Category 1 Worksheet Submitted • • Energy Envelope Calculations Submltted Plumbing Confractor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contracfor: _ Air Conditioning _ Heat Recovery System Phone # Phone # 42R Fee: $90.00 Fee: $70.00 --------------------------------------------------------------- I hereby acknowledge ihat I have read this application, state that the information is corzect, and agree to comply with all applicable State of Minnesota Statutes ond City of Eagan Ordlnances. Signature of Applicanf OFFICE USE ONLY _ Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4ID2 ? .? 1987 BQILDING PERMIT 9PPLICATION - CITY OF E9G9N SINGLE FAMILY DWELLINGS INCLUDE 2 SEIS OF PLANS, 3 CERTIFICATES OF SQftVEY, 1 SST OF ENERGY CALCOLATIOHS NOTE: ADDRESSES FOH CORNEE LOTS - COHTRACTOR/HOMEOTdNBR MDST DESIGAATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCB BQILDING PERMIT IS ISSQTiD. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL DPdTTS FOR SALE IIAYITS INCLUDE 2 SETS'OF PLANS, CEBTIFICATE OF SDIiVEY - CHECK F1ITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS$ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: AODEZ 141wc Valuation: Oc2i bnr1' Site Address 7? (B I 4S'-'It6 ',? Lot / B2oek / Parcel/Sub va ,?c ? vCE A>v'-7'70.1 Owner Address City/Zip Code Phone Contractor '/";e. Address Qu;iJ City/Zip Code?cwnr?,?6r?,?, 1-4,„/r? Ss?37 Phone 6o1,5 /,f?12 5- -.?522- Arch./Engr. Address City/Zip Code Phone !! Date: 6-fl000 0FF On Site Sewage_ MWCC System ? On Site Well City Siater ? Vt.el I' .ti,? APPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance USE Occupancy Zoning Type of Const (Actual) (Allowable) ll of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter pl-3 tL- I V-N V-N /f8. ?"' SO. 33 95, o0 OI Road Unit 3057.0 Treatment Pl J O. oo . Parks I Copies TOTAL ;2-z3 2y? ?A12A6F' ; - -. -. - A r•_ i) ^ 24xzS??X?z, , ?SMT! a6 X -99= 1si Fi.oo.i zG }c 38-4`6q $ x t o ? ?60 I X ?n= i ? qh432 ? 68 19 _- ??•a - I ,,?,•???: ? I?;V • F?s•uu+ iJU+ ' UU-?. .`U7•'?lll u?uj? , ?. •u,.?, , U R V E Y 0 R' S C E R T I F 1 C A T E CONSULFORPI HQMES I_TD. NOTE: THE LEGAL DESCRIPTION USED ON TNIS SURVEY WILL BECOME VALID UPOPJ FILING THE PLAT OF PINE RIRGE AppITIQN, . ?,:. . . . :' . ?-. DENUTES PROPOSED SURFACE DAAINAGE O UENU'IES IRON MUPIt1MENT 5ET SCALE: ,1 iMCll n 30 FEET 0 UENOTES IfiON MONUMENT FOUND hROPOSED G/1RAGE fLUUR - 87(0,o FEET X000.O UENOTES E%l5TIN6 ELEVA710N PflOPOSEU LOWfST FLOUR ¦ 815, 2 FEET (UUO.U) UENUTES PROP05EU ELEYI1T10N PROPDSEU TOP OF l3LOCK ¦ 674o,4- FEET. I IIEREDY CERTIFY TU CONSULFORM HOMES LTD. TIIlIT TIIIS15 A TRUE IINU COfiRECT REPRESENTATIUN UF /1 SURVEY OF THE IiOUNDARIES -0F: '. •. . Lot 1, Block 1, PINE RIDGE ADDITIOPJ, accordin9 to.the recorded . plat thereof, Dakota County, P1innesota. - /IIIU OF TIIE LOCIITIUN OF A PROPDSEb BUILUING. 1T DOES NUT PURPORT TO 5110Id 1h1PfiDVE14EWT5 O!t EtICROACIIMENTS, 1F ANY, THEREUN. A5 SURVEYEU pY ME, UR UWUER htY IJIRECT SUPERV15101J, TI115 157I4 DAY Uf SEp-T, , 198•7. SIGIr'EU: 7 R PIILL, 3NC. OY: ? ilAAOLU C. PETERSOH; LA11U SUISVEYOR SNEET 1 Of 2 SHEETS , h11NIlESOTA L1CEtJ5E 110. 12294 PROJECT N0. eooK i PAae ,JAMES ,.R. MlLL, INC. 87436 207/26 planners:/:Engineers / Surveyors RILfi H0. I • , • 8200 Humbofdt Avenue South F O L D E R Bloamington, Mn. `86431 812-884-3029 S U R V E Y O R' S C E R T I F I C A T E cONSULFORP1 HOMES LTD. KOLSTAD . ROAD v i L.V 1 O M ? M • 872.8 •• 5. 0 SOIiTH ~ a.?.a - eas. y ?- ' I? O Q r 1? O ?' . ; ?_.? 1 C O f' KI 8 e'm.aE H7ss6?__"_ 2?'.33 ( ma/GAR. r ? o. i ? PROPOSED, NOUS f-- , .\, (n, CA Y__ .• "2a00 - - W -..,_._. , Q ? ? ?BTQ.f ' ¦8f9.6 ? ¦ . W m ??7?.,? C?•'?? , m .. ? ? .. . . , ? ., , . , -' I• ? . . .I LOT o ? ° ' ? . . . , . , i. ? . . I . - , , -? . _878.4 ,•., 85.00 NORTH 'a?&,- ^, ? ?? ?•• r. r? ?- :: ' i_ /?? ?? ?? n•? n A? ?? i ? ,V ?? ??? ?? i.? •?? i ?v? 1 . ' . .L_.?'1 ?: .?. V _ SHEET 2 OF 2 SHEETS PROJECT NO. BOOK / PAGE 87436 207/26 FILE NO, FOLDER I ? ?. . JAMES R. HIL.L, tNC. Pianners / Engineers / Surveyors 8200 Numboldt Avenua 8outh " 81o0m1ngt9n, Mn. 65431 812-884-3029 ; CITY OF EAGAN E%TERIOR ENVELOPE AVERAGE 'U' COHPUT6TION OWNER: `L}c`'?tr"'NivI ? G SITE ADDRESS: XX Kx t..mL57,9-D ?oft-D ?o'r ???ci?Cl 71^?0 Aoc.? flDaoJ ?j CONTRACTOR: ?SUtFC??'vt? Y-?trm?Ln?DATE: PHONEC f3/-601 82=-ZS 22 Determine vorking square footage of each: 1. Total exposed wall area .. / 93/ sq, ft. x.11 = ?/3 --, 2. Total roof/ceilfng area ., /076 sq. ft, x.026 = ?18 --? Total exposed wall area above floor = //SZ a. Total wall window area ............................ ,0Z b. Total door area ................................... 410 c. Total sliding glass area .......................... 4 O d. Total fireplace wall area ......................... - e. Total wall framing area (average 10%) ............. f. Total net wall area above floor ................... 87s g. Total rim joist area .............................. 1414 Total exposed foundation area = 65f0 h. Total foundation window area ........ ............. 7 z i. Total net foundation area above grade ............. S/v3 Determine 'U' value of each wall segment: a. ?Z x - b. ?o x c . 46 X d, x e, x f. B7s x g. ivv x h. 77 x ' i x IU? . 3 08 - e215, zS?- IU' .2S - iG, o-U? tol .305 = 12,32- ' U' - - 'U' .097- TUI .036- - 33.25 ' U' . Ou/ = 5, 4o'f 'U! • ?£z = ?3.-/1 G gU' 3C1,f 3 . ................................................... Total : If item !l3 is the same as or less than item U1, you have met the intent of SBC 6006(c) 2. Total exposed roof/ceiling area a 1076 3. Total skylight area .:....:........................ /?o"e- k, Total roof/ceiling framing area (average 10$) ..... / 08 1. Total net insulated roof/ceiling area .............. r'7 70 OVER Determine 'U' value for each roof/ceiling segoent: i . - x 'U' = k. / 0 8 x' U' , 0 Z? - ?. 7 1. '??O xlU' . 0 22- 3`f t T l 4 . ............ ............... ............. .... o a .......... If total of fly is the same as or less than 112, you have met the intent of SBC 6006(c)7. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items 113 and 114 shall not be greater than the sum of Items tl1 and t12. 1. + 2. 3. + 4. 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Average 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Floors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. Interior Air Film (l/alls) Fzterlor Air fllm (ualls) In[crlor Air Film (Vcnced Extc•rig.r Air Fllm (Vcnled Intcrlor Air Filn (Ilcn Yc Eateriar Air Fllm (11on ve sieina Al.minum .,ith Backer Aluminum.iith Backcr E Fo 1/1 w B lco 5idina (llooa) 7/16 x 12 IlardboarA Sidin l.sLcstas Sitlinns I/L LapD S[ucco (Ora..m and Iinlsh 3;4" Vood Subfloor or Sne 1/2" Ply..oad hca[hinq 1/2" Par¢icle tlu..rd YOODS: iir. pinc L sim(tar soft lloods 1 1/2" 1.89 2 1/2" 3.12 ) 1/2" 6.35 5 1/2" 6.81 (R) r baard 3/8" 0.32 r boar0 I/2" 0.45 r board 5/4" 0.56 0.47 0.62 0.93 density 1/2" 1.72 eensity 25/32" 2.a6 inq 1/2" 1.14 0.)7 sninnl,s 0.21 fing 0.15 0.44 7/4" Fiberplass 7.00 2" Fiber9lass 1F.00 Fiberglass 19.00 BLOtIIIIG 1JOOLS Appmx. 3" • 9.00 Approx. 4 I/2" 13-00 Apvrox. 6 I/4" 19.00 ApDrox. 7 I/4" 24.00 ..N? .. - AI1 other inzula[ion materials mus[ be Fllled verifieE (R iacmr) (R) Vermiculitc B'• [oncrc[e Block (5 L G 0.eq.) 1.11 1.93 ' 12" Cancre[e 21o<k (5 L G Re9.) 1.18 ;.IS . 8^ Lishc uciqnc 2.18 5.03 , 12" Light 1:eight 2.48 5.82 dl:?ii_RS?R^f.??Gl?AA?S?:R?dR NOTE: (U) x Area Squaro Fect All Vindws . ' - . -. . . . .' (W/Srorns I" to 4" Spacc) .SL Removal Double Lluzing (0.0G) .55 , Thermo or wclded 3/16" air spacc .69 - 1/4" air :pace .65 1/2" alr soace .58 . , ' (O[Aer wlnCO.s specifically tested wn use be[ter ratin9s) 1 3/4 Solid <ore door .46 w/i[orm, wood .31 w/smrm, me[al .16 - Pease StcelOoor Insi/e/tL 7.45n .13 . Sltding Llass Door, Vood .65 XC[dI .715 ' LUIDCLIIIE TO (R) /'ALTURS fROR lSIIPt.C ENfIWL Of T11P1[RLLY USCD PRODUCTS (R) 0.68 Gypsum or plaste 0.17 Cypium or plaste [eilinn) 0.61 Gypswn or nl+stc Ccilinq) 0.61 Plywood 3/8" nteA) 0.61 P1Ywood 1/3" nted) 0.17 PIY?rod 3/4" Sheathinq, reg. 0.61 SAeathinq, req. 1.62 Nbil-Aase sh<:.ch ilea 3.96 . 0.81 Built-up Roofs q 0.67 Asbes[os-cement ed 0.31 Asph.lp roli roo Coat) - ASpahIl Shingles athin9 0.94 Insulation: 2-2 0.62 Insula[ion: 7 I/ 0.66 Insulation: 6" CITY OF FAGAN TfINIPNi1 "i1" VALUE AND R-FACTOR AT ROOF, IdALL, RIPI eV\D CO\`CRETE BLOCf; lr _ ? ? ? RooF j CcIL?NC, (Y) VAL 1? It1TE?ID? ? A1R F??M . 6 j O S?s" GYP ? lNSULAtI?N ,,4y O EX?E.(?!?(? A1R Fl?r1 ? 6l ' (5-[ILL) ToTAL (R)= - 1 ? ? . ? . WAtL ? ? ?` (7-) VALC QQ iC? tEt=l?f= Alfl ?[lF1 . ? BD.' ?ZS ir'sUL.A"[IoN Siz,t?z, ?- . Q Z,??it $?1?7 ?JTc • _ .2. o G a C'lrt?oNl7c ?tD??C? ,?7 .1'7 . 2,1,. q3 -roTAL (K)_ ?. 03 ? ?t It?T?.1'?lot? A?R Fl?t? ,. G e? ? 2' Ftf- Rltj ?plS`( 105 u• ? O . t:xTEO»V- AiF_ F«M '?- 11 Ui, = . -?-- t?fR=.._.1? ToTPr (R)=ay•?7 ? . foJ??AT?oN ? . ? . ? ? Ctz) Vr?w? 0 tN jEl?l?? Auc F??.t1 ? ? . - • C ,, . 9•5 - 0.10 EXjc-_mo;c AIR FtLM • u?,? _ ?/(Z= •j?, To?[A? (C<?= . Floors ove; unhez[ed spaces must have mininum R-factor'of R-20 (tuck-undeY Karaoes). Floors ovcr outdoor air (ovcrhangs) nust liave a r.iininum P.-factor of R-33. , I/'J .. CITY 0F FAGAN f;ASFi:[I'=Rs 8 T'E.lii`tSidE1L N0: 39 tiATE:a 08/20/96 77HEa 15:59r.25 ID a NFlt1Ec rAMES I. CIC F'1=NNINr, 3'r'10 9001 3661 I:(71..STFaLi fiT1 45.00 205 9001 36E:1 t(01._ST'FaD fiD 0.50 Yol::i:l kecFaipt, Amnunt: 45.50 Ckf7li:315'3 US[::1; ID: NANrY CIT1F OF-EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: BuzLozNs Permit Number. 028601 Date Issued: 0 g/20/g6 3661 KOL5TA0 RO L07: 1 BLOCK: 1 PINE RIDGE P.I.N.: 10-57675-010-01 DESCRIPTION: rmit Type rk Type pECK NEW 434 ALT. RESIDENTIAL `?a= ?rz€ &aw?' p5Pq ??'?m#FlW W: ? ?'?' ," ? `??Si;'40?are s? REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: X.harsby a,?kcn?cr?i?d.?e ?i?=a??r? i , znfb'rrnatian=;: is £trz+ri.*ect `A-v?l L Statwte?? APPLICANT/PERMITEE SIfG'N3AT ? OWNER: - Applicant - pEPENNING JAMES 3661 KOLSTAD RD EAGAN MN 55123-1016 (612)635-5383 ? ? ?_ 4 r Pu 13 ' g F?t I ?j 4 ??i ? I e` Ccr etfmpAJy,- ?ft3H, afi app]:Y.5ab2e f MM " R'??CIL`@S'?; y ? ISb'ED B : IG URE CITY OF EAGAN n 3830 PILOI" KNOB RD - 55122 r? „ D J 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) it% n?? 681-4675 (?'.t1?EGti n ?-0? New Construdion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 eopies oi plan ? 2 copies of plans (include beam 8 window sizes; poured ind. design; etc ) ? 2 ske surveys (ezterior addRions & decks) ? 1 energy wlculations ? 1 energy calculations tor heated additions ? 3 copies of tree preservation pla if lol pladed aRer 7I1/93 required: _ Yes Na tx` DATE: 13-A5oies0' ' 1P'96 CONSTRUCTION COST:,/?s? ? DESCRIPTION OF WORK: 1-5 u/ <<? / 1;r- a-f- STREET ADDRESS: LOT /0 BLOCK O ? SUBD./P.I.D. #: 63,5 =5?3?3 PROPERTY OWNER CONTRACTOR W-) Name: 00,VeS Phone #: '??6'47G? C#2 Street Address: 3 ??l fl? ?? City: 4?0 9mid') _ State:/?? Company: _ Street Address: City: ARCHITECT/ Company: ENGINEER Name: Phone #: Registration Street Address: City: Sewer 8 water iicensed plumber: change are requested once permit is issued. zip:5?,%e.3 /o/C< Phone #: - License #:- State: Zip: State: Zip: Penalty applies when address change and Bnt I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ? Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes ??CIEW 0 No r?U ? 5 4996 _ No --?------? /ea BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 5F Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE X' 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Atlowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Waier Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt.lLodging ? 0 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ET" 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building AZ Engineering Valuation: $ ? •? ?, ,?- n? '?w ??,. ? ?,u???; ? w. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System ? City Water ? Fire Sprinklered PRV Booster Pump Census Code. 43 SAC Code Census Bldg 1 Census Unit v 00 ? Variance % SAC 5AC Units D.?sT = ? ?j n?-.9 T ? ArY T JG 7' CGG!/' f;?- r ---? ? ? / Lio ? G 7' S;fe ?l?// CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION SINGI.E FAMILY • ? R-2 DL'PLEX (Twp Units) ? R-3 'IIOWNi005E (Three + Units) ( tJnits) R-4 APAR'INENN'T/COAIDOMINIDM ( Units) '(Please Print-?) / 1) PROPERTY ADDRESS: 3 CQ CQ ? K.Q-Q S`CG cl /C Oe?( •_ LEGAL DESCRIPTION: •- _ Lot Block Subdivision or Tax Parce ID I'F EXQSTII`7G 512L'C![JRE. DATE OF ORIGINAL BPZLDING PF72I•]IT ISSL'ANCE: ' PRFSEUP ZONING/PROPOSID L'SE: tbn Year ? ? CO1''Y`MCIAI./RSTAIL/OFFICE Q IbIDL'STRIAL n INSTIZt,*PIONAL/GpVF.RN?'p 2? NAME: ADDRESS: CITY. SrATE. ZIP: PFIONE: 3) i: ?• NAME: ADDRESS; CITY. STp,TE, ZIP: i PHONE: MASTER LICEN5E# 4) i3A'ric : _ ADDRESS: CITY. STATE, 2IP: PHONE: Plwnbers License: P,ctive Exp1Yed Not Zecarded St Iilltldl '5? " ?? ' ?+• : a oa • a?. ',0-CONNEGTI0N 7O CITY SEWER p?'CONNFX.TION 'N CITY WATER 0 p?m '.- .• , ?. 6) WIN111 • • i- a PLEASE HOLD ApPROVID PEE214IT EC)R PICK-UP BY ONE OF ABOyE ----- -- i PLEASE MAIL APPROVID PERMIT 1V 1; 6) 3. 4, AHOVE . (Circle one) 71 ? e _ -- : NOT13: PAYMKATI' OF FEE AT TIIM Oi' : APPLICATION DOES NCIr CONSTrrJTE ; APPROVAL OF PERNIIT, xxsPDCriotv oF sEWEtt AND/10t WA= ruSrnr.ramrpNS y1rrT• NCYT gg SCHED-- ULS•D ONTII, PERMiT HAS BEIN APPF2(3VID. , iSi9C. FOR CITY USE ONLY PERMIT # ISSLED Pd w/Bldg. Permit c $ l??,a`v $ $ $ $ $ JrZ7'? $ ?oZS`0--b e $ C $ $ $ FEES: $ /d • ?? s c .t : SEWER PERMIT (INCLUDE SCiRCHARGE) WATER PERMIT ( INCLL'DE SURCHARGE.) WATER METER/COPPERHORN/OCTSIDE READER WATER TAP (INCLC'DE CORPORATION STOP) $ SEWER TAP $ f,Lj %C; L? ACCOUIVT DEPGSIT - SEWER -- p ? '/ n ? # ?` ` / d j < p O $ ? ACCOL?NT DEPOSIT - WATER / ? $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TR[!NK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER ? $ F7ATER TREATMENT PLANT SURCHARGE i $ OTHER: ' $ TOTAL 91 (P ' kECETPT 9 kECESPT ' DOES DTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK SQITHIN PF?b-i?E:?+?`ItI-Gf-&Ie?y '. ? R9?rB6d?iY" MUST BE ISSLED BY THE ENGI[VEERING / NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: Ce . JI. APPROVED BY: TITLE: DATE : 16 /q 3 Id 7 _ --1 PERMIT City of Eagan Permit Type:Building Permit Number:EA142380 Date Issued:05/01/2017 Permit Category:ePermit Site Address: 3661 Kolstad Rd Lot:1 Block: 1 Addition: Pine Ridge PID:10-57675-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 L Depenning 3661 Kolstad Rd Eagan MN 55122 All Season Remodeling & Exteriors Llc 17344 Puma Street NW Anoka MN 55303 (763) 444-1373 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145555 Date Issued:09/14/2017 Permit Category:ePermit Site Address: 3661 Kolstad Rd Lot:1 Block: 1 Addition: Pine Ridge PID:10-57675-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 L Depenning 3661 Kolstad Rd Eagan MN 55122 (651) 592-4813 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166536 Date Issued:01/19/2021 Permit Category:ePermit Site Address: 3661 Kolstad Rd Lot:1 Block: 1 Addition: Pine Ridge PID:10-57675-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - James L & Dianne J Depenning 3661 Kolstad Rd Eagan MN 55123 (651) 592-2561 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178414 Date Issued:08/16/2022 Permit Category:ePermit Site Address: 3661 Kolstad Rd Lot:1 Block: 1 Addition: Pine Ridge PID:10-57675-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L & Dianne J Depenning 3661 Kolstad Rd Eagan MN 55123 (651) 592-4813 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178595 Date Issued:08/25/2022 Permit Category:ePermit Site Address: 3661 Kolstad Rd Lot:1 Block: 1 Addition: Pine Ridge PID:10-57675-01-010 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 L & Dianne J Depenning 3661 Kolstad Rd Eagan MN 55123 (651) 592-2561 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature