4331 Matthew Ct?-?
• ?; INSPECTION RECORD
. CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
I SITE ADDRESS: ?
L, ? r
PERMIT SUBTYPE:
k7 Y l) -' ] ii YI ^:
1 x f; f „f : APPLICANT:
,
? _ . , :; ?• s .' ? ?9',it 41?.y?f
TYPE OF WORK:
INSPECTION .. . D.
ii , i•? i; ??i? , ? ?., ?? ?
. . .? . ! I?. . , . .
? f?EMAi.. ? . ! ?;pt?, ??s? ? ? ? !I?•t':iri?, a ?,.t? ? t 'ri ?,,. i? ? . hi[, i:,?,? ;?!
A.
Permk No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC ? G
InspecUon D ta Insp. Comments
FOOTINGS 8'
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
_ G
PLBG
AIR TEST
ROUGH
HEATING
? 7,
GAS SVC
TEST
INSUL
O
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
G
FINAL HTG
ORSAT
TEST
BLDG FINAL
?o
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?--
:-?
r
?
WCrdfiCtl#e of cCC1IpQltC?
6it4 of (pagan
ZCVartatrnt of 13niibing 3tbpection
This Cenificate issued pursuant to the requirements af the Uniform Building Code
certifying that at the time ojissuartce titis structure was in compliance with the various
ordinances of the City regulating building constructiort or use. For the jollowing:
uk classirouim SF D6G ? / aug. xn,u, Na 31922
oavoancy ryce T?' `1 I zating oisn;tt RI ryR con:i. VN
Ownera(Buil?oa ?SCN HCM Ad&. 4466 WMGM IM• EAGAN
L 14 B I , ?ION POIIVTE l2th
B,,;a;,g Aaa? 4331 MIIHBW 0 ,?,'ry I
U ?? Dm:(
, kfi.6 oM.W I
POST IN A CONSPICUOUS PLACE
Addsess 4331 rrarrHEw CcU-Rr Zip 5512 3
.Lot 14 ` B11C 1 SUb LMNGTON POINIE 12TH
THESE ITEMS WE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: V// ? Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) `
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gass
Trail/curb 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 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucGon 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 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date l? lConstruction Cost $v
Site Address y3 -3` ?/a'T??f6o C(%(? 7_ Unit/Ste #
? N /''liV Ss
Description of Work a aiLD lvEw
Multi-Family Bldg _ YXN Fireplace(s) _ 0 _ 1 _ 2
Property Owner GREG d- ??NAIiFER ?/`aICF/V Telephone #(?51) ?2_ZZ
Contractor -roP !VD l G'y !Jl{1 Lot'/es
Address 0
005 ?(,(Slf U?? ANVE
City ,94lkIUS UiaE
State N Zip rJ' Jf .3 4 Telephone #(6,?/) 7?8? 79lq_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the 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 pfi-(nQ#ep)Ocrff [i C?rl Fc? t'Z
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
phone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pe work is not to start without a
ppp it; that the work will be in accordance with the approv?g t?n in,,?e e ?7wrk wl?h requires a review and
a roval of plans. ??
AW Lwaotavoi
Applicant's Printed Name
" 14
OD
Remodel/Reoair Reauirements Office Use On1Y
2 copies of plan showing footings, beams, joists Gert of+Survey Recd ?Y ' N
1 set of Energy Calculations for heated additions p.?,P+?ree Presf?lan Recd
Tree Pres Requiretl 4
1 site survey for additions 8 decks L" = 11 a Y N
Addition - indicate if on-site septic system Qn site„Sep4c System .. `
y
4-
)IS
? ; •
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex 0 17 Garage
? 10 08-plex -K 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex
? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accesso .ry Bldg
? 31 Ext. Alt - Muiti
? 33 Ext. Ait - SF
? 36 Multi Misc.
DeSCelptiOtl: Water Damage Yes
Valuation u-c Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
Footings (deck) FinaUC.O.
_ Footings (addition) ? FinaUNo C.O.
Foundation HVAC
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 _
_ Retaining Wall
Approved By: ?L,- , Building Inspector
Base Fee
Surcharge
Plan, Review
MC/ES SAC ?-
City SAC ? CI
?
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
41
I?
f
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RESIDENTIAL
BUILDING PERMIT APPLiCATION
C1TY OF EAGAN
'J 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reouirements
• 3 registeted site surveys showing sq. ft. of'ot, sq, ft. of house; and alI roofed areas
(20°% maximum lot coverage alicwed)
• 2 copies of plan showing beam 3 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7!1/93
• Rim Joist Detail Options selection sheet;bldgs with 3 or less unitsj
DATE -7-16 -0A
D_() 0 a-7 4?;-
RemodeilReoair Requirements
• 2 copies of plan '
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate rf home served by septic system for additions
Y7
VALUATION /G? 7 7,?
SITE ADDRESS 73?JZ /t'1?47`7?'?e?? G7'- MULTi-FAMILY BLDG ? Y
TYPE OF WORK___ I' 01 AwCbf FIREPLACE(S) _ 0_
APPLICANT
STREET ADDRESS
TELEPHONE #
"?N
_ 2
CITY .d STATFi4IP
CELL PHONE # FAX #
PROPERTY OWNER TELEPHONE #
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESiDENTIAL BUILDINGS ONLY
Energy Code Category ? tiqIVNF'.SO'1'.A 12ITLES 7670 GVCEC;ORY I MI\NESO"1':A RI:LI,S 7672
('J submission type) . Residential Ventilation CaFegory t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: --A---------? ?----_ - Phone n -'-------
. µ -_----- --
Plumbin; system includes: Water Softener Lawn Sprinlcler Fee: b90.00
Water Heater No. of R.I. Baths
No. of Baths ?
Mechanical Contractor: Phone #
Mcchaiiical systcm inclucics: Air Conditioninn Fcc:$7O.00
-- He1l R(;COVf',I}' Sy'S[CITl
Sewer/Water Contractor. Phone #
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this appiication, state that the information is correct, and a ree to ly
with all'appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preseroation Plan Received _ Not Required _
, Updated 4J02
. ,
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
4331 MATTMEW GT
LQTs 14 BLOCK: I
LEXINGTQIV POINl'E 12
P.T,N.: 10-45096-140-01
DESCRIPTION:
sF DwG
NEw
0- a u-1
v N
R-- a.
66
51 ?
2
2Q085
101 1 - FAM. DETAGH
? ? IL .? ? ???v 9??i
REMARKS:
5&W PLUMBER - RAY HAEG PLUMBING PL.AN REVTEWED BY MIKE BARCK.
FEE SUMMARY:
vALua-rION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
? Subtotal
$1,156.99
$752.21
$77. @0
$1,000.00
100
1
$2,986.20
i
$1.549000
MISC FEES 11.592.50
7otal Fee . $4,578.70
CONTRACTOR: - App1 i c a n t- sT.Lz C OWNER:
THQRSQN MOMES BF2IAN L 14540644 0001317 THORSnN HOhIES
4466 WEDGWOOQ qR 4466 WEQGWOOD DR
EA6AN MN 55123 EAGAN MN 55123
(612) 454-0644 (612)454-0644
PERMIT a
PERMIT TYPE: BUILn ING
Permit Number: 031922
Date Issued: 0 5 j 06/ 9 8
b au?. `R Dh?
APPLICANT/PERMITEE SIGNATURE ?SUE?BY: §IGNA UR
, *?43 ?F,56
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
,
? CITY OF EAGAN
? 3830 PII.OT KNOB RD - 55122
681-46?5
New Construdion Reauirementa
? 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fntl. design; etc.)
? 1 energy calculations
? 3 capies of tree preservation plan if tot platted efter 7/1/93
reQuired: _ Yes _ No
DATE: 4x, / d 2'. 9?p
RemodeVReoair Reauirements
? 2 copies of plan
? 2 sle surveys (exterior additions 8 decks)
? 1 energy calculaUons for heated additions
CONSTRUCTION COST;
DESCRIPTION OF WORK: WG' J ee.JS ?,eu? , a.?
STREETADDRESS: V33/ "'WH 7TZyh¢uJ
LT ? BLOCK: / SUBDJP.I.D. #: Zexl4oz N en ? X
Name: Phone #:
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company: 7-Lr'So../ Phone #: 4d,'
CONTRACTOR
Street Address:!4,1&66 Lc.?e ?gu}o d o? ,D 2 % ?e License # 13/7
Ciry _ .qa.? State: /Y7 .f Zip: 05 ;S'/W
ARCHITECT/
ENGINEER Company:
Phone #;
Name: Registration #:
Street Address:
City
State: Zip:
Sewer & water licensed plumber (new construction only): 44 .41a e Q /?? ? b ii?o . Penalty applies when address chang
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infbRnation is coRect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. -,%% ,A/
Signature of Applicant:
OFFICE 7yes Y
Certificates of Survey Received No
Tree Preservation Plan Received Yes No Not Required
s r
s
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
?:( 02 SF Dweliing Ci 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition 0 34 Repair
GENERAL 1NFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
?../?
i2-3,v-1
Q-1
Z
LG ,
st'
? 11 Apt./Lodging ? 16 Basement Finish
O 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace O 21 Misceilaneous
? 15 Deck
? 36 Move
13 37 Demolition
Basement sq. ft.
Main level sq. ft.
2--) sq. ft.
, *=4:62 sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning - Building
MC/WS System ?
? y ys City Water -'
-217 Fire Sprinklered
?o<!o PRV
Booster Pump
Census Code.
Z??S SAC Code
Census Bldg
Census Unit fEngineering Variance
Permit Fee Valuation
Surcharge
Plan Review
License
MCNVS SAC ?? X ! y
City SAC L a , s
Water Conn.
Water Meter
Acct. Deposit
SIV11 Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Capies
TotaL•
% SAC
SAC Units ???--
2vX 3b
. .. ._. ' Z u ZO
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, waikout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
o Sewer service (or Proposed)
• Property corners
• Top of curb at the driveway
• Elevations of any ebsting adjacent homes
Prooosed
? • Garage floor
C?l /?- ? s First floor
?' o ? • Lowest exposed eievation (walkout/window)
O ? • Property corners
i? ? ? • Front and rear of home at the foundation
PONDING AREA Cf applicable)
? o-'o • Easement line
o o-'? • NWL
O 0'/? • HWL
? B"',? a Pond # designation
l? 17 ?. • Emergency Overflow Elevation
DIMENSIONS
[[3' o ? • Lot IinesBearings & dimensions
[y-- ? ? • Right-of-way and street width (to back of curb)
??o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
e:f'/ ? ? • Show all easements of record and any City utilities within those easements
,eT ?? -??• Setbacks of proposed structure and sideyard setback of adjacent exasting structures
?zr ? • Retaining wall requirem , if any
Reviewed: G
Name / Date
January 1996
CRAIG 1988/8l DGPRMT. FM
? t L
? i h?NNG,VIA J ? A r ° ? • ° ? ' • • ? e •ov?r. v ? u v v . . ? l ? v • . ' ' . ?•r` , 8A5ED ON r , HA TBR Of ?
tTlOii_;__?•?,
HO ERGY COD - 1983
AdopCtun EEfactlve 1/114
. ?
? Phone
)wner
;i te Address
:ontracto • .? hone
:ufildlnq Classificatlon: Type A1 (SlnaleilY b Duplex) Type AZ (Residentlal
(3 stories ar ess
(Othtr) (O-ier 3 stories)
3LENERAI tNFORNATIOro °
i, Building Perimeter _ft•
?. Wall hei9ht (grounQ to eave)= ft. :
,. . 2
3. t. x 2. (aDove) gross ?+al lorea ft.
1. Building dimensions (l) ?, C, x(w) ft.2 roof ? floor area
i. Squart tcot area of rim joist - F1oor joi:L size (2 x ro ? ? ft2
ko? x Perimeter = aim iv 5t area
-T? t -? -?` ,? -?- _ • .
6. ooors - Area
7h1c ness t -?? , n. actor
Type ot Construci on___,???-Q -n -?eria?eter,Jr
Mtanu fmc turer
r
7, Total door's perimeter -b Zft
q9D State approved Mt?
_8 . WinGor+s: Manufacturer
U factor
2 " R F TnTA? FCFT z
TYPE
-
SIZE
W.?o
x -? 16
AR:A ( F :. ) .4UMBE 0
EACH UNITS
P" o'?5 1-4
, -7
•?, ? 5 z
' ?, ? ? • e? c? .________ l
?\ Z_ . --? c? _
?o
Total ft.2 Glass
10? Flreplate area: 4lldth x htiaht a -, x •-?--F?'2
Z
F t .
11 . Expostd foundatlon: He1ght x PQrimeter (_ x
:)MPLETION OF Tt1IS FORM IS REQt1IRED FOR AlL NEW COPISTRUCTION, MAJOR REMOflELING ANQ Bi1iL0I'IGS 9EW
13VE0 uHERE EHERGY. OTNER THAY THE MINIHAI CODE ALLONANCE, IS USEO.
? .
Z. : Framing area ? lOX of gross ?+all area.
Gross wall area
2
WinCow area A _-tZ,ft. i:. windows • J x A ?
Rim.joist area A ft.Z U rim joist ? eC?-4 U x A ? °?• bc
Door area A „
-?--? ,-r --? ft.?
J
door area
U
x-
A .
a
Fireplace area A ft ,2 U rireplace =. -?-?--? U x A _
Exposed foundation A ?-q -4? f*..? U foundation U x A ¦ . ?•`-}
Frami ng area A ?
f t.?
J
frani ng area
= •- ?`?
U
x
A
? -j?c
het wail area a wall o?-Z 3 U x A ? -Z\
?.
( " . . . . . . . . . . U x a
_--
',. Gross wall area x 0.11 (A-1 single family S 0?:.:?x = allowable U.c A/Code
(13. above) .
x 0.23 (a-Z other residentio'.;
x .23 !JLher buildingt;
x .?'.°v (Ovei' i stor•io;)
6TUH Must be larger than
A x l' Ccde. ..._ ,•?_._ '?(?? .7:?? . 138 above
. Cailing framiny area {Af) aquals 10« og ,.m;li,in a,.ea ? or the same as)
A.. Gross ceiling area = (l) C? x ('a __ZN? ft.z
8 Joist area (Ag) • 10" ceiltng area = ??-` ?, ca c ft.2
C. ?ye! ?ceiling area (AC) (15A - 156) ¦ ft.2
U cei 1 inq xA c- d 7,..., \? x?t?.,?,
U frami ng x A f= d C?'? ??- x_ -.3 0A Z,
Q . ? Q1AL U x A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. Ceilinq,area (15A) x 0.026 (A-1 single `amily S duplex - cade a11owable U x A •
x O.C33 (A-2 other reside.^.Liat )
x 0.0 (other)
' BTUN Must be larger than 1S0 (abave)
A (15:a) x U_(code)" OF (or the same as)
?
NO?E: Use U and a vrlues obtained f?•or* ops l, 3 and 4.
,
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,
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tIF
lnEar.tK' tWall) l.' _ ,? .• 1
'.1suiA[lvA
Sidln4 • ? ? ?_ ? C) 47a,
ZuGtilp afr fitm 17
q rorAc.
instde air film .cR
int.rior alil •45
???G-ud R? --??? (Frsmtng) U'
?heathing Z,
Sldins . G.`l
Outatde alr filn .17 c -)Ok
-arAt ----
_
Inside air film R' .68
Intrr ?or Mi l 1 . 4'.5 .
1t1111lttIQn 1CtlWe lI ?•. A 7C •`
K
.Sha+?th?pS'"- cD g
Ext?r 1 oi?, ?ra 21 covor i nt
ExcrYtew, a ir fitia i+ ..tl i?
R TQ1'Al ?--.
.?'.?.:s3" .,. ...._
y:?.. tnt*rlur air ti 1'n
;. 6ttN _r.sula?io."1 ?q.oo
.
? JO IS i `-? 1?4 i r,cf? su f t :ruut1 R=1 .88 (U
R ?
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. _ 01 s! )
? ?.• ?,/q '''y'`?, a
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t
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t:. '' , ?/?'° t ,;, t?r wal l cavertn;. •401'7 .
_ air
Ezt*ri? f tlm tis .17
. o A
a TOTAL
?._
lnt»ripr„oiz
.
f!tm
R' .66
,.
.. ob
?
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q;•?
?,.;
?• _
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FOYAt& C{dfl
(Fdn.) u
,; -?? - •, ? '** Xtlt t4C a{ f ?! lfa R+? .17
F roTAL - ?"_ •
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ty' t,siclMtial door inflltration 0.5 cfm/square faot or deor and mininuP cod* rewirement
4"-residential door intiltration 11.0 cfa ?lineal `oat of crack
lp 12" con+•ett b10ck no insu'lation •.47 R 2.1
' 12" concrete siock 1nsulated cores =.26 1 3.8
?,.lb
12" li0t•ieiQht block ?.32 R 3.1 '
12- lightwlght Dlotk UfsuTated cores .12 4 8.3.
`•: J: sin9le 91ass • 1.13; wlth storia Mindaw .54 .
glasE • .55 .
J trfplt ylass ? .41 t"All exterior walls and ceilfngs rru st have a vapor 5arrier (C.10 perm glix.).
??.;.;#por barritr mat Dt on tht inside (hest*4 side) of wa21.
'09or Darrfars ot the polyethetene thin film have no R value.
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CTTY USE ONLY
LOT BL RECEIPT #:
SUBD. RECEIPT DATE:
?
1998 MECHANICAL PERMTT (RESIDENTIAL)
Date• d
Complete this section onlv if you are installing HVAC in single family, towahomes or condos under
construction and not owner /occupied
• HVAG: 0-100 M B T U $ 24.00
ADDIT'IONAL SQ M BTU 6.00
• Gas outlets ( mini,mum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL: s
Complete +.his section onlv if you a.*e remodeling, adding to, or repairing existing single family dvvellings,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Slarcharge , .50
Total: $ 20.50
SITE ADDRESS: i e 10 Jr ?
OWNER NAME: 7-A bi''SQ/0 ao,.,L e- 5 PHONE #:
INSTALLER NAME: 01PUL +aq, i t, J: PHONE #: 3q) - l? l I
STREET ADDRESS:
CITY:_ Ecy? PC-paLcroe ST.
CITY OF' ERGAN
3e30 PILOT IQd08 RD
EAGAN MN 55122
(612) 681-4675`
IS/FORMS BLD/MECH PERMIT (RES) -1998
1 ?.
CITY USE ONLY RECEIPT #: 7a v°2 ?
SUBD . ? • ??? RECEIPT DATE:
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
- - --------------------------------- - ------
FIXTURES ---------------------
EAGH --------------- - -------
# --------------- - ---------------
TOTAL
-
Shower 3.00 x I _ ?
WatAr ?'sl.^.set 3.00 _
X 3 = ?
t
Bath Tub 3.00 x ? =
Lavatory 3.00 x
-
Kitchen Sink 3.00 x
? = 3t --
Laundry Tray 3.00 x i = 3,--
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x I = 3, -?
Floor Drain 3.00 x
Gas Piping Outlet * minimum -1 3.00 x
Rough Openings 1.50 x :3 = . Sd
Water Softener ' for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 X =
U.G. Sprinkler " for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems) •
Priva#e Disposal Systems " Abandonment 20.00 ?
STATE SURCHARGE .50
1998 PLUbMING PERMIT (RESIDENTIAL)
CITY OF EACAN
3830 PILOT IINOB RD
EAGAN, MN 55122
(612) 681-4675
TOTAL L0,DD
. ------------------------------ ---------------------------------------------------------------------
I here by adcnowledge that I have read {his application, state that the infoimation is correct, and agree to comply with al4 applicable City of Eagan ordinartces.
It is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability far any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SfTE ADDRESS: hF ?3 1 - L/S-? '
OWNER NAME:
INSTALLER NAME:
TELEPHONE * 6 (0(0 '-00c1 Z
STREET ADDRESS:
CITY: \ kt? STATE: Zt_. ZtP:
n
SIGNATURE OF PERMITTEE
dS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
PIONCEF:
, _._.,W......., ??
? 2(1C)It'lE.'?.'r-If1g
Certificate of Survey For:
lANO SUP.`lEYORS + CrnL ENCiMttna
Ln.rip PlnriNERS. LANO3rApE aRCHI1ECTS
2422 Enferprise Dr+ve
Mendota Hcights, MfJ 55120
(612) 681-1914 FAX: 681-9488
625 Hiyhway 10 N.E.
Blaine, MN 55434
(612) 783--1880 FAX:783-1883
TH ORStJN H OM ES
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NICiE: 5E4FNGS S:aO:Bv ARE E.45ED ON AN A$SVV.ED DATI-Iµ -?--- CE•,4 O1'ES N:%hl:IdENT
^?- pFrJCTES OFFS: T F!U9
WE !-iEREBY CERTIFY TO THORSON HOMES TNAT THIS IS A TRUE An?D CCRRECT REPn^ESENTa7ION Cr' A
SI;RVEY OF THE BOUtiDAP,IES Ort:
L4T 14, BLOCK 1, LEXINGTON PaINTE TWELFTH ADDITIQN
DAKOiA COUNTY, MINNESOTA
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sT i,OE: hL!1 FURPCRT TO SNpti'! 141PR0`?E1.!`NTS QP. ENCHROACNMENTS, EXCrPr?„S ?yC!%Nl, AC C±IR':?l'EG 5Y Y_ Gc
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LANO SUP,`/EYORS + CIVIL EN,IPIEERS
La.rip PLnriNERS• lANO'aCqPE aRCHItECTS
EAGAN
MWED
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B 'JILDING {NSPECTiONS DEPT.
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Mendnta Hcights, MN 55120
(612) 681-1914 FAX: 6$1-J4?38
625 Hiyhway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
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p.q7FCaen Ig KpT 1hE RE$Pp\$iBILIiY OF 7NE SUR`J:YOR,
NOTE: iNIS GERL•FICATE C10ES NOT FUFPOR7 TO SHOW EASEA'ENT$ QTNE:2 7NAN X 000.00 :?ENOTES EXiSTM3 E! EVP.TIGN
THQSE $HQW1T QN TY.E f2EV`QRpEp PLAT. ? 000.00 ) CEtdOTES PROPOSED E!EVATI.`)n
-= DEN']TES DRa•NAGE AND unLirY EaSEV=^i
NOTE: CONt^ACTpZ AtUST VERiFY p.qiYEWAY OcSiGh. DEhOTES CRA,NAGE F107; 0'REC1'CN
NCiE: 5e4RiNGS S:-+C,Y,"v AFE E.4SED ON AN ASSJ.N.ED PATVN -0 -- CENOYES MGhUIdEN1
-g- pFrIpTES OFFS_T Nu9
WE !-+EREBY CERTIFY TO THORSON HJMES THAT THIS IS A TRUE AND CCRRECT REPn^E$ENTA7?ON Cr A
SURVEY GF THE BOUNDAP,IES 0?:
L.OT 14, BI.QCK 1, LEXINGTON POINTE TWELFTH ADDITION
DAKOTA COUNTY, MWNESOTA
=.T ^uC-c-q- h;iT FURFCRT TO SHp1'l IMPGpVE??ENTS OP, ENCt-IROACN:VENTS. EXCEPY.AS\?NC'.'.1•:, A5 5Y Y_ QG
JNGER R{Y 7.RECT S?J=FR`iSl(;`1 ?ti;S 20iH CA.1' OF AF'Rll. 1998.
LI\?J? / rnlo~\CCR Y..
SCALE ' t INCti = 30 'FcET • '
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BY.
15
THORSON HOMES
4331 MATTNFW COUR7
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97391.0.2 SirK v//,!nnn G. Lcrson, L.S. Reg. rao. 1992g
701 Office Use
Permit
I I
I I
City of Evan I ~ ~ I
I
3830 Pilot Knob Road Permit Fee: 1
1
Eagan MN 55122 j Date Received: Z> 1 1
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: a Site Address: Y3e.
Tenant: J Suite
RESIDENT / OWNER Name: (4) Phone:
Address / City / Zip:
CONTRACTOR Name: J'A- `l LAY PLb 9 License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK -New X Replacement -Repair _Rebuild _ Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
l- RPZ PVB) l- Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) So
TOTAL FEES $ S'a, E7
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 1',) /4 V113 TAP ~Gl>~ X
Applicant's Printed Name Appli a is ignature
FOR OFFICE USE Reviewed Sy: Date:
Required Inspections: Under Ground Rough-In `Air Test _Gas Test Final
I
Office Use l
City of Ei Permit 0
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Receiv kl: j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION'
419 Date: ~ 7 Site Address: !~l /~111~//fT,() f T
Tenant: Suite
Phone:
RESIDENT / OWNER Name VjW04'r
SS~Z
Address / City / Zip: 33i &t, At L,
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License#: 6M
Address: • (o • mod-
City: AMSC)5,11-e State: /V Zip: _.5solaul/
Phone: - a y %364at) Contact Person:'J41n 7q6~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(1~ submission type) • Energy Envelope Calculations Submitted
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 the are trade secrets.
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 wprl~ is not to start wit a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr al o pla s. 17
X
Applicant's Printed Name A licant's S at re
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES c7c, C/ 01,L 3
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 3~o Occupancy 'uo-1 MCES System -
Plan Review Code Edition lam'? SAC Units _
(25%100% Zoning City Water
Census Code ~r 34 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction _ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough in _YAir Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FE VS
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091053
Eagan, MN 55122 . Date Issued: 09/08/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4331 Matthew Ct
Lot: 14 Block: 1 Addition: Lexington Pointe 12th
PID 10-45096-140-01
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Hearth and Home Technologies Gregory Wilken
2700 N. Fairview Ave 4331 Matthew Ct
Roseville MN 55113 Eagan MN 55123
(651) 633-2561
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116908
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 4331 Matthew Ct
Lot:14 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Shane Pavel
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 -
Gregory Wilken
4331 Matthew Ct
Eagan MN 55123
(651) 905-9079
Pavel Enterprises Llc
3935 71st Ct E
Inver Grove Heights MN 55076
(651) 353-4783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117953
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 4331 Matthew Ct
Lot:14 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Gregory Wilken
4331 Matthew Ct
Eagan MN 55123
Pavel Enterprises Llc
3935 71st Ct E
Inver Grove Heights MN 55076
(651) 353-4783
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