4334 Matthew Ct?-....-? ?.. .? .??._.?,
INSPECTION RECORD
`CIl`lFbF EAGAN PERMIT TYPE: ?
3830 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55122-1897 Date Issued: ?
(612) 681-4675
SITE ADDRESS: APPLICANT:
I + ! r'?ds ? ? ti: , j ?54?; ?, .•! ;il??qN '. iC}:' ? T41'u
` 1 t' x i Ri.? 1 rt y V01: f4I E` ? i ,! 1`1 41 ., !t 0 tA gi ?
PERMIT SUBTYPE:
TYPE OF WORK:
r1? 1:,s
INSPECTION .• • DA
I 4'?. FM F'sftK : S & b! t"CMM 'I"FtAV .l:tl1, ltAY ##fyf{; b'#ij Fli?1Ptf;i
LL
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING p O
HVAC i?
Inspection Date Insp. Comments
FOOTINGS
? a,Tl
FOUND
FRAMING Q
J
ROOFING
ROUGH
PLUMBING f Z -7,
AIL
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
-
INSUL ??
?
GYPBOARD
FIREPLACE /
FIREPLACE
AtR TEST
FINAL PLBG
? 6AI
FINAL HTG
? A
?v
ORSAT
TEST
BLDC FINAL
?•?y 98 12/30/97 - TEMP C.0. ISSUED FOR
FINANCING PURPOSES ONLY
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
It,
TEMPORARY
KevofiCQtC Df cCClipQ1iC?
?it? o? ?agan
?e?artraeut of ?uilbatg ?n??ection
• This Cenifecate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
? ordinances of the City rrgulating building construction or use. For the following:
i
Uu Qassificuion: SF DWG Bldg. Pertnit No. 30912
Occupancy Type R-3 U-1 Zoning Disaict PD TYPe Const. VA
Ovinff of B??lding THORSON HOMES Addrms 4466 WEDGWOOD DR., EAGAN MN
Building Addrcss 4334 MATTRER :;T Localiry L4, B1, LEXINGTON PTE 12TH
Dae. DECEMBER 30, 1997
POST IN A CONSPICUOUS PLACE
R. -t •. ?+
OftrfiftCQt¢ 0f CCC1tpQ1iCv
iKitv of Cfagan
Zeoartracut of Znitbing 34?vectiun
This Certificate issued pursuant to the nequirements of the Uniform Bui[ding Code
certifying that at the time of issuartce this structure was in compliance with the various
ordinances of the City regulating buildirtg construction or use. For the following:
Ux Clauifxuion: SF DFIG Bldg. Permit No. 30912
Occupancy Type R- U-1 Zoning Disaict PD TYPe Const. VTl
OwnorofBuilding THORSON HOMES AAidres$ 4466 WEDGWOOD DR., EAGAN MN
Building Addmss 4334 MATTHEW c'T Localiry L4, Bl, LEXINGTON PTE 12TH
i. . ./.. . ?f :/
DuC:
BIIIkiiIIg O?ICw POST IN A CONSPICUOUS PLACE
# W?
7
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 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 Calculations
• 3 copies of Tree Preservation Pfan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 12 /7-6 /436 /
JOB StTE ADDRESS
IF MULTI-FA.MILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER '`?J"I"t--V C--- 'C+°' Ay,_?C,A
$ 7D, 0 0
RemodellRepair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions ?
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION 1,11DW? ""?
? ? ?iq ealA
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Phone #
Air Conditioning
Heat Recovery System
Fee: $90.00
Fee; ; ?: ($,7(;'a0?
Phone #
All above information must be submitted prior to processing of application.
e comply
I hereby acknowledge that I have read this application, state that the inf ation is co t, and agT//
with all applicable State of Minnesotp Statutes and City of Eagan Ordi ncq/',?^ IL/ Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Rec?ived _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
0 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
t
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 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 Bldg only) - Give PCA handout to applicant
tD-Q'
Valuation Occupancy MC/ES System
Census Code Lk Zoning City Water
SAC Units d? Stories Booster Pump
Nbr. of Units a Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) ` plunibing
_ Foundarion HVAC
Drain Tile
Roof ` Ice & Water _ Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final Siding Stucco Stone
^ Insularion _
_ Windows (new/replacement)
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
;?
Addiess 4334 MATTHEW %'I'T
Zip 5512 J?°
LAt ' 4. Bil{ 1 SUb LEXINGTON POINTE 12TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME PF E FINAL INSPECTION.
? ?
Date: VIX1158? Yes No Inspector: ?
Final grade (6" from siding) 9?
Permanent steps (garage)
? t
Permanent steps (main entry)
Permanent driveway _ 2 tVf--(-J iq c?
Permanent gas
?
Sod/Seeded grass
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 engineeting division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
, White - City Copy Yellow - Resident Copy Pink - Contractor Copy
05/(j5/1958 08:47 612-953-2217 GARY CARLSON PAGE 02
.? •
Nov-02-97 .10:0644 Pe?? & Uana Tount&s 612-415-1411 P.04
.?.
N E T W 0 F"he k T I °TL? PLAT D AwtNG
, Flla ?1?_ ???-13o Intp. Ua4o:. 7• ! Inap. By: PCY
. ...>y
~Orapr:y 1?dd«ss: 4334, MAi'THEw CouRT, -EADAN .
13uymr:WOfiNER ?
? l,eqa{: LdT 4. BLOCK t. MXINaTI?N PO1fMTE 12TH ApDITlON
T11J0 Pfat Draimtn0 Is me tAtentled to be ucsd as s i!I?vey pAd sAouM nol be reNed Woll an puch.
Thm lot diiansinaa aPo ttk9f? t?ofln U?e ?searded plat nr th0 oauntf? recorde rna aIe
' aosunaed la bo oCeurotr. Tho toasNoA ot ihw v' ?rovem0?l• o?town tln tM drawlnp ¦re
apPrn??fsW anot ar• barad unau? o nisust lne00eti?ri of thm premisea A?CenMed
tYPYoy4N mMt11/I b! OdflliaQtsd I/ qq OlvOw44, eurvey is drsiroi. This 'Iat drawlap
?+ly-
20t* not :CitC'i4utm c!labllitq oF 4hd CeiApanr 811d iR 1t1tYnfiss tw u" by th8 Colt1p811y 0
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT ?
PERMIT TYPE: B U I L D I N G
Permit Number: 030912
Date Issued: 10/23/97
4334 MAT1"HEW G1'
LOT: A BLOGKa 1
LEXZNGTON PqINTE 12TH
P.I.N.: 10-45096-040-01
DESCRIPTION:
REMARKS:
5&W CONTRAGTOR - RAY HAEG PLUMBING
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
aAG ?
SAC Units
Subtntal
VF1 LUATIi3N
s F awG
N. w
R-3 u-1
vN
Pp
66
32
2
1,736
101 1 - FAM. DETflCH
? ? ;?
??
?1. N ??
$144,000
$1,107.26 MISC FEES 1 539.50
$719.71 Total Fee • $4,388.46
$72.00
$950.00
100
1
$2,848.96
?.vrv?rsf+??.?vr?: _ Applicant - S7. LZC Vvvlvtt[:
THQRSOId HQM1E5 E3RIAN L 14540644 0901317 THOFtSC1N HOMES INC
44?6 WEDGWOQD qR 4466 WEpGWnOD qR
EaGAn? MN 55123 EAGaN Mr? 55123
(fsw1.2) 454-0.644 (612)454-0644
/PERMITEE SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESf DENTIAL)
n CITY OF EAGAN
3ul? 3830 PILOT KNOB RD - 55122
? 681-d6T5
RemodeURenair Reauirements
? 3 registered site surveys
? 2 copies of plans (indude beam & window sizes; poured fid. design; etc.)
? 1 energy caiculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
7
?
? 2 copies of plan
? 2 site surveys (exterior additions 8 decks)
* 1 energy calculatlons for heated additions
?
DATE: 97 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
-1.OT -`? BLOCK
.v'e ? ?,?st?eu.? ?, d .?,1 - _
/ ? /Q- i' 7'Yl La f1?
/ SUBD./P.I.D. #:
PROPERTY Name: Phone
OWNER L#= FWX.
Street Address:
City: State: Zip:
CONTRACTOR Company: 1?P'e. Phone
Street Address: -?? ?/,?.1? ? Gvmd ? 6e ?`??? License
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construcaon only): 'Ila - ?? ???j?' . Penalty applies when address change
and lot change are requested once permit is issued.
1 hereby acknowledge that 1 have read this application and state that the information is correct and a ree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates af Survey Received
Yes No
03007
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY ?
?
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
)( 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o. 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
)? 31 New a 33 Alterations o 36 Move
0 32 Addition a 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
V?j Basement sq. ft.
Main level sq. ft.
''? t11 sq. ft.
sq. ft.
? sq. ft.
sq. ft.
? Footprint sq. ft.
MC/WS System
City Water ?-----
Fire Sprinklered
PRV
Booster Pump
Census Code. IDl
SAC Code ?
Census Bldg
Census Unit ?
APPROVALS
Planning
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
license
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded. Other
Copies Totat tz),??? ?
% SAG- ?1
'3AC Units ' + 'A:..yp?iro?B.•-rsa2..ti'11'eN'+w.i'x. ,
Valuation: $ -2Is?Yn?T
j 0Z7. ?5"1C 115-- Ito, t? Z.,50
?'1
? O"gq? ? )(,5-4 : ??'d) ??? • o?
s NP i'?-
iD(p? ,,5-x ?54 - 51? 1S3 .vo
I D"r?
.?-------
???3,?4,so
?
>
o ?
l9' ? ?
V'-'0 o
0-'? ?
o ?
M---'0 ?
gY'-o ?
C?? ?
o e5-'?
er-'o ?
0' o O
PROPERTY
DATE OF SURVEY:
LATEST REVISION:
QOCUMENT 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/ebsting sewer and water services & invert elevation
• Street name
? Driveway
ELEVATIONS
Existina
? ?ff' O a Sewer senrice (or Proposed)
0'' ? C7
Q? ? • Propetty corners
• Top of curb at the driveway
0-` ? o • Elevations of any existing adjacent homes
Prooosed
Er' ? o • Garage floor
'ff' ? O s First floor
3-'? ? • Lowest exposed elevation (walkout/window)
o-'? ? • Property corners
D----o o • Front and rear of home at the foundation
PONDING AREA (if apalicable)
? cr' ? • Easement line
? [zf, ? • NWL
? 0-'? • HWL
? 0 Pond # designation
? O • Emergency Overflow Elevation
DIMENSIONS
C-'o ? • Lot IinesBearings & dimensions
¢-" o ? • Right-of-way and street width (to back of curb)
?o o • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. ail structures requiring permanent footings)
?? ? • Show all easements of record and any City utilities within those easements
2-? 0 ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
o 0---0 • Retaining wall requirements, if any
Reviewed:
N e / 16atW
January 1996
CRAIG1998/BIDG PRMT. FM
LOT SURVEY CHECKLlST FOR RESIDENTIAL
i
t
• ? ' M L 14 N L Z/ v 4 A •1 - 1 V r .. r ? • v V Y V Il Y V V Y I1 ? V ?
BASE9 4ACHA. TEA, OF T
MO UL6 ERGY COD - DLYLON_-_-':,
Adap',ctun Eff*cclv* 1/1/4
, r
. Pho n e ^?,tr
,
)wne t'
;i te Address
• .? ho ne
__-.--i -
'ontractor--,,,,.c??c..?
:uilding Ciassi!'icatlvn: Typt A1 (51nq1e fa?nily b Duplex) 7ype AZ (Residential
(3 stories ar ess
(Other) (Over ] stories)
;ENERAL INFORHA7ION
1. Buildtng Perimeter \ft.
Wall height (grounQ to eave) ft.
. 2
3. 1. x 2. (aDove) 9ross wall arga Zft.
3. Bulldtng dimenslons (L) ?? IIx (u) V?`? ft.2 roof ? floor area
i. Square fcot area of rim joist - Floor joist size (2 x to ? ? ft2
ko? x Perirtaeter $ Rirn jo st area
Tf' 1 -,k <` , -z- _ .
6 . Doors - Area
Th1c ness n
7ype ot Construct on ?
Manufatturer_,?
w
actor-z- Z
Feriawttr1(, _ '??._-t- f t.
7. Total door's perimeLer ft
?
.8, ulnCar+s: Manutacturer
u f ac to r?4c 5 ?1. _
T'YPE
SIIE
W.c?o
L?
?
C)
State approved F?\
AR:A ( F :. 2) "rUMBER OF
EACH UNITS
?. 0 -5 l -4
?? ?-7
z-
` 3 e' C? Q ---?'.?-••?
TOTAL FEET 2
?C)
9. Tatal ft.2 Glass a (-? Lu `-? ?
? 0? fireplate aree: uidth x htioht = Z--``? 2
11 . Ezposed foundatlan: Helqht x Pertmetar f_ X _------Ft.2
:)MPlETION OF THIS FORM IS REQUIRED FOR All. NEU COtISTRUCTION, 1yAJ4R REr100E1It1G ANO BlfILOI'IGS BE I t s
i DVED WHERE EHERGY, OTNER THAN TH E. M I t d I H AL. C OOE AILONaNCE, IS USEO.
? t
l
Framing area - 10X of gross ?rall area.
r,ross ++ali area
3'.
. 2
uin4ow area A -?? ft. windows !J x A v C;_,
Rim*?joist area A cr _ ¢t.2 U rim joist U x A : °? bc
poor area A ?--? ,?--? ?
ft,? °J door area U x- A = -4,
Fireplace area A Q? f?.2 U fireplsce U x a ? °,,
Exposed foundation A U foundation U r. A
Frami ng area A ft.? J frani ng area U x A ?
Ne t wa11 a r e a A ` t. 9 wa 11 o U x A
L . . . . . . . . . . U x a
?--
4. Gross wall area x 0.11 (A-1 single family SJu:.:zx = aliowable ll .c A/Code
(13. above)
x 0.23 (a-2 other residentio'.;
x .23 !Jther buildings;
R .2°v (Ovei' i StOr•io:)
6TUH Must De larger than
A x l' Ccde. 138 above
i. Cailing framiny area (Af) aquals 10:: o'f cn;linq area or the same as)
;A. Gross cefling area = (L) x 4= ft.2
;8 Joist area (Af) = 10" ceil ing area ft.z
r
iC. yet ceiling area (4c) (15A - 156) ft.
U cei 1 i ng x A C_ ? O?'-? \?-- x
J
U f rami n9 x A f=
iQ. I'QTaI U x A ........................................ ?-za
;. Cellfng,area (15A) x 0.026 (A-1 sin5le `amily Sduplex - code allowable U x A -
x O.C33 (A-2 other reside.^.tial )
x O.C6 (other) ` l
8T11H ."lust be largtr than 1GQ (above)
a(15a) xILjcodt°F (or the same as)
N07f: Use U and a values obtained f?•om mps 1, 3 and 4.
V
WdLL
. secrzaN
57'UD
StC?ION
2ND uJ?LL
S LGT Z'W
R tH
JOIS;
.i
?
Inside alr film ?2' .69
Inter ioc wa i 1 .'45
insulatEan ?4(Ua11 ? .: ?+ ?• `
_ z.she.chtirg ^ Z a$ .
£:ct*rtoit'_.MaI1 cover_in?. .,."1
; .
rxLftYtcW "a {r f[lia i? r,l i
. ,,,` r' .
R rorAL lnt*r 1ur a ir f f l-n .63
-;? :r.sula-_lo:t ??•?fl 1 '
?? inch 5ort wou,t a=1 .88 (Roist)
iXC1!'1E!! N,LL COVPltng. •(O-7
Lxterta? air film R- .17
- it TOTAL
M`A
I6tp!r10r .4ir f! ta R' .6? . .
? lnsul??;tor. ?.CD b
l
l?Coi-fl, c ..1?? F'oundat[on 'Z--• ? Q (Fdn. ) U * ? *
?xtsrtor •tr film R' •17
A 1'OTAL ??-----
'`
?...,....... ? ( ''Czposed 31vck .
a . ? ?•, ?'' ;
rari??;
?`. ?.`l P,(..? (nE:ri? wa?t .q'S.. (Wall) C 1
or,)
(a," F• K !?fui:li?vQ
nat
? .r"'" ? ?'?S ?s S id 1 n? • ??f _ ?= ? Q 4,t o?
-'--------
,
' R TOI'AL •?c? . ? c?
lnstde atr filpt .?R
ne io: f or a s i I •A!i
-?-----?j--?---??'?---- ?,
-Ud Rw '7 (Fruning) U' P ?
??tath fng 7,.o(e
Sidin*
I; Ou[std: atr film .17
..-. . ..- ?=
J ?
---=_
: '"OTAL AQ , ag
I ?
.._
??}
?.?
?? ?
?; ,
;??.
.?.:
n. ..
?. .
. ? ?
.
4
; .
0
R '1aLUE
CEILING
Inside air fi? 0.61
Ceii inq ?
Joist (stud '. ?
?. . , , , ? ------- . Insuldtlon
Air spaGt
Ropf Qtckinq
?.
?..,. , . ;-_. Insulatlon
? , .. ,. . Buil t-up root
Outsid-o air tf1e Q
-r ,
Tota 1' R --- -
??' • ". - _.__?__?:.:? R a U
iindow infiltraticn .5 cfmlllneal foot of crack
?y tosidantial door infiltratian 0.5 cfreJsqusre foot vr dcor and mininuP codt requirement
iia-rtsfdcntial daor intiltration 11.0 cta/lineal `oat of crack
!b 12" cono•ett bloCk no insu'lation _ .47 R 2.1
}b 12" contrete plock insulated cores =.26 R 3.8
12" l i;hc,+eiqhc b1aclc ?.32 a 3.1
)2" 1 i9htxeight bloek Wsulated cores:?=.12 q 8.3
? - ?
oi?',i,sia9le 91ass • 1.13: wttn storin.aindo+r.54 .
*oubl 0 Ql iss • . 55 ,
3 trfple qlass - .41 •??? - ;
?..
exterior ?+alls and teilin9s rr?ust have a vapor 5arrier (C.10 perm w3x•).
`?.;.;tpor barrier aust be on the inside (heated side) of wall.
,.;Aspor darrters of the polyatWent thfn ftim have no Rva1ue.
?F
u, .. .
r.: •
4.
? n,? .kt ,? •'f r ?! ? . ? , ?? *?. . . 1 i
?
Air tftm- 0.61
3\ .`?5 tnsulatton 44 0 .
?
Joist
?
?
Cetliny
.?
p,E1 Air F11m 0.61
Ta ta i
1
,?o zs?4 u = A
a -4??.?
F! A i RQaF OR CATHEDM CF II.VIG
.4 Va ue
F R;,Tt I NG
? L BL CITY USE ONLY
? RECEIPT#:
-?SUB . RECEIPT DATE:
1997 PLUMBING PfRMIT (RESIDENTIAL) :
CITY OF EAGAN
: 3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -t6T5
Piease complete #or: ?` singie family dwellings
? townhomes and condos when perrnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NQ. TOTAL
Shower 3.00 x
Water Ctoset 3.00 x =
Bath Tub 3:00 x -
Lavatory 3:00 x =
Kitchen Sink 3.00 x -
Laundry Tray 3.00 x'
Hot Tub/Spa 3.00 x
Water Heater 3.00 x . _ '
Floor Drain 3.00 x =
Gas P'tping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x
Water Softener * for dwellings under construction 5:00 X =
Water Softener * for existing dweuing - 20.00 x
U.G. Sprinkler "fordwelling underconst. 3.00
U.G. Sprinkler * for existing dwelling 20:00
AlterationS * to existing residence 20:00 =
Water Turn Around 20.00 ` = -
Rrivate Disposal System * Dak cry iic. : 75.00 =
(new and refurbished systems)
Private Disposal Systems " Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL
.
1 hereby adcnowledge that I have read th+s application, state that the information is carred, and agree tp comply with all applicable City
ofEagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no,liabilityfor any
damages caused by the City during its normal operational and maintenance activities to the facilities cqns"truded untler this perrnit wifhin ;
Gity property/right-of-way/easement.
SITE ADDRESS:- -
OWNER NAME`.
INSTALLER NAME: TELEPHONE t??,g 6 -</,0 O 9 0-1 '
STREET ADDRESS:
CITY: pC,?• STATE: /?'Jlll ZIP:
CITY USE ONLY
l. ? BL _I RECEIPT
SUBD. C????• 4?`".? e ee RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
--- - - - ------
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 11 ?a
?
Gat?C?3l,? FEES
vAcc!, - o3d
? Minimum e: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ?
Ga,nb_? i-ZA*-,W'
? State Surcharge .50
TOTAL 4alv`
SITE ADDRESS: ???? 1 / V IGt`T'Theu 1 ? e ? r?
OWNERNAME: 7?r?rS?n? ,41__)n+e5 PHONE#:
INSTALLER NAME: e- N-cc ii n9a .k- /C PHONE #:
STREETADDRESS: ??7? ? ?nrJPP? ? ra ? ?
CITY: EdeAT \ I`a.S ? e ST&TE: ZIP:
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SuRVEY0R3 # CIVIL ENCiNEERS
no IRNp PLANNER$* tANQSCAPE AftCN11ECTS
2422 Enterprise Qrivg
Mendota Heighf% MN 55120
(812) 889 -1914 FAX; 681-9488
525 Highway 10 N.E.
8lnine, MN 55439
(1312) 783-1880 FAX: T83-1883
certifiicate of Survey for: THORS0N HOMES, lNC.
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? '`OFF SET NQi' 5ET DUE TQ CONST. MATERIALS
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NOTE: PRO°OSEO CRApES SNOWN P?R GRApIHG RLAN @Y;
rdOTE; BUILDINC DIMENSIOhJS SHOWN ARE FQR HpRIZOMTaL AND VERTICAI IOCATION
0F STRUCiURES aNLY. SEE nRCNiTECTuAL PLAN9 FQR BUILOiNG AND
FOVNflATiflN DiMENSIONS,
r10TF: NO SFEGIFIC 50P_5 IMVE571GATION HAS BEEN COMPLETED ON TNIS LOT BY THE
SURVEYOR. THE SUITABILI'iY OF' SUIL5 Tq sUPPORT THE SPECIFIC HOUSE
PROPOSEO IS NOT THE RESPt)NSIRII_I'!`! OF '?]-tE Sl.!?v"OR.
PROPoSEI) Mau??El_EVaTIQN
LOWEST FLQOR ELEvATIUN:
TOP OF BLC7CK ELEVATION:
GARAGE SLAB FLEVATI4N: ?y t Y- CJ
Nt?TE: THIS CEFTIF)OA'fE DCrES NOT FURRORT TO Sf-!OW EASEMENTS DTHER THAN X 000.00 OENQTE3 EXt$TIN(-' EI-EYATIQN
THOSE SHOWN QN THE RCCpRpEp PLAT,
( 000,00 ) DENQTES F'ROPOSEO EItVATION
ri0'iE: CON7tznC'T01? MUST VERIFY ORIVEWAY DESICN. --- DENOTES DRAlNAGE ANp UTILITY EA5EMENT
i? DENOTEB URAINAGE FLOW GlkkCtiUN
NC17k: Ht:AI'iINGS SHOWN ARE 8ASE0 ON AN ASSUM?Q bATUM ? UtNO7E5 MONUMENT
--EF?---- QENCI'fES l]FFSET HUe
WE HERE8Y C.ERTIFY 'f0 THORSaN HpMES, INC. 7HAT TNIS IS A TRUE ANp CQRREGT REPRESENTATIQhl OF A
SURVEY OF THE BQUNQARIES OF:
LOT 4, BLQCK 1, LEXINGTON POINTE TWELFTH AMlTIUIV
DAKOTA CDUPdTY, CvfINiVESOTA
!7 DUtS NpT PURPORT TO SHOW IMPRpVEMENTS OF2 ENCHROACHMENTS, [XCEPT AS SHOWN, AS SURVEYEO 8Y MC OR
1.1N7ER PAY DIIRECT rUPERVISION THIS 25TH DAY OF SEPT., 19'37. -
. X?
SCALE , 1 INCH = 30 FEET 51 NED: f'?IONEER ENV6EER1NC`•l P.A.
'
8Y: -- " j9739
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156311
Date Issued:06/25/2019
Permit Category:ePermit
Site Address: 4334 Matthew Ct
Lot:4 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Steven Worner
4334 Matthew Ct
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature