4338 Matthew Ct
Use BLUE or BLACK Ink
r L For Office U 3 got/
I
1
Permit I
I I
City of Eajan Is
Permit Fee:
3830 Pilot Knob Road
Eagan I
Eagan MN 55122 I Date R eived: ~
Phone: 675-5675 1 I
(651) I Staff:
Fax: (651) 675-5694 1
2011 RESIDENTIAL PLUMBING PERMIT APPLICA ION
q33~ rr &,4 k 55) 3 ' ahd I
Date: Site Address:
Tenant: T' tOmo A n Suite
RESIDENT / OWNER Name: 'i Phone:
Address / City / Zip: 30 J~:5 I IZQ3
CONTRACTOR Name: HVn4AVVC YY lS-TLI/(~ 0-~r 1U License s ~~~J~r rT
Address: 105 - J~~r /City::Phor
State: MA/~ zip: S J 37 Phone: 0/5 ems'
Contact:~~(lt.C.t tom- A(r+i Email:
TYPE OF WORK -New Y-Replacement -Repair /I _Rebuild - Modify Space - Work in R.O.W.
Description of work: l act Giex-
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
_ Septic System Water Turnaround
_ New
-Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ 5'5.00
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
a
xl(l (0 C4 ccordance with the approved plan in the case of work which requires a review and appr 01Q'/' x , 5Z plans.
lL P& tIt.."
Applica Printed Name Applicant's nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
----E'tTY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number: "
Eagan, Minnesota 55122-1897 Date Issued: '01' (612) 681-4675
SITE ADDRESS: APPLICANT:
I
i; . irl!, , „i?a '.?Ii:t'+fC
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• . D.
.98
I :l;Y.'A- tlLAFt f:FVlt?l-Jf'll HY HTI 1 14 k11i=!",Tl!
? 771
I
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PWM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
E3LDG FINAI
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG ?
DECK FINAL
? . INSPECTION RECORD
`C1TY OF EAGAN PERMIT TYPE: ' ' ` ' '' "
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS:
APPLICANT:
114 i i 7 C! 1 P? I f i.' I 3 t
PERMIT SUBTYPE:
TYPE OF WORK:
rai,?
INSPECTION ., . ..
ra i I
It!i,? I f.
C fjr-MaHr';? 51.4.11 1'IfIMkFk < iHtiMPc:()N f, 1 11af4 1 Ne
Partnit No. Permk Holdar Date Telephone If
ELECTRIC
PLUMBING S?/ 9b_ 7717
HVAC >/e VIW5 2 0?,3'go"L
Inapectlon D Insp. Com mants
FOOTINGS 'j '_Cf-7 r?
FWND (?',,
r//f s+?seus?.r Fovnrn.
FRAMING q,
/ .. -
ROOFING
ROUGH
PLUMBIN6
PLBG
AIR TEST /L N
ROUGH
HEATING
? .. 9,7
OAS SVC
TEST
ll
iNSUL
?"3
e s
v
e-f
GYP BOARD
R I/ri .??' 1 S T ,?/
/ V
e7
-7',0I.S N H
FIREPLACE ?y C
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
/
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
??.A .
CfRL'tiftCRte 0f CCC"R1tCv
Kit4 of Wagatt
?epartmeut ef leai[biug 3aNpecrion
This Cenificate issued pursuant to the requiremenrs of the Unifarm Building Code
certifying rhat at the time of issuance this structure was in compliance wrth the various
oniinances of the Ciry regulating buifding conrtruction or use. For the fallawing:
uY a?ircafion: SP Di1G Bld& Per", „o 30466
0-p-cy Tra R-3 U-1 zooing D? R'1 rype cont. Vn
O? ofBu.ldin6 S R SWENSON 1NC Addmw 1565 CLIFF RD., EAGAN MN 55122
Buiain6 Addv= 4338 IiATTHEW CT Ucal.tY L5, B1, LEX PTE 12TH
Buildin601Ticial .
POST IN A CONSPICUOUS PLACE
Address 4338 MaTTHEW cT Zip 5512?
LAt 5 Blk 1 Sub LEXINGTON POINTE 12TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) v
Permanent steps (garage) !1?
Permanent steps (main entry) v'
Permanent driveway ?
Permanent gas V
Sod/Seeded grass ? ?? ??
TraiVcurb damage
Porch
Basement finish
Deck v
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water suppty to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Conuactor Copy
??? ?`? 1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements RemodeVReuafr Reuuirements
• 3 registered site surveys showirg sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated addilions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • t site survey for exterior additions & decks
• 1 set of Energy Calculations . Indirate ii home served by seplic syslem for additians
• 3 wpies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
VALUATION
SITE ADDRESS 0 P MULTI-FAMILY BL G_Y ?
TYPE OF WORK ?Cs?? '=k!P2,b FIREPLACE(S) 1 _ 2
APPLICANT Catastrophe Restoration Services Inc.
STREET ADDRESS 2489 Rice St Suite 70 CITY Roseviile STATE MN ZIP55113
TELEPHONE # 651-734-9433 CELL PHONE #
PAx # 651-483-0219
PROPERTYOWNER MQM??q7 t-,? TELEPHONE# (65`'lo&I-91?
---------------- ---------------------------------------- ---------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 9670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
_ Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Mechanical Contractor: Phone #
Mcchanical system includes: _ Air Conditioning
Heat Recovery Syseem F'?
QUG 0 6
Sewer/Water Contrador Phone # i 2002
iL,u ?I
-------------------------------------------------------- ------------------°-------------------;3V------------ --- =_ d
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eqg'a-n
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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?l CIT'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45096-050-01
PERMIT
4338 MATTHEW CT'
LOT: 5 BLOCK: 1
LEXINGTON POINTE 12TH
BUILDING
030466
07/21f97
DESCRIPTION:
ermit T,ype
krk Type
e
.?
REMARKS:
S&W pLUMBER = TNOMP50N PLUMBING
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
SAC
sac %
SAC Units
Lic. Search Fee
5ubtotal
$3,002.71
? ??wv ???F q? ??`??:
?ta?'-,>4sa? ?:'3?a ?? *?; ??s+T ? a? ,?
$161,000
MTSC FEE5 $1,539.50
Total Fee $4,542.21
CONTRACTOR: - Applicant - ST. LIC OWNER:
SWENSON CUSTOM HOMES 14527850 2006576 S K SWENSOM TNC
1%'565 CLTFF RD 3-290 1565 CLIFF RD
E'AGAN MN 55122 Eh4GAN MN 55122
}612) 452-7850 (612)452-7850
5F DWG
NEW
R-3 U-1
VN
R-1
58
49 .
1,925
101 1 - FAM. DETACH
PERMIT TYPE:
Permit Number:
Date Issued:
?? ?3
W? A
?s
vALuATxoN
$1,192.25
$774.96
$80.50
$950.00
iee
1
$5.00
?(ua R;?
' ISSUED EFY, S 'NATU E
CITY OF h._AGFlN
GA5H7ER- S TFRNfINAL. t+lCtv 76P
DFlTE; 07t30/98 TIi'iFe 15:56a20
ICi.
NAME - M01_LY f'ETEfiSON
321.0 9003 433$ MATTHEI4 CT 50.00
215; 9001 4338 MATTHEW CT 0.50
,r
Tntal f:ocei.p+ Amount. 50.50
CF09';i5CJ5
USF_R .T.DN AANCY
?. TA
CITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: g???O2NG
Permit Number:
Date Issued: m 7 / 30/ 98
SITE ADDRESS:
4338 MATTHEW C7
LOT: 5 BLOCK: 1
LEXTNGT'C1N POINTE
P.I.N.: 10-45096--050-01
DESCRIPTION:
DECK
NEW
434 ALT. RESIDENTIAL
REMARKS:
PLAN REVIEWED BY BILL BRUESTLE.
FEE SUMMARY:
Base Fee
Surcharge
Tata1 Fee
CONTRACTOR:
,f
?..
?`.Sa? INm.g `3 ? m
?I
?l v.. ? P14 4k ?vt? F1B? '
OWNER: - Applicant -
PETERSON MOLLY
4338 MATTHEW CT
EA6RN MN 55123
(651)681-9170
A/A ? ? - I , Q?? ? /7&30
APPLI NT/PEfiMITEE SIGNATURE ISSUED BY: SIGNATURE
$50.00
$.50
$50.50
FERMIT
??T4 v? q?,. ?F a £P?
i _
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 --? , 3 ? -9,Ss"
681-4675
New Construdion Reauirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.)
4 i energy calculations
? 3 copies of tree preservation plan 'rf bt platted after 7/7193
required: _ Yes No
DATE: I q/ ?
DESCRIPTION OF WORK:
RemodeuReoair Reauirements
4 2 copies of plan
? 2 site surveys (exlerior adddions 8 decks)
? 1 energy calculations for heated additions
C? ? E Lt
CONSTRUCTION COST;
STREETADDRESS: '?7 U
e
LOT: ?BLOCK: ? SUBDJP.I.D. #: h?a-v?.3.. mb
Name: Phone l7"
PROPERTY Last ' First
OwNER
Street Address:
ciry C state: /ti zip: 22
Company: Phone #:
CONTR.ACTOR
5treet Address: License #
City
ARCHIT'ECTI
ENGINEER Company:_
Name:
5treet Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
1.
Penalty applies when address chang
i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
.,I /)_
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes , No
State: Zip:
Phone
Registration
State:
Tree Preservation Plan Received _ Yes - No ,_,. Not Required
!
OFFICE IJSE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dup{ex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
P?, 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 a-e
Permit Fee
Surcharge
Plan Review
License MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC1WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. ?
SAC Code
Census Bldg
Census Unit
Engineering Variance
Valuation: $ 1,2,01%
°k SAC
SAC Units
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ciTV oF ??caN ? ? (? ? ?5
3830 PILOT KNOB RD - 55122
651-681-4 75
-, 13) Rem I/Reoair Reauirements
? 3 regisiered aNe surveya showlny aq. H. of bt, iq, ft. ol houae 2 Copies of plan
and gQ rooled areaa (4096 maximum tot coveroae allowedl 1 sef ol energy calculaHons for heated addidons
? 2 coples o1 pkns (show beam tc wfndow slzes; poured Ind. design; e1cJ 1 alte survey ror extedor addiflons & decks
D 1 sef ol eneryy calculations
> 3 coples ol tsee preservaflon plan if lof platted after 7/1/93
DATE: CONSTRUCTION COST: 7
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ? BLOCK: SUBD./P.I.D. #: 00 17 n ?
PROPER'TY
OWNER
Name: /? ????6)1 VQ 11,4 iPhone #: 76
LpSf Flrst T
Sheet
?ity
I Z?1g?
Phone #: ?,??`"/ l -
COMRACTOR
ARCHIiECT/
ENGINEER
Street Address: «O Z "' `.
City
State: Pif/ ZIp: 551 Z
S <
SMte: /V[ /V Zip:
Comparry: ' ?5?4W A4 a/dd V e Name:
Telephone #: ( )
Shset Address: RegistraHon #:
Clty
State:
Sewerlwater licensed plumber (if installina sewer/waterl: Phone #:
Zip:
1 hereby acknowledge fhaf I have read this applicafion, state that ihe fnfortnciion is rtect, and agree to comply wflh all applicable State
of Minnesota Sfatutes and Cify of Eagan Ordinances.
Signature o( AppGcanh `
OFFICE USE ONLY
Certificates of Survey Received _? Yes _ No ' JUN .
Tree Preservation Plan Received _ Yes _ No ? Not Required I
?
S
OFFICE USE ONLY
- 'I : a
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dweliing O 08 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex lit 18 Deck ? 23 Porch (screened)
? 04 02-plex O 10 08-piex ? 19 Lower Level ? 24 5torm Damage
? 05 03-plex ? 11 10-plex Pibg _,Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Aacessory Bldg.
WORK TYPE
? 31 Ext. Alt - Muki
? 33 Ext. Aft - SF
? 36 Mufti
15 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition E3 37 Demolish (Bldg)' ? 44 Siding
? 33 Atteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code Oj- # of Stories sq. ft.
No. of Units O Length sq. ft.
No. of Buildings Width Footprint sq. ft. ?
d
C
C
Const. (Actual) Basement sq. ft. o
e
ensus
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building A?
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Traits Ded.
Other
Copies - "a-?
Total:
Valuation: $ ???10
SAC Units
% SAC
L5 gL Jr CITY USE ONLY QI1 5
RECEIPT #: L
SUBD. .?. Iod? ? RECEIPT DATE: 9 U
1998 PLTJMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQiOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
A backflow preventer for underground sprinkier system
- - - - ------ - ------ - -------- - ---- - --- - -
FIXTURES ----- - ----- - ----
EACH - - -------- - ------
#
Shower 3.00 x
Water Closet 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 Piping Outlet " minimum -1 3.00 x
Rough Openings 1.50 x
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 * forexisting 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)
Private Disposal Systems "Abandonment 20.00
TOTAL
STATE SURCHARGE .50
TOTAL ?• ?
----------------------------------------------------------._.--------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the properry owner that the City of Eagan assumes no liability for any damages caused by the City during its
normai operational and maintenance activities to the facilkies constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME: l kD/YIC-S
INSTALLER NAME: ND k,?jLQ M P/ U/nJPf?6 TEIEPHONE #: Lr.3b-4s/J
STREETADDRESS: KZA'P.F/a-I)
cirir: mIIIJ?EA-?'?-/5 STATE:
M/v
OF PERMITTEE
ZIP: Jr?7D?
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
- V - -- - -- CITY USE ONLY
L .5 BL I RECEIPT #: 7 I 7 F2?
SUBD?? ?• RECEIPT DATE:
1997 PLUMBING PERMIT (RESiDENTIAL)
cinroF eaGaN
3830 PILOT KNOB RD '
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single famiiy dwellings
? townhomes and condos when permits are required for each unit.
? backflow preventer for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x J_ = 3, 00
Water Closet 3.00 x ?
$aih i ub 3.00 x = (0.00
Lavatory 3.00 x ;f . cyo
Kitchen Sink 3.00 x = , o0
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
-
Water Heater 3.00 x ?
= 3• n.?
Floor Drain-+ ckw ?"c. cL.o„t,? 3.00 x 4• oo
Gas Piping Outlet ' minimum -1 • 3:00 X .3.00
Rough Openings 1.50 x
Water Softener ' for dwellingsunder construction 5.00 X =
Water Softener ' for exisGng dweliing 20.00 X =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler * for ezisting dwelling 20.00 =
Alterations ' to existing resldence 20.00 _
Water Tum Around 20.00 =
Private Disposal System ' Dak cry iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' anandonment 20.00 =
STATE SURCHARGE .50
TOTAL (OL.-Sb.
I hereby adcnowledge that I have read this appliqtion, state that the infortnation is correct, and agree to comply with all.epplica6le City
of Eagan ordinances_ ft is ttie applicanYs responsibility to notify the property owner that the Giry of Eagan assumes no liability for.any
damages aaused by the City during ita normal operetionel and maintenance activities to the facilities consWCted undei tliis permit witFifn
City property/right-of-way/easement.
SITEADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: I SbCI 1yY% r
CITY: MA:M?v? Va
STATE: M13 ZIP:
k, :
•.Lja/1'1Q -E6/--.JL 9-/j'"q7
SIGNATURE OF PERMITTEE
?
CTTY USE ONLY
LOT BL I RECEIPT #: 7 J sli 9 9
SUBD. (;?. RECEIPT DATE: LS1?'j ?7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (611) 681-4675
/ J
Complete this section oniv if vou are installing HVAC in single familv, townhome, or condos that are
ander construction and are not owner /occupied.
• HVAC: 0-100 M B T U 1? 24.
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) 3, G d
• State Surchazge: .50
• TOTAL: 2 7 - j" 6
Complete this section only if vou are remodeling adding to or repairin2 eaisting single familv
dwellings, townhomes, or condos.
Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: Ll 3 3?/ /?-) fQ rJ Te W r,-r_
OWNERNAME: 5-we"t'O?L/ C ?Y70y'' !rd ?4e PHONE#: ?j5`Z" -7a P?
INSTALLER NAME: /? ?i v- 'e/ L pHONE #:
STREET ADDRESS: ??) -) 7 L?-
CITY: /f ? ? ? -e /'n d!/? -T STATE: A + ZIP: <1'6 b
'?/ ?y?'"
33GNATURE OF PERMITTEE
3830 PILOT KNOB RD - 55122 c
(457 18965 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?9
V(Azi /
19c)-7 681-4675
New Conslruction Reauirements Remodel/Reoair Reauirements
? 3 registered site surveys ? 2 copies of plan
2 copias of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
1 energy calculations i 1 energy calculations for heated additions
? 3 copies of tree preservation pJan if lot platted aHer 711/93
required: Yes No
DATE: 1 ' S ' gi CONSTRUCTION COST:
D
rESCRIPTION OF WORI
STREE7 ADORESS:
LOT J BLOCK
PROPERTY Name: S.?GVi2an50io. ? d1 C. Phone #:
U8T FIRST
OWNER
Street Address? le)(ars .-0 3-)Iqo
City: kanarl State: Zip: /
CONTRACTOR COmpany: c,?lAje?'1?01'1 l-.l15TDYY1 1'1DYY1_Oh Phone #: -
Street Address: GzsCi .w? o License #: 2+00 tp57 (os
City: State: Zip:
ARCHITECTI Company: z? n Y1d 1';)l.ll(V?t,I Phone #:
ENGINEER ??
Name: &L j L t,i)D.vt6DY1 Registration #: i5 235
Street Address• Suyo-,
City: State: Zip:
Sewer & water licensed plumber: ?????1a. ?I I'1(.1 . Penalty applies when address change and lot
change are requested once permit is issued?
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
dZC/EiV??1?, /?t/G'.
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
No Z ECEIVE
N0,?- j1J1_ i ? 1997
??? BY:
vrrIS-,L; va" vnL. I
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0" 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
p-'31 New ? 33 Alterations
? .32 Addition ? 34 Repair
GENERAL INFORMATION
? 11 Apt.lLodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory o
0 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) \/ A Basement sq. ft.
(Allowable) J4 Main level sq. ft.
UBC Occupancy 2'3,0 -r Z?j sq. ft.
Zoning 2-? e,OA16=34- sq. ft.
# of Stories 2 sq• ft•
Length 58' sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building 448
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
, ac,s MClWS System ?
1244 City Water '
, 2z i Fire Sprinklered
-1v4 PRV
• Booster Pump
Census Code. /o 1
?G 2S SAC Code o!
Census Bldg
Census Unit 1
Engineering Variance
Permit Fee Valuation:
Surcharge ?
Plan Review .
License S -?
MCNVS SAC $ZUSr,
City SAC 't . 34 vI z. a?! •
Wa#er Conn.
Water Meter ? 5+
Acct. Deposit -?'
S/W Permit
SIW Surcharge aui
Treatment P1.
Road Unit
Park Ded. z?x ?cP
Trails Ded. q rr3
Other g X 1Z
Copies
?PwrQ N P
?`-
Total: -
Ls. sK zo
% SAC ' ,''3•,3d:? 'Z_'?/
SAC Units "? • ` ? K z
4
. . ?_. . .. i
$
104
$3L
czos
9
tov8
?i7
iz z r ? ? s?f =
1$) v7S. -
s t c?
rLU. ?
Z`r- 3
VS? -/2J4.i_
iI0 Z(? q .--
I (°oy 8z.q.--
I
J
?
? m
a z
?
Q?-Q O
12-,o ?
O' ? ?
M-?? ?
C3-- ? ?
z-'? ?
cr- ? ?
? 2? ?
CT' ? ?
q/? ?
PROPERTYLEGAL:
.
.
.
.
O 12' ? ?
P'- ? ? •
O'? ? ? •
p C' ? •
0' /-Q ? .
Q 13 ? •
0' ? ? •
El' ? ? •
6,? ? •
? @?' ? •
? CC7? ? •
? Cd? ? •
? p / ? •
? Q/ ' O •
e? ? a
? ? ? •
?? ? •
?f ? ?
C7 .
?/ ? •
? T7 ? •
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
Registered Land Surveyor signature and company
Building Permit Applicant
Legaldescription
Address ,
North arrow and scale
House type (rambler, walkout, split w/o, split entry, lookout, etc.)
Directional drainage arrows with slope/gradient %
Proposed/exassting sewer and water services 8 invert elevation
Street name
Driveway
ELEVATIONS
Existina
Sewer service (or Proposed)
Properiy corners
Top of curb at the driveway
Elevations of any ebsting adjacent homes
ro osed
Garage floor
First floor
Lowest exposed elevation (walkout/window)
Property corners
Front and rear of home at the foundation
PONDING AREA Cf apulicablel
Easement line
NWL
HWL
Pond # designation
Emergency Overflow Elevation
DIMENSIONS
Lot Iines/Bearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
Show ail easements of record and any City utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent existing structures
Retaining wall requirements, ilany I
Reviewed:
January 1996
CRAIG 19881BLDG PR MT. FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
? ..?
r `
.
3
4
5
?
I STA. 2+24 STA. 3+02
W=984.4 W=987.8
S=97-!.4 S=977.8
?
• 52
•4-A N ; 8"PVC SDR 35
STA.. 2+2p
W=984.4
S=974.4
14
STA. 2+98
W=987.8
S=977.8
13
STA. 3+80
W=989.9
S=979.9
?
STA. 3+76
W=989.9
S=979.9
12
STA. 5+04
W=991.?
S=981.1 /
STA. 5+!JO
W=991.1
S=981.1
11
?CALE: 1" = 1 0' VERTICAL
,
5F?;?v ; N+O,R?I?Z 0 N ???A L
„
i . '
. ... . .... ? ..: ,. , ,?: ? d r _ , . ................. .....M..AT T HE W_ C OUR.T.......
?CAi_E: 1 " = 10' VERTICAL
1 ?' = 50' HORIZONTAL
y P ?
. .? _
. . .
... . _ :
;
:
CLAS5. 5Z_ .
? .....:. „
... ...... . ............
• •
_?r
500
--?-?' :
:33? 0?
.
. .
. .
? .
..:::::..::
_.?-------r`
?NV-970.5
. 1
? . .
, j ..
f
; OWNER:
CI?Y OF EACAN
E7CTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
SITE ADDRESS:
COATRACTOR: ytn QLDATE: 7-LV3-97 ^ PHONE:
Determine working square footage of each:
1. Total exposed Wall area ... 3COS sq, ft. x.11
2. Total roof/ceiling area ... l2(0 2 sq, ft. x.026
Total e:posed wall srea above floor : 35 s?3
8• TOt.81 w811 window area •*.....,,.*@???????????????•
t1• Total door QI"@8 ........?????????•
c. Total sliding glass area .......................... 4.0
d. Total fireplace N811 area ......•.........••••••... ^-?
e. Total wall framing area (average 10%) ............. 3? ^
f. Total net wall area above floor ...................
, g. Total rim joist area .............................. 2q o
Total e:posed foundation area c I1Cp
.
fl• TOt.Bl foundation Window erea.?????????????????????• ?
I. Total net foundation area above grade.............. 11w
?
?
Determine 'U' value of each wall segment:
a. _ 44S xlUg 132 =??
b. 38 x 'U' , 13
c. x fU'
d. o x'U'
e • ??...? x ' U'
f. 23?co x 'U' = S
8• Z9o x ful - Il.m .04
h. a x'U' o - o
1. (1 lP x' U'
30 ................................................... Total e 304?'?8
If item 13 is the same as or less than item 01, you have met the intent of SBC
6006(c)2.
Total e:posed roof/ceiling area s f2 cn 2
i
.?
J. ToLal skylight area ............................... 4D
k. Total roof/ceiling frsming area (average 10%) ..... l==^r.3
l. Total net iasulated roof/ceiling area.............. L CO
OYER
Determine OU' ralue for each roof/ceiling segment:
J. p x IUI Q
0
' ._.?..,.__
k. ?2co x +ur ,D28 - 3.53
1. _ //3Co x lug _ .Cj22 = 25.0
+t . .................................. .............. ...... Totai 5 3
If to4a1 of 04
6006(e)t. is the same as or less than 02, you have met the intent of S8C
Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum
of Items 03 and 04 shall not be greater than the sum of Items 91 and 02. •
1. + 2. :
3• + 4. -
,
4..
• r. .`` !
t
?
,.
2
? TRI-LAND C0.
' ? SURVEYING
. ?
SERVICES
SITE PLAN FOR ? wSv
jo?Srvj
LEGAL DESCRIPTION: LOT_-ro;, BLOCKI -, LUJI(Qvtla
ACCORDING TO THE RECORDE PLAT
THEREOF " rk COUNTY,,Jv11NNESOTA
ADDRESS: 53X j LUu..Rt`
8 00033' SI" E 78.00'
ain RAf AOE?t !![lllilf _,EJ48Eh1EM a?, ?^? ?
?. ,
I 5
r 6
cr4
? W ?• t?o
o? .
? ;?. ..I.. •? ? • ?
ih in
! Q??
.
? ? zoa ' ?,?.? ?d•? 4 s ?
., ..
..?.. ......... ......?,`1?3.? ???? pf' 41ti?
,? .
l-
' 30' nlbaole
G ?
l
1 0
Matthew Ct.
G?L?3?I?[?
BY RE
?
DATE ,,?, _
BUILDI?IC INSPEU?OUmS DEPT. .???? ??7
LEGEND
o DENOTES IRON MONUI?NT
a DENOTES W000 HUB SET
J$$ DENOTES EXISTING SPOT
ELEVATION
(q?{) DENOTES PROPOSED SPQT
ELEVATION
?- DENOTES
M. DRAINAGE DIRECTION
t hweby certity that this s?uvey, plan or
report was prepcnd by me or under my
direct supervision and thot I om a duly
o Reqistered Land Surveror undu th•
: Laws of tno Stata of Minnesota.
..
:?? ? i ? q . q
PROPOSED GARAGE FLOOR E EVAT O?NN
PROP05ED FIRST FLOOR ELEVATION =
PROPOSED BASEMIENT FLOOR = ?.3
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
--1 FINAL HOUSE PLANS
9radley *?/Swon$on, Mn. ReQ- No. 15235
oate: i h1v-
TRI-LAND C0. ?.? SURVEYING
?
? ..
SERVICES
S IT E PLAN FOR N.t.p? ?mes
LEGAL DESCRIPTION: LOT_-5, BLOCKI_,
ACCORDING TO THE RECORDE PLAT
THEREOF COUNTY?INNESOTA
ADDRESS:
--
Q?• c?'l g 00'83' 37'" E
ai
,0
. f
N '
(T
?
?
?
?
?
?
i
a-
W
.r 9
N
s !
7e.00'
• 5 '•
,
.
?
_ . N
I I
lo
?
1., .-: ?
..... ................-T•,
tq93.? la
Y Mlbaok ^ ??
nn? Sc&/ .°•
0
M
CS'
?
J
l.?
?
?
? 4?t? tiC
*i?o
?
? VZ
r,,Pk r-,AN ? Motthew Ct.
VIEWED%
BY
DATE _?___.7 /f
LD1NG INSPECTIONS DEPT. . . ---
k
BUI ; , , ,.
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
9$$ DENOTES E
V?
?T
A71 N
E E
?9?{) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 hweby certify 1Aa1 thic surveY,Plun or
report was prepand by me or undar my
direct supervision and that 1 am a duly
Repistered Land Surveyor under the
Lows of the Sfate of Minnesoto.
INVERT ELEVATION A7 SERVICE EX7ENSION
PROPOSED GARAGE FLOOR ELEYATION =
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
' FINAL NOUSE PLANS
8rad?fSrensonj Mn. Req. No. I5,2,35 .
Dats
41°'
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
E�t1 C.--
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: fI /�l l Z Site Address: LI 33& 1/144.
Unit #:
RESIDENT I
OWNER
Name: 7A J- mo tki ye Q.r 34 Phone: b 5-/-6/- %f 7
Address / City / Zip: LI 3 3 Op 4-4 LI...." 1 r 'h
Applicant is: Owner T Contractor
TYPE OF WORK
CONTRACTOR
I d�eerr p^
Description of work: $h -Z3 c 4*=, c. 0,33, �� p,/ 64 havZ a -)-(.
Construction Cost:J/ Multi -Family Building: (Yes / No 4 )
Company: Qr,kSer..r- De..:1,.... (&-„IJ 4-11- Contact: /, r✓1)��
Address: 13 2-3— Er -1.4 41i S City: jtivo ✓k,°�34-
State: My Zip: t -° Phone: lot) - -)Lk- t 2-0 b 9
License #: BC -00 ¶ "J 10 Lead Certificate it it/4 r— / /h d 5--2
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
njt, -1 I t i-1 Zi,\ _ ,'t
In the last 12 months,
Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days
�of�permit issuance.
x / / f 3C)/Ave_
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
3� lne j c f
• DO NOT WRITE BELOW THIS LINE [(P g 2 3
SUB TYPES
_ Foundation _ Fireplace
' Single Family _ Garage
_ Multi _ Deck
_ 01 of _ Plex _ Lower Level
_ Accessory Building
WORK TYPES
New
14 Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Interior Improvement
Move Building
Fire Repair
Repair
all c
Plan Review
(25%_ 100% i4
Census Code 3f
# of Units /
# of Buildings /
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
It Footings (Addition)
Foundation
Drain Tile
,yt=- Roof:.4Fce & Water Ai Final
Framing
Fireplace: _Rough In Air Test
7 ' Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES V
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
z3o !°
Siding
Reroof
Windows
_ Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
s a� -J
.10407
P4
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
/(i Lly UNIt/4-) 6,G /60
ala Jsrrol- G 50=
QV n
3/ /8- 3'
/709319
,2a /7/ 9�
Page 2 of 3
Ak.,TRI-LAND CO.
Laa SURVEYING
SERVICES
SITE PLAN FOR: swe 4\130t\I eugtovvi Rows.
17144,111,u,k) ,
LEGAL DESCRIPTION: LOT —5_ , BLOCK ,
r•-• ACCORDING TO THE RECOR DE PLAT
r ir n THEREOF 9A6" --01.-A COUNTYrMINNESOTA
ADDRESS' 14-34!.jt.rtevi thklet-
BY:
LartEELL___ 7840'
a nure FAtTilir:ff
1
5
5
r"
0
tett'
0.
n !le
A1318
EAGAN Matthew Ct.
REVIEWED RE
BY
DATE ___
BUILDING INSPECTIONS DEPT.
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
TeiS DENOTES EXISTING SPOT
ELEVATION
(q)DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION
hereby certify that this survey,plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the
Laws of the State of Minnesota.
By
INVERT AEGLEATVAI EI TION
GT 79
PROPOSED GARAGE FLOOR ELEVATION 3
TASERVICE EXTENSION -
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
13c6--ci5
/
Bradley Swenson, Mn. Reg. No. 15235
Date 7/7//7--
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA114429
Date Issued: 09/16/2013
Permit Category: ePermit
Site Address: 4338 Matthew Ct
Lot: 5 Block: 1 Addition: Lexington Pointe 12th
PID: 10-45096-01-050
Use:
Description:
Sub Type: Reroof
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Kathy Espelien
Fee Summary:
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
- Applicant -
Owner:
Thomas M Peterson
4338 Matthew Ct
Eagan MN 55123
(651) 681-9170
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:Plumbing
Permit Number:EA157182
Date Issued:08/08/2019
Permit Category:ePermit
Site Address: 4338 Matthew Ct
Lot:5 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Thomas M Peterson
4338 Matthew Ct
Eagan MN 55123
(612) 325-2905
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature