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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 r;7: T'`t t:?!= Efa.+..!VJ , ;., ?.,..... . . <<, ,r?•.,? si ? .?;. , C:(iol,.a.::.::;; ._?..s ...r14...r..?ai._ ?,...!;; •r , r. ? t r; /r }.r_, E.tm, ._ n • ?;,t ? .? fl -> l'r'1?._., n?c._ T1..11i ? ? 1 ;i _'tiF :f?i?..1M1O1 "' ?v.r1i'Ir_ ,...?? Z.?:?.. .I- -? r^r 11 2,,-.??c., a.P.(-.)..i.c. 4 ;:3...??_- .. ri .Y' :`, i°?f ?'?fli:.;l ? . ,._., .. 42 ,n::?nr..i. ? I?;;-....? ?_.-,,, •? <. ? ......:L{': .,.._ ?.?hf?.. ., ?? . . i v . . ?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