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4343 Matthew Ct PERMIT City of Eagan Permit Tppe: Building Eagan. Permit Number: EA096710 Date Issued: 10/29/2010 OR Permit Categorp: ePermit 41~ it~ of E3 E Site Address: 4343 Matthew Ct Lot: I I Block: I Addition: Lexington Pointe 12th PID: 10-45096-110-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Mark R Jensen 1920 County Road C West 4343 Matthew Ct Roseville NIN 55113 Eagan NIN 55123 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ( PERMIT SUBTYPE: "TION RECORD PERMIT TYPE: Permit Number: ? Date Issued: APPLICANT: TYPE aF WORK: f1 i 1 ?fi.' f S?t• / i .? rr.?fe INSPECTION D, • DA I Permit No. Pertnit Holder Date Telephona M ELECTRIC PLUMBING HVAC ? 5S,3 Inspectfon Date Inap. Com ents FOOTINGS 5_ 2"T FOUND G,- 15?48 i•ag FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ? ? GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINALPLBG x FINAL HTG C?? ,?q OflSAT TEST BLDG FINAL BSMT R.I. BSMT FINAI DECK FTG ?(J/' u. DECK FINAL ? WRL'ttftCRte 0f CCCIipR1ICv Witv of Oagatt ZOartmettt oF 8xiibiag an3pection This Cenificate issued pursuant to the requirements oj the Uniform Building Code cenifyirtg that at the time of issuartct this strvcture was irs eompliarsce with the various ordinances of 1he City regulating building construction or use. For the jollowing: uxa,s:R,,,;o,,: SF DWG s,a8.P,,,,;,No. 31921 oC-P-r Tyve R-3 + U-1 Zmin8 u? R-1 rype const. VN Owner of B PEDERSON HOMES AdA .« 310 3rd ST FARMINGTON MN uildi BuildingA MATnEW CT ?.ry Lll, Bl LEXINGTON POINTE 12th o?: BuiMing O?iU , 1POST IN A CONSPICUWS PLACE . .? Address 4343 MATIHEW cr Zip 5512 3 Lot I 1 Blk I Sub rFyTnrmt,r vnrnrrE tgrh THESE ITEMS WEP / WERE NOT COMPLETE AT THE T1ME OF THE FINAL INSPECI'ION. Date: Q/ 7 Yes No Inspector: Final gtade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the temoval of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 7a?9? Zoos RESIDENTIAL PLUMBING PeRnniT aPPUCaTIoN ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. E,nr 's ?5.SD .,- ,• ixILK • I 03230¢ :? - D t a e Slte Stfeet Addl'@SS JENSEN, MARK VnIt # 4343 MATTHEW COURT EAGAN, MN 55123 Property Owner- (651) 681-1503 Telephone # ( ) Contractor Ndrblo-rr PL(,{,rYC/'j( n!2 Telephone# ((Djz) $?'7-?Ip?,•3 Address 2-q5 C?Q;I'-fl$Ld +1/. (?p, City mp1S Statelyl Rj Zip(,?-6qDg The Applicant is: _ Owner V Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 ` Per as-buiit $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. ff you are instafling onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are instaliing. _5eptic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: _ Water Softener /Water Heater $ 15.00 _ new V replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ i nereby appiy ror a ttesiaential Piumbing Permit and acknowledge that the informatfon is complete and accurate; that the work wiil be in conformance with the ordinances and codes of the City' oi Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work isoo star?without a permit and work will be in accordance with the approved plan in the event a plan is required t, bjr?' w cJ an4C/approved. Jeff?rew L. Norploryl, ApplicanYs Prin d Name ApplicahtA Signature RESIDENTIAL BUILDING PERMIT APPLICATION ? 7l 7s CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWCtlon Reaulremente • 3 registered sfte surveys showing sq. fl. of lot, sq. tt. of house; and gI roofed areas (20% maximum lot coverage allowed) • 2 copies ol plan showing beam & window s¢es; poured found design, etc.) • 1 set o1 Energy Calculations • 3 copies oi Tree Preservation Plan H bt plaped after 7/1l93 . Rim Joist Detail Options seleclbn sheet (bldgs with 3 or less unns) DATE ?D ?Ar Z / RemodeUReqa(r Reauirementa • 2 copies of plan • 1 set oi Energy Calculations for heated additbns • 1 site survey for exterioraddAions & decks • Indirate if home served by septic syslem for addMbns .` p,& ` VALUATION U ? ? SITE ADDRESS 1?'A77`,4 r"'I" ?- MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK ?o? neoG FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT ? STREETADDRESS f4;&7 467e---e--tSe-T`f TELEPHONE # 7 ?'777 CELL PHONE # FAX # PROPERTY OWNER &J I G'i TELEPHONE # CD S? I-< 4;?Mr ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR %aNEW?• RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MI (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • N r od@ V1?rl?e'yS? • Energy Envelope Calculatlons Submitted 6 2002 JUN 2 , Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler . _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Condirioning Fee: $70.00 _ Heat Recovery System Sewer/Wafer Contractor: Phone S -------------------- ------------ ---------------------------------------------------------------------------------- -------- I hereby acknowledge that I have read this application, state that the informatfon is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance,8: /f „.,? Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received = Not Required _ Updated 4102 PERMIT ? • ChTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-45096-110-01 DESCRIPTION: ?, . _. PERMIT TYPE: Permit Number: Date Issued: 4343 MATTHEW CT LOT: 11 BLOCK: 1 IEXINGTON POTNTE 12TM ermit Type T y p e CIC?+ ? a n X'4 e SF DWG NEW f2-3 ,W-1 VN R-1 2 1p85/ ` 101 1 - FAM. DETACH op- ?0 '{??i ?. ?; ? ?iaa` ?1T BUILOING 031921 05/19/98 REMARKS: S&W PLUMBER = PEINE PIUMBING PLAN REUIEWED BY MIKE BARCK. FEE SUMMARY: VALUATION $148.000 Base Fee Plan Review Surcharge SAC SAC' % SAC Units Subtotal $1,127.25 MISC FEES $732.71 Tatal Fae $74.90 $1,000.00 100 1 $2,933.96 $1g592.50 . $4,526.46 CONTRACTOR: - Applicant - sT. LIC OWNER: P*ER50N HOMES 14602412 0001466 PEDERSON HOMES INC 319 THTRD ST 310 THIRD ST FARMINGTON MN 55024 FARMINGTON MN 55024 (612) 460-2412 (624)602-2412 , - ISSLJED BY: S IATURE . , -4 S<, S;.? 6. v ;??F? ? 1998 BUILDING PERNtIT APPLICATION (RESIDENTIAI:) l CITY OF EAGAN 5,S ea"Ade( 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeVRepair Requirements ? 3 registered site surveys ? Z copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes r. No DATE: 4-29-1998 Name: V6WE`1/l, s Q•q 6(-5'yyJ ej- Phone #: Last First DESCRIPTION OF WORK: Sinyle family New Construction STREETADDRESS: 4343 Matthew Court LOT: 11 BLOCK: 1 SUBD./P.I.D. #: Lexington Pointe 12th PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Street Address: Ciry ? 2 copies ot plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated addRions CONSTRUCTIONCOST; 162,000 State: Zip: Company: Pederson Homes, Inc. Phone#: 960-2912 Street Address: 310 Th i r d S t r e e t License # City Farmington State: MN Company: Pederson Homes. Inc. 1456 Zip: 55024 Phone#: (_ -- 60-2412j Name:_ Ron p e d e r s o n Registration #: StreetAddress: same as above City State: Zip: Sewer & water licensed plumber (new construction only): p e i ne P i L? mb i nq . Penalty applies when address chang and lot change is 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 applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ON?N Certificates of Sunrey Received Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex B' OZ SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch r-I 09 12-plex ? 05 SF Misc. ? 70 = plex WORK TYPE 0- 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 1J Basement sq. ft. V^I Main level sq. ft. 9- -3. ?-I y.v" sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. / ? • '.:. ? f? ? ?r.fj d • .. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC1WS System t I G- 5 City Water ? p 5 7 Fire Sprinklered ?q9 PRV Booster Pump Census Code. i84. SAC Code Census Bldg Census Unit Planning Building /lM3 Engineering Variance Permit Fee Valuation: $ i u8, ovv. - Surcharge A SE m E N-i Plan Review License • 36" z S = ?vbg MC/WS SAC Z '? `a = G?. city sac J- Water Conn. o`i 7b 41 +S = I Water Meter Acct. Deposit S??c QLJS S/W Permit S/W Surcharge q• z s y z Treatment PI. ? v z Park Ded. g' Trails Ded. $„D Other Copies 3?- u z y, , TOtal:'" % ?5`AC $ZkUf11tS « ' zO ? j xC k,. _ 3z.33 ZL> °? 3 . ... .... ,w...ti.,..,.. . z? « ? s. rb ? ??l = c3?oy?. - ac -?_ 1 t, S7 ib 4 54 C> S? . '? ef p . 7 = 57 ? O?-7. ` )v r 1 147, 273, - (..92'1b41 1 ?, = i, I iL2., Certi.ficate for: `..°„P+e'aerson Haines"inc. ,.Aw 3511 West 143rd Street"` Rosecnoimt, AHd 55068 Bk: 191/52 DELMAR H. SCHWANZ H9876B lANO 9URVEYORl, INC. , qpNNqO UnMr la" e1 iM $WN M Mlnno"U 11750 SOUTH R08ERT TFli11L qOSEMG!JNT, MINNESOTA SS068 612/423-1789 Ac3dress: 4343 MattheW Court' SURVEYOR'S CERTIFICATE Scale: 1 inch = 30" feet Proposed garage floor elevation O Denotes iron monument Proposed top of block elevation ? t)eriobes set wood lzub Proposed lowest level elevation 989, 33 989, t Denotes existing spot elevation O Denotes proposed elevation N d 8 ?-? N vbes du on of drtijpaqe q$b,p ?9N.S3 q9i.Yb 9?/Z.9 a92.q 1? 99s.z3 N 8'O6'23° E 140.0 - ??W ? - 36.33 ? 47.62 in -'' , ^. r - - - - - o0 9y?,-L ? 91i. -f p , Lgm 1p I - ? 111) 996 2o417 ? o N ? a cn GARAGE O ? 4-5 • Ce?33g"5ja ? ? ? ? <? ? LOT 11 o09 C F-' BLOCK 1 i. /1Ft 1 LU 3 I , PROPOSEO LJ ? CL n I . , ,n l ? m m HOUSE M I WATER o ?3.2 ? ? QI GO ? Z. 9?9 qqy'1,33 ? J .16 - 2. 3 1 . 23,71 -`/? 91? cuI-+3 G ? , ?INpGE AND UZILI 1 Y I \18 qq g I E pSEMENI 35 g0 ' q9 , o ??991.8 ? L fcn ?? 9' 5"1 ' 0 W'l i7 . 2 8 . 9i 3 0 Sanitary seaeL servioe invext per - ?_/....'.. Tri-Eand Surveying Co. Plan dated 8-13-97. Sheet 4 of 5= 981.1 . . . . .. .. . - ' rl IEQdl D2SCL1pt10I1: ` Lot 11, Block 1. IEXINGPON POINTE 74ET,FTH ADDITICN, acoording to the reoorded plat thereof, Dakota Cotmty, Minnesota. A1so showing the location of a proposed house as stake,d thereon. ? Mrshy csrtif,( thst Mb survey. Plan, or ropoA was ,o`?`?e°?•" '? / /; ?:• '•:9 ', D, cy isd hp ni a r unzler my dfrect supsr-lslon and tnnt I am a duiy Reglstered Und surayor undsr DELMAR H. ens is .s of ene cr,sts of Minnasota. ° SCHV+iANZ April 27, 1998 ; ??•.. _ $625 - ' Relmsr H. Sehwmz " . Dated .. % '47?1' insiote MOlshntlon No. t625 lievised Proposed Elevation?.,,1?5„-0.7?98 •:? 4? : w r ? U Q?0 p?? [3? ? [3?- ? a' ? 0-- ? 9-? U-1a ? ? ? O O ? ? ? ? ? ? 0 ? PROPERTY LEGAL: . . . . . n' ? ? o 1 ? ? • % • 0-' ? ? • p? ? ? s ? ? ? • cr ? ? • ? ? ? • ? )0-? ? • C] ? ? • ? ?? • ? ? ? • ? -C'? ? • 6'? ? e Pr' ? ? • ? ? ? • (T- ? ? • ? ? ? • C] -ff, ? • DATE OF'SURVEY: LATEST REVISION: DOCUMENT STANDARDS Registered Land Surveyor signature and company Buiiding Permit Applicant Legaldescripdon Address North arrow and scale House iype (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient °k Proposed/exasting sewer and water senrices & invert elevation Street name Driveway ELEVATIONS Ew.stina Sewer service (or Proposed) Property corners Top of curb at the driveway Elevations of any ebsting adjacent homes Proaosed Garage floor First floor Lowest exposed elevatian (walkout/window) Properly corners Front and rear of home at the foundation PONDING AREA fif aaalicable) Easement line NWL HWL Pond # designation Emergency Overflow Elevation DIMENSIONS Lot lines/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. ail sVuctures requiring permanent footings) Show all easements of record and any City utilides within those easements Setbacks of praposed structure and sideyard setback of adjacent existing structures Retaining wall requirements, if any , ?,- Reviewed: - ? Ki. o / January 1996 CRAIG t 988f BLOGPRMT. F M LOT SURVEY CHECKLIST FOR RESIDENTIAL / ; , • i . r • MINNESOTA ENERGY CODE - MINIMUM REOUIREMENTS for "Cookbook" Option: w ? 1-2 Famity Residential Building . ? RESIDENTIAL ".COOKSOOK" WORKSHEET Applicant Nazne . Phone / [? Dat L? ? ? Tttis building is a: , . (meets minimum code or 2 Bwld'm ?Cate Statement of Compliance: '1Le proposed building design represented in ?,?A t O?, / A E? ?c r? ? ??• ?? ?? ?,••-• ' Z` S ? ? g y g re nts for aff? ti ? d wash barriers ntr m ht s and wi these documentris consistent with the ? . q e e g ne s n building plans, speci5cations, and offier Applicant Addres Q ? Category 1 Building (meets all Category 2 ??lations submitted with the permit • 3 ?3p . 57,. - reqtirements, has additional air tightness, and a application. The proposed building has been dcsigned to meet the requirements oithe 4w/? S r O Z? Residential Mechanical Ventlation System) Mnnesota Ene Code. Bu ding Address° ? Plans must be clearly marked with ?y ? r?/ ?i4wicW '40-r?( K T - insulation R-values, window and door U-values, - 4 . iciencies. aod heating and coo(ing equipment eff Applicant/Engineer Enhy Doors 1-3J4" solid wood w/ storm Ceiling with energy truss : R 38** Rim joist R-19 door or equivalent (7'/Z" or more -top plate to Maximum U-value: .030 roof) . Foundation 1/2" Insulated Glass in wood or Ceiline, with low heet truss R-44** Floor over unconditioned R-24 Windows* vinyl frame (7'/2" or less-top plate to roofl ? space *Include square footage in caiculation of WindowlDoor Area Ceiling-no attic • 11-38 w/ R-5 sheathing determine above grade WindQw U-Value. **Insulation Performance at Winter Design Conditions Window and Door Area 100 x WINDOW U-V,ALUE : . Zi ? As °/a of Exposed Wall Area Window/Door Area ' Gross Wall Area Window/Door Area Source: NFIZC or ASHRAE 1993 Handbook _ ? . - ?fAYF/ EZ.D E "?. 4 vr? , 1VIAXIMUM WMOW U-VALUES: Check Walt Type Used . WALL TYPE MAXIMUM. WINAQW AND DQOR AREA % OF EXPUSED WALL AREA 1 • . 12% 14% 16% 18% 20% 22°l0 24% 26% 28°l0 30% 32°!e 34% . 11'PE A 2x4 framing, R-13 insulation, sheathing •R-7 or greater. 0.55 0:47 0_41 0:36 .0.33 0.90 0.27 0.25 0.23 0.22 0.20 0.19 TYPE B 2x4 framing, R-15 insularion, sheathmg R-5 or greater. 0.52 0:45 039 0.35 0.31 0.28 026 0.24 0.22 . 0.21 0.20 0.18 TYPE C 2x6 framing, R7.19 insutation; sheathing less than R-5. 0.48 0.41 0.36 032 0.29 0.26 0.24 0.22 0.21 0.19 .0.18 0.17 TYPE D 2x6 framing, R-19 insulation, sheathing R-S or greater. 0.56 0.48 0.42 0.37 034 0.31 0.28 0.26 0.24 0.22 0.21 0.20. T'YPE E 2x6 framing, R-21 insula6on, sheathing less than R-5. 0.51 0.43 0.38 034 030 0.28 0.25 0.23 0.22 020 0.19 0.18 • TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 039 0.35 032 029 0.27 0.25 0.23 0.22 0.21 i 7'his table contains interpotations of the values in the Energy Code, Yart 7670.0475, Subp. 2. CITY USE ONLY l BL ? RECEIPT#: 7o2p? SUBD;.2RECEIPT DATE: Piease compiete for: ? single family dwellings ? townhome;. and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TaTAL Shower 3.00 x Water Closet 3.00 x 3 = 7• ? Bath Tub 3.00 x 4, _ ? • &0 Lavatory 3.00 x 77 o-a Kitchen Sink 3.00 x 3• vo Laundry Tray 3.00 x ,3, cro Hot TublSpa 3.00 x = Water Heater 3.00 x P = 3•? Floor Drain 3.40 x ?_ = 3•? Gas Piping Outlet ' minimum - 1 3.00 x cm Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 x = Water Softener '` for existing dweiling 20.00 x = U.G. Sprinkler * for dweliing under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposai System " MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems "Abandonment 20.00 = RPZ (new installation only) 20.00 STATE SURCHARGE .50 TOTAL ------ ----- ---•---------------------------------------------- I hereby acknowledge that I have read this application, state that the information is corred, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiiity to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City dunng its normal operational and maintenance activities to the facilities constructed under this pertnit within City property/right-of-way/easement. SITE ADDRESS: 1-13 7 3 /h A-Z-fdEc- ??- 1998 PLiJMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PILOT EINOB RD EAGAN, MN 55122 (612) 681-4675 OWNER NAME: IIJEA b dl r? d ikt lff-s INSTALLER NAME: . #: ?1-7 ;1 - ?i°? 312- r / ?l , id ( S STREET ADDRESS: ? OpO X ?` ? v CITY: (/ E f'i""l 1r/ !/^ D? STATE: ZIP: ?8T- SIGNATURE,?F PERM6ftEE CD/PERMIT FORMSIRPLBG PERMIT (RES) - 1998 CITY USE ONLY 1+ LOT ? BL RECEIPT SUB?___??RECEIPT DATE i qc?c? 199$ M£CHANICAL PEftMIT (RES1DEN'fIAL) CITY Of' EAfiAN S$SO PILOT KNOB ftD EkfiAA biN 55188 ? Date: (612)681-4675 Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied ' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) i Id, ev • State Surcharge: .50 • TOTAL: S C-) Complete this section anlv if you are remodeling, adding to, or repairi:ng existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required fc>r alteration/add-on to ductwork in existing residential units; but is required for the following: Install fiarnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge ' .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE #: L?p INSTALLER NAME: 13HONE #: ?3 7 ? STREET ADDRESS: C[TY: ST,ATE: h" k ZIP:? -3, 0- SO-- SIGriATU & O ERMITTEE 1S/FORMS BLDlMECH PERMIT (RES) - 1998 (v q-7,73 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55,122 651-675-5675 ' Please complete for modifications to existing residential dwellings. 1S-j s-D Date ? 1 l o/ oc( I I Unit # Site Street Address ? 1 1 1(,l4NQQ ? l'- PropertyOwner Vvl? ey Telephone# Contractor Telephone# Address City State _L/Q_ Zip OJ'? The Applicant is: _ Owner Kcontractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _5eptic System Abandonment ' _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: ' $ 50.00 ?Water Softener _ Water Heater X replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 5tate Surcharge $ .50 Total $??? --! " I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will in accordance 'th the approved plan in the event a plan is required to be reviewed and approved. ? ' ? Applican ' inte Na ApplicanYs Signature t 2005 RESIDENTIAL BUILLIING PERMIT APPLICATION -iistj City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas (20°k maximum lot coverege allowed) 2 copies o( plan showing beam 8 window sizes; poured iound design, etc. 1 set of Energy Calcuiations 3 copies of Tree Preservation Plan'rf lot plafted after 711193 Rim Jois1 DetaU Options selection sheet (bWdings with 3 or less units) L?(?, t? RemodellReoair Reouirements Office Use Onlv 2 copies of plan Ced o( Survey Recd _ Y_ N 1 set of Energy Calculatlons for heated additions Tree Pres Plan Recd _ Y_ N 1 site survey for additions & decks Tree P2s Required _ Y_ N Addition - indicafe ilon-srte septic system On-ske Septic System _ Y_ N Date Constructio n Cost Site Address -I ? 1 C-C UniUSte # Description of Work I In -tA+S4-) (?g, Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 ? Pro ert Owne cl) hone # & Tele p y , p RENEWAL BY ANDERSEN Contractor 1920 COiJNTY RD "C" WEST Address ROSEVILLE, MN 55113 C'it3' . State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitfed In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residentia] Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a 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 plaZ,,? nSCT? ? Applicant's Printed Name Ap icant's Signature vVdVdt d?.? ?uV xs.ao rny ro? otl g4tFp' ??K1fL d??'gL'fLt?t4i?( . - ?e a?. 2=WAU. Tune 7, 2M - - . -- , - ? 8f Bapa - 3836 PiIaf Knob Itoad - , Enaa, MN 55122 To W'an It May Coitoern: . . EIderJones is auth ' Eidcr ]'oncs to Provid to ?UIl t?tuIdi:tg PermIfs for ?wai $y AndersazL Qte?sc aIlow . dafe bcyoud 616101; until a S?vicc far us in Pagan. 'n1iR auchorl2etifln is vfflid for any ? tiCa Ci ry_ ?`°IIp°'? ?y ??n ?iag? ?y ??nkes it in wii?ag I rcqttest this autIiadzafiau b? ? . - , : ' . . ovr builcti?ag PcanEti n?i a??ed-expe.?dously, as 6a not deIay in rhe g?essit?g aF r ??? a? 'f63-5 Y fuzt?cr. PFcasc caII mc If t?tctc t4+c eay qm?ona: _ I can Irc - 02-47U6_ Your itnmq?iiaft attcntiou to th{s mafter is e Q .. - Siuca?aly, • ' . ' ? . . y1IIOTi? ?. ? nsraEtation Managcr Rcnawal by Aszcimcn CarPoratian C:a: Kmn-F.1dex Jnne-q . -C?C C?..S/ • - ' ' - C?H W. ? - .y (?? • ?y PUbli? Received Time Jun. ]. -itn7pu. Use BLUE or BLACK Ink For Office Use Permit Lo I City of Ea noft , i Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I I I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j ---------------.--J 0 2011 MECHANICAL PERMIT APPLICATION Date: O, Site Address: q-19-3 WaWn eA,-) C. Tenant: Suite RESIDENT / OWNER Name: Phone: (OS I ' ~o g I • 5 a 3 Address/ City/ Zip: LkS4 ~fiV~e W l~ C Gl_ 1~ S ( 7 CONTRACTOR Name: CENTERPOINT ENERGY License Address: 9320 EVERGREEN BLVD NW SUITE B City: COON RAPIDS State: MCI Zip: 55433 Phone: ?63•;Fs;~-&NW -1 V3"-7g5``Sy0 Contact: JOANN ZINKEN Email: joaa.zinken@CenterPointEnerNy.com TYPE OF WORK New ✓kepiacement Additional Alteration Demolition Description of work: f N 1 0-ack cov- CONC~; l- I 4ey- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE ✓Fumace New Construction _ Interior, Improvement L/' it Conditioner Install Piping Processed Air Exchanger Gas a Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install ! _ Remove) * When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector R FEES: $55.00 Minimum d-on or alteration to an existing unit (includes $5.00 State Surcharge) (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ~s • 00 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will b n onformance with the ordinances and cod of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wo s no o sta ithout a permit; that the work will in accordance with the approved plan in the case of work which requires a review and approval of plan x JOANN ZINKEN x Applicant's Printed Name App s Signature Loll FOR OFFICE USE R iewed By: Date: Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA116823 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 4343 Matthew Ct Lot:11 Block: 1 Addition: Lexington Pointe 12th PID:10-45096-01-110 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark R Jensen 4343 Matthew Ct Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128193 Date Issued:10/29/2014 Permit Category:ePermit Site Address: 4343 Matthew Ct Lot:11 Block: 1 Addition: Lexington Pointe 12th PID:10-45096-01-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mark R Jensen 4343 Matthew Ct Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature