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4347 Matthew Ct46 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 122_0-13 Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION /12:31/ Date: Site Address: V317- j 3 /[ '�7- �V,, �w-4F Resident/ Owner Type of Work Contractor Name: m Address / City / Zip: OTT c49,4 - Applicant is: Owner Contractor Description of work: Unit Unit #: Phone: & ( 88 Construction Cost:7�� Multi -Family Building: (Yes / No( ) Company: Ds , bhe Cars/ cil igtl ) Address: i -1 3/�. - a Contact: a r)ct. / State: Zip: 'bO Phone: City: r;12 - 22J - 1 Dee License #: 1 y ( Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: 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.qopherstateonecall.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 Minneso days ermit issuance. Lx RA/tC'J IN!' Applicants Printed Name 1 to Building Code must be completed ithin 180 Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review j (25% 100% 1/) Census Code # of Units # of Buildings Type of Construction List -/-7 DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair 5t !�- REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window 'Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant 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 Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: Stucco Lath Stone Lath _ Windows Retaining Wall: _ Footings Backfill Radon Control Erosion Control Other: Reviewed By: , Building Inspector Brick Final RESIDENTIAL FEES" Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL s /WA1 P/,;Gt' It AIG• L7l 404) Page 2 of 3 • t `CITY OF EAGAN PERMIT TYPE: ' 3830 Pibt Knob Road Permit Number: ? ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I ' +? i t cr N t?,. , ' I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .A . . . . . ?. . ? I ?. , I ? -. , _ . . 11 10'\i7 W (1 HY M I ?.f fifii" i. !`1 I!MRF fi ? t'rAl' IIAt" I: 1'1 IlMl! t '? A., Parmit Holder Date 7elephone # PLUMBING ?G- Q HVAC Inspection ate Insp. _ Comments FOOTINGS 6a2 /q. [ kte FOUND FRAMING / ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING / r} ?J GAS SVC TEST INSUL / GYP BOARD FIREPLACE FIREPLACE AIRTEST ? 9W FINAL PlBG O FINAL HTG ORSAT TEST BLDG FlNAL lCJ y p v DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL l o - Wertilicate of Cccupanc? Wit4 of Cfagan Zco?ear ? ??ithing Zuboection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at 1he time of issuartce this structure was rn compliance with the variaus oidinartces of t!u City regulating building consrructiors or use. For the following: uw ciamircatiam: SF DWG BIdg.PermitNo. 32242 p?p.Ky Typ? R-:i U-1 7m;og o? R-1 rya co2u. Vn 0?of8,,;ld;,,a THORSON HOMES 1N:: Addv= 4466 WEDGEWOOD DR., EAGAN MN guildingAddnm 4347 MATTHEW CT Loa;y L10 B1, LEXINGTON POINTE 12TH i ? ? .P o?: Btrildio5 Offiaial . POST IN A CONSPICUOUS PL4CE AddYess ,,4347 MATTHEW CT Zip 5512 3 LOt 10 Blk I Sub LEYINGTON POINTE 12th THESE ITEMS WFRE / W$RE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: A Yes No Inspector: Final grade (6" from siding) V-11? Petmanent steps (gazage) (/ Permanent steps (main entry) Permanent driveway 64-// Permanent gas ? Sod/Seeded grass ? Trail/curb damage ? Porch Basement finish ? Deck J/ Please verify with the bwlder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lswn 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 8 55-C7 ;) 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq, ft. of lot, sq. fl. of house; and all roofed areas (20°k mayjmum lol coverage allowed) • 2 copies of plan showing beam & window sizes; poured tound design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan'rf lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE ? ? flO Z SITE ADID TYPE OF ULTI-FAMILY BLDG _Y XN FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ` '& ? STREET ADDRESS SN - CITY 6"6Yhin STATE 04- ZIP s TELEPHONE # 52-88g- CELL PHONE # f0??'?44'WP0 FAX # 9Sa-88d?? ?? ? ,?[ LA1 PROPERTYOWNER (Gt 44ZYYYla/Yjh TELEPHONE# 65I-klf -d?ID V COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNP:SOTA RULES 7670 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 includcs: Mechanical Contractoe Mechanical system includes: Sewer/Water Contractor: _ Water SofCener _ _ Water I-Ieater _ No. of Baths Air Conditioning Heat Recovery Systein Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O' Signature of Applicant QRW77?- ------------------------------------------------------------------------------------------------------------------------------------------------------------ OFTICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 iff -7p . 0-0 RemodellReoair Reauirements • 2 copies of plan • 1 sel o( Energy Calculations for healed additions • 1 site survey for exterior additions & decks • Indicale'rf home served by septic system for additions VALUATION ONJb Phone # Lawn Sprinkler No. of R.I. Batlis Phone # 1 ? ,???,? ??•:';?:.1? 1?1:{ . Ii ? I. ? ?/{ y'. ? :).' ? .. ?.? :t'..'.l)...1_!'l.1t '. ;"f`,i?? 'C.'.T( 0 E1-iGAN Ci?i;i? A f'.1..??? r. ??i r: ..?... ._! (• .1) ` '?' _'1.'??..( ?.:,?.,?.???,??/?I . "' .." ...if C>'l1 ' ? ., .._ ?. ... , .._ ,J ' .? ! Lr ..t E„ {' ..?'.,?;.r;r,.t•/'JI?. i ? ......, ?Y?.1.T;'L„ i.?."1 ?`(l??7"- ;, 0; ,.. i?r ? .. ' ?..1:::"i f.%/.. ?..il ... . t C . !':1 ? t!' : d 1347 .) i. ..?. . ?.??.5 ..... ?....:.I ' ?_?..??.. f_ r., i'...?.. . :. ..?1 . ? ?.. . .. _ .. . . . , . , . .. r r: , . ,l 1 ....n.'_..? r. _...r 1",?::'i_ .. -a:???T r.; _. . P?? (?;.Ji14?'i?'?l:' '?:_f f L?;:. '"-,,. ..?' .. . :..?_ , '. ? t?5n?_1c: r??., , . C,r,_?.1.. . ,Jd; r Hti::.R V:; '.tnN;'.Y „r..,?...?? I ??(u .i.? ?{?r. , ..'?P•,. ?. ?5;..;i; .? ?.'A,t}",. ? CITY OF EAGAN 382J0 Piiot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-45096-100-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4347 MATTHEW CT LOTa 10 BLOCK: 1 LEXIN6TON POTNTE 12 Permit 7ype 5F DWG W:ork Type NEW ° . ?? a r?i9?y? R-3, U-1 ? "tsn tyu? e V N R-1 74 59 stpt"i?S= a??? 2 2 , 118 ? 101 1 - FAM. DETACM Ia et t :s raf ? .-ES ?w p - ..,. .u Ih r.?^. '^C at€ oFl ? x1`ra. .ea. ? .- BUSLDSNG 032242 06/17/98 REMARKS: PLAId F2EVEWED 6Y MIKE BARCK S&W PLUMBERs RAY MAEG P4UMBING FEE SUMMAftY: VALUATION 8ase Fee P1an Review Surcharge SAC 5AC % sac ur,it5 Su6total $1,382.25 $898 .46 $99.5@ $1,000<00 100 $3,380.21 $199,000 MTSC FEES $145,92.50 Tota1 Fee $4,972.71 l.V1V11'SHli1V1'S: " ryNNlaL'ariu - ai. ?..??. VVVIVGI'f: THORSON HOMES BRIAN L 14540644 ?001317 THQRSON HQMES IMC ?4466 WEClGWO0D DR 4466 WEDGEWOOD qR EA6AN MM 55123 EAGAN MN 55123 4(612) 454-0644 (612)454-0644 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) qq17,1 . CITY OF EAGAN ? 3830 PIIAT KNOB RD - 85122 JI??? ? n^ p 681-4675 (.!? •?.`?` New Conatrudion Reauirements RemodeVRepair Requirements ? 3 registered site surveys ? 2 copies of plans (fnciude beam & window s¢es; poured fid. design; etc.) ? 1 energy qlalations • 3 copies of tree preaervation plan tf tot plalted afler 7/1l93 required: _ Yes _ No DATE: Name: Last Street Address: Ciry ; DESCRIPTION OF WORK. ' pa =, "5 STREET ADDRESS •: ? r ,?' t 2? LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER First ? 2 wpies of plan ? 2 site sunreya (exterior additiona 8 decks) 3 1 energy calculations for heated addRions CONSTRUCTION COST; State: Phone #: Company: ;r 4/;,:a? Phone #: Zip: - !%dca i`•=`t=' COTiTRACTOR ,.,? . Stseet Address. License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City State: Zip: Sewer & water licensed plumber (new construction only): A?rr-l Penalty applies when address chang and lot change is requested once pertnit is issued. • - .A ?jj I hereby acknowledge that I have read this application and state that the infom?ation is coRect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received '/ Yes _ No Tree Preservation Plan Received - Yes _ No ? Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? OB Duplex X 02 SF Dwelling 0 07 4-plex O 03 5F Addition 0 08 8-plex 0 04 SF Porch ? 09 12-plex ' ? 05 SF Misc. 0 10 = plex WORK TYPE P 31 New ? 33 Alterations ? 32 Addition O 34 Repair GENERAL INFORMATION Gonst. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ather Copies v?l ? Q-? z , '73. S " , ? 11 Apt./Lodging ? ? 12 Multi RepairlRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace O ? 15 Deck ? 36 Move 0 37 Demolition 4 a ;i k+.. q? ? . ._? .. . µ.. ,- -y ` 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. .7 mt? sq. ft. a z sq. ft. sq. ft. sq.ft. Footprint sq. ft. Building M3 ??2s MC/WS System 2- City Water 1-7 z (0 Fire Sprinklered PRV Booster Pump Census Code. 2?1 i8 SAC Code Census Bldg Census Unft Engineering Variance Valuation 2?rFSG? rv?E..7r _.._?._.?._._ ?3.?s x 20 3zK z8.3<? /2 ?rZ4 ZN 1Z 'ST S,*m5 PLUs Zk I? 2Xs s- zE.Sx 4- TOt2L' % SAC SAC Units 3 x c? $ I G[ ? vvc9. r z 7, s 3 S- i8 I-S 24, s (t Sc9. S ?3LC/.S , 3?? 1lsy : 72,9 F 1. - 14M I 2Z ti ,rO 93, 2,) ?, -Ioy V ? L 2 z $?-. '"?' ??? th !L = / )ot vi ?- ? )CfBi 3a$, T- 4 446 ? LOT SURVEY CHECKLIST FOR RESIDENTIAL , BUILDING PERMIT APPLICATION ? m ? a Z ? C3-'o ? C?6 ? 0 ?0 O ? ? ?? ? ? ? O" ? ? ??o 0 PROPERTY LEGAL: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescriptlon • Address • North arrow and scale • House type (rambler, walkout, split wlo, split entry, lookout, etc) • Directional drainage arrows with sfope/gradient °k • Proposed/exdsting sewer and water services & invert elevation • SVeetname • Driveway ELEVATIONS Ew'stin9 ? o' O o Sewer senrice (or Proposed) 1!f, ? ? • Property comers cr' ? ? • Top of curb at the driveway ?? ? • Elevations of any ebsting adjacent homes Prooosed ? 13 ? • Garage floor ?? ? ? • Firstfloor t/ i d ti lk ? ? • ou w n ow) on (wa lowest exposed eleva ?? ? • Property corners ?o ? • Front and rear of home at the foundation PONDING AREA fif aaalicable) ? ? O • Easement line ? 0-? ? 0 NWL ? cy, ? • HWL ? Cd? • Pond # designation ? 13 • Emergency Overtlow Elevation DIMENSIONS ?O o ? • Lot IinesBearings & dimensions ,2r'? ? CI • 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) H? ? ? • Show all easements of record and any Cily utilities within those easements ,a` ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures ? P-?'[] • Retaining wall requirements, if any Reviewed: Date January 1996 canr.1eee1eiocaae,rr.FM LATEST REVISION: . ` a •i? ' .a i , . )wne r_ ;ttr Address r .'Y \ • V 6- TLON-_-_''I Phone ^atp f ;? ? • _?hone :ontractor, :uilding Classiticatlon: Typt A1 (Single Fa?nily 6 Ovplex'_Z.-Type AZ {3 estoriesaor ess (Other) (0•rer 3 stories) ;ENERAI INFORHATION i. Building Perlmeter ft? ?. Wall hei9ht (ground to eave) \`l ft. - 2 fc 3. 1. z 2. (abova) 9ross wall orga . 3- • l?`t? ft.2 r'oot S floor area . 8uilding dimensions (!) (W) 45. Squar• tcot area ot rim jo1st - Flaor jolst slte (2 x to ? ft2 tc?? x Perimeter • Rim o st area -TT' l -ek <` , z = • 6 . poors - Arta ?Z - 't Th1c ness k -?? n. aCtor ,ft. Type ot Construct on_ ??eriinater E 1?- Manufacturer ? - 7, Totat door's perimtter ft :8, uindows: Ma?utacturer ?n- ?-- lq&?, State approved Ca\ u itctor _ TYPE SItE o Y c3 t? o .e . ?,...? _.__ AR:A (Ft.z) "n1MBER OF TOTAL FEET Z EACH UN1T5 ? .. O 4:5 / '4 \ ?.7 . -I C> ?o -_10- - k C) ? ^;, 9. Total ft.2 Glass -<?Zl - ?0? Ftreplace area: Width x heiaht _X ?-' Z``? Ft.2 11 . Exposed foundatlon: Hefght x Derimxter (= x ??' Ft.2 :)htPLETION OF TNIS FORM [S REQUtREO FOR All NEU COFISTRUCTION, ?'IAJQR REMODELIN6 AND BlfttDl'IGS BEI? f;VED 1tHERE EttERGTw OTHER THAY,THE MINIMAL CODE AILOHANCE. IS USEO. ;_..._. ; ntana?u?A JlA1V u."?/• •.VY V., BASED ON ?HA• TEA Of T - lSOQEG ENERGY GvuL Adap:fun EfE?c[lv? 2. ° Framing area ¦ lOZ of gross wall area. Gross ti+al l area `'• . 2 Window area A ? r.'A e-ft. i:. Mif140MS 9 X a=?_?ro I Rim?Joist area A ft.2 , U rim joist U z A s `?. bc.• ? . poor area A ?--??-T ft.? 7 door area J x- A• Fireplace area It t .2 U rireplace U xA a °?, Exposed foundation A f!.- il foundation U Y. A¦ 1? .St_9 Framf ng area A f t.2 J frani nq area U x A? ?c"cw net wall area A `,?e?\ `t. J wall U x%+ ¦ ???,?? T (1 7Q , 'ilf.L . • . . . . • • . . V x A ?. Gross wall area x 0.11_ (A-1 single family S du:,:=x = allowable UA A/Code (13. aCove) . x 0.23 (a-2 other residentia:; x .23 !0ther buildings; x .2? (Over 3 storie;) 67UF1 Must be larger than a x l' Ccde. 138 abave Cailing frnming area (Af) aquals 10.`• nf ce;linq area ? or the same as) A. Gross cefling area = (L) ?C? x Ca ft.2 B Jaist area (Af) a 10" ctiling area • -a_ ? co o ft.2 C. "le: Tceilina area (Ac) (15A - 156) ' ft•z U teiling x ti ?¦ CD,T.???x U framing x A f• x_ 0. :QTAL U x A ........................................ . ?.._ . Ce111n9,area (15A) x 0.026 (A-1 single `amily S duplex - code allowable U x A - x O.C33 (A-2 other reside.^.:ial) x O.C6 (other) J BTIJH 'lust be larger than 1°D (abave) A (15a) \771 `? (.,Z=, x V- (code) " _o°F (or the same as) NOTE: Use U and a vtlues obtained f-•om nps 1. 3 and 4. , S?ALL StC7'20M 1'r ^y y, '. ? . ?; . . ; . . sTtc R... sccTta+ ?. ; i: • , J ' CAit?•e!? f??l , ??¢ ^.`i n.. (w4t!) c , ,? .. !?suI:ltt?n 04=0 stdtn4 • ? ? - ?,= . 04 Jutsiqqb' air iilm .17 W q rarA?. •?? .O ? lnside sir fila .68 tnce:tor asit • 4S i??,?I-ud g ? g R? ?,?'? (Fruoing) U' F . . 1!k e.cr,tng z.o(e Stdin= . ``1 Outside air iiln .17 t , ?q `?.- • t: 'OTAt Inslde air f :lm R• .68 IHD uALt Intor Lo[ w i 1 . 45 j' . SCCTI?ti insultttqq (Wail ? .: • ?+'::`: :. i.'. ,Sheathtng,' _ ? Z oa e:• Ext?rlo?';.Y.?ll :overing. ?;1. 1?i ` • ' p.e:'J' . Exerrt air tl li4 8 +'.1 ? • • ' . . . . _ ' -.---- ` s rorAL ?g •. - Int*r lu'r air t I lT ?• .63 .. ? 'r.sulat lon .00 , Jois; • -- 15 inch socr :,tiua A=t.ae (atm ? . ? . ` Joise) . { j,/a ''rtS'tu "'c`h i ?'• , ?/f u ? -[zttr?Elc Mall covering. •?? i -. ' Lzt?clcrc-atr fltm R• .17 , ?X, it MTAL ?_4 4 i . r. , - ' • , lnt.riVt •aiz f l lra , R' .68 , . C?r?.a Fow?dacfoo (Fdfl..) U • ? ? xtertor air ttlm li•..11 a rorAL ??r. ;d: ..?.... ... . I I -txposea 3tVcK ; ,. ? . • ? \?.` 1"., Grade 3. __ _.. .. .. ,..._..._,?__._._.-T.?--._ _,..'....... . .. y ?. " M ? • ?4`?,!}?'i ?i??V?pe."? ? ? 1? ?` ? Y?? ,. y? ti iW' ? ?i.?i':.v. :F.? 7. ? : .- .G ? .. . '1. . . . y: . m InSide air ft' Ceiling 1 Jotst (stud _ Insutatton Air spact Roo f dret k i ny _ Insulatlon 8uilt-up roo! _ Outsldt a1r t.111 Tot4 T' R R#U R `IALUE CEILING 0.61 4indow lnfiltraticti .5 ctmlllneal tovt of crack y 1411Qsntial door infiltration 0.5 tfralsqusre foot or dcor and minlnur. code requireftnt *"-reafdential door inTtltraticn 11.0 cfafiineal foot of crack ?E. 1b 1Z" coni?•eto block no insulation n .87 R 2.1 ' 12" concrete block insulated cores o .26 1 3.8 lb 12" 1 ighr.+tiQht block ?.32 R 3.1 12° 1 iyhtwigfrt block iii'sulated cores ;L .12 Q 8.3. ? :J tinyle yiass ¦ 1.13; wfth storia rlndow .54 . ?i.k double glass • .56 ' ??:s trfple glass r .41 exterior wa11s and ceilin9s rr?ust have a vapor barrfer (C.10 perm K'Sx•)• w? '?•;+por barrier ?nust be on tM inside (heatM side) of wall. ?,';?;?tyor barrttrs of the polyethelens thin fi.lm have no Rvalue. 4. ? lft'? Afr ti1m - 0.61 _ 3_? .1 ? Insulation 44.0 O.E1 31.93 ?07, Joi:t A Ceilin9 Air Fitm 0.61 ta ta i R (;Z,c.) 4 ? _o?, ?? F!Ai ROOF OR CaTHEQRAL C£ILi?4G R?T ue F R,:M I NG '.:.w.., ..:?._.:. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ` 3830 PILOT KNOB RD - 85122 -14, 1_ 6 C ? I U ? 651-681-4675 ? ? . oA`Z?, 0 5 - 3 i - 6 New ConshucNon Reaulrertmnh Bemodel/Reoair Reaulremenh 5 3?-Gb n S regiatered sife wrveya showlny aq. R ot bt, aq. fl. of house 2 copiea o( plan and gfi roofed areaa (2096 maxlmum lot coveroae albwed) 1 set of energy calculations tor heated addlflona ? 2 copies of plans (show beam & wlndow suea; poured fnd. design: etc.) 1 slte wrvey tor euferlor addiHOns & deeks ? 1 sef of energy calculaNons * 3 coplea o1 tree presenaHon plan M lof pt~ alter 7/1/93 DATE: DESCRIPiION OF WORK: STREET ADDRESS: CONSTRUCTION COST: ? LOT: 10 BLOCK: ? SUBD./P.I.D. M Name:?lf?-12bviKk ?, & Phone t: ?g:o - to 5gp PROPERTY tast Flrst OWNER Street Address: p1-Rr City IA 1W tlU State: (,AAtA ?_ Zip: . Company. N V 1qf(-k_U1(! Wt 4ux• Phone Y: i,?d- -,e1!5 z' qet`i a (area code) - CONTRACTOR ?l ?i l 111? 1 K-A 4 t A ?t t ucense # G 17 US Exp. ro, street ncf?aress: v{ Ci1y State: Zip: 4-'`'? 113 ARCHITECT/ ENGINEER Company; Telephone #: ( Name: Street Address: Regishaiion 11: City Sewerlwater licensed plumber State: 1 herebY acknawledye ttwt I have read this applicaHon, sFafe that ihe infortnation of Minnesota Staiutea and Cify of Eagan Ordinances. Signafure of Applicant OFFICE USE ONL Zip: Phone #: ..and agr comPb State Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY n. y BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Poroh (3-sea.) ? 02 SF Dweiling ? OS 06-plex 0 17 Garage 0 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex 8 Deck ? 23 Poroh (screened) ? 04 02-plex ? 10 08-plex O 19 Lower Level O 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex O 12 12-piex ? 20 Pool D 30 Accessory Bldg• woRK nrPe ?31 New O 36 Move Bldg. O 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" O 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 01 # of Stories No. of Units 4 Length No. of Buildings I Width Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 96 ? 31 Ext. Alt - MuIG ? 33 Ext. Aft - SF ? 36 Muw sq. ft. sq. ft. Footprint sq. ft. Census Code y 3y. MC/ES System City Water Booster Pump PRV Fire Sprinkiered Engineering Variance Permit Fee y 6 0. 5 0 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other ? Copies Total: 1 64#. av Valuation: $ l,zoo SAC Units % SAC CITY USE ONLY L 112 BL _L RECEIPT #: SUBD?C_6:?, ? • 4- RECEIPT DATE: 1998 PLUI?ING PERMIT (RESIDENTIAL) cix3r oF ?c.?x 3830 PILOT IINOS RD EAGAN, tA1 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot TublSpa Water Heater Floor Drain Gas Piping Outlet * minimum - I Rough Openings Water Softener " for dwellings under construction Water Softener " for existing dweiling U.G. Sp1'inkler ` for dwelling under const. U.G. Sprinkler * for existing dwelling Alterations " to existing residence Water Tum Around Private Disposal System ' MPC iic. (new and refurbished systems) Private Disposal Systems " Abandonment EACH # TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x 20.00 x 1 = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = STATE SURCHARGE .500 TOTAL ----------- - ------------------------------------------------------- I hereby adcnowledge thet I have read this application, state that tha iriforrnation is correc4, and agree to comply with ali appiicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under this pertnit within City propertylright-of-way/easement. SITE ADDRESS: ?)q? H?tT?I'?) ?.S?UR? OWNER NAME: l"?E?R1"?AN fNSTALLER NAME: TELEPHONE STREET ADDRESS: CITY: ZIP: ?t 'I? 5/ ? ? 5- ? JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 ? CTTY USE ONLY LOT ? BL ? RECEIPT #: SUBTL-?' y?-• ? . ? RECEIPT DATE: ? 1998 MECHANICAL PERMIT (RESIDENTIAL) Date• 7 Z9S4q<jL- Complete this section onlv if you are installing HVAC in singie family, townhomes or condos under construction and not owner /occupied ? HVAC: 0-100 M B T U- a Oc? ?-1-16 -Le^Wox $ 24.00 ADDITI0N4L 50 M BTU aDj o0d 9 i v6.00 /OX31-aw.1 -a 3I/a -ro?, 41P-- • Gas outlets (minimum of one required $3.00 ea. ? @ ) Fudri, ? ` 'F irerlac e • State Surcharge: o TOTAL: .50 *5L4:5-6 Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchirge .50 Total: $ 20.50 SITE ADDRESS: y?'Y ? J V IGL,-` h C? 117 ? n ?? d'- l OWNERNAME: l ?c?,l'Sr?n? ttnrn.PS PHONE#: INSTALLER NAME: t?t ? 1 ev C? ct i i tiSQ? tT' ? PHONE #: ?? ?-"1? ,-? STREET ADDRESS: CITY: f--JP a0. i f z2 c=xY oa EAcaarr 3830 PILOT FQ10B RD EAGAN MT 55122 (612) 681-4675 1S/fORMS BLD/MECH PERMIT (RES) - 1998 ? , L BL 1 ? SUB ??.[ CITY USE ONLY RECEIPT RECEIPT DATE: / a 7 1998 PLUNMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT LQdOB RD EAGAN, NRI 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - - - - ---- - - - ----------- - -------- - - --- - -- FIXTURES --- - ----- - ------- EACH --- - -- - - ----- - ------- # Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x a- _ Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x 1 = Hat Tub/Spa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x Gas Piping Outlet ' minimum - t 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 = STATE SURCHARGE TOTAL TOTAL ? 1S _ 3•_ 3 • .- ?, ? , SC3 .50 '?!?(p'? l ----------------------------------------------------------------------------------------------------------------------------------------- I hereby adcnowledge that I have read this application, state that the infortnation is wrred, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liebility for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under this pertnR within City property/rightof-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADD?ES: Ll - . ar?r: ?%?? TELEPHONE #? ?40 & -&?'? Z 51GNATURE OF PERMITTEE 5?? Z3 JS/FORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998 L v ? V ? ? e * * * * PIONEEF! * eng neer ** ?* Certificate of Survey for: TOP OF PIPE 11 ELEV.=990.84 i ; i ? 579.5 .,BENCH MARK U? S ,? 2040 ? ? ?OD ? . SERCE NV.VINOT AVAIL ?I1)ry ? FROM CITY.'?y9; ry. ? 117.2a 9?.3 `sss.a ?z ? 9j rqv -5) - 0.5 , I ??- ? ? ( ', 1 y c,994.3 1 N° 0) < C" I w ? ?D ? ? vxo I CD a ? ?.9 ? - - ? SED 993.1 0O 993.2 G ? (,99 .5 O J1 / i 3 ? 9 ? ,? s? / „'? c z. 1 ? ?B F ,y , 988.1 ? ? 2422 Enterprise Drive Mendota Heights, MN 55120 DRS • CIVIL ENCINEERS (612) 681-1914 FAX:681-9488 UNO PLANNERS• LANDSCME ARCHITECTS 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 THORSON HOMES a ADDRESS NOT AVAIL. FROM CITY +0?? 89.8 r ?991.5 991b d?(?r9!•c,) 12.160Q - - 5.4 ? / PROPOSED HOUSE ? ? 92.20 ? `?sO°o a 12.04 w ca O ? zs.ss a. o ? I f . -- - - 9;? N 9?0.1 987.6 989.0sI41 98,6.8 ? ? I n x ? 986.3 986.5 sasi2 o , 10 , ? o 'hl\ IDRAINAGE & UTILITY ? 51A'- EASEMENT PER PLAT-;Z., 15 L - - - - - - - - - ?: ? o , o ? . ? ? -----BENCH MARK TOP OF PIPE ? 0 ELEV.=991.58 r '- 993.8 989.5 T- ? n 989.3 0 w z 990.Ov,o x= w 986.9 w M ? • ? ??1? ?? " '? , 975.4 S89'59'17"W 85.00 «-76NAN ??GbqEEl?ING g?73u'r. (-1-7-7-°) NOTE: PROPOSED GRADES SHOWN PER CRADINC PLAN BY: TRI-LAND PROPOSED HOUSE ELEVATION NOTE: BUIIDING DIMENSIONS SHOVM ARE FOR HORIZONTAL AND VERi1CAL LOCA710N OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: 918L/0-7 DIMENSIONS. TOP OF BLOCK ELEVATION: ?95, -7 NOTE: NO SPECIFIC SOILS INVE5716ATION HAS BEEN COMPLETED ON iH15 LOT 8Y THE G SURVEYOR. TME SUITABILITY OF SOILS TO SVPPORT THE SPECIFlC HOUSE GARAGE SLAB ELEVATION: 7l 5- 3 PROPOSED IS NOT TNE RESPONSIBIUTY OF THE SURVEYOR. NOTE: THIS CERTIflCATE DOES N0T PURPORT Tq SHOW EASEMENTS OTHER THAN ?( 000.00 DENOTES ERISTING ELEVATION THOSE SHOWN ON THE RECORDED PIAT. ( 000.00 ) DENOTES PROPOSED ELEVATIDN NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESICN. --- DENOiES DRAINAGE AND UTILITY EASEMENT -? DENOTES DRAINAGE FLOW OIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED OANM -0 DENOTE$ MONUMENT B DENOTES OffSET HUB WE HEREBY CERTIFY TO THORSON HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: LOT 10, BLOCK 1, LEXINGTON POINTE TWELFTH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNOER MY DIRECT SUPERVISION THIS 4TH DAY OF JUNE, 1998. SCALE : 1 INCH = 30 FEET 97391.04 SWK n l ENGINgERIpJ'G, P.A. eg. rvo. .a ? 0 ? •.. S ADDRESS NOT AVAIL. FROM CITY 'Y 7 AY `"ArrHEw , ?6/17fg$ 2422 Enterprise Drive T • CINI ENqNEERS Mendota Heights, MN 55120 * PIONEER LAND St1R1f[YORS (612) 681-1914 FAX:681-9488 ? eng neer ng LANO PLWNERS. ?ANDSGAPE ARCHIIECTS 625 Highwoy 10 N.E. ?C * * * Bloine, MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: THORSON HOMES • - BENCH MARK TOP OF PIPE 11 , I ELEV.=990,84 , , i •' pc?` ,?+'y, 3 s? ? 6 ?yo 99.8 991.5 --? 991.?3 ? PROPOSED \ HOUSE 'ae`? N ?? O 12.0b 0 25.58 4 . 0 * N s??.i --- 987. ;' sss.os!<; ? \ I ,.- - ?..? Op05E0 MNOT ?. SNV. AVAIL v ? ?L FROM CITY.N (193 A17.Za 9.3 ?93.0 Z 9 .5 9y o Oe ?, w ? rn 992.1 ?P ss ? L 4L' \ LLr=V) I 8 ? ?i? ? uXn o ?w= L7 ? ? 988.1 ?J Lo ?.9 ? ? . ?~- "_ ui y 909 6 ry (994.3 C-? O? 6 . ? / ry'S 2A :y6'0 'k 9 0.5 - ' i . " ? ?9vy.s?79 5' 08 `" W i !1i .... ^ ^ ? 986.8 A 986 ? ? .3 ??f 986.5 I o i 10 98 5? 0 1. I I =-DRAINAGE & UTILITY ? I I<'? EASEMENT PER PLAT?4z,' (5 .. o ---------?- o--? 1 - T t?91.o1 , ? -'---BENCH MARK Q TOP OF PIPE ELEV.=991.58 993.8 989.5 ? 9 9 989.3 ow Z 990.ONo 9.9 w= 986.9 W n M ? ' ! 1 983., 0 ? o \,O i 993.2 G i ? ? ? _. ' ? .,.. ? 9? ?.o) S89'59917"W 85.00 <?i' 975.4 ! ?, 4y'4R NOiE: PROPOSEO GRAOES SHOWN PER CRADINC PLAN 8Y: TRI-LAND MOTE: BUkDING DlMENSlpNS SHOWN ARE FOR HORIZONiAL AND YERTICAL lOCA710k OF $TRUCTJRES ONLY. SEE ARCHITECTVAL PlANS FOR BUILDING AND FOUNDATION DIMENSIONS. NOTE: NO SPECIFIC SOILS INVESTIGATION HA$ BEEN COMPLETEO ON THIS lOT 8Y THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPEpFlC HOUSE PROPOSEO IS NOT THE RESPONSIBILITY OF TFIE SURVEYOR, NOTE: THIS CERTIFICATE DOES N0T PURPORT TO SHOW EASEMENTS OTHER THAN PROPOSED HOUSE EL VATION LOWEST FLOOR ELEVATION: 284-9 TOP OF BLOCK ELEVATION: 95,-7 GARAGE SLAB ELEVATION: fi5- 3 Y 000.00 DENOTES EXISTNG RLFVATION Use BLUE or BLACK Ink I For Office Use -r/------ I j Permit City of Eap 641.q Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 staff: Cr 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2,11 10 Site Address: 434-7 W 0,+- Tenant: Suite RESIDENT / OWNER Name: I Gr1~t' 4' MCXrI Ct,"k_ J4F M6(.l4( Phone: &51 699-204- Address / City / Zip: 4 3 4-1 i' VAft y~ Applicant is: Owner Contractor TYPE OF WORK Description of work: .no y 1 due.( wi SVL Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: Ve"OtW! wn, License 20035999 ~t _ Address: 3(,u 1 inA City: CAAA/VL State: M vi zip: 9~ "5 2,3 Phone: 1z 11- - 8 7 5 -3173 Contact: T AV 0. Email: aU ( i 35 (0) COM&A 4- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x T vw k-D 0 +e_,V4 eM" x Q_Q"~ at~ Applicant's Printed Name APPlicant's Signature Page 1 of 2 D { ~ Zt~~it7 I F~ ' 7 jj1A4h e-w L4 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION j"m Valuation Occupancy `AC- MCES System Plan Review Code Edition ~6V ? SAC Units (25%_ 100%- Zoning d City Water - Census Code y~y Stories Booster Pump - # of Units - Square Feet PRV # of Buildings Length Fire Sprinklers Type of Constructionf ~j Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water -Final Pool: Footings -Air/Gas Tests Final Framing Siding: `Stucco Lath -Stone Lath -Brick Fireplace: -Y Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL F S ~!lO Base Fee 3ozq Surcharge 93~ Plan Review MCES SAC p City SAC / y 1C~6 Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies i L TOTAL Page 2 of 3 Use BLUE or BLACK Ink j For Office se j ing City Permit of EaEdn I Permit Fee: I 1 I 3830 Pilot Knob Road I Eagan MN 55122 Date Received:- 1 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff----------- 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: oZ g 2 dSite Address: 4 3 11 -7 /Y)-44 k e, C c, r^ Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: )4 e. s i S'e r, r' c.e.r License O S 9 S i S' M e Address: 100. 6 City: G► o n State: N'W Zip: S S/ o~ Phone: (o S / - 6, g I - 2.9' -2 Contact: ►'vGc S C, A r' / +-Z- Email: s' 121'. 3: h c ~ TYPE OF WORK _ New - Replacement _ Repair - Rebuild 4l Modify Space _ Work in R.O.W. Description of work: a Y^ ) v e a Z r ' 1,1 ~t PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C_ RPZ / - PVB) L- Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDT/AL FEES: 50.50 imum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ,5 O S 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X 1' \ 1 S G i 1 4Z x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink 1-------- -----i I For Office Use I ; Permit* City of Eajan I I Permit Fee: ~cx) 3830 Pilot Knob Road I l l Date Received: l Eagan MN 55122 Phone: (651) 675-5675 staff: Fax: (651) 675-5694 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION w Date: Z_ Site Address: -rl 3 q -7 4;,e Tenant: Suite RESIDENT / OWNER Name: 3 y A ^ riC K re k y Phone: 7 2 F- 57 q I/ Address / City / Zip: If 314 1 rLl° CA.- Name: N e s S i Q- 16 j r, t, I f 4t f_. &eP License )0(- boy ~ 3~ g CONTRACTOR Address: A ' 212 1 "1 City: E--° I,-- ",-N State: Zip: /2-3 Phone: Contact: 1 r - S c), ' 141 Email: I V* he J a» ~-•,1 , c o TYPE OF WORK - New - Replacement _ Repair - Rebuild _ odify Space - Work in R.O.W. Description of work: It 1 v Q" KO C~ <Z-9 i kle,.. _ (p 4- a Vf r RESIDENTIAL Water Heater PERMIT TYPE Lawn Irrigation RPZ/- PVB) Water Softener Septic System Add Plumbing Fixtures L* Main / - Lower Level) _ New Water Tumaround Abandonment ^ e 40 c » RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 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) TOTAL FEES $ ( .0 d - 0 U 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.oopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x_yA^~Vk Ir C~, r))J x Z~z~ Applicant's Printed Name Ap icanfs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final 4°16 City of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Ma C' II 2-0 13 Site Address: Type of Work Contractor Name: Address / City / Zip: Applicant is: Description of work: Construction Cost: Owner Contractor at - Phone: Unit #: Multi -Family Building: (Yes / NoX ) Company: as . c�'vr STr�.,,r bn ontact: sf if, 00 Bah'/ Address: _'I 71 ��- / City: v _ State: Zip:�J Il LZ— / b �� Phone: License #: 1z'0 73 Lk Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: NOTE.. Plans and supporting documents,that j the information may be classified as non-puk . m. conclude! Phone: Phone: Phone: mit are'considered to specific reas ejr are trade secret c information Portions of at would permit the City. to. 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.00pherstateonecall.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. Exte ' work authorized by a building permit issued in accordance with the Minne)ota. tate Building Code must be completed within 180 da of p it issuance. x Applicant's Printed Name Applicant's Signature Page 1 of 3 d'eb City of Eaan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Z r Use BLUE or BLACK Ink For Office Use Permit #: 1 I ! L-1-`1 Permit Fee: in 5..a5 Date Received: 1 D10 J 13 Staff: 2013 RESIDENTIAL BUILDING .�PERMIT APPLICATION Site Address: L( 3117— r �'/icak io Unit #: Resident/ Owner Type of Work Name: Ps.1(,/ Address / City / Zip: Lt 91 ma-46v)c Applicant is: Owner X Contractor Phone:1�7 . 756---`W y Description of work: ear Ai Construction Cost: 1" 2-D0 "� Multi -Family Building: (Yes / No ) Contractor Company: 1)-S. 1‘t•541kC.:1 PbA Contact: by i);CO Address: 9T -4 -I 31.-/-41- 1A -)e -r City: L_�-c-v/��^/�9� State: OW Zip: 5SO0' Phone: 612- /2Z i7 `t -I' e License #: flex) 4-3 �' Lead Certificate #: 4� — / O6 999 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documentsthat�you submit are considered to be public; nformation Portions of e information may be classified as non -Public cif you provide n celfic�reasons that�wouldpperm t the City : concludes that they are 'trade'secret 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 1 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 Njisota State Building Code must be completed within 180 days of permit issuance. x Darii%6 ).bc,A\ir Applicant's Printed Name App iicant's Signature Page 1 of 3 Use BLUE or BLACK ink r_________________ � For Office Use � Clt of Ea a� ; Permit#: l� �` � Y � � �� 3830 Pilot Knob Road � Permit Fee: D I Eagan MN 55122 � � Phone: (651) 675-5675 � Date Received: � Fax: (651) 675-5694 � I � Staff: I �-----------------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: � "�� °�b►� Site Address: � 3 ��] /)')�-'7'�'^�^w Gy` Tenant: Suite#: Resident/Owner Name: �2E'�CT J� � " ��c. Phon : G? 'J�'��gg�i � `7��C � �' �'iv � f�R � '-l� � Address/City/Zip: �/-}G-�q�,� ��/c� � Name: ��4'D,�l�1'r5 �7';� ��-��- l��... License#: Contractor Address: �`'• � � ,��fC �la,( city: ��v�� State: /Y1� Zip:�j,�7� Phone: � - — �3 d 0 Contact: /J��fl �1�aNL�et� Email: b`Y'c�d �0��'�'`��r��-(�rGalM New �Replacement Additional Alteration Demolition Type of Work Description of work: _�E'O�i4�CC= ICUPCiUA-Cff � /9-�C-- � `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. RES/DENTIAL COMMERCIAL � " �Furnace New Construction _Interior Improvement Pel'mIt Type Air Conditioner Install Piping _Processed _Air Exchanger Gas _Exterior HVAC Unit � , � _Heat Pump _Under/Above ground Tank �Install/_Remove) , � _Other � I �•-�-- ._.. ��.......__��__.�- �... - - ._...__._ � � d RESIDENTIAL FEES �� $60.00 Minimum Add or alteration to an existing unit(includes $5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _ $ TOTAL FEE � COMMERCIAL FEES Contract Value$ x.01 � � $55.00 Permit Fee Minimum � $70.00 Underground tank installation/removal = $ Permit Fee � �If contract value is LESS than $10,010, Surcharge=$5.00 =$ Surcharge" '*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 � �`*"If the project valuation is over$1 million, please call for Surcharge = � TOTAL FEE � �.. _____��..�..�.___ _ _m.._� 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 wit e a proved plan in th case of work which requires a review and approval of plans. 'JR�-D � Roti��-� X � pp icant's Printed Name ApplicanYs Signature FOR OFFICE USE _ Required Inspections; Reviewed By: Date: - Under-gr-0und Rough ln Air Test Gas Service Test In-floor-kleat �°�ir�al � - HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152111 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 4347 Matthew Ct Lot:10 Block: 1 Addition: Lexington Pointe 12th PID:10-45096-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Brent W Kreofsky 4347 Matthew Ct Eagan MN 55123 (651) 600-8754 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature