4351 Matthew Ct? ; . ; INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? t,? ?? „ • , . ? ,._
PERMIT SUBTYPE:
TYPE OF WORK:
ra a u
INSPECTION ., . DA
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, , ?? . . .
;:i r,r;? r•:. , ?, 6?? F' 3 FzF: f' V iNI F•1 tsii f'f iiN RFvT16lEti+ irY NItr F: HARf_K
• r
?
I?-
Permit No. Permit Holder Date Telephona #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Co men
FOOTINGS
f - e o$?
2
FOUND ??Z?
FRAMING
i
iaiul
ROOFING
ROUGH
PLUMBING
(L
PLBG
AIR TEST ?
!?l
ROUGH
HEATING
/
TEST vC
INSUL ? /(t? •
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINALPLBG y?
O
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
WtL'ttfiCate of CCC1tpQ1tCV
(W4 of Wagan
mepartmaut oF zai[biag 3aoection
This Cenificare issued pursuanr to the requrrements of the Unifornt Buiiding Code
certifying that af [he time of issuance this structure was irs compliance with the various
ardirtances of the City regulatirtg building constructiort or use. For the fallawing:
Uu Qassificuion: 9F pku Bldg. Prnnit No. 32?
oa„w,Ky -rya B3/il 1 Z?ing oimiR R J ryve comc Vy
o. or emiaina PFaERCf'N FY)W-S 1N^ nem-Z tn ???FAMDGMK
s„w;ns Ada? 4351 MATr"FW r'a1R1
swwfinaorcWml
wCWiry ?B???P9H?--F?lfl
D?
POST IN A CONSPICUOUS PLACE
Address ?435 1 MATTHEW COURT Zip 55123
LOt 9 BIIC 1 SUb T.RXTN(_TnN PQTmTR ]2rH
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: g?0 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) 11?
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas V'
Sod/Seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply W
the outside lawn faucet before freeze potenrial exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION ?
?3830 PILOT K OB RD, EAGAN MN 55122 (^ J
657-681-4675
?;?. .
Ne?Gonstruction Renutrementa
c.•.-;'..3?Jistered sAe surveys showing sq. R. oi Wt, sq. ft. of house; and $II roofed areas
?maximumbtcoverageallowed)
copies W plan showing beam 8 window sizes; poured found design, etc.)
? • 1 set ot Energy CalculatWns
• 3 copies oi Tree PreservaCan Plan A lot platted afler 7/1193
. Rim Joisl Detail Optlons selection sheet (bWgs witlh 3 or less unls)
i DATE 6 , lZ ^ 0 ?
SITE ADDRESS
7
HemodeURepairReauhemems
• 2 copies of plan
• 1 set of Energy Cakulations for heated additions
• i site survey br exterbr additions & decks
• Indfcate ii home served by septic system for addilions
o?
VALUATION / 0 00
?
TYPE OF WORK
/20C) /c
MULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT r•
STREET ADDRESS 1412U 7 C(`i i uC?S i`?-9 CITYSI )04-yLSTATE #ji. ZIP SS/o
TELEPHONE # ?l'?`f7 ?777 CELL PHONE # FAX #
PROPERTYOWNER /L0 n?-Icl ?MfC k c Ic- /`/?4-k`444 T?HONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR „NEWw RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softener
_ Water Heater
_ No. of Baths
_ Air Conditioning
_ Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
Fee: $90.00
Fee: $70.00
}JUN -14 _cUUL
- --U --------
is corre;ct, and ap comply
OFFICE USE
Phone q
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ piex
? 04 02-plex
? OS 03plex
O 06 04-plex
? 07 05-plex ? 13 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garege
O 10 OB-plex ? 18 Deck
O 11 10.plex ? 19 Lower Level
O 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. AIt - Muki
O 33 Ext. Alt - SF
[3 36 Multi
? 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addkion ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Akeration ? 37 Demolish (Bldg)* ? 43 Reroof 13 46 WindowslDoors
? 34 Replacement •Demolkion (Entire Bldg only) - Give PCA handout to apptlcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco 5tone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.? C.{.YY I...(::' 3_'F'tGCtN
CACs4..l.i.i::.Rs :?j TERMTNAL IHI;' 7 29
DQ1) „ 050^I'/T if:.'i T.I.MEn :f. 4:l'°.i a C:."t•
' xp.
3''h?i[i;! i-It)I_;,.::^ :I:t,C
;•? ?.
;;? 1::-: 900i „_.?.? ?:,;.. ....?_.?: ,i;il 1?'.c..?? (:T ?'??q?!tts?:.?:?:,::.(:.?
?_.?.?f1
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:
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ck7i'_t`):1.8; );:.,
E?'-:a1c:l;; :!:!7: JAf:
? GP'Y OF EQGQN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45096-090-01
DESCRIPTION:
PERMIT
PERMITTYPE: BUILCIING
Permit Number: 0 3 2 0 0 6
Date Issued: 0 5/ 14 / 98
4351 MAT7MEW CT
LOT: 9 BL4CKs 1
LEXINGTqN POIN7E 12TH
s F nwG
NEW
f2-3 U-1
V-N
R-1
69
60
1
2,532
101 1 - FAM. DETACH
,
??
U9?
REMARKS:
S& W PLBR - PEINE PLBG
FEE SUMMARY:
PLAN REVTEWED BY MIKE BARCK
VflLUATIQN
i
Base Fee
Plan Review
Surcharge
SAG
SAC %
SAC Units
5ubtotal
$1,157.25
$752.21
$77.00
$1,000.90
100
1
$2,986.46
$154,000
MISCELLANEOUS $1,592.50
Total Fee $4,578.96
CONTRACTOR: - p,pplicant - ST. LTC.OWNER:
PEDERSON HOMES 14602412 0001466 PEDERSON HOMES ING
310 THIRD 5T 310 3RD ST
FARMINGTON MN 55924 FARMINGTON MN 55024
(612) 460-2412 (612)460-2412
-? m k ?t',t,?. f OU
ISSUED : SIGNATU
:
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Requirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8, window sizes; poured fid. design; etc.)
4 i energy ca(culations
? 3 copies of tree preservation lan 'rf lot platted after 7/1/93
required: _ Yes No
DATE: 4-29-1998
RemodeVReoair Requirements
? 2 copies ot plan
? 2 site surveys (exterior additions & decks)
• 1 energy wiculations for heated additions
CONSTRUCTION C4ST; 186 . 000
DESCRIPTION OF WORK: Single Family New Construction
STREETADDRESS: 4351 Matthew Court
LOT: 9 BLOCK: 1 SUBD./P.I.D. #: Lexinaton Pointe 12th
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
NameKA'W41'$/*'r-tdX-k fAecD y Phone#:
Last First
Street
Ciry E}'} -ri Abd State: .//JZN Zip:
Company: Pederson Homes, Inc.
Street Address: 310 Th i r d 5 t r e e t
City Farmington State: MN
License # 1466
Pederson Homes, Inc. Phone#:
Zip: 5 5 0 2 S
460-2412
Name: R o n P e d e r s o n Registration #:
5treetAddress: same as above
City
3tate:
Zip:
Sewer & water Iicensed plumber (new construction ony): p P; n P p i u mb; n g . 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 coRect and agree to compl with all applicabl
State of Minnesota Statufes and City of Eagan Ordinances.
OX:41
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received Yes No ZNot
Phone #: 460-2412
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
?[="02 SF Dwelling O 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Qorch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
?d, 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
V^t Basement sq. ft.
U^/ Main level sq. ft.
L7 A-r1. sq.ft.
?- ? sq. ft.
? sq. ft.
sq. ft.
(, o',q " Footprint sq. ft.
Planning Building ?
? .
?-; ..
.,
I %k,t
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
t ? 4`I City Water
7?(3 Fire Sprinklered
PRV
Booster Pump
Census Code.
253z SAC Code
Census Bldg
Census Unit
Engineering Variance
)ol
i
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/V11 Surcharge
Treatment PI.
Rark Ded.
Trails Ded.
Other
Copies
Totat:"•' !
,.
% SAC
SAC Units
Valuation:
ti3r"e mP N r _
so K Zg . 5
YY21
gX?$
Gu3
ts+
?
54PL uS
,4g
-------
?+t
2,e:? -,e3Z
;IF-}e 2.0
? :..
$ 1S4, o«O.
i y zS
84
38
iq
_?.?--
l-7 Si ?? zs =
!7$I
---i-
t -1 g9 Gb :&i S<( =
`t `f , S2S, -
q (.! Lok, -
LYD
tio
?,-
7 q-5 fl lco = ii, 9 9
153.01 q.-
?
Certificate for: .
>Ralerson Homes, Inc. nv?
3511 West 143rd Street Rose?mimt, NIN 55068
DELMAR H. SCHWANZ
UNO 8URVEYOR9. INC.
RpMNW IMMr la+, 01 TM EIHs 41 MInMw4a
14750 SOUTH ROBERT TRAII R03EMG!JNT, MINNESOTA 55088
Address: 4351 Matthew Court SURVEYOR'S
Proposed garage floor elevation ?f94 7
Proposed top of block elevation 9? D
Proposed lowest level elevation %87 O_
FICATE
Sk: 191/51
H9876A
812/423-1789
Scale: 1 inch = 30 feet
\,99i?o
MATTHEW
'?, COURT
?"-- (, vr,
s
Sanitary sewr service
invert per Tri-Iand
S1sveying Co. Plan
dated 6-13-97, Sheet 4 of 5,
Elev. = 981.8
a
', <1 ? "/\WATE „•p? ,....,__G1A?,i8_,-.-
?° / Ce
992.
00 ? o' 1
? ? I 2.00
', I
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? ? -?-t-- - -- -- vai.4 ,
n n n ?-? 98q?a?e ll ? 49 ao.b7 1 ?Nq oo q44.y
I?--J Co I 1,? GARAGE ,Mr ? EXISTING
z N HousE
? o
m) ? 18.So g90,2 qqii ? N (UNDER CONST,)
Q ? U ' • ni I = PFOPOSED ?
M w , ? ?I
Q 1 C!) ? I? ?.3,? 9 e?, b HOUSE ?
^„n 3
? ? M a
- M ---- 6? '
m Nv3 1?' 4r,33 _ k
- --z------ ?.? o
J ?B3S in I 2.00 9¢4o Z
n u? G' I I ?
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? o LQ, OC 1
5 ?r-
I DRAINAGF AND UTILITY 1 5 ? "` `? "'`- •'" '
EASEMENT ?- ?
? o ------? -- ?? ?--
N 89'!
0 Dellotes imn lrontmlP.nt
? De.notes set wood hub
q 8a • S peno}es existing spot elevation
O Denotes proposcd elevation'
`'---- Denotes direction of drainage\,,w
? Mr?,hcerllf thst thls surva
y ? y, Plan. or ropoA was
p.Gr i ed h,' rq o)• under my direel wpsrvielon ond
h R ?'' ?t
..?/L ._
` ? ? ---- --- ._ _
?
17" E 83.52
Lega1 Description
IAt 9, Block 1. IE}CIIaG`InN POIN!'E 7WELE'I'H ADDITICN,
according to the rewrded plat thereof, Dalcota
Coimty, Minnesota. Also showing the location
of a propOSed hause as staked thereon.
t ot 1 am a duly egistsrod Land Suneyor undsr ?,?
the Is n ot the 3'ats of Mlnnesote. ?`? ??J? i,? ??
= SCl"{Idt?ANZ
April 27, 1998 ' ? 852? y
Dtled .. := ? °.
Imer H. Sehwanz
insrols Rplotrr.Hon No. e625
, ..
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEGAL:
DOCUMENT STANDARDS
.
.
.
.
.
•
0-'? ? o
01? ? •
P?/ Q ? •
O' ? ? •
?/? ? •
?/ ? ? •
?J ? ? •
P?j,/? ? •
5? ? ? •
? ef, ? •
? Cr' ? •
? Cr- ? •
? g-? / ? •
? Q ? •
ci' O ? •
o-'O o •
C7'O ? •
PJ', ? ? •
Cl-- ? ? •
? ?? ? •
Registered Land Suneyor signature and company
Buiiding Permit Applicant
Legaldescription
Address
North arrow and scale
House type (rambler, walkout, split w/o, split enUy, lookout, etc.)
Directional drainage arrows with slope/gradient %
Proposed/exdsting sewer and water services & invert elevation
Street name
Driveway
ELEVATIONS
Existina
Sewer service (or Proposed)
Properly comers
Top of curb at the driveway
Elevations of any ebsting adjacent homes
Prooosed
Garage floor
First floor
Lowest exposed elevadon (walkout/window)
Property 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. (.e. all structures requiring permanent footings)
Show all easements of record and any City utilities within those easements
Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
Retaining wall requirements, 'rf any ,
Reviewed:
/
January 1996
CRAIG t 8B818LOG PRAR. FM
LATEST REVISION:
i ' i • '
t
.
MINNESOTA ENERGY CODE -
I-2 Family Residential Building
RESIDENTIAL "COOKBOOK" WORKSHEET
Applicant Name . Phone
6d Z Date .
/??? ` This building is a:
? Category 2 Building (meets minimum code
requiremenu for air tightness and wind wash bamers) Statement of Compliance:
The propased building design represented in
bui?lding plami?s,tspecifican?oeitc, and o er -
Ap licant Address'
sz
????IOV4 r?? A&oy O L4- Category 1 Building (meeu all Category 2
?C
requimments, has additional air tightness, and a
Residential Mechaiticai Ventilation System) czdculstions submitted with the permit
?tion. 7'he propoxd build'mg has been
?lidesigned to meetthe requiremenis oFthe
Nfivmewta Enyolty Code.
Building Address`
Rot, A 7, rxfC ? Plans must be dearJy marked with .
insulation R-values, window and door U-values,
. and heating and cooling equipment efficiencies. Applican MIMMIJM REQUIREMENTS for "Cookbook" Option: ' •
Entry Doors 1-3/4" 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 roofl .
Foundation ' 1/2" InsuIated Glass in wood or Ceiling with low heel truss R-44** Floor over unconditioned R-24
Windows* vinyl frame (7%z" or less-top plate to roofl space "
*Include sqvare footage in calculation of Window/Door Area Ceiling-no attie • • R-38 w/ R-5 sheathing
determine above grade Window U-Value. . **Insulation Performance at Winter Design Conditions
w
?
?
Window and Door Area 100 x sf g G + Z 86a 1r = • I q % WINDOW U-Vu1LUE c, As % of Exposed Wall Area WindowlDoor Area ' Gross Wall Area Window/Door Area Source: NFRC ? or ASHRAE 1933
Handbook
,. MAX]aVIUM WINDOW U-VALUES:
Check Wall
Type Used WALL TYPE
. MAXIMUM. WINDQW AND DOOR AREA % OF EXPOSED WALL AREA
I • . : .
12% 14% 16% 18% 20% 22% 24% 26% 280% 30% 32% 33%
TYPE A. 2x4 framing, R-13 insulation, sheathina-R 7 or geater. '• 0.55 0:47. 0.41 0.35 ,033 0.50 0.27 0.25 0.23 0.22 0.20 0.19
TYPE B 2x4 fmmu?g, R-15 insulation, sheathing R-5 or greater. 0.52 0:45 0.39 0.35 0.31 - 0.28 0.26 0.24 0.22 0.21 0.20 0.18
TYPE C 2x6 framing, R-19 insulation; sheathmg less than R-5. 0.48 0.41 036 032 .29 026 0.24 0.22. 0.21 0_19 0.18 0.17
T"YPE D 2x6framing, R-19 insulation, sheathina R-5 or greater. 0.56 0.48 0.42 037 034 0.31 0.28 0.26 0.24 0.22 0.21 0.20.
TYPE E 2x6 framing, R-21 insulabon, sheathing less than R-5_ 0.51 0.43 038 034 030 0.28 0.25 0.23 0.22 020 0.19 0.18 -
TYPE F 2x6 framing, R-21 insuladon, sheathing R-5 or greater. 0.58 0:50 0.44 039 0.35 032 0.29 0.27 0.25 0.23 0.22 0.21
7his table contains mterpolations ofthe values in the Energy Code, Par[ 7670.0475, Subp. 2.
,1
CITY USE ONLY
LOT ? BL ? RECEIPT#: 9c??- a
SUB--RECEIPT DATE:
199$ MECflA1VICAL P£RM1T (RESID£NTIAL)
CITY Of EAfiAN
3$30 PILOT KNOB ftD
ga4filklY MN 551 Ei
(612) 691-4675
Date:
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.) 7100
• State Surchazge: .50
• TOTAL: 3.3', 5 c
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:
17nstall furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS: 'Y3 3-- ! M4-VEl" c±
Other
$ 20.00
.50
Total: $ 20.50
aWNER NAME: ff 6 M eS PHONE #: ?(6 O
INSTALLER NAME: it C < PHONE #:
STREET ADDRES3: t0
CITI': STATE: ?? ?f ZIP: ?5083'
Z? ?
SIGNA , O ERMITTEE
lSlFORMS BLDlMECH PERMIT (RES) - 1998
? CITY USE ONLY
BL ? RECEIPT #:
?
SUBD. ,_ /01? RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, hIlQ 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 # TOTAL
Shower 3.00 x 17-
-
Water Closet 3.00 x ?3 _ ?
Bath Tub 3.00 x
Lavatory 3.00 x 02.
Kitchen Sink 3.00 x = 3
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 3
Rough Openings 1.50 x =
Water Softener " for dwellings under construdion 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprlnkler * for dwelling under const. 3.00 =
U.G. Sprlnkler ' for existing dwelling 20.00 =
Aiterations " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
0
TOTAL l ?/ S?
--------------------------------•-------- ---------------------------------------------
I here by acknowledge that I have read this application, state that the infortnation is correct, and agree to wmply wkh all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operationai and maintenance activities to the facilities constructed under this pertnft within City property/right-of-wayleasement.
SITE ADDRESS: T 3 3' 1 lY! h- D?d E 4 <! T
OWNER NAME: laD d BT ? p al C?-r
INSTALLER NAME: 11 f ?r'4 G 9?- fff;A-/ rr4 C TELEPHONE #: ? J 7 ^'FS-3Z
STREET ADDRESS:
?
CITY: U e ?--41 (`l / G `I STATE:
SIGNATUR&OF P
ZI P: .? r 0 Le ?
CD/PERMIT FORMSJRPLBG PERMIT (RES) - 1998
. ? , , iG ! .. , , r , , , . .. , . . . ..... . _ ' `:.. .. . ,. .
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1999 BUILDING PERMiT APPLICATION (RESIDENTIAL)
J? y I? CITY OF EAGAN -?
3830 PILOT KNOB RD - 55122 ? ta C? 5
651-681-4675 1
New Constructlon ReauhemeMs Remodel/Reoalr Reauiremenfs
> 3 regisfered sMe surveys showfng sq. fl. of lot, sq. ft. of house 2 eopies of plan
and alj roo}ed areas (20% maxlmum lot coveraae allowed) 1 set of energy calculalions For healed additlons
? 2 coptes of pians (show beam d. window shes; poured fnd. design; etc.) 1 sffe survey for exierior addHions s deeks
D 7 set of energy colcuiations
D 3 eopies of hee preservation plan H lot plaited aNer 7/1 /93
DATE: (e-1'-] -q q CONSTRUCTION COST;
DESCRIPTION OF WORK: L
STREET ADDRESS:
LOT: q_ BLOCK: _I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ARlQLlT314(,LEk RP") ll t WLiChle(q Phone#: (a51- (? S(?-(oSSp
Last F st
Street Address: 14 351 ru 14?T 1AE Vu (IbCI.Ut
City E.kr Atr%. State: (l',l v\-, Zip: '5'5? Ic) 3
Company: fri,F Phone #: IQSl Co? ts ?jnSS?
(area code)
;1e, /Z
Street Address: ')VAvutZ 673 148nv F License # Exp.
City
State:
Zip:
Company:_ Jf YLF Name: SA-vv-e
Telephone #: area code ( )
5tree't Address: Registration #:
City
State:
Iip:
Sewer & water Iicensed plumber (reauired for new construction oniv):
Penalty applies when address change and lot change Is requested once permit is issued.
+ I hereby acknowledge thot I have read this application, state that the information is correct, and agree to comply wlth atl appllcabl
. State of Minnesota Statutes and City of Eagan Ordinances.
? Signature of Applicanf:? LA-U 0[l1 .t ikrlLi+-w
OFFICE USE ONLY
'i Certificates of 5urvey Received _ Yes _ No
Tree Preservation Plan Received _ Yes No _ Not Required
OFFICE USE ONLY
r 4 -A
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-piex )21? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex 13 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 5' ? Basement sq. ft. Census Code 434
(Allowable) Main level sq. ft. SAC Code 61
UBC Occupancy sq. ft. No. of Units I
Zoning ?• n sq. ft. No. of Bldgs 6_
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS .
Planning Building ? Engineering Variance
Permit Fee
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:
Valuation:
.
SAC Units
% SAC
, .?icate for :
,derson Eiomes. Inc.
,711 West 143rd Street
rrtosenntmt, M 55068 r
' DELMAR H. SCHWANZ
uwo suaverons. u+e.
ftolsi.,.s unsw u.. ar rn. St.u a Minn.w,r.
11750 SOUTH ROBERT TRr11L fiOSEMG!1NT, MINNESOTA 530E0
Rc3dreSS: 4351 l4dtthew COtst SURVEYOA'S CERTIFICATE
prcposed garage floor elevation g9? 7
proposed top of blodc elevation 99? ?
proposed lowest level elevation 9B7 0
OR%
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LOT-'-!;
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/ I
ORAINAGE AND UTILITY- I5
_ _EASEMENT_ _ j _
59'17' E 83.52
z
.. ? __? . ..
9 03
0 Denotes ison mornment Le9a1 Description
O Denotes set y??'?od hub Lot 9. Block 1. IEXINGTON POINl? 7T?VE[,F''H ADDITIR?I,
according to the reoorded Plat thereof, Dakota
-iBq•S penotes pistanq spot elevation County. Minnesota. Atso showing the location
O penotes proposed elevation' of a proposed hw.se as staked thereon.
Denot,es direction of drainage....,
I horrhy eerlNt thN thls wrwy. PIan. or npoA wes 'i?6
p,c?? sd h•, undar my dlreet wpsr-lslon and 4/ tho
t 1 am a duly ReqUtsred Und 9urisya ueder ? ?
ths 1n rs of tne 31419 of Mlnnesou. .. , ?/ '' ? ?•
April 27, 1998 -- --- _ , DNmu H. Schwanz
i
Otled M' mNO1o RpbKsflon No. e625
?,.
• . ... ,,,:,
Bk: 191/51
H9876A
E12/423-17E9 Scale: 1 inch = 30 feet
' Sanitary sewer service
o? invert per Tri-Iard
SurveYin9 Co. Plan
M A T T H E W dated 8-13-97. sreet 4 of s,
°p ?:.CO.URT Eie'. = 981.8
C Up, 6 y m
? o- iIATE Soo _,? A43.r8 ,--?„ !? rU,
~992C?'?B.g
'/ i C,-S)I?
- ---- z.oo
i--
I 49 a0.67 z ?yti. o 614Y. 4 C7
I
I EXISTING)
GARAGE
c? '.
y N HOUSE ?
I ? K 3 930,?- ? m (UNDER CO ST 1 '
m I I 18.5 0 9Ai.z m m ?-- ? I' V ,
? PFOPOSED
I I qp?,` HOUSE
ai
q`ei,3__ 4 --
?. nn., 2. 00
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q 97
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?i 81.8 \ON ?7 I`"' ? O
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For Office Use
111 ofE~ r y Permit / Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: - 1
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
L-----------------
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: G V,, kt V 4- OL U T~ a Suite
RESIDENT /OWNER Name: ~,QL~S Phone: cc,
Address/ City /Zip: S C.L C3r U/Ui "-I-
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK _New _Replacement _Repair -Rebuild _ Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE. RESIDENTIAL
Water Heater Water Softener
4- Lawn Irrigation Add Plumbing Fixtures
L_ RPZ / - PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum 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 Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 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 $
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
7 dance with the approved plan in the case of work which requires a review and ap rova f plans.
7 x
Applicant's Pri ed Name Applicant's S nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test -Final
Use BLUE or BLACK Ink
For Office Use
I l~U~ I
, Permit , Cc
City of Eap /i
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: `241-(3
Phone: (651) 675-5675 I (U~
Fax: (651) 675-5694 I Staff:
I 'r I
2013 RESIDENTIAL BUI DIN PERMIT APPLICATION
rr~
Date: l Site Address: S7 a C Unit M
Name: Phone:
~~~l`-~(/~`-'
Resident/
Owner Address / City / Zip:
I
Applicant is: Owner Contractor
Type of Work Description of work: V 4r (,cnt
Construction Cost: Multi-Family Building: (Yes / No )
1 `Company: V`
nJC S LC- Contact:Ot f
CEO
! ~ M1
Address: (is~ C L- City:
Contractor
I State: Zip: _ Phone: 62 -JJ7
3 J
1 License #:Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
*k4- "11
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 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit i suance.
X X
Applicant's Printed Nam --Applicant's Signat re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164681
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 4351 Matthew Ct
Lot:9 Block: 1 Addition: Lexington Pointe 12th
PID:10-45096-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Randal L & Michele P Krautbauer
4351 Matthew Ct
Eagan MN 55123--260
(651) 402-1334
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature