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1477 Englert RdPERMIT City of Eagan Permit Type:Building Permit Number:EA128375 Date Issued:11/07/2014 Permit Category:ePermit Site Address: 1477 Englert Rd Lot:23 Block: 01 Addition: Pond View Townhomes 1st PID:10-58361-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Scott Kearney 1477 Englert Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature 40-» o • Wertificate of cccu.panc? ?iti) of cpasan zepartnient of isxilbiag augloection This Certiftcate issued pursuant to the riequirements of the Uniform Building Code certijying that at the time of issuance this stnectune was in compliance with the various ordirtances of the City regulating building corrstruction or use_ For the followireg: usecla"ir,num Mn.TI (AM'L) ( I f& 3 U[+IIIS) s?ag. Nm,it rw. 24186 o-vp-y 7ype R3/M I zooing nisai« R3 Type ca,si. VN ow.a oc ewwing GOOD VAM HM Addr? q445 E RIVFR RD, 000[d RAPID6 s,,;m.e Add,,. 1477 IIIFRT ROAD I,23, BI, PCAUnEd TUMUMES Doe: wwi.9 o Q 1? POST IN A CONSPICUOUS PIACE ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 oN REcoRn PERMIT TYPE: Permit Number: Date Issued: i ? t ?? ? ta?? ' i.". iki a .... . ? .-.....r. ....?... t u s : 1.1 . i E.Ir?LI Et 1 R il t ?<ili ;I i? Ic?i?eJ1111?qt'•, PERMIT SUBTYPE: •.' * t ?t. . 2 3 iik 11,E:+: APPLICANT: TYPE OF WORK: ?r. •?..-?t,??, ti' t, t ?.. i I i 1 ? 1'1 IV 1• 4 J ? 1 !?h .f iif? I I•? ] INSPECTION TYPE ; .1.0 1 i 1?i, , D • I J 1:. f i : .. DATE INSPTR. i Ia 3 it?t??i1 1 14 f FIAf.h '.: I,W A# LJ !^I Fi1i E'I YM[11I I ti f'I Eitt ? F ? J Permlt No. Permit Holder Date Telephone M S/W PLUMBING g Q 3 j- jL HVAC ELECTRI 9 ff ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation (? ?dA Framing Fl? ? Roofing Rough Plbg. d o Rough Htg. f G ' 17 ?3 ? Isul. Fireplace Final Htg. 7 o«r Tes, Final Pibg. O? NIbg. inspec or - Notify Plumber Const. Meter Engr.JPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ?5 1 1 Revuest Date Fa No ?ou m?uslas'ecngceR?apr wlren reatlyl oNowthe, NouH Imsfdor q-q-qq OpVes ? No oateReaey I1II'censed conhaaor p owner . hereby request inspection of above electri I work at Job Aatlress ISlreel. Bax or Route No } - - Qty 4 1 1 EG n SacLOn N. Tow hr0 Name or No Range No Cou nry h ? OccupanttPRINT) ' u i Y\.1c.L/ Phone No PowerSupplier Atltlress Elecincal Contta<lor ICompany Namel ConVedors License No S-.Y1ri SQ Ekc.hi 01$- Mailing qtltlress (ConVaclor or Owner Making Instailalion) 40- PVe, m.o aji rnINl 55443 Authoraed Signature IGOnVactorOwner Making Installatii Phane Number ,T 14Gm?.1?a - 6 MINNESOTA STATE BOAHD OF EIECTpICIiV THIS INSPEGTION REpUEST WILL NOT Gtlgge-Midway BIOg. - Room 5193 BE ACCEPTED 9V THE $TATE BOHRO 1621 Unlvereity Ave, St Paul. MN 55100 UNLESS PFOPEF INSPECTION FEE IS Phone(613)fiG2-0B00 ENCLOSED. 9??/ ?/f REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 Q 5 9181 See msVUCtions for complebng this form on back oi yellaw copy. ? r'X" 8e/ow Work Covered by This Request ?'?•?? 3 39? c? ew AW Rep. TypeofBmldinq AppliancesWired EquipmeniWired Home Duplex Fange Water Heater Temporary Service EleclriC Heating Apt. Building Dryer load Menagement Comm./Industrial Furnace Other (Specity) Farm Air CondiM1Oner Olner (syeaty) Conveoror? Remarks' Compute Inspection Fee Below: # Other Fee # ServiceEntranceSrze Fee # Circuits/Feeder5 Fee Swimming Pool 0 to 200 Amps ?0 0 to 700 Amps I nc- Transformers Above 200 _ Amps Above 100 _ Amps SigOS Inspector's Use Only l ?? TOTAL Irngation eooms y ?f T ? Special Inspechon pt ? f. ctJ rU ` AlarmlCommunicanon SCONNECTED IF NOT THIS INSTALLATION MAV BE OR E PAN ' Olher Fee COMPLETED WITHIN 18 M HS. f I, the Electncal Inspectoc hereby Roughin ? certitythattheaboveinspectionhas been made. F,nai a??? OFFICE USE ONLV This reduesl vod 18 monlhs Imm PERMIT ?CITI?OFtAGAN ????7?? ??? 3830 Pilot Knob Road PERMIT TYPE: au xLo rNG Eagan, Minnesota 55123 PermitNumber: 024186 (612) 681-4675 Date Issued: 0 7/ 2 5 J 9 4 SITE ADDRESS: 1477 ENGLERT RD L07: 23 BLOCK: 1 POND VIEW TOWNHOMES DESCRIPTION: UNITS) MULTI. (ADD'L.) NEW R-3 M-1 V-N R-3 29 76 2 ?(Ci,? (1 OF 3 Buildfng--Permit 7ype Building Wo.r_k 7ype ?'UBC Occupancy`., Construction Type j2pning --? / Building Length ? ? Building Width j Building stories J' ???. . r_S?_ i \ \\ ? 4 REMARKS: PRV S& W PLBR - pLYM0U7H PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $558.50 $363.03 $41.00 $800.00 100 1 $1,762.53 $82,000 MISCELLANEOUS $1,828.50 Total Fee $3.591.03 CONTRACTOR: - Applicant - sT. LIC. OWNER: GOOD VALUE HOMES 17559793 0001583 G000 VALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPIDS MN 55433 (612) 755-9793 (612)755-9793 I 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 Mn. 3tatutes and City of Eagan Ordinances. i L --- APPLICANT/PERIIAITEE NATURE J , ;r,(1 ? IS ED V IGN TURE?1 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 14fiL 681-4675 1d?+a.cn - Ve,t£ Sa7-az?6 c ?3''1!• ?? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered te survey , p of e n e r g y calcs. J?' U c . COMMERCIAL 2 sets of architectural & stru tural pl_ ns l set of ee;L _ :. specifications, 1 copy of ener . Penalty applies: i) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 7 Valuation of workC4euee? aoao -r Lor Site Address: 1417 L LoSN4 7a nn STREET SVITE k Tenant Name: (commercial only) IAT ? BLOCK ? SUBD. J r P P.I.D. # S6 "" . r'_h FS tiDVjLU "'N ILD'iw .D J 3 Descri tion of work: "b T-.-I µ?fs The applicant is: ? Owner 0 Contractor ? Other (Describe) ?=??s•`? Name (?_a .a U04-4s 4--ys Phone 7SS-S?53 Property LAST FIRST Owner Address 94?s' SoST T,??k ?.o? STREET STE # City ?N as State MAI Zip 55433 Company Ss4?F /?s 4;a&Yr_ Phone Contractor Address License q I S''$3 Exp. City State Zip Company c s $4 v £ Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumberC N S .-s O zAo1. ,ac Processing time for sewer & water permits is two days once area h s been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. l 4 J = Signature of App 1/.r icant: " OFFICE USE ONLY ? M• , - ? ... ? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Ladging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex O 13 6arage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck vetuatfon: ; Ma%n ?ZX a ? z?,.?z = /nS.?z = (VXb i WORK TYPE /0- ?, 1_5' ,E] 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System y (Allowable) y/ lst F1. sq. ft. z? City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories .,_ Footprint Sq. ft. Fire Sprinkl er length ? On-site well Census Code z Depth ?r On-site sewage SAC Code ? y APPROVALS eensus Undt i Planning Building Assessments Engineering Variance RECIUIRED INSPECTIONS O.Site ? Wallboard I$ Footing ja Final lj= Frami ng ? Draintile Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. cop;es Other Total: SAC % 5AC Units Z :O COc7 CO h Co rCQ , ": .,. ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous a Insulation O Fireplace _ /092 ve 30 L? ?- / ? %. 7o ya ? (p??O?Z ? 7 0,?- yo ; So yo ? Ob# ZOOd ?¢V00:60 96-80-LO Z9£I 55L Z19 CERTIFICATE OF SURVEY MW(; f or W,- D VALUE HOMES EFiGAN EN GG•c?< <e.,ec? . ??' 6 J7 f LV,S li ?5 ?'°AN EA EWE? ? 7 --PRWOSED BUILDING ELEVA110NS `INEE G?E FT. Top o foundatfon ?4•a Front of hausa `c??? ,-7 \ o? %96-x Garoge floor kPA - Reor oi houee ? Lowest floor • 0 VYalkout arrow denotes drafnage dlreCtlon per derelopment plan. 890E denotes exjsting spot 890P denotes propoaed apot devation 'ENCHMARK USED: ToP o F S P14E' ,,J ou'rlY Lor ?,.? = '$(vZ .75' -- .019 .611- .?? O t\o Q ??p??' i+. Q7 Q,o ,A f? eyy e ti -zz ?'J?' ha- '?-. ? w? Sf o B ? + cn •?? __,o ? R I° :- 30-p N.sg3 1n i vi 70.E3 ? V 17.2$ ' N ? 4 ? N 2. ?J J 7.67 "-,_ 9.75 ? N ? N o ?U N cNy r 3v.oo N 83p R?'° „?• ? 460 W ?? '?? •?,,. ? so.oo 30.00 y ? t / '_?O ? F 4 m N J?.$ N ? 1?47? g.5 "-6' 4.75 2 2 # 1Q?? ? o N ? A- O O a? W ? o , o Q? * ?. ?4 : ? ir ? cV ? 7.67 (o 3 1 ? 20.25 ? Q ry ff D 2 zo.a, ta ESb1.9 •%IV i 1 S11 d r? 9 PTI • DENOTES IRON MONUMENT loo' R)W o Do OTES WOpD HUB SET F? N4 E? 94 I DASHED UNE DENOTES DRAINAGE R b. ? AND UTILITY EASEMENT qS PER PLA7 0H3 EAffP BIVER ROAA. 8[71TB 209 COON BAPlDB. DSN 664R8 TeL (81R1 766-0211 FnL (B7M 966•3382 j Lo-?s'2t;22 & 23. Blodc 1, PONDVIEW TOWNHOMES, according to the plat of record thareof, akota County, Minnesoto. ? i? 81a1- 5'7 -f/[. ? 7? I hereby cer}ify that this survey was prepared by me or under my direct aupervision, and that i om a duly . stered Land Surveyor under the law9 of the stote of Minrteaoto. ? Al?Mn.? &• ? WA'? Marvin G. LoNeln. MN Reg. No. 17259 I? oate: ?.?.. Z91 199A R,zv sus.Y a, I q 9 4wt .4 4 JOB N0: 92--1702 SCALE: 1 INCH :=Q -FEET FIELD BOOK: 85 PAGE: 57-739 DRAWN BY: CKP ?? ?¦ ?. Pfl'invw_n nm Z00z S9CT 88L ZTB$ 00:80 48/80/LO :!i=RGY :ON301'A710 SUPP__r+r.KT u BU?:OIKG .ERM7 A?DLI"HTIDN :his suPplement is pzoviced to assiet the applicani in comnu:ing £27ZF.IOR ENVr.,' 0?E AVERACE "L" FA..!'OR :NFDRMh2I0ti. :l:is info:-ma- . tion is required so the BCILDING OF7ICIAi. can deteraine that suonitted plans comply wi[h tne ENERUY CDRSERVATION DESIGN CRITEf.Ik of the ST6SE BL'PDING CODE (Section 6000). It is tne ApPi.ICANT'S responsibil::y to accu:ately compute Lhe data; reflec: the p:oaer DZSI.;tt C..I:E?;i6 in the plans; subnit p:oduct sneci°ica:ions, i: neeoed to supoo:; the "F" and "L" faczors used; and co assure cor.szrvction is pez app:oved plans. JOg LOCnilQii ,/-rPE Le>Ny'OiZ7:? " OWNER(5) (lpa'? ?/r\L1Je ?&`4QS PHDNE _ `7? cI7?3 CDtr'TRACTDR A. Deterrrin=_ tne Total Exposed F;a11 krea as rollows: PHOt1c' 1. Total wall window area M•3 2. Tntal door area 41co "s. 7ota7 siidino g7ass door area ? b 4. 7ota1 firep7ace wall area 100 5. 7otal wall framing area ( averag= 1DA) i 3 to. () 6. iotal n=t wall ar=a above floor 9 ?7q .7 7._ 7otal rSm joist ar.ea: 141 SU670T,SL: 7ota1 exposed wall area abov= floor ?3G D _ 8. 7otal Toundation window a rea Q 14 9. Tozal net `oundation area above grade SU&TOTaL: 7otal expesed founda=ion area N L?. uRAPlD TOTAL EXPDS=D WALL AP,EA 1?G0 B. !'w1 tiply tn=_ "unnldD TuTAL EXPQSED WALL AP,=A X.l 1 = item i 1 S2. C. ue_ermin_ tn= 7otal _xpes>d koof/Geiling krea es folioWs: SO. 1Di2l skyiignt area P r? 11. 7ota1 roof/c=iling sraming area 12. 7otal n=t insulated roof/ceiling area 114 3 , uRAND TOiAL EY.POS=D RDO= CEILING AP,'cA I-2-7o D. Mu'iipiy the uRAND TDiAL iY.?QS'cD RDD=/CZILINu A"r,`_A x•021= Item II L? E. Letermine the "U" value of each segment (1-9) and multiply by the area as follows: I z•u^ 4q = S4S . . 2. 40 X .1UN 3. 4o z If u-, 4. i O O X "u" .a s = SO 5. i 39 X „u.l _ c91 = i Z.6 6. G ? ?? . ? z „ U„ 7. 1A x „U„ N S. 1 r? x „u., 9. 1-4 ( A z „U,l ADD 1- 9 FDR TOTAL WALL SEGNENTS = Item III O F. Determine the "U" value of each se gment (16-I2) and muttiply by the area as follows: 10. )\? 11 A X "U" _ X„U„ 003 c? = 3- a iz. 11?'3 zI'ull , oz Z = 25• I ADD 10 - 12 FOP, TOTAL ROOF/CEILINu 5E"uMENTS = Item IV ';i .~t E. If Item No. iiI is the sam= as, or iess than Item No. 1, you have m_t the int=nt of Stat=_ Building Code 006(c)2. -N. Ir Item No. IV is the sam= zs, or less than Item No. II, you have m=t the intent oT Sta-ce Building Lore 6006(c)1. ?. Add It>m No. I ISZ-,Li + I±=m Mo. II ?3•oZ = 1 BS-R J. Add It=m ho. III 1?'j?1. O + Item No. IV ?s •C? K. If tne sum or Items III and IU are less than I*=ms I and II, you have met the intent of the code for total env=lope sysmem (State Building Gode 6000 and M°S 607-3.5 Overall Structure Perforirance Alternative). Th= und=rsigned, es applicant ror a$uilding Permit, hereby BsTIT'm5 the above information hzs been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correcl and accurate; and hereby pres=nts ' the information with required plans in support of the Buiiding Fermit Anplica.#ion. ? gnature - ??_ PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCfION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE 9-,?),/- 94 HVAC: 0-100 M BTU ADDITIONAL 50 M BTU pZ GAS OUTLETS (MINIMUM 1@$3.00 EACH) ADD-ON/REMODEL (ExISTIIdG CONSTRUCT'ION) STATE SURCHARGE TOTAL STI'E OWNER /A.i.r ??> • FEES $ 24.00 .? _ ao .50 so 349, TELEPHONE #: CTTY: ba? STATE: ? ZIP CODE: TELF-PxorrE #: 3 3 3 ° q ? S'> SIGNATURE OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR AI.L COMAERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: 1% OF ?N';1R;QC!'t FEE ?>:: ,:?.:.,.>:;:,•:.:.;. PROCESSED PIPING: MINIMUM FEE: STATESURCHARGE TOTAL FEES $ $25.00 $25.00 $.50 FOR EACH $1,000 OF ? FEE. a < .... .:. x $ STTE ADDRESS: OWNER NAIVIE: TELEPHONE #: TENANT NAME: (nMPROVEMExTs ortLY) INSTALLER: ADDRESS: CITY: TELEPHONE # STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAI.) CITY OF EAGAN 3830 PILOT KNOB RI3 EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWN=HOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL ;?, SHOWER 3.00 (0,00 a WATER CLOSET 3.00 fo -oo I_ BATH TUB 3.00 3- ob a LAVATORY 3.00 (o- CO I KITCHEN SINK 3.00 ?, . on _L LAUNDRY TRAY 3.00 3. Oo . HOT TUB/SPA 3.00 _L WATER HEATER 3.00 2.00 ?. FLOOR DRAIN 3.00 (6- t7o / GAS PIPING OU'I'L.ET • mm?um - i 3.00 3? bo ROUGH OPENIIVGS 1.50 WATER SOFTENER 5.00 --? PRIVAT'E DISP. • nekay. uc 20.00 U.G. SPRINKLER • nome unau ?4 3.00 -'- ALTERATIONS • to existmg 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: iR50 _ SITE OWN SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 CTTY: ?VODaUYL 36--?- STATE: YYLlv ZEP CODE:!?64/D8 _) PHONE #: ( ? 533 - 4357 SUS B-F.c(l? NEW RECEIPT li ,3,3SI RECEIPT DAIE_???? 1'C1 JOl OHl ? I]ATE /j J ? ?;? PLFASE BE ADV75ED THAT TtERE IS A FEE SHOHTAGE ON T}E ABOVE ? II.ECTRICAL IISTALLATION IN T}E AMOUNT OF $ ?// aU SHORTACE MUST BE PAID WNITHIN 14 MYS. REMARI6 0 to 30 am . circuits= Jo ?d / 31 [0 100 amo. circuits= i ? ? 0 to 100 amD service= PERMIIlkA ' 0/i/ ORIG. RECEIPTII J/10 7 RECEIPT DATE ? ?? -?? RETURN A COPY OF THIS FORM WITH REMITTANCE. LESS FEE RECIEVED//1-FlY/ T(YCAL FEE SHORTAGE DUE = O? /• ? ?CCTq(.-2 2007 RE?.SIDENTIAL BUILDING PERMIT APPLTCATION City Of Eagan 3830 Pilot Knob Road, Eaaan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5644 New Construcfian Reouvemenls 7 regislered site surveys showing sq. k. of lot, sq. ft oi house; and a0 roafed areas (20°h mazimum lot cwerage allaved) 1 Soas Reporlif proposed 6ulding is la 6e placed on disWrhed soii Z copies of ptan shovring beam 8 windav sizes; poured taund desgn, etc. 1 set of Energy Calaladons 9 wpies af Tree Preserration Plan it lat platted aRer 711193 Rim Ja'st Detail Options selectian sheet (buil6ngs vnth 3 or less units) krmnegasw mechaniwl ventilation fortn 0 C) RemadeVReotir Reauiremenls Office Use On N 2 coples of plan showing fooGngs, beams, jasts Cert of Survey Recd _Y _ 1 setof Energy Caiculations for heated adfitions Shcs Repod - _Y_ _ N 1 site survey for addifions 8 decks Tree Pres Plan Recd ' _ Y_ N. AdMon - indmate if on-site septic rysfem ved , Tree Pres Requ '- _ Y_ N ., 05=aZeSepticSystem* _N _y I state the are trade secret and the reason Plans are considerea uouc inronIIaLw+i un ess ou Date If ( l d 7 / Li'7 Construction Cost Z_z - i -- Site Address N73 120 UnitlSte # U 75 47 -7 /2Descri tion of Work I '.i'??' f p Multi-Family Bldg X' Y_ N Fireplace(s) _ 0 2 Property Owner / /clG Telephane tl ( ) Contractor Address 7 y 7? TL> ?Uc iz- ??'` State '47 •y Zip 5 .?9 `?/'.c City Telephone#(ij) ? tr E?l COMPLETE THIS AREA. ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 - Minnesota Rufes 7670 Ca[e2ocv 1 New Ener Code Worksheet Energy Code Category , Residen6ai Venlilation Category 1 Worksheel 9Y (4 submission type) Submitted Submitted . Energy Envelope Calculations Submiried In }he last 12 months, has ihe 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 Plvmber Mechanicol Contractor Sewer/Water Contractor T l,n.Al.v annlv fnr a Telephone # ( Telephone # ( Telephone #( Buildin¢ Permit and acknowledge that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City oY Eagan ana me 3taLc ui ,vi 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 . h requires a review and approval of plans. L 0 e0l?//lo u. Applicant's Printed Name ? ApplicanYs Signature Use BLUE or BLACK Ink I 1~T ~orOffice Use--------- I Permit t I O 22- I City of Eap / 50 I Permit Fee: tSa-l"✓ I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: I Phone: .(651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL (TIIAL BUILDING PERMIT APPLICATION Date:19 ~ 3 Site Address:/ t ~3 ~ I t17-7 e/Gjb4. I- Pd Unit Resident! Name: k9ndv i e W 7wr &u se A 6 dC~ ( 14 C Phone: L'o0 3 ' d 1~L7 3 ~ Owner Address / City / Zip:. 1, 0 ► 73 Applicant is: Owner ~ Contractor Type of Work Description of work: $lc,& Construction Cost: 0 37 Multi-Family Building: (Yes / No Company: M Contact: klal? Contractor Address. 36-1.6- ~/z City: ~~k~jcq State: Zip: .SZ Phone: _ 3 L> 5 f~ i (License NP r s an - 4, ~2 n 2 P7 Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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: (VOTE: 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.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 m st be completed within 180 days of permit issuance. X__ rn~sn x Applicant's Printed Name p icant's Signature Page 1 of 3 For Office Use 40- /Li (74 Permit 4E AG NJ : Permit Fee:Date Received: Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675-5675 TOO:(651)454-8535 FAX:(651)675-5694 Staff: huirdincinsoectionsP.citvofeaoari,com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7) Site Address: 4". 54. 1A0) cirk- 4IC... -15 '14 111A Unit#: arne: one. N otkvia k<rieosi Cara\heii) TtiVJArlWe5-)Ph COQ\ SI 1 Resident/ , Owner Address/City/Zp: 0"Al E‘?"0?-"rlifLA -C\iC)°k`VN" 1\j\‘ Vfl Applicant is: Owner X Contractor Descriptionofwork: Okyvk Ytri)4c- Type of Work Construction Cost Multi-Family Building:(Yes X /No ) Company:OtlirV)" COAc3\YVGA1()\in Contact: 1-0r- c3ksrok,in \vii,c),, Contractor Address: -7a-7 1-70kV\ LAY\Q ?MJ?MJ-- MCity: AVVX0VC.,- StatePN Zip: I5 5 6L11 Phone: ttAA-1110-6°10 Email: ' ‘i\Ok.Y\Li-6)Deribn tiP1/1 License#: 1CS I QCI km0 Lead Certificate If the project is exempt from lead certification,please explain why: . _ 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: Fire Suppression 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 • bile If u rovide ecific reasons that would it the C' to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvoleaciart.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.eopherstateonecallorq 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 wilt be in accordance with the approved plan in the case of work which requires a review and approval of plans. '41\/ ritkika Applicant's Printed Name Applicant's Signature