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1357 Interlachen Dr1 ? . CASH RECEIPT ? ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REC= J` I 1,?. t, I L u4 1% AMOUNT L$ ? I ( I & DOLLARS tm ? CASH CHECK ? wn '-- ? ?1 - s? 5??+= ,•? a??.t??:- . Lti" ,?,;t ` ?? ??;; FUND OB,IECT AMOUNT ? ? ? _. ? ? , • f Thank You -- BY 24• 4 V ` VtF Yvlllt@--P8y6f8 C,Opy Yelbw-POSUng Copy PiMc-File CoPY CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121, PHONE: 454-8100 BUILDING PERMIT Receipt# -? ? Tobeusedfor Sr GAk. Est.Value '.y??19,000 Date J1?N1_' 21 SiteAddress 1357 1.i,TE?t1.ACiEN I1R Lot 14 Biock I Sec/Sub. FAtHWAY HILLS ZNC Parcel No. _ m Name_ 3 Address 0 city AP °C Name _ ,o ? a 4ddress ¢ City _ ?¢ W W Name_ _z. Address U f+ 5- yZj lilt}I _ 9b ?hereljby 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 vf Eagan Ordinances. e Signature of Permittee J A Building Permit is issued to: AL., :iLi•: ei'3ANt$ CON5fi on the express condition that all work sfiall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy K-3IK-1 MWCC System •? Zoning R"1 On 5ite Well (Actual) Const v-Cv Ciry Water X (Allowable) V`i'' PRV Required # of Stories Boaster Pump X Length DePth 1421 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit t''1y•00 Planner Surcharge 54.50 301•00 Council Plan Review Bldg. Off. SAC, City 1W•00 Variance SAC, M WCC 5150 • U0 Water Conn. 550 • 00 WaterMeter 67•00 RoadUnit 2-2S•00 Treatment P1 204•00 . Parks TOTAL 2,756.50 -7.7 i NO. 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge ?5-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. D. U c7 ?D TOTAL . . .. . . -?--•, CASH RECEIPT ? CITY QF EAGAN ? ? • ? 3830 P1LOT KA;OB ROAD ? EAGAN, MINNESOTA 55122 , ? DAT ? ? f 19 ? RECEI„ED AMOUNT $ 1? ?7!' !"c / im ? CASH ? 'CHECK DOLLARS White-Payers Copy Yellovp-Posting Copy L7 iw Pink-File Copy Thank You BY . . f DAY/DATE: ADDRESS: TIME: FTG. FINAL FiTG. DECK FTG. FINAL PLBG. FOUNDATION - FINALIC.4. FRAMING FINAL/DECK ROOFING ADDITION INSULATION FIREPLACE R.I. HTG. POOL R.I. PLBG. GARAGE ? OTHER PO ?- 9s? - 4 2 - ?a ,, ?o ? EiS 26 - /6Y9 FOR 6 r i r , ., CITY OF EAGAN .?--- •3830 Pilot Knob Road, P.O. Bpx 21-199, Eagan, MN 55121 PHON E: 454-8100 BUItDING PERMIT Receipt # To be used for Est Value Date Site Address Lot Block SeGSub. 7 Parcel No. cc name r-L rj= *, ; Address a ritv Address City Phone 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 end City of Eagan Ordinances. Signature of Permittee , a o,,....u .., ;.,....,..a .,.. .?. 1... a all On Site Sewage Occupancy MWCC System Zoninp On Site Well (Actuel) Conat City Water { (Allowable) PRV Required !k of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Cauncil Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit ' Treatment P1 Parks TOTAL ' Permit No. Permit Holder Date Telaphone it Plumbing H.V.A.C. C I S .?t.?,,? I?S Electric 5 •. ?r /5 °J ?14 ? , . Softener Inspsction Dsts ns Comments Footings I 6 I Footings II Foundation 6 Framing ? Roofing Rough Plbg. Rough Htg. IsuL le%'? -Cc,,..racr Fireplace ? Final Htg. Final Plbg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final well G- Pr. Disp. St.'r G?+Cr Ovv ai /??Lo-r? . ? , . . PERMIT li f ? -:--- • PLUMBINC PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CONTRACT PRICE PHONE:151-8100 Sii@ Addr@SS E ?73 1 BLDG. TYPE WORK DESIPTION Lot Bloc? t Sec/Sub Res. New ? Mult. Add-on m Name ? J ?1y j' 3 c City - ? ? ' ? ? ?? • ? Phone 3l') Name 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAI FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Comm. Repair Other RES. PLBG. ONIY - COMPLETE THE FOLLOWING: N? FIXTURES TOTAL Water Closet - $3.00 -??Bath Tubs - $3_00 ??; • -- { ?.Lavatory - $3.00 Shower - $3.00 3 o u ? Kitchen Sink - $3.00 Li Urinal/Bidet - $3 00 . ? Laundry Tray - $3.00 -- ? ? Floor Drains - $1.50 Water Heater - $1.50 ` -- Whirlpool - $3.00 ' Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ' MECHAI ciTY 3830 PILOT KNOB I Site ? Name '?.{ v'fl i?'"T' r16. bor ? Addre ?q ?0 t ' c City /c) r L+ Phone ? Name t?MN?v c. en 3 Addre?g `d 3w lA O City ?? Phone : TYPE OF WORK Forced Air ?r M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. ? CFM Gas Piping Outiets # Other FEE s/c: TOTAL• ? PERMIT # iGAN IT EAGAN, MN 55122 RECEIPT # L L 7 DATE: -8100 n; LDG. TYPE WORK DESCRIPTION Bs. ?- New 2< uit Add-on :)mm. Repair FEES RES. HVAC 0-100 M BTU " ADDITIONAL 50 M BTU (HES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMI'n ? COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES ' MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE - STATE SURCHARGE PER PERMIT - (ADD $.50 S/C IF PERMIT PRICE GOES - $24.00 - 6.00 t 1.50 EA. - 12.00 - 20.00 - .50 lio ?b ? I PERMIT # RECEIPT# ? DATE: Site Address ' " ' 7 -` i '' '?:+" 1(.4 c Lot rL'_ Block , m Name ca Address c City Phone _ ,. ? Name 3 Address ? p Ciry Phone t ; FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES , TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.Q0 MINIMUM - COMMIIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (AD4) $.50 S/C IF PERMIT PRICE GOES BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 q ,- (MINIMUM - 1 PER PERMIn ? Softener - $5.00 .? Well - $10.00 a Private Oisp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: F EAGAN Permit No: I0923 Date: 1 1948 lotKnobRoad B/PNo: 4921 Date: 6-2 1 RK- x 21199 MN 5512t " . '-' 7QZ7st8nX1 CAABt. Address: 1131 1L2LE*'' acClPT3 Pr L14 Si Mairway iiilia MWCC: ` SO.Oapd -,? Zoning• City Chg: ` k No. of Units: ? ACCt. Dep: " 5 _ nOpd 11, oo.,d 1 agree to compiy with the CNy of Permit Fee: Surcharge: Ordinances. SEWER SERVICE PERMIT ?` ? . .: .• + 2r ?r 171 ;? ?s?;'? ?-r c . ? ? ti? ? r •, CtTY OF EAGAN Permit No: 4780 Date: 3830 Pitot Knob Road Meter No: Size: P.O. Bax 21199 ,y Reader No: Eagan, MN 551:,9 ?ate: Owner. ? r:,rt C Conn. Chg: 550. 940 _ Zoning: '?- Acct Dep:_ 15•40Pd No. of Units: Permit Fee: I0• QGbd ' Surcharge: - •51 d Tr. Rlant 2 04• -O' 'j ! agree to comply with the CNy oi Eagan Ordinances. Meter. f,7 -• Misc.: r -r a,, ,. WATE .r:•-, By R SERVICE PERMIT CITY OF EAGAN 3830 Bilot Knob Road Permit No: 9780 Meter No: '3 Date: i 7--1 °'.¢P c 6 P.Q. Box'21199 E . Reader No: Z'o 72 4? f O 9 S ze: Date: o $% 7-?R agan, MN 55121 Owner. A-'- }'•e x'"ann. Const. SiteAddress: Inter .ac en Dr_ve Fa. rwav . 5 ,.r PIurllbef:- ?'' vmrn it h pi t?_no Conn. Chg: _ `?!?? • o 4Ad Zoning: Acct Dep: t4 d'Dd No. of Units: - i Permit Fee: _ ' • ' ? ?P? Surcharge: -? ?•5 T P ' ? 0pe- I agree to comply with the City of Eagan 0 r. lant •? . ^ Ordinances Meter. . n ?A RESIDENTIAL BUILDING PERMIT APPLICATIQN I 3830 PILOT KNOB RDN 55122 170, 651-681-4675 .? CaIlec? New Construction Renuiremenls • 3 registered site surveys showug sq (t. of lot, sq. ft. of house; and all rcofed areas , (20% maximum lot coverage allowed) . 2 copies of plan showing beam 8 window s¢es, poured found desigq etc ) . 1 set of Energy CalculaGons • 3 copies of Tree Preservation Plan it lot platted afler 7/7193 . Rim Joist Detail OpUons selecUOn 5hcet (bidgs with 3 or less units) DATE J`'"i- JOB SITE ADDR IF MULTI-FAMILY PROPERTY 01kN1 TYPE OF WORK APPLICANT I.? HOW MANY UNITS? PQu , Q- PA 11 l A PAGER # CELL PHONE # FAX # 7(e:5- /-E3/Cj -7 (o3 - 5- q13(o NEW RESIDENTIA4 BUILDING ONLY = FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (cheCk one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTt1 RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbitto System Includes: Mechanical Contractor: Mcch:mical SysCCm Includes: Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. ?] , )-C) I hereby acknowledge that I have read this application, state that the information is c?ct, and agree to com ly with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signature of Appiicant 4 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Phone #: Water Softener Water Heater No. of Baths Lawn Sprinl:ler No. of R.I. Baths Phone # -- Air CondiUOning _ Heat Recovery 5ystem Remodel(Repair Reauirements . 2 copies of plan •1 set of Energy CalculaGOns for heated addi6ons . t sita survey forextenor adddions & decks q-9-01 hn VALUATION (EXCLUDING LAND) i n,r- ? S'' ra ? s? rn ?h - ?JA'???;,,iq;, °FIREPLACE(S) _ YES _ NO PHONE # Fee: $90.00 Fee: $70.00 Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 47 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Atldn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? OS 03-plex ? 11 10-plex po 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 AccessoryBldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair r# 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation 02)f GJL Occupancy 1-3 MC/ES System Census Code y3 5? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Canst _- --- Width REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. ' _ Footiags (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing ' _ Foundation HVAC Drain Tile Roof Ice & Water Fi nal Other ? _ _ Framing - Pool Ftgs Air/Gas Tests Final _ Fireplace _ R.I. _ Air Test _ Final _ - - Siding Stucco Stone ` _ Insulation _ Windows (new/replacement) Approved By ple , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Ptant Plumbing Permit Mechanical Permit License Search Copies Other Total Thiz reQUest void 18 months fmm ? n D ? Pnfi q (1 I l?l /a O 6,61 J7" ??q O-D nequesruate ' - r?re No. Ho n- n InspecUOn (?^ /? He ire 1> OReady Nuw [¢W*rfrnlrtv Insoec- ? ?z - [?2[ es N. to, When fleadY L&-k,,'C?ensed Electncal ContrTCtor I hereby repuest inspectton ot above ? Owner elecbicel work installed et. Sveet Address. Bon or Route Nn. i'I5 t?4 Cuy C'l?}G,4u? ecuon o. TownsMp Name or No. Range No. County Occupani IPRINTI Phone No. Pawer SuODlier Adtlress 4<Q FAR MI ( EIecV al gontractor (COmpany Namel Cnnhactor's License No. ? f L ' E LE?E? ?L ? MaJing Ad?Jress (Contrector or Owner MaWng Instatlavon) - S S a )'! _ U lc, I R Authori n r IC tra t/Own akine lnstallaLOnl Phone NumDer cj?gq THIS INSPECTION PEQUEST WILL NOT MINNESOTA STqTE B D OF ELECTNICIiY Griggs-M.dway 81da- - Aoom N•191 BE ACCEPTED BY THE STqTE BOAND IINLESS PNOPEH INSPECTION FEE IS 1821 llniversilv Ave.. S[. Paul. MN 55104 Phone f6121 642-O8O0 ENCLOSED. -'//?SREQUEST FOR ELECTRICAL INSPECTION y. pee?roo/ooi-os ? See instrucnons for compleLnO this lorm on beck ot yellow capy. p?(y?? E 2Q690 "X' Below Work Covered by 7hrs Request d Bea Tyoe of euiieine Apolancea Wvea Enwumeni Wi,ed Home Runge Temporary Service Duplex Water Heater Liyhtiny Fixtune, Apt Bmldinq Dryer El2ctric Heabn Commercial Bldy Fumace Silo Unloader InAustnal BIAy. Au Condrtioner Bulk MiIk Tank FTfff1 fh, pelify Otprv fSPrrify) TM.r uccIly Othnr Other ompute /nspection Fee Belaw x F,a se,yuce¢oirancesae n Fea Feoae.sisunie«ae.s a FFla ci«uit: ? ( 0 to 200 qm s 0 to 30 qm s jZOA 0 to 30 An! s !>bove 200 qmps 31 to lOD qmps 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_F+ml? Transiormers Irrigation Booms ParLal.bther Fee SUec ia l I °°v••" //? ? the ?I I ,r?' InspecEtI or, hereby -rtdy that the xbove 1 rmal ? msUection hes bean I meda. Tnierequesiwm CITY OF EAGAN N? 15 2 3 0 3830 Pilot Knob Road, P.O.,SOx 21-199, Eagan, MN 5512 AHONE: 454-8100 Receipt # F(? 4 BUILDING PERMIT ?o{ To be used tor SF DWG/GAR Est. Value $109, 000 Date JUNE 21 19 88 Site Address 1357 INTERLACHEN DR Lot 14 elock 1 Sec/Sub. FAIRWAY HILLS 2NT Parcel No. ;IName AL HERRMANN CONSTRUCTION I Address 8723 HIGHWOOD WAY 0 City APPLE VALLEYphone 688-0696 p Name ? Q Addre ? City Address City _ I hereby acknowledge that I have re licahon and state that the inbrmation is correct and agre with all apphcable State of Mmnesota Statutes and City ces. Si9nature of Permittee _ +? A Budtling Permit is issued to: AL HERRMANN C_ONST_ on the express condition that all work shall be done in accordance wit h all apphcable State of Minnesoyt?a Statutes and City of Eagan Ortlinances. Building OHicial?l\AILLM? OFFICE USE ONLY On SNe Sewage - Occupancy R-3/11-1 MWCC System X Zoning R-1 On Site Well _ (Actuap Const V-N City Water X (Allowable) V-N PRV Required _ # of Stories Booster Pump X Leng[h 69 ' Depth 42 ' S.F. 7otal Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 604.00 aianner surcharge 54.50 Council Plan Review 302.00 Bldg. Off SAC, City 100.00 Variance SAC,MWCC $50.00 water Conn. 550.00 water Meler 67.00 Road Unit 325.00 Treatment P1 204.00 Parks TOTAL O 22756.5 , 1988 BU€LDING'PERMIT APPLICATION - CITY OF EAGAN, • SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS lk OF UNITS ` INCLUDE 2 SETS.OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.,- - 1 SET OF ENERGY CALCULATIONS CONASERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ! Valuatiod! ? Date: ?'L/? Site Address I??? ?LmAen pn IM-) OFFICE USE ONLY cx'j oo? Lot ? Blo k? On site sewage_ Occupancy MWCC_system ? Zoning R -I Parcel/Sub ?? ? On site well , Aetual Const V- N City water v Allowable V-H Owner PRV required # of stories I Booster Pumo ? Length_ Address Depth S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor ? f - Engr/Assess Permit Oy. 00 Planner Surcharge $Y•So Address Council Plan Review p 2„p0 0 ldg. Off. SAC, City ' 0 City/Zip Code Variance SAC, MWCC SO,Ot? Water Conn . 100 Phone ? !T 9 Water Meter 619, - Road Unit 2S' Do Arch./Engr. •_ -_ Treatment P1 p o D - Parks Address Copies I TOT11L 5(o. 642 City/Zip Code , Phone !I . VA A,,-V1.0 tv , ? ? . - - yYo t35 mT' ?-OXSS3=11?6 ? x I q = ? ? I I n r? Zc? = Zt?o ? I5?1 X T3= 2nG?3 I-f ouSC 6s,yt -- I S? I 2.X?2 = Zy 2? ? = ly `? I 2 = / -L 1667 X ?fqs SI (?K3 . , :...?. y. ,9z? H?exrna.v.v ? ss/ o I FROQE ENGINEf AING COMP(INY, 1000 EJlST 1461h C4Crj z coIisuLti1tn ptnN?iEns cnd lANO 3URVEYO1NC. Nl? SIAEET, BURHSVILLE, uI11NESOTI. 65337 PVi +132-300tl ?z c czze Szv--zr'e c? La qc 1.Des c r?,a Z i c rt: L-07' ig, Ba4l,? ! CAI,eWAY N/LL$ 2Wo ADDIT/D.V, A4KOTA Cov1,17Y, M/NNESo7?A 0%a?i.-s7 DENOTES EX/ST/N6 ELE M T/o,,-/ (1>43• o) pENOTES PRopvSED E!_EYA T/Dn/ IND1047E6 D/RECT/oN oF Su,PF4a pRA/.l/A6E 10¢3• 33 cF/N/SHED 64.P46E GLODR ELEy9T1Dit/ ?036•? /,?036, 8 + 5c.4L9 : / " = 30' DRA/AlAGE ANO UT/L/Ty .54SEMEN7: .aY_ ? r r Dnte??G? ? EAGAN ENGiitTfiFUtI\rr_ r 30' FRM/T Bv/GO/NG SETBAGI' L INE , S?Q 2 ? ? 90 ? s{3..? L ? a y: 1037?? ? ? / e ? i?s ?0 3 7.oi •\^`? d? `?a???`r Ao ? ?j <D 3'). s} q ? \ ? \\ ?l6? a \- ? .-\ I hertby certiiy thet thin ie a t:ue and correct rnp re?ntition o?a traet of land aa ahoxn'and dnecribed heraon.• As prepared by mn on thii 9_: day ot ??NE 1 ].9 8? . • ? T\ 8P?3? ?L inn. loE. No. /36? ,? ?r?' MINNESOTA STATE ENERGY CODE CALCULATIONS 4977 ? BASED ON CHAPTER 5 OF THE MQDEL ENERGY CODE - 1983 EDITION Adoption Effective I/l/84 ' Owner Site Addres Phone Date ContractorAL Phone & a crd69,6 Butlding Ciassification: Type A1 (Single Family E Duplex)_4- Type A2(Residential) (3 stories or less NOTE: Complete pages 3 and 4 first. (Other) (Over 3 stories) GENERAL INFORMATION 1. Building PerimeterL?ea ft. 2. Wall height (ground to eave)4165 5 ft. ?t Z• 3• 1. x 2. (above) gross wall area Z?-}? iZ ft. 4. 8uilding dimensions (L) --^ X(W) ---• = I? r ft.2 roof b floor area 5• Square foot area of rfm Joist - Floor joist size (2 x 2 / p1 X Perimeter = Rim joist area = !1 ? ft 12 lPO - 6. Doors - Area 14,50 ?(? . Thickness in. U factor. 1?f?. ? . Type of Construction Perimeter ft. Manufacturer 1• Total door's perimeter ft. I 8. Windows: Manufacturer State approved U factor ` TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET Z 4ep EACH UNITS 9• Total ft.Z Glass Z I% I 10. fireplace area; Width X height = - X = Ft.2 H. Exposed foundation: He(ght X Perimeter •-1I X?? = I Z-11 1 ?j Ft.Z COMPLETION OF THIS FORM IS REQUIRED FOR ALL A€6 C NSTRUCT ON, MAJOR REMODELING AND BUILDINGS BE MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CDDE ALLOWANCE, IS USED. Iz. F.'UmIng area • lOx ot grosf Ha11 aree, ' ?? 1 ?2 C-1?7 13. Gross xall area`?112? /t.2 . .' ' Nlndow area A` 71 -?j,"Jt7 ft,2 U alndows =?_ p x*A •'• ? I I?''T R1m Jolst area z ' U rim Jo1st • i?? ?i UxA¦??? ?Ooor area A_ /?jZ ?-?j' • ftft, ,Z U door area ¦ • ?. UxA¦ ,2S . fi??'ea area A -4Z ?t?Z. . Urtlnpbms• •?? UxA¦I Exposed foundatlon-A I ft. 2 U faundatlnn ¦° ?? U x A¦ Framing area A (0 ? 3,,qr, ?f t.2 U framing area ¦? U x A•????i? Ilet wall area A I tP?7i?7r-7 rj ft. ? U wall • ? 0 I" UxA•U??I?SZ (138) TOTAL . . . . . . . . . .' U x r 14. Gross aall areastngle faml (13. ly S duplex ¦ altnwable U x A/Code • a4ove) , x 0.23 lOver A-2 other restdentlal) x .23 Other buildings) x .28 3 starles) • ' ' . B oll Must be larger t x u C94 t.-=--LL------' ? ?. 138 above 15. Ce111ng framing area (Af) equals• lOX of celling area or the Same as J ISA. Gross cetl ing area ¦' f I,) ?----- x?u) rt.z 158 _ Jolst area (Af) ¦ 10% ce111ng area ¦_ ?(p4- Z ft. 15C'. Ilet ce111ng area (Ar .) (I5A -.158) •_ 14 ? ft.2 U ceiltng x A c¦ _ ,o2Z x -=-1-?=-- U framing x A f• I o Z 3 x?_ ? ?, , Z 15D.• TOTAL U x A --?- ' ........................... t??33z ............ . , .? 16. Celltng area (15A .R 0.026 (=1 singla famlly b duplex - code allawa6le U x A . • x 0.033 (A-2 other residential) , . • • x 0,06 (ot?ier) ' • . ?L15A1 I??`r`T x fc°d )_ 4 Z,?dUll 11ust be larger than 150 (above F . (or tbe same as) •ItOTE: Ilsa U arid'A values obtained fram nps It 3 and 4. .. ? . qT C4?s / -? - ------- - ----- ??o?(Z(v?? ? ? = 1%00 ?}x (?3r fi 5s3+-?2, i- 32) = I ? I ?eZ, ?- ? 1 N1? v?l? . I I II 2w-??f? _ ?2?5xq.= ?o,d I z w - 2oX?v = I? x I= I?v,o I = 21c?x? - ?o?5xl - 1n?5 ? ! ??-?Xcoo =4?,2??(?=???? )? 2w-z4X? _ ??1?5xz= 3??a I bw '=?' ° Z15,`15-? 1,42, D -I?'? -- NALL • SECTIOH sTLrn SLCTIOH nau atton Shes[hing QV,5 Slding (e7 , . •r . . OueAlde alr fLlm R TOiAL_Z3,d3 ' • ..??? U YE Ins(de air [Llm ,68 Id[eclot valt (pall) U . ? . [ L Inatde•alr Ellm ,68 Intettoe vall ?g.$' • A" seud (Ia") R' l..tY??O.50(framin6) U. a . Sheathing Slding , 1`7 Oueatda air [ilrr 4 ?OTAL I6 2lID VALL SLC2ION siit ' JO[ST Factitcive rall ring EaeerLac alr !!Lm' R ._4.2 - \ . 4 T01'aL (Nall ) U . t . ShiatZCtn" Z Interior vall Insulatlon Instde air film Rs .68 • Interlor air tllm R* :68 ?1 ( [naulaeion ? lS lneh,eoft xuad R=1.88 (A1m ?a IT a aaist) Sheathing ' Z,p(o • .04'I . txterior xall eaver(ng ,fo'r ? . - Extertoe air Ellm ' (, ,?? ?_ • , R T'OtA4 ?<<}..q-? ' ? Interlor alr Eitm Insulaeton . Ru .68 •50b , • • . • roundatloa I 2B Cxtaelor air Cllm 17 p• ' (Fdn.) U • ?[ ¦ , , TUTA4 • ? xpasad 9luck ' \ , ? J ' • . J ? . r : , • O.fil A1r Fllm 0.61 . 4'Lol(v Total R _ -7g 1 , • .6Z3 U • R ? ,b?z.. FL.4T RQOF O R CATII E20A1, CEILING ' -A vaTua R 9AlUE FR,IPIItIG . CEILIN6 4•61 inslde alr film 0.61 ._? ?niu??clnn •_,,.._._. Ir tnAct .._." aoar a,ekt?y • •.,_T,,, fnsulatlan .?^ Bui.lt-up roof 0•17 Outslde a1r f11m 0.17 Tatal R I a u . R 1lndow infiltratian 5 cfm/llneal foat af crack ? tesidentlal door 1nf11tratlon 0.5 cfm/square foot or daor and minlmum cade-raqulrement Icn-residentia) doar lnfiltration 11.0 cfr/lineal foot of Creck ' lb 12" concrete biack na lnsulatlon ¦:47.R 2.1 Jb 12" concrete block insulated cares ¦.26 a 3.8 ' 1S 12 liglitweiaht block '•.72 R 3.1 '• ? 1b 12" lignti+eight block insulated cores s,12 R 8.3 • '• , 1 single glass • 1,13; with storm,window .54 '1 double glass ¦ :55 ' . • • . . . 1 trlple glass • .41 . ' , ,• I11 exterior walls and celltngs must have a vapor barrler (0.10 perm mnx.). ;apor barrier must be on the lnside (heated slde) of wall. ' '? •, iapar barrlers af the palyethelene thin f11m hav9 no R valu9, • ' . ? • , '-EIIIiIR 'dlill 'lErli b ATTIf, SpACE A90VE ' -$ ';;+ Ue "-il''ITIUE FRAt91 tIG CE tl ( HG 0.61Alr Film 0.61 [nsulatlon li,[.ti Jo1st ' . ' . Ce111ng ?tin i • •. RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT K OB RD EAGAN MN 55122 657-681-4675 New Conatructlon ReauhemeMs • 3 repisleretl site suneys showing sq. ft ol bt, sq. lt. of house; and ag rooled arees (20% ma)dmum bt coverage albvred) . 2 coples o1 plan showing beam & whndow sizes; poure0 fountl design, etc.) • lsetofEnergyCaLulatbns • 3 coples of Tree Presenretbn Plfln if lat platteU aRer 7/1l93 . Pim ,bisl Deteil Options selectbn sheet (bltlgs with 3 or less unRS) DATE ? ? ? ? 02- ?'/?lv, zs RemodeVReoeir Reaulrememe • 2 copies of plan . 1 set ol Energy Cakulations lor neated additbns . 1 site survey for ezlerbr additions & decks . Indipte il hane served by septb system for additbns VALUATION ?1 C) SITE ADDRESS MULTI-FAMILY BLDG _Y ?rN NPE OF WORK ro op FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS ?qG1lo CI()dSGu:z,1le-x Ay=[CIN. TELEPHONE # ?5z-W-97-3ZCELL PHONE # PROPERTYOWNER pQ v'l C UYY! D S TELEPHONE# (0s1"y5 6-D 7/2 -------------------------------------------------------°------------------°----------- COMPLETE THIS SECTION FOR ?•NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA 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 Conhacfor: Plumbing system includes: Mechankal Conhactor. _ Mechanical system includes: Sewer/Water Confractor: _ Air Conditioning _ Heat Recovery System I hereby acknowledge that I have read this application, state that The with all applicable State of Minnesota Statutes and City of Eaga5-G5 Signafure of OFFICE USE ONLY ? CXt?/??S _ Water Softener _ _ Watet Heater _ _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths ? ZIP -z->93y FAX # Phone # Phone M Fee: $90.00 Fee: $70.00 -----------°--------°---------- ?otWt, and agrge-to comply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 PERMIT# ? RECEIPTDATE: USIDENTIAL PLUM$IRG PEiMiT APPLICATION crrY oF EAsArr S$SO PILOT KPOB RD EAfiAIY, MA 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit > backflow preventer for irrigation system SITE ADDRESS: ? 351 In4er Ia.chFN ??r It'O-A'Q(1 _ I4 r? 551 a 3-Di s OWNERNAME:: DAVld Cn`(1tiS :ST TELEPHONE#:IDSI' ySIO- 01Ic\ u l_\aQ,F.. 'SC.hk1nlL (AREACODE) INSTALLER NAME: k n_ LR Medo-.nical TELEPHONE #: °Jo-I' 33LI'(011 I (AREA CODE) STREET ADDRESS: Q3gq ILLO? SE U-) CITY: MOn?C1hGTl STATE: Mr\ ZIP:,%_ Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existina dweliing unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround :'.ture ofwork:f?n?[iun6. WAm2. ?°?? r Saptic System, newlrefurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license S'.,;te Surcharge $ .50 , M1 T.:tal ?$ ?' ? ?I Reminder: Be sure to schedule inspections of alterations, i.e. waten heaters, water softenerls, etc. I herehy acknowledge that I have read this application, state thal the informaUon is correct, and agree to comply with all applicablelCityof Ea9an ordinances, It is the applicanPs responsibihty to nofify the pmperty owner fha[ lhe City of Eagan assumes no Ilability for any damages caused:by the City during s normal operational and maintenance activities to ihe faalities constructetl under this permit wit?City- ope? htof-way/e4seent. ? J?? SIGNATURE OF PERMITTE Updated 1l01 . . .. . .. .. .. .. .. . .. .. . .. . .. .. .. .. . CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 08:08:21 ID: NAME: VALLEY INVESTMENTS CONSTRUCTN 3210 9001 1357 INTERLACHE 60.0( 2155 9001 1357 INTERLACHE 0.5( Total Receipt Amount: 60.5( liPi-? 1?g?9 (? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PtLOT KNOB RD - 45122 651-881-4875 New Canshueflon Reauiremenh . Remodel/Reoalr ReauiremeMs ? 60•,r0 Cc(11uj `j/k wm v J reylatered dte wrveys alwwing eq. it ol bf, eq. ft of houae 2 coplea of plan antl g( roofeC areaa C1Q% maMrrw!.^. bt eoveraae allowecn 1 set d energy calculallons br healed ad<ABOns > 2 coplea of plana tahow beam & window alies; poured Ind. desipn; eic.) 1 aite wney la extedor adcBflons d decks > t set a energy calculanona > 3 coples ol hee pretervallon Plan If IW plalfed aMer 7/1/93 DATE: CONSTRUCTION C05i: DESCRIP'fION OF WORK: N?-G(/ 1:!fl0 'y7AfGS Gl NOE4 [vJa7/6(6 CK STREETADDRESS: /35--7 ?NT?1?i?1-rN?i? .OQlrIE LOT: -4-_ BLOCK: 1 SUBD./P.I.D.N: Name: C O VhBS Phone #: ?.?ls - ?1 Z PROPERTY Lafl Fitat OWNER Sheet Address: / 2 5-7 --+? ?l-?ffL^I Cny ?ilQ'(A'N State: Zip: . Company: TEA) J.ES`/YIF?(S ??)C;'Phone A: ?_ `f ?6 Zg ( --? (area code) CONTRACTOR Sheet Address: Llcense S 4_ExP• ?- dN 25" AT1 state: MN ziP: 52S/r7-3 ARCHITECT/ ENGINEER Comparry: Name: Telephone #: ( Sheet Address: Re9lsTMOtiO^ 0: City Siate: Sewer/water licensed plumber (N Insqllina sewedwater): Ptane #: Zip: I hareby acknowledpe Ihof I have read lhis applicaHon, state that 1he Infomwfi°^ b cortecl, and agree to cpmPN wllh atl appUcable SfaFa of Minnesota Slalutes and CHy of Eagan Ordirwneea CertiBcates of Survey Received _ Yes Tree Preservation Plan Received - Yes Signafure ot Api OOFFICI ?- No _ No ? Not Required 2 ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ,H 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? OS 03-plex ? 17 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE Ntw foon,v6s 40fi pECk ? 31 New ? 36 Move Bldg. O 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) O 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATI ON SAC Code 0 i # of Stories sq. ft. No. of Units 0 Length sq. ft. No. of Buildings I _ Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main Ievei sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ? Engineering Variance ? 31 Ext Alt - Multi ? 33 Ext. Alt - SF ? 36 Muki 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. Traiis Ded. Other Copies Total: Valuation: SAC Units % SAC FROQE ENGINEE(iING COMPANV, INC. 1000 CAST 1461h STAEET, coMuLT1110 [N0IlIE([11, pIQNNE115 ond LAHp UflVEYOQS !IL NF,.e,emANN (rp,,?? ? ? /S5/, 0 / BUfINSVILLE, ll11711E:0TJ1 8:337 PII 1=2-3000 C4fff rZ z,}?'z ccz?e c?? S'u -r- 3're r.? C'?a 1 -I2"g,rtA? Z C TL '?T /?, ?LOCK / FA/Ki?UAY N/LLS Zrt/D ADD/T/D.l/, A4KO7-A CovAvTy, MiiVA/E,$oTA C%?i%s7 DEiVoTES EX/ST/N6 ELE 1/AT/oA/ C/43.0) DENOTES ORoPOSEO EGEYqT/ON lND/CATES D/RECT/ON OF SuRFqCE O.Pq/.VA6E /09?3.33 c tr/N/SHED 6AR46E FGOOR ELE{49T10il1 $G9GE . /" - 30' DR41i1lAOE AA/p UT{L/Ty E4SEN/EN7= ?-.. , i;?''??^;.,tv ?;1•;? .. r _. A,,l, 30' FRaV r Bvrcoi,vG / SETBACK L /?/E -? ? .' y) s? a >? 36•Z 'h a,?sj 'r'9 ?037? o 4' sr3.•F ? ? ? ?e?? ?o37,oi \ • V O ?/ ' ?V lJ-Y J? ? N? ? i0 \\ v / 0 ? \? /? -B <,`?1 ? 4i,b? 5 ,? oy3 00 ,? / ? o / 31 ? 60° ?`9 \ ? 5 ??L?. ?i.' •• \? oVS 9 ? I herihy certity that thie ia a t:ue land an ahoxn'and dnacribed hernan.• ?U.vS- -, 19 89 . . end correct repreeiritition af a tract o! Ae prapared hy ma on thia 9m 'day vt i\ 1 n n H(nn. Ifef. No. /36? 4- ZAT}T?:/??PA?y{YryM??ryS?y?OF? 1KyFyE?E(?AT ?TIteE ? ?OF ?LLI.{'111V?? Wa-_? l1 WLU111U11'? APPROVAL OF PIItNIIT. iNSrncriCN oF sEM Arm/aR WATM TnLSti'Ai7.ATT0NS WIIL NCYP BE SCfIED" UL? UNTIL PIItNIIT flAS EEE3 APPFtOVID. - - - - - - - - - - - - - - - - - - - - P ease Print 1) PROPERTY ADDRESS : '"73,?5? ? 1JTFe ?-4e- iJ 4) /Z ••• LEGAL DESCRIPTION: 14 / ? ?:?II?LaI'FI ? ? --(Lot lock Subdivision or ax Parcel ID? IF E7QSTING SPRL'Ct[1RE, DATE OF ORIGINAL &JILDING pERMIT ISS[;ANCE: ' e ar . PRFSENP ZONING/PROPOSID LSE: Mon Q COMMID2CIAL/RETAII,/OFFICE r7 IPIDC'STRIAL n INSTZZ[)TIONAL/GOVII2A1MENT ? R-1 SINGLE FAMILY ? R -,2 DLTLEX (74,o Lnits) ? Fl R-3 TOWNiODSE (Three + Units) 0 R-4 APARTT'tENT/CONIDUUMIIVIOM 2) ? NAME: Qc-?l/°?gC1v7 #=t ?Z..u,'yit5i,(/?, AoDREss: 219(2 crrsr, srATE, ziP: 1'til,qi?-,F l? P_i7 L4 mAJ (? ,,. PHObIE: cIG 2 -, ;?[J-7411 3) • c ?• NAME: CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CQNNECTlON ADDRESS: ciTY, srATE, zIP: [W-r9Pt--C,, 6Pnao", r'>'1p, ?5:53(:r Pxorrs: e-13- 74(zf MAsTm LscErrsa# 'ZO(?:?;-- ( Units) ( Units) Plimbers LicenSe: Active F?tpired Not recorded ta Ial 4) ?? • i?- AIAME: AD?RESS: ciTY, sraTE, zzP: ,4oPc? n?/J s?1 ZL,L PxorE:_ (n f's& - •5> n d: ?• . ?? ? CONNECI'ION 1O CITY SEWII2 CONIIVFJLTION TO CITY WATII2 ? OTAER ' .. 7'r 6) '? • •' 14?f PLF.ASE HOLD APPROVID PERMIT FY)R PICK-C?P BY ONE OF ABOVE --- - ?Tj ?Q PLEASE APPROVID PII2MIT SO 1. 2, 3, 4, ABOVE ? (Circle one) 5?---7) CGS=!!?SYa? /./I r '??.C ?is? ? riS.Tiur?ll '7 ??f ?r-. FOR :CITY USE ONLY ;PERMIT # ISSUED Pd w/Bldg. Permit r S $ CD ? < $ $ $ SEWER TAP $ $ /S •CYa ACCOUNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ 'O-D $ WAC $ ?v5? O b $ s ac $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ 2Ab 0-0 $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL 46-2S3 RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLZC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST . AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: FEES: $ /D '$`0 $ $ c + SEWER PERMIT (IIVCLLDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLODE CORPORATION STOP) TITLE: DATE. RECOAD OF COMPL9ZNT D9TE: 0 COMPLAINT TABEN BY: AAME:- 81A '`? ' ? s-?1? S ? ADDRESS• / 3S7 FIK?iQ4d` PHONE NO.: CDMPLAINT:_ 9CTION TA$EN: M?? UJ cMt? UllJ?1JG-?/L ?'-- -------- -1---- COhQiENTS: ?-2o.rrv0 ?.?/vfs = LA?7?G u.v,pr?L /?9.?[?So?PasG-_. ?''r,q6 f?.k?'_???_LL('sY ¢?iX? $?OCrTS °? Lu?[,t ?(? _?j?lTiTlaN9L ?_/?? t52 fs_G?_ SLoOc' c?? Lq.vorcn? p?EvG- TYPS OF BUILDIHG: ------`--- ---- ---------- --- -------???? --?°Y°y% GY -- ---- - - - - - --- LEGAL DESCBIPTION:- -G-? /Y-"??__??•?u?z. ---------_--- -- -- - SIGNED: - - --- --???,-/ x =-?-? --- --- - - - . PERMIT # T ? RECEIPT DATE: l.O ` \ ? - V iXSIDENTLAL PLUM$1R6 PEgM1T APf'I1CATlON crrYog EAsM 3830 Pv.or xxos Rn gA6AR, MA 55122 65]-6$ t-4B75 Please complete for: SITE ADDRESS ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system .s 7 1.,iTr2 L,* G67 a,/ OWNERNAME:: TELEF:;OiJc#: Z-v I `I?C_ U7/Z, (AREA CODE) INSTALLERNAME: TELEPHONE#: 7'? 3 5?75 a?S? (AREA CODE) STREETADDRESS: CITY: STATE: i4i'-? ZIP: S=y?? Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new install ' repair/rebuild of RPZ • lawn ir ' a i n sys m • wate umaround T?s?,?! /lG r,? G.?? ii??po / Nature of w rk: U -fv L??L ? c?' ? Septic Syste refurbished - $ 225.00 • includes County & Cansulting Inspector fees • requires MPC license State Surcharge E (? (?%s 1 .50 ? Total $ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters;water'softeners, etc. L-- - I hereby acknowledge that I have read this application, state Natthe information is correct, and agree to complywilh all applicable Ciryof Eagan ordinances. It is the appliranPS responsibility lo notify the propeAy owner thal the City of Eagan assumes no liability for any damages caused by the City during i[s normal operational and maintenance activiGes to the facilities consWCted under ihis permit within City pr ertylright-of-w asement. SIGNATURE OF PERMITTEE Updated 1101 Use BLUE or BLACK Ink r For Office Usee Permit L~~ I Ila City of EaRd I Permit Fee: 3830 Pilot Knob Road / Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: V_T - - - - - - - - - - - - 20111 RESIDENTIAL BUILDING PERMIT APPLICATION a Date: -1( UnitM Site Address: ~ Name: Kd Ile e Phone: 7A p D - -33 0 RESIDENT / j~ OWNER Address / City / Zip: 13 s ~ c(G~ G, t/ `r> Applicant is: Owner Contractor Description of work: cz) de c ks 'vi c° p ul fit,rj TYPE OF WORK Construction Cost: IV Multi-Family Building: (Yes / No4L-) Company: C ` e I/d eS Contact: Address: Il ~ ~ l &r4 ty~ Sa, CONTRACTOR State: Zip: l 3 Phone: License ~C b 3 t v ( Lead Certificate r U 1A If the project is exem t from lead certification, please explain why: (see Page 3 for additional information) a LA(- U 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 i the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the•work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x kvekE x All Applicant's Printed Name Applicant - Page 1 of 3 !jam btkVOT VPRITE BELOW THIS LINE A 'Tn 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 Valuation JP00 Occupancy MCES System Plan Review Code Edition ov`) SAC Units . (25%_ 100%-L-4-" Zoning R-f City Water Census Code k1 3~ Stories -t- Booster Pump # of Units / Square Feet -f-- PRV # of Buildings / Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings - Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee In, Surcharge Plan Review 3a MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies oif7 TOTAL Page 2 of 3 1Pchc-t-1 PIZ- q,~ ".vo gxmANN C MAI Q Q e [o1 /S5/. of ENGINEERING 1S117{110 U(01HHD piQH11485 and LAHp ~UACOMPANY1 INC. L .1000 dA57 I461h STREET, eUfIHSVILLE, 1lIIlIIE:OT1~ '5337 P11 13$-3000 N ci ff z„&c ze of v`'`u~-zr•~ r^ f Q~Z rr~~tn_'ort~ L.vT /4, BLOCK ! 4h<W,4Y H/LLS s.vo AoD/T/O.V, LA MM COVNTY, M1A1A1S0Ti9 C% s7 Deri loTE3 EXIMM6 --1ZV4r1-0AJ 0,048• LI) DEMOTES PROP056-P Ec.E Y.9TroAJ 11001CA7"ES O/RECT/ON OF SURFACE DRA/A/ A 6E /a¢3 33 c rivV15HED 6,4,ew-c A -vv g EGE{~,9T/ail/ ~036.8~ (v7*1 ~ 6MLE = 30' `400 2sc, O941A/A6E AMP (/T/L/TY E4SEMRA17" (1 37. ✓ 'e qY,~ ~ ~0 37.oi ~d" ~c '.037 30' ARM/7' BWLO/~t1G yo~ ss io~ /s 0 3 vo J ` ~ l 931 6Q0 'g ~ ~ 41 't?a o 1 / 39,E I hereby certify that this is a true and correct repreeeritation of a tract of land as shoxn'and described hereon.. As prepared by me on this 9 'day of ✓~,vE r 19 8t1 , 10 . n 'R-~ n H( n n. X e f(. No . /36eo Use BLUE or BLACK Ink For Office Use I I Permit V 37 C° I City of Eajan I Permit Fee: I 3830 Pilot.Knob Road I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ' o U' Site Address: 263~f~~l Tenant: Suite l~Sl 33~ J Resident/Owner Name: jZC-h GGI rGJ~/1 Phone: Address/ City/ Zip: Llto N 551,27-12 Name: Wenzel-Plymouth Plumbing, LLC License 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work -New _Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Softener Lawn Irrigation ~ RPZ f _ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 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 $ N/A 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; thafte work will be in accordance with the approved plan in the case of work which requires a review and approval of pi x Carl Michels x Applicant's Printed Name App rcant's Signature FOR OFFICE USE Reviewed BY: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA132537 Date Issued:08/19/2015 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jessica Molyneaux Marsh 1357 Interlachen Dr Eagan MN 55123 (651) 334-2355 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature 03/28/2016 MON 11:15 FAX r. CLty of Eaftall 3830 Pilot Knob, Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIV Ea MAR 282016 Q0 Use BLUE or BLACK Ink For Office Use Permit #; SS -1 �^7 PemtitFcc: ("1-1_,. Date Received: (it) Staff: p 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-28 "f(0 Site Address: l35-1-' i-)u1gthozi Dr. Unit#: Phone: / - Address / City /Zip: Applicant la: _ Owner % Contractor• Description of work: le kmat1 ke/n ,2 l - .See. G? Ghee Construction Cost: 1'7,37/ Multi -Family Building: (Yes _ / No X ) fs Company: Cre4y. iYi L Contact: ked • Address::�rgi2SO f rt'l '[ile., toko city: h11i)ie License #: BC318360 Lead Certificate#: NAT -26342-) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 41-bniti3,41 tel /%5A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Clty of Eagan issued a permit for a similar plait based on a master plan? Yes _No It yes. date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) ass -0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to recolvs locates of underground utilities, ynww aapherstateonecall.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 ie 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 bo completed within 180 days of permit issuance, x ke.I5,4 d/ardor Applicant' ranted Name x /// 4, - App icayrs Signature Page 1 of 3 03/28/2016 MON 11:16 FAX SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building [ � r1C C L DO NOT WRITEBELOW THIS LINE _ Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (ScreenlGazebolPergola) _ Pool WORK TYPES New _ Interior Improvement _ Addition _ Move Building Alteration Replace Retaining Wail DESCRIPTION Valuation Plan Review (25%_ 100%_J Census Code # of Units # of Buildings Type of Construction Fire Repair _ Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS .Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL _ Siding Reroof Windows Egress Window 1002/010 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building' Demolish Interior _ Demolish Foundation _ Water Damage 'bemoiition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRA( Fire Sprinklers Meter Size: Final / C.O. Required )K Final ! No C.O. Required ,?C HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _rFootings Air/Gas tests _Final Siding: _Stuoco Lath _Stone Lath Brink Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector (O(7c Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136874 Date Issued:06/03/2016 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Jessica Molyneaux Marsh 1357 Interlachen Dr Eagan MN 55123 Ed Brown Plumbing Llc 328 County Road E Houlton WI 54082 (612) 328-0827 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155698 Date Issued:05/30/2019 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 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 - Jessica Molyneaux Marsh 1357 Interlachen Dr Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA158997 Date Issued:11/14/2019 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Jessica Molyneaux Marsh 1357 Interlachen Dr Eagan MN 55123 (651) 334-2355 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170255 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Jessica Molyneaux Marsh 1357 Interlachen Dr Eagan MN 55123--215 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170841 Date Issued:07/20/2021 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jessica Molyneaux Marsh 1357 Interlachen Dr Eagan MN 55123--215 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173636 Date Issued:11/22/2021 Permit Category:ePermit Site Address: 1357 Interlachen Dr Lot:14 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-140 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Patrick C Elliott 1357 Interlachen Dr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature