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1614 Johnny Cake Ridge LaPLUMBING(RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Faxnily Dwellings Townhornes and Condos when permits aze required for each unit / 0J ? Date L _ -- Site Address Unit # Property Owner Telephone #( A 0? Contractor rJ (t) 1 ? al(if.tJG(?jJ Address City 174e,f )4 SYate Y'4 11 ? Zip Telephone # The Applicant is _ Owner Contractor _ Other Septic Sys[em New _ Refurbished Submit 2 sets of plans antl MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Eaisting Drvelling Unit, Including $ 50 00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter'rf needed -$121.00) Other: _ RPZ ^ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ adtlitional r_ O State Surcharge JkiV 1 4 2003 .50 Total sv BY I herehy apply for a Residenrial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pernnt, and work is not to start wiihout a pernilr, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?o? Lt . Applicant's Printed Name App icant's Signature sneedarass: G/y r)0H.,2411 - Il„x Lot-').3 eiook--L suba. o4rad,,t,r6?" AA On April 15, 2006 the Minnesota Energy Code, Category I Builtling Requirements for insufation protection, air tightness, and ventilation, was acioptetl. As a result, the Cify of Eagan is requiring that the foflawing information be submitted prior to issuance of a Certificate of Oacupancy. ?. This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 ! OR ' This structure: wlli be construc4ed to meet more restrickive requirements of Chapters 7672 or 7674 APPL{ANCE GAS E4EC MANUFACTURER PAOqEI 9TU'S VENTINGTYPE Water Heater u, ? ... Y S Fumace Dryer ---- EXHAUBT SYSTEM LOCA'eIQN TYPE MODEL CPM's VENTED YES No Kitchen kitchen Bathroom1 T t) Bathroom 2 ? -Q s VC) Bathroam 3 Bathroom 4 Other FIREPL4CE & LOCATlON GAS WOOD MANUF TURER MODEL BTU'S VENTING OIRCCT kib103 zo 7-7 , I MAKE•UP A1R MODE4 TYPE CPA7's r- I hereby acknowiedge that the a6ove information is oorrect and agree to comply with the Minnesata Energy Code and City of Eagan recfuirements_ Dal ' This `orm is the rosporslbliity of the General ConVactcr. '7S?_?E DENTIAL(- S BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-687•4675 RIL ubk-1 b_1 I'c1C. ?; S5? l pL ?????3 70. `_?b y ? Sz New Conalruction Reouirementa RemodellReoair Reouirements • 3: egrsieiea sde surveys showing sq. ft. of lot, sq. R. of house; aM all ruofed areas . 2 copies of plan (20°io mazimum lot coverage ailoweA) . 1 set of Eneryy Calcula6ons for heated additions • ? cooies of plan showing 6eam 3 window sizes; poured found design, eta) . i sile survey for extenor additions 8 tlecks . 1 sel of Energy Calculatbns . Indicate if home serveC 6y septic system for addi[ions . 3 ca0ies of Tree Preservation Plan if lol pla@ed aRer 711i93 ????= j ^ • Rim Jo6t Oetatl Oplions selection sheet (bldgs with 3 or less units) ? j DATE 0IIa2q 1DZ VALUATION -? SITE ADDRESS 1614 6Gt MULTI-FAMILY BLDG _ Y x N TYPE OF WORK C FIREPLACE(S) _ 0?x 1 _ 2 /_ // L33, /? (?Ja k b roo Ics? ?tt. APPLICANT vl?c STREET ADDRESS 9/5- 11I6/(gW??? CITY?N _STATE 1144ZIP TELEPHONE #?S CELL PHONE # Gr2 3?9 a6o7 FAX # PROPERTY OWNER -------------------------------------------------------------------- ? Q- SEP?2 5 7?JJZ_. l ? J?9 ? Plumbing Contractor: Phone k &1 2 ? --------------- Plumbing system includes: ?Vater`Softencr Ia?rTi Sprinkler C'r e: -? $900?.00 ?Vater Heater No. of R.I. Baths No, of Baths COMPLETE THiS SECTION FOR "NEW" RESIDENTIAL GS ONLY JS ? By -_- - Energy Code Category _ ??[IV"\t:tiOT.? RGLES 7670 C:ATGGORY 1 ?' N[IV'?;LSOT:1 RI "LLS 7(ii`l (v submission type) • Residential Ventiiation Category 1 Worksheet Submitted • New Energy Code Worksheet SuCmittetl • Energy Envelope Calculations Submitted Mechanical Contractor: j?0'111SV/11<_ 14A4? Mcch.miril ,cstcm includc,: Air Condiuun ; -- Heal Rccocci} Sys(ciu Sewer/WaterContractor: /?Iriri? ????LS Phone# Fec: S70.00 Phone # ---------------------------------------°-----°-----°----------° °-------------------......---------------------...-•-- I hereby acknowledge that I have read this application, state that ihe information is conect, and agree to comply with all applicable State of Minnesata Sfatutes and City of Eagan Ordinances. , Signafure of Applicanf OFFICE USE ONLY Certificates of Surv `y Re eived >C1 Tree Preservation Plan Received _ Not Required ? ,t'o `Od? Updatea 4t02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg )4 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous x 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Ooors ? 34 Replacement `Demolition (Entire Bldg anly) - Give PCA handout to applicant Valuati n (? D O MC/ESS t o ccupancy ys em Census Code ? Zoning City Water SAC Units _0? Stories ? Booster Pump Nbr. of Units Sq. Ft. PRV V?„? Nbr. of Bldgs ? Length ?c`7_f Fire Sprinklered Type of Const ?[kJ Width '35,/ REQUIRED INSPECTIONS ? Footings (new bld-) -x FinaL'C.O. _ Foofings (deck) _ Finallti'o C.O. Footings (addi[ion) _ Plumbing ? Foundadon _ HVAC Drain Tile Other Roof Icz & Water Final Pool Ftgs AiriGas Tzsr Final ? Framing Siding Stucco Stone ?- Fireplace 4 R.I. _)(,Air Test ]{ Einal Windows (newheplace ment) ? Insulation ? Retaining Wall Approved By TZ , Building Inspector Base Fee surcnarge SL )m Plan Review .?^ 0 r MGES SAC CitY SAC W ater Supply 8 Storage ' S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ?Z_??- ., q`/7F/ ? , ? U1 j Other Total JUL-27-20W'41 pwn 'WCME?` ' P.a2i02 41N^hrck COMPL2ANC8 REPORT n^I.nn?eora Enesgy CodA r,n-.1,- -t, So£tware Vere3.on 3.0 C AckAd by-Tte <"': ?J1;la'r.' ? DaiSOtfA s N+11k ! rtinneooCa i,'?.F : 2 nf,n.ITPL?cTibN TYPE: 8:tngle Family nnr?: 7-2^.-2000 nnTF nF pLAUS: 7/27/00 TT'Tt 71: DIAMOND WALKt7UT 6L8VATION #a r,CMP7,1l+PdC.E : 8A98&5 A^,lnixw3 VA s 493 YojY Home m 371 27.5* Aetter Than Code Axea oY Cavity Cont. alaaing/Door Perimeter R-<lalue R-Value U-Value --------------------------------------------------------------------------- C;EII.iDTC?8 1887 44.0 0.0 u7?Zi,LS? vlaod Frame, 1E" O.C. 2297 19.0 2.0 1 41}1?,I,9: 4tood £rame, 16° O.C. 247 10.6 2.0 ASM'F? Cana. 9.0' ht/8.3' b919.0' ineul 152 11.0 6.9 F?8r4T: Conc. 3.51 ht/3.1' bg/3.51 inevl 20 10.0 0.0 Gz,JAZING: VPindows or 17oore, Above arade 406 0.360 1 00QRQ 38 0.360 Mrac 5:;;,2uuIPMENT: Furnace, 52.0 aFUE ------------------------------------------------------------------------------ CoF?Fi,IANCE STATSMENT: The progosed building d.esign deecribed hare ie. - cor.siatent with the building plana, apecificatioas, and other c.alcu].etiona st,,bmitted with the permit applioatian. The propoaed building has been designed to mebE iremei}?e nneeota Eaergy Code. a-j ilder/Designer bate ; a T[I'(FaL F.0c PULTE HOMES OF MINNESOTA ? JOB INITIATION ORDER DATE: 6l24/2002 se-Jun page 1 JOB NO: 0550-433-01 LOT: 33 BLOCK: 1 UNIT: 43301 COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN STA7E: MN ZIP: 55122 MODEL NAME: DIAMOND MODEL#: 17951 ELEVA710N: 1 GARAGE: RIGHT BUYER NAME: Ahmed Sundrani ADDRESS: 3055 Eagandale Place CITY: Eagan S7A7E: MN HOME PHONE: 651-365-8021 WORK: 651-994-9450 x103 WORK: SALES REP.: KATHEE SHELDON PHONE: 651-686-4643 rhollzfla oWte<om QTY OPTION pESCRIPTION LOCATION EACH PRICE> 1 17951 DIAMOND-SLAB $ 221,990 $ 221,990 1 18015 ELEVATION #1 $ - $ 1 25015 CLNST.DRS W/PF OAK $ 750 $ 750 1 31001 LAUNDRY CABINETS - BASE $ 295 $ 295 1 14004 CARPET PAD UPGRADE $ 300 $ 300 1 14002 2ND CARPET UPGRADE $ 1,425 $ 1,425 1 15026 VINYL UPG.#1 - BATHS #1&#2 $ 225 $ 225 7 15031 UPGRD VINYL KITCHEtJ $ 340 $ 340 1 15090 CERAMIC TILE FOYER $ 1,625 $ 1,625 3 17024 CEILING ELECTRIC OPENING EACH BR $ 100 $ 300 1 23005 2 TON AIR CONDITIONER $ 1,800 $ 1,800 2 32002 CAT 5 PHONE / CABLE / SATELLITE BR#2 &#3 $ 765 $ 330 1 17006 OMIT RANGE/RUN 220V ELECT. $ (250) $ (250) 1 10055 SPACEMKR MICROWAVE $ 625 $ 625 1 10096 VENTED KITCHEN FAN TO OUTSIDE $ 250 $ 250 1 36038 WATER SOFTENER $ 950 $ 950 1 21021 GAS FIREPALCE / CERAMIC / WOOD MANTLE $ 4,150 $ 4,150 1 13077 WHIRLPOOL TUB $ 1,075 $ 1,075 1 29006 CAST IRON KITCHEN SINK $ 450 $ 450 TOTAL: $236,630 NOTES: STAIN: MEDIUM THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PURCHASER (S) FOR THE ABOVI= ITEMS. APPROVED BY BIJYER (S): APPROVED BY BUYER (S): APPROVED BY SUPERINTENDENTAPPROVED BY SALES: ZIP: 55121 Buiiders License # 0001371 PULTE HOMES OF MINNESOTA CHANGE ORDER # 1 DATE: 8/7/2002 JOB NO: 0550-433-01 LOT: 33 COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN MODEL NAME: DIAMOND MODEL#: 17951 ELEVATION 1 BUYERS NAME: SOLD REVERTS TO SPEC STATE: MN ZIP:55122 GARAGE: RIGHT 0 ADDRESS: CITY: STATE: HOME PHONE: WORK: WORK: SALES REP.: KATHEE SHELDON PHONE: 651-686-4643 ZIP: rholtz(doWte.cam : QTY OPTIQN DESCRIPTION LOCATION EACH ' PRIGE TOTAL FROM PREVIOUS JIO $236,630 -1 10055 SPACEMKR MICROWAVE $ 625 $ (625) -1 10096 VENTED KITCHEN HOOD FAN $ (250) $ (250) -1 13077 WHIRLPOOL TUB $I 1,075 $ (1,075) -1 14002 2ND CARPET UPGRADE $ 1,425 $(1,425) -1 14004 CARPET PAD UPGRADE $ 300 $ (300) -1 15026 VINYL UPG.#1 - BATHS #1&#2 $ 225 $ (225) -1 15031 UPGRD VINYL KITCHEN $ 340 $ (340) -1 15090 CERAMIC TILE FOYER $ 1,625 $ (1,625) -1 17006 OMIT RANGElRUN 220V ELECT. $ (250) $ 250 3 17024 CEILWG EIECTRIC OPENING $ 100 $ (300) -1 18015 ELEVATION #1 $ - $ - -1 21021 GAS FIREPLACE - CERAMIC W/WOOD $ 4,150 $ (4,150) -1 23005 2 TON AIR CONDITIONER $ 1,800 $ (1,800) -1 25015 CLNST.DRS W/PF OAK $ 750 $ (750) -1 29006 CAST IRON KITCHEN SINK $ 450 $ (450) -1 31001 LAUNDRY CABINETS - BASE $ 295 $ (295) -2 32002 CAT 5 PHONE / CABLE / SATELLITE $ 165 $ (330) -1 36038 WATER SOFTENER gl 950 $ (950) TOTAL: $221,990 NOTES: L LL THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PURCHASER (S) FOR THE ABOVE ITEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S): APPROVED BY SUPERIfVTENDENT: APPROVEO BY SALES: 8-AOg BLOCK: 1 UNIT:4:S301 Builders License # 0001371 PULTE HOMES OF MINNESOTA CHANGE ORDER # 2 DATE: 8/24/2002 JOB NO: 0550-433-01 LOT: 33 BLOCK: 1 COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN MODEL NAME: DIAMOND MODEL#: 17951 ELEVATION 1 BUYERS NAME: Charles & Linda Pommier ADDRESS: HOME PHONE: SALES REP.: 26-AUg UNIT: 43301 STATE: MN GARAGE: RIGHT 15550 Galaxie Avenue #404 CITY: Apple Valley STATE: MN 952-953-9172 WORK:651-457-4174 WORK:0 KATHEE SHELDON PHONE: 651-686-4643 ZIP: 55122 0 ZIP: 55124 rhollzapu0e.com QTY OPTION DESCRIPTION LOCATION EACH P.RICE TOTAL FROM PREVIOUS CHANGE ORDER 1 $221,990 1 10055 SPACEMKR MICROWAVE $ 625 $ 625 1 10087 UPGRADE RANGE SMOOTH TOP $ 575 $ 575 1 10096 VENTED KITCHEN HOOD FAN $ 250 $ 250 1 10104 REFRIGER,4TOR - W/ ICE MAKER $ 1,100 $ 1,100 1 10118 WASHER W/ ELECTRIC DRYER $ 1,125 $ 1,725 1 14001 1ST CARPET UPGRADE $ 950 $ 950 1 14002 2ND CARPET UPGRADE $ 1,425 $ 1,425 1 15026 VINYL UPG.#1 - BATHS #1&#2 $ 225 $ 225 1 15031 UPGRD VINYL KITCHEN $ 340 $ 340 1 15032 VINYL UPG.#1-LAUNDRY $ 100 $ 100 1 15090 CERAMIC TILE FOYER $ 1,625 $ 1,625 3 17024 CEILING ELECTRIC OPENING EACH BR $ tOD $ 300 1 18015 ELEVATION #1 $ - $ - 1 21021 GAS FIREPLACE - CERAMIC W/WOOD $ 4,150 $ 4,150 1 22027 INSULATEO.H.DOOR-2CAR $ 225 $ 225 1 23005 2 TON AIR CONDITIONER $ 1,800 $ 1,800 1 25015 CLNST.DRS W/PF OAK $ 750 $ 750 1 31001 LAUNDRY CABINETS - BASE $ 295 $ 295 3 32002 CAT 5 PHONE / CABLE / SATELLITE $ 165 $ 495 1 36038 WATER SOFTENER $ 950 $ 950 TO'TAL: $239,295 NOTES: STAIN: CIDER THIS CONSTITUTES A CONTRACT BETVJEEN THE SELLER AND THE PURCHASER (S) FOR THE ABOVE ITEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S): APPROVED BY SUPERINTENOENT: APPROVED BY SALES: Builders License # 0001371 PULTE HOMES OF MINNESOTA CHANGE ORDER # 3 DATE: 8/25/2002 JOB NO: 0550-433-01 LOT: 33 COMMUNITY: OAKBROOKE PATIO HOMES ADDITION: 5TH ADDRESS: 1614 Johnny Cake Ridge Lane CITY: EAGAN MODEL NAME: DIAMOND MODEL#: 17951 ELEVATION t BUYERS NAME: Charles & Linda Pommier ZIP: 55122 0 ADDRESS: 15550 Galaxie Avenue #404 CITY: Apple Valley STATE: MN HOME PHONE: 952-953-9172 WORK: 651-457-4174 WORK: 0 SALES REP.: KATHEE SHELDON PHONE: 651-686-4643 rhallz(aZOUlte.cor QTY OPTION DESCRIPTION LOCATION EACH PRICE TOTAL FROM PREVIOUS CHANGE ORDER 2 $239,295 -1 14001 1ST CARPET UPGRADE $ 950 $ (950) 1 14004 CARPET PAD UPGRADE $ 300 $ 300 1 22025 GARAGE DR OPENER/2 CONTRLS $ 400 $ 400 NOTES: TO iAL: THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PURCHASER (5) FOR TNE ABOVE ITEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S): APPROVED BY SUPERINTENDEN7: APPROVED BY SALES: 26-Aug BLOCK: 1 UNIT:43<301 STATE: MN GARAGE: RIGHT ZIP: 55124 Builders License # 0001371 ?i 5,.. ' LOT SURVEY CHECKLIST FOR RESIDENTIAL , BUILDING PERMITAPPLICATION PROPERTYLEGAL: LOT 33 8/erk //? L?sdakC Gf?_ DATE OF SURVEY: ? c ? L Y ¢ ? O Z Q V?? ?, ?? ? ?? o ?? ? ?? ? -/? ? ? D. ? ? 'Cl ? ? ? ? LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyorsignature and company • Building Permit Applicant • Legal description • Address . North arrow and scale • House type (rambler, walkout, split wlo, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway . Lot Square Footage • Lot Coverage ELEVATIONS / Existina fd' ? ? • Sewer service (or Proposed) d ? ? . Property comers r2? ?? . Top of curb at the driveway and property line exAensions ??? . Elevations of any existing adjacent homes' ??? • Adequate footing depth of structures due to adjacent utility trenches ? V? • Watenvays (pond, stream, etcJ Prooosed V0 C • Garage floor G ? • Basement floor ? ? ? • Lowest exposed elevation (walkout/window) ? g( ? . Property comers GY ? C • Front and rear of home at the foundation PONDING AREA (if aoolicable) ? ? ? • Easement line ? ? ? . NWL ? ? ? . HWL ? ? • Pond # designation ? L? ? • Emergency Overflow Elevation ?Y/ ? ? i?Y ? ? F? ? ? ?O ? u? ? ? DIMENSIONS • lot Iines/Bearings 8 dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. 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 existing structures • Retaining wall requiremei " '" Reviewed: , Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED AS :Lot 33, Block 1, OAKBROOKE 6TH ADDITION, City of Eagon, Minnesota and reserving easements of record. SEP 2 5 REC'0 S a l'.... j ,. . ' .. . . _wtiX mzPT. 1;6>4 JGyHNY CAKE I?/ID E LANE / / no V G°IICe Ms \ sS p6 972.4 '?J ?O O oQ° n?G?oD h0 Qt?p?,p p. /L o'o o( 3:1 Marjmum e o or Retaining ?NaII?Wpj Be ROqUlf9d ?G9 ti? 3z 0 S1zT 93, L I- ?fjuc15 LOT SQ. FOOTAGE = 3,960 ? o HSE SQ. F00 TA GE = 2,36 7 L O T CO l/ERA GE = 6 0% ?: . ,,?; ? u".'V? o o u u? ...v:=.?. ;t.'.. # 17951 PftOPOSED ELEVATIONS Top of Foundation =933.5 Garage Floor =932.4 Basement Floor =Slab on Grade Aprox. Sewer Service =921.5 Proposed Elev. Existing Elev. Drainage Directions =- Denotes Offset Stake = • 4 954.2 [O}?,, 8 l y4 y ? ?O BENCHMARK, CP # 9012 TNH EL= 931.19 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- JOB N0: HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-597 OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SUftVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE: PLANNING BNGINBBRINC SURYBYlNC SHOW IMPROVEMENTS Oft ENCROACHMENTS, EKCEPT AS SH N'N. 2005 Pin Ook Drive ?p Eagan, MN 55122 DnTE ?/JJ2/D-1- ' CAD FILE: Phone: (651) 405-6600 J Y. INDGREN, LAND SU EVOR Fox; (651) 405-6606 9' ESOTA UCENSE NUMBER 14 76 Opkbrooke 5 SCALE: 1 inch = 30 feet 1 I Fer Office Use a _ ~7 I . tat i Permit I ~ Permit Fee: city of Eap j 1A 1 3830 Pilot Knob Road JUL 1 3 MN 55122 ~ Date Received: Eagan ` I Phone: (651) 675-5675 I Staff: I I Fax: (651) 675-5694 L 2009 MECHANICAL PERMIT APPLICATION Date: 7 /.r Site Address: Suite Tenant: Name:,< Phone: RESIDENT / OWNER Jy-f Address f City / Zip.. CONTRACTOR Name: License Address: State: ✓.rTiG Zip:, City: - Phone: Contact Person: TYPE OF WORK New _,L-Replacement Additional Alteration Demolition Description of work: f NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace Install Piping Processed Air Conditioner Air Exchanger Gas Exterior HVAC Unit _ Under / Above ground Tank (-install Remove) _ Heat Pump When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ -`'C, TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2;000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 fora 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. Applicants Printed Name Applic -cfni s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building Permit Number: EA104828 ' Date Issued: 06/12/2012 titj of Elin Permit Category: ePermit Site Address: 1614 Johnny Cake Ridge La Lot: 33 Block: 1 Addition: Oakbrooke 6th PID: 10-53765-01-330 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: Applicant - Owner: Krech Exteriors Inc Charles J Pommier 5866 Blackshire Path 1614 Johnny Cake Ridge La Inver Grove Heights MN 55076 Eagan MN 55122 (651) 688-6368 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127824 Date Issued:10/15/2014 Permit Category:ePermit Site Address: 1614 Johnny Cake Ridge La Lot:33 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-330 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles J Pommier 1614 Johnny Cake Ridge La Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128122 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 1614 Johnny Cake Ridge La Lot:33 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-330 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg 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 - Charles J Pommier 1614 Johnny Cake Ridge La Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152971 Date Issued:11/13/2018 Permit Category:ePermit Site Address: 1614 Johnny Cake Ridge La Lot:33 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-330 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: 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 - Charles J Pommier 1614 Johnny Cake Ridge La Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature