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1336 Jurdy Rd Use BLUE or BLACK Ink For'brfrte Use 1 1 j Permit Clity of Eap I { Permit Fee: 63S of 3830 Pilot Knob Road ~V~ i 3 I Eagan MN 55122 j Date Received:- f D Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: Inc j - - - 2010 MECHANICAL PERMIT APPLICATION Date --I - ~ Q Site Address: Tenant: Suite RESIDENT / OWNER Name: a Phone: C CS] -C J ~ - S~ Address 1 City / Zip:, CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. license (410L I 3451 W. Burnsville Parkway Address: Seta 120 City: State: 2!rmsv'ille, MN 55337 Phone: Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE Rpaf mounted and gtottttd moutd mechatiti~at equiprtf ('tequaredR~be screelcl by City Coder Please contact the MechanicaFInspector for inform atloiY'~ In perrttitte¢ ~reentng *ihodg. , PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furnace New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: 00 $50.50 Minimum Add-on or alteration to an existing unit (includes0 State surcharge) nf~} $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ i lfl.l TOTAL FEE w 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 = $ Surcharge. $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ TOTAL FEE 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.orta 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 thh approved plan in the case of work which requires a review and approval of plans. Q I ~YA siyl M-0 x 61 j Applicants Printed Name Applican s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: - Under Ground Rough In Air Test Gas Service Test ;n-floor peat Fin`fiI~ - Exterior HVAG Screening lnspection INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ? ? ? ? • ? . (612) 681-4675 ' SITE ADDRESS: , t, , . ? 3 1? APPLICANT: ??n?r?v???????, t ?. ?,• ? 0100 PERMIT SUBTYPE: I I T Ni, TYPE OF WORK: RFPt#Tlr . KI k1+111/';i"??ftM i?at?n??? _ . J Permit Holder Date Telephone i PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks 1 4 Parcel ' 10 209Ei0 110 01? a,ddition Do ood AddI1. Lot 1 Rlk /? OwneF? ?, ? ?•,` ??-: ;, •,.?•• Street 1336 Jurd,v' Rd. State Eagan,r?v 55121 > /- , s„ , c ?,: ,- Z, /'/ ? / ' . J..4_ / v' L / /r U?7'?- f-,? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. ? GRADING SAN SEW TRUNK ? ? ? 62.8o 2.51 2 * SEWER LATERAL ? 22 $ ? 455.75 5 WATERMAIN 4'r WATER LATERAL ? # WATER AfiEA ? ?e STORM SEW TRK j9]S ?t STORM SEW LAT 1975 CURB & GUTTER SIDEWALK STREET LiGHT WATERCONN. 230.00 $635 12-30-77 BUILDING PER. 44626 SAC 475-00 8635, -- 1 PAR K CITY OF EAGAN 3795 Pilot Knob Rood Eogan, MN 65122 N2 4626 PNQIVE: 434-8T00 BUILDING PERMIT Recei t # 7o be used for 5ite Address Lot Biock Parcel # lx Name ? Address 0 ? H Z Uu < 9 Name Dtip1E7C -•. $279000. Sec/Sub. • 'ar?.: . .. P - 30V - Erect ? Occupancy Alter ? Zonin9 . Repttir ? Fira Zone ? Enlarge ? Type of Const. - Move ? # Stories _ Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Address - Name _ Address Assessment _ Water & Sew. Pol ice Fire Eng. Planner _ Permit _ Surcharge Plon check SAC Water Conn. ? Water Meter Councif I hereby ocknowiedge that I have read this applicotion and state thot Bldg. Off. the information is correct and agree to comply with all applicoble Stote of Minnesota Statutes ond City of Eagon Ordinances. APC 7otol Signoture of Permittee A Building Permit is issued to: on the express condition that eJl work shall be done in occordance with all applicoble $tate of Minnesota Statutes and City of Eogan Ordinoncss. Bufiding Officiai Pamdt # Oafe Imued Panatt" Plumbing _Mt- --?? - 7? Mechanical , ? n ? - G7?! - ?? - INSPECTIONS DATE INSP. Rough-In Firal Footings Date Inap. Dote lemp- Foundation Plumbing Frame/ins. I Mechanical ? Finol Rernarks; cinr aF EaG?N 8795 Pilot Knob Rood Eagon, Minnesoto 55122 Phone: 454-8100 PLUpIl3ItIG ____ pERMIT Dute: Fabruary 27, 1978 Site Address: 1336 Jt1z'dy Roat Lot BI«k 5ub/Sec. DDnnyw+ood No. 102 ? -, Receipt No.: Single I Residentiol Multi Res., Comm./lnd. - Name -? . oir r.ew New/Alter /Re . p . ; Address Cost of Installotion O Hudson, Wisc. City Phone: '??.?0 Permit Fee ? R. C. Hoffman Name Surcharge 0 t ? Address ? ? r City Phone: Total This Permit is issued on the express condition that cli work shall be done in accordance with all applicable State of Minnesota $totutes and City of Eagan Ordinances. Building Officiel CITY OF EAGAN 3795 Pilof Knob Road Eagan, Minnasotc 55122 Phone: 454-8100 PERMIT No. _ Date: Februax'y 24, 1978 Site /Iddress•1336 Jurdy Roacl Lot , 1 Blxk a Sub/Sec. Do'lnywood Neme Camerca 1 %^VC!i.iJ?)[,r'_T:t ? ; Address O City ?'1dson. WisC. Phone: Nnme`?ep• Sedgwick ??el3ting & EVC CA. ? 'g ? Address ? U City - ' Phone: This Permit is issued on the express condition fhut all work shall be Minnesota Statutes and City of Eogon Ordinances. Receipt No.: ' Sinple I Residential Multi Res., Comm./Ind. ` di`pik-'' New/Alter./Repoir new Cost of Installotlon Permit Fee . r) Surchorge Tota I done in accordance with ull opplicable Stote of 8uilding Offitial ? CITY OF EAGAN ? • 3830 Pitot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE:454-8100 BUI(.DING.RtRMIT Recei t # t p Tobeusedfor RE-SIQING Est.Value $3,800 Date MA.Y 7 , 19_91_. Site Address 1336.11140 .7ifBDY RD Lot ?& ?fock _4 Sec/Sub. DOM?tYiJOOD OFFICE USE ONI.Y ParC21 N0. Occupancy ? FEES Zoning ? ¢ w Name ?Y B?'?CHER/HAAOL.D COLS!lA?1 (Actual) Const Bidg Permit 63_ AA ? . 3 Address 1336 13 Jt1RDY (nibwabie) - 2 ? o City LWAN Phone # or stories ? . Surcharge Plan Review LengM L0% Name TWIHTOMIN REWDELZRS Depth SAC Cit Z OU ¢ Address 5930 PORTLl4ND A1B ? S.F. Total - , y City ?? Phone 861-4405 S.F. Footprints _ SAC, MCwCC ? On Site Sewage - Water Conn ?w Name On Site Well - {lyater Meter ?? Addfess MWCC System _ ¢ z a W City Phone City water _ Acct. DepOSit PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SJW Surcharge information is correct and agre to comptjrwith ali appiicable State of Minnesota Statutes and P* of E?gan,Ordinances. 7reatment Pi ' t 6gnature of Permitee AF+PROVAZS Road Unit A Building Permit is issued to: TWIh?? ???ELERS Planner - Park Ded. on the express condition that all work shall be done in accordance with all Counril applicable 5tate of Minnesota Statules and City of Eagan Ordinances. Bldg. Off. _ CaPies Building Official : Variance ? TQTAL 65-00 ? Permit No. Permit Hoider Date Telephone # WATER SEWER PlUMBWIG H.V.A.C. ELECTRIC Inspection Date lnap. Cosnssties?ts Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplece ? 2- - ? Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plum6er Const. Meter Engr.IPlan Bldg, Final Dedc Ftg. Dedc Final Well ' Pr. Disp. ^.ITY OF EAGAN 'S Pilot Kwab Road E.igan, MN 55122 Zoning: Owner: • , Address: _ Site Address: = -r==.av r.r:ad _ Plumber: j;?paig?r.,,*!2/30/77 08635 1 agree to comply wkh the Citp of Eo9on Connection Char9e:. Ordinonoes. Account Deposit: _ Permit Fee: Surcharge: - By Misc. Charges: - Dote of Insp.: - Total: Insp.:- Dote Paid: 5 plot Knob Road ,,, MN 55122 n9, - -- No.: to comply with the City of Eogan of I nsp.: SEWER SER'?ICE PERMIT PERMIT NO.: _ DATE: No, of Units: _ WATER SERVICE PERMIT Connectian Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. Charges: - Total: Dote Paid: This request void 18 months from n? cD , •' P64505 Date of this Request 2-10-71- I, as f?Licensed Electrical Contractor 11 Owner, do hereby request inspection of the above electri- cal wmng installed at : ::?6 -7, Street Address or Route No. / 33 9? City Section Township Range County Which is occupied by . ls a roughin inspection required on this Power Supplier z I Electrical Contractor (co Mailing Address ? IeCbG Authorized Signature (ElectYlc ontract STATE BOARD CI (Name of Octupant) ? Yes)a Ready Now ? Will Ca1Lq ?Address Contractor's LicensAffyT9 o? Owner Making Thfs Installationy Phone No. • Making This Installatlon) This inspection r¢quest will not be accepted by the State Board unless proper inspection fee is endosed. 1554 University Ave., St. Paul, Minn. 55104-Phone f . REQUEST FOR ELECTRICAL INSPECT ('1-IFf'K RFi.(1W Wf1RK CCIVRRF.TI RY TNIS RF.(111FST ? P 64505 Type of Building New Add. Rep. Check Applianc ea W'ved For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? Water Heater ? Lighting Fixtures ? ? Apt. Bldg. ? ? ? Dryer ? Electric Heating Commercial Bldg. lndustrial Bld ? ? ? ? ? ? Furnace Air Conditioner ? ? Silo Unloader Bulk Milk Tank ? ? g. Fazm O D O List List Other ? ? ? $ehers? p Hehers Cl1MPiTTF iNSPF(`TI(lN FF.F RF.1 OWA!lllh? • ?? ' # Service Entrance Size: ? Fee Fced bf a: Fee Circuits: # Fee 0 to 100 Am . 0 t 0 A 0 to 30 Am eres 101 to 200 Amps. 31 to 100 31 to 100 Am eres Above 200 Amps. Above 100 A Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Si ns S cial Ins ection Minimum fee $5.00 Remazks TOTAL FE . o0 3sb I, the Etectrical Inspector, he (Rough-in) (Final) This request void 18 months e ifispection has been m=.? ? Date Date &f ",Z'7 ' L1f i BUILDING PERMIT 7o be used for RE-SIDING Value $3,800 Site Address 1336 / 1 40 JURDy RD Lot 11 & l2Block 4 Sec/Sub. DONNYWOOD Parcel No. w Name GARY BETCHER/HAROLD COLEMAN 3z: Address_1336/1340 JIIRDY RD ° Ci EAGAN lY Phone 45?? ,o Name TWINTOWN REMODEI.ERS $` Address 5930 PORTLAND AVE ? City MPLS Phone 861-4405 ? wW Name ?o Address aW City Phone .. I hereby acknowlege that I ha ead ihis inforcnation is correct a a e to m UMinnesota Statutes and ' E an di Signatura of Permitee A 8uilding Permit is issued lo: TW NTI on the express condilion thal all work applicable State of Minnesota Statutes and BuildingOXicial nP1 6 OiA , I r CITY OF EAGAN 19026 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # (?--' I 3 D 'e -7 dion and slata thatihe all applicable State ol done in accordance with all f ot Eagan Ordinances. OFFICE USE ONLY Occupancy Zoning (ACtual) Consl (Alloweble) # ot Stones Lenglh Depth S.F. Total S.F. FOOtprints On Site Sewage on siie weii MWCC Systam City Water PRV Required Booster Vump APPROVALS Planner Council BIdg.Ofl. ariante Bldg. Permit Suroharge Plan Reviaw SAC, City SAC,MCWCC Water Conn Weler Meter Acct. oeposit SNJ Permit S/W Surcharge Treatmenl PI Road Unit Park Detl. Copies TOTAL FEES 63.00 2.00 65.00 ciTr oF eacnN 3795 Pilot Knob Road Eagan, MN 55722 N2 4626 PHONE: 434-8I00 BUILDING PERMIT APPLICATION Receipt # 8635 To ba uaed 4or Duplex $27,000. Dote aec. 30, 19 77 Site Address 1336 Juidy Rd. Erect [}( Occuponcy I Lor-11 siock 4 sec/sub. Donngwood Airer ? Zoning pB Parcel # ? Name Portfolio Management 3 Address 0 o Nome u?eron uev. ?? Address S r i-:... ' 01.,...,, 436-5579 Name _ Address I hereby ackrrowledge thot I have read this application ond state that the information is correct ond agree to comply with oll applicable State of Minnesota Statutes and City of Eagon Ordinances. Signature of Permittee - A Building Permit is issued to: oil vrork shcll be done in occc Repair ? Fire Zone ___ ---V- Enlarge ? Type af Canst Move ? # Stories 1 Demolish ? Front 32-- ft. Grade ? Depth 44 ft. Aoororals Fees Assessment _ Water & Sew. Police _ Fire Eng. Plonner _ Council _ Bldg. Off. _ APC Permit Surcharge 13.00 Plan check snC 475.00 Water Conn.230,00 Water Meter 60.00 Toral 858.50 Dev, on the express condition that : Stote of Minnesota Statutes and City of Eagan Ordinances. Building Official A?4;4 BUILDIAIG PftRMIT APPLICATION cu+xE .? 3b 7 Znclude 2 sets of plans, 1 sfte plan w/elevations and 1 set of energy calculations. r.?.c 7b be nsed for,. /Iv7.???I??n• J?K'?a luation ?. I Site Address; ? /,3,3 6 J v r d r /? Lot Block Sec. Sub Parcel Number !I floY+KM vdoed- Owner '/zz. Telephone ? Address Contractor Address Arch./Eng. Address Erect Alter Repair Enlarge Nbve nemolish Grade OFFZCE USE Occupancy T 2onfng ?D Fire Zone Type of Const. # of Stories Front ? Depth ? OFFICE USE riste of Approval & Initial Asaesament water/Sewer Police Fire Eng. Planner Wuncil Ridg. Off. A.P.C. F£ES Permit ?D `5,D Surcharge / 0 Plan Check SAC f-/75 Flater (bnn. '?O 67ater Meter ( 0 TOTAI, 37 Telephone yJ' 6 -?S S 7 y Telephone PERMIT CtTY`0F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: aurLorNc Permit Number: 033015 Date Issued: 0 8/ 2 6/ 9 8 SITE ADDRESS: P.I.N.: 10-20960-116-04 1336 JURpY RD LOT: 11 BLOCK: q pONNVW00p DESCRIPTION: - REROOF/STORM Bui'lding°?Permit Type Biiilding"' W'or,k Type ensus Code "',? 434 DAMAGE STORM OAMAGE REPAIR ALT. RESIDENTIAL , REMARKS: FEE SUMMARY: CONTRACTOR: - Hpplicant - sT. LIC. AA AMERICA'S BES7 INC. 17070100 20139703 2400 INTERLACHEN DR 222 SPRING PARK MN 55384 (612) 707-0100 OWNER: 6E7CHER 1336 JURpY ERGAN (651)452-8852 GARY RD MN 55122 T herehy ack?ntiwlezYgethat Fhave read?th3s?informat3pp i5 correct end agree tp opmRlY 5tatute6 and City of Eagan OrdinanG-es. L APPLICANT/PERMITEE SIGNATURE application and' state that the with all applicable State vf Mn. [%-EO'B . Y. S?G?l?2 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PII.OT KNO;RD - 55122 New Consiruction Reauirements ? 3 registered site surveys • 2 copies of plans (inGude beam 8 window sizes; poured hid. design; etc.) ? 1 energy wleulations ? 3 copies oi tree presenation plan ff IM platted aRer 7l5193 requiied: _ Ves _ No DATE: IC, 9) DESCRIPTI OF WORK: ?us?co\?- n(.?•? -?-c? . STRE ADDRESS: RemodeUReoair Reauirements • 2 copies oi plan ? 2 stte surveys (exOerior additione 8 tlecks) ? 1 energy caleulatians for heated addkions CONSTRUCTION COST; ? q,?D . - LOT: BLOCK: ? SUBD./P.I.D. #: Name: Phone #: `--1 S?-121?l S? PROPERTY Latt Firsc OWNER Street Address: City State: Zip: Company: :!;? C' Phone #: 10 1- C) `(?, U CONTRACTOR ?? ?loa 1? -? ?o ? 3 4? 3 Street Address: ? p?n IJr License tt Ciry ?)'r7r I o? State: r)l? I'\ Zip: ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City State: Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowiedge that I have read this applica8on and state that the infortnation is State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No Zip: Penalty appiies when address chang and agree to comply with all applicabl C =----- 'i Not RequiLed _ 19 bZC 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS CO?IlfERCIAL 2 SETS OF PLANS 2 SETS DF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS 1 SET OF ENERGY CALGULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE i1NIT5 PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PF?IT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For Site Address < S? D', t4 Valuation I 3 6 '?o i ? ? ?90 o Date : -0-7/ \ OFFICE USE ONLY Lot JLtL? Block ? Parcel/Sub ??yWL Owne r l?] e? c. 4-• L? -?- C D[C- f+1 c;AY1 Address City/Zip Code Phone '-(-5 a- - 6 d S2 (o? -003 Contractor lw'%r??bwt? "da,I_" Address % 13o ?QfiLw6 Aw - City/Zip Code _MQ -7 Phone 50! ` `%/ Arch./Engr. Address FEES / 3 ' ? ? Occupancy Bldg. Permit ?P Zoning Surcharge z • UO Actua2 Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System _ Park Ded. City water _ Trail Ded. PRV _ Copies Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL (? Bldg. Dff. Variance agrees that all work shall be done in accordance with te of Minnesota Statutes and City of Eagan Ordinances. City/2ip Code 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 2) r.0 2-2-3 New Conatruction ReauhemeMs 3830 PILOT KNOB RD • 55122 3--, cJ 651-681-4675 C='" (o-i a- 9°( Remodel/Reoah ReauUements D 3 regisfered sMe surveys show(ng sq. R. W lot sq. fl. of house and gg roofed areas (2maximum lot covetaae atlowed) > 2 caples ol pians (show beam a window sKes; poured fnd. design; efc.) ? 1 set of energy calculaNons ? 3 copies ot hee preservafion plan N lot plaXed nfter 7/1/93 DATE: 2 coptes of pian 7 seT of energy calculatlons lor heated addfllons 1 sife survey for exferlor addHlons a decks CONSTRUCTION COST: DESCRIPTION OF WORK: /- ! 124s: LEE- S T'O IZ P-1-T7 D N STREET ADDRESS: 1 3?!> (? v µg-D q LOT: ?L BLOCK: SUBD./P.I.D. #: Name:-E'f?? ?it-2L{ ? Lt NDA Phone #; ??. 4S2 -??SZ PROPERTY i°n Ftr'r OWNER f? StreetAddress: t 133G ? ?1 u'Q-p q city C. R- G Pc-iJ state: ? N zip: Company: ?h1?1 ?'rD 2143?a?1S Phone #: L 17 435- ?? 3Z (area code) CONTRACTOR Street Address: 24 p 7 4 4" Litense #S-g ExP• 3 2e°° City f"tPPI..E- V ?4-T-l.LY State: M ?J ARCHITECT/ Name: ENGINEER Company: Telephone #: area code ( Sheet Address: RegistraMon #: City State: Sewer 8 water tlcensed plumber [reauired for new conshucHon onN PenaHy appiies when address change and lot chcnge is requested once permR is issued. 1"nereby acknowledge lhat I hwe read ihls appllcallon, state ihaf the InfamaHon is cortect, and Siate oi Minneso}a Statutes and City of Eagan Ordinances. 1 r) Slgnafvre of Zip: S? l 2 4' Zip: applicabl Certificates of Survey Received _ Yes - No ju' ? B Tree Preservation Plan Received _ Yes - No _ Not Required !?ko- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 'K02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors 13 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to appli cant for demolition permit GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy FZ • 3 Zoning ?• ? # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building ? Census Code SAC Code _ot No. of Units ( No. of Bldgs 6 MC/E5 System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/E5 SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. TraiVs Ded. Other Copies Total: Valuation: $ 8o, OpC) ? SAC Units % SAC CITY USE ONLY LOT ? BL 1 RECEIPT #: 1 l? o?b SUBD. Qb hh T W 00 A RECEIPT DATE: O-??? I? MECHANICAL PERMIT # 1999 M£CMNICAL PEftMTf (ftESID£NTIAI) Cl7'Y OF EAfiA1V 3830 PILOT KNOB RD E4fiAN MN 5SifY (651)6$1,4675 Date• -1 Complete this section aiilv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. ?,... ?. n i nn n?r nTT r ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Tota] $ 30.00 6.00 .50 $ Complete this secrion onlv if you aze remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration )( Repair _ Other Reminder: Ca11681-4675 for inspections. Furnace _ Air exchanger SITE ADDRESS _ Air conditioning Y Other 1 11 SALtlt(?'Q. I;ne.. m $ 30.00 1(1 Cp?1 State Surchazge .50 Minimum Total Due $ 30.50 OWNER NAME: INSTALLER NAME: STREET ADD/? RESS: CITY: C U J -8q --747Z ZIP: 5533 . ) AUG Z 6 1999 SIGNATURE OF PERMITTEE ' V' _ CITY USE ONLY + L BL ( RECEIPT #: F J I ?,,( D I SUBD. 1 J Onhj 1(40 U U RECEIPT DATE: ?? PERMIT # 3 1 01 d 3_ 1999 PLU1lBIxH PERMIT (ftES1DEHTIAL) crrY oF EAa,e?N 3$30 PILOT KNOB ftD gAfiAN, MN 55122 (651) 681-4675 Please complete for: single family dwellings townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Ges i in Outlet ' minimum -1 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavator 3.00 x = 3 Minimum fee alterations to existin dwellin 30.00 x = $ ? Private Dis osal 5 stem new/refurbished * re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = S RPZ _ new inst211ationlrepair___ 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Watef Softener if dwelling under conslruction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 Total --> --? ---> ----> $ - Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------at I have read ------------th -- isa---pp--l i-ration----- ,--state-----that--- the-- -rm---ation----is----cortect, -------and---agree-----to- co m -ply---willi----all----applic ableCity ------------of--Eagan- -----ordinances-------- I hereby acknowledge th info. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed untler this permit within City propertylright-obwayleasement. SITE ADDRESS: /S 3 el OWNER NAME: : l?OeP TELEPHONE #: (AREACODE) INSTALLER NAME: TELEPHONE #: G?? 5? ??y G?SJ STREET ADDRESS: 375O ?7 (AR A CODE) //v CITY: ZCIL! P? STATE: ZIP: 573-,12,? SIGNATURE OF PERMITTEE N +`. .i3 ,:?,.,; ?SA 'sET"UF<:,ENE1tGY CALCS .M1 f . SY=IAST? WORKTNG DAY ;HADDRE55eI5. .. ,t , iASzBEEN'COMPtBTED. t?5 L-? n, :v ....o?g.. ,r ad ?Trii`t r-1t? Ued. ai1 De?..: iTy.QTAL a a. G??tnge ' ' . .. t a 4..:. . ..t':, ?. . . . -. ' . d"one, iri-'accordance with ? r ?114 PERMIT City of Eagan Permit Type:Building Permit Number:EA117961 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 1336 Jurdy Rd Lot:11 Block: 04 Addition: Donnywood PID:10-20960-04-110 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, 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 - Gary Betcher 1336 Jurdy Rd Eagan MN 55121 (651) 452-8852 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature May 28 14 10:50a Aboveboard Roofing 6513402553 p.1 Use BLUE or BLACK Ink For Office use j city of ' Eap ~ i Permit IOC&4>d4 3830 MN Knob Road Eaga _l~ 9~ 1 Eagan MN 55122 fA,A 1 Permit Fee: oC f Phone: (651) 675-5675 Pik { t Date Received: Fax: (651) 675-5694 1 I I Staff: 1 I ~ ---------------i y 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date ? + Site Address, J Unit } Name: _ _3 s Resident/ t _ _ Phone: ~e Owner Address ! City / Zip: '0' Applicant Is: Owner r ` Contractor Description of work: Type of Work It r_ - t t :Construction Cost: € , Multi-Family Building: (Yes / No P Company sF};"b - V -~"'t r yp , f L {}r l_ f` i C'' i i 11- Contact. t Address: -r~+wc J7 r_ Contractor I i C s~ t v~ 6<r' City: tv't t t Ct State r Zip r Phone 1. : C _ mail: V c~ f E Cz%. it P w} J License # s f r~ Lead Certificate f#. If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING t 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: f i 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. ceof hrst_at-_cf,c:1_I_I I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; (hat 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. s i x jL ')sF~ Applicant's Printed Name Applicant's Signature } Pagel of 3 May 28 1410:50a Aboveboard Roofing 6513402553 p.1 r Use SLUE or BLACK Ink - - - - - - - - - - - - - - - 1 qmr~' i For Office Use j ~r City of oar I Permit 9: /~~~~1U I Eap 1 1 3830 Pilot Knob Road 1 Permit Fee: I Eagan MN 55122 p Phone: (651) 675-5675 j Date Received: y aQ Fax: (651) 675-5694 I I I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION' Date Site ry Address Unit # a Name: Resi t✓' ' _ s c, dent/ ' Phone: 1 a Owner Address City / Zip: i Applicant is: Owner ext. Contractor a Type of Wo Description of work: rk_ "j) s Construction Cost: € z ! Multi-Family Building: (Yes No Company <..t-~ t~'t G l >iCrs, 'IContact: Gt e iw.l f!_ Contractor Address. ! i Lt:) ~ ~ i' e to< o``✓ City: ` w 4 vt a t C% State. r Zip: . , . . Phone: r r °61 1 ns i. Email v .j 111 4:~- f a f f t x. i iV'l ~t - J F --License #f Lead Certificate 4: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: f I~ 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. 1Arw _rLor;h :_sta__un("ca~l_r)-ra, 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 . `t E' x tv...E'•'v'ir' l ' .J ,t f ,i'" _ Applicant's Printed Name Applicant's Signature Page 1 of 3